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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FY2014 Annual Report · Healthcare Services Group, Inc.
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2014 A N N U A L   R E P O R T

F I N A N C I A L   H I G H L I G H T S

Y E A R S   E N D E D   I N   D E C E M b E R   3 1   (in thousands except per share data and employees)

Revenues

Net Income

Basic Earnings Per Common Share

Diluted Earnings Per Common Share

Cash Dividends Per Common Share

Weighted Average Number Of Common 
Shares Outstanding For Basic EPS

Weighted Average Number Of Common 
Shares Outstanding For Diluted EPS

  2014* 

2013 

2012 

2011 

2010

$ 1,293,183 

$ 1,149,890 

$  1,077,435 

$  889,065 

$ 773,956

$  58,850 

$  47,129 

$  44,214 

$  38,156 

$  34,441

$ 

$ 

$ 

0.83 

0.82 

0.69 

$ 

$ 

$ 

0.68 

0.67 

0.67 

$ 

$ 

$ 

0.65 

0.65 

0.65 

$ 

$ 

$ 

0.57 

0.56 

0.63 

$ 

$ 

$ 

0.52

0.51

0.60

 70,616 

69,206 

67,511 

66,637 

  65,917

71,341 

70,045 

68,485 

67,485 

  67,008

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

  2014 

2013 

2012 

2011 

2010

Working Capital

Total Assets

Stockholders’ Equity

Book Value Per Common Share

Employees

$  216,869  

$  210,089 

$  200,182 

$  186,734 

$ 181,244 

$  469,579  

$  425,342 

$  331,183 

$  289,695 

$ 277,934

$  275,830 

$  285,143 

$  229,570 

$  217,726 

$ 213,079

$3.91 

45,700 

$4.12 

40,600 

$3.40 

40,600 

$3.27 

$3.22

36,200 

  31,500

REVENUES 
(in thousands)

N E T   I N C O M E 
(in thousands)

DILUTED EARNINGS 
PER COMMON SHARE

bOOK VALUE 
PER COMMON SHARE

1,100,000

1,000,000

900,000

800,000

700,000

600,000

500,000

60,000

52,000

44,000

36,000

28,000

20,000

12,000

0.8

0.7

0.6

0.5

0.4

0.3

0.2

6

5

4

3

2

1

0

2010  2011  2012  2013  2014

2010  2011  2012  2013  2014

2010  2011  2012  2013  2014

2010  2011  2012  2013  2014

*2014 Net Income and EPS exclude non-recurring charges

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
D E A R   F E L L O W  S H A R E H O L D E R S

We are pleased to report that 2014 was another record year for Healthcare Services Group.  The Company’s operations 
improved across almost every key metric and our client footprint expanded in each of our 10 operating divisions.  In 
the years ahead, we will continue to uphold the Company’s founding principles of client service, professionalism, cost 
efficiency and growth, as they provide our leadership team with a clear path for future success.

Revenues for the year ended December 31, 2014 grew to $1.3 billion, a 13% increase over 2013, which marks our 
thirty-eighth consecutive year of top line growth. We also achieved record results in adjusted net income and earnings 
per  share,  which  increased  to  $59  million  and  $0.83,  respectively.    We  shared  the  benefits  of  our  strong  financial 
performance with you through the cash dividend program – which returned over $49 million of capital to shareholders 
this past year – continuing our trend of increasing cash dividend payments, for 46 consecutive quarters, since the 
initiation of the dividend program in 2003.

The demand for our services in both segments has never been greater, as the health care provider community faces 
significant uncertainty in both the regulatory environment and government reimbursement programs. Although the 
rate limiting factor on our growth continues to be the pace at which we are able to develop field-based management 
personnel, we remain committed to our comprehensive training programs, from orientation through maturation.  Over 
the  long  term,  our  focus  on  management  development  and  commitment  to  “promotion  from  within”  remain  our 
highest priorities as we prepare for the expansion opportunities that await.  

Finally,  in  celebrating  2014,  we  wish  to  salute  our  facility,  district,  regional  and  divisional  management.    Their 
extraordinary leadership and service to our employees and client-partners help make us the Company we are today.  
Through them, and with your continued support, we look forward to another record year in 2015!

Sincerely,

Sincerely,

Daniel P. McCartney
Chairman & Chief Executive Officer

Theodore Wahl
President & Chief Operating Officer

CASH DIVIDEND PAYMENTS  
IN 2014: $.69 per common share in 2014, 
which represents a 2.2% yield based on 
the 2014 year end common share price.

REVENuES:
Revenues for 2014 grew to $1.3 billion, 
an increase of 13% over the prior year.

PRoVIDINg SERVICES To oVER  
3,500 FACILITIES

NET INCoME & EARNINgS  
PER SHARE:  
Adjusted net income increased to 
$58.9 million or $.82 per diluted 
common share, compared to 2013 
adjusted net income of $47.1 million 
or $.67 per diluted common share. 

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. 

HE A LT H  CA R E  
E xP 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.

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.

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.

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, 2014 

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, 2014 was approximately $1,327,280,000 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 17, 2015). 71,261,000

DOCUMENTS INCORPORATED BY REFERENCE

Portions of the definitive Proxy Statement for the Registrant’s Annual Meeting of Shareholders to be held on May 26, 2015 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, 2014 

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.

Selected Financial Data

Item 7.
Item 7A.

Item 8.

Item 9.

Management’s Discussion and Analysis of Financial Condition and Results of Operations
Quantitative and Qualitative Disclosures About Market Risk

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

11

16

16

16

16

17

19

19
34

35

64

64

64

65

65

65

66

66

67

67

68

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; having several significant clients who each individually contributed at least 3% with two as high as 6% to our total 
consolidated revenues for the year ended December 31, 2014; 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; tax benefits 
arising  from  our  corporate  reorganization  and  self-funded  health  insurance  program  transition;  risks  associated  with  the 
reorganization of our corporate structure; 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.”

These factors, in addition to delays in payments from clients and/or clients in bankruptcy or clients for which we are in litigation 
to collect payment, 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

In this Annual Report on Form 10-K for the year ended December 31, 2014, Healthcare Services Group, Inc. (together with its 
wholly-owned subsidiaries, included in Exhibit 21 which has been filed as part of this Report) is referred to as the "Company," 
"we," "us" or "our."

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 3,500 facilities in 48 states as of December 31, 2014. We provide our Housekeeping 
services to essentially all client facilities and provide Dietary services to over 900 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.

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, 2014, 2013 and 2012.

Description of Services

We  provide  management,  administrative  and  operating  expertise  and  services  to  the  housekeeping,  laundry,  linen,  facility 
maintenance and dietary service departments of the health care industry.

We are organized into, and provide our services through two reportable segments: housekeeping, laundry, linen and other services 
(“Housekeeping”), and dietary department services (“Dietary”). The operating results from our professional employer organization 
("PEO") service contracts are included primarily 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  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 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 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.

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 46% or $589,820,000 
of  consolidated  revenues  in  2014.  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  represented  approximately  19%  or  $254,777,000  of  consolidated 
revenues in 2014. 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 $2,013,000 represented less than 1% 
of consolidated revenues in 2014.

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 2012 through 2014, 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  labor  costs.  Labor  accounted  for 
approximately 81% 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 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 price volatility. 
Although we endeavor to pass on increases in our labor and supply costs to our clients, the inability to attain such increases may 
negatively impact Housekeeping’s profit margins.

PEO services.  Through the Company's wholly-owned subsidiary, HCSG Staff Leasing Solutions, LLC ("Staff Leasing"), we 
enter into a client services agreement to become a co-employer of the client's existing workforce, assuming responsibility for 
payroll, payroll taxes, insurance coverage and certain other administrative functions, while the client maintains physical care, 
custody and control of their workforce, including the authority to hire and terminate employees. Our services include housekeeping 
and laundry personnel and are provided to clients in the health care industry. As of December 31, 2014, we have PEO service 
contracts in several states. During the years 2012 through 2014, operating results from our PEO service contracts were not material.

5

Dietary

Dietary services.  Dietary services represented approximately 35% or $446,573,000 of consolidated revenues in 2014. 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 labor and supply costs resulting from similar factors discussed 
above in Housekeeping. The primary difference in impact on Dietary operations from price volatility in costs of labor and food-
related supplies is that such costs represent approximately 51% and 41% of Dietary revenues, respectively.  In contrast, labor is 
approximately 81% 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 and Director

(77 Regions)

District Manager

(401 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, 2014 we had 77 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.

6

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.

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. This began in 
fiscal year 2014 and extended the reduction in Medicare payments to plans and providers for two years through the year 2023.

7

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” included in our "Management's Discussion and Analysis of Financial Condition and Results 
of Operations").

The prospects for legislative action, both on the federal and state level (particularly in light of current economic environment 
affecting government budgets), regarding funding for nursing homes are uncertain. We are unable to predict or to estimate the 
ultimate impact of any further changes in reimbursement programs affecting our clients’ future results of operations and/or their 
impact on our cash flows and operations.

Environmental Regulation

The Company’s operations are subject to various federal, state and/or local laws concerning emissions into the air, discharges into 
the waterways and the generation, handling and disposal of waste and hazardous substances. The Company’s past expenditures 
relating to environmental compliance have not had a material effect on the Company and are included in normal operating expenses. 
These laws and regulations are constantly evolving, and it is impossible to predict accurately the effect they may have upon the 
capital expenditures, earnings and competitive position of the Company in the future. Based upon information currently available, 
management believes that expenditures relating to environmental compliance will not have a material impact on the financial 
position of the Company for the foreseeable future.

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, 2014, we provided services to over 
3,500 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.

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.

8

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. This began 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 $4,470,000, $1,990,000 and $2,160,000 in the years ended December 31, 2014, 2013 and 2012, respectively (See 
Schedule II - Valuation and Qualifying Accounts and Reserves, for year-end balances). As a percentage of total revenues, these 
provisions represented approximately 0.3% for the year ended December 31, 2014 and 0.2% for the each of the years ended 
December 31, 2013 and 2012. 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,  2014,  we  employed  approximately  8,600  management,  office  support  and  supervisory  personnel.  Of  these 
employees, approximately 600 held executive, regional/district management and office support positions, and approximately 8,000 
of these employees were on-site management personnel. On such date, we employed approximately 37,100 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 21% 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.

9

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.

10

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 6%. 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 (together, the "Act"), 
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. This 
began 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.  While much of the cost of the recent 
healthcare legislation enacted will begin in 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.  

In addition, under the Act, employers will have to file a significant amount of additional information with the Internal Revenue 
Service. These and other requirements related to compliance under the Act could result in increased costs, expanded liability 
exposure, and other changes in the ways we provide healthcare and other benefits to our employees.

