AGREEMENT

Extension Agreement

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This Extension Agreement involves

UHS of Delaware, Inc.

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Title: AGREEMENT
Date: 3/12/2004
Industry: Healthcare Facilities

AGREEMENT, Parties: uhs of delaware inc.

Exhibit 10.3

December 31, 2003

Mr. Alan B. Miller

President

UHS of Delaware, Inc.

367 South Gulph Road

King of Prussia, PA 19406

Dear Alan:

The Board of Trustees of Universal Health Realty Income Trust, at their December 1, 2003 meeting, authorized the renewal of the current Advisory Agreement between the Trust and UHS of Delaware, Inc. (“Agreement”) upon the s

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