Select Medical Holdings (SEM) Free Cash Flow (2018 - 2026)
Select Medical Holdings (SEM) posted quarterly Free Cash Flow of -$21.0 million for Q1 2026, up 62.29% YoY from -$13.0 million in Q1 2025, and down 502.64% sequentially from $5.2 million in Q4 2025.
Select Medical Holdings (SEM) Free Cash Flow (2018 - 2026) Analysis & Trends
Select Medical Holdings has disclosed Free Cash Flow across 9 years of filings, most recently posting -$21.0 million for Q1 2026.
- In Q1 2026, Free Cash Flow rose 62.29% year-over-year to -$21.0 million; the TTM figure through Mar 2026 stood at $152.0 million (down 72.83% YoY), while the FY2025 annual figure was $117.2 million, down 76.37% from the prior year.
- Free Cash Flow declined to -$21.0 million in Q1 2026, from $5.2 million in the prior quarter.
- Over the last five years, Free Cash Flow for SEM reached as high as $262.4 million in Q4 2024 and fell as low as -$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.
- Annual changes were most pronounced in 2023 — Free Cash Flow jumped 378.25% — and 2024, when it plunged 1501.16%.
- 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 sank by 98.01% to $5.2 million in 2025, then tumbled by 502.64% to -$21.0 million in 2026.
- According to Business Quant data, Free Cash Flow over the past three periods registered -$21.0 million, $5.2 million, and $122.2 million for Q1 2026, Q4 2025, and Q3 2025 respectively.
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | FCF (Qtr) |
|---|---|---|---|---|---|
| 1 | HCA Healthcare | 87.94 Bn | 90.32 Bn | 16.26 Bn | 895.00 Mn |
| 2 | Chemed | 18.08 Bn | 18.07 Bn | 215.76 Mn | 71.10 Mn |
| 3 | Tenet Healthcare | 16.59 Bn | 15.76 Bn | 4.41 Bn | 1.46 Bn |
| 4 | Davita | 15.37 Bn | 16.23 Bn | 1.07 Bn | 218.81 Mn |
| 5 | Encompass Health | 10.07 Bn | 10.70 Bn | 1.34 Bn | 150.70 Mn |
| 6 | Ensign | 9.52 Bn | 8.93 Bn | 293.37 Mn | 90.18 Mn |
| 7 | Universal Health Services | 9.19 Bn | 9.15 Bn | 3.21 Bn | 184.47 Mn |
| 8 | Pacs | 6.96 Bn | 6.72 Bn | 345.96 Mn | 149.82 Mn |
| 9 | Ww International | 6.14 Bn | 5.98 Bn | -149.29 Mn | -40.53 Mn |
| 10 | Select Medical Holdings | 2.05 Mn | -2.67 Mn | 175.47 Mn | -21.04 Mn |
Historic Data
Download Data| Date | Value |
|---|---|
| Mar 31, 2026 | -21.04 Mn |
| Mar 31, 2026 | -21.04 Mn |
| Dec 31, 2025 | 5.23 Mn |
| Dec 31, 2025 | 5.23 Mn |
| Sep 30, 2025 | 122.21 Mn |
| Sep 30, 2025 | 122.21 Mn |
| Jun 30, 2025 | 45.61 Mn |
| Jun 30, 2025 | 45.61 Mn |
| Mar 31, 2025 | -55.80 Mn |
| Mar 31, 2025 | -55.80 Mn |
| Dec 31, 2024 | 262.40 Mn |
| Dec 31, 2024 | 262.40 Mn |
| Sep 30, 2024 | 130.29 Mn |
| Sep 30, 2024 | 130.29 Mn |
| Jun 30, 2024 | 222.60 Mn |
| Jun 30, 2024 | 222.60 Mn |
| Mar 31, 2024 | -119.21 Mn |
| Mar 31, 2024 | -119.21 Mn |
| Dec 31, 2023 | 118.84 Mn |
| Dec 31, 2023 | 118.84 Mn |