XML 76 R63.htm IDEA: XBRL DOCUMENT v3.22.4

Acquisitions of Businesses, 2021 Acquisition (Details) $ in Thousands															12 Months Ended
		Nov. 30, 2022 USD ($) Clinic	Oct. 31, 2022 USD ($) Clinic	Sep. 30, 2022 USD ($) Clinic	Aug. 31, 2022 USD ($) Clinic	Mar. 31, 2022 USD ($) Clinic	Dec. 31, 2021 USD ($) Clinic		Nov. 30, 2021 USD ($)	Sep. 30, 2021 USD ($)	Jun. 30, 2021 USD ($) Clinic	Mar. 31, 2021 USD ($) Clinic	Nov. 30, 2020 USD ($) Clinic	Feb. 27, 2020 USD ($) Clinic	Dec. 31, 2022 USD ($) Clinic	Dec. 31, 2021 USD ($) Clinic		Dec. 31, 2020 USD ($)
Business Combination, Description [Abstract]
Number of clinics | Clinic															3	7
Contingent payment consideration							$ 3,500								$ 8,300	$ 3,500
Elimination of contingent consideration liability after revaluation															$ 2,520	0		$ 0
IIPS [Member]
Business Combination, Description [Abstract]
Percentage of interest acquired									70.00%
Number of clinics | Clinic															2
Aggregate purchase price for the acquisition									$ 63,200
Contingent payment consideration	[1]						2,520									2,520
Cash paid for acquisition									60,700
Seller notes							1,250	[1]	$ 1,000							1,250	[1]
Percentage of interest accrued									3.25%
Remaining contract term															5 years
Ownership rights							$ 3,500									$ 3,522	[1]
Elimination of contingent consideration liability after revaluation															$ 2,000
IIPS [Member] | Maximum [Member]
Business Combination, Description [Abstract]
Contingent payment consideration									$ 2,000
Return-to-work and Ergonomic Services [Member]
Business Combination, Description [Abstract]
Aggregate purchase price for the acquisition										$ 2,700
Contingent payment consideration										600
Aggregate purchase price for the acquisition including contingent consideration										3,300
Cash paid for acquisition										2,400
Seller notes										$ 300
Percentage of interest accrued										3.25%
Elimination of contingent consideration liability after revaluation															$ 600
Clinic Practice [Member]
Business Combination, Description [Abstract]
Percentage of interest acquired		80.00%	60.00%	80.00%	70.00%	70.00%	75.00%				65.00%	70.00%	75.00%	65.00%		75.00%
Number of clinics | Clinic		13	14	2	6	6	3				8	5	3	4
Percentage of interest retained by practice founder		20.00%	40.00%	20.00%	30.00%	30.00%	25.00%									25.00%
Aggregate purchase price for the acquisition		$ 25,000	$ 19,500	$ 4,200	$ 3,500	$ 11,500	$ 3,700				$ 10,300	$ 12,000	$ 8,900	$ 11,900
Contingent payment consideration		1,300	$ 8,300								800
Cash paid for acquisition		24,200		3,900	3,300	11,200	3,500				9,000	11,700	8,600	11,600
Amount payable upon achievement of certain business criteria											1,000
Seller notes		$ 800		$ 300	$ 200	$ 300	$ 200				$ 300	$ 300	$ 300	$ 300		$ 200
Percentage of interest accrued		7.00%		5.50%	5.50%	3.50%	3.25%				3.25%	3.25%	3.25%	4.75%		3.25%
Clinic Practice [Member] | Maximum [Member]
Business Combination, Description [Abstract]
Percentage of interest acquired							35.00%							83.80%	35.00%	35.00%		35.00%
Clinic Practice [Member] | Previous Owners [Member]
Business Combination, Description [Abstract]
Percentage of retained interest by previous owners											35.00%	30.00%	25.00%
[1] *Industrial injury prevention services business

X

- Definition

Percentage of voting equity interests acquired at the acquisition date in the business combination.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 10
-Section 50
-Paragraph 2
-Subparagraph (c)
-URI https://asc.fasb.org/extlink&oid=79982066&loc=d3e1392-128463

+ Details

Name:	us-gaap_BusinessAcquisitionPercentageOfVotingInterestsAcquired
Namespace Prefix:	us-gaap_
Data Type:	dtr-types:percentItemType
Balance Type:	na
Period Type:	instant

X

- Definition

Amount of consideration transferred, consisting of acquisition-date fair value of assets transferred by the acquirer, liabilities incurred by the acquirer, and equity interest issued by the acquirer.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 30
-Section 30
-Paragraph 8
-URI https://asc.fasb.org/extlink&oid=126966197&loc=d3e6613-128477

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 30
-Section 50
-Paragraph 1
-Subparagraph (b)
-URI https://asc.fasb.org/extlink&oid=126975305&loc=d3e6927-128479

Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 30
-Section 30
-Paragraph 7
-URI https://asc.fasb.org/extlink&oid=126966197&loc=d3e6578-128477

+ Details

Name:	us-gaap_BusinessCombinationConsiderationTransferred1
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	duration

X

- Definition

Amount of liability recognized arising from contingent consideration in a business combination.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 30
-Section 50
-Paragraph 1
-Subparagraph (c)(1)
-URI https://asc.fasb.org/extlink&oid=126975305&loc=d3e6927-128479

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 30
-Section 35
-Paragraph 1
-Subparagraph (b)
-URI https://asc.fasb.org/extlink&oid=126966325&loc=d3e6819-128478

Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 30
-Section 25
-Paragraph 6
-URI https://asc.fasb.org/extlink&oid=6911189&loc=d3e6408-128476

+ Details

Name:	us-gaap_BusinessCombinationContingentConsiderationLiability
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	instant

X

- References

No definition available.

+ Details

Name:	us-gaap_BusinessCombinationDescriptionAbstract
Namespace Prefix:	us-gaap_
Data Type:	xbrli:stringItemType
Balance Type:	na
Period Type:	duration

X

- Definition

Amount of increase from purchase of right to consideration in exchange for good or service transferred to customer when right is conditioned on passage of time.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 326
-SubTopic 20
-Section 50
-Paragraph 11
-Subparagraph (h)
-URI https://asc.fasb.org/extlink&oid=124255953&loc=SL82919244-210447

+ Details

Name:	us-gaap_ContractWithCustomerAssetPurchase
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	debit
Period Type:	duration

X

- Definition

Contractual interest rate for funds borrowed, under the debt agreement.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 470
-SubTopic 20
-Section 50
-Paragraph 1B
-Subparagraph (b)
-URI https://asc.fasb.org/extlink&oid=123466505&loc=SL123495323-112611

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 210
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.5-02.22(a)(1))
-URI https://asc.fasb.org/extlink&oid=120391452&loc=d3e13212-122682

+ Details

Name:	us-gaap_DebtInstrumentInterestRateStatedPercentage
Namespace Prefix:	us-gaap_
Data Type:	dtr-types:percentItemType
Balance Type:	na
Period Type:	instant

X

- Definition

The equity interest of noncontrolling shareholders, partners or other equity holders in consolidated entity.

+ References

No definition available.

+ Details

Name:	us-gaap_MinorityInterestOwnershipPercentageByNoncontrollingOwners
Namespace Prefix:	us-gaap_
Data Type:	dtr-types:percentItemType
Balance Type:	na
Period Type:	instant

X

- Definition

The number of businesses acquired by the entity during the period.

+ References

No definition available.

+ Details

Name:	us-gaap_NumberOfBusinessesAcquired
Namespace Prefix:	us-gaap_
Data Type:	xbrli:integerItemType
Balance Type:	na
Period Type:	duration

X

- Definition

The cash outflow associated with the acquisition of business during the period. The cash portion only of the acquisition price.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 30
-Section 50
-Paragraph 1
-Subparagraph (b)(1)
-URI https://asc.fasb.org/extlink&oid=126975305&loc=d3e6927-128479

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 230
-SubTopic 10
-Section 45
-Paragraph 13
-Subparagraph (b)
-URI https://asc.fasb.org/extlink&oid=126954810&loc=d3e3213-108585

+ Details

Name:	us-gaap_PaymentsToAcquireBusinessesGross
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	duration

X

- Definition

The amount of business acquisition cost of acquired entity debt issued on the date of acquisition.

+ References

No definition available.

+ Details

Name:	usph_BusinessAcquisitionCostOfAcquiredEntityDebtIssued
Namespace Prefix:	usph_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	instant

X

- Definition

Percentage of voting equity interests retained by practice founder at the acquisition date in the business combination.

+ References

No definition available.

+ Details

Name:	usph_BusinessAcquisitionPercentageOfInterestRetainedByPracticeFounder
Namespace Prefix:	usph_
Data Type:	dtr-types:percentItemType
Balance Type:	na
Period Type:	instant

X

- Definition

Amount of consideration transferred including contingent consideration, consisting of acquisition-date fair value of assets transferred by the acquirer, liabilities incurred by the acquirer, and equity interest issued by the acquirer.

+ References

No definition available.

+ Details

Name:	usph_BusinessCombinationConsiderationTransferredIncludesContingentConsideration
Namespace Prefix:	usph_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	duration

X

- Definition

Amount of liability recognized arising from contingent consideration upon on achievement of certain business criteria in a business combination.

+ References

No definition available.

+ Details

Name:	usph_BusinessCombinationContingentConsiderationPayableOnAchievementOfCertainBusinessCriteria
Namespace Prefix:	usph_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	instant

X

- Definition

Amount of change in fair value of a contingent consideration liability, including, but not limited to, differences arising upon settlement.

+ References

No definition available.

+ Details

Name:	usph_ChangeInFairValueOfContingentConsiderationLiability
Namespace Prefix:	usph_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	duration

X

- Definition

Remaining term of contract, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents reported fact of one year, five months, and thirteen days.

+ References

No definition available.

+ Details

Name:	usph_RemainingContractTerm
Namespace Prefix:	usph_
Data Type:	xbrli:durationItemType
Balance Type:	na
Period Type:	duration

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=usph_LeadingProviderOfIndustrialInjuryPreventionMember
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_BusinessAcquisitionAxis=usph_ReturnToWorkAndErgonomicServicesMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=usph_ClinicPracticeMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	srt_OwnershipAxis=usph_PreviousOwnersMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type: