falseU S PHYSICAL THERAPY INC /NV000088597800008859782024-08-132024-08-13
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 or 15(d)
of the Securities Exchange Act of 1934
Date of Report (Date of earliest event reported): August 13, 2024
U.S. PHYSICAL THERAPY, INC.
(Exact name of registrant as specified in its charter)
Nevada
|
|
001-11151
|
|
76-0364866
|
(State or other jurisdiction
of incorporation or organization)
|
|
(Commission
File Number)
|
|
(I.R.S. Employer
Identification No.)
|
1300 WEST SAM HOUSTON PARKWAY,
SUITE 300,
HOUSTON, Texas
|
|
77043
|
(Address of Principal Executive Offices)
|
|
(Zip Code)
|
Registrant's telephone number, including area code: (713) 297-7000
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the
following provisions ( see General Instruction A.2. below):
☐
|
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
|
|
|
☐
|
Soliciting material pursuant to Rule 14a-12(b) under the Exchange Act (17 CFR 240.14a-12)
|
|
|
☐
|
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
|
|
|
☐
|
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
|
Securities registered pursuant to Section 12(b) of the Act:
Title of each class
|
Trading Symbol(s)
|
Name of each exchange on which registered
|
Common Stock, $.01 par value
|
USPH
|
New York Stock Exchange
|
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933
(§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
|
Emerging growth company
|
☐
|
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying
with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.
|
◻
|
ITEM 2.02 RESULTS OF OPERATIONS AND FINANCIAL RESULTS.
On August 13, 2024 – 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, reported results for the three and six months ended June 30, 2024.
A copy of the
press release is attached hereto as Exhibit 99.1 to this Current Report on Form 8-K.
The information in this Current Report on Form 8-K, including the exhibits, shall not be deemed to be "filed" for purposes of Section 18 of the Securities Exchange Act of
1934, as amended (the "Exchange Act"), or otherwise subject to the liabilities of that section, and shall not be incorporated by reference into any registration statement or other document filed under the Securities Act of 1933, as amended, or the
Exchange Act, except as shall be expressly set forth by specific reference in such filing.
The Company’s Board of Directors declared a quarterly dividend of $0.44 per share payable on September 13, 2024, to shareholders of record on August 23, 2024.
ITEM 9.01 FINANCIAL STATEMENTS AND EXHIBITS
|
|
|
Exhibits
|
|
Description of Exhibits
|
|
|
|
|
Registrant's Press Release dated August 13, 2024
|
SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the
undersigned hereunto duly authorized.
|
|
|
|
|
|
|
|
|
|
|
|
U.S. PHYSICAL THERAPY, INC.
|
|
|
|
|
|
|
Dated: August 14, 2024
|
|
|
|
By:
|
|
/s/ CAREY HENDRICKSON
|
|
|
|
|
|
|
|
Carey Hendrickson
|
|
|
|
|
|
|
|
Chief Financial Officer
|
|
|
|
|
|
|
|
(duly authorized officer and principal financial and accounting officer)
|
|
CONTACT:
U.S. Physical Therapy, Inc.
Carey Hendrickson, Chief Financial Officer
Email: Chendrickson@usph.com
Chris Reading, Chief Executive Officer
(713) 297-7000
Three Part Advisors
Joe Noyons
(817) 778-8424
U.S. Physical Therapy Reports
Second Quarter 2024 Results
Reports All-Time High Quarterly Patient Volume
Management Updates Guidance
Houston, TX, August 13, 2024 – 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 six months ended June 30, 2024.
FINANCIAL HIGHLIGHTS
•
|
Adjusted EBITDA (1), a non-Generally Accepted Accounting Principles (“GAAP”) measure, was $22.1 million for the three
months ended June 30, 2024 (“2024 Second Quarter”) compared to $21.7 million in the second quarter ended June 30, 2023 (“2023 Second Quarter”).
|
•
|
Operating Results (1), a non-GAAP measure, was $11.0 million in the 2024 Second Quarter compared to $10.4 million in the
2023 Second Quarter. On a per share basis, Operating Results was $0.73 in the 2024 Second Quarter compared to $0.76 in the 2023 Second Quarter, with the decrease attributable to the increase in shares outstanding associated with the
Company’s secondary offering completed in May 2023.
|
•
|
Net income attributable to USPH’s shareholders (“USPH Net Income”), a GAAP measure, was $7.5 million for the 2024 Second Quarter. In
accordance with GAAP, the revaluation of redeemable 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 for the 2024 Second Quarter was $0.47.
|
•
|
Total revenue from physical therapy operations for the 2024 Second Quarter increased $11.2 million, or 8.5%, to $143.5 million.
|
•
|
Net rate per patient visit for the 2024 Second Quarter increased to $105.05 from $102.03 for the 2023 Second Quarter, an increase of
3.0%, despite the 1.8% Medicare rate reduction in effect for the 2024 Second Quarter. Excluding Medicare, the Company’s net rate increased 4.5% in the 2024 Second Quarter as compared to the 2023 Second Quarter. The increase in net rate
per patient visit reflects the Company’s strategic priority of increasing reimbursement rates through contract negotiations with commercial and other payors as well as growth in workers compensation as a percent of the Company’s overall
mix of business.
|
•
|
Average daily visits per clinic was at an all-time high of 30.6 for the 2024 Second Quarter compared to 30.4 in the comparable prior
year quarter. Total patient visits were 1,335,335 in the 2024 Second Quarter, a 5.4% increase from the 2023 Second Quarter.
|
•
|
Industrial injury prevention (“IIP”) services revenue was $23.7 million for the 2024 Second Quarter, an increase of 23.2% as compared
to the 2023 Second Quarter, with an increase in gross profit of 27.5% over the same periods.
|
•
|
During the 2024 Second Quarter, the Company added seven new clinics and closed five clinics bringing its total clinic count to 681 as
of June 30, 2024, as compared to 656 clinics as of June 30, 2023.
|
•
|
On April 30, 2024, one of the Company’s primary IIP businesses, Briotix Health Limited Partnership, acquired 100% of an IIP services
business for a purchase price of $24.0 million. The acquired business currently generates approximately $11.0 million in annual revenues.
|
•
|
The Company’s Board of Directors declared a quarterly dividend of $0.44 per share payable on September 13, 2024, to shareholders of
record on August 23, 2024.
|
•
|
Management updated its guidance for Adjusted EBITDA for 2024, returning guidance to its original range of $80.0 million to $85.0
million. See “Management Updates 2024 Guidance” below for more information.
|
(1)
|
See pages 12 and 13 of this release for the definition and reconciliation of non-GAAP
measures, Adjusted EBITDA and Operating Results, to the most directly comparable GAAP measure.
|
MANAGEMENT’S COMMENTS
Chris Reading, Chief Executive Officer, said, “Physical therapy volumes, net
rate and injury prevention growth and profitability were all strong for the quarter and a result of our persistent focus in these areas. While our retention has been good with respect to our team members, the new employees who join our team as a
result of turnover are coming in at higher rates. This is especially true of our hourly employees who are more sensitive to escalating prices elsewhere. Additionally, we have a higher than anticipated usage of contract therapists in several
markets around the country. We have made significant recent and ongoing investments in people and processes on the recruiting side of our efforts with more work to be done -- especially in these more challenging markets. Our teams are working
diligently to optimize our ability to address demand while maintaining a close eye on cost and related expense management.”
