Select Medical Shares Fall 5% Even After Q3 Earnings Exceed Expectations Due to Patient Volumes
Select Medical Holdings Corporation Q3 2025 Results: Select Medical's shares fell 5.4% following its Q3 2025 report, which showed a decline in adjusted EPS by 11.5% year-over-year despite a 7.2% increase in net operating revenues to $1.4 billion, surpassing estimates.
Segment Performance: The Critical Illness Recovery Hospital segment faced profitability pressure due to a decline in patient days, while the Rehabilitation Hospital segment saw revenue growth from higher admissions and occupancy rates.
Financial Outlook: Select Medical raised its 2025 EPS guidance to between $1.14 and $1.24, with expected revenues of $5.3-$5.5 billion, indicating a 4.1% increase from 2024.
Comparative Performance in Healthcare Sector: Other healthcare companies like Cigna, Tenet Healthcare, and UnitedHealth Group reported mixed results, with some exceeding earnings estimates while facing challenges in revenue growth and profitability.
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UnitedHealth Shares Plunge 20% Amid Disappointing Earnings and Medicare Proposal
- Earnings Miss: UnitedHealth reported Q4 2025 adjusted EPS of $2.11, meeting expectations, but its revenue of $113.2 billion fell short by approximately $520 million, indicating significant revenue pressure on the company.
- Bleak Outlook: Management guided for 2026 revenue exceeding $439 billion, significantly below the analyst consensus of $456 billion, marking the company's first annual revenue decline in over three decades, resulting in a market capitalization loss of over $50 billion.
- Rising Medical Costs: The medical care ratio for 2025 stood at 89.1%, up from 85.5% in 2024, reflecting pressures from reduced Medicare funding and rising medical costs, which adversely affect the company's profitability.
- Divergent Analyst Views: Despite the sharp decline in stock price, some analysts maintained Buy ratings, viewing the market reaction as overdone and anticipating potential revisions to Medicare Advantage payment rates by CMS in April, which could provide a rebound opportunity for the company.

Fourth Quarter Earnings Season Accelerates
- Earnings Season Surge: This week, major tech companies like Microsoft, Meta, Tesla, and Apple reported their fourth-quarter earnings, creating anticipation for upcoming results from Alphabet and Amazon, indicating a growing investor confidence in tech stocks.
- Upward Earnings Expectations: As of January 30, 33% of S&P 500 companies have reported fourth-quarter results, with analysts projecting an 11.9% increase in earnings per share, which, if achieved, would mark the tenth consecutive quarter of annual earnings growth for the index, reflecting strong economic recovery momentum.
- Sustained Capital Expenditures: Major tech firms continue to invest heavily in capital expenditures, particularly in areas like artificial intelligence, driving earnings growth and reflecting optimistic market expectations for future technological advancements.
- Diverse Company Updates: In addition to tech giants, companies like AT&T and Verizon also released earnings reports, showcasing signs of recovery across various sectors of the economy, further bolstering market confidence in the overall economic landscape.






