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Select Medical HoldingsSEM 55 EV-to-OCF is 13.83 as of Aug. 28, 2026, which is 3% above its 10-year median of 13.46. 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 685 Healthcare Providers & Services companies, Select Medical Holdings ranks worse than 66.42% on this metric.
The historical rank and industry rank for Select Medical Holdings's EV-to-OCF or its related term are showing as below:
SEM'
s EV-to-OCF Range Over the Past 10 Years
Min: 5.14 Med: 13.46 Max: 41.17
Current: 13.83
During the past 13 years, the highest EV-to-OCF of Select Medical Holdings was 41.17. The lowest was 5.14. And the median was 13.46.
SEM's EV-to-OCF is ranked worse than 66.42% of 685
companies
in the Healthcare Providers & Services industry
Industry Median: 8.93
vs SEM: 13.83
EV-to-OCF is a valuation multiple that allows analysts and investors to compare stocks, preferably in the same sector or industry. This important multiple is often used in conjunction with, or as an alternative to, the PE Ratio (TTM) to determine the fair market value of a company.
Select Medical Holdings (NYSE:SEM) EV-to-OCF Explanation
EV-to-OCF is a valuation multiple that allows analysts and investors to compare stocks, preferably in the same sector or industry. This important multiple is often used in conjunction with, or as an alternative to, the PE Ratio (TTM) to determine the fair market value of a company.
Select Medical Holdings's PE Ratio (TTM) for today is calculated as:
Select Medical Holdings's share price for today is $16.51.
Select Medical Holdings's Earnings per Share (Diluted) for the trailing twelve months (TTM) ended in Mar. 2026 adds up the quarterly data reported by the company within the most recent 12 months, which was $1.060.
* 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.
Enterprise Value is used because it is a more complete measure in reflecting how much an investor pays when buying a company. Cash Flow from Operations is an important financial metric because it represents the cash generated from operating activities at a company's disposal. Companies with a low EV-to-OCF ratio, combined with a strong balance sheet are generally considered as undervalued.
* 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 EV-to-OCF, along with its competitors' market caps and EV-to-OCF 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 EV-to-OCF vs Healthcare Providers & Services Industry
For the Healthcare Providers & Services industry and Healthcare sector, Select Medical Holdings's EV-to-OCF distribution charts can be found below:
* The bar in red indicates where Select Medical Holdings's EV-to-OCF falls into.
Select Medical Holdings's current Enterprise Value is $5,361 Mil.
Select Medical Holdings's Cash Flow from Operations for the trailing twelve months (TTM) ended in Mar. 2026 adds up the quarterly data reported by the company within the most recent 12 months, which was $388 Mil.
* 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 EV-to-OCF of 13.83 as of Aug. 28, 2026. This is near median its historical median of 13.46. Over the past decade, Select Medical Holdings' EV-to-OCF has ranged from 5.14 to 41.17. According to the industry distribution chart, Select Medical Holdings ranks #455 out of 685 companies in the Healthcare Providers & Services industry, placing it in the top 66.4%.
Is Select Medical Holdings' EV-to-OCF too high?
Select Medical Holdings' current EV-to-OCF of 13.83 is near median its 10-year median of 13.46. Over the past 10 years, this metric has ranged from a low of 5.14 to a high of 41.17. The Healthcare Providers & Services industry median EV-to-OCF is 8.93. Select Medical Holdings' value of 13.83 is 54.9% above this industry median. Based on the distribution chart, Select Medical Holdings ranks #455 out of 685 companies in the Healthcare Providers & Services industry, which is below the industry midpoint. 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' EV-to-OCF compare to SGRY and MD?
According to the Healthcare Providers & Services industry distribution chart, Select Medical Holdings ranks #455 out of 685 companies for EV-to-OCF. This places Select Medical Holdings in the lower half of its industry. The industry median EV-to-OCF is 8.93. Select Medical Holdings' value of 13.83 is 54.9% above this benchmark. Historically, Select Medical Holdings' own EV-to-OCF has ranged from 5.14 to 41.17 over the past decade. While the company's 10-year median is 13.46 vs. the industry median of 8.93, 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 EV-to-OCF for a Healthcare Providers & Services company?
The median EV-to-OCF among Healthcare Providers & Services companies is 8.93, based on 685 companies in the industry. Companies in the top quartile (top 25%) have a EV-to-OCF significantly above this median, while those in the bottom quartile fall well below. However, EV-to-OCF should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. Select Medical Holdings's current EV-to-OCF of 13.83 is 54.9% 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 EV-to-OCF mean?
A high EV-to-OCF can signal that a stock is expensive relative to its fundamentals. For the Healthcare Providers & Services industry, the median EV-to-OCF is 8.93 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Select Medical Holdings's current EV-to-OCF is 13.83, which is near median its own 10-year median of 13.46. 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 EV-to-OCF is 13.83, which is near median its 10-year median of 13.46 and 54.9% above the Healthcare Providers & Services industry median of 8.93. 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 EV-to-OCF calculated?
EV-to-OCF is calculated from a company's financial statements. For Select Medical Holdings (SEM), the current EV-to-OCF is 13.83 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:
EV-to-OCF: 13.83 (near median its 10-year median of 13.46)
GF Value™: $17.32 vs. price of $16.51 (4.7% below fair value)
Industry Position: 54.9% above the Healthcare Providers & Services median (#455 of 685)
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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