0000899243-18-011182.txt : 20180502 0000899243-18-011182.hdr.sgml : 20180502 20180502200031 ACCESSION NUMBER: 0000899243-18-011182 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180430 FILED AS OF DATE: 20180502 DATE AS OF CHANGE: 20180502 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MILLER ALAN B CENTRAL INDEX KEY: 0001181031 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10765 FILM NUMBER: 18801399 MAIL ADDRESS: STREET 1: 367 SOUTH GULPH ROAD CITY: KING OF PRUSSIA STATE: PA ZIP: 19406 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UNIVERSAL HEALTH SERVICES INC CENTRAL INDEX KEY: 0000352915 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062] IRS NUMBER: 232077891 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 367 S GULPH RD CITY: KING OF PRUSSIA STATE: PA ZIP: 19406 BUSINESS PHONE: 6107683300 MAIL ADDRESS: STREET 1: 367 S GULPH ROAD CITY: KING OF PRUSSIA STATE: PA ZIP: 19406 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-04-30 0 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 0 Chairman and CEO Class B Common Stock 2018-04-30 4 J 0 22259 0.00 D 0 I AMK 2014 LLC held by The Abby Miller King 2015 GRAT Class B Common Stock 2018-04-30 4 J 0 20369 0.00 A 1125432 D Class B Common Stock 2018-04-30 4 J 0 1890 0.00 A 16748 I AMK 2014 LLC held by The Abby Danielle Miller 2002 Trust Class B Common Stock 2018-04-30 4 J 0 22259 0.00 D 0 I MDM 2014 LLC held by The Marc Daniel Miller 2015 GRAT Class B Common Stock 2018-04-30 4 J 0 20369 0.00 A 1145801 D Class B Common Stock 2018-04-30 4 J 0 1890 0.00 A 24007 I MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust Class B Common Stock 2018-04-30 4 J 0 22259 0.00 D 0 I MS 2014 LLC held by The Marni Spencer 2015 GRAT Class B Common Stock 2018-04-30 4 J 0 20369 0.00 A 1166170 D Class B Common Stock 2018-04-30 4 J 0 1890 0.00 A 16748 I MS 2014 LLC held by The Marni Spencer 2002 Trust Class B Common Stock 2018-04-30 4 J 0 31564 0.00 D 31319 I AMK 2014 LLC held by The Abby Miller King 2017 GRAT Class B Common Stock 2018-04-30 4 J 0 31564 0.00 A 1197734 D Class B Common Stock 2018-04-30 4 J 0 31562 0.00 D 44896 I MDM 2014 LLC held by The Marc Daniel Miller 2017 GRAT Class B Common Stock 2018-04-30 4 J 0 31562 0.00 A 1229296 D Class B Common Stock 2018-04-30 4 J 0 31564 0.00 D 31319 I MS 2014 LLC held by The Marni Spencer 2017 GRAT Class B Common Stock 2018-04-30 4 J 0 31564 0.00 A 1260860 D Class B Common Stock 2018-04-30 4 J 0 51933 0.00 D 1208927 D Class B Common Stock 2018-04-30 4 J 0 51933 0.00 A 51933 I AMK 2014 LLC held by The Abby Miller King 2018 GRAT Class B Common Stock 2018-04-30 4 J 0 51931 0.00 D 1156996 D Class B Common Stock 2018-04-30 4 J 0 100000 114.49 D 1056996 D Class B Common Stock 2018-04-30 4 J 0 100000 114.49 A 200000 I MDM 2014 LLC Class B Common Stock 2018-04-30 4 J 0 131097 0.00 A 131097 I MDM 2014 LLC held by The Marc Daniel Miller 2018 GRAT Class B Common Stock 2018-04-30 4 J 0 51933 0.00 D 1005063 D Class B Common Stock 2018-04-30 4 J 0 51933 0.00 A 51933 I MS 2014 LLC held by The Marni Spencer 2018 GRAT Class A Common Stock 2018-04-30 4 J 0 22259 0.00 D Class B Common Stock 22259 0 I AMK 2014 LLC held by The Abby Miller King 2015 GRAT Class A Common Stock 2018-04-30 4 J 0 20369 0.00 A Class B Common Stock 20369 4175624 D Class A Common Stock 2018-04-30 4 J 0 1890 0.00 A Class B Common Stock 1890 16748 I AMK 2014 LLC held by The Abby Danielle Miller 2002 Trust Class A Common Stock 2018-04-30 4 J 0 33388 0.00 D Class B Common Stock 33388 0 I MDM 2014 LLC held by The Marc Daniel Miller 2015 GRAT Class A Common Stock 2018-04-30 4 J 0 30553 0.00 A Class B Common Stock 30553 4206177 D Class A Common Stock 2018-04-30 4 J 0 2835 0.00 A Class B Common Stock 2835 18005 I MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust Class A Common Stock 2018-04-30 4 J 0 22259 0.00 D Class B Common Stock 22259 0 I MS 2014 LLC held by The Marni Spencer 2015 GRAT Class A Common Stock 2018-04-30 4 J 0 20369 0.00 A Class B Common Stock 20369 4226546 D Class A Common Stock 2018-04-30 4 J 0 1890 0.00 A Class B Common Stock 1890 16748 I MS 2014 LLC held by The Marni Spencer 2002 Trust Class A Common Stock 2018-04-30 4 J 0 31564 0.00 D Class B Common Stock 31564 31320 I AMK 2014 LLC held by The Abby Miller King 2017 GRAT Class A