0001127602-19-009595.txt : 20190304 0001127602-19-009595.hdr.sgml : 20190304 20190304171559 ACCESSION NUMBER: 0001127602-19-009595 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190228 FILED AS OF DATE: 20190304 DATE AS OF CHANGE: 20190304 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Miller Marc D CENTRAL INDEX KEY: 0001315495 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10765 FILM NUMBER: 19655049 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 form4.xml PRIMARY DOCUMENT X0306 4 2019-02-28 0000352915 UNIVERSAL HEALTH SERVICES INC UHS 0001315495 Miller Marc D UNIVERSAL HEALTH SERVICES, INC. 367 SOUTH GULPH ROAD KING OF PRUSSIA PA 19406 1 1 President Class B Common Stock 2019-02-28 4 M 0 90000 138.83 A 202615 D Class B Common Stock 2019-02-28 4 F 0 67378 138.83 D 135237 D Class B Common Stock 16748 I AMK 2014 LLC held by The Abby Danielle Miller 2002 Trust Class B Common Stock 31319 I AMK 2014 LLC held by The Abby Miller King 2017 GRAT Class B Common Stock 51933 I AMK 2014 LLC held by the Abby Miller King 2018 GRAT Class B Common Stock 131097 I MDM 2014 LLC as held by The Marc Daniel Miller 2018 GRAT Class B Common Stock 24007 I MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust Class B Common Stock 44896 I MDM 2014 LLC held by The Marc Daniel Miller 2017 GRAT Class B Common Stock 51933 I MS 2014 LLC as held by The Marni Spencer 2018 GRAT Class B Common Stock 16748 I MS 2014 LLC held by The Marni Spencer 2002 Trust Class B Common Stock 31319 I MS 2014 LLC held by The Marni Spencer 2017 GRAT Class B Common Stock 22815 I The Abby Danielle Miller 2002 Trust Class B Common Stock 55763 I The Abby Miller King 2011 Family Trust Class B Common Stock 44110 I The Marc Daniel Miller 2002 Trust Class B Common Stock 59900 I The Marc Daniel Miller 2011 Family Trust Class B Common Stock 43247 I The Marni Spencer 2002 Trust Class B Common Stock 55763 I The Marni Spencer 2011 Family Trust Option To Purchase Class B Common Stock 78.17 2019-02-28 4 M 0 90000 0 D 2019-03-25 Class B Common Stock 90000 0 D Option vests ratably on each of 3/26/2015, 3/26/2016, 3/26/2017 and 3/26/2018. /s/ Marc D. Miller 2019-03-04