Open the filing on EDGARU.S. Physical Therapy, Inc.
Jason Curtis, Interim Chief Financial Officer email: jcurtis@usph.com
Chris Reading, Chief Executive Officer
Three Part Advisors
Joe Noyons
U.S. Physical Therapy Reports
Record First Quarter Revenue,
Reaffirms Full Year Guidance
Houston, TX, May 6, 2026 - U.S. Physical Therapy, Inc. (“USPH” or the “Company”) (NYSE, NYSE Texas: USPH), a national operator of outpatient physical therapy clinics and provider of industrial injury prevention services (“IIP”), today reported results for the first quarter ended March 31, 2026 (“Q1 2026”).
- Total net revenue of $198.3 million for Q1 2026, a 7.9% increase over the first quarter ended March 31, 2025 (“Q1 2025”).
- Net income attributable to USPH shareholders of $5.0 million for Q1 2026, compared to $9.9 million for Q1 2025. Included in pretax income for Q1 2026 was a loss on change in fair value of contingent earn out consideration of $2.0 million versus a gain of $4.8 million in Q1 2025. Under GAAP, changes in the value of redeemable noncontrolling interests, representing our partners’ ownership stakes in subsidiaries not fully owned by USPH, are excluded from net income but are included in the calculation of earnings per share. Strong performance in Q1 2026 increased the value of these ownership interests which had a dilutive effect on earnings per share. Loss per share of $0.12 for Q1 2026, compared to earnings per share of $0.80 in the prior-year period.
- Operating results , a non-GAAP measure, of $7.0 million for Q1 2026 compared to $7.3 million for Q1 2025, with operating results per share of $0.46 compared to $0.48 over the same periods, respectively.
- Adjusted EBITDA , a non-GAAP measure, of $20.2 million for Q1 2026 compared to $19.5 million for Q1 2025, a $0.7 million increase.
Chris Reading, Chairman and Chief Executive Officer commented, “I want to begin by thanking our partners and clinical teams for their tremendous care and their continued efforts on behalf of our patients and across several important initiatives this year. These include a partial virtualization of our front desk; company-wide rollout of ambient-listening technology to improve documentation efficiency and allow for more patient-centric interaction; remote therapeutic monitoring for our traditional Medicare patients to facilitate greater home program adherence positively impacting care and outcomes; and targeted cash-based program expansion across our top partnerships impacting care and outcomes as well as overall margin. These initiatives, along with our very important hospital alliance focus, will bear fruit particularly in the second half of the year.”
Mr. Reading continued “Additionally, and importantly, we recently completed our expanded and upgraded credit facility which gives us tremendous capacity for continued growth in physical therapy, industrial injury prevention, and our new and very focused efforts to expand our hospital alliance footprint. In this first quarter we had very positive announcements across all of those initiatives with more good things to come.”
(1) These are non-GAAP Measures. Please refer to the section titled “Reconciliation of Non-GAAP Measures to the Most Directly Comparable GAAP Measure” for the definition and reconciliation of Adjusted EBITDA, Operating Results and other non-GAAP measures to the most directly comparable GAAP measure.
| U.S. Physical Therapy Press Release | Page 2 |
| May 6, 2026 | |
FIRST QUARTER RESULTS
- Physical therapy net revenue was $167.7 million for Q1 2026, a 7.2% increase versus Q1 2025, including a 2.5% increase in revenues at mature clinics.
- Patient visits were 1,543,144 for Q1 2026, a 6.9 % increase versus Q1 2025, with average daily visits per clinic of 31.8 for Q1 2026 compared to 31.2 for Q1 2025.
- Net rate per physical therapy visit was $106.49 for Q1 2026 compared to $105.66 for Q1 2025.
- Physical therapy margin was 15.8% for Q1 2026 compared to 16.6% for Q1 2025. Adjusted physical therapy margin was 16.1% compared to 16.8%, over the comparable prior year period.
- IIP revenue was $30.6 million for Q1 2026, an 11.8% increase versus Q1 2025, including an 8.2% same store increase.
- IIP margin was 20.4% for Q1 2026 compared to 18.6% for Q1 2025.
- Corporate expense as a percentage of total revenue was 9.2% for Q1 2026 compared to 8.8% for Q1 2025. Adjusted corporate expense as a percentage of total revenue was 8.8% and 8.5% over the same periods, respectively.
- The Company added 15 and closed 12 owned and/or managed clinics, bringing the total clinic count to 783 as of March 31, 2026.
- During Q1 2026, the Company acquired a 50% interest in an eight-clinic practice currently generating approximately $8.0 million in annual revenue and approximately 66,000 in annual visits, and a 70% interest in an industrial injury prevention business currently generating approximately $7.0 million in annual revenues.
- These are non-GAAP Measures. Please refer to the section titled “Reconciliation of Non-GAAP Measures to the Most Directly Comparable GAAP Measure” for the definition and reconciliation of Adjusted EBITDA, Operating Results and other non-GAAP measures to the most directly comparable GAAP measure.
