7Baggers

U.S. Physical Therapy, Inc
(NYSE:USPH) 

USPH stock logo

U.S. Physical Therapy, Inc., through its subsidiaries, operates outpatient physical therapy clinics that provide pre-and post-operative care and treatment for orthopedic-related disorders, sports-related injuries, preventative care, rehabilitation of injured workers, and neurological-related injurie...

Full Time Employees: 3,200
Sector: Healthcare
Industry: Medical Care Facilities

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Quarterly
Annual
    Unit: USD2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2016-12-31 2015-09-30 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2013-03-13 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 2008-12-31 2008-09-30 2008-06-30 2008-03-31 2007-12-31 2007-09-30 2007-06-30 2007-03-31 2006-12-31 2006-03-31 
                                                                          
      net patient revenue
    164,024,000 164,183,000  150,061,000 139,146,000 140,271,000 131,075,000 131,452,000 127,243,000 129,280,000  120,146,000 116,710,000 118,196,000 109,538,000 113,511,000 112,327,000                                                      
      other revenue
    33,108,000 33,161,000  30,386,000 28,887,000 26,919,000 24,600,000 23,349,000 22,764,000 22,205,000  21,036,000 22,892,000 22,460,000 22,166,000 16,322,000 13,566,000                                                      
      net revenue
    197,132,000 197,344,000  180,447,000 168,033,000 167,190,000 155,675,000 154,801,000 150,007,000 151,485,000  141,182,000 139,602,000 140,656,000 131,704,000 129,833,000 125,893,000                                                      
      yoy
    17.32% 18.04%  16.57% 12.02% 10.37%  9.65% 7.45% 7.70%  8.74% 10.89%                                                          
      qoq
    -0.11%   7.39% 0.50% 7.40% 0.56% 3.20% -0.98%   1.13% -0.75% 6.80% 1.44% 3.13%                                                       
      operating cost:
                                                                          
      salaries and related costs
    116,619,000 113,788,000  109,494,000 99,835,000 96,334,000 93,731,000 90,633,000 89,846,000 86,871,000  82,317,000 81,786,000 79,939,000 75,149,000 75,296,000 70,492,000 68,866,000 63,815,000 65,677,000 57,519,000 43,429,000 69,004,000 70,549,000 66,748,000 70,669,000         64,451,000 46,594,000 41,802,000 40,109,000 37,942,000 36,522,000 35,733,000 35,813,000 34,415,000 34,415,000 33,978,000 33,376,000 32,671,000 32,799,000 23,297,250 32,430,000 31,120,000 29,639,000 28,466,000 27,991,000 27,644,000 26,771,000 27,081,000 26,823,000 26,430,000 25,403,000 25,686,000 25,661,000 24,821,000 24,101,000 23,624,000 19,579,000 18,072,000 17,916,000  18,467,000 
      rent, supplies, contract labor and other
    36,115,000 34,127,000  18,480,000 33,914,000 35,277,000 31,916,000 32,080,000 30,707,000 30,844,000  29,678,000 29,696,000 28,345,000 28,662,000 25,961,000 24,239,000 22,416,000 21,420,000 21,421,000 19,695,000 20,311,000 22,909,000 23,143,000 22,166,000 23,026,000                                             
      depreciation and amortization
    5,495,000 5,741,000                                                                    1,090,000 
      provision for credit losses
    2,073,000 1,995,000  1,847,000 1,721,000 1,717,000  1,572,000 1,525,000 1,563,000  1,356,000 1,336,000 1,551,000 1,305,000 1,383,000 1,358,000 1,364,000 1,200,000                                                    
      loss on clinic closures - lease and other
    -42,000                                                                      
      total operating cost
    160,260,000 155,720,000  147,920,000 138,902,000 133,328,000 127,274,000 124,285,000 122,078,000 119,278,000  113,351,000 112,818,000 109,835,000 105,116,000 102,650,000 96,094,000                                                      
      gross profit
    36,872,000 41,624,000  32,527,000 29,131,000 33,862,000 28,401,000 30,516,000 27,929,000 32,207,000  27,831,000 26,784,000 30,821,000 26,588,000 27,183,000 29,799,000 34,304,000 25,896,000 29,118,000 30,357,000 19,284,000 15,691,000 26,959,000 27,372,000 31,425,000                                             
      yoy
    26.57% 22.92%  6.59% 4.30% 5.14%  9.65% 4.27% 4.50%  2.38% -10.12% -10.15% 2.67% -6.65% -1.84% 77.89% 65.04% 8.01% 10.91% -38.63%                                                 
      qoq
    -11.42%   11.66% -13.97% 19.23% -6.93% 9.26% -13.28%   3.91% -13.10% 15.92% -2.19% -8.78% -13.13% 32.47% -11.07% -4.08% 57.42% 22.90% -41.80% -1.51% -12.90%                                              
      gross margin %
    18.70% 21.09% NaN% 18.03% 17.34% 20.25% 18.24% 19.71% 18.62% 21.26% NaN% 19.71% 19.19% 21.91% 20.19% 20.94% 23.67% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% 
      corporate office costs
    17,414,000 17,476,000 16,245,000 15,571,000 14,385,000 14,249,000 14,085,000 13,901,000 12,048,000 12,145,000  11,925,000 11,889,000 10,741,000 11,556,000 10,718,000 12,867,000 12,074,000 10,874,000 10,916,000 10,422,000 9,022,000 11,677,000 11,673,000 10,556,000 11,527,000         10,306,000 6,923,000 7,468,000 7,614,000 7,132,000 6,766,000 6,224,000 6,622,000 6,507,000 6,507,000 6,147,000 5,977,000 6,396,000 6,262,000 4,407,500 5,142,000 6,007,000 6,481,000 5,709,000 5,798,000 5,511,000 5,805,000 6,430,000 5,790,000 6,234,000 5,388,000 5,052,000 4,677,000 5,431,000 5,062,000 4,624,000 4,209,000 4,136,000 4,357,000  4,515,000 
      loss on change in fair value of contingent earn-out consideration
    -5,872,000 -790,000                                                                     
      operating income
    25,330,000 24,938,000  14,538,000 14,746,000 19,613,000 14,316,000 -880,000 15,881,000 20,062,000  6,794,000 14,895,000 20,080,000 15,032,000 16,465,000 16,932,000 22,230,000 15,022,000 18,202,000 19,935,000 10,262,000 4,014,000 15,286,000 16,816,000 19,898,000         14,850,000 11,949,000      10,684,000 8,151,000 8,151,000 7,942,000 9,392,000 10,598,000 9,871,000 7,054,000 8,652,000 10,882,000 8,682,000 7,801,000 8,733,000 9,990,000 6,666,000 6,113,000 7,195,000 8,487,000 6,457,000          3,550,000 
      yoy
    71.78% 27.15%  -1752.05% -7.15% -2.24%  -112.95% 6.62% -0.09%  -58.74% -12.03% -9.67% 0.07% -9.54% -15.06% 116.62% 274.24% 19.08% 18.55% -48.43%                    13.76% -23.09% -17.42% 12.59% 8.55% -2.61% 13.70% -9.58% -0.93% 8.93% 30.24% 27.61% 21.38% 17.71% 3.24%               
      qoq
    1.57%   -1.41% -24.82% 37.00% -1726.82% -105.54% -20.84%   -54.39% -25.82% 33.58% -8.70% -2.76% -23.83% 47.98% -17.47% -8.69% 94.26% 155.66% -73.74% -9.10% -15.49%          24.28%       31.08% 0.00% 2.63% -15.44% -11.38% 7.37% 39.93% -18.47% -20.49% 25.34% 11.29% -10.67% -12.58% 49.86% 9.05% -15.04% -15.22% 31.44%            
      operating margin %
    12.85% 12.64% NaN% 8.06% 8.78% 11.73% 9.20% -0.57% 10.59% 13.24% NaN% 4.81% 10.67% 14.28% 11.41% 12.68% 13.45% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% Infinity% Infinity% NaN% NaN% NaN% NaN% NaN% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% Infinity% 
      other income:
                                                                          
      interest expense, debt and other
    -2,408,000 -2,422,000 2,279,000 -2,049,000 -2,018,000 -1,980,000 -1,968,000 -2,010,000 -2,101,000                                                              
      interest income from investments
    33,000 28,000 -24,000 306,000 1,018,000 1,074,000 1,543,000                                                                
      change in revaluation of put-right liability
    -663,000 -339,000 404,000 54,000 168,000 -223,000 -80,000 2,926,000 -145,000 -50,000                                                             
      equity in earnings of unconsolidated affiliate
    361,000 401,000 -393,000 264,000 231,000 248,000 271,000 149,000 206,000 326,000  192,000 304,000 340,000 339,000                                                        
      loss on sale of a partnership
      123,000                                                                    
      other
    222,000 47,000 -75,000 96,000 90,000 109,000 62,000 85,000 78,000                                                             -54,000 
      total other expense
    -2,455,000 -2,285,000                                                                     
      income before taxes
    22,875,000 22,653,000 17,328,000 18,322,000 12,336,000 14,795,000 14,756,000 106,000 15,779,000 19,095,000  4,560,000 16,036,000 19,495,000 15,480,000 13,701,750 17,938,000 22,039,000 14,830,000 23,196,000 20,042,000 18,645,000 3,630,000 14,439,000 16,266,000 25,118,000         4,182,000 11,718,000      10,555,000   7,354,000 9,251,000 10,454,000 9,711,000 6,973,250 8,507,000 10,775,000 8,611,000 6,444,250 8,684,000 9,911,000 7,182,000               
      provision for income taxes
    5,233,000 4,933,000  5,828,000 2,559,000 3,083,000  1,399,000 3,557,000 4,231,000  1,212,000 3,215,000 4,239,000 3,498,000 3,946,000 3,815,000 4,567,000 2,944,000 4,569,000 4,279,000 3,882,000 292,000 2,424,000 3,197,000 5,318,000                         3,172,000 2,426,000                   
      net income
    17,642,000 17,720,000  12,494,000 9,777,000 11,712,000 11,617,000 -1,293,000 12,222,000 14,864,000  3,348,000 12,821,000 15,256,000 11,982,000 14,443,000 14,123,000 17,472,000 11,886,000 18,627,000 15,763,000 14,763,000 3,338,000 12,015,000 13,069,000 19,800,000                                   2,233,000 2,531,000 2,855,000 2,385,000 2,486,000 2,120,000 2,303,000 1,829,000  1,484,000 
      yoy
    80.44% 51.30%  -1066.28% -20.00% -21.21%  -138.62% -4.67% -2.57%  -76.82% -9.22% -12.68% 0.81% -22.46% -10.40% 18.35% 256.08% 55.03% 20.61% -25.44%                                       -10.18% 19.39% 23.97% 30.40%  42.86%     
      qoq
    -0.44%   27.79% -16.52% 0.82% -998.45% -110.58% -17.77%   -73.89% -15.96% 27.32% -17.04% 2.27% -19.17% 47.00% -36.19% 18.17% 6.77% 342.27% -72.22% -8.06% -33.99%                                    -11.77% -11.35% 19.71% -4.06% 17.26% -7.95% 25.92%    
      net income margin %
    8.95% 8.98% NaN% 6.92% 5.82% 7.01% 7.46% -0.84% 8.15% 9.81% NaN% 2.37% 9.18% 10.85% 9.10% 11.12% 11.22% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% NaN% Infinity% 
      less: net income attributable to non-controlling interest:
                                                                          
      redeemable non-controlling interest - temporary equity
    -3,790,000 -3,914,000  -2,505,000 -1,998,000 -3,314,000 -2,227,000 3,190,000 -1,976,000 -2,920,000  318,000 -2,037,000 -2,626,000 -2,557,000 -2,689,000 -2,605,000                                                      
      non-controlling interest - permanent equity
    -714,000 -1,413,000  -745,000 -1,151,000 -892,000 -1,344,000 -1,241,000 -992,000 -1,025,000  -1,059,000 -1,227,000 -1,435,000 -626,000 -1,541,000 -1,509,000                                                      
      net income attributable to usph shareholders
    13,138,000 12,393,000  9,244,000 6,628,000 7,506,000 8,046,000 656,000 9,254,000 10,919,000  2,607,000 9,557,000 11,195,000 8,799,000 10,213,000 10,009,000 12,436,000 8,173,000 13,030,000 10,916,000 10,232,000 1,016,000 7,929,000 9,047,000 14,620,000 8,443 34,848,535 8,102 9,246 7,117  5,150 4,941                                     
      basic and diluted earnings per share attributable to usph shareholders
    0.48 0.58  0.52 0.39 0.47 0.46 -0.44 0.51 0.64  -0.02 0.72 0.87 0.67 0.72 0.66 0.82 0.21 0.68 0.61 0.99 0.2 0.55 0.66 0.85                                             
      shares used in computation - basic and diluted
    15,204 15,197  15,077 15,072 15,017 270 14,987 13,720  13,001 12,998 12,937 12,909 12,902 12,870 12,847 12,843 12,796 12,774 12,767                                             
      dividends declared per common share
    0.45 0.45  0.44 0.44 0.44 0.44 0.43 0.43 0.43  0.41 0.41 0.41 0.41 0.38 0.38 0.35 0.35    0.32 0.3 0.3 0.27         0.23 0.15 0.12 0.12 0.12 0.1 0.1 0.1 0.1 0.1 0.49 0.09 0.09 0.09 0.06 0.08 0.08 0.08                   
      clinic closure costs - lease and other
     69,000  246,000 3,432,000                                                                  
      weighted-average remaining lease term
      4,490                                                                    
      weighted-average discount rate
      4,800                                                                    
      net revenue:
                                                                          
      physical therapy operations
      156,408,000                                                                    
      industrial injury prevention services
      27,380,000                                                                    
      total company
      183,788,000                                                                    
      operating costs:
                                                                          
      salaries and related costs:
                                                                          
      total salaries and related costs
      111,249,000                                                                    
      rent supplies, contract labor and other:
                                                                          
      total rent, supplies, contract labor and other
      33,844,000                                                                    
      depreciation and amortization:
                                                                          
      total depreciation and amortization
      5,540,000                                                                    
      provision for credit losses:
                                                                          
      total provision for credit losses
      1,848,000                                                                    
      clinic closure costs:
                                                                          
      total clinic closure costs
      242,000                                                                    
      gross profit:
                                                                          
      unallocated amounts
                                                                          
      gain on change in fair value of contingent earn-out consideration
      -4,822,000                                                                    
      total unallocated amounts
      13,737,000                                                                    
      assets:
                                                                          
      goodwill:
                                                                          
      total goodwil
      674,387,000                                                                    
      all other assets:
                                                                          
      total all other assets
      505,300,000                                                                    
      total assets
      1,179,687,000                                                                    
      change in fair value of contingent earn-out consideration
       5,113,000 -1,899,000 -4,046,000 612,000 -1,747,000 187,000 708,000  520,000 2,000,000                                                          
      relief funds
                       5,152,000 390,000 7,959,000                                                 
      total other income
       -1,697,000 -2,410,000 -4,818,000 440,000 986,000 -102,000 -967,000                                                             
      benefit from credit losses
          1,627,000                                                                
      benefit from income taxes
          3,139,000                            2,658,500 3,654,000 3,625,000 4,469,000 2,939,000 3,438,000 3,017,000 3,181,000 2,409,000 2,409,000 2,042,000 2,953,000 3,140,000 2,899,000 2,063,000 2,654,000   1,858,750 2,507,000 2,877,000 2,051,000 1,849,000 1,964,000 2,342,000 1,779,000 1,263,500 1,635,000 1,863,000 1,556,000 1,534,000 1,297,000 1,465,000 1,169,000  926,000 
      other income
                                                                          
      interest income
           547,750 1,673,000                                                   3,000          82,000 
      interest expense - debt and other
             -2,633,000  -2,239,000 -2,013,000 -987,000 -540,000 -191,000 -268,000 -237,000 -246,000 -203,000 -351,000 -653,000 -427,000                                                
      other and interest income
             682,000                                                             
      november 2022 acquisition
                                                                          
      october 2022 acquisition
                                                                          
      september 2022 acquisition
                                                                          
      august 2022 acquisition
                                                                          
      march 2022 acquisition
                                                                          
      adjusted ebitda
                                                                          
      adjustments:
                                                                          
      equity-based awards compensation expense
                                                                         222,000 
      allocation to non-controlling interests
                                                                          
