SELECT MEDICAL HOLDINGS CORP (SEM) FY2025 10-K Annual Report

Filed: Feb 19, 2026
Health Care
Services-HospitalsSEC EDGAR

SELECT MEDICAL HOLDINGS CORP (SEM) 10-K annual report for fiscal year 2025, filed with SEC EDGAR on Feb 19, 2026. This page provides AI-powered analysis including business overview, management discussion & analysis (MD&A), risk factors, and key financial data such as revenue, net income, gross margin, operating margin, and return on equity (ROE) extracted from XBRL.

SELECT MEDICAL HOLDINGS CORP FY2025 10-K Analysis

Business Overview

  • Core business model: Operates critical illness recovery hospitals, rehabilitation hospitals, and outpatient rehabilitation clinics across 39 states plus DC
  • Discontinued Concentra business via tax-free distribution in November 2024, reflected as discontinued operations for FY2025
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Management Discussion & Analysis

  • Revenue $5,452.8M for 2025, up 5.1% YoY from $5,187.1M in 2024 and $4,826.0M in 2023
  • Adjusted EBITDA $493.2M in 2025, down 3.4% YoY from $510.4M in 2024 and up 10.5% from $446.1M in 2023; margin 9.0% in 2025 vs 9.8% in 2024
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Risk Factors

  • Regulatory reimbursement risk from CMS Transmittal 12594 raising LTCH outlier reconciliation CCR threshold to 20%, effective Oct 1, 2025, increasing outlier payment recoupments
  • Macroeconomic impact of Medicare payment updates: FY2026 IRF standard payment factor $19,371, up 2.4% vs FY2025, with outlier threshold dropped to $10,141
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SELECT MEDICAL HOLDINGS CORP FY2025 Key Financial Metrics
XBRL

Revenue

$5.5B

+5.1% YoY

Net Income

$146M

-31.7% YoY

Operating Margin

6.2%

+99bp YoY

Net Margin

2.7%

-144bp YoY

ROE

8.6%

-416bp YoY

Total Assets

$5.9B

+4.3% YoY

EPS (Diluted)

$1.16

-30.1% YoY

Operating Cash Flow

$346M

-33.1% YoY

Source: XBRL data from SELECT MEDICAL HOLDINGS CORP FY2025 10-K filing on SEC EDGAR. All figures in USD.

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