Tearsheet

US Physical Therapy (USPH)


Market Price (12/18/2025): $78.56 | Market Cap: $1.2 Bil
Sector: Health Care | Industry: Health Care Facilities

US Physical Therapy (USPH)


Market Price (12/18/2025): $78.56
Market Cap: $1.2 Bil
Sector: Health Care
Industry: Health Care Facilities

Investment Highlights Why It Matters Which of these 2 stories sounds closer for this stock?

1. Generates cash flow

The stock generated 4% or more of the share price (called cash flow yield), and shows moderate 10-15% or more growth.

2. Riding a trend

Think Tesla during the pandemic of 2020 when EVs were riding a cultural high, or Nvidia in the current AI boom, or even Figma. These companies don’t have enough yield, or, enough growth, or both - however - they are riding a trend. They have momentum. These can be more volatile - they don’t have the floor of strong cash flow


0 Low stock price volatility
Vol 12M is 35%
Weak multi-year price returns
2Y Excs Rtn is -55%, 3Y Excs Rtn is -74%
Expensive valuation multiples
P/EPrice/Earnings or Price/(Net Income) is 39x
1 Megatrend and thematic drivers
Megatrends include Aging Population & Chronic Disease, and Digital Health & Telemedicine. Themes include Geriatric Care, Telehealth Platforms, Show more.
  Key risks
USPH key risks include [1] significant profitability pressure from government payor rate cuts and [2] challenges in executing its growth strategy, Show more.
0 Low stock price volatility
Vol 12M is 35%
1 Megatrend and thematic drivers
Megatrends include Aging Population & Chronic Disease, and Digital Health & Telemedicine. Themes include Geriatric Care, Telehealth Platforms, Show more.
2 Weak multi-year price returns
2Y Excs Rtn is -55%, 3Y Excs Rtn is -74%
3 Expensive valuation multiples
P/EPrice/Earnings or Price/(Net Income) is 39x
4 Key risks
USPH key risks include [1] significant profitability pressure from government payor rate cuts and [2] challenges in executing its growth strategy, Show more.

Valuation, Metrics & Events

USPH Stock


Why The Stock Moved


Qualitative Assessment

AI Generated Analysis | Feedback

Key Points for US Physical Therapy (USPH) Stock Movement from 8/31/2025 to 12/18/2025

1. Persistent Cautious Investor Sentiment: Despite reporting positive quarterly financial results in November 2025, U.S. Physical Therapy's stock has experienced cautious investor sentiment. Investors appear to be weighing long-term valuation against near-term results, which could contribute to downward pressure on the stock.

Show more

Stock Movement Drivers

Return vs. Risk


Price Returns Compared

 202020212022202320242025Total [1]
Returns
USPH Return6%-19%-14%17%-3%-9%-25%
Peers Return4%
S&P 500 Return16%27%-19%24%23%14%108%

Monthly Win Rates [3]
USPH Win Rate58%42%50%50%42%50% 
Peers Win Rate50%50% 
S&P 500 Win Rate58%75%42%67%75%73% 

Max Drawdowns [4]
USPH Max Drawdown-58%-29%-21%-1%-16%-26% 
Peers Max Drawdown-19% 
S&P 500 Max Drawdown-31%-1%-25%-1%-2%-15% 


[1] Cumulative total returns since the beginning of 2020
[2] Peers: SEM, CON, EHAB, PNTG.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2025 data is for the year up to 12/17/2025 (YTD)

How Low Can It Go

Unique KeyEventUSPHS&P 500
2022 Inflation Shock2022 Inflation Shock  
2022 Inflation Shock% Loss% Loss-47.4%-25.4%
2022 Inflation Shock% Gain to Breakeven% Gain to Breakeven90.0%34.1%
2022 Inflation ShockTime to BreakevenTime to BreakevenNot Fully Recovered days464 days
2020 Covid Pandemic2020 Covid Pandemic  
2020 Covid Pandemic% Loss% Loss-64.2%-33.9%
2020 Covid Pandemic% Gain to Breakeven% Gain to Breakeven179.3%51.3%
2020 Covid PandemicTime to BreakevenTime to Breakeven314 days148 days
2018 Correction2018 Correction  
2018 Correction% Loss% Loss-27.1%-19.8%
2018 Correction% Gain to Breakeven% Gain to Breakeven37.1%24.7%
2018 CorrectionTime to BreakevenTime to Breakeven178 days120 days
2008 Global Financial Crisis2008 Global Financial Crisis  
2008 Global Financial Crisis% Loss% Loss-64.7%-56.8%
2008 Global Financial Crisis% Gain to Breakeven% Gain to Breakeven183.6%131.3%
2008 Global Financial CrisisTime to BreakevenTime to Breakeven657 days1,480 days