      earnings per share
                                                                          
      computation of earnings per share - usph shareholders:
                                                                          
      charges to retained earnings:
                                                                          
      revaluation of redeemable non-controlling interest
                              -4,661 -4,526.25 -8,680 -4,344 -5,081                                        
      tax effect at statutory rate
                                                                          
      operating results
                                    6,004 7,432                                     
      basic and diluted operating results per share
                                    0.48 0.59                                     
      other income and expense
                                                                          
      resolution of a payor matter
                    1,216,000                                                      
      interest and other income
               69,000 65,000 679,000 46,000 41,000 58,000 46,000 54,000 45,000 50,000 4,000 43,000 19,000 7,000 4,000         45,000 24,000 2,000  1,000 2,000 2,000 1,000 2,000 2,000 2,000 1,000 1,000 2,000 2,000 4,000 2,000 2,000 3,000 1,000 2,000 580,000 1,000 2,000 2,000            
      gain on revaluation of put-right liability
               192,750 785,000  603,000                                                        
      total other income and expense
               -2,234,000 1,141,000 -585,000 448,000 1,924,000 1,006,000 -191,000 -192,000 4,994,000 107,000 8,383,000                                                 
      loss on revaluation of put-right liability
                 -617,000                                                         
      less: net income attributable to non-controlling interest: - sum
                 -4,061,000 -3,183,000 -4,230,000 -4,114,000                                                      
      closure costs - lease and other
                   10,000 5,000 -22,000 37,000 6,000 79,000 94,000 1,893,000                                                
      closure costs - derecognition of goodwill
                                                                          
      other income and expense:
                                                                          
      gain on sale of partnership interest and clinics
                        18,000 1,073,000                                                 
      net patient revenues
                     113,238,000 99,254,000 104,537,000 96,398,000 72,279,000 100,126,000 108,940,000 104,392,000 113,363,000 106,650,000 417,393,105 103,354 105,989 93,654    109,427,000 82,154,000 76,184,000 76,470,000 68,397,000 67,256,000 64,368,000 65,295,000 61,505,000 61,505,000 61,110,000 60,782,000 62,052,000 60,499,000 -167,828,128 57,332,000 56,678,000 53,872,000 51,278,000 51,748,000 52,296,000 48,779,000 48,789,000 49,578,000 50,291,000 46,664,000 46,409,000 46,128,000 46,205,000 44,197,000 43,084,000 36,906,000 35,171,000 34,276,000  34,061,000 
      other revenues
                     13,690,000 13,114,000 12,929,000 12,531,000 11,578,000 12,591,000 13,174,000 12,859,000 13,010,000 535,000 36,206,059 565 675 548    2,541,000 1,895,000 1,532,000 1,731,000 1,370,000 1,349,000 1,461,000 1,929,000 1,593,000 1,593,000 1,584,000 2,071,000 1,907,000 2,083,000 2,111,500 2,343,000 3,234,000 2,869,000             215,000 59,000 4,000 26,000  26,000 
      net revenues
                     126,928,000 112,368,000 117,466,000 108,929,000 83,857,000 112,717,000 122,114,000 117,251,000 126,373,000         111,968,000 84,049,000 77,716,000 78,201,000 69,767,000 68,605,000 65,829,000 67,224,000 63,098,000 63,098,000 62,694,000 62,853,000 63,959,000 62,582,000 -176,271,259 59,675,000 59,912,000 56,741,000 53,327,000 53,398,000 54,103,000 50,405,000 50,416,000 51,037,000 51,787,000 48,169,000 47,814,000 47,232,000 47,389,000 45,251,000 44,154,000 37,453,000 35,459,000 34,620,000  34,656,000 
      total operating costs
                     92,624,000 86,472,000 88,348,000 78,572,000 64,573,000 97,026,000 95,155,000 89,879,000 94,948,000                                             
      less: net income attributable to non-controlling interests:
                                                                          
      redeemable non-controlling interests - temporary equity
                     -3,611,000 -2,453,000 -3,364,000 -3,019,000 -2,996,000 -1,796,000 -2,507,000 -2,379,000 -3,378,000                                             
      non-controlling interests - permanent equity
                     -1,425,000 -1,260,000 -2,233,000 -1,828,000 -1,535,000 -526,000 -1,579,000 -1,643,000 -1,802,000                                             
      less: net income attributable to non-controlling interests: - sum
                     -5,036,000 -3,713,000 -5,597,000 -4,847,000 -4,531,000 -2,322,000 -3,283,500 -4,022,000 -5,180,000                                             
      provision for doubtful accounts
                       844,750 1,279,000 739,000 1,361,000 1,450,000 962,000 1,240,000                         504,000 624,000                   
      closure costs - write-off of goodwill
                          1,859,000                                                
      closure costs
                           13,000 3,000 13,000         6,000 88,000 -39,000 -2,000 13,000 225,000 -5,000 8,000 18,000 18,000 135,000 5,000 22,000 49,000 11,000 13,000 11,000 20,000 129,000 19,000 -14,000 29,000 8,000 49,000 32,000 2,000          22,000 
      gain on sale of partnership interest
                           -309,000  5,823,000                                             
      interest expense
                           -380,500 -557,000 -607,000         -191,250 -255,000 -237,000 -332,000 -253,000 -140,000 -133,000 -130,000 -135,000 -135,000 -108,000 -142,000 -145,000 -162,000 -82,750 -149,000 -109,000 -73,000 -41,000 -50,000 -81,000 -64,000 -58,000 -93,000 -113,000 -88,000 -121,000 -158,000 -114,000 -149,000 -166,000 -84,000     
      management contract revenues
                              2,146,000 1,579.75 1,922 2,160 1,857                                  855,000 488,000 284,000 318,000  569,000 
      industrial injury prevention services revenues
                              6,900,000 4,601.75 7,281 6,274 1,506                                        
      tax effect at statutory rate (federal and state) of 26.25%
                              1,224 1,188.25 2,279 1,140 1,334                                        
      basic and diluted per share
                              0.39 0.22 0.13 0.48 0.27                                        
      shares used in computation:
                                                                          
      basic and diluted earnings per share - weighted-average shares
                              12,707                                            
      computation of earnings per share - usph shareholders
                                                                          
      shares used in computation:
                                                                          
      basic and diluted
                               3,165 12,685 12,677   12,581 12,579                                     
      interest expense mrnci * - change in redemption value
                                    1,247 3,923                                     
      costs related to restatement of financials - legal and accounting
                                    158 177                                     
      tax effect at statutory rate (federal and state) of 39.25%
                                    -551 -1,609                                     
      basic and diluted net income attributable to usph shareholders per share
                                    0.41 0.39                                     
      ·
                                                                          
      clinic operating costs:
                                                                          
      rent, clinic supplies, contract labor and other
                                      21,434,000 17,428,000 16,117,000 15,205,000 14,216,000 14,726,000 12,878,000 12,904,000 12,918,000 12,918,000 13,300,000 12,844,000 12,992,000 12,484,000 8,673,750 12,012,000 11,388,000 11,295,000 10,444,000 10,162,000 10,238,000 10,100,000 10,012,000 10,179,000 9,735,000 10,213,000 10,153,000 10,216,000 9,842,000 9,603,000 9,344,000 8,179,000 7,629,000 7,429,000  7,524,000 
      benefit from doubtful accounts
                                      779,750 1,067,000 1,090,000 1,054,000 950,000 994,000 1,095,000 1,193,000 1,089,000 1,089,000 1,192,000 1,259,000 1,280,000 1,117,000 638,500 1,426,000   615,750 695,000 734,000 1,034,000 772,000 1,001,000 869,000 706,000 557,500 747,000 735,000 748,000 825,000 691,000 406,000 631,000  566,000 
      total clinic operating costs
                                      86,812,000 65,177,000 58,970,000 56,366,000 53,121,000 52,467,000 49,701,000 49,918,000 48,440,000 48,440,000 48,605,000 47,484,000 46,965,000 46,449,000 32,620,500 45,881,000 43,023,000 41,578,000 39,817,000 38,867,000 38,602,000 37,934,000 37,873,000 38,052,000             
      gross margin
                                      25,156,000 18,872,000 18,746,000 21,835,000 16,646,000 16,138,000 16,128,000 17,306,000 14,658,000 14,658,000 14,089,000 15,369,000 16,994,000                        
      net income including non-controlling interests
                                      5,833,000 8,064,000 7,418,000 9,420,000 6,323,000 5,754,000 2,259,000                              
      less: net income attributable to non-controlling interests
                                      1,327,000 -2,246,000 -2,202,000 -2,988,000 -2,095,000 -1,893,000 -2,032,000                              
      net income attributable to common shareholders
                                      4,072,000 5,818,000 5,216,000 6,432,000 4,228,000 3,861,000 227,000 4,914,000 3,721,000 3,721,000 4,043,000 4,563,000 4,849,000 4,478,000 8,229,000 4,099,000 4,900,000 3,746,000 4,147,000 3,875,000 4,451,000 3,172,000 2,290,000 3,101,000             
      basic earnings per share attributable to common shareholders:
                                                                          
      from operations prior to revaluation of redeemable non-controlling interests, net of tax
                                      0.33 0.47                                   
      charges to additional paid-in-capital - revaluation of redeemable non-controlling interests, net of tax
                                      -0.008                                    
      basic
                                      0.323 0.47                                   
      diluted earnings per share attributable to common shareholders:
                                                                          
      diluted
                                      0.323 0.47                                   
      shares used in computation:
                                                                          
      basic
                                      3,095.5 12,421 12,244 12,224 12,129 13 12,106 12,089 11,955 11,955 26 11,827 11,781 11,726 -106 11,886 11,807 11,718 11,667 11,622 11,614 -31 11,570 11,615 12,020           
      diluted
                                      3,095.5 12,421 12,247 12,226 12,144 13 12,120 12,110 11,979 11,979 12 11,928 11,903 11,838 -62 12,011 11,999 11,945 11,889 11,857 11,840 26 11,748 11,653 12,025           
      operating income from continuing operations
                                        11,278,000 14,221,000 9,514,000 9,372,000 9,904,000                    5,648,000 5,931,000 6,560,000 5,737,000 5,737,000 4,795,000 5,216,000 4,287,000   
      income before taxes from continuing operations
                                        11,043,000 13,889,000 9,262,000 9,234,000 9,773,000                              
      net income from continuing operations including non-controlling interests
                                        7,418,000 9,420,000 6,323,000 5,796,000 6,756,000                              
      discontinued operations, net of tax
                                           -1,241,250 -4,497,000                              
      diluted earnings per share attributable to common shareholders:
                                                                          
      from continuing operations
                                        0.43 0.53 0.35 0.32 0.38                              
      revaluation of redeemable non-controlling interests, net of tax
                                         -0.01 -0.08                                
      from discontinued operations
                                           -0.01 -0.36                              
      basic
                                        0.43 0.52  0.31 0.02                              
      diluted
                                        0.43 0.52                                 
      earnings attributable to common shareholders:
                                                                          
      from discontinued operations
                                           -0.01 -0.36                              
      from discontinued operations
                                           -0.01 -0.36                              
      basic
                                        0.43 0.52  0.31 0.02                              
      diluted earnings per share attributable to common shareholders:
                                                                          
      diluted
                                           0.32 0.02                              
      net income including noncontrolling interests
                                             7,374,000 5,609,000 5,609,000 5,794,000 6,298,000 7,314,000 6,812,000 -19,634,815 5,853,000 7,603,000 6,185,000 6,358,000 6,177,000 7,034,000 5,131,000 4,207,000 5,140,000 6,034,000 4,593,000           
      less: net income attributable to noncontrolling interests
                                             -2,460,000 -1,888,000 -1,888,000 -1,751,000 -1,735,000 -2,465,000 -2,334,000 -1,724,000 -1,754,000 -2,703,000 -2,439,000 -2,211,000 -2,302,000 -2,583,000 -1,959,000 -1,917,000 -2,039,000             
      earnings per share attributable to common shareholders:
                                                                          
      basic
                                             0.41 0.31 0.31 0.34 0.39 0.41 0.38 0.27 0.35 0.42 0.32 0.35 0.33 0.38 0.27 0.203 0.27 0.31            
      diluted
                                             0.41 0.31 0.31 0.34 0.38 0.41 0.38 0.265 0.34 0.41 0.31 0.35 0.33 0.38 0.27 0.2 0.26 0.31            
      income from operations
                                              8,018,000 8,018,000             6,056,000 7,104,000 8,376,000 6,372,000           
      management contract revenues and other revenues
                                                        2,049,000 1,650,000 1,807,000 1,626,000 1,627,000 1,459,000 1,496,000 1,505,000           
      less: net income attributable to noncontrolling interest
                                                              -2,412,000 -1,839,000           
      net income attributable to u. s. physical therapy, inc
                                                              3,622,000            
      earnings per share attributable to u. s. physical therapy, inc. common shareholders:
                                                                          
      basic
                                             0.41 0.31 0.31 0.34 0.39 0.41 0.38 0.27 0.35 0.42 0.32 0.35 0.33 0.38 0.27 0.203 0.27 0.31            
      diluted
                                             0.41 0.31 0.31 0.34 0.38 0.41 0.38 0.265 0.34 0.41 0.31 0.35 0.33 0.38 0.27 0.2 0.26 0.31            
      net income attributable to u. s. physical therapy, inc.
                                                               2,754,000           
      earnings per share:
                                                                          
      net income attributable to u. s. physical therapy, inc. common shareholders:
                                                                          
      basic
                                                               0.23           
      diluted
                                                               0.23           
      management contract and other revenues
                                                                835,500 1,104,000 1,184,000 1,054,000       
      interest, investment and other income
                                                                10,000 -24,000 249,000        
      minority interests in subsidiary limited partnerships
                                                                -1,853,000 -1,583,000 -1,977,000 -1,672,000 -1,576,000 -1,369,000 -1,467,000 -1,315,000  -1,201,000 
      income before income taxes from continuing operations
                                                                3,684,000 4,166,000 4,718,000 3,941,000 4,016,000 3,429,000 3,822,000 3,013,000   
      net income from continuing operations
                                                                2,233,000 2,531,000 2,855,000 2,385,000 2,482,000 2,132,000 2,357,000 1,844,000   
      discontinued operations:
                                                                          
      income from discontinued operations
                                                                    6,000 -17,000 -86,000 -24,000   
      tax benefit (expense) from discontinued operations
                                                                    -2,000 5,000 32,000 9,000   
      basic — income from continuing operations
                                                                0.19 0.21 0.24 0.2 0.21 0.18 0.2 0.16   
      basic — income from discontinued operations
                                                                          
      total basic earnings per common share
                                                                0.19 0.21 0.24 0.2 0.21 0.18 0.2 0.16   
      diluted — income from continuing operations
                                                                0.18 0.21 0.24 0.2 0.21 0.18 0.2 0.16   
      diluted — income from discontinued operations
                                                                          
      total diluted earnings per common share
                                                                0.18 0.21 0.24 0.2 0.21 0.18 0.2 0.16   
      basic earnings per common share
                                                                26 11,918 11,874 11,852 65 11,673 11,559 11,501  130 
      diluted earnings per common share
                                                                12 12,132 12,045 11,914 61 11,738 11,648 11,589  120 
      interest and investment income
                                                                   25,000 21,000 87,000 73,000 41,000   
      (loss) from discontinued operations
                                                                          
      tax benefit from discontinued operations
                                                                          
      loss in unconsolidated joint venture
                                                                         -21,000 
      loss on sale or disposal of fixed assets
                                                                         12,000 
      income before income taxes
                                                                         2,410,000 
      operating activities
                                                                          
      adjustments to reconcile net income to net cash provided by
                                                                          
      operating activities:
                                                                          
      minority interests in earnings of subsidiary limited partnerships
                                                                         1,201,000 
      deferred income taxes
                                                                         471,000 
      loss on sale or abandonment of fixed assets
                                                                         12,000 
      tax benefit from exercise of stock options
                                                                          
      recognition of deferred rent subsidies
                                                                         -103,000 
      changes in operating assets and liabilities:
                                                                          
      increase in patient accounts receivable
                                                                         -1,218,000 
      increase in accounts receivable -- other
                                                                         -137,000 
      increase in other assets
                                                                         -107,000 
      increase in accounts payable and accrued expenses
                                                                         1,313,000 
      increase in other liabilities
                                                                         187,000 
      net cash from operating activities
                                                                         4,981,000 
      investing activities
                                                                          
