UNIVERSAL HEALTH REALTY INCOME TRUST
DEFN14A, 1999-04-30
REAL ESTATE INVESTMENT TRUSTS
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                         Proxy Statement


Culinary Workers Union Local 226   For release to shareholders
1630 S. Commerce Street            4/29/99
Las Vegas, Nevada  89102
(702) 387-7064 tel.
(702) 385-1197 fax.

     VOTE FOR OUR SHAREHOLDER PROPOSAL TO ENSURE INDEPENDENT
        TRUSTEES AT UNIVERSAL HEALTH REALTY INCOME TRUST 

                  Annual Meeting of Shareholders
               Universal Health Realty Income Trust
                     June 1, 1999, 10:00 a.m.
                         367 S. Gulph Rd.
                       King of Prussia PA 

Dear Trust shareholders:

     Please vote for our shareholder proposal to prevent
conflicts-of-interest among the so-called "independent" trustees
of the Trust. The only way to vote for this proposal may be the
enclosed proxy card.  

     We own Trust stock and also represent employees of the
Trust's primary "Advisor", Universal Health Services
("UHS").<FN1>   UHS is also the Trust's primary tenant. The Trust
is supervised by a board of trustees (like a board of directors). 

     We believe the best way to ensure all transactions between
the Trust and UHS are fair to shareholders is to have a majority
of trustees be truly independent of UHS.

     We question whether such independence is achieved by the
current Declaration of Trust, the document governing the Trust. 
A majority of trustees are currently deemed "independent" under
the Declaration, but the Declaration defines this term in an
interesting way.  

     Thus for many years (until 12/98), Michael Walker was an
"independent" trustee -- but he was CEO of Genesis Health
Ventures, which had on its board of directors the CEO of UHS
(Alan Miller). Miller even served on the Genesis compensation
committee which set Walker's pay. 

                  
<FN1>For more information, see section below entitled "Proxy
Solicitation."

<PAGE>

      "Independent" trustee James Dalton, Jr. is the CEO of
Quorum Health Group: his company is involved in a 3-hospital
joint venture with UHS in the Las Vegas area. "Independent"
trustee Cain has from time to time performed investment banking
services for the Trust.  

      Relationships like these could obviously make it harder for
a trustee to say "no" to demands made on the Trust by UHS. 

     UHS saw its annual net income grow by over 175% from 1994
thru 1998; while the Trust's net income increased by only
two-tenths of one percent in the same period.<FN2>  Obviously
many factors affect the profitability of the two companies. We in
no way suggest trustees made improper decisions -- that would
require analyzing data to which we do not have access.
     
     We feel shareholders should not have to worry in the least
that trustees are favoring UHS at the Trust's expense because of
trustees' outside business relationships with UHS.  

        TEXT OF PROPOSAL AND CURRENT DECLARATION OF TRUST

     Please support the following proposal to avoid
conflicts-of-interest among independent trustees overseeing the
Trust: 

          WHEREAS, under the current Declaration of Trust, a majority
     of trustees must be Independent Trustees", and a majority 
     of Independent Trustees must approve the Trust's
     agreement  with its Advisor (UHS), which is also the Trust's 
     primary tenant; 

          AND WHEREAS the term "Independent Trustee" is currently
     defined by the Declaration to allow such trustees to be
     major suppliers or customers of UHS, or executives of major
     suppliers or customers or joint venturers of UHS, or      
     executives of companies which have UHS officers on their own 
     boards, including even these boards' executive compensation
     committees;  




                  
<FN2>Annual net income was as follows (in mil.):
                    1998     1997      1996      1995      1994
          Trust     14.3     14.0      14.2      13.6      14.3 
          UHS       79.6     67.3      50.7      35.5      28.7




<PAGE>

          WHEREFORE, shareholders recommend that trustees support      
     amending section 1.4(l) of the Declaration to read as       
     follows: "'Independent trustee' shall mean a trustee who (i) 
     is not an Affiliate of the Advisor and personally performs   
     no services for the Trust except as trustee; and (ii) in the 
     last 3 years has not personally engaged in (or served as an  
     officer, director, general partner, employee, or trustee of  
     any business entity which engaged in) any of the following:  
     (a) being in a partnership or joint venture with the Advisor 
     or Trust; or (b) having on its own governing board any       
     executive of the Advisor or Trust; or (c) buying from or     
     selling to the Advisor or Trust more than $10,000 in goods,  
     services or property in any year." 

