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Side-by-side financial comparison of Life Time Group Holdings, Inc. (LTH) and SELECT MEDICAL HOLDINGS CORP (SEM). Click either name above to swap in a different company.

SELECT MEDICAL HOLDINGS CORP is the larger business by last-quarter revenue ($1.4B vs $745.1M, roughly 1.9× Life Time Group Holdings, Inc.). Life Time Group Holdings, Inc. runs the higher net margin — 16.5% vs 1.4%, a 15.1% gap on every dollar of revenue. On growth, Life Time Group Holdings, Inc. posted the faster year-over-year revenue change (12.3% vs 6.4%). SELECT MEDICAL HOLDINGS CORP produced more free cash flow last quarter ($5.2M vs $-64.6M). Over the past eight quarters, Life Time Group Holdings, Inc.'s revenue compounded faster (11.7% CAGR vs 2.8%).

Life Time Group Holdings, Inc. operates a network of premium athletic, fitness and wellness destinations across the United States. It offers diverse services including state-of-the-art gym facilities, group exercise classes, personal training, spa treatments, nutrition coaching, youth programs and co-working spaces for consumers pursuing holistic healthy lifestyles.

Select Medical is a healthcare company based in Pennsylvania. It owns long-term acute care and inpatient rehabilitation hospitals, as well as occupational health and physical therapy clinics. Select Medical is a subsidiary of Select Medical Holdings, which is listed on the New York Stock Exchange.

LTH vs SEM — Head-to-Head

Bigger by revenue
SEM
SEM
1.9× larger
SEM
$1.4B
$745.1M
LTH
Growing faster (revenue YoY)
LTH
LTH
+5.9% gap
LTH
12.3%
6.4%
SEM
Higher net margin
LTH
LTH
15.1% more per $
LTH
16.5%
1.4%
SEM
More free cash flow
SEM
SEM
$69.9M more FCF
SEM
$5.2M
$-64.6M
LTH
Faster 2-yr revenue CAGR
LTH
LTH
Annualised
LTH
11.7%
2.8%
SEM

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
LTH
LTH
SEM
SEM
Revenue
$745.1M
$1.4B
Net Profit
$123.0M
$20.2M
Gross Margin
49.1%
Operating Margin
17.4%
4.6%
Net Margin
16.5%
1.4%
Revenue YoY
12.3%
6.4%
Net Profit YoY
231.0%
225.7%
EPS (diluted)
$0.55
$0.17

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
LTH
LTH
SEM
SEM
Q4 25
$745.1M
$1.4B
Q3 25
$782.6M
$1.4B
Q2 25
$761.5M
$1.3B
Q1 25
$706.0M
$1.4B
Q4 24
$663.3M
$1.3B
Q3 24
$693.2M
$1.3B
Q2 24
$667.8M
$1.3B
Q1 24
$596.7M
$1.3B
Net Profit
LTH
LTH
SEM
SEM
Q4 25
$123.0M
$20.2M
Q3 25
$102.4M
$28.8M
Q2 25
$72.1M
$40.6M
Q1 25
$76.1M
$56.7M
Q4 24
$37.2M
$-16.1M
Q3 24
$41.4M
$55.6M
Q2 24
$52.8M
$77.6M
Q1 24
$24.9M
$96.9M
Gross Margin
LTH
LTH
SEM
SEM
Q4 25
49.1%
Q3 25
47.1%
Q2 25
47.0%
Q1 25
47.5%
Q4 24
48.2%
Q3 24
46.5%
Q2 24
46.8%
Q1 24
46.1%
Operating Margin
LTH
LTH
SEM
SEM
Q4 25
17.4%
4.6%
Q3 25
17.3%
5.4%
Q2 25
14.2%
6.5%
Q1 25
15.2%
8.3%
Q4 24
13.1%
1.6%
Q3 24
13.5%
4.3%
Q2 24
15.7%
5.8%
Q1 24
12.1%
9.0%
Net Margin
LTH
LTH
SEM
SEM
Q4 25
16.5%
1.4%
Q3 25
13.1%
2.1%
Q2 25
9.5%
3.0%
Q1 25
10.8%
4.2%
Q4 24
5.6%
-1.2%
Q3 24
6.0%
4.4%
Q2 24
7.9%
6.1%
Q1 24
4.2%
7.3%
EPS (diluted)
LTH
LTH
SEM
SEM
Q4 25
$0.55
$0.17
Q3 25
$0.45
$0.23
Q2 25
$0.32
$0.32
Q1 25
$0.34
$0.44
Q4 24
$0.17
$-0.12
Q3 24
$0.19
$0.43
Q2 24
$0.26
$0.60
Q1 24
$0.12
$0.75

