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Condensed Consolidated Statements of Changes in Equity - USD ($) $ in Thousands | Total | Redeemable Noncontrolling Interest | Class A | Class B | Class C | Class D | Cumulative Dividends | Retained Earnings | Accumulated Other Comprehensive Income (Loss) | UHS Common Stockholders' Equity | Noncontrolling Interest
--- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Balance at Dec. 31, 2018 | $ 5,465,793 |  | $ 66 | $ 841 | $ 7 | $ 0 | $ (409,156) | $ 5,793,262 | $ 4,242 | $ 5,389,262 | $ 76,531
Balance at Dec. 31, 2018 |  | $ 4,292 |  |  |  |  |  |  |  |  |
Common Stock |  |  |  |  |  |  |  |  |  |  |
Issued/(converted) | 8,383 |  |  | 10 |  |  |  | 8,373 |  | 8,383 |
Repurchased | (571,399) |  |  | (44) |  |  |  | (571,355) |  | (571,399) |
Restricted share-based compensation expense | 5,950 |  |  |  |  |  |  | 5,950 |  | 5,950 |
Dividends paid | (35,556) |  |  |  |  |  | (35,556) |  |  | (35,556) |
Stock option expense | 45,338 |  |  |  |  |  |  | 45,338 |  | 45,338 |
Distributions to noncontrolling interests | (11,555) | (500) |  |  |  |  |  |  |  |  | (11,555)
Purchase of noncontrolling interest | 168 |  |  |  |  |  |  |  |  |  | 168
Comprehensive income: |  |  |  |  |  |  |  |  |  |  |
Net income to UHS / noncontrolling interests | 579,264 |  |  |  |  |  |  | 569,678 |  | 569,678 | 9,586
Net income attributable to redeemable noncontrolling interest |  | 269 |  |  |  |  |  |  |  |  |
Foreign currency translation adjustments, net of income tax | (19,444) |  |  |  |  |  |  |  | (19,444) | (19,444) |
Unrealized derivative gains on cash flow hedges, net of income tax | (2,997) |  |  |  |  |  |  |  | (2,997) | (2,997) |
Subtotal - comprehensive income | 556,823 |  |  |  |  |  |  | 569,678 | (22,441) | 547,237 | 9,586
Subtotal attributable to redeemable noncontrolling interest |  | 269 |  |  |  |  |  |  |  |  |
Balance at Sep. 30, 2019 | 5,463,945 |  | 66 | 807 | 7 | 0 | (444,712) | 5,851,246 | (18,199) | 5,389,215 | 74,730
Balance at Sep. 30, 2019 |  | 4,061 |  |  |  |  |  |  |  |  |
Balance at Jun. 30, 2019 | 5,464,451 |  | 66 | 810 | 7 | 0 | (427,109) | 5,827,251 | (7,936) | 5,393,089 | 71,362
Balance at Jun. 30, 2019 |  | 3,986 |  |  |  |  |  |  |  |  |
Common Stock |  |  |  |  |  |  |  |  |  |  |
Issued/(converted) | 2,978 |  |  | 4 |  |  |  | 2,974 |  | 2,978 |
Repurchased | (93,327) |  |  | (7) |  |  |  | (93,320) |  | (93,327) |
Restricted share-based compensation expense | 2,291 |  |  |  |  |  |  | 2,291 |  | 2,291 |
Dividends paid | (17,603) |  |  |  |  |  | (17,603) |  |  | (17,603) |
Stock option expense | 14,860 |  |  |  |  |  |  | 14,860 |  | 14,860 |
Distributions to noncontrolling interests | (405) |  |  |  |  |  |  |  |  |  | (405)
Purchase of noncontrolling interest | 168 |  |  |  |  |  |  |  |  |  | 168
Comprehensive income: |  |  |  |  |  |  |  |  |  |  |
Net income to UHS / noncontrolling interests | 100,795 |  |  |  |  |  |  | 97,190 |  | 97,190 | 3,605
Net income attributable to redeemable noncontrolling interest |  | 75 |  |  |  |  |  |  |  |  |
Foreign currency translation adjustments, net of income tax | (10,263) |  |  |  |  |  |  |  | (10,263) | (10,263) |
Subtotal - comprehensive income | 90,532 |  |  |  |  |  |  | 97,190 | (10,263) | 86,927 | 3,605
