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Side-by-side financial comparison of Enact Holdings, Inc. (ACT) and U S PHYSICAL THERAPY INC (USPH). Click either name above to swap in a different company.
Enact Holdings, Inc. is the larger business by last-quarter revenue ($312.7M vs $202.7M, roughly 1.5× U S PHYSICAL THERAPY INC). On growth, U S PHYSICAL THERAPY INC posted the faster year-over-year revenue change (12.3% vs 3.6%). Over the past eight quarters, U S PHYSICAL THERAPY INC's revenue compounded faster (14.1% CAGR vs 3.6%).
Enact Holdings, Inc. is a leading U.S.-based private mortgage insurance provider. It delivers risk mitigation solutions to residential mortgage lenders, banks, and credit unions, enabling borrowers with smaller down payments to access affordable home financing, and supports sustainable homeownership for diverse consumer groups across the United States.
U S PHYSICAL THERAPY INCUSPHEarnings & Financial Report
U.S. Physical Therapy Inc. operates hundreds of outpatient physical therapy clinics across the U.S. It offers rehabilitative care for patients recovering from injuries, surgeries, chronic pain and mobility impairments, plus specialized services including sports medicine and pediatric rehabilitation.
ACT vs USPH — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $312.7M | $202.7M |
| Net Profit | — | $4.2M |
| Gross Margin | — | 19.8% |
| Operating Margin | 71.3% | 8.3% |
| Net Margin | — | 2.0% |
| Revenue YoY | 3.6% | 12.3% |
| Net Profit YoY | — | -55.1% |
| EPS (diluted) | $1.23 | $-0.44 |
Green = leading value per metric. Periods may differ when fiscal calendars don't align.
8-Quarter Revenue & Profit Trend
Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.
| Q4 25 | $312.7M | $202.7M | ||
| Q3 25 | $311.5M | $197.1M | ||
| Q2 25 | $304.9M | $197.3M | ||
| Q1 25 | $306.8M | $183.8M | ||
| Q4 24 | $301.8M | $180.4M | ||
| Q3 24 | $309.6M | $168.0M | ||
| Q2 24 | $298.8M | $167.2M | ||
| Q1 24 | $291.6M | $155.7M |
| Q4 25 | — | $4.2M | ||
| Q3 25 | — | $13.1M | ||
| Q2 25 | — | $12.4M | ||
| Q1 25 | — | $9.9M | ||
| Q4 24 | — | $9.2M | ||
| Q3 24 | — | $6.6M | ||
| Q2 24 | — | $7.5M | ||
| Q1 24 | — | $8.0M |
| Q4 25 | — | 19.8% | ||
| Q3 25 | — | 18.7% | ||
| Q2 25 | — | 21.1% | ||
| Q1 25 | — | 16.9% | ||
| Q4 24 | — | 18.0% | ||
| Q3 24 | — | 17.3% | ||
| Q2 24 | — | 20.3% | ||
| Q1 24 | — | 18.2% |
| Q4 25 | 71.3% | 8.3% | ||
| Q3 25 | 67.4% | 12.8% | ||
| Q2 25 | 70.4% | 12.6% | ||
| Q1 25 | 68.9% | 10.7% | ||
| Q4 24 | 68.9% | 10.9% | ||
| Q3 24 | 74.1% | 7.6% | ||
| Q2 24 | 78.6% | 9.3% | ||
| Q1 24 | 70.6% | 9.6% |
| Q4 25 | — | 2.0% | ||
| Q3 25 | — | 6.7% | ||
| Q2 25 | — | 6.3% | ||
| Q1 25 | — | 5.4% | ||
| Q4 24 | — | 5.1% | ||
| Q3 24 | — | 3.9% | ||
| Q2 24 | — | 4.5% | ||
| Q1 24 | — | 5.2% |
| Q4 25 | $1.23 | $-0.44 | ||
| Q3 25 | $1.10 | $0.48 | ||
| Q2 25 | $1.11 | $0.58 | ||
| Q1 25 | $1.08 | $0.80 | ||
| Q4 24 | $1.05 | $0.52 | ||
| Q3 24 | $1.15 | $0.39 | ||
| Q2 24 | $1.16 | $0.47 | ||
| Q1 24 | $1.01 | $0.46 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $582.5M | $35.6M |
