SEC Filing - Universal Health Services Inc.

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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^*

Miller Marc D

(Last)

(First)

(Middle)

UNIVERSAL HEALTH SERVICES, INC.

367 SOUTH GULPH ROAD

(Street)

KING OF PRUSSIA

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	10% Owner
X	Officer (give title below)	Other (specify below)
President and CEO

3. Date of Earliest Transaction (Month/Day/Year)
05/03/2021

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)
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	Code	V	Amount	(A) or (D)	Price		6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
Class B Common Stock	05/03/2021		J⁽¹⁾		45,621	D	$0	0	I	MDM 2014 LLC as held by The Marc Daniel Miller 2019 GRAT
Class B Common Stock	05/03/2021		J⁽¹⁾		45,621	A	$0	45,621	I	MDM 2014 LLC as held by Alan B. Miller
Class B Common Stock	05/03/2021		J⁽²⁾		24,180	D	$0	0	I	MS 2014 LLC as held by The Marni Spencer 2019 GRAT
Class B Common Stock	05/03/2021		J⁽²⁾		24,180	A	$0	24,180	I	MS 2014 LLC as held by Alan B. Miller
Class B Common Stock	05/03/2021		J⁽³⁾		24,180	D	$0	0	I	AMK 2014 LLC as held by The Abby Miller King 2019 GRAT
Class B Common Stock	05/03/2021		J⁽³⁾		24,180	A	$0	24,180	I	AMK 2014 LLC as held by Alan B. Miller
Class B Common Stock								145,901	D
Class B Common Stock								16,748	I	AMK 2014 LLC held by The Abby Danielle Miller 2002 Trust
Class B Common Stock								59,072	I	AMK 2014 LLC held by the Abby Miller King 2020 GRAT
Class B Common Stock								130,372	I	MDM 2014 LLC as held by The Marc Daniel Miller 2020 GRAT
Class B Common Stock								24,007	I	MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust
Class B Common Stock								59,072	I	MS 2014 LLC as held by The Marni Spencer 2020 GRAT
Class B Common Stock								16,748	I	MS 2014 LLC held by The Marni Spencer 2002 Trust
Class B Common Stock								22,815	I	The Abby Danielle Miller 2002 Trust
Class B Common Stock								55,763	I	The Abby Miller King 2011 Family Trust
Class B Common Stock								44,110	I	The Marc Daniel Miller 2002 Trust
Class B Common Stock								59,900	I	The Marc Daniel Miller 2011 Family Trust
Class B Common Stock								43,247	I	The Marni Spencer 2002 Trust
Class B Common Stock								55,763	I	The Marni Spencer 2011 Family Trust

