Select Medical Holdings (SEM) FCF Margin (2018 - 2026)
Select Medical Holdings (SEM) reported FCF Margin of 1.48% for Q1 2026, up 264.0% year-over-year from 0.41% in Q1 2025, and down 495.6% quarter-over-quarter from 0.37% in Q4 2025.
Select Medical Holdings (SEM) FCF Margin (2018 - 2026) Analysis & Trends
Select Medical Holdings (SEM) has 9 years of FCF Margin data on file, last reported at 1.48% in Q1 2026.
- FCF Margin for Q1 2026 came in at 1.48%, up 264.0% year-over-year; the trailing twelve-month figure through Mar 2026 was 2.75% (down 797.0% YoY), and the FY2025 annual result was 2.15%, down 741.0% from the prior year.
- FCF Margin fell to 1.48% in Q1 2026 per SEM's latest filing, from 0.37% in the prior quarter.
- Over five years, FCF Margin peaked at 29.89% in Q4 2022 and troughed at 9.02% in Q1 2024.
- A 5-year average of 6.68% and a median of 5.55% in 2023 frame the typical range for FCF Margin.
- The sharpest annual moves came in 2022 and 2023: FCF Margin soared 3732 bps in 2022, then tumbled 2013 bps in 2023.
- A 5-year view of FCF Margin shows it stood at 29.89% in 2022, then tumbled by 67 bps to 9.76% in 2023, then jumped by 105 bps to 19.99% in 2024, then sank by 98 bps to 0.37% in 2025, then plunged by 496 bps to 1.48% in 2026.
- Business Quant data shows SEM's FCF Margin at 1.48% in Q1 2026, 0.37% in Q4 2025, and 8.96% in Q3 2025.
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | FCF Margin (Qtr) |
|---|---|---|---|---|---|
| 1 | HCA Healthcare | 83.85 Bn | 86.23 Bn | 16.26 Bn | 4.68% |
| 2 | Tenet Healthcare | 14.98 Bn | 14.15 Bn | 4.41 Bn | 27.22% |
| 3 | Davita | 13.99 Bn | 14.84 Bn | 1.07 Bn | 6.41% |
| 4 | Encompass Health | 9.72 Bn | 10.34 Bn | 1.34 Bn | 9.50% |
| 5 | Ensign | 8.90 Bn | 8.31 Bn | 293.37 Mn | 6.49% |
| 6 | Universal Health Services | 8.59 Bn | 8.55 Bn | 3.21 Bn | 4.10% |
| 7 | Fresenius Medical Care AG | 7.67 Bn | 5.29 Bn | -4.26 Bn | 7,234.71% |
| 8 | Chemed | 5.97 Bn | 5.96 Bn | 215.76 Mn | 10.81% |
| 9 | Pacs | 5.74 Bn | 5.50 Bn | 345.96 Mn | 10.55% |
| 10 | Select Medical Holdings | 2.00 Bn | 1.99 Bn | 175.47 Mn | -1.48% |
Historic Data
Download Data| Date | Value |
|---|---|
| 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% |