The company maintains a conservative capital structure with a negligible debt-to-equity ratio of 0.03 as of 2026Q1, providing a necessary buffer against sector-specific credit risks.
| Metric | TTM | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 | Dec'09 | Dec'08 | Dec'07 | Dec'06 | Dec'05 | Dec'04 | Dec'03 | Dec'02 | Dec'01 | Dec'00 | Dec'99 | Dec'98 | Dec'97 | Dec'96 |
|---|
| Total Current Assets | 601.23M | 576.41M | 556.65M | 571.7M | 508.63M | 546.38M | 572.4M | 515.73M | 508.14M | 527.41M | 414.62M | 365.95M | 334.83M | 309.19M | 267.85M | 232.12M | 221.78M | 212.17M | 206.62M | 195.1M | 168.24M | 165.62M | 145.27M | 138.11M | 114.78M | 100.61M | 88.12M | 78.9M | 72.7M | 65.5M | 66.1M |
| Cash & Short-Term Investments | 178.61M | 203.89M | 135.77M | 147.46M | 121.48M | 185.19M | 264.34M | 118.04M | 102.39M | 82.78M | 91.58M | 102.69M | 87.08M | 75.6M | 90.27M | 69.98M | 83.13M | 83.95M | 86.91M | 92.46M | 73M | 91M | 74.85M | 64.18M | 48.32M | 34.26M | 22.84M | 17.2M | 17.2M | 17.8M | 22.7M |
| Cash Only | 136.17M | 161.12M | 85.24M | 54.33M | 26.28M | 70.79M | 139.33M | 27.33M | 26.02M | 9.56M | 23.85M | 33.19M | 75.28M | 64.16M | 68.95M | 38.64M | 39.69M | 31.3M | 37.5M | 92.46M | 73M | 91M | 74.85M | 64.18M | 48.32M | 34.26M | 22.84M | 17.2M | 17.2M | 17.8M | 22.7M |
| Short-Term Investments | 42.44M | 42.77M | 50.53M | 93.13M | 95.2M | 114.4M | 125.01M | 90.71M | 76.36M | 73.22M | 67.73M | 69.5M | 11.8M | 11.45M | 21.32M | 31.34M | 43.44M | 52.65M | 49.41M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Accounts Receivable | 342.74M | 334.79M | 382.34M | 383.51M | 343.41M | 302.2M | 255.47M | 340.93M | 341.84M | 378.72M | 271.28M | 214.85M | 198.13M | 189.11M | 140.22M | 130.74M | 108.43M | 104.36M | 96.56M | 82.95M | 78.09M | 59.2M | 55.73M | 58.15M | 51.75M | 54.08M | 52.74M | 48.6M | 45.1M | 36.6M | 33.3M |
| Days Sales Outstanding | 65.56 | 66.51 | 81.34 | 83.75 | 74.16 | 67.18 | 52.97 | 67.6 | 62.11 | 74.07 | 63.36 | 54.58 | 55.92 | 60.03 | 47.5 | 53.68 | 51.13 | 54.99 | 58.47 | 52.41 | 55.71 | 46.34 | 45.96 | 55.89 | 57.5 | 69.45 | 75.6 | 76.33 | 80.34 | 73.64 | 74.8 |
| Inventory | 15.89M | 16.8M | 16.75M | 18.48M | 21.16M | 26.02M | 31.59M | 36.52M | 41.44M | 42.39M | 37.8M | 36.31M | 35.46M | 32.45M | 28.68M | 25.14M | 20.61M | 16.97M | 16.08M | 15.12M | 12.64M | 11.73M | 11.02M | 10.45M | 8.63M | 7.94M | 8.38M | 8.6M | 7.8M | 7.3M | 7.4M |
| Days Inventory Outstanding | 3.83 | 3.84 | 4.11 | 4.63 | 5.16 | 6.73 | 7.73 | 8.26 | 8.54 | 9.6 | 10.3 | 10.72 | 11.2 | 11.9 | 11.24 | 11.97 | 11.31 | 10.37 | 11.26 | 11.18 | 10.52 | 10.54 | 10.34 | 11.4 | 10.86 | 11.51 | 13.49 | 15.42 | 16.52 | 17.5 | 19.72 |
