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Side-by-side financial comparison of Realty Income (O) and SELECT MEDICAL HOLDINGS CORP (SEM). Click either name above to swap in a different company.

Realty Income is the larger business by last-quarter revenue ($1.5B vs $1.4B, roughly 1.0× SELECT MEDICAL HOLDINGS CORP). Realty Income runs the higher net margin — 19.9% vs 4.5%, a 15.4% gap on every dollar of revenue. On growth, Realty Income posted the faster year-over-year revenue change (11.0% vs 5.0%). Over the past eight quarters, Realty Income's revenue compounded faster (8.6% CAGR vs 5.3%).

Realty Income

Realty IncomeOEarnings & Financial Report

NYSE · Real Estate · Retail REITs

Realty Income Corporation is a real estate investment trust that invests in free-standing, single-tenant commercial properties in the United States, the United Kingdom, and six other countries in Europe. These properties are subject to NNN Leases. The company is organized in Maryland with its headquarters in San Diego, California.

SELECT MEDICAL HOLDINGS CORP

SELECT MEDICAL HOLDINGS CORPSEMEarnings & Financial Report

NYSE · Health Care · Services-Hospitals

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.

O vs SEM — Head-to-Head

Bigger by revenue
O
O
1.0× larger
O
$1.5B
$1.4B
SEM
Growing faster (revenue YoY)
O
O
+6.0% gap
O
11.0%
5.0%
SEM
Higher net margin
O
O
15.4% more per $
O
19.9%
4.5%
SEM
Faster 2-yr revenue CAGR
O
O
Annualised
O
8.6%
5.3%
SEM

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
O
O
SEM
SEM
Revenue
$1.5B
$1.4B
Net Profit
$296.1M
$63.8M
Gross Margin
—
—
Operating Margin
21.7%
6.9%
Net Margin
19.9%
4.5%
Revenue YoY
11.0%
5.0%
Net Profit YoY
48.3%
-14.7%
EPS (diluted)
$0.32
$0.35

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
O
O
SEM
SEM
Q1 26
—
$1.4B
Q4 25
$1.5B
$1.4B
Q3 25
$1.5B
$1.4B
Q2 25
$1.4B
$1.3B
Q1 25
$1.4B
$1.4B
Q4 24
$1.3B
$1.3B
Q3 24
$1.3B
$1.3B
Q2 24
$1.3B
$1.3B
Net Profit
O
O
SEM
SEM
Q1 26
—
$63.8M
Q4 25
$296.1M
$20.2M
Q3 25
$315.8M
$28.8M
Q2 25
$196.9M
$40.6M
Q1 25
$249.8M
$56.7M
Q4 24
$199.6M
$-16.1M
Q3 24
$269.5M
$55.6M
Q2 24
$259.4M
$77.6M
Operating Margin
O
O
SEM
SEM
Q1 26
—
6.9%
Q4 25
21.7%
4.6%
Q3 25
23.2%
5.4%
Q2 25
15.8%
6.5%
Q1 25
19.3%
8.3%
Q4 24
16.5%
1.6%
Q3 24
21.5%
4.3%
Q2 24
20.7%
5.8%
Net Margin
O
O
SEM
SEM
Q1 26
—
4.5%
Q4 25
19.9%
1.4%
Q3 25
21.5%
2.1%
Q2 25
14.0%
3.0%
Q1 25
18.1%
4.2%
Q4 24
14.9%
-1.2%
Q3 24
20.2%
4.4%
Q2 24
19.4%
6.1%
EPS (diluted)
O
O
SEM
SEM
Q1 26
—
$0.35
Q4 25
$0.32
$0.17
Q3 25
$0.35
$0.23
Q2 25
$0.22
$0.32
Q1 25
$0.28
$0.44
Q4 24
$0.23
$-0.12
Q3 24
$0.30
$0.43
Q2 24
$0.29
$0.60

