The premier provider of
housekeeping, laundry, and
dining and nutrition services
to the health care industry
2 0 1 2
A N N U A L R E P O R T
F I N A N C I A L
H I G H L I G H T S
Y E A R S E N D E D I N D E C E M B E R 3 1 (in thousands except per share data and employees)
Revenues
Net Income
Basic Earnings Per Common Share
Diluted Earnings Per Common Share
Cash Dividends Per Common Share
Weighted Average Number Of Common
Shares Outstanding For Basic EPS
Weighted Average Number Of Common
Shares Outstanding For Diluted EPS
2012
2011
2010
2009
2008
$
1,077,435
$ 889,065
$ 773,956
$ 692,695
$ 602,718
$
$
$
$
44,214
$ 38,156
$ 34,441
$ 30,342
$ 26,614
0.65
0.65
0.65
$
$
$
0.57
0.56
0.63
$
$
$
0.52
0.51
0.60
$
$
$
0.46
0.46
0.49
$
$
$
0.41
0.40
0.39
67,511
66,637
65,917
65,376
64,697
68,485
67,585
67,008
66,429
66,038
A S O F D E C E M B E R 3 1
2012
2011
2010
2009
2008
Working Capital
Total Assets
Stockholders’ Equity
$
200,182
$ 186,734
$ 181,244
$ 177,453
$ 177,573
$
331,183
$ 289,695
$ 277,934
$ 265,892
$ 248,561
$
229,570
$ 217,726
$ 213,079
$ 208,774
$ 201,682
Book Value Per Common Share
$
3.40
$
3.27
$
3.22
$
3.19
$
3.11
Employees
40,600
36,200
31,500
27,200
24,500
REVENUES
(in thousands)
N E T I N C O M E
(in thousands)
DILUTED EARNINGS
PER COMMON SHARE
BOOK VALUE
PER COMMON SHARE
1,100,000
1,000,000
900,000
800,000
700,000
600,000
500,000
46,000
42,000
36,000
30,000
24,000
18,000
12,000
0.7
0.6
0.5
0.4
0.3
0.2
0.1
6
5
4
3
2
1
0
2008 2009 2010 2011 2012
2008 2009 2010 2011 2012
2008 2009 2010 2011 2012
2008 2009 2010 2011 2012
D E A R F E L L O W S H A R E H O L D E R S :
We are extremely pleased to report that 2012 was a historic year for Healthcare Services Group with revenues
exceeding the billion dollar mark for the fi rst time in Company history. Our performance marked the thirty-
sixth consecutive year of top line growth as well as the achievement of record net income and earnings per
share. The client relationships we developed over the years, along with the maturation of the Dining & Nutrition
management structure, put us in a position to take full advantage of the industry’s ever-increasing desire for
improved quality and cost containment. Our operations have improved across almost every key metric and the
Company footprint continues to expand.
Revenues for 2012 grew to nearly $1.1 billion, an increase of 21% over the prior year. Net income rose to $44.2
million or $.65 per diluted common share, compared to 2011 net income of $38.2 million or $.56 per diluted
common share. Our strong fi nancial position and performance has enabled the Board of Directors to carry
through with its objective of increasing shareholder value by the payment of quarterly cash dividends totaling
$.65 per common share in 2012. These payments represent a 2.8% yield as well as the continuation of our trend
of increasing cash dividend payments for 38 consecutive quarters since the initiation of the dividend program
in 2003.
The demand for our services has never been greater as the health care industry continues to be characterized
by uncertainty in the regulatory environment as well as federal and state reimbursement programs. Whatever
challenges the future holds, our competitive advantage continues to be our ability to recruit, develop and retain
a talented, highly motivated management team. Our commitment to management development and promotion
from within remains our highest priority as we prepare for 2013 and beyond.
Finally, as the premier management services provider to the health care industry, we wish to express our gratitude
to our employees at all levels. It is through their dedication and commitment we have achieved such status.
Also, we want to thank our investors for placing your trust in us. We will remain focused on improving the future
performance and shareholder value of our Company.
Sincerely,
Sincerely,
Daniel P. McCartney
Chairman & Chief Executive Offi cer
Theodore Wahl
President & Chief Operating Offi cer
REVENUES:
Revenues for 2012 grew to $1.1 billion, an
increase of 21% over the prior year.
NET INCOME &
EARNINGS PER SHARE:
Net income increased to $44.2 million or $.65
per diluted common share, compared to 2011
net income of $38.2 million or $.56 per diluted
common share.
CASH DIVIDEND
PAYMENTS IN 2012:
$.65 per common share in 2012, which
represents a 2.8% yield based on the 2012
year end common share price.
PROVIDING SERVICES TO OVER
3,000 FACILITIES
T H E E X P E R I E N C E T O M A K E A D I F F E R E N C E
Today’s challenging health care environment demands an experienced partner who can deliver innovative service
solutions, while operating on budget. Healthcare Services Group has the experience and expertise to meet these
needs, making us the preferred choice for hospital and senior living clients nationwide.
Our proactive approach to hospitality services delivers the solutions, performance and results that you need to
increase your patients’/residents’ satisfaction and improve your bottom line results. Our singular focus on the
health care sector, as well as our expansive district and regional support network, gives us the fl exibility to meet
your individual needs within the fi nancial parameters of your operating budget.
From innovative programs and services, to extensive training and quality assurance initiatives, to fi nancial
performance commitments, Healthcare Services Group keeps your patients/residents and your facility at the
center of our focus, each and every day.
H E A LT H
C A R E
E X P E R T I S E
Healthcare Services
Group exclusively
partners with clients
in the health care
industry, providing
programs and solutions
that are specifi cally
designed to address
your business and
market needs.
O U R
G E O G R A P H I C R E A C H
C O R P O R AT E O F F I C E
D I V I S I O N A L O F F I C E
Since 1976, Healthcare Services Group has delivered exceptional
housekeeping/laundry and dining/nutrition services to an ever-
changing health care industry. Headquartered in Bensalem, PA with
strategically located regional and district operations around the
country, we provide professional management of ancillary services to
a diverse mix of satisfi ed clients. Flexible and responsive, our people
are trained to help you achieve success by delivering innovative
solutions, exceptional performance and measurable results.
O U R
S E R V I C E S
HOUSEKEEPING DEPARTMENT MANAGEMENT:
LAUNDRY AND LINEN
Laundry and Linen services consist of laundering and processing the personal clothing of residents and patients, as well as
the providing, collecting and laundering of sheets, pillow cases, blankets and other linen items used in a health care facility.
Additionally, we work closely with the facility to design, install, operate and maintain an on-premise laundry.
HOUSEKEEPING
Housekeeping services consist of the cleaning, disinfecting and sanitizing of all areas in the facility, including resident and
patient rooms, auxiliary areas, and main access areas such as the lobby, public rest rooms, offi ces and corridors. Through
our district management structure and our on-site management team we provide continuous employee supervision,
training and evaluation. We also conduct periodic testing for the purpose of infection control.
FACILITY MAINTENANCE & PLANT MANAGEMENT
Facility maintenance & plant management services consist of the repair and preventive maintenance of the building
and equipment at a specifi c facility.
DIETARY DEPARTMENT MANAGEMENT:
DINING AND NUTRITION
Dining and Nutrition Services consist of the development of a menu that meets the residents’ and patients’ dietary needs,
purchasing and preparing the food to assure the residents and patients receive an appetizing meal, and participation in
monitoring of residents’ and patients’ ongoing nutrition status. On-site management is responsible for all daily food
service activities with regular support being provided by a district manager specializing in food service and a registered
dietitian.
O U R
G U I D E L I N E S
OUR GOAL IS TO PROVIDE THE BEST SERVICE IN THE INDUSTRY
A health care facility derives many benefi ts from operating a spotlessly clean, aesthetically pleasing environment.
Our staff is thoroughly trained to perform housekeeping, laundry, linen, facility management and dietary responsibilities
with skill and sensitivity. Stringent quality-assurance standards insure that a facility will receive the most professional
services in the industry.
WE CONCENTRATE ON WHAT WE DO BEST
Companies which diversify outside their core business often suffer diminishing returns. Healthcare Services Group, Inc.
has prospered by providing exemplary housekeeping, laundry, linen, facility maintenance and dietary services to an
increasing number of satisfi ed clients.
DEVELOP A STRONG AND WELL COORDINATED MANAGEMENT TEAM
The key to our client retention rate and orderly geographic expansion has been our ability to assemble the fi nest group of
managers in the industry. Clients, who receive daily support from on-site management, are also actively supported by a
Company District Manager who is in close proximity to the client. The development of experienced management back-up
is reassuring to our owners and administrators. Reducing client costs while improving overall quality is a most
challenging assignment. This objective is met by standardizing operating systems, maintaining strict controls through a
quality-assurance program and planning effi cient production schedules.
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form 10-K
ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934
For the fiscal year ended December 31, 2012
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
For the transition period from to
Commission file number: 0-12015
HEALTHCARE SERVICES GROUP, INC.
(Exact name of registrant as specified in its charter)
Pennsylvania
(State or other jurisdiction of
incorporated or organization)
23-2018365
(IRS Employer Identification No.)
3220 Tillman Drive, Suite 300, Bensalem, PA
(Address of principal executive offices)
19020
(Zip Code)
Registrant’s telephone number, including area code:
(215) 639-4274
Securities registered pursuant to Section 12(b) of the 1934 Act:
Common Stock ($.01 par value)
Title of Class
The NASDAQ Global Select Market
Name of each exchange on which securities registered
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. YES
NO
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. YES
NO
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of
1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such
filing requirements for the past 90 days. YES
NO
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File
required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such
shorter period that the registrant was required to submit and post such files). YES
NO
Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§ 229.405 of this chapter) is not contained herein,
and will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of
this Form 10-K or any amendment to this Form 10-K.
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company.
See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer
Accelerated filer
Non-accelerated filer
Smaller reporting company
(Do not check if a smaller
reporting company)
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act). YES
NO
The aggregate market value of the voting stock (Common Stock, $.01 par value) held by non-affiliates of the Registrant as of the close of business on
June 30, 2012 was approximately $1,302,211,000 based on closing sale price of the Common Stock on the NASDAQ National Global Select on that
date. The determination of affiliate status is not a determination for any other purpose. The Registrant does not have any non-voting common equity
authorized or outstanding.
Indicate the number of shares outstanding of each of the registrant’s classes of common stock (Common Stock, $.01 par value) as of the latest practicable
date (February 19, 2013). 68,253,000
Portions of the definitive Proxy Statement for the Registrant’s Annual Meeting of Shareholders to be held on May 28, 2013 have been incorporated by
reference into Parts II and III of this Annual Report on Form 10-K.
DOCUMENTS INCORPORATED BY REFERENCE
1
Healthcare Services Group, Inc.
Annual Report on Form 10-K
For the Fiscal Year Ended December 31, 2012
TABLE OF CONTENTS
PART I
Item 1.
Business
Item 1A.
Risk Factors
Item 1B.
Unresolved Staff Comments
Item 2.
Item 3.
Item 4.
PART II
Item 5.
Properties
Legal Proceedings
Mine Safety Disclosures
Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of
Equity Securities
Item 6.
Item 7.
Selected Financial Data
Management’s Discussion and Analysis of Financial Condition and Results of Operations
Item 7A.
Quantitative and Qualitative Disclosures About Market Risk
Item 8.
Item 9.
Financial Statements and Supplementary Data
Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
Item 9A.
Controls and Procedures
Item 9B.
PART III
Item 10.
Item 11.
Item 12.
Item 13.
Item 14.
PART IV
Other Information
Directors, Executive Officers and Corporate Governance
Executive Compensation
Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
Certain Relationships and Related Transactions, and Director Independence
Principal Accounting Fees and Services
Item 15.
Exhibits and Financial Statement Schedules
Exhibit Index
Signatures
4
10
14
14
14
14
15
17
17
32
33
62
62
62
62
62
62
63
63
66
66
67
2
CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING STATEMENTS
This Form 10-K may contain forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as
amended, and Section 21E of the Securities Exchange Act of 1934 (the “Exchange Act”), as amended, which are not historical
facts but rather are based on current expectations, estimates and projections about our business and industry, our beliefs and
assumptions. Words such as “believes,” “anticipates,” “plans,” “expects,” “will,” “goal,” 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
exclusively to the health care industry, primarily providers of long-term care; credit and collection risks associated with this
industry; from having several significant clients who each individually contributed at least 3% with one as high as 7% to our total
consolidated revenues for the year ended December 31, 2012; our claims experience related to workers’ compensation and general
liability insurance; the effects of changes in, or interpretations of laws and regulations governing the industry, our workforce and
services provided, including state and local regulations pertaining to the taxability of our services; and the risk factors described
in Part I in this report under “Government Regulation of Clients,” “Competition” and “Service Agreements/Collections,” and
under Item IA “Risk Factors.” Many of our clients’ revenues are highly contingent on Medicare, Medicaid and other payors’
reimbursement funding rates, which Congress and related agencies have affected through the enactment of a number of major
laws and regulations during the past decade, including the March 2010 enactment of the Patient Protection and Affordable Care
Act and the Health Care and Education Reconciliation Act of 2010. In July 2011, the United States Center for Medicare Services
(“CMS”) issued final rulings which, among other things, reduced (effective October 1, 2011) Medicare payments to nursing centers
by 11.1% and changed the reimbursement for the provision of group rehabilitation therapy services to Medicare beneficiaries. In
January 2013, the U.S. Congress enacted the American Taxpayer Relief Act of 2012, which delayed automatic spending cuts of
$1.2 trillion, including reduced Medicare payments to plans and providers up to 2%. These discretionary spending caps were
originally enacted under provisions in the Budget Control Act of 2011, an initiative to reduce the federal deficit through the year
2021, also known as “sequestration.” The sequestration is set to go into effect starting March 2013, absent further action by
Congress and the Administration. Currently, the U.S. Congress is considering further changes or revising legislation relating to
health care in the United States which, among other initiatives, may impose cost containment measures impacting our clients.
These enacted laws, proposed laws and forthcoming regulations have significantly altered, or threaten to alter, overall government
reimbursement funding rates and mechanisms. The overall effect of these laws and trends in the long-term care industry has
affected and could adversely affect the liquidity of our clients, resulting in their inability to make payments to us on agreed upon
payment terms. These factors, in addition to delays in payments from clients, have resulted in, and could continue to result in,
significant additional bad debts in the near future. Additionally, our operating results would be adversely affected if unexpected
increases in the costs of labor and labor-related costs, materials, supplies and equipment used in performing services could not be
passed on to our clients.
In addition, we believe that to improve our financial performance we must continue to obtain service agreements with new clients,
provide new services to existing clients, achieve modest price increases on current service agreements with existing clients and
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 successfully executing
projected growth strategies.
3
References made herein to “we,” “our,” “us”, or the “Company” include Healthcare Services Group, Inc. and its wholly owned
subsidiaries Huntingdon Holdings, Inc. and Healthcare Staff Leasing Solutions, LLC.
PART I
Item I. Business.
General
The Company is a Pennsylvania corporation, incorporated on November 22, 1976. We provide management, administrative and
operating expertise and services to the housekeeping, laundry, linen, facility maintenance and dietary service departments of the
health care industry, including nursing homes, retirement complexes, rehabilitation centers and hospitals located throughout the
United States. Based on the nature and similarities of the services provided, our business operations consist of two business
segments (Housekeeping and Dietary). We believe that we are the largest provider of our services to the long-term care industry
in the United States, rendering such services to approximately 3,000 facilities in 48 states as of December 31, 2012. We provide
our Housekeeping services to essentially all client facilities and provide Dietary services to approximately 600 of such facilities.
Although we do not directly participate in any government reimbursement programs, our clients’ reimbursements are subject to
government regulation. Therefore, they are directly affected by any legislation and regulations relating to Medicare and Medicaid
reimbursement programs.
As of December 31, 2012, we operate two wholly-owned subsidiaries, Huntingdon Holdings, Inc. (“Huntingdon”) and Healthcare
Staff Leasing Solutions, LLC (“Staff Leasing”). Huntingdon invests our cash and cash equivalents and manages our portfolio of
marketable securities. Staff Leasing is an entity formed in 2011 to offer professional employer organization (“PEO”) services to
potential clients in the health care industry. As of December 31, 2012, we have PEO service contracts in two states.
Segment Information
The information called for herein is discussed below in Description of Services, and within Item 8 of this Annual Report on
Form 10-K under Note 12 of Notes to Consolidated Financial Statements for the year ended December 31, 2012.
Description of Services
We provide management, administrative and operating expertise and services to the housekeeping, laundry, linen, facility
maintenance and dietary service departments of the health care industry.
We are organized into, and provide our services through two reportable segments: housekeeping, laundry, linen and other services
(“Housekeeping”), and dietary department services (“Dietary”). The Company’s corporate headquarters provides centralized
financial management and administrative services to the Housekeeping and Dietary business segments.
Housekeeping consists of the managing of the client’s housekeeping department which is principally responsible for the cleaning,
disinfecting and sanitizing of patient rooms and common areas of a client’s facility, as well as the laundering and processing of
the personal clothing belonging to the facility’s patients. Also within the scope of this segment’s service is the responsibility for
laundering and processing of the bed linens, uniforms and other assorted linen items utilized by a client facility.
Dietary consists of managing the client’s dietary department which is principally responsible for food purchasing, meal preparation
and providing professional dietitian consulting services, which includes the development of a menu that meets the patient’s dietary
needs. We began Dietary operations in 1997.
Both segments provide our services primarily pursuant to full service agreements with our clients. In such agreements, we are
responsible for the management and hourly employees located at our clients’ facilities. We also provide services on the basis of
a management-only agreement for a very limited number of clients. Our agreements with clients typically provide for renewable
one year service terms, cancelable by either party upon 30 to 90 days’ notice after the initial 90-day period.
Our labor force is interchangeable with respect to each of the services within Housekeeping. Our labor force with respect to Dietary
is specific to it. There are many similarities in the nature of the services performed by each segment. However, there are some
significant differences in the specialized expertise required of the professional management personnel responsible for delivering
the services of the respective segments. We believe the services of each segment provide opportunity for growth.
4
An overview of each of our segments follows:
Housekeeping
Housekeeping services. Housekeeping services is our largest service sector, representing approximately 46% or $492,319,000
of consolidated revenues in 2012. This service involves the management of the client’s housekeeping department which is
principally responsible for the cleaning, disinfecting and sanitizing resident areas in our clients’ facilities. In providing services
to any given client facility, we typically hire and train the hourly employees employed by such facility prior to our engagement.
We normally assign two on-site managers to each facility to supervise and train hourly personnel and coordinate housekeeping
services with other facility support functions in accordance with the direction provided by the client facility’s administrator. Such
management personnel also oversee the execution of a variety of quality and cost-control procedures including continuous training
and employee evaluation and on-site testing for infection control. The on-site management team also assists the facility in complying
with federal, state and local regulations.
Laundry and linen services. Laundry and linen services represent approximately 22% or $240,670,000 of consolidated revenues
in 2012. Laundry services are under the responsibilities of the housekeeping department and involve the laundering and processing
of the residents’ personal clothing. We provide laundry services to mostly all of our housekeeping clients. Linen services involve
providing, laundering and processing of the sheets, pillow cases, blankets, towels, uniforms and assorted linen items used by our
clients’ facilities. At some facilities that utilize our laundry and linen services, we install our own equipment. Such installation
generally requires an initial capital outlay by us ranging from $5,000 to $100,000 depending on the size of the facility, installation
and construction costs, and the cost of equipment required. We could incur relocation or other costs in the event of the cancellation
of a linen service agreement where there was an investment by us in a corresponding laundry installation. The hiring, training and
supervision of the hourly employees who perform laundry and linen services are similar to, and performed by the same management
personnel who oversee the housekeeping services hourly employees located at the respective client facility. In some instances we
own linen supplies utilized at our clients’ facilities and therefore, maintain a sufficient inventory of linen supplies to ensure their
availability.
Maintenance and other services. Maintenance services consist of repair and maintenance of laundry equipment, plumbing and
electrical systems, as well as carpentry and painting. This service sector’s total revenues of $4,579,000 represent less than 1% of
consolidated revenues.
Laundry installation sales. We (as a distributor of laundry equipment) sell laundry installations to our clients, which typically
represents the construction and installation of a turn-key operation. We generally offer payment terms, ranging from 36 to 60 months.
During the years 2010 through 2012, laundry installation sales were not material to our operating results as we prefer to own such
laundry installations in connection with performance of our service agreements.
Housekeeping operating performance is significantly impacted by our management of our costs of labor. Such costs of labor
account for approximately 80% of operating costs incurred at a facility service location, as a percentage of Housekeeping revenues.
Changes in employee compensation resulting from legislative or other actions, anticipated staffing levels, and other unforeseen
variations in our use of labor at a client service location will result in volatility of these costs. Additionally, the costs of supplies
consumed in performing Housekeeping services, including linen costs, are affected by product specific market conditions and
therefore subject to price volatility. Generally, this volatility is influenced by factors outside of our control and is unpredictable.
Where possible, we try to obtain fixed pricing from vendors for an extended period of time on certain supplies to mitigate such
pricing volatility. Although we endeavor to pass on such increases in our costs of labor and supplies to our clients, the inability to
attain such increases may negatively impact Housekeeping’s profit margins.
Dietary
Dietary services. We began providing dietary services in 1997. Dietary services represented 32% or $339,867,000 of consolidated
revenues in 2012. Dietary consists of managing the client’s dietary department which is principally responsible for food purchasing,
meal preparation and providing professional dietitian consulting services, which includes the development of a menu that meets
the patient’s dietary needs. On-site management is responsible for all daily dietary department activities, with regular support
being provided by a district manager specializing in dietary services, as well as a registered dietitian. We also offer consulting
services to facilities to assist them in cost containment and to promote improvement in their dietary department service operations.
Dietary operating performance is also impacted by price volatility in costs of labor and supplies resulting from similar factors
discussed above in Housekeeping. The primary difference in impact on Dietary operations from price volatility in costs of labor
and food-related supplies is that such costs represent approximately 52% and 39% of Dietary revenues, respectively. In contrast,
labor is approximately 80% of operating costs as a percentage of Housekeeping revenue.
5
Operational Management Structure
By applying our professional management techniques, we generally can contain or control certain housekeeping, laundry, linen,
facility maintenance and dietary service costs on a continuing basis. We manage and provide our services through a network of
management personnel, as illustrated below.
Each facility is generally managed by an on-site Facility Manager, an Assistant Facility Manager, and if necessary, additional
supervisory personnel. Districts, typically consisting of eight to twelve facilities, are supported by a District Manager and a Training
Manager. District Managers bear overall responsibility for the facilities within their districts. They are generally based in close
proximity to each facility. These managers provide active support to clients in addition to the support provided by our on-site
management team. Training Managers are responsible for the recruitment, training and development of Facility Managers. A
division consists of a number of regions within a specific geographical area. Divisional Vice Presidents manage each division. At
December 31, 2012 we maintained 68 regions within 10 divisions. Each region is headed by a Regional Vice President/Manager.
Most regions also have a Regional Director who assumes primary responsibility for marketing our services within the respective
region. Regional Vice Presidents/Managers and Directors provide management support to a number of districts within a specific
geographical area. Regional Vice Presidents/Managers and Directors report to Divisional Vice Presidents who in turn report to
Senior Vice Presidents and/or Executive Vice Presidents. We believe that our divisional, regional and district organizational
structure facilitates our ability to best serve, and/or sell additional services to, our existing clients, as well as obtain new clients.
Market
The market for our services consists of a large number of facilities involved in various aspects of the health care industry, including
long-term and post-acute care facilities (skilled nursing facilities, residential care and assisted living facilities, etc.) and hospitals
(acute care, critical access, psychiatric, etc.).
These facilities primarily range in size from small private facilities to facilities with over 500 beds. Such facilities may be specialized
or general, privately owned or public, profit or not-for-profit, and may serve patients on a long-term or short-term basis. We market
our services to such facilities after consideration of a variety of factors including facility type, size, location, and service
(Housekeeping or Dietary). The market for our services, particularly in long-term and post-acute care, is expected to continue to
grow as the elderly population increases as a percentage of the United States population and as government reimbursement policies
require increased control or containment by the constituents that comprise our target market.
6
Marketing and Sales
Our services are marketed at four levels of our organization: at the corporate level by the Chief Executive Officer, President,
Executive Vice Presidents and Senior Vice Presidents; at the divisional level by Divisional Vice Presidents; at the regional level
by the Regional Vice Presidents/Managers and Directors; and at the district level by District Managers. We provide incentive
compensation to our operational personnel based on achieving financial and non-financial goals and objectives which are aligned
with the key elements the Company believes are necessary for it to achieve overall improvement in its financial results and increase
business development.
Our services are marketed primarily through referrals and in-person solicitation of target facilities. We also utilize direct mail
campaigns and participate in industry trade shows, health care trade associations and healthcare support service seminars that are
offered in conjunction with state or local health authorities in many of the states in which we conduct our business. Our programs
have been approved for continuing education credits by state nursing home licensing boards in certain states, and are typically
attended by facility owners, administrators and supervisory personnel, thus presenting marketing opportunities for us. Indications
of interest in our services arising from initial marketing efforts are followed up with a presentation regarding our services and an
assessment of the service requirements of the facility. Thereafter, a formal proposal, including operational recommendations and
recommendations for proposed savings, is submitted to the prospective client. Once the prospective client accepts the proposal
and signs the service agreement, we can set up our operations on-site within days.
Government Regulation of Clients
Our clients are subject to government regulation. Congress has enacted a number of major laws during the past several years that
have significantly altered or will alter government reimbursement for nursing home services, including the Patient Protection and
Affordable Care Act and the Health Care and Education Reconciliation Act of 2010. In July 2011, Centers for Medicare and
Medicaid Services (“CMS”) issued a final rule that reduced Medicare payments to nursing centers by 11.1% and changed the
reimbursement for the provision of group rehabilitation therapy services to Medicare beneficiaries. This new rule was effective
as of October 1, 2011. Furthermore, in the coming year and beyond, new proposals or additional changes in existing regulations
could be made which could directly impact the governmental reimbursement programs in which our clients participate. As a result,
some state Medicaid programs are reconsidering previously approved increases in nursing home reimbursement or are considering
delaying or foregoing those increases. A few states have indicated it is possible they will run out of cash to pay Medicaid providers,
including nursing homes.
