Owner Scorecard


← All companies ← HCI Manual HD → ← HCA Health Care Providers & Services HIMS →

HCSG, Healthcare Services Group

We are the largest provider of housekeeping, laundry and dietary management services to the long-term care industry in the United States.

We provide management, administrative and operating expertise and services to the housekeeping, laundry, linen, facility maintenance and dietary service departments of primarily healthcare facilities, including nursing homes, retirement complexes, rehabilitation centers and hospitals located throughout the United States.

We provide such services to approximately 2,800 facilities throughout the continental United States as of December 31, 2025.

Latest annual: FY2025 10-K
HCSG · Healthcare Services Group
I

The business

What it sells, where the money comes from, the kind of company it is.

Revenue · FY2025
$1.8B
+7.1% YoY · 1% 5-yr CAGR
Vital signs · TTM, with 5-yr average
Revenue $1.9B 5-yr avg $1.7B
Gross margin 13% 5-yr avg 13%
Operating margin 4.4% 5-yr avg 3.3%
ROIC 19% 5-yr avg 11%
Owner-earnings margin 8% 5-yr avg 2%
Free cash flow margin 8% 5-yr avg 2%

The business in brief

read the 10-K →

What this business is and what moves its needle, from its own SEC filings.

What it is
Revenue is Dietary (55%) and Environmental Services (45%).
What moves the needle
Gross margin has run about 13% and operating margin about 4.0% through the cycle, a thin spread that turns the result on volume and the cost of what it sells far more than on the price it sets. On a spread this thin the operating result swings hard on small moves in cost or volume — it has ranged from 2.6% to 7.7% over the years, so the cost line is where the needle moves. Read this kind of business on volume, payer mix and reimbursement. On its own account, the filing leans hardest on pricing power & competition, set against the numbers in what the filing emphasizes, below.
Is it a good business?
Return on capital has run in the teens (median 15%, above 15% in 6 of 10 years). Owner earnings, the cash-based check, have been thin too. Returns like these are solid but short of clear franchise economics; whether they hold is what the 10-K settles, not the multiple.

Every line is arithmetic on the company's filings, shown in full in the sections below.

Where the money comes from

read the 10-K →

Revenue spreads across 2 segments, the largest Dietary at 55%.

Revenue by reportable segment, FY2025
  • Dietary55%$1.0B
  • Environmental Services45%$825M

From the segment footnote of the company's own 10-K. Shares are of total revenue; the profit bar shows each segment's share of segment operating profit, before unallocated corporate costs.

II

The record

Ten years of arithmetic, read across the cycle.

