UNIVERSAL HEALTH REALTY INCOME TRUST
S-3D, 1999-06-28
REAL ESTATE INVESTMENT TRUSTS
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<PAGE>   1
                                                 REGISTRATION NO. 333-
- - --------------------------------------------------------------------------------


                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                           --------------------------
                                    FORM S-3
                             REGISTRATION STATEMENT
                                      UNDER
                           THE SECURITIES ACT OF 1933
                           --------------------------
                      UNIVERSAL HEALTH REALTY INCOME TRUST
             (Exact name of registrant as specified in its charter)

                           --------------------------

                 MARYLAND                              23-6858580
      (State or other jurisdiction of               (I.R.S. Employer
       incorporation or organization)              Identification No.)

                           --------------------------

                           UNIVERSAL CORPORATE CENTER
                              367 SOUTH GULPH ROAD
                       KING OF PRUSSIA, PENNSYLVANIA 19406
                                  610-265-0688
          (Address, including zip code, and telephone number, including
            area code, of registrant's principal executive offices)

                                 ALAN B. MILLER
                           UNIVERSAL CORPORATE CENTER
                              367 SOUTH GULPH ROAD
                       KING OF PRUSSIA, PENNSYLVANIA 19406
                                  610-265-0688
            (Name, address and telephone number of agent for service)

APPROXIMATE DATE OF COMMENCEMENT OF PROPOSED SALE TO THE PUBLIC: As soon as
practicable after the effective date of the Registration Statement.

                           --------------------------

     If the only securities being registered on this Form are being offered
pursuant to dividend or interest reinvestment plans, please check the following
box. [X]

     If any of the securities being registered on this Form are to be offered on
a delayed or continuous basis pursuant to Rule 415 under the Securities Act of
1933, other than securities offered only in connection with dividend or interest
reinvestment plans, check the following box: [ ]

                           --------------------------


<PAGE>   2



     CALCULATION OF REGISTRATION FEE

<TABLE>
<CAPTION>
============================================================================================================================

                                                                  PROPOSED MAXIMUM    PROPOSED MAXIMUM
 TITLE OF EACH CLASS OF SECURITIES TO BE       AMOUNT TO BE        OFFERING PRICE    AGGREGATE OFFERING        AMOUNT OF
                REGISTERED                      REGISTERED          PER UNIT (1)           PRICE            REGISTRATION FEE
- - ----------------------------------------------------------------------------------------------------------------------------
<S>                                           <C>                 <C>               <C>                    <C>
Shares of Beneficial Interest, par value
$.01                                           900,000 shares        $ 19.375          $ 17,437,500             $ 4,848
============================================================================================================================
</TABLE>

(1)  Estimated solely for the purpose of determining the registration fee in
     accordance with Rule 457 under the Securities Act of 1933. The proposed
     maximum offering price is based upon the last sale price of the Shares of
     Beneficial Interest of the Registrant on the New York Stock Exchange on
     June 24, 1999.





                                       2
<PAGE>   3


PROSPECTUS

                      UNIVERSAL HEALTH REALTY INCOME TRUST
                  DIVIDEND REINVESTMENT AND SHARE PURCHASE PLAN

     We are please to send you this prospectus describing the Universal Health
Realty Income Trust Dividend Reinvestment and Share Purchase Plan, or the Plan.
The Plan provides you with a simple and convenient method to purchase our shares
of beneficial interest, or the Trust Shares. Purchases of Trust Shares directly
from us pursuant to the Plan will provide us with additional capital for general
corporate purposes.

     Some of the significant features of the Plan are:

o    You may purchase additional Trust Shares through the reinvestment of cash
     dividends on your Trust Shares.

o    You may also purchase additional Trust Shares through monthly optional cash
     investments (subject to a minimum of $25.00 per month and a maximum of
     $50,000.00. per month)

o    Holders of Trust Shares in broker or nominee name may participate in the
     Plan.

o    Your record-keeping will be simplified since you will receive periodic
     statements of your account.

o    You may deposit Trust Shares held by you and registered in your name into
     the Plan and thereby avoid the need for safekeeping of certificates.

     This prospectus contains complete information in an easy-to-read,
question-and-answer format, and we urge you to read it carefully.

     Your participation is entirely voluntary, and you may begin or terminate
your participation at any time. If you are a registered holder and wish to join
the Plan, please complete and sign the enclosed Authorization Form and return it
to Equiserve, L.P., the Plan Administrator. If you are a beneficial owner,
please see Questions 3 and 4 for instructions on how you may participate in the
Plan. Please retain this prospectus for future reference. The Trust Shares are
traded on the New York Stock Exchange under the symbol "UHT."

NEITHER THE SECURITIES AND EXCHANGE COMMISSION NOR ANY STATE SECURITIES
COMMISSION HAS APPROVED OR DISAPPROVED OF THESE SECURITIES OR DETERMINED IF THIS
PROSPECTUS IS TRUTHFUL OR COMPLETE. ANY REPRESENTATION TO THE CONTRARY IS A
CRIMINAL OFFENSE.

                  The date of this Prospectus is June 28, 1999


<PAGE>   4


                                TABLE OF CONTENTS

                                                                 Page
                                                                 ----
Summary of Plan                                                     5

The Plan                                                            7

Purpose                                                             7

Advantages and Disadvantages                                        7

Participation                                                       8

Purchases and Prices of Shares                                     10

Administration                                                     12

Reports to Participants                                            12

Dividends on Trust Shares                                          12

Certificates for Trust Shares                                      12

Withdrawals and Termination                                        13

Other Information                                                  14

Dividends                                                          18

Use of Proceeds                                                    18

Description of Trust Shares                                        19

Plan of Distribution                                               20

Federal Income Tax Considerations                                  21

Legal Matters                                                      26

Experts                                                            26

Available Information                                              26

Incorporation of Certain Documents by Reference                    27


         As used herein, the term "we, "our," "us" or "Trust" includes Universal
Health Realty Income Trust and those entities owned or controlled by it
(collectively, the "Subsidiaries") unless the context indicates otherwise.



<PAGE>   5

                                 SUMMARY OF PLAN

         The following summary description of our Plan is qualified by reference
to the full text of the Plan which is contained herein.

<TABLE>
<S>                                        <C>
      About the Trust:                      We are a Maryland real estate
                                            investment trust organized in August
                                            1986 to invest in income-producing,
                                            health care related products. We
                                            commenced operations on December 24,
                                            1986. As of June 15, 1999, we had 32
                                            investments located in 14 states.

                                            Our corporate headquarters and
                                            executive offices are located at 367
                                            South Gulph Road, King of Prussia,
                                            Pennsylvania 19406, and our
                                            telephone number is (610) 265-0688.

      Purpose of the Plan                   The primary purpose of the Plan is
                                            to provide you with a simple and
                                            convenient method to purchase our
                                            shares.

      Purchase Price                        The Plan provides that shares to be
                                            offered may be either newly issued
                                            shares purchased directly from us or
                                            shares purchased in the open market.
                                            (See Question 11.)

                                            Under the Plan the purchase price of
                                            shares purchased in open market
                                            transactions shall be the actual
                                            price of all shares purchased for
                                            the account of Plan participants.

                                            The price at which newly issued
                                            shares are acquired directly from us
                                            shall be the last reported sales
                                            price of the shares as published in
                                            the Eastern Edition of the Wall
                                            Street Journal report on the New
                                            York Stock Exchange Composite
                                            Transactions for the date
                                            immediately preceding the date on
                                            which the shares are purchased.
</TABLE>



<PAGE>   6

<TABLE>
<S>                                         <C>
      Brokerage Costs and Commissions;      There are no expenses to
      Administrative Fees and Costs         participants in connection with the
                                            purchase of Trust Shares under the
                                            Plan.


      Plan Limitations                      Optional cash investments are
                                            subject to a minimum monthly
                                            purchase limit of $25.00 and a
                                            maximum monthly purchase limit of
                                            $50,000.00. (See Question 13.)

                                            Subject to the availability of
                                            shares registered for issuance under
                                            the Plan, there is no total maximum
                                            number of shares that can be issued
                                            pursuant to the reinvestment of
                                            dividends.

      Number of shares offered              As of the date hereof, 900,000
                                            shares have been registered and are
                                            available for sale under the Plan.
</TABLE>

                                    THE PLAN

         The Plan, as amended, was adopted by our board of trustees on March 8,
1999. The following questions and answers explain and constitute the Plan.
Shareholders who do not participate in the Plan will receive cash dividends, as
declared and paid in the usual manner.

                                     PURPOSE

1.       WHAT IS THE PURPOSE OF THE PLAN?

         The purpose of the Plan is to provide holders of Trust Shares, with a
simple and convenient way to invest cash dividends or optional cash payments
received on account of the Trust Shares held, in additional Trust Shares. When
we are not engaged in making a public offering of our Trust Shares pursuant to a
registration statement that is in effect under the Securities Act, the Plan
Administrator will purchase Trust Shares either from or through securities
broker dealers. When we have registered Trust Shares available for sale, the
Plan Administrator shall use its best efforts to purchase either (i) outstanding
Trust Shares from or through securities broker dealers or (ii) "newly issued"
Trust Shares directly from us in accordance with the terms of the offering. In
those cases in which Trust Shares are purchased directly from us, we will
receive additional funds for our business purposes, which primarily include real
estate equity investments.



