Universal Health Realty Income Trust--Form 10-Q
Table of Contents

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM 10-Q

 

 

(MARK ONE)

x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended September 30, 2008

OR

 

¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from              to             

Commission file number 1-9321

 

 

UNIVERSAL HEALTH REALTY INCOME TRUST

(Exact name of registrant as specified in its charter)

 

 

 

MARYLAND   23-6858580

(State or other jurisdiction of

Incorporation or Organization)

 

(I. R. S. Employer

Identification No.)

 

UNIVERSAL CORPORATE CENTER

367 SOUTH GULPH ROAD

KING OF PRUSSIA, PENNSYLVANIA 19406

(Address of principal executive offices) (Zip Code)

Registrant’s telephone number, including area code (610) 265-0688

 

 

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes  x    No  ¨

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer or a smaller reporting company. See the definitions of “large accelerated filer”, “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.

 

Large accelerated filer   ¨   Accelerated Filer   x
Non-accelerated filer   ¨   Smaller reporting company   ¨

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act)    Yes  ¨    No  x

Number of common shares of beneficial interest outstanding at October 31, 2008 – 11,862,676

 

 

 


Table of Contents

UNIVERSAL HEALTH REALTY INCOME TRUST

INDEX

 

               PAGE NO.
PART I. FINANCIAL INFORMATION
Item 1. Financial Statements   
   Condensed Consolidated Statements of Income – Three and Nine Months Ended September 30, 2008 and 2007    3
   Condensed Consolidated Balance Sheets – September 30, 2008 and December 31, 2007    4
   Condensed Consolidated Statements of Cash Flows – Nine Months Ended September 30, 2008 and 2007    5
   Notes to Condensed Consolidated Financial Statements    6 through 13
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations    14 through 20
Item 3. Quantitative and Qualitative Disclosures About Market Risk    20
Item 4. Controls and Procedures    20
PART II. Other Information    20
Item 1A. Risk Factors    20
Item 6. Exhibits    20
Signatures    21
EXHIBIT INDEX    22

 

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PART I. FINANCIAL INFORMATION

Universal Health Realty Income Trust

Condensed Consolidated Statements of Income

For the Three and Nine Months Ended September 30, 2008 and 2007

(amounts in thousands, except per share amounts)

(unaudited)

 

     Three Months
Ended September 30,
    Nine Months
Ended September 30,
 
   2008     2007     2008     2007  

Revenues:

        

Base rental - UHS facilities

   $ 3,347     $ 3,067     $ 9,505     $ 9,182  

Base rental - Non-related parties

     2,559       2,324       7,399       7,033  

Bonus rental - UHS facilities

     898       926       2,969       2,998  

Tenant reimbursements and other - Non-related parties

     584       565       1,669       1,714  

Tenant reimbursements and other - UHS facilities

     38       23       100       100  
                                
     7,426       6,905       21,642       21,027  
                                

Expenses:

        

Depreciation and amortization

     1,517       1,327       4,372       3,836  

Advisory fees to UHS

     408       355       1,151       1,062  

Other operating expenses

     1,211       1,083       3,516       3,299  
                                
     3,136       2,765       9,039       8,197  
                                

Income before equity in income of unconsolidated limited liability companies (“LLCs”), replacement property recovered from UHS (Chalmette) and interest expense

     4,290       4,140       12,603       12,830  

Equity in income of unconsolidated LLCs (including recognition of gain on sale of real property of $252 during the nine months ended September 30, 2007)

     567       692       1,608       2,340  

Replacement property recovered from UHS - Chalmette

     —         20       —         1,748  

Interest expense, net

     (651 )     (438 )     (1,688 )     (1,233 )
                                

Income from continuing operations

     4,206       4,414       12,523       15,685  

Income from discontinued operations, net (including gain on sale of real property of $2,270 during the nine months ended September 30, 2007)

     —         16       —         2,527  
                                

Net income

   $ 4,206     $ 4,430     $ 12,523     $ 18,212  
                                

Basic earnings per share:

        

From continuing operations

   $ 0.35     $ 0.37     $ 1.06     $ 1.33  

From discontinued operations

   $ 0.00     $ 0.00     $ 0.00     $ 0.21  
                                

Total basic earnings per share

   $ 0.35     $ 0.37     $ 1.06     $ 1.54  
                                

Diluted earnings per share:

        

From continuing operations

   $ 0.35     $ 0.37     $ 1.05     $ 1.32  

From discontinued operations

   $ 0.00     $ 0.00     $ 0.00     $ 0.21  
                                

Total diluted earnings per share

   $ 0.35     $ 0.37     $ 1.05     $ 1.53  
                                

Weighted average number of shares outstanding - Basic

     11,855       11,835       11,849       11,811  

Weighted average number of share equivalents

     37       36       37       63  
                                

Weighted average number of shares and equivalents outstanding - Diluted

     11,892       11,871       11,886       11,874  
                                

See accompanying notes to condensed consolidated financial statements.

 

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Universal Health Realty Income Trust

Condensed Consolidated Balance Sheets

(dollar amounts in thousands)

(unaudited)

 

      September 30,
2008
    December 31,
2007
 

Assets:

    

Real Estate Investments:

    

Buildings and improvements

   $ 195,149     $ 178,655  

Accumulated depreciation

     (64,856 )     (60,627 )
                
     130,293       118,028  

Land

     19,348       18,258  

Construction in progress

     —         7,511  
                

Net Real Estate Investments

     149,641       143,797  
                

Investments in and advances to limited liability companies (“LLCs”)

     55,053       52,030  

Other Assets:

    

Cash and cash equivalents

     1,529       1,131  

Base and bonus rent receivable from UHS

     1,917       960  

Rent receivable - other

     731       746  

Deferred charges, notes receivable and intangible and other assets, net

     6,315       1,085  
                

Total Assets

   $ 215,186     $ 199,749  
                

Liabilities and Shareholders’ Equity:

    

Liabilities:

    

Line of credit borrowings

   $ 35,700     $ 16,800  

Mortgage notes payable, non-recourse to us

     6,942       3,717  

Mortgage and other loans payable of consolidated LLCs, non-recourse to us

     16,312       16,100  

Accrued interest

     143       125  

Accrued expenses and other liabilities

     2,389       1,874  

Tenant reserves, escrows, deposits and prepaid rents

     920       741  
                

Total Liabilities

     62,406       39,357  
                

Minority interests

     150       87  

Shareholders’ Equity:

    

Preferred shares of beneficial interest, $.01 par value; 5,000,000 shares authorized; none issued and outstanding

     —         —    

Common shares, $.01 par value; 95,000,000 shares authorized; issued and outstanding: 2008 - 11,862,429; 2007 - 11,841,938

     119       118  

Capital in excess of par value

     189,180       188,638  

Cumulative net income

     339,588       327,065  

Cumulative dividends

     (376,257 )     (355,516 )
                

Total Shareholders’ Equity

     152,630       160,305  
                

Total Liabilities and Shareholders’ Equity

   $ 215,186     $ 199,749  
                

See accompanying notes to condensed consolidated financial statements.

 

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Universal Health Realty Income Trust

Condensed Consolidated Statements of Cash Flows

(amounts in thousands)

(unaudited)

 

     Nine months ended September 30,  
   2008     2007  

Cash flows from operating activities:

    

Net income

   $ 12,523     $ 18,212  

Adjustments to reconcile net income to net cash provided by operating activities:

    

Depreciation and amortization

     4,372       3,836  

Gain on sale of property

     —         (2,270 )

Gain on sale of property by a limited liability company (“LLC”)

     —         (252 )

Replacement property recovered from UHS - Chalmette

     —         (1,748 )

Changes in assets and liabilities:

    

Rent receivable

     (942 )     305  

Accrued expenses and other liabilities

     302       (835 )

Tenant reserves, escrows, deposits and prepaid rents

     179       113  

Accrued interest

     18       (10 )

Other, net

     235       66  
                

Net cash provided by operating activities

     16,687       17,417  
                

Cash flows from investing activities:

    

Investments in LLCs

     (6,276 )     (4,657 )

Repayments of advances made to LLCs

     43       9,720  

Advances made to LLCs

     (1,600 )     (16,693 )

Cash distributions in excess of income from LLCs

     2,277       1,028  

Cash distribution from sale of property by a LLC

     —         1,096  

Cash distributions of refinancing proceeds from LLCs

     2,542       5,452  

Cash received from sale of property

     —         7,280  

Advances made to third-party partners

     (3,960 )     —    

Acquisition of real property

     (4,714 )     —    

Additions to real estate investments

     (3,320 )     (1,120 )
                

Net cash (used in) provided by investing activities

     (15,008 )     2,106  
                

Cash flows from financing activities:

    

Net borrowings on line of credit

     18,900       1,100  

Net borrowings from third-party partner

     65       —    

Financing costs paid

     —         (527 )

Repayment of mortgage notes payable of a consolidated LLC

     (162 )     (149 )

Net borrowings from loan payable of a consolidated LLC

     374       —    

Repayments of mortgage notes payable

     (139 )     (98 )

Dividends paid

     (20,741 )     (20,330 )

Shares repurchased

     —         (236 )

Issuance of shares of beneficial interest

     422       1,045  

Dividend reinvestment receivable

     —         (113 )
                

Net cash used in financing activities

     (1,281 )     (19,308 )
                

Increase in cash and cash equivalents

     398       215  

Cash and cash equivalents, beginning of period

     1,131       798  
                

Cash and cash equivalents, end of period

   $ 1,529     $ 1,013  
                

Supplemental disclosure of cash flow information:

    

Interest paid

   $ 1,651     $ 1,354  
                

Supplemental disclosure of non-cash transactions:

    

Replacement property recovered from UHS - Chalmette

     —       $ 1,748  
                

Debt assumed in acquisition of real estate

   $ 3,364       —    
                

See accompanying notes to condensed consolidated financial statements.

