Revenue growth remains modest at 3.4% as of 2026Q1, though gross margins continue to exhibit extreme volatility, swinging from a low of 0.6% in 2025Q2 to 16.4% in 2026Q1.
| Metric | TTM | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 | Dec'09 | Dec'08 | Dec'07 | Dec'06 | Dec'05 | Dec'04 | Dec'03 | Dec'02 | Dec'01 | Dec'00 | Dec'99 | Dec'98 | Dec'97 | Dec'96 |
|---|
| Sales/Revenue | 1.85B | 1.84B | 1.72B | 1.67B | 1.69B | 1.64B | 1.76B | 1.84B | 2.01B | 1.87B | 1.56B | 1.44B | 1.29B | 1.15B | 1.08B | 889.07M | 773.96M | 692.7M | 602.72M | 577.72M | 511.63M | 466.29M | 442.57M | 379.72M | 328.5M | 284.19M | 254.67M | 232.4M | 204.9M | 181.4M | 162.5M |
| Revenue Growth % | 6.46% | 7.08% | 2.65% | -1.11% | 2.94% | -6.72% | -4.37% | -8.37% | 7.65% | 19.42% | 8.76% | 11.11% | 12.46% | 6.72% | 21.19% | 14.87% | 11.73% | 14.93% | 4.33% | 12.92% | 9.72% | 5.36% | 16.55% | 15.59% | 15.59% | 11.59% | 9.58% | 13.42% | 12.95% | 11.63% | 9.28% |
| Cost of Goods Sold | 1.6B | 1.6B | 1.49B | 1.46B | 1.5B | 1.41B | 1.49B | 1.61B | 1.77B | 1.61B | 1.34B | 1.24B | 1.16B | 995.1M | 930.81M | 766.96M | 665.15M | 597.72M | 521.27M | 493.36M | 438.62M | 406.11M | 388.72M | 334.61M | 289.86M | 252.03M | 226.9M | 203.6M | 172.3M | 152.3M | 137M |
| COGS % of Revenue | - | 86.97% | 86.71% | 87.15% | 88.56% | 85.96% | 84.78% | 87.62% | 88.21% | 86.41% | 85.72% | 86.03% | 89.34% | 86.54% | 86.39% | 86.27% | 85.94% | 86.29% | 86.49% | 85.4% | 85.73% | 87.09% | 87.83% | 88.12% | 88.24% | 88.68% | 89.1% | 87.61% | 84.09% | 83.96% | 84.31% |
| Gross Profit | 251.34M | 239.41M | 228.09M | 214.75M | 193.31M | 230.57M | 267.99M | 227.9M | 236.84M | 253.62M | 223.17M | 200.74M | 137.89M | 154.79M | 146.62M | 122.11M | 108.81M | 94.98M | 81.45M | 84.36M | 73.01M | 60.18M | 53.85M | 45.11M | 38.64M | 32.16M | 27.77M | 28.8M | 32.6M | 29.1M | 25.5M |
| Gross Margin % | 13.57% | 13.03% | 13.29% | 12.85% | 11.44% | 14.04% | 15.22% | 12.38% | 11.79% | 13.59% | 14.28% | 13.97% | 10.66% | 13.46% | 13.61% | 13.73% | 14.06% | 13.71% | 13.51% | 14.6% | 14.27% | 12.91% | 12.17% | 11.88% | 11.76% | 11.32% | 10.9% | 12.39% | 15.91% | 16.04% | 15.69% |
| Gross Profit Growth % | - | 4.96% | 6.21% | 11.09% | -16.16% | -13.96% | 17.59% | -3.77% | -6.62% | 13.64% | 11.17% | 45.58% | -10.92% | 5.57% | 20.08% | 12.22% | 14.56% | 16.61% | -3.45% | 15.54% | 21.33% | 11.75% | 19.38% | 16.74% | 20.15% | 15.81% | -3.58% | -11.66% | 12.03% | 14.12% | 6.25% |
| Operating Expenses | 183.96M | 190.87M | 174.82M | 160.09M | 149.52M | 166.43M | 267.99M | 150.02M | 136.6M | 126.73M | 105.42M | 111.69M | 107.81M | 92M | 79.28M | 65.31M | 57.31M | 50.27M | 39.52M | 40.28M | 37.2M | 32.58M | 31.52M | 29.04M | 25.15M | 21.87M | 19.62M | 20.9M | 19.5M | 19.8M | 15.2M |
| OpEx % of Revenue | - | 10.39% | 10.19% | 9.58% | 8.85% | 10.14% | 15.22% | 8.15% | 6.8% | 6.79% | 6.75% | 7.77% | 8.34% | 8% | 7.36% | 7.35% | 7.4% | 7.26% | 6.56% | 6.97% | 7.27% | 6.99% | 7.12% | 7.65% | 7.66% | 7.7% | 7.7% | 8.99% | 9.52% | 10.92% | 9.35% |
