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U S Physical Therapy Financials

USPH
Source SEC Filings (10-K/10-Q) Updated Mar 31, 2026 Currency USD FYE December

This page shows U S Physical Therapy (USPH) financial statements, including the income statement, balance sheet, cash flow statement, and key financial ratios. View 17 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 Cash Flow Returns 48 / 100
Financial Profile 48/100

Based on FY2025 annual data, averaged across the last 3 years for performance metrics (most-recent year weighted highest). 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
45

U S Physical Therapy has an operating margin of 11.1%, meaning the company retains $11 of operating profit per $100 of revenue. This results in a moderate score of 45/100, indicating healthy but not exceptional operating efficiency. This is up from 9.4% the prior year.

Growth
56

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 56/100.

Leverage
96

U S Physical Therapy carries a low D/E ratio of 0.32, meaning only $0.32 of long-term debt for every $1 of shareholders' equity. This conservative leverage earns a score of 96/100, indicating a strong balance sheet with room for future borrowing.

Liquidity
15

U S Physical Therapy's current ratio of 1.01 is below the typical benchmark, resulting in a score of 15/100. This tight liquidity could limit financial flexibility if cash inflows slow.

Cash Flow
48

U S Physical Therapy has a free cash flow margin of 7.8%, earning a moderate score of 48/100. The company generates positive cash flow after capital investments, but with room for improvement.

Returns
27

U S Physical Therapy generates a 8.3% ROE, indicating limited profit relative to shareholders' investment. This results in a returns score of 27/100. This is up from 6.4% the prior year.

Altman Z-Score Grey Zone
1.93

U S Physical Therapy scores 1.93, placing it in the grey zone between 1.81 and 2.99. This signals moderate financial risk that warrants monitoring.

Piotroski F-Score Neutral
6/9

U S Physical Therapy passes 6 of 9 financial strength tests. All 4 profitability signals pass (positive income, cash flow, and earnings quality), no leverage/liquidity signals pass (rising debt, declining liquidity, or share dilution), 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
YoY-22.8%
5Y CAGR-10.6%
10Y CAGR-2.2%

U S Physical Therapy earned $1.42 per diluted share (EPS) in fiscal year 2025. This represents a decrease of 22.8% from the prior year.

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
YoY+2.3%
5Y CAGR+41.3%
10Y CAGR+11.6%

U S Physical Therapy paid $1.80 per share in dividends in fiscal year 2025. This represents an increase of 2.3% from the prior year.

Shares Outstanding
N/A

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

R&D Spending
N/A
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.

USPH Income Statement

Metric Q1'26 Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24 Q2'24
Revenue $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+0.5% $167.2M
Cost of Revenue N/A N/A N/A N/A N/A N/A N/A N/A
Gross Profit $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-14.0% $33.9M
R&D Expenses N/A N/A N/A N/A N/A N/A N/A N/A
SG&A Expenses $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+1.0% $14.2M
Operating Income $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-17.5% $15.6M
Interest Expense N/A N/A N/A N/A N/A N/A N/A N/A
Income Tax $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-17.0% $3.1M
Net Income $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-11.7% $7.5M
EPS (Diluted) $-0.12 N/A $0.48-17.2% $0.58-27.5% $0.80 N/A $0.39-17.0% $0.47

USPH Balance Sheet

Metric Q1'26 Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24 Q2'24
Total Assets $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+0.6% $1.0B
Current Assets $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+1.6% $201.7M
Cash & Equivalents $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+3.6% $112.9M
Inventory N/A N/A N/A N/A N/A N/A N/A N/A
Accounts Receivable $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+4.3% $54.7M
Goodwill $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+1.0% $549.0M
Total Liabilities $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+1.5% $353.2M
Current Liabilities $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+7.7% $107.1M
Long-Term Debt $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-2.1% $135.7M
Total Equity $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-0.4% $484.6M
Retained Earnings $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-0.3% $226.5M

USPH Cash Flow Statement

Metric Q1'26 Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24 Q2'24
Operating Cash Flow $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-23.7% $29.0M
Capital Expenditures $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+8.0% $2.3M
Free Cash Flow -$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-26.5% $26.7M
Investing Cash Flow -$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+79.4% -$28.3M
Financing Cash Flow $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+39.1% -$20.1M
Dividends Paid N/A $6.8M0.0% $6.8M N/A N/A $6.6M+0.1% $6.6M N/A
Share Buybacks N/A N/A N/A N/A N/A N/A N/A N/A

USPH Financial Ratios

Metric Q1'26 Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24 Q2'24
Gross Margin 16.5%-3.3pp 19.8%+1.1pp 18.7%-2.4pp 21.1%+4.2pp 16.9%-1.1pp 18.0%+0.7pp 17.3%-2.9pp 20.3%
Operating Margin 6.3%-2.0pp 8.3%-4.6pp 12.8%+0.2pp 12.6%+2.0pp 10.7%-0.2pp 10.9%+3.2pp 7.6%-1.7pp 9.3%
Net Margin 2.5%+0.5pp 2.1%-4.6pp 6.7%+0.4pp 6.3%+0.9pp 5.4%+0.3pp 5.1%+1.2pp 3.9%-0.6pp 4.5%
Return on Equity 1.1%+0.2pp 0.9%-1.7pp 2.6%+0.1pp 2.5%+0.5pp 2.0%+0.1pp 1.9%+0.5pp 1.4%-0.2pp 1.6%
Return on Assets 0.4%+0.1pp 0.3%-0.8pp 1.1%+0.0pp 1.1%+0.2pp 0.8%+0.0pp 0.8%+0.2pp 0.6%-0.1pp 0.7%
Current Ratio 1.19+0.2 1.01-0.2 1.20+0.0 1.180.0 1.170.0 1.18-0.6 1.78-0.1 1.88
Debt-to-Equity 0.41+0.1 0.32+0.0 0.300.0 0.30-0.0 0.32+0.0 0.29+0.0 0.280.0 0.28
FCF Margin -0.8%-11.2pp 10.4%+2.4pp 7.9%-8.1pp 16.0%+20.0pp -4.0%-13.3pp 9.4%-2.3pp 11.7%-4.3pp 15.9%

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Frequently Asked Questions

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.

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

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. This represents a -22.8% change compared to the previous fiscal year. 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 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 1.93, 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 6 out of 9, indicating neutral 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 48 out of 100 on our Financial Profile, indicating moderate overall financial health. This composite score evaluates six dimensions: profitability (operating margin), revenue growth, leverage (debt-to-equity), liquidity (current ratio), cash flow quality (free cash flow margin), and shareholder returns (return on equity). Each dimension is normalized against standard financial benchmarks. Learn more in our complete guide to financial health indicators.

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