Compare to ACHC, AMTU, MCTA, PARK, HCA


In The Past

US Physical Therapy's stock fell -47.4% during the 2022 Inflation Shock from a high on 2/24/2021. A -47.4% loss requires a 90.0% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth over time.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

About US Physical Therapy (USPH)

Better Bets than US Physical Therapy (USPH)

Trade Ideas

Select past ideas related to USPH. For more, see Trefis Trade Ideas.

Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
CRL_11142025_Dip_Buyer_FCFYield11142025CRLCharles River Laboratories InternationalDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
16.8%16.8%-3.7%
GDRX_11142025_Dip_Buyer_High_CFO_Margins_ExInd_DE11142025GDRXGoodRxDip BuyDB | CFO/Rev | Low D/EDip Buy with High Cash Flow Margins
Buying dips for companies with significant cash flows from operations and reasonable debt / market cap
-6.4%-6.4%-11.8%
ASTH_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025ASTHAstrana HealthDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
5.2%5.2%-5.5%
SGRY_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025SGRYSurgery PartnersDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
3.4%3.4%-1.4%
TFX_11072025_Dip_Buyer_FCFYield11072025TFXTeleflexDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
14.4%14.4%-5.1%
USPH_10312018_Quality_Momentum_RoomToRun_10%10312018USPHUS Physical TherapyQualityQ | Momentum | UpsideQuality Stocks with Momentum and Upside
Buying quality stocks with strong momentum but still having room to run
5.6%32.8%-7.3%
Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
CRL_11142025_Dip_Buyer_FCFYield11142025CRLCharles River Laboratories InternationalDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
16.8%16.8%-3.7%
GDRX_11142025_Dip_Buyer_High_CFO_Margins_ExInd_DE11142025GDRXGoodRxDip BuyDB | CFO/Rev | Low D/EDip Buy with High Cash Flow Margins
Buying dips for companies with significant cash flows from operations and reasonable debt / market cap
-6.4%-6.4%-11.8%
ASTH_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025ASTHAstrana HealthDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
5.2%5.2%-5.5%
SGRY_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025SGRYSurgery PartnersDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
3.4%3.4%-1.4%
TFX_11072025_Dip_Buyer_FCFYield11072025TFXTeleflexDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
14.4%14.4%-5.1%
USPH_10312018_Quality_Momentum_RoomToRun_10%10312018USPHUS Physical TherapyQualityQ | Momentum | UpsideQuality Stocks with Momentum and Upside
Buying quality stocks with strong momentum but still having room to run
5.6%32.8%-7.3%

Recent Active Movers

Recent Active Movers

More From Trefis

Peer Comparisons for US Physical Therapy

Peers to compare with:

Financials

USPHSEMCONEHABPNTGMedian
NameUS Physi.Select M.Concentr.Enhabit Pennant  
Mkt Price78.7215.0119.529.6229.3919.52
Mkt Cap1.21.82.50.51.01.2
Rev LTM7595,3692,0891,0488471,048
Op Inc LTM75293323624375
FCF LTM57174176583658
FCF 3Y Avg65239-522259
CFO LTM70408254624870
CFO 3Y Avg75465-573266

