Healthcare Services Group Inc (NASDAQ: HCSG)

Sector: Healthcare Industry: Medical Care Facilities CIK: 0000731012
Market Cap 1.51 Bn
P/B 2.95
P/E 25.52
P/S 0.82
ROIC (Qtr) 10.39
Div Yield % 0.00
Rev 1y % (Qtr) 6.59
Total Debt (Qtr) 9.66 Mn
Debt/Equity (Qtr) 0.02
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About

Healthcare Services Group, Inc. (HCSG), a Pennsylvania-based corporation, is a significant player in the healthcare industry. Its stock symbol is HCSG. The company specializes in providing management, administrative, and operational expertise to the housekeeping, laundry, linen, facility maintenance, and dietary service departments of healthcare facilities across the United States. HCSG's main business activities revolve around offering management services in the housekeeping, laundry, linen, and dietary departments of healthcare facilities. The...

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Investment thesis

Bull case

  • Strong operating cash flow of 144.97M provides robust 15.01x coverage of total debt 9.66M, indicating excellent debt servicing capability and financial flexibility.
  • Strong tangible asset base of 707.49M provides 73.25x coverage of total debt 9.66M, indicating robust asset backing and low credit risk.
  • Operating cash flow of 144.97M provides strong 12.08x coverage of stock compensation 12.01M, indicating sustainable incentive practices.
  • Operating cash flow of 144.97M provides exceptional 91.75x coverage of interest expenses 1.58M, showing strong debt service capability.
  • Robust free cash flow of 139.25M exceeds capital expenditure of 5.71M by 24.38x, indicating strong organic growth funding capability.

Bear case

  • Operating cash flow of 144.97M barely covers its investment activities of (11M), with a coverage ratio of -13.18, indicating heavy reliance on external financing for growth which may not be sustainable in a tighter credit environment.
  • Cash reserves of 130.77M provide limited coverage of acquisition spending of (7.15M), which is -18.28x, suggesting aggressive expansion might strain liquidity if market conditions deteriorate.
  • High receivables of 281.30M relative to inventory of 16.80M (16.75 ratio) suggests aggressive credit terms or collection difficulties, potentially masking revenue quality issues.
  • Long-term investments of 25.21M represent a high 0.91x of fixed assets 27.59M, indicating potential overexposure to financial assets versus operational capabilities.
  • Retained earnings of 283.67M provide limited buffer against comprehensive income items of (448000), which is -633.19x, indicating elevated exposure to market risks.

Segments Breakdown of Revenue (2025)

Segments Breakdown of Revenue (2025)

Peer comparison

Companies in the Medical Care Facilities
S.No. Ticker Company Market Cap P/E P/S Total Debt (Qtr)
1 HCA HCA Healthcare, Inc. 126.41 Bn 18.63 1.67 48.35 Bn
2 UHS Universal Health Services Inc 23.26 Bn 34.22 2.61 5.11 Bn
3 THC Tenet Healthcare Corp 21.11 Bn 15.01 0.99 13.17 Bn
4 FMS Fresenius Medical Care AG 14.42 Bn 17.06 0.62 14.98 Bn
5 EHC Encompass Health Corp 13.38 Bn 30.01 2.91 2.66 Bn
6 ENSG Ensign Group, Inc 12.18 Bn 35.41 2.41 2.21 Bn
7 DVA Davita Inc. 11.17 Bn 14.95 0.82 12.87 Bn
8 CHE Chemed Corp 8.11 Bn 81.70 5.57 0.14 Bn

Industry comparisons

Current Valuation Value Ind Avg Percentile
EV to Assets EV to Assets 1.75 1.24
EV to Cash from Ops. EV/CFO 9.58 15.08
EV to Debt EV to Debt 143.83 11.01
EV to EBIT EV/EBIT 20.00 15.96
EV to EBITDA EV/EBITDA 21.27 11.44
EV to Free Cash Flow [EV/FCF] EV/FCF 9.98 21.76
EV to Market Cap EV to Market Cap 0.92 619.57
EV to Revenue EV/Rev 0.76 2.71
Price to Book Value [P/B] P/B 2.95 -6.00
Price to Earnings [P/E] P/E 25.52 12.61
Dividend Metrics Value Ind Avg Percentile
Dividend Coverage Ratio Div Coverage (Qtr) 0.00 0.14
Dividend Payout Ratio % Div Payout % (Qtr) 0.00 -13.46
Dividend per Basic Share Div per Share (Qtr) 0.00 0.27
FCF Dividend Payout Ratio % FCF Div Payout % (Qtr) 0.00 5.42
Interest Coverage Int. cover (Qtr) 43.95 -94.29
Growth Metrics Value Ind Avg Percentile
Capex Growth (1y) % Capex 1y % (Qtr) 6.73 -116.62
Cash and Equivalents Growth (1y) % Cash & Equiv 1y % (Qtr) 117.47 46.03
Dividend Growth (1y) % Div 1y % (Qtr) 0.00 0.98
EBIAT Growth (1y) % EBIAT 1y % (Qtr) 36.51 -42.57
EBITDA Growth (1y) % EBITDA 1y % (Qtr) 9.56 91.55
EBIT Growth (1y) % EBIT 1y % (Qtr) 16.95 -56.79
EBT Growth (1y) % EBT 1y % (Qtr) 28.19 -111.80
EPS Growth (1y) % EPS 1y % (Qtr) 51.85 -19.28
FCF Growth (1y) % FCF 1y % (Qtr) 464.31 188.37
Gross Profit Growth (1y) % Gross Profit 1y % (Qtr) 4.96 20.14
Liquidity Ratios Value Ind Avg Percentile
Asset Utilization Ratio Asset Util Ratio (Qtr) 2.31 1.02
Cash Payout Ratio Cash Payout (Qtr) 0.00 0.04
Cash Ratio Cash Ratio (Qtr) 0.77 0.40
Current Ratio Curr Ratio (Qtr) 3.38 1.36
Debt to Equity Ratio Debt/Equity (Qtr) 0.02 -13.23
Interest Cover Ratio Int Coverage (Qtr) 43.95 -94.29
Times Interest Earned Times Interest Earned (Qtr) 43.95 -94.29
Profitability Value Ind Avg Percentile
EBITDA Margin % EBITDA Margin % (Qtr) 4.70 -75.46
EBIT Margin % EBIT Margin % (Qtr) 3.78 -74.60
EBT Margin % EBT Margin % (Qtr) 3.69 -85.12
Gross Margin % Gross Margin % (Qtr) 13.00 23.17
Net Profit Margin % Net Margin % (Qtr) 3.20 -85.79