U.S. Physical Therapy Reports Third Quarter 2021 Results
U.S. Physical Therapy (USPH) reported robust financial results for the third quarter of 2021, with net income of $10.0 million, down from $10.9 million in Q3 2020, but higher than $9.0 million in Q3 2019. Net revenue rose to $125.9 million, a 15.6% increase from the previous year. Patient visits were up 19.9% year-over-year, contributing to net patient revenue of $112.3 million, a 16.5% increase. This quarter marked the highest industrial injury prevention services revenue at $10.5 million. A quarterly dividend of $0.38 was declared, reflecting strong operational performance.
- Net revenue increased by 15.6% to $125.9 million compared to Q3 2020.
- Net patient revenue rose by 16.5% to $112.3 million year-over-year.
- Patient visits increased by 19.9% from Q3 2020.
- The company achieved an all-time high in industrial injury prevention services revenue of $10.5 million.
- Operating results per diluted share remained stable at $0.85.
- Net income decreased from $10.9 million in Q3 2020 to $10.0 million in Q3 2021.
- Total operating costs increased to 76.3% of net revenue from 72.1% in Q3 2020.
- Average net rate per patient visit decreased from $105.91 in Q3 2020 to $102.93 in Q3 2021.
Patient Volumes Continue at Robust Pace
QUARTER HIGHLIGHTS
-
For the 2021 Third Quarter, Operating Results per diluted share, excluding Relief Funds, a non-GAAP measure (defined below), was
, the same as in the third quarter ended$0.85 September 30, 2020 (“2020 Third Quarter”), which benefited from significantly reduced costs related to the COVID-19 pandemic, and was21.4% higher than the Operating Results per diluted share of for the pre-pandemic third quarter of 2019 (“2019 Third Quarter”).$0.71
-
Adjusted EBITDA, excluding Relief Funds, a non-GAAP measure (defined below), was
for the 2021 Third Quarter,$19.9 million 1.8% higher than the for the 2020 Third Quarter, and$19.6 million , or$3.0 million 17.6% , higher than the pre-pandemic 2019 Third Quarter. See pages 14 through 16 for a discussion and comparisons to results according to Generally Accepted Accounting Principles (“GAAP”).
-
For the 2021 Third Quarter, USPH’s net income attributable to its shareholders, a GAAP measure, was
compared to$10.0 million for the 2020 Third Quarter and$10.9 million for the 2019 Third Quarter. Inclusive of the charge or credit for revaluation of non-controlling interest, net of taxes, used to compute earnings per diluted share in accordance with GAAP, the amount is$9.0 million , or$8.5 million per diluted share, for the 2021 Third Quarter as compared to$0.66 , or$7.8 million per diluted share, for the 2020 Third Quarter, and$0.61 , or$8.4 million per diluted share, for the 2019 Third Quarter.$0.66
-
Average visits per clinic per day was 29.5 for the 2021 Third Quarter which was
14.3% higher than the 25.8 average visits per clinic per day for the 2020 Third Quarter and was7.3% higher than the 27.5 average visits per clinic per day for the pre-pandemic 2019 Third Quarter. The Company’s average visits per clinic per day exceeded 29.0 for the first time in the Company’s history inMarch 2021 and has continued at that level or higher for seven consecutive months.
-
The net rate per patient visit was
for the 2021 Third Quarter. Net rate per patient visit was$102.93 for the 2020 Third Quarter and$105.91 for the 2019 Third Quarter.$104.80
-
Net patient revenue from physical therapy operations was
for the 2021 Third Quarter, an increase of$112.3 million 16.5% from for the 2020 Third Quarter. Net patient revenue for the 2021 Third Quarter was$96.4 million 7.6% higher than net patient revenue from physical therapy operations of in the third quarter of 2019.$104.4 million
-
Industrial injury prevention services revenue, was an all-time high of
, for the 2021 Third Quarter, representing a$10.5 million 4.8% increase over the 2020 Third Quarter and a5.5% increase over the 2019 Third Quarter.
-
Net revenue of
for the 2021 Third Quarter was$125.9 million 15.6% higher as compared to for the 2020 Third Quarter and$108.9 million 7.3% higher than net revenue of for the 2019 Third Quarter.$117.3 million
-
Total operating cost was
76.3% of net revenue in the 2021 Third Quarter, as compared to72.1% for the 2020 Third Quarter and76.7% of net revenue in the pre-pandemic 2019 Third Quarter. The Third Quarter 2020 percentage reflects the significant steps taken by the Company to reduce costs as its patient volumes were negatively impacted by the effects of the COVID-19 pandemic, including temporary salary reductions, furloughs and similar measures. Likewise, total salaries and related costs were56.0% of net revenue for the 2021 Third Quarter versus52.8% for the 2020 Third Quarter and56.9% for the pre-pandemic 2019 Third Quarter.
-
On
September 30, 2021 , USPH acquired a company that specializes in return-to-work and ergonomic services, among other offerings. The business generates more than in annual revenue. USPH acquired the company’s assets at a purchase price of approximately$2.0 million which includes the obligation to pay up to$3.3 million in contingent payment consideration in conjunction with the acquisition if specified future operational objectives are met. The acquired company operates as part of Briotix, the Company’s industrial injury prevention services subsidiary.$0.6 million
-
The Company’s Board of Directors declared a quarterly dividend of
per share payable on$0.38 December 10, 2021 to shareholders of record onNovember 15, 2021 .
SUMMARY OF 2021 THIRD QUARTER AND NINE MONTHS RESULTS
For the 2021 Third Quarter, USPH’s Operating Results, a non-GAAP measure (defined below) was
For the 2021 Nine Months, USPH’s Operating Results was
For the 2021 Third Quarter, USPH’s net income attributable to its shareholders, a GAAP measure, was
For the 2021 Nine Months, USPH’s net income attributable to its shareholders was
In accordance with current accounting guidance, the revaluation of redeemable non-controlling interest, net of taxes, is not included in net income but charged directly to retained earnings; however, the charge or credit for this change is included in the earnings per basic and diluted share calculation. See the schedule on page 16 for the computation of earnings per diluted share. In 2021 Third Quarter, 2021 Nine Months, 2020 Third Quarter, 2019 Third Quarter and 2019 Nine Months, the valuations increased therefore there was a charge to retained earnings. In the 2020 Nine Months, the valuation of redeemable non-controlling interest decreased due to the results associated with the pandemic resulting in a credit to retained earnings.