U.S. Physical Therapy Press Release
|
Page 2
|
August 13, 2024
|
|
2024 SECOND QUARTER VERSUS 2023 SECOND QUARTER
Additional supplemental tables of financial and performance metrics are presented on page 14 of this release.
Physical Therapy Operations
|
|
For the Three Months Ended
|
|
|
Variance
|
|
|
|
|
|
|
June 30, 2024
|
|
|
June 30, 2023
|
|
|
|
|
|
$
|
%
|
|
|
|
|
|
|
(In thousands, except percentages)
|
|
|
|
|
Revenue related to:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Mature Clinics (1)
|
|
$
|
129,349
|
|
|
$
|
126,057
|
|
|
$
|
3,292
|
|
|
|
2.6
|
%
|
|
|
|
Clinic additions (2)
|
|
|
10,905
|
|
|
|
1,910
|
|
|
|
8,995
|
|
|
|
*
|
|
(6)
|
|
|
|
Clinics sold or closed (3)
|
|
|
17
|
|
|
|
1,313
|
|
|
|
(1,296
|
)
|
|
|
*
|
|
(6)
|
|
|
|
Net Patient Revenue
|
|
|
140,271
|
|
|
|
129,280
|
|
|
|
10,991
|
|
|
|
8.5
|
%
|
|
|
|
|
Other (4)
|
|
|
3,215
|
|
|
|
2,959
|
|
|
|
256
|
|
|
|
8.7
|
%
|
|
|
|
|
Total
|
|
|
143,486
|
|
|
|
132,239
|
|
|
|
11,247
|
|
|
|
8.5
|
%
|
|
|
|
|
Operating costs (4)
|
|
|
114,703
|
|
|
|
104,017
|
|
|
|
10,686
|
|
|
|
10.3
|
%
|
|
|
|
|
Gross profit
|
|
$
|
28,783
|
|
|
$
|
28,222
|
|
|
$
|
561
|
|
|
|
2.0
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Financial and operating metrics (not in thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net rate per patient visit (1)
|
|
$
|
105.05
|
|
|
$
|
102.03
|
|
|
$
|
3.02
|
|
|
|
3.0
|
%
|
|
|
|
|
Patient visits (1)
|
|
|
1,335,335
|
|
|
|
1,267,140
|
|
|
|
68,195
|
|
|
|
5.4
|
%
|
|
|
|
|
Average daily visits per clinic (1)
|
|
|
30.6
|
|
|
|
30.4
|
|
|
|
0.2
|
|
|
|
0.7
|
%
|
|
|
|
|
Gross margin
|
|
|
20.1
|
%
|
|
|
21.3
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
Salaries and related costs per visit, clinics (5)
|
|
$
|
59.66
|
|
|
$
|
57.59
|
|
|
$
|
2.07
|
|
|
|
3.6
|
%
|
|
|
|
|
Operating costs per visit, clinics (5)
|
|
$
|
84.46
|
|
|
$
|
80.61
|
|
|
$
|
3.85
|
|
|
|
4.8
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) See Glossary of Terms - Revenue Metrics for
definitions.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(2) Includes 21 clinics added during the six months ended June 30, 2024 and 46 clinic added during the year ended December 31, 2023.
|
|
|
|
|
|
(3) Includes 11 clinics closed during the six months ended June 30, 2024 and 15 clinics closed during the year ended December 31, 2023.
|
|
|
|
|
|
(4) Includes revenues and costs from management contracts.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(5) Per visit costs excludes management contract costs.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(6) Not meaningful.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net revenue from physical therapy operations increased $11.2 million, or 8.5%, to $143.5 million for the 2024 Second Quarter from $132.2 million for the 2023 Second Quarter. This increase was due to the increase in visits from the 25 net new
clinics added since the comparable prior year period, an increase in visits at mature clinics and an increase in net rate per patient visit. The increase in net rate per patient visit was mainly driven by higher reimbursement rates from commercial and
other payors as a result of contract negotiations and an increase in workers compensation as a percent of the Company’s total net patient revenues.
Operating costs from physical therapy operations increased $10.7 million, or 10.3%, to $114.7 million in the 2024 Second Quarter from $104.0 million in the 2023 Second Quarter primarily driven by costs associated with the 25 net new clinics added since
the comparable prior year period. Salaries and related costs per visit increased to $59.66 in the 2024 Second Quarter from $57.59 in the 2023 Second Quarter while total operating costs per visit increased to $84.46 from $80.61 over the same periods,
respectively.
Gross profit from physical therapy operations in the 2024 Second Quarter increased $0.6 million, or 2.0%, to $28.8 million from $28.2 million in the 2023 Second Quarter. The gross profit margin from physical therapy operations was 20.1% in the 2024
Second Quarter.
U.S. Physical Therapy Press Release
|
Page 3
|
August 13, 2024
|
|
Industrial Injury Prevention Services
|
|
For the Three Months Ended
|
|
|
Variance
|
|
|
|
June 30, 2024
|
|
|
June 30, 2023
|
|
|
|
|
|
$
|
%
|
|
|
|
(In thousands, except percentages)
|
|
Net revenue
|
|
$
|
23,704
|
|
|
$
|
19,246
|
|
|
$
|
4,458
|
|
|
|
23.2
|
%
|
Operating costs
|
|
|
18,625
|
|
|
|
15,261
|
|
|
|
3,364
|
|
|
|
22.0
|
%
|
Gross profit
|
|
$
|
5,079
|
|
|
$
|
3,985
|
|
|
$
|
1,094
|
|
|
|
27.5
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross margin
|
|
|
21.4
|
%
|
|
|
20.7
|
%
|
|
|
|
|
|
|
|
|
IIP revenues increased $4.5 million, or 23.2%, to $23.7 million for the 2024 Second Quarter as compared to $19.2 million for the 2023 Second Quarter. Excluding the Company’s IIP acquisition during the 2024 Second Quarter, IIP revenues increased
13.5%. IIP operating costs increased $3.4 million, or 22.0%, versus the comparable prior year period. Gross profit from IIP operations in the 2024 Second Quarter increased $1.1 million, or 27.5%, to $5.1 million from $4.0 million in the 2023 Second
Quarter. Excluding the Company’s IIP acquisition in the 2024 Second Quarter, IIP gross profit increased 15.7%. The gross profit margin from IIP operations increased to 21.4% in the 2024 Second Quarter from 20.7% in the 2023 Second Quarter.
Corporate Office and Other Expenses
Corporate office costs were $14.2 million, or 8.5% of revenue, in the 2024 Second Quarter compared to $12.1 million, or 8.0% of revenue in the 2023 Second Quarter.
Operating income was $19.6 million for the 2024 Second Quarter compared to $20.1 million for the 2023 Second Quarter.
