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, today reported results for the three and nine months ended September 30, 2025.

FINANCIAL HIGHLIGHTS

Adjusted EBITDA⁽¹⁾, a non-Generally Accepted Accounting Principles ("GAAP") measure, was $23.9 million for the three months ended September 30, 2025 ("2025 Third Quarter"), an increase of $2.8 million, or 13.2%, from $21.1 million for the three months ended September 30, 2024 ("2024 Third Quarter") primarily driven by clinic additions.
Net income attributable to USPH shareholders ("USPH Net Income"), a GAAP measure, was $13.1 million for the 2025 Third Quarter compared to $6.6 million for the 2024 Third Quarter. In accordance with GAAP, the revaluation of redeemable noncontrolling interest, net of taxes, is not included in net income but is charged directly to retained earnings. However, this change is included in the computation of earnings per share. Earnings per share was $0.48 and $0.39 in 2025 Third Quarter and 2024 Third Quarter, respectively.
Operating Results ⁽¹⁾, a non-GAAP measure, was $10.1 million for the 2025 Third Quarter compared to $10.4 million for the 2024 Third Quarter. On a per share basis, Operating Results was $0.66 for the 2025 Third Quarter compared to $0.69 for the 2024 Third Quarter.
Total revenue from physical therapy operations for the 2025 Third Quarter increased $25.4 million, or 17.8%, to $168.1 million from $142.7 million for the 2024 Third Quarter. Physical therapy operations gross profit was $31.2 million for the 2025 Third Quarter, an increase of $7.2 million, or 30.0%, from $24.0 million for the 2024 Third Quarter.
Net rate per patient visit for the 2025 Third Quarter was $105.54 compared to $105.65 for the 2024 Third Quarter.
Total patient visits were 1,554,207, which includes 30,137 home-care visits, for the 2025 Third Quarter, an 18.0% increase from the 2024 Third Quarter. For the nine months ended September 30, 2025 ("2025 Nine Months"), the Company had 4,556,768 total patient visits, which includes 81,573 home-care visits, compared to 3,920,388 for the nine months ended September 30, 2024 ("2024 Nine Months"). There were no home-care visits in the 2024 Nine Months.
Average daily patient visits per clinic, which does not include home-care visits, was 32.2 for the 2025 Third Quarter, a record-high volume per clinic for a third quarter, compared to 30.1 for the 2024 Third Quarter.
Industrial injury prevention services ("IIP") revenue was $29.0 million for the 2025 Third Quarter, an increase of 14.6% as compared to the 2024 Third Quarter. IIP gross profit was $5.7 million for the 2025 Third Quarter, an increase of $0.5 million, or 10.7%, from $5.1 million for the 2024 Third Quarter.
The Company added 18 and closed seven owned and/or managed clinics in the 2025 Third Quarter bringing its total count to 779 as of September 30, 2025, compared to 700 as of September 30, 2024.
On July 31, 2025, the Company acquired a 60% equity interest in a three-clinic practice with the original practice owners retaining a 40% equity interest. The business currently generates $5.3 million in annual revenue and approximately 28,000 in annual visits.
The Company's Board of Directors declared a quarterly dividend of $0.45 per share payable on December 12, 2025, to shareholders of record on November 17, 2025.
Management reaffirmed its full-year 2025 Adjusted EBITDA guidance range of $93.0 million to $97.0 million. See "2025 Earnings Guidance" below for more information.


(1)	These are non-GAAP Measures. See pages 13 to 14 of this release for the definition and reconciliation of Adjusted EBITDA, Operating Results and other non-GAAP measures to the most directly comparable GAAP measure.

MANAGEMENT'S COMMENTS

Chris Reading, Chief Executive Officer, said, "This was a very solid quarter for us across the board with record visits per clinic per day, continued clinic expansion with 84 net owned additions since the third quarter of 2024, and sustained double-digit growth in our injury prevention business. Importantly, we are also making progress on some key initiatives that will benefit our 2026 growth and performance, along with an expected and overdue Medicare pricing lift."

2025 Third Quarter Versus 2024 Third Quarter

Additional supplemental tables of financial and performance metrics are presented on page 15 of this release.

*Physical Therapy Operations*

	Three Months Ended				Variance
	September 30, 2025		September 30, 2024		$		%
	(In thousands, except percentages)
Revenue related to:
Mature Clinics ⁽¹⁾	$	131,831	$	131,532	$	299	0.2%
Clinic additions ⁽²⁾		32,051		4,535		27,516	*	⁽⁹⁾
Clinics sold or closed ⁽³⁾		142		3,079		(2,937)	*	⁽⁹⁾
Net Patient Revenue		164,024		139,146		24,878	17.9%
Other ⁽⁴⁾		4,086		3,568		518	14.5%
Total		168,110		142,714		25,396	17.8%
Operating costs ^{(5) (7)}		136,917		118,715		18,202	15.3%
Gross profit	$	31,193	$	23,999	$	7,194	30.0%

