Select Medical Holdings (SEM) FCF Payout Ratio (2018 - 2026)

Select Medical Holdings (SEM) posted quarterly FCF Payout Ratio of 0.37 for Q1 2026, down 39.42% YoY from 0.61 in Q1 2025, and down 124.84% sequentially from 1.48 in Q4 2025.

Select Medical Holdings (SEM) FCF Payout Ratio (2018 - 2026) Analysis & Trends

Select Medical Holdings has disclosed FCF Payout Ratio across 9 years of filings, most recently posting 0.37 for Q1 2026.

  • In Q1 2026, FCF Payout Ratio fell 39.42% year-over-year to 0.37; the TTM figure through Mar 2026 stood at 0.2 (up 80.95% YoY), while the FY2025 annual figure was 0.27, up 105.84% from the prior year.
  • FCF Payout Ratio declined to 0.37 in Q1 2026, from 1.48 in the prior quarter.
  • Over the last five years, FCF Payout Ratio for SEM reached as high as 1.48 in Q4 2025 and fell as low as 2.14 in Q1 2023.
  • The 5-year median for FCF Payout Ratio is 0.07 (2024), against an average of 0.06.
  • Annual changes were most pronounced in 2022 — FCF Payout Ratio tumbled 31885.22% — and 2025, when it jumped 2314.1%.
  • A 5-year view of FCF Payout Ratio shows it stood at 0.56 in 2022, then soared by 124.11% to 0.14 in 2023, then plunged by 54.5% to 0.06 in 2024, then soared by 2314.1% to 1.48 in 2025, then tumbled by 124.84% to 0.37 in 2026.
  • According to Business Quant data, FCF Payout Ratio over the past three periods registered 0.37, 1.48, and 0.06 for Q1 2026, Q4 2025, and Q3 2025 respectively.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) FCF Cover (Qtr)
1 HCA Healthcare 87.94 Bn 90.32 Bn 16.26 Bn 0.21
2 Chemed 18.08 Bn 18.07 Bn 215.76 Mn 0.11
3 Tenet Healthcare 16.59 Bn 15.76 Bn 4.41 Bn 0.13
4 Davita 15.37 Bn 16.23 Bn 1.07 Bn 0.39
5 Encompass Health 10.07 Bn 10.70 Bn 1.34 Bn 0.38
6 Ensign 9.52 Bn 8.93 Bn 293.37 Mn 0.04
7 Universal Health Services 9.19 Bn 9.15 Bn 3.21 Bn 0.04
8 Pacs 6.96 Bn 6.72 Bn 345.96 Mn 0.00
9 Ww International 6.14 Bn 5.98 Bn -149.29 Mn -
10 Select Medical Holdings 2.05 Mn -2.67 Mn 175.47 Mn -0.37

Historic Data

Download Data
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