1
 
                                  SCHEDULE 14A
                                 (RULE 14A-101)
                    INFORMATION REQUIRED IN PROXY STATEMENT
                            SCHEDULE 14A INFORMATION
 
          PROXY STATEMENT PURSUANT TO SECTION 14(A) OF THE SECURITIES
                  EXCHANGE ACT OF 1934 (AMENDMENT NO.        )
 
Filed by the registrant [X]
Filed by a party other than the registrant [ ]
Check the appropriate box:
[ ] Preliminary proxy statement
[ ] Confidential, for Use of the Commission Only
   (as permitted by Rule 14a-6(e)(2))
[X] Definitive proxy statement
[ ] Definitive additional materials
[ ] Soliciting material pursuant to Rule 14a-11(c) or Rule 14a-12
                      UNIVERSAL HEALTH REALTY INCOME TRUST
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                (Name of Registrant as Specified in Its Charter)
- --------------------------------------------------------------------------------
    (Name of Person(s) Filing Proxy Statement, if other than the Registrant)
Payment of filing fee (Check the appropriate box):
     [X] No filing fee per Exchange Act Rule 0-11(c)(1)(ii), 14a-6(i)(1),
         14a-6(i)(2) or Item 22(a)(2) of Schedule 14A.
     [ ] $500 per each party to the controversy pursuant to Exchange Act Rule
     14a-6(i)(3).
     [ ] Fee computed on table below per Exchange Act Rules 14a-6(i)(4) and
     0-11.
 
     (1) Title of each class of securities to which transaction applies:
 
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     (2) Aggregate number of securities to which transaction applies:
 
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     (3) Per unit price or other underlying value of transaction computed
pursuant to Exchange Act Rule 0-11:(1)
 
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     (4) Proposed maximum aggregate value of transaction:
 
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     (5) Total fee paid:
 
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     [ ] Fees paid previously with preliminary materials.
 
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     [ ] Check box if any part of the fee is offset as provided by Exchange Act
Rule 0-11(a)(2) and identify the filing for which the offsetting fee was paid
previously. Identify the previous filing by registration statement number, or
the form or schedule and the date of its filing.
 
     (1) Amount previously paid:
 
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     (2) Form, schedule or registration statement no.:
 
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     (3) Filing party:
 
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     (4) Date filed:
 
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    (1)Set forth the amount on which the filing fee is calculated and state how
it was determined.
   2
 
                      UNIVERSAL HEALTH REALTY INCOME TRUST
                           UNIVERSAL CORPORATE CENTER
                              367 SOUTH GULPH ROAD
                      KING OF PRUSSIA, PENNSYLVANIA 19406
 
                    NOTICE OF ANNUAL MEETING OF SHAREHOLDERS
                                  JUNE 2, 1998
 
     Notice is hereby given that the Annual Meeting of Shareholders of Universal
Health Realty Income Trust (the "Trust") will be held on Tuesday, June 2, 1998
at 10:00 AM, at the offices of the Trust, Universal Corporate Center, 367 South
Gulph Road, King of Prussia, Pennsylvania for the following purposes:
 
          (1) To have the holders of Trust Shares elect two Class III Trustees,
              both Trustees to serve for a term of three years, until the annual
              election of Trustees in the year 2001 and election and
              qualification of their successors.
 
          (2) To have the holders of Trust Shares vote upon the proposal to
              adopt the Trust's 1997 Incentive Plan, adopted by the Board of
              Trustees.
 
          (3) To transact such other business as may properly come before the
              meeting or any adjournment thereof.
 
     Only shareholders of record at the close of business on April 22, 1998 are
entitled to vote at the Annual Meeting.
 
     All shareholders are cordially invited to attend the meeting in person. IN
ANY EVENT, PLEASE MARK YOUR VOTES, THEN DATE AND SIGN THE ENCLOSED FORM OF PROXY
AND RETURN IT PROMPTLY IN THE ENCLOSED POSTAGE-PAID ENVELOPE WHETHER OR NOT YOU
CURRENTLY PLAN TO ATTEND THE ANNUAL MEETING. YOU MAY REVOKE YOUR PROXY IF YOU
DECIDE TO ATTEND THE ANNUAL MEETING AND WISH TO VOTE YOUR SHARES IN PERSON.
 
                                          BY ORDER OF THE BOARD OF TRUSTEES
 
                                                  /s/ Kirk E. Gorman
 
                                                    KIRK E. GORMAN
                                                       Secretary
 
King of Prussia, Pennsylvania
April 30, 1998
   3
 
                      UNIVERSAL HEALTH REALTY INCOME TRUST
                           UNIVERSAL CORPORATE CENTER
                              367 SOUTH GULPH ROAD
                           KING OF PRUSSIA, PA 19406
 
                                PROXY STATEMENT
 
                                    GENERAL
 
     This Proxy Statement is furnished to the shareholders of Universal Health
Realty Income Trust, a real estate investment trust organized under the laws of
the State of Maryland (the "Trust"), in connection with the solicitation of
Proxies by the Board of Trustees for use at the Annual Meeting of Shareholders,
to be held at Universal Corporate Center, 367 South Gulph Road, King of Prussia,
Pennsylvania on Tuesday, June 2, 1998 at 10:00 AM, and at any adjournment
thereof. This Proxy Statement and related form of Proxy were first sent to
shareholders of the Trust on or about April 30, 1998. The Annual Meeting is
being held to: (1) elect two Class III Trustees of the Trust, both of whom will
serve for a term of three years until the annual election of Trustees in the
year 2001 and the election and qualification of their successors; (2) have the
holders of Trust Shares vote upon the proposal to adopt the Trust's 1997
Incentive Plan; and (3) transact such other business as may properly be brought
before the meeting or any adjournment thereof.
 
     A form of Proxy for use at the meeting is enclosed. Any shareholder may
revoke a Proxy at any time before the authority granted by it is exercised by
giving written notice of revocation to the Secretary of the Trust, by submitting
another executed Proxy to the Secretary of the Trust bearing a later date (but
prior to the voting of such Proxy), or by attending the meeting and asking
(prior to the voting of such Proxy) for the return of such Proxy. Unless
otherwise indicated on the Proxy, shares represented by any Proxy will, if the
Proxy is properly executed and received by the Trust prior to the Annual
Meeting, be voted FOR the nominees for Trustees, and FOR approval of the Trust's
1997 Incentive Plan.
 
     Only holders of record of the shares of beneficial interest of the Trust,
par value $.01 per share (the "Shares"), at the close of business on April 22,
1998 will be entitled to vote at the meeting. On that date, there were 8,954,840
Shares outstanding. Each Share is entitled to one vote on each of the matters to
be presented at the meeting. Shareholders entitled to vote for the election of
the Trustees can withhold authority to vote for them. Each nominee will be
elected if he receives a plurality of the votes cast. Broker non-votes are
treated as shares as to which the beneficial owners have withheld voting
authority and therefore are shares not entitled to vote on the matter. As of
April 22, 1998, the Trust's current trustees and officers as a group owned of
record or beneficially 102,503 Shares, representing 1.1% of the outstanding
Shares.
 
     A copy of the Trust's Annual Report to Shareholders, including financial
statements for the year ended December 31, 1997, is enclosed.
 
         SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT
 
     The following table sets forth as of February 27, 1998, the number of
Shares and the percentage of outstanding Shares owned beneficially, within the
meaning of Securities and Exchange Commission Rule 13d-3, (i) by each person who
is known by the Trust to own beneficially more than 5% of its Shares (ii) by
each Trustee and each executive officer named in the Summary Compensation Table
and (iii) by all Trustees and executive officers of the Trust as a group.
 
