|
Nevada
|
|
1-11151
|
|
76-0364866
|
|
(State or other jurisdiction
of incorporation or organization)
|
|
(Commission
File Number)
|
|
(I.R.S. Employer
Identification No.)
|
|
1300 West Sam Houston Parkway South,
Suite 300, Houston, Texas
|
|
77042
|
|
(Address of Principal Executive Offices)
|
|
(Zip Code)
|
|
|
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
|
|
|
Soliciting material pursuant to Rule 14a-12(b) under the Exchange Act (17 CFR 240.14a-12)
|
|
|
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
|
|
|
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
|
|
Title of each class
|
Trading
|
Name of each exchange on which registered
|
|
|
Symbol(s)
|
|
|
Common Stock, $.01 par value
|
USPH
|
New York Stock Exchange
|
|
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter)
or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
|
|
Emerging growth
company ☐
|
|
|
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new
or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
|
|
Exhibits
|
|
Description of Exhibits
|
| Registrant's press release dated May 21, 2020 * | ||
|
|
|
U.S. PHYSICAL THERAPY, INC.
|
|||||
|
Dated: May 21, 2020
|
|
|
By:
|
|
/s/ LAWRANCE W. MCAFEE
|
||
|
|
|
|
Lawrance W. McAfee
|
||||
|
|
|
|
Chief Financial Officer
|
||||
|
|
|
|
(duly authorized officer and principal financial and accounting officer)
|
||||
|
U.S. Physical Therapy Press Release
|
Page 2
|
|
May 21, 2020
|
|
|
|
Two months ended February 29,
|
One month ended March 31,
|
Three months ended March 31,
|
|||||||||||||||||||||||||||||||||
|
2020
|
2019
|
% Change
|
2020
|
2019
|
% Change
|
2020
|
2019
|
% Change
|
||||||||||||||||||||||||||||
|
Selected Financial Data:
|
||||||||||||||||||||||||||||||||||||
|
Net revenues (in thousands) - reported
|
$
|
78,193
|
$
|
75,901
|
3.0
|
%
|
$
|
34,524
|
$
|
40,330
|
-14.4
|
%
|
$
|
112,717
|
$
|
116,231
|
-3.0
|
%
|
||||||||||||||||||
|
Net revenues (in thousands) - without sold clinics
|
$
|
78,193
|
$
|
72,232
|
8.3
|
%
|
$
|
34,524
|
$
|
38,314
|
-9.9
|
%
|
$
|
112,717
|
$
|
110,546
|
2.0
|
%
|
||||||||||||||||||
|
Operating Statistics (without sold clinics):
|
||||||||||||||||||||||||||||||||||||
|
Number of clinics, at the end of period
|
587
|
561
|
567
|
559
|
567
|
559
|
||||||||||||||||||||||||||||||
|
Working Days
|
42
|
42
|
22
|
21
|
64
|
63
|
||||||||||||||||||||||||||||||
|
Average visits per day per clinic
|
27.7
|
26.5
|
22.7
|
27.9
|
26.2
|
27.0
|
||||||||||||||||||||||||||||||
|
Total patient visits
|
676,328
|
623,943
|
294,695
|
328,288
|
971,023
|
952,231
|
||||||||||||||||||||||||||||||
|
Net patient revenue per visit
|
$
|
103.06
|
$
|
105.89
|
$
|
103.22
|
$
|
106.29
|
$
|
103.11
|
$
|
106.02
|
||||||||||||||||||||||||
|
U.S. Physical Therapy Press Release
|
Page 3
|
|
May 21, 2020
|
|
|
•
|
Excluding the loss of revenues from the clinics within the partnership sold in June of 2019 (“sold clinics”) of $5.7 million for the 2019 First Quarter, net revenues for the 2020 First
Quarter of $112.7 million increased 2.0% from adjusted revenue of $110.5 million ($116.2 million reported less the $5.7 million) for the 2019 First Quarter despite the adverse effects, beginning in mid-March, of the COVID-19 pandemic.
|
|
•
|
Excluding the $5.7 million mentioned above, net patient revenues from physical therapy operations decreased $0.8 million, or 0.8%, to $100.1 million in the 2020 First Quarter from
$101.0 million ($106.7 million reported less the $5.7 million) in the 2019 First Quarter, primarily due to the adverse effects of COVID-19. Management estimates that, due to the virus, the Company lost approximately 77,000 physical
therapy patient visits and more than $8 million in revenue and contribution margin. Of the $0.8 million ($6.5 million less $5.7 million) decrease in net patient revenues described above, $5.4 million related to a decrease in business of
clinics opened or acquired prior to April 1, 2019 (“Mature Clinics”) offset by an increase of $4.6 million related to clinics opened or acquired after March 31, 2019 (“New Clinics”).