In January 2013, the U.S. Congress enacted the American Taxpayer Relief Act of 2012, which delayed automatic spending cuts
of $1.2 trillion, including reduced Medicare payments to plans and providers up to 2%. These discretionary spending caps were
originally enacted under provisions in the Budget Control Act of 2011, an initiative to reduce the federal deficit through the year
2021, also known as “sequestration.” The sequestration is set to go into effect starting March 2013, absent further action by
Congress and the Administration.
Although laws and rulings directly affect how clients are paid for certain services, we do not directly participate in any government
reimbursement programs. Accordingly, all of our contractual relationships with our clients continue to determine the clients’
payment obligations to us. However, because clients’ revenues are generally highly reliant on Medicare and Medicaid
reimbursement funding rates, the overall effect of these laws and trends in the long term care industry have affected and could
adversely affect the liquidity of our clients, resulting in their inability to make payments to us on agreed upon payment terms. (See
“Liquidity and Capital Resources”)
The prospects for legislative action, both on the federal and state level (particularly in light of current economic environment
affecting government budgets), regarding funding for nursing homes are uncertain. We are unable to predict or to estimate the
ultimate impact of any further changes in reimbursement programs affecting our clients’ future results of operations and/or their
impact on our cash flows and operations.
Environmental Regulation
The Company’s operations are subject to various federal, state and/or local laws concerning emissions into the air, discharges into
the waterways and the generation, handling and disposal of waste and hazardous substances. The Company’s past expenditures
relating to environmental compliance have not had a material effect on the Company and are included in normal operating expenses.
These laws and regulations are constantly evolving, and it is impossible to predict accurately the effect they may have upon the
capital expenditures, earnings and competitive position of the Company in the future. Based upon information currently available,
management believes that expenditures relating to environmental compliance will not have a material impact on the financial
position of the Company.
7
Service Agreements and Collections
We provide our services primarily pursuant to full service agreements with our clients. In such agreements, we are responsible
for our management and hourly employees located at clients’ facilities. We provide services on the basis of a management agreement
for a very limited number of clients. In such agreements, our services are comprised of providing on-site management personnel,
while the hourly and staff personnel remain employees of the respective client.
We typically adopt and follow the client’s employee wage structure, including its policy of wage rate increases, and pass through
to the client any labor cost increases associated with wage rate adjustments. Under a management agreement, we provide
management and supervisory services while the client facility retains payroll responsibility for its hourly employees. Substantially
all of our agreements are full service agreements. These agreements typically provide for renewable one year terms, cancelable
by either party upon 30 to 90 days’ notice after the initial 90-day period. As of December 31, 2012, we provided services to over
3,000 client facilities.
Although the service agreements are cancelable on short notice, we have historically had a favorable client retention rate and
expect to continue to maintain satisfactory relationships with our clients. The risks associated with short-term service agreements
have not materially affected either our linen and laundry services, which may from time-to-time require capital investment, or our
laundry installation sales, which may require us to finance the sales price. Such risks are often mitigated by certain provisions set
forth in the agreements entered into with our clients.
As a result of the current economic crisis, many states have significant budget deficits. State Medicaid programs are experiencing
increased demand, and with lower revenues than projected, they have fewer resources to support their Medicaid programs. In
addition, Federal health reform legislation has been enacted that would significantly expand state Medicaid programs. As a result,
some state Medicaid programs are reconsidering previously approved increases in nursing home reimbursement or are considering
delaying those increases. A few states have indicated it is possible they will run out of cash to pay Medicaid providers, including
nursing homes. Any of these changes would adversely affect the liquidity of our clients, resulting in their inability to make
payments to us as agreed upon.
In 2009 and 2010, Federal economic stimulus legislation was enacted to counter the impact of the economic crisis on state budgets.
The legislation included the temporary provision of additional federal matching funds to help states maintain their Medicaid
programs. This legislation provided states with an extension of this fiscal relief through June 2011, but at a reduced reimbursement
rate. In July 2011, CMS issued a final rule that reduced Medicare payments to nursing centers by 11.1% and changed the
reimbursement for the provision of group rehabilitation therapy services to Medicare beneficiaries. This new rule was effective
as of October 1, 2011. In January 2013, the U.S. Congress enacted the American Taxpayer Relief Act of 2012, which delayed
automatic spending cuts of $1.2 trillion, including reduced Medicare payments to plans and providers up to 2%. These discretionary
spending caps were originally enacted under provisions in the Budget Control Act of 2011, an initiative to reduce the federal deficit
through the year 2021, also known as “sequestration.” The sequestration is set to go into effect starting March 2013, absent further
action by Congress and the Administration. Even if federal or state legislation is enacted to provide additional funding to Medicaid
providers, given the volatility of the economic environment, it is difficult to predict the impact of this legislation on our clients’
liquidity and their ability to make payments to us as agreed upon.
We have had varying collection experience with respect to our accounts and notes receivable. When contractual terms are not met,
we generally encounter difficulty in collecting amounts due from certain of our clients. Therefore, we have sometimes been required
to extend the period of payment for certain clients beyond contractual terms. These clients include those who have terminated
service agreements and slow payers experiencing financial difficulties. In order to provide for these collection problems and the
general risk associated with the granting of credit terms, we have recorded bad debt provisions (in an Allowance for Doubtful
Accounts) of $2,160,000, $2,450,000 and $2,200,000 in the years ended December 31, 2012, 2011 and 2010, respectively (See
Schedule II - Valuation and Qualifying Accounts and Reserves, for year-end balances). As a percentage of total revenues, these
provisions represent approximately 0.2% for the year ended December 31, 2012 and 0.3% for the years ended December 31, 2011
and 2010. In making our credit evaluations, in addition to analyzing and anticipating, where possible, the specific cases described
above, we consider the general collection risk associated with trends in the long-term care industry. We also establish credit limits,
perform ongoing credit evaluation and monitor accounts to minimize the risk of loss. Notwithstanding our efforts to minimize
credit risk exposure, our clients could be adversely affected if future industry trends change in such a manner as to negatively
impact their cash flows, as discussed in “Government Regulation of Clients” and “Risk Factors” in this report. If our clients
experience a negative impact in their cash flows, it would have a material adverse effect on our consolidated results of operations
and financial condition.
8
Competition
We compete primarily with the in-house support service departments of our potential clients. Most healthcare facilities perform
their own support service functions without relying upon outside management firms. In addition, a number of local firms compete
with us in the regional markets in which we conduct business. Several national service firms are larger and have greater financial
and marketing resources than us, although historically, such firms have concentrated their marketing efforts primarily on hospitals,
rather than the long-term care facilities typically serviced by us. Although the competition to provide service to health care facilities
is strong, we believe that we compete effectively for new agreements, as well as renewals of existing agreements, based upon the
quality and dependability of our services and the cost savings we believe we can usually implement for existing and new clients.
Employees
At December 31, 2012, we employed approximately 7,000 management, office support and supervisory personnel. Of these
employees, approximately 500 held executive, regional/district management and office support positions, and approximately 6,500
of these employees were on-site management personnel. On such date, we employed approximately 33,600 hourly employees.
Many of our hourly employees were previously support employees of our clients. We manage, for a very limited number of our
client facilities, the hourly employees who remain employed by those clients.
Approximately 20% of our hourly employees are unionized. The majority of these employees are subject to collective bargaining
agreements that are negotiated by individual client facilities and are assented to us, so as to bind us as an “employer” under the
agreements. We may be adversely affected by relations between our client facilities and the employee unions. We are also a direct
party to negotiated collective bargaining agreements covering a limited number of employees at a few facilities serviced by us.
We consider our relationship with our employees to be good.
Financial Information about Geographic Areas
Our Housekeeping segment provides services in Canada, although essentially all of its revenues and net income, 99% in each
category, are earned in one geographic area, the United States. The Dietary segment provides services only in the United States.
Available Information
Healthcare Services Group, Inc. is a reporting company under the Securities Exchange Act of 1934, as amended, and files reports,
proxy statements and other information with the Securities and Exchange Commission (the “Commission” or “SEC”). The public
may read and copy any of our filings at the Commissioner’s Public Reference Room at 100 F Street, N.E., Washington, D.C.
20549. You may obtain information on the operation of the Public Reference Room by calling the Commission at 1-800-SEC-0330.
Additionally, because we make filings to the Commission electronically, you may access this information at the Commission’s
internet site: www.sec.gov. This site contains reports, proxies and information statements and other information regarding issuers
that file electronically with the Commission.
Website Access
Our website address is www.hcsgcorp.com. Our filings with the Commission, as well as other pertinent financial and Company
information are available at no cost on our website as soon as reasonably practicable after the filing of such reports with the
Commission.
9
Item 1A. Risk Factors.
You should carefully consider the risk factors we have described below, as well as other related information contained within this
annual report on Form 10-K because these factors could cause the actual results and our financial condition to differ materially
from those projected in forward-looking statements. We believe that the risks described below are our most significant risk factors
but there may be risks and uncertainties that are not currently known to us or that we currently deemed to be immaterial. Therefore,
any such unknown or deemed immaterial risks and uncertainties, as well as those noted below could materially adversely affect
our business, financial condition or results of operations and cash flows.
We provide services to several clients who have substantial national nursing home operations which contribute significantly,
on an individual, as well as aggregate basis, to our total revenues.
We have several clients who each have made a contribution to our total consolidated revenues ranging from 3% to 7%. Although
we expect to continue the relationship with these clients, there can be no assurance thereof. The loss, individually or in combination,
of such clients, or a significant reduction in the revenues we receive from such clients, could have a material adverse effect on the
results of operations of our two operating segments. In addition, if any of these clients change or alter current payment terms it
could increase our accounts receivable balance and have a material adverse effect on our cash flows and cash and cash equivalents.
Our clients are concentrated in the health care industry which is currently facing considerable legislative proposals to reform
it. Many of our clients rely on reimbursement from Medicare, Medicaid and other third-party payors. Rates from such payors
may be altered or reduced, thus affecting our Clients’ results of operations and cash flows.
We provide our services primarily to providers of long-term and post-acute care. In March 2010, the U.S. Congress enacted the
Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, and is considering
further legislation to reform healthcare in the United States which could significantly impact our clients. In July 2011, CMS issued
final rulings which, among other things, reduced, effective October 1, 2011, Medicare payments to nursing centers by 11.1% and
changed the reimbursement for the provision of group rehabilitation therapy services to Medicare beneficiaries. In January 2013,
the U.S. Congress enacted the American Taxpayer Relief Act of 2012, which delayed automatic spending cuts of $1.2 trillion,
including reduced Medicare payments to plans and providers up to 2%. These discretionary spending caps were originally enacted
under provisions in the Budget Control Act of 2011, an initiative to reduce the federal deficit through the year 2021, also known
as “sequestration.” The sequestration is set to go into effect starting March 2013, absent further action by Congress and the
Administration. The sequestration is projected to reduce Medicare spending by $11 billion in 2013, with annual reductions as high
as $18 billion through 2021. Some states have enacted or are considering enacting measures designed to reduce their Medicaid
expenditures. We cannot predict what efforts, and to what extent, such legislation and proposals to contain healthcare costs will
ultimately impact our clients’ revenues through reimbursement rate modifications. Congress has enacted a number of major laws
during the past decade that have significantly altered, or may alter, overall government reimbursement for nursing home services.
Because our clients’ revenues are generally highly reliant on Medicare, Medicaid and other third-party payors’ reimbursement
funding rates and mechanisms, the overall effect of these laws and trends in the long term care industry have affected and could
adversely affect the liquidity of our clients, resulting in their inability to make payments to us on agreed upon payment terms.
These factors, in addition to delays in payments from clients have resulted in, and could continue to result in, significant additional
bad debts in the future.
Federal health care reform legislation’s eventual impact, including requiring most individuals to have health insurance and
establish new regulation on health plans, may adversely affect our business and results of operations.
The Act includes a large number of health-related provisions that become effective over the next several years, including requiring
most individuals to have health insurance and establishing new regulations on health plans. While much of the cost of the recent
healthcare legislation enacted will occur on or after January 1, 2014 due to provisions of the legislation being phased in over time,
changes to our healthcare cost structure could have an impact on our business and operating costs. Providing such additional
health insurance benefits to our employees or the payment of penalties if such coverage is not provided, would increase our expense.
If we are unable to pass-through these charges to our clients to cover this expense, such increases in expense could adversely
impact our business and operating costs.
We have clients located in many states which have had and may continue to experience significant budget deficits and such
deficits may result in reduction of reimbursements to nursing homes.
Many states, in which our clients are located, have significant budget deficits as a result of lower than projected revenue collections
and increased demand for the funding of entitlements. As a result of these and other adverse economic factors, States Medicaid
programs are reconsidering previously approved increases in nursing home reimbursement or are considering delaying those
10
increases. Some states have over the past year indicated they may be unable to make entitlement payments, including Medicaid
payments to nursing homes. Any disruption or delay in the distribution of Medicaid and related payments to our clients will
adversely affect their liquidity and impact their ability to pay us as agreed upon for the services provided.
The Company has substantial investment in the creditworthiness and financial condition of our customers.
The largest current asset on our balance sheet on a net basis is our accounts and notes receivable balances from our customers.
We grant credit to substantially all of our customers. Deterioration in financial condition across a significant component of our
customer base could hinder our ability to collect amounts from our customers. The potential causes of such decline include national
or local economic downturns, customers’ dependence on continued Medicare and Medicaid funding and the impact of additional
regulatory actions. When contractual terms are not met, we generally encounter difficulty in collecting amounts due from certain
of our clients. Therefore, we have sometimes been required to extend the period of payment for certain clients beyond contractual
terms. These clients include those who have terminated service agreements and slow payers experiencing financial difficulties.
In making our credit evaluations, in addition to analyzing and anticipating, where possible, the specific cases described above, we
consider the general collection risk associated with trends in the long-term care industry. We also establish credit limits, perform
ongoing credit evaluation and monitor accounts to minimize the risk of loss. Notwithstanding our efforts to minimize credit risk
exposure, our clients could be adversely affected if future industry trends change in such a manner as to negatively impact their
cash flows. If our clients experience a negative impact in their cash flows, it would have a material adverse effect on our consolidated
results of operations, financial condition and cash flows.
We have a Paid Loss Retrospective Insurance Plan for general liability and workers’ compensation insurance.
We self-insure or carry a high deductible, and therefore retain a substantial portion of the risk associated with the expected losses
under our general liability and workers compensation programs. Under our insurance plans for general liability and workers’
compensation, predetermined loss limits are arranged with our insurance company to limit both our per occurrence cash outlay
and annual insurance plan cost. We regularly evaluate our claims pay-out experience, present value factor and other factors related
to the nature of specific claims in arriving at the basis for our accrued insurance claims estimate. Our evaluation is based primarily
on current information derived from reviewing our claims experience and industry trends. In the event that our known claims
experience and/or industry trends result in an unfavorable change in initial estimates of costs to settle such claims resulting from,
among other factors, the severity levels of reported claims and medical cost inflation, it would have an adverse effect on our
consolidated results of operations, financial condition and cash flows.
Federal, State and Local tax rules can adversely impact our results of operations and financial position.
We are subject to Federal, State and Local taxes in the United States and Canada. Significant judgment is required in determining
the provision of income taxes. We believe our income tax estimates are reasonable. Although, if the Internal Revenue Service or
other taxing authority disagrees with a taken tax position and upon final adjudication we are unsuccessful, we could incur additional
tax liability, including interest and penalty. Such costs and expenses could have a material adverse impact on our results of
operations and financial position. Additionally, the taxability of our services is subject to various interpretations within the taxing
jurisdictions of our markets. Consequently, in the ordinary course of business, a jurisdiction may contest our reporting positions
with respect to the application of its tax code to our services. A jurisdiction’s conflicting position on the taxability of our services
could result in additional tax liabilities which we may not be able to pass on to our clients or could negatively impact our competitive
position in the respective location. Additionally, if we or one of our employees fail to comply with applicable tax laws and
regulations we could suffer civil or criminal penalties in addition to the delinquent tax assessment. In the taxing jurisdictions
where our services have been determined to be subject to tax, the jurisdiction may increase the tax rate assessed on such services.
We endeavor to pass-through to our clients such tax increases. In the event we are not able to pass-through any portion of the tax
increase, it may have an adverse impact on our gross margin.
Our business and financial results could be adversely affected by unfavorable results of material litigation or governmental
inquiries.
We are currently involved in civil litigations and government inquiries which arise in the ordinary course of business. These
matters are related to, among other things, general liability, payroll or employee-related matters, as well as inquiries from
governmental agencies. Legal actions could result in substantial monetary damages as well as adversely affect our reputation and
business status with our clients whether we are ultimately determined to be liable or not. The outcome of litigation, particularly
class action lawsuits and regulatory actions, is difficult to assess or quantify. The plaintiffs in these types of actions may seek
recovery of very large or indeterminate amounts, and such amounts may remain unknown for substantial periods of time.
11
We assess contingencies to determine the degree of probability and range of possible loss of potential accrual in our financial
statements. We would accrue an estimated loss contingency in our financial statements if it were probable that a liability had been
incurred and the amount of the loss could be reasonably estimated. Due to the unpredictable and unfavorable nature of litigation,
assessing contingencies is highly subjective and requires judgments about future events. The amount of actual losses may differ
from our current assessment. As a result of the costs and expenses of defending ourselves against lawsuits or claims, and risks
and consequences of legal actions, regardless of merit, our results of operations and financial position could be adversely affected
or cause variability in our results compared to expectations.
We primarily provide our services pursuant to agreements which have a one year term, cancelable by either party upon 30 to
90 days’ notice after the initial 90-day service agreement period.
We do not enter into long-term contractual agreements with our clients for the rendering of our services. Consequently, our clients
can unilaterally decrease the amount of services we provide or terminate all services pursuant to the terms of our service agreements.
Any loss of a significant number of clients during the first year of providing services, for which we have incurred significant start-
up costs or invested in an equipment installation, could in the aggregate materially adversely affect our consolidated results of
operations and financial position.
We are dependent on the management experience of our key personnel.
We manage and provide our services through a network of management personnel, from the on-site facility manager up to our
executive officers. Therefore, we believe that our ability to recruit and sustain the internal development of managerial personnel
is an important factor impacting future operating results and our ability to successfully execute projected growth strategies. Our
professional management personnel are the key personnel in maintaining and selling additional services to current clients and
obtaining new clients.
We may be adversely affected by inflationary or market fluctuations in the cost of products consumed in providing our services
or our cost of labor. Additionally, we rely on certain vendors for housekeeping, laundry and dietary supplies.
The prices we pay for the principal items we consume in performing our services are dependent primarily on current market prices.
We have consolidated certain supply purchases with national vendors through agreements containing negotiated prospective
pricing. In the event such vendors are not able to comply with their obligations under the agreements and we are required to seek
alternative suppliers, we may incur increased costs of supplies.
Dietary supplies, to a much greater extent than Housekeeping supplies, are impacted by commodity pricing factors, which in many
cases are unpredictable and outside of our control. Although we endeavor to pass on to clients such increased costs, from time to
time, sporadic unanticipated increases in the costs of certain supply items due to market economic conditions may result in a
timing delay in passing on such increases to our clients. It is this type of spike in Dietary supplies’ costs that could most adversely
affect Dietary’s operating performance. The adverse effect would be realized if we delay in passing on such costs to our clients
or in instances where we may not be able to pass such increase on to our clients until the time of our next scheduled service billing
review. We endeavor to mitigate the impact of unanticipated increase in such supplies’ costs through consolidation of vendors,
which increases our ability to obtain reduced pricing.
Our cost of labor may be influenced by unanticipated factors in certain market areas or increases in the respective collective
bargaining agreements of our clients, to which we assent. A substantial number of our employees are hourly employees whose
wage rates are affected by increases in the federal or state minimum wage rate. We are subject to the Fair Labor Standards Act,
which governs such matters as minimum wages, overtime and other working conditions. As collective bargaining agreements are
renegotiated or minimum wage rates increase, which will occur in ten states in 2013, we may need to increase the wages paid to
employees. This may be applicable to not only minimum wage employees but also to employees at wage rates which are currently
above the minimum wage. Although we have contractual rights to pass such wage increases through to our clients, our delay in,
or inability to pass such wage increases through to our clients could have a material adverse effect on financial condition, results
of operations and cash flows.
Any perceived or real health risks related to the food industry could adversely affect our Dietary segment.
We are subject to risks affecting the food industry generally, including food spoilage and food contamination. Our products are
susceptible to contamination by disease-producing organisms, or pathogens, such as listeria monocytogenes, salmonella,
campylobacter, hepatitis A, trichinosis and generic E. coli. Because these pathogens are generally found in the environment, there
is a risk that these pathogens could be introduced to our products as a result of improper handling at the manufacturing, processing
or food service level. Our suppliers' manufacturing facilities and products are subject to extensive laws and regulations relating
12
to health, food preparation, sanitation and safety standards. Difficulties or failures by these companies in obtaining any required
licenses or approvals or otherwise complying with such laws and regulations could adversely affect our revenue that is generated
from these companies. Furthermore, there can be no assurance that compliance with governmental regulations by our suppliers
will eliminate the risks related to food safety.
Events reported in the media, such as incidents involving food-borne illnesses or food tampering, whether or not accurate, can
cause damage to the reputation of our dietary segment. In addition, to the extent there is an outbreak of food related illness in any
of our client facilities, it could materially harm our business, results of operations and financial condition.
Our investments represent a significant amount of our assets that may be subject to fluctuating and even negative returns
depending upon interest rate movements and financial market conditions.
Although management believes we have a prudent investment policy, we are exposed to fluctuations in interest rates and in the
market values of our investment portfolio which could adversely impact our financial condition and results of operations. Our
marketable securities are primarily invested in municipal bonds. We believe that our investment criteria which includes reducing
our exposure to individual states, requiring certain credit ratings and limiting our investments’ duration period, reduces our exposure
related to the financial duress and budget shortfalls that many state and local governments currently face.
Market expectations are high and rely greatly on execution of our growth strategy and related increases in financial
performance.
Management believes the historical price increases of our Common Stock reflect high market expectations for our future operating
results. In particular, our ability to attract new clients, through organic growth or acquisitions, has enabled us to execute our growth
strategy and increase market share. Our business strategy focuses on growth and improving profitability through obtaining service
agreements with new clients, providing new services to existing clients, obtaining modest price increases on service agreements
with clients and maintaining internal cost reduction strategies at our various operational levels. In respect to providing new services
to new or existing clients, our strategy is to achieve corresponding profit margins in each of our segments. If, in the event we are
not able to continue either historical client revenue and profitability growth rates or projected improvement in such factors, our
operating performance may be adversely affected and the high expectations for our market performance may not be met. Any
failure to meet the market’s high expectations for our revenue and operating results may have an adverse effect on the market
price of our Common Stock.
Failure to maintain effective internal control over financial reporting could have a material adverse effect on our ability to
report our financial results on a timely and accurate basis.
We are required to maintain internal control over financial reporting pursuant to Rule 13a-15 under the Exchange Act. Failure to
maintain such controls could result in misstatements in our financial statements and potentially subject us to sanctions or
investigations by the SEC or other regulatory authorities or could cause us to delay the filing of required reports with the SEC and
our reporting of financial results. Any of these events could result in a decline in the price of shares of our common stock. Although
we have taken steps to maintain our internal control structure as required, we cannot assure you that control deficiencies will not
result in a misstatement in the future.
Recent government regulations may impact our ability to distribute dividends or the amount of such dividends to shareholders.
Any decrease in or suspension of our dividend could cause our stock price to decline.
We expect to continue to pay a regular quarterly cash dividend. However, our dividend policy and the payment of future cash
dividends under the policy are subject to the final determination each quarter by our Board of Directors that (i) the dividend will
be made in compliance with laws applicable to the declaration and payment of cash dividends, including Section 1551(b) of the
Pennsylvania Business Corporation Law, and (ii) the policy remains in our best interests, which determination will be based on a
number of factors, including the impact of changing laws and regulations, economic conditions, our results of operations and/or
financial condition, capital resources, the ability to satisfy financial covenants and other factors considered relevant by the Board
of Directors. Given these considerations, our Board of Directors may increase or decrease the amount of the dividend at any time
and may also decide to suspend or discontinue the payment of cash dividends in the future. Any decrease in the amount of the
dividend, or suspension or discontinuance of payment of a dividend, could cause our stock price to decline.
13
Item 1B. Unresolved Staff Comments.
None.
Item 2. Properties.
We lease our corporate offices, located at 3220 Tillman Drive, Suite 300, Bensalem, Pennsylvania 19020. We also lease office
space at other locations in Pennsylvania, Colorado, South Carolina, Connecticut, Georgia, Illinois, California and New Jersey.
These locations serve as divisional or regional offices providing management and administrative services to both of our operating
segments in their respective geographical areas.
We are also provided with office and storage space at each of our client facilities.
Management does not foresee any difficulties with regard to the continued utilization of all of the aforementioned premises. We
also believe that such properties are sufficient for our current operations.
We presently own laundry equipment, office furniture and equipment, housekeeping equipment and vehicles. Such office furniture
and equipment, and vehicles are primarily located at our corporate office, warehouse, and divisional and regional offices. We have
housekeeping equipment at all client facilities where we provide services under a full service housekeeping agreement. Generally,
the aggregate cost of housekeeping equipment located at each client facility is less than $2,500. Additionally, we have laundry
installations at approximately 90 client facilities. Our cost of such laundry installations ranges between $5,000 and $100,000. We
believe that such laundry equipment, office furniture and equipment, housekeeping equipment and vehicles are sufficient for our
current operations.
Item 3. Legal Proceedings.
In the normal course of business, the Company is involved in various administrative and legal proceedings, including labor and
employment, contracts, personal injury, and insurance matters. The Company believes it is not a party to, nor are any of its properties
the subject of, any pending legal proceeding or governmental examination that would have a material adverse effect on the
Company's consolidated financial condition or liquidity.
Item 4. Mine Safety Disclosures.
Not applicable.
14
PART II
Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities.
Market Information
Our common stock, $.01 par value (the “Common Stock”), is traded under the symbol “HCSG” on the NASDAQ Global Select
Market. On February 19, 2013, there were approximately 68,253,000 shares of Common Stock outstanding and held by non-
affiliates.
