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CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2019 | Mar. 31, 2018
OPERATING ACTIVITIES |  |
Net income including non-controlling interests | $ 12,375 | $ 10,054
Adjustments to reconcile net income including non-controlling interests to net cash provided by operating activities: |  |
Depreciation and amortization | 2,400 | 2,468
Provision for doubtful accounts | 1,206 | 1,061
Equity-based awards compensation expense | 1,728 | 1,381
Deferred income taxes | 2,118 | (1,162)
Other | 12 | 54
Changes in operating assets and liabilities: |  |
Increase in patient accounts receivable | (4,898) | (2,782)
Increase in accounts receivable - other | (495) | (849)
Increase in other assets | (894) | (1,238)
Increase in accounts payable and accrued expenses | 274 | 7,389
Decrease in other liabilities | (263) | (845)
Net cash provided by operating activities | 13,563 | 15,531
INVESTING ACTIVITIES |  |
Purchase of fixed assets | (2,497) | (1,404)
Purchase of redeemable non-controlling interest | (2,053) | (761)
Purchase of non-controlling interest | (139) | (246)
Proceeds on sale of fixed assets | 59 | 0
Net cash used in investing activities | (4,630) | (2,411)
FINANCING ACTIVITIES |  |
Distributions to non-controlling interests, permanent and temporary equity | (2,576) | (2,208)
Proceeds from revolving line of credit | 19,000 | 19,000
Payments on revolving line of credit | (28,000) | (31,000)
Payments to settle mandatorily redeemable non-controlling interests | 0 | (265)
Principal payments on notes payable | (482) | (823)
Other | (5) | 56
Net cash used in financing activities | (12,063) | (15,240)
Net decrease in cash and cash equivalents | (3,130) | (2,120)
Cash and cash equivalents - beginning of period | 23,368 | 21,933
Cash and cash equivalents - end of period | 20,238 | 19,813
Cash paid during the period for: |  |
Income taxes | 313 | 2,941
Interest | 343 | 526
Non-cash investing and financing transactions during the period: |  |
Purchase of business - seller financing portion | $ 228 | $ 150

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- Definition The cash outflow for a borrowing supported by a written promise to pay an obligation. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3291-108585 + Details
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- Definition The aggregate amount of noncash, equity-based employee remuneration. This may include the value of stock or unit options, amortization of restricted stock or units, and adjustment for officers' compensation. As noncash, this element is an add back when calculating net cash generated by operating activities using the indirect method. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3602-108585 + Details
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Data Type: | xbrli:monetaryItemType
Balance Type: | debit
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- References No definition available. + Details
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Data Type: | xbrli:stringItemType
Balance Type: | na
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- Definition The cash outflow associated with the acquisition of a redeemable non-controlling interest. + References No definition available. + Details
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Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

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- Definition Purchase of business - seller financing portion in noncash investing or financing activities. + References No definition available. + Details
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Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
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