AMENDMENT TO SALES AGREEMENT

This Amendment to Sales Agreement, dated May 5, 2017 (the “Amendment”), is entered into by and between Healthcare Realty Trust Incorporated (the “Company”) and Credit Agricole Securities (USA) Inc. (the “Agent”, and together with the Company, the “Parties”, and each, a “Party”).

WHEREAS, the Parties have entered into that certain Sales Agreement, dated February 19, 2016 (the “Agreement”) (capitalized terms used and not defined in this Amendment have the respective meanings assigned to them in the Agreement);

WHEREAS, pursuant to the Agreement and the February 2016 Sales Agreements with various other sales agents, the Company could issue and sell up to an aggregate of 10,000,000 shares of the Company’s common stock, par value $0.01 per share as part of an “at the market” offering program, of which 5,868,697 shares remain available for issuance (the “ATM Program”);

WHEREAS, the Company desires to add Fifth Third Securities, Inc. as a sales agent on the ATM Program, and the Parties desire to amend the Agreement to provide for the addition of Fifth Third Securities, Inc.

“The Company has also entered into sales agreements on terms substantially similar to this Agreement dated as of even date hereof with each of Barclays Capital, Inc. (“Barclays”), BB&T Capital Markets, a division of BB&T Securities, LLC (“BB&T”), Cantor Fitzgerald & Co. (“CF&Co”) and BMO Capital Markets Corp. (“BMO”) each as amended on May 5, 2017, and a Sales Agreement dated May 5, 2017 with Fifth Third Securities, Inc. (“Fifth Third”) (collectively, as amended, the “ATM Sales Agreements”). As of May 5, 2017, the

aggregate number of Common Shares that may be sold pursuant to this Agreement and the ATM Sales Agreements shall not exceed 5,868,697 shares.”

“The Company agrees that any offer to sell, any solicitation of an offer to buy, or any sales of Common Shares shall be effected by or through only one of Agent, Barclays, BB&T, CF&Co, Fifth Third or BMO on any single given day, and the Company shall in no event request that any two of them sell Common Shares on the same day, provided that, the Company and Agent agree that nothing herein shall prohibit the Company from terminating a Placement Notice and issuing a subsequent Placement Notice to either Barclays, BB&T, CF&Co, Fifth Third, BMO or Agent on the same day, provided further that, prior to the issuance of any subsequent Placement Notice, the Company shall have terminated any outstanding Placement Notice in accordance with Section 4.”

“The Company has no subsidiaries or affiliates (collectively, “Subsidiaries”) other than those identified in Exhibit 21 to the Company’s last filed Annual Report on Form 10-K (“Exhibit 21”) or as otherwise disclosed in writing to the Agent or Agent’s counsel in connection with a Representation Date.”