 

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UNIVERSAL HEALTH REALTY INCOME TRUST

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2008

(unaudited)

(1) General

This Report on Form 10-Q is for the Quarterly Period ended September 30, 2008. In this Quarterly Report, “we,” “us,” “our” and the “Trust” refer to Universal Health Realty Income Trust.

You should carefully review all of the information contained in this Quarterly Report, and should particularly consider any risk factors that we set forth in this Quarterly Report and in other reports or documents that we file from time to time with the Securities and Exchange Commission (the “SEC”). In this Quarterly Report, we state our beliefs of future events and of our future financial performance. In some cases, you can identify those so-called “forward-looking statements” by words such as “may,” “will,” “should,” “could,” “would,” “predicts,” “potential,” “continue,” “expects,” “anticipates,” “future,” “intends,” “plans,” “believes,” “estimates,” “appears,” “projects” and similar expressions, as well as statements in future tense. You should be aware that those statements are only our predictions. Actual events or results may differ materially. In evaluating those statements, you should specifically consider various factors, including the risks outlined in Item 2- Management’s Discussion and Analysis of Financial Condition and Results of Operations, under Forward Looking Statements and Certain Risk Factors as disclosed in this Quarterly Report on Form 10-Q for the period ended September 30, 2008 and as outlined in Item 1A-Risk Factors as disclosed in our Report on Form 10-K for the year ended December 31, 2007. Those factors may cause our actual results to differ materially from any of our forward-looking statements.

In this Quarterly Report on Form 10-Q, the term “revenues” does not include the revenues of the unconsolidated limited liability companies (“LLCs”) in which we have various non-controlling equity interests ranging from 33% to 99%. We currently account for our share of the income/loss from these investments by the equity method (see Note 5). As of September 30, 2008, we had investments or commitments in twenty-eight LLCs, twenty-six of which are accounted for by the equity method and two that are currently consolidated in our financial statements

The financial statements included herein have been prepared by us, without audit, pursuant to the rules and regulations of the SEC and reflect all normal and recurring adjustments which, in our opinion, are necessary to fairly present results for the interim periods. Certain information and footnote disclosures normally included in financial statements prepared in accordance with generally accepted accounting principles have been condensed or omitted pursuant to such rules and regulations, although we believe that the accompanying disclosures are adequate to make the information presented not misleading. It is suggested that these financial statements be read in conjunction with the financial statements, accounting policies and the notes thereto included in our Annual Report on Form 10-K for the year ended December 31, 2007.

(2) Relationship with Universal Health Services, Inc. (“UHS”) and Related Party Transactions

Leases: We commenced operations in 1986 by purchasing the real property of certain subsidiaries from UHS and immediately leasing the properties back to the respective subsidiaries. Most of the leases were entered into at the time we commenced operations and provided for initial terms of 13 to 15 years with up to six additional 5-year renewal terms, with base rents set forth in the leases effective for all but the last two renewal terms. The base rents are paid monthly and each lease also provides for additional or bonus rents which are computed and paid on a quarterly basis based upon a computation that compares current quarter revenue to a corresponding quarter in the base year. The leases with subsidiaries of UHS are unconditionally guaranteed by UHS and are cross-defaulted with one another.

The combined revenues generated from the leases on the UHS hospital facilities accounted for approximately 53% and 57% of our total revenue for the three months ended September 30, 2008 and 2007, respectively, and 56% and 57% for the nine months ended September 30, 2008 and 2007, respectively. Including 100% of the revenues generated at the unconsolidated LLCs in which we have various non-controlling equity interests ranging from 33% to 99%, the leases on the UHS hospital facilities accounted for approximately 20% and 23% of the combined consolidated and unconsolidated revenue for the three months ended September 30, 2008 and 2007, respectively, and 21% and 24% for the nine months ended September 30, 2008 and 2007, respectively. In addition, eight medical office buildings (“MOBs”) (including one under construction as of September 30, 2008) are owned by LLCs in which we hold various non-controlling equity interests, and either include or will include tenants which are subsidiaries of UHS.

Pursuant to the Master Lease Document by and among us and certain subsidiaries of UHS, dated December 24, 1986 (the “Master Lease”), which governs the leases of all hospital properties with subsidiaries of UHS, UHS has the option to renew the leases at the lease terms described below by providing notice to us at least 90 days prior to the termination of the then current term. In addition, UHS has rights of first refusal to: (i) purchase the respective leased facilities during and for 180 days after the lease terms 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 at the same terms and conditions pursuant to any third-party offer. UHS also has the right to purchase the respective leased facilities at the end of the lease terms or any renewal terms at the appraised fair market value. In addition, during 2006, as part of the overall asset exchange and substitution proposal relating to Chalmette Medical Center (“Chalmette”), as discussed

 

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below, as well as the early five year lease renewals on Southwest Healthcare System-Inland Valley Campus (“Inland Valley”), Wellington Regional Medical Center (“Wellington”), McAllen Medical Center (“McAllen”) and The Bridgeway (“Bridgeway”), we agreed to amend the Master Lease to include a change of control provision. The change of control provision grants UHS the right, upon one month’s notice should a change of control of the Trust occur, to purchase any or all of the four leased hospital properties at their appraised fair market value.

We are committed to invest up to a total of $7.4 million in equity and debt financing, of which $2.3 million has been funded as of September 30, 2008, in exchange for a 95% non-controlling equity interest in a LLC that constructed, owns, and operates the Palmdale Medical Plaza, located in Palmdale, California, on the campus of a UHS hospital. This MOB, has a triple net, 75% master lease commitment by UHS of Palmdale, Inc., a subsidiary of UHS, pursuant to the terms of which the master lease for each suite will be cancelled at such time that the suite is leased for a minimum term of five years to another tenant acceptable to the LLC and UHS. This MOB, tenants of which will include subsidiaries of UHS, was completed and opened during the third quarter of 2008 at which time the master lease commenced. Based upon the executed leases and letter of intent commitments in place as of September 30, 2008, the master lease threshold of 75% has not been met. The LLC has a $9.9 million loan commitment from a third-party, which is non-recourse to us, of which $7.8 million has been borrowed as of September 30, 2008. This LLC, which is deemed to be a variable interest entity, is consolidated in our financial statements as of September 30, 2008 since we are the primary beneficiary.

We are committed to invest up to $5.4 million in debt or equity, of which $143,000 has been funded as of September 30, 2008, in exchange for a 95% non-controlling equity interest in a LLC that will develop, construct, own and operate the Summerlin Medical Office Building III, located in Las Vegas, Nevada, on the campus of a UHS hospital. This MOB has a triple net, 37% master lease commitment by Summerlin Hospital Medical Center, LLC, a subsidiary of UHS, pursuant to which the master lease for each suite will be cancelled at such time that the suite is leased for a minimum term of five years to another tenant acceptable to the LLC and UHS. The LLC has a third-party construction loan commitment of $14.4 million, which is non-recourse to us, of which $6.4 million has been borrowed as of September 30, 2008. This building, tenants of which will include subsidiaries of UHS, is scheduled to be completed and opened during the fourth quarter of 2008.

During the third quarter of 2005, Chalmette, an acute care hospital located in Chalmette, Louisiana, was severely damaged and closed as a result of Hurricane Katrina. At that time, the majority of the real estate assets of Chalmette were leased from us by a subsidiary of UHS and, in accordance with the terms of the lease, and as part of an overall evaluation of the leases between subsidiaries of UHS and us, UHS offered substitution properties rather than exercise its right to rebuild the facility or offer cash for Chalmette. Independent appraisals were obtained by us and UHS which indicated that the pre-hurricane fair market value of the leased facility was $24.0 million.

During the third quarter of 2006, we completed the asset exchange and substitution pursuant to the Asset Exchange and Substitution Agreement (“Agreement”) with UHS whereby we agreed to terminate the lease between us and Chalmette and to transfer the real property assets and all rights attendant thereto (including insurance proceeds) of Chalmette to UHS in exchange and substitution for newly constructed real property assets owned by UHS (“Capital Additions”) at Wellington, Bridgeway and Inland Valley, in satisfaction of the obligations under the Chalmette lease. The Capital Additions consist of properties which were recently constructed on, or adjacent to, facilities already owned by us as well as a recently constructed Capital Addition at Inland Valley which was completed and opened during the third quarter of 2007. Pursuant to section 1033(a)(1) of the Internal Revenue Code of 1986, as amended (the “IRC”), we recognized no gain for federal income tax purposes based upon the terms of the transaction as agreed upon in the Agreement.

The total cost of the Capital Addition at Inland Valley amounted to $11.7 million, which exceeded the $11.0 million threshold included in the Agreement. Pursuant to the terms of the Agreement, the $760,000 of cost in excess of the $11.0 million threshold has been paid to UHS in cash and UHS will pay incremental rent on the $760,000 excess cost at a rate of 6.75%.

