EX-99.1 2 ex99-1.htm


CONTACT:
U.S. Physical Therapy, Inc.
Carey Hendrickson, Chief Financial Officer
          Email: Chendrickson@usph.com
Chris Reading, Chief Executive Officer
(713) 297-7000
Three Part Advisors
Joe Noyons
(817) 778-8424
U.S. Physical Therapy Reports
First Quarter 2025 Results

Reports Record First Quarter Patient Volume


Houston, TX, May 7, 2025 – U.S. Physical Therapy, Inc. (“USPH” or the “Company”) (NYSE: USPH), a national operator of outpatient physical therapy clinics and provider of industrial injury prevention services, today reported results for the first quarter ended March 31, 2025.

FINANCIAL HIGHLIGHTS

Adjusted EBITDA (1), a non-Generally Accepted Accounting Principles (“GAAP”) measure, was $19.5 million for the three months ended March 31, 2025 (“2025 First Quarter”), an increase of $2.8 million, or 16.5%, from $16.8 million in the three months ended March 31, 2024 (“2024 First Quarter”) primarily driven by acquisitions since the prior year period and an increase in net patient revenue per visit.
Net income attributable to USPH’s shareholders (“USPH Net Income”), a GAAP measure, was $9.9 million for the 2025 First Quarter compared to $8.0 million in the 2024 First Quarter. In accordance with GAAP, the revaluation of noncontrolling interest, net of taxes, is not included in net income but is charged directly to retained earnings. However, this change is included in the computation of earnings per share. Earnings per share was $0.80 for the 2025 First Quarter compared to $0.46 for the 2024 First Quarter.
Operating Results (1), a non-GAAP measure, was $7.3 million in the 2025 First Quarter compared to $7.7 million in the 2024 First Quarter. On a per share basis, Operating Results was $0.48 in the 2025 First Quarter compared to $0.51 in the 2024 First Quarter.
Total revenue from physical therapy operations for the 2025 First Quarter increased $22.0 million, or 16.4%, to $156.4 million.
Net rate per patient visit for the 2025 First Quarter was $105.66, increasing $2.29 per visit from $103.37 for the 2024 First Quarter, despite the approximate 2.9% Medicare rate reduction which went into effect on January 1, 2025. Net rate per patient visit also increased sequentially by $0.93 from $104.73 for the three months ended December 31, 2024. The increase in net rate per patient visit reflects the Company’s strategic priority of increasing reimbursement rates through contract negotiations with commercial and other payors as well as growing workers compensation as a percent of the Company’s overall mix of business.
Average daily patient visits per clinic was an all-time first quarter high of 31.4 for the 2025 First Quarter compared to 29.5 in the 2024 First Quarter. Total patient visits were 1,443,805 in the 2025 First Quarter, a 13.9% increase from the 2024 First Quarter.
Industrial injury prevention services (“IIP”) revenue was $27.4 million for the 2025 First Quarter, an increase of 28.8% as compared to the 2024 First Quarter.  IIP gross profit was $5.6 million in the 2025 First Quarter, an increase of $1.3 million, or 29.1%, from $4.3 million in the 2024 First Quarter.
During the 2025 First Quarter, the Company added 14 clinics and closed seven clinics bringing its total owned and/or managed clinic count to 773 as of March 31, 2025, compared to 720 as of March 31, 2024.
On February 28, 2025, the Company acquired a 65% equity interest in a three-clinic practice with the practice owners retaining a 35% equity interest. The business currently generates $4.3 million in annual revenue and 23,000 in annual visits.
On April 30, 2025, the Company announced the acquisition of an outpatient home care physical and speech therapy practice through its 50%-owned subsidiary, MSO Metro, LLC.  The practice currently generates approximately $2.1 million in annual revenue.
The Company’s Board of Directors declared a quarterly dividend of $0.45 per share payable on June 13, 2025, to shareholders of record on May 23, 2025.

(1)
These are non-GAAP Measures. See pages 10 to 11 of this release for the definition and reconciliation of Adjusted EBITDA, Operating Results and other non-GAAP measures to the most directly comparable GAAP measure.




U.S. Physical Therapy Press Release   
Page 2
May 7, 2025
 


MANAGEMENT’S COMMENTS
Chris Reading, Chief Executive Officer, said, “Despite our weather-impacted start, we had strong referral and visit demand which accelerated nicely as the quarter progressed. Importantly, our insurance renegotiations and workers compensation efforts are giving us a lift as we enter one of the busiest seasonal periods of the year.  While we have more work to do, we are encouraged by our start and committed to further progress.”
2025 First Quarter Versus 2024 First Quarter
Additional supplemental tables of financial and performance metrics are presented on page 14 of this release.

