U S PHYSICAL THERAPY INC /NV
Business
U S PHYSICAL THERAPY INC /NV operates outpatient physical therapy clinics and provides industrial injury prevention services through its subsidiaries. It offers pre- and post-operative orthopedic care, neurological rehabilitation, rehabilitation of injured workers, onsite injury prevention and rehabilitation, performance optimization, post-offer employment testing, functional capacity evaluations and ergonomic assessments. The company reports two segments: physical therapy operations (clinic partnerships, wholly-owned facilities and management services) and an IIP segment led by Briotix Health and other providers. It delivers services across numerous U.S. states through clinic locations, management contracts and direct contracts with employers, insurers, Medicare/Medicaid and physician referral networks.
Summary from filing dated 2025-03-03
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Net revenue | 781 | 671 | 605 | 553 | 495 | |
| Salaries and related costs | 462 | 399 | 353 | 319 | 278 | |
| Rent, supplies, contract labor and other | 140 | 119 | 109 | 102 | 94 | |
| Depreciation and amortization | 21 | 18 | 15 | 14 | — | |
| Provision for credit losses | 8 | 7 | 6 | 6 | 5 | |
| Clinic closure costs - lease and other | 270,000 | 4 | 175,000 | 72,000 | — | |
| Total operating cost | 631 | 547 | 483 | 441 | 378 | |
| Gross profit | 150 | 124 | 122 | 112 | 117 | |
| Corporate office costs | 69 | 58 | 52 | 46 | 47 | |
| (Gain) loss on change in fair value of contingent earn-out consideration | −6 | 219,000 | 2 | 3 | 0 | |
| Impairment of goodwill and other intangible assets | 0 | 0 | 17 | 9 | 0 | |
| Impairment on assets held for sale | 0 | 2 | 0 | 0 | — | |
| Operating income | 87 | 63 | 51 | 57 | 71 | |
| Interest expense, debt and other | −9 | −8 | −9 | −6 | −942,000 | |
| Interest income from investments | 105,000 | 4 | 4 | 0 | 0 | |
| Change in revaluation of put-right liability | −1 | −82,000 | 3 | −5,000 | 0 | |
| Equity in earnings of unconsolidated affiliate | 1 | 1 | 955,000 | 1 | 112,000 | |
| Loss on sale of a partnership | −123,000 | 0 | 0 | — | — | |
| Relief funds | 0 | 0 | 467,000 | 0 | 5 | |
| Other | 458,000 | 357,000 | 390,000 | 859,000 | 199,000 | |
| Total other expense | −9 | −3 | −1 | −1 | 3 | |
| Income before taxes | 78 | 60 | 49 | 56 | 73 | |
| Provision for income taxes | 20 | 15 | 12 | 12 | 15 | |
| Net income | 58 | 46 | 37 | 43 | 58 | |
| Redeemable non-controlling interest - temporary equity | −14 | −10 | −4 | −7 | −11 | |
| Non-controlling interest - permanent equity | −5 | −4 | −5 | −4 | −6 | |
| Net income attributable to non-controlling interest | −18 | −14 | −9 | −11 | −17 | |
| Net income attributable to USPH shareholders | 40 | 31 | 28 | 32 | 41 | |
| Basic earnings per share attributable to USPH shareholders (in dollars per share) | 1.42 | 1.84 | 1.28 | 2.25 | 2.41 | |
| Diluted earnings per share attributable to USPH shareholders (in dollars per share) | 1.42 | 1.84 | 1.28 | 2.25 | 2.41 | |
| Basic earnings per share - weighted-average shares (in shares) | 15 | 15 | 14 | 13 | 13 | |
| Shares used in computation - diluted (in shares) | 15 | 15 | 14 | 13 | 13 | |
| Dividends declared per common share (in dollars per share) | 1.8 | 1.76 | 1.72 | 1.64 | 1.46 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 36 | 41 | 153 | 32 | 29 | |