|
|
•
|
The average net patient revenue per visit was $103.11 for the 2020 First Quarter and $106.49 for the 2019 First Quarter. Total patient visits were 971,000 in the 2020 First Quarter and
1,001,510 for the 2019 First Quarter (inclusive of 49,300 for the sold clinics). Excluding the 49,300 visits, the net patient revenue per visit was $106.02 for the 2019 First Quarter.
|
|
•
|
Revenue from physical therapy management contracts was $2.1 million for both the 2020 and 2019 quarters.
|
|
•
|
Revenue from the industrial injury prevention business increased 43.1% to $9.9 million in the 2020 First Quarter compared to $6.9 million in the 2019 First Quarter due to internal
growth and an acquisition. Management estimates that the industrial injury prevention business lost approximately $0.1 million in revenue and related contribution margin in March 2020 due to the pandemic. Other miscellaneous revenue was
$0.6 million in the 2020 First Quarter and $0.5 million in the 2019 First Quarter.
|
|
•
|
Total operating costs, excluding closure costs, were $93.3 million in the 2020 First Quarter, or 82.7% of net revenues, as compared to $89.5 million in the 2019 First Quarter, or 77.0%
of net revenues. The $3.8 million increase was attributable to $5.2 million in operating costs related to New Clinics and $2.6 million related to the industrial injury prevention business, primarily related to the acquisition, offset by a
decrease of $4.0 million related to Mature Clinics. Closure costs of $3.8 million include estimates of remaining lease obligations, write-off of goodwill and other costs. The Company has incurred additional closure costs in the second
quarter. Total salaries and related costs, including physical therapy operations and the industrial injury prevention business, were 61.2% of net revenues in the 2020 First Quarter versus 57.0% in the 2019 First Quarter. Rent, supplies,
contract labor and other costs as a percentage of net revenues were 20.3% in the 2020 First Quarter versus 19.0% in the 2019 First Quarter. The provision for doubtful accounts as a percentage of net revenue was 1.2 % in the 2020 First
Quarter and 1.0% in the 2019 First Quarter.
|
|
•
|
Gross profit for the 2020 First Quarter, excluding closure costs, was $19.4 million, as compared to $26.7 million in the 2019 First Quarter. The gross profit percentage, excluding
closure costs, decreased to 17.2% of net revenue in the 2020 First Quarter as compared to 23.0% in the 2019 First Quarter. The gross profit percentage for the Company’s physical therapy clinics, excluding closure costs, was 17.3% in the
2020 First Quarter as compared to 23.1% in the 2019 First Quarter. The gross profit percentage on physical therapy management contracts was 15.7% in the 2020 First Quarter as compared to 18.5% in the 2019 First Quarter. The gross profit
for the industrial injury prevention business was $1.7 million, or 16.8%, in the 2020 First Quarter as compared to $1.5 million, or 22.3%, in the 2019 First Quarter.
|
|
•
|
Corporate office costs were $11.7 million in the 2020 First Quarter compared to $11.3 million in the 2019 First Quarter. Corporate office costs were 10.4% of net revenues for the 2020
First Quarter as compared to 9.7% for the 2019 First Quarter.
|
|
•
|
Operating income for the 2020 First Quarter was $4.0 million as compared to $15.4 million for the 2019 First Quarter. Operating income as a percentage of net revenue decreased from
13.3% in the 2019 period to 3.6% in 2020. See discussion above related to effects of COVID-19.
|
|
•
|
Interest expense was $427,000 in the 2020 First Quarter and $358,000 in the 2019 First Quarter due to higher borrowings under the Company’s revolving credit line.
|
|
•
|
The provision for income tax was $0.3 million for the 2020 First Quarter and $2.7 million for the 2019 First Quarter. The provision for income tax as a percentage of income before taxes
less net income attributable to non-controlling interest was 22.3% for the 2020 First Quarter and 24.3% for the 2019 First Quarter.
