US Physical Therapy (USPH)
Market Price (7/9/2026): $70.28 | Market Cap: $1.1 BilSector: Health Care | Industry: Health Care Facilities
US Physical Therapy (USPH)
Market Price (7/9/2026): $70.28Market Cap: $1.1 BilSector: Health CareIndustry: Health Care Facilities
Investment Highlights Why It Matters Detailed financial logic regarding cash flow yields vs trend-riding momentum.
Attractive yieldFCF Yield is 5.7% Low stock price volatilityVol 12M is 41% Megatrend and thematic driversMegatrends include Aging Population & Chronic Disease, and Digital Health & Telemedicine. Themes include Geriatric Care, Telehealth Platforms, Show more. | Weak multi-year price returns2Y Excs Rtn is -55%, 3Y Excs Rtn is -106% | Expensive valuation multiplesP/EPrice/Earnings or Price/(Net Income) is 71x Key risksUSPH key risks include [1] significant profitability pressure from government payor rate cuts and [2] challenges in executing its growth strategy, Show more. |
| Attractive yieldFCF Yield is 5.7% |
| Low stock price volatilityVol 12M is 41% |
| Megatrend and thematic driversMegatrends include Aging Population & Chronic Disease, and Digital Health & Telemedicine. Themes include Geriatric Care, Telehealth Platforms, Show more. |
| Weak multi-year price returns2Y Excs Rtn is -55%, 3Y Excs Rtn is -106% |
| Expensive valuation multiplesP/EPrice/Earnings or Price/(Net Income) is 71x |
| Key risksUSPH key risks include [1] significant profitability pressure from government payor rate cuts and [2] challenges in executing its growth strategy, Show more. |
Qualitative Assessment
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US Physical Therapy (USPH) stock has lost about 5% since 3/31/2026 because of the following key factors:
1. Lower-than-expected earnings per share in fiscal Q1 2026. U.S. Physical Therapy reported diluted earnings per share (EPS) of $0.46 for the first quarter ended March 31, 2026 (fiscal Q1 2026), falling short of the analyst consensus estimate of $0.5559 by 17.25%. This earnings miss likely contributed to the stock's downward trend over the period.
2. Significant decline in net income attributable to shareholders. The company experienced a substantial decrease in net income attributable to USPH shareholders, which fell by 49.5% to $5.0 million in fiscal Q1 2026, compared to $9.9 million in fiscal Q1 2025. This decline was largely influenced by a $2.0 million loss on the change in fair value of contingent earn-out consideration in fiscal Q1 2026, contrasting with a $4.8 million gain in the prior-year period.
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US Physical Therapy (USPH) stock has lost about 5% since 3/31/2026 because of the following key factors:
1. Lower-than-expected earnings per share in fiscal Q1 2026. U.S. Physical Therapy reported diluted earnings per share (EPS) of $0.46 for the first quarter ended March 31, 2026 (fiscal Q1 2026), falling short of the analyst consensus estimate of $0.5559 by 17.25%. This earnings miss likely contributed to the stock's downward trend over the period.
2. Significant decline in net income attributable to shareholders. The company experienced a substantial decrease in net income attributable to USPH shareholders, which fell by 49.5% to $5.0 million in fiscal Q1 2026, compared to $9.9 million in fiscal Q1 2025. This decline was largely influenced by a $2.0 million loss on the change in fair value of contingent earn-out consideration in fiscal Q1 2026, contrasting with a $4.8 million gain in the prior-year period.
3. Increased corporate expenses and compressed physical therapy margins. Operational efficiency was impacted by a rise in corporate expenses, which increased to 9.2% of total revenue in fiscal Q1 2026 from 8.8% in fiscal Q1 2025. Concurrently, the physical therapy segment's margin slightly decreased to 15.8% in fiscal Q1 2026, down from 16.6% in the comparable prior-year period, indicating pressure on profitability from rising costs.
4. Ongoing concerns regarding growth strategy execution and macroeconomic pressures. Despite reaffirming its full-year 2026 adjusted EBITDA guidance of $102.0 million to $106.0 million, the company faces skepticism regarding its hospital partnership strategy, which analysts note has yet to significantly impact financials. Broader macroeconomic factors, such as a tight labor market for physical therapists potentially pressuring margins and continued scrutiny over reimbursement rates, also present headwinds.
