Tearsheet

Healthcare Services (HCSG)

Market Price (4/30/2026): $21.32 | Market Cap: $1.5 Bil
Sector: Industrials | Industry: Environmental & Facilities Services

Healthcare Services (HCSG)

Market Price (4/30/2026): $21.32
Market Cap: $1.5 Bil
Sector: Industrials
Industry: Environmental & Facilities Services

Investment Highlights Why It Matters Detailed financial logic regarding cash flow yields vs trend-riding momentum.

Cash is significant % of market cap
Net D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is -11%

Attractive yield
FCF Yield is 10%

Low stock price volatility
Vol 12M is 44%

Megatrend and thematic drivers
Megatrends include Aging Population & Chronic Disease. Themes include Geriatric Care.

Weak multi-year price returns
3Y Excs Rtn is -23%

Key risks
HCSG key risks include [1] substantial legal liability and reputational damage stemming from a recent data breach that compromised the personal and medical details of over 624,000 individuals.

0	Cash is significant % of market cap Net D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is -11%
1	Attractive yield FCF Yield is 10%
2	Low stock price volatility Vol 12M is 44%
3	Megatrend and thematic drivers Megatrends include Aging Population & Chronic Disease. Themes include Geriatric Care.
4	Weak multi-year price returns 3Y Excs Rtn is -23%
5	Key risks HCSG key risks include [1] substantial legal liability and reputational damage stemming from a recent data breach that compromised the personal and medical details of over 624,000 individuals.

Valuation, Metrics & Events

	4/30/26	2025	2024	2023	2022
Share Price CYE	$21.32	$19.12	$11.62	$10.37	$12.00
Market Cap CYE ($ Bil)	1.5	1.3	0.9	0.8	0.9
Total Debt ($ Bil)	0.0	0.0	0.0	0.0	0.0
Total Cash ($ Bil)	0.2	0.2	0.1	0.1	0.1
Enterprise Value ($ Bil)	1.3	1.3	0.9	0.8	0.9
Valuation Ratios
P/S TTM	0.8	0.7	0.5	0.5	0.5
P/EBIT TTM	18.6	19.4	14.4	12.6	18.8
P/E TTM	21.9	22.8	21.6	19.9	26.1
P/FCF TTM	9.6	9.7	34.9	20.1	-66.7
Sector Ratios
P/S TTM (Sector)	1.7	1.7	1.5	1.3	1.2
P/EBIT TTM (Sector)	11.7	12.0	11.6	9.8	8.5
P/E TTM (Sector)	15.8	15.9	16.7	13.5	11.7
P/FCF TTM (Sector)	12.4	12.7	13.0	9.9	8.7

	4/30/26	2025	2024
Share Price CYE	$21.32	$19.12	$11.62
Market Cap CYE ($ Bil)	1.5	1.3	0.9
Total Debt ($ Bil)	0.0	0.0	0.0
Total Cash ($ Bil)	0.2	0.2	0.1
Enterprise Value ($ Bil)	1.3	1.3	0.9
Valuation Ratios
P/S TTM	0.8	0.7	0.5
P/EBIT TTM	18.6	19.4	14.4
P/E TTM	21.9	22.8	21.6
P/FCF TTM	9.6	9.7	34.9
Sector Ratios
P/S TTM (Sector)	1.7	1.7	1.5
P/EBIT TTM (Sector)	11.7	12.0	11.6
P/E TTM (Sector)	15.8	15.9	16.7
P/FCF TTM (Sector)	12.4	12.7	13.0

	HCSG	S&P 500
REVENUE GROWTH	POOR
Rev LTM ($ Bil)	1.9
Rev Chg Q	3.4%	7.6%
Rev Chg LTM	6.5%	6.9%
Rev Chg 3Y Avg	3.3%	5.6%
PROFITABILITY	VERY POOR
Op Inc LTM ($ Bil)	0.1
CFO LTM ($ Bil)	0.2
Net Inc LTM ($ Bil)	0.1
Op Mgn LTM	3.6%	18.6%
CFO/Rev LTM	8.7%	20.9%
Net Inc Mgn	3.7%	12.8%
VALUATION	LOW
P/S	0.8	3.2
P/CFO	9.2	15.4
P/FCF	9.6	19.8
P/E	21.9	24.3
STABILITY	VERY GOOD
Debt/Equity	0.01	0.21
Cash/Assets	0.22	0.07

AI Analysis | Feedback

Metric	Value	Date	Source
Number of Facilities Served	approximately 2,700	12312023	Link
Number of Housekeeping Client Facilities	approximately 2,300	12312023	Link
Number of Dietary Client Facilities	approximately 1,700	12312023	Link
Client Retention Rate	90% and strengthening	10222025	Link
Number of Employees	approximately 33,400	12312023	Link

Recent
4/22/2026	Earnings Release	Rev: $462 Mil (A) vs. $459 Mil (E) EPS: 0.37 (A) vs. $0.22 (E)
Upcoming
7/22/2026	Earnings Release	Rev: $473 Mil (E) EPS: $0.23 (E)

Price Chart

Return (1M):

Why The Stock Moved

Qualitative Assessment

AI Analysis | Feedback

Healthcare Services (HCSG) stock has gained about 10% since 12/31/2025 because of the following key factors:

1. Strong Earnings Performance and Profitability Improvement.

Healthcare Services Group significantly surpassed earnings per share (EPS) estimates for both Q4 2025 and Q1 2026. For Q4 2025, reported in February 2026, the company posted an EPS of $0.44, beating analyst expectations of $0.23 by 91.30%. Similarly, for Q1 2026, reported in April 2026, EPS was $0.37, exceeding estimates of $0.21 by $0.16, marking a 68.18% surprise. This strong bottom-line performance was driven by operational excellence, resulting in a nearly 51% year-over-year surge in Q1 2026 net income to $26.06 million and an improved adjusted EBITDA margin of 8.4% compared to 6.5% in the prior-year quarter. The company also maintained its cost of services at 83.6% of revenue, below its 86% target.

2. Accelerated Share Repurchase Program.

In February 2026, Healthcare Services Group announced an accelerated plan to repurchase $75.0 million of its common stock through January 2027. Demonstrating this commitment to returning capital to shareholders, the company repurchased $24.0 million of its common stock during the first quarter of 2026.

Show more

Holding a concentrated position? Know your true downside before the momentum shifts.

Protect Your Wealth →

Stock Movement Drivers

Fundamental Drivers

The 11.6% change in HCSG stock from 12/31/2025 to 4/29/2026 was primarily driven by a 66.8% change in the company's Net Income Margin (%).

(LTM values as of)	12312025	4292026	Change
Stock Price ($)	19.12	21.33	11.6%
Change Contribution By:
Total Revenues ($ Mil)	1,808	1,852	2.4%
Net Income Margin (%)	2.2%	3.7%	66.8%
P/E Multiple	34.8	21.9	-36.9%
Shares Outstanding (Mil)	72	70	3.4%
Cumulative Contribution			11.6%

LTM = Last Twelve Months as of date shown

Market Drivers

12/31/2025 to 4/29/2026

	Return	Correlation
HCSG	11.6%
Market (SPY)	5.2%	28.5%
Sector (XLI)	9.9%	11.8%

Fundamental Drivers

The 26.7% change in HCSG stock from 9/30/2025 to 4/29/2026 was primarily driven by a 500.7% change in the company's Net Income Margin (%).

(LTM values as of)	9302025	4292026	Change
Stock Price ($)	16.83	21.33	26.7%
Change Contribution By:
Total Revenues ($ Mil)	1,772	1,852	4.5%
Net Income Margin (%)	0.6%	3.7%	500.7%
P/E Multiple	113.9	21.9	-80.7%
Shares Outstanding (Mil)	73	70	4.7%
Cumulative Contribution			26.7%

LTM = Last Twelve Months as of date shown

Market Drivers

9/30/2025 to 4/29/2026

	Return	Correlation
HCSG	26.7%
Market (SPY)	8.0%	29.2%
Sector (XLI)	10.9%	13.2%

Fundamental Drivers

The 111.6% change in HCSG stock from 3/31/2025 to 4/29/2026 was primarily driven by a 59.3% change in the company's Net Income Margin (%).

