Financial Performance - Net income attributable to shareholders for Q2 2024 was 7.5million,downfrom10.9 million in Q2 2023, representing a decrease of approximately 31.1%[97] - Earnings per share for Q2 2024 was 0.47,comparedto0.64 in Q2 2023, reflecting a decline of about 26.6%[98] - For the first six months of 2024, net income attributable to shareholders was 15.6million,downfrom18.3 million in the same period of 2023, a decrease of approximately 14.8%[97] - Earnings per share for the first six months of 2024 was 0.93,comparedto1.22 for the same period in 2023, a decline of about 23.9%[98] - The company reported a net income of 11.7millionforQ22024,downfrom14.9 million in Q2 2023, reflecting a decline of 21.2%[102] Revenue and Growth - Total net revenue for Q2 2024 increased by 15.7million,or10.4167.2 million from 151.5millioninQ22023[102]−Netrevenuefromphysicaltherapyoperationsincreasedby11.2 million, or 8.5%, to 143.5millionforthe2024SecondQuartercomparedto132.2 million for the 2023 Second Quarter[105] - Total net revenue for the 2024 Six Months increased by 22.9million,or7.6322.9 million compared to 300.0millionforthe2023SixMonths[114]−Netpatientrevenueroseby15.5 million, or 6.1%, to 271.3millionfrom255.9 million in the previous year[114] - Revenues from physical therapy operations increased by 16.5million,or6.3277.9 million, driven by an increase in patient visits and new clinics[115] Operating Costs and Profitability - Operating costs for Q2 2024 rose by 14.1million,or11.8133.3 million compared to 119.3millioninQ22023[102]−Totaloperatingcostasapercentageoftotalnetrevenuewas79.723.7 million, or 10.0%, to 260.6million,resultingintotaloperatingcostsasapercentageofnetrevenuerisingto80.70.8 million, or 1.3%, to 62.3million,withagrossprofitmarginof19.313.0 million, or 8.7%, to 161.2million,withsalariespervisitrisingto60.52 from 58.35[118]ClinicOperations−ThecompanycompletedacquisitionsofclinicpracticesandIIPbusinesses,increasingthenumberofclinicsfrom679atthebeginningofQ22024to681bytheendoftheperiod[92]−Thenumberofclinicsclosedorsoldinthefirstsixmonthsof2024was11,comparedto5inthesameperiodof2023[92]−ThecompanyaimstocontinueacquiringoutpatientphysicaltherapypracticesandexpanditsIIPsector[93]−Totalpatientvisitsincreasedby68,195,or5.422.1 million, up from 21.7millioninQ22023,representingayear−over−yearincreaseof1.811.0 million, compared to 10.4millioninQ22023,reflectingagrowthof5.838.9 million, compared to 40.1millioninthesameperiodof2023[101]TaxandInterestExpenses−Theprovisionforincometaxeswas3.1 million in the 2024 Second Quarter compared to 4.2millionduringthe2023SecondQuarter[112]−Theeffectiveincometaxratewas29.10.7 million to 2.0millionforthe2024SecondQuartercomparedto2.6 million in the 2023 Second Quarter[110] - Interest expense decreased by 1.20millionto3.90 million due to a lower outstanding balance on the revolving facility[121] Cash Flow and Investments - Net cash provided by operating activities was 33.41million,adecreasefrom38.78 million in the previous year[125] - Cash used in investing activities totaled 48.76million,primarilyforthepurchaseofinterestsinbusinessesandfixedassets[125]−Cashusedinfinancingactivitieswas24.57 million, mainly due to 13.30millionincashdividendspaidtoshareholders[126]−AsofJune30,2024,totalcashandcashequivalentswere112.90 million, down from 152.80millionasofDecember31,2023[123]DebtandInterestRateManagement−Thecompanyenteredintoaninterestrateswapagreementwithanotionalvalueof150 million, effective June 30, 2022, with a maturity date of June 30, 2027, generating 1.8millionininterestsavingsforthesixmonthsendedJune30,2024[129]−Theoutstandingbalanceonnotespayablerelatedtoacquisitionswas4.1 million as of June 30, 2024, with varying due dates and interest rates ranging from 3.5% to 8.5% per annum[130] - The company's total indebtedness as of June 30, 2024, included 4.1millioninsellernotesand142.5 million in a term note related to the Credit Agreement[134] - The Revolving Facility had no balance as of June 30, 2024, and is subject to fluctuating interest rates[134] - A 1% change in the interest rate would yield no additional interest expense on the facility due to the interest rate swap arrangement[134]