U.S. Physical Therapy Clinics: An Industry Analysis

U.S. Physical Therapy Clinics: An Industry Analysis



This analysis by Marketdata examines the $53 billion outpatient physical and occupational therapy centers industry. Speech therapy and audiologists are also included. The physical therapy business is highly fragmented, with the 50 largest competitors capturing only 29% of the revenues, which makes it ripe for consolidation. Moderate growth is forecast, with positive growth drivers including a stable reimbursement environment, outpatient efficiencies, an alternative to opioid therapy, and strong demand related to client aging.

While there are a few national companies, the industry consists predominantly of small to medium regional providers with annual revenue of $871,000.

This industry is experiencing increased M&A activity from both strategic suitors and private equity investors.

Physical therapists work in hospitals, private practices, outpatient clinics, people’s homes, schools, sports and fitness facilities, work settings, and nursing homes.

This new study by Marketdata examines industry characteristics, national receipts/growth from 2007 to 2030 forecast, effects of the Covid-19 pandemic on 2020-2021 operations and revenues, recovery in 2022-2024, customer and therapist demographics, key industry trends, industry structure and extensive operating ratios (national and state Census data for establishments and firms), industry regulation, top companies market share, consolidation and roll-up potential, insurance/Medicare reimbursement status, and more. Findings of multiple industry surveys provided (APTA, Harris Williams, Webpt, AMB Wealth, etc.)

In-depth Competitor Profiles provided for: U.S. Physical Therapy, ATI Physical Therapy, Select Medical, Athletico Physical Therapy (Incl. Pivot Physical Therapy), CORA Health Services, Professional Physical Therapy and PT Solutions. Results of public and private companies.


Report Scope and Methodology
Sources and methodology used for the report, report scope.
Characteristics & Structure of the Industry
Definition and number of physical therapists, occupational therapists, speech therapists, and audiologists and what they do, who they work for and where.
Demographic profile of physical therapists (age, gender, top paying states/salaries)
Major industry trends and issues: diversification, technology changes, consolidation and the potential for roll-ups, increased patient engagement tools, merit-based incentives
Industry structure: key metrics: no. of facilities, receipts, annual payroll, no. of employees, avg. receipts per facility – 2002, 2007, 2012, 2017, 2022
Main operating models used by physical therapy centers
Major findings of Harris Williams & Company report (Physical Therapy Market Overview)
Factors affecting demand for physical therapy (aging population, obesity, economic rationale)
Operations: sources of revenue, typical patient volumes, revenues per patient visit, physical therapist salaries, facility profit margins, payor mix, marketing, etc.
Reimbursement situation under Medicare, fee caps, Bipartisan Budget Act of 2018, Physical Therapy Qualifications Under Medicare
Occupational therapist overview, typical earnings, job outlook
Audiologists profession overview, typical earnings, job outlook, major statistics on hearing loss
Tables
Sample Profit & Loss Statement for an Average Physical Therapy Center: 2024
Physical Therapy Industry Snapshot: , 2022, 2017, 2012, 2007, 2002
U.S. Physical Therapy company Gross Profit margins: 2007-2023
Number of Medicare Non-institutional Providers: 2013-2019
Market Size, Growth, Forecasts
Estimates of $ industry size and growth: Census Bureau, other research firms (Harris Williams Co., Health Value Group)
Size / Receipts of U.S. Physical Therapy Services from 2007-2022, official government Census
5-year survey data and annual County Business Patterns data
Marketdata analysis and estimates of industry receipts and performance for: 2020, 2021, 2022-2023 (Select Medical, ATI results), 2024, sales performance of the largest PT chains
Discussion & analysis of the effects of Covid-19 pandemic on operations and sales, findings of American Physical Therapy Assn. August 2020 report: Impact of Covid-19 on The Physical Therapy Profession, and May 2021 report (revenue losses, patient volumes, telehealth use).
2025 & 2030 Forecasts, rationale, factors affecting demand, future growth drivers.
Discussion of major factors affecting industry growth: reimbursement, demand, aging of population, obesity, supply of therapists, etc.
Findings of Webpt report: “The State of Rehab Therapy – 2024”
Tables:
$ Size of the U.S. Physical Therapy Market: 2007-2030 F, no. of clinics, receipts
Annual Growth Rate of the U.S. Physical Therapy Market: 2007-2025
Forecast Size of the U.S. Physical Therapy Market: 2025, 2030
Sales Performance of the Leaders: 2022-2024
Industry growth forecasts by other research firms
Customer Demographics
Discussion and statistics related to population aging trends
Discussion and statistics related to sports injuries
Discussion and statistics related to back pain
Discussion and statistics related to workplace injuries
Discussion and statistics related to obesity trends
Tables:
Prevalence of obesity in the U.S., by state and region: 2000-2021
Industry Economic Operating Ratios
Summary of key industry metrics, NAICS Census code for the industry, what it includes
Industry snapshot: 2002, 2007, 2012, 2017, 2022: key ratios (payroll, no. of estabs.,
receipts, average receipts per PT clinic, no of employees)
Annual % change in receipts: 2007-2022
Tables:
Industry ratios (no. of firms, establishments, receipts, payroll as % receipts) by…
Labor Productivity Ratios: 2007-2022
Receipts, by Type of Patient Care: 2019
Legal form of organization -corporations, sole proprietorships, partnerships: no. of employees) – 2012, 2017, 2022
Single vs. multi-unit operations, by size (statistics as above) – 2012, 2017
Concentration Ratios: ratios for top 4, 8, 20, 50 largest firms – 2012, 2017, 2022
Receipts size of establishments (under $10,000 to $10+ mill.) – 2012, 2017
Receipts size of firms (under $100,000 to $100+ mill.) – 2012, 2017
Ratios, by Employment Size of Establishments: 2019
No. of establishments, receipts & avg. receipts per establishment, by state: 2016
No. of establishments, receipts & avg. receipts per establishment, by state – 2022
Receipts & Establishments for States With the Largest Number of Estabs: 2022
Competitor Profiles
(description and history of company, no. of clinics operated, address, specialties, acquisitions, services, financial data 2021-2024 when available)
U.S. Physical Therapy (public co. detailed financials incl.)
ATI Physical Therapy (public co. detailed financials incl.)
Select Medical (detailed financials)
Athletico Physical Therapy (incl. Pivot Physical Therapy)
PT Solutions
CORA Health Services
Professional Physical Therapy
Table
Number of Clinics Operated by the Leaders: 2022-2024
Reference Directory
List of physical therapy national/regional trade associations, journals, consulting
firms, reports, articles, other key contacts – address & phones, description
of activities.

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