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Select Medical HoldingsSEM 55 Cyclically Adjusted PB Ratio is 1.63 as of Aug. 28, 2026, which is 7% below its 10-year median of 1.75. GuruFocus rates SEM with a GF Scoreâ„¢ of 55/100 and a GF Valueâ„¢ of $17.32 (Fairly Valued). The stock has 7 warning signs investors should review. Among 333 Healthcare Providers & Services companies, Select Medical Holdings ranks better than 54.95% on this metric.
The historical rank and industry rank for Select Medical Holdings's Cyclically Adjusted PB Ratio or its related term are showing as below:
SEM'
s Cyclically Adjusted PB Ratio Range Over the Past 10 Years
Min: 0.98 Med: 1.75 Max: 3.45
Current: 1.63
During the past years, Select Medical Holdings's highest Cyclically Adjusted PB Ratio was 3.45. The lowest was 0.98. And the median was 1.75.
SEM's Cyclically Adjusted PB Ratio is ranked better than 54.95% of 333
companies
in the Healthcare Providers & Services industry
Industry Median: 1.91
vs SEM: 1.63
The Shiller PE Ratio was first used by professor Robert Shiller. He uses E10 for his Shiller PE Ratio calculation. E10 is the average of the inflation adjusted earnings per share of a company over the past 10 years. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted PB Ratio. The Cyclically Adjusted Book per Share is the average of the inflation adjusted book value per share of a company over the past 10 years.
Select Medical Holdings's adjusted book value per share data for the three months ended in Mar. 2026 was $14.160. Add all the adjusted book value per share for the past 10 years together and divide the count will get our Cyclically Adjusted Book per Share, which is $10.12 for the trailing ten years ended in Mar. 2026.
Shiller PE for Stocks: The True Measure of Stock Valuation
Select Medical Holdings (NYSE:SEM) Cyclically Adjusted PB Ratio Explanation
Compared with the regular PB Ratio, which works poorly for cyclical businesses, the Cyclically Adjusted PB Ratio smoothed out the fluctuations of book value during business cycles. Therefore it is more accurate in reflecting the valuation of the company.
If a company has consistent business performance, the Cyclically Adjusted PB Ratio should give similar results to regular PB Ratio.
Select Medical Holdings Cyclically Adjusted PB Ratio Related Terms
Select Medical Holdings Cyclically Adjusted PB Ratio Historical Data
* Premium members only.
The historical data trend for Select Medical Holdings's Cyclically Adjusted PB Ratio can be seen below:
* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD. * For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.
Select Medical Holdings Cyclically Adjusted PB Ratio Chart
SEM vs SGRY, MD, AGL: Cyclically Adjusted PB Ratio Comparison
For the Medical Care Facilities subindustry, Select Medical Holdings's Cyclically Adjusted PB Ratio, along with its competitors' market caps and Cyclically Adjusted PB Ratio data, can be viewed below:
* Competitive companies are chosen from companies within the same industry, with headquarter located in same country, with closest market capitalization; x-axis shows the market cap, and y-axis shows the term value; the bigger the dot, the larger the market cap. Note that "N/A" values will not show up in the chart.
Select Medical Holdings Cyclically Adjusted PB Ratio vs Healthcare Providers & Services Industry
For the Healthcare Providers & Services industry and Healthcare sector, Select Medical Holdings's Cyclically Adjusted PB Ratio distribution charts can be found below:
* The bar in red indicates where Select Medical Holdings's Cyclically Adjusted PB Ratio falls into.
Select Medical Holdings Cyclically Adjusted PB Ratio Calculation
Like the Shiller PE Ratio, the Cyclically Adjusted PB Ratio takes the Book Value per Share from the past 10 years, adjusts it for inflation, and then calculates the average. This average is then used for the P/B calculation. Because it considers this 10-year average, it's often referred to as the CAPB Ratio.
The Shiller PE Ratio was first used by professor Robert Shiller to measure the valuation of the overall market. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted PB Ratio.
* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD. * For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.
Please note that we use the CPI data of the country/region where the company is headquartered. If the CPI data for that country/region is not available, then we will use the CPI data of the United States as default.
What does a Cyclically Adjusted PB Ratio of 1.63 mean?
Select Medical Holdings (SEM) has a Cyclically Adjusted PB Ratio of 1.63 as of Aug. 28, 2026. Cyclically Adjusted PB Ratio is the ratio of share price to a company's inflation-adjusted book value per share over a 10-year period. View historical data on Select Medical Holdings and its competitors. This is near median its historical median of 1.75. Over the past decade, Select Medical Holdings' Cyclically Adjusted PB Ratio has ranged from 0.98 to 3.45. According to the industry distribution chart, Select Medical Holdings ranks #150 out of 333 companies in the Healthcare Providers & Services industry, placing it in the top 45%.
