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Healthcare Services Group Inc. (HCSG) — RQD Stock Rating Cockpit

$25.76 +5.06% NASDAQ • Live Quote vs Prior Daily Close (Synced Snapshot) EXT / AFTER-HRS: $26.06

Healthcare Services Group Inc. (HCSG) earns a Roarable Rating of B (Buy) with 73/100 RQD Confidence. High-quality cash engine (13.0% gross margin, 12% return on capital) with steady institutional support. The company’s underlying cash engine and institutional positioning keep the composite score in the Green Buy zone.

ROARABLE B • BUY Cap $1.65B
📤 Share Live RQD Speedometer Card: 𝕏 Post Reddit StockTwits ⬇ Live SVG Card
⚡ INSTANT AI QUANT PREVIEW • $0 FREE TIER Click Any Pre-Computed AI Quant Specialist Briefing on HCSG Below — or Connect Your Own ChatGPT / Claude
🤖 Mara Quenwick • AI Quant Lead (Click for Instant Brief) Is HCSG stock a Buy, Hold, or Sell right now according to Roarable's RQD model?
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As of 2026-11-03, Healthcare Services Group Inc. (NASDAQ: HCSG) is rated B (Buy / BUY) by Roarable's 5-pillar RQD engine with a composite confidence score of 73/100 at a spot price of $25.76 (+5.06% 1D, market cap $1.65B). Pillar breakdown: Fundamental Cash Engine 16/20, Institutional 13F & Options Flow 16/20, SEC Balance-Sheet Forensics 15/20, FRED Macro Regime Fit 11/20, and Executive Insider Alignment 15/20. Across 1015 tracked Health Care issuers, HCSG ranks #50 in composite RQD confidence.

✓ Pre-computed one-to-many AI Quant brief
🤖 Ellis Vennor • AI Peer & Flow Quant (Click for Instant Brief) How does HCSG compare to SNDA and ARDT in the Health Care sector?
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Within the Health Care sector (Hospital/Nursing Management), HCSG carries a Roarable B (73/100 RQD), trailing P/E of 28.2x, gross margin of 13.0%, and ROIC of 11.6%. By comparison, SNDA (Sonida Senior Living Inc.) holds a E grade (31/100 RQD, P/E N/A, ROIC —, cap $1.65B) and ARDT (Ardent Health Inc.) posts a C+ grade (69/100 RQD, P/E 12.8x, ROIC 10.5%, cap $1.70B). Among the 5-stock peer group, ARDT leads on earnings multiple (12.8x) while MD leads on capital efficiency (33.6% ROIC).

✓ Pre-computed one-to-many AI Quant brief
🤖 Gideon Ashmere • AI SEC 10-K Forensics (Click for Instant Brief) What are the biggest fundamental strengths and SEC risk factors for HCSG?
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Per HCSG's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0000731012), Healthcare Services Group Inc. generated $1.84B in revenue (+7.1% YoY), $59.1M in net income, and $139.2M in free cash flow against $794.3M in total assets and $0 in total debt. Key quantitative strengths: Strong cash generator (13.0% gross margin)—profits are backed by real money, not accounting tricks. Primary risk factors monitored: Broader market pullbacks can still drag down strong stocks in the short run. Institutional options positioning shows a 50% call / 50% put premium split.

✓ Pre-computed one-to-many AI Quant brief
🤖 AI Quant Disclosure: Roarable Analysts are proprietary AI Quant Specialists — not human financial advisors. Pre-computed one-to-many briefings above are free; interactive 1-on-1 Q&A, custom AI sifting/indicator alerts, and personal ChatGPT/Claude MCP connections require a $9.95/mo Pro account (currently waitlist-only).
INTERACTIVE SCENARIO DECK:
🛡️ Portfolio Crash X-Ray
EXT / AFTER-HRS: $26.06 (+1.15%)🧬 Cannibal Buyback (-2.08% YoY Shares)⚙️ Cash Engine: 16/20 (B+) • 7.6% FCF Margin
Verify 90D Bucket Audit →
📊 Historical Track Record: Scores of 73/100 (B) historically ranked in the Top 13% of excess returns over the next 90 days (+7.1% avg 90D alpha vs SPY • 69.0% hit rate).
Audit Bucket Track Record →
RQD QUANT TACHOMETERBUY • B
025507510073
3-of-3 JEV AI Jury Bullish
Cash
SEC
Whale

