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Select Medical Holdings (SEM)



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Upturn Advisory Summary
10/10/2025: SEM (1-star) has a low Upturn Star Rating. Not recommended to BUY.
1 Year Target Price $18
1 Year Target Price $18
4 | Strong Buy |
1 | Buy |
1 | Hold |
0 | Sell |
0 | Strong Sell |
Analysis of Past Performance
Type Stock | Historic Profit -13.29% | Avg. Invested days 35 | Today’s Advisory Consider higher Upturn Star rating |
Upturn Star Rating ![]() ![]() | Upturn Advisory Performance ![]() | Stock Returns Performance ![]() |
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Key Highlights
Company Size Small-Cap Stock | Market Capitalization 1.65B USD | Price to earnings Ratio 17.3 | 1Y Target Price 18 |
Price to earnings Ratio 17.3 | 1Y Target Price 18 | ||
Volume (30-day avg) 6 | Beta 1.07 | 52 Weeks Range 11.59 - 21.73 | Updated Date 10/12/2025 |
52 Weeks Range 11.59 - 21.73 | Updated Date 10/12/2025 | ||
Dividends yield (FY) 2.29% | Basic EPS (TTM) 0.77 |
Analyzing Revenue: Products, Geography and Growth
Revenue by Products
Product revenue - Year on Year
Earnings Date
Report Date - | When - | Estimate - | Actual - |
Profitability
Profit Margin 2.59% | Operating Margin (TTM) 6.46% |
Management Effectiveness
Return on Assets (TTM) 2.53% | Return on Equity (TTM) 8.75% |
Valuation
Trailing PE 17.3 | Forward PE 11.21 | Enterprise Value 4430052929 | Price to Sales(TTM) 0.31 |
Enterprise Value 4430052929 | Price to Sales(TTM) 0.31 | ||
Enterprise Value to Revenue 0.84 | Enterprise Value to EBITDA 9.2 | Shares Outstanding 123989261 | Shares Floating 104441114 |
Shares Outstanding 123989261 | Shares Floating 104441114 | ||
Percent Insiders 15.07 | Percent Institutions 82.32 |
Upturn AI SWOT
Select Medical Holdings

Company Overview
History and Background
Select Medical Holdings Corporation was founded in 1996 by Robert A. Ortenzio and Rocco A. Ortenzio. It has grown through acquisitions and organic expansion to become a significant provider of specialized healthcare services.
Core Business Areas
- Specialty Hospitals: Provide long-term acute care (LTAC) and rehabilitation services for medically complex patients.
- Rehabilitation Hospitals: Offer comprehensive inpatient rehabilitation programs for patients recovering from serious illnesses and injuries.
- Outpatient Rehabilitation: Operates centers providing physical therapy, occupational therapy, and speech therapy services.
- Concentra: Occupational health services, including workplace injury care, physical exams, and other health screenings. Select Medical holds a majority ownership.
Leadership and Structure
Robert A. Ortenzio serves as Executive Chairman. The company has a traditional corporate structure with a Board of Directors and executive management team overseeing various operational divisions.
Top Products and Market Share
Key Offerings
- Long-Term Acute Care (LTAC) Hospitals: Provides care for patients with medically complex conditions requiring extended hospital stays. Market share data is difficult to pinpoint precisely, but Select Medical is a major player in the LTAC space. Competitors include Kindred Healthcare and LifePoint Health.
- Inpatient Rehabilitation Hospitals: Offers intensive rehabilitation programs for patients recovering from stroke, spinal cord injuries, and other disabling conditions. Again, specific market share is hard to quantify but Select is significant. Competitors include Encompass Health (EHC) and Kindred Rehabilitation Services.
- Outpatient Rehabilitation Centers: Delivers a variety of therapeutic interventions. Market share is fragmented, with many local and regional providers, as well as national chains. Competitors include ATI Physical Therapy and U.S. Physical Therapy.
- Concentra Occupational Health: Nationwide network of occupational health centers providing a full suite of services to employers. Competitors include Occuhealth, US Healthworks, and many smaller regional providers.
Market Dynamics
Industry Overview
The healthcare services industry is experiencing growth due to an aging population, increasing prevalence of chronic diseases, and technological advancements. Regulatory changes and reimbursement pressures are also significant factors.
Positioning
Select Medical is positioned as a leading provider of specialized healthcare services, focusing on post-acute care and occupational health. Its competitive advantages include its scale, geographic footprint, and established relationships with payers and referral sources.
Total Addressable Market (TAM)
The TAM for post-acute care and occupational health is substantial, estimated in the hundreds of billions of dollars. Select Medical captures a small but significant portion of this market, with room to grow through organic expansion and acquisitions.
Upturn SWOT Analysis
Strengths
- Diversified service offerings
- Established market presence
- Experienced management team
- Strong financial performance
Weaknesses
- Exposure to regulatory changes
- Reimbursement pressures
- Labor costs
- Potential for operational inefficiencies
Opportunities
- Aging population driving demand for post-acute care
- Expanding outpatient rehabilitation services
- Acquisitions of smaller competitors
- Technological advancements in healthcare delivery
Threats
- Increased competition
- Changes in reimbursement policies
- Economic downturn impacting patient volumes
- Rising healthcare costs
Competitors and Market Share
Key Competitors
- Encompass Health (EHC)
- U.S. Physical Therapy (USPH)
- Kindred Healthcare (private)
Competitive Landscape
Select Medical's advantages lie in its diversified services and established presence. Disadvantages could be smaller scale compared to Encompass Health in certain areas.
Major Acquisitions
US HealthWorks
- Year: 2018
- Acquisition Price (USD millions): 225
- Strategic Rationale: Expanded Select Medical's occupational health services through Concentra.
Growth Trajectory and Initiatives
Historical Growth: Select Medical has grown through acquisitions and organic expansion, focusing on its core business segments.
Future Projections: Future projection data would be here if provided.
Recent Initiatives: Recent initiatives include expanding its outpatient rehabilitation network and investing in technology to improve patient care.
Summary
Select Medical is a significant player in post-acute care and occupational health, benefiting from a diversified service portfolio and established market presence. Reimbursement pressures and regulatory changes are ongoing challenges. Growth opportunities exist through acquisitions, outpatient expansion, and leveraging technological advancements. The company needs to be mindful of increased competition and rising healthcare costs.
Peer Comparison
Sources and Disclaimers
Data Sources:
- Company filings
- Industry reports
- Analyst estimates
Disclaimers:
The data provided is for informational purposes only and should not be considered financial advice. Market share data is approximate and may vary based on the source.
AI Summarization is directionally correct and might not be accurate.
Summarized information shown could be a few years old and not current.
Fundamental Rating based on AI could be based on old data.
AI-generated summaries may have inaccuracies (hallucinations). Please verify the information before taking action.
About Select Medical Holdings
Exchange NYSE | Headquaters Mechanicsburg, PA, United States | ||
IPO Launch date 2009-09-25 | CEO - | ||
Sector Healthcare | Industry Medical Care Facilities | Full time employees 30000 | Website https://www.selectmedical.com |
Full time employees 30000 | Website https://www.selectmedical.com |
Select Medical Holdings Corporation, through its subsidiaries, operates critical illness recovery hospitals, rehabilitation hospitals, and outpatient rehabilitation clinics in the United States. It operates through three segments: Critical Illness Recovery Hospital, Rehabilitation Hospital, and Outpatient Rehabilitation. 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. Its 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.

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