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

SEM NYSE Services-Hospitals CIK: 0001320414
Recently Updated • Analysis: Apr 15, 2026 • SEC Data: 2025-12-31
SELL
68% Conf
Pending
Analysis scheduled

📊 SEM Key Takeaways

Revenue: $5.5B
Net Margin: 2.7%
Free Cash Flow: $117.2M
Current Ratio: 1.04x
Debt/Equity: 1.06x
EPS: $1.16
AI Rating: SELL with 68% confidence
Select Medical Holdings Corp. (SEM) receives a SELL rating with 68% confidence from our AI fundamental analysis based on SEC 10-K filings. With revenue of $5.5B, net profit margin of 2.7%, and return on equity (ROE) of 8.6%, 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 significant profitability deterioration despite 5.1% revenue growth, with net income declining 31.8% YoY and net margins compressing to 2.7%. Tight liquidity (1.04x current ratio, only $26.5M cash) combined with elevated leverage ($1.8B debt) and historically weak returns (8.6% ROE, 2.5% ROA) indicate structural challenges in the hospital services segment, likely from reimbursement pressure and rising operational costs.

Why Buy Select Medical Holdings Corp. Stock? SEM Key Strengths

Claude
  • + Positive revenue growth of 5.1% YoY demonstrates market demand
  • + Operating cash flow of $346.5M supports positive free cash flow of $117.2M
  • + Interest coverage of 6.6x indicates current debt service capacity

SEM Stock Risks: Select Medical Holdings Corp. Investment Risks

Claude
  • ! Net income declined 31.8% YoY despite revenue growth, indicating margin compression and operational deterioration
  • ! Critically low cash position ($26.5M) relative to $5.9B asset base creates liquidity vulnerability
  • ! Persistently thin operating and net margins (6.2% and 2.7% respectively) with weak returns on equity and assets (8.6% ROE, 2.5% ROA)
  • ! Elevated leverage (1.06x debt-to-equity, $1.8B long-term debt) with tight current liquidity creates refinancing risk
  • ! Limited insider activity (1 Form 4 in 90 days) may signal limited confidence

Key Metrics to Watch

Claude
  • * Operating margin trend and whether profitability can stabilize
  • * Free cash flow sustainability and cash conversion cycle
  • * Debt levels and refinancing needs given tight liquidity position

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

Revenue
$5.5B
Net Income
$146.2M
EPS (Diluted)
$1.16
Free Cash Flow
$117.2M
Total Assets
$5.9B
Cash Position
$26.5M

💡 AI Analyst Insight

The relatively thin 2.2% FCF margin may limit capital allocation flexibility.

SEM Profit Margin, ROE & Profitability Analysis

Gross Margin N/A
Operating Margin 6.2%
Net Margin 2.7%
ROE 8.6%
ROA 2.5%
FCF Margin 2.2%

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

How Select Medical Holdings Corp. compares to Healthcare sector averages

Net Margin
SEM 2.7%
vs
Sector Avg 12.0%
SEM Sector
ROE
SEM 8.6%
vs
Sector Avg 15.0%
SEM Sector
Current Ratio
SEM 1.0x
vs
Sector Avg 2.0x
SEM Sector
Debt/Equity
SEM 1.1x
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
8.6%
Sector avg: 15%
Net Profit Margin
2.7%
Sector avg: 12%
Revenue Growth
N/A
Year-over-year
Debt/Equity
1.06x
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
1.04x
Quick Ratio
1.04x
Debt/Equity
1.06x
Debt/Assets
65.2%
Interest Coverage
6.62x
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
2.2%
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
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
Q2 2023 $1.6B $49.1M $0.43

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
$346.5M
Cash generated from operations
Stock Buybacks
$100.1M
Shares repurchased (TTM)
Capital Expenditures
$229.2M
Investment in assets
Dividends Paid
$31.4M
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
Mar 4, 2026 DEF 14A tm261416-3_def14a.htm View →
Mar 3, 2026 8-K tm267827d1_8k.htm View →
Feb 19, 2026 10-K sem-20251231.htm View →
Feb 19, 2026 8-K tm266741d1_8k.htm View →
Feb 13, 2026 4 xslF345X05/form4-02132026_090218.xml View →

Frequently Asked Questions about SEM

What is the AI rating for SEM?

Select Medical Holdings Corp. (SEM) has an AI rating of SELL with 68% 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. Operating cash flow of $346.5M supports positive free cash flow of $117.2M.

What are the risks of investing in SEM?

Claude: Net income declined 31.8% YoY despite revenue growth, indicating margin compression and operational deterioration. Critically low cash position ($26.5M) relative to $5.9B asset base creates liquidity vulnerability.

What is SEM's revenue and growth?

Select Medical Holdings Corp. reported revenue of $5.5B.

Does SEM pay dividends?

Select Medical Holdings Corp. pays dividends, with $31.4M 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 $1.16.

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 rating reflects both perspectives for balanced insights.

Is SEM a good stock to buy right now?

Based on our AI fundamental analysis in April 2026, Select Medical Holdings Corp. has a SELL rating with 68% confidence. Review the strengths and risks sections above before making a decision. This is not investment advice.

Is SEM stock overvalued or undervalued?

Valuation metrics for SEM: ROE of 8.6% (sector avg: 15%), net margin of 2.7% (sector avg: 12%). Compare these metrics with sector averages to assess valuation.

Should I buy SEM stock in 2026?

Our dual AI analysis gives Select Medical Holdings Corp. a combined SELL rating 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 $346.5M, with capital expenditures of $229.2M. FCF margin is 2.2%.

How does SEM compare to other Healthcare stocks?

Vs Healthcare sector averages: Net margin 2.7% (avg: 12%), ROE 8.6% (avg: 15%), current ratio 1.04 (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: Apr 15, 2026 | Data as of: 2025-12-31 | Powered by Claude AI