Exhibit 19

Effective as of February 24, 2025

Universal Health Realty Income Trust Insider Trading Policy

In the course of performing your duties for Universal Health Realty Income Trust ("UHT"), you may from time to time receive or become aware of material non-public information about UHT and its subsidiaries (collectively, the "Trust") or other companies that do business with the Trust. This Insider Trading Policy (the "Policy") furnishes guidelines concerning information that may be "material" and "non-public" and your legal obligations and obligations to the Trust relating to the use or disclosure of material non-public information regarding the Trust or such other companies. It is also Trust policy to comply with applicable securities laws concerning trading in Trust’s securities on the Trust’s behalf.

The Trust has adopted this Policy to promote compliance with applicable securities laws, known as "insider trading" laws, which prohibit persons who receive or become aware of material non-public information about the Trust (or other companies that do business with the Trust) from trading in the Trust's (or such other company's) securities or providing material non-public information to others who may trade in the Trust's (or such other company's) securities on the basis of that information.

Insider trading laws can impose legal liability not only on individuals who fail to comply with these laws, but also to the Trust. Accordingly, the Trust has adopted this Policy not only to guide the individuals associated with the Trust who are covered by the Policy, but also to protect the Trust from legal liability and promote its business interest in maintaining an impeccable reputation for integrity.

This Policy is effective as of the date set forth at the top of this page and supersedes any previous insider trading policy of the Trust. In the event of any conflict or inconsistency between this Policy and any other materials previously distributed by the Trust, this Policy shall govern. In addition, each Covered Person (as defined below) is responsible for complying with applicable law as then in force and effect. Accordingly, in the event of any conflict or inconsistency between this Policy and applicable law, or any omission from this Policy, Covered Persons are not excused from complying with applicable law.

Chick Boyle, UHT’s Senior Vice President and Chief Financial Officer, is the compliance officer (the "Compliance Officer") for this Policy. A Compliance Officer, or the Board of Trustees of the Trust, may designate additional or other officers of the Trust to serve as a Compliance Officer for this Policy from time to time. Any questions concerning this Policy should be directed to, and all interpretations of this Policy shall be made by, a duly designated Compliance Officer.

This Policy applies to UHT and all of its subsidiaries.

This Policy is applicable to all trustees, officers and employees of the Trust and the advisor of the Trust, whether located in or outside of the United States, as well as family members and other members of their respective households, partnerships in which any such person is a general partner, trusts of which any such person is a trustee, estates of which any such person is an administrator or executor and other legal entities that any such person controls (the "Covered Persons"). A Compliance Officer may also determine from time to time that other persons who may have access to material non-public information due to their activities with the Trust shall be subject to this Policy. Any persons so identified by a Compliance Officer shall also be "Covered Persons" for purposes of this Policy.

If a Covered Person is in possession of material non-public information relating to the Trust, that person may not, directly or indirectly, buy, sell or engage in other transactions in securities of the Trust (to be broadly construed to include equity, debt and convertible securities of the Trust, and derivatives (whether or not issued by the Trust) linked to or exercisable for securities of the Trust (the "Trust Securities")), except as set forth in Section VIII below, or engage, directly or indirectly, in any other action to disclose to others (“tipping") or benefit from or take advantage of that information (for example, recommending transactions in Trust Securities). This Policy also applies to material non-public information relating to any other company with publicly-traded securities, including Universal Health Services, Inc. and the Trust's tenants, customers, suppliers or other business relations, obtained in the course of the Covered Person's employment by, service to or other relationship with the Trust.

Additional restrictions on buying, selling or engaging in other transactions in Trust Securities apply to trustees, executive officers and Section 16 Officers (as defined below) of the Trust, as described in Section IX below.

In order to determine whether information is material, it must be evaluated in the context of all facts and circumstances at play at the time. Information is considered "material" if:

Material information can be positive or negative and can relate to virtually any aspect of the Trust's business. Information that is or may be material includes (but is not limited to) the following, depending upon all facts and circumstances at the time of assessment and whether it relates to the Trust or any of its significant tenants:

Information is "non-public" if it has not been disclosed to the public. In order for information to be considered public, it must be widely disseminated; for example, through:

After a wide dissemination of material information, a reasonable period of time must elapse for the investing public to process the information. As a rule of thumb, one full trading day following wide dissemination is regarded as a reasonable waiting period before such information is deemed to be "public" and no longer "non-public" for purposes of this Policy. A Compliance Officer may determine that a different waiting period is appropriate with respect to particular Trust disclosures based upon prevailing facts and circumstances. For the avoidance of doubt, Covered Persons should consult a Compliance Officer when contemplating transactions in Trust Securities shortly after public disclosures by the Trust.

