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HCSGHealthcare Services Group, Inc.
$24.28$1.7B
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  4. Financial Ratios

Healthcare Services Group, Inc. (HCSG) Financial Ratios

Latest Ratios: P/E Ratio 16.1x · EV/EBITDA 11.9x · ROE 11.7%. (1996–2025 historical series)

Income StatementBalance SheetCash FlowRatios
AnnualQuarterly

HCSG Valuation Multiples

Price-based multiples — how expensive the stock is relative to earnings, sales, book value, and cash flow

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Market Cap$1.7B$1.4B$860M$771M$892M$1.3B$2.1B$1.8B$3.0B$3.9B$2.9B
Enterprise Value$1.5B$1.3B$791M$760M$899M$1.3B$2.0B$1.8B$3.0B$3.9B$2.9B
P/E Ratio →16.0623.6021.9219.9426.0927.3721.2927.9535.8744.3037.30
P/S Ratio0.890.760.500.460.530.811.190.991.492.101.84
P/B Ratio3.482.741.721.692.092.954.373.946.809.808.49
P/FCF15.2010.0435.1420.24—42.449.8720.3339.921755.3280.04
P/OCF11.499.6327.9117.72—35.949.6719.3837.46513.7169.52

P/E links to full P/E history page with 30-year chart

HCSG EV Ratios

Enterprise-value multiples — capital-structure-neutral measures of total business value

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
EV / Revenue—0.690.460.450.530.781.120.991.492.111.83
EV / EBITDA11.8819.2911.6611.0215.2116.2513.6619.7527.4129.0622.79
EV / EBIT31.5218.1413.3212.4818.9119.1415.1620.4829.1429.3723.93
EV / FCF—9.0532.3319.96—40.769.3020.3339.981766.8879.37

HCSG Profitability

Margins and return-on-capital ratios measuring operating efficiency

Margins

Full margin charts and quarterly trend are on the Earnings History page

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Gross Margin13.0%13.0%13.3%12.8%11.4%14.0%15.2%12.4%11.8%13.6%14.3%
Operating Margin2.6%2.6%3.1%3.3%2.6%3.9%—4.2%5.0%6.8%7.5%
Net Profit Margin3.2%3.2%2.3%2.3%2.0%3.0%5.6%3.5%4.2%4.7%5.0%

Return on Capital

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
ROE11.7%11.7%8.3%8.7%7.8%10.4%21.0%14.3%19.9%23.9%24.4%
ROA7.3%7.3%4.9%5.0%4.6%6.1%12.9%9.1%12.2%14.6%15.3%
ROIC9.0%9.0%9.1%9.3%7.9%12.7%—12.9%17.3%25.7%30.5%
ROCE7.7%7.7%8.8%9.7%7.7%10.5%—14.0%19.6%27.6%29.0%

HCSG Leverage & Debt

Solvency and debt-coverage ratios — lower is generally safer

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Debt / Equity0.050.050.030.100.080.040.030.060.070.09—
Debt / EBITDA0.380.380.240.630.560.230.120.290.270.26—
Net Debt / Equity—-0.27-0.14-0.020.02-0.12-0.26-0.000.010.06-0.07
Net Debt / EBITDA-2.09-2.09-1.01-0.150.12-0.67-0.85-0.010.040.19-0.19
Debt / FCF—-0.98-2.81-0.28—-1.69-0.58-0.010.0511.57-0.66
Interest Coverage43.9543.959.227.7515.9248.3095.0225.6033.2998.55—

Net cash position: cash ($161M) exceeds total debt ($25M)

HCSG Liquidity & Efficiency

Short-term solvency ratios and asset-utilisation metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Current Ratio3.383.382.892.642.852.863.533.473.112.864.11
Quick Ratio3.283.282.802.552.732.723.333.222.862.633.74
Cash Ratio1.201.200.710.680.680.971.630.790.630.450.91
Asset Turnover—2.272.102.082.352.092.222.522.902.762.96
Inventory Turnover95.1295.1288.8278.8370.7354.2547.2544.1742.7638.0435.44
Days Sales Outstanding—66.5181.3483.7574.1667.1852.9767.6062.1174.0763.36

