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Universal Health Realty Income Trust

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+     Online Go to www.envisionreports.com/UHT or scan the QR code — login details are located in the shaded bar below.  Shareholder Meeting Notice    Important Notice Regarding the Availability of Proxy Materials for the  Universal Health Realty Income Trust Annual Meeting of Shareholders to be Held on June 3, 2020   Under Securities and Exchange Commission rules, you are receiving this notice that the proxy materials for the annual shareholders’ meeting are available on the Internet. Follow the instructions below to view the materials and vote online or request a copy. The items to be voted on and location of the annual meeting are on the reverse side. Your vote is important!  This communication is not a form for voting and presents only an overview of the more complete proxy materials that are available to you on the Internet. We encourage you to access and review all of the important information contained in the proxy materials before voting. The Universal Health Realty Income Trust Annual Report/Form 10K and Universal Health Realty Income Trust Notice of Annual Meeting and Proxy Statement to shareholders are available at:    Easy Online Access — View your proxy materials and vote.  Step 1: Go to www.envisionreports.com/UHT.  Step 2: Click on Cast Your Vote or Request Materials.  Step 3:     Follow the instructions on the screen to log in.  Step 4: Make your selections as instructed on each screen for your delivery preferences.  Step 5: Vote your shares.   When you go online, you can also help the environment by consenting to receive electronic delivery of future materials.   Obtaining a Copy of the Proxy Materials – If you want to receive a paper or e-mail copy of these documents, you must request one. There is no charge to you for requesting a copy. Please make your request for a copy as instructed on the reverse side on or before May 25, 2020 to facilitate timely delivery. You will not receive a paper copy or e-mail copy of these documents unless you request one.  2NOT +  037FTD  

UHT Meeting Notice   Universal Health Realty Income Trust Annual Meeting of Shareholders will be held on Wednesday, June 3, 2020, virtually via live   audio webcast at www.meetingcenter.io/242200326.  To vote online during the meeting, you will need the 15-digit control number that is printed in the shaded bar located on the  reverse side of this form.   The Password for the meeting is UHT2020.  The Board of Trustees recommends that you vote FOR the listed nominees in Proposal 1, and FOR Proposals 2, 3, and 4.   1. Election of Trustees- The Board of Trustees recommends a vote FOR:  Alan B. Miller  Robert F. McCadden    2. Advisory (nonbinding) vote to approve named executive officer compensation.   3. To approve an amendment to the Universal Health Realty Income Trust Amended and Restated 2007 Restricted Stock Plan.   4. To ratify the selection of KPMG LLP, as the Trust’s independent registered public accounting firm for the fiscal year ending December 31, 2020.    Discretionary authority is hereby granted with respect to such other matters as may properly come before the meeting.  PLEASE NOTE – YOU CANNOT VOTE BY RETURNING THIS NOTICE. To vote your shares you must vote online or request a paper copy of the proxy materials to receive a proxy card. The proxy statement contains information on how to vote online during the meeting.   Here’s how to order a copy of the proxy materials and select delivery preferences:  Current and future delivery requests can be submitted using the options below.  If you request an email copy, you will receive an email with a link to the current meeting materials.  PLEASE NOTE: You must use the number in the shaded bar on the reverse side when requesting a copy of the proxy materials.   — Internet – Go to www.envisionreports.com/UHT. Click Cast Your Vote or Request Materials.   — Phone – Call us free of charge at 1-866-641-4276.   — Email – Send an email to investorvote@computershare.com with “Proxy Materials Proxy Materials UHT” in the subject line. Include your full name and address, plus the number located in the shaded bar on the reverse side, and state that you want a paper copy of the meeting materials.    To facilitate timely delivery, all requests for a paper copy of proxy materials must be received by May 25, 2020.