Physical Therapy Operations
   
Three Months Ended
   
Variance
       
   
March 31, 2025
   
March 31, 2024
         
$
%
       
   
(In thousands, except percentages)
                     
Revenue related to:
                               
Mature Clinics (1)
 
$
126,620
   
$
128,501
   
$
(1,881
)
   
(1.5
)%
     
Clinic additions (2)
   
25,667
     
44
     
25,623
     
*
 (7)    
Clinics sold or closed (3)
   
260
     
2,530
     
(2,270
)
   
*
 (7)    
Net patient revenue
   
152,547
     
131,075
     
21,472
     
16.4
%
       
Other (4)
   
3,861
     
3,350
     
511
     
15.3
%
       
Total
   
156,408
     
134,425
     
21,983
     
16.4
%
       
Operating costs (5)
   
130,940
     
110,361
     
20,579
     
18.6
%
       
Gross profit
 
$
25,468
   
$
24,064
   
$
1,404
     
5.8
%
       
                                         
Financial and operating metrics (not in thousands):
                                       
Net rate per patient visit (1)
 
$
105.66
   
$
103.37
   
$
2.29
     
2.2
%
       
Patient visits (1)
   
1,443,805
     
1,268,002
     
175,803
     
13.9
%
       
Average daily visits per clinic (1)
   
31.4
     
29.5
     
1.9
     
6.4
%
       
Gross margin
   
16.3
%
   
17.9
%
                       
Salaries and related costs per visit, clinics (6)
 
$
63.53
   
$
61.42
   
$
2.11
     
3.4
%
       
Operating costs per visit, clinics (6)
 
$
89.28
   
$
85.50
   
$
3.78
     
4.4
%
       
 
                                       
(1) See Glossary of Terms - Revenue Metrics for definition.
                                       
(2) Includes 14 clinics added during the 2025 First Quarter and 103 added during the year ended December 31, 2024.
                                 
(3) Includes 7 clinics closed during the 2025 First Quarter and 45 clinics closed during the year ended December 31, 2024.
                         
(4) Includes revenues from management contracts.
                                       
(5) Includes costs from management contracts.
                                       
(6) Excludes costs from management contracts and $0.1 million of certain incentive costs related to the Metro acquisition. Please refer to the reconcilliation of non-GAAP measures to the most comparable GAAP measure on page 13.
 
(7) Not meaningful.
                                       




U.S. Physical Therapy Press Release   
Page 3
May 7, 2025
 

Net revenue from physical therapy operations increased $22.0 million, or 16.4%, to $156.4 million for the 2025 First Quarter from $134.4 million for the 2024 First Quarter. This increase was due to the increase in visits from the 53 net clinics added since the comparable prior year period and an increase in net rate per patient visit, which reflects the Company’s strategic priority of increasing reimbursement rates through contract negotiations with commercial and other payors as well as growing workers compensation as a percent of the Company’s overall mix of business. Net rate per patient visit for the 2025 First Quarter was $105.66, increasing $2.29 per visit from $103.37 for the 2024 First Quarter, despite the approximate 2.9% Medicare rate reduction which went into effect on January 1, 2025.  Net rate per patient visit also increased sequentially by $0.93 from $104.73 for the three months ended December 31, 2024.

Operating costs from physical therapy operations increased $20.6 million, or 18.6%, to $130.9 million in the 2025 First Quarter from $110.4 million in the 2024 First Quarter primarily driven by the 53 net clinics added since the comparable prior year period.  Salaries and related costs per visit was $63.53 in the 2025 First Quarter compared to $61.42 in the 2024 First Quarter while total operating costs per visit was $89.28 compared to $85.50 over the same periods, respectively.   

Gross profit from physical therapy operations in the 2025 First Quarter was $25.5 million with a gross profit margin of 16.3% compared to $24.1 million with a gross profit margin of 17.9% in the 2024 First Quarter.

Industrial Injury Prevention Services
   
Three Months Ended
   
Variance
 
   
March 31, 2025
   
March 31, 2024
         
$
%
 
   
(In thousands, except percentages)
 
Net revenue
 
$
27,380
   
$
21,250
   
$
6,130
     
28.8
%
Operating costs
   
21,783
     
16,913
     
4,870
     
28.8
%
Gross profit
 
$
5,597
   
$
4,337
   
$
1,260
     
29.1
%
                                 
Gross margin
   
20.4
%
   
20.4
%
               
                                 

IIP revenue increased $6.1 million, or 28.8%, to $27.4 million for the 2025 First Quarter as compared to $21.3 million for the 2024 First Quarter. Gross profit from IIP operations in the 2025 First Quarter increased $1.3 million, or 29.1%, to $5.6 million from $4.3 million in the 2024 First Quarter. The gross profit margin from IIP operations was 20.4% in each of the 2025 First Quarter and 2024 First Quarter. Excluding the IIP acquisition made in April 2024, IIP revenue increased by $3.2 million or 15.1% in the 2025 First Quarter and gross profit increased $0.6 million or 13.1% in the 2025 First Quarter over the comparable prior year period.
Corporate Office and Other Expenses

Corporate office costs increased to $16.2 million in the 2025 First Quarter from $14.1 million in the 2024 First Quarter. This increase was primarily to support the larger number of clinics as well as expenses related to the integration of the Company’s recent acquisitions. As a ratio to net revenue, corporate office costs improved to 8.8% in the 2025 First Quarter compared to 9.0% in the 2024 Fourth Quarter.

