Select Medical Holdings (SEM) Free Cash Flow (2018 - 2026)

Select Medical Holdings (SEM) has 9 years of Free Cash Flow data on file, last reported at -$21.0 million in Q1 2026.

• Quarterly Free Cash Flow rose 62.29% year-over-year to -$21.0 million in Q1 2026, while the trailing twelve-month figure through Mar 2026 was $152.0 million (down 72.83% YoY) and the FY2025 annual result came in at $117.2 million, down 76.37% from the prior year.
• Free Cash Flow eased to -$21.0 million in Q1 2026 per SEM's latest filing, from $5.2 million in the prior quarter.
• Across five years, Free Cash Flow topped out at $262.4 million in Q4 2024 and bottomed at -$119.2 million in Q1 2024.
• The 5-year median for Free Cash Flow is $52.3 million (2022), against an average of $61.2 million.
• The widest annual swing landed in 2023, when Free Cash Flow surged 378.25%; it then plunged 1501.16% in 2024.
• Tracing SEM's Free Cash Flow over 5 years: stood at -$42.7 million in 2022, then jumped by 378.25% to $118.8 million in 2023, then soared by 120.8% to $262.4 million in 2024, then sank by 98.01% to $5.2 million in 2025, then tumbled by 502.64% to -$21.0 million in 2026.
• Per Business Quant, the three latest SEM Free Cash Flow figures stand at -$21.0 million (Q1 2026), $5.2 million (Q4 2025), and $122.2 million (Q3 2025).

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