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SEMSelect Medical Holdings Corporation
$16.51$2.0B
Overview & Verdict
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SEM logoSelect Medical Holdings Corporation(SEM)Earnings, Financials & Key Ratios

SEM•NYSE
$16.51
14.0× P/E·Price updated Jul 7, 2026
SectorHealthcareIndustryHealthcare FacilitiesSub-IndustryPost-acute and senior care
AboutSelect Medical Holdings Corporation, through its subsidiaries, operates critical illness recovery hospitals, rehabilitation hospitals, outpatient rehabilitation clinics, and occupational health centers in the United States. The company's Critical Illness Recovery Hospital segment consists of hospitals that provide services for heart failure, infectious disease, respiratory failure and pulmonary disease, surgery requiring prolonged recovery, renal disease, neurological events, and trauma. Its Rehabilitation Hospital segment offers therapy and rehabilitation treatments, including rehabilitative services for brain and spinal cord injuries, strokes, amputations, neurological disorders, orthopedic conditions, pediatric congenital or acquired disabilities, and cancer. The company's Outpatient Rehabilitation segment operates rehabilitation clinics that provide physical, occupational, and speech rehabilitation programs and services; and specialized programs, such as functional programs for work related injuries, hand therapy, post-concussion rehabilitation, pediatric and cancer rehabilitation, and athletic training services. Its Concentra segment operates and provides occupational health centers and contract services at employer worksites that deliver occupational medicine, consumer health, physical therapy, and wellness services. As of December 31, 2021, the company operated 104 critical illness recovery hospitals in 28 states; 30 rehabilitation hospitals in 12 states; 1,881 outpatient rehabilitation clinics in 38 states and the District of Columbia; and 518 occupational health centers in 41 states, and 134 onsite clinics at employer worksites states. Select Medical Holdings Corporation was founded in 1996 and is headquartered in Mechanicsburg, Pennsylvania.Show more
  • Revenue$5.45B+5.1%
  • EBITDA$475M+0.6%
  • Net Income$146M-31.7%
  • EPS (Diluted)1.18-28.9%
  • Gross Margin11.54%-5.5%
  • EBITDA Margin8.71%-4.3%
  • Operating Margin6.14%+18.6%
  • Net Margin2.68%-35.0%
  • ROE7.25%-39.5%

SEM Price & Volume

Select Medical Holdings Corporation (SEM) stock price & volume — 10-year historical chart

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Persistent Margin Volatility Masks Operational Cash Constraints

Investment Thesis • Updated 2026Q1

VerdictNegative
Growth:Mixed
Profitability:Strained
Financial:Strained
Cash Flow:Mixed
Primary Risk:Clinical labor wage inflation

Key Thesis Takeaways

  • Select Medical faces a challenging outlook characterized by significant revenue volatility and structural margin compression, as evidenced by gross margins struggling to sustain levels above 13%.
  • While the company has successfully reduced its debt-to-equity ratio from 3.07 in 2024Q1 to 0.54 in 2026Q1, the reliance on aggressive capital returns despite inconsistent free cash flow generation remains a primary concern.
  • Investors should monitor the company's ability to manage clinical labor wage inflation and the potential for goodwill impairment, given that $2.4 billion of its $6.0 billion asset base is tied to intangible valuations.

Verdict Logic

the company's inability to maintain consistent free cash flow, highlighted by a -3.9% FCF margin in 2026Q1, suggests that current capital allocation strategies may be unsustainable.

SEM Growth Metrics

Select Medical Holdings Corporation (SEM) revenue, earnings & EPS growth — 3, 5 & 10-year CAGR

Revenue CAGR

10 Years3.83%
5 Years-0.29%
3 Years-4.87%
TTM29.19%

Profit CAGR

10 Years1.13%
5 Years-10.8%
3 Years-2.75%
TTM-23.18%

EPS CAGR

10 Years1.77%
5 Years-9.37%
3 Years-1.37%
TTM-19.26%

Return on Capital

10 Years7.95%
5 Years7.69%
3 Years6.82%
Last Year7.05%

SEM Recent Earnings

Select Medical Holdings Corporation (SEM) EPS & revenue vs analyst estimates — last 4 quarters

Full history →
●Beat EPS 5/12 qtrs (42%)●Beat Revenue 9/12 qtrs (75%)
Q2 2026Latest
Apr 30, 2026
Metric
Actual
Est
EPS
$0.36-16.3%
$0.43
Rev
$1.4B+0.7%
$1.4B
Q1 2026
Feb 19, 2026
Metric
Actual
Est
EPS
$0.16-30.4%
$0.23
Rev
$1.4B+2.4%
$1.4B
Q4 2025
Oct 30, 2025
Metric
Actual
Est
EPS
$0.23+27.8%
$0.18
Rev
$1.4B-0.0%
$1.4B
Q3 2025
Jul 31, 2025
Metric
Actual
Est
EPS
$0.32+14.3%
$0.28
Rev
$1.3B+0.4%
$1.3B
QuarterDateEPS (Act vs Est)Revenue (Act vs Est)
Q2 2026LatestApr 30, 2026
$0.36vs $0.43-16.3%
$1.4Bvs $1.4B+0.7%
Q1 2026Feb 19, 2026
$0.16vs $0.23-30.4%
$1.4Bvs $1.4B+2.4%
Q4 2025Oct 30, 2025
$0.23vs $0.18+27.8%
$1.4Bvs $1.4B-0.0%
Q3 2025Jul 31, 2025
$0.32vs $0.28+14.3%
$1.3Bvs $1.3B+0.4%
Based on last 12 quarters of dataView full earnings history →