Financial and operating metrics (not in thousands):
Net rate per patient visit ⁽¹⁾	$	105.54	$	105.65	$	(0.11)	(0.1)%
Patient visits ⁽¹⁾		1,554,207		1,317,051		237,156	18.0%
Average daily visits per clinic ⁽¹⁾		32.2		30.1		2.1	7.0%
Adjusted gross profit margin ^(4)(5)(6)		18.6%		19.2%
Salaries and related costs per visit ⁽⁶⁾⁽⁸⁾	$	62.07	$	62.47	$	(0.40)	(0.6)%
Operating costs per visit ⁽⁶⁾⁽⁸⁾	$	86.88	$	86.00	$	0.88	1.0%

(1) See Glossary of Terms - Revenue Metrics for definitions.
(2) Includes 36 owned clinics added during the nine months ended September 30, 2025, and 96 owned clinics added during the year ended December 31, 2024. See Clinic Count Roll Forward on page 15 for additional information.
(3) Includes 13 owned clinics closed during the nine months ended September 30,2025 and 45 owned clinics closed during the year ended December 31, 2024. See Clinic Count Roll Forward on page 15 for additional information.
(4) Includes revenues from management contracts.
(5) Includes costs from management contracts.
(6) Excludes $0.1 million of certain incentive costs related to the Metro acquisition and gains or losses related to clinic closures, as applicable. See the reconciliation of non-GAAP measures to the most directly comparable GAAP measure on page 14.
(7) Amortization of certain intangible assets was reallocated between the physical therapy operations and IIP segments. Prior year amounts were reallocated to conform with current presentation.
(8) Per visit costs exclude management contract costs.
(9) Not meaningful.

Net revenue from physical therapy operations increased $25.4 million, or 17.8%, to $168.1 million for the 2025 Third Quarter from $142.7 million for the 2024 Third Quarter. This growth was due to the increase in visits from the 84 net owned clinics added since the comparable prior year period. Net rate per patient visit for the 2025 Third Quarter was $105.54 compared to $105.65 for the 2024 Third Quarter.

Operating costs from physical therapy operations increased $18.2 million, or 15.3%, to $136.9 million for the 2025 Third Quarter from $118.7 million for the 2024 Third Quarter primarily driven by the 84 net owned clinics added since the comparable prior year period. Excluding certain incentive costs related to the Metro acquisition and gains and losses related to clinic closures for both periods, salaries and related costs per visit was $62.07 for the 2025 Third Quarter compared to $62.47 for the 2024 Third Quarter while total operating costs per visit was $86.88 in the 2025 Third Quarter compared to $86.00 in the comparable prior year period.

Gross profit from physical therapy operations increased $7.2 million or 30.0% to $31.2 million for the 2025 Third Quarter as compared to $24.0 million for the 2024 Third Quarter. Excluding certain incentive costs related to the Metro acquisition and gains and losses related to clinic closures for both periods, the adjusted gross profit margin increased $3.7 million or 13.5% over the comparable periods. See the reconciliation of non-GAAP measures to the more directly comparable GAAP measure provided on pages 13 to 14 for more information.

*Industrial Injury Prevention Services*

	Three Months Ended				Variance
	September 30, 2025		September 30, 2024		$		%
	(In thousands, except percentages)
Net revenue	$	29,022	$	25,319	$	3,703	14.6%
Operating costs ⁽¹⁾		23,343		20,187		3,156	15.6%
Gross profit	$	5,679	$	5,132	$	547	10.7%

Gross profit margin		19.6%		20.3%

(1) Amortization of certain intangible assets was reallocated between the physical therapy operations and IIP segments. Prior year amounts were reallocated to conform with current presentation.

IIP revenue increased $3.7 million, or 14.6%, to $29.0 million for the 2025 Third Quarter as compared to $25.3 million for the 2024 Third Quarter. Gross profit from IIP operations for the 2025 Third Quarter increased $0.5 million, or 10.7%, to $5.7 million from $5.1 million for the 2024 Third Quarter. Gross profit margin from IIP operations was 19.6% for the 2025 Third Quarter compared to 20.3% for the 2024 Third Quarter.

Corporate Office Costs and Other Expenses

Corporate office costs increased to $17.4 million for the 2025 Third Quarter from $14.4 million for the 2024 Third Quarter, primarily to support the larger number of clinics, as well as costs associated with acquisition integration and the implementation of a new financial and human resources system. Implementation costs associated with the new financial and human resources system are expected to continue through the end of 2026. As a percentage of net revenue, corporate office costs was 8.8% for the 2025 Third Quarter compared to 8.6% for the 2024 Third Quarter. Excluding the acquisition integration costs and the costs associated with the implementation of the new financial and human resources system of $0.7 million, corporate office costs was 8.5% of net revenue for the 2025 Third Quarter.