As previously disclosed in a series of filings with the
Third Quarter 2021 Compared to Third Quarter 2020
-
Reported net revenue for the 2021 Third Quarter was
, an increase of$125.9 million 15.6% as compared to for the 2020 Third Quarter. See table below for a detail of reported net revenue (in thousands):$108.9 million
|
|
Three Months Ended |
|
|||||
|
|
September
|
|
|
September
|
|
||
Revenue related to |
|
$ |
101,954 |
|
|
$ |
92,933 |
|
Revenue related to 2021 Clinic Additions |
|
|
4,997 |
|
|
|
- |
|
Revenue related to 2020 Clinic Additions |
|
|
5,277 |
|
|
|
2,850 |
|
Revenue from clinics sold or closed in 2021 |
|
|
65 |
|
|
|
307 |
|
Revenue from clinics sold or closed in 2020 |
|
|
34 |
|
|
|
308 |
|
Net patient revenue from physical therapy operations |
|
|
112,327 |
|
|
|
96,398 |
|
Other revenue |
|
|
759 |
|
|
|
512 |
|
Revenue from physical therapy operations |
|
|
113,086 |
|
|
|
96,910 |
|
Management contract revenue |
|
|
2,313 |
|
|
|
2,004 |
|
Industrial injury prevention services |
|
|
10,494 |
|
|
|
10,015 |
|
Net Revenue |
|
$ |
125,893 |
|
|
$ |
108,929 |
|
|
|
|
|
|
|
|
|
|
-
Net patient revenue from physical therapy operations increased
, or$15.9 million 16.5% , to for the 2021 Third Quarter from$112.3 million for the 2020 Third Quarter. Included in net patient revenue are revenues related to clinics sold or closed in 2021 and 2020 of$96.4 million for the 2021 Third Quarter and$99,000 for the 2020 Third Quarter. During the full year of 2020, the Company sold its interest in 14 clinics and closed 34 clinics. For comparison purposes, net patient revenue from physical therapy operations, excluding revenue from the clinics sold or closed, was approximately$0.6 million for Third Quarter 2021, inclusive of$112.2 million related to clinics opened or acquired in the 2021 Nine Months (“2021 Clinic Additions”) and 2020 year (“2020 Clinic Additions”), together referred to as “Clinic Additions”, and$10.3 million for the Third Quarter 2020, inclusive of$95.8 million for 2020 Clinic Additions. Net patient revenue related to clinics opened or acquired prior to 2020 and still in operation at$2.9 million September 30, 2021 (“Mature Clinics”) increased , or$9.0 million 9.7% , to for the 2021 Third Quarter compared to$102.0 million for the 2020 Third Quarter.$92.9 million
-
The average net patient revenue per visit was
for the 2021 Third Quarter as compared to$102.93 for the 2020 Third Quarter, including all clinics operational during such periods. Total patient visits increased$105.91 19.9% to 1,091,329 for the 2021 Third Quarter from 910,155 for the 2020 Third Quarter.
-
Visits for
Mature Clinics (same store) for the 2021 Third Quarter increased13.7% as compared to the 2020 Third Quarter while the net rate per visit decreased3.5% .
-
Revenue from physical therapy management contracts increased
15.4% to for the 2021 Third Quarter as compared to$2.3 million for the 2020 Third Quarter.$2.0 million
-
Revenue from the industrial injury prevention services business increased
4.8% to for the 2021 Third Quarter as compared to$10.5 million for the 2020 Third Quarter.$10.0 million
-
Other miscellaneous revenue was
for the 2021 Third Quarter and$0.8 million for the 2020 Third Quarter. Other miscellaneous revenue includes a variety of services, including athletic trainers provided for schools and athletic events.$0.5 million
-
Total operating cost, less closure costs, a non-GAAP measure, was
for the 2021 Third Quarter, or$96.1 million 76.3% of net revenue, as compared to for the 2020 Third Quarter, or$78.5 million 72.1% of net revenue. The Company took a number of steps throughout 2020 to reduce costs as its patient volumes were negatively impacted by the effects of the COVID-19 pandemic, as previously noted. For comparison purposes, total operating cost less closure costs, was76.7% of net revenue in the pre-pandemic third quarter of 2019, and was76.9% and73.0% of net revenue in the first and second quarters of 2021, respectively. Included in operating cost for the 2021 Third Quarter and 2020 Third Quarter was and$8.8 million , respectively, related to Clinic Additions. Operating cost related to$2.2 million Mature Clinics increased by for the 2021 Third Quarter compared to the 2020 Third Quarter. In addition, operating cost related to the industrial injury prevention services business increased by$10.5 million . See table below for a reconciliation of operating cost, less closure costs (in thousands):$0.7 million
|
|
Three Months Ended |
|
|||||
|
|
September
|
|
|
September
|
|
||
Operating cost related to |
|
$ |
77,325 |
|
|
$ |
66,867 |
|
Operating cost related to 2021 Clinic Additions |
|
|
3,790 |
|
|
|
- |
|
Operating cost related to 2020 Clinic Additions |
|
|
5,031 |
|
|
|
2,237 |
|
Operating cost related to clinics sold or closed in 2021 |
|
|
68 |
|
|
|
333 |
|
Operating cost related to clinics sold or closed in 2020 |
|
|
13 |
|
|
|
301 |
|
Closure costs |
|
|
5 |
|
|
|
79 |
|
Physical therapy operations |
|
|
86,232 |
|
|
|
69,817 |
|
Physical therapy management contracts |
|
|
2,044 |
|
|
|
1,608 |
|
Industrial injury prevention services |
|
|
7,818 |
|
|
|
7,147 |
|
Total operating cost |
|
$ |
96,094 |
|
|
$ |
78,572 |
|
Less: Physical therapy operations - closure costs |
(5 |
) |
(79 |
) |
||||
|
|
|
|
|
|
|
|
|
Total operating cost less closure costs (a non-GAAP measure) |
|
$ |
96,089 |
|
|
$ |
78,493 |
|
|
|
|
|
|
|
|
|
|
-
Total salaries and related costs, including physical therapy operations and the industrial injury prevention services business, were
56.0% of net revenue for the 2021 Third Quarter versus52.8% for the 2020 Third Quarter. For comparison purposes, total salaries and related costs was56.9% of net revenue in the pre-pandemic 2019 Third Quarter, and was56.8% and54.3% of net revenue in the first and second quarters of 2021, respectively. Rent, supplies, contract labor and other costs as a percentage of net revenue was19.3% for the 2021 Third Quarter versus18.1% for the 2020 Third Quarter. The provision for credit losses as a percentage of net revenue was1.1% for the 2021 Third Quarter and1.2% for the 2020 Third Quarter.
-
Gross profit less closure costs, a non-GAAP measure, for the 2021 Third Quarter, was
, a decrease of$29.8 million , or approximately$0.6 million 2.1% , as compared to for the 2020 Third Quarter. The gross profit percentage, excluding closure costs, was$30.4 million 23.7% of net revenue for the 2021 Third Quarter as compared to27.9% for the 2020 Third Quarter. The gross profit percentage for the Company’s physical therapy operations, less closure costs, was23.8% for the 2021 Third Quarter as compared to28.0% for the 2020 Third Quarter. The gross profit percentage on physical therapy management contracts was11.6% for the 2021 Third Quarter as compared to19.8% for the 2020 Third Quarter. The gross profit percentage for the industrial injury prevention services business was25.5% for the 2021 Third Quarter as compared to28.6% for the 2020 Third Quarter. The table below details the gross profit, less closure costs, a non-GAAP measure (in thousands):
|
|
Three Months Ended |
|
|||||
|
|
September
|
|
|
September
|
|
||
|
|
|
|
|
|
|
||
Physical therapy operations |
|
$ |
26,859 |
|
|
$ |
27,172 |
|
Management contracts |
|
|
269 |
|
|
|
396 |
|
Industrial injury prevention services |
|
|
2,676 |
|
|
|
2,868 |
|
Physical therapy operations - closure costs |
|
|
(5 |
) |
|
|
(79 |
) |
Gross profit |
|
$ |
29,799 |
|
|
$ |
30,357 |
|
|
|
|
|
|
|
|
|
|
Physical therapy operations - closure costs |
|
|
5 |
|
|
|
79 |
|
Gross profit, less closure costs (a non-GAAP measure) |
|
$ |
29,804 |
|
|
$ |
30,436 |
|
|
|
|
|
|
|
|
|
|
-
Corporate office cost was
for the 2021 Third Quarter compared to$12.9 million for the 2020 Third Quarter. The 2021 Third Quarter included$10.4 million in equity compensation expense related to the accelerated vesting of restricted stock previously granted to the Company’s Chief Operations Officer-West upon his retirement in$1.3 million July 2021 . Corporate office cost was10.2% of net revenue for the 2021 Third Quarter as compared to9.6% for the 2020 Third Quarter. Excluding the equity compensation expense related to the retirement of the Chief Operations Officer – West, Corporate office cost was9.2% of net revenue for the 2021 Third Quarter.
