Loading institutional data...
Loading institutional data...
No institutional (13F) filings cover this company, so the Overview and 13F tabs are thin. Everything drawn from its SEC filings is here.
Loading snapshot...
Loading financials...
Loading valuation...
Loading analysis...
Loading dividends & returns...
Loading capital allocation...
Loading debt & leverage...
Loading performance...
Loading peer comparison...
Ranked against 47 sector peers with collected financials. Valuation from latest close × latest fiscal-year fundamentals; 13F conviction as of 2026-09-30.
Percentile is “goodness” within the peer set (100 = best). For valuation and leverage that means cheaper / less-levered ranks higher.
| Company | Mkt cap ▼ | P/E | EV/EBITDA | P/S | Rev gr | Gross | Net | ROE | ROIC | Net D/EBITDA | 13F |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LH | $29.3B | 34.5× | 16.6× | 2.1× | 7.2% | 28.8% | 6.3% | 10.2% | 6.2% | 2.5× | 310 |
| DGX | $27.8B | 28.8× | 15.5× | 2.5× | 11.8% | 33.2% | 9.0% | 13.8% | 7.7% | 2.5× | 328 |
| THC | $22.0B | 17.6× | 7.4× | 1.0× | 3.1% | — | 11.1% | 56.1% | 13.6% | 2.4× | 194 |
| EHC | $13.4B | 24.5× | — | 2.3× | 10.5% | — | 9.5% | 23.2% | 23.2% | — | 142 |
| BTSG | $13.2B | 76.9× | 42.6× | 1.0× | 28.2% | 11.8% | 1.5% | 10.2% | 4.4% | 6.6× | 91 |
| DVA | $12.0B | 19.1× | 7.8× | 0.9× | 6.5% | — | 5.5% | -115% | 7.8% | 3.5× | 149 |
| ENSG | $10.6B | 31.1× | 19.3× | 2.1× | 18.7% | 20.5% | 6.8% | 15.4% | 14.5% | -0.7× | 126 |
| UHS | $10.4B | 7.6× | 5.8× | 0.6× | 9.7% | — | 8.6% | 20.5% | 12.4% | 1.8× | 144 |
| CAI | $9.7B | — | 137.1× | 11.9× | 97.0% | — | -8.4% | -11.8% | -7.1% | -6.2× | 62 |
| PACS | $7.6B | 39.2× | — | 1.4× | 29.3% | — | 3.6% | 20.2% | 16.0% | — | 46 |
| CHE | $6.9B | 29.2× | 17.0× | 2.7× | 4.1% | 32.5% | 10.5% | 27.1% | 27.1% | -0.2× | 116 |
| HIMS | $6.5B | 54.3× | 38.9× | 2.8× | 59.0% | 73.8% | 5.5% | 23.7% | 23.7% | -1.4× | 101 |
| RDNT | $5.8B | — | 28.5× | 2.8× | 11.5% | — | -0.9% | -1.7% | -0.9% | 1.5× | 66 |
| BLLN | $5.3B | — | — | 17.5× | 100.0% | 68.3% | 2.4% | 1.6% | 1.4% | -19.1× | 21 |
| SHC | $5.2B | 67.2× | 17.9× | 4.5× | 5.7% | 55.5% | 6.7% | 12.9% | 2.8% | 4.6× | 58 |
| CON | $5.1B | 31.1× | 17.3× | 2.4× | 13.9% | — | 7.7% | 42.3% | 8.5% | 3.9× | 73 |
| LFST | $5.1B | — | 77.9× | 3.6× | 13.9% | — | 0.7% | 0.6% | 0.5% | 0.5× | 61 |
| OPCH | $4.8B | 25.1× | 14.1× | 0.8× | 13.0% | 19.3% | 3.7% | 15.7% | 8.3% | 2.3× | 72 |
| VCYT | $4.0B | 61.0× | 46.2× | 7.8× | 16.0% | 70.1% | 12.8% | 5.1% | 5.1% | -4.6× | 60 |
| NHC | $3.2B | 26.9× | 18.3× | 2.1× | 16.1% | — | 7.9% | 11.2% | 10.8% | -0.3× | 58 |
| SGRY | $3.0B | — | 11.7× | 0.9× | 6.2% | — | -2.4% | -4.5% | -1.4% | 6.4× | 26 |
| AVAH | $2.9B | 12.5× | 14.9× | 1.2× | 20.2% | 33.3% | 9.2% | 116% | 15.1% | 4.2× | 34 |
| PRVA | $2.7B | 119.3× | 51.3× | 1.3× | 22.3% | — | 1.1% | 3.1% | 3.1% | -10.9× | 58 |
| BKD | $2.5B | — | 16.9× | 0.8× | 2.2% | 26.2% | -8.2% | 587% | -6.2% | 10.5× | 32 |
| ADUS | $2.3B | 24.1× | 15.4× | 1.6× | 23.2% | 32.5% | 6.7% | 8.8% | 8.0% | 0.3× | 63 |
| SEM | — | — | — | — | 5.1% | — | 2.7% | 8.6% | 4.1% | 3.8× | — |
Peers = companies sharing SEM's sector (Services-Hospitals) with collected SEC financials. Multiples use the most recent end-of-day close and latest fiscal-year fundamentals (trailing, not forward). Missing cells mean the peer never reported that line item, has no collected price, or has a non-positive denominator. Not investment advice.