| Other Current Assets | 63.99M | 13.63M | 21.8M | 22.25M | 22.58M | 0 | 21M | 20.25M | 22.47M | 0 | 0 | 0 | 13.25M | 2.34M | 0 | 5.85M | 5.63M | 115K | 4.22M | 465K | 652K | 355K | 574K | 675K | 3.02M | 2.16M | 4.15M | 4.5M | 2.6M | 3.8M | 2.7M |
| Total Non-Current Assets | 213.62M | 231.37M | 258.82M | 231.49M | 209.7M | 240.42M | 221.04M | 214.98M | 184.47M | 148.6M | 113.82M | 115M | 134.75M | 116.15M | 63.34M | 57.57M | 56.16M | 53.72M | 41.95M | 48.27M | 47.32M | 22.81M | 21.69M | 20.22M | 19.52M | 20.18M | 20.22M | 19.1M | 20.4M | 19.4M | 20.3M |
| Property, Plant & Equipment | 27.03M | 27.59M | 28.2M | 28.77M | 22.98M | 28.1M | 26.56M | 28.82M | 12.9M | 13.51M | 13.46M | 13.09M | 12.77M | 11.3M | 10.27M | 9.76M | 6.66M | 4.39M | 3.93M | 4.3M | 4.88M | 4.74M | 4.8M | 4.61M | 4.44M | 4.76M | 5.16M | 5.9M | 6.1M | 5.6M | 6.2M |
| Fixed Asset Turnover | 67.50x | 66.60x | 60.84x | 58.09x | 73.57x | 58.43x | 66.27x | 63.87x | 155.72x | 138.14x | 116.14x | 109.80x | 101.25x | 101.72x | 104.89x | 91.06x | 116.28x | 157.75x | 153.40x | 134.26x | 104.95x | 98.29x | 92.12x | 82.34x | 74.02x | 59.68x | 49.37x | 39.39x | 33.59x | 32.39x | 26.21x |
| Goodwill | 79.8M | 79.8M | 75.53M | 75.53M | 75.53M | 74.75M | 51.08M | 51.08M | 51.08M | 51.08M | 44.44M | 44.44M | 44.44M | 40.18M | 16.95M | 16.95M | 16.95M | 17.09M | 15.02M | 15.02M | 14.54M | 1.61M | 0 | 0 | 1.61M | 1.61M | 0 | 0 | 0 | 0 | 0 |
| Intangible Assets | 6.32M | 6.96M | 9.44M | 12.13M | 15.95M | 20.8M | 18.19M | 22.35M | 26.52M | 30.88M | 14.41M | 17.11M | 20.35M | 23.37M | 5.2M | 7.37M | 7.26M | 8.86M | 5.03M | 6.09M | 7.15M | 0 | 0 | 0 | 0 | 0 | 1.72M | 1.8M | 1.9M | 2M | 2.2M |
| Long-Term Investments | 70.29M | 25.21M | 41.05M | 24.83M | 32.61M | 29.26M | 34.42M | 46.99M | 51.6M | 36.86M | 21.83M | 16.4M | 2.69M | 14.71M | 8.44M | 7.08M | 9.03M | 7.5M | 5.1M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Non-Current Assets | 82.5M | 59.81M | 53.73M | 42.47M | 34.3M | 46.69M | 46.82M | 37.25M | 21.81M | 8.76M | 9.87M | 12.01M | 27.27M | 13.31M | 11.25M | 8.22M | 8.15M | 7.98M | 6.48M | 16.51M | 15.35M | 10.28M | 11.33M | 12.47M | 11.51M | 12.29M | 13.34M | 11.4M | 12.4M | 11.8M | 11.9M |
| Total Assets | 814.85M | 807.78M | 815.47M | 803.18M | 718.33M | 786.8M | 793.45M | 730.71M | 692.6M | 676M | 528.45M | 480.95M | 469.58M | 425.34M | 331.18M | 289.69M | 277.93M | 265.89M | 248.56M | 243.37M | 215.56M | 188.43M | 166.96M | 158.33M | 134.3M | 120.79M | 108.34M | 98M | 93.1M | 84.9M | 86.4M |
| Asset Turnover | 2.29x | 2.27x | 2.10x | 2.08x | 2.35x | 2.09x | 2.22x | 2.52x | 2.90x | 2.76x | 2.96x | 2.99x | 2.75x | 2.70x | 3.25x | 3.07x | 2.78x | 2.61x | 2.42x | 2.37x | 2.37x | 2.47x | 2.65x | 2.40x | 2.45x | 2.35x | 2.35x | 2.37x | 2.20x | 2.14x | 1.88x |
