vs
Side-by-side financial comparison of Custom Truck One Source, Inc. (CTOS) and HEALTHCARE SERVICES GROUP INC (HCSG). Click either name above to swap in a different company.
HEALTHCARE SERVICES GROUP INC is the larger business by last-quarter revenue ($466.7M vs $461.6M, roughly 1.0× Custom Truck One Source, Inc.). On growth, HEALTHCARE SERVICES GROUP INC posted the faster year-over-year revenue change (6.6% vs -12.6%). Over the past eight quarters, Custom Truck One Source, Inc.'s revenue compounded faster (20.0% CAGR vs 5.0%).
Custom Truck One Source, Inc. is a leading provider of specialized heavy truck and equipment solutions in North America. It offers custom vehicle manufacturing, equipment sales and rentals, aftermarket parts, and maintenance services, serving core infrastructure, utility, construction, and energy industry segments.
Tenet Healthcare Corporation is an American for-profit multinational healthcare services company based in Dallas. Through its brands, subsidiaries, joint ventures, and partnerships including United Surgical Partners International (USPI), the company operates 65 hospitals and over 450 healthcare facilities. Tenet also runs Conifer Health Solutions, which provides healthcare support services to health systems and other clients.
CTOS vs HCSG — Head-to-Head
Income Statement — Q1 FY2026 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $461.6M | $466.7M |
| Net Profit | $-4.1M | — |
| Gross Margin | 22.3% | 15.4% |
| Operating Margin | 6.8% | 6.1% |
| Net Margin | -0.9% | — |
| Revenue YoY | -12.6% | 6.6% |
| Net Profit YoY | 76.9% | — |
| EPS (diluted) | $-0.02 | $0.43 |
Green = leading value per metric. Periods may differ when fiscal calendars don't align.
8-Quarter Revenue & Profit Trend
Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.
| Q1 26 | $461.6M | — | ||
| Q4 25 | $387.3M | $466.7M | ||
| Q3 25 | $359.9M | $464.3M | ||
| Q2 25 | $392.2M | $458.5M | ||
| Q1 25 | $307.1M | $447.7M | ||
| Q4 24 | $398.3M | $437.8M | ||
| Q3 24 | $337.5M | $428.1M | ||
| Q2 24 | $320.6M | $426.3M |
| Q1 26 | $-4.1M | — | ||
| Q4 25 | $20.9M | — | ||
| Q3 25 | $-5.8M | $43.0M | ||
| Q2 25 | $-28.4M | $-32.4M | ||
| Q1 25 | $-17.8M | $17.2M | ||
| Q4 24 | $27.6M | — | ||
| Q3 24 | $-17.4M | $14.0M | ||
| Q2 24 | $-24.5M | $-1.8M |
| Q1 26 | 22.3% | — | ||
| Q4 25 | 31.8% | 15.4% | ||
| Q3 25 | 28.0% | 20.8% | ||
| Q2 25 | 26.1% | 0.6% | ||
| Q1 25 | 27.9% | 15.2% | ||
| Q4 24 | 29.7% | 13.4% | ||
| Q3 24 | 27.2% | 14.8% | ||
| Q2 24 | 27.8% | 9.7% |
| Q1 26 | 6.8% | — | ||
| Q4 25 | 13.4% | 6.1% | ||
| Q3 25 | 9.1% | 12.3% | ||
| Q2 25 | 7.1% | -9.1% | ||
| Q1 25 | 4.0% | 5.3% | ||
| Q4 24 | 16.9% | 3.4% | ||
| Q3 24 | 6.8% | 4.4% | ||
| Q2 24 | 5.5% | -0.5% |
| Q1 26 | -0.9% | — | ||
| Q4 25 | 5.4% | — | ||
| Q3 25 | -1.6% | 9.3% | ||
| Q2 25 | -7.2% | -7.1% | ||
| Q1 25 | -5.8% | 3.8% | ||
| Q4 24 | 6.9% | — | ||
| Q3 24 | -5.2% | 3.3% | ||
| Q2 24 | -7.6% | -0.4% |
| Q1 26 | $-0.02 | — | ||
| Q4 25 | $0.10 | $0.43 | ||
| Q3 25 | $-0.03 | $0.59 | ||
| Q2 25 | $-0.13 | $-0.44 | ||
| Q1 25 | $-0.08 | $0.23 | ||
| Q4 24 | $0.11 | $0.15 | ||
| Q3 24 | $-0.07 | $0.19 | ||