Interest expense decreased $0.7 million to $2.0 million for the 2024 Second Quarter compared to $2.6 million in the 2023 Second Quarter due to a lower outstanding balance on our revolver, which was paid down in May 2023. The interest rate on the
Company’s credit facility was 4.7% for the 2024 Second Quarter and 5.7% for the 2023 Second Quarter, with an all-in effective interest rate, including all associated costs of 5.4% and 6.0% over the same periods, respectively.
Interest income from investing excess cash (primarily proceeds from the secondary offering sale of the Company’s stock completed in May 2023) in a high-yield savings account was $1.1 million during the 2024 Second Quarter compared to $0.5 million in
the 2023 Second Quarter.
The Company revalued contingent and put-right liabilities related to certain acquisitions and recognized a net expense of $4.3 million (an increase in the related liabilities) in the 2024 Second Quarter compared to an income of $0.7 million (a
decrease in the related liabilities) in the 2023 Second Quarter.
The provision for income taxes was $3.1 million in the 2024 Second Quarter compared to $4.2 million during the 2023 Second Quarter while the effective tax rates were 29.1% and 27.9% over the same periods, respectively.
USPH Net Income and Non-GAAP Measures
Net income attributable to non-controlling interest (temporary and permanent) was $4.2 million in the 2024 Second Quarter compared to $3.9 million in the 2023 Second Quarter.
USPH Net Income was $7.5 million for the 2024 Second Quarter as compared to $10.9 million for the 2023 Second 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 for the 2024 Second Quarter was $0.47 compared to $0.64 for the 2023 Second Quarter, due in part to the increase in
shares outstanding associated with the Company’s secondary offering completed in May 2023.
Non-GAAP Adjusted EBITDA was $22.1 million for the 2024 Second Quarter compared to $21.7 million for the 2023 Second Quarter. Non-GAAP Operating Results was $11.0 million, or $0.73 per share, in the 2024 Second Quarter as compared to $10.4
million, or $0.76 per share, in the 2023 Second Quarter, with the decrease in per share amounts being attributable to the increase in shares outstanding associated with the Company’s secondary offering completed in May 2023.
See pages 12 and 13 of this release for the definition and reconciliation of Adjusted EBITDA and Operating Results to the most directly comparable GAAP measure.
U.S. Physical Therapy Press Release
|
Page 4
|
August 13, 2024
|
|
SIX MONTHS ENDED JUNE 30, 2024 VERSUS SIX MONTH ENDED JUNE 30, 2023
Total net revenue for the six months ended June 30, 2024 (“2024 Six Months”) increased $22.9 million, or 7.6%, to $322.9 million from $300.0 million for the six months ended June 30, 2023 (“2023 Six Months”) while operating costs increased $23.7 million,
or 10.0%, to $260.6 million from $236.9 million over the same periods, respectively. Gross profit for the 2024 Six Months was $62.3 million, or 19.3% of net revenue, compared to $63.1 million for the 2023 Six Months, or 21.0% of net revenue.
Revenues from physical therapy operations increased $16.5 million, or 6.3%, to $277.9 million in the 2024 Six Months compared to $261.4 million in the 2023 Six Months. This increase was primarily due to the increase in volume from the 25 net new clinics
added since the comparable prior year period as well as an increase in net rate per patient visit to $104.23 for 2024 Six Months from $102.56 for 2023 Six Months. Gross profit from physical therapy operations decreased $2.5 million, or 4.5%, to $52.8
million for the 2024 Six Months from $55.3 million for the 2023 Six Months while the gross profit margin from physical therapy operations decreased to 19.0% for 2024 Six Months from 21.2% for 2023 Six Months.
Revenues from IIP increased $6.4 million, or 16.5%, to $45.0 million for the 2024 Six Months from $38.6 million for the 2023 Six Months. Gross profit from IIP operations increased $1.7 million, or 21.4%, to $9.4 million for the 2024 Six Months from $7.8
million for the 2023 Six Months while the gross profit margin from IIP operations increased to 20.9% for the 2024 Six Months from 20.1% for the 2023 Six Months.
Corporate office costs were $28.3 million, or 8.8% of net revenue, in the 2024 Six Months, compared to $26.0 million, or 8.7% of net revenue, in the 2023 Six Months.
Operating income was $33.9 million for the 2024 Six Months compared to $37.1 million for the 2023 Six Months.
Other expenses were $4.4 million in the 2024 Six Months compared to $3.6 million in the 2023 Six Months, with the increase primarily due to increased net expense related to the fair value adjustments of certain contingent earn-out consideration and put
liability partially offset by lower interest expense as a result of lower outstanding borrowings and higher interest income from investing excess cash associated with proceeds from the Company’s secondary offering completed in May 2023.
The provision for income tax was $6.2 million for the 2024 Six Months and $7.2 million for the 2023 Six Months. The effective tax rate was 28.6% and 28.2% over the same periods, respectively.
USPH Net Income was $15.6 million for the 2024 Six Months as compared to $18.3 million for the 2023 Six Months while earnings per share was $0.93 for the 2024 Six Months compared to $1.22 for the 2023 Six Months, due in part to the increase in shares
outstanding associated with the Company’s secondary offering completed in May 2023.
Non-GAAP Adjusted EBITDA decreased $1.2 million to $38.9 million for the 2024 Six Months from $40.1 million in the 2023 Six Months while non-GAAP Operating Results increased $0.6 million to $18.8 million, or $1.25 per share, in the 2024 Six Months from
$18.1 million, or $1.36 per share, in the 2023 Six Months, with the decrease in the per share amounts being attributable to the increase in shares outstanding associated with the Company’s secondary offering completed in May 2023.
See pages 12 and 13 of this release for the definition and reconciliation of Adjusted EBITDA and Operating Results to the most directly comparable GAAP measure.
For additional information on 2024 Six Months results, please refer to the Company’s Quarterly Report on Form 10-Q which is expected to be filed with the Securities and Exchange Commission on August 14, 2024.
U.S. Physical Therapy Press Release
|
Page 5
|
August 13, 2024
|
|
BALANCE SHEET AND CASH FLOW
Total cash and cash equivalents were $112.9 million as of June 30, 2024, compared to $152.8 million at December 31, 2023. Additionally, the Company had $142.5 million of outstanding borrowings and $175.0 million in
available credit under its credit facilities as of June 30, 2024, compared to $144.4 million of outstanding borrowings and $175.0 million in available credit under its credit facilities as of December 31, 2023.
RECENT ACQUISITIONS
On April 30, 2024, one of the Company’s primary IIP companies, Briotix Health Limited Partnership, acquired 100% of an
IIP services business for a purchase price of $24.0 million. The business currently generates approximately $11.0 million in annual revenues.
The Company’s strategy is to continue acquiring multi-clinic outpatient physical therapy practices, to develop
outpatient physical therapy clinics as satellites in existing partnerships and to continue acquiring companies that provide industrial injury prevention services.