| Asset Growth % | -1.81% | -0.94% | 1.53% | 11.81% | -8.7% | -0.84% | 8.59% | 5.5% | 2.46% | 27.92% | 9.88% | 2.42% | 10.4% | 28.43% | 14.32% | 4.23% | 4.53% | 6.97% | 2.13% | 12.9% | 14.4% | 12.86% | 5.45% | 17.89% | 11.18% | 11.49% | 10.55% | 5.26% | 9.66% | -1.74% | 7.6% |
| Total Current Liabilities | 193.37M | 170.38M | 192.55M | 216.93M | 178.62M | 191.13M | 162.26M | 148.65M | 163.39M | 184.17M | 100.87M | 96.06M | 117.96M | 99.1M | 67.66M | 45.39M | 40.53M | 34.72M | 29.04M | 27.88M | 27.61M | 23.08M | 20.26M | 24.7M | 20.56M | 17.5M | 14.13M | 9.1M | 10.7M | 9.8M | 8.7M |
| Accounts Payable | 83.12M | 77.38M | 81.15M | 83.22M | 68.3M | 64.42M | 52.24M | 54.42M | 61.47M | 74.46M | 42.91M | 41.47M | 43.55M | 43.68M | 22.81M | 10.65M | 11.43M | 9.13M | 9.3M | 8.9M | 10.14M | 8.76M | 7.27M | 6.54M | 5.31M | 6.44M | 4.83M | 2.47M | 4.4M | 4.3M | 4.1M |
| Days Payables Outstanding | 18.25 | 17.68 | 19.91 | 20.85 | 16.65 | 16.66 | 12.78 | 12.31 | 12.66 | 16.86 | 11.69 | 12.25 | 13.76 | 16.02 | 8.94 | 5.07 | 6.27 | 5.58 | 6.51 | 6.59 | 8.44 | 7.87 | 6.83 | 7.13 | 6.68 | 9.33 | 7.77 | 4.43 | 9.32 | 10.31 | 10.92 |
| Short-Term Debt | 0 | 5.36M | 8.4M | 25M | 25M | 6.5M | 5.3M | 15.18M | 30M | 35.38M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Deferred Revenue (Current) | 14.56M | 8.93M | 0 | 0 | 0 | 0 | 0 | 0 | 7.14M | -87.6M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Current Liabilities | 15.54M | 32.79M | 41.53M | 0 | 41M | 44.55M | 34.11M | 34.57M | 29.59M | 26.81M | 27.97M | 33.32M | 26.71M | 16.38M | 10.38M | 6.95M | 7.06M | 7.9M | 4.62M | 5.64M | 7.07M | 5.06M | 5.86M | 179.22K | 0 | 11.06M | 9.3M | 6.63M | 6.3M | 5.5M | 4.6M |
| Current Ratio | 3.11x | 3.38x | 2.89x | 2.64x | 2.85x | 2.86x | 3.53x | 3.47x | 3.11x | 2.86x | 4.11x | 3.81x | 2.84x | 3.12x | 3.96x | 5.11x | 5.47x | 6.11x | 7.11x | 7.00x | 6.09x | 7.18x | 7.17x | 5.59x | 5.58x | 5.75x | 6.24x | 8.67x | 6.79x | 6.68x | 7.60x |
| Quick Ratio | 3.03x | 3.28x | 2.80x | 2.55x | 2.73x | 2.72x | 3.33x | 3.22x | 2.86x | 2.63x | 3.74x | 3.43x | 2.54x | 2.79x | 3.53x | 4.56x | 4.96x | 5.62x | 6.56x | 6.46x | 5.64x | 6.67x | 6.63x | 5.17x | 5.16x | 5.30x | 5.64x | 7.73x | 6.07x | 5.94x | 6.75x |
| Cash Conversion Cycle | 51.15 | 52.67 | 65.54 | 67.53 | 62.67 | 57.25 | 47.92 | 63.55 | 57.99 | 66.82 | 61.97 | 53.05 | 53.36 | 55.91 | 49.8 | 60.57 | 56.17 | 59.78 | 63.22 | 57.01 | 57.79 | 49.01 | 49.47 | 60.17 | 61.68 | 71.63 | 81.31 | 87.32 | 87.54 | 80.83 | 83.59 |
| Total Non-Current Liabilities | 107.71M | 127.2M | 123M | 129.64M | 113.54M | 143M | 150.73M | 121.75M | 88.43M | 91.88M | 88.73M | 88.43M | 75.79M | 41.1M | 33.95M | 26.58M | 24.32M | 22.4M | 17.84M | 20.77M | 22.47M | 17.19M | 15.24M | 12.43M | 5.86M | 4.35M | 3.41M | 2.9M | 2.2M | 2.9M | 2.8M |
