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Side-by-side financial comparison of HEALTHCARE SERVICES GROUP INC (HCSG) and PEGASYSTEMS INC (PEGA). 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 $430.0M, roughly 1.1× PEGASYSTEMS INC). On growth, HEALTHCARE SERVICES GROUP INC posted the faster year-over-year revenue change (6.6% vs -9.6%). PEGASYSTEMS INC produced more free cash flow last quarter ($206.5M vs $16.0M). Over the past eight quarters, PEGASYSTEMS INC's revenue compounded faster (10.7% 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.
Pegasystems Inc. (Pega) is a global software company based in Waltham, Massachusetts, in the United States, and founded in 1983. The company has been publicly traded since 1996 as PEGA (NASDAQ). Pega is a low-code platform for workflow automation and generative AI-powered decision-making for businesses.
HCSG vs PEGA — Head-to-Head
Income Statement — Q4 FY2025 vs Q1 FY2026
| Metric | | |
|---|---|---|
| Revenue | $466.7M | $430.0M |
| Net Profit | — | $32.8M |
| Gross Margin | 15.4% | 75.2% |
| Operating Margin | 6.1% | 8.6% |
| Net Margin | — | 7.6% |
| Revenue YoY | 6.6% | -9.6% |
| Net Profit YoY | — | — |
| EPS (diluted) | $0.43 | $0.18 |
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 | — | $430.0M | ||
| Q4 25 | $466.7M | $504.3M | ||
| Q3 25 | $464.3M | $381.4M | ||
| Q2 25 | $458.5M | $384.5M | ||
| Q1 25 | $447.7M | $475.6M | ||
| Q4 24 | $437.8M | $490.8M | ||
| Q3 24 | $428.1M | $325.1M | ||
| Q2 24 | $426.3M | $351.2M |
| Q1 26 | — | $32.8M | ||
| Q4 25 | — | $234.6M | ||
| Q3 25 | $43.0M | $43.4M | ||
| Q2 25 | $-32.4M | $30.1M | ||
| Q1 25 | $17.2M | $85.4M | ||
| Q4 24 | — | $119.1M | ||
| Q3 24 | $14.0M | $-14.4M | ||
| Q2 24 | $-1.8M | $6.6M |
| Q1 26 | — | 75.2% | ||
| Q4 25 | 15.4% | 79.5% | ||
| Q3 25 | 20.8% | 72.2% | ||
| Q2 25 | 0.6% | 71.5% | ||
| Q1 25 | 15.2% | 78.5% | ||
| Q4 24 | 13.4% | 79.1% | ||
| Q3 24 | 14.8% | 70.2% | ||
| Q2 24 | 9.7% | 72.4% |
| Q1 26 | — | 8.6% | ||
| Q4 25 | 6.1% | 20.7% | ||
| Q3 25 | 12.3% | 3.8% | ||
| Q2 25 | -9.1% | 4.5% | ||
| Q1 25 | 5.3% | 26.7% | ||
| Q4 24 | 3.4% | 29.1% | ||
| Q3 24 | 4.4% | -3.6% | ||
| Q2 24 | -0.5% | 3.7% |
| Q1 26 | — | 7.6% | ||
| Q4 25 | — | 46.5% | ||
| Q3 25 | 9.3% | 11.4% | ||
| Q2 25 | -7.1% | 7.8% | ||
| Q1 25 | 3.8% | 18.0% | ||
| Q4 24 | — | 24.3% | ||
| Q3 24 | 3.3% | -4.4% | ||
| Q2 24 | -0.4% | 1.9% |
| Q1 26 | — | $0.18 | ||
| Q4 25 | $0.43 | $0.81 | ||
| Q3 25 | $0.59 | $0.24 | ||
| Q2 25 | $-0.44 | $0.17 | ||
| Q1 25 | $0.23 | $0.91 | ||
| Q4 24 | $0.15 | $1.35 | ||
| Q3 24 | $0.19 | $-0.17 | ||