Compare this to the existing language of the Declaration of
Trust. Section 1.4(l) provides: "'Independent Trustee' shall mean
a Trustee who, in his individual capacity, (i) is not an
Affiliate of the Advisor and (ii) does not perform any services
for the Trust except as Trustee." This definition is further
narrowed by the Declaration (section 1.4(c)) defining "Affiliate"
to ignore suppliers, contractors, consultants, customers, joint
venturers, and other business relationships which might make the
trustee feel beholden to UHS: 

          "'Affiliate' shall mean, as to any Person, (i) any other
     Person directly or indirectly controlling, controlled
     by or under common control with such person, (ii) any other
     Person that owns beneficially, directly or indirectly, five
     percent (5%) or more of the outstanding capital stock,
     shares or equity interests of such Person, or (iii) any
     officer, director, employee, general partner or trustee of
     such Person or of any Person controlling, controlled by or
     under common control with such Person (excluding trustees
     who are not otherwise an Affiliate of such Person)." 

        SUMMARY OF RELATIONSHIP BETWEEN THE TRUST AND UHS

     In 1998, UHS subsidiaries were the principal tenants of 7 of
the 9 hospitals owned by the Trust. The UHS leases accounted for
75% of the Trust's total revenues for the 5 years ended
12/31/98.

     The Trust's officers are all also UHS officers. The Advisory
Agreement between the Trust and UHS is renewable annually,
subject to approval by a majority of independent trustees. The
Trust paid UHS $1,099,000 for advisory services in FY 1997 and
$1,161,000 in FY 1998.    

    Currently, 4 of the 6 trustees are deemed "independent" under
the declaration of trust.  A seventh trustee, Mr. Walker,
resigned as trustee in December, 1998. "Independent" trustee Cain
received payment in the past for investment banking services to
the Trust, but reportedly not in 1995-98.

   More information about the trustees and the relationship
between UHS and the Trust is contained in the Trust's latest 
proxy statement at pp. 3-4 and 10-12 incorporated herein by
reference. 

         VOTING PROCEDURE AND IMPLEMENTATION OF PROPOSAL

     IT IS LIKELY THAT MANAGEMENT'S PROXY CARD WILL NOT INCLUDE
OUR PROPOSAL.  IF SO, THE ENCLOSED CARD IS THE ONLY WAY YOU CAN
VOTE BY PROXY FOR OR AGAINST THIS PROPOSAL.  
 
     IF YOU HAVE ALREADY VOTED, YOU CAN CHANGE YOUR VOTE. Only
the latest-dated proxy card is counted. Any proxy may be revoked
prior to being counted at the meeting by (1) signing and dating a
new proxy card; or (2) appearing at the meeting to vote; or
(3) sending a written revocation to the proxyholder: the
Company's address is 367 South Gulph Road, King of Prussia PA
19406, (tel) (610) 265-0688. 

   We will keep all cards we receive confidential until the
meeting, unless ordered otherwise by a court.   Passage of the
proposal will require a favorable vote by a majority of stock
represented at the meeting. We intend to mail this statement to a
majority of voting power of the stock. The proposal is
non-binding. If all trustees or all but one approve, it would be
submitted for shareholder ratification; under the Declaration,
approval by a majority of shares eligible to vote is required.
The proposal leaves the timing of implementation to board
discretion: we expect the board would time this so as not to
force any existing trustees to resign, but no assurances can be
offered as to future board decisions in this regard.  It is
possible that introduction of, voting upon or adoption of the
proposal might positively or negatively impact the relationship
between the Trust and UHS. 