| Selling, General & Admin | 183.96M | 190.87M | 174.82M | 160.09M | 149.52M | 166.43M | 141.58M | 150.02M | 136.6M | 126.73M | 105.42M | 111.69M | 107.81M | 92M | 79.28M | 65.31M | 57.31M | 50.27M | 39.52M | 40.28M | 37.2M | 32.58M | 31.52M | 29.04M | 25.15M | 21.87M | 19.62M | 18.8M | 17.4M | 17.7M | 13M |
| SG&A % of Revenue | - | 10.39% | 10.19% | 9.58% | 8.85% | 10.14% | 8.04% | 8.15% | 6.8% | 6.79% | 6.75% | 7.77% | 8.34% | 8% | 7.36% | 7.35% | 7.4% | 7.26% | 6.56% | 6.97% | 7.27% | 6.99% | 7.12% | 7.65% | 7.66% | 7.7% | 7.7% | 8.09% | 8.49% | 9.76% | 8% |
| Research & Development | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| R&D % of Revenue | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Other Operating Expenses | 0 | 0 | 0 | 0 | 0 | 0 | 126.41M | 0 | 0 | 0 | 0 | -62K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2.1M | 2.1M | 2.1M | 2.2M |
| Operating Income | 67.38M | 48.54M | 53.27M | 54.66M | 43.79M | 64.13M | 0 | 77.88M | 100.24M | 126.89M | 117.75M | 89.05M | 30.08M | 62.79M | 67.34M | 56.8M | 51.5M | 44.71M | 41.93M | 44.07M | 35.82M | 27.6M | 22.33M | 16.06M | 13.49M | 10.29M | 8.15M | 7.9M | 13.1M | 9.3M | 10.3M |
| Operating Margin % | 3.64% | 2.64% | 3.1% | 3.27% | 2.59% | 3.91% | - | 4.23% | 4.99% | 6.8% | 7.54% | 6.2% | 2.33% | 5.46% | 6.25% | 6.39% | 6.65% | 6.45% | 6.96% | 7.63% | 7% | 5.92% | 5.04% | 4.23% | 4.11% | 3.62% | 3.2% | 3.4% | 6.39% | 5.13% | 6.34% |
| Operating Income Growth % | - | -8.88% | -2.54% | 24.82% | -31.72% | - | -100% | -22.31% | -21% | 7.76% | 32.23% | 196.05% | -52.09% | -6.77% | 18.56% | 10.3% | 15.18% | 6.64% | -4.87% | 23.05% | 29.77% | 23.63% | 38.98% | 19.05% | 31.16% | 26.23% | 3.16% | -39.69% | 40.86% | -9.71% | 8.42% |
| EBITDA | 84.08M | 65.32M | 67.86M | 69M | 59.1M | 78.8M | 144.83M | 91.82M | 109.51M | 135.78M | 125.25M | 96.71M | 37.35M | 68.99M | 72.46M | 61.19M | 55.26M | 47.94M | 44.78M | 47.08M | 38.12M | 29.47M | 24.2M | 17.98M | 15.53M | 12.53M | 10.36M | 10M | 15.2M | 11.4M | 12.5M |
| EBITDA Margin % | 4.54% | 3.56% | 3.96% | 4.13% | 3.5% | 4.8% | 8.23% | 4.99% | 5.45% | 7.28% | 8.02% | 6.73% | 2.89% | 6% | 6.73% | 6.88% | 7.14% | 6.92% | 7.43% | 8.15% | 7.45% | 6.32% | 5.47% | 4.73% | 4.73% | 4.41% | 4.07% | 4.3% | 7.42% | 6.28% | 7.69% |
| EBITDA Growth % | 23.59% | -3.74% | -1.66% | 16.74% | -24.99% | -45.59% | 57.73% | -16.15% | -19.35% | 8.4% | 29.51% | 158.94% | -45.86% | -4.79% | 18.42% | 10.73% | 15.27% | 7.06% | -4.88% | 23.48% | 29.35% | 21.79% | 34.6% | 15.79% | 23.92% | 20.94% | 3.6% | -34.21% | 33.33% | -8.8% | 3.31% |
| D&A (Non-Cash Add-back) | 16.71M | 16.78M | 14.59M | 14.34M | 15.32M | 14.67M | 14.27M | 13.94M | 9.27M | 8.89M | 7.5M | 7.66M | 7.27M | 6.2M | 5.12M | 4.39M | 3.76M | 3.23M | 2.85M | 3M | 2.31M | 1.87M | 1.87M | 1.91M | 2.03M | 2.24M | 2.21M | 2.1M | 2.1M | 2.1M | 2.2M |