The high and low sales price quotations for our Common Stock during the years ended December 31, 2012 and 2011 ranged as
follows:
Quarter Ended
March 31, 2012
June 30, 2012
September 30, 2012
December 31, 2012
Quarter Ended
March 31, 2011
June 30, 2011
September 30, 2011
December 31, 2011
Holders
2012
High
Low
22.08
21.83
23.55
24.49
$
$
$
$
2011
High
Low
18.06
18.37
17.64
18.85
$
$
$
$
17.30
17.60
19.02
21.47
15.53
15.43
12.16
15.25
$
$
$
$
$
$
$
$
We have been advised by our transfer agent, American Stock Transfer and Trust Company, that we had 700 holders of record of
our Common Stock as of February 19, 2013. Based on reports of security position listings compiled for the 2012 annual meeting
of shareholders, we believe we may have approximately 6,000 beneficial owners of our Common Stock.
Dividends
We have paid regular quarterly cash dividends since the second quarter of 2003. During 2012, we paid regular quarterly cash
dividends totaling $44,093,000 as detailed below:
Cash dividend per common share
Total cash dividends paid
Record date
Payment date
Quarter Ended
March 31, 2012
June 30, 2012
September 30, 2012
December 31, 2012
$
$
$
$
0.16125
10,847,000
February 24
March 26
0.16250
10,956,000
$
$
April 27
May 18
0.16375
11,063,000
July 27
$
$
0.16500
11,227,000
October 26
August 24
November 30
Additionally, on January 22, 2013, our Board of Directors declared a regular quarterly cash dividend of $0.16625 per common
share, which will be paid on March 15, 2013 to shareholders of record as of the close of business on February 22, 2013.
Our Board of Directors reviews our dividend policy on a quarterly basis. Although there can be no assurance that we will continue
to pay dividends or the amount of the dividend, we expect to continue to pay a regular quarterly cash dividend. In connection with
the establishment of our dividend policy, we adopted a Dividend Reinvestment Plan in 2003.
15
Performance Graph
The graph below matches Healthcare Services Group, Inc.’s cumulative 5-year total shareholder return on common stock with the
cumulative total returns of the S&P 500 index and the S&P Health Care Distributors index. The graph tracks the performance of
a $100 investment in our common stock and in each of the indexes (with the reinvestment of all dividends) from 12/31/2007 to
12/31/2012.
Comparison of 5 Year Cumulative Total Return*
Among Healthcare Services Group, Inc., the S&P 500 Index,
and the S&P Health Care Distributors Index
*$100 invested on 12/31/07 in stock or index, including reinvestment of dividends.
Fiscal year ending December 31.
Copyright© 2013 S&P, a division of The McGraw-Hill Companies Inc. All rights reserved.
Company/Index
Healthcare Services Group, Inc.
S&P 500
S&P Health Care Distributors
12/31/2007
12/31/2008
12/31/2009
12/31/2010
12/31/2011
12/31/2012
$
$
$
100.00
100.00
100.00
$
$
$
77.87
63.00
62.79
$
$
$
109.29
79.67
91.40
$
$
$
129.34
91.67
109.16
$
$
$
146.03
93.61
119.40
$
$
$
197.63
108.59
139.41
The stock price performance included in this graph is not necessarily indicative of future price performance.
16
Item 6. Selected Financial Data.
The following selected condensed consolidated financial data has been derived from, and should be read in conjunction with
“Management’s Discussion and Analysis of Financial Condition and Results of Operations” and our Consolidated Financial
Statements and Notes thereto, included elsewhere in this report on Form 10-K and incorporated herein by reference.
Selected Operating Results
Revenues
Net income
Basic earnings per common share
Diluted earnings per common share
Selected Balance Sheet Date
Total assets
Stockholders’ equity
Selected Other Financial Data
Working capital
Cash dividends per common share
Weighted average number of common shares outstanding - basic EPS
Weighted average number of common shares outstanding - diluted EPS
Years Ended December 31,
2012
2011
2010
2009
2008
(in thousands, except per share amounts)
$ 1,077,435
$
$
$
$
$
$
$
44,214
0.65
0.65
331,183
229,570
200,182
0.65
67,511
68,485
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
889,065
38,156
0.57
0.56
289,695
217,726
186,734
0.63
66,637
67,585
$
$
$
$
$
$
$
$
773,956
34,441
0.52
0.51
277,934
213,079
181,244
0.60
65,917
67,008
$
$
$
$
$
$
$
$
692,695
30,342
0.46
0.46
265,892
208,774
177,453
0.49
65,376
66,429
602,718
26,614
0.41
0.40
248,561
201,682
177,573
0.39
64,697
66,038
Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operation.
You should read the following discussion and analysis of our financial condition and results of our operations in conjunction with
our consolidated financial statements and the related notes to those statements included elsewhere in this report. This discussion
contains forward-looking statements reflecting our current expectations that involve risks and uncertainties. Our actual results
and the timing of events may differ materially from those contained in these forward-looking statements due to a number of factors,
including those discussed in the section entitled "Risk Factors," and elsewhere in this prospectus. We are on a calendar year end,
and except where otherwise indicated below, "2012" refers to the year ended December 31, 2012, "2011" refers to the year ended
December 31, 2011 and "2010" refers to the year ended December 31, 2010.
Results of Operations
The following discussion is intended to provide the reader with information that will be helpful in understanding our financial
statements including the changes in certain key items in comparing financial statements period to period. We also intend to provide
the primary factors that accounted for those changes, as well as a summary of how certain accounting principles affect our financial
statements. In addition, we are providing information about the financial results of our two operating segments to further assist
in understanding how these segments and their results affect our consolidated results of operations. This discussion should be read
in conjunction with our financial statements as of December 31, 2012 and the year then ended and the notes accompanying those
financial statements contained herein under Item 8.
Overview
We provide management, administrative and operating expertise and services to the housekeeping, laundry, linen, facility
maintenance and dietary service departments of the health care industry, including nursing homes, retirement complexes,
rehabilitation centers and hospitals located throughout the United States. We believe that we are the largest provider of housekeeping
and laundry management services to the long-term care industry in the United States, rendering such services to over 3,000 facilities
in 48 states as of December 31, 2012. Although we do not directly participate in any government reimbursement programs, our
clients’ reimbursements are subject to government regulation. Therefore, our clients are directly affected by any legislation relating
to Medicare and Medicaid reimbursement programs.
We provide our services primarily pursuant to full service agreements with our clients. In such agreements, we are responsible
for the day to day management of the department managers and hourly employees located at our clients’ facilities. We also provide
17
services on the basis of a management-only agreement for a very limited number of clients. Our agreements with clients typically
provide for renewable one year service terms, cancelable by either party upon 30 to 90 days’ notice after the initial 90-day period.
We are organized into two reportable segments; housekeeping, laundry, linen and other services (“Housekeeping”), and dietary
department services (“Dietary”). At December 31, 2012, Housekeeping is provided at essentially all of our 3,000 client facilities,
generating approximating 68% or $737,568,000 of 2012 total revenues. Dietary is provided to approximately 600 client facilities
at December 31, 2012 and contributed approximately 32% or $339,867,000 of 2012 total revenues.
Housekeeping consists of managing the client’s housekeeping department which is principally responsible for the cleaning,
disinfecting and sanitizing of patient rooms and common areas of a client’s facility, as well as laundering and processing of the
personal clothing belonging to the facility’s patients. Also within the scope of this segment’s service is the responsibility for
laundering and processing the bed linens, uniforms and other assorted linen items utilized by a client facility.
Dietary consists of managing the client’s dietary department which is principally responsible for food purchasing, meal preparation
and providing dietitian consulting professional services, which includes the development of a menu that meets the patient’s dietary
needs.
Our ability to acquire new clients and increase revenues is affected by many factors. Competitive factors consist primarily of
competing with the potential client utilizing an in-house support staff, as well as local companies which provide services similar
to ours. We are unaware of any other companies, on a national or local level, which have a significant presence or impact on our
procurement of new clients in our market. We believe the primary revenue drivers of our business are our ability to obtain new
clients and to pass through, by means of service billing increases, increases in our cost of providing the services. In addition to
the recoupment of costs increases, we endeavor to obtain modest annual revenue increases from our existing clients to preserve
current profit margins at the facility level. The primary economic factor in acquiring new clients is our ability to demonstrate the
cost-effectiveness of our services. This is because many of our clients’ revenues are generally highly reliant on Medicare and
Medicaid reimbursement funding rates and mechanisms. Therefore, their economic decision-making process in engaging us is
driven significantly by their reimbursement funding rate structure in relation to how their costs are currently being reimbursed
and the financial impact on their reimbursement as a result of engaging us for the respective services. Another factor is our ability
to demonstrate to potential clients the benefit of being relieved of the administrative and operational challenges related to the day-
to-day management of their respective department services for which they contract with us. In addition, we must be able to assure
new clients that we will be able to improve the quality of service which they are providing to their patients and residents. We
believe the factors discussed above are equally applicable to each of our segments with respect to acquiring new clients and
increasing revenues.
Our costs of services can experience volatility and impact our operating performance in two key cost indicators: costs of labor
and costs of supplies. The volatility of these costs impacts each segment somewhat differently due to the respective costs as a
percentage of that segment’s revenues. Housekeeping is more significantly impacted than Dietary as a consequence of our
management of our costs of labor. Such costs of labor can account for approximately 80% of Housekeeping revenues. Dietary
costs of labor account for approximately 52% of Dietary revenues. Changes in wage rates as a result of legislative or collective
bargaining actions, anticipated staffing levels, and other unforeseen variations in our use of labor at a client service location or in
management labor costs will result in volatility of these costs. In contrast, supplies consumed in performing our services is more
significant for Dietary, accounting for approximately 39% of Dietary revenues, of total operating costs incurred at a Dietary facility
service location. Housekeeping supplies, including linen products, account for approximately 8% of Housekeeping revenues.
Generally, the volatility of these expenses is influenced by factors outside of our control and is unpredictable. This is because
Housekeeping and Dietary supplies are principally commodity products and affected by market conditions specific to the respective
products. Although we endeavor to pass on such increases in labor and supplies costs to our clients, the inability or delay in
procuring service billing increases to reflect these additional costs would negatively impact our profit margins.
As a result of the current economic crisis, many states have significant budget deficits. State Medicaid programs are experiencing
increased demand, and with lower revenues than projected, they have fewer resources to support their Medicaid programs. In
addition, comprehensive health care legislation under the Patient Protection and Affordable Care Act and the Health Care and
Education Reconciliation Act of 2010 (together, the “Act”) was signed into law in March 2010. The Act will significantly impact
the governmental healthcare programs in which our clients participate, and reimbursements received thereunder from governmental
or third-party payors. In July 2011, Centers for Medicare and Medicaid Services (“CMS”) issued a final rule that reduced Medicare
payments to nursing centers by 11.1% and changed the reimbursement for the provision of group rehabilitation therapy services
to Medicare beneficiaries. This new rule was effective as of October 1, 2011. Furthermore, in the coming year and beyond, new
proposals or additional changes in existing regulations could be made to the Act which could directly impact the governmental
reimbursement programs in which our clients participate. As a result, some state Medicaid programs are reconsidering previously
approved increases in nursing home reimbursement or are considering delaying or foregoing those increases. A few states have
18
indicated it is possible they will run out of cash to pay Medicaid providers, including nursing homes. Any negative changes in our
clients’ reimbursements may negatively impact our results of operations. Although we are currently evaluating the Act’s effect on
our client base, we may not know the full effect until such time as these laws are fully implemented and CMS and other agencies
issue applicable regulations or guidance. Additionally, even if federal or state legislation is enacted that provides additional funding
to Medicaid providers, given the volatility of the economic environment, it is difficult to predict the impact of this legislation on
our clients’ liquidity and their ability to make payments to us as agreed.
In January 2013, the U.S. Congress enacted the American Taxpayer Relief Act of 2012, which delayed automatic spending cuts
of $1.2 trillion, including reduced Medicare payments to plans and providers up to 2%. These discretionary spending caps were
originally enacted under provisions in the Budget Control Act of 2011, an initiative to reduce the federal deficit through the year
2021, also known as “sequestration.” The sequestration is set to go into effect starting March 2013, absent further action by
Congress and the Administration.
We currently operate two wholly-owned subsidiaries, Huntingdon Holdings, Inc. (“Huntingdon”) and Healthcare Staff Leasing
Solutions, LLC (“Staff Leasing”). Huntingdon invests our cash and cash equivalents, and manages our portfolio of available-for-
sale marketable securities. Staff Leasing is an entity formed in 2011 to offer professional employer organization (“PEO”) services
to potential clients in the health care industry. As of December 31, 2012, we have PEO service contracts in two states.
Consolidated Operations
The following table sets forth, for the years indicated, the percentage which certain items bear to consolidated revenues:
Revenues
Operating costs and expenses:
Costs of services provided
Selling, general and administrative
Investment and interest income
Income before income taxes
Income taxes
Net income
Relation to Consolidated Revenues
Years Ended December 31,
2012
2011
2010
100.0%
100.0%
100.0%
86.4%
7.4%
0.3%
6.5%
2.4%
4.1%
86.3%
7.3%
0.1%
6.5%
2.2%
4.3%
85.9%
7.4%
0.3%
7.0%
2.5%
4.5%
Subject to the factors noted in the Cautionary Statement Regarding Forward Looking Statements included in this report, we
anticipate, although there can be no assurance thereof, our financial performance in 2013 may be comparable to the
2012 percentages presented in the above table as they relate to consolidated revenues.
Housekeeping is our largest and core reportable segment, representing approximately 68% of 2012 consolidated revenues. Dietary
revenues represented approximately 32% of 2012 consolidated revenues.
Although there can be no assurance thereof, we believe that in 2013 Dietary’s revenues, as a percentage of consolidated revenues,
will increase from its respective 2012 percentages noted above. Furthermore, we expect the sources of growth in 2013 for the
respective operating segments will be primarily the same as historically experienced. Accordingly, although there can be no
assurance thereof, the growth in Dietary is expected to come from our current Housekeeping client base, while growth in
Housekeeping will primarily come from obtaining new clients.
19
Fiscal 2012 Compared to Fiscal 2011
The following table sets forth 2012 income statement key components that we use to evaluate our financial performance on a
consolidated and reportable segment basis compared to 2011 amounts. The differences between the reportable segments’ operating
results and other disclosed data and our consolidated financial statements relate primarily to corporate level transactions and
recording of transactions at the reportable segment level which use methods other than generally accepted accounting principles.
Consolidated
%
Change
Corporate and
Eliminations
Amount
%
Change
Amount
%
Change
Reportable Segments
Housekeeping
Dietary
Revenues
$ 1,077,435,000
21.2% $
173,000
$ 737,407,000
12.6% $ 339,855,000
930,814,000
79,277,000
21.4
21.4
2,920,000
188.8
(58,545,000)
667,978,000
12.9
321,381,000
79,277,000
2,920,000
—
—
—
—
—
—
$
70,264,000
21.5% $
(17,639,000) $
69,429,000
9.5% $
18,474,000
58.2%
45.1%
44.4
—
—
Cost of services provided
Selling, general and administrative
Investment and interest income
Income before income taxes
Revenues
Consolidated
Consolidated revenues increased 21.2% to $1,077,435,000 in 2012 compared to $889,065,000 in 2011 as a result of the factors
discussed below under Reportable Segments.
Reportable Segments
Housekeeping’s 12.6% net growth in reportable segment revenues resulted primarily from an increase in revenues attributable to
service agreements entered into with new clients.
Dietary’s 45.1% net growth in reportable segment revenues is primarily a result of providing this service to a greater number of
existing Housekeeping clients.
Costs of services provided
Consolidated
As a percentage of consolidated revenues, cost of services increased to 86.4% in 2012 from 86.3% in 2011. The following table
provides a comparison of the primary cost of services provided-key indicators that we manage on a consolidated basis in evaluating
our financial performance.
Cost of Services Provided-Key Indicators as % of Revenue
2012 %
2011 %
% Change
Bad debt provision
Workers’ compensation and general liability insurance
0.2
3.4
0.3
3.5
(0.1)
(0.1)
The bad debt provision decreased primarily due to our assessment of the collectability of our receivables, along with the overall
increase in revenues, which increased at a much more significant rate than our receivables for the year ended December 31, 2012
as compared to 2011. When we evaluate that there is an uncertainty associated with the collectability of amounts due from a client,
we record a bad debt provision based upon our initial estimate of ultimate collectability. We revise such provision as additional
information is available which we believe enables us to make a more accurate estimate of the collectability of an account. Some
of our clients may experience liquidity problems because of governmental funding or operational issues. Such liquidity problems
may cause them to not pay us as agreed upon or necessitate them filing for bankruptcy protection. In the event of additional clients
filing for bankruptcy protection, we would increase our bad debt provision during the reporting period when such filing occurs.
Therefore, if more clients file for bankruptcy protection or if we have to increase our current provision related to existing
bankruptcies, our bad debt provision may increase from our last two years’ average as a percentage of consolidated revenues.
The workers’ compensation and general liability insurance expense decreased primarily due to more favorable claims' experience
during the year ended December 31, 2012 compared to 2011.
20
Reportable Segments
Cost of services provided for Housekeeping, as a percentage of Housekeeping revenues for 2012, increased slightly to 90.6%
compared to 90.3% in 2011. Cost of services provided for Dietary, as a percentage of Dietary revenues for 2012, decreased slightly
to 94.6% from 95.0% in 2011.
The following table provides a comparison of the primary cost of services provided-key indicators, as a percentage of the respective
segment’s revenues that we manage on a reportable segment basis in evaluating our financial performance:
Cost of Services Provided-Key Indicators as % of Revenue
2012 %
2011 %
% Change
Housekeeping labor and other labor costs
Housekeeping supplies
Dietary labor and other labor costs
Dietary supplies
80.3
7.8
52.3
39.3
80.5
7.2
52.6
39.4
(0.2)
0.6
(0.3)
(0.1)
Housekeeping labor and other labor costs, as a percentage of Housekeeping revenues, decreased due to increased efficiencies in
managing these costs at the facility level. The increase in Housekeeping supplies, as a percentage of Housekeeping revenues,
resulted primarily from an increase in linen supplies due to the growth in laundry and linen revenue compared to overall
Housekeeping revenues. Additionally, we have added more clients where we provide a greater amount of supplies under the terms
of our service agreements compared to what we have historically provided to our client base.
Dietary labor and other labor costs, as a percentage of Dietary revenues, decreased due to increased efficiencies in managing these
costs at the facility level. The decrease in Dietary supplies, as a percentage of Dietary revenues, is a result of more favorable
vendor pricing programs obtained through further consolidation of dietary supply vendors.
Consolidated Selling, General and Administrative Expense
Year Ended December 31,
2012
2011
% Change
Selling, general and administrative expense w/o deferred compensation change (a) $
77,559,000
Deferred compensation fund gain/(loss)
Consolidated selling, general and administrative expense (b)
1,718,000
$
79,277,000
$
$
65,410,000
(104,000)
65,306,000
18.6%
1,752.0%
21.4%
(a) Selling, general and administrative expense excluding the change in the market value of the deferred compensation fund.
(b) Consolidated selling, general and administrative expense reported for the period presented.
Although our growth in consolidated revenues was 21.2% for the year ended December 31, 2012, selling, general and administrative
expenses excluding the change in market value of the deferred compensation fund increased 18.6% or $12,149,000 compared to
the 2011 comparable period. Consequently, for the year ended December 31, 2012, selling, general and administrative expenses
(excluding the impact of deferred compensation fund), as a percentage of consolidated revenues, decreased to 7.2% of consolidated
revenues as compared to 7.4% in the 2011 comparable period. This percentage decrease resulted primarily from the decrease in
our payroll and payroll related expenses, travel related costs and professional fees as a percentage of revenues. The decrease in
payroll and payroll related costs resulted from the improved leverage of our existing management structure to support the increased
revenue. In 2013, we expect to incur selling, general and administrative expenses as a percentage of consolidated revenues consistent
with historical levels.
The increase in consolidated selling, general and administrative expenses was primarily due to the increase in compensation
expense (reported in this financial statement item), including the increase in the deferred compensation liability due to an increase
in the market value of the investments held in our deferred compensation fund as noted below in Consolidated Investment and
Interest Income. Consolidated selling, general and administrative expenses increased $13,971,000 or 21.4%.
21
Consolidated Investment and Interest Income
Investment and interest income, as a percentage of consolidated revenues, increased to 0.3% for the year ended December 31,
2012 compared to 0.1% for the comparable period in 2011. We recognized an increase in the market value of the investments held
in our deferred compensation fund compared to a decrease in the market value in the prior year. The decrease in interest income
derived from our marketable securities resulted partially from a decrease in the amount of change in our marketable securities
portfolio during 2012 to support our growth in our Housekeeping and Dietary revenues.
Income before Income Taxes
Consolidated
As a result of the discussion above related to revenues and expenses, consolidated income before income taxes for 2012 remained
consistent at 6.5%, as a percentage of consolidated revenues, compared to 2011.
Reportable Segments
Housekeeping’s increase in income before income taxes is primarily attributable to the key indicators discussed above, specifically
the increase in reportable segment revenues, as well as the decrease in labor and labor related costs as a percentage of revenue,
partially offset by the increased cost of housekeeping supplies.
Dietary’s increase in income before income taxes is primarily attributable to the key indicators discussed above, specifically the
increase in reportable segment revenues, as well as the decrease in labor and labor related costs as a percentage of revenue, partially
offset by the increased cost of dietary supplies.
Consolidated Income Taxes
Our effective tax rate was 37.1% for the year ended December 31, 2012 and 34.0% for 2011. The increase in the effective tax
rate was primarily the result of decreased tax credits realized in 2012. The Company realized tax credits in 2011 from the New
Hire Retention Credit (the “NHR Credit”), which was a one-time general business credit at the Federal level that was authorized
by the Hiring Incentives to Restore Employment Act (“HIRE Act”) of 2010. The NHR Credit allowed an employer a credit on
its 2011 corporate income tax return of up to $1,000 for each eligible worker that was retained for at least 52 consecutive weeks
of qualified employment. In addition, there was a decrease in the amount of Work Opportunity Tax Credit (“WOTC”) and other
similar wage-related credits realized in 2012 due to the failure of Congress to renew the programs in 2012.
On January 2, 2013, the American Taxpayer Relief Act of 2012 (the "Relief Act") was signed into law. The Relief Act, among
other tax changes, extended the WOTC and other similar wage-related credits for another two years, retroactive to January 1,
2012. The tax effect of a change in tax laws is recognized in the period in which the date of the enactment occurs. Therefore,
even though the restoration of the WOTC program was retroactive to the beginning of 2012, the tax effect cannot be recognized
for financial statement reporting purposes by the Company until the quarter ended March 31, 2013.
Absent any other significant change in federal, or state and local tax laws, we expect our effective tax rate for 2013 to be lower
than the 2012 and 2011 rates. The 2013 income tax provision will include any tax credits realized in 2012 as well as 2013 due to
the requirement to record the tax effect of the enactment of the American Taxpayer Relief Act of 2012 during the quarter ended
March 31, 2013. Although the Company is still assessing the ultimate impact of the Act on its 2013 results, it believes the Relief
Act will have a favorable impact on income tax expense for the first quarter and full year ended December 31, 2013. Our effective
tax rate differs from the federal income tax statutory rate principally because of the effect of state and local income taxes.
Consolidated Net Income
As a result of the matters discussed above, consolidated net income as a percentage of revenue for 2012 decreased to 4.1%
compared to 4.3% in 2011.
22
Fiscal 2011 Compared to Fiscal 2010
The following table sets forth 2011 income statement key components that we use to evaluate our financial performance on a
consolidated and reportable segment basis compared to 2010 amounts. The differences between the reportable segments’ operating
results and other disclosed data and our consolidated financial statements relate primarily to corporate level transactions and
recording of transactions at the reportable segment level which use methods other than generally accepted accounting principles.
Consolidated
%
Change
Corporate and
Eliminations
Amount
%
Change
Amount
%
Change
Reportable Segments
Housekeeping
Dietary
Revenues
$ 889,065,000
14.9% $
(68,000) $ 654,886,000
9.9% $ 234,247,000
766,958,000
65,306,000
15.3
14.0
1,011,000
(61.4)
(47,102,000)
591,491,000
65,306,000
1,011,000
—
—
9.6
—
—
222,569,000
—
—
$
57,812,000
6.8% $
(17,261,000) $
63,395,000
13.0% $
11,678,000
54.0%
31.6%
30.6
—
—
Cost of services provided
Selling, general and administrative
Investment and interest income
Income before income taxes
Revenues
Consolidated
Consolidated revenues increased 14.9% to $889,065,000 in 2011 compared to $773,956,000 in 2010 as a result of the factors
discussed below under Reportable Segments.
Reportable Segments
Housekeeping’s 9.9% net growth in reportable segment revenues resulted primarily from an increase in revenues attributable to
service agreements entered into with new clients.
Dietary's 31.6% net growth in reportable segment revenues is primarily a result of providing this service to an increasing number
of existing Housekeeping clients.
We derived 11% and 5%, respectively, of Housekeeping and Dietary's 2011 revenues from our Major Client.
Costs of services provided
Consolidated
As a percentage of consolidated revenues, cost of services increased to 86.3% in 2011 from 85.9% in 2010. The following table
provides a comparison of the primary cost of services provided-key indicators that we manage on a consolidated basis in evaluating
our financial performance.
Cost of Services Provided-Key Indicators as % of Revenue
2011 %
2010 %
% Change
Bad debt provision
Workers’ compensation and general liability insurance
0.3
3.5
0.3
3.6
—
(0.1)
The bad debt expense remained consistent as a percentage of revenue as there was no increase in expense in proportion to revenue
related to amounts due from clients which we evaluate as being subject to recovery uncertainty. When we evaluate that there is
an uncertainty associated with the collectability of amounts due from a client, we record a bad debt provision based upon our
initial estimate of ultimate collectability. We revise such provision as additional information is available which we believe enables
us to have a more accurate estimate of the collectability of an account. Some of our clients may experience liquidity problems
because of governmental funding or operational issues. Such liquidity problems may cause them to not pay us as agreed upon or
necessitate them filing for bankruptcy protection. In the event of additional clients filing for bankruptcy protection, we would
increase our bad debt provision during the reporting period when such filing occurs. Therefore, if more clients file for bankruptcy
protection or if we have to increase our current provision related to existing bankruptcies, our bad debt provision may increase
from our last two years' average of .3%, as a percentage of consolidated revenues.
