ATI Physical Therapy, Inc. (ATIP): Analyse du pilon [Jan-2025 MISE À JOUR]

Dans le paysage dynamique de la physiothérapie, ATI Physical Therapy, Inc. (ATIP) navigue dans un réseau complexe de forces externes qui façonnent sa direction stratégique et son efficacité opérationnelle. Du labyrinthe complexe des réglementations des soins de santé au pouvoir transformateur des innovations technologiques, cette analyse de pilon dévoile l'environnement multiforme dans lequel ATIP opère. Alors que les soins de santé continuent d'évoluer à un rythme sans précédent, la compréhension de ces facteurs externes critiques devient primordial pour une croissance durable et un avantage concurrentiel dans l'industrie des services de réadaptation.

ATI Physical Therapy, Inc. (ATIP) - Analyse du pilon: facteurs politiques

Politiques de remboursement de Medicare et Medicaid

En 2024, le plafond de thérapie ambulatoire de Medicare était de 2 230 $ pour la physiothérapie et l'orthophonie combinés. Les taux de remboursement de Medicaid variaient selon l'État, avec une moyenne de 65 $ à 85 $ par séance de physiothérapie.

Catégorie de plafond de thérapie Medicare	Limite annuelle (2024)
Physiothérapie et orthophonie combinée	$2,230
Ergothérapie	$2,230

Changements de réglementation des soins de santé

Les Centers for Medicare & Medicaid Services (CMS) a mis en œuvre les exigences de conformité mises à jour en 2024, avec Des pénalités potentielles allant de 100 $ à 50 000 $ par violation.

• Mises à jour de la conformité HIPAA
• Protocoles de protection des données des patients améliorés
• Exigences de documentation de la télésanté

Règlement sur la main-d'œuvre des soins de santé

Les exigences de licence d'État pour les physiothérapeutes en 2024 comprenaient:

Exigence	Détails
Éducation minimale	Docteur en physiothérapie (DPT)
Examen national	Examen national de physiothérapie (NPTE)
Formation continue	20-30 heures par an par règlement de l'État

Initiatives fédérales de réforme des soins de santé

Les propositions de réforme fédérale de la santé 2024 comprenaient des changements potentiels pour les modèles de services de réadaptation ambulatoire, avec Impact estimé sur les taux de remboursement de 3 à 5%.

• Accent accru sur les modèles de soins basés sur la valeur
• Cadres de remboursement de la télésanté améliorés
• Structures de paiement basées sur les performances

ATI Physical Therapy, Inc. (ATIP) - Analyse du pilon: facteurs économiques

La hausse des coûts des soins de santé a un impact sur les patients aux services de physiothérapie

Selon les Centers for Medicare & Medicaid Services, les dépenses de santé aux États-Unis a atteint 4,5 billions de dollars en 2022, ce qui représente 17,3% du PIB. Les services de physiothérapie se situent entre 75 $ et 350 $ par session. Les dépenses directes pour les patients ont augmenté de 12,3% par an.

Métrique des coûts des soins de santé	Valeur 2022	Changement d'une année à l'autre
Total des dépenses de santé aux États-Unis	4,5 billions de dollars	5.4%
Coût moyen de la séance de thérapie physique	$150-$250	7.2%
Patient dépenses de la poche	$12,914	12.3%

Taux de remboursement des assurances fluctuantes

Les taux de remboursement de Medicare pour les services de physiothérapie ont diminué de 2,4% en 2023. Les taux de remboursement d'assurance privée étaient en moyenne de 85 $ à 125 $ par session, avec une baisse de 3,1% par rapport à l'année précédente.

Catégorie de remboursement d'assurance	2023 Taux moyen	Changement d'une année à l'autre
Remboursement de l'assurance-maladie	$95-$110	-2.4%
Remboursement d'assurance privée	$85-$125	-3.1%

Ralentissement économique et procédures médicales

Pendant les récessions économiques, les procédures médicales électives diminuent d'environ 22%. Les investissements en réadaptation diminuent généralement de 15 à 18% lors des contractions économiques.

