SEM (Select Medical Holdings) EV-to-FCF: 35.27 (As of Jul. 09, 2026) — 38% Above Median


SEM Select Medical Holdings Corp SEM
55 GF Score
Price $16.51
GF Value $17.20
Valuation Fairly Valued
! 7 Warning Signs
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What is Select Medical Holdings EV-to-FCF?

Select Medical Holdings SEM 55 EV-to-FCF is 35.27 as of Jul. 09, 2026, which is 38% above its 10-year median of 25.64. GuruFocus rates SEM with a GF Score™ of 55/100 and a GF Value™ of $17.20 (Fairly Valued). The stock has 7 warning signs investors should review. Among 406 Healthcare Providers & Services companies, Select Medical Holdings ranks worse than 77.09% on this metric.

EV-to-FCF is calculated as enterprise value divided by its free cash flow. As of today, Select Medical Holdings's Enterprise Value is $5,361 Mil. Select Medical Holdings's Free Cash Flow for the trailing twelve months (TTM) ended in Mar. 2026 was $152 Mil. Therefore, Select Medical Holdings's EV-to-FCF for today is 35.27.

The historical rank and industry rank for Select Medical Holdings's EV-to-FCF or its related term are showing as below:

SEM' s EV-to-FCF Range Over the Past 10 Years
Min: -345.37   Med: 25.64   Max: 810.99
Current: 35.27

During the past 13 years, the highest EV-to-FCF of Select Medical Holdings was 810.99. The lowest was -345.37. And the median was 25.64.

SEM's EV-to-FCF is ranked worse than
77.09% of 406 companies
in the Healthcare Providers & Services industry
Industry Median: 17.62 vs SEM: 35.27

EV-to-FCF 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.

As of today (2026-07-09), Select Medical Holdings's stock price is $16.51. Select Medical Holdings's Earnings per Share (Diluted) for the trailing twelve months (TTM) ended in Mar. 2026 was $1.060. Therefore, Select Medical Holdings's PE Ratio (TTM) for today is 15.58.


Select Medical Holdings  (NYSE:SEM) EV-to-FCF Explanation

EV-to-FCF 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:

PE Ratio (TTM)=Share Price (Today)/Earnings per Share (Diluted) (TTM)
=16.51/1.060
=15.58

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. Free Cash Flow is an important financial metric because it represents the actual amount of cash at a company's disposal. Companies with a low EV-to-FCF ratio, combined with a strong balance sheet are generally considered as undervalued.


Select Medical Holdings EV-to-FCF Related Terms


Select Medical Holdings EV-to-FCF Historical Data

* Premium members only.

The historical data trend for Select Medical Holdings's EV-to-FCF 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 EV-to-FCF Chart

Select Medical Holdings Annual Data
Trend Dec16 Dec17 Dec18 Dec19 Dec20 Dec21 Dec22 Dec23 Dec24 Dec25
EV-to-FCF
Get a 7-Day Free Trial Premium Member Only Premium Member Only 32.00 73.62 17.92 18.23 42.77

Select Medical Holdings Quarterly Data
Jun21 Sep21 Dec21 Mar22 Jun22 Sep22 Dec22 Mar23 Jun23 Sep23 Dec23 Mar24 Jun24 Sep24 Dec24 Mar25 Jun25 Sep25 Dec25 Mar26
EV-to-FCF Get a 7-Day Free Trial Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only 14.49 27.57 26.64 42.77 35.10

SEM vs SGRY, MD, AGL: EV-to-FCF Comparison

For the Medical Care Facilities subindustry, Select Medical Holdings's EV-to-FCF, along with its competitors' market caps and EV-to-FCF 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-FCF vs Healthcare Providers & Services Industry

For the Healthcare Providers & Services industry and Healthcare sector, Select Medical Holdings's EV-to-FCF distribution charts can be found below:

* The bar in red indicates where Select Medical Holdings's EV-to-FCF falls into.


