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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)

Rating:71Outperform
Price Target:
$98.00
▲(13.98% Upside)
US Physical Therapy's overall stock score is driven by strong financial performance and positive earnings call highlights. The company's robust cash flow and operational efficiency are significant strengths. However, the high P/E ratio and overbought technical indicators suggest caution. The positive earnings call and increased guidance provide a strong outlook, balancing the valuation concerns.
Positive Factors
Financial Performance
U.S. Physical Therapy delivered strong Q2 results with patient visits at an all-time high and exceptional cash flows.
Future Guidance
The company increased its FY/25 EBITDA guidance, indicating confidence in future financial performance.
Profitability
Adjusted EPS of $0.81 surpassed expectations, demonstrating better-than-anticipated profitability.
Revenue Growth
Total revenue of $197.3 million exceeded the consensus estimate, highlighting strong business performance.
Negative Factors
Cash Management
Cash flow from operations in the quarter was negative, showing a concern in cash management.
Labor Dynamics
The industry faces a well-telegraphed shortage of physical therapists, with a projected supply shortfall impacting labor dynamics.

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

US Physical Therapy Business Overview & Revenue Model

Company DescriptionU.S. Physical Therapy, Inc., through its subsidiaries, operates outpatient physical therapy clinics that provide pre-and post-operative care and treatment for orthopedic-related disorders, sports-related injuries, preventative care, rehabilitation of injured workers, and neurological-related injuries. It operates through two segments, Physical Therapy Operations and Industrial Injury Prevention Services. The company offers industrial injury prevention services, including onsite injury prevention and rehabilitation, performance optimization, post-offer employment testing, functional capacity evaluations, and ergonomic assessments through physical therapists and specialized certified athletic trainers for Fortune 500 companies, and other clients comprising insurers and their contractors. As of December 31, 2021, it operated 591 clinics in 39 states; and managed 35 physical therapy practice facilities. The company was founded in 1990 and is based in Houston, Texas.
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:Aug 07, 2025
(Q2-2025)
|
% Change Since: 2.66%|
Next Earnings Date:Nov 11, 2025
Earnings Call Sentiment Positive
The earnings call reflected strong operational performance with record visits, increased revenue, and effective cost management despite Medicare headwinds and staffing challenges in certain markets. The company's ability to increase guidance and maintain high patient satisfaction highlights its positive trajectory.
Q2-2025 Updates
Positive Updates
Record Visits Per Clinic
Achieved a record 32.7 average visits per clinic per day, the highest in the company's history, up from last year's second quarter record of 30.6.
Net Promoter Score
Achieved a Net Promoter Score of 93.5, with 95% of patients being active promoters and only 1% as detractors.
Strong Revenue Growth
Revenues in Physical Therapy increased by 17.3%, and injury prevention revenues grew by 22.6% compared to the prior year quarter.
Expansion and Acquisitions
Added over 50 net clinics compared to the prior year period and exceeded 3 million visits year-to-date.
Guidance Increase
Raised full year 2025 adjusted EBITDA guidance from a range of $88 million to $93 million to a new range of $93 million to $97 million.
Successful Cost Management
Total operating cost per visit decreased year-over-year, with salaries and related costs increasing only slightly by 0.7%.
Negative Updates
Medicare Headwinds
Impact from Medicare cuts is approximately $25 million, significantly affecting profitability.
Slight Decline in Net Rate
The net rate per patient visit was slightly less than in the first quarter, affected by a 2.9% Medicare rate reduction and a policy change by the largest payer in Michigan.
Challenges with Staffing
Some markets still faced staffing challenges which impacted same-store growth in mature facilities, which was over 1% but not in the normal range.
Company Guidance
In the U.S. Physical Therapy second-quarter earnings call for 2025, the company reported robust growth across several key metrics, leading to an increased full-year guidance for adjusted EBITDA, now estimated between $93 million and $97 million. The company achieved a record high of 32.7 visits per clinic per day, up from the previous year's 30.6. Additionally, the Net Promoter Score was an impressive 93.5, indicating strong patient satisfaction. Revenues in the industrial injury prevention (IIP) segment rose by 22.6%, with gross profit increasing by 25.8%. Physical therapy revenues grew by 17.3%, and over 50 net clinics were added compared to the prior year. Despite challenges such as Medicare rate reductions, which shaved about $25 million off profit lines, the company managed to slightly increase its net rate. The firm's margins improved, with the physical therapy gross profit margin rising to 21.1%. The call also highlighted strategic initiatives, including leveraging AI for clinical documentation and expanding services in the IIP segment, as key drivers for future growth.

