Select Medical Holdings Corporation
Q2 2025 Earnings
Market Reaction
Did SEM Beat Earnings? Q2 2025 Results
Select Medical delivered a standout earnings beat in Q2 2025, with EPS from continuing operations of $0.32 clearing the $0.24 consensus estimate by 35.19%, even as revenue of $1.34 billion came in just shy of expectations by 0.66%. The top line still grew a healthy 4.5% year-over-year, powered in large part by a 17.2% surge in the rehabilitation hospital segment — which expanded to 36 facilities from 33 — while the critical illness recovery hospital segment weighed on results with a modest revenue decline and notable margin compression, squeezing Adjusted EBITDA margins from 11.9% to 9.4% in that unit. Income from continuing operations climbed 53.8% to $57.88 million, though the absence of Concentra earnings following its tax-free spinoff last November caused reported net income to fall nearly by half. Despite the mixed optics, management reaffirmed its full-year 2025 outlook, projecting revenue of $5.30 billion to $5.50 billion and fully diluted EPS of $1.09 to $1.19, signaling confidence that rehabilitation momentum can offset lingering pressures elsewhere in the portfolio.
- Rehabilitation hospital segment revenue grew 17.2% driven by expansion to 36 hospitals from 33, with admissions up 9.3% and patient days up 7.6%
- Outpatient rehabilitation visits grew 3.8% to 2,934,026
- Income from continuing operations surged 53.8% year-over-year due to lower interest expense and reduced income tax expense
- Critical illness recovery hospital occupancy rate improved to 69% from 67%
- Rehabilitation hospital revenue per patient day increased to $2,236 from $2,113
Forward Guidance & Outlook
Select Medical reaffirmed its full-year 2025 business outlook: revenue in the range of $5.3 billion to $5.5 billion, Adjusted EBITDA of $510.0 million to $530.0 million, and fully diluted earnings per share of $1.09 to $1.19. The outlook reconciliation shows expected income from continuing operations, net of tax, attributable to Select Medical in the range of $141 million to $154 million.
SEM YoY Financials
SEM Revenue by Segment
Figures from SEC filings and company reports. Not investment advice.