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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)