QUARTERLY DIVIDEND
The Company’s Board of Directors declared a quarterly dividend of $0.44 per share payable on
September 13, 2024, to shareholders of record on August 23, 2024.
MANAGEMENT UPDATES 2024 EARNINGS GUIDANCE
Management returned its
guidance for Adjusted EBITDA for 2024 to its original range of $80.0 million to $85.0 million. The change in guidance reflects the lingering tough employment environment for both clinical and front office staff which has resulted in greater costs than anticipated in both salaries and contract labor so far this year.
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 August 14, 2024, to discuss the Company’s financial results for the second quarter ended June 30, 2024. Interested parties may participate in the call by dialing (800) 245-3047 (Primary) or (203)
518-9765 (Alternate) and conference ID of USPHQ224. 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 November 12, 2024, at the Company’s website.
U.S. Physical Therapy Press Release
|
Page 6
|
August 13, 2024
|
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;
|
•
|
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, or may interfere with our ability to file and
process claims for payment which could interfere with our collection of revenues from third party payors;
|
•
|
enforcing our noncompetition covenants;
|
•
|
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, 2023, filed with the Securities and Exchange Commission (“SEC”) on February 29, 2024 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.
U.S. Physical Therapy Press Release
|
Page 7
|
August 13, 2024
|
GLOSSARY OF TERMS – REVENUE METRICS
Mature clinics are clinics opened or acquired prior to January 1, 2023, and are still operating as of the balance sheet date.
Net rate per patient visit is net patient revenue related to our physical therapy operations divided by total number of patient visits (defined below) during the periods presented.
Patient visits is the number of unique patient visits during the periods presented.
Average daily visits per clinic is patient visits divided by the number of days in which normal business operations were conducted during the periods presented and further divided by the average number of clinics in operation during the periods
presented.
ABOUT U.S. PHYSICAL THERAPY, INC.
Founded in 1990, U.S. Physical Therapy, Inc. currently operates 680 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 41 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 Press Release
|
Page 8
|
August 13, 2024
|
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
UNAUDITED CONSOLIDATED STATEMENTS OF INCOME
(IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)
|
|
For the Three Months Ended
|
|
|
For the Six Months Ended
|
|
|
|
June 30, 2024
|
|
|
June 30, 2023
|
|
|
June 30, 2024
|
|
|
June 30, 2023
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net patient revenue
|
|
$
|
140,271
|
|
|
$
|
129,280
|
|
|
$
|
271,346
|
|
|
$
|
255,861
|
|
Other revenue
|
|
|
26,919
|
|
|
|
22,205
|
|
|
|
51,519
|
|
|
|
44,133
|
|
Net revenue
|
|
|
167,190
|
|
|
|
151,485
|
|
|
|
322,865
|
|
|
|
299,994
|
|
Operating cost:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Salaries and related costs
|
|
|
96,334
|
|
|
|
86,871
|
|
|
|
190,065
|
|
|
|
172,911
|
|
Rent, supplies, contract labor and other
|
|
|
35,277
|
|
|
|
30,844
|
|
|
|
67,193
|
|
|
|
60,944
|
|
Provision for credit losses
|
|
|
1,717
|
|
|
|
1,563
|
|
|
|
3,344
|
|
|
|
3,075
|
|
Total operating cost
|
|
|
133,328
|
|
|
|
119,278
|
|
|
|
260,602
|
|
|
|
236,930
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross profit
|
|
|
33,862
|
|
|
|
32,207
|
|
|
|
62,263
|
|
|
|
63,064
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Corporate office costs
|
|
|
14,249
|
|
|
|
12,145
|
|
|
|
28,334
|
|
|
|
26,004
|
|
Operating income
|
|
|
19,613
|
|
|
|
20,062
|
|
|
|
33,929
|
|
|
|
37,060
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other income (expense):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest expense, debt and other
|
|
|
(1,980
|
)
|
|
|
(2,633
|
)
|
|
|
(3,948
|
)
|
|
|
(5,193
|
)
|
Interest income from investments
|
|
|
1,074
|
|
|
|
517
|
|
|
|
2,617
|
|
|
|
517
|
|
Change in fair value of contingent earn-out consideration
|
|
|
(4,046
|
)
|
|
|
708
|
|
|
|
(3,434
|
)
|
|
|
10
|
|
Change in revaluation of put-right liability
|
|
|
(223
|
)
|
|
|
(50
|
)
|
|
|
(303
|
)
|
|
|
(199
|
)
|
Equity in earnings of unconsolidated affiliate
|
|
|
248
|
|
|
|
326
|
|
|
|
519
|
|
|
|
600
|
|
Relief Funds
|
|
|
-
|
|
|
|
-
|
|
|
|
-
|
|
|
|
467
|
|
Other
|
|
|
109
|
|
|
|
165
|
|
|
|
171
|
|
|
|
229
|
|
Total other income (expense)
|
|
|
(4,818
|
)
|
|
|
(967
|
)
|
|
|
(4,378
|
)
|
|
|
(3,569
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income before taxes
|
|
|
14,795
|
|
|
|
19,095
|
|
|
|
29,551
|
|
|
|
33,491
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Provision for income taxes
|
|
|
3,083
|
|
|
|
4,231
|
|
|
|
6,222
|
|
|
|
7,200
|
|
Net income
|
|
|
11,712
|
|
|
|
14,864
|
|
|
|
23,329
|
|
|
|
26,291
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Less: Net income attributable to non-controlling interest:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Redeemable non-controlling interest - temporary equity
|
|
|
(3,314
|
)
|
|
|
(2,920
|
)
|
|
|
(5,541
|
)
|
|
|
(5,640
|
)
|
Non-controlling interest - permanent equity
|
|
|
(892
|
)
|
|
|
(1,025
|
)
|
|
|
(2,236
|
)
|
|
|
(2,322
|
)
|
|
|
|
(4,206
|
)
|
|
|
(3,945
|
)
|
|
|
(7,777
|
)
|
|
|
(7,962
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income attributable to USPH shareholders
|
|
$
|
7,506
|
|
|
$
|
10,919
|
|
|
$
|
15,552
|
|
|
$
|
18,329
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic and diluted earnings per share attributable to USPH shareholders (1)
|
|
$
|
0.47
|
|
|
$
|
0.64
|
|
|
$
|
0.93
|
|
|
$
|
1.22
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Shares used in computation - basic and diluted
|
|
|
15,072
|
|
|
|
13,720
|
|
|
|
15,044
|
|
|
|
13,375
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Dividends declared per common share
|
|
$
|
0.44
|
|
|
$
|
0.43
|
|
|
$
|
0.88
|
|
|
$
|
0.86
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) See page 13 of this press release for the calculation of basic and diluted earnings per share.
