Growth Metrics

Select Medical Holdings (SEM) Net Cash Flow (2018 - 2026)

Select Medical Holdings (SEM) reported Net Cash Flow of -$840000.0 for Q1 2026, up 87.04% year-over-year from -$449104.1 in Q1 2025, and up 97.49% on a QoQ basis from -$33.5 million in Q4 2025.

Select Medical Holdings (SEM) has 9 years of Net Cash Flow data on file, last reported at -$840000.0 in Q1 2026.

  • Quarterly Net Cash Flow rose 87.04% year-over-year to -$840000.0 in Q1 2026, while the trailing twelve-month figure through Mar 2026 was -$27.5 million (up 30.14% YoY) and the FY2025 annual result came in at -$33.2 million, down 36.44% from the prior year.
  • Net Cash Flow rose to -$840000.0 in Q1 2026 per SEM's latest filing, from -$33.5 million in the prior quarter.
  • Across five years, Net Cash Flow topped out at $80.3 million in Q3 2024 and bottomed at -$131.8 million in Q4 2024.
  • The 5-year median for Net Cash Flow is -$840000.0 (2026), against an average of -$2.9 million.
  • Peak annual rise in Net Cash Flow reached 438.47% in 2024, while the deepest fall reached 2106.91% in 2024.
  • Tracing SEM's Net Cash Flow over 5 years: stood at -$10.3 million in 2022, then jumped by 163.64% to $6.6 million in 2023, then sank by 2106.91% to -$131.8 million in 2024, then jumped by 74.55% to -$33.5 million in 2025, then surged by 97.49% to -$840000.0 in 2026.
  • Per Business Quant, the three latest SEM Net Cash Flow figures stand at -$840000.0 (Q1 2026), -$33.5 million (Q4 2025), and $7.7 million (Q3 2025).

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Net Cash Flow (Qtr)
1 HCA Healthcare 84.64 Bn 87.02 Bn 16.26 Bn -98.00 Mn
2 Tenet Healthcare 15.22 Bn 14.39 Bn 4.41 Bn 84.00 Mn
3 Davita 13.10 Bn 13.96 Bn 1.07 Bn -31.60 Mn
4 Encompass Health 10.50 Bn 11.12 Bn 1.34 Bn 60.50 Mn
5 Ensign 9.69 Bn 9.09 Bn 293.37 Mn 35.62 Mn
6 Universal Health Services 8.92 Bn 8.88 Bn 3.21 Bn -17.85 Mn
7 Fresenius Medical Care AG 7.31 Bn 4.93 Bn 22,843.10 Bn 436.96 Mn
8 Chemed 5.83 Bn 5.81 Bn 215.76 Mn -57.66 Mn
9 Pacs 5.76 Bn 5.51 Bn 345.96 Mn 41.66 Mn
10 Select Medical Holdings 1.99 Bn 1.99 Bn 175.47 Mn -840,000.00

Historic Data

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DateValue
Mar 31, 2026 -840,000.00
Mar 31, 2026 -840,000.00
Dec 31, 2025 -33.53 Mn
Dec 31, 2025 -33.53 Mn
Sep 30, 2025 7.71 Mn
Sep 30, 2025 7.71 Mn
Jun 30, 2025 -864,000.00
Jun 30, 2025 -864,000.00
Mar 31, 2025 -6.48 Mn
Mar 31, 2025 -6.48 Mn
Dec 31, 2024 -131.77 Mn
Dec 31, 2024 -131.77 Mn
Sep 30, 2024 80.31 Mn
Sep 30, 2024 80.31 Mn
Jun 30, 2024 18.54 Mn
Jun 30, 2024 18.54 Mn
Mar 31, 2024 8.61 Mn
Mar 31, 2024 8.61 Mn
Dec 31, 2023 6.57 Mn
Dec 31, 2023 6.57 Mn
Sep 30, 2023 -23.73 Mn
Sep 30, 2023 -23.73 Mn
Jun 30, 2023 17.46 Mn
Jun 30, 2023 17.46 Mn
Mar 31, 2023 -14.20 Mn
Mar 31, 2023 -14.20 Mn
Dec 31, 2022 -10.32 Mn
Dec 31, 2022 -10.32 Mn
Sep 30, 2022 13.55 Mn
Sep 30, 2022 13.55 Mn
Jun 30, 2022 -36.21 Mn
Jun 30, 2022 -36.21 Mn
Mar 31, 2022 56.57 Mn
Mar 31, 2022 56.57 Mn
Dec 31, 2021 -673.67 Mn
Dec 31, 2021 -673.67 Mn
Sep 30, 2021 -55.51 Mn
Sep 30, 2021 -55.51 Mn
Jun 30, 2021 53.22 Mn
Jun 30, 2021 53.22 Mn
Mar 31, 2021 173.21 Mn
Mar 31, 2021 173.21 Mn
Dec 31, 2020 -62.74 Mn
Dec 31, 2020 -62.74 Mn
Sep 30, 2020 130.06 Mn
Sep 30, 2020 130.06 Mn
Jun 30, 2020 436.57 Mn
Jun 30, 2020 436.57 Mn
Mar 31, 2020 -262.72 Mn
Mar 31, 2020 -262.72 Mn
Dec 31, 2019 199.92 Mn
Dec 31, 2019 199.92 Mn
Sep 30, 2019 11.93 Mn
Sep 30, 2019 11.93 Mn
Jun 30, 2019 -23.78 Mn
Jun 30, 2019 -23.78 Mn
Mar 31, 2019 -27.36 Mn
Mar 31, 2019 -27.36 Mn
Dec 31, 2018 14.77 Mn
Dec 31, 2018 14.77 Mn