The record, 2016–2025

realized figures from each filing · older years to the left
2016’162017’172018’182019’192020’202021’212022’222023’232024’242025’25TTMTTMMar 2026
Income statement
$1.6B$1.9B$2.0B$1.8B$1.8B$1.6B$1.7B$1.7B$1.7B$1.8B$1.9BRevenueRevenue
14%13%12%12%15%14%11%13%13%13%13%Gross marginGross mgn
7%7%7%8%9%11%8%10%11%10%10%SG&A / revenueSG&A/rev
$120M$134M$103M$89M$129M$66M$45M$53M$53M$68M$82MOperating incomeOp. inc.
7.7%7.2%5.1%4.8%7.3%4.0%2.6%3.2%3.1%3.7%4.4%Operating marginOp. mgn
$77M$88M$84M$65M$99M$49M$34M$38M$39M$59M$68MNet incomeNet inc.
36%34%16%24%24%26%23%28%25%13%14%Effective tax rateTax rate
Cash flow & returns
$41M$8M$80M$94M$217M$37M($8M)$43M$31M$145M$161MOperating cash flowOp. cash
$7M$9M$9M$14M$14M$15M$15M$14M$15M$17M$17MDepreciationDeprec.
($48M)($95M)($19M)$8M$96M($35M)($67M)($18M)($32M)$57M$66MWorking capital & otherWC & other
$5M$5M$5M$4M$4M$6M$5M$5M$6M$6M$5MCapexCapex
0.3%0.3%0.2%0.2%0.2%0.3%0.3%0.3%0.4%0.3%0.3%Capex / revenueCapex/rev
$36M$2M$75M$89M$213M$31M($13M)$38M$24M$139M$156MOwner earningsOwner earn.
2.3%0.1%3.7%4.8%12.1%1.9%−0.8%2.3%1.4%7.6%8.4%Owner earnings marginOE mgn
$36M$2M$75M$89M$213M$31M($13M)$38M$24M$139M$156MFree cash flowFCF
2.3%0.1%3.7%4.8%12.1%1.9%−0.8%2.3%1.4%7.6%8.4%Free cash flow marginFCF mgn
$0$5M$0$0$0$24M$114K$0$0$7M$0AcquisitionsAcquis.
$53M$55M$57M$59M$61M$62M$63M$0$0$0Dividends paidDiv. paid
$0$0$22M$0$11M$5M$62MBuybacksBuybacks
25%23%21%16%30%13%9%10%9%15%19%ROICROIC
23%22%19%14%21%11%8%8%8%12%13%Return on equityROE
7%8%6%1%8%−3%−7%8%8%13%Retained to equityRetained/eq
Balance sheet
$92M$83M$102M$118M$264M$185M$121M$147M$107M$168M$179MCash & investmentsCash+inv
$345M$331M$281M$299MReceivablesReceiv.
$43M$74M$61M$54M$52M$64M$68M$83M$81M$77M$83MAccounts payablePayables
$262M$250M$204M$216MOperating working capitalOper. WC
$415M$527M$508M$516M$572M$546M$509M$572M$557M$576M$601MCurrent assetsCur. assets
$101M$184M$163M$149M$162M$191M$189M$217M$193M$170M$193MCurrent liabilitiesCur. liab.
4.1×2.9×3.1×3.5×3.5×2.9×2.7×2.6×2.9×3.4×3.1×Current ratioCurr. ratio
$44M$51M$51M$51M$51M$75M$76M$76M$76M$80M$80MGoodwillGoodwill
$528M$676M$693M$723M$785M$780M$721M$791M$803M$794M$815MTotal assetsAssets
($92M)($83M)($102M)($118M)($264M)($185M)($121M)($147M)($107M)($168M)($179M)Net debt / (cash)Net debt
98.6×33.3×25.6×23.7×Interest coverageInt. cov.
$339M$400M$441M$460M$470M$445M$418M$457M$500M$510M$514MShareholders’ equityEquity
0.3%0.3%0.3%0.4%0.4%0.5%0.5%0.5%0.5%0.7%0.6%Stock comp / revenueSBC/rev
Per share
73.5M74.3M74.6M74.6M74.8M75.0M74.4M74.3M74.0M73.0M71.0MShares out (diluted)Shares
$21.27$25.03$26.84$24.68$23.54$21.90$22.73$22.48$23.19$25.16$26.07Revenue / shareRev/sh
$1.05$1.19$1.12$0.87$1.32$0.65$0.46$0.52$0.53$0.81$0.96EPS (diluted)EPS
$0.49$0.03$1.01$1.20$2.85$0.42$-0.18$0.51$0.33$1.91$2.19Owner earnings / shareOE/sh
$0.49$0.03$1.01$1.20$2.85$0.42$-0.18$0.51$0.33$1.91$2.19Free cash flow / shareFCF/sh
$0.73$0.74$0.77$0.79$0.81$0.83$0.85$0.00$0.00$0.00Dividends / shareDiv/sh
$0.07$0.07$0.07$0.06$0.06$0.08$0.07$0.07$0.09$0.08$0.08Cap. spending / shareCapex/sh
$4.61$5.38$5.91$6.17$6.29$5.94$5.63$6.14$6.76$6.99$7.23Book value / shareBVPS
Per-share growththe realized rate an owner's share compounded
9-yr5-yr
Revenue / share+1.9%/yr+1.3%/yr
Owner earnings / share+16.3%/yr−7.7%/yr
EPS−2.9%/yr−9.3%/yr
Capital spending / share+0.8%/yr+6.5%/yr
Book value / share+4.7%/yr+2.1%/yr

The year, in the company's words

the filing →

Verbatim from the 10-K's management discussion. Each sentence is shown only because its subject, direction check out against the filed numbers on this page. The words are the company's; the arithmetic is the record's.