The Company revalued contingent consideration related to certain acquisitions and recognized a net gain (a decrease in the related liabilities) of $5.9 million for the 2025 Third Quarter compared to a net loss (an increase in the related liabilities) of $1.9 million for the 2024 Third Quarter.

Operating income was $25.3 million for the 2025 Third Quarter compared to $12.8 million for the 2024 Third Quarter. Excluding the impact of change in value of contingent consideration as discussed above, operating income increased to $19.5 million for the 2025 Third Quarter from $14.7 million in the 2024 Third Quarter.

Interest expense increased by $0.4 million to $2.4 million for the 2025 Third Quarter compared to $2.0 million for the 2024 Third Quarter due to a higher average outstanding balance on our revolving credit facility for the 2025 Third Quarter. The interest rate associated with borrowings on the Company's credit facilities was 5.0% for the 2025 Third Quarter and 4.7% for the 2024 Third Quarter, with an all-in-effective interest rate (including all associated costs), of 5.7% and 5.4% over the same periods, respectively.

Interest income was less than $0.1 million during the 2025 Third Quarter compared to $1.0 million for the 2024 Third Quarter as the excess cash on the balance sheet at the end of the 2024 Third Quarter has since been deployed to fund acquisitions.

The Company revalued a put-right liability related to the future purchase of an IIP business and recognized a net non-cash expense (an increase in the related liability) of $0.7 million for the 2025 Third Quarter compared to net non-cash gain (a decrease in the related liability) of $0.2 million for the 2024 Third Quarter.

The provision for income taxes was $5.2 million for the 2025 Third Quarter compared to $2.6 million during the 2024 Third Quarter while the effective tax rate was 28.5% and 27.9% over the same periods, respectively.

USPH Net Income and Non-GAAP Measures

Net income attributable to non-controlling interest (temporary and permanent) was $4.5 million for the 2025 Third Quarter compared to $3.1 million for the 2024 Third Quarter.

USPH Net Income was $13.1 million for the 2025 Third Quarter compared to $6.6 million for the 2024 Third Quarter. In accordance with GAAP, the revaluation of redeemable noncontrolling interest, net of taxes, is not included in net income but is charged directly to retained earnings; however, this change is included in the computation of earnings per share. Earnings per share was $0.48 for the 2025 Third Quarter and $0.39 the 2024 Third Quarter.

Non-GAAP Adjusted EBITDA ⁽¹⁾ was $23.9 million for the 2025 Third Quarter, an increase of $2.8 million or 13.2%, from $21.1 million for the 2024 Third Quarter. Non-GAAP Operating Results ⁽¹⁾ was $10.1 million, or $0.66 per share, for the 2025 Third Quarter compared to $10.4 million, or $0.69 per share, for the 2024 Third Quarter.


(1)	These are Non-GAAP Measures. See pages 13 to 14 of this release for the definition and reconciliation of Adjusted EBITDA, Operating Results, and other non-GAAP measures to the most directly comparable GAAP measure.

2025 Nine Months Versus 2024 Nine Months

Total net revenue for the 2025 Nine Months increased $87.4 million, or 17.8%, to $578.3 million from $490.9 million for the 2024 Nine Months while operating costs increased $69.2 million, or 17.3%, to $468.7 million from $399.5 million over the same periods, respectively. Gross profit for the 2025 Nine Months was $109.6 million, or 18.9% of net revenue, compared to $91.4 million for the 2024 Nine Months, or 18.6% of net revenue.

Revenues from physical therapy operations increased $72.2 million, or 17.2% in the 2025 Nine Months versus the comparable prior year period due to increased volume from the 84 net owned clinics added since the comparable prior year period as well as an increase in net rate per patient visit to $105.50 for 2025 Nine Months from $104.71 for 2024 Nine Months. Gross profit from physical therapy operations increased $15.0 million, or 19.3%, to $92.9 million for the 2025 Nine Months from $77.8 million for the 2024 Nine Months. Excluding certain incentive costs related to the Metro acquisition and losses related to clinic closures, adjusted gross profit ⁽¹⁾, increased $11.5 million or 14.0% over the comparable periods.

Revenues from IIP increased $15.2 million, or 21.6%, from $70.3 million for the 2024 Nine Months to $85.5 million for the 2025 Nine Months. Gross profit from IIP operations increased $3.1 million, or 23.0%, from $13.6 million in the 2024 Nine Months to $16.7 million for the 2025 Nine Months. The gross profit margin from IIP operations was 19.5% for the 2025 Nine Months compared to 19.3% for the 2024 Nine Months. Excluding the IIP acquisition made in April 2024, IIP revenue increased by $10.5 million or 16.0% in the 2025 Nine Months and gross profit increased $2.0 million or 16.1% in the 2025 Nine Months over the comparable prior year period.

