(SEM) Select Medical Holdings - Ratings and Ratios
Hospitals, Rehabilitation, Outpatient Clinics, Therapy Services
EPS (Earnings per Share)
Revenue
| Risk via 10d forecast | |
|---|---|
| Volatility | 34.5% |
| Value at Risk 5%th | 52.4% |
| Relative Tail Risk | -7.63% |
| Reward TTM | |
|---|---|
| Sharpe Ratio | -0.90 |
| Alpha | -45.53 |
| Character TTM | |
|---|---|
| Hurst Exponent | 0.342 |
| Beta | 0.745 |
| Beta Downside | 0.813 |
| Drawdowns 3y | |
|---|---|
| Max DD | 45.06% |
| Mean DD | 15.93% |
| Median DD | 13.81% |
Description: SEM Select Medical Holdings November 13, 2025
Select Medical Holdings Corp. (NYSE: SEM) operates a network of critical-illness recovery hospitals, rehabilitation hospitals, and outpatient rehab clinics across the United States, organized into three reporting segments.
The Critical Illness Recovery segment treats patients with heart failure, respiratory failure, renal disease, neurological events, trauma and post-surgical recovery, while the Rehabilitation Hospital segment focuses on brain and spinal cord injuries, strokes, orthopedic and pediatric conditions, and cancer-related rehab. The Outpatient Rehabilitation segment delivers physical, occupational and speech therapy plus specialty programs such as hand therapy, pelvic health, and post-concussion care.
In FY 2023 the company reported $2.1 billion in revenue, a 7 % YoY increase driven largely by outpatient volume growth (≈ 12 % YoY) and higher case-mix intensity in the critical-illness segment. Adjusted EBITDA margin expanded to 9.3 % from 8.1 % a year earlier, reflecting improved cost-control and better payer reimbursement rates.
Key macro drivers include the U.S. aging demographic (the 65-plus population is projected to reach 22 % by 2035), ongoing Medicare policy shifts that favor bundled payments for post-acute care, and a broader industry trend toward outpatient rehabilitation services, which typically offer higher margin potential than inpatient stays.
For a deeper, data-rich analysis of SEM’s valuation and risk profile, you may find ValueRay’s research platform worth a quick look.
SEM Stock Overview
| Market Cap in USD | 1,647m |
| Sub-Industry | Health Care Facilities |
| IPO / Inception | 2009-09-25 |
| Return 12m vs S&P 500 | -41.9% |
| Analyst Rating | 4.50 of 5 |
SEM Dividends
| Metric | Value |
|---|---|
| Dividend Yield | 1.97% |
| Yield on Cost 5y | 2.04% |
| Yield CAGR 5y | 10.02% |
| Payout Consistency | 45.6% |
| Payout Ratio | 17.4% |
SEM Growth Ratios
| Metric | Value |
|---|---|
| CAGR 3y | 1.86% |
| CAGR/Max DD Calmar Ratio | 0.04 |
| CAGR/Mean DD Pain Ratio | 0.12 |
| Current Volume | 481.5k |
| Average Volume | 987.7k |
Piotroski VR‑10 (Strict, 0-10) 5.0
| Net Income (110.0m TTM) > 0 and > 6% of Revenue (6% = 322.1m TTM) |
| FCFTA 0.03 (>2.0%) and ΔFCFTA -1.34pp (YES ≥ +1.0pp, WARN ≥ +0.5pp) |
| NWC/Revenue 1.51% (prev 2.63%; Δ -1.12pp) (YES ≤20% & Δ≤-1pp; WARN ≤25% & Δ≤0 oder ≤40% & Δ≤-3pp) |
| CFO/TA 0.07 (>3.0%) and CFO 407.6m > Net Income 110.0m (YES >=105%, WARN >=100%) |
| Net Debt (971.5m) to EBITDA (474.7m) ratio: 2.05 <= 3.0 (WARN <= 3.5) |
| Current Ratio 1.09 (target 1.5–3.0; WARN 1.2–<1.5 or >3.0–5.0; CFO/TA gate active) |
| Outstanding Shares last Quarter (123.5m) change vs 12m ago -0.97% (target <= -2.0% for YES) |
| Gross Margin 10.89% (prev 11.42%; Δ -0.53pp) >=18% & Δ>=+0.5pp (WARN >=15% & Δ>=0) |
| Asset Turnover 78.44% (prev 75.26%; Δ 3.18pp) >=50% & Δ>=+2pp (WARN >=35% & Δ>=0) |
| Interest Coverage Ratio 3.13 (EBITDA TTM 474.7m / Interest Expense TTM 103.7m) >= 6 (WARN >= 3) |
Altman Z'' 1.12
| (A) 0.01 = (Total Current Assets 1.02b - Total Current Liabilities 939.6m) / Total Assets 5.69b |
| (B) 0.15 = Retained Earnings (Balance) 824.8m / Total Assets 5.69b |
| (C) 0.05 = EBIT TTM 324.9m / Avg Total Assets 6.84b |
| (D) 0.22 = Book Value of Equity 818.7m / Total Liabilities 3.67b |
| Total Rating: 1.12 = (6.56 * A) + (3.26 * B) + (6.72 * C) + (1.05 * D) |
ValueRay F-Score (Strict, 0-100) 52.75
| 1. Piotroski 5.0pt = 0.0 |
| 2. FCF Yield 6.65% = 3.32 |
| 3. FCF Margin 3.24% = 0.81 |
| 4. Debt/Equity 0.61 = 2.32 |
| 5. Debt/Ebitda 2.05 = -0.09 |
| 6. ROIC - WACC (= 1.08)% = 1.36 |
| 7. RoE 6.51% = 0.54 |
| 8. Rev. Trend -63.39% = -4.75 |
| 9. EPS Trend -15.18% = -0.76 |
What is the price of SEM shares?
