U.S. Physical Therapy, Inc.

U.S. Physical Therapy, Inc.

USPHยทNYSE

$61.87

-1.0%
HealthcareMedical - Care Facilities

U.S. Physical Therapy, Inc., through its subsidiaries, operates outpatient physical therapy clinics that provide pre-and post-operative care and treatment for orthopedic-related disorders, sports-related injuries, preventative care, rehabilitation of injured workers, and neurological-related injuries. It operates through two segments, Physical Therapy Operations and Industrial Injury Prevention Services. The company offers industrial injury prevention services, including onsite injury prevention and rehabilitation, performance optimization, post-offer employment testing, functional capacity evaluations, and ergonomic assessments through physical therapists and specialized certified athletic trainers for Fortune 500 companies, and other clients comprising insurers and their contractors. As of December 31, 2021, it operated 591 clinics in 39 states; and managed 35 physical therapy practice facilities. The company was founded in 1990 and is based in Houston, Texas.

At a Glance

Live Snapshot
Market Cap$941.59M
EPS1.4200
P/E Ratio43.57
Earnings Date08/05/2026

Intrinsic Alpha Methodology

Thesis Lenses

Signal ยท Driver ยท Risk

Signal

High confidence

Valuation multiple is elevated (P/E 43.6).

Valuation inputs: P/E 43.6, earnings yield +2.3%, momentum -1.0%.

If multiples stay elevated while momentum fades, downside repricing risk rises.

Driver

High confidence

Return profile is soft (ROE +3.2%, ROIC +5.4%).

Profitability stack: net margin +1.9%, ROE +3.2%, ROIC +5.4%.

Quality deterioration often appears in margins before it shows up in headline EPS.

Risk

High confidence

Risk profile is balanced but has notable pressure points to monitor.

Risk factors: liabilities/assets +36.0%, momentum -1.0%, net margin +1.9%.

Higher leverage with weak momentum and thin margins can amplify drawdown severity.

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U.S. Physical Therapy, Inc. Market vs Earnings Trajectory

USPH ยท NYSE

Loading price and EPS data...

U.S. Physical Therapy, Inc.

U.S. Physical Therapy, Inc. Fair Value Envelope

USPH ยท NYSE

Our analysis suggests that USPH has a fair value of HIDDEN per share in the Base Case projection. With shares currently trading at $61.87, this represents a potential HIDDEN relative to our calculated worth for U.S. Physical Therapy, Inc..

Intrinsic Value
Current Price: $61.87
3Y-57.0%
5Y-65.0%
10Y-13.0%
3Y+41.0%
5Y+85.0%
10Y+119.0%
3Y-47.0%
5Y-51.0%
10Y-27.0%
3Y+28.0%
5Y-25.0%
10Y+47.0%
3Y+21.0%
5Y-34.0%
10Y+43.0%
3Y+40.0%
5Y+103.0%
10Y+243.0%
U.S. Physical Therapy, Inc.

U.S. Physical Therapy, Inc. Profit Bridge

USPH ยท NYSE
Revenue780.99M
Cost of Goods Sold (623.65M)
Gross Profit157.34M
Operating Expenses (76.91M)
Operating Income80.43M
Interest Expense (9.46M)
Other Income/Expense-2.62M
Pretax Income77.81M
Income Tax (19.81M)
Net Income15.06M
Net Income
15.06M

Profitability Analysis

Gross Margin

20.1%

Moderate margins typical of competitive industries. Monitor for pricing pressure or rising costs.

Operating Margin

10.3%

Acceptable margins but limited operational leverage. Operating expense control is important.

Net Profit Margin

1.9%

Minimal profitability after all expenses. Limited financial flexibility for reinvestment or shareholder returns.

Effective Tax Rate

25.5%

Higher tax burden may reflect limited tax optimization or operations in high-tax jurisdictions.

Profitability Insight

Efficient profit conversion: Minimal margin compression from gross to net indicates lean operations and favorable tax/interest environment.

20.15%
Gross Profit Margin
9%
3Y-1.0%
5Y-10.0%
10Y-12.0%
10.30%
Operating Profit Margin
9%
3Y-
5Y-17.0%
10Y-26.0%
1.93%
Net Profit Margin
-51%
3Y-62.0%
5Y-73.0%
10Y-67.0%
3.16%
Return on Equity
-42%
3Y-65.0%
5Y-71.0%
10Y-71.0%
1.25%
Return on Assets
-45%
3Y-62.0%
5Y-76.0%
10Y-79.0%
5.37%
Return on Invested Capital
24%
3Y-1.0%
5Y-32.0%
10Y-48.0%
USPH

U.S. Physical Therapy, Inc. Cash Conversion Engine

USPH ยท NYSE
Net Income58.01M
Depreciation & Amortization22.39M
Stock-Based Compensation8.27M
Change in Working Capital-27.19M
Others2.18M
Capital Expenditures-14.07M
Free Cash Flow60.99M

Cash Flow Quality Analysis

FCF Conversion Rate

105.1%

Excellent cash generation. The company converts earnings to cash at or above 100%, indicating high-quality earnings.

CapEx Intensity

18.7%

Asset-light business model. Low capital requirements leave more cash available for shareholders and growth investments.

