EX-FILING FEES 6 d771465dexfilingfees.htm EX-FILING FEES EX-FILING FEES

Exhibit 107

Calculation of Filing Fee Tables

FORM S-3

(Form Type)

UNIVERSAL HEALTH REALTY INCOME TRUST

(Exact Name of Registrant as Specified in its Charter)

Table 1: Newly Registered and Carry Forward Securities

 

                         
    

Security

Type

 

Security

Class

Title

  Fee
Calculation
or Carry
Forward
Rule
  Amount
Registered
  Proposed
Maximum
Offering
Price Per
Unit
 

Maximum

Aggregate

Offering

Price

 

Fee

Rate

  Amount of
Registration
Fee
  Carry
Forward
Form
Type
  Carry
Forward
File
Number
  Carry
Forward
Initial
effective
date
 

Filing Fee
Previously
Paid In
Connection
with Unsold

Securities to
be Carried

Forward

 
Newly Registered Securities
                         

Fees to Be

Paid

  Equity   Common Shares of beneficial interest, $0.01 par value   (1)   (1)   (1)   (1)   (1)   (1)          
                         

Fees to Be

Paid

  Equity   Preferred Shares of beneficial interest, $0.01 par value   (1)   (1)   (1)   (1)   (1)   (1)          
                         

Fees to Be

Paid

  Debt   Debt Securities   (1)   (1)   (1)   (1)   (1)   (1)          
                         

Fees to Be

Paid

  Unallocated (Universal) Shelf   —    457(o)   (1)   (1)   $100,000,000 (2)   0.00014760   $14,760          
                         

Fees

Previously

Paid

  —    —    —    —    —    —      —           
 
Carry Forward Securities
                         
Carry Forward Securities   —    —    —    —      —        —    —    —    — 
                   
    Total Offering Amounts     $100,000,000     $14,760          
                   
    Total Fees Previously Paid         —           
                   
    Total Fee Offsets         $12,944.45          
                   
    Net Fee Due               $1,815.55                

 

(1)

Pursuant to Instruction 2.A.iii.b of Item 16(b) of Form S-3, this information is not required to be included. An indeterminate amount of the securities of each identified class is being registered as may from time to time be offered under this registration statement at indeterminate prices, along with an indeterminate number of securities that may be issued upon exercise, settlement, exchange or conversion of securities offered or sold under this registration statement, as shall have an aggregate initial offering price up to $100,000,000. Pursuant to Rule 416 under the Securities Act of 1933, as amended (the “Securities Act”), this registration statement also covers any additional securities that may be offered or issued in connection with any stock split, stock dividend or pursuant to anti-dilution provisions of any of the securities. Separate consideration may or may not be received for securities that are issuable upon conversion, exercise or exchange of other securities.

(2)

The proposed maximum aggregate offering price has been calculated pursuant to Rule 457(o) under the Securities Act.


Table 2: Fee Offset Claims and Sources

 

                       
    

Registrant

or Filer

Name

  Form
or
Filing
Type
 

File

Number

 

Initial

Filing

Date

 

Filing

Date

 

Fee Offset

Claimed

  Security
Type
Associated
with Fee
Offset
Claimed
 

Security
Title

Associated
with Fee
Offset
Claimed

  Unsold
Securities
Associated
with Fee
Offset
Claimed
 

Unsold

Aggregate

Offering

Amount

Associated

with Fee

Offset

Claimed

 

Fee Paid
with Fee
Offset

Source

 
Rules 457(b) and 0-11(a)(2)
                       
Fee Offset Claims   —    —    —    —    —    —    —    —    —    —    — 
                       
Fee Offset Sources   —    —    —    —    —    —    —    —    —    —    — 
 
Rule 457(p)
                       
Fee Offset Claims   Universal Health Realty Income Trust   S-3   333-238301   5/15/2020     $12,944.45 (1)   (2)   (2)   (2)   $99,726,084.80    — 
                       
Fee Offset Sources   Universal Health Realty Income Trust   S-3   333-238301   —    5/15/2020   —    —    —    —    —    $5,255.91 (3)
                       
Fee Offset Sources   Universal Health Realty Income Trust   S-3   333-208264   —    11/30/2015   —    —    —    —    —    $7,688.54 (3)

 

(1)

Pursuant to Rule 457(p) under the Securities Act, the registrant is offsetting the registration fee due under this registration statement by $12,944.45, which represents the portion of the registration fee previously paid with respect to $99,726,084.80 of unsold securities (the “Unsold Offset Securities”) previously registered on the Registration Statement on Form S-3, originally filed by the registrant on filed May 15, 2020 (File No. 333-238301) (the “2020 Registration Statement”). The offering of the Unsold Offset Securities pursuant to the 2020 Registration Statement associated with the claimed fee offset pursuant to Rule 457(p) have been completed or terminated.

(2)

The 2020 Registration Statement registered for sale the registrant’s Common Shares, Preferred Shares and Debt Securities.

(3)

In connection with the filing of a Prospectus Supplement under the 2020 Registration Statement pursuant to Rule 424(b)(5) under the Securities Act on June 8, 2020 covering an at-the-market offering of the registrant’s Common Shares, the registrant paid a filing fee of $5,255.91 associated with the offering of a portion of the unsold securities (based on the filing fee rate in effect at the time of the filing of the 2020 Registration Statement) and offset $7,724.09 with respect to $76,703,973 of unsold securities previously registered pursuant to the registrant’s prior registration statement on Form S-3 (File No. 333-208264), originally filed by the registrant on filed November 30, 2015 and declared effective on December 22, 2015.