Reports Record-High Third Quarter Patient
Volume
U.S. Physical Therapy, Inc. (“USPH” or the “Company”) (NYSE:
USPH), a national operator of outpatient physical therapy clinics
and provider of industrial injury prevention services, today
reported results for the three and nine months ended September 30,
2023.
THIRD QUARTER FINANCIAL
HIGHLIGHTS
- Adjusted EBITDA, a non-Generally Accepted Accounting Principles
(“GAAP”) measure, was $18.6 million for the three months ended
September 30, 2023 (“2023 Third Quarter”), an increase of $1.6
million from $17.0 million for the three months ended September 30,
2022 (“2022 Third Quarter”). See pages 15 and 16 of this release
for the definition and reconciliation of Adjusted EBITDA to the
most directly comparable GAAP measure.
- Net income attributable to USPH’s shareholders, a GAAP measure,
was $9.3 million for the 2023 Third Quarter compared to $9.6
million for the 2022 Third Quarter. In accordance with GAAP, the
revaluation of non-controlling interest, net of taxes, is not
included in net income but is charged directly to retained
earnings; however, this change is included in the computation of
earnings per share. Earnings per share were $0.51 for the 2023
Third Quarter as compared to $0.72 for the 2022 Third Quarter.
- Operating Results per share, a non-GAAP measure, were $0.62 per
share for the 2023 Third Quarter as compared to $0.58 for the 2022
Third Quarter. See pages 15 and 16 of this release for the
definition and reconciliation of Operating Results per share to the
most directly comparable GAAP measure.
- Net patient revenue from physical therapy operations increased
9.0% to $127.2 million for the 2023 Third Quarter from $116.7
million for the 2022 Third Quarter due primarily to increased
volume from the 58 net new clinics added since the comparable prior
year period as well as higher visits at the mature clinics,
partially offset by lower net rate per patient visit.
- Average visits per clinic per day was 29.7 in the 2023 Third
Quarter, a record-high for a third quarter in the Company’s
history, compared to 28.8 average visits per clinic per day in the
2022 Third Quarter. Total patient visits increased 10.8% in the
2023 Third Quarter as compared to the 2022 Third Quarter, with
patient visits at mature clinics up 1.3%.
- Net rate per patient visit was $102.37 in the 2023 Third
Quarter compared to $104.01 in the 2022 Third Quarter. The decrease
in net rate was due to the combined Medicare rate reductions in
2022 and 2023. All other payor categories, including commercial and
workers compensation, increased as compared to the prior year. Net
rate per patient visit increased sequentially in the 2023 Third
Quarter from the net rate of $102.03 in the second quarter of
2023.
- Physical therapy total operating costs per patient visit were
$84.49 in the 2023 Third Quarter, a decrease of 0.8% from $85.14 in
the 2022 Third Quarter. Physical therapy salaries and related costs
per visit were $60.35 in the 2023 Third Quarter, a decrease of 1.0%
from $60.99 in the 2022 Third Quarter.
- The Company’s physical therapy gross profit increased 5.4% in
the 2023 Third Quarter as compared to the 2022 Third Quarter and
has increased 10.9% for the nine months ended September 30, 2023,
versus the nine months ended September 30, 2022.
- Industrial injury prevention (“IIP”) services revenue was $19.5
million for the 2023 Third Quarter compared to $20.2 million in the
2022 Third Quarter. IIP services operating margin increased to
22.7% in the 2023 Third Quarter from 21.9% in the 2022 Third
Quarter.
- During the 2023 Third Quarter, the Company added 19 clinics,
including the acquisitions described below, and closed three
clinics, bringing its total clinic count to 672 as of September 30,
2023, as compared to 614 clinics as of September 30, 2022.
- On July 31, 2023, the Company acquired a 70% equity interest in
a five-clinic practice for a purchase price of $2.1 million, with
the current practice owners retaining a 30% equity interest. The
business currently generates approximately $2.4 million in annual
revenues.
- On September 29, 2023, the Company acquired 70% equity
interests in two physical therapy practices with the current
practice owners retaining 30% equity interests for a combined
purchase price of $13.9 million. The businesses currently generate
approximately $7.2 million in combined annual revenues and
approximately 48,000 visits on an annualized basis across five
total clinics.
- On October 31, 2023, the Company, through one of its IIP
subsidiaries, acquired an IIP services and ergonomics software
business for approximately $4.0 million. The Company’s IIP
subsidiary purchased all of the IIP services business and 55% of
the ergonomics software business. The combined businesses currently
generate approximately $2.6 million in annual revenue.
- On November 6, 2023, the Company’s Board of Directors declared
a quarterly dividend of $0.43 per share payable on December 8,
2023, to shareholders of record on November 16, 2023.
- Management currently expects the Company’s Adjusted EBITDA for
2023 to be within its provided guidance range of $75.0 million to
$80.0 million, most likely at the low-to-mid area of such range.
The earnings guidance represents projected Adjusted EBITDA from
existing operations and excludes future acquisitions. See “2023
Earnings Guidance” below for more information.
MANAGEMENT’S COMMENTS
Chris Reading, Chief Executive Officer, said, “Our team
continues to produce excellent results despite the pressure from
Medicare rate reductions, inflationary impacts, and an improving
but still challenging hiring environment. Our clinic volumes were
once again at record levels in the third quarter and our total
operating costs per visit continued to trend below last year. We
also added 19 clinics from acquisitions and de novos during the
quarter, and purchased an IIP services and ergonomics software
business subsequent to quarter-end that provides us an opportunity
to expand the reach of our ergonomics program. We achieved rate
increases in all payor categories other than Medicare in the third
quarter and will continue to focus on this initiative to drive
greater progress in our net rate as we go forward.”
Carey Hendrickson, Chief Financial Officer, said, “Our balance
sheet is in an outstanding position with $149 million of debt fixed
at a below-market rate and approximately $120 million of excess
cash, mostly from our secondary offering in May, ready for
deployment into growth initiatives.”
