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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, 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) | 5,963 |  |  | 3 |  |  |  | 5,960 |  | 5,963 |
Repurchased | (200,054) |  |  | (20) |  |  |  | (200,034) |  | (200,054) |
Restricted share-based compensation expense | 4,749 |  |  |  |  |  |  | 4,749 |  | 4,749 |
Dividends paid | (17,344) |  |  |  |  |  | (17,344) |  |  | (17,344) |
Stock option expense | 28,577 |  |  |  |  |  |  | 28,577 |  | 28,577 |
Distributions to noncontrolling interests | (8,385) | (500) |  |  |  |  |  |  |  |  | (8,385)
Comprehensive income: |  |  |  |  |  |  |  |  |  |  |
Net income to UHS / noncontrolling interests | 400,510 |  |  |  |  |  |  | 393,966 |  | 393,966 | 6,544
Net income attributable to redeemable noncontrolling interest |  | 454 |  |  |  |  |  |  |  |  |
Foreign currency translation adjustments, net of income tax | (31,315) |  |  |  |  |  |  |  | (31,315) | (31,315) |
Subtotal - comprehensive income | 369,195 |  |  |  |  |  |  | 393,966 | (31,315) | 362,651 | 6,544
Subtotal attributable to redeemable noncontrolling interest |  | 454 |  |  |  |  |  |  |  |  |
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 |  |  |  |  |  |  |  |  |
Balance at Mar. 31, 2020 | 5,485,043 |  | 66 | 776 | 7 | 0 | (479,503) | 5,897,063 | (5,200) | 5,413,209 | 71,834
Balance at Mar. 31, 2020 |  | 3,953 |  |  |  |  |  |  |  |  |
Common Stock |  |  |  |  |  |  |  |  |  |  |
Issued/(converted) | 2,851 |  |  | 1 |  |  |  | 2,850 |  | 2,851 |
Repurchased | (762) |  |  |  |  |  |  | (762) |  | (762) |
Restricted share-based compensation expense | 2,394 |  |  |  |  |  |  | 2,394 |  | 2,394 |
Stock option expense | 13,248 |  |  |  |  |  |  | 13,248 |  | 13,248 |
Distributions to noncontrolling interests | (3,151) |  |  |  |  |  |  |  |  |  | (3,151)
Comprehensive income: |  |  |  |  |  |  |  |  |  |  |
Net income to UHS / noncontrolling interests | 256,171 |  |  |  |  |  |  | 251,929 |  | 251,929 | 4,242
Net income attributable to redeemable noncontrolling interest |  | 334 |  |  |  |  |  |  |  |  |
Foreign currency translation adjustments, net of income tax | 5,778 |  |  |  |  |  |  |  | 5,778 | 5,778 |
Subtotal - comprehensive income | 261,949 |  |  |  |  |  |  | 251,929 | 5,778 | 257,707 | 4,242
Subtotal attributable to redeemable noncontrolling interest |  | 334 |  |  |  |  |  |  |  |  |
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 |  |  |  |  |  |  |  |  |
Balance at Dec. 31, 2020 | 6,401,967 |  | 66 | 778 | 7 | 0 | (479,503) | 6,747,678 | 48,120 | 6,317,146 | 84,821
Balance at Dec. 31, 2020 |  | 4,569 |  |  |  |  |  |  |  |  |
Common Stock |  |  |  |  |  |  |  |  |  |  |
Issued/(converted) | 6,444 |  |  | 5 |  |  |  | 6,439 |  | 6,444 |
Repurchased | (368,080) |  |  | (23) |  |  |  | (368,057) |  | (368,080) |
Restricted share-based compensation expense | 6,102 |  |  |  |  |  |  | 6,102 |  | 6,102 |
Dividends paid | (33,874) |  |  |  |  |  | (33,874) |  |  | (33,874) |
Stock option expense | 30,243 |  |  |  |  |  |  | 30,243 |  | 30,243 |
Distributions to noncontrolling interests | (5,414) | (203) |  |  |  |  |  |  |  |  | (5,414)
Purchase of ownership interests by minority members | 12,669 |  |  |  |  |  |  |  |  |  | 12,669
Comprehensive income: |  |  |  |  |  |  |  |  |  |  |
Net income to UHS / noncontrolling interests | 534,019 |  |  |  |  |  |  | 534,115 |  | 534,115 | (96)
Net income attributable to redeemable noncontrolling interest |  | 327 |  |  |  |  |  |  |  |  |
Foreign currency translation adjustments, net of income tax | (11,996) |  |  |  |  |  |  |  | (11,996) | (11,996) |
Subtotal - comprehensive income | 522,023 |  |  |  |  |  |  | 534,115 | (11,996) | 522,119 | (96)
Subtotal attributable to redeemable noncontrolling interest |  | 327 |  |  |  |  |  |  |  |  |
Balance at Jun. 30, 2021 | 6,572,080 |  | 66 | 760 | 7 | 0 | (513,377) | 6,956,520 | 36,124 | 6,480,100 | 91,980
Balance at Jun. 30, 2021 | 5,000 | 4,693 |  |  |  |  |  |  |  |  |
Balance at Mar. 31, 2021 | 6,601,839 |  | 66 | 781 | 7 | 0 | (496,521) | 6,970,289 | 39,240 | 6,513,862 | 87,977
Balance at Mar. 31, 2021 |  | 4,470 |  |  |  |  |  |  |  |  |
Common Stock |  |  |  |  |  |  |  |  |  |  |
Issued/(converted) | 3,084 |  |  | 1 |  |  |  | 3,083 |  | 3,084 |
Repurchased | (360,616) |  |  | (22) |  |  |  | (360,594) |  | (360,616) |
Restricted share-based compensation expense | 3,240 |  |  |  |  |  |  | 3,240 |  | 3,240 |
Dividends paid | (16,856) |  |  |  |  |  | (16,856) |  |  | (16,856) |
Stock option expense | 15,478 |  |  |  |  |  |  | 15,478 |  | 15,478 |
Distributions to noncontrolling interests | (889) | (203) |  |  |  |  |  |  |  |  | (889)
Purchase of ownership interests by minority members | 5,066 |  |  |  |  |  |  |  |  |  | 5,066
Comprehensive income: |  |  |  |  |  |  |  |  |  |  |
Net income to UHS / noncontrolling interests | 324,850 |  |  |  |  |  |  | 325,024 |  | 325,024 | (174)
Net income attributable to redeemable noncontrolling interest |  | 426 |  |  |  |  |  |  |  |  |
Foreign currency translation adjustments, net of income tax | (3,116) |  |  |  |  |  |  |  | (3,116) | (3,116) |
Subtotal - comprehensive income | 321,734 |  |  |  |  |  |  | 325,024 | (3,116) | 321,908 | (174)
Subtotal attributable to redeemable noncontrolling interest |  | 426 |  |  |  |  |  |  |  |  |
Balance at Jun. 30, 2021 | 6,572,080 |  | $ 66 | $ 760 | $ 7 | $ 0 | $ (513,377) | $ 6,956,520 | $ 36,124 | $ 6,480,100 | $ 91,980
Balance at Jun. 30, 2021 | $ 5,000 | $ 4,693 |  |  |  |  |  |  |  |  |

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