11

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 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.  During  2014,  the  Company  recorded  a  one-time,  non-cash  adjustment  of 
$37,416,000 related to a change in estimate related to a change in reserve methodology through the utilization of a third party 
actuary.  Although  we  engage  third-party  experts  to  assist  us  in  estimating  appropriate  insurance  accounting  reserves,  the 
determination of the required reserves is dependent upon significant actuarial judgments that have a material impact on our reserves. 
Changes in our insurance reserves as a result of our periodic evaluation of the related liabilities may cause significant volatility 
in our operating results.

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 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, our gross margin 
could be adversely impacted.

12

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 relate 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.

The Company's business success depends 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.

13

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 twenty states in 2015, we may need to increase the 
wages paid to employees.  This may be applicable to not only minimum wage employees but also to employees at wage rates 
which are currently above the minimum wage.  Although we have contractual rights to pass such wage increases through to our 
clients, our delay in, or inability to pass such wage increases through to our clients could have a material adverse effect on financial 
condition, results of operations and cash flows.

Any perceived or real health risks related to the food industry could adversely affect our Dietary segment.

We are subject to risks affecting the food industry generally, including food spoilage and food contamination. Our products are 
susceptible  to  contamination  by  disease-producing  organisms,  or  pathogens,  such  as  listeria  monocytogenes,  salmonella, 
campylobacter, hepatitis A, trichinosis and generic E. coli. Because these pathogens are generally found in the environment, there 
is a risk that these pathogens could be introduced to our products as a result of improper handling at the manufacturing, processing 
or food service level. Our suppliers' manufacturing facilities and products are subject to extensive laws and regulations relating 
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.

14

Failure to maintain effective internal control over financial reporting could have a material adverse effect on our ability to 
report our financial results on a timely and accurate basis.

We are required to maintain internal control over financial reporting pursuant to Rule 13a-15 under the Exchange Act. Failure to 
maintain  such  controls  could  result  in  misstatements  in  our  financial  statements  and  potentially  subject  us  to  sanctions  or 
investigations by the SEC or other regulatory authorities or could cause us to delay the filing of required reports with the SEC and 
our reporting of financial results. Any of these events could result in a decline in the price of shares of our common stock. Although 
we have taken steps to maintain our internal control structure as required, we cannot assure you that control deficiencies will not 
result in a misstatement in the future.

Recent government regulations may impact our ability to distribute dividends or the amount of such dividends to shareholders. 
Any decrease in or suspension of our dividend could cause our stock price to decline.

We expect to continue to pay a regular quarterly cash dividend. However, our dividend policy and the payment of future cash 
dividends under the policy are subject to the final determination each quarter by our Board of Directors that (i) the dividend will 
be made in compliance with laws applicable to the declaration and payment of cash dividends, including Section 1551(b) of the 
Pennsylvania Business Corporation Law, and (ii) the policy remains in our best interests, which determination will be based on a 
number of factors, including the impact of changing laws and regulations, economic conditions, our results of operations and/or 
financial condition, capital resources, the ability to satisfy financial covenants and other factors considered relevant by the Board 
of  Directors. 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 encountered 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.

Our reorganization initiatives may not achieve the expected costs reductions.

In fiscal year 2015, the Company expects to transition its workers' compensation and certain employee health & welfare insurance 
programs to HCSG Insurance Corp. ("HCSG Insurance" or the "Captive"), its wholly owned captive insurance subsidiary. HCSG 
Insurance currently provides general liability coverage to the Company. HCSG Insurance was formed in January 2014 to provide 
the Company with greater flexibility and cost efficiency in meeting its property & casualty and health & welfare needs. As part 
of this process, the Company recorded a non-cash adjustment of $37,416,000 to reflect estimated current and future insurance 
claims projected to be closed out over the next 15 to 17 years. Failure to achieve the expected costs reductions related to these 
reorganization initiatives could have a material adverse effect on our business and results of operations.

15

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.

16

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 17, 2015, there were approximately 71,261,000 shares of our Common Stock outstanding.

The high and low sales price quotations for our Common Stock during the years ended December 31, 2014 and 2013 ranged as 
follows:

Quarter Ended

March 31, 2014

June 30, 2014

September 30, 2014

December 31, 2014

Quarter Ended

March 31, 2013

June 30, 2013

September 30, 2013

December 31, 2013

Holders

2014

High

Low

29.14

30.58

30.69

31.96

$

$

$

$

2013

High

Low

25.84

25.95

26.54

29.53

$

$

$

$

24.40

28.12

25.51

26.54

22.40

21.60

23.61

24.80

$

$

$

$

$

$

$

$

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 17, 2015. Based on reports of security position listings compiled for the 2014 
annual meeting of shareholders, we believe we may have approximately 7,000 beneficial owners of our Common Stock.

Dividends

We have paid regular quarterly cash dividends since the second quarter of 2003. During 2014, we paid regular quarterly cash 
dividends totaling $49,077,000 as detailed below:

March 31, 2014

June 30, 2014

September 30, 2014

December 31, 2014

Quarter Ended

Cash dividend per common share

Total cash dividends paid

$

$

0.17125

12,077,000

$

$

0.17250

12,186,000

$

$

0.17375

12,335,000

$

$

0.17500

12,479,000

Record date

Payment date

February 21, 2014

May 23, 2014

August 22, 2014

November 21, 2014

March 28, 2014

June 27, 2014

September 26, 2014

December 26, 2014

Additionally, on January 27, 2015, our Board of Directors declared a regular quarterly cash dividend of $0.17625 per common 
share, which will be paid on March 27, 2015 to shareholders of record as of the close of business on February 20, 2015.

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.

17

 
 
 
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, 2009 to December 31, 2014.

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, 2009 in stock or index, including reinvestment of dividends.
Fiscal year ending December 31.

Copyright© 2015 S&P, a division of The McGraw-Hill Companies Inc. All rights reserved.

Company/Index

2009

2010

2011

2012

2013

2014

Healthcare Services Group, Inc. ("HCSG")

S&P 500

S&P Health Care Distributors

$

$

$

100.00

100.00

100.00

$

$

$

118.35

115.06

119.43

$

$

$

133.62

117.49

130.63

$

$

$

180.83

136.30

152.53

$

$

$

226.98

180.44

250.11

$

$

$

253.57

205.14

317.69

December 31,

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

18

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,

2014

2013

2012

2011

2010

(in thousands, except per share amounts)

$ 1,293,183

$ 1,149,890

$ 1,077,435

$

$

$

$

$

$

$

$

$

$

$

$

$

$

21,850

0.31

0.31

469,579

275,830

216,869

0.69

70,616

71,341

$

$

$

$

$

$

$

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

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, "2014" refers to the year ended December 31, 2014, "2013" refers to the 
year ended December 31, 2013 and "2012" refers to the year ended December 31, 2012.

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, 2014 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 3,500 facilities 
in 48 states as of December 31, 2014. 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.

19

 
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 
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, 2014, Housekeeping is provided at essentially all of our 3,500 client facilities, 
generating  approximately  65%  or  $846,610,000  of  2014  total  revenues.  Dietary  is  provided  to  over  900  client  facilities  at 
December 31, 2014 and contributed approximately 35% or $446,573,000 of 2014 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. Labor costs accounted for approximately 81% of Housekeeping revenues. Dietary labor costs 
accounted for approximately 51% 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,  accounted  for  approximately  41%  of  Dietary  revenues,  of  total  operating  costs  incurred  at  a  Dietary  facility  service 
location. Housekeeping supplies, including linen products, accounted 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.

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 
20

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. This began in 
fiscal year 2014 and extended the reduction in Medicare payments to plans and providers for two years through the year 2023.

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”). 
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.

In fiscal year 2015, the Company expects to transition its workers compensation and certain employee health & welfare insurance 
programs to HCSG Insurance Corp. ("HCSG Insurance" or the "Captive"), its wholly owned captive insurance subsidiary. HCSG 
Insurance currently provides general liability coverage to the Company.  HCSG Insurance was formed in January 2014 to provide 
the  Company  with  greater  flexibility  and  cost  efficiency  in  meeting  its  property  &  casualty  and  health  &  welfare  needs.  In 
conjunction with the aforementioned insurance programs being administered and provided by the Captive, during the third quarter 
2014, management conducted a review of its self-insurance reserves to enhance its self-insurance estimation process. After analysis 
and consultation with insurance regulators and advisors, the Company recorded a one-time, non-cash adjustment of $37,416,000 
to reflect estimated current and future insurance claims projected to be closed out over the next 15 to 17 years.  This tax-effected 
adjustment of approximately $0.33 per diluted share, was recorded during the third quarter 2014 and is accounted for as a change 
in estimate, along with charges related to the corporate reorganization, self-funded health insurance program transition and other 
related expenses, is recorded in our consolidated statements of comprehensive income.

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,

2014

2013

2012

100.0%

100.0%

100.0%

89.3%

8.3%

0.1%

2.5%

0.8%

1.7%

86.5%

8.0%

0.3%

5.8%

1.7%

4.1%

86.4%

7.4%

0.3%

6.5%

2.4%

4.1%

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 2015 may be comparable to historical ranges, 
absent non-recurring charges, as they relate to consolidated revenues. 2014 percentages were negatively impacted by a one-time, 
non-cash adjustment related to a change in estimate related to a change in self-insurance reserve methodology.

Housekeeping is our largest and core reportable segment, representing approximately 65% of 2014 consolidated revenues. Dietary 
revenues represented approximately 35% of 2014 consolidated revenues. 

21

 
 
Although there can be no assurance thereof, we believe that in 2015 Dietary’s revenues, as a percentage of consolidated revenues, 
will increase from its respective 2014 percentages noted above. Furthermore, we expect the sources of growth in 2015 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.

Years Ended December 31, 2014 and 2013

The following table sets forth 2014 income statement key components that we use to evaluate our financial performance on a 
consolidated and reportable segment basis compared to 2013 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.

Reportable Segments — For the Year Ended December 31, 2014

Housekeeping

Dietary

Consolidated

%
Change

Corporate and
Eliminations

Amount

%
Change

Amount

%
Change

Revenues

$ 1,293,183,000

12.5 % $

— $ 846,610,000

11.5% $ 446,573,000

Cost of services provided

Selling, general and administrative

1,155,293,000

107,810,000

16.1

17.2

107,810,000

Investment and interest income

1,628,000

(56.0)

1,628,000

(41,157,000)

776,220,000

12.5

420,230,000

—

—

—

—

—

—

14.3%

13.7

—

—

Income before income taxes

$

31,708,000

(52.3)% $

(65,025,000) $

70,390,000

2.2% $

26,343,000

24.0%

Reportable Segments — For the Year Ended December 31, 2013

Consolidated

Corporate & Eliminations

Housekeeping

Dietary

Revenues

Cost of services provided

Selling, general and administrative

Investment and interest income

Income before income taxes

$

$

1,149,890,000

$

— $

759,093,000

$

995,104,000

91,998,000

3,701,000

(64,670,000)

91,998,000

3,701,000

690,221,000

—

—

390,797,000

369,553,000

—

—

66,489,000

$

(23,627,000) $

68,872,000

$

21,244,000

Revenues

Consolidated

Consolidated revenues increased 12.5% to $1,293,183,000 in 2014 compared to $1,149,890,000 in 2013 as a result of the factors 
discussed below under Reportable Segments.

