SEM Long Put Strategy

SEM (Select Medical Holdings Corporation), in the Healthcare sector, (Medical - Care Facilities industry), listed on NYSE.

Select Medical Holdings Corporation, through its subsidiaries, operates critical illness recovery hospitals, rehabilitation hospitals, outpatient rehabilitation clinics, and occupational health centers in the United States. The company's Critical Illness Recovery Hospital segment consists of hospitals that provide services for heart failure, infectious disease, respiratory failure and pulmonary disease, surgery requiring prolonged recovery, renal disease, neurological events, and trauma. Its Rehabilitation Hospital segment offers therapy and rehabilitation treatments, including rehabilitative services for brain and spinal cord injuries, strokes, amputations, neurological disorders, orthopedic conditions, pediatric congenital or acquired disabilities, and cancer. The company's Outpatient Rehabilitation segment operates rehabilitation clinics that provide physical, occupational, and speech rehabilitation programs and services; and specialized programs, such as functional programs for work related injuries, hand therapy, post-concussion rehabilitation, pediatric and cancer rehabilitation, and athletic training services. Its Concentra segment operates and provides occupational health centers and contract services at employer worksites that deliver occupational medicine, consumer health, physical therapy, and wellness services. As of December 31, 2021, the company operated 104 critical illness recovery hospitals in 28 states; 30 rehabilitation hospitals in 12 states; 1,881 outpatient rehabilitation clinics in 38 states and the District of Columbia; and 518 occupational health centers in 41 states, and 134 onsite clinics at employer worksites states.

SEM (Select Medical Holdings Corporation) trades in the Healthcare sector, specifically Medical - Care Facilities, with a market capitalization of approximately $2.04B, a trailing P/E of 15.23, a beta of 0.80 versus the broader market, a 52-week range of 11.65-16.99, average daily share volume of 2.3M, a public-listing history dating back to 2009, approximately 30K full-time employees. These structural characteristics shape how SEM stock options price implied volatility around earnings windows, capital events, and macro-driven sector rotations.

A beta of 0.80 places SEM roughly in line with broader market moves, so the strategy payoff and realized volatility track the index-equivalent baseline. SEM pays a dividend, which adjusts put-call parity and shifts the ex-dividend pricing across the listed chain.

What is a long put on SEM?

A long put buys downside exposure with a fixed maximum loss equal to the premium paid; profit accrues if the underlying closes below the strike minus premium at expiration.

Current SEM snapshot

As of May 15, 2026, spot at $16.51, ATM IV 155.20%, IV rank 45.32%, expected move 2.24%. The long put on SEM below is built from the same end-of-day chain, with strikes snapped to listed contracts and premiums pulled from the bid/ask midpoint at a 34-day expiry.

Why this long put structure on SEM specifically: SEM IV at 155.20% is mid-range versus its 1-year history, so strategy selection should anchor more to the directional thesis than to the IV regime, with a market-implied 1-standard-deviation move of approximately 2.24% (roughly $0.37 on the underlying). The 34-day window matched to the front-month expiry keeps theta exposure bounded while still capturing the post-snapshot move; longer-dated SEM expiries trade a higher absolute premium for lower per-day decay. Position sizing on SEM should anchor to the underlying notional of $16.51 per share and to the trader's directional view on SEM stock.

SEM long put setup

The SEM long put below is built from the end-of-day chain, with each option leg priced at the bid/ask midpoint of its listed strike. With SEM near $16.51, the first option leg uses a $16.51 strike; additional legs (when the strategy has them) anchor to spot-relative offsets. Premiums come from the bid/ask midpoint on the listed SEM chain at a 34-day expiry; the cross-strike IV skew is reflected directly in the per-leg values rather than approximated. Quantity sizing assumes one contract per option leg (or 100 SEM shares for the stock leg in covered calls and collars).

ActionTypeStrike / BasisPremium (est)
Buy 1Put$16.51N/A

SEM long put risk and reward

Net Premium / Debit
N/A
Max Profit (per contract)
Unbounded
Max Loss (per contract)
Unbounded
Breakeven(s)
None on modeled curve
Risk / Reward Ratio
N/A

Max profit equals the strike minus premium times 100 (reached at zero); max loss equals the premium times 100. Breakeven is strike minus premium.

SEM long put payoff curve

Modeled P&L at expiration across a range of underlying prices for the long put on SEM. Each row is one sampled price point from the computed payoff curve; the full curve uses 200 price points internally before being summarized into 10 rows here.

When traders use long put on SEM

Long puts on SEM hedge an existing long SEM stock position or express a bearish view with defined risk; position sizing typically scales the put notional to the underlying SEM exposure being hedged.

SEM thesis for this long put

The market-implied 1-standard-deviation range for SEM extends from approximately $16.14 on the downside to $16.88 on the upside. A SEM long put expresses a directional view that the underlying closes below the strike minus premium at expiration, frequently sized to hedge an existing long SEM position with one put per 100 shares held. Current SEM IV rank near 45.32% is mid-range against its 1-year distribution, so the IV signal is neutral; the long put thesis on SEM should anchor more to the directional view and the expected-move geometry. As a Healthcare name, SEM options can move on sector-level news flow (peer earnings, regulatory updates, industry-specific macro data) in addition to SEM-specific events.

SEM long put positions are structurally bearish; the modeled P&L assumes European-style exercise at expiration and ignores early assignment, transaction costs, dividends paid before expiry on the stock leg (when present), and the bid-ask spread on the listed chain. SEM positions also carry Healthcare sector concentration risk; news flow inside the sector (peer earnings, regulatory shifts, supply-chain headlines) can move SEM alongside the broader basket even when SEM-specific fundamentals are unchanged. Long-premium structures like a long put on SEM are particularly exposed to IV-crush risk through scheduled events (earnings, FDA decisions, central-bank meetings) where IV typically contracts post-event regardless of the directional outcome. Always rebuild the position from current SEM chain quotes before placing a trade.

Frequently asked questions

What is a long put on SEM?
A long put on SEM is the long put strategy applied to SEM (stock). The strategy is structurally bearish: A long put buys downside exposure with a fixed maximum loss equal to the premium paid; profit accrues if the underlying closes below the strike minus premium at expiration. With SEM stock trading near $16.51, the strikes shown on this page are snapped to the nearest listed SEM chain strike and the premiums come straight from the end-of-day bid/ask midpoint.
How are SEM long put max profit and max loss calculated?
Max profit equals the strike minus premium times 100 (reached at zero); max loss equals the premium times 100. Breakeven is strike minus premium. For the SEM long put priced from the end-of-day chain at a 30-day expiry (ATM IV 155.20%), the computed maximum profit is unbounded per contract and the computed maximum loss is unbounded per contract. Live intraday quotes will differ as the chain moves through the trading session.
What is the breakeven for a SEM long put?
The breakeven for the SEM long put priced on this page is no defined breakeven on the modeled curve at expiration, derived from end-of-day chain premiums. Breakeven is the underlying price at which the strategy's P&L crosses zero ignoring transaction costs and assignment risk. The current SEM market-implied 1-standard-deviation expected move is approximately 2.24%; if the move sits well outside the breakeven distance, the structure's risk-reward becomes correspondingly tighter.
When should you consider a long put on SEM?
Long puts on SEM hedge an existing long SEM stock position or express a bearish view with defined risk; position sizing typically scales the put notional to the underlying SEM exposure being hedged.
How does current SEM implied volatility affect this long put?
SEM ATM IV is at 155.20% with IV rank near 45.32%, which is mid-range against its 1-year history. Strategy selection depends more on directional thesis and expected move than on a strong IV signal.

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