Catégorie d'impact économique	Pourcentage de baisse
Procédures médicales électives	22%
Investissements de réhabilitation	15-18%

Dynamique du marché du travail des soins de santé

Le salaire annuel médian de physiothérapeute en 2022 était de 95 620 $. Les coûts de recrutement en moyenne 4 129 $ par professionnel de la santé. Le taux de rotation du thérapeute s'élève à 17,2% à l'échelle nationale.

Métrique du marché du travail	Valeur 2022
Salaire médian de physiothérapeute	$95,620
Coût de recrutement par professionnel	$4,129
Taux de roulement du thérapeute national	17.2%

ATI Physical Therapy, Inc. (ATIP) - Analyse du pilon: facteurs sociaux

La population vieillissante augmente la demande de services de réadaptation et de physiothérapie

Selon le US Census Bureau, la population 65 et plus ancienne devrait atteindre 73,1 millions d'ici 2030. Ce changement démographique a un impact directement sur la demande de services de physiothérapie.

Groupe d'âge	Projection de population	Besoins de thérapie potentielle
65-74 ans	39,4 millions	Exigences de réadaptation élevées
75-84 ans	22,7 millions	Besoins d'intervention de thérapie très élevée
85 ans et plus	11 millions	Dépendance à la thérapie critique

La conscience en santé croissante suscite l'intérêt des soins préventifs et de réadaptation

Le marché mondial de la physiothérapie était évalué à 67,7 milliards de dollars en 2022 et devrait atteindre 97,5 milliards de dollars d'ici 2030, avec un TCAC de 4,7%.

Segment de marché	Valeur 2022	2030 valeur projetée
Soins préventifs	22,3 milliards de dollars	35,6 milliards de dollars
Soins de réadaptation	45,4 milliards de dollars	61,9 milliards de dollars

Les tendances du travail à distance ont un impact sur les besoins en santé et services de thérapie musculo-squelettique

77% des travailleurs à distance rapportent ressentir des douleurs musculo-squelettiques, créant d'importantes opportunités de service de thérapie.

Environnement de travail	Prévalence de la douleur musculo-squelettique	Interventions de thérapie potentielle
Bureau à domicile	77%	Évaluations ergonomiques, consultations virtuelles
Travail hybride	62%	Programmes de réadaptation ciblés

L'augmentation de la sensibilisation à la prévention des blessures sportives soutient les programmes de thérapie spécialisée

Le marché de la médecine sportive devrait atteindre 8,3 milliards de dollars d'ici 2025, avec un TCAC de 5,1%.

Segment de médecine sportive	2022 Taille du marché	2025 Taille du marché prévu
Prévention des blessures	2,6 milliards de dollars	3,4 milliards de dollars
Services de réadaptation	3,9 milliards de dollars	4,9 milliards de dollars

ATI Physical Therapy, Inc. (ATIP) - Analyse du pilon: facteurs technologiques

Plateformes de télésanté élargissant les capacités de consultation en thérapie à distance

La physiothérapie ATI a rapporté un Augmentation de 37% Dans les consultations de télésanté en 2023, les revenus de plate-forme numérique atteignant 14,2 millions de dollars. La plate-forme de thérapie à distance de l'entreprise couvre 46 États avec 892 fournisseurs de thérapie numérique actifs.

Métrique de la télésanté	2023 données
Revenus de consultation numérique	14,2 millions de dollars
États couverts	46
Fournisseurs de thérapie numérique	892
Croissance des consultations en télésanté	37%

Systèmes de gestion des patients numériques améliorant le suivi du traitement et les résultats

ATI a mis en œuvre un suivi du système de gestion numérique propriétaire 328 000 dossiers de patients avec un Taux de précision de 94,3%. Le système intègre les dossiers de santé électroniques aux mesures de résultat du traitement.

Métriques du système de gestion des patients	Performance de 2023
Dossiers des patients suivis	328,000
Taux de précision des données	94.3%
Efficacité d'intégration du système	98.7%

Technologies diagnostiques et de réadaptation avancées améliorant la précision du traitement

L'investissement dans des technologies avancées atteintes 6,3 millions de dollars en 2023, avec 17 nouvelles installations d'équipement de diagnostic à travers le réseau de ATI de 900 cliniques.

