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U.S. Physical Therapy, Inc. Jason Curtis, Interim Chief Financial Officer email: jcurtis@usph.com Chris Reading, Chief Executive Officer (713) 297-7000 Three Part Advisors Joe Noyons (817) 778-8424 U.S. Physical

Key Takeaway: U.S. Physical Therapy, Inc. Jason Curtis, Interim Chief Financial Officer email: jcurtis@usph.com Chris Reading, Chief Executive Officer U.S. Physical Therapy Reports Record First Quarter Revenue, Reaffirms Full Year Guidance Houston, TX, May 6, 2026 - U.S. Physical Therap

Full Press Release Details

U.S. Physical Therapy, Inc.
Jason Curtis, Interim Chief Financial Officer
Chris Reading, Chief Executive Officer
U.S. Physical Therapy Reports
Record First Quarter Revenue,
Reaffirms Full Year Guidance
Houston, TX, May 6, 2026 - U.S. Physical Therapy, Inc. ("USPH" or the "Company") (NYSE, NYSE Texas: USPH), a national operator of outpatient physical therapy clinics and provider of industrial injury prevention
services ("IIP"), today reported results for the first quarter ended March 31, 2026 ("Q1 2026").
Chris Reading, Chairman and Chief Executive Officer commented, "I want to begin by thanking our partners
and clinical teams for their tremendous care and their continued efforts on behalf of our patients and across several important initiatives this year. These include a partial virtualization of our front desk; company-wide rollout of
ambient-listening technology to improve documentation efficiency and allow for more patient-centric interaction; remote therapeutic monitoring for our traditional Medicare patients to facilitate greater home program adherence positively impacting
care and outcomes; and targeted cash-based program expansion across our top partnerships impacting care and outcomes as well as overall margin. These initiatives, along with our very important hospital alliance focus, will bear fruit particularly in
the second half of the year."
Mr. Reading continued "Additionally, and importantly, we recently completed our expanded and upgraded
credit facility which gives us tremendous capacity for continued growth in physical therapy, industrial injury prevention, and our new and very focused efforts to expand our hospital alliance footprint. In this first quarter we had very positive
announcements across all of those initiatives with more good things to come."
(1) These are non-GAAP Measures. Please refer to the
section titled "Reconciliation of Non-GAAP Measures to the Most Directly Comparable GAAP Measure" for the definition and reconciliation of Adjusted EBITDA, Operating Results and other non-GAAP measures to the most directly comparable GAAP measure.
U.S. Physical Therapy Press Release Page 2
May 6, 2026
FIRST QUARTER RESULTS
BALANCE SHEET AND CASH FLOW
FULL YEAR EARNINGS GUIDANCE
Management reaffirmed the Company's full year 2026 adjusted EBITDA guidance of $102.0 million to $106.0 million, which includes the partial year impact of two previously announced hospital affiliations and the January 1, 2026 Medicare rate increase.
The two previously announced strategic hospital alliances are expected to be accretive to the Company's revenue, EBITDA, and margins. Upon full integration of the 60 Metro clinics, the incremental annualized EBITDA contribution to Metro is expected
to be at least $12 million, with the corresponding impact to USPH estimated to be at least $6 million, reflecting its 50% ownership interest in Metro. Upon full integration of the second subsidiary partner's ten clinics, the incremental annualized
EBITDA contribution to the subsidiary partner is expected to be at least $2 million, with the corresponding impact to USPH estimated to be at least $1.3 million, reflecting its 65% ownership interest in the subsidiary partner. The Company's 2026
guidance reflects the phased ramp-up of these affiliations beginning May 2026.
CONFERENCE CALL INFORMATION
U.S. Physical Therapy's management will host a conference call at 10:30 a.m. ET / 9:30 a.m. CT, on May 7, 2026, to discuss the Company's financial results for the first quarter ended March 31, 2026. Interested parties may participate in the call by
dialing (800) 445-7795 (Primary) or (785) 424-1699 (Alternate) and conference ID of USPHQ126. Please call approximately 10 minutes before the call is scheduled to begin. To listen to the live call, go to the Company's website at www.usph.com at
least 15 minutes early to register, download and install any necessary audio software. If you are unable to listen live, a playback of the conference call can be accessed until August 5, 2026, on the Company's website.