  • Dietary+6.5%
    “Dietary revenue increases were driven by organic growth via expanding services performed for existing customers, increased pass-through costs to customers and increases in contractual pricing.”
    ✓ direction matches the filed record

The record, charted

FY2016–2025

Each measure over its full record; the current point and the worst year marked.

Share count
73Mpeak FY2021
ROIC
15%low FY2022
Gross margin
13%low FY2022

Owner earnings vs. net income

Owner earningsNet income

The accountant's number, and the cash an owner can take; the gap is the tell.

$139Mowner earningsvs.$59Mnet incomelow FY2022

Where the cash went

ReinvestBuybacksDividendsAcquisitionsRetainedBeyond op. cash

Each year's outlays against its operating cash: the mix, and how it drifts. The hatched cap is spending beyond that year's operating cash — financed from the balance sheet or borrowing, not operations.

FY2016FY2025

Net income is the accountant's number; owner earnings is the cash an owner could take out. The walk between them, off the cash-flow statement, and whether the gap is widening or holding.

In fiscal 2025 the business turned $59M of profit into $139M of owner earnings: more cash than the profit line showed, after the non-cash charges and the capital it put back in.

Reported net income$59M
Owner earnings$139M · 8% of revenue
FY2025FY2024FY2023FY2022FY2021
Reported net income$59M$39M$38M$34M$49M
Depreciation & amortizationnon-cash charge added back+$17M+$15M+$14M+$15M+$15M
Stock-based compensationreal costnon-cash, but a real cost+$12M+$9M+$9M+$9M+$9M
Working capital & othertiming of cash in and out, other non-cash items+$57M−$32M−$18M−$67M−$35M
Cash from operations$145M$31M$43M($8M)$37M
Capital expenditurecash put back in to keep running and to grow−$6M−$6M−$5M−$5M−$6M
Owner earnings$139M$24M$38M($13M)$31M
Owner-earnings marginowner earnings ÷ revenue8%1%2%-1%2%

Owner earnings is the cash an owner could pull out without starving the business: operating cash less the capital it must spend to hold its position . The cash-flow statement also adds stock comp back as non-cash, but it is a real cost paid in shares; counted as the expense it is (less $12M), owner earnings is nearer $127M.

Maintenance capex is estimated as depreciation where a growing business invests above it; free cash flow is the figure the scorecard's free-cash margin reads.

III

Quality & stewardship

Returns, the balance sheet, capital allocation, and pay.

Owner’s Scorecard

FY2025 10-K · source on SEC EDGAR →

Will it survive?

  • Comfortable
    Operating income $71M ÷ interest expense $3M
    What this means

    Operating profit covers interest with the kind of margin Graham wanted for a defensive holding. Necessary, not sufficient, it says solvent, not cheap.

  • Net cash, debt-free
    Cash $125M + ST investments $43M − debt $0
    What this means

    Cash and short-term investments exceed every dollar of debt by $168M, on net the company owes nothing, and can act from strength when others can't. Net debt is the leverage figure that matters: the cash is already set against the debt. Strategic or illiquid investments aren't counted here.

  • Tight
    DSO 56 + DIO 0 − DPO 18 days
    What this means

    Days cash is tied up between paying suppliers and collecting from customers. Lower is better; a long cycle means growth itself eats cash. (Little or no inventory, a services / asset-light model, so the inventory leg is ~0.)

Is it a good business?

  • Not enough data
    Industry peers: median 8%
    What this means

    The filing data didn't include the inputs for this check.

  • Solid, recently turned positive
    latest $139M = operating cash $145M − maintenance capex $6M; positive each of the last 3 years, after an earlier loss stretch (10-yr median 2%)
    Industry peers: median 6%
    What this means

    What an owner could take out without starving the business: operating cash less the maintenance capital it must spend to hold its position — Buffett's owner earnings. That's 8% of revenue this year, a 2% median across 10 years. Treating stock comp as the real expense it is (less $12M of SBC) leaves $127M.

  • Cash-backed
    Cash from ops $145M ÷ net income $59M
    What this means

    How much of reported profit showed up as operating cash. Above 1× is reassuring; well below suggests earnings lean on accruals. One year is noisy, growth and working-capital swings distort it, and this is operating cash, not free cash. Watch the multi-year trend.

How is the cash used?