      purchase of fixed assets
                                                                         -1,480,000 
      acquisition of minority interests, included in goodwill
                                                                         -800,000 
      net cash from investing activities
                                                                         -2,334,000 
      financing activities
                                                                          
      distributions to minority investors in subsidiary limited partnerships
                                                                         -881,000 
      repurchase of common stock
                                                                         -860,000 
      payment of notes payable
                                                                         -68,000 
      excess tax benefit from stock options exercised
                                                                         10,000 
      proceeds from exercise of stock options
                                                                         11,000 
      net cash from financing activities
                                                                         -1,788,000 
      net increase in cash and cash equivalents
                                                                         859,000 
      cash and cash equivalents -- beginning of period
                                                                         15,002,000 
      cash and cash equivalents - end of period
                                                                         15,861,000 
      supplemental disclosures of cash flow information
                                                                          
      cash paid during the period for:
                                                                          
      income taxes
                                                                         256,000 
      interest
                                                                         11,000 
    Balance Sheets:
    Quarterly
    Annual
      Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2013-03-13 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 2008-12-31 2008-09-30 2008-06-30 2008-03-31 2007-12-31 2007-09-30 2007-06-30 2007-03-31 2006-12-31 2006-03-31 2005-12-31 
                                                                                      
        assets
                                                                                      
        current assets:
                                                                                      
        cash and cash equivalents
      28,439,000 35,570,000 31,102,000 34,086,000 39,183,000 41,362,000 116,959,000 112,911,000 132,290,000 152,825,000 147,685,000 160,738,000 32,605,000 31,594,000 37,914,000 48,572,000 24,229,000 28,567,000 19,188,000 20,419,000 17,937,000 32,918,000 30,129,000 43,555,000 89,551,000 23,548,000 27,856,000 34,859,000 20,238,000 23,368,000 32,241,000 27,148,000 19,813,000 21,933,000 17,418,000 20,242,000 25,154,000 20,047,000 15,024,000 20,453,000 19,206,000 20,558,000 12,972,000 14,557,000 14,271,000 15,824,000 12,934,000 16,761,000 12,898,000 12,123,000 10,287,000 10,284,000 10,284,000 11,671,000    9,983,000    9,179,000    6,429,000 9,326,000 10,439,000 11,081,000 10,113,000 9,153,000 8,073,000 9,197,000 7,976,000 9,566,000 11,968,000 13,093,000 10,952,000 15,861,000 15,002,000 
        patient accounts receivable, less provision for credit losses of 3,902 and 3,775, respectively
      69,082,000                                                                                
        accounts receivable - other
      27,642,000 24,087,000 23,672,000 27,429,000 26,136,000 26,626,000 20,056,000 21,669,000 21,774,000 17,854,000 18,469,000 16,852,000 17,816,000 16,671,000 19,146,000 18,915,000 18,239,000 16,144,000 10,093,000 9,025,000 8,621,000 9,039,000 9,878,000 9,983,000 11,650,000 9,823,000 10,462,000 10,724,000 7,237,000 6,742,000 9,609,000 8,589,000 6,504,000 5,655,000 6,992,000 5,662,000 6,346,000                                            
        other current assets
      13,946,000 16,084,000 16,032,000 13,061,000 15,274,000 10,555,000 10,833,000 12,438,000 11,715,000 10,830,000 9,387,000 9,924,000 10,726,000 11,067,000 6,085,000 3,810,000 4,040,000 4,183,000 3,687,000 5,111,000 3,846,000 3,773,000 3,198,000 2,572,000 4,822,000 5,787,000 7,098,000 7,102,000 5,238,000 4,353,000 4,908,000 5,247,000 3,050,000 4,786,000 5,444,000 6,932,000 3,827,000 4,428,000 10,800,000 8,220,000 8,298,000 6,058,000 6,509,000 5,291,000 6,186,000 5,076,000 2,703,000 3,040,000 4,098,000 4,482,000 1,878,000 3,862,000 3,862,000 5,975,000 4,956,000 5,328,000 5,248,000 5,737,000 6,232,000 5,179,000 3,466,000 3,736,000 2,944,000 3,356,000 2,124,000 2,959,000 2,260,000 2,103,000 2,334,000 1,857,000 1,752,000 2,098,000 1,509,000 1,333,000 2,173,000 2,031,000 2,067,000 2,251,000 1,692,000 1,428,000 
        total current assets
      139,109,000 139,990,000 138,435,000 140,532,000 145,353,000 137,583,000 204,870,000 201,677,000 221,142,000 233,375,000 228,499,000 241,799,000 117,794,000 111,266,000 112,892,000 121,846,000 95,843,000 95,166,000 79,424,000 79,699,000 75,798,000 87,636,000 82,644,000 92,139,000 148,672,000 85,386,000 92,534,000 107,009,000 81,156,000 79,214,000 90,657,000 86,408,000 75,595,000 77,081,000 73,415,000 79,606,000 78,571,000 65,964,000 66,618,000 70,364,000 68,066,000 63,661,000 55,649,000 55,899,000 54,851,000 56,615,000 51,847,000 54,254,000 49,660,000 45,157,000 41,429,000 44,722,000 44,722,000 45,322,000 44,063,000 44,644,000 47,123,000 45,667,000 45,836,000 44,252,000 44,060,000 39,284,000 38,064,000 35,212,000 39,223,000 33,019,000 36,007,000 36,945,000 39,766,000 38,721,000 38,712,000 39,525,000 39,307,000 36,033,000 38,790,000 39,020,000 39,095,000 35,981,000 38,764,000 36,852,000 
        fixed assets:
                                                                                      
        furniture and equipment
      70,376,000 67,891,000 67,522,000 66,756,000 68,802,000 68,128,000 66,782,000 65,775,000 65,550,000 63,982,000 64,507,000 63,429,000 63,139,000 62,074,000 62,006,000 60,379,000 60,205,000 58,743,000 58,179,000 57,538,000 56,754,000 55,426,000 55,411,000 55,914,000 56,873,000 54,942,000 54,464,000 52,831,000 53,267,000 52,611,000 52,473,000 51,923,000 51,569,000 51,100,000 51,822,000 50,644,000 49,820,000 48,426,000 46,996,000 46,747,000 45,654,000 44,157,000 43,495,000 42,542,000 42,003,000 42,104,000 41,310,000 39,472,000 38,965,000 37,496,000 37,941,000 36,960,000 36,960,000 36,316,000 35,853,000 35,230,000 35,491,000 35,103,000 35,024,000 33,953,000 33,943,000 33,563,000 32,491,000 32,220,000 32,154,000 31,973,000 32,207,000 32,121,000 32,150,000 30,947,000 30,421,000 29,929,000 29,281,000 28,782,000 28,124,000 24,650,000 24,098,000 23,718,000 23,884,000 23,010,000 
        leasehold improvements
      61,375,000 58,985,000 58,015,000 55,218,000 53,504,000 51,105,000 48,385,000 48,730,000 47,458,000 46,941,000 46,212,000 45,096,000 43,525,000 42,877,000 41,961,000 41,038,000 40,541,000 39,194,000 37,413,000 35,986,000 35,492,000 35,320,000 34,111,000 33,631,000 32,873,000 33,247,000 31,948,000 31,020,000 33,089,000 31,712,000 31,101,000 30,421,000 29,981,000 29,760,000 28,449,000 27,729,000 27,582,000 26,765,000 26,206,000 25,733,000 25,547,000 25,006,000 24,107,000 23,565,000 22,806,000 22,639,000 22,065,000 21,701,000 21,891,000 22,170,000 21,404,000 21,353,000 21,353,000 20,858,000 20,598,000 20,407,000 19,987,000 20,385,000 19,990,000 19,733,000 19,587,000 19,590,000 19,240,000 18,999,000 18,916,000 19,012,000 19,209,000 18,581,000 18,175,000 18,061,000 17,792,000 17,512,000 17,068,000 17,352,000 17,325,000 16,171,000 15,554,000 15,226,000 14,835,000 14,556,000 
        fixed assets, gross
      131,751,000 126,876,000 125,537,000 121,974,000 122,306,000 119,233,000 115,167,000 114,505,000 113,008,000 110,923,000 110,719,000 108,525,000 106,664,000 104,951,000 103,967,000 101,417,000 100,746,000 97,937,000 95,592,000 93,524,000 92,246,000 90,746,000 89,522,000 89,545,000 89,746,000 88,189,000 86,412,000 83,851,000 86,356,000 84,323,000 83,574,000 82,344,000 81,550,000 80,860,000 80,271,000 78,373,000 77,402,000 75,191,000 73,202,000 72,480,000 71,201,000    64,809,000                                    
        less accumulated depreciation and amortization
      -93,129,000 -91,225,000 -91,315,000 -89,853,000 -89,542,000 -87,093,000 -88,602,000 -88,277,000 -86,757,000 -84,821,000 84,651,000 83,548,000 82,026,000 80,203,000 78,960,000 77,188,000 76,601,000 74,958,000 73,556,000 71,964,000 70,485,000 69,081,000 68,048,000 67,011,000 66,764,000 66,099,000 65,040,000 63,829,000 65,197,000 64,154,000 63,608,000 62,652,000 61,742,000 60,475,000 59,517,000 58,200,000 57,235,000 56,018,000 55,760,000 55,642,000 54,512,000 52,501,000 51,098,000 50,212,000 49,045,000 48,685,000 47,517,000 46,543,000 45,896,000 46,150,000 45,588,000 44,922,000 44,922,000 44,158,000 43,634,000 42,747,000 42,556,000 42,299,000 41,432,000 40,940,000 39,998,000 39,230,000 38,546,000 37,816,000 37,185,000 36,646,000 36,314,000 35,131,000 34,105,000 33,167,000 32,106,000 30,893,000 30,086,000 29,342,000 28,373,000 27,628,000 26,618,000 25,573,000 24,591,000 23,825,000 
        fixed assets
      38,622,000 35,651,000 34,222,000 32,121,000 32,764,000 32,140,000 26,565,000 26,228,000 26,251,000 26,102,000 26,068,000 24,977,000 24,638,000 24,748,000 25,007,000 24,229,000 24,145,000 22,979,000 22,036,000 21,560,000 21,761,000 21,665,000 21,474,000 22,534,000 22,982,000 22,090,000 21,372,000 20,022,000 21,159,000 20,169,000 19,966,000 19,692,000 19,808,000 20,385,000 20,754,000 20,173,000 20,167,000 19,173,000 17,442,000 16,838,000 16,689,000    15,764,000                                    
        operating lease right-of-use assets
      149,202,000 144,197,000 139,926,000 137,248,000 133,197,000 133,936,000 103,938,000 105,484,000 102,113,000 103,431,000 102,665,000 101,582,000 100,604,000 103,004,000 100,967,000 101,274,000 94,243,000 96,427,000 92,952,000 87,090,000 81,553,000 81,595,000 78,784,000 82,965,000 83,619,000 81,586,000 79,793,000 74,930,000 77,870,000                                                    
        investment in unconsolidated affiliate
      12,443,000 12,275,000 12,289,000 12,320,000 12,273,000 12,190,000 12,168,000 12,243,000 12,160,000 12,256,000 12,256,000 12,229,000 12,160,000 12,131,000 11,978,000 12,346,000 12,422,000 12,215,000                                                               
        goodwill
      715,874,000 692,392,000 690,412,000 677,595,000 674,387,000 667,152,000 554,642,000 548,970,000 534,271,000 509,571,000 522,907,000 506,703,000 501,347,000 494,101,000 449,548,000 442,761,000 443,692,000 434,679,000 374,047,000 373,887,000 360,176,000 345,646,000 336,946,000 330,894,000 330,769,000 317,676,000 316,639,000 303,549,000 293,338,000 293,525,000 293,630,000 284,624,000 273,770,000 271,338,000 268,050,000 267,957,000 244,446,000 226,806,000 191,231,000 191,268,000 191,051,000 170,849,000 170,914,000 159,176,000 147,914,000 150,471,000 156,207,000 142,517,000 143,955,000 105,234,000 112,248,000 103,581,000 103,581,000 100,188,000 99,716,000 99,141,000 93,797,000 92,750,000 91,452,000 76,588,000 79,410,000 79,424,000 67,327,000 67,359,000 68,801,000 57,247,000 56,069,000 56,097,000 55,886,000 55,886,000 48,932,000 49,788,000 40,631,000 37,650,000 39,759,000 21,082,000 21,082,000 20,997,000 15,193,000 14,339,000 
        other identifiable intangible assets
      179,819,000 172,861,000 176,429,000 175,627,000 177,328,000 179,311,000 124,309,000 123,903,000 116,888,000 109,682,000 112,112,000 107,592,000 108,991,000 108,755,000 93,697,000 92,655,000 91,546,000 86,382,000 60,086,000 59,216,000 57,593,000 56,280,000 54,060,000 54,895,000 55,648,000 52,588,000 53,385,000 50,055,000 48,125,000 48,828,000 49,311,000 48,435,000 47,092,000 48,954,000 47,568,000 48,321,000 43,213,000 38,060,000 33,389,000 33,909,000 34,428,000                                        
        other assets
      6,988,000 6,644,000 4,557,000 4,157,000 4,385,000 5,155,000 2,699,000 4,629,000 4,431,000 2,821,000 5,679,000 4,699,000 2,593,000 4,149,000 5,619,000 1,333,000 1,972,000 1,578,000 1,553,000 1,506,000 1,509,000 1,539,000 1,530,000 1,591,000 1,563,000 1,519,000 1,470,000 1,445,000 1,439,000 1,430,000 1,405,000 1,384,000 1,357,000 1,224,000 1,200,000 1,268,000 1,274,000 1,228,000 1,221,000 1,219,000 1,200,000 1,175,000 1,086,000 1,916,000 1,115,000 1,978,000 1,141,000 1,317,000 1,081,000 1,078,000 967,000 953,000 953,000 1,042,000 1,018,000 1,435,000 1,079,000 2,043,000 3,396,000 3,303,000 2,206,000 922,000 930,000 923,000 885,000 869,000 855,000 849,000 834,000 1,347,000 1,770,000 2,094,000 1,476,000 1,847,000 2,777,000 1,585,000 1,591,000 1,108,000 950,000 1,587,000 
        total assets
      1,242,057,000 1,204,010,000 1,196,270,000 1,179,600,000 1,179,687,000 1,167,467,000 1,029,191,000 1,023,134,000 1,017,256,000 997,238,000 1,010,186,000 999,581,000 868,127,000 858,154,000 799,708,000 796,444,000 763,863,000 749,426,000 630,098,000 622,958,000 598,390,000 594,361,000 575,438,000 585,018,000 643,253,000 560,845,000 565,193,000 557,010,000 523,087,000 443,166,000 454,969,000 440,543,000 417,622,000 418,982,000 410,987,000 417,325,000 387,671,000 351,231,000 309,901,000 313,598,000 311,434,000    244,551,000                                    
        liabilities, redeemable non-controlling interest, usph shareholders’ equity and non-controlling interest
                                                                                      
        current liabilities:
                                                                                      