| EBIT | 79.7M | 69.45M | 59.38M | 60.91M | 47.54M | 66.9M | 130.56M | 88.56M | 103M | 134.33M | 119.25M | 88.99M | 31.29M | 65.79M | 69.06M | 56.7M | 52.82M | 44.71M | 41.93M | 44.07M | 35.82M | 27.6M | 22.38M | 16.06M | 13.49M | 10.29M | 8.15M | 7.9M | 13.1M | 9.3M | 10.3M |
| Net Interest Income | -1.97M | -1.58M | -6.44M | -7.86M | -2.99M | -1.39M | -1.37M | -3.46M | -3.09M | -1.36M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Interest Income | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Interest Expense | 1.97M | 1.58M | 6.44M | 7.86M | 2.99M | 1.39M | 1.37M | 3.46M | 3.09M | 1.36M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Income/Expense | 11.14M | 19.33M | -330K | -1.6M | 764K | 1.38M | 129.19M | 7.22M | 2.07M | 6.08M | 2.63M | 712K | 1.63M | 3.7M | 1.2M | 1.01M | 2.62M | 4.62M | 1.35M | 4.02M | 4.91M | 3.2M | 1.33M | 1.45M | 771.47K | 1.25M | 988.9K | 800K | 1.3M | 1.4M | 1.2M |
| Pretax Income | 78.51M | 67.87M | 52.94M | 53.06M | 44.55M | 65.51M | 129.19M | 85.1M | 99.91M | 132.97M | 120.39M | 89.76M | 31.71M | 66.49M | 70.26M | 57.81M | 54.12M | 49.34M | 43.27M | 48.09M | 40.72M | 30.8M | 23.71M | 17.51M | 14.26M | 11.54M | 9.14M | 8.7M | 14.4M | 10.7M | 11.5M |
| Pretax Margin % | 4.24% | 3.69% | 3.09% | 3.17% | 2.64% | 3.99% | 7.34% | 4.62% | 4.97% | 7.13% | 7.7% | 6.25% | 2.45% | 5.78% | 6.52% | 6.5% | 6.99% | 7.12% | 7.18% | 8.33% | 7.96% | 6.61% | 5.36% | 4.61% | 4.34% | 4.06% | 3.59% | 3.74% | 7.03% | 5.9% | 7.08% |
| Income Tax | 10.62M | 8.81M | 13.47M | 14.67M | 10.31M | 16.97M | 30.5M | 20.52M | 16.39M | 44.74M | 42.99M | 31.74M | 9.86M | 19.36M | 26.05M | 19.66M | 19.68M | 18.99M | 16.66M | 18.52M | 15.27M | 11.7M | 9.01M | 6.66M | 5.63M | 4.5M | 3.55M | 3.2M | 5.5M | 4.8M | 4.6M |
| Effective Tax Rate % | 13.53% | 12.98% | 25.44% | 27.65% | 23.14% | 25.9% | 23.61% | 24.11% | 16.4% | 33.65% | 35.71% | 35.36% | 31.09% | 29.12% | 37.07% | 34% | 36.36% | 38.5% | 38.5% | 38.5% | 37.5% | 38% | 37.99% | 38% | 39.5% | 39.01% | 38.86% | 36.78% | 38.19% | 44.86% | 40% |
| Net Income | 67.89M | 59.06M | 39.47M | 38.39M | 34.24M | 48.54M | 98.68M | 64.58M | 83.52M | 88.23M | 77.4M | 58.02M | 21.85M | 47.13M | 44.21M | 38.16M | 34.44M | 30.34M | 26.61M | 29.58M | 25.45M | 19.1M | 14.7M | 10.86M | 8.63M | 7.04M | 5.59M | 5.5M | 8.9M | 5.9M | 6.9M |
| Net Margin % | 3.67% | 3.21% | 2.3% | 2.3% | 2.03% | 2.96% | 5.61% | 3.51% | 4.16% | 4.73% | 4.95% | 4.04% | 1.69% | 4.1% | 4.1% | 4.29% | 4.45% | 4.38% | 4.42% | 5.12% | 4.97% | 4.1% | 3.32% | 2.86% | 2.63% | 2.48% | 2.19% | 2.37% | 4.34% | 3.25% | 4.25% |
| Net Income Growth % | 64.03% | 49.63% | 2.83% | 12.1% | -29.46% | -50.81% | 52.8% | -22.68% | -5.33% | 13.99% | 33.39% | 165.56% | -53.64% | 6.59% | 15.88% | 10.79% | 13.51% | 14.01% | -10.02% | 16.21% | 33.28% | 29.91% | 35.35% | 25.83% | 22.68% | 25.91% | 1.6% | -38.2% | 50.85% | -14.49% | 76.92% |