BALANCE SHEET AND CASH FLOW
- Cash and cash equivalents were $28.4 million as of March 31, 2026 compared to $35.6 million as of December 31, 2025. The Company had outstanding borrowings under the Company’s credit facility of $203.9 million as of March 31, 2026 compared to $161.8 million as of December 31, 2025.
- As previously announced, on April 14, 2026, the Company closed on a $450.0 million, five-year credit facility that includes a $175.0 million term loan and a $275.0 million revolver with a maturity date of April 14, 2031. This is an increase and extension of the Company’s prior $325.0 million credit facility which was due to expire on June 17, 2027.
- The Company’s Board of Directors declared a quarterly dividend of $0.46 which will be payable on June 12, 2026 to shareholders of record on May 22, 2026.
FULL YEAR EARNINGS GUIDANCE Management reaffirmed the Company’s full year 2026 adjusted EBITDA guidance of $102.0 million to $106.0 million, which includes the partial year impact of two previously announced hospital affiliations and the January 1, 2026 Medicare rate increase. The two previously announced strategic hospital alliances are expected to be accretive to the Company’s revenue, EBITDA, and margins. Upon full integration of the 60 Metro clinics, the incremental annualized EBITDA contribution to Metro is expected to be at least $12 million, with the corresponding impact to USPH estimated to be at least $6 million, reflecting its 50% ownership interest in Metro. Upon full integration of the second subsidiary partner’s ten clinics, the incremental annualized EBITDA contribution to the subsidiary partner is expected to be at least $2 million, with the corresponding impact to USPH estimated to be at least $1.3 million, reflecting its 65% ownership interest in the subsidiary partner. The Company’s 2026 guidance reflects the phased ramp-up of these affiliations beginning May 2026. CONFERENCE CALL INFORMATION U.S. Physical Therapy’s management will host a conference call at 10:30 a.m. ET / 9:30 a.m. CT, on May 7, 2026, to discuss the Company’s financial results for the first quarter ended March 31, 2026. Interested parties may participate in the call by dialing (800) 445-7795 (Primary) or (785) 424-1699 (Alternate) and conference ID of USPHQ126. Please call approximately 10 minutes before the call is scheduled to begin. To listen to the live call, go to the Company’s website at www.usph.com at least 15 minutes early to register, download and install any necessary audio software. If you are unable to listen live, a playback of the conference call can be accessed until August 5, 2026, on the Company’s website.
| U.S. Physical Therapy Press Release | Page 3 |
| May 6, 2026 | |
FORWARD-LOOKING STATEMENTS
This press release contains statements that are considered to be forward-looking within the meaning under Section 21E of the Securities Exchange Act of 1934, as amended. These statements contain forward-looking information relating to the financial condition, results of operations, plans, objectives, future performance and business of our Company. These statements (often using words such as “believes”, “expects”, “intends”, “plans”, “appear”, “should” and similar words) involve risks and uncertainties that could cause actual results to differ materially from those we expect. Included among such statements may be those relating to new clinics, availability of personnel and the reimbursement environment. The forward-looking statements are based on our current views and assumptions and actual results could differ materially from those anticipated in such forward-looking statements as a result of certain risks, uncertainties, and factors, which include, but are not limited to:
- changes in Medicare rules and guidelines and reimbursement or failure of our clinics to maintain their Medicare certification and/or enrollment status;
- revenue we receive from Medicare and Medicaid being subject to potential retroactive reduction;
- changes in reimbursement rates or payment methods from third party payors including government agencies, and changes in the deductibles and co-pays owed by patients;
- private third-party payors for our services may adopt payment policies that could limit our future revenue and profitability;
- compliance with federal and state laws and regulations relating to the privacy of individually identifiable patient information, and associated fines and penalties for failure to comply;
- compliance with state laws and regulations relating to the corporate practice of medicine and fee splitting, and associated fines and penalties for failure to comply ;
- competitive, economic or reimbursement conditions in or markets which may require us to reorganize or close certain clinics and thereby incur losses and/or closure costs including the possible write-down or write-off of goodwill and other intangible assets;
- the impact of a termination of one or more of the Company’s hospital affiliation arrangements, which could have an adverse impact on revenue and the results of operations;
- the impact of future public health crises and epidemics/pandemics;
- certain of our acquisition agreements contain put-rights related to a future purchase of significant equity interests in our subsidiaries or in a separate company;
- the impact of future vaccinations and/or testing mandates at the federal, state and/or local level, which could have an adverse impact on staffing, revenue, costs and the results of operations;
- our debt and financial obligations could adversely affect our financial condition, our ability to obtain future financing and our ability to operate our business;
- changes as the result of government enacted national healthcare reform;
- the ability to control variable interest entities for which we do not have a direct ownership;
- business and regulatory conditions including federal and state regulations;
- governmental and other third party payor inspections, reviews, investigations and audits, which may result in sanctions or reputational harm and increased costs;
- revenue and earnings expectations;
- contingent consideration provisions in certain of our acquisition agreements, the value of which may impact future financial results;
- legal actions, which could subject us to increased operating costs and uninsured liabilities;
- general economic conditions, including but not limited to inflationary and recessionary periods;
