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
 
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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*
OSTEEN DEBRA K

(Last) (First) (Middle)
UNIVERSAL HEALTH SERVICES, INC.
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 ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Senior Vice President
3. Date of Earliest Transaction (Month/Day/Year)
12/03/2010
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 12/03/2010 M 17,500 A $29.26 75,590 D
Class B Common Stock 12/03/2010 M 52,500 A $24.445 128,090 D
Class B Common Stock 12/03/2010 M 17,500 A $16.22 145,590 D
Class B Common Stock 12/03/2010 F 64,510 D $42.06 81,080 D
Class B Common Stock 12/03/2010 S 100 D $41.5051 80,980 D
Class B Common Stock 12/03/2010 S 200 D $41.5014 80,780 D
Class B Common Stock 12/03/2010 S 400 D $41.4801 80,380 D
Class B Common Stock 12/03/2010 S 600 D $41.4001 79,780 D
Class B Common Stock 12/03/2010 S 700 D $41.5001 79,080 D
Class B Common Stock 12/03/2010 S 1,000 D $41.4 78,080 D
Class B Common Stock 12/03/2010 S 1,000 D $41.4501 77,080 D
Class B Common Stock 12/03/2010 S 1,000 D $41.575 76,080 D
Class B Common Stock 12/03/2010 S 1,000 D $41.4901 75,080 D
Class B Common Stock 12/03/2010 S 1,248 D $41.45 73,832 D
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 $29.26 12/03/2010 M 17,500 (1) 09/10/2011 Class B Common Stock 17,500 $0 0 D
Option To Purchase Class B Common Stock $24.445 12/03/2010 M 52,500 (2) 11/20/2012 Class B Common Stock 52,500 $0 17,500 D
Option To Purchase Class B Common Stock $16.22 12/03/2010 M 17,500 (3) 11/20/2013 Class B Common Stock 17,500 $0 35,000 D
Explanation of Responses:
1. Option vested on 9/11/2010.
2. Option vested on each of 11/21/2008, 11/21/2009 and 11/21/2010.
3. Option vested on 11/21/2010.
/s/ Debra K. Osteen 12/03/2010
** 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.