| Patient accounts receivable, less provision for credit losses of $3,775 and $3,506, respectively | 64 | 59 | 52 | 52 | 46 | |
| Accounts receivable - other | 24 | 27 | 18 | 17 | 16 | |
| Other current assets | 16 | 11 | 11 | 11 | 4 | |
| Total current assets | 140 | 138 | 233 | 111 | 95 | |
| Furniture and equipment | 68 | 68 | 64 | 62 | 59 | |
| Leasehold improvements | 59 | 51 | 47 | 43 | 39 | |
| Fixed assets, gross | 127 | 119 | 111 | 105 | 98 | |
| Less accumulated depreciation and amortization | −91 | −87 | −85 | −80 | 75 | |
| Fixed assets, net | 36 | 32 | 26 | 25 | 23 | |
| Operating lease right-of-use assets | 144 | 134 | 103 | 103 | 96 | |
| Investment in unconsolidated affiliate | 12 | 12 | 12 | 12 | 12 | |
| Goodwill | 692 | 667 | 510 | 494 | 435 | |
| Other identifiable intangible assets, net | 173 | 179 | 110 | 109 | 86 | |
| Other assets | 7 | 5 | 3 | 4 | 2 | |
| Total assets | 1,204 | 1,167 | 997 | 858 | 749 | |
| Accounts payable - trade | 6 | 6 | 4 | 3 | 3 | |
| Accrued expenses | 81 | 60 | 55 | 37 | 46 | |
| Current portion of operating lease liabilities | 42 | 40 | 35 | 34 | 30 | |
| Current portion of term loan and notes payable | 10 | 11 | 8 | 8 | 830,000 | |
| Total current liabilities | 139 | 116 | 102 | 85 | 83 | |
| Notes payable, net of current portion | 417,000 | 903,000 | 1 | 2 | 4 | |
| Revolving facility | 31 | 11 | 0 | 31 | 114 | |
| Term loan, net of current portion and deferred financing costs | 122 | 131 | 138 | 143 | 0 | |
| Deferred taxes | 28 | 29 | 25 | 21 | 14 | |
| Operating lease liabilities, net of current portion | 111 | 102 | 77 | 78 | 74 | |
| Other long-term liabilities | 3 | 18 | 2 | 13 | 7 | |
| Total liabilities | 434 | 408 | 345 | 374 | 297 | |
| Redeemable non-controlling interest - temporary equity | 293 | 269 | 175 | 168 | 155 | |
| Commitments and Contingencies | — | — | — | — | — | |
| Preferred stock, $.01 par value, 500,000 shares authorized, no shares issued and outstanding | 0 | 0 | 0 | 0 | 0 | |
| Common stock, $.01 par value, 20,000,000 shares authorized, 17,418,621 and 17,309,120 shares issued, respectively | 174,000 | 172,000 | 172,000 | 152,000 | 151,000 | |
| Additional paid-in capital | 286 | 290 | 281 | 110 | 103 | |
| Accumulated other comprehensive gain | 714,000 | 3 | 3 | 4 | 0 | |
| Retained earnings | 227 | 227 | 224 | 233 | 224 | |
| Treasury stock at cost, (2,296,059 and 2,214,737 shares at December 31, 2025 and 2024, respectively) | −37 | −32 | −32 | −32 | −32 | |
| Total USPH shareholders' equity | 476 | 489 | 476 | 316 | 296 | |
| Non-controlling interest - permanent equity | 456,000 | 1 | 1 | 1 | 2 | |
| Total USPH shareholders' equity and non-controlling interest - permanent equity | 477 | 490 | 477 | 317 | 297 | |
| Total liabilities, redeemable non-controlling interest, USPH shareholders' equity and non-controlling interest - permanent equity | 1,204 | 1,167 | 997 | 858 | 749 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Depreciation and amortization | 22 | 19 | 16 | 15 | 12 | |
| Equity-based awards compensation expense | 8 | 8 | 7 | 7 | 8 | |
| Amortization of debt issue costs | 422,000 | 422,000 | 420,000 | 305,000 | 56,000 | |
| Change in deferred income taxes | 11 | 5 | 4 | 4 | 6 | |
| Loss on sale of clinics and fixed assets | 383,000 | 836,000 | 166,000 | −643,000 | 0 | |
| Patient accounts receivable, net | −12 | −5 | −6 | −10 | −9 | |
| Accounts receivable - other | 3 | −7 | −356,000 | −307,000 | −2 | |