| Net Income (Continuing) | 67.89M | 59.06M | 39.47M | 38.39M | 34.24M | 48.54M | 98.68M | 64.58M | 83.52M | 88.23M | 77.4M | 58.02M | 21.85M | 47.13M | 44.21M | 38.16M | 34.44M | 30.34M | 26.61M | 29.58M | 25.45M | 19.1M | 14.7M | 10.86M | 8.63M | 7.04M | 5.59M | 5.5M | 8.9M | 5.9M | 6.9M |
| Discontinued Operations | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Minority Interest | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| EPS (Diluted) | 0.96 | 0.81 | 0.53 | 0.52 | 0.46 | 0.65 | 1.32 | 0.87 | 1.12 | 1.19 | 1.05 | 0.80 | 0.31 | 0.67 | 0.65 | 0.56 | 0.51 | 0.46 | 0.40 | 0.45 | 0.39 | 0.30 | 0.24 | 0.18 | 0.15 | 0.13 | 0.10 | 0.10 | 0.15 | 0.10 | 0.11 |
| EPS Growth % | 70.92% | 52.83% | 1.92% | 13.04% | -29.23% | -50.76% | 51.72% | -22.32% | -5.88% | 13.33% | 31.25% | 158.06% | -53.73% | 3.08% | 16.07% | 9.8% | 10.87% | 15% | -11.11% | 15.38% | 30% | 25% | 33.33% | 20% | 15.38% | 30% | 3.31% | -35.47% | 50% | -9.09% | 74.05% |
| EPS (Basic) | - | 0.82 | 0.54 | 0.52 | 0.46 | 0.65 | 1.32 | 0.87 | 1.13 | 1.20 | 1.06 | 0.81 | 0.31 | 0.68 | 0.65 | 0.57 | 0.52 | 0.47 | 0.41 | 0.47 | 0.41 | 0.32 | 0.25 | 0.19 | 0.15 | 0.13 | 0.10 | 0.10 | 0.16 | 0.10 | 0.11 |
| Diluted Shares Outstanding | 71.05M | 73.03M | 73.99M | 74.34M | 74.35M | 74.96M | 74.78M | 74.59M | 74.61M | 74.35M | 73.47M | 72.51M | 71.34M | 70.05M | 68.48M | 67.58M | 67.01M | 66.43M | 66.04M | 65.77M | 64.72M | 63.72M | 62.23M | 60.03M | 59.18M | 55.65M | 55.47M | 56.82M | 58.51M | 58.95M | 61.81M |
| Basic Shares Outstanding | 69.86M | 72.38M | 73.75M | 74.29M | 74.34M | 74.82M | 74.7M | 74.36M | 74M | 73.36M | 72.75M | 71.83M | 70.62M | 69.21M | 67.51M | 66.64M | 65.92M | 65.38M | 64.7M | 63.43M | 61.76M | 60.57M | 59M | 57.54M | 57.02M | 55.65M | 55.47M | 55.69M | 57.03M | 57.44M | 61.81M |
| Dividend Payout Ratio | - | - | - | - | 185.07% | 128.19% | 61.52% | 91.28% | 68.48% | 62.62% | 68.92% | 88.54% | 224.61% | 99.1% | 99.73% | 110.67% | 114.06% | 106.28% | 93.87% | 59.96% | 49.61% | 42.29% | 31.28% | 13.71% | - | - | - | - | - | - | - |
Client solvency and labor costs
According to recent financial filings, HCSG has maintained a modest revenue growth trajectory, with year-over-year increases peaking at 8.5% in 2025Q3, suggesting that while the company captures incremental volume, its top-line expansion remains tethered to the occupancy levels of its skilled nursing facility client base.
The company's revenue growth appears to be driven by a combination of contract renewals and expansion into the dietary segment, yet the lack of significant acceleration indicates a mature market environment. Investors should monitor whether the current growth rate can be sustained without further margin dilution, as the reliance on evergreen contracts limits the ability to aggressively capture pricing upside.
As reported in quarterly income statements, HCSG's gross margins have exhibited significant volatility, plummeting to 0.6% in 2025Q2 before recovering to 16.4% in 2026Q1, which highlights the extreme sensitivity of the firm's labor-intensive cost structure to unexpected operational disruptions or inflationary spikes in service delivery.
The wide variance in gross margins suggests that the company lacks the pricing power to fully insulate itself from sudden labor cost increases or regulatory compliance burdens. This instability warrants caution, as the thin margin profile leaves little room for error in managing the high-variable-cost model inherent to the housekeeping and dietary segments.
Based on the provided income statement data, HCSG's operating income has struggled to scale consistently with revenue, as evidenced by the sharp swing to a $41.6 million operating loss in 2025Q2, indicating that the company's SG&A expenses do not provide the expected efficiency gains during periods of revenue pressure.
The inability to maintain consistent operating leverage suggests that the company's overhead is relatively fixed, while its cost of services remains highly sensitive to external labor market conditions. This dynamic implies that profitability is more dependent on managing direct service costs than on achieving economies of scale through administrative efficiency.
Financial data suggests that HCSG's reliance on distressed skilled nursing facility operators creates a persistent risk of bad debt, as the company's historical earnings volatility often correlates with periods of margin compression that may be masked by the timing of insurance and credit loss adjustments.
Short-term observers may focus on the company's ability to maintain revenue growth, but the underlying quality of earnings remains questionable given the potential for future impairment of accounts receivable. The market may be underestimating the risk that HCSG's preferred provider status forces it to absorb losses from clients who are increasingly unable to meet their financial obligations.
Quick answers to the most common questions about buying HCSG stock.
For fiscal year 2025, Healthcare Services Group, Inc. (HCSG) reported total revenue of $1.84B. This represents a 1030.6% increase compared to $162.5M in 1996.
Healthcare Services Group, Inc. (HCSG) is profitable, generating $59.1M in net income for the fiscal year ending 2025 with a net profit margin of 3.2%.
Healthcare Services Group, Inc. (HCSG) reported an operating income of $48.5M, resulting in an operating profit margin of 2.6%. This margin reflects the operational efficiency of the business before interest and taxes.
Healthcare Services Group, Inc. (HCSG) generated $239.4M in gross profit for the year, representing a gross profit margin of 13.0%. This demonstrates the company's core pricing power and production efficiency.