Healthcare Services (HCSG) | Financial Analysis & Statements
Healthcare Services Group Inc. Small-cap Healthcare
TL;DR: Financial Overview - Revenue, Profits & Key Metrics
Latest Quarterly: Dec 2025Income Metrics
Revenue
466.7M
Gross Profit
72.1M
15.44%
Operating Income
26.2M
5.62%
Net Income
31.2M
6.69%
EPS (Diluted)
$0.44
Balance Sheet Metrics
Total Assets
794.3M
Total Liabilities
284.0M
Shareholders Equity
510.2M
Debt to Equity
0.56
Cash Flow Metrics
Operating Cash Flow
59.4M
Free Cash Flow
16.0M
Revenue & Profitability Trend
Quarter Income Flow
Dec 31, 2025
Annual Income Flow
2025
Healthcare Services Income Statement From 2021 to 2025
| Metric | 2025 | 2024 | 2023 | 2022 | 2021 |
|---|---|---|---|---|---|
| Revenue | 1.8B | 1.7B | 1.7B | 1.7B | 1.6B |
| Cost of Goods Sold | 1.6B | 1.5B | 1.5B | 1.5B | 1.4B |
| Gross Profit | 239.4M | 228.1M | 214.7M | 193.3M | 230.6M |
| Gross Margin % | 13.0% | 13.3% | 12.8% | 11.4% | 14.0% |
| Operating Expenses | |||||
| Research & Development | - | - | - | - | - |
| Selling, General & Administrative | 183.6M | 174.8M | 160.1M | 149.5M | 166.4M |
| Other Operating Expenses | - | - | - | - | - |
| Total Operating Expenses | 183.6M | 174.8M | 160.1M | 149.5M | 166.4M |
| Operating Income | 55.8M | 53.3M | 54.7M | 43.8M | 64.1M |
| Operating Margin % | 3.0% | 3.1% | 3.3% | 2.6% | 3.9% |
| Non-Operating Items | |||||
| Interest Income | - | - | - | - | - |
| Interest Expense | 1.6M | 6.4M | 7.9M | 3.0M | 1.4M |
| Other Non-Operating Income | 13.6M | 6.1M | 6.3M | 3.8M | 2.8M |
| Pre-tax Income | 67.9M | 52.9M | 53.1M | 44.6M | 65.5M |
| Income Tax | 8.8M | 13.5M | 14.7M | 10.3M | 17.0M |
| Effective Tax Rate % | 13.0% | 25.4% | 27.7% | 23.1% | 25.9% |
| Net Income | 59.1M | 39.5M | 38.4M | 34.2M | 48.5M |
| Net Margin % | 3.2% | 2.3% | 2.3% | 2.0% | 3.0% |
| Key Metrics | |||||
| EBITDA | 72.6M | 67.9M | 69.0M | 59.1M | 78.8M |
| EPS (Basic) | $0.82 | $0.54 | $0.52 | $0.47 | $0.61 |
| EPS (Diluted) | $0.81 | $0.53 | $0.52 | $0.47 | $0.61 |
| Basic Shares Outstanding | 72380000 | 73754000 | 74288000 | 74336000 | 74816000 |
| Diluted Shares Outstanding | 72380000 | 73754000 | 74288000 | 74336000 | 74816000 |
Income Statement Trend
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Healthcare Services Balance Sheet From 2021 to 2025
| Metric | 2025 | 2024 | 2023 | 2022 | 2021 |
|---|---|---|---|---|---|
| Assets | |||||
| Current Assets | |||||
| Cash & Equivalents | 125.2M | 56.8M | 54.3M | 26.3M | 70.8M |
| Short-term Investments | 42.8M | 50.5M | 93.1M | 95.2M | 114.4M |
| Accounts Receivable | 281.3M | 330.9M | 383.5M | 336.8M | 293.4M |
| Inventory | 16.8M | 16.7M | 18.5M | 21.2M | 26.0M |
| Other Current Assets | 20.9M | 21.8M | 22.2M | 22.6M | 33.0M |
| Total Current Assets | 576.4M | 556.7M | 571.7M | 508.6M | 546.4M |
| Non-Current Assets | |||||
| Property, Plant & Equipment | 50.6M | 47.6M | 43.9M | 49.1M | 48.4M |
| Goodwill | 166.6M | 160.5M | 163.2M | 167.0M | 170.3M |
| Intangible Assets | 7.0M | 9.4M | 12.1M | 15.9M | 20.8M |
| Long-term Investments | - | - | - | - | - |
| Other Non-Current Assets | 78.3M | 91.9M | 77.7M | 65.1M | 71.9M |
| Total Non-Current Assets | 217.8M | 246.1M | 219.0M | 212.2M | 231.1M |
| Total Assets | 794.3M | 802.8M | 790.7M | 720.8M | 777.5M |
| Liabilities | |||||
| Current Liabilities | |||||
| Accounts Payable | 77.4M | 81.1M | 83.2M | 68.3M | 64.4M |
