8-K ·Filed Apr 30, 2026

SEM

SELECT MEDICAL HOLDINGS CORP
BEARISH
Impact 6/10
Horizonweeks Processed5mo ago SEC0001104659-26-053056
8-K Item 2.02: Earnings release
Actionable Insight ▼ Bearish

The stock trades near the $16.50 take-private price, limiting upside. The operational weakness in the core critical illness segment (15.3% EBITDA decline) is concerning but likely overshadowed by the pending merger. Monitor for stockholder vote and regulatory approvals — any delay or termination risk would expose downside to fair value in the $12-14 range based on deteriorating fundamentals.

DirectionBearish
Confidencehigh
Horizonweeks
Latest settled — T+20d ⚠ clustered
SEM ▲ +0.81% at T+20d
SHORT call ✗ call lost -0.81% · α vs SPY +4.45% · entry $16.38 → $16.51
Next anchor: T+60d due 2mo ago
Latest observation: T+41 +5.26% FF3 residual α
Entry anchored
Apr 30, 2026
via day open
T+1d
0.00%
call 0.00% · α -0.34%
$16.38
settled 5mo ago
T+5d
-0.18%
call +0.18% · α +2.53%
$16.35
settled 5mo ago
T+20d
+0.81%
call -0.81% · α +4.45%
$16.51
settled 4mo ago
T+60d
—
call — · α —
—
due 2mo ago

Price Chart

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Executive Summary

Select Medical reported Q1 2026 revenue of $1.42B (+5.0% YoY) but EPS of $0.35 declined 20.5% YoY, missing the $0.43 consensus. Operating income fell 12.7% and Adjusted EBITDA dropped 6.5% as the critical illness recovery hospital segment saw a 15.3% EBITDA decline. The company maintained its 2026 guidance and declared a $0.0625 dividend. Separately, the pending take-private merger at $16.50/share (no financing condition, HSR waiting period expired) continues to progress toward a mid-2026 close, which will likely cap the stock near the deal price.

Key Financial Metrics

EPS
$0.35
est $0.43 · -18.6%
Revenue
$1.4B
est $1.4B · +0.8% · +5.0% YoY
Rating
miss
Guidance
$5.6B-$5.8B
maintained

Key Facts

  • Q1 2026 revenue $1.421B (+5.0% YoY) vs $1.353B prior year
  • GAAP EPS $0.35 vs $0.44 YoY (-20.5%), missed consensus of $0.43
  • Operating income fell 12.7% to $98.4M from $112.7M
  • Adjusted EBITDA declined 6.5% to $141.6M from $151.4M
  • Critical illness recovery hospital EBITDA dropped 15.3% to $73.4M; margin compressed from 13.6% to 11.5%
  • Outpatient rehab EBITDA fell 9.4% to $22.0M; margin down from 7.9% to 6.8%
  • Rehab hospital segment was the bright spot: EBITDA +15.1% to $81.1M, margin 23.0%
  • 2026 guidance maintained: revenue $5.6B-$5.8B, Adj. EBITDA $520M-$540M, EPS $1.22-$1.32
  • Pending take-private merger at $16.50/share; HSR waiting period expired April 27, 2026; expected close mid-2026
  • Equity award vesting deferred for Chairman Ortenzio and EVP Jackson by one year
  • Quarterly dividend of $0.0625/share declared

Financial Impact

EPS miss of ~18.6% vs consensus ($0.35 actual vs $0.43 est); operating income decline of $14.3M YoY; Adj. EBITDA decline of $9.9M YoY

epsoperating incomeadjusted ebitdacritical illness recovery hospital margins

Risk Factors

  • Merger fails to close — stock would reprice to reflect declining earnings trajectory
  • Critical illness recovery hospital margins continue compressing (11.5% vs 13.6% last year)
  • Outpatient rehab segment margin erosion (6.8% vs 7.9%) may persist
  • Labor cost inflation pressuring cost of services (+6.3% vs revenue +5.0%)

Market Snapshot

Exchange
NYSE
Sector
Services-Hospitals
Analyst Consensus
44% bullish (9 analysts)

Investment Themes

Healthcare & Medical Devices

Documents Analyzed

This report is based on 6 SEC documents filed with EDGAR.

DocumentAccession Number
8-K Filing (Primary)0001104659-26-053056
Document: tm2613082d1_8k.htm0001104659-26-053056
Document: 0001104659-26-053056-index-headers.html0001104659-26-053056
Document: 0001104659-26-053056-index.html0001104659-26-053056
Document: 0001104659-26-053056.txt0001104659-26-053056
8-K Data (Synthetic)0001104659-26-053056
8 reports for SEM
Performance horizon
67% Hit rate 2 of 3 directional calls best @ T+60▲ +1.54%Mar 3, 2026
Filters
Rows
Reports for SEM — sortable, filterable
TypeNow
Jul 13, 2026
11w ago
15-12G
NEUTRAL ★ 4/10
—awaiting T+1——
Jul 1, 2026
13w ago
25-NSE
NEUTRAL ★ 9/10
$16.52 awaiting T+1awaiting T+1——
Jul 1, 2026
13w ago
8-K
BULLISH ★ 8/10
$16.52 awaiting T+1awaiting T+1——
Jun 26, 2026
13w ago
8-K
BULLISH ★ 7/10
$16.53 $16.51▼ −0.12%▼ −0.90%—
Apr 30, 2026
22w ago
8-K
BEARISH ★ 6/10
$16.38 $16.38· 0.00%▼ −0.34%—
Apr 15, 2026
24w ago
PREM14A
BULLISH ★ 8/10
$16.38 $16.39▲ +0.06%▼ −0.19%—
Mar 4, 2026
30w ago
DEFA14A
NEUTRAL ★ 3/10
$16.25 $16.25· 0.00%▲ +0.57%—
Mar 3, 2026
30w ago
DEFA14A
BULLISH ★ 9/10
$16.26 $16.25▼ −0.06%▼ −0.82%—
Showing 8 of 8

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