Select Medical Holdings Financial Flexibility Index
Select Medical Holdings financial flexibility index. Select Medical Holdings (SEM) has a Financial Flexibility Index of 0.01x as of March 2026. Free cash flow of $48.88 Million (operating CF $-3.46 Million minus capex $52.34 Million) represents 0% of total liabilities ($3.94 Billion). Explore how much does Select Medical Holdings reinvest in capital to see what proportion of operating cash flow is directed to capital expenditures.
Financial Flexibility Index
Free Cash Flow
Total Liabilities
Capital Expenditures
Financial Flexibility Index of Select Medical Holdings (2005–2025)
Financial flexibility index of Select Medical Holdings from 2005 to 2025. Historical Financial Flexibility Index trend for Select Medical Holdings across 21 annual periods. Check Select Medical Holdings (SEM) reinvestment rate to assess the company's total reinvestment commitment from operating cash flow.
Select Medical Holdings Financial Flexibility Index by Year (2005–2025)
Select Medical Holdings financial flexibility index by year from 2005 to 2025. Year-by-year free cash flow to debt coverage for Select Medical Holdings. For the full cash flow conversion analysis, see SEM cash generation efficiency.
| Year | Flexibility Index | Free Cash Flow (USD) | Operating CF | Total Liabilities | YoY Change |
|---|---|---|---|---|---|
| 2025 | 0.10x | $382.74 Million | $346.47 Million | $3.82 Billion | ▼ -32.9% |
| 2024 | 0.15x | $539.65 Million | $517.86 Million | $3.61 Billion | ▲ +12.7% |
| 2023 | 0.13x | $811.26 Million | $582.06 Million | $6.12 Billion | ▲ +75.2% |
| 2022 | 0.08x | $475.20 Million | $284.82 Million | $6.27 Billion | ▼ -22.0% |
| 2021 | 0.10x | $581.76 Million | $401.23 Million | $6.00 Billion | ▼ -50.4% |
| 2020 | 0.20x | $1.17 Billion | $1.03 Billion | $6.00 Billion | ▲ +76.6% |
| 2019 | 0.11x | $602.31 Million | $445.18 Million | $5.44 Billion | ▼ -15.5% |
| 2018 | 0.13x | $661.48 Million | $494.19 Million | $5.05 Billion | ▲ +16.6% |
| 2017 | 0.11x | $471.37 Million | $238.13 Million | $4.19 Billion | ▼ -10.7% |
| 2016 | 0.13x | $508.24 Million | $346.60 Million | $4.04 Billion | ▲ +13.2% |
| 2015 | 0.11x | $391.06 Million | $208.41 Million | $3.52 Billion | ▼ -10.1% |
| 2014 | 0.12x | $265.89 Million | $170.64 Million | $2.15 Billion | ▼ -7.1% |
| 2013 | 0.13x | $266.18 Million | $192.52 Million | $2.00 Billion | ▼ -26.8% |
| 2012 | 0.18x | $366.87 Million | $298.68 Million | $2.02 Billion | ▲ +32.6% |
| 2011 | 0.14x | $263.14 Million | $217.13 Million | $1.92 Billion | ▲ +33.3% |
| 2010 | 0.10x | $196.30 Million | $144.54 Million | $1.91 Billion | ▼ -15.6% |
| 2009 | 0.12x | $223.52 Million | $165.64 Million | $1.83 Billion | ▲ +104.3% |
| 2008 | 0.06x | $163.94 Million | $107.44 Million | $2.75 Billion | ▼ -37.1% |
| 2007 | 0.09x | $252.09 Million | $86.01 Million | $2.66 Billion | ▼ -41.7% |
| 2006 | 0.16x | $382.75 Million | $227.65 Million | $2.35 Billion | ▲ +134.8% |
| 2005 | 0.07x | $167.16 Million | $57.21 Million | $2.41 Billion | — |