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Side-by-side financial comparison of HEALTHCARE SERVICES GROUP INC (HCSG) and INTEGRA LIFESCIENCES HOLDINGS CORP (IART). 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 $434.9M, roughly 1.1× INTEGRA LIFESCIENCES HOLDINGS CORP). On growth, HEALTHCARE SERVICES GROUP INC posted the faster year-over-year revenue change (6.6% vs -1.7%). HEALTHCARE SERVICES GROUP INC produced more free cash flow last quarter ($16.0M vs $-5.4M). Over the past eight quarters, INTEGRA LIFESCIENCES HOLDINGS CORP's revenue compounded faster (8.6% CAGR vs 5.0%).
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.
Integra LifeSciences Holdings Corporation is a global medical device manufacturing company headquartered in Princeton, New Jersey. Founded in 1989, the company manufactures products for skin regeneration, neurosurgery, reconstructive and general surgery. Integra artificial skin became the first commercially reproducible skin tissue used to treat severe burns and other skin wounds.
HCSG vs IART — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $466.7M | $434.9M |
| Net Profit | — | — |
| Gross Margin | 15.4% | 50.8% |
| Operating Margin | 6.1% | 5.3% |
| Net Margin | — | — |
| Revenue YoY | 6.6% | -1.7% |
| Net Profit YoY | — | — |
| EPS (diluted) | $0.43 | $-0.03 |
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.
| Q4 25 | $466.7M | $434.9M | ||
| Q3 25 | $464.3M | $402.1M | ||
| Q2 25 | $458.5M | $415.6M | ||
| Q1 25 | $447.7M | $382.7M | ||
| Q4 24 | $437.8M | $442.6M | ||
| Q3 24 | $428.1M | $380.8M | ||
| Q2 24 | $426.3M | $418.2M | ||
| Q1 24 | $423.4M | $368.9M |
| Q4 25 | — | — | ||
| Q3 25 | $43.0M | $-5.4M | ||
| Q2 25 | $-32.4M | $-484.1M | ||
| Q1 25 | $17.2M | $-25.3M | ||
| Q4 24 | — | — | ||
| Q3 24 | $14.0M | $-10.7M | ||
| Q2 24 | $-1.8M | $-12.4M | ||
| Q1 24 | $15.3M | $-3.3M |
| Q4 25 | 15.4% | 50.8% | ||
| Q3 25 | 20.8% | 51.5% | ||
| Q2 25 | 0.6% | 50.4% | ||
| Q1 25 | 15.2% | 50.8% | ||
| Q4 24 | 13.4% | 56.3% | ||
| Q3 24 | 14.8% | 52.6% | ||
| Q2 24 | 9.7% | 54.0% | ||
| Q1 24 | 15.2% | 56.1% |
| Q4 25 | 6.1% | 5.3% | ||
| Q3 25 | 12.3% | 2.9% | ||
| Q2 25 | -9.1% | -123.4% | ||
| Q1 25 | 5.3% | -4.0% | ||
| Q4 24 | 3.4% | 8.0% | ||
| Q3 24 | 4.4% | -2.1% | ||
| Q2 24 | -0.5% | -0.7% | ||
| Q1 24 | 5.0% | 1.1% |
| Q4 25 | — | — | ||
| Q3 25 | 9.3% | -1.3% | ||
| Q2 25 | -7.1% | -116.5% | ||
| Q1 25 | 3.8% | -6.6% | ||
| Q4 24 | — | — | ||
| Q3 24 | 3.3% | -2.8% | ||
| Q2 24 | -0.4% | -3.0% | ||
| Q1 24 | 3.6% | -0.9% |
| Q4 25 | $0.43 | $-0.03 | ||
| Q3 25 | $0.59 | $-0.07 | ||
| Q2 25 | $-0.44 | $-6.31 | ||
| Q1 25 | $0.23 | $-0.33 | ||
| Q4 24 | $0.15 | $0.25 | ||
| Q3 24 | $0.19 | $-0.14 | ||
| Q2 24 | $-0.02 | $-0.16 | ||
| Q1 24 | $0.21 | $-0.04 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $168.0M | $263.7M |
| Total DebtLower is stronger | — | $726.6M |
| Stockholders' EquityBook value | $510.2M | $1.0B |
| Total Assets | $794.3M | $3.6B |