                                        1
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                    NAME AND ADDRESS OF                       AMOUNT AND NATURE OF       PERCENT OF
                    BENEFICIAL OWNER(1)                       BENEFICIAL OWNERSHIP   OUTSTANDING SHARES
                    -------------------                       --------------------   ------------------
                                                                               
Universal Health Services, Inc. ("UHS")                             698,692(2)              7.8%
367 South Gulph Road
King of Prussia, PA 19406
 
Private Capital Management, Inc.                                    529,120(3)              5.9%
3003 Tamiami Trail North
Naples, FL 33940
 
Idanta Partners, Ltd.                                               560,265(4)              6.3%
4660 La Jolla Village Dr., Suite 850
San Diego, CA 92122
 
Daniel M. Cain                                                        2,696                 (7)
Cain Brothers & Company, LLC
452 Fifth Avenue, 25th Floor
New York, NY 10018
 
Peter Linneman                                                          700                 (7)
University of Pennsylvania
256 S. 37th St., Third Floor
Philadelphia, PA 19104
 
Myles H. Tanenbaum                                                    5,000                 (7)
Arbor Enterprises
One Tower Bridge, Suite 800
W. Conshohocken, PA 19428
 
Alan B. Miller                                                       68,000(5)(6)           (7)
 
Kirk E. Gorman                                                       11,103                 (7)
 
Michael R. Walker                                                     5,000                 (7)
Genesis Health Ventures
148 W. State Street
Kennett Square, PA 19348
 
Charles F. Boyle                                                        673                 (7)
 
Cheryl K. Ramagano                                                    1,008                 (7)
 
Timothy J. Fowler                                                     8,323(6)              (7)
3525 Piedmont Rd., N.E.
Atlanta, GA 30305
 
All Trustees & Executive Officers as a group (10 persons)           102,503(6)              1.1%

 
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(1) Unless otherwise shown, the address of each beneficial owner is c/o
    Universal Health Realty Income Trust, Universal Corporate Center, 367 South
    Gulph Road, King of Prussia, PA 19406.
 
(2) UHS has an option to maintain ownership of 5% of the outstanding Shares of
    the Trust.
 
(3) Shares are held by Private Capital Management, Inc., a registered investment
    adviser. Information is based on Amendment No. 5 to Schedule 13G dated
    February 12, 1998.
 
(4) Shares are held by Idanta Partners, Ltd., a Texas limited partnership, and
    its General Partner, David J. Dunn.
 
(5) Includes 12,000 shares of beneficial interest beneficially owned by the Alan
    B. Miller Family Foundation, Alan B. Miller, as Trustee.
 
(6) Includes shares issuable pursuant to stock options to purchase shares of
    beneficial interest held by officers of the Trust and exercisable within 60
    days of February 27, 1998 as follows: Alan B. Miller (50,000); and Timothy
    J. Fowler (8,024).
 
(7) Less than 1%.
 
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                                 PROPOSAL NO. 1
                              ELECTION OF TRUSTEES
 
     The Trust was organized under the laws of the State of Maryland as a real
estate investment trust on August 6, 1986. Trustees of the Trust, Mr. Miller,
Mr. Linneman, and Mr. Cain, assumed their positions with the Trust at the
inception of the Trust. Mr. Tanenbaum was elected in November 1990, Mr. Gorman
and Mr. Walker were elected in December 1994, and Mr. Dalton was elected in
December 1997. Pursuant to the Declaration of Trust, the Trustees of the Trust
have been divided into three classes, with staggered terms. The terms of the
Trustees in Class III expire at the 1998 Annual Meeting, the terms of the
Trustees in Class I expire at the 1999 Annual Meeting, and the terms of the
Trustees in Class II expire at the 2000 Annual Meeting. At each Annual Meeting,
Trustees are elected for a term of three years to succeed those in the class
whose term is expiring at such Annual Meeting.
 
     The persons listed below currently constitute the Trust's Board of
Trustees. The terms of the Class III Trustees, Kirk E. Gorman and Michael R.
Walker, expire at the 1998 Annual Meeting. They have been nominated to be
elected for three-year terms. The Trustees have no reason to believe that the
nominees will be unavailable for election; however, if the nominees become
unavailable for any reason, the Shares represented by the Proxy will be voted
for the persons, if any, who are designated by the Board of Trustees to replace
the nominees. The nominees have consented to be named and have indicated their
intent to serve if elected.
 
     Pursuant to the Declaration of Trust, a majority of the Trust's Trustees
must be "Independent Trustees" with each class of Trustees containing at least
one Independent Trustee. The Declaration of Trust defines an "Independent
Trustee" as a Trustee who is not an affiliate of Universal Health Services, Inc.
("UHS"), the parent company of the Trust's Advisor, and does not perform any
services for the Trust, except as Trustee.
 
     The following information is furnished with respect to the nominee for
election as a Trustee and each member of the Board of Trustees whose term of
office will continue after the meeting.
 


                                    CLASS OF                    PRINCIPAL OCCUPATION             TRUSTEE
               NAME                 TRUSTEE    AGE           DURING THE LAST FIVE YEARS           SINCE
               ----                 --------   ---           --------------------------          -------
                                                                                     
NOMINEES FOR TERMS
EXPIRING IN 1998
Kirk E. Gorman                        III      47    President and Chief Financial Officer of     1994
                                                     the Trust since 1990, Secretary of the
                                                     Trust since December 1994 and Vice
                                                     President and Chief Financial Officer of
                                                     the Trust since 1987. Senior Vice
                                                     President, Treasurer and Chief Financial
                                                     Officer of UHS since December 1992.
 
Michael R. Walker*                    III      49    Founder, Chairman and Chief Executive        1994
                                                     Officer of Genesis Health Ventures, Inc.
                                                     since 1985. Prior thereto, the Founder and
                                                     President of Health Group Care Centers,
                                                     Inc. (currently Health Care and Re-
                                                     tirement Corporation), and the Chief
                                                     Financial Officer for the nursing center
                                                     division of Hospital Affiliates
                                                     International. Director of Renal Treatment
                                                     Centers, Inc.

 
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   6
 


                                    CLASS OF                   PRINCIPAL OCCUPATIONS             TRUSTEE
               NAME                 TRUSTEE    AGE           DURING THE LAST FIVE YEARS           SINCE
               ----                 --------   ---           --------------------------          -------
                                                                                     
TRUSTEES WHOSE TERMS
EXPIRE IN 1999
 
Alan B. Miller                          I      60    Chairman of the Board and Chief Executive    1986
                                                     Officer of the Trust since 1986. Chairman
                                                     of the Board, President and Chief
                                                     Executive Officer of UHS since 1978.
                                                     Director of CDI Corp., Genesis Health
                                                     Ventures and Penn Mutual Life Insurance
                                                     Company.
 
Peter Linneman*                         I      47    Albert Sussman Professor of Real Estate,     1986
                                                     Finance, and Public Policy, the Wharton
                                                     School of Business--University of
                                                     Pennsylvania; Economic Consultant. Also
                                                     serves as a Director of Equity Office
                                                     Properties, Kranzco Realty Trust and Ne-
                                                     vada Investment Holdings. Formerly served
                                                     as a Director and Chairman of the Board of
                                                     Rockefeller Center Properties, Inc.
 
Myles H. Tanenbaum*                     I      67    Chairman of the Board of Arbor Enterprises   1990
                                                     since 1989. Formerly President and CEO of
                                                     both Arbor Property Trust (NYSE)
                                                     (successor to EQK Green Acres, L.P.),
                                                     1986-1997, and EQK Realty Investors
                                                     (NYSE), 1985-89. Director of Pep Boys
                                                     (NYSE) and The Benjamin Franklin
                                                     Institute, and member of the Board of
                                                     Trustees of the University of
                                                     Pennsylvania.
 
TRUSTEES WHOSE TERMS
EXPIRE IN 2000
Daniel M. Cain*                        II      53    President and CEO, Cain Brothers &           1986
                                                     Company, LLC. Prior thereto, senior
                                                     partner in Cain Brothers & Company since
                                                     1982.
 