HCSG Shareholder Yields

Earnings, FCF, buyback, and dividend yields — total returns to shareholders

Dividends

Full dividend history and growth charts are on the Dividend History page

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Dividend Yield————7.1%4.7%2.9%3.2%1.9%1.4%1.9%
Payout Ratio————185.1%128.2%61.5%91.3%68.5%62.6%68.9%

Total Shareholder Return Metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Earnings Yield6.2%4.2%4.6%5.0%3.8%3.7%4.7%3.6%2.8%2.3%2.7%
FCF Yield6.6%10.0%2.8%4.9%—2.4%10.1%4.9%2.5%0.1%1.2%
Buyback Yield3.7%4.4%0.6%1.5%0.0%1.6%0.0%0.0%0.0%0.0%0.0%
Total Shareholder Yield3.7%4.4%0.6%1.5%7.1%6.3%2.9%3.2%1.9%1.4%1.9%
Shares Outstanding—$73M$74M$74M$74M$75M$75M$75M$75M$74M$73M

Key Metrics

Growth RegimeDecelerating
ProfitabilityModerate
Balance SheetFortress
Cash FlowImproving
Top Statement Risk

Client receivable credit deterioration

Verified Source

Metrics are mathematically derived from official filings.

SEC 10-K (2026Q3)

Forward Multiple Compression Implies Reversion

The 31.0x trailing P/E versus 19.5x forward P/E implies the market prices roughly 36% earnings growth into 2027, a demanding assumption given quarterly ROE has held near 4-5% and revenue growth decelerated to 3.3% in 2026Q3 per reported financial statements.

The same gap appears in EV/EBITDA, where a 24.3x trailing figure collapses to 11.2x forward, suggesting the market expects either a substantial EBITDA step-up or is simply anchoring on depressed trailing results distorted by the 2025Q2 loss quarter. At P/B 3.60, HCSG already trades at nearly twice ABM's 1.90 despite posting a lower ROIC of 6.1% versus ABM's 7.5%, which may indicate investors are paying for margin-normalization optionality rather than demonstrated return superiority. If the raised $535M-$545M revenue guidance proves aggressive, the downside math on the forward multiple appears unfavorable.

Returns Recover but Trail Diversified Peers

ROIC has rebounded from -7.4% in 2025Q2 to 6.1% in 2026Q3, yet remains roughly 140 basis points below ABM's 7.5%, suggesting HCSG's hyper-specialization in SNF services has not yet translated into superior returns on invested capital versus diversified labor-services peers, per reported financial statements.

Critically, the recovery still sits below the 9.6% ROIC printed in 2025Q3, so the current 6.1% reads more like normalization than a new plateau, and the driver appears to be margin recovery rather than capital efficiency given asset turnover has moved only from 0.53 to 0.57 over ten quarters. The spread between 4.7% ROE and 3.0% ROA confirms returns are almost entirely asset-driven rather than leverage-amplified, since the 0.02 debt-to-equity ratio contributes virtually nothing to equity returns. Investors should treat the ROIC trajectory as the cleaner test of whether the regulatory-specialization moat actually earns an economic spread, independent of the buyback-driven EPS optics.

Receivables Discipline Drives Cash Turn

DSO has compressed from 87 days in 2024Q3 to 63 days in 2026Q3, a 28% improvement that appears to reflect tighter collections on the SNF client base, while cash conversion cycle data is unavailable for the latest quarter and DPO has held near 21 days, per quarterly disclosures.

Because DPO has remained anchored in a narrow 16-21 day band across the full ten-quarter window, the DSO improvement reads as genuine collection discipline rather than supplier-financing float, which meaningfully strengthens the cash conversion story. That said, 63 days remains elevated in absolute terms and is consistent with a customer base of thinly capitalized mid-size operators, so the favorable trajectory should be stress-tested against any allowance-for-doubtful-accounts build. Asset turnover's gradual climb from 0.53 to 0.57 corroborates modestly improving revenue per dollar of assets, though the low absolute level reflects the labor-service rather than capital-intensity profile of the model.

