Select Medical Holdings Corporation
US ˙ NYSE ˙ US81619Q1058

SecuritySEM / Select Medical Holdings Corporation
InstitutionCitadel Advisors Llc
ManagerKen Griffin
Latest Disclosed Ownership56,153 shares
Latest Disclosed Value $ 914,732
Citadel Advisors Llc ownership in SEM / Select Medical Holdings Corporation

On May 15, 2026 - Citadel Advisors Llc filed a 13F-HR form disclosing ownership of 56,153 shares of Select Medical Holdings Corporation (US:SEM) valued at $914,732 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 17, 2026 disclosing 222,185 shares of Select Medical Holdings Corporation. This represents a change in shares of -74.73% during the quarter. The current value of the position is $928,771 USD.

Citadel Advisors Llc has a history of taking positions in derivatives of the underlying security (SEM) in the form of stock options. The firm currently holds call options representing 0 of underlying shares valued at $0 USD and put options representing 0 of underlying shares valued at $0 USD .

Note: prior versions of this page mistakenly stated that the share values represented the number of options, not the number of underlying shares. For more information on the data backing these reports, please see the SEC document Frequently Asked Questions About Form 13F.

Institutional Ownership: 13F and NPORT Filings

The Security and Class in the table below are shown exactly as filed by the investor. We do our best to track continuity of investments through acquisitions, and this will be reflected in the table as changes in names. In addition to descriptive data, performance of the investment is shown over time. To calculate quarterly performance, we first calculate cost basis of the shares purchased during the quarter, then use that to calculate gross profit. Quarterly return is Gross Profit / Starting Portfolio value.

Note that cost basis is calculated and stored in thousands, so small quarterly changes in shares frequently result in a cost basis of zero.

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Institutional Put/Call Ratios
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In addition to reporting standard equity and debt issues, institutions with more than 100MM assets under management must also disclose their put and call option holdings. Since put options generally indicate negative sentiment, and call options indicate positive sentiment, we can get a sense of the overall institutional sentiment by plotting the ratio of puts to calls. The chart to the right plots the historical put/call ratio for this instrument.

Using Put/Call Ratio as an indicator of investor sentiment overcomes one of the key deficiencies of using total institutional ownership, which is that a significant amount of assets under management are invested passively to track indices. Passively-managed funds do not typically buy options, so the put/call ratio indicator more closely tracks the sentiment of actively-managed funds.