<PAGE>   7



                          ADVANTAGES AND DISADVANTAGES

2. WHAT ARE THE ADVANTAGES OF THE PLAN?

         Participants in the plan may:

         (a) have cash dividends on all or a portion of their Trust Shares
automatically reinvested or have optional payments invested in Trust Shares with
no brokerage commissions or any charges for record-keeping; and

         (b) obtain full investment use of funds, as the Plan provides for
fractions of Trust Shares to be credited to participants' accounts; and

         (c) avoid cumbersome safekeeping requirements and record-keeping costs
for Trust Shares credited to participants' accounts under the plan through the
free custodial service and reporting provisions of the Plan.

         Disadvantages:

         (a) Participants that reinvest cash dividends will be treated for
federal income tax purposes as having received a distribution on the dividend
payment date; such dividend generally will give rise to income tax liability for
the payment of income tax without providing Participants with immediate cash to
pay such tax when it becomes due. (See Question 27);

         (b) Because the date by which you must decide to make an optional cash
investment is prior to the Optional Payment Investment Date (as defined in
Question 11) for such investments, your investments may be exposed to changes in
market conditions. (See Question 11); and

         (c) No interest will be paid to Participants on funds held by the Plan
Administrator pending investment. (See Question 12).

                                  PARTICIPATION

         For purposes of this section, responses will generally be based upon
the method by which the holder holds his or her Trust Shares. Generally, holders
are either record owners or beneficial owners. A record owner is a holder who
owns the Trust Shares in his or her own name. A beneficial owner is a holder who
beneficially owns the Trust Shares that are registered in a name other than his
or her own name (for example, the Trust Shares are held in the name of a broker,
bank or other nominee). A record owner may participate directly in the Plan,
whereas a beneficial owner will have to either become a record owner by having
one or more Trust Shares transferred into his or her own name or coordinate his
or her participation in the Plan through the broker, bank or other nominee in
whose name the beneficial owner's Trust Shares are held. If a beneficial owner
who desires to become a Participant encounters any difficulties in coordinating
his or her participation in the Plan with his or her broker, bank or other
nominee, he or she should call our Investor Relations department at (610)
265-0688.


<PAGE>   8



3.       WHO IS ELIGIBLE TO PARTICIPATE?

         All holders of record of the Trust Shares are eligible to participate
in the Plan. Beneficial owners of our Trust Shares whose securities are
registered in the name of a broker or nominee must contact the broker to make
arrangements for them to participate on your behalf, or become a record holder
by having the Trust Shares transferred to his own name.

4.       HOW DOES AN ELIGIBLE HOLDER PARTICIPATE?

         An eligible holder of the Trust Shares who is not already enrolled in
the Plan may join the Plan by signing the Authorization Card and returning it to
BankBoston, N.A., c/o Equiserve, L.P., Dividend Reinvestment, PO Box 8040,
Boston, MA 02266-8040, which is acting as the Plan Administrator.

5.       ARE SECURITIES BROKER DEALERS ELIGIBLE TO PARTICIPATE?

         Yes. A beneficial owner whose securities are registered in the name of
a broker and who wishes to participate in the Plan should contact the broker and
request to participate.

6.       WHEN MAY A HOLDER JOIN THE PLAN?

         An eligible holder of our Trust Shares may join the Plan at any time.
Once in the Plan, the holder will remain a participant until he or she
discontinues his or her participation or sells all Trust Shares held in his or
her own name which are designated for participation in the Plan as well as Trust
Shares in the Plan account.

         If an Authorization Card specifying reinvestment of dividends is
received by the Plan Administrator on or before the record date (or, if the
record date is not a business day, the next preceding business day) established
for a particular dividend payment, reinvestment will commence with that dividend
payment date (or, if the payment date is not a business day, the next following
business day). Dividend payment dates for the Trust Shares and the related
record date are typically as follows:


          Approximate Record Date                Approximate Dividend Payment
          - the 15th day of March, June,         Date - the last day of March,
          September and December                 June, September and December


         If the Authorization Card is received after the record date established
for a particular dividend payment, then the reinvestment of dividends will not
begin until the dividend payment date following the next record date, as
applicable. See Question 12 below for information concerning the investment of
optional cash payments.


<PAGE>   9


7.       WHAT DOES THE AUTHORIZATION CARD PROVIDE?

         The Authorization Card provides for the purchase of additional Trust
Shares through the following investment options:

         (a) Full Dividend Reinvestment directs us to invest in accordance with
the Plan all of your cash dividends on all of the Trust Shares then or
subsequently registered in your name, and also permits you to make optional cash
payments for the purchase of additional Trust Shares in accordance with the
Plan;

         (b) Partial Dividend Reinvestment directs us to invest in accordance
with the Plan the cash dividends on only that number of Trust Shares registered
in your name which are designated in the appropriate space on the Authorization
Card, and also permits you to make optional cash payments for the purchase of
additional Trust Shares in accordance with the Plan;

         (c) Optional Cash Purchases Only permits you to make optional cash
payments for the purchase of additional Trust Shares in accordance with the
Plan, without reinvesting dividends on the Trust Shares held by you. After you
receive your statement on each optional cash purchase, you may elect to receive
cash dividends on such Trust Shares by withdrawing such stock from your account.
(See Question 20.)

         You may select either of the reinvestment options or the optional cash
purchase option. In all cases, cash dividends on all of the Trust Shares held in
your account under the Plan will be reinvested in accordance with the Plan,
including dividends on such Trust Shares purchased with optional cash payments.

8.       HOW MAY A PARTICIPANT CHANGE OPTIONS UNDER THE PLAN?

         As a participant, you may change your investment options at any time by
requesting a new Authorization Card and returning it to the Plan Administrator,
BankBoston, N.A., c/o Equiserve, L.P., Dividend Reinvestment, PO Box 8040,
Boston, MA 02266-8040.

                         PURCHASES AND PRICES OF SHARES

9.       ARE THERE ANY EXPENSES TO PARTICIPANTS IN CONNECTION WITH THE PURCHASE
         OF TRUST SHARES UNDER THE PLAN?

         No.

10.      HOW MANY TRUST SHARES WILL BE PURCHASED FOR PARTICIPANTS?

         If you become a participant in the Plan, the number of Trust Shares to
be purchased depends on the amount of your dividends or optional cash payments
and the purchase price of the Trust Shares. Your account will be credited with
that number of Trust Shares, including fractions, equal to the total amount to
be invested divided by the purchase price per share.



<PAGE>   10



11.      WHEN AND AT WHAT PRICE WILL TRUST SHARES BE PURCHASED UNDER THE PLAN?

         Purchases of Trust Shares with reinvested dividends will be made 3
business days prior to the payment date (or, if that is not a business day, on
the next following business day). The date on which optional payments received
from participants will be applied to the purchase of additional Trust Shares
(the "Optional Payment Investment Date") will be three business days prior to
the last day of the month which is a business day in Boston, Massachusetts. In
order to be invested on an upcoming Optional Payment Investment Date, optional
cash payments must be received by the Plan Administrator no later than 10 days
prior to the last day of the month. Late payments will be invested on the next
subsequent Optional Payment Investment Date.

         In the case of Trust Shares purchased in open market transactions, the
purchase price shall be the actual price of the Trust Shares purchased for the
accounts of Plan participants. The price at which newly issued Trust Shares are
acquired directly from us shall be the last reported sales price of the Trust
Shares as published in the Eastern Edition of the Wall Street Journal report on
the New York Stock Exchange Composite Transactions for the date immediately
preceding the date on which such Trust Shares are purchased. If there is no
trading in the Trust Shares as reported on the New York Stock Exchange Composite
Tape for the date immediately preceding the date of purchase, the purchase price
per newly issued Trust Share shall be determined by us on the basis of such
market quotations as we shall deem appropriate. Participants will become owners
of Trust Shares purchased under the Plan as of the date of purchase.

12.      WHO WILL BE ELIGIBLE TO MAKE OPTIONAL CASH PAYMENTS?

         All holders of record or beneficial owners of Trust Shares who submit
an Authorization Card or who continue to be enrolled in the Plan are eligible to
make optional cash payments at any time. We will apply any optional cash payment
received from a participant ten days prior to the last day of the month to the
purchase of Trust Shares for the account of the participant on such Optional
Payment Investment Date.

         If you want to make only optional cash payments (and not reinvest
dividends), we will pay cash dividends on Trust Shares registered in your name
in the usual manner and will apply any optional cash payments received from you
to the purchase of additional Trust Shares for your account under the Plan.
Unless Trust Shares acquired with optional cash payments are withdrawn from your
account, dividends paid on such shares will be reinvested. (See Question 20
below concerning withdrawal.)

         An initial optional cash payment may be made by a participant when
enrolling in the Plan (or by shareholders who continue to be enrolled in the
Plan) by enclosing a check or money order in U.S. funds drawn on a U.S. bank
with the Authorization Card. Optional cash payments may be made at any time by
sending them to BankBoston, N.A., c/o Equiserve, L.P., Dividend Reinvestment, PO
Box 9041, Boston, MA 02205-9835.

