Ranked by reported Q1 2026 13F market value
Share of total reported institutional value in SEM held by the largest 10 / 25 filers.
| # | Institution | Shares Held | Market Value | QoQ Change | Ownership % | % of Fund |
|---|---|---|---|---|---|---|
| 1 | BlackRock, Inc. | 17.3M | $281.2M | -7.7% | 13.920% | 0.00% |
| 2 | VANGUARD PORTFOLIO MANAGEMENT LLC | 6.7M | $109.5M | β | 5.421% | 0.01% |
| 3 | DIMENSIONAL FUND ADVISORS LP | 5.5M | $90.2M | +3.8% | 4.464% | 0.02% |
| 4 | FIL Ltd | 5.0M | $80.8M | β | 4.000% | 0.06% |
| 5 | VANGUARD CAPITAL MANAGEMENT LLC | 4.8M | $78.5M | β | 3.886% | 0.00% |
| 6 | STATE STREET CORP | 4.3M | $70.4M | -1.8% | 3.483% | 0.00% |
| 7 | GEODE CAPITAL MANAGEMENT, LLC | 2.7M | $43.4M | -14.6% | 2.146% | 0.00% |
| 8 | HSBC HOLDINGS PLC | 2.2M | $36.6M | β | 1.810% | 0.02% |
| 9 | GOLDMAN SACHS GROUP INC | 2.1M | $33.9M | +319.2% | 1.679% | 0.00% |
| 10 | SOROS FUND MANAGEMENT LLC | 1.8M | $29.9M | β | 1.478% | 0.35% |
| 11 | CNH PARTNERS LLC | 1.8M | $29.3M | β | 1.450% | 0.48% |
| 12 | CHARLES SCHWAB INVESTMENT MANAGEMENT INC | 1.7M | $27.8M | +1.1% | 1.375% | 0.00% |
| 13 | Qube Research & Technologies Ltd | 1.5M | $24.4M | +707.5% | 1.206% | 0.03% |
| 14 | HIGHLAND CAPITAL MANAGEMENT FUND ADVISORS, L.P. | 1.5M | $24.1M | β | 1.192% | 1.65% |
| 15 | Polar Asset Management Partners Inc. | 1.4M | $22.8M | β | 1.129% | 0.51% |
| 16 | NORTHERN TRUST CORP | 1.4M | $22.3M | +5.7% | 1.102% | 0.00% |
| 17 | D. E. Shaw & Co., Inc. | 1.4M | $22.2M | -38.5% | 1.097% | 0.02% |
| 18 | Woodline Partners LP | 1.2M | $20.0M | -8.5% | 0.989% | 0.08% |
| 19 | ALPINE ASSOCIATES MANAGEMENT INC. | 1.2M | $19.2M | β | 0.949% | 1.13% |
| 20 | TIG Advisors, LLC | 1.1M | $17.4M | +1318.7% | 0.864% | 0.90% |
| 21 | Bank of New York Mellon Corp | 1.1M | $17.4M | +0.5% | 0.861% | 0.00% |
| 22 | Grantham, Mayo, Van Otterloo & Co. LLC | 987K | $16.1M | β | 0.796% | 0.04% |
| 23 | Invesco Ltd. | 934K | $15.2M | -8.6% | 0.753% | 0.00% |
| 24 | BALYASNY ASSET MANAGEMENT LLC | 905K | $14.7M | +1501.6% | 0.730% | 0.05% |
| 25 | MILLENNIUM MANAGEMENT LLC | 853K | $13.9M | +55.7% | 0.688% | 0.01% |
denotes a marquee investor (Buffett, Burry, ARK, Tiger Global, Pershing Square, Baupost and other widely-followed managers). β% of Fundβ shows how much of that investorβs total 13F portfolio is invested in SEM β a direct measure of their conviction.
Filings activity in SEM during Q1 2026, grouped by how each filer changed its position.
Institutions that opened a new SEM position in Q1 2026
Institutions that fully closed their SEM position in Q1 2026
8 quarters of 13F filings Β· Ξ columns show change vs prior quarter
| Quarter | Inst. Holders | Ξ Holders | Ownership % | Ξ Ownership | Total 13F Value | Ξ Value |
|---|---|---|---|---|---|---|
| Q1 2026 | 269 | +0.7% | 70.85% | +14.22 pp | $1.46B | +25% |
| Q4 2025 | 267 | +2.3% | 56.63% | +6.53 pp | $1.17B | +13% |
| Q3 2025 | 261 | +0.8% | 50.10% | 8.06 pp | $1.04B | 14% |
| Q2 2025 | 259 | 3.0% | 58.16% | 7.50 pp | $1.20B | 11% |
| Q1 2025 | 267 | +0.4% | 65.66% | 8.51 pp | $1.36B | 11% |
| Q4 2024 | 266 | 5.3% | 74.17% | 43.59 pp | $1.53B | 37% |
| Q3 2024 | 281 | +11% | 117.76% | 2.87 pp | $2.43B | 2.4% |
| Q2 2024 | 254 | β | 120.63% | β | $2.49B | β |
Source: SEC 13F institutional filings. Ownership % requires market cap data and will show once linked. Ξ columns compare to the immediately prior filed quarter.
Quick answers to the most common questions about buying SEM stock.
Based on Q1 2026 13F filings, institutional ownership of Select Medical Holdings Corporation stands at 70.9%, held across 269 reporting institutions.
BlackRock, Inc. is the largest reported institutional holder of SEM, with approximately 17,263,327 shares worth $0.28B as of Q1 2026.
Yes β 2 widely-followed marquee investors appear among the top 25 institutional holders of SEM, including SOROS FUND MANAGEMENT LLC, MILLENNIUM MANAGEMENT LLC.
Our composite Smart Money Score for SEM is 65 out of 100 (Bullish). It combines net institutional buying activity, ownership shift, marquee investor presence, and holder-count growth.
55 institutions opened new positions in SEM during Q1 2026, while 53 fully exited. 157 added to existing positions and 54 trimmed.
SEM institutional ownership rose by 14.22 percentage points quarter-over-quarter, with a net change of +2 holders.
The top 10 institutions account for 58.4% of all reported 13F value in SEM, and the top 25 account for 79.3%.
All data is sourced from SEC Form 13F filings, which institutional investment managers with at least $100M in assets are required to file each quarter. We process every 13F filing from EDGAR and recompute the aggregates after each cycle. Insider transactions are sourced from Form 4 filings.