Quarterlytics / Healthcare / Medical - Care Facilities / Healthcare Services Group, Inc.

Healthcare Services Group, Inc.

hcsg · NASDAQ Healthcare
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Ticker hcsg
Exchange NASDAQ
Sector Healthcare
Industry Medical - Care Facilities
Employees 35300
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FY2013 Annual Report · Healthcare Services Group, Inc.
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2013

A N N U A L   R E P O R T

SOLUTIONS PERFORMANCE RESULTSSOLUTIONSPERFORMANCERESULTS SOLUTIONSSOLUTIONS PERFORMANCE RESULTS SOLUTIONSOLUTIONS PERFORMANCE RESULTSOLUTIONS PERFORMANCE RESULTSRESULTS SOLUTIONS PERFORMANCERESULTS SOLUTIONS PERFORMANCEPERFORMANCE RESULTS SOLUTIONSPERFORMANCE RESULTS SOLUTIONSSOLUTIONS PERFORMANCE RESULTSSOLUTIONS PERFORMANCE RESULTS SOLUTIONSSOLUTIONS PERFORMANCE RESULTS SOLUTIONSOLUTIONS PERFORMANCE RESULTSOLUTIONS PERFORMANCE RESULTSRESULTS SOLUTIONS PERFORMANCERESULTS SOLUTIONS PERFORMANCEPERFORMANCE RESULTS SOLUTIONSPERFORMANCE RESULTS SOLUTIONS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

  2013 

2012 

2011 

2010 

2009

$ 1,149,890 

$ 1,077,435 

$  889,065 

$  773,956 

$ 692,695

$  47,129 

$  44,214 

$  38,156 

$  34,441 

$  30,342

$ 

$ 

$ 

0.68 

0.67 

0.67 

$ 

$ 

$ 

0.65 

0.65 

0.65 

$ 

$ 

$ 

0.57 

0.56 

0.63 

$ 

$ 

$ 

0.52 

0.51 

0.60 

$ 

$ 

$ 

0.46

0.46

0.49

 69,206 

67,511 

66,637 

65,917 

  65,376

70,045 

68,485 

67,585 

67,008 

  66,429

A S   O F   D E C E M B E R   3 1

  2013 

2012 

2011 

2010 

2009

Working Capital

Total Assets

Stockholders’ Equity

Book Value Per Common Share

Employees

$  210,089  

$  200,182 

$  186,734 

$  181,244 

$ 177,453 

$  425,342  

$  331,183 

$  289,695 

$  277,934 

$ 265,892

$  285,143 

$  229,570 

$  217,726 

$  213,079 

$ 208,774

$4.12 

40,600 

$3.40 

40,600 

$3.27 

36,200 

$3.22 

$3.19

31,500 

  27,200

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

2009  2010  2011  2012  2013

2009  2010  2011  2012  2013

2009  2010  2011  2012  2013

2009  2010  2011  2012  2013

     HIGHLIGHTS FINANCIAL HIGHLIGHTSFINANCIAL HIGHLIGHTS FINANCIAL HILIGHTS FINANCIAL HIGHLIGHTS S 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
D E A R   F E L L O W   S H A R E H O L D E R S

Your company had a very successful year in 2013, with strong financial results that highlight our focus 
on client service and operational excellence.  Revenues grew to over $1.1 billion, marking our 37th 
consecutive year of top line growth.  We also achieved record results in net income and earnings per 
share, which increased to $47.1 million and $0.67, respectively.  Additionally, we returned over $46 
million of capital to shareholders, continuing our trend of increasing cash dividend payments, for 42 
consecutive quarters, since the initiation of the dividend program in 2003.

The demand for our services has never been greater as the health care provider community faces 
significant uncertainty in both the regulatory environment and government reimbursement programs.  
For us to take full advantage of the expansion opportunity that awaits, we must be unwavering in 
our commitment to management development and promotion from within.  Recruiting, training and 
retaining  a  talented  management  team  remains  our  highest  priority  as  we  prepare  for  2014  and 
beyond.

Finally, as we embark on our 30th year as a publicly traded company, we will strive to maintain the 
business principles of service, professionalism, cost efficiency and growth that have been at the core 
of our success from the very beginning. We are honored to be part of the Healthcare Services Group’s 
success and thank you, fellow shareholders, for your continued support.

Sincerely,

Sincerely,

Daniel P. McCartney
Chairman & Chief Executive Officer

Theodore Wahl
President & Chief Operating Officer

REVENUES:
Revenues for 2013 grew to over $1.1 billion, 
marking our 37th consecutive year of top line 
growth.

NET INCOME &  
EARNINGS PER SHARE:
Net income increased to $47.1 million or $.67 
per diluted common share, compared to 2012 
net income of $44.2 million or $.65 per diluted 
common share.

CASH DIVIDEND  
PAYMENTS IN 2013:
$.67 per common share in 2013, which 
represents a 2.4% yield based on the 2013 
year end common share price.

PROVIDING SERVICES TO OVER  
3,000 FACILITIES

         SHAREHOLDERS FELLOW SHAREELLOW SHAREHOLDERS FELLOW SHADERS FELLOW SHAREHOLDERS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 flexibility to meet 
your individual needs within the financial parameters of your operating budget.

From  innovative  programs  and  services,  to  extensive  training  and  quality  assurance  initiatives,  to  financial 
performance  commitments,  Healthcare  Services  Group  keeps  your  patients/residents  and  your  facility  at  the 
center of our focus, each and every day.

O U R   G E O G R A P H I C A L   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 
satisfied clients. Flexible and responsive, our people are trained to help 
you  achieve  success  by  delivering  innovative  solutions,  exceptional 
performance and measurable results. 

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 specifically 

designed to address 

your business and  

market needs.

     HIGHLIGHTS MAKE A DIFFERENCEMAKE A DIFFERENCE MAKE A DIFFERENCEDIFFERENCE MAKE A DIFFERENCE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, 
offices 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.

FACILITIES MAINTENANCE & PLANT MANAGEMENT

Facility maintenance & plant management services consist of the repair and preventive maintenance 
of the building and equipment at a specific 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.

       CES OUR SERVICES OUR SERVICESOUR SERVICES OUR SERVICES OUR SERVICESVICES OUR SERVICES OUR SERVICES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 benefits 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 satisfied 
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 finest 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 efficient production schedules.

OUR GUIDELINES OUR GUIDELINES OULINES OUR GUIDELINES OUR GUIDELINESOUR GUIDELINES OUR GUIDELINES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, 2013 

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, 2013 was approximately $1,183,606,000 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, 2014). 70,110,000 

DOCUMENTS INCORPORATED BY REFERENCE

Portions of the definitive Proxy Statement for the Registrant’s Annual Meeting of Shareholders to be held on May 27, 2014 have been incorporated 
by reference into Parts II and III of this Annual Report on Form 10-K.

1

 
 
 
 
 
 
 
 
 
 
 
 
 
Healthcare Services Group, Inc.
Annual Report on Form 10-K
For the Fiscal Year Ended December 31, 2013 

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 Accountant Fees and Services

Item 15.

Exhibits and Financial Statement Schedules

Exhibit Index

Signatures

4

10

15

15

15

15

16

18
18

33

34

63

63

63

63

63

63

64

64

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 5% to our total 
consolidated revenues for the year ended December 31, 2013; risks associated with our acquisition of Platinum Health Services, 
LLC,  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 other labor related matters such as minimum wage increases; 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 went into effect starting March 2013. In December 2013, the U.S. 
Congress enacted the Bipartisan Budget Act of 2013, which reduces the impact of the sequestration over the next two years, 
beginning in fiscal year 2014 and extended the reduction in Medicare payments to plans and providers for two years through the 
year 2023. In addition, the U.S. Congress and the executive branch of the government may consider 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 we are the largest provider of our 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, 2013. We provide our Housekeeping 
services to essentially all client facilities and provide Dietary services to approximately 800 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, 2013, 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, 2013, we have PEO service contracts in several 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 14 of Notes to Consolidated Financial Statements for the years ended December 31, 2013, 2012 and 2011.

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 operating results from our PEO service contracts are included 
in  our  Housekeeping  segment  as  these  services  include  housekeeping  and  laundry  personnel.  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 
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 45% or $514,180,000 
of  consolidated  revenues  in  2013.  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. 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 21% or $241,540,000 of consolidated revenues 
in 2013. 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 $3,373,000 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 2011 through 2013, 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 approximately 34% or $390,797,000 
of consolidated revenues in 2013. 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 

5

and food-related supplies is that such costs represent approximately 52% and 40% of Dietary revenues, respectively.  In contrast, 
labor is approximately 80% of operating costs as a percentage of Housekeeping revenue.

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.

CEO & President/Chief Operating Officer

Executive Vice President & Senior Vice President

Divisional Vice President

(10 Divisions)

Regional Vice President/Manager/Director

(71 Regions)

District Manager

(338 Districts)

Training Manager

Facility Manager and

Assistant Facility Manager

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, 2013 we maintained 71 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 & 
Chief Operating Officer, 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, along with continued 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 went into effect starting March 2013. In December 2013, the U.S. Congress 
enacted the Bipartisan Budget Act of 2013, which reduces the impact of the sequestration over the next two years, beginning in 
fiscal year 2014 and extended the reduction in Medicare payments to plans and providers for two years through the year 2023.

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.

7

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.

