Form 8-K

8-K — HEALTHCARE SERVICES GROUP INC

Accession: 0000731012-26-000025

Filed: 2026-04-22

Period: 2026-04-22

CIK: 0000731012

SIC: 8050 (SERVICES-NURSING & PERSONAL CARE FACILITIES)

Item: Results of Operations and Financial Condition

Item: Financial Statements and Exhibits

Documents

8-K — hcsg-20260422.htm (Primary)

EX-99.1 (ex99-2026xq1xpressrelease.htm)

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8-K

8-K (Primary)

Filename: hcsg-20260422.htm · Sequence: 1

hcsg-20260422

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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 8-K

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the

Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): April 22, 2026

HEALTHCARE SERVICES GROUP, INC.

(Exact name of registrant as specified in its charter)

Commission File Number: 0-12015

Pennsylvania 23-2018365

(State or other jurisdiction of incorporation or organization) (I.R.S. Employer Identification number)

3220 Tillman Drive, Suite 300, Bensalem, Pennsylvania

(Address of principal executive office)

19020

(Zip Code)

Registrant's telephone number, including area code: 215-639-4274

Not Applicable

(Former name or former address, if changed since last report)

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

( ☐ ) Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

( ☐ ) Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

( ☐ ) Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

( ☐ ) Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

Title of each class Trading Symbol(s) Name of each exchange on which registered

Common Stock, $0.01 par value HCSG NASDAQ Global Select Market

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company ☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. o

Item 2.02 Results of Operations and Financial Condition.

On April 22, 2026, Healthcare Services Group, Inc. (the "Company") issued a press release (the "Press Release") announcing its earnings for the three months ended March 31, 2026. A copy of the Press Release is being furnished hereto as Exhibit 99.1 and is hereby incorporated by reference to this Current Report.

The information furnished herein, including Exhibit 99.1 shall not be deemed "filed" for the purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act.

Item 9.01 Financial Statements and Exhibits.

( a ) Not applicable

( b ) Not applicable

( c ) Not applicable

( d ) Exhibits.

Exhibit Number Description

99.1

Press Release and financial tables dated April 22, 2026, issued by Healthcare Services Group, Inc.

104 Cover page Interactive Data File (embedded within the Inline XBRL document)

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

HEALTHCARE SERVICES GROUP, INC.

Date: April 22, 2026 By: /s/ Vikas Singh

Name: Vikas Singh

Title: Executive Vice President & Chief Financial Officer

EX-99.1

Filename: ex99-2026xq1xpressrelease.htm · Sequence: 2

Document

Exhibit 99.1

Healthcare Services Group

Reports First Quarter Results

Delivers Strong Revenue, Earnings and Cash Flow

Reiterates 2026 Growth Outlook

•Revenue of $462.8 million, a 3.4% increase over the prior year.

•Net income and diluted EPS of $26.1 million and $0.37.

•Cash flow from operations of $43.7 million; cash flow from operations, excluding the change in payroll accrual, of $23.4 million.

•Share repurchases of $24.0 million.

•Reiterates 2026 mid-single-digit revenue growth outlook.

BENSALEM, PA--(BUSINESS WIRE)-- Healthcare Services Group, Inc. (NASDAQ:HCSG) today reported results for the three months ended March 31, 2026.

Ted Wahl, Chief Executive Officer, stated, “We delivered strong first quarter results across revenue, earnings, and cash flow, and we have carried that positive momentum into the second quarter. New client wins and high retention rates drove our year over year topline growth, and our field-based teams’ operational excellence led to quality service outcomes and consistent margins.”

Mr. Wahl continued, “We also returned $24 million of capital through our share repurchase program and ended the quarter with a strong balance sheet and ROIC profile, underscoring our focus on value-creating capital deployment.”

Mr. Wahl concluded, “We are confident that continuing to execute on our strategic priorities, supported by our robust business fundamentals, will enable us to drive growth, while delivering sustainable, profitable results.”

First Quarter Results

•Revenue was reported at $462.8 million, a 3.4% increase over the prior year.

◦Segment revenues and margins for Environmental and Dietary Services were reported at $208.3 million and 12.1% and $254.5 million, and 9.0%, respectively.

•Cost of services was reported at $386.9 million or 83.6%.

◦The Company’s goal is to manage cost of services in the 86% range.

•SG&A was reported at $42.0 million. After adjusting for the $1.6 million decrease in deferred compensation, SG&A was $43.6 million or 9.4%.

◦The Company’s goal is to manage SG&A in the 9.5% to 10.5% range, with the longer term goal of managing those costs into the 8.5% to 9.5% range.

