0001127602-21-012294.txt : 20210330 0001127602-21-012294.hdr.sgml : 20210330 20210330125602 ACCESSION NUMBER: 0001127602-21-012294 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210329 FILED AS OF DATE: 20210330 DATE AS OF CHANGE: 20210330 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: 21785187 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 2021-03-29 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 Executive Chairman Class B Common Stock 2021-03-29 4 F 0 1706 135.15 D 702377 D Class B Common Stock 150000 I Abby Miller King 2020 GRAT Class B Common Stock 24180 I AMK 2014 LLC as held by The Abby Miller King 2019 GRAT Class B Common Stock 59072 I AMK 2014 LLC as held by The Abby Miller King 2020 GRAT Class B Common Stock 16748 I AMK 2014 LLC held by The Abby Danielle Miller 2002 Trust Class B Common Stock 55763 I By The Abby Miller King 2011 Family Trust Class B Common Stock 200000 I Marc Daniel Miller 2020 GRAT Class B Common Stock 150000 I Marni Spencer 2020 GRAT Class B Common Stock 45621 I MDM 2014 LLC as held by the Marc Daniel Miller 2019 GRAT Class B Common Stock 130372 I MDM 2014 LLC as held by the Marc Daniel Miller 2020 GRAT Class B Common Stock 24007 I MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust Class B Common Stock 24180 I MS 2014 LLC as held by The Marni Spencer 2019 GRAT Class B Common Stock 59072 I MS 2014 LLC as held by The Marni Spencer 2020 GRAT Class B Common Stock 16748 I MS 2014 LLC held by The Marni Spencer 2002 Trust Class B Common Stock 9810 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 Mr. Miller disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that Mr. Miller is the beneficial owner of these securities for purposes of Section 16 or for any other purpose. /s/ Steve Filton, Attorney-in-Fact for Alan B. Miller 2021-03-30