James E. Dalton, Jr.*                  II      55    President, Chief Executive Officer and       1997
                                                     Director of Quorum Health Group, Inc.
                                                     since 1990. Prior thereto, Regional Vice
                                                     President of Health Trust, Inc., Division
                                                     Vice President of Hospital Corporation of
                                                     America, and Regional Vice President of
                                                     HCA Management Company. Director of Am-
                                                     South Bancorporation, AmSouth Bank, the
                                                     Nashville Branch of The Federal Reserve
                                                     Bank of Atlanta, and the Nashville Health
                                                     Care Council. Director and Chairman of the
                                                     Federation of American Health Systems.

 
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* Independent Trustee
 
SECTION 16(a) BENEFICIAL OWNERSHIP REPORTING COMPLIANCE
 
     Section 16(a) of the Securities Exchange Act of 1934 requires the Trust's
trustees and executive officers, and persons who own more than ten percent of a
registered class of the Trust's equity securities, to file with the Securities
and Exchange Commission and the New York Stock Exchange initial reports of
ownership and reports of changes in ownership of the Shares and other equity
securities of the Trust. Mr. Kirk E. Gorman made a late filing on Form 4, and
Mr. James E. Dalton, Jr. made a late filing on Form 3.
 
                                        4
   7
 
                                 PROPOSAL NO. 2
                      ADOPTION OF THE 1997 INCENTIVE PLAN
 
     On June 23, 1997, the Board of Trustees of the Trust adopted the 1997
Incentive Plan (the "Incentive Plan") to become effective as of June 23, 1997,
subject to shareholder approval. The Incentive Plan will become effective only
if approved by shareholders representing a majority of the aggregate voting
power of the Shares present and entitled to vote at the meeting. The essential
features of the Incentive Plan are summarized below. The full text of the
Incentive Plan is set forth in Exhibit A to this Proxy Statement, and the
following discussion is qualified in its entirety by reference thereto.
 
     The purpose of the Incentive Plan is to provide a method whereby employees
of the Trust, including officers, directors, consultants and other people who
are responsible for the management and growth of the business and who are
presently making and are expected to continue making substantial contributions
to the successful management and growth of the Trust, may be offered incentives
in addition to those presently available and may be stimulated to personal
involvement in the fortunes of the Trust and its shareholders.
 
     The Incentive Plan permits the granting of (i) options to purchase shares
of beneficial interest of the Trust, (ii) dividend equivalent rights with
respect to Shares or (iii) any combination thereof. Each such grant is referred
to hereafter as an "Award." Awards may be made to employees of the Trust,
including officers, directors and consultants who need not be full-time
employees of the Trust, as well as other persons who are determined by the Board
of Trustees to be making and/or are expected to continue to make substantial
contributions to the Trust by providing services to the Trust. The maximum
number of Shares which may be issued with respect to Awards under the Incentive
Plan is 400,000 Shares. The number of shares which may be issued under the
Incentive Plan is subject to anti-dilution adjustments. Each outstanding
dividend equivalent right shall be deemed to have been issued with respect to
one Share.
 
     The Incentive Plan is administered by the Board of Trustees. Subject to the
provisions of the Incentive Plan, the Board of Trustees has the authority to
determine the persons to whom Awards are to be granted, the number of Shares to
be covered by each Award, the type of Award, the exercise price of any options,
the terms for the payment of the option price, the types and combinations of
Awards to be granted and other terms and conditions.
 
     In the event that the holders of an Award shall cease to be employed by or
provide services to the Trust for any reason, such Award shall (unless the Board
of Trustees determines otherwise) terminate simultaneously with the termination
of employment or the cessation of services.
 
     No Award may be sold, assigned, pledged or otherwise transferred unless the
Board of Trustees determines otherwise.
 
     Options may be granted by the Board of Trustees to eligible persons in the
form of "incentive stock options" (as defined under Section 422 of the Internal
Revenue Code of 1986, as amended) or as non-qualified stock options (except that
incentive stock options can only be granted to employees). The exercise price
under an incentive stock option or a non-qualified stock option is fixed by the
Board of Trustees on the date of grant; however the exercise price under an
incentive stock option must be at least equal to the fair market value of the
Shares on the date of grant of the option.
 
     The term of each option shall be determined by the Board of Trustees;
provided, however, that the term of an incentive stock option shall not be more
than 10 years from the grant date.
 
     Payment for Shares acquired upon the exercise of options may be made by any
one or more of the following methods: in cash, by check, by delivery of Shares
or, at the discretion of the Board of Trustees, by
 
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promissory note. In addition, with respect to dividend equivalent rights granted
concurrently with options, the Board of Trustees shall determine on the grant
date whether the employee may elect to have payments made to the holder of the
dividend equivalent right to be offset against the exercise price of the option.
 
     The Board of Trustees may grant dividend equivalent rights to eligible
individuals. The holder of a dividend equivalent right shall be credited with
amounts equal to the dividends payable with respect to the number of Shares
covered by the Award as if such Shares had been issued and outstanding on the
record date related to such dividend. The Board of Trustees shall determine at
the time of grant whether payment pursuant to a dividend equivalent right shall
be immediate or deferred. If immediate, the Trust shall make payments
concurrently with the payment of the quarterly dividend to holders of Shares. If
deferred, the payment shall not be made until a date or the occurrence of an
event specified by the Board within 30 days after such date or event.
 
     No Award may be granted under the Incentive Plan after June 22, 2007.
 
     The Board of Trustees may amend or terminate the Incentive Plan, provided
that no modification shall increase the maximum number of Shares which may be
issued under the Incentive Plan or extend the period during which Awards may be
granted under the Incentive Plan without the approval of shareholders of the
Trust representing at least a majority of the votes of the Trust represented and
voting at a duly held meeting of shareholders.
 
FEDERAL INCOME TAX CONSEQUENCES.
 
     The following is a summary of the salient federal income tax consequences
associated with awards made under the Incentive Plan.
 
     Non-Qualified Stock Options.  The grant of a non-qualified option is not a
taxable event. In general, upon the exercise of a non-qualified option, the
optionee will recognize ordinary income equal to the excess of the value of the
Shares over the exercise price (i.e., the option spread), and the Trust will be
entitled to a corresponding deduction (subject to the $1 million limitation on
deductibility of executive compensation). If the Shares acquired upon the
exercise of the option are subject to the six-month sale restriction under
Section 16(b) of the Securities Exchange Act of 1934, then the optionee will
recognize ordinary income attributable to the exercise on the date the
restriction lapses unless an early income recognition election is made. Upon a
sale of the Shares, the optionee will realize capital gain or loss equal to the
difference between the selling price and the value of the Shares at the time
ordinary income is recognized.
 
     Incentive Stock Options.  Neither the grant nor exercise of an incentive
stock option is a taxable event, except that the amount of the option spread is
includable in alternative minimum taxable income when the option is exercised.
If Shares acquired upon exercise of an incentive stock option are sold or
otherwise disposed of within two years from the option grant date or within one
year from the exercise date, then, in general, gain realized on the sale is
treated as ordinary income to the extent of the option spread at the exercise
date, and the Trust is entitled to a corresponding deduction (subject to the $1
million limitation on deductibility of executive compensation). Any remaining
gain is treated as capital gain. If the Shares are held for at least two years
from the grant date and one year from the exercise date, then all of the gain or
loss realized upon the sale will be capital gain or loss, and the Trust will not
be entitled to a deduction. A special basis adjustment applies to reduce the
gain for alternative minimum tax purposes.
 
     Dividend Equivalent Rights.  The award of a DER is not a taxable event. The
recipient of a DER award will realize ordinary income if, as and when cash or
Shares are paid or issued to or for the benefit of him or her
 
                                        6
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pursuant to the terms of the award, and the Trust will be entitled to a
corresponding deduction (subject to the $1 million limitation on deductibility
of executive compensation).
 
VOTE REQUIRED
 
     The affirmative vote of the holders of a majority of the Shares entitled to
vote at the 1998 Annual Meeting of Shareholders is required for the adoption of
the proposal set forth above.
 
