Select Medical Holdings Corp.
We began operations in 1997 and, based on the number of facilities, are one of the largest operators of critical illness recovery hospitals, rehabilitation hospitals, and outpatient rehabilitation clinics in the United States. As of December 31, 2025, we had operations in 39 states and the District of Columbia.
$19.52
-$0.10 (-0.51%)
EOD Oct 21, 2026
Operating margin is thin at 6.17%. Limited cushion if revenue slows or costs rise, not the profile of a wide-moat business.
Revenue grew 5.1%, steady but not accelerating. Free cash flow declined 60% despite revenue growth, conversion is weakening.
Free cash flow declined 60% versus the prior year, cash generation momentum has weakened. Net debt of $2.89B represents 24.7x FCF, leverage limits flexibility.
18.2x earnings, 15.9x FCF. Valuation is in a reasonable range. The main question is whether the business can re-accelerate or if current trajectory is already priced in.
Price History
Valuation & Multiples
Based on TTM earnings · Diluted shares
Profitability & Returns
Revenue (TTM)
$5.52B
▲ +5.1% YoY
Net Income (TTM)
$134M
▼ -31.7% YoY
Op. Margin
5.83%
▲ +1.0pp YoY
ROIC
5.82%
▲ +2.0pp YoY
Cash Flow & Balance Sheet
FCF (TTM)
$152M
▼ -60.3% YoY
Op. Cash Flow (TTM)
$388M
▼ -33.1% YoY
Net Debt
$2.95B
Cash & Equiv.
$26M
5Y CAGR: -0.3%
5Y CAGR: -33.2%
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SourceComputed from the 10-Q filed 31 Mar 2026, covering the period ending 31 Mar 2026, as reported to the SEC. Data last refreshed 2 Oct 2026. How this is calculated.
Price from market data, last close as of 21 Oct 2026. Fiscal year ends Dec. Sector medians are approximate S&P 500 benchmarks and update periodically.
Is Select Medical Holdings (SEM) overvalued?
At a P/E of 18.2 and a price-to-free-cash-flow of 15.9, Select Medical Holdings (SEM) trades above a two-stage DCF intrinsic value of about $-2.58 per share, so at $19.52 the stock looks overvalued (113.2% above estimated intrinsic value). A high multiple is not the same as overvalued: fast-growing, high-quality businesses can deserve a premium. See the general approach in how to tell if a stock is overvalued.
On quality, Select Medical Holdings scores 70/100 on Intrinsiqq's quality scorecard (a solid business on these measures), weighing growth, margins, returns on capital, share count, and balance-sheet strength. It currently yields about 1.3%; see dividend safety for coverage and history. All figures are computed from SEC filings; read the full methodology, or see how the market compares in our US profitability statistics. This is analysis, not investment advice.
Frequently asked
What is Select Medical Holdings's fair value?+
Intrinsiqq's two-stage DCF estimates an intrinsic value of about $-2.58 per share for SEM, projecting its recent free cash flow forward with a growth rate that fades toward a long-run rate and discounting it back to today. Applying a 25% margin of safety gives a more conservative fair-value entry around $-1.94. At today's $19.52, that puts the stock about 113.2% above estimated intrinsic value. The result is sensitive to the growth and discount-rate inputs, so it is best to run conservative, base and optimistic cases. You can adjust all of them yourself with the sliders on the DCF tab.
Is Select Medical Holdings a high-quality business?+
Select Medical Holdings scores 70 out of 100 on Intrinsiqq's quality score, a weighted blend of 8 metrics each scored 0 to 100, which makes it a solid business on these measures. Recent fundamentals include a 5.8% operating margin and a 5.8% return on invested capital. The score weighs revenue and free-cash-flow growth, operating margins, return on invested capital, share-count change, and balance-sheet strength, all computed from SEC filings, not opinion. Because valuation only means something relative to quality, the full metric-by-metric breakdown is on the quality scorecard.
Does Select Medical Holdings (SEM) pay a dividend, and how much?+
Yes, Select Medical Holdings pays a regular dividend of about $0.26 per share per year (typically in quarterly installments), a yield of roughly 1.3% at the current price. That is a payout ratio of about 23.3% of earnings, so the dividend is amply covered by earnings. A low headline yield is not the same as a weak dividend: what matters is how well earnings and free cash flow cover the payout and whether it is growing, not the percentage alone. For SEM's full payout history, growth streak and dividend-safety score, see the dividends tab.
Is Select Medical Holdings a good stock to buy right now?+
That depends on valuation and quality together, not either alone. SEM currently trades above its estimated intrinsic value and scores 70/100 on quality (solid). It also yields about 1.3%. A cheap price is only a bargain if the business is durable, and a premium can be justified by genuine quality, so the two questions, "is it cheap?" and "is it good?", only make sense side by side. Read the valuation against the quality scorecard, run the DCF on your own assumptions, and decide for yourself. This is analysis from SEC filings, not investment advice.
Related stocks: Services-Hospitals
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Data sourced from SEC EDGAR filings and third-party price providers. Scores, valuations, and metrics are algorithmic estimates. This is not investment advice. See our Terms and Methodology.
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