The table below details the renewal options and terms for each of the four UHS hospital facilities:

 

Hospital Name

   Type of Facility    Annual
Minimum
Rent
   End of Lease Term    Renewal
Term
(years)
 

McAllen Medical Center

   Acute Care    $ 5,485,000    December, 2011    20 (a)

Wellington Regional Medical Center

   Acute Care    $ 3,030,000    December, 2011    20 (b)

Southwest Healthcare System, Inland Valley Campus

   Acute Care    $ 2,648,000    December, 2011    20 (b)

The Bridgeway

   Behavioral Health    $ 930,000    December, 2014    10 (c)

 

(a) UHS has four 5-year renewal options at existing lease rates (through 2031).
(b) UHS has two 5-year renewal options at existing lease rates (through 2021) and two 5-year renewal options at fair market value lease rates (2022 through 2031).
(c) UHS has two 5-year renewal options at fair market value lease rates (2015 through 2024).

 

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UHS Legal Proceedings: We have been advised by UHS that UHS, together with its South Texas Health System affiliates, which operate McAllen Medical Center, were served with a subpoena dated November 21, 2005, issued by the Office of Inspector General of the Department of Health and Human Services (“OIG”). At that time, the Civil Division of the U.S. Attorney’s office in Houston, Texas indicated that the subpoena was part of an investigation under the False Claims Act regarding compliance with Medicare and Medicaid rules and regulations pertaining to the employment of physicians and the solicitation of patient referrals from physicians from January 1, 1999 to the date of the subpoena, related to the South Texas Health System. UHS has advised us that since January of 2006, documents were produced on a rolling basis pursuant to this subpoena and several additional requests, including an additional March 9, 2007 subpoena. On February 16, 2007, UHS’s South Texas Health System affiliates were served with a search warrant in connection with what UHS has been advised is a related criminal Grand Jury investigation concerning the production of documents. At that time, the government obtained various documents and other property related to the facilities. Follow-up Grand Jury subpoenas for documents and witnesses and other requests for information were subsequently served on South Texas Health System facilities and certain UHS employees and former employees.

UHS has advised us that they have received notification from the U.S. Department of Justice (“DOJ”) that, at this time, the DOJ will not be pursuing criminal prosecutive action against UHS or its South Texas Health System affiliates. The DOJ is still investigating whether or not any individuals independently obstructed justice as it relates to the civil subpoena dated November 21, 2005. Representatives of UHS have been advised that the Civil Division of the U.S. Attorney’s office in Houston, Texas is continuing its investigation in connection with the civil subpoena dated November 21, 2005 issued by the OIG. UHS’s legal representatives continue to meet with representatives of the Civil Division to discuss the status of this matter. UHS understands that, based on those discussions and its investigations to date, the government is focused on certain arrangements entered into by the South Texas Health System affiliates which, the government believes, may have violated Medicare and Medicaid rules and regulations pertaining to payments to physicians and the solicitation of patient referrals from physicians and other matters relating to payments to various individuals which may have constituted improper payments. UHS is cooperating with the investigations and responding to the matters raised with them. UHS has been negotiating a possible settlement of this matter with the government. UHS expects to continue its discussions with the government to attempt to resolve this matter in a manner satisfactory to UHS and the government. There is no assurance that UHS will be able to do so, and, at this time, UHS is unable to evaluate the extent of any potential financial or other exposure in connection with this matter.

UHS has advised us that it monitors all aspects of its business and that it has developed a comprehensive ethics and compliance program that is designed to meet or exceed applicable federal guidelines and industry standards. Because the law in this area is complex and constantly evolving, governmental investigation or litigation may result in interpretations that are inconsistent with industry practices, including UHS’s. Although UHS believes its policies, procedures and practices comply with governmental regulations, from time to time UHS is subjected to inquiries or actions with respect to its facilities and there is no assurance that UHS will not face sanctions, fines or penalties in connection with such inquiries or actions, including with respect to the investigation of its South Texas Health System affiliates. Even if UHS were to ultimately prevail, the government’s inquiry and/or action in connection with this matter could have a material adverse effect on UHS’s future operating results and on the future operating results of McAllen Medical Center. While the base rentals are guaranteed by UHS through the end of the existing lease term, should this matter adversely impact the future revenues and/or operating results of McAllen Medical Center, the future bonus rental earned by us on this facility may be materially, adversely impacted. Bonus rental revenue earned by us from McAllen Medical Center amounted to $1.2 million for the nine months ended September 30, 2008 and $1.7 million during 2007. We can provide no assurance that this matter will not have a material adverse impact on underlying value of McAllen Medical Center or on the future base rental earned on this facility should the existing lease not be renewed pursuant to its current lease rates after its December, 2011 scheduled expiration of the existing lease term.

Advisory Agreement: UHS of Delaware, Inc. (the “Advisor”), a wholly-owned subsidiary of UHS, serves as Advisor to us under an Advisory Agreement (the “Advisory Agreement”) dated December 24, 1986. Under the Advisory Agreement, the Advisor is obligated to present an investment program to us, to use its best efforts to obtain investments suitable for such program (although it is not obligated to present any particular investment opportunity to us), to provide administrative services to us and to conduct our day-to-day affairs. In performing its services under the Advisory Agreement, the Advisor may utilize independent professional services, including accounting, legal, tax and other services, for which the Advisor is reimbursed directly by us. The Advisory Agreement expires on December 31 of each year; however, it is renewable by us, subject to a determination by the Trustees who are unaffiliated with UHS (the “Independent Trustees”), that the Advisor’s performance has been satisfactory. The Advisory Agreement may be terminated for any reason upon sixty days written notice by us or the Advisor. The Advisory Agreement has been renewed for 2008. All transactions between us and UHS must be approved by the Independent Trustees.

The Advisory Agreement provides that the Advisor is entitled to receive an annual advisory fee equal to 0.60% of our average invested real estate assets, as derived from our consolidated balance sheet. The advisory fee is payable quarterly, subject to adjustment at year-end based upon our audited financial statements. In addition, the Advisor is 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 our equity as shown on our consolidated balance sheet, determined in accordance with generally accepted accounting principles without reduction for return of capital dividends. The Advisory Agreement defines cash

 

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available for distribution to shareholders as net cash flow from operations less deductions for, among other things, amounts required to discharge our debt and liabilities and reserves for replacement and capital improvements to our properties and investments. Advisory fees incurred and paid (or payable) to UHS amounted to $408,000 and $355,000 for the three months ended September 30, 2008 and 2007, respectively, and $1.2 million and $1.1 million for the nine month periods ended September 30, 2008 and 2007, respectively. No incentive fees were paid in either period.

Officers and Employees: Our officers are all employees of UHS and although as of September 30, 2008 we had no salaried employees, our officers do receive stock-based compensation from time-to-time.

Share Ownership: As of September 30, 2008, UHS owned 6.6% of our outstanding shares of beneficial interest.

SEC reporting requirements of UHS: UHS is subject to the reporting requirements of the SEC and is required to file annual reports containing audited financial information and quarterly reports containing unaudited financial information. Since the leases on the hospital facilities leased to wholly-owned subsidiaries of UHS comprised approximately 53% and 57% of our consolidated revenues for the three months ended September 30, 2008 and 2007, respectively, and 56% and 57% for the nine month periods ended September 30, 2008 and 2007, respectively, and since a subsidiary of UHS is our Advisor, you are encouraged to obtain the publicly available filings for UHS, Inc. from the SEC’s website at www.sec.gov. These filings are the sole responsibility of UHS and are not incorporated by reference herein.

(3) Dividends

A dividend of $.580 per share or $6.9 million in the aggregate was declared by the Board of Trustees on March 7, 2008 and was paid on March 31, 2008 to shareholders of record as of March 17, 2008.

A dividend of $.585 per share or $6.9 million in the aggregate was declared by the Board of Trustees on June 6, 2008 and was paid on June 30, 2008 to shareholders of record as of June 16, 2008.

A dividend of $.585 per share or $6.9 million in the aggregate was declared by the Board of Trustees on September 4, 2008 and was paid on September 30, 2008 to shareholders of record as of September 15, 2008.

(4) Acquisitions and Dispositions

Acquisitions during the first nine months of 2008:

During the third quarter of 2008, we invested $2.3 million for a 95% non-controlling ownership interest in a LLC that purchased the Vista Medical Terrace and The Sparks Medical Building located in Sparks, Nevada. Both of these MOBs are located on the campus of Northern Nevada Medical Center, an acute care hospital owned and operated by a wholly-owned subsidiary of UHS. This LLC is not a variable interest entity and therefore is not subject to the consolidation requirements of FIN 46R.

In February, 2008, we purchased Kindred Hospital, Corpus Christi, an unaffiliated long-term sub-acute care hospital located in Corpus Christi, Texas for a total purchase price of $8.1 million. We paid $4.7 million in cash and assumed $3.4 million of third-party mortgage debt that is non-recourse to us. The lease payments on this facility are unconditionally guaranteed by Kindred Healthcare, Inc. until its scheduled expiration in June, 2019. The proforma effect of this acquisition did not have a material impact on our results of operations. The purchase price of this property was allocated to net tangible and identified intangible assets acquired based on fair value indications. Intangible assets include amounts representing the value of the tenant relationship and the in-place lease at the time of acquisition.

Dispositions during the first nine months of 2007:

During the nine months ended September 30, 2007, we completed the sale of the Fresno-Herndon Medical Plaza, a medical office building located in Fresno, California. The financial results of this property are reflected as discontinued operations on our condensed consolidated statements of income for the three and nine months ended September 30, 2007. This transaction resulted in a gain of $2.3 million which is included in “Income from discontinued operations, net” on our condensed consolidated statements of income for the nine months ended September 30, 2007.