23
The workers' compensation and general liability insurance expense as a percentage of revenue remained essentially unchanged in
2011 as compared to 2010.
Although we recognized decreases in certain of our segment key indicators, as noted below, the net increase in consolidated cost
of services in comparing 2011 versus 2010 resulted primarily from the increase cost of Dietary supplies as percentage of consolidated
revenues.
Reportable Segments
Cost of services provided for Housekeeping, as a percentage of Housekeeping revenues, for 2011 decreased slightly to 90.3%
compared to 90.6% in 2010. Cost of services provided for Dietary, as a percentage of Dietary revenues for 2011, decreased slightly
to 95.0% from 95.7% in 2010.
The following table provides a comparison of the primary cost of services provided-key indicators, as a percentage of the respective
segment's revenues that we manage on a reportable segment basis in evaluating our financial performance:
Cost of Services Provided-Key Indicators as % of Revenue
2011 %
2010 %
% Change
Housekeeping labor and other labor costs
Housekeeping supplies
Dietary labor and other labor costs
Dietary supplies
80.5
7.2
52.6
39.4
81.1
6.9
53.5
39.4
(0.6)
0.3
(0.9)
—
The decrease in Housekeeping labor and other labor costs, as a percentage of Housekeeping revenues, resulted primarily from
efficiencies recognized in managing labor at the facility level. We can realize volatility in Housekeeping labor and other labor
costs from time to time as a result of inefficient management of labor in respect to adhering to established labor and other labor
costs benchmarks at various operational levels, or the timing of passing through to clients, changes in wage rates as a result of
legislative or collective bargaining actions. Although we believe these factors were controlled effectively in 2011 in comparison
to 2010, ineffective control of these factors in the future would result in unfavorable volatility in our labor and other labor costs.
The increase in Housekeeping supplies, as a percentage of Housekeeping revenues, resulted primarily from an increase in the
number of clients where we provide an expanded amount of housekeeping supplies under the terms of our service agreements as
compared to what we have historically provided to our client base. We do realize volatility in the costs of supplies utilized in
providing our Housekeeping services but we work to mitigate any vendor price increases through efficiencies in managing such
costs. Our supplies' costs are impacted by commodity pricing factors, which in many cases are unpredictable and outside of our
control. Although we endeavor to pass on to clients such increased costs, from time to time, sporadic unanticipated increases in
the costs of certain supply items due to economic conditions may result in a timing delay in obtaining such increases from our
clients. Additionally, if the increase is a result of a temporary market condition or change in availability of the specific commodity,
and trends indicate it will not continue, we may not be able to pass such temporary increase on to our clients until the time of our
next scheduled annual service billing review.
The decrease in Dietary labor and other labor costs, as a percentage of Dietary revenues, resulted from efficiencies in managing
these costs at the facility level. As noted above in the Housekeeping labor and other labor costs discussion, our ability to control
volatility in labor and other labor costs is directly related to our efficient management of labor at the various Dietary operational
levels in respect to established staffing benchmarks, as well as procuring on a timely basis increases from clients to reflect increased
labor and other labor costs. We believe Dietary's labor and other labor costs can be effectively controlled in future periods by
addressing such volatility factors effectively.
Dietary supplies, as a percentage of Dietary revenues, remained consistent in 2011 as compared to 2010. Dietary supplies, to a
much greater extent than Housekeeping supplies, are impacted by commodity pricing factors, which in many cases are unpredictable
and outside of our control. Although we endeavor to pass on to clients such increased costs, from time to time, sporadic unanticipated
increases in the costs of certain supply items due to market economic conditions may result in a timing delay in passing on such
increases to our clients. It is this type of spike in Dietary supplies' costs that could most adversely affect Dietary's operating
performance. The adverse effect would be realized if we delay in passing on such costs to our clients or in instances where we
may not be able to pass such increase on to our clients until the time of our next scheduled service billing review. We endeavor
to mitigate the impact of unanticipated increase in such supplies' costs through consolidation of vendors, which increases our
ability to obtain reduced pricing.
24
Consolidated Selling, General and Administrative Expense
Selling, general and administrative expense w/o deferred compensation change (a) $
Deferred compensation fund gain/(loss)
Consolidated selling, general and administrative expense (b)
$
Year Ended December 31,
2011
2010
% Change
65,410,000
(104,000)
65,306,000
$
$
55,985,000
1,325,000
57,310,000
16.8 %
(107.8)%
14.0 %
(a) Selling, general and administrative expense excluding the change in the market value of the deferred compensation fund.
(b) Consolidated selling, general and administrative expense reported for the period presented.
Although our growth in consolidated revenues was 14.9% for the year ended December 31, 2011, selling, general and administrative
expenses excluding the change in market value of the deferred compensation fund increased 16.8% or $9,424,000 compared to
the 2010 comparable period. Consequently, for the year ended December 31, 2011, selling, general and administrative expenses
(excluding impact of deferred compensation fund), as a percentage of consolidated revenues, increased to 7.4% of consolidated
revenues as compared to 7.2% in the 2010 comparable period. This percentage increase resulted primarily from an increase in our
payroll and payroll related expenses, travel related costs and professional fees. The percentage increase in payroll and payroll
related costs resulted from the development of additional regions, districts and overall management personnel in advance of the
new business. The increase in travel costs is primarily due to the incremental costs associated with the travel related costs incurred
to sign the business and start new facilities. For future periods, we expect to incur selling, general and administrative expenses
as a percentage of consolidated revenues consistent with historical levels in 2012.
The increase in consolidated selling, general and administrative expenses was partially offset by the decrease in compensation
expense (reported in this financial statement item) reflecting the decrease in the Deferred Compensation liability due to a decrease
in the market value of the investments held in our Deferred Compensation Fund as noted below in Consolidated Investment and
Interest Income discussion. Consolidated selling, general and administrative expenses increased $7,995,000 or 14.0%.
Consolidated Investment and Interest Income
Investment and interest income, as a percentage of consolidated revenues, decreased to 0.1% for the year ended December 31,
2011 compared to 0.3% for the comparable period in 2010. The decrease in investment and interest income was primarily attributable
to the decrease in interest earned, and realized and unrealized net gains on our marketable securities portfolio during this period.
Additionally, we recognized a decrease in the market value of the investments held in our Deferred Compensation Fund compared
to an increase in the market value in the prior year. The decrease in interest income derived from our marketable securities resulted
partially from a reduction in the amount of change in our marketable securities portfolio during 2011. From time to time in 2011,
we sold securities to increase cash and cash equivalents to fund our growth. Additionally, we realized lower rates of return on our
marketable securities and on cash and cash equivalents during the year.
Income before Income Taxes
Consolidated
As a result of the discussion above related to revenues and expenses, consolidated income before income taxes for 2011 decreased
to 6.5%, as a percentage of consolidated revenues, compared to 7.0% in 2010.
Reportable Segments
Housekeeping’s 13.0% increase in income before income taxes is primarily attributable to the gross profit earned on the 9.9%
increase in organic reportable segment revenues along with the factors discussed above in Housekeeping's cost of services key
indicators.
Dietary's income before income taxes increase of 54.0% on a reportable segment basis is primarily attributable to the 31.6%
increase in Dietary revenues from 2010 along with the factors discussed above within Dietary's cost of services key indicators.
25
Consolidated Income Taxes
Our effective tax rate was 34.0% for the year ended December 31, 2011 and 36.4% for 2010. The decrease in the effective tax
rate was primarily the result of increased tax credits realized in 2011. The Company realized tax credits from, in addition to other
tax credits available, the NHR Credit. This program ended December 31, 2010 but the impact of the NHR Credit is accordingly
reflected in our income tax provision for 2011. Additionally, there was a slight decrease in the effective tax rate resulting from
changes in the apportionment of our income among the states within which we do business that have positively impacted our
combined state income taxes.
Consolidated Net Income
As a result of the matters discussed above, consolidated net income as a percentage of revenue for 2011 decreased to 4.3% compared
to 4.5% in 2010.
Critical Accounting Policies and Estimates
The preparation of financial statements in accordance with accounting standards generally accepted in the United States requires
management to make estimates and assumptions that affect the reported amounts of assets and liabilities at the date of the financial
statements and the reported amounts of revenues and expenses during the reporting period.
We consider the policies discussed below to be critical to an understanding of our financial statements because their application
places the most significant demands on our judgment. Therefore, it should be noted that financial reporting results rely on estimating
the effect of matters that are inherently uncertain. Specific risks for these critical accounting policies and estimates are described
in the following paragraphs. For these estimates, we caution that future events rarely develop as forecasted, and the best estimates
routinely require adjustment. Any such adjustments or revisions to estimates could result in material differences to previously
reported amounts.
The policies discussed are not intended to be a comprehensive list of all of our accounting policies. In many cases, the accounting
treatment of a particular transaction is specifically dictated by accounting standards generally accepted in the United States, with
no need for our judgment in their application. There are also areas in which our judgment in selecting another available alternative
would not produce a materially different result. See our audited consolidated financial statements and notes thereto which are
included in this Annual Report on Form 10-K, which contain accounting policies and other disclosures required by accounting
principles generally accepted in the United States.
Allowance for Doubtful Accounts
The Allowance for Doubtful Accounts (the “Allowance”) is established as losses are estimated to have occurred through a provision
for bad debts charged to earnings. The Allowance is evaluated based on our periodic review of accounts and notes receivable and
is inherently subjective as it requires estimates that are susceptible to significant revision as more information becomes available.
We have had varying collection experience with respect to our accounts and notes receivable. When contractual terms are not met,
we generally encounter difficulty in collecting amounts due from certain of our clients. Therefore, we have sometimes been required
to extend the period of payment for certain clients beyond contractual terms. These clients include those who have terminated
service agreements and slow payers experiencing financial difficulties. In making credit evaluations, in addition to analyzing and
anticipating, where possible, the specific cases described above, we consider the general collection risks associated with trends
in the long-term care industry. We also establish credit limits, perform ongoing credit evaluations, and monitor accounts to minimize
the risk of loss.
In accordance with the risk of extending credit, we regularly evaluate our accounts and notes receivable for impairment or loss of
value and when appropriate, will provide in our Allowance for such receivables. We generally follow a policy of reserving for
receivables due from clients in bankruptcy, clients with which we are in litigation for collection and other slow paying clients.
The reserve is based upon our estimates of ultimate collectability. Correspondingly, once our recovery of a receivable is determined
through litigation, bankruptcy proceedings or negotiation to be less than the recorded amount on our balance sheet, we will charge-
off the applicable amount to the Allowance.
Our methodology for the Allowance is based upon a risk-based evaluation of accounts and notes receivable associated with a
client’s ability to make payments. Such Allowance generally consists of an initial amount established based upon criteria generally
applied if and when a client account files bankruptcy, is placed for collection/litigation and/or is considered to be pending collection/
litigation.
26
The initial Allowance is adjusted either higher or lower when additional information is available to permit a more accurate estimate
of the collectability of an account.
Summarized below for the years 2010 through 2012 are the aggregate account balances for the three Allowance criteria noted
above, net write-offs of client accounts, bad debt provision and allowance for doubtful accounts.
Year Ended
2010
2011
2012
Aggregate Account
Balances of Clients
in Bankruptcy or in/or
Pending Collection/
Litigation
$
$
$
8,550,000
7,784,000
6,273,000
$
$
$
Net Write-offs of
Client Accounts
Bad Debt Provision
Allowance for
Doubtful Accounts
2,771,000
2,013,000
2,697,000
$
$
$
2,200,000
2,450,000
2,160,000
$
$
$
4,069,000
4,506,000
3,970,000
At December 31, 2012, we identified accounts totaling $6,273,000 that require an Allowance based on potential impairment or
loss of value. An Allowance totaling $3,970,000 was provided for these accounts at such date. Actual collections of these accounts
could differ from that which we currently estimate. If our actual collection experience is 5% less than our estimate, the related
increase to our Allowance would decrease net income by approximately $84,000.
Notwithstanding our efforts to minimize credit risk exposure, our clients could be adversely affected if future industry trends, as
more fully discussed under Liquidity and Capital Resources below, and as further described in this Annual Report on Form 10-K
in Part I under “Risk Factors”, “Government Regulation of Clients” and “Service Agreements/Collections”, change in such a
manner as to negatively impact the cash flows of our clients. If our clients experience a negative impact in their cash flows, it
would have a material adverse effect on our results of operations and financial condition.
Accrued Insurance Claims
We currently have a Paid Loss Retrospective Insurance Plan for general liability and workers’ compensation insurance, which
comprise approximately 22% of our liabilities at December 31, 2012. Under our insurance plans for general liability and workers'
compensation, predetermined loss limits are arranged with our insurance company to limit both our per occurrence cash outlay
and annual insurance plan cost. Our accounting for this plan is affected by various uncertainties because we must make assumptions
and apply judgment to estimate the ultimate cost to settle reported claims and claims incurred but not reported as of the balance
sheet date. We address these uncertainties by regularly evaluating our claims’ pay-out experience, present value factor and other
factors related to the nature of specific claims in arriving at the basis for our accrued insurance claims estimate. Our evaluations
are based primarily on current information derived from reviewing our claims experience and industry trends. In the event that
our claims experience and/or industry trends result in an unfavorable change resulting from, among other factors, the severity
levels of reported claims and medical cost inflation, as compared to historical claim trends, it would have an adverse effect on our
results of operations and financial condition. Under these plans, predetermined loss limits are arranged with an insurance company
to limit both our per-occurrence cash outlay and annual insurance plan cost.
For workers’ compensation, we record a reserve based on the present value of estimated future cost of claims and related expenses
that have been reported but not settled, including an estimate of claims incurred but not reported that are developed as a result of
a review of our historical data and open claims. The present value of the payout is determined by applying an 8% discount factor
against the estimated value of the claims over the estimated remaining pay-out period. Reducing the discount factor by 1% would
reduce net income by approximately $26,000. Additionally, reducing the estimated payout period by six months would result in
an approximate $63,000 reduction in net income.
For general liability, we record a reserve for the estimated ultimate amounts to be paid for known claims. The estimated ultimate
reserve amount recorded is derived from the estimated claim reserves provided by our insurance carrier reduced by an historical
experience factor.
27
A summary of the changes in our total self-insurance liability is as follows:
Accrued insurance claims - January 1,
Claim payments
Reserve accruals
Change in accrued insurance claims
Accrued insurance claims - December 31,
Year Ended December 31,
2012
2011
2010
$
$
17,654,000
$
16,921,000
$
(25,154,000)
30,062,000
4,908,000
(24,703,000)
25,436,000
733,000
22,562,000
$
17,654,000
$
16,146,000
(22,638,000)
23,413,000
775,000
16,921,000
Asset Valuations and Review for Potential Impairment
We review our fixed assets, deferred income taxes, goodwill and other intangible assets at least annually or whenever events or
changes in circumstances indicate that its carrying amount may not be recoverable. This review requires that we make assumptions
regarding the value of these assets and the changes in circumstances that would affect the carrying value of these assets. If such
analysis indicates that a possible impairment may exist, we are then required to estimate the fair value of the asset and, as deemed
appropriate, expense all or a portion of the asset. The determination of fair value includes numerous uncertainties, such as the
impact of competition on future value. We believe that we have made reasonable estimates and judgments in determining whether
our long-term assets have been impaired; however, if there is a material change in the assumptions used in our determination of
fair value or if there is a material change in economic conditions or circumstances influencing fair value, we could be required to
recognize certain impairment charges in the future. As a result of our most recent reviews, no changes in asset values were required.
Income Taxes
Deferred income taxes are recognized for the tax consequences related to temporary differences between the carrying amount of
assets and liabilities for financial reporting purposes and the amounts used for tax purposes at each year-end, based on enacted
tax laws and statutory tax rates applicable to the periods in which the differences are expected to affect taxable income. A valuation
allowance is established when necessary based on the weight of available evidence, if it is considered more likely than not that
all or some portion of the deferred tax assets will not be realized. Income tax expense is the sum of current income tax plus the
change in deferred tax assets and liabilities.
We are subject to income taxes in the United States and numerous state and local jurisdictions. The determination of the income
tax provision is an inherently complex process, requiring management to interpret continually changing regulations and to make
certain significant judgments. Our assumptions, judgments and estimates relative to the amount of deferred income taxes take into
account scheduled reversals of deferred tax liabilities, recent financial operations, estimates of the amount of future taxable income
and available tax planning strategies. Actual operating results in future years could render our current assumptions, judgments and
estimates inaccurate. No assurance can be given that the final tax outcome of these matters will not be different from that which
is reflected in the Company’s historical income tax provisions and accruals. The Company adjusts these items in light of changing
facts and circumstances. To the extent that the final tax outcome of these matters is different than the amounts recorded, such
differences could have a material effect on the income tax provisions or benefits in the periods in which such determinations are
made.
28
Liquidity and Capital Resources
At December 31, 2012, we had cash and cash equivalents, and marketable securities of $90,271,000 and working capital of
$200,182,000 compared to December 31, 2011 cash, cash equivalents and marketable securities of $69,976,000 and working
capital of $186,734,000. We view our cash and cash equivalents and marketable securities as our principal measure of liquidity.
Our current ratio at December 31, 2012 decreased to 4.0 to 1 from 5.1 to 1 at December 31, 2011. This decrease resulted primarily
from increases in our accounts payable, accrued payroll, other accrued expenses and income taxes payable balances, primarily
resulting from the timing of such payments at December 31, 2012 as compared with December 31, 2011. Our marketable securities
declined at December 31, 2012 from December 31, 2011, primarily due to the working capital investment required to support our
2012 revenue growth of 21.2% and the payment of dividends to shareholders. The decrease was positively impacted by the
increase in accounts and notes receivables resulting from our increase in revenues. On an historical basis, our operations have
generally produced consistent cash flow and have required limited capital resources. We believe our current and near term cash
flow positions will enable us to fund our continued anticipated growth.
Operating Activities
The net cash provided by our operating activities was $60,376,000 for the year ended December 31, 2012. The principal sources
of net cash flows from operating activities for 2012 were net income adjusted for non-cash charges to operations for bad debt
provisions, stock-based compensation, depreciation and amortization. Additionally, operating activities’ cash flows increased by
$33,362,000 in 2012 as a result of the increases in accounts payable and other accrued expenses ($13,664,000), deferred
compensation liability ($6,337,000), accrued payroll ($6,142,000), accrued insurance claims ($4,908,000) and income taxes, net
($2,311,000). These operating cash inflows were partially offset by the cash outflow of $22,386,000 related to the increase in
total accounts and notes receivable ($11,974,000), deferred compensation funding ($4,051,000), inventories and supplies
($3,531,000) and prepaid expenses and other assets ($2,830,000).
Investing Activities
Our principal source of cash in investing activities for 2012 was $9,145,000 from the net sales and maturities of marketable
securities. The net sales and maturities of marketable securities enabled us to increase cash and cash equivalents to support the
increase in client facilities in 2012 and dividend payments. Additionally, we expended $3,484,000 for the purchase of housekeeping
equipment, computer software and equipment, and laundry equipment installations. See “Capital Expenditures” below.
Financing Activities
We have paid regular quarterly cash dividends since the second quarter of 2003. During 2012, we paid to shareholders regular
quarterly cash dividends totaling $44,093,000 as follows.
Cash dividend per common share
Total cash dividends paid
$
$
Record date
Payment date
March 31, 2012
June 30, 2012
September 30, 2012
December 31, 2012
$
$
0.16125
10,847,000
February 24
March 26
0.16250
10,956,000
$
$
April 27
May 18
$
$
0.16375
11,063,000
July 27
August 24
0.16500
11,227,000
October 26
November 30
Quarter Ended
Additionally, on January 22, 2013, our Board of Directors declared a regular quarterly cash dividend of $0.16625 per common
share, which will be paid on March 15, 2013 to shareholders of record as of the close of business on February 22, 2013.
Our Board of Directors reviews our dividend policy on a quarterly basis. Although there can be no assurance that we will continue
to pay dividends or the amount of the dividend, we expect to continue to pay a regular quarterly cash dividend. In connection with
the establishment of our dividend policy, we adopted a Dividend Reinvestment Plan in 2003.
During the year ended December 31, 2012 we elected not to purchase any of our common stock but we remain authorized to
purchase 1,698,000 shares of our common stock pursuant to previous Board of Directors’ approvals.
During the year ended December 31, 2012, we received proceeds of $5,573,000 from the exercise of stock options by employees
and directors. Additionally, as a result of deductions derived from the stock option exercises, we recognized an income tax benefit
of $2,649,000.
29
Contractual Obligations
Our future contractual obligations and commitments at December 31, 2012 consist of the following:
Year Ending
Total
Less Than 1
Year
1-3 Years
3-5 Years
After 5 Years
Operating Lease Obligations
$
2,209,000
$
1,090,000
$
1,119,000
$
— $
—
Payments Due by Period
Line of Credit
We have a $57,000,000 bank line of credit on which we may draw to meet short-term liquidity requirements in excess of internally
generated cash flow. Amounts drawn under the line of credit are payable upon demand. At December 31, 2012, there were no
borrowings under the line of credit. However, at such date, we had outstanding a $40,420,000 (increased to $43,520,000 on
January 1, 2013) irrevocable standby letter of credit which relates to payment obligations under our insurance programs. As a
result of the letter of credit issued, the amount available under the line of credit was reduced by $40,420,000 at December 31,
2012.
The line of credit requires us to satisfy two financial covenants. Such covenants and their respective status at December 31, 2012
were as follows:
Covenant Description and Requirement
Commitment coverage ratio: cash and cash equivalents plus marketable securities must equal or exceed
outstanding obligations under the line by a multiple of 1.00
Tangible net worth: must exceed $181,185,000
Status at December 31, 2012
$
2.23
207,412,000
As noted above, we complied with both financial covenants at December 31, 2012 and expect to continue to remain in compliance
with such financial covenants. This line of credit expires on June 30, 2013. We believe the line of credit will be renewed at that
time.
Accounts and Notes Receivable
We expend considerable effort to collect the amounts due for our services on the terms agreed upon with our clients. Many of our
clients participate in programs funded by federal and state governmental agencies which historically have encountered delays in
making payments to its program participants. Congress has enacted a number of laws during the past decade that have significantly
altered, or may alter, overall government reimbursement for nursing home services. Because our clients’ revenues are generally
dependent on Medicare and Medicaid reimbursement funding rates and mechanisms, the overall effect of these laws and trends
in the long term care industry have affected and could adversely affect the liquidity of our clients, resulting in their inability to
make payments to us on agreed upon payment terms. These factors, in addition to delays in payments from clients, have resulted
in and could continue to result in significant additional bad debts in the near future. Whenever possible, when a client falls behind
in making agreed-upon payments, we convert the unpaid accounts receivable to interest bearing promissory notes. The promissory
notes receivable provide a means by which to further evidence the amounts owed and provide a definitive repayment plan and
therefore may ultimately enhance our ability to collect the amounts due. At December 31, 2012 and 2011, we had $10,730,000
and $6,693,000, net of reserves, respectively, of such promissory notes outstanding. Additionally, we consider restructuring service
agreements from full service to management-only service in the case of certain clients experiencing financial difficulties. We
believe that such restructurings may provide us with a means to maintain a relationship with the client while at the same time
minimizing collection exposure.
As a result of the current economic crisis, many states have significant budget deficits. State Medicaid programs are experiencing
increased demand, and with lower revenues than projected, they have fewer resources to support their Medicaid programs. In
addition, comprehensive health care legislation under the Patient Protection and Affordable Care Act and the Health Care and
Education Reconciliation Act of 2010 (together, the “Act”) was signed into law in March 2010. The Act will significantly impact
the governmental healthcare programs in which our clients participate, and reimbursements received thereunder from governmental
or third-party payors. In July 2011, Centers for Medicare and Medicaid Services (“CMS”) issued a final rule that reduced Medicare
payments to nursing centers by 11.1% and changed the reimbursement for the provision of group rehabilitation therapy services
to Medicare beneficiaries. This new rule was effective as of October 1, 2011. Furthermore, in the coming year and beyond, new
30
proposals or additional changes in existing regulations could be made to the Act which could directly impact the governmental
reimbursement programs in which our clients participate. As a result, some state Medicaid programs are reconsidering previously
approved increases in nursing home reimbursement or are considering delaying or foregoing those increases. A few states have
indicated it is possible they will run out of cash to pay Medicaid providers, including nursing homes. Any negative changes in our
clients’ reimbursements may negatively impact our results of operations. Although we are currently evaluating the Act’s effect on
our client base, we may not know the full effect until such time as these laws are fully implemented and CMS and other agencies
issue applicable regulations or guidance. Additionally, even if federal or state legislation is enacted that provides additional funding
to Medicaid providers, given the volatility of the economic environment, it is difficult to predict the impact of this legislation on
our clients’ liquidity and their ability to make payments to us as agreed.
In January 2013, the U.S. Congress enacted the American Taxpayer Relief Act of 2012, which delayed automatic spending cuts
of $1.2 trillion, including reduced Medicare payments to plans and providers up to 2%. These discretionary spending caps were
originally enacted under provisions in the Budget Control Act of 2011, an initiative to reduce the federal deficit through the year
2021, also known as “sequestration.” The sequestration is set to go into effect starting March 2013, absent further action by
Congress and the Administration.
We have had varying collection experience with respect to our accounts and notes receivable. When contractual terms are not met,
we generally encounter difficulty in collecting amounts due from certain of our clients. Therefore, we have sometimes been required
to extend the period of payment for certain clients beyond contractual terms. These clients include those who have terminated
service agreements and slow payers experiencing financial difficulties. In order to provide for these collection problems and the
general risk associated with the granting of credit terms, we have recorded bad debt provisions (in an Allowance for Doubtful
Accounts) of $2,160,000, $2,450,000 and $2,200,000 in the years ended December 31, 2012, 2011 and 2010, respectively. As a
percentage of total revenues, these provisions represent approximately 0.2% for the year ended December 31, 2012 and 0.3% for
the years ended December 31, 2011 and 2010. In making our credit evaluations, in addition to analyzing and anticipating, where
possible, the specific cases described above, we consider the general collection risk associated with trends in the long-term care
industry. We also establish credit limits, perform ongoing credit evaluation and monitor accounts to minimize the risk of loss.
