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Select Medical Holdings (SEM) Fair Value & Analysis

Healthcare · US · Market cap $2.0B · ISIN US81619Q1058

What is Select Medical Holdings really worth?

SM Select Medical Holdings logo Select Medical Holdings SEM · US
Price from Jun 30, 2026$16.51
Fair Value$20.06
Upside+21.5%
Quality54/100

A solid business, trading 18% below our fair value of $20.06.

As of Aug 13, 2026, the fair value of Select Medical Holdings is $20.06 per share against a price of $16.51, so the fair value sits 22% above the price. A model estimate blended from multiple valuation models, recalculated regularly.

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Strengths

Moderate debt · generates free cash flow

Risks

!Weak Growth (revenue 5y −0.3 %/yr)
!Thin margins · 2.4% net margin
!Mixed vs. peers (6/15)
!Narrow moat 39/100
!Weak on future: 25 out of 100

For context

·1.51% dividend yield
Evidence: High Range $13.62 – $27.69

Fair value as of: Aug 13, 2026

From 25 valuation models · updated 23 days ago

Share price +0.1% over the past month.

What runs behind every stock

69 individual criteria per stock, every one traceable See the method →

What matters now

  • Solid quality (54/100) at a price below fair value, the discount is the argument here, not the business quality.
  • A fairly wide model range ($13.62 to $27.69) leaves room in how you read the outcome.

Price vs Fair Value (5 years)

$21.28 $10.83 Fair Value $20.06 Mar 2021 Jun 2026

White line = price, green steps = our fair value per fiscal year, dashed = 300-day average. As of Aug 13, 2026.

How to read this chart

60‑month range $10.83 – $21.28 · fair‑value band $13.62 – $27.69 · the $16.51 price screens below the $20.06 fair value. Green steps = our fair value per fiscal year (point-in-time, no hindsight). Dashed = 300-day average. As of Aug 13, 2026.

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Analysis

Select Medical Holdings (SEM) currently trades at $16.51, while our model-based Fair Value estimate is $20.06, implying the stock looks roughly 17.7% undervalued today. The Quality Score stands at 54/100 (solid quality), in the Healthcare sector. Bull case: the Growth DCF group reads highest at a median of $25.24 per share, and 17 of the 25 models we run sit above the $16.51 price. Bear case: the Dividend Discount group reads lowest at $3.35, and 8 of the 25 models stay below the price. Evidence for this calculation is high.

Over the trailing twelve months, Select Medical Holdings generated revenue of $5.5B at a net margin of 2.4%. Revenue grew 5.0% year over year. It earns a return on equity of 9.8%. Net debt stands at $3.7B. Fundamentals as of Aug 13, 2026

Our scenario range runs from $13.62 (bear case) to $27.69 (bull case); at $16.51, the current price sits within that range. Bear and bull are the same models run on conservative and optimistic assumptions (margins, growth, valuation multiples), so a plausible valuation range, not a price target. The share trades about 2% below its 52-week high and 44% above its 52-week low, currently above its 200-day average. For context, the median of 10 Healthcare peers we cover trades at −7% fair-value upside, at 22%, SEM screens cheaper than that median.

Fair Value models

This estimate rests on fiscal year 2025 figures, and about 8 months have passed since. In that time the company retained roughly $0.5594 per share, which is 2.8 % of the fair value. The fair value deliberately does not add this in: the models value reported figures, not a projection.

Each model estimates fair value its own way; the Fair Value above is the evidence-weighted, family-balanced blend. Evidence (0–100) measures how completely this model’s inputs are available: well-fed models carry more weight in the blend. The spread across models is intentional, each one stresses a different value driver; dividend models, for instance, come out structurally low when payout is small. Every input is real reported data, nothing guessed.

