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). Read total liabilities of Select Medical Holdings for a breakdown of total debt and financial obligations.
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 Select Medical Holdings capital reinvestment ratio to see what proportion of operating cash flow is directed to capital expenditures.
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 market cap of Select Medical Holdings.
| 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 | — |