0001127602-17-013287.txt : 20170330 0001127602-17-013287.hdr.sgml : 20170330 20170330163758 ACCESSION NUMBER: 0001127602-17-013287 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170329 FILED AS OF DATE: 20170330 DATE AS OF CHANGE: 20170330 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 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: 17726241 MAIL ADDRESS: STREET 1: 367 SOUTH GULPH ROAD CITY: KING OF PRUSSIA STATE: PA ZIP: 19406 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-03-29 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 2017-03-29 4 A 0 16057 0 A 934088 D Class B Common Stock 14858 I AMK 2014 LLC held by The Abby Danielle Miller 2002 Trust Class B Common Stock 22259 I AMK 2014 LLC held by The Abby Miller King 2015 GRAT Class B Common Stock 62883 I AMK 2014 LLC held by The Abby Miller King 2017 GRAT Class B Common Stock 55763 I By The Abby Miller King 2011 Family Trust Class B Common Stock 14858 I MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust Class B Common Stock 22259 I MDM 2014 LLC held by The Marc Daniel Miller 2015 GRAT Class B Common Stock 62883 I MDM 2014 LLC held by The Marc Daniel Miller 2017 GRAT Class B Common Stock 14858 I MS 2014 LLC held by The Marni Spencer 2002 Trust Class B Common Stock 22259 I MS 2014 LLC held by The Marni Spencer 2015 GRAT Class B Common Stock 62883 I MS 2014 LLC held by The Marni Spencer 2017 GRAT Class B Common Stock 19000 I The Alan and Jill Miller Foundation Class B Common Stock 59900 I The Marc Daniel Miller 2011 Family Trust Class B Common Stock 55763 I The Marni Spencer 2011 Family Trust Option To Purchase Class B Common Stock 124.56 2017-03-29 4 A 0 590000 124.56 A 2022-03-28 Class B Common Stock 590000 590000 D These restricted shares were granted pursuant to the Universal Health Services, Inc. Amended and Restated 2010 Employees' Restricted Stock Purchase Plan and shall vest ratably on each of 3/29/2018, 3/29/2019, 3/29/2020 and 3/29/2021. Option vests ratably on each of 3/29/2018, 3/29/2019, 3/29/2020 and 3/29/2021. /s/ Steve Filton, Attorney-in-Fact for Alan B. Miller 2017-03-30