-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Gov3CZ9HW9kk6sdIfudjnvFsgp7+hv9iYVolhCcEOc6bj3n2ul3Fo6xHxvcV0GkI 8A4ewO+ztbeHyXUkKZwNPQ== 0001181431-03-002011.txt : 20030211 0001181431-03-002011.hdr.sgml : 20030211 20030211152116 ACCESSION NUMBER: 0001181431-03-002011 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021231 FILED AS OF DATE: 20030211 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: HERRELL JOHN H CENTRAL INDEX KEY: 0001181038 RELATIONSHIP: DIRECTOR FILING VALUES: FORM TYPE: 5 MAIL ADDRESS: STREET 1: 367 SOUTH GULPH ROAD CITY: KING PRUSSIA STATE: PA ZIP: 19406 SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10765 FILM NUMBER: 03550062 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 5 1 rrd4623.htm FORM 5 SEC Form 5
FORM 5

[  ] Check this box if no longer
subject to Section 16. Form 4 or Form 5 obligations may continue.
See Instruction 1(b).

[  ] Form 3 Holdings Reported

[X] Form 4 Transactions Reported
 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.  20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility
Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
OMB APPROVAL


OMB Number: 3235-0362
Expires: January 31, 2005
Estimated average burden
hours per response. . . . . 1.0
1. Name and Address of Reporting Person*
Herrell, John H.
(Last)                      (First)                      (Middle)
367 South Gulph Road
(Street)
King of Prussia,    PA   19406
(City)                      (State)                      (Zip)
2. Issuer Name
and Ticker or Trading Symbol

Universal Health Services, Inc.
("UHS")
3. I.R.S. Identification
    Number of Reporting
    Person, if an entity
    (voluntary)
4. Statement for
    Month/Year

12/2002

5. If Amendment,
    Date of Original
    (Month/Year)
6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X Director      10% Owner
   Officer (give title below)        Other (specify below)

Description          
7. Individual or Joint/Group
    Filing (Check Applicable Line)

X   Form filed by One Reporting Person
     Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security
    (Instr. 3)
2.Transaction
Date
(Month/Day/Year)
2A. Deemed Execution Date, if any
(Month/Day/Year)
 3. Transaction
    Code
    (Instr. 8) 		4. Securities Acquired (A) or Disposed Of (D)
    (Instr. 3, 4, and 5)



        Amount      /         A/D         /         Price          
5. Amount of
    Securities
    Beneficially
    Owned at end of
    Issuer's Fiscal Year

    (Instr. 3 and 4)
6. Owner-
    ship
    Form:
    Direct (D)
    or
    Indirect (I)

    (Instr. 4)
7. Nature of
     Indirect
     Beneficial
     Ownership

    (Instr. 4)
 
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security
    (Instr. 3)
2. Conver-
    sion or
    Exercise
    Price of
    Deri-
    vative
    Security
3. Transaction Date

(Month/
Day/
Year)
3A. Deemed Execution Date, if any

(Month/
Day/
Year)
 4. Transaction Code
    (Instr.8) 		5. Number of Derivative
    Securities Acquired (A)
    or Disposed Of (D)

    (Instr. 3, 4 and 5)




  A     or     D  
6. Date Exercisable(DE) and
    Expiration Date(ED)
    (Month/Day/Year)





  DE     /     ED  
7. Title and Amount of
    Underlying Securities
    (Instr. 3 and 4)





Title     /         Amount or Number of Shares
8. Price
    of
    Derivative
    Security
    (Instr.5)
 9. Number of
    Derivative
    Securities
    Beneficially
    Owned
    at End of Year
    Reported
    Transaction(s)
    (Instr.4) 		10. Owner-
ship
Form of
Deriv-
ative
Securities:
Direct (D)
or
Indirect (I)