-
Other income includes
of income related to the positive resolution of a payor matter during the 2021 Third Quarter.$1.2 million
-
Operating income for the 2021 Third Quarter was
, a decrease of$16.9 million , or$3.0 million 15.1% , as compared to for the 2020 Third Quarter. Operating income as a percentage of net revenue was$19.9 million 18.3% for the 2020 period as compared to13.4% for the 2021 period.
-
Interest expense was
for the 2021 Third Quarter and$268,000 for the 2020 Third Quarter.$351,000
-
The provision for income tax was
for the 2021 Third Quarter and$3.8 million for the 2020 Third Quarter. The provision for income tax as a percentage of income before taxes less net income attributable to non-controlling interest (effective tax rate) was$4.3 million 27.6% for the 2021 Third Quarter and28.2% for the 2020 Third Quarter. See table below ($ in thousands):
|
|
Three Months Ended |
|
|||||
|
|
September
|
|
|
September
|
|
||
|
|
|
|
|
|
|
||
Income before taxes |
|
$ |
17,938 |
|
|
$ |
20,042 |
|
|
|
|
|
|
|
|
|
|
Less: net income attributable to non-controlling interest: |
|
|
|
|
|
|
|
|
Redeemable non-controlling interest - temporary equity |
|
|
(2,605 |
) |
|
|
(1,828 |
) |
Non-controlling interest - permanent equity |
|
|
(1,509 |
) |
|
|
(3,019 |
) |
|
|
$ |
(4,114 |
) |
|
$ |
(4,847 |
) |
Income before taxes less net income attributable to non-controlling interest |
|
$ |
13,824 |
|
|
$ |
15,195 |
|
Provision for income taxes |
|
$ |
3,815 |
|
|
$ |
4,279 |
|
|
|
|
|
|
|
|
|
|
Percentage |
|
|
27.6 |
% |
|
|
28.2 |
% |
|
|
|
|
|
|
|
|
|
-
Net income attributable to redeemable non-controlling interest (temporary equity) was
for the 2021 Third Quarter and$2.6 million for the 2020 Third Quarter. Net income attributable to non-controlling interest (permanent equity) was$1.8 million for the 2021 Third Quarter and$1.5 million for the 2020 Third Quarter.$3.0 million
2021 Nine Months Compared to 2020 Nine Months
-
Reported net revenue for the 2021 Nine Months increased
, or$59.7 million 19.5% to as compared to$365.2 million for the 2020 Nine Months. See table below for a detail of reported net revenue (in thousands):$305.5 million
|
|
Nine Months Ended |
|
|||||
|
|
September
|
|
|
September
|
|
||
Revenue related to |
|
$ |
300,792 |
|
|
$ |
257,940 |
|
Revenue related to 2021 Clinic Additions |
|
|
7,527 |
|
|
|
- |
|
Revenue related to 2020 Clinic Additions |
|
|
16,010 |
|
|
|
5,782 |
|
Revenue from clinics sold or closed in 2021 |
|
|
458 |
|
|
|
908 |
|
Revenue from clinics sold or closed in 2020 |
|
|
32 |
|
|
|
4,173 |
|
Net patient revenue from physical therapy operations |
|
|
324,819 |
|
|
|
268,803 |
|
Other revenue |
|
|
2,222 |
|
|
|
1,407 |
|
Revenue from physical therapy operations |
|
|
327,041 |
|
|
|
270,210 |
|
Management contract revenue |
|
|
7,611 |
|
|
|
5,744 |
|
Industrial injury prevention services |
|
|
30,537 |
|
|
|
29,549 |
|
Net Revenue |
|
$ |
365,189 |
|
|
$ |
305,503 |
|
|
|
|
|
|
|
|
|
|
-
Net patient revenue from physical therapy operations increased
, or$56.0 million 20.8% , to for the 2021 Nine Months from$324.8 million for the 2020 Nine Months. Included in net patient revenues are revenues related to clinics sold or closed in 2021 and 2020 of$268.8 million for the 2021 Nine Months and$0.5 million for the 2020 Nine Months. During 2021 Nine Months, the Company sold its interest in 2 clinics and closed 3 clinics. During the full year of 2020, the Company sold its interest in 14 clinics and closed 34 clinics. For comparison purposes, excluding revenue from the clinics sold or closed, net patient revenue from physical therapy operations was approximately$5.1 million for the 2021 Nine Months, inclusive of$324.3 million related Clinic Additions and$23.5 million for the 2020 Nine Months, inclusive of$263.7 million for 2020 Clinic Additions. Revenue related to$5.8 million Mature Clinics increased , or$42.9 million 16.6% , for the 2021 Nine Months compared to the 2020 Nine Months.
-
The average net patient revenue per visit was
for the 2021 Nine Months as compared to$104.00 for the 2020 Nine Months, including all clinics operational during such periods. Total patient visits were 3,123,187 for the 2021 Nine Months and 2,556,879 for the 2020 Nine Months, an increase of$105.13 22.1% .
-
Visits for
Mature Clinics (same store) for the 2021 Nine Months increased18.1% as compared to the 2020 Nine Months while the net rate per visit decreased1.3% .
