Sunday 11 October 2026
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Healthcare Services Group, Inc.
HCSG Healthcare Medical Care Facilities
Healthcare Services Group, Inc.’s revenue for fiscal 2025 (year ended December 2025) was $1.8 billion, up 7.08% from fiscal 2024. In the quarter to June 2026, revenue grew 2.69%, EPS grew 175.0% and free cash flow fell 26.0%, each against the same quarter a year earlier. Dividend growth for ten consecutive years.
20.59
0.07
−0.34%
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Target Price Range
Analyst price targets
Free accountTen years at a glance Fiscal years to December
| Group | Line | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 | Trend | 2026e | 2027e | 2028e |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Price, $ | |||||||||||||||
| Price, $ | Low | 31.50 | 37.54 | 35.04 | 21.16 | 15.80 | 16.25 | 11.55 | 8.75 | 8.98 | 9.13 |
Analyst estimates 2026–2028 Powerpack |
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| High | 42.18 | 55.68 | 56.20 | 44.76 | 31.30 | 35.80 | 20.54 | 15.97 | 13.00 | 20.26 | |||||
| People | |||||||||||||||
| People | Employees | 48,900 | 55,000 | 55,000 | 51,000 | 44,200 | 39,200 | 35,700 | 33,400 | 35,300 | 36,000 | ||||
| Revenue/emp, $m | 0.03 | 0.03 | 0.04 | 0.04 | 0.04 | 0.04 | 0.05 | 0.05 | 0.05 | 0.05 | |||||
| Income, $m | |||||||||||||||
| Income, $m | Revenue | 1,563 | 1,861 | 2,003 | 1,841 | 1,760 | 1,642 | 1,690 | 1,671 | 1,716 | 1,837 | ||||
| Gross margin, % | 14.28 | 13.47 | 11.71 | 12.38 | 15.22 | 14.04 | 11.44 | 12.85 | 13.29 | 13.03 | |||||
| EBT | 120 | 133 | 100 | 85 | 129 | 66 | 45 | 53 | 53 | 68 | |||||
| EBT margin, % | 7.70 | 7.14 | 4.99 | 4.62 | 7.34 | 3.99 | 2.64 | 3.17 | 3.09 | 3.69 | |||||
| Net income | 77 | 88 | 84 | 65 | 99 | 49 | 34 | 38 | 39 | 59 | |||||
| Depreciation | 9 | 10 | 11 | 15 | 16 | 17 | 18 | 16 | 16 | 17 | |||||
| Per share, $ | |||||||||||||||
| Per share, $ | Revenue | 21.48 | 25.37 | 27.06 | 24.75 | 23.57 | 21.95 | 22.74 | 22.50 | 23.26 | 25.38 | ||||
| Earnings | 1.06 | 1.20 | 1.13 | 0.87 | 1.32 | 0.61 | 0.47 | 0.52 | 0.54 | 0.82 | |||||
| Cash flow | 0.57 | 0.10 | 1.08 | 1.26 | 2.91 | 0.50 | (0.11) | 0.59 | 0.42 | 2.00 | |||||
| Capex | (0.07) | (0.07) | (0.06) | (0.06) | (0.05) | (0.07) | (0.06) | (0.07) | (0.08) | (0.08) | |||||
| Free cash flow | 0.50 | 0.04 | 1.02 | 1.20 | 2.85 | 0.42 | (0.17) | 0.51 | 0.33 | 1.92 | |||||
| Book value | 4.66 | 5.45 | 5.96 | 6.19 | 6.43 | 6.05 | 5.63 | 6.15 | 6.78 | 7.05 | |||||
| Shares, m | 73 | 73 | 74 | 74 | 75 | 75 | 74 | 74 | 74 | 72 | |||||
| Valuation, × | |||||||||||||||
| Valuation, × | P/E | 36.09 | 42.99 | 35.53 | 28.28 | 21.29 | 27.15 | 26.92 | 20.08 | 21.52 | 23.32 | ||||
| P/S | 1.80 | 2.03 | 1.48 | 0.98 | 1.19 | 0.81 | 0.55 | 0.47 | 0.50 | 0.75 | |||||
| P/B | 8.29 | 9.46 | 6.75 | 3.93 | 4.37 | 2.94 | 2.22 | 1.73 | 1.71 | 2.71 | |||||
| EV/Sales | 1.74 | 2.01 | 1.45 | 0.92 | 1.05 | 0.70 | 0.49 | 0.40 | 0.44 | 0.66 | |||||
| EV/FCF | 75.02 | 1,453.52 | 38.31 | 19.02 | 8.63 | 36.43 | (64.13) | 17.48 | 30.24 | 8.65 | |||||
| Cash, $m | |||||||||||||||
| Cash, $m | Operating cash flow | 41 | 8 | 80 | 94 | 217 | 37 | (8) | 43 | 31 | 145 | ||||
| Capex | (5) | (5) | (4) | (4) | (4) | (5) | (5) | (5) | (6) | (6) | |||||
