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UNAUDITED CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY - USD ($)
$ in Thousands
Common Stock [Member]
Additional Paid-In Capital [Member]
Accumulated Other Comprehensive Gain [Member]
Retained Earnings [Member]
Treasury Stock [Member]
Total Shareholders' Equity [Member]
Non-Controlling Interests [Member]
Total
Beginning balance at Dec. 31, 2023 $ 172 $ 281,096 $ 2,782 $ 223,772 $ (31,628) $ 476,194 $ 1,216 $ 447,410
Beginning balance (in shares) at Dec. 31, 2023 17,202,000              
Beginning balance (in shares) at Dec. 31, 2023         (2,215,000)      
Increase (Decrease) in Stockholders' Equity [Roll Forward]                
Net income attributable to USPH shareholders $ 0 0 0 15,552 $ 0 15,552 0 15,552
Net income attributable to non-controlling interest - permanent equity 0 0 0 0 0 0 2,236 2,236
Issuance of restricted stock, pursuant to the secondary offering, net of cancellations $ 0 0 0 0 $ 0 0 0 0
Issuance of restricted stock, pursuant to the secondary offering, net of cancellations (in shares) 89,000       0      
Revaluation of redeemable non-controlling interest $ 0 0 0 (2,061) $ 0 (2,061) 0 (2,061)
Revaluation of redeemable non-controlling interest (in shares) 0       0      
Compensation expense - equity-based awards $ 0 3,916 0 0 $ 0 3,916 0 3,916
Sale of non-controlling interest 0 200 0 0   200 0 200
Purchase of partnership interests - non-controlling interest 0 (350) 0 0 0 (350) (56) (406)
Dividends paid to USPH shareholders 0 0 0 (13,264) 0 (13,264) 0 (13,264)
Distributions to non-controlling interest partners - permanent equity 0 0 0 0 0 0 (2,351) (2,351)
Deferred taxes related to redeemable non-controlling interest - temporary equity 0 0 0 (550) 0 (550) 0 (550)
Other comprehensive gain 0 0 1,303 0 0 1,303 0 1,303
Transfer of compensation liability for certain stock issued pursuant to long-term incentive plans 0 600 0 0   600 0 600
Transfer of RNCI due to separation agreement 0 0 0 3,033   3,033 0 3,033
Other 0 0 (1) 0 0 (1) (2) (3)
Ending balance at Jun. 30, 2024 $ 172 285,462 4,084 226,482 $ (31,628) 484,572 1,043 485,615
Ending balance (in shares) at Jun. 30, 2024 17,291,000              
Ending balance (in shares) at Jun. 30, 2024         (2,215,000)      
Beginning balance at Dec. 31, 2023 $ 172 281,096 2,782 223,772 $ (31,628) 476,194 1,216 447,410
Beginning balance (in shares) at Dec. 31, 2023 17,202,000              
Beginning balance (in shares) at Dec. 31, 2023         (2,215,000)      
Ending balance at Dec. 31, 2024 $ 172 290,321 2,799 227,265 $ (31,628) 488,929 1,092 $ 490,021
Ending balance (in shares) at Dec. 31, 2024 17,309,000              
Ending balance (in shares) at Dec. 31, 2024         (2,215,000)     (2,214,737)
Beginning balance at Mar. 31, 2024 $ 172 283,546 4,108 223,573 $ (31,628) 479,771 1,462 $ 481,233
Beginning balance (in shares) at Mar. 31, 2024 17,283,000              
Beginning balance (in shares) at Mar. 31, 2024         (2,215,000)      
Increase (Decrease) in Stockholders' Equity [Roll Forward]                
Net income attributable to USPH shareholders $ 0 0 0 7,506 $ 0 7,506 0 7,506
Net income attributable to non-controlling interest - permanent equity 0 0 0 0 0 0 892 892
Issuance of restricted stock, pursuant to the secondary offering, net of cancellations $ 0 0 0 0 $ 0 0 0 0
Issuance of restricted stock, pursuant to the secondary offering, net of cancellations (in shares) 8,000       0      
Revaluation of redeemable non-controlling interest $ 0 0 0 (622) $ 0 (622) 0 (622)
Revaluation of redeemable non-controlling interest (in shares) 0       0      
Compensation expense - equity-based awards $ 0 1,919 0 0 $ 0 1,919 0 1,919
Sale of non-controlling interest 0 2 0 0 0 2 0 2
Purchase of partnership interests - non-controlling interest 0 (5) 0 0 0 (5) (18) (23)
Dividends paid to USPH shareholders 0 0 0 (6,634) 0 (6,634) 0 (6,634)
Distributions to non-controlling interest partners - permanent equity 0 0 0 0 0 0 (1,291) (1,291)
Deferred taxes related to redeemable non-controlling interest - temporary equity 0 0 0 (375) 0 (375) 0 (375)