-
Revenue from physical therapy management contracts was
for the 2021 Nine Months, an increase of$7.6 million 32.5% , as compared to for the 2020 Nine Months.$5.7 million
-
Revenue from the industrial injury prevention services business increased
3.3% to for the 2021 Nine Months as compared to$30.5 million for the 2020 Nine Months.$29.5 million
-
Other miscellaneous revenue was
for the 2021 Nine Months and$2.2 million for the 2020 Nine Months. Other miscellaneous revenue includes a variety of services, including athletic trainers provided for schools and athletic events.$1.4 million
-
Total operating cost, less closure costs, a non-GAAP measure, was
for the 2021 Nine Months, or$275.2 million 75.4% of net revenue, as compared to for the 2020 Nine Months, or$236.2 million 77.3% of net revenue. For comparison purposes, total operating cost less closure costs, were76.2% of net revenue in the pre-pandemic 2019 Nine Months. Included in operating cost for the 2021 Nine Months was related to Clinic Additions, of which$20.7 million is associated with 2020 Clinic Additions. Included in operating cost for the 2020 Nine Months was$14.7 million related to 2020 Clinic Additions. Operating cost related to$4.5 million Mature Clinics increased by for the 2021 Nine Months compared to the 2020 Nine Months. In addition, operating cost related to the industrial injury prevention services business increased by$25.8 million . See table below for a detail of operating cost, less closure costs (in thousands):$0.8 million
|
|
Nine Months Ended |
|
|||||
|
|
September
|
|
|
September
|
|
||
Operating cost related to |
|
$ |
224,936 |
|
|
$ |
199,186 |
|
Operating cost related to 2021 Clinic Additions |
|
|
5,952 |
|
|
|
- |
|
Operating cost related to 2020 Clinic Additions |
|
|
14,702 |
|
|
|
4,509 |
|
Operating cost related to clinics sold or closed in 2021 |
|
|
484 |
|
|
|
999 |
|
Operating cost related to clinics sold or closed in 2020 |
|
|
9 |
|
|
|
5,131 |
|
Closure costs |
|
|
20 |
|
|
|
3,926 |
|
Physical therapy operations |
|
|
246,103 |
|
|
|
213,751 |
|
Physical therapy management contracts |
|
|
6,492 |
|
|
|
4,582 |
|
Industrial injury prevention services |
|
|
22,595 |
|
|
|
21,838 |
|
Total operating cost |
|
$ |
275,190 |
|
|
$ |
240,171 |
|
Less: Physical therapy operations - closure costs |
|
|
(20 |
) |
|
|
(3,926 |
) |
Total operating cost less closure costs (a non-GAAP measure) |
|
$ |
275,170 |
|
|
$ |
236,245 |
|
|
|
|
|
|
|
|
|
|
-
Total salaries and related costs, including physical therapy operations and the industrial injury prevention services business, was
55.6% of net revenue for both the 2021 Nine Months and 2020 Nine Months. For comparison purposes, total salaries and related costs was56.6% of net revenue in the pre-pandemic 2019 Nine Months. Rent, supplies, contract labor and other costs as a percentage of net revenue was18.6% for the 2021 Nine Months versus20.6% for the 2020 Nine Months. The provision for credit losses as a percentage of net revenue was1.1% for both the 2021 Nine Months and 2020 Nine Months.
-
Gross profit less closure costs, a non-GAAP measure, was
for the 2021 Nine Months,, an increase of$90.0 million , or$20.8 million 30.0% , as compared to for the 2020 Nine Months. The gross profit percentage, less closure costs, was$69.3 million 24.6% of net revenue for the 2021 Nine Months, an increase of 190 basis points, as compared to22.7% for the 2020 Nine Months. The gross profit percentage for the Company’s physical therapy operations, less closure costs, was24.8% for the 2021 Nine Months, an increase of 250 basis points as compared to22.3% for the 2020 Nine Months. The gross profit percentage on physical therapy management contracts was14.7% for the 2021 Nine Months as compared to20.2% for the 2020 Nine Months. The gross profit percentage for the industrial injury prevention services business was26.0% for the 2021 Nine Months as compared to26.1% for the 2020 Nine Months. The table below details the gross profit, less closure costs (in thousands):
|
|
Nine Months Ended |
|
|||||
|
|
September
|
|
|
September
|
|
||
|
|
|
|
|
|
|
||
Physical therapy operations |
|
$ |
80,958 |
|
|
$ |
60,385 |
|
Management contracts |
|
|
1,119 |
|
|
|
1,162 |
|
Industrial injury prevention services |
|
|
7,942 |
|
|
|
7,711 |
|
Physical therapy operations - closure costs |
|
|
(20 |
) |
|
|
(3,926 |
) |
Gross profit |
|
$ |
89,999 |
|
|
$ |
65,332 |
|
Physical therapy operations - closure costs |
|
|
20 |
|
|
|
3,926 |
|
Gross profit, less closure costs (a non-GAAP measure) |
|
$ |
90,019 |
|
|
$ |
69,258 |
|
|
|
|
|
|
|
|
|
|
-
Corporate office cost was
for the 2021 Nine Months compared to$35.8 million for the 2020 Nine Months. Corporate office cost was$31.1 million 9.8% of net revenue for the 2021 Nine Months as compared to10.2% for the 2020 Nine Months. The 2020 Nine Months included temporary salary reductions and furloughs related to the pandemic. The 2021 Nine Months included in equity compensation expense related to the accelerated vesting of restricted stock previously granted to the Chief Operating Officer – West upon his retirement in$1.3 million July 2021 . Excluding the equity compensation related to the Chief Operating Officer – West, Corporate office cost was9.5% of net revenue for the 2021 Nine Months.
-
Operating income for the 2021 Nine Months was
, an increase of$54.2 million , or$20.0 million 58.4% , as compared to for the 2020 Nine Months. Operating income as a percentage of net revenue increased 360 basis points from$34.2 million 11.2% for the 2020 period to14.8% for the 2021 period.
-
Interest expense was
for the 2021 Nine Months and$0.8 million for the 2020 Nine Months due to reduced borrowings under the Company’s revolving credit line.$1.4 million
-
The provision for income tax was
for the 2021 Nine Months and$11.3 million for the 2020 Nine Months. The provision for income tax as a percentage of income before taxes less net income attributable to non-controlling interest (effective tax rate) was$8.5 million 27.0% for the 2021 Nine Months and27.6% for the 2020 Nine Months. See table below ($ in thousands):
|
|
Nine Months Ended |
|||||||
|
|
September
|
|
|
September
|
|
|||
|
|
|
|
|
|
|
|||
Income before taxes |
|
$ |
54,807 |
|
|
$ |
42,317 |
|
|
|
|
|
|
|
|
|
|
|
|
Less: net income attributable to non-controlling interest: |
|
|
|
|
|
|
|
|
|
Redeemable non-controlling interest - temporary equity |
|
|
(8,669 |
) |
|
|
(3,889 |
) |
|
Non-controlling interest - permanent equity |
|
|
(4,194 |
) |
|
|
(7,811 |
) |
|
|
|
$ |
(12,863 |
) |
|
$ |
(11,700 |
) |
|
Income before taxes less net income attributable to non-controlling interest |
|
$ |
41,944 |
|
|
$ |
30,617 |
|
|
Provision for income taxes |
|
$ |
11,326 |
|
|
$ |
8,453 |
|
|
|
|
|
|
|
|
|
|
|
|
Percentage |
|
|
27.0 |
% |
|
|
27.6 |
% |
|
|
|
|
|
|
|
|
|
|
-
Net income attributable to redeemable non-controlling interest (temporary equity) was
for the 2021 Nine Months and$8.7 million for the 2020 Nine Months. Net income attributable to non-controlling interest (permanent equity) was$3.9 million for the 2021 Nine Months and$4.2 million for the 2020 Nine Months.$7.8 million
Medicare Accelerated and Advance Payment Program (“MAAPP Funds”)
In response to the COVID-19 pandemic, the federal government approved the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”). The CARES Act allowed for qualified healthcare providers to receive advanced payments under the MAAPP Funds during the COVID-19 pandemic. Under this program, healthcare providers could choose to receive advanced payments for future Medicare services provided. The Company applied for and received approval from
Relief Funds
On
Through
Other Financial Measures
For the 2021 Third Quarter, the Company’s Adjusted EBITDA, excluding Relief Funds, a non-GAAP measure, was
Acquisition in Third Quarter 2021
As previously reported, in the 2021 Third Quarter, the Company completed the acquisition of a company that will add to its industrial injury prevention services business. The acquired company specializes in return-to-work and ergonomic services, among other offerings. The business generates more than
The Company’s strategy is to continue acquiring multi-clinic outpatient physical therapy practices, to develop outpatient physical therapy clinics as satellites in existing partnerships and to continue acquiring companies that provide industrial injury prevention services.