•Effective tax rate was reported at 24.6%.

◦The Company expects its 2026 effective tax rate to be approximately 25.0%.

•Net income and diluted EPS were reported at $26.1 million and $0.37.

Balance Sheet and Liquidity

The Company’s primary sources of liquidity are cash flow from operating activities, cash and cash equivalents, and its revolving credit facility. Cash flow from operations was reported at $43.7 million. After adjusting for the $20.3 million increase in the payroll accrual, cash flow from operations was $23.4 million. As of the end of the first quarter, the Company had cash and marketable securities of $214.6 million and an unutilized $300.0 million credit facility.

Exhibit 99.1

The Company entered into a Second Amendment, dated April 7, 2026, to its existing Credit Agreement, which provides for a $300.0 million five-year revolving credit facility with an improved SOFR-based pricing grid and enhanced covenant flexibility.

Share Repurchases

In February 2026, the Company announced its plan to further accelerate the pace of its share buybacks and repurchase $75.0 million of its common stock through January 2027. In the first quarter, the Company repurchased $24.0 million of its common stock. The Company has 9.2 million shares remaining under its February 2026 share repurchase authorization.

Conference Call and Upcoming Events

The Company will host a conference call on Wednesday, April 22, 2026, at 8:30 a.m. Eastern Time to discuss its results for the three months ended March 31, 2026. The call may be accessed via phone at 1 (800) 715-9871, Conference ID: 9951274. The call will be simultaneously webcast under the “Events & Presentations” section of the Investor Relations page on the Company’s website, www.hcsg.com. A replay of the webcast will also be available on the website for one year following the date of the earnings call.

The Company will be participating in a Non-Deal Roadshow hosted by William Blair in London, Stockholm and Zurich May 5th through May 7th. The Company will be participating in RBC’s Global Healthcare Conference on May 20th in New York and Benchmark’s Virtual Healthcare House Call Conference on May 28th. In addition, the Company will be participating in Baird’s Global Consumer, Technology and Services Conference on June 3rd in New York.

About Healthcare Services Group, Inc.

Healthcare Services Group (NASDAQ: HCSG) is a leader in managing Environmental and Dietary services within the healthcare industry. With 50 years of experience, HCSG aims to provide improved operational, regulatory, and financial outcomes for its clients.

CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING STATEMENTS

This release and any schedules incorporated by reference into it may contain forward-looking statements within the meaning of federal securities laws, which are not historical facts but rather are based on current expectations, estimates and projections about our business and industry, and our beliefs and assumptions. Words such as “believes,” “anticipates,” “plans,” “expects,” “estimates,” “will,” “goal,” “intend” and similar expressions are intended to identify forward-looking statements. The inclusion of forward-looking statements should not be regarded as a representation by us that any of our plans will be achieved. We undertake no obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. Such forward-looking information is also subject to various risks and uncertainties. Such risks and uncertainties include, but are not limited to, risks arising from our providing services to the healthcare industry and primarily providers of long-term care; credit and collection risks associated with the healthcare industry; the impact of bank failures; our claims experience related to workers’ compensation, general liability and other insurance programs; the effects of changes in, or interpretations of laws and regulations governing the healthcare industry, our workforce and services provided, including state and local regulations pertaining to the taxability of our services and other labor-related matters such as minimum wage increases; the Company's expectations with respect to selling, general, and administrative expense; the impacts of past or future cyber attacks or breaches; global events including ongoing international conflicts and increased energy prices; and the risk factors described in Part I of our Form 10-K for the fiscal year ended December 31, 2025 under “Government Regulation of Customers,” “Service Agreements and Collections,” and “Competition” and under Item 1A. “Risk Factors” in such Form 10-K.

These factors, in addition to delays in payments from customers and/or customers undergoing restructurings, have resulted in, and could continue to result in, significant additional bad debts in the near future. Additionally, our operating results have been in the past and could in the future be adversely affected by continued inflation particularly if increases in the costs of labor and labor-related costs, materials, supplies and equipment used in performing services (including the impact of potential tariffs) cannot be passed on to our customers.

In addition, we believe that to improve our financial performance we must continue to obtain service agreements with new customers, retain and provide new services to existing customers, achieve modest price increases on current service agreements with existing customers and/or maintain internal cost reduction strategies at our various operational levels. Furthermore, we believe that our ability to sustain the internal development of managerial personnel is an important factor impacting future operating results and the successful execution of our projected growth strategies. There can be no assurance that we will be successful in that regard.

