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Select Medical HoldingsSEM 55 Debt-to-Equity is 1.70 as of Mar. 2026, which is 57% below its 10-year median of 3.95. GuruFocus rates SEM with a GF Score™ of 55/100 and a GF Value™ of $17.32 (Fairly Valued). The stock has 7 warning signs investors should review. Among 564 Healthcare Providers & Services companies, Select Medical Holdings ranks worse than 85.99% on this metric.
A high debt to equity ratio generally means that a company has been aggressive in financing its growth with debt. This can result in volatile earnings as a result of the additional interest expense.
The historical rank and industry rank for Select Medical Holdings's Debt-to-Equity or its related term are showing as below:
SEM'
s Debt-to-Equity Range Over the Past 10 Years
Min: 1.61 Med: 3.95 Max: 5.85
Current: 1.7
During the past 13 years, the highest Debt-to-Equity Ratio of Select Medical Holdings was 5.85. The lowest was 1.61. And the median was 3.95.
SEM's Debt-to-Equity is ranked worse than 85.99% of 564
companies
in the Healthcare Providers & Services industry
Industry Median: 0.42
vs SEM: 1.70
Because a company can increase its ROE % by having more financial leverage, it is important to watch the leverage ratio when investing in high ROE % companies.
Select Medical Holdings Debt-to-Equity Related Terms
Select Medical Holdings Debt-to-Equity Historical Data
* 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.
For the Medical Care Facilities subindustry, Select Medical Holdings's Debt-to-Equity, along with its competitors' market caps and Debt-to-Equity 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 Debt-to-Equity vs Healthcare Providers & Services Industry
For the Healthcare Providers & Services industry and Healthcare sector, Select Medical Holdings's Debt-to-Equity distribution charts can be found below:
* The bar in red indicates where Select Medical Holdings's Debt-to-Equity falls into.
* 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 (SEM) has a Debt-to-Equity of 1.70 as of Mar. 2026. Debt-to-Equity ratio represents the ratio of total debt to total company equity. View historical data on Select Medical Holdings and its competitors. This is 57% below median its historical median of 3.95. Over the past decade, Select Medical Holdings' Debt-to-Equity has ranged from 1.61 to 5.85. According to the industry distribution chart, Select Medical Holdings ranks #485 out of 564 companies in the Healthcare Providers & Services industry, placing it in the top 86%.
Is Select Medical Holdings' Debt-to-Equity too high?
Select Medical Holdings' current Debt-to-Equity of 1.70 is 57% below median its 10-year median of 3.95. Over the past 10 years, this metric has ranged from a low of 1.61 to a high of 5.85. The Healthcare Providers & Services industry median Debt-to-Equity is 0.42. Select Medical Holdings' value of 1.70 is 304.8% above this industry median. Based on the distribution chart, Select Medical Holdings ranks #485 out of 564 companies in the Healthcare Providers & Services industry, which is in the bottom quartile relative to peers. Overall, Select Medical Holdings has a GF Score™ of 55/100 and is considered Fairly Valued, reflecting its overall financial health beyond just this single metric.
How does Select Medical Holdings' Debt-to-Equity compare to SGRY and MD?
According to the Healthcare Providers & Services industry distribution chart, Select Medical Holdings ranks #485 out of 564 companies for Debt-to-Equity. This places Select Medical Holdings in the lower half of its industry. The industry median Debt-to-Equity is 0.42. Select Medical Holdings' value of 1.70 is 304.8% above this benchmark. Historically, Select Medical Holdings' own Debt-to-Equity has ranged from 1.61 to 5.85 over the past decade. While the company's 10-year median is 3.95 vs. the industry median of 0.42, Select Medical Holdings has consistently been above 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 Debt-to-Equity for a Healthcare Providers & Services company?
The median Debt-to-Equity among Healthcare Providers & Services companies is 0.42, based on 564 companies in the industry. Companies in the top quartile (top 25%) have a Debt-to-Equity significantly above this median, while those in the bottom quartile fall well below. However, Debt-to-Equity should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. Select Medical Holdings's current Debt-to-Equity of 1.70 is 304.8% above 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 Debt-to-Equity mean?
A high Debt-to-Equity can signal that a stock is expensive relative to its fundamentals. Debt-to-Equity ratio represents the ratio of total debt to total company equity. View historical data on Select Medical Holdings and its competitors. For the Healthcare Providers & Services industry, the median Debt-to-Equity is 0.42 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Select Medical Holdings's current Debt-to-Equity is 1.70, which is 57% below median its own 10-year median of 3.95. 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 Debt-to-Equity is 1.70, which is 57% below median its 10-year median of 3.95 and 304.8% above the Healthcare Providers & Services industry median of 0.42. 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 Debt-to-Equity calculated?
Debt-to-Equity is calculated from a company's financial statements. For Select Medical Holdings (SEM), the current Debt-to-Equity is 1.70 as of Mar. 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:
Debt-to-Equity: 1.70 (57% below median its 10-year median of 3.95)
GF Value™: $17.32 vs. price of $16.51 (4.7% below fair value)
Industry Position: 304.8% above the Healthcare Providers & Services median (#485 of 564)
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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