Model Bear Bear = the cautious scenario: the same model computed with conservative anchors (lower growth, margins and valuation multiples). Together with Bull it frames a plausible valuation range, not a price target.BaseBull Bull = the optimistic scenario: the same model computed with favourable anchors (higher growth, margins and valuation multiples). Together with Bear it frames a plausible valuation range, not a price target. Evidence
Highest evidence
FCF DCF $17.56 $31.82 $51.71 78
Growth DCF $18.27 $31.23 $48.43 77
Residual Income $11.44 $12.31 $14.54 76
All 25 models by family
DCF Models
FCF DCF $17.56 $31.82 $51.71 78
Owner Earnings $6.52 $15.84 $28.85 72
5Y Revenue Exit $12.05 $24.88 $40.68 70
5Y EBITDA Exit $19.73 $38.74 $60.17 73
5Y P/E Exit $8.27 $18.05 $27.80 69
10Y Revenue Exit $13.18 $24.96 $39.65 65
10Y EBITDA Exit $18.58 $34.19 $53.72 67
10Y P/E Exit $11.54 $20.42 $30.34 63
Earnings-Based
Graham-Dodd $8.02 $20.67 $26.92 65
PEG = 1.0 $3.89 $5.56 $7.22 57
EPV $5.93 $9.13 $11.89 72
Dividend Discount
Gordon GGM $2.23 $4.22 $6.72 66
DDM Multi-Stage $2.23 $3.35 $4.52 66
Multiples
P/E Multiple $19.47 $25.95 $32.44 63
P/S Multiple $15.04 $20.06 $25.07 58
P/B Multiple $15.04 $20.06 $25.07 55
EV/EBIT $20.08 $31.55 $43.02 64
EV/EBITDA $25.89 $39.30 $52.71 66
EV/Revenue $10.22 $20.75 $31.28 51
Asset-Based
NCAV (Graham) $6.88 $9.22 $13.76 54
Growth DCF
Growth DCF $18.27 $31.23 $48.43 77
Rev-Margin DCF $12.05 $25.24 $39.78 70
Economic Profit
Residual Income $11.44 $12.31 $14.54 76
ROIC Compounder $5.93 $9.13 $11.89 71
Growth Earnings
Growth-Adj P/E $15.08 $21.55 $28.01 67

Widest divergence: Growth DCF ($25.24) versus Dividend Discount ($3.35). Highest evidence: FCF DCF (78).

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Key figures & financial health

P/E ratio 15.4
P/S ratio 0.41 P/E × margin
EPS (TTM) $1.07 price ÷ EPS = P/E 15.4
Dividend yield 1.5% payout 23.4%
Net margin 2.7% FY2025
Return on equity 9.8% TTM
More key figures
Profitability
Return on assets (EBIT) 6.5% avg 5y
Operating margin 6.9% TTM
Growth
Revenue (TTM) $5.5B TTM
Revenue growth (YoY) +5.0% 3y avg −4.9%
EPS growth (YoY) −19.4%
Balance sheet & cash flow
Free cash flow $383M FY2025
Net debt $3.7B FY2025 · ≈ 9.6 yrs of FCF

Figures from reported company fundamentals · as of Aug 13, 2026. TTM = trailing twelve months.

Quality Score breakdown

Overall quality 54/100

Of which business quality 52 · Market factors (momentum, volatility) 61

Profitability 36
Margins and returns on capital today
Quality Growth 43
Are margins and returns improving?
Cashflow 66
Earnings quality: real cash, not paper profit
Fin. Strength 26
Balance sheet, leverage, solvency risk
Investment 75
Disciplined investing over empire-building
Low Volatility 71
Calm price path (market factor)
Momentum 50
Price trend over the last 3–12 months (market factor)
52W Momentum 69
Distance to the 52-week high (market factor)
Net Issuance 88
Buybacks instead of dilution

Non-valuation factor families (profitability, growth, cashflow, financial strength, momentum …), each academically grounded. Valuation itself sits in the Fair Value and is deliberately excluded here to avoid double-counting.

All values are scores from 0 to 100 (100 = best against fixed, research-based bands), not percentages. The three market factors (momentum, 52-week proximity, low volatility) are displayed but carry zero weight in the headline number: market sentiment is not a business property.

About the company

Select Medical Holdings Corporation, through its subsidiaries, operates critical illness recovery hospitals, rehabilitation hospitals, and outpatient rehabilitation clinics in the United States.