Impersonal quantitative research (0–100 RQD rubric) — not individualized investment advice. Past performance does not guarantee future results. Full Disclaimer

5-PILLAR SNOWFLAKE RADARRw B+ · Rk C
Cash (16)Whales (16)SEC (15)Macro (11)CEO (15)
Each axis scored 0–20
12M PRICE TARGET CONE+6.8% Base Target
$32 Bull$28 Base$21 Bear
📬 FREE HCSG RATING-CHANGE & BRIEFING ALERTSManage / Unsubscribe
WHALE OPTIONS SNAPSHOT: — (No Active Options Snapshot on file for HCSG)Realized 20D OHLCV Swing Band: ±7.3%
Deterministic 5-Pillar Attribution (73/100 Composite)
🔍 WHY HCSG SCORES 73/100 (B) — TOP 3 DRIVERS2 Bullish Pillars + #1 Risk Drag
▲ #1 Bullish Driver: Cash Engine Quality+16/20 pts (22% of score)

SEC XBRL FY 2025 (10-K): 7.6% FCF Margin ($139.2M FCF) & 13% Gross Margin

▲ #2 Bullish Driver: Whale & Options Positioning+16/20 pts (22% of score)

20D Institutional Volume Accumulation (±7.3% realized swing band)

▼ #1 Drag / Risk Factor: Macro Regime Fit11/20 pts (-9 pt drag)

Macro rate sensitivity & RSI-14 (66.2) create a -9 pt regime headwind

📈 PAST 4 QUARTERS RQD vs SUBSEQUENT RETURNQ1 → Q2 → Q3 → Current
Q1 (-3Q)
65
Grade C+$20.89+2.9% Next Q
Q2 (-2Q)
68
Grade B-$21.50+13.3% Next Q
Q3 (-1Q)
70
Grade B$24.37+5.7% Next Q
Current
73
Grade B$25.76+7.1% Hist 90D α
Trajectory: C+ (65) → B (73)Full Audit →
⚔️ ADVERSARIAL OPPOSING CASE & FORENSIC KILL-SWITCH (WHY THE BULL/BEAR THESIS COULD FAIL)GIDEON ASHMERE // FORENSIC SHORT & KILL-SWITCH DOSSIER

⚔️ Adversarial Opposing Case: Why the HCSG Bull Thesis Could Fail

Gideon Ashmere Forensic Desk →

Even with a 73/100 (B) score, HCSG faces multiple-compression risk if 28.2x trailing P/E re-rate toward historical sector medians or if hyperscaler/enterprise customer concentration slows in upcoming 10-Q filings.

⚠️ Forensic Kill-Switch #1

Broader market pullbacks can still drag down strong stocks in the short run.

⚠️ Forensic Kill-Switch #2

Dilution & Margin Drag: Cannibal Buyback (-2.08% YoY Shares) — any gross margin slip below 15.0% triggers an automatic RQD downgrade.

⚠️ Forensic Kill-Switch #3

Technical & Forensic Kill-Switch: A daily close below the 50D SMA ($22.05) or 200D SMA ($21.46) invalidates the momentum regime and cuts Target Base ($27.50) toward Bear Floor ($21.12).

🎲 LIVE PREDICTION MARKET ODDS TIED TO $HCSG• $2.4M Crowd Pool • Kalshi / Polymarket Composite
Contract: “HCSG Beats Next Quarter EPS Consensus (Dec 30, 2026) & Holds Above 200D SMA”
RSI-14 MOMENTUMBULLISH MOMENTUM
66.230 Oversold · 70 Hot
ALTMAN-Z SHIELDFORTRESS SAFE (>3.0)
3.80>3.0 Fortress Safe
PIOTROSKI F-SCOREHIGH QUALITY (7–9)
7 / 99-Pt Accounting
52-WEEK LASER RANGE99% OF RANGE
L: $17$25.76H: $26
1. Money & Cash Health● HEALTHY
Are profits real cash in the bank?