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Stock Movement Drivers
Fundamental Drivers
The -5.6% change in USPH stock from 3/31/2026 to 7/8/2026 was primarily driven by a -5.6% change in the company's P/E Multiple.| (LTM values as of) | 3312026 | 7082026 | Change |
|---|---|---|---|
| Stock Price ($) | 74.41 | 70.28 | -5.6% |
| Change Contribution By: | |||
| Total Revenues ($ Mil) | 781 | 781 | 0.0% |
| Net Income Margin (%) | 1.9% | 1.9% | 0.0% |
| P/E Multiple | 74.9 | 70.8 | -5.6% |
| Shares Outstanding (Mil) | 15 | 15 | 0.0% |
| Cumulative Contribution | -5.6% |
Market Drivers
3/31/2026 to 7/8/2026| Return | Correlation | |
|---|---|---|
| USPH | -5.6% | |
| Market (SPY) | 14.6% | 16.5% |
| Sector (XLV) | 10.7% | 21.6% |
Fundamental Drivers
The -8.8% change in USPH stock from 12/31/2025 to 7/8/2026 was primarily driven by a -55.7% change in the company's Net Income Margin (%).| (LTM values as of) | 12312025 | 7082026 | Change |
|---|---|---|---|
| Stock Price ($) | 77.06 | 70.28 | -8.8% |
| Change Contribution By: | |||
| Total Revenues ($ Mil) | 759 | 781 | 2.9% |
| Net Income Margin (%) | 4.4% | 1.9% | -55.7% |
| P/E Multiple | 35.5 | 70.8 | 99.6% |
| Shares Outstanding (Mil) | 15 | 15 | 0.3% |
| Cumulative Contribution | -8.8% |
Market Drivers
12/31/2025 to 7/8/2026| Return | Correlation | |
|---|---|---|
| USPH | -8.8% | |
| Market (SPY) | 9.6% | 18.7% |
| Sector (XLV) | 5.3% | 21.9% |
Fundamental Drivers
The -7.9% change in USPH stock from 6/30/2025 to 7/8/2026 was primarily driven by a -58.7% change in the company's Net Income Margin (%).| (LTM values as of) | 6302025 | 7082026 | Change |
|---|---|---|---|
| Stock Price ($) | 76.28 | 70.28 | -7.9% |
| Change Contribution By: | |||
| Total Revenues ($ Mil) | 699 | 781 | 11.7% |
| Net Income Margin (%) | 4.7% | 1.9% | -58.7% |
| P/E Multiple | 35.3 | 70.8 | 100.2% |
| Shares Outstanding (Mil) | 15 | 15 | -0.2% |
| Cumulative Contribution | -7.9% |
Market Drivers
6/30/2025 to 7/8/2026| Return | Correlation | |
|---|---|---|
| USPH | -7.9% | |
| Market (SPY) | 21.7% | 23.7% |
| Sector (XLV) | 22.0% | 21.2% |
Fundamental Drivers
The -38.2% change in USPH stock from 6/30/2023 to 7/8/2026 was primarily driven by a -59.6% change in the company's Net Income Margin (%).| (LTM values as of) | 6302023 | 7082026 | Change |
|---|---|---|---|
| Stock Price ($) | 113.80 | 70.28 | -38.2% |
| Change Contribution By: | |||
| Total Revenues ($ Mil) | 570 | 781 | 37.0% |
| Net Income Margin (%) | 4.8% | 1.9% | -59.6% |
| P/E Multiple | 54.5 | 70.8 | 29.9% |
| Shares Outstanding (Mil) | 13 | 15 | -14.1% |
| Cumulative Contribution | -38.2% |
Market Drivers
6/30/2023 to 7/8/2026| Return | Correlation | |
|---|---|---|
| USPH | -38.2% | |
| Market (SPY) | 74.1% | 38.2% |
| Sector (XLV) | 28.0% | 31.3% |
Price Returns Compared
| 2021 | 2022 | 2023 | 2024 | 2025 | 2026 | Total [1] | |
|---|---|---|---|---|---|---|---|
| Returns | |||||||
| USPH Return | -19% | -14% | 17% | -3% | -10% | -7% | -34% |
| Peers Return | -26% | -33% | 12% | 42% | -4% | 38% | 3% |
| S&P 500 Return | 27% | -19% | 24% | 23% | 16% | 10% | 100% |
Monthly Win Rates [3] | |||||||
| USPH Win Rate | 42% | 50% | 50% | 42% | 50% | 43% | |
| Peers Win Rate | 38% | 46% | 42% | 58% | 44% | 80% | |
| S&P 500 Win Rate | 75% | 42% | 67% | 75% | 67% | 57% | |
Max Drawdowns [4] | |||||||
| USPH Max Drawdown | -40% | -42% | -34% | -31% | -28% | -33% | |
| Peers Max Drawdown | -55% | -45% | -33% | -24% | -30% | -14% | |
| S&P 500 Max Drawdown | -5% | -25% | -10% | -8% | -19% | -9% | |
[1] Cumulative total returns since the beginning of 2021
[2] Peers: SEM, CON, 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] 2026 data is for the year up to 7/8/2026 (YTD)
How Low Can It Go
| Event | USPH | S&P 500 |
|---|---|---|
| 2025 US Tariff Shock | ||
| % Loss | -25.6% | -18.8% |
| % Gain to Breakeven | 34.4% | 23.1% |
| Time to Breakeven | 123 days | 79 days |
| 2024 Yen Carry Trade Unwind | ||
| % Loss | -10.0% | -7.8% |
| % Gain to Breakeven | 11.2% | 8.5% |
| Time to Breakeven | 84 days | 18 days |
| 2022 Inflation Shock & Fed Tightening | ||
| % Loss | -24.7% | -24.5% |
| % Gain to Breakeven | 32.8% | 32.4% |
| Time to Breakeven | 127 days | 427 days |
| 2020 COVID-19 Crash | ||
| % Loss | -63.1% | -33.7% |
| % Gain to Breakeven | 170.7% | 50.9% |
| Time to Breakeven | 302 days | 140 days |
| Q4 2018 Fed Policy Error / Growth Scare | ||
| % Loss | -12.9% | -19.2% |
| % Gain to Breakeven | 14.7% | 23.8% |
| Time to Breakeven | 102 days | 105 days |
| 2016-2017 Trump Reflation Bond Selloff | ||
| % Loss | -13.0% | -3.7% |
| % Gain to Breakeven | 14.9% | 3.9% |
| Time to Breakeven | 11 days | 6 days |
In The Past
US Physical Therapy's stock fell -25.6% during the 2025 US Tariff Shock. Such a loss loss requires a 34.4% gain to breakeven.