  • Returns about half
    Dividends + buybacks $62M ÷ Owner Earnings $139M
    What this means

    Of $139M Owner Earnings, $62M (44%) went back to shareholders, $0 dividends, $62M buybacks. Net of $12M stock comp, the real buyback was about $50M. Returning most of it is the mark of a mature business with little left to reinvest at a high return; reinvesting most could mean a long runway, or empire-building. The split doesn't say which; the return earned on it (see ROIC) does.

  • Investing or harvesting? 0.35×
    Harvesting
    Capex $6M ÷ depreciation $17M
    What this means

    Descriptive, not a grade. Above ~1× means investing faster than assets wear out (growth, or, sustained for years, today's earnings carrying less depreciation than tomorrow's will). Below means spending less than it's wearing out (efficiency, or a melting asset base). The ratio won't tell you which; the filings will.

Graham’s defensive tests · 2 of 5 met

Graham’s numerical criteria for the defensive investor (The Intelligent Investor, ch. 14), run on the filings. A floor of safety, not a buy signal; many fine modern businesses fail his strictest liquidity rules by design.

  • Adequate size Near
    Revenue ≥ $2B · $1.8B
    What this means

    Big enough to weather a storm. Graham's 1972 floor was ~$100M of sales (≈ $700M today); we use a $2B revenue line as a conservative modern stand-in.

  • Strong liquidity Pass
    Current ratio ≥ 2× · 3.38×
    What this means

    Current assets at least twice current liabilities, near-term bills covered without touching the business. Strict by design: many cash-rich modern firms run leaner and miss it, holding their cushion in longer-dated securities.

  • Earnings stability Pass
    A profit every year (10-yr record) · no losses
    What this means

    Graham wanted earnings in each of the past ten years, the stability a defensive owner leans on.

  • Dividend record Miss
    Uninterrupted dividends · 7 of 10 yrs
    What this means

    An unbroken dividend was Graham's mark of durability. He wanted twenty years; the filings show about ten, and a single suspension breaks the streak. Non-payers, many fine modern compounders, fall outside his defensive net by design.

  • Earnings growth Miss
    Earnings +33% over the record · −45%
    What this means

    At least a third more earnings than a decade ago, averaging three years at each end. Net income (not per-share), so stock splits don't distort it, buybacks and dilution show up in the share-count line instead.

  • Moderate price
    P/E ≤ 15 and P/E × P/B ≤ 22.5 · decided by the price
    What this means

    Graham's valuation gate, the wall he kept between a sound business and a sound investment. Three-year average earnings are $0.66/share (latest year $0.86), the averaged base the calculator's gate runs on, and book value is $7.43/share. Enter a price in “What the price implies” just below for the P/E, P/B, and whether it clears. But this is the rule Buffett outgrew: there's no hard P/E law, and a wonderful business can deserve a far richer multiple if the thesis holds, treat it as the bargain-hunter's floor, not a verdict on the price.

Durability & moat, 2016–2025

Whether the record’s returns held, and what the capital reinvested earned.

  • Profitable years 10 of 10
    What this means

    Never lost money over the record, the earnings stability Graham insisted on.

  • Operating margin 7% → 3% (3-yr avg ends)
    What this means

    Through the cycle the operating margin slipped — about 7% early to 3% lately, median 4% — competition or costs are biting in.

  • Owner earnings growth +18%/yr
    What this means

    Owner earnings grew about 18% a year over the record.

  • Worst year 2022 · 2.6% op. margin
    What this means

    Stayed profitable even in its hardest year, the resilience that survives recessions.

  • Share count −0.1%/yr
    What this means

    Roughly flat share count, little dilution, little buyback.

  • Dividend record rising
    What this means

    Paid and raised the dividend across the record, the continuity Graham prized.

Does AI threaten the moat?

Moderate contestability

AI is likely to reshape costs and some products here without clearly contesting or sparing the core moat; how the company itself frames it is the tell.

In its own filing Raised, but not as a competitor

The filing raises AI among its risks, but in other terms (security, regulation, energy or the like), not as a competitor to its product.

The question is whether a moat the record shows as durable outlasts a technology that lowers the cost of part of what the firm sells. The durability is read in the record above, the filing's own framing of AI beside it; the industry label decides nothing on its own.