Negligible Debt Masks Earnings Volatility

Debt-to-equity of 0.02 and D/EBITDA of 0.32 in 2026Q3 place HCSG materially below ABM's 0.95 leverage, though interest coverage is unavailable in the two most recent quarters after registering 94.6x in 2026Q1, based on reported company balance sheets.

Total debt has contracted roughly 72% while cash grew about fivefold, meaning the leverage profile reflects deliberate deleveraging rather than covenant pressure, and refinancing risk appears effectively nil. The historical D/EBITDA swings from 0.31 to 19.95 are almost entirely earnings-driven rather than debt-driven, a pattern that should caution analysts against reading leverage ratios as a stability signal here; the volatility lives in the denominator. With near-zero financial leverage, the balance sheet functions as shock absorption against labor-cost or regulatory shocks rather than as a return-multiplying tool, which structurally caps the ROE ceiling.

Cash Fortress Absorbs Margin Volatility

Current and quick ratios both printed 2.82 in 2026Q3 with $134.6M of cash against $11.4M of total debt, giving HCSG a liquidity buffer equal to roughly a quarter of annualized revenue that appears to insulate the thin-margin model from a repeat of the 2025Q2 loss, per reported balance sheets.

The identical current and quick ratios confirm inventory is functionally immaterial, consistent with DIO holding near 4 days, so the real working-capital exposure sits in receivables rather than stock — a distinction that reframes where stress would actually surface. Investors should note the buffer is not static: roughly $123M of buybacks over ten quarters means surplus liquidity is being actively deployed, so prospective stress capacity depends on operating cash flow staying ahead of the repurchase pace. Any deterioration in the DSO trend would compress both liquidity and earnings simultaneously, given receivables appear to be the single largest liquid asset class on the balance sheet.

Trailing P/E Misreads Earning Power

The 31.0x trailing P/E is the ratio most often misapplied to HCSG, since the 2025Q2 loss and 2025Q3 rebound swing trailing earnings wildly while P/S of 0.94 and P/FCF of 12.39 better reflect the economics of an asset-light service model, per current market data.

Trailing EPS is further distorted by roughly $27M of stock-based compensation added back into operating cash flow over ten quarters and by buyback-driven share count reduction, so headline P/E overstates the true price of current earning power in both directions depending on the window chosen. A more defensible framework is normalized EV/EBITDA adjusted for the workers' compensation and insurance items that drove the 2025Q2 anomaly, cross-checked against P/FCF, which at 12.39x sits far below the trailing earnings multiple. P/B of 3.60 should likewise be treated cautiously, since $90.5M of goodwill now represents roughly 10.6% of total assets and book value carries limited analytical signal for a business whose value is human capital and regulatory integration rather than tangible assets.

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HCSG — Frequently Asked Questions

Quick answers to the most common questions about buying HCSG stock.

What is Healthcare Services Group, Inc.'s P/E ratio?

Healthcare Services Group, Inc.'s current P/E ratio is 16.1x. The historical average is 29.0x. This places it at the 17th percentile of its historical range.

What is Healthcare Services Group, Inc.'s EV/EBITDA?

Healthcare Services Group, Inc.'s current EV/EBITDA is 11.9x. This enterprise value multiple compares the company's total value (equity + debt - cash) to its EBITDA. The historical average is 16.9x.

What is Healthcare Services Group, Inc.'s ROE?

Healthcare Services Group, Inc.'s return on equity (ROE) is 11.7%. The historical average is 13.5%.

Is HCSG stock overvalued?

Based on historical data, Healthcare Services Group, Inc. is trading at a P/E of 16.1x. This is at the 17th percentile of its historical P/E range. Compare with industry peers and growth rates for a complete picture.

What are Healthcare Services Group, Inc.'s profit margins?

Healthcare Services Group, Inc. has 13.0% gross margin and 2.6% operating margin.

How much debt does Healthcare Services Group, Inc. have?

Healthcare Services Group, Inc.'s Debt/EBITDA ratio is 0.4x, indicating low leverage. A ratio below 2x is generally considered financially healthy.