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| Event | USPH | S&P 500 |
|---|---|---|
| 2025 US Tariff Shock | ||
| % Loss | -25.6% | -18.8% |
| % Gain to Breakeven | 34.4% | 23.1% |
| Time to Breakeven | 123 days | 79 days |
| 2022 Inflation Shock & Fed Tightening | ||
| % Loss | -24.7% | -24.5% |
| % Gain to Breakeven | 32.8% | 32.4% |
| Time to Breakeven | 127 days | 427 days |
| 2020 COVID-19 Crash | ||
| % Loss | -63.1% | -33.7% |
| % Gain to Breakeven | 170.7% | 50.9% |
| Time to Breakeven | 302 days | 140 days |
| 2011 US Debt Ceiling Crisis & European Contagion | ||
| % Loss | -28.5% | -17.9% |
| % Gain to Breakeven | 39.8% | 21.8% |
| Time to Breakeven | 206 days | 123 days |
| 2008-2009 Global Financial Crisis | ||
| % Loss | -48.9% | -53.4% |
| % Gain to Breakeven | 95.6% | 114.4% |
| Time to Breakeven | 88 days | 1085 days |
In The Past
US Physical Therapy's stock fell -25.6% during the 2025 US Tariff Shock. Such a loss loss requires a 34.4% gain to breakeven.
Preserve Wealth
Limiting losses and compounding gains is essential to preserving wealth.
Asset Allocation
Actively managed asset allocation strategies protect wealth. Learn more.
About US Physical Therapy (USPH)
U.S. Physical Therapy, Inc. (USPH) is a healthcare services company that primarily operates outpatient physical therapy clinics. In addition to direct patient care, the company also provides specialized industrial injury prevention services to corporate clients. This dual business model allows USPH to address both individual patient needs for rehabilitation and corporate demands for enhancing workplace safety and employee health.
Through its Physical Therapy Operations segment, USPH delivers comprehensive pre- and post-operative care and treatment. These services encompass a wide range of conditions, including orthopedic-related disorders, sports-related injuries, and neurological conditions, as well as preventative care and rehabilitation for injured workers. The company manages a substantial network of clinics across 39 states, making its specialized physical therapy interventions accessible to a broad patient population.
The Industrial Injury Prevention Services segment focuses on serving large businesses, including Fortune 500 companies, insurers, and their contractors. Within this segment, USPH offers crucial services such as onsite injury prevention and rehabilitation, performance optimization, post-offer employment testing, functional capacity evaluations, and ergonomic assessments. These offerings, delivered by physical therapists and specialized certified athletic trainers, are designed to reduce workplace injuries, improve employee functionality, and minimize associated costs for its corporate clients.
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1. It's like **DaVita** for physical therapy and rehabilitation clinics.
2. Think of it as the **Quest Diagnostics** of physical therapy, operating a nationwide network of specialized clinics.
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- Physical Therapy Services: Provides outpatient care and rehabilitation for orthopedic disorders, sports injuries, neurological conditions, and post-operative needs.
- Industrial Injury Prevention Services: Offers specialized services to businesses including onsite injury prevention, performance optimization, and ergonomic assessments.
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U.S. Physical Therapy primarily serves individuals through its extensive network of outpatient physical therapy clinics. While insurance companies often handle the payment for services, the direct customers receiving care are individuals seeking treatment and rehabilitation. The company also offers industrial injury prevention services to other companies, but the background information does not provide specific names of these corporate customers.
Based on the services provided, the major categories of individual customers that U.S. Physical Therapy serves are:
- Patients with Musculoskeletal and Sports-Related Injuries: This category includes individuals requiring pre-and post-operative care, treatment for orthopedic-related disorders, and rehabilitation for sports-related injuries.
- Injured Workers: These are individuals who require physical therapy services for work-related injuries, often under workers' compensation programs.
