Universal Health Realty Income Trust Sample Contracts

AMENDMENT NO. 2 to REVOLVING CREDIT AGREEMENT
Revolving Credit Agreement • August 13th, 2001 • Universal Health Realty Income Trust • Real estate investment trusts
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OF
Operating Agreement • March 29th, 1996 • Universal Health Realty Income Trust • Real estate investment trusts • Arizona
AMENDMENT NO. 1
Lease • November 12th, 1998 • Universal Health Realty Income Trust • Real estate investment trusts
ARTICLE V DURATION, AMENDMENT AND TERMINATION OF TRUST
Universal Health Realty Income Trust • May 10th, 2001 • Real estate investment trusts
AND
Revolving Credit Agreement • November 12th, 1996 • Universal Health Realty Income Trust • Real estate investment trusts • Pennsylvania
AGREEMENT FOR PURCHASE AND SALE
Agreement for Purchase and Sale • March 29th, 2000 • Universal Health Realty Income Trust • Real estate investment trusts • Georgia
SALE AGREEMENT
Sale Agreement • March 29th, 1996 • Universal Health Realty Income Trust • Real estate investment trusts • Arizona
UNIVERSAL HEALTH REALTY INCOME TRUST REVOLVING CREDIT AGREEMENT Dated as of June 24, 1998
Revolving Credit Agreement • August 13th, 1998 • Universal Health Realty Income Trust • Real estate investment trusts
UNIVERSAL HEALTH REALTY INCOME TRUST and THE BANK OF NEW YORK MELLON TRUST COMPANY, N.A., as Trustee INDENTURE Dated as of , 20 Debt Securities
Indenture • August 13th, 2009 • Universal Health Realty Income Trust • Real estate investment trusts

INDENTURE, dated as of , 20 , between UNIVERSAL HEALTH REALTY INCOME TRUST, a Maryland real estate investment trust (the “Issuer”), and THE BANK OF NEW YORK MELLON TRUST COMPANY, N.A., a national banking association duly organized and existing under the laws of the United States of America, as trustee (the “Trustee”).

FIRST AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT
Credit Agreement • May 16th, 2023 • Universal Health Realty Income Trust • Real estate investment trusts • New York

THIS FIRST AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT (this “Amendment”), dated as of May 15, 2023, is by and among UNIVERSAL HEALTH REALTY INCOME TRUST, a real estate investment trust organized under the laws of the State of Maryland (the “Company”), the Subsidiary Guarantors party hereto, and WELLS FARGO BANK, NATIONAL ASSOCIATION, as administrative agent for the Lenders hereunder (in such capacity, the “Agent”). Capitalized terms used herein and not otherwise defined herein shall have the meanings ascribed thereto in the Credit Agreement (as hereinafter defined).

AGREEMENT FOR PURCHASE AND SALE OF PROPERTY AND ESCROW INSTRUCTIONS
Agreement for Purchase and Sale • November 7th, 2011 • Universal Health Realty Income Trust • Real estate investment trusts • Texas

This AGREEMENT FOR PURCHASE AND SALE OF PROPERTY AND ESCROW INSTRUCTIONS (“Agreement”) made and entered into as of the 25th day of May, 2011 (“Effective Date”) by and between UNIVERSAL HEALTH REALTY INCOME TRUST or its assigns (“Buyer”), and PM FORNEY MOB, L.P., a Texas limited partnership (“Seller”), with reference to the following facts:

Universal Health Realty Income Trust Common Shares of Beneficial Interest ($.01 par value) AMENDED AND RESTATED ATM EQUITY OFFERINGSM SALES AGREEMENT
Terms Agreement • May 3rd, 2016 • Universal Health Realty Income Trust • Real estate investment trusts • New York

