Growth Metrics

Select Medical Holdings (SEM) Return on Capital Employed (2018 - 2026)

Select Medical Holdings (SEM) reported Return on Capital Employed of 6.47% for Q1 2026, down 701.0% year-over-year from 1.08% in Q1 2025, and down 7.96% on a QoQ basis from 7.03% in Q4 2025.

Select Medical Holdings (SEM) has 9 years of Return on Capital Employed data on file, last reported at 6.47% in Q1 2026.

  • Quarterly Return on Capital Employed fell 701.0% year-over-year to 6.47% in Q1 2026, while the trailing twelve-month figure through Mar 2026 was 6.47% (down 701.0% YoY) and the FY2025 annual result came in at 7.08%, up 113.0% from the prior year.
  • Return on Capital Employed declined to 6.47% in Q1 2026 per SEM's latest filing, from 7.03% in the prior quarter.
  • Across five years, Return on Capital Employed topped out at 22.28% in Q2 2024 and bottomed at 13.59% in Q3 2024.
  • The 5-year median for Return on Capital Employed is 6.47% (2026), against an average of 7.31%.
  • The widest annual swing landed in 2024, when Return on Capital Employed tumbled 1771 bps; it then jumped 1973 bps in 2025.
  • Tracing SEM's Return on Capital Employed over 5 years: stood at 4.49% in 2022, then gained by 13 bps to 5.07% in 2023, then soared by 178 bps to 14.06% in 2024, then tumbled by 50 bps to 7.03% in 2025, then retreated by 8 bps to 6.47% in 2026.
  • Per Business Quant, the three latest SEM Return on Capital Employed figures stand at 6.47% (Q1 2026), 7.03% (Q4 2025), and 6.14% (Q3 2025).

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) ROCE (Qtr)
1 HCA Healthcare 84.64 Bn 87.02 Bn 16.26 Bn -18.08%
2 Tenet Healthcare 15.22 Bn 14.39 Bn 4.41 Bn 15.90%
3 Davita 13.10 Bn 13.96 Bn 1.07 Bn 14.27%
4 Encompass Health 10.50 Bn 11.12 Bn 1.34 Bn -2.33%
5 Ensign 9.69 Bn 9.09 Bn 293.37 Mn 9.57%
6 Universal Health Services 8.92 Bn 8.88 Bn 3.21 Bn 16.52%
7 Fresenius Medical Care AG 7.31 Bn 4.93 Bn 22,843.10 Bn 12.19%
8 Chemed 5.83 Bn 5.81 Bn 215.76 Mn 26.99%
9 Pacs 5.76 Bn 5.51 Bn 345.96 Mn 8.38%
10 Select Medical Holdings 1.99 Bn 1.99 Bn 175.47 Mn 6.47%

Historic Data

Download Data 🔒
DateValue
Mar 31, 2026 6.47%
Dec 31, 2025 7.03%
Sep 30, 2025 6.14%
Jun 30, 2025 13.62%
Mar 31, 2025 13.48%
Dec 31, 2024 14.06%
Sep 30, 2024 -13.59%
Jun 30, 2024 22.28%
Mar 31, 2024 8.37%
Dec 31, 2023 5.07%
Sep 30, 2023 4.12%
Jun 30, 2023 3.54%
Mar 31, 2023 5.89%
Dec 31, 2022 4.49%
Sep 30, 2022 6.20%
Jun 30, 2022 7.18%
Mar 31, 2022 9.84%
Dec 31, 2021 11.23%
Sep 30, 2021 12.11%
Jun 30, 2021 12.34%
Mar 31, 2021 10.26%
Dec 31, 2020 9.13%
Sep 30, 2020 8.31%
Jun 30, 2020 8.01%
Mar 31, 2020 7.66%
Dec 31, 2019 7.45%
Sep 30, 2019 7.15%
Dec 31, 2018 7.92%