Growth Metrics

Select Medical Holdings (SEM) Cash from Investing Activities (2018 - 2026)

Select Medical Holdings (SEM) reported Cash from Investing Activities of -$56.7 million for Q1 2026, down 8.3% year-over-year from -$61.8 million in Q1 2025, and up 15.3% on a QoQ basis from -$66.9 million in Q4 2025.

Select Medical Holdings (SEM) has 9 years of Cash from Investing Activities data on file, last reported at -$56.7 million in Q1 2026.

  • Quarterly Cash from Investing Activities fell 8.3% year-over-year to -$56.7 million in Q1 2026, while the trailing twelve-month figure through Mar 2026 was -$220.8 million (up 2.15% YoY) and the FY2025 annual result came in at -$216.5 million, up 6.29% from the prior year.
  • Cash from Investing Activities rose to -$56.7 million in Q1 2026 per SEM's latest filing, from -$66.9 million in the prior quarter.
  • Across five years, Cash from Investing Activities topped out at -$32.6 million in Q3 2025 and bottomed at -$74.2 million in Q4 2024.
  • The 5-year median for Cash from Investing Activities is -$57.7 million (2024), against an average of -$58.8 million.
  • Peak annual rise in Cash from Investing Activities reached 42.34% in 2022, while the deepest fall reached 64.79% in 2022.
  • Tracing SEM's Cash from Investing Activities over 5 years: stood at -$57.2 million in 2022, then decreased by 21.58% to -$69.6 million in 2023, then slipped by 6.62% to -$74.2 million in 2024, then grew by 9.84% to -$66.9 million in 2025, then grew by 15.3% to -$56.7 million in 2026.
  • Per Business Quant, the three latest SEM Cash from Investing Activities figures stand at -$56.7 million (Q1 2026), -$66.9 million (Q4 2025), and -$32.6 million (Q3 2025).

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Cash from Investing Activities (Qtr)
1 HCA Healthcare 84.64 Bn 87.02 Bn 16.26 Bn -1.28 Bn
2 Tenet Healthcare 15.22 Bn 14.39 Bn 4.41 Bn -317.00 Mn
3 Davita 13.10 Bn 13.96 Bn 1.07 Bn -139.09 Mn
4 Encompass Health 10.50 Bn 11.12 Bn 1.34 Bn -150.10 Mn
5 Ensign 9.69 Bn 9.09 Bn 293.37 Mn -71.19 Mn
6 Universal Health Services 8.92 Bn 8.88 Bn 3.21 Bn -197.58 Mn
7 Fresenius Medical Care AG 7.31 Bn 4.93 Bn 22,843.10 Bn -486.84 Mn
8 Chemed 5.83 Bn 5.81 Bn 215.76 Mn -37.79 Mn
9 Pacs 5.76 Bn 5.51 Bn 345.96 Mn -126.96 Mn
10 Select Medical Holdings 1.99 Bn 1.99 Bn 175.47 Mn -56.66 Mn

Historic Data

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DateValue
Mar 31, 2026 -56.66 Mn
Mar 31, 2026 -56.66 Mn
Dec 31, 2025 -66.89 Mn
Dec 31, 2025 -66.89 Mn
Sep 30, 2025 -32.61 Mn
Sep 30, 2025 -32.61 Mn
Jun 30, 2025 -64.67 Mn
Jun 30, 2025 -64.67 Mn
Mar 31, 2025 -52.32 Mn
Mar 31, 2025 -52.32 Mn
Dec 31, 2024 -74.19 Mn
Dec 31, 2024 -74.19 Mn
Sep 30, 2024 -45.09 Mn
Sep 30, 2024 -45.09 Mn
Jun 30, 2024 -54.07 Mn
Jun 30, 2024 -54.07 Mn
Mar 31, 2024 -57.66 Mn
Mar 31, 2024 -57.66 Mn
Dec 31, 2023 -69.58 Mn
Dec 31, 2023 -69.58 Mn
Sep 30, 2023 -63.02 Mn
Sep 30, 2023 -63.02 Mn
Jun 30, 2023 -66.81 Mn
Jun 30, 2023 -66.81 Mn
Mar 31, 2023 -69.06 Mn
Mar 31, 2023 -69.06 Mn
Dec 31, 2022 -57.23 Mn
Dec 31, 2022 -57.23 Mn
Sep 30, 2022 -55.01 Mn
Sep 30, 2022 -55.01 Mn
Jun 30, 2022 -58.76 Mn
Jun 30, 2022 -58.76 Mn
Mar 31, 2022 -55.33 Mn
Mar 31, 2022 -55.33 Mn
Dec 31, 2021 -99.27 Mn
Dec 31, 2021 -99.27 Mn
Sep 30, 2021 -69.08 Mn
Sep 30, 2021 -69.08 Mn
Jun 30, 2021 -35.66 Mn
Jun 30, 2021 -35.66 Mn
Mar 31, 2021 -52.59 Mn
Mar 31, 2021 -52.59 Mn
Dec 31, 2020 -53.17 Mn
Dec 31, 2020 -53.17 Mn
Sep 30, 2020 18.38 Mn
Sep 30, 2020 18.38 Mn
Jun 30, 2020 -35.90 Mn
Jun 30, 2020 -35.90 Mn
Mar 31, 2020 -44.66 Mn
Mar 31, 2020 -44.66 Mn
Dec 31, 2019 -46.02 Mn
Dec 31, 2019 -46.02 Mn
Sep 30, 2019 -43.23 Mn
Sep 30, 2019 -43.23 Mn
Jun 30, 2019 -144.68 Mn
Jun 30, 2019 -144.68 Mn
Mar 31, 2019 -82.80 Mn
Mar 31, 2019 -82.80 Mn
Dec 31, 2018 -50.60 Mn
Dec 31, 2018 -50.60 Mn