Corporate office costs were $51.1 million for the 2025 Nine Months, compared to $42.7 million for the 2024 Nine Months. As a percentage of net revenue, corporate office costs were 8.8% and 8.7% over the same periods, respectively. Excluding the acquisition integration costs and the costs associated with the implementation of the new financial and human resources system of $1.8 million, corporate office costs was 8.5% of net revenue for the 2025 Nine Months.

The Company revalued contingent consideration related to certain acquisitions and recognized a net gain (a decrease in the related liabilities) of $11.5 million for the 2025 Nine Months compared to a net loss of $5.3 million for the 2024 Nine Months (an increase in the related liabilities).

Operating income was $69.9 million for the 2025 Nine Months compared to $43.3 million for the 2024 Nine Months. Excluding the impact of change in value of contingent consideration discussed above, operating income increased to $58.4 million for the 2025 Nine Months from $48.7 million for the 2024 Nine Months, an increase of 20.0%.

Other expenses were $7.1 million for the 2025 Nine Months compared to $1.5 million for the 2024 Nine Months, with the increase primarily due to higher interest expense as a result of increased borrowings and lower interest income as the excess cash on the balance sheet as of September 30, 2024 has been deployed to fund acquisitions since that time. Additionally, the Company revalued a put-right liability related to the future purchase of an IIP business and recognized a net non-cash expense (an increase in the related liability) of $1.4 million for the 2025 Nine Months compared to net non-cash expense of $0.1 million for the 2024 Nine Months.

The provision for income tax was $14.0 million for the 2025 Nine Months and $8.8 million for the 2024 Nine Months. The effective tax rate was 28.4% over the comparable periods.

USPH Net Income was $35.4 million for the 2025 Nine Months as compared to $22.2 million for the 2024 Nine Months while earnings per share was $1.85 for the 2025 Nine Months compared to $1.32 for the 2024 Nine Months.

Non-GAAP Adjusted EBITDA ⁽¹⁾ increased $10.3 million to $70.3 million for the 2025 Nine Months from $60.0 million for the 2024 Nine Months while non-GAAP Operating Results ⁽¹⁾ increased $0.6 million to $29.7 million, or $1.96 per share, for the 2025 Nine Months from $29.2 million, or $1.94 per share, for the 2024 Nine Months.


(1)	These are Non-GAAP Measures. See pages 13 to 14 of this release for the definition and reconciliation of Adjusted EBITDA, Operating Results, and other non-GAAP measures to the most directly comparable GAAP measure.

For additional information on 2025 Nine Months results, please refer to the Company's Quarterly Report on Form 10-Q which is expected to be filed with the Securities and Exchange Commission on November 7, 2025.

BALANCE SHEET AND CASH FLOW

Total cash and cash equivalents were $31.1 million as of September 30, 2025, compared to $41.4 million as of December 31, 2024, and $117.0 million as of September 30, 2024. The Company had $159.6 million in outstanding borrowings and $148.5 million in available credit under the Company's revolving facility as of September 30, 2025. This compares to $151.6 million of outstanding borrowings and $164.0 million in available credit under the Company's revolving facility as of December 31, 2024.

RECENT ACQUISITIONS

On July 31, 2025, the Company acquired a 60% equity interest in a three-clinic practice with the practice owners retaining a 40% equity interest. The business currently generates approximately $5.3 million in annual revenue and approximately 28,000 in annual visits.

The Company's strategy is to continue acquiring multi-clinic outpatient physical therapy practices and home-care physical and speech therapy practices, to develop outpatient physical therapy clinics as satellites in existing partnerships, and to continue acquiring companies that provide industrial injury prevention services.

2025 EARNINGS GUIDANCE

Management reaffirmed its full-year 2025 Adjusted EBITDA guidance range of $93.0 million to $97.0 million, reflecting third-quarter results and the Company's current expectations for the remainder of the year.

QUARTERLY DIVIDEND

The Company's Board of Directors declared a quarterly dividend of $0.45 per share payable on December 12, 2025, to shareholders of record on November 17, 2025.

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 November 6, 2025, to discuss the Company's financial results for the three and nine months ended September 30, 2025. Interested parties may participate in the call by dialing (800) 245-3047 (Primary) or (203) 518-9765 (Alternate) and conference ID of USPHQ325. 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 February 4, 2026, on the Company's website.

