Growth Metrics

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

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DateValue
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