Latest SEM News

Recent stock market news and headlines for Select Medical Holdings Corporation (SEM)

PRNewsWire·Jun 30, 2026
Select Medical Holdings Corporation Acquired by Consortium Led by Robert A. Ortenzio, Martin F.

MECHANICSBURG, Pa., June 30, 2026 /PRNewswire/ -- Select Medical Holdings Corporation (the "Company" or "Select Medical," "we," "us," or "our") (NYSE: SEM) today announced the completion of its acquisition by an entity affiliated with a consortium led by Robert A.

PRNewsWire·Jun 26, 2026
Select Medical Holdings Corporation Announces Stockholder Approval of Acquisition by Consortium Led by Robert A. Ortenzio, Martin F.

MECHANICSBURG, Pa., June 26, 2026 /PRNewswire/ -- Select Medical Holdings Corporation (NYSE: SEM) ("Select Medical," "we," "us," or "our") confirmed today that its previously announced Agreement and Plan of Merger (the "Merger Agreement," and the transaction contemplated thereby, the "Merger") with an entity affiliated with a consortium led by Robert A.

Peers Comparison

Key metrics vs top competitors for Select Medical Holdings Corporation (SEM)

Full Screener →
CompanyPriceMarket CapP/E RatioRev Growth (1Y)Net MarginROEDiv Yield
SEM logoSEMSelect Medical Holdings CorporationCurrent
$16.51$2.05B13.995.12%2.68%7.25%1.54%
ENSG logoENSGThe Ensign Group, Inc.
$170.87$9.98B29.2618.72%6.89%16.61%—
ACHC logoACHCAcadia Healthcare Company, Inc.
$31.92$2.94B-2.635.04%-32.84%-40.92%—
UHS logoUHSUniversal Health Services, Inc.
$161.26$10.09B6.989.71%8.56%20.65%—
SGRY logoSGRYSurgery Partners, Inc.
$17.17$2.25B-28.156.24%-2.28%-2.15%—
HCA logoHCAHCA Healthcare, Inc.
$423.11$93.86B14.917.08%8.89%——

Compare SEM vs Peers

Select Medical Holdings Corporation (SEM) vs competitors — business, growth, and fundamentals comparison against the closest industry rivals.

Closest Rival

vs ENSG

Most directly comparable listed peer for SEM.

Scale Benchmark

vs MCK

Larger-name benchmark to compare SEM against a more recognizable public peer.

Peer Set

Compare Top 5

vs ENSG, ACHC, UHS, SGRY

SEM SEC Filings & Documents

Select Medical Holdings Corporation (SEM) SEC filings — annual & quarterly reports (10-K, 10-Q)

8-K Announcements

6
Material company update

Apr 30, 2026·SEC

Material company update

Apr 24, 2026·SEC

Material company update

Mar 3, 2026·SEC

10-K Annual Reports

3
FY 2026

Feb 19, 2026·SEC

FY 2025

Feb 20, 2025·SEC

FY 2024

Feb 22, 2024·SEC

10-Q Quarterly Reports

6
FY 2026

Apr 30, 2026·SEC

FY 2025

Oct 30, 2025·SEC

FY 2025

Jul 31, 2025·SEC

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SEM Frequently Asked Questions

Select Medical Holdings Corporation (SEM) stock FAQ — growth, dividends, profitability & financials explained

Growth & Financials
What is Select Medical Holdings Corporation's revenue?

Select Medical Holdings Corporation (SEM) reported $5.52B in revenue for fiscal year 2025. This represents a 197% increase from $1.86B in 2005.

How fast is Select Medical Holdings Corporation growing?

Select Medical Holdings Corporation (SEM) grew revenue by 5.1% over the past year. This is steady growth.

Is SEM profitable?

Yes, Select Medical Holdings Corporation (SEM) is profitable, generating $133.5M in net income for fiscal year 2025 (2.7% net margin).

Dividend & Returns
Does SEM pay dividends?

Yes, Select Medical Holdings Corporation (SEM) pays a dividend with a yield of 1.54%. This makes it attractive for income-focused investors.

What is SEM's return on equity?

Select Medical Holdings Corporation (SEM) has a return on equity (ROE) of 7.3%. This is below average, suggesting room for improvement.

What is Select Medical Holdings Corporation's free cash flow?

Select Medical Holdings Corporation (SEM) generated $117.2M in free cash flow for fiscal year 2025. Positive FCF indicates the company can fund dividends, buybacks, or reinvestment.

What if you invested $1,000 in SEM back in 2005?

Total return calculator · dividends reinvested · 21+ years of data

See returns →