2023 THIRD QUARTER VERSUS 2022 THIRD
QUARTER
Total net revenue for the 2023 Third Quarter was $150.0 million,
an increase of 7.5%, compared to $139.6 million for the 2022 Third
Quarter. The following table provides a breakdown of total net
revenue.
Three Months Ended September
30,
Variance
2023
2022
$
%
Revenue related to:
(in thousands, except
percentages)
Mature Clinics (1)
$
111,943
$
111,598
$
345
0.3
%
2023 clinic additions
3,598
-
3,598
*
(2)
2022 clinic additions
11,674
3,899
7,775
*
(2)
Clinics sold or closed (3)
28
1,213
(1,185
)
*
(2)
Net patient revenue from physical therapy
operations
127,243
116,710
10,533
9.0
%
Other revenue
889
753
136
18.1
%
Physical therapy operations
128,132
117,463
10,669
9.1
%
Industrial injury prevention services
19,486
20,155
(669
)
(3.3
)%
Management contracts
2,389
1,984
405
20.4
%
$
150,007
$
139,602
$
10,405
7.5
%
___________________________
(1)
See Glossary of Terms – Revenue Metrics
for the definition.
(2)
Not meaningful.
(3)
Revenue from closed clinics includes
revenue from the eight and 16 clinics closed during the nine months
ended September 30, 2023 and the year ended December 31, 2022,
respectively.
- Revenue from physical therapy operations increased $10.7
million, or 9.1%, to $128.1 million for the 2023 Third Quarter from
$117.5 million for the 2022 Third Quarter primarily due to a
record-high average visits for a third quarter in the Company’s
history, and an increase in volume from the 58 net new clinics
added since the comparable prior year period, partially offset by a
decrease in net rate per patient visit. The number of patient
visits increased 10.8% to 1,242,954 for the 2023 Third Quarter from
1,122,070 in the 2022 Third Quarter, with visits at mature clinics
up 1.3% over the same periods.
Net rate per patient visit was $102.37 in the
2023 Third Quarter as compared to $104.01 in the 2022 Third
Quarter. The decrease in net rate was due to the combined Medicare
rate reductions in 2022 and 2023. All other payor categories,
including commercial and workers compensation, increased as
compared to the prior year. Net rate per patient visit increased
sequentially in the 2023 Third Quarter from the net rate of $102.03
in the second quarter of 2023.
- IIP services revenue decreased $0.7 million, or 3.3%, to $19.5
million for the 2023 Third Quarter as compared to $20.2 million for
the 2022 Third Quarter.
Operating costs were $122.1 million for the 2023 Third Quarter,
or 81.4% of net revenue, compared to $112.8 million, or 80.8% of
net revenue, for the 2022 Third Quarter. Total physical therapy
costs per visit were $84.49 in the 2023 Third Quarter, a decrease
of 0.8% from $85.14 in the 2022 Third Quarter. Salaries and related
costs were 59.9% of net revenue for the 2023 Third Quarter versus
58.6% for the 2022 Third Quarter. On a cost per patient visit
basis, physical therapy salaries and related costs per visit were
$60.35 in the 2023 Third Quarter, a decrease of 1.0% from $60.99 in
the 2022 Third Quarter. Rent, supplies, contract labor and other
costs as a percentage of total revenue were 20.5% for the 2023
Third Quarter versus 21.3% for the 2022 Third Quarter. The
provision for credit losses, as a percentage of total revenue, was
1.0% for both the 2023 Third Quarter and the 2022 Third Quarter.
The following table provides a breakdown of operating costs.
Three Months Ended September
30,
Variance
2023
2022
$
%
Operating costs related to:
(In thousands, except
percentages)
Mature Clinics (1)
$
91,822
$
90,811
$
1,011
1.1
%
2023 Clinic additions
3,395
-
3,395
*
(2)
2022 Clinic additions
9,665
3,482
6,183
*
(2)
Clinics sold or closed (3)
137
1,238
(1,101
)
*
(2)
Physical therapy operations
105,019
95,531
9,488
9.9
%
Industrial injury prevention services
15,062
15,750
(688
)
(4.4
)%
Management contracts
1,997
1,537
460
29.9
%
$
122,078
$
112,818
$
9,260
8.2
%
___________________________
(1)
See Glossary of Terms – Revenue Metrics
for the definition.
(2)
Not meaningful.
(3)
Operating costs from closed clinics
include costs from the eight and 16 clinics closed or sold during
the nine months ended September 30, 2023 and the year ended
December 31, 2022, respectively.
- Operating costs from physical therapy operations increased $9.5
million, or 9.9%, to $105.0 million in the 2023 Third Quarter from
$95.5 million in the 2022 Third Quarter primarily driven by costs
associated with the 58 net new clinics since the comparable prior
year period as well as increased patient visits at mature
clinics.
- Operating costs from IIP services were down $0.7 million, or
4.4%, versus the comparable prior year period.
Gross profit for the 2023 Third Quarter increased $1.1 million,
or 4.3%, to $27.9 million from $26.8 million for the 2022 Third
Quarter. Gross profit margin decreased to 18.6% in the 2023 Third
Quarter from 19.2% in the 2022 Third Quarter. The following table
provides a detailed breakdown of gross profit and related gross
profit margins.
Three Months Ended September
30,
2023
2022
Variance
$
Margin %
$
Margin %
$
%
(In thousands, except
percentages)
Physical therapy operations
$
23,113
18.0
%
$
21,932
18.7
%
$
1,181
5.4
%
Industrial injury prevention services
4,424
22.7
%
4,405
21.9
%
19
0.4
%
Management contracts
392
16.4
%
447
22.5
%
(55
)
(12.3
)%
Gross profit
$
27,929
18.6
%
$
26,784
19.2
%
$
1,145
4.3
%
Corporate office costs were $12.0 million, or 8.0% of net
revenue, for the 2023 Third Quarter compared to $11.9 million, or
8.5% of net revenue, for the 2022 Third Quarter.