Quarterly Dividend
In response to the Company’s strong performance thus far in 2021 and confidence in its future performance, the Company’s Board of Directors declared a quarterly dividend on
Management’s Comments
Third Quarter 2021 Conference Call
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:
- occurrence of the multiple effects of the impact of public health crises and epidemics/pandemics, such as the novel strain of COVID-19 (coronavirus) which the financial magnitude and timing cannot be estimated;
- mandatory COVID-19 vaccination of employees could impact our workforce and have a material adverse effect on our business and results of operations;
- changes as the result of government enacted national healthcare reform;
- changes in Medicare rules and guidelines and reimbursement or failure of our clinics to maintain their Medicare certification and/or enrollment status, including the Medicare reimbursement reductions;
- revenue we receive from Medicare and Medicaid being subject to potential retroactive reductions;
- 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;
- 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;
- 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;
- revenue and earnings expectations;
- legal actions, which could subject us to increased operating costs and uninsured liabilities;
- general economic conditions;
- availability and cost of qualified physical therapists;
- personnel productivity and retaining key personnel;
- 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;
- 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;
- acquisitions, purchase of non-controlling interests (minority interests) and the successful integration of the operations of the acquired businesses;
- 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 adequate internal controls;
- maintaining necessary insurance coverage;
- availability, terms, and use of capital; and
- weather and other seasonal factors.
See Risk Factors in Item 1A of our Annual Report on Form 10-K for the year ended
Many factors are beyond our control. Given these uncertainties, you should not place undue reliance on our forward-looking statements. Please see the other sections of this report and our other periodic reports filed with the
About
Founded in 1990,
|
||||||||||||||||
CONSOLIDATED STATEMENTS OF INCOME |
||||||||||||||||
(IN THOUSANDS, EXCEPT PER SHARE DATA) |
||||||||||||||||
(unaudited) |
||||||||||||||||
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
||||||||||
|
|
September
|
|
|
September
|
|
|
September
|
|
|
September
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Net patient revenue |
|
$ |
112,327 |
|
|
$ |
96,398 |
|
|
$ |
324,819 |
|
|
$ |
268,803 |
|
Other revenue |
|
|
13,566 |
|
|
|
12,531 |
|
|
|
40,370 |
|
|
|
36,700 |
|
Net revenue |
|
|
125,893 |
|
|
|
108,929 |
|
|
|
365,189 |
|
|
|
305,503 |
|
Operating cost: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Salaries and related costs |
|
|
70,492 |
|
|
|
57,519 |
|
|
|
203,173 |
|
|
|
169,952 |
|
Rent, supplies, contract labor and other |
|
|
24,239 |
|
|
|
19,695 |
|
|
|
68,075 |
|
|
|
62,915 |
|
Provision for credit losses |
|
|
1,358 |
|
|
|
1,279 |
|
|
|
3,922 |
|
|
|
3,379 |
|
Closure cost - lease and other |
|
|
5 |
|
|
|
79 |
|
|
|
20 |
|
|
|
2,066 |
|
Closure cost - derecognition of goodwill |
|
|
- |
|
|
|
- |
|
|
|
- |
|
|
|
1,859 |
|
Total operating cost |
|
|
96,094 |
|
|
|
78,572 |
|
|
|
275,190 |
|
|
|
240,171 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross profit |
|
|
29,799 |
|
|
|
30,357 |
|
|
|
89,999 |
|
|
|
65,332 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Corporate office cost |
|
|
12,867 |
|
|
|
10,422 |
|
|
|
35,815 |
|
|
|
31,121 |
|
Operating income |
|
|
16,932 |
|
|
|
19,935 |
|
|
|
54,184 |
|
|
|
34,211 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other income and expense |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Relief Funds |
|
|
- |
|
|
|
390 |
|
|
|
- |
|
|
|
8,349 |
|
Gain on sale of partnership interest and clinics |
|
|
- |
|
|
|
18 |
|
|
|
- |
|
|
|
1,091 |
|
Resolution of a payor matter |
|
|
1,216 |
|
|
|
- |
|
|
|
1,216 |
|
|
|
- |
|
Interest and other income, net |
|
|
58 |
|
|
|
50 |
|
|
|
158 |
|
|
|
97 |
|
Interest expense - debt and other |
|
|
(268 |
) |
|
|
(351 |
) |
|
|
(751 |
) |
|
|
(1,431 |
) |
Total other income and expense |
|
|
1,006 |
|
|
|
107 |
|
|
|
623 |
|
|
|
8,106 |
|
Income before taxes |
|
|
17,938 |
|
|
|
20,042 |
|
|
|
54,807 |
|
|
|
42,317 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Provision for income taxes |
|
|
3,815 |
|
|
|
4,279 |
|
|
|
11,326 |
|
|
|
8,453 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income |
|
|
14,123 |
|
|
|
15,763 |
|
|
|
43,481 |
|
|
|
33,864 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Less: net income attributable to non-controlling interest: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Redeemable non-controlling interest - temporary equity |
|
|
(2,605 |
) |
|
|
(3,019 |
) |
|
|
(8,669 |
) |
|
|
(7,811 |
) |
Non-controlling interest - permanent equity |
|
|
(1,509 |
) |
|
|
(1,828 |
) |
|
|
(4,194 |
) |
|
|
(3,889 |
) |
|
|
|
(4,114 |
) |
|
|
(4,847 |
) |
|
|
(12,863 |
) |
|
|
(11,700 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income attributable to USPH shareholders |
|
$ |
10,009 |
|
|
$ |
10,916 |
|
|
$ |
30,618 |
|
|
$ |
22,164 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic and diluted earnings per share attributable to USPH shareholders |
|
$ |
0.66 |
|
|
$ |
0.61 |
|
|
$ |
1.69 |
|
|
$ |
1.80 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Shares used in computation - basic and diluted |
|
|
12,909 |
|
|
|
12,847 |
|
|
|
12,894 |
|
|
|
12,829 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Dividends declared per common share |
|
$ |
0.38 |
|
|
$ |
- |
|
|
$ |
1.08 |
|
|
$ |
0.32 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
CONSOLIDATED BALANCE SHEET |
||||||||||
(IN THOUSANDS, EXCEPT PER SHARE DATA) |
||||||||||
|
|
September |
|
|
December |
|||||
|
|
30, 2021 |
|
|
31, 2021 |
|||||
ASSETS |
|
(unaudited) |
|
|
|
|||||
Current assets: |
|
|
|
|
|
|||||
Cash and cash equivalents |
|
$ |
19,188 |
|
|
$ |
32,918 |
|
||
Patient accounts receivable, less allowance for credit losses of |
|
|
46,456 |
|
|
|
41,906 |
|
||
Accounts receivable - other |
|
|
10,093 |
|
|
|
9,039 |
|
||
Other current assets |
|
|
3,687 |
|
|
|
3,773 |
|
||
Total current assets |
|
|
79,424 |
|
|
|
87,636 |
|
||
Fixed assets: |
|
|
|
|
|
|
|
|
||
Furniture and equipment |
|
|
58,179 |
|
|
|
55,426 |
|
||
Leasehold improvements |
|
|
37,413 |
|
|
|
35,320 |
|
