The company's financial flexibility is constrained by a thin cash position of $25.7 million as of 2026Q1 and a significant goodwill concentration representing 40% of total assets.
| Metric | TTM | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 | Dec'09 | Dec'08 | Dec'07 | Dec'06 | Dec'05 |
|---|
| Total Current Assets | 1.11B | 1.03B | 1.02B | 1.26B | 1.27B | 1.14B | 1.59B | 1.21B | 992.52M | 920.83M | 808.07M | 749.15M | 527.64M | 454.4M | 453.66M | 483.41M | 429.33M | 474.71M | 466.86M | 355.59M | 345.24M | 395.85M |
| Cash & Short-Term Investments | 25.68M | 26.52M | 59.69M | 111.59M | 172.76M | 74.31M | 577.06M | 335.88M | 175.18M | 122.55M | 99.03M | 14.44M | 3.35M | 4.32M | 40.14M | 12.04M | 4.37M | 83.68M | 64.26M | 4.53M | 81.6M | 49.74M |
| Cash Only | 25.68M | 26.52M | 59.69M | 52.63M | 97.91M | 74.31M | 577.06M | 335.88M | 175.18M | 122.55M | 99.03M | 14.44M | 3.35M | 4.32M | 40.14M | 12.04M | 4.37M | 83.68M | 64.26M | 4.53M | 81.6M | 35.86M |
| Short-Term Investments | 0 | 0 | 0 | 58.96M | 74.86M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 13.88M |
| Accounts Receivable | 949.48M | 864.21M | 821.38M | 724.14M | 941.31M | 889.3M | 896.76M | 768.38M | 706.68M | 691.73M | 573.75M | 603.56M | 444.27M | 391.32M | 359.93M | 413.74M | 353.43M | 307.08M | 312.42M | 271.41M | 199.93M | 256.8M |
| Days Sales Outstanding | 58.66 | 57.85 | 57.8 | 39.66 | 54.25 | 52.32 | 59.17 | 51.42 | 50.76 | 56.82 | 48.86 | 58.86 | 52.91 | 48 | 44.55 | 53.85 | 53.97 | 50.04 | 52.96 | 49.74 | 39.41 | 50.44 |
| Inventory | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -627.62M | -589.3M | -431.63M | -378.01M | -378.3M | 30.54M | 43.35M | 59.71M | 69.29M | 57.15M | 46.95M | 69.59M |
| Days Inventory Outstanding | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | 4.83 | 7.98 | 11.98 | 14.11 | 12.57 | 11.54 | 17.06 |
| Other Current Assets | 136.93M | 134.55M | 138.7M | 407.16M | 125.37M | 120.21M | 114.49M | 90.15M | 110.67M | 106.55M | 90.12M | 114.47M | 80.02M | 58.76M | 49.7M | 48.13M | 58.83M | 72.78M | 82.82M | 71.5M | 63.71M | 85.2M |
| Total Non-Current Assets | 4.93B | 4.83B | 4.59B | 6.43B | 6.39B | 6.22B | 6.06B | 6.13B | 4.97B | 4.21B | 4.14B | 3.68B | 2.4B | 2.36B | 2.31B | 2.29B | 2.29B | 2.13B | 2.11B | 2.14B | 1.84B | 1.77B |
| Property, Plant & Equipment | 2.04B | 1.95B | 1.78B | 1.64B | 2.17B | 2.04B | 1.98B | 2B | 979.81M | 912.59M | 892.22M | 864.12M | 542.31M | 509.1M | 501.55M | 510.03M | 532.1M | 466.13M | 471.06M | 487.03M | 356.34M | 248.54M |
| Fixed Asset Turnover | 2.87x | 2.80x | 2.91x | 4.07x | 2.92x | 3.04x | 2.80x | 2.72x | 5.19x | 4.87x | 4.80x | 4.33x | 5.65x | 5.84x | 5.88x | 5.50x | 4.49x | 4.81x | 4.57x | 4.09x | 5.20x | 7.48x |
| Goodwill | 2.38B | 2.36B | 2.33B | 2.28B | 3.48B | 3.45B | 3.38B | 3.39B | 3.32B | 2.78B | 2.75B | 2.31B | 1.64B | 1.64B | 1.64B | 1.63B | 1.63B | 1.55B | 1.51B | 1.5B | 1.32B | 1.31B |
| Intangible Assets | 99.86M | 100.8M | 103.18M | 105.15M | 351.66M | 374.88M | 387.54M | 409.07M | 437.69M | 326.52M | 340.56M | 318.68M | 72.52M | 71.91M | 71.75M | 72.12M | 80.12M | 65.3M | 74.08M | 79.17M | 79.23M | 86.79M |
| Long-Term Investments | 346.4M | 346.4M | 320.9M | 0 | 45.2M | 18.05M | 2.5M | 28.7M | 146.9M | 114.2M | -4.03B | -3.53B | -2.27B | -2.24B | -2.23B | -18.3M | -30.65M | -48.53M | 0 | 0 | -42.61M | 0 |