(LTM values as of)	3312025	4292026	Change
Stock Price ($)	10.08	21.33	111.6%
Change Contribution By:
Total Revenues ($ Mil)	1,716	1,852	8.0%
Net Income Margin (%)	2.3%	3.7%	59.3%
P/E Multiple	18.8	21.9	16.9%
Shares Outstanding (Mil)	74	70	5.3%
Cumulative Contribution			111.6%

LTM = Last Twelve Months as of date shown

Market Drivers

3/31/2025 to 4/29/2026

	Return	Correlation
HCSG	111.6%
Market (SPY)	29.3%	30.0%
Sector (XLI)	31.4%	23.6%

Fundamental Drivers

The 53.8% change in HCSG stock from 3/31/2023 to 4/29/2026 was primarily driven by a 80.9% change in the company's Net Income Margin (%).

(LTM values as of)	3312023	4292026	Change
Stock Price ($)	13.87	21.33	53.8%
Change Contribution By:
Total Revenues ($ Mil)	1,690	1,852	9.6%
Net Income Margin (%)	2.0%	3.7%	80.9%
P/E Multiple	30.1	21.9	-27.1%
Shares Outstanding (Mil)	74	70	6.4%
Cumulative Contribution			53.8%

LTM = Last Twelve Months as of date shown

Market Drivers

3/31/2023 to 4/29/2026

	Return	Correlation
HCSG	53.8%
Market (SPY)	81.5%	31.1%
Sector (XLI)	75.6%	30.0%

Return vs. Risk

Price Returns Compared

	2021	2022	2023	2024	2025	2026	Total [1]
Returns
HCSG Return	-35%	-29%	-14%	12%	65%	13%	-16%
Peers Return	8%	5%	7%	17%	0%	12%	60%
S&P 500 Return	27%	-19%	24%	23%	16%	4%	90%
Monthly Win Rates [3]
HCSG Win Rate	50%	50%	50%	42%	58%	50%
Peers Win Rate	54%	52%	56%	65%	48%	75%
S&P 500 Win Rate	75%	42%	67%	75%	67%	50%
Max Drawdowns [4]
HCSG Max Drawdown	-39%	-29%	-25%	-13%	-19%	-9%
Peers Max Drawdown	-10%	-18%	-14%	-8%	-12%	-6%
S&P 500 Max Drawdown	-1%	-25%	-1%	-2%	-15%	-7%

[1] Cumulative total returns since the beginning of 2021
[2] Peers: ARMK, ABM, CTAS, UNF.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2026 data is for the year up to 4/29/2026 (YTD)

How Low Can It Go

Unique Key	Event	HCSG	S&P 500
2022 Inflation Shock	2022 Inflation Shock
2022 Inflation Shock% Loss	% Loss	-73.6%	-25.4%
2022 Inflation Shock% Gain to Breakeven	% Gain to Breakeven	278.4%	34.1%
2022 Inflation ShockTime to Breakeven	Time to Breakeven	Not Fully Recovered days	464 days
2020 Covid Pandemic	2020 Covid Pandemic
2020 Covid Pandemic% Loss	% Loss	-42.6%	-33.9%
2020 Covid Pandemic% Gain to Breakeven	% Gain to Breakeven	74.2%	51.3%
2020 Covid PandemicTime to Breakeven	Time to Breakeven	298 days	148 days
2018 Correction	2018 Correction
2018 Correction% Loss	% Loss	-62.0%	-19.8%
2018 Correction% Gain to Breakeven	% Gain to Breakeven	163.3%	24.7%
2018 CorrectionTime to Breakeven	Time to Breakeven	Not Fully Recovered days	120 days
2008 Global Financial Crisis	2008 Global Financial Crisis
2008 Global Financial Crisis% Loss	% Loss	-48.2%	-56.8%
2008 Global Financial Crisis% Gain to Breakeven	% Gain to Breakeven	93.2%	131.3%
2008 Global Financial CrisisTime to Breakeven	Time to Breakeven	809 days	1,480 days

Compare to ARMK, ABM, CTAS, UNF

In The Past

Healthcare Services's stock fell -73.6% during the 2022 Inflation Shock from a high on 1/27/2021. A -73.6% loss requires a 278.4% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

About Healthcare Services (HCSG)

Business Description Analogies Products Customers Suppliers Management Key Risks Emerging Threats Market Size Revenue Drivers Capital Allocation

Healthcare 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.

AI Analysis | Feedback

Aramark or Sodexo for healthcare facility operations.

AI Analysis | Feedback

```html

Housekeeping Services: Cleaning, disinfecting, and sanitizing resident rooms and common areas within healthcare facilities.
Laundry and Linen Services: Laundering and processing bed linens, uniforms, and resident personal clothing for healthcare facilities.
Dietary Management Services: Providing food purchasing, meal preparation, professional dietitian services (including menu development), and on-site management and clinical consulting for dietary departments.

```

AI Analysis | Feedback

```html

Healthcare Services Group, Inc. (HCSG) primarily sells its services to other companies and institutions. Based on the provided description, HCSG serves a broad and diversified customer base across the healthcare industry. The company does not appear to have a few dominant major customers that are explicitly named; instead, it serves approximately 3,000 facilities.

HCSG's major customers are categories of healthcare facilities, which include:

Nursing homes
Retirement complexes
Rehabilitation centers
Hospitals

Specific names of these customer companies and their public symbols are not provided in the background information.

```

AI Analysis | Feedback

null

AI Analysis | Feedback

Theodore Wahl, President and Chief Executive Officer

Theodore Wahl joined Healthcare Services Group in 2004 and was appointed CEO in May 2015. He advanced through various leadership positions within the company, including Chief Operating Officer and Vice President of Finance. Prior to his tenure at HCSG, Mr. Wahl served as a Senior Manager in EY's Transaction Advisory Group.

Vikas Singh, Executive Vice President and Chief Financial Officer

Vikas Singh was appointed EVP & Chief Financial Officer in September 2024. He brings over two decades of finance experience, having most recently served as Managing Director of Leveraged Finance & Capital Markets at Bank of America Securities for 14 years. Before that, he worked in the Financial Sponsors Group at Credit Suisse for two years, where he gained expertise in financial structuring and sponsor-led transactions, indicating involvement with private equity firms. Mr. Singh began his career with GSK's Consumer Healthcare Division.

Andrew W. Kush, Executive Vice President and Chief Operating Officer

Andrew W. Kush serves as the Executive Vice President and Chief Operating Officer for Healthcare Services Group. In this role, he is responsible for overseeing and optimizing the company's daily business operations, ensuring efficient service delivery across all aspects of HCSG.

John C. Shea, Executive Vice President and Chief Administrative Officer

John C. Shea is the Executive Vice President and Chief Administrative Officer at Healthcare Services Group. He previously held the position of Chief Financial Officer for the company and has served as Vice President of Finance, Chief Accounting Officer, and Secretary. His earlier career includes roles as a Director at Pricewaterhouse Coopers (PwC) and a Senior Manager at EY.

Andrew M. Brophy, Senior Vice President, Controller and Chief Accounting Officer

Andrew M. Brophy joined Healthcare Services Group in 2018 and was promoted to Senior Vice President, Controller and Chief Accounting Officer. He has held roles of increasing responsibility within the company's accounting and finance departments, including Vice President & Controller. Mr. Brophy began his professional career in the Assurance Services practice at PwC.

AI Analysis | Feedback

Here are the key risks to Healthcare Services Group, Inc. (HCSG):

Labor Costs and Workforce Shortages: A significant portion of Healthcare Services Group's operating expenses is attributed to labor costs, particularly within its Environmental Services segment, where it accounted for approximately 78.3% of segment revenues in 2025. The company's financial performance is highly sensitive to fluctuations in wage rates, staffing levels, and legislative changes such as minimum wage increases. The sector has struggled with workforce and occupancy levels not reaching pre-pandemic levels, leading to difficulties in hiring enough qualified personnel. This tight labor market and labor inflation continue to be a considerable headwind.
Dependence on Healthcare Industry Dynamics, Customer Concentration, and Credit Risks: Healthcare Services Group operates exclusively within the healthcare industry, making its business susceptible to shifts in government reimbursement policies, including Medicare and Medicaid, which directly impact its clients' financial health and, consequently, HCSG's revenue streams. The company also faces customer concentration risks, highlighted by the bankruptcy of a major client (Genesis HealthCare, which represented 8.7% of 2024 consolidated revenues), demonstrating the potential for significant adverse effects from the loss of key customers or client solvency issues. Delays in payments from clients or those undergoing bankruptcy can also lead to substantial bad debts.
Cybersecurity Risks: Healthcare Services Group is exposed to significant cybersecurity threats. In October 2024, the company experienced unauthorized activity within its systems that compromised the personal and medical details of approximately 624,500 individuals, including full names, dates of birth, Social Security numbers, financial information, and sensitive medical notes. This incident underscores the ongoing risk of data breaches and cyber-attacks, which can lead to material business impacts, potential litigation, regulatory fines, and reputational damage, despite the company's cybersecurity risk prevention programs.