- actual or perceived events involving banking volatility or limited liability, defaults or other adverse developments that affect the U.S or the international financial systems, may result in market wide liquidity problems which could have a material and adverse impact on our available cash and results of operations;
- our business depends on hiring, training, and retaining qualified employees;
- availability and cost of qualified physical therapists;
- competitive environment in the industrial injury prevention services business, which could result in the termination or non-renewal of contractual service arrangements and other adverse financial consequences for that service line;
- our ability to identify and complete acquisitions, and the successful integration of the operations of the acquired businesses;
- impact on the business and cash reserves resulting from retirement or resignation of key partners and resulting purchase of their non-controlling interest (minority interests);
- maintaining our information technology systems with adequate safeguards to protect against cyber-attacks;
- a security breach of our or our third party vendors’ information technology systems may subject us to potential legal action and reputational harm and may result in a violation of the Health Insurance Portability and Accountability Act of 1996 of the Health Information Technology for Economic and Clinical Health Act;
- maintaining clients for which we perform management, industrial injury prevention related services, and other services, as a breach or termination of those contractual arrangements by such clients could cause operating results to be less than expected;
- maintaining adequate internal controls;
- use of generative artificial intelligence;
- maintaining necessary insurance coverage;
- availability, terms, and use of capital; and
- weather and other seasonal factors.
Many factors are beyond our control. Given these uncertainties, you should not place undue reliance on our forward-looking statements. For additional information regarding these and other risks and uncertainties, that could cause actual results to differ materially from those contained in our forward-looking statements, please refer to “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2025, filed with the Securities and Exchange Commission (“SEC”) on February 27, 2026 and any risk factors contained in subsequent quarterly and annual reports we file with the SEC. Our forward-looking statements represent our estimates and assumptions only as of the date of this report. Except as required by law, we are under no obligation to update any forward-looking statement as a result of new information, future events, or otherwise, except as required by law.
GLOSSARY OF TERMS - REVENUE METRICS
Mature clinics are clinics (physical clinic locations and home-care business units) opened or acquired prior to January 1, 2025, and are still operating as of the balance sheet date.
Net rate per patient visit is net patient revenue related to our physical therapy operations divided by total number of patient visits (defined below) during the periods presented.
Patient visits is the number of unique patient visits during the periods presented for both physical clinic locations and home-care.
Average daily visits per clinic per day is patient visits (excluding home-care visits) divided by the number of days in which normal business operations were conducted during the periods presented and further divided by the average number of clinics in operation during the periods presented.
ABOUT U.S. PHYSICAL THERAPY, INC.
Founded in 1990, U.S. Physical Therapy, Inc. owns and/or manages 783 outpatient physical therapy clinics in 44 states. USPH clinics provide preventative and post-operative care for a variety of orthopedic-related disorders and sports-related injuries, treatment for neurologically-related injuries and rehabilitation of injured workers. USPH also has an industrial injury prevention business which provides onsite services for clients’ employees including injury prevention and rehabilitation, performance optimization, post-offer employment testing, functional capacity evaluations, and ergonomic assessments.
More information about U.S. Physical Therapy, Inc. is available at www.usph.com. The information included on that website is not incorporated into this press release.
| U.S. Physical Therapy Press Release | Page 4 |
| May 6, 2026 | |
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
UNAUDITED CONSOLIDATED STATEMENTS OF INCOME
(IN THOUSANDS, EXCEPT PER SHARE DATA)
| Three Months Ended |
|---|
| March 31, 2026 | March 31, 2025 |
|---|
| Net patient revenue | $164,328 | $152,547 |
| Other revenue | 33,958 | 31,241 |
| Net revenue | 198,286 | 183,788 |
| Operating cost | | |
| Salaries and related costs | 119,488 | 111,249 |
| Rent, supplies, contract labor and other | 38,452 | 33,844 |
| Depreciation and amortization | 5,658 | 5,540 |
| Provision for credit losses | 2,004 | 1,848 |
| Clinic closure costs - lease and other | (68) | 242 |
| Total operating cost | 165,534 | 152,723 |
| Gross profit | 32,752 | 31,065 |
| Corporate office costs | 18,274 | 16,245 |
| Loss (gain) on change in fair value of contingent earn-out consideration | 1,997 | (4,822) |
| Operating income | 12,481 | 19,642 |
| Other (expense) income | | |
| Interest expense, debt and other | (2,791) | (2,279) |
| Interest income from investments | 16 | 24 |
| Change in revaluation of put-right liability | 363 | (404) |
| Equity in earnings of unconsolidated affiliate | 363 | 393 |
| Loss on sale of a partnership | - | (123) |
| Other | 131 | 75 |
| Total other expense | (1,918) | (2,314) |
| Income before taxes | 10,563 | 17,328 |
| Provision for income taxes | 2,407 | 3,860 |
| Net income | 8,156 | 13,468 |
| Less: Net income attributable to non-controlling interest: | | |
| Redeemable non-controlling interest - temporary equity | (2,514) | (2,012) |
| Non-controlling interest - permanent equity | (604) | (1,557) |
| (3,118) | (3,569) |
| Net income attributable to USPH shareholders | $5,038 | $9,899 |
| Basic and diluted (loss) earnings per share attributable to USPH shareholders | $(0.12) | $0.80 |
| Shares used in computation - basic and diluted | 15,167 | 15,132 |
| Dividends declared per common share | $0.46 | $0.45 |
(1) See Reconciliation of GAAP to Non-GAAP Measures section of this press release for the calculation of basic and diluted earnings per share.