     THE BOARD OF TRUSTEES DEEMS "PROPOSAL NO. 2 -- ADOPTION OF THE 1997
INCENTIVE PLAN," TO BE IN THE BEST INTERESTS OF THE TRUST AND ITS SHAREHOLDERS
AND RECOMMENDS A VOTE "FOR" APPROVAL THEREOF.
 
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                             EXECUTIVE COMPENSATION
 
     The Trust has no salaried employees and the Trust's officers, who are all
employees of UHS of Delaware, Inc., received no cash compensation from the Trust
in 1997, 1996 and 1995. The following tables set forth various information with
respect to the compensation of the five most highly compensated officers of the
Trust.
 
                      UNIVERSAL HEALTH REALTY INCOME TRUST
                           SUMMARY COMPENSATION TABLE
 


                                                                                    LONG-TERM
                                                                                  COMPENSATION
                                                ANNUAL COMPENSATION                  AWARDS
                                          --------------------------------   -----------------------
                                                                 OTHER       RESTRICTED   SECURITIES
                                                                 ANNUAL        STOCK      UNDERLYING         ALL
                                 FISCAL   SALARY              COMPENSATION     AWARDS      OPTIONS          OTHER
  NAME AND PRINCIPAL POSITION     YEAR     ($)     BONUS($)      ($)(A)        ($)(B)        (#)       COMPENSATION($)
  ---------------------------    ------   ------   --------   ------------   ----------   ----------   ---------------
                                                                                  
Alan B. Miller,                   1997     --        --         $21,375            --        --              --
  Chairman of the Board and       1996     --        --              --            --        --              --
  Chief Executive Officer         1995     --        --              --            --        --              --
Kirk E. Gorman,                   1997     --        --         $10,688       $46,563        --              --
  President, Chief Financial      1996     --        --              --            --        --              --
  Officer, Secretary and          1995     --        --              --            --        --              --
    Trustee
Charles F. Boyle,                 1997     --        --         $ 6,413            --        --              --
  Vice President and Controller   1996     --        --              --            --        --              --
                                  1995     --        --              --            --        --              --
Cheryl K. Ramagano,               1997     --        --         $ 6,413            --        --              --
  Vice President and Treasurer    1996     --        --              --            --        --              --
                                  1995     --        --              --            --        --              --
Timothy J. Fowler,                1997     --        --         $ 6,413            --        --              --
  Vice President,                 1996     --        --              --            --        --              --
  Acquisitions and Development    1995     --        --              --            --        --              --

 
- ---------------
(a) Other Annual Compensation in 1997 for Messrs. Miller, Gorman, Boyle and
    Fowler and Ms. Ramagano consists of dividend equivalent rights accrued in
    connection with the Trust's 1997 Incentive Plan, which was unanimously
    approved by the Trust's Board in June, 1997 and is contingent upon
    shareholder approval. As of December 31, 1997, Messrs. Miller, Gorman, Boyle
    and Fowler and Ms. Ramagano held 25,000, 12,500, 7,500, 7,500 and 7,500
    dividend equivalent rights, respectively. The Other Annual Compensation
    amounts shown above were computed by multiplying each participants dividend
    equivalent rights by the declared dividends per share of $.425 for the third
    quarter of 1997 and $.43 per share for the fourth quarter of 1997.
 
(b) Restricted stock awards in 1997 for Mr. Kirk E. Gorman represents the value
    of 2,500 shares of beneficial interest based on the closing sale price of
    the shares on the date of grant, issued in connection with the 1988 Key
    Employees' Restricted Share Purchase Plan. The restrictions on one-third of
    these shares lapse on each of the three, four and five year anniversary
    dates from the date of grant. The value of these shares as of December 31,
    1997 was $54,688 based on the closing sale price of the shares on that date.
 
                                        8
   11
 
                       OPTION GRANTS IN LAST FISCAL YEAR
 


                                              INDIVIDUAL GRANTS
                             ---------------------------------------------------
                                         PERCENT OF                                 POTENTIAL REALIZABLE
                                            TOTAL                                     VALUE OF ASSUMED
                                           OPTIONS                                  ANNUAL RATES OF STOCK
                                         GRANTED TO      EXERCISE                  PRICE APPRECIATION FOR
                             OPTIONS      OFFICERS       PER SHARE                       OPTION TERM
                             GRANTED      IN FISCAL        PRICE      EXPIRATION   -----------------------
           NAME              (#)(A)         YEAR          ($/SH)         DATE        5%($)        10%($)
           ----              -------    -------------    ---------    ----------   ----------   ----------
                                                                              
Alan B. Miller.............  25,000          42%          $18.625       6/23/07     $292,829     $742,086
Kirk E. Gorman.............  12,500          21%          $18.625       6/23/07     $146,415     $371,043
Charles F. Boyle...........   7,500          13%          $18.625       6/23/07     $ 87,849     $222,626
Cheryl K. Ramagano.........   7,500          13%          $18.625       6/23/07     $ 87,849     $222,626
Timothy J. Fowler..........   7,500          13%          $18.625       6/23/07     $ 87,849     $222,626

 
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(a) Options are exercisable as follows: 25% one year after date of grant and an
    additional 25% in each of the second, third and fourth years after the date
    of grant. The options expire ten years after the date of grant.
 
                AGGREGATED OPTION EXERCISES IN LAST FISCAL YEAR
                       AND FISCAL YEAR-END OPTION VALUES
 


                                                             NUMBER OF SECURITIES
                                                            UNDERLYING UNEXERCISED         VALUE OF UNEXERCISED
                                                                  OPTIONS AT              IN-THE-MONEY OPTIONS AT
                                SHARES                        FISCAL YEAR-END(#)           FISCAL YEAR-END($)(1)
                              ACQUIRED ON      VALUE      ---------------------------   ---------------------------
            NAME              EXERCISE(#)   REALIZED($)   EXERCISABLE   UNEXERCISABLE   EXERCISABLE   UNEXERCISABLE
            ----              -----------   -----------   -----------   -------------   -----------   -------------
                                                                                    
Alan B. Miller..............       0             0          50,000         25,000        $250,000       $ 81,250
Kirk E. Gorman..............       0             0               0         12,500        $      0       $ 40,625
Charles F. Boyle............       0             0               0          7,500        $      0       $ 24,375
Cheryl K. Ramagano..........       0             0               0          7,500        $      0       $ 24,375
Timothy J. Fowler...........       0             0           8,024          7,500        $ 46,138       $ 24,375

 
- ---------------
(1) Based on the difference between the exercise price and the closing price of
    the share of beneficial interest on the New York Stock Exchange on December
    31, 1997 of $21.875 per share.
 
                     REPORT OF EMPLOYEE BENEFITS COMMITTEE
 
     The Trust has no salaried employees and the Trust's officers, who are all
employees of UHS of Delaware, Inc., receive no cash compensation from the Trust.
The Trust historically has not paid any cash compensation to its officers. The
Trust has established, however, incentive plans to incentivize those persons to
render greater service to the Trust. During 1997, the Trust's Board of Trustees
approved the Universal Health Realty Income Trust 1997 Incentive Plan ("The
Plan"), which is a newly created stock option and dividend equivalents rights
plan for the employees of the Trust, including officers and directors. Although
the Plan has been unanimously approved by the Trust's Board, it is contingent
upon shareholder approval. There are 400,000 shares reserved for issuance under
the Plan. In connection with this plan, stock options and dividend equivalent
rights were granted on June 23, 1997 as follows: Mr. Alan B. Miller was granted
25,000 stock options and 25,000 dividend equivalent rights; Mr. Kirk E. Gorman
was granted 12,500 stock options and 12,500 dividend equivalent
                                        9
   12
 
rights; Mr. Charles F. Boyle was granted 7,500 stock options and 7,500 dividend
equivalent rights; Ms. Cheryl K. Ramagano was granted 7,500 stock options and
7,500 dividend equivalent rights and Mr. Timothy J. Fowler was granted 7,500
stock options and 7,500 dividend equivalent rights. Mr. Daniel M. Cain, Mr.
Peter Linneman, Mr. Myles H. Tanenbaum and Mr. Michael R. Walker each received
2,500 stock options and 2,500 dividend equivalents rights pursuant to the terms
of the Plan. The stock options granted pursuant to this Plan were granted with
an exercise price of $18.625 per share representing the closing sale price of
the Trust's share of beneficial interest on the New York Stock Exchange on June
23, 1997. Also during 1997, Mr. Kirk E. Gorman was granted 2,500 shares of
beneficial interest issued in connection with the 1988 Key Employees' Restricted
Share Purchase Plan. The restrictions on one-third of these shares lapse on each
of the three, four and five year anniversary dates from the date of grant. The
value of these shares as of December 31, 1997 was $54,688 based on the closing
sale price of the Trust's shares on that date. No awards were made in 1996 or
1995.
 