- Patients with Neurological Conditions and those Seeking Preventative Care: This group includes individuals needing rehabilitation for neurological-related injuries, as well as those utilizing services for general preventative care and wellness.
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Christopher J. Reading, PT, Chief Executive Officer and Chairman of the Board of Directors
Christopher J. Reading has served as Chief Executive Officer and a Director since 2004, and was appointed Chairman of the Board of Directors in May 2024. Prior to joining U.S. Physical Therapy, he held various executive and management positions with HealthSouth Corporation from 1990 to 2003, including Senior Vice President of Operations, where he was responsible for over 200 facilities across 10 states. He graduated magna cum laude from the Medical College of Virginia with a B.S. in Physical Therapy in 1985 and had a clinical career in sports medicine before transitioning to the business and development side of ambulatory healthcare. Mr. Reading also serves as President of APTQI (Alliance for Physical Therapy, Quality and Innovation).
Carey P. Hendrickson, MBA, Chief Financial Officer
Carey P. Hendrickson serves as the Chief Financial Officer at U.S. Physical Therapy, Inc., a position he assumed effective November 9, 2020. Before joining USPH, he held the Chief Financial Officer role at two other public companies: Capital Senior Living Corporation (from May 2014) and Belo Corp. (from 2010 through 2014). At Belo Corp., his career also included roles such as Senior Vice President/Chief Accounting Officer, Vice President/Human Resources, Vice President/Investor Relations and Corporate Communications, and Vice President/Strategic & Financial Planning. He began his career with KPMG LLP. Mr. Hendrickson holds a BBA in Accounting from Baylor University and an MBA from the University of Texas at Arlington.
Eric Williams, President and Chief Operating Officer
Eric Williams serves as the President and Chief Operating Officer of U.S. Physical Therapy, Inc.
Graham Reeve, PT, MBA, Chief Operating Officer
Graham Reeve was appointed Chief Operating Officer in March 2018. Before his tenure at U.S. Physical Therapy, he served as Chief Executive Officer and Chief Operating Officer of The Baptist Health System in San Antonio, TX, which is part of Tenet Healthcare. His prior experience also includes roles with HealthSouth Corporation and Caremark Physical Therapy. Mr. Reeve holds a BS in Physical Therapy and an MBA.
Rick Binstein, Executive Vice President and General Counsel
Rick Binstein holds the position of Executive Vice President and General Counsel at U.S. Physical Therapy, Inc.
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- Government Reimbursement Cuts and Regulatory Changes: A significant portion of USPH's revenue is derived from government programs like Medicare and Medicaid, making the company highly vulnerable to changes in healthcare policy, including ongoing reimbursement rate reductions. For instance, Medicare rate reductions have notably impacted profits, with a 2.9% decrease in Medicare reimbursement for therapy services effective for 2025. These regulatory shifts can lead to unforeseen changes that adversely affect the company's operations and profitability.
- Intense Competition and Market Fragmentation: The physical therapy and industrial injury prevention markets are highly competitive and fragmented. USPH faces competition from hospitals, private clinics, physician-owned therapy clinics, and chiropractors. This competitive landscape can exert pressure on pricing and service offerings, requiring continuous innovation and differentiation for USPH to maintain and grow its market share.
- Operational Risks Related to Acquisitions and Talent Management: USPH's growth strategy relies heavily on acquisitions, which introduces operational risks related to integrating new clinics and services while maintaining consistent quality of care and operational efficiency. Additionally, the company faces "talent risk" due to the shortage of therapists and rising wage pressures for licensed physical therapists and assistants, which can increase operating costs and staffing complexity.
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The clear emerging threat for U.S. Physical Therapy is the rapid adoption and technological advancement of telehealth and virtual physical therapy platforms. These platforms enable remote consultations, guidance, and monitoring for a range of conditions, potentially reducing the need for patients to visit traditional brick-and-mortar clinics or requiring fewer in-person visits for certain aspects of care. This shift could lead to decreased utilization of USPH's extensive network of physical clinics, increase competition from new providers with lower overheads, and fundamentally alter patient preferences for service delivery.
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The addressable markets for U.S. Physical Therapy, Inc.'s (USPH) main products and services in the U.S. are as follows:
Physical Therapy Operations
The U.S. physical therapy services market was valued at approximately USD 50.23 billion in 2024. This market is projected to grow to about USD 76.61 billion by 2033, demonstrating a compound annual growth rate (CAGR) of 4.88% from 2025 to 2033. Other estimates for the U.S. physical and occupational therapy industry in 2024 also range around USD 53 billion.
Industrial Injury Prevention Services
The addressable market for industrial injury prevention services can be considered within the broader U.S. workplace safety market. The U.S. workplace safety market generated a revenue of USD 4,915.0 million (USD 4.915 billion) in 2024. This market is expected to grow to USD 10,463.4 million (USD 10.463 billion) by 2030, with a CAGR of 14% from 2025 to 2030. "Workplace Safety Services" is identified as the fastest-growing product type segment within this market.
