Summary of US Physical Therapy (USPH) FY Conference Call - August 26, 2025 Company Overview - **Company Name**: US Physical Therapy (USPH) - **Industry**: Outpatient orthopedic physical therapy - **Market Presence**: Operates nearly 800 facilities across the United States, with a partner model where the company generally owns about 70% of each partnership [2][4][10] Core Business Model - **Partnership Model**: USPH partners with local brands, allowing owners to retain a meaningful interest while benefiting from USPH's resources for growth [4][5][16] - **Market Fragmentation**: The physical therapy market is highly fragmented, estimated at $40 billion, with no single provider holding more than 10% market share [10][14] - **Reimbursement Strategy**: Focus on states with favorable reimbursement rates to ensure reasonable margins [8][9] Financial Performance - **Growth Despite Challenges**: Despite facing Medicare reimbursement headwinds, USPH has maintained significant growth, reporting an 18% increase in the last quarter [6][38] - **EBITDA Impact**: The company has faced a cumulative EBITDA reduction of $50 million due to reimbursement cuts, with $25 million impacting this year alone [35][37] - **Current EBITDA Guidance**: Updated guidance for EBITDA is between $93 million and $97 million for the year [38] Operational Highlights - **Visit Metrics**: Average visits per clinic per day reached 32.7, indicating strong demand [40] - **Technological Investments**: Implementation of AI-assisted documentation and partial virtualization of front desk operations to enhance efficiency [41] - **Margin Recovery**: Recent quarterly margins were around 21%, with expectations to improve further [42] Growth Opportunities - **Industrial Injury Prevention Business**: Launched in 2017, this segment has grown to over $100 million in revenue and $20 million in EBITDA, with a growth rate of 20-30% [44][48] - **Strategic Acquisitions**: Focus on acquiring larger practices with at least $1 million in EBITDA, enhancing profitability through better reimbursement rates [26][16] Market Dynamics - **Regulatory Challenges**: The company has navigated significant regulatory changes and reimbursement cuts, particularly from Medicare, which have historically impacted physical therapy providers [35][36] - **Competitive Landscape**: USPH differentiates itself from competitors by maintaining a strong balance sheet and avoiding excessive leverage, unlike many private equity-backed firms [31][14] Additional Insights - **Dividend Policy**: USPH has consistently paid dividends since 2012, currently at approximately $0.45 per quarter [51] - **Share Repurchase Plan**: Recently authorized a share repurchase plan due to stock price fluctuations, although this is not the primary focus for capital deployment [53] Conclusion US Physical Therapy is positioned for continued growth in a fragmented market, leveraging its partnership model and operational efficiencies to navigate regulatory challenges and capitalize on emerging opportunities in the physical therapy and industrial injury prevention sectors.

Abu Dhabi-based BlueFive and the private equity arm of CICC are looking to set up a fund backing Chinese companies seeking to expand in the Middle East https://t.co/j4KHFNTNqV ...

Nigeria is set to increase the proportion of funds that its $17 billion pension industry can invest in infrastructure and private equity in a bid to boost returns on retirement savings. https://t.co/bERjQo0qBA ...

Investment & Impact - TPG promised investors, including the World Bank, the Gates Foundation, and Bono, to expand access to healthcare in Africa and Asia [1] - Patient safety complaints arose after TPG's commitment [1]

Tax Structure - Private equity and hedge funds are structured as pass-through entities [1] - This structure allows them to pass their entire tax obligation to investors or limited partners [1]

Private Equity Trends - Private equity is exploring innovative methods to extract cash from illiquid assets [1] - The newsletter "Going Private" focuses on private markets [1]

Group 1 - GCM Grosvenor has evolved from a solutions provider in the alternative asset management space to managing its own funds, particularly in the hedge fund sector [1] - The company has leveraged its relationships and expertise to enhance its investment management capabilities [1] Group 2 - The article does not provide specific financial performance metrics or future projections for GCM Grosvenor [2] - There are no recommendations or investment advice given regarding the suitability of investments in GCM Grosvenor [2]

Alternative Investment Trends - Family offices are the fastest-growing market for alternative and private assets [2] - The number of family offices with exposure to alternative investments has increased by over 500% since 2016 [2] - There are now over 4,000 family offices with alternative investments, up from 651 in 2016 [3][4] Investment Preferences - Family offices are favoring private credit this year [4] - 39% of family offices plan to add or make new investments in private credit and private debt this year [4] - 29% of family offices plan to add or make investments in private equity [4] - Private credit is still a small share of the total family office portfolios at about 5% [5] - AI is the number one investment theme right now for family offices [8] Concerns and Challenges - Family offices are warning of higher fees and lower returns in private credit [5] - 72% of family offices say high fees are the biggest challenge to investing in private markets [6]

Fund Performance - Neuberger Berman's flagship fund is approaching a $5 billion goal for secondary private equity stakes [1] Investment Strategy - Investors are attracted to the secondary private equity strategy [1]

Core Insights - The article does not provide specific company or industry insights, focusing instead on disclosures and disclaimers related to investment positions and advice [1][2] Group 1 - There are no stock, option, or similar derivative positions held by the analyst in any mentioned companies [1] - The article expresses personal opinions and is not compensated beyond Seeking Alpha [1] - The views may not reflect those of Seeking Alpha as a whole, and the analysts may not be licensed or certified [2]