Reportable Segments

Housekeeping’s 11.5% net growth in reportable segment revenues resulted primarily from an increase in revenues attributable to 
service agreements entered into with new clients.

Dietary’s 14.3% 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 16.1% to $1,155,293,000 in 2014 compared to $995,104,000 in 2013. The increase in 
costs of services is a result of growth in our consolidated revenues and the one-time, non-cash change in estimate related to our 
self-insurance liability. 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 2014 compared to 2013 include labor and other labor related 
costs,  housekeeping  and  dietary  supplies,  bad  debt  provision,  and  workers'  compensation  and  general  liability  insurance. 
Historically, these significant components have accounted for approximately 98% of consolidated costs of services.

22

 
 
As a percentage of consolidated revenues, cost of services increased to 89.3% in 2014 from 86.5% in 2013. 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

2014 %

2013 %

% Change

Bad debt provision

Workers’ compensation and general liability insurance

0.3

5.5

0.2

3.2

0.1

2.3

The bad debt provision increased primarily 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 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 increased due to a change in estimate which resulted in a 
one-time, non-cash charge to reflect certain costs related to the estimated current and future insurance claims projected to be 
paid out over the next 15 to 17 years.

Reportable Segments

Cost of services provided for Housekeeping, as a percentage of Housekeeping revenues for 2014, increased to 91.7% compared 
to 90.9% in 2013. Cost of services provided for Dietary, as a percentage of Dietary revenues for 2014, decreased to 94.1% compared 
to 94.6% in 2013.

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

2014 %

2013 %

% Change

Housekeeping labor and other labor costs

Housekeeping supplies

Dietary labor and other labor costs

Dietary supplies

81.0

8.2

51.0

40.7

80.4

8.0

51.8

39.9

0.6

0.2

(0.8)

0.8

Housekeeping labor and other labor costs, as a percentage of Housekeeping revenues, 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.

23

Consolidated Selling, General and Administrative Expense

Year Ended December 31,

2014

2013

% Change

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

106,599,000

Deferred compensation fund gain

Consolidated selling, general and administrative expense (b)

1,211,000

$

107,810,000

$

$

88,993,000

3,005,000

91,998,000

19.8 %

(59.7)%

17.2 %

(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 12.5% for the year ended December 31, 2014, selling, general and administrative 
expenses excluding the change in market value of the deferred compensation fund increased 19.8% or $17,606,000 compared to 
the 2013 period. Consequently, for the year ended December 31, 2014, selling, general and administrative expenses (excluding 
the impact of deferred compensation fund), as a percentage of consolidated revenues, increased to 8.2% of consolidated revenues 
as compared to 7.7% in the 2013 comparable period. This percentage increase resulted primarily from the increase in our payroll 
and payroll related expenses in advance of the new business, professional fees, legal matters and charges related to the corporate 
reorganization under our wholly owned captive insurance subsidiary and other related expenses. In 2015, we expect to incur selling, 
general and administrative expenses as a percentage of consolidated revenues consistent with historical levels.

For the year ended December 31, 2014, the portion of our consolidated selling, general and administrative expense attributable 
to deferred compensation decreased $1,794,000 compared to the 2013 period. The decrease in deferred compensation is a result 
of unfavorable market value fluctuations on the balance of investments held in our deferred compensation fund as noted below 
in Consolidated Investment and Interest Income.  Consolidated selling, general and administrative expenses increased $15,812,000 
or 17.2%.

Consolidated Investment and Interest Income

Investment and interest income, as a percentage of consolidated revenues, decreased to 0.1% for the year ended December 31, 
2014 compared to 0.3% for the corresponding 2013 period. We recognized a decrease in the market value of the investments held 
in our deferred compensation fund compared to an increase in the market value in the prior year.

Income before Income Taxes

Consolidated

As a result of the discussion above related to revenues and expenses, consolidated income before income taxes for 2014 decreased 
to 2.5%, as a percentage of consolidated revenues, compared to 5.8% in 2013.

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, partially offset by the increase in labor and labor related costs and housekeeping 
supplies as a percentage of segment revenue.

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 31.1% for the year ended December 31, 2014 and 29.1% for 2013. Such differences between the effective 
tax rates and the applicable U.S. federal statutory rate arise primarily from the effect of state and local taxes and tax credits available 
to the Company. The increase in the effective tax rate is primarily due to the impact of tax credits in 2013 for 2012 and 2013 as 
compared to the current year. 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 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 in 2013, the total tax effect of additional expected credits for 2012 was included 
in this period. In addition, the WOTC expired again at December 31, 2013 and was not renewed again for the 2014 year until 
24

 
 
 
December 2014 as part of the Tax Increase Prevention Act of 2014. The tax effect of this renewal was recorded in the fourth quarter 
of 2014.

Absent any other significant change in federal or state and local tax laws, we expect our effective tax rate for 2015 to be higher 
than the 2014 rate and more comparable to the 2012 rate. Since the WOTC program expired again as of December 31, 2014 and 
has not yet been renewed, the 2015 income tax provision will only include any tax credits realized in 2015 relating to prior year 
certifications, unless the WOTC program is extended in 2015. If the program is extended during 2015, the tax effect of expected 
2015 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.  The Company is currently analyzing the potential effects from the impending 2015 corporate 
reorganization but does not foresee a significant effect on the effective tax rate at this time.

Consolidated Net Income

As a result of the matters discussed above, consolidated net income as a percentage of revenue for 2014 decreased to 1.7% 
compared to 4.1% in the corresponding 2013 period.

Years Ended December 31, 2013 and 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.

Reportable Segments — For the Year Ended December 31, 2013

Housekeeping

Dietary

Consolidated

%
Change

Corporate and
Eliminations

Amount

%
Change

Amount

%
Change

Revenues

$ 1,149,890,000

6.7 % $

— $ 759,093,000

2.9 % $ 390,797,000

Cost of services provided

Selling, general and administrative

Investment and interest income

Income before income taxes

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

—

—

Reportable Segments — For the Year Ended December 31, 2012

Consolidated

Corporate & Eliminations

Housekeeping

Dietary

Revenues

Cost of services provided

Selling, general and administrative

Investment and interest income

Income before income taxes

$

$

1,077,435,000

$

173,000

$

737,407,000

$

930,814,000

79,277,000

2,920,000

(58,545,000)

79,277,000

2,920,000

667,978,000

—

—

339,855,000

321,381,000

—

—

70,264,000

$

(17,639,000) $

69,429,000

$

18,474,000

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.  

25

 
 
 
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 
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 

26

 
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.

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.

27

 
 
 
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.

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.

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 
28

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.

Summarized below for the years 2012 through 2014 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

2012

2013

2014

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

$

$

$

6,273,000

6,047,000

14,903,000

$

$

$

2,697,000

2,041,000

2,253,000

$

$

$

2,160,000

1,990,000

4,470,000

$

$

$

3,970,000

3,919,000

6,136,000

At December 31, 2014, we identified accounts totaling $14,903,000 that require an Allowance based on potential impairment or 
loss of value. An Allowance totaling $6,136,000 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 $307,000.

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 35% of our liabilities at December 31, 2014. 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, such as historical claims, pay-
out experience, demographic factors, industry trends, severity factors, and other actuarial assumption calculated by a third party 
actuary. Evaluations of our accrued insurance claims estimate as of the balance sheet date are based primarily on current information 
derived from our actuarial valuation which assist in quantifying and valuing these 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 and general liability, we record a reserve for the 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, which is based on estimates provided by a third party actuary.

29

A summary of the changes in our total self-insurance liability is as follows:

Accrued insurance claims - January 1,

Claim payments

Reserve accruals:

Current year accruals

Changes to the provision for prior years

Change in accrued insurance claims

Accrued insurance claims - December 31,

$

$

$

Year Ended December 31,

2014

2013

2012

26,178,000

$

(24,879,000)

22,562,000

$

(26,091,000)

17,654,000

(25,154,000)

(1)

(1)

30,642,000

36,321,000

42,084,000

68,262,000

$

$

19,854,000

9,853,000

3,616,000

26,178,000

$

$

18,365,000

11,697,000

4,908,000

22,562,000

(1)  During 2014, the Company recorded a one-time, non-cash adjustment of $37,416,000 related to a change in estimate related to a change in 
reserve methodology through the utilization of a third party actuary. This change in estimate is included in the current year accruals and 
changes to the provision for prior years captions in the above table.

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.

30

Liquidity and Capital Resources

At  December 31,  2014,  we  had  cash  and  cash  equivalents,  and  marketable  securities  of  $87,079,000  and  working  capital  of 
$216,869,000 compared to December 31, 2013 cash, cash equivalents and marketable securities of $75,600,000 and working 
capital of $210,089,000. We view our cash and cash equivalents and marketable securities as our principal measure of liquidity. 
Our current ratio at December 31, 2014 decreased to 2.8 to 1 from 3.1 to 1 at December 31, 2013. The increase in working capital 
resulted primarily from the increases in our cash and cash equivalents, marketable securities, accounts and notes receivable (from 
our 12.5% increase in revenues), inventories and supplies, deferred and prepaid income taxes, prepaid expenses and other, and 
decreases in our accounts payable and income taxes payable. This increase was partially negatively impacted by the increases in 
our accrued payroll, payroll taxes and other accrued expenses primarily resulting from the timing of such payments at December 
31, 2014 as compared with December 31, 2013, as well as an increase in our accrued insurance claims liability. 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 $57,730,000 for the year ended December 31, 2014. The principal sources 
of net cash flows from operating activities for 2014 was net income adjusted for non-cash charges to operations for bad debt 
provisions, stock-based compensation, depreciation and amortization, deferred income taxes and unrealized gains and losses, 
which totaled $20,748,000. Additionally, operating activities' cash flows increased by $58,637,000 in 2014 as a result of the 
increases  in  accounts  payable  and  other  accrued  expenses  ($492,000),  accrued  payroll  ($11,813,000),  deferred  compensation 
liability ($4,248,000) and accrued insurance claims ($42,084,000). These operating cash inflows were partially offset by the cash 
outflows of $21,655,000 as a result of the increases in accounts and notes receivable, net ($12,892,000), prepaid expenses and 
other assets ($417,000), inventories and supplies ($3,015,000), deferred compensation funding ($2,542,000) and the decrease in 
income taxes payable.

Investing Activities

The net cash used in our investing activities was $6,460,000 for the year ended December 31, 2014. The principal uses of net cash 
flows from investing activities for 2014 was $748,000 of net purchases of marketable securities and $5,795,000 for the purchase 
of housekeeping equipment, computer software and equipment, food service equipment and furniture & fixtures.  See “Capital 
Expenditures” below.