Also during the nine months ended September 30, 2007, RioMed Investments, a LLC in which we had an 80% non-controlling equity interest, sold the real property of Rio Rancho Medical Center, located in Gilbert, Arizona. Our share of the net proceeds from this divestiture was $1.1 million. This transaction resulted in a $252,000 gain which is included in “Equity in income of unconsolidated LLCs” on our condensed consolidated statements of income for the nine months ended September 30, 2007.

(5) Summarized Financial Information of Equity Affiliates

Our consolidated financial statements include the accounts of our controlled investments and those investments that meet the criteria of a variable interest entity where we are the primary beneficiary. In accordance with the American Institute of Certified Public

 

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Accountants’ Statement of Position 78-9 “Accounting for Investments in Real Estate Ventures” as amended by FASB Staff Position SOP 78-9-1 “Interaction of AICPA Statement of Position 78-9 and EITF Issue No. 04-5” and Emerging Issues Task Force Issue 96-16, “Investor’s Accounting for an Investee When the Investor Has a Majority of the Voting Interest but the Minority Shareholder or Shareholders Have Certain Approval or Veto Rights”, we account for our unconsolidated investments in LLCs in which we do not have control using the equity method of accounting. The third-party members in these investments have equal voting rights with regard to issues such as, but not limited to: (i) divestiture of property; (ii) annual budget approval, and; (iii) financing commitments. These investments, which represent 33% to 99% non-controlling ownership interests, are recorded initially at our cost and subsequently adjusted for our net equity in the net income, cash contributions to, and distributions from, the investments. Pursuant to certain agreements, allocations of profits and losses of some of the LLC investments may be allocated disproportionately as compared to ownership interests after specified preferred return rate thresholds have been satisfied.

Pursuant to the provisions of FIN 46R (as defined below), Palmdale Medical Properties, in which we own a 95% non-controlling equity ownership interest, and 653 Town Center Phase II, in which we own a 98% non-controlling equity ownership interest, are both considered to be variable interest entities and are consolidated in our results of operations since we are the primary beneficiary. The other LLCs in which we hold various non-controlling ownership interests are not variable interest entities and therefore are not subject to the consolidation requirements of FIN 46R.

Rental income is recorded by our consolidated and unconsolidated MOBs relating to leases in excess of one year in length using the straight-line method under which contractual rents are recognized evenly over the lease term regardless of when payments are due. The amount of rental revenue resulting from straight-line rent adjustments is dependent on many factors, including the nature and amount of any rental concessions granted to new tenants, scheduled rent increases under existing leases, as well as the acquisition and sales of properties that have existing in-place leases with terms in excess of one year. As a result, the straight-line adjustments to rental revenue may vary from period-to-period.

As of September 30, 2008, we had investments or commitments in twenty-eight LLCs, twenty-six of which are accounted for by the equity method and two, as mentioned above, that are consolidated. The following tables represent summarized financial and other information related to the LLCs which were accounted for under the equity method:

 

Name of LLC

   Ownership    

Property Owned by LLC

DSMB Properties

   76 %   Desert Samaritan Hospital MOBs

DVMC Properties (a.)

   90 %   Desert Valley Medical Center

Suburban Properties

   33 %   Suburban Medical Plaza II

Litchvan Investments

   89 %   Papago Medical Park

Paseo Medical Properties II

   75 %   Thunderbird Paseo Medical Plaza I & II

Willetta Medical Properties (a.)

   90 %   Edwards Medical Plaza

Santa Fe Scottsdale (a.)

   90 %   Santa Fe Professional Plaza

575 Hardy Investors (a.)

   90 %   Centinela Medical Building Complex

Brunswick Associates

   74 %   Mid Coast Hospital MOB

Deerval Properties

   90 %   Deer Valley Medical Office II

PCH Medical Properties

   85 %   Rosenberg Children’s Medical Plaza

Gold Shadow Properties (b.)

   98 %   700 Shadow Lane & Goldring MOBs

Arlington Medical Properties (c.)

   75 %   Saint Mary’s Professional Office Building

ApaMed Properties

   85 %   Apache Junction Medical Plaza

Spring Valley Medical Properties (b.)

   95 %   Spring Valley Medical Office Building

Sierra Medical Properties (d.)

   95 %   Sierra San Antonio Medical Plaza

Spring Valley Medical Properties II (b.)(e.)

   95 %   Spring Valley Hospital Medical Office Building II

PCH Southern Properties

   95 %   Phoenix Children’s East Valley Care Center

Centennial Medical Properties (b.)(f.)

   95 %   Centennial Hills Medical Office Building I

Canyon Healthcare Properties

   95 %   Canyon Springs Medical Plaza

653 Town Center Drive (b.)

   95 %   Summerlin Hospital Medical Office Building

DesMed (b.)

   99 %   Desert Springs Medical Plaza

Deerval Properties II (g.)

   95 %   Deer Valley Medical Office Building III

Cobre Properties

   95 %   Cobre Valley Medical Plaza

Banbury Medical Properties (b.)(h.)

   95 %   Summerlin Hospital Medical Office Building III

Sparks Medical Properties (b.)(i.)

   95 %   Vista Medical Terrace & The Sparks Medical Building

 

(a.) The membership interests of this entity are held by a master LLC in which we hold a 90% non-controlling ownership interest.
(b.) Tenants of these medical office buildings include or will include subsidiaries of UHS.

 

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(c.) We have committed to invest a total of $5.8 million in equity, of which $5.2 million has been funded as of September 30, 2008, in exchange for a 75% non-controlling interest in a LLC that owns the Saint Mary’s Professional Office Building located in Reno, Nevada. As of September 30, 2008, the LLC has a $27.5 million mortgage from a third party, which is non-recourse to us.
(d.) We have committed to invest a total of up to $5.2 million in equity and/or debt financing in exchange for a 95% non-controlling interest in a LLC that owns and operates the Sierra San Antonio Medical Plaza located in Fontana, California. As of September 30, 2008, we have invested $3.1 million in equity and $1.6 million in debt financing in connection with this project. The LLC has a $5.9 million loan from a third party, which is non-recourse to us.
(e.) We have committed to invest a total of up to $12.0 million in debt and/or equity financing, of which $10.7 million has been funded as of September 30, 2008, in exchange for a 95% non-controlling interest in a LLC that owns and operates the Spring Valley Hospital Medical Office Building II, located in Las Vegas, Nevada on the campus of a UHS facility. This building opened during the second quarter of 2007.
(f.) We have committed to invest up to $5.4 million in equity and/or debt financing, $1.7 million of which has been funded as of September 30, 2008, in exchange for a 95% non-controlling interest in a LLC that owns the Centennial Hills Medical Office Building I, located in Las Vegas, Nevada on the campus of a UHS hospital. The LLC has a $15.7 million construction loan commitment from a third-party, ($15.4 million of which has been borrowed as of September 30, 2008), which is non-recourse to us. This building was completed and opened during the fourth quarter of 2007.
(g.) We have committed to invest up to $6.0 million in equity and/or debt financing, of which $800,000 has been funded as of September 30, 2008, in exchange for a 95% non-controlling interest in a LLC that will develop, construct, own and operate the Deer Valley Medical Office Building III in Phoenix, Arizona. The LLC has a $13.6 million construction loan commitment with a third-party ($3.9 million of which has been borrowed as of September 30, 2008), which is non-recourse to us. This project is scheduled to be completed and opened during the first quarter of 2009.
(h.) We have committed to invest up to $5.4 million in debt and/or equity, of which $143,000 has been funded as of September 30, 2008, in exchange for a 95% non-controlling interest in a LLC that will develop, construct, own and operate the Summerlin Medical Office Building III, located in Las Vegas, Nevada. The LLC has a $14.4 million construction loan commitment with a third-party ($6.4 million of which has been borrowed as of September 30, 2008) which is non-recourse to us. This building is scheduled to be completed and opened during the fourth quarter of 2008.
(i.) We have committed to invest up to $4.8 million in equity and debt financing, of which $2.3 million has been funded as of September 30, 2008, in exchange for a 95% non-controlling interest in a LLC that owns and operates the Vista Medical Terrace and The Sparks Medical Building, located in Sparks, Nevada on the campus of a UHS facility. These MOBs were acquired by the LLC during the third quarter of 2008.

Below are the combined statements of income (unaudited) for the LLCs accounted for under the equity method:

 

     Three Months
Ended September 30,
   Nine Months
Ended September 30,
   2008    2007    2008    2007
   (amounts in thousands)

Revenues

   $ 11,759    $ 10,012    $ 34,487    $ 29,506

Operating expenses

     5,279      4,600      15,697      13,363

Depreciation and amortization

     2,357      1,895      6,929      5.510

Interest, net

     3,577      2,924      10,566      8,261
                           

Net income before gain

     546      593      1,295      2,372

Gain on sale of real property

     —        —        —        339
                           

Net income

   $ 546    $ 593    $ 1,295    $ 2,711
                           

Our share of net income before gain (a.)

   $ 567    $ 692    $ 1,608    $ 2,088

Our share of gain on sale of real property

     —        —        —        252
                           

Our share of net income

   $ 567    $ 692    $ 1,608    $ 2,340
                           

 

(a.) Our share of net income for the three months ended September 30, 2008 and 2007, includes interest income earned by us on various advances made to LLCs of approximately $331,000 and $265,000, respectively, and $1.0 million and $375,000 for the nine months ended September 30, 2008 and 2007, respectively.