| U.S. Physical Therapy Press Release | Page 5 |
| May 6, 2026 | |
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
UNAUDITED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
(IN THOUSANDS)
| Three Months Ended |
|---|
| March 31, 2026 | March 31, 2025 |
|---|
| Net income | $8,156 | $13,468 |
| Other comprehensive gain: | | |
| Unrealized gain (loss) on cash flow hedge | 360 | (1,331) |
| Tax effect at statutory rate (federal and state) | (96) | 340 |
| Comprehensive income | $8,420 | $12,477 |
| Comprehensive income attributable to non-controlling interest | (3,118) | (3,569) |
| Comprehensive income attributable to USPH shareholders | $5,302 | $8,908 |
| U.S. Physical Therapy Press Release | Page 6 |
| May 6, 2026 | |
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
SEGMENT INFORMATION
| Three Months Ended | Variance | |
|---|
| March 31, 2026 | March 31, 2025 | | $ | % | |
|---|
| (In thousands, except percentages) | |
|---|
| Physical Therapy Operations | | | | | | |
| Revenue related to: | | | | | | |
| Mature Clinics | $153,579 | $149,866 | $3,713 | | 2.5% | |
| Clinic additions | 10,540 | 847 | 9,693 | | * | (10) |
| Clinics sold or closed | 209 | 1,834 | (1,625) | | * | (10) |
| Net patient revenue | 164,328 | 152,547 | 11,781 | | 7.7% | |
| Other | 3,348 | 3,861 | (513) | | (13.3)% | |
| Total | 167,676 | 156,408 | 11,268 | | 7.2% | |
| Operating costs (5)(7) | 141,179 | 130,449 | 10,730 | | 8.2% | |
| Gross profit | $26,497 | $25,959 | $538 | | 2.1% | |
| IIP | | | | | | |
| Net revenue | $30,610 | $27,380 | $3,230 | | 11.8% | |
| Operating costs | 24,355 | 22,274 | 2,081 | | 9.3% | |
| Gross profit | $6,255 | $5,106 | $1,149 | | 22.5% | |
| Financial and operating metrics (not in thousands): | | | | | | |
| Net rate per patient visit | $106.49 | $105.66 | $0.83 | | 0.8% | |
| Patient visits | 1,543,144 | 1,443,805 | 99,339 | | 6.9% | |
| Average daily visits per clinic | 31.8 | 31.2 | 0.6 | | 1.9% | |
| Physical threrapy operations gross profit margin | 15.8% | 16.6% | | | | |
| Physical therapy operations adjusted gross profit margin (4)(5)(6)(7)(9) | 16.1% | 16.8% | | | | |
| IIP gross profit margin | 20.4% | 18.6% | | | | |
| Adjusted salaries and related costs per visit (6)(8) | $64.20 | $63.53 | $0.67 | | 1.1% | |
| Adjusted operating costs per visit (6)(7)(8)(9) | $90.31 | $88.77 | $1.54 | | 1.7% | |
(1) See Glossary of Terms - Revenue Metrics for definition.
(2) Includes 13 owned clinics added during Q1 2026 and 47 owned clinics added during the year ended December 31, 2025. See Clinic Count Roll Forward included in the Supplemental Financial and Performance Metrics table for additional information.
(3) Includes four owned clinics closed during Q1 2026 and 23 owned clinics closed during the year ended December 31, 2025. See Clinic Count Roll Forward included in the Supplemental Financial and Performance Metrics table for additional information.
(4) Includes revenues from management contracts.
(5) Includes costs from management contracts.
(6) Excludes incentive costs related to the Metro acquisition. See the section titled Reconciliation of non-GAAP measures to the most directly comparable GAAP measure.
(7) Amortization of certain intangible assets was reallocated between the physical therapy operations and IIP segments for Q1 2025 amounts to conform with current presentation.
(8) Per visit costs exclude management contract costs.