SEM / Select Medical Holdings Corporation Historical Put/Call Ratio
Disclosed Equity Positions (from 13F/NPORT Filings)
File
Date
Effective
Date
Form Security Class ID Avg Price
Paid (Est)
Reported
Shares
ΔShares ΔShares
(%)
Reported
Value
(x1000)
ΔValue
(%)
Alloc
(%)
ΔAlloc ΔAlloc (%) Cost Basis
(x1000)
Unrealized
Gain/Loss
(x1000)
2026-05-15 2026-03-31 13F SELECT MED HLDGS COM 81619Q105 56,153 -166,032 -74.73 915 -72.29 0.0001
2026-02-17 2025-12-31 13F SELECT MED HLDGS COM 81619Q105 222,185 -135,765 -37.93 3,299 -28.22 0.0004
2025-11-14 2025-09-30 13F SELECT MED HLDGS COM 81619Q105 357,950 -142,833 -28.52 4,596 -39.53 0.0007
2025-08-14 2025-06-30 13F SELECT MED HLDGS COM 81619Q105 500,783 500,783 7,602 0.0013
2025-05-15 2025-03-31 13F SELECT MED HLDGS COM 81619Q105 0 -458,072 -100.00 0 -100.00
2025-02-14 2024-12-31 13F SELECT MED HLDGS COM 81619Q105 458,072 458,072 8,635 0.0015
2024-11-14 2024-09-30 13F SELECT MED HLDGS COM 81619Q105 0 -112,651 -100.00 0 -100.00
2024-08-14 2024-06-30 13F SELECT MED HLDGS COM 81619Q105 112,651 89,059 377.50 3,950 455.41 0.0008
2024-05-15 2024-03-31 13F SELECT MED HLDGS COM 81619Q105 23,592 -137,375 -85.34 711 -81.20 0.0001
2024-02-14 2023-12-31 13F SELECT MED HLDGS COM 81619Q105 160,967 -12,408 -7.16 3,783 -13.67 0.0008
2023-11-14 2023-09-30 13F SELECT MED HLDGS COM 81619Q105 173,375 14,865 9.38 4,381 -13.25 0.0009
2023-08-14 2023-06-30 13F SELECT MED HLDGS COM 81619Q105 158,510 -233,772 -59.59 5,050 -50.20 0.0010
2023-05-15 2023-03-31 13F SELECT MED HLDGS COM 81619Q105 392,282 244,200 164.91 10,140 175.84 0.0022
2023-02-14 2022-12-31 13F SELECT MED HLDGS COM 81619Q105 148,082 -7,368 -4.74 3,677 7.02 0.0009
2022-11-14 2022-09-30 13F SELECT MED HLDGS COM 81619Q105 155,450 -22,188 -12.49 3,435 -18.14 0.0008
2022-08-15 2022-06-30 13F SELECT MED HLDGS COM 81619Q105 177,638 -146,896 -45.26 4,196 -46.11 0.0011
2022-05-16 2022-03-31 13F SELECT MED HLDGS COM 81619Q105 324,534 314,220 3,046.54 7,786 2,469.64 0.0016
2022-02-14 2021-12-31 13F SELECT MED HLDGS COM 81619Q105 10,314 10,314 303 0.0001
2022-03-11 2021-09-30 13F/A-1 SELECT MED HLDGS COM 81619Q105 0 -199,876 -100.00 0 -100.00
2021-11-15 2021-09-30 13F SELECT MED HLDGS COM 81619Q105 0 -199,876 0
2021-08-16 2021-06-30 13F SELECT MED HLDGS COM 81619Q105 199,876 -23,134 -10.37 8,447 11.07 0.0019
2021-05-21 2021-03-31 13F/A-1 SELECT MED HLDGS COM 81619Q105 223,010 212,143 1,952.18 7,605 2,426.58 0.0019
2021-05-17 2021-03-31 13F SELECT MED HLDGS COM 81619Q105 223,010 212,143 7,605 0.0019
2021-02-16 2020-12-31 13F SELECT MED HLDGS COM 81619Q105 10,867 -13,596 -55.58 301 -40.86 0.0001
2020-11-16 2020-09-30 13F SELECT MED HLDGS COM 81619Q105 24,463 12,599 106.20 509 190.86 0.0001
