10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 10-Q

(MARK ONE)

☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

FOR THE QUARTERLY PERIOD ENDED September 30, 2017

 OR

☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

FOR THE TRANSITION PERIOD FROM TO _____

COMMISSION FILE NUMBER 1-11151

U.S. PHYSICAL THERAPY, INC.

(EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)

NEVADA	76-0364866
(STATE OR OTHER JURISDICTION OF INCORPORATION OR ORGANIZATION)	(I.R.S. EMPLOYER IDENTIFICATION NO.)

1300 WEST SAM HOUSTON PARKWAY SOUTH, SUITE 300, HOUSTON, TEXAS	77042
(ADDRESS OF PRINCIPAL EXECUTIVE OFFICES)	(ZIP CODE)

REGISTRANT’S TELEPHONE NUMBER, INCLUDING AREA CODE: (713) 297-7000

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    ☒  Yes     ☐  No

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    ☒ Yes     ☐  No

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer”, “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer	☐	Accelerated filer	☒
Non-accelerated filer	☐ (Do not check if a smaller reporting company)	Smaller reporting company	☐
		Emerging growth company	☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided to Section 13(a) of the Exchange Act. ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    ☐  Yes    ☒  No

As of November 7, 2017, the number of shares outstanding (issued less treasury stock) of the registrant’s common stock, par value $.01 per share, was: 12,581,162.

PART I—FINANCIAL INFORMATION - UNAUDITED

Item 1.	Financial Statements.	3
	Consolidated Balance Sheets as of September 30, 2017 and December 31, 2016	3
	Consolidated Statements of Net Income for the three and nine months ended September 30, 2017 and 2016	4
	Consolidated Statements of Cash Flows for the nine months ended September 30, 2017, and 2016	5
	Consolidated Statement of Shareholders’ Equity for the nine months ended September 30, 2017	6
	Notes to Consolidated Financial Statements	7
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	24
Item 3.	Quantitative and Qualitative Disclosure About Market Risk	35
Item 4.	Controls and Procedures	35
PART II—OTHER INFORMATION
Item 1.	Legal Proceedings	37
Item 6.	Exhibits	37
	Signatures	38
	Certifications

2

ITEM 1. FINANCIAL STATEMENTS.

U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

(IN THOUSANDS, EXCEPT SHARE DATA)

	September 30, 2017			December 31, 2016
ASSETS	(unaudited)
Current assets:
Cash and cash equivalents	$	17,418		$	20,047
Patient accounts receivable, less allowance for doubtful accounts of $2,088  and $1,792, respectively		43,561			38,840
Accounts receivable - other		6,992			2,649
Other current assets		5,444			4,428
Total current assets		73,415			65,964
Fixed assets:
Furniture and equipment		51,822			48,426
Leasehold improvements		28,449			26,765
Fixed assets, gross		80,271			75,191
Less accumulated depreciation and amortization		59,517			56,018
Fixed assets, net		20,754			19,173
Goodwill		268,050			226,806
Other identifiable intangible assets, net		47,568			38,060
Other assets		1,200			1,228
Total assets	$	410,987		$	351,231
LIABILITIES, REDEEMABLE NON-CONTROLLING INTERESTS, USPH SHAREHOLDERS’ EQUITY AND NON-CONTROLLING INTERESTS
Current liabilities:
Accounts payable - trade	$	1,754		$	1,634
Accrued expenses		31,492			21,756
Current portion of notes payable		2,745			1,227
Total current liabilities		35,991			24,617
Notes payable, net of current portion		3,952			4,596
Revolving line of credit		56,000			46,000
Mandatorily redeemable non-controlling interests		84,311			69,190
Deferred taxes		16,027			15,736
Deferred rent		1,875			1,575
Other long-term liabilities		815			829
Total liabilities		198,971			162,543
Redeemable non-controlling interests		12,079			-
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, 14,795,899 and 14,732,699 shares issued, respectively		147			147
Additional paid-in capital		72,262			68,687
Retained earnings		157,702			150,342
Treasury stock at cost, 2,214,737 shares		(31,628	)		(31,628	)
Total USPH shareholders’ equity		198,483			187,548
Non-controlling interests		1,454			1,140
Total USPH shareholders' equity and non-controlling interests		199,937			188,688
Total liabilities, redeemable non-controlling interests, USPH shareholders' equity and non-controlling interests	$	410,987		$	351,231

See notes to consolidated financial statements.

3

U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF NET INCOME

(IN THOUSANDS, EXCEPT PER SHARE DATA)

(unaudited)

	Three Months Ended						Nine Months Ended
	September 30, 2017			September 30, 2016			September 30, 2017			September 30, 2016
				(as restated)						(as restated)
Net patient revenues	$	96,273		$	86,411		$	287,584		$	259,893
Other revenues		6,759			1,933			17,264			5,789
Net revenues		103,032			88,344			304,848			265,682
Operating costs:
Salaries and related costs		60,306			49,868			174,912			146,509
Rent, supplies, contract labor and other		20,600			17,885			60,720			52,938
Provision for doubtful accounts		930			917			2,716			2,962
Closure costs		4			9			27			54
Total operating costs		81,840			68,679			238,375			202,463
Gross margin		21,192			19,665			66,473			63,219
Corporate office costs		8,304			7,610			25,707			24,640
Operating income		12,888			12,055			40,766			38,579
Interest and other income, net		11			21			58			62
Interest expense:
Mandatorily redeemable non-controlling interests - change in redemption value		(1,247	)		(1,934	)		(7,839	)		(6,056	)
Mandatorily redeemable non-controlling interests - earnings allocable		(1,285	)		(929	)		(4,366	)		(3,146	)
Debt and other		(641	)		(326	)		(1,572	)		(954	)
Total interest expense		(3,173	)		(3,189	)		(13,777	)		(10,156	)
Income before taxes		9,726			8,887			27,047			28,485
Provision for income taxes		3,132			2,753			8,029			8,727
Net income		6,594			6,134			19,018			19,758
Less: net income attributable to non-controlling interests		(1,444	)		(1,330	)		(4,111	)		(4,454	)
Net income attributable to USPH shareholders	$	5,150		$	4,804		$	14,907		$	15,304
Basic and diluted earnings per share attributable to USPH shareholders	$	0.41		$	0.38		$	1.19		$	1.22
Shares used in computation - basic		12,581			12,520			12,563			12,494
Shares used in computation - diluted		12,581			12,520			12,563			12,494
Dividends declared per common share	$	0.20		$	0.17		$	0.60		$	0.51

See notes to consolidated financial statements.

4

U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

(IN THOUSANDS)

(unaudited)

	Nine Months Ended
	September 30, 2017			September 30, 2016
OPERATING ACTIVITIES				(as restated)
Net income including non-controlling interests	$	19,018		$	19,758
Adjustments to reconcile net income including non-controlling interests to net cash provided by operating activities:
Depreciation and amortization		7,269			6,210
Provision for doubtful accounts		2,716			2,962
Loss on sale of fixed assets		83			31
Equity-based awards compensation expense		3,410			3,748
Deferred income tax		291			3,238
Changes in operating assets and liabilities:
Increase in patient accounts receivable		(1,914	)		(2,548	)
(Increase) decrease in accounts receivable - other		(4,736	)		116
Increase in other assets		(787	)		(4,979	)
Increase in accounts payable and accrued expenses		8,126			3,582
Increase in mandatorily redeemable non-controlling interests		7,069			5,372
Increase in other liabilities		286			1,506
Net cash provided by operating activities		40,831			38,996
INVESTING ACTIVITIES
Purchase of fixed assets		(5,576	)		(5,620	)
Purchase of businesses, net of cash acquired		(33,740	)		(12,958	)
Acquisitions of non-controlling interests		-			(664	)
Proceeds on sale of fixed assets, net		67			42
Net cash used in investing activities		(39,249	)		(19,200	)
FINANCING ACTIVITIES
Distributions to non-controlling interests		(3,698	)		(4,441	)
Cash dividends paid to shareholders		(7,547	)		(6,382	)
Proceeds from revolving line of credit		63,000			128,000
Payments on revolving line of credit		(53,000	)		(136,000	)
Payments to settle mandatorily redeemable non-controlling interests		(2,230	)		(1,136	)
Principal payments on notes payable		(776	)		(592	)
Other		40			1
Net cash used in financing activities		(4,211	)		(20,550	)
Net increase in cash and cash equivalents		(2,629	)		(754	)
Cash and cash equivalents - beginning of period		20,047			15,778
Cash and cash equivalents - end of period	$	17,418		$	15,024
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION
Cash paid during the period for:
Income taxes	$	8,059		$	10,051
Interest	$	1,616		$	770
Non-cash investing and financing transactions during the period:
Purchase of business - seller financing portion	$	1,650		$	500
Acquisition of non-controlling interest - seller financing portion	$	-		$	388
Payment to settle redeemable non-controlling interest - financing portion	$	-		$	126
Sale of non-controlling interests	$	-		$	(148	)

See notes to consolidated financial statements.

5

U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENT OF SHAREHOLDERS’ EQUITY

(IN THOUSANDS)

(unaudited)

	U.S.Physical Therapy, Inc.
	Common Stock				Additional		Retained			Treasury Stock						Total Shareholders’			Non-Controlling
	Shares		Amount		Paid-In Capital		Earnings			Shares			Amount			Equity			Interests			Total
	(In thousands)
Balance December 31, 2016		14,733	$	147	$	68,687	$	150,342			(2,215	)	$	(31,628	)	$	187,548		$	1,140		$	188,688
Issuance of restricted stock		63		-		-		-			-			-			-			-			-
Compensation expense - equity-based awards		-		-		3,410		-			-			-			3,410			-			3,410
Transfer of compensation liability for certain stock issued pursuant to long-term incentive plans		-		-		165		-			-			-			165			-			165
Distribution to non-controlling interest partners		-		-		-		-			-			-			-			(3,682	)		(3,682	)
Contributions from non-controlling interest partners		-		-		-		-			-			-			-			40			40
Dividends declared to USPH shareholders		-		-		-		(7,547	)		-			-			(7,547	)		-			(7,547	)
Net income		-		-		-		14,907			-			-			14,907			3,956			18,863
Balance September 30, 2017		14,796	$	147	$	72,262	$	157,702			(2,215	)	$	(31,628	)	$	198,483		$	1,454		$	199,937

See notes to consolidated financial statements.

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U.S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

September 30, 2017

(unaudited)

1. BASIS OF PRESENTATION AND SIGNIFICANT ACCOUNTING POLICIES

The consolidated financial statements include the accounts of U.S. Physical Therapy, Inc. and its subsidiaries (the “Company”). All significant intercompany transactions and balances have been eliminated. The Company primarily operates through subsidiary clinic partnerships, in which the Company generally owns a 1% general partnership interest in all the Clinic Partnerships. Our limited partnership interests range from 49% to 99% in the Clinic Partnerships.  The managing therapist of each clinic owns, directly or indirectly, the remaining limited partnership interest in the majority of the clinics (hereinafter referred to as “Clinic Partnerships”). To a lesser extent, the Company operates some clinics, through wholly-owned subsidiaries, under profit sharing arrangements with therapists (hereinafter referred to as “Wholly-Owned Facilities”).

The Company continues to seek to attract for employment physical therapists who have established relationships with physicians and other referral sources by offering these therapists a competitive salary and incentives based on the profitability of the clinic that they manage. The Company also looks for therapists with whom to establish new, de novo clinics to be owned jointly by the Company and such therapists; in these situations, the therapist is offered the opportunity to co-invest in the new clinic and also receives a competitive salary for managing the clinic. For multi-site clinic practices in which a controlling interest is acquired by the Company, the prior owners typically continue on as employees to manage the clinic operations, retaining a non-controlling ownership interest in the clinics and receiving a competitive salary for managing the clinic operations. In addition, we have developed satellite clinic facilities as part of existing Clinic Partnerships and Wholly-Owned facilities, with the result that a substantial number of Clinic Partnerships and Wholly-Owned facilities operate more than one clinic location. In 2017, we intend to continue to acquire clinic practices and continue to focus on developing new clinics and on opening satellite clinics where appropriate along with increasing our patient volume through marketing and new programs.

During the first nine months of 2017 and the year ended 2016, the Company acquired an interest in the following clinic groups:

	Date	% Interest Acquired			Number of Clinics
	2017
June 2017 Acquisition	June 30		60	%		9
May 2017 Acquisition	May 31		70	%		4
January 2017 Acquisition	January 1		70	%		17
	2016
February 2016 Acquisition	February 29		55	%		8
November 2016 Acquisition	November 30		60	%		12

In addition to the above clinic groups, in March 2017, the Company acquired a 55% interest in a company which is a leading provider of workforce performance solutions. Services provided include onsite injury prevention and rehabilitation, performance optimization and ergonomic assessments. The majority of these services are contracted with and paid for directly by employers including a number of Fortune 500 companies. Other clients include large insurers and their contractors. Also, during the first nine months of 2017, the Company purchased the assets and business of two physical therapy clinics in separate transactions. One clinic was consolidated with an existing clinic and the other operates as a satellite clinic of one of the existing partnerships.

As of September 30, 2017, the Company operated 569 clinics in 41 states.  The Company also manages physical therapy facilities for third parties, primarily physicians, with 30 third-party facilities under management as of September 30, 2017.

The results of operations of the acquired clinics have been included in the Company’s consolidated financial statements since the date of their respective acquisition.  The Company intends to continue to pursue additional acquisition opportunities, develop new clinics and open satellite clinics.

7

The accompanying unaudited consolidated financial statements were prepared in accordance with accounting principles generally accepted in the United States of America for interim financial information and in accordance with the instructions for Form 10-Q. However, the statements do not include all of the information and footnotes required by accounting principles generally accepted in the United States of America for complete financial statements. Management believes this report contains all necessary adjustments (consisting only of normal recurring adjustments) to present fairly, in all material respects, the Company’s financial position, results of operations and cash flows for the interim periods presented. For further information regarding the Company’s accounting policies, please read the audited financial statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2016.

The Company believes, and the Chief Executive Officer, Chief Financial Officer and Corporate Controller have certified, that the financial statements included in this report present fairly, in all material respects, the Company’s financial position, results of operations and cash flows for the interim periods presented.

Operating results for the nine months ended September 30, 2017 are not necessarily indicative of the results the Company expects for the entire year.  Please also review the Risk Factors section included in our Annual Report on Form 10-K for the year ended December 31, 2016.

Clinic Partnerships

For non-acquired Clinic Partnerships, the earnings and liabilities attributable to the non-controlling interests, typically owned by the managing therapist, directly or indirectly, are recorded within the balance sheets and income statements as non-controlling interests.  For acquired Clinic Partnerships with mandatorily redeemable non-controlling interests, the earnings and liabilities attributable to the non-controlling interest are recorded within the statements of net income line items: Interest expense – mandatorily redeemable non-controlling interests – earnings allocable and in the balance sheet line item: Mandatorily redeemable non-controlling interests.  For acquired Clinic Partnerships with redeemable non-controlling interests, the earnings attributable to the redeemable non-controlling interests are recorded within the statements of net income line item – net income attributable to non-controlling interests and the equity interests are recorded on the balance sheet as redeemable non-controlling interests.

Wholly-Owned Facilities

For Wholly-Owned Facilities with profit sharing arrangements, an appropriate accrual is recorded for the amount of profit sharing due to the profit sharing therapists. The amount is expensed as compensation and included in operating costs – salaries and related costs. The respective liability is included in current liabilities – accrued expenses on the balance sheets.

Restatement of Prior Financial Statements

As disclosed in our Form 8-K filed March 16, 2017, and further described in our Annual Report on Form 10-K for the year ended December 31, 2016 filed on June 7, 2017, prior to issuing the 2016 annual financial statements, the Company determined it had previously incorrectly accounted for the non-controlling interests in the Company’s subsidiary clinic partnerships that were mandatorily redeemable. Management and the Company’s board of directors concluded this error was material to previously issued annual and quarterly consolidated financial statements.  Additional information regarding the restatement is available in the Company’s Annual Report on Form 10-K for the year ended December 31, 2016. Financial information in this Form 10-Q related to all periods prior to the quarter ended December 31, 2016 has been amended where necessary to reflect the restatement. Therefore, this Form 10-Q should be read in conjunction with the Company’s Annual Report on Form 10-K for the year ended December 31, 2016.

Significant Accounting Policies

Cash Equivalents

The Company maintains its cash and cash equivalents at financial institutions.  The combined account balances at several institutions typically exceed Federal Deposit Insurance Corporation (“FDIC”) insurance coverage and, as a result, there is a concentration of credit risk related on deposits in excess of FDIC insurance coverage. Management believes that the risk is not significant.

8

Long-Lived Assets

Fixed assets are stated at cost. Depreciation is computed on the straight-line method over the estimated useful lives of the assets. Estimated useful lives for furniture and equipment range from three to eight years and for software purchased from three to seven years. Leasehold improvements are amortized over the shorter of the lease term or estimated useful lives of the assets, which is generally three to five years.

Impairment of Long-Lived Assets and Long-Lived Assets to Be Disposed Of

The Company reviews property and equipment and intangible assets with finite lives for impairment upon the occurrence of certain events or circumstances which indicate that the amounts may be impaired. Assets to be disposed of are reported at the lower of the carrying amount or fair value less costs to sell.

Goodwill

Goodwill represents the excess of the amount paid and fair value of the non-controlling interests over the fair value of the acquired business assets, which include certain identifiable intangible assets. Historically, goodwill has been derived from acquisitions and, prior to 2009, from the purchase of some or all of a particular local management’s equity interest in an existing clinic. Effective January 1, 2009, if the purchase price of a non-controlling interest related to non-acquired Clinic Partnerships by the Company exceeds or is less than the book value at the time of purchase, any excess or shortfall is recognized as an adjustment to additional paid-in capital.

The carrying value of goodwill and other identifiable intangible assets with indefinite lives are tested for impairment annually and upon the occurrence of certain events, and are written down to fair value if considered impaired. The Company evaluates goodwill for impairment on at least an annual basis (in its third quarter) by comparing the fair value of its reporting units to the carrying value of each reporting unit including related goodwill. The Company’s business is primarily made up of various clinics within partnerships. The partnerships are components of regions and are aggregated to the operating segment level for the purpose of determining the Company’s reporting units when performing its annual goodwill impairment test. In the third quarter of 2017, there were six regions.

An impairment loss generally would be recognized when the carrying amount of the net assets of a reporting unit, inclusive of goodwill and other identifiable intangible assets, exceeds the estimated fair value of the reporting unit. The estimated fair value of a reporting unit is determined using two factors: (i) earnings prior to taxes, depreciation and amortization for the reporting unit multiplied by a price/earnings ratio used in the industry and (ii) a discounted cash flow analysis. A weight is assigned to each factor and the sum of each weight times the factor is considered the estimated fair value. For 2017, the factors (i.e., price/earnings ratio, discount rate and residual capitalization rate) were updated to reflect current market conditions. The evaluation of goodwill in 2017 did not result in any goodwill amounts that were deemed impaired.

The Company has not identified any triggering events occurring after the testing date that would impact the impairment testing results obtained. Factors which could result in future impairment charges include but are not limited to:

· cost, risks and uncertainties associated with the Company’s recent restatement of its prior financial statements due to the correction of its accounting methodology for redeemable noncontrolling partnership interests, and including any pending and future claims or proceedings relating to such matters;

· changes as the result of government enacted national healthcare reform;

· changes in Medicare rules and guidelines and reimbursement or failure of our clinics to maintain their Medicare certification or enrollment status;

· revenue we receive from Medicare and Medicaid being subject to potential retroactive reduction;

· business and regulatory conditions including federal and state regulation;

· governmental and other third party payor inspections, reviews, investigations and audits;

· 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;

· legal actions, which could subject us to increased operating costs and uninsured liabilities;

· changes in reimbursement rates or payment methods from third party payors including government agencies and deductibles and co-pays owed by patients;

· revenue and earnings expectations;

9

· general economic conditions;

· availability and cost of qualified physical and occupational therapists;

· personnel productivity and retaining key personnel;

· competitive, economic or reimbursement conditions in our markets which may require us to reorganize or close certain operations and thereby incur losses and/or closure costs including the possible write-down or write-off of goodwill and other intangible assets;

· acquisitions, purchases of non-controlling interests (minority interests) and the successful integration of the operations of the acquired business;

· maintaining necessary insurance coverage;

· availability, terms, and use of capital; and

· weather and other seasonal factors.

Mandatorily Redeemable Non-Controlling Interests

The non-controlling interests that are reflected as mandatorily redeemable non-controlling interests in the consolidated financial statements consist of those owners who have certain redemption rights, whether currently exercisable or not, and which currently, or in the future, require that the Company purchase the non-controlling interest of those owners at a predetermined formula based on a multiple of trailing twelve months earnings performance as defined in the respective limited partnership agreements.  The redemption rights are triggered at such time as both of the following events have occurred: 1) termination of the owner’s employment, regardless of the reason for such termination, and 2) the passage of specified number of years after the closing of the transaction, typically three to five years, as defined in the limited partnership agreement.

On the date the Company acquires a controlling interest in a partnership and the limited partnership agreement contains mandatory redemption rights, the fair value of the non-controlling interest is recorded in the long-term liabilities section of the consolidated balance sheet under the caption – Mandatorily redeemable non-controlling interests.  Then, in each reporting period thereafter until it is purchased by the Company, the redeemable non-controlling interest is adjusted to its then current redemption value, based on the predetermined formula defined in the respective limited partnership agreement.  The Company reflects any adjustment in the redemption value and any earnings attributable to the mandatorily redeemable non-controlling interest in its consolidated statements of net income by recording the adjustments and earnings to other income and expense in the captions - Interest expense – mandatorily redeemable non-controlling interests – change in redemption value and Interest expense – mandatorily redeemable non-controlling interests – earnings allocable.

Redeemable Non-Controlling Interests

The non-controlling interests that are reflected as redeemable non-controlling interests in the consolidated financial statements consist of those owners who have certain redemption rights, whether currently exercisable or not, and which currently, or in the future, require that the Company purchase the non-controlling interest of those owners, if certain conditions are met and the owners request the purchase.  The purchase price is derived at a predetermined formula based on a multiple of trailing twelve months earnings performance as defined in the respective limited partnership agreements.  The redemption rights can be triggered by the owner at such time as both of the following events have occurred: 1) termination of the owner’s employment, regardless of the reason for such termination, and 2) the passage of specified number of years after the closing of the transaction, typically three to five years, as defined in the limited partnership agreement.  The redemption rights are not automatic (even upon death) and require either the owner or the Company to exercise its rights when the conditions triggering the redemption rights have been satisfied.

On the date the Company acquires a controlling interest in a partnership and the limited partnership agreement contains redemption rights not under the control of the Company, the fair value of the non-controlling interest is recorded in the consolidated balance sheet under the caption – Redeemable non-controlling interests.  Then, in each reporting period thereafter until it is purchased by the Company, the redeemable non-controlling interest is adjusted to the greater of its then current redemption value or initial value, based on the predetermined formula defined in the respective limited partnership agreement.  As a result, the value of the non-controlling interest is not adjusted below its initial value.  The Company records any adjustment in the redemption value, net of tax, directly to retained earnings and are not reflected in the statements of net income.  Although the adjustments are not reflected in the statements of net income, current accounting rules require that the Company reflects the adjustments, net of tax, in the earnings per share calculation.  The amount of net income attributable to redeemable non-controlling interest owners is included in consolidated net income on the face of the income statement.

10

Non-Controlling Interests

The Company recognizes non-controlling interests as equity in the consolidated financial statements separate from the parent entity’s equity. Changes in a parent entity’s ownership interest in a subsidiary that do not result in deconsolidation are treated as equity transactions if the parent entity retains its controlling financial interest. The Company recognizes a gain or loss in net income when a subsidiary is deconsolidated. Such gain or loss is measured using the fair value of the non-controlling interest on the deconsolidation date.

When the purchase price of a non-controlling interest by the Company exceeds or is less than the book value at the time of purchase, any excess or shortfall, as applicable, is recognized as an adjustment to additional paid-in capital. Additionally, operating losses are allocated to non-controlling interests even when such allocation creates a deficit balance for the non-controlling interest partner.

Revenue Recognition

Revenues are recognized in the period in which services are rendered. Net patient revenues (patient revenues less estimated contractual adjustments) are reported at the estimated net realizable amounts from third-party payors, patients and others for services rendered. The Company has agreements with third-party payors that provide for payments to the Company at amounts different from its established rates. The allowance for estimated contractual adjustments is based on terms of payor contracts and historical collection and write-off experience.

The Company determines allowances for doubtful accounts based on the specific agings and payor classifications at each clinic. The provision for doubtful accounts is included in operating costs in the statement of net income. Net accounts receivable, which are stated at the historical carrying amount net of contractual allowances, write-offs and allowance for doubtful accounts, includes only those amounts the Company estimates to be collectible.

Medicare Reimbursement

The Medicare program reimburses outpatient rehabilitation providers based on the Medicare Physician Fee Schedule (‘‘MPFS’’). The MPFS rates have historically been subject to an automatic annual update based on a formula, called the sustainable growth rate (‘‘SGR’’) formula. The use of the SGR formula would have resulted in calculated automatic reductions in rates in every year since 2002; however, for each year through September 30, 2015, Centers for Medicare & Medicaid Services (‘‘CMS’’) or Congress has taken action to prevent the implementation of SGR formula reductions. On April 16, 2015, the Medicare Access and CHIP Reauthorization Act of 2015 (‘‘MACRA’’) was signed into law, eliminating the SGR formula and the associated annual automatic rate reductions.  The MACRA promotes the development of new payment models that focus on quality and outcomes.  As a result of MACRA and CMS’ adjustment to the applicable conversion factor, the net fee schedule payment rates were increased for 2017 by 0.24%.  For 2018 and 2019, a 0.5% increase will be applied each year to the fee schedule payment rates, unless further adjusted by CMS. On November 2, 2017, CMS published the final rule updating the MPFS rates for 2018. CMS has estimated that the overall impact of the revised fee schedule on providers of physical and occupational therapy will be approximately a reduction of 2.0%. However, the actual impact on the Company will depend on the composition of the CPT codes billed by the Company, which the Company is in the process of evaluating.

The Budget Control Act of 2011 increased the federal debt ceiling in connection with deficit reductions over the next ten years, and requires automatic reductions in federal spending by approximately $1.2 trillion. Payments to Medicare providers are subject to these automatic spending reductions, subject to a 2% cap. On April 1, 2013, a 2% reduction to Medicare payments was implemented. The Bipartisan Budget Act of 2015, enacted on November 2, 2015, extends the 2% reductions to Medicare payments through fiscal year 2025.

As a result of the Balanced Budget Act of 1997, the formula for determining the total amount paid by Medicare in any one year for outpatient physical therapy, occupational therapy, and/or speech/language pathology services provided to any Medicare beneficiary (i.e., the ‘‘Therapy Cap’’ or ‘‘Limit’’) was established. Based on the statutory definitions which constrained how the Therapy Cap would be applied, there is one Limit for Physical Therapy and Speech Language Pathology Services combined, and one Limit for Occupational Therapy. For 2017, the annual Limit on outpatient therapy services is $1,980 for Physical and Speech Language Pathology Services combined and $1,980 for Occupational Therapy Services. Historically, these Therapy Caps applied to outpatient therapy services provided in all settings, except for services provided in departments of hospitals. However, the Protecting Access to Medicare Act of 2014, and prior legislation, extended the Therapy Caps to services furnished in hospital outpatient department settings. The application of these annual limits to hospital outpatient department settings will sunset on December 31, 2017 unless Congress extends it.

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In the Deficit Reduction Act of 2005, Congress implemented an exceptions process to the annual Limit for therapy expenses for therapy services above the annual Limit. Therapy services above the annual Limit that are medically necessary satisfy an exception to the annual Limit and such claims are payable by the Medicare program. The MACRA extended the exceptions process for outpatient therapy caps through December 31, 2017. Unless Congress extends the exceptions process further, the exceptions no longer will be available in those outpatient therapy setting where the annual Limits are applicable. For any claim above the annual Limit, the claim must contain a modifier indicating that the services are medically necessary and justified by appropriate documentation in the medical record.

Furthermore, under the Middle Class Tax Relief and Job Creation Act of 2012 (‘‘MCTRA’’), since October 1, 2012, patients who met or exceeded $3,700 in therapy expenditures during a calendar year have been subject to a manual medical review to determine whether applicable payment criteria are satisfied. The $3,700 threshold is applied to Physical Therapy and Speech Language Pathology Services; a separate $3,700 threshold is applied to the Occupational Therapy. The MACRA directed CMS to modify the manual medical review process such that those reviews will no longer apply to all claims exceeding the $3,700 threshold and instead will be determined on a targeted basis based on a variety of factors that CMS considers appropriate.