This Agreement amends and restates in its entirety that certain ATM Equity OfferingSM Sales Agreement, dated November 8, 2013, by and among the Trust, UHS of Delaware, Inc. (the “Advisor”) and the Agent (the “Original Agreement”), which contemplated the issuance and sale of Shares having an aggregate offering price of up to $50 million to or through the Agent, of which Shares having an aggregate offering price of $26,701,986 have been issued and sold pursuant to the Original Agreement. As of the date hereof, Shares having an aggregate offering price of up to $23,296,027 remain authorized for issuance and sale pursuant to the terms of this Agreement. Notwithstanding anything to the contrary contained herein, this Agreement shall not have any effect on offerings or sales of Shares prior to the date hereof pursuant to the Original Agreement or on the terms of the Original Agreement and the rights and obligations of the parties thereunder, insofar as they relate to such offerings or sales,

AMENDED AND RESTATed ADVISORY AGREEMENT
Amended and Restated Advisory Agreement • February 27th, 2019 • Universal Health Realty Income Trust • Real estate investment trusts • Pennsylvania

THIS AMENDMENT AND RESTATEMENT TO ADVISORY AGREEMENT is entered into as of December 24, 1986 between Universal Health Realty Income Trust, a Maryland business trust (the “Trust”), and UHS of Delaware, Inc., a Delaware corporation (the “Advisor”) is effective as of January 1, 2019.

ASSET EXCHANGE AND SUBSTITUTION AGREEMENT
Asset Exchange and Substitution Agreement • April 25th, 2006 • Universal Health Realty Income Trust • Real estate investment trusts

This Asset Exchange and Substitution Agreement (the “Agreement”) is dated as of April 24, 2006, and is by and among Universal Health Realty Income Trust, a Maryland real estate investment trust (the “Trust”), and Universal Health Services, Inc., a Delaware corporation and certain of its wholly-owned subsidiaries (“UHS”).

AMENDMENT NO. 1
Universal Health Realty Income Trust • November 12th, 1998 • Real estate investment trusts
AGREEMENT FOR PURCHASE AND SALE OF PROPERTY AND ESCROW INSTRUCTIONS
Agreement for Purchase and Sale • November 7th, 2011 • Universal Health Realty Income Trust • Real estate investment trusts • Texas

This AGREEMENT FOR PURCHASE AND SALE OF PROPERTY AND ESCROW INSTRUCTIONS (“Agreement”) is made and entered into as of the ___ day of May, 2011 (“Effective Date”) by and between UNIVERSAL HEALTH REALTY INCOME TRUST or its assigns (“Buyer”), and LPMA, L.P., a Texas limited partnership (“Seller”), with reference to the following facts:

AMENDMENT NO. 1 TO MASTER LEASE
Master Lease • April 25th, 2006 • Universal Health Realty Income Trust • Real estate investment trusts

THIS AMENDMENT (the “Amendment”), dated as of the 24th day of April, 2006, between Universal Health Realty Income Trust (“Lessor”), a Maryland real estate investment trust having an address at 367 South Gulph Road, King of Prussia, Pennsylvania 19406, and the certain wholly-owned subsidiaries of Universal Health Services, Inc. (“UHS”) set forth on Exhibit A hereto (each a “Lessee,” and together, the “Lessees”), a Delaware corporation having an address at 367 South Gulph Road, King of Prussia, Pennsylvania 19406.

UNIVERSAL HEALTH REALTY INCOME TRUST RESTRICTED SHARE AGREEMENT
Restricted Share Agreement • April 27th, 2007 • Universal Health Realty Income Trust • Real estate investment trusts • Maryland

AGREEMENT made as of the day of , 200 , between Universal Health Realty Income Trust (the “Trust”) and (the “Executive”), pursuant to the Universal Health Realty Income Trust 2007 Restricted Stock Plan (the “Plan”).

