0001127602-12-026414.txt : 20120917 0001127602-12-026414.hdr.sgml : 20120917 20120917112051 ACCESSION NUMBER: 0001127602-12-026414 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120914 FILED AS OF DATE: 20120917 DATE AS OF CHANGE: 20120917 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: 121094354 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 2012-09-14 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 and CEO Class B Common Stock 2012-09-14 4 M 0 590000 24.445 A 755771 D Class B Common Stock 2012-09-14 4 F 0 433211 43.65 D 322560 D Class B Common Stock 16615 I By The Abby Miller King 2010 GRAT (A) Class B Common Stock 59900 I By The Abby Miller King 2011 Family Trust Class B Common Stock 100000 I By The Abby Miller King 2012 GRAT (A) Class B Common Stock 16615 I By The Marc Daniel Miller 2010 GRAT (A) Class B Common Stock 100000 I By The Marc Daniel Miller 2012 GRAT (A) Class B Common Stock 16615 I By The Marni Spencer 2010 GRAT (A) Class B Common Stock 100000 I By The Marni Spencer 2012 GRAT (A) Class B Common Stock 34708 I By Wife Class B Common Stock 59900 I The Marc Daniel Miller 2011 Family Trust Class B Common Stock 59900 I The Marni Spencer 2011 Family Trust Option To Purchase Class B Common Stock 24.445 2012-09-14 4 M 0 590000 0 D 2012-11-21 Class B Common Stock 590000 0 D Option vested on 11/21/2008, 11/21/2009, 11/21/2010 and 11/21/2011. /s/ Steve Filton, Attorney-in-Fact for Alan B. Miller 2012-09-17