If a particular transaction (or group of transactions) is challenged by enforcement authorities, it will be viewed with the benefit of hindsight. As a result, before engaging in any transaction, a Covered Person should give careful thought

to whether any facts and circumstances exist that could raise suspicions about the propriety of the proposed transaction after the fact; for example, as to whether information that the Covered Person has become aware of may be construed as "material" and "non-public." Again, in the event of any doubt, Covered Persons should consult a Compliance Officer when contemplating transactions in Trust Securities.

Material non-public information must not be disclosed to anyone unless it has first been widely disseminated to the public as described above, except to other Trust personnel who have a need to know the information and are bound by a confidentiality obligation to the Trust and covered by this Policy, or third party agents of the Trust (such as accountants, investment bankers or outside legal counsel) whose positions require them to have access to such information, and who are bound by a professional obligation to protect its confidentiality.

No Covered Person may place a purchase or sell order or recommend that another person place a purchase or sell order in Trust Securities when he or she is aware of material non-public information concerning the Trust that has not been disclosed to the public. As noted above, for purposes of the prohibition expressed in this Policy, "Trust Securities" should be construed broadly, and the terms "purchase" or "sell" should also be interpreted broadly to include transactions involving Trust Securities such as elections or changes in elections under Trust Securities purchase plans, loans, pledges, gifts, charitable donations and other contributions of Trust Securities.

Covered Persons may be liable for communicating or tipping material non-public information to any third party ("tippee"). Further, insider trading violations are not limited to trading or tipping by Covered Persons. Persons other than Covered Persons also can be liable for insider trading, including tippees who trade on material non-public information tipped to them and individuals who trade on material non-public information which has been misappropriated.

Tippees inherit a Covered Person's duties under this Policy and applicable insider trading laws and may be held liable for trading on material non-public information illegally tipped to them by a Covered Person. Similarly, just as Covered Persons are liable for the insider trading of their tippees, so are tippees who communicate the information to others who trade. In other words, a tippee's liability for insider trading is no different from that of a Covered Person. Tippees can obtain material non-public information in deliberate ways, such as the direct receipt of a tip, or in less deliberate or obvious ways, such as conversing at social, business or other gatherings.

As described in paragraphs A and C above, no Covered Person may disclose material non-public information or "tip" information to others to the extent the Covered Person becomes aware of material non-public information about another company in the course of his or her business activities on behalf of the Trust. No Covered Person may place a purchase or sell order or recommend that another person place a purchase or sell order in the securities of another company if he or she becomes aware of material non-public information concerning that company in the course of his or her business activities on behalf of the Trust.

The Trust believes that purchases of hedging instruments that protect against downward changes in the Trust's stock price can result in the purchaser no longer having the same objectives as the Trust's other stockholders because he or

she is no longer subject to the full risks of stock ownership. Accordingly, no employee of the Trust or member of the Trust's Board of Trustees may engage in any hedging transaction that would result in lack of exposure to the full risks of stock ownership. Prohibited hedging transactions include, but are not limited to, collars, forward sale contracts, trading in publicly-traded options, puts, calls or other derivative instruments related to Trust stock or debt. The Dodd- Frank Wall Street Reform and Consumer Protection Act (the "Dodd-Frank Act") requires companies to disclose in the proxy materials for their annual stockholders' meetings whether any of their officers, trustees or employees of the advisor who are directly involved in the Trust’s day-to-day affairs are permitted to hedge against losses on their company stock.

The Trust will comply with all applicable securities laws and regulations with respect to any transactions by the Trust in Trust Securities, subject to any policies and procedures adopted by the Trust.

The prohibitions of this Policy do not apply to bona fide gifts of Trust Securities (i.e., for no consideration), including gifts to family members, charities or private foundations (unless that the Covered Person making the gift has reason to believe that the recipient intends to sell the Trust Securities while the Covered Person is aware of material “non-public” information); provided that any bona fide gifts of Trust Securities should be pre-cleared by a Compliance Officer as provided in Section IX.C. In addition, this Policy does not restrict purchases and sales of mutual funds or exchange-traded funds that invest in Trust Securities in addition to securities of other companies.

The prohibitions of this Policy also apply to a Covered Person's exercise of a stock option granted under a Trust equity plan as well as to any sale of Trust Securities received upon exercise of an option, regardless of whether the sale is to pay the exercise price or for tax withholding. This will not apply to a Covered Person's surrender of Trust Securities to the Trust or the retention and withholding from delivery to the Covered Person of shares by the Trust (i.e., a so-called "net settlement") upon vesting of restricted stock in satisfaction of tax withholding obligations in a manner permitted by the applicable equity award agreement or the Trust equity plan pursuant to which the equity award was granted. In addition, to the extent that the transactions described in this paragraph do not involve the sale or purchase of securities by the Covered Person with persons other than the Trust, Compliance Officers shall have authority to waive these restrictions in the event the Compliance Officer determines that such actions do not result in the improper use of material non-public information.