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
LTH
LTH
SEM
SEM
Cash + ST InvestmentsLiquidity on hand
$204.8M
$26.5M
Total DebtLower is stronger
$1.5B
$1.8B
Stockholders' EquityBook value
$3.1B
$1.7B
Total Assets
$8.0B
$5.9B
Debt / EquityLower = less leverage
0.48×
1.06×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
LTH
LTH
SEM
SEM
Q4 25
$204.8M
$26.5M
Q3 25
$218.9M
$60.1M
Q2 25
$175.5M
$52.3M
Q1 25
$59.0M
$53.2M
Q4 24
$10.9M
$59.7M
Q3 24
$120.9M
$191.5M
Q2 24
$34.5M
$111.2M
Q1 24
$18.6M
$92.6M
Total Debt
LTH
LTH
SEM
SEM
Q4 25
$1.5B
$1.8B
Q3 25
$1.5B
$1.7B
Q2 25
$1.5B
$1.8B
Q1 25
$1.5B
$1.8B
Q4 24
$1.5B
$1.7B
Q3 24
$1.7B
$3.1B
Q2 24
$1.8B
$3.6B
Q1 24
$2.0B
$3.8B
Stockholders' Equity
LTH
LTH
SEM
SEM
Q4 25
$3.1B
$1.7B
Q3 25
$3.0B
$1.7B
Q2 25
$2.9B
$1.7B
Q1 25
$2.7B
$1.7B
Q4 24
$2.6B
$1.7B
Q3 24
$2.6B
$1.9B
Q2 24
$2.4B
$1.4B
Q1 24
$2.3B
$1.4B
Total Assets
LTH
LTH
SEM
SEM
Q4 25
$8.0B
$5.9B
Q3 25
$7.8B
$5.7B
Q2 25
$7.6B
$5.7B
Q1 25
$7.3B
$5.7B
Q4 24
$7.2B
$5.6B
Q3 24
$7.2B
$8.0B
Q2 24
$7.1B
$7.9B
Q1 24
$7.1B
$7.9B
Debt / Equity
LTH
LTH
SEM
SEM
Q4 25
0.48×
1.06×
Q3 25
0.51×
1.03×
Q2 25
0.53×
1.10×
Q1 25
0.56×
1.03×
Q4 24
0.59×
1.01×
Q3 24
0.64×
1.62×
Q2 24
0.78×
2.54×
Q1 24
0.87×
2.75×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
LTH
LTH
SEM
SEM
Operating Cash FlowLast quarter
$239.9M
$64.3M
Free Cash FlowOCF − Capex
$-64.6M
$5.2M
FCF MarginFCF / Revenue
-8.7%
0.4%
Capex IntensityCapex / Revenue
40.9%
4.2%
Cash ConversionOCF / Net Profit
1.95×
3.19×
TTM Free Cash FlowTrailing 4 quarters
$-21.0M
$117.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
LTH
LTH
SEM
SEM
Q4 25
$239.9M
$64.3M
Q3 25
$251.1M
$175.3M
Q2 25
$195.7M
$110.3M
Q1 25
$183.9M
$-3.5M
Q4 24
$163.1M
$125.4M
Q3 24
$151.1M
$181.0M
Q2 24
$170.4M
$278.2M
Q1 24
$90.4M
$-66.7M
Free Cash Flow
LTH
LTH
SEM
SEM
Q4 25
$-64.6M
$5.2M
Q3 25
$28.6M
$122.2M
Q2 25
$-26.3M
$45.6M
Q1 25
$41.4M
$-55.8M
Q4 24
$26.8M
$62.0M
Q3 24
$64.0M
$130.3M
Q2 24
$26.1M
$222.6M
Q1 24
$-66.4M
$-119.2M
FCF Margin
LTH
LTH
SEM
SEM
Q4 25
-8.7%
0.4%
Q3 25
3.7%
9.0%
Q2 25
-3.5%
3.4%
Q1 25
5.9%
-4.1%
Q4 24
4.0%
4.7%
Q3 24
9.2%
10.2%
Q2 24
3.9%
17.4%
Q1 24
-11.1%
-9.0%
Capex Intensity
LTH
LTH
SEM
SEM
Q4 25
40.9%
4.2%
Q3 25
28.4%
3.9%
Q2 25
29.2%
4.8%
Q1 25
20.2%
3.9%
Q4 24
20.6%
4.8%
Q3 24
12.6%
4.0%
Q2 24
21.6%
4.3%
Q1 24
26.3%
4.0%
Cash Conversion
LTH
LTH
SEM
SEM
Q4 25
1.95×
3.19×
Q3 25
2.45×
6.09×
Q2 25
2.71×
2.72×
Q1 25
2.41×
-0.06×
Q4 24
4.39×
Q3 24
3.65×
3.25×
Q2 24
3.23×
3.59×
Q1 24
3.63×
-0.69×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

LTH
LTH

Membership$535.1M72%
In Center$191.2M26%
Other$18.8M3%

SEM
SEM

Critical Illness Recovery Hospitals$629.7M45%
Health Care Patient Service Non Medicare$428.6M31%
Rehabilitation Hospitals$339.2M24%

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