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Healthcare Services Group, Inc. (HCSG) 10-Year Financial Performance & Capital Metrics

HCSG •
HealthcareHealthcare FacilitiesHealthcare staffing and facility services
AboutHealthcare Services Group, Inc. provides management, administrative, and operating services to the housekeeping, laundry, linen, facility maintenance, and dietary service departments of nursing homes, retirement complexes, rehabilitation centers, and hospitals in the United States. It operates through two segments, Housekeeping and Dietary. The Housekeeping segment engages in the cleaning, disinfecting, and sanitizing of resident rooms and common areas of the client's facility, as well as laundering and processing of the bed linens, uniforms, resident personal clothing, and other assorted linen items utilized at a client's facility. The Dietary segment provides food purchasing, meal preparation, and professional dietitian services, which include the development of menus that meet the dietary needs of residents. This segment also offers on-site management and clinical consulting services to facilities. As of December 31, 2021, the company provided its services to approximately 3,000 facilities. Healthcare Services Group, Inc. was incorporated in 1976 and is based in Bensalem, Pennsylvania.Show more
  • Revenue $1.84B +7.1%
  • EBITDA $65M -3.7%
  • Net Income $59M +49.6%
  • EPS (Diluted) 0.81 +52.8%
  • Gross Margin 13.03% -2.0%
  • EBITDA Margin 3.56% -10.1%
  • Operating Margin 2.64% -14.9%
  • Net Margin 3.21% +39.7%
  • ROE 10.6% +28.5%
  • ROIC 7.75% -14.9%
  • Debt/Equity 0.03 -4.3%
  • Interest Coverage -
Technical Analysis

Key Insights

Based on financial data analysis

✓Strengths

  • ✓Company is almost debt free
  • ✓Strong Piotroski F-Score: 7/9
  • ✓20 consecutive years of dividend growth
  • ✓Momentum leader: RS Rating 80 (top 20%)
  • ✓High quality earnings: Operating CF exceeds net income
  • ✓Efficient asset utilization: 2.3x turnover

✗Weaknesses

No significant weaknesses identified

* These insights are generated automatically based on available financial data. Please conduct your own research before making investment decisions.

Price & Volume

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Growth Metrics

Revenue CAGR

10Y2.49%
5Y0.86%
3Y2.82%
TTM6.26%

Profit (Net Income) CAGR

10Y0.18%
5Y-9.76%
3Y19.92%
TTM-20.77%

EPS CAGR

10Y0.12%
5Y-9.31%
3Y20.76%
TTM-21.57%

ROCE

10Y Avg14.97%
5Y Avg8.89%
3Y Avg8.77%
Latest7.79%

Peer Comparison

Healthcare staffing and facility services
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Size & Scale
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Sector-Specific
NameMarket CapCurrent PriceP/E RatioRevenue Growth 1YNet MarginROEFCF YieldDebt/Equity
CCELCryo-Cell International, Inc.27.15M3.3767.402.05%1.26%13.29%
HCSGHealthcare Services Group, Inc.1.67B21.7726.887.08%2.2%8.01%8.32%0.03
SOLVSolventum Corporation12.87B74.208.360.86%18.69%30.82%1.00
AMSAmerican Shared Hospital Services13.74M2.116.3932.9%-7.65%-7.87%0.77
SYRASyra Health Corp. Class A Common Stock60K0.10-0.1944.73%-16.89%-57.31%0.16
AMNAMN Healthcare Services, Inc.987.48M19.48-5.06-21.26%-3.5%-14.9%24.26%1.55
CCRNCross Country Healthcare, Inc.280.81M8.70-19.77-33.46%-1.39%-3.84%39.67%0.01

Compare HCSG vs Peers

Analyze head-to-head performance against top industry competitors across valuation, growth, and profitability metrics.

vs SOLV

Compare head-to-head with Solventum Corporation

vs AMN

Compare head-to-head with AMN Healthcare Services, Inc.

