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4714 Gettysburg Road Mechanicsburg, PA 17055 NYSE Symbol: SEM Select Medical Holdings Corporation Announces Results For Its First Quarter Ended

Key Takeaway: Select Medical Holdings Corporation reported its first-quarter results for the period ending March 31, 2026. The company experienced a revenue increase of 5.0% year-over-year, totaling $1,421.5 million. However, both net income and income from operations saw declines compared to the prior year, along with a decrease in adjusted EBITDA. Additionally, the company declared a cash dividend of $0.0625 per share, and is in the process of completing a merger expected to conclude mid-2026.

Market Sentiment Analysis

POSITIVE FACTORS

  • Revenue increased 5.0% compared to the prior year.
  • Dividend declared at $0.0625 per share.
  • Rehabilitation hospital segment revenue up by 14.5%.

CONCERNS & RISKS

  • Net income decreased from $74.7 million to $63.8 million.
  • Income from operations fell from $112.7 million to $98.4 million.
  • Adjusted EBITDA decreased compared to the same quarter last year.

Full Press Release Details

Select Medical Holdings Corporation Announces
For Its First Quarter Ended March 31, 2026
MECHANICSBURG, PENNSYLVANIA
- April 30, 2026 - Select Medical Holdings Corporation ("Select Medical," "we," "us,"
or "our") (NYSE: SEM) today announced results for its first quarter ended March 31, 2026, and the declaration of a cash
For the first quarter ended
March 31, 2026, revenue increased 5.0% to $1,421.5 million, compared to $1,353.2 million for the same quarter, prior year. Income
from operations was $98.4 million for the first quarter ended March 31, 2026, compared to $112.7 million for the same quarter,
prior year. Net income was $63.8 million for the first quarter ended March 31, 2026, compared to $74.7 million for the same quarter,
prior year. Adjusted EBITDA was $141.6 million for the first quarter ended March 31, 2026, compared to $151.4 million for the same
quarter, prior year. Earnings per common share was $0.35 for the first quarter ended March 31, 2026, compared to $0.44 for the same
quarter, prior year. Adjusted earnings per common share was $0.36 for the first quarter ended March 31, 2026, compared to $0.44 for
the same quarter, prior year. The definition of Adjusted EBITDA and a reconciliation of net income to Adjusted EBITDA are presented in
table VI of this release. A reconciliation of earnings per common share to adjusted earnings per common share is presented in table VII
On March 2, 2026, the Company entered into an agreement and plan of merger with wholly owned subsidiaries of WCAS XIV, L.P., an investment
fund affiliated with Welsh, Carson, Anderson & Stowe and a member of a consortium led by Robert A. Ortenzio, our Executive Chairman,
Co-Founder and Director and Martin F. Jackson, our Senior Executive Vice President of Strategic Finance and Operations,
pursuant to which, subject to the terms and conditions of the merger agreement, a wholly-owned subsidiary of the buyer will merge with
and into the Company, with the Company surviving as a wholly-owned subsidiary of the buyer (the "Merger"). Upon completion
of the Merger, each issued and outstanding share of Company common stock (subject to certain exceptions) will be converted into the right
to receive $16.50 per share in cash, without interest. Immediately prior to the Merger, each share of common stock that is subject to
forfeiture conditions (other than any Rollover Shares as defined in the merger agreement) will vest in full and be treated the same as
all other shares of common stock.
The completion of the Merger
is subject to the receipt of required regulatory approvals, including certain healthcare regulatory approvals, the approval of the Company's
stockholders (including the approval of a majority of shares not held by the buyer group or their affiliates), and other customary closing
conditions. The applicable waiting period under the Hart-Scott-Rodino Antitrust Improvements Act of 1976, as amended, expired on April 27,
2026. The merger agreement does not contain any financing condition. The Company currently expects to complete the Merger in the middle
of 2026, although there can be no assurance that the Merger will occur in accordance with the expected plans or anticipated timeline,
or at all. If the Merger is consummated, the shares of common stock will be delisted from the New York Stock Exchange and deregistered
under the Exchange Act.
Select Medical is one of
the largest operators of critical illness recovery hospitals, rehabilitation hospitals, and outpatient rehabilitation clinics in the
United States based on number of facilities. Select Medical's reportable segments include the critical illness recovery hospital
segment, the rehabilitation hospital segment, and the outpatient rehabilitation segment. As of March 31, 2026, Select Medical operated
103 critical illness recovery hospitals in 28 states, 41 rehabilitation hospitals in 15 states, and 1,912 outpatient rehabilitation clinics
in 37 states and the District of Columbia. At March 31, 2026, Select Medical had operations in 38 states and the District of Columbia.
Information about Select Medical is available at www.selectmedical.com.
Critical Illness Recovery Hospital Segment
For the first quarter ended
March 31, 2026, revenue for the critical illness recovery hospital segment increased 0.3% to $638.8 million, compared to $637.0 million
for the same quarter, prior year. Adjusted EBITDA for the critical illness recovery hospital segment was $73.4 million for the first quarter
ended March 31, 2026, compared to $86.6 million for the same quarter, prior year. The Adjusted EBITDA margin for the critical illness
recovery hospital segment was 11.5% for the first quarter ended March 31, 2026, compared to 13.6% for the same quarter, prior year.
Certain critical illness recovery hospital key statistics are presented in table V of this release for the first quarters ended March 31,