Over the past week, the price has changed by -4.31%, over one month by -6.74%, over three months by -0.69% and over the past year by -33.94%.
Is SEM a buy, sell or hold?
- Strong Buy: 4
- Buy: 1
- Hold: 1
- Sell: 0
- Strong Sell: 0
What are the forecasts/targets for the SEM price?
| Issuer | Target | Up/Down from current |
|---|---|---|
| Wallstreet Target Price | 18.2 | 42% |
| Analysts Target Price | 18.2 | 42% |
| ValueRay Target Price | 12.3 | -4% |
SEM Fundamental Data Overview November 17, 2025
P/E Trailing = 15.9756
P/E Forward = 10.7759
P/S = 0.3067
P/B = 0.9602
P/EG = 1.37
Beta = 1.06
Revenue TTM = 5.37b USD
EBIT TTM = 324.9m USD
EBITDA TTM = 474.7m USD
Long Term Debt = 1.74b USD (from longTermDebt, last quarter)
Short Term Debt = 213.0m USD (from shortTermDebt, last quarter)
Debt = 1.03b USD (from shortLongTermDebtTotal, last quarter)
Net Debt = 971.5m USD (from netDebt column, last quarter)
Enterprise Value = 2.62b USD (1.65b + Debt 1.03b - CCE 60.1m)
Interest Coverage Ratio = 3.13 (Ebit TTM 324.9m / Interest Expense TTM 103.7m)
FCF Yield = 6.65% (FCF TTM 174.0m / Enterprise Value 2.62b)
FCF Margin = 3.24% (FCF TTM 174.0m / Revenue TTM 5.37b)
Net Margin = 2.05% (Net Income TTM 110.0m / Revenue TTM 5.37b)
Gross Margin = 10.89% ((Revenue TTM 5.37b - Cost of Revenue TTM 4.78b) / Revenue TTM)
Gross Margin QoQ = 10.81% (prev 11.60%)
Tobins Q-Ratio = 0.46 (Enterprise Value 2.62b / Total Assets 5.69b)
Interest Expense / Debt = 2.90% (Interest Expense 29.9m / Debt 1.03b)
Taxrate = 21.01% (11.7m / 55.9m)
NOPAT = 256.6m (EBIT 324.9m * (1 - 21.01%))
Current Ratio = 1.09 (Total Current Assets 1.02b / Total Current Liabilities 939.6m)
Debt / Equity = 0.61 (Debt 1.03b / totalStockholderEquity, last quarter 1.69b)
Debt / EBITDA = 2.05 (Net Debt 971.5m / EBITDA 474.7m)
Debt / FCF = 5.58 (Net Debt 971.5m / FCF TTM 174.0m)
Total Stockholder Equity = 1.69b (last 4 quarters mean from totalStockholderEquity)
RoA = 1.93% (Net Income 110.0m / Total Assets 5.69b)
RoE = 6.51% (Net Income TTM 110.0m / Total Stockholder Equity 1.69b)
RoCE = 9.46% (EBIT 324.9m / Capital Employed (Equity 1.69b + L.T.Debt 1.74b))
RoIC = 7.35% (NOPAT 256.6m / Invested Capital 3.49b)
WACC = 6.27% (E(1.65b)/V(2.68b) * Re(8.76%) + D(1.03b)/V(2.68b) * Rd(2.90%) * (1-Tc(0.21)))
Discount Rate = 8.76% (= CAPM, Blume Beta Adj.)
Shares Correlation 3-Years: -33.33 | Cagr: -0.13%
[DCF Debug] Terminal Value 79.15% ; FCFE base≈245.4m ; Y1≈302.8m ; Y5≈516.6m
Fair Price DCF = 61.94 (DCF Value 7.67b / Shares Outstanding 123.8m; 5y FCF grow 25.0% → 3.0% )
EPS Correlation: -15.18 | EPS CAGR: 1.63% | SUE: 0.54 | # QB: 0
Revenue Correlation: -63.39 | Revenue CAGR: -5.25% | SUE: 0.06 | # QB: 0
Additional Sources for SEM Stock
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Fund Manager Positions: Dataroma | Stockcircle