Operating income for the 2023 Third Quarter was $15.9 million,
or 10.6% of net revenue, and $14.9 million, or 10.7% of net
revenue, for the 2022 Third Quarter.
Total other (expense) income, net, was ($0.1) million in the
2023 Third Quarter compared to $1.1 million in the 2022 Third
Quarter.
- Interest expense, net of $0.9 million savings from the interest
rate swap arrangement discussed in the “Balance Sheet and Cash
Flow” section below, was $2.1 million for the 2023 Third Quarter
compared to $2.0 million in the 2022 Third Quarter. The interest
rate on the Company’s credit facilities, net of the savings from
the interest rate swap, was 4.9% for the 2023 Third Quarter, with
an all-in effective interest rate, including all associated costs,
of 5.6%.
- Interest income from investing excess cash (proceeds from the
secondary offering sale of the Company’s stock completed in May
2023) in a high-yield savings account was $1.7 million during the
2023 Third Quarter.
- The Company revalued the contingent earn-out consideration
related to acquisitions and recognized $0.2 million as income (a
reduction in the related liability) in the 2023 Third Quarter
compared to $2.0 million in the 2022 Third Quarter.
- The revaluation of a put-right liability resulted in $0.1
million of expense (an increase in the related liability) for the
2023 Third Quarter compared to $0.8 million of income for the 2022
Third Quarter. The put-right, which expires in November 2026,
relates to the potential future purchase of a company that provides
physical therapy and rehabilitation services to hospitals and other
ancillary providers in a distinct market area.
The provision for income taxes was $3.6 million in the 2023
Third Quarter compared to $3.2 million during the 2022 Third
Quarter. The provision for income taxes as a percentage of income
before taxes less net income attributable to non-controlling
interest (effective tax rate) was 27.8% for the 2023 Third Quarter
and 25.2% for the 2022 Third Quarter. A computation of our
effective income tax rate is as follows:
Three Months Ended September
30,
2023
2022
(In thousands, except
percentages)
Income before taxes
$
15,779
$
16,036
Less: Net income attributable to
non-controlling interest:
Redeemable non-controlling interest -
temporary equity
(1,976
)
(2,037
)
Non-controlling interest - permanent
equity
(992
)
(1,227
)
(2,968
)
(3,264
)
Income before taxes less net income
attributable to non-controlling interest
12,811
12,772
Provision for income taxes
$
3,557
$
3,215
Effective income tax rate
27.8
%
25.2
%
Net income attributable to non-controlling interest (temporary
and permanent) was $3.0 million in the 2023 Third Quarter compared
to $3.3 million in the 2022 Third Quarter.
Adjusted EBITDA, a non-GAAP measure, increased $1.6 million to
$18.6 million for the 2023 Third Quarter from $17.0 million in the
2022 Third Quarter while Operating Results, also a non-GAAP
measure, increased $1.7 million to $9.2 million, or $0.62 per
share, in the 2023 Third Quarter from $7.5 million, or $0.58 per
share, in the 2022 Third Quarter. The increase in both Adjusted
EBITDA and Operating Results was primarily associated with clinic
additions since the comparable prior year period. See pages 15 and
16 of this release for the definition and reconciliation of
Adjusted EBITDA and Operating Results to the most directly
comparable GAAP measure.
NINE MONTHS ENDED SEPTEMBER 30, 2023
VERSUS NINE MONTHS ENDED SEPTEMBER 30, 2022
Total net revenue for nine months ended September 30, 2023
(“2023 Nine Months”) was $450.0 million, an increase of 9.2%,
compared to $412.0 million for the nine months ended September 30,
2022 (“2022 Nine Months”). The table below provides a breakdown of
total net revenue.
Nine Months Ended September
30,
Variance
2023
2022
$
%
Revenue related to:
(in thousands, except
percentages)
Mature Clinics (1)
$
340,830
$
332,629
$
8,201
2.5
%
2023 clinic additions
5,888
-
5,888
*
(2)
2022 clinic additions
35,965
7,294
28,671
*
(2)
Clinics sold or closed (3)
421
4,521
(4,100
)
*
(2)
Net patient revenue from physical therapy
operations
383,104
344,444
38,660
11.2
%
Other revenue
2,479
2,523
(44
)
(1.7
)%
Physical therapy operations
385,583
346,967
38,616
11.1
%
Industrial injury prevention services
58,082
58,660
(578
)
(1.0
)%
Management contracts
6,336
6,335
1
0.0
%
$
450,001
$
411,962
$
38,039
9.2
%
___________________________
(1)
See Glossary of Terms - Revenue Metrics
for the definition.
(2)
Not meaningful.
(3)
Revenue from closed clinics includes
revenue from the eight and 16 clinics closed or sold during the
nine months ended September 30, 2023 and the year ended December
31, 2022, respectively.
- Revenue from physical therapy operations increased $38.6
million, or 11.1%, to $385.6 million for the 2023 Nine Months from
$347.0 million for the 2022 Nine Months primarily due to higher
average visits per clinic per day (30.0 for the 2023 Nine Months
versus 28.7 for the 2022 Nine Months) and an increase in volume
from the 58 net new clinics added since the comparable prior year
period, partially offset by a decrease in net rate per visit. The
number of patient visits increased 12.2% to 3,737,584 for the 2023
Nine Months from 3,331,143 for the 2022 Nine Months, with patient
visits at our mature clinics up 3.2% over the same periods.
Net rate per patient visit decreased to
$102.50 in the 2023 Nine Months from $103.40 in the 2022 Nine
Months due to the combined Medicare rate reductions in 2022 and
2023, including the discontinuation of sequestration relief on
Medicare visits effective in July 2022.