(9) Excludes certain legal costs related to business acquisitions and clinic closure costs. See the section titled Reconciliation of non-GAAP measures to the most directly comparable GAAP measure.
(10) Not meaningful.
| U.S. Physical Therapy Press Release | Page 7 |
| May 6, 2026 | |
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
SUPPLEMENTAL FINANCIAL AND PERFORMANCE METRICS
Revenue Metrics
| Net Rate Per Patient Visit | Patient Visits | Average Visits Per Clinic Per Day |
|---|
| 2026 | 2025 | 2026 | 2025 | 2026 | 2025 |
|---|
| First quarter | $106.49 | $105.66 | 1,543,144 | 1,443,805 | 31.8 | 31.2 |
| Second quarter | | $105.33 | | 1,558,756 | | 32.7 |
| Third quarter | | $105.54 | | 1,554,207 | | 32.2 |
| Fourth quarter | | $106.49 | | 1,593,336 | | 32.7 |
| Year | | $105.76 | | 6,150,104 | | 32.2 |
| (1) See definition of the metrics above in the Glossary of Terms - Revenue Metrics. |
| (2) Excludes home-care visits. |
Clinic Count Roll Forward
| 2026 | 2025 |
|---|
| Owned | Managed | Total | Owned | Managed | Total |
|---|
| Number of clinics, beginning of period | 746 | 34 | 780 | 722 | 39 | 761 |
| Q1 additions | 13 | 2 | 15 | 14 | - | 14 |
| Q1 closed or sold | (4) | (8) | (12) | (7) | (2) | (9) |
| Number of clinics, end of period | 755 | 28 | 783 | 729 | 37 | 766 |
| Q2 additions | | | | 6 | - | 6 |
| Q2 closed or sold | | | | (3) | (1) | (4) |
| Number of clinics, end of period | | | | 732 | 36 | 768 |
| Q3 additions | | | | 16 | 2 | 18 |
| Q3 closed or sold | | | | (3) | (4) | (7) |
| Number of clinics, end of period | | | | 745 | 34 | 779 |
| Q4 additions | | | | 11 | - | 11 |
| Q4 closed or sold | | | | (10) | - | (10) |
| Number of clinics, end of period | | | | 746 | 34 | 780 |
| Q1 2026 and Q1 2025 additions | 13 | 2 | 15 | 14 | - | 14 |
| Q1 2026 and Q1 2025 closed or sold | (4) | (8) | (12) | (7) | (2) | (9) |
| (1) Excludes the home care business. |
| U.S. Physical Therapy Press Release | Page 8 |
| May 6, 2026 | |
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEET
(IN THOUSANDS, EXCEPT SHARES AND PER SHARE AMOUNTS)
| March 31, 2026 | December 31, 2025 |
|---|
| (unaudited) | |
|---|
| ASSETS | | |
| Current assets: | | |
| Cash and cash equivalents | $28,439 | $35,570 |
| Patient accounts receivable, less provision for credit losses of $3,902 and $3,775, respectively | 69,082 | 64,249 |
| Accounts receivable - other | 27,642 | 24,087 |
| Other current assets | 13,946 | 16,084 |
| Total current assets | 139,109 | 139,990 |
| Fixed assets: | | |
| Furniture and equipment | 70,376 | 67,891 |
| Leasehold improvements | 61,375 | 58,985 |
| Fixed assets, gross | 131,751 | 126,876 |
| Less accumulated depreciation and amortization | (93,129) | (91,225) |
| Fixed assets, net | 38,622 | 35,651 |
| Operating lease right-of-use assets | 149,202 | 144,197 |
| Investment in unconsolidated affiliate | 12,443 | 12,275 |
| Goodwill | 715,874 | 692,392 |
| Other identifiable intangible assets, net | 179,819 | 172,861 |
| Other assets | 6,988 | 6,644 |
| Total assets | $1,242,057 | $1,204,010 |
| LIABILITIES, REDEEMABLE NON-CONTROLLING INTEREST, USPH SHAREHOLDERS’ EQUITY AND NON-CONTROLLING INTEREST | | |
| Current liabilities: | | |
| Accounts payable - trade | $6,758 | $6,059 |
| Accrued expenses | 56,960 | 80,982 |
| Current portion of operating lease liabilities | 42,779 | 42,134 |
| Current portion of term loan and notes payable | 10,801 | 9,865 |
| Total current liabilities | 117,298 | 139,040 |
| Notes payable, net of current portion | 569 | 417 |
| Revolving facility | 74,500 | 30,500 |
| Term loan, net of current portion and deferred financing costs | 118,971 | 121,677 |
| Deferred taxes | 30,775 | 28,391 |
| Operating lease liabilities, net of current portion | 115,212 | 110,572 |
| Other long-term liabilities | 1,861 | 3,214 |
| Total liabilities | 459,186 | 433,811 |
| Redeemable non-controlling interest - temporary equity | 313,437 | 293,311 |
| Commitments and Contingencies | | |
| U.S. Physical Therapy, Inc. ("USPH") shareholders’ equity: | | |
| Preferred stock, $.01 par value, 500,000 shares authorized, no shares issued and outstanding | - | - |
| Common stock, $.01 par value, 20,000,000 shares authorized, | | |
| 17,526,431 and 17,418,621 shares issued, respectively | 175 | 174 |
| Additional paid-in capital | 288,140 | 285,522 |
| Accumulated other comprehensive gain | 978 | 714 |
| Retained earnings | 216,876 | 227,216 |
| Treasury stock at cost, 2,296,059 shares | (37,194) | (37,194) |
| Total USPH shareholders’ equity | 468,975 | 476,432 |
| Non-controlling interest - permanent equity | 459 | 456 |
| Total USPH shareholders' equity and non-controlling interest - permanent equity | 469,434 | 476,888 |
| Total liabilities, redeemable non-controlling interest, | | |
| USPH shareholders' equity and non-controlling interest - permanent equity | $1,242,057 | $1,204,010 |
| U.S. Physical Therapy Press Release | Page 9 |
| May 6, 2026 | |
