Tearsheet

Healthcare Services (HCSG)


Market Price (12/4/2025): $18.8 | Market Cap: $1.4 Bil
Sector: Industrials | Industry: Environmental & Facilities Services

Healthcare Services (HCSG)


Market Price (12/4/2025): $18.8
Market Cap: $1.4 Bil
Sector: Industrials
Industry: Environmental & Facilities Services

Investment Highlights Why It Matters Which of these 2 stories sounds closer for this stock?

1. Generates cash flow

The stock generated 4% or more of the share price (called cash flow yield), and shows moderate 10-15% or more growth.

2. Riding a trend

Think Tesla during the pandemic of 2020 when EVs were riding a cultural high, or Nvidia in the current AI boom, or even Figma. These companies don’t have enough yield, or, enough growth, or both - however - they are riding a trend. They have momentum. These can be more volatile - they don’t have the floor of strong cash flow


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 -13%
Trading close to highs
Dist 52W High is -2.2%, Dist 3Y High is -2.2%
Valuation getting more expensive
P/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is 58%
1 Attractive yield
FCF Yield is 13%
Weak multi-year price returns
3Y Excs Rtn is -34%
 
2 Low stock price volatility
Vol 12M is 47%
  
3 Megatrend and thematic drivers
Megatrends include Aging Population & Chronic Disease. Themes include Geriatric Care.
  
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 -13%
1 Attractive yield
FCF Yield is 13%
2 Low stock price volatility
Vol 12M is 47%
3 Megatrend and thematic drivers
Megatrends include Aging Population & Chronic Disease. Themes include Geriatric Care.
4 Trading close to highs
Dist 52W High is -2.2%, Dist 3Y High is -2.2%
5 Weak multi-year price returns
3Y Excs Rtn is -34%
6 Valuation getting more expensive
P/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is 58%

Valuation, Metrics & Events

HCSG Stock


Why The Stock Moved


Qualitative Assessment

AI Generated Analysis | Feedback

Healthcare Services Group (HCSG) experienced a notable stock movement from August 31, 2025, to December 4, 2025, largely influenced by a series of positive financial announcements and strong operational performance. 1. Strong Third Quarter 2025 Earnings Beat. Healthcare Services Group reported robust third-quarter 2025 results on October 22, 2025, significantly surpassing analyst expectations. The company announced an Earnings Per Share (EPS) of $0.23, beating the consensus estimate of $0.21. Quarterly revenue also exceeded forecasts, rising 8.5% year-over-year to $464.34 million against an estimated $460.36 million. Net income for the quarter was $0.59 per diluted share, a substantial increase from $0.19 a year prior, well above the $0.18 expected by analysts.

2. Positive Operational Momentum and Client Growth. The strong third-quarter performance was attributed to significant operational momentum, including year-over-year and sequential increases in revenue, earnings, and cash flow. Management highlighted new client wins and high retention rates as key drivers for the top-line growth, demonstrating the company's ability to expand its client base and maintain existing relationships.

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Stock Movement Drivers

Return vs. Risk


Price Returns Compared

 202020212022202320242025Total [1]
Returns
HCSG Return20%-35%-29%-14%12%62%-12%
Peers Return74%-12%28%16%58%23%341%
S&P 500 Return16%27%-19%24%23%16%112%

Monthly Win Rates [3]
HCSG Win Rate75%50%50%50%42%50% 
Peers Win Rate48%46%50%52%52%50% 
S&P 500 Win Rate58%75%42%67%75%70% 

Max Drawdowns [4]
HCSG Max Drawdown-26%-39%-29%-25%-13%-19% 
Peers Max Drawdown-44%-33%-28%-19%-6%-31% 
S&P 500 Max Drawdown-31%-1%-25%-1%-2%-15% 


[1] Cumulative total returns since the beginning of 2020
[2] Peers: CWST, GEO, CECO, FTEK, MDRN.
[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] 2025 data is for the year up to 12/3/2025 (YTD)