- Revenue from IIP services decreased slightly to $58.1 million
for the 2023 Nine Months as compared to $58.7 million for the 2022
Nine Months.
Operating costs were $359.0 million for the 2023 Nine Months, or
79.8% of net revenue, compared to $327.8 million, or 79.6% of net
revenue, for the 2022 Nine Months. Salaries and related costs were
58.4% of net revenue for the 2023 Nine Months versus 57.5% for the
2022 Nine Months. Rent, supplies, contract labor and other costs as
a percentage of total revenue were 20.4% for the 2023 Nine Months
versus 21.0% for the 2022 Nine Months. The provision for credit
losses as a percentage of total revenue was 1.0% in both the 2023
Nine Months and the 2022 Nine Months. On a cost per patient visit
basis, physical therapy salaries and related costs per visit were
$59.01 for the 2023 Nine Months, a decrease of 0.6% from $59.34 for
the 2022 Nine Months. Total physical therapy costs per visit were
$82.35 for the 2023 Nine Months, a decrease of 0.9% from $83.09 for
the 2022 Nine Months. The following table provides a breakdown of
operating costs.
Nine Months Ended September
30,
Variance
2023
2022
$
%
Operating costs related to:
(In thousands, except
percentages)
Mature Clinics (1)
$
273,031
$
266,324
$
6,707
2.5
%
2023 Clinic additions
5,701
-
5,701
*
(2)
2022 Clinic additions
28,175
6,597
21,578
*
(2)
Clinics sold or closed (3)
880
3,877
(2,997
)
*
(2)
Physical therapy operations
307,787
276,798
30,989
11.2
%
Industrial injury prevention services
45,904
45,980
(76
)
(0.2
)%
Management contracts
5,317
4,991
326
6.5
%
$
359,008
$
327,769
$
31,239
9.5
%
___________________________
(1) See Glossary of Terms - Revenue Metrics for the
definition. (2)
Not meaningful.
(3)
Operating costs from closed clinics
include costs from the eight and 16 clinics closed or sold during
the nine months ended September 30, 2023, and the year ended
December 31, 2022, respectively.
- Physical therapy operating costs increased $31.0 million, or
11.2%, to $307.8 million in the 2023 Nine Months from $276.8
million in the 2022 Nine Months primarily driven by costs
associated with the 58 net new clinics added since the comparable
prior year period as well as the 3.2% increase in patient visits at
mature clinics.
- Operating costs from IIP services decreased slightly to $45.9
million during the 2023 Nine Months from $46.0 million during the
2022 Nine Months.
Gross profit increased $6.8 million, or 8.1%, to $91.0 million
for the 2023 Nine Months from $84.2 million for the 2022 Nine
Months. Gross profit margin decreased slightly to 20.2% in the 2023
Nine Months from 20.4% in the 2022 Nine Months. The following table
provides a detailed breakdown of gross profit and related gross
profit margins.
Nine Months Ended September
30,
2023
2022
Variance
$
Margin %
$
Margin %
$
%
(In thousands, except
percentages)
Physical therapy operations
$
77,796
20.2
%
$
70,169
20.2
%
$
7,627
10.9
%
Industrial injury prevention services
12,178
21.0
%
12,680
21.6
%
(502
)
(4.0
)%
Management contracts
1,019
16.1
%
1,344
21.2
%
(325
)
(24.2
)%
Gross profit
$
90,993
20.2
%
$
84,193
20.4
%
$
6,800
8.1
%
Corporate office costs were $38.1 million, or 8.5% of net
revenue, for the 2023 Nine Months compared to $34.2 million, or
8.3% of net revenue, for the 2022 Nine Months. The increase of $3.9
million, or 11.3%, in corporate office costs was primarily due to
higher salaries related to merit increases, staff additions to
support a larger number of clinics and inflationary and related
impacts.
Operating income increased 5.9%, to $52.9 million, or 11.8% of
net revenues, for the 2023 Nine Months from $50.0 million, or 12.1%
of net revenues, in the 2022 Nine Months.
- Total other (expense) income, net, was ($3.7) million during
the 2023 Nine Months compared to $1.0 million during the 2022 Nine
Months.
- Interest expense, net of $2.3 million savings from the interest
rate swap arrangement discussed in the “Balance Sheet and Cash
Flow” section below, was $7.3 million for the 2023 Nine Months
compared to $3.5 million in the 2022 Nine Months. The increase in
interest expense was primarily due to a higher effective interest
rate and increased borrowings to fund acquisitions. The effective
interest rate on the Company’s credit facilities, net of the
savings from the interest rate swap, was 5.1% for the 2023 Nine
Months, with an all-in interest rate, including all associated
costs, of 5.7%.
- Interest income from investing excess cash (proceeds from the
secondary offering sale of the Company’s stock completed in May
2023) in a high-yield savings account was $2.2 million during the
2023 Nine Months.
- The Company revalued the contingent earn-out consideration
related to acquisitions and recognized $0.2 million as income (a
reduction in the related liability) in the 2023 Nine Months
compared to $2.0 million in the 2022 Nine Months.
- The revaluation of a put-right liability resulted in $0.3
million of expense (an increase in the related liability) for the
2023 Nine Months compared to $0.8 million of income (a decrease in
the related liability) for the 2022 Nine Months. The put-right,
which expires in November 2026, relates to the potential future
purchase of a company that provides physical therapy and
rehabilitation services to hospitals and other ancillary providers
in a distinct market area.
- During the 2023 Nine Months, the Company recognized $0.5
million of income received under the Coronavirus Aid, Relief and
Economic Security Act (“Relief Funds”). The Relief Funds were
received in prior years but were subject to certain compliance
requirements which were met in the first quarter of 2023. The
Company does not expect to receive or recognize any future Relief
Funds. No such income was recognized in the 2022 Nine Months.
