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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, 2022 | $ 5,965,350 |  | $ 66 | $ 637 | $ 7 | $ 0 | $ (604,127) | $ 6,533,667 | $ (9,668) | $ 5,920,582 | $ 44,768
Balance at Dec. 31, 2022 |  | $ 4,695 |  |  |  |  |  |  |  |  |
Common Stock |  |  |  |  |  |  |  |  |  |  |
Issued/(converted) | 3,095 |  |  | 3 |  |  |  | 3,092 |  | 3,095 |
Repurchased, including excise tax | (85,826) |  |  | (7) |  |  |  | (85,819) |  | (85,826) |
Restricted share-based compensation expense | 4,494 |  |  |  |  |  |  | 4,494 |  | 4,494 |
Dividends paid and accrued | (14,199) |  |  |  |  |  | (14,199) |  |  | (14,199) |
Stock option expense | 16,225 |  |  |  |  |  |  | 16,225 |  | 16,225 |
Distributions to noncontrolling interests | (3,395) | (750) |  |  |  |  |  |  |  |  | (3,395)
Comprehensive income: |  |  |  |  |  |  |  |  |  |  |
Net income (loss) to UHS / noncontrolling interests | 162,051 | 324 |  |  |  |  |  | 163,115 |  | 163,115 | (1,064)
Foreign currency translation adjustments, net of income tax | 4,622 |  |  |  |  |  |  |  | 4,622 | 4,622 |
Subtotal - comprehensive income | 166,673 |  |  |  |  |  |  | 163,115 | 4,622 | 167,737 | (1,064)
Subtotal attributable to redeemable noncontrolling interest |  | 324 |  |  |  |  |  |  |  |  |
Balance at Mar. 31, 2023 | 6,052,417 |  | 66 | 633 | 7 | 0 | (618,326) | 6,634,774 | (5,046) | 6,012,108 | 40,309
Balance at Mar. 31, 2023 |  | 4,269 |  |  |  |  |  |  |  |  |
Balance at Dec. 31, 2023 | 6,196,715 |  | 66 | 599 | 7 | 0 | (659,890) | 6,798,930 | 9,289 | 6,149,001 | 47,714
Balance at Dec. 31, 2023 |  | 5,191 |  |  |  |  |  |  |  |  |
Common Stock |  |  |  |  |  |  |  |  |  |  |
Issued/(converted) | 3,411 |  |  | 10 |  |  |  | 3,401 |  | 3,411 |
Repurchased, including excise tax | (162,091) |  |  | (9) |  |  |  | (162,082) |  | (162,091) |
Restricted share-based compensation expense | 5,100 |  |  |  |  |  |  | 5,100 |  | 5,100 |
Dividends paid and accrued | (13,546) |  |  |  |  |  | (13,546) |  |  | (13,546) |
Stock option expense | 14,381 |  |  |  |  |  |  | 14,381 |  | 14,381 |
Distributions to noncontrolling interests |  | (649) |  |  |  |  |  |  |  |  |
Distributions to noncontrolling interests | (3,831) |  |  |  |  |  |  |  |  |  | (3,831)
Purchase (sale) of ownership interests by (from) minority members | 1,721 |  |  |  |  |  |  |  |  |  | 1,721
Comprehensive income: |  |  |  |  |  |  |  |  |  |  |
Net income (loss) to UHS / noncontrolling interests | 265,377 | 445 |  |  |  |  |  | 261,834 |  | 261,834 | 3,543
Other |  |  |  |  |  |  |  | (17) | 17 |  |
Foreign currency translation adjustments, net of income tax | (1,393) |  |  |  |  |  |  |  | (1,393) | (1,393) |
Subtotal - comprehensive income | 263,984 |  |  |  |  |  |  | 261,817 | (1,376) | 260,441 | 3,543
Subtotal attributable to redeemable noncontrolling interest |  | 445 |  |  |  |  |  |  |  |  |
Balance at Mar. 31, 2024 | 6,305,844 |  | $ 66 | $ 600 | $ 7 | $ 0 | $ (673,436) | $ 6,921,547 | $ 7,913 | $ 6,256,697 | $ 49,147
Balance at Mar. 31, 2024 | $ 5,000 | $ 4,987 |  |  |  |  |  |  |  |  |

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