Full Press Release Details
U.S. Physical Therapy, Inc.
Carey Hendrickson, Chief Financial Officer
email: Chendrickson@usph.com
Chris Reading, Chief Executive Officer
U.S. Physical Therapy Reports
First Quarter 2022 Results
Declares Quarterly Dividend
Houston, TX, May 5, 2022 -
U.S. Physical Therapy, Inc. ("USPH" or the "Company") (NYSE: USPH), a national operator of outpatient physical therapy clinics and provider of industrial injury prevention ("IIP") services, today reported results for the first quarter ended March
31, 2022 ("2022 First Quarter").
| U.S. Physical Therapy Press Release | Page 2 |
| May 5, 2022 |
SUMMARY OF FIRST QUARTER RESULTS
For the 2022 First Quarter, the Company's net income attributable to its shareholders was $8.8 million as compared
to $8.2 million for the 2021 First Quarter. In accordance with GAAP, the revaluation of redeemable non-controlling interest, net of taxes, is not included in net income but charged directly to retained earnings; however, the charge for this
change is included in the earnings per basic and diluted share calculation. Inclusive of the charge for revaluation of non-controlling interest, net of taxes, the amount is $8.7 million, or $0.67 per diluted share, for the 2022 First Quarter,
and $2.8 million, or $0.21 per diluted share, for the 2021 First Quarter.
For the 2022 First Quarter, the Company's Operating Results, a non-GAAP measure, was $8.4 million, or $0.65 per
diluted share, an increase of 2.2%, as compared to $8.2 million, or $0.64 per diluted share, for the 2021 First Quarter. See table on page 10 and 11.
First Quarter 2022 Compared to First Quarter 2021
| Three Months Ended | ||||||||
| March 31, 2022 | March 31, 2021 | |||||||
| Revenue related to Mature Clinics | $ | 102,321 | $ | 98,649 | ||||
| Revenue related to 2022 Clinic Additions | 195 | - | ||||||
| Revenue related to 2021 Clinic Additions | 6,823 | 149 | ||||||
| Revenue from clinics sold or closed in 2022 | 199 | 190 | ||||||
| Revenue from clinics sold or closed in 2021 | - | 266 | ||||||
| Net patient revenue from physical therapy operations | 109,538 | 99,254 | ||||||
| Other revenue | 872 | 546 | ||||||
| Revenue from physical therapy operations | 110,410 | 99,800 | ||||||
| Revenue from management contracts | 2,226 | 2,559 | ||||||
| Revenue from industrial injury prevention services | 19,068 | 10,009 | ||||||
| Total Revenue | $ | 131,704 | $ | 112,368 |
| U.S. Physical Therapy Press Release | Page 3 |
| May 5, 2022 |
| Three Months Ended | ||||||||
| March 31, 2022 | March 31, 2021 | |||||||
| Operating cost related to Mature Clinics | $ | 81,034 | $ | 76,221 | ||||
| Operating cost related to 2022 Clinic Additions | 840 | - | ||||||
| Operating cost related to 2021 Clinic Additions | 6,209 | 136 | ||||||
| Operating cost related to clinics sold or closed in 2022 | 286 | 249 | ||||||
| Operating cost related to clinics sold or closed in 2021 | - | 334 | ||||||
| Operating cost related to physical therapy operations | 88,369 | 76,940 | ||||||
| Operating cost related to management contracts | 1,831 | 2,245 | ||||||
| Operating cost related to industrial injury prevention services | 14,916 | 7,287 | ||||||
| Total operating cost | $ | 105,116 | $ | 86,472 |
| Three Months Ended | ||||||||
| March 31, 2022 | March 31, 2021 | |||||||
| Physical therapy operations | $ | 22,041 | $ | 22,860 | ||||
| Management contracts | 395 | 314 | ||||||
| Industrial injury prevention services | 4,152 | 2,722 | ||||||
| Gross profit | $ | 26,588 | $ | 25,896 |
| U.S. Physical Therapy Press Release | Page 4 |
| May 5, 2022 |
| Three Months Ended | ||||||||
| March 31, 2022 | March 31, 2021 | |||||||
| Income before taxes | $ | 15,480 | $ | 14,830 | ||||
| Less: net income attributable to non-controlling interest: | ||||||||
| Redeemable non-controlling interest - temporary equity | (2,557 | ) | (2,453 | ) | ||||
| Non-controlling interest - permanent equity | (626 | ) | (1,260 | ) | ||||
| $ | (3,183 | ) | $ | (3,713 | ) | |||
| Income before taxes less net income attributable to non-controlling interest | $ | 12,297 | $ | 11,117 | ||||
| Provision for income taxes | $ | 3,498 | $ | 2,944 | ||||
| Percentage | 28.4 | % | 26.5 | % |
Other Financial Measures
For the 2022 First Quarter, the Company's Adjusted EBITDA, a non-GAAP measure, was $17.9 million, an increase of 14.2% from
$15.6 million in the 2021 First Quarter. See definition, explanation and calculation of Adjusted EBITDA, a non-GAAP measure, in the schedule on page 10.
| U.S. Physical Therapy Press Release | Page 5 |
| May 5, 2022 |
Medicare Accelerated and Advance Payment Program ("MAAPP Funds")
On March 27, 2020, in response to the COVID-19 pandemic, the federal government approved the Coronavirus Aid, Relief, and Economic Security Act ("CARES Act"). The CARES Act provided waivers, reimbursement, grants and other funds to assist health care providers during the COVID-19 pandemic, including $100.0 billion in
appropriations for the Public Health and Social Services Emergency Fund, also referred to as the Provider Relief Fund, to be used for preventing, preparing, and responding to the coronavirus, and for reimbursing eligible health care
providers for lost revenues and health care related expenses that are attributable to COVID-19.
