How much cash does Select Medical Holdings generate?

Select Medical Holdings (SEM) generated $387.8M in operating cash flow over the trailing twelve months.

What is Select Medical Holdings's free cash flow?

After $235.8M of capital expenditures, Select Medical Holdings's free cash flow was $152.0M over the trailing twelve months, down 57.7% year over year.

Where does Select Medical Holdings's cash flow data come from?

Every line is extracted from Select Medical Holdings's SEC filings (10-K and 10-Q) and tagged in XBRL. Switch between quarterly, annual, and trailing-twelve-month views, or open any line for its full history and peer comparisons.

Select Medical Holdings SEM Cash Flow Statement

Income Statement Balance Sheet Cash Flow Ratios Segments

Quarterly Annual TTM

YoY QoQ

Simplified Detailed

	TTM Q1 '26	TTM Q4 '25	TTM Q3 '25	TTM Q2 '25	TTM Q1 '25
Net income	$203.58M-19.9%	$214.53M-27.7%	$180.55M-49.1%	$217.38M-35.0%	$254.27M-23.3%
Depreciation and amortization	$143.16M-22.5%	$140.3M-31.2%	$149.84M-29.4%	$165.54M-22.8%	$184.63M-12.2%
Stock-based compensation	$17.45M-81.2%	$16.7M-83.4%	$73.45M+43.4%	$82.57M+67.4%	$92.95M+105%
Net cash from operating activities	$387.78M-33.3%	$346.47M-33.1%	$407.57M-28.7%	$413.24M-18.5%	$581.1M+25.3%
Capital expenditures	$235.78M+6.2%	$229.23M+3.2%	$233.55M+6.5%	$231.14M+5.6%	$222M-0.4%
Acquisitions, net of cash acquired	$9.17M—	$9.2M—	$12.39M—	——	——
Net cash from investing activities	-$220.83M+2.1%	-$216.49M+6.3%	-$223.79M+1.2%	-$236.27M+3.3%	-$225.67M+12.2%
Dividends paid	$31.13M-45.0%	$31.44M-51.4%	$39.81M-38.3%	$48.26M-25.0%	$56.63M-11.6%
Repurchases of common stock	$88.69M+79.9%	$100.08M+164%	$119.52M+509%	$134.07M+960%	$49.29M+286%
Proceeds from issuance of debt	$1.14B-1.3%	$1.29B+4.0%	$1.26B+3.3%	$1.3B+9.3%	$1.15B-2.1%
Repayments of debt	-$105M-108%	$0-100%	$942.76M+96.4%	$1.21B+955%	$1.3B+2,269%
Net cash from financing activities	-$194.49M+50.7%	-$163.15M+47.6%	-$315.2M-36.2%	-$235.78M+6.8%	-$394.83M-99.5%
Net increase (decrease) in cash	-$27.53M+30.1%	-$33.17M-36.4%	-$131.41M—	-$58.81M—	-$39.41M—
Free cash flow	$152M-57.7%	$117.24M-60.3%	$174.02M-50.6%	$182.1M-36.9%	$359.1M+48.9%

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Questions, answered.

How much cash does Select Medical Holdings generate?: Select Medical Holdings (SEM) generated $387.8M in operating cash flow over the trailing twelve months.
What is Select Medical Holdings's free cash flow?: After $235.8M of capital expenditures, Select Medical Holdings's free cash flow was $152.0M over the trailing twelve months, down 57.7% year over year.
Where does Select Medical Holdings's cash flow data come from?: Every line is extracted from Select Medical Holdings's SEC filings (10-K and 10-Q) and tagged in XBRL. Switch between quarterly, annual, and trailing-twelve-month views, or open any line for its full history and peer comparisons.