This Section IX sets forth additional provisions applicable to the following individuals associated with the Trust (referring to UHT, not its subsidiaries) ("Designated Insiders"):

Designated Insiders are prohibited from trading in Trust Securities during blackout periods: (a) the Trust's regularly scheduled quarterly blackout period commencing before the market opens on the 15th of the last month of the calendar quarter and ending one business day after the Trust's "earnings release" is issued to the public relating to the Trust's financial information for the concluded fiscal quarter and (b) special blackout periods instituted by the Trust on a discretionary basis when news of pending material events or other material non-public information regarding the Trust that is anticipated to be disclosed has not yet been publicly disclosed. Subject to pre-clearance as provided in Section IX.C below, Designated Insiders are generally permitted to trade when no blackout period is in effect; provided, however, that even during an open trading window, a Designated Insider who is aware of material non- public information may not trade in Trust Securities until the information has been made publicly available as described above, or is no longer material.

Designated Insiders (including family members and other members of their respective households) must obtain prior clearance from a Compliance Officer before buying, selling or engaging in any transaction in Trust Securities (except as described in Section IX.E below), including any exercise of stock options, if applicable. A Compliance Officer will evaluate each proposed transaction to determine if it raises insider trading concerns or other concerns under the federal or state securities laws and regulations. Any advice will relate solely to legal considerations and not the merits of the investment decision. Clearance of a transaction will be valid only for a 48-hour period. If the transaction order is not placed within that 48-hour period, clearance of the transaction must be re-requested from a Compliance Officer.

Trustees and executive officers of the Trust who purchase Trust Securities may not sell any Trust Securities of the same class for at least six months after the purchase. Note that in addition to this Policy, under Section 16(b) of the Exchange Act, any "short-swing profits" realized by a Section 16 Officer or trustee of the Trust from a "matching" purchase and sale or "matching" sale and purchase of Trust Securities occurring within a six-month period would be subject to disgorgement to the Trust.

A Covered Person’s trades may be exempt from this Policy if made under a properly pre-established and maintained written trading plan in compliance with Rule 10b5-1(c), known as a "Rule 10b5-1 plan." If the Rule 10b5-1 plan meets all of the requirements for such a plan, and the purchases or sales of Trust Securities are actually made in accordance with the terms and conditions of the plan, the trades will not be deemed to have been made "on the basis of" material non-public information, even if the Designated Insider who established the plan is actually aware of material non-public information at the time of execution of the transactions provided for by the plan.

A properly designed Rule 10b5-1 plan must meet the following requirements, among others:

Any new Rule 10b5-1 plan, or amendment or termination of an existing Rule 10b5-1 plan, must be reviewed and approved by a Compliance Officer; provided, however, that trades occurring under an approved Rule 10b5-1 plan do not require pre-clearance.

The SEC rules regarding trading plans are complex and must be complied with completely to be effective. The description provided above is only a summary, and the Trust strongly advises that you consult with your personal legal advisor if you intend to adopt a trading plan. While trading plans are subject to review and approval by the Trust, the individual adopting the trading plan is ultimately responsible for compliance with Rule 10b5-1 and ensuring that the trading plan complies with this Policy.

Trustees and Section 16 Officers are required to report transactions in Trust Securities, including purchases, sales, transfers to trusts, changes in the nature of their ownership (i.e., from direct to indirect), gifts, inheritances, transfers within their 401(k) plan, stock option exercises, stock option grants and other stock grants to the SEC under Section 16(a) of the Securities Exchange Act of 1934, as amended. The individual has a responsibility to ensure that the required filings are made on time and correctly.

When an individual initially becomes a Trustee or a Section 16 Officer of the Trust, he or she must report Trust Securities owned by him or her at that time by filing a statement on Form 3 with the SEC within ten calendar days of assuming the position.

Subsequent transactions in Trust Securities must be reported on Form 4 by the second business day following the transaction. After receiving pre-clearance in accordance with Section IX.C above, a Trustee or Section 16 Officer should forward the details of their transaction(s) via email to the office of Corporate Secretary no later than the date of the transaction(s) so that the Form 4 can be prepared. The office of Corporate Secretary will prepare and file the necessary forms electronically with the SEC. One manually signed copy of the Form must be kept in the individual’s file, located in the Corporate Accounting Department. In the event the Trustee or Section 16 Officer is unable to manually sign a Form required by Section 16(a), such Form will be signed by a previously designated Attorney-in- Fact.

SEC rules require companies to report in their annual proxy statement and Form 10-K the names of any Trustees or Section 16 Officers who, during the Trust’s preceding fiscal year, failed to file a Form 4 or Form 3 or filed one late. In addition, the SEC has the authority to fine delinquent filers.