QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
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TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
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(STATE OR OTHER JURISDICTION OF INCORPORATION OR ORGANIZATION)
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(I.R.S. EMPLOYER IDENTIFICATION NO.)
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|
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(ADDRESS OF PRINCIPAL EXECUTIVE OFFICES)
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(ZIP CODE)
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Title of each class
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Trading Symbol(s)
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Name of each exchange on which registered
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☑
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Accelerated filer
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☐
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Non-accelerated filer
|
☐
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Smaller reporting company
|
|
Emerging growth company
|
|
Item 1.
|
3
|
|
|
|
|
|
3
|
|
|
|
|
|
4
|
|
|
|
|
|
5
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|
|
|
|
|
6
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|
|
|
|
|
7
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|
|
|
|
|
9
|
|
|
|
|
Item 2.
|
31 | |
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Item 3.
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49
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Item 4.
|
49
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PART II—OTHER INFORMATION
|
|
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Item 1.
|
49
|
|
|
|
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Item 1A.
|
49
|
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Item 5.
|
50
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Item 6.
|
51 | |
52
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ITEM 1. |
FINANCIAL STATEMENTS
|
June 30, 2024
|
December 31, 2023
|
|||||||
ASSETS
|
(unaudited)
|
|||||||
Current assets:
|
||||||||
Cash and cash equivalents
|
$
|
|
$
|
|
||||
Patient accounts receivable, less provision for credit
losses of $
|
|
|
||||||
Accounts receivable - other
|
|
|
||||||
Other current assets
|
|
|
||||||
Total current assets
|
|
|
||||||
Fixed assets:
|
||||||||
Furniture and equipment
|
|
|
||||||
Leasehold improvements
|
|
|
||||||
Fixed assets, gross
|
|
|
||||||
Less accumulated depreciation and amortization
|
(
|
)
|
(
|
)
|
||||
Fixed assets, net
|
|
|
||||||
Operating lease right-of-use assets
|
|
|
||||||
Investment in unconsolidated affiliate |
||||||||
Goodwill
|
|
|
||||||
Other identifiable intangible assets, net
|
|
|
||||||
Other assets
|
|
|
||||||
Total assets
|
$
|
|
$
|
|
||||
LIABILITIES, REDEEMABLE NON-CONTROLLING INTEREST, USPH SHAREHOLDERS’ EQUITY AND NON-CONTROLLING INTEREST
|
||||||||
Current liabilities:
|
||||||||
Accounts payable - trade
|
$
|
|
$
|
|
||||
Accrued expenses
|
|
|
||||||
Current portion of operating lease liabilities
|
|
|
||||||
Current portion of term loan and notes payable
|
|
|
||||||
Total current liabilities
|
|
|
||||||
Notes payable, net of current portion
|
|
|
||||||
Term loan, net of current portion and deferred financing costs |
||||||||
Deferred taxes
|
|
|
||||||
Operating lease liabilities, net of current portion
|
|
|
||||||
Other long-term liabilities
|
|
|
||||||
Total liabilities
|
|
|
||||||
Redeemable non-controlling interest - temporary equity
|
|
|
||||||
Commitments and Contingencies
|
||||||||
U.S. Physical Therapy, Inc. (“USPH”) shareholders’ equity:
|
||||||||
Preferred stock, $
|
|
|
||||||
Common stock, $
|
|
|
||||||
Additional paid-in capital
|
|
|
||||||