Financing Activities

We have paid regular quarterly cash dividends since the second quarter of 2003. During 2014, we paid to shareholders regular 
quarterly cash dividends totaling $49,077,000 as follows.

March 31, 2014

June 30, 2014

September 30, 2014

December 31, 2014

Quarter Ended

Cash dividend per common share

Total cash dividends paid

$

$

0.17125

12,077,000

$

$

0.17250

12,186,000

$

$

0.17375

12,335,000

$

$

0.17500

12,479,000

Record date

Payment date

February 21, 2014

May 23, 2014

August 22, 2014

November 21, 2014

March 28, 2014

June 27, 2014

September 26, 2014

December 26, 2014

Additionally, on January 27, 2015, our Board of Directors declared a regular quarterly cash dividend of $0.17625 per common 
share, which will be paid on March 27, 2015 to shareholders of record as of the close of business on February 20, 2015.

The dividends paid to shareholders during the year ended December 31, 2014 were funded by the existing cash, cash equivalents 
and  marketable  securities  held  by  the  Company.  At December  31,  2014 and 2013,  we  had  $87,079,000 and $75,600,000, 
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.

During the year ended December 31, 2014 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.

31

During the year ended December 31, 2014, we received proceeds of $6,196,000 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 $2,626,000.

Contractual Obligations

Our future contractual obligations and commitments at December 31, 2014 consist of the following:

Year Ending

Total

Less Than 1
Year

1-3 Years

3-5 Years

After 5 Years

Operating Lease Obligations

$

7,422,000

$

879,000

$

1,372,000

$

1,364,000

$

3,807,000

Payments Due by Period

During 2014, the Company extended its corporate office lease expiring February 2025.

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, 2014, there were no 
borrowings  under  the  line  of  credit.  However,  at  such  date,  we  had  outstanding  a  $51,520,000  (increased  to  $71,415,000  on 
January 1, 2015) 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 $51,520,000 at December 31, 
2014.

The line of credit requires us to satisfy one financial covenant. Such covenant and its respective status at December 31, 2014 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, 2014

1.14

(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 plus extraordinary non-recurring losses/gains.

As noted above, we complied with our financial covenant at December 31, 2014 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 29, 2014, 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 29, 2014 
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 2, 2015, the Company's third party payroll administrator satisfied its 
payment obligation under the Note, and accordingly, the Company's Pledge was terminated. As of December 31, 2014, the cash 
associated with the Pledge was held in the Company's operating cash account, and used to fund the Company's operations and 
general operating expenses. The Company concluded that the commitment was immaterial to our statement financial position as 
it represented less than 6% and 5%, respectively, of current assets and total assets as of December 31, 2014. Additionally, the 
commitment had no material impact on the Company's consolidated results of operations for the year ended December 31, 2014.

32

Accounts and Notes Receivable

We expend considerable effort to collect the amounts due for our services on the terms agreed upon with our clients. Many of our 
clients participate in programs funded by federal and state governmental agencies which historically have encountered delays in 
making payments to its program participants. Congress has enacted a number of laws during the past decade that have significantly 
altered, or may alter, overall government reimbursement for nursing home services. Because our clients’ revenues are generally 
dependent on Medicare and Medicaid reimbursement funding rates and mechanisms, the overall effect of these laws and trends 
in the long term care industry have affected and could adversely affect the liquidity of our clients, resulting in their inability to 
make payments to us on agreed upon payment terms. These factors, in addition to delays in payments from clients, have resulted 
in and could continue to result in significant additional bad debts in the near future. Whenever possible, when a client falls behind 
in making agreed-upon payments, we convert the unpaid accounts receivable to interest bearing promissory notes. The promissory 
notes receivable provide a means by which to further evidence the amounts owed and provide a definitive repayment plan and 
therefore may ultimately enhance our ability to collect the amounts due. At December 31, 2014 and 2013, we had $16,945,000 
and  $16,116,000,  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.

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. This began 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 $4,470,000, $1,990,000 and $2,160,000 in the years ended December 31, 2014, 2013 and 2012, respectively. As a 
percentage of total revenues, these provisions represent approximately 0.3% for the year ended December 31, 2014 and 0.2% for 
each of the years ended December 31, 2013 and 2012. 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.

33

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. Our accounting for this plan is affected by various uncertainties, such as historical claims, pay-
out experience, demographic factors, industry trends, severity factors, and other actuarial assumption calculated by a third party 
actuary. Evaluations of our accrued insurance claims estimate as of the balance sheet date are based primarily on current information 
derived from our actuarial valuation which assist in quantifying and valuing these 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 and general liability, we record a reserve for the 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, which is based on estimates provided by a third party actuary.

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 2015, we estimate 
that for the period we will have capital expenditures of $4,500,000 to $6,000,000 in connection with housekeeping equipment 
purchases, food services equipment and laundry and linen equipment installations in our clients’ facilities, as well as expenditures 
relating to internal data processing hardware and software requirements, computer equipment and furniture & fixtures. All such 
capital expenditures totaled $5,795,000 in 2014. 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, 2014, we had $87,079,000 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.

34

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, 2014 and 2013
Consolidated Statements of Comprehensive Income for the Years Ended December 31, 2014, 2013 and 2012
Consolidated Statements of Cash Flows for the Years Ended December 31, 2014, 2013 and 2012
Consolidated Statements of Stockholders’ Equity for the years Ended December 31, 2014, 2013 and 2012
Notes to Consolidated Financial Statements for the Years Ended December 31, 2014, 2013 and 2012

Page

36
37
38

39
40
41
42
43

35

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, 2014 and 2013, 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, 2014. 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 are the responsibility of the Company’s management. Our responsibility is to express an opinion 
on these financial statements 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, 2014 and 2013, and the results of their operations and 
their cash flows for each of the three years in the period ended December 31, 2014 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, 2014, based on criteria established in the 2013 Internal 
Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO), and 
our report dated February 19, 2015 expressed an unqualified opinion.

/s/ GRANT THORNTON LLP

New York, New York
February 19, 2015

36

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,  2014.  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 "2013 
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, 2014 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, 2014.

/s/ Daniel P. McCartney
Daniel P. McCartney
Chief Executive Officer
(Principal Executive Officer)
February 19, 2015

/s/ John C. Shea
John C. Shea
Chief Financial Officer
(Principal Financial and Accounting Officer)
February 19, 2015

37

  
  
  
  
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, 2014, based on criteria established in the 2013 Internal Control-Integrated 
Framework  issued  by  the  Committee  of  Sponsoring  Organizations  of  the  Treadway  Commission  (COSO).  The  Company’s 
management  is  responsible  for  maintaining  effective  internal  control  over  financial  reporting  and  for  its  assessment  of  the 
effectiveness of internal control over financial reporting, included in the accompanying Management’s Annual Report on Internal 
Control over Financial Reporting. Our responsibility is to express an opinion on the Company’s internal control over financial 
reporting based on our audit.

We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board (United States). 
Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control 
over financial reporting was maintained in all material respects. Our audit included obtaining an understanding of internal control 
over  financial  reporting,  assessing  the  risk  that  a  material  weakness  exists,  testing  and  evaluating  the  design  and  operating 
effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered necessary in 
the circumstances. We believe that our audit provides a reasonable basis for our opinion.

A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability 
of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted 
accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (1) pertain 
to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets 
of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial 
statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are 
being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable 
assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that 
could have a material effect on the financial statements.

Because  of  its  inherent  limitations,  internal  control  over  financial  reporting  may  not  prevent  or  detect  misstatements. Also, 
projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because 
of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

In our opinion, the Company maintained, in all material respects, effective internal control over financial reporting as of December 
31, 2014, based on criteria established in the 2013 Internal Control-Integrated Framework issued by COSO.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), 
the consolidated financial statements of the Company as of and for the year ended December 31, 2014, and our report dated 
February 19, 2015 expressed an unqualified opinion on those financial statements.

/s/ GRANT THORNTON LLP

New York, New York
February 19, 2015

38

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 $6,136,000 in 2014 and
$3,919,000 in 2013

Inventories and supplies

Deferred income taxes

Prepaid income taxes

Prepaid expenses and other

Total current assets

Property and equipment:

Laundry and linen equipment installations

Housekeeping and office equipment and furniture

Autos and trucks

Less accumulated depreciation

Goodwill

Other intangible assets, less accumulated amortization of $16,232,000 in 2014 and $12,909,000 in
2013

Notes receivable — long term portion, net of reserve

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

Accrued insurance claims

Total current liabilities

Accrued insurance claims — long term portion

Deferred compensation liability

Commitments and contingencies

STOCKHOLDERS’ EQUITY:

December 31,

2014

2013

$

75,280,000

$

64,155,000

11,799,000

11,445,000

198,128,000

189,107,000

35,462,000

3,455,000

912,000

9,792,000

32,447,000

2,339,000

—

9,699,000

334,828,000

309,192,000

2,578,000

33,546,000

232,000

36,356,000

23,584,000

12,772,000

44,438,000

20,349,000

5,179,000

24,742,000

27,233,000

38,000

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

$

469,579,000

$

425,342,000

$

43,554,000

$

43,682,000

47,696,000

8,961,000

—

17,748,000

117,959,000

50,514,000

25,276,000

37,162,000

8,528,000

1,878,000

7,853,000

99,103,000

18,325,000

22,771,000

Common stock, $.01 par value; 100,000,000 shares authorized; 72,878,000 shares issued and
outstanding in 2014 and 71,868,000 shares issued and outstanding in 2013

Additional paid-in capital

Retained earnings

Accumulated other comprehensive income, net of taxes

Common stock in treasury, at cost, 1,821,000 shares in 2014 and 1,892,000 shares in 2013

Total stockholders’ equity

729,000

719,000

186,022,000

168,329,000

100,237,000

127,464,000

25,000

49,000

(11,183,000)

(11,418,000)

275,830,000

285,143,000

TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY

$

469,579,000

$

425,342,000

See accompanying notes.

39

 
 
 
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,

2014

2013

2012

$ 1,293,183,000

$ 1,149,890,000

$ 1,077,435,000

1,155,293,000

995,104,000

930,814,000

107,810,000

91,998,000

79,277,000

1,628,000

31,708,000

9,858,000

3,701,000

66,489,000

19,360,000

2,920,000

70,264,000

26,050,000

$

21,850,000

$

47,129,000

$

44,214,000

$

$

0.31

0.31

$

$

0.68

0.67

$

$

0.65

0.65

70,616,000

71,341,000

69,206,000

70,045,000

67,511,000

68,485,000

$

21,850,000

$

47,129,000

$

44,214,000

Unrealized loss on available for sale marketable securities, net of taxes

(24,000)

(78,000)

(216,000)

Total comprehensive income

$

21,826,000

$

47,051,000

$

43,998,000

See accompanying notes.