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:

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;
private third-party payors for our services may adopt payment policies that could limit our future revenue and profitability;
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;
compliance with state laws and regulations relating to the corporate practice of medicine and fee splitting, 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 future public health crises and epidemics/pandemics, such as was the case with the novel strain of COVID-19 and its variants;
certain of our acquisition agreements contain put-rights related to a future purchase of significant equity interests in our subsidiaries or in a separate company;
the impact of future vaccinations 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;
our debt and financial obligations could adversely affect our financial condition, our ability to obtain future financing and our ability to operate our business;
changes as the result of government enacted national healthcare reform;
the ability to control variable interest entities for which we do not have a direct ownership;
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 expectations;
contingent consideration provisions in certain of our acquisition agreements, the value of which may impact future financial results;
legal actions, which could subject us to increased operating costs and uninsured liabilities;
general economic conditions, including but not limited to inflationary and recessionary periods;
actual or perceived events involving banking volatility or limited liability, defaults or other adverse developments that affect the U.S or the international financial systems, may result in market wide liquidity problems which could have a material and adverse impact on our available cash and results of operations;
our business depends on hiring, training, and retaining qualified employees;
availability and cost of qualified physical therapists;
competitive environment in the industrial injury prevention services business, which could result in the termination or non-renewal of contractual service arrangements and other adverse financial consequences for that service line;
our ability to identify and complete 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, industrial injury prevention related services, and other services, as a breach or termination of those contractual arrangements by such clients could cause operating results to be less than expected;
maintaining adequate internal controls;
maintaining necessary insurance coverage;
availability, terms, and use of capital; and
weather and other seasonal factors.

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, 2024, filed with the Securities and Exchange Commission ("SEC") on March 3, 3025 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, 2024, 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 presented.

ABOUT U.S. PHYSICAL THERAPY, INC.

Founded in 1990, U.S. Physical Therapy, Inc. owns and/or manages 779 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, INC. AND SUBSIDIARIES UNAUDITED CONSOLIDATED STATEMENTS OF INCOME (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)

	Three Months Ended				Nine Months Ended
	September 30, 2025		September 30, 2024		September 30, 2025		September 30, 2024

Net patient revenue	$	164,024	$	139,146	$	480,754	$	410,492
Other revenue		33,108		28,887		97,510		80,406
Net revenue		197,132		168,033		578,264		490,898
Operating cost:
Salaries and related costs		116,619		99,835		341,656		289,900
Rent, supplies, contract labor and other		36,115		29,756		104,086		88,104
Depreciation and amortization		5,495		4,158		16,776		12,326
Provision for credit losses		2,073		1,721		5,916		5,065
(Gain) loss on clinic closures - lease and other		(42)		3,432		269		4,109
Total operating cost		160,260		138,902		468,703		399,504

Gross profit		36,872		29,131		109,561		91,394

Corporate office costs		17,414		14,385		51,135		42,719
(Gain) loss on change in fair value of contingent earn-out consideration		(5,872)		1,899		(11,484)		5,332
Operating income		25,330		12,847		69,910		43,343

Other income (expense):
Interest expense, debt and other		(2,408)		(2,018)		(7,109)		(5,966)
Interest income from investments		33		1,018		85		3,635
Change in revaluation of put-right liability		(663)		168		(1,406)		(136)
Equity in earnings of unconsolidated affiliate		361		231		1,155		750
Loss on sale of partnership		-		-		(123)		-
Other		222		90		344		261
Total other expense		(2,455)		(511)		(7,054)		(1,456)

Income before taxes		22,875		12,336		62,856		41,887

Provision for income taxes		5,233		2,559		14,026		8,781
Net income		17,642		9,777		48,830		33,106

Less: Net income attributable to non-controlling interest:
Redeemable non-controlling interest - temporary equity		(3,790)		(1,998)		(9,716)		(7,539)
Non-controlling interest - permanent equity		(714)		(1,151)		(3,684)		(3,387)
		(4,504)		(3,149)		(13,400)		(10,926)

Net income attributable to USPH shareholders	$	13,138	$	6,628	$	35,430	$	22,180

Basic and diluted earnings per share attributable to USPH shareholders ⁽¹⁾	$	0.48	$	0.39	$	1.85	$	1.32

Shares used in computation – basic and diluted		15,204		15,077		15,178		15,055

Dividends declared per common share	$	0.45	$	0.44	$	1.35	$	1.32

(1) See page 13 of this press release for the calculation of basic and diluted earnings per share.

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

	Three Months Ended				Nine Months Ended
	September 30, 2025		September 30, 2024		September 30, 2025		September 30, 2024

Net income	$	17,642	$	9,777	$	48,830	$	33,106
Other comprehensive income:
Unrealized loss on cash flow hedge		(360)		(3,687)		(2,489)		(1,937)
Tax effect at statutory rate (federal and state)		92		942		636		495
Comprehensive income	$	17,374	$	7,032	$	46,977	$	31,664

Comprehensive income attributable to non-controlling interest		(4,504)		(3,149)		(13,400)		(10,926)
Comprehensive income attributable to USPH shareholders	$	12,870	$	3,883	$	33,577	$	20,738

