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
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%