         Forwarding payments to any other address does not constitute valid
delivery. Checks or money orders should be made payable to BankBoston, N.A.
While optional cash payments may be made at any


<PAGE>   11


time, participants making these payments should send them so they are received
by the Plan Administrator ten days prior to the last day of the month because no
interest will be paid on such payments.

         In the event that any deposit is returned unpaid for any reason, the
Bank will consider the request for investment of such funds null and void and
shall immediately remove from the participant's account shares, if any,
purchased upon the prior credit of such funds. The Bank shall thereupon be
entitled to sell these shares to satisfy any uncollected balance. If the net
proceeds of the sale of such shares are insufficient to satisfy the balance of
such uncollected amount, the Bank shall be entitled to sell additional shares
from the participant's account to satisfy the uncollected balance. A $25.00 fee
will be charged for any deposit returned unpaid.

13.      WHAT ARE THE LIMITATIONS ON THE AMOUNT OF OPTIONAL CASH PAYMENTS?

         The same amount of money need not be sent each month and you are under
no obligation to make an optional cash payment in any month. Any optional cash
payments you wish to make must not be less than $25.00 per payment nor may they
total more than $50,000.00 per month. Only checks or money orders in U.S. funds
drawn on U.S. banks should be remitted.

14.      UNDER WHAT CIRCUMSTANCES WILL OPTIONAL CASH PAYMENTS BE RETURNED?

         Optional cash payments received by the Plan Administrator will be
returned to you upon written request received at least 72 hours prior to the
Optional Payment Investment Date.

                                 ADMINISTRATION

15.      WHO ADMINISTERS THE PLAN FOR PARTICIPANTS?

         BankBoston, N.A., as Plan Administrator, administers the Plan for
participants, keeps records, sends statements of account to participants and
performs other duties relating to the Plan. Trust Shares purchased under the
Plan will be registered in the name of the Plan Administrator (or its nominee),
as agent, and credited to the accounts of the respective participants.

                             REPORTS TO PARTICIPANTS

16.      WHAT KIND OF REPORTS WILL BE SENT TO PARTICIPANTS IN THE PLAN?

         As soon as practicable after each purchase, a participant will receive
an advice of transaction, including effective purchase price and the number of
Trust Shares acquired. These statements are a record of the cost of purchase of
shares under the Plan and should be retained for tax purposes. In addition, each
participant will receive copies of our annual and quarterly reports to
shareholders, proxy statements and dividend income information for tax reporting
purposes.


<PAGE>   12



                            DIVIDENDS ON TRUST SHARES

17.      WILL PARTICIPANTS BE CREDITED WITH DIVIDENDS ON TRUST SHARES HELD IN
         THEIR ACCOUNTS UNDER THE PLAN?

         Yes. As the record holder for the Trust Shares held in participants'
accounts under the Plan, the Plan Administrator will receive dividends for all
Trust Shares held by the Plan on the dividend record date, will credit such
dividends to participants' accounts on the basis of full and fractional Trust
Shares held in these accounts, and will automatically reinvest such dividends in
additional Trust Shares.

                          CERTIFICATES FOR TRUST SHARES

18.      WILL CERTIFICATES BE ISSUED FOR TRUST SHARES PURCHASED UNDER THE PLAN?

         Unless requested, we will not issue to participants certificates for
Trust Shares purchased under the Plan. Your Trust Shares will be held in the
name of the Plan Administrator or its nominee. The number of shares purchased
for your account under the Plan will be shown on your statement of account. This
feature protects against loss, theft or destruction of stock certificates.

         Certificates for any number of whole Trust Shares credited to your
account under the Plan will be issued to you upon your written request. If you
are reinvesting cash dividends with respect to all the Trust Shares registered
in your name, cash dividends with respect to Trust Shares withdrawn from your
account will continue to be reinvested unless you thereafter submit a new
Authorization Card reducing the number of Trust Shares subject to the Plan.
Dividends on any full or fractional Trust Shares remaining in your account will
also continue to be reinvested. We, at our discretion, may terminate any account
which contains only a fraction of a Trust Share by paying the account holder in
cash the dollar value of such fractional Trust Share. Certificates for fractions
of Trust Shares will not be issued. See No. 20 below for instructions on
withdrawing Trust Shares.

         Accounts under the Plan will be maintained in the names in which
certificates of the participants were registered at the time the participants
entered the Plan. Therefore, certificates for whole Trust Shares will be
similarly registered when issued at the request of a participant. Should you
want your Trust Shares registered and issued in a different name or should you
want to change the name in which your account is maintained, you must so
indicate in a written request and comply with any applicable transfer
requirements. A participant who wishes to pledge Trust Shares credited to his or
her Plan account must first withdraw such Trust Shares from the account.

19.      IS TRUST SHARE SAFEKEEPING AVAILABLE?

         As a participant in the Plan, you may deposit additional Trust Shares
as you now hold into your account for safekeeping. These are treated the same as
shares purchased under the Plan. The bank makes no charge for this additional
service.


<PAGE>   13




         All certificates should be sent to: BankBoston, N.A., c/o Equiserve,
L.P., Dividend Reinvestment, PO Box 8040, Boston, MA 02266-8040 by either
registered or certified mail, return receipt requested.

                           WITHDRAWALS AND TERMINATION

20.      HOW MAY A PARTICIPANT WITHDRAW TRUST SHARES PURCHASED UNDER THE PLAN?

         You may withdraw all or a portion of the Trust Shares from your Plan
account by notifying the Plan Administrator in writing to that effect and
specifying in the notice the number of whole Trust Shares to be withdrawn. This
notice should be mailed to: BankBoston, N.A., c/o Equiserve, L.P., Dividend
Reinvestment, PO Box 8040, Boston, MA 02266-8040. Certificates for the whole
Trust Shares so withdrawn will be issued to you. In no case will certificates
for fractional Trust Shares be issued. Any notice of withdrawal received after a
dividend payment record date will not be effective until dividends for such
record date have been reinvested and the Trust Shares so purchased are credited
to the participant's Plan account. See Question 6 above as to the approximate
dividend payment record dates. If you are reinvesting dividends on all Trust
Shares registered in your name, dividends with respect to Trust Shares withdrawn
from your account will continue to be reinvested unless you thereafter submit a
new Authorization Card reducing the number of Trust Shares subject to the Plan.

                                OTHER INFORMATION

21.      HOW MAY A PARTICIPANT SELL TRUST SHARES?

         You may sell all or a portion of the Trust Shares in your Plan account
by notifying the Plan Administrator in writing to that effect and specifying in
the notice the number of whole Trust Shares to be sold. This notice should be
mailed to: BankBoston, N.A., c/o Equiserve, L.P., Dividend Reinvestment, PO Box
8040, Boston, MA 02266-8040.

         The sale of Trust Shares shall be deemed to have been made at the then
current market price. The sale proceeds, after deduction of any brokerage
commission and a service charge of 5% up to a maximum of $10.00, shall be
delivered to the participant. No participant shall have the authority or power
to direct the date or sales price at which Trust Shares may be sold. Requests
must indicate the number of shares to be sold and not the dollar amount to be
attained. Any such request that does not clearly indicate the number of shares
to be sold will be returned to the participant with no action taken.



<PAGE>   14



22.      WHAT HAPPENS TO THE FRACTION OF A TRUST SHARE WHEN A PARTICIPANT
         WITHDRAWS OR SELLS ALL TRUST SHARES FOR THE PLAN?

         If a participant's account contains a fractional Trust Share for which
withdrawal or sale is requested (or the account is terminated by the Trust as
provided in Question 20 above), the Plan Administrator will make a cash payment
equal to the closing price on such date of the Trust Shares as reported in the
Eastern Edition of the Wall Street Journal, multiplied by such fraction. This
cash payment, together with certificates for the whole shares, will be mailed
directly to the withdrawing participant by the Plan Administrator.

23.      WHAT HAPPENS TO A PARTICIPANT'S PLAN ACCOUNT IF ALL TRUST SHARES IN THE
         PARTICIPANT'S OWN NAME ARE TRANSFERRED OR SOLD?

         If you dispose of all Trust Shares registered in your own name and
participating in the Plan, other than those held in your Plan account, the Plan
Administrator will continue to reinvest dividends on the Trust Shares held in
your Plan account until you notify the Plan Administrator that you wish to
withdraw such Trust Shares from your account. (See Question 20 above concerning
the withdrawal of Trust Shares.)

24.      HOW DOES A PARTICIPANT DISCONTINUE THE REINVESTMENT OF DIVIDENDS UNDER
         THE PLAN?

         A participant may discontinue the reinvestment of dividends under the
Plan with respect to all or a portion of the participants Trust Shares at any
time by notifying the Plan Administrator in writing to that effect.
Discontinuance with regard to all Trust Shares will constitute a request for
withdrawal of the Trust Shares held in a participant's account. Notice of
discontinuance should be sent to: BankBoston, N.A., c/o Equiserve, L.P.,
Dividend Reinvestment, PO Box 8040, Boston, MA 02266-8040. To prevent the
reinvestment of dividends in accordance with the Plan, a notice of
discontinuance must be received prior to the dividend record date for the next
dividend payment. (See Question 6 above for the approximate timing of dividend
record dates.)

