On October 11, 2021, Elliott Investment Management L.P. sent a letter and an accompanying presentation to Healthcare Trust of America, Inc Board of Directors urging the Company to conduct a strategic review. In the letter, Elliott highlighted the Company's long-term underperformance and an untenable status quo, as the Company's cost of capital makes it uncompetitive. Elliott also commissioned a third-party survey that shows that shareholders support its thesis that the Company should explore a sale at a premium valuation rather than pursue a stand-alone growth path. Elliott also added that since news of its involvement was first made public, it has received numerous private inbounds from other top shareholders voicing their support for a strategic review, including the active solicitation of bids for the Company.