U.S. Physical Therapy Press Release Page 3
May 6, 2026
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 not limited to:
Many factors are beyond our control. Given these uncertainties, you should not place undue reliance on our forward-looking statements. For additional information regarding these and other risks and uncertainties, that could cause actual results to
differ materially from those contained in our forward-looking statements, please refer to "Risk Factors" in our Annual Report on Form 10-K for the year ended December 31, 2025, filed with the Securities and Exchange Commission ("SEC") on February
27, 2026 and any risk factors contained in subsequent quarterly and annual reports we file with the SEC. Our forward-looking statements represent our estimates and assumptions only as of the date of this report. Except as required by law, we are
under no obligation to update any forward-looking statement as a result of new information, future events, or otherwise, except as required by law.
GLOSSARY OF TERMS - REVENUE METRICS
Mature clinics are clinics (physical
clinic locations and home-care business units) opened or acquired prior to January 1, 2025, and are still operating as of the balance sheet date.
Net rate per patient visit is net
patient revenue related to our physical therapy operations divided by total number of patient visits (defined below) during the periods presented.
Patient visits is the number of unique
patient visits during the periods presented for both physical clinic locations and home-care.
Average daily visits per clinic per day
is patient visits (excluding home-care visits) divided by the number of days in which normal business operations were conducted during the periods presented and further divided by the average number of clinics in operation during the periods
ABOUT U.S. PHYSICAL THERAPY, INC.
Founded in 1990, U.S. Physical Therapy, Inc. owns and/or manages 783 outpatient physical therapy clinics in 44 states.
USPH clinics provide preventative and post-operative care for a variety of orthopedic-related disorders and sports-related injuries, treatment for neurologically-related injuries and rehabilitation of injured workers. USPH also has an industrial
injury prevention business which provides onsite services for clients' employees including injury prevention and rehabilitation, performance optimization, post-offer employment testing, functional capacity evaluations, and ergonomic assessments.
More information about U.S. Physical Therapy, Inc. is
available at www.usph.com. The information included on that website is not incorporated into this press release.
U.S. Physical Therapy Press Release Page 4
May 6, 2026
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
UNAUDITED CONSOLIDATED STATEMENTS OF INCOME
(IN THOUSANDS, EXCEPT PER SHARE DATA)
Three Months Ended
March 31, 2026 March 31, 2025
Net patient revenue $ 164,328 $ 152,547
Other revenue 33,958 31,241
Net revenue 198,286 183,788
Operating cost
Salaries and related costs 119,488 111,249
Rent, supplies, contract labor and other 38,452 33,844
Depreciation and amortization 5,658 5,540
Provision for credit losses 2,004 1,848
Clinic closure costs - lease and other (68 ) 242
Total operating cost 165,534 152,723
Gross profit 32,752 31,065
Corporate office costs 18,274 16,245
Loss (gain) on change in fair value of contingent earn-out consideration 1,997 (4,822 )
Operating income 12,481 19,642
Other (expense) income
Interest expense, debt and other (2,791 ) (2,279 )
Interest income from investments 16 24
Change in revaluation of put-right liability 363 (404 )
Equity in earnings of unconsolidated affiliate 363 393
Loss on sale of a partnership - (123 )
Other 131 75
Total other expense (1,918 ) (2,314 )
Income before taxes 10,563 17,328
Provision for income taxes 2,407 3,860
Net income 8,156 13,468
Less: Net income attributable to non-controlling interest:
Redeemable non-controlling interest - temporary equity (2,514 ) (2,012 )
Non-controlling interest - permanent equity (604 ) (1,557 )
(3,118 ) (3,569 )
Net income attributable to USPH shareholders $ 5,038 $ 9,899
Basic and diluted (loss) earnings per share attributable to USPH shareholders (1) $ (0.12 ) $ 0.80
Shares used in computation - basic and diluted 15,167 15,132
Dividends declared per common share $ 0.46 $ 0.45
(1) See Reconciliation of GAAP to Non-GAAP Measures section of this press release for the calculation of basic and diluted earnings per share.
