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USPHU.S. Physical Therapy, Inc.Sell4.3·$85.32
SellModerate Confidence
Investment thesis

U.S. Physical Therapy offers 24% upside to analyst consensus targets and converts free cash flow at 124% of net income, but the company falls just below the $1 billion minimum market cap threshold for this investable universe, and a confirmed price downtrend combined with extremely elevated put-to-call options activity creates a difficult entry environment.

Thesis pillars

  • Analyst Target Upside↑Improving
  • Free Cash Flow Conversion→Stable
  • Downtrend Below 200ma→Stable
  • +1 more pillar — see the Why tab for full reasoning

Pillars as of Jul 3, 2026, based on the 10-K filed Feb 27, 2026

Full reasoning →

Open full analysis

U.S. Physical Therapy, Inc. (USPH) Stock Analysis

Range Bound setup

SellShortModerate Confidence

Healthcare · Medical Care Facilities

Earnings in 6 days (2026-11-04). Expect elevated volatility around the report — consider waiting for post-earnings price action before new entries.

Sell if holding. Analyst target reached at $85.32 — A.R:R is negative (-0.0) — price has exceeded the analyst target. Reward from here is too thin for a buy — the engine flags exit. Additional concerns: V7 low-quality RISK_OFF penalty: -0.5 (Q=4.2).

U.S. Physical Therapy operates through two segments: physical therapy clinics providing orthopedic, sports-injury, and worker rehabilitation services, and an industrial injury prevention (IIP) segment contracting directly with employers, including Fortune 500 companies. The... Read more

$85.32-0.2% A.UpsideScore 4.3/10#34 of 35 Medical Care Facilities
QualityF-score6 / 9FCF yield3.24%
IncomeYield2.16%(5y avg 1.87%)Payout1011.11%at-risk
Stop $79.44Analyst target $85.11(reached)A.R:R -0.0:1
Analyst consensus$97.83+14.7%6 analysts
$85.32price
$97.83mean
$101

Sell if holding. Analyst target reached at $85.32 — A.R:R is negative (-0.0) — price has exceeded the analyst target. Reward from here is too thin for a buy — the engine flags exit. Additional concerns: V7 low-quality RISK_OFF penalty: -0.5 (Q=4.2). Chart setup: RSI 55 mid-range, Bollinger mid-band. Score 4.3/10, moderate confidence.

Passes 5/8 gates (clean insider activity, no SEC red flags, news events none recent, semi cycle peak clear, materials cycle peak clear). Fails on weak momentum and favorable risk/reward ratio and earnings proximity 6d<=7d. Suitability: aggressive.

10-K grounded · weekly refresh

About U.S. Physical Therapy, Inc.

About U.S. Physical Therapy, Inc.

U.S. Physical Therapy owned and/or managed 780 clinics across 44 states at December 31, 2025, generating $650.4 million in net patient revenue, up from $560.6 million in 2024. Managed care and commercial health insurance supplied 48.5% of net patient revenue and Medicare/Medicaid another 35.8%, with workers' compensation insurance contributing 10.2%. The company's highest clinic concentration is in Texas, Tennessee, Michigan, New York, and Virginia, among other states.

U.S. Physical Therapy earns physical therapy revenue on a per-procedure, outpatient basis, generally structured through Clinic Partnerships in which the company holds a 65% to 75% typical equity stake (ranging 30% to 99%) alongside physical therapist partners who retain minority interests, receive base salaries, and can earn bonuses tied to their clinic's profitability. Departing partners' interests are subject to put and call rights priced at a predetermined multiple of clinic earnings. The IIP segment operates on a different model, contracting directly with employers, including a number of Fortune 500 companies, for onsite injury prevention, performance optimization, and ergonomic assessment services rather than billing third-party payors. Growth comes largely through acquisitions: the company completed multi-clinic transactions at ownership stakes ranging from 40% to 80% during 2023-2025, plus 14, 8, and 9 tuck-in clinic acquisitions in 2025, 2024, and 2023, respectively.

Show full overview

U.S. Physical Therapy's revenue is directly exposed to the annual Medicare Physician Fee Schedule cycle: the 10-K discloses MPFS reimbursement cuts of 3.5%, 0.75%, 2.0%, 1.8%, and 1.5% for calendar years 2021 through 2025, respectively, before an expected 1.75% increase in 2026. With Medicare and Medicaid patients accounting for 35.8% of net patient revenue and 40.1% of visits in 2025, a return to the multi-year pattern of MPFS cuts — which regulators have imposed in four of the last five years — would pressure per-visit economics more than a single bad year of managed-care contract renegotiations.

See also: Healthcare · Medical Care Facilities

From U.S. Physical Therapy, Inc.'s most recent 10-K filing, extracted July 6, 2026.

TrendMatrix Research · upcoming catalyst calendar

Upcoming dated catalysts

Wed, Nov 4, 20266d to earnings· next earnings call

Thesis

Rewards
Sector modifier (Healthcare): +0.5
Risks
Analyst target reached - limited upside remaining
V7 low-quality RISK_OFF penalty: -0.5 (Q=4.2)
Earnings in 6 days (event risk)

Key Metrics

P/E (TTM)474.0
P/E (Fwd)25.6
Mkt Cap$1.3B
EV/EBITDA19.1
Profit Mgn4.0%
ROE6.5%
Rev Growth8.5%
Beta1.11
Dividend2.16%
Rating analysts13

Quality Signals

Piotroski F6/9

Options Flow

P/C0.00bullish
IV55%elevated

Concentration Risks(10-K Item 1A)

  • MEDIUMregulatoryMedicare/Medicaid36%
    10-K Item 1: 'approximately 40.1% of our visits and 35.8% of our net patient revenue was from patients with Medicare or Medicaid program coverage'
  • MEDIUMCustomercommercial health insurers, HMOs, PPOs, and workers' compensation insurers
    10-K Item 1: 'Our physical therapy business depends to a significant extent on our relationships with commercial health insurers, health maintenance organizations, preferred provider organizations and workers' compensation insurers.'