Accumulated other comprehensive gain
|
||||||||
Retained earnings
|
|
|
||||||
Treasury stock at cost,
|
(
|
)
|
(
|
)
|
||||
Total USPH shareholders’ equity
|
|
|
||||||
Non-controlling interest - permanent equity
|
|
|
||||||
Total USPH shareholders’ equity and non-controlling interest - permanent equity
|
|
|
||||||
Total liabilities, redeemable non-controlling interest, USPH shareholders’ equity and non-controlling interest - permanent
equity
|
$
|
|
$
|
|
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
|
$
|
|
$
|
|
$
|
|
$
|
|
||||||||
Other revenue
|
|
|
|
|
||||||||||||
Net revenue
|
|
|
|
|
||||||||||||
Operating cost:
|
||||||||||||||||
Salaries and related costs
|
|
|
|
|
||||||||||||
Rent, supplies, contract labor and other
|
|
|
|
|
||||||||||||
Provision for credit losses
|
|
|
|
|
||||||||||||
Total operating cost
|
|
|
|
|
||||||||||||
Gross profit
|
|
|
|
|
||||||||||||
Corporate office costs
|
|
|
|
|
||||||||||||
Operating income
|
|
|
|
|
||||||||||||
Other income (expense): |
||||||||||||||||
Interest expense, debt and other
|
( |
) | ( |
) | ( |
) | ( |
) | ||||||||
Interest income from investments
|
||||||||||||||||
Change in fair value of contingent earn-out consideration
|
( |
) | ( |
) | ||||||||||||
Change in revaluation of put-right liability |
( |
) | ( |
) | ( |
) | ( |
) | ||||||||
Equity in earnings of unconsolidated affiliate
|
||||||||||||||||
Relief Funds
|
||||||||||||||||
Other
|
|
|
|
|
||||||||||||
Total other income (expense)
|
(
|
)
|
(
|
)
|
(
|
)
|
(
|
)
|
||||||||
Income before taxes | ||||||||||||||||
Provision for income taxes
|
|
|
|
|
||||||||||||
Net income
|
|
|
|
|
||||||||||||
Less: Net income attributable to non-controlling interest:
|
||||||||||||||||
Redeemable non-controlling interest - temporary equity
|
(
|
)
|
(
|
)
|
(
|
)
|
(
|
)
|
||||||||
Non-controlling interest - permanent equity
|
(
|
)
|
(
|
)
|
(
|
)
|
(
|
)
|
||||||||
(
|
)
|
(
|
)
|
(
|
)
|
(
|
)
|
|||||||||
Net income attributable to USPH shareholders
|
$
|
|
$
|
|
$
|
|
$
|
|
||||||||
Basic and diluted earnings per share attributable to USPH shareholders
|
$
|
|
$
|
|
$
|
|
$
|
|
||||||||
Shares used in computation - basic and diluted
|
|
|
|
|
||||||||||||
Dividends declared per common share
|
$
|
|
$
|
|
$
|
|
$
|
|
For the Three Months Ended
|
For the Six
Months Ended
|
|||||||||||||||
June 30, 2024
|
June 30, 2023
|
June 30, 2024
|
June 30, 2023
|
|||||||||||||
Net income
|
$
|
|
$
|
|
$
|
|
$
|
|
||||||||
Other comprehensive (loss) gain:
|
||||||||||||||||
Unrealized (loss) gain on cash flow hedge
|
(
|
)
|
|
|
|
|||||||||||
Tax effect at statutory rate (federal and state)
|
|
(
|
)
|
(
|
)
|
(
|
)
|
|||||||||
Comprehensive income
|
$
|
|
$
|
|
$
|
|
$
|
|
||||||||
Comprehensive income attributable to non-controlling interest
|
(
|
)
|
(
|
)
|
(
|
)
|
(
|
)
|
||||||||
Comprehensive income attributable to USPH shareholders
|
$
|
|
$
|
|
$
|
|
$
|
|
For the Six Months Ended
|
||||||||
June 30, 2024
|
June 30, 2023
|
|||||||
OPERATING ACTIVITIES
|
||||||||
Net income including non-controlling interest
|
$
|
|
$
|
|
||||
Adjustments to reconcile net income including non-controlling interest to net cash provided by operating activities:
|
||||||||
Depreciation and amortization
|
|
|
||||||
Provision for credit losses
|
|
|
||||||
Equity-based awards compensation expense
|
|
|
||||||
Amortization of debt issue costs
|
||||||||
Change in deferred income taxes
|
|
|
||||||
Change in revaluation of put-right liability
|
||||||||
Change in fair value of contingent earn-out consideration |
( |
) | ||||||
Equity of earnings in unconsolidated affiliate
|
( |
) | ( |
) | ||||
Loss on sale of fixed assets
|
||||||||
Changes in operating assets and liabilities:
|
||||||||
Increase in patient accounts receivable
|
(
|
)
|
(
|
)
|
||||
Increase in accounts receivable - other
|
(
|
)
|
(
|
)
|
