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Side-by-side financial comparison of SELECT MEDICAL HOLDINGS CORP (SEM) and TFI International Inc. (TFII). 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 $921.9M, roughly 1.5× TFI International Inc.).

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.

TFI International Inc. is a Canadian transport and logistics company based in Saint-Laurent, Quebec, a borough of Montreal. It operates primarily in Canada, the United States, and Mexico through 4 business segments: less than truckload (LTL), package and courier, logistics, and truckload. It has Canada's largest LTL business, largest trucking fleet, and in 2021 was ranked 6th in terms of revenue among both LTL and truckload North American carriers. Its trucking fleet consists of over 14,000 c...

SEM vs TFII — Head-to-Head

Bigger by revenue
SEM
SEM
1.5× larger
SEM
$1.4B
$921.9M
TFII

Income Statement — Q4 FY2025 vs Q3 FY2025

Metric
SEM
SEM
TFII
TFII
Revenue
$1.4B
$921.9M
Net Profit
$20.2M
Gross Margin
Operating Margin
4.6%
8.4%
Net Margin
1.4%
Revenue YoY
6.4%
Net Profit YoY
225.7%
EPS (diluted)
$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
SEM
SEM
TFII
TFII
Q4 25
$1.4B
Q3 25
$1.4B
$921.9M
Q2 25
$1.3B
$2.0B
Q1 25
$1.4B
$2.0B
Q4 24
$1.3B
Q3 24
$1.3B
$1.0B
Q2 24
$1.3B
$2.3B
Q1 24
$1.3B
$1.9B
Net Profit
SEM
SEM
TFII
TFII
Q4 25
$20.2M
Q3 25
$28.8M
Q2 25
$40.6M
$98.2M
Q1 25
$56.7M
$56.0M
Q4 24
$-16.1M
Q3 24
$55.6M
Q2 24
$77.6M
$117.8M
Q1 24
$96.9M
$92.8M
Operating Margin
SEM
SEM
TFII
TFII
Q4 25
4.6%
Q3 25
5.4%
8.4%
Q2 25
6.5%
8.4%
Q1 25
8.3%
5.8%
Q4 24
1.6%
Q3 24
4.3%
9.5%
Q2 24
5.8%
9.2%
Q1 24
9.0%
8.1%
Net Margin
SEM
SEM
TFII
TFII
Q4 25
1.4%
Q3 25
2.1%
Q2 25
3.0%
4.8%
Q1 25
4.2%
2.9%
Q4 24
-1.2%
Q3 24
4.4%
Q2 24
6.1%
5.2%
Q1 24
7.3%
5.0%
EPS (diluted)
SEM
SEM
TFII
TFII
Q4 25
$0.17
Q3 25
$0.23
Q2 25
$0.32
Q1 25
$0.44
Q4 24
$-0.12
Q3 24
$0.43
Q2 24
$0.60
Q1 24
$0.75

Balance Sheet & Financial Strength

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

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

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
SEM
SEM
TFII
TFII
Q4 25
$26.5M
Q3 25
$60.1M
Q2 25
$52.3M
Q1 25
$53.2M
Q4 24
$59.7M
Q3 24
$191.5M
Q2 24
$111.2M
Q1 24
$92.6M
Total Debt
SEM
SEM
TFII
TFII
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
Q1 24
$3.8B
Stockholders' Equity
SEM
SEM
TFII
TFII
Q4 25
$1.7B
Q3 25
$1.7B
Q2 25
$1.7B
Q1 25
$1.7B
Q4 24
$1.7B
Q3 24
$1.9B
Q2 24
$1.4B
Q1 24
$1.4B
Total Assets
SEM
SEM
TFII
TFII
Q4 25
$5.9B
Q3 25
$5.7B
Q2 25
$5.7B
Q1 25
$5.7B
Q4 24
$5.6B
Q3 24
$8.0B
Q2 24
$7.9B
Q1 24
$7.9B
Debt / Equity
SEM
SEM
TFII
TFII
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×
Q1 24
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
SEM
SEM
TFII
TFII
Operating Cash FlowLast quarter
$64.3M
Free Cash FlowOCF − Capex
$5.2M
FCF MarginFCF / Revenue
0.4%
Capex IntensityCapex / Revenue
4.2%
Cash ConversionOCF / Net Profit
3.19×
TTM Free Cash FlowTrailing 4 quarters
$117.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
SEM
SEM
TFII
TFII
Q4 25
$64.3M
Q3 25
$175.3M
Q2 25
$110.3M
Q1 25
$-3.5M
Q4 24
$125.4M
Q3 24
$181.0M
Q2 24
$278.2M
Q1 24
$-66.7M
Free Cash Flow
SEM
SEM
TFII
TFII
Q4 25
$5.2M
Q3 25
$122.2M
Q2 25
$45.6M
Q1 25
$-55.8M
Q4 24
$62.0M
Q3 24
$130.3M
Q2 24
$222.6M
Q1 24
$-119.2M
FCF Margin
SEM
SEM
TFII
TFII
Q4 25
0.4%
Q3 25
9.0%
Q2 25
3.4%
Q1 25
-4.1%
Q4 24
4.7%
Q3 24
10.2%
Q2 24
17.4%
Q1 24
-9.0%
Capex Intensity
SEM
SEM
TFII
TFII
Q4 25
4.2%
Q3 25
3.9%
Q2 25
4.8%
Q1 25
3.9%
Q4 24
4.8%
Q3 24
4.0%
Q2 24
4.3%
Q1 24
4.0%
Cash Conversion
SEM
SEM
TFII
TFII
Q4 25
3.19×
Q3 25
6.09×
Q2 25
2.72×
Q1 25
-0.06×
Q4 24
Q3 24
3.25×
Q2 24
3.59×
Q1 24
-0.69×

Financial Flow Comparison

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

Revenue Breakdown by Segment

SEM
SEM

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

TFII
TFII

Segment breakdown not available.

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