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U.s. Physical Therapy (USPH)
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US Physical Therapy (USPH) AI Stock Analysis

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USPH

US Physical Therapy

(NYSE:USPH)

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Neutral 61 (OpenAI - 4o)
Rating:61Neutral
Price Target:
$82.00
▼(-8.50% Downside)
US Physical Therapy's overall stock score is driven by a strong earnings call performance, highlighting growth in patient visits and strategic initiatives. However, financial performance and technical analysis indicate challenges, such as revenue declines and bearish momentum. The stock's valuation is relatively high, which may limit upside potential.
Positive Factors
Patient Visit Growth
The significant growth in patient visits indicates strong demand for services and successful clinic expansion, enhancing long-term revenue potential.
Gross Profit Growth
Robust gross profit growth reflects effective cost management and operational efficiency, supporting sustainable profitability.
Medicare Reimbursement Improvement
Improved Medicare reimbursement rates can enhance revenue streams, providing a more favorable financial outlook for the company.
Negative Factors
Revenue Decline
A decline in revenue growth can signal challenges in market demand or competitive pressures, potentially impacting long-term financial health.
Negative Cash Flow Growth
Negative cash flow growth indicates issues in cash generation, which could limit the company's ability to invest in growth opportunities.
Medicare Rate Reduction Impact
Medicare rate reductions can pressure revenue and margins, challenging the company's ability to maintain profitability.

US Physical Therapy (USPH) vs. SPDR S&P 500 ETF (SPY)

US Physical Therapy Business Overview & Revenue Model

Company DescriptionUS Physical Therapy, Inc. (USPH) is a leading provider of outpatient physical therapy and related healthcare services in the United States. The company operates a network of physical and occupational therapy clinics across various states, focusing on delivering high-quality rehabilitation services to patients recovering from injuries, surgeries, and chronic conditions. USPH also engages in physical therapy management services and has partnerships with numerous hospitals and healthcare systems, which enhances its service offerings and market reach.
How the Company Makes MoneyUS Physical Therapy generates revenue primarily through the provision of outpatient physical therapy services. The company's revenue model is based on billing insurance companies and patients for therapy sessions, which typically involve direct billing to Medicare, Medicaid, and private health insurance plans. Key revenue streams include reimbursement for therapy services provided, management fees from clinics that are part of its network, and income from ancillary services such as diagnostic imaging. Additionally, USPH's strategic partnerships with healthcare providers and hospitals contribute to its earnings by increasing patient referrals and expanding its service offerings, thereby enhancing its overall financial performance.

US Physical Therapy Earnings Call Summary

Earnings Call Date:Nov 05, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Mar 04, 2026
Earnings Call Sentiment Positive
The earnings call revealed a strong performance with significant growth in patient visits and gross profit, alongside strategic initiatives that promise future benefits. While there were challenges such as Medicare rate reductions, the overall outlook, including new CMS rules and internal efficiency projects, is optimistic.
Q3-2025 Updates
Positive Updates
Significant Increase in Visits Per Clinic
The company recorded an average of 32.2 visits per clinic per day, marking the highest third quarter volume per clinic per day in the company's history.
Strong Growth in Patient Visits
Total patient visits increased 18% year-over-year, supported by the addition of 84 net owned clinics and a 2.2% increase in visits at mature clinics.
Gross Profit Growth
Gross profit grew 30% year-over-year, with mid-teens increase when adjusted for noise from the previous year.
Improved Medicare Reimbursement Outlook
CMS adjustments led to a potential positive reimbursement change for Medicare, possibly improving by more than the previously estimated 1.5%.
Injury Prevention Revenue Growth
The Injury Prevention segment recorded a 14.6% revenue increase, with all growth being organic.
Adjusted EBITDA Growth
Adjusted EBITDA increased by $2.8 million or 13.2% to $23.9 million for the quarter.
Remote Therapeutic Monitoring Opportunities
New CMS rules are expected to benefit remote therapeutic monitoring, which could improve outcomes and increase revenue.
Negative Updates
Medicare Rate Reduction
The company absorbed a 2.9% Medicare rate reduction at the start of the year, affecting revenue.
Constrained Workers' Compensation Growth
Workers' compensation visits increased only 5% year-over-year, which was lower compared to growth in other segments.
Impact of Geographic Index Factors
Changes in geographic index factors created complexity in modeling future Medicare reimbursement impacts.
Company Guidance
During the U.S. Physical Therapy Third Quarter 2025 and Full Year Earnings Conference Call, several key performance metrics were highlighted. The company reported an 18% increase in total patient visits year-over-year, supported by the addition of 84 net owned clinics. Visits per clinic per day set a new Q3 record at 32.2. Gross profit grew by 30% despite inflationary pressures, and adjusted EBITDA increased by 13.2% to $23.9 million. The company's IIP revenue saw a nearly 15% growth, all organic, with an IIP gross profit increase of nearly 11%. Additionally, the Medicare reimbursement rate is expected to improve by at least 1.5% in 2026, with potential further upside. The company is also advancing initiatives such as AI-driven documentation and semi-virtualizing front desk operations, aiming to enhance efficiency and patient flow.