||||
(Increase) decrease in other current and long term assets
|
(
|
)
|
|
|||||
(Decrease) increase in accounts payable and accrued expenses
|
(
|
)
|
|
|||||
Increase in other long-term liabilities
|
|
|
||||||
Net cash provided by operating activities
|
|
|
||||||
INVESTING ACTIVITIES
|
||||||||
Purchase of fixed assets
|
(
|
)
|
(
|
)
|
||||
Purchase of majority interest in businesses, net of cash acquired
|
(
|
)
|
(
|
)
|
||||
Purchase of redeemable non-controlling interest, temporary equity
|
(
|
)
|
(
|
)
|
||||
Purchase of non controlling interest, permanent equity
|
(
|
)
|
(
|
)
|
||||
Proceeds on sale of non-controlling interest, permanent equity |
||||||||
Proceeds on sale of partnership interest - redeemable non-controlling interest
|
||||||||
Distributions from unconsolidated affiliate
|
||||||||
Proceeds on sale of fixed assets
|
||||||||
Other
|
||||||||
Net cash used in investing activities
|
(
|
)
|
(
|
)
|
||||
FINANCING ACTIVITIES
|
||||||||
Proceeds from revolving facility
|
||||||||
Proceeds from issuance of common stock pursuant to the secondary public offering, net of issuance costs
|
||||||||
Distributions to non-controlling interest, permanent and temporary equity
|
(
|
)
|
(
|
)
|
||||
Cash dividends paid to shareholders
|
( |
) | ( |
) | ||||
Principal payments on notes payable
|
(
|
)
|
(
|
)
|
||||
Payments on term loan
|
( |
) | ( |
) | ||||
Payments on revolving facility | ( |
) | ||||||
Net cash (used in) provided by financing activities
|
(
|
)
|
|
|||||
Net (decrease) increase in cash and cash equivalents
|
(
|
)
|
|
|||||
Cash and cash equivalents - beginning of period
|
|
|
||||||
Cash and cash equivalents - end of period
|
$
|
|
$
|
|
||||
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION
|
||||||||
Cash paid during the period for:
|
||||||||
Income taxes
|
$
|
|
$
|
|
||||
Interest paid
|
$
|
|
$
|
|
||||
Non-cash investing and financing transactions during the period:
|
||||||||
Purchase of interest in businesses - seller financing portion
|
$
|
|
$
|
|
||||
Deferred payments related to purchase of interest in business
|
$ | $ | ||||||
Fair market value of initial contingent consideration related to purchase of interest of businesses
|
$ | $ | ||||||
Offset of notes receivable associated with purchase of redeemable non-controlling interest
|
$ | $ | ||||||
Notes payable related to purchase of non-controlling interest, temporary equity
|
$ | $ | ||||||
Notes payable related to purchase of redeemable non-controlling interest, temporary equity
|
$ | $ | ||||||
Notes receivable related to sale of redeemable non-controlling interest, temporary equity
|
$
|
|
$
|
|
||||
Notes receivable related to the sale of non-controlling interest, permanent equity
|
$ | $ |
|
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
|
|
$
|
|
$
|
|
$
|
|
$
|
|
(
|
)
|
$
|
(
|
)
|
$
|
|
$
|
|
$
|
|
||||||||||||||||||||
Net income attributable to USPH shareholders
|
- | - | ||||||||||||||||||||||||||||||||||||||
Net income attributable to non-controlling interest - permanent equity
|
- | - | ||||||||||||||||||||||||||||||||||||||
Issuance of restricted stock, net of cancellations
|
||||||||||||||||||||||||||||||||||||||||
Revaluation of redeemable non-controlling interest
|
|
|
|
|
(
|
)
|
|
|
(
|
)
|
|
(
|
)
|
|||||||||||||||||||||||||||
Compensation expense - equity-based awards
|
- | - | ||||||||||||||||||||||||||||||||||||||
Sale of non-controlling interest
|
-
|
|
|
|
|
-
|
|
|
|
|
||||||||||||||||||||||||||||||
Purchase of partnership interests - non-controlling interest
|
- | ( |
) | - | ( |
) | ( |
) | ( |
) | ||||||||||||||||||||||||||||||
Dividends paid to USPH shareholders
|
-
|
|
|
|
(
|
)
|
-
|
|
(
|
)
|
|
(
|
)
|
|||||||||||||||||||||||||||
Distributions to non-controlling interest partners - permanent equity
|
-
|
|
|
|
|
-
|
|
|
(
|
)
|
(
|
)
|