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

	September 30, 2025		December 31, 2024
ASSETS	(unaudited)
Current assets:
Cash and cash equivalents	$	31,102	$	41,362
Patient accounts receivable, less provision for credit losses of $4,263 and $3,506, respectively		67,629		59,040
Accounts receivable - other		23,672		26,626
Other current assets		16,032		10,555
Total current assets		138,435		137,583
Fixed assets:
Furniture and equipment		67,522		68,128
Leasehold improvements		58,015		51,105
Fixed assets, gross		125,537		119,233
Less accumulated depreciation and amortization		(91,315)		(87,093)
Fixed assets, net		34,222		32,140
Operating lease right-of-use assets		139,926		133,936
Investment in unconsolidated affiliate		12,289		12,190
Goodwill		690,412		667,152
Other identifiable intangible assets, net		176,429		179,311
Other assets		4,557		5,155
Total assets	$	1,196,270	$	1,167,467

LIABILITIES, REDEEMABLE NON-CONTROLLING INTEREST, USPH SHAREHOLDERS' EQUITY AND NON-CONTROLLING INTEREST
Current liabilities:
Accounts payable - trade	$	7,417	$	5,936
Accrued expenses		56,901		59,513
Current portion of operating lease liabilities		41,960		39,835
Current portion of term loan and notes payable		8,802		10,999
Total current liabilities		115,080		116,283
Notes payable, net of current portion		576		903
Revolving facility		26,500		11,000
Term loan, net of current portion and deferred financing costs		124,384		130,627
Deferred taxes		35,695		29,465
Operating lease liabilities, net of current portion		106,178		101,868
Other long-term liabilities		5,414		18,275
Total liabilities		413,827		408,421

Redeemable non-controlling interest - temporary equity		277,661		269,025

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, 17,418,856 and 17,309,120 shares issued, respectively		172		172
Additional paid-in capital		296,806		290,321
Accumulated other comprehensive gain		945		2,799
Retained earnings		237,272		227,265
Treasury stock at cost, 2,214,737 shares		(31,628)		(31,628)
Total USPH shareholders' equity		503,567		488,929
Non-controlling interest - permanent equity		1,215		1,092
Total USPH shareholders' equity and non-controlling interest - permanent equity		504,782		490,021
Total liabilities, redeemable non-controlling interest, USPH shareholders' equity and non-controlling interest - permanent equity	$	1,196,270	$	1,167,467

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

	Nine Months Ended
	September 30, 2025		September 30, 2024
OPERATING ACTIVITIES
Net income including non-controlling interest	$	48,830	$	33,106
Adjustments to reconcile net income including non-controlling interest to net cash provided by operating activities:
Depreciation and amortization		17,756		12,996
Provision for credit losses		5,916		5,065
Equity-based awards compensation expense		6,151		5,837
Amortization of debt issue costs		315		317
Change in deferred income taxes		11,163		605
Change in revaluation of put-right liability		1,406		136
Change in fair value of contingent earn-out consideration		(11,484)		5,332
Equity of earnings in unconsolidated affiliate		(1,155)		(750)
Loss on sale of fixed assets		420		280
Loss on sale of a partnership		123		-
Other		-		(169)
Changes in operating assets and liabilities:
Patient accounts receivable, net		(13,604)		(8,870)
Accounts receivable - other		3,559		(960)
Other current and long term assets		(8,155)		(1,808)
Accounts payable and accrued expenses		(10,908)		5,003
Other long-term liabilities		(207)		(589)
Net cash provided by operating activities		50,126		55,531

INVESTING ACTIVITIES
Purchase of fixed assets		(10,145)		(6,697)
Purchase of interest in businesses, net of cash acquired		(15,214)		(41,196)
Purchase of redeemable non-controlling interest, temporary equity		(8,579)		(6,957)
Purchase of non-controlling interest, permanent equity		(196)		(756)
Proceeds from the sale of non-controlling interest, permanent equity		9		26
Proceeds from the sale of partnership interest - redeemable non-controlling interest, temporary equity		149		229
Repayment of notes receivable related to sales of redeemable non-controlling interest		387		451
Proceeds from the sale of partnership		700		-
Distributions from unconsolidated affiliate		1,089		838
Other		531		(535)
Net cash (used in) investing activities		(31,269)		(54,597)

FINANCING ACTIVITIES
Proceeds from revolving facility		146,500		-
Payments on revolving facility		(131,000)		-
Distributions to non-controlling interest, permanent and temporary equity		(14,610)		(11,399)
Cash dividends paid to shareholders		(20,520)		(19,898)
Payments on term loan		(7,500)		(3,750)
Principal payments on notes payable		(1,994)		(1,726)
Other		7		(27)
Net cash (used in) financing activities		(29,117)		(36,800)

Net (decrease) in cash and cash equivalents		(10,260)		(35,866)
Cash and cash equivalents - beginning of period		41,362		152,825
Cash and cash equivalents - end of period	$	31,102	$	116,959

SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION
Cash paid during the period for:
Income taxes	$	11,809	$	5,759
Interest paid		7,305		5,630
Non-cash investing and financing transactions during the period:
Purchase of businesses - seller financing portion		300		955
Fair market value of initial contingent consideration related to purchase of businesses		5,731		6,440
Offset of notes receivable associated with purchase of redeemable non-controlling interest		254		627
Notes payable related to purchase of redeemable non-controlling interest, temporary equity		135		66
Notes receivable related to sale of redeemable non-controlling interest, temporary equity		2,017		2,075
Notes receivable related to the sale of non-controlling interest, permanent equity		29		282

U.S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES

ADJUSTED EBITDA AND OPERATING RESULTS

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 liability, clinic closure costs, loss on sale of a partnership, changes in fair value of contingent earn-out consideration, business acquisition related costs, costs related to a one-time financial and human resources systems upgrade and any allocations to non-controlling interests, all net of taxes. Operating Results per share also excludes the impact of the revaluation of redeemable non-controlling interest and the associated tax impact.