AI Analysis | Feedback

NULL

AI Analysis | Feedback

The addressable markets for Healthcare Services Group, Inc.'s (HCSG) main products and services in the United States are as follows:

Dietary Services: The U.S. healthcare/hospital food services market was valued at approximately USD 22.05 billion in 2024 and is projected to reach USD 33.57 billion by 2029.
Housekeeping Services: The U.S. healthcare environmental services market was valued at USD 6.75 billion in 2024 and is projected to reach USD 9.53 billion by 2029.
Laundry and Linen Services: The U.S. hospital linen supply and management services market size was valued at USD 4.70 billion in 2025 and is projected to reach USD 5.12 billion in 2026.
Facility Maintenance Services: The U.S. healthcare facilities management market, which includes facility maintenance, was estimated at USD 93 billion in 2024 and is projected to reach USD 240.9 billion by 2034.

AI Analysis | Feedback

Healthcare Services Group, Inc. (HCSG) anticipates several key drivers for future revenue growth over the next 2-3 years, as indicated by recent forward guidance and analyst commentary:

Organic Growth through Client Expansion and Price Adjustments: The company expects accelerated organic growth in both its Environmental and Dietary Services segments, driven by an expanding client base and increases in contractual prices. New client wins and high retention rates are also contributing factors to this organic expansion.
Strategic Mergers and Acquisitions (M&A): HCSG plans to pursue strategic M&A activities to "land and expand" in specific markets, complementing its organic growth strategy. The company actively evaluates acquisition opportunities and completed an acquisition in Q1 2025, which contributed to revenue.
Geographic Market Expansion: Healthcare Services Group is focusing on strategic geographic expansion, with particular emphasis on developing its presence in the Midwest. This targeted expansion is expected to fuel growth over the next 12-18 months.
Favorable Industry Demographics and Demand: The company is well-positioned to benefit from improving demand in the healthcare sector, including rising nursing home occupancy rates, which reached 85.7%. Broader demographic tailwinds, such as an aging population, are expected to drive consistent demand for outsourced non-clinical services and contribute to sustainable long-term growth.

AI Analysis | Feedback

 Share Repurchases

    Healthcare Services Group completed a $50.0 million, 12-month share repurchase plan in 2025, five months ahead of schedule, with $61.6 million in total share repurchases for the year 2025.
    In February 2026, the Board of Directors authorized the repurchase of up to 10.0 million outstanding shares of common stock and announced plans to repurchase $75.0 million of its common stock over the next 12 months.
    The company repurchased over one million shares, or $11.2 million, of its common stock during 2023. Since the February 2023 share repurchase authorization, the company had repurchased approximately $23 million in common stock by Q1 2025, with 5.4 million shares remaining under that authorization. In 2024, the company repurchased over $5.0 million of its common stock.

 Share Issuance

    On May 30, 2023, the company increased the authorized shares under the 2020 Omnibus Incentive Plan by 2,500,000 shares, allowing for share-based awards to officers, employees, non-employee directors, and advisors.
    In February 2026, 4,416 restricted stock units and 12,618 performance stock units (granted in February 2023) were converted into common stock, based on the achievement of financial goals through December 31, 2025.

 Outbound Investments

    Healthcare Services Group made a strategic "tuck-in acquisition" in 2025, which was its first acquisition since late 2021 and was expected to contribute about 1% to 2025 revenue.

 Capital Expenditures

    Capital expenditures totaled $5.4 million in 2023 and $6.3 million in 2024.
    For 2025, capital expenditures were $4.5 million for Environmental Services, $0.9 million for Dietary, and $0.4 million for Corporate Overhead, totaling approximately $5.8 million.
    The company estimated capital expenditures for 2024 to be approximately $4.0 million to $6.0 million and for 2025 to be approximately $5.0 million to $7.0 million. These expenditures primarily consist of housekeeping and food service equipment purchases, laundry and linen equipment installations, computer hardware and software, and furniture and fixtures.

Interactive Breakdown

null

null

Better Bets vs. Healthcare Services (HCSG)

INDUSTRY: Environmental & Facilities Services

Higher Rev Chg 3Y Avg | Lower P/S (Values for HCSG: 3.3% | 0.8x)

ABM (4.1% | 0.3x)

ABM Industries

ARQ (5.5% | 0.8x)

Arq

Higher Rev Chg 3Y Avg | Lower P/Op Inc (Values for HCSG: 3.3% | 22.4x)

WM (8.5% | 19.9x)

Waste Management

RSG (7.1% | 19.4x)

Republic Services

WCN (8.8% | 22.4x)

Waste Connections

GEO (3.5% | 8.7x)

GEO

ABM (4.1% | 7.4x)

ABM Industries

Higher Rev Chg LTM (Value for HCSG: 6.5%)

CECO (38.8%)

CECO Environmental

CWST (18.0%)

Casella Waste Systems

ROL (11.0%)

Rollins

WM (10.9%)

Waste Management

GFL (6.9%)

GFL Environmental

Higher Rev Chg 3Y Avg (Value for HCSG: 3.3%)

ROL (11.7%)

Rollins

WCN (8.8%)

Waste Connections

WM (8.5%)

Waste Management

RSG (7.1%)

Republic Services

CLH (5.3%)

Clean Harbors

Higher Op Mgn LTM (Value for HCSG: 3.6%)

VLTO (23.2%)

Veralto

RSG (20.0%)

Republic Services

WCN (19.4%)

Waste Connections

ROL (19.0%)

Rollins

WM (18.4%)

Waste Management

Higher CFO/Rev LTM (Value for HCSG: 8.7%)

RSG (25.9%)

Republic Services

WCN (25.2%)

Waste Connections

WM (24.9%)

Waste Management

VLTO (19.6%)

Veralto

ROL (16.9%)

Rollins

Higher FCF/Rev LTM (Value for HCSG: 8.4%)

VLTO (18.4%)

Veralto

ROL (16.2%)

Rollins

RSG (14.5%)

Republic Services

WM (12.9%)

Waste Management

WCN (11.9%)

Waste Connections

Higher Total Yield (Value for HCSG: 4.6%)

GEO (9.9%)

GEO

ABM (9.3%)

ABM Industries

VLTO (4.7%)

Veralto

SECTOR: Industrials

Higher Rev Chg 3Y Avg | Lower P/S (Values for HCSG: 3.3% | 0.8x)

DAL (6.5% | 0.7x)

Delta Air Lines

UAL (7.4% | 0.5x)

United Airlines

LUV (5.2% | 0.6x)

Southwest Airlines

ACM (6.5% | 0.7x)

AECOM

FLR (4.4% | 0.5x)

Fluor

Higher Rev Chg 3Y Avg | Lower P/Op Inc (Values for HCSG: 3.3% | 22.4x)

LMT (4.3% | 15.8x)

Lockheed Martin

WM (8.5% | 19.9x)

Waste Management

GD (10.1% | 17.1x)

General Dynamics

ADP (7.1% | 15.6x)

Automatic Data Processing

NOC (4.6% | 17.3x)

Northrop Grumman

Higher Rev Chg LTM (Value for HCSG: 6.5%)

BA (32.7%)

Boeing

GE (21.8%)

GE Aerospace

RTX (10.6%)

RTX

ETN (10.3%)

Eaton

GEV (10.3%)

GE Vernova

Higher Rev Chg 3Y Avg (Value for HCSG: 3.3%)

GE (16.1%)

GE Aerospace

BA (10.7%)

Boeing

ETN (9.8%)

Eaton

RTX (9.7%)

