10-Q 1 ef20030094_10q.htm 10-Q

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 10-Q
(MARK ONE)
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
FOR THE QUARTERLY PERIOD ENDED JUNE 30, 2024
OR

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
FOR THE TRANSITION PERIOD FROM _____TO _____
COMMISSION FILE NUMBER 1-11151


U.S. PHYSICAL THERAPY, INC.
(EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)


NEVADA
 
76-0364866
(STATE OR OTHER JURISDICTION OF INCORPORATION OR ORGANIZATION)
 
(I.R.S. EMPLOYER IDENTIFICATION NO.)

1300 WEST SAM HOUSTON PARKWAY SOUTH, SUITE 300, HOUSTON, TEXAS
 
77042
(ADDRESS OF PRINCIPAL EXECUTIVE OFFICES)
 
(ZIP CODE)

REGISTRANT’S TELEPHONE NUMBER, INCLUDING AREA CODE: (713) 297-7000

SECURITIES REGISTERED PURSUANT TO SECTION 12(b) OF THE EXCHANGE ACT:
Title of each class
Trading Symbol(s)
Name of each exchange on which registered
Common Stock, $.01 par value
USPH
New York Stock Exchange

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.      Yes       No

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted and pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and such files).     Yes       No

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer”, “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer
Accelerated filer
Non-accelerated filer

Smaller reporting company
   
Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided to Section 13(a) of the Exchange Act.

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).      Yes      No

As of August 9, 2024, the number of shares outstanding (issued less treasury stock) of the registrant’s common stock, par value $.01 per share, was: 15,076,629.



TABLE OF CONTENTS

Item 1.
3
 
 
 
 
3
 
 
 
 
4
 
 
 
 
5
 
 
 
 
6
 
 
 
 
7
 
 
 
 
9
 
 
 
Item 2.
31
 
 
 
Item 3.
49
 
 
 
Item 4.
49
 
 
 
PART II—OTHER INFORMATION
 
     
Item 1.
49
 
 
 
Item 1A.
49
     
Item 5.
50
     
Item 6.
51
     
 
52

PART I - FINANCIAL INFORMATION

ITEM 1.
FINANCIAL STATEMENTS

U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(IN THOUSANDS, EXCEPT SHARE AND PER SHARE AMOUNTS)

 
June 30, 2024
   
December 31, 2023
 
ASSETS
 
(unaudited)
       
Current assets:
           
Cash and cash equivalents
 
$
112,911
   
$
152,825
 
Patient accounts receivable, less provision for credit losses of $3,184 and $2,736, respectively
   
54,659
     
51,866
 
Accounts receivable - other
   
21,669
     
17,854
 
Other current assets
   
12,438
     
10,830
 
Total current assets
   
201,677
     
233,375
 
Fixed assets:
               
Furniture and equipment
   
65,775
     
63,982
 
Leasehold improvements
   
48,730
     
46,941
 
Fixed assets, gross
   
114,505
     
110,923
 
Less accumulated depreciation and amortization
   
(88,277
)
   
(84,821
)
Fixed assets, net
   
26,228
     
26,102
 
Operating lease right-of-use assets
   
105,484
     
103,431
 
Investment in unconsolidated affiliate
    12,243       12,256  
Goodwill
   
548,970
     
509,571
 
Other identifiable intangible assets, net
   
123,903
     
109,682
 
Other assets
   
4,629
     
2,821
 
Total assets
 
$
1,023,134
   
$
997,238
 
LIABILITIES, REDEEMABLE NON-CONTROLLING INTEREST, USPH SHAREHOLDERS’ EQUITY AND NON-CONTROLLING INTEREST
               
Current liabilities:
               
Accounts payable - trade
 
$
4,100
   
$
3,898
 
Accrued expenses
   
58,056
     
55,344
 
Current portion of operating lease liabilities
   
35,243
     
35,252
 
Current portion of term loan and notes payable
   
9,700
     
7,691
 
Total current liabilities
   
107,099
     
102,185
 
Notes payable, net of current portion
   
1,511
     
1,289
 
Term loan, net of current portion and deferred financing costs
    134,188       137,702  
Deferred taxes
   