CMS adopted a multiple procedure payment reduction (‘‘MPPR’’) for therapy services in the final update to the MPFS for calendar year 2011. The MPPR applied to all outpatient therapy services paid under Medicare Part B — occupational therapy, physical therapy and speech-language pathology. Under the policy, the Medicare program pays 100% of the practice expense component of the Relative Value Unit (‘‘RVU’’) for the therapy procedure with the highest practice expense RVU, then reduces the payment for the practice expense component for the second and subsequent therapy procedures or units of service furnished during the same day for the same patient, regardless of whether those therapy services are furnished in separate sessions. Since 2013, the practice expense component for the second and subsequent therapy service furnished during the same day for the same patient was reduced by 50%. In addition, the MCTRA directed CMS to implement a claims-based data collection program to gather additional data on patient function during the course of therapy in order to better understand patient conditions and outcomes. All practice settings that provide outpatient therapy services are required to include this data on the claim form. Since 2013, therapists have been required to report new codes and modifiers on the claim form that reflect a patient’s functional limitations and goals at initial evaluation, periodically throughout care, and at discharge, CMS has rejected claims if the required data is not included in the claim.

The Physician Quality Reporting System, or ‘‘PQRS,’’ is a CMS reporting program that uses a combination of incentive payments and payment reductions to promote reporting of quality information by ‘‘eligible professionals.’’ Although physical therapists, occupational therapists and qualified speech-language therapists were generally able to participate in the PQRS program, therapy professionals for whose services we bill through our certified rehabilitation agencies cannot participate because the Medicare claims processing systems currently cannot accommodate institutional providers such as certified rehabilitation agencies. Eligible professionals, such as those of our therapy professionals for whose services we bill using their individual Medicare provider numbers, who do not satisfactorily report data on quality measures are subject to a 2% reduction in their Medicare payment in 2017. As required under the MACRA, the PQRS program has been replaced with the Merit-Based Incentive Payment System (MIPS) on January 1, 2017. Physical therapists and occupational therapists are not required to participate in the MIPS program until January 1, 2019 or later, as determined by CMS.

Statutes, regulations, and payment rules governing the delivery of therapy services to Medicare beneficiaries are complex and subject to interpretation. The Company believes that it is in compliance in all material respects with all applicable laws and regulations and is not aware of any pending or threatened investigations involving allegations of potential wrongdoing that would have a material effect on the Company’s financial statements as of September 30, 2017. Compliance with such laws and regulations can be subject to future government review and interpretation, as well as significant regulatory action including fines, penalties, and exclusion from the Medicare program. For the nine months ended September 30, 2017, net revenue from Medicare accounts for approximately $68.5 million.

Management Contract Revenues

Management contract revenues are derived from contractual arrangements whereby the Company manages a clinic for third party owners. The Company does not have any ownership interest in these clinics. Typically, revenues are determined based on the number of visits conducted at the clinic and recognized when services are performed. Costs, typically salaries for the Company’s employees, are recorded when incurred. Management contract revenues are included in “other revenues” in the accompanying Consolidated Statements of Net Income.

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Contractual Allowances

Contractual allowances result from the differences between the rates charged for services performed and expected reimbursements by both insurance companies and government sponsored healthcare programs for such services. Medicare regulations and the various third party payors and managed care contracts are often complex and may include multiple reimbursement mechanisms payable for the services provided in Company clinics. The Company estimates contractual allowances based on its interpretation of the applicable regulations, payor contracts and historical calculations. Each month the Company estimates its contractual allowance for each clinic based on payor contracts and the historical collection experience of the clinic and applies an appropriate contractual allowance reserve percentage to the gross accounts receivable balances for each payor of the clinic. Based on the Company’s historical experience, calculating the contractual allowance reserve percentage at the payor level is sufficient to allow the Company to provide the necessary detail and accuracy with its collectability estimates. However, the services authorized and provided and related reimbursement are subject to interpretation that could result in payments that differ from the Company’s estimates. Payor terms are periodically revised necessitating continual review and assessment of the estimates made by management. The Company’s billing system does not capture the exact change in its contractual allowance reserve estimate from period to period in order to assess the accuracy of its revenues and hence its contractual allowance reserves. Management regularly compares its cash collections to corresponding net revenues measured both in the aggregate and on a clinic-by-clinic basis. In the aggregate, the historical difference between net revenues and corresponding cash collections has generally reflected a difference within approximately 1% of net revenues. Additionally, analysis of subsequent period’s contractual write-offs on a payor basis reflects a difference within approximately 1% between the actual aggregate contractual reserve percentage as compared to the estimated contractual allowance reserve percentage associated with the same period end balance. As a result, the Company believes that a change in the contractual allowance reserve estimate would not likely be more than 1% at September 30, 2017.

Income Taxes

Income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax basis and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date.

The Company recognizes the financial statement benefit of a tax position only after determining that the relevant tax authority would more likely than not sustain the position following an audit. For tax positions meeting the more-likely-than-not threshold, the amount to be recognized in the financial statements is the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement with the relevant tax authority.

The Company did not have any accrued interest or penalties associated with any unrecognized tax benefits nor was any interest expense recognized during the nine months ended September 30, 2017. The Company will book any interest or penalties, if required, in interest and/or other income/expense as appropriate.

Fair Value of Financial Instruments

The carrying amounts reported in the balance sheets for cash and cash equivalents, accounts receivable, accounts payable and notes payable approximate their fair values due to the short-term maturity of these financial instruments. The carrying amount under the Amended Credit Agreement approximates its fair value. The interest rate on the Amended Credit Agreement, which is tied to the Eurodollar Rate, is set at various short-term intervals, as detailed in the Amended Credit Agreement.

Segment Reporting

Operating segments are components of an enterprise for which separate financial information is available that is evaluated regularly by chief operating decision makers in deciding how to allocate resources and in assessing performance.  The Company identifies operating segments based on management responsibility and believes it meets the criteria for aggregating its operating segments into a single reporting segment.

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Use of Estimates

In preparing the Company’s consolidated financial statements, management makes certain estimates and assumptions, especially in relation to, but not limited to, purchase accounting, goodwill impairment, allowance for receivables, tax provision and contractual allowances, that affect the amounts reported in the consolidated financial statements and related disclosures. Actual results may differ from these estimates.

Self-Insurance Program

The Company utilizes a self-insurance plan for its employee group health insurance coverage administered by a third party. Predetermined loss limits have been arranged with the insurance company to minimize the Company’s maximum liability and cash outlay. Accrued expenses include the estimated incurred but unreported costs to settle unpaid claims and estimated future claims. Management believes that the current accrued amounts are sufficient to pay claims arising from self-insurance claims incurred through September 30, 2017.

Restricted Stock

Restricted stock issued to employees and directors is subject to continued employment or continued service on the board, respectively. Generally, restrictions on the stock granted to employees, other than officers, lapse in equal annual installments on the following four anniversaries of the date of grant. For those shares granted to directors, the restrictions will lapse in equal quarterly installments during the first year after the date of grant. For those granted to officers, the restriction will lapse in equal quarterly installments during the four years following the date of grant. Compensation expense for grants of restricted stock is recognized based on the fair value per share on the date of grant amortized over the vesting period. The restricted stock issued is included in basic and diluted shares for the earnings per share computation.

Recently Adopted Accounting Guidance

In March 2016, the FASB issued guidance to simplify some provisions in stock compensation accounting.  The guidance amends how excess tax benefits and a company’s payments to cover tax bills for the recipients’ shares should be classified.  Prior to this guidance, excess tax benefits were recorded in additional paid-in capital, but will now become a component of the income tax provision/benefit in the period in which they occur.  This guidance allows companies to estimate the number of stock awards expected to vest and revises the withholding requirements for classifying stock awards as equity.  For public business entities, this guidance is effective for fiscal years starting after December 15, 2016, including interim periods within those fiscal years but early adoption is allowed.  The Company adopted this accounting treatment in the fourth quarter of 2016 and retrospectively adjusted each quarter period in 2016.  The adoption increased earnings, by decreasing the tax provision, by $0.2 million for the three months ended September 30, 2017 and 2016 and by $1.1 million in the first nine months of 2017 and $0.8 million in the first nine months of 2016.  The election to record forfeitures in the period they occur is consistent with the Company’s past approach, due to the immateriality of past forfeitures, and the Company believes the effect to be immaterial on the consolidated financial statements.

Recently Issued Accounting Guidance

In January 2017, the FASB issued ASU 2017-04, Simplifying the Test for Goodwill Impairment (Topic 350), which eliminates the requirement to calculate the implied fair value of goodwill to measure a goodwill impairment change. ASU 2017-04 is effective prospectively for fiscal years, and the interim periods within those years, beginning after December 15, 2019. The Company is currently evaluating the impact of adopting this ASU on our consolidated financial statements and do not expect adoption to have a material impact.

In February 2016, the FASB issued amended accounting guidance (ASU 2016-02 - Leases) which replaced most existing lease accounting guidance under U. S. generally accepted accounting principles. Among other changes, the amended guidance requires that a right-to-use asset, which is an asset that represents the lessee’s right to use, and a lease liability, which is a lessee’s obligation to make lease payments arising for a lease measured on a discounted basis, be recognized on the balance sheet by lessees for those leases with a term of greater than 12 months. The amended guidance is effective for reporting periods beginning after December 15, 2018; however, early adoption is permitted. Entities are required to use a modified retrospective approach for leases that exist or are entered into after the beginning of the earliest comparative period in the financial statements.

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Since the Company leases all but one of its clinic facilities, upon adoption, the Company will recognize significant assets and liabilities on the consolidated balance sheets as a result of the operating lease obligations of the Company. Operating lease expense will still be recognized as rent expense on a straight-line basis over the respective lease terms in the consolidated statements of operations.

The Company will implement the new standard beginning January 1, 2019. The Company’s implementation efforts are focused on populating the data in a lease accounting software package and developing internal controls in order to account for its leases under the new standard.

In May 2014, March 2016, April 2016, and December 2016, the FASB issued ASU 2014-09, Revenue from Contracts with Customers, ASU 2016-08, Revenue from Contracts with Customers, Principal versus Agent Considerations, ASU 2016-10, Revenue from Contracts with Customers, Identifying Performance Obligations and Licensing, ASU 2016-12, Revenue from Contracts with Customers, Narrow Scope Improvements and Practical Expedients, and ASU 2016-20, Technical Corrections and Improvements to Topic 606, Revenue from Contracts with Customer (collectively “the standards”), respectively, which supersede most of the current revenue recognition requirements. The core principle of the new guidance is that an entity should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. New disclosures about the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers are also required. The original standards were effective for fiscal years beginning after December 15, 2016; however, in July 2015, the FASB approved a one-year deferral of these standards, with a new effective date for fiscal years beginning after December 15, 2017. The standards require the selection of a retrospective or cumulative effect transition method.

The Company will implement the new standard beginning January 1, 2018 using a modified retrospective transition method.  Adoption of the new standard will not result in material changes to the presentation of net operating revenues and bad debt expense in the consolidated statements of operations and the presentation of the amount of income from operations and net income will be unchanged upon adoption of the new standards. The principal change relates to how the new standard requires healthcare providers to estimate the amount of variable consideration to be included in the transaction price up to an amount which is probable that a significant reversal will not occur. The most common form of variable consideration the Company experiences are amounts for services provided that are ultimately not realizable from a customer. Under the current standards, the Company’s estimate for unrealizable amounts is recorded as a reduction of revenue. Under the new standards, the Company’s estimate for unrealizable amounts will continue to be recognized as a reduction to revenue and to be reflected as an allowance. The bad debt expense historically reported will not materially change. The Company does not anticipate a material adjustment upon adoption of these standards.

Subsequent Event

The Company has evaluated events occurring after the balance sheet date for possible disclosure as a subsequent event through the date that these consolidated financial statements were issued. No disclosure was required.

2. ACQUISITIONS OF BUSINESSES

On January 1, 2017, the Company acquired a 70% interest in a seventeen-clinic physical therapy practice.  The purchase price for the 70% interest was $10.7 million in cash and $0.5 million in a seller note that is payable in two principal installments totaling $250,000 each, plus accrued interest, in January 2018 and 2019.

On March 23, 2017, (effective March 1, 2017 for accounting purposes) the Company acquired a 55% interest in a company which is a leading provider of workforce performance solutions. Services provided include onsite injury prevention and rehabilitation, performance optimization and ergonomic assessments. The majority of these services are contracted with and paid for directly by employers including a number of Fortune 500 companies. Other clients include large insurers and their contractors. The purchase price for the 55% interest was $6.2 million in cash and $0.4 million in a seller note that is payable, principal plus accrued interest, in September 2018.

On May 31, 2017 the Company acquired a 70% interest in a four-clinic physical therapy practice. The purchase price for the 70% interest was $2.3 million in cash and $250,000 in a seller note that is payable in two principal installments totaling $125,000 each, plus accrued interest, in May 2018 and 2019.

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On June 30, 2017, the Company acquired a 60% interest in a nine-clinic physical therapy practice.  The purchase price for the 60% interest was $15.8 million in cash and $0.5 million in a seller note that is payable in two principal installments totaling $250,000 each, plus accrued interest, in June 2018 and 2019.

Also, during the first nine months of 2017, the Company purchased the assets and business of two physical therapy clinics, in separate transactions, for an aggregate purchase price of $175,000.  One clinic was consolidated with an existing clinic and the other operates as a satellite clinic of one of the existing partnerships.

The purchase price for the 2017 acquisitions has been preliminarily allocated as follows (in thousands):

Cash paid, net of cash acquired	$	33,740
Seller notes		1,650
Total consideration	$	35,390
Estimated fair value of net tangible assets acquired:
Total current assets	$	5,681
Total non-current assets		1,790
Total liabilities		(1,844	)
Net tangible assets acquired	$	5,627
Referral relationships		4,693
Non-compete		1,790
Tradename		5,118
Goodwill		40,384
Fair value of non-controlling interest (classified as redeemable non-controlling interests)		(11,940	)
Fair value of non-controlling interest (classified as mandatorily redeemable non-controlling interests)		(10,282	)
	$	35,390

On November 30, 2016, the Company acquired a 60% interest in a 12 clinic physical therapy practice. The purchase price for the 60% interest was $11.0 million in cash and $0.5 million in a seller note that is payable in two principal installments of $250,000 each, plus accrued interest, in November 2017 and 2018. On February 29, 2016, the Company acquired a 55% interest in an eight-clinic physical therapy practice. The purchase price for the 55% interest was $13.2 million in cash and $0.5 million in a seller note that is payable in two principal installments of $250,000 each, plus accrued interest, one of which was paid in February 2017 and one of which is due in February 2018. During 2016, two subsidiaries of the Company each acquired a single clinic therapy practice for an aggregate purchase price of $75,000.

The purchase prices for the 2016 acquisitions have been preliminarily allocated as follows (in thousands):

Cash paid, net of cash acquired	$	23,623
Seller notes		1,000
Total consideration	$	24,623
Estimated fair value of net tangible assets acquired:
Total current assets	$	1,764
Total non-current assets		839
Total liabilities		(947	)
Net tangible assets acquired	$	1,656
Referral relationships		4,919
Non-compete		847
Tradename		3,802
Goodwill		32,278
Fair value of non-controlling interest (classified as mandatorily redeemable non-controlling interests)		(18,879	)
	$	24,623

For the acquisition that occurred in the first quarter of 2016, the purchase price plus the fair value of the non-controlling interests was allocated to the fair value of certain assets acquired (patient accounts receivable, equipment, prepaid expenses and deposits, tradename, non-compete agreements and referral relationships) and liabilities assumed (accounts payable and accrued employee salary and benefits) based on the fair values at the acquisition date, with the amount exceeding the fair values being recorded as goodwill. For acquisitions that occurred after September 30, 2016, the purchase price plus the fair value of the non-controlling interests was allocated to the fair value of certain assets acquired (patient accounts receivable, equipment, prepaid expenses and deposits, tradename, non-compete agreements and referral relationships) and liabilities assumed (accounts payable and accrued employee salary and benefits) based on the preliminary estimates of the fair values at the acquisition date, with the amount exceeding the estimated fair values being recorded as goodwill. The Company is in the process of completing its formal valuation analysis. Thus, the final allocation of the purchase price will differ from the preliminary estimates used based on additional information obtained. Changes in the estimated valuation of the tangible and intangible assets acquired and the completion by the Company of the identification of any unrecorded pre-acquisition contingencies, where the liability is probable and the amount can be reasonably estimated, will likely result in adjustments to goodwill.

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For the above acquisitions, total current assets primarily represent patient accounts receivable.  Total non-current assets are fixed assets, primarily equipment, used in the practices.  The estimated values assigned to the referral relationships and non-compete agreements are being amortized to expense equally over the respective estimated lives.  For referral relationships, the range of the estimated lives was 12 to 13 years, and for non-compete agreements the estimated lives was six years. The values assigned to tradenames and goodwill is tested annually for impairment.

The consideration for each transaction was agreed upon through arm’s length negotiations. Funding for the cash portion of the purchase price for the 2017 and 2016 acquisitions was derived from proceeds under the Amended Credit Agreement.

The results of operations of these acquisitions have been included in the Company’s consolidated financial statements since acquired.  Unaudited proforma consolidated financial information for acquisitions occurring in 2017 and 2016 have not been included as the results were not material to current operations.

3. MANDATORILY REDEEMABLE NON-CONTROLLING INTERESTS

Prior to the second quarter of 2017, when the Company acquired a majority interest (the “Acquisition”) in a physical therapy clinic business (referred to as “Therapy Practice”), these Acquisitions occurred in a series of steps which are described below.

1. Prior to the Acquisition, the Therapy Practice exists as a separate legal entity (the “Seller Entity”). The Seller Entity is owned by one or more individuals (the “Selling Shareholders”) most of whom are physical therapists that work in the Therapy Practice and provide physical therapy services to patients.

2. In conjunction with the Acquisition, the Seller Entity contributes the Therapy Practice into a newly-formed limited partnership (“NewCo”), in exchange for one hundred percent (100%) of the limited and general partnership interests in NewCo. Therefore, in this step, NewCo becomes a wholly-owned subsidiary of the Seller Entity.

3. The Company enters into an agreement (the “Purchase Agreement”) to acquire from the Seller Entity a majority (ranges from 50% to 90%) of the limited partnership interest and, in all cases, 100% of the general partnership interest in NewCo. The Company does not purchase 100% of the limited partnership interest because the Selling Shareholders, through the Seller Entity, want to maintain an ownership percentage. The consideration for the Acquisition is primarily payable in the form of cash at closing and a small two-year note in lieu of an escrow (the “Purchase Price”). The Purchase Agreement does not contain any future earn-out or other contingent consideration that is payable to the Seller Entity or the Selling Shareholders.

4. The Company and the Seller Entity also execute a partnership agreement (the “Partnership Agreement”) for NewCo that sets forth the rights and obligations of the limited and general partners of NewCo. After the Acquisition, the Company is the general partner of NewCo.

5. As noted above, the Company does not purchase 100% of the limited partnership interests in NewCo and the Seller Entity retains a portion of the limited partnership interest in NewCo (“Seller Entity Interest”).

6. In most cases, some or all of the Selling Shareholders enter into an employment agreement (the  “Employment Agreement”) with NewCo with an initial term that ranges from three to five years (the “Employment Term”), with automatic one-year renewals, unless employment is terminated prior to the end of the Employment Term. As a result, a Selling Shareholder becomes an employee (“Employed Selling Shareholder”) of NewCo. The employment of an Employed Selling Shareholder can be terminated by the Employed Selling Shareholder or NewCo, with or without cause, at any time. In a few situations, a Selling Shareholder does not become employed by NewCo and is not involved with NewCo following the closing; in those situations, such Selling Shareholders sell their entire ownership interest in the Seller Entity as of the closing of the Acquisition.

7. The compensation of each Employed Selling Shareholder is specified in the Employment Agreement and is customary and commensurate with his or her responsibilities based on other employees in similar capacities within NewCo, the Company and the industry.

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8. The Company and the Selling Shareholder (including both Employed Selling Shareholders and Selling Shareholders not employed by NewCo) execute a non-compete agreement (the “Non- Compete Agreement”) which restricts the Selling Shareholder from engaging in competing business activities for a specified period of time (the “Non-Compete Term”). A Non-Compete Agreement is executed with the Selling Shareholders in all cases. That is, even if the Selling Shareholder does not become an Employed Selling Shareholder, the Selling Shareholder is restricted from engaging in a competing business during the Non-Compete Term.

9. The Non-Compete Term commences as of the date of the Acquisition and expires on the later of:

a. Two years after the date an Employed Selling Shareholders’ employment is terminated (if the Selling Shareholder becomes an Employed Selling Shareholder) or

b. Five to six years from the date of the Acquisition, as defined in the Non-Compete Agreement, regardless of whether the Selling Shareholder is employed by NewCo.

10. The Non-Compete Agreement applies to a restricted region which is defined as a 15-mile radius from the Therapy Practice. That is, an Employed Selling Shareholder is permitted to engage in competing businesses or activities outside the 15-mile radius (after such Employed Selling Shareholder no longer is employed by NewCo) and a Selling Shareholder who is not employed by NewCo immediately is permitted to engage in the competing business or activities outside the 15-mile radius.

11. The Partnership Agreement contains provisions for the redemption of the Seller Entity Interest, either at the option of the Company (the “Call Option”) or on a required basis (the “Required Redemption”):

a. Required Redemption

i. Once the Required Redemption is triggered, the Company is obligated to purchase from the Seller Entity and the Seller Entity is obligated to sell to the Company, the allocable portion of the Seller Entity Interest based on the terminated Selling Shareholder’s pro rata ownership interest in the Seller Entity (the “Allocable Portion”). Required Redemption is

triggered when both of the following events have occurred:

1. Termination of an Employed Selling Shareholder’s employment with NewCo, regardless of the reason for such termination, and

2. The expiration of an agreed upon period of time, typically three to five years, as set forth in the relevant Partnership Agreement (the “Holding Period”).

ii. In the event an Employed Selling Shareholder’s employment terminates prior to the expiration of the Holding Period, the Required Redemption would occur only upon expiration of the Holding Period.

b. Call Option

i. In the event that an Employed Selling Shareholder’s employment terminates prior to expiration of the Holding Period, the Company has the contractual right, but not the obligation, to acquire the Employed Selling Shareholder’s Allocable Portion of the Seller Entity Interest from the Seller Entity through exercise of the Call Option.

c. For the Required Redemption and the Call Option, the purchase price is derived from a formula based on a specified multiple of NewCo’s trailing twelve months of earnings before interest, taxes, depreciation, amortization, and the Company’s internal management fee, plus an Allocable Portion of any undistributed earnings of NewCo (the “Redemption Amount”). NewCo’s earnings are distributed monthly based on available cash within NewCo; therefore, the undistributed earnings amount is small, if any.

d. The Purchase Price for the initial equity interest purchased by the Company is also based on the same specified multiple of the trailing twelve-month earnings that is used in the Required Redemption noted above.

e. Although, the Required Redemption and the Call Option do not have an expiration date, the Seller Entity Interest eventually will be purchased by the Company.

f. The Required Redemption and the Call Option never apply to Selling Shareholders who do not become employed by NewCo, since the Company requires that such Selling Shareholders sell their entire ownership interest in the Seller Entity at the closing of the Acquisition.

12. An Employed Selling Shareholder’s ownership of his or her equity interest in the Seller Entity predates the Acquisition and the Company’s purchase of its partnership interest in NewCo. The Employment Agreement and the Non-Compete Agreement do not contain any provision to escrow or “claw back” the equity interest in the Seller Entity held by such Employed Selling Shareholder, nor the Seller Entity Interest in NewCo, in the event of a breach of the employment or non-compete terms. More specifically, even if the Employed Selling Shareholder is terminated for “cause” by NewCo, such Employed Selling Shareholder does not forfeit his or her right to his or her full equity interest in the Seller Entity and the Seller Entity does not forfeit its right to any portion of the Seller Entity Interest. The Company’s only recourse against the Employed Selling Shareholder for breach of either the Employment Agreement or the Non-Compete Agreement is to seek damages and other legal remedies under such agreements. There are no conditions in any of the arrangements with an Employed Selling Shareholder that would result in a forfeiture of the equity interest held in the Seller Entity or of the Seller Entity Interest.

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For the nine months ended September 30, 2017 and September 30, 2016, the following table details the changes in the carrying amount of mandatorily redeemable non-controlling interest (in thousands):

	Nine Months Ended September 30, 2017			Nine Months Ended September 30, 2016
Beginning balance	$	69,190		$	45,974
Operating results allocated to mandatorily redeemable non-controlling interest partners		4,366			3,146
Distributions to mandatorily redeemable non-controlling interest partners		(5,136	)		(3,955	)
Changes in the redemption value of mandatorily redeemable non-controlling interest		7,839			6,056
Payments for settlement of mandatorily redeemable non-controlling  interest		(2,230	)		(1,136	)
Purchases of businesses - initial liability related to mandatorily redeemable non-controlling interest		10,282			11,191
Ending balance	$	84,311		$	61,276

The following table details the carrying amount of the mandatorily redeemable non-controlling interest (in thousands) as of September 30, 2017 and September 30, 2016:

	September 30, 2017			September 30, 2016
Contractual time period has lapsed but holder's employment has not been terminated	$	31,448		$	21,269
Contractual time period has not lapsed and holder's employment has not been terminated		56,092			42,576
Holder's employment has terminated and contractual time period has expired		-			-
Holder's employment has terminated and contractual time period has not expired		-			-
Redemption value prior to excess distributed earnings	$	87,540		$	63,845
Excess distributions over earnings and losses		(3,229	)		(2,569	)
	$	84,311		$	61,276

4. REDEEMABLE NON-CONTROLLING INTERESTS

When the Company acquires a majority interest in a Therapy Practice, those Acquisitions occur in a series of steps as described in numbers 1 through 10 of footnote 3 – Mandatorily Redeemable Non-Controlling Interests.  For the Acquisitions that occurred after the first quarter of 2017, the Partnership Agreement contained provisions for the redemption of the Seller Entity Interest, either at the option of the Company (the “Call Right”) or at the option of the Seller Entity (the “Put Right”) as follows:

1. Put Right

a. In the event that any Selling Shareholder’s employment is terminated involuntarily by the Company without “Cause” pursuant to Section 7(d) of such Selling Shareholder’s Employment Agreement prior to the fifth anniversary of the Closing Date, the Seller Entity thereafter shall have an irrevocable right to cause the Company to purchase from Seller Entity the Terminated Selling Shareholder’s Allocable Percentage of Seller Entity’s Interest at the purchase price described in “3” below.

b. In the event that any Selling Shareholder is not employed by NewCo as of the fifth anniversary of the Closing Date and the Company has not exercised its Call Right with respect to the Terminated Selling Shareholder’s Allocable Percentage of Seller Entity’s Interest, Seller Entity thereafter shall have the Put Right to cause the Company to purchase from Seller Entity the Terminated Selling Shareholder’s Allocable Percentage of Seller Entity’s Interest at the purchase price described in “3” below.

c. In the event that any Selling Shareholder’s employment with NewCo is terminated for any reason on or after the fifth anniversary of the Closing Date, the Seller Entity shall have the Put Right, and upon the exercise of the Put Right, the Terminated Selling Shareholder’s Allocable Percentage of Seller Entity’s Interest shall be redeemed by the Company at the purchase price described in “3” below.

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2. Call Right

a. If any Selling Shareholder’s employment by NewCo is terminated (i) pursuant to a voluntary termination by the Selling Shareholder or (ii) by NewCo with “Cause” (as defined in the Selling Shareholder’s Employment Agreement), prior to the fifth anniversary of the Closing Date, the Company thereafter shall have an irrevocable right to purchase from Seller Entity the Terminated Selling Shareholder’s Allocable Percentage of Seller Entity’s Interest, in each case at the purchase price described in “3” below.

b. In the event that any Selling Shareholder’s employment with NewCo is terminated for any reason on or after the fifth anniversary of the Closing Date, the Company shall have the Call Right, and upon the exercise of the Call Right, the Terminated Selling Shareholder’s Allocable Percentage of Seller Entity’s Interest shall be redeemed by the Company at the purchase price described in “3” below.

3. For the Put Right and the Call Right, the purchase price is derived from a formula based on a specified multiple of NewCo’s trailing twelve months of earnings before interest, taxes, depreciation, amortization, and the Company’s internal management fee, plus an Allocable Percentage of any undistributed earnings of NewCo (the “Redemption Amount”). NewCo’s earnings are distributed monthly based on available cash within NewCo; therefore, the undistributed earnings amount is small, if any.

4. The Purchase Price for the initial equity interest purchased by the Company is also based on the same specified multiple of the trailing twelve-month earnings that is used in the Put Right and the Call Right noted above.

5. The Put Right and the Call Right do not have an expiration date, but the Seller Entity Interest is not required to be purchased by the Company or sold by the Seller Entity.

6. The Put Right and the Call Right never apply to Selling Shareholders who do not become employed by NewCo, since the Company requires that such Selling Shareholders sell their entire ownership interest in the Seller Entity at the closing of the Acquisition.