Read from the filing's own risk factors, paired with the industry's structure under its SIC code; the durability is read above, the price below.

All figures as filed; the source filing is linked above.

Current Position

as of the latest quarter, Mar 31, 2026

Can the business pay what it owes this year, off the freshest balance sheet: the quality of the assets, the debt actually coming due, and what a low ratio means here.

Current assets$601M
  • Cash & short-term investments$179M
  • Receivables$299M
  • Other current assets$123M
Current liabilities$193M
  • Accounts payable$83M
  • Other current liabilities$110M
Current ratio3.11×all current assets ÷ what's due · Graham looked for 2×
Quick ratio3.11×stricter: inventory excluded
Cash ratio0.92×strictest: cash alone against what's due
Working capital$408Mthe cushion left after near-term bills
Revenue, latest quarter vs. a year ago+3.4%the freshest read on whether the business is still growing
Current ratio, recent quarters2.7× → 3.1×
Deeper floors
Tangible book value$428Mequity stripped of goodwill & intangibles
Debt incl. operating leases$15M$15M of it operating leases
Deferred revenue$8Mcustomer cash collected before delivery; operating float

From the company's latest filing.

How the cash was used, 2016–2025

Over the record, the business generated $688M of operating cash; how management split it reads as a cash returner, paying most of what it earns straight back to owners.

  • Reinvested$53M · 8%
  • Dividends$411M · 60%
  • Buybacks$99M · 14%
  • Retained (debt / cash)$125M · 18%
  • Returned to owners$510M

    80% of the owner earnings the business produced over the span, $411M as dividends and $99M as buybacks.

  • Average price paid for buybacks$15.53

    Across the years where the filing reports a share count, 6M shares were bought for $99M, about $15.53 each. Year to year the price paid ranged from $11.28 (2023) to $21.54 (2021); its heaviest year, 2025, paid $15.40 ($62M).

  • Net change in share count−3.3%

    The diluted count fell from 73M to 71M, so the buybacks outran the stock issued to staff.

  • Dividend record$0.00/sh

    Paid in 7 of the years on record. It was cut at least once along the way.

  • Return on what it retained24%

    Of the earnings it kept rather than paid out ($122M over the span), annual owner earnings (first three years vs last three) grew $29M, so each retained $1 added about 0.24 of yearly owner earnings. Buffett's test, run on owner earnings instead of market value.

Buybacks are gross of stock issued to staff; the share-count line above is the net of that, the figure that decides whether owners gained. The average price paid blends a year of purchases (and any accelerated repurchase), so it is close, not exact. The record of where the cash went and on what terms.

Management, ownership & pay

read the proxy →

From the proxy: how much of the business the people running it own, and how they are paid, beside what the business earned for its owners in the same years.

Fiscal yearChief executivePay, as filed“Actually paid”Owner earnings
2021Theodore Wahl$4.4M$1.4M$31M
2022Theodore Wahl$4.4M$2.4M($13M)
2023Theodore Wahl$4.6M$3.3M$38M
2024Theodore Wahl$4.7M$5.9M$24M
2025Theodore Wahl$4.7M$12.2M$139M

Both pay figures are the company’s own, from the pay-versus-performance table its proxy statement files. “As filed” is the Summary Compensation Table total: salary, bonus, and equity awards at their value on the day of grant. “Actually paid” is the SEC’s prescribed recalculation, which re-marks those equity awards to what they became as they vested; it can swing far above or below the filed figure in either direction, and negative years occur. Owner earnings are the whole business's, from the record above, for the same fiscal years.

  • Insider ownership2.9%

    The stake all directors and executive officers hold together, per the 2026 proxy: skin in the game, the first thing Munger reads.

  • Stock-based compensation$12M

    The slice of the business handed to employees in shares this year, 1% of revenue, equal to 17% of operating profit. Buffett's oldest accounting fight: this is compensation, compensation is an expense, real whether or not the headline earnings admit it. One trap: the cash-flow statement adds SBC back, so the operating cash, and the owner earnings drawn from it, are flattered by exactly this amount; counted as the cost it is, what an owner keeps is lower.

Inverting the record

Invert: instead of why Healthcare Services Group is a good business, the question is what would make owning it a mistake, and whether those marks are in the record. Disconfirming tests across 2016–2025.