        accounts payable - trade
      6,758,000 6,059,000 7,417,000 4,200,000 6,088,000 5,936,000 6,361,000 4,100,000 4,866,000 3,898,000 4,509,000 3,674,000 4,233,000 3,300,000 4,471,000 3,793,000 3,272,000 3,268,000 1,532,000 1,782,000 1,955,000 1,335,000 1,060,000 1,802,000 2,950,000 2,494,000 2,863,000 2,426,000 1,894,000 2,019,000 2,067,000 1,705,000 1,722,000 2,165,000 1,754,000 1,613,000 1,996,000 1,634,000 2,181,000 1,668,000 2,244,000 1,662,000 1,451,000 2,292,000 1,782,000 1,901,000 1,835,000 1,423,000 1,722,000  1,275,000 1,585,000 1,585,000   1,399,000                         
        accrued expenses
      56,960,000 80,982,000 56,901,000 65,436,000 68,326,000 59,513,000 64,506,000 58,056,000 53,749,000 55,344,000 35,846,000 43,338,000 45,220,000 37,413,000 33,784,000 41,246,000 51,121,000 45,705,000 50,267,000 44,720,000 51,671,000 59,746,000 60,236,000 51,325,000 40,645,000 30,855,000 33,573,000 31,346,000 39,237,000 38,493,000 40,128,000 35,367,000 38,342,000 33,342,000 31,492,000 31,235,000 30,820,000 21,756,000 23,216,000 26,273,000 20,684,000 18,287,000 19,446,000 18,178,000 22,839,000 19,081,000 20,112,000 17,147,000 20,625,000 14,779,000 15,298,000 11,661,000 11,661,000 14,116,000 12,672,000 14,200,000 10,656,000 14,082,000 11,349,000 12,734,000 25,283,000 12,744,000 13,450,000 10,429,000 12,559,000 12,459,000 13,479,000 10,810,000 11,552,000 11,752,000 12,179,000 9,328,000 9,065,000 9,071,000 9,535,000 6,440,000 9,031,000 7,007,000 6,774,000 5,150,000 
        current portion of operating lease liabilities
      42,779,000 42,134,000 41,960,000 41,038,000 40,124,000 39,835,000 34,828,000 35,243,000 34,699,000 35,252,000 34,446,000 31,274,000 33,650,000 33,709,000 32,540,000 32,083,000 30,625,000 30,475,000 29,197,000 27,860,000 27,292,000 27,512,000 26,905,000 29,591,000 26,826,000 26,486,000 25,644,000 22,558,000 26,733,000                                                    
        current portion of term loan and notes payable
      10,801,000 9,865,000 8,802,000 8,168,000 9,257,000 10,999,000 9,605,000 9,700,000 9,222,000 7,691,000 7,555,000 7,530,000 7,730,000 7,863,000 7,490,000 4,780,000                                                                 
        total current liabilities
      117,298,000 139,040,000 115,080,000 118,842,000 123,795,000 116,283,000 115,300,000 107,099,000 102,536,000 102,185,000 82,356,000 85,816,000 90,833,000 85,489,000 81,488,000 85,105,000 89,020,000 83,481,000 81,668,000 75,379,000 90,825,000 93,492,000 93,200,000 87,353,000 71,149,000 60,563,000 62,798,000 57,020,000 68,930,000 41,946,000 46,964,000 41,889,000 45,381,000 39,551,000 35,991,000 35,193,000 34,035,000 24,617,000 26,383,000 28,985,000 24,181,000 21,361,000 21,697,000 21,402,000 25,504,000 21,832,000 22,797,000 19,345,000 23,172,000 16,655,000 17,373,000 13,905,000 13,905,000 16,307,000 14,946,000 16,208,000 12,516,000 16,324,000 13,692,000 14,685,000 27,010,000 14,231,000 15,053,000 12,588,000 14,860,000 14,764,000 15,776,000 13,134,000 14,139,000 14,613,000 14,607,000 12,021,000 11,157,000 11,438,000 11,601,000 7,673,000 10,627,000 9,170,000 8,428,000 7,115,000 
        notes payable, net of current portion
      569,000 417,000 576,000 321,000 387,000 903,000 534,000 1,511,000 804,000 1,289,000 2,037,000 2,194,000 2,583,000 1,913,000 2,912,000 4,258,000 4,128,000 3,587,000 2,265,000 821,000 571,000 596,000 509,000 685,000 4,602,000 4,361,000 4,292,000 4,316,000 516,000 402,000 659,000 607,000 782,000 2,728,000 3,952,000 4,351,000                                             
        revolving facility
      74,500,000 30,500,000 26,500,000 24,500,000 28,000,000 11,000,000                                                                           
        term loan, net of current portion and deferred financing costs
      118,971,000 121,677,000 124,384,000 127,093,000 128,851,000 130,627,000 132,382,000 134,188,000 135,945,000 137,702,000 139,459,000 141,266,000 142,098,000 142,918,000 143,778,000 144,631,000                                                                 
        deferred taxes
      30,775,000 28,391,000 35,695,000 34,402,000 34,055,000 29,465,000 24,913,000 26,531,000 27,337,000 24,815,000 26,487,000 23,102,000 21,524,000 21,303,000 23,838,000 19,483,000 16,067,000 14,385,000 6,682,000 8,281,000 8,212,000 7,779,000 8,570,000 8,930,000 7,743,000 10,071,000 10,336,000 12,284,000 9,872,000 9,012,000 8,643,000 9,584,000 10,151,000 10,875,000 16,027,000 15,443,000 15,486,000 15,736,000 13,727,000 12,361,000 10,789,000                                        
        operating lease liabilities, net of current portion
      115,212,000 110,572,000 106,178,000 104,279,000 100,688,000 101,868,000 77,001,000 78,329,000 75,680,000 76,653,000 76,884,000 78,912,000 75,460,000 77,934,000 76,907,000 77,776,000 72,162,000 74,185,000 71,209,000 66,887,000 62,068,000 61,985,000 60,137,000 61,242,000 62,577,000 60,258,000 58,921,000 56,711,000 55,834,000                                                    
        other long-term liabilities
      1,861,000 3,214,000 5,414,000 4,571,000 4,903,000 18,275,000 8,343,000 5,507,000 2,988,000 2,356,000 14,758,000 12,779,000 13,870,000 13,029,000 4,026,000 4,858,000 4,262,000 7,345,000 6,440,000 5,442,000 4,549,000 4,539,000 349,000 392,000 380,000 141,000 718,000 566,000 566,000 829,000 835,000 775,000 733,000 743,000 815,000  671,000 829,000 860,000 869,000 914,000 10,769,000 10,925,000 9,480,000 8,732,000 7,378,000 6,053,000 5,031,000 4,196,000 728,000 706,000 1,617,000 1,617,000 2,279,000 1,434,000 653,000 605,000 623,000 599,000 587,000 572,000 3,531,000 4,387,000 3,513,000 2,564,000 3,013,000 1,698,000 1,672,000 2,416,000 2,297,000 698,000 929,000 689,000 696,000 615,000 730,000 717,000 829,000 1,258,000 1,159,000 
        total liabilities
      459,186,000 433,811,000 413,827,000 414,008,000 420,679,000 408,421,000 358,473,000 353,165,000 345,290,000 345,000,000 341,981,000 344,069,000 384,368,000 373,586,000 332,949,000 336,111,000 303,639,000 296,983,000 201,264,000 194,810,000 182,225,000 184,391,000 169,765,000 191,602,000 260,451,000 181,394,000 188,065,000 192,897,000 164,718,000 92,348,000 112,965,000 110,768,000 101,052,000 110,340,000 198,971,000 209,419,000 194,957,000 162,543,000 82,829,000 90,547,000 94,396,000 81,001,000 75,721,000 73,849,000 69,961,000 77,174,000 75,395,000 71,348,000 69,014,000 32,948,000 35,201,000 37,197,000 37,197,000 37,055,000 33,549,000 38,066,000 38,601,000 41,672,000 41,974,000 32,255,000 33,416,000 24,478,000 20,440,000 20,678,000 29,435,000 19,204,000 22,251,000 27,104,000 31,244,000 30,425,000 25,798,000 29,956,000 23,540,000 21,197,000 26,471,000 10,175,000 13,239,000 12,069,000 11,349,000 10,020,000 
        redeemable non-controlling interest - temporary equity
      313,437,000 293,311,000 277,661,000 263,298,000 260,047,000 269,025,000 186,602,000 184,354,000 190,733,000 174,828,000 174,697,000 165,514,000 164,283,000 167,515,000 148,155,000 151,400,000 158,008,000 155,262,000 138,217,000                                                              
        commitments and contingencies
                                                                                      
        u.s. physical therapy, inc. (“usph”) shareholders’ equity:
                                                                                      
        preferred stock, 0.01 par value...
                                                                                      
        common stock, 0.01 par value...
      175,000 174,000 172,000 172,000 172,000 172,000 172,000 172,000 172,000 172,000 172,000 172,000 152,000 152,000 152,000 152,000 151,000 151,000 151,000 151,000 151,000 151,000 151,000 151,000 151,000                                                        
        additional paid-in capital
      288,140,000 285,522,000 296,806,000 294,636,000 292,773,000 290,321,000 287,002,000 285,462,000 283,546,000 281,096,000 279,124,000 277,493,000 112,123,000 110,317,000 108,515,000 106,801,000 105,205,000 102,688,000 101,922,000 99,039,000 97,286,000 95,622,000 93,195,000 91,258,000 89,756,000 87,383,000 85,828,000 84,125,000 82,295,000 80,028,000 78,542,000 77,099,000 75,543,000 73,940,000 72,262,000 71,197,000 70,132,000 68,687,000 49,506,000 48,236,000 46,563,000 45,536,000 45,829,000 45,080,000 43,577,000 42,457,000 41,306,000 40,435,000 40,569,000 39,225,000 38,571,000 37,871,000 37,871,000 37,489,000 37,769,000 37,209,000 36,563,000 36,133,000 37,039,000 37,513,000 39,529,000 45,570,000 44,114,000 43,742,000 43,514,000 43,210,000 39,380,000 38,865,000 41,418,000 43,648,000 43,231,000 42,383,000 41,931,000 41,452,000 40,979,000 37,365,000 36,797,000 36,304,000 35,058,000 35,037,000 
        accumulated other comprehensive gain
      978,000 714,000 945,000 1,214,000 1,783,000 2,799,000 1,339,000 4,084,000 4,108,000 2,782,000 5,746,000 4,796,000 2,651,000 4,004,000 4,424,000                                                                  
        retained earnings
      216,876,000 227,216,000 237,272,000 236,356,000 234,161,000 227,265,000 225,873,000 226,482,000 223,573,000 223,772,000 238,557,000 237,665,000 234,760,000 232,948,000 235,683,000 232,247,000 227,243,000 224,395,000 219,338,000 216,286,000 210,375,000 212,015,000 203,201,000 195,473,000 182,785,000 184,352,000 181,135,000 176,610,000 168,952,000 167,396,000 164,821,000 165,991,000 162,907,000 162,406,000 157,702,000 155,068,000 152,642,000 150,342,000 160,746,000 157,161,000 152,219,000 144,888,000 140,933,000 136,491,000 134,186,000 130,683,000 126,934,000 121,970,000 119,206,000 116,555,000 117,538,000 113,835,000 113,835,000 111,321,000 113,112,000 109,615,000 105,825,000 102,405,000 97,509,000 96,632,000 92,679,000 89,876,000 85,729,000 83,255,000 78,804,000 75,632,000 78,923,000 75,822,000 72,200,000 69,446,000 67,213,000 64,682,000 61,827,000 59,442,000 56,956,000 54,836,000 52,533,000 50,704,000 45,892,000 44,408,000 
        treasury stock
      -37,194,000 -37,194,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000 -31,628,000  -26,106,000 
        total usph shareholders’ equity
      468,975,000 476,432,000 503,567,000 500,750,000 497,261,000 488,929,000 482,758,000 484,572,000 479,771,000 476,194,000 491,971,000 488,498,000 318,058,000 315,793,000 317,146,000 307,177,000 300,971,000 295,606,000 289,783,000 283,848,000 276,184,000 276,160,000 264,919,000 255,254,000 241,064,000 240,257,000 235,485,000 229,256,000 219,768,000 215,945,000 211,884,000 211,611,000 206,971,000 204,866,000 198,483,000 194,784,000 191,293,000 187,548,000                                           
        non-controlling interest - permanent equity
      459,000 456,000 1,215,000 1,544,000 1,700,000 1,092,000 1,358,000 1,043,000 1,462,000 1,216,000 1,537,000 1,500,000 1,418,000 1,260,000 1,458,000 1,756,000 1,245,000 1,575,000 834,000                                                              
        total usph shareholders’ equity and non-controlling interest - permanent equity
      469,434,000 476,888,000 504,782,000 502,294,000 498,961,000 490,021,000 484,116,000 485,615,000 481,233,000 477,410,000 493,508,000 489,998,000 319,476,000 317,053,000 318,604,000 308,933,000 302,216,000  290,617,000                                                              
        total liabilities, redeemable non-controlling interest, usph shareholders’ equity and non-controlling interest - permanent equity
      1,242,057,000 1,204,010,000 1,196,270,000 1,179,600,000 1,179,687,000 1,167,467,000 1,029,191,000 1,023,134,000 1,017,256,000 997,238,000 1,010,186,000 999,581,000 868,127,000 858,154,000 799,708,000                                                                  
        patient accounts receivable, less provision for credit losses of 3,775 and 3,506, respectively
       64,249,000                                                                               
        patient accounts receivable, less provision for credit losses of 4,263 and 3,506, respectively
        67,629,000                                                                              
        patient accounts receivable, less provision for credit losses of 3,928 and 3,506, respectively
         65,956,000                                                                             
        patient accounts receivable, less provision for credit losses of 3,620 and 3,506, respectively
          64,760,000                                                                            
        patient accounts receivable, less provision for credit losses of 3,506 and 2,736, respectively
           59,040,000                                                                           
        patient accounts receivable, less provision for credit losses of 3,443 and 2,736, respectively
            57,022,000                                                                          
        patient accounts receivable, less provision for credit losses of 3,184 and 2,736, respectively
             54,659,000                                                                         
        patient accounts receivable, less provision for credit losses of 2,936 and 2,736, respectively
              55,363,000                                                                        
        patient accounts receivable, less provision for credit losses of 2,736 and 2,829, respectively
               51,866,000                                                                       
        accounts payable - due to seller of acquired business
                   3,204,000 3,203,000 3,203,000 3,203,000 3,203,000                                                               
        patient accounts receivable, less allowance for credit losses of 2,487 and 2,829, respectively
                52,958,000                                                                      
        patient accounts receivable, less allowance for credit losses of 2,800 and 2,829, respectively
                 54,285,000                                                                     
        revolving line of credit
                  38,000,000 31,000,000   118,000,000 114,000,000 33,000,000 38,000,000 16,000,000 16,000,000 7,000,000 33,000,000 114,000,000 46,000,000 51,000,000 62,000,000 29,000,000 38,000,000 54,000,000 56,000,000 42,000,000 54,000,000 56,000,000 69,000,000 58,000,000 46,000,000 36,000,000 42,500,000 52,500,000 46,000,000 41,000,000 41,500,000 34,500,000 46,500,000 45,000,000 45,500,000 40,000,000 14,150,000 15,750,000 20,400,000 20,400,000 17,400,000 16,100,000 20,000,000 24,200,000 23,500,000 26,400,000 15,800,000 4,800,000 5,500,000  3,600,000 10,900,000 400,000 3,400,000 10,600,000 12,600,000 11,400,000 8,800,000 14,800,000 9,800,000 7,000,000 12,000,000      
        patient accounts receivable, less allowance for credit losses of 2,674 and 2,829, respectively
                  56,647,000                                                                    
        patient accounts receivable, less allowance for credit losses of 2,829 and 2,768, respectively
                   51,934,000                                                                   
        patient accounts receivable, less allowance for credit losses of 2,964 and 2,768, respectively
                    49,747,000                                                                  
        patient accounts receivable, less allowance for credit losses of 2,948 and 2,768, respectively
                     50,549,000                                                                 
        accumulated other comprehensive loss
                     -395,000                                                                 
        total liabilities, redeemable non-controlling interest,
                                                                                      
        usph shareholders’ equity and non-controlling interest - permanent equity
                     796,444,000 763,863,000  630,098,000                                                              
        patient accounts receivable, less allowance for credit losses of 2,799 and 2,768, respectively
                      49,335,000                                                                
        current portion of notes payable
                      799,000 830,000 672,000 1,017,000 5,079,000 4,899,000 4,999,000 4,635,000 728,000 728,000 718,000 690,000 1,066,000 1,434,000 4,769,000 4,817,000 5,317,000 4,044,000 2,745,000 2,345,000 1,219,000 1,227,000 986,000 1,044,000 1,253,000 1,412,000 800,000 932,000 883,000 850,000 850,000 775,000 825,000 575,000 800,000 659,000 659,000 459,000 609,000 609,000 483,000 433,000 533,000 434,000 250,000 250,000 379,000 637,000 1,113,000 1,013,000 1,086,000 1,234,000 1,307,000 1,380,000 1,153,000 1,179,000 771,000 812,000 854,000 537,000 537,000 562,000   
        patient accounts receivable, less allowance for credit losses of 2,768 and 2,008, respectively
                       46,272,000                                                               
        total usph shareholders' equity and non-controlling interest - permanent equity
                       297,181,000                                                               
        total liabilities, redeemable non-controlling interest, usph shareholders' equity and non-controlling interest - permanent equity
                       749,426,000                                                               
        patient accounts receivable, less allowance for credit losses of 2,728 and 2,008, respectively
                        46,456,000                                                              
        patient accounts receivable, less allowance for credit losses of 2,435 and 2,008, respectively
                         45,144,000                                                             
        liabilities, redeemable non-controlling interests, usph shareholders’ equityand non-controlling interests
                                                                                      