2020-08-14 2020-06-30 13F SELECT MED HLDGS Cmn 81619Q105 11,864 -342,072 -96.65 175 -96.70 0.0001
2020-05-15 2020-03-31 13F SELECT MED HLDGS Cmn 81619Q105 353,936 276,701 358.26 5,309 194.45 0.0024
2020-02-14 2019-12-31 13F SELECT MED HLDGS Cmn 81619Q105 77,235 64,805 521.36 1,803 775.24 0.0008
2019-11-14 2019-09-30 13F SELECT MED HLDGS Cmn 81619Q105 12,430 2,109 20.43 206 25.61 0.0001
2019-08-14 2019-06-30 13F SELECT MED HLDGS Cmn 81619Q105 10,321 -465,296 -97.83 164 -97.55 0.0001
2019-05-15 2019-03-31 13F SELECT MED HLDGS Cmn 81619Q105 475,617 150,742 46.40 6,701 34.37 0.0033
2019-02-14 2018-12-31 13F SELECT MED HLDGS Cmn 81619Q105 324,875 156,244 92.65 4,987 60.72 0.0027
2018-11-13 2018-09-30 13F SELECT MED HLDGS Cmn 81619Q105 168,631 127,183 306.85 3,103 312.63 0.0014
2018-08-14 2018-06-30 13F/A-1 SELECT MED HLDGS Cmn 81619Q105 41,448 -23,099 -35.79 752 -32.43 0.0004
2018-08-10 2018-06-30 13F SELECT MED HLDGS Cmn 81619Q105 41,448 -23,099 752
2018-05-14 2018-03-31 13F/A-1 SELECT MED HLDGS Cmn 81619Q105 64,547 3,351 5.48 1,113 3.06 0.0006
2018-05-11 2018-03-31 13F SELECT MED HLDGS Cmn 81619Q105 64,547 3,351 1,113
2018-02-09 2017-12-31 13F SELECT MED HLDGS Cmn 81619Q105 61,196 -53,174 -46.49 1,080 -50.82 0.0007
2017-11-09 2017-09-30 13F SELECT MED HLDGS Cmn 81619Q105 114,370 61,694 117.12 2,196 171.45 0.0017
2017-08-11 2017-06-30 13F SELECT MED HLDGS Cmn 81619Q105 52,676 -18,496 -25.99 809 -14.84 0.0007
2017-05-12 2017-03-31 13F SELECT MED HLDGS Cmn 81619Q105 71,172 43,456 156.79 950 158.86 0.0009
2017-02-10 2016-12-31 13F SELECT MED HLDGS Cmn 81619Q105 27,716 27,716 -61.06 367 -61.37 0.0004
2017-01-31 2016-09-30 13F/A-1 SELECT MEDICAL HOLDINGS Cmn 81619Q105 0 -38,068 -100.00 0 -100.00
2017-01-31 2016-06-30 13F/A-1 SELECT MED HLDGS Cmn 81619Q105 38,068 -207,526 -84.50 414 -85.72 0.0005
2016-08-12 2016-06-30 13F SELECT MEDICAL HOLDINGS Cmn 81619Q105 38,068 414
2017-01-31 2016-03-31 13F/A-1 SELECT MED HLDGS Cmn 81619Q105 245,594 190,029 341.99 2,900 338.07 0.0037
2016-05-13 2016-03-31 13F SELECT MEDICAL HOLDINGS Cmn 81619Q105 245,594 2,900
2017-01-31 2015-12-31 13F/A-1 SELECT MED HLDGS Cmn 81619Q105 55,565 11,114 25.00 662 37.92 0.0007
2016-02-12 2015-12-31 13F SELECT MEDICAL HOLDINGS Cmn 81619Q105 55,565 662
2015-11-16 2015-09-30 13F SELECT MEDICAL HOLDINGS Cmn 81619Q105 44,451 39,298 762.62 480 478.31 0.0005
2015-08-14 2015-06-30 13F SELECT MEDICAL HOLDINGS Cmn 81619Q105 5,153 -27,442 -84.19 83 -82.82 0.0001
2015-05-15 2015-03-31 13F SELECT MEDICAL HOLDINGS Cmn 81619Q105 32,595 1,456 4.68 483 7.81 0.0005
2015-02-17 2014-12-31 13F SELECT MEDICAL HOLDINGS Cmn 81619Q105 31,139 31,139 -4.47 448 -7.25 0.0005
2014-11-14 2014-09-30 13F SELECT MEDICAL HOLDINGS Cmn 81619Q105 0 -9,234 -100.00 0 -100.00
2014-08-14 2014-06-30 13F SELECT MEDICAL HOLDINGS Cmn 81619Q105 9,234 -270,333 -96.70 144 -95.56 0.0002