| Long-Term Debt | 0 | 9.66M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Capital Lease Obligations | 32.29M | 9.66M | 8.03M | 11.23M | 8.1M | 11.3M | 11.36M | 11.65M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Deferred Tax Liabilities | 13.53M | 13.53M | 12.7M | 12.53M | 7.07M | 9.27M | 8.42M | 8.12M | 7.2M | 7.27M | 9.98M | 11.96B | 27.23B | 13.27B | 575M | 951M | 604M | 7.91B | 754M | 6.35B | 5.4B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Non-Current Liabilities | 98.35M | 94.35M | 102.27M | 105.87M | 105.45M | 122.43M | 130.95M | 101.99M | 88.43M | 91.88M | 88.73M | 88.43M | 75.79M | 41.1M | 33.95M | 26.58M | 24.32M | 22.4M | 17.84M | 20.77M | 22.47M | 10.28M | 15.24M | 12.43M | 5.86M | 4.35M | 3.41M | 2.9M | 2.2M | 2.9M | 2.8M |
| Total Liabilities | 301.08M | 297.57M | 315.55M | 346.57M | 292.16M | 334.12M | 312.99M | 270.4M | 251.82M | 276.05M | 189.6M | 184.49M | 193.75M | 140.2M | 101.61M | 71.97M | 64.86M | 57.12M | 46.88M | 48.65M | 50.08M | 40.27M | 35.5M | 37.13M | 26.42M | 21.85M | 17.54M | 12M | 12.9M | 12.7M | 11.5M |
| Total Debt | 14.65M | 24.68M | 16.43M | 43.63M | 33.1M | 17.8M | 16.66M | 26.83M | 30M | 35.38M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Net Debt | -121.52M | -136.44M | -68.8M | -10.7M | 6.82M | -52.99M | -122.67M | -501K | 3.98M | 25.82M | -23.85M | -33.19M | -75.28M | -64.16M | -68.95M | -38.64M | -39.69M | -31.3M | -37.5M | -92.46M | -73M | -91M | -74.85M | -64.18M | -48.32M | -34.26M | -22.84M | -17.2M | -17.2M | -17.8M | -22.7M |
| Debt / Equity | 0.03x | 0.05x | 0.03x | 0.10x | 0.08x | 0.04x | 0.03x | 0.06x | 0.07x | 0.09x | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Debt / EBITDA | 0.17x | 0.38x | 0.24x | 0.63x | 0.56x | 0.23x | 0.12x | 0.29x | 0.27x | 0.26x | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Net Debt / EBITDA | -1.45x | -2.09x | -1.01x | -0.15x | 0.12x | -0.67x | -0.85x | -0.01x | 0.04x | 0.19x | -0.19x | -0.34x | -2.02x | -0.93x | -0.95x | -0.63x | -0.72x | -0.65x | -0.84x | -1.96x | -1.91x | -3.09x | -3.09x | -3.57x | -3.11x | -2.73x | -2.20x | -1.72x | -1.13x | -1.56x | -1.82x |
| Interest Coverage | 40.46x | 43.95x | 9.22x | 7.75x | 15.92x | 48.30x | 95.02x | 25.60x | 33.29x | 98.55x | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Total Equity | 513.77M | 510.21M | 499.93M | 456.62M | 426.17M | 452.68M | 480.46M | 460.31M | 440.78M | 399.95M | 338.84M | 296.46M | 275.83M | 285.14M | 229.57M | 217.73M | 213.08M | 208.77M | 201.68M | 194.72M | 165.48M | 148.16M | 131.46M | 121.2M | 107.88M | 98.94M | 90.81M | 86M | 80.2M | 72.2M | 74.9M |