Subtotal attributable to redeemable noncontrolling interest |  | 75 |  |  |  |  |  |  |  |  |
Balance at Sep. 30, 2019 | 5,463,945 |  | 66 | 807 | 7 | 0 | (444,712) | 5,851,246 | (18,199) | 5,389,215 | 74,730
Balance at Sep. 30, 2019 |  | 4,061 |  |  |  |  |  |  |  |  |
Balance at Dec. 31, 2019 | 5,578,871 |  | 66 | 794 | 7 | 0 | (462,159) | 5,933,504 | 31,893 | 5,504,105 | 74,766
Balance at Dec. 31, 2019 |  | 4,333 |  |  |  |  |  |  |  |  |
Common Stock |  |  |  |  |  |  |  |  |  |  |
Issued/(converted) | 9,729 |  |  | 3 |  |  |  | 9,726 |  | 9,729 |
Repurchased | (200,098) |  |  | (20) |  |  |  | (200,078) |  | (200,098) |
Restricted share-based compensation expense | 6,958 |  |  |  |  |  |  | 6,958 |  | 6,958 |
Dividends paid | (17,344) |  |  |  |  |  | (17,344) |  |  | (17,344) |
Stock option expense | 41,565 |  |  |  |  |  |  | 41,565 |  | 41,565 |
Distributions to noncontrolling interests | (14,675) | (500) |  |  |  |  |  |  |  |  | (14,675)
Purchase of noncontrolling interest | (547) |  |  |  |  |  |  |  |  |  | (547)
Other | 3,300 |  |  |  |  |  |  |  |  |  | 3,300
Comprehensive income: |  |  |  |  |  |  |  |  |  |  |
Net income to UHS / noncontrolling interests | 644,711 |  |  |  |  |  |  | 635,245 |  | 635,245 | 9,466
Net income attributable to redeemable noncontrolling interest |  | 344 |  |  |  |  |  |  |  |  |
Foreign currency translation adjustments, net of income tax | (17,372) |  |  |  |  |  |  |  | (17,372) | (17,372) |
Subtotal - comprehensive income | 627,339 |  |  |  |  |  |  | 635,245 | (17,372) | 617,873 | 9,466
Subtotal attributable to redeemable noncontrolling interest |  | 344 |  |  |  |  |  |  |  |  |
Balance at Sep. 30, 2020 | 6,035,098 |  | 66 | 777 | 7 | 0 | (479,503) | 6,426,920 | 14,521 | 5,962,788 | 72,310
Balance at Sep. 30, 2020 | 4,000 | 4,177 |  |  |  |  |  |  |  |  |
Balance at Jun. 30, 2020 | 5,761,572 |  | 66 | 777 | 7 | 0 | (479,503) | 6,166,722 | 578 | 5,688,647 | 72,925
Balance at Jun. 30, 2020 |  | 4,287 |  |  |  |  |  |  |  |  |
Common Stock |  |  |  |  |  |  |  |  |  |  |
Issued/(converted) | 3,766 |  |  |  |  |  |  | 3,766 |  | 3,766 |
Repurchased | (44) |  |  |  |  |  |  | (44) |  | (44) |
Restricted share-based compensation expense | 2,209 |  |  |  |  |  |  | 2,209 |  | 2,209 |
Stock option expense | 12,988 |  |  |  |  |  |  | 12,988 |  | 12,988 |
Distributions to noncontrolling interests | (6,290) |  |  |  |  |  |  |  |  |  | (6,290)
Purchase of noncontrolling interest | (547) |  |  |  |  |  |  |  |  |  | (547)
Other | 3,300 |  |  |  |  |  |  |  |  |  | 3,300
Comprehensive income: |  |  |  |  |  |  |  |  |  |  |
Net income to UHS / noncontrolling interests | 244,201 |  |  |  |  |  |  | 241,279 |  | 241,279 | 2,922
Net income attributable to redeemable noncontrolling interest |  | (110) |  |  |  |  |  |  |  |  |
Foreign currency translation adjustments, net of income tax | 13,943 |  |  |  |  |  |  |  | 13,943 | 13,943 |
Subtotal - comprehensive income | 258,144 |  |  |  |  |  |  | 241,279 | 13,943 | 255,222 | 2,922
Subtotal attributable to redeemable noncontrolling interest |  | (110) |  |  |  |  |  |  |  |  |
Balance at Sep. 30, 2020 | 6,035,098 |  | $ 66 | $ 777 | $ 7 | $ 0 | $ (479,503) | $ 6,426,920 | $ 14,521 | $ 5,962,788 | $ 72,310
Balance at Sep. 30, 2020 | $ 4,000 | $ 4,177 |  |  |  |  |  |  |  |  |

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