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). Check Select Medical Holdings (SEM) total reinvestment rate to assess the company's total reinvestment commitment from operating cash flow.
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. For the full cash flow conversion analysis, see Select Medical Holdings cash conversion from operations.
Annual Financial Flexibility Index for Select Medical Holdings (2005–2025)
Year-by-year free cash flow to debt coverage for Select Medical Holdings. Explore Select Medical Holdings (SEM) debt coverage ratio to assess how comfortably operating cash covers total debt obligations.
| 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 | — |