Notwithstanding our efforts to minimize credit risk exposure, our clients could be adversely affected if future industry trends
change in such a manner as to negatively impact their cash flows. If our clients experience a negative impact in their cash flows,
it would have a material adverse effect on our results of operations and financial condition.
Insurance Programs
We self-insure or carry a high deductible, and therefore retain a substantial portion of the risk associated with the expected losses
under our general liability and workers compensation programs. Under our insurance plans for general liability and workers’
compensation, predetermined loss limits are arranged with our insurance company to limit both our per occurrence cash outlay
and annual insurance plan cost.
For workers’ compensation, we record a reserve based on the present value of future payments, including an estimate of claims
incurred but not reported, that are developed as a result of a review of our historical data and open claims. The present value of
the payout is determined by applying an 8% discount factor against the estimated value of the claims over the estimated remaining
pay-out period.
For general liability, we record a reserve for the estimated ultimate amounts to be paid for known claims. The estimated ultimate
reserve amount recorded is derived from the estimated claim reserves provided by our insurance carrier reduced by an historical
experience factor.
We regularly evaluate our claims’ pay-out experience, present value factor and other factors related to the nature of specific claims
in arriving at the basis for our accrued insurance claims’ estimate. Our evaluation is based primarily on current information derived
from reviewing our claims experience and industry trends. In the event that our claims experience and/or industry trends result in
an unfavorable change, it would have an adverse effect on our consolidated results of operations, financial condition and cash
flows.
31
Capital Expenditures
The level of capital expenditures is generally dependent on the number of new clients obtained. Such capital expenditures primarily
consist of housekeeping equipment purchases, laundry and linen equipment installations, and computer hardware and software.
Although we have no specific material commitments for capital expenditures through the end of calendar year 2013, we estimate
that for the period we will have capital expenditures of $3,000,000 to $5,000,000 in connection with housekeeping equipment
purchases and laundry and linen equipment installations in our clients’ facilities, as well as expenditures relating to internal data
processing hardware and software requirements. We believe that our cash from operations, existing cash and cash equivalents
balance and credit line will be adequate for the foreseeable future to satisfy the needs of our operations and to fund our anticipated
growth. However, should these sources not be sufficient, we would, if necessary, seek to obtain necessary working capital from
such sources as long-term debt or equity financing.
Material Off-Balance Sheet Arrangements
We have no material off-balance sheet arrangements, other than our irrevocable standby letter of credit previously discussed.
Effects of Inflation
Although there can be no assurance thereof, we believe that in most instances we will be able to recover increases in costs attributable
to inflation by passing through such cost increases to our clients.
Item 7A. Quantitative and Qualitative Disclosures About Market Risk.
At December 31, 2012, we had $90,271,000 in cash, cash equivalents and marketable securities. In accordance with U.S. GAAP,
the fair value of all of our cash equivalents and marketable securities is determined based on "Level 1" or “Level 2” inputs, which
consist of quoted prices whose value is based upon quoted prices for identical or similar instruments in markets that are not active,
and model-based valuation techniques for which all significant assumptions are observable in the market. We place our cash
investments in instruments that meet credit quality standards, as specified in our investment policy guidelines.
Investments in both fixed rate and floating rate investments carry a degree of interest rate risk. Fixed rate securities may have their
market value adversely impacted due to an increase in interest rates, while floating rate securities may produce less income than
expected if interest rates fall. Due in part to these factors, our future investment income may fall short of expectations due to
changes in interest rates or if there is a decline in the fair value of our investments.
32
Item 8. Financial Statements and Supplementary Data.
INDEX TO CONSOLIDATED FINANCIAL STATEMENTS
Report of Independent Registered Public Accounting Firm
Management’s Report on Internal Control Over Financial Reporting
Report of Independent Registered Public Accounting Firm (on Internal Control Over Financial Reporting)
Consolidated Financial Statements
Consolidated Balance Sheets as of December 31, 2012 and 2011
Consolidated Statements of Comprehensive Income for the Years Ended December 31, 2012, 2011 and 2010
Consolidated Statements of Cash Flows for the Years Ended December 31, 2012, 2011 and 2010
Consolidated Statements of Stockholders’ Equity for the years Ended December 31, 2012, 2011 and 2010
Notes to Consolidated Financial Statements for the Years Ended December 31, 2012, 2011 and 2010
Page
34
35
36
37
38
39
40
41
33
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
Board of Directors and Shareholders
Healthcare Services Group, Inc.
We have audited the accompanying consolidated balance sheets of Healthcare Services Group, Inc. (a Pennsylvania corporation)
and Subsidiaries (the “Company”) as of December 31, 2012 and 2011, and the related consolidated statements of comprehensive
income, stockholders' equity, and cash flows for each of the three years in the period ended December 31, 2012. Our audits of the
basic consolidated financial statements included the financial statement schedule listed in the index appearing under Item 15(a)
(2). These financial statements and financial statement schedule are the responsibility of the Company's management. Our
responsibility is to express an opinion on these financial statements and financial statement schedule based on our audits.
We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States).
Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements
are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures
in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by
management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable
basis for our opinion.
In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position
of Healthcare Services Group, Inc. and Subsidiaries as of December 31, 2012 and 2011, and the results of their operations and
their cash flows for each of the three years in the period ended December 31, 2012 in conformity with accounting principles
generally accepted in the United States of America. Also in our opinion, the related financial statement schedule, when considered
in relation to the basic consolidated financial statements taken as a whole, present fairly, in all material respects, the information
set forth therein.
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the
Company's internal control over financial reporting as of December 31, 2012, based on criteria established in Internal Control-
Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO), and our
report dated February 21, 2013 expressed an unqualified opinion.
/s/ GRANT THORNTON LLP
Edison, New Jersey
February 21, 2013
34
Management’s Annual Report on Internal Control Over Financial Reporting
The management of Healthcare Services Group, Inc. (“Healthcare” or the “Company”), is responsible for establishing and
maintaining adequate internal control over financial reporting. The Company’s internal control over financial reporting is defined
in Rule 13a-15(f) and 15d-15(f) promulgated under the Securities Exchange Act of 1934 as a process designed by, or under the
supervision of, the Company’s principal executive and principal financial officers and effected by the Company’s board of directors,
management and other personnel, to provide reasonable assurance regarding the reliability of financial reporting and the preparation
of the Company’s financial statements for external purposes in accordance with generally accepted accounting principles in the
United States and includes those policies and procedures that:
1.
2.
3.
Pertain to the maintenance of records that in reasonable detail accurately and fairly reflect the transactions and dispositions
of assets of the Company;
Provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in
accordance with generally accepted accounting principles, and that receipts and expenditures of the Company are being
made only in accordance with authorizations of management and directors of the Company; and
Provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of
the Company’s assets that could have a material effect on the financial statements.
The Company’s management assessed the effectiveness of the Company’s internal control over financial reporting as of
December 31, 2012. In making this assessment, the Company’s management used the criteria set forth in Internal
Control — Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission.
Under the supervision and with the participation of our management, including our principal executive officer and principal
financial officer, we conducted an evaluation of our internal control over financial reporting, as prescribed above, for the period
covered by this report. Based on our evaluation, our principal executive officer and principal financial officer concluded that the
Company’s internal control over financial reporting as of December 31, 2012 is effective as a whole.
Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Projections
of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes
in conditions, or that the degree of compliance with the policies or procedures may deteriorate.
The Company’s independent auditors have audited, and reported on, the Company’s internal control over financial reporting as
of December 31, 2012.
/s/ Daniel P. McCartney
Daniel P. McCartney
Chief Executive Officer
(Principal Executive Officer)
February 21, 2013
/s/ John C. Shea
John C. Shea
Chief Financial Officer and Secretary
(Principal Financial Officer)
February 21, 2013
35
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
Board of Directors and Shareholders
Healthcare Services Group, Inc.
We have audited the internal control over financial reporting of Healthcare Services Group, Inc. (a Pennsylvania corporation) and
Subsidiaries (the “Company”) as of December 31, 2012, based on criteria established in Internal Control-Integrated Framework
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). The Company's management is
responsible for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of internal
control over financial reporting, included in the accompanying Management's Annual Report on Internal Control Over Financial
Reporting. Our responsibility is to express an opinion on the Company's internal control over financial reporting based on our
audit.
We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board (United States).
Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control
over financial reporting was maintained in all material respects. Our audit included obtaining an understanding of internal control
over financial reporting, assessing the risk that a material weakness exists, testing and evaluating the design and operating
effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered necessary in
the circumstances. We believe that our audit provides a reasonable basis for our opinion.
A company's internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability
of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted
accounting principles. A company's internal control over financial reporting includes those policies and procedures that (1) pertain
to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets
of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial
statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are
being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable
assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company's assets that
could have a material effect on the financial statements.
Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also,
projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because
of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.
In our opinion, the Company maintained, in all material respects, effective internal control over financial reporting as of December
31, 2012, based on criteria established in Internal Control-Integrated Framework issued by COSO.
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the
consolidated financial statements of the Company as of and for the year ended December 31, 2012, and our report dated February 21,
2013 expressed an unqualified opinion on those financial statements.
/s/ GRANT THORNTON LLP
Edison, New Jersey
February 21, 2013
36
Healthcare Services Group, Inc.
Consolidated Balance Sheets
ASSETS:
Current assets:
Cash and cash equivalents
Marketable securities, at fair value
Accounts and notes receivable, less allowance for doubtful accounts of $3,970,000 in 2012 and
$4,506,000 in 2011
Inventories and supplies
Prepaid income taxes
Prepaid expenses and other
Total current assets
Property and equipment:
Laundry and linen equipment installations
Housekeeping and office equipment and furniture
Autos and trucks
Less accumulated depreciation
Goodwill
Other intangible assets, less accumulated amortization of $10,078,000 in 2012 and $7,909,000 in 2011
Notes receivable — long term portion, net of discount
Deferred compensation funding, at fair value
Deferred income taxes — long term portion
Other noncurrent assets
Total Assets
LIABILITIES AND STOCKHOLDERS’ EQUITY:
Current liabilities:
Accounts payable
Accrued payroll, accrued and withheld payroll taxes
Other accrued expenses
Income taxes payable
Deferred income taxes
Accrued insurance claims
Total current liabilities
Accrued insurance claims — long term portion
Deferred compensation liability
Commitments and contingencies
STOCKHOLDERS’ EQUITY:
December 31,
2012
2011
$
68,949,000
$
38,639,000
21,322,000
31,337,000
140,218,000
130,744,000
28,675,000
25,144,000
—
8,682,000
405,000
5,852,000
267,846,000
232,121,000
2,336,000
26,098,000
315,000
28,749,000
18,477,000
10,272,000
16,955,000
5,203,000
1,823,000
17,831,000
11,215,000
38,000
2,100,000
24,277,000
299,000
26,676,000
16,913,000
9,763,000
16,955,000
7,372,000
1,483,000
13,780,000
8,181,000
40,000
$
331,183,000
$
289,695,000
$
22,810,000
$
10,650,000
31,997,000
3,526,000
1,906,000
575,000
6,850,000
67,664,000
15,712,000
18,237,000
26,833,000
1,657,000
—
951,000
5,296,000
45,387,000
12,358,000
14,224,000
Common stock, $.01 par value; 100,000,000 shares authorized; 70,036,000 shares issued and
outstanding in 2012 and 69,473,000 shares in 2011
Additional paid-in capital
Retained earnings
Accumulated other comprehensive income, net of taxes
Common stock in treasury, at cost, 1,983,000 shares in 2012 and 2,684,000 shares in 2011
Total stockholders’ equity
700,000
695,000
113,495,000
105,727,000
127,042,000
126,921,000
127,000
343,000
(11,794,000)
(15,960,000)
229,570,000
217,726,000
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY
$
331,183,000
$
289,695,000
See accompanying notes.
37
Healthcare Services Group, Inc.
Consolidated Statements of Comprehensive Income
Revenues
Operating costs and expenses:
Costs of services provided
Selling, general and administrative
Other income:
Investment and interest
Income before income taxes
Income taxes
Net income
Per share data:
Basic earnings per common share
Diluted earnings per common share
Cash dividends per common share
Weighted average number of common shares outstanding:
Basic
Diluted
Comprehensive income:
Net income
Other comprehensive income:
Years Ended December 31,
2012
2011
2010
$ 1,077,435,000
$
889,065,000
$
773,956,000
930,814,000
766,958,000
665,149,000
79,277,000
65,306,000
57,310,000
2,920,000
70,264,000
26,050,000
1,011,000
57,812,000
19,656,000
2,622,000
54,119,000
19,678,000
$
44,214,000
$
38,156,000
$
34,441,000
$
$
$
0.65
0.65
0.65
$
$
$
0.57
0.56
0.63
$
$
$
0.52
0.51
0.60
67,511,000
68,485,000
66,637,000
67,585,000
65,917,000
67,008,000
$
44,214,000
$
38,156,000
$
34,441,000
Unrealized gain/(loss) on available for sale marketable securities, net of taxes
(216,000)
421,000
(78,000)
Total comprehensive income
$
43,998,000
$
38,577,000
$
34,363,000
See accompanying notes.
38
Healthcare Services Group, Inc.
Consolidated Statements of Cash Flows
Cash flows from operating activities:
Net income
Adjustments to reconcile net income to net cash provided by operating
activities:
Depreciation and amortization
Bad debt provision
Deferred income tax (benefits)
Stock-based compensation expense
Amortization of premium on marketable securities
Unrealized loss on marketable securities
Unrealized (gain) loss on deferred compensation fund investments
Changes in operating assets and liabilities:
Accounts and notes receivable
Prepaid income taxes
Inventories and supplies
Notes receivable — long term
Deferred compensation funding
Accounts payable and other accrued expenses
Accrued payroll, accrued and withheld payroll taxes
Accrued insurance claims
Deferred compensation liability
Income taxes payable
Prepaid expenses and other assets
Net cash provided by operating activities
Cash flows from investing activities:
Disposals of fixed assets
Additions to property and equipment
Purchases of marketable securities
Sales of marketable securities
Cash paid for acquisition
Net cash provided by investing activities
Cash flows from financing activities:
Dividends paid
Reissuance of treasury stock pursuant to Dividend Reinvestment Plan
Tax benefit from equity compensation plans
Proceeds from the exercise of stock options
Net cash used in financing activities
Net increase (decrease) in cash and cash equivalents
Cash and cash equivalents at beginning of the period
Cash and cash equivalents at end of the period
Supplementary Cash Flow Information:
Years Ended December 31,
2012
2011
2010
$
44,214,000
$
38,156,000
$
34,441,000
5,116,000
2,160,000
(3,493,000)
2,538,000
654,000
82,000
(1,871,000)
4,387,000
2,450,000
275,000
2,152,000
999,000
486,000
104,000
(11,634,000)
(24,769,000)
405,000
(3,531,000)
(340,000)
(4,051,000)
13,664,000
6,142,000
4,908,000
6,337,000
1,906,000
(2,830,000)
60,376,000
3,574,000
(4,531,000)
3,572,000
(1,804,000)
(1,079,000)
6,319,000
732,000
2,145,000
—
(220,000)
32,948,000
3,764,000
2,200,000
517,000
1,332,000
840,000
1,083,000
(1,325,000)
(6,270,000)
(4,014,000)
(3,639,000)
(432,000)
29,000
1,306,000
4,437,000
775,000
1,697,000
—
1,006,000
37,747,000
26,000
22,000
44,000
(3,484,000)
(5,545,000)
(4,174,000)
(10,833,000)
(18,934,000)
(38,873,000)
19,978,000
29,971,000
46,083,000
—
5,687,000
(1,000,000)
4,514,000
—
3,080,000
(44,093,000)
(42,228,000)
(39,285,000)
118,000
2,649,000
5,573,000
128,000
1,222,000
2,363,000
121,000
1,938,000
4,790,000
(35,753,000)
(38,515,000)
(32,436,000)
30,310,000
38,639,000
(1,053,000)
39,692,000
8,391,000
31,301,000
$
68,949,000
$
38,639,000
$
39,692,000
Issuance of Common Stock in 2012 and 2011, respectively, related to prior year
acquisitions
Issuance of Common Stock in 2012, 2011 and 2010, respectively, pursuant to
Employee Stock Plans
$
$
2,633,000
1,249,000
$
$
1,080,000
1,233,000
$
$
—
1,047,000
See accompanying notes.
39
Healthcare Services Group, Inc.
Consolidated Statements of Stockholders’ Equity
Balances, December 31, 2009
Comprehensive income:
Net income for the period
Unrealized loss on available for sale marketable
securities, net of taxes
Comprehensive income
Exercise of stock options and other stock-based
compensation, net of shares tendered for payment
Tax benefit from equity compensation plans
Share-based compensation expense — stock options
Treasury shares issued for Deferred Compensation Plan
funding and redemptions
Shares issued pursuant to Employee Stock Plans
Cash dividends
Shares issued pursuant to Dividend Reinvestment Plan
Balances, December 31, 2010
Comprehensive income:
Net income for the period
Unrealized gain on available for sale marketable
securities, net of taxes
Comprehensive income
Exercise of stock options and other stock-based
compensation, net of shares tendered for payment
Tax benefit from equity compensation plans
Share-based compensation expense — stock options
Treasury shares issued for Deferred Compensation Plan
funding and redemptions
Shares issued pursuant to Employee Stock Plans
Cash dividends
Shares issued pursuant to Dividend Reinvestment Plan
Shares issued pursuant to acquisition
Balance, December 31, 2011
Comprehensive income:
Net income for the period
Unrealized loss on available for sale marketable
securities, net of taxes
Comprehensive income
Exercise of stock options and other stock-based
compensation, net of shares tendered for payment
Tax benefit from equity compensation plans
Share-based compensation expense — stock options
Treasury shares issued for Deferred Compensation Plan
funding and redemptions
Shares issued pursuant to Employee Stock Plans
Cash dividends
Shares issued pursuant to Dividend Reinvestment Plan
Shares issued pursuant to prior year acquisitions
Years Ended December 31, 2012, 2011 and 2010
Common Stock
Shares
Amount
Additional
Paid-in
Capital
Accumulated
Other
Comprehensive
Income, net of
taxes
Retained
Earnings
Treasury
Stock
Stockholders’
Equity
68,729,000
$ 687,000
$ 92,110,000
$
— $ 135,837,000
$ (19,860,000) $ 208,774,000
586,000
6,000
4,167,000
1,938,000
1,015,000
226,000
609,000
73,000
34,441,000
(78,000)
(39,285,000)
34,441,000
(78,000)
34,363,000
4,790,000
1,938,000
1,015,000
316,000
1,047,000
(39,285,000)
617,000
90,000
438,000
48,000
121,000
69,315,000
693,000
100,138,000
(78,000)
130,993,000
(18,667,000)
213,079,000
158,000
2,000
38,156,000
421,000
(42,228,000)
38,156,000
421,000
38,577,000
2,363,000
1,222,000
1,870,000
402,000
1,233,000
(42,228,000)
128,000
1,080,000
2,012,000
35,000
451,000
47,000
162,000
349,000
1,222,000
1,870,000
367,000
782,000
81,000
918,000
69,473,000
695,000
105,727,000
343,000
126,921,000
(15,960,000)
217,726,000
563,000
5,000
44,214,000
(216,000)
44,214,000
(216,000)
43,998,000
5,573,000
2,649,000
1,897,000
1,470,000
59,000
453,000
(29,000)
1,249,000
(44,093,000)
(44,093,000)
33,000
118,000
2,633,000
—
4,098,000
2,649,000
1,897,000
394,000
1,278,000
85,000
(2,633,000)
Balance, December 31, 2012
70,036,000
$ 700,000
$ 113,495,000
$
127,000
$ 127,042,000
$ (11,794,000) $ 229,570,000
See accompanying notes.
40
Healthcare Services Group, Inc.
Notes to Consolidated Financial Statements
Years Ended December 31, 2012, 2011 and 2010
Note 1— Description of Business and Significant Accounting Policies
Nature of Operations
We provide management, administrative and operating expertise and services to the housekeeping, laundry, linen, facility
maintenance and dietary service departments of the health care industry, including nursing homes, retirement complexes,
rehabilitation centers and hospitals located throughout the United States. Although we do not directly participate in any government
reimbursement programs, our clients’ reimbursements are subject to government regulation. Therefore, they are directly affected
by any legislation relating to Medicare and Medicaid reimbursement programs.
We provide our services primarily pursuant to full service agreements with our clients. In such agreements, we are responsible
for the day to day management of the managers and hourly employees located at our clients’ facilities. We also provide services
on the basis of a management-only agreement for a very limited number of clients. Our agreements with clients typically provide
for a one year service term, cancelable by either party upon 30 to 90 days’ notice after the initial 90-day period.
We are organized into two reportable segments; housekeeping, laundry, linen and other services (“Housekeeping”), and dietary
department services (“Dietary”).
Housekeeping consists of the managing of the client’s housekeeping department which is principally responsible for the cleaning,
disinfecting and sanitizing of patient rooms and common areas of a client’s facility, as well as the laundering and processing of
the personal clothing belonging to the facility’s patients. Also within the scope of this segment’s service is the responsibility for
laundering and processing of the bed linens, uniforms and other assorted linen items utilized by a client facility.
Dietary consists of managing the client’s dietary department which is principally responsible for food purchasing, meal preparation
and providing dietitian consulting professional services, which includes the development of a menu that meets the patient’s dietary
needs. We began the Dietary operations in 1997.
As of December 31, 2012, we operate two wholly-owned subsidiaries, Huntingdon Holdings, Inc. (“Huntingdon”) and Healthcare
Staff Leasing Solutions, LLC (“Staff Leasing”). Huntingdon invests our cash and cash equivalents as well as manages our portfolio
of marketable securities. Staff Leasing is an entity formed in 2011 to offer professional employer organization (“PEO”) services
to potential clients in the health care industry. As of December 31, 2012, we have PEO service contracts in two states.
Principles of Consolidation
The accompanying consolidated financial statements include the accounts of Healthcare Services Group, Inc. and its wholly-
owned subsidiaries. All significant intercompany transactions and balances have been eliminated in consolidation.
Fair Value of Financial Instruments
Our financial instruments consist principally of cash and cash equivalents, marketable securities, accounts and notes receivable,
deferred compensation funding and accounts payable. Our marketable securities consist of tax-exempt municipal bond investments
that are reported at fair value with the unrealized gains and losses included in our consolidated statements of comprehensive
income. In accordance with generally accepted accounting principles in the United States ("U.S. GAAP"), we define fair value as
the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants
at the measurement date (exit price). The fair value of our cash equivalents and marketable securities is determined based on
“Level 2” inputs, which consists of quoted prices for similar assets or market corroborated inputs. We believe recorded values of
all of our financial instruments approximate their current fair values because of their nature, stated interest rates and respective
maturity dates or durations.
We have certain notes receivable that either do not bear interest or bear interest at a below market rate. Therefore, such notes
receivable of $1,639,000 and $1,855,000 at December 31, 2012 and 2011, respectively, have been discounted to their present value
and are reported at such values of $1,620,000 and $1,828,000 at December 31, 2012 and 2011, respectively.
41
Cash and Cash Equivalents
Cash and cash equivalents are held in U.S. financial institutions or in custodial accounts with U.S. financial institutions. Cash
and cash equivalents are defined as short-term, highly liquid investments with a maturity of three months or less at time of purchase
that are readily convertible into cash and have insignificant interest rate risk.
Investments in Marketable Securities
We define our marketable securities as fixed income investments which are highly liquid investments that can be readily purchased
or sold using established markets. At December 31, 2012, we had marketable securities of $21,322,000 which were comprised
primarily of tax exempt municipal bonds. These investments are reported at fair value on our balance sheet. Unrealized losses of
$82,000 at December 31, 2012 were recorded in our consolidated statement of comprehensive income for the year then ended for
investments recorded under the fair value option. For the year ended December 31, 2012, the accumulated other comprehensive
income on our consolidated balance sheet and stockholders’ equity includes unrealized gains from marketable securities of $127,000
related to marketable securities which are not recognized under the fair value option in accordance with U.S. GAAP. The unrealized
gains and losses are recorded net of income taxes.
We, in accordance with U.S. GAAP, define fair value as the price that would be received to sell an asset or paid to transfer a
liability in an orderly transaction between market participants at the measurement date (exit price). Effective January 1, 2008, we
elected the fair value option for certain of our marketable securities purchased since such adoption. Management initially elected
the fair value option for certain of our marketable securities because we viewed such investment securities as highly liquid and
available to be drawn upon for working capital purposes making them similar to cash and cash equivalents. Accordingly, we
record net unrealized gain or loss in the other income, investment and interest caption in our consolidated statements of income
for such investments. We have not elected the fair value option for marketable securities acquired after December 31, 2009.
Although these assets continue to be highly liquid and available, we believe these assets are more representative of our investing
activities. These assets are available for future needs of the Company to support our current and projected growth, if required. In
accordance with U.S. GAAP, our investments in marketable securities are classified within Level 2 of the fair value hierarchy.
These investment securities are valued based upon quoted prices for identical or similar instruments in markets that are not active,
and model-based valuation techniques for which all significant assumptions are observable in the market.
Our investment policy is to seek to manage these assets to achieve our goal of preserving principal, maintaining adequate liquidity
at all times, and maximizing returns subject to our investment guidelines. Our investment policy limits investment to certain types
of instruments issued by institutions primarily with investment grade credit ratings and places restrictions on maturities and
concentration by type and issuer.
We periodically review our investments in marketable securities for other than temporary declines in fair value below the cost
basis and whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. As
of December 31, 2012, we believe that recorded value of our investments in marketable securities was recoverable in all material
respects.
Inventories and Supplies
Inventories and supplies include housekeeping, linen and laundry supplies, as well as food provisions and supplies. Inventories
and supplies are stated at cost to approximate a first-in, first-out (FIFO) basis. Linen supplies are amortized on a straight-line basis
over their estimated useful life of 24 months.
Property and Equipment
Property and equipment are stated at cost. Additions, renewals and improvements are capitalized, while maintenance and repair
costs are expensed when incurred. When assets are retired or otherwise disposed of, the cost and related accumulated depreciation
are removed from the respective accounts and any resulting gain or loss is included in income. Depreciation is provided by the
straight-line method over the following estimated useful lives: laundry and linen equipment installations — 3 to 7 years;
housekeeping, and office furniture and equipment — 3 to 7 years; autos and trucks — 3 years. Depreciation expense on property
and equipment in the years ended December 31, 2012, 2011 and 2010 was $2,947,000, $2,416,000 and $1,864,000, respectively.