ASSET PURCHASE AND SALE AGREEMENT
Asset Purchase and Sale Agreement • January 4th, 2022 • Universal Health Realty Income Trust • Real estate investment trusts

This Asset Purchase and Sale Agreement (the “Agreement”) is dated as of December 31, 2021 and is by and among Universal Health Realty Income Trust, a Maryland real estate investment trust (the “Trust”), Universal Health Services, Inc., a Delaware corporation (“UHS”) and certain of its wholly-owned subsidiaries, Aiken Regional Medical Centers, LLC, a South Carolina limited liability company (“ARMC”), Temple Behavioral Healthcare Hospital, Inc. (“Temple”) a Texas corporation, Universal Health Services of Rancho Springs, Inc., a California corporation (“Inland Valley”) (ARMC, Temple, and Inland Valley are sometimes referred to herein as the “UHS Parties”; the term “UHS” as used herein shall be deemed to refer to the applicable subsidiary or subsidiaries of UHS, individually or collectively, where the context requires).

SECOND AMENDED AND RESTATED CREDIT AGREEMENT Dated as of September 30, 2024 by and among UNIVERSAL HEALTH REALTY INCOME TRUST, THE LENDERS PARTY HERETO and WELLS FARGO BANK, NATIONAL ASSOCIATION, as Administrative Agent BANK OF AMERICA, N.A., as...
Credit Agreement • October 2nd, 2024 • Universal Health Realty Income Trust • Real estate investment trusts • New York

This SECOND AMENDED AND RESTATED CREDIT AGREEMENT is made as of September 30, 2024 among UNIVERSAL HEALTH REALTY INCOME TRUST, a real estate investment trust organized under the laws of the State of Maryland and having its principal place of business at 367 South Gulph Road, King of Prussia, Pennsylvania 19406 (the “Company”), the financial institutions from time to time party hereto (individually, a “Lender” and collectively, the “Lenders”) and WELLS FARGO BANK, NATIONAL ASSOCIATION, as administrative agent for the Lenders (the “Agent”).

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FIRST AMENDMENT TO CREDIT AGREEMENT
Credit Agreement • June 5th, 2020 • Universal Health Realty Income Trust • Real estate investment trusts • New York

This CREDIT AGREEMENT is made as of March 27, 2018 among UNIVERSAL HEALTH REALTY INCOME TRUST, a real estate investment trust organized under the laws of the State of Maryland and having its principal place of business at 367 South Gulph Road, King of Prussia, Pennsylvania 19406 (the “Company”), the financial institutions from time to time party hereto (individually, a “Lender” and collectively, the “Lenders”) and WELLS FARGO BANK, NATIONAL ASSOCIATION, as administrative agent for the Lenders (the “Agent”).

Universal Health Realty Income Trust Common Shares of Beneficial Interest ($.01 par value) ATM EQUITY OFFERINGSM SALES AGREEMENT
Equity Offeringsm Sales Agreement • November 8th, 2013 • Universal Health Realty Income Trust • Real estate investment trusts • New York

Universal Health Realty Income Trust, a Maryland real estate investment trust (the “Trust”), proposes, subject to the terms and conditions stated herein, to issue and sell from time to time to or through Merrill Lynch, Pierce, Fenner & Smith Incorporated, as sales agent and/or principal (the “Agent”), shares (the “Shares”) of the Trust’s common shares of beneficial interest, $.01 par value (the “Common Shares”), having an aggregate gross sales price of up to $50 million on the terms set forth in Section 3 of this ATM Equity OfferingSM Sales Agreement (the “Agreement”). The Trust agrees that whenever it determines to sell Shares directly to the Agent as principal, it will enter into a separate agreement (each, a “Terms Agreement”) in substantially the form of Annex I hereto, relating to such sale in accordance with Section 4 of this Agreement.

GUARANTY OF OBLIGATIONS UNDER LEASE DATED December 31, 2021
Universal Health Realty Income Trust • January 4th, 2022 • Real estate investment trusts • Delaware

The undersigned, UNIVERSAL HEALTH SERVICES, INC., a Delaware corporation (“UHS”), as a material and necessary inducement to UNIVERSAL HEALTH REALTY INCOME TRUST, a Maryland real estate investment trust (the “Lessor”), to purchase the facilities known as Aiken Regional Medical Centers and Canyon Creek Behavioral Health and enter into those certain leases (individually, the “Lease” and collectively, the “Leases”), dated as of December 31, 2021, (i) by and between Lessor and Aiken Regional Medical Centers LLC, as lessee, and (ii) by and between Lessor and Temple Behavioral Healthcare Hospital, Inc. as lessee, pursuant to which each lessee has leased from Lessor the Leased Property (as defined in the applicable Lease), hereby represents, warrants, covenants and agrees as follows:

