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Condensed Consolidated Statements of Changes in Equity - USD ($) $ in Thousands | Total | Redeemable Noncontrolling Interest | Common Stock Class A | Common Stock Class B | Common Stock Class C | Common Stock Class D | Cumulative Dividends | Retained Earnings | Accumulated Other Comprehensive Income (Loss) | UHS Common Stockholders' Equity | Noncontrolling Interest
--- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ---
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 and accrued | (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 (sale) of ownership interests by (from) minority members | 12,669 |  |  |  |  |  |  |  |  |  | 12,669
Comprehensive income: |  |  |  |  |  |  |  |  |  |  |
Net income to UHS / noncontrolling interests | 534,019 | 327 |  |  |  |  |  | 534,115 |  | 534,115 | (96)
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 |  | 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 and accrued | (16,856) |  |  |  |  |  | (16,856) |  |  | (16,856) |
Stock option expense | 15,478 |  |  |  |  |  |  | 15,478 |  | 15,478 |
Distributions to noncontrolling interests | (889) | (203) |  |  |  |  |  |  |  |  | (889)
Purchase (sale) of ownership interests by (from) minority members | 5,066 |  |  |  |  |  |  |  |  |  | 5,066
Comprehensive income: |  |  |  |  |  |  |  |  |  |  |
Net income to UHS / noncontrolling interests | 324,850 | 426 |  |  |  |  |  | 325,024 |  | 325,024 | (174)
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 |  | 4,693 |  |  |  |  |  |  |  |  |
Balance at Dec. 31, 2021 | 6,193,053 |  | 66 | 698 | 7 | 0 | (545,487) | 6,604,089 | 30,291 | 6,089,664 | 103,389
Balance at Dec. 31, 2021 |  | 5,119 |  |  |  |  |  |  |  |  |
Common Stock |  |  |  |  |  |  |  |  |  |  |
Issued/(converted) | 6,795 |  |  | 6 |  |  |  | 6,789 |  | 6,795 |
Repurchased | (565,182) |  |  | (44) |  |  |  | (565,138) |  | (565,182) |
Restricted share-based compensation expense | 8,103 |  |  |  |  |  |  | 8,103 |  | 8,103 |
Dividends paid and accrued | (29,711) |  |  |  |  |  | (29,711) |  |  | (29,711) |
Stock option expense | 32,842 |  |  |  |  |  |  | 32,842 |  | 32,842 |
Distributions to noncontrolling interests | (4,673) | (650) |  |  |  |  |  |  |  |  | (4,673)
Purchase (sale) of ownership interests by (from) minority members | (1,307) |  |  |  |  |  |  |  |  |  | (1,307)
Comprehensive income: |  |  |  |  |  |  |  |  |  |  |
Net income to UHS / noncontrolling interests | 309,822 | (20) |  |  |  |  |  | 317,975 |  | 317,975 | (8,153)
Foreign currency translation adjustments, net of income tax | (45,826) |  |  |  |  |  |  |  | (45,826) | (45,826) |
Subtotal - comprehensive income | 263,996 |  |  |  |  |  |  | 317,975 | (45,826) | 272,149 | (8,153)
Subtotal attributable to redeemable noncontrolling interest |  | (20) |  |  |  |  |  |  |  |  |
Balance at Jun. 30, 2022 | 5,903,916 |  | 66 | 660 | 7 | 0 | (575,198) | 6,404,660 | (15,535) | 5,814,660 | 89,256
Balance at Jun. 30, 2022 | 4,000 | 4,449 |  |  |  |  |  |  |  |  |
Balance at Mar. 31, 2022 | 5,962,578 |  | 66 | 676 | 7 | 0 | (560,450) | 6,414,808 | 12,765 | 5,867,872 | 94,706
Balance at Mar. 31, 2022 |  | 4,314 |  |  |  |  |  |  |  |  |
Common Stock |  |  |  |  |  |  |  |  |  |  |
Issued/(converted) | 3,150 |  |  | 1 |  |  |  | 3,149 |  | 3,150 |
Repurchased | (199,677) |  |  | (17) |  |  |  | (199,660) |  | (199,677) |
Restricted share-based compensation expense | 4,661 |  |  |  |  |  |  | 4,661 |  | 4,661 |
Dividends paid and accrued | (14,748) |  |  |  |  |  | (14,748) |  |  | (14,748) |
Stock option expense | 17,640 |  |  |  |  |  |  | 17,640 |  | 17,640 |
Distributions to noncontrolling interests | (34) |  |  |  |  |  |  |  |  |  | (34)
Comprehensive income: |  |  |  |  |  |  |  |  |  |  |
Net income to UHS / noncontrolling interests | 158,646 | 135 |  |  |  |  |  | 164,062 |  | 164,062 | (5,416)
Foreign currency translation adjustments, net of income tax | (28,300) |  |  |  |  |  |  |  | (28,300) | (28,300) |
Subtotal - comprehensive income | 130,346 |  |  |  |  |  |  | 164,062 | (28,300) | 135,762 | (5,416)
Subtotal attributable to redeemable noncontrolling interest |  | 135 |  |  |  |  |  |  |  |  |
Balance at Jun. 30, 2022 | 5,903,916 |  | $ 66 | $ 660 | $ 7 | $ 0 | $ (575,198) | $ 6,404,660 | $ (15,535) | $ 5,814,660 | $ 89,256
Balance at Jun. 30, 2022 | $ 4,000 | $ 4,449 |  |  |  |  |  |  |  |  |

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