Catégorie d'investissement technologique	2023 données
Investissement technologique total	6,3 millions de dollars
Nouvel équipement de diagnostic	17 installations
Réseau de cliniques totaux	900 cliniques

Intelligence artificielle et potentiel d'apprentissage automatique dans la planification de la réadaptation personnalisée

ATI alloué 2,7 millions de dollars Vers la recherche sur l'IA et l'apprentissage automatique, le développement d'algorithmes qui analysent 42 000 profils de traitement des patients pour les stratégies de réhabilitation personnalisées.

Métriques de recherche AI ​​/ ML	Performance de 2023
Investissement de recherche AI ​​/ ML	2,7 millions de dollars
Profils de patients analysés	42,000
Précision de l'algorithme de personnalisation	89.6%

ATI Physical Therapy, Inc. (ATIP) - Analyse du pilon: facteurs juridiques

Conformité aux réglementations de la vie privée des patients HIPAA

La physiothérapie ATI fait face à des exigences de conformité strictes HIPAA avec des amendes potentielles allant de 100 $ à 50 000 $ par violation, avec un maximum annuel de 1,5 million de dollars pour des violations répétées.

Catégorie de violation de la HIPAA	Fine minimum	Amende maximale
Tier 1: violation inconsciente	100 $ par violation	50 000 $ par violation
Tier 2: cause raisonnable	1 000 $ par violation	50 000 $ par violation
Tier 3: négligence délibérée (corrigé)	10 000 $ par violation	50 000 $ par violation
Tier 4: négligence délibérée (non corrigée)	50 000 $ par violation	1,5 million de dollars par an

Considérations de responsabilité en matière de faute professionnelle médicale

Coût moyen d'assurance pour faute professionnelle médicale pour les physiothérapeutes: 1 500 $ à 2 500 $ par an. Les demandes de responsabilité potentielle peuvent varier de 50 000 $ à 500 000 $ selon la gravité.

Type de réclamation de responsabilité	Montant de réclamation moyenne	Fréquence
Réclamations de blessures mineures	$50,000 - $100,000	45% des réclamations
Réclamations de blessures modérées	$100,000 - $250,000	35% des réclamations
Réclamations de blessures graves	$250,000 - $500,000	20% des réclamations

Exigences de licence au niveau de l'État

Les coûts de licence de physiothérapeute varient selon l'État, avec des frais de licence initiaux moyens entre 100 $ et 300 $. Les exigences de formation continue varient de 10 à 30 heures par an.

État	Frais de licence initiale	Frais de renouvellement	Les heures requises
Californie	$250	$180	30 heures
Texas	$195	$140	20 heures
Floride	$225	$160	24 heures

Documentation d'assurance et conformité réglementaire de la facturation

Les pénalités de conformité à Medicare peuvent atteindre 10 000 $ par réclamation incorrecte. Les taux d'erreur de facturation moyens en physiothérapie varient de 5% à 15%.

Catégorie d'erreur de facturation	Taux d'erreur	Impact financier potentiel
Erreurs de codage	5-7%	50 000 $ - 100 000 $ par an
Erreurs de documentation	3-5%	30 000 $ - 75 000 $ par an
Violations de la conformité	1-3%	10 000 $ - 50 000 $ par an

ATI Physical Therapy, Inc. (ATIP) - Analyse du pilon: facteurs environnementaux

Initiatives d'efficacité énergétique et de durabilité de l'établissement de soins de santé

La physiothérapie ATI a mis en œuvre des mesures d'efficacité énergétique dans ses plus de 900 cliniques à l'échelle nationale. La répartition de la consommation d'énergie de l'entreprise est la suivante:

Source d'énergie	Consommation annuelle	Coût
Électricité	12,4 millions de kWh	1,86 million de dollars
Gaz naturel	285 000 therms	$342,000

Documentation en papier réduit par le biais de systèmes de dossiers médicaux numériques

La physiothérapie ATI a numérisé les dossiers médicaux avec les mesures suivantes:

• Taux de documentation numérique: 94,7%
• Réduction du papier annuel: 3,2 millions de feuilles
• Économies de coûts des systèmes numériques: 412 000 $ par an

Réduction de l'empreinte carbone de l'équipement médical et de la gestion des installations

Catégorie de réduction du carbone	Réduction annuelle	Pourcentage d'amélioration
Efficacité énergétique de l'équipement	42 tonnes métriques CO2	18.6%
Optimisation du CVC de l'installation	31 tonnes métriques CO2	14.3%