26,531
     
24,815
 
Operating lease liabilities, net of current portion
   
78,329
     
76,653
 
Other long-term liabilities
   
5,507
     
2,356
 
Total liabilities
   
353,165
     
345,000
 
                 
Redeemable non-controlling interest - temporary equity
   
184,354
     
174,828
 
                 
Commitments and Contingencies
               
             
U.S. Physical Therapy, Inc. (“USPH”) shareholders’ equity:
               
Preferred stock, $0.01 par value, 500,000 shares authorized, no shares issued and outstanding
   
-
     
-
 
Common stock, $0.01 par value, 20,000,000 shares authorized, 17,291,366 and 17,202,291 shares issued, respectively
   
172
     
172
 
Additional paid-in capital
   
285,462
     
281,096
 
Accumulated other comprehensive gain
    4,084       2,782  
Retained earnings
   
226,482
     
223,772
 
Treasury stock at cost, 2,214,737 shares
   
(31,628
)
   
(31,628
)
Total USPH shareholders’ equity
   
484,572
     
476,194
 
Non-controlling interest - permanent equity
   
1,043
     
1,216
 
Total USPH shareholders’ equity and non-controlling interest - permanent equity
   
485,615
     
477,410
 
Total liabilities, redeemable non-controlling interest, USPH shareholders’ equity and non-controlling interest - permanent equity
 
$
1,023,134
   
$
997,238
 

The accompanying notes are an integral part of these unaudited Consolidated Financial Statements.

U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
UNAUDITED CONSOLIDATED STATEMENTS OF NET INCOME
(IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)

 
For the Three Months Ended
   
For the Six Months Ended
 
   
June 30, 2024
   
June 30, 2023
   
June 30,2024
   
June 30, 2023
 
                         
Net patient revenue
 
$
140,271
   
$
129,280
   
$
271,346
   
$
255,861
 
Other revenue
   
26,919
     
22,205
     
51,519
     
44,133
 
Net revenue
   
167,190
     
151,485
     
322,865
     
299,994
 
Operating cost:
                               
Salaries and related costs
   
96,334
     
86,871
     
190,065
     
172,911
 
Rent, supplies, contract labor and other
   
35,277
     
30,844
     
67,193
     
60,944
 
Provision for credit losses
   
1,717
     
1,563
     
3,344
     
3,075
 
Total operating cost
   
133,328
     
119,278
     
260,602
     
236,930
 
                                 
Gross profit
   
33,862
     
32,207
     
62,263
     
63,064
 
                                 
Corporate office costs
   
14,249
     
12,145
     
28,334
     
26,004
 
Operating income
   
19,613
     
20,062
     
33,929
     
37,060
 
                                 
Other income (expense):
                               
Interest expense, debt and other
    (1,980 )     (2,633 )     (3,948 )     (5,193 )
Interest income from investments
    1,074       517       2,617       517  
Change in fair value of contingent earn-out consideration
    (4,046 )     708       (3,434 )     10  
Change in revaluation of put-right liability
    (223 )     (50 )     (303 )     (199 )
Equity in earnings of unconsolidated affiliate
    248       326       519       600  
Relief Funds
    -       -       -       467  
Other
   
109
     
165
     
171
     
229
 
Total other income (expense)
   
(4,818
)
   
(967
)
   
(4,378
)
   
(3,569
)
Income before taxes     14,795       19,095       29,551       33,491  
                                 
Provision for income taxes
   
3,083
     
4,231
     
6,222
     
7,200
 
Net income
   
11,712
     
14,864
     
23,329
     
26,291
 
                                 
Less: Net income attributable to non-controlling interest:
                               
Redeemable non-controlling interest - temporary equity
   
(3,314
)
   
(2,920
)
   
(5,541
)
   
(5,640
)
Non-controlling interest - permanent equity
   
(892
)
   
(1,025
)
   
(2,236
)
   
(2,322
)
     
(4,206
)
   
(3,945
)
   
(7,777
)
   
(7,962
)
                                 
Net income attributable to USPH shareholders
 
$
7,506
   
$
10,919
   
$
15,552
   
$
18,329
 
                                 
Basic and diluted earnings per share attributable to USPH shareholders
 
$
0.47
   
$
0.64
   
$
0.93
   
$
1.22
 
                                 
Shares used in computation - basic and diluted
   
15,072
     
13,720
     
15,044
     
13,375
 
                                 
Dividends declared per common share
 
$
0.44
   
$
0.43
   
$
0.88
   
$
0.86
 

The accompanying notes are an integral part of these unaudited Consolidated Financial Statements.