U.S. Physical Therapy Press Release Page 5
May 6, 2026
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
UNAUDITED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
Three Months Ended
March 31, 2026 March 31, 2025
Net income $ 8,156 $ 13,468
Other comprehensive gain:
Unrealized gain (loss) on cash flow hedge 360 (1,331 )
Tax effect at statutory rate (federal and state) (96 ) 340
Comprehensive income $ 8,420 $ 12,477
Comprehensive income attributable to non-controlling interest (3,118 ) (3,569 )
Comprehensive income attributable to USPH shareholders $ 5,302 $ 8,908
U.S. Physical Therapy Press Release Page 6
May 6, 2026
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
Three Months Ended Variance
March 31, 2026 March 31, 2025 $ %
(In thousands, except percentages)
Physical Therapy Operations
Revenue related to:
Mature Clinics (1) $ 153,579 $ 149,866 $ 3,713 2.5 %
Clinic additions (2) 10,540 847 9,693 * (10)
Clinics sold or closed (3) 209 1,834 (1,625 ) * (10)
Net patient revenue 164,328 152,547 11,781 7.7 %
Other (4) 3,348 3,861 (513 ) (13.3 )%
Total 167,676 156,408 11,268 7.2 %
Operating costs (5)(7) 141,179 130,449 10,730 8.2 %
Gross profit $ 26,497 $ 25,959 $ 538 2.1 %
IIP
Net revenue $ 30,610 $ 27,380 $ 3,230 11.8 %
Operating costs (7) 24,355 22,274 2,081 9.3 %
Gross profit $ 6,255 $ 5,106 $ 1,149 22.5 %
Financial and operating metrics (not in thousands):
Net rate per patient visit (1) $ 106.49 $ 105.66 $ 0.83 0.8 %
Patient visits (1) 1,543,144 1,443,805 99,339 6.9 %
Average daily visits per clinic (1) 31.8 31.2 0.6 1.9 %
Physical threrapy operations gross profit margin (7) 15.8 % 16.6 %
Physical therapy operations adjusted gross profit margin (4)(5)(6)(7)(9) 16.1 % 16.8 %
IIP gross profit margin (7) 20.4 % 18.6 %
Adjusted salaries and related costs per visit (6)(8) $ 64.20 $ 63.53 $ 0.67 1.1 %
Adjusted operating costs per visit (6)(7)(8)(9) $ 90.31 $ 88.77 $ 1.54 1.7 %
(1) See Glossary of Terms - Revenue Metrics for definition.
(2) Includes 13 owned clinics added during Q1 2026 and 47 owned clinics added during the year ended December 31, 2025. See Clinic Count Roll Forward included in the Supplemental Financial and Performance Metrics table for additional information.
(3) Includes four owned clinics closed during Q1 2026 and 23 owned clinics closed during the year ended December 31, 2025. See Clinic Count Roll Forward included in the Supplemental Financial and Performance Metrics table for additional information.
(4) Includes revenues from management contracts.
(5) Includes costs from management contracts.
(6) Excludes incentive costs related to the Metro acquisition. See the section titled Reconciliation of non-GAAP measures to the most directly comparable GAAP measure.
(7) Amortization of certain intangible assets was reallocated between the physical therapy operations and IIP segments for Q1 2025 amounts to conform with current presentation.
(8) Per visit costs exclude management contract costs.
(9) Excludes certain legal costs related to business acquisitions and clinic closure costs. See the section titled Reconciliation of non-GAAP measures to the most directly comparable GAAP measure.
(10) Not meaningful.
U.S. Physical Therapy Press Release Page 7
May 6, 2026
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
SUPPLEMENTAL FINANCIAL AND PERFORMANCE METRICS
Net Rate Per Patient Visit (1) Patient Visits (1) Average Visits Per Clinic Per Day (2)
2026 2025 2026 2025 2026 2025
First quarter $ 106.49 $ 105.66 1,543,144 1,443,805 31.8 31.2
Second quarter $ 105.33 1,558,756 32.7
Third quarter $ 105.54 1,554,207 32.2
Fourth quarter $ 106.49 1,593,336 32.7
Year $ 105.76 6,150,104 32.2
(1) See definition of the metrics above in the Glossary of Terms - Revenue Metrics.
(2) Excludes home-care visits.