     The Employee Benefits Committee, which is composed of independent trustees
of the Trust, believes that in the absence of cash compensation, it is important
to provide the officers of the Trust, including the chief executive officer, an
incentive to increase shareholder value by awarding a benefit only if
shareholders of the Trust receive a benefit through an increase in the price of
the Shares. The Employee Benefits Committee will evaluate from time to time the
compensation payable to its officers in light of the performance of the Trust,
the individuals involved and competitive factors.
 
                                                     EMPLOYEE BENEFITS COMMITTEE
 
                                                           Daniel M. Cain
                                                           Peter Linneman
                                                         Myles H. Tanenbaum
 
COMPENSATION COMMITTEE INTERLOCKS AND INSIDER PARTICIPATION
 
     Mr. Alan B. Miller is a member of the Compensation Committee of Genesis
Health Ventures in which Mr. Michael R. Walker serves as the Chairman and Chief
Executive Officer.
 
     Mr. Daniel M. Cain has from time to time performed investment banking
services for the Trust. No compensation was paid to him for any services in
1997.
 
                                       10
   13
 
                         STOCK PRICE PERFORMANCE GRAPH
 
     The Stock Price Performance Graph below shall not be deemed incorporated by
reference by any general statement incorporating by reference this proxy
statement into any filing under the Securities Act of 1933 or under the
Securities Exchange Act of 1934, except to the extent the Trust specifically
incorporates this information by reference, and shall not otherwise be deemed
filed under such Acts.
 
                COMPARISON OF FIVE YEAR CUMULATIVE TOTAL RETURN
                        (THE TRUST, S&P 500, PEER GROUP)
 


                                    UNIVERSAL HEALTH
        MEASUREMENT PERIOD            REALTY INCOME
      (FISCAL YEAR COVERED)               TRUST             S&P 500          PEER GROUP
                                                                 
1991                                              100                100                100
1992                                            93.52             107.62             101.32
1993                                           112.28             118.46             121.14
1994                                           122.05             120.03             124.63
1995                                           147.10             165.13             157.37
1996                                           184.08             203.05             192.71

 
     The total cumulative return on investment (change in the year-end stock
price plus reinvested dividends) for each of the periods for the Trust, the peer
group and the S&P 500 Composite is based on the stock price or composite index
at the end of fiscal 1992.
 
     The above graph compares the performance of the Trust with that of the S&P
500 and a group of peer companies with the investment weighted on market
capitalization. Companies in the peer group are as follows: Meditrust Corp.,
Health Care Property Investors, Inc., Nationwide Health Properties, Inc.,
American Health Properties, Inc., Health & Retirement Properties Trust, Omega
Healthcare Investors (acquired Health Equity Properties, Incorporated in
December 1994) and Health Care REIT, Inc.
 
                                       11
   14
 
                               BOARD OF TRUSTEES
 
MEETINGS OF THE BOARD
 
     Regular meetings of the Trustees are generally held quarterly, while
special meetings are called when necessary. Before each meeting, Trustees are
furnished with an agenda and background materials relating to matters to be
discussed. During 1997, there were four Board meetings. All Trustees attended at
least 75% of the meetings, except for Myles H. Tanenbaum who missed two
meetings.
 
COMPENSATION OF TRUSTEES
 
     Each Independent Trustee is paid by the Trust annual compensation of
$10,000 for service as a Trustee plus $500 for attendance, in person, at each
meeting of the Board of Trustees or Committee meeting thereof on a day on which
the Board of Trustees does not meet. In addition, the Trust reimburses all
Trustees for travel expenses incurred in connection with their duties as
Trustees of the Trust. In 1992, the Board of Trustees and the shareholders
adopted a Share Compensation Plan For Outside Trustees, pursuant to which
Trustees may elect to receive their annual compensation in the form of Shares in
lieu of cash. No Trustee elected to receive Shares in 1997. During 1997, the
Trust's Board of Trustees approved the Universal Health Realty Income Trust 1997
Incentive Plan ("The Plan"), which is a newly created stock option and dividend
equivalents rights plan for the employees of the Trust, including officers and
directors. Although the Plan has been unanimously approved by the Trust's Board,
it is contingent upon shareholder approval. There are 400,000 shares reserved
for issuance under the Plan. In connection with this plan, Messrs. Daniel M.
Cain, Peter Linneman, Myles H. Tanenbaum and Michael R. Walker each received
2,500 stock options and 2,500 dividend equivalents rights. The stock options
granted pursuant to this Plan were granted with an exercise price of $18.625 per
share representing the closing sale price of the Trust's share of beneficial
interest on the New York Stock Exchange on June 23, 1997.
 
AUDIT COMMITTEE
 
     The Audit Committee is responsible for providing assistance to the Board of
Trustees in fulfilling its responsibilities relating to corporate accounting and
reporting practices and in maintaining a direct line of communication between
the Trustees and the independent accountants. It recommends the firm to be
appointed independent auditor, reviews the scope and results of the audit with
the independent auditors and considers the adequacy of the internal accounting
and control procedures of the Company. The Audit Committee met once in 1997.
Members of this Committee are Daniel M. Cain, Peter Linneman and James E.
Dalton, Jr.
 
EMPLOYEE BENEFITS COMMITTEE
 
     The Employee Benefits Committee was established December 1, 1988 and is
responsible for administering the Restricted Share Purchase Plan and the Stock
Option Plan. It has full authority in its discretion from time to time, and at
any time, to select those employees of the Trust, as the term employee is
defined in the plans, to whom Shares or options will be granted, to determine
the number of Shares subject thereto, the times at which such Shares shall be
sold or options granted, the time at which the restrictions on the Shares shall
lapse or the options shall vest, and the terms and conditions of the agreements
to be entered into by the employees with the Trust. The Employee Benefits
Committee did not meet in 1997. Members of this Committee are Daniel M. Cain,
Peter Linneman and Myles H. Tanenbaum.
 
                                       12
   15
 
                    TRANSACTIONS WITH MANAGEMENT AND OTHERS
 
RELATIONSHIP WITH UHS
 
THE ADVISOR AND THE ADVISORY AGREEMENT
 
     The Trust, with the approval of the Board of Trustees, including all the
Independent Trustees, has entered into an Advisory Agreement with UHS of
Delaware, Inc. (the "Advisor"), a Delaware corporation and wholly owned
subsidiary of UHS, pursuant to which the Advisor will act as advisor to the
Trust with respect to the Trust's operations. Mr. Alan B. Miller serves as
Director and President of the Advisor and of UHS. ; Mr. Kirk E. Gorman serves as
Director, Vice President and Chief Financial Officer of the Advisor ; Mr. Steve
Filton serves as Director, Vice President and Controller of the Advisor ; Mr.
Bruce R. Gilbert serves as Secretary of the Advisor. Alan B. Miller is Chairman
of the Board and Chief Executive Officer of the Trust, Kirk E. Gorman is
President, Chief Financial Officer, Secretary and Trustee of the Trust, Charles
F. Boyle is Vice President and Controller of the Trust, Cheryl K. Ramagano is
Vice President and Treasurer of the Trust, Timothy J. Fowler is Vice President,
Acquisitions and Development, of the Trust, and Bruce R. Gilbert serves as
General Counsel to the Trust. All such persons are also employees of the
Advisor. Under the Advisory Agreement, the Advisor is obligated to present an
investment program to the Trust, to use its best efforts to obtain investments
suitable for such program (although it is not obligated to present any
particular investment opportunity to the Trust), to provide administrative
services to the Trust and to conduct the Trust's day-to-day affairs. In
performing its services under the Advisory Agreement, the Advisor may utilize
facilities, personnel and support services of various UHS affiliates, including
accounting, legal and other services, for which the Advisor will be reimbursed
directly by the Trust, but only if such services are first approved by a
majority of the Independent Trustees. No additional compensation will be paid by
the Trust for these services.
 