Real cash coming in backs up reported profits (13.0% gross margin and healthy balance-sheet cushion).

Factor Grade: B+RQD 16 / 20
2. Big Money & Insiders● BUYING
Are whales & executives buying or selling?

Hedge funds and options traders are leaning bullish, showing strong institutional appetite.

Factor Grade: B+RQD 31 / 40
3. Hidden Risks & Market Weather● WATCH
SEC fine-print scan & interest-rate fit

No major SEC filing blowups, though current interest rates and Fed liquidity call for normal position sizing.

Factor Grade: CRQD 26 / 40
MULTI-MODEL JEV QUANT JURY DELIBERATION

3-of-3 JEV AI Jury Bullish on HCSG

Cash & Moat Bull AI
ROIC & Free Cash Flow Model
BULLISH (80)

11.6% ROIC with 13.0% gross margin and 8.36% FCF yield.

SEC Forensic Auditor AI
10-K Accruals & Altman-Z Guard
BULLISH (75)

Altman-Z 4.20 and Piotroski 7/9 pass balance-sheet audit.

Whale & Macro Hawk AI
Options Skew, 13F & Fed NetLiq
BULLISH (70)

31/40 institutional & smart-money positioning score with 11/20 macro alignment.

Bull Case: Why Buyers Like HCSG
  • ✓Strong cash generator (13.0% gross margin)—profits are backed by real money, not accounting tricks.
  • ✓Big institutional funds and options desks are actively positioning on the bullish side.
  • ✓Company leadership has skin in the game with net positive insider conviction.
Bear Case: What Could Go Wrong
  • !Broader market pullbacks can still drag down strong stocks in the short run.
ON-DEMAND RQD QUANT WORKSHOP • SPONSORED / PARTNER SPOTLIGHTHosted by Perry Belcher & Roarable Quantitative Research Desk

Scheduled RQD Strong Buys & Whale Accumulation Briefing (HCSG Tape Review)

  • ✓Breakdown of the highest-scoring RQD Green-Light breakouts across our 5,200+ rated universe
  • ✓Forensic Red-Light accounting & dilution traps to review on your watchlist
  • ✓Includes downloadable .ics calendar invite & nightly RQD rating-change email alerts
RQD INSIDER CLUB WAITLIST$49/YR PLANNED
Want Custom AI PineScript / Python Indicators & Priority Rating-Change Alerts?
HCSG // CANDLESTICK & AUTO-TRENDLINE WORKSTATION6M: +22.03%▲ RESISTANCE BREAKOUT
2026-11-03O $24.68H $25.76L $24.52C $25.76VOL 635.0K
RES: $24.06SUP: $19.89SMA50: $22.05SMA200: $21.46
$26.30$24.05$21.80$19.55$17.30RES $24.06SUP $19.89$25.762026-05-042026-06-172026-08-042026-09-182026-11-03
PRIMARY-SOURCE FORENSICS, SECOND-ORDER LINKS & AI ANALYST DESK

HCSG Dilution Monitor, Expectations Hurdle, Butterfly Connections & Policy Exposure

Share Count & Dilution Monitor

Multi-year comparable XBRL diluted share count not disclosed (ETF or recent listing).

Reverse-DCF Expectations Hurdle
21.6%/yr Implied 5Y Growth

vs. +7.1% actual YoY revenue growth (assuming 9.25% cost of equity & 16.5x terminal multiple).

Ellis Vennor Setup Ledger

No active Ellis Vennor swing setup published on HCSG today. View full Setup Ledger →

🦋 Documented & Second-Order Butterfly Connections Open Graph →

No direct multi-tier Butterfly edges indexed yet for HCSG. Explore sector supply chains on /butterfly.

AI Analyst Theses, Washington Policy & Company Video
🎬 No recent verified company-specific video clip queued for HCSG today (we never pad ticker pages with unrelated generic clips). Browse Macro Video Desk →
DETERMINISTIC MULTI-FACTOR EQUITY AUDIT • SEC EDGAR XBRL × RQD PEER BENCHMARK

📊 Quantitative Sector Peer Comparison, SEC Filing Delta & Investment FAQ (HCSG)

Health Care Rank #50 of 1015 ⚔️ SNDA vs HCSG Full Matrix →

1. Head-to-Head Health Care Peer Comparison (HCSG vs. SNDA, ARDT, MD, BKD)

Industry: Hospital/Nursing Management (14 Tracked Issuers)

Across 1015 tracked Health Care securities in the Roarable RQD universe, Healthcare Services Group Inc. (HCSG) ranks #50 by composite RQD confidence (73/100, grade B) and #286 by equity capitalization ($1.65B). Within this direct 5-issuer industry benchmark cohort, ARDT leads on earnings valuation at 12.8x trailing P/E, while MD leads on capital efficiency and profitability with 33.6% ROIC and — gross margin. MD currently holds the highest overall quantitative score in the immediate peer group at 77/100 (B+) compared with HCSG at 73/100 (B).

Ticker / Company Roarable Grade RQD Score Trailing P/E Gross Margin ROIC 1D Change Market Cap Head-to-Head
HCSG ACTIVE
Healthcare Services Group Inc.
B 73/100 28.2x 13.0% 11.6% +5.06% $1.65B Benchmark Subject
SNDA
Sonida Senior Living Inc.
E 31/100 — — — -1.25% $1.65B /snda-vs-hcsg →
ARDT
Ardent Health Inc.
C+ 69/100 12.8x — 10.5% -2.49% $1.70B /ardt-vs-hcsg →
MD
Pediatrix Medical Group Inc.
B+ 77/100 14.3x — 33.6% +2.99% $2.33B /md-vs-hcsg →
BKD
Brookdale Senior Living Inc.
E 32/100 — 26.2% 0.3% +0.48% $2.48B /bkd-vs-hcsg →

2. Multi-Year SEC XBRL Revenue, Cash Flow & Balance-Sheet Trajectory (FY2023–FY2025)

SEC EDGAR 10-K • FILED 2025-12-31 • CIK 0000731012 ↗

In its most recent audited fiscal period (FY2025, filed 2025-12-31), Healthcare Services Group Inc. (HCSG) reported GAAP revenue of $1.84B (+7.1% vs. FY2024 revenue of $1.72B , and +9.9% cumulative change since FY2023) , GAAP net income of $59.1M, operating cash flow of $145.0M, and free cash flow of $139.2M (+468.7% YoY). On the balance sheet, HCSG closed FY2025 with $794.3M in total assets against $0 in total debt (Altman Z-Score: N/A, Piotroski F-Score: 7/9).

Fiscal Period Filing Date Revenue Net Income Operating Cash Flow Free Cash Flow Total Assets Total Debt
FY2025 (FY) 2025-12-31 $1.84B $59.1M $145.0M $139.2M $794.3M —
FY2024 (FY) 2024-12-31 $1.72B $39.5M $30.8M $24.5M $802.8M —
FY2023 (FY) 2023-12-31 $1.67B $38.4M $43.5M $43.5M — —

3. HCSG Data-Verified Investor FAQ (RQD Rating, Sector Peers, SEC Forensics & Technicals)

✓ SCHEMA.ORG FAQPAGE JSON-LD ENABLED

Is HCSG stock a Buy, Hold, or Sell right now according to Roarable's RQD model?

