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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, 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) | 11,031 |  |  | 11 |  |  |  | 11,020 |  | 11,031 |
Repurchased, including excise tax | (424,077) |  |  | (21) |  |  |  | (424,056) |  | (424,077) |
Restricted share-based compensation expense | 30,746 |  |  |  |  |  |  | 30,746 |  | 30,746 |
Dividends paid and accrued | (40,597) |  |  |  |  |  | (40,597) |  |  | (40,597) |
Stock option expense | 41,025 |  |  |  |  |  |  | 41,025 |  | 41,025 |
Distributions to noncontrolling interests | (5,142) | (649) |  |  |  |  |  |  |  |  | (5,142)
Purchase (sale) of ownership interests by (from) minority members | 17,537 |  |  |  |  |  |  |  |  |  | 17,537
Comprehensive income: |  |  |  |  |  |  |  |  |  |  |
Net income (loss) to UHS / noncontrolling interests | 824,981 | 1,081 |  |  |  |  |  | 809,700 |  | 809,700 | 15,281
Other |  |  |  |  |  |  |  | (17) | 17 |  |
Foreign currency translation adjustments, net of income tax | 28,867 |  |  |  |  |  |  |  | 28,867 | 28,867 |
Subtotal - comprehensive income | 853,848 |  |  |  |  |  |  | 809,683 | 28,884 | 838,567 | 15,281
Subtotal attributable to redeemable noncontrolling interest |  | 1,081 |  |  |  |  |  |  |  |  |
Balance at Sep. 30, 2024 | 6,681,086 |  | 66 | 589 | 7 | 0 | (700,487) | 7,267,348 | 38,173 | 6,605,696 | 75,390
Balance at Sep. 30, 2024 |  | 5,623 |  |  |  |  |  |  |  |  |
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 |  | 5,418 |  |  |  |  |  |  |  |  |
Common Stock |  |  |  |  |  |  |  |  |  |  |
Issued/(converted) | 3,637 |  |  | 3 |  |  |  | 3,634 |  | 3,637 |
Repurchased, including excise tax | (184,139) |  |  | (8) |  |  |  | (184,131) |  | (184,139) |
Restricted share-based compensation expense | 12,867 |  |  |  |  |  |  | 12,867 |  | 12,867 |
Dividends paid and accrued | (13,472) |  |  |  |  |  | (13,472) |  |  | (13,472) |
Stock option expense | 13,356 |  |  |  |  |  |  | 13,356 |  | 13,356 |
Distributions to noncontrolling interests | (702) |  |  |  |  |  |  |  |  |  | (702)
Purchase (sale) of ownership interests by (from) minority members | 3,668 |  |  |  |  |  |  |  |  |  | 3,668
Comprehensive income: |  |  |  |  |  |  |  |  |  |  |
Net income (loss) to UHS / noncontrolling interests | 265,705 | 205 |  |  |  |  |  | 258,714 |  | 258,714 | 6,991
Foreign currency translation adjustments, net of income tax | 29,361 |  |  |  |  |  |  |  | 29,361 | 29,361 |
Subtotal - comprehensive income | 295,066 |  |  |  |  |  |  | 258,714 | 29,361 | 288,075 | 6,991
Subtotal attributable to redeemable noncontrolling interest |  | 205 |  |  |  |  |  |  |  |  |
Balance at Sep. 30, 2024 | 6,681,086 |  | 66 | 589 | 7 | 0 | (700,487) | 7,267,348 | 38,173 | 6,605,696 | 75,390
Balance at Sep. 30, 2024 |  | 5,623 |  |  |  |  |  |  |  |  |
Balance at Dec. 31, 2024 | 6,749,523 |  | 66 | 577 | 7 | 0 | (713,705) | 7,372,061 | 7,201 | 6,666,207 | 83,316
Balance at Dec. 31, 2024 |  | 13,293 |  |  |  |  |  |  |  |  |
Common Stock |  |  |  |  |  |  |  |  |  |  |