        redeemable non-controlling interests - temporary equity
                         143,337,000 138,924,000 132,340,000 139,801,000 136,728,000 140,498,000 137,750,000                                                       
        non-controlling interests - permanent equity
                         963,000 1,057,000 1,470,000 953,000   1,444,000                                                       
        total usph shareholders’ equity and non-controlling interests - permanent equity
                         284,811,000                                                             
        total liabilities, redeemable non-controlling interests,
                                                                                      
        usph shareholders’ equity and non-controlling interests - permanent equity
                         622,958,000                                                             
        patient accounts receivable, less allowance for credit losses of 2,120 and 2,008, respectively
                          45,394,000                                                            
        liabilities, redeemable non-controlling interests, usph shareholders’ equity and non-controlling interests
                                                                                      
        accounts payable - purchase of non-controlling interest
                          4,828,000                                                            
        total usph shareholders' equity and non-controlling interests - permanent equity
                          277,241,000                                                            
        total liabilities, redeemable non-controlling interests, usph shareholders' equity and non-controlling interests - permanent equity
                          598,390,000                                                            
        patient accounts receivable, less allowance for credit losses of 2,008 and 2,698, respectively
                           41,906,000                                                           
        liabilities, redeemable non-controlling interests, usphshareholders’ equity and non-controlling interests
                                                                                      
        total usph shareholders' equity and non-controlling interests
                           277,630,000    241,701,000   221,173,000  213,098,000 212,748,000 208,485,000  199,937,000 195,966,000 192,714,000 188,688,000                                           
        total liabilities, redeemable non-controlling interests, usph shareholders' equity and non-controlling interests
                           594,361,000    560,845,000   523,087,000  454,969,000 440,543,000 417,622,000  410,987,000 417,325,000                                             
        patient accounts receivable, less allowance for doubtful accounts of 2,154 and 2,698, respectively
                            39,439,000                                                          
        total usph shareholders’ equity and non-controlling interests
                            265,872,000 256,688,000 242,304,000  237,327,000 230,747,000  216,875,000    206,070,000                                               
        total liabilities, redeemable non-controlling interests, usph shareholders’ equity and non-controlling interests
                            575,438,000 585,018,000 643,253,000  565,193,000 557,010,000  443,166,000    418,982,000                                               
        patient accounts receivable, less allowance for doubtful accounts of 2,470 and 2,698, respectively
                             36,029,000                                                         
        non-controlling interests- permanent equity
                             1,434,000 1,240,000                                                        
        patient accounts receivable, less allowance for doubtful accounts of 2,557 and 2,698, respectively
                              42,649,000                                                        
        patient accounts receivable, less allowance for doubtful accounts of 2,698 and 2,672, respectively
                               46,228,000                                                       
        deferred rent
                                   2,159,000 1,864,000 1,913,000 2,005,000 2,116,000 1,875,000 1,789,000 1,809,000 1,575,000 1,313,000 1,285,000 1,391,000 1,192,000 1,040,000 984,000 991,000 1,014,000 1,095,000 1,022,000 996,000 1,015,000 972,000 950,000 950,000 894,000 894,000 930,000 946,000 941,000 849,000 849,000 884,000 966,000 900,000 877,000 1,011,000 1,027,000 1,097,000 1,161,000 1,077,000 1,103,000 887,000 992,000 1,008,000 1,104,000 1,171,000 1,256,000 1,239,000 1,273,000 1,248,000 1,263,000 
        preferred stock, .01 par value...
                                                                                      
        common stock, .01 par value...
                               150,000 150,000 149,000 149,000 149,000 149,000 149,000 149,000 148,000 147,000 147,000 147,000 147,000 147,000 147,000 147,000 146,000 146,000 145,000 145,000 145,000 145,000 144,000 143,000 143,000 143,000 142,000 142,000 141,000 141,000 140,000 140,000 139,000 141,000 141,000 140,000 139,000 139,000 138,000 138,000 138,000 138,000 137,000 139,000 142,000 142,000 141,000 141,000 141,000 140,000 138,000 138,000 137,000  136,000 
        patient accounts receivable, less allowance for doubtful accounts of 2,569 and 2,672, respectively
                                47,118,000                                                      
        redeemable non-controlling interests
                                139,801,000 133,366,000 137,196,000 133,943,000 128,906,000 117,027,000 108,085,000 102,572,000 12,079,000 11,940,000   8,334,000 8,641,000 7,591,000 9,024,000 10,585,000 7,373,000 7,376,000 7,524,000 1,086,000 2,967,000 4,104,000                                
        non-controlling interests
                                1,842,000 1,491,000 1,405,000 930,000 1,214,000 1,137,000 1,514,000 1,204,000 1,454,000 1,182,000 1,421,000 1,140,000 39,967,000 40,494,000 42,146,000 27,178,000 26,734,000 26,113,000 20,934,000 21,382,000 27,542,000 23,398,000  22,414,000                               
        patient accounts receivable, less allowance for doubtful accounts of 2,666 and 2,672, respectively
                                 44,923,000                                                     
        receivable, net - sale and purchase of partnership interests
                                 9,401,000                                                     
        patient accounts receivable, less allowance for doubtful accounts of 2,692 and 2,672, respectively
                                  48,443,000                                                    
        u.s. physical therapy, inc. ("usph") shareholders’ equity:
                                                                                      
        patient accounts receivable, less allowance for doubtful accounts of 2,672 and 2,273, respectively
                                   44,751,000                                                   
        mandatorily redeemable non-controlling interests
                                       327,000 84,311,000 83,643,000 80,154,000 69,190,000                                           
        patient accounts receivable, less allowance for doubtful accounts of 2,690 and 2,273, respectively
                                    43,899,000                                                  
        patient accounts receivable, less allowance for doubtful accounts of 2,790 and 2,273, respectively
                                     45,424,000                                                 
        patient accounts receivable, less allowance for doubtful accounts of 2,517 and 2,273, respectively
                                      46,228,000                                                
        patient accounts receivable, less allowance for doubtful accounts of 2,273 and 1,792, respectively
                                       44,707,000                                               
        patient accounts receivable, less allowance for doubtful accounts of 2,088 and 1,792, respectively
                                        43,561,000                                              
        patient accounts receivable, less allowance for doubtful accounts of 1,859 and 1,792, respectively
                                         46,770,000                                             
        patient accounts receivable, less allowance for doubtful accounts of 1,853 and 1,792, respectively
                                          43,244,000                                            
        liabilities, usph shareholders’ equity and non-controlling interests
                                                                                      
        notes payable
                                          4,802,000 4,596,000 4,546,000 4,547,000 4,621,000 1,679,000 1,059,000 483,000 234,000 450,000 450,000 450,000 650,000 400,000 400,000 325,000 325,000 175,000 175,000 275,000 334,000 284,000 434,000 334,000 150,000 250,000 100,000 100,000 100,000  280,000 537,000 1,012,000 1,012,000 806,000 1,214,000 886,000 959,000 1,084,000 516,000 656,000 797,000 244,000 244,000 
        total liabilities, usph shareholders' equity and non-controlling interests
                                          387,671,000 351,231,000                                           
        patient accounts receivable, less allowance for doubtful accounts of 1,792 and 1,444, respectively
                                           38,840,000                                           
        accounts receivable - other, less allowance for doubtful accounts of -0- and 198, respectively
                                           2,649,000 2,272,000 2,335,000 2,345,000                                        
        liabilities and shareholders’ equity
                                                                                      
        patient accounts receivable, less allowance for doubtful accounts of 1,770 and 1,444, respectively
                                            38,522,000                                          
        equity:
                                                                                      
        u.s. physical therapy, inc. shareholders’ equity:
                                                                                      
        total u. s. physical therapy, inc. shareholders’ equity
                                            178,771,000 173,916,000 167,301,000    146,280,000    128,290,000 124,295,000 124,624,000 120,220,000 120,220,000 117,323,000 119,394,000 115,336,000 110,900,000 107,049,000 103,061,000 102,658,000 100,720,000 103,957,000 98,354,000 95,507,000 90,828,000 87,352,000 86,813,000 83,196,000 82,129,000            
        total equity
                                            218,738,000 214,410,000 209,447,000 186,120,000 182,014,000 176,201,000 167,214,000 163,039,000 164,299,000 154,319,000 151,017,000 146,709,000 147,229,000 139,680,000 139,680,000 134,659,000 136,391,000 132,566,000 125,835,000 121,580,000 122,065,000 114,582,000 112,958,000 116,383,000 106,514,000 103,788,000 99,189,000 92,225,000 91,861,000 88,561,000 87,789,000            
        total liabilities and equity
                                            309,901,000 313,598,000 311,434,000                                        
        patient accounts receivable, less allowance for doubtful accounts of 1,672 and 1,444, respectively
                                             39,356,000                                         
        liabilities and equity
                                                                                      
        patient accounts receivable, less allowance for doubtful accounts of 1,568 and 1,444, respectively
                                              38,217,000                                        
        u. s. physical therapy, inc. shareholders’ equity:
                                                                                      
        patient accounts receivable, less allowance for doubtful accounts of 1,556 and 1,669, respectively
                                               35,106,000                                       
        accounts receivable - other, less allowance for doubtful accounts of 198 and 198, respectively
                                               1,939,000 1,338,000 1,378,000 1,503,000 1,906,000 1,924,000 1,698,000                                 
        fixed assets: - sum
                                               69,163,000 67,602,000 66,107,000  64,743,000 63,375,000 61,173,000 60,856,000 59,666,000 59,345,000  58,313,000 57,174,000 56,451,000 55,637,000 55,478,000 55,488,000 55,014,000 53,686,000 53,530,000 53,153,000 51,731,000 51,219,000 51,070,000 50,985,000 51,416,000 50,702,000 50,325,000 49,008,000 48,213,000 47,441,000 46,349,000 46,134,000 45,449,000 40,821,000 39,652,000 38,944,000 38,719,000 37,566,000 
        other intangible assets
                                               23,798,000 24,167,000 24,537,000 24,907,000 22,615,000 15,727,000 15,916,000 14,479,000 14,672,000 14,029,000 14,230,000 14,230,000 12,146,000 12,326,000 12,522,000 9,515,000 9,603,000 9,773,000 9,948,000 7,166,000 7,308,000 7,448,000 7,569,000 5,830,000 5,955,000 6,079,000 6,203,000 6,327,000 6,452,000 5,370,000 3,926,000 3,981,000 3,930,000       
        liabilities and shareholders' equity
                                                                                      
        shareholders' equity:
                                                                                      
        u. s. physical therapy, inc. shareholders' equity:
                                                                                      
        total u. s. physical therapy, inc. shareholders' equity
                                               158,942,000 155,280,000 150,088,000  141,657,000 136,757,000 130,921,000                                 
        patient accounts receivable, less allowance for doubtful accounts of 1,618 and 1,669, respectively
                                                34,830,000                                      
        patient accounts receivable, less allowance for doubtful accounts of 1,633 and 1,669, respectively
                                                 34,673,000                                     
        patient accounts receivable, less allowance for doubtful accounts of 1,669 and 1,430, respectively
                                                  32,891,000                                    
        shareholders’ equity:
                                                                                      
        total liabilities and stockholders' equity
                                                  244,551,000                                    
        patient accounts receivable, less allowance for doubtful accounts of 1,811 and 1,430, respectively
                                                   33,809,000                                   
        patient accounts receivable, less allowance for doubtful accounts of 1,713 and 1,430, respectively
                                                    34,286,000                                  
        patient accounts receivable, less allowance for doubtful accounts of 1,583 and 1,430, respectively
                                                     32,755,000                                 
        patient accounts receivable, less allowance for doubtful accounts of 1,430 and 1,595, respectively
                                                      30,820,000                                
        accounts receivable - other, less allowance for doubtful accounts of 198 and 514, respectively
                                                      1,844,000                                
        noncontrolling interests
                                                      22,727,000  22,605,000 19,460,000 19,460,000 17,336,000 16,997,000 17,230,000 14,935,000 14,531,000 19,004,000 11,924,000 12,238,000 12,426,000 8,160,000 8,281,000 8,361,000 4,873,000 5,048,000 5,365,000 5,660,000            
        patient accounts receivable, less allowance for doubtful accounts of 1,427 and 1,595, respectively
                                                       27,289,000                               
        accounts receivable—other, less allowance for doubtful accounts of 198 and 514, respectively
                                                       1,263,000                               
        accounts payable—trade
                                                       1,301,000    1,732,000   1,377,000                        
        patient accounts receivable, less allowance for doubtful accounts of 1,469 and 1,595, respectively
                                                        27,564,000                              
        accounts receivable - other, less allowance for doubtful accounts of 412 and 514, respectively
                                                        1,700,000 1,607,000 1,607,000                            
        patient accounts receivable, less allowance for doubtful accounts of 1,521 and 1,595, respectively
                                                         28,969,000 28,969,000                            
        patient accounts receivable, less allowance for doubtful accounts of 1,595 and 2,154, respectively
                                                           25,973,000                           
        accounts receivable—other, less allowance for doubtful accounts of 514 and 883, respectively
                                                           1,703,000                           
        cash
                                                            10,683,000 8,811,000 10,440,000  9,475,000 8,992,000 10,666,000  9,720,000 7,176,000 11,471,000                
        patient accounts receivable, less allowance for doubtful accounts of 1,687 and 2,154, respectively
                                                            26,784,000                          
        accounts receivable — other, less allowance for doubtful accounts of 373 and 883, respectively
                                                            1,640,000                          
        accounts payable — trade
                                                            1,665,000   1,809,000 1,810,000 1,517,000 1,477,000 1,237,000 1,224,000 1,522,000 1,188,000 1,292,000 1,211,000 1,090,000 1,280,000 1,481,000 1,275,000 1,514,000 1,321,000 1,555,000 1,212,000 696,000 1,059,000 1,601,000  1,721,000 
        patient accounts receivable, less allowance for doubtful accounts of 1,930 and 2,154, respectively
                                                             28,768,000                         
        accounts receivable - other, less allowance for doubtful accounts of 408 and 883, respectively
                                                             1,737,000                         
        patient accounts receivable, less allowance for doubtful accounts of 1,892 and 2,154, respectively
                                                              29,456,000                        
        accounts receivable—other, less allowance for doubtful accounts of 186 and 883, respectively
                                                              1,979,000                        
        patient accounts receivable, less allowance for doubtful accounts of 2,154 and 2,190, respectively
                                                               28,333,000                       
        accounts receivable — other, less allowance for doubtful accounts of 883 and 83, respectively
                                                               1,614,000                       
        patient accounts receivable, less allowance for doubtful accounts of 2,155 and 2,190, respectively
                                                                28,130,000                      
        accounts receivable — other, less allowance for doubtful. accounts of 916 and 83, respectively
                                                                1,999,000                      
        patient accounts receivable, less allowance for doubtful accounts of 2,570 and 2,190, respectively
                                                                 27,468,000                     
        accounts receivable — other, less allowance for doubtful accounts of 136 and 83, respectively
                                                                 2,613,000                     
        patient accounts receivable, less allowance for doubtful accounts of 2,500 and 2,190, respectively
                                                                  27,987,000                    
        accounts receivable — other, less allowance for doubtful accounts of 106 and 83, respectively
                                                                  1,941,000                    
        patient accounts receivable, less allowance for doubtful accounts of 2,190 and 1,830, respectively
                                                                   24,814,000                   
        accounts receivable — other, less allowance for doubtful accounts of 83 and 42, respectively
                                                                   1,555,000                   
        patient accounts receivable, less allowance for doubtful accounts of 2,226 and 1,830, respectively
                                                                    23,900,000                  
        accounts receivable — other, less allowance for doubtful accounts of 81 and 42, respectively
                                                                    1,500,000                  
        patient accounts receivable, less allowance for doubtful accounts of 2,215 and 1,830, respectively
                                                                     23,115,000                 
        accounts receivable — other, less allowance for doubtful accounts of 59 and 42, respectively
                                                                     1,565,000                 
        patient accounts receivable, less allowance for doubtful accounts of 2,031 and 1,830, respectively
                                                                      23,482,000                
        accounts receivable — other, less allowance for doubtful accounts of 50 and 42, respectively
                                                                      2,146,000                
        patient accounts receivable, less allowance for doubtful accounts of 1,830 and 2,275, respectively
                                                                       22,300,000               
        accounts receivable — other, less allowance for doubtful accounts of 42 and — , respectively
                                                                       1,331,000               
        u. s. physical therapy, inc. shareholders’s equity:
                                                                                      
