Select Medical Holdings Corporation (SEM) Earnings History
Earnings Pressure21 years of earnings data (2005–2025) · 5-year EPS trend is negative
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Select Medical Holdings Corporation (SEM) Earnings Overview
As of June 21, 2026, Select Medical Holdings Corporation (SEM) reported trailing twelve-month net income of $134M, reflecting -28.9% year-over-year growth. The company earned $1.08 per diluted share over the past four quarters, with a net profit margin of 2.7%.
Looking at the long-term picture, SEM's 5-year EPS compound annual growth rate (CAGR) stands at -9.4%, signaling declining earnings. The company achieved its highest annual net income of $402M in fiscal 2021.
Select Medical Holdings Corporation maintains positive profitability with a gross margin of 11.5%, operating margin of 6.1%, and net margin of 2.7%. The company continues to generate positive earnings from operations. View revenue history →
Compared to peers including ENSG ($363M net income, 6.8% margin), ACHC (-$1.11B net income, -33.3% margin), UHS ($1.52B net income, 8.6% margin), SEM has room to improve margins relative to the peer group. Compare SEM vs ENSG →
SEM Earnings vs Peers
Earnings metrics vs comparable public companies
SEM Historical Earnings Data (2005–2025)
21 years| Fiscal Year | Net Income | YoY % | Operating Income | EPS (Diluted) | Net Margin | Op. Margin |
|---|---|---|---|---|---|---|
| 2025 | $146M | -31.7% | $335M | $1.18 | 2.7% | 6.1% |
| 2024 | $214M | -12.1% | $268M | $1.66 | 4.1% | 5.2% |
| 2023 | $243M | +53.1% | $555M | $1.91 | 3.7% | 8.3% |
| 2022 | $159M | -60.5% | $403M | $1.23 | 2.5% | 6.4% |
| 2021 | $402M | +55.3% | $714M | $2.99 | 6.5% | 11.5% |
| 2020 | $259M | +74.5% | $568M | $1.93 | 4.7% | 10.3% |
| 2019 | $148M | +7.7% | $472M | $1.54 | 2.7% | 8.7% |
| 2018 | $138M | -22.2% | $417M | $1.06 | 2.7% | 8.2% |
| 2017 | $177M | +53.5% | $356M | $0.87 | 4.0% | 8.0% |
| 2016 | $115M | -11.7% | $300M | $0.87 | 2.7% | 7.0% |
| 2015 | $131M | +8.4% | $275M | $0.99 | 3.5% | 7.3% |
| 2014 | $121M | +5.5% | $284M | $0.91 | 3.9% | 9.3% |
| 2013 | $114M | -22.8% | $301M | $0.82 | 3.8% | 10.1% |
| 2012 | $148M | +37.4% | $337M | $1.05 | 5.0% | 11.4% |
| 2011 | $108M | +38.9% | $311M | $0.71 | 3.8% | 11.1% |
| 2010 | $78M | +3.1% | $236M | $0.48 | 3.2% | 9.9% |
| 2009 | $75M | +235.5% | $236M | $0.61 | 3.4% | 10.5% |
| 2008 | $22M | -36.7% | $196M | $-0.04 | 1.0% | 9.1% |
| 2007 | $35M | -62.7% | $194M | $0.58 | 1.8% | 9.7% |
| 2006 | $95M | +439.8% | $258M | $1.18 | 5.1% | 13.9% |
| 2005 | -$28M | - | $119M | $-0.46 | -1.5% | 6.4% |
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SEM — Frequently Asked Questions
Quick answers to the most common questions about buying SEM stock.
What is SEM earnings per share (EPS)?
SEM trailing twelve-month (TTM) diluted EPS is $1.08, reflecting -28.9% year-over-year growth. The 5-year EPS CAGR is -9.4%. Complete EPS history from 2005 to 2025 is available in the table on this page.
What is Select Medical Holdings Corporation's net income?
Select Medical Holdings Corporation (SEM) trailing twelve-month net income is $134M as of 2025. Earnings declined -28.9% year-over-year. Select Medical Holdings Corporation has been profitable for 20 consecutive years.
Is SEM profitable?
Yes, SEM is profitable with a TTM net income of $134M and a net profit margin of +2.7%. Select Medical Holdings Corporation has generated profits for 20 consecutive years.
What is SEM's earnings growth rate?
SEM compound annual EPS growth rates (CAGR): 1-Year: -28.9%, 3-Year: -1.4%, 5-Year: -9.4%, 10-Year: +1.8%. These figures measure the annualised rate of diluted EPS growth over each period, based on data from 2005 to 2025.
What are SEM's profit margins?
Select Medical Holdings Corporation net profit margin is +2.7%, operating margin is +6.1%, and gross margin is +11.5%. Below-average margins reflect competitive or cost pressures. Return on Equity is +7.3%.
Is SEM growing earnings?
SEM earnings are declining — EPS fell -28.9% year-over-year. TTM net income dropped to $134M. This contrasts with the 5-year CAGR of -9.4%.
What was SEM's best earnings year?
Select Medical Holdings Corporation's highest annual net income on record is $402M, achieved in fiscal year 2021. Earnings history on this page spans 2005 to 2025 and includes all annual and quarterly figures.
What were SEM's earnings last quarter?
SEM's most recent reported quarter was Q1 2026. Net income was $44M with diluted EPS of $0.36. For a full breakdown of all quarters, see the quarterly earnings table on this page.