Is Select Medical Holdings' Cyclically Adjusted PB Ratio too high?
Select Medical Holdings' current Cyclically Adjusted PB Ratio of 1.63 is near median its 10-year median of 1.75. Over the past 10 years, this metric has ranged from a low of 0.98 to a high of 3.45. The Healthcare Providers & Services industry median Cyclically Adjusted PB Ratio is 1.91. Select Medical Holdings' value of 1.63 is 14.7% below this industry median. Based on the distribution chart, Select Medical Holdings ranks #150 out of 333 companies in the Healthcare Providers & Services industry, which is above the industry midpoint. Overall, Select Medical Holdings has a GF Scoreâ„¢ of 55/100 and is considered Fairly Valued, reflecting its overall financial health beyond just this single metric.
How does Select Medical Holdings' Cyclically Adjusted PB Ratio compare to SGRY and MD?
According to the Healthcare Providers & Services industry distribution chart, Select Medical Holdings ranks #150 out of 333 companies for Cyclically Adjusted PB Ratio. This puts Select Medical Holdings in the upper half of its industry. The industry median Cyclically Adjusted PB Ratio is 1.91. Select Medical Holdings' value of 1.63 is 14.7% below this benchmark. Historically, Select Medical Holdings' own Cyclically Adjusted PB Ratio has ranged from 0.98 to 3.45 over the past decade. While the company's 10-year median is 1.75 vs. the industry median of 1.91, Select Medical Holdings has consistently been below the industry average. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good Cyclically Adjusted PB Ratio for a Healthcare Providers & Services company?
The median Cyclically Adjusted PB Ratio among Healthcare Providers & Services companies is 1.91, based on 333 companies in the industry. Companies in the top quartile (top 25%) have a Cyclically Adjusted PB Ratio significantly above this median, while those in the bottom quartile fall well below. However, Cyclically Adjusted PB Ratio should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. Select Medical Holdings's current Cyclically Adjusted PB Ratio of 1.63 is 14.7% below the industry median. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high Cyclically Adjusted PB Ratio mean?
A high Cyclically Adjusted PB Ratio can signal that a stock is expensive relative to its fundamentals. Cyclically Adjusted PB Ratio is the ratio of share price to a company's inflation-adjusted book value per share over a 10-year period. View historical data on Select Medical Holdings and its competitors. For the Healthcare Providers & Services industry, the median Cyclically Adjusted PB Ratio is 1.91 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Select Medical Holdings's current Cyclically Adjusted PB Ratio is 1.63, which is near median its own 10-year median of 1.75. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is Select Medical Holdings stock overvalued right now?
Based on GuruFocus' analysis, Select Medical Holdings (SEM) is currently considered Fairly Valued. The stock's GF Value™ is $17.32, compared to a current price of $16.51 — trading 4.7% below its estimated fair value. The current Cyclically Adjusted PB Ratio is 1.63, which is near median its 10-year median of 1.75 and 14.7% below the Healthcare Providers & Services industry median of 1.91. Select Medical Holdings' overall GF Score™ is 55/100 with 7 warning signs to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is Cyclically Adjusted PB Ratio calculated?
Cyclically Adjusted PB Ratio is calculated from a company's financial statements. For Select Medical Holdings (SEM), the current Cyclically Adjusted PB Ratio is 1.63 as of Aug. 28, 2026. GuruFocus calculates this using data sourced from SEC filings and annual reports. See the calculation section and 30-year financial data on this page for the full breakdown.
Is Select Medical Holdings (SEM) Overvalued in 2026?
Based on GuruFocus' analysis, Select Medical Holdings stock appears to be undervalued.
The current stock price of $16.51 is trading 4.7% below its estimated GF Value™ of $17.32.
GuruFocus considers Select Medical Holdings to be Fairly Valued.
Key valuation signals for SEM:
Cyclically Adjusted PB Ratio: 1.63 (near median its 10-year median of 1.75)
GF Value™: $17.32 vs. price of $16.51 (4.7% below fair value)
Industry Position: 14.7% below the Healthcare Providers & Services median (#150 of 333)
No single metric tells the full story. See the SEM stock analysis page for a complete view including 30-year financials, guru trades, and insider activity.
Select Medical Holdings Corp is a healthcare company that operates through three segments: critical illness recovery hospitals, rehabilitation hospitals, and outpatient rehabilitation clinics. Critical illness recovery hospitals which derives maximum revenue consists of hospitals designed to serve the needs of patients recovering from critical illnesses, often with complex medical needs. The rehabilitation hospital segment consists of hospitals designed to serve patients that require intensive physical rehabilitation care. Patients are typically admitted to critical illness recovery hospitals and rehabilitation hospitals from general acute care hospitals. The outpatient rehabilitation segment consists of clinics that provide physical, occupational, and speech rehabilitation services.
55GF Score
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