Compare Top 5

vs SOLV, AMN, CCRN, CCEL

Profit & Loss

Dec 2016Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024Dec 2025
Sales/Revenue+1.56B1.87B2.01B1.84B1.76B1.64B1.69B1.67B1.72B1.84B
Revenue Growth %8.76%19.42%7.65%-8.37%-4.37%-6.72%2.94%-1.11%2.65%7.08%
Cost of Goods Sold+1.34B1.61B1.77B1.61B1.49B1.41B1.5B1.46B1.49B1.6B
COGS % of Revenue85.72%86.41%88.21%87.62%84.78%85.96%88.56%87.15%86.71%86.97%
Gross Profit+223.17M253.62M236.84M227.9M267.99M230.57M193.31M214.75M228.09M239.41M
Gross Margin %14.28%13.59%11.79%12.38%15.22%14.04%11.44%12.85%13.29%13.03%
Gross Profit Growth %11.17%13.64%-6.62%-3.77%17.59%-13.96%-16.16%11.09%6.21%4.96%
Operating Expenses+105.42M126.73M136.6M150.02M267.99M166.43M149.52M160.09M174.82M190.87M
OpEx % of Revenue6.75%6.79%6.8%8.15%15.22%10.14%8.85%9.58%10.19%10.39%
Selling, General & Admin105.42M126.73M136.6M150.02M141.58M166.43M149.52M160.09M174.82M190.87M
SG&A % of Revenue6.75%6.79%6.8%8.15%8.04%10.14%8.85%9.58%10.19%10.39%
Research & Development0000000000
R&D % of Revenue----------
Other Operating Expenses0000126.41M00000
Operating Income+117.75M126.89M100.24M77.88M064.13M43.79M54.66M53.27M48.54M
Operating Margin %7.54%6.8%4.99%4.23%-3.91%2.59%3.27%3.1%2.64%
Operating Income Growth %32.23%7.76%-21%-22.31%-100%--31.72%24.82%-2.54%-8.88%
EBITDA+125.25M135.78M109.51M91.82M144.83M78.8M59.1M69M67.86M65.32M
EBITDA Margin %8.02%7.28%5.45%4.99%8.23%4.8%3.5%4.13%3.96%3.56%
EBITDA Growth %29.51%8.4%-19.35%-16.15%57.73%-45.59%-24.99%16.74%-1.66%-3.74%
D&A (Non-Cash Add-back)7.5M8.89M9.27M13.94M14.27M14.67M15.32M14.34M14.59M16.78M
EBIT119.25M134.33M103M88.56M130.56M66.9M47.54M60.91M59.38M48.54M
Net Interest Income+0-1.36M-3.09M-3.46M-1.37M-1.39M-2.99M-7.86M-6.44M0
Interest Income0000000000
Interest Expense01.36M3.09M3.46M1.37M1.39M2.99M7.86M6.44M0
Other Income/Expense2.63M6.08M2.07M7.22M129.19M1.38M764K-1.6M-330K19.33M
Pretax Income+120.39M132.97M99.91M85.1M129.19M65.51M44.55M53.06M52.94M67.87M
Pretax Margin %7.7%7.13%4.97%4.62%7.34%3.99%2.64%3.17%3.09%3.69%
Income Tax+42.99M44.74M16.39M20.52M30.5M16.97M10.31M14.67M13.47M8.81M
Effective Tax Rate %64.29%66.35%83.6%75.89%76.39%74.1%76.86%72.35%74.56%87.02%
Net Income+77.4M88.23M83.52M64.58M98.68M48.54M34.24M38.39M39.47M59.06M
Net Margin %4.95%4.73%4.16%3.51%5.61%2.96%2.03%2.3%2.3%3.21%
Net Income Growth %33.39%13.99%-5.33%-22.68%52.8%-50.81%-29.46%12.1%2.83%49.63%
Net Income (Continuing)77.4M88.23M83.52M64.58M98.68M48.54M34.24M38.39M39.47M59.06M
Discontinued Operations0000000000
Minority Interest0000000000
EPS (Diluted)+1.051.191.120.871.320.650.460.520.530.81
EPS Growth %31.25%13.33%-5.88%-22.32%51.72%-50.76%-29.23%13.04%1.92%52.83%
EPS (Basic)1.061.201.130.871.320.650.460.520.540.82
Diluted Shares Outstanding73.47M74.35M74.61M74.59M74.78M74.96M74.35M74.34M73.99M73.03M
Basic Shares Outstanding72.75M73.36M74M74.36M74.7M74.82M74.34M74.29M73.75M72.38M
Dividend Payout Ratio68.92%62.62%68.48%91.28%61.52%128.19%185.07%---