Rehabilitation Hospital Segment
For the first quarter ended
March 31, 2026, revenue for the rehabilitation hospital segment increased 14.5% to $351.9 million, compared to $307.4 million for
the same quarter, prior year. Adjusted EBITDA for the rehabilitation hospital segment increased 15.1% to $81.1 million for the first quarter
ended March 31, 2026, compared to $70.4 million for the same quarter, prior year. The Adjusted EBITDA margin for the rehabilitation
hospital segment was 23.0% for the first quarter ended March 31, 2026, compared to 22.9% for the same quarter, prior year. Certain
rehabilitation hospital key statistics are presented in table V of this release for the first quarters ended March 31, 2026 and 2025.
Outpatient Rehabilitation Segment
For the first quarter ended
March 31, 2026, revenue for the outpatient rehabilitation segment increased 4.5% to $321.3 million, compared to $307.3 million for
the same quarter, prior year. Adjusted EBITDA for the outpatient rehabilitation segment was $22.0 million for the first quarter ended
March 31, 2026, compared to $24.3 million for the same quarter, prior year. The Adjusted EBITDA margin for the outpatient rehabilitation
segment was 6.8% for the first quarter ended March 31, 2026, compared to 7.9% for the same quarter, prior year. Certain outpatient
rehabilitation key statistics are presented in table V of this release for the first quarters ended March 31, 2026 and 2025.
On April 29, 2026, Select
Medical's Board of Directors declared a cash dividend of $0.0625 per share. The dividend will be payable on or about May 28,
2026, to stockholders of record as of the close of business on May 14, 2026.
There is no assurance that
future dividends will be declared. The declaration and payment of dividends in the future are at the discretion of Select Medical's
Board of Directors after taking into account various factors, including, but not limited to, Select Medical's financial condition,
operating results, available cash and current and anticipated cash needs, the terms of Select Medical's indebtedness, and other
factors Select Medical's Board of Directors may deem to be relevant.
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 range of $5.6 billion to $5.8 billion, Adjusted EBITDA to be in the range of $520.0 million to $540.0
million, and fully diluted earnings per share to be in the range of $1.22 to $1.32. Reconciliations of full year 2026 Adjusted EBITDA
expectations to net income, is presented in table VIII of this release.
Select Medical will host
a conference call regarding its first quarter results and its business outlook on Friday, May 1, 2026, at 9:00am ET. The conference
call will be a live webcast and can be accessed at Select Medical Holdings Corporation's website at www.selectmedicalholdings.com.
A replay of the webcast will be available shortly after the call through the same link.
For listeners wishing to
dial-in via telephone, or participate in the question and answer session, you may pre-register for the call at Select Medical Earnings
Call Registration to obtain your dial-in number and unique passcode.
Certain statements contained
herein that are not descriptions of historical facts are "forward-looking" statements (as such term is defined in the Private
Securities Litigation Reform Act of 1995), including statements related to Select Medical's 2026 business outlook. Because such
statements include risks and uncertainties, actual results may differ materially from those expressed or implied by such forward-looking
statements due to factors including the following:
Except as required by applicable
law, including the securities laws of the United States and the rules and regulations of the SEC, we are under no obligation to publicly
update or revise any forward-looking statements, whether as a result of any new information, future events, or otherwise. You should not
place undue reliance on our forward-looking statements. Although we believe that the expectations reflected in forward-looking statements
are reasonable, we cannot guarantee future results or performance.
Senior Vice President and Treasurer
SOURCE: Select Medical Holdings Corporation
I. Condensed Consolidated Statements of Operations
For the Three Months Ended March 31, 2025 and 2026
(In thousands, except per share amounts, unaudited)
2025 2026 % Change
Revenue $ 1,353,172 $ 1,421,476 5.0 %
Costs and expenses:
Cost of services, exclusive of depreciation and amortization 1,172,611 1,246,008 6.3
General and administrative 33,008 39,384 19.3
Depreciation and amortization 34,808 37,666 8.2
Total costs and expenses 1,240,427 1,323,058 6.7
Income from operations 112,745 98,418 (12.7 )
Other income and expense:
Equity in earnings of unconsolidated subsidiaries 12,512 12,011 (4.0 )
Interest expense (29,072 ) (28,336 ) (2.5 )
Income before income taxes 96,185 82,093 (14.7 )
Income tax expense 21,453 18,318 (14.6 )
Net income 74,732 63,775 (14.7 )
Less: Net income attributable to non-controlling interests 18,051 19,780 9.6
Net income attributable to Select Medical $ 56,681 $ 43,995 (22.4 )%
Basic and diluted earnings per common share: (1) $ 0.44 $ 0.35
to table II for calculation of earnings per common share.
II. Earnings per Share
For the Three Months Ended March 31,
(In thousands, except per share amounts, unaudited)

Frequently Asked Questions

What was Select Medical's revenue for Q1 2026?

Revenue for Q1 2026 increased by 5.0% to $1,421.5 million.

What was the net income for Select Medical in Q1 2026?

Net income for Q1 2026 was $63.8 million, down from $74.7 million.

When will the cash dividend be payable?

The cash dividend of $0.0625 is payable on or about May 28, 2026.

What is the expected revenue range for 2026?

Select Medical expects revenue for 2026 to be between $5.6 billion and $5.8 billion.

When will the conference call regarding Q1 results be held?

The conference call is scheduled for May 1, 2026, at 9:00am ET.

Last updated: Apr 30, 2026