     The term of the Advisory Agreement expired on December 31, 1997. The Board
of Trustees, on December 2, 1997, voted to renew the Advisory Agreement for
1998. The Advisory Agreement is renewable annually thereafter by the Trust,
subject to a determination by a majority of the Independent Trustees that the
Advisor's performance has been satisfactory, and subject to the termination
rights of the parties. The Advisory Agreement may be terminated for any reason
upon sixty days' written notice by the Trust or the Advisor.
 
     The Advisory Agreement does not restrict the Advisor from rendering advice
to other investors (including other real estate investment trusts) or from
managing other investments, including those of investors or investments advised,
sponsored or organized by the Advisor. The Advisor also may render such services
to joint ventures and partnerships in which the Trust is a co-venturer or
partner and to the other entities in such joint ventures and partnerships, and
the Advisor is not obligated to present any particular investment opportunity to
the Trust. There is no restriction on the right of any director, officer,
employee or stockholder of the Advisor, or any affiliate of UHS, to engage in
any other business or to render services of any kind to any other corporation,
partnership or other entity (including competitive business activities). The
Advisor has informed the Board of Trustees that it does not presently intend to
provide advisory services to any other real estate investment trust and has
agreed to inform the Board of any change in such intention.
 
     Pursuant to the Advisory Agreement, the Trust paid the Advisor $1.1 million
in respect of services rendered by the Advisor to the Trust during fiscal 1997.
The Advisory Agreement provides that the Advisor is entitled to receive an
annual advisory fee equal to .60% of the average invested real estate assets of
the Trust, as derived from its consolidated balance sheet from time to time. In
addition, the Advisor will be entitled to an annual incentive fee equal to 20%
of the amount by which cash available for distribution to shareholders for each
year, as defined in the Advisory Agreement, exceeds 15% of the Trust's equity as
shown on its balance sheet, determined in accordance with generally accepted
accounting principles without reduction for return of
 
                                       13
   16
 
capital dividends. No incentive fees were paid during 1997, 1996, or 1995. The
advisory fee is payable quarterly, subject to adjustment at year end based upon
audited financial statements of the Trust.
 
PROPERTIES
 
     The Trust effectively commenced business on December 24, 1986, the closing
date for the purchase of properties from certain subsidiaries of UHS (the
"Subsidiaries"). In exchange for shares of beneficial interest, $.01 par value,
in the Trust, the Trust acquired 10 properties (the "Initial Properties") from
the Subsidiaries having an appraised value of approximately $122,000,000. The
Initial Properties were immediately leased back to the respective Subsidiaries.
In March 1988, the Trust acquired the real property of a 118-bed acute care
hospital operated by a subsidiary of UHS for approximately $9,500,000. The Trust
concurrently leased the hospital to that UHS subsidiary on a long-term basis.
The fixed term of the leases ranges from 10-15 years with up to six additional
five-year renewal options. In 1989, two of these facilities consolidated their
operations. The leases all provide for minimum rents and additional rents are
payable if facility revenues increase. Additional rent is equal to 5% of the
increase in facility revenues over a base period until the facility lease rate
grows to 13.5% of the Trust's original shareholders' equity. Thereafter,
additional rent is equal to 1% of the increase in facility revenues. The
obligations under the leases are guaranteed by UHS.
 
     During 1991, the Trust sold to UHS a 124-bed acute care hospital for its
net book value of approximately $5.7 million, which was higher than its
appraised value. The real property of this hospital was previously leased to
UHS. Also during 1991, the Trust acquired from UHS, for approximately $4.1
million, newly constructed patient buildings on the campus of one of the
behavioral health facilities already owned by the Trust.
 
     In 1992, one of the Subsidiaries of UHS ceased operations at the facility
leased by it from the Trust and, in 1993, UHS purchased the real property of
that facility from the Trust for approximately $3.2 million, the original
purchase price of the facility, which was higher than its appraised value, and
resulted in a $371,000 gain, which was included in the Trust's 1993 first
quarter results. Also during the fourth quarter of 1993, UHS, the former lessee
and operator of Belmont Community Hospital, sold the operations of the facility
to Transitional Hospitals Corporation ("THC"), an unaffiliated third party.
Concurrently, the Trust purchased certain related real property from UHS for $1
million in cash and a note payable with a carrying value of $1,082,000 at
December 31, 1996. The note payable has a face value of $1 million and is due on
December 31, 2001. The amount of interest payable on this note is contingent
upon the financial performance of this leased facility and its estimated face
value at the end of the initial lease term. The Trust has estimated the total
amount payable under the terms of this note and has discounted the payments to
their net present value using a 6% rate. In connection with this transaction,
UHS's lease with the Trust was terminated, and the Trust entered into an eight
year lease agreement with THC for the real property of the Belmont Community
Hospital facility.
 
     During the third quarter of 1995, UHS purchased the assets of Westlake
Medical Center, ("Westlake") a 126-bed hospital of which the majority of real
estate assets were owned by the Trust and leased to UHS. In exchange for the
real estate assets of Westlake and the termination of the lease, the Trust
received substitution properties valued at approximately $19 million (the
Trust's original purchase price of Westlake) consisting of additional real
estate assets which were owned by UHS but related to three acute care
facilities, of which the Trust owns the real estate and which are operated by
UHS (McAllen Medical Center, Inland Valley Regional Medical Center and
Wellington Regional Medical Center). These additional real estate assets
represent major additions and expansions made to these facilities by UHS since
the purchase of the facilities by the Trust from UHS in 1986. The Trust also
purchased from UHS, additional real estate assets related to McAllen Medical
Center for approximately $1.9 million in cash. Total annual base rental payments
from UHS to the Trust on the substituted properties will be $2.4 million which
equals the total base and bonus rental earned by the Trust
 
                                       14
   17
 
on the Westlake facility during 1994 ($2.1 million base and $300,000 bonus).
Total annual base rental payments on the additional real estate assets purchased
related to McAllen Medical Center will be approximately $200,000. Bonus rental
on the substituted and purchased real estate assets will be equal to 1% of the
growth in revenues, in excess of base year amounts, generated by these
additional assets. The guarantee by UHS under the existing leases, as amended to
include the additional property, will continue.
 
     Pursuant to the terms of the leases with UHS, the lessees have rights of
first refusal to: (i) purchase the respective leased facilities during and for
180 days after the lease terms expire at the same price, terms and conditions of
any third party offer, or; (ii) renew the lease on the respective leased
facility at the end of, and for 180 days after, the lease term on the same terms
and conditions as to any third party offer. The leases also grant the lessees
options, exercisable on at least six months notice, to purchase the respective
leased facilities at the end of the lease term or any renewal term at the
facility's then fair market value. The terms of the leases also provide that in
the event UHS discontinues operations at the leased facility for more than one
year, or elects to terminate its lease prior to the expiration of its term for
prudent business reasons, UHS is obligated to offer a substitution property. If
the Trust does not accept the substitution property offered, UHS is obligated to
purchase the leased facility back from the Trust at a price equal to the greater
of its then fair market value or the original purchase price paid by the Trust.
 