Adjusted EBITDA and Operating Results are not measures of financial performance under GAAP. Adjusted EBITDA, Operating Results and other non-GAAP measures should not be considered in isolation or as an alternative to, or substitute for, net income attributable to USPH shareholders presented in the consolidated financial statements.

U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES ADJUSTED EBITDA, OPERATING RESULTS AND EARNINGS PER SHARE (IN THOUSANDS, EXCEPT PER SHARE DATA)

	Three Months Ended				Nine Months Ended
	September 30, 2025		September 30, 2024		September 30, 2025		September 30, 2024
	(In thousands, except per share data)
*Adjusted EBITDA (a non-GAAP measure)*
Net income attributable to USPH shareholders	$	13,138	$	6,628	$	35,430	$	22,180
Adjustments:
Provision for income taxes		5,233		2,559		14,026		8,781
Depreciation and amortization		5,832		4,387		17,756		12,996
Interest expense, debt and other, net		2,408		2,018		7,109		5,966
Equity-based awards compensation expense		2,263		1,921		6,151		5,837
Interest income from investments		(33)		(1,018)		(85)		(3,635)
Change in revaluation of put-right liability		663		(168)		1,406		136
(Gain) loss on change in fair value of contingent earn-out consideration		(5,872)		1,899		(11,484)		5,332
Clinic closure costs ⁽¹⁾		(42)		3,432		269		4,109
Business acquisition related costs ⁽²⁾		70		314		870		314
ERP implementation costs ⁽³⁾		664		-		885		-
Loss on sale of partnership		-		-		123		-
Other income		(222)		(90)		(344)		(261)
Allocation to non-controlling interests		(247)		(811)		(1,856)		(1,789)
	$	23,855	$	21,071	$	70,256	$	59,966

*Operating Results (a non-GAAP measure)*
Net income attributable to USPH shareholders	$	13,138	$	6,628	$	35,430	$	22,180
Adjustments:
(Gain) loss on change in fair value of contingent earn-out consideration		(5,872)		1,899		(11,484)		5,332
Change in revaluation of put-right liability		663		(168)		1,406		136
Clinic closure costs ⁽¹⁾		(42)		3,432		269		4,109
Business acquisition related costs ⁽²⁾		70		314		870		314
ERP implementation costs ⁽³⁾		664		-		885		-
Loss on sale of partnership		-		-		123		-
Allocation to non-controlling interests		397		(429)		279		(513)
Tax effect at statutory rate (federal and state)		1,053		(1,290)		1,955		(2,396)
	$	10,071	$	10,386	$	29,733	$	29,162

Operating Results per share (a non-GAAP measure)	$	0.66	$	0.69	$	1.96	$	1.94

*Earnings per share*
Computation of earnings per share - USPH shareholders:
Net income attributable to USPH shareholders	$	13,138	$	6,628	$	35,430	$	22,180
Charges to retained earnings:
Revaluation of redeemable non-controlling interest		(7,918)		(1,097)		(9,821)		(3,158)
Tax effect at statutory rate (federal and state)		2,023		280		2,509		807
	$	7,243	$	5,811	$	28,118	$	19,829

Earnings per share (basic and diluted)	$	0.48	$	0.39	$	1.85	$	1.32

Shares used in computation – basic and diluted		15,204		15,077		15,178		15,055


(1) Costs associated with the closure of 13 owned clinics during the 2025 Nine Months and 43 owned clinics during the 2024 Nine Months. See Clinic Count Roll Forward on page 15 for additional information.
(2) Primarily consists of retention bonuses, legal and consulting expenses related to the acquisitions of equity interests in certain partnerships.
(3) Consists of costs related to a one-time financial and human resources systems upgrade.

U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES RECONCILIATION OF NON-GAAP MEASURES TO THE MOST COMPARABLE GAAP MEASURES (IN THOUSANDS, EXCEPT PER SHARE DATA AND PERCENTAGES)

The tables below reconcile other non-GAAP measures to the most directly comparable GAAP measures for the 2025 Third Quarter and the 2025 Nine Months.