||
Fixed assets, gross |
|
|
95,592 |
|
|
|
90,746 |
|
||
Less accumulated depreciation and amortization |
|
|
73,556 |
|
|
|
69,081 |
|
||
Fixed assets, net |
|
|
22,036 |
|
|
|
21,665 |
|
||
Operating lease right-of-use assets |
|
|
92,952 |
|
|
|
81,595 |
|
||
|
|
|
374,047 |
|
|
|
345,646 |
|
||
Other identifiable intangible assets, net |
|
|
60,086 |
|
|
|
56,280 |
|
||
Other assets |
|
|
1,553 |
|
|
|
1,539 |
|
||
Total assets |
|
$ |
630,098 |
|
|
$ |
594,361 |
|
||
|
|
|
|
|
|
|
|
|
||
LIABILITIES, REDEEMABLE NON-CONTROLLING INTEREST, USPH SHAREHOLDERS’ EQUITY AND NON-CONTROLLING INTEREST |
|
|
|
|
|
|
|
|
||
Current liabilities: |
|
|
|
|
|
|
|
|
||
Accounts payable - trade |
|
$ |
1,532 |
|
|
$ |
1,335 |
|
||
Accrued expenses |
|
|
50,267 |
|
|
|
59,746 |
|
||
Current portion of operating lease liabilities |
|
|
29,197 |
|
|
|
27,512 |
|
||
Current portion of notes payable |
|
|
672 |
|
|
|
4,899 |
|
||
Total current liabilities |
|
|
81,668 |
|
|
|
93,492 |
|
||
Notes payable, net of current portion |
|
|
2,265 |
|
|
|
596 |
|
||
Revolving line of credit |
|
|
33,000 |
|
|
|
16,000 |
|
||
Deferred taxes |
|
|
6,682 |
|
|
|
7,779 |
|
||
Operating lease liabilities, net of current portion |
|
|
71,209 |
|
|
|
61,985 |
|
||
Other long-term liabilities |
|
|
6,440 |
|
|
|
4,539 |
|
||
Total liabilities |
|
|
201,264 |
|
|
|
184,391 |
|
||
|
|
|
|
|
|
|
|
|
||
Redeemable non-controlling interest - temporary equity |
|
|
138,217 |
|
|
|
132,340 |
|
||
Commitments and Contingencies |
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
||
Preferred stock, |
|
|
- |
|
|
|
- |
|
||
Common stock, |
|
|
151 |
|
|
|
151 |
|
||
Additional paid-in capital |
|
|
101,922 |
|
|
|
95,622 |
|
||
Retained earnings |
|
|
219,338 |
|
|
|
212,015 |
|
||
|
|
|
(31,628 |
) |
|
|
(31,628 |
) |
||
Total USPH shareholders’ equity |
|
|
289,783 |
|
|
|
276,160 |
|
||
Non-controlling interest - permanent equity |
|
|
834 |
|
|
|
1,470 |
|
||
Total USPH shareholders' equity and non-controlling interest - permanent equity |
|
|
290,617 |
|
|
|
277,630 |
|
||
Total liabilities, redeemable non-controlling interest, |
|
|
|
|
|
|
|
|
||
USPH shareholders' equity and non-controlling interest - permanent equity |
|
$ |
630,098 |
|
|
$ |
594,361 |
|
||
|
|
|
|
|
|
|
|
|
||
|
||||||||
CONSOLIDATED STATEMENTS OF CASH FLOWS |
||||||||
(IN THOUSANDS, EXCEPT PER SHARE DATA) |
||||||||
(unaudited) |
||||||||
|
|
Nine Months Ended |
|
|||||
|
|
|
|
|
|
|
||
OPERATING ACTIVITIES |
|
|
|
|
|
|
||
Net income including non-controlling interest |
|
$ |
43,481 |
|
|
$ |
33,864 |
|
Adjustments to reconcile net income including non-controlling interest to net cash provided by operating activities: |
|
|
|
|
|
|
|
|
Depreciation and amortization |
|
|
8,519 |
|
|
|
8,066 |
|
Provision for credit losses |
|
|
3,922 |
|
|
|
3,379 |
|
Equity-based awards compensation expense |
|
|
6,280 |
|
|
|
5,325 |
|
Deferred income taxes |
|
|
1,292 |
|
|
|
(834 |
) |
Loss on sale of fixed assets |
|
|
113 |
|
|
|
346 |
|
Gain on sale of partnership interest |
|
|
- |
|
|
|
(1,091 |
) |
Derecognition (write-off) of goodwill - closed clinics |
|
|
- |
|
|
|
1,859 |
|
Changes in operating assets and liabilities: |
|
|
|
|
|
|
|
|
(Increase) decrease in patient accounts receivable |
|
|
(7,513 |
) |
|
|
4,117 |
|
(Increase) decrease in accounts receivable - other |
|
|
(738 |
) |
|
|
730 |
|
(Increase) decrease in other assets |
|
|
(195 |
) |
|
|
5,404 |
|
Increase in accounts payable and accrued expenses |
|
|
4,529 |
|
|
|
13,495 |
|
Increase (decrease) in other long-term liabilities |
|
|
811 |
|
|
|
(58 |
) |
Net cash provided by operating activities |
|
|
60,501 |
|
|
|
74,602 |
|
|
|
|
|
|
|
|
|
|
INVESTING ACTIVITIES |
|
|
|
|
|
|
|
|
Purchase of fixed assets |
|
|
(5,996 |
) |
|
|
(5,494 |
) |
Purchase of majority interest in businesses, net of cash acquired |
|
|
(22,590 |
) |
|
|
(15,322 |
) |
Purchase of redeemable non-controlling interest, temporary equity |
|
|
(14,916 |
) |
|
|
(3,087 |
) |
Purchase of non-controlling interest, permanent equity |
|
|
(1,093 |
) |
|
|
(184 |
) |
Proceeds on sale of redeemable non-controlling interest, temporary equity |
|
|
69 |
|
|
|
54 |
|
Proceeds on sales of partnership interest, clinics and fixed assets |
|
|
137 |
|
|
|
1,118 |
|
Sales of non-controlling interest-permanent |
|
|
131 |
|
|
|
- |
|
Net cash used in investing activities |
|
|
(44,258 |
) |
|
|
(22,915 |
) |
|
|
|
|
|
|
|
|
|
FINANCING ACTIVITIES |
|
|
|
|
|
|
|
|
Distributions to non-controlling interest, permanent and temporary equity |
|
|
(14,330 |
) |
|
|
(14,223 |
) |
Cash dividends paid to shareholders |
|
|
(13,934 |
) |
|
|
(4,110 |
) |
Proceeds from revolving line of credit |
|
|
193,000 |
|
|
|
134,000 |
|
Payments on revolving line of credit |
|
|
(176,000 |
) |
|
|
(173,000 |
) |
Principal payments on notes payable |
|
|
(4,662 |
) |
|
|
(700 |
) |
(Payment) receipt of Medicare Accelerated and Advance Funds |
|
|
(14,054 |
) |
|
|
12,924 |
|
Short swing profit settlement |
|
|
20 |
|
|
|
- |
|
Other |
|
|
(13 |
) |
|
|
3 |
|
Net cash used in financing activities |
|
|
(29,973 |
) |
|
|
(45,106 |
) |
|
|
|
|
|
|
|
|
|
Net (decrease) increase in cash and cash equivalents |
|
|
(13,730 |
) |
|
|
6,581 |
|
Cash and cash equivalents - beginning of period |
|
|
32,918 |
|
|
|
23,548 |
|
Cash and cash equivalents - end of period |
|
$ |
19,188 |
|
|
$ |
30,129 |
|
|
|
|
|
|
|
|
|
|
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION |
|
|
|
|
|
|
|
|
Cash paid during the period for: |
|
|
|
|
|
|
|
|
Income taxes |
|
$ |
10,777 |
|
|
$ |
4,421 |
|
Interest |
|
$ |
1,195 |
|
|
$ |
1,202 |
|
Non-cash investing and financing transactions during the period: |
|
|
|
|
|
|
|
|
Purchase of businesses - seller financing portion |
|
$ |
1,800 |
|
|
$ |
796 |
|
Purchase of redeemable non-controlling interest - notes payable |
|
$ |
1,302 |
|
|
$ |
137 |
|
Notes payable due to purchase of non-controlling interest, permanent equity |
|
$ |
- |
|
|
$ |
699 |
|
Receivables related to sale of partnership interest |
|
$ |
- |
|
|
$ |
386 |
|
Note receivables related to sale of partnership interest |
|
$ |
914 |
|
|
$ |
670 |
|
|
|
|
OPERATING RESULTS AND ADJUSTED EBITDA
(IN THOUSANDS, EXCEPT PER SHARE DATA)
(unaudited)
The following tables provide detail of the diluted earnings per share computation and reconcile net income attributable to USPH shareholders calculated in accordance with GAAP to Operating Results and Adjusted EBITDA. Management believes providing Operating Results and Adjusted EBITDA to investors is useful information for comparing the Company's period-to-period results.
