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v3.25.3

UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended | 12 Months Ended
--- | --- | --- | ---
Sep. 30, 2025 | Sep. 30, 2024 | Sep. 30, 2025 | Sep. 30, 2024 | Dec. 31, 2024
OPERATING ACTIVITIES |  |  |  |  |
Net income including non-controlling interest | $ 17,642 | $ 9,777 | $ 48,830 | $ 33,106 |
Adjustments to reconcile net income including non-controlling interest to net cash provided by operating activities: |  |  |  |  |
Depreciation and amortization |  |  | 17,756 | 12,996 |
Provision for credit losses | 2,073 | 1,721 | 5,916 | 5,065 |
Equity-based awards compensation expense |  |  | 6,151 | 5,837 |
Amortization of debt issue costs |  |  | 315 | 317 |
Change in deferred income taxes |  |  | 11,163 | 605 |
Change in revaluation of put-right liability | 663 | (168) | 1,406 | 136 |
Change in fair value of contingent earn-out consideration | (5,872) | 1,899 | (11,484) | 5,332 |
Equity of earnings in unconsolidated affiliate | (361) | (231) | (1,155) | (750) |
Loss on sale of fixed assets |  |  | 420 | 280 |
Loss on sale of a partnership | 0 | 0 | 123 | 0 |
Other |  |  | 0 | (169) |
Changes in operating assets and liabilities: |  |  |  |  |
Patient accounts receivable, net |  |  | (13,604) | (8,870) |
Accounts receivable - other |  |  | 3,559 | (960) |
Other current and long term assets |  |  | (8,155) | (1,808) |
Accounts payable and accrued expenses |  |  | (10,908) | 5,003 |
Other long-term liabilities |  |  | (207) | (589) |
Net cash provided by operating activities |  |  | 50,126 | 55,531 |
INVESTING ACTIVITIES |  |  |  |  |
Purchase of fixed assets |  |  | (10,145) | (6,697) |
Purchase of interest in businesses, net of cash acquired |  |  | (15,214) | (41,196) |
Purchase of redeemable non-controlling interest, temporary equity |  |  | (8,579) | (6,957) |
Purchase of non controlling interest, permanent equity |  |  | (196) | (756) |
Proceeds from the sale of non-controlling interest, permanent equity |  |  | 9 | 26 |
Proceeds from the sale of partnership interest - redeemable non-controlling interest, temporary equity |  |  | 149 | 229 |
Repayment of notes receivable related to sales of redeemable non-controlling interest |  |  | 387 | 451 |
Proceeds from the sale of partnership |  |  | 700 | 0 |
Distributions from unconsolidated affiliate |  |  | 1,089 | 838 |
Other |  |  | 531 | (535) |
Net cash (used in) investing activities |  |  | (31,269) | (54,597) |
FINANCING ACTIVITIES |  |  |  |  |
Proceeds from revolving facility |  |  | 146,500 | 0 |
Payments on revolving facility |  |  | (131,000) | 0 |
Distributions to non-controlling interest, permanent and temporary equity |  |  | (14,610) | (11,399) |
Cash dividends paid to shareholders |  |  | (20,520) | (19,898) |
Payments on term loan |  |  | (7,500) | (3,750) |
Principal payments on notes payable |  |  | (1,994) | (1,726) |
Other |  |  | 7 | (27) |
Net cash (used in) financing activities |  |  | (29,117) | (36,800) |
Net (decrease) in cash and cash equivalents |  |  | (10,260) | (35,866) |
Cash and cash equivalents - beginning of period |  |  | 41,362 | 152,825 | $ 152,825
Cash and cash equivalents - end of period | $ 31,102 | $ 116,959 | 31,102 | 116,959 | $ 41,362
Cash paid during the period for: |  |  |  |  |
Income taxes |  |  | 11,809 | 5,759 |
Interest paid |  |  | 7,305 | 5,630 |
Non-cash investing and financing transactions during the period: |  |  |  |  |
Purchase of businesses - seller financing portion |  |  | 300 | 955 |
Fair market value of initial contingent consideration related to purchase of businesses |  |  | 5,731 | 6,440 |
Offset of notes receivable associated with purchase of redeemable non-controlling interest |  |  | 254 | 627 |
Notes payable related to purchase of redeemable non-controlling interest, temporary equity |  |  | 135 | 66 |
Notes receivable related to sale of redeemable non-controlling interest, temporary equity |  |  | 2,017 | 2,075 |
Notes receivable related to the sale of non-controlling interest, permanent equity |  |  | $ 29 | $ 282 |

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

X
- Definition The cash outflow associated with repayment of notes receivable related to sales of redeemable non-controlling interest. + References No definition available. + Details
Name: | usph_RepaymentOfNotesReceivableRelatedToSalesOfRedeemableNonControllingInterest
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration