Healthcare Services Group, Inc. (HCSG) Key Metrics

NASDAQ: HCSGValuation, returns, debt and efficiency ratios over 10 years.

HCSG valuation today

Trailing 12 months · as of October 18, 2026
Market cap
$1.45B
Enterprise value
$1.31B
P/E (TTM)
12.4
10-yr median 26.8
Forward P/E
17.4
PEG ratio
2.39
Price / sales
0.8
10-yr median 0.9
Price / book
2.8
10-yr median 3.4
EV / EBITDA
7.8
10-yr median 14.2
Dividend yield
—
Beta
0.81

HCSG key metrics, 2016–2025

Fiscal year ended December 31, 2025 · U.S. dollars

HCSG valuation Price multiples at each fiscal year-end price.

P/E ratio+8.6%
23.6
2025 · hover or tap a bar for each year
2016: 37.2 (−14.7%)2017: 44.4 (+19.5%)2018: 35.9 (−19.2%)2019: 28.1 (−21.7%)2020: 21.3 (−24.2%)2021: 27.5 (+29.0%)2022: 26.1 (−5.2%)2023: 20.1 (−22.9%)2024: 21.8 (+8.4%)2025: 23.6 (+8.6%)
20162025
Price / sales+51.7%
0.8
2025 · hover or tap a bar for each year
2016: 1.8 (+4.7%)2017: 2.1 (+14.0%)2018: 1.5 (−28.9%)2019: 1.0 (−34.0%)2020: 1.2 (+21.1%)2021: 0.8 (−32.0%)2022: 0.5 (−35.0%)2023: 0.5 (−12.6%)2024: 0.5 (+8.6%)2025: 0.8 (+51.7%)
20162025
Price / book+59.2%
2.7
2025 · hover or tap a bar for each year
2016: 8.5 (−0.4%)2017: 9.8 (+15.4%)2018: 6.8 (−30.6%)2019: 3.9 (−42.1%)2020: 4.4 (+11.0%)2021: 2.9 (−32.6%)2022: 2.1 (−28.9%)2023: 1.7 (−19.4%)2024: 1.7 (+1.8%)2025: 2.7 (+59.2%)
20162025
EV / EBITDA+41.1%
14.1
2025 · hover or tap a bar for each year
2016: 22.2 (−11.3%)2017: 27.3 (+22.7%)2018: 26.1 (−4.5%)2019: 16.8 (−35.5%)2020: 12.8 (−23.9%)2021: 14.3 (+11.7%)2022: 12.8 (−10.6%)2023: 8.9 (−30.7%)2024: 10.0 (+12.9%)2025: 14.1 (+41.1%)
20162025
Price / free cash flow−71.4%
10.0
2025 · hover or tap a bar for each year
2016: 80.0 (+84.7%)2018: 39.92019: 20.3 (−49.1%)2020: 9.9 (−51.5%)2021: 42.4 (+329.9%)2023: 20.22024: 35.1 (+73.6%)2025: 10.0 (−71.4%)
20162025
Free cash flow yield+7.1 pts
10.0%
2025 · hover or tap a bar for each year
2016: 1.2% (−1.1 pts)2017: 0.1% (−1.2 pts)2018: 2.5% (+2.4 pts)2019: 4.9% (+2.4 pts)2020: 10.1% (+5.2 pts)2021: 2.4% (−7.8 pts)2022: −1.5% (−3.9 pts)2023: 4.9% (+6.4 pts)2024: 2.8% (−2.1 pts)2025: 10.0% (+7.1 pts)
20162025

HCSG valuation history

Fiscal year-endToday10-year median

HCSG returns on capital

ROEROICROA

Net income (ROE, ROA) or after-tax operating income (ROIC) divided by the average of the opening and closing balance.

HCSG debt vs cash

Total debtCash & short-term investments

Debt includes short- and long-term borrowings and, where reported, lease liabilities.

HCSG cash returned to shareholders

DividendsBuybacksFree cash flow

HCSG price vs earnings per share

Share price at year-endEPS (right axis)