RTX

CAT (4.6%)

Caterpillar

Higher Op Mgn LTM (Value for HCSG: 3.6%)

ETN (19.0%)

Eaton

GE (18.6%)

GE Aerospace

CAT (16.5%)

Caterpillar

RTX (10.9%)

RTX

GEV (3.9%)

GE Vernova

Higher CFO/Rev LTM (Value for HCSG: 8.7%)

GEV (22.9%)

GE Vernova

GE (18.3%)

GE Aerospace

CAT (17.4%)

Caterpillar

ETN (16.3%)

Eaton

RTX (12.3%)

RTX

Higher FCF/Rev LTM (Value for HCSG: 8.4%)

GEV (19.1%)

GE Vernova

GE (15.4%)

GE Aerospace

ETN (12.9%)

Eaton

CAT (11.0%)

Caterpillar

RTX (8.8%)

RTX

Higher Total Yield (Value for HCSG: 4.6%)

UNP (6.7%)

Union Pacific

UBER (6.5%)

Uber Technologies

LMT (6.1%)

Lockheed Martin

HON (4.8%)

Honeywell International

RTX (4.7%)

RTX

All Other Sectors

Higher Rev Chg 3Y Avg | Lower P/S (Values for HCSG: 3.3% | 0.8x)

UNH (11.4% | 0.8x)

UnitedHealth

CVS (7.7% | 0.3x)

CVS Health

MCK (13.3% | 0.3x)

McKesson

ELV (7.7% | 0.4x)

Elevance Health

CI (15.3% | 0.3x)

Cigna

Higher Rev Chg 3Y Avg | Lower P/Op Inc (Values for HCSG: 3.3% | 22.4x)

MSFT (14.4% | 22.1x)

Microsoft

META (19.9% | 20.3x)

Meta Platforms

V (11.6% | 21.0x)

Visa

MU (45.3% | 20.8x)

Micron Technology

JNJ (4.4% | 21.2x)

Johnson & Johnson

Higher Rev Chg LTM (Value for HCSG: 6.5%)

NVDA (65.5%)

NVIDIA

MSFT (16.7%)

Microsoft

GOOGL (15.1%)

Alphabet

AMZN (12.4%)

Amazon.com

AAPL (10.1%)

Apple

Higher Rev Chg 3Y Avg (Value for HCSG: 3.3%)

NVDA (101.8%)

NVIDIA

MSFT (14.4%)

Microsoft

GOOGL (12.5%)

Alphabet

AMZN (11.7%)

Amazon.com

AAPL (4.1%)

Apple

Higher Op Mgn LTM (Value for HCSG: 3.6%)

NVDA (60.4%)

NVIDIA

MSFT (46.7%)

Microsoft

AAPL (32.4%)

Apple

GOOGL (32.0%)

Alphabet

AMZN (11.2%)

Amazon.com

Higher CFO/Rev LTM (Value for HCSG: 8.7%)

MSFT (52.5%)

Microsoft

NVDA (47.6%)

NVIDIA

GOOGL (40.9%)

Alphabet

AAPL (31.1%)

Apple

AMZN (19.5%)

Amazon.com

Higher FCF/Rev LTM (Value for HCSG: 8.4%)

NVDA (44.8%)

NVIDIA

AVGO (42.3%)

Broadcom

AAPL (28.3%)

Apple

MSFT (25.3%)

Microsoft

GOOGL (18.2%)

Alphabet

Higher Total Yield (Value for HCSG: 4.6%)

XOM (7.0%)

Exxon Mobil

JPM (6.7%)

JPMorgan Chase

BRK-B (6.5%)

Berkshire Hathaway

JNJ (6.1%)

Johnson & Johnson

MSFT (4.6%)

Microsoft

Best Bets in Industrials

What You Pay

P/EBIT (Value for HCSG: 18.6x)

GATX (10.3x)

GATX

PAYX (14.0x)

Paychex

AGX (65.0x)

Argan

TDG (15.6x)

TransDigm

PCTY (17.3x)

Paylocity

SNA (14.1x)

Snap-on

ADP (14.6x)

Automatic Data Processing

CSL (13.7x)

Carlisle Companies

STRL (33.7x)

Sterling Infrastructure

PAYC (11.3x)

Paycom Software

P/E (Value for HCSG: 21.9x)

GATX (20.6x)

GATX

PAYX (20.6x)

Paychex

AGX (63.5x)

Argan

TDG (32.8x)

TransDigm

PCTY (24.5x)

Paylocity

SNA (19.2x)

Snap-on

ADP (20.5x)

Automatic Data Processing

CSL (19.5x)

Carlisle Companies

STRL (49.7x)

Sterling Infrastructure

PAYC (15.5x)

Paycom Software

What You Get

Rev Chg 3Y Avg (Value for HCSG: 3.3%)

GATX (11.0%)

GATX

PAYX (8.9%)

Paychex

AGX (28.8%)

Argan

TDG (17.5%)

TransDigm

PCTY (19.0%)

Paylocity

SNA (1.9%)

Snap-on

ADP (7.1%)

Automatic Data Processing

CSL (-2.0%)

Carlisle Companies

STRL (12.1%)

Sterling Infrastructure

PAYC (14.4%)

Paycom Software

Rev Chg LTM (Value for HCSG: 6.5%)

GATX (9.8%)

GATX

PAYX (16.4%)

Paychex

AGX (8.1%)

Argan

TDG (11.7%)

TransDigm

PCTY (12.1%)

Paylocity

SNA (3.0%)

Snap-on

ADP (6.6%)

Automatic Data Processing

CSL (-0.5%)

Carlisle Companies

STRL (17.7%)

Sterling Infrastructure

PAYC (8.9%)

Paycom Software

Rev Chg Q (Value for HCSG: 3.4%)

GATX (8.6%)

GATX

PAYX (19.9%)

Paychex

AGX (12.7%)

Argan

TDG (13.9%)

TransDigm

PCTY (10.4%)

Paylocity

SNA (5.2%)

Snap-on

ADP (6.2%)

Automatic Data Processing

CSL (-4.0%)

Carlisle Companies

STRL (51.5%)

Sterling Infrastructure

PAYC (10.2%)

Paycom Software

FCF/Rev 3Y Avg (Value for HCSG: 4.8%)

GATX (37.4%)

GATX

PAYX (33.2%)

Paychex

AGX (27.3%)

Argan

TDG (22.1%)

TransDigm

PCTY (21.7%)

Paylocity

SNA (21.2%)

Snap-on

ADP (19.7%)

Automatic Data Processing

CSL (18.8%)

Carlisle Companies

STRL (18.4%)

Sterling Infrastructure

PAYC (18.2%)

Paycom Software

[1] Choosing top 10 best bets from each sector quarterly is an alpha producing strategy vs sector benchmark
[2] Historical annualized return of 16%, alpha of 4.2%, and sharpe of 0.76

Latest Trefis Analyses

	Title	Date
0	DASHBOARDS
1	HCSG Stock (+16%): EPS Beat & Buyback Fuels Breakout	02/12/2026
2	Healthcare Services Earnings Notes	12/16/2025
3	Can Healthcare Services Stock Hold Up When Markets Turn?	10/17/2025
4	Healthcare Services (HCSG) Operating Income Comparison	08/08/2025
5	Healthcare Services (HCSG) Operating Cash Flow Comparison	08/08/2025
6	Healthcare Services (HCSG) Debt Comparison	08/08/2025
7	Healthcare Services (HCSG) Net Income Comparison	08/08/2025
8	Healthcare Services (HCSG) Revenue Comparison	08/08/2025
9	Healthcare Services (HCSG) EBITDA Comparison	08/08/2025
10	Healthcare Services (HCSG) Tax Expense Comparison	08/08/2025
11	ARTICLES
12	HCSG Stock (+16%): EPS Beat & Buyback Fuels Breakout	02/12/2026
13	HCSG Stock Down -16% after 8-Day Loss Streak	07/16/2025

	Title
0	DASHBOARDS
1	HCSG Stock (+16%): EPS Beat & Buyback Fuels Breakout
2	Healthcare Services Earnings Notes
3	Can Healthcare Services Stock Hold Up When Markets Turn?
4	Healthcare Services (HCSG) Operating Income Comparison
5	Healthcare Services (HCSG) Operating Cash Flow Comparison
6	Healthcare Services (HCSG) Debt Comparison
7	Healthcare Services (HCSG) Net Income Comparison
8	Healthcare Services (HCSG) Revenue Comparison
9	Healthcare Services (HCSG) EBITDA Comparison
10	Healthcare Services (HCSG) Tax Expense Comparison
11	ARTICLES
12	HCSG Stock (+16%): EPS Beat & Buyback Fuels Breakout
13	HCSG Stock Down -16% after 8-Day Loss Streak

Trade Ideas

Select ideas related to HCSG.

