Companies: 10,795·Total market cap: $144.5T
Select Medical Holdings Corporation

Select Medical Holdings Corporation

SEMNYSEHealthcare● Active
$16.57
+$0.03(+0.18%)
Market Cap$2.1B
P/E Ratio—
52W High$16.99
52W Low$11.65
Free Cash FlowFinancialsRevenue

Select Medical Holdings Corporation (SEM) Free Cash Flow & Analysis

Annual & trailing free cash flow, FCF margin, YoY change, valuation ratios, and peer context.

SEM · free cash flow · updated Jun 8, 2026

Core FCF metrics

Free cash flow was $382.7M for FY2025 (fiscal year ending 2025-12-31), down 29.1% year-over-year The FCF margin was 7.0%. Five-year CAGR stands at -15.4%.

FY2025 Free Cash Flow$382.7M▼ -29.1% YoY
Trailing 12M (TTM)$117.2Mtrailing 4 quarters sum
FCF Margin7.0%$382.7M ÷ revenue
3-Year CAGR+59.4%FY2022 → FY2025
5-Year CAGR-15.4%FY2020 → FY2025
FormulaFCF = Operating Cash Flow − Capital ExpendituresTTM = trailing 4 quarters sumCAGR → N/A if either endpoint ≤ 0
Source: FMP /cash-flow-statement · SEC 10-K / 10-Q · USDUpdated: Jun 8, 2026

Annual free cash flow history

Positive FCFNegative FCF
Free Cash Flow
YoY Growth %
sem free cash flow history · sem free cash flow chart · sem free cash flow growth rate · sem free cash flow last 10 years

Annual free cash flow data

Fiscal YearFree Cash FlowYoY ChangeFCF Margin
FY2025Latest$382.7M▼ 29.1%7.0%
FY2024$539.6M▲ +52.9%10.4%
FY2023$352.9M▲ +273.6%5.3%
FY2022$94.5M▼ 57.2%1.5%
FY2021$220.7M▼ 75.0%3.6%
FCF = Operating Cash Flow − Capital Expenditures · CapEx shown as (negative) · Source: SEC filings via FMP
sem free cash flow 2025 · sem free cash flow 2024 · sem free cash flow 2023 · sem operating cash flow

FCF valuation metrics

Select Medical Holdings Corporation (SEM) trades at a FCF yield of 5.71% and a price-to-free-cash-flow ratio of 17.4x. FCF per share stands at $0.95, calculated using trailing twelve-month FCF divided by basic weighted-average shares outstanding.

FCF Yield (TTM)
5.71%
Free Cash Flow ÷ Market Cap
per FMP freeCashFlowYieldTTM definition
FCF per Share (TTM)
$0.95
TTM FCF ÷ Shares Outstanding
Price / FCF
x17.4
Share Price ÷ FCF per Share
EV / FCF (TTM)
x42.8
Enterprise Value basis
Source: FMP /key-metrics-ttm · /cash-flow-statement Q · /income-statementFY2025 · 2025-12-31
sem price to free cash flow · sem free cash flow yield · sem free cash flow per share · sem price to cash flow ratio

Cash flow statement summary

For FY2025, Select Medical Holdings Corporation generated $346.5M in operating cash flow and spent 36M in capital expenditures, yielding $382.7M in free cash flow.

Operating Activities
+$346.5M
Cash from core business operations
2025-12-31
Investing Activities
−$216.5M
CapEx, acquisitions & investments
2025-12-31
Financing Activities
−$163.2M
Buybacks, dividends & debt
2025-12-31
FCF FormulaOperating CF ($346.5M) − |CapEx| (36M) = FCF ($382.7M)

For the complete Operating / Investing / Financing line-item breakdown:

View Full Cash Flow Statement →
sem cash flow statement · sem cash flow statement 2025 · sem operating cash flow · sem cash flow from operations

Free cash flow vs peers (Healthcare)

#CompanyFree Cash FlowYoY
#1
Select Medical Holdings Corporation
Select Medical Holdings CorporationYOU
SEM
$382.7M-29.1%
#2
Johnson & Johnson
Johnson & Johnson
JNJ
$19.70B-0.7%#3
AbbVie Inc.
AbbVie Inc.
ABBV
$17.82B-0.1%#4
UnitedHealth Group Incorporated
UnitedHealth Group Incorporated
UNH
$16.07B-22.4%#5
Eli Lilly and Company
Eli Lilly and Company
LLY
$8.97B+2065.6%
Healthcare · Sorted by FCF · FMP /cash-flow-statementFull FCF Rankings →

About Free Cash Flow & Methodology

Select Medical Holdings Corporation (SEM) reported free cash flow of $382.7M for FY2025 (fiscal year ending 2025-12-31), down 29.1% year-over-year. The FCF margin was 7.0%.

Based on available data, Select Medical Holdings Corporation has maintained positive free cash flow for at least 15 fiscal year(s). FCF peaked at $881.6M in FY2020. The 5-year CAGR stands at -15.4%.

Select Medical Holdings Corporation's FCF yield is 5.71% and price-to-FCF ratio is 17.4x for FY2025, based on the latest available data.

Data sourced from FMP /cash-flow-statement · SEC 10-K / 10-Q · USD.

Q&A and summaries align with SEC 10-K/10-Q cash flow disclosures and FMP /cash-flow-statement where noted.
RevenueFinancial statementsNet incomeEarningsForecastPrice historyMarket capCash on handP/E ratio

Frequently asked questions

SEM free cash flow · 8 questions

Select Medical Holdings Corporation free cash flow was $382.7M for FY2025, down 29.1% year-over-year. On a trailing twelve-month (TTM) basis, free cash flow stands at $117.2M.

SEM free cash flowSEM FCFSEM FCF 2025SEM free cash flow TTM

▸ Source: FMP /cash-flow-statement · US GAAP · Select Medical Holdings Corporation · Select Medical Holdings Corporation SEC 10-K & 10-Q filings · US GAAP · Last updated: Jun 8, 2026