US Physical Therapy Financial Statement Overview

Summary
US Physical Therapy demonstrates stable financial performance with consistent profitability and a solid balance sheet. However, recent revenue declines and negative cash flow growth highlight areas for improvement. The company should focus on reversing the revenue trend and enhancing cash flow generation to strengthen its financial position further.
Income Statement
65
Positive
US Physical Therapy's income statement shows a mixed performance. The TTM data reveals a decline in revenue growth, with a negative growth rate of -0.60%. However, the company maintains a stable gross profit margin of 20.37% and a net profit margin of 4.76%. EBIT and EBITDA margins are also healthy at 11.94% and 15.24%, respectively. Despite the recent revenue decline, the company has demonstrated consistent profitability over the years.
Balance Sheet
70
Positive
The balance sheet reflects a moderate financial position. The debt-to-equity ratio is 0.61, indicating a manageable level of leverage. Return on equity (ROE) is 6.43%, showing a modest return for shareholders. The equity ratio stands at 42.08%, suggesting a solid equity base relative to total assets. Overall, the company maintains a stable balance sheet with controlled debt levels.
Cash Flow
60
Neutral
Cash flow analysis indicates some challenges. The free cash flow growth rate is negative at -6.53%, reflecting a decrease in cash generation. The operating cash flow to net income ratio is 0.60, and the free cash flow to net income ratio is 0.85, indicating that cash flows are sufficient to cover net income but have room for improvement. The company needs to focus on enhancing cash flow generation to support future growth.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue661.20M671.35M604.80M553.14M495.02M422.97M
Gross Profit143.26M123.92M111.99M112.02M117.18M94.45M
EBITDA113.78M86.91M74.37M76.09M85.73M77.68M
Net Income33.40M26.46M14.67M43.41M57.92M52.49M
Balance Sheet
Total Assets1.20B1.17B997.24M858.15M749.43M594.36M
Cash, Cash Equivalents and Short-Term Investments31.10M41.36M152.82M31.59M28.57M32.92M
Total Debt157.52M295.23M258.59M295.34M223.08M110.99M
Total Liabilities413.83M408.42M345.00M373.59M296.98M184.39M
Stockholders Equity503.57M488.93M476.19M315.79M295.61M276.16M
Cash Flow
Free Cash Flow56.90M65.75M72.68M50.29M68.20M92.36M
Operating Cash Flow69.53M74.94M81.98M58.54M76.41M100.00M
Investing Cash Flow-126.12M-149.45M-45.02M-81.27M-124.14M-51.20M
Financing Cash Flow-29.27M-36.95M84.27M25.76M43.38M-39.42M

US Physical Therapy Technical Analysis

Technical Analysis Sentiment
Negative
Last Price89.62
Price Trends
50DMA
85.44
Negative
100DMA
81.93
Negative
200DMA
79.19
Negative
Market Momentum
MACD
-1.48
Positive
RSI
24.80
Positive
STOCH
26.20
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For USPH, the sentiment is Negative. The current price of 89.62 is above the 20-day moving average (MA) of 87.93, above the 50-day MA of 85.44, and above the 200-day MA of 79.19, indicating a bearish trend. The MACD of -1.48 indicates Positive momentum. The RSI at 24.80 is Positive, neither overbought nor oversold. The STOCH value of 26.20 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for USPH.

US Physical Therapy Risk Analysis

US Physical Therapy disclosed 31 risk factors in its most recent earnings report. US Physical Therapy reported the most risks in the "Legal & Regulatory" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

US Physical Therapy Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
73
Outperform
$1.86B11.5219.98%-4.21%
72
Outperform
$1.27B32.358.07%6.26%-19.33%
69
Neutral
$873.73M32.3310.87%29.89%10.33%
67
Neutral
$1.66B15.355.57%1.79%-22.96%-59.35%
61
Neutral
$1.34B37.047.30%2.03%17.50%154.28%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
50
Neutral
$790.63M-35.90%-11.42%-617.31%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
USPH
US Physical Therapy
73.87
-19.13
-20.57%
AMN
AMN Healthcare Services
17.87
-11.18
-38.49%
HCSG
Healthcare Services
17.26
5.39
45.41%
MD
Pediatrix Medical Group
21.93
6.17
39.15%
SEM
Select Medical
13.33
-7.49
-35.98%
PNTG
Pennant Group
25.54
-7.88
-23.58%

US Physical Therapy Corporate Events

U.S. Physical Therapy Reports Strong Q3 2025 Results
Nov 7, 2025

U.S. Physical Therapy, Inc. operates a network of outpatient physical therapy clinics and offers industrial injury prevention services across the United States, focusing on orthopedic and sports-related rehabilitation and workplace injury prevention.