Unique Key	Date	Ticker	Company	Category	Trade Strategy	6M Fwd Rtn	12M Fwd Rtn	12M Max DD
NSP_3312026_Insider_Buying_45D_2Buy_200K	03312026	NSP	Insperity	Insider	Insider Buys 45DStrong Insider Buying Companies with multiple insider buys in the last 45 days	0.0%	0.0%	0.0%
TNC_3312026_Insider_Buying_45D_2Buy_200K	03312026	TNC	Tennant	Insider	Insider Buys 45DStrong Insider Buying Companies with multiple insider buys in the last 45 days	0.0%	0.0%	0.0%
ADP_3272026_Dip_Buyer_FCFYield	03272026	ADP	Automatic Data Processing	Dip Buy	DB \| FCFY OPMDip Buy with High FCF Yield and High Margin Buying dips for companies with high FCF yield and meaningfully high operating margin	1.0%	1.0%	0.0%
HURN_3272026_Dip_Buyer_FCFYield	03272026	HURN	Huron Consulting	Dip Buy	DB \| FCFY OPMDip Buy with High FCF Yield and High Margin Buying dips for companies with high FCF yield and meaningfully high operating margin	4.0%	4.0%	0.0%
TRU_3272026_Dip_Buyer_FCFYield	03272026	TRU	TransUnion	Dip Buy	DB \| FCFY OPMDip Buy with High FCF Yield and High Margin Buying dips for companies with high FCF yield and meaningfully high operating margin	5.2%	5.2%	0.0%

Recent Active Movers

Top Gainers

Ticker	Company	Mkt Cap (B)	1D Rtn	YTD Rtn
KALV	KalVista Pharmaceuticals	1.4	38.6%	65.1%
MXL	MaxLinear	5.9	29.8%	287.4%
COCO	Vita Coco	3.8	29.7%	26.3%
EXTR	Extreme Networks	2.9	28.2%	31.2%
BE	Bloom Energy	76.0	27.2%	231.4%
NXPI	NXP Semiconductors	73.0	25.5%	33.9%
PRG	PROG	1.4	24.1%	22.1%
DSGN	Design Therapeutics	0.9	23.3%	68.3%
PRCH	Porch	1.1	17.9%	11.0%
CHEF	Chefs' Warehouse	2.9	17.8%	21.5%

Top Losers

Ticker	Company	Mkt Cap (B)	1D Rtn	YTD Rtn
BCPC	Balchem	0.8	-86.4%	-84.3%
TER	Teradyne	47.9	-19.4%	58.3%
POET	POET Technologies	0.6	-17.8%	4.3%
JBIO	Jade Biosciences	1.1	-15.6%	44.7%
OI	O-I Glass	1.3	-15.5%	-41.4%
SOFI	SoFi Technologies	19.0	-15.4%	-40.7%
SITE	SiteOne Landscape Supply	5.4	-15.4%	-2.9%
LMND	Lemonade	4.2	-14.9%	-21.3%
ASH	Ashland	2.3	-13.8%	-15.7%
HOOD	Robinhood Markets	63.9	-13.2%	-37.0%

Top Gainers

Ticker	Company	Mkt Cap (B)	1W Rtn	YTD Rtn
MXL	MaxLinear	5.9	99.2%	287.4%
MANE	Veradermics	2.1	51.5%	182.3%
OGN	Organon	3.5	46.0%	86.5%
INTC	Intel	459.3	45.2%	156.8%
COCO	Vita Coco	3.8	43.7%	26.3%
CNC	Centene	26.5	38.7%	31.2%
KFRC	Kforce	0.8	36.6%	53.3%
KALV	KalVista Pharmaceuticals	1.4	36.3%	65.1%
MOH	Molina Healthcare	10.0	28.4%	13.2%
NXPI	NXP Semiconductors	73.0	28.1%	33.9%

Top Losers

Ticker	Company	Mkt Cap (B)	1W Rtn	YTD Rtn
BCPC	Balchem	0.8	-86.3%	-84.3%
CMPX	Compass Therapeutics	0.3	-68.6%	-68.9%
CAR	Avis Budget	6.4	-59.2%	41.2%
ERAS	Erasca	2.6	-57.9%	144.9%
POET	POET Technologies	0.6	-48.3%	4.3%
VISN	Vistance Networks	2.3	-45.4%	-43.2%
NMAX	Newsmax	0.7	-36.9%	-24.6%
LBRDK	Liberty Broadband	5.3	-34.7%	-24.0%
CHTR	Charter Communications	20.2	-34.6%	-24.0%
LBRDA	Liberty Broadband	5.3	-34.5%	-23.3%

Top Gainers

Ticker	Company	Mkt Cap (B)	1M Rtn	YTD Rtn
MXL	MaxLinear	5.9	319.9%	287.4%
AEHR	Aehr Test Systems	2.5	171.7%	305.2%
BE	Bloom Energy	76.0	141.0%	231.4%
APLS	Apellis Pharmaceuticals	5.2	139.6%	63.0%
OGN	Organon	3.5	134.0%	86.5%
INTC	Intel	459.3	130.0%	156.8%
INBX	Inhibrx Biosciences	1.9	108.5%	58.0%
CRDO	Credo Technology	32.0	100.2%	22.2%
NVTS	Navitas Semiconductor	3.4	97.7%	116.8%
ALAB	Astera Labs	33.4	96.3%	18.3%

Top Losers

Ticker	Company	Mkt Cap (B)	1M Rtn	YTD Rtn
BCPC	Balchem	0.8	-85.9%	-84.3%
CMPX	Compass Therapeutics	0.3	-67.3%	-68.9%
REPL	Replimune	0.2	-66.9%	-75.5%
VISN	Vistance Networks	2.3	-40.5%	-43.2%
ERAS	Erasca	2.6	-39.0%	144.9%
LCID	Lucid	1.9	-37.0%	-45.5%
GEVO	Gevo	0.4	-31.5%	-5.0%
VRDN	Viridian Therapeutics	1.3	-28.2%	-57.3%
CHTR	Charter Communications	20.2	-28.2%	-24.0%
LBRDK	Liberty Broadband	5.3	-28.2%	-24.0%

Peer Comparisons

Peers to compare with:

Financials

	HCSG	ARMK	ABM	CTAS	UNF	Median
Name	Healthca.	Aramark	ABM Indu.	Cintas	UniFirst
Mkt Price	21.33	44.97	39.78	173.95	255.79	44.97
Mkt Cap	1.5	11.8	2.4	69.6	4.6	4.6
Rev LTM	1,852	18,786	8,875	11,027	2,469	8,875
Op Inc LTM	67	792	326	2,531	169	326
FCF LTM	156	234	327	1,794	92	234
FCF 3Y Avg	87	220	216	1,706	114	216
CFO LTM	161	726	403	2,207	257	403
CFO 3Y Avg	93	664	279	2,115	277	279

Growth & Margins

	HCSG	ARMK	ABM	CTAS	UNF	Median
Name	Healthca.	Aramark	ABM Indu.	Cintas	UniFirst
Rev Chg LTM	6.5%	7.1%	5.6%	8.7%	0.8%	6.5%
Rev Chg 3Y Avg	3.3%	11.4%	4.1%	8.6%	5.4%	5.4%
Rev Chg Q	3.4%	6.1%	6.1%	8.9%	3.4%	6.1%
QoQ Delta Rev Chg LTM	0.8%	1.5%	1.5%	2.2%	0.8%	1.5%
Op Inc Chg LTM	25.3%	4.7%	51.4%	9.6%	-10.7%	9.6%
Op Inc Chg 3Y Avg	13.5%	24.3%	11.6%	13.4%	10.0%	13.4%
Op Mgn LTM	3.6%	4.2%	3.7%	23.0%	6.8%	4.2%
Op Mgn 3Y Avg	3.3%	4.1%	3.8%	22.3%	7.0%	4.1%
QoQ Delta Op Mgn LTM	0.6%	-0.1%	-0.0%	-0.0%	-0.3%	-0.0%
CFO/Rev LTM	8.7%	3.9%	4.5%	20.0%	10.4%	8.7%
CFO/Rev 3Y Avg	5.2%	3.7%	3.3%	20.8%	11.5%	5.2%
FCF/Rev LTM	8.4%	1.2%	3.7%	16.3%	3.7%	3.7%
FCF/Rev 3Y Avg	4.8%	1.2%	2.5%	16.7%	4.7%	4.7%

Valuation

	HCSG	ARMK	ABM	CTAS	UNF	Median
Name	Healthca.	Aramark	ABM Indu.	Cintas	UniFirst
Mkt Cap	1.5	11.8	2.4	69.6	4.6	4.6
P/S	0.8	0.6	0.3	6.3	1.9	0.8
P/Op Inc	22.4	14.9	7.4	27.5	27.3	22.4
P/EBIT	18.6	14.9	7.6	27.4	27.3	18.6
P/E	21.9	37.3	15.2	35.9	34.1	34.1
P/CFO	9.2	16.3	6.0	31.5	18.0	16.3
Total Yield	4.6%	3.6%	9.3%	3.8%	3.5%	3.8%
Dividend Yield	0.0%	1.0%	2.8%	1.0%	0.5%	1.0%
FCF Yield 3Y Avg	8.5%	2.3%	7.9%	2.3%	3.3%	3.3%
D/E	0.0	0.6	0.7	0.0	0.0	0.0
Net D/E	-0.1	0.5	0.7	0.0	-0.0	0.0

Returns

	HCSG	ARMK	ABM	CTAS	UNF	Median
Name	Healthca.	Aramark	ABM Indu.	Cintas	UniFirst
1M Rtn	14.1%	11.7%	5.0%	3.1%	2.6%	5.0%
3M Rtn	15.0%	17.2%	-10.5%	-7.8%	23.5%	15.0%
6M Rtn	13.4%	15.7%	-6.3%	-5.0%	65.0%	13.4%
12M Rtn	52.0%	37.7%	-16.3%	-16.2%	43.2%	37.7%
3Y Rtn	36.6%	85.5%	-0.2%	56.7%	59.7%	56.7%
1M Excs Rtn	1.6%	-0.8%	-7.5%	-9.4%	-9.9%	-7.5%
3M Excs Rtn	12.7%	14.9%	-12.8%	-10.1%	21.3%	12.7%
6M Excs Rtn	8.8%	9.0%	-15.0%	-11.2%	58.9%	8.8%
12M Excs Rtn	25.6%	8.7%	-45.0%	-44.8%	15.4%	8.7%
3Y Excs Rtn	-23.0%	12.1%	-71.7%	-16.5%	-17.2%	-17.2%

FDIC Bank Data

Bank Capital

null

Bank Deposits

null

Bank Assets

null

Bank Loans

null

FDA Approved Drugs Data

Expand for Morenull

Financials

Annual
Quarterly

$ Mil \| FY: 12/31	LTM	2025	2024	2023	2022	2021	2020
Period End	3/31/2026	12/31/2025	12/31/2024	12/31/2023	12/31/2022	12/31/2021	12/31/2020
Filing Date	4/24/2026	2/13/2026	2/14/2025	2/16/2024	2/17/2023	2/18/2022	2/25/2021
Key Financials
Total Revenue	1,852	1,837	1,716	1,671	1,690	1,642	1,760
EBITDA	97	86	74	75	63	82	145
Operating Income	67	56	53	48	44	64	126
Net Income	68	59	39	38	34	49	99
EPS	0.96	0.82	0.54	0.52	0.46	0.65	1.32
Growth Rates
Total Revenue Growth	6.5%	7.1%	2.7%	-1.1%	2.9%	-6.7%	-4.4%
EBITDA Growth	28.5%	16.6%	-1.7%	19.7%	-22.9%	-43.7%	41.3%
Operating Income Growth	25.3%	4.7%	11.0%	9.6%	-31.7%	-49.3%	62.3%
Net Income Growth	64.0%	49.6%	2.8%	12.1%	-29.5%	-50.8%	52.8%
Margins
EBITDA Margin	5.2%	4.7%	4.3%	4.5%	3.7%	5.0%	8.2%
Operating Income Margin	3.6%	3.0%	3.1%	2.9%	2.6%	3.9%	7.2%
Net Income Margin	3.7%	3.2%	2.3%	2.3%	2.0%	3.0%	5.6%
Cash & Debt
Total Cash	179	168	107	147	121	185	264
Total Debt	15	10	8	36	33	11	11
Net Debt / (Cash)	-164	-158	-99	-111	-88	-174	-253
Cash Flows
Net Cash from Operations	161	145	31	43	-8	37	217
Free Cash from Operations	156	139	24	38	-13	31	213
Returns to Shareholders
Dividends	0	-0	-0	-0	63	62	61
Share Repurchases	79	62	5	11	-0	22	-0

$ Mil \| FY: 12/31	2026Q1	2025Q4	2025Q3	2025Q2	2025Q1	2024Q4	2024Q3	2024Q2	2024Q1	2023Q4	2023Q3	2023Q2
Period End	3/31/2026	12/31/2025	9/30/2025	6/30/2025	3/31/2025	12/31/2024	9/30/2024	6/30/2024	3/31/2024	12/31/2023	9/30/2023	6/30/2023
Filing Date	4/24/2026	2/13/2026	10/24/2025	7/25/2025	4/25/2025	2/14/2025	10/25/2024	7/26/2024	4/26/2024	2/16/2024	10/27/2023	7/28/2023
Key Financials Quarterly
Total Revenue	463	467	464	458	448	438	428	426	423	424	411	419
Ebitda	39	33	62	-36	28	20	24	3	27	38	-1	16
Operating Income	32	26	50	-42	22	14	19	-2	22	26	-6	12
Net Income	26	31	43	-32	17	12	14	-2	15	24	-5	8
EPS	0.37	0.44	0.59	-0.44	0.23	0.16	0.19	-0.02	0.21	0.31	-0.07	0.11
Key Financials TTM
Total Revenue TTM	1,852	1,837	1,808	1,772	1,740	1,716	1,702	1,685	1,678	1,671	1,672	1,675
Ebitda TTM	97	86	73	35	75	74	93	67	80	75	62	68
Operating Income TTM	67	56	44	13	53	53	65	40	53	48	41	48
Net Income TTM	68	59	40	11	41	39	51	32	42	38	31	36
Growth Rates Quarterly
Total Revenue Growth	3.4%	6.6%	8.5%	7.6%	5.7%	3.3%	4.1%	1.8%	1.5%	-0.0%	-0.7%	-1.4%
EBITDA Growth	37.4%	67.5%	155.8%	-1169.8%	4.9%	-48.6%	2637.2%	-79.3%	24.2%	55.5%	-117.0%	33.7%
Operating Income Growth	49.8%	84.1%	161.6%	-2432.4%	-0.8%	-44.8%	424.7%	-114.1%	32.8%	33.8%	-1025.0%	18.3%
Net Income Growth	51.3%	162.1%	206.2%	-1710.2%	12.5%	-49.3%	378.0%	-121.7%	31.2%	49.0%	-1667.4%	21.0%
Margins Quarterly
EBITDA Margin	8.4%	7.0%	13.3%	-8.0%	6.3%	4.5%	5.6%	0.8%	6.3%	9.0%	-0.2%	3.9%
Operating Income Margin	7.0%	5.6%	10.7%	-9.1%	4.8%	3.3%	4.4%	-0.4%	5.1%	6.1%	-1.4%	2.8%
Net Income Margin	5.6%	6.7%	9.3%	-7.1%	3.8%	2.7%	3.3%	-0.4%	3.6%	5.5%	-1.2%	2.0%
Cash & Debt
Total Cash	179	168	177	134	115	107	104	106	105	147	121	122
Total Debt	15	10	14	15	8	8	34	41	51	36	57	52
Net Debt / (Cash)	-164	-158	-164	-119	-107	-99	-70	-65	-54	-111	-65	-70
Cash Flows Quarterly
FCF from Operations	44	17	71	29	28	36	4	16	-26	49	3	7
Cash Flows TTM
FCF from Operations TTM	161	145	164	97	84	31	44	43	34	43	17	4
Returns to Shareholders Quarterly
Dividends	0	0	0	0	0	0	0	0	0	0	0	0
Share Repurchases	24	20	27	8	7	1	1	3	-0	5	4	-0
Return on Invested Capital (ROIC) Quarterly
ROIC	-	-	-	-137.4%	52.6%	34.1%	34.1%	-3.5%	34.0%	61.3%	-10.7%	20.0%
Return on Invested Capital (ROIC) TTM
ROIC TTM	-	-	-	9.8%	33.5%	29.5%	28.3%	16.8%	21.0%	28.3%	18.1%	20.6%