What the company returns to shareholders — and whether it's covered by cash.
The dividend is comfortably covered — only 27% of free cash flow, leaving room to grow it and fund buybacks. Last year: $31.4M dividends + $0 buybacks = $31.4M returned on $117.2M FCF.
Yields use the latest fiscal-year dividends/buybacks over current market cap. Dividends and buybacks from the SEC cash-flow statement; payout coverage vs net income and free cash flow. Educational — not a recommendation.
How management deployed cash over 10 years — and what it earned on reinvestment.
A reinvestment story — most cash went back into growth rather than to shareholders.
Modest payoff on reinvested capital. Current ROIC on all capital: 4%. Rough measure (includes maintenance capex).
Cash uses aggregated from the SEC cash-flow statement over 10 fiscal years. "Return on reinvestment" is a rough proxy — operating-income change ÷ cumulative CapEx + M&A — and includes maintenance capex. Educational — not a recommendation.
How much the company owes, how it's trended, and how comfortably it's serviced.
Cash of $335.9M covers the $25.2M due within a year 13.3× over. Scheduled principal only (excludes interest & revolver draws). As of 2019-12-31 (10-K).
Green ≤ 1.5× · amber ≤ 3× · red > 3× (leverage relative to cash earnings).
Coverage is adequate but not comfortable. Effective rate ~6.5% on $1.83B of debt.
Cash vs short-term debt unavailable.
Short-term / long-term split not separately reported.
Debt, cash, interest and equity from the SEC balance sheet & income statement. Effective rate = interest ÷ average debt. Maturity ladder from the SEC long-term-debt repayment schedule. Educational — not a recommendation.
How a revenue dollar becomes profit — FY2025
Dividends and buybacks are cash paid out, shown here against the same year's profit for scale — not funded from it.
Each value shows its share of revenue below it (common-size).
| Line Item | FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | FY2020 | FY2019 | FY2018 | FY2017 | FY2016 |
|---|---|---|---|---|---|---|---|---|---|---|
| Revenue | $5.45B 100.0% | $5.19B 100.0% | $4.83B 100.0% | $4.61B 100.0% | $6.20B 100.0% | $5.53B 100.0% | $5.45B 100.0% | $5.08B 100.0% | $4.37B 100.0% | $4.22B 100.0% |
| Cost of Services | — | — | — | — | — | — | — | $4.34B 85.4% | $3.73B 85.5% | $3.66B 86.9% |
| Selling, General & Admin | $154.4M 2.8% | $225.9M 4.4% | $170.2M 3.5% | $153.0M 3.3% | $147.0M 2.4% | $138.0M 2.5% | $128.5M 2.4% | $121.3M 2.4% | $114.0M 2.6% | $106.9M 2.5% |
| Total Operating Expenses | $5.12B 93.9% | $4.92B 94.9% | $4.56B 94.5% | $4.49B 97.5% | $5.63B 90.8% | $5.05B 91.4% | $4.98B 91.3% | $4.66B 91.8% | $4.01B 91.8% | $3.92B 92.9% |
| Operating Income | $336.2M 6.2% | $268.3M 5.2% | $267.2M 5.5% | $144.8M 3.1% | $713.8M 11.5% | $567.7M 10.3% | $471.9M 8.7% | $417.3M 8.2% | $355.9M 8.2% | $299.8M 7.1% |
| Interest Expense | $117.9M 2.2% | $128.6M 2.5% | $198.6M 4.1% | $169.1M 3.7% | $136.0M 2.2% | $153.0M 2.8% | $200.6M 3.7% | $198.5M 3.9% | $154.7M 3.5% | $170.1M 4.0% |
| Pretax Income | $272.7M 5.0% | $174.8M 3.4% | $139.7M 2.9% | $35.3M 0.8% | $629.7M 10.1% | $456.5M 8.3% | $264.7M 4.9% | $235.6M 4.6% | $202.5M 4.6% | $180.7M 4.3% |
| Income Tax Expense | $58.2M 1.1% | $44.8M 0.9% | $29.3M 0.6% | $16.7M 0.4% | $129.8M 2.1% | $111.9M 2.0% | $63.7M 1.2% | $58.6M 1.2% | -$18.2M -0.4% | $55.5M 1.3% |
| Net Income | $146.2M 2.7% | $214.0M 4.1% | $243.5M 5.0% | $159.0M 3.4% | $402.2M 6.5% | $259.0M 4.7% | $148.4M 2.7% | $137.8M 2.7% | $177.2M 4.1% | $115.4M 2.7% |
