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Provider of outsourced housekeeping, laundry and dining/nutrition services for nursing homes and long-term care facilities.
Provider of outsourced housekeeping, laundry and dining/nutrition services for nursing homes and long-term care facilities.
Runs the housekeeping, laundry and dining departments of a facility under service contracts, using its own staff on site, so wages are the main cost and contract pricing the main lever. Most customers are nursing homes whose own income comes largely from Medicare and Medicaid, so their finances flow through to it. Contracts can generally be ended on short notice.
Moat: none (scale, distribution). National scale in a low-margin, labor-intensive outsourced-services niche with limited differentiation.
Headquarters: Bensalem, Pennsylvania · Founded: 1976 · Employees: 36,000
Size Healthcare Services (HCSG) is a United States Industrials company (Miscellaneous Commercial Services) with a market value of $1.64B, the 1930th largest of 3,117 United States companies the cockpit tracks. Shares closed at $24.28 on 6 Nov 2026.
Performance Over six months the shares gained 5.3%, against -6.6% for the median peer and -1.1% for the United States market (cap-weighted) — 7th highest of 21 in its peer set.
Growth Revenue grew 4.0% over the last twelve months (peer median +5.5%); the operating margin is 5.8% (peer median 12.4%).
Valuation It trades at 20.6× forward earnings against a peer median of 18.7× (8th most expensive of 18).
Price implies For today's price to make sense, revenue must grow about 3% a year for seven years (Req g). Recent delivered growth is +1%, so the hurdle is +3 pp: the price needs faster growth than the company has been delivering — of companies that just grew 25–50% a year, 93.8% slowed down over the next four years.
Capital Return on invested capital runs 15.3 points above its cost of capital (9.4% WACC).
Short interest Short interest is 4.0% of the free float (15 Oct 2026).
Next results Next results expected around 17 Feb 2027 (exchange calendar; dates can move).
| TTM | FY2025 | FY2024 | FY2023 | FY2022 | |
|---|---|---|---|---|---|
| Revenue | $1.88B | $1.84B | $1.72B | $1.67B | $1.69B |
| Revenue growth | — | +7% | +3% | -1% | — |
| Gross profit | $312M | $288M | $274M | $251M | $228M |
| EBITDA | $124M | $25.6M | $50.8M | $76.7M | $70.9M |
| Net income | $105M | $59.1M | $39.5M | $38.4M | $34.2M |
| Free cash flow | $107M | $139M | $24.5M | $38.1M | -$13.4M |
| Capital expenditure | $6.48M | $5.82M | $6.34M | $5.41M | $5.21M |
| Total debt | $18.0M | $15.0M | $16.4M | $43.6M | $38.4M |
The default views of Competitor Analysis ▸ Charts, drawn from the same data. Open them in the cockpit to change the axes, pin companies and read every value.
| Company | Market cap | 6M return | Revenue growth | Op. margin | Forward P/E | Req g |
|---|---|---|---|---|---|---|
| Healthcare Services HCSG | $1.64B | +5% | +4% | 6% | 20.6× | 3.4% |
| Sodexo SW.PA | $9.91B | +28% | 0% | 3% | 17.7× | 6.0% |
| Aramark ARMK | $13.9B | +17% | +11% | 4% | 19.8× | 16.1% |
| Compass COMP | $7.84B | +17% | +68% | 0% | n/a | n/a |
Peer set: Industry: the same industry and sector in any market, nearest in size. This is the same default set the interactive Competitor Analysis opens with.
| Measure | HCSG | Peer median | Rank in peer set |
|---|---|---|---|
| 1-month return | +17.5% | +0.4% | 3rd highest of 21 |
| 6-month return | +5.3% | -6.6% | 7th highest of 21 |
| Distance from 52-week high | -10.2% | -35.5% | highest of 21 |
| Revenue growth (TTM) | +4.0% | +5.5% | 11th highest of 21 |
| Operating margin | 5.8% | 12.4% | 3rd lowest of 21 |
| Forward P/E | 20.6× | 18.7× | 8th most expensive of 18 |
| Growth the price implies (Req g, 7 yrs) | 3.4% | 9.1% | 6th least demanding of 15 |
| Growth delivered (Del g) | +0.9% | +11.0% | 3rd lowest of 15 |
| Hurdle (Req g minus delivered) | +2.5 pp | -6.3 pp | 5th most demanding of 15 |
| ROIC minus cost of capital | +15.3 pp | +1.1 pp | highest of 19 |
| EV / EBITDA | 11.7× | 8.9× | 6th most expensive of 12 |
| Net debt / EBITDA | -1.5× | 2.3× | least indebted of 12 |
| Company | Market | Market cap | 6M return | Revenue growth | Op. margin | Forward P/E | Req g | Delivered g |
|---|---|---|---|---|---|---|---|---|
| Healthcare Services HCSG | United States | $1.64B | +5% | +4% | 6% | 20.6× | 3.4% | +0.9% |
| Kruk KRU.WA | Poland | $1.65B | -22% | +8% | 77% | 6.9× | -2.1% | +16.8% |
| PharmaBlock Sciences (Nanjing) 300725.SZ | China | $1.61B | +16% | +11% | 11% | 44.6× | 27.8% | +14.1% |
| eClerx Services ECLERX.NS | India | $1.59B | 0% | +22% | 20% | 19.4× | 17.2% | +21.4% |
| Guangdong Feinan Resources Recycling 301500.SZ | China | $1.68B | -31% | +42% | 7% | n/a | n/a | n/a |
| MEITEC 9744.T | Japan | $1.57B | +3% | +2% | 14% | 18.7× | -4.6% | +7.3% |
| Visual China 000681.SZ | China | $1.71B | -25% | -9% | 4% | 44.0× | n/a | n/a |
| Offcn Education Technology 002607.SZ | China | $1.56B | -36% | -2% | 13% | 38.8× | 17.7% | -27.6% |
| GRG Metrology & Test 002967.SZ | China | $1.72B | -16% | +13% | 13% | 22.7× | 3.9% | +14.4% |
| AEM AWX.SI | Singapore | $1.55B | -18% | +15% | 11% | 23.4× | 15.4% | -5.1% |
| Ipsos IPS.PA | France | $1.74B | -3% | +3% | 12% | 7.0× | -10.8% | +6.6% |
| Yangzhou Tinfulong 603406.SS | China | $1.53B | -25% | -4% | 12% | n/a | 7.5% | +10.6% |
| Moltiply MOL.MI | Italy | $1.53B | +6% | +32% | 15% | 14.6× | 10.8% | +21.0% |
| Choice International CHOICEIN.NS | India | $1.76B | +8% | +34% | 27% | 49.8× | n/a | n/a |
| Syngene International SYNGENE.NS | India | $1.78B | -11% | -6% | 13% | 67.8× | 35.3% | +11.4% |
| Prosegur Compania de Seguridad PSG.MC | Spain | $1.79B | +9% | +1% | 6% | 11.8× | -5.3% | +6.7% |
| AFRY AFRY.ST | Sweden | $1.50B | +17% | -4% | 7% | 12.7× | -2.2% | +6.3% |
| Foxtron Vehicle Technologies 2258.TW | Taiwan | $1.50B | +1% | -50% | -132% | n/a | n/a | n/a |
| China Conch Venture 0586.HK | Hong Kong | $1.79B | -36% | +21% | 18% | 5.5× | n/a | n/a |
| Clarivate CLVT | United States | $1.50B | -16% | -9% | 8% | 3.8× | 13.4% | +14.4% |
| Hoist Finance HOFI.ST | Sweden | $1.79B | +29% | +16% | 30% | 11.9× | n/a | n/a |