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Side-by-side financial comparison of Five9, Inc. (FIVN) and U S PHYSICAL THERAPY INC (USPH). Click either name above to swap in a different company.

Five9, Inc. is the larger business by last-quarter revenue ($300.3M 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 7.8%). Five9, Inc. produced more free cash flow last quarter ($77.3M vs $21.0M). Over the past eight quarters, U S PHYSICAL THERAPY INC's revenue compounded faster (14.1% CAGR vs 10.3%).

Five9, Inc. is a leading global provider of cloud-native contact center software and solutions. It serves enterprises of all sizes across retail, healthcare, financial services, and technology sectors, offering omnichannel customer engagement tools, AI-powered automation, workforce management, and analytics to boost customer experience and operational efficiency.

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.

FIVN vs USPH — Head-to-Head

Bigger by revenue
FIVN
FIVN
1.5× larger
FIVN
$300.3M
$202.7M
USPH
Growing faster (revenue YoY)
USPH
USPH
+4.6% gap
USPH
12.3%
7.8%
FIVN
More free cash flow
FIVN
FIVN
$56.3M more FCF
FIVN
$77.3M
$21.0M
USPH
Faster 2-yr revenue CAGR
USPH
USPH
Annualised
USPH
14.1%
10.3%
FIVN

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
FIVN
FIVN
USPH
USPH
Revenue
$300.3M
$202.7M
Net Profit
$4.2M
Gross Margin
55.4%
19.8%
Operating Margin
6.6%
8.3%
Net Margin
2.0%
Revenue YoY
7.8%
12.3%
Net Profit YoY
-55.1%
EPS (diluted)
$0.22
$-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.

Revenue
FIVN
FIVN
USPH
USPH
Q4 25
$300.3M
$202.7M
Q3 25
$285.8M
$197.1M
Q2 25
$283.3M
$197.3M
Q1 25
$279.7M
$183.8M
Q4 24
$278.7M
$180.4M
Q3 24
$264.2M
$168.0M
Q2 24
$252.1M
$167.2M
Q1 24
$247.0M
$155.7M
Net Profit
FIVN
FIVN
USPH
USPH
Q4 25
$4.2M
Q3 25
$18.0M
$13.1M
Q2 25
$1.2M
$12.4M
Q1 25
$576.0K
$9.9M
Q4 24
$9.2M
Q3 24
$-4.5M
$6.6M
Q2 24
$-12.8M
$7.5M
Q1 24
$-7.1M
$8.0M
Gross Margin
FIVN
FIVN
USPH
USPH
Q4 25
55.4%
19.8%
Q3 25
55.0%
18.7%
Q2 25
54.9%
21.1%
Q1 25
55.0%
16.9%
Q4 24
56.0%
18.0%
Q3 24
53.8%
17.3%
Q2 24
53.0%
20.3%
Q1 24
53.6%
18.2%
Operating Margin
FIVN
FIVN
USPH
USPH
Q4 25
6.6%
8.3%
Q3 25
5.6%
12.8%
Q2 25
-0.6%
12.6%
Q1 25
-1.9%
10.7%
Q4 24
1.5%
10.9%
Q3 24
-5.8%
7.6%
Q2 24
-7.7%
9.3%
Q1 24
-8.4%
9.6%
Net Margin
FIVN
FIVN
USPH
USPH
Q4 25
2.0%
Q3 25
6.3%
6.7%
Q2 25
0.4%
6.3%
Q1 25
0.2%
5.4%
Q4 24
5.1%
Q3 24
-1.7%
3.9%
Q2 24
-5.1%
4.5%
Q1 24
-2.9%
5.2%
EPS (diluted)
FIVN
FIVN
USPH
USPH
Q4 25
$0.22
$-0.44
Q3 25
$0.21
$0.48
Q2 25
$0.01
$0.58
Q1 25
$0.01
$0.80
Q4 24
$0.16
$0.52
Q3 24
$-0.06
$0.39
Q2 24
$-0.17
$0.47
Q1 24
$-0.10
$0.46