40

 
 
 
Healthcare Services Group, Inc.
Consolidated Statements of Cash Flows

Cash flows from operating activities:

Net income

Adjustments to reconcile net income to net cash provided by operating
activities:

Depreciation and amortization

Bad debt provision

Deferred income tax benefits

Stock-based compensation expense

Amortization of premium on marketable securities

Unrealized loss on marketable securities

Years Ended December 31,

2014

2013

2012

$

21,850,000

$

47,129,000

$

44,214,000

7,269,000

4,470,000

6,204,000

1,990,000

(15,059,000)

(4,922,000)

3,080,000

354,000

—

2,607,000

537,000

—

5,116,000

2,160,000

(3,493,000)

2,538,000

654,000

82,000

Unrealized gain on deferred compensation fund investments

(1,216,000)

(2,820,000)

(1,871,000)

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

(13,492,000)

(50,879,000)

(11,634,000)

—

(3,015,000)

600,000

(2,542,000)

—

(3,772,000)

(3,956,000)

(4,369,000)

492,000

25,961,000

11,813,000

42,084,000

4,248,000

(2,789,000)

(417,000)

6,349,000

3,616,000

7,721,000

(28,000)

790,000

57,730,000

32,158,000

83,000

(5,795,000)

(5,140,000)

4,392,000

—

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

26,000

(3,484,000)

(10,833,000)

19,978,000

—

Net cash (used in) provided by investing activities

(6,460,000)

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

(49,077,000)

(46,707,000)

(44,093,000)

110,000

2,626,000

6,196,000

107,000

2,615,000

6,428,000

118,000

2,649,000

5,573,000

(40,145,000)

(37,557,000)

(35,753,000)

11,125,000

64,155,000

(4,794,000)

68,949,000

30,310,000

38,639,000

75,280,000

$

64,155,000

$

68,949,000

156,000

25,080,000

$

$

4,000

21,694,000

$

$

3,000

24,681,000

$

$

$

See accompanying notes.

41

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

Years Ended December 31, 2014, 2013 and 2012

Common Stock

Shares

Amount

Additional
Paid-in
Capital

Accumulated
Other
Comprehensive
Income, net of
taxes

Retained
Earnings

Treasury
Stock

Stockholders’
Equity

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

534,000

5,000

6,191,000

2,626,000

2,705,000

459,000

1,457,000

326,000

3,934,000

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

21,850,000

(24,000)

(49,077,000)

57,000

394,000

(216,000)

21,850,000

(24,000)

21,826,000

6,196,000

2,626,000

2,705,000

516,000

1,851,000

(49,077,000)

110,000

3,934,000

—

Balances, 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 prior year 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

Balance, December 31, 2013

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

Adjustment to purchase price allocation

Shares issued pursuant to current year acquisition

1,215,000

12,000

41,820,000

71,868,000

$ 719,000

$ 168,329,000

$

49,000

$ 127,464,000

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

Shares issued pursuant to prior year acquisition

476,000

5,000

(5,000)

Balance, December 31, 2014

72,878,000

$ 729,000

$ 186,022,000

$

25,000

$ 100,237,000

$ (11,183,000) $ 275,830,000

See accompanying notes.

42

 
 
 
Healthcare Services Group, Inc.
Notes to Consolidated Financial Statements
Years Ended December 31, 2014, 2013 and 2012

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. 

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 $10,208,000 and $2,892,000 at December 31, 2014 and 2013, respectively, have been discounted to their present 
value and are reported at values of $10,196,000 and $2,880,000 at December 31, 2014 and 2013, respectively.

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.

43

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, 2014, we had marketable securities of $11,799,000 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, 2014, the accumulated other comprehensive income on our consolidated balance sheet, statements of comprehensive 
income and stockholders’ equity includes unrealized gains from marketable securities of $25,000 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). We have not elected the fair 
value option for our available for sale marketable securities as we believe these assets are more representative of our investing 
activities and are viewed as non-operating in nature. 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, 2014, 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, 2014, 2013 and 2012 was $3,946,000, $3,373,000 and $2,947,000, respectively.

Revenue Recognition

Revenues from our service agreements with clients are recognized as services are performed. Revenues are reported net of sales 
taxes that are collected from customers and remitted to taxing authorities.

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 2014, 2013 and 2012, laundry installation sales were not material.

44

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, 2014, 2013 
and 2012.

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.

45

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, 2014, 2013 or 2012.

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.

Change in Accounting Estimate

In fiscal year 2015, the Company expects to transition its workers compensation and certain employee health & welfare insurance 
programs to HCSG Insurance Corp. ("HCSG Insurance" or the "Captive"), its wholly owned captive insurance subsidiary. HCSG 
Insurance currently provides general liability coverage to the Company.  HCSG Insurance was formed in January 2014 to provide 
the  Company  with  greater  flexibility  and  cost  efficiency  in  meeting  its  property  &  casualty  and  health  &  welfare  needs.  In 
conjunction with the aforementioned insurance programs being administered and provided by the Captive, during the third quarter 
2014, management conducted a review of its self-insurance reserves to enhance its self-insurance estimation process. After analysis 
and consultation with insurance regulators and advisors, the Company recorded a non-cash adjustment of $37,416,000 to reflect 
estimated current and future insurance claims projected to be closed out over the next 15 to 17 years.  This tax-effected adjustment 
of approximately $0.33 per diluted share, was recorded in the third quarter 2014 and is accounted for as a change in estimate, 
along  with  charges  related  to  the  corporate  reorganization,  self-funded  health  insurance  program  transition  and  other  related 
expenses, is recorded in our consolidated statements of comprehensive income.

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, 2014 and 2013, substantially all of our cash and cash equivalents, and marketable 
securities were held in one large financial institution located in the United States.

46

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.

State Medicaid programs are experiencing increased demand, and with lower revenues than projected, they have fewer resources 
to support their Medicaid programs. In addition, comprehensive health care legislation under the Patient Protection and Affordable 
Care Act and the Health Care and Education Reconciliation Act of 2010 (together, the “Act”) was signed into law in March 2010. 
The Act will significantly impact the governmental healthcare programs in which our clients participate, and reimbursements 
received thereunder from governmental or third-party payors.  Furthermore, in the coming year and beyond, new proposals or 
additional changes in existing regulations could be made to the Act which could directly impact the governmental reimbursement 
programs  in  which  our  clients  participate. As  a  result,  some  state  Medicaid  programs  are  reconsidering  previously  approved 
increases in nursing home reimbursement or are considering delaying or foregoing those increases. A few states have indicated 
that it is possible they will run out of cash to pay Medicaid providers, including nursing homes. Any negative changes in our 
clients’ reimbursements may negatively impact our results of operations. Although we are currently evaluating the Act’s effect on 
our client base, we may not know the full effect until such time as these laws are fully implemented and Centers for Medicare and 
Medicaid Services (“CMS”) and other agencies issue applicable regulations or guidance.

In 2009 and 2010, Federal economic stimulus legislation was enacted to counter the impact of the economic crisis on state budgets.  
The legislation included the temporary provision of additional federal matching funds to help states maintain their Medicaid 
programs.  This legislation to provide states with an extension of this fiscal relief was extended through June 2011, but at a reduced 
reimbursement rate.  In July 2011, CMS issued a final rule that reduced Medicare payments to nursing centers by 11.1% and 
changed the reimbursement for the provision of group rehabilitation therapy services to Medicare beneficiaries. This new rule 
was effective as of October 1, 2011.  Even if federal or state legislation is enacted that provides additional funding to Medicaid 
providers, given the volatility of the economic environment, it is difficult to predict the impact of this legislation on our clients’ 
liquidity and their ability to make payments to us as agreed. 

In January 2013, the U.S. Congress enacted the American Taxpayer Relief Act of 2012, which delayed automatic spending cuts, 
including reduced Medicare payments to plans and providers up to 2%. These discretionary spending caps were originally enacted 
under provisions in the Budget Control Act of 2011, an initiative to reduce the federal deficit through the year 2021, also known 
as “sequestration.” The sequestration 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. This began 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 6% for the year 
ended December 31, 2014. 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.

47

Recent Accounting Pronouncements

In August 2014, the Financial Accounting Standards Board issued Accounting Standards Update ("ASU") 2015-15, Presentation 
of Financial Statements - Going Concern (Subtopic 205-40). This ASU will require an entity's management, for each annual and 
interim reporting period, to evaluate whether there are conditions or events, considered in the aggregate, that raise substantial 
doubt about the entity's ability to continue as a going concern within one year after the date that the financial statements are issued. 
The definition of substantial doubt within this ASU incorporates a likelihood threshold of "probable" similar to the use of that 
term under current guidance for Topic 450, Contingencies. Certain disclosures will be required if conditions give rise to substantial 
doubt. This ASU is effective for the annual period ending after December 15, 2016, and for annual periods and interim periods 
thereafter, with early adoption permitted. The Company does not expect the amendment to have a material impact on the consolidated 
financial statements and related disclosures.

In May 2014, the Financial Accounting Standards Board issued ASU 2014-09, Revenue from Contracts with Customer (Topic 
606). This ASU establishes core principles that should assist an entity in recognizing revenue to depict the transfer of promised 
goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange 
for  those  goods  or  services.  The  guidance  in  this ASU  supersedes  the  current  revenue  recognition  requirements  in Revenue 
Recognition (Topic 605), and most industry-specific guidance throughout the Industry Topics of the Codification. This ASU is 
effective for fiscal years and interim periods beginning on or after December 15, 2016, with early adoption prohibited. The Company 
is currently assessing the impact this guidance will have, if any, on our consolidated results of operations, cash flows, or financial 
position.

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”). 
Platinum was a privately-held provider of professional housekeeping, laundry and maintenance services to long-term and post-
acute care facilities and operated 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 $50,766,000, 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 
$15,704,000 as of December 31, 2014.

Upon the achievement of certain financial and retention targets, the Platinum stockholders are eligible for contingent consideration 
paid by the future issuance of 1,005,000 shares of the Company's common stock. As of December 31, 2014, 476,000 shares of 
contingent consideration have been earned and distributed to the Platinum stockholders. The remaining 529,000 shares may be 
issued to the Platinum stockholders upon the achievement of certain financial targets. The Company's obligation to pay contingent 
consideration has been appropriately classified as equity within the financial statements.

The purchase consideration of the acquisition has been allocated to the assets acquired and liabilities assumed based on estimated 
fair values. The purchase price allocation was completed in the second quarter of 2014. The purchase price allocation is as follows:

Fair value of assets acquired, net of liabilities assumed

Goodwill

Intangible assets

Net assets acquired

Purchase Price Allocation

Preliminary

Adjustments

Final

$

$

2,604,000

$

(621,000) $

23,228,000

21,000,000

4,255,000

300,000

46,832,000

$

3,934,000

$

1,983,000

27,483,000

21,300,000

50,766,000

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 $21,300,000 and has 
been assigned an estimated useful life of 10 years.

48

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, 2014 and 2013, 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. 

