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). Explore SEM capital expenditure intensity to see what proportion of operating cash flow is directed to capital expenditures.
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. For the full cash flow conversion analysis, see Select Medical Holdings (SEM) cash conversion ratio.
Annual Free Cash Flow Generation for Select Medical Holdings (2005–2025)
Year-by-year Free Cash Flow Generation Index for Select Medical Holdings. Check total reinvestment intensity of Select Medical Holdings to assess the company's total reinvestment commitment from operating cash flow.
| 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 | — |