Select Medical Holdings (SEM) FCF Payout Ratio (2018 - 2026)
Select Medical Holdings (SEM) reported FCF Payout Ratio of 0.37 for Q1 2026, down 39.42% year-over-year from 0.61 in Q1 2025, and down 124.84% on a QoQ basis from 1.48 in Q4 2025.
Select Medical Holdings (SEM) has 9 years of FCF Payout Ratio data on file, last reported at 0.37 in Q1 2026.
- Quarterly FCF Payout Ratio fell 39.42% year-over-year to 0.37 in Q1 2026, while the trailing twelve-month figure through Mar 2026 was 0.2 (up 80.95% YoY) and the FY2025 annual result came in at 0.27, up 105.84% from the prior year.
- FCF Payout Ratio eased to 0.37 in Q1 2026 per SEM's latest filing, from 1.48 in the prior quarter.
- Across five years, FCF Payout Ratio topped out at 1.48 in Q4 2025 and bottomed at 2.14 in Q1 2023.
- The 5-year median for FCF Payout Ratio is 0.07 (2024), against an average of 0.06.
- The widest annual swing landed in 2022, when FCF Payout Ratio tumbled 31885.22%; it then surged 2314.1% in 2025.
- Tracing SEM's FCF Payout Ratio over 5 years: stood at 0.56 in 2022, then jumped by 124.11% to 0.14 in 2023, then plunged by 54.5% to 0.06 in 2024, then jumped by 2314.1% to 1.48 in 2025, then tumbled by 124.84% to 0.37 in 2026.
- Per Business Quant, the three latest SEM FCF Payout Ratio figures stand at 0.37 (Q1 2026), 1.48 (Q4 2025), and 0.06 (Q3 2025).
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | FCF Cover (Qtr) |
|---|---|---|---|---|---|
| 1 | HCA Healthcare | 84.64 Bn | 87.02 Bn | 16.26 Bn | 0.21 |
| 2 | Tenet Healthcare | 15.22 Bn | 14.39 Bn | 4.41 Bn | 0.13 |
| 3 | Davita | 13.10 Bn | 13.96 Bn | 1.07 Bn | 0.39 |
| 4 | Encompass Health | 10.50 Bn | 11.12 Bn | 1.34 Bn | 0.38 |
| 5 | Ensign | 9.69 Bn | 9.09 Bn | 293.37 Mn | 0.04 |
| 6 | Universal Health Services | 8.92 Bn | 8.88 Bn | 3.21 Bn | 0.04 |
| 7 | Fresenius Medical Care AG | 7.31 Bn | 4.93 Bn | 22,843.10 Bn | 0.60 |
| 8 | Chemed | 5.83 Bn | 5.81 Bn | 215.76 Mn | 0.11 |
| 9 | Pacs | 5.76 Bn | 5.51 Bn | 345.96 Mn | 0.00 |
| 10 | Select Medical Holdings | 1.99 Bn | 1.99 Bn | 175.47 Mn | -0.37 |
Historic Data
Download Data| Date | Value |
|---|---|
| Mar 31, 2026 | -0.37 |
| Dec 31, 2025 | 1.48 |
| Sep 30, 2025 | 0.06 |
| Jun 30, 2025 | 0.17 |
| Mar 31, 2025 | -0.26 |
| Dec 31, 2024 | 0.06 |
| Sep 30, 2024 | 0.12 |
| Jun 30, 2024 | 0.07 |
| Mar 31, 2024 | -0.13 |
| Dec 31, 2023 | 0.14 |
| Sep 30, 2023 | 0.24 |
| Jun 30, 2023 | 0.09 |
| Mar 31, 2023 | -2.14 |
| Dec 31, 2022 | -0.56 |
| Sep 30, 2022 | 0.30 |
| Jun 30, 2022 | 0.13 |
| Mar 31, 2022 | -0.41 |
| Dec 31, 2021 | 0.00 |
| Sep 30, 2021 | 0.34 |
| Jun 30, 2021 | 0.20 |
| Jun 30, 2020 | -0.02 |
| Mar 31, 2020 | 2.56 |
| Dec 31, 2019 | -0.11 |
| Sep 30, 2019 | 0.08 |
| Jun 30, 2019 | 0.05 |
| Mar 31, 2019 | -0.72 |
| Dec 31, 2018 | 0.08 |