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+Universal Health Services, Inc. Stockholder Meeting Notice Important Notice Regarding the Availability of Proxy Materials for the Universal Health Services, Inc. Meeting to be Held on May 15, 2019 Under Securities and Exchange Commission rules, you are receiving this notice that the proxy materials for the annual stockholders’ meeting are available on the Internet. Follow the instructions below to view the materials and vote online or request a copy. The items to be voted on and location of the annual meeting are on the reverse side. Your vote is important! This communication presents only an overview of the more complete proxy materials that are available to you on the Internet. We encourage you to access and review all of the important information contained in the proxy materials before voting. The proxy statement and annual report to stockholders are available at: www.envisionreports.com/UHS Easy Online Access — A Convenient Way to View Proxy Materials and Vote Easy Online Access — A Convenient Way to View Proxy Materials and Vote Step 1: Go to www.envisionreports.com/UHS. Step 2: Click on Cast Your Vote or Request Materials. Step 3: Follow the instructions on the screen to log in. Step 4: Make your selections as instructed on each screen for your delivery preferences. Step 5: Vote your shares. When you go online, you can also help the environment by consenting to receive electronic delivery of future materials. Obtaining a Copy of the Proxy Materials – If you want to receive a copy of the proxy materials, you must request one. There is no charge to you for requesting a copy. Please make your request as instructed on the reverse side on or before May 8, 2019 to facilitate timely delivery.       2 N O T 02ZZZB + Online Go to www.envisionreports.com/UHS or scan the QR code — login details are located in the shaded bar below Votes submitted electronically must be received by 11:59 p.m., Eastern Time, on May 14, 2019.



Stockholder Meeting Notice Universal Health Services, Inc. Annual Meeting of Stockholders will be held at 10:00 a.m. on Wednesday, May 15, 2019, at the offices of the Company, Universal Corporate Center, 367 South Gulph Road, King of Prussia, Pennsylvania. Stockholders of record as of the Record Date are encouraged and cordially invited to attend the Annual Meeting. Directions to attend the Annual Meeting where you may vote in person can be found on our website, www.uhsinc.com. The Board of Directors recommends a vote FOR the nominee listed in Proposal 1, FOR Proposal 2, and AGAINST Proposal 3: 1. Election of Director: 01 - Robert H. Hotz 2. Proposal to ratify the selection of PricewaterhouseCoopers LLP as the Company’s independent registered public accounting firm for the fiscal year ending December 31, 2019. 3. Stockholder proposal regarding proxy access if properly presented at the meeting. PLEASE NOTE – YOU CANNOT VOTE BY RETURNING THIS NOTICE. To vote your shares you must vote online or request a paper copy of the proxy materials to receive a proxy card. If you wish to attend and vote at the meeting, please bring this notice with you. Here’s how to order a copy of the proxy materials and select delivery preferences: Current and future delivery requests can be submitted using the options below. If you request an email copy, you will receive an email with a link to the current meeting materials. PLEASE NOTE: You must use the number in the shaded bar on the reverse side when requesting a copy of the proxy materials. —  Internet – Go to www.envisionreports.com/UHS. Click Cast Your Vote or Request Materials. —  Phone – Call us free of charge at 1-866-641-4276. —  Email – Send an email to investorvote@computershare.com with “Proxy Materials Universal Health Services, Inc.” in the subject line. Include your full name and address, plus the number located in the shaded bar on the reverse side, and state that you want a paper copy of the meeting materials. To facilitate timely delivery, all requests for a paper copy of proxy materials must be received by May 8, 2019.