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UNIVERSAL HEALTH SERVICES INC
Date Filed :
Sep 13, 2024
View Exhibits
SEC FORM 4
SEC Form 4
FORM 4
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response:
0.5
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
1. Name and Address of Reporting Person
*
MILLER ALAN B
(Last)
(First)
(Middle)
UNIVERSAL HEALTH SERVICES, INC.
(Street)
KING OF PRUSSIA
PA
19406
(City)
(State)
(Zip)
2. Issuer Name
and
Ticker or Trading Symbol
UNIVERSAL HEALTH SERVICES INC
[
UHS
]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X
Director
X
10% Owner
X
Officer (give title below)
Other (specify below)
Executive Chairman
3. Date of Earliest Transaction (Month/Day/Year)
09/12/2024
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. 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)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code
V
Amount
(A) or (D)
Price
Class B Common Stock
09/12/2024
M
116,466
A
$
74.46
1,236,640
D
Class B Common Stock
09/12/2024
M
98,333
A
$
67.69
1,334,973
D
Class B Common Stock
09/12/2024
F
129,371
D
$
231.36
1,205,602
D
Class B Common Stock
83,252
I
AMK 2014 LLC as held by Alan B. Miller
Class B Common Stock
16,748
I
AMK 2014 LLC held by The Abby Danielle Miller 2002 Trust
Class B Common Stock
55,763
I
By The Abby Miller King 2011 Family Trust
Class B Common Stock
175,993
I
MDM 2014 LLC as held by Alan B. Miller
Class B Common Stock
24,007
I
MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust
Class B Common Stock
83,252
I
MS 2014 LLC as held by Alan B. Miller
Class B Common Stock
16,748
I
MS 2014 LLC held by The Marni Spencer 2002 Trust
Class B Common Stock
8,623
I
The Alan and Jill Miller Foundation
(1)
Class B Common Stock
59,900
I
The Marc Daniel Miller 2011 Family Trust
Class B Common Stock
55,763
I
The Marni Spencer 2011 Family Trust
Class B Common Stock
17,672
I
Abby Miller King 2023 GRAT
Class B Common Stock
19,702
I
Abby Miller King 2024 GRAT
Class B Common Stock
23,565
I
Marc Daniel Miller 2023 GRAT
Class B Common Stock
26,265
I
Marc Daniel Miller 2024 GRAT
Class B Common Stock
17,672
I
Marni Spencer 2023 GRAT
Class B Common Stock
19,702
I
Marni Spencer 2024 GRAT
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. Conversion or Exercise Price of Derivative 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)
6. Date Exercisable and Expiration Date (Month/Day/Year)
7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)
8. Price of Derivative Security (Instr. 5)
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code
V
(A)
(D)
Date Exercisable
Expiration Date
Title
Amount or Number of Shares
Option To Purchase Class B Common Stock
$
74.46
09/12/2024
M
116,466
(2)
03/17/2025
Class B Common Stock
116,466
$
0
232,933
D
Option To Purchase Class B Common Stock
$
67.69
09/12/2024
M
98,333
(2)
03/17/2025
Class B Common Stock
98,333
$
0
196,667
D
Explanation of Responses:
1. Mr. Alan B. Miller disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that Mr. Alan B. Miller is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
2. Option vested ratably on each of 3/18/2021, 3/18/2022, 3/18/2023 and 3/18/2024.
/s/ Alan B. Miller
09/13/2024
** Signature of Reporting Person
Date
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.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
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