Full company description

Select Medical Holdings Corporation, through its subsidiaries, operates critical illness recovery hospitals, rehabilitation hospitals, and outpatient rehabilitation clinics in the United States. The Critical Illness Recovery Hospital segment consists of hospitals that provide services for heart failure, infectious disease, respiratory failure and pulmonary disease, surgery requiring prolonged recovery, renal disease, neurological events, and trauma. The Rehabilitation Hospital segment offers therapy and rehabilitation treatments, including rehabilitative services for brain and spinal cord injuries, strokes, amputations, neurological disorders, orthopedic conditions, pediatric congenital or acquired disabilities, and cancer. The Outpatient Rehabilitation segment operates rehabilitation clinics that provide physical, occupational, and speech rehabilitation programs and services; and specialized programs, such as functional programs for work related injuries, hand therapy, pelvic health rehabilitation, post-concussion rehabilitation, pediatric and cancer rehabilitation, and athletic training services. Select Medical Holdings Corporation was founded in 1996 and is headquartered in Mechanicsburg, Pennsylvania.

Company description, as reported by the company or data provider.

Revenue & earnings trend

FY2021 – FY2025 · reported fiscal years

Select Medical Holdings reported revenue of $5.5B in FY2025 versus $6.2B in FY2021, a compound −3.2%/yr. Reported net income was $146M in FY2025, compounding −22.4%/yr from FY2021.

Growth Quality 40/100
Revenue growth is weak, negative or inconsistent.
Latest Revenue (FY 2025)
$5.5B
Latest YoY
+5.1%
Avg. revenue growth/yr (3Y) Measures the company's TOTAL revenue from reported annual statements: compound average growth per year (CAGR) from the fiscal year 3, 5 or N years back to the most recent comparable fiscal year. Not per share: buybacks do not change this number, and a merger can appear as a growth jump.
−4.9%
Avg. revenue growth/yr (5Y) Measures the company's TOTAL revenue from reported annual statements: compound average growth per year (CAGR) from the fiscal year 3, 5 or N years back to the most recent comparable fiscal year. Not per share: buybacks do not change this number, and a merger can appear as a growth jump.
−0.3%
Avg. revenue growth/yr (20Y) Measures the company's TOTAL revenue from reported annual statements: compound average growth per year (CAGR) from the fiscal year 3, 5 or N years back to the most recent comparable fiscal year. Not per share: buybacks do not change this number, and a merger can appear as a growth jump.
+5.5%
Value creation/yr (5Y) Earnings growth per share (CAGR 5 years) plus dividend yield: value created per share and year.
−8.4% · in USD
Earnings growth per share plus dividend yield: the value created per share and year.
Earnings growth per share−9.9%
Dividend yield1.5%
Trend Two data points, not a trend model: earnings growth per share over the last 5 fiscal years against the last 10. Labelled "steady" when both rates are within 3 percentage points of each other, otherwise picking up or flattening. Shown only when ten years of history exist.5Y −9.9% vs 10Y 2.4%, flattening
Operating margin (EBIT) Operating margin then vs now, from reported annual statements. A falling margin after a boom year is the classic peak-earnings signal: the growth rate then leans on an inflated base.10.3% (2020) → 6.1% (2025) · falling
Worst earnings drop76% (2008) · in USD
Revenue −3.2%/yr
FY21 $6.2B
FY22 $6.3B
FY23 $6.7B
FY24 $5.2B
FY25 $5.5B
Net income −22.4%/yr
FY21 $402M
FY22 $159M
FY23 $243M
FY24 $214M
FY25 $146M
Character of growth · EPS growth decomposed (2014-2025) +6.1 % p.a.
Revenue per share +5.5 %

of which total revenue +5.1 % · buybacks/dilution +0.4 %

EBIT margin −1.6 %
Tax rate +1.9 %
Residual (interest, one-offs) +0.3 %

Annual growth per factor. These are factors, not summands: multiplied they give the EPS growth rate, added they do not quite. Start and end points are 3-year averages (details on hover).

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Cite: Fair Value Calculator (2026). "Select Medical Holdings Fair Value". https://www.fairvalue-calculator.com/stock/SEM.US

Peer Group

Medical Care Facilities · 257 stocks

How this stock ranks against its industry: the green marker is this stock, the band is the typical 25–75% peer range, and the tick is the median.

