Growth Metrics

Select Medical Holdings (SEM) Interest Coverage Ratio (2018 - 2026)

Select Medical Holdings (SEM) reported Interest Coverage Ratio of 3.47 for Q1 2026, down 10.44% year-over-year from 3.88 in Q1 2025, and up 56.84% on a QoQ basis from 2.21 in Q4 2025.

Select Medical Holdings (SEM) has 9 years of Interest Coverage Ratio data on file, last reported at 3.47 in Q1 2026.

  • Quarterly Interest Coverage Ratio fell 10.44% year-over-year to 3.47 in Q1 2026, while the trailing twelve-month figure through Mar 2026 was 2.75 (up 22.34% YoY) and the FY2025 annual result came in at 2.85, up 36.62% from the prior year.
  • Interest Coverage Ratio improved to 3.47 in Q1 2026 per SEM's latest filing, from 2.21 in the prior quarter.
  • Across five years, Interest Coverage Ratio topped out at 3.88 in Q1 2025 and bottomed at 27.41 in Q4 2023.
  • The 5-year median for Interest Coverage Ratio is 2.64 (2024), against an average of 0.08.
  • The widest annual swing landed in 2022, when Interest Coverage Ratio sank 577.61%; it then jumped 199.78% in 2025.
  • Tracing SEM's Interest Coverage Ratio over 5 years: stood at 10.93 in 2022, then sank by 150.66% to 27.41 in 2023, then surged by 102.7% to 0.74 in 2024, then surged by 199.78% to 2.21 in 2025, then soared by 56.84% to 3.47 in 2026.
  • Per Business Quant, the three latest SEM Interest Coverage Ratio figures stand at 3.47 (Q1 2026), 2.21 (Q4 2025), and 2.43 (Q3 2025).

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Interest Cover (Qtr)
1 HCA Healthcare 84.64 Bn 87.02 Bn 16.26 Bn -0.97
2 Tenet Healthcare 15.22 Bn 14.39 Bn 4.41 Bn 6.32
3 Davita 13.10 Bn 13.96 Bn 1.07 Bn 3.32
4 Encompass Health 10.50 Bn 11.12 Bn 1.34 Bn 1.88
5 Ensign 9.69 Bn 9.09 Bn 293.37 Mn 64.62
6 Universal Health Services 8.92 Bn 8.88 Bn 3.21 Bn 13.54
7 Fresenius Medical Care AG 7.31 Bn 4.93 Bn 22,843.10 Bn 18.34
8 Chemed 5.83 Bn 5.81 Bn 215.76 Mn 165.19
9 Pacs 5.76 Bn 5.51 Bn 345.96 Mn 18.69
10 Select Medical Holdings 1.99 Bn 1.99 Bn 175.47 Mn 3.47

Historic Data

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DateValue
Mar 31, 2026 3.47
Dec 31, 2025 2.21
Sep 30, 2025 2.43
Jun 30, 2025 2.89
Mar 31, 2025 3.88
Dec 31, 2024 0.74
Sep 30, 2024 1.75
Jun 30, 2024 2.64
Mar 31, 2024 2.91
Dec 31, 2023 -27.41
Sep 30, 2023 2.59
Jun 30, 2023 3.25
Mar 31, 2023 3.12
Dec 31, 2022 -10.93
Sep 30, 2022 2.02
Jun 30, 2022 2.95
Mar 31, 2022 2.93
Dec 31, 2021 2.29
Sep 30, 2021 4.44
Jun 30, 2021 8.38
Mar 31, 2021 5.87
Dec 31, 2020 4.60
Sep 30, 2020 4.59
Jun 30, 2020 3.20
Mar 31, 2020 2.79
Dec 31, 2019 2.56
Sep 30, 2019 2.26
Jun 30, 2019 2.43
Mar 31, 2019 2.20
Dec 31, 2018 1.75
Sep 30, 2018 1.97