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, 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)
|
|
|
|
| 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, 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
|
(1,903)
|
$ 0
|
(1,903)
|
0
|
(1,903)
|
| Revaluation of redeemable non-controlling interest, net of tax (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
|
|
(9)
|
0
|
(9)
|
| 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 or loss |
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
|
| 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)
|
|
|
|
| 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, net of cancellations |
$ 0
|
0
|
0
|
0
|
$ 0
|
0
|
0
|
0
|
| Issuance of restricted stock, net of cancellations (in shares) |
13,000
|
|
|
|
0
|
|
|
|
| Revaluation of redeemable non-controlling interest, net of tax |
$ 0
|
0
|
0
|
(4,806)
|
$ 0
|
(4,806)
|
0
|
(4,806)
|
| Revaluation of redeemable non-controlling interest, net of tax (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)
|
| 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 or loss |
0
|
0
|
(594)
|
0
|
0
|
(594)
|
0
|
(594)
|
| 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)
|
|
|
|
| Beginning balance at Dec. 31, 2025 |
$ 174
|
285,522
|
714
|
227,216
|
$ (37,194)
|
476,432
|
456
|
$ 476,888
|
| Beginning balance (in shares) at Dec. 31, 2025 |
17,419,000
|
|
|
|
|
|
|
|
| Beginning balance (in shares) at Dec. 31, 2025 |
|
|
|
|
(2,296,000)
|
|
|
(2,296,059)
|
| Increase (Decrease) in Stockholders' Equity [Roll Forward] |
|
|
|
|
|
|
|
|
| Net income attributable to USPH shareholders |
$ 0
|
0
|
0
|
14,936
|
$ 0
|
14,936
|
0
|
$ 14,936
|
| Net income attributable to non-controlling interest - permanent equity |
0
|
0
|
0
|
0
|
0
|
0
|
1,524
|
1,524
|
| Issuance of restricted stock, net of cancellations |
$ 1
|
0
|
0
|
0
|
$ 0
|
1
|
0
|
1
|
| Issuance of restricted stock, net of cancellations (in shares) |
107,000
|
|
|
|
0
|
|
|
|
| Revaluation of redeemable non-controlling interest, net of tax |
$ 0
|
0
|
0
|
(17,663)
|
$ 0
|
(17,663)
|
0
|
(17,663)
|
| Revaluation of redeemable non-controlling interest, net of tax (in shares) |
0
|
|
|
|
0
|
|
|
|
| Compensation expense - equity-based awards |
$ 0
|
4,583
|
0
|
0
|
$ 0
|
4,583
|
0
|
4,583
|
| Sale of non-controlling interest |
0
|
0
|
0
|
0
|
0
|
0
|
26
|
26
|
| Purchase of partnership interests - non-controlling interest |
0
|
(239)
|
0
|
0
|
0
|
(239)
|
(38)
|
(277)
|
| Dividends paid to USPH shareholders |
0
|
0
|
0
|
(13,871)
|
0
|
(13,871)
|
0
|
(13,871)
|
| Distributions to non-controlling interest partners - permanent equity |
0
|
0
|
0
|
0
|
0
|
0
|
(1,457)
|
(1,457)
|
| Deferred taxes related to redeemable non-controlling interest - temporary equity |
0
|
0
|
0
|
2,746
|
0
|
2,746
|
0
|
2,746
|
| Other comprehensive gain or loss |
0
|
0
|
333
|
0
|
0
|
333
|
0
|
333
|
| Transfer of compensation liability for certain stock issued pursuant to long-term incentive plans |
0
|
685
|
0
|
0
|
0
|
685
|
0
|
685
|
| Repurchase of common stock |
$ 0
|
0
|
0
|
0
|
$ (19,284)
|
(19,284)
|
|
(19,284)
|
| Repurchase of common stock (in shares) |
0
|
|
|
|
(307,000)
|
|
|
|
| Other |
$ 0
|
0
|
0
|
(3)
|
$ 0
|
(3)
|
0
|
(3)
|
| Ending balance at Jun. 30, 2026 |
$ 175
|
290,551
|
1,047
|
213,361
|
$ (56,478)
|
448,656
|
511
|
$ 449,167
|
| Ending balance (in shares) at Jun. 30, 2026 |
17,526,000
|
|
|
|
|
|
|
|
| Ending balance (in shares) at Jun. 30, 2026 |
|
|
|
|
(2,603,000)
|
|
|
(2,603,117)
|
| Beginning balance at Mar. 31, 2026 |
$ 175
|
288,140
|
978
|
216,876
|
$ (37,194)
|
468,975
|
459
|
$ 469,434
|
| Beginning balance (in shares) at Mar. 31, 2026 |
17,526,000
|
|
|
|
|
|
|
|
| Beginning balance (in shares) at Mar. 31, 2026 |
|
|
|
|
(2,296,000)
|
|
|
|
| Increase (Decrease) in Stockholders' Equity [Roll Forward] |
|
|
|
|
|
|
|
|
| Net income attributable to USPH shareholders |
$ 0
|
0
|
0
|
9,898
|
$ 0
|
9,898
|
0
|
9,898
|
| Net income attributable to non-controlling interest - permanent equity |
0
|
0
|
0
|
0
|
0
|
0
|
920
|
920
|
| Revaluation of redeemable non-controlling interest, net of tax |
$ 0
|
0
|
0
|
(8,294)
|
$ 0
|
(8,294)
|
0
|
(8,294)
|
| Revaluation of redeemable non-controlling interest, net of tax (in shares) |
0
|
|
|
|
0
|
|
|
|
| Compensation expense - equity-based awards |
$ 0
|
2,411
|
0
|
0
|
$ 0
|
2,411
|
0
|
2,411
|
| Dividends paid to USPH shareholders |
0
|
0
|
0
|
(6,865)
|
0
|
(6,865)
|
0
|
(6,865)
|
| Distributions to non-controlling interest partners - permanent equity |
0
|
0
|
0
|
0
|
0
|
0
|
(868)
|
(868)
|
| Deferred taxes related to redeemable non-controlling interest - temporary equity |
0
|
0
|
0
|
1,746
|
0
|
1,746
|
0
|
1,746
|
| Other comprehensive gain or loss |
0
|
0
|
69
|
0
|
0
|
69
|
0
|
69
|
| Repurchase of common stock |
$ 0
|
0
|
0
|
0
|
$ (19,284)
|
(19,284)
|
0
|
(19,284)
|
| Repurchase of common stock (in shares) |
0
|
|
|
|
(307,000)
|
|
|
|
| Ending balance at Jun. 30, 2026 |
$ 175
|
$ 290,551
|
$ 1,047
|
$ 213,361
|
$ (56,478)
|
$ 448,656
|
$ 511
|
$ 449,167
|
| Ending balance (in shares) at Jun. 30, 2026 |
17,526,000
|
|
|
|
|
|
|
|
| Ending balance (in shares) at Jun. 30, 2026 |
|
|
|
|
(2,603,000)
|
|
|
(2,603,117)
|