 

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Below are the combined balance sheets (unaudited) for the LLCs accounted for under the equity method:

 

     September 30,
2008
   December 31,
2007
     (in thousands)

Net property, including CIP

   $ 272,427    $ 247,514

Other assets

     23,049      22,859
             

Total assets

   $ 295,476    $ 270,373
             

Liabilities

   $ 12,139    $ 10,707

Mortgage notes payable, non-recourse to us

     235,128      214,912

Notes payable to us

     15,916      14,035

Equity

     32,293      30,719
             

Total liabilities and equity

   $ 295,476    $ 270,373
             

Our share of equity and notes receivable from LLCs

   $ 55,053    $ 52,030
             

Pursuant to the operating agreements of the LLCs, the third-party member and the Trust, at any time, have the right to make an offer (“Offering Member”) to the other member(s) (“Non-Offering Member”) in which it either agrees to: (i) sell the entire ownership interest of the Offering Member to the Non-Offering Member (“Offer to Sell”) at a price as determined by the Offering Member (“Transfer Price”), or; (ii) purchase the entire ownership interest of the Non-Offering Member (“Offer to Purchase”) at the equivalent proportionate Transfer Price. The Non-Offering Member has 60 days to either: (i) purchase the entire ownership interest of the Offering-Member at the Transfer Price, or; (ii) sell its entire ownership interest to the Offering Member at the equivalent proportionate Transfer Price. The closing of the transfer must occur within 60 days of the acceptance by the Non-Offering Member.

(6) Recent Accounting Pronouncements

Determining Whether Instruments Granted in Share-Based Payment Transactions Are Participating Securities: In June 2008, FASB issued FSP No. EITF 03-6-1, Determining Whether Instruments Granted in Share-Based Payment Transactions Are Participating Securities. The FSP concludes that unvested share-based payment awards that contain nonforfeitable rights to dividends are participating securities under FASB No. 128, Earnings Per Share and should be included in the computation of earnings per share under the two-class method. The two-class method is an earnings allocation formula that we currently use to determine earnings per share for each class of common stock according to dividends declared and participation rights in undistributed earnings. We do not expect the adoption of this FSP effective January 1, 2009 will have a material impact on our results of operations or financial position.

Determination of the Useful Life of Intangible Assets: In April 2008, the FASB issued FASB Staff Position 142-3 (“FSP 142-3”), Determination of the Useful Life of Intangible Assets. FSP 142-3 amends the factors that should be considered in developing renewal or extension assumptions used to determine the useful life of a recognized intangible asset under SFAS No. 142, Goodwill and Other Intangible Assets. FSP 142-3 is effective for fiscal years beginning after December 15, 2008. We do not currently expect the adoption of FSP 142-3 to have a material impact on our consolidated financial statements.

The Hierarchy of Generally Accepted Accounting Principles: In May 2008, the FASB issued Statement of Financial Accounting Standard No. 162, The Hierarchy of Generally Accepted Accounting Principles (“SFAS 162”). SFAS 162 clarifies the sources of accounting principles and the framework to be followed in preparing financial statements in conformity with generally accepted accounting principles in the United States. We do not expect this standard to impact our consolidated financial statements.

Business Combinations: In December 2007, the FASB issued SFAS 141 (revised 2007) “Business Combinations” (“SFAS 141R”). SFAS 141R establishes principles and requirements for how the acquirer of a business recognizes and measures in its financial statements the identifiable assets acquired, the liabilities assumed, and any noncontrolling interest in the acquiree. SFAS 141R also provides guidance for recognizing and measuring the goodwill acquired in the business combination and determines what information to disclose to enable users of the financial statements to evaluate the nature and financial effects of the business combination. SFAS 141R applies prospectively to business combinations for which the acquisition date is on or after the beginning of the first annual reporting period beginning on or after December 15, 2008. We do not anticipate that the adoption of SFAS 141R will have a material impact on our results of operations or financial position.

Noncontrolling Interests in Consolidated Financial Statements: In December 2007, the FASB issued SFAS 160, “Noncontrolling Interests in Consolidated Financial Statements — an amendment of ARB No. 51”. SFAS 160 establishes accounting and reporting standards for the noncontrolling interest in a subsidiary and for the deconsolidation of a subsidiary. It clarifies that a noncontrolling interest in a subsidiary is an ownership interest in the consolidated entity that should be reported as equity in the consolidated financial statements. SFAS 160 is effective for fiscal years, and interim periods within those fiscal years, beginning on or after December 15, 2008. SFAS 160 requires retroactive adoption of the presentation and disclosure requirements for existing minority interests. All other requirements of SFAS 160 shall be applied prospectively. We do not anticipate that the adoption of SFAS No. 160 will have a material impact on our results of operations or financial position.

Fair Value Option for Financial Assets and Financial Liabilities: In February 2007, the FASB issued SFAS No. 159, “The Fair Value Option for Financial Assets and Financial Liabilities – Including an Amendment of FASB Statement No. 115,” (“SFAS No. 159”). SFAS No. 159 permits a company to choose to measure many financial instruments and certain other items at fair value at specified election dates. Most of the provisions in SFAS No. 159 are elective; however, it applies to all companies with available-for-sale and trading securities. A company will report unrealized gains and losses on items for which the fair value option has been elected in earnings (or another performance indicator if the company does not report earnings) at each subsequent reporting date. The fair value option: (a) may be applied instrument by instrument; (b) is irrevocable (unless a new election date occurs), and; (c) is applied only to entire instruments and not to portions of instruments. SFAS No. 159 is effective as of January 1, 2008. We chose not to elect the fair value option for our financial assets and financial liabilities existing at January 1, 2008, and did not elect the fair value option on financial assets and financial liabilities transacted subsequent to that time. Therefore, the adoption of SFAS No. 159 had no impact on our results of operations or financial position.

 

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Fair Value Measurements: In September 2006, the FASB issued SFAS No. 157, “Fair Value Measurements” (“SFAS No. 157”). SFAS No. 157 defines fair value, establishes a framework for measuring fair value and expands disclosures about fair value measurements. SFAS No. 157 is effective for fiscal years beginning after November 15, 2007 and interim periods within those fiscal years. The provisions for SFAS 157 are to be applied prospectively as of the beginning of the fiscal year in which it is initially applied, except in limited circumstances including certain positions in financial instruments that trade in active markets as well as certain financial and hybrid financial instruments initially measured under SFAS No. 133 “Accounting for Derivative Instruments and Hedging Activities” (“SFAS No. 133”) using the transaction price method. In these circumstances, the transition adjustment is measured as the difference between the carrying amounts and the fair values of those financial instruments at the date SFAS No. 157 is initially applied. In February, 2008, the FASB decided to issue final staff positions that (i) partially deferred the effective date of SFAS No. 157 for one year for certain non-financial assets and non-financial liabilities, and; (ii) removed certain leasing transactions from the scope of SFAS No. 157. As permitted by FASB Staff Position No. FAS 157-2, “Effective Date of FASB Statement No. 157”, we elected to defer the adoption of SFAS No. 157 for all nonfinancial assets and nonfinancial liabilities. The partial adoption of SFAS No. 157 for financial assets and financial liabilities did not have a material impact on our results of operations or financial position.

Disclosures about Derivative Instruments and Hedging Activities: In March 2008, the FASB issued Statement of Financial Accounting Standards No. 161, “Disclosures about Derivative Instruments and Hedging Activities, an amendment of FASB Statement No. 133” (“SFAS No. 161”). This statement is intended to improve transparency in financial reporting by requiring enhanced disclosures of an entity’s derivative instruments and hedging activities and their effects on the entity’s financial position, financial performance, and cash flows. SFAS No. 161 applies to all derivative instruments within the scope of SFAS No. 133 as well as related hedged items, bifurcated derivatives, and nonderivative instruments that are designated and qualify as hedging instruments. Entities with instruments subject to SFAS No. 161 must provide expanded qualitative and quantitative disclosures. SFAS No. 161 is effective prospectively for financial statements issued beginning after November 15, 2008, with early application permitted. Our adoption of this statement will not affect our results of operations.

(7) Segment Reporting

Our primary business is investing in and leasing healthcare and human service facilities through direct ownership or through joint ventures, which aggregate into a single reportable segment under SFAS 131. We actively manage our portfolio of healthcare and human service facilities and may from time to time make decisions to sell lower performing properties not meeting our long-term investment objectives. The proceeds of sales are typically reinvested in new developments or acquisitions, which we believe will meet our planned rate of return. It is our intent that all healthcare and human service facilities will be owned or developed for investment purposes. Our revenue and net income are generated from the operation of our investment portfolio.

Our portfolio is located throughout the United States, however, we do not distinguish or group our operations on a geographical basis for purposes of allocating resources or measuring performance. We review operating and financial data for each property on an individual basis, therefore we define an operating segment as our individual properties. Individual properties have been aggregated into one reportable segment based upon their similarities with regard to both the nature and economics of the facilities, tenants and operational processes, as well as long-term average financial performance.

 

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Overview

We are a real estate investment trust (“REIT”) that commenced operations in 1986. We invest in healthcare and human service related facilities including acute care hospitals, behavioral healthcare facilities, rehabilitation hospitals, sub-acute facilities, surgery centers, childcare centers and medical office buildings. As of September 30, 2008, we have forty-eight real estate investments or commitments located in fourteen states consisting of:

 

   

seven hospital facilities consisting of three acute care, one behavioral healthcare, one rehabilitation and two sub-acute;

 

   

thirty-seven medical office buildings, including twenty-eight owned by various LLCs, and;

 

   

four pre-school and childcare centers.