The provision for income taxes was $10.8 million for the 2023
Nine Months compared to $11.0 million for the 2022 Nine Months. The
provision for income taxes as a percentage of income before taxes
less net income attributable to non-controlling interest (effective
tax rate) was 28.1% for the 2023 Nine Months and 27.0% for the 2022
Nine Months. A computation of our effective income tax rate is as
follows:
Nine Months Ended September
30,
2023
2022
(In thousands, except
percentages)
Income before taxes
$
49,270
$
51,011
Less: net income attributable to
non-controlling interest:
Redeemable non-controlling interest -
temporary equity
(7,616
)
(7,220
)
Non-controlling interest - permanent
equity
(3,314
)
(3,288
)
(10,930
)
(10,508
)
Income before taxes less net income
attributable to non-controlling interest
38,340
40,503
Provision for income taxes
$
10,757
$
10,952
Percentage
28.1
%
27.0
%
Net income attributable to non-controlling interest (temporary
and permanent) was $10.9 million for the 2023 Nine Months and $10.5
million for the 2022 Nine Months.
Adjusted EBITDA, a non-GAAP measure, was $58.7 million for the
2023 Nine Months, an increase of $2.9 million from $55.8 million
for the 2022 Nine Months. The increase in Adjusted EBITDA was
primarily associated with clinic additions since the comparable
prior year period, partially offset by higher corporate office
costs.
Operating Results, a non-GAAP measure, was $27.4 million, or
$1.97 per share, in the 2023 Nine Months as compared to $27.5
million, or $2.12 per share, in the 2022 Nine Months.
See pages 15 and 16 of this release for the definition and
reconciliation of Adjusted EBITDA and Operating Results to the most
directly comparable GAAP measure.
BALANCE SHEET AND CASH
FLOW
Total cash and cash equivalents were $147.7 million as of
September 30, 2023, compared to $31.6 million as of December 31,
2022. Additionally, the Company had $145.3 million of outstanding
borrowings and $175.0 million in available credit under its credit
facilities as of September 30, 2023, compared to $179.1 million of
outstanding borrowings and $144.0 million in available credit under
its credit facilities as of December 31, 2022.
On May 30, 2023, the Company completed a secondary offering of
its common stock resulting in net proceeds of $163.6 million after
deducting fees associated with the transaction. A portion of the
net proceeds was used to repay the $35.0 million then outstanding
under the Company’s credit facility while the remainder is expected
to be used primarily for acquisitions. The Company’s cash is
currently invested in a high-yield savings account which generated
interest income of approximately $2.1 million in the 2023 Nine
Months.
During the 2023 Nine Months, $55.1 million of cash was provided
by operating activities, $36.6 million was used in investing
activities, and $97.5 million was provided by financing activities.
The major uses of cash for investing activities included: purchase
of majority interest in businesses ($23.0 million), purchase of
non-controlling interests from existing partners ($8.1 million) and
purchase of fixed assets ($7.1 million), while cash provided by
financing activities included: proceeds from the secondary offering
discussed above ($163.6 million) offset by net payments of
borrowings under our credit facilities ($33.8 million), dividends
paid to shareholders ($17.7 million), and distributions to
non-controlling interests ($11.8 million).
The Company entered into an interest rate swap effective on June
30, 2022, which will mature on June 30, 2027. It has a $150.0
million notional value adjusted concurrently with scheduled
principal payments made on the Company’s term loan. On September
30, 2023, the fair value of the interest rate swap was $7.7 million
as compared to $5.4 million on December 31, 2022. The fair value of
the interest rate swap is included in other assets (current and
long term) in the accompanying consolidated balance sheet while the
increase in fair value is presented as unrealized gain in the
accompanying consolidated statements of comprehensive income. The
interest rate swap arrangement has generated $2.3 million in
interest savings since its inception. The average interest rate for
the term loan during the 2023 Nine Months was 4.9%.
RECENT ACQUISITIONS
On July 31, 2023, the Company acquired a 70% equity interest in
a five-clinic practice for a purchase price of $2.1 million, with
the current practice owners retaining a 30% equity interest. The
business currently generates approximately $2.4 million in annual
revenues.
On September 29, 2023, the Company acquired 70% equity interests
in two practices with the current practice owners retaining 30%
equity interests for a combined purchase price of $13.9 million.
The businesses currently generate approximately $7.2 million in
combined annual revenues and approximately 48,000 visits on an
annualized basis across five total clinics.
On October 31, 2023, the Company, through one of its IIP
subsidiaries, acquired an IIP services and ergonomics software
business for approximately $4.0 million. The Company’s IIP
subsidiary purchased all of the IIP services business and 55% of
the ergonomics software business. The businesses currently generate
approximately $2.6 million in annual revenue.
The Company’s strategy is to continue acquiring outpatient
physical therapy practices, develop outpatient physical therapy
clinics as satellites in existing partnerships, and continue
acquiring companies that provide or serve the Company’s industrial
injury prevention services.
QUARTERLY DIVIDEND
On November 6, 2023, the Company’s Board of Directors declared a
quarterly dividend of $0.43 per share payable on December 8, 2023,
to shareholders of record on November 16, 2023.
2023 EARNINGS GUIDANCE
Management currently expects the Company’s Adjusted EBITDA for
2023 to be within its previously provided guidance range of $75.0
million to $80.0 million, most likely in the low-to-mid area of
such range. Management expects continued strong patient visits
through the end of the year. Where the Company falls within the
range will depend largely on the ultimate strength of volumes in
the fourth quarter, and the extent of growth in net rate from the
third to the fourth quarter. Please note that the earnings guidance
represents projected Adjusted EBITDA from existing operations and
excludes future acquisitions. The annual guidance figures will not
be updated unless there is a material development that causes
management to believe that Adjusted EBITDA will be significantly
outside the given range.
