Exhibit 107
Calculation of Filing Fee Tables
FORM S-3
(Form Type)
UNIVERSAL HEALTH REALTY INCOME TRUST
(Exact Name of Registrant as Specified in its Charter)
Table 1: Newly Registered and Carry Forward Securities
Security Type | Security Class Title | Fee Calculation or Carry Forward Rule | Amount Registered | Proposed Maximum Offering Price Per Unit | Maximum Aggregate Offering Price | Fee Rate | Amount of Registration Fee | Carry Forward Form Type | Carry Forward File Number | Carry Forward Initial effective date | Filing Fee Securities to Forward | |||||||||||||
Newly Registered Securities | ||||||||||||||||||||||||
Fees to Be Paid | Equity | Common Shares of beneficial interest, $0.01 par value | (1) | (1) | (1) | (1) | (1) | (1) | ||||||||||||||||
Fees to Be Paid | Equity | Preferred Shares of beneficial interest, $0.01 par value | (1) | (1) | (1) | (1) | (1) | (1) | ||||||||||||||||
Fees to Be Paid | Debt | Debt Securities | (1) | (1) | (1) | (1) | (1) | (1) | ||||||||||||||||
Fees to Be Paid | Unallocated (Universal) Shelf | — | 457(o) | (1) | (1) | $100,000,000 (2) | 0.00014760 | $14,760 | ||||||||||||||||
Fees Previously Paid | — | — | — | — | — | — | — | |||||||||||||||||
Carry Forward Securities | ||||||||||||||||||||||||
Carry Forward Securities | — | — | — | — | — | — | — | — | — | |||||||||||||||
Total Offering Amounts | $100,000,000 | $14,760 | ||||||||||||||||||||||
Total Fees Previously Paid | — | |||||||||||||||||||||||
Total Fee Offsets | $12,944.45 | |||||||||||||||||||||||
Net Fee Due | $1,815.55 |
(1) | Pursuant to Instruction 2.A.iii.b of Item 16(b) of Form S-3, this information is not required to be included. An indeterminate amount of the securities of each identified class is being registered as may from time to time be offered under this registration statement at indeterminate prices, along with an indeterminate number of securities that may be issued upon exercise, settlement, exchange or conversion of securities offered or sold under this registration statement, as shall have an aggregate initial offering price up to $100,000,000. Pursuant to Rule 416 under the Securities Act of 1933, as amended (the “Securities Act”), this registration statement also covers any additional securities that may be offered or issued in connection with any stock split, stock dividend or pursuant to anti-dilution provisions of any of the securities. Separate consideration may or may not be received for securities that are issuable upon conversion, exercise or exchange of other securities. |
(2) | The proposed maximum aggregate offering price has been calculated pursuant to Rule 457(o) under the Securities Act. |
Table 2: Fee Offset Claims and Sources
Registrant or Filer Name | Form or Filing Type | File Number | Initial Filing Date | Filing Date | Fee Offset Claimed | Security Type Associated with Fee Offset Claimed | Security Associated | Unsold Securities Associated with Fee Offset Claimed | Unsold Aggregate Offering Amount Associated with Fee Offset Claimed | Fee Paid Source | ||||||||||||
Rules 457(b) and 0-11(a)(2) | ||||||||||||||||||||||
Fee Offset Claims | — | — | — | — | — | — | — | — | — | — | — | |||||||||||
Fee Offset Sources | — | — | — | — | — | — | — | — | — | — | — | |||||||||||
Rule 457(p) | ||||||||||||||||||||||
Fee Offset Claims | Universal Health Realty Income Trust | S-3 | 333-238301 | 5/15/2020 | $12,944.45 (1) | (2) | (2) | (2) | $99,726,084.80 | — | ||||||||||||
Fee Offset Sources | Universal Health Realty Income Trust | S-3 | 333-238301 | — | 5/15/2020 | — | — | — | — | — | $5,255.91 (3) | |||||||||||
Fee Offset Sources | Universal Health Realty Income Trust | S-3 | 333-208264 | — | 11/30/2015 | — | — | — | — | — | $7,688.54 (3) |
(1) | Pursuant to Rule 457(p) under the Securities Act, the registrant is offsetting the registration fee due under this registration statement by $12,944.45, which represents the portion of the registration fee previously paid with respect to $99,726,084.80 of unsold securities (the “Unsold Offset Securities”) previously registered on the Registration Statement on Form S-3, originally filed by the registrant on filed May 15, 2020 (File No. 333-238301) (the “2020 Registration Statement”). The offering of the Unsold Offset Securities pursuant to the 2020 Registration Statement associated with the claimed fee offset pursuant to Rule 457(p) have been completed or terminated. |
(2) | The 2020 Registration Statement registered for sale the registrant’s Common Shares, Preferred Shares and Debt Securities. |
(3) | In connection with the filing of a Prospectus Supplement under the 2020 Registration Statement pursuant to Rule 424(b)(5) under the Securities Act on June 8, 2020 covering an at-the-market offering of the registrant’s Common Shares, the registrant paid a filing fee of $5,255.91 associated with the offering of a portion of the unsold securities (based on the filing fee rate in effect at the time of the filing of the 2020 Registration Statement) and offset $7,724.09 with respect to $76,703,973 of unsold securities previously registered pursuant to the registrant’s prior registration statement on Form S-3 (File No. 333-208264), originally filed by the registrant on filed November 30, 2015 and declared effective on December 22, 2015. |