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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) | 6,706 |  |  | 6 |  |  |  | 6,700 |  | 6,706 |
Repurchased, including excise tax | (211,677) |  |  | (15) |  |  |  | (211,662) |  | (211,677) |
Restricted share-based compensation expense | 10,263 |  |  |  |  |  |  | 10,263 |  | 10,263 |
Dividends paid and accrued | (28,346) |  |  |  |  |  | (28,346) |  |  | (28,346) |
Stock option expense | 32,129 |  |  |  |  |  |  | 32,129 |  | 32,129 |
Distributions to noncontrolling interests | (3,685) | (1,050) |  |  |  |  |  |  |  |  | (3,685)
Sale of ownership interests to minority members | 3,814 |  |  |  |  |  |  |  |  |  | 3,814
Comprehensive income: |  |  |  |  |  |  |  |  |  |  |
Net income (loss) to UHS / noncontrolling interests | 331,108 | 568 |  |  |  |  |  | 334,428 |  | 334,428 | (3,320)
Foreign currency translation adjustments, net of income tax | 23,097 |  |  |  |  |  |  |  | 23,097 | 23,097 |
Subtotal - comprehensive income | 354,205 |  |  |  |  |  |  | 334,428 | 23,097 | 357,525 | (3,320)
Subtotal attributable to redeemable noncontrolling interest |  | 568 |  |  |  |  |  |  |  |  |
Balance at Jun. 30, 2023 | 6,128,759 |  | 66 | 628 | 7 | 0 | (632,473) | 6,705,525 | 13,429 | 6,087,182 | 41,577
Balance at Jun. 30, 2023 |  | 4,213 |  |  |  |  |  |  |  |  |
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 |  |  |  |  |  |  |  |  |
Common Stock |  |  |  |  |  |  |  |  |  |  |
Issued/(converted) | 3,611 |  |  | 3 |  |  |  | 3,608 |  | 3,611 |
Repurchased, including excise tax | (125,851) |  |  | (8) |  |  |  | (125,843) |  | (125,851) |
Restricted share-based compensation expense | 5,769 |  |  |  |  |  |  | 5,769 |  | 5,769 |
Dividends paid and accrued | (14,147) |  |  |  |  |  | (14,147) |  |  | (14,147) |
Stock option expense | 15,904 |  |  |  |  |  |  | 15,904 |  | 15,904 |
Distributions to noncontrolling interests | (290) | (300) |  |  |  |  |  |  |  |  | (290)
Sale of ownership interests to minority members | 3,814 |  |  |  |  |  |  |  |  |  | 3,814
Comprehensive income: |  |  |  |  |  |  |  |  |  |  |
Net income (loss) to UHS / noncontrolling interests | 169,057 | 244 |  |  |  |  |  | 171,313 |  | 171,313 | (2,256)
Foreign currency translation adjustments, net of income tax | 18,475 |  |  |  |  |  |  |  | 18,475 | 18,475 |
Subtotal - comprehensive income | 187,532 |  |  |  |  |  |  | 171,313 | 18,475 | 189,788 | (2,256)
Subtotal attributable to redeemable noncontrolling interest |  | 244 |  |  |  |  |  |  |  |  |
Balance at Jun. 30, 2023 | 6,128,759 |  | 66 | 628 | 7 | 0 | (632,473) | 6,705,525 | 13,429 | 6,087,182 | 41,577
Balance at Jun. 30, 2023 |  | 4,213 |  |  |  |  |  |  |  |  |
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) | 7,394 |  |  | 8 |  |  |  | 7,386 |  | 7,394 |
Repurchased, including excise tax | (239,938) |  |  | (13) |  |  |  | (239,925) |  | (239,938) |
Restricted share-based compensation expense | 17,879 |  |  |  |  |  |  | 17,879 |  | 17,879 |
Dividends paid and accrued | (27,125) |  |  |  |  |  | (27,125) |  |  | (27,125) |
Stock option expense | 27,669 |  |  |  |  |  |  | 27,669 |  | 27,669 |
Distributions to noncontrolling interests |  | (649) |  |  |  |  |  |  |  |  |
Distributions to noncontrolling interests | (4,440) |  |  |  |  |  |  |  |  |  | (4,440)
Sale of ownership interests to minority members | 13,869 |  |  |  |  |  |  |  |  |  | 13,869
Comprehensive income: |  |  |  |  |  |  |  |  |  |  |
Net income (loss) to UHS / noncontrolling interests | 559,276 | 876 |  |  |  |  |  | 550,986 |  | 550,986 | 8,290
Other |  |  |  |  |  |  |  | (17) | 17 |  |
Foreign currency translation adjustments, net of income tax | (494) |  |  |  |  |  |  |  | (494) | (494) |
Subtotal - comprehensive income | 558,782 |  |  |  |  |  |  | 550,969 | (477) | 550,492 | 8,290
Subtotal attributable to redeemable noncontrolling interest |  | 876 |  |  |  |  |  |  |  |  |
Balance at Jun. 30, 2024 | 6,550,805 |  | 66 | 594 | 7 | 0 | (687,015) | 7,162,908 | 8,812 | 6,485,372 | 65,433
Balance at Jun. 30, 2024 | 5,000 | 5,418 |  |  |  |  |  |  |  |  |
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 |  | 4,987 |  |  |  |  |  |  |  |  |
Common Stock |  |  |  |  |  |  |  |  |  |  |
Issued/(converted) | 3,983 |  |  | (2) |  |  |  | 3,985 |  | 3,983 |
Repurchased, including excise tax | (77,847) |  |  | (4) |  |  |  | (77,843) |  | (77,847) |
Restricted share-based compensation expense | 12,779 |  |  |  |  |  |  | 12,779 |  | 12,779 |
Dividends paid and accrued | (13,579) |  |  |  |  |  | (13,579) |  |  | (13,579) |
Stock option expense | 13,288 |  |  |  |  |  |  | 13,288 |  | 13,288 |
Distributions to noncontrolling interests | (609) |  |  |  |  |  |  |  |  |  | (609)
Sale of ownership interests to minority members | 12,148 |  |  |  |  |  |  |  |  |  | 12,148
Comprehensive income: |  |  |  |  |  |  |  |  |  |  |
Net income (loss) to UHS / noncontrolling interests | 293,899 | 431 |  |  |  |  |  | 289,152 |  | 289,152 | 4,747
Foreign currency translation adjustments, net of income tax | 899 |  |  |  |  |  |  |  | 899 | 899 |
Subtotal - comprehensive income | 294,798 |  |  |  |  |  |  | 289,152 | 899 | 290,051 | 4,747
Subtotal attributable to redeemable noncontrolling interest |  | 431 |  |  |  |  |  |  |  |  |
Balance at Jun. 30, 2024 | 6,550,805 |  | $ 66 | $ 594 | $ 7 | $ 0 | $ (687,015) | $ 7,162,908 | $ 8,812 | $ 6,485,372 | $ 65,433
Balance at Jun. 30, 2024 | $ 5,000 | $ 5,418 |  |  |  |  |  |  |  |  |

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