Select Medical Holdings, Corp. (SEM)
NYSEHealth CareMedical - Care FacilitiesSnapshot 2026-09-04
NYSEHealth CareMedical - Care FacilitiesSnapshot 2026-09-04
Warn: Management is running behind on a stated commitment.
Select Medical is completing a $3.9 billion acquisition in mid-2026. Revenue is expected between $5.6B and $5.8B in 2026. Earnings per share should be $1.22 to $1.32 this year. The company pays a steady dividend of $0.0625 per share.
Revenue growth could slow below 5%. Earnings might miss the $1.22 low end. Legal or regulatory issues could arise after the merger.
The price is about 13% below our fair value near $19. Analysts expect about 5% revenue growth. Our view aligns with these expectations.
Breaks if: Acquisition not completed by mid-2026
Complete the merger transaction with the consortium led by Robert A. Ortenzio and WCAS by mid-2026.
This is not a price target or investment advice.
A long-form read on the 1–3 year hold thesis. It updates when the weekly evidence changes.
This investment represents a durable compounder with a medium confidence level. The current thesis state is intact, supported by strong recent financial performance, although management execution has shown volatility.
The market currently prices SEM as cheap compared to its peers, with a slight expectations gap indicating that some cautious sentiment is already reflected. There is low fragility in the stock, suggesting that it is not overly sensitive to negative news.
Management is focused on maintaining revenue, EPS, and Adjusted EBITDA guidance, which is crucial for the company's performance. However, there is a near-term risk of missing earnings expectations, as SEM has a history of recent misses.
The long-term thesis hinges on management's ability to maintain guidance and the performance of sector bellwethers. Additionally, broader economic indicators, such as job reports, will influence sentiment and performance in the healthcare sector.
The most important moves since the prior daily snapshot.
Mixed, the news cuts both ways. The company maintained its revenue guidance of $5.6B to $5.8B for 2026, which supports the outlook. However, there was a recent earnings miss, which raises concerns about performance.
as of 2026-09-04
Review the evidence to watch, what would become a concern, and what would make it less concerning.
Not investment advice. Scores describe historical and current data; they are not forecasts of future returns. Consult a licensed advisor before making investment decisions.
Stated as a priority in 3 disclosures including 2026-Q1 and 2026-07-01 filings. Management expected to complete the merger mid-2026, which was achieved with closing and delisting effective July 1, 2026. The trajectory matches management's stated timeline, delivering on this priority.
“The Company currently expects to complete the Merger in the middle of 2026.”
Breaks if: Adjusted EBITDA falls below $520 million in FY26
Continue to achieve Adjusted EBITDA in the range of $520 million to $540 million for fiscal year 2026.
Stated as a priority in 2 of last 2 quarters. Management maintains Adjusted EBITDA guidance of $520 million to $540 million for 2026. Adjusted EBITDA was $141.6 million in 2026-Q1, consistent with this annual target trajectory.
“Select Medical expects Adjusted EBITDA to be in the range of $520.0 million to $540.0 million for fiscal year 2026.”
“Adjusted EBITDA to be in the range of $520.0 million to $540.0 million for fiscal year 2026.”
Breaks if: Dividend falls below $0.0625 per share
Continue paying a quarterly cash dividend of $0.0625 per share to stockholders.
Stated as a priority in 3 quarters including 2026-Q1. Dividend per share has been consistently maintained at $0.0625 from 2025-Q2 through 2026-Q1. Management is delivering on this capital allocation priority.
“On April 29, 2026, Select Medical's Board declared a cash dividend of $0.0625 per share.”
“Dividend per share was $0.0625 for the quarter.”
“Dividend per share was $0.0625 for the quarter.”
Breaks if: EPS falls below $1.22 in FY26
Continue to achieve fully diluted earnings per share in the range of $1.22 to $1.32 for fiscal year 2026.
Stated as a priority in 2 of last 2 quarters. Management expects fully diluted EPS between $1.22 and $1.32 for 2026, maintaining prior guidance. Actual diluted EPS was $0.35 in 2026-Q1, consistent with this annual target trajectory.
“Select Medical expects fully diluted earnings per share to be in the range of $1.22 to $1.32 for fiscal year 2026.”
“Select Medical expects fully diluted earnings per share to be in the range of $1.22 to $1.32 for fiscal year 2026.”
Breaks if: Revenue falls below $5.6 billion in FY26
Continue to achieve annual revenue in the range of $5.6 billion to $5.8 billion as per 2026 business outlook.
Stated as a priority in 2 of last 2 quarters. Revenue grew from $5.4528 billion in 2025 to an expected range of $5.6 billion to $5.8 billion for 2026. Management is maintaining this revenue guidance, indicating delivery on this growth priority.
“Select Medical is maintaining its 2026 business outlook, which was provided most recently in its February 19, 2026 press release. For fiscal year 2026, Select Medical expects revenue to be in the ran…”
“Select Medical expects revenue to be in the range of $5.6 billion to $5.8 billion.”
Overall, SEM's outlook remains stable in the near term, but it faces challenges that could impact its trajectory. Not investment advice.