25.      WHAT HAPPENS IF WE HAVE A TRUST SHARE RIGHTS OFFERING, ISSUES A TRUST
         SHARE DIVIDEND OR DECLARES A TRUST SHARE SPLIT?

         Participation in any rights offering will be based upon both the Trust
Shares registered in participants' names and the Trust Shares (including
fractional Trust Shares) credited to participants' Plan accounts. Any Trust
Share dividend or Trust Shares resulting from splits of Trust Shares, both full
and fractional, credited to participants' accounts will be added to their Plan
accounts.

26.      HOW WILL A PARTICIPANT'S TRUST SHARES HELD BY THE PLAN BE VOTED AT A
         MEETING OF SHAREHOLDERS?

         All Trust Shares credited to your account under the Plan will be voted
as you direct. If, on the record date for a meeting of shareholders, there are
Trust Shares credited to your account under the Plan,




<PAGE>   15




you will be sent the proxy materials for such meeting. When you return an
executed proxy, all of such Trust Shares will be voted as indicated. Or, if you
so elect, you may vote all of such Trust Shares in person at the shareholders'
meeting.

27.      WHAT ARE THE FEDERAL INCOME TAX CONSEQUENCES OF PARTICIPATION IN THE
         PLAN?

         Under Internal Revenue Service rulings in connection with similar
plans, dividends paid with respect to Trust Shares which you reinvest in Trust
Shares will be treated for Federal income tax purposes as having been received
by you in the form of a taxable stock distribution rather than as a cash
dividend. Under these rulings, an amount equal to the fair market value on the
date of purchase of Trust Shares acquired with reinvested dividends will be
treated as a dividend to the extent the Trust has earnings and profits for
Federal income tax purposes. In case of newly issued Trust Shares acquired
directly from us, this fair market value will be based on the last reported
sales price of the Trust Shares as published in the Eastern Edition of the Wall
Street Journal report on the New York Stock Exchange Composite Transactions for
the date immediately preceding the date on which such Trust Shares are
purchased. If there is no trading in the Trust Shares as reported on the New
York Stock Exchange Composite Tape for the date immediately preceding the date
of purchase, the fair market value shall be equal to the purchase price we
determine as set forth in Question 11 above. In the case of Trust Shares
acquired in open market transactions, the fair market value of Trust Shares will
be their actual purchase price. To the extent that the amount so distributed by
us exceeds our current and accumulated earnings and profits, such excess would
be treated for Federal income tax purposes as a return of capital to the
participants. In addition, in the event that we designate a part or all of the
amount so distributed as a capital gain dividend, such gain would be treated by
the participants as long-term capital gain. Your statements of account will show
the purchase price of the Trust Shares acquired with reinvested dividends and a
statement mailed to you at year-end will reflect your dividend income
information for tax reporting purposes.

         Participants who purchase additional Trust Shares with optional cash
payments should not be treated for Federal income tax purposes as having
received a dividend solely by reason of such purchase, inasmuch as they will
have simply purchased additional Trust Shares for an amount equal to their fair
market value, in the case of newly-issued Trust Shares, or their actual purchase
price, in the case of Trust Shares acquired in open market transactions.
Accordingly, such participants' statements of account will simply show the fair
market value or actual purchase price of the Trust Shares acquired with optional
cash payments.

         In accordance with the applicable Treasury Regulations, the tax basis
of Trust Shares acquired under the Plan by reinvestment of dividends or by
optional cash payments will be equal to their fair market value or actual
purchase price including any brokerage commission.

         The holding period of Trust Shares acquired under the Plan, whether
purchased with dividends or optional cash payments, will begin on the day
following the date as of which the Trust Shares are purchased for your account.




<PAGE>   16




         As a participant in the Plan, you will not realize any taxable income
when you receive certificates for whole Trust Shares credited to your account,
either upon your request for such certificates or upon withdrawal from, or
termination of, the Plan. However, you may recognize gain or loss (which, for
most participants, will be capital gain or loss) when whole Trust Shares
acquired under the Plan are sold or exchanged. You may also recognize gain or
loss when you receive a cash payment for a fractional Trust Share credited to
your account upon withdrawal from, or termination of, the Plan. The amount of
such gain or loss will be the difference, if any, between the amount which you
receive for your Trust Shares or fractional Trust Share and the tax basis
thereof.

         The Internal Revenue Service has ruled that a dividend reinvestment
plan similar to the Plan will not adversely affect the qualification of a real
estate investment trust. In addition, such trusts should be able to include
amounts deemed distributed as dividends under such a plan in their dividends
paid deduction.

         Those considering participation in the Plan are urged to consult with
their own tax advisors for more specific information and with respect to any
changes in the tax laws or regulations affecting these matters.

28.      WHAT PROVISION IS MADE FOR HOLDERS OF TRUST SHARES SUBJECT TO BACK-UP
         WITHHOLDING?

         In the case of holders of Trust Shares who elect to have their
dividends reinvested and whose dividends are subject to "back-up" withholding
under the Code, the Plan Administrator will invest in Trust Shares, an amount
equal to the dividends of such participants less the amount of any brokerage
commissions and service charges and any tax required to be withheld. The
statements confirming purchases made for such participants will indicate the net
payment reinvested.

         Under the "backup" withholding rules of the Code, the Trust is required
to withhold for United States income tax purposes 31% of all dividend payments
to a holder of Trust Shares if (1) such person has failed to furnish to the
Trust its taxpayer identification number, or TIN, which for an individual is his
social security number, (2) the Internal Revenue Service has notified the Trust
that the TIN furnished by such person is incorrect, (3) the Internal Revenue
Service notifies the Trust that back-up withholding should be commenced because
such person has failed to properly report interest or dividends or (4) such
person has failed to certify, under penalties of perjury, that is not subject to
back-up withholding. Holders of Trust Shares have previously been requested by
the Trust or their broker to submit all information and certifications required
in order to exempt them from back-up withholding if such exemption is available
to them.

         Foreign Plan participants should consult their own tax advisors
concerning the U.S. withholding tax consequences of participating in the Plan.
Foreign holders of Trust Shares who elect to make optional cash payments only
will continue to receive cash dividends on Trust Shares registered in their
names in the same manner as if they were not participating in the Plan. Optional
cash payments received from them must be in United States dollars and will be
invested in the same way as payments from other participants.




<PAGE>   17




29.      WHAT IS THE RESPONSIBILITY OF THE PLAN ADMINISTRATOR UNDER THE PLAN?

         The Plan Administrator will not be liable for any act done in good
faith or for any good faith omission to act, including, without limitation, any
claim of liability arising out of failure to terminate a participant's account
upon such participants death, the prices at which Trust Shares are purchased for
a participant's account, the times when purchases are made or fluctuations in
the market value of the Trust Shares.

         Participants should recognize that neither we nor the Plan
Administrator can provide any assurance of a profit or protection against loss
on any Trust Shares purchased under the Plan.

30.      MAY THE PLAN BE CHANGED OR DISCONTINUED?

         While we hope to continue the Plan indefinitely, we reserve the right
to suspend or terminate the Plan at any time, including the period between a
dividend record date and the related payment date. We also reserve the right to
make modifications to the Plan. Participants will be notified of any such
suspension, termination or any material modification. We also reserve the right
to terminate any participant's participation in the Plan at any time.

31.      HOW IS THE PLAN TO BE INTERPRETED?

         We will determine any question of interpretation arising under the Plan
and any such determination will be final.

32.      WHERE SHOULD CORRESPONDENCE REGARDING THE PLAN BE DIRECTED?

         Requests for Plan enrollment or terminations should be addressed as
         follows:

         BankBoston, N.A.
         c/o Equiserve, L.P.
         Dividend Reinvestment
         PO Box 8040
         Boston, Massachusetts 02266-8040

         All inquiries or correspondence regarding the Plan should be addressed
         as follows:

         BankBoston, N.A.
         c/o Equiserve, L.P.
         Investor Relations Department
         PO Box 8040
         Boston, Massachusetts 02266-8040

         Please mention the specific Plan in all correspondence.



<PAGE>   18



         IT WILL BE OUR POLICY TO DECLARE QUARTERLY DISTRIBUTIONS TO THE HOLDERS
OF TRUST SHARES SO AS TO COMPLY WITH APPLICABLE SECTIONS OF THE CODE GOVERNING
REAL ESTATE INVESTMENT TRUSTS. SUBJECT TO THE FOREGOING, FUTURE DIVIDENDS WILL
BE DETERMINED IN LIGHT OF OUR EARNINGS AND FINANCIAL CONDITION AND OTHER
RELEVANT FACTORS.

                                    DIVIDENDS

         We have paid dividends since our organization. In order to accommodate
the provisions of this Plan, we anticipate that dividends will be payable on or
about the last day of March, June, September and December.

                                 USE OF PROCEEDS

         We do not know either the number of Trust Shares that will be
ultimately sold pursuant to the Plan or the prices at which such shares will be
sold. However, we propose to use the net proceeds from the sale of newly issued
Trust Shares for the purchase of additional facilities, repayment of
indebtedness and/or for working capital purposes.

                           DESCRIPTION OF TRUST SHARES

         The summary of the terms of our shares set forth below does not purport
to be complete and is subject to and qualified in its entirety by reference to
the Declaration of Trust, as amended and/or restated from time to time, and the
Amended and Restated Bylaws, as amended and/or restated from time to time, each
of which is incorporated herein by reference.