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 November 8, 2023 to discuss the
Company’s financial results for the three and nine months ended
September 30, 2023. Interested parties may participate in the call
by dialing (800) 274-8461 (Primary) or (203) 518-9814 (Alternate)
and conference ID of USPHQ323. Please call in 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 February 6, 2024 at the
Company’s website.
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;
- the impact of future public health crises and
epidemics/pandemics, such as was the case with the novel strain of
COVID-19 and its variants;
- 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;
- 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;
- 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;
- one of our acquisition agreements contains a put right related
to a future purchase of a majority interest 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;
- 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;
- some of our acquisition agreements contain contingent
consideration, 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 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;
- acquisitions, and the successful integration of the operations
of the acquired businesses;
- impact on the business and cash reserves resulting from
retirement or resignation of key partners and resulting purchase of
their non-controlling interest (minority interests);
- maintaining our information technology systems with adequate
safeguards to protect against cyber-attacks;
- a security breach of our or our third-party vendors’
information technology systems may subject us to potential legal
action and reputational harm and may result in a violation of the
Health Insurance Portability and Accountability Act of 1996 of the
Health Information Technology for Economic and Clinical Health
Act;
- maintaining clients for which we perform management, industrial
injury prevention related services, and other services, as a breach
or termination of those contractual arrangements by such clients
could cause operating results to be less than expected;
- maintaining adequate internal controls;
- maintaining necessary insurance coverage;
- availability, terms, and use of capital; and
- weather and other seasonal factors.
Many factors are beyond our control. Given these uncertainties,
you should not place undue reliance on our forward-looking
statements. For additional information regarding these and other
risks and uncertainties, that could cause actual results to differ
materially from those contained in our forward-looking statements,
please refer to “Risk Factors” in our Annual Report on Form 10-K
for the year ended December 31, 2022, filed with the Securities and
Exchange Commission (“SEC”) on February 28, 2023 and any risk
factors contained in subsequent quarterly and annual reports we
file with the SEC. Our forward-looking statements represent our
estimates and assumptions only as of the date of this report.
Except as required by law, we are under no obligation to update any
forward-looking statement as a result of new information, future
events, or otherwise, except as required by law.
GLOSSARY OF TERMS – REVENUE
METRICS
Mature clinics are clinics opened
or acquired prior to January 1, 2022, and are still operating as of
the balance sheet date.
Net rate per patient visit is net
patient revenue related to our physical therapy operations divided
by total number of patient visits (defined below) during the
periods presented.
Patient visits is the number of
unique patient visits during the periods presented.
Average visits per day per clinic
is patient visits divided by the number of days in which normal
business operations were conducted during the periods presented and
further divided by the average number of clinics in operation
during the periods presented.
ABOUT U.S. PHYSICAL THERAPY,
INC.
Founded in 1990, U.S. Physical Therapy, Inc. currently operates
675 outpatient physical therapy clinics in 42 states. The Company’s
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. In addition to owning and operating clinics, the
Company manages 42 physical therapy facilities for unaffiliated
third parties, including hospitals and physician groups. The
Company also has an industrial injury prevention services 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, INC.
AND SUBSIDIARIES
UNAUDITED CONSOLIDATED
STATEMENTS OF INCOME
(IN THOUSANDS, EXCEPT PER
SHARE AMOUNTS)
Three Months Ended
Nine Months Ended
September 30, 2023
September 30, 2022
September 30, 2023
September 30, 2022
Net patient revenue
$
127,243
$
116,710
$
383,104
$
344,444
Other revenue
22,764
22,892
66,897
67,518
Net revenue
150,007
139,602
450,001
411,962
Operating cost:
Salaries and related costs
89,846
81,786
262,757
236,874
Rent, supplies, contract labor and
other
30,707
29,696
91,651
86,703
Provision for credit losses
1,525
1,336
4,600
4,192
Total operating cost
122,078
112,818
359,008
327,769
Gross profit
27,929
26,784
90,993
84,193
Corporate office costs
12,048
11,889
38,052
34,186
Operating income
15,881
14,895
52,941
50,007
Other (expense) income
Interest expense, debt and other
(2,101
)
(2,013
)
(7,293
)
(3,540
)
Interest income
1,673
-
2,191
-
Change in fair value of contingent
earn-out consideration
187
2,000
197
2,000
Change in revaluation of put-right
liability
(145
)
785
(344
)
771
Equity in earnings of unconsolidated
affiliate
206
304
806
983
Relief Funds
-
-
467
-
Other
78
65
305
790
Total other (expense) income
(102
)
1,141
(3,671
)
1,004
Income before taxes
15,779
16,036
49,270
51,011
Provision for income taxes
3,557
3,215
10,757
10,952
Net income
12,222
12,821
38,513
40,059
Less: Net income attributable to
non-controlling interest:
Redeemable non-controlling interest -
temporary equity
(1,976
)
(2,037
)
(7,616
)
(7,220
)
Non-controlling interest - permanent
equity
(992
)
(1,227
)
(3,314
)
(3,288
)
(2,968
)
(3,264
)
(10,930
)
(10,508
)
Net income attributable to USPH
shareholders
$
9,254
$
9,557
$
27,583
$
29,551
Basic and diluted earnings per share
attributable to USPH shareholders (1)
$
0.51
$
0.72
$
1.72
$
2.27
Shares used in computation - basic and
diluted
14,987
13,001
13,918
12,979
Dividends declared per common share
$
0.43
$
0.41
$
1.29
$
1.23
(1) See page 16 of this press
release for the calculation of basic and diluted earnings per
share.
