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% on a QoQ basis from 0.37% in Q4 2025.
Select Medical Holdings (SEM) has 9 years of FCF Margin data on file, last reported at 1.48% in Q1 2026.
- Quarterly FCF Margin rose 264.0% year-over-year to 1.48% in Q1 2026, while the trailing twelve-month figure through Mar 2026 was 2.75% (down 797.0% YoY) and the FY2025 annual result came in at 2.15%, down 741.0% from the prior year.
- FCF Margin retreated to 1.48% in Q1 2026 per SEM's latest filing, from 0.37% in the prior quarter.
- Across five years, FCF Margin topped out at 29.89% in Q4 2022 and bottomed at 9.02% in Q1 2024.
- The 5-year median for FCF Margin is 5.55% (2023), against an average of 6.68%.
- The widest annual swing landed in 2022, when FCF Margin jumped 3732 bps; it then sank 2013 bps in 2023.
- Tracing SEM's FCF Margin over 5 years: stood at 29.89% in 2022, then sank by 67 bps to 9.76% in 2023, then surged 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.
- Per Business Quant, the three latest SEM FCF Margin figures stand at 1.48% (Q1 2026), 0.37% (Q4 2025), and 8.96% (Q3 2025).
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | FCF Margin (Qtr) |
|---|---|---|---|---|---|
| 1 | HCA Healthcare | 84.64 Bn | 87.02 Bn | 16.26 Bn | 4.68% |
| 2 | Tenet Healthcare | 15.22 Bn | 14.39 Bn | 4.41 Bn | 27.22% |
| 3 | Davita | 13.10 Bn | 13.96 Bn | 1.07 Bn | 6.41% |
| 4 | Encompass Health | 10.50 Bn | 11.12 Bn | 1.34 Bn | 9.50% |
| 5 | Ensign | 9.69 Bn | 9.09 Bn | 293.37 Mn | 6.49% |
| 6 | Universal Health Services | 8.92 Bn | 8.88 Bn | 3.21 Bn | 4.10% |
| 7 | Fresenius Medical Care AG | 7.31 Bn | 4.93 Bn | 22,843.10 Bn | 0.01% |
| 8 | Chemed | 5.83 Bn | 5.81 Bn | 215.76 Mn | 10.81% |
| 9 | Pacs | 5.76 Bn | 5.51 Bn | 345.96 Mn | 10.55% |
| 10 | Select Medical Holdings | 1.99 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% |
| Mar 31, 2021 | 12.94% |
| Dec 31, 2020 | 11.41% |
| Sep 30, 2020 | 7.04% |
| Jun 30, 2020 | 49.48% |
| Mar 31, 2020 | 0.34% |
| Dec 31, 2019 | 10.58% |
| Sep 30, 2019 | 7.11% |
| Jun 30, 2019 | 3.74% |
| Mar 31, 2019 | -0.55% |
| Dec 31, 2018 | 5.30% |
| Sep 30, 2018 | -3.11% |