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% quarter-over-quarter from 1.48 in Q4 2025.

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

Select Medical Holdings (SEM) has 9 years of FCF Payout Ratio data on file, last reported at 0.37 in Q1 2026.

  • FCF Payout Ratio for Q1 2026 came in at 0.37, down 39.42% year-over-year; the trailing twelve-month figure through Mar 2026 was 0.2 (up 80.95% YoY), and the FY2025 annual result was 0.27, up 105.84% from the prior year.
  • FCF Payout Ratio slipped to 0.37 in Q1 2026 per SEM's latest filing, from 1.48 in the prior quarter.
  • Over five years, FCF Payout Ratio peaked at 1.48 in Q4 2025 and troughed at 2.14 in Q1 2023.
  • A 5-year average of 0.06 and a median of 0.07 in 2024 frame the typical range for FCF Payout Ratio.
  • The sharpest annual moves came in 2022 and 2025: FCF Payout Ratio sank 31885.22% in 2022, then jumped 2314.1% in 2025.
  • 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 slumped by 54.5% to 0.06 in 2024, then soared by 2314.1% to 1.48 in 2025, then sank by 124.84% to 0.37 in 2026.
  • Business Quant data shows SEM's FCF Payout Ratio at 0.37 in Q1 2026, 1.48 in Q4 2025, and 0.06 in Q3 2025.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) FCF Cover (Qtr)
1 HCA Healthcare 83.85 Bn 86.23 Bn 16.26 Bn 0.21
2 Tenet Healthcare 14.98 Bn 14.15 Bn 4.41 Bn 0.13
3 Davita 13.99 Bn 14.84 Bn 1.07 Bn 0.39
4 Encompass Health 9.72 Bn 10.34 Bn 1.34 Bn 0.38
5 Ensign 8.90 Bn 8.31 Bn 293.37 Mn 0.04
6 Universal Health Services 8.59 Bn 8.55 Bn 3.21 Bn 0.04
7 Fresenius Medical Care AG 7.67 Bn 5.29 Bn -4.26 Bn 0.60
8 Chemed 5.97 Bn 5.96 Bn 215.76 Mn 0.11
9 Pacs 5.74 Bn 5.50 Bn 345.96 Mn 0.00
10 Select Medical Holdings 2.00 Bn 1.99 Bn 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