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

TRUPANION, INC. is the larger business by last-quarter revenue ($376.9M vs $202.7M, roughly 1.9× U S PHYSICAL THERAPY INC). On growth, U S PHYSICAL THERAPY INC posted the faster year-over-year revenue change (12.3% vs 11.7%). TRUPANION, INC. produced more free cash flow last quarter ($25.3M vs $21.0M). Over the past eight quarters, U S PHYSICAL THERAPY INC's revenue compounded faster (14.1% CAGR vs 11.0%).

Trupanion, Inc. is a pet insurance provider headquartered in Seattle, Washington. Established in 1998, Trupanion operates across the United States, Canada, Australia, and Puerto Rico. The company offers coverage for pets and is self-underwritten by the American Pet Insurance Company (APIC).

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.

TRUP vs USPH — Head-to-Head

Bigger by revenue
TRUP
TRUP
1.9× larger
TRUP
$376.9M
$202.7M
USPH
Growing faster (revenue YoY)
USPH
USPH
+0.6% gap
USPH
12.3%
11.7%
TRUP
More free cash flow
TRUP
TRUP
$4.3M more FCF
TRUP
$25.3M
$21.0M
USPH
Faster 2-yr revenue CAGR
USPH
USPH
Annualised
USPH
14.1%
11.0%
TRUP

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
TRUP
TRUP
USPH
USPH
Revenue
$376.9M
$202.7M
Net Profit
$4.2M
Gross Margin
17.3%
19.8%
Operating Margin
1.9%
8.3%
Net Margin
2.0%
Revenue YoY
11.7%
12.3%
Net Profit YoY
-55.1%
EPS (diluted)
$0.13
$-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
TRUP
TRUP
USPH
USPH
Q4 25
$376.9M
$202.7M
Q3 25
$366.9M
$197.1M
Q2 25
$353.6M
$197.3M
Q1 25
$342.0M
$183.8M
Q4 24
$337.3M
$180.4M
Q3 24
$327.5M
$168.0M
Q2 24
$314.8M
$167.2M
Q1 24
$306.1M
$155.7M
Net Profit
TRUP
TRUP
USPH
USPH
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
Gross Margin
TRUP
TRUP
USPH
USPH
Q4 25
17.3%
19.8%
Q3 25
16.4%
18.7%
Q2 25
15.5%
21.1%
Q1 25
14.9%
16.9%
Q4 24
15.7%
18.0%
Q3 24
15.1%
17.3%
Q2 24
12.8%
20.3%
Q1 24
11.8%
18.2%
Operating Margin
TRUP
TRUP
USPH
USPH
Q4 25
1.9%
8.3%
Q3 25
1.6%
12.8%
Q2 25
0.7%
12.6%
Q1 25
-0.4%
10.7%
Q4 24
0.1%
10.9%
Q3 24
0.5%
7.6%
Q2 24
-1.7%
9.3%
Q1 24
-2.0%
9.6%
Net Margin
TRUP
TRUP
USPH
USPH
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%
EPS (diluted)
TRUP
TRUP
USPH
USPH
Q4 25
$0.13
$-0.44
Q3 25
$0.13
$0.48
Q2 25
$0.22
$0.58
Q1 25
$-0.03
$0.80
Q4 24
$0.04
$0.52
Q3 24
$0.03
$0.39
Q2 24
$-0.14
$0.47
Q1 24
$-0.16
$0.46

