Select Medical Holdings (SEM) — Cash Flow Reinvestment Rate
Select Medical Holdings (SEM) has a Cash Flow Reinvestment Rate of 0.92x as of December 2025, reinvesting $59.10 Million (capex $59.10 Million ) from operating cash flow of $64.33 Million. See cash generation quality of Select Medical Holdings to measure how efficiently the company converts operating cash flow to free cash.
Reinvestment Rate
Total Reinvested
Operating Cash Flow
Capital Expenditures
Select Medical Holdings Cash Flow Reinvestment Rate (2005–2025)
Historical reinvestment intensity for Select Medical Holdings across 21 annual periods. For the full cash flow conversion analysis, see Select Medical Holdings cash flow conversion.
Annual Cash Flow Reinvestment Rate for Select Medical Holdings (2005–2025)
Year-by-year capital reinvestment analysis for Select Medical Holdings. See SEM free cash flow debt coverage to measure the company's free cash flow as a share of total liabilities.
| Year | Reinvestment Rate | Total Reinvested (USD) | Operating CF | Capex | YoY Change |
|---|---|---|---|---|---|
| 2025 | 0.10x | $36.27 Million | $346.47 Million | $36.27 Million | ▼ -78.6% |
| 2024 | 0.49x | $252.79 Million | $517.86 Million | $21.78 Million | ▼ -41.5% |
| 2023 | 0.83x | $485.33 Million | $582.06 Million | $229.20 Million | ▼ -43.0% |
| 2022 | 1.46x | $416.71 Million | $284.82 Million | $190.37 Million | ▲ +191.3% |
| 2021 | 0.50x | $201.50 Million | $401.23 Million | $180.54 Million | ▲ +190.3% |
| 2020 | 0.17x | $177.87 Million | $1.03 Billion | $146.44 Million | ▼ -65.5% |
| 2019 | 0.50x | $223.22 Million | $445.18 Million | $157.13 Million | ▲ +37.1% |
| 2018 | 0.37x | $180.76 Million | $494.19 Million | $167.28 Million | ▼ -64.6% |
| 2017 | 1.03x | $245.93 Million | $238.13 Million | $233.24 Million | ▲ +115.2% |
| 2016 | 0.48x | $166.36 Million | $346.60 Million | $161.63 Million | ▼ -45.9% |
| 2015 | 0.89x | $184.99 Million | $208.41 Million | $182.64 Million | ▲ +51.6% |
| 2014 | 0.59x | $99.88 Million | $170.64 Million | $95.25 Million | ▲ +3.8% |
| 2013 | 0.56x | $108.55 Million | $192.52 Million | $73.66 Million | ▲ +103.2% |
| 2012 | 0.28x | $82.87 Million | $298.68 Million | $68.19 Million | ▼ -2.4% |
| 2011 | 0.28x | $61.72 Million | $217.13 Million | $46.02 Million | ▼ -20.6% |
| 2010 | 0.36x | $51.76 Million | $144.54 Million | $51.76 Million | ▲ +2.5% |
| 2009 | 0.35x | $57.88 Million | $165.64 Million | $57.88 Million | ▼ -33.6% |
| 2008 | 0.53x | $56.50 Million | $107.44 Million | $56.50 Million | ▼ -72.8% |
| 2007 | 1.93x | $166.07 Million | $86.01 Million | $166.07 Million | ▲ +183.4% |
| 2006 | 0.68x | $155.10 Million | $227.65 Million | $155.10 Million | ▼ -64.5% |
| 2005 | 1.92x | $109.95 Million | $57.21 Million | $109.95 Million | — |