USE OF NON-GAAP FINANCIAL INFORMATION

To supplement HCSG’s consolidated financial information, which are prepared in accordance with generally accepted accounting principles in the United States of America (“GAAP”), the Company believes that certain non-GAAP financial measures are useful in evaluating operating performance and comparing such performance to other companies.

The Company is presenting net cash flow from operations (excluding the impact of payroll accrual), earnings before interest, taxes, depreciation and amortization (“EBITDA”) and EBITDA excluding items impacting comparability (“Adjusted EBITDA”). We cannot provide a reconciliation of forward-looking non-GAAP measures to GAAP due to the inherent difficulty in forecasting and quantifying certain amounts that are necessary for such reconciliation. The presentation of non-GAAP financial measures is not meant to be considered in isolation or as a substitute for financial statements prepared in accordance with GAAP.

Company Contacts:

Theodore Wahl

President and Chief Executive Officer

Vikas Singh

Executive Vice President and Chief Financial Officer

Matthew J. McKee

Chief Communications Officer

215-639-4274

investor-relations@hcsgcorp.com

HEALTHCARE SERVICES GROUP, INC.

CONSOLIDATED STATEMENTS OF INCOME

(Unaudited)

(in thousands, except per share data)

For the Three Months Ended

March 31,

2026 2025

Revenue $ 462,766 $ 447,662

Operating costs and expenses:

Cost of services 386,932 379,691

Selling, general and administrative 41,997 44,966

Income from operations 33,837 23,005

Other income, net 703 889

Income before income taxes 34,541 23,894

Income tax provision 8,481 6,666

Net income $ 26,060 $ 17,228

Basic income per common share $ 0.37 $ 0.23

Diluted income per common share $ 0.37 $ 0.23

Basic weighted average number of common shares outstanding 69,860 73,670

Diluted weighted average number of common shares outstanding 71,049 73,961

HEALTHCARE SERVICES GROUP, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(Unaudited)

(in thousands)

March 31, 2026 December 31, 2025

Cash and cash equivalents $ 136,172 $ 125,189

Restricted cash equivalents 97 5,577

Marketable securities, at fair value 42,442 42,774

Restricted marketable securities, at fair value 35,898 30,352

Accounts receivable, net 299,443 281,303

Notes receivable — short-term, net 29,068 31,243

Other current assets 58,110 59,977

Total current assets 601,230 576,415

Property and equipment, net 27,032 27,586

Notes receivable — long-term, net 20,628 25,209

Goodwill 79,797 79,797

Other intangible assets, net 6,315 6,964

Deferred compensation funding 52,995 55,909

Other assets 26,848 22,373

Total assets $ 814,845 $ 794,253

Accrued insurance claims — current $ 22,481 $ 24,371

Other current liabilities 170,885 146,004

Total current liabilities 193,366 170,375

Accrued insurance claims — long-term 43,822 46,142

Deferred compensation liability — long-term 52,934 56,276

Lease liability — long-term 9,363 9,659

Other long-term liabilities 1,594 1,591

Stockholders' equity 513,766 510,210

Total liabilities and stockholders' equity $ 814,845 $ 794,253

HEALTHCARE SERVICES GROUP, INC.

RECONCILIATIONS OF NON-GAAP FINANCIAL MEASURES

(Unaudited)

Reconciliation of GAAP net income to EBITDA and Adjusted EBITDA (in thousands) For the Three Months Ended

March 31,

2026 2025

GAAP net income $ 26,060 $ 17,228

Income tax provision 8,481 6,666

Interest, net (2,256) (2,209)

Depreciation and amortization(1)

3,806 3,878

EBITDA $ 36,091 $ 25,563

Share-based compensation 2,764 3,738

Adjusted EBITDA $ 38,855 $ 29,301

Adjusted EBITDA as a percentage of revenue 8.4 % 6.5 %

Reconciliation of GAAP cash flows from operations to cash flow from operations (excluding the change in payroll accrual) For the Three Months Ended

March 31,

2026 2025

GAAP cash flows from operations $ 43,730 $ 27,501

Accrued payroll(2)

(20,319) 4,591

Cash flow from operations (excluding the change in payroll accrual) $ 23,411 $ 32,092

1.Includes right-of-use asset depreciation of $1.9 million and $2.1 million for the three months ended March 31, 2026 and 2025, respectively.

2.The accrued payroll adjustment reflects changes in accrued payroll for the three months ended March 31, 2026 and 2025. The Company processes payroll on set weekly and bi-weekly schedules, and the timing of payments may result in operating cash flow increases or decreases which are not indicative of the Company’s quarterly cash flow performance.

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