| Q2 24 | $-0.02 | $0.07 |
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 | $270.0M |
| Total DebtLower is stronger | — | — |
| Stockholders' EquityBook value | $510.2M | $705.9M |
| Total Assets | $794.3M | $1.6B |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | — | $270.0M | ||
| Q4 25 | $168.0M | $425.8M | ||
| Q3 25 | $177.5M | $351.4M | ||
| Q2 25 | $134.5M | $411.6M | ||
| Q1 25 | $114.8M | $371.7M | ||
| Q4 24 | $107.3M | $740.0M | ||
| Q3 24 | $103.8M | $703.0M | ||
| Q2 24 | $105.6M | $665.1M |
| Q1 26 | — | $705.9M | ||
| Q4 25 | $510.2M | $787.4M | ||
| Q3 25 | $496.0M | $596.8M | ||
| Q2 25 | $477.0M | $624.5M | ||
| Q1 25 | $514.2M | $611.3M | ||
| Q4 24 | $499.9M | $585.5M | ||
| Q3 24 | $488.7M | $473.0M | ||
| Q2 24 | $471.4M | $435.4M |
| Q1 26 | — | $1.6B | ||
| Q4 25 | $794.3M | $1.6B | ||
| Q3 25 | $804.3M | $1.3B | ||
| Q2 25 | $802.2M | $1.3B | ||
| Q1 25 | $823.0M | $1.3B | ||
| Q4 24 | $802.8M | $1.8B | ||
| Q3 24 | $805.8M | $1.6B | ||
| Q2 24 | $799.7M | $1.5B |
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 | $206.5M |
| FCF MarginFCF / Revenue | 3.4% | 48.0% |
| Capex IntensityCapex / Revenue | 0.3% | — |
| Cash ConversionOCF / Net Profit | — | — |
| TTM Free Cash FlowTrailing 4 quarters | $139.2M | $494.9M |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | — | — | ||
| Q4 25 | $17.4M | $158.4M | ||
| Q3 25 | $71.3M | $56.3M | ||
| Q2 25 | $28.8M | $86.3M | ||
| Q1 25 | $27.5M | $204.2M | ||
| Q4 24 | $36.2M | $95.2M | ||
| Q3 24 | $4.3M | $30.5M | ||
| Q2 24 | $16.3M | $40.1M |
| Q1 26 | — | $206.5M | ||
| Q4 25 | $16.0M | $152.4M | ||
| Q3 25 | $70.0M | $51.8M | ||
| Q2 25 | $27.4M | $84.1M | ||
| Q1 25 | $25.8M | $202.3M | ||
| Q4 24 | $34.8M | $92.4M | ||
| Q3 24 | $2.9M | $27.4M | ||
| Q2 24 | $15.0M | $38.8M |
| Q1 26 | — | 48.0% | ||
| Q4 25 | 3.4% | 30.2% | ||
| Q3 25 | 15.1% | 13.6% | ||
| Q2 25 | 6.0% | 21.9% | ||
| Q1 25 | 5.8% | 42.5% | ||
| Q4 24 | 7.9% | 18.8% | ||
| Q3 24 | 0.7% | 8.4% | ||
| Q2 24 | 3.5% | 11.1% |
| Q1 26 | — | — | ||
| Q4 25 | 0.3% | 1.2% | ||
| Q3 25 | 0.3% | 1.2% | ||
| Q2 25 | 0.3% | 0.6% | ||
| Q1 25 | 0.4% | 0.4% | ||
| Q4 24 | 0.3% | 0.6% | ||
| Q3 24 | 0.3% | 0.9% | ||
| Q2 24 | 0.3% | 0.4% |
| Q1 26 | — | — | ||
| Q4 25 | — | 0.68× | ||
| Q3 25 | 1.66× | 1.30× | ||
| Q2 25 | — | 2.87× | ||
| Q1 25 | 1.60× | 2.39× | ||
| Q4 24 | — | 0.80× | ||
| Q3 24 | 0.31× | — | ||
| Q2 24 | — | 6.06× |
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% |
PEGA
| Pega Cloud | $205.0M | 48% |
| Subscription license | $94.9M | 22% |
| Maintenance | $75.3M | 18% |
| Consulting | $54.8M | 13% |