| Free cash flow | 36 | 3 | 76 | 89 | 213 | 32 | (13) | 38 | 25 | 139 | |||||
| Balance, $m | |||||||||||||||
| Balance, $m | Working capital | 314 | 343 | 345 | 367 | 410 | 355 | 320 | 355 | 364 | 406 | ||||
| Total debt | — | 35 | 30 | 10 | 5 | 7 | 25 | 25 | — | — | |||||
| Net debt | (92) | (47) | (72) | (108) | (259) | (179) | (96) | (122) | (136) | (204) | |||||
| Shareholders’ equity | 339 | 400 | 441 | 460 | 480 | 453 | 418 | 457 | 500 | 510 | |||||
| Returns, % | |||||||||||||||
| Returns, % | ROA | 15.34 | 14.65 | 12.21 | 9.13 | 13.09 | 6.21 | 4.57 | 5.08 | 4.95 | 7.40 | ||||
| ROIC | 29.76 | 21.96 | 16.60 | 13.82 | 33.08 | 13.11 | 10.29 | 8.97 | 7.73 | 9.90 | |||||
| ROE | 24.37 | 23.88 | 19.87 | 14.33 | 20.98 | 10.40 | 7.86 | 8.77 | 8.25 | 11.69 | |||||
Negative figures in brackets.
Fiscal years to Dec 2025 · latest quarter Jun 2026
Charts ten years each
Healthcare Services Group, Inc. vs peers in Medical Care Facilities (Q) = latest quarter vs a year earlier
| Company | Market cap | P/E | Fwd P/E | Revenue growth (Q) | EPS growth (Q) | FCF growth (Q) | Gross margin (Q) | EBIT margin (Q) | Compare |
|---|---|---|---|---|---|---|---|---|---|
| CMPS COMPASS Pathways PLC Sponsored ADR | $1.6B | — (loss-making) | — | — | n/m | −4.18% (below 0%: shrinking) | — | 0.00% | Compare |
| ARDT Ardent Health, Inc. | $1.6B | 20.5× | 7.7× | −1.40% (below 0%: shrinking) | −76.92% (below 0%: shrinking) | +121.70% (above 0%: growing) | 100.00% | 3.44% | Compare |
| HCSG Healthcare Services Group, Inc. | $1.4B | 11.9× | 19.2× | +2.69% (above 0%: growing) | n/m | −26.02% (below 0%: shrinking) | 15.89% | 4.72% | |
| AGL Agilon Health, Inc. | $1.4B | — (loss-making) | — (loss-making) | +7.15% (above 0%: growing) | n/m | −50.19% (below 0%: shrinking) | 7.17% | 0.79% | Compare |
| PNTG The Pennant Group, Inc. | $1.4B | 42.3× | 26.9× | +35.76% (above 0%: growing) | +23.81% (above 0%: growing) | −50.94% (below 0%: shrinking) | 14.07% | 5.77% | Compare |
| NUTX Nutex Health Inc. | $1.4B | 7.9× | 6.3× | −13.62% (below 0%: shrinking) | n/m | +19.44% (above 0%: growing) | 67.04% | 57.75% | Compare |
| AMN AMN Healthcare Services Inc | $1.4B | 13.5× | 31.2× | +2.29% (above 0%: growing) | n/m | −389.43% (below 0%: shrinking) | 30.58% | 4.00% | Compare |
| USPH U.S. Physical Therapy, Inc. | $1.3B | 498× | 27.7× | +8.47% (above 0%: growing) | −56.90% (below 0%: shrinking) | −8.24% (below 0%: shrinking) | 19.59% | 10.25% | Compare |
| INNV InnovAge Holding Corp. | $1.2B | — (loss-making) | 17.2× | +18.31% (above 0%: growing) | n/m | +85.44% (above 0%: growing) | 23.88% | 3.87% | Compare |
| Median of peers | $1.4B | 20.5× | 22.0× | +7.15% | −56.90% | −6.21% | 23.88% | 3.93% |
Healthcare Services Group, Inc. (HCSG) key facts
- Strength: Healthcare Services Group, Inc.’s revenue for fiscal 2025 (year ended December 2025) was $1.8 billion, up 7.08% from fiscal 2024.
- Healthcare Services Group, Inc. (HCSG) is a Medical Care Facilities company in the Healthcare sector, listed on Nasdaq.
- As of October 9, 2026, HCSG traded at $20.59, a market capitalization of $1.4 billion.
- Return on equity was 11.7% and debt-to-equity 0.00.
- Its Piotroski F-score is 8 out of 9 and its Altman Z-score is 6.55 (safe zone) for fiscal 2025.