Quality Score 54 · Below median
Fair Value upside +22% · Above median
Return on equity (TTM) 10% · Above median
Return on assets 3% · Below median
Net margin (TTM) 2% · Below median
Operating margin (TTM) 7% · Below median
Revenue growth 5% · Below median
Dividend yield (TTM) 1.5% · Below median
Debt / equity 1.06× · Higher than 75% of peers

Valuation Multiples vs Medical Care Facilities median · lower = cheaper

P/E (TTM) 15.4× · Cheaper than median
P/B 1.20× · Cheaper than median
P/S (TTM) 0.37× · Cheaper than 75% of peers
P/FCF 5.3× · Pricier than median
EV/EBITDA 8.2× · Cheaper than median
PEG 2.26× · Pricier than median

Strength profile in five axes (Snowflake)

Five quick dimensions, each 0 to 100: VALUE (fair-value potential), FUTURE (revenue growth), PAST (return on equity), HEALTH (low debt), DIVIDEND (yield). Green = this stock, grey = typical sector peer.

VALUEFUTUREPASTHEALTHDIVIDEND
This stock
VALUEFUTUREPASTHEALTHDIVIDEND
Sector peers
VALUE62 · sector 22
FUTURE25 · sector 26
PAST39 · sector 30
HEALTH47 · sector 90
DIVIDEND30 · sector 42

Insider activity: 45/100

Values & ESG

Does this company touch areas you may want to avoid? The classification is inferred from sector and industry.

None of the checked exposures detected

Similar stocks

10 more Medical Care Facilities stocks, each showing price versus our Fair Value estimate (as of Aug 13, 2026).

Stock Price Fair Value vs Fair Value
HCA Healthcare, Inc HCA $417.82 $547.67 +31%
Fresenius SE FRE €45.25 €32.15 −29%
Dr. Sulaiman Al Habib Medical Services Group 4013 241.00 SAR 112.37 SAR −53%
IHH Healthcare Berhad, an investment holding company, Q0F 2.67 SGD 1.44 SGD −46%
Tenet Healthcare Corporation THC $266.80 $330.25 +24%
DaVita Inc DVA $180.68 $186.49 +3%
Apollo Hospitals Enterprise Limited APOLLOHOSP ₹8,818 ₹2,955 −66%
Fresenius Medical Care AG FME €39.92 €71.28 +79%
Aier Eye Hospital Group 300015 ¥8.25 ¥7.67 −7%
Max Healthcare Institute Limited MAXHEALTH ₹1,005 ₹284.87 −72%

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Frequently asked questions

Is Select Medical Holdings (SEM) overvalued or undervalued?
As of Aug 13, 2026, our model estimates a fair value of $20.06 versus the last price from Jun 30, 2026 of $16.51, about +22% upside (undervalued).
What is the fair value of SEM?
Our model-based fair value for Select Medical Holdings is $20.06 (as of Aug 13, 2026), built from audited fundamentals. Last price (from Jun 30, 2026): $16.51.
What is the quality score of SEM?
Select Medical Holdings has a Quality Score of 54/100. It measures business quality (profitability, growth, cash flow, balance-sheet strength, investment discipline, share issuance). Market factors such as price momentum and volatility do not enter the number; they are shown separately in the detail view.
What is the price target for Select Medical Holdings (SEM)?
Our model-based price target is the fair value of $20.06 (as of Aug 13, 2026) from 25 valuation models. Cautious scenario $13.62, optimistic scenario $27.69. It is a calculation from audited fundamentals, not an analyst target.
What is the Select Medical Holdings stock forecast for 2026?
Our models put fair value at $20.06, about +22% upside versus the last price from Jun 30, 2026 of $16.51 (undervalued). Cautious scenario $13.62, optimistic scenario $27.69. The calculation is refreshed regularly with new filings.
What is the revenue of Select Medical Holdings (SEM)?
Select Medical Holdings reported trailing-twelve-month revenue of about $5.5B (latest available figure, as of Aug 13, 2026).
What is the net profit margin of SEM?
The net profit margin of Select Medical Holdings is about 2.4%, meaning it keeps roughly 2.4% of revenue as net income. Based on the latest reported figures.
Does Select Medical Holdings pay a dividend?
Select Medical Holdings currently shows a dividend yield of about 1.51% relative to its recent price (as of Aug 13, 2026).
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