2014-02-14 2013-12-31 13F SELECT MEDICAL HOLDINGS Cmn 81619Q105 279,567 -328,180 -54.00 3,246 -33.81 0.0042
2013-11-14 2013-09-30 13F SELECT MEDICAL HOLDINGS Cmn 81619Q105 607,747 -592,041 -49.35 4,904 -50.15 0.0075
2013-08-14 2013-06-30 13F SELECT MEDICAL HOLDINGS Cmn 81619Q105 1,199,788 1,199,788 9,838 0.0170
Disclosed Call Options
File
Date
Effective
Date
Form Security Class ID Opt Avg Share
Price
Shares ΔShares
(%)
Value
(x1000)
ΔValue
(%)
Prior Allocation
(%)
Allocation
(%)
ΔAllocation
(%)
Cost Basis
(x1000)
Profit
(x1000)
Return
(%)
2025-08-14 2025-06-30 13F SELECT MED HLDGS COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2025-05-15 2025-03-31 13F SELECT MED HLDGS COM Call 7,700 -26.67 129 -35.03 n/a n/a n/a
2025-02-14 2024-12-31 13F SELECT MED HLDGS COM Call 10,500 200.00 198 61.48 n/a n/a n/a
2024-11-14 2024-09-30 13F SELECT MED HLDGS COM Call 3,500 66.67 122 67.12 n/a n/a n/a
2024-08-14 2024-06-30 13F SELECT MED HLDGS COM Call 2,100 -54.35 74 -47.10 n/a n/a n/a
2024-05-15 2024-03-31 13F SELECT MED HLDGS COM Call 4,600 24.32 139 60.47 n/a n/a n/a
2024-02-14 2023-12-31 13F SELECT MED HLDGS COM Call 3,700 -64.08 87 -66.92 n/a n/a n/a
2023-11-14 2023-09-30 13F SELECT MED HLDGS COM Call 10,300 -5.50 260 -25.07 n/a n/a n/a
2023-08-14 2023-06-30 13F SELECT MED HLDGS COM Call 10,900 319.23 347 417.91 n/a n/a n/a
2023-05-15 2023-03-31 13F SELECT MED HLDGS COM Call 2,600 -67.09 67 -65.82 n/a n/a n/a
2023-02-14 2022-12-31 13F SELECT MED HLDGS COM Call 7,900 196 n/a n/a n/a
2022-11-14 2022-09-30 13F SELECT MED HLDGS COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2022-08-15 2022-06-30 13F SELECT MED HLDGS COM Call 8,700 -27.50 205 -28.82 n/a n/a n/a
2022-05-16 2022-03-31 13F SELECT MED HLDGS COM Call 12,000 -11.11 288 -27.46 n/a n/a n/a
2022-02-14 2021-12-31 13F SELECT MED HLDGS COM Call 13,500 13.45 397 -7.67 n/a n/a n/a
2021-11-15 2021-09-30 13F SELECT MED HLDGS Cmn Call 11,900 -73.85 430 -77.64 n/a n/a n/a
2021-08-16 2021-06-30 13F SELECT MED HLDGS COM Call 45,500 1.79 1,923 26.18 n/a n/a n/a
2021-05-21 2021-03-31 13F/A SELECT MED HLDGS COM Call 44,700 380.65 1,524 493.00 n/a n/a n/a
2021-05-17 2021-03-31 13F SELECT MED HLDGS COM Call 44,700 1,524 n/a n/a n/a
2021-02-16 2020-12-31 13F SELECT MED HLDGS COM Call 9,300 -27.34 257 -3.38 n/a n/a n/a
2020-11-16 2020-09-30 13F SELECT MED HLDGS COM Call 12,800 -26.01 266 4.31 n/a n/a n/a
2020-08-14 2020-06-30 13F SELECT MED HLDGS Cmn Call 17,300 -37.09 255 -38.26 n/a n/a n/a
2020-05-15 2020-03-31 13F SELECT MED HLDGS Cmn Call 27,500 11.79 413 -28.05 n/a n/a n/a
2020-02-14 2019-12-31 13F SELECT MED HLDGS Cmn Call 24,600 52.80 574 124.22 n/a n/a n/a
2019-08-14 2019-06-30 13F SELECT MED HLDGS Cmn Call 16,100 -4.73 256 7.56 n/a n/a n/a
2019-05-15 2019-03-31 13F SELECT MED HLDGS Cmn Call 16,900 -66.20 238 -69.01 n/a n/a n/a
2019-02-14 2018-12-31 13F SELECT MED HLDGS Cmn Call 50,000 362.96 768 285.93 n/a n/a n/a