| Debt / EquityLower = less leverage | — | 0.70× |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $168.0M | $263.7M | ||
| Q3 25 | $177.5M | $267.9M | ||
| Q2 25 | $134.5M | $253.6M | ||
| Q1 25 | $114.8M | $273.3M | ||
| Q4 24 | $107.3M | $273.6M | ||
| Q3 24 | $103.8M | $277.6M | ||
| Q2 24 | $105.6M | $296.9M | ||
| Q1 24 | $104.9M | $663.1M |
| Q4 25 | — | $726.6M | ||
| Q3 25 | — | $736.3M | ||
| Q2 25 | — | $745.9M | ||
| Q1 25 | — | $755.6M | ||
| Q4 24 | — | $760.5M | ||
| Q3 24 | — | $765.3M | ||
| Q2 24 | — | $770.2M | ||
| Q1 24 | — | $775.0M |
| Q4 25 | $510.2M | $1.0B | ||
| Q3 25 | $496.0M | $1.0B | ||
| Q2 25 | $477.0M | $1.0B | ||
| Q1 25 | $514.2M | $1.5B | ||
| Q4 24 | $499.9M | $1.5B | ||
| Q3 24 | $488.7M | $1.5B | ||
| Q2 24 | $471.4M | $1.5B | ||
| Q1 24 | $474.6M | $1.6B |
| Q4 25 | $794.3M | $3.6B | ||
| Q3 25 | $804.3M | $3.6B | ||
| Q2 25 | $802.2M | $3.7B | ||
| Q1 25 | $823.0M | $4.1B | ||
| Q4 24 | $802.8M | $4.0B | ||
| Q3 24 | $805.8M | $4.1B | ||
| Q2 24 | $799.7M | $4.1B | ||
| Q1 24 | $803.9M | $4.1B |
| Q4 25 | — | 0.70× | ||
| Q3 25 | — | 0.71× | ||
| Q2 25 | — | 0.72× | ||
| Q1 25 | — | 0.50× | ||
| Q4 24 | — | 0.49× | ||
| Q3 24 | — | 0.50× | ||
| Q2 24 | — | 0.50× | ||
| Q1 24 | — | 0.48× |
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 | $11.8M |
| Free Cash FlowOCF − Capex | $16.0M | $-5.4M |
| FCF MarginFCF / Revenue | 3.4% | -1.2% |
| Capex IntensityCapex / Revenue | 0.3% | 4.0% |
| Cash ConversionOCF / Net Profit | — | — |
| TTM Free Cash FlowTrailing 4 quarters | $139.2M | $-31.1M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $17.4M | $11.8M | ||
| Q3 25 | $71.3M | $40.9M | ||
| Q2 25 | $28.8M | $8.9M | ||
| Q1 25 | $27.5M | $-11.3M | ||
| Q4 24 | $36.2M | $50.7M | ||
| Q3 24 | $4.3M | $22.5M | ||
| Q2 24 | $16.3M | $40.4M | ||
| Q1 24 | $-26.0M | $15.8M |
| Q4 25 | $16.0M | $-5.4M | ||
| Q3 25 | $70.0M | $25.8M | ||
| Q2 25 | $27.4M | $-11.2M | ||
| Q1 25 | $25.8M | $-40.2M | ||
| Q4 24 | $34.8M | $21.1M | ||
| Q3 24 | $2.9M | $-7.2M | ||
| Q2 24 | $15.0M | $10.7M | ||
| Q1 24 | $-28.2M | $291.0K |
| Q4 25 | 3.4% | -1.2% | ||
| Q3 25 | 15.1% | 6.4% | ||
| Q2 25 | 6.0% | -2.7% | ||
| Q1 25 | 5.8% | -10.5% | ||
| Q4 24 | 7.9% | 4.8% | ||
| Q3 24 | 0.7% | -1.9% | ||
| Q2 24 | 3.5% | 2.6% | ||
| Q1 24 | -6.7% | 0.1% |
| Q4 25 | 0.3% | 4.0% | ||
| Q3 25 | 0.3% | 3.8% | ||
| Q2 25 | 0.3% | 4.8% | ||
| Q1 25 | 0.4% | 7.6% | ||
| Q4 24 | 0.3% | 6.7% | ||
| Q3 24 | 0.3% | 7.8% | ||
| Q2 24 | 0.3% | 7.1% | ||
| Q1 24 | 0.5% | 4.2% |
| Q4 25 | — | — | ||
| Q3 25 | 1.66× | — | ||
| Q2 25 | — | — | ||
| Q1 25 | 1.60× | — | ||
| Q4 24 | — | — | ||
| Q3 24 | 0.31× | — | ||
| Q2 24 | — | — | ||
| Q1 24 | -1.70× | — |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
HCSG
| Dietary Services | $255.9M | 55% |
| Other | $210.8M | 45% |
IART
| Neurosurgery | $226.2M | 52% |
| Asia Pacific | $53.7M | 12% |
| Instruments | $52.3M | 12% |
| ENT | $44.8M | 10% |
| Other | $38.9M | 9% |
| Rest Of The World | $19.0M | 4% |