FCF Growth Trend

-7.2%

Declining FCF warrants attention. Investigate whether due to temporary factors or fundamental deterioration.

Working Capital Impact

-$27.19M

Moderate working capital outflow. Typical for growing businesses, but ensure it's supporting revenue growth, not inefficiency.

Cash Flow Quality Insight

Asset-light with strong cash conversion: Low capital requirements combined with efficient cash generation creates significant shareholder value through dividends, buybacks, or strategic investments.

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U.S. Physical Therapy, Inc. Funding & Solvency Profile

USPH ยท NYSE
Cash & Cash Equivalents28.44M
Net Receivables69.08M
Inventory0.00
Other Current Assets41.59M
Total Current Assets139 M
Property, Plant & Equipment280.95M
Goodwill & Intangible Assets895.69M
Long-Term Investments0.00
Other Non-Current Assets-73.70M
Total Non-Current Assets207 M
Total Assets
1.24B

Financial Health Analysis

Current Ratio

1.19x

Acceptable liquidity, but monitor closely. Current assets just barely cover current liabilities.

Debt-to-Equity Ratio

0.59x

Balanced capital structure with moderate leverage. Equity exceeds debt, suggesting healthy financial stability.

Working Capital

22 M

Positive working capital, but relatively tight. The company should monitor cash flow carefully.

Asset Composition

11% Current

Capital-intensive business with significant long-term investments in property, equipment, or intangibles.

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U.S. Physical Therapy, Inc. Street Expectations Map

USPH ยท NYSE

Wall Street analysts project that USPH stock may rise significantly over the coming 12 months. The consensus 1-year price target stands at 96.00, with estimates ranging from a low of 90.00 to a high of 102.00.

Lowest Target
90.00
45.47%
Consensus Target
96.00
55.16%
Highest Target
102.00
64.86%

The consensus 1-year price target stands at 96.00, with estimates ranging from a low of 90.00 to a high of 102.00.

Analyst Consensus Analysis

Upside Potential

+55.2%

Substantial upside potential. Analysts see significant value gap, suggesting the stock may be materially undervalued at current levels.

Analyst Agreement

12.5% spread

High analyst agreement. Narrow target range indicates strong consensus on valuation, suggesting clear investment thesis and predictable outlook.

Analyst Conviction

Very High

Strong buy conviction: High upside with tight consensus suggests compelling investment opportunity backed by analyst confidence.

Market Sentiment Insight

Rare opportunity: Exceptional upside potential with strong analyst consensus creates a compelling setup. The combination of significant price target premium and tight agreement suggests high-conviction undervaluation that may attract institutional capital.

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U.S. Physical Therapy, Inc. Insider Positioning

USPH ยท NYSE

During the last 12 months, insiders have purchased $276K and sold $1.28M worth of USPH shares, resulting in $1.00M of net selling activity.

3 Months

Bought

0

0.00

Sold

5.5K

445.83K

Net Activity

-446K

-$446K

3-6 Months

Bought

0

0.00

Sold

0

0.00

Net Activity

+0

+$0

6-9 Months

Bought

4.0K

276.00K

Sold

1.3K

101.78K

Net Activity

+174K

+$174K

9-12 Months

Bought

0

0.00

Sold

8.7K

733.16K

Net Activity

-733K

-$733K

Top Buyers

1
GKA

Gilmartin Kathleen A

Director

4.0K sharesโ€ข1 transactions

$276K

Top Sellers

1
RGD

Reeve Graham D.

Officer: Coo

5.8K sharesโ€ข6 transactions

$474K

2
BR

Binstein Richard

Officer: Evp Gen'L Counsel & Secretary

5.0K sharesโ€ข2 transactions

$415K

3
RCJ

Reading Christopher J

Director, Officer: Chairman Of The Board And Ceo

2.0K sharesโ€ข1 transactions

$167K

4
WEJ

Williams Eric Joseph

Officer: President And Coo

1.0K sharesโ€ข1 transactions

$85K

5
HN

Ham Nancy

Director

1.0K sharesโ€ข2 transactions

$80K

Insider Activity Analysis

Net Insider Sentiment

Bearish

Strong bearish signal with $1.00M net selling. Heavy insider selling may indicate concerns about valuation or near-term prospects.

Buy/Sell Ratio

0.22:1

Weak buy/sell ratio. Selling significantly exceeds buyingโ€”monitor for potential fundamental concerns.

Recent Trend (3 Months)

$446K

Heavy recent selling activity. Recent insider sales notably exceed purchasesโ€”may warrant investigation into company developments.

Insider Participation

High Selling

5 insider sellers vs. 1 buyers. Widespread selling across multiple insiders may signal concerns.

Insider Activity Insight

Multiple red flags: Heavy selling, numerous sellers, and continued recent selling create a concerning pattern. Investigate fundamental drivers and consider whether company guidance or industry conditions have deteriorated.

0.62%
Dividend Yield
7%
3Y+40.0%
5Y+83.0%
10Y+118.0%
ย 

usph Dividend History

USPH
10Y CAGR +12%
Latest $0.46
Annual $2.27
5 year growth trend
Last Period: +0%