|
|
•
|
Net income attributable to non-controlling interests (permanent equity) was $0.5 million in the 2020 First Quarter and $1.5 million in the 2019 First Quarter. Net income attributable
to redeemable non-controlling interests (temporary equity) was $1.8 million in the 2020 First Quarter and $2.4 million in the 2019 First Quarter.
|
|
U.S. Physical Therapy Press Release
|
Page 4
|
|
May 21, 2020
|
|
|
U.S. Physical Therapy Press Release
|
Page 5
|
|
May 21, 2020
|
|
|
•
|
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 cannot be currently
estimated;
|
|
•
|
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;
|
|
•
|
revenue we receive from Medicare and Medicaid being subject to potential retroactive reduction;
|
|
•
|
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 business, which could result in the termination or non-renewal of contractual service arrangements and other adverse
financial consequences for that service line;
|
|
•
|
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 interests (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 adequate internal controls;
|
|
•
|
maintaining necessary insurance coverage;
|
|
•
|
availability, terms, and use of capital; and
|
|
•
|
weather and other seasonal factors.
|
|
U.S. Physical Therapy Press Release
|
Page 6
|
|
May 21, 2020
|
|
|
Three Months Ended
|
||||||||
|
March 31, 2020
|
March 31, 2019
|
|||||||
|
Net patient revenues
|
$
|
100,126
|
$
|
106,650
|
||||
|
Other revenues
|
12,591
|
9,581
|
||||||
|
Net revenues
|
112,717
|
116,231
|
||||||
|
Operating costs:
|
||||||||
|
Salaries and related costs
|
69,004
|
66,267
|
||||||
|
Rent, supplies, contract labor and other
|
22,909
|
22,044
|
||||||
|
Provision for doubtful accounts
|
1,361
|
1,206
|
||||||
|
Closure costs - lease and other
|
1,893
|
(4
|
)
|
|||||
|
Closure costs - write-off of goodwill
|
1,859
|
-
|
||||||
|
Total operating costs
|
97,026
|
89,513
|
||||||
|
Gross profit
|
15,691
|
26,718
|
||||||
|
Corporate office costs
|
11,677
|
11,293
|
||||||
|
Operating income
|
4,014
|
15,425
|
||||||
|
Other income and expense
|
||||||||
|
Interest and other income, net
|
43
|
16
|
||||||
|
Interest expense - debt and other
|
(427
|
)
|
(358
|
)
|
||||
|
Income before taxes
|
3,630
|
15,083
|
||||||
|
Provision for income taxes
|
292
|
2,708
|
||||||
|
Net income
|
3,338
|
12,375
|
||||||
|
Less: net income attributable to non-controlling interests:
|
||||||||
|
Non-controlling interests - permanent equity
|
(526
|
)
|
(1,537
|
)
|
||||
|
Redeemable non-controlling interests - temporary equity
|
(1,796
|
)
|
(2,395
|
)
|
||||
|
(2,322
|
)
|
(3,932
|
)
|
|||||
|
Net income attributable to USPH shareholders
|
$
|
1,016
|
$
|
8,443
|
||||
|
Basic and diluted earnings per share attributable to USPH shareholders
|
$
|
0.20
|
$
|
0.39
|
||||
|
Shares used in computation - basic and diluted
|
12,796
|
12,707
|
||||||
|
Dividends declared per common share
|
$
|
0.32
|
$
|
0.27
|
||||
|
U.S. Physical Therapy Press Release
|
Page 7
|
|
May 21, 2020
|
|
|
March 31, 2020
|
December 31, 2019
|
|||||||
|
ASSETS
|
(unaudited)
|
|||||||
|
Current assets:
|
||||||||
|
Cash and cash equivalents
|
$
|
89,551
|
$
|
23,548
|
||||
|
Patient accounts receivable, less allowance for doubtful accounts of $2,557 and $2,698, respectively
|
42,649
|
46,228
|
||||||
|
Accounts receivable - other
|
11,650
|
9,823
|
||||||
|
Other current assets
|
4,822
|
5,787
|
||||||
|
Total current assets
