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% quarter-over-quarter from -$33.5 million in Q4 2025.

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

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

  • Net Cash Flow for Q1 2026 came in at -$840000.0, up 87.04% year-over-year; the trailing twelve-month figure through Mar 2026 was -$27.5 million (up 30.14% YoY), and the FY2025 annual result was -$33.2 million, down 36.44% from the prior year.
  • Net Cash Flow improved to -$840000.0 in Q1 2026 per SEM's latest filing, from -$33.5 million in the prior quarter.
  • Over five years, Net Cash Flow peaked at $80.3 million in Q3 2024 and troughed at -$131.8 million in Q4 2024.
  • A 5-year average of -$2.9 million and a median of -$840000.0 in 2026 frame the typical range for Net Cash Flow.
  • On a YoY basis, Net Cash Flow climbed as much as 438.47% in 2024 and fell as far as 2106.91% in 2024.
  • A 5-year view of Net Cash Flow shows it stood at -$10.3 million in 2022, then soared by 163.64% to $6.6 million in 2023, then tumbled by 2106.91% to -$131.8 million in 2024, then soared by 74.55% to -$33.5 million in 2025, then jumped by 97.49% to -$840000.0 in 2026.
  • Business Quant data shows SEM's Net Cash Flow at -$840000.0 in Q1 2026, -$33.5 million in Q4 2025, and $7.7 million in Q3 2025.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Net Cash Flow (Qtr)
1 HCA Healthcare 83.85 Bn 86.23 Bn 16.26 Bn -98.00 Mn
2 Tenet Healthcare 14.98 Bn 14.15 Bn 4.41 Bn 84.00 Mn
3 Davita 13.99 Bn 14.84 Bn 1.07 Bn -31.60 Mn
4 Encompass Health 9.72 Bn 10.34 Bn 1.34 Bn 60.50 Mn
5 Ensign 8.90 Bn 8.31 Bn 293.37 Mn 35.62 Mn
6 Universal Health Services 8.59 Bn 8.55 Bn 3.21 Bn -17.85 Mn
7 Fresenius Medical Care AG 7.67 Bn 5.29 Bn -4.26 Bn 436.96 Mn
8 Chemed 5.97 Bn 5.96 Bn 215.76 Mn -57.66 Mn
9 Pacs 5.74 Bn 5.50 Bn 345.96 Mn 41.66 Mn
10 Select Medical Holdings 2.00 Bn 1.99 Bn 175.47 Mn -840,000.00

Historic Data

Download Data
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