Segment Financials

Revenue by Segment

$ Mil	2025	2024	2023	2022	2021
Dietary	950	905	894	821	865
Environmental Services (EVS)	765	767	796	821	895
Total	1,716	1,671	1,690	1,642	1,760

Operating Income by Segment

$ Mil	2025	2024
Environmental Services (EVS)	75	72
Dietary	46	45
Corporate expenses	-68	-62
Total	53	55

Price Behavior

Price Behavior

Market Price	$21.33
Market Cap ($ Bil)	1.5
First Trading Date	03/26/1990
Distance from 52W High	-6.8%
	50 Days	200 Days
DMA Price	$20.06	$17.87
DMA Trend	up	indeterminate
Distance from DMA	6.3%	19.3%
	3M	1YR
Volatility	58.9%	44.2%
Downside Capture	0.42	0.40
Upside Capture	114.31	99.78
Correlation (SPY)	28.9%	31.7%

HCSG Betas & Captures as of 3/31/2026

	1M	2M	3M	6M	1Y	3Y
Beta	1.56	1.15	1.17	1.06	0.82	0.89
Up Beta	1.67	0.85	1.73	1.91	0.92	0.96
Down Beta	0.80	3.13	2.05	1.67	0.57	0.62
Up Capture	188%	80%	66%	82%	128%	83%
Bmk +ve Days	7	16	27	65	139	424
Stock +ve Days	7	21	31	65	126	362
Down Capture	190%	35%	68%	46%	71%	100%
Bmk -ve Days	12	23	33	58	110	323
Stock -ve Days	15	21	32	60	122	371

[1] Upside and downside betas calculated using positive and negative benchmark daily returns respectively

Based On 1-Year Data

	Annualized Return	Annualized Volatility	Sharpe Ratio	Correlation with HCSG
HCSG	56.7%	44.2%	1.14	-
Sector ETF (XLI)	33.2%	15.2%	1.68	20.4%
Equity (SPY)	31.5%	12.5%	1.93	31.5%
Gold (GLD)	35.2%	27.2%	1.09	3.7%
Commodities (DBC)	46.7%	18.1%	1.99	-5.5%
Real Estate (VNQ)	12.8%	13.4%	0.65	16.9%
Bitcoin (BTCUSD)	-19.6%	42.1%	-0.40	5.9%

Smart multi-asset allocation framework can stack odds in your favor. Learn How

Based On 5-Year Data

	Annualized Return	Annualized Volatility	Sharpe Ratio	Correlation with HCSG
HCSG	-5.6%	41.9%	-0.02	-
Sector ETF (XLI)	12.8%	17.3%	0.58	34.4%
Equity (SPY)	13.1%	17.1%	0.60	34.5%
Gold (GLD)	20.1%	17.8%	0.92	4.6%
Commodities (DBC)	14.6%	19.1%	0.63	2.5%
Real Estate (VNQ)	3.4%	18.8%	0.08	34.6%
Bitcoin (BTCUSD)	8.1%	56.2%	0.36	13.9%

Smart multi-asset allocation framework can stack odds in your favor. Learn How

Based On 10-Year Data

	Annualized Return	Annualized Volatility	Sharpe Ratio	Correlation with HCSG
HCSG	-3.5%	40.4%	0.05	-
Sector ETF (XLI)	13.6%	19.9%	0.60	39.7%
Equity (SPY)	14.9%	17.9%	0.71	40.2%
Gold (GLD)	13.4%	15.9%	0.70	4.1%
Commodities (DBC)	9.6%	17.7%	0.45	11.0%
Real Estate (VNQ)	5.5%	20.7%	0.23	38.0%
Bitcoin (BTCUSD)	67.5%	66.9%	1.07	13.4%

Smart multi-asset allocation framework can stack odds in your favor. Learn How

Short Interest

Short Interest: As Of Date	4152026
Short Interest: Shares Quantity	2.6 Mil
Short Interest: % Change Since 3312026	14.2%
Average Daily Volume	0.7 Mil
Days-to-Cover Short Interest	3.9 days
Basic Shares Quantity	69.9 Mil
Short % of Basic Shares	3.7%

Returns Analyses

	Title
0	Can Healthcare Services Stock Hold Up When Markets Turn?

Earnings Returns History

Expand for More

	Forward Returns
Earnings Date	1D Returns	5D Returns	21D Returns
4/22/2026	18.3%	11.5%
2/11/2026	15.8%	5.5%	0.9%
10/22/2025	13.8%	16.1%	4.1%
7/23/2025	12.1%	1.7%	16.7%
4/23/2025	29.5%	49.1%	54.1%
2/12/2025	-1.8%	-2.2%	-2.2%
10/23/2024	2.8%	7.1%	10.7%
7/24/2024	-6.7%	-3.0%	-9.9%
...
SUMMARY STATS
# Positive	13	12	14
# Negative	12	13	10
Median Positive	13.2%	10.0%	4.2%
Median Negative	-7.8%	-5.4%	-14.7%
Max Positive	29.5%	49.1%	54.1%
Max Negative	-16.2%	-23.8%	-19.2%

	Forward Returns
4/22/2026	18.3%	11.5%
2/11/2026	15.8%	5.5%	0.9%
10/22/2025	13.8%	16.1%	4.1%
7/23/2025	12.1%	1.7%	16.7%
4/23/2025	29.5%	49.1%	54.1%
2/12/2025	-1.8%	-2.2%	-2.2%
10/23/2024	2.8%	7.1%	10.7%
7/24/2024	-6.7%	-3.0%	-9.9%
4/24/2024	-6.1%	-11.1%	-5.0%
2/14/2024	27.2%	28.0%	28.1%
10/25/2023	-9.5%	-4.1%	0.3%
7/26/2023	-14.5%	-14.7%	-17.4%
4/26/2023	7.5%	8.5%	2.6%
2/15/2023	7.1%	14.3%	5.3%
10/19/2022	-1.2%	-0.5%	3.2%
7/20/2022	-16.2%	-23.8%	-19.1%
4/20/2022	19.9%	4.7%	2.7%
2/9/2022	2.7%	-1.6%	4.2%
10/20/2021	-14.0%	-13.9%	-17.0%
7/21/2021	-12.4%	-13.6%	-18.7%
4/21/2021	13.2%	12.0%	8.7%
2/10/2021	-8.9%	-10.9%	-12.5%
10/21/2020	5.6%	-2.4%	0.3%
7/21/2020	-5.0%	-5.4%	-19.2%
4/22/2020	-1.7%	5.9%	-7.0%
SUMMARY STATS
# Positive	13	12	14
# Negative	12	13	10
Median Positive	13.2%	10.0%	4.2%
Median Negative	-7.8%	-5.4%	-14.7%
Max Positive	29.5%	49.1%	54.1%
Max Negative	-16.2%	-23.8%	-19.2%

SEC Filings

Expand for More

Report Date	Filing Date	Filing
03/31/2026	04/24/2026	10-Q
12/31/2025	02/13/2026	10-K
09/30/2025	10/24/2025	10-Q
06/30/2025	07/25/2025	10-Q
03/31/2025	04/25/2025	10-Q
12/31/2024	02/14/2025	10-K
09/30/2024	10/25/2024	10-Q
06/30/2024	07/26/2024	10-Q
03/31/2024	04/26/2024	10-Q
12/31/2023	02/16/2024	10-K
09/30/2023	10/27/2023	10-Q
06/30/2023	07/28/2023	10-Q
03/31/2023	04/28/2023	10-Q
12/31/2022	02/17/2023	10-K
09/30/2022	10/21/2022	10-Q
06/30/2022	07/22/2022	10-Q