2018-11-13 2018-09-30 13F SELECT MED HLDGS Cmn Call 10,800 -30.32 199 -29.18 n/a n/a n/a
2018-08-14 2018-06-30 13F/A SELECT MED HLDGS Cmn Call 15,500 -67.30 281 -65.65 n/a n/a n/a
2018-08-10 2018-06-30 13F SELECT MED HLDGS Cmn Call 15,500 281 n/a n/a n/a
2018-05-14 2018-03-31 13F/A SELECT MED HLDGS Cmn Call 47,400 15.33 818 12.83 n/a n/a n/a
2018-05-11 2018-03-31 13F SELECT MED HLDGS Cmn Call 47,400 818 n/a n/a n/a
2018-02-09 2017-12-31 13F SELECT MED HLDGS Cmn Call 41,100 725 n/a n/a n/a
2016-05-13 2016-03-31 13F SELECT MEDICAL HOLDINGS Cmn Call 0 -100.00 0 -100.00 n/a n/a n/a
2017-01-31 2015-12-31 13F/A SELECT MED HLDGS Cmn Call 1,600 -85.59 19 -84.17 n/a n/a n/a
2016-02-12 2015-12-31 13F SELECT MEDICAL HOLDINGS Cmn Call 1,600 19 n/a n/a n/a
2015-11-16 2015-09-30 13F SELECT MEDICAL HOLDINGS Cmn Call 11,100 37.04 120 -8.40 n/a n/a n/a
2015-08-14 2015-06-30 13F SELECT MEDICAL HOLDINGS Cmn Call 8,100 -63.01 131 -59.69 n/a n/a n/a
2015-05-15 2015-03-31 13F SELECT MEDICAL HOLDINGS Cmn Call 21,900 23.03 325 26.95 n/a n/a n/a
2015-02-17 2014-12-31 13F SELECT MEDICAL HOLDINGS Cmn Call 17,800 191.80 256 250.68 n/a n/a n/a
2014-11-14 2014-09-30 13F SELECT MEDICAL HOLDINGS Cmn Call 6,100 662.50 73 508.33 n/a n/a n/a
2014-08-14 2014-06-30 13F SELECT MEDICAL HOLDINGS Cmn Call 800 12 n/a n/a n/a
Disclosed Put Options
File
Date
Effective
Date
Form Security Class ID Opt Avg Share Price Shares ΔShares
(%)
Value
(x1000)
ΔValue
(%)
Prior Allocation
(%)
Allocation
(%)
ΔAllocation
(%)
Cost Basis
(x1000)
Profit
(x1000)
Return
(%)
2025-08-14 2025-06-30 13F SELECT MED HLDGS COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2025-05-15 2025-03-31 13F SELECT MED HLDGS COM Put 2,700 237.50 45 200.00 n/a n/a n/a
2025-02-14 2024-12-31 13F SELECT MED HLDGS COM Put 800 -69.23 15 -83.33 n/a n/a n/a
2024-11-14 2024-09-30 13F SELECT MED HLDGS COM Put 2,600 550.00 91 542.86 n/a n/a n/a
2024-08-14 2024-06-30 13F SELECT MED HLDGS COM Put 400 -86.21 14 -83.91 n/a n/a n/a
2024-05-15 2024-03-31 13F SELECT MED HLDGS COM Put 2,900 -49.12 87 -34.59 n/a n/a n/a
2024-02-14 2023-12-31 13F SELECT MED HLDGS COM Put 5,700 -28.75 134 -34.16 n/a n/a n/a
2023-11-14 2023-09-30 13F SELECT MED HLDGS COM Put 8,000 207.69 202 146.34 n/a n/a n/a
2023-08-14 2023-06-30 13F SELECT MED HLDGS COM Put 2,600 -87.25 83 -84.44 n/a n/a n/a
2023-05-15 2023-03-31 13F SELECT MED HLDGS COM Put 20,400 -16.05 527 -12.60 n/a n/a n/a
2023-02-14 2022-12-31 13F SELECT MED HLDGS COM Put 24,300 603 n/a n/a n/a
2022-08-15 2022-06-30 13F SELECT MED HLDGS COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2022-05-16 2022-03-31 13F SELECT MED HLDGS COM Put 14,800 -11.38 355 -27.70 n/a n/a n/a
2022-02-14 2021-12-31 13F SELECT MED HLDGS COM Put 16,700 65.35 491 34.52 n/a n/a n/a
2021-11-15 2021-09-30 13F SELECT MED HLDGS Cmn Put 10,100 -33.11 365 -42.79 n/a n/a n/a