Clinic Count Roll Forward (1)
2026 2025
Owned Managed Total Owned Managed Total
Number of clinics, beginning of period 746 34 780 722 39 761
Q1 additions 13 2 15 14 - 14
Q1 closed or sold (4) (8) (12) (7) (2) (9)
Number of clinics, end of period 755 28 783 729 37 766
Q2 additions 6 - 6
Q2 closed or sold (3) (1) (4)
Number of clinics, end of period 732 36 768
Q3 additions 16 2 18
Q3 closed or sold (3) (4) (7)
Number of clinics, end of period 745 34 779
Q4 additions 11 - 11
Q4 closed or sold (10) - (10)
Number of clinics, end of period 746 34 780
Q1 2026 and Q1 2025 additions 13 2 15 14 - 14
Q1 2026 and Q1 2025 closed or sold (4) (8) (12) (7) (2) (9)
(1) Excludes the home care business.
U.S. Physical Therapy Press Release Page 8
May 6, 2026
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEET
(IN THOUSANDS, EXCEPT SHARES AND PER SHARE AMOUNTS)
March 31, 2026 December 31, 2025
(unaudited)
ASSETS
Current assets:
Cash and cash equivalents $ 28,439 $ 35,570
Patient accounts receivable, less provision for credit losses of $3,902 and $3,775, respectively 69,082 64,249
Accounts receivable - other 27,642 24,087
Other current assets 13,946 16,084
Total current assets 139,109 139,990
Fixed assets:
Furniture and equipment 70,376 67,891
Leasehold improvements 61,375 58,985
Fixed assets, gross 131,751 126,876
Less accumulated depreciation and amortization (93,129 ) (91,225 )
Fixed assets, net 38,622 35,651
Operating lease right-of-use assets 149,202 144,197
Investment in unconsolidated affiliate 12,443 12,275
Goodwill 715,874 692,392
Other identifiable intangible assets, net 179,819 172,861
Other assets 6,988 6,644
Total assets $ 1,242,057 $ 1,204,010
LIABILITIES, REDEEMABLE NON-CONTROLLING INTEREST, USPH SHAREHOLDERS' EQUITY AND NON-CONTROLLING INTEREST
Current liabilities:
Accounts payable - trade $ 6,758 $ 6,059
Accrued expenses 56,960 80,982
Current portion of operating lease liabilities 42,779 42,134
Current portion of term loan and notes payable 10,801 9,865
Total current liabilities 117,298 139,040
Notes payable, net of current portion 569 417
Revolving facility 74,500 30,500
Term loan, net of current portion and deferred financing costs 118,971 121,677
Deferred taxes 30,775 28,391
Operating lease liabilities, net of current portion 115,212 110,572
Other long-term liabilities 1,861 3,214
Total liabilities 459,186 433,811
Redeemable non-controlling interest - temporary equity 313,437 293,311
Commitments and Contingencies
U.S. Physical Therapy, Inc. ("USPH") shareholders' equity:
Preferred stock, $.01 par value, 500,000 shares authorized, no shares issued and outstanding - -
Common stock, $.01 par value, 20,000,000 shares authorized,
17,526,431 and 17,418,621 shares issued, respectively 175 174
Additional paid-in capital 288,140 285,522
Accumulated other comprehensive gain 978 714
Retained earnings 216,876 227,216
Treasury stock at cost, 2,296,059 shares (37,194 ) (37,194 )
Total USPH shareholders' equity 468,975 476,432
Non-controlling interest - permanent equity 459 456
Total USPH shareholders' equity and non-controlling interest - permanent equity 469,434 476,888
Total liabilities, redeemable non-controlling interest,
USPH shareholders' equity and non-controlling interest - permanent equity $ 1,242,057 $ 1,204,010
U.S. Physical Therapy Press Release Page 9
May 6, 2026
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS
Three Months Ended
March 31, 2026 March 31, 2025
OPERATING ACTIVITIES
Net income including non-controlling interest $ 8,156 $ 13,468
Adjustments to reconcile net income including non-controlling interest to net cash provided by operating activities:
Depreciation and amortization 6,000 5,867
Provision for credit losses 2,004 1,848
Equity-based awards compensation expense 2,310 1,771
Amortization of debt issue costs 105 106
Change in deferred income taxes 3,288 5,242
Change in revaluation of put-right liability (363 ) 404
Change in fair value of contingent earn-out consideration 1,997 (4,822 )
Equity of earnings in unconsolidated affiliate (363 ) (393 )
Loss on sale of clinics and fixed assets 99 -
Loss on sale of a partnership - 123
Changes in operating assets and liabilities:
Patient accounts receivable, net (5,887 ) (7,341 )
Accounts receivable - other (2,596 ) 774
Other current and long term assets 2,178 (6,209 )