An Employed Selling Shareholder’s ownership of his or her equity interest in the Seller Entity predates the Acquisition and the Company’s purchase of its partnership interest in NewCo. The Employment Agreement and the Non-Compete Agreement do not contain any provision to escrow or “claw back” the equity interest in the Seller Entity held by such Employed Selling Shareholder, nor the Seller Entity Interest in NewCo, in the event of a breach of the employment or non-compete terms. More specifically, even if the Employed Selling Shareholder is terminated for “cause” by NewCo, such Employed Selling Shareholder does not forfeit his or her right to his or her full equity interest in the Seller Entity and the Seller Entity does not forfeit its right to any portion of the Seller Entity Interest. The Company’s only recourse against the Employed Selling Shareholder for breach of either the Employment Agreement or the Non-Compete Agreement is to seek damages and other legal remedies under such agreements. There are no conditions in any of the arrangements with an Employed Selling Shareholder that would result in a forfeiture of the equity interest held in the Seller Entity or of the Seller Entity Interest.

For the nine months ended September 30, 2017, the following table details the changes in the carrying amount of redeemable non-controlling interest (in thousands):

	Nine Months Ended September 30, 2017
Beginning balance	$	-
Operating results allocated to redeemable non-controlling interest partners		155
Distributions to redeemable non-controlling interest partners		(16	)
Purchases of businesses - initial equity related to redeemable non-controlling interest		11,940
Ending balance	$	12,079

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5. GOODWILL

The changes in the carrying amount of goodwill consisted of the following (in thousands):

	Nine Months Ended September 30, 2017
Beginning balance	$	226,806
Goodwill acquired during the period		40,384
Goodwill adjustments for purchase price allocation of business acquired		860
Ending balance	$	268,050

6. INTANGIBLE ASSETS, NET

Intangible assets, net as of September 30, 2017 and December 31, 2016 consisted of the following (in thousands):

	September 30, 2017		December 31, 2016
Tradenames	$	26,352	$	21,234
Referral relationships, net of accumulated amortization of $6,741 and $5,275, respectively		18,092		14,859
Non-compete agreements, net of accumulated amortization of $4,012 and $3,380, respectively		3,124		1,967
	$	47,568	$	38,060

Tradenames, referral relationships and non-compete agreements are related to the businesses acquired. Typically, the value assigned to tradenames has an indefinite life and is tested at least annually for impairment using the relief from royalty method in conjunction with the Company’s annual goodwill impairment test. The value assigned to referral relationships is being amortized over their respective estimated useful lives which range from six to 16 years. Non-compete agreements are amortized over the respective term of the agreements which range from five to six years.

The following table details the amount of amortization expense recorded for intangible assets for the three and nine months ended September 30, 2017 and 2016 (in thousands):

	Three Months Ended				Nine Months Ended
	September 30, 2017		September 30, 2016		September 30, 2017		September 30, 2016
Tradenames	$	-	$	20	$	-	$	62
Referral relationships		527		352		1,466		1,027
Non-compete agreements		231		148		632		429
	$	758	$	520	$	2,098	$	1,518

Based on the balance of referral relationships and non-compete agreements as of September 30, 2017, the expected amount to be amortized in 2017 and thereafter by year is as follows (in thousands):

Referral Relationships		Non-Compete Agreements
Years	Annual Amount	Years	Annual Amount
2017	1,993	2017	860
2018	2,063	2018	883
2019	1,973	2019	810
2020	1,973	2020	597
2021	1,973	2021	519
Thereafter	9,577	Thereafter	88

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7. ACCRUED EXPENSES

Accrued expenses as of September 30, 2017 and December 31, 2016 consisted of the following (in thousands):

	September 30, 2017		December 31, 2016
Salaries and related costs	$	18,631	$	10,569
Credit balances due to patients and payors		4,157		3,880
Group health insurance claims		2,630		2,499
Other		6,074		4,808
Total	$	31,492	$	21,756

8. NOTES PAYABLE AND AMENDED CREDIT AGREEMENT

Amounts outstanding under the Amended Credit Agreement and notes payable as of September 30, 2017 and December 31, 2016 consisted of the following (in thousands):

	September 30, 2017			December 31, 2016
Credit Agreement average effective interest rate of 3.0% inclusive of unused fee	$	56,000		$	46,000
Various notes payable with $2,745 plus accrued interest due in the next year, interest accrues in the range of 3.25% through 4.0% per annum		6,697			5,823
		62,697			51,823
Less current portion		(2,745	)		(1,227	)
Long term portion	$	59,952		$	50,596

Effective December 5, 2013, the Company entered into an Amended Credit Agreement, as defined below, with a commitment for a $125.0 million revolving credit facility with a maturity date of November 30, 2018. This agreement was amended in August 2015, January 2016 and March 2017 (hereafter referred to as “Amended Credit Agreement”). The Amended Credit Agreement is unsecured and has loan covenants, including requirements that the Company comply with a consolidated fixed charge coverage ratio and consolidated leverage ratio. Proceeds from the Amended Credit Agreement may be used for working capital, acquisitions, purchases of the Company’s common stock, dividend payments to the Company’s common shareholders, capital expenditures and other corporate purposes. The pricing grid is based on the Company’s consolidated leverage ratio with the applicable spread over LIBOR ranging from 1.5% to 2.5% or the applicable spread over the Base Rate ranging from 0.1% to 1%. Fees under the Amended Credit Agreement include an unused commitment fee ranging from 0.1% to 0.25% depending on the Company’s consolidated leverage ratio and the amount of funds outstanding under the Amended Credit Agreement.

The January 2016 amendment to the Amended Credit Agreement increased the cash and noncash consideration that the Company could pay with respect to acquisitions permitted under the Amended Credit Agreement to $50,000,000 for any fiscal year, and increased the amount the Company may pay in cash dividends to its shareholders in an aggregate amount not to exceed $10,000,000 in any fiscal year. Further, the March 2017 amendment, among other items, increased the amount the Company may pay in cash dividends to its shareholders in an aggregate amount not to exceed $15,000,000 in any fiscal year.

On September 30, 2017, $56.0 million was outstanding on the Amended Credit Agreement resulting in $69.0 million of availability. As of September 30, 2017 and the date of this report, the Company was in compliance with all of the covenants thereunder.

The Company generally enters into various notes payable as a means of financing a portion of its acquisitions and purchases of non-controlling interests. In conjunction with the acquisitions in the first nine months of 2017, the Company entered into notes payable in the aggregate amount of $1.7 million, of which an aggregate principal payment of $1,025,000 is due in 2018 and an aggregate principal payment of $625,000 is due in 2019. Interest accrues at the rate of 4.0% per annum and is payable with each principal installment.  In conjunction with the acquisitions in 2016 and the purchases of non-controlling interests, the Company entered into notes payable in the aggregate amount of $1.5 million of which an aggregate principal payment of $444,000 was paid in 2017, $250,000 is due in November 2017 and $819,000 is payable in 2018. Interest accrues 3.5% per annum and is payable with each principal installment.  In conjunction with the acquisitions in 2015 and the purchases of non-controlling interests, the Company entered into notes payable in the aggregate amount of $4.9 million, of which an aggregate principal payment of $575,000 was paid in 2016, $525,000 due in 2017 (of which $325,000 was paid in the first nine months of 2017), $1.9 million is due in 2018 and $1.9 million in 2019. Interest accrues in the range of 3.25% to 4.0% per annum and is payable with each principal installment.

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Aggregate annual payments of principal required pursuant to the Amended Credit Agreement and the above notes payable subsequent to September 30, 2017 are as follows (in thousands):

During the twelve months ended September 30, 2018	$	2,745
During the twelve months ended September 30, 2019		59,952
	$	62,697

The revolving credit facility (balance at September 30, 2017 of $56.0 million) matures on November 30, 2018.

9. COMMON STOCK

From September 2001 through December 31, 2008, the Board authorized the Company to purchase, in the open market or in privately negotiated transactions, up to 2,250,000 shares of the Company’s common stock. In March 2009, the Board authorized the repurchase of up to 10% or approximately 1,200,000 shares of its common stock (“March 2009 Authorization”). The Amended Credit Agreement permits share repurchases of up to $15,000,000, subject to compliance with covenants. The Company is required to retire shares purchased under the March 2009 Authorization.

Under the March 2009 Authorization, the Company has purchased a total of 859,499 shares. There is no expiration date for the share repurchase program. There are currently an additional estimated 244,100 shares (based on the closing price of $61.45 on September 30, 2017) that may be purchased from time to time in the open market or private transactions depending on price, availability and the Company’s cash position. The Company did not purchase any shares of its common stock during the nine months ended September 30, 2017.

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Item 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS.

The following is a discussion of our historical consolidated financial condition and results of operations, and should be read in conjunction with (i) our historical consolidated financial statements and accompanying notes thereto included elsewhere in this Quarterly Report on Form 10-Q; (ii) our Annual Report on Form 10-K for the year ended December 31, 2016 filed with the Securities and Exchange Commission (the “SEC”) on June 7, 2017; and (iii) our management’s discussion and analysis of financial condition and results of operations included in our 2016 Form 10-K. This discussion includes forward-looking statements that are subject to risk and uncertainties. Actual results may differ substantially from the statements we make in this section due to a number of factors that are discussed in “Forward-Looking Statements” herein and “Part I – Item 1A. Risk Factors” of our Annual Report on Form 10-K for the year ended December 31, 2016.

References to “we,” “us,” “our” and the “Company” shall mean U.S. Physical Therapy, Inc. and its subsidiaries.

EXECUTIVE SUMMARY

Our Business

We operate outpatient physical therapy clinics that provide preventive 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. As of September 30, 2017, we operated 569 clinics in 41 states.

We also manage physical therapy facilities for third parties, primarily physicians, with 30 third-party facilities under management as of September 30, 2017.

During the nine months of 2017 and the year ended 2016, we acquired the following clinic groups:

	Date	% Interest Acquired			Number of Clinics
	2017
June 2017 Acquisition	June 30		60	%		9
May 2017 Acquisition	May 31		70	%		4
January 2017 Acquisition	January 1		70	%		17
	2016
February 2016 Acquisition	February 29		55	%		8
November 2016 Acquisition	November 30		60	%		12

On June 30, 2017, we acquired a 60% interest in a nine-clinic physical therapy practice.  The purchase price for the 60% interest was $15.8 million in cash and $0.5 million in a seller note that is payable in two principal installments totaling $250,000 each, plus accrued interest, in June 2018 and 2019. On May 31, 2017 we also acquired 70% interest in a four-clinic physical therapy practice. The purchase price for the 70% interest was $2.3 million in cash and $250,000 in a seller note that is payable in two principal installments totaling $125,000 each, plus accrued interest, in May 2018 and 2019. On January 1, 2017, we acquired a 70% interest in a seventeen-clinic physical therapy practice.  The purchase price for the 70% interest was $10.7 million in cash and $0.5 million in a seller note that is payable in two principal installments totaling $250,000 each, plus accrued interest, in January 2018 and 2019.

In addition to the above clinic groups, we acquired a 55% interest in a company which is a leading provider of workforce performance solutions. Services provided include onsite injury prevention and rehabilitation, performance optimization and ergonomic assessments. The majority of these services are contracted with and paid for directly by employers including a number of Fortune 500 companies. Other clients include large insurers and their contractors. The purchase price for the 55% interest was $6.2 million in cash and $0.4 million in a seller note that is payable, principal plus accrued interest, in September 2018.  Also, during the first nine months of  2017, we purchased the assets and business of two physical therapy clinics, in separate transactions, for an aggregate purchase price of $175,000.  One clinic was consolidated with an existing clinic and the other operates as a satellite clinic of one of our existing partnerships.

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On November 30, 2016, we acquired a 60% interest in a 12 clinic physical therapy practice. The purchase price for the 60% interest was $11.0 million in cash and $0.5 million in a seller note that is payable in two principal installments of $250,000 each, plus accrued interest, in November 2017 and 2018. On February 29, 2016, we acquired a 55% interest in an eight-clinic physical therapy practice.  The purchase price for the 55% interest was $13.2 million in cash and $0.5 million in a seller note that is payable in two principal installments totaling $250,000 each, plus accrued interest, one of which was paid in February 2017 and one of which is due in February 2018.  In addition, we acquired a single clinic practice in June 2016 for $50,000.

Selected Operating and Financial Data

The following table presents selected operating and financial data that we believe are key indicators of our operating performance.

	For the Three Months Ended				For the Nine Months Ended
	September 30, 2017		September 30, 2016		September 30, 2017		September 30, 2016
Number of clinics, at the end of period		569		524		569		524
Working Days		63		64		191		192
Average visits per day per clinic		25.6		24.7		25.5		25
Total patient visits		914,601		822,468		2,729,855		2,470,769
Net patient revenue per visit	$	105.26	$	105.06	$	105.35	$	105.19

RESULTS OF OPERATIONS

Three Months Ended September 30, 2017 Compared to the Three Months Ended September 30, 2016

· For the quarter ended September 30, 2017 (the “2017 Third Quarter”), our net income attributable to common shareholders prior to interest expense – mandatorily redeemable non-controlling interests – change in redemption value and costs related to restatement of financials, both net of tax (“operating results”), a non-generally accepted accounting principles (“non-GAAP”) measure, was $6.0 million for both comparable periods. Diluted earnings per share from operating results was $0.48 in the 2017 and 2016 period.

· For the quarter ended September 30, 2017, our net income attributable to our shareholders, in accordance with generally accepted accounting principles (“GAAP”), was $5.2 million, or $0.41 per diluted share, as compared to $4.8 million, or $0.38 per diluted share, for the 2016 period.  See schedule below for a reconciliation of net income attributable to our shareholders to operating results.

· During the 2017 Third Quarter, 81 of our clinics were affected by Hurricanes Harvey and Irma. Because of the high winds, loss of electrical power, flooding and road closures attributed to those severe storms, our business was interrupted in large parts of the states of Texas, Florida and Georgia which resulted in the loss of an estimated 8,500 patient visits representing approximately $752,000 in revenue and gross profit contribution, or $0.03 diluted earnings per share.

Operating results is defined as USPH’s net income attributable to common shareholders prior to interest expense – mandatorily redeemable non-controlling interests – change in redemption value and costs related to the restatement of financial statements, both net of tax.  Management uses operating results, which eliminates this current non-cash item that can be subject to volatility, as one of the principal measures to evaluate and monitor financial performance period over period.  Management believes that operating results is useful information for investors to use in comparing the Company's period-to-period results as well as for comparing with other similar businesses since most do not have mandatorily redeemable instruments and therefore have different liability and equity structures.

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	Three Months Ended September 30,
	2017			2016
				(as restated)
Net income attributable to USPH shareholders	$	5,150		$	4,804
Adjustments:
Interest expense MRNCI * - change in redemption value		1,247			1,934
Costs related to restatement of financials - legal and accounting		158			-
Tax effect at statutory rate (federal and state) of 39.25%		(551	)		(759	)
Operating results	$	6,004		$	5,979
Basic and diluted net income attributable to USPH shareholders per share	$	0.41		$	0.38
Basic and diluted operating results per share	$	0.48		$	0.48
Shares used in computation:
Basic and diluted		12,581			12,520

*Mandatorily redeemable non-controlling interest

Revenues

· Net revenues increased $14.7 million or 16.6% from $88.3 million in the third quarter of 2016 to $103.0 million in 2017 Third Quarter, primarily due to an 11.2% increase in net patient revenues from the physical therapy operations and a full quarter of revenues from the workforce performance solutions business acquired in March 2017 (see above discussion under “Executive Summary”).

· Net patient revenues from physical therapy operations increased approximately $9.9 million to $96.3 million in the 2017 period from $86.4 million in the 2016 period due to an increase in total patient visits of 11.2% from 822,468 to 914,601 plus an increase in average net patient revenue per visit to $105.26 from $105.06.  Of the $9.9 million increase, $9.4 million was related to clinics opened or acquired in the past 12 months. For the 2017 and 2016 period, revenues from management contracts was $1.7 million and $1.3 million for 2016 period. The revenues from the recently acquired workforce performance solutions business was $4.4 million for the 2017 Third Quarter.  Other revenue was $0.6 million for the 2017 period and the 2016 period.

Net patient revenues are based on established billing rates less allowances and discounts for patients covered by contractual programs and workers’ compensation. Net patient revenues are determined after contractual and other adjustments relating to patient discounts from certain payors. Payments received under contractual programs and workers’ compensation are based on predetermined rates and are generally less than the established billing rates.

Operating Costs

Total operating costs were $81.8 million, or 79.4% of net revenues, in 2017 Third Quarter as compared to $68.7 million, or 77.7% of net revenues, in the 2016 period. The increase was attributable to $8.6 million in operating costs related to new clinics opened or acquired in the past 12 months (“New Clinics”), $3.7 million related to the addition of the workforce performance solutions business and $0.8 million related to clinics opened or acquired prior to September 1, 2016 (“Mature Clinics”). Each component of operating costs is discussed below:

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Operating Costs—Salaries and Related Costs

Salaries and related costs increased to $60.3 million for the 2017 Third Quarter from $49.9 million for the 2016 Third Quarter, an increase of $10.4 million. Salaries and related costs for New Clinics and the workforce performance solutions business amounted to $9.2 million for the 2017 Third Quarter. Salaries and related costs for Mature Clinics increased by $1.2 million for the 2017 Third Quarter, of which $0.7 million of the $1.2 million increase related to a full quarter of activity in 2017 for clinics opened or acquired in the first nine months of 2016,  as compared to the 2016 Third Quarter.  Salaries and related costs as a percentage of net revenues were 58.5% for the 2017 Third Quarter and 56.4% for the 2016 Third Quarter.

Operating Costs—Rent, Supplies, Contract Labor and Other Costs

Rent, supplies, contract labor and other were $20.6 million for the 2017 Second Quarter and $17.9 million for the 2016 Third Quarter. For New Clinics and the workforce performance solutions business, rent, supplies, contract labor and other amounted to $3.1 million for the 2017 Third Quarter. For Mature Clinics, rent, supplies, contract labor and other decreased by $0.4 million in the 2017 Third Quarter compared to the 2016 Third Quarter. Rent, supplies, contract labor and other as a percentage of net revenues was 20.0% for the 2017 Third Quarter and 20.2% for the 2016 Third Quarter.

Operating Costs—Provision for Doubtful Accounts

The provision for doubtful accounts was $0.9 million for both the 2017 and 2016 Third Quarter. The provision for doubtful accounts for patient accounts receivable as a percentage of net patient revenues was 0.9% for the 2017 Third Quarter and 1.0% for the 2016 Third Quarter.

Our provision for doubtful accounts for patient accounts receivable as a percentage of total patient accounts receivable was 4.6% at September 30, 2017, as compared to 4.4% at December 31, 2016. Our day’s sales outstanding were 37 days at September 30, 2017 and 36 days at December 31, 2016.

Gross Margin

The gross margin for the 2017 Third Quarter was $21.2 million, or 20.6% of revenue, as compared to $19.7 million, or 22.3% of revenue, for the 2016 Third Quarter. The gross margin for the Company’s physical therapy clinics was 20.9% in the recent quarter as compared to 22.4% a year earlier. The gross margin on management contracts was 16.8% in the 2017 Third Quarter as compared to 15.6% in the 2016 Third Quarter. The gross margin for the recently acquired workforce performance solutions business was 14.1%.

Corporate Office Costs

Corporate office costs, consisting primarily of salaries and benefits of corporate office personnel, rent, insurance costs, depreciation and amortization, travel, legal, accounting, professional, and recruiting fees, were $8.3 million for the 2017 Third Quarter and $7.6 million for the 2016 Third Quarter. Included in the corporate office costs in the 2017 Third Quarter was $158,000 of charges related to the legal and accounting costs related to the restatement of our financial statements.  As a percentage of net revenues, corporate office costs were 8.1% for the 2017 Third Quarter and 8.6% for the 2016 Third Quarter.

Interest Expensemandatorily redeemable non-controlling interest – change in redemption value

Interest Expensemandatorily redeemable non-controlling interest – change in redemption value decreased to $1.2 million in the 2017 Third Quarter from $1.9 million in the 2016 Third Quarter.  The change in redemption value for acquired partnerships is based on the redemption amount (which is derived from a formula based on a specified multiple times the underlying business’ trailing twelve months of earnings before interest, taxes, depreciation, amortization and our internal management fee) at the end of the reporting period compared to the end of the previous period. This change is directly related to an increase or decrease in the profitability and underlying value of the Company’s partnerships as compared to the prior quarter.

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Interest Expensemandatorily redeemable non-controlling interest – earnings allocable

Interest expense – mandatorily redeemable non-controlling interest – earnings allocable, which represent the portion of earnings allocable to the holders of mandatorily redeemable non-controlling interest, increased to $1.3 million in the 2017 Third Quarter from $0.9 million in the 2016 Third Quarter.

Interest Expense – debt and other

Interest expense increased to $641,000 in the 2017 Third Quarter compared to $326,000 in the 2016 Third Quarter due to a higher average balance outstanding under our Amended Credit Agreement.  At September 30, 2017, $56.0 million was outstanding under our Amended Credit Agreement. See “—Liquidity and Capital Resources” below for a discussion of the terms of our Amended Credit Agreement.

Provision for Income Taxes

The provision for income taxes for the 2017 Third Quarter was $3.1 million and for the 2016 Third Quarter was $2.8 million. The provision for income taxes as a percentage of income before taxes less net income attributable to non-controlling interest was 37.8% in the 2017 Third Quarter and 36.4% in the 2016 Third Quarter.  Included in both the 2017 Third Quarter and 2016 Third Quarter was an excess tax benefit of $0.2 million related to accounting for stock compensation.

Non-controlling Interests

Net income attributable to non-controlling interests (permanent equity) was $1.2 million for the 2017 Third Quarter and $1.3 million for the 2016 Third Quarter. Net income attributable to redeemable non-controlling interests (temporary equity) was $0.2 million in the 2017 Third Quarter.

Nine Months Ended September 30, 2017 Compared to the Nine Months Ended September 30, 2016

· For the nine months ended September 30, 2017, our operating results, a non-GAAP measure, were $20.0 million as compared to $19.0 million in the comparable 2016 period. Diluted earnings per share from operating results was $1.59 in the 2017 period as compared to $1.52 in the 2016 period.

· For the nine months ended September 30, 2017, our net income attributable to its shareholders, in accordance with GAAP, was $14.9 million, or $1.19 per diluted share, as compared to $15.3 million, or $1.22 per diluted share, for the 2016 period.  See schedule below for a reconciliation of net income attributable to our shareholders to operating results.

Operating results is defined as USPH’s net income attributable to common shareholders prior to interest expense – mandatorily redeemable non-controlling interests – change in redemption value and costs related to the restatement of financial statements, both net of tax.  Management uses operating results, which eliminates this current non-cash item that can be subject to volatility, as one of the principal measures to evaluate and monitor financial performance period over period.  Management believes that operating results is useful information for investors to use in comparing the Company's period-to-period results as well as for comparing with other similar businesses since most do not have mandatorily redeemable instruments and therefore have different liability and equity structures.

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	Nine Months Ended September 30,
	2017			2016
				(as restated)
Net income attributable to USPH shareholders	$	14,907		$	15,304
Adjustments:
Interest expense MRNCI * - change in redemption value		7,839			6,056
Costs related to restatement of financials - legal and accounting		470			-
Tax effect at statutory rate (federal and state) of 39.25%		(3,261	)		(2,377	)
Operating results	$	19,955		$	18,983
Basic and diluted net income attributable to USPH shareholders per share	$	1.19		$	1.22
Basic and diluted operating results per share	$	1.59		$	1.52
Shares used in computation:
Basic and diluted		12,563			12,494

*Mandatorily redeemable non-controlling interests

Revenues

· Net revenues increased $39.2 million or 14.7% from $265.7 million in the 2016 First Nine Months to $304.8 million in the 2017 First Nine Months, primarily due to a 10.5% increase in net patient visits from 2,470,769 to 2,729,855, higher revenues from management contracts due to an increase in the number of facilities managed by the Company and revenues from the workforce performance solutions business acquired in March 2017.

· Net patient revenues from physical therapy operations increased approximately $27.7 million to $287.6 million in the 2017 period from $259.9 million in the 2016 period due to an increase in total patient visits of 10.5% from 2,470,769 to 2,729,855 and slight increase in average net patient revenue per visit to $105.35 from $105.19.  Of the $27.7 million increase, $22.0 million related to New Clinics opened or acquired in the past 12 months.  For the 2017 First Nine Months, revenues from management contracts was $5.2 million as compared to $4.3 million for the 2016 First Nine Months. The revenues from the recently acquired workforce performance solutions business was $10.3 million for the seven months of operations in 2017.  Other revenue was $1.8 million for the 2017 First Nine Months and $1.5 million for the 2016 First Nine Months.

Net patient revenues are based on established billing rates less allowances and discounts for patients covered by contractual programs and workers’ compensation. Net patient revenues are determined after contractual and other adjustments relating to patient discounts from certain payors. Payments received under contractual programs and workers’ compensation are based on predetermined rates and are generally less than the established billing rates.

Operating Costs

Total operating costs were $238.4 million, or 78.2% of net revenues, for the 2017 First Nine Months as compared to $202.5 million, or 76.2% of net revenues, for the 2016 First Nine Months. The increase was attributable to $20.8 million in operating costs related to New Clinics, an additional $5.3 million related to a full nine months of activity in 2017 for clinics opened or acquired in the first nine months of 2016 and $8.8 million related to the addition of the workforce performance solutions business and $1.0 million related to clinics opened or acquired prior to 2016. Each component of operating costs is discussed below:

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Operating Costs—Salaries and Related Costs

Salaries and related costs increased to $174.9 million for the 2017 First Nine Months from $146.5 million for the 2016 First Nine Months, an increase of $28.4 million. Salaries and related costs for New Clinics and the workforce performance solutions business amounted to $22.0 million for the 2017 First Nine Months. Salaries and related costs for Mature Clinics increased by $6.4 million for the 2017 First Nine Months, primarily related to $3.8 million for a full quarter of activity in 2017 for clinics opened or acquired in the first nine months of 2016,  as compared to the 2016 First Nine Months.  Salaries and related costs as a percentage of net revenues were 57.4% for the 2017 First Nine Months and 55.1% for the 2016 First Nine Months.

Operating Costs—Rent, Supplies, Contract Labor and Other Costs

Rent, supplies, contract labor and other were $60.7 million for the 2017 First Nine Months and $52.9 million for the 2016 First Nine Months. For New Clinics and the workforce performance solutions business, rent, supplies, contract labor and other amounted to $7.4 million for the 2017 First Nine Months. For Mature Clinics, rent, supplies, contract labor and other increased by $0.4 million in the 2017 First Nine Months compared to the 2016 First Nine Months. For clinics opened or acquired in the 2016 First Nine Months, rent, supplies, contract labor and other increased $1.5 million related to a full quarter of activity in 2017.  For clinics opened or acquired prior to 2016, rent, supplies, contract labor and other decreased $1.1 million in the 2017 First Nine Months compared to the 2016 First Nine Months.  Rent, supplies, contract labor and other as a percentage of net revenues was 19.9% for the 2017 First Nine Months and the 2016 First Nine Months.

Operating Costs—Provision for Doubtful Accounts

The provision for doubtful accounts was $2.7 million for the 2017 First Nine Months and $3.0 million for the 2016 First Nine Months. The provision for doubtful accounts for patient accounts receivable as a percentage of net patient revenues was 0.9% for the 2017 First Nine Months and 1.1% for the 2016 First Nine Months.

Our provision for doubtful accounts for patient accounts receivable as a percentage of total patient accounts receivable was 4.6% at September 30, 2017, as compared to 4.4% at December 31, 2016. Our day’s sales outstanding were 37 days at September 30, 2017 and 36 days at December 31, 2016.

Gross Margin

The gross margin for the 2017 First Nine Months was $66.5 million, or 21.8% of revenue, as compared to $63.2 million, or 23.8% of revenue, for the 2016 First Nine Months. The gross margin for the Company’s physical therapy clinics was 22.2% in the recent quarter as compared to 23.9% a year earlier. The gross margin on management contracts was 13.1% in the 2017 First Nine Months as compared to 19.5% in the 2016 First Nine Months. The gross margin for the recently acquired workforce performance solutions business was 14.5%.

Corporate Office Costs

Corporate office costs, consisting primarily of salaries and benefits of corporate office personnel, rent, insurance costs, depreciation and amortization, travel, legal, accounting, professional, and recruiting fees, were $25.7 million for the 2017 First Nine Months and $24.6 million for the 2016 First Nine Months. Included in the corporate office costs in the first nine months of 2017 was $470,000 of charges related to the legal and accounting costs for the restatement of our financial statements.  As a percentage of net revenues, corporate office costs were 8.4% for the 2017 First Nine Months and 9.3% for the 2016 First Nine Months.

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Interest Expensemandatorily redeemable non-controlling interest – change in redemption value

Interest Expensemandatorily redeemable non-controlling interest – change in redemption value increased to $7.8 million in the 2017 First Nine Months from $6.1 million in the 2016 First Nine Months.  The change in redemption value for acquired partnerships is based on the redemption amount (which is derived from a formula based on a specified multiple times the underlying business’ trailing twelve months of earnings before interest, taxes, depreciation, amortization and our internal management fee) at the end of the reporting period compared to the end of the previous period. This is a non-cash item and is directly related to the increase in the profitability and underlying value of the Company’s partnershipscompared to the respective prior year end.

Interest Expensemandatorily redeemable non-controlling interest – earnings allocable

Interest expense – mandatorily redeemable non-controlling interest – earnings allocable, which represent the portion of earnings allocable to the holders of mandatorily redeemable non-controlling interest, increased to $4.4 million in the 2017 First Nine Months from $3.1 million in the 2016 First Nine Months.

Interest Expense – debt and other

Interest expense increased to $1.6 million in the 2017 First Nine Months compared to $1.0 million in the 2016 First Nine Months due to a higher average balance outstanding under our Amended Credit Agreement.  At September 30, 2017, $56.0 million was outstanding under our Amended Credit Agreement. See “—Liquidity and Capital Resources” below for a discussion of the terms of our Amended Credit Agreement.

Provision for Income Taxes

The provision for income taxes for the 2017 First Nine Months was $8.0 million and for the 2016 First Nine Months was $8.7 million. The provision for income taxes as a percentage of income before taxes less net income attributable to non-controlling interest was 35.0% in the 2017 First Nine Months and 36.3% in the 2016 First Nine Months.  Included in the 2017 First Nine Months was an excess tax benefit of $1.1 million related to accounting for stock compensation as compared to $0.8 million in the 2016 First Nine Months.

Non-controlling Interests

Net income attributable to non-controlling interests (permanent equity) was $4.0 million for the 2017 First Nine Months of 2017 as compared to $3.1 million in the comparable 2016 period.  Net income attributable to redeemable non-controlling interests (temporary equity) was $0.2 million in the 2017 First Nine Months.

LIQUIDITY AND CAPITAL RESOURCES

We believe that our business is generating sufficient cash flow from operations to allow us to meet our short-term and long-term cash requirements, other than those with respect to future acquisitions. At September 30, 2017 and December 31, 2016, we had $17.4 million and $20.0 million, respectively, in cash. Although the start-up costs associated with opening new clinics and our planned capital expenditures are significant, we believe that our cash and unused availability under our revolving credit agreement are sufficient to fund the working capital needs of our operating subsidiaries, future clinic development and acquisitions and investments through at least September 2018. Significant acquisitions would likely require additional financing.

Effective December 5, 2013, we entered into an Amended and Restated Credit Agreement with a commitment for a $125.0 million revolving credit facility with a maturity date of November 30, 2018. This agreement was amended in August 2015, January 2016 and March 2017 (hereafter referred to as “Amended Credit Agreement”). The Amended Credit Agreement is unsecured and has loan covenants, including requirements that the Company comply with a consolidated fixed charge coverage ratio and consolidated leverage ratio. Proceeds from the Amended Credit Agreement may be used for working capital, acquisitions, purchases of the Company’s common stock, dividend payments to the Company’s common stockholders, capital expenditures and other corporate purposes. The pricing grid which is based on the Company’s consolidated leverage ratio with the applicable spread over LIBOR ranging from 1.5% to 2.5% or the applicable spread over the Base Rate ranging from 0.1% to 1%. Fees under the Amended Credit Agreement include an unused commitment fee ranging from 0.1% to 0.25% depending on the Company’s consolidated leverage ratio and the amount of funds outstanding under the Amended Credit Agreement. On September 30, 2017, $56.0 million was outstanding under our Amended Credit Agreement resulting in $69.0 million of availability.  As of the date of this Quarterly Report, we were in compliance with all of the covenants thereunder.  The revolving credit facility (balance at September 30, 2017 of $56.0 million) matures on November 30, 2018.

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Cash and cash equivalents decreased by $2.6 million from December 31, 2016 to September 30, 2017.  During the nine months ended September 30, 2017, $40.8 million was provided by operations and $10.0 million from net proceeds drawn on the line of credit provided in our Amended Credit Agreement. The major uses of cash for investing and financing activities included: purchase of businesses ($33.7 million), cash dividends to our common shareholders ($7.5 million), purchases of fixed assets ($5.6 million), distributions to non-controlling interests ($3.7 million), payments to settle mandatorily redeemable non-controlling interests ($2.2 million), and payments on notes payable ($0.8 million).

On January 1, 2017, we acquired a 70% interest in a seventeen-clinic physical therapy practice.  The purchase price for the 70% interest was $10.7 million in cash and $0.5 million in a seller note that is payable in two principal installments totaling $250,000 each, plus accrued interest, in January 2018 and 2019.

In March 2017, we acquired a 55% interest in a company which is a leading provider of workforce performance solutions. Services provided include onsite injury prevention and rehabilitation, performance optimization and ergonomic assessments. The majority of these services are contracted with and paid for directly by employers including a number of Fortune 500 companies. Other clients include large insurers and their contractors. The purchase price for the 55% interest was $6.2 million in cash and $0.4 million in a seller note that is payable, principal plus accrued interest, in September 2018.

On May 31, 2017, we acquired a 70% interest in a four-clinic physical therapy practice. The purchase price for the 70% interest was $2.3 million in cash and $250,000 in a seller note that is payable in two principal installments totaling $125,000 each, plus accrued interest, in May 2018 and 2019.

On June 30, 2017, we acquired a 60% interest in a nine-clinic physical therapy practice.  The purchase price for the 60% interest was $15.8 million in cash and $0.5 million in a seller note that is payable in two principal installments totaling $250,000 each, plus accrued interest, in June 2018 and 2019.

On November 30, 2016, we acquired a 60% interest in a 12 clinic physical therapy practice. The purchase price for the 60% interest was $11.0 million in cash and $0.5 million in a seller note that is payable in two principal installments of $250,000 each, plus accrued interest, in November 2017 and 2018. On February 29, 2016, we acquired a 55% interest in an eight-clinic physical therapy practice.  The purchase price for the 55% interest was $13.2 million in cash and $0.5 million in a seller note that is payable in two principal installments totaling $250,000 each, plus accrued interest, one of which was paid in February 2017 and one of which is payable in February 2018.  In addition, we acquired a single clinic practice in June 2016 for $50,000.

Historically, we have generated sufficient cash from operations to fund our development activities and to cover operational needs. We plan to continue developing new clinics and making additional acquisitions. We also from time to time purchase the non-controlling interests in our Clinic Partnerships. Generally, any acquisition or purchase of non-controlling interests is expected to be accomplished using a combination of cash and financing. Any large acquisition would likely require financing.

We make reasonable and appropriate efforts to collect accounts receivable, including applicable deductible and co-payment amounts, in a consistent manner for all payor types. Claims are submitted to payors daily, weekly or monthly in accordance with our policy or payor’s requirements. When possible, we submit our claims electronically. The collection process is time consuming and typically involves the submission of claims to multiple payors whose payment of claims may be dependent upon the payment of another payor. Claims under litigation and vehicular incidents can take a year or longer to collect. Medicare and other payor claims relating to new clinics awaiting Medicare Rehab Agency status approval initially may not be submitted for six months or more. When all reasonable internal collection efforts have been exhausted, accounts are written off prior to sending them to outside collection firms. With managed care, commercial health plans and self-pay payor type receivables, the write-off generally occurs after the account receivable has been outstanding for at least 120 days.

We generally enter into various notes payable as a means of financing our acquisitions. Our outstanding notes payable as of September 30, 2017 relate to certain of the acquisitions of businesses, purchases of non-controlling interests and settlements of mandatorily redeemable non-controlling interests that occurred in 2015 through June 2017. Typically, the notes are payable in equal annual installments of principal over two years plus any accrued and unpaid interest. Interest accrues at various interest rates ranging from 3.25% to 4.0% per annum, subject to adjustment. At September 30, 2017, the balance on these notes payable was $6.7 million.  In addition, we assumed leases with remaining terms of 1 month to 6 years for the operating facilities.

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In conjunction with the above mentioned acquisitions, in the event that a limited minority partner’s employment ceases at any time after a specified date that is between three and five years from the acquisition date, we have agreed to repurchase that individual’s non-controlling interest at a predetermined multiple of earnings before interest and taxes.

As of September 30, 2017, we have accrued $4.2 million related to credit balances due to patients and payors.  This amount is expected to be paid in the next twelve months.

From September 2001 through December 31, 2008, our Board of Directors (“Board”) authorized us to purchase, in the open market or in privately negotiated transactions, up to 2,250,000 shares of our common stock. In March 2009, the Board authorized the repurchase of up to 10% or approximately 1,200,000 shares of our common stock (“March 2009 Authorization”). Our Amended Credit Agreement permits share repurchases of up to $15,000,000, subject to compliance with covenants. We are required to retire shares purchased under the March 2009 Authorization.

There is no expiration date for the share repurchase program. As of September 30, 2017, there are currently an additional estimated 244,100 shares (based on the closing price of $61.45 on September 30, 2017)  that may be purchased from time to time in the open market or private transactions depending on price, availability and our cash position. We did not purchase any shares of our common stock during the nine months ended September 30, 2017.

FACTORS AFFECTING FUTURE RESULTS

The risks related to our business and operations include:

· cost, risks and uncertainties associated with the Company’s recent restatement of its prior financial statements due to the correction of its accounting methodology for redeemable noncontrolling partnership interests, and including any pending and future claims or proceedings relating to such matters;

· changes in Medicare rules and guidelines and reimbursement or failure of our clinics to maintain their Medicare certification or enrollment status;

· revenue we receive from Medicare and Medicaid being subject to potential retroactive reduction;

· business and regulatory conditions including federal and state regulations;

· governmental and other third party payor inspections, reviews, investigations and audits;

· 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;

· legal actions, which could subject us to increased operating costs and uninsured liabilities;

· changes in reimbursement rates or payment methods from third party payors including government agencies and deductibles and co-pays owed by patients;

· revenue and earnings expectations;

· general economic conditions;

· availability and cost of qualified physical therapists;

· personnel productivity and retaining key personnel;

· 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;

· acquisitions, purchase of non-controlling interests (minority interests) and the successful integration of the operations of the acquired businesses;

· our ability to design and maintain effective internal control over financial reporting and remediate the material weakness in internal control over financial reporting related to our accounting for redeemable non-controlling partnership interests;

· maintaining necessary insurance coverage;

· availability, terms, and use of capital; and

· weather and other seasonal factors.

See Risk Factors in Item 1A of our Annual Report on Form 10-K.

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Forward-Looking Statements

We make statements in this report that are considered to be forward-looking statements within the meaning given such term under Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). 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 project. Included among such statements are those relating to opening 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:

Many factors are beyond our control. Given these uncertainties, you should not place undue reliance on our forward-looking statements. Please see our periodic reports filed with the Securities and Exchange Commission (the “SEC”) for more information on these factors. 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, regardless of the reason the statement is no longer accurate.

· cost, risks and uncertainties associated with the Company’s recent restatement of its prior financial statements due to the correction of its accounting methodology for redeemable noncontrolling partnership interests, and including any pending and future claims or proceedings relating to such matters;

· changes as the result of government enacted national healthcare reform;

· changes in Medicare rules and guidelines and reimbursement or failure of our clinics to maintain their Medicare certification status;

· revenue we receive from Medicare and Medicaid being subject to potential retroactive reduction;

· business and regulatory conditions including federal and state regulations;

· governmental and other third party payor inspections, reviews, investigations and audits;

· 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;

· legal actions; which could subject us to increased operating costs and uninsured liabilities;

· changes in reimbursement rates or payment methods from third party payors including government agencies and deductibles and co-pays owed by patients;

· revenue and earnings expectations;

· general economic conditions;

· availability and cost of qualified physical therapists;

· personnel productivity and retaining key personnel;

· 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;

· acquisitions, purchase of non-controlling interests (minority interests) and the successful integration of the operations of the acquired businesses;

· maintaining adequate internal controls;

· maintaining necessary insurance coverage;

· our ability to design and maintain effective internal control over financial reporting and remediate the material weakness in internal control over financial reporting related to our accounting for redeemable non-controlling partnership interests;

· 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. Please see the other sections of this report and our other periodic reports filed with the Securities and Exchange Commission (the “SEC”) for more information on these factors. 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, regardless of the reason the statement may no longer be accurate.

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ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK.

We do not maintain any derivative instruments, interest rate swap arrangements, hedging contracts, futures contracts or the like. Our primary market risk exposure is the changes in interest rates obtainable on our Amended Credit Agreement. The interest on our Amended Credit Agreement is based on a variable rate. At September 30, 2017, $56.0 million was outstanding under our Amended Credit Agreement. Based on the balance of the Amended Credit Agreement at September 30, 2017, any change in the interest rate of 1% would yield a decrease or increase in annual interest expense of $560,000.

ITEM 4. CONTROLS AND PROCEDURES.

(a) Evaluation of Disclosure Controls and Procedures

Our management, including our Chief Executive Officer and Chief Financial Officer, has conducted an evaluation of the effectiveness of our disclosure controls and procedures (as defined in Rule 13a-15(e) promulgated under the Exchange Act) as of the end of the period covered by this report. Based upon that evaluation, our Chief Executive Officer and Chief Financial Officer have concluded that as a result of the material weakness in our internal control over financial reporting discussed in the Company’s Annual Report on Form 10-K, for the year ended December 31, 2016, our disclosure controls and procedures were not effective in ensuring that the information required to be disclosed in the reports we file or submit under the Exchange Act is recorded, processed, summarized and reported, within the time periods specified in the rules and forms of the SEC and that such information is accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, as appropriate to allow timely decisions regarding disclosure.

(b) Previously Reported Material Weaknesses in Internal Control over Financial Reporting

As discussed in the Company’s Annual Report on Form 10-K, for the year ended December 31, 2016, Management conducted an assessment of the effectiveness of our internal control over financial reporting as of December 31, 2016.  Based on this assessment, management concluded that our internal control over financial reporting was not effective as of December 31, 2016 as a result of the material weakness discussed below.

Redeemable non-controlling interests – We did not properly account for redeemable non-controlling interests. The Company’s business combination / purchase accounting controls relating to our accounting for redeemable non-controlling interests were not designed effectively to ensure that we correctly interpreted and applied technical accounting requirements concerning the classification of such interests on our consolidated financial statements.

Changes in Internal Control Over Financial Reporting

Other than the material weakness described above, there have been no changes in our internal control over financial reporting during the period covered by this report that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

Subsequent to the period covered by this report we implemented the following changes to our internal control over financial reporting process as it relates to redeemable non-controlling interests to begin to remediate the material weakness.

· The Assistant Controller reviews the language and terms of any new standard limited partnership agreement created by the Company’s legal department.  The sections which contain language having a potential accounting impact are identified and listed on the “Accounting Considerations for Limited Partnership Agreements” checklist.

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· For each new limited partnership agreement executed by the company’s legal department, the Assistant Controller obtains a completed and signed “Accounting Considerations for Limited Partnership Agreements” checklist from the company’s General Counsel indicating if the language having a potential accounting impact denoted on the checklist referenced above has changed.

· If a change is denoted on the “Accounting Considerations for Limited Partnership Agreements” checklist, the Corporate or Assistant Controller will review the agreement and research the changed language for accounting and disclosure implications.  If the nature of the language is such that interpretation is subjective, and Management does not believe they have the technical experience in that transaction type, research will include seeking outside counsel from a third party accounting expert, such as a consulting or accounting firm.  A memo is drafted with the appropriate facts and resolution and approved by the Corporate Controller and Chief Financial Officer.

Management believes the new process and controls stated above are thorough enough to identify and prevent the type of accounting error which occurred related to limited partnership agreements.

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PART II—OTHER INFORMATION

ITEM 1. LEGAL PROCEEDINGS.

We are involved in litigation and other proceedings arising in the ordinary course of business. On March 31, 2017, an alleged shareholder filed a putative class action lawsuit in the United States District Court for the Southern District of New York (the “Court”) against the Company, chief executive officer Christopher J. Reading, chief financial officer Lawrance C. McAfee and corporate controller Jon C. Bates, alleging, inter alia, that the defendants misstated or omitted to state material information concerning the Company’s historical accounting for redeemable non-controlling interests of acquired partnerships, in alleged violation of Sections 10(b) and 20(a) of the Securities Exchange Act of 1934. The complaint seeks a declaration that the action is a proper class action under Rule 23 of the Federal Rules of Civil Procedure, unspecified compensatory damages in an amount to be determined at trial and interest, costs and expenses.  On June 26, 2017, the Court appointed a lead plaintiff in the matter. On July 31, 2017, the lead plaintiff filed an amended complaint, alleging substantially the same violations and seeking substantially the same unspecified damages. The amended complaint also names Glenn McDowell, the Company’s Chief Operating Officer, as an additional defendant. The proceeding is in its initial stages and, except for position statements required by the Court to be submitted by both the plaintiff and defendants, the defendants have not yet answered, moved against or otherwise responded to the complaint, though they intend to file a motion to dismiss and defend themselves vigorously.

While the ultimate outcome of lawsuits or other proceedings cannot be predicted with certainty, we do not believe the impact of existing lawsuits or other proceedings will have a material impact on our business, financial condition or results of operations.

ITEM 6. EXHIBITS.

Exhibit Number	Description
31.1*	Rule 13a-14(a)/15d-14(a) Certification of Chief Executive Officer.
31.2*	Rule 13a-14(a)/15d-14(a) Certification of Chief Financial Officer.
31.3*	Rule 13a-14(a)/15d-14(a) Certification of Corporate Controller.
32*	Certification Pursuant to 18 U.S.C 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
101.INS*	XBRL Instance Document
101.SCH*	XBRL Taxonomy Extension Schema Document
101.CAL*	XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF*	XBRL Taxonomy Extension Definition Linkbase Document
101.LAB*	XBRL Taxonomy Extension Label Linkbase Document
101.PRE*	XBRL Taxonomy Extension Presentation Linkbase Document

* Filed herewith

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SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on our behalf by the undersigned thereunto duly authorized.

	U.S. PHYSICAL THERAPY, INC.
Date: November 7, 2017	By:	/s/ LAWRANCE W. MCAFEE
		Lawrance W. McAfee
		Chief Financial Officer
		(duly authorized officer and principal financial and accounting officer)
	By:	/s/ JON C. BATES
		Jon C. Bates
		Vice President/Corporate Controller

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INDEX OF EXHIBITS

Exhibit Number	Description
31.1*	Rule 13a-14(a)/15d-14(a) Certification of Chief Executive Officer.
31.2*	Rule 13a-14(a)/15d-14(a) Certification of Chief Financial Officer.
31.3*	Rule 13a-14(a)/15d-14(a) Certification of Corporate Controller.
32*	Certification Pursuant to 18 U.S.C 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
101.INS*	XBRL Instance Document
101.SCH*	XBRL Taxonomy Extension Schema Document
101.CAL*	XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF*	XBRL Taxonomy Extension Definition Linkbase Document
101.LAB*	XBRL Taxonomy Extension Label Linkbase Document
101.PRE*	XBRL Taxonomy Extension Presentation Linkbase Document

* Filed herewith

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EX-31.1

EXHIBIT 31.1

 CERTIFICATION

I, Christopher Reading, certify that:

1. I have reviewed this quarterly report on Form 10-Q of U.S. Physical Therapy, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a. Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b. Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c. Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d. Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a. All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b. Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

	/s/ CHRISTOPHER READING
	Christopher Reading
	President and Chief Executive Officer (principal executive officer)
Date: November 7, 2017

EX-31.2

EXHIBIT 31.2

CERTIFICATION

I, Lawrance W. McAfee, certify that:

1. I have reviewed this quarterly report on Form 10-Q of U.S. Physical Therapy, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a. Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b. Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c. Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d. Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a. All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b. Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

	/s/ LAWRANCE W. MCAFEE
	Lawrance W. McAfee
	Chief Financial Officer
	(principal financial and accounting officer)
Date: November 7, 2017

EX-31.3

EXHIBIT 31.3

CERTIFICATION

I, Jon C. Bates, certify that:

1. I have reviewed this quarterly report on Form 10-Q of U.S. Physical Therapy, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a. Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b. Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c. Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d. Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a. All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b. Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

	/s/ JON C. BATES
	Jon C. Bates
	Vice President/Corporate Controller
Date: November 7, 2017

EX-32

EXHIBIT 32

CERTIFICATION OF PERIODIC REPORT

In connection with the Quarterly Report of U.S. Physical Therapy, Inc. (the “Company”) on Form 10-Q for the quarterly period ended September 30, 2017, as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, Christopher J. Reading, President and Chief Executive Officer of the Company, Lawrance W. McAfee, Chief Financial Officer of the Company, and Jon C. Bates, Vice President and Corporate Controller of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

(1) the Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

November 7, 2017

/s/ CHRISTOPHER J. READING

Christopher J. Reading

Chief Executive Officer

/s/ LAWRANCE W. MCAFEE

Lawrance W. McAfee

Chief Financial Officer

/s/ JON C. BATES

Jon C. Bates

Vice President/Corporate Controller

This certification is made solely pursuant to the requirement of Section 1350 of 18 U.S.C., and is not for any other purpose. A signed original of this written statement required by Section 906 has been provided to U. S. Physical Therapy, Inc. and will be retained by U. S. Physical Therapy, Inc. and furnished to the Securities and Exchange Commission or its staff upon request.

XML

Document and Entity Information - shares	9 Months Ended
	Sep. 30, 2017	Nov. 07, 2017
Document And Entity Information [Abstract]
Entity Registrant Name	U S PHYSICAL THERAPY INC /NV
Entity Central Index Key	0000885978
Current Fiscal Year End Date	--12-31
Entity Well-known Seasoned Issuer	No
Entity Voluntary Filers	No
Entity Current Reporting Status	Yes
Entity Filer Category	Accelerated Filer
Entity Common Stock, Shares Outstanding		12,581,162
Document Fiscal Year Focus	2017
Document Fiscal Period Focus	Q3
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Sep. 30, 2017

XML

CONSOLIDATED BALANCE SHEETS (unaudited) - USD ($) $ in Thousands	Sep. 30, 2017	Dec. 31, 2016
Current assets:
Cash and cash equivalents	$ 17,418	$ 20,047
Patient accounts receivable, less allowance for doubtful accounts of $2,088 and $1,792, respectively	43,561	38,840
Accounts receivable - other	6,992	2,649
Other current assets	5,444	4,428
Total current assets	73,415	65,964
Fixed assets:
Furniture and equipment	51,822	48,426
Leasehold improvements	28,449	26,765
Fixed assets, gross	80,271	75,191
Less accumulated depreciation and amortization	59,517	56,018
Fixed assets, net	20,754	19,173
Goodwill	268,050	226,806
Other identifiable intangible assets, net	47,568	38,060
Other assets	1,200	1,228
Total assets	410,987	351,231
Current liabilities:
Accounts payable - trade	1,754	1,634
Accrued expenses	31,492	21,756
Current portion of notes payable	2,745	1,227
Total current liabilities	35,991	24,617
Notes payable, net of current portion	3,952	4,596
Revolving line of credit	56,000	46,000
Mandatorily redeemable non-controlling interests	84,311	69,190
Deferred taxes	16,027	15,736
Deferred rent	1,875	1,575
Other long-term liabilities	815	829
Total liabilities	198,971	162,543
Redeemable non-controlling interests	12,079	0
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	0	0
Common stock, $.01 par value, 20,000,000 shares authorized, 14,795,899 and 14,732,699 shares issued, respectively	147	147
Additional paid-in capital	72,262	68,687
Retained earnings	157,702	150,342
Treasury stock at cost, 2,214,737 shares	(31,628)	(31,628)
Total USPH shareholders' equity	198,483	187,548
Non-controlling interests	1,454	1,140
Total USPH shareholders' equity and non-controlling interests	199,937	188,688
Total liabilities, redeemable non-controlling interests, USPH shareholders' equity and non-controlling interests	$ 410,987	$ 351,231

XML

CONSOLIDATED BALANCE SHEETS (unaudited) (Parenthetical) - USD ($) $ in Thousands	Sep. 30, 2017	Dec. 31, 2016
Current assets:
Allowance for doubtful accounts, patient accounts receivable	$ 2,088	$ 1,792
U.S. Physical Therapy, Inc. ("USPH") shareholders' equity:
Preferred stock, par value (in dollars per share)	$ 0.01	$ 0.01
Preferred stock, shares authorized (in shares)	500,000	500,000
Preferred stock, shares issued (in shares)	0	0
Preferred stock, shares outstanding (in shares)	0	0
Common stock, par value (in dollars per share)	$ 0.01	$ 0.01
Common stock, shares authorized (in shares)	20,000,000	20,000,000
Common stock, shares issued (in shares)	14,795,899	14,732,699
Treasury stock (in shares)	2,214,737	2,214,737

XML

CONSOLIDATED STATEMENTS OF NET INCOME (unaudited) - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2017	Sep. 30, 2016	Sep. 30, 2017	Sep. 30, 2016
CONSOLIDATED STATEMENTS OF NET INCOME (unaudited) [Abstract]
Net patient revenues	$ 96,273	$ 86,411	$ 287,584	$ 259,893
Other revenues	6,759	1,933	17,264	5,789
Net revenues	103,032	88,344	304,848	265,682
Operating costs:
Salaries and related costs	60,306	49,868	174,912	146,509
Rent, supplies, contract labor and other	20,600	17,885	60,720	52,938
Provision for doubtful accounts	930	917	2,716	2,962
Closure costs	4	9	27	54
Total operating costs	81,840	68,679	238,375	202,463
Gross margin	21,192	19,665	66,473	63,219
Corporate office costs	8,304	7,610	25,707	24,640
Operating income	12,888	12,055	40,766	38,579
Interest and other income, net	11	21	58	62
Interest expense:
Mandatorily redeemable non-controlling interests - change in redemption value	(1,247)	(1,934)	(7,839)	(6,056)
Mandatorily redeemable non-controlling interests - earnings allocable	(1,285)	(929)	(4,366)	(3,146)
Debt and other	(641)	(326)	(1,572)	(954)
Total interest expense	(3,173)	(3,189)	(13,777)	(10,156)
Income before taxes	9,726	8,887	27,047	28,485
Provision for income taxes	3,132	2,753	8,029	8,727
Net income	6,594	6,134	19,018	19,758
Less: net income attributable to non-controlling interests	(1,444)	(1,330)	(4,111)	(4,454)
Net income attributable to USPH shareholders	$ 5,150	$ 4,804	$ 14,907	$ 15,304
Basic and diluted earnings per share attributable to USPH shareholders (in dollars per share)	$ 0.41	$ 0.38	$ 1.19	$ 1.22
Shares used in computation - basic (in shares)	12,581	12,520	12,563	12,494
Shares used in computation - diluted (in shares)	12,581	12,520	12,563	12,494
Dividends declared per common share (in dollars per share)	$ 0.20	$ 0.17	$ 0.60	$ 0.51

XML

CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2017	Sep. 30, 2016
OPERATING ACTIVITIES
Net income including non-controlling interests	$ 19,018	$ 19,758
Adjustments to reconcile net income including non-controlling interests to net cash provided by operating activities:
Depreciation and amortization	7,269	6,210
Provision for doubtful accounts	2,716	2,962
Loss on sale of fixed assets	83	31
Equity-based awards compensation expense	3,410	3,748
Deferred income tax	291	3,238
Changes in operating assets and liabilities:
Increase in patient accounts receivable	(1,914)	(2,548)
(Increase) decrease in accounts receivable - other	(4,736)	116
Increase in other assets	(787)	(4,979)
Increase in accounts payable and accrued expenses	8,126	3,582
Increase in mandatorily redeemable non-controlling interests	7,069	5,372
Increase in other liabilities	286	1,506
Net cash provided by operating activities	40,831	38,996
INVESTING ACTIVITIES
Purchase of fixed assets	(5,576)	(5,620)
Purchase of businesses, net of cash acquired	(33,740)	(12,958)
Acquisitions of non-controlling interests	0	(664)
Proceeds on sale of fixed assets, net	67	42
Net cash used in investing activities	(39,249)	(19,200)
FINANCING ACTIVITIES
Distributions to non-controlling interests	(3,698)	(4,441)
Cash dividends paid to shareholders	(7,547)	(6,382)
Proceeds from revolving line of credit	63,000	128,000
Payments on revolving line of credit	(53,000)	(136,000)
Payments to settle mandatorily redeemable non-controlling interests	(2,230)	(1,136)
Principal payments on notes payable	(776)	(592)
Other	40	1
Net cash used in financing activities	(4,211)	(20,550)
Net increase in cash and cash equivalents	(2,629)	(754)
Cash and cash equivalents - beginning of period	20,047	15,778
Cash and cash equivalents - end of period	17,418	15,024
Cash paid during the period for:
Income taxes	8,059	10,051
Interest	1,616	770
Non-cash investing and financing transactions during the period:
Purchase of business - seller financing portion	1,650	500
Acquisition of non-controlling interest - seller financing portion	0	388
Payment to settle redeemable non-controlling interest - financing portion	0	126
Sale of non-controlling interests	$ 0	$ (148)

XML

CONSOLIDATED STATEMENT OF SHAREHOLDERS' EQUITY (unaudited) - 9 months ended Sep. 30, 2017 - USD ($) shares in Thousands, $ in Thousands	Common Stock [Member]	Additional Paid-In Capital [Member]	Retained Earnings [Member]	Treasury Stock [Member]	Total Shareholders' Equity [Member]	Non-controlling Interests [Member]	Total
Beginning balance at Dec. 31, 2016	$ 147	$ 68,687	$ 150,342	$ (31,628)	$ 187,548	$ 1,140	$ 188,688
Beginning balance (in shares) at Dec. 31, 2016	14,733			(2,215)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of restricted stock	$ 0	0	0	$ 0	0	0	0
Issuance of restricted stock (in shares)	63
Compensation expense - equity-based awards	$ 0	3,410	0	0	3,410	0	3,410
Transfer of compensation liability for certain stock issued pursuant to long-term incentive plans	0	165	0	0	165	0	165
Distribution to non-controlling interest partners	0	0	0	0	0	(3,682)	(3,682)
Contributions from non-controlling interest partners	0	0	0	0	0	40	40
Dividends declared to USPH shareholders	0	0	(7,547)	0	(7,547)	0	(7,547)
Net income	0	0	14,907	0	14,907	3,956	18,863
Ending balance at Sep. 30, 2017	$ 147	$ 72,262	$ 157,702	$ (31,628)	$ 198,483	$ 1,454	$ 199,937
Ending balance (in shares) at Sep. 30, 2017	14,796			(2,215)

XML

BASIS OF PRESENTATION AND SIGNIFICANT ACCOUNTING POLICIES

9 Months Ended

Sep. 30, 2017

BASIS OF PRESENTATION AND SIGNIFICANT ACCOUNTING POLICIES [Abstract]

BASIS OF PRESENTATION AND SIGNIFICANT ACCOUNTING POLICIES

1. BASIS OF PRESENTATION AND SIGNIFICANT ACCOUNTING POLICIES

The consolidated financial statements include the accounts of U.S. Physical Therapy, Inc. and its subsidiaries (the “Company”). All significant intercompany transactions and balances have been eliminated. The Company primarily operates through subsidiary clinic partnerships, in which the Company generally owns a 1% general partnership interest in all the Clinic Partnerships. Our limited partnership interests range from 49% to 99% in the Clinic Partnerships.  The managing therapist of each clinic owns, directly or indirectly, the remaining limited partnership interest in the majority of the clinics (hereinafter referred to as “Clinic Partnerships”). To a lesser extent, the Company operates some clinics, through wholly-owned subsidiaries, under profit sharing arrangements with therapists (hereinafter referred to as “Wholly-Owned Facilities”).

The Company continues to seek to attract for employment physical therapists who have established relationships with physicians and other referral sources by offering these therapists a competitive salary and incentives based on the profitability of the clinic that they manage. The Company also looks for therapists with whom to establish new, de novo clinics to be owned jointly by the Company and such therapists; in these situations, the therapist is offered the opportunity to co-invest in the new clinic and also receives a competitive salary for managing the clinic. For multi-site clinic practices in which a controlling interest is acquired by the Company, the prior owners typically continue on as employees to manage the clinic operations, retaining a non-controlling ownership interest in the clinics and receiving a competitive salary for managing the clinic operations. In addition, we have developed satellite clinic facilities as part of existing Clinic Partnerships and Wholly-Owned facilities, with the result that a substantial number of Clinic Partnerships and Wholly-Owned facilities operate more than one clinic location. In 2017, we intend to continue to acquire clinic practices and continue to focus on developing new clinics and on opening satellite clinics where appropriate along with increasing our patient volume through marketing and new programs.

During the first nine months of 2017 and the year ended 2016, the Company acquired an interest in the following clinic groups:

	Date	% Interest Acquired			Number of Clinics
	2017
June 2017 Acquisition	June 30		60	%		9
May 2017 Acquisition	May 31		70	%		4
January 2017 Acquisition	January 1		70	%		17
	2016
February 2016 Acquisition	February 29		55	%		8
November 2016 Acquisition	November 30		60	%		12

In addition to the above clinic groups, in March 2017, the Company acquired a 55% interest in a company which is a leading provider of workforce performance solutions. Services provided include onsite injury prevention and rehabilitation, performance optimization and ergonomic assessments. The majority of these services are contracted with and paid for directly by employers including a number of Fortune 500 companies. Other clients include large insurers and their contractors. Also, during the first nine months of 2017, the Company purchased the assets and business of two physical therapy clinics in separate transactions. One clinic was consolidated with an existing clinic and the other operates as a satellite clinic of one of the existing partnerships.

As of September 30, 2017, the Company operated 569 clinics in 41 states.  The Company also manages physical therapy facilities for third parties, primarily physicians, with 30 third-party facilities under management as of September 30, 2017.

The results of operations of the acquired clinics have been included in the Company’s consolidated financial statements since the date of their respective acquisition.  The Company intends to continue to pursue additional acquisition opportunities, develop new clinics and open satellite clinics.

The accompanying unaudited consolidated financial statements were prepared in accordance with accounting principles generally accepted in the United States of America for interim financial information and in accordance with the instructions for Form 10-Q. However, the statements do not include all of the information and footnotes required by accounting principles generally accepted in the United States of America for complete financial statements. Management believes this report contains all necessary adjustments (consisting only of normal recurring adjustments) to present fairly, in all material respects, the Company’s financial position, results of operations and cash flows for the interim periods presented. For further information regarding the Company’s accounting policies, please read the audited financial statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2016.

The Company believes, and the Chief Executive Officer, Chief Financial Officer and Corporate Controller have certified, that the financial statements included in this report present fairly, in all material respects, the Company’s financial position, results of operations and cash flows for the interim periods presented.

Operating results for the nine months ended September 30, 2017 are not necessarily indicative of the results the Company expects for the entire year.  Please also review the Risk Factors section included in our Annual Report on Form 10-K for the year ended December 31, 2016.

Clinic Partnerships

For non-acquired Clinic Partnerships, the earnings and liabilities attributable to the non-controlling interests, typically owned by the managing therapist, directly or indirectly, are recorded within the balance sheets and income statements as non-controlling interests.  For acquired Clinic Partnerships with mandatorily redeemable non-controlling interests, the earnings and liabilities attributable to the non-controlling interest are recorded within the statements of net income line items: Interest expense – mandatorily redeemable non-controlling interests – earnings allocable and in the balance sheet line item: Mandatorily redeemable non-controlling interests.  For acquired Clinic Partnerships with redeemable non-controlling interests, the earnings attributable to the redeemable non-controlling interests are recorded within the statements of net income line item – net income attributable to non-controlling interests and the equity interests are recorded on the balance sheet as redeemable non-controlling interests.

Wholly-Owned Facilities

For Wholly-Owned Facilities with profit sharing arrangements, an appropriate accrual is recorded for the amount of profit sharing due to the profit sharing therapists. The amount is expensed as compensation and included in operating costs – salaries and related costs. The respective liability is included in current liabilities – accrued expenses on the balance sheets.

Restatement of Prior Financial Statements

As disclosed in our Form 8-K filed March 16, 2017, and further described in our Annual Report on Form 10-K for the year ended December 31, 2016 filed on June 7, 2017, prior to issuing the 2016 annual financial statements, the Company determined it had previously incorrectly accounted for the non-controlling interests in the Company’s subsidiary clinic partnerships that were mandatorily redeemable. Management and the Company’s board of directors concluded this error was material to previously issued annual and quarterly consolidated financial statements.  Additional information regarding the restatement is available in the Company’s Annual Report on Form 10-K for the year ended December 31, 2016. Financial information in this Form 10-Q related to all periods prior to the quarter ended December 31, 2016 has been amended where necessary to reflect the restatement. Therefore, this Form 10-Q should be read in conjunction with the Company’s Annual Report on Form 10-K for the year ended December 31, 2016.

Significant Accounting Policies

Cash Equivalents

The Company maintains its cash and cash equivalents at financial institutions.  The combined account balances at several institutions typically exceed Federal Deposit Insurance Corporation (“FDIC”) insurance coverage and, as a result, there is a concentration of credit risk related on deposits in excess of FDIC insurance coverage. Management believes that the risk is not significant.

Long-Lived Assets

Fixed assets are stated at cost. Depreciation is computed on the straight-line method over the estimated useful lives of the assets. Estimated useful lives for furniture and equipment range from three to eight years and for software purchased from three to seven years. Leasehold improvements are amortized over the shorter of the lease term or estimated useful lives of the assets, which is generally three to five years.

Impairment of Long-Lived Assets and Long-Lived Assets to Be Disposed Of

The Company reviews property and equipment and intangible assets with finite lives for impairment upon the occurrence of certain events or circumstances which indicate that the amounts may be impaired. Assets to be disposed of are reported at the lower of the carrying amount or fair value less costs to sell.

Goodwill

Goodwill represents the excess of the amount paid and fair value of the non-controlling interests over the fair value of the acquired business assets, which include certain identifiable intangible assets. Historically, goodwill has been derived from acquisitions and, prior to 2009, from the purchase of some or all of a particular local management’s equity interest in an existing clinic. Effective January 1, 2009, if the purchase price of a non-controlling interest related to non-acquired Clinic Partnerships by the Company exceeds or is less than the book value at the time of purchase, any excess or shortfall is recognized as an adjustment to additional paid-in capital.

The carrying value of goodwill and other identifiable intangible assets with indefinite lives are tested for impairment annually and upon the occurrence of certain events, and are written down to fair value if considered impaired. The Company evaluates goodwill for impairment on at least an annual basis (in its third quarter) by comparing the fair value of its reporting units to the carrying value of each reporting unit including related goodwill. The Company’s business is primarily made up of various clinics within partnerships. The partnerships are components of regions and are aggregated to the operating segment level for the purpose of determining the Company’s reporting units when performing its annual goodwill impairment test. In the third quarter of 2017, there were six regions.

An impairment loss generally would be recognized when the carrying amount of the net assets of a reporting unit, inclusive of goodwill and other identifiable intangible assets, exceeds the estimated fair value of the reporting unit. The estimated fair value of a reporting unit is determined using two factors: (i) earnings prior to taxes, depreciation and amortization for the reporting unit multiplied by a price/earnings ratio used in the industry and (ii) a discounted cash flow analysis. A weight is assigned to each factor and the sum of each weight times the factor is considered the estimated fair value. For 2017, the factors (i.e., price/earnings ratio, discount rate and residual capitalization rate) were updated to reflect current market conditions. The evaluation of goodwill in 2017 did not result in any goodwill amounts that were deemed impaired.

The Company has not identified any triggering events occurring after the testing date that would impact the impairment testing results obtained. Factors which could result in future impairment charges include but are not limited to:

· cost, risks and uncertainties associated with the Company’s recent restatement of its prior financial statements due to the correction of its accounting methodology for redeemable noncontrolling partnership interests, and including any pending and future claims or proceedings relating to such matters;

· changes as the result of government enacted national healthcare reform;

· changes in Medicare rules and guidelines and reimbursement or failure of our clinics to maintain their Medicare certification or enrollment status;

· revenue we receive from Medicare and Medicaid being subject to potential retroactive reduction;

· business and regulatory conditions including federal and state regulation;

· governmental and other third party payor inspections, reviews, investigations and audits;

· 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;

· legal actions, which could subject us to increased operating costs and uninsured liabilities;

· changes in reimbursement rates or payment methods from third party payors including government agencies and deductibles and co-pays owed by patients;

· revenue and earnings expectations;

· general economic conditions;

· availability and cost of qualified physical and occupational therapists;

· personnel productivity and retaining key personnel;

· competitive, economic or reimbursement conditions in our markets which may require us to reorganize or close certain operations and thereby incur losses and/or closure costs including the possible write-down or write-off of goodwill and other intangible assets;

· acquisitions, purchases of non-controlling interests (minority interests) and the successful integration of the operations of the acquired business;

· maintaining necessary insurance coverage;

· availability, terms, and use of capital; and

· weather and other seasonal factors.

Mandatorily Redeemable Non-Controlling Interests

The non-controlling interests that are reflected as mandatorily redeemable non-controlling interests in the consolidated financial statements consist of those owners who have certain redemption rights, whether currently exercisable or not, and which currently, or in the future, require that the Company purchase the non-controlling interest of those owners at a predetermined formula based on a multiple of trailing twelve months earnings performance as defined in the respective limited partnership agreements.  The redemption rights are triggered at such time as both of the following events have occurred: 1) termination of the owner’s employment, regardless of the reason for such termination, and 2) the passage of specified number of years after the closing of the transaction, typically three to five years, as defined in the limited partnership agreement.

On the date the Company acquires a controlling interest in a partnership and the limited partnership agreement contains mandatory redemption rights, the fair value of the non-controlling interest is recorded in the long-term liabilities section of the consolidated balance sheet under the caption – Mandatorily redeemable non-controlling interests.  Then, in each reporting period thereafter until it is purchased by the Company, the redeemable non-controlling interest is adjusted to its then current redemption value, based on the predetermined formula defined in the respective limited partnership agreement.  The Company reflects any adjustment in the redemption value and any earnings attributable to the mandatorily redeemable non-controlling interest in its consolidated statements of net income by recording the adjustments and earnings to other income and expense in the captions - Interest expense – mandatorily redeemable non-controlling interests – change in redemption value and Interest expense – mandatorily redeemable non-controlling interests – earnings allocable.

Redeemable Non-Controlling Interests

The non-controlling interests that are reflected as redeemable non-controlling interests in the consolidated financial statements consist of those owners who have certain redemption rights, whether currently exercisable or not, and which currently, or in the future, require that the Company purchase the non-controlling interest of those owners, if certain conditions are met and the owners request the purchase.  The purchase price is derived at a predetermined formula based on a multiple of trailing twelve months earnings performance as defined in the respective limited partnership agreements.  The redemption rights can be triggered by the owner at such time as both of the following events have occurred: 1) termination of the owner’s employment, regardless of the reason for such termination, and 2) the passage of specified number of years after the closing of the transaction, typically three to five years, as defined in the limited partnership agreement.  The redemption rights are not automatic (even upon death) and require either the owner or the Company to exercise its rights when the conditions triggering the redemption rights have been satisfied.

On the date the Company acquires a controlling interest in a partnership and the limited partnership agreement contains redemption rights not under the control of the Company, the fair value of the non-controlling interest is recorded in the consolidated balance sheet under the caption – Redeemable non-controlling interests.  Then, in each reporting period thereafter until it is purchased by the Company, the redeemable non-controlling interest is adjusted to the greater of its then current redemption value or initial value, based on the predetermined formula defined in the respective limited partnership agreement.  As a result, the value of the non-controlling interest is not adjusted below its initial value.  The Company records any adjustment in the redemption value, net of tax, directly to retained earnings and are not reflected in the statements of net income.  Although the adjustments are not reflected in the statements of net income, current accounting rules require that the Company reflects the adjustments, net of tax, in the earnings per share calculation.  The amount of net income attributable to redeemable non-controlling interest owners is included in consolidated net income on the face of the income statement.

Non-Controlling Interests

The Company recognizes non-controlling interests as equity in the consolidated financial statements separate from the parent entity’s equity. Changes in a parent entity’s ownership interest in a subsidiary that do not result in deconsolidation are treated as equity transactions if the parent entity retains its controlling financial interest. The Company recognizes a gain or loss in net income when a subsidiary is deconsolidated. Such gain or loss is measured using the fair value of the non-controlling interest on the deconsolidation date.

When the purchase price of a non-controlling interest by the Company exceeds or is less than the book value at the time of purchase, any excess or shortfall, as applicable, is recognized as an adjustment to additional paid-in capital. Additionally, operating losses are allocated to non-controlling interests even when such allocation creates a deficit balance for the non-controlling interest partner.

Revenue Recognition

Revenues are recognized in the period in which services are rendered. Net patient revenues (patient revenues less estimated contractual adjustments) are reported at the estimated net realizable amounts from third-party payors, patients and others for services rendered. The Company has agreements with third-party payors that provide for payments to the Company at amounts different from its established rates. The allowance for estimated contractual adjustments is based on terms of payor contracts and historical collection and write-off experience.

The Company determines allowances for doubtful accounts based on the specific agings and payor classifications at each clinic. The provision for doubtful accounts is included in operating costs in the statement of net income. Net accounts receivable, which are stated at the historical carrying amount net of contractual allowances, write-offs and allowance for doubtful accounts, includes only those amounts the Company estimates to be collectible.

Medicare Reimbursement

The Medicare program reimburses outpatient rehabilitation providers based on the Medicare Physician Fee Schedule (‘‘MPFS’’). The MPFS rates have historically been subject to an automatic annual update based on a formula, called the sustainable growth rate (‘‘SGR’’) formula. The use of the SGR formula would have resulted in calculated automatic reductions in rates in every year since 2002; however, for each year through September 30, 2015, Centers for Medicare & Medicaid Services (‘‘CMS’’) or Congress has taken action to prevent the implementation of SGR formula reductions. On April 16, 2015, the Medicare Access and CHIP Reauthorization Act of 2015 (‘‘MACRA’’) was signed into law, eliminating the SGR formula and the associated annual automatic rate reductions.  The MACRA promotes the development of new payment models that focus on quality and outcomes.  As a result of MACRA and CMS’ adjustment to the applicable conversion factor, the net fee schedule payment rates were increased for 2017 by 0.24%.  For 2018 and 2019, a 0.5% increase will be applied each year to the fee schedule payment rates, unless further adjusted by CMS. On November 2, 2017, CMS published the final rule updating the MPFS rates for 2018. CMS has estimated that the overall impact of the revised fee schedule on providers of physical and occupational therapy will be approximately a reduction of 2.0%. However, the actual impact on the Company will depend on the composition of the CPT codes billed by the Company, which the Company is in the process of evaluating.

The Budget Control Act of 2011 increased the federal debt ceiling in connection with deficit reductions over the next ten years, and requires automatic reductions in federal spending by approximately $1.2 trillion. Payments to Medicare providers are subject to these automatic spending reductions, subject to a 2% cap. On April 1, 2013, a 2% reduction to Medicare payments was implemented. The Bipartisan Budget Act of 2015, enacted on November 2, 2015, extends the 2% reductions to Medicare payments through fiscal year 2025.

As a result of the Balanced Budget Act of 1997, the formula for determining the total amount paid by Medicare in any one year for outpatient physical therapy, occupational therapy, and/or speech/language pathology services provided to any Medicare beneficiary (i.e., the ‘‘Therapy Cap’’ or ‘‘Limit’’) was established. Based on the statutory definitions which constrained how the Therapy Cap would be applied, there is one Limit for Physical Therapy and Speech Language Pathology Services combined, and one Limit for Occupational Therapy. For 2017, the annual Limit on outpatient therapy services is $1,980 for Physical and Speech Language Pathology Services combined and $1,980 for Occupational Therapy Services. Historically, these Therapy Caps applied to outpatient therapy services provided in all settings, except for services provided in departments of hospitals. However, the Protecting Access to Medicare Act of 2014, and prior legislation, extended the Therapy Caps to services furnished in hospital outpatient department settings. The application of these annual limits to hospital outpatient department settings will sunset on December 31, 2017 unless Congress extends it.

In the Deficit Reduction Act of 2005, Congress implemented an exceptions process to the annual Limit for therapy expenses for therapy services above the annual Limit. Therapy services above the annual Limit that are medically necessary satisfy an exception to the annual Limit and such claims are payable by the Medicare program. The MACRA extended the exceptions process for outpatient therapy caps through December 31, 2017. Unless Congress extends the exceptions process further, the exceptions no longer will be available in those outpatient therapy setting where the annual Limits are applicable. For any claim above the annual Limit, the claim must contain a modifier indicating that the services are medically necessary and justified by appropriate documentation in the medical record.

Furthermore, under the Middle Class Tax Relief and Job Creation Act of 2012 (‘‘MCTRA’’), since October 1, 2012, patients who met or exceeded $3,700 in therapy expenditures during a calendar year have been subject to a manual medical review to determine whether applicable payment criteria are satisfied. The $3,700 threshold is applied to Physical Therapy and Speech Language Pathology Services; a separate $3,700 threshold is applied to the Occupational Therapy. The MACRA directed CMS to modify the manual medical review process such that those reviews will no longer apply to all claims exceeding the $3,700 threshold and instead will be determined on a targeted basis based on a variety of factors that CMS considers appropriate.

CMS adopted a multiple procedure payment reduction (‘‘MPPR’’) for therapy services in the final update to the MPFS for calendar year 2011. The MPPR applied to all outpatient therapy services paid under Medicare Part B — occupational therapy, physical therapy and speech-language pathology. Under the policy, the Medicare program pays 100% of the practice expense component of the Relative Value Unit (‘‘RVU’’) for the therapy procedure with the highest practice expense RVU, then reduces the payment for the practice expense component for the second and subsequent therapy procedures or units of service furnished during the same day for the same patient, regardless of whether those therapy services are furnished in separate sessions. Since 2013, the practice expense component for the second and subsequent therapy service furnished during the same day for the same patient was reduced by 50%. In addition, the MCTRA directed CMS to implement a claims-based data collection program to gather additional data on patient function during the course of therapy in order to better understand patient conditions and outcomes. All practice settings that provide outpatient therapy services are required to include this data on the claim form. Since 2013, therapists have been required to report new codes and modifiers on the claim form that reflect a patient’s functional limitations and goals at initial evaluation, periodically throughout care, and at discharge, CMS has rejected claims if the required data is not included in the claim.

The Physician Quality Reporting System, or ‘‘PQRS,’’ is a CMS reporting program that uses a combination of incentive payments and payment reductions to promote reporting of quality information by ‘‘eligible professionals.’’ Although physical therapists, occupational therapists and qualified speech-language therapists were generally able to participate in the PQRS program, therapy professionals for whose services we bill through our certified rehabilitation agencies cannot participate because the Medicare claims processing systems currently cannot accommodate institutional providers such as certified rehabilitation agencies. Eligible professionals, such as those of our therapy professionals for whose services we bill using their individual Medicare provider numbers, who do not satisfactorily report data on quality measures are subject to a 2% reduction in their Medicare payment in 2017. As required under the MACRA, the PQRS program has been replaced with the Merit-Based Incentive Payment System (MIPS) on January 1, 2017. Physical therapists and occupational therapists are not required to participate in the MIPS program until January 1, 2019 or later, as determined by CMS.

Statutes, regulations, and payment rules governing the delivery of therapy services to Medicare beneficiaries are complex and subject to interpretation. The Company believes that it is in compliance in all material respects with all applicable laws and regulations and is not aware of any pending or threatened investigations involving allegations of potential wrongdoing that would have a material effect on the Company’s financial statements as of September 30, 2017. Compliance with such laws and regulations can be subject to future government review and interpretation, as well as significant regulatory action including fines, penalties, and exclusion from the Medicare program. For the nine months ended September 30, 2017, net revenue from Medicare accounts for approximately $68.5 million.

Management Contract Revenues

Management contract revenues are derived from contractual arrangements whereby the Company manages a clinic for third party owners. The Company does not have any ownership interest in these clinics. Typically, revenues are determined based on the number of visits conducted at the clinic and recognized when services are performed. Costs, typically salaries for the Company’s employees, are recorded when incurred. Management contract revenues are included in “other revenues” in the accompanying Consolidated Statements of Net Income.

Contractual Allowances

Contractual allowances result from the differences between the rates charged for services performed and expected reimbursements by both insurance companies and government sponsored healthcare programs for such services. Medicare regulations and the various third party payors and managed care contracts are often complex and may include multiple reimbursement mechanisms payable for the services provided in Company clinics. The Company estimates contractual allowances based on its interpretation of the applicable regulations, payor contracts and historical calculations. Each month the Company estimates its contractual allowance for each clinic based on payor contracts and the historical collection experience of the clinic and applies an appropriate contractual allowance reserve percentage to the gross accounts receivable balances for each payor of the clinic. Based on the Company’s historical experience, calculating the contractual allowance reserve percentage at the payor level is sufficient to allow the Company to provide the necessary detail and accuracy with its collectability estimates. However, the services authorized and provided and related reimbursement are subject to interpretation that could result in payments that differ from the Company’s estimates. Payor terms are periodically revised necessitating continual review and assessment of the estimates made by management. The Company’s billing system does not capture the exact change in its contractual allowance reserve estimate from period to period in order to assess the accuracy of its revenues and hence its contractual allowance reserves. Management regularly compares its cash collections to corresponding net revenues measured both in the aggregate and on a clinic-by-clinic basis. In the aggregate, the historical difference between net revenues and corresponding cash collections has generally reflected a difference within approximately 1% of net revenues. Additionally, analysis of subsequent period’s contractual write-offs on a payor basis reflects a difference within approximately 1% between the actual aggregate contractual reserve percentage as compared to the estimated contractual allowance reserve percentage associated with the same period end balance. As a result, the Company believes that a change in the contractual allowance reserve estimate would not likely be more than 1% at September 30, 2017.

Income Taxes

Income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax basis and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date.

The Company recognizes the financial statement benefit of a tax position only after determining that the relevant tax authority would more likely than not sustain the position following an audit. For tax positions meeting the more-likely-than-not threshold, the amount to be recognized in the financial statements is the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement with the relevant tax authority.

The Company did not have any accrued interest or penalties associated with any unrecognized tax benefits nor was any interest expense recognized during the nine months ended September 30, 2017. The Company will book any interest or penalties, if required, in interest and/or other income/expense as appropriate.

Fair Value of Financial Instruments

The carrying amounts reported in the balance sheets for cash and cash equivalents, accounts receivable, accounts payable and notes payable approximate their fair values due to the short-term maturity of these financial instruments. The carrying amount under the Amended Credit Agreement approximates its fair value. The interest rate on the Amended Credit Agreement, which is tied to the Eurodollar Rate, is set at various short-term intervals, as detailed in the Amended Credit Agreement.

Segment Reporting

Operating segments are components of an enterprise for which separate financial information is available that is evaluated regularly by chief operating decision makers in deciding how to allocate resources and in assessing performance.  The Company identifies operating segments based on management responsibility and believes it meets the criteria for aggregating its operating segments into a single reporting segment.

Use of Estimates

In preparing the Company’s consolidated financial statements, management makes certain estimates and assumptions, especially in relation to, but not limited to, purchase accounting, goodwill impairment, allowance for receivables, tax provision and contractual allowances, that affect the amounts reported in the consolidated financial statements and related disclosures. Actual results may differ from these estimates.

Self-Insurance Program

The Company utilizes a self-insurance plan for its employee group health insurance coverage administered by a third party. Predetermined loss limits have been arranged with the insurance company to minimize the Company’s maximum liability and cash outlay. Accrued expenses include the estimated incurred but unreported costs to settle unpaid claims and estimated future claims. Management believes that the current accrued amounts are sufficient to pay claims arising from self-insurance claims incurred through September 30, 2017.

Restricted Stock

Restricted stock issued to employees and directors is subject to continued employment or continued service on the board, respectively. Generally, restrictions on the stock granted to employees, other than officers, lapse in equal annual installments on the following four anniversaries of the date of grant. For those shares granted to directors, the restrictions will lapse in equal quarterly installments during the first year after the date of grant. For those granted to officers, the restriction will lapse in equal quarterly installments during the four years following the date of grant. Compensation expense for grants of restricted stock is recognized based on the fair value per share on the date of grant amortized over the vesting period. The restricted stock issued is included in basic and diluted shares for the earnings per share computation.

Recently Adopted Accounting Guidance

In March 2016, the FASB issued guidance to simplify some provisions in stock compensation accounting.  The guidance amends how excess tax benefits and a company’s payments to cover tax bills for the recipients’ shares should be classified.  Prior to this guidance, excess tax benefits were recorded in additional paid-in capital, but will now become a component of the income tax provision/benefit in the period in which they occur.  This guidance allows companies to estimate the number of stock awards expected to vest and revises the withholding requirements for classifying stock awards as equity.  For public business entities, this guidance is effective for fiscal years starting after December 15, 2016, including interim periods within those fiscal years but early adoption is allowed.  The Company adopted this accounting treatment in the fourth quarter of 2016 and retrospectively adjusted each quarter period in 2016.  The adoption increased earnings, by decreasing the tax provision, by $0.2 million for the three months ended September 30, 2017 and 2016 and by $1.1 million in the first nine months of 2017 and $0.8 million in the first nine months of 2016.  The election to record forfeitures in the period they occur is consistent with the Company’s past approach, due to the immateriality of past forfeitures, and the Company believes the effect to be immaterial on the consolidated financial statements.

Recently Issued Accounting Guidance

In January 2017, the FASB issued ASU 2017-04, Simplifying the Test for Goodwill Impairment (Topic 350), which eliminates the requirement to calculate the implied fair value of goodwill to measure a goodwill impairment change. ASU 2017-04 is effective prospectively for fiscal years, and the interim periods within those years, beginning after December 15, 2019. The Company is currently evaluating the impact of adopting this ASU on our consolidated financial statements and do not expect adoption to have a material impact.

In February 2016, the FASB issued amended accounting guidance (ASU 2016-02 - Leases) which replaced most existing lease accounting guidance under U. S. generally accepted accounting principles. Among other changes, the amended guidance requires that a right-to-use asset, which is an asset that represents the lessee’s right to use, and a lease liability, which is a lessee’s obligation to make lease payments arising for a lease measured on a discounted basis, be recognized on the balance sheet by lessees for those leases with a term of greater than 12 months. The amended guidance is effective for reporting periods beginning after December 15, 2018; however, early adoption is permitted. Entities are required to use a modified retrospective approach for leases that exist or are entered into after the beginning of the earliest comparative period in the financial statements.

Since the Company leases all but one of its clinic facilities, upon adoption, the Company will recognize significant assets and liabilities on the consolidated balance sheets as a result of the operating lease obligations of the Company. Operating lease expense will still be recognized as rent expense on a straight-line basis over the respective lease terms in the consolidated statements of operations.

The Company will implement the new standard beginning January 1, 2019. The Company’s implementation efforts are focused on populating the data in a lease accounting software package and developing internal controls in order to account for its leases under the new standard.

In May 2014, March 2016, April 2016, and December 2016, the FASB issued ASU 2014-09, Revenue from Contracts with Customers, ASU 2016-08, Revenue from Contracts with Customers, Principal versus Agent Considerations, ASU 2016-10, Revenue from Contracts with Customers, Identifying Performance Obligations and Licensing, ASU 2016-12, Revenue from Contracts with Customers, Narrow Scope Improvements and Practical Expedients, and ASU 2016-20, Technical Corrections and Improvements to Topic 606, Revenue from Contracts with Customer (collectively “the standards”), respectively, which supersede most of the current revenue recognition requirements. The core principle of the new guidance is that an entity should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. New disclosures about the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers are also required. The original standards were effective for fiscal years beginning after December 15, 2016; however, in July 2015, the FASB approved a one-year deferral of these standards, with a new effective date for fiscal years beginning after December 15, 2017. The standards require the selection of a retrospective or cumulative effect transition method.

The Company will implement the new standard beginning January 1, 2018 using a modified retrospective transition method.  Adoption of the new standard will not result in material changes to the presentation of net operating revenues and bad debt expense in the consolidated statements of operations and the presentation of the amount of income from operations and net income will be unchanged upon adoption of the new standards. The principal change relates to how the new standard requires healthcare providers to estimate the amount of variable consideration to be included in the transaction price up to an amount which is probable that a significant reversal will not occur. The most common form of variable consideration the Company experiences are amounts for services provided that are ultimately not realizable from a customer. Under the current standards, the Company’s estimate for unrealizable amounts is recorded as a reduction of revenue. Under the new standards, the Company’s estimate for unrealizable amounts will continue to be recognized as a reduction to revenue and to be reflected as an allowance. The bad debt expense historically reported will not materially change. The Company does not anticipate a material adjustment upon adoption of these standards.

Subsequent Event

The Company has evaluated events occurring after the balance sheet date for possible disclosure as a subsequent event through the date that these consolidated financial statements were issued. No disclosure was required.

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ACQUISITIONS OF BUSINESSES

9 Months Ended

Sep. 30, 2017

ACQUISITIONS OF BUSINESSES [Abstract]

ACQUISITIONS OF BUSINESSES

2. ACQUISITIONS OF BUSINESSES

On January 1, 2017, the Company acquired a 70% interest in a seventeen-clinic physical therapy practice.  The purchase price for the 70% interest was $10.7 million in cash and $0.5 million in a seller note that is payable in two principal installments totaling $250,000 each, plus accrued interest, in January 2018 and 2019.

On March 23, 2017, (effective March 1, 2017 for accounting purposes) the Company acquired a 55% interest in a company which is a leading provider of workforce performance solutions. Services provided include onsite injury prevention and rehabilitation, performance optimization and ergonomic assessments. The majority of these services are contracted with and paid for directly by employers including a number of Fortune 500 companies. Other clients include large insurers and their contractors. The purchase price for the 55% interest was $6.2 million in cash and $0.4 million in a seller note that is payable, principal plus accrued interest, in September 2018.

On May 31, 2017 the Company acquired a 70% interest in a four-clinic physical therapy practice. The purchase price for the 70% interest was $2.3 million in cash and $250,000 in a seller note that is payable in two principal installments totaling $125,000 each, plus accrued interest, in May 2018 and 2019.

On June 30, 2017, the Company acquired a 60% interest in a nine-clinic physical therapy practice.  The purchase price for the 60% interest was $15.8 million in cash and $0.5 million in a seller note that is payable in two principal installments totaling $250,000 each, plus accrued interest, in June 2018 and 2019.

Also, during the first nine months of 2017, the Company purchased the assets and business of two physical therapy clinics, in separate transactions, for an aggregate purchase price of $175,000.  One clinic was consolidated with an existing clinic and the other operates as a satellite clinic of one of the existing partnerships.

The purchase price for the 2017 acquisitions has been preliminarily allocated as follows (in thousands):

Cash paid, net of cash acquired	$	33,740
Seller notes		1,650
Total consideration	$	35,390
Estimated fair value of net tangible assets acquired:
Total current assets	$	5,681
Total non-current assets		1,790
Total liabilities		(1,844	)
Net tangible assets acquired	$	5,627
Referral relationships		4,693
Non-compete		1,790
Tradename		5,118
Goodwill		40,384
Fair value of non-controlling interest (classified as redeemable non-controlling interests)		(11,940	)
Fair value of non-controlling interest (classified as mandatorily redeemable non-controlling interests)		(10,282	)
	$	35,390

On November 30, 2016, the Company acquired a 60% interest in a 12 clinic physical therapy practice. The purchase price for the 60% interest was $11.0 million in cash and $0.5 million in a seller note that is payable in two principal installments of $250,000 each, plus accrued interest, in November 2017 and 2018. On February 29, 2016, the Company acquired a 55% interest in an eight-clinic physical therapy practice. The purchase price for the 55% interest was $13.2 million in cash and $0.5 million in a seller note that is payable in two principal installments of $250,000 each, plus accrued interest, one of which was paid in February 2017 and one of which is due in February 2018. During 2016, two subsidiaries of the Company each acquired a single clinic therapy practice for an aggregate purchase price of $75,000.

The purchase prices for the 2016 acquisitions have been preliminarily allocated as follows (in thousands):

Cash paid, net of cash acquired	$	23,623
Seller notes		1,000
Total consideration	$	24,623
Estimated fair value of net tangible assets acquired:
Total current assets	$	1,764
Total non-current assets		839
Total liabilities		(947	)
Net tangible assets acquired	$	1,656
Referral relationships		4,919
Non-compete		847
Tradename		3,802
Goodwill		32,278
Fair value of non-controlling interest (classified as mandatorily redeemable non-controlling interests)		(18,879	)
	$	24,623

For the acquisition that occurred in the first quarter of 2016, the purchase price plus the fair value of the non-controlling interests was allocated to the fair value of certain assets acquired (patient accounts receivable, equipment, prepaid expenses and deposits, tradename, non-compete agreements and referral relationships) and liabilities assumed (accounts payable and accrued employee salary and benefits) based on the fair values at the acquisition date, with the amount exceeding the fair values being recorded as goodwill. For acquisitions that occurred after September 30, 2016, the purchase price plus the fair value of the non-controlling interests was allocated to the fair value of certain assets acquired (patient accounts receivable, equipment, prepaid expenses and deposits, tradename, non-compete agreements and referral relationships) and liabilities assumed (accounts payable and accrued employee salary and benefits) based on the preliminary estimates of the fair values at the acquisition date, with the amount exceeding the estimated fair values being recorded as goodwill. The Company is in the process of completing its formal valuation analysis. Thus, the final allocation of the purchase price will differ from the preliminary estimates used based on additional information obtained. Changes in the estimated valuation of the tangible and intangible assets acquired and the completion by the Company of the identification of any unrecorded pre-acquisition contingencies, where the liability is probable and the amount can be reasonably estimated, will likely result in adjustments to goodwill.

For the above acquisitions, total current assets primarily represent patient accounts receivable.  Total non-current assets are fixed assets, primarily equipment, used in the practices.  The estimated values assigned to the referral relationships and non-compete agreements are being amortized to expense equally over the respective estimated lives.  For referral relationships, the range of the estimated lives was 12 to 13 years, and for non-compete agreements the estimated lives was six years. The values assigned to tradenames and goodwill is tested annually for impairment.

The consideration for each transaction was agreed upon through arm’s length negotiations. Funding for the cash portion of the purchase price for the 2017 and 2016 acquisitions was derived from proceeds under the Amended Credit Agreement.

The results of operations of these acquisitions have been included in the Company’s consolidated financial statements since acquired.  Unaudited proforma consolidated financial information for acquisitions occurring in 2017 and 2016 have not been included as the results were not material to current operations.

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MANDATORILY REDEEMABLE NON-CONTROLLING INTERESTS

9 Months Ended

Sep. 30, 2017

MANDATORILY REDEEMABLE NON-CONTROLLING INTERESTS [Abstract]

MANDATORILY REDEEMABLE NON-CONTROLLING INTERESTS

3. MANDATORILY REDEEMABLE NON-CONTROLLING INTERESTS

Prior to the second quarter of 2017, when the Company acquired a majority interest (the “Acquisition”) in a physical therapy clinic business (referred to as “Therapy Practice”), these Acquisitions occurred in a series of steps which are described below.

1. Prior to the Acquisition, the Therapy Practice exists as a separate legal entity (the “Seller Entity”). The Seller Entity is owned by one or more individuals (the “Selling Shareholders”) most of whom are physical therapists that work in the Therapy Practice and provide physical therapy services to patients.

2. In conjunction with the Acquisition, the Seller Entity contributes the Therapy Practice into a newly-formed limited partnership (“NewCo”), in exchange for one hundred percent (100%) of the limited and general partnership interests in NewCo. Therefore, in this step, NewCo becomes a wholly-owned subsidiary of the Seller Entity.

3. The Company enters into an agreement (the “Purchase Agreement”) to acquire from the Seller Entity a majority (ranges from 50% to 90%) of the limited partnership interest and, in all cases, 100% of the general partnership interest in NewCo. The Company does not purchase 100% of the limited partnership interest because the Selling Shareholders, through the Seller Entity, want to maintain an ownership percentage. The consideration for the Acquisition is primarily payable in the form of cash at closing and a small two-year note in lieu of an escrow (the “Purchase Price”). The Purchase Agreement does not contain any future earn-out or other contingent consideration that is payable to the Seller Entity or the Selling Shareholders.

4. The Company and the Seller Entity also execute a partnership agreement (the “Partnership Agreement”) for NewCo that sets forth the rights and obligations of the limited and general partners of NewCo. After the Acquisition, the Company is the general partner of NewCo.

5. As noted above, the Company does not purchase 100% of the limited partnership interests in NewCo and the Seller Entity retains a portion of the limited partnership interest in NewCo (“Seller Entity Interest”).

6. In most cases, some or all of the Selling Shareholders enter into an employment agreement (the  “Employment Agreement”) with NewCo with an initial term that ranges from three to five years (the “Employment Term”), with automatic one-year renewals, unless employment is terminated prior to the end of the Employment Term. As a result, a Selling Shareholder becomes an employee (“Employed Selling Shareholder”) of NewCo. The employment of an Employed Selling Shareholder can be terminated by the Employed Selling Shareholder or NewCo, with or without cause, at any time. In a few situations, a Selling Shareholder does not become employed by NewCo and is not involved with NewCo following the closing; in those situations, such Selling Shareholders sell their entire ownership interest in the Seller Entity as of the closing of the Acquisition.

7. The compensation of each Employed Selling Shareholder is specified in the Employment Agreement and is customary and commensurate with his or her responsibilities based on other employees in similar capacities within NewCo, the Company and the industry.

8. The Company and the Selling Shareholder (including both Employed Selling Shareholders and Selling Shareholders not employed by NewCo) execute a non-compete agreement (the “Non- Compete Agreement”) which restricts the Selling Shareholder from engaging in competing business activities for a specified period of time (the “Non-Compete Term”). A Non-Compete Agreement is executed with the Selling Shareholders in all cases. That is, even if the Selling Shareholder does not become an Employed Selling Shareholder, the Selling Shareholder is restricted from engaging in a competing business during the Non-Compete Term.

9. The Non-Compete Term commences as of the date of the Acquisition and expires on the later of:

a. Two years after the date an Employed Selling Shareholders’ employment is terminated (if the Selling Shareholder becomes an Employed Selling Shareholder) or

b. Five to six years from the date of the Acquisition, as defined in the Non-Compete Agreement, regardless of whether the Selling Shareholder is employed by NewCo.

10. The Non-Compete Agreement applies to a restricted region which is defined as a 15-mile radius from the Therapy Practice. That is, an Employed Selling Shareholder is permitted to engage in competing businesses or activities outside the 15-mile radius (after such Employed Selling Shareholder no longer is employed by NewCo) and a Selling Shareholder who is not employed by NewCo immediately is permitted to engage in the competing business or activities outside the 15-mile radius.

11. The Partnership Agreement contains provisions for the redemption of the Seller Entity Interest, either at the option of the Company (the “Call Option”) or on a required basis (the “Required Redemption”):

a. Required Redemption

i. Once the Required Redemption is triggered, the Company is obligated to purchase from the Seller Entity and the Seller Entity is obligated to sell to the Company, the allocable portion of the Seller Entity Interest based on the terminated Selling Shareholder’s pro rata ownership interest in the Seller Entity (the “Allocable Portion”). Required Redemption is

triggered when both of the following events have occurred:

1. Termination of an Employed Selling Shareholder’s employment with NewCo, regardless of the reason for such termination, and

2. The expiration of an agreed upon period of time, typically three to five years, as set forth in the relevant Partnership Agreement (the “Holding Period”).

ii. In the event an Employed Selling Shareholder’s employment terminates prior to the expiration of the Holding Period, the Required Redemption would occur only upon expiration of the Holding Period.

b. Call Option

i. In the event that an Employed Selling Shareholder’s employment terminates prior to expiration of the Holding Period, the Company has the contractual right, but not the obligation, to acquire the Employed Selling Shareholder’s Allocable Portion of the Seller Entity Interest from the Seller Entity through exercise of the Call Option.

c. For the Required Redemption and the Call Option, the purchase price is derived from a formula based on a specified multiple of NewCo’s trailing twelve months of earnings before interest, taxes, depreciation, amortization, and the Company’s internal management fee, plus an Allocable Portion of any undistributed earnings of NewCo (the “Redemption Amount”). NewCo’s earnings are distributed monthly based on available cash within NewCo; therefore, the undistributed earnings amount is small, if any.

d. The Purchase Price for the initial equity interest purchased by the Company is also based on the same specified multiple of the trailing twelve-month earnings that is used in the Required Redemption noted above.

e. Although, the Required Redemption and the Call Option do not have an expiration date, the Seller Entity Interest eventually will be purchased by the Company.

f. The Required Redemption and the Call Option never apply to Selling Shareholders who do not become employed by NewCo, since the Company requires that such Selling Shareholders sell their entire ownership interest in the Seller Entity at the closing of the Acquisition.

12. An Employed Selling Shareholder’s ownership of his or her equity interest in the Seller Entity predates the Acquisition and the Company’s purchase of its partnership interest in NewCo. The Employment Agreement and the Non-Compete Agreement do not contain any provision to escrow or “claw back” the equity interest in the Seller Entity held by such Employed Selling Shareholder, nor the Seller Entity Interest in NewCo, in the event of a breach of the employment or non-compete terms. More specifically, even if the Employed Selling Shareholder is terminated for “cause” by NewCo, such Employed Selling Shareholder does not forfeit his or her right to his or her full equity interest in the Seller Entity and the Seller Entity does not forfeit its right to any portion of the Seller Entity Interest. The Company’s only recourse against the Employed Selling Shareholder for breach of either the Employment Agreement or the Non-Compete Agreement is to seek damages and other legal remedies under such agreements. There are no conditions in any of the arrangements with an Employed Selling Shareholder that would result in a forfeiture of the equity interest held in the Seller Entity or of the Seller Entity Interest.

For the nine months ended September 30, 2017 and September 30, 2016, the following table details the changes in the carrying amount of mandatorily redeemable non-controlling interest (in thousands):

	Nine Months Ended September 30, 2017			Nine Months Ended September 30, 2016
Beginning balance	$	69,190		$	45,974
Operating results allocated to mandatorily redeemable non-controlling interest partners		4,366			3,146
Distributions to mandatorily redeemable non-controlling interest partners		(5,136	)		(3,955	)
Changes in the redemption value of mandatorily redeemable non-controlling interest		7,839			6,056
Payments for settlement of mandatorily redeemable non-controlling  interest		(2,230	)		(1,136	)
Purchases of businesses - initial liability related to mandatorily redeemable non-controlling interest		10,282			11,191
Ending balance	$	84,311		$	61,276

The following table details the carrying amount of the mandatorily redeemable non-controlling interest (in thousands) as of September 30, 2017 and September 30, 2016:

	September 30, 2017			September 30, 2016
Contractual time period has lapsed but holder's employment has not been terminated	$	31,448		$	21,269
Contractual time period has not lapsed and holder's employment has not been terminated		56,092			42,576
Holder's employment has terminated and contractual time period has expired		-			-
Holder's employment has terminated and contractual time period has not expired		-			-
Redemption value prior to excess distributed earnings	$	87,540		$	63,845
Excess distributions over earnings and losses		(3,229	)		(2,569	)
	$	84,311		$	61,276

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REDEEMABLE NON-CONTROLLING INTERESTS

9 Months Ended

Sep. 30, 2017

REDEEMABLE NON-CONTROLLING INTERESTS [Abstract]

REDEEMABLE NON-CONTROLLING INTERESTS

4. REDEEMABLE NON-CONTROLLING INTERESTS

When the Company acquires a majority interest in a Therapy Practice, those Acquisitions occur in a series of steps as described in numbers 1 through 10 of footnote 3 – Mandatorily Redeemable Non-Controlling Interests.  For the Acquisitions that occurred after the first quarter of 2017, the Partnership Agreement contained provisions for the redemption of the Seller Entity Interest, either at the option of the Company (the “Call Right”) or at the option of the Seller Entity (the “Put Right”) as follows:

1. Put Right

a. In the event that any Selling Shareholder’s employment is terminated involuntarily by the Company without “Cause” pursuant to Section 7(d) of such Selling Shareholder’s Employment Agreement prior to the fifth anniversary of the Closing Date, the Seller Entity thereafter shall have an irrevocable right to cause the Company to purchase from Seller Entity the Terminated Selling Shareholder’s Allocable Percentage of Seller Entity’s Interest at the purchase price described in “3” below.

b. In the event that any Selling Shareholder is not employed by NewCo as of the fifth anniversary of the Closing Date and the Company has not exercised its Call Right with respect to the Terminated Selling Shareholder’s Allocable Percentage of Seller Entity’s Interest, Seller Entity thereafter shall have the Put Right to cause the Company to purchase from Seller Entity the Terminated Selling Shareholder’s Allocable Percentage of Seller Entity’s Interest at the purchase price described in “3” below.

c. In the event that any Selling Shareholder’s employment with NewCo is terminated for any reason on or after the fifth anniversary of the Closing Date, the Seller Entity shall have the Put Right, and upon the exercise of the Put Right, the Terminated Selling Shareholder’s Allocable Percentage of Seller Entity’s Interest shall be redeemed by the Company at the purchase price described in “3” below.

2. Call Right

a. If any Selling Shareholder’s employment by NewCo is terminated (i) pursuant to a voluntary termination by the Selling Shareholder or (ii) by NewCo with “Cause” (as defined in the Selling Shareholder’s Employment Agreement), prior to the fifth anniversary of the Closing Date, the Company thereafter shall have an irrevocable right to purchase from Seller Entity the Terminated Selling Shareholder’s Allocable Percentage of Seller Entity’s Interest, in each case at the purchase price described in “3” below.

b. In the event that any Selling Shareholder’s employment with NewCo is terminated for any reason on or after the fifth anniversary of the Closing Date, the Company shall have the Call Right, and upon the exercise of the Call Right, the Terminated Selling Shareholder’s Allocable Percentage of Seller Entity’s Interest shall be redeemed by the Company at the purchase price described in “3” below.

3. For the Put Right and the Call Right, the purchase price is derived from a formula based on a specified multiple of NewCo’s trailing twelve months of earnings before interest, taxes, depreciation, amortization, and the Company’s internal management fee, plus an Allocable Percentage of any undistributed earnings of NewCo (the “Redemption Amount”). NewCo’s earnings are distributed monthly based on available cash within NewCo; therefore, the undistributed earnings amount is small, if any.

4. The Purchase Price for the initial equity interest purchased by the Company is also based on the same specified multiple of the trailing twelve-month earnings that is used in the Put Right and the Call Right noted above.

5. The Put Right and the Call Right do not have an expiration date, but the Seller Entity Interest is not required to be purchased by the Company or sold by the Seller Entity.

6. The Put Right and the Call Right never apply to Selling Shareholders who do not become employed by NewCo, since the Company requires that such Selling Shareholders sell their entire ownership interest in the Seller Entity at the closing of the Acquisition.

An Employed Selling Shareholder’s ownership of his or her equity interest in the Seller Entity predates the Acquisition and the Company’s purchase of its partnership interest in NewCo. The Employment Agreement and the Non-Compete Agreement do not contain any provision to escrow or “claw back” the equity interest in the Seller Entity held by such Employed Selling Shareholder, nor the Seller Entity Interest in NewCo, in the event of a breach of the employment or non-compete terms. More specifically, even if the Employed Selling Shareholder is terminated for “cause” by NewCo, such Employed Selling Shareholder does not forfeit his or her right to his or her full equity interest in the Seller Entity and the Seller Entity does not forfeit its right to any portion of the Seller Entity Interest. The Company’s only recourse against the Employed Selling Shareholder for breach of either the Employment Agreement or the Non-Compete Agreement is to seek damages and other legal remedies under such agreements. There are no conditions in any of the arrangements with an Employed Selling Shareholder that would result in a forfeiture of the equity interest held in the Seller Entity or of the Seller Entity Interest.

For the nine months ended September 30, 2017, the following table details the changes in the carrying amount of redeemable non-controlling interest (in thousands):

	Nine Months Ended September 30, 2017
Beginning balance	$	-
Operating results allocated to redeemable non-controlling interest partners		155
Distributions to redeemable non-controlling interest partners		(16	)
Purchases of businesses - initial equity related to redeemable non-controlling interest		11,940
Ending balance	$	12,079

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GOODWILL

9 Months Ended

Sep. 30, 2017

GOODWILL [Abstract]

GOODWILL

5. GOODWILL

The changes in the carrying amount of goodwill consisted of the following (in thousands):

	Nine Months Ended September 30, 2017
Beginning balance	$	226,806
Goodwill acquired during the period		40,384
Goodwill adjustments for purchase price allocation of business acquired		860
Ending balance	$	268,050

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INTANGIBLE ASSETS, NET

9 Months Ended

Sep. 30, 2017

INTANGIBLE ASSETS, NET [Abstract]

INTANGIBLE ASSETS, NET

6. INTANGIBLE ASSETS, NET

Intangible assets, net as of September 30, 2017 and December 31, 2016 consisted of the following (in thousands):

	September 30, 2017		December 31, 2016
Tradenames	$	26,352	$	21,234
Referral relationships, net of accumulated amortization of $6,741 and $5,275, respectively		18,092		14,859
Non-compete agreements, net of accumulated amortization of $4,012 and $3,380, respectively		3,124		1,967
	$	47,568	$	38,060

Tradenames, referral relationships and non-compete agreements are related to the businesses acquired. Typically, the value assigned to tradenames has an indefinite life and is tested at least annually for impairment using the relief from royalty method in conjunction with the Company’s annual goodwill impairment test. The value assigned to referral relationships is being amortized over their respective estimated useful lives which range from six to 16 years. Non-compete agreements are amortized over the respective term of the agreements which range from five to six years.

The following table details the amount of amortization expense recorded for intangible assets for the three and nine months ended September 30, 2017 and 2016 (in thousands):

	Three Months Ended				Nine Months Ended
	September 30, 2017		September 30, 2016		September 30, 2017		September 30, 2016
Tradenames	$	-	$	20	$	-	$	62
Referral relationships		527		352		1,466		1,027
Non-compete agreements		231		148		632		429
	$	758	$	520	$	2,098	$	1,518

Based on the balance of referral relationships and non-compete agreements as of September 30, 2017, the expected amount to be amortized in 2017 and thereafter by year is as follows (in thousands):

Referral Relationships		Non-Compete Agreements
Years	Annual Amount	Years	Annual Amount
2017	1,993	2017	860
2018	2,063	2018	883
2019	1,973	2019	810
2020	1,973	2020	597
2021	1,973	2021	519
Thereafter	9,577	Thereafter	88

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ACCRUED EXPENSES

9 Months Ended

Sep. 30, 2017

ACCRUED EXPENSES [Abstract]

ACCRUED EXPENSES

7. ACCRUED EXPENSES

Accrued expenses as of September 30, 2017 and December 31, 2016 consisted of the following (in thousands):

	September 30, 2017		December 31, 2016
Salaries and related costs	$	18,631	$	10,569
Credit balances due to patients and payors		4,157		3,880
Group health insurance claims		2,630		2,499
Other		6,074		4,808
Total	$	31,492	$	21,756

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NOTES PAYABLE AND AMENDED CREDIT AGREEMENT

9 Months Ended

Sep. 30, 2017

NOTES PAYABLE AND AMENDED CREDIT AGREEMENT [Abstract]

NOTES PAYABLE AND AMENDED CREDIT AGREEMENT

8. NOTES PAYABLE AND AMENDED CREDIT AGREEMENT

Amounts outstanding under the Amended Credit Agreement and notes payable as of September 30, 2017 and December 31, 2016 consisted of the following (in thousands):

	September 30, 2017			December 31, 2016
Credit Agreement average effective interest rate of 3.0% inclusive of unused fee	$	56,000		$	46,000
Various notes payable with $2,745 plus accrued interest due in the next year, interest accrues in the range of 3.25% through 4.0% per annum		6,697			5,823
		62,697			51,823
Less current portion		(2,745	)		(1,227	)
Long term portion	$	59,952		$	50,596

Effective December 5, 2013, the Company entered into an Amended Credit Agreement, as defined below, with a commitment for a $125.0 million revolving credit facility with a maturity date of November 30, 2018. This agreement was amended in August 2015, January 2016 and March 2017 (hereafter referred to as “Amended Credit Agreement”). The Amended Credit Agreement is unsecured and has loan covenants, including requirements that the Company comply with a consolidated fixed charge coverage ratio and consolidated leverage ratio. Proceeds from the Amended Credit Agreement may be used for working capital, acquisitions, purchases of the Company’s common stock, dividend payments to the Company’s common shareholders, capital expenditures and other corporate purposes. The pricing grid is based on the Company’s consolidated leverage ratio with the applicable spread over LIBOR ranging from 1.5% to 2.5% or the applicable spread over the Base Rate ranging from 0.1% to 1%. Fees under the Amended Credit Agreement include an unused commitment fee ranging from 0.1% to 0.25% depending on the Company’s consolidated leverage ratio and the amount of funds outstanding under the Amended Credit Agreement.

The January 2016 amendment to the Amended Credit Agreement increased the cash and noncash consideration that the Company could pay with respect to acquisitions permitted under the Amended Credit Agreement to $50,000,000 for any fiscal year, and increased the amount the Company may pay in cash dividends to its shareholders in an aggregate amount not to exceed $10,000,000 in any fiscal year. Further, the March 2017 amendment, among other items, increased the amount the Company may pay in cash dividends to its shareholders in an aggregate amount not to exceed $15,000,000 in any fiscal year.

On September 30, 2017, $56.0 million was outstanding on the Amended Credit Agreement resulting in $69.0 million of availability. As of September 30, 2017 and the date of this report, the Company was in compliance with all of the covenants thereunder.

The Company generally enters into various notes payable as a means of financing a portion of its acquisitions and purchases of non-controlling interests. In conjunction with the acquisitions in the first nine months of 2017, the Company entered into notes payable in the aggregate amount of $1.7 million, of which an aggregate principal payment of $1,025,000 is due in 2018 and an aggregate principal payment of $625,000 is due in 2019. Interest accrues at the rate of 4.0% per annum and is payable with each principal installment.  In conjunction with the acquisitions in 2016 and the purchases of non-controlling interests, the Company entered into notes payable in the aggregate amount of $1.5 million of which an aggregate principal payment of $444,000 was paid in 2017, $250,000 is due in November 2017 and $819,000 is payable in 2018. Interest accrues 3.5% per annum and is payable with each principal installment.  In conjunction with the acquisitions in 2015 and the purchases of non-controlling interests, the Company entered into notes payable in the aggregate amount of $4.9 million, of which an aggregate principal payment of $575,000 was paid in 2016, $525,000 due in 2017 (of which $325,000 was paid in the first nine months of 2017), $1.9 million is due in 2018 and $1.9 million in 2019. Interest accrues in the range of 3.25% to 4.0% per annum and is payable with each principal installment.

Aggregate annual payments of principal required pursuant to the Amended Credit Agreement and the above notes payable subsequent to September 30, 2017 are as follows (in thousands):

During the twelve months ended September 30, 2018	$	2,745
During the twelve months ended September 30, 2019		59,952
	$	62,697

The revolving credit facility (balance at September 30, 2017 of $56.0 million) matures on November 30, 2018.