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
FIVN
FIVN
USPH
USPH
Cash + ST InvestmentsLiquidity on hand
$232.1M
$35.6M
Total DebtLower is stronger
Stockholders' EquityBook value
$785.8M
$476.4M
Total Assets
$1.8B
$1.2B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
FIVN
FIVN
USPH
USPH
Q4 25
$232.1M
$35.6M
Q3 25
$193.4M
$31.1M
Q2 25
$205.5M
$34.1M
Q1 25
$370.3M
$39.2M
Q4 24
$362.5M
$41.4M
Q3 24
$291.0M
$117.0M
Q2 24
$175.7M
$112.9M
Q1 24
$240.2M
$132.3M
Stockholders' Equity
FIVN
FIVN
USPH
USPH
Q4 25
$785.8M
$476.4M
Q3 25
$775.3M
$503.6M
Q2 25
$717.4M
$500.8M
Q1 25
$664.3M
$497.3M
Q4 24
$622.2M
$488.9M
Q3 24
$565.6M
$482.8M
Q2 24
$525.9M
$484.6M
Q1 24
$483.6M
$479.8M
Total Assets
FIVN
FIVN
USPH
USPH
Q4 25
$1.8B
$1.2B
Q3 25
$1.8B
$1.2B
Q2 25
$1.7B
$1.2B
Q1 25
$2.1B
$1.2B
Q4 24
$2.1B
$1.2B
Q3 24
$2.0B
$1.0B
Q2 24
$1.9B
$1.0B
Q1 24
$1.9B
$1.0B

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
FIVN
FIVN
USPH
USPH
Operating Cash FlowLast quarter
$83.6M
$24.9M
Free Cash FlowOCF − Capex
$77.3M
$21.0M
FCF MarginFCF / Revenue
25.8%
10.4%
Capex IntensityCapex / Revenue
2.1%
1.9%
Cash ConversionOCF / Net Profit
6.00×
TTM Free Cash FlowTrailing 4 quarters
$201.2M
$61.0M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
FIVN
FIVN
USPH
USPH
Q4 25
$83.6M
$24.9M
Q3 25
$59.2M
$19.9M
Q2 25
$35.1M
$34.9M
Q1 25
$48.4M
$-4.7M
Q4 24
$49.8M
$19.4M
Q3 24
$41.1M
$22.1M
Q2 24
$19.9M
$29.0M
Q1 24
$32.4M
$4.4M
Free Cash Flow
FIVN
FIVN
USPH
USPH
Q4 25
$77.3M
$21.0M
Q3 25
$48.7M
$15.6M
Q2 25
$31.6M
$31.6M
Q1 25
$43.7M
$-7.3M
Q4 24
$40.5M
$16.9M
Q3 24
$26.7M
$19.6M
Q2 24
$13.1M
$26.7M
Q1 24
$20.4M
$2.6M
FCF Margin
FIVN
FIVN
USPH
USPH
Q4 25
25.8%
10.4%
Q3 25
17.0%
7.9%
Q2 25
11.1%
16.0%
Q1 25
15.6%
-3.9%
Q4 24
14.5%
9.4%
Q3 24
10.1%
11.7%
Q2 24
5.2%
15.9%
Q1 24
8.3%
1.7%
Capex Intensity
FIVN
FIVN
USPH
USPH
Q4 25
2.1%
1.9%
Q3 25
3.7%
2.2%
Q2 25
1.2%
1.6%
Q1 25
1.7%
1.4%
Q4 24
3.3%
1.4%
Q3 24
5.4%
1.5%
Q2 24
2.7%
1.4%
Q1 24
4.8%
1.2%
Cash Conversion
FIVN
FIVN
USPH
USPH
Q4 25
6.00×
Q3 25
3.29×
1.52×
Q2 25
30.38×
2.81×
Q1 25
84.00×
-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

FIVN
FIVN

Segment breakdown not available.

USPH
USPH

Net Patient Revenues$169.7M84%
Industrial Injury Prevention Services Revenues$28.9M14%
Management Contract Revenues$2.3M1%

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