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U S Physical Therapy Financials

USPH
Trailing 12 months to June 30, 2026
Revenue $812.2M +11.3% YoY
Net Income $32.2M -15.6% YoY
EPS (Diluted) $0.18 -92.1% YoY
Free Cash Flow $64.1M +5.3% YoY
Source SEC Filings (10-K/10-Q) Latest period Q2 FY2026, ended Jun 30, 2026 Reported Currency USD FYE December

U S Physical Therapy (USPH) reported $812.2M in revenue over the twelve months to Jun 30, 2026, up 11.3% from the prior twelve months. This page shows its income statement, balance sheet, cash flow statement, and key financial ratios. View 15 years of annual fundamentals and quarterly data, with year-over-year growth rates and compound annual growth rates (CAGR). All figures are derived from SEC filings (10-K and 10-Q reports).

Rhea AI USPH FY2025

Scale and acquisitions are shaping this company more than heavy internal reinvestment, while cash conversion keeps the operating model financially flexible.

FY2025 produced $61.0M of free cash flow from $75.1M of operating cash flow, so accounting profit is turning into cash without much upkeep spending. That cash-light operating model matches a goodwill-heavy balance sheet: goodwill reached $692.4M, about 57.5% of assets, implying expansion has relied more on acquisitions than on building physical capacity.

Margin recovery came from below the gross line, not from richer unit economics. Gross margin in FY2025 was still just 19.2% versus 23.7% in FY2021, yet operating margin has rebounded from its FY2023 low, which points to better overhead absorption or cost discipline as revenue scaled.

Liquidity is tight relative to the company’s size, but solvency looks more manageable. The current ratio was nearly 1.0x and cash only $35.6M in FY2025, yet debt-to-equity remained about 0.3x and annual operating cash flow held near $75.1M, so the main constraint is short-term cushion rather than an overbuilt debt load.

[ NOT FINANCIAL ADVICE ]

Financial Health Signals

Profitability Growth Leverage Liquidity CashFlow Returns 56 / 100
Financial Health Score 56/100

Scored against operating companies for FY2025. Each of the six dimensions is a percentile rank within that peer group; the overall is their average, with missing dimensions counted as zero out of six. A high score means strong standing among peers, not absolute cross-industry strength. How this score is calculated →

Health score ≠ stock price. This rates the quality of U S Physical Therapy's business: profitability, growth, balance sheet strength. It doesn't tell you whether the stock is a good buy at today's price. Not financial advice. Use it alongside valuation analysis and your own research.

Profitability
72

U S Physical Therapy has an operating margin of 11.1%, meaning the company retains $11 of operating profit per $100 of revenue. This strong profitability earns a score of 72/100, reflecting efficient cost management and pricing power. This is up from 9.4% the prior year.

Growth
73

U S Physical Therapy's revenue surged 16.3% year-over-year to $781.0M, reflecting rapid business expansion. This strong growth earns a score of 73/100.

Leverage
44

U S Physical Therapy has a moderate D/E ratio of 0.32. This balance of debt and equity financing earns a leverage score of 44/100.

Liquidity
19

U S Physical Therapy's current ratio of 1.01 is below the typical benchmark, resulting in a score of 19/100. This tight liquidity could limit financial flexibility if cash inflows slow.

Cash Flow
65

U S Physical Therapy converts 7.8% of revenue into free cash flow ($61.0M). This strong cash generation earns a score of 65/100.

Returns
63

U S Physical Therapy's ROE of 8.3% shows moderate profitability relative to equity, earning a score of 63/100. This is up from 6.4% the prior year.

Altman Z-Score Grey Zone
2.11

U S Physical Therapy scores 2.11, placing it in the grey zone between 1.81 and 2.99. This signals moderate financial risk that warrants monitoring.

Distress-screening estimate for non-financial companies. Not computed for banks or insurers, where the Altman model does not apply.

Piotroski F-Score Strong
7/9

U S Physical Therapy passes 7 of 9 financial strength tests. All 4 profitability signals pass (positive income, cash flow, and earnings quality), 1 of 3 leverage/liquidity signals pass, both operating efficiency signals pass.

