Select Medical Holdings (SEM) — Free Cash Flow Generation Index
Select Medical Holdings (SEM) has a Free Cash Flow Generation Index of 0.08x as of December 2025. Free cash flow of $5.22 Million represents 0% of operating cash flow ($64.33 Million). See SEM current assets to equity ratio to evaluate short-term liquidity relative to the company's equity base.
FCF Generation Index
Free Cash Flow
Operating Cash Flow
Capital Expenditures
Select Medical Holdings Free Cash Flow Generation Index (2005–2025)
Historical FCF Generation Index trend for Select Medical Holdings across 21 annual periods. Explore how well can Select Medical Holdings service its debt to assess how comfortably operating cash covers total debt obligations.
Annual Free Cash Flow Generation for Select Medical Holdings (2005–2025)
Year-by-year Free Cash Flow Generation Index for Select Medical Holdings. For the full company profile including market capitalisation, see Select Medical Holdings market capitalisation.
| Year | FCG Index | Free Cash Flow (USD) | Operating CF | Capital Expenditures | YoY Change |
|---|---|---|---|---|---|
| 2025 | 1.10x | $382.74 Million | $346.47 Million | $36.27 Million | ▲ +6.0% |
| 2024 | 1.04x | $539.65 Million | $517.86 Million | $21.78 Million | ▲ +71.9% |
| 2023 | 0.61x | $352.86 Million | $582.06 Million | $229.20 Million | ▲ +82.8% |
| 2022 | 0.33x | $94.45 Million | $284.82 Million | $190.37 Million | ▼ -39.7% |
| 2021 | 0.55x | $220.69 Million | $401.23 Million | $180.54 Million | ▼ -35.9% |
| 2020 | 0.86x | $881.63 Million | $1.03 Billion | $146.44 Million | ▲ +32.5% |
| 2019 | 0.65x | $288.06 Million | $445.18 Million | $157.13 Million | ▼ -2.2% |
| 2018 | 0.66x | $326.91 Million | $494.19 Million | $167.28 Million | ▲ +3122.7% |
| 2017 | 0.02x | $4.89 Million | $238.13 Million | $233.24 Million | ▼ -96.2% |
| 2016 | 0.53x | $184.97 Million | $346.60 Million | $161.63 Million | ▲ +331.6% |
| 2015 | 0.12x | $25.77 Million | $208.41 Million | $182.64 Million | ▼ -72.0% |
| 2014 | 0.44x | $75.40 Million | $170.64 Million | $95.25 Million | ▼ -28.4% |
| 2013 | 0.62x | $118.86 Million | $192.52 Million | $73.66 Million | ▼ -20.0% |
| 2012 | 0.77x | $230.50 Million | $298.68 Million | $68.19 Million | ▼ -2.1% |
| 2011 | 0.79x | $171.11 Million | $217.13 Million | $46.02 Million | ▲ +22.8% |
| 2010 | 0.64x | $92.78 Million | $144.54 Million | $51.76 Million | ▼ -1.3% |
| 2009 | 0.65x | $107.76 Million | $165.64 Million | $57.88 Million | ▲ +37.2% |
| 2008 | 0.47x | $50.93 Million | $107.44 Million | $56.50 Million | ▲ +150.9% |
| 2007 | -0.93x | $-80.06 Million | $86.01 Million | $166.07 Million | ▼ -392.1% |
| 2006 | 0.32x | $72.56 Million | $227.65 Million | $155.10 Million | ▲ +134.6% |
| 2005 | -0.92x | $-52.73 Million | $57.21 Million | $109.95 Million | — |