Operating Results, a non-Generally Accepted Accounting Principles (“GAAP”) measure, equals net income attributable to USPH diluted shareholders per the consolidated statements of income less gain on sale of partnership interests and clinics plus charges incurred for clinic closure costs and expenses related to executive officer transitions, all net of taxes. Operating Results per diluted share, also excludes the impact of the revaluation of redeemable non-controlling interest. In accordance with current accounting guidance, the revaluation of redeemable non-controlling interest, net of tax, is included in the earnings per basic and diluted share calculation, although it is not included in net income but charged directly to retained earnings.
Adjusted EBITDA is defined as net income attributable to USPH shareholders before interest income, interest expense, taxes, depreciation, amortization, equity-based awards compensation expense and derecognition of goodwill related to clinic closures. Management believes reporting Adjusted EBITDA is useful information for investors in comparing the Company’s period-to-period results as well as comparing with similar businesses which report adjusted EBITDA as defined by their company.
Management uses Operating Results and Adjusted EBITDA, which eliminates certain items described above that can be subject to volatility and unusual costs, as one the principal measures to evaluate and monitor financial performance period over period. Management believes that Operating Results and Adjusted EBITDA is useful information for investors to use in 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.
Operating Results and Adjusted EBITDA are not measures of financial performance under GAAP. Adjusted EBITDA and Operating Results 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.
In this earnings release, Management purposefully defined Gross profit less closure costs (a non-GAAP measure) and Operating cost less closure costs (a non-GAAP measure) as a metric to see the business through the eyes of Management excluding the variability of closure costs. Although closure costs are a recurring cost of our business, due to the business environment in 2020 (primarily the COVID-19 pandemic), Management determined that a number of clinics needed to be closed resulting in unusually high closure costs. Presenting Gross profit less closure costs and Operating cost less closure costs allows the reader to evaluate our revenue generation performance relative to direct costs of revenue. A reconciliation between the Gross Profit in accordance with GAAP to Gross profit less closure costs and Operating cost in accordance with GAAP to Operating cost less closure costs has been included in the body of the release.
|
||||||||||||||||
OPERATING RESULTS AND ADJUSTED EBITDA |
||||||||||||||||
2021 PERIODS COMPARED TO 2020 PERIODS |
||||||||||||||||
(IN THOUSANDS, EXCEPT PER SHARE DATA) |
||||||||||||||||
(unaudited) |
||||||||||||||||
|
|
Three Months Ended
|
|
|
Nine Months Ended
|
|
||||||||||
|
|
2021 |
|
|
2020 |
|
|
2021 |
|
|
2020 |
|
||||
Computation of earnings per share - USPH shareholders: |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Net income attributable to USPH shareholders |
|
$ |
10,009 |
|
|
$ |
10,916 |
|
|
$ |
30,618 |
|
|
$ |
22,164 |
|
Credit (charges) to retained earnings: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revaluation of redeemable non-controlling interest |
|
|
(2,070 |
) |
|
|
(4,298 |
) |
|
|
(11,889 |
) |
|
|
1,175 |
|
Tax effect at statutory rate (federal and state) of |
|
|
529 |
|
|
|
1,228 |
|
|
|
3,038 |
|
|
|
(308 |
) |
|
|
$ |
8,468 |
|
|
$ |
7,846 |
|
|
$ |
21,767 |
|
|
$ |
23,031 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings per share (basic and diluted) |
|
$ |
0.66 |
|
|
$ |
0.61 |
|
|
$ |
1.69 |
|
|
$ |
1.80 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Adjustments: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Closure costs |
|
|
5 |
|
|
|
79 |
|
|
|
20 |
|
|
|
3,925 |
|
Expenses related to executive officer transitions |
|
|
1,301 |
|
|
|
69 |
|
|
|
1,301 |
|
|
|
202 |
|
Gain on sale of partnership interest and clinics |
|
|
- |
|
|
|
(18 |
) |
|
|
|
|
|
|
(1,091 |
) |
Relief Funds |
|
|
- |
|
|
|
(391 |
) |
|
|
- |
|
|
|
(8,349 |
) |
Allocation to non-controlling interest |
|
|
- |
|
|
|
77 |
|
|
|
- |
|
|
|
1,977 |
|
Revaluation of redeemable non-controlling interest |
|
|
2,070 |
|
|
|
4,298 |
|
|
|
11,889 |
|
|
|
(1,175 |
) |
Tax effect at statutory rate (federal and state) of |
|
|
(863 |
) |
|
|
(1,080 |
) |
|
|
(3,375 |
) |
|
|
1,184 |
|
Operating Results (excluding Relief Funds) (a non-GAAP measure) |
|
$ |
10,981 |
|
|
$ |
10,880 |
|
|
$ |
31,602 |
|
|
$ |
19,704 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Relief Funds |
|
$ |
- |
|
|
|
391 |
|
|
$ |
- |
|
|
|
8,349 |
|
Allocation to non-controlling interest |
|
|
- |
|
|
|
(77 |
) |
|
|
- |
|
|
|
(1,753 |
) |
Tax effect at statutory rate (federal and state) of |
|
|
- |
|
|
|
(82 |
) |
|
|
- |
|
|
|
(1,731 |
) |
Operating Results (including Relief Funds) (a non-GAAP measure) |
|
$ |
10,981 |
|
|
$ |
11,112 |
|
|
$ |
31,602 |
|
|
$ |
24,569 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic and diluted Operating Results per share (excluding Relief Funds) (a non-GAAP measure) |
|
$ |
0.85 |
|
|
$ |
0.85 |
|
|
$ |
2.45 |
|
|