| Other current and long term assets | −10 | −818,000 | −197,000 | −6 | −633,000 | |
| Accounts payable and accrued expenses | −8 | 2 | 15,000 | −8 | 5 | |
| Other long-term liabilities | 86,000 | −1 | 1 | 3 | −5 | |
| Net cash provided by operating activities | 75 | 75 | 82 | 59 | 76 | |
| Purchase of fixed assets | −14 | −9 | −9 | −8 | −8 | |
| Purchase of majority interest in businesses, net of cash acquired | −16 | −133 | −27 | −60 | −87 | |
| Purchase of redeemable non-controlling interest, temporary equity | −10 | −8 | −11 | −15 | −28 | |
| Purchase of non controlling interest, permanent equity | −273,000 | −1 | −281,000 | −280,000 | −1 | |
| Proceeds on sale of non-controlling interest, permanent equity | 30,000 | 26,000 | 102,000 | 0 | 131,000 | |
| Repayment of notes receivable related to sales of redeemable non-controlling interest | 531,000 | 551,000 | 510,000 | — | — | |
| Proceeds on sale of partnership interest - redeemable non-controlling interest, temporary equity | 186,000 | 79,000 | 875,000 | 402,000 | 69,000 | |
| Distributions from unconsolidated affiliate | 1 | 1 | 830,000 | 1 | 152,000 | |
| Proceeds on sale of partnership interest, clinics and fixed assets | 700,000 | 0 | 0 | 373,000 | 275,000 | |
| Other | 364,000 | 143,000 | −189,000 | 0 | 0 | |
| Net cash used in investing activities | −37 | −149 | −45 | −81 | −124 | |
| Proceeds from issuance of common stock pursuant to the secondary public offering, net of issuance costs | 0 | 0 | 164 | 0 | 0 | |
| Proceeds from revolving facility | 190 | 19 | 24 | 101 | 316 | |
| Distributions to non-controlling interest, permanent and temporary equity | −19 | −15 | −16 | −15 | −17 | |
| Cash dividends paid to shareholders | −27 | −27 | −24 | −21 | −19 | |
| Payments on revolving facility | −170 | −8 | −55 | −184 | −218 | |
| Payments on term loan | −9 | −4 | −4 | −2 | 0 | |
| Cash used for the repurchase of common stock | −6 | 0 | 0 | — | — | |
| Principal payments on notes payable | −2 | −3 | −4 | −930,000 | −5 | |
| Net cash (used in) provided by financing activities | −44 | −37 | 84 | 26 | 43 | |
| Net (decrease) increase in cash and cash equivalents | −6 | −111 | 121 | 3 | −4 | |
| Income taxes | 14 | 5 | 5 | 8 | 12 | |
| Interest paid | 9 | 7 | 9 | 6 | 1 | |
| Purchase of businesses - seller financing portion | 300,000 | 2 | 2 | 2 | 3 | |
| Liabilities assumed associated with a purchase of a business | 0 | 670,000 | 524,000 | 0 | 0 | |
| Fair market value of initial contingent consideration related to purchase of businesses | 5 | 18 | 200,000 | 3 | — | |
| Notes payable related to purchase of redeemable non-controlling interest, temporary equity | 173,000 | 71,000 | 1 | 1 | — | |
| Payable related to the purchase of redeemable non-controlling interest, temporary equity | 4 | 0 | 0 | — | — | |
| Offset to notes receivable associated with purchase of redeemable non-controlling interest | 358,000 | 726,000 | 0 | 0 | — | |
| Notes receivable related to sale of redeemable non-controlling interest | 0 | 2 | 4 | 2 | 914,000 | |
| Notes payable related to the purchase of non-controlling interest, permanent equity | 0 | 0 | 200,000 | 296,000 | — | |
| Payable related to the purchase of non-controlling interest, permanent equity | 8 | 0 | 0 | — | — | |
| Notes receivable related to the sale of non-controlling interest, permanent equity | 73,000 | 282,000 | 458,000 | 0 | 0 | |
| Issuance of restricted stock related to purchase of business | 0 | 2 | 0 | 0 | — |