U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
UNAUDITED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
(IN THOUSANDS)

   
For the Three Months Ended
   
For the Six Months Ended
 
   
June 30, 2024
   
June 30, 2023
   
June 30, 2024
   
June 30, 2023
 
                         
Net income
 
$
11,712
   
$
14,864
   
$
23,329
   
$
26,291
 
Other comprehensive (loss) gain:
                               
Unrealized (loss) gain on cash flow hedge
   
(31
)
   
2,881
     
1,750
     
1,064
 
Tax effect at statutory rate (federal and state)
   
8
     
(736
)
   
(447
)
   
(272
)
Comprehensive income
 
$
11,689
   
$
17,009
   
$
24,632
   
$
27,083
 
                                 
Comprehensive income attributable to non-controlling interest
   
(4,206
)
   
(3,945
)
   
(7,777
)
   
(7,962
)
Comprehensive income attributable to USPH shareholders
 
$
7,483
   
$
13,064
   
$
16,855
   
$
19,121
 

The accompanying notes are an integral part of these unaudited Consolidated Financial Statements.

U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS
(IN THOUSANDS)

 
For the Six Months Ended
 
   
June 30, 2024
   
June 30, 2023
 
OPERATING ACTIVITIES
           
Net income including non-controlling interest
 
$
23,329
   
$
26,291
 
Adjustments to reconcile net income including non-controlling interest to net cash provided by operating activities:
               
Depreciation and amortization
   
8,609
     
7,615
 
Provision for credit losses
   
3,344
     
3,075
 
Equity-based awards compensation expense
   
3,916
     
3,592
 
Amortization of debt issue costs
    210       210  
Change in deferred income taxes
   
770
     
1,799
 
Change in revaluation of put-right liability
    303       199  
Change in fair value of contingent earn-out consideration
    3,434       (10 )
Equity of earnings in unconsolidated affiliate
    (519 )     (600 )
Loss on sale of fixed assets
    51       63  
Changes in operating assets and liabilities:
               
Increase in patient accounts receivable
   
(5,110
)
   
(5,341
)
Increase in accounts receivable - other
   
(2,351
)
   
(85
)
(Increase) decrease in other current and long term assets
   
(1,642
)
   
593
 
(Decrease) increase in accounts payable and accrued expenses
   
(1,481
)
   
1,125
 
Increase in other long-term liabilities
   
548
     
253
 
Net cash provided by operating activities
   
33,411
     
38,779
 
                 
INVESTING ACTIVITIES
               
Purchase of fixed assets
   
(4,174
)
   
(4,523
)
Purchase of majority interest in businesses, net of cash acquired
   
(38,695
)
   
(8,040
)
Purchase of redeemable non-controlling interest, temporary equity
   
(6,230
)
   
(7,804
)
Purchase of non controlling interest, permanent equity
   
(527
)
   
(39
)
Proceeds on sale of non-controlling interest, permanent equity
    26       -  
Proceeds on sale of partnership interest - redeemable non-controlling interest
    69       237  
Distributions from unconsolidated affiliate
    532       502  
Proceeds on sale of fixed assets
    -       7  
Other
    244     -  
Net cash used in investing activities
   
(48,755
)
   
(19,660
)
                 
FINANCING ACTIVITIES
               
Proceeds from revolving facility
    -       24,000  
Proceeds from issuance of common stock pursuant to the secondary public offering, net of issuance costs
    -       163,655  
Distributions to non-controlling interest, permanent and temporary equity
   
(8,318
)
   
(8,431
)
Cash dividends paid to shareholders
    (13,264 )     (11,238 )
Principal payments on notes payable
   
(1,113
)
   
(1,086
)
Payments on term loan
    (1,875 )     (1,875 )
Payments on revolving facility     -       (55,000 )
Net cash (used in) provided by financing activities
   
(24,570
)
   
110,025
 
                 
Net (decrease) increase in cash and cash equivalents
   
(39,914
)
   
129,144
 
Cash and cash equivalents - beginning of period
   
152,825
     
31,594
 
Cash and cash equivalents - end of period
 
$
112,911
   
$
160,738
 
                 
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION
               
Cash paid during the period for:
               
