XML 43 R32.htm IDEA: XBRL DOCUMENT
v3.19.1

REVENUE RECOGNITION (Details) - USD ($) | 3 Months Ended |  |  |
--- | --- | --- | --- | ---
Mar. 31, 2019 | Mar. 31, 2018 | Feb. 09, 2018 | Nov. 02, 2015 | Apr. 01, 2013
Revenue from Contract with Customer, Excluding Assessed Tax [Abstract] |  |  |  |  |
Revenue related to the various categories | $ 116,231,000 | $ 108,342,000 |  |  |
Medicare Reimbursement [Abstract] |  |  |  |  |
Federal debt ceiling in connection with deficit reductions | 10 years |  |  |  |
Reductions in federal spending | $ 1,200,000,000,000 |  |  |  |
Medicare spending cut percentage | 2.00% |  |  |  |
Expected reduction in Medicare spending percentage |  |  | 2.00% | 2.00% | 2.00%
Combined physical therapy/speech language pathology expenses | $ 3,700 |  |  |  |
Reduction in combined physical therapy/speech language pathology expenses | $ 3,000 |  |  |  |
Percentage of practice expense component | 100.00% |  |  |  |
Percentage reduction for service | 50.00% |  |  |  |
Percentage of payment for outpatient therapy services | 85.00% |  |  |  |
Net patient revenue from Medicare accounts | $ 28,300,000 | 24,600,000 |  |  |
Contractual Allowances [Abstract] |  |  |  |  |
Difference between net revenues and corresponding cash collections, approximately of net revenues | 1.00% |  |  |  |
Difference between actual aggregate contractual reserve and estimated contractual allowance reserve percentage | 1.00% |  |  |  |
Maximum contractual allowance reserve estimate | 1.00% |  |  |  |
Year 2017 [Member] | Maximum [Member] |  |  |  |  |
Medicare Reimbursement [Abstract] |  |  |  |  |
Annual limit on physical therapy and speech language pathology services | $ 1,980 |  |  |  |
Annual limit occupational therapy services | $ 1,980 |  |  |  |
Year 2018 [Member] |  |  |  |  |
Medicare Reimbursement [Abstract] |  |  |  |  |
Percentage of increase in Medicare payment rates | 0.50% |  |  |  |
Year 2019 [Member] |  |  |  |  |
Medicare Reimbursement [Abstract] |  |  |  |  |
Percentage of increase in Medicare payment rates | 0.25% |  |  |  |
From 2019 through 2024 [Member] |  |  |  |  |
Medicare Reimbursement [Abstract] |  |  |  |  |
Percentage of bonus payment by APM | 5.00% |  |  |  |
From 2020 through 2025 [Member] |  |  |  |  |
Medicare Reimbursement [Abstract] |  |  |  |  |
Percentage of increase in Medicare payment rates | 0.00% |  |  |  |
Net Patient Revenues [Member] |  |  |  |  |
Revenue from Contract with Customer, Excluding Assessed Tax [Abstract] |  |  |  |  |
Revenue related to the various categories | $ 106,650,000 | 100,552,000 |  |  |
Management Contract Revenues [Member] |  |  |  |  |
Revenue from Contract with Customer, Excluding Assessed Tax [Abstract] |  |  |  |  |
Revenue related to the various categories | 2,146,000 | 2,236,000 |  |  |
Industrial Injury Prevention Services Revenues [Member] |  |  |  |  |
Revenue from Contract with Customer, Excluding Assessed Tax [Abstract] |  |  |  |  |
Revenue related to the various categories | 6,900,000 | 4,852,000 |  |  |
Other Revenues [Member] |  |  |  |  |
Revenue from Contract with Customer, Excluding Assessed Tax [Abstract] |  |  |  |  |
Revenue related to the various categories | $ 535,000 | $ 702,000 |  |  |

