Select Medical Holdings Cash Flow
Concept
Operating Cash Flow
Net Income
Depreciation & Amortization
Stock based compensation
Other non cash items
Change in working capital
Investing Cash Flow
Capital Expenditures
Financing Cash Flow
Dividends Paid
Payout Ratio
Share Issuance / Repurchase
Debt Issued / Paid
Other Investing Activities
End Cash Position
Changes in Cash
Beginning Cash Position
Free Cash Flow
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
582M
300M
209M
44M
-14M
59M
-256M
229M
-327M
64M
21.4 %
-13M
0M
-47M
84M
-14M
98M
353M
285M
198M
206M
38M
-5M
-160M
-226M
190M
-35M
65M
32.72 %
-196M
265M
1,096M
98M
24M
74M
94M
401M
500M
203M
31M
-7M
-330M
-21M
181M
-647M
51M
10.16 %
-79M
196M
-713M
74M
-503M
577M
221M
1,028M
345M
206M
27M
-14M
479M
-31M
146M
-672M
39M
11.28 %
-16M
-48M
-97M
577M
241M
336M
882M
445M
201M
213M
26M
26M
-13M
-66M
157M
32M
1M
0.65 %
-39M
73M
3,175M
336M
161M
175M
288M
494M
177M
202M
23M
1M
84M
13M
167M
256M
7M
3.68 %
-7M
595M
1,109M
175M
53M
123M
327M
238M
221M
160M
19M
86M
-175M
13M
233M
-22M
5M
2.34 %
-5M
970M
2,153M
123M
24M
99M
5M
347M
125M
145M
17M
53M
18M
5M
162M
292M
11M
8.16 %
-3M
732M
1,410M
99M
85M
14M
185M
208M
136M
105M
15M
35M
-81M
2M
183M
1,014M
13M
9.43 %
-16M
855M
1,984M
14M
11M
3M
26M
171M
128M
68M
11M
58M
-110M
-5M
95M
-71M
53M
41.41 %
-131M
117M
1,025M
3M
-1M
4M
75M
193M
123M
64M
7M
62M
-70M
-35M
74M
-121M
42M
34.44 %
-12M
-428M
1,581M
4M
-36M
40M
119M
299M
154M
63M
6M
39M
29M
-15M
68M
-198M
211M
136.94 %
-47M
340M
761M
40M
28M
12M
230M
217M
113M
72M
4M
44M
-50M
-16M
46M
-155M
1,584M
1401.33 %
-73M
346M
3,144M
12M
8M
4M
171M
145M
82M
69M
2M
33M
-52M
0M
52M
-7M
252M
303.85 %
-44M
0M
500M
4M
-79M
84M
93M
166M
79M
73M
5M
1M
-19M
0M
58M
-68M
200M
253.26 %
0M
0M
709M
84M
19M
64M
108M
107M
26M
72M
2M
49M
-63M
0M
57M
13M
407M
1588.37 %
-1M
0M
812M
64M
60M
5M
51M
86M
35M
59M
4M
42M
-56M
0M
166M
220M
2M
5.26 %
0M
0M
558M
5M
-77M
82M
-80M
228M
95M
48M
4M
24M
72M
0M
155M
-100M
2M
1.92 %
0M
0M
-100M
82M
46M
36M
73M
57M
-28M
46M
0M
48M
-9M
0M
110M
-49M
177M
-630.43 %
-1,688M
0M
2,289M
36M
-212M
247M
-53M
Concept
Operating Cash Flow