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, 2013, 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 went into effect starting March 2013. In December 2013, 
the U.S. Congress enacted the Bipartisan Budget Act of 2013, which reduces the impact of the sequestration over the next two 
years, beginning in fiscal year 2014 and extended the reduction in Medicare payments to plans and providers for two years through 
the year 2023. 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 $1,990,000, $2,160,000 and $2,450,000 in the years ended December 31, 2013, 2012 and 2011, respectively (See 
8

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 each of the years ended December 31, 2013 and 2012 and 0.3% for the year ended 
December 31, 2011. 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.

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,  2013,  we  employed  approximately  7,600  management,  office  support  and  supervisory  personnel.  Of  these 
employees, approximately 600 held executive, regional/district management and office support positions, and approximately 7,000 
of these employees were on-site management personnel. On such date, we employed approximately 33,000 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 19% 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.hcsg.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 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 5%. 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 went into effect starting March 2013. In December 2013, the U.S. Congress enacted the 
Bipartisan Budget Act of 2013, which reduces the impact of the sequestration over the next two years, beginning in fiscal year 
2014 and extended the reduction in Medicare payments to plans and providers for two years through the year 2023. 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 operating costs 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, effective January 2014.  While much 
of the cost of the recent healthcare legislation enacted will occur on or after January 1, 2015 due to provisions of the legislation 
being phased in over time, changes to our healthcare cost structure could have an impact on our 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 operating costs and results of operations.  

10

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, state Medicaid 
programs are reconsidering previously approved increases in nursing home reimbursement or are considering delaying those 
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 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.

11

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 and collective 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.

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 at least thirteen states in 2014, 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 
12

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 
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.

Additionally, the Company may be subject to liability if the consumption of our food products causes injury, illness or death. Even 
if a product liability claim is unsuccessful or is not fully pursued, the negative publicity surrounding any assertion that the Company's 
products caused injury or illness could adversely affect the Company's reputation.

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 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.

13

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. While  we  have  continually  increased  the  amount  of  our  dividends,  given  these  considerations,  there  can  be  no 
assurance these increases will continue and 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.

We may be unable to successfully integrate the operations of Platinum Health Services, LLC and Platinum Health Services 
PEO, LLC with our operations.

We acquired the assets of Platinum Health Services, LLC and Platinum Health Services PEO, LLC (collectively "Platinum") on 
July 12, 2013. We have devoted significant management attention and resources to integrating the operations and business practices 
of Platinum with our existing operating and business practices. Potential difficulties we have or may encounter as part of the 
integration process include the following:

• 
• 
• 
• 
• 

• 

• 

the ability to retain a substantial number of Platinum's existing clients;
the unanticipated or excessive diversion of management's resources;
the integration of new operations and personnel and the disruption of, or the loss of momentum in, ongoing operations;
the failure to achieve expected financial results;
the inability to implement effective internal controls, procedures and policies for Platinum as required by the Sarbanes-
Oxley Act of 2002 within the time periods prescribed thereby;
the inability to successfully integrate Platinum in a manner that permits us to achieve the full revenue and other benefits 
anticipated to result from our acquisition of its assets; and
the potential unknown liabilities and unforeseen incurred expenses or delays associated with the acquisition.

These and other risks could affect our ability to achieve the anticipated benefits of our acquisition of Platinum. In addition, these 
and other risks related to our acquisition of Platinum could adversely affect our ability to maintain relationships with customers 
and employees and have a material adverse effect on our business, financial condition and results of operations. If we were unable 
to successfully address any of these risks, our overall business could be harmed.

14

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 100 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. However, in light of the uncertainties involved in such proceedings, the 
ultimate outcome of a particular matter could become material to the Company’s results of operations for a particular period 
depending on, among other factors, the size of the loss or liability imposed and the level of the Company’s operating income for 
that period.

Item 4.   Mine Safety Disclosures.

Not applicable.

15

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. As of February 19, 2014, there were approximately 70,110,000 shares of our Common Stock outstanding.

The high and low sales price quotations for our Common Stock during the years ended December 31, 2013 and 2012 ranged as 
follows:

Quarter Ended

March 31, 2013

June 30, 2013

September 30, 2013

December 31, 2013

Quarter Ended

March 31, 2012

June 30, 2012

September 30, 2012

December 31, 2012

Holders

2013

High

Low

25.84

25.95

26.54

29.53

$

$

$

$

2012

High

Low

22.08

21.83

23.55

24.49

$

$

$

$

22.40

21.60

23.61

24.80

17.30

17.60

19.02

21.47

$

$

$

$

$

$

$

$

We have been advised by our transfer agent, American Stock Transfer and Trust Company, that we had approximately 600 holders 
of record of our Common Stock as of February 19, 2014. Based on reports of security position listings compiled for the 2013 
annual meeting of shareholders, we believe we may have approximately 8,000 beneficial owners of our Common Stock.

Dividends

We have paid regular quarterly cash dividends since the second quarter of 2003. During 2013, we paid regular quarterly cash 
dividends totaling $46,707,000 as detailed below:

Cash dividend per common share

Total cash dividends paid

Record date

Payment date

Quarter Ended

March 31, 2013

June 30, 2013

September 30, 2013

December 31, 2013

$

$

$

$

0.16625

11,415,000

February 22

March 15

0.16750

11,516,000

$

$

May 10

June 14

0.16875

11,829,000

August 16

$

$

0.17000

11,947,000

November 15

September 20

December 20

Additionally, on January 28, 2014, our Board of Directors declared a regular quarterly cash dividend of $0.17125 per common 
share, which will be paid on March 28, 2014 to shareholders of record as of the close of business on February 21, 2014.

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.

16

 
 
 
Performance Graph

The graph below matches Healthcare Services Group, Inc.’s ("HCSG") 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 
December 31, 2008 to December 31, 2013.

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 December 31, 2008 in stock or index, including reinvestment of dividends.
Fiscal year ending December 31.

Copyright© 2014 S&P, a division of The McGraw-Hill Companies Inc. All rights reserved.

Company/Index

2008

2009

2010

2011

2012

2013

Healthcare Services Group, Inc. ("HCSG")

S&P 500

S&P Health Care Distributors

$

$

$

100.00

100.00

100.00

$

$

$

140.35

126.46

145.55

$

$

$

166.11

145.51

173.84

$

$

$

187.54

148.59

190.14

$

$

$

253.80

172.37

222.01

$

$

$

318.57

228.19

364.04

December 31,

The stock price performance included in this graph is not necessarily indicative of future stock price performance.

17

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,

2013

2012

2011

2010

2009

(in thousands, except per share amounts)

$ 1,149,890

$ 1,077,435

$

$

$

$

$

$

$

$

$

$

$

$

$

$

47,129

0.68

0.67

425,342

285,143

210,089

0.67

69,206

70,045

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

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 report on Form 10-K. We are on a calendar 
year end, and except where otherwise indicated below, "2013" refers to the year ended December 31, 2013, "2012" refers to the 
year ended December 31, 2012 and "2011" refers to the year ended December 31, 2011.

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, 2013 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, 2013. 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 

18

 
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, 2013, Housekeeping is provided at essentially all of our 3,000 client facilities, 
generating  approximately  66%  or  $759,093,000  of  2013  total  revenues.  Dietary  is  provided  to  over  800  client  facilities  at 
December 31, 2013 and contributed approximately 34% or $390,797,000 of 2013 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 40% 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 
19

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 went into effect starting March 2013. In December 2013, the U.S. Congress 
enacted the Bipartisan Budget Act of 2013, which reduces the impact of the sequestration over the next two years, beginning in 
fiscal year 2014 and extended the reduction in Medicare payments to plans and providers for two years through the year 2023.

As of December 31, 2013, 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 
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, 2013, we have PEO service contracts in 
several states. During the years 2011 through 2013, operating results from our PEO services contracts were not material and were 
included in our Housekeeping segment.

On July 12, 2013, the Company acquired substantially all of the operating assets of Platinum Health Services, LLC, a Delaware 
limited liability company and Platinum Health Services PEO, LLC, a Delaware limited liability company (collectively “Platinum”) 
pursuant to an Asset Purchase Agreement dated July 11, 2013. Platinum was a privately-held provider of professional housekeeping, 
laundry and maintenance services to long-term and post-acute care facilities and operated solely within the United States. The 
acquisition has been included within the consolidated results of operations and financial condition from the date of the acquisition.

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,

2013

2012

2011

100.0%

100.0%

100.0%

86.5%

8.0%

0.3%

5.8%

1.7%

4.1%

86.4%

7.4%

0.3%

6.5%

2.4%

4.1%

86.3%

7.3%

0.1%

6.5%

2.2%

4.3%

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  2014 may  be  comparable  to  the 
2013 percentages presented in the above table as they relate to consolidated revenues.

Housekeeping is our largest and core reportable segment, representing approximately 66% of 2013 consolidated revenues. Dietary 
revenues represented approximately 34% of 2013 consolidated revenues. 

Although there can be no assurance thereof, we believe that in 2014 Dietary’s revenues, as a percentage of consolidated revenues, 
may increase from its respective 2013 percentages noted above. Furthermore, we expect the sources of growth in 2014 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.

20

 
 
Fiscal 2013 Compared to Fiscal 2012

The following table sets forth 2013 income statement key components that we use to evaluate our financial performance on a 
consolidated and reportable segment basis compared to 2012 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.