UNIVERSAL HEALTH REALTY INCOME TRUST REVOLVING CREDIT AGREEMENT Dated as of May 28, 2003 by and among UNIVERSAL HEALTH REALTY INCOME TRUST, THE BANKS PARTY HERETO and WACHOVIA BANK, NATIONAL ASSOCIATION, as Agent FLEET NATIONAL BANK, as Syndication...
Revolving Credit Agreement • August 13th, 2003 • Universal Health Realty Income Trust • Real estate investment trusts • North Carolina

This REVOLVING CREDIT AGREEMENT is made as of May 28, 2003 among UNIVERSAL HEALTH REALTY INCOME TRUST, a real estate investment trust organized under the laws of the State of Maryland and having its principal place of business at 367 South Gulph Road, King of Prussia, Pennsylvania 19406 (the “Company”), the financial institutions from time to time party hereto (individually, a “Bank” and collectively, the “Banks”), FLEET NATIONAL BANK, as syndication agent (the “Syndication Agent”), and WACHOVIA BANK, NATIONAL ASSOCIATION, as administrative agent for the Banks (the “Agent”).

CREDIT AGREEMENT Dated as of January 19, 2007 by and among UNIVERSAL HEALTH REALTY INCOME TRUST, THE BANKS PARTY HERETO and WACHOVIA BANK, NATIONAL ASSOCIATION, as Administrative Agent BANK OF AMERICA, N.A., as Syndication Agent JPMORGAN CHASE BANK,...
Credit Agreement • January 24th, 2007 • Universal Health Realty Income Trust • Real estate investment trusts • North Carolina

This CREDIT AGREEMENT is made as of January 19, 2007 among UNIVERSAL HEALTH REALTY INCOME TRUST, a real estate investment trust organized under the laws of the State of Maryland and having its principal place of business at 367 South Gulph Road, King of Prussia, Pennsylvania 19406 (the “Company”), the financial institutions from time to time party hereto (individually, a “Bank” and collectively, the “Banks”) and WACHOVIA BANK, NATIONAL ASSOCIATION, as administrative agent for the Banks (the “Agent”).

ATM EQUITY OFFERING SALES AGREEMENT
Terms Agreement • June 9th, 2020 • Universal Health Realty Income Trust • Real estate investment trusts • New York

BofA Securities, Inc. One Bryant Park New York, New York 10036 Credit Agricole Securities (USA) Inc. 1301 Avenue of the Americas New York, New York 10019

AGREEMENT FOR PURCHASE AND SALE OF PROPERTY AND ESCROW INSTRUCTIONS
Agreement for Purchase and Sale • March 13th, 2012 • Universal Health Realty Income Trust • Real estate investment trusts • Texas

This AGREEMENT FOR PURCHASE AND SALE OF PROPERTY AND ESCROW INSTRUCTIONS (“Agreement”) is made and entered into as of the 25th day of May, 2011 (“Effective Date”) by and between UNIVERSAL HEALTH REALTY INCOME TRUST or its assigns (“Buyer”), and TUSCANY PROFESSIONAL BUILDING, L.P., a Texas limited partnership (“Seller”), with reference to the following facts:

PURCHASE AND SALE AGREEMENT BY AND BETWEEN The entities listed on Schedule 1 attached hereto, as Seller AND Ventas Healthcare Properties, Inc., as Buyer Dated as of October 7, 2011
Purchase and Sale Agreement • October 12th, 2011 • Universal Health Realty Income Trust • Real estate investment trusts

THIS PURCHASE AND SALE AGREEMENT (this “Agreement”) is made as of the Effective Date (as defined in Appendix 1.1 hereto), by and between the entities described as “Seller” on Schedule 1 hereto (collectively, “Seller”) and VENTAS HEALTHCARE PROPERTIES, INC., a Delaware corporation (“Buyer”).