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COMMON STOCK

9 Months Ended

Sep. 30, 2017

COMMON STOCK [Abstract]

COMMON STOCK

9. COMMON STOCK

From September 2001 through December 31, 2008, the Board authorized the Company to purchase, in the open market or in privately negotiated transactions, up to 2,250,000 shares of the Company’s common stock. In March 2009, the Board authorized the repurchase of up to 10% or approximately 1,200,000 shares of its common stock (“March 2009 Authorization”). The Amended Credit Agreement permits share repurchases of up to $15,000,000, subject to compliance with covenants. The Company is required to retire shares purchased under the March 2009 Authorization.

Under the March 2009 Authorization, the Company has purchased a total of 859,499 shares. There is no expiration date for the share repurchase program. There are currently an additional estimated 244,100 shares (based on the closing price of $61.45 on September 30, 2017) that may be purchased from time to time in the open market or private transactions depending on price, availability and the Company’s cash position. The Company did not purchase any shares of its common stock during the nine months ended September 30, 2017.

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BASIS OF PRESENTATION AND SIGNIFICANT ACCOUNTING POLICIES (Policies)

9 Months Ended

Sep. 30, 2017

BASIS OF PRESENTATION AND SIGNIFICANT ACCOUNTING POLICIES [Abstract]

Cash Equivalents

Cash Equivalents

The Company maintains its cash and cash equivalents at financial institutions.  The combined account balances at several institutions typically exceed Federal Deposit Insurance Corporation (“FDIC”) insurance coverage and, as a result, there is a concentration of credit risk related on deposits in excess of FDIC insurance coverage. Management believes that the risk is not significant.

Long-Lived Assets

Long-Lived Assets

Fixed assets are stated at cost. Depreciation is computed on the straight-line method over the estimated useful lives of the assets. Estimated useful lives for furniture and equipment range from three to eight years and for software purchased from three to seven years. Leasehold improvements are amortized over the shorter of the lease term or estimated useful lives of the assets, which is generally three to five years.

Impairment of Long-Lived Assets and Long-Lived Assets to Be Disposed Of

Impairment of Long-Lived Assets and Long-Lived Assets to Be Disposed Of

The Company reviews property and equipment and intangible assets with finite lives for impairment upon the occurrence of certain events or circumstances which indicate that the amounts may be impaired. Assets to be disposed of are reported at the lower of the carrying amount or fair value less costs to sell.

Goodwill

Goodwill

Goodwill represents the excess of the amount paid and fair value of the non-controlling interests over the fair value of the acquired business assets, which include certain identifiable intangible assets. Historically, goodwill has been derived from acquisitions and, prior to 2009, from the purchase of some or all of a particular local management’s equity interest in an existing clinic. Effective January 1, 2009, if the purchase price of a non-controlling interest related to non-acquired Clinic Partnerships by the Company exceeds or is less than the book value at the time of purchase, any excess or shortfall is recognized as an adjustment to additional paid-in capital.

The carrying value of goodwill and other identifiable intangible assets with indefinite lives are tested for impairment annually and upon the occurrence of certain events, and are written down to fair value if considered impaired. The Company evaluates goodwill for impairment on at least an annual basis (in its third quarter) by comparing the fair value of its reporting units to the carrying value of each reporting unit including related goodwill. The Company’s business is primarily made up of various clinics within partnerships. The partnerships are components of regions and are aggregated to the operating segment level for the purpose of determining the Company’s reporting units when performing its annual goodwill impairment test. In the third quarter of 2017, there were six regions.

An impairment loss generally would be recognized when the carrying amount of the net assets of a reporting unit, inclusive of goodwill and other identifiable intangible assets, exceeds the estimated fair value of the reporting unit. The estimated fair value of a reporting unit is determined using two factors: (i) earnings prior to taxes, depreciation and amortization for the reporting unit multiplied by a price/earnings ratio used in the industry and (ii) a discounted cash flow analysis. A weight is assigned to each factor and the sum of each weight times the factor is considered the estimated fair value. For 2017, the factors (i.e., price/earnings ratio, discount rate and residual capitalization rate) were updated to reflect current market conditions. The evaluation of goodwill in 2017 did not result in any goodwill amounts that were deemed impaired.

The Company has not identified any triggering events occurring after the testing date that would impact the impairment testing results obtained. Factors which could result in future impairment charges include but are not limited to:

· cost, risks and uncertainties associated with the Company’s recent restatement of its prior financial statements due to the correction of its accounting methodology for redeemable noncontrolling partnership interests, and including any pending and future claims or proceedings relating to such matters;

· changes as the result of government enacted national healthcare reform;

· changes in Medicare rules and guidelines and reimbursement or failure of our clinics to maintain their Medicare certification or enrollment status;

· revenue we receive from Medicare and Medicaid being subject to potential retroactive reduction;

· business and regulatory conditions including federal and state regulation;

· governmental and other third party payor inspections, reviews, investigations and audits;

· 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;

· legal actions, which could subject us to increased operating costs and uninsured liabilities;

· changes in reimbursement rates or payment methods from third party payors including government agencies and deductibles and co-pays owed by patients;

· revenue and earnings expectations;

· general economic conditions;

· availability and cost of qualified physical and occupational therapists;

· personnel productivity and retaining key personnel;

· competitive, economic or reimbursement conditions in our markets which may require us to reorganize or close certain operations and thereby incur losses and/or closure costs including the possible write-down or write-off of goodwill and other intangible assets;

· acquisitions, purchases of non-controlling interests (minority interests) and the successful integration of the operations of the acquired business;

· maintaining necessary insurance coverage;

· availability, terms, and use of capital; and

· weather and other seasonal factors.

Mandatorily Redeemable Non-Controlling Interests

Mandatorily Redeemable Non-Controlling Interests

The non-controlling interests that are reflected as mandatorily redeemable non-controlling interests in the consolidated financial statements consist of those owners who have certain redemption rights, whether currently exercisable or not, and which currently, or in the future, require that the Company purchase the non-controlling interest of those owners at a predetermined formula based on a multiple of trailing twelve months earnings performance as defined in the respective limited partnership agreements.  The redemption rights are triggered at such time as both of the following events have occurred: 1) termination of the owner’s employment, regardless of the reason for such termination, and 2) the passage of specified number of years after the closing of the transaction, typically three to five years, as defined in the limited partnership agreement.

On the date the Company acquires a controlling interest in a partnership and the limited partnership agreement contains mandatory redemption rights, the fair value of the non-controlling interest is recorded in the long-term liabilities section of the consolidated balance sheet under the caption – Mandatorily redeemable non-controlling interests.  Then, in each reporting period thereafter until it is purchased by the Company, the redeemable non-controlling interest is adjusted to its then current redemption value, based on the predetermined formula defined in the respective limited partnership agreement.  The Company reflects any adjustment in the redemption value and any earnings attributable to the mandatorily redeemable non-controlling interest in its consolidated statements of net income by recording the adjustments and earnings to other income and expense in the captions - Interest expense – mandatorily redeemable non-controlling interests – change in redemption value and Interest expense – mandatorily redeemable non-controlling interests – earnings allocable.

Redeemable Non-Controlling Interests

Redeemable Non-Controlling Interests

The non-controlling interests that are reflected as redeemable non-controlling interests in the consolidated financial statements consist of those owners who have certain redemption rights, whether currently exercisable or not, and which currently, or in the future, require that the Company purchase the non-controlling interest of those owners, if certain conditions are met and the owners request the purchase.  The purchase price is derived at a predetermined formula based on a multiple of trailing twelve months earnings performance as defined in the respective limited partnership agreements.  The redemption rights can be triggered by the owner at such time as both of the following events have occurred: 1) termination of the owner’s employment, regardless of the reason for such termination, and 2) the passage of specified number of years after the closing of the transaction, typically three to five years, as defined in the limited partnership agreement.  The redemption rights are not automatic (even upon death) and require either the owner or the Company to exercise its rights when the conditions triggering the redemption rights have been satisfied.

On the date the Company acquires a controlling interest in a partnership and the limited partnership agreement contains redemption rights not under the control of the Company, the fair value of the non-controlling interest is recorded in the consolidated balance sheet under the caption – Redeemable non-controlling interests.  Then, in each reporting period thereafter until it is purchased by the Company, the redeemable non-controlling interest is adjusted to the greater of its then current redemption value or initial value, based on the predetermined formula defined in the respective limited partnership agreement.  As a result, the value of the non-controlling interest is not adjusted below its initial value.  The Company records any adjustment in the redemption value, net of tax, directly to retained earnings and are not reflected in the statements of net income.  Although the adjustments are not reflected in the statements of net income, current accounting rules require that the Company reflects the adjustments, net of tax, in the earnings per share calculation.  The amount of net income attributable to redeemable non-controlling interest owners is included in consolidated net income on the face of the income statement.

Non-Controlling Interests

Non-Controlling Interests

The Company recognizes non-controlling interests as equity in the consolidated financial statements separate from the parent entity’s equity. Changes in a parent entity’s ownership interest in a subsidiary that do not result in deconsolidation are treated as equity transactions if the parent entity retains its controlling financial interest. The Company recognizes a gain or loss in net income when a subsidiary is deconsolidated. Such gain or loss is measured using the fair value of the non-controlling interest on the deconsolidation date.

When the purchase price of a non-controlling interest by the Company exceeds or is less than the book value at the time of purchase, any excess or shortfall, as applicable, is recognized as an adjustment to additional paid-in capital. Additionally, operating losses are allocated to non-controlling interests even when such allocation creates a deficit balance for the non-controlling interest partner.

Revenue Recognition

Revenue Recognition

Revenues are recognized in the period in which services are rendered. Net patient revenues (patient revenues less estimated contractual adjustments) are reported at the estimated net realizable amounts from third-party payors, patients and others for services rendered. The Company has agreements with third-party payors that provide for payments to the Company at amounts different from its established rates. The allowance for estimated contractual adjustments is based on terms of payor contracts and historical collection and write-off experience.

The Company determines allowances for doubtful accounts based on the specific agings and payor classifications at each clinic. The provision for doubtful accounts is included in operating costs in the statement of net income. Net accounts receivable, which are stated at the historical carrying amount net of contractual allowances, write-offs and allowance for doubtful accounts, includes only those amounts the Company estimates to be collectible.

Medicare Reimbursement

The Medicare program reimburses outpatient rehabilitation providers based on the Medicare Physician Fee Schedule (‘‘MPFS’’). The MPFS rates have historically been subject to an automatic annual update based on a formula, called the sustainable growth rate (‘‘SGR’’) formula. The use of the SGR formula would have resulted in calculated automatic reductions in rates in every year since 2002; however, for each year through September 30, 2015, Centers for Medicare & Medicaid Services (‘‘CMS’’) or Congress has taken action to prevent the implementation of SGR formula reductions. On April 16, 2015, the Medicare Access and CHIP Reauthorization Act of 2015 (‘‘MACRA’’) was signed into law, eliminating the SGR formula and the associated annual automatic rate reductions.  The MACRA promotes the development of new payment models that focus on quality and outcomes.  As a result of MACRA and CMS’ adjustment to the applicable conversion factor, the net fee schedule payment rates were increased for 2017 by 0.24%.  For 2018 and 2019, a 0.5% increase will be applied each year to the fee schedule payment rates, unless further adjusted by CMS. On November 2, 2017, CMS published the final rule updating the MPFS rates for 2018. CMS has estimated that the overall impact of the revised fee schedule on providers of physical and occupational therapy will be approximately a reduction of 2.0%. However, the actual impact on the Company will depend on the composition of the CPT codes billed by the Company, which the Company is in the process of evaluating.

The Budget Control Act of 2011 increased the federal debt ceiling in connection with deficit reductions over the next ten years, and requires automatic reductions in federal spending by approximately $1.2 trillion. Payments to Medicare providers are subject to these automatic spending reductions, subject to a 2% cap. On April 1, 2013, a 2% reduction to Medicare payments was implemented. The Bipartisan Budget Act of 2015, enacted on November 2, 2015, extends the 2% reductions to Medicare payments through fiscal year 2025.

As a result of the Balanced Budget Act of 1997, the formula for determining the total amount paid by Medicare in any one year for outpatient physical therapy, occupational therapy, and/or speech/language pathology services provided to any Medicare beneficiary (i.e., the ‘‘Therapy Cap’’ or ‘‘Limit’’) was established. Based on the statutory definitions which constrained how the Therapy Cap would be applied, there is one Limit for Physical Therapy and Speech Language Pathology Services combined, and one Limit for Occupational Therapy. For 2017, the annual Limit on outpatient therapy services is $1,980 for Physical and Speech Language Pathology Services combined and $1,980 for Occupational Therapy Services. Historically, these Therapy Caps applied to outpatient therapy services provided in all settings, except for services provided in departments of hospitals. However, the Protecting Access to Medicare Act of 2014, and prior legislation, extended the Therapy Caps to services furnished in hospital outpatient department settings. The application of these annual limits to hospital outpatient department settings will sunset on December 31, 2017 unless Congress extends it.

In the Deficit Reduction Act of 2005, Congress implemented an exceptions process to the annual Limit for therapy expenses for therapy services above the annual Limit. Therapy services above the annual Limit that are medically necessary satisfy an exception to the annual Limit and such claims are payable by the Medicare program. The MACRA extended the exceptions process for outpatient therapy caps through December 31, 2017. Unless Congress extends the exceptions process further, the exceptions no longer will be available in those outpatient therapy setting where the annual Limits are applicable. For any claim above the annual Limit, the claim must contain a modifier indicating that the services are medically necessary and justified by appropriate documentation in the medical record.

Furthermore, under the Middle Class Tax Relief and Job Creation Act of 2012 (‘‘MCTRA’’), since October 1, 2012, patients who met or exceeded $3,700 in therapy expenditures during a calendar year have been subject to a manual medical review to determine whether applicable payment criteria are satisfied. The $3,700 threshold is applied to Physical Therapy and Speech Language Pathology Services; a separate $3,700 threshold is applied to the Occupational Therapy. The MACRA directed CMS to modify the manual medical review process such that those reviews will no longer apply to all claims exceeding the $3,700 threshold and instead will be determined on a targeted basis based on a variety of factors that CMS considers appropriate.

CMS adopted a multiple procedure payment reduction (‘‘MPPR’’) for therapy services in the final update to the MPFS for calendar year 2011. The MPPR applied to all outpatient therapy services paid under Medicare Part B — occupational therapy, physical therapy and speech-language pathology. Under the policy, the Medicare program pays 100% of the practice expense component of the Relative Value Unit (‘‘RVU’’) for the therapy procedure with the highest practice expense RVU, then reduces the payment for the practice expense component for the second and subsequent therapy procedures or units of service furnished during the same day for the same patient, regardless of whether those therapy services are furnished in separate sessions. Since 2013, the practice expense component for the second and subsequent therapy service furnished during the same day for the same patient was reduced by 50%. In addition, the MCTRA directed CMS to implement a claims-based data collection program to gather additional data on patient function during the course of therapy in order to better understand patient conditions and outcomes. All practice settings that provide outpatient therapy services are required to include this data on the claim form. Since 2013, therapists have been required to report new codes and modifiers on the claim form that reflect a patient’s functional limitations and goals at initial evaluation, periodically throughout care, and at discharge, CMS has rejected claims if the required data is not included in the claim.

The Physician Quality Reporting System, or ‘‘PQRS,’’ is a CMS reporting program that uses a combination of incentive payments and payment reductions to promote reporting of quality information by ‘‘eligible professionals.’’ Although physical therapists, occupational therapists and qualified speech-language therapists were generally able to participate in the PQRS program, therapy professionals for whose services we bill through our certified rehabilitation agencies cannot participate because the Medicare claims processing systems currently cannot accommodate institutional providers such as certified rehabilitation agencies. Eligible professionals, such as those of our therapy professionals for whose services we bill using their individual Medicare provider numbers, who do not satisfactorily report data on quality measures are subject to a 2% reduction in their Medicare payment in 2017. As required under the MACRA, the PQRS program has been replaced with the Merit-Based Incentive Payment System (MIPS) on January 1, 2017. Physical therapists and occupational therapists are not required to participate in the MIPS program until January 1, 2019 or later, as determined by CMS.

Statutes, regulations, and payment rules governing the delivery of therapy services to Medicare beneficiaries are complex and subject to interpretation. The Company believes that it is in compliance in all material respects with all applicable laws and regulations and is not aware of any pending or threatened investigations involving allegations of potential wrongdoing that would have a material effect on the Company’s financial statements as of September 30, 2017. Compliance with such laws and regulations can be subject to future government review and interpretation, as well as significant regulatory action including fines, penalties, and exclusion from the Medicare program. For the nine months ended September 30, 2017, net revenue from Medicare accounts for approximately $68.5 million.

Management Contract Revenues

Management contract revenues are derived from contractual arrangements whereby the Company manages a clinic for third party owners. The Company does not have any ownership interest in these clinics. Typically, revenues are determined based on the number of visits conducted at the clinic and recognized when services are performed. Costs, typically salaries for the Company’s employees, are recorded when incurred. Management contract revenues are included in “other revenues” in the accompanying Consolidated Statements of Net Income.

Contractual Allowances

Contractual Allowances

Contractual allowances result from the differences between the rates charged for services performed and expected reimbursements by both insurance companies and government sponsored healthcare programs for such services. Medicare regulations and the various third party payors and managed care contracts are often complex and may include multiple reimbursement mechanisms payable for the services provided in Company clinics. The Company estimates contractual allowances based on its interpretation of the applicable regulations, payor contracts and historical calculations. Each month the Company estimates its contractual allowance for each clinic based on payor contracts and the historical collection experience of the clinic and applies an appropriate contractual allowance reserve percentage to the gross accounts receivable balances for each payor of the clinic. Based on the Company’s historical experience, calculating the contractual allowance reserve percentage at the payor level is sufficient to allow the Company to provide the necessary detail and accuracy with its collectability estimates. However, the services authorized and provided and related reimbursement are subject to interpretation that could result in payments that differ from the Company’s estimates. Payor terms are periodically revised necessitating continual review and assessment of the estimates made by management. The Company’s billing system does not capture the exact change in its contractual allowance reserve estimate from period to period in order to assess the accuracy of its revenues and hence its contractual allowance reserves. Management regularly compares its cash collections to corresponding net revenues measured both in the aggregate and on a clinic-by-clinic basis. In the aggregate, the historical difference between net revenues and corresponding cash collections has generally reflected a difference within approximately 1% of net revenues. Additionally, analysis of subsequent period’s contractual write-offs on a payor basis reflects a difference within approximately 1% between the actual aggregate contractual reserve percentage as compared to the estimated contractual allowance reserve percentage associated with the same period end balance. As a result, the Company believes that a change in the contractual allowance reserve estimate would not likely be more than 1% at September 30, 2017.

Income Taxes

Income Taxes

Income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax basis and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date.

The Company recognizes the financial statement benefit of a tax position only after determining that the relevant tax authority would more likely than not sustain the position following an audit. For tax positions meeting the more-likely-than-not threshold, the amount to be recognized in the financial statements is the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement with the relevant tax authority.

The Company did not have any accrued interest or penalties associated with any unrecognized tax benefits nor was any interest expense recognized during the nine months ended September 30, 2017. The Company will book any interest or penalties, if required, in interest and/or other income/expense as appropriate.

Fair Value of Financial Instruments

Fair Value of Financial Instruments

The carrying amounts reported in the balance sheets for cash and cash equivalents, accounts receivable, accounts payable and notes payable approximate their fair values due to the short-term maturity of these financial instruments. The carrying amount under the Amended Credit Agreement approximates its fair value. The interest rate on the Amended Credit Agreement, which is tied to the Eurodollar Rate, is set at various short-term intervals, as detailed in the Amended Credit Agreement.

Segment Reporting

Segment Reporting

Operating segments are components of an enterprise for which separate financial information is available that is evaluated regularly by chief operating decision makers in deciding how to allocate resources and in assessing performance.  The Company identifies operating segments based on management responsibility and believes it meets the criteria for aggregating its operating segments into a single reporting segment.

Use of Estimates

Use of Estimates

In preparing the Company’s consolidated financial statements, management makes certain estimates and assumptions, especially in relation to, but not limited to, purchase accounting, goodwill impairment, allowance for receivables, tax provision and contractual allowances, that affect the amounts reported in the consolidated financial statements and related disclosures. Actual results may differ from these estimates.

Self-Insurance Program

Self-Insurance Program

The Company utilizes a self-insurance plan for its employee group health insurance coverage administered by a third party. Predetermined loss limits have been arranged with the insurance company to minimize the Company’s maximum liability and cash outlay. Accrued expenses include the estimated incurred but unreported costs to settle unpaid claims and estimated future claims. Management believes that the current accrued amounts are sufficient to pay claims arising from self-insurance claims incurred through September 30, 2017.

Restricted Stock

Restricted Stock

Restricted stock issued to employees and directors is subject to continued employment or continued service on the board, respectively. Generally, restrictions on the stock granted to employees, other than officers, lapse in equal annual installments on the following four anniversaries of the date of grant. For those shares granted to directors, the restrictions will lapse in equal quarterly installments during the first year after the date of grant. For those granted to officers, the restriction will lapse in equal quarterly installments during the four years following the date of grant. Compensation expense for grants of restricted stock is recognized based on the fair value per share on the date of grant amortized over the vesting period. The restricted stock issued is included in basic and diluted shares for the earnings per share computation.

Recently Adopted Accounting Guidance

Recently Adopted Accounting Guidance

In March 2016, the FASB issued guidance to simplify some provisions in stock compensation accounting.  The guidance amends how excess tax benefits and a company’s payments to cover tax bills for the recipients’ shares should be classified.  Prior to this guidance, excess tax benefits were recorded in additional paid-in capital, but will now become a component of the income tax provision/benefit in the period in which they occur.  This guidance allows companies to estimate the number of stock awards expected to vest and revises the withholding requirements for classifying stock awards as equity.  For public business entities, this guidance is effective for fiscal years starting after December 15, 2016, including interim periods within those fiscal years but early adoption is allowed.  The Company adopted this accounting treatment in the fourth quarter of 2016 and retrospectively adjusted each quarter period in 2016.  The adoption increased earnings, by decreasing the tax provision, by $0.2 million for the three months ended September 30, 2017 and 2016 and by $1.1 million in the first nine months of 2017 and $0.8 million in the first nine months of 2016.  The election to record forfeitures in the period they occur is consistent with the Company’s past approach, due to the immateriality of past forfeitures, and the Company believes the effect to be immaterial on the consolidated financial statements.

Recently Issued Accounting Guidance

Recently Issued Accounting Guidance

In January 2017, the FASB issued ASU 2017-04, Simplifying the Test for Goodwill Impairment (Topic 350), which eliminates the requirement to calculate the implied fair value of goodwill to measure a goodwill impairment change. ASU 2017-04 is effective prospectively for fiscal years, and the interim periods within those years, beginning after December 15, 2019. The Company is currently evaluating the impact of adopting this ASU on our consolidated financial statements and do not expect adoption to have a material impact.

In February 2016, the FASB issued amended accounting guidance (ASU 2016-02 - Leases) which replaced most existing lease accounting guidance under U. S. generally accepted accounting principles. Among other changes, the amended guidance requires that a right-to-use asset, which is an asset that represents the lessee’s right to use, and a lease liability, which is a lessee’s obligation to make lease payments arising for a lease measured on a discounted basis, be recognized on the balance sheet by lessees for those leases with a term of greater than 12 months. The amended guidance is effective for reporting periods beginning after December 15, 2018; however, early adoption is permitted. Entities are required to use a modified retrospective approach for leases that exist or are entered into after the beginning of the earliest comparative period in the financial statements.

Since the Company leases all but one of its clinic facilities, upon adoption, the Company will recognize significant assets and liabilities on the consolidated balance sheets as a result of the operating lease obligations of the Company. Operating lease expense will still be recognized as rent expense on a straight-line basis over the respective lease terms in the consolidated statements of operations.

The Company will implement the new standard beginning January 1, 2019. The Company’s implementation efforts are focused on populating the data in a lease accounting software package and developing internal controls in order to account for its leases under the new standard.

In May 2014, March 2016, April 2016, and December 2016, the FASB issued ASU 2014-09, Revenue from Contracts with Customers, ASU 2016-08, Revenue from Contracts with Customers, Principal versus Agent Considerations, ASU 2016-10, Revenue from Contracts with Customers, Identifying Performance Obligations and Licensing, ASU 2016-12, Revenue from Contracts with Customers, Narrow Scope Improvements and Practical Expedients, and ASU 2016-20, Technical Corrections and Improvements to Topic 606, Revenue from Contracts with Customer (collectively “the standards”), respectively, which supersede most of the current revenue recognition requirements. The core principle of the new guidance is that an entity should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. New disclosures about the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers are also required. The original standards were effective for fiscal years beginning after December 15, 2016; however, in July 2015, the FASB approved a one-year deferral of these standards, with a new effective date for fiscal years beginning after December 15, 2017. The standards require the selection of a retrospective or cumulative effect transition method.

The Company will implement the new standard beginning January 1, 2018 using a modified retrospective transition method.  Adoption of the new standard will not result in material changes to the presentation of net operating revenues and bad debt expense in the consolidated statements of operations and the presentation of the amount of income from operations and net income will be unchanged upon adoption of the new standards. The principal change relates to how the new standard requires healthcare providers to estimate the amount of variable consideration to be included in the transaction price up to an amount which is probable that a significant reversal will not occur. The most common form of variable consideration the Company experiences are amounts for services provided that are ultimately not realizable from a customer. Under the current standards, the Company’s estimate for unrealizable amounts is recorded as a reduction of revenue. Under the new standards, the Company’s estimate for unrealizable amounts will continue to be recognized as a reduction to revenue and to be reflected as an allowance. The bad debt expense historically reported will not materially change. The Company does not anticipate a material adjustment upon adoption of these standards.

Subsequent Event

Subsequent Event

The Company has evaluated events occurring after the balance sheet date for possible disclosure as a subsequent event through the date that these consolidated financial statements were issued. No disclosure was required.