42
Revenue Recognition
Revenues from our service agreements with clients are recognized as services are performed.
As a distributor of laundry equipment, we occasionally sell laundry installations to certain clients. The sales in most cases represent
the construction and installation of a turn-key operation and are for payment terms ranging from 24 to 60 months. Our accounting
policy for these sales is to recognize the gross profit over the life of the payments associated with our financing of the transactions.
During 2012, 2011 and 2010 laundry installation sales were not material.
Income Taxes
We use the asset and liability method of accounting for income taxes. Under this method, income tax expense is recognized for
the amount of taxes payable or refundable for the current year. We accrue for probable tax obligations as required by facts and
circumstances in the various regulatory environments. In addition, deferred tax assets and liabilities are recognized for expected
future tax consequences of temporary differences between the financial reporting and tax bases of assets and liabilities. If
appropriate, we would record a valuation allowance to reduce deferred tax assets to an amount for which realization is more likely
than not. Deferred tax assets and liabilities are more fully described in subsequent Notes to the Consolidated Financial Statements.
In accordance with U.S. GAAP, we account for uncertain income tax positions reflected within our financial statements based on
a recognition threshold and measurement process for financial statement recognition and measurement of a tax position taken or
expected to be taken in a tax return.
Earnings per Common Share
Basic earnings per common share are computed by dividing income available to common shareholders by the weighted-average
common shares outstanding for the period. Diluted earnings per common share reflect the weighted-average common shares
outstanding and dilutive common shares, such as those issuable upon exercise of stock options.
Share-Based Compensation
U.S. GAAP addresses the accounting for share-based compensation, specifically, the measurement and recognition of compensation
expense, based on estimated fair values, for all share-based awards made to employees and directors, including stock options and
participation in the Company’s employee stock purchase plan. We estimate the fair value of share-based awards on the date of
grant using the Black-Scholes option valuation model. The value of the portion of the award that is ultimately expected to vest is
recognized as an expense in the Company’s consolidated statements of income over the requisite service periods. We use the
straight-line single option method of expensing share-based awards in our consolidated financial statements of income. Because
share-based compensation expense is based on awards that are ultimately expected to vest, share-based compensation expense
will be reduced to account for estimated forfeitures. Forfeitures are to be estimated at the time of grant and revised, if necessary,
in subsequent periods if actual forfeitures differ from those estimates.
Advertising Costs
Advertising costs are expensed when incurred. Advertising costs were not material for the years ended December 31, 2012, 2011
and 2010.
Impairment of Long-Lived Assets
We account for long-lived assets in accordance with the criteria established in U.S. GAAP, which states that the carrying amounts
of long-lived assets be periodically reviewed to determine whether current events or circumstances warrant adjustment to such
carrying amounts. Any impairment is measured by the amount that the carrying value of such assets exceeds their fair value,
primarily based on estimated discounted cash flows. Considerable management judgment is necessary to estimate the fair value
of assets. Assets to be disposed of are carried at the lower of their financial statement carrying amount or fair value, less cost to
sell.
43
Acquisitions
We acquire businesses and/or assets that augment and complement our operations from time to time. These acquisitions are
accounted for under the purchase method of accounting. The consolidated financial statements include the results of operations
from such business combinations as of the date of acquisition.
Identifiable Intangible Assets and Goodwill
Identifiable intangible assets with finite lives are amortized on a straight-line basis over their respective lives. Goodwill represents
the excess of costs over the fair value of net assets of the acquired business. We review the carrying values of goodwill at least
annually during the fourth quarter of each year to assess impairment because these assets are not amortized. Additionally, we
review the carrying value of any intangible asset or goodwill whenever events or changes in circumstances indicate that its carrying
amount may not be recoverable. We assess impairment by comparing the fair value of an identifiable intangible asset or reporting
unit with its carrying value. Impairments are recorded when incurred. No impairment loss was recognized on our intangible assets
for the years ended December 31, 2012, 2011 or 2010.
Treasury Stock
Treasury stock purchases are accounted for under the cost method whereby the entire cost of the acquired stock is recorded as
treasury stock. Gains or losses on the subsequent reissuance of shares are credited or charged to additional paid in capital.
Three-for-Two Stock Split
On October 12, 2010, our Board of Directors declared a three-for-two stock split in the form of a 50% common stock dividend
which was paid on November 12, 2010 to shareholders of record at the close of business on November 8, 2010. All share and per
common share information for all periods presented have been adjusted to reflect the three-for-two stock split.
Reclassification
Certain prior period amounts have been reclassified to conform to current year presentation.
Use of Estimates in Financial Statements
In preparing financial statements in conformity with U.S. GAAP, we make estimates and assumptions that affect the reported
amounts of assets and liabilities and disclosures of contingent assets and liabilities at the date of the financial statements, as well
as the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.
Significant estimates are used for, but not limited to, our allowance for doubtful accounts, accrued insurance claims, asset valuations
and review for potential impairment, and deferred taxes. The estimates are based upon various factors including current and
historical trends, as well as other pertinent industry and regulatory authority information. We regularly evaluate this information
to determine if it is necessary to update the basis for our estimates and to compensate for known changes.
Concentrations of Credit Risk
The accounting guidance requires the disclosure of significant concentrations of credit risk, regardless of the degree of such risk.
Financial instruments, as defined by U.S. GAAP, which potentially subject us to concentrations of credit risk, consist principally
of cash and cash equivalents, marketable securities, deferred compensation funding and accounts and notes receivable. We define
our marketable securities as fixed income investments which are highly liquid investments that can be readily purchased or sold
using established markets. At December 31, 2012 and 2011, substantially all of our cash and cash equivalents, and marketable
securities were held in one large financial institution located in the United States, in excess of regulatory insured amounts.
Our clients are concentrated in the health care industry, primarily providers of long-term care. Many of our clients’ revenues are
highly contingent on Medicare, Medicaid and third party payors’ reimbursement funding rates. Congress has enacted a number
of major laws during the past decade that have significantly altered, or threatened to alter, overall government reimbursement for
nursing home services. These changes and lack of substantive reimbursement funding rate reform legislation, as well as other
trends in the long-term care industry have affected and could adversely affect the liquidity of our clients, resulting in their inability
to make payments to us on agreed upon payment terms. These factors, in addition to delays in payments from clients, have resulted
in, and could continue to result in, significant additional bad debts in the future.
44
As a result of the current economic crisis, many states have significant budget deficits. State Medicaid programs are experiencing
increased demand, and with lower revenues than projected, they have fewer resources to support their Medicaid programs. In
addition, comprehensive health care legislation under the Patient Protection and Affordable Care Act and the Health Care and
Education Reconciliation Act of 2010 (together, the “Act”) was signed into law in March 2010. The Act will significantly impact
the governmental healthcare programs in which our clients participate, and reimbursements received thereunder from governmental
or third-party payors. Furthermore, in the coming year and beyond, new proposals or additional changes in existing regulations
could be made to the Act which could directly impact the governmental reimbursement programs in which our clients participate.
As a result, some state Medicaid programs are reconsidering previously approved increases in nursing home reimbursement or
are considering delaying or foregoing those increases. A few states have indicated that it is possible they will run out of cash to
pay Medicaid providers, including nursing homes. Any negative changes in our clients’ reimbursements may negatively impact
our results of operations. Although we are currently evaluating the Act’s effect on our client base, we may not know the full effect
until such time as these laws are fully implemented and Centers for Medicare and Medicaid Services (“CMS”) and other agencies
issue applicable regulations or guidance.
In 2009 and 2010, Federal economic stimulus legislation was enacted to counter the impact of the economic crisis on state budgets.
The legislation included the temporary provision of additional federal matching funds to help states maintain their Medicaid
programs. This legislation to provide states with an extension of this fiscal relief was extended through June 2011, but at a reduced
reimbursement rate. In July 2011, CMS issued a final rule that reduced Medicare payments to nursing centers by 11.1% and
changed the reimbursement for the provision of group rehabilitation therapy services to Medicare beneficiaries. This new rule
was effective as of October 1, 2011. Even if federal or state legislation is enacted that provides additional funding to Medicaid
providers, given the volatility of the economic environment, it is difficult to predict the impact of this legislation on our clients’
liquidity and their ability to make payments to us as agreed.
In January 2013, the U.S. Congress enacted the American Taxpayer Relief Act of 2012, which delayed automatic spending cuts,
including reduced Medicare payments to plans and providers up to 2%. These discretionary spending caps were originally enacted
under provisions in the Budget Control Act of 2011, an initiative to reduce the federal deficit through the year 2021, also known
as “sequestration.” The sequestration is set to go into effect starting March 2013, absent further action by Congress and the
Administration.
Significant Clients
We have several clients who each who have made a contribution to our total consolidated revenues ranging from 3% to 7% for
the year ended December 31, 2012. Although we expect to continue relationships with these clients, there can be no assurance
thereof. The loss of such clients, or a significant reduction in the revenues we receive from these clients, would have a material
adverse effect on the results of operations of our two operating segments. In addition, if such clients change their respective
payment terms it could increase our accounts receivable balance and have a material adverse effect on our cash flows and cash
and cash equivalents.
45
Recent Accounting Pronouncements
In May 2011, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2011-04, Fair
Value Measurement (Topic 820): Amendments to Achieve Common Fair Value Measurement and Disclosure Requirements in
U.S. GAAP and IFRS. This ASU clarifies the FASB's intent regarding application of existing fair value measurements and
disclosures, revises certain measurement and disclosure requirements that change or modify a principle to achieve convergence
with International Financial Reporting Standards and expands the information required to be disclosed with respect to fair value
measurements categorized in Level 3 fair value measurements. The ASU is effective for fiscal years and interim periods beginning
on or after December 15, 2011, with early adoption prohibited. The adoption of this standard in 2012 did not have a material
impact on the Company's consolidated results of operations, cash flows, or financial position.
In June 2011, the Financial Accounting Standards Board (“FASB”) issued ASU 2011-05, Comprehensive Income (Topic 220):
Presentation of Comprehensive Income. This ASU allows an entity to present components of net income and other comprehensive
income in one continuous statement, referred to as the statement of comprehensive income, or in two separate, but consecutive
statements. This ASU eliminates the option to report other comprehensive income and its components in the statement of changes
in stockholders' equity. While this ASU changes the presentation of comprehensive income, there are no changes to the components
that are recognized in net income or other comprehensive income under current accounting guidance. This ASU is effective for
fiscal years and interim periods beginning after December 15, 2011. The adoption of this standard in 2012 did not have a material
impact on the Company's consolidated results of operations, cash flows, or financial position.
In September 2011, the FASB issued ASU 2011-08, Intangibles-Goodwill and Other (Topic 350): Testing Goodwill for Impairment.
This ASU allows an entity to assess qualitative factors to determine if it is more-likely-than-not that goodwill might be impaired
and whether it is necessary to perform the two-step goodwill impairment test required under current accounting standards. This
ASU is effective for fiscal years beginning after December 15, 2011, with early adoption permitted. The adoption of this standard
in 2012 did not have a material impact on the Company's consolidated results of operations, cash flows, or financial position.
In December 2011, the FASB issued ASU 2011-12, Comprehensive Income (Topic 220): Deferral of the Effective Date for
Amendments to the Presentation of Reclassifications of Items Out of Accumulated Other Comprehensive Income in Accounting
Standards Update No. 2011-05. This ASU is a deferral of the effective date pertaining to reclassification adjustments out of
accumulated other comprehensive income in ASU 2011-05. The FASB is going to reassess the costs and benefits of those provisions
in ASU 2011-05 related to reclassifications out of accumulated other comprehensive income. Due to the time required to properly
make such a reassessment and to evaluate alternative presentation formats, the FASB decided that it is necessary to reinstate the
requirements for the presentation of reclassifications out of accumulated other comprehensive income that were in place before
the issuance of ASU 2011-05. This ASU is effective for fiscal years and interim periods beginning after December 15, 2011. The
adoption of this standard in 2012 did not have a material impact on the Company's consolidated results of operations, cash flows,
or financial position.
In July 2012, the FASB issued ASU 2012-02, Intangibles-Goodwill and Other (Topic 350): Testing Indefinite-Lived Intangible
Assets for Impairment. This ASU allows an entity to make a qualitative assessment to determine whether it is more likely than not
that an indefinite-lived intangible asset, other than goodwill, is impaired. If an entity concludes, based on an evaluation of all
relevant qualitative factors, that it is not more likely than not that the fair value of an indefinite-lived intangible asset is less than
its carrying amount, it will not be required to perform the quantitative impairment test for that asset. The objective of this ASU is
to reduce the cost and complexity of performing an impairment test for indefinite-lived intangible assets by simplifying how an
entity tests those assets for impairment and to improve consistency in impairment testing guidance among long-lived asset
categories. This ASU is effective for annual and interim impairment tests performed for fiscal years beginning after September
15, 2012, with early adoption permitted. The adoption of this standard in 2012 did not have a material impact on the Company's
consolidated results of operations, cash flows, or financial position.
46
Note 2—Goodwill and Other Intangible Assets
Goodwill represents the excess of the purchase price over the fair value of net assets acquired of businesses and is not amortized.
Goodwill is evaluated for impairment on an annual basis, or more frequently if impairment indicators arise, using a fair-value-
based test that compares the fair value of the reporting unit to its carrying value.
Goodwill by reportable operating segment, as described in Note 12 herein, was approximately $14,894,000 and $2,061,000 for
Housekeeping and Dietary, respectively, as of both December 31, 2012 and 2011.
The cost of intangible assets is based on fair values at the date of acquisition. Intangible assets with determinable lives are amortized
on a straight-line basis over their estimated useful life (between 7 and 8 years).
The following table sets forth the amounts of our identifiable intangible assets subject to amortization, which were acquired in
acquisitions.
Customer relationships
Non-compete agreements
Total other intangibles, gross
Less accumulated amortization
Other intangibles, net
December 31,
$
2012
14,481,000
800,000
15,281,000
10,078,000
5,203,000
$
2011
14,481,000
800,000
15,281,000
7,909,000
7,372,000
$
$
The customer relationships have a weighted-average amortization period of seven years and the non-compete agreements have a
weighted-average amortization period of eight years. The following table sets forth the estimated amortization expense for
intangibles subject to amortization for the following five fiscal years:
Period/Year
2013
2014
2015
2016
2017
Thereafter
Customer
Relationships
Non-Compete
Agreements
Total
$
1,750,000
$
100,000
$
1,850,000
1,112,000
1,112,000
569,000
297,000
198,000
67,000
—
—
—
—
1,179,000
1,112,000
569,000
297,000
198,000
Amortization expense for the years ended December 31, 2012, 2011 and 2010 was $2,169,000, $1,971,000 and $1,900,000,
respectively.
Note 3—Fair Value Measurements
We, in accordance with U.S. GAAP, define fair value as the price that would be received to sell an asset or paid to transfer a
liability in an orderly transaction between market participants at the measurement date (exit price). Effective January 1, 2008, we
elected the fair value option for certain of our marketable securities purchased since such adoption. Management initially elected
the fair value option for certain of our marketable securities because it views such investment securities as highly liquid and
available to be drawn upon for working capital purposes making them similar to its cash and cash equivalents. Accordingly, we
record net unrealized gain or loss in the other income, investment and interest caption in our consolidated income statements. We
have not elected for such investments the fair value option for marketable securities acquired after December 31, 2009. Although
these assets continue to be highly liquid and available, we believe these assets are more representative of our investing activities,
and they will be available for future needs of the Company to support its projected growth.
The carrying value of certain assets and liabilities is considered to be representative of their fair value, due to the short term nature
of these instruments. Such assets and liabilities include cash and cash equivalents, marketable securities, accounts and notes
receivable, prepaid expenses and other, and accounts payable (including income taxes payable and accrued expenses).
47
The following tables provide fair value measurement information for our marketable securities and deferred compensation fund
investment assets as of December 31, 2012 and 2011:
As of December 31, 2012
Fair Value Measurement Using:
Quoted
Prices
in Active
Markets
(Level 1)
Significant
Other
Observable
Inputs
(Level 2)
Significant
Unobservable
Inputs
(Level 3)
Carrying
Amount
Total Fair
Value
Financial Assets:
Marketable securities
Municipal bonds
Equity securities — Deferred comp fund
Money Market
Balanced and Lifestyle
Large Cap Growth
Small Cap Value
Fixed Income
International
Mid Cap Growth
$
$
21,322,000
$
21,322,000
4,114,000
$
4,114,000
$
$
— $
21,322,000
— $
4,114,000
$
$
6,311,000
2,724,000
1,936,000
1,461,000
785,000
500,000
6,311,000
2,724,000
1,936,000
1,461,000
785,000
500,000
6,311,000
2,724,000
1,936,000
1,461,000
785,000
500,000
—
—
—
—
—
—
Equity securities — Deferred comp fund
$
17,831,000
$
17,831,000
$
13,717,000
$
4,114,000
$
—
—
—
—
—
—
—
—
—
As of December 31, 2011
Fair Value Measurement Using:
Quoted
Prices
in Active
Markets
(Level 1)
Significant
Other
Observable
Inputs
(Level 2)
Significant
Unobservable
Inputs
(Level 3)
Carrying
Amount
Total Fair
Value
Financial Assets:
Marketable securities
Municipal bonds
Equity securities — Deferred comp fund
Money Market
Large Cap Value
Large Cap Growth
Small Cap Value
Fixed Income
Specialty
Balanced and Lifestyle
International
Large Cap Blend
Mid Cap Growth
Mid Cap Value
Small Cap Growth
$
$
31,337,000
$
31,337,000
3,029,000
$
2,716,000
2,184,000
1,244,000
1,429,000
832,000
814,000
562,000
500,000
363,000
54,000
53,000
3,029,000
2,716,000
2,184,000
1,244,000
1,429,000
832,000
814,000
562,000
500,000
363,000
54,000
53,000
$
$
— $
31,337,000
— $
3,029,000
$
$
2,716,000
2,184,000
1,244,000
1,429,000
832,000
814,000
562,000
500,000
363,000
54,000
53,000
—
—
—
—
—
—
—
—
—
—
—
Equity securities — Deferred comp fund
$
13,780,000
$
13,780,000
$
10,751,000
$
3,029,000
$
—
—
—
—
—
—
—
—
—
—
—
—
—
—
The fair value of the municipal bonds is measured using pricing service data using third party pricing data. The fair value of equity
investments in the funded deferred compensation plan are valued (Level 1) based on quoted market prices. The money market
fund in the funded deferred compensation plan is valued (Level 2) at the net asset value (“NAV”) of the shares held by the plan
at the end of the period. As a practical expedient, fair value of our money market fund is valued at the NAV as determined by the
custodian of the fund. The money market fund includes short-term United States dollar denominated money-market instruments.
The money market fund can be redeemed at its NAV at its measurement date as there are no significant restrictions on the ability
of participants to sell this investment. These assets will be redeemed by the plan participants on an as needed basis.
48
For the years ended December 31, 2012, 2011 and 2010, the other income – investment and interest caption on our consolidated
statements of comprehensive income includes unrealized losses from marketable securities of $82,000, $486,000 and $1,083,000
respectively, for investments recorded under the fair value option.
Amortized Cost
Gross
Unrealized
Gains
Gross
Unrealized
Losses
Estimated Fair
Value
Other-than-
temporary
Impairments
December 31, 2012
Type of security:
Municipal bonds — available for sale
21,111,000
220,000
(9,000)
21,322,000
Total debt securities
December 31, 2011
Type of security:
Municipal bonds
Municipal bonds — available for sale
Total debt securities
December 31, 2010
Type of security:
Municipal bonds
Municipal bonds — available for sale
Total debt securities
$
21,111,000
$
220,000
$
(9,000) $
21,322,000
$
$
$
$
$
2,167,000
$
82,000
$
— $
2,249,000
28,745,000
352,000
(9,000)
29,088,000
30,912,000
$
434,000
$
(9,000) $
31,337,000
18,029,000
24,918,000
42,947,000
$
$
568,000
$
— $
18,597,000
—
(78,000)
24,840,000
568,000
$
(78,000) $
43,437,000
$
$
$
$
—
—
—
—
—
—
—
—
For the years ended December 31, 2012, 2011 and 2010, we received total proceeds of $16,838,000, $12,507,000 and $11,877,000,
respectively, from sales of available for sale municipal bonds. These sales resulted in realized gains of $229,000, $95,000 and
$69,000 recorded in other income – investment and interest caption on our statement of comprehensive income for the years ended
December 31, 2012, 2011 and 2010, respectively. The basis for the sale of these securities was a specific identification of each
bond sold during this period.
The following tables include contractual maturities of debt securities held at December 31, 2012 and 2011, which are classified
as marketable securities in the consolidated Balance Sheet.
Contractual maturity:
Maturing in one year or less
Maturing after one year through
three years
Maturing after three years
Total debt securities
$
$
As of December 31,
2012
2011
2012
2011
2012
2011
Municipal Bonds
Municipal Bonds —
Available for Sale
Total Debt Securities
— $
34,000
$
5,164,000
$
4,100,000
$
5,164,000
$
4,134,000
—
—
2,215,000
12,134,000
18,874,000
12,134,000
21,089,000
—
4,024,000
6,114,000
4,024,000
6,114,000
— $
2,249,000
$
21,322,000
$
29,088,000
$
21,322,000
$
31,337,000
Note 4— Accounts and Notes Receivable
We expend considerable effort to collect the amounts due for our services on the terms agreed upon with our clients. Many of our
clients participate in programs funded by federal and state governmental agencies which historically have encountered delays in
making payments to its program participants. Congress has enacted a number of laws during the past decade that have significantly
altered, or may alter, overall government reimbursement for nursing home services. Because our clients’ revenues are generally
dependent on Medicare and Medicaid reimbursement funding rates and mechanisms, the overall effect of these laws and trends
in the long term care industry have affected and could adversely affect the liquidity of our clients, resulting in their inability to
make payments to us on agreed upon payment terms. These factors, in addition to delays in payments from clients, have resulted
in and could continue to result in significant additional bad debts in the near future. Whenever possible, when a client falls behind
in making agreed-upon payments, we convert the unpaid accounts receivable to interest bearing promissory notes. The promissory
notes receivable provide a means by which to further evidence the amounts owed and provide a definitive repayment plan and
therefore may ultimately enhance our ability to collect the amounts due. At December 31, 2012 and 2011, we had $10,730,000
and $6,693,000, net of reserves, respectively, of such promissory notes outstanding. Additionally, we consider restructuring service
agreements from full service to management-only service in the case of certain clients experiencing financial difficulties. We
49
believe that such restructurings may provide us with a means to maintain a relationship with the client while at the same time
minimizing collection exposure.
Note 5— Allowance for Doubtful Accounts
The allowance for doubtful accounts is established as losses are estimated to have occurred through a provision for bad debts
charged to earnings. The allowance for doubtful accounts is evaluated based on our periodic review of accounts and notes receivable
and is inherently subjective as it requires estimates that are susceptible to significant revision as more information becomes
available.
As a result of the current economic crisis, many states have significant budget deficits. State Medicaid programs are experiencing
increased demand, and with lower revenues than projected, they have fewer resources to support their Medicaid programs. In
addition, comprehensive health care legislation under the Act was signed into law in March 2010. The Act will significantly impact
the governmental healthcare programs in which our clients participate, and reimbursements received thereunder from governmental
or third-party payors. Furthermore, in the coming year and beyond, new proposals or additional changes in existing regulations
could be made to the Act which could directly impact the governmental reimbursement programs in which our clients participate.
As a result, some state Medicaid programs are reconsidering previously approved increases in nursing home reimbursement or
are considering delaying or foregoing those increases. A few states have indicated it is possible they will run out of cash to pay
Medicaid providers, including nursing homes. Any negative changes in our clients’ reimbursements may negatively impact our
results of operations. Although we are currently evaluating the Act’s effect on our client base, we may not know the full effect
until such time as these laws are fully implemented and CMS and other agencies issue applicable regulations or guidance.
In 2009 and 2010, Federal economic stimulus legislation was enacted to counter the impact of the economic crisis on state budgets.
The legislation included the temporary provision of additional federal matching funds to help states maintain their Medicaid
programs. This legislation to provide states with an extension of this fiscal relief was extended through June 2011, but at a reduced
reimbursement rate. In July 2011, CMS issued a final rule that reduced Medicare payments to nursing centers by 11.1% and
changed the reimbursement for the provision of group rehabilitation therapy services to Medicare beneficiaries. This new rule
was effective as of October 1, 2011. Even if federal or state legislation is enacted that provides additional funding to Medicaid
providers, given the volatility of the economic environment, it is difficult to predict the impact of this legislation on our clients’
liquidity and their ability to make payments to us as agreed.
In January 2013, the U.S. Congress enacted the American Taxpayer Relief Act of 2012, which delayed automatic spending cuts,
including reduced Medicare payments to plans and providers up to 2%. These discretionary spending caps were originally enacted
under provisions in the Budget Control Act of 2011, an initiative to reduce the federal deficit through the year 2021, also known
as “sequestration.” The sequestration is set to go into effect starting March 2013, absent further action by Congress and the
Administration.
We have had varying collection experience with respect to our accounts and notes receivable. When contractual terms are not met,
we generally encounter difficulty in collecting amounts due from certain of our clients. Therefore, we have sometimes been required
to extend the period of payment for certain clients beyond contractual terms. These clients include those who have terminated
service agreements and slow payers experiencing financial difficulties. In order to provide for these collection problems and the
general risk associated with the granting of credit terms, we have recorded the following bad debt provisions (in an Allowance
for Doubtful Accounts):
Bad debt provision
Year Ended December 31,
2012
2011
2010
$
2,160,000
$
2,450,000
$
2,200,000
In making our credit evaluations, in addition to analyzing and anticipating, where possible, the specific cases described above, we
consider the general collection risk associated with trends in the long-term care industry. We also establish credit limits, perform
ongoing credit evaluation and monitor accounts to minimize the risk of loss. Notwithstanding our efforts to minimize credit risk
exposure, our clients could be adversely affected if future industry trends change in such a manner as to negatively impact their
cash flows. If our clients experience a negative impact in their cash flows, it would have a material adverse effect on our results
of operations and financial condition.