Granted To: ###PARTICIPANT_NAME### Address: ###HOME_ADDRESS### Grant Date: ###GRANT_DATE### Granted Amount: ###TOTAL_AWARDS### Grant Type: ###DICTIONARY_AWARD_NAME### Plan: Universal Health Realty Income Trust Amended and Restated 2007 Restricted...
Restricted Share Agreement • June 12th, 2024 • Universal Health Realty Income Trust • Real estate investment trusts • Maryland

AGREEMENT made as of the date specified above, between Universal Health Realty Income Trust (the "Trust") and ###PARTICIPANT_NAME### (the "Recipient"), pursuant to the Universal Health Realty Income Trust Amended and Restated 2007 Restricted Stock Plan (the "Plan").

LEASE
Lease • January 4th, 2022 • Universal Health Realty Income Trust • Real estate investment trusts

THIS LEASE (the “Lease”) is made as of December 31, 2021 between Universal Health Realty Income Trust, a Maryland real estate investment trust (“Lessor”), having its principal office at 367 South Gulph Road, King of Prussia, Pennsylvania 19406 and Temple Behavioral Healthcare Hospital, Inc., a Texas corporation (“Lessee”), which is a subsidiary of Universal Health Services, Inc., a Delaware corporation (“UHS”).

FIRST AMENDMENT TO CREDIT AGREEMENT
Credit Agreement • May 25th, 2016 • Universal Health Realty Income Trust • Real estate investment trusts • New York

THIS FIRST AMENDMENT TO CREDIT AGREEMENT (this “Amendment”), dated as of May 24, 2016, is by and among UNIVERSAL HEALTH REALTY INCOME TRUST, a real estate investment trust organized under the laws of the State of Maryland (the “Company”), the Subsidiary Guarantors party hereto, the Lenders party hereto and WELLS FARGO BANK, NATIONAL ASSOCIATION, as administrative agent for the Lenders hereunder (in such capacity, the “Administrative Agent”). Capitalized terms used herein and not otherwise defined herein shall have the meanings ascribed thereto in the Credit Agreement (as hereinafter defined).

LEASE
Lease • January 4th, 2022 • Universal Health Realty Income Trust • Real estate investment trusts

THIS LEASE (the “Lease”) is made as of December 31, 2021 between Universal Health Realty Income Trust, a Maryland real estate investment trust (“Lessor”), having its principal office at 367 South Gulph Road, King of Prussia, Pennsylvania 19406 and Aiken Regional Medical Centers, LLC, a South Carolina limited liability company (“Lessee”), which is a subsidiary of Universal Health Services, Inc., a Delaware corporation (“UHS”).

MASTER LEASE DOCUMENT GENERAL TERMS AND CONDITIONS DATED December 31, 2021 FOR LEASES TO BE EXECUTED BY UNIVERSAL HEALTH REALTY INCOME TRUST, AS LESSOR AND CERTAIN SUBSIDIARIES OF UNIVERSAL HEALTH SERVICES, INC.,
Master Lease Document General Terms And • January 4th, 2022 • Universal Health Realty Income Trust • Real estate investment trusts

THIS MASTER LEASE DOCUMENT GENERAL TERMS AND CONDITIONS (this “Master Lease Document”) is prepared for and will be adopted as part of the leases to be executed by UNIVERSAL HEALTH REALTY INCOME TRUST, a Maryland real estate investment trust, having its principal office at 367 South Gulph Road, King of Prussia, Pennsylvania 19406 as Lessor, and wholly-owned subsidiaries of Universal Health Services, Inc., a Delaware corporation (“UHS”), having its principal office at 367 South Gulph Road, King of Prussia, Pennsylvania 19406, as Lessees. Each of such leases so executed that incorporate this Master Lease Document is hereinafter individually referred to as the “Lease” and collectively as the “Leases”.

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