Pratiques de gestion des déchets et de recyclage dans les environnements cliniques

Statistiques de gestion des déchets pour les cliniques de physiothérapie ATI:

Catégorie de déchets	Volume annuel	Taux de recyclage
Plastiques médicaux	47 600 lbs	62%
Papier et carton	38 200 lbs	89%
Déchets électroniques	5 400 lbs	95%

ATI Physical Therapy, Inc. (ATIP) - PESTLE Analysis: Social factors

Sociological

The core social factors impacting ATI Physical Therapy, Inc. are overwhelmingly positive for demand but create significant operational pressure due to a tight labor market. Simply put, more people need physical therapy, but there aren't enough physical therapists to meet the need, so your costs are rising.

The aging US population and a national movement toward non-pharmacological pain management are driving a powerful surge in patient volume. ATI Physical Therapy reported a total of 6,325,507 patient visits for the year ended December 31, 2024, reflecting this strong underlying demand. This is a massive tailwind for revenue, but it also exacerbates the industry's most critical operational risk: the severe labor shortage.

Demand for physical therapists is projected to grow 14% from 2023 to 2033 due to the aging US population.

The demographic shift in the United States is the single largest driver of demand for physical therapy services. The Bureau of Labor Statistics (BLS) projects that employment of physical therapists will grow by a substantial 14% from 2023 to 2033, which is much faster than the average for all occupations. [cite: 1 from previous search, 6 from previous search, 17 from previous search]

This growth is a direct result of the large number of aging Baby Boomers, who are living longer and staying more active, but who also require rehabilitation for age-related conditions like strokes, mobility-related injuries, and chronic musculoskeletal disorders. This creates a predictable and sustained revenue opportunity for ATI Physical Therapy in the near-term and long-term.

Severe labor shortage in the PT profession is forcing higher contract labor costs and clinic vacancies.

While demand is soaring, the supply of licensed physical therapists (PTs) is critically constrained. The American Physical Therapy Association (APTA) forecasts a national shortage of PTs that will fluctuate, but persist, through 2037. In 2022, the U.S. had an estimated national shortfall of 12,070 physical therapist full-time equivalents (FTEs), and this shortage is forecasted to reach 8.2% of the required workforce by 2027. [cite: 12 from previous search, 13 from previous search]

This shortage directly impacts ATI Physical Therapy's operating expenses. The company's 2024 fiscal year results showed that the increase in Rent, clinic supplies, contract labor and other costs was primarily driven by higher contract labor costs. [cite: 20 from previous search] This means you are paying a premium-often through temporary staffing agencies-to keep clinics fully operational, which eats into your operating margin.

Company reported 6,325,507 patient visits in 2024, reflecting strong underlying demand for services.

The sheer volume of patient visits underscores the market's need for ATI Physical Therapy's services. For the fiscal year ended December 31, 2024, the company successfully managed 6,325,507 patient visits. This high-volume operation is a clear indicator of successful patient access and a well-recognized brand in a high-demand sector.

Here's the quick math: managing over 6 million visits means your operational efficiency and patient retention programs are working, but it also means the pressure to maintain clinical staffing is immense. If you lose even a small percentage of clinicians, the backlog of patient visits grows quickly.

Metric	Value (FY 2024)	Significance
Total Patient Visits	6,325,507	High volume reflects strong market demand and brand trust.
Net Revenue	$753.1 million	Total revenue for the year ended December 31, 2024.
Employment Growth Projection (PTs)	14% (2023-2033)	Long-term demand is structurally strong. [cite: 1 from previous search]

Focus on non-opioid pain management drives patient referrals to physical therapy.

The national health crisis around opioid addiction has fundamentally changed pain management protocols, shifting referrals away from prescription drugs and toward non-pharmacological alternatives like physical therapy. The CDC's 2022 Clinical Practice Guideline for Prescribing Opioids emphasizes maximizing non-opioid therapies. [cite: 7 from previous search]

This societal and regulatory shift is a powerful, non-cyclical driver for ATI Physical Therapy. For instance, research has shown that early physical therapy intervention can reduce opioid use by 10% in individuals with musculoskeletal pain. [cite: 5 from previous search] This positions physical therapy as a cost-effective, first-line treatment for a massive patient population.