50
Impaired Notes Receivable
We evaluate our notes receivable for impairment quarterly and on an individual client basis. Notes receivable considered impaired
are generally attributable to clients that are either in bankruptcy, are subject to collection activity or those slow payers that are
experiencing financial difficulties. In the event that our evaluation results in a determination that a note receivable is impaired, it
is valued at the present value of expected cash flows or market value of related collateral. Summary schedules of impaired notes
receivable, and the related reserve, for the years ended December 31, 2012, 2011 and 2010 are as follows:
Year ended December 31,
2012
2011
2010
Year ended December 31,
2012
2011
2010
Balance
Beginning of
Year
$
$
$
1,855,000
1,910,000
2,900,000
Impaired Notes Receivable
Additions
Deductions
Balance End of
Year
Average
Outstanding
Balance
— $
5,000
676,000
$
$
216,000
60,000
1,666,000
$
$
$
1,639,000
1,855,000
1,910,000
$
$
$
1,747,000
1,883,000
2,405,000
Reserve for Impaired Notes Receivable
Balance
Beginning of
Year
Additions
Deductions
Balance End of
Year
1,066,000
930,000
2,100,000
$
$
$
108,000
196,000
496,000
$
$
$
216,000
60,000
1,666,000
$
$
$
958,000
1,066,000
930,000
$
$
$
$
$
$
For impaired notes receivable, interest income is recognized on a cost recovery basis only. As a result, no interest income was
recognized on impaired notes receivable. We follow an income recognition policy on all other notes receivable that does not
recognize interest income until cash payments are received. This policy was established, recognizing the environment of the long-
term care industry, and not because such notes receivable are necessarily impaired. The difference between income recognition
on a full accrual basis and cash basis, for notes receivable that are not considered impaired, is not material.
Note 6 — Lease Commitments
We lease office facilities, equipment and autos under operating leases expiring on various dates through 2017. Certain office leases
contain renewal options. The following is a schedule, by calendar year, of future minimum lease payments under operating leases
that have remaining terms as of December 31, 2012.
Period/Year
2013
2014
2015
2016
2017
Thereafter
Total minimum lease payments
Operating
Leases
$
1,090,000
918,000
201,000
—
—
—
$
2,209,000
Certain property leases provide for scheduled rent escalations. We do not consider the scheduled rent escalations to be material
to our operating lease expenses individually or in the aggregate. Total expense for all operating leases was as follows:
Operating lease expense
Year Ended December 31,
2012
2011
2010
$
1,451,000
$
1,336,000
$
1,158,000
51
Note 7— Share-Based Compensation
On May 29, 2012, the Company's shareholders adopted and approved the 2012 Equity Incentive Plan (the "2012 Plan"), under
which current or prospective officers, employees, non-employee directors and advisors can receive share-based awards such as
stock options, restricted stock and other stock awards. The 2012 Plan seeks to promote the highest level of performance by providing
an economic interest in the long-term success of the Company. As of this date, no further grants were permitted under any previously
existing stock plans (the "Pre-existing Plans"). Additionally, all remaining shares available for future grants under the Pre-existing
Plans became available for issuance under the 2012 Plan.
In addition to the 2012 Plan, the Company also had two compensation plans at December 31, 2012 which are described below:
the 2000 Employee Stock Purchase Plan (the “ESPP”) and the Supplemental Executive Retirement Plan (the “SERP”).
A summary of stock-based compensation expense for the years ended December 31, 2012, 2011 and 2010 is as follows:
Employee Stock Purchase Plan (ESPP)
Stock-based compensation — Stock options
Total pre-tax stock-based compensation expense charged against income (1)
December 31,
2012
2011
2010
$
$
641,000
$
282,000
$
1,897,000
1,870,000
2,538,000
$
2,152,000
$
317,000
1,015,000
1,332,000
(1) Stock-based compensation expense is recorded in the selling, general and administrative caption in our consolidated statements of
comprehensive income.
With respect to our SERP, we recorded expense of $560,000, $444,000 and $400,000 (representing the Company’s 25% match of
participants’ deferrals) for the years ended December 31, 2012, 2011 and 2010, respectively. Both the SERP match and deferrals
are included in the selling, general and administrative caption in our consolidated statements of comprehensive income.
Equity Incentive Plan
The Nominating, Compensation and Stock Option Committee of the Board of Directors is responsible for determining the
individuals who will be granted options, the number of options each individual will receive, the option price per share (in accordance
with the terms of our option plan), and the exercise period of each option.
We have outstanding stock options that were granted under the Pre-existing Plans to non-employee directors, officers and employees
of the Company and other specified groups, depending on the plan. No further grants are allowed under the Pre-existing Plans.
As of December 31, 2012, 5,969,000 shares of common stock were reserved for issuance under our equity incentive plan, including
3,337,000 shares which are available for future grant. The stock option price will not be less than the fair market value of the
common stock on the date the option is granted. No option grant will have a term in excess of ten years. The options granted in
2012, 2011 and 2010 become vested and exercisable ratably over a five year period on each yearly anniversary date of the option
grant.
A summary of stock option activity is as follows:
2012
2011
2010
Weighted
Average
Exercise Price
Number of
Shares
Weighted
Average
Exercise Price
Number of
Shares
Weighted
Average
Exercise Price
Number of
Shares
Beginning of period
$
Granted
Cancelled
Exercised
End of period
$
10.97
17.50
14.53
7.81
13.18
2,912,000
$
601,000
(134,000)
(747,000)
2,632,000
$
9.14
16.11
12.67
4.93
10.97
3,002,000
$
510,000
(96,000)
(504,000)
2,912,000
$
7.55
14.31
9.27
7.10
9.14
3,077,000
670,000
(41,000)
(704,000)
3,002,000
The weighted average grant-date fair value of stock options granted during 2012, 2011 and 2010 was $4.74, $3.26 and $3.98 per
common share, respectively.
52
The following table summarizes information about stock options outstanding at December 31, 2012.
Options Outstanding
Options Exercisable
Number
Outstanding
Average
Remaining
Contractual Life
Weighted
Average
Exercise Price
Per Share
Number
Exercisable
Weighted
Average
Exercise Price
812,000
296,000
506,000
444,000
574,000
2,632,000
3.63
5.01
7.01
8.01
8.99
6.34
$
$
7.53
13.93
14.31
16.11
17.50
13.18
605,000
$
206,000
160,000
69,000
—
1,040,000
$
6.56
13.93
14.31
16.11
17.50
9.84
Exercise Price Range
$3.68 — 10.39
13.93
14.31
16.11
$17.50
Fair Value Estimates
The fair value of options granted during 2012, 2011 and 2010 is estimated on the date of grant using the Black-Scholes option
valuation model based on the following assumptions:
Risk-free interest rate
Weighted average expected life in years — Stock Options
Expected volatility
Dividend yield
Forfeiture rate
Other Information
2012
1.30%
2011
2.60%
2010
2.50%
6.8 years
7.4 years
4.5 years
39.2%
3.60%
2.90%
27.4%
3.66%
3.81%
42.1%
3.45%
3.88%
Other information pertaining to activity of our stock options during the years ended December 31, 2012, 2011 and 2010 was as
follows:
Aggregate intrinsic value of stock options exercised
Aggregate intrinsic value of outstanding stock options
Total grant-date fair value of stock options granted
Total fair value of options vested during period
2012
10,465,000
26,472,000
2,438,000
1,409,000
$
$
$
$
2011
5,059,000
19,570,000
1,477,000
1,551,000
$
$
$
$
2010
5,613,000
21,393,000
2,176,000
579,000
$
$
$
$
The unrecognized compensation cost related to stock options granted but not yet vested at December 31, 2012, 2011 and 2010
was approximately $3,999,000, $3,547,000 and $3,356,000, respectively. The weighted average remaining period over which the
above amounts are expected to be recognized was four years for each year ended December 31, 2012, 2011 and 2010.
Employee Stock Purchase Plan
Since January 1, 2000, we have had a non-compensatory ESPP for all eligible employees. All full-time and certain part-time
employees who have completed two years of continuous service with us are eligible to participate. The ESPP was implemented
through five annual offerings. On January 1, 2000, the first annual offering commenced. On February 12, 2004 (effective January 1,
2004), our Board of Directors extended the ESPP for an additional eight annual offerings. On April 12, 2011, the Board of Directors
extended the ESPP for an additional five offerings through 2016. Annual offerings commence and terminate on the respective
year’s first and last calendar day. Under the ESPP, we are authorized to issue up to 4,050,000 shares of our common stock to our
employees. Pursuant to such authorization, we have 2,541,000 shares available for future grant at December 31, 2012. Furthermore,
under the terms of the ESPP, eligible employees may contribute through payroll deductions up to $21,250 (85% of IRS limitation)
of their compensation toward the purchase of the Company's common stock. No employee may purchase common stock which
exceeds $25,000 in fair market value (determined on the date of grant) for each calendar year. The price per share is equal to the
lower of 85% of the fair market price on the first day of the offering period, or 85% of the fair market price on the day of purchase.
53
The following table summarizes information about our ESPP annual offerings for the years ended December 31, 2012, 2011 and
2010:
Common shares purchased
Per common share purchase Price
Amount expensed under ESPP
Net proceeds from issuance
Common shares date of issue
Deferred Compensation Plan
ESPP Annual Offering
2012
2011
2010
79,000
15.04
641,000
1,192,000
$
$
$
$
$
$
71,000
13.83
282,000
978,000
$
$
$
75,000
12.07
317,000
911,000
Jan. 4, 2013
Jan. 4, 2012
Jan. 6, 2011
Since January 1, 2000, we have had a SERP for certain key executives and employees. The SERP is not qualified under Section 401
of the Internal Revenue Code. Effective in Plan year 2010, the Plan was amended to allow participants to defer up to 25% of their
earned income on a pre-tax basis. Prior to the amendment, participants were eligible to defer up to 15% of their earned income
on a pre-tax basis. As of the last day of each plan year, each participant will receive a 25% match of up to 15% of their deferral
in the form of our Common Stock based on the then current market value. The 2010 amendment increased the deferral amount
to 25% of their earned income on a pre-tax basis, but the 25% match is still limited to a maximum of 15% of eligible participants’
deferral. SERP participants fully vest in our matching contribution three years from the first day of the initial year of participation.
The income deferred and our matching contributions are unsecured and subject to the claims of our general creditors. Under the
SERP, we are authorized to issue up to 1,013,000 shares of our common stock to our employees. Pursuant to such authorization,
we have 471,000 shares available for future grant at December 31, 2012 (after deducting the 2012 funding of 24,000 shares
delivered in 2013 and adding back 9,000 shares forfeited during 2012). In the aggregate, since initiation of the SERP, the Company’s
25% match has resulted in 541,000 shares (including the 2012 funding of shares delivered in 2013, net of forfeited shares) being
issued to the trustee. At the time of issuance, such shares were accounted for at cost, as treasury stock. At December 31, 2012,
approximately 282,000 of such shares are vested and remain in the respective active participants’ accounts. The following table
summarizes information about our SERP for the plan years ended December 31, 2012, 2011 and 2010:
Amount of company match expensed under SERP
Treasury shares issued to fund SERP expense
SERP trust account balance at December 31
Unrealized gain (loss) recorded in SERP liability account
SERP Plan Year
2012
560,000
24,000
24,997,000
(1)
1,718,000
$
$
$
2011
444,000
26,000
18,942,000
(1)
(104,000)
$
$
$
2010
400,000
25,000
16,534,000
(1)
1,325,000
$
$
$
(1) SERP trust account investments are recorded at their fair value which is based on quoted market prices. Differences between such amounts
in the table above and the deferred compensation funding asset reported on our Consolidated Balance Sheets represent the value of our
Common Stock held in the Plan’s participants’ trust account and reported by us as treasury stock in our Consolidated Balance Sheets.
Note 8— Other Employee Benefit Plans
Retirement Savings Plan
Since October 1, 1999, we have had a retirement savings plan for employees (the “RSP”) under Section 401(k) of the Internal
Revenue Code. The RSP allows eligible employees to contribute up to fifteen percent (15)% of their eligible compensation on a
pre-tax basis. There is no match by the Company.
54
Note 9— Dividends
We have paid regular quarterly cash dividends since the second quarter of 2003. During 2012, we paid regular quarterly cash
dividends totaling $44,093,000 as detailed below:
March 31, 2012
June 30, 2012
September 30, 2012
December 31, 2012
Cash dividend per common share
Total cash dividends paid
$
$
Record date
Payment date
$
$
0.16125
10,847,000
February 24
March 26
0.1625
10,956,000
$
$
April 27
May 18
$
$
0.16375
11,063,000
July 27
August 24
0.1650
11,227,000
October 26
November 30
Quarter Ended
Additionally, on January 22, 2013, our Board of Directors declared a regular quarterly cash dividend of $0.16625 per common
share, which will be paid on March 15, 2013 to shareholders of record as of the close of business on February 22, 2013.
Our Board of Directors reviews our dividend policy on a quarterly basis. Although there can be no assurance that we will continue
to pay dividends or the amount of the dividend, we expect to continue to pay a regular quarterly cash dividend. In connection with
the establishment of our dividend policy, we adopted a Dividend Reinvestment Plan in 2003.
On October 12, 2010, our Board of Directors declared a three-for-two stock split in the form of a 50% stock dividend which was
paid on November 12, 2010 to holders of record at the close of business November 8, 2010. The effect of this action was to increase
common shares outstanding by approximately 22,000,000 in 2010.
Note 10— Income Taxes
The following table summarizes the provision for income taxes:
Current:
Federal
State
Deferred:
Federal
State
Tax Provision
Year Ended December 31,
2012
2011
2010
$
24,350,000
$
15,053,000
$
15,398,000
5,373,000
4,488,000
3,889,000
29,723,000
19,541,000
19,287,000
(3,048,000)
(625,000)
(3,673,000)
296,000
(181,000)
115,000
323,000
68,000
391,000
$
26,050,000
$
19,656,000
$
19,678,000
Deferred income taxes are recorded using the asset and liability method. Deferred tax assets and liabilities are determined based
on differences between the financial reporting and income tax basis of assets and liabilities.
55
Significant components of our federal and state deferred tax assets and liabilities are as follows:
Net current deferred assets (liabilities):
Allowance for doubtful accounts
Accrued insurance claims — current
Expensing of housekeeping supplies
Other
Net noncurrent deferred assets (liabilities):
Deferred compensation
Non-deductible reserves
Depreciation of property and equipment
Accrued insurance claims — noncurrent
Amortization of intangibles
Other
Years Ended December 31,
2012
2011
$
1,580,000
$
1,794,000
$
$
2,727,000
2,108,000
(4,432,000)
(4,176,000)
(450,000)
(575,000) $
(677,000)
(951,000)
7,095,000
$
6,046,000
8,000
11,000
(3,028,000)
(3,019,000)
6,255,000
4,920,000
522,000
363,000
(78,000)
301,000
$
11,215,000
$
8,181,000
Realization of the Company’s deferred tax assets is dependent upon future earnings in specific tax jurisdictions, the timing and
amount of which are uncertain. Management assesses the Company’s income tax positions and records tax benefits for all years
subject to examination based upon an evaluation of the facts, circumstances, and information available at the reporting dates,
which include historical operating results and expectations of future earnings. As such, management believes it is more likely than
not that the current and noncurrent deferred tax assets recorded will be realized to reduce future income taxes and therefore no
valuation allowances are necessary.
A reconciliation of the provision for income taxes and the amount computed by applying the statutory federal income tax rate to
income before income taxes is as follows:
Tax expense computed at statutory rate
Increases (decreases) resulting from:
State income taxes, net of federal tax benefit
Federal jobs credits
Tax exempt interest
Other, net
Year Ended December 31,
2012
24,592,000
$
2011
20,234,000
$
2010
18,942,000
3,086,000
(1,110,000)
(99,000)
(419,000)
26,050,000
$
2,800,000
(4,196,000)
(253,000)
1,071,000
19,656,000
$
2,572,000
(1,615,000)
(370,000)
149,000
19,678,000
$
$
Management performs an evaluation each period of its tax positions taken and expected to be taken in tax returns. The evaluation
is performed on positions relating to tax years that remain subject to examination by major tax jurisdictions, the earliest of which
is tax year ended December 31, 2009. Based on our evaluation, management has concluded that there are no significant uncertain
tax positions requiring recognition in our financial statements. Therefore, the table reporting on the change in the liability for
unrecognized tax benefits during the year ended December 31, 2012 is omitted as there is no activity to report in such account for
the year ended December 31, 2012, and there was no balance of unrecognized tax benefits at the beginning of the year.
We may from time to time be assessed interest or penalties by major tax jurisdictions, although any such assessments historically
have been minimal and immaterial to our financial results. In the event we have received an assessment for interest and/or penalties,
it has been classified in the financial statements as selling, general and administrative expense.
56
Income taxes paid for the last three fiscal years are as follows:
Income taxes paid
Note 11—Related Party Transactions
Year Ended December 31,
2012
2011
2010
$
24,681,000
$
14,614,000
$
21,251,000
The brother of a former officer and director (collectively “Related Party”), had ownership interests in several different client
facilities which had entered into service agreements with us. For the years ended December 31, 2012 and 2011, we did not have
any active service agreements with these facilities. For the year ended December 31, 2010, the service agreement with the client
facilities in which the Related Party had ownership interests resulted in revenues of approximately $4,145,000.
At December 31, 2012 and 2011, we did not have any outstanding receivables from the Related Party.
Another of our directors is a member of a law firm which was retained by us. During the years ended December 31, 2012, 2011
and 2010, fees received from us by such firm did not exceed $125,000 in any period. Additionally, such fees did not exceed, in
any period, 5% of such firm’s revenues.
Note 12—Segment Information
Reportable Operating Segments
U.S. GAAP establishes standards for reporting information regarding operating segments in annual financial statements. Operating
segments are identified as components of an enterprise for which separate discrete financial information is available for evaluation
by the chief operating decision-maker, or decision-making group in making decisions on how to allocate resources and assess
performance.
We manage and evaluate our operations in two reportable segments: Housekeeping (housekeeping, laundry, linen and other
services), and Dietary (dietary department services). Although both segments serve the same client base and share many operational
similarities, they are managed separately due to distinct differences in the type of service provided, as well as the specialized
expertise required of the professional management personnel responsible for delivering the respective segment’s services. We
consider the various services provided within each reportable segment to comprise an identifiable reportable operating segment
since such services are rendered pursuant to a single service agreement, specific to that reportable segment, as well as the fact that
the delivery of the respective reportable segment’s services are managed by the same management personnel of the particular
reportable segment.
The Company’s accounting policies for the segments are generally the same as the Company’s significant accounting policies.
Differences between the reportable segments’ operating results and other disclosed data and our consolidated financial statements
relate primarily to corporate level transactions and recording of transactions at the reportable segment level which use methods
other than generally accepted accounting principles. There are certain inventories and supplies that are primarily expensed when
incurred within the operating segments, while they are capitalized for the consolidated financial statements. As discussed, most
corporate expense is not allocated to the operating segments, and such expenses include corporate salary and benefit costs, bad
debt expense, certain legal costs, information technology costs, depreciation, amortization of finite lived intangibles, share based
compensation costs and other corporate specific costs. Additionally, there are allocations for workers compensation and general
liability expense within the operating segments that differ from our actual expense recorded for U.S. GAAP. Additionally, included
in the differences between the reportable segments’ operating results and other disclosed data are amounts attributable to
Huntingdon, our investment holding company subsidiary. Huntingdon does not transact any business with the reportable segments.
Segment amounts disclosed are prior to any elimination entries made in consolidation.
Housekeeping provides services in Canada, although essentially all of its revenues and net income, 99% in both categories, are
earned in one geographic area, the United States. Dietary provides services solely in the United States.
57
Year Ended December 31, 2012
Revenues
Income before income taxes
Depreciation and amortization
Total assets
Capital expenditures
Year Ended December 31, 2011
Revenues
Income before income taxes
Depreciation and amortization
Total assets
Capital expenditures
Year Ended December 31, 2010
Revenues
Income before income taxes
Depreciation and amortization
Total assets
Capital expenditures
Housekeeping
Services
Dietary
Services
Corporate and
Eliminations
Total
$
737,407,000
$
339,855,000
$
173,000
69,429,000
4,069,000
18,474,000
(17,639,000)
676,000
371,000
144,412,000
62,263,000
124,508,000
$
$
$
$
$
$
$
$
2,765,000
654,886,000
63,395,000
3,428,000
135,223,000
4,697,000
595,924,000
56,087,000
2,874,000
453,000
$
266,000
234,247,000
$
(68,000)
11,678,000
(17,261,000)
614,000
345,000
57,034,000
97,438,000
372,000
$
476,000
178,061,000
$
(29,000)
7,584,000
595,000
(9,552,000)
295,000
124,494,000
39,683,000
113,757,000
(1)
(1)
(2)
(1)
(1)
(2)
(1)
(1)
(2)
$ 1,077,435,000
$
$
$
$
70,264,000
5,116,000
331,183,000
3,484,000
889,065,000
57,812,000
4,387,000
289,695,000
5,545,000
773,956,000
54,119,000
3,764,000
277,934,000
$
3,693,000
$
144,000
$
337,000
$
4,174,000
(1) represents primarily corporate office cost and related overhead, recording of transactions at the reportable segment level
which use methods other than generally accepted accounting principles, as well as consolidated subsidiaries’ operating
expenses that are not allocated to the reportable segments, net of investment and interest income.
(2) represents primarily cash and cash equivalents, marketable securities, deferred income taxes and other current and
noncurrent assets.
Total Revenues from Clients
The following revenues earned from clients differ from segment revenues reported above due to the inclusion of adjustments used
for segment reporting purposes by management. We earned total revenues from clients in the following service categories:
Housekeeping services
Laundry and linen services
Dietary services
Maintenance services and other
Major Client
Year Ended December 31,
2012
2011
2010
$
492,319,000
$
440,924,000
$
399,031,000
240,670,000
210,896,000
194,258,000
339,867,000
234,542,000
178,271,000
4,579,000
2,703,000
2,396,000
$ 1,077,435,000
$
889,065,000
$
773,956,000
We have one client, a nursing home chain, which in 2012, 2011 and 2010 accounted for 7%, 9% and 11%, respectively, of total
revenues. In the year ended December 31, 2012, we derived 9% and 3%, respectively, of the Housekeeping and Dietary segments’
revenues from such client. Additionally, at both December 31, 2012 and 2011, amounts due from such client represented less than
1% of our accounts receivable balance.
Total revenues
Housekeeping
Dietary services
Year Ended December 31,
2012
7%
9%
3%
2011
9%
11%
5%
2010
11%
11%
9%
58
Note 13— Earnings Per Common Share
Basic net earnings per share are computed using the weighted-average number of common shares outstanding. The dilutive effect
of potential common shares outstanding is included in diluted net earnings per share. The computations of basic net earnings per
share and diluted net earnings per share for 2012, 2011 and 2010 are as follows:
Net income
Basic earnings per common share
Effect of dilutive securities:
Options
Diluted earnings per common share
Net income
Basic earnings per common share
Effect of dilutive securities:
Options
Diluted earnings per common share
Net income
Basic earnings per common share
Effect of dilutive securities:
Options
Diluted earnings per common share
Year ended December 31, 2012
Income
(Numerator)
Shares
(Denominator)
Per-share
Amount
44,214,000
44,214,000
67,511,000
$
974,000
44,214,000
68,485,000
$
Year ended December 31, 2011
0.65
—
0.65
Income
(Numerator)
Shares
(Denominator)
Per-share
Amount
38,156,000
38,156,000
66,637,000
$
0.57
38,156,000
67,585,000
$
948,000
(0.01)
0.56
Year ended December 31, 2010
Income
(Numerator)
Shares
(Denominator)
Per-share
Amount
34,441,000
34,441,000
65,917,000
$
0.52
34,441,000
67,008,000
$
1,091,000
(0.01)
0.51
$
$
$
$
$
$
$
$
$
For the years ended December 31, 2012, 2011 and 2010, options to purchase 576,000, 510,000 and 1,037,000 shares, respectively,
were excluded from the computation of diluted earnings per common share as the exercise price of such options were in excess
of the average market value of our common stock at the respective year end.
Note 14—Other Contingencies
We have a $57,000,000 bank line of credit on which we may draw to meet short-term liquidity requirements in excess of internally
generated cash flow. Amounts drawn under the line of credit are payable upon demand. At December 31, 2012, there were no
borrowings under the line of credit. However, at such date, we had outstanding a $40,420,000 (increased to $43,520,000 on
January 1, 2013) irrevocable standby letter of credit which relates to payment obligations under our insurance programs. As a
result of the letter of credit issued, the amount available under the line of credit was reduced by $40,420,000 at December 31,
2012. The line of credit requires us to satisfy two financial covenants. We are in compliance with the financial covenants at
December 31, 2012 and expect to continue to remain in compliance with such financial covenants. This line of credit expires on
June 30, 2013. We believe the line of credit will be renewed at that time.
We provide our services in 48 states and are subject to numerous local taxing jurisdictions within those states. Consequently, in
the ordinary course of business, a jurisdiction may contest our reporting positions with respect to the application of its tax code
to our services. A jurisdiction’s conflicting position on the taxability of our services could result in additional tax liabilities.
59
We have tax matters with various taxing authorities. Because of the uncertainties related to both the probable outcome and amount
of probable assessment due, we are unable to make a reasonable estimate of a liability. We do not expect the resolution of any of
these matters, taken individually or in the aggregate, to have a material adverse effect on our consolidated financial position or
results of operations based on our best estimate of the outcomes of such matters.
We are also subject to various claims and legal actions in the ordinary course of business. Some of these matters include payroll
and employee-related matters and examinations by governmental agencies. As we become aware of such claims and legal actions,
we provide accruals if the exposures are probable and estimable. If an adverse outcome of such claims and legal actions is reasonably
possible, we assess materiality and provide such financial disclosure, as appropriate.