U. S. PHYSICAL THERAPY, INC.
AND SUBSIDIARIES
UNAUDITED CONSOLIDATED
STATEMENTS OF COMPREHENSIVE INCOME
(IN THOUSANDS)
Three Months Ended
Nine Months Ended
September 30, 2023
September 30, 2022
September 30, 2023
September 30, 2022
Net income
$
12,222
$
12,821
$
38,513
$
40,059
Other comprehensive loss
Unrealized gain on cash flow hedge
1,276
6,473
2,340
5,942
Tax effect at statutory rate (federal and
state)
(326
)
(1,654
)
(598
)
(1,518
)
Comprehensive income
$
13,172
$
17,640
$
40,255
$
44,483
Comprehensive income attributable to
non-controlling interest
(2,968
)
(3,264
)
(10,930
)
(10,508
)
Comprehensive income attributable to USPH
shareholders
$
10,204
$
14,376
$
29,325
$
33,975
U. S. PHYSICAL THERAPY, INC.
AND SUBSIDIARIES
CONSOLIDATED BALANCE
SHEET
(IN THOUSANDS, EXCEPT SHARES
AND PER SHARE AMOUNTS)
September 30, 2023
December 31, 2022
ASSETS
(unaudited)
Current assets:
Cash and cash equivalents
$
147,685
$
31,594
Patient accounts receivable, less
allowance for credit losses of $2,847 and $2,829, respectively
52,958
51,934
Accounts receivable - other
18,469
16,671
Other current assets
9,387
11,067
Total current assets
228,499
111,266
Fixed assets:
Furniture and equipment
64,507
62,074
Leasehold improvements
46,212
42,877
Fixed assets, gross
110,719
104,951
Less accumulated depreciation and
amortization
84,651
80,203
Fixed assets, net
26,068
24,748
Operating lease right-of-use assets
102,665
103,004
Investment in unconsolidated affiliate
12,256
12,131
Goodwill
522,907
494,101
Other identifiable intangible assets,
net
112,112
108,755
Other assets
5,679
4,149
Total assets
$
1,010,186
$
858,154
LIABILITIES, REDEEMABLE
NON-CONTROLLING INTEREST, USPH SHAREHOLDERS’ EQUITY AND
NON-CONTROLLING INTEREST
Current liabilities:
Accounts payable - trade
$
4,509
$
3,300
Accounts payable - due to seller of
acquired business
-
3,204
Accrued expenses
35,846
37,413
Current portion of operating lease
liabilities
34,446
33,709
Current portion of term loan and notes
payable
7,555
7,863
Total current liabilities
82,356
85,489
Notes payable, net of current portion
2,037
1,913
Revolving facility
-
31,000
Term loan, net of current portion and
deferred financing costs
139,459
142,918
Deferred taxes
26,487
21,303
Operating lease liabilities, net of
current portion
76,884
77,934
Other long-term liabilities
14,758
13,029
Total liabilities
341,981
373,586
Redeemable non-controlling interest -
temporary equity
174,697
167,515
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, 17,202,053 and 15,216,326 shares issued,
respectively
172
152
Additional paid-in capital
279,124
110,317
Accumulated other comprehensive gain
5,746
4,004
Retained earnings
238,557
232,948
Treasury stock at cost, 2,214,737
shares
(31,628
)
(31,628
)
Total USPH shareholders’ equity
491,971
315,793
Non-controlling interest - permanent
equity
1,537
1,260
Total USPH shareholders' equity and
non-controlling interest - permanent equity
493,508
317,053
Total liabilities, redeemable
non-controlling interest,
USPH shareholders' equity and
non-controlling interest - permanent equity
$
1,010,186
$
858,154
U. S. PHYSICAL THERAPY, INC.
AND SUBSIDIARIES
UNAUDITED CONSOLIDATED
STATEMENTS OF CASH FLOWS
(IN THOUSANDS)
Nine Months Ended
September 30, 2023
September 30, 2022
OPERATING ACTIVITIES
Net income including non-controlling
interest
$
38,513
$
40,059
Adjustments to reconcile net income
including non-controlling interest to net cash provided by
operating activities:
Depreciation and amortization
11,582
10,950
Provision for credit losses
4,600
4,192
Equity-based awards compensation
expense
5,451
5,462
Change in deferred income taxes
5,393
6,077
Change in revaluation of put-right
liability
344
(771
)
Change in fair value of contingent
earn-out consideration
(197
)
(2,000
)
Equity of earnings in unconsolidated
affiliate
(806
)
(983
)
Gain on sale of clinics and fixed
assets
(106
)
(643
)
Changes in operating assets and
liabilities:
Increase in patient accounts
receivable
(5,415
)
(7,585
)
Increase in accounts receivable -
other
(1,631
)
(4,551
)
Increase (decrease) in other current and
long term assets
2,489
(4,273
)
Decrease in accounts payable and accrued
expenses
(5,609
)
(4,568
)
Increase (decrease) in other long-term
liabilities
535
(128
)
Net cash provided by operating
activities
55,143
41,238
INVESTING ACTIVITIES
Purchase of fixed assets
(7,074
)
(7,290
)
Purchase of majority interest in
businesses, net of cash acquired
(22,994
)
(18,573
)
Purchase of redeemable non-controlling
interest, temporary equity
(7,804
)
(14,096
)
Purchase of non-controlling
interest-permanent equity
(262
)
(280
)
Proceeds on sale of partnership interest,
clinics, and fixed assets
7
740
Proceeds on sale of non-controlling
interest, permanent equity
30
Proceeds on sale of partnership interest -
redeemable non-controlling interest, temporary equity
815
401
Distributions from unconsolidated
affiliate
681
1,220
Net cash used in investing activities
(36,601
)
(37,878
)
FINANCING ACTIVITIES
Distributions to non-controlling interest,
permanent and temporary equity
(11,777
)
(11,760
)
Cash dividends paid to shareholders
(17,683
)
(15,990
)
Proceeds from revolving facility
24,000
61,000
Proceeds from term loan
-
150,000
Proceeds from issuance of common stock
pursuant to the secondary public offering, net of issuance
costs
163,646
-
Payments on revolving facility
(55,000
)
(175,000
)
Principal payments on notes payable
(2,874
)
(496
)
Payments on term loan
(2,813
)
(1,779
)
Other
50
12
Net cash provided by financing
activities
97,549
5,987
Net decrease in cash and cash
equivalents
116,091
9,347
Cash and cash equivalents - beginning of
period
31,594
28,567
Cash and cash equivalents - end of
period
$
147,685
$
37,914
SUPPLEMENTAL DISCLOSURES OF CASH FLOW
INFORMATION
Cash paid during the period for:
Income taxes
$
2,731
$
7,529
Interest paid
6,992
2,159
Non-cash investing and financing
transactions during the period:
Purchase of businesses - seller financing
portion
1,860
824
Notes payable related to purchase of
redeemable non-controlling interest, temporary equity
1,017
1,074
Notes receivable related to sale of
redeemable non-controlling interest, temporary equity
3,064
1,580
Notes payable related to the purchase of
non-controlling interest, permanent equity
200
576
Notes receivable related to the sale of
non-controlling interest, permanent equity
$
397
$
-
U. S. PHYSICAL THERAPY, INC. AND
SUBSIDIARIES ADJUSTED EBITDA AND OPERATING RESULTS
(IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)
(UNAUDITED)
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. Management believes
providing Adjusted EBITDA and Operating Results to investors is
useful information for comparing the Company's period-to-period
results.