Recent Forward Guidance [BETA]

Latest: Q1 2026 Earnings Reported 4/22/2026

Forward Guidance				Guidance Change
Metric	Low	Mid	High	% Chg	% Delta	Change	Prior
2026 Revenue Growth		5.0%		0	0	Affirmed	Guidance: 5.0% for 2026
2026 Effective Tax Rate		25.0%		0	0	Affirmed	Guidance: 25.0% for 2026
2026 Cost of Services		0.86		0	0	Affirmed	Guidance: 0.86 for 2026
2026 SG&A	0.1	0.1	0.1	0	0	Affirmed	Guidance: 0.1 for 2026
2027 Share Repurchases		75.00 Mil		0		Same New	Guidance: 75.00 Mil for 2026

Prior: Q4 2025 Earnings Reported 2/11/2026

Forward Guidance				Guidance Change
Metric	Low	Mid	High	% Chg	% Delta	Change	Prior
2026 Revenue Growth		5.0%				Higher New
2026 Cost of Services		0.86		0	0	Affirmed	Guidance: 0.86 for 2025
2026 SG&A	0.1	0.1	0.1	0	0	Affirmed	Guidance: 0.1 for 2025
2026 Effective Tax Rate		25.0%				Higher New
2026 Share Repurchases		75.00 Mil				Higher New

Insider Activity

Expand for More

#	Owner	Title	Holding	Action	Filing Date	Price	Shares	Transacted Value	Value of Held Shares	Form
1	Brophy, Andrew M	SVP & Chief Accounting Officer	Direct	Sell	2262026	21.75	2,490	54,158	342,236	Form
2	Orr, Patrick J	EVP & Chief Revenue Officer	Direct	Sell	2192026	20.54	45,500	934,570	916,392	Form
3	Shea, John Christopher	EVP & Chief Admin. Officer	Direct	Sell	2192026	20.41	54,357	1,109,189	597,722	Form
4	Shea, John Christopher	EVP & Chief Admin. Officer	Direct	Sell	7302025	13.25	21,368	283,126	436,932	Form

HCSG Trade Sentinel

Stock Conviction

null

CONVICTION RATIONALE

null

STOCK ARCHETYPE

null

Looking for high-conviction positions with a better risk/reward profile? See what's currently in the Trefis High Quality Portfolio.

INVESTMENT THESIS

null

Mechanism: null

Supporting Evidence:

PRIMARY RISK

null

Mechanism: null

Supporting Evidence:

Key KPI Watchlist

KPI	Threshold	Rationale

Core Investment Debate

BULL VIEW

CORE TENSION

PREVAILING SENTIMENT

BEAR VIEW

Next 6 months: Risks and Catalysts

Timeline	Event & Metric To Watch

Key Events in Last 6 Months

Date	Event	Stock Impact

Risk Management

Position Sizing

null

Diversification Alternatives

How Is The Market Pricing HCSG?

What will confirm the thesis

What will damage the thesis

Noise: Real but irrelevant to thesis

Repricing Catalyst

What HCSG Makes & Who Pays

TTM figures based on

HCSG Evolution: Price Return by Era

① Structure

② Volume / Momentum

③ Catalyst

Combined Score

0 / 12

1 Price Structure & Trend · ▾

2 Momentum ▾

3 Relative Strength vs. SPY ▾

4 Institutional Footprint & Volume ▾

5 Volatility ▾

6 Key Price Levels Range · Vol ▾

7 Earnings Reaction History ▾

8 How the Verdict Is Derived Three Pillars ▾

Pillar	Score
① Structure	0
② Vol / Mom	0
③ Catalyst	0

ℹ Bull Pillars: 0 · Bear Pillars: 0 · Combined Score: 0 →

External Quote Links

0	Y Finance	Barrons
1	TradingView	Morningstar
2	SeekingAlpha	ValueLine
3	Motley Fool	Robinhood
4	CNBC	Etrade
5	MarketWatch	Unusual Whales
6	YCharts	Perplexity Finance
7	FinViz

Prefer one of these to Trefis? Tell us why.

Healthcare Services (HCSG)

Market Price (4/30/2026): $21.32 | Market Cap: $1.5 BilSector: Industrials | Industry: Environmental & Facilities Services

Healthcare Services (HCSG)

Market Price (4/30/2026): $21.32Market Cap: $1.5 BilSector: IndustrialsIndustry: Environmental & Facilities Services

Investment Highlights Why It Matters Detailed financial logic regarding cash flow yields vs trend-riding momentum.

Valuation, Metrics & Events

Price Chart

Why The Stock Moved

Qualitative Assessment

Stock Movement Drivers

Fundamental Drivers

Market Drivers

Fundamental Drivers

Market Drivers

Fundamental Drivers

Market Drivers

Fundamental Drivers

Market Drivers

Return vs. Risk

Price Returns Compared

How Low Can It Go

In The Past

Preserve Wealth

Asset Allocation

About Healthcare Services (HCSG)

Interactive Breakdown

Better Bets vs. Healthcare Services (HCSG)

INDUSTRY: Environmental & Facilities Services

Higher Rev Chg 3Y Avg | Lower P/S (Values for HCSG: 3.3% | 0.8x)

Higher Rev Chg 3Y Avg | Lower P/Op Inc (Values for HCSG: 3.3% | 22.4x)

Higher Rev Chg LTM (Value for HCSG: 6.5%)

Higher Rev Chg 3Y Avg (Value for HCSG: 3.3%)

Higher Op Mgn LTM (Value for HCSG: 3.6%)

Higher CFO/Rev LTM (Value for HCSG: 8.7%)

Higher FCF/Rev LTM (Value for HCSG: 8.4%)

Higher Total Yield (Value for HCSG: 4.6%)

SECTOR: Industrials

Higher Rev Chg 3Y Avg | Lower P/S (Values for HCSG: 3.3% | 0.8x)

Higher Rev Chg 3Y Avg | Lower P/Op Inc (Values for HCSG: 3.3% | 22.4x)

Higher Rev Chg LTM (Value for HCSG: 6.5%)

Higher Rev Chg 3Y Avg (Value for HCSG: 3.3%)

Higher Op Mgn LTM (Value for HCSG: 3.6%)

Higher CFO/Rev LTM (Value for HCSG: 8.7%)

Higher FCF/Rev LTM (Value for HCSG: 8.4%)

Higher Total Yield (Value for HCSG: 4.6%)

All Other Sectors

Higher Rev Chg 3Y Avg | Lower P/S (Values for HCSG: 3.3% | 0.8x)

Higher Rev Chg 3Y Avg | Lower P/Op Inc (Values for HCSG: 3.3% | 22.4x)

Higher Rev Chg LTM (Value for HCSG: 6.5%)

Higher Rev Chg 3Y Avg (Value for HCSG: 3.3%)

Higher Op Mgn LTM (Value for HCSG: 3.6%)

Higher CFO/Rev LTM (Value for HCSG: 8.7%)

Higher FCF/Rev LTM (Value for HCSG: 8.4%)

Higher Total Yield (Value for HCSG: 4.6%)

Best Bets in Industrials

P/EBIT (Value for HCSG: 18.6x)

P/E (Value for HCSG: 21.9x)

Rev Chg 3Y Avg (Value for HCSG: 3.3%)

Rev Chg LTM (Value for HCSG: 6.5%)

Rev Chg Q (Value for HCSG: 3.4%)

FCF/Rev 3Y Avg (Value for HCSG: 4.8%)

Latest Trefis Analyses

Trade Ideas

Recent Active Movers

Top Gainers

Top Losers

Top Gainers

Top Losers

Top Gainers

Top Losers

More From Trefis

Research & Analysis

Invest in Strategies

Wealth Management

Peer Comparisons

Financials

Growth & Margins

Valuation

Returns

Comparison Analyses

Market Price (4/30/2026): $21.32 | Market Cap: $1.5 Bil
Sector: Industrials | Industry: Environmental & Facilities Services

Market Price (4/30/2026): $21.32
Market Cap: $1.5 Bil
Sector: Industrials
Industry: Environmental & Facilities Services