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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 (Loss) [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 $ 477,410
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 22,180 $ 0 22,180 0 22,180
Net income attributable to non-controlling interest - permanent equity 0 0 0 0 0 0 3,387 3,387
Revaluation of redeemable non-controlling interest, net of tax $ 0 0 0 (3,158) $ 0 (3,158) 0 (3,158)
Revaluation of redeemable non-controlling interest, net of tax (in shares) 0       0      
Compensation expense - equity-based awards $ 0 5,837 0 0 $ 0 5,837 0 5,837
Sale of non-controlling interest 0 229 0 0   229 0 229
Purchase of partnership interests - non-controlling interest 0 (760) 0 0 0 (760) (124) (884)
Dividends paid to USPH shareholders 0 0 0 (19,898) 0 (19,898) 0 (19,898)
Distributions to non-controlling interest partners - permanent equity 0 0 0 0 0 0 (3,292) (3,292)
Deferred taxes related to redeemable non-controlling interest (temporary and permanent equity) 0 0 0 (29) 0 (29) 0 (29)
Other comprehensive gain 0 0 (1,442) 0 0 (1,442) 0 (1,442)
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) (27) 0 (28) 171 143
Ending balance at Sep. 30, 2024 $ 172 287,002 1,339 225,873 $ (31,628) 482,758 1,358 484,116
Ending balance (in shares) at Sep. 30, 2024 17,291,000              
Ending balance (in shares) at Sep. 30, 2024         (2,215,000)      
Beginning balance at Dec. 31, 2023 $ 172 281,096 2,782 223,772 $ (31,628) 476,194 1,216 477,410
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 Jun. 30, 2024 $ 172 285,462 4,084 226,482 $ (31,628) 484,572 1,043 $ 485,615
Beginning balance (in shares) at Jun. 30, 2024 17,291,000              
Beginning balance (in shares) at Jun. 30, 2024         (2,215,000)      
Increase (Decrease) in Stockholders' Equity [Roll Forward]                
Net income attributable to USPH shareholders $ 0 0 0 6,628 $ 0 6,628 0 6,628
Net income attributable to non-controlling interest - permanent equity 0 0 0 0 0 0 1,151 1,151
Revaluation of redeemable non-controlling interest, net of tax $ 0 0 0 (1,097) $ 0 (1,097) 0 (1,097)
Revaluation of redeemable non-controlling interest, net of tax (in shares) 0       0      
Compensation expense - equity-based awards $ 0 1,921 0 0 $ 0 1,921 0 1,921
Sale of non-controlling interest 0 29 0 0 0 29 0 29
Purchase of partnership interests - non-controlling interest 0 (410) 0 0 0 (410) (68) (478)
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 (941) (941)
Deferred taxes related to redeemable non-controlling interest (temporary and permanent equity) 0 0 0 521 0 521 0 521
Other comprehensive gain 0 0 (2,745) 0 0 (2,745) 0 (2,745)
Other 0 0 0 (27) 0 (27) 173 146
Ending balance at Sep. 30, 2024 $ 172 287,002 1,339 225,873 $ (31,628) 482,758 1,358 484,116
Ending balance (in shares) at Sep. 30, 2024 17,291,000              
Ending balance (in shares) at Sep. 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 35,430 $ 0 35,430 0 $ 35,430
Net income attributable to non-controlling interest - permanent equity 0 0 0 0 0 0 3,684 3,684
Issuance of restricted stock, net of cancellations $ 0 0 0 0 $ 0 0 0 0
Issuance of restricted stock, net of cancellations (in shares) 110,000       0      
Revaluation of redeemable non-controlling interest, net of tax $ 0 0 0 (9,821) $ 0 (9,821) 0 (9,821)
Revaluation of redeemable non-controlling interest, net of tax (in shares) 0       0      
Compensation expense - equity-based awards $ 0 5,876 0 0 $ 0 5,876 0 5,876
Sale of non-controlling interest 0 (9) 0 0 0 (9) 0 (9)
Dividends paid to USPH shareholders 0 0 0 (20,520) 0 (20,520) 0 (20,520)
Distributions to non-controlling interest partners - permanent equity 0 0 0 0 0 0 (3,630) (3,630)
Deferred taxes related to redeemable non-controlling interest (temporary and permanent equity) 0 0 0 4,911 0 4,911 0 4,911
Other comprehensive gain 0 0 (1,853) 0 0 (1,853) 0 (1,853)
Transfer of compensation liability for certain stock issued pursuant to long-term incentive plans 0 721 0 0 0 721 0 721
Other 0 (103) (1) 7 0 (97) 69 (28)
Ending balance at Sep. 30, 2025 $ 172 296,806 945 237,272 $ (31,628) 503,567 1,215 $ 504,782
Ending balance (in shares) at Sep. 30, 2025 17,419,000              
Ending balance (in shares) at Sep. 30, 2025         (2,215,000)     (2,214,737)
Beginning balance at Jun. 30, 2025 $ 172 294,636 1,214 236,356 $ (31,628) 500,750 1,544 $ 502,294
Beginning balance (in shares) at Jun. 30, 2025 17,419,000              
Beginning balance (in shares) at Jun. 30, 2025         (2,215,000)      
Increase (Decrease) in Stockholders' Equity [Roll Forward]                
Net income attributable to USPH shareholders $ 0 0 0 13,138 $ 0 13,138 0 13,138
Net income attributable to non-controlling interest - permanent equity 0 0 0 0 0 0 714 714
Revaluation of redeemable non-controlling interest, net of tax $ 0 0 0 (7,918) $ 0 (7,918) 0 (7,918)
Revaluation of redeemable non-controlling interest, net of tax (in shares) 0       0      
Compensation expense - equity-based awards $ 0 2,170 0 0 $ 0 2,170 0 2,170
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 (1,065) (1,065)
Deferred taxes related to redeemable non-controlling interest (temporary and permanent equity) 0 0 0 2,536 0 2,536 0 2,536
Other comprehensive gain 0 0 (268) 0 0 (268) 0 (268)
Other 0 0 (1) 2 0 1 22 23
Ending balance at Sep. 30, 2025 $ 172 $ 296,806 $ 945 $ 237,272 $ (31,628) $ 503,567 $ 1,215 $ 504,782
Ending balance (in shares) at Sep. 30, 2025 17,419,000              
Ending balance (in shares) at Sep. 30, 2025         (2,215,000)     (2,214,737)