Balance Sheet & Financial Strength

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

Metric
O
O
SEM
SEM
Cash + ST InvestmentsLiquidity on hand
$434.8M
$25.7M
Total DebtLower is stronger
—
$1.8B
Stockholders' EquityBook value
$39.4B
$2.1B
Total Assets
$72.8B
$6.0B
Debt / EquityLower = less leverage
—
0.88×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
O
O
SEM
SEM
Q1 26
—
$25.7M
Q4 25
$434.8M
$26.5M
Q3 25
$417.2M
$60.1M
Q2 25
$800.4M
$52.3M
Q1 25
$319.0M
$53.2M
Q4 24
$445.0M
$59.7M
Q3 24
$397.0M
$191.5M
Q2 24
$442.8M
$111.2M
Total Debt
O
O
SEM
SEM
Q1 26
—
$1.8B
Q4 25
—
$1.8B
Q3 25
—
$1.7B
Q2 25
—
$1.8B
Q1 25
—
$1.8B
Q4 24
—
$1.7B
Q3 24
—
$3.1B
Q2 24
—
$3.6B
Stockholders' Equity
O
O
SEM
SEM
Q1 26
—
$2.1B
Q4 25
$39.4B
$1.7B
Q3 25
$39.1B
$1.7B
Q2 25
$39.2B
$1.7B
Q1 25
$39.0B
$1.7B
Q4 24
$38.8B
$1.7B
Q3 24
$38.5B
$1.9B
Q2 24
$38.6B
$1.4B
Total Assets
O
O
SEM
SEM
Q1 26
—
$6.0B
Q4 25
$72.8B
$5.9B
Q3 25
$71.3B
$5.7B
Q2 25
$71.4B
$5.7B
Q1 25
$69.8B
$5.7B
Q4 24
$68.8B
$5.6B
Q3 24
$68.5B
$8.0B
Q2 24
$68.1B
$7.9B
Debt / Equity
O
O
SEM
SEM
Q1 26
—
0.88×
Q4 25
—
1.06×
Q3 25
—
1.03×
Q2 25
—
1.10×
Q1 25
—
1.03×
Q4 24
—
1.01×
Q3 24
—
1.62×
Q2 24
—
2.54×

Cash Flow & Capital Efficiency

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

Metric
O
O
SEM
SEM
Operating Cash FlowLast quarter
$1.2B
—
Free Cash FlowOCF − Capex
$1.2B
—
FCF MarginFCF / Revenue
77.6%
—
Capex IntensityCapex / Revenue
3.3%
—
Cash ConversionOCF / Net Profit
4.06×
—
TTM Free Cash FlowTrailing 4 quarters
$3.9B
—

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
O
O
SEM
SEM
Q1 26
—
—
Q4 25
$1.2B
$64.3M
Q3 25
$943.1M
$175.3M
Q2 25
$1.1B
$110.3M
Q1 25
$787.5M
$-3.5M
Q4 24
$972.0M
$125.4M
Q3 24
$841.5M
$181.0M
Q2 24
$981.2M
$278.2M
Free Cash Flow
O
O
SEM
SEM
Q1 26
—
—
Q4 25
$1.2B
$5.2M
Q3 25
$909.9M
$122.2M
Q2 25
$1.0B
$45.6M
Q1 25
$764.6M
$-55.8M
Q4 24
$935.8M
$62.0M
Q3 24
$807.9M
$130.3M
Q2 24
$939.2M
$222.6M
FCF Margin
O
O
SEM
SEM
Q1 26
—
—
Q4 25
77.6%
0.4%
Q3 25
61.9%
9.0%
Q2 25
73.3%
3.4%
Q1 25
55.4%
-4.1%
Q4 24
69.8%
4.7%
Q3 24
60.7%
10.2%
Q2 24
70.1%
17.4%
Capex Intensity
O
O
SEM
SEM
Q1 26
—
—
Q4 25
3.3%
4.2%
Q3 25
2.3%
3.9%
Q2 25
1.9%
4.8%
Q1 25
1.7%
3.9%
Q4 24
2.7%
4.8%
Q3 24
2.5%
4.0%
Q2 24
3.1%
4.3%
Cash Conversion
O
O
SEM
SEM
Q1 26
—
—
Q4 25
4.06×
3.19×
Q3 25
2.99×
6.09×
Q2 25
5.39×
2.72×
Q1 25
3.15×
-0.06×
Q4 24
4.87×
—
Q3 24
3.12×
3.25×
Q2 24
3.78×
3.59×

Financial Flow Comparison

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

Revenue Breakdown by Segment

O
O

Product And Service Retail$900.8M61%
Other$531.5M36%

SEM
SEM

Segment breakdown not available.

Related Comparisons

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