Select Medical Holdings Corporation
Q3 2025 Earnings
Market Reaction
Did SEM Beat Earnings? Q3 2025 Results
Select Medical delivered a standout third quarter, with earnings per share of $0.23 beating the $0.1547 consensus estimate by 48.67% — a margin that signals genuine operational momentum rather than a one-time lift. Revenue came in at $1.36 billion, clearing estimates by 2.53%, though the top line reflects a 22.6% year-over-year decline as the company laps results that previously included Concentra, now spun off as a separate entity following a tax-free distribution in November 2024. The cleaner, more focused post-acute and rehabilitation business showed real underlying strength: rehabilitation hospitals were the standout, with revenue climbing 16.2% to $328.61 million on 11.2% higher admissions and an occupancy rate of 83%, while the critical illness recovery segment expanded margins to 9.2% from 8.7% despite modest volume softness. Outpatient rehabilitation did face cost pressure, with Adjusted EBITDA margins narrowing to 7.4% from 9.1%. Looking ahead, management raised its full-year EPS guidance to $1.14–$1.24 while reaffirming revenue of $5.30 billion–$5.50 billion, underscoring confidence in the company's post-separation trajectory.
- Rehabilitation hospital segment revenue grew 16.2% driven by 2 additional hospitals, 11.1% more patient days, and 11.2% higher admissions
- Critical illness recovery hospital revenue per patient day increased 6.6% to $2,287
- Outpatient rehabilitation visits increased 5.5% year-over-year
- Rehabilitation hospital occupancy improved to 83% from 82%
- Critical illness recovery hospital Adjusted EBITDA margin expanded to 9.2% from 8.7%
Forward Guidance & Outlook
Select Medical is increasing its 2025 business outlook for fully diluted earnings per share to a range of $1.14 to $1.24, up from prior guidance. The company reaffirmed its 2025 revenue outlook of $5.3 billion to $5.5 billion and Adjusted EBITDA outlook of $510.0 million to $530.0 million. The full-year outlook includes expected income from continuing operations, net of tax, attributable to Select Medical of $143 million to $156 million.
SEM YoY Financials
SEM Revenue by Segment
Figures from SEC filings and company reports. Not investment advice.