         Our authorized capital stock consists of 100,000,000 shares of which
5,000,000 are preferred shares. We have agreed to issue to Universal Health
Services, Inc., one of our shareholders, additional shares from time to time in
the future, at the then fair market value, sufficient for it to maintain a 5%
interest in us.

         Trust Shares. Except as otherwise determined by our board of trustees
with respect to any class of or series of preferred shares, all shares will
participate equally in distributions payable to shareholders when and as
declared by our board of trustees and in net assets available for distribution
to shareholders, on liquidation or dissolution, will have one vote per share on
all matters submitted to a vote of the shareholders and will not have cumulative
voting rights in the election of our trustees. The Trust Shares offered hereby
will be validly issued, fully paid and, except as set forth below,
non-assessable by us upon issuance and will have no preference, conversion,
exchange or pre-emptive rights.

         Preferred Shares. No preferred shares are presently outstanding.
Preferred shares may be issued from time to time by our board of trustees,
without shareholder approval, in such series and with such preferences,
conversion or other rights, voting powers, restrictions, limitations as to
dividends, qualifications or other provisions, as may be fixed by our board of
trustees in the resolution authorizing their issuance. Our board of trustees may
designate capital gains allocations to holders of preferred shares without
shareholder approval.


<PAGE>   19



         Redemption and Business Combination Provisions. If our board of
trustees shall, at any time and in good faith, be of the opinion that direct or
indirect ownership of at least 9.8% in value of the outstanding shares (taking
into account the constructive ownership rules contained in Sections 318 and 544
of the Internal Revenue Code of 1986, or the Code) has or may become
concentrated in the hands of one beneficial owner, our board of trustees shall
have the power (1) by lot or other means deemed equitable by them to call for
the purchase from any such shareholder a number of our shares sufficient, in the
opinion of our board of trustees, to maintain or bring the direct or indirect
ownership of our shares of such owner to a level equal to 9.8% in value of the
outstanding shares and (2) to refuse to transfer or issue our shares to any
person whose acquisition of such shares would cause a person to hold in excess
of 9.8% in value of the outstanding shares. Further, any transfer of our shares
that would create a direct or indirect owner of more than 9.8% in value of the
outstanding shares shall be deemed void and the intended transferee shall be
deemed never to have had an interest therein. The purchase price for any of our
shares so redeemed shall be equal to the fair market value of the shares
reflected in the closing sales price for the shares, if then listed on a
national securities exchange or traded in the NASDAQ National Market, or the
average of the closing sales prices for the shares if then listed on more than
one national securities exchange, or if the shares are not then listed on a
national securities exchange, the latest bid quotation for the shares if then
traded over-the-counter, on the last business day immediately preceding the day
on which notices of such acquisition are sent by us or, if no such closing sale
prices or quotations are available, then the purchase price shall be equal to
the net asset value of such shares as determined by our board of trustees in
accordance with the provisions of applicable law. In addition, if any person
knowingly holds our shares in excess of 9.8% in value of the outstanding shares
and we lose our qualification as a real estate investment trust under the Code
or become a personal holding company, that person would be required to indemnify
us for the full amount of any damages and expenses resulting from the loss of
our qualification as a real estate investment trust or our becoming a personal
holding company. These damages and expenses might include increased corporate
taxes, attorneys' fees and administrative costs. From and after the date fixed
for purchase by our board of trustees, the holder of any shares so called for
purchase shall cease to be entitled to distributions, voting rights and other
benefits with respect to such shares, except the right to payment of the
purchase price for the shares.

         Shareholder Liability. The Declaration of Trust provides that our
shareholders shall not be subject to any liability for our acts or obligations
and that, as far as practicable, each of our written agreements is to contain a
provision to that effect. With respect to all types of claims in such
jurisdictions with respect to tort claims, contract claims where shareholder
liability is not disavowed as described above and claims for taxes and certain
statutory liabilities, a shareholder may be held personally liable to the extent
that claims are not satisfied by us. The Declaration of Trust provides that,
upon payment of any such liability, the shareholder will be entitled to
reimbursement from our general assets. There can be no assurance that, at the
time any such liability arises, we will have assets sufficient to satisfy our
reimbursement obligation. Our board of trustees intends to conduct our
operations, with the advice of counsel, in such a way as to avoid, as far as
practicable, the ultimate liability of our shareholders. Our board of trustees
does not intend to provide insurance covering such risks to the shareholders.



<PAGE>   20




         Transfer Agent and Registrar. The First National Bank of Boston acts as
transfer agent, registrar and dividend reinvestment agent of our shares.

                              PLAN OF DISTRIBUTION

         Except to the extent the Plan Administrator purchases Trust Shares in
open market transactions, the Trust Shares acquired under the Plan will be sold
directly by us through the Plan. We may sell Trust Shares to owners of shares
(including brokers or dealers) who, in connection with any resales of such
shares, may be deemed to be underwriters. In connection with any such
transaction, compliance with Regulation M under the Exchange Act would be
required. Such shares may be resold in market transactions (including coverage
of short positions) on any national securities exchange on which Trust Shares
trade or in privately negotiated transactions. The Trust Shares are currently
listed on the New York Stock Exchange. The difference between the price such
owners pay to us for Trust Shares acquired under the Plan and the price at which
such shares are resold, may be deemed to constitute underwriting commissions
received by such owners in connection with such transactions. Any such
underwriter involved in the offer and sale of the Trust Shares will be named in
an applicable Prospectus Supplement. Any underwriting compensation paid by us to
underwriters or agents in connection with the offering of the Trust Shares, and
any discounts, concessions or commissions allowed by underwriters to
participating dealers, will be set forth in an applicable Prospectus Supplement.

         Subject to the availability of Trust Shares registered for issuance
under the Plan, there is no total maximum number of shares that can be issued
pursuant to the reinvestment of distributions.

         Except with respect to purchases from or through securities broker
dealers, we will pay any and all brokerage commissions and related expenses
incurred in connection with purchases of Trust Shares under the Plan. Upon
withdrawal by a Participant from the Plan by the sale of Trust Shares held under
the Plan, the Participant will receive the proceeds of such sale less a nominal
fee per transaction paid to the Plan Administrator (if such resale is made by
the Plan Administrator at the request of a Participant), any related brokerage
commissions and any applicable transfer taxes.

         Trust Shares may not be available under the Plan in all states. This
prospectus does not constitute an offer to sell, or a solicitation of an offer
to buy, any Trust Shares or other securities in any state or any other
jurisdiction to any person to whom it is unlawful to make such offer in such
jurisdiction.

                        FEDERAL INCOME TAX CONSIDERATIONS

GENERAL

         The following discussion summarizes the material federal income tax
considerations to a holder of Trust Shares. The following discussion, which is
not exhaustive of all possible tax considerations, does not address any state,
local or foreign tax considerations. Nor does it discuss all of the aspects of
federal income taxation that may be relevant to a prospective shareholder in
light of his or her particular



<PAGE>   21





circumstances or to certain types of shareholders (including insurance
companies, financial institutions or broker-dealers) who are subject to special
treatment under the federal income tax laws.

         The following summary is based on the Code, its legislative history,
administrative pronouncements, judicial decisions and Treasury regulations,
subsequent changes to any of which may affect the tax consequences described
herein, possibly on a retroactive basis.

EACH PROSPECTIVE PURCHASER OF TRUST SHARES IS ADVISED TO CONSULT WITH HIS OR HER
OWN TAX ADVISOR REGARDING THE SPECIFIC TAX CONSEQUENCES TO HIM OR HER, IN LIGHT
OF HIS OR HER SPECIFIC OR UNIQUE CIRCUMSTANCES, OF THE PURCHASE, OWNERSHIP AND
SALE OF TRUST SHARES IN AN ENTITY ELECTING TO BE TAXED AS A REIT, INCLUDING THE
FEDERAL, STATE, LOCAL, FOREIGN AND OTHER TAX CONSEQUENCES OF SUCH PURCHASE,
OWNERSHIP, SALE AND ELECTION AND OF POTENTIAL CHANGES IN APPLICABLE TAX LAWS.

         For purposes of the following discussion, a U.S. shareholder is a
holder of Trust Shares who, for federal income tax purposes, is either (1) a
citizen or resident of the United States, (2) a corporation or partnership
created or organized under the laws of the United States or of any state or
political subdivision thereof, (3) an estate whose income is includable in gross
income for U.S. federal income tax purposes regardless of its source or (4) a
trust subject to primary supervision of a court within the United States and the
control of one or more U.S. persons. A "Non-U.S. Holder" is any person other
than a U.S. shareholder.

TAXATION OF THE TRUST

         We elected REIT status commencing with our taxable year ending December
31, 1986. In any taxable year in which we qualify as a REIT, we generally will
not be subject to federal income tax on that portion of our REIT taxable income
or capital gain which we distribute to shareholders. This treatment
substantially eliminates the "double taxation" (that is, taxation of the same
income at both the corporate level and upon distribution to shareholders) that
generally results from the use of corporate investment vehicles. However, we
will be subject to federal income tax at regular corporate rates upon any of our
REIT taxable income or net capital gain which is not distributed to our
shareholders. We also may be subject to the corporate "alternative minimum tax."
In addition, we will be subject to a 4% excise tax if we do not satisfy certain
distribution requirements. We may also be subject to taxes in certain situations
and on certain transactions not presently contemplated.

