Select Medical Holdings Corporation (SEM) Stock Falls on Q4 2025 Earnings

Select Medical Holdings Corporation (SEM) reported fourth-quarter 2025 results. Key highlights:

Total revenue: $1.4 billion (+6.4% year-over-year), beating the consensus revenue estimate of $1.38 billion.

Gross profit: $145.8 million (+6.1% YoY) while cost of sales totaled $1.25 billion (+6.4% YoY).

Operating profit improved to $63.9 million (+203.1% YoY), driven by margin gains.

Net income attributable to common shareholders was $20.2 million (down 225.7% YoY) and diluted earnings per share were $0.16 (down 184.2% YoY), missing the EPS estimate of $0.23.

Balance sheet and cash-flow snapshot:

Cash from operating activities: $64.3 million (down 48.7% YoY).

Capital spending (purchases of property, plant and equipment): $59.1 million (down 6.8% YoY).

Cash and cash equivalents stood at $26.5 million (down 55.6% YoY); total liabilities were $3.8 billion (up 5.2% YoY).

Market reaction and takeaway:

Shares moved about -2.1% since market close following the release.

The quarter showed revenue growth and a strong rebound in operating profit, but sharply lower net income, diluted EPS short of expectations, and weaker cash flow create a mixed picture for investors.

Note: This financials data is sourced from a third-party provider and has not been independently verified by Quiver.

Select Medical Holdings Corporation Hedge Fund Activity

We have seen 132 institutional investors add shares of Select Medical Holdings Corporation stock to their portfolio, and 171 decrease their positions in their most recent quarter.

Here are some of the largest recent moves:

PRINCIPAL FINANCIAL GROUP INC removed 1,907,815 shares (-78.4%) from their portfolio in Q4 2025, for an estimated $28,331,052
T. ROWE PRICE INVESTMENT MANAGEMENT, INC. removed 1,783,236 shares (-62.4%) from their portfolio in Q4 2025, for an estimated $26,481,054
8 KNOTS MANAGEMENT, LLC removed 1,750,188 shares (-100.0%) from their portfolio in Q3 2025, for an estimated $22,472,413
MILLENNIUM MANAGEMENT LLC removed 1,042,186 shares (-65.5%) from their portfolio in Q4 2025, for an estimated $15,476,462
WESTERN STANDARD LLC added 1,008,664 shares (+95.6%) to their portfolio in Q4 2025, for an estimated $14,978,660
EVERSEPT PARTNERS, LP added 906,100 shares (+inf%) to their portfolio in Q4 2025, for an estimated $13,455,585
ALGERT GLOBAL LLC added 842,847 shares (+996.9%) to their portfolio in Q4 2025, for an estimated $12,516,277

To track hedge funds' stock portfolios, check out Quiver Quantitative's institutional holdings dashboard.

Select Medical Holdings Corporation Government Contracts

We have seen $149,129 of award payments to $SEM over the last year.

Here are some of the awards which we have have seen pay out the most over the last year:

PROSTHETIC LIMB: $53,422
AVIATION SECURITY OFFICERS (ASOS) FIT-FOR-DUTY MEDICAL EXAMS, DRUG SCREENING AND TB SKIN TESTING FOR OKLAHO...: $20,500
PROSTHETIC LIMB: $19,427
EXPRESS REPORT: LEFT AK SOCKET REPLACEMENT: $12,697
EXPRESS REPORT: FIRST LEG RIGHT BK: $12,493

To track government contracts to publicy traded companies, check out Quiver Quantitative's government contracts dashboard.

Select Medical Holdings Corporation Analyst Ratings

Wall Street analysts have issued reports on $SEM in the last several months. We have seen 2 firms issue buy ratings on the stock, and 0 firms issue sell ratings.

Here are some recent analyst ratings:

RBC Capital issued a "Outperform" rating on 10/08/2025
B of A Securities issued a "Buy" rating on 09/10/2025

To track analyst ratings and price targets for Select Medical Holdings Corporation, check out Quiver Quantitative's $SEM forecast page.

Select Medical Holdings Corporation Price Targets

Multiple analysts have issued price targets for $SEM recently. We have seen 2 analysts offer price targets for $SEM in the last 6 months, with a median target of $17.5.

Here are some recent targets:

Ben Hendrix from RBC Capital set a target price of $20.0 on 10/08/2025
Joanna Gajuk from B of A Securities set a target price of $15.0 on 09/10/2025