• Physical Therapy's Role in Non-Opioid Care (2025 Trend):
• Reduces reliance on Schedule II controlled substances.
• Positions PT as a first-line treatment for acute and chronic pain.
• Drives referrals from physicians seeking evidence-based alternatives.

High patient satisfaction, evidenced by an average Net Promoter Score (NPS) of 75.

Patient satisfaction is a crucial social factor, directly correlating with retention, word-of-mouth referrals, and payer perception. ATI Physical Therapy has historically maintained a high average Net Promoter Score (NPS) of 75 (as of December 31, 2022). [cite: 19 from previous search] This score is exceptionally strong for a healthcare provider.

Furthermore, a recent April 2025 announcement highlighted that the company's enhanced digital experience, which integrates in-person and virtual care, has led to a 14% improvement in Net Promoter Score (NPS). [cite: 10 from previous search] This indicates that investments in patient experience are translating directly into higher loyalty, which is key to sustaining the 6,325,507 annual visit volume without over-relying on external marketing.

You defintely want to keep investing in the patient experience; it's a clear competitive advantage.

ATI Physical Therapy, Inc. (ATIP) - PESTLE Analysis: Technological factors

Launched an enhanced digital and virtual care platform in April 2025, integrating in-person and remote care

You're seeing a massive shift in how patients want care, moving away from clinic-only models. ATI Physical Therapy responded to this by launching its enhanced digital and virtual care platform on April 2, 2025, which is a critical move to stay competitive. This isn't just a simple video call; it's an integrated digital experience that blends in-person treatment with advanced virtual musculoskeletal (MSK) care. This platform provides easier access, personalized treatment plans, real-time progress tracking, and interactive rehabilitation tools. Honestly, the ability to offer a seamless, connected patient journey is now table stakes, not a differentiator, but ATI is executing on it with measurable results.

Hybrid care model achieved a 50% reduction in initial appointment wait times

The immediate payoff of this digital integration is clear in the performance of ATI Physical Therapy's hybrid care model. By optimizing patient flow and offering virtual pathways, the company has directly addressed a major barrier to care: long wait times. The early results from this model are strong, showing a 50% reduction in wait times for initial appointments. Here's the quick math: cutting the wait in half means faster intervention, which typically leads to better patient outcomes and higher patient satisfaction. This focus on access and engagement is also reflected in a 14% improvement in Net Promoter Score (NPS) and a reported 30% faster recovery times compared to traditional care models. That's a powerful value proposition for payers and patients alike.

Hybrid Care Model Performance (2025)	Metric	Impact
Initial Appointment Wait Times	50% reduction	Improves patient access and conversion.
Patient Recovery Time	30% faster	Reduces overall cost of care and improves clinical efficacy.
Net Promoter Score (NPS)	14% improvement	Indicates higher patient loyalty and satisfaction.

Utilizes Remote Therapeutic Monitoring (RTM) and proprietary Electronic Medical Records (EMR) for data-driven care

The core of this technological strategy is data-driven care. ATI Physical Therapy is using Remote Therapeutic Monitoring (RTM) to extend the clinic's reach into the patient's home, monitoring adherence to therapeutic regimens and patient-reported outcomes. This is crucial because adherence is defintely the biggest variable in physical therapy success. RTM allows physical therapists to bill using specific 2025 CPT codes (98975-98981), creating a new, reimbursable revenue stream for continuous care. This data feeds into their integrated platform, which is built on a 'Single Platform approach' to ensure clinical consistency and deliver scaled clinical pathways. The continuous, objective data from RTM allows for real-time treatment adjustments, making care much more personalized and efficient.

• RTM Focus: Monitors therapy adherence, symptoms, and functional status outside the clinic.
• Reimbursement: Utilizes 2025 CPT codes (98975-98981) for RTM services.
• Benefit: Enables timely intervention and improves patient engagement.

Industry adoption of AI-powered motion analysis and virtual reality (VR) rehabilitation is accelerating in 2025

Looking at the broader market, the adoption of advanced technologies like Artificial Intelligence (AI) and Virtual Reality (VR) is accelerating, creating both an opportunity and a competitive threat for ATI Physical Therapy. By the end of 2025, an estimated 65% of physical therapy clinics are expected to adopt AI technologies. This isn't theoretical; it's happening now. AI-powered motion analysis, which uses computer vision to track movement with up to 95% accuracy, is becoming the standard for objective assessment. The adoption of VR integrated with AI has also increased by 40% in the last year, driven by its ability to gamify exercises and improve patient motivation.