Balance Sheet & Financial Strength

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

Metric
TRUP
TRUP
USPH
USPH
Cash + ST InvestmentsLiquidity on hand
$370.7M
$35.6M
Total DebtLower is stronger
$101.8M
Stockholders' EquityBook value
$383.9M
$476.4M
Total Assets
$915.0M
$1.2B
Debt / EquityLower = less leverage
0.27×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
TRUP
TRUP
USPH
USPH
Q4 25
$370.7M
$35.6M
Q3 25
$348.5M
$31.1M
Q2 25
$319.6M
$34.1M
Q1 25
$321.8M
$39.2M
Q4 24
$307.4M
$41.4M
Q3 24
$293.1M
$117.0M
Q2 24
$277.2M
$112.9M
Q1 24
$275.2M
$132.3M
Total Debt
TRUP
TRUP
USPH
USPH
Q4 25
$101.8M
Q3 25
Q2 25
Q1 25
Q4 24
$127.5M
Q3 24
Q2 24
Q1 24
Stockholders' Equity
TRUP
TRUP
USPH
USPH
Q4 25
$383.9M
$476.4M
Q3 25
$368.6M
$503.6M
Q2 25
$355.5M
$500.8M
Q1 25
$333.7M
$497.3M
Q4 24
$323.3M
$488.9M
Q3 24
$320.2M
$482.8M
Q2 24
$305.8M
$484.6M
Q1 24
$303.4M
$479.8M
Total Assets
TRUP
TRUP
USPH
USPH
Q4 25
$915.0M
$1.2B
Q3 25
$880.2M
$1.2B
Q2 25
$847.8M
$1.2B
Q1 25
$837.2M
$1.2B
Q4 24
$806.9M
$1.2B
Q3 24
$816.1M
$1.0B
Q2 24
$795.9M
$1.0B
Q1 24
$789.5M
$1.0B
Debt / Equity
TRUP
TRUP
USPH
USPH
Q4 25
0.27×
Q3 25
Q2 25
Q1 25
Q4 24
0.39×
Q3 24
Q2 24
Q1 24

Cash Flow & Capital Efficiency

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

Metric
TRUP
TRUP
USPH
USPH
Operating Cash FlowLast quarter
$29.3M
$24.9M
Free Cash FlowOCF − Capex
$25.3M
$21.0M
FCF MarginFCF / Revenue
6.7%
10.4%
Capex IntensityCapex / Revenue
1.0%
1.9%
Cash ConversionOCF / Net Profit
6.00×
TTM Free Cash FlowTrailing 4 quarters
$75.4M
$61.0M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
TRUP
TRUP
USPH
USPH
Q4 25
$29.3M
$24.9M
Q3 25
$29.2M
$19.9M
Q2 25
$15.0M
$34.9M
Q1 25
$16.0M
$-4.7M
Q4 24
$23.7M
$19.4M
Q3 24
$15.3M
$22.1M
Q2 24
$6.9M
$29.0M
Q1 24
$2.4M
$4.4M
Free Cash Flow
TRUP
TRUP
USPH
USPH
Q4 25
$25.3M
$21.0M
Q3 25
$23.9M
$15.6M
Q2 25
$12.0M
$31.6M
Q1 25
$14.0M
$-7.3M
Q4 24
$21.8M
$16.9M
Q3 24
$13.4M
$19.6M
Q2 24
$4.0M
$26.7M
Q1 24
$-631.0K
$2.6M
FCF Margin
TRUP
TRUP
USPH
USPH
Q4 25
6.7%
10.4%
Q3 25
6.5%
7.9%
Q2 25
3.4%
16.0%
Q1 25
4.1%
-3.9%
Q4 24
6.5%
9.4%
Q3 24
4.1%
11.7%
Q2 24
1.3%
15.9%
Q1 24
-0.2%
1.7%
Capex Intensity
TRUP
TRUP
USPH
USPH
Q4 25
1.0%
1.9%
Q3 25
1.4%
2.2%
Q2 25
0.8%
1.6%
Q1 25
0.6%
1.4%
Q4 24
0.6%
1.4%
Q3 24
0.6%
1.5%
Q2 24
0.9%
1.4%
Q1 24
1.0%
1.2%
Cash Conversion
TRUP
TRUP
USPH
USPH
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

TRUP
TRUP

Subscriptionbusiness$261.4M69%
Other$115.4M31%

USPH
USPH

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

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