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Healthcare Services Group Inc (HCSG)

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Upturn Advisory Summary
12/09/2025: HCSG (1-star) has a low Upturn Star Rating. Not recommended to BUY.
1 Year Target Price $21.5
1 Year Target Price $21.5
| 2 | Strong Buy |
| 0 | Buy |
| 3 | Hold |
| 0 | Sell |
| 0 | Strong Sell |
Analysis of Past Performance
Type Stock | Historic Profit -49.63% | Avg. Invested days 25 | Today’s Advisory Consider higher Upturn Star rating |
Upturn Star Rating ![]() | Upturn Advisory Performance | Stock Returns Performance |
Key Highlights
Company Size Small-Cap Stock | Market Capitalization 1.31B USD | Price to earnings Ratio 34.73 | 1Y Target Price 21.5 |
Price to earnings Ratio 34.73 | 1Y Target Price 21.5 | ||
Volume (30-day avg) 5 | Beta 0.76 | 52 Weeks Range 9.12 - 20.00 | Updated Date 12/8/2025 |
52 Weeks Range 9.12 - 20.00 | Updated Date 12/8/2025 | ||
Dividends yield (FY) - | Basic EPS (TTM) 0.52 |
Analyzing Revenue: Products, Geography and Growth
Revenue by Products
Product revenue - Year on Year
Earnings Date
Report Date - | When - | Estimate - | Actual - |
Profitability
Profit Margin 2.2% | Operating Margin (TTM) 9.88% |
Management Effectiveness
Return on Assets (TTM) 2.83% | Return on Equity (TTM) 8.07% |
Valuation
Trailing PE 34.73 | Forward PE 16.78 | Enterprise Value 1109529047 | Price to Sales(TTM) 0.72 |
Enterprise Value 1109529047 | Price to Sales(TTM) 0.72 | ||
Enterprise Value to Revenue 0.65 | Enterprise Value to EBITDA 15.98 | Shares Outstanding 70455509 | Shares Floating 69547337 |
Shares Outstanding 70455509 | Shares Floating 69547337 | ||
Percent Insiders 1.26 | Percent Institutions 107.88 |
Upturn AI SWOT
Healthcare Services Group Inc

