-----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, N0eNUtN0Pv0Bdt37B7L+axicdOoMBADhUrH2tn8+FICdEFcW2fLh6504a+alN8FF vfXD2vPu7eeDTDRZaDOQdw== 0001181431-04-050959.txt : 20041105 0001181431-04-050959.hdr.sgml : 20041105 20041105073617 ACCESSION NUMBER: 0001181431-04-050959 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041104 FILED AS OF DATE: 20041105 DATE AS OF CHANGE: 20041105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: OSTEEN DEBRA K CENTRAL INDEX KEY: 0001181035 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10765 FILM NUMBER: 041121104 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 rrd56831.xml FORM 4 X0202 4 2004-11-04 0 0000352915 UNIVERSAL HEALTH SERVICES INC UHS 0001181035 OSTEEN DEBRA K UNIVERSAL CORPORATE CENTER 367SOUTH GULPH ROAD KING OF PRUSSIA PA 19406 0 1 0 0 Vice President Class B Common Stock 2004-11-04 4 M 0 5000 22.2813 A 65843 D Class B Common Stock 2004-11-04 4 F 0 2585 43.10 D 63258 D Option to Purchase Class B Common Shares 22.2813 2004-11-04 4 M 0 5000 22.2813 D 2001-01-19 2005-01-19 Option to Purchase Class B Common Shares 5000 100000 D Consists of Class B Common Stock of Universal Health Services, Inc. (the "Class B Shares") issued upon exercise of stock options to purchase Class B Shares at an exercise price of $22.2813 per share. Exercise price of $22.2813 per share was satisfied through the delivery of 2,585 Class B Shares held by the Reporting Person with a fair market value of $43.10 per share. Debra K. Osteen 2004-11-04 -----END PRIVACY-ENHANCED MESSAGE-----