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS
(IN THOUSANDS)
| Three Months Ended |
|---|
| March 31, 2026 | March 31, 2025 |
|---|
| OPERATING ACTIVITIES | | |
| Net income including non-controlling interest | $8,156 | $13,468 |
| Adjustments to reconcile net income including non-controlling interest to net cash provided by operating activities: | | |
| Depreciation and amortization | 6,000 | 5,867 |
| Provision for credit losses | 2,004 | 1,848 |
| Equity-based awards compensation expense | 2,310 | 1,771 |
| Amortization of debt issue costs | 105 | 106 |
| Change in deferred income taxes | 3,288 | 5,242 |
| Change in revaluation of put-right liability | (363) | 404 |
| Change in fair value of contingent earn-out consideration | 1,997 | (4,822) |
| Equity of earnings in unconsolidated affiliate | (363) | (393) |
| Loss on sale of clinics and fixed assets | 99 | - |
| Loss on sale of a partnership | - | 123 |
| Changes in operating assets and liabilities: | | |
| Patient accounts receivable, net | (5,887) | (7,341) |
| Accounts receivable - other | (2,596) | 774 |
| Other current and long term assets | 2,178 | (6,209) |
| Accounts payable and accrued expenses | (11,992) | (14,229) |
| Other long-term liabilities | (1,128) | (1,284) |
| Net cash provided by (used in) operating activities | 3,808 | (4,675) |
| INVESTING ACTIVITIES | | |
| Purchase of fixed assets | (5,373) | (2,579) |
| Purchase of majority interest in businesses, net of cash acquired | (21,203) | (4,211) |
| Purchase of redeemable non-controlling interest, temporary equity | (5,113) | (907) |
| Purchase of non controlling interest, permanent equity | (8,973) | - |
| Proceeds on sale of non-controlling interest, permanent equity | 50 | - |
| Repayment of notes receivable related to sales of redeemable non-controlling interest | 71 | - |
| Proceeds on sale of partnership interest - redeemable non-controlling interest, temporary equity | 221 | 15 |
| Distributions from unconsolidated affiliate | 195 | 310 |
| Proceeds on sale of partnership interest, clinics and fixed assets | - | 700 |
| Other | 324 | 44 |
| Net cash (used in) investing activities | (39,801) | (6,628) |
| FINANCING ACTIVITIES | | |
| Proceeds from revolving facility | 77,000 | 17,000 |
| Payments on revolving facility | (33,000) | - |
| Distributions to non-controlling interest, permanent and temporary equity | (4,401) | (3,653) |
| Payments on term loan | (1,875) | (3,750) |
| Principal payments on notes payable | (575) | (473) |
| Payment of contingent consideration | (8,287) | - |
| Net cash provided by financing activities | 28,862 | 9,124 |
| Net (decrease) in cash and cash equivalents | (7,131) | (2,179) |
| Cash and cash equivalents - beginning of period | 35,570 | 41,362 |
| Cash and cash equivalents - end of period | $28,439 | $39,183 |
| SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION | | |
| Cash paid during the period for: | | |
| Income taxes | $332 | $7,359 |
| Interest paid | 2,837 | 2,205 |
| Non-cash investing and financing transactions during the period: | | |
| Purchase of businesses - seller financing portion | 500 | - |
| Purchase of redeemable non-controlling interest, temporary equity, recorded in accrued liabilities | - | 6,672 |
| Fair market value of initial contingent consideration related to purchase of businesses | - | 1,259 |
| Notes payable related to purchase of redeemable non-controlling interest, temporary equity | 14 | 89 |
| Notes payable related to purchase of non-controlling interest, permanent equity | 16 | - |
| Notes receivable related to sale of redeemable non-controlling interest, temporary equity | 3,649 | 646 |
| Notes receivable related to the sale of non-controlling interest, permanent equity | 527 | - |
| Offset to notes receivable associated with purchase of redeemable non-controlling interest | 72 | 180 |
| Dividends payable to USPH shareholders | 7,006 | 6,836 |
| U.S. Physical Therapy Press Release | Page 10 |
| May 6, 2026 | |
U.S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
RECONCILIATION OF NON-GAAP MEASURES
TO THE MOST DIRECTLY COMPARABLE GAAP MEASURE
The following tables provide details of the basic and diluted earnings per share computation and reconcile net income attributable to USPH shareholders calculated in accordance with GAAP to Adjusted EBITDA and Operating Results. The tables also provide a reconciliation of additional non-GAAP measures to the most comparable GAAP measure. Management believes providing Adjusted EBITDA and Operating Results to investors is useful for comparing the Company's period-to-period results as well as for comparing with other similar businesses since most do not have redeemable instruments and therefore have different equity structures. Management uses Adjusted EBITDA and Operating Results, which eliminate certain items described above that can be subject to volatility and unusual costs, as the principal measures to evaluate and monitor financial performance period over period.