Issued/(converted) | 12,298 |  |  | 9 |  |  |  | 12,289 |  | 12,298 |
Repurchased, including excise tax | (620,763) |  |  | (35) |  |  |  | (620,728) |  | (620,763) |
Restricted share-based compensation expense | 43,722 |  |  |  |  |  |  | 43,722 |  | 43,722 |
Dividends paid and accrued | (39,067) |  |  |  |  |  | (39,067) |  |  | (39,067) |
Stock option expense | 25,671 |  |  |  |  |  |  | 25,671 |  | 25,671 |
Reclass of noncontrolling interests to redeemable noncontrolling interests | (38,523) | 38,523 |  |  |  |  |  |  |  |  | (38,523)
Change in redemption amount of redeemable noncontrolling interest | (2,312) | 2,312 |  |  |  |  |  | (2,312) |  | (2,312) |
Distributions to noncontrolling interests | (8,016) | (2,395) |  |  |  |  |  |  |  |  | (8,016)
Purchase (sale) of ownership interests by (from) minority members | 10,150 | 8,635 |  |  |  |  |  |  |  |  | 10,150
Comprehensive income: |  |  |  |  |  |  |  |  |  |  |
Net income (loss) to UHS / noncontrolling interests | 1,056,732 | 6,614 |  |  |  |  |  | 1,042,855 |  | 1,042,855 | 13,877
Foreign currency translation adjustments, net of income tax | 41,082 |  |  |  |  |  |  |  | 41,082 | 41,082 |
Subtotal - comprehensive income | 1,097,814 |  |  |  |  |  |  | 1,042,855 | 41,082 | 1,083,937 | 13,877
Subtotal attributable to redeemable noncontrolling interest |  | 6,614 |  |  |  |  |  |  |  |  |
Balance at Sep. 30, 2025 | 7,230,497 |  | 66 | 551 | 7 | 0 | (752,772) | 7,873,558 | 48,283 | 7,169,693 | 60,804
Balance at Sep. 30, 2025 | 67,000 | 66,982 |  |  |  |  |  |  |  |  |
Balance at Jun. 30, 2025 | 7,085,513 |  | 66 | 564 | 7 | 0 | (740,083) | 7,711,745 | 57,749 | 7,030,048 | 55,465
Balance at Jun. 30, 2025 |  | 59,569 |  |  |  |  |  |  |  |  |
Common Stock |  |  |  |  |  |  |  |  |  |  |
Issued/(converted) | 3,983 |  |  | 1 |  |  |  | 3,982 |  | 3,983 |
Repurchased, including excise tax | (239,673) |  |  | (14) |  |  |  | (239,659) |  | (239,673) |
Restricted share-based compensation expense | 16,410 |  |  |  |  |  |  | 16,410 |  | 16,410 |
Dividends paid and accrued | (12,689) |  |  |  |  |  | (12,689) |  |  | (12,689) |
Stock option expense | 8,123 |  |  |  |  |  |  | 8,123 |  | 8,123 |
Distributions to noncontrolling interests | (789) |  |  |  |  |  |  |  |  |  | (789)
Purchase (sale) of ownership interests by (from) minority members | 2,989 | 4,403 |  |  |  |  |  |  |  |  | 2,989
Comprehensive income: |  |  |  |  |  |  |  |  |  |  |
Net income (loss) to UHS / noncontrolling interests | 376,096 | 3,010 |  |  |  |  |  | 372,957 |  | 372,957 | 3,139
Foreign currency translation adjustments, net of income tax | (9,466) |  |  |  |  |  |  |  | (9,466) | (9,466) |
Subtotal - comprehensive income | 366,630 |  |  |  |  |  |  | 372,957 | (9,466) | 363,491 | 3,139
Subtotal attributable to redeemable noncontrolling interest |  | 3,010 |  |  |  |  |  |  |  |  |
Balance at Sep. 30, 2025 | 7,230,497 |  | $ 66 | $ 551 | $ 7 | $ 0 | $ (752,772) | $ 7,873,558 | $ 48,283 | $ 7,169,693 | $ 60,804
Balance at Sep. 30, 2025 | $ 67,000 | $ 66,982 |  |  |  |  |  |  |  |  |

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