U.S. Physical Therapy Press Release
|
Page 9
|
August 13, 2024
|
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
UNAUDITED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
(IN THOUSANDS)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Three Months Ended
|
|
|
For the Six Months Ended
|
|
|
|
June 30, 2024
|
|
|
June 30, 2023
|
|
|
June 30, 2024
|
|
|
June 30, 2023
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$
|
11,712
|
|
|
$
|
14,864
|
|
|
$
|
23,329
|
|
|
$
|
26,291
|
|
Other comprehensive (loss) gain:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Unrealized (loss) gain on cash flow hedge
|
|
|
(31
|
)
|
|
|
2,881
|
|
|
|
1,750
|
|
|
|
1,064
|
|
Tax effect at statutory rate (federal and state)
|
|
|
8
|
|
|
|
(736
|
)
|
|
|
(447
|
)
|
|
|
(272
|
)
|
Comprehensive income
|
|
$
|
11,689
|
|
|
$
|
17,009
|
|
|
$
|
24,632
|
|
|
$
|
27,083
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Comprehensive income attributable to non-controlling interest
|
|
|
(4,206
|
)
|
|
|
(3,945
|
)
|
|
|
(7,777
|
)
|
|
|
(7,962
|
)
|
Comprehensive income attributable to USPH shareholders
|
|
$
|
7,483
|
|
|
$
|
13,064
|
|
|
$
|
16,855
|
|
|
$
|
19,121
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
U.S. Physical Therapy Press Release
|
Page 10
|
August 13, 2024
|
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEET
(IN THOUSANDS, EXCEPT SHARES AND PER SHARE AMOUNTS)
|
|
June 30, 2024
|
|
|
December 31, 2023
|
|
ASSETS
|
|
(unaudited)
|
|
|
|
|
Current assets:
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
$
|
112,911
|
|
|
$
|
152,825
|
|
Patient accounts receivable, less provision for credit losses of $3,184 and $2,736, respectively
|
|
|
54,659
|
|
|
|
51,866
|
|
Accounts receivable - other
|
|
|
21,669
|
|
|
|
17,854
|
|
Other current assets
|
|
|
12,438
|
|
|
|
10,830
|
|
Total current assets
|
|
|
201,677
|
|
|
|
233,375
|
|
Fixed assets:
|
|
|
|
|
|
|
|
|
Furniture and equipment
|
|
|
65,775
|
|
|
|
63,982
|
|
Leasehold improvements
|
|
|
48,730
|
|
|
|
46,941
|
|
Fixed assets, gross
|
|
|
114,505
|
|
|
|
110,923
|
|
Less accumulated depreciation and amortization
|
|
|
(88,277
|
)
|
|
|
(84,821
|
)
|
Fixed assets, net
|
|
|
26,228
|
|
|
|
26,102
|
|
Operating lease right-of-use assets
|
|
|
105,484
|
|
|
|
103,431
|
|
Investment in unconsolidated affiliate
|
|
|
12,243
|
|
|
|
12,256
|
|
Goodwill
|
|
|
548,970
|
|
|
|
509,571
|
|
Other identifiable intangible assets, net
|
|
|
123,903
|
|
|
|
109,682
|
|
Other assets
|
|
|
4,629
|
|
|
|
2,821
|
|
Total assets
|
|
$
|
1,023,134
|
|
|
$
|
997,238
|
|
|
|
|
|
|
|
|
|
|
LIABILITIES, REDEEMABLE NON-CONTROLLING INTEREST, USPH SHAREHOLDERS’ EQUITY AND NON-CONTROLLING INTEREST
|
|
|
|
|
|
|
|
|
Current liabilities:
|
|
|
|
|
|
|
|
|
Accounts payable - trade
|
|
$
|
4,100
|
|
|
$
|
3,898
|
|
Accrued expenses
|
|
|
58,056
|
|
|
|
55,344
|
|
Current portion of operating lease liabilities
|
|
|
35,243
|
|
|
|
35,252
|
|
Current portion of term loan and notes payable
|
|
|
9,700
|
|
|
|
7,691
|
|
Total current liabilities
|
|
|
107,099
|
|
|
|
102,185
|
|
Notes payable, net of current portion
|
|
|
1,511
|
|
|
|
1,289
|
|
Term loan, net of current portion and deferred financing costs
|
|
|
134,188
|
|
|
|
137,702
|
|
Deferred taxes
|
|
|
26,531
|
|
|
|
24,815
|
|
Operating lease liabilities, net of current portion
|
|
|
78,329
|
|
|
|
76,653
|
|
Other long-term liabilities
|
|
|
5,507
|
|
|
|
2,356
|
|
Total liabilities
|
|
|
353,165
|
|
|
|
345,000
|
|
|
|
|
|
|
|
|
|
|
Redeemable non-controlling interest - temporary equity
|
|
|
184,354
|
|
|
|
174,828
|
|
|
|
|
|
|
|
|
|
|
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,
|
|
|
|
|
|
|
|
|
17,291,366 and 17,202,291 shares issued, respectively
|
|
|
172
|
|
|
|
172
|
|
Additional paid-in capital
|
|
|
285,462
|
|
|
|
281,096
|
|
Accumulated other comprehensive gain
|
|
|
4,084
|
|
|
|
2,782
|
|
Retained earnings
|
|
|
226,482
|
|
|
|
223,772
|
|
Treasury stock at cost, 2,214,737 shares
|
|
|
(31,628
|
)
|
|
|
(31,628
|
)
|
Total USPH shareholders’ equity
|
|
|
484,572
|
|
|
|
476,194
|
|
Non-controlling interest - permanent equity
|
|
|
1,043
|
|
|
|
1,216
|
|
Total USPH shareholders' equity and non-controlling interest - permanent equity
|
|
|
485,615
|
|
|
|
477,410
|
|
Total liabilities, redeemable non-controlling interest,
|
|
|
|
|
|
|
|
|
USPH shareholders' equity and non-controlling interest - permanent equity
|
|
$
|
1,023,134
|
|
|
$
|
997,238
|
|
|
|
|
|
|
|
|
|
|
U.S. Physical Therapy Press Release
|
Page 11
|
August 13, 2024
|
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS
(IN THOUSANDS)
|
|
For the Six Months Ended
|
|
|
|
June 30, 2024
|
|
|
June 30, 2023
|
|
OPERATING ACTIVITIES
|
|
|
|
|
|
|