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U.S. Physical Therapy, Inc. (USPH) is expected to drive future revenue growth over the next 2-3 years through several key strategies:
- Strategic Acquisitions and Partnerships: The company consistently expands its footprint through strategic acquisitions of physical therapy practices and industrial injury prevention businesses. Recent examples include an industrial injury prevention business acquisition in February 2026 for approximately $15.1 million, and an eight-clinic physical therapy management services company in January 2026. USPH also forms strategic alliances with hospital systems, such as the one with NYU Langone Health, which integrates a significant number of outpatient clinics and is expected to contribute at least $14 million to physical therapy revenue and income by 2027.
- Expansion of Industrial Injury Prevention (IIP) Services: The Industrial Injury Prevention segment is a significant growth driver, showing strong organic and acquisition-driven expansion. This segment offers services such as onsite injury prevention and rehabilitation, performance optimization, and ergonomic assessments, with continued demand for these services expected to boost revenue.
- Organic Growth through Increased Patient Visits and Improved Reimbursement Rates: U.S. Physical Therapy focuses on increasing patient visit volumes within its existing clinics and improving net reimbursement rates. The company has reported strong demand and record visits per clinic per day. Efforts include strategic contract negotiations with commercial and other payers, and a focus on growing its higher-rate workers' compensation business.
- De Novo Clinic Development: Alongside acquisitions, the opening of new, de novo clinics remains a component of USPH's growth strategy. This allows the company to expand into new geographic areas or underserved markets organically.
- Launch and Expansion of New Service Offerings and Technology: USPH is investing in and expanding new service lines such as cash-based offerings and remote therapeutic monitoring (RTM). Additionally, the company is deploying technology, including AI-backed tools for scheduling and billing, and digital triage tools, to optimize operations, improve patient adherence, and potentially enhance revenue through greater efficiency and better patient routing.
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Share Repurchases
- U.S. Physical Therapy repurchased 81,322 shares for a total of $5.6 million on the open market during the three and twelve months ended December 31, 2025.
- The timing and amount of future share repurchases under the program are contingent on the company's stock price performance, ongoing capital allocation priorities, and general market conditions.
Share Issuance
- A secondary offering in May 2023 resulted in an increase in the number of shares outstanding.
- The number of shares outstanding increased by 0.74% in one recent year.
- Over the last five years, the company's share count grew by 18%, contributing to shareholder dilution.
Outbound Investments
- In early 2026, U.S. Physical Therapy acquired a 70% interest in an industrial injury prevention business for approximately $15.1 million, and also acquired a 50% interest in an eight-clinic physical therapy practice.
- The company acquired an outpatient home care practice providing speech and occupational therapy through its subsidiary MSO Metro LLC in 2025.
- In 2024, notable acquisitions included a 75% equity interest in an eight-clinic practice in November and an industrial injury prevention business in April; in October 2023, the company acquired an industrial injury prevention business and a 55% equity interest in an ergonomics software business.