Consolidated

%
Change

Corporate and
Eliminations

Amount

%
Change

Amount

%
Change

Reportable Segments

Housekeeping

Dietary

Revenues

$ 1,149,890,000

6.7 % $

— $ 759,093,000

2.9 % $ 390,797,000

995,104,000

91,998,000

3,701,000

6.9

16.0

26.7

(64,670,000)

690,221,000

91,998,000

3,701,000

—

—

3.3

—

—

369,553,000

—

—

$

66,489,000

(5.4)% $

(23,627,000) $

68,872,000

(0.8)% $

21,244,000

15.0%

15.0%

15.0

—

—

Cost of services provided

Selling, general and administrative

Investment and interest income

Income before income taxes

Revenues

Consolidated

Consolidated revenues increased 6.7% to $1,149,890,000 in 2013 compared to $1,077,435,000 in 2012 as a result of the factors 
discussed below under Reportable Segments.

Reportable Segments

Housekeeping’s 2.9% net growth in reportable segment revenues resulted primarily from an increase in revenues attributable to 
service agreements entered into with new clients and the acquisition of Platinum on July 12, 2013.

Dietary’s 15.0% net growth in reportable segment revenues is primarily a result of providing this service to a greater number of 
facilities for existing Housekeeping clients.  

Costs of services provided

Consolidated

Consolidated costs of services increased 6.9% to $995,104,000 in 2013 compared to $930,814,000 in 2012. The increase in costs 
of services is a direct result of growth in our consolidated revenues. Certain significant components within our costs of services 
are subject to fluctuation with the changes in our business and client base. The increase in such components during 2013 compared 
to 2012 include labor and other labor related costs, housekeeping and dietary supplies, and workers' compensation and general 
liability insurance, partially offset by a decrease in our bad debt provision. Historically, these significant components have accounted 
for approximately 97% of consolidated costs of services.

As a percentage of consolidated revenues, cost of services increased to 86.5% in 2013 from 86.4% in 2012. 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 Consolidated Revenue

2013 %

2012 %

% Change

Bad debt provision

Workers’ compensation and general liability insurance

0.2

3.2

0.2

3.4

—

(0.2)

As a percentage of consolidated revenues, the bad debt provision remained constant due to our assessment of the collectability of 
our receivables. 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 

21

 
 
 
 
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.

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, 2013 compared to 2012. 

Reportable Segments

Cost of services provided for Housekeeping, as a percentage of Housekeeping revenues for 2013, increased slightly to 90.9% 
compared to 90.6% in 2012. Cost of services provided for Dietary, as a percentage of Dietary revenues for 2013, remained constant 
at 94.6% compared to 2012.

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 Segment Revenue

2013 %

2012 %

% Change

Housekeeping labor and other labor costs

Housekeeping supplies

Dietary labor and other labor costs

Dietary supplies

80.4

8.0

51.8

39.9

80.3

7.8

52.3

39.3

0.1

0.2

(0.5)

0.6

Housekeeping labor and other labor costs, as a percentage of Housekeeping revenues, slightly increased due to inefficiencies 
recognized  in  managing  labor  at  the  facility  level. The  increase  in  Housekeeping  supplies,  as  a  percentage  of  Housekeeping 
revenues, resulted primarily from an increase in supplies due to the growth in housekeeping, 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  increase  in  Dietary  supplies,  as  a  percentage  of  Dietary  revenues,  is  a  result  of  the  inefficient 
management of these costs, partially offset by more favorable vendor pricing programs obtained through further consolidation of 
dietary supply vendors.

Consolidated Selling, General and Administrative Expense

Year Ended December 31,

2013

2012

% Change

Selling, general and administrative expense w/o deferred compensation change (a) $

88,993,000

Deferred compensation fund gain

Consolidated selling, general and administrative expense (b)

3,005,000

$

91,998,000

$

$

77,559,000

1,718,000

79,277,000

14.7%

74.9%

16.0%

(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 6.7% for the year ended December 31, 2013, selling, general and administrative 
expenses excluding the change in market value of the deferred compensation fund increased 14.7% or $11,434,000 compared to 
the 2012 period. Consequently, for the year ended December 31, 2013, selling, general and administrative expenses (excluding 
the impact of deferred compensation fund), as a percentage of consolidated revenues, increased to 7.7% of consolidated revenues 
as compared to 7.2% in the 2012 comparable period. This percentage increase resulted primarily from the increase in our payroll 
and payroll related expenses, professional fees, and legal expenses and matters as a percentage of revenues. The 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 primary increase in our legal expenses were the related costs and expenses associated with 
mediated settlements regarding certain employment related matters. In 2014, we expect to incur selling, general and administrative 
expenses as a percentage of consolidated revenues consistent with historical levels.

22

 
 
 
For the year ended December 31, 2013, the portion of our consolidated selling, general and administrative expense attributable 
to deferred compensation increased $1,287,000 compared to the 2012 period. The increase in the deferred compensation liability 
is a result of 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 $12,721,000 or 16.0%.

Consolidated Investment and Interest Income

Investment and interest income, as a percentage of consolidated revenues, remained constant at 0.3% for the year ended December 
31, 2013 compared to the corresponding 2012 period. 

Income before Income Taxes

Consolidated

As a result of the discussion above related to revenues and expenses, consolidated income before income taxes for 2013 decreased 
to 5.8%, as a percentage of consolidated revenues, compared to 6.5% in 2012.

Reportable Segments

Housekeeping’s decrease in income before income taxes is primarily attributable to the key indicators discussed above, specifically 
the increase in labor and labor related costs and housekeeping supplies as a percentage of segment revenue, partially offset by an 
increase in reportable segment revenues.

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 segment revenue, 
partially offset by the increased cost of dietary supplies.

Consolidated Income Taxes

Our effective tax rate was 29.1% for the year ended December 31, 2013 and 37.1% for 2012. The decrease in the effective tax 
rate was primarily the result of increased tax credits realized in 2013. The Company receives credits related to the Work Opportunity 
Tax Credit (“WOTC”) program but this program expired at December 31, 2011. The WOTC was subsequently renewed, but not 
until January 2, 2013, as part of The American Taxpayer Relief Act of 2012 (the "Relief Act"). The tax effect of a change in tax 
law is recognized in the period in which the date of the enactment occurs. Since the WOTC was renewed during the three month 
period ended March 31, 2013, the total tax effect of additional expected credits for 2012 was included in this period. 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.

Absent any other significant change in federal or state and local tax laws, we expect our effective tax rate for 2014 to be higher 
than the 2013 rate and more comparable to the 2012 rate. Since the WOTC program expired again as of December 31, 2013 and 
has not yet been renewed, the 2014 income tax provision will only include any tax credits realized in 2014 relating to prior year 
certifications, unless the WOTC program is extended in 2014. If the program is extended during 2014, the tax effect of expected 
2014 credits will be included in the tax provision in the period of enactment, which should reduce our effective tax rate. Other 
than the effect of the WOTC, 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 2013 remained constant at 
4.1% compared to the corresponding 2012 period.

23

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.

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 Consolidated 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. 

24

 
 
 
 
 
 
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 Segment 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 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.

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%.

25

 
 
 
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.

26

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.

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.

27

Summarized below for the years 2011 through 2013 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

2011

2012

2013

Aggregate Account
Balances of Clients in
Bankruptcy or in/or
Pending Collection/
Litigation

Net Write-offs of Client
Accounts

Bad Debt Provision

Allowance for Doubtful
Accounts

$

$

$

7,784,000

6,273,000

6,047,000

$

$

$

2,013,000

2,697,000

2,041,000

$

$

$

2,450,000

2,160,000

1,990,000

$

$

$

4,506,000

3,970,000

3,919,000

At December 31, 2013, we identified accounts totaling $6,047,000 that require an Allowance based on potential impairment or 
loss of value. An Allowance totaling $3,919,000 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 $75,000.

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 19% of our liabilities at December 31, 2013. 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 $34,000. Additionally, reducing the estimated payout period by six months would result in 
an approximate $84,000 reduction in net income.

For general liability, we record a reserve for the estimated ultimate amounts to be paid for known claims and claims incurred but 
not reported as of the balance sheet date. The estimated ultimate reserve amount recorded is derived from the estimated claim 
reserves provided by our insurance carrier reduced by an historical experience factor.

28

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,

2013

2012

2011

$

$

22,562,000

$

17,654,000

$

(26,091,000)

29,707,000

3,616,000

(25,154,000)

30,062,000

4,908,000

26,178,000

$

22,562,000

$

16,921,000

(24,703,000)

25,436,000

733,000

17,654,000

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 impact 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 impact 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.

