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UNIVERSAL HEALTH SERVICES INC

Date Filed : Nov 21, 2022

SEC FORM 4SEC Form 4
FORM 4UNITED 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
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
MILLER ALAN B

(Last)(First)(Middle)
UNIVERSAL HEALTH SERVICES, INC.

(Street)
KING OF PRUSSIAPA19406

(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)
XDirectorX10% Owner
XOfficer (give title below)Other (specify below)
Executive Chairman
3. Date of Earliest Transaction (Month/Day/Year)
11/21/2022
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
XForm 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)
CodeVAmount(A) or (D)Price
Class B Common Stock11/21/2022M200,000A$128.671,261,665D
Class B Common Stock11/21/2022F191,927D$128.671,069,738D
Class B Common Stock18,403IAbby Miller King 2021 GRAT
Class B Common Stock83,252IAMK 2014 LLC as held by Alan B. Miller
Class B Common Stock16,748IAMK 2014 LLC held by The Abby Danielle Miller 2002 Trust
Class B Common Stock55,763IBy The Abby Miller King 2011 Family Trust
Class B Common Stock24,538IMarc Daniel Miller 2021 GRAT
Class B Common Stock18,403IMarni Spencer 2021 GRAT
Class B Common Stock175,993IMDM 2014 LLC as held by Alan B. Miller
Class B Common Stock24,007IMDM 2014 LLC held by The Marc Daniel Miller 2002 Trust
Class B Common Stock83,252IMS 2014 LLC as held by Alan B. Miller
Class B Common Stock16,748IMS 2014 LLC held by The Marni Spencer 2002 Trust
Class B Common Stock8,623IThe Alan and Jill Miller Foundation(1)
Class B Common Stock59,900IThe Marc Daniel Miller 2011 Family Trust
Class B Common Stock55,763IThe Marni Spencer 2011 Family Trust
Class B Common Stock23,035IAbby Miller King 2022 GRAT
Class B Common Stock30,713IMarc Daniel Miller 2022 GRAT
Class B Common Stock23,035IMarni Spencer 2022 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)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
Option To Purchase Class B Common Stock$119.6411/21/2022M200,000 (2)04/12/2023Class B Common Stock200,000$0390,000D
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 4/13/2019, 4/13/2020, 4/13/2021, and 4/13/2022.
/s/ Alan B. Miller11/21/2022
** Signature of Reporting PersonDate
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).
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