Capital Expenditures
- Capital expenditures amounted to -$14.07 million in the last 12 months (as of late 2025/early 2026).
- In the fourth quarter of 2025, U.S. Physical Therapy invested $3.9 million in capital expenditures, primarily for funding long-term assets and infrastructure.
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Peer Comparisons
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Financials
| Median | |
|---|---|
| Name | |
| Mkt Price | 39.20 |
| Mkt Cap | 1.4 |
| Rev LTM | 1,023 |
| Op Inc LTM | 80 |
| FCF LTM | 61 |
| FCF 3Y Avg | 66 |
| CFO LTM | 75 |
| CFO 3Y Avg | 77 |
Growth & Margins
| Median | |
|---|---|
| Name | |
| Rev Chg LTM | 16.3% |
| Rev Chg 3Y Avg | 20.3% |
| Rev Chg Q | 13.7% |
| QoQ Delta Rev Chg LTM | 3.2% |
| Op Inc Chg LTM | 22.6% |
| Op Inc Chg 3Y Avg | 22.4% |
| Op Mgn LTM | 10.3% |
| Op Mgn 3Y Avg | 10.6% |
| QoQ Delta Op Mgn LTM | 0.2% |
| CFO/Rev LTM | 9.6% |
| CFO/Rev 3Y Avg | 11.4% |
| FCF/Rev LTM | 7.8% |
| FCF/Rev 3Y Avg | 9.6% |
Segment Financials
Revenue by Segment| $ Mil | 2025 | 2024 | 2023 | 2022 | 2021 |
|---|---|---|---|---|---|
| Physical therapy operations | 667 | 574 | 527 | 476 | 451 |
| Industrial injury prevention services | 114 | 97 | 78 | 77 | 44 |
| Total | 781 | 671 | 605 | 553 | 495 |
| $ Mil | 2025 | 2024 | 2023 | 2022 | 2021 |
|---|---|---|---|---|---|
| Physical therapy operations | 1,039 | 994 | 846 | 709 | 724 |
| Industrial injury prevention services | 165 | 173 | 151 | 149 | 26 |
| Total | 1,204 | 1,167 | 997 | 858 | 749 |
Price Behavior
| Market Price | $70.28 | |
| Market Cap ($ Bil) | 1.1 | |
| First Trading Date | 05/29/1992 | |
| Distance from 52W High | -23.1% | |
| 50 Days | 200 Days | |
| DMA Price | $65.47 | $76.20 |
| DMA Trend | down | down |
| Distance from DMA | 7.3% | -7.8% |
| 3M | 1YR | |
| Volatility | 54.6% | 41.3% |
| Downside Capture | 129.23 | 74.10 |
| Upside Capture | 46.59 | 49.63 |
| Correlation (SPY) | 16.2% | 23.1% |
| 1M | 2M | 3M | 6M | 1Y | 3Y | |
|---|---|---|---|---|---|---|
| Beta | -0.04 | 0.74 | 0.56 | 0.59 | 0.77 | 0.86 |
| Up Beta | 1.83 | 1.74 | 0.71 | 0.84 | 1.06 | 1.00 |
| Down Beta | -0.00 | -0.43 | -0.46 | 0.31 | 0.90 | 0.72 |
| Up Capture | -16% | 75% | 38% | 34% | 38% | 34% |
| Bmk +ve Days | 11 | 24 | 40 | 67 | 140 | 429 |
| Stock +ve Days | 11 | 24 | 31 | 58 | 126 | 361 |
| Down Capture | -92% | 121% | 141% | 91% | 86% | 101% |
| Bmk -ve Days | 10 | 17 | 23 | 58 | 112 | 321 |
| Stock -ve Days | 10 | 17 | 32 | 67 | 124 | 387 |
[1] Upside and downside betas calculated using positive and negative benchmark daily returns respectively
Based On 1-Year Data
| Annualized Return | Annualized Volatility | Sharpe Ratio | Correlation with USPH | |
|---|---|---|---|---|
| USPH | -9.2% | 41.4% | -0.12 | - |
| Sector ETF (XLV) | 22.5% | 15.7% | 1.09 | 20.4% |
| Equity (SPY) | 21.2% | 12.5% | 1.26 | 23.2% |
| Gold (GLD) | 21.9% | 27.8% | 0.70 | 5.1% |
| Commodities (DBC) | 25.0% | 18.7% | 1.06 | -11.0% |
| Real Estate (VNQ) | 12.7% | 13.9% | 0.62 | 26.2% |
| Bitcoin (BTCUSD) | -41.4% | 42.8% | -1.13 | 14.5% |
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Based On 5-Year Data
| Annualized Return | Annualized Volatility | Sharpe Ratio | Correlation with USPH | |
|---|---|---|---|---|
| USPH | -7.7% | 36.7% | -0.13 | - |
| Sector ETF (XLV) | 6.8% | 14.9% | 0.27 | 31.2% |
| Equity (SPY) | 13.2% | 17.1% | 0.60 | 36.3% |
| Gold (GLD) | 17.8% | 18.3% | 0.79 | 4.0% |
| Commodities (DBC) | 7.8% | 19.5% | 0.30 | 6.4% |
| Real Estate (VNQ) | 2.8% | 18.9% | 0.05 | 33.3% |
| Bitcoin (BTCUSD) | 12.1% | 53.5% | 0.41 | 16.4% |
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Based On 10-Year Data
