ROARABLE // PRO
GLOBAL DESKS // NYC --:--:-- NYSE
US TAPE
ROAR ▸

USPH // U.S. Physical Therapy Inc.

DES <GO> NYSE RQD COCKPIT → CIK 0000885978 ↗
Health Care • Medical/Nursing Services
$86.57 ▲ +1.25 (+1.47%)
MKT CAP: $1.29B • VOL: 105.2K
USPH // ROARABLE RATING & 5-PILLAR RQD CONFIDENCE 02:00 EST DETERMINISTIC ENGINE
PRIOR: RQD 64/100 [C] (+0 PT) • UNCHANGED
ROARABLE C
RQD CONFIDENCE
64 / 100 +0D
5 X 20-PT QUANT PILLARS
E 0 D 35 C 59 B 70 A 86+
Roarable Hold — Fair / Balanced Risk-Reward
01 MASSIVE / SEC XBRL
Forensic Fundamentals
13 / 20
SOLID
FCF +0.2% vs NI +26% • ROIC-WACC +2.5% • Z 2.94
02 INSTITUTIONAL TAPE & TREND
Whale & Options Flow
[LOCKED] FLAGGED
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03 SEC XBRL CAPITAL ALLOCATION
Insider & Capital Conviction
15 / 20
SOLID
FCF YIELD +5.8% • P/E 27.4x • F-SCORE 8/9
04 FRED 90D r-MATRIX
Macro Regime Fit
14 / 20
SOLID
TAILWIND • r(10Y)=+0.00 (+23bp) • r(OAS)=+0.00
05 10-K REDLINE AUDIT
Forensic 10-K Risk
[LOCKED] FLAGGED
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ALERT

Why did USPH's Whale & Options Flow & Forensic 10-K Risk sub-score just flash a warning? Enter your email to unlock the full 5-Pillar Rating Breakdown + get instant alerts whenever USPH is Upgraded or Downgraded.

USPH // CANDLESTICK & AUTO-TRENDLINE WORKSTATION6M: +21.55%▲ ASCENDING CHANNEL
2026-10-30O $87.26H $87.62L $85.19C $86.57VOL 146.4K
RES: $90.49SUP: $80.93SMA50: $82.82SMA200: $76.75
$92.21$82.99$73.77$64.55$55.33RES $90.49SUP $80.93$86.572026-04-302026-06-152026-07-312026-09-162026-10-30
USPH // INSTITUTIONAL BULL VS. BEAR FORENSIC DEBATE
NEUTRAL / PAIR TRADE CONVICTION: 55/100
BEAR 0
100 BULL

U.S. Physical Therapy Inc. (USPH) exhibits 19.2% gross margins and 11.5% return on invested capital within Health Care (Medical/Nursing Services), balanced against a 16.3x enterprise multiple and 4.8% implied options volatility.

▲ INSTITUTIONAL BULL THESIS (LONG)
01. Operating Leverage & Capital Efficiency Moat

Sustained 19.2% gross profitability converts into 11.1% operating margin and 11.5% ROIC, outpacing sector cost of capital.

ROIC: 11.5% // GM: 19.2%
02. Top-Line Expansion & Cash Conversion

YoY revenue trajectory of +16.3% paired with 5.81% free cash flow yield supports self-funded R&D and capital return.

REV YOY: +16.3% // FCF YLD: 5.81%
03. Balance Sheet Solvency & Forensic Quality

Altman Z-Score of 2.94 and Piotroski F-Score of 8/9 indicate low near-term refinancing stress.

ALTMAN Z: 2.94 // F-SCORE: 8/9
▼ INSTITUTIONAL BEAR THESIS (SHORT / RISK)
01. Multiple Compression & Duration Sensitivity

Trading at 32.6x trailing P/E (27.4x Fwd P/E) leaves valuation vulnerable if real 10Y TIPS yields spike.

P/E: 32.6x // EV/EBITDA: 16.3x
02. Options Skew & Event Volatility Risk

Options market prices a ±5.2% implied move with a 0.85 put/call ratio around $86.57 max pain.

IMPL MOVE: ±5.2% // P/C: 0.85
03. Competitive Margin & CapEx Cycle Pressure

Elevated industry capital intensity and customer concentration in Medical/Nursing Services require continuous execution to defend 5.1% net margins.

NET MARGIN: 5.1% // D/E: 0.32x
KEY CATALYST // Upcoming 10-Q/10-K XBRL margin progression, guidance revision vs 27.4x forward consensus, and institutional 13F positioning.
MACRO REGIME // Monitor US 10Y Real Yields (DFII10) and High-Yield Credit Spreads (OAS) for beta-adjusted multiple impact (Beta 1.10).
FORM 4 & 13F FLOW OPEN OWN <GO>
FILER SIDE $ VALUE
INSPECT FULL OWNERSHIP LEDGER IN OWN <GO>
UNUSUAL OPTIONS TAPE OPEN OPT <GO>
STRIKE / EXP TYPE PREMIUM
INSPECT GEX & CHAIN IN OPT <GO>
KEY VALUATION & PROFITABILITY RATIOS XBRL FA <GO>
TRAILING P/E 32.6x
FORWARD P/E 27.4x
EV / EBITDA 16.3x
FCF YIELD 5.81%
GROSS MARGIN 19.2%
OPERATING MARGIN 11.1%
NET MARGIN 5.1%
ROIC % 11.5%
REV GROWTH YOY +16.3%
DILUTED EPS TTM $2.65
DEBT / EQUITY 0.32x
DIVIDEND YIELD 2.12%
RSI-14 MOMENTUM 52.3
5Y EQUITY BETA —
FRED MACRO SENSITIVITY (PEARSON r) ECST <GO>
MACRO CORRELATION CALIBRATION ACTIVE BELOW.
FRED MACRO REGIME STRESS-TEST SIMULATOR // USPHPEARSON R VARIANCE ENGINE
01 // SELECT FEDERAL RESERVE & CREDIT SHOCK SCENARIO
02 // POSITION NOTIONAL EXPOSURE
HEADLINE STRESS SCORE
75/100SEVERE DRAWDOWN PRESSURE
PRIMARY FACTOR EXPOSURE
DFII10 // -0.61 r
Latest: 2.08%
EST. DIRECTIONAL MOVE
-8.50%
Implied Px: $79.21
EST. DOLLAR VARIANCE
-$4,248
On $50,000 Notional
[LOCKED // MULTI-FACTOR DRAWDOWN HEDGE & MACRO TRIGGER ALERT]

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HEAD-TO-HEAD PEER COMPARISONS COMP <GO>