         If we fail to qualify for taxation as a REIT in any taxable year, we
will be subject to tax (including any applicable alternative minimum tax) on our
taxable income at regular corporate rates (and our shareholders will be taxed in
the same manner as shareholders of ordinary domestic corporations). As a result,
our failure to qualify as a REIT would significantly reduce the cash available
for distribution by us to our shareholders. Unless entitled to relief under the
specific statutory provisions, we also will be disqualified from taxation as a
REIT for the four taxable years following the year during which qualification
was lost. It is not possible to state whether in all circumstances we would be
entitled to such statutory relief.



<PAGE>   22




         Our qualification and taxation as a REIT depends upon our ability to
satisfy on a continuing basis, through actual annual operating and other
results, various requirements under the Code, with regard to, among other
things, the sources of our gross income, the composition of our assets, the
level of our dividends to shareholders, and the diversity of our share
ownership. The purpose of these requirements is to allow the tax benefit of REIT
status only to companies that primarily own, and primarily derive income from,
real estate-related assets and certain other assets which are passive in nature,
and that distribute 95% of taxable income (computed without regard to our net
capital gain) to shareholders. We believe that we have qualified as a REIT for
all of our taxable years commencing with our taxable year ended December 31,
1986, and that our current structure and method of operation is such that we
will continue to qualify as a REIT. No assurance can be given, however, that our
actual results of the operations, the sources of our gross income, the
composition of our assets, the level of our dividends to shareholders and the
diversity of our share ownership for any given taxable year will satisfy the
requirements under the Code for qualification and taxation as a REIT.

TAXATION OF OUR U.S. SHAREHOLDERS

         As long as we qualify as a REIT, distributions made to our U.S.
shareholders with respect to their Trust Shares out of current or accumulated
earnings and profits (and not designated as capital gain dividends) will be
taken into account by them as ordinary income and will not be eligible for the
dividends received deduction for shareholders that are corporations.

         Distributions that are properly designated by us as capital gain
dividends will be taxable to U.S. shareholders as long-term capital gain (to the
extent they do not exceed our actual net capital gain for the taxable year)
without regard to the period for which a U.S. shareholder has held his Trust
Shares. However, corporate U.S. shareholders may be required to treat up to 20%
of certain capital gain dividends as ordinary income. In addition, we may elect
to retain amounts representing net capital gain income. If we make such an
election, holders of Trust Shares will (1) include in their income as long-term
capital gain their proportionate share of such undistributed capital gains and
(2) be deemed to have paid their proportionate share of the tax paid by us on
such undistributed capital gains and thereby receive a credit or refund for such
amount. A holder of Trust Shares will increase the basis in its Trust Shares by
the difference between the amount of capital gain included in its income and the
amount of the tax it is deemed to have paid. Our earnings and profits of will be
adjusted appropriately. Also, the 4% excise tax referred to above would continue
to be imposed on us upon a failure to make certain required distributions. If we
should elect to retain net capital gain income in this fashion, we will notify
our shareholders of the relevant tax information within 60 days of the close of
the taxable year.

         Capital gain realized by a U.S. shareholder from the sale or exchange
of property held for more than one year will be treated as long-term capital
gain. Under the recently enacted Internal Revenue Service Restructuring and
Reform Act of 1998, long-term capital gain realized by a noncorporate
shareholder will be taxed at a maximum effective tax rate of 20%, or 25% in the
case of "unrecaptured section 1250 gain" recognized on the sale or exchange of
certain real estate assets. If for any taxable year we elect to designate as
capital gain dividends any portion of dividends paid or made available for the
year to our shareholders, including our retained capital gain dividends
described above, then we will



<PAGE>   23



designate the portion of the capital gain dividends that is to be taxed to
noncorporate U.S. shareholders at the varying maximum capital gain rates of 20%
and 25%.

         To the extent that we make distributions in excess of current and
accumulated earnings and profits, these distributions are treated first as a
tax-free return of capital to the shareholder, reducing the tax basis of a
shareholder's Trust Shares by the amount of such distribution (but not below
zero), with distributions in excess of the shareholder's tax basis taxable as
capital gains (if the Trust Shares are held as a capital asset). In addition,
any dividend we declare in October, November or December of any year and payable
to a shareholder of record on a specific date in any such month shall be treated
as both paid by us and received by the shareholder on December 31 of such year,
provided that the dividend is actually paid by us during January of the
following calendar year. Shareholders may not include in their individual income
tax returns any of our net operating losses or capital losses. Federal income
tax rules may also require that certain minimum tax adjustments and preferences
be apportioned to our shareholders.

         Upon any sale or other disposition of Trust Shares, a shareholder
generally will recognize gain or loss for federal income tax purposes in an
amount equal to the difference between (1) the amount of cash and the fair
market value of any property received on such sale or other disposition and (2)
the holder's adjusted basis in such Trust Shares for tax purposes. Such gain or
loss will be capital in nature if such shares have been held by the shareholder
as a capital asset. If Trust Shares are held by a noncorporate shareholder as a
capital asset, gain from the sale or exchange of Trust Shares (or as a result of
distributions in excess of the shareholder's tax basis in his Trust Shares) will
be eligible for the maximum 20% capital gains rate if the Trust Shares have been
held for more than one year. In general, any loss recognized by a shareholder
upon the sale or other disposition of Trust Shares that have been held for six
months or less (after applying certain holding period rules) will be treated as
long-term capital loss, to the extent of distributions received by such
shareholder from us which were required to be treated as long-term capital
gains.

TAXATION OF TAX-EXEMPT SHAREHOLDERS

         Most tax-exempt employees' pension trusts are not subject to federal
income tax except to the extent of their receipt of "unrelated business taxable
income" as defined in Section 512(a) of the Code, or UBTI. Based on an Internal
Revenue Service revenue ruling, distributions by a REIT to a shareholder that is
a tax-exempt entity should not constitute UBTI, provided that the tax-exempt
entity has not financed the acquisition of its Trust Shares with "acquisition
indebtedness" within the meaning of the Code and the Trust Shares are not
otherwise used in an unrelated trade or business of the tax-exempt entity.

         However, certain pension trusts (including so-called 401(k) plans but
excluding individual retirement accounts or government pension plans) that own
more than 10% of a "pension- held REIT" must report a portion of the
distribution that they receive from such a REIT as UBTI. We have not been and do
not expect to be treated as a pension-held REIT for purposes of this rule.



<PAGE>   24



TAXATION OF OUR FOREIGN SHAREHOLDERS

         The rules governing the federal income taxation of Non-U.S. Holders are
complex, and the following discussion is intended only as a summary. If you are
a Non-U.S. Holder, you should consult with your own tax advisor to determine the
impact of federal, state, local and foreign tax laws, including tax return
filing and other reporting requirements, with respect to your investment in
Trust Shares.

         Distributions From the Trust

1. Ordinary Dividends.
   -------------------
The portion of dividends received by Non-U.S. Holders payable out of our
earnings and profits which are not attributable to our capital gains and
which are not effectively connected with a U.S. trade or business of the
Non-U.S. Holder will be subject to U.S. withholding tax at the rate of 30%
(unless reduced by an applicable treaty). In general, Non-U.S. Holders will
not be considered engaged in a U.S. trade or business solely as a result of
their ownership of Trust Shares. In cases where the dividend income
from a Non-U.S. Holder's investment in Trust Shares is (or is treated as)
effectively connected with the Non-U.S. Holder's conduct of a U.S. trade or
business, the Non-U.S. Holder generally will be subject to U.S. tax at graduated
rates, in the same manner as U.S. shareholders are taxed with respect to such
dividends (and may also be subject to the 30% branch profits tax in the case of
a Non-U.S. Holder that is a foreign corporation).

2. Non-Dividend Distributions.
   ---------------------------
Distributions in excess of our current or accumulated earnings and profits will
not be taxable to a Non-U.S. Holder to the extent that they do not exceed the
adjusted basis of the shareholder's Trust Shares, but rather will reduce the
adjusted basis of such Trust Shares. To the extent that such distributions
exceed the adjusted basis of a Non-U.S. Holder's Trust Shares, they will give
rise to gain from the sale or exchange of its Trust Shares, the tax treatment
of which is described below. We are required to withhold 10% of any
distribution in excess of our current and accumulated earnings and profits.
Consequently, although we intend to withhold at a rate of 30% on the entire
amount of any distribution (or a lower applicable treaty rate), to the extent
that we do not do so, any portion of a distribution not subject to withholding
at a rate of 30% (or a lower applicable treaty rate) will be subject to
withholding at a rate of 10%. However, the Non-U.S. Holder may seek a refund
of such amounts from the Internal Revenue Service if it was subsequently
determined that such distribution was, in fact, in excess of our current or
accumulated earnings and profits, and the amount withheld exceeded the
Non-U.S. Holder's United States tax liability, if any, with respect to the
distribution.