None of the 3 tests turned up a mark; each came back clean. A clean panel says only that these particular ways of being wrong are not written into the record.

Each test came back clean
  • Is it less profitable than it was?
  • Did the share count rise anyway?
  • Did reported profit become cash?

Each test is read from the filings and is noisy alone; a flag can mark a cyclical trough or a year of heavy investment as easily as a problem. The filing says which.

What an owner would ask, FY2025

read the 10-K →
  • Which reported numbers are a judgment call?
    Management names Credit & receivables, Insurance reserves, Stock compensation as critical estimates

    each rests partly on management's judgment; the filing's note sets out the assumptionsverify →

The questions the record and the charts do not answer on their own; each carries the figure and the place to look.

Peers, Health Care Providers & Services

The same industry, side by side on owner economics. Each figure is a through-cycle median, so a peak or trough year can’t distort it; the group median at the foot is the line to read each against.

CompanyRevenueGross marginOp. marginROICOwner earn. margin
AVAHAveanna Healthcare Holdings Inc.$2.4B1.6%3%-2%
AMEDAmedisys$2.3B43%7.0%4%6%
CONConcentra Group Holdings Parent Inc.$2.2B15.5%17%10%
PRVAPrivia Health Group$2.1B1.2%8%5%
MDPediatrix Medical Group Inc.$1.9B10.1%8%11%
HCSGHealthcare Services Group$1.8B13%4.4%15%2%
LFSTLifeStance Health Group Inc.$1.4B-10.2%-9%5%
ADUSAddus HomeCare$1.4B30%6.6%8%8%
Group median30%5.5%8%5%
IV

The price

What a price has to assume.

What the price implies

reverse-DCF

Type today's close and see the owner-earnings growth you'd have to believe to justify it, beside what Healthcare Services Group has delivered.

Healthcare Services Group’s latest year runs above its own through-cycle margin — the reported figure may flatter a peak. So the tool opens on the through-cycle base, Graham’s averaging cutting both ways; clear the toggle below to read the latest year exactly as reported.

$

Through the cycle, Healthcare Services Group earns about $42M on its 2.3% median owner-earnings margin. This year’s 7.6% margin runs above that; the reported figure may flatter a peak you'd be paying on. Normalize, below, values the price on that through-cycle figure rather than the latest year. It comes pre-checked here for that reason, the same rule that already normalizes a trough; clear it to price the year as filed.

Base

The assumptions

9.0% = the 4.55% 10-year Treasury (Jul 15, 2026) + 4.45 points of equity premium. The rate you require is yours to set.

Enter a price above to run it.

Implied by the price
Owner-earnings growth · ’21→’25+74%/yr
Owner-earnings growth · ’16→’25+18%/yr
Owner-earnings yield
P/E (3-yr earnings ’23–’25)
P/B
Graham’s price gate

Graham capped the multiple at 15×; Buffett and Munger let that rule go: a wonderful business can deserve 50× if the thesis holds. The gate marks the bargain-hunter's floor.

Against a high-grade bond: Graham’s yardstick bond yield%

Prefilled with the 10-year Treasury (4.55%, as of Jul 15, 2026). Edit it for today’s exact figure, or a AAA corporate yield.

Graham measured a stock against the bond you could own instead, the heart of his margin of safety. Enter a price above to weigh the owner-earnings yield against this bond.

Owner earnings $156M on 69M shares outstanding, per the 10-Q cover, as of 2026-04-22; net cash $179M. The if-converted diluted count is 71M, 4% above the shares outstanding: the dilution overhang (convertibles, options) a buyer inherits. The base opens on the through-cycle figure (the latest year sits above the record’s own median, and Graham’s averaging cuts both ways); clear Normalize to use the year as filed. Net of stock comp treats option pay as the expense it is. The dials set the multiple a growth belief justifies; the price, and every dollar on this page, is yours.

Cite: Owner Scorecard, "Healthcare Services Group (HCSG), the owner's record," https://ownerscorecard.com/c/HCSG, data as of 2026-07-09.

Manual order: ← HCI its page in the Manual HD →

Industry order: ← HCA the Health Care Providers & Services chapter HIMS →