Accounts payable and accrued expenses (11,992 ) (14,229 )
Other long-term liabilities (1,128 ) (1,284 )
Net cash provided by (used in) operating activities 3,808 (4,675 )
INVESTING ACTIVITIES
Purchase of fixed assets (5,373 ) (2,579 )
Purchase of majority interest in businesses, net of cash acquired (21,203 ) (4,211 )
Purchase of redeemable non-controlling interest, temporary equity (5,113 ) (907 )
Purchase of non controlling interest, permanent equity (8,973 ) -
Proceeds on sale of non-controlling interest, permanent equity 50 -
Repayment of notes receivable related to sales of redeemable non-controlling interest 71 -
Proceeds on sale of partnership interest - redeemable non-controlling interest, temporary equity 221 15
Distributions from unconsolidated affiliate 195 310
Proceeds on sale of partnership interest, clinics and fixed assets - 700
Other 324 44
Net cash (used in) investing activities (39,801 ) (6,628 )
FINANCING ACTIVITIES
Proceeds from revolving facility 77,000 17,000
Payments on revolving facility (33,000 ) -
Distributions to non-controlling interest, permanent and temporary equity (4,401 ) (3,653 )
Payments on term loan (1,875 ) (3,750 )
Principal payments on notes payable (575 ) (473 )
Payment of contingent consideration (8,287 ) -
Net cash provided by financing activities 28,862 9,124
Net (decrease) in cash and cash equivalents (7,131 ) (2,179 )
Cash and cash equivalents - beginning of period 35,570 41,362
Cash and cash equivalents - end of period $ 28,439 $ 39,183
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION
Cash paid during the period for:
Income taxes $ 332 $ 7,359
Interest paid 2,837 2,205
Non-cash investing and financing transactions during the period:
Purchase of businesses - seller financing portion 500 -
Purchase of redeemable non-controlling interest, temporary equity, recorded in accrued liabilities - 6,672
Fair market value of initial contingent consideration related to purchase of businesses - 1,259
Notes payable related to purchase of redeemable non-controlling interest, temporary equity 14 89
Notes payable related to purchase of non-controlling interest, permanent equity 16 -
Notes receivable related to sale of redeemable non-controlling interest, temporary equity 3,649 646
Notes receivable related to the sale of non-controlling interest, permanent equity 527 -
Offset to notes receivable associated with purchase of redeemable non-controlling interest 72 180
Dividends payable to USPH shareholders 7,006 6,836
U.S. Physical Therapy Press Release Page 10
May 6, 2026
U.S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
RECONCILIATION OF NON-GAAP MEASURES
TO THE MOST DIRECTLY COMPARABLE GAAP MEASURE
The following tables provide details of the basic and diluted earnings per share computation and reconcile net income attributable to
USPH shareholders calculated in accordance with GAAP to Adjusted EBITDA and Operating Results. The tables also provide a reconciliation of additional non-GAAP measures to the most comparable GAAP measure. Management believes providing
Adjusted EBITDA and Operating Results to investors is useful for comparing the Company's period-to-period results as well as for comparing with other similar businesses since most do not have redeemable instruments and therefore have
different equity structures. Management uses Adjusted EBITDA and Operating Results, which eliminate certain items described above that can be subject to volatility and unusual costs, as the principal measures to evaluate and monitor
financial performance period over period.
Adjusted EBITDA, a non-GAAP measure, is defined as net income attributable to USPH shareholders before interest income, interest
expense, taxes, depreciation, amortization, change in fair value of contingent earn-out consideration, changes in revaluation of put-right liability, equity-based awards compensation expense, clinic closure costs, business acquisition
related costs, costs related to a one-time financial and human resources systems upgrade, loss on sale of a partnership and other income and related portions for non-controlling interests.
Operating Results, a non-GAAP measure, equals net income attributable to USPH shareholders less changes in revaluation of a put-right
Last updated: May 6, 2026