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3 Reasons to Avoid USPH and 1 Stock to Buy Instead

USPH Cover Image

U.S. Physical Therapy has had an impressive run over the past six months as its shares have beaten the S&P 500 by 9.5%. The stock now trades at $83.81, marking a 19.1% gain. This was partly due to its solid quarterly results, and the run-up might have investors contemplating their next move.

Is now the time to buy U.S. Physical Therapy, or should you be careful about including it in your portfolio? Dive into our full research report to see our analyst team’s opinion, it’s free.

Why Is U.S. Physical Therapy Not Exciting?

We’re happy investors have made money, but we're sitting this one out for now. Here are three reasons why USPH doesn't excite us and a stock we'd rather own.

1. Fewer Distribution Channels Limit its Ceiling

Larger companies benefit from economies of scale, where fixed costs like infrastructure, technology, and administration are spread over a higher volume of goods or services, reducing the cost per unit. Scale can also lead to bargaining power with suppliers, greater brand recognition, and more investment firepower. A virtuous cycle can ensue if a scaled company plays its cards right.

With just $758.7 million in revenue over the past 12 months, U.S. Physical Therapy is a small company in an industry where scale matters. This makes it difficult to build trust with customers because healthcare is heavily regulated, complex, and resource-intensive.

2. Free Cash Flow Margin Dropping

Free cash flow isn't a prominently featured metric in company financials and earnings releases, but we think it's telling because it accounts for all operating and capital expenses, making it tough to manipulate. Cash is king.

As you can see below, U.S. Physical Therapy’s margin dropped by 8.6 percentage points over the last five years. If its declines continue, it could signal increasing investment needs and capital intensity. U.S. Physical Therapy’s free cash flow margin for the trailing 12 months was 7.5%.

U.S. Physical Therapy Trailing 12-Month Free Cash Flow Margin

3. New Investments Fail to Bear Fruit as ROIC Declines

ROIC, or return on invested capital, is a metric showing how much operating profit a company generates relative to the money it has raised (debt and equity).

We like to invest in businesses with high returns, but the trend in a company’s ROIC is what often surprises the market and moves the stock price. Over the last few years, U.S. Physical Therapy’s ROIC has unfortunately decreased. We like what management has done in the past, but its declining returns are perhaps a symptom of fewer profitable growth opportunities.

U.S. Physical Therapy Trailing 12-Month Return On Invested Capital

Final Judgment

U.S. Physical Therapy isn’t a terrible business, but it isn’t one of our picks. With its shares beating the market recently, the stock trades at 29.7× forward P/E (or $83.81 per share). This valuation tells us a lot of optimism is priced in - you can find more timely opportunities elsewhere. We’d suggest looking at one of our top digital advertising picks.

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