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Side-by-side financial comparison of SELECT MEDICAL HOLDINGS CORP (SEM) and TWILIO INC (TWLO). 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 $1.4B, roughly 1.0× TWILIO INC). SELECT MEDICAL HOLDINGS CORP runs the higher net margin — 1.4% vs -3.4%, a 4.8% gap on every dollar of revenue. On growth, TWILIO INC posted the faster year-over-year revenue change (14.3% vs 6.4%). Over the past eight quarters, TWILIO INC's revenue compounded faster (14.2% CAGR vs 2.8%).
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.
Twilio Inc. is an American cloud communications company based in San Francisco, California, which provides programmable communication tools for making and receiving phone calls, sending and receiving text messages, and performing other communication functions using its web service APIs.
SEM vs TWLO — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $1.4B | $1.4B |
| Net Profit | $20.2M | $-45.9M |
| Gross Margin | — | 48.5% |
| Operating Margin | 4.6% | 4.2% |
| Net Margin | 1.4% | -3.4% |
| Revenue YoY | 6.4% | 14.3% |
| Net Profit YoY | 225.7% | -267.7% |
| EPS (diluted) | $0.17 | $-0.28 |
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.
| Q4 25 | $1.4B | $1.4B | ||
| Q3 25 | $1.4B | $1.3B | ||
| Q2 25 | $1.3B | $1.2B | ||
| Q1 25 | $1.4B | $1.2B | ||
| Q4 24 | $1.3B | $1.2B | ||
| Q3 24 | $1.3B | $1.1B | ||
| Q2 24 | $1.3B | $1.1B | ||
| Q1 24 | $1.3B | $1.0B |
| Q4 25 | $20.2M | $-45.9M | ||
| Q3 25 | $28.8M | $37.2M | ||
| Q2 25 | $40.6M | $22.4M | ||
| Q1 25 | $56.7M | $20.0M | ||
| Q4 24 | $-16.1M | $-12.5M | ||
| Q3 24 | $55.6M | $-9.7M | ||
| Q2 24 | $77.6M | $-31.9M | ||
| Q1 24 | $96.9M | $-55.3M |
| Q4 25 | — | 48.5% | ||
| Q3 25 | — | 48.6% | ||
| Q2 25 | — | 49.1% | ||
| Q1 25 | — | 49.6% | ||
| Q4 24 | — | 50.2% | ||
| Q3 24 | — | 51.0% | ||
| Q2 24 | — | 51.3% | ||
| Q1 24 | — | 52.0% |
| Q4 25 | 4.6% | 4.2% | ||
| Q3 25 | 5.4% | 3.1% | ||
| Q2 25 | 6.5% | 3.0% | ||
| Q1 25 | 8.3% | 2.0% | ||
| Q4 24 | 1.6% | 1.1% | ||
| Q3 24 | 4.3% | -0.4% | ||
| Q2 24 | 5.8% | -1.8% | ||
| Q1 24 | 9.0% | -4.2% |
| Q4 25 | 1.4% | -3.4% | ||
| Q3 25 | 2.1% | 2.9% | ||
| Q2 25 | 3.0% | 1.8% | ||
| Q1 25 | 4.2% | 1.7% | ||
| Q4 24 | -1.2% | -1.0% | ||
| Q3 24 | 4.4% | -0.9% | ||
| Q2 24 | 6.1% | -2.9% | ||
| Q1 24 | 7.3% | -5.3% |
| Q4 25 | $0.17 | $-0.28 | ||
| Q3 25 | $0.23 | $0.23 | ||
| Q2 25 | $0.32 | $0.14 | ||
| Q1 25 | $0.44 | $0.12 | ||
| Q4 24 | $-0.12 | $-0.10 | ||
| Q3 24 | $0.43 | $-0.06 | ||
| Q2 24 | $0.60 | $-0.19 | ||
| Q1 24 | $0.75 | $-0.31 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $26.5M | $682.3M |
| Total DebtLower is stronger | $1.8B | $992.3M |
| Stockholders' EquityBook value | $1.7B | $7.8B |
| Total Assets | $5.9B | $9.8B |
| Debt / EquityLower = less leverage | 1.06× | 0.13× |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $26.5M | $682.3M | ||
| Q3 25 | $60.1M | $734.8M | ||
| Q2 25 | $52.3M | $969.2M | ||
| Q1 25 | $53.2M | $467.1M | ||
| Q4 24 | $59.7M | $421.3M | ||
| Q3 24 | $191.5M | $584.0M | ||
| Q2 24 | $111.2M | $755.1M | ||
| Q1 24 | $92.6M | $672.6M |
| Q4 25 | $1.8B | $992.3M | ||
| Q3 25 | $1.7B | $991.9M | ||
| Q2 25 | $1.8B | $991.4M | ||
| Q1 25 | $1.8B | $991.0M | ||
| Q4 24 | $1.7B | $990.6M | ||
| Q3 24 | $3.1B | $990.2M | ||
| Q2 24 | $3.6B | $989.8M | ||
| Q1 24 | $3.8B | $989.4M |
| Q4 25 | $1.7B | $7.8B | ||
| Q3 25 | $1.7B | $7.9B | ||
| Q2 25 | $1.7B | $8.0B | ||
| Q1 25 | $1.7B | $8.0B | ||
| Q4 24 | $1.7B | $8.0B | ||
| Q3 24 | $1.9B | $8.2B | ||
| Q2 24 | $1.4B | $8.7B | ||
| Q1 24 | $1.4B | $9.4B |
| Q4 25 | $5.9B | $9.8B | ||
| Q3 25 | $5.7B | $9.7B | ||
| Q2 25 | $5.7B | $9.8B | ||
| Q1 25 | $5.7B | $9.8B | ||
| Q4 24 | $5.6B | $9.9B | ||
| Q3 24 | $8.0B | $10.0B | ||
| Q2 24 | $7.9B | $10.5B | ||
| Q1 24 | $7.9B | $11.3B |
| Q4 25 | 1.06× | 0.13× | ||
| Q3 25 | 1.03× | 0.13× | ||
| Q2 25 | 1.10× | 0.12× | ||
| Q1 25 | 1.03× | 0.12× | ||
| Q4 24 | 1.01× | 0.12× | ||
| Q3 24 | 1.62× | 0.12× | ||
| Q2 24 | 2.54× | 0.11× | ||
| Q1 24 | 2.75× | 0.10× |
Cash Flow & Capital Efficiency
How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.
| Metric | | |
|---|---|---|
| Operating Cash FlowLast quarter | $64.3M | $271.6M |
| 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.
| Q4 25 | $64.3M | $271.6M | ||
| Q3 25 | $175.3M | $263.6M | ||
| Q2 25 | $110.3M | $277.1M | ||
| Q1 25 | $-3.5M | $191.0M | ||
| Q4 24 | $125.4M | $108.4M | ||
| Q3 24 | $181.0M | $204.3M | ||
| Q2 24 | $278.2M | $213.3M | ||
| Q1 24 | $-66.7M | $190.1M |
| 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 | — |
| 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% | — |
| 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% | — |
| Q4 25 | 3.19× | — | ||
| Q3 25 | 6.09× | 7.08× | ||
| Q2 25 | 2.72× | 12.36× | ||
| Q1 25 | -0.06× | 9.54× | ||
| 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
| Critical Illness Recovery Hospitals | $629.7M | 45% |
| Health Care Patient Service Non Medicare | $428.6M | 31% |
| Rehabilitation Hospitals | $339.2M | 24% |
TWLO
| US | $879.8M | 64% |
| Non Us | $486.1M | 36% |