Model-generated analysis — not investment advice. Not a registered investment advisor. Past performance does not guarantee future results. How we score · Editorial policy

Show full disclosure ▾

About TrendMatrix. TrendMatrix is a publisher of general securities research and market commentary. We publish on a regular schedule. All content is the same for every subscriber in a tier — we do not provide personalized investment advice and we do not take into account any individual subscriber's financial situation, investment objectives, risk tolerance, tax situation, or holdings.

Not investment advice. TrendMatrix is not a registered investment adviser. Our content is for informational and educational purposes only. Consult your own licensed investment adviser, broker, or tax professional before making any investment decision.

Conflicts and positions. People who build TrendMatrix, or entities they control, may hold positions, long or short, in securities it covers, and may trade them at any time. Positions are not disclosed individually. Verdicts are generated by an automated model applied by the same rules to every covered stock, and are not adjusted for any position held by the people who build TrendMatrix. We do not accept payment from issuers for coverage.

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Performance. Past performance is not indicative of future results. Performance figures reflect the published model only and do not reflect any individual subscriber's actual results.

Methodology · Editorial policy & full disclaimer

Rating Breakdown

3 floor-breakers

Growth below the gate floor. Component breakdown shows what dragged the score down.static

Earnings Growth
0.0
Revenue Growth
4.6

No near-term catalyst priced in. Thesis progression will come from fundamentals grinding, not event reaction.static

Earnings History
0.0
Surprise Avg
0.0
Erm
5.0
Earnings Timing
5.0
Dividend Safety
5.2
Earnings concerns: 0B/2MEarnings in 6 days

Momentum below the gate floor. Component breakdown shows what dragged the score down.static

Obv
1.0
Macd
2.5
Volume
4.1
Rsi
5.5
Ma Position
6.0
Volume distribution (falling OBV)Above 200-day MA
GatesMomentum 3.8<4.5A.R:R -0.0=NEGATIVEEARNINGS PROXIMITY 6d<=7dInsider activity: OKNo SEC red flagsNEWS EVENTS NONE RECENTSEMI CYCLE PEAK CLEARMATERIALS CYCLE PEAK CLEARRange BoundSuitability: Aggressive
RSI
55 · Neutral
↓ 20D MA↑ 50D MA↑ 200D MAGOLDEN CROSSSupport $79.76Resistance $89.98

Price Targets

A.Upside-0.2%
A.R:R-0.0:1

Position Sizing

ConvictionNone
Suggested %0%
Max %0%
RegimeRisk-Off

Risk Alerts

! Target reached (-0.2% upside)
! momentum at 3.8 (below the engine's 4.5 threshold)
! Negative risk/reward — downside exceeds upside

Earnings

M
M
M
M
0/4 beats
Next Earnings2026-11-04 (6d)

Verdict History

reverse chrono — latest first
Loading history...
Verdicts are recorded on every nightly pipeline run. Rows capture transitions (verdict flips, score deltas ≥0.3, entry/TP/SL changes). Rows with a ▶ can be expanded to see the change reason. Aggregate cohort performance is tracked in the recommendation ledger.
Frequently Asked Questions
Is USPH stock a buy right now?

Sell if holding. Analyst target reached at $85.32 — A.R:R is negative (-0.0) — price has exceeded the analyst target. Reward from here is too thin for a buy — the engine flags exit. Additional concerns: V7 low-quality RISK_OFF penalty: -0.5 (Q=4.2). Chart setup: RSI 55 mid-range, Bollinger mid-band. Prior stop was $79.44. Score 4.3/10, moderate confidence.

What is the USPH stock price target?

Analyst target $85.11 reached (−0.2% from $85.32); no take-profit level is published. Prior stop was $79.44. Stop-loss: $79.44.

What are the risks of investing in USPH?

Analyst target reached - limited upside remaining; V7 low-quality RISK_OFF penalty: -0.5 (Q=4.2); Earnings in 6 days (event risk).

Is USPH overvalued or undervalued?

U.S. Physical Therapy, Inc. trades at a P/E of 474.0 (forward 25.6). TrendMatrix value score: 4.5/10. Verdict: Sell.

What do analysts say about USPH?

13 analysts cover USPH with a consensus score of 4.2/5. Average price target: $98.

What does U.S. Physical Therapy, Inc. do?U.S. Physical Therapy operates through two segments: physical therapy clinics providing orthopedic, sports-injury, and...

U.S. Physical Therapy operates through two segments: physical therapy clinics providing orthopedic, sports-injury, and worker rehabilitation services, and an industrial injury prevention (IIP) segment contracting directly with employers, including Fortune 500 companies. The company owned and/or managed 780 clinics across 44 states at year-end 2025, generating $650.4 million in net patient revenue primarily through majority-owned Clinic Partnerships with local physical therapists.

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