Income taxes
 
$
4,932
   
$
1,241
 
Interest paid
 
$
3,708
   
$
4,011
 
Non-cash investing and financing transactions during the period:
               
Purchase of interest in businesses - seller financing portion
 
$
955
   
$
360
 
Deferred payments related to purchase of interest in business
  $ -     $ 180  
Fair market value of initial contingent consideration related to purchase of interest of businesses
  $ 2,800     $ 200  
Offset of notes receivable associated with purchase of redeemable non-controlling interest
  $ 75     $ -  
Notes payable related to purchase of non-controlling interest, temporary equity
  $ 22     $ -  
Notes payable related to purchase of redeemable non-controlling interest, temporary equity
  $ -     $ 621  
Notes receivable related to sale of redeemable non-controlling interest, temporary equity
 
$
402
   
$
2,687
 
Notes receivable related to the sale of non-controlling interest, permanent equity
  $ 243     $ -  

The accompanying notes are an integral part of these unaudited Consolidated Financial Statements.

U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
UNAUDITED CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY
(IN THOUSANDS)

 
 
U.S.Physical Therapy, Inc.
             
    Common Stock     Additional    
Accumulated Other
    Retained     Treasury Stock    
Total Shareholders’
   
Non-Controlling
       
For the three months ended June 30, 2024
  Shares     Amount    
Paid-In Capital
   
Comprehensive Gain
    Earnings     Shares     Amount     Equity     Interests     Total  
                                                             
Balance March 31, 2024
   
17,283
   
$
172
   
$
283,546
   
$
4,108
   
$
223,573
     
(2,215
)
 
$
(31,628
)
 
$
479,771
   
$
1,462
   
$
481,233
 
Net income attributable to USPH shareholders
    -       -       -       -       7,506       -       -       7,506       -       7,506  
Net income attributable to non-controlling interest - permanent equity
    -       -       -       -       -       -       -       -       892       892  
Issuance of restricted stock, net of cancellations
    8       -       -       -       -       -       -       -       -       -  
Revaluation of redeemable non-controlling interest
   
-
     
-
     
-
     
-
     
(622
)
   
-
     
-
     
(622
)
   
-
     
(622
)
Compensation expense - equity-based awards
    -       -       1,919       -       -       -       -       1,919       -       1,919  
Sale of non-controlling interest
   
-
     
-
     
2
     
-
     
-
     
-
     
-
     
2
     
-
     
2
 
Purchase of partnership interests - non-controlling interest
    -       -       (5 )     -       -       -       -       (5 )     (18 )     (23 )
Dividends paid to USPH shareholders
   
-
     
-
     
-
     
-
     
(6,634
)
   
-
     
-
     
(6,634
)
   
-
     
(6,634
)
Distributions to non-controlling interest partners - permanent equity
   
-
     
-
     
-
     
-
     
-
     
-
     
-
     
-
     
(1,291
)
   
(1,291
)
Deferred taxes related to redeemable non-controlling interest - temporary equity
   
-
     
-
     
-
     
-
     
(375
)
   
-
     
-
     
(375
)
   
-
     
(375
)
Other comprehensive gain
    -       -       -      
(23
)
   
-
     
-
      -      
(23
)
   
-
     
(23
)
Transfer of RNCI due to separation agreement
    -       -       -       -       3,033       -       -       3,033       -       3,033  
Other
    -       -       -       (1 )     1       -       -       -       (2 )     (2 )
Balance June 30, 2024
   
17,291
   

172
   

285,462
   

4,084
   

226,482
     
(2,215
)
 

(31,628
)
 

484,572
   

1,043
   

485,615
 

 
 
U .S.Physical Therapy, Inc.
             