| Per Share | ||||||||||
| EPS (Basic) | $1.16 | $1.66 | $1.91 | $1.23 | $2.98 | $1.93 | $1.10 | $1.02 | $1.33 | $0.88 |
| EPS (Diluted) | $1.16 | $1.66 | $1.91 | $1.23 | $2.98 | $1.93 | $1.10 | $1.02 | $1.33 | $0.87 |
| Weighted Avg Shares (Basic) | 122.6M | 124.6M | 123.1M | 124.6M | 130.2M | 129.8M | 130.2M | 130.2M | 129.0M | 127.8M |
| Weighted Avg Shares (Diluted) | 122.6M | 124.6M | 123.1M | 124.6M | 130.2M | 129.8M | 130.3M | 130.3M | 129.1M | 128.0M |
Source: SEC EDGAR XBRL filings (annual, fiscal year). Quarterly flow items are derived from cumulative filings; balance-sheet figures are as-of each period end. Ratios and margins are computed, not reported.
Total return (dividends reinvested) vs the market, from quarter-end prices.
Above 0 = ahead of the S&P 500 since the window start; below 0 = behind. Rising means it's pulling ahead.
How far the stock fell below its prior peak. Deeper, longer drawdowns = a rougher ride to the same return.
Quarter-end, dividend-adjusted (total return). Beta & volatility from quarterly returns (annualized). Benchmark is the S&P 500 (SPY total return). Annual returns compound the quarters ending in each calendar year; the first and last years in a window may be partial. Past performance doesn't predict future results.
No current price collected.
Where each multiple sits in its own 14-yr range
Dot = today · shaded = middle 50% · line = median. Lower percentile = cheaper vs its own 14-yr history.
Is the profit real, and how strong is the balance sheet?
FY2025 · every deduction from revenue to net income
DuPont — the three levers
ROE 9% against ROIC 4% — 4% of the return on equity comes from leverage and buybacks rather than from the operating business.
What the company owes vs. what it holds
This shows debt/cash structure and net leverage. The year-by-year maturity schedule is on the Debt & Leverage tab.
Latest year: profit growth vs revenue growth
High operating leverage: profit moved 4.9× as fast as sales — great in an upturn, painful in a downturn.
Each line as % of revenue — the trend in color
| % of revenue | FY2018 | FY2019 | FY2020 | FY2021 | FY2022 | FY2023 | FY2024 | FY2025 |
|---|---|---|---|---|---|---|---|---|
| SG&A | 2.4 | 2.4 | 2.5 | 2.4 | 3.3 | 3.5 | 4.4 | 2.8 |
| Operating Income | 8.2 | 8.7 | 10.3 | 11.5 | 3.1 | 5.5 | 5.2 | 6.2 |
| Income Tax | 1.2 | 1.2 | 2.0 | 2.1 | 0.4 | 0.6 | 0.9 | 1.1 |
| Net Income | 2.7 | 2.7 | 4.7 | 6.5 | 3.4 | 5.0 | 4.1 | 2.7 |
Green = margin-favorable vs the row's own range · red = unfavorable.
The metrics that matter, over time
A 30-second read on SEM: price, valuation and headline fundamentals from SEC filings. The four questions at the top of the page are where the judgements live.
Cost of capital cannot be computed, so the spread is unknown.
| Fiscal year | Gross margin | Operating margin | Net margin |
|---|---|---|---|
| FY2016 | not reported | 7.1% | 2.7% |
| FY2017 | not reported | 8.2% | 4.1% |
| FY2018 | not reported | 8.2% | 2.7% |
| FY2019 | not reported | 8.7% | 2.7% |
| FY2020 | not reported | 10.3% | 4.7% |
| FY2021 | not reported | 11.5% | 6.5% |
| FY2022 | not reported | 3.1% | 3.4% |
| FY2023 | not reported | 5.5% | 5.0% |
| FY2024 | not reported | 5.2% | 4.1% |
| FY2025 | not reported | 6.2% | 2.7% |
Leverage and buybacks account for 4 points of the 9% return on equity in FY2025. The business earns 4% on the capital it employs; the rest is balance sheet.
ROE is on average equity; ROIC is NOPAT over average invested capital (debt plus equity less excess cash). The gap is not a single adjustment.