Net income including non-controlling interest
|
|
$
|
23,329
|
|
|
$
|
26,291
|
|
Adjustments to reconcile net income including non-controlling interest to net cash
provided by operating activities:
|
|
|
|
|
|
|
|
|
Depreciation and amortization
|
|
|
8,609
|
|
|
|
7,615
|
|
Provision for credit losses
|
|
|
3,344
|
|
|
|
3,075
|
|
Equity-based awards compensation expense
|
|
|
3,916
|
|
|
|
3,592
|
|
Amortization of debt issue costs
|
|
|
210
|
|
|
|
210
|
|
Change in deferred income taxes
|
|
|
770
|
|
|
|
1,799
|
|
Change in revaluation of put-right liability
|
|
|
303
|
|
|
|
199
|
|
Change in fair value of contingent earn-out consideration
|
|
|
3,434
|
|
|
|
(10
|
)
|
Equity of earnings in unconsolidated affiliate
|
|
|
(519
|
)
|
|
|
(600
|
)
|
Loss on sale of fixed assets
|
|
|
51
|
|
|
|
63
|
|
Changes in operating assets and liabilities:
|
|
|
|
|
|
|
|
|
Increase in patient accounts receivable
|
|
|
(5,110
|
)
|
|
|
(5,341
|
)
|
Increase in accounts receivable - other
|
|
|
(2,351
|
)
|
|
|
(85
|
)
|
(Increase) decrease in other current and long term assets
|
|
|
(1,642
|
)
|
|
|
593
|
|
(Decrease) increase in accounts payable and accrued expenses
|
|
|
(1,481
|
)
|
|
|
1,125
|
|
Increase in other long-term liabilities
|
|
|
548
|
|
|
|
253
|
|
Net cash provided by operating activities
|
|
|
33,411
|
|
|
|
38,779
|
|
|
|
|
|
|
|
|
|
|
INVESTING ACTIVITIES
|
|
|
|
|
|
|
|
|
Purchase of fixed assets
|
|
|
(4,174
|
)
|
|
|
(4,523
|
)
|
Purchase of majority interest in businesses, net of cash acquired
|
|
|
(38,695
|
)
|
|
|
(8,040
|
)
|
Purchase of redeemable non-controlling interest, temporary equity
|
|
|
(6,230
|
)
|
|
|
(7,804
|
)
|
Purchase of non controlling interest, permanent equity
|
|
|
(527
|
)
|
|
|
(39
|
)
|
Proceeds on sale of non-controlling interest, permanent equity
|
|
|
26
|
|
|
|
-
|
|
Proceeds on sale of partnership interest - redeemable non-controlling interest
|
|
|
69
|
|
|
|
237
|
|
Distributions from unconsolidated affiliate
|
|
|
532
|
|
|
|
502
|
|
Proceeds on sale of fixed assets
|
|
|
-
|
|
|
|
7
|
|
Other
|
|
|
244
|
|
|
|
-
|
|
Net cash used in investing activities
|
|
|
(48,755
|
)
|
|
|
(19,660
|
)
|
|
|
|
|
|
|
|
|
|
FINANCING ACTIVITIES
|
|
|
|
|
|
|
|
|
Proceeds from revolving facility
|
|
|
-
|
|
|
|
24,000
|
|
Proceeds from issuance of common stock pursuant to the secondary public offering,
net of issuance costs
|
|
|
-
|
|
|
|
163,655
|
|
Distributions to non-controlling interest, permanent and temporary equity
|
|
|
(8,318
|
)
|
|
|
(8,431
|
)
|
Cash dividends paid to shareholders
|
|
|
(13,264
|
)
|
|
|
(11,238
|
)
|
Principal payments on notes payable
|
|
|
(1,113
|
)
|
|
|
(1,086
|
)
|
Payments on term loan
|
|
|
(1,875
|
)
|
|
|
(1,875
|
)
|
Payments on revolving facility
|
|
|
-
|
|
|
|
(55,000
|
)
|
Net cash (used in) provided by financing activities
|
|
|
(24,570
|
)
|
|
|
110,025
|
|
|
|
|
|
|
|
|
|
|
Net (decrease) increase in cash and cash equivalents
|
|
|
(39,914
|
)
|
|
|
129,144
|
|
Cash and cash equivalents - beginning of period
|
|
|
152,825
|
|
|
|
31,594
|
|
Cash and cash equivalents - end of period
|
|
$
|
112,911
|
|
|
$
|
160,738
|
|
|
|
|
|
|
|
|
|
|
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION
|
|
|
|
|
|
|
|
|
Cash paid during the period for:
|
|
|
|
|
|
|
|
|
Income taxes
|
|
$
|
4,932
|
|
|
$
|
1,241
|
|
Interest paid
|
|
|
3,708
|
|
|
|
4,011
|
|
Non-cash investing and financing transactions during the period:
|
|
|
|
|
|
|
|
|
Purchase of interest in businesses - seller financing portion
|
|
|
955
|
|
|
|
360
|
|
Deferred payments related to purchase of interest in business
|
|
|
-
|
|
|
|
180
|
|
Fair market value of initial contingent consideration related to purchase of interest of businesses
|
|
|
2,800
|
|
|
|
200
|
|
Offset of notes receivable associated with purchase of redeemable non-controlling interest
|
|
|
75
|
|
|
|
-
|
|
Notes payable related to purchase of non-controlling interest, temporary equity
|
|
|
22
|
|
|
|
-
|
|
Notes payable related to purchase of redeemable non-controlling interest, temporary equity
|
|
|
-
|
|
|
|
621
|
|
Notes receivable related to sale of redeemable non-controlling interest, temporary equity
|
|
|
402
|
|
|
|
2,687
|
|
Notes receivable related to the sale of non-controlling interest, permanent equity
|
|
|
243
|
|
|
|
-
|
|
U.S. Physical Therapy Press Release
|
Page 12
|
August 13, 2024
|
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
ADJUSTED EBITDA AND OPERATING RESULTS
The following tables provide details of the basic and diluted earnings per share computation and reconcile net income attributable to USPH shareholders calculated in accordance with GAAP to Adjusted EBITDA and Operating Results (non-GAAP measures).