|
148,672
|
85,386
|
||||||
|
Fixed assets:
|
||||||||
|
Furniture and equipment
|
56,873
|
54,942
|
||||||
|
Leasehold improvements
|
32,873
|
33,247
|
||||||
|
Fixed assets, gross
|
89,746
|
88,189
|
||||||
|
Less accumulated depreciation and amortization
|
66,764
|
66,099
|
||||||
|
Fixed assets, net
|
22,982
|
22,090
|
||||||
|
Operating lease right-of-use assets
|
83,619
|
81,586
|
||||||
|
Goodwill
|
330,769
|
317,676
|
||||||
|
Other identifiable intangible assets, net
|
55,648
|
52,588
|
||||||
|
Other assets
|
1,563
|
1,519
|
||||||
|
Total assets
|
$
|
643,253
|
$
|
560,845
|
||||
|
LIABILITIES, REDEEMABLE NON-CONTROLLING INTERESTS, USPH SHAREHOLDERS’ EQUITY AND NON-CONTROLLING INTERESTS
|
||||||||
|
Current liabilities:
|
||||||||
|
Accounts payable - trade
|
$
|
2,950
|
$
|
2,494
|
||||
|
Accrued expenses
|
40,645
|
30,855
|
||||||
|
Current portion of operating lease liabilities
|
26,826
|
26,486
|
||||||
|
Current portion of notes payable
|
728
|
728
|
||||||
|
Total current liabilities
|
71,149
|
60,563
|
||||||
|
Notes payable, net of current portion
|
4,602
|
4,361
|
||||||
|
Revolving line of credit
|
114,000
|
46,000
|
||||||
|
Deferred taxes
|
7,743
|
10,071
|
||||||
|
Operating lease liabilities, net of current portion
|
62,577
|
60,258
|
||||||
|
Other long-term liabilities
|
380
|
141
|
||||||
|
Total liabilities
|
260,451
|
181,394
|
||||||
|
Redeemable non-controlling interests
|
140,498
|
137,750
|
||||||
|
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, 15,058,804 and 14,989,337 shares issued, respectively
|
151
|
150
|
||||||
|
Additional paid-in capital
|
89,756
|
87,383
|
||||||
|
Retained earnings
|
182,785
|
184,352
|
||||||
|
Treasury stock at cost, 2,214,737 shares
|
(31,628
|
)
|
(31,628
|
)
|
||||
|
Total USPH shareholders’ equity
|
241,064
|
240,257
|
||||||
|
Non-controlling interests
|
1,240
|
1,444
|
||||||
|
Total USPH shareholders' equity and non-controlling interests
|
242,304
|
241,701
|
||||||
|
Total liabilities, redeemable non-controlling interests, USPH shareholders' equity and non-controlling interests
|
$
|
643,253
|
$
|
560,845
|
||||
|
U.S. Physical Therapy Press Release
|
Page 8
|
|
May 21, 2020
|
|
|
|
Three Months Ended
|
|||||||
|
|
March 31, 2020
|
March 31, 2019
|
||||||
|
OPERATING ACTIVITIES
|
||||||||
|
Net income including non-controlling interests
|
$
|
3,338
|
$
|
12,375
|
||||
|
Adjustments to reconcile net income including non-controlling interests to net cash provided by operating activities:
|
||||||||
|
Depreciation and amortization
|
2,607
|
2,400
|
||||||
|
Provision for doubtful accounts
|
1,361
|
1,206
|
||||||
|
Equity-based awards compensation expense
|
1,886
|
1,728
|
||||||
|
Deferred income taxes
|
(1,369
|
)
|
2,118
|
|||||
|
Write-off of goodwill - closed clinics
|
1,859
|
-
|
||||||
|
Other
|
129
|
12
|
||||||
|
Changes in operating assets and liabilities:
|
||||||||
|
(Decrease) Increase in patient accounts receivable
|
3,209
|
(4,898
|
)
|
|||||
|
Increase in accounts receivable - other
|
(1,752
|
)
|
(495
|
)
|
||||
|
Increase (Decrease) in other assets
|
2,846
|
(894
|
)
|
|||||
|
Increase in accounts payable and accrued expenses
|
2,027
|
274
|
||||||
|
Increase (Decrease) in other liabilities
|
239
|
(263
|
)
|
|||||
|
Net cash provided by operating activities
|
16,380
|
13,563
|
||||||
|
|
||||||||
|
INVESTING ACTIVITIES
|
||||||||
|
Purchase of fixed assets
|
(2,754
|
)
|
(2,497
|
)
|