| Other Non-Current Assets | 412.31M | 67.99M | 51.91M | 2.41B | 341.74M | 338.67M | 316.71M | 295.18M | 233.51M | 184.42M | 4.14B | 3.68B | 2.4B | 2.36B | 2.31B | 74.87M | 49.29M | 47.82M | 60.8M | 73.77M | 78.15M | 132M |
| Total Assets | 6.04B | 5.85B | 5.61B | 7.69B | 7.67B | 7.36B | 7.66B | 7.34B | 5.96B | 5.13B | 4.94B | 4.43B | 2.92B | 2.82B | 2.76B | 2.77B | 2.72B | 2.6B | 2.58B | 2.5B | 2.18B | 2.17B |
| Asset Turnover | 0.95x | 0.93x | 0.92x | 0.87x | 0.83x | 0.84x | 0.72x | 0.74x | 0.85x | 0.87x | 0.87x | 0.85x | 1.05x | 1.06x | 1.07x | 1.01x | 0.88x | 0.86x | 0.83x | 0.80x | 0.85x | 0.86x |
| Asset Growth % | -45.62% | 4.34% | -27.07% | 0.32% | 4.15% | -3.86% | 4.29% | 23.07% | 16.33% | 3.7% | 11.7% | 51.35% | 3.8% | 2.04% | -0.39% | 1.84% | 4.61% | 0.88% | 3.38% | 14.32% | 0.65% | - |
| Total Current Liabilities | 970.37M | 984.49M | 977.65M | 1.25B | 1.16B | 1.27B | 1.44B | 914.28M | 705.19M | 605.4M | 571.63M | 737.69M | 394.42M | 371.52M | 388.46M | 383.94M | 499.56M | 303.94M | 348.49M | 340.86M | 317.33M | 318.29M |
| Accounts Payable | 166.47M | 157.06M | 142.16M | 153.9M | 186.73M | 233.84M | 177.09M | 145.73M | 146.69M | 128.19M | 126.56M | 137.41M | 108.53M | 88.28M | 89.55M | 95.62M | 74.19M | 73.43M | 72.5M | 73.85M | 72.6M | 60.53M |
| Days Payables Outstanding | 12.1 | 11.89 | 11.4 | 9.8 | 12.17 | 16.15 | 13.72 | 11.46 | 12.33 | 12.53 | 12.6 | 15.62 | 15.34 | 12.91 | 13.38 | 15.12 | 13.66 | 14.73 | 14.77 | 16.24 | 17.85 | 14.84 |
| Short-Term Debt | 204.63M | 229.37M | 46.07M | 99.15M | 76.31M | 59.92M | 233.03M | 233.12M | 68.95M | 51.65M | 53.02M | 253.78M | 32.62M | 30.07M | 29.48M | 10.85M | 149.38M | 4.14M | 30.18M | 28.87M | 18.42M | 51.61M |
| Deferred Revenue (Current) | 0 | 0 | 0 | 0 | 0 | 83.79M | 0 | 0 | 25.08M | 29.46M | 378.4M | 104.53M | 242.4M | 235.6M | 257.79M | 16.61M | 18.79M | 0 | 0 | 0 | 0 | 0 |
| Other Current Liabilities | 599.26M | 596.83M | 0 | 271.28M | 0 | 0 | 662.6M | 224.93M | 313.49M | 255.93M | 0 | 217.11M | 0 | 0 | 15.2M | 137.81M | 146.85M | 121.41M | 142.33M | 130.51M | 141.93M | 0 |
| Current Ratio | 1.15x | 1.04x | 1.04x | 1.01x | 1.10x | 0.90x | 1.11x | 1.33x | 1.41x | 1.52x | 1.41x | 1.02x | 1.34x | 1.22x | 1.17x | 1.26x | 0.86x | 1.56x | 1.34x | 1.04x | 1.09x | 1.24x |
| Quick Ratio | 1.15x | 1.04x | 1.04x | 1.01x | 1.10x | 0.90x | 1.11x | 1.33x | 1.41x | 1.52x | 2.51x | 1.81x | 2.43x | 2.24x | 2.14x | 1.18x | 0.77x | 1.37x | 1.14x | 0.88x | 0.94x | 1.03x |
| Cash Conversion Cycle | 46.56 | - | - | - | - | - | - | - | - | - | - | - | - | - | - | 43.56 | 48.29 | 47.29 | 52.3 | 46.07 | 33.11 | 52.66 |
| Total Non-Current Liabilities | 2.97B | 2.83B | 2.63B | 4.87B | 5.12B | 4.72B | 4.57B | 4.52B | 4.34B | 3.59B | 3.47B | 2.78B | 1.76B | 1.63B | 1.63B | 1.53B | 1.41B | 1.53B | 2.4B | 2.31B | 2.03B | 2.09B |
| Long-Term Debt | 931.2M | 2.57B | 1.69B | 3.58B | 3.84B | 3.56B | 3.39B | 3.42B | 3.25B | 2.68B | 2.69B | 2.16B | 1.54B | 1.43B | 1.46B | 1.39B | 1.28B | 1.4B | 1.44B | 1.75B | 1.53B | 1.62B |
| Capital Lease Obligations | 2.54B | 900.71M | 797.14M | 668.56M | 1.01B | 916.54M | 875.37M | 852.9M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -515.87M | -491.19M | 0 | 0 |
| Deferred Tax Liabilities | 391.28M | 112.16M | 81.5M | 119.94M | 169.79M | 142.79M | 132.42M | 148.26M | 153.9M | 124.92M | 222.85M | 218.71M | 109.2M | 96.29M | 89.51M | 82.03M | 59.07M | 66.77M | 42.92M | 22.97M | 32.08M | 19.44M |