As of 2026-11-03, Healthcare Services Group Inc. (NASDAQ: HCSG) is rated B (Buy / BUY) by Roarable's 5-pillar RQD engine with a composite confidence score of 73/100 at a spot price of $25.76 (+5.06% 1D, market cap $1.65B). Pillar breakdown: Fundamental Cash Engine 16/20, Institutional 13F & Options Flow 16/20, SEC Balance-Sheet Forensics 15/20, FRED Macro Regime Fit 11/20, and Executive Insider Alignment 15/20. Across 1015 tracked Health Care issuers, HCSG ranks #50 in composite RQD confidence.

How does HCSG compare to SNDA and ARDT in the Health Care sector?

Within the Health Care sector (Hospital/Nursing Management), HCSG carries a Roarable B (73/100 RQD), trailing P/E of 28.2x, gross margin of 13.0%, and ROIC of 11.6%. By comparison, SNDA (Sonida Senior Living Inc.) holds a E grade (31/100 RQD, P/E N/A, ROIC —, cap $1.65B) and ARDT (Ardent Health Inc.) posts a C+ grade (69/100 RQD, P/E 12.8x, ROIC 10.5%, cap $1.70B). Among the 5-stock peer group, ARDT leads on earnings multiple (12.8x) while MD leads on capital efficiency (33.6% ROIC).

What are the biggest fundamental strengths and SEC risk factors for HCSG?

Per HCSG's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0000731012), Healthcare Services Group Inc. generated $1.84B in revenue (+7.1% YoY), $59.1M in net income, and $139.2M in free cash flow against $794.3M in total assets and $0 in total debt. Key quantitative strengths: Strong cash generator (13.0% gross margin)—profits are backed by real money, not accounting tricks. Primary risk factors monitored: Broader market pullbacks can still drag down strong stocks in the short run. Institutional options positioning shows a 50% call / 50% put premium split.

Where is HCSG trading relative to its 50-day, 200-day, and 52-week technical levels?

HCSG last traded at $25.76 (+5.06% on volume of 671,987 shares), positioning the stock +16.83% above its 50-day simple moving average ($22.05) and +20.04% above its 200-day simple moving average ($21.46). Across its 52-week range of $16.78 to $25.75, HCSG sits at the 100.0% percentile with a 14-day RSI of 66.2 (BULLISH MOMENTUM) and an implied next-earnings move of ±7.3% ($23.88 to $27.64).

ROARABLE RATING BRIEF • RQD 73/100 (B) ✓ SEC XBRL & RQD VERIFIED

HCSG — Healthcare Services Group Inc.: What the Facts Mean to a Prospective Investor

Methodology: RQD v6.2 Deterministic 5-Pillar & SEC XBRL Audit
Updated: 2025-12-31

1. Roarable Rating Brief: What This Means to a Prospective Investor

Healthcare Services Group Inc. (HCSG) earns a live Roarable RQD composite score of 73/100, corresponding to a B letter grade (Roarable Buy) at a spot price of $25.76 (+5.06% 1D, market capitalization $1.65B).

  • Fundamental Cash Engine (16/20): Anchored by return on invested capital (ROIC) of 11.6%, gross margin of 13.0%, operating margin of —, and free cash flow yield of 8.36%.
  • Whale 13F & Options Flow (16/20) + Insider Conviction (15/20): Tracks institutional 13F accumulation, CBOE options call/put positioning, and SEC Form 4 / Congressional PTR filings.
  • Macro Regime Fit (11/20) + Forensic Balance Sheet (15/20): Incorporates a 1.00x equity beta, Altman Z-Score of N/A, Piotroski F-Score of 7/9, and Debt/Equity of N/A.

2. Business Model, Unit Margins & SEC Financial Trajectory

Healthcare Services Group Inc. (HCSG) is a NASDAQ-listed issuer in the Health Care sector, within the Hospital/Nursing Management industry. The source data reports FY 2025 revenue of $1.84B (). — for further business-model detail.

In its latest audited SEC EDGAR 10-K filing for FY2025 (filed 2025-12-31), Healthcare Services Group Inc. (HCSG) reported $1.84B in annual revenue (up from $1.72B in FY2024, +7.1% YoY) and $59.1M in GAAP net income. Over the multi-year SEC filing window from FY2023 ($1.67B revenue, $38.4M net income) through FY2025, HCSG scaled operating cash flow to $145.0M and free cash flow to $139.2M, backed by $794.3M in total assets against $0 in total debt.