                   RELATIONSHIP WITH INDEPENDENT ACCOUNTANTS
 
     Arthur Andersen LLP has been retained by the Board of Trustees, on the
recommendation of the Audit Committee, to perform all accounting and audit
services during the 1998 fiscal year. It is anticipated that representatives of
Arthur Andersen LLP will be present at the Annual Meeting and will have an
opportunity to make a statement, if they desire to do so, and to respond to any
appropriate inquiries of the Shareholders or their representatives.
 
                        EXPENSES FOR PROXY SOLICITATION
 
     The principal solicitation of Proxies is being made by mail; however,
certain officers and employees of the Trust and of the Advisor, or its
affiliates, none of whom will receive additional compensation therefor, may
solicit Proxies by telegram, telephone or other personal contact. The Trust will
bear the cost of the solicitation of the Proxies, including postage, printing
and handling and will reimburse the reasonable expenses of brokerage firms and
others for forwarding material to beneficial owners of Shares.
 
              DEADLINE FOR SUBMISSION OF SHAREHOLDER PROPOSALS FOR
                           NEXT YEAR'S ANNUAL MEETING
 
     Any proposal that a Shareholder wishes to present for consideration at the
1999 Annual Meeting must be received by the Trust no later than December 31,
1998. This date provides sufficient time for inclusion of the proposal in the
1999 proxy materials.
 
                                       15
   18
 
                        OTHER BUSINESS TO BE TRANSACTED
 
     As of the date of this Proxy Statement, the Board of Trustees knows of no
other business to be presented for action at the Annual Meeting. As for any
business that may properly come before the Annual Meeting, the Proxies confer
discretionary authority in the persons named therein. Those persons will vote or
act in accordance with their best judgment with respect thereto.
 
     YOU ARE URGED TO VOTE, SIGN, DATE AND RETURN THE ACCOMPANYING PROXY IN THE
ENCLOSED POSTAGE-PAID ENVELOPE AT YOUR EARLIEST CONVENIENCE, WHETHER OR NOT YOU
CURRENTLY PLAN TO ATTEND THE ANNUAL MEETING IN PERSON.
 
                                            BY ORDER OF THE BOARD OF TRUSTEES
                                                    KIRK E. GORMAN
                                                       Secretary
 
King of Prussia, Pennsylvania
April 30, 1998
 
     A COPY OF THE TRUST'S ANNUAL REPORT ON FORM 10-K WILL BE SENT WITHOUT
CHARGE TO ANY SHAREHOLDER REQUESTING IT IN WRITING FROM: INVESTOR RELATIONS,
UNIVERSAL HEALTH REALTY INCOME TRUST, UNIVERSAL CORPORATE CENTER, 367 SOUTH
GULPH ROAD, P.O. BOX 61558, KING OF PRUSSIA, PENNSYLVANIA 19406-0958.
 
                                       16
   19
 
                                                                       EXHIBIT A
 
                      UNIVERSAL HEALTH REALTY INCOME TRUST
 
                              1997 INCENTIVE PLAN
 
     1. Purposes.  The Universal Health Realty Income Trust 1997 Incentive Plan
(the "Plan") is intended to provide a method whereby employees of Universal
Health Realty Income Trust (the "Trust"), including officers, directors,
consultants and other people who are responsible for the management and growth
of the business and who are presently making and are expected to continue making
substantial contributions to the successful management and growth of the Trust,
may be offered incentives in addition to those presently available and may be
stimulated to personal involvement in the fortunes of the Trust to continue in
the service of the Trust, thereby advancing the interests of the Trust and its
shareholders. Accordingly, the Trust may, from time to time, grant to such
employees, as may be selected in the manner hereinafter provided, on the terms
and conditions hereinafter established, (i) options (each, an "Option") to
purchase shares of the beneficial interest, par value $.01 per share, of the
Trust (the "Shares"), including incentive stock options (each, an "ISO") within
the meaning of Section 422 of the Internal Revenue Code of 1986, as amended from
time to time, and any successor statute (the "Code"), (ii) dividend equivalent
rights with respect to Shares (each, a "DER") or (iii) any combination thereof.
Each such grant shall hereinafter be referred to as an "Award."
 
     2. Administration of the Plan.  The Plan shall be administered by the Board
of Trustees of the Trust (the "Board"). Subject to the provisions of the Plan,
the Board is authorized to make all determinations and to take all actions
necessary or advisable for the administration of the Plan, including determining
the persons to whom Awards are to be granted and the types and combinations of
Awards to be granted.
 
     The interpretation and construction by the Board of any provisions of the
Plan or of any agreement or of other matters related to the Plan shall be final.
The Board may from time to time adopt such rules and regulations for carrying
out the Plan as it may deem best. No member of the Board shall be liable for any
action or determination made in good faith with respect to the Plan.
 
     3. Stock Subject to the Plan.  The Shares to be issued under the Plan shall
be made available either from authorized but unissued Shares or from Shares
reacquired by the Trust, including Shares purchased in the open market.
 
     Awards and Shares issued under the Plan shall be subject to the terms,
conditions and restrictions specified in the Plan and to such other terms,
conditions and restrictions as the Board may provide.
 
     Subject to the provisions of the succeeding paragraphs of this Section 3,
the aggregate number of Shares which may be issued with respect to Awards under
the Plan shall not exceed 400,000 Shares of the Trust. For purposes of this
Section 3 and Section 5, each outstanding DER shall be deemed to have been
issued with respect to one Share, and such Share shall be counted against the
maximum number of Shares available under the Plan.
 
     If, prior to the termination of the Plan, Awards issued under the Plan
shall be terminated or canceled by the Trust pursuant to the provisions hereof,
such Shares shall again become available for issuance under the Plan.
 
     In the event that the number of outstanding Shares shall be changed by
reason of split-ups, combinations of shares, recapitalizations or stock
dividends, the number of Shares which may thereafter be available under the
Plan, the number of Shares covered by outstanding Options, the exercise prices
of Options and the number of Shares with respect to which DERs were granted will
be appropriately adjusted as determined by the Board so as to reflect any such
change, which determination shall be conclusive. In the case of a merger, sale
of
 
                                       17
   20
 
assets or similar transaction which results in a replacement of the Shares with
stock of another corporation, the Trust will make a reasonable effort, but shall
not be required, to replace any outstanding Awards granted under the Plan with
comparable Awards or will provide for immediate maturity of all outstanding
Awards, with all Awards not being exercised within the time period specified by
the Board being terminated.
 
     4. Issuance of Shares.  Shares issued under the Plan may be issued for such
lawful consideration as shall be determined by the Board.
 
     5. Eligibility for Grants.  Awards may be granted under the Plan to
employees of the Trust. The term "employees" shall include officers, directors
and consultants who need not be full-time employees of the Trust, as well as
other persons who are determined by the Board to be making and/or are expected
to continue to make substantial contributions to the Trust by providing services
to the Trust, provided that only employees as determined pursuant to the Code
may be granted ISOs.
 
     Subject to the provisions of the Plan, the Board shall have exclusive
authority, among other things, to select the employees who are to participate in
the Plan, to determine the Awards, if any, to be granted to each employee, to
determine the Shares to be covered by each Award granted, to determine the time
or times when Awards shall be exercisable and the restrictions, if any, which
may apply to Awards or Shares acquired thereunder, and to prescribe the form of
Awards granted under the Plan; provided, however, that Awards covering no more
than 100,000 Shares may be granted to any one employee per annum.
 
     6. Termination of Employment.  In the event that the holder of an Award
granted pursuant to the Plan shall cease to be employed by, or provide services
to, the Trust for any reason, any Awards granted to such person pursuant to the
Plan shall (unless the Board determines otherwise) terminate simultaneously with
the termination of employment or the cessation of services.
 
     No Awards granted under the Plan shall confer upon any employee to whom an
Award is granted the right to continue in the employment of, or as a consultant
to, the Trust or affect the right of the Trust to terminate any employee's
employment at any time.
 
     7. Non-Transferability of Awards.  No Award under the Plan shall be sold,
assigned, pledged, encumbered or otherwise transferred by the employee who is
granted such Award unless the Board determines otherwise.
 