| Q2 24 | $-0.10 | $-0.02 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $9.6M | $168.0M |
| Total DebtLower is stronger | $5.1M | — |
| Stockholders' EquityBook value | $805.2M | $510.2M |
| Total Assets | $3.5B | $794.3M |
| Debt / EquityLower = less leverage | 0.01× | — |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | $9.6M | — | ||
| Q4 25 | $6.3M | $168.0M | ||
| Q3 25 | $13.1M | $177.5M | ||
| Q2 25 | $5.3M | $134.5M | ||
| Q1 25 | $5.4M | $114.8M | ||
| Q4 24 | $3.8M | $107.3M | ||
| Q3 24 | $8.4M | $103.8M | ||
| Q2 24 | $8.1M | $105.6M |
| Q1 26 | $5.1M | — | ||
| Q4 25 | $1.6B | — | ||
| Q3 25 | $1.6B | — | ||
| Q2 25 | $1.6B | — | ||
| Q1 25 | $1.6B | — | ||
| Q4 24 | $1.5B | — | ||
| Q3 24 | $1.6B | — | ||
| Q2 24 | $1.5B | — |
| Q1 26 | $805.2M | — | ||
| Q4 25 | $809.1M | $510.2M | ||
| Q3 25 | $784.7M | $496.0M | ||
| Q2 25 | $790.1M | $477.0M | ||
| Q1 25 | $813.4M | $514.2M | ||
| Q4 24 | $861.3M | $499.9M | ||
| Q3 24 | $837.5M | $488.7M | ||
| Q2 24 | $856.7M | $471.4M |
| Q1 26 | $3.5B | — | ||
| Q4 25 | $3.4B | $794.3M | ||
| Q3 25 | $3.5B | $804.3M | ||
| Q2 25 | $3.6B | $802.2M | ||
| Q1 25 | $3.5B | $823.0M | ||
| Q4 24 | $3.5B | $802.8M | ||
| Q3 24 | $3.6B | $805.8M | ||
| Q2 24 | $3.5B | $799.7M |
| Q1 26 | 0.01× | — | ||
| Q4 25 | 2.03× | — | ||
| Q3 25 | 2.10× | — | ||
| Q2 25 | 2.04× | — | ||
| Q1 25 | 1.97× | — | ||
| Q4 24 | 1.77× | — | ||
| Q3 24 | 1.87× | — | ||
| Q2 24 | 1.79× | — |
Cash Flow & Capital Efficiency
How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.
| Metric | | |
|---|---|---|
| Operating Cash FlowLast quarter | — | $17.4M |
| Free Cash FlowOCF − Capex | — | $16.0M |
| FCF MarginFCF / Revenue | — | 3.4% |
| Capex IntensityCapex / Revenue | — | 0.3% |
| Cash ConversionOCF / Net Profit | — | — |
| TTM Free Cash FlowTrailing 4 quarters | — | $139.2M |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | — | — | ||
| Q4 25 | $47.3M | $17.4M | ||
| Q3 25 | $81.5M | $71.3M | ||
| Q2 25 | $125.7M | $28.8M | ||
| Q1 25 | $55.6M | $27.5M | ||
| Q4 24 | $82.1M | $36.2M | ||
| Q3 24 | $16.5M | $4.3M | ||
| Q2 24 | $37.8M | $16.3M |
| Q1 26 | — | — | ||
| Q4 25 | — | $16.0M | ||
| Q3 25 | — | $70.0M | ||
| Q2 25 | — | $27.4M | ||
| Q1 25 | — | $25.8M | ||
| Q4 24 | — | $34.8M | ||
| Q3 24 | — | $2.9M | ||
| Q2 24 | — | $15.0M |
| Q1 26 | — | — | ||
| Q4 25 | — | 3.4% | ||
| Q3 25 | — | 15.1% | ||
| Q2 25 | — | 6.0% | ||
| Q1 25 | — | 5.8% | ||
| Q4 24 | — | 7.9% | ||
| Q3 24 | — | 0.7% | ||
| Q2 24 | — | 3.5% |
| Q1 26 | — | — | ||
| Q4 25 | — | 0.3% | ||
| Q3 25 | — | 0.3% | ||
| Q2 25 | — | 0.3% | ||
| Q1 25 | — | 0.4% | ||
| Q4 24 | — | 0.3% | ||
| Q3 24 | — | 0.3% | ||
| Q2 24 | — | 0.3% |
| Q1 26 | — | — | ||
| Q4 25 | 2.27× | — | ||
| Q3 25 | — | 1.66× | ||
| Q2 25 | — | — | ||
| Q1 25 | — | 1.60× | ||
| Q4 24 | 2.98× | — | ||
| Q3 24 | — | 0.31× | ||
| Q2 24 | — | — |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
CTOS
| Equipment sales | $292.6M | 63% |
| Rental revenue | $137.2M | 30% |
| Parts sales and services | $31.8M | 7% |
HCSG
| Dietary Services | $255.9M | 55% |
| Other | $210.8M | 45% |