Adjusted EBITDA, a non-GAAP measure, is defined as net income attributable to USPH shareholders before interest income, interest expense, taxes, depreciation, amortization, change in fair value of contingent earn-out consideration, changes in revaluation of put-right liability, equity-based awards compensation expense, clinic closure costs, business acquisition related costs, costs related to a one-time financial and human resources systems upgrade, loss on sale of a partnership and other income and related portions for non-controlling interests.
Operating Results, a non-GAAP measure, equals net income attributable to USPH shareholders less changes in revaluation of a put-right liability, clinic closure costs, loss on sale of a partnership, changes in fair value of contingent earn-out consideration, business acquisition related costs, costs related to a one-time financial and human resources systems upgrade and any allocations to non-controlling interests, all net of taxes. Operating Results per share also excludes the impact of the revaluation of redeemable non-controlling interest and the associated tax impact.
Adjusted EBITDA and Operating Results are not measures of financial performance under GAAP. Adjusted EBITDA, Operating Results and other non-GAAP measures should not be considered in isolation or as an alternative to, or substitute for, net income attributable to USPH shareholders presented in the consolidated financial statements.
| U.S. Physical Therapy Press Release | Page 11 |
| May 6, 2026 | |
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
ADJUSTED EBITDA, OPERATING RESULTS AND EARNINGS PER SHARE
(IN THOUSANDS, EXCEPT PERCENTAGES AND PER SHARE DATA)
| Three Months Ended |
|---|
| March 31, 2026 | March 31, 2025 |
|---|
| Adjusted EBITDA (a non-GAAP measure) | | |
| Net income attributable to USPH shareholders | $5,038 | $9,899 |
| Adjustments: | | |
| Provision for income taxes | 2,407 | 3,860 |
| Depreciation and amortization | 6,000 | 5,867 |
| Interest expense, debt and other, net | 2,791 | 2,279 |
| Interest income from investments | (16) | (24) |
| Equity-based awards compensation expense | 2,310 | 1,771 |
| Change in revaluation of put-right liability | (363) | 404 |
| Loss (gain) on change in fair value of contingent earn-out consideration | 1,997 | (4,822) |
| Clinic closure costs | (68) | 242 |
| Business acquisition related costs | 537 | 480 |
| ERP implementation costs | 308 | 62 |
| Loss on sale of a partnership | - | 123 |
| Other income | (131) | (75) |
| Allocation to non-controlling interests | (569) | (527) |
| $20,241 | $19,539 |
| Operating Results (a non-GAAP measure) | | |
| Net income attributable to USPH shareholders | $5,038 | $9,899 |
| Adjustments: | | |
| Loss (gain) on change in fair value of contingent earn-out consideration | 1,997 | (4,822) |
| Change in revaluation of put-right liability | (363) | 404 |
| Clinic closure costs | 145 | 242 |
| Business acquisition related costs | 537 | 480 |
| ERP implementation costs | 308 | 62 |
| Loss on sale of a partnership | - | 123 |
| Allocation to non-controlling interest | (3) | (10) |
| Tax effect at statutory rate (federal and state) | (696) | 935 |
| $6,963 | $7,313 |
| Operating Results per share (a non-GAAP measure) | $0.46 | $0.48 |
| Earnings per share | | |
| Computation of earnings per share - USPH shareholders: | | |
| Net income attributable to USPH shareholders | $5,038 | $9,899 |
| Charges to retained earnings: | | |
| Revaluation of redeemable non-controlling interest | (9,369) | 2,903 |
| Tax effect at statutory rate (federal and state) | 2,487 | (742) |
| $(1,844) | $12,060 |
| Earnings (loss) per share (basic and diluted) | $(0.12) | $0.80 |
| Shares used in computation - basic and diluted | 15,167 | 15,132 |
(1) Costs associated with the closure of four and seven clinics (owned) during Q1 2026 and Q1 2025, respectively and for purposes of Operating Results includes accelerated depreciation related to closed clinics. See Clinic Count Roll Forward for additional information.