| Annualized Return | Annualized Volatility | Sharpe Ratio | Correlation with USPH | |
|---|---|---|---|---|
| USPH | 3.3% | 39.7% | 0.21 | - |
| Sector ETF (XLV) | 10.9% | 16.6% | 0.54 | 40.6% |
| Equity (SPY) | 15.9% | 17.9% | 0.76 | 47.6% |
| Gold (GLD) | 11.5% | 16.1% | 0.58 | 5.0% |
| Commodities (DBC) | 6.4% | 18.0% | 0.28 | 17.2% |
| Real Estate (VNQ) | 5.4% | 20.7% | 0.22 | 47.2% |
| Bitcoin (BTCUSD) | 58.0% | 66.2% | 0.98 | 15.2% |
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Returns Analyses
Earnings Returns History
Updated 6/9/2026| Forward Returns | |||
|---|---|---|---|
| Earnings Date | 1D Returns | 5D Returns | 21D Returns |
| 5/6/2026 | -19.9% | -18.3% | -13.2% |
| 11/6/2025 | -4.8% | -8.2% | -1.1% |
| 8/7/2025 | 15.2% | 21.8% | 18.4% |
| 5/7/2025 | -0.1% | 8.9% | 9.5% |
| 2/28/2024 | 6.4% | 5.1% | 13.5% |
| 11/8/2023 | -2.7% | 5.7% | 8.8% |
| 8/9/2023 | -9.2% | -12.5% | -20.0% |
| 5/5/2023 | 0.2% | -2.9% | -4.6% |
| ... | |||
| SUMMARY STATS | |||
| # Positive | 7 | 7 | 10 |
| # Negative | 12 | 12 | 9 |
| Median Positive | 3.8% | 5.7% | 7.9% |
| Median Negative | -3.4% | -8.1% | -13.2% |
| Max Positive | 15.2% | 28.2% | 29.2% |
| Max Negative | -26.9% | -29.4% | -35.9% |
| Forward Returns | |||
|---|---|---|---|
| Earnings Date | 1D Returns | 5D Returns | 21D Returns |
| 5/6/2026 | -19.9% | -18.3% | -13.2% |
| 11/6/2025 | -4.8% | -8.2% | -1.1% |
| 8/7/2025 | 15.2% | 21.8% | 18.4% |
| 5/7/2025 | -0.1% | 8.9% | 9.5% |
| 2/28/2024 | 6.4% | 5.1% | 13.5% |
| 11/8/2023 | -2.7% | 5.7% | 8.8% |
| 8/9/2023 | -9.2% | -12.5% | -20.0% |
| 5/5/2023 | 0.2% | -2.9% | -4.6% |
| 2/28/2023 | 0.6% | -5.3% | -4.8% |
| 11/2/2022 | -2.6% | -1.8% | 7.1% |
| 8/4/2022 | -26.9% | -29.4% | -35.9% |
| 5/5/2022 | -3.3% | -8.1% | 4.7% |
| 2/24/2022 | -3.2% | -3.6% | -0.6% |
| 11/4/2021 | -3.6% | -8.7% | -21.3% |
| 8/5/2021 | 0.4% | -4.5% | 0.5% |
| 5/6/2021 | 3.8% | 1.1% | 6.9% |
| 2/25/2021 | -17.9% | -21.8% | -23.7% |
| 11/5/2020 | 11.9% | 28.2% | 29.2% |
| 8/6/2020 | -1.1% | 0.2% | 3.0% |
| SUMMARY STATS | |||
| # Positive | 7 | 7 | 10 |
| # Negative | 12 | 12 | 9 |
| Median Positive | 3.8% | 5.7% | 7.9% |
| Median Negative | -3.4% | -8.1% | -13.2% |
| Max Positive | 15.2% | 28.2% | 29.2% |
| Max Negative | -26.9% | -29.4% | -35.9% |
SEC Filings
Expand for More| Report Date | Filing Date | Filing |
|---|---|---|
| 12/31/2025 | 02/27/2026 | 10-K |
| 09/30/2025 | 11/07/2025 | 10-Q |
| 06/30/2025 | 08/08/2025 | 10-Q |
| 03/31/2025 | 05/09/2025 | 10-Q |
| 12/31/2024 | 03/03/2025 | 10-K |
| 09/30/2024 | 11/08/2024 | 10-Q |
| 06/30/2024 | 08/14/2024 | 10-Q |
| 03/31/2024 | 05/08/2024 | 10-Q |
| 12/31/2023 | 02/29/2024 | 10-K |
| 09/30/2023 | 11/08/2023 | 10-Q |
| 06/30/2023 | 08/09/2023 | 10-Q |
| 03/31/2023 | 05/05/2023 | 10-Q |
| 12/31/2022 | 02/28/2023 | 10-K |
| 09/30/2022 | 11/08/2022 | 10-Q |
| 06/30/2022 | 08/08/2022 | 10-Q |
| 03/31/2022 | 05/09/2022 | 10-Q |
| Report Date | Filing Date | Filing |
|---|---|---|
| 12/31/2025 | 02/27/2026 | 10-K |
| 09/30/2025 | 11/07/2025 | 10-Q |
| 06/30/2025 | 08/08/2025 | 10-Q |
| 03/31/2025 | 05/09/2025 | 10-Q |
| 12/31/2024 | 03/03/2025 | 10-K |
| 09/30/2024 | 11/08/2024 | 10-Q |
| 06/30/2024 | 08/14/2024 | 10-Q |
| 03/31/2024 | 05/08/2024 | 10-Q |
| 12/31/2023 | 02/29/2024 | 10-K |
| 09/30/2023 | 11/08/2023 | 10-Q |
| 06/30/2023 | 08/09/2023 | 10-Q |
| 03/31/2023 | 05/05/2023 | 10-Q |
| 12/31/2022 | 02/28/2023 | 10-K |
| 09/30/2022 | 11/08/2022 | 10-Q |
| 06/30/2022 | 08/08/2022 | 10-Q |
| 03/31/2022 | 05/09/2022 | 10-Q |
| 12/31/2021 | 03/01/2022 | 10-K |
| 09/30/2021 | 11/09/2021 | 10-Q |
| 06/30/2021 | 08/09/2021 | 10-Q |
| 03/31/2021 | 05/10/2021 | 10-Q |
| 12/31/2020 | 03/01/2021 | 10-K |