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

Accumulated other comprehensive income — December 31, 2013

Other comprehensive income (loss) 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, 2014

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

$

$

49,000

(16,000)

(8,000)

(24,000)

25,000

(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 $12,000 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, 2014 and 2013 was $44,438,000 and $40,183,000, respectively.

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

December 31, 2013

Adjustment to purchase price allocation

December 31, 2014

Reportable Segments

Housekeeping

Dietary

Total

$

$

38,122,000

4,255,000

42,377,000

$

$

2,061,000

—

2,061,000

$

$

40,183,000

4,255,000

44,438,000

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).

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,

2014

2013

$

$

35,781,000

$

800,000
36,581,000

16,232,000

20,349,000

$

35,481,000

800,000

36,281,000

12,909,000

23,372,000

The  customer  relationships  and  non-compete  agreements  have  a  weighted-average  amortization  period  of  eight  years. As  of 
December 31, 2014, the Company's non-compete agreements have been fully amortized.

49

 
The following table sets forth the estimated amortization expense for intangibles subject to amortization for the following five 
fiscal years:

Period/Year

2015

2016

2017

2018

2019

Thereafter

Customer
Relationships

Total

$

3,241,000

$

2,698,000

2,427,000

2,328,000

2,130,000

7,525,000

3,241,000

2,698,000

2,427,000

2,328,000

2,130,000

7,525,000

Amortization  expense  for  the  years  ended  December  31,  2014,  2013  and  2012  was  $3,323,000,  $2,831,000  and  $2,169,000, 
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). We have not elected the fair 
value option for our available for sale marketable securities as we believe these assets are more representative of our investing 
activities and are viewed as non-operating in nature. 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.

The following tables provide fair value measurement information for our marketable securities and deferred compensation fund 
investment assets as of December 31, 2014 and 2013:

As of December 31, 2014

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 — available for sale

$

11,799,000

$

11,799,000

$

— $

11,799,000

$

Deferred compensation fund

Money Market

Balanced and Lifestyle

Large Cap Growth

Small Cap Value

Fixed Income

International

Mid Cap Growth

$

4,278,000

$

4,278,000

$

— $

4,278,000

$

8,885,000

4,856,000

2,392,000

2,081,000

1,097,000

1,153,000

8,885,000

4,856,000

2,392,000

2,081,000

1,097,000

1,153,000

8,885,000

4,856,000

2,392,000

2,081,000

1,097,000

1,153,000

—

—

—

—

—

—

Deferred compensation fund

$

24,742,000

$

24,742,000

$

20,464,000

$

4,278,000

$

—

—

—

—

—

—

—

—

—

50

 
 
 
 
 
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 — available for sale

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

$

— $

11,445,000

$

3,592,000

$

3,592,000

$

— $

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

$

—

—

—

—

—

—

—

—

—

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.  

Unrealized gains and losses from marketable securities are recorded in the other comprehensive income caption in our consolidated 
statements of comprehensive income.

Amortized Cost

Gross
Unrealized
Gains

Gross
Unrealized
Losses

Estimated Fair
Value

Other-than-
temporary
Impairments

December 31, 2014

Type of security:

Municipal bonds — available for sale

11,758,000

48,000

(7,000)

11,799,000

Total debt securities

December 31, 2013

Type of security:

$

11,758,000

$

48,000

$

(7,000) $

11,799,000

$

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

$

21,111,000

$

220,000

$

(9,000) $

21,322,000

$

—

—

—

—

—

—

For the years ended December 31, 2014, 2013 and 2012, we received total proceeds, less the amount of interest received, of 
$3,905,000, $14,985,000 and $16,838,000, respectively, from sales of available for sale municipal bonds. These sales resulted in 
realized gains of $12,000, $49,000 and $229,000 recorded in other income – investment and interest caption on our statement of 
comprehensive income for the years ended December 31, 2014, 2013 and 2012, respectively. The basis for the sale of these 
securities was a specific identification of each bond sold during this period.

51

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The following tables include contractual maturities of debt securities held at December 31, 2014 and 2013, 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, 2014

December 31, 2013

$

$

4,343,000

$

4,041,000

3,415,000

1,846,000

7,113,000

2,486,000

11,799,000

$

11,445,000

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. Accounts and notes receivable are stated net of an allowance 
for doubtful accounts. At December 31, 2014 and 2013, we had $16,945,000 and $16,116,000, 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.

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 and is included in the costs of services provided caption in our consolidated statements of comprehensive 
income. 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.

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 the Centers for Medicare and 
Medicaid Services (“CMS”) and other agencies issue applicable regulations or guidance.

In 2009 and 2010, Federal economic stimulus legislation was enacted to counter the impact of the economic crisis on state budgets.  
The legislation included the temporary provision of additional federal matching funds to help states maintain their Medicaid 
programs.  This legislation to provide states with an extension of this fiscal relief was extended through June 2011, but at a reduced 
reimbursement rate.  In July 2011, CMS issued a final rule that reduced Medicare payments to nursing centers by 11.1% and 
changed the reimbursement for the provision of group rehabilitation therapy services to Medicare beneficiaries. This new rule 
was effective as of October 1, 2011.  Even if federal or state legislation is enacted that provides additional funding to Medicaid 
providers, given the volatility of the economic environment, it is difficult to predict the impact of this legislation on our clients’ 
liquidity and their ability to make payments to us as agreed. 

52

 
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. This began 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,

2014

2013

2012

$

4,470,000

$

1,990,000

$

2,160,000

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.

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, 2014, 2013 and 2012 are as follows:

Year ended December 31,

2014

2013

2012

Year ended December 31,

2014

2013

2012

Balance
Beginning of
Year

$

$

$

2,892,000

1,639,000

1,855,000

Impaired Notes Receivable

Additions

Deductions

Balance End of
Year

Average
Outstanding
Balance

9,124,000

1,267,000

$

$

— $

1,808,000

14,000

216,000

$

$

$

10,208,000

2,892,000

1,639,000

$

$

$

6,550,000

2,266,000

1,747,000

Reserve for Impaired Notes Receivable

Balance
Beginning of
Year

Additions

Deductions

Balance End of
Year

2,019,000

958,000

1,066,000

$

$

$

2,489,000

1,072,000

108,000

$

$

$

1,477,000

11,000

216,000

$

$

$

3,031,000

2,019,000

958,000

$

$

$

$

$

$

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. 

53

 
 
 
 
Note 8 — Lease Commitments

We lease office facilities, equipment and autos under operating leases expiring on various dates through 2020. 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, 2014.

Period/Year

2015

2016

2017

2018

2019

Thereafter

Total minimum lease payments

$

Operating
Leases

879,000

713,000

659,000

674,000

690,000

3,807,000

$

7,422,000

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

Note 9— Share-Based Compensation

2012 Equity Incentive Plan

Year Ended December 31,

2014

2013

2012

$

1,210,000

$

1,239,000

$

1,451,000

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 the date of shareholder adoption of the 2012 Plan, 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, 2014 which are described below: 
the Employee Stock Purchase Plan (the “ESPP”) and the Supplemental Executive Retirement Plan (the “SERP”).

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.

A summary of stock-based compensation expense for the years ended December 31, 2014, 2013 and 2012 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,

2014

2013

2012

$

$

2,596,000

$

2,017,000

$

1,897,000

109,000

375,000

28,000

562,000

—

641,000

3,080,000

$

2,607,000

$

2,538,000

(1)  Stock-based  compensation  expense  is  recorded  in  the  selling,  general  and  administrative  caption  in  our  consolidated  statements  of 

comprehensive income.

54

 
 
With respect to our SERP, we recorded expense of $497,000, $538,000 and $560,000 (representing the Company’s 25% match of 
participants’ deferrals) for the years ended December 31, 2014, 2013 and 2012, respectively. Both the SERP match and deferrals 
are included in the selling, general and administrative caption in our consolidated statements of comprehensive income.

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. As of December 31, 2014, 4,677,000 shares of 
common stock were reserved for issuance under our 2012 Plan, including 2,315,000 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 award 
will have a term in excess of ten years.  Since 2008, all awards granted under the Pre-existing Plans or the 2012 Plan 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 under the 2012 Plan is as follows:

2014

2013

2012

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

$

16.05

28.02

21.95

11.66

19.45

2,483,000

$

535,000

(122,000)

(534,000)

2,362,000

$

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

The weighted average grant-date fair value of stock options granted during 2014, 2013 and 2012 was $8.24, $6.81 and $4.74 per 
common share, respectively. 

During 2014 and 2013, the Company granted 14,000 and 6,000 shares, respectively, of restricted stock with weighted average 
grant date fair values of $28.02 and $23.50 per share, respectively. No shares of restricted stock were granted by the Company in 
2012.

A summary of our non-vested stock-based compensation is as follows:

2014

2013

2012

Weighted
Average Grant
Date Fair Value

Number of Non-
vested Shares

Weighted
Average Grant
Date Fair Value

Number of Non-
vested Shares

Weighted
Average Grant
Date Fair Value

Number of Non-
vested Shares

Beginning of period

$

Granted

Vested

Forfeited

End of period

$

4.72

8.24

3.90

6.05

6.17

1,559,000

$

535,000

(517,000)

(112,000)

1,465,000

$

3.45

6.81

3.09

4.77

4.72

1,592,000

$

564,000

(518,000)

(79,000)

1,559,000

$

2.69

4.74

2.61

2.92

3.45

1,489,000

601,000

(423,000)

(75,000)

1,592,000

The following table summarizes other information about our outstanding stock options at December 31, 2014, 2013 and 2012.

Stock Options

Range of exercise prices

Outstanding:

2014

2013

2012

$10.39 - $28.02

$6.07 - 23.50

$3.68 - 17.50

Weighted average remaining contractual life (years)

6.7

6.5

6.3

Aggregate intrinsic value

Exercisable:

Number of shares

Weighted average remaining contractual life (years)

Aggregate intrinsic value

Exercised:

Aggregate intrinsic value

$

27,118,000

$

30,599,000

$

26,472,000

895,000

5.1

14,457,000

9,303,000

$

$

922,000

4.5

15,053,000

9,139,000

$

$

1,040,000

4.2

13,934,000

10,465,000

$

$

55

 
 
Fair Value Estimates

The fair value of stock awards granted during 2014, 2013 and 2012 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

2014

1.90%

2013

1.50%

2012

1.30%

5.9 years

6.0 years

6.8 years

36.9%

2.40%

3.00%

38.9%

2.80%

3.00%

39.2%

3.60%

2.90%

Other information pertaining to activity of our stock awards during the years ended December 31, 2014, 2013 and 2012 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

2014

2013

2012

$

$

$

4,268,000

2,051,000

6,492,000

$

$

$

3,412,000

1,897,000

4,963,000

$

$

$

2,438,000

1,409,000

3,999,000

For the years ended December 31, 2014, 2013 and 2012, 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

We have an Employee Stock Purchase Plan ("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.  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 2,421,000 shares available for future grant at December 31, 2014. Furthermore, under the terms of the 
ESPP, eligible employees may contribute through payroll deductions up to $21,250 (85% of IRS limitation) of their compensation 
toward the purchase of the Company's common stock. No employee may purchase common stock which exceeds $25,000 in fair 
market value (determined on the date of grant) for each calendar year. The price per share is equal to the lower of 85% of the fair 
market price on the first day of the offering period, or 85% of the fair market price on the day of purchase.