Growth & Margins

USPHSEMCONEHABPNTGMedian
NameUS Physi.Select M.Concentr.Enhabit Pennant  
Rev Chg LTM17.5%45.3%11.4%1.0%29.9%17.5%
Rev Chg 3Y Avg11.9%-0.6%--1.1%22.7%5.7%
Rev Chg Q17.3%7.2%17.0%3.9%26.8%17.0%
QoQ Delta Rev Chg LTM4.0%1.7%4.1%1.0%6.1%4.0%
Op Mgn LTM9.9%5.5%15.5%5.9%5.0%5.9%
Op Mgn 3Y Avg10.6%4.3%-4.8%5.0%4.9%
QoQ Delta Op Mgn LTM0.2%0.2%-0.2%0.6%-0.4%0.2%
CFO/Rev LTM9.2%7.6%12.2%5.9%5.7%7.6%
CFO/Rev 3Y Avg11.4%10.5%-5.4%4.6%8.0%
FCF/Rev LTM7.5%3.2%8.4%5.5%4.3%5.5%
FCF/Rev 3Y Avg9.9%5.6%-5.0%3.2%5.3%

Valuation

USPHSEMCONEHABPNTGMedian
NameUS Physi.Select M.Concentr.Enhabit Pennant  
Mkt Cap1.21.82.50.51.01.2
P/S1.70.31.30.41.01.0
P/EBIT14.34.88.314.819.814.3
P/E39.114.117.5-34.132.717.5
P/CFO18.63.810.56.518.210.5
Total Yield3.6%9.7%6.3%-2.9%3.1%3.6%
Dividend Yield1.0%2.6%0.6%0.0%0.0%0.6%
FCF Yield 3Y Avg4.9%8.5%-12.0%3.3%6.7%
D/E0.21.80.81.30.30.8
Net D/E0.21.80.81.10.30.8

Returns

USPHSEMCONEHABPNTGMedian
NameUS Physi.Select M.Concentr.Enhabit Pennant  
1M Rtn12.4%17.8%1.8%20.4%15.7%15.7%
3M Rtn0.4%22.9%-5.8%24.6%20.6%20.6%
6M Rtn7.9%1.6%-6.0%3.0%4.7%3.0%
12M Rtn-15.1%-20.1%-3.9%16.0%0.6%-3.9%
3Y Rtn-1.2%16.3%--28.5%152.3%7.5%
1M Excs Rtn11.7%17.1%1.0%19.7%15.0%15.0%
3M Excs Rtn-2.5%18.0%-8.2%18.0%17.4%17.4%
6M Excs Rtn-4.5%-10.8%-18.4%-9.4%-7.6%-9.4%
12M Excs Rtn-24.8%-32.7%-14.8%1.8%-10.1%-14.8%
3Y Excs Rtn-73.7%-50.3%--99.6%120.0%-62.0%

Financials

Segment Financials

Assets by Segment

$ Mil20242023202220212020
Physical therapy operations846709724500518
Industrial injury prevention services151149269443
Total997858749594561


Price Behavior

Short Interest

Short Interest: As Of Date11282025
Short Interest: Shares Quantity762,862
Short Interest: % Change Since 11152025-10.6%
Average Daily Volume229,250
Days-to-Cover Short Interest3.33
Basic Shares Quantity15,204,000
Short % of Basic Shares5.0%

Earnings Returns History

Expand for More

 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
11/6/2025-4.8%-7.6%-1.1%
8/7/202515.2%21.8%18.4%
5/7/2025-0.1%8.9%9.5%
2/28/20246.4%5.1%13.5%
11/8/2023-2.7%5.7%8.8%
8/9/2023-9.2%-12.5%-20.0%
5/5/20230.2%-2.9%-4.6%
2/23/20230.8%2.7%-6.9%
...
SUMMARY STATS   
# Positive8911
# Negative12119
Median Positive2.3%5.1%7.1%
Median Negative-3.4%-8.1%-20.0%
Max Positive15.2%28.2%29.2%
Max Negative-26.9%-29.4%-44.5%

SEC Filings

Expand for More

Report DateFiling DateFiling
93020251107202510-Q 9/30/2025
6302025808202510-Q 6/30/2025
3312025509202510-Q 3/31/2025
12312024303202510-K 12/31/2024
93020241108202410-Q 9/30/2024
6302024814202410-Q 6/30/2024
3312024508202410-Q 3/31/2024
12312023229202410-K 12/31/2023
93020231108202310-Q 9/30/2023
6302023809202310-Q 6/30/2023
3312023505202310-Q 3/31/2023
12312022228202310-K 12/31/2022
93020221108202210-Q 9/30/2022
6302022808202210-Q 6/30/2022
3312022509202210-Q 3/31/2022
12312021301202210-K 12/31/2021