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Side-by-side financial comparison of SELECT MEDICAL HOLDINGS CORP (SEM) and ZIONS BANCORPORATION, NATIONAL ASSOCIATION (ZION). 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 $891.0M, roughly 1.6× ZIONS BANCORPORATION, NATIONAL ASSOCIATION). ZIONS BANCORPORATION, NATIONAL ASSOCIATION runs the higher net margin — 29.5% vs 1.4%, a 28.1% gap on every dollar of revenue. On growth, ZIONS BANCORPORATION, NATIONAL ASSOCIATION posted the faster year-over-year revenue change (8.7% vs 6.4%). ZIONS BANCORPORATION, NATIONAL ASSOCIATION produced more free cash flow last quarter ($952.0M vs $5.2M). Over the past eight quarters, ZIONS BANCORPORATION, NATIONAL ASSOCIATION's revenue compounded faster (9.6% 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.

Zions Bancorporation is an American national bank headquartered in Salt Lake City, Utah. It operates as a national bank rather than as a bank holding company and does business under the following seven brands: Zions Bank, Amegy Bank of Texas, California Bank and Trust, National Bank of Arizona, Nevada State Bank, Vectra Bank Colorado, and the Commerce Bank of Washington.

SEM vs ZION — Head-to-Head

Bigger by revenue
SEM
SEM
1.6× larger
SEM
$1.4B
$891.0M
ZION
Growing faster (revenue YoY)
ZION
ZION
+2.3% gap
ZION
8.7%
6.4%
SEM
Higher net margin
ZION
ZION
28.1% more per $
ZION
29.5%
1.4%
SEM
More free cash flow
ZION
ZION
$946.8M more FCF
ZION
$952.0M
$5.2M
SEM
Faster 2-yr revenue CAGR
ZION
ZION
Annualised
ZION
9.6%
2.8%
SEM

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
SEM
SEM
ZION
ZION
Revenue
$1.4B
$891.0M
Net Profit
$20.2M
$263.0M
Gross Margin
Operating Margin
4.6%
Net Margin
1.4%
29.5%
Revenue YoY
6.4%
8.7%
Net Profit YoY
225.7%
21.8%
EPS (diluted)
$0.17
$1.77

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
ZION
ZION
Q4 25
$1.4B
$891.0M
Q3 25
$1.4B
$861.0M
Q2 25
$1.3B
$838.0M
Q1 25
$1.4B
$795.0M
Q4 24
$1.3B
$820.0M
Q3 24
$1.3B
$792.0M
Q2 24
$1.3B
$777.0M
Q1 24
$1.3B
$742.0M
Net Profit
SEM
SEM
ZION
ZION
Q4 25
$20.2M
$263.0M
Q3 25
$28.8M
$222.0M
Q2 25
$40.6M
$244.0M
Q1 25
$56.7M
$170.0M
Q4 24
$-16.1M
$216.0M
Q3 24
$55.6M
$214.0M
Q2 24
$77.6M
$201.0M
Q1 24
$96.9M
$153.0M
Operating Margin
SEM
SEM
ZION
ZION
Q4 25
4.6%
Q3 25
5.4%
Q2 25
6.5%
Q1 25
8.3%
Q4 24
1.6%
Q3 24
4.3%
Q2 24
5.8%
Q1 24
9.0%
Net Margin
SEM
SEM
ZION
ZION
Q4 25
1.4%
29.5%
Q3 25
2.1%
25.8%
Q2 25
3.0%
29.1%
Q1 25
4.2%
21.4%
Q4 24
-1.2%
26.3%
Q3 24
4.4%
27.0%
Q2 24
6.1%
25.9%
Q1 24
7.3%
20.6%
EPS (diluted)
SEM
SEM
ZION
ZION
Q4 25
$0.17
$1.77
Q3 25
$0.23
$1.48
Q2 25
$0.32
$1.63
Q1 25
$0.44
$1.13
Q4 24
$-0.12
$1.34
Q3 24
$0.43
$1.37
Q2 24
$0.60
$1.28
Q1 24
$0.75
$0.96