The following table summarizes information about our ESPP annual offerings for the years ended December 31, 2014, 2013 and 
2012:

Common shares purchased

Per common share purchase price

Amount expensed under ESPP

Net proceeds from issuance

Common shares date of issue

ESPP Annual Offering

2014

2013

2012

55,000

24.11

375,000

1,326,000

$

$

$

65,000

19.75

562,000

1,288,000

$

$

$

79,000

15.04

641,000

1,192,000

$

$

$

Jan 7, 2015

Jan 3, 2014

Jan 4, 2013

56

 
 
Deferred Compensation Plan

We have a Supplemental Executive Retirement Plan (the “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  436,000 shares  available  for  future  grant  at  December 31,  2014  (after  deducting  the  2014  funding  of 
16,000 shares  delivered  in  2015).  In  the  aggregate,  since  initiation  of  the  SERP,  the  Company’s  25%  match  has  resulted  in 
576,000 shares (including the 2014 funding of shares delivered in 2015) being issued to the trustee. At the time of issuance, such 
shares were accounted for at cost, as treasury stock. At December 31, 2014, approximately 331,000 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, 2014, 2013 and 2012:

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

2014

497,000

16,000

35,310,000

(1)

1,211,000

$

$

$

2013

538,000

19,000

31,415,000

(1)

3,005,000

$

$

$

2012

560,000

24,000

24,997,000

(1)

1,718,000

$

$

$

(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.

Note 11— Dividends

We have paid regular quarterly cash dividends since the second quarter of 2003. During 2014, we paid regular quarterly cash 
dividends totaling $49,077,000 as detailed below:

March 31, 2014

June 30, 2014

September 30, 2014

December 31, 2014

Cash dividend per common share

Total cash dividends paid

$

$

0.17125

12,077,000

$

$

0.17250

12,186,000

$

$

0.17375

12,335,000

$

$

0.17500

12,479,000

Record date

Payment date

February 21, 2014

May 23, 2014

August 22, 2014

November 21, 2014

March 28, 2014

June 27, 2014

September 26, 2014

December 26, 2014

Quarter Ended

Additionally, on January 27, 2015, our Board of Directors declared a regular quarterly cash dividend of $0.17625 per common 
share, which will be paid on March 27, 2015 to shareholders of record as of the close of business on February 20, 2015.

57

 
 
  
  
  
  
  
  
  
  
 
Cash dividends on our outstanding weighted average number of basic common shares for the years ended December 31, 2014, 
2013 and 2012 was as follows:

Cash dividends per common share

December 31,

2014

2013

2012

$

0.69

$

0.67

$

0.65

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,

2014

2013

2012

$

21,030,000

$

19,045,000

$

24,350,000

4,095,000

25,125,000

5,381,000

24,426,000

5,373,000

29,723,000

(12,708,000)

(4,172,000)

(3,048,000)

(2,559,000)

(894,000)

(625,000)

(15,267,000)

(5,066,000)

(3,673,000)

$

9,858,000

$

19,360,000

$

26,050,000

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.

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

58

Years Ended December 31,

2014

2013

$

2,427,000

$

1,560,000

$

$

5,974,000

3,574,000

(6,622,000)

(5,059,000)

1,676,000

2,264,000

3,455,000

$

2,339,000

8,681,000

$

7,987,000

5,000

5,000

(3,160,000)

(2,933,000)

19,982,000

1,229,000

496,000

6,848,000

1,015,000

352,000

$

27,233,000

$

13,274,000

 
 
 
 
 
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,

2014
11,098,000

$

2013
23,271,000

$

2012
24,592,000

998,000
(2,925,000)
(13,000)

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

700,000
9,858,000

$

323,000
19,360,000

$

3,086,000
(1,110,000)
(99,000)
(419,000)
26,050,000

$

$

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, 2014 is omitted as there is no activity to report in such account for 
the year ended December 31, 2014, 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.

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, 2014, 2013 and 2012, 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.

59

 
 
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, 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 Holdings Inc. 
("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.

Year Ended December 31, 2014

Revenues

Income before income taxes

Depreciation and amortization

Total assets

Capital expenditures

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

Housekeeping
Services

Dietary
Services

Corporate and
Eliminations

Total

$

846,610,000

$

446,573,000

$

—

$ 1,293,183,000

70,390,000

6,114,000

26,343,000

(65,025,000)

662,000

493,000

223,440,000

95,861,000

150,278,000

(1)

(2)

31,708,000

7,269,000

469,579,000

$

4,375,000

$

391,000

$

1,029,000

$

5,795,000

$

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

(1)

(2)

66,489,000

6,204,000

425,342,000

$

2,726,000

$

460,000

$

576,000

$

3,762,000

$

737,407,000

$

339,855,000

$

173,000

69,429,000

4,069,000

18,474,000

(17,639,000)

676,000

371,000

144,412,000

62,263,000

124,508,000

(1)

(1)

(2)

$ 1,077,435,000

70,264,000

5,116,000

331,183,000

$

2,765,000

$

453,000

$

266,000

$

3,484,000

(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. Additionally, during 2014, 
the Company recorded a one-time, non-cash change in estimate related to our self-insurance liability which was not allocated 
to the reportable segments.

(2)  Represents primarily cash and cash equivalents, marketable securities, deferred income taxes and other current and noncurrent 

assets.

60

  
  
  
  
  
  
 
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

Note 15— Earnings Per Common Share

Year Ended December 31,

2014

2013

2012

$

589,820,000

$

514,180,000

$

492,319,000

254,777,000

241,540,000

240,670,000

446,573,000

390,797,000

339,867,000

2,013,000

3,373,000

4,579,000

$ 1,293,183,000

$ 1,149,890,000

$ 1,077,435,000

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 2014, 2013 and 2012 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, 2014

Income
(Numerator)

Shares
(Denominator)

Per-share
Amount

21,850,000

21,850,000

70,616,000

$

725,000

21,850,000

71,341,000

$

Year ended December 31, 2013

0.31

—

0.31

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

$

0.65

—

0.65

$

$

$

$

$

$

$

$

$

For the years ended December 31, 2014, 2013 and 2012, options to purchase 494,000, 546,000 and 576,000 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. 

61

 
 
 
 
 
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, 2014, there were no 
borrowings  under  the  line  of  credit.  However,  at  such  date,  we  had  outstanding  a  $51,520,000  (increased  to  $71,415,000  on 
January 1, 2015) 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 $51,520,000 at December 31, 
2014.   The  line  of  credit  requires  us  to  satisfy  one  financial  covenant. We  are  in  compliance  with  our  financial  covenant  at 
December 31, 2014 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.

On December 29, 2014, 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 29, 2014 
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 2, 2015, the Company's third party payroll administrator satisfied its 
payment obligation under the Note, and accordingly, the Company's Pledge was terminated. As of December 31, 2014, the cash 
associated with the Pledge was held in the Company's operating cash account, and used to fund the Company's operations and 
general operating expenses. The Company concluded that the commitment was immaterial to our statement financial position as 
it represented less than 6% and 5%, respectively, of current assets and total assets as of December 31, 2014. Additionally, the 
commitment had no material impact on the Company's consolidated results of operations for the year ended December 31, 2014.

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. 

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. This began in fiscal year 
2014 and extended the reduction in Medicare payments to plans and providers for two years through the year 2023.

62

Note 17—Accrued Insurance Claims

We currently have a Paid Loss Retrospective Insurance Plan for general liability and workers’ compensation insurance, which 
comprise approximately 35% of our liabilities at December 31, 2014. 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, such as historical claims, pay-
out experience, demographic factors, industry trends, severity factors, and other actuarial assumption calculated by a third party 
actuary. Evaluations of our accrued insurance claims estimate as of the balance sheet date are based primarily on current information 
derived from our actuarial valuation which assist in quantifying and valuing these 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 and general liability, we record a reserve for the 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, which is based on estimated provided by a third party actuary.

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.

2014

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)
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)

First Quarter

Second Quarter

Third Quarter

Fourth Quarter

$

$

$

$

$

$

$

$

$

$

$

$

$

$

312,165,000

289,417,000

23,129,000

14,639,000

0.21

0.21

0.17

273,904,000

255,981,000

18,957,000

14,954,000

0.22

0.22

0.17

$

$

$

$

$

$

$

$

$

$

$

$

$

$

319,295,000

298,055,000

22,043,000

13,921,000

0.20

0.20

0.17

273,604,000

253,965,000

19,858,000

12,933,000

0.19

0.19

0.17

$

$

$

$

$

$

$

$

$

$

$

$

$

$

320,099,000

355,132,000

$

$

341,624,000

320,499,000

(35,083,000) $

21,619,000

(22,182,000) $

15,472,000

(0.31) $

(0.31) $

0.17

$

0.22

0.22

0.18

298,549,000

278,540,000

21,193,000

13,790,000

0.20

0.20

0.17

$

$

$

$

$

$

$

303,833,000

298,616,000

6,481,000

5,452,000

0.08

0.08

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.

63

 
 
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, 2014.

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, 2014. 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.

On February 17, 2015, the Board of Directors adopted amendments to the Company’s bylaws, in the form of the Company’s 
Second Amended and Restated Bylaws (the “Bylaws”), effective on that date.  A copy of the Bylaws is filed as Exhibit 3.3 to this 
Annual Report on Form 10-K and incorporated by reference herein.

The following is a summary of the material amendments to the Bylaws:

•  Article III has been amended to replace Section 7 and 8 with a new Section 7 to clarify the proper form and procedures 
for shareholder requests to (a) propose business to be brought before a special meeting, (b) have the Board call a special 
meeting or (c) have the Board fix a record date, and to replace Sections 11 and 12 with a new Section 10 regarding the 
procedures for shareholder proposals and nominations.
Section 1 of Article IV has been amended to increase the minimum number of directors from three to six and increase 
the maximum number of directors from nine to twelve.

• 

•  Article XI has been amended primarily to reflect certain changes to the Business Corporation Law of the Commonwealth 

of Pennsylvania with respect to indemnification.

64

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 2015 Annual Meeting of Shareholders and to be filed within 
120 days of the close of the year ended December 31, 2014.

Code of Ethics

We have adopted a code of ethics that applies to all employees, including executive officers and directors. The code of ethics is 
publicly available on the Corporate Governance page of our website at www.hcsg.com. If we make any amendments or grant any 
waivers, including implicit waivers, from a provision of our code of ethics that applies to our principal executive officer, principal 
financial  officer,  principal  accounting  officer  or  any  person  performing  similar  functions,  we  will  disclose  the  nature  of  the 
amendment or waiver, its effective date and to whom it applies on our website set forth above or in a report on Form 8-K filed 
with the Securities and Exchange Commission.

