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Services-Health Services: capital spending and supply chain

SIC 8000 · 8 companies with filed cash-flow statements

Capital spending, 12 months$142M
Operating cash flow$421M
Capex / cash flow34%
Capex / revenue1.4%
Top 3 share74%

Analysis

8 companies in Services-Health Services (SIC 8000) spent $142M on capital projects over their latest twelve months, 34% of the $421M their operations generated; the three largest spenders — LFST, PNTG, WGS — account for 74%.

Capital spending is 1.4% of the industry's $10.0B of annual revenue.

By the industry's asset mix most of it goes to equipment (48%); about $24.0M is imported.

The largest supplier of that spending is health care structures ($38.6M).

Its largest supplying industries, by the input-output tables: other real estate ($696M), management of companies and enterprises ($343M), imports ($252M).

Charts

Services-Health Services: capital spending by company, latest twelve monthsServices-Health Services: capital spending by company, latest twelve monthsLFST$48.3MPNTG$30.2MWGS$27.1MUSPH$19.7MINNV$13.2MDCGO$3.1MOMDA$541KVSEE$114K
Filed cash-flow statements (SEC XBRL).
Services-Health Services: what the capital spending buys (US part)Services-Health Services: what the capital spending buys (US part)Structures$42.9MEquipment$56.8MSoftware$11.9MOther$6.4M
Capital spending × the industry’s asset mix (BEA fixed assets): grade C, an industry average applied to filed figures.
Services-Health Services: the industries that build and sell what it buysServices-Health Services: the industries that build and sell what it buysHealth care structures$38.6MElectromedical and electrotherape…$20.9MSurgical and medical instrument m…$15.7MSurgical appliance and supplies m…$7.1MSoftware publishers$6.2MIrradiation apparatus manufacturi…$5.1MComputer systems design services$2.9MCustom computer programming servi…$2.4MDental equipment and supplies man…$2.3MOffice and commercial structures$2.1M
BEA fixed assets: investment by asset type → supplying industry. Estimates (grade C).
Services-Health Services: its first-tier supplying industriesServices-Health Services: its first-tier supplying industriesOther real estate$696MManagement of companies and enter…$343MImports$252MEmployment services$221MInsurance carriers, except direct…$130MProfessional and commercial equip…$124MLegal services$113MManagement consulting services$99.4MMedical and diagnostic laboratori…$80.6MAccounting, tax preparation, book…$79.8M
Purchased inputs × the industry’s input mix (BEA Use table), US part: grade C.
Services-Health Services: where the industry's cash came from (+) and went (−)Services-Health Services: where the industry's cash came from (+) and went (−)Operating cash flow$624MAcquisitions−$313MNet borrowing$268MOther financing (out)−$212MOperating cash outflow−$209MOther financing (in)$185MCapital spending−$142MCash added to the balance she…−$140MCash drawn from the balance s…$123MOther investing (out)−$102MShares issued$76.0MNet debt repaid−$36.5MBuybacks−$33.6MPaid to partners−$31.5M
The companies’ cash-flow statements, latest four quarters or fiscal year: every figure filed (grade A).

Capital spending by company

CompanyCapital spendingOperating cash flowCapex / OCFPeriod
LFST LifeStance Health Group$48.3M$228M21%TTM to Q3 2026
PNTG Pennant Group$30.2M$64.5M47%TTM to Q3 2026
WGS GeneDx Holdings$27.1M−$48.7M—TTM to Q2 2026
USPH U S Physical Therapy$19.7M$88.8M22%TTM to Q3 2026
INNV InnovAge Holding$13.2M$89.5M15%TTM to Q1 FY27
DCGO DocGo$3.1M−$22.7M—TTM to Q2 2026
OMDA Omada Health$541K$28.7M2%TTM to Q3 2026
VSEE Vsee Health$114K−$6.3M—TTM to Q2 2026

Customers and suppliers named in annual reports

SupplierCustomerShare of supplier revenueEvidenceSource
INNVMedicare & Medicaid70%Stated in 10-K (sentence)filing
PNTGMedicare & Medicaid63%Stated in 10-K (sentence)filing
USPHMedicare & Medicaid36%Stated in 10-K (sentence)filing
ILMNWGS—Stated in 10-K (named, share not stated)filing
AMZNOMDA—Stated in 10-K (named, share not stated)filing
AMZNDCGO—Stated in 10-K (named, share not stated)filing

The interactive money flow: switch views, follow each dollar →

Evidence grades: A filed figure · B computed from filed figures · C industry average (BEA input-output and fixed-asset tables) applied to filed figures. Estimates are not the companies’ own records. Not investment advice.