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Select Medical Holdings Corp. (SEM) Fundamental Analysis & AI Grade 2026

SEM NYSE Services-Hospitals CIK: 0001320414
Updated This Month • Analysis: May 6, 2026 • SEC Data: 2026-03-31
Combined AI Grade
C
78% Confidence
N/A
C
78% Conf
Pending
Analysis scheduled

📊 SEM Key Takeaways

Revenue: $1.4B
Net Margin: 3.1%
Free Cash Flow: $-21.0M
Current Ratio: 1.15x
Debt/Equity: 1.05x
EPS: $0.35
AI Grade: C with 78% confidence
Select Medical Holdings Corp. (SEM) receives a C fundamental grade with 78% confidence from our AI analysis based on SEC 10-K filings. With revenue of $1.4B, net profit margin of 3.1%, and return on equity (ROE) of 2.5%, Select Medical Holdings Corp. demonstrates mixed fundamentals in the Healthcare sector. Below is our complete SEM stock analysis for 2026.

Is Select Medical Holdings Corp. (SEM) a Good Investment?

Claude

Select Medical faces deteriorating fundamentals despite modest revenue growth of 5.1% YoY. Net income declined 31.8% YoY while the company generated negative free cash flow of -$21.0M, indicating operational stress and cash burn. Combined with weak interest coverage (1.9x), minimal cash reserves ($25.7M), and extremely low returns on assets (0.7%) and equity (2.5%), the company lacks the financial strength to support its debt burden and execute sustainable operations.

Select Medical Holdings Corp. Key Strengths (SEM)

Claude
  • + Positive revenue growth of 5.1% YoY demonstrates market demand in healthcare services sector
  • + Maintained positive operating cash flow of $37.9M despite operational challenges
  • + Debt-to-equity ratio of 1.05x shows moderate leverage levels for the sector

SEM Stock Risks: Select Medical Holdings Corp. Investment Risks

Claude
  • ! Net income collapsed 31.8% YoY with EPS down 30.1%, indicating severe margin compression and operational deterioration
  • ! Negative free cash flow of -$21.0M shows company is burning cash despite positive OCF, unsustainable long-term
  • ! Interest coverage ratio of only 1.9x leaves minimal buffer for debt service; high refinance risk
  • ! Cash position of $25.7M is critically low relative to $1.8B long-term debt, creating liquidity vulnerability
  • ! ROE of 2.5% and ROA of 0.7% indicate extremely poor capital efficiency and value destruction

Key Metrics to Watch

Claude
  • * Quarterly net income trend and operating margin recovery
  • * Free cash flow generation and cash balance sustainability
  • * Interest coverage ratio and debt refinancing activities
  • * Revenue growth sustainability and profitability recovery path

Select Medical Holdings Corp. (SEM) Financial Metrics & Key Ratios

Revenue
$1.4B
Net Income
$44.0M
EPS (Diluted)
$0.35
Free Cash Flow
$-21.0M
Total Assets
$6.0B
Cash Position
$25.7M

💡 AI Analyst Insight

Select Medical Holdings Corp. presents a mixed fundamental picture. Review the detailed metrics above to form your own investment thesis.

SEM Profit Margin, ROE & Profitability Analysis

Gross Margin N/A
Operating Margin 6.9%
Net Margin 3.1%
ROE 2.5%
ROA 0.7%
FCF Margin -1.5%

SEM vs Healthcare Sector: How Select Medical Holdings Corp. Compares

How Select Medical Holdings Corp. compares to Healthcare sector averages

Net Margin
SEM 3.1%
vs
Sector Avg 12.0%
SEM Sector
ROE
SEM 2.5%
vs
Sector Avg 15.0%
SEM Sector
Current Ratio
SEM 1.1x
vs
Sector Avg 2.0x
SEM Sector
Debt/Equity
SEM 1.0x
vs
Sector Avg 0.6x
SEM Sector

Sector benchmarks are approximate industry averages. Actual sector performance may vary.

Is Select Medical Holdings Corp. Stock Overvalued? SEM Valuation Analysis 2026

Based on fundamental analysis, Select Medical Holdings Corp. shows some fundamental concerns relative to the Healthcare sector in 2026.

Return on Equity
2.5%
Sector avg: 15%
Net Profit Margin
3.1%
Sector avg: 12%
Revenue Growth
N/A
Year-over-year
Debt/Equity
1.05x
Sector avg: 0.6x

Note: This is a fundamental analysis based on SEC filings. For P/E ratio, price targets, and market-based valuation, consult financial data providers. This is not investment advice.

Select Medical Holdings Corp. Balance Sheet: SEM Debt, Cash & Liquidity

Current Ratio
1.15x
Quick Ratio
1.15x
Debt/Equity
1.05x
Debt/Assets
65.1%
Interest Coverage
1.94x
Long-term Debt
$1.8B

SEM Revenue & Earnings Growth: 5-Year Financial Trend

SEM 5-year financial data: Year 2021: Revenue $6.2B, Net Income $148.4M, EPS $1.10. Year 2022: Revenue $6.3B, Net Income $259.0M, EPS $1.93. Year 2023: Revenue $6.7B, Net Income $402.2M, EPS $2.98. Year 2024: Revenue $5.2B, Net Income $159.0M, EPS $1.23. Year 2025: Revenue $5.5B, Net Income $243.5M, EPS $1.91.
Revenue
Net Income
EPS (right axis)

5-Year Trend Summary: Select Medical Holdings Corp.'s revenue has declined by 12% over the 5-year period, indicating business contraction. The most recent EPS of $1.91 reflects profitable operations.