SEM
55GF Score
Select Medical Holdings Corp SEM
EV-to-FCF is just one metric. See GF Score™, valuation, warning signs, and more.
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Select Medical Holdings EV-to-FCF Calculation

Select Medical Holdings's EV-to-FCF for today is calculated as:

EV-to-FCF=Enterprise Value (Today)/Free Cash Flow (TTM)
=5361.281/152
=35.27

Select Medical Holdings's current Enterprise Value is $5,361 Mil.
Select Medical Holdings's Free Cash Flow 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 $152 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.

Frequently Asked Questions Learn more about EV-to-FCF →
What does a EV-to-FCF of 35.27 mean?
Select Medical Holdings (SEM) has a EV-to-FCF of 35.27 as of Jul. 09, 2026. EV to FCF ratio is the company's enterprise value divided by free cash flow. View historical data on Select Medical Holdings and its competitors. This is 38% above median its historical median of 25.64. According to the industry distribution chart, Select Medical Holdings ranks #313 out of 406 companies in the Healthcare Providers & Services industry, placing it in the top 77.1%.
Is Select Medical Holdings' EV-to-FCF too high?
Select Medical Holdings' current EV-to-FCF of 35.27 is 38% above median its 10-year median of 25.64. The Healthcare Providers & Services industry median EV-to-FCF is 17.62. Select Medical Holdings' value of 35.27 is 100.2% above this industry median. Based on the distribution chart, Select Medical Holdings ranks #313 out of 406 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' EV-to-FCF compare to SGRY and MD?
According to the Healthcare Providers & Services industry distribution chart, Select Medical Holdings ranks #313 out of 406 companies for EV-to-FCF. This places Select Medical Holdings in the lower half of its industry. The industry median EV-to-FCF is 17.62. Select Medical Holdings' value of 35.27 is 100.2% above this benchmark. While the company's 10-year median is 25.64 vs. the industry median of 17.62, 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-FCF for a Healthcare Providers & Services company?
The median EV-to-FCF among Healthcare Providers & Services companies is 17.62, based on 406 companies in the industry. Companies in the top quartile (top 25%) have a EV-to-FCF significantly above this median, while those in the bottom quartile fall well below. However, EV-to-FCF should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. Select Medical Holdings's current EV-to-FCF of 35.27 is 100.2% 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-FCF mean?
A high EV-to-FCF can signal that a stock is expensive relative to its fundamentals. EV to FCF ratio is the company's enterprise value divided by free cash flow. View historical data on Select Medical Holdings and its competitors. For the Healthcare Providers & Services industry, the median EV-to-FCF is 17.62 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Select Medical Holdings's current EV-to-FCF is 35.27, which is 38% above median its own 10-year median of 25.64. 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 $17.20, compared to a current price of $16.51 — trading 4% below its estimated fair value. The current EV-to-FCF is 35.27, which is 38% above median its 10-year median of 25.64 and 100.2% above the Healthcare Providers & Services industry median of 17.62. 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-FCF calculated?
EV-to-FCF is calculated from a company's financial statements. For Select Medical Holdings (SEM), the current EV-to-FCF is 35.27 as of Jul. 09, 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% below its estimated GF Value™ of $17.20. GuruFocus considers Select Medical Holdings to be Fairly Valued.

Key valuation signals for SEM:

  • EV-to-FCF: 35.27 (38% above median its 10-year median of 25.64)
  • GF Value™: $17.20 vs. price of $16.51 (4% below fair value)
  • GF Score™: 55/100 with 7 warning signs
  • Industry Position: 100.2% above the Healthcare Providers & Services median (#313 of 406)

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 Business Description

Address 4714 Gettysburg Road, P.O. Box 2034, Mechanicsburg, PA, USA, 17055
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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EV-to-FCF is just one metric. See GF Value™, 30-year financials, guru trades, warning signs, and more.

$16.51
Price
$17.20
GF Value