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Shining a light on PE ownership.

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US

US Physical Therapy

healthcare
PE-OWNED

One of the largest physical therapy clinic networks.

PE-OWNED

Acquired by H.I.G. Capital2022-01-01

View PE Firm Profile

What Made It Great

“

Patient-focused physical therapy with personalized treatment plans.

What PE Will Likely Do

Predictions

Reduction in the number of physical therapists and other clinical staff, leading to longer wait times and less personalized care for patients

MODERATEBased on: H.I.G. Capital's track record of cost-cutting and staff reductions in other acquired companies

Replacement of experienced physical therapists with less-qualified personnel to reduce labor costs

MODERATEBased on: The healthcare industry playbook that highlights the common private equity tactics of reducing staffing, upcoding billing, and cutting unprofitable services

Reduction in the quality and duration of physical therapy sessions, with a focus on maximizing the number of patients seen rather than the quality of care

MODERATEBased on: The potential for US Physical Therapy's patient-focused model to be undermined by the profit-driven goals of private equity investors

Potential closing of less profitable clinic locations, forcing patients to travel further to receive care

MODERATEBased on: The potential for US Physical Therapy's patient-focused model to be undermined by the profit-driven goals of private equity investors

Aggressive billing practices, such as upcoding of procedures and diagnoses, to maximize reimbursement from insurance providers

MODERATEBased on: The potential for US Physical Therapy's patient-focused model to be undermined by the profit-driven goals of private equity investors

Expected Timeline

Phases
0-6 monthsCompleted

“0 to 6 months months”

Announcements of 'operational improvements' and leadership changes, but no visible changes to patient experience

6-12 monthsYOU ARE HERE

“6 to 12 months months”

Staffing reductions and clinic consolidations begin, leading to longer wait times and less personalized care

12-24 months

“12 to 24 months months”

Noticeable decline in the quality of physical therapy services, with patients reporting shorter sessions, less experienced therapists, and reduced attention to their individual needs

24-36 months

“24 to 36 months months”

Potential closure of less profitable clinics, leading to access issues for patients, especially in underserved areas. Emergence of billing controversies and quality-of-care scandals

36+ months

“36+ months months”

Potential bankruptcy or sale of the company to another operator, with further disruption to patient care

Similar Cases

Other companies that followed a similar path after PE acquisition

Operating

Steward Health Care

Cerberus Capital Management·2010

See full case study
Operating

Envision Healthcare

KKR·2018

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Operating

US Dermatology Partners

Ares Management·2016

See full case study
Operating

Hahnemann University Hospital

Cerberus Capital Management·2018

See full case study
Operating

Sound Physicians

Summit Partners·2019

See full case study

What You Can Do

Take Action

Actions

  • Closely monitor any changes in the quality and duration of physical therapy sessions, as well as the experience and qualifications of the therapists providing care

  • Be aware of any potential clinic closures or consolidations that could impact your access to care

  • Advocate for the preservation of the patient-focused model and high-quality physical therapy services that were the hallmark of US Physical Therapy

Alternatives

Non-profit health systemsSAFE

Community-focused healthcare

Kaiser PermanenteSAFE

Integrated managed care consortium

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"US Physical Therapy is now PE-owned. Here's what that means for you."