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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, 2022 | $ 152 | $ 110,317 | $ 4,004 | $ 232,948 | $ (31,628) | $ 315,793 | $ 1,260 | $ 317,053
Beginning balance (in shares) at Dec. 31, 2022 | 15,216,000 |  |  |  |  |  |  |
Beginning balance (in shares) at Dec. 31, 2022 |  |  |  |  | (2,215,000) |  |  |
Increase (Decrease) in Stockholders' Equity [Roll Forward] |  |  |  |  |  |  |  |
Net income attributable to USPH shareholders | $ 0 | 0 | 0 | 28,239 | $ 0 | 28,239 | 0 | 28,239
Net income attributable to non-controlling interest - permanent equity | 0 | 0 | 0 | 0 | 0 | 0 | 4,555 | 4,555
Issuance of restricted stock, net of cancellations | $ 0 | 0 | 0 | 0 | $ 0 | 0 | 0 | 0
Issuance of restricted stock, net of cancellations (in shares) | 70,000 |  |  |  | 0 |  |  |
Issuance of common stock, pursuant to the secondary public offering, net of issuance costs | $ 20 | 163,626 | 0 | 0 | $ 0 | 163,646 | 0 | 163,646
Issuance of common stock, pursuant to the secondary public offering, net of issuance costs (in shares) | 1,916,000 |  |  |  | 0 |  |  |
Revaluation of redeemable non-controlling interest, net of tax | $ 0 | 0 | 0 | (13,564) | $ 0 | (13,564) | 0 | (13,564)
Revaluation of redeemable non-controlling interest, net of tax (in shares) | 0 |  |  |  | 0 |  |  |
Compensation expense - equity-based awards | $ 0 | 7,236 | 0 | 0 | $ 0 | 7,236 | 0 | 7,236
Sale of non-controlling interest | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 4
Purchase of partnership interests - non-controlling interest | 0 | (83) | 0 | 0 | 0 | (83) | (36) | (119)
Dividends paid to USPH shareholders | 0 | 0 | 0 | (24,128) | 0 | (24,128) | 0 | (24,128)
Distributions to non-controlling interest partners - permanent equity | 0 | 0 | 0 | 0 | 0 | 0 | (4,567) | (4,567)
Deferred taxes related to non-controlling interest (temporary and permanent equity) | 0 | 0 | 0 | 587 | 0 | 587 | 0 | 587
Other comprehensive gain (loss) | 0 | 0 | (1,222) | (2) | 0 | (1,224) | 0 | (1,224)
Transfer from non-controlling interest (permanent equity) to redeemable non-controlling interest (temporary equity) |  |  |  |  |  |  |  | 0
Other | 0 | 0 | 0 | (308) | 0 | (308) | 0 | (308)
Ending balance at Dec. 31, 2023 | $ 172 | 281,096 | 2,782 | 223,772 | $ (31,628) | 476,194 | 1,216 | 477,410
Ending balance (in shares) at Dec. 31, 2023 | 17,202,000 |  |  |  |  |  |  |
Ending 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 | 31,424 | $ 0 | 31,424 | 0 | 31,424
Net income attributable to non-controlling interest - permanent equity | 0 | 0 | 0 | 0 | 0 | 0 | 4,132 | 4,132
Issuance of restricted stock, net of cancellations | $ 0 | 1,500 | 0 | 0 | $ 0 | 1,500 | 0 | 1,500
Issuance of restricted stock, net of cancellations (in shares) | 107,000 |  |  |  | 0 |  |  |
Revaluation of redeemable non-controlling interest, net of tax | $ 0 | 0 | 0 | (4,964) | $ 0 | (4,964) | 0 | (4,964)
Revaluation of redeemable non-controlling interest, net of tax (in shares) | 0 |  |  |  | 0 |  |  |
Compensation expense - equity-based awards | $ 0 | 7,656 | 0 | 0 | $ 0 | 7,656 | 0 | 7,656
Sale of non-controlling interest | 0 | 229 | 0 | 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 | (26,540) | 0 | (26,540) | 0 | (26,540)