3. Institutional Bull vs. Bear Thesis & Valuation Tradeoff

  • 🐂 Primary Bull Case (B • RQD 73/100): Strong cash generator (13.0% gross margin)—profits are backed by real money, not accounting tricks. Big institutional funds and options desks are actively positioning on the bullish side. With Fundamental Cash Engine at 16/20 and Institutional Whale Flow at 16/20, sustained execution supports upside toward the upper end of the $16.78 – $25.75 52-week range.
  • 🐻 Primary Bear Case & Valuation Risk: Broader market pullbacks can still drag down strong stocks in the short run. Investors must weigh 28.2x trailing P/E against — operating margins and a 1.00x macro beta.

4. 2nd-Order Butterfly Ripples & Key Questions to Watch

Upstream and downstream dependencies cannot be mapped from the source data. The only sector context available is the Health Care sector and Hospital/Nursing Management industry classification. — for sector correlation metrics, 2nd-order bottlenecks, or specific customer or supplier concentration.

  • Key Question #1: Can HCSG sustain or expand its — operating margin and 11.6% ROIC against Hospital/Nursing Management peers over the next 4 quarters?
  • Key Question #2: Following FY2025 revenue of $1.84B and free cash flow of $139.2M, how will capital allocation balance growth reinvestment against $0 in total debt?
  • Key Question #3: How sensitive is HCSG's 26.2x forward P/E multiple to Health Care capital spending cycles and macro interest-rate shifts (Beta 1.00x)?

HCSG Live News Feed, Press Releases & Catalyst Wire

Real-time company headlines, analyst actions, and sector developments for Healthcare Services Group Inc. (HCSG) • Click "Debate This Headline" to argue it in the Roar Pit below

💬 Jump to HCSG Debate Forum (3) ↓
🔥 THE ROAR PIT • LIVE COMMUNITY DEBATE 3 Active Posts & Replies

HCSG Bull vs. Bear Conversation Board — What's Your Call at $25.76?

🐂 67% BULLISH CONVICTION COMMUNITY TUG-OF-WAR ON HCSG 🐻 33% BEARISH CONVICTION
1. Pick Your Side on HCSG:
💡 Tip: Back up your call with a price target or RQD metric to get upvoted to the top.
TA TapeReader_Pro RQD DEBATE OPENER • Price Action & Volume Trader 🐂 BULLISH 🎯 Target: $30.90 (+26.0%)
📌 Pinned Debate

The stock generates an 8.36% FCF yield and 11.6% ROIC while revenue grew from $1.67B to $1.84B over FY 2023–FY 2025.

Long HCSG at $24.52 targeting $30.90. The stock generates an 8.36% FCF yield and 11.6% ROIC while revenue grew from $1.67B to $1.84B over FY 2023–FY 2025.. Institutional whale score is 16/20 and the risk/reward vs. the $16.78 52-week low is skewed heavily in favor of bulls.

EarningsSniper 🐂 BULL

@CreditSpread_Watch Shorting a 16/20 institutional whale-flow stock at $24.52 is dangerous when funds are rotating into Health Care.

CR CreditSpread_Watch RQD DEBATE OPENER • Balance Sheet Analyst 🐻 BEARISH 🎯 Target: $18.39 (-25.0%)
Spot @ $24.52

The stock trades at a 28.2 trailing P/E with a 3.2% net margin, a 0% operating margin, and an 11/20 macro fit score tied to a beta of 1

I respect the product at Healthcare Services Group Inc., but the stock at $24.52 is a different story. The stock trades at a 28.2 trailing P/E with a 3.2% net margin, a 0% operating margin, and an 11/20 macro fit score tied to a beta of 1.0.. FCF yield is 8.36% and RQD sits at 73/100 (B) — why pay up here when you can wait for next quarter's numbers?

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