Net Income
Depreciation & Amortization
Stock based compensation
Other non cash items
Change in working capital
Investing Cash Flow
Capital Expenditures
Financing Cash Flow
Dividends Paid
Payout Ratio
Share Issuance / Repurchase
Debt Issued / Paid
Other Investing Activities
End Cash Position
Changes in Cash
Beginning Cash Position
Free Cash Flow
4Q2023
3Q2023
2Q2023
1Q2023
4Q2022
3Q2022
2Q2022
1Q2022
4Q2021
3Q2021
2Q2021
1Q2021
4Q2020
3Q2020
2Q2020
1Q2020
4Q2019
3Q2019
2Q2019
1Q2019
4Q2018
3Q2018
2Q2018
1Q2018
4Q2017
3Q2017
2Q2017
1Q2017
4Q2016
3Q2016
2Q2016
1Q2016
4Q2015
3Q2015
2Q2015
1Q2015
4Q2014
3Q2014
2Q2014
1Q2014
4Q2013
3Q2013
2Q2013
1Q2013
4Q2012
3Q2012
2Q2012
1Q2012
4Q2011
3Q2011
2Q2011
1Q2011
4Q2010
3Q2010
2Q2010
1Q2010
4Q2009
3Q2009
2Q2009
1Q2009
4Q2008
3Q2008
2Q2008
1Q2008
4Q2007
3Q2007
2Q2007
1Q2007
4Q2006
3Q2006
2Q2006
1Q2006
179M
62M
54M
12M
4M
47M
-70M
61M
-103M
16M
26 %
-2M
0M
2,770M
84M
7M
77M
119M
116M
61M
52M
11M
-9M
7M
-63M
50M
-77M
16M
26.53 %
-10M
-26M
-25M
77M
-24M
101M
66M
235M
92M
50M
10M
-3M
94M
-67M
60M
-151M
16M
17.33 %
-2M
-129M
-4M
101M
17M
84M
175M
51M
85M
52M
10M
-5M
-89M
-10M
59M
3M
16M
18.57 %
3M
25M
240M
84M
-14M
98M
-7M
13M
38M
52M
10M
-2M
-100M
-57M
55M
34M
16M
40 %
-2M
58M
273M
98M
-10M
108M
-43M
94M
38M
51M
10M
-2M
2M
-10M
42M
-26M
16M
41.94 %
-15M
27M
273M
108M
14M
95M
52M
172M
66M
51M
9M
-3M
51M
-4M
46M
-149M
16M
24.53 %
-127M
1M
277M
95M
-36M
131M
125M
6M
56M
51M
9M
3M
-113M
-3M
47M
106M
17M
30.23 %
-52M
179M
283M
131M
57M
74M
-41M
-61M
66M
52M
9M
-4M
-201M
-5M
55M
-514M
17M
25.49 %
-13M
199M
-467M
74M
-674M
748M
-116M
99M
100M
50M
8M
-3M
-53M
-5M
49M
-85M
17M
16.88 %
-64M
3M
-7M
748M
-56M
803M
50M
123M
196M
51M
7M
-3M
-121M
-5M
37M
-34M
17M
8.67 %
-2M
-6M
-27M
803M
53M
750M
86M
240M
137M
50M
7M
2M
45M
-7M
40M
-14M
14M
9.52 %
0M
0M
-5M
750M
173M
577M
200M
207M
102M
52M
6M
7M
40M
-6M
41M
-217M
4M
3.8 %
-2M
-1M
-207M
577M
-63M
640M
167M
135M
104M
50M
7M
-15M
-1M
-11M
34M
-23M
15M
13.75 %
-5M
-3M
-11M
640M
130M
510M
100M
642M
67M
52M
7M
-6M
534M
-5M
32M
-170M
1M
1.92 %
-1M
-168M
34M
510M
437M
73M
610M
44M
70M
52M
7M
-1M
-94M
-10M
39M
-262M