3. Capital Gain Dividends.
   -----------------------
Distributions of proceeds attributable to our sale or exchange of U.S. real
property interests ("USRPI") are subject to income and withholding taxes
pursuant to the Foreign Investment in Real Property Tax Act of 1980, or FIRPTA.
These amounts will be considered effectively connected with a U.S. trade or
business of the Non-U.S. Holder and subject to U.S. income tax at
the rate applicable to U.S. individuals or corporations, without regard to
whether such distribution is designated as a capital gain dividend. In addition,
we will be required to withhold tax equal to 35% of any distribution to a
Non-U.S. Holder that could be subject to these rules.. Distributions subject to
FIRPTA may also be subject to a 30% branch profits tax in the hands of a foreign
corporate shareholder that is not entitled to treaty exemption. The FIRPTA tax
and withholding regime may also apply to undistributed capital gain dividends we
elect to retain. Amounts withheld under these rules are creditable against the
Non-U.S. Holder's U.S. federal income tax liability.



<PAGE>   25



         Dispositions of Trust Shares. Unless Trust Shares constitute a USRPI, a
sale of Trust Shares by a Non-U.S. Holder generally will not be subject to U.S.
taxation under FIRPTA. The Trust Shares will not constitute a USRPI if we are a
"domestically controlled REIT." A domestically controlled REIT is a REIT in
which, at all times during a specified testing period, less than 50% in value of
its Trust Shares is held directly or indirectly by Non-U.S. Holders. We believe
that we have been and anticipate that we will continue to be a domestically
controlled REIT, and therefore that the sale of Trust Shares will not be subject
to taxation under FIRPTA. Because the Trust Shares will be publicly traded,
however, no assurance can be given that we will continue to be a domestically
controlled REIT. If we do not constitute a domestically controlled REIT, a
Non-U.S. Holder's sale of our shares generally will still not be subject to tax
under FIRPTA as a sale of a USRPI provided that (1) such shares are "regularly
traded" (as defined by applicable Treasury regulations) on an established
securities market and (2) the selling Non-U.S. Holder does not hold more than 5%
of the value of the series and class of our outstanding shares being sold, at
all times during a specified testing period.

         If gain on the sale of Trust Shares were subject to taxation under
FIRPTA, the Non-U.S. Holder would be subject to the same treatment as a U.S.
shareholder with respect to such gain (subject to applicable alternative minimum
tax and a special alternative minimum tax in the case of nonresident alien
individuals) and the purchaser of Trust Shares could be required to withhold 10%
of the purchase price and remit such amount to the Internal Revenue Service.
Capital gains not subject to FIRPTA will nonetheless be taxable in the United
States to a Non-U.S. Holder in two cases: (1) if the Non-U.S. Holder's
investment in Trust Shares is effectively connected with a U.S. trade or
business conducted by such Non-U.S. Holder, the Non-U.S. Holder will be subject
to the same treatment as a U.S. shareholder with respect to such gain or (2) if
the Non-U.S. Holder is a nonresident alien individual who was present in the
United States for 183 days or more during the taxable year and has a "tax home"
in the United States, the nonresident alien individual will be subject to a 30%
tax on the individual's capital gain.

OTHER TAX CONSIDERATIONS

         State and Local Taxes. We and our shareholders may be subject to state
or local taxation in various jurisdictions, including those in which we or they
transact business or reside. The state and local tax treatment of us and our
shareholders may not conform to the federal income tax consequences discussed
above. Consequently, prospective shareholders should consult their own tax
advisors regarding the effect of state and local tax laws on an investment in
the our shares.

                                  LEGAL MATTERS

         The legality of the Trust Shares offered hereby will be passed upon for
us by Fulbright & Jaworski L.L.P., New York, New York.

         EXPERTS

         The audited financial statements and schedules incorporated by
reference in this prospectus and elsewhere in the registration statement have
been audited by Arthur Andersen LLP, independent public


<PAGE>   26



accountants, as indicated in their reports with respect thereto, and are
included herein in reliance upon the authority of said firm as experts in giving
said reports.

                              AVAILABLE INFORMATION

         We are subject to the informational requirements of the Securities
Exchange Act of 1934, as amended, or the Exchange Act, and, in accordance
therewith, files, reports, proxy statements and other information with the
Securities and Exchange Commission, or the Commission. The Registration
Statement, the exhibits and schedules forming a part thereof and the reports,
proxy statements and other information we file with the Commission in accordance
with the Exchange Act can be inspected and copied at the Commission's Public
Reference Section, 450 Fifth Street, N.W., Washington, D.C.20549, and at the
following regional offices of the Commission: Seven World Trade Center, Suite
1300, New York, New York 10048 and 500 West Madison Street, Suite 1400, Chicago,
Illinois 60661-2511. Copies of such material can be obtained from the Public
Reference Section of the Commission, 450 Fifth Street, N.W., Washington, D.C.
20549, at prescribed rates. The Commission maintains a Web site at
http://www.sec.gov containing reports, proxy and information statements and
other information regarding registrants, including us, that file electronically
with the Commission. In addition, our shares are listed on the New York Stock
Exchange, or the NYSE, under the symbol "UHT" and similar information concerning
us can be inspected and copied at the offices of the New York Stock Exchange,
Inc., 20 Broad Street, New York, New York 10005.

         We have filed with the Commission a registration statement on Form S-3,
or the Registration Statement, of which this prospectus is a part, under the
Securities Act of 1933, as amended, or the Securities Act, with respect to our
shares offered hereby. This prospectus does not contain all of the information
set forth in the Registration Statement, certain portions of which have been
omitted as permitted by the rules and regulations of the Commission. Statements
contained in this prospectus as to the contents of any contract or other
documents are not necessarily complete, and in each instance reference is made
to the copy of such contract or other documents filed as an exhibit to the
Registration Statement, each such statement being qualified in all respects by
such reference and the exhibits and schedules thereto. For further information
regarding us and our shares, reference is hereby made to the Registration
Statement and such exhibits and schedules which may be obtained from the
Commission at its principal office in Washington, D.C. upon payment of the fees
prescribed by the Commission.

                INCORPORATION OF CERTAIN DOCUMENTS BY REFERENCE

     We have filed the documents listed below under the Exchange Act with the
Commission and are incorporated herein by reference:

         a. Our Annual Report on Form 10-K (filed on March 30, 1999), for the
year ended December 31, 1998.

         b. Our definitive Proxy Statement dated April 30, 1999 relating to our
Annual Meeting of Shareholders on June 1, 1999.



<PAGE>   27




         c. The description of our shares contained in our Registration
Statement on Form 8-A filed with the Securities and Exchange Commission on
November 12, 1986.

         d. Our Quarterly Report on Form 10-Q for the period ended March 31,
1999.

         All documents filed by us pursuant to Sections 13(a), 13(c), 14 and
15(d) of the Exchange Act subsequent to the date of this prospectus and prior to
the termination of the offering of all shares to which this prospectus relates
shall be deemed to be incorporated by reference in this prospectus and to be
part hereof from the date of filing such documents.

         Any statement contained herein or in a document incorporated or deemed
to be incorporated by reference herein shall be deemed to be modified or
superseded for purposes of this prospectus to the extent that a statement
contained in the prospectus (in the case of a statement in a previously filed
document incorporated or deemed to be incorporated by reference herein), in any
applicable prospectus supplement relating to a specific offering of our shares,
or in any other subsequently filed document which also is or is deemed to be
incorporated by reference herein modifies or supersedes such statement. Any such
statement so modified or superseded shall not be deemed, except as so modified
or superseded, to constitute a part of this prospectus or any accompanying
prospectus supplement. Subject to the foregoing, all information appearing in
this prospectus and each accompanying prospectus supplement is qualified in its
entirety by the information appearing in the documents incorporated by
reference.

         Copies of all documents which are incorporated herein by reference (not
including the exhibits to such information, unless such exhibits are
specifically incorporated by reference in such information) will be provided
without charge to each person, including any beneficial owner, to whom this
prospectus is delivered upon written or oral request. Requests should be
directed to Universal Health Realty Income Trust, 367 South Gulph Road, P.O. Box
61558, King of Prussia, Pennsylvania 19406-0958, Attention: Cheryl K. Ramagano
(telephone number: (610) 265-0688).




<PAGE>   28









                                 900,000 SHARES



                      UNIVERSAL HEALTH REALTY INCOME TRUST


                              DIVIDEND REINVESTMENT
                                       AND
                               SHARE PURCHASE PLAN





                           ---------------------------

                                   PROSPECTUS

                           ---------------------------








                                  JUNE 28, 1999


<PAGE>   29


PART II
INFORMATION NOT REQUIRED IN PROSPECTUS


ITEM 14.  OTHER EXPENSES OF ISSUANCE AND DISTRIBUTION

         The following table sets forth the various expenses (all of which will
be borne by the Trust) in connection with the issuance and distribution of the
securities being registered, other than underwriting discounts and commissions
(if any). All of the amounts shown are estimates except the Securities and
Exchange Commission registration fee and filing fees for the New York Stock
Exchange.


