Marc Miller

The Heir With 88.9% of the Vote

Chief Executive Officer and President, Universal Health Services (NYSE: UHS)

Director, 2027Behavioral health and acute care

Last verified November 6, 2026

88.9%

Voting power held by Alan Miller, 2026 proxy

$122M

False Claims Act settlement, 2020

$17.4B

UHS revenue, 2025

283:1

CEO-to-median-worker pay ratio, 2025

Overview

Marc Miller became CEO of Universal Health Services on January 1, 2021, succeeding his father Alan Miller. The founder, now 88, started the company in 1978 and still holds 88.9% of the voting power. UHS runs 388 inpatient behavioral health facilities and 30 acute care hospitals. It paid $122 million in 2020 to settle claims of medically unnecessary psychiatric admissions. Juries have returned verdicts of $535 million and $360 million over abuse at two of its youth facilities. Miller was paid $16.1 million in 2025.

Since April 2026

What has changed

April 9, 20262026 proxy: Miller's 2025 pay $16.1 million; ratio 283:1; Alan Miller holds 88.9% of voting power. source
May 26, 2026Definitive agreement with George Washington University on the Medical Faculty Associates physician practice. source
August 1, 2026Capital Medical Group transaction finalized; UHS takes financial responsibility for GW physician practice operations. source
August 17, 2026Talkspace acquisition closes. source
August 31, 2026Tentative settlement of the Cumberland Hospital abuse litigation. source
October 14, 2026FAH 2027 slate lists Miller as Director. He was Immediate Past Chair in 2026. source
October 27, 2026Q3 2026: EPS $5.22 against $5.86; debt $5.71 billion. source

The company

Universal Health Services

•2025 net revenues $17.36 billion, up 9.7%. Net income $1.49 billion, up 30% (10-K, 2025).
•At September 30, 2026: 30 acute care hospitals, 388 inpatient behavioral health facilities and 169 outpatient and other facilities in the U.S. and U.K.
•Q3 2026: revenue $4.73 billion, net income $309 million, diluted EPS $5.22 against $5.86 a year earlier. Miller cited a slower ramp at new hospitals and softer surgical trends.
•Total debt rose from $4.69 billion at December 31, 2025 to $5.71 billion at September 30, 2026, after the Talkspace purchase closed in August.
•Nine-month 2026 buybacks: 3.915 million shares for $689.6 million.
•Miller: CEO and President since January 1, 2021; President since May 2009; 2026 base salary $1,575,000.

Ownership and control

•Four share classes. Class B, the public class on the NYSE, carries one-tenth of a vote. Class C carries 100 votes. Class A and C holders elect five of the directors (10-K, 2025).
•Alan B. Miller, 88, holds 77.8% of Class A, 100% of Class C and 88.9% of general voting power. He remains Executive Chairman. Marc Miller holds 20.4% of Class A (2026 proxy).
•Alan Miller is also Chairman, CEO and President of Universal Health Realty Income Trust, a REIT that leases facilities to UHS.

Settlements, investigations and lawsuits

•July 10, 2020: $117 million by UHS plus $5 million by Turning Point Care Center, $122 million in all. The claims: medically unnecessary inpatient behavioral health admissions and kickbacks from 2006 to 2018. Five-year corporate integrity agreement with an independent monitor. 18 whistleblower cases resolved.
•June 12, 2024: Senate Finance Committee staff report, Warehouses of Neglect, on abuse in youth residential treatment facilities run by UHS, Acadia, Devereux and Vivant. UHS called it incomplete and misleading.
•March 2024: a jury awarded $535 million against UHS's Pavilion Behavioral Health System in Illinois. The trial court cut punitive damages to $120 million in October 2024. Appeal status after 2025 not found.
•September 27, 2024: a Virginia jury awarded $360 million to three former patients of UHS's Cumberland Hospital for Children and Adolescents. Punitive damages were later cut to $1.05 million under Virginia's cap. Roughly 40 more plaintiffs followed.
•August 2026: a tentative confidential settlement of all current Cumberland claims. UHS booked a $26 million reserve increase in Q3 2026 and says excess insurance covers a substantial part.
•September 26, 2025: a Nevada jury found UHS Delaware interfered with St. Mary's Medical Group physician contracts, awarding $4.7 million compensatory and $500 million punitive. UHS expects Nevada law to cap punitive damages near $14 million.

Compensation

Year	Total compensation	CEO-to-worker pay ratio
2025	$16,148,937	283:1
2024	$15,021,836	281:1
2023	$14,407,937	Not checked

Deals since 2025

•April 2025: opened Cedar Hill Regional Medical Center GW Health in Washington, D.C., 136 beds, the District's first new full-service hospital in over 25 years.
•May 2026: opened the $430 million, 156-bed Alan B. Miller Medical Center in Palm Beach Gardens, Florida.
•August 1, 2026: George Washington University moved its Medical Faculty Associates physician practice into Capital Medical Group, a new UHS-controlled nonprofit.
•August 17, 2026: completed the purchase of Talkspace for $5.25 a share, roughly $835 million, financed with credit agreement borrowings.

Political giving

•No contributions by Marc Miller were found in an FEC search by employer for January 2025 through November 2026. A name-and-state search hit the API rate limit and was not completed.
•Alan B. Miller gave $99 to the National Republican Senatorial Committee on October 17, 2025 (FEC).

Red flags

Conflicts and concerns

Public shareholders hold one-tenth of a vote per share. The founder's family controls 88.9% of the vote, and the founder also runs the REIT that is UHS's landlord.

Two juries found UHS youth psychiatric facilities liable for patient abuse, with initial awards of $535 million and $360 million.

A Nevada jury found UHS interfered with physician contracts at a competing medical group and awarded $500 million in punitive damages.

The 2020 settlement covered 12 years of admitting psychiatric patients who did not need to be admitted.

Physician-owned hospitals

UHS took over George Washington University's physician practice in 2026, the academic version of the employment model the POH ban protects. Its acute care hospitals in Nevada, Texas and Florida face the same physician competitors as HCA's. The Nevada verdict shows what UHS does when physicians try to leave: a jury found it interfered with their contracts.

Sources