Growth Metrics

Select Medical Holdings (SEM) Debt to Equity (2018 - 2026)

Select Medical Holdings (SEM) reported Debt to Equity of $0.89 for Q1 2026, up 1.23% year-over-year from $0.88 in Q1 2025, and down 16.74% on a QoQ basis from $1.07 in Q4 2025.

Select Medical Holdings (SEM) has 9 years of Debt to Equity data on file, last reported at $0.89 in Q1 2026.

  • Quarterly Debt to Equity rose 1.23% year-over-year to $0.89 in Q1 2026, while the trailing twelve-month figure through Mar 2026 was $0.89 (up 1.23% YoY) and the FY2025 annual result came in at $1.07, up 24.42% from the prior year.
  • Debt to Equity declined to $0.89 in Q1 2026 per SEM's latest filing, from $1.07 in the prior quarter.
  • Across five years, Debt to Equity topped out at $2.89 in Q2 2022 and bottomed at $0.86 in Q4 2024.
  • The 5-year median for Debt to Equity is $2.33 (2024), against an average of $1.94.
  • The widest annual swing landed in 2024, when Debt to Equity sank 63.5%; it then grew 24.42% in 2025.
  • Tracing SEM's Debt to Equity over 5 years: stood at $2.86 in 2022, then retreated by 17.46% to $2.36 in 2023, then tumbled by 63.5% to $0.86 in 2024, then advanced by 24.42% to $1.07 in 2025, then dropped by 16.74% to $0.89 in 2026.
  • Per Business Quant, the three latest SEM Debt to Equity figures stand at $0.89 (Q1 2026), $1.07 (Q4 2025), and $1.05 (Q3 2025).

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Debt/Equity (Qtr)
1 HCA Healthcare 84.64 Bn 87.02 Bn 16.26 Bn -16.13
2 Tenet Healthcare 15.22 Bn 14.39 Bn 4.41 Bn 2.74
3 Davita 13.10 Bn 13.96 Bn 1.07 Bn -22.31
4 Encompass Health 10.50 Bn 11.12 Bn 1.34 Bn 0.78
5 Ensign 9.69 Bn 9.09 Bn 293.37 Mn 0.06
6 Universal Health Services 8.92 Bn 8.88 Bn 3.21 Bn 0.63
7 Fresenius Medical Care AG 7.31 Bn 4.93 Bn 22,843.10 Bn 0.55
8 Chemed 5.83 Bn 5.81 Bn 215.76 Mn 0.11
9 Pacs 5.76 Bn 5.51 Bn 345.96 Mn 0.05
10 Select Medical Holdings 1.99 Bn 1.99 Bn 175.47 Mn 0.89

Historic Data

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DateValue
Mar 31, 2026 0.89
Dec 31, 2025 1.07
Sep 30, 2025 1.05
Jun 30, 2025 0.93
Mar 31, 2025 0.88
Dec 31, 2024 0.86
Sep 30, 2024 1.38
Jun 30, 2024 2.13
Mar 31, 2024 2.33
Dec 31, 2023 2.36
Sep 30, 2023 2.45
Jun 30, 2023 2.50
Mar 31, 2023 2.74
Dec 31, 2022 2.86
Sep 30, 2022 2.84
Jun 30, 2022 2.89
Mar 31, 2022 2.75
Dec 31, 2021 2.70
Sep 30, 2021 2.50
Jun 30, 2021 2.34
Mar 31, 2021 2.52
Dec 31, 2020 2.72
Sep 30, 2020 0.01
Jun 30, 2020 0.01
Mar 31, 2020 0.02
Dec 31, 2019 3.71
Sep 30, 2019 3.70
Dec 31, 2018 3.59