X0303 4 2009-04-23 0000352915 UNIVERSAL HEALTH SERVICES INC UHS 0001181031 MILLER ALAN B UNIVERSAL HEALTH SERVICES, INC. 367 SOUTH GULPH ROAD KING OF PRUSSIA PA 19406 1 1 1 Chairman, President and CEO Class B Common Stock 2009-04-23 4 A 0 106329 41.59 A 379145 D Class B Common Stock 23000 I By Alan Miller Family Foundation Class B Common Stock 14557 I By The Abby Miller King 2008 GRAT Class B Common Stock 20000 I By The Abby Miller King 2008 GRAT (A) Class B Common Stock 14557 I By The Marc Daniel Miller 2008 GRAT Class B Common Stock 20000 I By The Marc Daniel Miller 2008 GRAT (A) Class B Common Stock 14557 I By The Marni Spencer 2008 GRAT Class B Common Stock 20000 I By The Marni Spencer 2008 GRAT (A) On April 23, 2009, each of The Marc Daniel Miller 2008 GRAT, The Marni Spencer 2008 GRAT and The Abby Miller King 2008 GRAT transferred 35,443 shares of Class B Common Stock to Alan B. Miller. The transfer resulted in a change of beneficial ownership from indirect to direct. Mr. Miller's pecuniary interest in these shares is unchanged. Mr. Miller disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that Mr. Miller is the beneficial owner of these securities for purposes of Section 16 or for any other purpose. /s/ Alan B. Miller 2009-04-27