29

Liquidity and Capital Resources

At  December 31,  2013,  we  had  cash  and  cash  equivalents,  and  marketable  securities  of  $75,600,000  and  working  capital  of 
$210,089,000 compared to December 31, 2012 cash, cash equivalents and marketable securities of $90,271,000 and working 
capital of $200,182,000. We view our cash and cash equivalents and marketable securities as our principal measure of liquidity. 
Our current ratio at December 31, 2013 decreased to 3.1 to 1 from 4.0 to 1 at December 31, 2012. This decrease resulted primarily 
from increases in our accounts payable, accrued payroll and other accrued expenses, primarily resulting from the timing of such 
payments at December 31, 2013 as compared with December 31, 2012.  Our marketable securities declined at December 31, 2013 
from December 31, 2012, primarily due to the working capital investment required to support our 2013 revenue growth of 6.7% 
and the payment of dividends to shareholders. The decrease was partially offset by the increase in accounts and notes receivables 
resulting from our increase in revenues. On an historical basis, our operations have 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 $32,158,000 for the year ended December 31, 2013. The principal sources 
of net cash flows from operating activities for 2013 was net income adjusted for non-cash charges to operations for bad debt 
provisions, stock-based compensation, depreciation and amortization. Additionally, operating activities’ cash flows decreased by 
$63,004,000  in  2013  as  a  result  of  the  increases  in  accounts  and  notes  receivable  ($54,835,000),  inventories  and  supplies 
($3,772,000), deferred compensation funding ($4,369,000) and the decrease in income taxes payable ($28,000). These operating 
cash outflows were partially offset by the cash inflows of $44,437,000 related to the decrease in prepaid expenses and other assets 
($790,000) and the increases in accounts payable and other accrued expenses ($25,961,000), accrued payroll ($6,349,000), deferred 
compensation liability ($7,721,000) and accrued insurance claims ($3,616,000).

Investing Activities

The net cash provided by our investing activities was $605,000 for the year ended December 31, 2013. The principal sources of 
net cash flows from investing activities for 2013 was $9,209,000 of net sales of marketable securities.  The net sales of marketable 
securities enabled us to increase cash and cash equivalents to support the increase in client facilities in 2013 and dividend payments. 
This investing cash inflow was partially offset by cash outflows related to acquisition activity and capital expenditures. We expended 
$5,000,000 in connection with the acquisition of Platinum Health Services, LLC and Platinum Health Services PEO, LLC on July 
12, 2013. Additionally, we expended $3,762,000 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 2013, we paid to shareholders regular 
quarterly cash dividends totaling $46,707,000 as follows.

Cash dividend per common share

Total cash dividends paid

$

$

Record date

Payment date

March 31, 2013

June 30, 2013

September 30, 2013

December 31, 2013

$

$

0.16625

11,415,000

February 22

March 15

0.16750

11,516,000

$

$

May 10

June 14

0.16875

11,829,000

August 16

$

$

September 20

0.17000

11,947,000

November 15

December 20

Quarter Ended

Additionally, on January 28, 2014, our Board of Directors declared a regular quarterly cash dividend of $0.17125 per common 
share, which will be paid on March 28, 2014 to shareholders of record as of the close of business on February 21, 2014.

The dividends paid to shareholders during the year ended December 31, 2013 were in excess of cash flows during the given period, 
and therefore, were funded by the existing cash, cash equivalents and marketable securities held by the Company. At December 
31, 2013 and 2012, we had $75,600,000 and $90,271,000, respectively, in cash, cash equivalents and marketable securities. 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.

30

During the year ended December 31, 2013 we elected not to purchase any of our common stock but we remain authorized to 
purchase 1,689,000 shares of our common stock pursuant to previous Board of Directors’ approvals.

During the year ended December 31, 2013, we received proceeds of $6,428,000 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 $2,615,000.

Contractual Obligations

Our future contractual obligations and commitments at December 31, 2013 consist of the following:

Year Ending

Total

Less Than 1
Year

1-3 Years

3-5 Years

After 5 Years

Operating Lease Obligations

$

1,473,000

$

1,063,000

$

410,000

$

— $

—

Payments Due by Period

Line of Credit

We have a $125,000,000 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, 2013, there were no 
borrowings  under  the  line  of  credit.  However,  at  such  date,  we  had  outstanding  a  $43,520,000  (increased  to  $51,520,000  on 
January 1, 2014) 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 $43,520,000 at December 31, 
2013.

The line of credit requires us to satisfy one financial covenant. Such covenant and its respective status at December 31, 2013 was 
as follows:

Covenant Description and Requirement
Funded debt(1) to EBITDA(2) ratio: less than 3.00 to 1.00

Status at December 31, 2013

0.82

(1)  All indebtedness for borrowed money, including but not limited to capitalized lease obligations, reimbursement obligations in respect of letters 

of credit and guaranties of any such indebtedness.

(2)  Net income plus interest expense plus income tax expense plus depreciation plus amortization.

As noted above, we complied with our financial covenant at December 31, 2013 and expect to continue to remain in compliance 
with such financial covenant. This line of credit has a five year term and expires on December 18, 2018.

Pledged Assets and Collateral

On December 30, 2013, we entered into a Security Interest, Pledge and Assignment of Deposit Account (the "Pledge") with Wells 
Fargo Bank, National Association (the “Bank”) as collateral for the Promissory Note (the “Note”) dated December 30, 2013. The 
Note is a short term non-revolving line of credit between the Company’s third party payroll administrator and the Bank. The 
Company entered into the Pledge at year end due to the timing of payroll funding and the holidays. On January 3, 2014, the 
Company's third party payroll administrator satisfied its payment obligation under the Note, and accordingly, the Company's 
Pledge was fully released and extinguished. The funds previously held as collateral were subsequently used for general operating 
activities.

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 

31

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, 2013 and 2012, we had $16,116,000 
and $10,730,000, 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 
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 went into effect starting March 2013. In December 2013, the U.S. Congress 
enacted the Bipartisan Budget Act of 2013, which reduces the impact of the sequestration over the next two years, beginning in 
fiscal year 2014 and extended the reduction in Medicare payments to plans and providers for two years through the year 2023.

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 $1,990,000, $2,160,000 and $2,450,000 in the years ended December 31, 2013, 2012 and 2011, respectively. As a 
percentage of total revenues, these provisions represent approximately 0.2% for the years ended December 31, 2013 and 2012 
and 0.3% for the year ended December 31, 2011. 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.

32

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.

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 2014, 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 and pledge 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, 2013, we had $75,600,000 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.

33

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, 2013 and 2012
Consolidated Statements of Comprehensive Income for the Years Ended December 31, 2013, 2012 and 2011
Consolidated Statements of Cash Flows for the Years Ended December 31, 2013, 2012 and 2011
Consolidated Statements of Stockholders’ Equity for the years Ended December 31, 2013, 2012 and 2011
Notes to Consolidated Financial Statements for the Years Ended December 31, 2013, 2012 and 2011

Page

35
36
37

38
39
40
41
42

34

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

Board of Directors and Stockholders
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, 2013 and 2012, 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, 2013. 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, 2013 and 2012, and the results of their operations and 
their cash flows for each of the three years in the period ended December 31, 2013 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, presents 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, 2013, based on criteria established in Internal Control-
Integrated Framework (1992) issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO), and 
our report dated February 21, 2014 expressed an unqualified opinion.

/s/ GRANT THORNTON LLP

Edison, New Jersey
February 21, 2014

35

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,  2013.  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 (the "1992 
Framework").

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, 2013 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, 2013.

/s/ Daniel P. McCartney
Daniel P. McCartney
Chief Executive Officer
(Principal Executive Officer)
February 21, 2014

/s/ John C. Shea
John C. Shea
Chief Financial Officer
(Principal Financial Officer)
February 21, 2014

36

  
  
  
  
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

Board of Directors and Stockholders
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, 2013, based on criteria established in Internal Control-Integrated Framework 
(1992) 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, 2013, based on criteria established in Internal Control-Integrated Framework (1992) 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, 2013, and our report dated February 21, 
2014 expressed an unqualified opinion on those financial statements.

/s/ GRANT THORNTON LLP

Edison, New Jersey
February 21, 2014

37

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 $3,919,000 in 2013 and
$3,970,000 in 2012

Inventories and supplies

Deferred 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 $12,909,000 in 2013 and $10,078,000 in
2012

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,

2013

2012

$

64,155,000

$

68,949,000

11,445,000

21,322,000

189,107,000

140,218,000

32,447,000

28,675,000

2,339,000

9,699,000

—

8,682,000

309,192,000

267,846,000

2,516,000

29,182,000

305,000

32,003,000

20,699,000

11,304,000

40,183,000

23,372,000

5,779,000

22,200,000

13,274,000

38,000

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

$

425,342,000

$

331,183,000

$

43,682,000

$

22,810,000

37,162,000

31,997,000

8,528,000

1,878,000

—

7,853,000

99,103,000

18,325,000

22,771,000

3,526,000

1,906,000

575,000

6,850,000

67,664,000

15,712,000

18,237,000

Common stock, $.01 par value; 100,000,000 shares authorized; 71,868,000 shares issued and
outstanding in 2013 and 70,036,000 shares issued and outstanding in 2012

Additional paid-in capital

Retained earnings

Accumulated other comprehensive income, net of taxes

Common stock in treasury, at cost, 1,892,000 shares in 2013 and 1,983,000 shares in 2012

Total stockholders’ equity

719,000

700,000

168,329,000

113,495,000

127,464,000

127,042,000

49,000

127,000

(11,418,000)

(11,794,000)

285,143,000

229,570,000

TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY

$

425,342,000

$

331,183,000

See accompanying notes.