| Total DebtLower is stronger | $744.5M | — |
| Stockholders' EquityBook value | $5.4B | $476.4M |
| Total Assets | $6.9B | $1.2B |
| Debt / EquityLower = less leverage | 0.14× | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $582.5M | $35.6M | ||
| Q3 25 | $545.6M | $31.1M | ||
| Q2 25 | $616.0M | $34.1M | ||
| Q1 25 | $639.0M | $39.2M | ||
| Q4 24 | $602.8M | $41.4M | ||
| Q3 24 | $674.9M | $117.0M | ||
| Q2 24 | $711.3M | $112.9M | ||
| Q1 24 | $624.3M | $132.3M |
| Q4 25 | $744.5M | — | ||
| Q3 25 | $744.1M | — | ||
| Q2 25 | $743.8M | — | ||
| Q1 25 | $743.4M | — | ||
| Q4 24 | $743.0M | — | ||
| Q3 24 | $742.7M | — | ||
| Q2 24 | $742.4M | — | ||
| Q1 24 | $746.1M | — |
| Q4 25 | $5.4B | $476.4M | ||
| Q3 25 | $5.3B | $503.6M | ||
| Q2 25 | $5.2B | $500.8M | ||
| Q1 25 | $5.1B | $497.3M | ||
| Q4 24 | $5.0B | $488.9M | ||
| Q3 24 | $5.0B | $482.8M | ||
| Q2 24 | $4.8B | $484.6M | ||
| Q1 24 | $4.7B | $479.8M |
| Q4 25 | $6.9B | $1.2B | ||
| Q3 25 | $6.9B | $1.2B | ||
| Q2 25 | $6.8B | $1.2B | ||
| Q1 25 | $6.7B | $1.2B | ||
| Q4 24 | $6.5B | $1.2B | ||
| Q3 24 | $6.6B | $1.0B | ||
| Q2 24 | $6.3B | $1.0B | ||
| Q1 24 | $6.3B | $1.0B |
| Q4 25 | 0.14× | — | ||
| Q3 25 | 0.14× | — | ||
| Q2 25 | 0.14× | — | ||
| Q1 25 | 0.15× | — | ||
| Q4 24 | 0.15× | — | ||
| Q3 24 | 0.15× | — | ||
| Q2 24 | 0.15× | — | ||
| Q1 24 | 0.16× | — |
Cash Flow & Capital Efficiency
How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.
| Metric | | |
|---|---|---|
| Operating Cash FlowLast quarter | $724.5M | $24.9M |
| Free Cash FlowOCF − Capex | — | $21.0M |
| FCF MarginFCF / Revenue | — | 10.4% |
| Capex IntensityCapex / Revenue | — | 1.9% |
| Cash ConversionOCF / Net Profit | — | 6.00× |
| TTM Free Cash FlowTrailing 4 quarters | — | $61.0M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $724.5M | $24.9M | ||
| Q3 25 | $192.0M | $19.9M | ||
| Q2 25 | $119.5M | $34.9M | ||
| Q1 25 | $226.7M | $-4.7M | ||
| Q4 24 | $686.3M | $19.4M | ||
| Q3 24 | $188.1M | $22.1M | ||
| Q2 24 | $144.7M | $29.0M | ||
| Q1 24 | $187.3M | $4.4M |
| Q4 25 | — | $21.0M | ||
| Q3 25 | — | $15.6M | ||
| Q2 25 | — | $31.6M | ||
| Q1 25 | — | $-7.3M | ||
| Q4 24 | — | $16.9M | ||
| Q3 24 | — | $19.6M | ||
| Q2 24 | — | $26.7M | ||
| Q1 24 | — | $2.6M |
| Q4 25 | — | 10.4% | ||
| Q3 25 | — | 7.9% | ||
| Q2 25 | — | 16.0% | ||
| Q1 25 | — | -3.9% | ||
| Q4 24 | — | 9.4% | ||
| Q3 24 | — | 11.7% | ||
| Q2 24 | — | 15.9% | ||
| Q1 24 | — | 1.7% |
| Q4 25 | — | 1.9% | ||
| Q3 25 | — | 2.2% | ||
| Q2 25 | — | 1.6% | ||
| Q1 25 | — | 1.4% | ||
| Q4 24 | — | 1.4% | ||
| Q3 24 | — | 1.5% | ||
| Q2 24 | — | 1.4% | ||
| Q1 24 | — | 1.2% |
| Q4 25 | — | 6.00× | ||
| Q3 25 | — | 1.52× | ||
| Q2 25 | — | 2.81× | ||
| Q1 25 | — | -0.47× | ||
| Q4 24 | — | 2.10× | ||
| Q3 24 | — | 3.34× | ||
| Q2 24 | — | 3.86× | ||
| Q1 24 | — | 0.55× |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
ACT
Segment breakdown not available.
USPH
| Net Patient Revenues | $169.7M | 84% |
| Industrial Injury Prevention Services Revenues | $28.9M | 14% |
| Management Contract Revenues | $2.3M | 1% |