Forward Looking Statements and Certain Risk Factors

This report contains “forward-looking statements” that reflect our current estimates, expectations and projections about our future results, performance, prospects and opportunities. Forward-looking statements include, among other things, the information concerning our possible future results of operations, business and growth strategies, financing plans, expectations that regulatory developments or other matters will not have a material adverse effect on our business or financial condition, our competitive position and the effects of competition, the projected growth of the industry in which we operate, and the benefits and synergies to be obtained from our completed and any future acquisitions, and statements of our goals and objectives, and other similar expressions concerning matters that are not historical facts. Words such as “may,” “will,” “should,” “could,” “would,” “predicts,” “potential,” “continue,” “expects,” “anticipates,” “future,” “intends,” “plans,” “believes,” “estimates,” “appears,” “projects” and similar expressions, as well as statements in future tense, identify forward-looking statements.

Forward-looking statements should not be read as a guarantee of future performance or results, and will not necessarily be accurate indications of the times at, or by which, such performance or results will be achieved. Forward-looking information is based on information available at the time and/or our good faith belief with respect to future events, and is subject to risks and uncertainties that could cause actual performance or results to differ materially from those expressed in the statements. Such factors include, among other things, the following:

 

   

a substantial portion of our revenues are dependent upon one operator, Universal Health Services, Inc., (“UHS”);

 

   

a subsidiary of UHS is our Advisor and our officers are all employees of UHS, which may create the potential for conflicts of interest;

 

   

lost revenues from purchase option exercises and lease expirations and renewals, loan repayments and other restructuring;

 

   

the availability and terms of capital to fund the growth of our business;

 

   

the outcome of known and unknown litigation, government investigations, and liabilities and other claims asserted against us or the operators of our facilities, including the government’s ongoing investigation of UHS’s South Texas Health Systems affiliates, which includes McAllen Medical Center, as described herein;

 

   

the potential unfavorable impact on our business of continued deterioration in national, regional and local economic and business conditions, including a continuation or worsening of unfavorable credit market conditions;

 

   

our majority ownership interests in various LLCs in which we hold non-controlling equity interests;

 

   

real estate market factors, including without limitation, the supply and demand of office space and market rental rates, changes in interest rates as well as an increase in the development of medical office condominiums in certain markets;

 

   

government regulations, including changes in the reimbursement levels under the Medicare and Medicaid program;

 

   

the issues facing the health care industry that affect the operators of our facilities, including UHS, such as: changes in, or the ability to comply with, existing laws and government regulations; unfavorable changes in the levels and terms of reimbursement for our charges by third party payors or government programs, including Medicare or Medicaid; demographic changes; the ability to enter into managed care provider agreements on acceptable terms; an increase in uninsured and self-pay patients which unfavorably impacts the collectibility of patient accounts; decreasing in-patient admission trends; technological and pharmaceutical improvements that may increase the cost of providing, or reduce the demand for, health care, and; the ability to attract and retain qualified medical personnel, including physicians;

 

   

three LLCs that own properties in California, in which we have various non-controlling equity interests, could not obtain earthquake insurance at rates which are economically beneficial in relation to the risks covered;

 

   

competition for our operators from other REITs;

 

   

competition from other health care providers, including physician owned facilities and other facilities owned by UHS, including, but not limited to, McAllen, Texas, the site of our largest acute care facility;

 

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changes in, or inadvertent violations of, tax laws and regulations and other factors than can affect REITs and our status as a REIT;

 

   

fluctuations in the value of our common stock, and;

 

   

other factors referenced herein or in our other filings with the Securities and Exchange Commission.

Given these uncertainties, risks and assumptions, you are cautioned not to place undue reliance on such forward-looking statements. Our actual results and financial condition, including the operating results of our lessees and the facilities leased to subsidiaries of UHS, could differ materially from those expressed in, or implied by, the forward-looking statements.

Forward-looking statements speak only as of the date the statements are made. We assume no obligation to publicly update any forward-looking statements to reflect actual results, changes in assumptions or changes in other factors affecting forward-looking information, except as may be required by law. All forward-looking statements attributable to us or persons acting on our behalf are expressly qualified in their entirety by this cautionary statement.

Critical Accounting Policies and Estimates

The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires us to make estimates and assumptions that affect the amounts reported in our consolidated financial statements and accompanying notes. We consider our critical accounting policies to be those that require us to make significant judgments and estimates when we prepare our financial statements, including the following:

Revenue Recognition: Our revenues consist primarily of rentals received from tenants, which are comprised of minimum rent (base rentals), bonus rentals and reimbursements from tenants for their pro-rata share of expenses such as common area maintenance costs, real estate taxes and utilities.

The minimum rent for all hospital facilities is fixed over the initial term or renewal term of the respective leases. Rental income recorded by our consolidated and unconsolidated medical office buildings (“MOBs”) relating to leases in excess of one year in length, is recognized using the straight-line method under which contractual rents are recognized evenly over the lease term regardless of when payments are due. The amount of rental revenue resulting from straight-line rent adjustments is dependent on many factors including the nature and amount of any rental concessions granted to new tenants, scheduled rent increases under existing leases, as well as the acquisitions and sales of properties that have existing in-place leases with terms in excess of one year. As a result, the straight-line adjustments to rental revenue may vary from period-to-period. Bonus rents are recognized when earned based upon increases in each facility’s net revenue in excess of stipulated amounts. Bonus rentals are determined and paid each quarter based upon a computation that compares the respective facility’s current quarter’s net revenue to the corresponding quarter in the base year. Tenant reimbursements for operating expenses are accrued as revenue in the same period the related expenses are incurred.

Real Estate Investments: We account for our property acquisitions under the provisions of Statement of Financial Accounting Standards No. 141, “Business Combinations” (“SFAS No. 141”). Under SFAS No. 141, the purchase price of a property is allocated to the property’s land, buildings and intangible assets based upon our estimates of their fair values. Depreciation is computed using the straight-line method over the useful lives of the buildings and capital improvements. The value of intangible assets is amortized as real estate amortization over the remaining lease term.

Investments in Limited Liability Companies (“LLCs”): Our consolidated financial statements include the consolidated accounts of our controlled investments and those investments that meet the criteria of a variable interest entity where we are the primary beneficiary. In accordance with the American Institute of Certified Public Accountants’ Statement of Position 78-9 “Accounting for Investments in Real Estate Ventures” as amended by FASB Staff Position SOP 78-9-1 “Interaction of AICPA Statement of Position 78-9 and EITF Issue No. 04-5, Emerging Issues Task Force Issue (EITF) 96-16, “Investor’s Accounting for an Investee When the Investor Has a Majority of the Voting Interest but the Minority Shareholder or Shareholders Have Certain Approval or Veto Rights” and EITF 04-5 “Determining Whether a General Partner, or the General Partners as a Group, Controls a Limited Partnership or Similar Entity When the Limited Partners Have Certain Rights” we account for our unconsolidated investments in LLCs which we do not control using the equity method of accounting. The third-party members in these investments have equal voting rights with regards to issues such as, but not limited to: (i) divestiture of property; (ii) annual budget approval, and; (iii) financing commitments. These investments, which represent 33% to 99% non-controlling ownership interests, are recorded initially at our cost and subsequently adjusted for our net equity in the net income, cash contributions to, and distributions from, the investments. Pursuant to certain agreements, allocations of profits and losses of some of the LLC investments may be allocated disproportionately as compared to ownership interests after specified preferred return rate thresholds have been satisfied.

In January 2003, the FASB issued Interpretation No. 46, Consolidation of Variable Interest Entities, an Interpretation of ARB No. 51. This Interpretation, as revised (“FIN 46R”), addresses the consolidation by business enterprises of variable interest entities as defined in the Interpretation. As a result of our related party relationship with UHS, and certain master lease, lease assurance or lease guarantee arrangements between UHS and various properties owned by two LLCs in which we own non-controlling ownership

 

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interests ranging from 95% to 98%, these two LLCs were considered to be variable interest entities and are therefore included in our consolidated financial statements on a consolidated basis since we are the primary beneficiary. One of these consolidated LLCs owns a medical office building which was completed and opened during the third quarter of 2008.

The other LLCs in which we hold various non-controlling ownership interests are not variable interest entities and therefore are not subject to the consolidation requirements of FIN 46R.

Federal Income Taxes: No provision has been made for federal income tax purposes since we qualify as a REIT under Sections 856 to 860 of the Internal Revenue Code of 1986, and intend to continue to remain so qualified. As such, we are exempt from federal income taxes and we are required to distribute at least 90% of our real estate investment taxable income to our shareholders.

We are subject to a federal excise tax computed on a calendar year basis. The excise tax equals 4% of the amount by which 85% of our ordinary income plus 95% of any capital gain income for the calendar year exceeds cash distributions during the calendar year, as defined. No provision for excise tax has been reflected in the financial statements as no tax was due.

Earnings and profits, which determine the taxability of dividends to shareholders, will differ from net income reported for financial reporting purposes due to the differences for federal tax purposes in the cost basis of assets and in the estimated useful lives used to compute depreciation and the recording of provision for investment losses.

Relationship with Universal Health Services, Inc. (“UHS”) — UHS is our principal tenant and through UHS of Delaware, Inc., a wholly owned subsidiary of UHS, serves as our advisor (the “Advisor”) under an Advisory Agreement dated December 24, 1986 between the Advisor and us (the “Advisory Agreement”). Our officers are all employees of UHS and although as of September 30, 2008 we had no salaried employees, our officers do receive stock-based compensation from time-to-time.