12M
17.31 %
-9M
124M
89M
73M
-263M
336M
5M
179M
44M
53M
7M
15M
60M
-5M
33M
67M
1,324M
2984.85 %
-1M
74M
2,642M
336M
200M
136M
145M
134M
44M
53M
7M
9M
22M
-8M
35M
-79M
8M
17.65 %
-24M
-47M
1,167M
136M
12M
124M
99M
91M
60M
55M
6M
-1M
-23M
-25M
40M
30M
2M
4.35 %
-14M
31M
290M
124M
-24M
148M
51M
42M
53M
52M
6M
2M
-72M
-28M
49M
14M
5M
9.76 %
3M
16M
373M
148M
-27M
175M
-7M
113M
30M
53M
6M
4M
11M
26M
46M
-48M
187M
627.27 %
-1M
-16M
368M
175M
15M
160M
67M
164M
43M
51M
6M
-2M
67M
-10M
39M
-94M
5M
12.12 %
-5M
-84M
160M
160M
19M
141M
125M
166M
61M
52M
6M
-1M
51M
-2M
42M
-105M
15M
23.4 %
-1M
-93M
98M
141M
21M
120M
124M
51M
44M
47M
5M
0M
-45M
-2M
40M
502M
287M
650 %
0M
788M
669M
120M
-3M
123M
11M
108M
121M
40M
5M
22M
-14M
24M
59M
-70M
183M
151.61 %
-1M
919M
365M
123M
15M
107M
49M
90M
25M
39M
5M
22M
4M
-2M
68M
15M
4M
15.79 %
-3M
15M
195M
107M
34M
74M
21M
96M
51M
38M
5M
16M
-16M
-10M
55M
-30M
2M
2.5 %
0M
-29M
102M
74M
9M
65M
42M
-56M
23M
43M
5M
25M
-148M
1M
51M
63M
4M
16.67 %
0M
64M
1,672M
65M
-34M
99M
-107M
66M
20M
37M
4M
13M
-10M
2M
43M
56M
180M
875 %
-1M
47M
358M
99M
31M
68M
22M
102M
4M
37M
5M
33M
23M
2M
38M
-81M
297M
7733.33 %
-1M
726M
598M
68M
-10M
78M
64M
67M
41M
36M
4M
7M
-12M
1M
33M
-39M
2M
3.13 %
3M
-633M
147M
78M
-7M
85M
33M
111M
60M
35M
4M
-1M
17M
1M
47M
357M
3M
4.26 %
-1M
593M
793M
85M
71M
14M
64M
5M
26M
34M
6M
17M
-83M
1M
69M
68M
302M
1185 %
-2M
740M
599M
14M
-8M
23M
-64M
128M
33M
31M
3M
-5M
68M
1M
45M
-118M
178M
538.46 %
-14M
-102M
354M
23M
-3M
25M
83M
38M
40M
22M
3M
11M
-37M
0M
41M
1,067M
2M
3.23 %
218M
204M
1,292M
25M
19M
7M
-4M
38M
37M
17M
2M
12M
-29M
1M
28M
-3M
13M
34.48 %
222M
12M
-2M
7M
3M
3M
10M
30M
28M
17M
4M
23M
-53M
-5M
22M
-3M
13M
45.45 %
-2M
117M
228M
3M
-8M
11M
8M
98M
28M
18M
3M
9M
39M
3M
23M
-76M
13M
45.45 %
-2M
-60M
170M
11M
8M
3M
75M
58M
38M
17M
2M
2M
-12M
0M
23M
-36M
13M
33.33 %
-18M
-8M
224M
3M
-2M
5M
35M
-16M
34M
16M
2M
2M
-83M
0M
27M
44M
14M
40 %
-110M
56M
403M
5M
0M
4M
-43M
77M
31M
17M
2M
10M
15M
-2M
28M
-53M
14M
43.48 %
-1M
-639M
121M
4M
-5M
9M
49M
93M
25M
16M
2M
2M
39M
-4M
17M
-71M
14M
55.56 %
-1M
-55M
-2M
9M
1M
9M
76M
34M
30M
16M
2M
2M
-41M
-19M
14M
3M