U.S. Physical Therapy’s Earnings Call Highlights Robust Growth
Nov 7, 2025

The recent earnings call for U.S. Physical Therapy painted a picture of robust performance and optimistic future prospects. The company reported significant growth in patient visits and gross profit, driven by strategic initiatives. Despite challenges like Medicare rate reductions, the overall sentiment was positive, buoyed by new CMS rules and internal efficiency projects.

Business Operations and StrategyDividendsFinancial Disclosures
U.S. Physical Therapy Reports Strong Q3 2025 Performance
Positive
Nov 6, 2025

U.S. Physical Therapy reported a strong financial performance for the third quarter of 2025, with a significant increase in adjusted EBITDA and net income compared to the same period in 2024. The company saw a 17.8% rise in total revenue from physical therapy operations and an 18.0% increase in total patient visits, driven by clinic additions and a record-high volume of daily patient visits per clinic. The company also expanded its clinic network by adding 18 new clinics and acquiring a 60% equity interest in a three-clinic practice. Additionally, the Board of Directors declared a quarterly dividend of $0.45 per share, reflecting confidence in the company’s ongoing growth and financial stability.

The most recent analyst rating on (USPH) stock is a Buy with a $103.00 price target. To see the full list of analyst forecasts on US Physical Therapy stock, see the USPH Stock Forecast page.

Business Operations and Strategy
US Physical Therapy Updates Investor Presentation
Neutral
Aug 12, 2025

On August 12, 2025, U.S. Physical Therapy Inc. updated its investor presentation, which is available on the company’s website. The update provides an overview of the company, but the information is not considered filed under the Securities Exchange Act of 1934 and is not incorporated by reference into any other filings.

The most recent analyst rating on (USPH) stock is a Buy with a $115.00 price target. To see the full list of analyst forecasts on US Physical Therapy stock, see the USPH Stock Forecast page.

U.S. Physical Therapy Reports Strong Earnings Amid Challenges
Aug 12, 2025

The recent earnings call for U.S. Physical Therapy painted a picture of strong operational performance, with the company achieving record visits, increased revenue, and effective cost management. Despite challenges such as Medicare headwinds and staffing issues in certain markets, the company’s ability to increase guidance and maintain high patient satisfaction underscores a positive trajectory.

Financial DisclosuresRegulatory Filings and Compliance
US Physical Therapy Discusses Q2 2025 Financial Results
Neutral
Aug 11, 2025

On August 7, 2025, U.S. Physical Therapy Inc. held a conference call and webcast to discuss its financial results for the three and six months ended June 30, 2025. The transcript of the call was made available as part of a Current Report on Form 8-K, although it will not be considered filed for purposes of the Securities Exchange Act of 1934.

The most recent analyst rating on (USPH) stock is a Buy with a $115.00 price target. To see the full list of analyst forecasts on US Physical Therapy stock, see the USPH Stock Forecast page.

U.S. Physical Therapy Reports Strong Q2 2025 Results
Aug 8, 2025

U.S. Physical Therapy, Inc., a national operator of outpatient physical therapy clinics and provider of industrial injury prevention services, has reported its financial results for the second quarter of 2025, showcasing significant growth and strategic advancements. The company has achieved record patient visits and raised its full-year earnings guidance, reflecting strong operational performance.

Business Operations and StrategyFinancial Disclosures
US Physical Therapy Reports Record Q2 2025 Results
Positive
Aug 7, 2025

On August 6, 2025, U.S. Physical Therapy, Inc. reported record results for the second quarter of 2025, with significant increases in patient visits and revenue. The company saw a 21.4% rise in Adjusted EBITDA to $26.9 million and a 17.3% increase in total revenue to $168.3 million, driven by higher patient visits and strategic acquisitions. The company also raised its full-year 2025 guidance for Adjusted EBITDA, reflecting strong operational performance and growth in its injury prevention business.

The most recent analyst rating on (USPH) stock is a Buy with a $115.00 price target. To see the full list of analyst forecasts on US Physical Therapy stock, see the USPH Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Nov 07, 2025