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 financial agility of Select Medical Holdings to measure the company's free cash flow as a share of total liabilities.
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. For the full cash flow conversion analysis, see how efficiently does Select Medical Holdings generate cash.
Annual Cash Flow-to-Debt Ratio for Select Medical Holdings (2005–2025)
Year-by-year debt coverage analysis for Select Medical Holdings. Check earnings quality score of Select Medical Holdings to evaluate the quality of earnings relative to operating cash generation.
| 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 | — |