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% quarter-over-quarter from $1.07 in Q4 2025.

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

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

  • Debt to Equity for Q1 2026 came in at $0.89, up 1.23% year-over-year; the trailing twelve-month figure through Mar 2026 was $0.89 (up 1.23% YoY), and the FY2025 annual result was $1.07, up 24.42% from the prior year.
  • Debt to Equity eased to $0.89 in Q1 2026 per SEM's latest filing, from $1.07 in the prior quarter.
  • Over five years, Debt to Equity peaked at $2.89 in Q2 2022 and troughed at $0.86 in Q4 2024.
  • A 5-year average of $1.94 and a median of $2.33 in 2024 frame the typical range for Debt to Equity.
  • The sharpest annual moves came in 2024 and 2025: Debt to Equity tumbled 63.5% in 2024, then rose 24.42% in 2025.
  • A 5-year view of Debt to Equity shows it stood at $2.86 in 2022, then slipped by 17.46% to $2.36 in 2023, then sank by 63.5% to $0.86 in 2024, then grew by 24.42% to $1.07 in 2025, then fell by 16.74% to $0.89 in 2026.
  • Business Quant data shows SEM's Debt to Equity at $0.89 in Q1 2026, $1.07 in Q4 2025, and $1.05 in Q3 2025.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Debt/Equity (Qtr)
1 HCA Healthcare 83.85 Bn 86.23 Bn 16.26 Bn -16.13
2 Tenet Healthcare 14.98 Bn 14.15 Bn 4.41 Bn 2.74
3 Davita 13.99 Bn 14.84 Bn 1.07 Bn -22.31
4 Encompass Health 9.72 Bn 10.34 Bn 1.34 Bn 0.78
5 Ensign 8.90 Bn 8.31 Bn 293.37 Mn 0.06
6 Universal Health Services 8.59 Bn 8.55 Bn 3.21 Bn 0.63
7 Fresenius Medical Care AG 7.67 Bn 5.29 Bn -4.26 Bn 0.51
8 Chemed 5.97 Bn 5.96 Bn 215.76 Mn 0.11
9 Pacs 5.74 Bn 5.50 Bn 345.96 Mn 0.05
10 Select Medical Holdings 2.00 Bn 1.99 Bn 175.47 Mn 0.89

Historic Data

Download Data
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