                                                         AMOUNT
                                                         ------
           SEC registration fee                         $ 4,848
           NYSE listing fee                             $29,500
           Accounting fees and expenses                 $10,000
           Legal fees and expenses                      $15,000
           Miscellaneous                                $10,000
                Total                                   $69,348


ITEM 15.  INDEMNIFICATION OF DIRECTORS AND OFFICERS

         Reference is made to the Trust's Declaration of Trust, in particular to
Section 4.5, filed as an exhibit to Registration Statement No. 33-7872 on Form
S-11, which is incorporated herein by reference, which provides that, except as
prohibited by law, the Trust shall indemnify any trustee, officer, employer,
shareholder, agent or affiliate of the Trust who is made a party to any action
or proceeding by reason of the fact that he is such trustee, officer, employee,
shareholder, agent or affiliate of the Trust.




<PAGE>   30



ITEM 16.  EXHIBITS

EXHIBIT
NUMBER                   DESCRIPTION
- - ------                   -----------

4.1      Declaration of Trust, dated as of August 1986, previously filed as
         Exhibit 3.1 Amendment No. 3 of the Registration Statement on Form S-11
         and Form S-2 of Universal Health Services, Inc. and the Trust
         (Registration No. 33-7872) and incorporated herein by reference.

4.2      Amendment to Declaration of Trust, dated as of June 23, 1993,
         previously filed as Exhibit 3.2 to the Trust's Annual Report on Form
         10-K for the year ended December 31, 1993 and incorporated herein by
         reference.

4.3      Amended and restated bylaws, filed as Exhibit 3.2 to the Trust's Annual
         Report on Form 10-K for the year ended December 31, 1988 and
         incorporated herein by reference.

5.1      Opinion of Fulbright & Jaworski L.L.P.

23.1     Consent of Arthur Andersen LLP.

23.2     Power of Attorney--(included on signature page hereof).


<PAGE>   31


ITEM 17.  UNDERTAKINGS

         (a) Insofar as indemnification for liabilities arising under the
Securities Act of 1933 may be permitted to directors, officers and controlling
persons of the Registrant pursuant to the foregoing provisions, or otherwise,
the Registrant has been advised that in the opinion of the Securities and
Exchange Commission such indemnification is against public policy as expressed
in the Securities Act of 1933, and is, therefore, unenforceable. In the event
that a claim for indemnification against such liabilities (other than the
payment by the Registrant of expenses incurred or paid by a director, officer or
controlling person of the Registrant in the successful defense of any action,
suit or proceeding) is asserted by such director, officer or controlling person
in connection with the securities being registered hereunder, the Registrant
will, unless in the opinion of its counsel the question has already been settled
by controlling precedent, submit to a court of appropriate jurisdiction the
question of whether such indemnification by it is against public policy as
expressed in the Securities Act of 1933 and will be governed by the final
adjudication of such issue.

         (b) The undersigned registrant hereby undertakes that, for purposes of
determining any liability under the Securities Act of 1933, each filing of the
registrant's annual report pursuant to section 13(a) or section 15(d) of the
Securities Exchange Act of 1934 (and, where applicable, each filing of an
employee benefit plan's annual report pursuant to section 15(d) of the
Securities and Exchange Act of 1934) that is incorporated by reference in the
registration statement shall be deemed to be a new registration statement
relating to the securities offered therein, and the offering of such securities
at that time shall be deemed to be the initial bona fide offering thereof.

         (c) The undersigned registrant hereby undertakes that:

                  (1) For purposes of determining any liability under the
         Securities Act of 1933, the information omitted from the form of
         prospectus filed as part of this registration statement in reliance
         upon Rule 430A and contained in a form of prospectus filed by the
         registrants pursuant to Rule 424(b)(1) or (4) or 497(h) under the
         Securities Act shall be deemed to be part of this registration
         statement as of the time it was declared effective.

                  (2) For the purpose of determining any liability under the
         Securities Act of 1933, each post-effective amendment that contains a
         form of prospectus shall be deemed to be a new registration statement
         relating to the securities offered therein, and the offering of such
         securities at that time shall be deemed to be the initial bona fide
         offering thereof.


<PAGE>   32


                                   SIGNATURES

       Pursuant to the requirement of the Securities Act of 1933, the Trust
certifies that it has reasonable grounds to believe that it meets all of the
requirements for filing on Form S-3 and has duly caused this Registration
Statement to be signed on its behalf by the undersigned, thereunder duly
authorized, in King of Prussia, Commonwealth of Pennsylvania, as of the 25 day
of June, 1999.



                                       UNIVERSAL HEALTH REALTY INCOME TRUST



                                          /s/ Alan B. Miller
                                          ------------------------------
                                          Alan B. Miller
                                          Chairman of the Board and
                                          Chief Executive Officer

                                POWER OF ATTORNEY

           KNOWN BY ALL MEN BY THESE PRESENTS, that each individual whose
signature appears below constitutes and appoints Alan B. Miller and Kirk E.
Gorman, and each of them, his true and lawful attorneys-in-fact and agents with
full power of substitution and resubstitution, for him or her and in his or her
name, place and stead, in any and all capacities, to sign any and all amendments
(including post-effective amendments) to this Registration Statement and to file
the same with all exhibits thereto, and all documents in connection therewith,
with the Securities and Exchange Commission granting unto said attorneys-in-fact
and agents, and each of them, full power and authority to do and perform each
and every act and thing requisite and necessary to be done in and about the
premises, as fully to all intents and purposes as he or she might or could do in
person, hereby ratifying and confirming all that said attorneys-in-fact and
agents or any of them, or their or his or her substitute or substitutes, may
lawfully do or cause to be done by virtue hereof. This power of attorney may be
executed in counterparts.




<PAGE>   33



           Pursuant to the requirements of the Securities Act of 1933, this
registration statement has been signed by the following persons in the
capacities and on the dates indicated:

<TABLE>
<CAPTION>
           SIGNATURE                                   CAPACITY                                          DATE
           ---------                                   --------                                          ----

<S>                                            <C>                                                    <C>
/s/ Alan B. Miller                             Chairman of the Board                                  June 25, 1999
- - --------------------------                     and Chief Executive
Alan B. Miller                                 Officer

/s/ Kirk E. Gorman                             President, Chief                                       June 25, 1999
- - --------------------------                     Financial Officer, Secretary and
Kirk E. Gorman                                 Trustee

/s/ Charles F. Boyle                           Vice President                                         June 25, 1999
- - --------------------------                     and Controller
Charles F. Boyle

/s/ Cheryl K. Ramagano                         Vice President and                                     June 25, 1999
- - --------------------------                     Treasurer
Cheryl K. Ramagano

/s/ Daniel M. Cain                             Trustee                                                June 25, 1999
- - --------------------------
Daniel M. Cain

/s/ James E. Dalton, Jr.                       Trustee                                                June 25, 1999
- - --------------------------
James E. Dalton, Jr.

- - --------------------------
Myles H. Tanenbaum                             Trustee



- - --------------------------                     Trustee
Miles L. Berger

</TABLE>

<PAGE>   1
                                                                     Exhibit 5.1

                     OPINION OF FULBRIGHT & JAWORSKI L.L.P.





                                     [   ]


                   A Registered Limited Liability Partnership
                                                                    houston
                                                                washington, d.c.
                                                                    austin
                                                                  san antonio
                                                                    dallas
                                                                   new york
                                                                  los angeles
                                                                    london
                                                                   hong kong


June 25, 1999

Universal Health Realty Income Trust
Universal Corporate Center
367 South Gulph Road
King of Prussia, PA  19406

Dear Sir or Madam:

              We refer to the Registration Statement on Form S-3 (the
"Registration Statement"), filed by Universal Health Realty Income Trust, a real
estate investment trust organized under the laws of Maryland (the "Trust"), with
the Securities and Exchange Commission under the Securities Act of 1933, as
amended, relating to the offer by the Trust to sell up to 900,000 shares of
beneficial interest, $.01 par value (the "Trust Shares") pursuant to the
Trust's Dividend Reinvestment and Share Purchase Plan.

              As counsel to the Trust, we have examined such corporate records,
documents and such questions of law as we have considered necessary or
appropriate for the purposes of this opinion and, upon the basis of such
examination, advise you that in our opinion, when the Registration Statement has
become effective under the Act, upon issuance and delivery of the Trust Shares
as contemplated by the Prospectus contained in the Registration Statement, that
the Trust Shares will be duly and validly authorized, legally issued, fully
paid and nonassessable with no personal liability attaching to ownership
thereof other than as described under the caption "Description of Trust
Shares - Shareholder Liability" in the Registration Statement.

              We consent to the filing of this opinion as an exhibit to the
Registration Statement. We also consent to the references to Fulbright &
Jaworski L.L.P. under the heading "Legal Matters" and to all other references to
Fulbright & Jaworski L.L.P. included in the Registration Statement. This consent
is not to be construed as an admission that we are a person whose consent is
required to be filed with the Registration Statement under the provisions of the
Securities Act of 1933, as amended.


                                             Very truly yours,


                                             /s/ Fulbright & Jaworski L.L.P.



<PAGE>   1
                                                                    Exhibit 23.1

                    CONSENT OF INDEPENDENT PUBLIC ACCOUNTANTS

         As independent public accountants, we hereby consent to the
incorporation by reference in this registration statement of our report dated
January 19, 1999 included in Universal Health Realty Income Trust's Form 10-K
for the year ended December 31, 1998 and to all references to our Firm included
in this registration statement.


                                           ARTHUR ANDERSEN LLP


Philadelphia, Pennsylvania
June 25, 1999



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