2021-08-16 2021-06-30 13F SELECT MED HLDGS COM Put 15,100 -48.11 638 -35.69 n/a n/a n/a
2021-05-21 2021-03-31 13F/A SELECT MED HLDGS COM Put 29,100 185.29 992 251.77 n/a n/a n/a
2021-05-17 2021-03-31 13F SELECT MED HLDGS COM Put 29,100 992 n/a n/a n/a
2021-02-16 2020-12-31 13F SELECT MED HLDGS COM Put 10,200 282 n/a n/a n/a
2018-11-13 2018-09-30 13F SELECT MED HLDGS Cmn Put 0 -100.00 0 -100.00 n/a n/a n/a
2018-08-14 2018-06-30 13F/A SELECT MED HLDGS Cmn Put 12,500 -70.17 227 -68.60 n/a n/a n/a
2018-08-10 2018-06-30 13F SELECT MED HLDGS Cmn Put 12,500 227 n/a n/a n/a
2018-05-14 2018-03-31 13F/A SELECT MED HLDGS Cmn Put 41,900 58.11 723 54.49 n/a n/a n/a
2018-05-11 2018-03-31 13F SELECT MED HLDGS Cmn Put 41,900 723 n/a n/a n/a
2018-02-09 2017-12-31 13F SELECT MED HLDGS Cmn Put 26,500 468 n/a n/a n/a
2017-01-31 2016-03-31 13F/A SELECT MEDICAL HOLDINGS Cmn Put 0 -100.00 0 -100.00 n/a n/a n/a
2017-01-31 2015-12-31 13F/A SELECT MED HLDGS Cmn Put 10,800 176.92 129 207.14 n/a n/a n/a
2016-02-12 2015-12-31 13F SELECT MEDICAL HOLDINGS Cmn Put 10,800 129 n/a n/a n/a
2015-11-16 2015-09-30 13F SELECT MEDICAL HOLDINGS Cmn Put 3,900 -76.22 42 -84.21 n/a n/a n/a
2015-08-14 2015-06-30 13F SELECT MEDICAL HOLDINGS Cmn Put 16,400 38.98 266 52.00 n/a n/a n/a
2015-05-15 2015-03-31 13F SELECT MEDICAL HOLDINGS Cmn Put 11,800 175 n/a n/a n/a
2015-02-17 2014-12-31 13F SELECT MEDICAL HOLDINGS Cmn Put 0 -100.00 0 -100.00 n/a n/a n/a
2014-11-14 2014-09-30 13F SELECT MEDICAL HOLDINGS Cmn Put 8,800 4,300.00 106 3,433.33 n/a n/a n/a
2014-08-14 2014-06-30 13F SELECT MEDICAL HOLDINGS Cmn Put 200 3 n/a n/a n/a
Legend
Shares
The total number of shares held by the institution at the end of the reporting period (the effective date). This is provided in the filing.
Value
The total value of the shares as of the effective date. This is provided in the filing.
Avg. Share Price
The weighted average share price of the shares held by the institution. We use FIFO accounting to determine this price
Class
This is the security class as indicated by the filer. There are a variety of values for this field. Common values include "EC" = equity common, "EP" - equity preferred
Allocation (%)
The percent of the institution's portfolio that this position represents. This is provided in NPORT filings. For 13F filings, we calculate it.
Change in Allocation
The change in allocation from the prior reporting period. This is calculated as current allocation - prior allocation.
Change in Allocation (%)
The percent change in allocation from the prior reporting period. This is calculated as (current allocation - prior allocation) / prior allocation.
Cost Basis
The total cost of the shares held. This is calculated as reported shares * avg. share price
Unrealized Gain/Loss
This is the market value of the position as of the effective date minus the cost basis.