        patient accounts receivable, less allowance for doubtful accounts of 1,976 and 2,275, respectively
                                                                        23,715,000              
        accounts receivable — other
                                                                        706,000 707,000 701,000 898,000  920,000 1,020,000 1,150,000 1,075,000 793,000 602,000 775,000  761,000 
        patient accounts receivable, less allowance for doubtful accounts of 2,062 and 2,275, respectively
                                                                         23,696,000             
        patient accounts receivable, less allowance for doubtful accounts of 2,177 and 2,275, respectively
                                                                          25,650,000            
        patient accounts receivable, less allowance for doubtful accounts of 2,275 and 2,184, respectively
                                                                           25,853,000           
        minority interests in subsidiary limited partnerships
                                                                           6,214,000 6,135,000 6,347,000 5,847,000 5,648,000 5,484,000 3,994,000 3,723,000 3,871,000 3,344,000 3,024,000 
        total shareholders’ equity
                                                                           81,608,000 78,958,000 75,578,000 72,271,000 69,407,000 66,447,000 60,711,000 57,840,000 55,517,000  53,475,000 
        patient accounts receivable, less allowance for doubtful accounts of 2,128 and 2,184, respectively
                                                                            26,935,000          
        accounts receivable – other
                                                                            872,000          
        patient accounts receivable, less allowance for doubtful accounts of 2,181 and 2,184, respectively
                                                                             28,434,000         
        patient accounts receivable, less allowance for doubtful accounts of 2,142 and 2,184, respectively
                                                                              27,581,000        
        marketable securities — available for sale
                                                                                 1,900,000 1,460,000 500,000   
        patient accounts receivable, less allowance for doubtful accounts of 2,184 and 1,567, respectively
                                                                               25,574,000       
        patient accounts receivable, less allowance for doubtful accounts of 1,950 and 1,567, respectively
                                                                                25,976,000      
        patient accounts receivable, less allowance for doubtful accounts of 1,745 and 1,567, respectively
                                                                                 22,328,000     
        patient accounts receivable, less allowance for doubtful accounts of 1,669 and 1,567, respectively
                                                                                  21,873,000    
        patient accounts receivable, less allowance for doubtful accounts of 1,567 and 1,621, respectively
                                                                                   21,503,000   
        patient accounts receivable, less allowance for doubtful
                                                                                      
        accounts of 1,656 and 1,621, respectively
                                                                                    20,372,000  
        accounts receivable -- other
                                                                                    839,000  
        accounts payable -- trade
                                                                                    1,410,000  
        notes payable - long-term portion
                                                                                    415,000  
        shares issued and outstanding
                                                                                      
        13,647,047 and 13,645,167 shares issued at march 31, 2006
                                                                                      
        and december 31, 2005, respectively
                                                                                    136,000  
        additional paid-in capital, equity-based compensation
                                                                                    222,000  
        march 31, 2006 and december 31, 2005, respectively
                                                                                    -26,966,000  
        total shareholders' equity
                                                                                    54,342,000  
        patient accounts receivable, less allowance for doubtful accounts of 1,621 and 2,447, respectively
                                                                                     19,661,000 
        notes payable — long-term portion
                                                                                     483,000 
      Cashflow Statements:
      Quarterly
      Annual
        Unit: USD2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2013-03-13 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 2008-12-31 2008-09-30 2008-06-30 2008-03-31 2007-12-31 2007-09-30 2007-06-30 2007-03-31 2006-03-31 
                                                                                     
          operating activities
                                                                                     
          net income including non-controlling interest
        9,175,000 17,642,000 17,720,000 13,468,000 12,494,000 9,777,000 11,712,000 11,617,000 -1,293,000 12,222,000 14,864,000 11,427,000                                                                  
          adjustments to reconcile net income including non-controlling interest to net cash from operating activities:
                                                                                     
          depreciation and amortization
        4,635,000 5,832,000 6,057,000 5,867,000 5,685,000 4,387,000 4,514,000 4,095,000 4,113,000 3,967,000 3,827,000 3,788,000 3,793,000 3,652,000 3,474,000 3,824,000 3,072,000 3,035,000 2,803,000 2,681,000 2,467,000 2,733,000 2,726,000 2,607,000 2,718,000 2,419,000 2,558,000 2,400,000 2,420,000 2,469,000 2,398,000 2,468,000 2,441,000 2,480,000 2,433,000 2,356,000 2,569,000 2,052,000 2,067,000 2,091,000 1,982,000 1,867,000 1,807,000 2,058,000 1,857,000 1,438,000 1,387,000 1,381,000 1,451,000 1,378,000 1,352,000 1,352,000 1,271,000 1,370,000 1,312,000 1,334,000 1,341,000 1,356,000 1,422,000 1,330,000 1,391,000 1,411,000 1,434,000 1,431,000 1,458,000 1,492,000 1,475,000 1,472,000 1,520,000 1,542,000 1,420,000 1,484,000 1,456,000 1,247,000 1,158,000 1,125,000 1,090,000 
          provision for credit losses
        1,731,000 2,073,000 1,995,000 1,848,000 1,847,000 1,721,000 1,717,000 1,627,000 1,572,000 1,525,000 1,563,000 1,512,000 1,356,000 1,336,000 1,551,000 1,305,000 1,383,000 1,358,000 1,364,000 1,200,000                                                          
          equity-based awards compensation expense
        2,119,000 2,263,000 2,117,000 1,771,000 1,986,000 1,921,000 1,919,000 1,997,000 1,785,000 1,859,000 1,786,000 1,806,000 1,802,000 1,802,000 1,814,000 1,846,000 1,587,000 2,875,000 1,754,000 1,651,000 2,592,000 1,936,000 1,503,000 1,886,000 1,723,000 1,704,000 1,830,000 1,728,000 1,486,000 1,516,000 1,556,000 1,381,000 1,622,000 1,065,000 1,065,000 1,280,000 1,214,000 1,264,000 1,263,000 1,221,000 1,162,000 1,216,000 990,000 907,000 863,000 858,000 735,000 651,000 722,000 731,000 639,000 639,000 513,000 546,000 496,000 547,000 541,000 528,000 519,000 444,000 373,000 341,000 272,000 306,000 360,000 415,000 384,000 414,000 417,000 397,000 421,000 339,000 341,000 356,000 323,000 257,000 222,000 
          amortization of debt issue costs
        107,000 105,000 104,000 106,000 105,000 107,000 104,000 106,000                                                                      
          change in deferred income taxes
        243,000 3,884,000 2,037,000 5,242,000 4,760,000 -165,000 -1,173,000 1,943,000 -903,000 3,594,000                                                                    
          change in revaluation of put-right liability
        -84,000 663,000 339,000 404,000 -54,000 -167,000 223,000 80,000 -2,926,000 145,000 50,000 149,000 776,000                                                                 
          change in fair value of contingent earn-out consideration
        5,240,000 -5,872,000   -5,113,000 1,898,000 4,046,000 -612,000 1,747,000   698,000 -520,000                                                                 
          equity of earnings in unconsolidated affiliate
        -322,000 -361,000 -401,000 -393,000 -264,000 -231,000 -248,000 -271,000 -149,000                                                                     
          loss on sale of clinics and fixed assets
                    -29,000                                                                
          loss on sale of partnership
                                                                                     
          impairment of goodwill and other intangible assets
                                                                                     
          impairment of assets held for sale
                                                                                     
          changes in operating assets and liabilities:
                                                                                     
          patient accounts receivable
        1,649,000                                                                             
          accounts receivable - other
        -664,000 3,204,000                                                                            
          other current and long term assets
        -2,263,000 -3,729,000                                                                            
          accounts payable and accrued expenses
        3,110,000 -2,994,000                                                                            
          other long-term liabilities
        293,000 620,000                                                                            
          net cash from operating activities
        24,932,000 19,940,000 34,861,000 -4,675,000 19,409,000 22,120,000 28,992,000 4,419,000 26,835,000 16,364,000 27,430,000 11,349,000 17,299,000 13,727,000 15,862,000 11,649,000 15,905,000 24,945,000 17,882,000 17,674,000 25,393,000 26,246,000 31,976,000 16,380,000 15,984,000 17,843,000 15,058,000 13,563,000 19,000,000 23,384,000 15,090,000 15,531,000 15,695,000 18,640,000 8,020,000 14,171,000 9,022,000 8,664,000 18,653,000 14,711,000 9,620,000 16,220,000 3,019,000 16,368,000 7,772,000 17,364,000 3,690,000 15,936,000 8,143,000 15,863,000 4,853,000 4,853,000 9,899,000 10,383,000 13,796,000 5,171,000 12,062,000 7,752,000 7,146,000 5,695,000 6,739,000 11,242,000 6,511,000 6,029,000 6,427,000 9,826,000 8,258,000 6,433,000 9,400,000 10,813,000 6,059,000 3,900,000 6,617,000 5,308,000 1,722,000 5,400,000 4,981,000 
          capital expenditures
          free cash flows
        24,932,000 19,940,000 34,861,000 -4,675,000 19,409,000 22,120,000 28,992,000 4,419,000 26,835,000 16,364,000 27,430,000 11,349,000 17,299,000 13,727,000 15,862,000 11,649,000 15,905,000 24,945,000 17,882,000 17,674,000 25,393,000 26,246,000 31,976,000 16,380,000 15,984,000 17,843,000 15,058,000 13,563,000 19,000,000 23,384,000 15,090,000 15,531,000 15,695,000 18,640,000 8,020,000 14,171,000 9,022,000 8,664,000 18,653,000 14,711,000 9,620,000 16,220,000 3,019,000 16,368,000 7,772,000 17,364,000 3,690,000 15,936,000 8,143,000 15,863,000 4,853,000 4,853,000 9,899,000 10,383,000 13,796,000 5,171,000 12,062,000 7,752,000 7,146,000 5,695,000 6,739,000 11,242,000 6,511,000 6,029,000 6,427,000 9,826,000 8,258,000 6,433,000 9,400,000 10,813,000 6,059,000 3,900,000 6,617,000 5,308,000 1,722,000 5,400,000 4,981,000 
          investing activities
                                                                                     
          purchase of fixed assets
        -3,926,000 -4,315,000 -3,251,000 -2,579,000 -2,489,000 -2,523,000 -2,336,000 -1,838,000 -2,220,000 -2,551,000 -2,464,000 -2,059,000 -958,000 -2,721,000 -2,041,000 -2,528,000 -2,205,000 -2,695,000 -1,693,000 -1,608,000 -2,145,000 -866,000 -1,874,000 -2,754,000 -2,761,000 -2,552,000 -2,379,000 -2,497,000 -1,886,000 -2,037,000 -1,866,000 -1,404,000 -1,519,000 -2,331,000 -1,658,000 -1,587,000 -2,640,000 -2,167,000 -1,715,000 -1,738,000 -1,817,000 -1,454,000 -1,419,000 -1,255,000 -1,780,000 -1,283,000 -849,000 -1,179,000 -1,064,000 -1,124,000 -1,270,000 -1,270,000 -1,286,000 -1,005,000 -1,047,000 -896,000 -794,000 -944,000 -624,000 -860,000 -1,003,000 -1,082,000 -1,000,000 -588,000 -594,000 -992,000 -728,000 -1,562,000 -1,126,000 -1,076,000 -1,169,000 -928,000 -1,187,000 -745,000 -1,318,000 -784,000 -1,480,000 
          purchase of majority interest in businesses, net of cash acquired
          -2,679,000 -4,211,000 -91,891,000 -2,501,000 -22,724,000 -15,971,000 -3,588,000 -14,954,000 -2,244,000 -5,796,000 -41,215,000 -6,774,000 -557,000 -11,242,000 -64,234,000 -2,187,000 -8,655,000 -11,747,000 -8,585,000 -3,689,000 -11,633,000                                                      
          purchase of redeemable non-controlling interest, temporary equity
        -1,338,000 -152,000 -7,520,000 -907,000 -1,095,000 -727,000 -3,528,000 -2,702,000 -3,182,000 -2,626,000 -5,178,000 -891,000 -5,448,000 -6,437,000 -2,211,000 -13,549,000 -5,380,000   -17,298,000 -699,000 -536,000 -1,852,000 -2,952,000 -3,646,000                                                    
          purchase of non controlling interest, permanent equity
        -77,000 -47,000   -248,000 -229,000 -29,000 -498,000                                                                      
          proceeds on sale of non-controlling interest, permanent equity
            3,000 23,000 72,000                                                                     
          repayment of notes receivable related to sales of redeemable non-controlling interest
        144,000                                                                             
          proceeds on sale of partnership interest - redeemable non-controlling interest, temporary equity
               67,000 60,000                                                                     
          distributions from unconsolidated affiliate
        322,000 425,000 354,000 310,000 242,000 306,000 165,000 367,000 149,000 179,000 257,000 245,000 39,000 672,000 416,000 132,000                                                              
          proceeds on sale of partnership interest, clinics and fixed assets
                                                                                     
          other
        -167,000 303,000 184,000 44,000 778,000 -328,000 156,000 88,000 271,000   125,000 -95,000 -81,000 93,000 -121,000 -20,000 -5,000 12,000 278,000   129,000 -24,000 99,000 9,000 12,000 209,000 6,000 -104,000 56,000 581,000   557,000 -557,000 1,000   45,000 132,000 44,000 1,000  -310,000 33,000 33,000     1,208,000 -180,000 -217,000 -374,000  -13,000 -138,000 -24,000             -54,000 
          net cash from investing activities
        -5,444,000 -11,935,000 -12,706,000 -6,628,000 -94,853,000 -5,842,000 -28,291,000 -20,464,000 -8,414,000 -16,941,000 -6,979,000 -12,681,000 -43,391,000 -14,338,000 -7,596,000 -15,944,000 -79,878,000 -10,883,000 -20,172,000 -13,203,000 -28,288,000 -4,836,000 -2,156,000 -15,923,000 -6,028,000 -6,724,000 -20,611,000 -4,630,000 -2,029,000 -9,248,000 -10,221,000 -2,411,000 -4,326,000 -2,401,000 -19,653,000 -17,195,000 -12,156,000 -2,581,000 -1,636,000 -16,119,000 -3,619,000 -10,021,000 -8,215,000 -1,773,000 -3,318,000 -13,998,000 -3,791,000 -37,643,000 -1,365,000 -7,014,000 -6,427,000 -6,427,000 -2,737,000 -1,546,000 -7,276,000 -2,545,000 -2,099,000 -12,142,000 -16,493,000 -872,000 -10,461,000 -1,386,000 -521,000 -9,265,000 -3,962,000 -1,106,000 -706,000 -1,552,000 -8,858,000 -1,903,000 -10,083,000 -4,032,000 -1,786,000 -18,127,000 -1,756,000 -1,867,000 -2,334,000 
          financing activities
                                                                                     
          proceeds from issuance of common stock pursuant to the secondary public offering, net of issuance costs
                -9,000                                                                    
          proceeds from revolving facility
        43,000,000 73,000,000 56,500,000 17,000,000                                                                         
          distributions to non-controlling interest, permanent and temporary equity
        -4,659,000 -3,913,000 -7,044,000 -3,653,000 -3,312,000 -3,081,000 -5,158,000 -3,160,000 -4,323,000 -3,346,000 -5,134,000 -3,297,000 -3,588,000 -4,558,000 -3,491,000 -3,711,000 -2,601,000                                                             
          cash dividends paid to shareholders
        -6,842,000 -6,842,000   -6,642,000 -6,634,000   -6,445,000 -6,445,000   -5,331,000 -5,331,000   -4,831,000 -4,906,000     -3,832,000 -3,832,000   -2,918,000 -2,918,000    -5,031,000                                            
          payments on revolving facility
        -39,000,000 -71,000,000                                                                           
          payments on term loan
        -1,875,000 -1,875,000 -1,875,000 -3,750,000 -1,875,000 -937,000 -938,000 -937,000   -938,000                                                                  
          cash from the repurchase of common stock
                                                                                     