For firms that adopt this technology, the upsides are significant: AI-integrated practices report a 35% improvement in patient outcomes and a 40% reduction in treatment time. Furthermore, AI-powered predictive analytics can forecast patient recovery trajectories with an accuracy of 87%. This means the bar for clinical excellence is rising fast, and ATI Physical Therapy must continue to invest heavily in these areas to maintain its market position against digitally native competitors and other large chains.

ATI Physical Therapy, Inc. (ATIP) - PESTLE Analysis: Legal factors

Privatization and Shareholder Buyout

The most immediate and critical legal change for ATI Physical Therapy, Inc. in 2025 was its transition from a publicly traded company back to private ownership. This merger was completed on August 1, 2025. This move fundamentally alters the company's regulatory burden, shifting from strict Securities and Exchange Commission (SEC) reporting requirements to private equity oversight.

The privatization was executed by a consortium of existing stockholders, led by private investment firms Knighthead Capital Management and Marathon Asset Management. Shares not held by this group were acquired for a cash price of $2.85 per share. This transaction provides greater operational flexibility but also eliminates the public market's transparency, which is a key legal and governance shift.

Telehealth Regulatory Extension: A Near-Term Risk

The legal framework supporting ATI Physical Therapy's virtual care offerings remains in flux, creating a significant near-term planning risk. The Medicare telehealth flexibilities for physical therapists (PTs), which were temporarily extended, were set to expire. However, a continuing resolution signed on November 12, 2025, extended these crucial waivers until January 30, 2026.

This extension prevents a sudden, full expiration of virtual care reimbursement, but it's only a temporary fix. If Congress does not enact a permanent solution, Medicare reimbursement for telehealth services in therapy domains will cease, and geographic and originating site restrictions will be reinstated. This is a huge legislative cliff we're facing.

• Monitor legislative action for permanent telehealth policy.
• Prepare contingency plans for a January 30, 2026, expiration.
• Ensure state-level telehealth compliance is maintained regardless of federal policy.

Medicare Part B Threshold Increase

Reimbursement compliance with the Centers for Medicare & Medicaid Services (CMS) is a constant legal and financial pressure point. For the 2025 calendar year, the therapy threshold for Medicare Part B services that triggers the use of the KX modifier has increased.

The new threshold for combined Physical Therapy (PT) and Speech-Language Pathology (SLP) services, and separately for Occupational Therapy (OT) services, is $2,410 per patient. This is an increase from the 2024 threshold of $2,330. While it's an increase, which is a small positive, it mandates rigorous documentation and the use of the KX modifier to attest that services exceeding this amount are medically necessary. Claims exceeding the targeted medical review threshold of $3,000 are subject to potential audit through 2027.

Medicare Part B Therapy Threshold (CY 2025)	Amount	Compliance Action
KX Modifier Threshold (PT/SLP combined & OT separate)	$2,410	Must use KX modifier and document medical necessity for services above this amount.
Targeted Medical Review Threshold	$3,000	Claims exceeding this amount are subject to potential targeted medical review by Medicare.
2025 Conversion Factor (Estimated)	$32.35	Used to calculate reimbursement; a decrease from the 2024 factor of $33.29.

Data Privacy and Compliance Risk

Like all major U.S. healthcare providers, ATI Physical Therapy must maintain strict compliance with the Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health Act (HITECH). The company's reliance on its proprietary Electronic Medical Record (EMR) system makes this a central operational and legal risk. Any breach of Protected Health Information (PHI) could lead to severe financial penalties, which can be millions of dollars depending on the scope and culpability, plus massive reputational damage. The legal team has to defintely ensure that all data security protocols are current and audit-ready.

ATI Physical Therapy, Inc. (ATIP) - PESTLE Analysis: Environmental factors

Primary environmental impact comes from energy consumption in its 866+ clinics across 24 states.