Earnings Quality Cash-Backed
1.90x

For every $1 of reported earnings, U S Physical Therapy generates $1.90 in operating cash flow ($75.1M OCF vs $39.6M net income). This indicates profits are well-supported by actual cash generation, not accounting adjustments.

Key Financial Metrics

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Earnings & Revenue

Revenue
$781.0M
YoY+16.3%
5Y CAGR+13.0%
10Y CAGR+9.0%

U S Physical Therapy generated $781.0M in revenue in fiscal year 2025. This represents an increase of 16.3% from the prior year.

EBITDA
$109.1M
YoY+33.5%
5Y CAGR+11.6%
10Y CAGR+7.0%

U S Physical Therapy's EBITDA was $109.1M in fiscal year 2025, measuring earnings before interest, taxes, depreciation, and amortization. This represents an increase of 33.5% from the prior year.

Net Income
$39.6M
YoY+26.0%
5Y CAGR+2.4%
10Y CAGR+6.7%

U S Physical Therapy reported $39.6M in net income in fiscal year 2025. This represents an increase of 26.0% from the prior year.

EPS (Diluted)
$1.42

U S Physical Therapy earned $1.42 per diluted share (EPS) in fiscal year 2025.

Cash & Balance Sheet

Free Cash Flow
$61.0M
YoY-7.2%
5Y CAGR-8.0%
10Y CAGR+6.9%

U S Physical Therapy generated $61.0M in free cash flow in fiscal year 2025, representing cash available after capex. This represents a decrease of 7.2% from the prior year.

Cash & Debt
$35.6M
YoY-14.0%
5Y CAGR+1.6%
10Y CAGR+8.5%

U S Physical Therapy held $35.6M in cash against $152.6M in long-term debt as of fiscal year 2025.

Dividends Per Share
$1.80

U S Physical Therapy paid $1.80 per share in dividends in fiscal year 2025.

Shares Outstanding
15M

U S Physical Therapy had 15M shares outstanding in fiscal year 2025.

Margins & Returns

Gross Margin
19.2%
YoY+0.7pp
5Y CAGR-3.2pp
10Y CAGR-4.5pp

U S Physical Therapy's gross margin was 19.2% in fiscal year 2025, indicating the percentage of revenue retained after direct costs. This is up 0.7 percentage points from the prior year.

Operating Margin
11.1%
YoY+1.7pp
5Y CAGR-1.3pp
10Y CAGR-3.2pp

U S Physical Therapy's operating margin was 11.1% in fiscal year 2025, reflecting core business profitability. This is up 1.7 percentage points from the prior year.

Net Margin
5.1%
YoY+0.4pp
5Y CAGR-3.2pp
10Y CAGR-1.1pp

U S Physical Therapy's net profit margin was 5.1% in fiscal year 2025, showing the share of revenue converted to profit. This is up 0.4 percentage points from the prior year.

Return on Equity
8.3%
YoY+1.9pp
5Y CAGR-4.4pp
10Y CAGR-3.7pp

U S Physical Therapy's ROE was 8.3% in fiscal year 2025, measuring profit generated per dollar of shareholder equity. This is up 1.9 percentage points from the prior year.

Capital Allocation

Share Buybacks
$5.6M

U S Physical Therapy spent $5.6M on share buybacks in fiscal year 2025, returning capital to shareholders by reducing shares outstanding.

Capital Expenditures
$14.1M
YoY+53.2%
5Y CAGR+13.0%
10Y CAGR+8.4%

U S Physical Therapy invested $14.1M in capex in fiscal year 2025, funding long-term assets and infrastructure. This represents an increase of 53.2% from the prior year.

R&D Spending

Not reported for fiscal year 2025.

USPH Income Statement

Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type.