How Low Can It Go

Unique KeyEventHCSGS&P 500
2022 Inflation Shock2022 Inflation Shock  
2022 Inflation Shock% Loss% Loss-73.6%-25.4%
2022 Inflation Shock% Gain to Breakeven% Gain to Breakeven278.4%34.1%
2022 Inflation ShockTime to BreakevenTime to BreakevenNot Fully Recovered days464 days
2020 Covid Pandemic2020 Covid Pandemic  
2020 Covid Pandemic% Loss% Loss-42.6%-33.9%
2020 Covid Pandemic% Gain to Breakeven% Gain to Breakeven74.2%51.3%
2020 Covid PandemicTime to BreakevenTime to Breakeven298 days148 days
2018 Correction2018 Correction  
2018 Correction% Loss% Loss-62.0%-19.8%
2018 Correction% Gain to Breakeven% Gain to Breakeven163.3%24.7%
2018 CorrectionTime to BreakevenTime to BreakevenNot Fully Recovered days120 days
2008 Global Financial Crisis2008 Global Financial Crisis  
2008 Global Financial Crisis% Loss% Loss-48.2%-56.8%
2008 Global Financial Crisis% Gain to Breakeven% Gain to Breakeven93.2%131.3%
2008 Global Financial CrisisTime to BreakevenTime to Breakeven809 days1480 days

Compare to CWST, GEO, CECO, FTEK, MDRN


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.

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Asset Allocation

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About Healthcare Services (HCSG)

Better Bets than Healthcare Services (HCSG)

Latest Trefis Analyses

Trade Ideas

Select past ideas related to HCSG. For more, see Trefis Trade Ideas.

Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
CNM_11212025_Dip_Buyer_FCFYield11212025CNMCore & MainDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
7.3%7.3%-1.6%
VRRM_11212025_Dip_Buyer_FCFYield11212025VRRMVerra MobilityDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
2.3%2.3%-1.2%
LII_11212025_Dip_Buyer_ValueBuy11212025LIILennox InternationalDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
4.8%4.8%0.0%
ADP_11212025_Monopoly_xInd_xCD_Getting_Cheaper11212025ADPAutomatic Data ProcessingMonopolyMY | Getting CheaperMonopoly-Like with P/S Decline
Large cap with monopoly-like margins or cash flow generation and getting cheaper based on P/S multiple
1.6%1.6%-1.2%
CW_11212025_Quality_Momentum_RoomToRun_10%11212025CWCurtiss-WrightQualityQ | Momentum | UpsideQuality Stocks with Momentum and Upside
Buying quality stocks with strong momentum but still having room to run
2.2%2.2%0.0%
Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
CNM_11212025_Dip_Buyer_FCFYield11212025CNMCore & MainDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
7.3%7.3%-1.6%
VRRM_11212025_Dip_Buyer_FCFYield11212025VRRMVerra MobilityDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
2.3%2.3%-1.2%
LII_11212025_Dip_Buyer_ValueBuy11212025LIILennox InternationalDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
4.8%4.8%0.0%
ADP_11212025_Monopoly_xInd_xCD_Getting_Cheaper11212025ADPAutomatic Data ProcessingMonopolyMY | Getting CheaperMonopoly-Like with P/S Decline
Large cap with monopoly-like margins or cash flow generation and getting cheaper based on P/S multiple
1.6%1.6%-1.2%
CW_11212025_Quality_Momentum_RoomToRun_10%11212025CWCurtiss-WrightQualityQ | Momentum | UpsideQuality Stocks with Momentum and Upside
Buying quality stocks with strong momentum but still having room to run
2.2%2.2%0.0%

Recent Active Movers

Recent Active Movers

More From Trefis

Peer Comparisons for Healthcare Services

Peers to compare with:

Financials

HCSGCWSTGEOCECOFTEKMDRNMedian
NameHealthca.Casella .GEO CECO Env.Fuel TechModern M. 
Mkt Price18.8195.6817.1054.501.83-18.81
Mkt Cap1.46.12.41.90.1-1.9
Rev LTM1,8081,7952,53171825-1,795
Op Inc LTM449327948-4-48
FCF LTM1587826-173-26
FCF 3Y Avg697414713-0-69
CFO LTM164343208-23-164
CFO 3Y Avg75271257250-75