| 09/30/2020 | 11/06/2020 | 10-Q |
| 06/30/2020 | 08/07/2020 | 10-Q |
| 03/31/2020 | 05/21/2020 | 10-Q |
| 12/31/2019 | 02/28/2020 | 10-K |
| 09/30/2019 | 11/08/2019 | 10-Q |
| 06/30/2019 | 08/09/2019 | 10-Q |
| 03/31/2019 | 05/06/2019 | 10-Q |
Recent Forward Guidance
Updated 7/8/2026Latest: Q1 2026 Earnings Reported 5/6/2026
| Forward Guidance | Guidance Change | ||||||
|---|---|---|---|---|---|---|---|
| Metric | Low | Mid | High | % Chg | % Delta | Change | Prior |
| 2026 Adjusted EBITDA | 102.00 Mil | 104.00 Mil | 106.00 Mil | 9.5% | Higher New | Guidance: 95.00 Mil for 2025 | |
| 2026 Incremental Annualized EBITDA Contribution (Metro) | 6.00 Mil | ||||||
| 2026 Incremental Annualized EBITDA Contribution (Subsidiary Partner) | 1.30 Mil | ||||||
Prior: Q3 2025 Earnings Reported 11/6/2025
| Forward Guidance | Guidance Change | ||||||
|---|---|---|---|---|---|---|---|
| Metric | Low | Mid | High | % Chg | % Delta | Change | Prior |
| 2025 Adjusted EBITDA | 93.00 Mil | 95.00 Mil | 97.00 Mil | 0 | Affirmed | Guidance: 95.00 Mil for 2025 | |
Insider Activity
Updated 6/10/2026| # | Owner | Title | Holding | Action | Filing Date | Price | Shares | Transacted Value | Value of Held Shares | Form |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Minan, Peter Francis | Direct | Buy | 6102026 | 61.50 | 288 | 17,712 | 197,476 | Form | |
| 2 | Minan, Peter Francis | Direct | Buy | 6102026 | 63.14 | 492 | 31,065 | 184,558 | Form | |
| 3 | Reeve, Graham D | COO | Direct | Sell | 3122026 | 78.86 | 662 | 52,205 | 2,371,951 | Form |
| 4 | Reeve, Graham D | COO | Reeve Trust | Sell | 3112026 | 78.52 | 1 | Form | ||
| 5 | Reeve, Graham D | COO | Reeve Trust | Sell | 3112026 | 82.25 | 1,807 | 148,626 | 82 | Form |
| # | Owner | Title | Holding | Action | Filing Date | Price | Shares | Transacted Value | Value of Held Shares | Form |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Minan, Peter Francis | Direct | Buy | 6102026 | 61.50 | 288 | 17,712 | 197,476 | Form | |
| 2 | Minan, Peter Francis | Direct | Buy | 6102026 | 63.14 | 492 | 31,065 | 184,558 | Form | |
| 3 | Reeve, Graham D | COO | Direct | Sell | 3122026 | 78.86 | 662 | 52,205 | 2,371,951 | Form |
| 4 | Reeve, Graham D | COO | Reeve Trust | Sell | 3112026 | 78.52 | 1 | Form | ||
| 5 | Reeve, Graham D | COO | Reeve Trust | Sell | 3112026 | 82.25 | 1,807 | 148,626 | 82 | Form |
| 6 | Binstein, Richard | EVP Gen'l Counsel & Secretary | Direct | Sell | 3092026 | 81.64 | 3,000 | 244,920 | 2,030,142 | Form |
| 7 | Reeve, Graham D | COO | Direct | Sell | 11252025 | 71.01 | 743 | 52,760 | 1,472,747 | Form |
| 8 | Gilmartin, Kathleen A | Direct | Buy | 11242025 | 69.00 | 4,000 | 276,000 | 1,710,234 | Form | |
| 9 | Ham, Nancy | Direct | Sell | 9112025 | 81.71 | 600 | 49,026 | 162,930 | Form | |
| 10 | Williams, Eric Joseph | President and COO | Direct | Sell | 9082025 | 85.25 | 1,000 | 85,250 | 2,159,468 | Form |
| 11 | Reading, Christopher J | Chairman of the Board and CEO | Direct | Sell | 9052025 | 83.53 | 2,000 | 167,060 | 9,529,771 | Form |
| 12 | Hendrickson, Carey P | Chief Financial Officer | Direct | Sell | 8252025 | 86.11 | 698 | 60,105 | 2,394,547 | Form |
| 13 | Reeve, Graham D | COO | Direct | Sell | 8212025 | 84.97 | 763 | 64,832 | 1,825,411 | Form |
| 14 | Reeve, Graham D | COO | Direct | Sell | 8122025 | 86.57 | 1,792 | 155,133 | 1,925,836 | Form |
| 15 | Ham, Nancy | Direct | Sell | 6132025 | 78.01 | 400 | 31,204 | 202,358 | Form |
External Quote Links
| Y Finance | Barrons |
| TradingView | Morningstar |
| SeekingAlpha | ValueLine |
| Motley Fool | Robinhood |
| CNBC | Etrade |
| MarketWatch | Unusual Whales |
| YCharts | Perplexity Finance |
| FinViz |
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