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OverviewPriceRevenueEarningsP/ERatiosDividendTargets

Select Medical Holdings Corporation (SEM) Quarterly Financial Ratios

Last 47 quarters of trend data · Healthcare · Medical - Care Facilities

← View 30-Year Annual Ratios

Valuation Multiples

Quarterly valuation ratios — annualised for comparability. YoY Δ shows same-quarter-prior-year change.

Select Medical Holdings Corporation's quarterly P/E stands at 14.0x, up 27.8% year-over-year — indicating the stock has re-rated higher or earnings have softened. EV/EBITDA has compressed 32.2% YoY to 6.0x, reflecting multiple compression or accelerating EBITDA.

MetricTTMQ3 '25Q2 '25Q1 '25Q4 '24Q3 '24Q2 '24Q1 '24Q4 '23Q3 '23Q2 '23Q1 '23Q4 '22
P/E Ratio →12.9113.9611.869.49—10.927.875.418.798.957.036.2111.14
—+27.8%+50.8%+75.3%—+21.9%+11.9%-12.9%-21.1%-6.7%-4.9%-28.8%+43.6%
P/S Ratio0.340.290.350.39—0.330.460.280.320.250.310.260.27
—-12.5%-23.4%+38.5%—+31.9%+45.3%+9.7%+19.7%+8.7%+25.4%-1.7%-18.3%
P/B Ratio0.910.790.941.031.221.021.351.211.001.081.371.171.22
—-22.6%-30.5%-14.7%+22.4%-6.0%-1.6%+2.8%-18.6%+1.9%+16.1%-0.8%-18.7%
P/FCF4.843.2410.26—9.824.492.63—3.306.353.00——
—-27.8%+290.6%—+197.8%-29.2%-12.4%——-8.6%-5.3%——
EV / EBITDA20.265.959.678.20—8.7814.157.0815.109.088.438.3412.15
—-32.2%-31.6%+15.8%—-3.3%+67.9%-15.0%+24.3%-18.6%-10.8%-20.5%-6.7%
EV / EBIT1805.917.4511.729.66—10.2921.568.6020.1013.0610.3911.2218.05
—-27.6%-45.6%+12.4%—-21.2%+107.6%-23.4%+11.3%-18.4%-18.8%-24.5%-2.0%

Profitability

Quarterly margins and returns. Watch for margin compression across consecutive quarters.

Select Medical Holdings Corporation's operating margin was 5.4% in Q3 2025, down 1.1 pp QoQ and down 2.7 pp YoY. This marks the 4th consecutive quarter of margin compression, signaling a persistent pressure on profitability that investors should monitor. The trailing four-quarter average of 50.8% exceeds the current quarter, suggesting the latest result may reflect seasonal weakness or a one-off headwind. Gross margin contracted 19.7% YoY, suggesting cost inflation or competitive pricing pressure.

Margins

MetricTTMQ3 '25Q2 '25Q1 '25Q4 '24Q3 '24Q2 '24Q1 '24Q4 '23Q3 '23Q2 '23Q1 '23Q4 '22
Gross Margin11.5%10.8%11.6%13.3%130.1%13.5%12.5%16.4%8.9%13.4%15.0%14.8%10.9%
—-19.7%-6.9%-18.9%+1359.8%+0.6%-16.8%+11.2%-18.4%+20.7%+22.3%+22.8%+8.3%
Operating Margin0.0%5.4%6.5%8.3%183.2%8.0%5.8%10.8%5.3%7.8%9.5%9.1%5.5%
—-33.2%+12.1%-23.2%+3361.1%+2.7%-39.4%+19.2%-3.6%+33.7%+24.6%+39.9%+10.5%
Net Margin2.7%2.1%3.0%4.2%13.1%3.2%6.1%5.4%3.8%2.9%4.7%4.3%1.7%
—-33.1%-50.0%-22.7%+244.7%+9.2%+29.5%+27.4%+118.4%+66.9%+34.1%+38.5%-45.6%

Return on Capital

MetricTTMQ3 '25Q2 '25Q1 '25Q4 '24Q3 '24Q2 '24Q1 '24Q4 '23Q3 '23Q2 '23Q1 '23Q4 '22
ROE7.3%1.4%2.0%2.8%-0.7%2.8%4.6%6.0%3.0%3.1%5.2%5.0%2.0%
—-47.9%-56.0%-53.1%-125.2%-11.7%-12.9%+20.1%+48.5%+56.0%+30.6%+40.6%-32.9%
ROA2.6%0.5%0.7%1.0%-0.2%0.7%1.0%1.2%0.6%0.6%1.0%0.9%0.4%
—-28.1%-28.1%-19.5%-139.2%+11.9%-3.0%+35.2%+66.5%+74.1%+38.8%+39.7%-44.7%
ROIC0.0%1.4%1.4%1.8%-3.0%1.6%0.8%2.3%0.8%1.5%1.8%1.7%1.0%
—-11.9%+62.4%-21.5%-485.9%+5.9%-54.6%+30.8%-24.6%+37.4%+26.4%+37.9%+4.1%

Leverage & Debt

Quarterly solvency trend — watch for debt spikes or covenant pressure.

Select Medical Holdings Corporation's Debt/EBITDA ratio is 9.6x, down from 23.7x last quarter — elevated, raising questions about debt serviceability.

MetricTTMQ3 '25Q2 '25Q1 '25Q4 '24Q3 '24Q2 '24Q1 '24Q4 '23Q3 '23Q2 '23Q1 '23Q4 '22
Debt / Equity0.510.511.441.361.351.992.883.072.873.243.293.563.71
—-74.2%-50.1%-55.6%-52.9%-38.7%-12.3%-13.9%-22.5%-11.9%-11.7%+1.0%+6.3%
Debt / EBITDA7.399.6123.7018.88—23.8939.1520.5945.2627.5424.1325.3937.07
—-59.8%-39.5%-8.3%—-13.3%+62.2%-18.9%+22.1%-21.7%-17.1%-20.8%+0.8%
Current Ratio1.041.091.151.161.041.131.091.221.011.091.101.111.10
—-3.7%+6.0%-4.9%+3.5%+3.0%-1.1%+9.8%-8.5%+7.6%+11.6%+5.3%+23.0%
Quick Ratio1.041.091.151.161.041.131.101.221.011.091.081.111.10
—-3.7%+4.3%-4.9%+3.5%+3.0%+1.8%+9.8%-8.5%+9.3%+10.2%+5.3%+23.0%
Interest Coverage—2.442.893.88—2.551.993.821.272.593.253.121.83
—————————————

Download Financial Ratios Data

Includes 30+ ratios · 47 years · Updated daily

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Frequently Asked Questions

What is Select Medical Holdings Corporation's quarterly P/E ratio trend?

Select Medical Holdings Corporation's current P/E is 12.9x. The average P/E over the last 3 quarters is 11.8x. Quarterly P/E ratios can vary due to seasonal revenue patterns and one-time charges.

How do Select Medical Holdings Corporation's margins change by quarter?

Select Medical Holdings Corporation's current operating margin is 0.0%. Margins have been compressing over recent quarters. Quarterly margins are particularly useful for identifying trend inflections that annual data smooths over.

Why look at SEM quarterly ratios instead of annual?

Quarterly financial ratios reveal short-term trend shifts — margin compression, debt spikes, or valuation re-ratings — that annual figures smooth over. They're essential for active investors tracking Select Medical Holdings Corporation's business trajectory between earnings reports.

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