0001127602-12-024910.txt : 20120821 0001127602-12-024910.hdr.sgml : 20120821 20120821100125 ACCESSION NUMBER: 0001127602-12-024910 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120821 FILED AS OF DATE: 20120821 DATE AS OF CHANGE: 20120821 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HERRELL JOHN H CENTRAL INDEX KEY: 0001181038 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10765 FILM NUMBER: 121046748 MAIL ADDRESS: STREET 1: 367 SOUTH GULPH ROAD CITY: KING 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 2012-08-21 0000352915 UNIVERSAL HEALTH SERVICES INC UHS 0001181038 HERRELL JOHN H UNIVERSAL HEALTH SERVICES, INC. 367 SOUTH GULPH ROAD KING OF PRUSSIA PA 19406 1 Class B Common Stock 2012-08-21 4 M 0 7500 16.22 A 17623 D Class B Common Stock 2012-08-21 4 M 0 7500 30.32 A 25123 D Class B Common Stock 2012-08-21 4 F 0 8644 40.38 D 16479 D Option To Purchase Class B Common Stock 16.22 2012-08-21 4 M 0 7500 0 D 2013-11-21 Class B Common Stock 7500 2500 D Option To Purchase Class B Common Stock 30.32 2012-08-21 4 M 0 7500 0 D 2015-01-20 Class B Common Stock 7500 7500 D The option vested on each of 11/21/2009, 11/21/2010 and 11/21/2011. The option vested on 1/20/2011 and 1/20/2012. /s/ Steve Filton, Attorney-in-Fact for Mr. Herrell 2012-08-21