Under the Advisory Agreement, the Advisor is obligated to present an investment program to us, to use its best efforts to obtain investments suitable for such program (although it is not obligated to present any particular investment opportunity to us), to provide administrative services to us and to conduct our day-to-day affairs. In performing its services under the Advisory Agreement, the Advisor may utilize independent professional services, including accounting, legal, tax and other services, for which the Advisor is reimbursed directly by us. The Advisory Agreement expires on December 31 of each year; however, it is renewable by us, subject to a determination by the Independent Trustees who are unaffiliated with UHS, that the Advisor’s performance has been satisfactory. The Advisory Agreement may be terminated for any reason upon sixty days written notice by us or the Advisor. The Advisory Agreement has been renewed for 2008. All transactions between us and UHS must be approved by the Independent Trustees. The Advisor is entitled to certain advisory fees for its services. See “Relationship with Universal Health Services, Inc. and Related Party Transactions” in Note 2 to the consolidated financial statements for additional information on the Advisory Agreement and related fees.

The combined revenues generated from the leases on the UHS hospital facilities accounted for approximately 53% and 57% of our total revenue for the three months ended September 30, 2008 and 2007, respectively, and 56% and 57% for the nine months ended September 30, 2008 and 2007, respectively. Including 100% of the revenues generated at the unconsolidated LLCs in which we have various non-controlling equity interests ranging from 33% to 99%, the leases on the UHS hospital facilities accounted for approximately 20% and 23% of the combined consolidated and unconsolidated revenue for the three months ended September 30, 2008 and 2007, respectively, and 21% and 24% for the nine months ended September 30, 2008 and 2007, respectively. The leases to the hospital facilities of UHS are guaranteed by UHS and cross-defaulted with one another.

For additional disclosure related to our relationship with UHS, please refer to Note 2 to the condensed consolidated financial statements—Relationship with Universal Health Services, Inc. (“UHS”) and Related Party Transactions.

Results of Operations

For the quarter ended September 30, 2008, net income was $4.2 million, or $0.35 per diluted share, as compared to $4.4 million, or $0.37 per diluted share, during the comparable prior year quarter. The decrease in net income of $224,000, or $.02 per diluted share, during the third quarter of 2008, as compared to the comparable quarter of the prior year, was primarily attributable to increased interest expense of $213,000, or $.02 per diluted share, as discussed below.

For the nine month period ended September 30, 2008, net income was $12.5 million, or $1.05 per diluted share, as compared to $18.2 million, or $1.53 per diluted share, during the comparable nine month period of 2007. The decrease in net income of $5.7 million, or $0.48 per diluted share, during the nine month period of 2008, as compared to the comparable nine month period of 2007, was primarily attributable to:

 

   

an unfavorable change of $2.3 million, or $0.19 per diluted share, resulting from the gain realized during the nine month period of 2007 on the sale of a medical office building (included in income from discontinued operations);

 

   

an unfavorable change of $1.7 million, or $0.15 per diluted share, resulting from the gain recognized during the nine month period of 2007 in connection with the Chalmette asset exchange and substitution transaction;

 

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an unfavorable change of $516,000, or $0.04 per diluted share, resulting from increased depreciation expense: (i) recorded by certain of our unconsolidated LLCs in connection with newly constructed medical office buildings which were opened during the fourth quarter of 2007, and; (ii) resulting from the replacement assets received from UHS in connection with the Chalmette asset exchange and substitution transaction;

 

   

an unfavorable change of $329,000, or $.03 per diluted share, resulting from the recording of the following by two of our unconsolidated LLCs that own MOBs in Las Vegas, Nevada: (i) reserves established for certain tenant receivables in connection with leases which defaulted from the licensure revocation and closure of physician-owned gastroenterology and endoscopy clinics, and; (ii) higher than anticipated building maintenance and repairs expense;

 

   

an unfavorable change of $252,000, or $0.02 per diluted share, resulting from the gain recorded during the nine month period of 2007 in connection with the sale of real property by a LLC in which we had an 80% non-controlling equity interest;

 

   

an unfavorable change of $455,000, or $.04 per diluted share, resulting from increased interest expense, as discussed below, and;

 

   

other combined net unfavorable changes of $119,000 or $0.01 per diluted share.

Interest expense, net of interest income, increased $213,000 and $455,000 during the three and nine months ended September 30, 2008, as compared to the comparable prior year periods, respectively, due primarily to an increase in our average outstanding borrowings, partially offset by a decrease in our average borrowing rate. The increased borrowings were used primarily to fund the acquisitions and investments in LLCs, as discussed herein.

Included in our other operating expenses are expenses related to the consolidated medical office buildings, which totaled $948,000 and $791,000 for the three month periods ended September 30, 2008 and 2007, respectively, and $2.7 million and $2.4 million for the nine month periods ended September 30, 2008 and 2007, respectively. A portion of the expenses associated with our consolidated medical office buildings is passed on directly to the tenants. Tenant reimbursements for operating expenses are accrued as revenue in the same period the related expenses are incurred and are included as tenant reimbursement revenue in our condensed consolidated statements of income.

During the three months ended September 30, 2008 and 2007, we recorded equity in income of unconsolidated LLCs of $567,000 and $692,000, respectively. During the nine months ended September 30, 2008 and 2007, we recorded equity in income of unconsolidated LLCs of $1.6 million and $2.3 million, respectively. The $732,000 decrease during the nine month period of 2008, as compared to the comparable 2007 period, was primarily due to: (i) the $329,000 of reserves/expenses recorded by two of our unconsolidated LLCs that own MOBs in Las Vegas, Nevada, as discussed above; (ii) a gain of $252,000 realized during the nine months ended September 30, 2007 on the sale of real property by a LLC, and; (iii) $151,000 of other net unfavorable changes including depreciation expense recorded on newly constructed MOBs that were opened during the fourth quarter of 2007.

Funds from operations (“FFO”), is a widely recognized measure of REIT performance. Although FFO is a non-GAAP financial measure, we believe that information regarding FFO is helpful to shareholders and potential investors. We compute FFO in accordance with standards established by the National Association of Real Estate Investment Trusts (“NAREIT”), which may not be comparable to FFO reported by other REITs that do not compute FFO in accordance with the NAREIT definition, or that interpret the NAREIT definition differently than we interpret the definition. To facilitate a clear understanding of our historical operating results, FFO should be examined in conjunction with net income, determined in accordance with GAAP. FFO does not represent cash generated from operating activities in accordance with GAAP and should not be considered to be an alternative to net income determined in accordance with GAAP. In addition, FFO should not be used as: (i) an indication of our financial performance determined in accordance with GAAP; (ii) as an alternative to cash flow from operating activities determined in accordance with GAAP; (iii) as a measure of our liquidity; (iv) nor is FFO an indicator of funds available for our cash needs, including our ability to make cash distributions to shareholders.

Below is a reconciliation of our reported net income to FFO for the three and nine month periods ended September 30, 2008 and 2007 (in thousands):

 

     Three Months Ended
September 30,
    Nine Months Ended
September 30,
 
   2008    2007     2008    2007  

Net income

   $ 4,206    $ 4,430     $ 12,523    $ 18,212  

Plus: Depreciation and amortization expense:

          

Consolidated investments

     1,497      1,316       4,314      3,806  

Unconsolidated affiliates

     1,882      1,484       5,532      4,274  

Less: Gain on sale of real property – discontinued operations

     —        —         —        (2,270 )

Gain on LLC’s sale of real property

     —        —         —        (252 )

Gain on asset exchange and substitution agreement with UHS – Chalmette

     —        (20 )     —        (1,748 )
                              

Funds from operations (FFO)

   $ 7,585    $ 7,210     $ 22,369    $ 22,022  
                              

 

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Liquidity and Capital Resources

Net cash provided by operating activities

Net cash provided by operating activities was $16.7 million and $17.4 million for the nine month periods ended September 30, 2008 and 2007, respectively.

The $730,000 net decrease was attributable to:

 

 

an unfavorable change of $883,000 due to a decrease in net income plus or minus the adjustments to reconcile net income to net cash provided by operating activities (depreciation and amortization, gain on sale of property, gain on sale of property by a LLC and replacement property recovered from UHS-Chalmette);

 

 

an unfavorable change of $1.2 million in rent receivable primarily resulting from the timing of base rental payments from UHS;

 

 

a favorable change of $1.1 million in accrued expenses and other liabilities resulting primarily from the exercise and settlement of accrued dividend rights during the nine month period of the prior year;

 

 

a favorable change of $66,000 in tenant reserves, escrows, deposits and prepaid rents, and;

 

 

$197,000 of other net favorable changes.

The $883,000 unfavorable change in net income plus or minus the adjustments to reconcile net income to net cash provided by operating activities was primarily due to: (i) an increase of $455,000 in interest expense, resulting primarily from increased borrowings; (ii) a decrease of $480,000 in our equity in income of LLCs (excluding the $252,000 gain on sale of real property by a LLC during the nine months ended September 30, 2007), as discussed above, and; (iii) $52,000 of other combined net favorable changes.

Net cash (used in) provided by investing activities

Net cash used in investing activities was $15.0 million during the nine months ended September 30, 2008 as compared to $2.1 million of net cash provided by investing activities during the nine months ended September 30, 2007.

During the nine month period ended September 30, 2008, we funded $6.3 million of equity investments, funded $1.6 million of advances to LLCs, spent $3.3 million on capital additions consisting primarily of construction costs related to a new MOB in Palmdale, California which opened during the third quarter of 2008, spent $4.7 million on the acquisition of real property and advanced $4.0 million to our third-party partners, as discussed below. Also during the nine-month period ended September 30, 2008, we received: (i) $2.5 million related to debt refinancing by LLCs, and; (ii) $2.3 million of cash distributions in excess of income from our unconsolidated LLCs.