||||||||||||||||||||||||||||
Deferred taxes related to redeemable non-controlling interest - temporary equity
|
-
|
|
|
|
(
|
)
|
-
|
|
(
|
)
|
|
(
|
)
|
|||||||||||||||||||||||||||
Other comprehensive gain
|
- |
(
|
)
|
|
-
|
(
|
)
|
|
(
|
)
|
||||||||||||||||||||||||||||||
Transfer of RNCI due to separation agreement
|
- | - | ||||||||||||||||||||||||||||||||||||||
Other |
- | ( |
) | - | ( |
) | ( |
) | ||||||||||||||||||||||||||||||||
Balance June 30, 2024
|
|
|
|
|
|
|
|
|
|
(
|
)
|
|
(
|
)
|
|
|
|
|
|
|
|
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
|
|
$
|
|
$
|
|
$
|
|
$
|
|
(
|
)
|
$
|
(
|
)
|
$
|
|
$
|
|
$
|
|
||||||||||||||||||||
Net income attributable to USPH shareholders
|
- | - | ||||||||||||||||||||||||||||||||||||||
Net income attributable to non-controlling interest - permanent equity
|
- | - | ||||||||||||||||||||||||||||||||||||||
Issuance of restricted stock, net of cancellations
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||||||||||||||||
Revaluation of redeemable non-controlling interest, net of tax
|
|
|
|
|
(
|
)
|
|
|
(
|
)
|
|
(
|
)
|
|||||||||||||||||||||||||||
Compensation expense - equity-based awards
|
- | - | ||||||||||||||||||||||||||||||||||||||
Sale of non-controlling interest |
- | - | ||||||||||||||||||||||||||||||||||||||
Purchase of partnership interests - non-controlling interest
|
-
|
|
(
|
)
|
|
|
-
|
|
(
|
)
|
( |
) |
(
|
)
|
||||||||||||||||||||||||||
Dividends paid to USPH shareholders
|
-
|
|
|
|
(
|
)
|
-
|
|
(
|
)
|
|
(
|
)
|
|||||||||||||||||||||||||||
Distributions to non-controlling interest partners - permanent equity
|
-
|
|
|
|
|
-
|
|
|
(
|
)
|
(
|
)
|
||||||||||||||||||||||||||||
Deferred taxes related to redeemable non-controlling interest - temporary equity
|
-
|
|
|
|
(
|
)
|
-
|
|
(
|
)
|
|
(
|
)
|
|||||||||||||||||||||||||||
Other comprehensive gain
|
-
|
|
|
|
|
-
|
|
|
|
|
||||||||||||||||||||||||||||||
Transfer of compensation liability for certain stock issued pursuant to long-term incentive plans
|
-
|
|
|
|
|
-
|
|
|
|
|
||||||||||||||||||||||||||||||
Transfer of RNCI due to separation agreement
|
-
|
|
|
|
|
-
|
|
|
|
|
||||||||||||||||||||||||||||||
Other
|
- |
(
|
)
|
|
- |
(
|
)
|
( |
) |
(
|
)
|
|||||||||||||||||||||||||||||
Balance June 30, 2024
|
|
|
|
|
|
|
|
|
|
(
|
)
|
|
(
|
)
|
|
|
|
|
|
|
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
|
|
$
|
|
$
|
|
$ |
$
|
|
(
|
)
|
$
|
(
|
)
|
$
|
|
$
|
|
$
|
|
|||||||||||||||||||||
Net income attributable to USPH shareholders
|
- | - | ||||||||||||||||||||||||||||||||||||||
Net income attributable to non-controlling interest - permanent equity
|
- | - | ||||||||||||||||||||||||||||||||||||||
Issuance of restricted stock, net of cancellations
|
|
|
|
|
|
|
|
|
|
|||||||||||||||||||||||||||||||
Issuance of common stock, pursuant to the secondary public offering, net of issuance costs
|
||||||||||||||||||||||||||||||||||||||||
Revaluation of redeemable non-controlling interest
|
|
|
|
(
|
)
|
|
|
(
|
)
|
|
(
|
)
|
||||||||||||||||||||||||||||
Compensation expense - equity-based awards
|
-
|
|
|
-
|
|
|
|
|||||||||||||||||||||||||||||||||
Purchase of partnership interests - non-controlling interest
|
- | ( |
) | - | ( |
) | ( |
) | ||||||||||||||||||||||||||||||||
Dividends paid to USPH shareholders
|
- | ( |
) | - | ( |
) | ( |
) | ||||||||||||||||||||||||||||||||
Distributions to non-controlling interest partners - permanent equity
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-
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|
-
|
|
|
(
|
)
|
(
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)
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Deferred taxes related to redeemable non-controlling interest - temporary equity
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- | - | ||||||||||||||||||||||||||||||||||||||
Other comprehensive gain | - |