The Company revalued contingent consideration related to certain acquisitions and recognized a net non-cash gain (a decrease in the related liabilities) of $4.8 million in the 2025 First Quarter compared to $0.6 million in the 2024 First Quarter. 
Operating income was $19.6 million for the 2025 First Quarter compared to $14.9 million for the 2024 First Quarter, an increase of 31.6% over the comparable period.

Interest expense increased by $0.3 million to $2.3 million for the 2025 First Quarter compared to $2.0 million in the 2024 First Quarter due to a higher average outstanding balance on our revolving credit facility in the 2025 First Quarter. The interest rate associated with borrowings on the Company’s credit facility was 4.9% for the 2025 First Quarter and 4.7% for the 2024 First Quarter, with an all-in effective interest rate, including all associated costs of 5.5% and 5.3% over the same periods, respectively.
Interest income was less than $0.1 million during the 2025 First Quarter compared to $1.5 million in the 2024 First Quarter as the cash on the balance sheet at the end of the 2024 First Quarter has been deployed into acquisitions since that time.
The Company revalued a put-right liability related to the future purchase of an IIP business and recognized a net non-cash expense (an increase in the related liability) of $0.4 million in the 2025 First Quarter compared to $0.1 million in the 2024 First Quarter. 




U.S. Physical Therapy Press Release   
Page 4
May 7, 2025

The provision for income taxes was $3.9 million in the 2025 First Quarter compared to $3.1 million during the 2024 First Quarter while the effective tax rate was 28.1% in each of the same periods, respectively.

USPH Net Income and Non-GAAP Measures

Net income attributable to non-controlling interest (temporary and permanent) was $3.6 million in both the 2025 First Quarter and the 2024 First Quarter.

USPH Net Income was $9.9 million for the 2025 First Quarter compared to $8.0 million in the 2024 First Quarter. In accordance with GAAP, the revaluation of redeemable noncontrolling interest, net of taxes, is not included in net income but is charged directly to retained earnings; however, this change is included in the computation of earnings per share. Earnings per share was $0.80 for the 2025 First Quarter compared to $0.46 for the 2024 First Quarter.
Non-GAAP Adjusted EBITDA (1) was $19.5 million for the 2025 First Quarter, an increase of $2.8 million or 16.5%, from $16.8 million for the 2024 First Quarter. Non-GAAP Operating Results (1) was $7.3 million, or $0.48 per share, in the 2025 First Quarter compared to $7.7 million, or $0.51 per share, in the 2024 First Quarter.

(1)
These are Non-GAAP Measures. See pages 10 to 11 of this release for the definition and reconciliation of Adjusted EBITDA and Operating Results measures to the most directly comparable GAAP measure.

BALANCE SHEET AND CASH FLOW

Total cash and cash equivalents were $39.2 million as of March 31, 2025, compared to $41.4 million as of December 31, 2024, and $132.3 million as of March 31, 2024.  The Company had $164.9 million in outstanding borrowings and $147.0 million in available credit under its credit facilities as of March 31, 2025.  This compares to $151.6 million of outstanding borrowings and $164.0 million in available credit under its credit facilities as of December 31, 2024.

RECENT ACQUISITIONS

On February 28, 2025, the Company acquired a 65% equity interest in a three-clinic practice with the original practice owners retaining 35% equity interest. The business currently generates $4.3 million in annual revenue and 23,000 in annual visits.

On April 30, 2025, the Company announced the acquisition of an outpatient home care physical and speech therapy practice through its 50%-owned subsidiary, MSO Metro, LLC.  The practice currently generates approximately $2.1 million in annual revenue.
The Company’s strategy is to continue acquiring multi-clinic outpatient physical therapy practices, to develop outpatient physical therapy clinics as satellites in existing partnerships and to continue acquiring companies that provide industrial injury prevention services.
QUARTERLY DIVIDEND

The Company’s Board of Directors declared a quarterly dividend of $0.45 per share payable on June 13, 2025, to shareholders of record on May 23, 2025.
CONFERENCE CALL INFORMATION

U.S. Physical Therapy’s management will host a conference call at 10:30 a.m. ET / 9:30 a.m. CT, on May 8, 2025, to discuss the Company’s financial results for the first quarter ended March 31, 2025. Interested parties may participate in the call by dialing (800) 274-8461 (Primary) or (203) 518-9814 (Alternate) and conference ID of USPHQ125. Please call approximately 10 minutes before the call is scheduled to begin. To listen to the live call, go to the Company’s website at  www.usph.com at least 15 minutes early to register, download and install any necessary audio software. If you are unable to listen live, a playback of the conference call can be accessed until August 7, 2025, on the Company’s website. 





U.S. Physical Therapy Press Release   
Page 5
May 7, 2025

FORWARD LOOKING STATEMENTS
This press release contains statements that are considered to be forward-looking within the meaning under Section 21E of the Securities Exchange Act of 1934, as amended. These statements contain forward-looking information relating to the financial condition, results of operations, plans, objectives, future performance and business of our Company. These statements (often using words such as “believes”, “expects”, “intends”, “plans”, “appear”, “should” and similar words) involve risks and uncertainties that could cause actual results to differ materially from those we expect. Included among such statements may be those relating to new clinics, availability of personnel and the reimbursement environment. The forward-looking statements are based on our current views and assumptions and actual results could differ materially from those anticipated in such forward-looking statements as a result of certain risks, uncertainties, and factors, which include, but are not limited to:

changes in Medicare rules and guidelines and reimbursement or failure of our clinics to maintain their Medicare certification and/or enrollment status;
revenue we receive from Medicare and Medicaid being subject to potential retroactive reduction;
changes in reimbursement rates or payment methods from third party payors including government agencies, and changes in the deductibles and co-pays owed by patients;
private third-party payors for our services may adopt payment policies that could limit our future revenue and profitability;
compliance with federal and state laws and regulations relating to the privacy of individually identifiable patient information, and associated fines and penalties for failure to comply;
compliance with state laws and regulations relating to the corporate practice of medicine and fee splitting, and associated fines and penalties for failure to comply ;
competitive, economic or reimbursement conditions in our markets which may require us to reorganize or close certain clinics and thereby incur losses and/or closure costs including the possible write-down or write-off of goodwill and other intangible assets;
the impact of future public health crises and epidemics/pandemics, such as was the case with the novel strain of COVID-19 and its variants;
certain of our acquisition agreements contain put-rights related to a future purchase of significant equity interests in our subsidiaries or in a separate company;
the impact of future vaccinations and/or testing mandates at the federal, state and/or local level, which could have an adverse impact on staffing, revenue, costs and the results of operations;
our debt and financial obligations could adversely affect our financial condition, our ability to obtain future financing and our ability to operate our business;
changes as the result of government enacted national healthcare reform;
the ability to control variable interest entities for which we do not have a direct ownership;
business and regulatory conditions including federal and state regulations;
governmental and other third party payor inspections, reviews, investigations and audits, which may result in sanctions or reputational harm and increased costs;
revenue and earnings expectations;
contingent consideration provisions in certain of our acquisition agreements, the value of which may impact future financial results;
legal actions, which could subject us to increased operating costs and uninsured liabilities;
general economic conditions, including but not limited to inflationary and recessionary periods;
actual or perceived events involving banking volatility or limited liability, defaults or other adverse developments that affect the U.S or the international financial systems, may result in market wide liquidity problems which could have a material and adverse impact on our available cash and results of operations;
our business depends on hiring, training, and retaining qualified employees;
availability and cost of qualified physical therapists;
competitive environment in the industrial injury prevention services business, which could result in the termination or non-renewal of contractual service arrangements and other adverse financial consequences for that service line;
our ability to identify and complete acquisitions, and the successful integration of the operations of the acquired businesses;
impact on the business and cash reserves resulting from retirement or resignation of key partners and resulting purchase of their non-controlling interest (minority interests);
maintaining our information technology systems with adequate safeguards to protect against cyber-attacks;
a security breach of our or our third party vendors’ information technology systems may subject us to potential legal action and reputational harm and may result in a violation of the Health Insurance Portability and Accountability Act of 1996 of the Health Information Technology for Economic and Clinical Health Act;
maintaining clients for which we perform management, industrial injury prevention related services, and other services, as a breach or termination of those contractual arrangements by such clients could cause operating results to be less than expected.
maintaining adequate internal controls;
maintaining necessary insurance coverage;
availability, terms, and use of capital; and
weather and other seasonal factors.

Many factors are beyond our control. Given these uncertainties, you should not place undue reliance on our forward-looking statements. For additional information regarding these and other risks and uncertainties, that could cause actual results to differ materially from those contained in our forward-looking statements, please refer to “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2024, filed with the Securities and Exchange Commission (“SEC”) on March 3, 3025 and any risk factors contained in subsequent quarterly and annual reports we file with the SEC. Our forward-looking statements represent our estimates and assumptions only as of the date of this report. Except as required by law, we are under no obligation to update any forward-looking statement as a result of new information, future events, or otherwise, except as required by law.


GLOSSARY OF TERMS – REVENUE METRICS

Mature clinics are clinics opened or acquired prior to January 1, 2024, and are still operating as of the balance sheet date.

Net rate per patient visit is net patient revenue related to our physical therapy operations divided by total number of patient visits (defined below) during the periods presented.

Patient visits is the number of unique patient visits during the periods presented.

Average daily visits per clinic is patient visits divided by the number of days in which normal business operations were conducted during the periods presented and further divided by the average number of clinics in operation during the periods presented.


ABOUT U.S. PHYSICAL THERAPY, INC.

Founded in 1990, U.S. Physical Therapy, Inc. owns and/or manages 773 outpatient physical therapy clinics in 44 states. USPH clinics provide preventative and post-operative care for a variety of orthopedic-related disorders and sports-related injuries, treatment for neurologically-related injuries and rehabilitation of injured workers. USPH also has an industrial injury prevention business which provides onsite services for clients’ employees including injury prevention and rehabilitation, performance optimization, post-offer employment testing, functional capacity evaluations, and ergonomic assessments. 
More information about U.S. Physical Therapy, Inc. is available at www.usph.com. The information included on that website is not incorporated into this press release.



U.S. Physical Therapy Press Release   
Page 6
May 7, 2025

U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
UNAUDITED CONSOLIDATED STATEMENTS OF INCOME
(IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)

   
Three Months Ended
 
   
March 31, 2025
   
March 31,2024
 
             
Net patient revenue
 
$
152,547
   
$
131,075
 
Other revenue
   
31,241
     
24,600
 
Net revenue
   
183,788
     
155,675
 
Operating cost:
               
Salaries and related costs
   
111,249
     
93,731
 
Rent, supplies, contract labor and other
   
33,844
     
27,904
 
Depreciation and amortization
   
5,540
     
3,885
 
Provision for credit losses
   
1,848
     
1,627
 
Clinic closure costs - lease and other
   
242
     
127
 
Total operating cost
   
152,723
     
127,274
 
                 
                 
Gross profit
   
31,065
     
28,401
 
                 
                 
Corporate office costs
   
16,245
     
14,085
 
Gain on change in fair value of contingent earn-out consideration
   
(4,822
)
   
(612
)
Operating income
   
19,642
     
14,928
 
                 
                 
Other (expense) income
               
Interest expense, debt and other
   
(2,279
)
   
(1,968
)
Interest income from investments
   
24
     
1,543
 
Change in revaluation of put-right liability
   
(404
)
   
(80
)
Equity in earnings of unconsolidated affiliate
   
393
     
271
 
Loss on sale of a partnership
   
(123
)
   
-
 
Other
   
75
     
62
 
Total other expense
   
(2,314
)
   
(172
)
Income before taxes
   
17,328
     
14,756
 
                 
Provision for income taxes
   
3,860
     
3,139
 
Net income
   
13,468
     
11,617
 
                 
                 
                 
Less: Net income attributable to non-controlling interest:
               
Redeemable non-controlling interest - temporary equity
   
(2,012
)
   
(2,227
)
Non-controlling interest - permanent equity
   
(1,557
)
   
(1,344
)
     
(3,569
)
   
(3,571
)
                 
Net income attributable to USPH shareholders
 
$
9,899
   
$
8,046
 
                 
Basic and diluted earnings per share attributable to USPH shareholders (1)
 
$
0.80
   
$
0.46
 
                 
Shares used in computation - basic and diluted
   
15,132
     
15,017
 
                 
Dividends declared per common share
 
$
0.45
   
$
0.44
 
(1) See page 11 of this press release for the calculation of basic and diluted earnings per share.




U.S. Physical Therapy Press Release   
Page 7
May 7, 2025

U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
UNAUDITED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
(IN THOUSANDS)

   
Three Months Ended
 
   
March 31, 2025
   
March 31, 2024
 
       
Net income
 
$
13,468
   
$
11,617
 
  Other comprehensive gain:
               
    Unrealized (loss) gain on cash flow hedge
   
(1,331
)
   
1,781
 
    Tax effect at statutory rate (federal and state)
   
340
     
(455
)
Comprehensive income
 
$
12,477
   
$
12,943
 
                 
Comprehensive income attributable to non-controlling interest
   
(3,569
)
   
(3,571
)
Comprehensive income attributable to USPH shareholders
 
$
8,908
   
$
9,372
 
                 








U.S. Physical Therapy Press Release   
Page 8
May 7, 2025

U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEET
(IN THOUSANDS, EXCEPT SHARES AND PER SHARE AMOUNTS)

   
March 31, 2025
   
December 31, 2024
 
   
(unaudited)
       
ASSETS
           
Current assets:
           
Cash and cash equivalents
 
$
39,183
   
$
41,362
 
Patient accounts receivable, less provision for credit losses of $3,620 and $3,506, respectively
   
64,760
     
59,040
 
Accounts receivable - other
   
26,136
     
26,626
 
Other current assets
   
15,274
     
10,555
 
Total current assets
   
145,353
     
137,583
 
Fixed assets:
               
Furniture and equipment
   
68,802
     
68,128
 
Leasehold improvements
   
53,504
     
51,105
 
Fixed assets, gross
   
122,306
     
119,233
 
Less accumulated depreciation and amortization
   
(89,542
)
   