US Physical Therapy Financial Statement Overview

Summary
US Physical Therapy exhibits solid financial health with robust revenue growth and efficient cash flow generation. The company maintains a conservative leverage profile and a balanced capital structure, though it faces minor profitability challenges from cost pressures.
Income Statement
72
Positive
The company shows a strong Gross Profit Margin of 18.8% and a healthy EBIT Margin of 10.3% for TTM (Trailing-Twelve-Months). The Net Profit Margin stands at 4.5%, indicating moderate profitability. Revenue growth from 2024 to TTM is 19.2%, reflecting substantial top-line expansion. However, the slight decrease in Gross Profit Margin from the previous year indicates potential cost pressures.
Balance Sheet
68
Positive
The Debt-to-Equity Ratio is 0.30, suggesting a conservative leverage level, which is favorable for financial stability. The Return on Equity (ROE) is 6.0%, indicating moderate efficiency in generating returns from equity. The Equity Ratio of 42.1% reflects a balanced capital structure, though the declining trend in Stockholders' Equity could be a concern if it continues.
Cash Flow
75
Positive
The company demonstrates strong Free Cash Flow growth of 6.2%, and an excellent Operating Cash Flow to Net Income ratio of 2.22 for TTM, highlighting efficient cash generation capabilities. The Free Cash Flow to Net Income ratio is 1.88, reinforcing the robustness of cash flows relative to earnings.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue665.21M671.35M604.80M553.14M495.02M422.97M
Gross Profit135.52M123.92M111.99M112.02M117.18M94.45M
EBITDA101.40M86.91M74.37M76.09M85.73M77.68M
Net Income31.68M26.46M14.67M43.41M57.92M52.49M
Balance Sheet
Total Assets1.18B1.17B997.24M858.15M749.43M594.36M
Cash, Cash Equivalents and Short-Term Investments34.09M41.36M152.82M31.59M28.57M32.92M
Total Debt305.40M295.23M258.59M295.34M223.08M110.99M
Total Liabilities414.01M408.42M345.00M373.59M296.98M184.39M
Stockholders Equity500.75M488.93M476.19M315.79M295.61M276.16M
Cash Flow
Free Cash Flow60.87M65.75M72.68M50.29M68.20M92.36M
Operating Cash Flow71.72M74.94M81.98M58.54M76.41M100.00M
Investing Cash Flow-120.03M-149.45M-45.02M-81.27M-124.14M-51.20M
Financing Cash Flow-30.51M-36.95M84.27M25.76M43.38M-39.42M

US Physical Therapy Technical Analysis

Technical Analysis Sentiment
Positive
Last Price85.98
Price Trends
50DMA
77.24
Positive
100DMA
74.63
Positive
200DMA
80.94
Positive
Market Momentum
MACD
2.88
Negative
RSI
65.37
Neutral
STOCH
92.27
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For USPH, the sentiment is Positive. The current price of 85.98 is above the 20-day moving average (MA) of 77.61, above the 50-day MA of 77.24, and above the 200-day MA of 80.94, indicating a bullish trend. The MACD of 2.88 indicates Negative momentum. The RSI at 65.37 is Neutral, neither overbought nor oversold. The STOCH value of 92.27 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive 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
71
Outperform
$1.31B37.617.02%2.07%16.24%116.58%
71
Outperform
$853.68M31.5911.44%30.58%24.86%
69
Neutral
$1.65B15.8610.65%2.32%25.19%13.44%
51
Neutral
$7.46B-0.25-46.00%2.25%22.77%-2.14%
48
Neutral
$715.51M18.62-40.13%-14.33%-398.68%
47
Neutral
$1.50B95.7442.49%11.53%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
USPH
US Physical Therapy
85.78
3.41
4.14%
AMN
AMN Healthcare Services
18.92
-33.11
-63.64%
NHC
National Healthcare
106.35
-17.94
-14.43%
PNTG
Pennant Group
24.70
-7.04
-22.18%
AVAH
Aveanna Healthcare Holdings
7.08
2.11
42.45%

US Physical Therapy Corporate Events

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.

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.

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.

Executive/Board ChangesShareholder Meetings
US Physical Therapy Approves Key Proposals at Meeting
Positive
May 20, 2025

On May 20, 2025, U.S. Physical Therapy, Inc. held its annual shareholders meeting where three key proposals were approved. The election of eight directors, an advisory vote on executive compensation, and the ratification of Grant Thornton LLP as the independent accounting firm for 2024 were all passed, indicating continued stability and strategic direction for the company.

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: Aug 14, 2025