| Other Non-Current Liabilities | 1.92B | -755.5M | 73.04M | 494.27M | 106.14M | 106.44M | 168.7M | 101.33M | 158.94M | 145.71M | 558.68M | 371.44M | 103.84M | 103.46M | 94.51M | 64.91M | 66.65M | 60.54M | -448.16M | -438.93M | 467.39M | 3.82M |
| Total Liabilities | 3.94B | 3.82B | 3.61B | 6.12B | 6.27B | 6B | 6B | 5.44B | 5.05B | 4.19B | 4.04B | 3.52B | 2.15B | 2B | 2.02B | 1.92B | 1.91B | 1.83B | 2.75B | 2.66B | 2.35B | 2.41B |
| Total Debt | 1.14B | 3.7B | 2.7B | 4.52B | 5.16B | 4.76B | 4.5B | 4.51B | 3.29B | 2.7B | 2.74B | 2.45B | 1.57B | 1.46B | 1.49B | 1.4B | 1.43B | 1.41B | 1.8B | 1.78B | 1.58B | 1.67B |
| Net Debt | 1.11B | 3.68B | 2.64B | 4.47B | 5.06B | 4.69B | 3.92B | 4.17B | 3.12B | 2.58B | 2.64B | 2.44B | 1.57B | 1.45B | 1.45B | 1.38B | 1.43B | 1.32B | 1.74B | 1.77B | 1.49B | 1.64B |
| Debt / Equity | 0.54x | 1.82x | 1.35x | 2.87x | 3.71x | 3.49x | 2.72x | 2.37x | 3.20x | 2.59x | 2.75x | 2.56x | 1.94x | 1.71x | 1.92x | 1.57x | 1.69x | 1.76x | - | - | - | - |
| Debt / EBITDA | 2.44x | 7.80x | 5.73x | 5.93x | 8.47x | 5.20x | 5.82x | 6.58x | 5.32x | 5.23x | 6.15x | 6.46x | 4.46x | 3.98x | 3.72x | 3.65x | 4.69x | 4.56x | 6.72x | 7.04x | 5.15x | 10.13x |
| Net Debt / EBITDA | 2.39x | 7.74x | 5.60x | 5.86x | 8.31x | 5.12x | 5.07x | 6.09x | 5.04x | 5.00x | 5.93x | 6.42x | 4.45x | 3.97x | 3.62x | 3.62x | 4.68x | 4.28x | 6.48x | 7.02x | 4.88x | 9.91x |
| Interest Coverage | 4.41x | 3.32x | 2.36x | 2.92x | 2.54x | 5.63x | 3.12x | 2.32x | 2.12x | 2.31x | 1.78x | 2.48x | 3.33x | 3.45x | 3.57x | 2.85x | 2.10x | 1.88x | 1.36x | 1.40x | 1.97x | 0.61x |
| Total Equity | 2.08B | 2.04B | 2B | 1.57B | 1.39B | 1.36B | 1.65B | 1.9B | 1.03B | 1.04B | 996.08M | 957.78M | 810.97M | 851.05M | 773.91M | 887.8M | 846.95M | 800.12M | -166.4M | -160.13M | -166.57M | -240.3M |
| Equity Growth % | 6.39% | 1.93% | 26.88% | 13.19% | 1.88% | -17.33% | -13.26% | 84.91% | -1.19% | 4.59% | 4% | 18.1% | -4.71% | 9.97% | -12.83% | 4.82% | 5.85% | 580.84% | -3.92% | 3.87% | 30.68% | - |
| Book Value per Share | 16.88 | 16.48 | 16.03 | 12.79 | 11.16 | 10.48 | 12.72 | 14.61 | 7.90 | 8.07 | 7.78 | 7.50 | 6.26 | 6.21 | 5.57 | 5.89 | 5.31 | 9.30 | -2.79 | -2.63 | -2.73 | -3.94 |
| Total Shareholders' Equity | 1.76B | 1.71B | 1.68B | 1.29B | 1.12B | 1.11B | 1.06B | 770.97M | 916.24M | 932.6M | 905.9M | 908.52M | 775.24M | 818.64M | 745.48M | 855.33M | 815.41M | 769.55M | -174.2M | -165.89M | -169.14M | -244.66M |
| Common Stock | 124K | 124K | 129K | 128K | 127K | 134K | 135K | 134K | 135K | 134K | 132K | 131K | 131K | 140K | 141K | 145K | 155K | 160K | 205K | 205K | 205K | 205K |
| Retained Earnings | 872.22M | 837.02M | 770.15M | 751.86M | 581.01M | 593.25M | 553.24M | 279.8M | 320.35M | 359.74M | 371.69M | 434.62M | 325.68M | 311.37M | 243.21M | 328.88M | 248.1M | 169.09M | 128.19M | 130.72M | 121.02M | 48.81M |
| Treasury Stock | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Accumulated OCI | -5.38M | -6.4M | 0 | 42.91M | 88.6M | 12.28M | -2.03M | 0 | -764.58M | -630.66M | -512.75M | -448.72M | -395.35M | -357.19M | -316.67M | -276.38M | -226.14M | -8.91M | -13.21M | -5.56M | 4.89M | 5.36M |
| Minority Interest | 20.97M | 330.15M | 315.74M | 285.71M | 268.69M | 254.95M | 590.66M | 1.13B | 113.2M | 109.24M | 90.18M | 49.26M | 35.73M | 32.41M | 28.43M | 32.47M | 31.53M | 30.57M | 7.8M | 5.76M | 2.57M | 4.36M |