(2) Primarily consists of retention bonuses, as well as legal and consulting expenses related to the acquisition of equity interests in certain partnerships, and includes costs associated with entering into hospital affiliation contracts.
(3) Consists of costs related to a one-time financial and human resources systems upgrade.
| U.S. Physical Therapy Press Release | Page 12 |
| May 6, 2026 | |
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
RECONCILIATION OF OTHER NON-GAAP MEASURES TO THE MOST COMPARABLE GAAP MEASURES
| Three Months Ended |
|---|
| March 31, 2026 |
|---|
| As Reported (GAAP) | Clinic Closure Costs | Metro Incentive Costs | Business Acquisition Related Costs | ERP Implementation Costs | Change in Fair Value of Contingent Earn-out Consideration | As Adjusted (Non-GAAP) |
|---|
| (in thousands, except per visit data and percentages) |
|---|
| Corporate office costs | $18,274 | $- | $- | $(430) | $(308) | $- | $17,536 |
| Corporate office costs as a percentage of revenue | 9.2% | | | (0.2%) | (0.2%) | | 8.8% |
| Operating income | $12,481 | $145 | $260 | $537 | $308 | $1,997 | $15,728 |
| Segment information - Physical Therapy Operations | | | | | | | |
| Salaries and related costs, clinics | $99,325 | $- | $(260) | $- | $- | $- | $99,065 |
| Operating costs, clinics | $139,872 | $(145) | $(260) | $(107) | $- | $- | $139,360 |
| Gross profit | $26,497 | $145 | $260 | $107 | $- | $- | $27,009 |
| Gross profit margin | 15.8% | * | * | * | | | 16.1% |
| Number of visits | 1,543,144 | | | | | | 1,543,144 |
| Salaries and related costs per visit | $64.37 | $- | $(0.17) | $- | $- | $- | $64.20 |
| Operating costs per visit | $90.64 | $(0.09) | $(0.17) | $(0.07) | $- | $- | $90.31 |
| (1) Costs associated with the closure of four clinics (owned) during Q1 2026. Also includes accelerated depreciation related to closed clinics. See Clinic Count Roll Forward for additional information. |
| (2) Certain earnout bonuses and incentive costs related to the Metro acquisition. |
| (3) Includes expenses related to the acquisitions of equity interests in certain partnerships and includes costs associated with entering into hospital affiliation contracts. |
| (4) Includes costs related to a one-time financial and human resources systems upgrade. | | | |
| (5) Excludes costs related to management contracts. | | | | | | | |
| * Not meaningful | | | | | | | |
| Three Months Ended |
| March 31, 2025 |
| As Reported (GAAP) | Clinic Closure Costs | Metro Incentive Costs | Business Acquisition Related Costs | ERP Implementation Costs | Change in Fair Value of Contingent Earn-out Consideration | As Adjusted (Non-GAAP) |
| (in thousands, except per visit data and percentages) |
| Corporate office costs | $16,245 | $- | $- | $(480) | $(62) | $- | $15,703 |
| Corporate office costs as a percentage of revenue | 8.8% | | | (0.3%) | * | | 8.5% |
| Operating income | $19,642 | $242 | $75 | $480 | $62 | $(4,822) | $15,679 |
| Segment information - Physical Therapy Operations | | | | | | | |
| Salaries and related costs, clinics | $91,799 | $- | $(75) | $- | $- | $- | $91,724 |
| Operating costs, clinics (5)(6) | $128,479 | $(242) | $(75) | $- | $- | $- | $128,162 |
| Gross profit | $25,959 | $242 | $75 | $- | $- | $- | $26,276 |
| Gross profit margin | 16.6% | * | * | | | | 16.8% |
| Number of visits | 1,443,805 | | | | | | 1,443,805 |
| Salaries and related costs per visit | $63.58 | $- | $(0.05) | $- | $- | $- | $63.53 |
| Operating costs per visit | $88.99 | $(0.17) | $(0.05) | $- | $- | $- | $88.77 |
| (1) Costs associated with the closure of seven clinics (owned) during Q1 2025. See Clinic Count Roll Forward for additional information. |
| (2) Certain earnout bonuses and incentive costs related to the Metro acquisition. |
| (3) Includes expenses related to the acquisitions of equity interests in certain partnerships. |
| (4) Includes costs related to a one-time financial and human resources systems upgrade. | | | | | |
| (5) Excludes costs related to management contracts. | | | | | | | |
| (6) Amortization of certain intangible assets was reallocated between the physical therapy operations and IIP segments for Q1 2025 amounts to conform with current presentation. | |
| * Not meaningful | | | | | | | |
Contacts
(713) 297-7000
(817) 778-8424