USPH quarterly income statement
MetricQ2'26Q1'26Q4'25Q3'25Q2'25Q1'25Q4'24Q3'24
Revenue$214.1M+8.0%$198.3M-2.2%$202.7M+2.8%$197.1M-0.1%$197.3M+7.4%$183.8M+1.9%$180.4M+7.4%$168.0M
Gross Profit$41.9M+28.1%$32.8M-18.4%$40.1M+8.8%$36.9M-11.4%$41.6M+34.0%$31.1M-4.5%$32.5M+11.7%$29.1M
SG&A Expenses$19.0M+4.0%$18.3M+0.8%$18.1M+4.1%$17.4M-0.4%$17.5M+7.6%$16.2M+4.3%$15.6M+8.2%$14.4M
Operating Income$21.9M+75.8%$12.5M-25.6%$16.8M-33.8%$25.3M+1.6%$24.9M+27.0%$19.6M-0.1%$19.7M+53.0%$12.8M
Income Tax$4.2M+72.6%$2.4M-58.4%$5.8M+10.5%$5.2M+6.1%$4.9M+27.8%$3.9M-33.8%$5.8M+127.7%$2.6M
Net Income$9.9M+96.5%$5.0M+21.3%$4.2M-68.4%$13.1M+6.0%$12.4M+25.2%$9.9M+7.1%$9.2M+39.5%$6.6M
EPS (Diluted)$0.25+308.3%-$0.12+72.1%-$0.43-189.6%$0.48-17.2%$0.58$0.80+53.8%$0.52+33.3%$0.39

Not reported in any period shown, so not listed: Cost of Revenue, R&D Expenses, Interest Expense.

USPH Balance Sheet

Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type.

USPH quarterly balance sheet
MetricQ2'26Q1'26Q4'25Q3'25Q2'25Q1'25Q4'24Q3'24
Total Assets$1.2B+0.5%$1.2B+3.2%$1.2B+0.6%$1.2B+1.4%$1.2B0.0%$1.2B+1.0%$1.2B+13.4%$1.0B
Current Assets$139.7M+0.4%$139.1M-0.6%$140.0M+1.1%$138.4M-1.5%$140.5M-3.3%$145.4M+5.6%$137.6M-32.8%$204.9M
Cash & Equivalents$24.9M-12.5%$28.4M-20.0%$35.6M+14.4%$31.1M-8.8%$34.1M-13.0%$39.2M-5.3%$41.4M-64.6%$117.0M
Accounts Receivable$69.6M+0.8%$69.1M+7.5%$64.2M-5.0%$67.6M+2.5%$66.0M+1.8%$64.8M+9.7%$59.0M+3.5%$57.0M
Goodwill$716.5M+0.1%$715.9M+3.4%$692.4M+0.3%$690.4M+1.9%$677.6M+0.5%$674.4M+1.1%$667.2M+20.3%$554.6M
Total Liabilities$800.2M+3.5%$773.1M+6.3%$727.6M+5.0%$692.7M+2.0%$678.9M-0.5%$682.4M+0.6%$678.5M+89.3%$358.5M
Current Liabilities$109.9M-6.3%$117.3M-15.6%$139.0M+20.8%$115.1M-3.2%$118.8M-4.0%$123.8M+6.5%$116.3M+0.9%$115.3M
Long-Term Debt$215.5M+11.0%$194.0M+27.2%$152.6M+0.7%$151.5M-0.3%$151.9M-3.4%$157.2M+10.3%$142.5M+7.2%$132.9M
Total Equity$448.7M-4.3%$469.0M-1.6%$476.4M-5.4%$503.6M+0.6%$500.8M+0.7%$497.3M+1.7%$488.9M+1.3%$482.8M
Retained Earnings$213.4M-1.6%$216.9M-4.6%$227.2M-4.2%$237.3M+0.4%$236.4M+0.9%$234.2M+3.0%$227.3M+0.6%$225.9M

Not reported in any period shown, so not listed: Inventory.

USPH Cash Flow Statement

Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type.

