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
DateValue
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