38

 
 
 
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

Weighted average number of common shares outstanding:

Basic

Diluted

Comprehensive income:

Net income

Other comprehensive income:

Years Ended December 31,

2013

2012

2011

$ 1,149,890,000

$ 1,077,435,000

$

889,065,000

995,104,000

930,814,000

766,958,000

91,998,000

79,277,000

65,306,000

3,701,000

66,489,000

19,360,000

2,920,000

70,264,000

26,050,000

1,011,000

57,812,000

19,656,000

$

47,129,000

$

44,214,000

$

38,156,000

$

$

0.68

0.67

$

$

0.65

0.65

$

$

0.57

0.56

69,206,000

70,045,000

67,511,000

68,485,000

66,637,000

67,585,000

$

47,129,000

$

44,214,000

$

38,156,000

Unrealized gain/(loss) on available for sale marketable securities, net of taxes

(78,000)

(216,000)

421,000

Total comprehensive income

$

47,051,000

$

43,998,000

$

38,577,000

See accompanying notes.

39

 
 
 
Healthcare Services Group, Inc.
Consolidated Statements of Cash Flows

Unrealized (gain) loss on deferred compensation fund investments

(2,820,000)

(1,871,000)

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 (benefits) tax

Stock-based compensation expense

Amortization of premium on marketable securities

Unrealized loss on marketable securities

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

Years Ended December 31,

2013

2012

2011

$

47,129,000

$

44,214,000

$

38,156,000

6,204,000

1,990,000

(4,922,000)

2,607,000

537,000

—

5,116,000

2,160,000

(3,493,000)

2,538,000

654,000

82,000

4,387,000

2,450,000

275,000

2,152,000

999,000

486,000

104,000

(50,879,000)

(11,634,000)

(24,769,000)

—

(3,772,000)

(3,956,000)

(4,369,000)

25,961,000

6,349,000

3,616,000

7,721,000

(28,000)

790,000

32,158,000

158,000

(3,762,000)

(6,598,000)

15,807,000

(5,000,000)

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

26,000

22,000

(3,484,000)

(5,545,000)

(10,833,000)

(18,934,000)

19,978,000

29,971,000

—

(1,000,000)

4,514,000

Net cash provided by investing activities

605,000

5,687,000

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 change 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:

Cash paid for interest

Cash paid for income taxes, net of refunds

(46,707,000)

(44,093,000)

(42,228,000)

107,000

2,615,000

6,428,000

118,000

2,649,000

5,573,000

128,000

1,222,000

2,363,000

(37,557,000)

(35,753,000)

(38,515,000)

(4,794,000)

68,949,000

30,310,000

38,639,000

(1,053,000)

39,692,000

64,155,000

$

68,949,000

$

38,639,000

4,000

21,694,000

$

$

3,000

24,681,000

$

$

2,000

14,614,000

$

$

$

See accompanying notes.

40

 
 
 
 
Healthcare Services Group, Inc.
Consolidated Statements of Stockholders’ Equity

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 and
restricted stock

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 and
restricted stock

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, 2012

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 and
restricted stock

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

Years Ended December 31, 2013, 2012 and 2011

Common Stock

Shares

Amount

Additional
Paid-in
Capital

Accumulated
Other
Comprehensive
Income, net of
taxes

Retained
Earnings

Treasury
Stock

Stockholders’
Equity

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)

70,036,000

$ 700,000

$ 113,495,000

$

127,000

$ 127,042,000

$ (11,794,000) $ 229,570,000

617,000

7,000

6,381,000

2,615,000

2,045,000

294,000

1,370,000

309,000

47,129,000

(78,000)

(46,707,000)

47,129,000

(78,000)

47,051,000

6,428,000

2,615,000

2,045,000

360,000

1,842,000

(46,707,000)

40,000

66,000

472,000

(202,000)

107,000

—

41,832,000

Shares issued pursuant to acquisition

1,215,000

12,000

41,820,000

Balance, December 31, 2013

71,868,000

$ 719,000

$ 168,329,000

$

49,000

$ 127,464,000

$ (11,418,000) $ 285,143,000

See accompanying notes.

41

 
 
 
Healthcare Services Group, Inc.
Notes to Consolidated Financial Statements
Years Ended December 31, 2013, 2012 and 2011

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, 2013, 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, 2013, we have PEO service contracts in several states. During 
the  years  2011  through  2013,  operating  results  from  our  PEO  services  contracts  were  not  material  and  were  included  in  our 
Housekeeping segment.

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 $2,892,000 and $1,639,000 at December 31, 2013 and 2012, respectively, have been discounted to their present 
value and are reported at such values of $2,880,000 and $1,620,000 at December 31, 2013 and 2012, respectively.

42

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, 2013, we had marketable securities of $11,445,000 which were comprised 
primarily of tax exempt municipal bonds. These investments are reported at fair value on our balance sheet.  For the year ended 
December 31, 2013, the accumulated other comprehensive income on our consolidated balance sheet, statements of comprehensive 
income and stockholders’ equity includes unrealized gains from marketable securities of $49,000 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, 2010, we 
have not elected the fair value option for marketable securities as 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, 2013, 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 for the years ended December 31, 2013, 2012 and 2011 was $3,373,000, $2,947,000 and $2,416,000, respectively.

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 2013, 2012 and 2011 laundry installation sales were not material.

43

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, 2013, 2012 
and 2011.

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.

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.

44

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, 2013, 2012 or 2011.

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.

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 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, 2013 and 2012, substantially all of our cash and cash equivalents, and marketable 
securities were held in one large financial institution located in the United States.

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.

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.

45

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 went into effect starting March 2013. In December 2013, the U.S. Congress enacted the 
Bipartisan Budget Act of 2013, which reduces the impact of the sequestration over the next two years, beginning in fiscal year 
2014 and extended the reduction in Medicare payments to plans and providers for two years through the year 2023.

Significant Clients

We have several clients who each have made a contribution to our total consolidated revenues ranging from 3% to 5% for the year 
ended December 31, 2013. 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.

Recent Accounting Pronouncements

the  Financial  Accounting  Standards  Board 

(“ASU”) 
In  February  2013, 
2013-02, Comprehensive Income (Topic 220): Reporting of Amounts Reclassified Out of Accumulated Other Comprehensive 
Income. This ASU requires an entity to include additional disclosures about significant amounts reclassified out of accumulated 
other comprehensive income by component. An entity has the option to present this information, either on the face of the statement 
where net income is presented or in the accompanying notes. This ASU does not change current requirements for reporting net 
income or other comprehensive income under current accounting guidance. This ASU is effective for reporting periods beginning 
after December 15, 2012. The adoption of this standard in 2013 did not have a material impact on the Company's consolidated 
results of operations, cash flows, or financial position.

issued  Accounting  Standards  Update 

Note 2—Acquisition

On July 12, 2013, the Company acquired substantially all of the operating assets of Platinum Health Services, LLC, a Delaware 
limited liability company and Platinum Health Services PEO, LLC, a Delaware limited liability company (collectively “Platinum”) 
pursuant to an Asset Purchase Agreement dated July 11, 2013. Platinum was a privately-held provider of professional housekeeping, 
laundry and maintenance services to long-term and post-acute care facilities and operated solely within the United States. The 
acquisition has been included within the consolidated results of operations and financial condition from the date of the acquisition.

The total purchase consideration was $46,832,000, which consisted of a cash payment of $5,000,000, the issuance of 1,215,000 
shares  of  the  Company's  common  stock  with  a  fair  value  of  $30,062,000  and  contingent  consideration  with  a  fair  value  of 
$11,770,000 as of December 31, 2013. Upon the achievement of certain financial and retention targets, the selling stockholders 
will be eligible for contingent consideration paid by the future issuance of the Company's common stock.

The purchase consideration of the acquisition has been preliminarily allocated to the assets acquired and liabilities assumed based 
on estimated fair values. The preliminary allocation is as follows:

Fair value of assets acquired, net of liabilities assumed

Goodwill

Intangible assets

Net assets acquired

$

$

2,604,000

23,228,000

21,000,000

46,832,000

46

Goodwill, which is expected to be amortized for tax purposes, represents the excess of the purchase price over the fair value of 
the net assets acquired, and is primarily attributable to the assembled workforce of the acquired business. Goodwill was allocated 
to our Housekeeping reportable operating segment. Intangible assets consist of customer relationships of $21,000,000 and has 
been assigned an estimated useful life of 10 years.

Pro forma results are not presented as the acquisition was not deemed significant to the Company's operating results pursuant to 
Regulation S-X for the three months and years ended December 31, 2013 and 2012.

Note 3—Changes in Accumulated Other Comprehensive Income by Component

U.S.  GAAP  establishes  standards  for  presenting  information  about  significant  items  reclassified  out  of  accumulated  other 
comprehensive income by component. As of December 31, 2013 and 2012, respectively, we generated other comprehensive income 
from one component. This component relates to the unrealized gains and losses from our available for sale marketable securities 
during a given reporting period. Effective January 1, 2013, we elected to present this information in a separate disclosure.

The following table provides a summary of changes in accumulated other comprehensive income:

Accumulated other comprehensive income — December 31, 2012

Other comprehensive income before reclassifications

Amounts reclassified from accumulated other comprehensive income (2)(3)

Net current period change in other comprehensive income

Accumulated other comprehensive income — December 31, 2013

Unrealized Gains and
Losses on Available for
Sale Securities (1)

$

$

127,000

(43,000)

(35,000)

(78,000)

49,000

(1)  All amounts are net of tax.
(2)  Realized gains and losses are recorded pre-tax in the other income - investment and interest caption on our consolidated statements of 

comprehensive income.

(3)  The Company recorded $49,000 of realized gains from the sale of available for sale securities. Refer to Note 5 herein for further information.

Note 4—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. The carrying value of goodwill as of December 
31, 2013 and 2012 was $40,183,000 and $16,955,000, respectively.