	Three Months Ended September 30, 2025						Three Months Ended September 30, 2024
	Reported (GAAP)		Adjustments ⁽¹⁾		Adjusted (Non-GAAP)		Reported (GAAP)		Adjustments ⁽¹⁾		Adjusted (Non-GAAP)
	(in thousands, except percentages)
Segment information - Physical Therapy Operations

Salaries and related costs ⁽²⁾	$	96,470	$	8	$	96,478	$	82,281	$	-	$	82,281
Operating costs ⁽²⁾⁽³⁾	$	134,979	$	50	$	135,029	$	116,698	$	(3,432)	$	113,266
Gross profit	$	31,193	$	(50)	$	31,143	$	23,999	$	3,432	$	27,431
Gross profit margin		18.6%	*			18.6%		16.8%	*			19.2%
Number of visits		1,554,207				1,554,207		1,317,051				1,317,051
Salaries and related costs per visit ⁽²⁾	$	62.07	*		$	62.07	$	62.47	$	-	$	62.47
Operating costs per visit ⁽²⁾⁽³⁾	$	86.85	$	0.03	$	86.88	$	88.61	$	(2.61)	$	86.00


	Nine Months Ended September 30, 2025						Nine Months Ended September 30, 2024
	Reported (GAAP)		Adjustments ⁽¹⁾		Adjusted (Non-GAAP)		Reported (GAAP)		Adjustments ⁽¹⁾		Adjusted (Non-GAAP)
	(in thousands, except percentages)
Segment information - Physical Therapy Operations

Salaries and related costs ⁽²⁾	$	282,146	$	(286)	$	281,860	$	239,829	$	-	$	239,829
Operating costs ⁽²⁾⁽³⁾	$	394,060	$	(555)	$	393,505	$	336,917	$	(4,109)	$	332,808
Gross profit	$	92,877	$	555	$	93,432	$	77,830	$	4,109	$	81,939
Gross profit margin		18.8%	*			19.0%		18.5%	*			19.5%
Number of visits		4,556,768				4,556,768		3,920,388				3,920,388
Salaries and related costs per visit ⁽²⁾	$	61.92	$	(0.06)	$	61.86	$	61.17	$	-	$	61.17
Operating costs per visit ⁽²⁾⁽³⁾	$	86.48	$	(0.12)	$	86.36	$	85.94	$	(1.05)	$	84.89


(1) Certain incentive costs related to the Metro acquisition and gains or losses related to clinic closures, as applicable.
(2) Excludes costs related to management contracts.
(3) Amortization of certain intangible assets was reallocated between the physical therapy operations and IIP segments. Prior year amounts were reallocated to conform with current presentation.
* Not meaningful

U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES SUPPLEMENTAL FINANCIAL AND PERFORMANCE METRICS

*Revenue Metrics*

	Net Rate Per Patient Visit ⁽¹⁾				Patient Visits ⁽¹⁾		Average Visits Per Clinic Per Day ⁽²⁾
	2025		2024		2025	2024	2025	2024

First quarter	$	105.66	$	103.37	1,443,805	1,268,002	31.2	29.5
Second quarter	$	105.33	$	105.05	1,558,756	1,335,335	32.7	30.6
Third quarter	$	105.54	$	105.65	1,554,207	1,317,051	32.2	30.1
Fourth quarter			$	104.73		1,432,801		31.6
Year			$	104.71	4,556,768	5,353,189		30.4

(1) See definition of the metrics above in the Glossary of Terms – Revenue Metrics on page 7.
(2) Excludes home-care visits.

*Clinic Count Roll Forward ⁽¹⁾*

	2025			2024
	Owned	Managed	Total	Owned	Managed	Total
Number of clinics, beginning of period	722	39	761	671	43	714
Q1 additions	14	-	14	14	-	14
Q1 closed or sold	(7)	(2)	(9)	(6)	(2)	(8)
Number of clinics, end of period	729	37	766	679	41	720
Q2 additions	6	-	6	7	-	7
Q2 closed or sold	(3)	(1)	(4)	(5)	-	(5)
Number of clinics, end of period	732	36	768	681	41	722
Q3 additions	16	2	18	12	-	12
Q3 closed or sold	(3)	(4)	(7)	(32)	(2)	(34)
Number of clinics, end of period	745	34	779	661	39	700
Q4 additions				63	-	63
Q4 closed or sold				(2)	-	(2)
Number of clinics, end of period				722	39	761


Year-to-date 2025 and full-year 2024 additions	36	2	38	96	-	96
Year-to-date 2025 and full-year 2024 sold or closed	(13)	(7)	(20)	(45)	(4)	(49)


(1) Excludes the home care business.

View source version on businesswire.com: https://www.businesswire.com/news/home/20251105310637/en/

U.S. Physical Therapy, Inc.

Carey Hendrickson, Chief Financial Officer

email: chendrickson@usph.com

Chris Reading, Chief Executive Officer

(713) 297-7000

Three Part Advisors

Joe Noyons

(817) 778-8424

U.S. Physical Therapy Reports Third Quarter 2025 Results