| Short-term Debt | - | - | 25.0M | 25.0M | - |
| Current Portion of Long-term Debt | - | - | - | - | - |
| Other Current Liabilities | - | - | - | - | - |
| Total Current Liabilities | 170.4M | 192.5M | 216.9M | 189.0M | 191.1M |
| Non-Current Liabilities | |||||
| Long-term Debt | 9.7M | 8.0M | 11.2M | 8.1M | 11.3M |
| Deferred Tax Liabilities | - | - | - | - | - |
| Other Non-Current Liabilities | 1.6M | 385.0K | 3.0M | 6.1M | 10.5M |
| Total Non-Current Liabilities | 113.7M | 110.3M | 117.1M | 113.5M | 133.7M |
| Total Liabilities | 284.0M | 302.8M | 334.0M | 302.6M | 324.9M |
| Equity | |||||
| Common Stock | 768.0K | 765.0K | 763.0K | 762.0K | 760.0K |
| Retained Earnings | 283.7M | 224.6M | 185.0M | 146.6M | 184.0M |
| Treasury Stock | 101.7M | 41.4M | 37.7M | 27.9M | 30.2M |
| Other Equity | - | - | - | - | - |
| Total Shareholders Equity | 510.2M | 499.9M | 456.6M | 418.3M | 452.7M |
| Key Metrics | |||||
| Total Debt | 9.7M | 8.0M | 36.2M | 33.1M | 11.3M |
| Working Capital | 406.0M | 364.1M | 354.8M | 319.6M | 355.3M |
Balance Sheet Composition
Healthcare Services Cash Flow Statement From 2021 to 2025
| Metric | 2025 | 2024 | 2023 | 2022 | 2021 |
|---|---|---|---|---|---|
| Operating Activities | |||||
| Net Income | 59.1M | 39.5M | 38.4M | 34.2M | 48.5M |
| Depreciation & Amortization | 16.8M | 14.6M | 14.3M | 15.3M | 14.7M |
| Stock-Based Compensation | 12.0M | 9.2M | 9.0M | 9.2M | 8.8M |
| Working Capital Changes | 13.1M | -61.2M | -56.8M | -99.6M | -15.7M |
| Operating Cash Flow | 119.8M | -1.4M | -1.0M | -38.3M | 60.4M |
| Investing Activities | |||||
| Capital Expenditures | -5.7M | -6.1M | -5.3M | -4.8M | -5.5M |
| Acquisitions | -7.2M | -2.8M | 0 | -114.0K | -23.9M |
| Investment Purchases | -21.3M | -52.1M | 0 | -2.9M | -20.3M |
| Investment Sales | 23.2M | 67.0M | 2.0M | 10.4M | 26.7M |
| Investing Cash Flow | -11.0M | 6.0M | -3.3M | 2.6M | -23.0M |
| Financing Activities | |||||
| Share Repurchases | -61.6M | -5.0M | -11.3M | 0 | -21.5M |
| Dividends Paid | - | 0 | 0 | -63.4M | -62.2M |
| Debt Issuance | - | - | - | - | - |
| Debt Repayment | - | - | - | - | - |
| Financing Cash Flow | -63.3M | -31.0M | -12.2M | -39.3M | -85.1M |
| Free Cash Flow | 139.2M | 24.5M | 38.1M | -13.4M | 31.4M |
| Net Change in Cash | 45.5M | -26.4M | -16.5M | -75.1M | -47.6M |
Cash Flow Trend
Healthcare Services Key Financial Ratios
Valuation Ratios
P/E Ratio (TTM)
23.89
Forward P/E
17.59
Price to Book
2.64
Price to Sales
0.74
PEG Ratio
0.14
Profitability Ratios
Profit Margin
3.22%
Operating Margin
5.54%
Return on Equity
11.69%
Return on Assets
3.80%
Financial Health
Current Ratio
3.38
Debt to Equity
2.94
Beta
0.81
Per Share Data
EPS (TTM)
$0.81
Book Value per Share
$7.33
Revenue per Share
$25.38
Peer Financial Comparison
| Company | Market Cap | P/E Ratio | P/B Ratio | ROE | Profit Margin | Debt/Equity |
|---|---|---|---|---|---|---|
| HCSG | 1.5B | 23.89 | 2.64 | 11.69% | 3.22% | 2.94 |
| HCA Healthcare | 106.0B | 16.86 | -38.44 | -244.82% | 8.97% | -17.57 |
| Tenet Healthcare | 16.5B | 12.17 | 3.88 | 27.02% | 6.60% | 160.79 |
| Surgery Partners | 1.9B | 2,956.00 | 1.09 | 2.76% | -2.35% | 114.51 |
| Pediatrix Medical | 1.9B | 11.88 | 2.16 | 20.28% | 8.64% | 73.29 |
| Astrana Health | 1.9B | 73.30 | 2.12 | 4.49% | 0.71% | 193.10 |
Financial data is updated regularly. All figures are in the company's reporting currency.