High leverage and volatility
As reported in recent financial filings, Select Medical's total assets have contracted from a peak of $8.0 billion in 2024Q3 to $6.0 billion by 2026Q1, reflecting a significant shift in the company's capital base and a potential reduction in its overall operational footprint.
The sharp decline in total assets suggests a period of aggressive balance sheet restructuring or divestiture activity. Investors should monitor whether this contraction represents a strategic pivot toward a leaner operating model or a forced reduction in capacity due to persistent margin pressures.
Based on the provided balance sheet data, Select Medical's debt-to-equity ratio has exhibited extreme volatility, swinging from a high of 3.07 in 2024Q1 to 0.54 in 2026Q1, which suggests that the company's capital structure remains highly sensitive to periodic refinancing or debt repayment events.
The dramatic reduction in debt levels appears to be a necessary response to the high-leverage environment observed in early 2024. However, the inconsistency in leverage management may indicate that the company lacks a stable long-term capital structure, potentially complicating future financing efforts in a high-interest-rate environment.
According to the latest quarterly data, goodwill accounts for $2.4 billion of the company's $6.0 billion in total assets, representing a substantial portion of the balance sheet that warrants close scrutiny for potential impairment risks given the current strained profitability environment.
The high concentration of intangible assets relative to tangible property, plant, and equipment suggests that the company's valuation is heavily dependent on the success of past acquisitions. If the underlying performance of these acquired units fails to meet expectations, the company may face significant non-cash write-downs.
As indicated by the financial statements, Select Medical's cash position has remained thin, with only $25.7 million in cash reported for 2026Q1, providing a minimal buffer against operational shocks or the lumpy working capital requirements inherent in the post-acute care business model.
The current ratio of 1.15 suggests that the company maintains just enough liquidity to cover immediate obligations, leaving little room for error. This tight liquidity profile may force management to rely heavily on revolving credit facilities, which could become more expensive or restrictive if operating performance continues to fluctuate.
Quick answers to the most common questions about buying SEM stock.
As of 2025, Select Medical Holdings Corporation (SEM) had total assets of $5.85B including $1.03B in current assets.
Select Medical Holdings Corporation (SEM) carries total debt of $3.70B, offset by $26.5M in cash and short-term investments. Comparing total debt to cash helps evaluate the company's debt burden and net leverage.
Select Medical Holdings Corporation (SEM) has total shareholders' equity (book value) of $1.71B ($16.48 book value per share). Book value represents the net worth of the company belonging to common stock holders.
Select Medical Holdings Corporation (SEM) reported a current ratio of 1.04x. A current ratio above 1.0x indicates that the company has more current assets than current liabilities, suggesting sufficient short-term liquidity.