||||
|
Purchase of majority interest in businesses, net of cash acquired
|
(11,633
|
)
|
-
|
|||||
|
Purchase of redeemable non-controlling interest, temporary equity
|
(1,852
|
)
|
(2,053
|
)
|
||||
|
Purchase of non-controlling interest, permanent equity
|
-
|
(139
|
)
|
|||||
|
Proceeds on sale of fixed assets
|
316
|
59
|
||||||
|
Net cash used in investing activities
|
(15,923
|
)
|
(4,630
|
)
|
||||
|
|
||||||||
|
FINANCING ACTIVITIES
|
||||||||
|
Distributions to non-controlling interests, permanent and temporary equity
|
(2,341
|
)
|
(2,576
|
)
|
||||
|
Proceeds from revolving line of credit
|
88,000
|
19,000
|
||||||
|
Payments on revolving line of credit
|
(20,000
|
)
|
(28,000
|
)
|
||||
|
Principal payments on notes payable
|
(114
|
)
|
(482
|
)
|
||||
|
Other
|
1
|
(5
|
)
|
|||||
|
Net cash provided by (used in) financing activities
|
65,546
|
(12,063
|
)
|
|||||
|
|
||||||||
|
Net increase in cash and cash equivalents
|
66,003
|
(3,130
|
)
|
|||||
|
Cash and cash equivalents - beginning of period
|
23,548
|
23,368
|
||||||
|
Cash and cash equivalents - end of period
|
$
|
89,551
|
$
|
20,238
|
||||
|
|
||||||||
|
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION
|
||||||||
|
Cash paid during the period for:
|
||||||||
|
Income taxes
|
$
|
242
|
$
|
313
|
||||
|
Interest
|
$
|
349
|
$
|
343
|
||||
|
Non-cash investing and financing transactions during the period:
|
||||||||
|
Purchase of businesses - seller financing portion
|
$
|
300
|
$
|
-
|
||||
|
|
||||||||
|
U.S. Physical Therapy Press Release
|
Page 9
|
|
May 21, 2020
|
|
|
|
Three Months Ended March 31,
|
|||||||
|
|
2020
|
2019
|
||||||
|
Computation of earnings per share - USPH shareholders:
|
||||||||
|
Net income attributable to USPH shareholders
|
$
|
1,016
|
$
|
8,443
|
||||
|
Credit (charges) to retained earnings:
|
||||||||
|
Revaluation of redeemable non-controlling interest
|
$
|
2,129
|
$
|
(4,661
|
)
|
|||
|
Tax effect at statutory rate (federal and state) of 26.25%
|
(559
|
)
|
1,224
|
|||||
|
$
|
2,586
|
$
|
5,006
|
|||||
|
Earnings per share (basic and diluted)
|
$
|
0.20
|
$
|
0.39
|
||||
|
|
||||||||
|
Adjustments:
|
||||||||
|
Charges incurred for CFO search
|
133
|
-
|
||||||
|
Closure costs
|
3,752
|
-
|
||||||
|
Revaluation of redeemable non-controlling interest
|
(2,129
|
)
|
4,661
|
|||||
|
Tax effect at statutory rate (federal and state) of 26.25%
|
(461
|
)
|
(1,224
|
)
|
||||
|
Operating Results
|
$
|
3,881
|
$
|
8,443
|
||||
|
Basic and diluted Operating Results per share
|
$
|
0.30
|
$
|
0.66
|
||||
|
Shares used in computation - basic and diluted
|
12,796
|
12,707
|
||||||
|
|
Three Months Ended March 31,
|
|||||||
|
|
2020
|
2019
|
||||||
|
|
||||||||
|
Net income attributable to USPH shareholders
|
$
|
1,016
|
$
|
8,443
|
||||
|
|
||||||||
|
Adjustments:
|
||||||||
|
Depreciation and amortization
|
2,607
|
2,400
|
||||||
|
Closure costs - write-off of goodwill
|
1,859
|
-
|
||||||
|
Interest income
|
(43
|
)
|
(16
|
)
|
||||
|
Interest expense - debt and other
|
427
|
358
|
||||||
|
Provision for income taxes
|
292
|
2,708
|
||||||
|
Equity-based awards compensation expense
|
1,886
|
1,728
|
||||||
|
|
||||||||
|
Adjusted EBITDA
|
$
|
8,044
|
$
|
15,621
|
||||
|
U.S. Physical Therapy Press Release
|
Page 10
|
|
May 21, 2020
|
|
|
Date
|
Number of Clinics
|
|
March 31, 2019
|
590
|
|
June 30, 2019
|
564
|
|
September 30, 2019
|
574
|
|
December 31, 2019
|
583
|
|
March 31, 2020
|
567
|