Company Overview
History and Background
Healthcare Services Group, Inc. (HCSG) was founded in 1977 and is a provider of outsourced non-clinical healthcare services. Over the years, HCSG has grown by acquiring smaller regional providers and expanding its service offerings to cater to a broader range of healthcare facilities, primarily focusing on the skilled nursing and assisted living sectors. A significant milestone was its consistent focus on operational efficiency and cost management, which has allowed it to become a leading player in its niche.
Core Business Areas
- Dining Services: HCSG provides comprehensive dining services to healthcare facilities, including menu planning, food procurement, preparation, and serving. This segment aims to deliver nutritious and appealing meals while adhering to dietary regulations and patient preferences.
- Housekeeping and Laundry Services: This segment encompasses the provision of cleaning, sanitation, and laundry services to ensure a hygienic and comfortable environment within healthcare facilities. This includes daily cleaning, deep cleaning, and laundry operations for residents and staff.
- Plant Operations and Maintenance: HCSG offers services related to the upkeep and maintenance of healthcare facility infrastructure, including HVAC systems, electrical systems, plumbing, and general building repairs. This ensures the facility operates safely and efficiently.
Leadership and Structure
Healthcare Services Group, Inc. is led by a management team responsible for strategic direction and operational oversight. The company is structured to serve multiple client facilities, with regional and local management teams overseeing service delivery at each location. Key leadership roles typically include a CEO, CFO, and heads of operations and human resources.
Top Products and Market Share
Key Offerings
- Dining Services: HCSG's dining services are a comprehensive package designed for long-term care facilities. While specific market share for this service alone is not publicly broken down, HCSG is a significant provider in its niche. Competitors include Aramark, Sodexo, and various smaller, regional food service providers.
- Housekeeping and Laundry Services: This is a core offering, providing essential cleaning and laundry for healthcare settings. Market share data is integrated with overall non-clinical services. Key competitors include large facilities management companies and specialized cleaning and laundry services.
- Plant Operations and Maintenance: HCSG manages the operational aspects of facility maintenance, ensuring safety and compliance. This is a critical but often less visible service. Competitors include in-house maintenance departments and specialized facility management firms.
Market Dynamics
Industry Overview
The healthcare services industry, particularly the non-clinical segment serving long-term care facilities, is characterized by a growing elderly population, increasing demand for specialized care, and a constant pressure to control costs. Regulations and compliance are significant factors, and facilities often look to outsource non-core functions to specialized providers like HCSG to improve efficiency and focus on patient care.
Positioning
HCSG is positioned as a leading outsourced provider of non-clinical services to skilled nursing and assisted living facilities. Its competitive advantage lies in its specialized expertise, economies of scale, standardized operational processes, and a focus on cost-effectiveness, which is crucial for its client base.
Total Addressable Market (TAM)
The TAM for outsourced non-clinical healthcare services, particularly for skilled nursing and assisted living, is substantial and growing with the aging demographic. While precise TAM figures for HCSG's specific services are proprietary, it is estimated to be in the tens of billions of dollars globally. HCSG is a significant player within the US market, but still holds a relatively small percentage of the total addressable market, indicating room for growth through further penetration and acquisition.
Upturn SWOT Analysis
Strengths
- Established operational expertise and scale in non-clinical healthcare services.
- Strong relationships with long-term care facilities.
- Focus on cost control and efficiency, appealing to budget-conscious clients.
- Diversified service offerings within the non-clinical segment.
- Experienced management team with deep industry knowledge.
Weaknesses
- Reliance on a specific client segment (skilled nursing and assisted living) which can be cyclical.
- Potential for labor shortages and rising labor costs impacting margins.
- Susceptibility to regulatory changes in the healthcare industry.
- Limited brand recognition compared to larger, diversified healthcare conglomerates.
- Acquisition-dependent growth strategy can carry integration risks.
Opportunities
- Growing demand for elder care services due to an aging population.
- Expansion into adjacent healthcare service areas (e.g., rehabilitation support).
- Leveraging technology for improved operational efficiency and client reporting.
- Acquisition of smaller competitors to increase market share.
- Increased outsourcing trends in healthcare facilities seeking to reduce operational complexity.
Threats
- Increased competition from larger facilities management companies and specialized providers.
- Adverse changes in government reimbursement rates for healthcare services.
- Economic downturns affecting healthcare facility budgets.
- Potential for significant litigation or regulatory penalties.
- Staffing challenges and competition for qualified personnel.
Competitors and Market Share
Key Competitors
- Aramark Holdings Corporation (ARMK)
- Sodexo S.A. (SDXAY)
- Morrison Healthcare (Subsidiary of Compass Group)
- Elior North America
- Traditions Health LLC (private)
- Various regional and local providers.
Competitive Landscape
HCSG competes by offering specialized, cost-effective non-clinical services tailored to the needs of skilled nursing and assisted living facilities. Its competitors range from large, diversified food and facilities management companies to smaller, niche providers. HCSG's advantage lies in its focused expertise and deep understanding of its core client segment, though larger competitors may have greater resources for broader market reach and diversification.
Growth Trajectory and Initiatives
Historical Growth: HCSG has demonstrated a consistent pattern of growth, largely fueled by strategic acquisitions of smaller, regional service providers and organic contract wins. Revenue has steadily increased, supported by the expansion of its service offerings and client base within the skilled nursing and assisted living sectors.
Future Projections: Future growth projections for HCSG are likely to be influenced by the ongoing trends in elder care, outsourcing preferences of healthcare facilities, and the company's ability to execute further acquisitions. Analyst estimates typically project continued revenue and earnings growth, albeit at a moderate pace, with a focus on operational efficiency.
Recent Initiatives: Recent initiatives likely focus on operational optimization, technology adoption for enhanced service delivery and reporting, and the integration of acquired businesses. The company may also be exploring opportunities to expand its service lines or geographic reach within its core markets.
Summary
Healthcare Services Group Inc. (HCSG) is a well-established provider of non-clinical services to skilled nursing and assisted living facilities, demonstrating consistent revenue growth driven by strategic acquisitions and operational efficiency. Its strengths lie in specialized expertise and cost management, catering to a growing elder care market. However, the company faces threats from labor costs, regulatory changes, and competition. Continued success will depend on its ability to navigate these challenges and capitalize on the expanding demand for its services.
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Sources and Disclaimers
Data Sources:
- Company Investor Relations Websites
- SEC Filings (10-K, 10-Q)
- Financial News and Analysis Platforms (e.g., Bloomberg, Refinitiv)
- Industry Reports
Disclaimers:
This analysis is based on publicly available information and is for informational purposes only. It does not constitute financial advice. Investors should conduct their own due diligence before making investment decisions.
AI Summarization is directionally correct and might not be accurate.
Summarized information shown could be a few years old and not current.
Fundamental Rating based on AI could be based on old data.
AI-generated summaries may have inaccuracies (hallucinations). Please verify the information before taking action.
About Healthcare Services Group Inc
Exchange NASDAQ | Headquaters Bensalem, PA, United States | ||
IPO Launch date 1990-03-26 | President, CEO & Director Mr. Theodore Wahl CPA | ||
Sector Healthcare | Industry Medical Care Facilities | Full time employees 35300 | Website https://www.hcsgcorp.com |
Full time employees 35300 | Website https://www.hcsgcorp.com | ||
Healthcare Services Group, Inc. provides management, administrative, and operating services to the housekeeping, laundry, linen, facility maintenance, and dietary service departments of nursing homes, retirement complexes, rehabilitation centers, and hospitals in the United States. It operates through two segments, Housekeeping and Dietary. The Housekeeping segment engages in cleaning, disinfecting, and sanitizing of resident rooms and common areas of the customers' facilities, as well as laundering and processing of the bed linens, uniforms, resident personal clothing, and other assorted linen items utilized at the customers' facilities. Its Dietary segment is involved in the management of the customers' dietary departments, which focuses on food purchasing, meal preparation, and professional dietitian services, such as the development of menus that meet the dietary needs of residents; and the provision of on-site management and clinical consulting services. It serves long-term and post-acute care facilities, hospitals, and the healthcare industry through referrals and solicitation of target facilities. The company was incorporated in 1976 and is based in Bensalem, Pennsylvania.

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