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.

• Free Cash Flow for Q1 2026 came in at -$21.0 million, up 62.29% year-over-year; the trailing twelve-month figure through Mar 2026 was $152.0 million (down 72.83% YoY), and the FY2025 annual result was $117.2 million, down 76.37% from the prior year.
• Free Cash Flow slipped to -$21.0 million in Q1 2026 per SEM's latest filing, from $5.2 million in the prior quarter.
• Over five years, Free Cash Flow peaked at $262.4 million in Q4 2024 and troughed at -$119.2 million in Q1 2024.
• A 5-year average of $61.2 million and a median of $52.3 million in 2022 frame the typical range for Free Cash Flow.
• The sharpest annual moves came in 2023 and 2024: Free Cash Flow jumped 378.25% in 2023, then slumped 1501.16% in 2024.
• A 5-year view of Free Cash Flow shows it stood at -$42.7 million in 2022, then soared by 378.25% to $118.8 million in 2023, then surged by 120.8% to $262.4 million in 2024, then tumbled by 98.01% to $5.2 million in 2025, then sank by 502.64% to -$21.0 million in 2026.
• Business Quant data shows SEM's Free Cash Flow at -$21.0 million in Q1 2026, $5.2 million in Q4 2025, and $122.2 million in Q3 2025.