Balance Sheet

Dec 2016Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024Dec 2025
Total Current Assets+414.62M527.41M508.14M515.73M572.4M546.38M508.63M571.7M556.65M576.41M
Cash & Short-Term Investments91.58M82.78M102.39M118.04M264.34M185.19M121.48M147.46M135.77M167.96M
Cash Only23.85M9.56M26.02M27.33M139.33M70.79M26.28M54.33M85.24M125.19M
Short-Term Investments67.73M73.22M76.36M90.71M125.01M114.4M95.2M93.13M50.53M42.77M
Accounts Receivable271.28M378.72M341.84M340.93M255.47M302.2M336.78M383.51M382.34M312.55M
Days Sales Outstanding63.3674.0762.1167.652.9767.1872.7383.7581.3462.09
Inventory37.8M42.39M41.44M36.52M31.59M26.02M21.16M18.48M16.75M16.8M
Days Inventory Outstanding10.39.68.548.267.736.735.164.634.113.84
Other Current Assets0022.47M20.25M21M029.21M22.25M21.8M79.11M
Total Non-Current Assets+113.82M148.6M184.47M214.98M221.04M240.42M209.7M231.49M258.82M217.84M
Property, Plant & Equipment13.46M13.51M12.9M28.82M26.56M28.1M22.98M28.77M28.2M27.59M
Fixed Asset Turnover116.14x138.14x155.72x63.87x66.27x58.43x73.57x58.09x60.84x66.60x
Goodwill44.44M51.08M51.08M51.08M51.08M74.75M75.53M75.53M75.53M79.8M
Intangible Assets14.41M30.88M26.52M22.35M18.19M20.8M15.95M12.13M9.44M6.96M
Long-Term Investments21.83M36.86M51.6M46.99M34.42M29.26M32.61M24.83M41.05M25.21M
Other Non-Current Assets9.87M8.76M21.81M37.25M46.82M46.69M34.3M42.47M53.73M59.81M
Total Assets+528.45M676M692.6M730.71M793.45M786.8M718.33M803.18M815.47M794.25M
Asset Turnover2.96x2.76x2.90x2.52x2.22x2.09x2.35x2.08x2.10x2.31x
Asset Growth %9.88%27.92%2.46%5.5%8.59%-0.84%-8.7%11.81%1.53%-2.6%
Total Current Liabilities+100.87M184.17M163.39M148.65M162.26M191.13M178.62M216.93M192.55M170.38M
Accounts Payable42.91M74.46M61.47M54.42M52.24M64.42M68.3M83.22M81.15M77.38M
Days Payables Outstanding11.6916.8612.6612.3112.7816.6616.6520.8519.9117.68
Short-Term Debt035.38M30M15.18M5.3M6.5M25M25M8.4M0
Deferred Revenue (Current)0-87.6M7.14M0000000
Other Current Liabilities27.97M26.81M29.59M34.57M34.11M44.55M41M041.53M170.38M
Current Ratio4.11x2.86x3.11x3.47x3.53x2.86x2.85x2.64x2.89x3.38x
Quick Ratio3.74x2.63x2.86x3.22x3.33x2.72x2.73x2.55x2.80x3.28x
Cash Conversion Cycle61.9766.8257.9963.5547.9257.2561.2467.5365.5448.25
Total Non-Current Liabilities+88.73M91.88M88.43M121.75M150.73M143M113.54M129.64M123M113.67M
Long-Term Debt0000000009.66M
Capital Lease Obligations00011.65M11.36M11.3M8.1M11.23M8.03M9.66M
Deferred Tax Liabilities9.98M7.27M7.2M8.12M8.42M9.27M7.07M12.53M12.7M0
Other Non-Current Liabilities88.73M91.88M88.43M101.99M130.95M122.43M105.45M105.87M102.27M94.35M
Total Liabilities189.6M276.05M251.82M270.4M312.99M334.12M292.16M346.57M315.55M180.03M
Total Debt+035.38M30M26.83M16.66M17.8M33.1M43.63M16.43M19.32M
Net Debt-23.85M25.82M3.98M-501K-122.67M-52.99M6.82M-10.7M-68.8M-115.53M
Debt / Equity-0.09x0.07x0.06x0.03x0.04x0.08x0.10x0.03x0.03x
Debt / EBITDA-0.26x0.27x0.29x0.12x0.23x0.56x0.63x0.24x0.30x
Net Debt / EBITDA-0.19x0.19x0.04x-0.01x-0.85x-0.67x0.12x-0.15x-1.01x-1.77x
Interest Coverage-93.10x32.40x22.51x-46.31x14.66x6.96x8.27x-
Total Equity+338.84M399.95M440.78M460.31M480.46M452.68M426.17M456.62M499.93M614.22M
Equity Growth %14.3%18.04%10.21%4.43%4.38%-5.78%-5.86%7.14%9.49%22.86%
Book Value per Share4.615.385.916.176.426.045.736.146.768.41
Total Shareholders' Equity338.84M399.95M440.78M460.31M480.46M452.68M426.17M456.62M499.93M510.21M
Common Stock742K750K753K756K758K760K762K763K765K768K
Retained Earnings130.94M163.86M190.09M195.46M200.89M183.96M154.5M185.01M224.56M283.67M
Treasury Stock-10.19M-9.86M-9.66M-9.44M-8.96M-30.16M-27.91M-37.75M-41.44M0
Accumulated OCI-319K837K158K2.92M5.56M4M-3.48M-1.84M-2.32M-448K
Minority Interest0000000000