SEM Revenue Growth, EPS Growth & YoY Performance

Revenue Growth
N/A
Year-over-year
Net Income Growth
N/A
Year-over-year
EPS Growth
N/A
Earnings per share
FCF Margin
-1.5%
Free cash flow / Revenue

SEM Quarterly Earnings & Performance

Quarterly financial performance data for Select Medical Holdings Corp. including revenue, net income, and earnings per share.
Quarter Revenue Net Income EPS
Q1 2026 $1.4B $44.0M $0.35
Q3 2025 $1.3B $28.8M $0.23
Q2 2025 $1.3B $40.6M $0.32
Q1 2025 $1.3B $56.7M $0.44
Q3 2024 $1.7B $48.2M $0.38
Q2 2024 $1.7B $70.8M $0.60
Q1 2024 $1.7B $70.8M $0.56
Q3 2023 $1.6B $27.2M $0.21

Data sourced from SEC EDGAR 10-Q quarterly filings. Figures may represent quarterly or cumulative values.

Select Medical Holdings Corp. Dividends, Buybacks & Capital Allocation

Operating Cash Flow
$37.9M
Cash generated from operations
Capital Expenditures
$58.9M
Investment in assets
Dividends Paid
$7.8M
Returned to shareholders

SEM SEC Filings: Latest 10-K & 10-Q Analysis

Access official SEC EDGAR filings for Select Medical Holdings Corp. (CIK: 0001320414)

📋 Recent SEC Filings

Date Form Document Action
May 5, 2026 4 xslF345X06/form4-05052026_080500.xml View →
May 1, 2026 4 xslF345X06/form4-05012026_080534.xml View →
Apr 30, 2026 8-K tm2613082d1_8k.htm View →
Apr 30, 2026 10-Q sem-20260331.htm View →
Apr 29, 2026 4 xslF345X06/form4-04292026_090449.xml View →

Frequently Asked Questions about SEM

What is the AI rating for SEM?

Select Medical Holdings Corp. (SEM) has an AI grade of C with 78% confidence, based on fundamental analysis of SEC EDGAR filings.

What are SEM's key strengths?

Claude: Positive revenue growth of 5.1% YoY demonstrates market demand in healthcare services sector. Maintained positive operating cash flow of $37.9M despite operational challenges.

What are the risks of investing in SEM?

Claude: Net income collapsed 31.8% YoY with EPS down 30.1%, indicating severe margin compression and operational deterioration. Negative free cash flow of -$21.0M shows company is burning cash despite positive OCF, unsustainable long-term.

What is SEM's revenue and growth?

Select Medical Holdings Corp. reported revenue of $1.4B.

Does SEM pay dividends?

Select Medical Holdings Corp. pays dividends, with $7.8M distributed to shareholders in the trailing twelve months.

Where can I find SEM SEC filings?

Official SEC filings for Select Medical Holdings Corp. (CIK: 0001320414) including 10-K, 10-Q, and 8-K reports are available on SEC EDGAR.

What is SEM's EPS?

Select Medical Holdings Corp. has a diluted EPS of $0.35.

How is the AI analysis conducted?

Two independent AI systems — Claude (Anthropic) and ChatGPT (OpenAI) — analyze SEC EDGAR filings including 10-K annual reports and 10-Q quarterly reports. Each AI evaluates financial health, profitability ratios, balance sheet strength, and growth metrics. The combined grade reflects both perspectives for balanced insights.

What is SEM's fundamental grade?

Based on our AI fundamental analysis in June 2026, Select Medical Holdings Corp. has a C grade with 78% confidence. Review the strengths and risks sections above for full context. This is not investment advice.

Is SEM stock overvalued or undervalued?

Valuation metrics for SEM: ROE of 2.5% (sector avg: 15%), net margin of 3.1% (sector avg: 12%). Compare these metrics with sector averages to assess valuation.

What is SEM's AI grade for 2026?

Our dual AI analysis gives Select Medical Holdings Corp. a combined C grade for 2026. Revenue is data pending, with profitability at or below sector average. Always conduct your own research.

What is SEM's free cash flow?

Select Medical Holdings Corp.'s operating cash flow is $37.9M, with capital expenditures of $58.9M. FCF margin is -1.5%.

How does SEM compare to other Healthcare stocks?

Vs Healthcare sector averages: Net margin 3.1% (avg: 12%), ROE 2.5% (avg: 15%), current ratio 1.15 (avg: 2).

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Disclaimer: This analysis is generated by Claude AI (Anthropic) and ChatGPT (OpenAI) based on publicly available SEC EDGAR filings. It does not include stock price data and should not be considered financial advice. All fundamental data is sourced from SEC public domain filings. Always conduct your own research and consult with a qualified financial advisor before making investment decisions.
Data Source: SEC EDGAR | Analysis Date: May 6, 2026 | Data as of: 2026-03-31 | Powered by Claude AI