As a result of the current economic crisis, many states have significant budget deficits. State Medicaid programs are experiencing
increased demand, and with lower revenues than projected, they have fewer resources to support their Medicaid programs. In
addition, comprehensive health care legislation under the Patient Protection and Affordable Care Act and the Health Care and
Education Reconciliation Act of 2010 (together, the “Act”) was signed into law in March 2010. The Act will significantly impact
the governmental healthcare programs which our clients participate, and reimbursements received thereunder from governmental
or third-party payors. In July 2011, Centers for Medicare and Medicaid Services (“CMS”) issued a final rule that reduced Medicare
payments to nursing centers by 11.1% and changed the reimbursement for the provision of group rehabilitation therapy services
to Medicare beneficiaries. This rule was effective as of October 1, 2011. Furthermore, in the coming year, new proposals or
additional changes in existing regulations could be made to the Act and/or CMS could propose additional reimbursement reductions
which could directly impact the governmental reimbursement programs in which our clients participate. As a result, some state
Medicaid programs are reconsidering previously approved increases in nursing home reimbursement or are considering delaying
or foregoing those increases. A few states have indicated it is possible they will run out of cash to pay Medicaid providers, including
nursing homes. In addition, certain state governors have recently stated that they will reject Federal Medicaid assistance under
the Act. Any negative changes in our clients’ reimbursements may negatively impact our results of operations. Although we are
currently evaluating the Act’s effect on our client base, we may not know the full effect until such time as these laws are fully
implemented and CMS and other agencies issue applicable regulations or guidance.
In January 2013, the U.S. Congress enacted the American Taxpayer Relief Act of 2012, which delayed automatic spending cuts,
including reduced Medicare payments to plans and providers up to 2%. These discretionary spending caps were originally enacted
under provisions in the Budget Control Act of 2011, an initiative to reduce the federal deficit through the year 2021, also known
as “sequestration.” The sequestration is set to go into effect starting March 2013, absent further action by Congress and the
Administration.
Note 15—Accrued Insurance Claims
We currently have a Paid Loss Retrospective Insurance Plan for general liability and workers’ compensation insurance, which
comprise approximately 22% of our liabilities at December 31, 2012. Under our insurance plans for general liability and workers'
compensation, predetermined loss limits are arranged with our insurance company to limit both our per occurrence cash outlay
and annual insurance plan cost. Our accounting for this plan is affected by various uncertainties because we must make assumptions
and apply judgment to estimate the ultimate cost to settle reported claims and claims incurred but not reported as of the balance
sheet date. We address these uncertainties by regularly evaluating our claims’ pay-out experience, present value factor and other
factors related to the nature of specific claims in arriving at the basis for our accrued insurance claims estimate. Our evaluations
are based primarily on current information derived from reviewing our claims experience and industry trends. In the event that
our claims experience and/or industry trends result in an unfavorable change resulting from, among other factors, the severity
levels of reported claims and medical cost inflation, as compared to historical claim trends, it would have an adverse effect on our
results of operations and financial condition. Under these plans, predetermined loss limits are arranged with an insurance company
to limit both our per-occurrence cash outlay and annual insurance plan cost.
For workers’ compensation, we record a reserve based on the present value of estimated future cost of claims and related expenses
that have been reported but not settled, including an estimate of claims incurred but not reported that are developed as a result of
a review of our historical data and open claims. The present value of the payout is determined by applying an 8% discount factor
against the estimated value of the claims over the estimated remaining pay-out period. Reducing the discount factor by 1% would
reduce net income for the year ended December 31, 2012 by approximately $26,000. Additionally, reducing the estimated payout
period by six months would result in an approximate $63,000 reduction in net income.
For general liability, we record a reserve for the estimated ultimate amounts to be paid for known claims. The estimated ultimate
reserve amount recorded is derived from the estimated claim reserves provided by our insurance carrier reduced by an historical
experience factor.
60
Note 16—Subsequent Events
We evaluated all subsequent events through the date these financial statements are being filed with the SEC. There were no events
or transactions occurring during this subsequent reporting period which require recognition or additional disclosure in these
financial statements.
Note 17—Selected Quarterly Financial Data (Unaudited)
The following tables summarize the unaudited quarterly financial data for the last two fiscal years.
2012
Revenues
Operating costs and expenses
Income before income taxes
Net income
Basic earnings per common share(1)
Diluted earnings per common share(1)
Cash dividends per common share(1)
2011
Revenues
Operating costs and expenses
Income before income taxes
Net income
Basic earnings per common share(1)
Diluted earnings per common share(1)
Cash dividends per common share(1)
First Quarter
Second Quarter
Third Quarter
Fourth Quarter
$
$
$
$
$
$
$
$
$
$
$
$
$
$
260,607,000
248,477,000
13,783,000
8,579,000
0.13
0.13
0.16
208,390,000
196,765,000
12,339,000
7,767,000
0.12
0.12
0.16
$
$
$
$
$
$
$
$
$
$
$
$
$
$
267,108,000
248,730,000
18,283,000
11,320,000
0.17
0.17
0.16
211,507,000
197,253,000
14,717,000
9,828,000
0.15
0.15
0.16
$
$
$
$
$
$
$
$
$
$
$
$
$
$
272,681,000
255,070,000
18,573,000
11,517,000
0.17
0.17
0.16
218,929,000
202,385,000
15,189,000
9,996,000
0.15
0.15
0.16
$
$
$
$
$
$
$
$
$
$
$
$
$
$
277,039,000
257,814,000
19,625,000
12,798,000
0.19
0.19
0.17
250,239,000
235,861,000
15,567,000
10,565,000
0.16
0.16
0.16
(1) Year-to-date earnings and cash dividends per common share amounts may differ from the sum of quarterly amounts due to
rounding.
61
Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure.
None.
Item 9A. Controls and Procedures.
Evaluation of Disclosure Controls and Procedures
In accordance with Exchange Act Rules 13a-15 and 15a-15, we carried out an evaluation, under the supervision and with the
participation of management, including our Chief Executive Officer and Chief Financial Officer, of the effectiveness of our
disclosure controls and procedures as of the end of the period covered by this report. Based on that evaluation, our Chief Executive
Officer and Chief Financial Officer concluded that our disclosure controls and procedures were effective as of December 31, 2012.
Design and Evaluation of Internal Control Over Financial Reporting
Pursuant to Section 404 of the Sarbanes-Oxley Act of 2002, we included a report of management’s assessment of the design and
effectiveness of our internal controls over financial reporting as part of this Annual Report on Form 10-K for the fiscal year ended
December 31, 2012. Grant Thornton, LLP, our independent registered public accounting firm, also audited our internal control
over financial reporting. Management’s report and the independent registered public accounting firm’s audit report are included
in this Annual Report on Form 10-K within Part II, Item 8 under the captions entitled “Management’s Report on Internal Control
Over Financial Reporting” and “Report of Independent Registered Public Accounting Firm”.
Changes in Internal Control over Financial Reporting
There were no changes in our internal control over financial reporting that occurred during the period covered by this Annual
Report on Form 10-K that have materially affected, or are reasonably likely to materially affect, our internal control over financial
reporting.
Item 9B. Other Information.
Not applicable.
Item 10. Directors, Executive Officers and Corporate Governance.
PART III
The information regarding directors and executive officers is incorporated herein by reference to the Company’s definitive proxy
statement to be mailed to its shareholders in connection with its 2013 Annual Meeting of Shareholders and to be filed within
120 days of the close of the year ended December 31, 2012.
Item 11. Executive Compensation.
The information regarding executive compensation is incorporated herein by reference to the Company’s definitive proxy statement
to be mailed to shareholders in connection with its 2013 Annual Meeting of Shareholders and to be filed within 120 days of the
close of the fiscal year ended December 31, 2012.
Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters.
The information regarding security ownership of certain beneficial owners and management and related stockholder matters is
incorporated herein by reference to the Company’s definitive proxy statement to be mailed to shareholders in connection with its
2013 Annual Meeting of Shareholders and to be filed within 120 days of the close of the fiscal year ending December 31, 2012.
62
Securities Authorized for Issuance Under Equity Compensation Plans
The following table sets forth for the Company’s equity compensation plans, on an aggregated basis, the number of shares of its
Common Stock subject to outstanding options, the weighted-average exercise price of outstanding options, and the number of
shares remaining available for future award grants as of December 31, 2012.
Number of Securities to be
Issued Upon Exercise of
Outstanding Options,
Warrants and Rights
Weighted-Average Exercise
Price of Outstanding
Options, Warrants and
Rights
Number of Securities
Remaining Available for
Future Issuance Under
Equity Compensation Plans
(Excluding Securities
Reflected in Column (a))
(a)
(b)
(c)
2,632,000 (1) $
—
2,632,000
$
13.18
—
13.18
6,349,000 (2)
—
6,349,000
Plan Category
Equity compensation plans
approved by security holders
Equity compensation plans not
approved by security holders
Total
(1) Represents shares of Common Stock issuable upon exercise of outstanding options granted under the 2012 Equity Incentive
Plan and carryover shares from Pre-existing Plans.
(2)
Includes options to purchase 3,337,000,000 shares available for future grant under the Company’s 2012 Equity Incentive
Plan and carryover shares from Pre-existing Plans. Also includes 2,541,000 and 471,000 shares available for issuance under
the Company’s 1999 Employee Stock Purchase Plan and 1999 Deferred Compensation Plan, respectively (collectively, the
“1999 Plans”). Treasury shares may be issued under the 1999 Plans.
Item 13. Certain Relationships and Related Transactions, and Director Independence.
The information regarding certain relationships and related transactions is incorporated herein by reference to the Company’s
definitive proxy statement mailed to shareholders in connection with its 2013 Annual Meeting of Shareholders and to be filed
within 120 days of the close of the fiscal year ended December 31, 2012.
Item 14. Principal Accounting Fees and Services.
The information regarding principal accounting fees and services is incorporated herein by reference to the Company’s definitive
proxy statement mailed to shareholders in connection with its 2013 Annual Meeting of Shareholders and to be filed within 120 days
of the close of the fiscal year ended December 31, 2012.
63
Item 15. Exhibits and Financial Statement Schedules.
PART IV
(a) The following financial statements, schedules and exhibits are filed as part of this report:
1.
2.
Index to Consolidated Financial Statements — The Financial Statements required by this item are listed on the Index
to Financial Statements in Part II, Item 8 of this report.
Index to Financial Statement Schedules —
a. Schedule II—Valuation and Qualifying Accounts and Reserves; and
b. Other financial statement schedules are not included because they are not required or the information is
otherwise shown in the financial statements or notes thereto.
3.
Index to Exhibits —
a. The exhibits listed below are filed as part of, or are incorporated by reference into, this report.
(b) See Item 15(a)(3) above.
(c) See Item 15(a)(2) above.
64
Healthcare Services Group, Inc.
Schedule II — Valuation and Qualifying Accounts and Reserves
Beginning
Balance
Charged to Costs
and Expenses
Charged to Other
Accounts
Deductions (A)
Ending Balance
Additions
4,506,000
$
2,160,000
$
— $
2,696,000
$
3,970,000
4,069,000
$
2,450,000
$
— $
2,013,000
$
4,506,000
4,640,000
$
2,200,000
$
— $
2,771,000
$
4,069,000
Description
2012
Allowance for Doubtful
Accounts
2011
Allowance for Doubtful
Accounts
2010
Allowance for Doubtful
Accounts
$
$
$
(A) Represents write-offs
65
The following Exhibits are filed as part of this Report (references are to Reg. S-K Exhibit Numbers):
Exhibit Index
Exhibit
Number
Description
3.1
3.2
3.3
3.4
3.5
4.1
4.2(1)
4.3(1)
4.4(1)
4.5(1)
10.1(1)
10.2
14
21
23
31.1
31.2
32.1
32.2
EX-101
EX-101
EX-101
EX-101
EX-101
EX-101
*
(1)
**
Articles of Incorporation of the Registrant, as amended, are incorporated by reference to Exhibit 4.1 to the Company’s
Registration Statement on Form S-2 (File No. 33-35798).
Amendment to Articles of Incorporation of the Registrant as of May 30, 2000, is incorporated by reference to Exhibit 3.2
to the Company’s Form 10-K for the period ended December 31, 2001
Amendment to Articles of Incorporation of the Registrant as of May 22, 2007, is incorporated by reference to Exhibit 3.1
to the Company’s Form 8-K filed May 24, 2007.
Amended and Restated By-laws of the Registrant as of July 18, 1990 are incorporated by reference to Exhibit 4.2 to the
Company’s Registration Statement on Form S-2 (File No. 33-35798).
Amendment to Amended and Restated By-laws of the Registrant as of July 14, 2009 is incorporated by reference to
Exhibit 99.2 to the Company’s Form 10-Q for the quarter ended June 30, 2009.
Specimen Certificate of the Common Stock, $.01 par value, of the Registrant is incorporated by reference to Exhibit 4.1
of Registrant’s Registration Statement on Form S-18 (Commission File No. 2-87625-W).
Employee Stock Purchase Plan of the Registrant is incorporated by reference to Exhibit 4(a) of Registrant’s Registration
Statement on Form S-8 (Commission File No. 333-92835).
Amendment to Employee Stock Purchase Plan is incorporated by reference to Exhibit 4.3 to the Company’s Form 10-K
for the period ended December 31, 2003.
Deferred Compensation Plan is incorporated by reference to Exhibit 4(b) of Registrant’s Registration Statement on
Form S-8 (Commission File No. 333-92835).
Amended and Restated Deferred Compensation Plan is incorporated by reference to Exhibit 10.01 to the Company’s
Form 10-Q for the quarter ended September 30, 2012.
2012 Equity Incentive Plan is incorporated by reference to Exhibit 10.01 to the Company’s Form 10-Q for the quarter
ended June 30, 2012.
Healthcare Services Group, Inc. Dividend Reinvestment Plan is incorporated by reference to the Company’s Registration
Statement on Form S-3 (Commission File No. 333-108182).
Code of Ethics and Business Conduct. Such document is available at our website www.hcsgcorp.com
List of subsidiaries is filed herewith in Part I, Item I.*
Consent of Independent Registered Public Accounting Firm.*
Certification of Principal Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act.*
Certification of Principal Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act.*
Certification of the Principal Executive Officer pursuant to Section 906 of the Sarbanes-Oxley Act.*
Certification of the Principal Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act.*
XBRL Instance Document**
XBRL Taxonomy Extension Schema Document**
XBRL Taxonomy Calculation Linkbase Document**
XBRL Taxonomy Extension Definition Linkbase Document**
XBRL Taxonomy Labels Linkbase Document**
XBRL Taxonomy Presentation Linkbase Document**
Filed herewith.
Indicates a management plan or compensatory plan or arrangement.
Furnished herewith. Pursuant to applicable securities laws and regulations, we are deemed to have complied with the
reporting obligation relating to the submission of interactive data files in such exhibits and are not subject to liability
under any anti-fraud provisions of the federal securities laws as long as we have made a good faith attempt to comply
with the submission requirements and promptly amend the interactive data files after becoming aware that the interactive
data files fail to comply with the submission requirements. Users of this data are advised that, pursuant to Rule 406T,
these interactive data files are deemed not filed and otherwise are not subject to liability.
66
Pursuant to the requirements of Section 13 or 15(d) of the Securities and Exchange Act of 1934, the Registrant has duly caused
this report to be signed on its behalf by the undersigned, thereunto duly authorized.
Signatures
Dated: February 21, 2013
HEALTHCARE SERVICES GROUP, INC.
(Registrant)
By:
/s/ Daniel P. McCartney
Daniel P. McCartney
Chief Executive Officer and Chairman of the Board
Pursuant to the requirements of the Securities and Exchange Act of 1934, this report has been signed below by the following
persons and in the capacities and on the date indicated:
Signature
Title
Date
/s/ Daniel P. McCartney
Chief Executive Officer and Chairman
February 21, 2013
Daniel P. McCartney
(Principal Executive Officer)
/s/ John C. Shea
John C. Shea
/s/ Theodore Wahl
Theodore Wahl
Chief Financial Officer and Secretary
February 21, 2013
(Principal Financial Officer)
Director and President and Chief Operating Officer
February 21, 2013
/s/ Michael E. McBryan
Director and Executive Vice President
February 21, 2013
Michael E. McBryan
/s/ Joseph F. McCartney
Director and Divisional Vice President
February 21, 2013
Joseph F. McCartney
/s/ Robert L. Frome
Robert L. Frome
/s/ Diane S. Casey
Diane S. Casey
/s/ John M. Briggs
John M. Briggs
/s/ Robert J. Moss
Robert J. Moss
/s/ Dino D. Ottaviano
Dino D. Ottaviano
/s/ John J. McFadden
John J. McFadden
Director
Director
Director
Director
Director
Director
67
February 21, 2013
February 21, 2013
February 21, 2013
February 21, 2013
February 21, 2013
February 21, 2013
Exhibit 23
CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
We have issued our reports dated February 21, 2013, with respect to the consolidated financial statements, financial
statement schedule, and internal control over financial reporting included in the Annual Report of Healthcare Services
Group, Inc. and Subsidiaries on Form 10-K for the year ended December 31, 2012. We hereby consent to the
incorporation by reference of said reports in the Registration Statements of Healthcare Services Group, Inc. and
Subsidiaries on Forms S-3 (File No. 333-108182, effective August 22, 2003, File No. 333-137713, effective September
9, 2006, and File No. 333-161553, effective August 26, 2009) and on Forms S-8 (File No. 333-92835, effective December
15, 1999, and File No. 333-184612, effective October 26, 2012).
/s/ GRANT THORNTON LLP
Edison, New Jersey
February 21, 2013
Exhibit 31.1
Certification of the Chief Executive Officer
Pursuant to Rules 13a-14(a) and 15d-14(a)
Under the Securities Exchange Act, as Amended
I, Daniel P. McCartney, certify that:
1. I have reviewed this Annual Report on Form 10-K of Healthcare Services Group, Inc.;
2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact
necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading
with respect to the period covered by this report;
3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in
all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented
in this report;
4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and
procedures ( as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined
in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed
under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries,
is made known to us by others within those entities, particularly during the period in which this report is being prepared;
b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be
designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the
preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our
conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this
report based on such evaluation; and
d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the
registrant’s fourth fiscal quarter that has materially affected, or is reasonably likely to materially affect, the registrant’s internal
control over financial reporting; and
5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over
financial reporting, to the registrant’s auditors and the audit committee of the registrant’s Board of Directors:
a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting
which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial
information; and
b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the
registrant’s internal control over financial reporting
/s/ Daniel P. McCartney
Daniel P. McCartney
Chief Executive Officer
(Principal Executive Officer)
Date: February 21, 2013
Exhibit 31.2
Certification of the Chief Financial Officer
Pursuant to Rules 13a-14(a) and 15d-14(a)
Under the Securities Exchange Act, as Amended
I, John C. Shea, certify that:
1. I have reviewed this Annual Report on Form 10-K of Healthcare Services Group, Inc.;
2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact
necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading
with respect to the period covered by this report;
3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in
all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented
in this report;
4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and
procedures ( as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined
in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed
under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries,
is made known to us by others within those entities, particularly during the period in which this report is being prepared;
b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be
designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the
preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our
conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this
report based on such evaluation; and
d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the
registrant’s fourth fiscal quarter that has materially affected, or is reasonably likely to materially affect, the registrant’s internal
control over financial reporting; and
5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over
financial reporting, to the registrant’s auditors and the audit committee of the registrant’s Board of Directors:
a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting
which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial
information; and
b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the
registrant’s internal control over financial reporting
/s/ John C. Shea
John C. Shea
Chief Financial Officer
(Principal Financial Officer)
Date: February 21, 2013
Certification Pursuant to
18 U.S.C. Section 1350,
As Adopted Pursuant to
Section 906 of the Sarbanes-Oxley Act of 2002
Exhibit 32.1
In connection with the Annual Report on Form 10-K of Healthcare Services Group, Inc. (the “Company”) for the year ended
December 31, 2012 as filed with the Securities and Exchange commission on the date hereof (the “Report”), I, Daniel P. McCartney,
Chief Executive Officer of the of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906
of the Sarbanes-Oxley Act of 2002, that to my knowledge:
(1) The Report fully complies with the requirements of Section 13(a) or 15(d), of the Securities Exchange Act of 1934; and
(2) That information contained in the Report fairly presents, in all material respects, the financial condition and results of
operations of the Company.
/s/ Daniel P. McCartney
Daniel P. McCartney
Chief Executive Officer
(Principal Executive Officer)
Date: February 21, 2013
Certification Pursuant to
18 U.S.C. Section 1350,
As Adopted Pursuant to
Section 906 of the Sarbanes-Oxley Act of 2002
Exhibit 32.2
In connection with the Annual Report on Form 10-K of Healthcare Services Group, Inc. (the “Company”) for the year ended
December 31, 2012 as filed with the Securities and Exchange commission on the date hereof (the “Report”), I, John C. Shea, Chief
Financial Officer and Secretary of the of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to
Section 906 of the Sarbanes-Oxley Act of 2002, that to my knowledge:
(1) The Report fully complies with the requirements of Section 13(a) or 15(d), of the Securities Exchange Act of 1934; and
(2) That information contained in the Report fairly presents, in all material respects, the financial condition and results of
operations of the Company.
/s/ John C. Shea
John C. Shea
Chief Financial Officer
(Principal Financial Officer)
Date: February 21, 2013
TRANSFER AGENT
CORPORATE OFFICES
STOCK LISTING
MARKET MAKERS
American Stock Transfer
& Trust Co.
99 Wall St.
New York, NY 10005
Healthcare Services Group, Inc.
3220 Tillman Drive, Suite 300
Bensalem, PA 19020
215-639-4274
Listed on the NASDAQ
Stock Global Select Market
symbol “HCSG”
INDEPENDENT
AUDITORS
Grant Thornton LLP
399 Thornall Street
Edison, NJ 08837
SEC COUNSEL
Olshan Grundman Frome
Rosenzweig & Wolosky LLP
Park Avenue Tower
65 East 55th Street
New York, NY 10022
ANNUAL STOCKHOLDERS’
MEETING
Date: May 28, 2013
Time: 10:00AM
Place: The Radisson Hotel
of Bucks County
2400 Old Lincoln Highway
Trevose, PA 19047
As of the end of 2012, the
following fi rms were making
a market in the shares of
Healthcare Services Group, Inc.
UBS Capital Markets, L.P.
Goldman, Sachs & Co.
Jefferies & Company, Inc.
Lehman Bros. Inc.
Morgan Stanley & Co., Inc.
Merrill Lynch, Pierce, Fenner
C.L. King & Associates
Citigroup
Global Marketing, Inc.
Wm. Blair & Co.
J.P. Morgan Securities
Bank of America Securities
DIRECTORS
OFFICERS AND CORPORATE MANAGEMENT
Daniel P. McCartney
Chairman & Chief Executive Offi cer
Theodore Wahl
President & Chief Operating Offi cer
Michael E. McBryan
Executive Vice President
Joseph F. McCartney
Vice President
Robert L. Frome, Esq.
John M. Briggs, CPA1 2
Diane S. Casey, RN3
Robert J. Moss, Esq.2 3
Dino D. Ottaviano 2 3
John J. McFadden
Daniel P. McCartney
Chief Executive Offi cer
Theodore Wahl
President & Chief Operating Offi cer
John C. Shea
Chief Financial Offi cer & Secretary
Jason J. Bundick
Chief Compliance Offi cer
& Corporate Counsel
Bryan D. McCartney
Executive Vice President
Michael E. McBryan
Executive Vice President
Raymond M. Crouse
Senior Vice President of Finance
Andrew W. Kush
Vice President of Human Resources
& Risk Management
Jason K. Osbeck
Vice President of Information
Technology
1 Independent Lead Director
2 Member – Audit Committee
3 Member – Nominating, Compensation and Stock Option Committee
James P. O’Toole
Senior Vice President, Mid-Atlantic Divisions
Robert T. Scutta
Senior Vice President, Mid-Atlantic Divisions
Stephen L. Foresman
Mid-Atlantic Divisional Vice President
Brian E. Mejia
Mid-Atlantic Divisional Vice President
John D. Fenstermacher
Mid-Atlantic Divisional Vice President
Kevin W. Johnson
Mid-Atlantic Divisional Vice President
James R. Bleming
Mid-Atlantic Divisional Vice President
Steven Newns
Mid-Atlantic Divisional Vice President
Kevin P. McCartney
Northeast Divisional Vice President
John A. Pliego
Northeast Divisional Vice President
John D. Kelly
Western Divisional Vice President
David Smigel
Western Divisional Vice President
James B. Carlson
Senior Vice President, Southern Divisions
David M. Hurlock
Senior Vice President, Southern Divisions
Brian M. Waters
Divisional Vice President, Southern Divisions
Timothy J. Hubka
Southwest Divisional Vice President
Matthew C. Linker
Southwest Divisional Vice President
Bryan C. Foy
Southeast Divisional Vice President
Yale A. Metz
Southeast Divisional Vice President
Jason W. LeCroy
Southeast Divisional Vice President
Michael P. Lind
Southeast Divisional Vice President
Nicholas C. Rucker
Southeast Divisional Vice President
Donnie E. Warren
Southeast Divisional Vice President
James P. Schreck
Midwest Divisional Vice President
Christopher L. Johnson
Midwest Divisional Vice President
ABOUT YOUR SHARES
AVAILABILITY OF FORM 10-K
A copy of the Healthcare Services Group, Inc.’s 2012 Annual Report
on Form 10-K, as fi led with the Securities and Exchange Commission
is available on the Company’s website “www.hcsgcorp.com”.
Additionally, it will be provided without charge to each shareholder
making a written request to the Investor Relations Department of
the Company at its Corporate Offi ces.
Healthcare Services Group, Inc.’s Common Stock is traded on
the NASDAQ Global Select Market. On December 31, 2012 there
were approximately 70,036,000 of the Company’s common shares
issued and outstanding. As of February 19, 2013, there were
approximately 700 holders of record of the common stock, including
holders whose stock was held in nominee name by brokers or
other nominees. The high and low closing price quotations for our
Common Stock during the years ended December 31, 2012 and
2011, ranges as follows:
2012 High 2012 Low 2011 High 2011 Low
1st Qtr.
$22.08
$17.30
$18.06
$15.53
2nd Qtr.
$21.83
$17.60
3rd Qtr.
4th Qtr.
$23.55
$19.02
$24.49
$21.47
$18.37
$17.64
$18.85
$15.43
$12.16
$15.25
3220 Tillman Drive
Glenview Corporate Center
Suite 300
Bensalem, PA 19020