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How 4D Advisors’ US$9 Million Stake and Top-Three Position Will Impact U.S. Physical Therapy (USPH) Investors

Simply Wall St·12/11/2025 07:18:59
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  • 4D Advisors, LLC recently disclosed a new position in U.S. Physical Therapy, purchasing 110,000 shares worth over US$9,000,000 and making the stock its third-largest holding.
  • This move by 4D Advisors highlights growing institutional interest in U.S. Physical Therapy’s role as a scale player in a fragmented rehabilitation market.
  • We’ll now explore how 4D Advisors’ sizable new stake could influence U.S. Physical Therapy’s investment narrative and perceived growth runway.

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U.S. Physical Therapy Investment Narrative Recap

To own U.S. Physical Therapy, you need to believe its scale and clinic network can offset reimbursement pressure and labor tightness, while benefiting from steady patient demand. 4D Advisors’ US$9,000,000 position does not fundamentally change the near term catalyst of volume growth and cost efficiency, nor does it materially reduce the key risk from Medicare and commercial payer reimbursement pressure that has already created a significant annual profit headwind.

The recent inclusion of U.S. Physical Therapy in multiple Russell value indices sits neatly alongside 4D Advisors’ new stake, as both developments may draw more institutional attention to the company’s role in a fragmented rehab market. Together with ongoing cost initiatives and clinic acquisitions, index inclusion supports the existing catalyst of higher visit volumes and operating leverage, without altering the underlying risks around reimbursement, staffing costs and regulatory scrutiny.

Yet while institutional interest is increasing, investors should still pay close attention to tightening payer policies and the possibility that...

Read the full narrative on U.S. Physical Therapy (it's free!)

U.S. Physical Therapy's narrative projects $918.4 million revenue and $52.5 million earnings by 2028.

Uncover how U.S. Physical Therapy's forecasts yield a $106.83 fair value, a 35% upside to its current price.

Exploring Other Perspectives

USPH 1-Year Stock Price Chart
USPH 1-Year Stock Price Chart

One member of the Simply Wall St Community currently values U.S. Physical Therapy at US$106.83 per share, underscoring how individual investor views can differ from market pricing. You can weigh that single community estimate against the ongoing risk that healthcare reimbursement pressure, if it persists, could constrain the company’s ability to convert rising visit volumes into stronger long term earnings.

Explore another fair value estimate on U.S. Physical Therapy - why the stock might be worth just $106.83!

Build Your Own U.S. Physical Therapy Narrative

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This article by Simply Wall St is general in nature. We provide commentary based on historical data and analyst forecasts only using an unbiased methodology and our articles are not intended to be financial advice. It does not constitute a recommendation to buy or sell any stock, and does not take account of your objectives, or your financial situation. We aim to bring you long-term focused analysis driven by fundamental data. Note that our analysis may not factor in the latest price-sensitive company announcements or qualitative material. Simply Wall St has no position in any stocks mentioned.