The CARES Act allowed for qualified healthcare
providers to receive advanced payments under the MAAPP Funds during the COVID-19 pandemic. Under this program, healthcare providers could choose to receive advanced payments for future Medicare services provided. The Company applied for and
received approval from Centers for Medicare &
Medicaid Services ("CMS") in April 2020. The Company recorded the $14.1 million in advance payments received as a liability. During the 2021 First Quarter, the Company repaid the MAAPP Funds of $14.1 million rather than applying them to future services performed.
Acquisition in First Quarter 2022
On March 31, 2022, the Company acquired a 70% interest in a six-clinic physical therapy practice in South Central
Pennsylvania - Madden and Gilbert Physical Therapy, LLC. The practice's owners retained 30% of the equity interests. The purchase price for the 70% equity interest was approximately $11.5 million. The business generates more than $7.5 million
in annual revenue and has approximately 71,000 patient visits per year.
The Company's strategy is to continue acquiring multi-clinic outpatient physical therapy practices, to develop
outpatient physical therapy clinics as satellites in existing partnerships and to continue acquiring companies that provide industrial injury prevention services.
The Board of Directors declared a quarterly
dividend of $0.41 per share payable on June 14, 2022, to shareholders of record on May 16, 2022.
Management's Comments
Chris Reading, Chief Executive Officer, said, "We finished the first quarter in strong fashion, despite a slow start,
with visits heavily impacted by Omicron and our highest level ever of employee-related quarantines. I am very pleased with our same store volume numbers along with our cost management, with same store costs up only 0.4% on a per visit basis
despite significant pricing pressure on labor and materials. We made a lot of progress in the quarter, and I am pleased with where we are as we enter a traditionally busy season for us. On the acquisition front, we expect to have another
very productive year."
First Quarter 2022 Conference Call
U.S. Physical Therapy's management will host a conference call at 10:30 a.m. Eastern Time, 9:30 a.m. Central Time,
on May 5, 2022, to discuss results for the Company's 2022 First Quarter. Interested parties may participate in the call by dialing 1-877-830-2598 or 785-424-1062 and entering reservation number USPHQ12022 approximately 10 minutes before the
call is scheduled to begin. To listen to the live call via webcast, go to the Company's website at www.usph.com at least 15 minutes early to register, download and install any necessary audio software. The conference call will be archived
and can be accessed until August 5, 2022, at U.S. Physical Therapy's website.
| U.S. Physical Therapy Press Release | Page 6 |
| May 5, 2022 |
Forward-Looking Statements
This press release contains statements that are considered to be forward-looking within the meaning under Section 21E
of the Securities Exchange Act of 1934, as amended. These statements contain forward-looking information relating to the financial condition, results of operations, plans, objectives, future performance and business of our Company. These
statements (often using words such as "believes", "expects", "intends", "plans", "appear", "should" and similar words) involve risks and uncertainties that could cause actual results to differ materially from those we expect. Included among
such statements may be those relating to new clinics, availability of personnel and the reimbursement environment. The forward-looking statements are based on our current views and assumptions and actual results could differ materially from those anticipated in such forward-looking statements as a result of certain risks, uncertainties, and factors, which include, but are
the multiple effects of the
impact of public health crises and epidemics/pandemics, such as the novel strain of COVID-19 and its variants, for which the total financial magnitude cannot be currently estimated;
changes in Medicare rules and
guidelines and reimbursement or failure of our clinics to maintain their Medicare certification and/or enrollment status;
revenue we receive from Medicare
and Medicaid being subject to potential retroactive reduction;
changes in reimbursement rates
or payment methods from third party payors including government agencies, and changes in the deductibles and co-pays owed by patients;
compliance with federal and
state laws and regulations relating to the privacy of individually identifiable patient information, and associated fines and penalties for failure to comply;
competitive, economic or
reimbursement conditions in our markets which may require us to reorganize or close certain clinics and thereby incur losses and/or closure costs including the possible write-down or write-off of goodwill and other intangible assets;
the impact of COVID-19 related
vaccination and/or testing mandates at the federal, state and/or local level, which could have an adverse impact on staffing, revenue, costs and the results of operations;
changes as the result of
government enacted national healthcare reform; business and regulatory conditions including federal and state regulations;
governmental and other third
party payor inspections, reviews, investigations and audits, which may result in sanctions or reputational harm and increased costs;
revenue and earnings
legal actions, which could
subject us to increased operating costs and uninsured liabilities;
general economic conditions;
availability and cost of
qualified physical therapists;
personnel productivity and
retaining key personnel;
competitive environment in the
industrial injury prevention services business, which could result in the termination or nonrenewal of contractual service arrangements and other adverse financial consequences for that service line;
acquisitions, and the successful
integration of the operations of the acquired businesses;
impact on the business and cash
reserves resulting from retirement or resignation of key partners and resulting purchase of their non-controlling interest (minority interests);
maintaining our information
technology systems with adequate safeguards to protect against cyber-attacks;
a security breach of our or our
third party vendors' information technology systems may subject us to potential legal action and reputational harm and may result in a violation of the Health Insurance Portability and Accountability Act of 1996 of the Health Information
Technology for Economic and Clinical Health Act;
maintaining clients for which we
perform management and other services, as a breach or termination of those contractual arrangements by such clients could cause operating results to be less than expected;