Cash Flow

Dec 2016Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024Dec 2025
Cash from Operations+41.4M7.63M80.03M93.58M217.21M37.11M-8.17M43.5M30.8M144.97M
Operating CF Margin %2.65%0.41%3.98%5.08%12.34%2.26%-0.48%2.6%1.8%7.89%
Operating CF Growth %-34.66%-81.57%948.9%16.93%132.11%-82.92%-122.01%632.61%-29.19%370.64%
Net Income77.4M88.23M83.52M64.58M98.68M45.86M34.63M38.39M39.47M59.06M
Depreciation & Amortization7.5M8.89M9.27M13.94M14.27M14.67M15.32M14.34M14.59M17.07M
Stock-Based Compensation4.25M276K5.9M6.87M7.87M8.83M9.21M8.98M9.16M12.01M
Deferred Taxes20K1.89M-13.01M-684K-5.89M3.07M5.05M-4.82M-2.94M19.2M
Other Non-Cash Items4.89M3.04M54.19M19.66M3.4M7.83M42.4M30.77M40.72M37.63M
Working Capital Changes-52.66M-94.68M-59.84M-10.78M98.88M-43.15M-114.77M-44.16M-70.19M0
Change in Receivables-61.05M-121.64M-44.36M-29.53M38.08M-37.19M-78.71M-74.56M-61.81M0
Change in Inventory-1.49M-1.87M950K4.76M4.93M5.6M4.85M2.69M1.73M-48K
Change in Payables-4.25M11.2M-9.14M-9.53M-7.25M10.24M-13.75M7.43M-9.74M-12.06M
Cash from Investing+-6.45M-14.97M-9.59M-16.46M-36.84M-22.99M2.58M-3.29M6.05M-11M
Capital Expenditures-5.44M-5.4M-4.94M-4.37M-4.34M-5.69M-5.21M-5.41M-6.34M-5.82M
CapEx % of Revenue0.35%0.29%0.25%0.24%0.25%0.35%0.31%0.32%0.37%0.32%
Acquisitions275K-4.58M640K199K0-23.88M-114K0-2.75M0
Investments----------
Other Investing275K338K640K0274K211K393K121K211K-9.67M
Cash from Financing+-44.28M-6.96M-53.98M-75.82M-68.37M-82.65M-38.93M-12.15M-31.05M-63.33M
Debt Issued (Net)035.38M-5.38M-20M-10M025M0-25M0
Equity Issued (Net)109K95K89K1000K93K-1000K106K-1000K-1000K0
Dividends Paid-53.34M-55.24M-57.2M-58.95M-60.7M-62.23M-63.37M000
Share Repurchases00000-21.54M0-11.28M-5.02M-61.59M
Other Financing8.95M12.81M8.52M-587K2.25M1.01M-661K-871K-1.03M-63.33M
Net Change in Cash-9.34M-14.3M16.47M1.3M112M-68.54M-44.52M28.05M5.8M70.64M
Free Cash Flow+35.96M2.23M75.09M89.21M212.87M31.42M-13.38M38.09M24.47M139.15M
FCF Margin %2.3%0.12%3.74%4.85%12.09%1.91%-0.79%2.28%1.43%7.57%
FCF Growth %-38.39%-93.79%3262.79%18.81%138.61%-85.24%-142.57%384.76%-35.77%468.75%
FCF per Share0.490.031.011.202.850.42-0.180.510.331.91
FCF Conversion (FCF/Net Income)0.53x0.09x0.96x1.45x2.20x0.76x-0.24x1.13x0.78x2.45x
Interest Paid574K1.36M3.09M3.46M1.37M1.39M2.82M7.81M6.49M0
Taxes Paid32.53M35.37M37.68M20.03M44.87M21.23M3.31M5.58M15.23M0

Key Ratios

Metric2016201720182019202020212022202320242025
Return on Equity (ROE)24.37%23.88%19.87%14.33%20.98%10.4%7.79%8.7%8.25%10.6%
Return on Invested Capital (ROIC)30.55%25.69%17.27%12.91%-12.7%7.89%9.33%9.11%7.75%
Gross Margin14.28%13.59%11.79%12.38%15.22%14.04%11.44%12.85%13.29%13.03%
Net Margin4.95%4.73%4.16%3.51%5.61%2.96%2.03%2.3%2.3%3.21%
Debt / Equity-0.09x0.07x0.06x0.03x0.04x0.08x0.10x0.03x0.03x
Interest Coverage-93.10x32.40x22.51x-46.31x14.66x6.96x8.27x-
FCF Conversion0.53x0.09x0.96x1.45x2.20x0.76x-0.24x1.13x0.78x2.45x
Revenue Growth8.76%19.42%7.65%-8.37%-4.37%-6.72%2.94%-1.11%2.65%7.08%

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