14M
45.45 %
0M
18M
859M
9M
4M
5M
20M
-12M
37M
16M
2M
2M
-78M
-10M
14M
0M
1M
3.7 %
-10M
249M
489M
5M
-36M
40M
-26M
105M
41M
16M
2M
4M
34M
-5M
23M
-82M
211M
510 %
0M
129M
131M
40M
-10M
50M
82M
75M
25M
16M
1M
11M
15M
0M
17M
-29M
1M
5.56 %
1M
251M
282M
50M
28M
22M
58M
111M
45M
15M
1M
10M
39M
-2M
16M
-80M
111M
250 %
-21M
-59M
222M
22M
12M
9M
94M
8M
43M
16M
1M
10M
-59M
-8M
12M
-8M
238M
560 %
-26M
19M
476M
9M
-3M
12M
-4M
73M
37M
19M
1M
12M
-31M
0M
14M
-52M
142M
384.62 %
-41M
0M
282M
12M
2M
10M
59M
60M
26M
18M
1M
12M
4M
0M
8M
-55M
0M
0 %
-28M
0M
157M
10M
-3M
14M
52M
89M
14M
18M
1M
14M
16M
0M
11M
-77M
1,074M
7740 %
-1M
0M
2,128M
14M
-1M
15M
78M
-5M
35M
17M
1M
14M
-74M
0M
13M
30M
210M
600 %
-2M
0M
419M
15M
11M
4M
-18M
34M
22M
17M
1M
10M
-25M
0M
13M
-33M
146M
685.71 %
-44M
0M
291M
4M
-11M
15M
21M
52M
9M
17M
0M
10M
14M
0M
12M
13M
0M
0 %
0M
0M
85M
15M
-113M
129M
39M
75M
26M
17M
0M
11M
20M
0M
13M
-6M
0M
0 %
0M
0M
-3M
129M
56M
73M
61M
-16M
26M
18M
1M
10M
-69M
0M
13M
18M
0M
0 %
0M
0M
21M
73M
-11M
84M
-29M
72M
31M
16M
0M
12M
-15M
0M
23M
-225M
0M
0 %
0M
0M
36M
84M
-197M
280M
50M
36M
1M
19M
4M
-5M
1M
0M
14M
231M
0M
0 %
0M
0M
331M
280M
253M
28M
22M
78M
20M
18M
0M
22M
32M
0M
14M
-50M
0M
0 %
0M
0M
84M
28M
15M
13M
64M
-21M
26M
18M
0M
0M
-65M
0M
7M
-24M
58M
223.26 %
0M
0M
115M
13M
-52M
64M
-28M
73M
10M
18M
0M
13M
10M
0M
21M
1M
0M
0 %
0M
0M
20M
64M
55M
9M
53M
35M
0M
19M
1M
12M
4M
0M
10M
-23M
0M
0 %
0M
0M
74M
9M
2M
8M
25M
24M
7M
18M
0M
10M
-12M
0M
11M
-13M
0M
0 %
0M
0M
115M
8M
-1M
8M
13M
-25M
9M
18M
1M
13M
-65M
0M
15M
48M
196M
2140 %
0M
0M
392M
8M
4M
5M
-40M
31M
7M
16M
1M
13M
-11M
0M
38M
20M
0M
0 %
0M
0M
127M
5M
-6M
10M
-7M
0M
-3M
17M
1M
11M
-28M
0M
38M
17M
0M
-20 %
0M
0M
159M
10M
-16M
26M
-38M
63M
14M
14M
1M
10M
26M
0M
52M
182M
0M
0 %
0M
0M
269M
26M
-12M
38M
11M
-7M
17M
12M
1M
6M
-43M
0M
38M
1M
1M
3.45 %
0M
0M
3M
38M
-44M
82M
-46M
122M
27M
12M
1M
4M
81M
0M
43M
-2M
0M
0 %
0M
0M
119M
82M
77M
5M
80M
22M
13M
13M
1M
7M
-11M
0M
40M
11M
1M
4.76 %
0M
0M
22M
5M
-7M
12M
-18M
88M
27M
12M
1M
9M
39M
0M
33M
-56M
0M
0 %
0M
0M
-7M
12M
-2M
14M
55M
-6M
28M
11M
1M
6M
-38M
0M
38M
-53M
1M
2.17 %
0M
0M
7M
14M
-22M
36M
-44M