   
Common Stock
    Additional    
Accumulated Other
    Retained     Treasury Stock    
Total Shareholders’
   
Non-Controlling
   
 
For the six months ended June 30, 2024
  Shares    
Amount
   
Paid-In Capital
   
Comprehensive Loss
    Earnings     Shares     Amount     Equity     Interests     Total  
                                                             
Balance December 31, 2023
   
17,202
   
$
172
   
$
281,096
   
$
2,782
   
$
223,772
     
(2,215
)
 
$
(31,628
)
 
$
476,194
   
$
1,216
   
$
477,410
 
Net income attributable to USPH shareholders
    -       -       -       -       15,552       -       -       15,552       -       15,552  
Net income attributable to non-controlling interest - permanent equity
    -       -       -       -       -       -       -       -       2,236       2,236  
Issuance of restricted stock, net of cancellations
   
89
     
-
     
-
     
-
     
-
     
-
     
-
     
-
     
-
     
-
 
Revaluation of redeemable non-controlling interest, net of tax
   
-
     
-
     
-
     
-
     
(2,061
)
   
-
     
-
     
(2,061
)
   
-
     
(2,061
)
Compensation expense - equity-based awards
    -       -       3,916       -       -       -       -       3,916       -
      3,916  
Sale of non-controlling interest
    -       -       200       -       -       -       -       200       -       200
Purchase of partnership interests - non-controlling interest
   
-
     
-
     
(350
)
   
-
     
-
     
-
     
-
     
(350
)
    (56 )    
(406
)
Dividends paid to USPH shareholders
   
-
     
-
     
-
     
-
     
(13,264
)
   
-
     
-
     
(13,264
)
   
-
     
(13,264
)
Distributions to non-controlling interest partners - permanent equity
   
-
     
-
     
-
     
-
     
-
     
-
     
-
     
-
     
(2,351
)
   
(2,351
)
Deferred taxes related to redeemable non-controlling interest - temporary equity
   
-
     
-
     
-
     
-
     
(550
)
   
-
     
-
     
(550
)
   
-
     
(550
)
Other comprehensive gain
   
-
     
-
     
-
     
1,303
     
-
     
-
     
-
     
1,303
     
-
     
1,303
 
Transfer of compensation liability for certain stock issued pursuant to long-term incentive plans
   
-
     
-
     
600
     
-
     
-
     
-
     
-
     
600
     
-
     
600
 
Transfer of RNCI due to separation agreement
   
-
     
-
     
-
     
-
     
3,033
     
-
     
-
     
3,033
     
-
     
3,033
 
Other
    -       -       -      
(1
)
   
-
      -       -      
(1
)
    (2 )    
(3
)
Balance June 30, 2024
   
17,291
   

172
   

285,462
   

4,084
   

226,482
     
(2,215
)
 

(31,628
)
 

484,572
   

1,043
   

485,615
 

   
U.S.Physical Therapy, Inc.
             
   
Common Stock
   
Additional
    Accumulated Other     Retained    
Treasury Stock
   
Total Shareholders’
   
Non-Controlling
       
For the three months ended June 30, 2023
  Shares     Amount    
Paid-In Capital
    Comprehensive Gain
   
Earnings
    Shares     Amount     Equity     Interests     Total  
                                                             
Balance March 31, 2023
   
15,277
   
$
152
   
$
112,123
    $ 2,651    
$
234,760
     
(2,215
)
 
$
(31,628
)
 
$
318,058
   
$
1,418
   
$
319,476
 
Net income attributable to USPH shareholders
    -       -       -       -       10,919       -       -       10,919       -       10,919  
Net income attributable to non-controlling interest - permanent equity
    -       -       -       -       -       -       -       -       1,025       1,025  
Issuance of restricted stock, net of cancellations
   
9
     
-
     
-
      -      
-
     
-
     
-
     
-
     
-
     
-
 
Issuance of common stock, pursuant to the secondary public offering, net of issuance costs
    1,916       20       163,635       -       -       -       -       163,655       -       163,655  
Revaluation of redeemable non-controlling interest
   
-
     
-
     
-
      -      
(2,865
)
   
-
     
-
     
(2,865
)
   
-
     
(2,865
)
Compensation expense - equity-based awards
   
-
     
-
     
1,786
      -       -      
-
     
-
     
1,786
      -      
1,786
 
Purchase of partnership interests - non-controlling interest
    -       -       -       -       (50 )     -       -       (50 )     11       (39 )
Dividends paid to USPH shareholders
    -       -       -       -       (5,621 )     -       -       (5,621 )     -       (5,621 )
Distributions to non-controlling interest partners - permanent equity
   
-
     
-
     
-
      -      
-
     
-
     
-
     
-
     
(955
)
   
(955
)
Deferred taxes related to redeemable non-controlling interest - temporary equity
    -       -       -       -       237       -       -       237       -       237  
Other comprehensive gain     -       -       -       2,145