No material counter-signal in the checked set: ROIC vs WACC spread, 5-year spread history, gross margin trend, operating margin trend, net margin against 3 years ago, revenue growth, ROIC ex-goodwill gap.
Missing from our data, so excluded from this answer: beta, market_cap.
Converts 0.96x of reported profit into free cash flow over 5 years, with accruals negative.
Reported free cash flow is $117M; after share-based compensation it is $101M. The difference is a real cost that the cash flow statement adds back.
Stressed coverage of 2.0x sits between comfortable and thin.
| EBITDA decline | Interest coverage |
|---|---|
| 0% | 2.85x |
| 5% | 2.71x |
| 10% | 2.57x |
| 15% | 2.42x |
| 20% | 2.28x |
| 25% | 2.14x |
| 30% | 2.00x |
| 35% | 1.85x |
| 40% | 1.71x |
| 45% | 1.57x |
| 50% | 1.43x |
| 55% | 1.28x |
| 60% | 1.14x |
This schedule comes from a filing dated 2019-12-31, 2496 days old. Maturities are shown relative to that date, not to today.
Ladder as of 2019-12-31 (10-K); cash from the 2019-12-31 balance sheet; FCF from FY2019.
Balance sheet at 2019-12-31. Undrawn revolving credit is not shown: the tag is collected but not yet mapped through to the API.
Net debt is 6.0x EBITDA, so coverage today depends on earnings holding up rather than on the balance sheet.
No current price or share count, so the market's assumption cannot be solved for.
The percentile ranks the FISCAL-YEAR point, because the distribution behind each strip is built from fiscal-year closes — ranking a TTM figure inside it would compare two different bases. No TTM point: the four most recent quarters do not form a usable window.
No material counter-signal in the checked set: reverse-DCF implied growth, historical FCF CAGR, per-year FCF growth distribution, reporting-basis breaks, discount rate used, free-cash-flow basis (stock comp charged?).
Missing from our data, so excluded from this answer: market_cap.
| Step | Amount | Running total |
|---|---|---|
| Net income | $146M | $146M |
| Share-based comp | $17M | $163M |
| Other non-cash & working capital | $184M | $346M |
| Operating cash flow | $346M | $346M |
| Capex | −$229M | $117M |
| Free cash flow | $117M | $117M |
| FCF after SBC | $101M | $101M |
| Fiscal year | Revenue growth | Receivables growth | Gap |
|---|---|---|---|
| FY2020 | 1.4% | 17.6% | 16.1 points |
| FY2021 | 12.2% | -0.8% | -13.0 points |
| FY2022 | -25.7% | 5.8% | 31.6 points |
| FY2023 | 4.7% | -23.1% | -27.8 points |
| FY2024 | 7.5% | 13.4% | 5.9 points |
| FY2025 | 5.1% | 5.2% | 0.1 points |
| Fiscal year | DSO | DIO | DPO | Cash conversion cycle |
|---|---|---|---|---|
| FY2019 | 51 days | not reported | not reported | not reported |
| FY2020 | 59.2 days | not reported | not reported | not reported |
| FY2021 | 52.3 days | not reported | not reported | not reported |
| FY2022 | 74.5 days | not reported | not reported | not reported |
| FY2023 | 54.8 days | not reported | not reported | not reported |
| FY2024 | 57.8 days | not reported | not reported | not reported |
| FY2025 | 57.8 days | not reported | not reported | not reported |
| Fiscal year | Accruals / assets |
|---|---|
| FY2019 | -4.0 percent |
| FY2020 | -10.1 percent |
| FY2021 | 0.0 percent |
| FY2022 | -1.6 percent |
| FY2023 | -4.4 percent |
| FY2024 | -5.4 percent |
| FY2025 | -3.4 percent |
Below the line, the asset base is being consumed faster than it is replaced.
Depreciation here includes amortisation of acquired intangibles — goodwill written down over time, customer lists, acquired technology. Capex does not replace those and is not meant to, so an acquisitive or asset-light company sits below 1.0 permanently and correctly. The signal is cleanest for capital-intensive businesses, where the two measure the same physical base. For that reason this informs the earnings-quality verdict but never caps it.
SBC is added back inside operating cash flow, so reported free cash flow treats shares issued to employees as free. Percent of revenue says how expensive the payroll is; percent of operating cash flow says how much of the cash exists only because the charge was added back. The buyback offset is buybacks over SBC — below 1.0 the repurchase does not cover the shares issued.
Figures are the latest fiscal year (FY2025) from the company's own filings, not a trailing-twelve-month window — Q2 reads fiscal years throughout so the cash-conversion ratios and these share one basis. A blank is a line the filer did not report; it is never read as zero.