     The enclosed proxy card grants no discretionary authority: 
we will vote solely as you instruct us. If matters come before
the meeting which are not set forth in this proxy statement or
management's proxy statement (which we do not anticipate), then
we will not vote your shares on these matters. If you sign the
enclosed card but do not instruct us how to vote, we will vote
your shares FOR our proposal and not vote in the trustees'
election. We incorporate herein by reference the discussion in
management's proxy statement of voting requirements, record date
and outstanding securities at  p. 1.

                        PROXY SOLICITATION

     This solicitation is conducted by Culinary Local 226, which
owns 56 shares in the Trust. Culinary has interests in UHS
activities beyond its UHT stock ownership: Culinary represents
over 40,000 employees in Las Vegas, including approximately 100
employees at UHS' Valley Hospital. Culinary is negotiating with
UHS for a new agreement. The federal district court in
Nevada has found UHS in violation of its contractual duty to
arbitrate a Culinary grievance over UHS' failure to apply the
agreement to Desert Springs Hospital after a majority of Desert's
unit employees designated Culinary as their representative. No
work stoppage or picketing has occurred.  Culinary does not ask
for your support in these matters, and does not believe them
relevant to how you should vote as a Trust shareholder.  Neither
hospital is owned by the Trust.  Regardless of the outcome of
labor matters, Culinary will vote each proxy card it receives in
accordance with the shareholder's instructions. Culinary has not
offered to trade its shareholder activities for labor
concessions. Such shareholder activities may have no effect on
labor relations, or propel settlement, or so anger management as
to prevent settlement.  Culinary will bear all solicitation costs
(anticipated at $7500 and will not seek reimbursement from the
Company. It intends to solicit proxies by mail, fax, phone,
e-mail and meetings using regular staff. 


      EXECUTIVE COMPENSATION/STOCK OWNERSHIP OF MANAGEMENT,
           TRUSTEES AND 5% OWNERS/ELECTION OF TRUSTEES

      Information on these matters is contained in management's 
proxy statement (pp. 1-3, incorporated by reference herein). 

                   FUTURE SHAREHOLDER PROPOSALS

     You can contact us if you wish further information with
respect to shareholder rights in making proposals.  The deadline
for shareholders to submit proposals for inclusion in
management's proxy statement in 2000 will be December 31. 1999.   



<PAGE>

PROXY SOLICITED BY CULINARY LOCAL 226 
FOR 1999 SHAREHOLDERS MEETING OF 
UNIVERSAL HEALTH REALTY INCOME TRUST

     The undersigned shareholder hereby appoints John Canham-
Clyne as proxy, with full power of substitution, to vote for the
undersigned at the 1999 annual meeting of the Trust's
shareholder, and any adjournments thereof.  The undersigned
directs this proxy be voted in accordance with the instructions
herein and grants no discretionary voting authority. If not
marked otherwise, this proxy will be voted FOR the shareholder
proposal and not voted in the election of trustees.  

I. SHAREHOLDER PROPOSAL TO ENSURE INDEPENDENCE OF TRUSTEES

[ ] FOR 

[ ] AGAINST

[ ] ABSTAIN

II. ELECTION OF TRUSTEES

Nominees of management: Alan Miller, Myles Tanenbaum

[ ] FOR all nominees

[ ] WITHHOLD AUTHORITY for all nominees

Instruction: To withhold authority to vote for election of one or
more of the nominees above, mark FOR above and cross out the
name(s) of the nominees for which you wish to withhold authority.

PLEASE SIGN, DATE, and PROMPTLY RETURN. PERSONS SIGNING IN
REPRESENTATIVE CAPACITY SHOULD INDICATE AS SUCH. IF SHARES ARE
HELD JOINTLY, BOTH OWNERS SHOULD SIGN.

Signature __________________________ Date _________















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