(87,093
)
Fixed assets, net
   
32,764
     
32,140
 
Operating lease right-of-use assets
   
133,197
     
133,936
 
Investment in unconsolidated affiliate
   
12,273
     
12,190
 
Goodwill
   
674,387
     
667,152
 
Other identifiable intangible assets, net
   
177,328
     
179,311
 
Other assets
   
4,385
     
5,155
 
Total assets
 
$
1,179,687
   
$
1,167,467
 
 
               
LIABILITIES, REDEEMABLE NON-CONTROLLING INTEREST, USPH SHAREHOLDERS’ EQUITY AND NON-CONTROLLING INTEREST
               
Current liabilities:
               
Accounts payable - trade
 
$
6,088
   
$
5,936
 
Accrued expenses
   
68,326
     
59,513
 
Current portion of operating lease liabilities
   
40,124
     
39,835
 
Current portion of term loan and notes payable
   
9,257
     
10,999
 
Total current liabilities
   
123,795
     
116,283
 
Notes payable, net of current portion
   
387
     
903
 
Revolving facility
   
28,000
     
11,000
 
Term loan, net of current portion and deferred financing costs
   
128,851
     
130,627
 
Deferred taxes
   
34,055
     
29,465
 
Operating lease liabilities, net of current portion
   
100,688
     
101,868
 
Other long-term liabilities
   
4,903
     
18,275
 
Total liabilities
   
420,679
     
408,421
 
 
               
Redeemable non-controlling interest - temporary equity
   
260,047
     
269,025
 
 
               
Commitments and Contingencies
               
 
               
U.S. Physical Therapy, Inc. ("USPH") shareholders’ equity:
               
Preferred stock, $.01 par value, 500,000 shares authorized, no shares issued and outstanding
   
-
     
-
 
Common stock, $.01 par value, 20,000,000 shares authorized,
               
 17,406,426 and 17,309,120 shares issued, respectively
   
172
     
172
 
Additional paid-in capital
   
292,773
     
290,321
 
Accumulated other comprehensive gain
   
1,783
     
2,799
 
Retained earnings
   
234,161
     
227,265
 
Treasury stock at cost, 2,214,737 shares
   
(31,628
)
   
(31,628
)
Total USPH shareholders’ equity
   
497,261
     
488,929
 
Non-controlling interest - permanent equity
   
1,700
     
1,092
 
Total USPH shareholders' equity and non-controlling interest - permanent equity
   
498,961
     
490,021
 
                                                 Total liabilities, redeemable non-controlling interest,
               
    USPH shareholders' equity and non-controlling interest - permanent equity
 
$
1,179,687
   
$
1,167,467
 







U.S. Physical Therapy Press Release   
Page 9
May 7, 2025


U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS
(IN THOUSANDS)


   
Three Months Ended
 
   
March 31, 2025
   
March 31, 2024
 
OPERATING ACTIVITIES
           
Net income including non-controlling interest
 
$
13,468
   
$
11,617
 
Adjustments to reconcile net income including non-controlling interest to net cash provided by      operating activities:
               
Depreciation and amortization
   
5,867
     
4,095
 
Provision for credit losses
   
1,848
     
1,627
 
Equity-based awards compensation expense
   
1,771
     
1,997
 
Amortization of debt issue costs
   
106
     
106
 
Change in deferred income taxes
   
5,242
     
1,943
 
Change in revaluation of put-right liability
   
404
     
80
 
Gain on change in fair value of contingent earn-out consideration
   
(4,822
)
   
(612
)
Equity of earnings in unconsolidated affiliate
   
(393
)
   
(271
)
Loss on sale of fixed assets
   
-
     
5
 
Loss on sale of a partnership
   
123
     
-
 
Changes in operating assets and liabilities:
               
Increase in patient accounts receivable
   
(7,341
)
   
(5,124
)
Decrease (increase) in accounts receivable - other
   
774
     
(3,985
)
Increase in other current and long term assets
   
(6,209
)
   
(433
)
Decrease in accounts payable and accrued expenses
   
(14,229
)
   
(6,678
)
(Decrease) increase in long term liabilities
   
(1,284
)
   
52
 
Net cash (used in) provided by operating activities
   
(4,675
)
   
4,419
 
                 
INVESTING ACTIVITIES
               
Purchase of fixed assets
   
(2,579
)
   
(1,838
)
Purchase of majority interest in businesses, net of cash acquired
   
(4,211
)
   
(15,971
)
Purchase of redeemable non-controlling interest, temporary equity
   
(907
)
   
(2,702
)
Purchase of non-controlling interest, permanent equity
   
-
     
(498
)
Proceeds from the sale of partnership interest - redeemable non-controlling interest, temporary equity
   
15
     
67
 
Proceeds from the sale of non-controlling interest, permanent equity
   
-
     
23
 
Proceeds from sale of partnership
   
700
     
-
 
Distributions from unconsolidated affiliate
   
310
     
367
 
Other
   
44
     
88
 
Net cash (used in) investing activities
   
(6,628
)
   
(20,464
)
                 
FINANCING ACTIVITIES
               
Proceeds from revolving facility
   
17,000
     
-
 
Distributions to non-controlling interest, permanent and temporary equity
   
(3,653
)
   
(3,160
)
Payments on term loan
   
(3,750
)
   
(938
)
Principal payments on notes payable
   
(473
)
   
(392
)
Net cash provided by (used in) financing activities
   
9,124
     
(4,490
)
                 
Net (decrease) in cash and cash equivalents
   
(2,179
)
   
(20,535
)
Cash and cash equivalents - beginning of period
   
41,362
     
152,825
 
Cash and cash equivalents - end of period
 
$
39,183
   
$
132,290
 
                 
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION
               
Cash paid during the period for:
               
Income taxes
 
$
7,359
   
$
367
 
Interest paid
   
2,205
     
1,844
 
Non-cash investing and financing transactions during the period:
               
Purchase of businesses - seller financing portion
   
-
     
500
 
Purchase of redeemable non-controlling interest, temporary equity, recorded in accrued liabilities
   
6,672
     
-
 
Fair market value of initial contingent consideration related to purchase of businesses
   
1,259
     
-
 
Notes payable related to purchase of redeemable non-controlling interest, temporary equity
   
89
     
-
 
Notes receivable related to sale of redeemable non-controlling interest
   
646
     
315
 
Notes receivable related to the sale of non-controlling interest, permanent equity
   
-
     
243
 
Offset to notes receivable associated with purchase of redeemable non-controlling interest
   
180
     
75
 
Dividends payable to USPH shareholders
   
6,836
     
6,630
 






U.S. Physical Therapy Press Release   
Page 10
May 7, 2025

U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
ADJUSTED EBITDA AND OPERATING RESULTS

The following tables provide details of the basic and diluted earnings per share computation and reconcile net income attributable to USPH shareholders calculated in accordance with GAAP to Adjusted EBITDA and Operating Results. The tables also provide a reconciliation of additional non-GAAP measures to the most comparable GAAP measure. Management believes providing Adjusted EBITDA and Operating Results to investors is useful for comparing the Company's period-to-period results as well as for comparing with other similar businesses since most do not have redeemable instruments and therefore have different equity structures. Management uses Adjusted EBITDA and Operating Results, which eliminate certain items described above that can be subject to volatility and unusual costs, as the principal measures to evaluate and monitor financial performance period over period. 

Adjusted EBITDA, a non-GAAP measure, is defined as net income attributable to USPH shareholders before interest income, interest expense, taxes, depreciation, amortization, change in fair value of contingent earn-out consideration, changes in revaluation of put-right liability, equity-based awards compensation expense, clinic closure costs, business acquisition related costs, costs related to a one-time financial systems upgrade, loss on sale of a partnership and other income and related portions for non-controlling interests.

Operating Results, a non-GAAP measure, equals net income attributable to USPH shareholders less, changes in revaluation of a put-right liability, clinic closure costs, loss on sale of a partnership, changes in fair value of contingent earn-out consideration, business acquisition related costs, costs related to a one-time financial systems upgrade and any allocations to non-controlling interests, all net of taxes. Operating Results per share also excludes the impact of the revaluation of redeemable non-controlling interest and the associated tax impact.

Adjusted EBITDA and Operating Results are not measures of financial performance under GAAP. Adjusted EBITDA, Operating Results and other non-GAAP measures should not be considered in isolation or as an alternative to, or substitute for, net income attributable to USPH shareholders presented in the consolidated financial statements.



U.S. Physical Therapy Press Release   
Page 11
May 7, 2025


U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
ADJUSTED EBITDA, OPERATING RESULTS AND EARNINGS PER SHARE
(IN THOUSANDS, EXCEPT PER SHARE DATA)


 
 
Three Months Ended
 
 
 
March31,2025
   
March31,2024
 
             
Adjusted EBITDA  (a non-GAAP measure)
           
  Net income attributable to USPH shareholders
 
$
9,899
   
$
8,046
 
Adjustments:
               
Provision for income taxes
   
3,860
     
3,139
 
Depreciation and amortization
   
5,867
     
4,095
 
Interest expense, debt and other, net
   
2,279
     
1,968
 
Interest income from investments
   
(24
)
   
(1,543
)
Equity-based awards compensation expense
   
1,771
     
1,997
 
Change in revaluation of put-right liability
   
404
     
80
 
Change in fair value of contingent earn-out consideration
   
(4,822
)
   
(612
)
Clinic closure costs (1)
   
242
     
126
 
Business acquisition related costs (2)
   
480
     
-
 
ERP implementation costs (3)
   
62
     
-
 
Loss on sale of a partnership
   
123
     
-
 
Other loss (income)
   
(75
)
   
(62
)
Allocation to non-controlling interests
   
(527
)
   
(463
)
   
$
19,539
   
$
16,771
 
                 
Operating Results (a non-GAAP measure)
               
  Net income attributable to USPH shareholders
 
$
9,899
   
$
8,046
 
Adjustments:
               
