Select Medical Holdings (SEM) — 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). Also explore SEM net assets growth trend to track the company's year-over-year net asset growth rate.
Financial Flexibility Index
Free Cash Flow
Total Liabilities
Capital Expenditures
Select Medical Holdings Financial Flexibility Index (2005–2025)
Historical Financial Flexibility Index trend for Select Medical Holdings across 21 annual periods. Check Select Medical Holdings strategic capital allocation to assess the company's strategic physical and investment asset allocation.
Annual Financial Flexibility Index for Select Medical Holdings (2005–2025)
Year-by-year free cash flow to debt coverage for Select Medical Holdings. For the full company profile including market capitalisation, see SEM market cap.
| 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 | — |