HCSG key metrics

2016–2025
Healthcare Services Group, Inc. key metrics by fiscal year
2025202420232022202120202019201820172016
Valuation
Market capitalization$1.40B$859.4M$770.9M$892.2M$1.33B$2.10B$1.81B$3.00B$3.92B$2.88B
Enterprise value$1.22B$740.0M$667.1M$803.8M$1.17B$1.85B$1.72B$2.93B$3.87B$2.79B
P/E ratio23.621.820.126.127.521.328.135.944.437.2
Price / sales0.80.50.50.50.81.21.01.52.11.8
Price / book2.71.71.72.12.94.43.96.89.88.5
Price / free cash flow10.035.120.2—42.49.920.339.9—80.0
Price / operating cash flow9.627.917.7—35.99.719.437.5513.769.5
EV / sales0.70.40.40.50.71.10.91.52.11.8
EV / EBITDA14.110.08.912.814.312.816.826.127.322.2
EV / free cash flow8.730.217.5—37.18.719.339.0—77.5
Earnings yield4.2%4.6%5.0%3.8%3.6%4.7%3.6%2.8%2.3%2.7%
Free cash flow yield10.0%2.8%4.9%−1.5%2.4%10.1%4.9%2.5%0.1%1.2%
Dividend yield—0.0%2.1%7.1%4.7%2.9%3.2%1.9%1.4%1.9%
Shareholder yield (dividends + buybacks)4.4%0.6%3.5%7.1%6.3%2.9%3.2%1.9%1.4%1.9%
Share price at fiscal year-end$19.12$11.62$10.37$12.00$17.79$28.10$24.32$40.18$52.72$39.17
Per share
Revenue per share$25.16$23.19$22.48$22.73$21.90$23.54$24.68$26.92$25.10$21.27
Earnings per share$0.81$0.53$0.52$0.46$0.65$1.32$0.87$1.12$1.19$1.05
Operating cash flow per share$1.98$0.42$0.59−$0.11$0.50$2.90$1.25$1.07$0.10$0.56
Free cash flow per share$1.91$0.33$0.51−$0.18$0.42$2.85$1.20$1.01$0.03$0.49
Cash per share$2.79$1.84$1.98$1.63$2.47$3.53$1.58$1.37$1.11$1.25
Book value per share$6.99$6.76$6.14$5.73$6.04$6.42$6.17$5.91$5.38$4.61
Tangible book value per share$5.80$5.61$4.96$4.50$4.76$5.50$5.19$4.87$4.28$3.81
Dividends per share—$0.00$0.22$0.85$0.83$0.81$0.79$0.77$0.74$0.73
Capex per share$0.08$0.09$0.07$0.07$0.08$0.06$0.06$0.07$0.07$0.07
Debt per share$0.34$0.22$0.59$0.45$0.24$0.22$0.36$0.40$0.48$0.00
Shares outstanding73.0M74.0M74.3M74.4M75.0M74.8M74.6M74.6M74.3M73.5M
Change in shares outstanding−1.3%−0.5%−0.0%−0.8%+0.2%+0.3%−0.0%+0.4%+1.2%+1.3%
Returns & profitability
Return on equity (ROE)11.7%8.3%8.7%7.8%10.4%21.0%14.3%19.9%23.9%24.4%
Return on invested capital (ROIC)11.9%10.8%11.5%10.8%18.3%27.4%16.0%23.2%28.1%34.3%
Return on assets (ROA)7.3%4.9%5.0%4.6%6.1%12.9%9.1%12.2%14.7%15.3%
Return on tangible assets8.2%5.4%5.4%5.5%7.0%13.6%9.8%13.6%14.9%16.5%
Free cash flow margin7.6%1.4%2.3%−0.8%1.9%12.1%4.8%3.7%0.1%2.3%
Income quality (OCF / net income)2.450.781.13−0.240.762.201.450.960.090.53
Financial health
Total debt$24.7M$16.4M$43.6M$33.1M$17.8M$16.7M$26.8M$30.0M$35.4M$0
Cash & short-term investments$203.9M$135.8M$147.5M$121.5M$185.2M$264.3M$118.0M$102.4M$82.8M$91.6M
Net debt−$179.2M−$119.3M−$103.8M−$88.4M−$167.4M−$247.7M−$91.2M−$72.4M−$47.4M−$91.6M
Debt / equity0.050.030.100.080.040.030.060.070.090.00
Debt / assets0.030.020.050.050.020.020.040.040.050.00
Net debt / EBITDA−2.08−1.61−1.38−1.41−2.05−1.71−0.89−0.64−0.33−0.73
Current ratio3.382.892.642.852.863.533.473.112.864.11
Quick ratio3.282.802.552.732.723.333.222.862.633.74
Interest coverage30.78.37.014.746.378.622.532.493.1—
Working capital$406.0M$364.1M$354.8M$330.0M$355.3M$410.1M$367.1M$344.7M$343.2M$313.8M
Invested capital$331.0M$380.6M$352.8M$337.8M$285.3M$232.8M$369.1M$368.4M$352.6M$247.3M
Tangible asset value$423.4M$415.0M$369.0M$334.7M$357.1M$411.2M$386.9M$363.2M$318.0M$280.0M
Net current asset value$278.8M$241.1M$225.1M$216.5M$212.3M$259.4M$245.3M$256.3M$251.4M$225.0M
Graham number$11.27$9.01$8.45$7.71$9.38$13.81$10.96$12.20$11.98$10.45
Graham net-net per share$2.27$1.56$1.32$1.31$1.21$2.12$1.63$1.71$1.51$1.69
Capital allocation
Dividends paid—$0$16.0M$63.4M$62.2M$60.7M$59.0M$57.2M$55.2M$53.3M
Share buybacks (net)$61.6M$5.0M$11.3M$0$21.5M$0$0$0$0$0
Dividend payout ratio—0.0%41.6%185.1%128.2%61.5%91.3%68.5%62.6%68.9%
Dividends + buybacks / free cash flow44.3%20.5%71.6%—266.6%28.5%66.1%76.2%—148.3%
Capex / revenue0.3%0.4%0.3%0.3%0.3%0.2%0.2%0.2%0.3%0.3%
Capex / operating cash flow4.0%20.6%12.4%—15.3%2.0%4.7%6.2%70.7%13.1%
Capex / depreciation0.350.430.380.340.390.300.310.530.610.73
Stock-based compensation / revenue0.7%0.5%0.5%0.5%0.5%0.4%0.4%0.3%0.0%0.3%
SG&A / revenue10.0%10.2%9.3%8.8%10.1%8.0%8.1%6.9%6.8%6.7%
Efficiency
Days sales outstanding71.281.579.469.762.061.867.765.563.656.8
Days of inventory on hand3.84.35.05.87.48.38.88.69.110.1
Days payables outstanding18.120.219.016.215.113.013.114.013.311.5
Cash conversion cycle (days)57.065.665.459.354.357.163.460.159.455.4
Receivables turnover5.124.484.605.245.895.905.395.585.746.43
Payables turnover20.1618.1019.2322.5624.2027.9827.8426.0727.4831.75
Inventory turnover95.2684.4673.4963.4549.0143.8341.3842.2740.2236.15
Asset turnover2.262.122.202.252.082.312.592.943.103.10
Average receivables$358.6M$382.9M$363.5M$322.8M$278.8M$298.2M$341.4M$360.3M$325.0M$243.1M
Average payables$79.3M$82.2M$75.8M$66.4M$58.3M$53.3M$57.9M$68.0M$58.7M$42.2M
Average inventory$16.8M$17.6M$19.8M$23.6M$28.8M$34.1M$39.0M$41.9M$40.1M$37.1M
Intangibles / total assets10.7%10.4%10.9%12.7%12.1%8.7%10.1%11.2%12.1%11.1%