Growth & Margins

HCSGCWSTGEOCECOFTEKMDRNMedian
NameHealthca.Casella .GEO CECO Env.Fuel TechModern M. 
Rev Chg LTM6.3%20.5%4.4%29.9%-5.7%-6.3%
Rev Chg 3Y Avg2.4%19.6%3.1%21.9%-2.0%-3.1%
Rev Chg Q8.5%17.9%13.1%45.8%-4.6%-13.1%
QoQ Delta Rev Chg LTM2.0%4.3%3.2%9.5%-1.4%-3.2%
Op Mgn LTM2.4%5.2%11.0%6.7%-17.7%-5.2%
Op Mgn 3Y Avg3.0%6.9%13.3%7.0%-12.7%-6.9%
QoQ Delta Op Mgn LTM1.7%-0.5%-0.5%-0.3%0.5%--0.3%
CFO/Rev LTM9.1%19.1%8.2%-0.3%11.9%-9.1%
CFO/Rev 3Y Avg4.2%18.2%10.5%4.8%0.7%-4.8%
FCF/Rev LTM8.7%4.4%1.0%-2.4%10.7%-4.4%
FCF/Rev 3Y Avg3.9%5.2%6.0%2.8%-0.7%-3.9%

Valuation

HCSGCWSTGEOCECOFTEKMDRNMedian
NameHealthca.Casella .GEO CECO Env.Fuel TechModern M. 
Mkt Cap1.46.12.41.90.1-1.9
P/S0.73.41.12.53.8-2.5
P/EBIT21.573.15.918.6-60.7-18.6
P/E30.6394.811.934.9-31.0-30.6
P/CFO7.417.613.6-796.831.8-13.6
Total Yield3.3%0.3%8.4%2.9%-3.2%-2.9%
Dividend Yield0.0%0.0%0.0%0.0%0.0%-0.0%
FCF Yield 3Y Avg6.4%1.4%11.3%2.5%-2.4%-2.5%
D/E0.00.20.60.10.0-0.1
Net D/E-0.10.20.50.1-0.3-0.1

Returns

HCSGCWSTGEOCECOFTEKMDRNMedian
NameHealthca.Casella .GEO CECO Env.Fuel TechModern M. 
1M Rtn5.2%7.8%1.7%4.8%-30.7%-4.8%
3M Rtn19.2%0.1%-18.7%17.4%-36.0%-0.1%
6M Rtn32.0%-18.3%-36.2%104.0%9.6%-9.6%
12M Rtn50.1%-16.0%-36.5%68.9%77.7%-50.1%
3Y Rtn36.2%10.4%49.6%346.7%27.1%-36.2%
1M Excs Rtn5.2%7.9%1.8%4.8%-30.6%-4.8%
3M Excs Rtn14.1%-5.2%-24.5%6.4%-42.0%--5.2%
6M Excs Rtn17.3%-33.0%-50.9%89.2%-5.1%--5.1%
12M Excs Rtn38.9%-29.0%-53.6%56.5%57.5%-38.9%
3Y Excs Rtn-33.7%-60.1%-5.6%272.5%-30.9%--30.9%

Financials

Segment Financials

Revenue by Segment

$ Mil20242023202220212020
Dietary905894821865931
Housekeeping767796821895909
Total1,6711,6901,6421,7601,841


Operating Income by Segment
$ Mil20242023202220212020
Housekeeping72    
Dietary45    
Corporate expenses-62    
Total55    


Price Behavior

Short Interest

Short Interest: As Of Date11142025
Short Interest: Shares Quantity1,431,308
Short Interest: % Change Since 1031202514.8%
Average Daily Volume558,291
Days-to-Cover Short Interest2.56
Basic Shares Quantity72,237,000
Short % of Basic Shares2.0%

SEC Filings

Expand for More

Report DateFiling DateFiling
93020251024202510-Q 9/30/2025
6302025725202510-Q 6/30/2025
3312025425202510-Q 3/31/2025
12312024214202510-K 12/31/2024
93020241025202410-Q 9/30/2024
6302024726202410-Q 6/30/2024
3312024426202410-Q 3/31/2024
12312023216202410-K 12/31/2023
93020231027202310-Q 9/30/2023
6302023728202310-Q 6/30/2023
3312023428202310-Q 3/31/2023
12312022217202310-K 12/31/2022
93020221021202210-Q 9/30/2022
6302022722202210-Q 6/30/2022
3312022422202210-Q 3/31/2022
12312021218202210-K 12/31/2021