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, Relief Funds, changes in
revaluation of put-right liability, equity-based awards
compensation expense, 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
put-right liability, Relief Funds, changes in fair value of
contingent earn-out consideration, and any allocations to
non-controlling interests, all net of taxes. Operating Results per
share also exclude the impact of the revaluation of redeemable
non-controlling interest and the associated tax impact.
Management uses Adjusted EBITDA and Operating Results, which
eliminates 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.Management
believes that Adjusted EBITDA and Operating Results are useful
measures 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 redeemable instruments
and therefore have different equity structures.
Adjusted EBITDA and Operating Results are not measures of
financial performance under GAAP. Adjusted EBITDA and Operating
Results 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, INC.
AND SUBSIDIARIES
ADJUSTED EBITDA, OPERATING
RESULTS AND EARNINGS PER SHARE
(IN THOUSANDS, EXCEPT PER
SHARE DATA)
(UNAUDITED)
Three Months Ended
Nine Months Ended
September 30, 2023
September 30, 2022
September 30, 2023
September 30, 2022*
(In thousands, except per
share data)
Adjusted EBITDA
Net income attributable to USPH
shareholders
$
9,254
$
9,557
$
27,583
$
29,551
Adjustments:
Provision for income taxes
3,557
3,215
10,757
10,953
Depreciation and amortization
3,966
3,652
11,582
10,950
Interest expense, debt and other
2,101
2,013
7,293
3,540
Equity-based awards compensation
expense
1,859
1,802
5,451
5,462
Change in revaluation of put-right
liability
145
(785
)
344
(771
)
Change in fair value of contingent
earn-out consideration
(187
)
(2,000
)
(197
)
(2,000
)
Interest income
(1,673
)
-
(2,191
)
-
Other (income) expense
(78
)
(65
)
(305
)
(790
)
Relief Funds
-
-
(467
)
-
Allocation to non-controlling
interests
(358
)
(402
)
(1,119
)
(1,098
)
Adjusted EBITDA (a non-GAAP measure)
$
18,586
$
16,987
$
58,731
$
55,797
Operating Results
Net income attributable to USPH
shareholders
$
9,254
$
9,557
$
27,583
$
29,551
Adjustments:
Change in fair value of contingent
earn-out consideration
(187
)
(2,000
)
(197
)
(2,000
)
Change in revaluation of put-right
liability
145
(785
)
344
(771
)
Relief Funds
-
-
(467
)
-
Allocation to non-controlling interest
-
33
Tax effect at statutory rate (federal and
state)
11
711
73
708
Operating Results (a non-GAAP measure)
$
9,223
$
7,483
$
27,369
$
27,488
Operating Results per share (a non-GAAP
measure)
$
0.62
$
0.58
$
1.97
$
2.12
Earnings per share
Computation of earnings per share - USPH
shareholders:
Net income attributable to USPH
shareholders
$
9,254
$
9,557
$
27,583
$
29,551
Charges to retained earnings:
Revaluation of redeemable non-controlling
interest
(2,242
)
(196
)
(4,988
)
(193
)
Tax effect at statutory rate (federal and
state)
573
50
1,274
49
$
7,585
$
9,411
$
23,869
$
29,407
Earnings per share (basic and diluted)
$
0.51
$
0.72
$
1.72
$
2.27
Shares used in computation - basic and
diluted
14,987
13,001
13,918
12,979
* Revised to conform to current year
presentation.
U.S. PHYSICAL THERAPY, INC.
AND SUBSIDIARIES
REVENUE METRICS
Number of Clinics
Net Rate Per Patient Visit
(1)
Patient Visits (1)
Average Visits Per Day Per
Clinic (1)
2023
2022
2023
2022
2023
2022
2023
2022
First quarter
647
601
$103.12
$103.00
1,227,490
1,063,519
29.8
27.9
Second quarter
656
608
$102.03
$103.18
1,267,140
1,145,554
30.4
29.5
Third quarter
672
614
$102.37
$104.01
1,242,954
1,122,070
29.7
28.8
Fourth quarter
640
$104.28
1,152,139
29.1
(1) See definition of the metrics above in the Glossary of Terms
– Revenue Metrics on page 9.
View source
version on businesswire.com: https://www.businesswire.com/news/home/20231107405544/en/
U.S. Physical Therapy, Inc. Carey Hendrickson, Chief Financial
Officer email: chendrickson@usph.com Chris Reading, Chief Executive
Officer (713) 297-7000 Three Part Advisors Joe Noyons (817)
778-8424
US Physical Therapy (NYSE:USPH)
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