Other comprehensive gain 0 0 (23) 0 0 (23) 0 (23)
Transfer of RNCI due to separation agreement 0 0 0 3,033 0 3,033 0 3,033
Other 0 0 (1) 1 0 0 (2) (2)
Ending balance at Jun. 30, 2024 $ 172 285,462 4,084 226,482 $ (31,628) 484,572 1,043 485,615
Ending balance (in shares) at Jun. 30, 2024 17,291,000              
Ending balance (in shares) at Jun. 30, 2024         (2,215,000)      
Beginning balance at Dec. 31, 2024 $ 172 290,321 2,799 227,265 $ (31,628) 488,929 1,092 $ 490,021
Beginning balance (in shares) at Dec. 31, 2024 17,309,000              
Beginning balance (in shares) at Dec. 31, 2024         (2,215,000)     (2,214,737)
Increase (Decrease) in Stockholders' Equity [Roll Forward]                
Net income attributable to USPH shareholders $ 0 0 0 22,292 $ 0 22,292 0 $ 22,292
Net income attributable to non-controlling interest - permanent equity 0 0 0 0 0 0 2,970 2,970
Issuance of restricted stock, pursuant to the secondary offering, net of cancellations $ 0 0 0 0 $ 0 0 0 0
Issuance of restricted stock, pursuant to the secondary offering, net of cancellations (in shares) 110,000       0      
Revaluation of redeemable non-controlling interest $ 0 0 0 (1,903) $ 0 (1,903) 0 (1,903)
Revaluation of redeemable non-controlling interest (in shares) 0       0      
Compensation expense - equity-based awards $ 0 3,706 0 0 $ 0 3,706 0 3,706
Sale of non-controlling interest 0 (9) 0 0 0 (9) 0 (9)
Purchase of partnership interests - non-controlling interest 0 0 0 0 0 0 0 0
Dividends paid to USPH shareholders 0 0 0 (13,678) 0 (13,678) 0 (13,678)
Distributions to non-controlling interest partners - permanent equity 0 0 0 0 0 0 (2,565) (2,565)
Deferred taxes related to redeemable non-controlling interest - temporary equity 0 0 0 2,375 0 2,375 0 2,375
Other comprehensive gain 0 0 (1,585) 0 0 (1,585) 0 (1,585)
Transfer of compensation liability for certain stock issued pursuant to long-term incentive plans 0 721 0 0 0 721 0 721
Transfer of RNCI due to separation agreement 0 0 0 0 0 0 0 0
Other 0 (103) 0 5 0 (98) 47 (51)
Ending balance at Jun. 30, 2025 $ 172 294,636 1,214 236,356 $ (31,628) 500,750 1,544 $ 502,294
Ending balance (in shares) at Jun. 30, 2025 17,419,000              
Ending balance (in shares) at Jun. 30, 2025         (2,215,000)     (2,214,737)
Beginning balance at Mar. 31, 2025 $ 172 292,773 1,783 234,161 $ (31,628) 497,261 1,700 $ 498,961
Beginning balance (in shares) at Mar. 31, 2025 17,406,000              
Beginning balance (in shares) at Mar. 31, 2025         (2,215,000)      
Increase (Decrease) in Stockholders' Equity [Roll Forward]                
Net income attributable to USPH shareholders $ 0 0 0 12,393 $ 0 12,393 0 12,393
Net income attributable to non-controlling interest - permanent equity 0 0 0 0 0 0 1,413 1,413
Issuance of restricted stock, pursuant to the secondary offering, net of cancellations $ 0 0 0 0 $ 0 0 0 0
Issuance of restricted stock, pursuant to the secondary offering, net of cancellations (in shares) 13,000       0      
Revaluation of redeemable non-controlling interest $ 0 0 0 (4,806) $ 0 (4,806) 0 (4,806)
Revaluation of redeemable non-controlling interest (in shares) 0       0      
Compensation expense - equity-based awards $ 0 1,975 0 0 $ 0 1,975 0 1,975
Sale of non-controlling interest 0 (9) 0 0 0 (9) 0 (9)
Purchase of partnership interests - non-controlling interest 0 0 0 0 0 0 0 0
Dividends paid to USPH shareholders 0 0 0 (6,842) 0 (6,842) 0 (6,842)
Distributions to non-controlling interest partners - permanent equity 0 0 0 0 0 0 (1,578) (1,578)
Deferred taxes related to redeemable non-controlling interest - temporary equity 0 0 0 1,439 0 1,439 0 1,439
Other comprehensive gain 0 0 (594) 0 0 (594) 0 (594)
Transfer of RNCI due to separation agreement 0 0 0 0 0 0 0 0
Other 0 (103) 25 11 0 (67) 9 (58)
Ending balance at Jun. 30, 2025 $ 172 $ 294,636 $ 1,214 $ 236,356 $ (31,628) $ 500,750 $ 1,544 $ 502,294
Ending balance (in shares) at Jun. 30, 2025 17,419,000              
Ending balance (in shares) at Jun. 30, 2025         (2,215,000)     (2,214,737)