          principal payments on notes payable
        -71,000 -366,000 -1,155,000 -473,000 -1,226,000 -613,000 -721,000 -392,000 -1,526,000 -1,788,000 -664,000 -422,000 -434,000 -158,000 -6,000 -332,000 -237,000 -455,000 -4,062,000 -145,000 -337,000 -386,000 -200,000 -114,000 -24,000 -352,000 -575,000 -482,000 -1,750,000 -396,000 -1,075,000 -823,000 -451,000 1,000 -75,000 -702,000 -208,000 -59,000 -283,000 -250,000                                      
          net cash from financing activities
        -15,020,000 -10,989,000 -27,252,000 9,124,000 -153,000 -12,230,000 -20,080,000 -4,490,000 -13,281,000 -12,476,000 107,682,000 2,343,000 19,772,000 -10,047,000 16,077,000 -43,000 73,352,000 -15,293,000 4,772,000 -19,452,000 5,684,000 -34,836,000 -75,816,000 65,546,000 -14,264,000 -18,122,000 20,174,000 -12,063,000 -25,844,000    -6,854,000 -19,063,000 6,721,000 8,131,000 8,157,000 -11,512,000 -15,770,000 4,836,000 1,585,000 -7,784,000 5,482,000 -16,148,000 -1,564,000 -7,193,000 3,964,000 22,482,000 -4,942,000 -8,846,000 187,000 187,000 -6,174,000 -6,965,000 -8,149,000 -2,169,000 -9,455,000 4,873,000 7,673,000 -3,336,000 3,181,000 -7,312,000 -10,285,000 8,278,000 -5,362,000 -9,833,000 -8,194,000 -3,913,000 418,000 -7,830,000 2,900,000 1,353,000 -6,421,000 10,417,000 -1,091,000 -1,392,000 -1,788,000 
          net increase in cash and cash equivalents
            -75,597,000 4,048,000 -19,379,000 -20,535,000   128,133,000 1,011,000     9,379,000 -1,231,000 2,482,000 -14,981,000 2,789,000 -13,426,000 -45,996,000 66,003,000 -4,308,000 -7,003,000   -8,873,000 5,093,000 7,335,000 -2,120,000 4,515,000 -2,824,000 -4,912,000 5,107,000 5,023,000 -5,429,000 1,247,000 3,428,000 7,586,000 -1,585,000 286,000        -1,387,000 -1,387,000             -2,897,000 -1,113,000 -642,000 968,000 960,000 1,080,000 -1,124,000 1,221,000 -1,590,000 -2,402,000 -1,125,000 2,141,000 859,000 
          cash and cash equivalents - beginning of period
        41,362,000 152,825,000 31,594,000 28,567,000 32,918,000 23,548,000 23,368,000 21,933,000 20,047,000 15,778,000 14,271,000        11,671,000 11,671,000                          
          cash and cash equivalents - end of period
        4,468,000 -2,984,000 -5,097,000 39,183,000 -75,597,000 4,048,000 -19,379,000 132,290,000 5,140,000 -13,053,000 128,133,000 32,605,000 -6,320,000 -10,658,000 24,343,000 24,229,000 9,379,000 -1,231,000 2,482,000 17,937,000 2,789,000 -13,426,000 -45,996,000 89,551,000 -4,308,000 -7,003,000 14,621,000 20,238,000 -8,873,000 5,093,000 7,335,000 19,813,000 4,515,000 -2,824,000 -4,912,000 25,154,000 5,023,000 -5,429,000 1,247,000 19,206,000           10,284,000 10,284,000                         15,861,000 
          supplemental disclosures of cash flow information
                                                                                     
          cash paid during the period for:
                                                                                     
          income taxes
        2,539,000 1,976,000 2,474,000 7,359,000 -927,000 827,000 4,565,000 367,000 2,195,000 1,490,000 799,000 442,000 86,000 3,005,000 4,443,000 81,000 1,437,000 3,810,000 6,905,000 62,000 3,256,000 4,364,000 -185,000 242,000 398,000 5,119,000 4,026,000 313,000 226,000 1,474,000 4,542,000 2,941,000 484,000 543,000 7,430,000 86,000 533,000 4,538,000 3,248,000 2,265,000 1,824,000 2,560,000 1,275,000 1,333,000 4,685,000 2,993,000 242,000 -291,000 2,403,000 1,822,000 177,000 177,000 1,161,000 1,314,000 3,310,000 576,000 1,156,000 4,514,000 2,752,000 615,000 1,636,000 1,381,000 4,368,000 419,000 1,499,000 1,874,000 3,328,000 1,744,000 128,000 808,000 1,946,000 1,518,000 1,405,000 1,391,000 2,576,000 109,000 256,000 
          interest paid
        2,126,000 2,622,000 2,478,000 2,205,000 1,579,000 1,922,000 1,864,000 1,844,000 1,663,000 2,981,000 2,634,000 1,377,000 3,528,000 840,000 794,000 525,000                                                              
          non-cash investing and financing transactions during the period:
                                                                                     
          purchase of businesses - seller financing portion
               -45,000 1,500,000 360,000 750,000 450,000 74,000 300,000 1,250,000 1,250,000 250,000 300,000 325,000 496,000 300,000                                                     
          liabilities assumed associated with a purchase of a business
                                                                                     
          fair market value of initial contingent consideration related to purchase of businesses
        -439,000 2,672,000 1,800,000 1,259,000                                                                          
          notes payable related to purchase of redeemable non-controlling interest, temporary equity
        38,000 46,000 89,000 5,000    70,000 396,000 10,000 611,000 126,000 702,000 246,000                                                             
          payable related to the purchase of redeemable non-controlling interest, temporary equity
                                                                                     
          offset to notes receivable associated with purchase of redeemable non-controlling interest
           180,000                                                                          
          notes receivable related to sale of redeemable non-controlling interest
           646,000                                                                          
          notes payable related to the purchase of non-controlling interest, permanent equity
                                                                                    
          payable related to the purchase of non-controlling interest, permanent equity
                                                                                     
          notes receivable related to the sale of non-controlling interest, permanent equity
        44,000   39,000 243,000 61,000                                                                     
          issuance of restricted stock related to purchase of business
                                                                                     
          loss on sale of fixed assets
         -18,000    229,000 46,000 5,000          7,000    -83,000         40,000 54,000  18,000 32,000 33,000 121,000   -19,000                                      
          loss on sale of a partnership
         123,000                                                                          
          purchase of interest in businesses, net of cash acquired
                                                                                     
          proceeds from the sale of non-controlling interest, permanent equity
                                                                                    
          proceeds from the sale of partnership interest - redeemable non-controlling interest, temporary equity
         134,000 15,000                                                                          
          proceeds from the sale of partnership
                                                                                    
          net (decrease) in cash and cash equivalents
         -2,984,000 -5,097,000 -2,179,000                                                                          
          offset of notes receivable associated with purchase of redeemable non-controlling interest
            552,000 75,000                                                                      
          notes receivable related to sale of redeemable non-controlling interest, temporary equity
         1,357,000    1,673,000 87,000 315,000 1,072,000                                                                     
          patient accounts receivable,net
                                                                                     
          repayment of notes receivable related to redeemable non-controlling interest
                                                                                     
          notes payable related to purchase of non-controlling interest, temporary equity
                                                                                     
          gain on change in fair value of contingent earn-out consideration
           -4,822,000                                                                          
          increase in patient accounts receivable
           -7,341,000 3,524,000 -3,760,000 14,000 -5,124,000 -230,000 -74,000 658,000 -5,999,000 -2,694,000 -126,000 -2,783,000 -4,676,000        3,209,000 1,795,000 -3,215,000 -58,000 -4,898,000 -2,342,000 1,049,000 641,000 -2,782,000 -1,533,000 2,092,000 -2,464,000 -1,542,000 -727,000 -99,000 -264,000 -2,185,000 -1,268,000 -695,000 -2,185,000 -436,000 -510,000 -1,440,000 -3,002,000 -2,071,000 -776,000 887,000 -3,429,000 -3,429,000 -365,000 315,000 566,000 -2,179,000  -83,000 46,000 -3,774,000    -1,583,000    -503,000         -1,218,000 
          decrease in accounts receivable - other
           774,000         4,244,000 -1,689,000 -717,000 -2,145,000 -800,000 -867,000 -91,000 220,000 931,000 447,000            -1,330,000 291,000 -3,697,000 -516,000 63,000 10,000 43,000  40,000 125,000   -226,000 146,000     74,000                          
          increase in other current and long term assets
           -6,209,000    -433,000 -2,686,000                                                                     
          decrease in accounts payable and accrued expenses
           -14,229,000    -6,678,000 5,624,000                                      -5,241,000    -2,460,000 -2,460,000  -1,016,000         -2,028,000 -58,000   -1,066,000 -324,000          
          increase in long term liabilities
           -1,284,000                                                                          
          proceeds from sale of partnership
           700,000                                                                          
          purchase of redeemable non-controlling interest, temporary equity, recorded in accrued liabilities
           6,672,000                                                                          
          dividends payable to usph shareholders
           6,836,000    6,630,000    5,617,000    5,327,000    4,514,000                                                          
          increase in accounts receivable - other
            -5,588,000 1,391,000 1,634,000 -3,985,000 1,275,000 -1,546,000 711,000 -796,000            -1,752,000 -1,493,000 1,462,000 -1,973,000 -495,000 2,867,000 -1,020,000 -2,085,000 -849,000                                              
          decrease in other long-term liabilities
                   -1,359,000    -2,480,000                                                              
          proceeds from term loan
                                                                                   
          payment of deferred financing costs
                                                                                   
          others
                                                                                     
          decrease in other current and long term assets
             -166,000                                                                        
          increase in accounts payable and accrued expenses
             6,484,000       -3,187,000   1,445,000 128,000 8,201,000 -7,641,000 3,969,000 -1,068,000 9,017,000 2,451,000 2,027,000 -3,769,000 4,340,000 -5,054,000 274,000 -4,866,000 4,897,000 -2,544,000 7,389,000 -1,147,000 3,083,000 -272,000 5,315,000 -2,184,000 -2,537,000 3,393,000 4,322,000                -3,728,000 2,684,000   685,000 -956,000    -939,000    -647,000   -240,000 -225,000   1,526,000 1,313,000 
          increase in other long-term liabilities
             -1,137,000 496,000 52,000  292,000   2,979,000 2,459,000   -5,603,000 209,000 2,345,000 -1,743,000                                                          
          proceeds on sale of redeemable non-controlling interest, temporary equity
                        37,000   73,000 35,000                                                        
          purchase of interest in businesses - seller financing portion
             6,440,000 455,000 500,000                                                                      
          initial contingent consideration related to purchase of interest of businesses
                                                                                     
          notes payable related to purchase of non-controlling interest, permanent equity
                    -280,000                                                                 
          proceeds on sale of partnership interest - redeemable non-controlling interest
                  130,000 107,000                                                                  
          proceeds on sale of fixed assets
                             423,000 -295,000 316,000 -1,000 6,000 59,000 -1,000 1,000   14,000 5,000 62,000 19,000 42,000 -1,000                        4,000 21,000 22,000 10,000 10,000 15,000 71,000 12,000 -16,000 29,000 2,000 6,000  
          deferred payments related to purchase of interest in business
                                                                                     
          fair market value of initial contingent consideration related to purchase of interest of businesses
                                                                                     
          payment of medicare accelerated and advance funds
                           -14,054,000                                                          
          gain on sale of clinics and fixed assets
                                                                                     
          purchase of non controlling interest-permanent equity
                 -223,000                                                                    
          net decrease in cash and cash equivalents
                    -6,320,000 -10,658,000 24,343,000 -4,338,000            -3,130,000                                                  
          earnings in unconsolidated affiliate
                  -326,000 -274,000 -192,000 -304,000 -340,000 -339,000                                                              
          decrease in other assets
                      965,000 -735,000 -438,000 60,000 -476,000 221,000 -1,243,000 -565,000   866,000    112,000   -1,238,000    757,000    -2,282,000  -119,000 106,000 -690,000 -3,343,000 805,000 735,000 655,000 -2,719,000 1,772,000 2,095,000 2,095,000 -1,056,000 170,000 263,000 38,000 55,000   355,000 111,000 496,000 -1,142,000 741,000         208,000     
          increase (decrease ) in accounts payable and accrued expenses
                                                                                     
          proceeds on sales of redeemable non-controlling interest-temporary
                     57,000                                                                
          proceeds from revolving line of credit
                  17,000,000 7,000,000 40,000,000 26,000,000 35,000,000 123,000,000 65,000,000 68,000,000 60,000,000 80,000,000 35,000,000 11,000,000 88,000,000 35,000,000 30,000,000 61,000,000 19,000,000 24,000,000 24,000,000 36,000,000 19,000,000 30,000,000 14,000,000 17,000,000 32,000,000 40,000,000 35,000,000 44,000,000 49,000,000 24,000,000 17,000,000 34,000,000 22,000,000 35,300,000 48,000,000 29,000,000 62,350,000 25,900,000 31,950,000 30,600,000 30,600,000 24,000,000 23,500,000 24,000,000 8,400,000 24,900,000 51,700,000 38,300,000 4,000,000 9,500,000 9,000,000 8,300,000 19,500,000 7,000,000 6,500,000 5,250,000 5,700,000 8,600,000 9,500,000 2,800,000     
          payments on revolving line of credit
                    -9,000,000 -144,000,000 -31,000,000 -42,000,000 -70,000,000 -46,000,000 -60,000,000 -71,000,000 -61,000,000 -92,000,000 -20,000,000 -40,000,000 -41,000,000 -28,000,000 -28,000,000 -40,000,000 -26,000,000 -22,000,000 -31,000,000 -32,000,000 -27,000,000 -6,000,000 -20,000,000 -30,000,000 -41,500,000 -54,000,000 -40,500,000 -19,000,000 -17,500,000 -27,000,000 -34,000,000 -33,800,000 -48,500,000 -23,500,000 -36,500,000 -27,500,000 -36,600,000 -27,600,000 -27,600,000 -22,700,000 -27,400,000 -28,200,000 -7,700,000 -27,800,000 -41,100,000 -27,300,000 -4,700,000 -4,000,000 -12,600,000 -15,600,000 -9,000,000 -10,000,000 -13,700,000 -7,250,000 -4,500,000          
          payment on term loan
                                                                                     
          notes receivable related to sale of partnership interest - redeemable non-controlling interest
                  2,155,000 532,000 104,000      287,000     90,000                                                    
          deferred income taxes
                   221,000 -1,768,000 1,770,000 2,175,000 2,132,000 4,396,000 -1,868,000 979,000 2,181,000 576,000 903,000 -368,000 -1,369,000 971,000 -1,741,000 3,303,000 2,118,000 7,912,000 -1,363,000 -574,000 -1,162,000                                      -108,000 64,000 343,000  -142,000 21,000 81,000 471,000 
          increase in other assets
                   1,897,000 -7,609,000           2,846,000   -1,865,000 -894,000      1,555,000    -2,536,000                              -144,000  546,000 -1,039,000 -148,000   4,000 -396,000  
          (decrease ) increase in accounts payable and accrued expenses
                   -1,846,000                                                                  
          purchase of non controlling interest-permanent
                                                                                     
          net income including non-controlling interest and earnings from unconsolidated affiliates
                    3,348,000 12,821,000 15,256,000 11,982,000                                                              
          gain on sale of partnership interest
                           96,000    309,000                                                     
          derecognition (write-off) of goodwill - closed clinics
                                                                                     
          impairment of goodwill
                                                                                     
          purchase of non-controlling interest, permanent equity
                    -124,000 -57,000 -99,000 -181,000    -54,000 -40,000   -290,000                                                    
          sales of partnership interest, clinics and fixed assets
                                                                                     
          sale of non-controlling interest - permanent
                                                                                     
          (payment) receipt of medicare accelerated and advance funds
                                                                                   
          notes receivable related to sale of partnership interest
                                                                                     
          unrealized gain on cash flow hedge
                                                                                     
          proceeds on sales of partnership interest, clinics and fixed assets
                     736,000 4,000 139,000 304,000                                                            
          loss on revaluation of put-right liability
                                                                                     
          purchase of businesses - contingent consideration
                                                                                     
          notes payable due to purchase of non-controlling interest, permanent equity
                      296,000                                                              
          gain on revaluation of put-right liability
                       -603,000                                                              
          sales of non-controlling interest-permanent
                                                                                    