Management believes providing Adjusted EBITDA and Operating Results to investors is useful information 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, Relief Funds,
changes in revaluation of put-right liability, equity-based awards compensation expense, clinic closure costs, 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, Relief Funds, clinic closure costs, 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 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 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 Press Release
|
Page 13
|
August 13, 2024
|
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
ADJUSTED EBITDA, OPERATING RESULTS AND EARNINGS PER SHARE
(IN THOUSANDS, EXCEPT PER SHARE DATA)
|
|
For the Three Months Ended
|
|
|
For the Six Months Ended
|
|
|
|
June 30, 2024
|
|
|
June 30, 2023
|
|
|
June 30, 2024
|
|
|
June 30, 2023
|
|
|
|
(In thousands, except per share data)
|
|
Adjusted EBITDA (a non-GAAP measure)
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income attributable to USPH shareholders
|
|
$
|
7,506
|
|
|
$
|
10,919
|
|
|
$
|
15,552
|
|
|
$
|
18,329
|
|
Adjustments:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Provision for income taxes
|
|
|
3,083
|
|
|
|
4,231
|
|
|
|
6,222
|
|
|
|
7,200
|
|
Depreciation and amortization
|
|
|
4,514
|
|
|
|
3,827
|
|
|
|
8,609
|
|
|
|
7,615
|
|
Interest expense, debt and other, net
|
|
|
1,980
|
|
|
|
2,633
|
|
|
|
3,948
|
|
|
|
5,193
|
|
Equity-based awards compensation expense
|
|
|
1,919
|
|
|
|
1,786
|
|
|
|
3,916
|
|
|
|
3,592
|
|
Interest income from investments
|
|
|
(1,074
|
)
|
|
|
(517
|
)
|
|
|
(2,617
|
)
|
|
|
(517
|
)
|
Change in revaluation of put-right liability
|
|
|
223
|
|
|
|
50
|
|
|
|
303
|
|
|
|
199
|
|
Change in fair value of contingent earn-out consideration
|
|
|
4,046
|
|
|
|
(708
|
)
|
|
|
3,434
|
|
|
|
(10
|
)
|
Relief Funds
|
|
|
-
|
|
|
|
-
|
|
|
|
-
|
|
|
|
(467
|
)
|
Closure costs
|
|
|
551
|
|
|
|
-
|
|
|
|
677
|
|
|
|
-
|
|
Other income
|
|
|
(109
|
)
|
|
|
(165
|
)
|
|
|
(171
|
)
|
|
|
(229
|
)
|
Allocation to non-controlling interests
|
|
|
(515
|
)
|
|
|
(389
|
)
|
|
|
(978
|
)
|
|
|
(761
|
)
|
|
|
$
|
22,124
|
|
|
$
|
21,667
|
|
|
$
|
38,895
|
|
|
$
|
40,144
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating Results (a non-GAAP measure)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income attributable to USPH shareholders
|
|
$
|
7,506
|
|
|
$
|
10,919
|
|
|
$
|
15,552
|
|
|
$
|
18,329
|
|
Adjustments:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Change in fair value of contingent earn-out consideration
|
|
|
4,046
|
|
|
|
(708
|
)
|
|
|
3,434
|
|
|
|
(10
|
)
|
Change in revaluation of put-right liability
|
|
|
223
|
|
|
|
50
|
|
|
|
303
|
|
|
|
199
|
|
Closure costs
|
|
|
551
|
|
|
|
-
|
|
|
|
677
|
|
|
|
-
|
|
Relief Funds
|
|
|
-
|
|
|
|
-
|
|
|
|
-
|
|
|
|
(467
|
)
|
Allocation to non-controlling interests
|
|
|
(68
|
)
|
|
|
-
|
|
|
|
(84
|
)
|
|
|
33
|
|
Tax effect at statutory rate (federal and state)
|
|
|
(1,214
|
)
|
|
|
168
|
|
|
|
(1,106
|
)
|
|
|
63
|
|
|
|
$
|
11,044
|
|
|
$
|
10,429
|
|
|
$
|
18,776
|
|
|
$
|
18,147
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating Results per share (a non-GAAP measure)
|
|
$
|
0.73
|
|
|
$
|
0.76
|
|
|
$
|
1.25
|
|
|
$
|
1.36
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings per share
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Computation of earnings per share - USPH shareholders:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income attributable to USPH shareholders
|
|
$
|
7,506
|
|
|
$
|
10,919
|
|
|
$
|
15,552
|
|
|
$
|
18,329
|
|
Charges to retained earnings:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revaluation of redeemable non-controlling interest
|
|
|
(622
|
)
|
|
|
(2,865
|
)
|
|
|
(2,061
|
)
|
|
|
(2,746
|
)
|
Tax effect at statutory rate (federal and state)
|
|
|
159
|
|
|
|
732
|
|
|
|
527
|
|
|
|
700
|
|
|
|
$
|
7,043
|
|
|
$
|
8,786
|
|
|
$
|
14,018
|
|
|
$
|
16,283
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings per share (basic and diluted)
|
|
$
|
0.47
|
|
|
$
|
0.64
|
|
|
$
|
0.93
|
|
|
$
|
1.22
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Shares used in computation - basic and diluted
|
|
|
15,072
|
|
|
|
13,720
|
|
|
|
15,044
|
|
|
|
13,375
|
|
U.S. Physical Therapy Press Release
|
Page 14
|
August 13, 2024
|
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
SUPPLEMENTAL FINANCIAL AND PERFORMANCE METRICS
Revenue Metrics
|
|
Number of Clinics
|
|
|
Net Rate Per
Patient Visit (1)
|
|
|
Patient Visits (1)
|
|
|
Average Daily Visits
Per Clinic (1)
|
|
|
|
2024
|
|
|
2023
|
|
|
2024
|
|
|
2023
|
|
|
2024
|
|
|
2023
|
|
|
2024
|
|
|
2023
|
|
First Quarter
|
|
|
679
|
|
|
|
647
|
|
|
$
|
103.37
|
|
|
$
|
103.12
|
|
|
|
1,268,002
|
|
|
|
1,227,490
|
|
|
|
29.5
|
|
|
|
29.8
|
|
Second quarter
|
|
|
681
|
|
|
|
656
|
|
|
$
|
105.05
|
|
|
$
|
102.03
|
|
|
|
1,335,335
|
|
|
|
1,267,140
|
|
|
|
30.6
|
|
|
|
30.4
|
|
Third quarter
|
|
|
|
|
|
|
672
|
|
|
|
|
|
|
$
|
102.37
|
|
|
|
|
|
|
|
1,242,954
|
|
|
|
|
|
|
|
29.7
|
|
Fourth quarter
|
|
|
|
|
|
|
671
|
|
|
|
|
|
|
$
|
103.68
|
|
|
|
|
|
|
|
1,267,842
|
|
|
|
|
|
|
|
29.9
|
|
Year
|
|
|
|
|
|
|
671
|
|
|
|
|
|
|
$
|
102.80
|
|
|
|
|
|
|
|
5,005,426
|
|
|
|
|
|
|
|
30.0
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1)
|
See definition of the metrics above in the Glossary of Terms – Revenue Metrics on page 7.
|
Clinic Count Roll Forward
|
For the Three Months Ended
|
|
For the Six Months Ended
|
|
June 30, 2024
|
|
June 30, 2023
|
|
June 30, 2024
|
|
June 30, 2023
|
Number of clinics, beginning of period
|
679
|
|
647
|
|
671
|
|
640
|
Additions (1)
|
7
|
|
13
|
|
21
|
|
21
|
Closed or sold
|
(5)
|
|
(4)
|
|
(11)
|
|
(5)
|
Number of clinics, end of period
|
681
|
|
656
|
|
681
|
|
656
|
(1)
|
Includes clinics added through acquisitions.
|
v3.24.2.u1
X |
- DefinitionBoolean flag that is true when the XBRL content amends previously-filed or accepted submission.
+ References
+ Details
Name: |
dei_AmendmentFlag |
Namespace Prefix: |
dei_ |
Data Type: |
xbrli:booleanItemType |
Balance Type: |
na |
Period Type: |
duration |
|
X |
- DefinitionFor the EDGAR submission types of Form 8-K: the date of the report, the date of the earliest event reported; for the EDGAR submission types of Form N-1A: the filing date; for all other submission types: the end of the reporting or transition period. The format of the date is YYYY-MM-DD.
+ References
+ Details
Name: |
dei_DocumentPeriodEndDate |
Namespace Prefix: |
dei_ |
Data Type: |
xbrli:dateItemType |
Balance Type: |
na |
Period Type: |
duration |
|
X |
- DefinitionThe type of document being provided (such as 10-K, 10-Q, 485BPOS, etc). The document type is limited to the same value as the supporting SEC submission type, or the word 'Other'.