The changes in the carrying values of goodwill by reportable operating segment, as described in Note 14 herein, were as follows:

December 31, 2012

Goodwill acquired during the year

December 31, 2013

Reportable Segments

Housekeeping

Dietary

Total

$

$

14,894,000

23,228,000

38,122,000

$

$

2,061,000

—

2,061,000

$

$

16,955,000

23,228,000

40,183,000

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 10 years).

47

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,

2013

2012

$

$

35,481,000

$

800,000
36,281,000

12,909,000

23,372,000

$

14,481,000

800,000

15,281,000

10,078,000

5,203,000

The customer relationships have a weighted-average amortization period of eight 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

2014

2015

2016

2017

2018

Thereafter

Customer
Relationships

Non-Compete
Agreements

Total

$

3,211,000

$

67,000

$

3,211,000

2,668,000

2,397,000

2,298,000

9,520,000

—

—

—

—

—

3,278,000

3,211,000

2,668,000

2,397,000

2,298,000

9,520,000

Amortization  expense  for  the  years  ended  December  31,  2013,  2012  and  2011  was  $2,831,000,  $2,169,000  and  $1,971,000, 
respectively.

Note 5—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, 2010, we 
have not elected the fair value option for marketable securities as 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.

The Company’s financial instruments consist mainly of cash and cash equivalents, available for sale marketable securities, accounts 
and notes receivable, prepaid expenses and other, and accounts payable (including income taxes payable and accrued expenses). 
The carrying value of these financial instruments approximates their fair value because of their short-term nature. The fair value 
of financial instruments is defined as the amount at which the instrument could be exchanged in a current transaction between 
willing parties.

48

 
The following tables provide fair value measurement information for our marketable securities and deferred compensation fund 
investment assets as of December 31, 2013 and 2012:

As of December 31, 2013

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

Deferred compensation fund

Money Market

Balanced and Lifestyle

Large Cap Growth

Small Cap Value

Fixed Income

International

Mid Cap Growth

$

$

11,445,000

$

11,445,000

3,592,000

$

3,592,000

$

$

— $

11,445,000

— $

3,592,000

$

$

8,174,000

4,292,000

2,173,000

1,962,000

1,079,000

928,000

8,174,000

4,292,000

2,173,000

1,962,000

1,079,000

928,000

8,174,000

4,292,000

2,173,000

1,962,000

1,079,000

928,000

—

—

—

—

—

—

Deferred compensation fund

$

22,200,000

$

22,200,000

$

18,608,000

$

3,592,000

$

—

—

—

—

—

—

—

—

—

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

Deferred compensation 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

$

6,311,000

2,724,000

1,936,000

1,461,000

785,000

500,000

4,114,000

6,311,000

2,724,000

1,936,000

1,461,000

785,000

500,000

$

$

— $

21,322,000

— $

4,114,000

$

$

6,311,000

2,724,000

1,936,000

1,461,000

785,000

500,000

—

—

—

—

—

—

Deferred compensation fund

$

17,831,000

$

17,831,000

$

13,717,000

$

4,114,000

$

—

—

—

—

—

—

—

—

—

The fair value of the municipal bonds is measured using third party pricing service 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, the 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.  

For the year ended December 31, 2013, there were no unrealized gains or losses recorded. For the years ended December 31, 
2012 and 2011, we recorded unrealized losses from marketable securities of $82,000 and $486,000 respectively, for 
investments recorded under the fair value option.

49

 
 
 
 
 
 
 
 
 
 
Amortized Cost

Gross
Unrealized
Gains

Gross
Unrealized
Losses

Estimated Fair
Value

Other-than-
temporary
Impairments

December 31, 2013

Type of security:

Municipal bonds — available for sale

11,364,000

83,000

(2,000)

11,445,000

Total debt securities

December 31, 2012

Type of security:

$

11,364,000

$

83,000

$

(2,000) $

11,445,000

$

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

$

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

$

$

—

—

—

—

—

—

—

For the years ended December 31, 2013, 2012 and 2011, we received total proceeds of $14,985,000, $16,838,000 and $12,507,000, 
respectively, from sales of available for sale municipal bonds. These sales resulted in realized gains of $49,000, $229,000 and 
$95,000 recorded in other income – investment and interest caption on our statement of comprehensive income for the years ended 
December 31, 2013, 2012 and 2011, 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, 2013 and 2012, 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

Note 6— Accounts and Notes Receivable

Municipal Bonds — Available for Sale

December 31, 2013

December 31, 2012

$

$

1,846,000

$

7,113,000

2,486,000

11,445,000

$

5,164,000

12,134,000

4,024,000

21,322,000

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, 2013 and 2012, we had $16,116,000 
and $10,730,000, 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.

50

 
 
 
 
 
 
 
 
 
 
 
Note 7— 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 went into effect starting March 2013. In December 2013, the U.S. Congress enacted the 
Bipartisan Budget Act of 2013, which reduces the impact of the sequestration over the next two years, beginning in fiscal year 
2014 and extended the reduction in Medicare payments to plans and providers for two years through the year 2023.

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,

2013

2012

2011

$

1,990,000

$

2,160,000

$

2,450,000

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.

51

 
 
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, 2013, 2012 and 2011 are as follows:

Year ended December 31,

2013

2012

2011

Year ended December 31,

2013

2012

2011

Balance
Beginning of
Year

$

$

$

1,639,000

1,855,000

1,910,000

Impaired Notes Receivable

Additions

Deductions

Balance End of
Year

Average
Outstanding
Balance

1,267,000

$

— $

5,000

$

14,000

216,000

60,000

$

$

$

2,892,000

1,639,000

1,855,000

$

$

$

2,266,000

1,747,000

1,883,000

Reserve for Impaired Notes Receivable

Balance
Beginning of
Year

Additions

Deductions

Balance End of
Year

958,000

1,066,000

930,000

$

$

$

1,072,000

108,000

196,000

$

$

$

11,000

216,000

60,000

$

$

$

2,019,000

958,000

1,066,000

$

$

$

$

$

$

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 8 — Lease Commitments

We lease office facilities, equipment and autos under operating leases expiring on various dates through 2016. 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, 2013.

Period/Year

2014

2015

2016

2017

2018

Thereafter

Total minimum lease payments

Operating
Leases

$

1,063,000

340,000

70,000

—

—

—

$

1,473,000

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,

2013

2012

2011

$

1,239,000

$

1,451,000

$

1,336,000

52

 
 
 
 
Note 9— 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, 2013 which are described below: 
the 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, 2013, 2012 and 2011 is as follows:

Stock Options

Restricted Stock

Employee Stock Purchase Plan (ESPP)

Total pre-tax stock-based compensation expense charged against income (1)

December 31,

2013

2012

2011

$

$

2,017,000

$

1,897,000

$

1,870,000

28,000

562,000

—

641,000

—

282,000

2,607,000

$

2,538,000

$

2,152,000

(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 $538,000, $560,000 and $444,000 (representing the Company’s 25% match of 
participants’ deferrals) for the years ended December 31, 2013, 2012 and 2011, respectively. Both the SERP match and deferrals 
are included in the selling, general and administrative caption in our consolidated statements of comprehensive income.

2012 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 stock awards, the number of stock awards each individual will receive, the price per share (in 
accordance with the terms of our 2012 Plan), and the exercise period of each stock award.

We have outstanding stock awards 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 Pre-existing Plan. No further grants are allowed under the Pre-
existing Plans. As of December 31, 2013, 5,277,000 shares of common stock were reserved for issuance under our 2012 Plan, 
including 2,793,000 shares which are available for future grant. The stock price will not be less than the fair market value of the 
common stock on the date the award is granted. No stock grant will have a term in excess of ten years.  Since 2008, all awards 
granted become vested and exercisable ratably over a five year period on each yearly anniversary date of the stock grant. 

A summary of our stock option activity is as follows:

2013

2012

2011

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

$

13.18

23.50

18.18

10.37

16.05

2,632,000

$

564,000

(88,000)

(625,000)

2,483,000

$

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

The weighted average grant-date fair value of stock options granted during 2013, 2012 and 2011 was $6.81, $4.74 and $3.26 per 
common share, respectively. 

53

 
During 2013, the Company granted 6,000 shares of restricted stock with a weighted average grant date fair value of $23.50 per 
share.

The following table summarizes other information about our outstanding stock options at December 31, 2013.

Stock Options

Range of exercise prices

Outstanding:

2013

2012

2011

$6.07 - 23.50

$3.68 - 17.50

$2.41 - 16.11

Weighted average remaining contractual life (years)

6.5

6.3

6.0

Aggregate intrinsic value

Exercisable:

Number of shares

Weighted average remaining contractual life (years)

Aggregate intrinsic value

Exercised:

Aggregate intrinsic value

Fair Value Estimates

$

30,599,000

$

26,472,000

$

19,639,000

922,000

4.5

15,053,000

9,139,000

$

$

1,040,000

1,383,000

4.2

13,934,000

10,465,000

$

$

3.9

13,925,000

5,059,000

$

$

The fair value of stock awards granted during 2013, 2012 and 2011 was 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

Expected volatility

Dividend yield

Forfeiture rate

Other Information

2013

1.50%

2012

1.30%

2011

2.60%

6.0 years

6.8 years

7.4 years

38.9%

2.80%

3.00%

39.2%

3.60%

2.90%

27.4%

3.66%

3.81%

Other information pertaining to activity of our stock awards during the years ended December 31, 2013, 2012 and 2011 was as 
follows:

Total grant-date fair value of stock awards granted

Total fair value of stock awards vested during period

Total unrecognized compensation expense related to non-vested stock awards

2013

2012

2011

$

$

$

3,412,000

1,897,000

4,963,000

$

$

$

2,438,000

1,409,000

3,999,000

$

$

$

1,477,000

1,551,000

3,547,000

For the years ended December 31, 2013, 2012 and 2011, the unrecognized compensation cost related to stock awards granted but 
not yet vested, as reported above, was expected to be recognized over a weighted average remaining period of four years.