          decrease in patient accounts receivable
                        -1,904,000 -2,188,000 -637,000 -4,688,000 -3,218,000 -4,763,000                                                        
          interest
                        157,000 454,000 443,000 298,000 258,000 595,000 349,000 478,000 510,000 559,000 343,000 652,000 599,000 580,000 526,000 497,000 1,512,000 -495,000 599,000 14,000 258,000 264,000 248,000 156,000 225,000 235,000 246,000 200,000 312,000 345,000 115,000 118,000 119,000 119,000 101,000 116,000 139,000 283,000 10,000 127,000 95,000 93,000 40,000 24,000   56,000 173,000 90,000 5,000 82,000 198,000 104,000 100,000 197,000 16,000 21,000 29,000 11,000 
          purchase of business - payable to common shareholders of acquired business
                                                                                   
          note receivables related to sale of partnership interest
                         627,000                                                            
          short swing profit settlement
                                                                                     
          purchase of redeemable non-controlling interest - notes payable
                                                                                    
          receivables related to sale of partnership interest
                                                                                     
          net income including non-controlling interests
                          17,472,000 11,886,000 18,627,000 15,763,000 14,763,000 3,338,000 12,015,000 13,069,000 19,800,000 12,375,000 13,673,000 11,879,000 13,236,000 10,054,000 8,706,000 6,594,000 6,390,000 6,034,000 556,000 7,972,000 10,060,000 7,680,000 8,064,000 9,117,000 6,151,000 7,263,000 7,418,000 9,420,000 6,323,000                               
          adjustments to reconcile net income including non-controlling interests to net cash fromoperating activities:
                                                                                     
          distributions to non-controlling interests, permanent and temporary equity
                          -4,133,000 -5,265,000 -4,108,000 -8,516,000 -3,366,000 -2,341,000 -5,373,000 -2,928,000 -5,358,000 -2,576,000 -5,176,000 -3,735,000                                                
          purchase of businesses - payable
                                                                                     
          adjustments to reconcile net income including non-controlling interests to net cash from operating activities:
                                                                                     
          purchase of redeemable non-controlling interest - temporary equity
                                                                                     
          proceeds on sales of partnership interest and clinics
                           152,000                                                         
          payable related to purchase of redeemable non-controlling interest, temporary equity
                           4,829,000                                                          
          write-off of goodwill - closed clinics
                            1,859,000                 69,000                                     
          payments to settle mandatorily redeemable non-controlling interests
                                    -265,000 -131,000 -2,230,000                                          
          medicare accelerated and advance payment funds
                            1,130,000 63,000                                                        
          notes receivables related to sale of partnership interest
                            324,000 284,000                                                        
          provision for doubtful accounts
                             1,279,000 739,000 1,361,000 1,450,000 962,000 1,240,000 1,206,000 1,501,000 890,000 1,151,000 1,061,000 956,000 930,000 888,000 898,000 1,078,000 917,000 956,000 1,089,000 1,067,000 1,061,000 991,000 1,018,000 1,090,000 1,054,000 950,000 1,007,000 1,095,000   1,089,000 1,192,000 1,259,000 1,280,000 1,117,000 1,231,000 1,426,000 504,000 624,000 778,000 695,000 734,000 1,034,000 772,000 1,001,000 869,000 706,000 843,000 747,000 735,000 748,000 813,000 691,000 501,000 631,000 566,000 
          payable due to purchase of redeemable non-controlling interest
                                                                                    
          gain on sale of partnership interest, net of tax
                                                                                     
          increase in other liabilities
                              106,000 239,000 -577,000    -1,956,000 2,660,000 173,000 -845,000 170,000 209,000 1,000 76,000 -356,000 261,000 82,000 365,000      220,000 184,000 195,000 645,000 -37,000 56,000 56,000 -1,340,000 -12,000 43,000 -12,000 -882,000 192,000 207,000 208,000 575,000 168,000 106,000 -45,000 961,000 -20,000 -584,000 58,000 234,000 51,000 117,000 68,000 126,000 -23,000 242,000 -7,000 187,000 
          payable related to purchase of partnership interest - settlement of redeemable non-controlling interest
                                                                                     
          purchase of non-controlling interest - payable
                                                                                     
          gain on derecognition of debt
                                                                                     
          increase in mandatorily redeemable non-controlling interests
                                        4,510,000 668,000 3,490,000 2,911,000                                          
          purchase of majority interest in businesses
                                -232,000                                                     
          sales of non-controlling interest-permanent equity
                                                                                     
          proceeds on sale of partnership interest
                                                                                    
          decrease in other liabilities
                                  -438,000 -263,000                                                  
          purchase of business
                                                                               -2,831,000      
          purchase of business - seller financing portion
                                  3,772,000 228,000 400,000 400,000 150,000 500,000 750,000 900,000 486,000 14,000 500,000 850,000 500,000     400,000 400,000 400,000                          
          receivable related to sale of partnership interest
                                                                                     
          purchase of redeemable non-controlling interest
                                   -2,053,000                                                  
          purchase of non-controlling interest
                                   -139,000  -27,000 1,000 -246,000                                              
          purchase of businesses, net of cash acquired
                                    -64,000 -7,185,000 -8,357,000 -761,000 -2,942,000 -75,000 -17,995,000 -15,670,000 -10,665,000 -59,000 -12,899,000 33,000 -8,022,000 -6,445,000 -30,000 -1,490,000 -10,625,000 -125,000 -36,500,000 -130,000 -5,783,000 -4,215,000 -4,215,000 -527,000 -222,000 -6,090,000 -1,090,000 -1,302,000    -9,351,000 32,000 -93,000 -8,785,000     -8,042,000 -103,000        
          sale of non-controlling interest
                                                                                     
          acquisition of non-controlling interest - seller financing portion
                                            -113,000 -14,000 514,000                                      
          payment to settle redeemable non-controlling interest - financing portion
                                                                                     
          receivable from sale of non-controlling interests
                                                                                     
          loss on sale and disposal of fixed assets
                                                                                     
          net (cash from) provided by financing activities
                                      2,466,000 -15,240,000                                              
          distributions to non-controlling interests
                                       -2,208,000 -1,874,000 -1,033,000 -1,728,000 -937,000 2,553,000 -3,067,000 -3,591,000 -1,613,000 -1,930,000 -3,317,000 -1,589,000 -2,846,000 -2,085,000 -3,569,000 -1,413,000                               
          excess tax benefit from equity-based rewards
                                                                                     
          deferred income tax
                                        -5,155,000 1,276,000 -735,000 -250,000 -2,709,000 1,518,000 1,461,000 2,709,000 1,051,000 1,565,000 565,000 2,387,000 1,466,000 842,000 1,580,000 2,912,000 253,000 -577,000 -219,000 -219,000 1,203,000 1,489,000 -564,000 1,610,000 2,401,000 482,000 585,000 365,000 -652,000 651,000 737,000 -284,000 524,000 128,000 8,000 54,000          
          sale of non-controlling interest, net of purchases
                                                                                     
          cash dividends paid to shareholders - funded
                                                                                     
          tax benefit from equity-based rewards
                                                                                     
          acquisitions of non-controlling interests
                                            1,130,000 -414,000 138,000 -1,524,000 -1,834,000 -609,000 -359,000 -492,000 -53,000 -2,112,000 -2,833,000                               
          sale of non-controlling interests
                                                                                    
          tax benefit from equity-based awards
                                             242,000 233,000 323,000                                      
          cash dividends to shareholders - funded
                                            -2,128,000 -2,128,000 -2,129,000 -2,125,000                                      
          excess tax benefit from equity-based awards
                                                                                     
          revaluation of redeemable non-controlling interests
                                                  202,000 1,639,000                               
          excess tax benefit from exercise of equity-based awards
                                               -323,000                                      
          loss on sale or abandonment of assets
                                                16,000             46,000 25,000 58,000         19,000 72,000 4,000 27,000 83,000 51,000 68,000 45,000 81,000 14,000 16,000 6,000  
          excess tax benefit from shared-based compensation
                                                -386,000 -159,000 -271,000                                   
          (decrease) in accounts payable and accrued expenses
                                                  -5,976,000                                   
          increase in other long term liabilities
                                                -547,000 262,000 665,000                                   
          cash dividends to shareholders
                                                -1,863,000   -1,474,000 -1,467,000   -1,210,000 -1,210,000 -1,211,000 -1,207,000 -1,207,000 -5,834,000 -1,066,000 -1,059,000 -1,058,000 -946,000 -953,000                    
          payment of notes payable
                                                -8,000 -408,000 -200,000 -250,000 -325,000 -250,000 -225,000 -184,000 -50,000 -50,000 -150,000 -100,000   -150,000 -100,000 -279,000 -258,000   -353,000 -405,000 -548,000 -73,000 -124,000 -434,000 -215,000 -114,000 -167,000 -115,000 -140,000 -166,000 -68,000 
          tax benefit from share-based compensation
                                                386,000 159,000 271,000                                   
          cash - end of period
                                                7,586,000 -1,585,000 14,557,000  2,890,000 -3,827,000 16,761,000                               
          loss on sale of business and sale or abandonment of assets
                                                  17,000  -14,000 15,000 19,000           65,000 19,000 56,000  58,000 150,000 -558,000              
          write-off of goodwill - closed clinic
                                                  34,000                                   
          proceeds on sale of business and fixed assets
                                                  8,000 4,000 5,000 22,000 16,000    14,000 14,000                          
          loss on sale of business and fixed assets
                                                          14,000 14,000                          
          excess tax benefit from exercise of stock options
                                                   -422,000 -311,000 -89,000 -126,000                              
          tax benefit from stock options exercised
                                                          33,000 33,000                          
          excess tax benefit from stock options exercised
                                                    311,000 89,000 126,000  244,000     197,000 126,000 58,000  180,000 227,000 395,000 288,000 36,000 4,000 8,000    50,000 3,000 75,000 7,000 68,000 100,000 9,000 10,000 
          proceeds from exercise of stock options
                                                                 1,000 1,000 16,000 316,000 81,000 7,000    402,000 28,000 65,000 126,000 69,000 145,000 228,000 11,000 
          net increase in cash
                                                    2,890,000 -3,827,000 3,863,000         457,000  483,000 -1,674,000 1,487,000  2,544,000 -4,295,000 5,042,000              
          cash - beginning of period
                                                    12,898,000                               
          net income including noncontrolling interests
                                                         7,374,000 5,609,000 5,609,000 5,794,000 6,298,000 7,314,000 6,812,000 10,142,000 5,853,000 7,603,000 6,185,000 6,358,000 6,177,000 7,034,000 5,131,000 4,207,000 5,140,000 6,034,000 4,593,000          
          adjustments to reconcile net income including noncontrolling interests to net cash from operating activities:
                                                                                     
          gain on purchase price settlement
                                                                                     
          acquisitions of noncontrolling interests
                                                          -956,000 -956,000 -930,000 -349,000 -400,000 -565,000 -1,504,000 -3,050,000 -15,870,000 -15,000 -129,000 -338,000 -198,000 -17,000 -2,194,000             
          sale of noncontrolling interests
                                                                                   
          settlement of purchase price
                                                                                     
          distributions to noncontrolling interests
                                                         -2,816,000 -1,594,000 -1,594,000 -2,482,000 -2,099,000 -2,832,000 -1,919,000 -2,485,000 -2,685,000 -2,608,000 -1,989,000 -2,344,000 -2,405,000 -2,594,000 -2,237,000 -2,009,000 -2,329,000 -2,707,000 -2,393,000          
          purchase and retire of common stock
                                                                        -2,939,000 -2,647,000          
          acquisition of noncontrolling interest - seller financing portion
                                                                                     
          increase in accounts receivable—other
                                                               -426,000                      
          acquisitions of non-controlling interests, net of sales
                                                                                     
          net proceeds on sale of non controlling interest, fixed assets and business
                                                                                     
          cash—beginning of period
                                                               9,983,000                      
          cash—end of period
                                                               10,440,000                      
          purchase of business—seller financing portion
                                                               100,000                      
          acquisitions of noncontrolling interests, net of sales
                                                                                     
          net proceeds on sale of fixed assets and business
                                                             30,000 22,000 6,000  1,000 1,000 3,000  2,000 770,000 125,000              
          net decrease in cash
                                                                                     
          benefit from doubtful accounts
                                                          1,089,000                           
          decrease (increase) in accounts receivable - other
                                                          74,000                           
          cash and cash equivalents—beginning of period
                                                                                     
          cash and cash equivalents—end of period
                                                                                     
          acquisition of noncontrolling interest—seller financing portion
                                                                                     
          increase in accounts receivable — other
                                                                287,000 -165,000 -703,000 -409,000                  
          purchase and retirement of common stock
                                                                                     
          cash — beginning of period
                                                                 9,179,000  6,429,000              
          cash — end of period
                                                                 483,000 -1,674,000 10,666,000  2,544,000 -4,295,000 11,471,000              
          purchase of business — seller financing portion
                                                                   250,000 50,000 225,000     556,000       
          acquisition of noncontrolling interest — seller financing portion
                                                                                   
          cash and cash equivalents — beginning of period
                                                                        10,113,000  7,976,000  10,952,000  
          cash and cash equivalents — end of period
                                                                        -2,897,000 -1,113,000 -642,000 11,081,000  1,080,000 -1,124,000 9,197,000  -2,402,000 -1,125,000 13,093,000  
          cash dividend to shareholders
                                                                   -943,000                  
          recognition of deferred rent subsidies
                                                                        -130,000 -124,000 -121,000 -117,000 -108,000 -105,000 -122,000 -96,000 -105,000 -109,000 -112,000 -130,000 -103,000 
          decrease in accounts receivable — other
                                                                    -128,000 65,000 -172,000 -62,000 -660,000 1,000 -6,000 197,000   100,000 130,000    173,000  
          (increase) in other assets
                                                                                     
          purchase of marketable securities — available for sale
                                                                                -440,000 -1,600,000  
          proceeds on sale of marketable securities — available for sale
                                                                                1,900,000 640,000  
          purchase of business — issuance of common stock
                                                                                     
          write-off of goodwill
                                                                            -39,000         
          cash paid during the period for :
                                                                                     
          net income
                                                                            2,233,000 2,531,000 2,855,000 2,385,000 2,486,000 2,120,000 2,303,000 1,829,000 1,484,000 
          adjustments to reconcile net income to net cash from operating activities:
                                                                                     
          minority interests in earnings of subsidiary limited partnerships
                                                                            1,853,000 1,583,000 1,977,000 1,672,000 1,576,000 1,369,000 1,467,000 1,315,000 1,201,000 
          acquisitions of minority interests, included in goodwill
                                                                                     
          distributions to minority investors in subsidiary limited partnerships
                                                                            -2,058,000 -1,848,000 -1,916,000 -1,473,000 -1,387,000 -1,605,000 -1,196,000 -1,463,000 -881,000 
          repurchase of common stock
                                                                                    -860,000 
          cash and cash equivalents — beginning of year
                                                                                     
          cash and cash equivalents — end of year
                                                                                     
          tax benefit from exercise of stock options
                                                                             -50,000 -3,000 -75,000  -68,000 -100,000 -9,000  
          increase in patient account receivable
                                                                             880,000 -682,000 -2,755,000  -1,175,000 -956,000 -1,001,000  
          decrease in accounts receivable – other
                                                                                     
          acquisitions of minority interest, included in goodwill
                                                                             -739,000 -372,000 -285,000  -383,000 -129,000  
          payment on revolving line of credit
                                                                             -6,000,000        
          changes in operating assets and liabilites:
                                                                                     
          purchase of business, net of cash acquired
                                                                                -576,000     
          closure costs — write-off of goodwill
                                                                                     
          impairment charge — goodwill
                                                                                     
          non-cash transactions during the period:
                                                                                     
          conversion of series c notes into common stock
                                                                                     
          adjustments to reconcile net income to net cash from
                                                                                     
          operating activities:
                                                                                     
          loss on sale or abandonment of fixed assets
                                                                                    12,000 
          increase in accounts receivable -- other
                                                                                    -137,000 
          (increase) decrease in other assets
                                                                                    -107,000 
          acquisition of minority interests, included in goodwill
                                                                                    -800,000 
          cash and cash equivalents -- beginning of period
                                                                                    15,002,000 
          acquisition of businesses
                                                                                     
          note payable purchase of minority interest purchase of business — seller financing portion