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 2015 Annual Meeting of Shareholders and to be filed within 120 days of the 
close of the fiscal year ended December 31, 2014.

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 
2015 Annual Meeting of Shareholders and to be filed within 120 days of the close of the fiscal year ending December 31, 2014.

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, 2014.

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)

2,362,000 (1) $

—

2,362,000

$

19.45

—

19.45

5,172,000 (2)

—

5,172,000

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 2,315,000 shares available for future grant under the Company’s 2012 Equity Incentive 
Plan and carryover shares from Pre-existing Plans. Also includes 2,421,000 and 436,000 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.

65

Unregistered Sales of Equity Securities and Use of Proceeds

On November 13, 2014, the Company issued 176,000 shares of contingent consideration to the selling stockholders of Platinum 
Health Services, LLC. The issuance of such shares were completed in accordance with the exemption provided by Section 4(2) 
of the Securities Act of 1933, as amended.

Item 13.   Certain Relationships and Related Transactions, and Director Independence.

The information regarding certain relationships and related transactions, and director independence is incorporated herein by 
reference to the Company’s definitive proxy statement mailed to shareholders in connection with its 2015 Annual Meeting of 
Shareholders and to be filed within 120 days of the close of the fiscal year ended December 31, 2014.

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 2015 Annual Meeting of Shareholders and to be filed within 120 days 
of the close of the fiscal year ended December 31, 2014

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

Description

2014

Beginning
Balance

Charged to Costs
and Expenses

Charged to Other
Accounts

Deductions (A)

Ending Balance

Additions

Allowance for Doubtful Accounts

2013

Allowance for Doubtful Accounts

2012

Allowance for Doubtful Accounts

$

$

$

3,919,000

$

4,470,000

3,970,000

$

1,990,000

4,506,000

$

2,160,000

$

$

$

— $

2,253,000

— $

2,041,000

— $

2,696,000

$

$

$

6,136,000

3,919,000

3,970,000

(A) Represents write-offs

66

Incorporated by Reference

Form

8-K

File No.

0-12015

Date of
Filing

Exhibit
Number

7/16/2013

2.1

Filed
Herewith

—

The following Exhibits are filed as part of this Report (references are to Reg. S-K Exhibit Numbers):

Exhibit Index

Exhibit
Number

2.1

3.1

3.2

3.3

4.1

4.2†

4.3†

4.4†

4.5†

Description

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

Amended and Restated Articles of Incorporation of 
the Registrant as of May 30, 2000

Amendment to the Amended and Restated Articles 
of Incorporation of the Registrant as of May 22, 2007

Second  Amended  and  Restated  Bylaws  of  the 
Registrant as of February 17, 2015

Specimen Certificate of the Common Stock, $.01 par 
value, of the Registrant

Healthcare  Services  Group,  Inc.  Employee  Stock 
Purchase Plan

Healthcare  Services  Group,  Inc.  Amendment  to 
Employee Stock Purchase Plan

Healthcare  Services  Group, 
Compensation Plan

Inc.  Deferred 

Healthcare  Services  Group,  Inc.  Amended  and 
Restated Deferred Compensation Plan

10-K

0-12015

3/21/2001

0-12015

5/24/2007

—

—

—

S-18

2-87625-W

333-92835

12/15/1999

4(a)

333-107467

7/30/2003

—

333-92835

12/15/1999

10-Q

0-12015

10/22/2012

8-K

—

S-8

S-8

S-8

3.2

3.1

—

4.1

4(b)

10.1

10.1

10.1†

Healthcare  Services  Group, 
Incentive Plan

Inc.  2012  Equity 

10-Q

0-12015

7/27/2012

10.2

10.3

10.4

21

23

31.1

31.2

32.1

32.2

101

Healthcare  Services  Group, 
Reinvestment Plan

Inc.  Dividend 

S-3D

333-108182

8/22/2003

—

Amended and Restated Loan Agreement dated as 
of December 18, 2013

Amended  and  Restated  Committed  Line  of  Credit 
Note dated as of December 18, 2013

Subsidiaries of Healthcare Services Group, Inc.

Consent  of 
Accounting Firm

Independent  Registered  Public 

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 
pursuant to Section 906 of the Sarbanes-Oxley Act

the  Principal  Financial  Officer 

from 

financial 

following 

information 

The 
the 
Company's  Form  10-K  for  the  fiscal  year  ended 
in  eXtensible 
December  31,  2014 
formatted 
Business  Reporting  Language 
(i) 
Consolidated  Balance  Sheets,  (ii)  Consolidated 
Statements  of  Comprehensive 
(iii) 
Consolidated  Statements  of  Cash  Flows,  (iv) 
Consolidated  Statements  of  Stockholders'  Equity, 
and (v) Notes to Consolidated Financial Statements

Income, 

(XBRL): 

8-K

8-K

—

—

—

—

—

—

—

0-12015

12/19/2013

0-12015

12/19/2013

99.2

99.3

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

†

Indicates a management plan or compensatory plan or arrangement.

67

—

—

X

—

—

—

—

—

—

—

—

—

X

X

X

X

X

X

X

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 19, 2015

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 19, 2015

Daniel P. McCartney

(Principal Executive Officer)

/s/ John C. Shea

John C. Shea

/s/ Theodore Wahl

Theodore Wahl

Chief Financial Officer

February 19, 2015

(Principal Financial and Accounting Officer)

Director and President and Chief Operating Officer

February 19, 2015

/s/ Michael E. McBryan

Director and Executive Vice President

February 19, 2015

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

68

February 19, 2015

February 19, 2015

February 19, 2015

February 19, 2015

February 19, 2015

February 19, 2015

SUBSIDIARIES OF HEALTHCARE SERVICES GROUP, INC.
AS OF DECEMBER 31, 2014

Exhibit 21

Entity Name

Year Formed

Jurisdiction

Description

Huntingdon Holdings Inc. ("Huntingdon")

1998

Delaware

Huntingdon  invests  our  cash  and  cash  equivalents  and 
manages  our  portfolio  of  available-for-sale  marketable 
securities.

HCSG Staff Leasing Solutions, LLC
("Staff Leasing")

HCSG Insurance Corp.

HCSG Labor Supply, LLC ("Labor
Supply")

2011

2014

2014

Pennsylvania

Staff  Leasing  offers  professional  employer  organization 
services to clients in the health care industry.

New Jersey

HCSG Insurance Corp. is a captive insurance company which 
provides the Company with certain insurance-related services.

Pennsylvania

Labor Supply offers personnel solutions on an indefinite basis 
in  specific  job  classifications  to  clients  in  the  health  care 
industry.

Exhibit 23

CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

We have issued our reports dated February 19, 2015, 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, 2014. 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, File No. 333-189986, effective July 17, 2013, and File No.333-197900, effective August 6, 2014) 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

New York, New York
February 19, 2015

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

Date: February 19, 2015

/s/ Daniel P. McCartney

Daniel P. McCartney

Chief Executive Officer

(Principal Executive Officer)

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

Date: February 19, 2015

/s/ John C. Shea

John C. Shea

Chief Financial Officer

(Principal Financial and Accounting Officer)

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, 2014 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.

Date: February 19, 2015

/s/ Daniel P. McCartney

Daniel P. McCartney
Chief Executive Officer

(Principal Executive Officer)

 
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, 2014 as filed with the Securities and Exchange commission on the date hereof (the “Report”), I, John C. Shea, Chief 
Financial 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.

Date: February 19, 2015

/s/ John C. Shea

John C. Shea
Chief Financial Officer

(Principal Financial and Accounting Officer)

 
TRANSFER AgENT
American Stock Transfer 
& Trust Co.
99 Wall St.
New York, NY 10005

INDEPENDENT 
AuDIToRS
Grant Thornton LLP
757 Third Avenue, 
9th Floor
New York, NY 10017

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

CoRPoRATE oFFICES
Healthcare Services Group, Inc.
3220 Tillman Drive, Suite 300
Bensalem, PA 19020
215-639-4274

INVESToR RELATIoNS
Matthew J. McKee
Vice President of Strategy
investor-relations@hcsgcorp.com
215-639-4274

ANNuAL SToCKHoLDERS’ 
MEETINg
Date:  May 26, 2015
Time:  10:00AM
Place:  Courtyard Philadelphia

bensalem
3280 Tillman Drive
Bensalem, PA 19020

SToCK LISTINg
Listed on the NASDAQ 
Stock Global Select Market 
symbol “HCSG”

MARKET MAKERS
As of the end of 2014, the 
following fi rms were making 
a market in the shares of 
Healthcare Services Group, Inc.

UbS  Capital Markets, L.P.
Goldman, Sachs & Co.
Jefferies & Company, Inc.
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

Daniel P. McCartney
Chairman 

Theodore Wahl

John M. Briggs, CPA1
Lead Independent Director

John J. McFadden2

Diane S. Casey, RN2

Robert J. Moss, Esq.1

Michael E. McBryan

Robert L. Frome, Esq.

Dino D. ottaviano1 2

1 Member – Audit Committee
2 Member – Nominating, Compensation and Stock Option Committee

CoRPoRATE oFFICERS

Daniel P. McCartney
Chief Executive Offi cer

Theodore Wahl
President & Chief Operating Offi cer 

John C. Shea
Chief Financial Offi cer

Jason J. Bundick
Chief Compliance Offi cer,
General Counsel & Secretary

Bryan D. McCartney
Executive Vice President 

Michael E. McBryan
Executive Vice President 

ABouT YouR SHARES

Healthcare Services Group, Inc.’s Common Stock is traded on the NASDAQ Global Select Market.  On December 
31, 2014 there were approximately 72,878,000 of the Company’s common shares issued and outstanding.  As of 
February 17, 2015, 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, 2014 and 2013, ranges as follows:

 2014 High  2014 Low  2013 High  2013  Low

AVAILABILITY oF FoRM 10-K

1st Qtr.

$29.14 

$24.40 

$25.84   

$22.40

2nd Qtr.

$30.58 

$28.12 

3rd Qtr.

4th Qtr.

$30.69 

$25.51 

$31.96 

$26.54 

$25.95 

$26.54 

$29.53 

$21.60

$23.61

$24.80

A copy of the Healthcare Services Group, Inc.’s 2014 Annual Report 
on Form 10-K, as fi led with the Securities and Exchange Commission 
is  available  on  the  Company’s  website  “www.hcsgcorp.com”. 
Additionally, it will be provided without charge to each shareholder 
making a written request to the Investor Relations Department of 
the Company at its Corporate Offi ces.

 
 
 
 
 
 
 
3220 Tillman Drive

Glenview Corporate Center

Suite 300

Bensalem, PA 19020