Employee Stock Purchase Plan

Since January 1, 2000, we have had an 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 2,476,000 shares available for future grant at December 31, 2013. 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 

54

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.

The following table summarizes information about our ESPP annual offerings for the years ended December 31, 2013, 2012 and 
2011:

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

2013

2012

2011

65,000

19.75

562,000

1,288,000

$

$

$

79,000

15.04

641,000

1,192,000

$

$

$

$

$

$

71,000

13.83

282,000

978,000

Jan 3, 2014

Jan 4, 2013

Jan 4, 2012

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. 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. 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 452,000 shares available for future grant at 
December 31, 2013 (after deducting the 2013 funding of 19,000 shares delivered in 2014). In the aggregate, since initiation of the 
SERP, the Company’s 25% match has resulted in 560,000 shares (including the 2013 funding of shares delivered in 2014) being 
issued to the trustee. At the time of issuance, such shares were accounted for at cost, as treasury stock. At December 31, 2013, 
approximately 311,000 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, 2013, 2012 and 2011:

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

2013

538,000

19,000

31,415,000

(1)

3,005,000

$

$

$

2012

560,000

24,000

24,997,000

(1)

1,718,000

$

$

$

2011

444,000

26,000

18,942,000

(1)

(104,000)

$

$

$

(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 10— 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.

55

 
 
 
 
  
  
  
  
  
  
  
  
 
Note 11— Dividends

We have paid regular quarterly cash dividends since the second quarter of 2003. During 2013, we paid regular quarterly cash 
dividends totaling $46,707,000 as detailed below:

March 31, 2013

June 30, 2013

September 30, 2013

December 31, 2013

Cash dividend per common share

Total cash dividends paid

$

$

Record date

Payment date

$

$

0.16625

11,415,000

February 22

March 15

0.16750

11,516,000

$

$

May 10

June 14

0.16875

11,829,000

August 16

$

$

September 20

0.17000

11,947,000

November 15

December 20

Quarter Ended

Additionally, on January 28, 2014, our Board of Directors declared a regular quarterly cash dividend of $0.17125 per common 
share, which will be paid on March 28, 2014 to shareholders of record as of the close of business on February 21, 2014.

Cash dividends on our outstanding weighted average number of basic common shares for the years ended December 31, 2013, 
2012 and 2011 was as follows:

Cash dividends per common share

December 31,

2013

2012

2011

$

0.67

$

0.65

$

0.63

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.

Note 12— Income Taxes

The following table summarizes the provision for income taxes:

Current:

Federal

State

Deferred:

Federal

State

Tax Provision

Year Ended December 31,

2013

2012

2011

$

19,045,000

$

24,350,000

$

15,053,000

5,381,000

5,373,000

4,488,000

24,426,000

29,723,000

19,541,000

(4,172,000)

(3,048,000)

(894,000)

(625,000)

(5,066,000)

(3,673,000)

296,000

(181,000)

115,000

$

19,360,000

$

26,050,000

$

19,656,000

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.

56

 
 
 
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,

2013

2012

$

1,560,000

$

1,580,000

$

$

3,574,000

2,727,000

(5,059,000)

(4,432,000)

2,264,000

2,339,000

$

(450,000)

(575,000)

7,987,000

$

7,095,000

5,000

8,000

(2,933,000)

(3,028,000)

6,848,000

1,015,000

352,000

6,255,000

522,000

363,000

$

13,274,000

$

11,215,000

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,

2013
23,271,000

$

2012
24,592,000

$

2011
20,234,000

2,916,000
(7,121,000)
(29,000)

323,000
19,360,000

$

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

$

$

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, 2010. 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, 2013 is omitted as there is no activity to report in such account for 
the year ended December 31, 2013, 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.

57

 
 
 
 
Note 13—Related Party Transactions

A director is a member of a law firm which was retained by us. During the years ended December 31, 2013, 2012 and 2011, fees 
received from us by such firm did not exceed $120,000 in any period. Additionally, such fees did not exceed, in any period, 5% 
of such firm’s revenues or the Company's revenues.

Note 14—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.

58

Year Ended December 31, 2013

Revenues

Income before income taxes

Depreciation and amortization

Total assets

Capital expenditures

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

Housekeeping
Services

Dietary
Services

Corporate and
Eliminations

Total

$

759,093,000

$

390,797,000

$

—

$ 1,149,890,000

68,872,000

5,105,000

21,244,000

(23,627,000)

693,000

406,000

213,397,000

92,424,000

119,521,000

$

$

$

$

$

$

$

$

2,726,000

737,407,000

69,429,000

4,069,000

144,412,000

2,765,000

654,886,000

63,395,000

3,428,000

460,000

$

576,000

339,855,000

$

173,000

18,474,000

(17,639,000)

676,000

371,000

62,263,000

124,508,000

453,000

$

266,000

234,247,000

$

(68,000)

11,678,000

(17,261,000)

614,000

345,000

135,223,000

57,034,000

97,438,000

(1)

(2)

(1)

(1)

(2)

(1)

(1)

(2)

66,489,000

6,204,000

425,342,000

$

3,762,000

$ 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

$

4,697,000

$

372,000

$

476,000

$

5,545,000

(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

Year Ended December 31,

2013

2012

2011

$

514,180,000

$

492,319,000

$

440,924,000

241,540,000

240,670,000

210,896,000

390,797,000

339,867,000

234,542,000

3,373,000

4,579,000

2,703,000

$ 1,149,890,000

$ 1,077,435,000

$

889,065,000

59

  
  
  
  
  
  
 
 
Note 15— 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 2013, 2012 and 2011 are as follows:

Net income

Basic earnings per common share

Effect of dilutive securities:

Stock options and restricted stock

Diluted earnings per common share

Net income

Basic earnings per common share

Effect of dilutive securities:

Stock options and restricted stock

Diluted earnings per common share

Net income

Basic earnings per common share

Effect of dilutive securities:

Stock options and restricted stock

Diluted earnings per common share

Year ended December 31, 2013

Income
(Numerator)

Shares
(Denominator)

Per-share
Amount

47,129,000

47,129,000

69,206,000

$

0.68

47,129,000

70,045,000

$

839,000

(0.01)

0.67

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

$

$

$

$

$

$

$

$

$

For the years ended December 31, 2013, 2012 and 2011, options to purchase 546,000, 576,000 and 510,000 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 16—Other Contingencies

We have a $125,000,000 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, 2013, there were no 
borrowings  under  the  line  of  credit.  However,  at  such  date,  we  had  outstanding  a  $43,520,000  (increased  to  $51,520,000  on 
January 1, 2014) 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 $43,520,000 at December 31, 
2013.   The  line  of  credit  requires  us  to  satisfy  one  financial  covenant. We  are  in  compliance  with  our  financial  covenant  at 
December 31, 2013 and expect to continue to remain in compliance with such financial covenant. This line of credit expires on 
December 18, 2018. We believe the line of credit will be renewed at that time.

Additionally, on December 30, 2013, we entered into a Security Interest, Pledge and Assignment of Deposit Account (the "Pledge") 
with Wells Fargo Bank, National Association (the “Bank”) as collateral for the Promissory Note (the “Note”) dated December 30, 
2013. The Note is a short term non-revolving line of credit between the Company’s third party payroll administrator and the Bank. 
The Company entered into the Pledge at year end due to the timing of payroll funding and the holidays. On January 3, 2014, the 
Company's third party payroll administrator satisfied its payment obligation under the Note, and accordingly, the Company's 

60

 
 
 
 
Pledge was fully released and extinguished. The funds previously held as collateral were subsequently used for general operating 
activities.

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.

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 went into effect starting March 2013. In December 2013, the U.S. Congress enacted the 
Bipartisan Budget Act of 2013, which reduces the impact of the sequestration over the next two years, beginning in fiscal year 
2014 and extended the reduction in Medicare payments to plans and providers for two years through the year 2023.

Note 17—Accrued Insurance Claims

We currently have a Paid Loss Retrospective Insurance Plan for general liability and workers’ compensation insurance, which 
comprise approximately 19% of our liabilities at December 31, 2013. 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 

61

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, 2013 by approximately $34,000. Additionally, reducing the estimated payout 
period by six months would result in an approximate $84,000 reduction in net income.

For general liability, we record a reserve for the estimated ultimate amounts to be paid for known claims and claims incurred but 
not reported as of the balance sheet date. The estimated ultimate reserve amount recorded is derived from the estimated claim 
reserves provided by our insurance carrier reduced by an historical experience factor.

Note 18—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 19—Selected Quarterly Financial Data (Unaudited)

The following tables summarize the unaudited quarterly financial data for the last two fiscal years.