The core environmental footprint for ATI Physical Therapy is tied directly to the operation of its expansive physical network of approximately 866 clinics across 24 states. The sheer scale of this real estate portfolio means energy consumption is the primary impact driver, not manufacturing waste. For a typical U.S. outpatient healthcare facility, the energy intensity averages about 18.7 kWh per square foot annually, with an average facility size around 12,100 square feet. Here's the quick math: this translates to an estimated annual energy draw of approximately 196.2 million kWh across the entire ATI Physical Therapy clinic fleet, assuming a consistent footprint and usage profile. You can see why managing utility costs is a major operational focus.

The focus for environmental action isn't just about total use, but where that energy goes. For outpatient facilities, the major energy end-uses are dominated by climate control and lighting, which presents a clear opportunity for cost-saving green investments.

Energy End-Use Category (Outpatient Healthcare)	Approximate Share of Total Consumption	ATI Physical Therapy Operational Impact
Space Heating	26%	High-impact area, especially in northern states like Illinois and Michigan.
Ventilation (HVAC)	23%	Critical for air quality and a significant, year-round energy drain.
Lighting	15%	Direct opportunity for immediate efficiency gains via LED retrofits.
Other (Equipment, Water Heating, etc.)	36%	Includes energy for treadmills, ellipticals, and administrative equipment.

Digital record keeping (EHR) helps reduce paper waste, a key sustainability measure for outpatient clinics.

The adoption of a comprehensive Electronic Health Record (EHR) system is a defintely positive environmental factor, even if it's primarily an operational efficiency and patient safety measure. By digitizing patient files, billing, and clinical notes, ATI Physical Therapy eliminates the massive paper trail associated with millions of patient visits annually. This shift from paper-based records to digital workflows reduces administrative waste and the logistical carbon footprint of paper production, printing, and storage. It's a simple trade-off: a small increase in server electricity for a massive reduction in physical waste.

The benefits of this digital transition extend beyond just paper:

• Reduces the need for physical storage space, which lowers the required square footage and associated utility costs.
• Improves data accessibility and workflow efficiency for clinicians, reducing the time spent on paper-based administrative tasks.
• Supports regulatory compliance by securing patient health information (PHI) without the risk of lost or illegible paper charts.

Telehealth offerings indirectly reduce the carbon footprint from patient and staff transportation.

ATI Physical Therapy's investment in telehealth services, such as its CONNECT™ online platform, is a significant, though indirect, environmental win. The single largest contributor to the carbon footprint of an in-person clinic visit is patient and staff transportation. When a patient chooses a virtual session, they eliminate the round-trip drive. One study showed that an average in-person clinic visit emits an estimated 20 kg CO2e (carbon dioxide equivalent), while a video-based virtual visit emits only about 0.04 kg CO2e on average. That's a 99.8% reduction in emissions per visit.

The financial and environmental savings for the patient are clear. On average, a patient avoids traveling 17.6 miles and saves an estimated $11 in travel-related costs per telehealth visit. For a large-scale provider like ATI Physical Therapy, even a small percentage of visits conducted virtually translates to millions of miles of avoided driving, which is a material reduction in Scope 3 emissions (emissions from the value chain).

Industry trend toward sustainable clinic operations (e.g., LED lighting, optimized HVAC) to lower utility costs.

The industry trend is moving toward sustainable clinic operations not just for environmental stewardship, but because it directly impacts the bottom line. Energy efficiency is a cost-control strategy. Given that utility costs for a single clinic can range from $12,000 to $28,800 annually, depending on size and location, efficiency upgrades offer a strong return on investment.

The most common and impactful actions, which ATI Physical Therapy can and should prioritize across its 866-clinic portfolio, include:

• LED Lighting Retrofits: Replacing traditional bulbs with LED lighting can cut lighting-related energy consumption, which accounts for about 15% of a clinic's total energy use.
• Optimized HVAC Systems: Since space heating and ventilation account for nearly half (49%) of the energy consumption in outpatient facilities, upgrading to high-efficiency heating, ventilation, and air conditioning (HVAC) systems and installing programmable thermostats is crucial for lowering utility bills.
• Water Conservation: Installing low-flow faucets and sensor-activated sinks reduces water waste, which helps manage the water/sewer component of utility expenses.

Focusing on these capital expenditure projects is a clear action item. They reduce the environmental risk of high energy consumption while simultaneously improving the operating expense ratio, a win-win for stakeholders and the planet.