| Equity Growth % | 4.65% | 2.06% | 9.49% | 7.14% | -5.86% | -5.78% | 4.38% | 4.43% | 10.21% | 18.04% | 14.3% | 7.48% | -3.27% | 24.21% | 5.44% | 2.18% | 2.06% | 3.52% | 3.58% | 17.67% | 11.69% | 12.71% | 8.47% | 12.34% | 9.03% | 8.96% | 5.59% | 7.23% | 11.08% | -3.6% | 9.34% |
| Book Value per Share | 7.23 | 6.99 | 6.76 | 6.14 | 5.73 | 6.04 | 6.42 | 6.17 | 5.91 | 5.38 | 4.61 | 4.09 | 3.87 | 4.07 | 3.35 | 3.22 | 3.18 | 3.14 | 3.05 | 2.96 | 2.56 | 2.33 | 2.11 | 2.02 | 1.82 | 1.78 | 1.64 | 1.51 | 1.37 | 1.22 | 1.21 |
| Total Shareholders' Equity | 513.77M | 510.21M | 499.93M | 456.62M | 426.17M | 452.68M | 480.46M | 460.31M | 440.78M | 399.95M | 338.84M | 296.46M | 275.83M | 285.14M | 229.57M | 217.73M | 213.08M | 208.77M | 201.68M | 194.72M | 165.48M | 148.16M | 131.46M | 121.2M | 107.88M | 98.94M | 90.81M | 86M | 80.2M | 72.2M | 74.9M |
| Common Stock | 773K | 768K | 765K | 763K | 762K | 760K | 758K | 756K | 753K | 750K | 742K | 738K | 729K | 719K | 700K | 695K | 693K | 458K | 456K | 447K | 290K | 287K | 185K | 119.59K | 116.13K | 113.38K | 110.67K | 100K | 0 | 0 | 0 |
| Retained Earnings | 309.73M | 283.67M | 224.56M | 185.01M | 154.5M | 183.96M | 200.89M | 195.46M | 190.09M | 163.86M | 130.94M | 106.89M | 100.24M | 127.46M | 127.04M | 126.92M | 130.99M | 135.84M | 137.74M | 136.11M | 124.27M | 112.3M | 101.28M | 91.18M | 81.81M | 73.18M | 66.14M | 60.6M | 55M | 46.1M | 40.3M |
| Treasury Stock | -124.65M | -101.73M | -41.44M | -37.75M | -27.91M | -30.16M | -8.96M | -9.44M | -9.66M | -9.86M | -10.19M | -11.01M | -11.18M | -11.42M | -11.79M | -15.96M | -18.67M | -19.86M | -20.94M | -16.9M | -17.89M | -13.03M | -9.47M | -3.67M | -3.72M | -1.59M | -761.88K | 0 | 0 | 0 | 0 |
| Accumulated OCI | -835K | -448K | -2.32M | -1.84M | -3.48M | 4M | 5.56M | 2.92M | 158K | 837K | -319K | 543K | 25K | 49K | 127K | 343K | -78K | -14.49M | -14.3M | -14.11M | -13.08M | -12.89M | -11.59M | -10.49M | -14.14M | -12.74M | -11.86M | -11M | -11.4M | -14.2M | -12.8M |
| Minority Interest | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Client credit and labor
According to recent balance sheet data, HCSG has maintained a stable equity base of $513.8 million as of 2026Q1, reflecting a disciplined approach to capital preservation despite the significant operational earnings swings observed in prior periods that have historically pressured the company's net asset value.
The company's ability to sustain its equity position suggests a defensive posture, though the underlying volatility in retained earnings warrants caution. Investors should monitor whether this stability is a result of operational resilience or merely a reflection of accounting adjustments that mask underlying business cycle sensitivities.