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BASIS OF PRESENTATION AND SIGNIFICANT ACCOUNTING POLICIES (Tables)

9 Months Ended

Sep. 30, 2017

BASIS OF PRESENTATION AND SIGNIFICANT ACCOUNTING POLICIES [Abstract]

Schedule of Clinic Acquisition

During the first nine months of 2017 and the year ended 2016, the Company acquired an interest in the following clinic groups:

	Date	% Interest Acquired			Number of Clinics
	2017
June 2017 Acquisition	June 30		60	%		9
May 2017 Acquisition	May 31		70	%		4
January 2017 Acquisition	January 1		70	%		17
	2016
February 2016 Acquisition	February 29		55	%		8
November 2016 Acquisition	November 30		60	%		12

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ACQUISITIONS OF BUSINESSES (Tables)

9 Months Ended

Sep. 30, 2017

ACQUISITIONS OF BUSINESSES [Abstract]

Schedule of Preliminary Purchase Prices Allocation

The purchase price for the 2017 acquisitions has been preliminarily allocated as follows (in thousands):

Cash paid, net of cash acquired	$	33,740
Seller notes		1,650
Total consideration	$	35,390
Estimated fair value of net tangible assets acquired:
Total current assets	$	5,681
Total non-current assets		1,790
Total liabilities		(1,844	)
Net tangible assets acquired	$	5,627
Referral relationships		4,693
Non-compete		1,790
Tradename		5,118
Goodwill		40,384
Fair value of non-controlling interest (classified as redeemable non-controlling interests)		(11,940	)
Fair value of non-controlling interest (classified as mandatorily redeemable non-controlling interests)		(10,282	)
	$	35,390

The purchase prices for the 2016 acquisitions have been preliminarily allocated as follows (in thousands):

Cash paid, net of cash acquired	$	23,623
Seller notes		1,000
Total consideration	$	24,623
Estimated fair value of net tangible assets acquired:
Total current assets	$	1,764
Total non-current assets		839
Total liabilities		(947	)
Net tangible assets acquired	$	1,656
Referral relationships		4,919
Non-compete		847
Tradename		3,802
Goodwill		32,278
Fair value of non-controlling interest (classified as mandatorily redeemable non-controlling interests)		(18,879	)
	$	24,623

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MANDATORILY REDEEMABLE NON-CONTROLLING INTERESTS (Tables)

9 Months Ended

Sep. 30, 2017

MANDATORILY REDEEMABLE NON-CONTROLLING INTERESTS [Abstract]

Changes in Carrying Amount of Redeemable Non-Controlling Interest

For the nine months ended September 30, 2017 and September 30, 2016, the following table details the changes in the carrying amount of mandatorily redeemable non-controlling interest (in thousands):

	Nine Months Ended September 30, 2017			Nine Months Ended September 30, 2016
Beginning balance	$	69,190		$	45,974
Operating results allocated to mandatorily redeemable non-controlling interest partners		4,366			3,146
Distributions to mandatorily redeemable non-controlling interest partners		(5,136	)		(3,955	)
Changes in the redemption value of mandatorily redeemable non-controlling interest		7,839			6,056
Payments for settlement of mandatorily redeemable non-controlling  interest		(2,230	)		(1,136	)
Purchases of businesses - initial liability related to mandatorily redeemable non-controlling interest		10,282			11,191
Ending balance	$	84,311		$	61,276

Carrying Amount of Redeemable Non-Controlling Interest

The following table details the carrying amount of the mandatorily redeemable non-controlling interest (in thousands) as of September 30, 2017 and September 30, 2016:

	September 30, 2017			September 30, 2016
Contractual time period has lapsed but holder's employment has not been terminated	$	31,448		$	21,269
Contractual time period has not lapsed and holder's employment has not been terminated		56,092			42,576
Holder's employment has terminated and contractual time period has expired		-			-
Holder's employment has terminated and contractual time period has not expired		-			-
Redemption value prior to excess distributed earnings	$	87,540		$	63,845
Excess distributions over earnings and losses		(3,229	)		(2,569	)
	$	84,311		$	61,276

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REDEEMABLE NON-CONTROLLING INTERESTS (Tables)

9 Months Ended

Sep. 30, 2017

REDEEMABLE NON-CONTROLLING INTERESTS [Abstract]

Changes in Carrying Amount of Redeemable Non-Controlling Interest

For the nine months ended September 30, 2017, the following table details the changes in the carrying amount of redeemable non-controlling interest (in thousands):

	Nine Months Ended September 30, 2017
Beginning balance	$	-
Operating results allocated to redeemable non-controlling interest partners		155
Distributions to redeemable non-controlling interest partners		(16	)
Purchases of businesses - initial equity related to redeemable non-controlling interest		11,940
Ending balance	$	12,079

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GOODWILL (Tables)

9 Months Ended

Sep. 30, 2017

GOODWILL [Abstract]

Summary of Changes in Carrying Amount of Goodwill

The changes in the carrying amount of goodwill consisted of the following (in thousands):

	Nine Months Ended September 30, 2017
Beginning balance	$	226,806
Goodwill acquired during the period		40,384
Goodwill adjustments for purchase price allocation of business acquired		860
Ending balance	$	268,050

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INTANGIBLE ASSETS, NET (Tables)

9 Months Ended

Sep. 30, 2017

INTANGIBLE ASSETS, NET [Abstract]

Intangible Assets, Net

Intangible assets, net as of September 30, 2017 and December 31, 2016 consisted of the following (in thousands):

	September 30, 2017		December 31, 2016
Tradenames	$	26,352	$	21,234
Referral relationships, net of accumulated amortization of $6,741 and $5,275, respectively		18,092		14,859
Non-compete agreements, net of accumulated amortization of $4,012 and $3,380, respectively		3,124		1,967
	$	47,568	$	38,060

Amortization Expenses

The following table details the amount of amortization expense recorded for intangible assets for the three and nine months ended September 30, 2017 and 2016 (in thousands):

	Three Months Ended				Nine Months Ended
	September 30, 2017		September 30, 2016		September 30, 2017		September 30, 2016
Tradenames	$	-	$	20	$	-	$	62
Referral relationships		527		352		1,466		1,027
Non-compete agreements		231		148		632		429
	$	758	$	520	$	2,098	$	1,518

Amortization of Tradename, Referral Relationships and Non-Competition Agreements

Based on the balance of referral relationships and non-compete agreements as of September 30, 2017, the expected amount to be amortized in 2017 and thereafter by year is as follows (in thousands):

Referral Relationships		Non-Compete Agreements
Years	Annual Amount	Years	Annual Amount
2017	1,993	2017	860
2018	2,063	2018	883
2019	1,973	2019	810
2020	1,973	2020	597
2021	1,973	2021	519
Thereafter	9,577	Thereafter	88

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ACCRUED EXPENSES (Tables)

9 Months Ended

Sep. 30, 2017

ACCRUED EXPENSES [Abstract]

Summary of Accrued Expenses

Accrued expenses as of September 30, 2017 and December 31, 2016 consisted of the following (in thousands):

	September 30, 2017		December 31, 2016
Salaries and related costs	$	18,631	$	10,569
Credit balances due to patients and payors		4,157		3,880
Group health insurance claims		2,630		2,499
Other		6,074		4,808
Total	$	31,492	$	21,756

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NOTES PAYABLE AND AMENDED CREDIT AGREEMENT (Tables)

9 Months Ended

Sep. 30, 2017

NOTES PAYABLE AND AMENDED CREDIT AGREEMENT [Abstract]

Summary of Credit Agreement and Notes Payable

Amounts outstanding under the Amended Credit Agreement and notes payable as of September 30, 2017 and December 31, 2016 consisted of the following (in thousands):

	September 30, 2017			December 31, 2016
Credit Agreement average effective interest rate of 3.0% inclusive of unused fee	$	56,000		$	46,000
Various notes payable with $2,745 plus accrued interest due in the next year, interest accrues in the range of 3.25% through 4.0% per annum		6,697			5,823
		62,697			51,823
Less current portion		(2,745	)		(1,227	)
Long term portion	$	59,952		$	50,596

Summary of Aggregate Annual Payments of Principal Required to Revolving Credit Facility

Aggregate annual payments of principal required pursuant to the Amended Credit Agreement and the above notes payable subsequent to September 30, 2017 are as follows (in thousands):

During the twelve months ended September 30, 2018	$	2,745
During the twelve months ended September 30, 2019		59,952
	$	62,697

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BASIS OF PRESENTATION AND SIGNIFICANT ACCOUNTING POLICIES (Details)	3 Months Ended		9 Months Ended
	Sep. 30, 2017 USD ($) Clinic State Region	Sep. 30, 2016 USD ($)	Sep. 30, 2017 USD ($) Clinic State Facility	Sep. 30, 2016 USD ($)	Nov. 02, 2017	Nov. 02, 2015	Apr. 01, 2013
Depreciation Amortization Impairment [Line Items]
Percentage of general partnership interest owned			1.00%
Number of clinic practices acquired | Clinic			2
Number of clinics consolidated with an existing clinics | Clinic	1		1
Number of clinics operates as a satellite clinic with existing partnerships | Clinic	1		1
Number of clinics operated | Clinic	569		569
Number of states where clinics are operated | State	41		41
Number of third party facilities | Facility			30
Number of regions | Region	6
Federal debt ceiling in connection with deficit reductions			10 years
Reductions in federal spending			$ 1,200,000,000,000
Medicare spending cut percentage			2.00%
Expected reduction in Medicare spending percentage						2.00%	2.00%
Combined physical therapy/speech language pathology expenses			$ 3,700
Percentage of practice expense component			100.00%
Percentage reduction for service			50.00%
Net revenue from Medicare accounts			$ 68,500,000
Difference between net revenues and corresponding cash collections, approximately of net revenues			1.00%
Difference between actual aggregate contractual reserve and estimated contractual allowance reserve percentage			1.00%
Maximum contractual allowance reserve estimate			1.00%
Unrecognized tax benefit			$ 0
Accrued interest and penalties associated with any unrecognized tax benefits	$ 0		0
Interest expense recognized			0
Increase in earnings by decreasing the tax provision due to adoption of new accounting treatment	3,132,000	$ 2,753,000	8,029,000	$ 8,727,000
Accounting Standards Update 2016-09 [Member]
Depreciation Amortization Impairment [Line Items]
Increase in earnings by decreasing the tax provision due to adoption of new accounting treatment	$ 200,000	$ 200,000	$ 1,100,000	$ 800,000
Year 2017 [Member]
Depreciation Amortization Impairment [Line Items]
Percentage of increase in medicare payment rates			0.24%
Year 2018 [Member]
Depreciation Amortization Impairment [Line Items]
Percentage of increase in medicare payment rates			0.50%
Year 2018 [Member] | Subsequent Event [Member]
Depreciation Amortization Impairment [Line Items]
Expected reduction in Medicare spending percentage					2.00%
Year 2019 [Member]
Depreciation Amortization Impairment [Line Items]
Percentage of increase in medicare payment rates			0.50%
March 2017 Acquisition [Member]
Depreciation Amortization Impairment [Line Items]
Percentage of interest acquired	55.00%		55.00%
Minimum [Member]
Depreciation Amortization Impairment [Line Items]
Percentage of limited partnership interest owned			49.00%
Mandatorily redeemable non-controlling interest, redemption rights, commencement period			3 years
Redeemable non-controlling interest, redemption rights, commencement period			3 years
Minimum [Member] | Furniture & Equipment [Member]
Depreciation Amortization Impairment [Line Items]
Estimated useful lives			3 years
Minimum [Member] | Software [Member]
Depreciation Amortization Impairment [Line Items]
Estimated useful lives			3 years
Minimum [Member] | Leasehold Improvements [Member]
Depreciation Amortization Impairment [Line Items]
Estimated useful lives			3 years
Maximum [Member]
Depreciation Amortization Impairment [Line Items]
Percentage of limited partnership interest owned			99.00%
Mandatorily redeemable non-controlling interest, redemption rights, commencement period			5 years
Redeemable non-controlling interest, redemption rights, commencement period			5 years
Maximum [Member] | Year 2017 [Member]
Depreciation Amortization Impairment [Line Items]
Annual limit on physical therapy and speech language pathology services			$ 1,980
Annual limit occupational therapy services			$ 1,980
Maximum [Member] | Furniture & Equipment [Member]
Depreciation Amortization Impairment [Line Items]
Estimated useful lives			8 years
Maximum [Member] | Software [Member]
Depreciation Amortization Impairment [Line Items]
Estimated useful lives			7 years
Maximum [Member] | Leasehold Improvements [Member]
Depreciation Amortization Impairment [Line Items]
Estimated useful lives			5 years

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BASIS OF PRESENTATION AND SIGNIFICANT ACCOUNTING POLICIES - Schedule of Clinic Acquisition (Details) - Clinic	9 Months Ended	12 Months Ended
	Sep. 30, 2017	Dec. 31, 2016
Business Acquisition [Line Items]
Number of clinics	2
June 2017 Acquisition [Member]
Business Acquisition [Line Items]
Acquisition date	Jun. 30, 2017
Percentage of interest acquired	60.00%
Number of clinics	9
May 2017 Acquisition [Member]
Business Acquisition [Line Items]
Acquisition date	May 31, 2017
Percentage of interest acquired	70.00%
Number of clinics	4
January 2017 Acquisition [Member]
Business Acquisition [Line Items]
Acquisition date	Jan. 01, 2017
Percentage of interest acquired	70.00%
Number of clinics	17
February 2016 Acquisition [Member]
Business Acquisition [Line Items]
Acquisition date		Feb. 29, 2016
Percentage of interest acquired		55.00%
Number of clinics		8
November 2016 Acquisition [Member]
Business Acquisition [Line Items]
Acquisition date		Nov. 30, 2016
Percentage of interest acquired		60.00%
Number of clinics		12

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ACQUISITIONS OF BUSINESSES (Details)							3 Months Ended	9 Months Ended		12 Months Ended
	Jun. 30, 2017 USD ($) Clinic Installment	May 31, 2017 USD ($) Clinic Installment	Mar. 23, 2017 USD ($)	Jan. 01, 2017 USD ($) Clinic Installment	Nov. 30, 2016 USD ($) Clinic Installment	Feb. 29, 2016 USD ($) Clinic Installment	Sep. 30, 2017 USD ($) Clinic	Sep. 30, 2017 USD ($) Clinic	Sep. 30, 2016 USD ($)	Dec. 31, 2016 USD ($) Subsidiary
Business Acquisition [Line Items]
Number of clinic practices acquired | Clinic								2
Number of clinics consolidated with an existing clinics | Clinic							1	1
Number of clinics operates as a satellite clinic with existing partnerships | Clinic							1	1
Seller notes issued for acquisition of interest in clinic							$ 1,650,000	$ 1,650,000		$ 1,000,000
Number of subsidiaries acquired clinic practices | Subsidiary										2
Aggregate purchase price for the acquired clinic practices										$ 75,000
Cash paid, net of cash acquired								33,740,000	$ 12,958,000	23,623,000
Seller notes							1,650,000	1,650,000		1,000,000
Total consideration							35,390,000	35,390,000		24,623,000
Estimated fair value of net tangible assets acquired [Abstract]
Total current assets							5,681,000	5,681,000		1,764,000
Total non-current assets							1,790,000	1,790,000		839,000
Total liabilities							(1,844,000)	(1,844,000)		(947,000)
Net tangible assets acquired							5,627,000	5,627,000		1,656,000
Referral relationships							4,693,000	4,693,000		4,919,000
Non-compete							1,790,000	1,790,000		847,000
Tradename							5,118,000	5,118,000		3,802,000
Goodwill							40,384,000	40,384,000		32,278,000
Fair value of non-controlling interest (classified as redeemable non-controlling interests)							(11,940,000)	(11,940,000)
Fair value of non-controlling interest (classified as mandatorily redeemable non-controlling interests)							(10,282,000)	(10,282,000)		(18,879,000)
Total consideration							$ 35,390,000	$ 35,390,000		$ 24,623,000
Referral Relationships [Member] | Minimum [Member]
Business Acquisition [Line Items]
Estimated useful lives of acquired intangibles								12 years
Referral Relationships [Member] | Maximum [Member]
Business Acquisition [Line Items]
Estimated useful lives of acquired intangibles								13 years
Non-compete Agreements [Member]
Business Acquisition [Line Items]
Estimated useful lives of acquired intangibles								6 years
Acquisition of Seventeen Clinic Practices [Member]
Business Acquisition [Line Items]
Number of clinic practices acquired | Clinic				17
Percentage of interest acquired										70.00%
Cash paid for acquisition of interest in clinic				$ 10,700,000
Seller notes issued for acquisition of interest in clinic										$ 500,000
Business acquisition number of installments to payment of purchase consideration | Installment				2
Seller notes										$ 500,000
Acquisition of Seventeen Clinic Practices [Member] | January 2018 [Member]
Business Acquisition [Line Items]
Acquisition cost payable in two principal installments including accrued interest				$ 250,000
Acquisition of Seventeen Clinic Practices [Member] | January 2019 [Member]
Business Acquisition [Line Items]
Acquisition cost payable in two principal installments including accrued interest				$ 250,000
Workforce Performance Solutions [Member]
Business Acquisition [Line Items]
Percentage of interest acquired			55.00%
Cash paid for acquisition of interest in clinic			$ 6,200,000
Seller notes issued for acquisition of interest in clinic			400,000
Seller notes			$ 400,000
Acquisition Of Four Clinic Practices [Member]
Business Acquisition [Line Items]
Number of clinic practices acquired | Clinic		4
Percentage of interest acquired		70.00%
Cash paid for acquisition of interest in clinic		$ 2,300,000
Seller notes issued for acquisition of interest in clinic		$ 250,000
Business acquisition number of installments to payment of purchase consideration | Installment		2
Seller notes		$ 250,000
Acquisition Of Four Clinic Practices [Member] | May 2018 [Member]
Business Acquisition [Line Items]
Acquisition cost payable in two principal installments including accrued interest		125,000
Acquisition Of Four Clinic Practices [Member] | May 2019 [Member]
Business Acquisition [Line Items]
Acquisition cost payable in two principal installments including accrued interest		$ 125,000
Acquisition Of Nine Clinic Practices [Member]
Business Acquisition [Line Items]
Number of clinic practices acquired | Clinic	9
Percentage of interest acquired	60.00%
Cash paid for acquisition of interest in clinic	$ 15,800,000
Seller notes issued for acquisition of interest in clinic	$ 500,000
Business acquisition number of installments to payment of purchase consideration | Installment	2
Seller notes	$ 500,000
Acquisition Of Nine Clinic Practices [Member] | June 2018 [Member]
Business Acquisition [Line Items]
Acquisition cost payable in two principal installments including accrued interest	250,000
Acquisition Of Nine Clinic Practices [Member] | June 2019 [Member]
Business Acquisition [Line Items]
Acquisition cost payable in two principal installments including accrued interest	$ 250,000
Acquisition Of Twelve Clinic Practices [Member]
Business Acquisition [Line Items]
Number of clinic practices acquired | Clinic					12
Percentage of interest acquired					60.00%
Cash paid for acquisition of interest in clinic					$ 11,000,000
Seller notes issued for acquisition of interest in clinic					$ 500,000
Business acquisition number of installments to payment of purchase consideration | Installment					2
Seller notes					$ 500,000
Acquisition Of Twelve Clinic Practices [Member] | November 2017 [Member]
Business Acquisition [Line Items]
Acquisition cost payable in two principal installments including accrued interest					250,000
Acquisition Of Twelve Clinic Practices [Member] | November 2018 [Member]
Business Acquisition [Line Items]
Acquisition cost payable in two principal installments including accrued interest					$ 250,000
Acquisition Of Eight Clinic Practices [Member]
Business Acquisition [Line Items]
Number of clinic practices acquired | Clinic						8		2
Percentage of interest acquired						55.00%
Cash paid for acquisition of interest in clinic						$ 13,200,000
Seller notes issued for acquisition of interest in clinic						$ 500,000
Business acquisition number of installments to payment of purchase consideration | Installment						2
Seller notes						$ 500,000
Acquisition Of Eight Clinic Practices [Member] | February 2017 [Member]
Business Acquisition [Line Items]
Acquisition cost payable in two principal installments including accrued interest						250,000
Acquisition Of Eight Clinic Practices [Member] | February 2018 [Member]
Business Acquisition [Line Items]
Acquisition cost payable in two principal installments including accrued interest						$ 250,000
Acquisition Of Single Clinic Practice [Member]
Business Acquisition [Line Items]
Cash paid for acquisition of interest in clinic								$ 175,000

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MANDATORILY REDEEMABLE NON-CONTROLLING INTERESTS (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2017	Sep. 30, 2016	Sep. 30, 2017	Jun. 30, 2017	Sep. 30, 2016
Changes in Carrying Amount of Redeemable Non-Controlling Interest [Roll Forward]
Beginning balance	$ 69,190	$ 45,974
Operating results allocated to redeemable non-controlling interest partners	4,366	3,146
Distributions to redeemable non-controlling interest partners	(5,136)	(3,955)
Changes in the redemption value of mandatorily redeemable non-controlling interest	7,839	6,056
Payments for settlement of mandatorily redeemable non-controlling interest	(2,230)	(1,136)
Purchases of businesses - initial liability related to mandatorily redeemable non-controlling interest	10,282	11,191
Ending balance	84,311	61,276
Carrying Amount of Redeemable Non-Controlling Interest [Abstract]
Contractual time period has lapsed but holder's employment has not been terminated			$ 31,448		$ 21,269
Contractual time period has not lapsed and holder's employment has not been terminated			56,092		42,576
Holder's employment has terminated and contractual time period has expired			0		0
Holder's employment has terminated and contractual time period has not expired			0		0
Redemption value prior to excess distributed earnings			87,540		63,845
Excess distributions over earnings and losses			(3,229)		(2,569)
Redeemable non-controlling interests	$ 69,190	$ 45,974	$ 84,311		$ 61,276
Therapy Practice [Member] | Minimum [Member]
Business Acquisition [Line Items]
Business acquisition, percentage of limited partnership acquired				50.00%
Therapy Practice [Member] | Maximum [Member]
Business Acquisition [Line Items]
Business acquisition, percentage of limited partnership acquired				90.00%
Therapy Practice [Member] | NewCo. [Member]
Business Acquisition [Line Items]
Percentage of equity interest of subsidiary contributed for acquisition				100.00%
Business acquisition, percentage of general partnership interest acquired				100.00%
Business acquisition, consideration payable, term of note	2 years
Employment agreement renewal term	1 year
Non-Compete agreement term under condition of termination of employment of employed selling shareholder	2 years
Therapy Practice [Member] | NewCo. [Member] | Minimum [Member]
Business Acquisition [Line Items]
Employment agreement term	3 years
Non-Compete agreement term regardless of whether the selling shareholder is employed	5 years
Required redemption term, under condition of termination of employment of employed selling shareholders	3 years
Therapy Practice [Member] | NewCo. [Member] | Maximum [Member]
Business Acquisition [Line Items]
Employment agreement term	5 years
Non-Compete agreement term regardless of whether the selling shareholder is employed	6 years
Required redemption term, under condition of termination of employment of employed selling shareholders	5 years

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REDEEMABLE NON-CONTROLLING INTERESTS (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2017	Sep. 30, 2016
Redeemable Noncontrolling Interest [Line Items]
Beginning balance	$ 0
Operating results allocated to redeemable non-controlling interest partners	4,366	$ 3,146
Distributions to redeemable non-controlling interest partners	(5,136)	(3,955)
Purchases of businesses - initial equity related to redeemable non-controlling interest	10,282	$ 11,191
Ending balance	12,079
Redeemable Non-Controlling Interest [Member]
Redeemable Noncontrolling Interest [Line Items]
Beginning balance	0
Operating results allocated to redeemable non-controlling interest partners	155
Distributions to redeemable non-controlling interest partners	(16)
Purchases of businesses - initial equity related to redeemable non-controlling interest	11,940
Ending balance	$ 12,079

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GOODWILL (Details) $ in Thousands	9 Months Ended
	Sep. 30, 2017 USD ($)
Goodwill [Roll Forward]
Beginning balance	$ 226,806
Goodwill acquired during the period	40,384
Goodwill adjustments for purchase price allocation of business acquired	860
Ending balance	$ 268,050

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INTANGIBLE ASSETS, NET - Intangible Assets, Net (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2017	Dec. 31, 2016
Finite Lived Intangible Assets [Line Items]
Total	$ 47,568	$ 38,060
Tradenames [Member]
Finite Lived Intangible Assets [Line Items]
Total	26,352	21,234
Referral Relationships [Member]
Finite Lived Intangible Assets [Line Items]
Total	18,092	14,859
Accumulated amortization	$ 6,741	5,275
Referral Relationships [Member] | Minimum [Member]
Finite Lived Intangible Assets [Line Items]
Estimated useful life	6 years
Referral Relationships [Member] | Maximum [Member]
Finite Lived Intangible Assets [Line Items]
Estimated useful life	16 years
Non-compete Agreements [Member]
Finite Lived Intangible Assets [Line Items]
Total	$ 3,124	1,967
Accumulated amortization	$ 4,012	$ 3,380
Non-compete Agreements [Member] | Minimum [Member]
Finite Lived Intangible Assets [Line Items]
Estimated useful life	5 years
Non-compete Agreements [Member] | Maximum [Member]
Finite Lived Intangible Assets [Line Items]
Estimated useful life	6 years

XML

INTANGIBLE ASSETS, NET - Amortization Expenses (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2017	Sep. 30, 2016	Sep. 30, 2017	Sep. 30, 2016
Finite Lived Intangible Assets [Line Items]
Total amortization expenses	$ 758	$ 520	$ 2,098	$ 1,518
Tradenames [Member]
Finite Lived Intangible Assets [Line Items]
Total amortization expenses	0	20	0	62
Referral Relationships [Member]
Finite Lived Intangible Assets [Line Items]
Total amortization expenses	527	352	1,466	1,027
Non-compete Agreements [Member]
Finite Lived Intangible Assets [Line Items]
Total amortization expenses	$ 231	$ 148	$ 632	$ 429

XML

INTANGIBLE ASSETS, NET - Amortization of Tradename, Referral Relationships and Non-Competition Agreements (Details) $ in Thousands	Sep. 30, 2017 USD ($)
Referral Relationships [Member]
Finite Lived Intangible Assets [Line Items]
2017	$ 1,993
2018	2,063
2019	1,973
2020	1,973
2021	1,973
Thereafter	9,577
Non-compete Agreements [Member]
Finite Lived Intangible Assets [Line Items]
2017	860
2018	883
2019	810
2020	597
2021	519
Thereafter	$ 88

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ACCRUED EXPENSES (Details) - USD ($) $ in Thousands	Sep. 30, 2017	Dec. 31, 2016
Payables and Accruals [Abstract]
Salaries and related costs	$ 18,631	$ 10,569
Credit balances due to patients and payors	4,157	3,880
Group health insurance claims	2,630	2,499
Other	6,074	4,808
Total	$ 31,492	$ 21,756

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NOTES PAYABLE AND AMENDED CREDIT AGREEMENT - Summary of Notes Payable and Credit Agreement (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2017	Dec. 31, 2016
Debt Instrument [Line Items]
Payments/Long term debt, Total	$ 62,697	$ 51,823
Less current portion	(2,745)	(1,227)
Long term portion	59,952	50,596
Credit Facility [Member]
Debt Instrument [Line Items]
Payments/Long term debt, Total	$ 56,000	46,000
Average effective interest rate	3.00%
3.25% through 4.0% Notes Payable due in Next Year [Member]
Debt Instrument [Line Items]
Payments/Long term debt, Total	$ 6,697	$ 5,823
Annual installments	$ 2,745
3.25% through 4.0% Notes Payable due in Next Year [Member] | Minimum [Member]
Debt Instrument [Line Items]
Percentage of interest accrued	3.25%
3.25% through 4.0% Notes Payable due in Next Year [Member] | Maximum [Member]
Debt Instrument [Line Items]
Percentage of interest accrued	4.00%

XML

NOTES PAYABLE AND AMENDED CREDIT AGREEMENT (Details) - USD ($)	1 Months Ended	9 Months Ended	12 Months Ended
	Jan. 31, 2016	Sep. 30, 2017	Dec. 31, 2016	Dec. 31, 2015	Dec. 05, 2013
Debt Instrument [Line Items]
Aggregate principal payment due in 2017		$ 2,745,000
Aggregate principal payment due in 2018		59,952,000
Notes Payable [Member] | 2015 Acquisition [Member]
Debt Instrument [Line Items]
Aggregate amount of notes payable				$ 4,900,000
Aggregate principal payment due in 2017				525,000
Aggregate principal payment due in 2018				1,900,000
Aggregate principal payment due in 2019				$ 1,900,000
Payment of debt		325,000	$ 575,000
Notes Payable [Member] | 2016 Acquisition [Member]
Debt Instrument [Line Items]
Aggregate amount of notes payable			1,500,000
Aggregate principal payment due in 2017			250,000
Aggregate principal payment due in 2018			$ 819,000
Average effective interest rate			3.50%
Payment of debt		444,000
Notes Payable [Member] | 2017 Acquisition [Member]
Debt Instrument [Line Items]
Aggregate amount of notes payable		1,700,000
Aggregate principal payment due in 2018		1,025,000
Aggregate principal payment due in 2019		$ 625,000
Average effective interest rate		4.00%
Minimum [Member]
Debt Instrument [Line Items]
Percentage of unused commitment fee		0.10%
Minimum [Member] | Notes Payable [Member] | 2015 Acquisition [Member]
Debt Instrument [Line Items]
Average effective interest rate				3.25%
Minimum [Member] | LIBOR [Member]
Debt Instrument [Line Items]
Spread on variable rate		1.50%
Minimum [Member] | Base Rate [Member]
Debt Instrument [Line Items]
Spread on variable rate		0.10%
Maximum [Member]
Debt Instrument [Line Items]
Percentage of unused commitment fee		0.25%
Maximum [Member] | Notes Payable [Member] | 2015 Acquisition [Member]
Debt Instrument [Line Items]
Average effective interest rate				4.00%
Maximum [Member] | LIBOR [Member]
Debt Instrument [Line Items]
Spread on variable rate		2.50%
Maximum [Member] | Base Rate [Member]
Debt Instrument [Line Items]
Spread on variable rate		1.00%
Credit Facility [Member]
Debt Instrument [Line Items]
Revolving credit facility commitment					$ 125,000,000
Revolving credit facility maturity date		Nov. 30, 2018
Remaining revolving credit outstanding		$ 69,000,000
Average effective interest rate		3.00%
Credit Agreement [Member]
Debt Instrument [Line Items]
Cash and noncash consideration with respect to acquisition after amendment	$ 50,000,000
Credit Agreement [Member] | Maximum [Member]
Debt Instrument [Line Items]
Cash dividends after amendment	$ 10,000,000	$ 15,000,000

XML

NOTES PAYABLE AND AMENDED CREDIT AGREEMENT- Summary of Aggregate Annual Payments of Principal Required to Revolving Credit Facility (Details) - USD ($) $ in Thousands	Sep. 30, 2017	Dec. 31, 2016
Long Term Debt By Maturity [Abstract]
During the twelve months ended September 30, 2018	$ 2,745
During the twelve months ended September 30, 2019	59,952
Payments/Long term debt, Total	$ 62,697	$ 51,823

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COMMON STOCK (Details) - USD ($)	1 Months Ended	9 Months Ended
	Mar. 31, 2009	Sep. 30, 2017	Dec. 31, 2008
Equity, Class of Treasury Stock [Line Items]
Common stock authorized by the Board of Directors (in shares)	1,200,000		2,250,000
Total purchased shares (in shares)	859,499	0
Additional estimated shares (in shares)		244,100
Closing price (in dollars per share)		$ 61.45
Maximum [Member]
Equity, Class of Treasury Stock [Line Items]
Maximum percentage of repurchase of common stock	10.00%
Bank credit agreement to permit share repurchases of common stock	$ 15,000,000