(Instr.4) 		11. Nature of
      Indirect
      Beneficial
      Ownership
      (Instr.4)
Phantom Stock 1 for 1 08/06/1997
A(1) (8)
 80.808 A
(2) / (2)
Class B Common Stock / 80.808
$41.250
D
Phantom Stock 1 for 1 09/17/1997
A(1) (8)
 72.17 A
(2) / (2)
Class B Common Stock / 72.17
$46.1875
D
Phantom Stock 1 for 1 11/19/1997
A(1) (8)
 75.650 A
(2) / (2)
Class B Common Stock / 75.650
$44.0625
D
Phantom Stock 1 for 1 01/21/1998
A(1) (8)
 35.180 A
(3) / (3)
Class B Common Stock / 35.180
$47.375
D
Phantom Stock 1 for 1 03/18/1998
A(1) (8)
 29.176 A
(3) / (3)
Class B Common Stock / 29.176
$57.1250
D
Phantom Stock 1 for 1 05/20/1998
A(1) (8)
 30.616 A
(3) / (3)
Class B Common Stock / 30.616
$54.4375
D
Phantom Stock 1 for 1 07/29/1998
A(1) (8)
 30.936 A
(3) / (3)
Class B Common Stock / 30.936
$53.875
D
Phantom Stock 1 for 1 09/16/1998
A(1) (8)
 39.044 A
(3) / (3)
Class B Common Stock / 39.044
$42.6875
D
Phantom Stock 1 for 1 11/18/1998
A(1) (8)
 32.090 A
(3) / (3)
Class B Common Stock / 32.090
$51.9375
D
Phantom Stock 1 for 1 01/18/2000
A(1) (8)
 36.430 A
(4) / (4)
Class B Common Stock / 36.430
$45.750
D
Phantom Stock 1 for 1 03/15/2000
A(1) (8)
 41.863 A
(4) / (4)
Class B Common Stock / 41.863
$39.8125
D
Phantom Stock 1 for 1 05/17/2000
A(1)(8)
 31.080 A
(4) / (4)
Class B Common Stock / 31.080
$53.6250
D
Phantom Stock 1 for 1 07/19/2000
A(1)
 24.714 A
(4) / (4)
Class B Common Stock / 24.714
$67.4375
D
Phantom Stock 1 for 1 09/20/2000
A(1)
 20.833 A
(4) / (4)
Class B Common Stock / 20.833
$80.000
D
Phantom Stock 1 for 1 11/15/2000
A(1)
 18.265 A
(4) / (4)
Class B Common Stock / 18.265
$91.250
D
Phantom Stock 1 for 1 01/23/2002
A(6)
 39.796 A
(5) / (5)
Class B Common Stock / 39.796
$41.880
D
Phantom Stock 1 for 1 03/20/2002
A(6)
 40.740 A
(5) / (5)
Class B Common Stock / 40.740
$40.910
D
Phantom Stock 1 for 1 05/22/2002
A(6)
 37.336 A
(5) / (5)
Class B Common Stock / 37.336
$44.640
D
Phantom Stock 1 for 1 07/17/2002
A(6)
 36.256 A
(5) / (5)
Class B Common Stock / 36.256
$45.970
D
Phantom Stock 1 for 1 09/18/2002
A4(6)
 34.153 A
(5) / (5)
Class B Common Stock / 34.153
$48.800
D
Phantom Stock 1 for 1 11/20/2002
A4(6)
 34.941 A
(5) / (5)
Class B Common Stock / 34.941
$47.700
D
Phantom Stock 1 for 1 12/31/2002
D4(7)
 485.532 D
/
Class B Common Stock / 485.532
$45.100
935.4
D
Explanation of Responses:
 
(1) These shares of phantom stock were acquired pursuant to the UHS Deferred Compensation Plan for UHS Board of Directors (the "Plan"), prior to the fiscal year ended December 31, 2002.
(2) 1/5 of these shares of Phantom Stock were settled in cash based on the closing price of UHS Class B Common Stock ("Common Stock") at December 31, 2002 ($45.10). 1/4 of the remainder is payable annually based on the closing price of the Common Stock on December 31 for each of 2003, 2004, 2005 and 2006.
(3) These shares of phantom stock were settled in cash based on the closing price of Common Stock at December 31, 2002 ($45.10) pursuant to the Plan.
(4) These shares of phantom stock are payable in cash in January, 2005 based on the closing price of the Common Stock on December 31, 2004 pursuant to the Plan.
(5) These shares of phantom stock are payable in cash in January, 2007 based on the closing price of the Common Stock on December 31, 2006 pursuant to the Plan .
(6) These shares of phantom stock were acquired pursuant to the Plan during the fiscal year ended December 31, 2002.
(7) These shares of phantom stock were settled in cash pursuant to the Plan, based on the closing price of the Common Stock on December 31, 2002.
(8) Not adjusted for a 2-for-1 split of the Common Stock consummated on June 4, 2000.
By: Date:
/s/ John Herrell February 4, 2003
** Signature of Reporting Person
SEC 2270 (09-02)


Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Potential persons who are to respond to the collection of information contained in this form are not
required to respond unless the form displays a currently valid OMB Number.
-----END PRIVACY-ENHANCED MESSAGE-----