As reported in financial statements, HCSG maintains a negligible debt-to-equity ratio of 0.03 as of 2026Q1, which indicates that the firm relies almost exclusively on internal capital rather than external financing to navigate the inherent risks of the skilled nursing facility service sector.
This ultra-low leverage profile provides a significant buffer against interest rate volatility and potential credit tightening within the healthcare services industry. However, the lack of debt may also suggest limited appetite for strategic expansion, potentially signaling that management prioritizes risk mitigation over aggressive growth initiatives.
Based on the provided figures, HCSG reported a current ratio of 3.11 in 2026Q1, demonstrating a robust liquidity position that appears sufficient to cover short-term obligations despite the persistent risk of delayed payments from its client base of regional skilled nursing facility operators.
The substantial cash balance of $136.2 million provides a necessary cushion against the working capital volatility typical of this business model. Analysts should remain vigilant, as this liquidity is highly sensitive to the collection cycles of clients who are themselves subject to fluctuating Medicare and Medicaid reimbursement rates.
Analysis of the balance sheet reveals that goodwill accounts for $79.8 million, or nearly 10% of total assets as of 2026Q1, which may represent a latent risk if the profitability of acquired service contracts fails to meet long-term expectations in a tightening regulatory environment.
While the headline balance sheet appears clean, the concentration of intangible assets suggests that the company's valuation is partially predicated on the successful integration of past acquisitions. Any deterioration in the financial health of the underlying client facilities could necessitate future impairment charges, potentially impacting the firm's book value.
Quick answers to the most common questions about buying HCSG stock.
As of 2025, Healthcare Services Group, Inc. (HCSG) had total assets of $807.8M including $576.4M in current assets.
Healthcare Services Group, Inc. (HCSG) carries total debt of $24.7M, offset by $203.9M in cash and short-term investments. Comparing total debt to cash helps evaluate the company's debt burden and net leverage.
Healthcare Services Group, Inc. (HCSG) has total shareholders' equity (book value) of $510.2M ($6.99 book value per share). Book value represents the net worth of the company belonging to common stock holders.
Healthcare Services Group, Inc. (HCSG) reported a current ratio of 3.38x. A current ratio above 1.0x indicates that the company has more current assets than current liabilities, suggesting sufficient short-term liquidity.