Computed from HCSG's annual financial statements (latest annual report filed February 13, 2026) and the closing share price on each fiscal year-end, adjusted for stock splits. Figures in U.S. dollars; data from EODHD. Averages use the opening and closing balance of each year.

HCSG valuation and financial ratios

At the end of fiscal 2025 (December 31, 2025), Healthcare Services traded at 23.6 times earnings, against a 10-year median of 26.8. Based on the latest twelve months, the trailing P/E is 12.4 and the forward P/E is 17.4. Healthcare Services earned a return on equity of 11.7% and a return on invested capital of 11.9% in fiscal 2025. It ended the year with $24.7 million of debt and $203.9 million in cash and short-term investments, a net cash position of $179.2 million. It returned $61.6 million to shareholders: $0 in dividends and $61.6 million in share buybacks, 44% of free cash flow.

See the HCSG income statement, the HCSG chart for price history, or the HCSG stock overview for the latest quote and news.

HCSG key metrics FAQ

What is Healthcare Services's P/E ratio?

Healthcare Services's trailing P/E ratio is 12.4 based on the last twelve months of earnings (as of October 18, 2026), and its forward P/E is 17.4. At the end of fiscal 2025 it was 23.6, compared with a 10-year median of 26.8.

What is Healthcare Services's EV/EBITDA?

Healthcare Services's enterprise value was 14.1 times EBITDA at the end of fiscal 2025 (enterprise value $1.2 billion, EBITDA $86.2 million); the current EV/EBITDA is 7.8.

What is Healthcare Services's return on equity?

Healthcare Services's return on equity (ROE) was 11.7% in fiscal 2025: net income of $59.1 million on average shareholders' equity of $505.1 million.

What is Healthcare Services's ROIC?

Healthcare Services's return on invested capital was 11.9% in fiscal 2025, using after-tax operating income divided by average debt plus equity minus cash.

How much debt does Healthcare Services have?

Healthcare Services had total debt of $24.7 million at the end of fiscal 2025, a debt-to-equity ratio of 0.05 and more cash than debt.

Does Healthcare Services buy back its shares?

Yes. Healthcare Services spent $61.6 million on net share repurchases in fiscal 2025 Shares outstanding changed −1.3% over the year, to 73.0M..

What is Healthcare Services's free cash flow yield?

Healthcare Services generated $139.2 million of free cash flow in fiscal 2025, a free cash flow yield of 10.0% on its market value at year-end ($1.4 billion).

What is Healthcare Services's current ratio?

Healthcare Services's current ratio was 3.38 at the end of fiscal 2025: current assets were 3.38 times current liabilities.

Medical Care Facilities key metrics