Common Stock 2018-04-30 4 J 0 31564 0.00 A Class B Common Stock 31564 4258110 D Class A Common Stock 2018-04-30 4 J 0 47343 0.00 D Class B Common Stock 47343 33671 I MDM 2014 LLC held by The Marc Daniel Miller 2017 GRAT Class A Common Stock 2018-04-30 4 J 0 47343 0.00 A Class B Common Stock 47343 4305453 D Class A Common Stock 2018-04-30 4 J 0 31564 0.00 D Class B Common Stock 31564 31320 I MS 2014 LLC held by The Marni Spencer 2017 GRAT Class A Common Stock 2018-04-30 4 J 0 31564 0.00 A Class B Common Stock 31564 4337017 D Class A Common Stock 2018-04-30 4 J 0 51933 0.00 D Class B Common Stock 51933 4285084 D Class A Common Stock 2018-04-30 4 J 0 51933 0.00 A Class B Common Stock 51933 51933 I AMK 2014 LLC held by The Abby Miller King 2018 GRAT Class A Common Stock 2018-04-30 4 J 0 77896 0.00 D Class B Common Stock 77896 4207188 D Class A Common Stock 2018-04-30 4 J 0 98324 0.00 A Class B Common Stock 98324 98324 I MDM 2014 LLC held by The Marc Daniel Miller 2018 GRAT Class A Common Stock 2018-04-30 4 J 0 51933 0.00 D Class B Common Stock 51933 4155255 D Class A Common Stock 2018-04-30 4 J 0 51933 0.00 A Class B Common Stock 51933 51933 I MS 2014 LLC held by The Marni Spencer 2018 GRAT Class A Common Stock Class B Common Stock 400000 400000 I Alan B. Miller Marital Trust (f/b/o Jill Miller) Class A Common Stock Class B Common Stock 258630 258630 I The Alan B. Miller 2002 Trust On April 30, 2018, The Marc Daniel Miller 2015 GRAT distributed a 20.36850% interest in MDM 2014 LLC to Alan B. Miller, The Abby Miller King 2015 GRAT distributed a 20.36904% interest in AMK 2014 LLC to Alan B. Miller and The Marni Spencer 2015 GRAT distributed a 20.369.04% interest of MS 2014 LLC to Alan B. Miller The shares reflected represent the amount of shares held by each LLC as represented by the percentage LLC interests distributed. Mr. Miller's pecuniary interest in these shares is unchanged. In addition, The Marc Daniel Miller 2015 GRAT distributed a 1.89002% interest in MDM 2014 LLC to The Marc Daniel Miller 2002 Trust, The Abby Miller King 2015 GRAT distributed a 1,88952% interest in AMK 2014 LLC to The Abby Danielle Miller 2002 Trust and The Marni Spencer 2015 GRAT distributed a 1.88952% interest in MS 2014 LLC to The Marni Spencer 2002 Trust. (Continued From footnote 1) All distributions hereinbefore described were made pursuant to the terms of the Trust Agreement creating each 2015 GRAT. Each 2015 GRAT has now terminated. On April 30, 2018, The Marc Daniel Miller 2017 GRAT distributed a 31.56209% interest in MDM 2014 LLC to Alan B. Miller, The Abby Miller King 2017 GRAT distributed a 31.56356% interest in AMK 2014 LLC to Alan B. Miller and The Marni Spencer 2017 GRAT distributed a 31.56356% interest in MS 2014 LLC to Alan B. Miller (the distributions were made pursuant to the terms of the Trust Agreement creating each 2017 GRAT). The shares reflected represent the amount of shares held by each LLC as represented by the percentage LLC interests distributed. Mr. Miller's pecuniary interest in these shares is unchanged. On April 30, 2018, Alan B. Miller contributed a 65.54866% interest in MDM 2014 LLC to The Marc Daniel Miller 2018 GRAT, a 51.93260% interest in AMK 2014 LLC to The Abby Miller King 2018 GRAT and a 51.93260% interest in MS 2014 LLC to The Marni Spencer 2018 GRAT. The shares reflected represent the amount of shares held by each LLC as represented by the percentage LLC interests contributed. Mr. Miller's pecuniary interest in these shares is unchanged. The Class A Common Stock is convertible into Class B Common Stock on a share for share basis. Immediately Not Applicable The percentage interest in the 2014 MDM LLC, owned by the Marc Daniel Miller 2017 GRAT and the Marc Daniel Miller 2002 Trust was reduced and the interest of Alan B. Miller was increased as a result of the contribution of an additional 100,000 shares of Class B Common Stock to the MDM 2014 LLC by Alan B. Miller. The shares reflected represent the amount of shares represented by the LLC interest held by the Marc Daniel Miller 2017 GRAT and the Marc Daniel Miller 2002 Trust, respectively. On April 30, 2018 Alan B. Miller contributed 100,000 Class B Shares to the MDM 2014 LLC. Marc Miller is the special manager of the MDM 2014 LLC. /s/ Alan B. Miller 2018-05-02