USPH quarterly cash flow statement
MetricQ2'26Q1'26Q4'25Q3'25Q2'25Q1'25Q4'24Q3'24
Operating Cash Flow$34.4M+802.6%$3.8M-84.7%$24.9M+25.0%$19.9M-42.8%$34.9M+845.7%-$4.7M-124.1%$19.4M-12.3%$22.1M
Capital Expenditures$5.4M-0.2%$5.4M+36.9%$3.9M-9.0%$4.3M+32.7%$3.3M+26.1%$2.6M+3.6%$2.5M-1.3%$2.5M
Free Cash Flow$29.0M+1953.4%-$1.6M-107.5%$21.0M+34.4%$15.6M-50.6%$31.6M+535.8%-$7.3M-142.9%$16.9M-13.7%$19.6M
Investing Cash Flow-$6.4M+83.9%-$39.8M-631.1%-$5.4M+54.4%-$11.9M+6.1%-$12.7M-91.7%-$6.6M+93.0%-$94.9M-1523.6%-$5.8M
Financing Cash Flow-$31.5M-209.2%$28.9M+292.2%-$15.0M-36.7%-$11.0M+59.7%-$27.3M-398.7%$9.1M+6063.4%-$153K+98.7%-$12.2M
Dividends PaidN/AN/A$6.8M0.0%$6.8MN/AN/A$6.6M+0.1%$6.6M

Not reported in any period shown, so not listed: Share Buybacks.

USPH Financial Ratios

Margins and returns are percentages; the remaining ratios are unitless multiples.

USPH quarterly financial ratios
MetricQ2'26Q1'26Q4'25Q3'25Q2'25Q1'25Q4'24Q3'24
Gross Margin19.6%+3.1pp16.5%-3.3pp19.8%+1.1pp18.7%-2.4pp21.1%+4.2pp16.9%-1.1pp18.0%+0.7pp17.3%
Operating Margin10.3%+4.0pp6.3%-2.0pp8.3%-4.6pp12.8%+0.2pp12.6%+2.0pp10.7%-0.2pp10.9%+3.2pp7.6%
Net Margin4.6%+2.1pp2.5%+0.5pp2.1%-4.6pp6.7%+0.4pp6.3%+0.9pp5.4%+0.3pp5.1%+1.2pp3.9%
Return on Equity2.2%+1.1pp1.1%+0.2pp0.9%-1.7pp2.6%+0.1pp2.5%+0.5pp2.0%+0.1pp1.9%+0.5pp1.4%
Return on Assets0.8%+0.4pp0.4%+0.1pp0.3%-0.8pp1.1%0.0pp1.1%+0.2pp0.8%0.0pp0.8%+0.2pp0.6%
Current Ratio1.27+0.1x1.19+0.2x1.01-0.2x1.200.0x1.180.0x1.170.0x1.18-0.6x1.78
Debt-to-Equity0.48+0.1x0.41+0.1x0.320.0x0.300.0x0.300.0x0.320.0x0.290.0x0.28
FCF Margin13.6%+14.3pp-0.8%-11.2pp10.4%+2.4pp7.9%-8.1pp16.0%+20.0pp-4.0%-13.3pp9.4%-2.3pp11.7%

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Frequently Asked Questions

What is U S Physical Therapy's annual revenue?

U S Physical Therapy (USPH) reported $781.0M in total revenue for fiscal year 2025. This represents a 16.3% change compared to the previous fiscal year. Revenue measures the total income earned from the company's primary business operations before any expenses are deducted.

How fast is U S Physical Therapy's revenue growing?

U S Physical Therapy (USPH) revenue grew by 16.3% year-over-year, from $671.3M to $781.0M in fiscal year 2025.

Is U S Physical Therapy profitable?

Yes, U S Physical Therapy (USPH) reported a net income of $39.6M in fiscal year 2025, with a net profit margin of 5.1%.

U S Physical Therapy (USPH) reported diluted earnings per share of $1.42 for fiscal year 2025. EPS represents the portion of a company's net income allocated to each outstanding share of common stock and is widely used to evaluate profitability on a per-share basis.

