Select Medical Holdings (SEM) — Cash Flow-to-Debt Ratio
Select Medical Holdings (SEM) has a Cash Flow-to-Debt Ratio of 0.00x as of March 2026, meaning its operating cash flow of $-3.46 Million could theoretically repay 0% of its total liabilities ($3.94 Billion) in one year. See SEM free cash flow generation to measure how efficiently the company converts operating cash flow to free cash.
CF-to-Debt Ratio
Operating Cash Flow
Total Liabilities
Data as of
Select Medical Holdings Cash Flow-to-Debt Ratio (2005–2025)
Historical debt coverage capacity for Select Medical Holdings across 21 annual periods. Also explore net asset growth rate of Select Medical Holdings to track the company's year-over-year net asset growth rate.
Annual Cash Flow-to-Debt Ratio for Select Medical Holdings (2005–2025)
Year-by-year debt coverage analysis for Select Medical Holdings. For market capitalisation and broader financial context, see Select Medical Holdings (SEM) total market value.
| Year | CF-to-Debt Ratio | Operating CF (USD) | Total Liabilities | YoY Change |
|---|---|---|---|---|
| 2025 | 0.09x | $346.47 Million | $3.82 Billion | ▼ -36.7% |
| 2024 | 0.14x | $517.86 Million | $3.61 Billion | ▲ +50.7% |
| 2023 | 0.10x | $582.06 Million | $6.12 Billion | ▲ +109.7% |
| 2022 | 0.05x | $284.82 Million | $6.27 Billion | ▼ -32.2% |
| 2021 | 0.07x | $401.23 Million | $6.00 Billion | ▼ -60.9% |
| 2020 | 0.17x | $1.03 Billion | $6.00 Billion | ▲ +109.1% |
| 2019 | 0.08x | $445.18 Million | $5.44 Billion | ▼ -16.4% |
| 2018 | 0.10x | $494.19 Million | $5.05 Billion | ▲ +72.4% |
| 2017 | 0.06x | $238.13 Million | $4.19 Billion | ▼ -33.9% |
| 2016 | 0.09x | $346.60 Million | $4.04 Billion | ▲ +44.9% |
| 2015 | 0.06x | $208.41 Million | $3.52 Billion | ▼ -25.4% |
| 2014 | 0.08x | $170.64 Million | $2.15 Billion | ▼ -17.6% |
| 2013 | 0.10x | $192.52 Million | $2.00 Billion | ▼ -35.0% |
| 2012 | 0.15x | $298.68 Million | $2.02 Billion | ▲ +30.8% |
| 2011 | 0.11x | $217.13 Million | $1.92 Billion | ▲ +49.4% |
| 2010 | 0.08x | $144.54 Million | $1.91 Billion | ▼ -16.1% |
| 2009 | 0.09x | $165.64 Million | $1.83 Billion | ▲ +131.0% |
| 2008 | 0.04x | $107.44 Million | $2.75 Billion | ▲ +20.8% |
| 2007 | 0.03x | $86.01 Million | $2.66 Billion | ▼ -66.6% |
| 2006 | 0.10x | $227.65 Million | $2.35 Billion | ▲ +308.0% |
| 2005 | 0.02x | $57.21 Million | $2.41 Billion | — |