During the first nine months of 2008, we advanced $4.0 million to our third-party partners in a certain LLC in connection with a $4.0 million loan agreement. This loan is a non-amortizing loan with interest paid on a quarterly basis. The interest rate on this loan will be: (i) 4.25% plus LIBOR, or; (ii) if information to determine LIBOR is not available, three hundred seventy-five basis points over the then existing borrowing cost. The loan has a stated maturity date of 2012, although it may be prepaid without penalty and is secured by various forms of collateral, including personal guarantees from each of the partners to the loan, as well as their ownership interest in the LLC. As of September 30, 2008, interest on this loan agreement has been paid to us through August 31, 2008.

During the nine month period ended September 30, 2007, we funded $4.7 million of equity investments, funded $16.7 million of advances to LLCs and spent $1.1 million on capital additions to certain of our real estate investments. Also during the nine month period ended September 30, 2007, we received: (i) $9.7 million from LLCs for repayments of advances; (ii) $7.3 million from the sale of real property; (iii) $5.5 million related to debt refinancing by LLCs; (iv) $1.1 million of cash proceeds related to the sale of real property by a LLC, and; (v) $1.0 million of cash distributions in excess of income from our unconsolidated LLCs.

Net cash used in financing activities

Net cash used in financing activities was $1.3 million during the nine months ended September 30, 2008 and $19.3 million during the nine months ended September 30, 2007.

 

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During the nine month period ended September 30, 2008, we: (i) had additional net borrowings of $18.9 million on our revolving line of credit; (ii) had additional net borrowings from a loan payable of a consolidated LLC of $374,000; (iii) had additional net borrowings from a third-party partner of $65,000; (iv) repaid $162,000 of mortgage notes payable of a consolidated LLC; (v) repaid $139,000 of mortgage notes payable; (vi) paid $20.7 million of dividends, and; (vii) generated $422,000 of cash from the issuance of shares of beneficial interest from our dividend reinvestment plan.

During the nine month period ended September 30, 2007, we had net debt borrowings of $1.1 million on our revolving line of credit, paid $527,000 in financing fees related to our new revolving credit agreement, paid $20.3 million of dividends, paid $247,000 on mortgage notes payable that are non-recourse to us and generated $696,000 of net cash from the issuance of shares of beneficial interest.

A dividend of $0.580 per share was paid on March 31, 2008 to shareholders of record as of March 17, 2008, a dividend of $0.585 per share was paid on June 30, 2008 to shareholders of record as of June 16, 2008 and a dividend of $0.585 per share was paid on September 30, 2008 to shareholders of record as of September 15, 2008.

We expect to meet our short-term liquidity requirements generally through our available working capital and net cash provided by operations. We believe that our net cash provided by operations will be sufficient to allow us to make any distributions necessary to enable us to continue to qualify as a REIT under Sections 856 to 860 of the Internal Revenue Code of 1986.

Credit facilities and mortgage debt

In January 2007, we entered into an unsecured $100 million revolving credit agreement (the “Agreement”) which expires on January 19, 2012. We have a one-time option, which can be exercised at any time, subject to bank approval, to increase the amount by $50 million for a total commitment of $150 million. The Agreement provides for interest at our option, at the Eurodollar rate plus .75% to 1.125% or the prime rate plus zero to .125%. A fee of .15% to .225% is paid on the unused portion of the commitment. The margins over the Eurodollar rate, prime rate and the commitment fee are based upon our debt to total capital ratio as defined in the Agreement. As of September 30, 2008, the applicable margin over the Eurodollar rate was .75% and over the prime rate was zero. The commitment fee was 0.15%.

At September 30, 2008, we had $35.7 million of outstanding borrowings and $24.5 million of letters of credit outstanding against the Agreement. There are no compensating balance requirements. The Agreement contains a provision whereby the commitments will be reduced by 50% of the proceeds generated from any new equity offering. At September 30, 2008, we had $39.8 million of available borrowing capacity under this agreement.

Covenants relating to the revolving credit facility require the maintenance of a minimum tangible net worth and specified financial ratios, limit our ability to incur additional debt, limit the aggregate amount of mortgage receivables and limit our ability to increase dividends in excess of 95% of cash available for distribution, unless additional distributions are required to comply with the applicable section of the Internal Revenue Code and related regulations governing real estate investment trusts. We are in compliance with all of the covenants at September 30, 2008. The carrying value of this instrument approximates fair value.

We have three mortgages and one term loan, which are non-recourse to us, included in our condensed consolidated balance sheet as of September 30, 2008 with a combined outstanding balance of $23.3 million. Two of the mortgages carry an interest rate of 8.3% and have maturity dates in 2010. The third mortgage carries an interest rate of 6.5% and has a maturity date in 2019. Interest on the term loan is calculated at the prime rate. The mortgages are secured by the real property of the buildings as well as property leases and rents. The following table summarizes these outstanding loans at September 30, 2008 (amounts in thousands):

 

Facility Name / Secured by

   Outstanding
Balance
(in thousands)
   Interest
Rate
    Maturity
Date

Medical Center of Western Connecticut

   $ 3,611    8.3  %   2010

Summerlin Hospital MOB II

     8,525    8.3  %   2010

Kindred Corpus Christi

     3,331    6.5  %   2019

Palmdale Term Loan

     7,787    5.0  %   2008
           

Total

   $ 23,254     
           

 

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Off Balance Sheet Arrangements

As of September 30, 2008, we are party to certain off balance sheet arrangements consisting of standby letters of credit and equity and debt financing commitments. Our outstanding letters of credit at September 30, 2008 totaled $24.5 million consisting of construction commitments as follows: (i) $1.0 million related to Sierra Medical Properties; (ii) $631,000 related to Arlington Medical Properties; (iii) $4.7 million related to Centennial Hills Medical Properties; (iv) $3.9 million related to Palmdale Medical Properties; (v) $6.4 million related to Deerval Properties II and a related entity; (vi) $5.5 million related to Banburry Medical Properties, and; (vii) $2.4 million related to Sparks Medical Properties.

 

Item 3. Quantitative and Qualitative Disclosures About Market Risk

There have been no material changes in the quantitative and qualitative disclosures during the first nine months of 2008. Reference is made to Item 7A in the Annual Report on Form 10-K for the year ended December 31, 2007.

 

Item 4. Controls and Procedures

As of September 30, 2008, under the supervision and with the participation of our management, including the Trust’s Chief Executive Officer (“CEO”) and Chief Financial Officer (“CFO”), we performed an evaluation of the effectiveness of our disclosure controls and procedures as defined in Rule 13a-15(e) or Rule 15d-15(e) under the Securities Exchange Act of 1934, as amended (the “1934 Act”). Based on this evaluation, the CEO and CFO have concluded that our disclosure controls and procedures are effective to ensure that material information is recorded, processed, summarized and reported by management on a timely basis in order to comply with our disclosure obligations under the 1934 Act and the SEC rules thereunder.

There have been no changes in our internal control over financial reporting or in other factors during the third quarter of 2008 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

PART II. OTHER INFORMATION

UNIVERSAL HEALTH REALTY INCOME TRUST

 

Item 1A. Risk Factors

General economic and credit market conditions – The deterioration in the general economic conditions has not yet had a material unfavorable impact on our results of operations. However, our future results of operations could be unfavorably impacted by continued deterioration in general economic conditions which could result in increases in the number of people unemployed and/or uninsured. Should that occur, it may result in decreased occupancy rates at our medical office buildings as well as a reduction in the revenues earned by the operators of our hospital facilities which would unfavorably impact our future bonus rentals (on the UHS hospital facilities) and may potentially have a negative impact on the future lease renewal terms and the underlying value of the hospital properties. Additionally, the general real estate market has been unfavorably impacted by the deterioration in economic and credit market conditions which may adversely impact the underlying value of our properties. The ongoing tightening in the credit markets and the instability in the banking and financial institutions has not had a material impact on us. However, there can be no assurance that continued deterioration in credit market conditions will not have a material unfavorable impact on our ability to finance our future growth through borrowed funds.

There are no other material changes in our risk factors from those set forth in our Annual Report on Form 10-K for the year ended December 31, 2007.

 

Item 6. Exhibits

 

31.1    Certification of the Chief Executive Officer pursuant to Rule 13a-14(a)/15d-14(a) under the Securities Exchange Act of 1934, as amended.
31.2    Certification of the Chief Financial Officer pursuant to Rule 13a-14(a)/15d-14(a) under the Securities Exchange Act of 1934, as amended.
32.1    Certification of the Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
32.2    Certification of the Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

 

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Signatures

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

 

Date: November 7, 2008   UNIVERSAL HEALTH REALTY INCOME TRUST
  (Registrant)
 

/s/ Alan B. Miller

  Alan B. Miller, Chairman of the Board,
  Chief Executive Officer and President
  (Principal Executive Officer)
 

/s/ Charles F. Boyle

  Charles F. Boyle,
  Vice President and Chief Financial Officer
  (Principal Financial Officer)

 

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EXHIBIT INDEX

 

Exhibit No.

  

Description

31.1    Certification of the Chief Executive Officer pursuant to Rule 13a-14(a)/15(d)-14(a) under the Securities Exchange Act of 1934 as amended.
31.2    Certification of the Chief Financial Officer pursuant to Rule 13a-14(a)/15(d)-14(a) under the Securities Exchange Act of 1934 as amended.
32.1    Certification of the Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
32.2    Certification of the Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

 

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