Balance Sheet & Financial Strength

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

Metric
SEM
SEM
ZION
ZION
Cash + ST InvestmentsLiquidity on hand
$26.5M
Total DebtLower is stronger
$1.8B
$1.5B
Stockholders' EquityBook value
$1.7B
$7.2B
Total Assets
$5.9B
$89.0B
Debt / EquityLower = less leverage
1.06×
0.21×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
SEM
SEM
ZION
ZION
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
ZION
ZION
Q4 25
$1.8B
$1.5B
Q3 25
$1.7B
$1.5B
Q2 25
$1.8B
$970.0M
Q1 25
$1.8B
$964.0M
Q4 24
$1.7B
$950.0M
Q3 24
$3.1B
$548.0M
Q2 24
$3.6B
$546.0M
Q1 24
$3.8B
$544.0M
Stockholders' Equity
SEM
SEM
ZION
ZION
Q4 25
$1.7B
$7.2B
Q3 25
$1.7B
$6.9B
Q2 25
$1.7B
$6.6B
Q1 25
$1.7B
$6.3B
Q4 24
$1.7B
$6.1B
Q3 24
$1.9B
$6.4B
Q2 24
$1.4B
$6.0B
Q1 24
$1.4B
$5.8B
Total Assets
SEM
SEM
ZION
ZION
Q4 25
$5.9B
$89.0B
Q3 25
$5.7B
$88.5B
Q2 25
$5.7B
$88.9B
Q1 25
$5.7B
$88.0B
Q4 24
$5.6B
$88.8B
Q3 24
$8.0B
$87.0B
Q2 24
$7.9B
$87.6B
Q1 24
$7.9B
$87.1B
Debt / Equity
SEM
SEM
ZION
ZION
Q4 25
1.06×
0.21×
Q3 25
1.03×
0.21×
Q2 25
1.10×
0.15×
Q1 25
1.03×
0.15×
Q4 24
1.01×
0.16×
Q3 24
1.62×
0.09×
Q2 24
2.54×
0.09×
Q1 24
2.75×
0.09×

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
ZION
ZION
Operating Cash FlowLast quarter
$64.3M
$1.1B
Free Cash FlowOCF − Capex
$5.2M
$952.0M
FCF MarginFCF / Revenue
0.4%
106.8%
Capex IntensityCapex / Revenue
4.2%
13.6%
Cash ConversionOCF / Net Profit
3.19×
4.08×
TTM Free Cash FlowTrailing 4 quarters
$117.2M
$1.4B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
SEM
SEM
ZION
ZION
Q4 25
$64.3M
$1.1B
Q3 25
$175.3M
$438.0M
Q2 25
$110.3M
$-62.0M
Q1 25
$-3.5M
$179.0M
Q4 24
$125.4M
$1.1B
Q3 24
$181.0M
$119.0M
Q2 24
$278.2M
$251.0M
Q1 24
$-66.7M
$261.0M
Free Cash Flow
SEM
SEM
ZION
ZION
Q4 25
$5.2M
$952.0M
Q3 25
$122.2M
$413.0M
Q2 25
$45.6M
$-93.0M
Q1 25
$-55.8M
$152.0M
Q4 24
$62.0M
$1.1B
Q3 24
$130.3M
$97.0M
Q2 24
$222.6M
$234.0M
Q1 24
$-119.2M
$231.0M
FCF Margin
SEM
SEM
ZION
ZION
Q4 25
0.4%
106.8%
Q3 25
9.0%
48.0%
Q2 25
3.4%
-11.1%
Q1 25
-4.1%
19.1%
Q4 24
4.7%
128.2%
Q3 24
10.2%
12.2%
Q2 24
17.4%
30.1%
Q1 24
-9.0%
31.1%
Capex Intensity
SEM
SEM
ZION
ZION
Q4 25
4.2%
13.6%
Q3 25
3.9%
2.9%
Q2 25
4.8%
3.7%
Q1 25
3.9%
3.4%
Q4 24
4.8%
11.8%
Q3 24
4.0%
2.8%
Q2 24
4.3%
2.2%
Q1 24
4.0%
4.0%
Cash Conversion
SEM
SEM
ZION
ZION
Q4 25
3.19×
4.08×
Q3 25
6.09×
1.97×
Q2 25
2.72×
-0.25×
Q1 25
-0.06×
1.05×
Q4 24
5.31×
Q3 24
3.25×
0.56×
Q2 24
3.59×
1.25×
Q1 24
-0.69×
1.71×

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%

ZION
ZION

Segment breakdown not available.

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