     8. Options.  The Board may grant to any eligible employee Options either in
combination with DERs or as a separate Award under the Plan. Each Option shall
entitle the employee to an option to purchase Shares on terms and conditions to
be determined by the Board. The Board shall specify whether such Option is an
ISO or a nonqualified stock option (each, a "NQO"). To the extent that any
Option does not qualify as an ISO (whether because of its provisions or the time
or manner of its exercise or otherwise), such Option or the portion thereof
which does not so qualify shall constitute a separate NQO.
 
     The exercise price of the Shares covered by each Option shall be determined
by the Board; provided, however, that the exercise price of an ISO shall not be
less than one hundred percent (100%) of the fair market value of the Shares on
the date of grant; and provided, further, that the exercise price of an ISO
granted to an employee owning more than ten percent (10%) of the total combined
voting power of the Trust (a "10% Holder") shall not be less than one hundred
ten percent (110%) of the fair market value of the Shares on the date of grant.
 
     The term of each Option shall be determined by the Board; provided,
however, that each ISO shall expire no later than ten (10) years after the date
of grant; and provided, further, that each ISO granted to a 10% Holder shall
expire no later than five (5) years after the date of grant.
 
                                       18
   21
 
     An employee electing to exercise an Option under the Plan shall give
written notice to the Trust in person or by first class mail, postage prepaid,
of such election and of the number of Shares the employee has elected to
acquire. The exercise price of an Option under the Plan may be paid in cash, by
check, in Shares, or any combination thereof, or, in the Board's discretion, in
the form of a promissory note. If Shares are tendered as payment of the Option
exercise price, the value of such Shares shall be their fair market value as of
the date of exercise which shall be determined at the close of business on the
date preceding such exercise. If such tender would result in the issuance of
fractional Shares, the Trust shall instead round to the nearest whole Share.
Notices of exercise shall be accompanied by payment of the full purchase price
of such Shares in cash or by check or Shares (which Shares may be constructively
tendered under such procedures as may be set out by the Board). Each notice to
the Trust shall be addressed to it at its principal office at 367 South Gulph
Road, King of Prussia, Pennsylvania 19406, Attention: Secretary, or such other
address as the Trust shall furnish to the employee. Until the employee's written
notice and payment have been received by the Trust, the employee shall possess
no shareholder rights with respect to the Shares issued upon the exercise.
 
     9. Dividend Equivalent Rights.  The Board may grant to any eligible
employee DERs either in combination with an Option or as a separate Award under
the Plan on terms and conditions determined by the Board. On a dividend payment
date for the Shares, each employee with an outstanding DER shall be credited
with an amount equal to the cash or stock dividends or other distributions that
would have been received had the Shares covered by the Award been issued and
outstanding on the dividend record date related to such dividend.
 
     The Board shall determine at the time of grant whether payment pursuant to
a DER shall be immediate or deferred and if immediate, the Trust shall make
payments pursuant to each DER concurrently with the payment of the quarterly
dividend to holders of Shares. If deferred, the payment shall not be made until
a date or the occurrence of an event specified by the Board and then shall be
made within 30 days after the occurrence of the specified date or event, unless
the right is forfeited under the terms of the Plan or applicable award grant.
 
     With respect to DERs granted in combination with an Option, at the time of
the exercise of such Option, the employee will be required to settle such DERs.
The Board shall determine at the time of grant whether, at the employee's
election, any payment to be made to the employee upon settlement of a DER
concurrently with the exercise of an Option may be offset against the exercise
price of the Option. In the event of the expiration of an Option granted in
combination with a DER, the employee shall nevertheless be entitled to settle
such DER immediately following such expiration in accordance with the Plan.
 
     Notwithstanding anything to the contrary contained herein, neither the
Board nor the Trust shall be obligated to declare or pay dividends of any kind.
 
     10. Amendments to the Plan.  The Board may at any time alter, amend,
suspend or terminate or from time to time modify the Plan; provided, however,
that no such action shall impair any Awards theretofore granted under the Plan;
and provided, further, that no such modification without the approval of
shareholders of the Trust representing at least the majority of the votes of the
Trust represented and voting at a duly held meeting shall:
 
          (a) increase the maximum number of Shares which may be issued under
     the Plan in the aggregate; or
 
          (b) extend the period during which Awards may be granted under the
     Plan.
 
                                       19
   22
 
     11. Successors and Assigns.  The provisions of the Plan shall be binding
upon all successors and assigns of an employee granted Awards or acquiring
Shares under the Plan, including, without limitation, the estate of any such
employee and the executors, administrators or trustees of such estate, and any
receiver, trustee in bankruptcy or representative of the creditors of any such
employee.
 
     12. Effective Date and Termination Date of the Plan.  The Plan shall become
effective as of June 23, 1997, but subject, nevertheless, to (a) approval, if
required, by the shareholders representing at least a majority of the votes of
the Trust at a duly constituted meeting of shareholders, or by such greater
percentage as may from time to time be required, under the laws of the State of
Maryland and applicable rules or regulations of the New York Stock Exchange, and
(b) approvals, if required, of any other public authorities. The Plan shall
terminate on June 22, 2007; provided, however, that Awards granted on or before
such date shall remain exercisable, in accordance with their respective terms,
after the termination of the Plan.
 
                                       20
   23
 
                                                                       802-PS-98
   24
                                        
                                        
                                  DETACH HERE
                                        
                                        
                                     PROXY
                                        
                                        
                      UNIVERSAL HEALTH REALTY INCOME TRUST
                                        
    This Proxy is Solicited By The Board of Trustees For The Annual Meeting
                   Of Shareholders To Be Held On June 2, 1998
                                        



     Alan B. Miller and Kirk E. Gorman, and each of them, as the true and lawful
attorneys, agents and proxies of the undersigned, with full power of
substitution, are hereby authorized to represent and to vote, as designated on
the reverse side, all shares of Universal Health Realty Income Trust held of
record by the undersigned on April 22, 1998 at the Annual Meeting of
Shareholders to be held at 10:00 a.m., on Tuesday, June 2, 1998 at Universal
Corporate Center, 367 South Gulph Road, King of Prussia, Pennsylvania and at
any adjournment thereof. Any and all proxies heretofore given are hereby
revoked.


                   (This proxy is continued on reverse side)




  SEE REVERSE                                                     SEE REVERSE 
     SIDE      PLEASE SIGN ON REVERSE SIDE AND RETURN PROMPTLY       SIDE     
   25


                         COMPANY HIGHLIGHTS DURING 1997


- -  Eleven consecutive years of increased dividends. Current level $1.74 per
   share.

- -  1997 total return to shareholders of 16%.




                                  DETACH HERE



      Please mark
/ X / votes as in
      this example.



WHEN PROPERLY EXECUTED, THIS PROXY WILL BE VOTED AS DESIGNATED. IF NO CHOICE IS
SPECIFIED, THE PROXY WILL BE VOTED "FOR" ELECTION OF THE NOMINEES FOR TRUSTEES,
AND "FOR" ADOPTION OF THE 1997 INCENTIVE PLAN.


1.  The Election of Trustees.

    Nominees: Kirk E. Gorman and Michael R. Walker

                For                  Withheld
          /  /  Both            /  / From Both
                Nominees             Nominees

    /  / ________________________________________________
         For, except vote withheld from the above nominee:



2.  Adoption of the 1997 Incentive Plan.    For   Against   Abstain
                                            / /     / /       / /

    Discretionary authority is hereby granted with respect to such other
    matters as may properly come before the meeting.

    The undersigned acknowledges receipt of the Notice of Annual Meeting of
    Shareholders and the Proxy Statement furnished herewith.


    MARK HERE IF YOU PLAN TO ATTEND THE MEETING    /  /

    MARK HERE FOR ADDRESS CHANGE AND NOTE AT LEFT  /  /

    NOTE: Please sign exactly as name appears hereon. Each joint owner shall
    sign. Executors, administrators, trustees, etc. should give full title.




Signature:                 Date:          Shareholder:                  Date: