Growth Metrics

Select Medical Holdings (SEM) Long-Term Debt Repayments (2018 - 2026)

Select Medical Holdings (SEM) reported Long-Term Debt Repayments of $225.0 million for Q1 2026, up 2811.11% year-over-year from $7.7 million in Q1 2025, and up 2590.42% on a QoQ basis from $8.4 million in Q4 2025.

Select Medical Holdings (SEM) has 9 years of Long-Term Debt Repayments data on file, last reported at $225.0 million in Q1 2026.

  • Quarterly Long-Term Debt Repayments rose 2811.11% year-over-year to $225.0 million in Q1 2026, while the trailing twelve-month figure through Mar 2026 was $251.6 million (down 82.2% YoY) and the FY2025 annual result came in at $34.3 million, down 97.57% from the prior year.
  • Long-Term Debt Repayments climbed to $225.0 million in Q1 2026 per SEM's latest filing, from $8.4 million in the prior quarter.
  • Across five years, Long-Term Debt Repayments topped out at $1.4 billion in Q4 2024 and bottomed at -$614.2 million in Q3 2024.
  • The 5-year median for Long-Term Debt Repayments is $11.9 million (2023), against an average of $163.5 million.
  • The widest annual swing landed in 2022, when Long-Term Debt Repayments jumped 4504.82%; it then slumped 5250.68% in 2024.
  • Tracing SEM's Long-Term Debt Repayments over 5 years: stood at -$589.4 million in 2022, then soared by 275.04% to $1.0 billion in 2023, then jumped by 33.68% to $1.4 billion in 2024, then plunged by 99.39% to $8.4 million in 2025, then surged by 2590.42% to $225.0 million in 2026.
  • Per Business Quant, the three latest SEM Long-Term Debt Repayments figures stand at $225.0 million (Q1 2026), $8.4 million (Q4 2025), and $9.3 million (Q3 2025).

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Long-Term Debt Repayments (Qtr)
1 HCA Healthcare 84.64 Bn 87.02 Bn 16.26 Bn 58.00 Mn
2 Tenet Healthcare 15.22 Bn 14.39 Bn 4.41 Bn 33.00 Mn
3 Davita 13.10 Bn 13.96 Bn 1.07 Bn 917.09 Mn
4 Encompass Health 10.50 Bn 11.12 Bn 1.34 Bn 330.00 Mn
5 Ensign 9.69 Bn 9.09 Bn 293.37 Mn 1.04 Mn
6 Universal Health Services 8.92 Bn 8.88 Bn 3.21 Bn 44.73 Mn
7 Fresenius Medical Care AG 7.31 Bn 4.93 Bn 22,843.10 Bn -
8 Chemed 5.83 Bn 5.81 Bn 215.76 Mn 44.28 Mn
9 Pacs 5.76 Bn 5.51 Bn 345.96 Mn -
10 Select Medical Holdings 1.99 Bn 1.99 Bn 175.47 Mn 225.00 Mn

Historic Data

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DateValue
Mar 31, 2026 225.00 Mn
Mar 31, 2026 225.00 Mn
Dec 31, 2025 8.36 Mn
Dec 31, 2025 8.36 Mn
Sep 30, 2025 9.27 Mn
Sep 30, 2025 9.27 Mn
Jun 30, 2025 8.96 Mn
Jun 30, 2025 8.96 Mn
Mar 31, 2025 7.73 Mn
Mar 31, 2025 7.73 Mn
Dec 31, 2024 1.38 Bn
Dec 31, 2024 1.38 Bn
Sep 30, 2024 -614.22 Mn
Sep 30, 2024 -614.22 Mn
Jun 30, 2024 640.94 Mn
Jun 30, 2024 640.94 Mn
Mar 31, 2024 9.06 Mn
Mar 31, 2024 9.06 Mn
Dec 31, 2023 1.03 Bn
Dec 31, 2023 1.03 Bn
Sep 30, 2023 11.93 Mn
Sep 30, 2023 11.93 Mn
Jun 30, 2023 -183.63 Mn
Jun 30, 2023 -183.63 Mn
Mar 31, 2023 210.00 Mn
Mar 31, 2023 210.00 Mn
Dec 31, 2022 -589.41 Mn
Dec 31, 2022 -589.41 Mn
Sep 30, 2022 250.00 Mn
Sep 30, 2022 250.00 Mn
Jun 30, 2022 275.00 Mn
Jun 30, 2022 275.00 Mn
Mar 31, 2022 100.00 Mn
Mar 31, 2022 100.00 Mn
Dec 31, 2021 16.76 Mn
Dec 31, 2021 16.76 Mn
Sep 30, 2021 7.60 Mn
Sep 30, 2021 7.60 Mn
Jun 30, 2021 5.97 Mn
Jun 30, 2021 5.97 Mn
Mar 31, 2021 9.34 Mn
Mar 31, 2021 9.34 Mn
Jun 30, 2020 175.00 Mn
Jun 30, 2020 175.00 Mn
Mar 31, 2020 295.00 Mn
Mar 31, 2020 295.00 Mn
Dec 31, 2019 -689.40 Mn
Dec 31, 2019 -689.40 Mn
Sep 30, 2019 707.32 Mn
Sep 30, 2019 707.32 Mn
Jun 30, 2019 -207.32 Mn
Jun 30, 2019 -207.32 Mn
Mar 31, 2019 220.00 Mn
Mar 31, 2019 220.00 Mn
Dec 31, 2018 -559.76 Mn
Dec 31, 2018 -559.76 Mn