+ References
+ Details
Name: |
dei_DocumentType |
Namespace Prefix: |
dei_ |
Data Type: |
dei:submissionTypeItemType |
Balance Type: |
na |
Period Type: |
duration |
|
X |
- DefinitionAddress Line 1 such as Attn, Building Name, Street Name
+ References
+ Details
Name: |
dei_EntityAddressAddressLine1 |
Namespace Prefix: |
dei_ |
Data Type: |
xbrli:normalizedStringItemType |
Balance Type: |
na |
Period Type: |
duration |
|
X |
- DefinitionAddress Line 2 such as Street or Suite number
+ References
+ Details
Name: |
dei_EntityAddressAddressLine2 |
Namespace Prefix: |
dei_ |
Data Type: |
xbrli:normalizedStringItemType |
Balance Type: |
na |
Period Type: |
duration |
|
X |
- Definition
+ References
+ Details
Name: |
dei_EntityAddressCityOrTown |
Namespace Prefix: |
dei_ |
Data Type: |
xbrli:normalizedStringItemType |
Balance Type: |
na |
Period Type: |
duration |
|
X |
- DefinitionCode for the postal or zip code
+ References
+ Details
Name: |
dei_EntityAddressPostalZipCode |
Namespace Prefix: |
dei_ |
Data Type: |
xbrli:normalizedStringItemType |
Balance Type: |
na |
Period Type: |
duration |
|
X |
- DefinitionName of the state or province.
+ References
+ Details
Name: |
dei_EntityAddressStateOrProvince |
Namespace Prefix: |
dei_ |
Data Type: |
dei:stateOrProvinceItemType |
Balance Type: |
na |
Period Type: |
duration |
|
X |
- DefinitionA unique 10-digit SEC-issued value to identify entities that have filed disclosures with the SEC. It is commonly abbreviated as CIK.
+ ReferencesReference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Exchange Act -Number 240 -Section 12 -Subsection b-2
+ Details
Name: |
dei_EntityCentralIndexKey |
Namespace Prefix: |
dei_ |
Data Type: |
dei:centralIndexKeyItemType |
Balance Type: |
na |
Period Type: |
duration |
|
X |
- DefinitionIndicate if registrant meets the emerging growth company criteria.
+ ReferencesReference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Exchange Act -Number 240 -Section 12 -Subsection b-2
+ Details
Name: |
dei_EntityEmergingGrowthCompany |
Namespace Prefix: |
dei_ |
Data Type: |
xbrli:booleanItemType |
Balance Type: |
na |
Period Type: |
duration |
|
X |
- DefinitionCommission file number. The field allows up to 17 characters. The prefix may contain 1-3 digits, the sequence number may contain 1-8 digits, the optional suffix may contain 1-4 characters, and the fields are separated with a hyphen.
+ References
+ Details
Name: |
dei_EntityFileNumber |
Namespace Prefix: |
dei_ |
Data Type: |
dei:fileNumberItemType |
Balance Type: |
na |
Period Type: |
duration |
|
X |
- DefinitionTwo-character EDGAR code representing the state or country of incorporation.
+ References
+ Details
Name: |
dei_EntityIncorporationStateCountryCode |
Namespace Prefix: |
dei_ |
Data Type: |
dei:edgarStateCountryItemType |
Balance Type: |
na |
Period Type: |
duration |
|
X |
- DefinitionThe exact name of the entity filing the report as specified in its charter, which is required by forms filed with the SEC.
+ ReferencesReference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Exchange Act -Number 240 -Section 12 -Subsection b-2
+ Details
Name: |
dei_EntityRegistrantName |
Namespace Prefix: |
dei_ |
Data Type: |
xbrli:normalizedStringItemType |
Balance Type: |
na |
Period Type: |
duration |
|
X |
- DefinitionThe Tax Identification Number (TIN), also known as an Employer Identification Number (EIN), is a unique 9-digit value assigned by the IRS.
+ ReferencesReference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Exchange Act -Number 240 -Section 12 -Subsection b-2
+ Details
Name: |
dei_EntityTaxIdentificationNumber |
Namespace Prefix: |
dei_ |
Data Type: |
dei:employerIdItemType |
Balance Type: |
na |
Period Type: |
duration |
|
X |
- DefinitionLocal phone number for entity.
+ References
+ Details
Name: |
dei_LocalPhoneNumber |
Namespace Prefix: |
dei_ |
Data Type: |
xbrli:normalizedStringItemType |
Balance Type: |
na |
Period Type: |
duration |
|
X |
- DefinitionBoolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act.
+ ReferencesReference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Exchange Act -Number 240 -Section 13e -Subsection 4c
+ Details
Name: |
dei_PreCommencementIssuerTenderOffer |
Namespace Prefix: |
dei_ |
Data Type: |
xbrli:booleanItemType |
Balance Type: |
na |
Period Type: |
duration |
|
X |
- DefinitionBoolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act.
+ ReferencesReference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Exchange Act -Number 240 -Section 14d -Subsection 2b
+ Details
Name: |
dei_PreCommencementTenderOffer |
Namespace Prefix: |
dei_ |
Data Type: |
xbrli:booleanItemType |
Balance Type: |
na |
Period Type: |
duration |
|
X |
- DefinitionTitle of a 12(b) registered security.
+ ReferencesReference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Exchange Act -Number 240 -Section 12 -Subsection b
+ Details
Name: |
dei_Security12bTitle |
Namespace Prefix: |
dei_ |
Data Type: |
dei:securityTitleItemType |
Balance Type: |
na |
Period Type: |
duration |
|
X |
- DefinitionName of the Exchange on which a security is registered.
+ ReferencesReference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Exchange Act -Number 240 -Section 12 -Subsection d1-1
+ Details
Name: |
dei_SecurityExchangeName |
Namespace Prefix: |
dei_ |
Data Type: |
dei:edgarExchangeCodeItemType |
Balance Type: |
na |
Period Type: |
duration |
|
X |
- DefinitionBoolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as soliciting material pursuant to Rule 14a-12 under the Exchange Act.
+ ReferencesReference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Exchange Act -Section 14a -Number 240 -Subsection 12
+ Details
Name: |
dei_SolicitingMaterial |
Namespace Prefix: |
dei_ |
Data Type: |
xbrli:booleanItemType |
Balance Type: |
na |
Period Type: |
duration |
|
X |
- DefinitionTrading symbol of an instrument as listed on an exchange.
+ References
+ Details
Name: |
dei_TradingSymbol |
Namespace Prefix: |
dei_ |
Data Type: |
dei:tradingSymbolItemType |
Balance Type: |
na |
Period Type: |
duration |
|
X |
- DefinitionBoolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as written communications pursuant to Rule 425 under the Securities Act.
+ ReferencesReference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Securities Act -Number 230 -Section 425
+ Details
Name: |
dei_WrittenCommunications |
Namespace Prefix: |
dei_ |
Data Type: |
xbrli:booleanItemType |
Balance Type: |
na |
Period Type: |
duration |
|
US Physical Therapy (NYSE:USPH)
Historical Stock Chart
From Dec 2024 to Jan 2025
US Physical Therapy (NYSE:USPH)
Historical Stock Chart
From Jan 2024 to Jan 2025