0001127602-12-032356.txt : 20121130 0001127602-12-032356.hdr.sgml : 20121130 20121130104647 ACCESSION NUMBER: 0001127602-12-032356 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121130 FILED AS OF DATE: 20121130 DATE AS OF CHANGE: 20121130 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: 121233474 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 2012-11-30 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 2012-11-30 4 M 0 2500 16.22 A 13473 D Class B Common Stock 2012-11-30 4 F 0 905 44.81 D 12568 D Option To Purchase Class B Common Stock 16.22 2012-11-30 4 M 0 2500 0 D 2013-11-21 Class B Common Stock 2500 0 D Option vested on 11/21/2012. /s/ Steve Filton, Attorney-in-Fact for Mr. Herrell 2012-11-30