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Asset Utilization RatioAssets AverageDebt RatioDebt to EquityEBIT MarginEBITDA MarginEBT MarginEnterprise ValueEquity AverageEquity RatioFCF MarginFCF Payout RatioGross MarginInterest Coverage RatioInvested CapitalNet MarginOperating MarginReturn on AssetsReturn on Capital EmployedReturn on EquityReturn on Invested CapitalReturn on SalesTimes Interest Earned

Select Medical Holdings (SEM) Debt Ratio (2018 - 2026)

Select Medical Holdings (SEM) reported Debt Ratio of 0.31 for Q1 2026, down 96.95% year-over-year from 10.1 in Q1 2025, and down 1.43% on a QoQ basis from 0.31 in Q4 2025.

Select Medical Holdings (SEM) has 9 years of Debt Ratio data on file, last reported at 0.31 in Q1 2026.

  • Quarterly Debt Ratio fell 96.95% year-over-year to 0.31 in Q1 2026, while the trailing twelve-month figure through Mar 2026 was 0.31 (down 96.95% YoY) and the FY2025 annual result came in at 0.31, up 2.35% from the prior year.
  • Debt Ratio retreated to 0.31 in Q1 2026 per SEM's latest filing, from 0.31 in the prior quarter.
  • Across five years, Debt Ratio topped out at 19.28 in Q3 2024 and bottomed at 0.31 in Q4 2024.
  • The 5-year median for Debt Ratio is 0.5 (2022), against an average of 2.48.
  • The widest annual swing landed in 2024, when Debt Ratio soared 3871.84%; it then tumbled 98.38% in 2025.
  • Tracing SEM's Debt Ratio over 5 years: stood at 3.23 in 2022, then slumped by 78.9% to 0.68 in 2023, then tumbled by 55.22% to 0.31 in 2024, then grew by 2.35% to 0.31 in 2025, then declined by 1.43% to 0.31 in 2026.
  • Per Business Quant, the three latest SEM Debt Ratio figures stand at 0.31 (Q1 2026), 0.31 (Q4 2025), and 0.31 (Q3 2025).

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Debt Ratio (Qtr)
1 HCA Healthcare 84.64 Bn 87.02 Bn 16.26 Bn 0.78
2 Tenet Healthcare 15.22 Bn 14.39 Bn 4.41 Bn 0.42
3 Davita 13.10 Bn 13.96 Bn 1.07 Bn 0.61
4 Encompass Health 10.50 Bn 11.12 Bn 1.34 Bn 0.35
5 Ensign 9.69 Bn 9.09 Bn 293.37 Mn 0.03
6 Universal Health Services 8.92 Bn 8.88 Bn 3.21 Bn 0.30
7 Fresenius Medical Care AG 7.31 Bn 4.93 Bn 22,843.10 Bn 0.24
8 Chemed 5.83 Bn 5.81 Bn 215.76 Mn 0.06
9 Pacs 5.76 Bn 5.51 Bn 345.96 Mn 0.01
10 Select Medical Holdings 1.99 Bn 1.99 Bn 175.47 Mn 0.31

Historic Data

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DateValue
Mar 31, 2026 0.31
Dec 31, 2025 0.31
Sep 30, 2025 0.31
Jun 30, 2025 0.32
Mar 31, 2025 10.10
Dec 31, 2024 0.31
Sep 30, 2024 19.28
Jun 30, 2024 2.93
Mar 31, 2024 1.46
Dec 31, 2023 0.68
Sep 30, 2023 0.49
Jun 30, 2023 0.49
Mar 31, 2023 0.50
Dec 31, 2022 3.23
Sep 30, 2022 0.50
Jun 30, 2022 0.50
Mar 31, 2022 0.50
Dec 31, 2021 0.49
Sep 30, 2021 0.43
Jun 30, 2021 0.43
Mar 31, 2021 0.43
Dec 31, 2020 0.44
Sep 30, 2020 0.00
Jun 30, 2020 0.00
Mar 31, 2020 0.00
Dec 31, 2019 0.47
Sep 30, 2019 0.47
Dec 31, 2018 0.55