0001127602-21-016155.txt : 20210511 0001127602-21-016155.hdr.sgml : 20210511 20210511103017 ACCESSION NUMBER: 0001127602-21-016155 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210510 FILED AS OF DATE: 20210511 DATE AS OF CHANGE: 20210511 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SUSSMAN ELLIOT J MD MBA CENTRAL INDEX KEY: 0001181000 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10765 FILM NUMBER: 21910075 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 2021-05-10 0000352915 UNIVERSAL HEALTH SERVICES INC UHS 0001181000 SUSSMAN ELLIOT J MD MBA HEALTH IN THE VILLAGES 1020 LAKE SUMTER LANDING THE VILLAGES FL 32162 1 Class B Common Stock 2021-05-10 4 M 0 7500 157.59 A 7500 D Class B Common Stock 2021-05-10 4 M 0 5000 157.59 A 12500 D Class B Common Stock 2021-05-10 4 F 0 9947 157.59 D 2553 D Class B Common Stock 2021-05-10 4 S 0 2553 157.88 D 0 D Option To Purchase Class B Common Stock 119.64 2021-05-10 4 M 0 7500 0 D 2023-04-12 Class B Common Stock 7500 2500 D Option To Purchase Class B Common Stock 134.02 2021-05-10 4 M 0 5000 0 D 2024-03-19 Class B Common Stock 5000 5000 D All shares were sold at the same price of $157.88. Option vests ratably on each of 4/13/2019, 4/13/2020, 4/13/2021, and 4/13/2022. Option vests ratably on each of 3/20/2020, 3/20/2021, 3/20/2022, and 3/20/2023. /s/ Elliot J. Sussman, M.D. 2021-05-11