Distributions to non-controlling interest partners - permanent equity | 0 | 0 | 0 | 0 | 0 | 0 | (4,133) | (4,133)
Deferred taxes related to non-controlling interest (temporary and permanent equity) | 0 | 0 | 0 | 540 | 0 | 540 | 0 | 540
Other comprehensive gain (loss) | 0 | 0 | 17 | 0 | 0 | 17 | 0 | 17
Transfer of compensation liability for certain stock issued pursuant to long-term incentive plans | 0 | 600 | 0 | 0 | 0 | 600 | 0 | 600
Transfer of RNCI due to separation agreement |  | 0 | 0 | 3,033 | 0 | 3,033 | 0 | 3,033
Transfer from non-controlling interest (permanent equity) to redeemable non-controlling interest (temporary equity) |  |  |  |  |  |  |  | 0
Other | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1
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)
Increase (Decrease) in Stockholders' Equity [Roll Forward] |  |  |  |  |  |  |  |
Net income attributable to USPH shareholders | $ 0 | 0 | 0 | 39,583 | $ 0 | 39,583 | 0 | $ 39,583
Net income attributable to non-controlling interest - permanent equity | 0 | 0 | 0 | 0 | 0 | 0 | 4,573 | 4,573
Issuance of restricted stock, net of cancellations | $ 2 | 0 | 0 | 0 | $ 0 | 2 | 0 | 2
Issuance of restricted stock, net of cancellations (in shares) | 110,000 |  |  |  | 0 |  |  |
Revaluation of redeemable non-controlling interest, net of tax | $ 0 | 0 | 0 | (24,521) | $ 0 | (24,528) | 0 | (24,528)
Revaluation of redeemable non-controlling interest, net of tax (in shares) | 0 |  |  |  | 0 |  |  |
Compensation expense - equity-based awards | $ 0 | 7,812 | 0 | 0 | $ 0 | 7,812 | 0 | 7,812
Sale of non-controlling interest | 0 | (76) | 0 | 0 | 0 | (76) | (26) | (102)
Purchase of partnership interests - non-controlling interest | 0 | (7,836) | 0 | 0 | 0 | (7,836) | (307) | (8,143)
Dividends paid to USPH shareholders | 0 | 0 | 0 | (27,362) | 0 | (27,362) | 0 | (27,362)
Distributions to non-controlling interest partners - permanent equity | 0 | 0 | 0 | 0 | 0 | 0 | (4,499) | (4,499)
Deferred taxes related to non-controlling interest (temporary and permanent equity) | 0 | 0 | 0 | 11,998 | 0 | 11,998 | 0 | 11,998
Other comprehensive gain (loss) | 0 | 0 | (2,085) | 0 | 0 | (2,085) | 0 | (2,085)
Transfer of compensation liability for certain stock issued pursuant to long-term incentive plans | 0 | 721 | 0 | 0 | 0 | 721 | 0 | 721
Transfer from non-controlling interest (permanent equity) to redeemable non-controlling interest (temporary equity) | 0 | (5,236) | 0 | 0 | $ 0 | (5,236) | (518) | (5,754)
Transfer from non-controlling interest (permanent equity) to redeemable non-controlling interest (temporary equity) (in shares) |  |  |  |  | 0 |  |  |
Repurchase of common stock | $ 0 | 0 | 0 | 0 | $ (5,566) | (5,566) | 0 | (5,566)
Repurchase of common stock (in shares) | 0 |  |  |  | (81,000) |  |  |
Other | $ 0 | (184) | 0 | 253 | $ 0 | 76 | 141 | 217
Ending balance at Dec. 31, 2025 | $ 174 | $ 285,522 | $ 714 | $ 227,216 | $ (37,194) | $ 476,432 | $ 456 | $ 476,888
Ending balance (in shares) at Dec. 31, 2025 | 17,419,000 |  |  |  |  |  |  |
Ending balance (in shares) at Dec. 31, 2025 |  |  |  |  | (2,296,000) |  |  | (2,296,059)

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