Healthcare Serv.

HCSG runs a $1.8 billion business with just $6 million of long-term debt, and the stock still sits below the Street's $25 low target.

If you own HCSG, you are betting steady nursing-home services can outrun a messy earnings picture.

hcsg

financials small cap updated feb 13, 2026
$19.23
market cap ~$1B · 52-week range $9–$20
xvary composite: 51 / 100 · below average
our overall rating — combines growth, value, risk, and momentum
Start here if you're new
what it is
HCSG cleans rooms, handles laundry, and serves meals for healthcare facilities that cannot afford to miss a day.
how it gets paid
Last year Healthcare Serv made $1.8B in revenue. housekeeping services was the main engine at $0.76B, or 42% of sales.
why it's growing
Revenue grew 7.1% last year. The 120.0% EPS surprise matters because it shows costs moved better than expected in a business with only 6.5% operating margins.
what just happened
HCSG posted $0.44 in EPS versus a $0.20 estimate, a 120.0% surprise.
At a glance
B balance sheet — gets the job done, barely
50/100 earnings predictability — expect surprises
22.1x trailing p/e — priced about right
18.0% return on capital — nothing to write home about
xvary composite: 51/100 — below average
What they do
HCSG cleans rooms, handles laundry, and serves meals for healthcare facilities that cannot afford to miss a day.
A care facility can delay a remodel. It cannot skip cleaning rooms or serving meals for one day. That daily-need model keeps HCSG embedded in client operations, with 35,300 employees supporting a $1.8 billion revenue base and just $6 million of long-term debt.
financials small-cap outsourced-services healthcare-facilities turnaround
How they make money
$1.8B annual revenue · their business grew +7.1% last year
housekeeping services
$0.76B
dining and food services
$0.61B
laundry and linen services
$0.29B
facility maintenance
$0.14B
The products that matter
outsourced facility support
Housekeeping Services
$1.8B revenue
it's the entire $1.8B business, and the growth figure tied to it slowed to 4.2%. When one segment is the whole company, a slowdown is not a footnote. It becomes the company story.
100% of revenue
Key numbers
$1.8B
annual revenue
That is the scale you are buying today, and it grew 7.1% vs. prior year even in a business most people think of as slow and boring.
$6M
long-term debt
Debt this low on $1.8 billion of revenue means the balance sheet is not the problem. Execution is.
18.0%
return on capital
Return on capital → profit earned on money invested → so what: HCSG squeezes solid returns out of a very plain business.
6.5%
operating margin
Operating margin → profit after running the business → so what: this is still a thin-margin operator where small mistakes get expensive fast.
Financial health
B
strength
  • balance sheet grade B — adequate — nothing special
  • risk rank 3 — safer than 50% of stocks
  • price stability 35 / 100
  • long-term debt $6M (0% of capital)
  • net profit margin 4.0% — keeps 4 cents of every dollar in revenue
  • return on equity 18% — $0.18 profit for every $1 investors have put in
B — functional but not a standout on the balance sheet.
Total return vs. market

You invested $10,000 in HCSG 3 years ago → it's now worth $13,720.

The index would have given you $13,880.

source: institutional data · total return
What just happened
beat estimates
HCSG posted $0.44 in EPS versus a $0.20 estimate, a 120.0% surprise.
The company also reported a September quarter with $464.3 million of revenue, up 8.5% from last year, helped by new client wins, strong retention, and better operating efficiency.
$464.3M
revenue
$0.44
eps
+120.0%
surprise
the number that mattered
The 120.0% EPS surprise matters because it shows costs moved better than expected in a business with only 6.5% operating margins.
source: company update and consensus data, 2026

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What could go wrong

HCSG already has one named overhang on the page: litigation tied to the class action lawsuit against HCSG and its executives. Add a 3.7% net margin and you get a business that does not need many surprises to feel one.

med
class action litigation
The legal issue is already named and ongoing. For a company worth about $1B, litigation expense and management distraction are not side quests.
FY2025 EPS was $0.87. That is not a giant profit pool. If legal costs rise or the overhang drags on, earnings quality becomes part of the story fast.
med
healthcare reimbursement and policy pressure
HCSG serves healthcare facilities, so pressure on operator budgets can flow straight into contract pricing. That is how policy risk reaches an outsourced services vendor.
This is a $1.8B revenue business earning just 3.7% net margins. If customers push back on pricing, even small concessions can do outsized damage to profit.
med
client concentration and contract churn
There is no segment diversification here. One operating line drives the whole company, so lost contracts are not offset somewhere else.
Because 100% of revenue comes from the same service model, a few weak renewals can pressure both the $2B revenue outlook and the current $1.00 FY2026 EPS estimate.
On a 3.7% net margin and 5.5% operating margin, HCSG does not have much room for legal costs, wage pressure, or weaker contract pricing before earnings feel it.
source: institutional data · regulatory filings · risk analysis
Pay attention to
metric
operating margin holds above 5.5%
That is the current operating margin. In a thin-margin business, this is the line between steady improvement and another cleanup story.
trend
revenue growth after the 4.2% slowdown
The business grew 7.1% last year, but the growth figure highlighted in the core service line slowed to 4.2%. You want to know which number is the real trend.
risk
updates on the class action lawsuit
This is the clearest company-specific overhang on the page. For a $1B company, legal developments are not background noise.
calendar
whether fy2026 EPS stays near the $1.00 estimate
That estimate is the market's current patience level. Upward revisions help the multiple hold. Downward revisions make 22.1x look less comfortable.
Analyst rankings
short-term outlook
average
Momentum score 3. In human-speak, analysts see a stock acting mostly like the broader market.
risk profile
average
Stability score 3 means neither unusually safe nor unusually fragile. That's fine until the 3.7% net margin gets tested.
chart momentum
top 20%
Technical score 2 means above-average price action. The chart looks stronger than the underlying business quality.
earnings predictability
50 / 100
A 50/100 predictability score means earnings are not especially smooth. For a service company, that usually points back to margins and contract timing.
source: institutional data
Institutional activity

institutions have been net selling for 2 consecutive quarters — 109 buyers vs. 111 sellers in 3q2025. total institutional holdings: 74.0M shares. net selling for 2 quarters.

source: institutional data
Price targets
3-5 year target range
$7 $26
$19 current price
$17 target midpoint · 12% from current · 3-5yr high: $35 (+80% · 17% ann'l return)
source: institutional data · analyst targets

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