U S Physical Therapy (USPH) had EBITDA of $109.1M in fiscal year 2025, measuring earnings before interest, taxes, depreciation, and amortization.

As of fiscal year 2025, U S Physical Therapy (USPH) had $35.6M in cash and equivalents against $152.6M in long-term debt.

U S Physical Therapy (USPH) had a gross margin of 19.2% in fiscal year 2025, indicating the percentage of revenue retained after direct costs of goods sold.

U S Physical Therapy (USPH) had an operating margin of 11.1% in fiscal year 2025, reflecting the profitability of core business operations before interest and taxes.

U S Physical Therapy (USPH) had a net profit margin of 5.1% in fiscal year 2025, representing the share of revenue converted into profit after all expenses.

Yes, U S Physical Therapy (USPH) paid $1.80 per share in dividends during fiscal year 2025.

U S Physical Therapy (USPH) has a return on equity of 8.3% for fiscal year 2025, measuring how efficiently the company generates profit from shareholder equity.

U S Physical Therapy (USPH) generated $61.0M in free cash flow during fiscal year 2025. This represents a -7.2% change compared to the previous fiscal year. Free cash flow represents the cash a company generates after accounting for capital expenditures, and is widely used to assess financial flexibility and shareholder value.

U S Physical Therapy (USPH) generated $75.1M in operating cash flow during fiscal year 2025, representing cash generated from core business activities.

U S Physical Therapy (USPH) had $1.2B in total assets as of fiscal year 2025, including both current and long-term assets.

U S Physical Therapy (USPH) invested $14.1M in capital expenditures during fiscal year 2025, funding long-term assets and infrastructure.

Yes, U S Physical Therapy (USPH) spent $5.6M on share buybacks during fiscal year 2025, returning capital to shareholders by reducing shares outstanding.

U S Physical Therapy (USPH) had 15M shares outstanding as of fiscal year 2025.

U S Physical Therapy (USPH) had a current ratio of 1.01 as of fiscal year 2025, which is considered adequate.

U S Physical Therapy (USPH) had a debt-to-equity ratio of 0.32 as of fiscal year 2025, measuring the company's financial leverage by comparing total debt to shareholder equity.

U S Physical Therapy (USPH) had a return on assets of 3.3% for fiscal year 2025, measuring how efficiently the company uses its assets to generate profit.

U S Physical Therapy (USPH) has an Altman Z-Score of 2.11, placing it in the Grey Zone (moderate risk). The Z-Score combines five financial ratios (working capital, retained earnings, EBIT, market capitalization, and revenue relative to total assets) to predict the likelihood of bankruptcy. Scores above 2.99 indicate financial safety while scores below 1.81 suggest financial distress. Learn more in our complete guide to financial health indicators.

U S Physical Therapy (USPH) has a Piotroski F-Score of 7 out of 9, indicating strong financial health. The F-Score evaluates nine binary signals across profitability (positive ROA, positive cash flow, improving ROA, earnings quality), leverage (decreasing debt, improving liquidity, no share dilution), and operating efficiency (improving gross margin, improving asset turnover). Scores of 7 to 9 indicate strong and improving fundamentals. Learn more in our complete guide to financial health indicators.

U S Physical Therapy (USPH) has an earnings quality ratio of 1.90x, considered cash-backed (high quality). This ratio compares operating cash flow to net income. A ratio above 1.0x means the company generates more cash than its reported earnings, indicating sustainable, cash-backed profits. Ratios below 1.0x suggest earnings rely on accounting accruals rather than actual cash generation. Learn more in our complete guide to financial health indicators.

U S Physical Therapy (USPH) scores 56 out of 100 on our Financial Health Score, indicating moderate standing within its operating companies peer group. The score is a 0-100 composite of six dimensions (Profitability, Growth, Leverage, Liquidity, Cash Flow, Returns), each ranked as a percentile relative to companies in the same scoring family (banks against banks, REITs against REITs, and so on) rather than across all industries. It rates the quality of the business, not whether the stock is fairly priced, and is not financial advice. Learn more in our complete guide to financial health indicators.

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