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Healthcare Services Group
Healthcare Services Group (HCSG) investor relations material
Healthcare Services Group Q4 2025 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Q4 2025 earnings summary11 Feb, 2026
Executive summary
Full-year revenue reached $1.84 billion, up 7.1% year-over-year, with Q4 revenue at $466.7 million, up 6.6% from the prior year.
Net income for the year was $59.1 million ($0.81 EPS), and $31.2 million ($0.44 EPS) for Q4, including an $8.3 million ($0.12 per share) tax benefit from ERC receipts.
Cash flow from operations totaled $145.0 million for the year and $17.4 million for Q4; adjusted for payroll accrual, $164.1 million and $36.4 million, respectively.
Completed a $50 million share repurchase plan five months early; $61.6 million repurchased in 2025.
Industry fundamentals remain strong, supported by demographic trends and stable operating conditions.
Financial highlights
Environmental Services segment revenue was $210.8 million with a 12.6% margin; Dietary Services revenue was $255.9 million with a 7.2% margin in Q4.
Cost of services for Q4 was $394.6 million (84.6% of revenue); SG&A was $46.2 million (9.8% of revenue, adjusted).
Cash and marketable securities at year-end totaled $203.9 million; $300 million credit facility undrawn.
Effective tax rate was a 9.4% benefit for Q4 and 13.0% expense for the year, including an $8.3 million benefit from Employee Retention Credits.
Adjusted EBITDA for the year was $82.6 million (4.5% of revenue), up from $76.3 million (4.4%) in 2024.
Outlook and guidance
2026 revenue expected to grow at a mid-single-digit rate, with Q1 revenue projected at $460–$465 million and sequential growth through the year.
Cost of services targeted at 86% of revenue; SG&A targeted at 9.5–10.5%, with a longer-term goal of 8.5–9.5%.
Effective tax rate for 2026 expected to be approximately 25%.
Net income expected to remain a strong proxy for cash flow from operations.
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Next Healthcare Services Group earnings date
Q1 202622 Apr, 2026
Healthcare Services Group
Next Healthcare Services Group earnings date
Q1 202622 Apr, 2026
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Frequently asked questions
Healthcare Services Group Inc. provides housekeeping, laundry, dining, and nutritional services to the healthcare industry. Its clients include nursing homes, hospitals, and rehabilitation centers. The company delivers these services through on-site management teams, focusing on compliance with healthcare facility standards. It is headquartered in Bensalem, Pennsylvania, and its shares are listed on the NASDAQ.
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