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)
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)	Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	8. Price of Derivative Security (Instr. 5)		10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
Class A Common Stock	⁽⁴⁾	05/03/2021		J⁽¹⁾			34,216	⁽⁵⁾	⁽⁶⁾	Class B Common Stock	34,216	$0	0	I	MDM 2014 LLC as held by the Marc Daniel Miller 2019 GRAT
Class A Common Stock	⁽⁴⁾	05/03/2021		J⁽¹⁾		34,216		⁽⁵⁾	⁽⁶⁾	Class B Common Stock	34,216	$0	34,216	I	MDM 2014 LLC as held by Alan B. Miller
Class A Common Stock	⁽⁴⁾	05/03/2021		J⁽²⁾			24,180	⁽⁵⁾	⁽⁶⁾	Class B Common Stock	24,180	$0	0	I	MS 2014 LLC as held by The Marni Spencer 2019 GRAT
Class A Common Stock	⁽⁴⁾	05/03/2021		J⁽²⁾		24,180		⁽⁵⁾	⁽⁶⁾	Class B Common Stock	24,180	$0	24,180	I	MS 2014 LLC as held by Alan B. Miller
Class A Common Stock	⁽⁴⁾	05/03/2021		J⁽³⁾			24,180	⁽⁵⁾	⁽⁶⁾	Class B Common Stock	24,180	$0	0	I	AMK 2014 LLC as held by the Abby Miller King 2019 GRAT
Class A Common Stock	⁽⁴⁾	05/03/2021		J⁽³⁾		24,180		⁽⁵⁾	⁽⁶⁾	Class B Common Stock	24,180	$0	24,180	I	AMK 2014 LLC as held by Alan B. Miller
Class A Common Stock	⁽⁴⁾							⁽⁵⁾	⁽⁶⁾	Class B Common Stock	532,194		532,194	I	A. Miller Family, LLC
Class A Common Stock	⁽⁴⁾							⁽⁵⁾	⁽⁶⁾	Class B Common Stock	61,500		61,500	I	Abby Danielle Miller Subtrust u/ Miller Family 2017 Trust
Class A Common Stock	⁽⁴⁾							⁽⁵⁾	⁽⁶⁾	Class B Common Stock	16,748		16,748	I	AMK 2014 LLC held by The Abby Danielle Miller 2002 Trust
Class A Common Stock	⁽⁴⁾							⁽⁵⁾	⁽⁶⁾	Class B Common Stock	59,072		59,072	I	AMK 2014 LLC held by the Abby Miller King 2020 GRAT
Class A Common Stock	⁽⁴⁾							⁽⁵⁾	⁽⁶⁾	Class B Common Stock	118,900		118,900	I	By The Abby Miller King Family 2012 Trust
Class A Common Stock	⁽⁴⁾							⁽⁵⁾	⁽⁶⁾	Class B Common Stock	118,900		118,900	I	By The Marc Daniel Miller Family 2012 Trust
Class A Common Stock	⁽⁴⁾							⁽⁵⁾	⁽⁶⁾	Class B Common Stock	118,900		118,900	I	By The Marni Spencer Family 2012 Trust
Class A Common Stock	⁽⁴⁾							⁽⁵⁾	⁽⁶⁾	Class B Common Stock	61,500		61,500	I	Marc Daniel Miller Subtrust u/ Miller Family 2017 Trust
Class A Common Stock	⁽⁴⁾							⁽⁵⁾	⁽⁶⁾	Class B Common Stock	61,500		61,500	I	Marni Spencer Subtrust u/ Miller Family 2017 Trust
Class A Common Stock	⁽⁴⁾							⁽⁵⁾	⁽⁶⁾	Class B Common Stock	97,779		97,779	I	MDM 2014 LLC as held by The Marc Daniel Miller 2020 GRAT
Class A Common Stock	⁽⁴⁾							⁽⁵⁾	⁽⁶⁾	Class B Common Stock	18,005		18,005	I	MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust
Class A Common Stock	⁽⁴⁾							⁽⁵⁾	⁽⁶⁾	Class B Common Stock	59,072		59,072	I	MS 2014 LLC as held by The Marni Spencer 2020 GRAT
Class A Common Stock	⁽⁴⁾							⁽⁵⁾	⁽⁶⁾	Class B Common Stock	16,748		16,748	I	MS 2014 LLC held by The Marni Spencer 2002 Trust
Class A Common Stock	⁽⁴⁾							⁽⁵⁾	⁽⁶⁾	Class B Common Stock	99,063		99,063	I	The Abby Danielle Miller 2002 Trust
Class A Common Stock	⁽⁴⁾							⁽⁵⁾	⁽⁶⁾	Class B Common Stock	139,195		139,195	I	The Marc Daniel Miller 2002 Trust
Class A Common Stock	⁽⁴⁾							⁽⁵⁾	⁽⁶⁾	Class B Common Stock	99,063		99,063	I	The Marni Spencer 2002 Trust

Explanation of Responses:

1. On May 03, 2021, The Marc Daniel Miller 2019 GRAT distributed 22.81049% of the MDM 2014 LLC to Alan B. Miller. Marc Miller disclaims any pecuniary interest in these shares. All distributions hereinbefore described were made pursuant to the terms of the Trust Agreement creating each 2019 GRAT. The MDM 2014 LLC holds 200,000 shares of Class B Common Stock and 150,000 shares of Class A Common Stock.

2. On May 03, 2021, The Marni Spencer 2019 GRAT distributed 24.18044% of the MS 2014 LLC to Alan B. Miller. Marc Miller disclaims any pecuniary interest in these shares. All distributions hereinbefore described were made pursuant to the terms of the Trust Agreement creating each 2019 GRAT. The MS 2014 LLC holds 100,000 shares of Class B Common Stock and 100,000 shares of Class A Common Stock.

3. On May 03, 2021, The Abby Miller King 2019 GRAT distributed 24.18044% of the AMK 2014 LLC to Alan B. Miller. Marc Miller disclaims any pecuniary interest in these shares. All distributions hereinbefore described were made pursuant to the terms of the Trust Agreement creating each 2019 GRAT. The AMK 2014 LLC holds 100,000 shares of Class B Common Stock and 100,000 shares of Class A Common Stock.

4. The Class A Common Stock is convertible into Class B Common Stock on a share for share basis.

5. Immediately.

6. Not Applicable.

	/s/ Steve Filton, Attorney in Fact for Marc D. Miller	05/05/2021
	** Signature of Reporting Person	Date
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