2013

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)
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)

First Quarter

Second Quarter

Third Quarter

Fourth Quarter

$

$

$

$

$

$

$

$

$

$

$

$

$

$

273,904,000

255,981,000

18,957,000

14,954,000

0.22

0.22

0.17

260,607,000

248,477,000

13,783,000

8,579,000

0.13

0.13

0.16

$

$

$

$

$

$

$

$

$

$

$

$

$

$

273,604,000

253,965,000

19,858,000

12,933,000

0.19

0.19

0.17

267,108,000

248,730,000

18,283,000

11,320,000

0.17

0.17

0.16

$

$

$

$

$

$

$

$

$

$

$

$

$

$

298,549,000

278,540,000

21,193,000

13,790,000

0.20

0.20

0.17

272,681,000

255,070,000

18,573,000

11,517,000

0.17

0.17

0.16

$

$

$

$

$

$

$

$

$

$

$

$

$

$

303,833,000

298,616,000

6,481,000

5,452,000

0.08

0.08

0.17

277,039,000

257,814,000

19,625,000

12,798,000

0.19

0.19

0.17

(1)  Year-to-date earnings and cash dividends per common share amounts may differ from the sum of quarterly amounts due to rounding.

62

 
 
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, 2013.

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, 2013. 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 2014 Annual Meeting of Shareholders and to be filed within 
120 days of the close of the year ended December 31, 2013.

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 2014 Annual Meeting of Shareholders and to be filed within 120 days of the 
close of the fiscal year ended December 31, 2013.

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 
2014 Annual Meeting of Shareholders and to be filed within 120 days of the close of the fiscal year ending December 31, 2013.

63

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 stock awards, the weighted-average exercise price of stock awards, and the number of 
shares remaining available for future award grants as of December 31, 2013.

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)

2,483,000 (1) $

—

2,483,000

$

16.05

—

16.05

5,721,000 (2)

—

5,721,000

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 stock awards granted under the 2012 Equity 

Incentive Plan and carryover shares from Pre-existing Plans.

(2)

Includes stock awards to purchase 2,793,000 shares available for future grant under the Company’s 2012 Equity Incentive 
Plan and carryover shares from Pre-existing Plans. Also includes 2,476,000 and 452,000 shares available for issuance under 
the  Company’s  1999  Employee  Stock  Purchase  Plan  as  amended  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 2014 Annual Meeting of Shareholders and to be filed 
within 120 days of the close of the fiscal year ended December 31, 2013.

Item 14.   Principal Accountant Fees and Services.

The information regarding principal accountant fees and services is incorporated herein by reference to the Company’s definitive 
proxy statement mailed to shareholders in connection with its 2014 Annual Meeting of Shareholders and to be filed within 120 days 
of the close of the fiscal year ended December 31, 2013.

64

Item 15.   Exhibits and Financial Statement Schedules.

(a)  The following financial statements, schedules and exhibits are filed as part of this report:

PART IV

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.

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

3,970,000

$

1,990,000

$

— $

2,041,000

$

3,919,000

4,506,000

$

2,160,000

$

— $

2,696,000

$

3,970,000

4,069,000

$

2,450,000

$

— $

2,013,000

$

4,506,000

Description

2013

Allowance for Doubtful
Accounts

2012

Allowance for Doubtful
Accounts

2011

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

2.1

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

10.3

10.4

10.5

14

21

23

31.1

31.2

32.1

32.2

Asset Purchase Agreement, dated July 11, 2013, among Healthcare Services Group, Inc., Platinum Health Services, LLC, Platinum 
Health Services PEO, LLC, Joseph Foy, Platinum SG Equities LLC, Walnut Court Capital Advisors, LLC, Z Capital LLC, Simon 
Ganz and Seth E. Gribetz  is incorporated by reference to Exhibit 2.1 to the Company's Form 8-K filed July 16, 2013.

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 10.1 to the Company’s Form 10-Q 
for the quarter ended September 30, 2012.

2012 Equity Incentive Plan is incorporated by reference to Exhibit 10.1 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).

Healthcare Services Group, Inc. Automatic Shelf Registration in connection with acquisition of Platinum Health Services, LLC 
pursuant to the Asset Purchase Agreement is incorporated by reference to the Company's Registration Statement on Form S-3ASR 
(Commission File No. 333-189986).

Amended  and  Restated  Loan Agreement dated  as  of  December  18,  2013  is  incorporated  by reference  to  Exhibit  99.2  to  the 
Company's Form 8-K filed December 19, 2013.

Amended and Restated Committed Line of Credit Note dated as of December 18, 2013 is incorporated by reference to Exhibit 
99.3 to the Company's Form 8-K filed December 19, 2013.

Code of Ethics and Business Conduct. Such document is available at our website www.hcsg.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.*

EX-101

EX-101

EX-101

EX-101

EX-101

EX-101

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

*

(1)

Filed herewith.

Indicates a management plan or compensatory plan or arrangement.

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, 2014

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, 2014

Daniel P. McCartney

(Principal Executive Officer)

/s/ John C. Shea

John C. Shea

/s/ Theodore Wahl

Theodore Wahl

Chief Financial Officer

(Principal Financial Officer)

February 21, 2014

Director and President and Chief Operating Officer

February 21, 2014

/s/ Michael E. McBryan

Director and Executive Vice President

February 21, 2014

Michael E. McBryan

/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, 2014

February 21, 2014

February 21, 2014

February 21, 2014

February 21, 2014

February 21, 2014

Exhibit 23

CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

We have issued our reports dated February 21, 2014, with respect to the consolidated financial statements, 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, 2013. We hereby consent to the incorporation by reference 
of said reports in the Registration Statements of Healthcare Services Group, Inc. on Forms S-3 (File No. 333-108182, 
effective August 22, 2003, File No. 333-137713, effective September 9, 2006, File No. 333-161553, effective August 
26, 2009, and File No. 333-189983, effective July 17, 2013) 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, 2014

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, 2014

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, 2014

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, 2013 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, 2014

 
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, 2013 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, 2014

 
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

CORPORATE COUNSEL

Olshan Frome Wolosky LLP
Park Avenue Tower
65 East 55th Street
New York, NY 10022

ANNUAL STOCKHOLDERS’  
MEETING

Date:  May 27, 2014
Time:  10:00AM
Place:  The Radisson Hotel  

of Bucks County
2400 Old Lincoln Highway
Trevose, PA 19047

As of the end of 2013, the 
following firms were making  
a market in the shares of  
Healthcare Services Group, Inc.

UBS  Capital Markets, L.P.
Goldman, Sachs & Co.
Jefferies & Company, Inc.
Morgan Stanley & Co., Inc.
Merrill Lynch, Pierce, Fenner
C.L. King & Associates 
Citigroup
Wm. Blair & Co.
J.P. Morgan Securities
Credit Suisse Securities USA
Barclays Capital, Inc.
RBC Capital Markets, LLC

DIRECTORS

OFFICERS AND CORPORATE MANAGEMENT

Daniel P. McCartney 
Chairman & Chief Executive Officer
Theodore Wahl 
President & Chief Operating Officer
Michael E. McBryan 
Executive Vice President
John M. Briggs, CPA1 2  

Diane S. Casey, RN3 

Robert L. Frome, Esq. 

John J. McFadden3

Robert J. Moss, Esq.2 

Dino D. Ottaviano2 3 

1 Independent Lead Director
2 Member – Audit Committee
3  Member – Nominating, 

Compensation and Stock Option 
Committee

Daniel P. McCartney 
Chief Executive Officer
Theodore Wahl 
President & Chief Operating Officer 
John C. Shea 
Chief Financial Officer
Jason J. Bundick 
General Counsel & Secretary
Bryan D. McCartney 
Executive Vice President 
Michael E. McBryan 
Executive Vice President 
James B. Carlson 
Senior Vice President
David M. Hurlock 
Senior Vice President
Raymond M. Crouse 
Senior Vice President of Finance 
Andrew W. Kush 
Vice President of Human Resources 
& Risk Management
Matthew J. McKee 
Director of Marketing
Jason K. Osbeck 
Vice President of Information  
Technology

James P. O’Toole 
Senior Vice President, Mid-Atlantic Divisions
Robert T. Scutta 
Senior Vice President, Mid-Atlantic Divisions
James R. Bleming 
Mid-Atlantic Divisional Vice President
Stephen 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
Christopher R. Rowe 
Western Divisional Vice President
Marc D. Grover 
Western Divisional Vice President

Jason W. LeCroy 
Divisional 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
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

Healthcare Services Group, Inc.’s Common Stock is traded on the NASDAQ Global Select Market. On December 31, 2013 there were 
approximately 71,868,000 of the Company’s common shares issued and outstanding. As of February 19, 2014, there were approximately 
600 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, 2013 and 2012, ranges as follows:

 2013 High  2013 Low  2012 High  2012  Low

AVAILABILITY OF FORM 10-K

1st Qtr.

$25.84 

$22.40 

$22.08   

$17.30

2nd Qtr.

$25.95 

$21.60 

3rd Qtr.

4th Qtr.

$26.54 

$23.61 

$29.53 

$24.80 

$21.83 

$23.55 

$24.49 

$17.60

$19.02

$21.47

A copy of the Healthcare Services Group, Inc.’s 2013 Annual Report  
on Form 10-K, as filed 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 Offices.

 
 
 
 
 
 
 
 
 
 
 
 
3220 Tillman Drive

Glenview Corporate Center

Suite 300

Bensalem, PA 19020

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