Change in fair value of contingent earn-out consideration
   
(4,822
)
   
(612
)
Change in revaluation of put-right liability
   
404
     
80
 
Clinic closure costs (1)
   
242
     
126
 
Business acquisition related costs (2)
   
480
     
-
 
ERP implementation costs (3)
   
62
     
-
 
Loss on sale of a partnership
   
123
     
-
 
Allocation to non-controlling interest
   
(10
)
   
(16
)
  Tax effect at statutory rate (federal and state)
   
935
     
108
 
   
$
7,313
   
$
7,732
 
                 
                 
Operating Results per share (a non-GAAP measure)
 
$
0.48
   
$
0.51
 
                 
Earnings per share
               
  Computation of earnings per share - USPH shareholders:
               
    Net income attributable to USPH shareholders
 
$
9,899
   
$
8,046
 
   Charges to retained earnings:
               
        Revaluation of redeemable non-controlling interest
   
2,903
     
(1,439
)
  Tax effect at statutory rate (federal and state)
   
(742
)
   
368
 
   
$
12,060
   
$
6,975
 
                 
Earnings per share (basic and diluted)
 
$
0.80
   
$
0.46
 
                 
Shares used in computation - basic and diluted
   
15,132
     
15,017
 
                 


(1) Costs associated with the closure of 7 and 6 clinics during the 2025 First Quarter and the 2024 First Quarter, respectively.
(2) Primarily consists of legal and consulting expenses related to the acquisitions of equity interests in certain partnerships.
(3) Consists of costs related to a one-time financial systems upgrade.





U.S. Physical Therapy Press Release   
Page 12
May 7, 2025

U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
RECONCILIATION OF NON-GAAP MEASURES TO THE MOST COMPARABLE GAAP MEASURES
(IN THOUSANDS, EXCEPT PER SHARE DATA AND PERCENTAGES)

The tables below reconcile other non-GAAP measures to the most directly comparable GAAP measures.
   
Three Months Ended
 
   
March 31, 2025
 
   
As Reported
(GAAP)
   
Adjustments (1)
   
As Adjusted
(Non-GAAP)
 
   
(in thousands, except percentages)
 
Segment information - Physical Therapy Operations
                 
                   
Salaries and related costs, clinics (2)
 
$
91,799
   
$
(75
)
 
$
91,724
 
Operating costs, clinics (2)
 
$
128,971
   
$
(75
)
 
$
128,896
 
Gross profit
 
$
25,468
   
$
75
   
$
25,543
 
Gross margin
   
16.3
%
   
*
     
16.3
%
Number of visits
   
1,443,805
             
1,443,805
 
Salaries and related costs per visit, clinics
 
$
63.58
   
$
(0.05
)
 
$
63.53
 
Operating costs per visit, clinics
 
$
89.33
   
$
(0.05
)
 
$
89.28
 
                         
                         

(1) Certain incentive costs related to the Metro acquisition. We believe that presenting this information will allow investors to evaluate the performance of the Company's business more objectively.
(2) Excludes costs related to management contracts.
* Not meaningful
 



U.S. Physical Therapy Press Release   
Page 13
May 7, 2025

U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
SUPPLEMENTAL FINANCIAL AND PERFORMANCE METRICS

Revenue Metrics
   
Number of Clinics(2)
   
Net Rate Per Visit(1)
   
Visits(1)
   
Average Visits Per Day(1)
 
   
2025
   
2024
   
2025
   
2024
   
2025
   
2024
   
2025
   
2024
 
                                                 
First quarter
   
736
     
679
   
$
105.66
   
$
103.37
     
1,443,805
     
1,268,002
     
31.4
     
29.5
 
Second quarter
   
-
     
681
     
-
   
$
105.05
     
-
     
1,335,335
     
-
     
30.6
 
Third quarter
   
-
     
661
     
-
   
$
105.65
     
-
     
1,317,051
     
-
     
30.1
 
Fourth Quarter
   
-
     
729
     
-
   
$
104.73
     
-
     
1,432,801
     
-
     
31.7
 
Year
   
-
     
729
     
-
   
$
104.71
     
1,443,805
     
5,353,189
     
-
     
30.4
 
                                                                 

Clinic Count Roll Forward (2)
 
Three Months Ended
 
March 31, 2025
 
March 31, 2024
Number of clinics owned or managed, beginning of period
729
 
671
Additions (3)
14
 
14
Closed or sold
(7)
 
(6)
Number of clinics owned or managed, end of period
736
 
679
(1)
See definition of the metrics above in the Glossary of Terms – Revenue Metrics section on page 5.
(2)
The Company also manages clinics owned by third parties through management contracts. In addition to the clinic count shown above, as of March 31, 2025, the Company managed 37 clinics bringing the total owned/managed clinics to 773.  As of March 31, 2024, the Company managed 41
clinics bringing the total owned/managed clinics to 720.
(1)
Includes clinics added through acquisitions.