Select Medical Holdings (SEM) FCF Margin (2018 - 2026)

Select Medical Holdings (SEM) posted quarterly FCF Margin of 1.48% for Q1 2026, up 264.0% YoY from 0.41% in Q1 2025, and down 495.6% sequentially from 0.37% in Q4 2025.

Select Medical Holdings (SEM) FCF Margin (2018 - 2026) Analysis & Trends

Select Medical Holdings has disclosed FCF Margin across 9 years of filings, most recently posting 1.48% for Q1 2026.

  • In Q1 2026, FCF Margin rose 264.0% year-over-year to 1.48%; the TTM figure through Mar 2026 stood at 2.75% (down 797.0% YoY), while the FY2025 annual figure was 2.15%, down 741.0% from the prior year.
  • FCF Margin slipped to 1.48% in Q1 2026, from 0.37% in the prior quarter.
  • Over the last five years, FCF Margin for SEM reached as high as 29.89% in Q4 2022 and fell as low as 9.02% in Q1 2024.
  • The 5-year median for FCF Margin is 5.55% (2023), against an average of 6.68%.
  • Annual changes were most pronounced in 2022 — FCF Margin soared 3732 bps — and 2023, when it sank 2013 bps.
  • A 5-year view of FCF Margin shows it stood at 29.89% in 2022, then sank by 67 bps to 9.76% in 2023, then jumped by 105 bps to 19.99% in 2024, then tumbled by 98 bps to 0.37% in 2025, then slumped by 496 bps to 1.48% in 2026.
  • According to Business Quant data, FCF Margin over the past three periods registered 1.48%, 0.37%, and 8.96% for Q1 2026, Q4 2025, and Q3 2025 respectively.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) FCF Margin (Qtr)
1 HCA Healthcare 87.94 Bn 90.32 Bn 16.26 Bn 4.68%
2 Chemed 18.08 Bn 18.07 Bn 215.76 Mn 10.81%
3 Tenet Healthcare 16.59 Bn 15.76 Bn 4.41 Bn 27.22%
4 Davita 15.37 Bn 16.23 Bn 1.07 Bn 6.41%
5 Encompass Health 10.07 Bn 10.70 Bn 1.34 Bn 9.50%
6 Ensign 9.52 Bn 8.93 Bn 293.37 Mn 6.49%
7 Universal Health Services 9.19 Bn 9.15 Bn 3.21 Bn 4.10%
8 Pacs 6.96 Bn 6.72 Bn 345.96 Mn 10.55%
9 Ww International 6.14 Bn 5.98 Bn -149.29 Mn 20.19%
10 Select Medical Holdings 2.05 Mn -2.67 Mn 175.47 Mn -1.48%

Historic Data

Download Data
DateValue
Mar 31, 2026 -1.48%
Dec 31, 2025 0.37%
Sep 30, 2025 8.96%
Jun 30, 2025 3.40%
Mar 31, 2025 -4.12%
Dec 31, 2024 19.99%
Sep 30, 2024 10.25%
Jun 30, 2024 17.37%
Mar 31, 2024 -9.02%
Dec 31, 2023 9.76%
Sep 30, 2023 5.55%
Jun 30, 2023 14.52%
Mar 31, 2023 -0.62%
Dec 31, 2022 29.89%
Sep 30, 2022 3.34%
Jun 30, 2022 7.91%
Mar 31, 2022 -2.53%
Dec 31, 2021 -7.43%
Sep 30, 2021 3.26%
Jun 30, 2021 5.53%