$ |
1.54 |
|
Basic and diluted Operating Results per share (including Relief Funds) (a non-GAAP measure) |
|
$ |
0.85 |
|
|
$ |
0.86 |
|
|
$ |
2.45 |
|
|
$ |
1.92 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Shares used in computation - basic and diluted |
|
|
12,909 |
|
|
|
12,847 |
|
|
|
12,894 |
|
|
|
12,829 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended
|
|
|
Nine Months Ended
|
|
||||||||||
|
|
2021 |
|
|
2020 |
|
|
2021 |
|
|
2020 |
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income attributable to USPH shareholders |
|
$ |
10,009 |
|
|
$ |
10,916 |
|
|
$ |
30,618 |
|
|
$ |
22,164 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Adjustments: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation and amortization |
|
|
3,036 |
|
|
|
2,546 |
|
|
|
8,520 |
|
|
|
7,879 |
|
Closure cost - derecognition of goodwill |
|
|
- |
|
|
|
- |
|
|
|
- |
|
|
|
1,859 |
|
Relief Funds |
|
|
- |
|
|
|
(391 |
) |
|
|
|
|
|
|
(8,349 |
) |
Interest income |
|
|
(58 |
) |
|
|
(50 |
) |
|
|
(158 |
) |
|
|
(97 |
) |
Interest expense - debt and other |
|
|
268 |
|
|
|
351 |
|
|
|
751 |
|
|
|
1,431 |
|
Provision for income taxes |
|
|
3,815 |
|
|
|
4,279 |
|
|
|
11,326 |
|
|
|
8,453 |
|
Equity-based awards compensation expense |
|
|
2,875 |
|
|
|
1,936 |
|
|
|
6,280 |
|
|
|
5,325 |
|
Adjusted EBITDA (excluding Relief Funds) (a non-GAAP measure) |
|
$ |
19,945 |
|
|
$ |
19,587 |
|
|
$ |
57,337 |
|
|
$ |
38,665 |
|
Relief Funds |
|
|
- |
|
|
|
391 |
|
|
|
- |
|
|
|
8,349 |
|
Adjusted EBITDA (a non-GAAP measure) |
|
$ |
19,945 |
|
|
$ |
19,978 |
|
|
$ |
57,337 |
|
|
$ |
47,014 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||
OPERATING RESULTS AND ADJUSTED EBITDA |
||||||||||||||||
2021 PERIODS COMPARED TO 2019 PERIODS |
||||||||||||||||
(IN THOUSANDS, EXCEPT PER SHARE DATA) |
||||||||||||||||
(unaudited) |
||||||||||||||||
|
|
Three Months Ended
|
|
|
Nine Months Ended
|
|
||||||||||
|
|
2021 |
|
|
2019 |
|
|
2021 |
|
|
2019 |
|
||||
Computation of earnings per share - USPH shareholders: |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Net income attributable to USPH shareholders |
|
$ |
10,009 |
|
|
$ |
9,047 |
|
|
$ |
30,618 |
|
|
$ |
32,110 |
|
Credit (charges) to retained earnings: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revaluation of redeemable non-controlling interest |
|
|
(2,070 |
) |
|
|
(922 |
) |
|
|
(11,889 |
) |
|
|
(10,752 |
) |
Tax effect at statutory rate (federal and state) of |
|
|
529 |
|
|
|
242 |
|
|
|
3,038 |
|
|
|
2,822 |
|
|
|
$ |
8,468 |
|
|
$ |
8,367 |
|
|
$ |
21,767 |
|
|
$ |
24,180 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings per share (basic and diluted) |
|
$ |
0.66 |
|
|
$ |
0.66 |
|
|
$ |
1.69 |
|
|
$ |
1.90 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Adjustments: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Closure costs |
|
|
5 |
|
|
|
- |
|
|
|
20 |
|
|
|
- |
|
Expense related to COO transition |
|
|
1,301 |
|
|
|
- |
|
|
|
1,301 |
|
|
|
- |
|
Gain on sale of partnership interest and clinics |
|
|
- |
|
|
|
- |
|
|
|
- |
|
|
|
(5,823 |
) |
Revaluation of redeemable non-controlling interest |
|
|
2,070 |
|
|
|
922 |
|
|
|
11,889 |
|
|
|
10,752 |
|
Tax effect at statutory rate (federal and state) of |
|
|
(863 |
) |
|
|
(242 |
) |
|
|
(3,375 |
) |
|
|
(1,293 |
) |
Operating Results (a non-GAAP measure) |
|
$ |
10,981 |
|
|
$ |
9,047 |
|
|
$ |
31,602 |
|
|
$ |
27,816 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic and diluted Adjusted EPS (a non-GAAP measure) |
|
$ |
0.85 |
|
|
$ |
0.71 |
|
|
$ |
2.45 |
|
|
$ |
2.18 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Shares used in computation - basic and diluted |
|
|
12,909 |
|
|
|
12,774 |
|
|
|
12,894 |
|
|
|
12,750 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended
|
|
|
Nine Months Ended
|
|
||||||||||
|
|
2021 |
|
|
2019 |
|
|
2021 |
|
|
2019 |
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income attributable to USPH shareholders |
|
$ |
10,009 |
|
|
$ |
9,047 |
|
|
$ |
30,618 |
|
|
$ |
32,110 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Adjustments: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation and amortization |
|
|
3,036 |
|
|
|
2,457 |
|
|
|
8,520 |
|
|
|
7,377 |
|
Gain on sale of partnership interest |
|
|
- |
|
|
|
- |
|
|
|
- |
|
|
|
(5,823 |
) |
Interest income |
|
|
(58 |
) |
|
|
(7 |
) |
|
|
(158 |
) |
|
|
(27 |
) |
Interest expense - debt and other |
|
|
268 |
|
|
|
557 |
|
|
|
751 |
|
|
|
1,522 |
|
Provision for income taxes |
|
|
3,815 |
|
|
|
3,197 |
|
|
|
11,326 |
|
|
|
11,223 |
|
Equity-based awards compensation expense |
|
|
2,875 |
|
|
|
1,704 |
|
|
|
6,280 |
|
|
|
5,262 |
|
Adjusted EBITDA |
|
$ |
19,945 |
|
|
$ |
16,955 |
|
|
$ |
57,337 |
|
|
$ |
51,644 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
RECAP OF PHYSICAL THERAPY OPERATIONS |
||
CLINIC COUNT |
||
Date |
Number of Clinics |
|
|
|
|
|
567 |
|
|
554 |
|
|
550 |
|
|
554 |
|
|
|
|
|
564 |
|
|
575 |
|
|
579 |
|
|
|
View source version on businesswire.com: https://www.businesswire.com/news/home/20211104005217/en/
email: chendrickson@usph.com
(713) 297-7000
Three
(817) 778-8424
Source:
FAQ
What were the financial results for U.S. Physical Therapy (USPH) in Q3 2021?
How did patient volumes change for USPH in Q3 2021?
What was the dividend declared by USPH in Q3 2021?
What was the net patient revenue for USPH in Q3 2021?