X
- References No definition available. + Details
Name: | us-gaap_DisaggregationOfRevenueAbstract
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition Amount, excluding tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value added and excise. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 4 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=109196051&loc=SL49130543-203045 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 1 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=109196051&loc=SL49130539-203045 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=109196051&loc=SL49130545-203045 + Details
Name: | us-gaap_RevenueFromContractWithCustomerExcludingAssessedTax
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Amount of reductions in federal spending during the period. + References No definition available. + Details
Name: | usph_AmountOfReductionsInFederalSpending
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Annual Limit occupational therapy services during the period. + References No definition available. + Details
Name: | usph_AnnualLimitOccupationalTherapyServices
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Annual Limit on physical therapy and speech language pathology services during the period. + References No definition available. + Details
Name: | usph_AnnualLimitOnPhysicalTherapyAndSpeechLanguagePathologyServices
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Combined physical therapy/speech language pathology expenses during the period. + References No definition available. + Details
Name: | usph_CombinedPhysicalTherapySpeechLanguagePathologyExpenses
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- References No definition available. + Details
Name: | usph_ContractualAllowancesAbstract
Namespace Prefix: | usph_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition Maximum difference between actual aggregate contractual reserve percentage as compared to estimated contractual allowance reserve percentage. + References No definition available. + Details
Name: | usph_DifferenceBetweenActualAggregateContractualReservePercentagesAsComparedToEstimatedContractualAllowanceReservePercentage
Namespace Prefix: | usph_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

X
- Definition Difference between net revenues and corresponding cash collections reflected percentage of net revenues. + References No definition available. + Details
Name: | usph_DifferenceBetweenNetRevenuesAndCorrespondingCashCollectionsReflectedPercentageOfNetRevenues
Namespace Prefix: | usph_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

X
- Definition Expected reduction in Medicare spending percentage during the period. + References No definition available. + Details
Name: | usph_ExpectedReductionInMedicareSpendingPercentage
Namespace Prefix: | usph_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | instant

X
- Definition Maximum contractual allowance reserve estimate. + References No definition available. + Details
Name: | usph_MaximumContractualAllowanceReserveEstimate
Namespace Prefix: | usph_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

X
- References No definition available. + Details
Name: | usph_MedicareReimbursementAbstract
Namespace Prefix: | usph_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition Net revenue from Medicare. + References No definition available. + Details
Name: | usph_NetRevenueFromMedicare
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Refers to percentage of bonus payment proposed by the agency. + References No definition available. + Details
Name: | usph_PercentageOfBonusPayment
Namespace Prefix: | usph_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

X
- Definition Percentage of Medicare payment increase during the period. + References No definition available. + Details
Name: | usph_PercentageOfMedicarePaymentIncrease
Namespace Prefix: | usph_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

X
- Definition Refers to the percentage of payment for outpatient therapy services to the therapy assistant. + References No definition available. + Details
Name: | usph_PercentageOfPaymentForOutpatientTherapyServices
Namespace Prefix: | usph_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

X
- Definition Percentage of practice expense component of relative value unit during the period. + References No definition available. + Details
Name: | usph_PercentageOfPracticeExpenseComponentOfRelativeValueUnit
Namespace Prefix: | usph_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

X
- Definition Percentage reduction for service in office or other non institutional settings during the period. + References No definition available. + Details
Name: | usph_PercentageReductionForServiceInOfficeOrOtherNonInstitutionalSettings
Namespace Prefix: | usph_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

X
- Definition This element represents the period of federal debt ceiling in connection with deficit reductions, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days. + References No definition available. + Details
Name: | usph_PeriodOfFederalDebtCeilingInConnectionWithDeficitReductions
Namespace Prefix: | usph_
Data Type: | xbrli:durationItemType
Balance Type: | na
Period Type: | duration

X
- Definition Reduction in Combined physical therapy/speech language pathology expenses during the period. + References No definition available. + Details
Name: | usph_ReductionInCombinedPhysicalTherapySpeechLanguagePathologyExpenses
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Reduction in Medicare spending percentage during the period. + References No definition available. + Details
Name: | usph_ReductionInMedicareSpendingPercentage
Namespace Prefix: | usph_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

X
- Details
Name: | us-gaap_UnusualOrInfrequentItemAxis=usph_Year2017Member
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | srt_RangeAxis=srt_MaximumMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_UnusualOrInfrequentItemAxis=usph_Year2018Member
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_UnusualOrInfrequentItemAxis=usph_Year2019Member
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_UnusualOrInfrequentItemAxis=usph_FromTwoThousandNineteenThroughTwoThousandTwentyFourMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_UnusualOrInfrequentItemAxis=usph_FromTwoThousandTwentyThroughTwoThousandTwentyFiveMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | srt_ProductOrServiceAxis=usph_NetPatientRevenuesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | srt_ProductOrServiceAxis=usph_ManagementContractRevenuesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | srt_ProductOrServiceAxis=usph_IndustrialInjuryPreventionServicesRevenuesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | srt_ProductOrServiceAxis=usph_OtherRevenuesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |