XML 58 R47.htm IDEA: XBRL DOCUMENT
v3.24.3

Acquisitions of Businesses, 2023 Acquisitions (Details) $ in Thousands |  |  |  |  |  |  |  | 9 Months Ended | 12 Months Ended
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Aug. 31, 2024 USD ($) Clinic | Mar. 29, 2024 USD ($) Clinic | Oct. 31, 2023 USD ($) | Sep. 29, 2023 USD ($) Clinic Installment | Jul. 31, 2023 USD ($) Clinic | May 31, 2023 USD ($) Clinic | Feb. 28, 2023 USD ($) Clinic | Sep. 30, 2024 USD ($) | Dec. 31, 2023 USD ($) Clinic
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |
Contingent payments |  |  |  |  |  |  |  | $ 22,700 | $ 12,500
IIP Business [Member] |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  |  | 100.00% |  |  |  |  |  |
Deferred payments |  |  |  |  |  |  |  | 0 | 0
Contingent payments |  |  |  |  |  |  |  | 2,100 | 0
Cash paid, net of cash acquired |  |  |  |  |  |  |  |  | 3,955
Seller note |  |  |  |  |  |  |  | 455 | 0
Percentage of interest accrued |  |  | 100.00% |  |  |  |  |  |
Total consideration |  |  |  |  |  |  |  | 25,661 | 3,955
Estimated fair value of net tangible assets acquired [Abstract] |  |  |  |  |  |  |  |  |
Total current assets |  |  |  |  |  |  |  | 1,211 | 388
Total non-current assets |  |  |  |  |  |  |  | 218 | 335
Total liabilities |  |  |  |  |  |  |  | (541) | (41)
Net tangible assets acquired |  |  |  |  |  |  |  | 888 | 682
Customer and referral relationships |  |  |  |  |  |  |  | 6,708 | 757
Non-compete agreement |  |  |  |  |  |  |  | 261 | 37
Tradenames |  |  |  |  |  |  |  | 1,331 | 187
Goodwill |  |  |  |  |  |  |  | 16,473 | 2,566
Fair value of non-controlling interest (classified as redeemable non-controlling interest) |  |  |  |  |  |  |  | 0 | (274)
Total consideration |  |  |  |  |  |  |  | 25,661 | $ 3,955
Ergonomics Software Business [Member] |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  |  | 55.00% |  |  |  |  |  |
Percentage of pre-acquisition interest retained by practice founder |  |  | 45.00% |  |  |  |  |  |
Percentage of interest accrued |  |  | 55.00% |  |  |  |  |  |
IIP and Ergonomics Software Business [Member] |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |
Aggregate purchase price for the acquisition |  |  | $ 4,000 |  |  |  |  |  |
Acquisitions [Member] |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |
Number of clinics | Clinic |  |  |  |  |  |  |  |  | 8
Deferred payments |  |  |  |  |  |  |  | 0 | $ 830
Contingent payments |  |  |  |  |  |  |  | 6,440 | 200
Cash paid, net of cash acquired |  |  |  |  |  |  |  |  | 26,582
Seller note |  |  |  |  |  |  |  | 955 | 985
Total consideration |  |  |  |  |  |  |  | 48,591 | 28,597
Estimated fair value of net tangible assets acquired [Abstract] |  |  |  |  |  |  |  |  |
Total current assets |  |  |  |  |  |  |  | 2,562 | 1,440
Total non-current assets |  |  |  |  |  |  |  | 910 | 3,141
Total liabilities |  |  |  |  |  |  |  | (1,163) | (3,336)
Net tangible assets acquired |  |  |  |  |  |  |  | 2,309 | 1,245
Customer and referral relationships |  |  |  |  |  |  |  | 15,371 | 8,999
Non-compete agreement |  |  |  |  |  |  |  | 679 | 563
Tradenames |  |  |  |  |  |  |  | 3,464 | 1,770
Goodwill |  |  |  |  |  |  |  | 46,086 | 27,128
Fair value of non-controlling interest (classified as redeemable non-controlling interest) |  |  |  |  |  |  |  | (19,318) | (11,108)
Total consideration |  |  |  |  |  |  |  | 48,591 | 28,597
Acquisitions [Member] | Physical Therapy Operations [Member] |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |
Deferred payments |  |  |  |  |  |  |  | 0 | 830
Contingent payments |  |  |  |  |  |  |  | 4,340 | 200
Cash paid, net of cash acquired |  |  |  |  |  |  |  |  | 22,627
Seller note |  |  |  |  |  |  |  | 500 | 985
Total consideration |  |  |  |  |  |  |  | 22,930 | 24,642
Estimated fair value of net tangible assets acquired [Abstract] |  |  |  |  |  |  |  |  |
Total current assets |  |  |  |  |  |  |  | 1,351 | 1,052
Total non-current assets |  |  |  |  |  |  |  | 692 | 2,806
Total liabilities |  |  |  |  |  |  |  | (622) | (3,295)
Net tangible assets acquired |  |  |  |  |  |  |  | 1,421 | 563
Customer and referral relationships |  |  |  |  |  |  |  | 8,663 | 8,242
Non-compete agreement |  |  |  |  |  |  |  | 418 | 526
Tradenames |  |  |  |  |  |  |  | 2,133 | 1,583
Goodwill |  |  |  |  |  |  |  | 29,613 | 24,562
Fair value of non-controlling interest (classified as redeemable non-controlling interest) |  |  |  |  |  |  |  | (19,318) | (10,834)
Total consideration |  |  |  |  |  |  |  | 22,930 | $ 24,642
Clinic Practice [Member] |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |
Percentage of interest acquired | 70.00% | 50.00% |  |  | 70.00% | 75.00% | 80.00% |  |
Number of clinics | Clinic | 8 | 9 |  |  | 5 | 4 | 1 |  |
Deferred payments |  |  |  |  | $ 300 |  |  |  |
Contingent payments | $ 3,600 |  |  |  |  |  |  |  |
Percentage of ownership interest after the acquisition |  |  |  |  |  | 45.00% |  |  |
Percentage of ownership interest by local partner after the acquisition |  |  |  |  |  | 30.00% |  |  |
Percentage of interest retained by practice founder | 30.00% | 50.00% |  |  | 30.00% |  | 20.00% |  |
Percentage of pre-acquisition interest retained by practice founder |  |  |  |  |  | 25.00% |  |  |
Aggregate purchase price for the acquisition | $ 2,000 | $ 16,400 |  |  | $ 2,100 | $ 3,100 | $ 6,200 |  |
Cash paid by local partner |  |  |  |  |  | 1,100 |  |  |
Seller note to be paid by entity |  |  |  |  |  | 200 |  |  |
Seller note to be paid by local partner |  |  |  |  |  | 100 |  |  |
Cash paid, net of cash acquired |  |  |  |  | $ 1,800 | 1,700 | 5,800 | $ 500 |
Seller note |  |  |  |  |  | $ 300 | $ 400 |  |
Percentage of interest accrued |  | 4.50% |  |  |  |  | 4.50% |  |
September 2023 Multi Clinic Practice Acquisition [Member] |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  |  |  | 70.00% |  |  |  |  |
Number of clinics | Clinic |  |  |  | 4 |  |  |  |  |
Percentage of interest retained by practice founder |  |  |  | 30.00% |  |  |  |  |
Aggregate purchase price for the acquisition |  |  |  | $ 6,000 |  |  |  |  |
Cash paid, net of cash acquired |  |  |  | $ 5,400 |  |  |  |  |
Number of installments of payment of consideration due | Installment |  |  |  | 2 |  |  |  |  |
Seller note |  |  |  | $ 600 |  |  |  |  |
Percentage of interest accrued |  |  |  | 5.00% |  |  |  |  |
September 2023 Multi Clinic Practice Acquisition [Member] | First Installment Due on January 31, 2024 [Member] |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |
Payment of principal and interest |  |  |  | $ 300 |  |  |  |  |
September 2023 Multi Clinic Practice Acquisition [Member] | Second Installment Due on September 30, 2025[Member] |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |
Payment of principal and interest |  |  |  | $ 300 |  |  |  |  |
September 2023 Single Clinic Practice Acquisition [Member] |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  |  |  | 70.00% |  |  |  |  |
Number of clinics | Clinic |  |  |  | 1 |  |  |  |  |
Deferred payments |  |  |  | $ 400 |  |  |  |  |
Percentage of interest retained by practice founder |  |  |  | 30.00% |  |  |  |  |
Aggregate purchase price for the acquisition |  |  |  | $ 7,800 |  |  |  |  |
Cash paid, net of cash acquired |  |  |  | $ 7,400 |  |  |  |  |

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 -Name Accounting Standards Codification -Topic 805 -SubTopic 10 -Section 50 -Paragraph 2 -Subparagraph (c) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479328/805-10-50-2 + Details
Name: | us-gaap_BusinessAcquisitionPercentageOfVotingInterestsAcquired
Namespace Prefix: | us-gaap_
Data Type: | dtr-types:percentItemType
Balance Type: | na
Period Type: | instant

X
- Definition The amount of goodwill arising from a business combination that is expected to be deductible for tax purposes. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 50 -Paragraph 1 -Subparagraph (d) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479581/805-30-50-1 + Details
Name: | us-gaap_BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
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 -Name Accounting Standards Codification -Section 30 -Paragraph 8 -SubTopic 30 -Topic 805 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479637/805-30-30-8 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Section 50 -Paragraph 1 -Subparagraph (b) -SubTopic 30 -Topic 805 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479581/805-30-50-1 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Section 30 -Paragraph 7 -SubTopic 30 -Topic 805 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479637/805-30-30-7 + 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 -Topic 820 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 2 -Subparagraph (bbb)(2)(i) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482106/820-10-50-2 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 820 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 2 -Subparagraph (bbb)(2) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482106/820-10-50-2 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Topic 820 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 2 -Subparagraph (bbb)(1) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482106/820-10-50-2 Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef -Topic 805 -SubTopic 30 -Name Accounting Standards Codification -Section 35 -Paragraph 1 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479613/805-30-35-1 Reference 5: http://www.xbrl.org/2003/role/disclosureRef -Topic 805 -SubTopic 30 -Name Accounting Standards Codification -Section 50 -Paragraph 1 -Subparagraph (c)(1) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479581/805-30-50-1 Reference 6: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 25 -Paragraph 6 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479668/805-30-25-6 + 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 due from customers or clients for goods or services, including trade receivables, that have been delivered or sold in the normal course of business, and amounts due from others, including related parties expected to be converted to cash, sold or exchanged within one year or the normal operating cycle, if longer, acquired at the acquisition date. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (c) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479907/805-20-50-1 + Details
Name: | us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedCurrentAssetsReceivables
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Amount recognized as of the acquisition date for the identifiable assets acquired in excess of (less than) the aggregate liabilities assumed. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 805 -SubTopic 10 -Section 55 -Paragraph 37 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479303/805-10-55-37 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (c) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479907/805-20-50-1 + Details
Name: | us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedNet
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Amount of assets expected to be realized or consumed after one year or the normal operating cycle, if longer, acquired at the acquisition date. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (c) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479907/805-20-50-1 + Details
Name: | us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedNoncurrentAssets
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Contractual interest rate for funds borrowed, under the debt agreement. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Topic 210 -SubTopic 10 -Name Accounting Standards Codification -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02(22)(a)(1)) -Publisher FASB -URI https://asc.fasb.org/1943274/2147480566/210-10-S99-1 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 470 -SubTopic 20 -Name Accounting Standards Codification -Section 50 -Paragraph 1B -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147481139/470-20-50-1B + Details
Name: | us-gaap_DebtInstrumentInterestRateStatedPercentage
Namespace Prefix: | us-gaap_
Data Type: | dtr-types:percentItemType
Balance Type: | na
Period Type: | instant

X
- Definition Amount of the required periodic payments including both interest and principal payments. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02(22)) -SubTopic 10 -Topic 210 -Publisher FASB -URI https://asc.fasb.org/1943274/2147480566/210-10-S99-1 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 942 -SubTopic 470 -Section 50 -Paragraph 3 -Subparagraph (c) -Publisher FASB -URI https://asc.fasb.org/1943274/2147477734/942-470-50-3 + Details
Name: | us-gaap_DebtInstrumentPeriodicPayment
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

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 -Topic 805 -SubTopic 30 -Name Accounting Standards Codification -Section 50 -Paragraph 1 -Subparagraph (b)(1) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479581/805-30-50-1 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482740/230-10-45-13 + 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 The amount of business acquisition cost of acquired entity debt issued to be paid by entity on the date of acquisition. + References No definition available. + Details
Name: | usph_BusinessAcquisitionCostOfAcquiredEntityDebtIssuedToBePaidByEntity
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition The amount of business acquisition cost of acquired entity debt issued to be paid by local partner on the date of acquisition. + References No definition available. + Details
Name: | usph_BusinessAcquisitionCostOfAcquiredEntityDebtIssuedToBePaidByLocalPartner
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 Percentage of voting equity interests retained by practice founder at the pre acquisition date in the business combination. + References No definition available. + Details
Name: | usph_BusinessAcquisitionPercentageOfPreAcquisitionInterestRetainedByPracticeFounder
Namespace Prefix: | usph_
Data Type: | dtr-types:percentItemType
Balance Type: | na
Period Type: | instant

X
- Definition Amount of net tangible asset acquired at the acquisition date. + References No definition available. + Details
Name: | usph_BusinessAcquisitionPurchasePriceAllocationNetTangibleAsset
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition This element represents the fair value of the redeemable noncontrolling interest in the acquiree at the acquisition date. + References No definition available. + Details
Name: | usph_BusinessCombinationAcquisitionFairValueOfRedeemableNonControllingInterests
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Amount of liability recognized arising from deferred payments in a business combination. + References No definition available. + Details
Name: | usph_BusinessCombinationDeferredPaymentsLiability
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Number of installments due for payment of purchase consideration in business combination. + References No definition available. + Details
Name: | usph_BusinessCombinationNumberOfInstallmentsForPaymentDueOfPurchaseConsideration
Namespace Prefix: | usph_
Data Type: | xbrli:integerItemType
Balance Type: | na
Period Type: | instant

X
- Definition The amount of non-competition agreements recognized as of the acquisition date. + References No definition available. + Details
Name: | usph_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedNonCompetitionAgreements
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Amount of referral relationships at the acquisition date. + References No definition available. + Details
Name: | usph_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedReferralRelationships
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition The amount of tradename recognized as of the acquisition date. + References No definition available. + Details
Name: | usph_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedTradename
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

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

X
- Definition Payments to acquire businesses total consideration. + References No definition available. + Details
Name: | usph_PaymentsToAcquireBusinessesConsideration
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition The cash outflow associated with the acquisition of business during the period. The cash portion only of the acquisition price. + References No definition available. + Details
Name: | usph_PaymentsToAcquireBusinessesGrossPaidCashByRelatedParty
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Percentage of voting equity interests acquired at the acquisition date in the business combination. + References No definition available. + Details
Name: | usph_PercentageOfOwnershipInterestAfterTheAcquisition
Namespace Prefix: | usph_
Data Type: | dtr-types:percentItemType
Balance Type: | na
Period Type: | instant

X
- Definition Percentage of voting equity interests by local partner at the acquisition date in the business combination. + References No definition available. + Details
Name: | usph_PercentageOfOwnershipInterestByLocalPartnerAfterTheAcquisition
Namespace Prefix: | usph_
Data Type: | dtr-types:percentItemType
Balance Type: | na
Period Type: | instant

X
- Details
Name: | us-gaap_BusinessAcquisitionAxis=usph_IndustrialInjuryPreventionServicesBusinessMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_BusinessAcquisitionAxis=usph_ErgonomicsSoftwareBusinessMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_BusinessAcquisitionAxis=usph_LeadingProviderOfIndustrialInjuryPreventionAndErgonomicsSoftwareBusinessMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_BusinessAcquisitionAxis=us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_StatementBusinessSegmentsAxis=usph_PhysicalTherapyOperationsMember
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: | us-gaap_BusinessAcquisitionAxis=usph_September2023AcquisitionTransaction1Member
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_DebtInstrumentRedemptionPeriodAxis=us-gaap_DebtInstrumentRedemptionPeriodOneMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_DebtInstrumentRedemptionPeriodAxis=us-gaap_DebtInstrumentRedemptionPeriodTwoMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_BusinessAcquisitionAxis=usph_September2023AcquisitionTransaction2Member
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |