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Healthcare Services Group Inc. – ‘10-Q’ for 9/30/23

On:  Friday, 10/27/23, at 4:33pm ET   ·   For:  9/30/23   ·   Accession #:  731012-23-119   ·   File #:  0-12015

Previous ‘10-Q’:  ‘10-Q’ on 7/28/23 for 6/30/23   ·   Next & Latest:  ‘10-Q’ on 4/26/24 for 3/31/24

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  As Of               Filer                 Filing    For·On·As Docs:Size

10/27/23  Healthcare Services Group Inc.    10-Q        9/30/23   83:8.7M

Quarterly Report   —   Form 10-Q

Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 10-Q        Quarterly Report                                    HTML   1.53M 
 2: EX-31.1     Certification -- §302 - SOA'02                      HTML     28K 
 3: EX-31.2     Certification -- §302 - SOA'02                      HTML     28K 
 4: EX-32.1     Certification -- §906 - SOA'02                      HTML     25K 
10: R1          Cover Page                                          HTML     77K 
11: R2          Consolidated Balance Sheets                         HTML    136K 
12: R3          Consolidated Balance Sheets (Parenthetical)         HTML     42K 
13: R4          Consolidated Statements of Comprehensive (Loss)     HTML     93K 
                Income                                                           
14: R5          Consolidated Statements of Cash Flows               HTML    117K 
15: R6          Consolidated Statements of Stockholders' Equity     HTML    125K 
16: R7          Consolidated Statements of Stockholders' Equity     HTML     25K 
                (Parenthetical)                                                  
17: R8          Description of Business and Significant Accounting  HTML     49K 
                Policies                                                         
18: R9          Revenue                                             HTML     39K 
19: R10         Accounts and Notes Receivable                       HTML     39K 
20: R11         Allowance for Doubtful Accounts                     HTML    143K 
21: R12         Changes in Accumulated Other Comprehensive (Loss)   HTML     48K 
                Income by Component                                              
22: R13         Property and Equipment                              HTML     38K 
23: R14         Leases                                              HTML     59K 
24: R15         Goodwill and Other Intangible Assets                HTML     33K 
25: R16         Fair Value Measurements                             HTML    134K 
26: R17         Share-Based Compensation                            HTML     98K 
27: R18         Income Taxes                                        HTML     30K 
28: R19         Segment Information                                 HTML     55K 
29: R20         Earnings (Loss) Per Common Share                    HTML     54K 
30: R21         Other Contingencies                                 HTML     31K 
31: R22         Subsequent Events                                   HTML     26K 
32: R23         Pay vs Performance Disclosure                       HTML     36K 
33: R24         Insider Trading Arrangements                        HTML     29K 
34: R25         Description of Business and Significant Accounting  HTML     93K 
                Policies (Policies)                                              
35: R26         Accounts and Notes Receivable (Tables)              HTML     37K 
36: R27         Allowance for Doubtful Accounts (Tables)            HTML    220K 
37: R28         Changes in Accumulated Other Comprehensive (Loss)   HTML     49K 
                Income by Component (Tables)                                     
38: R29         Property and Equipment (Tables)                     HTML     35K 
39: R30         Leases (Tables)                                     HTML     60K 
40: R31         Goodwill and Other Intangible Assets (Tables)       HTML     32K 
41: R32         Fair Value Measurements (Tables)                    HTML    136K 
42: R33         Share-Based Compensation (Tables)                   HTML    106K 
43: R34         Segment Information (Tables)                        HTML     50K 
44: R35         Earnings (Loss) Per Common Share (Tables)           HTML     55K 
45: R36         Description of Business and Significant Accounting  HTML     59K 
                Policies (Details)                                               
46: R37         Revenue - Additional Information (Details)          HTML     70K 
47: R38         Revenue - Transaction Price Allocated to Remaining  HTML     31K 
                Performance Obligations (Details)                                
48: R39         Accounts and Notes Receivable - Schedule of         HTML     40K 
                Accounts and Notes Receivable (Details)                          
49: R40         Allowance for Doubtful Accounts - Additional        HTML     25K 
                Information (Details)                                            
50: R41         Allowance for Doubtful Accounts - Notes Receivable  HTML    103K 
                Disaggregated by Vintage Year (Details)                          
51: R42         Allowance for Doubtful Accounts - Age Analysis of   HTML     48K 
                Past-Due Note Receivable (Details)                               
52: R43         Allowance for Doubtful Accounts - Schedule of       HTML     66K 
                Changes in Allowance for Notes Receivable                        
                (Details)                                                        
53: R44         Changes in Accumulated Other Comprehensive (Loss)   HTML     46K 
                Income by Component - Accumulated Other                          
                Comprehensive Income (Details)                                   
54: R45         Changes in Accumulated Other Comprehensive (Loss)   HTML     50K 
                Income by Component - Reclassification Adjustments               
                (Details)                                                        
55: R46         Property and Equipment (Details)                    HTML     49K 
56: R47         Leases - Additional Information (Details)           HTML     36K 
57: R48         Leases - Components of Lease Expense (Details)      HTML     41K 
58: R49         Leases - Schedule of Future Minimum Lease Payments  HTML     44K 
                (Details)                                                        
59: R50         Goodwill and Other Intangible Assets - Additional   HTML     38K 
                Details (Details)                                                
60: R51         Goodwill and Other Intangible Assets - Estimated    HTML     39K 
                Amortization Expense For Intangibles Subject To                  
                Amortization (Details)                                           
61: R52         Fair Value Measurements - Additional Information    HTML     43K 
                (Details)                                                        
62: R53         Fair Value Measurements - Fair Value Measurements   HTML    119K 
                Information for Marketable Securities and Deferred               
                Compensation Fund Investments (Details)                          
63: R54         Fair Value Measurements - Marketable Debt           HTML     40K 
                Securities (Details)                                             
64: R55         Fair Value Measurements - Contractual Maturities    HTML     37K 
                of Debt Securities (Details)                                     
65: R56         Share-Based Compensation - Schedule of Stock-Based  HTML     47K 
                Compensation Expense (Details)                                   
66: R57         Share-Based Compensation - Additional Information   HTML     91K 
                (Details)                                                        
67: R58         Share-Based Compensation - Schedule of Stock        HTML     50K 
                Options Outstanding (Details)                                    
68: R59         Share-Based Compensation - Assumptions for Fair     HTML     33K 
                Value of Options Granted (Details)                               
69: R60         Share-Based Compensation - Summarized Other         HTML     40K 
                Information About Stock Options (Details)                        
70: R61         Share-Based Compensation - Schedule of Restricted   HTML     48K 
                Stock Units (Details)                                            
71: R62         Share-Based Compensation - Schedule of Outstanding  HTML     48K 
                Performance Stock Units (Details)                                
72: R63         Share-Based Compensation - Options Granted Under    HTML     44K 
                Employee Stock Purchase Plan (Details)                           
73: R64         Share-Based Compensation - Supplemental Employee    HTML     30K 
                Retirement Plan (Details)                                        
74: R65         Income Taxes (Details)                              HTML     27K 
75: R66         Segment Information - Schedule of Segment           HTML     48K 
                Information (Details)                                            
76: R67         Earnings (Loss) Per Common Share - Schedule of      HTML     59K 
                Weighted Average Basic and Diluted Common Shares                 
                Outstanding (Details)                                            
77: R68         Earnings (Loss) Per Common Share - Schedule         HTML     26K 
                Anti-dilutive Outstanding Equity Awards Under                    
                Share Based Compensation Plans (Details)                         
78: R69         Other Contingencies (Details)                       HTML     42K 
81: XML         IDEA XML File -- Filing Summary                      XML    152K 
79: XML         XBRL Instance -- hcsg-20230930_htm                   XML   2.17M 
80: EXCEL       IDEA Workbook of Financial Report Info              XLSX    158K 
 6: EX-101.CAL  XBRL Calculations -- hcsg-20230930_cal               XML    237K 
 7: EX-101.DEF  XBRL Definitions -- hcsg-20230930_def                XML    567K 
 8: EX-101.LAB  XBRL Labels -- hcsg-20230930_lab                     XML   1.92M 
 9: EX-101.PRE  XBRL Presentations -- hcsg-20230930_pre              XML   1.10M 
 5: EX-101.SCH  XBRL Schema -- hcsg-20230930                         XSD    166K 
82: JSON        XBRL Instance as JSON Data -- MetaLinks              553±   829K 
83: ZIP         XBRL Zipped Folder -- 0000731012-23-000119-xbrl      Zip    347K 


‘10-Q’   —   Quarterly Report

Document Table of Contents

Page (sequential)   (alphabetic) Top
 
11st Page  –  Filing Submission
"Table of Contents
"Item 1
"Financial Statements (Unaudited)
"Part I
"Item 2
"Management's Discussion and Analysis of Financial Condition and Results of Operations
"Item 3
"Quantitative and Qualitative Disclosures About Market Risk
"Item 4
"Controls and Procedures
"Part Ii
"Legal Proceedings
"Item 1A
"Risk Factors
"Unregistered Sales of Equity Securities, Use of Proceeds and Issuer Purchases of Equity Securities
"Defaults Upon Senior Securities
"Mine Safety Disclosures
"Item 5
"Other Information
"Item 6
"Exhibits
"Signatures

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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
Form  i 10-Q

(Mark One)
  i QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended  i September 30, 2023
OR
  i 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:  i 0-12015

 i HEALTHCARE SERVICES GROUP, INC.
(Exact name of registrant as specified in its charter)
 i Pennsylvania i 23-2018365
(State or other jurisdiction of
 incorporation or organization)
(I.R.S. Employer Identification No.)

 i 3220 Tillman Drive,  i Suite 300,  i Bensalem,  i Pennsylvania
(Address of principal executive office)

 i 19020
(Zip Code)

Registrant’s telephone number, including area code:
( i 215)  i 639-4274

Former name, former address and former fiscal year, if changed since last report:
Not Applicable

Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
 i Common Stock, $0.01 par value i HCSG i NASDAQ Global Select Market

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.  i Yes  þ    No  ¨




Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted 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 such files).  i Yes  þ    No  ¨

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
 i Large accelerated filerþAccelerated filer
Non-accelerated filerSmaller reporting company i 
Emerging growth company i 
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ¨ 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act). Yes    No   i þ

Indicate the number of shares outstanding of each of the registrant’s classes of common stock, as of the latest practicable date. Common Stock, $0.01 par value:  i 73,849,000 shares outstanding as of October 25, 2023.



Healthcare Services Group, Inc.
Quarterly Report on Form 10-Q
For the Period Ended September 30, 2023

TABLE OF CONTENTS
Page




Table of Contents

CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING STATEMENTS

This report and documents incorporated by reference into it may contain forward-looking statements within the meaning of federal securities laws, which are not historical facts but rather are based on current expectations, estimates and projections about our business and industry, and our beliefs and assumptions. Words such as “believes,” “anticipates,” “plans,” “expects,” “estimates,” “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 to the healthcare industry and primarily providers of long-term care; the impact of and future effects of the COVID-19 pandemic or other potential pandemics; having a significant portion of our consolidated revenues contributed by one customer during the nine months ended September 30, 2023; credit and collection risks associated with the healthcare industry; the impact of bank failures; our claims experience related to workers’ compensation and general liability insurance (including any litigation claims, enforcement actions, regulatory actions and investigations arising from personal injury and loss of life related to COVID-19); the effects of changes in, or interpretations of laws and regulations governing the healthcare 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; the Company’s expectations with respect to selling, general, and administrative expense; and the risk factors described in Part I of our Form 10-K for the fiscal year ended December 31, 2022 under “Government Regulation of Customers,” “Service Agreements and Collections,” and “Competition” and under Item 1A. “Risk Factors” in such Form 10-K.

These factors, in addition to delays in payments from customers and/or customers in bankruptcy, 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 by continued inflation particularly if increases in the costs of labor and labor-related costs, materials, supplies and equipment used in performing services (including the impact of potential tariffs and COVID-19) cannot be passed on to our customers.

In addition, we believe that to improve our financial performance we must continue to obtain service agreements with new customers, retain and provide new services to existing customers, achieve modest price increases on current service agreements with existing customers and/or 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 the successful execution of our projected growth strategies. There can be no assurance that we will be successful in that regard.




Table of Contents

PART I — FINANCIAL INFORMATION
Item 1. Financial Statements (Unaudited)
Healthcare Services Group, Inc.
Consolidated Balance Sheets
(in thousands, except per share amounts)
ASSETS:(unaudited)
Current assets:
Cash and cash equivalents$ i 31,313 $ i 26,279 
Marketable securities, at fair value i 90,004  i 95,200 
Accounts and notes receivable, less allowance for doubtful accounts of $ i 85,320 and $ i 70,192 as of September 30, 2023 and December 31, 2022, respectively
 i 367,807  i 336,777 
Inventories and supplies i 19,188  i 21,164 
Taxes receivable i 1,168  i 6,629 
Prepaid expenses and other assets i 23,883  i 22,583 
Total current assets i 533,363  i 508,632 
Property and equipment, net i 29,145  i 22,975 
Goodwill i 75,529  i 75,529 
Other intangible assets, less accumulated amortization of $ i 35,885 and $ i 32,738 as of September 30, 2023 and December 31, 2022, respectively
 i 12,799  i 15,946 
Notes receivable — long–term portion, less allowance for doubtful accounts of $ i 5,151 and $ i 3,273 as of September 30, 2023 and December 31, 2022, respectively
 i 28,770  i 32,609 
Deferred compensation funding, at fair value i 36,408  i 33,493 
Deferred tax assets i 32,888  i 28,338 
Other long-term assets i 1,814  i 812 
Total assets$ i 750,716 $ i 718,334 
LIABILITIES AND STOCKHOLDERS’ EQUITY:
Current liabilities:
Accounts payable$ i 70,585 $ i 68,296 
Accrued payroll and related taxes i 24,184  i 42,704 
Other accrued expenses and current liabilities i 20,209  i 17,835 
Borrowings under line of credit i 45,000  i 25,000 
Income taxes payable i 1,267  i  
Deferred compensation liability — short-term i 1,369  i 1,618 
Accrued insurance claims i 25,160  i 23,166 
Total current liabilities i 187,774  i 178,619 
Accrued insurance claims — long-term i 69,755  i 65,541 
Deferred compensation liability — long-term i 36,686  i 33,764 
Lease liability — long-term i 11,645  i 8,097 
Other long-term liabilities i 3,123  i 6,141 
Commitments and contingencies (Note 14) i  i 
STOCKHOLDERS’ EQUITY:
Common stock, $ i  i 0.01 /  par value;  i  i 100,000 /  shares authorized;  i 76,329 and  i 76,161 shares issued, and  i 73,849 and  i 74,088 shares outstanding as of September 30, 2023 and December 31, 2022, respectively
 i 763  i 762 
Additional paid-in capital i 308,151  i 302,304 
Retained earnings i 170,301  i 154,495 
Accumulated other comprehensive loss, net of taxes( i 4,777)( i 3,477)
Common stock in treasury, at cost,  i 2,480 and  i 2,073 shares as of September 30, 2023 and December 31, 2022, respectively
( i 32,705)( i 27,912)
Total stockholders’ equity$ i 441,733 $ i 426,172 
Total liabilities and stockholders’ equity$ i 750,716 $ i 718,334 
See accompanying notes to consolidated financial statements.
1

Table of Contents


Healthcare Services Group, Inc.
Consolidated Statements of Comprehensive (Loss) Income
(in thousands, except per share amounts) (Unaudited)

Three Months Ended September 30,Nine Months Ended September 30,
2023202220232022
Revenues$ i 411,388 $ i 414,488 $ i 1,247,549 $ i 1,266,156 
Operating costs and expenses:
Costs of services provided i 377,554  i 376,894  i 1,106,260  i 1,129,526 
Selling, general and administrative expense i 39,047  i 35,803  i 120,523  i 100,820 
Other (expense) income:
Investment and other income (loss), net i 394  i 1  i 7,047 ( i 9,034)
Interest expense( i 2,132)( i 799)( i 5,798)( i 1,752)
(Loss) income before income taxes( i 6,951) i 993  i 22,015  i 25,024 
Income tax (benefit) provision( i 1,457) i 671  i 6,227  i 6,553 
Net (loss) income$( i 5,494)$ i 322 $ i 15,788 $ i 18,471 
Per share data:
Basic (loss) earnings per common share$( i 0.07)$ i 0.00 $ i 0.21 $ i 0.25 
Diluted (loss) earnings per common share$( i 0.07)$ i 0.00 $ i 0.21 $ i 0.25 
Weighted average number of common shares outstanding:
Basic i 74,364  i 74,340  i 74,446  i 74,334 
Diluted i 74,364  i 74,348  i 74,496  i 74,346 
Comprehensive (loss) income:
Net (loss) income$( i 5,494)$ i 322 $ i 15,788 $ i 18,471 
Other comprehensive (loss) income:
Unrealized loss on available-for-sale marketable securities, net of taxes( i 1,647)( i 2,293)( i 1,300)( i 9,507)
Total comprehensive (loss) income$( i 7,141)$( i 1,971)$ i 14,488 $ i 8,964 




See accompanying notes to consolidated financial statements.
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Healthcare Services Group, Inc.
Consolidated Statements of Cash Flows
(in thousands) (Unaudited)
 Nine Months Ended September 30,
 20232022
Cash flows used in operating activities:
Net income$ i 15,788 $ i 18,471 
Adjustments to reconcile net income to net cash used in operating activities:
Depreciation and amortization i 10,565  i 11,560 
Bad debt provision i 32,340  i 23,342 
Deferred income tax benefit( i 4,205) i  
Share-based compensation expense i 6,793  i 7,156 
Amortization of premium on marketable securities i 1,609  i 1,673 
Unrealized (gain) loss on deferred compensation fund investments( i 2,562) i 11,445 
Changes in other long-term liabilities( i 980)( i 2,408)
Net loss on disposals of property and equipment i 489  i 942 
Changes in operating assets and liabilities:
Accounts and notes receivable( i 59,530)( i 75,042)
Inventories and supplies i 1,976  i 3,303 
Prepaid expenses and other assets i 8,620  i 6,180 
Deferred compensation funding( i 353) i 7,093 
Accounts payable and other accrued expenses( i 4,276)( i 13,134)
Accrued payroll, accrued and withheld payroll taxes( i 17,377)( i 21,240)
Income taxes payable and receivable( i 4,194) i 3,383 
Accrued insurance claims i 6,207  i 6,555 
Deferred compensation liability i 3,143 ( i 20,339)
Net cash used in operating activities( i 5,947)( i 31,060)
Cash flows (used in) from investing activities:
Disposals of property and equipment i 121  i 187 
Additions to property and equipment( i 3,973)( i 4,142)
Purchases of marketable securities i  ( i 2,875)
Sales of marketable securities i 1,942  i 9,816 
Cash paid for acquisitions i  ( i 114)
Net cash (used in) from investing activities( i 1,910) i 2,872 
Cash flows from (used in) financing activities:
Dividends paid i  ( i 47,389)
Reissuance of treasury stock pursuant to Dividend Reinvestment Plan i   i 77 
Proceeds from the exercise of stock options i   i 410 
Purchases of treasury stock( i 6,239) i  
Proceeds from short-term borrowings i 20,000  i 25,000 
Payments of statutory withholding on net issuance of restricted stock units( i 870)( i 1,071)
Net cash from (used in) financing activities i 12,891 ( i 22,973)
Net increase (decrease) in cash and cash equivalents i 5,034 ( i 51,161)
Cash and cash equivalents at beginning of the period i 26,279  i 70,794 
Cash and cash equivalents at end of the period$ i 31,313 $ i 19,633 


See accompanying notes to consolidated financial statements.
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Healthcare Services Group, Inc.
Consolidated Statements of Stockholders’ Equity
(in thousands) (Unaudited)
For the nine months ended September 30, 2023
Common StockAdditional Paid-in CapitalAccumulated Other Comprehensive Loss, net of taxesRetained EarningsTreasury StockStockholders’ Equity
SharesAmount
Balance, December 31, 2022 i 76,161 $ i 762 $ i 302,304 $( i 3,477)$ i 154,495 $( i 27,912)$ i 426,172 
Comprehensive income:
Net income for the period— — — —  i 12,684 —  i 12,684 
Unrealized gain on available-for-sale marketable securities, net of taxes— — —  i 1,207 — —  i 1,207 
Comprehensive income for the period$ i 13,891 
Other share-based compensation, net  i 167  i 1 ( i 1)— — —  i  
Payment of statutory withholding on issuance of restricted stock units— — ( i 870)— — — ( i 870)
Share-based compensation expense— —  i 1,973 — — —  i 1,973 
Purchases of treasury stock— — — — — ( i 2,223)( i 2,223)
Treasury shares issued for Deferred Compensation Plan, net— —  i 307 — —  i 168  i 475 
Shares issued pursuant to Employee Stock Plan— — ( i 139)— —  i 1,274  i 1,135 
Other i 1 —  i 8 —  i 11 —  i 19 
Balance, March 31, 2023 i 76,329 $ i 763 $ i 303,582 $( i 2,270)$ i 167,190 $( i 28,693)$ i 440,572 
Comprehensive income:
Net income for the period— — — —  i 8,598 —  i 8,598 
Unrealized loss on available-for-sale marketable securities, net of taxes— — — ( i 860)— — ( i 860)
Comprehensive income for the period$ i 7,738 
Share-based compensation expense— —  i 2,278 — — —  i 2,278 
Treasury shares issued for Deferred Compensation Plan, net— — ( i 7)— —  i 2 ( i 5)
Other— — — —  i 6 —  i 6 
Balance, June 30, 2023 i 76,329 $ i 763 $ i 305,853 $( i 3,130)$ i 175,794 $( i 28,691)$ i 450,589 
Comprehensive loss:
Net loss for the period— — — — ( i 5,494)— ( i 5,494)
Unrealized loss on available-for-sale marketable securities, net of taxes— — — ( i 1,647)— — ( i 1,647)
Comprehensive loss for the period$( i 7,141)
Share-based compensation expense— —  i 2,299 — — —  i 2,299 
Purchases of treasury stock— — — — — ( i 4,015)( i 4,015)
Treasury shares issued for Deferred Compensation Plan, net— — ( i 1)— —  i 1  i  
Other     i 1   i 1 
Balance, September 30, 2023 i 76,329 $ i 763 $ i 308,151 $( i 4,777)$ i 170,301 $( i 32,705)$ i 441,733 


See accompanying notes to consolidated financial statements.
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For the nine months ended September 30, 2022
Common StockAdditional Paid-in CapitalAccumulated Other Comprehensive (Loss) Gain, net of taxesRetained EarningsTreasury StockStockholders’ Equity
SharesAmount
Balance, December 31, 2021 i 76,009 $ i 760 $ i 294,124 $ i 4,000 $ i 183,957 $( i 30,164)$ i 452,677 
Comprehensive income:
Net income for the period— — — —  i 11,329 —  i 11,329 
Unrealized loss on available-for-sale marketable securities, net of taxes— — — ( i 5,269)— — ( i 5,269)
Comprehensive income for the period$ i 6,060 
Exercise of stock options and other share-based compensation, net of shares tendered for payment i 145  i 2  i 408 — — —  i 410 
Payment of statutory withholding on issuance of restricted stock and restricted stock units— — ( i 1,069)— — — ( i 1,069)
Share-based compensation expense— —  i 2,298 — — —  i 2,298 
Treasury shares issued for Deferred Compensation Plan, net— —  i 110 — —  i 414  i 524 
Shares issued pursuant to Employee Stock Plan— —  i 368 — —  i 1,144  i 1,512 
Dividends paid and accrued, $ i 0.21 per share
— — — — ( i 15,859)— ( i 15,859)
Shares issued pursuant to Dividend Reinvestment Plan— —  i 6 — —  i 19  i 25 
Other i 4 —  i 59 — — —  i 59 
Balance, March 31, 2022 i 76,158 $ i 762 $ i 296,304 $( i 1,269)$ i 179,427 $( i 28,587)$ i 446,637 
Comprehensive income:
Net income for the period— — — —  i 6,820 —  i 6,820 
Unrealized loss on available-for-sale marketable securities, net of taxes— — — ( i 1,945)— — ( i 1,945)
Comprehensive income for the period$ i 4,875 
Exercise of stock options and other share-based compensation, net of shares tendered for payment i 2 — — — — — — 
Share-based compensation expense— —  i 2,292 — — —  i 2,292 
Treasury shares issued for Deferred Compensation Plan, net— — ( i 196)— —  i 191 ( i 5)
Dividends paid and accrued, $ i 0.21 per share
— — — — ( i 15,980)— ( i 15,980)
Shares issued pursuant to Dividend Reinvestment Plan— —  i 5 — —  i 21  i 26 
Balance, June 30, 2022 i 76,160 $ i 762 $ i 298,405 $( i 3,214)$ i 170,267 $( i 28,375)$ i 437,845 
Comprehensive loss:
Net income for the period— — — —  i 322 —  i 322 
Unrealized loss on available-for-sale marketable securities, net of taxes— — — ( i 2,293)— — ( i 2,293)
Comprehensive loss for the period$( i 1,971)
Payment of statutory withholding on issuance of restricted stock and restricted stock units— — ( i 2)— — — ( i 2)
Share-based compensation expense— —  i 2,271 — — —  i 2,271 
Treasury shares issued for Deferred Compensation Plan, net— — ( i 432)— —  i 426 ( i 6)
Dividends paid and accrued, $ i 0.21 per share
— — — — ( i 16,088)— ( i 16,088)
Shares issued pursuant to Dividend Reinvestment Plan— — ( i 1)— —  i 28  i 27 
Balance, September 30, 2022 i 76,160 $ i 762 $ i 300,241 $( i 5,507)$ i 154,501 $( i 27,921)$ i 422,076 
See accompanying notes to consolidated financial statements.
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Healthcare Services Group, Inc.
Notes to Consolidated Financial Statements
(Unaudited)

 i 
Note 1—Description of Business and Significant Accounting Policies

Nature of Operations

 i 
Healthcare Services Group, Inc. (the “Company”) provides management, administrative and operating expertise and services to the housekeeping, laundry, linen, facility maintenance and dietary service departments predominantly to clients within the healthcare industry, including nursing homes, retirement complexes, rehabilitation centers and hospitals located throughout the United States. Although the Company does not directly participate in any government reimbursement programs, the Company’s customers receive government reimbursements related to Medicare and Medicaid. Therefore, the Company’s customers are directly affected by any legislation relating to Medicare and Medicaid reimbursement programs.

The Company provides services primarily pursuant to full service agreements with its customers. In such agreements, the Company is responsible for the day-to-day management of employees located at the customers’ facilities, as well as for the provision of certain supplies. The Company also provides services on the basis of management-only agreements for a limited number of customers. In a management-only agreement, the Company provides management and supervisory services while the customer facility retains payroll responsibility for the non-supervisory staff. The agreements with customers typically provide for a renewable  i one year service term, cancellable by either party upon  i 30 to  i 90 days’ notice after an initial period of  i 60 to  i 120 days.

The Company is organized into  i two reportable segments: housekeeping, laundry, linen and other services (“Housekeeping”), and dietary department services (“Dietary”).

Housekeeping consists of managing the customers’ housekeeping departments, which are principally responsible for the cleaning, disinfecting and sanitizing of resident rooms and common areas of a customer’s facility, as well as the laundering and processing of the bed linens, uniforms, resident personal clothing and other assorted linen items utilized at a customer facility.

Dietary consists of managing the customers’ dietary departments, which are principally responsible for food purchasing, meal preparation and dietitian professional services, which includes the development of menus that meet residents’ dietary needs.
 / 

Unaudited Interim Financial Data

 i The accompanying unaudited consolidated financial statements have been prepared in accordance with generally accepted accounting principles in the United States (“U.S. GAAP”) for interim financial information and the requirements of Form 10-Q and Article 10 of Regulation S-X. Accordingly, these consolidated financial statements do not include all of the information and footnotes necessary for a complete presentation of financial position, results of operations and cash flows. However, in the Company’s opinion, all adjustments which are of a normal recurring nature and are necessary for a fair presentation have been reflected in these consolidated financial statements. The balance sheet shown in this report as of December 31, 2022 has been derived from the audited financial statements for the year ended December 31, 2022. These financial statements should be read in conjunction with the financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022. The results of operations for the nine months ended September 30, 2023 are not necessarily indicative of the results that may be expected for any future period.

Use of Estimates in Financial Statements

 i In preparing financial statements in conformity with U.S. GAAP, estimates and assumptions are made that affect the reported amounts of assets and liabilities, disclosures of contingent assets and liabilities and the reported amounts of revenues and expenses. Actual results could differ from those estimates. Significant estimates are used in determining, but are not limited to, the Company’s allowance for doubtful accounts, accrued insurance claims, deferred taxes and reviews for potential impairment. The estimates are based upon various factors including current and historical trends, as well as other pertinent industry and regulatory authority information. Management regularly evaluates this information to determine if it is necessary to update the basis for its estimates and to adjust for known changes.
 / 

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Principles of Consolidation

 i 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.

Cash and Cash Equivalents

 i Cash and cash equivalents are held in U.S. financial institutions or in custodial accounts with U.S. financial institutions. 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.

Accounts and Notes Receivable

 i 
Accounts and notes receivable consist of Housekeeping and Dietary segment trade receivables from contracts with customers. The Company’s payment terms with customers for services provided are defined within each customer’s service agreement. Accounts receivable are considered short term assets as the Company does not grant payment terms greater than one year. Accounts receivable initially are recorded at the transaction amount and are recorded after the Company has an unconditional right to payment where only the passage of time is required before payment is received. Each reporting period, the Company evaluates the collectability of outstanding receivable balances and records an allowance for doubtful accounts representing an estimate of future expected credit loss. Additions to the allowance for doubtful accounts are made by recording a charge to bad debt expense reported in costs of services provided.

Notes receivable are initially recorded when accounts receivable are transferred into a promissory note and are recorded as an alternative to accounts receivable to memorialize an unqualified promise to pay a specific sum, typically with interest, in accordance with a defined payment schedule.  i The Company’s payment terms with customers on promissory notes can vary based on several factors and the circumstances of each promissory note, however most promissory notes mature over 1 to 4 years. Similar to accounts receivable, each reporting period the Company evaluates the collectability of outstanding notes receivable balances and records an allowance for doubtful accounts representing an estimate of future expected credit losses.
 / 

 i 
Allowance for Doubtful Accounts

Management utilizes financial modeling to determine an allowance that reflects its best estimate of the lifetime expected credit losses on accounts and notes receivable which is recorded to offset the receivables. Modeling is prepared after considering historical experience, current conditions and reasonable and supportable economic forecasts to estimate lifetime expected credit losses. Accounts and notes receivables are written off when deemed uncollectible. Recoveries of receivables previously written off are recorded as a reduction of bad debt expense when received.

Inventories and Supplies

 i Inventories and supplies include housekeeping, linen and laundry supplies, as well as food provisions and supplies. Non-linen inventories and supplies are stated on a first-in, first-out (FIFO) basis, and reduced as deemed necessary to approximate the lower of cost or net realizable value. Linen supplies are amortized on a straight-line basis over their estimated useful life of  i 24 months. / 

Revenue Recognition

 i The Company recognizes revenue from contracts with customers when or as the promised goods and services are provided to customers. Revenues are reported net of sales taxes that are collected from customers and remitted to taxing authorities. The amount of revenue recognized by the Company is based on the expected value of consideration to which the Company is entitled in exchange for providing the contracted goods and services and when it is probable that the Company will collect substantially all of such consideration.


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Leases

 i The Company records assets and liabilities on the Consolidated Balance Sheets to recognize the rights and obligations arising from leasing arrangements with contractual terms greater than 12 months. A leasing arrangement includes any contract which entitles the Company to the right of use of an identified tangible asset where there are no restrictions as to the direct of use of the asset and the Company obtains substantially all of the economic benefits from the right of use.

Income Taxes

 i The Company uses the asset and liability method of accounting for income taxes. Under this method, income tax expense or benefits are recognized for the amount of taxes payable or refundable for the current period. The Company accrues for probable tax obligations as required based on facts and circumstances in various regulatory environments. In addition, deferred tax assets and liabilities are recognized for the expected future tax consequences of temporary differences between the financial reporting and tax bases of assets and liabilities. When appropriate, valuation allowances are recorded to reduce deferred tax assets to amounts for which realization is more likely than not.

Uncertain income tax positions taken or expected to be taken in tax returns are reflected within the Company’s consolidated financial statements based on a recognition and measurement process.

Earnings (Loss) per Common Share

 i Basic earnings (loss) per common share is computed by dividing income available to common shareholders by the weighted-average number of common shares outstanding for the period. Diluted earnings (loss) per common share is computed using the weighted-average number of common shares outstanding and dilutive common shares, such as those issuable upon exercise of stock awards.

Share-Based Compensation

 i The Company estimates the fair value of share-based awards on the date of grant using a Black-Scholes valuation model for stock options, using a Monte Carlo simulation for performance restricted stock units, and using the share price on the date of grant for restricted stock units and deferred stock units. The value of the award is recognized ratably as an expense in the Company’s Consolidated Statements of Comprehensive (Loss) Income over the requisite service periods with adjustments made for forfeitures as they occur.

Identifiable Intangible Assets and Goodwill

 i Identifiable intangible assets are amortized on a straight-line basis over their respective useful lives. Goodwill represents the excess of cost over the fair value of net assets of acquired businesses. Management reviews the carrying value of goodwill annually during the fourth quarter to assess for impairment or more often if events or circumstances indicate that the carrying value may exceed its estimated fair value.

 i  i No /  impairment loss was recognized on the Company’s intangible assets or goodwill during the nine months ended September 30, 2023 or 2022.

Concentrations of Credit Risk

 i 
The Company’s financial instruments that are subject to credit risk are cash and cash equivalents, marketable securities, deferred compensation funding and accounts and notes receivable. At September 30, 2023 and December 31, 2022, the majority of the Company’s cash and cash equivalents and marketable securities were held in  i  i one /  large financial institution located in the United States. The Company’s marketable securities are fixed income investments which are highly liquid and can be readily purchased or sold through established markets. The Company’s deferred compensation funding consists of fund and moinvestments all of which are highly liquid and held in a trust account.

The Company’s customers are concentrated in the healthcare industry and are primarily providers of long-term care. The revenues of many of the Company’s customers are highly reliant on Medicare, Medicaid and third party payors’ reimbursement funding rates. New legislation or changes in existing regulations could directly impact the governmental reimbursement programs in which the Company’s customers participate. As a result, the Company may not realize the full effects such programs may have on the Company’s customers until such new legislation or changes in existing regulations are fully implemented and governmental agencies issue applicable regulations or guidance.
 / 
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Significant Customer

For the three months ended September 30, 2023 and 2022, Genesis Healthcare, Inc. (“Genesis”) accounted for $ i 45.6 million, or  i 11.1%, and $ i 42.2 million, or  i 10.2%, of the Company’s consolidated revenues, respectively. For the nine months ended September 30, 2023 and 2022, Genesis accounted for $ i 141.3 million, or  i 11.3%, and $ i 125.4 million, or  i 9.9%, of the Company’s consolidated revenues, respectively. Although the Company expects to continue its relationship with Genesis, there can be no assurance thereof. Revenues generated from Genesis were included in both operating segments previously mentioned. Any extended discontinuance of revenues, or significant reduction, from this customer could, if not replaced, have a material impact on our operations. In addition, if Genesis fails to abide by current payment terms, it could increase our accounts and notes receivable, net balance and have a material adverse effect on our financial condition, results of operations, and cash flows. No other single customer or customer group represented more than 10% of our consolidated revenues for the three and nine months ended September 30, 2023 and 2022.

 i 
Employee Retention Credit

On March 27, 2020, the U.S. government enacted the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”). One provision within the CARES Act provided an Employee Retention Credit (“ERC”), which allows for employers to claim a refundable tax credit against the employer share of Social Security tax equal to 50% of the qualified wages paid to employees from March 13, 2020 through December 31, 2020. The ERC was subsequently expanded in 2021 for employers to claim a refundable tax credit for 70% of the qualified wages paid to employees from January 1, 2021 through September 30, 2021.

The Company accounted for the ERC by analogy to International Accounting Standard (“IAS”) 20, Accounting for Government Grants and Disclosure of Government Assistance. During the quarter ended June 30, 2023 the Company filed a claim for the ERC for qualified wages paid in 2020 and 2021 and through October 27, 2023 has yet to receive any refunds or receive any correspondence from the IRS regarding the ERC filing. The Company believes that there is not reasonable assurance that any receipt of credits will be obtained and therefore has not recognized any amounts related to the ERC in the accompanying consolidated financial statements. Should reasonable assurance over receipt of and compliance with terms of the ERC credits be obtained in future periods, the Company would recognize such amounts as an offset to expense within “Costs of services provided” on the Consolidated Statements of Comprehensive (Loss) Income. In the event the Company obtains a refund in future periods, such refunds would be subject to IRS audit under the applicable statute of limitations.

 i 
Note 2—Revenue

The Company presents its consolidated revenues disaggregated by reportable segment, as Management evaluates the nature, amount, timing and uncertainty of the Company’s revenues by segment. Refer to Note 12—Segment Information herein as well as the information below regarding the Company’s reportable segments.

Housekeeping

Housekeeping accounted for $ i 575.3 million and $ i 597.7 million of the Company’s consolidated revenues for the nine months ended September 30, 2023 and 2022, respectively, which represented approximately  i 46.1% and  i 47.2% of the Company’s revenues in each respective period. Housekeeping services include managing customers’ housekeeping departments, which are principally responsible for the cleaning, disinfecting and sanitizing of resident rooms and common areas of the customers’ facilities, as well as the laundering and processing of the bed linens, uniforms, resident personal clothing and other assorted linen items utilized at the customers’ facilities. Upon beginning service with a customer facility, the Company will typically hire and train the employees previously employed by such facility and assign an on-site manager to supervise and train the front-line personnel and coordinate housekeeping services with other facility support functions in accordance with customer requests. Such management personnel also oversee the execution of various cost and quality control procedures including continuous training and employee evaluation.
 / 

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Dietary

Dietary services accounted for $ i 672.3 million and $ i 668.4 million of the Company’s consolidated revenues for the nine months ended September 30, 2023 and 2022, respectively, which represented approximately  i 53.9% and  i 52.8% of the Company’s revenues in each respective period. Dietary services consist of managing customers’ dietary departments which are principally responsible for food purchasing, meal preparation and professional dietitian services, which include the development of menus that meet the dietary needs of residents. On-site management is responsible for all daily dietary department activities, with regular support provided by a District Manager specializing in dietary services. The Company also offers clinical consulting services to facilities which if contracted is a service bundled within the monthly service provided to customers. Upon beginning service with a customer facility, the Company will typically hire and train the employees previously employed by such facility and assign an on-site manager to supervise and train the front-line personnel and coordinate dietitian services with other facility support functions in accordance with customer requests. Such management personnel also oversee the execution of various cost and quality control procedures including continuous training and employee evaluation.

Revenue Recognition

The Company’s revenues are derived from contracts with customers. The Company recognizes revenue to depict the transfer of promised goods and services to customers in amounts that reflect the consideration to which the Company is entitled in exchange for those goods and services. The Company’s costs of obtaining contracts are not material.

The Company performs services and provides goods in accordance with its contracts with its customers. Such contracts typically provide for a renewable  i one year service term, cancellable by either party upon  i 30 to  i 90 days’ notice, after an initial period of  i 60 to  i 120 days. A performance obligation is the unit of account under Accounting Standards Codification (“ASC”) 606 and is defined as a promise in a contract to transfer a distinct good or service to the customer. The Company’s Housekeeping and Dietary contracts relate to the provision of bundles of goods, services or both, which represent a series of distinct goods and services that are substantially the same and that have the same pattern of transfer to the customer. The Company accounts for the series as a single performance obligation satisfied over time, as the customer simultaneously receives and consumes the benefits of the goods and services provided. Revenue is recognized using the output method, which is based upon the delivery of goods and services to the customers’ facilities. In limited cases, the Company provides goods, services or both before the execution of a written contract. In these cases, the Company defers the recognition of revenue until a contract is executed. The amount of such deferred revenue was $ i 0.5 million and $ i 0.3 million as of September 30, 2023 and December 31, 2022. Additionally, all such revenue amounts deferred as of December 31, 2022 were subsequently recognized as revenue during the nine months ended September 30, 2023.

The transaction price is the amount of consideration to which the Company is entitled in exchange for transferring promised goods or services to its customers. The transaction price does not include taxes assessed or collected. The Company’s contracts detail the fees that the Company charges for the goods and services it provides. For certain contracts which contain a variable component to the transaction price, the Company is required to make estimates of the amount of consideration to which the Company will be entitled based on variability in resident and patient populations serviced, product usage, quantities consumed or history of implicit price concessions. The Company recognizes revenue related to such estimates when the Company determines that it is probable there will not be a significant reversal in the amount of revenue recognized. In instances where variable consideration exists and management’s estimate of variable consideration changes in subsequent periods, resulting in a change in transaction price, the Company records an adjustment to revenue on a cumulative catch-up basis. The Company’s contracts generally do not contain significant financing components as payment terms are less than one year.

During the three months ended September 30, 2023 the Company recorded an adjustment to revenue to reflect the Company’s change in estimate for price concessions based on new facts and circumstances related to a client out-of-court restructuring. Such adjustment reflects the Company’s current anticipated concession to be granted on certain amounts due as the Company’s current operating plans are to maintain providing services under this arrangement. For the three and nine months ended September 30, 2023, the adjustment was a $ i  i 12.6 /  million reduction to revenue. During the three and nine months ended September 30, 2022, the Company recognized a reduction to revenue of $ i  i 10.0 /  million related to the resolution of previously offered variable consideration.
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The Company allocates the transaction price to each performance obligation noting that the bundle of goods, services or goods and services provided under each Housekeeping and Dietary contract represents a single performance obligation that is satisfied over time. The Company recognizes the related revenue when it satisfies the performance obligation by transferring a bundle of promised goods, services or both to a customer. Such recognition is on a monthly or weekly basis, as goods are provided and services are performed. In some cases, the Company requires customers to pay in advance for goods and services to be provided. As of September 30, 2023, the value of the contract liabilities associated with customer prepayments was $ i 1.5 million. As of December 31, 2022, the value of the contract liabilities associated with customer prepayments was $ i 3.1 million. The Company recognized $ i 1.8 million of revenue during the nine months ended September 30, 2023 which was recorded as a contract liability on December 31, 2022.

Transaction Price Allocated to Remaining Performance Obligations

The Company recognizes revenue as it satisfies the performance obligations associated with contracts with customers which, due to the nature of the goods and services provided by the Company, are satisfied over time. Contracts may contain transaction prices that are fixed, variable or both.  i The Company’s contracts with customers typically provide for an initial term of  i one year, with renewable  i one year service terms, cancellable by either party upon  i 30 to  i 90 days’ notice after an initial period of  i 60 to  i 120 days. / 

As of September 30, 2023, the Company had $ i 38.2 million related to performance obligations that were unsatisfied or partially unsatisfied for which the Company expects to recognize revenue. The Company expects to recognize revenue on all of the remaining performance obligations over the next  i 12 months. These amounts exclude variable consideration primarily related to performance obligations that consist of a series of distinct service periods with revenues based on future performance that cannot be estimated at contract inception. The Company also has elected to apply the practical expedient that permits exclusion of information about the remaining performance obligations with original expected durations of one year or less.

 i 
Note 3—Accounts and Notes Receivable

 i 
The Company’s accounts and notes receivable balances consisted of the following as of September 30, 2023 and December 31, 2022:
September 30, 2023December 31, 2022
(in thousands)
Short-term
Accounts and notes receivable$ i 453,127 $ i 406,969 
Allowance for doubtful accounts( i 85,320)( i 70,192)
Total net short-term accounts and notes receivable$ i 367,807 $ i 336,777 
Long-term
Notes receivable$ i 33,921 $ i 35,882 
Allowance for doubtful accounts( i 5,151)( i 3,273)
Total net long-term notes receivable$ i 28,770 $ i 32,609 
Total net accounts and notes receivable$ i 396,577 $ i 369,386 
 / 

The Company makes credit decisions on a case-by-case basis after reviewing a number of qualitative and quantitative factors related to the specific customer as well as current industry variables that may impact that customer. There are a variety of factors that impact a customer’s ability to pay in accordance with the Company’s contracts. These factors include, but are not limited to, fluctuating census numbers, litigation costs and the customer’s participation in programs funded by federal and state governmental agencies. Deviations in the timing or amounts of reimbursements under those programs can impact the customer’s cash flows and its ability to make timely payments. However, the customer’s obligation to pay the Company in accordance with the contract is not contingent upon the customer’s cash flow. Notwithstanding the Company’s efforts to minimize its credit risk exposure, the aforementioned factors, as well as other factors that impact customer cash flows or ability to make timely payments, could have an indirect, yet material, adverse effect on the Company’s results of operations and financial condition.
 / 

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Fluctuations in net accounts and notes receivable are generally attributable to a variety of factors including, but not limited to, the timing of cash receipts from customers and the inception, transition, modification or termination of customer relationships. The Company deploys significant resources and invests in tools and processes to optimize Management’s credit and collections efforts. When appropriate, the Company utilizes interest-bearing promissory notes to enhance the collectability of amounts due, by instituting definitive repayment plans and providing a means by which to further evidence the amounts owed. In addition, the Company may amend contracts from full service to management-only arrangements, or adjust contractual payment terms, to accommodate customers who have in good faith established clearly-defined plans for addressing cash flow issues. These efforts are intended to minimize the Company’s collections risk.

 i 
Note 4—Allowance for Doubtful Accounts

In making the Company’s credit evaluations, management considers the general collection risk associated with trends in the long-term care industry. The Company establishes credit limits through payment terms with customers, performs ongoing credit evaluations and monitors accounts on an aging schedule basis to minimize the risk of loss. Despite the Company’s efforts to minimize credit risk exposure, customers could be adversely affected if future industry trends, including those related to COVID-19, change in such a manner as to negatively impact their cash flows. As a result, the Company’s future collection experience can differ significantly from historical collection trends. If the Company’s customers experience a negative impact on their cash flows, it could have a material adverse effect on the Company’s results of operations and financial condition.

The Company evaluates its accounts and notes receivable for expected credit losses quarterly. Accounts receivable are evaluated based on internally developed credit quality indicators derived from the aging of receivables. Notes receivable are evaluated based on internally developed credit quality indicators derived from Management’s assessment of collection risk. The Company manages the accounts and notes receivable portfolios using a two-tiered approach by disaggregating standard receivables, which are invoices or promissory notes in good standing, from those who have been identified by Management as having an elevated credit risk profile due to a triggering event such as bankruptcy. At the end of each period, the Company sets a reserve for expected credit losses on standard accounts and notes receivable based on the Company’s historical loss rates. Accounts and notes receivable with an elevated risk profile, which are from customers who have filed bankruptcy, are subject to collections activity or are slow payers that are experiencing financial difficulties, are aggregated and evaluated to determine the total reserve for the class of receivable.

ASC 326 permits entities to make an accounting policy election not to measure an estimate for credit losses on accrued interest if those entities write-off accrued interest deemed uncollectible in a timely manner. The Company follows an income recognition policy on all interest earned on notes receivable. Under such policy the Company accounts for all notes receivable on a non-accrual basis and defers the recognition of any interest income until receipt of cash payments. This policy was established based on the Company’s history of collections of interest on outstanding notes receivable, as we do not deem it probable that we will receive substantially all interest on outstanding notes receivable. Accordingly, the Company does not record a credit loss adjustment for accrued interest. Interest income from notes receivable for the three months ended September 30, 2023 and 2022 was $ i 0.7 million and $ i 0.2 million, respectively. Interest income from notes receivable for the nine months ended September 30, 2023 and 2022 was $ i 2.0 million and $ i 1.0 million, respectively.

 i 
The following table presents the Company’s two tiers of notes receivable further disaggregated by year of origination as of September 30, 2023 and write-off activity for the nine months ended September 30, 2023.
Notes receivable
Amortized cost basis by origination year
20232022202120202019PriorTotal
(in thousands)
Notes receivable
Standard notes receivable$ i 20,657 $ i 27,457 $ i 2,943 $ i 1,537 $ i 53 $ i 21,031 $ i 73,678 
Elevated risk notes receivable$ i  $ i  $ i 7,190 $ i  $ i  $ i  $ i 7,190 
Current-period gross write-offs$ i  $ i 189 $ i  $ i  $ i  $ i 2,346 $ i 2,535 
Current-period recoveries i   i   i   i   i   i   i  
Current-period net write-offs$ i  $ i 189 $ i  $ i  $ i  $ i 2,346 $ i 2,535 
 / 
 / 

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 i 
The following table provides information as to the status of payment on the Company’s notes receivable which were past due as of September 30, 2023.
Age analysis of past-due notes receivable as of September 30, 2023
0 - 90 Days91 - 180 DaysGreater than 181 DaysTotal
(in thousands)
Notes receivable
Standard notes receivable$ i 4,059 $ i 1,196 $ i 5,837 $ i 11,092 
Elevated risk notes receivable i 569  i 569  i 379  i 1,517 
$ i 4,628 $ i 1,765 $ i 6,216 $ i 12,609 
 / 

 i  i 
The following tables provide a summary of the changes in the Company’s allowance for doubtful accounts on a portfolio segment basis for the three months ended September 30, 2023 and 2022.
Allowance for doubtful accounts
Portfolio Segment:June 30,
2023
Write-Offs1
Bad Debt ExpenseSeptember 30,
2023
(in thousands)
Accounts receivable$ i 70,420 $( i 1,039)$ i 9,648 $ i 79,029 
Notes receivable
Standard notes receivable$ i 7,008 $( i 1,529)$ i 1,208 $ i 6,687 
Elevated risk notes receivable i 2,234 ( i 793) i 3,314  i 4,755 
Total notes receivable$ i 9,242 $( i 2,322)$ i 4,522 $ i 11,442 
Total accounts and notes receivable$ i 79,662 $( i 3,361)$ i 14,170 $ i 90,471 
1.Write-offs are shown net of recoveries. During the three months ended September 30, 2023, the Company collected less than $ i 0.1 million of accounts and notes receivables which had previously been written-off as uncollectible.
Allowance for doubtful accounts
Portfolio segment:June 30,
2022
Write-Offs1
Bad Debt ExpenseSeptember 30,
2022
(in thousands)
Accounts receivable$ i 62,603 $( i 5,145)$ i 7,863 $ i 65,321 
Notes receivable
Standard notes receivable$ i 12,606 $( i 6,718)$( i 1,545)$ i 4,343 
Elevated risk notes receivable i 811  i   i   i 811 
Total notes receivable$ i 13,417 $( i 6,718)$( i 1,545)$ i 5,154 
Total accounts and notes receivable$ i 76,020 $( i 11,863)$ i 6,318 $ i 70,475 
1.Write-offs are shown net of recoveries. During the three months ended September 30, 2022, the Company collected less than $ i 0.1 million of accounts and notes receivables which had previously been written-off as uncollectible.
 / 
 / 







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The following tables provide a summary of the changes in the Company’s allowance for doubtful accounts on a portfolio segment basis for the nine months ended September 30, 2023 and 2022.
Allowance for doubtful accounts
Portfolio segment:December 31,
2022
Write-Offs1
Bad Debt ExpenseSeptember 30,
2023
(in thousands)
Accounts receivable$ i 66,601 $( i 12,798)$ i 25,226 $ i 79,029 
Notes receivable
Standard notes receivable$ i 6,052 $( i 1,689)$ i 2,324 $ i 6,687 
Elevated risk notes receivable i 811 ( i 846) i 4,790  i 4,755 
Total notes receivable$ i 6,863 $( i 2,535)$ i 7,114 $ i 11,442 
Total accounts and notes receivable$ i 73,464 $( i 15,333)$ i 32,340 $ i 90,471 
1.Write-offs are shown net of recoveries. During the nine months ended September 30, 2023, the Company collected $ i 0.1 million of accounts and notes receivables which had previously been written-off as uncollectible.
Allowance for doubtful accounts
Portfolio segment:December 31,
2021
Write-Offs1
Bad Debt ExpenseSeptember 30,
2022
(in thousands)
Accounts receivable$ i 50,794 $( i 11,195)$ i 25,722 $ i 65,321 
Notes receivable
Standard notes receivable$ i 13,607 $( i 6,773)$( i 2,491)$ i 4,343 
Elevated risk notes receivable i 1,183 ( i 483) i 111  i 811 
Total notes receivable$ i 14,790 $( i 7,256)$( i 2,380)$ i 5,154 
Total accounts and notes receivable$ i 65,584 $( i 18,451)$ i 23,342 $ i 70,475 
1.Write-offs are shown net of recoveries. During the nine months ended September 30, 2022, the Company collected $ i 0.2 million of accounts and notes receivables which had previously been written-off as uncollectible. Adjustments include a reduction of $ i 8.0 million of allowance for doubtful accounts which related to a customer concession granted during the nine months ended September 30, 2022.



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 i 
Note 5—Changes in Accumulated Other Comprehensive (Loss) Income by Component

The Company’s accumulated other comprehensive (loss) income consists of unrealized gains and losses from the Company’s available-for-sale marketable securities.  i The following table provides a summary of the changes in accumulated other comprehensive (loss) income for the nine months ended September 30, 2023 and 2022:
Unrealized gains and losses on available-for-sale securities1
Nine Months Ended September 30,
20232022
(in thousands)
Accumulated other comprehensive (loss) income — beginning balance$( i 3,477)$ i 4,000 
Other comprehensive loss before reclassifications( i 1,306)( i 9,530)
Losses reclassified from other comprehensive loss2
 i 6  i 23 
Net current period other comprehensive loss3
( i 1,300)( i 9,507)
Accumulated other comprehensive loss — ending balance$( i 4,777)$( i 5,507)
1.All amounts are net of tax.
2.Realized gains and losses were recorded pre-tax under “Investment and other income (loss), net” in the Consolidated Statements of Comprehensive (Loss) Income. For the nine months ended September 30, 2023 and 2022, the Company recorded less than $ i  i 0.1 /  million of realized losses from the sale of available-for-sale securities. Refer to Note 9—Fair Value Measurements herein for further information.
3.For the nine months ended September 30, 2023 and 2022, the changes in other comprehensive (loss) income were net of a tax benefit of $ i 0.3 million and a benefit of $ i 2.5 million, respectively.

 i 
Amounts Reclassified from Accumulated Other Comprehensive Loss
20232022
(in thousands)
Three Months Ended September 30,
Losses from the sale of available-for-sale securities$( i 4)$( i 5)
Tax benefit i 1  i 2 
Net loss reclassified from accumulated other comprehensive loss$( i 3)$( i 3)
Nine Months Ended September 30,
Losses from the sale of available-for-sale securities$( i 8)$( i 31)
Tax benefit i 2  i 8 
Net loss reclassified from accumulated other comprehensive loss$( i 6)$( i 23)
 / 
 / 

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 i 
Note 6—Property and Equipment

Property and equipment are recorded at cost. Depreciation is recorded over the estimated useful life of each class of depreciable asset, and is computed using the straight-line method. Leasehold improvements are amortized over the shorter of the estimated asset life or term of the lease. Repairs and maintenance costs are charged to expense as incurred.

 i 
The following table sets forth the amounts of property and equipment by each class of depreciable asset as of September 30, 2023 and December 31, 2022:
September 30, 2023December 31, 2022
(in thousands)
Housekeeping and dietary equipment$ i 15,387 $ i 13,585 
Computer hardware and software i 6,886  i 6,086 
Operating lease — right-of-use assets
 i 27,392  i 34,445 
Other1
 i 1,066  i 1,055 
Total property and equipment, at cost i 50,731  i 55,171 
Less accumulated depreciation i 21,586  i 32,196 
Total property and equipment, net$ i 29,145 $ i 22,975 
1.Includes furniture and fixtures, leasehold improvements and autos and trucks.
 / 
 / 

Depreciation expense for the three months ended September 30, 2023 and 2022 was $ i 2.5 million and $ i 2.6 million. Depreciation expense for the nine months ended September 30, 2023 and 2022 was $ i 7.4 million and $ i 7.9 million, respectively. Of the depreciation expense recorded for the three and nine months ended September 30, 2023, $ i 1.8 million and $ i 4.6 million related to the depreciation of the Company’s operating lease - right-of-use assets (ROU Assets”), respectively. Of the depreciation expense recorded for the three and nine months ended September 30, 2022, $ i 1.5 million and $ i 4.6 million related to the depreciation of the Company’s ROU Assets, respectively.

 i 
Note 7—Leases

The Company recognizes ROU assets and lease liabilities for automobiles, office buildings, IT equipment and small storage units for the temporary storage of operational equipment. The Company’s leases have remaining lease terms ranging from less than  i 1 year to  i 6 years, and have extension options ranging from  i 1 year to  i 5 years. Most leases include the option to terminate the lease within  i 1 year.

The Company uses practical expedients offered under the ASC 842 guidance to combine lease and non-lease components within leasing arrangements and to recognize the payments associated with short-term leases in earnings on a straight-line basis over the lease term, with the cost associated with variable lease payments recognized when incurred. These accounting policy elections impact the value of the Company’s ROU assets and lease liabilities. The value of the Company’s ROU assets is determined as the non-depreciated fair value of its leasing arrangements and is recorded in “Property and equipment, net” on the Company’s Consolidated Balance Sheets. The value of the Company’s lease liabilities is the present value of fixed lease payments not yet paid, which is discounted using either the rate implicit in the lease contract if that rate can be determined or the Company’s incremental borrowing rate (IBR”) and is recorded in “Other accrued expenses and current liabilities” and “Lease liability — long-term portion” on the Company’s Consolidated Balance Sheets. The Company’s IBR is determined as the rate of interest that the Company would have to pay to borrow on a collateralized basis over a similar term in an amount equal to the lease payments in a similar economic environment.

Any future lease payments that are not fixed based on the terms of the lease contract, or fluctuate based on a factor other than an index or rate, are considered variable lease payments and are not included in the value of the Company’s ROU assets or lease liabilities. The Company’s variable lease payments are mostly incurred from automobile leases and relate to miscellaneous transportation costs including repair costs, insurance, and terminal rental adjustment payments due at lease settlement. Such rental adjustment payments can result in a reduction to the Company’s total variable lease payments.
 / 

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 i 
Components of lease expense required by ASC 842 are presented below for the three and nine months ended September 30, 2023 and 2022.
Three Months Ended September 30,
20232022
(in thousands)
Lease cost
Operating lease cost$ i 1,757 $ i 1,449 
Short-term lease cost i 178  i 283 
Variable lease cost i 500  i 230 
Total lease cost$ i 2,435 $ i 1,962 

Nine Months Ended September 30,
20232022
(in thousands)
Lease cost
Operating lease cost$ i 4,588 $ i 4,364 
Short-term lease cost i 832  i 863 
Variable lease cost i 1,583  i 557 
Total lease cost$ i 7,003 $ i 5,784 
 / 

 i 
Supplemental information required by ASC 842 is presented below for the nine months ended September 30, 2023 and 2022.

Nine Months Ended September 30,
20232022
(dollar amounts in thousands)
Other information
Cash paid for amounts included in the measurement of lease liabilities
Operating cash flows from operating leases$ i 4,947$ i 4,853
Weighted-average remaining lease term — operating leases i 3.5 years i 4.2 years
Weighted-average discount rate — operating leases i 6.4 % i 4.3 %
 / 

During the three and nine months ended September 30, 2023, the Company’s ROU assets and lease liabilities were reduced by $ i 1.2 million and $ i 2.3 million, respectively due to lease cancellations. During the three and nine months ended September 30, 2022, the Company’s ROU assets and lease liabilities were reduced by $ i 0.3 million and $ i 1.6 million, respectively.

 i 
The following is a schedule by calendar year of future minimum lease payments under operating leases that have remaining terms as of September 30, 2023:
Period/YearOperating Leases
(in thousands)
October 1 to December 31, 2023$ i 1,877 
2024 i 7,022 
2025 i 6,050 
2026 i 3,200 
2027 i 1,365 
2028 i 1,389 
Thereafter i 116 
Total minimum lease payments$ i 21,019 
Less: imputed interest i 2,150 
Present value of lease liabilities$ i 18,869 
 / 

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 i 
Note 8—Goodwill and Other Intangible Assets

The Company’s other intangible assets consist of customer relationships, trade names, patents and non-compete agreements which were obtained through acquisitions and are recorded at their fair values at the date of acquisition. Intangible assets with determinable lives are amortized on a straight-line basis over their estimated useful lives. The weighted-average amortization period of customer relationships, trade names, patents and non-compete agreements are approximately  i 10 years,  i 13 years,  i 8 years and  i 4 years, respectively.

 i 
The following table sets forth the estimated amortization expense for intangibles subject to amortization for the remainder of 2023, the following five fiscal years and thereafter:
Period/YearTotal Amortization Expense
(in thousands)
October 1 to December 31, 2023$ i 671 
2024$ i 2,685 
2025$ i 2,685 
2026$ i 2,666 
2027$ i 1,195 
2028$ i 613 
Thereafter$ i 2,284 
 / 

Amortization expense for the three months ended September 30, 2023 and 2022 was $ i 0.7 million and $ i 1.2 million. Amortization expense for the nine months ended September 30, 2023 and 2022 was $ i 3.1 million and $ i 3.7 million.
 / 

 i 
Note 9—Fair Value Measurements

The Company’s current assets and current liabilities are financial instruments and most of these items (other than marketable securities, inventories and the short-term portion of deferred compensation funding) are recorded at cost in the Consolidated Balance Sheets. The estimated fair value of these financial instruments approximates their carrying value due to their short-term nature. The carrying value of the Company’s line of credit represents the outstanding amount of the borrowings, which approximates fair value. The Company’s financial assets that are measured at fair value on a recurring basis are its marketable securities and deferred compensation funding. The recorded values of all of the financial instruments approximate their current fair values because of their nature, stated interest rates and respective maturity dates or durations.

The Company’s marketable securities are held by the Company’s captive insurance company to satisfy capital requirements of the state regulator related to captive insurance companies. Such securities primarily consist of tax-exempt municipal bonds, which are classified as available-for-sale and are reported at fair value. Unrealized gains and losses associated with these investments are included in “Unrealized loss on available-for-sale marketable securities, net of taxes” within the Consolidated Statements of Comprehensive (Loss) Income. The fair value of these marketable securities is classified within Level 2 of the fair value hierarchy, as these securities are measured using 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. Such valuations are determined by a third-party pricing service. For the three and nine months ended September 30, 2023, the Company recorded unrealized losses, net of taxes of $ i 1.6 million and unrealized losses, net of taxes of $ i 1.3 million on marketable securities, respectively. For the three and nine months ended September 30, 2022, the Company recorded unrealized losses, net of taxes of $ i 2.3 million and $ i 9.5 million, respectively.

As part of a prior year acquisition of a prepackaged meal manufacturer, the Company agreed to pay royalties to the seller on all future product sales. The Company recorded a liability for the expected future payments within “Other long-term liabilities” on the Consolidated Balance Sheets and any payments within 12 months within “Other accrued expenses and current liabilities”. The fair value of this liability is measured using forecasted sales models (Level 3). For the three months ended September 30, 2023 and 2022, the Company recorded realized gains of $ i 0.7 million and $ i 0.4 million, respectively, associated with changes in fair value of the liability. Gains and losses are recorded within “Costs of services provided” in the Consolidated Statements of Comprehensive (Loss) Income related to the subsequent measurement of the liability. For the nine months ended September 30, 2023 and 2022, the Company recorded realized gains of $ i 1.0 million and $ i 2.3 million, respectively, within “Costs of services provided” in the Consolidated Statements of Comprehensive (Loss) Income related to the subsequent measurement of the liability at each period end.
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For the three months ended September 30, 2023 and 2022, the Company received total proceeds, less the amount of interest received, of $ i 0.6 million and $ i 0.3 million, respectively, from sales of available-for-sale municipal bonds. For both the three months ended September 30, 2023 and 2022, these sales resulted in realized losses of less than $ i  i 0.1 /  million. For the nine months ended September 30, 2023 and 2022, the Company received total proceeds, less the amount of interest received, of $ i 1.9 million and $ i 9.8 million, respectively, from sales of available-for-sale municipal bonds. For both the nine months ended September 30, 2023 and 2022, these sales resulted in realized losses of less than $ i  i 0.1 /  million, which were recorded within “Investment and other income (loss), net” in the Consolidated Statements of Comprehensive (Loss) Income. The basis for the sale of these securities was the specific identification of each bond sold during the period.

The investments under the funded deferred compensation plan are classified as trading securities and unrealized gains or losses are recorded in “Selling, general and administrative expense” in the Consolidated Statements of Comprehensive (Loss) Income. The fair value of these investments are determined based on quoted market prices (Level 1). For the three months ended September 30, 2023 and 2022, the Company recognized unrealized losses of $ i 1.2 million and $ i 0.8 million, respectively, related to equity securities still held at the respective reporting dates. For the nine months ended September 30, 2023 and 2022, the Company recognized unrealized gains of $ i 2.6 million and unrealized losses of $ i 11.4 million, respectively, related to equity securities still held at the respective reporting dates.

 i 
The following tables provide fair value measurement information for the Company’s marketable securities and deferred compensation fund investments as of September 30, 2023 and December 31, 2022:

As of September 30, 2023
Fair Value Measurement Using:
Carrying AmountTotal Fair ValueQuoted Prices in Active Markets (Level 1)Significant Other Observable Inputs (Level 2)Significant Unobservable Inputs (Level 3)
Financial Assets:
Marketable securities
Municipal bonds — available-for-sale$ i 90,004 $ i 90,004 $ i  $ i 90,004 $ i  
Deferred compensation fund
Money Market1
$ i 1,993 $ i 1,993 $ i  $ i 1,993 $ i  
Commodities i 272  i 272  i 272  i   i  
Fixed Income i 3,887  i 3,887  i 3,887  i   i  
International i 4,085  i 4,085  i 4,085  i   i  
Large Cap Blend i 2,159  i 2,159  i 2,159  i   i  
Large Cap Growth i 12,871  i 12,871  i 12,871  i   i  
Large Cap Value i 5,817  i 5,817  i 5,817  i   i  
Mid Cap Blend i 2,599  i 2,599  i 2,599  i   i  
Real Estate i 312  i 312  i 312  i   i  
Small Cap Blend i 3,782  i 3,782  i 3,782  i   i  
Deferred compensation fund2
$ i 37,777 $ i 37,777 $ i 35,784 $ i 1,993 $ i  
 / 
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As of December 31, 2022
Fair Value Measurement Using:
Carrying
Amount
Total Fair
Value
Quoted Prices in Active Markets (Level 1)Significant Other Observable Inputs (Level 2)Significant Unobservable Inputs (Level 3)
Financial Assets:
Marketable securities
Municipal bonds — available-for-sale$ i 95,200 $ i 95,200 $ i  $ i 95,200 $ i  
Deferred compensation fund
Money Market1
$ i 2,420 $ i 2,420 $ i  $ i 2,420 $ i  
Commodities i 170  i 170  i 170  i   i  
Fixed Income i 3,571  i 3,571  i 3,571  i   i  
International i 4,093  i 4,093  i 4,093  i   i  
Large Cap Blend i 1,210  i 1,210  i 1,210  i   i  
Large Cap Growth i 11,064  i 11,064  i 11,064  i   i  
Large Cap Value i 6,133  i 6,133  i 6,133  i   i  
Mid Cap Blend i 2,667  i 2,667  i 2,667  i   i  
Real Estate i 359  i 359  i 359  i   i  
Small Cap Blend i 3,424  i 3,424  i 3,424  i   i  
Deferred compensation fund2
$ i 35,111 $ i 35,111 $ i 32,691 $ i 2,420 $ i  
1.The fair value of the money market fund is based on the net asset value (“NAV”) of the shares held by the plan at the end of the period. The money market fund includes short-term United States dollar denominated money market instruments and the NAV is determined by the custodian of the fund. The money market fund can be redeemed at its NAV at the measurement date as there are no significant restrictions on the ability to sell this investment.
2.As of September 30, 2023 and December 31, 2022, $ i 1.4 million and $ i 1.6 million of short-term deferred compensation funding is included in “Prepaid expenses and other assets” on the Company’s Consolidated Balance Sheets, respectively. Such amounts of short-term deferred compensation funding represent investments expected to be liquidated and paid within 12 months of September 30, 2023 and December 31, 2022, respectively.

 i 
Amortized CostGross Unrealized GainsGross Unrealized LossesEstimated Fair Value
Credit Impairment Losses1
(in thousands)
September 30, 2023
Type of security:
Municipal bonds — available-for-sale$ i 96,051 $ i  $( i 6,047)$ i 90,004 $ i  
Total debt securities$ i 96,051 $ i  $( i 6,047)$ i 90,004 $ i  
December 31, 2022
Type of security:
Municipal bonds — available-for-sale$ i 99,601 $ i 229 $( i 4,630)$ i 95,200 $ i  
Total debt securities$ i 99,601 $ i 229 $( i 4,630)$ i 95,200 $ i  
1.The Company performs a credit impairment loss assessment quarterly on an individual security basis. As of September 30, 2023 and December 31, 2022, no allowance for credit loss impairment has been recognized as the issuers of these securities have not established a cause for default and various rating agencies have reaffirmed each security’s investment grade status. The fair value of these securities have fluctuated since the purchase date as market interest rates fluctuate. The Company does not intend to sell these securities and it is more likely than not that the Company will not be required to sell before the recovery of the securities’ amortized cost basis.
 / 

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 i 
The following table summarizes the contractual maturities of debt securities held at September 30, 2023 and December 31, 2022, which are classified as “Marketable securities, at fair value” in the Consolidated Balance Sheets:
Municipal Bonds — Available-for-Sale
Contractual maturity:September 30, 2023December 31, 2022
(in thousands)
Maturing in one year or less$ i 5,217 $ i 2,798 
Maturing in second year through fifth year i 35,005  i 35,068 
Maturing in sixth year through tenth year i 34,760  i 38,575 
Maturing after ten years i 15,022  i 18,759 
Total debt securities$ i 90,004 $ i 95,200 
 / 

 i 
Note 10—Share-Based Compensation

 i 
The components of the Company’s share-based compensation expense for the nine months ended September 30, 2023 and 2022 are as follows:
Nine Months Ended September 30,
20232022
(in thousands)
Stock options$ i 716 $ i 939 
Restricted stock, restricted stock units and deferred stock units i 4,946  i 5,310 
Performance stock units i 888  i 612 
Employee Stock Purchase Plan i 243  i 295 
Total pre-tax share-based compensation expense charged against income$ i 6,793 $ i 7,156 

The following table summarizes the components of share-based compensation expense included within the Consolidated Statements of Comprehensive (Loss) Income for the nine months ended September 30, 2023 and 2022:

Nine Months Ended September 30,
20232022
(in thousands)
Selling, general & administrative expense$ i 6,723 $ i 7,063 
Costs of services provided i 70  i 93 
Total share-based compensation expense$ i 6,793 $ i 7,156 
 / 

At September 30, 2023, the unrecognized compensation cost related to unvested stock options and awards was $ i 18.9 million. The weighted average period over which these awards will vest is approximately  i 3.0 years.

Amended 2020 Omnibus Incentive Plan

On May 26, 2020, the Company adopted the 2020 Omnibus Incentive Plan after approval by the Company’s Shareholders at the 2020 Annual Meeting of Shareholders. On May 30, 2023, the Company increased the authorized shares under the 2020 Omnibus Incentive Plan (as amended, the “Amended 2020 Plan”) by  i 2,500,000 shares after approval by the Company’s Shareholders at the 2023 Annual Meeting of Shareholders. The Amended 2020 Plan provides that current or prospective officers, employees, non-employee directors and advisors can receive share-based awards such as stock options, performance stock units, restricted stock units and other stock awards. The Amended 2020 Plan seeks to encourage profitability and growth of the Company through short-term and long-term incentives that are consistent with the Company’s operating objectives.

As of September 30, 2023, there were  i 7.0 million shares of common stock reserved for issuance under the Amended 2020 Plan, of which  i 3.2 million are available for future grant. The amount of shares available for issuance under the Amended 2020 Plan will increase when outstanding awards under the Company’s Second Amended and Restated 2012 Equity Incentive Plan (the “2012 Plan”) are subsequently forfeited, terminated, lapsed or satisfied thereunder in cash or property other than shares. No stock award will have a term in excess of  i 10 years. The Nominating, Compensation and Stock Option Committee of the Board of Directors is responsible for determining the terms of the grants in accordance with the Amended 2020 Plan.
 / 

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Stock Options

 i 
A summary of stock options outstanding under the Amended 2020 Plan and the 2012 Plan as of December 31, 2022 and changes during the nine months ended September 30, 2023 are as follows:
Stock Options Outstanding
Number of SharesWeighted Average Exercise Price
(in thousands)
December 31, 2022 i 2,375 $ i 31.56 
Granted i 207 $ i 13.72 
Exercised i  $ i  
Forfeited i  $ i  
Expired( i 141)$ i 24.82 
September 30, 2023 i 2,441 $ i 30.43 
 / 

The weighted average grant-date fair value of stock options granted during the nine months ended September 30, 2023 and 2022 was $ i 6.53 and $ i 4.06 per common share, respectively. No stock options were exercised during the nine months ended September 30, 2023. The total intrinsic value of stock options exercised during the nine months ended September 30, 2022 was $ i 0.1 million.

 i 
The fair value of stock option awards granted in 2023 and 2022 was estimated on the date of grant using the Black-Scholes option valuation model with the following assumptions:
Nine Months Ended September 30,
20232022
Risk-free interest rate i 4.0 % i 1.5 %
Weighted average expected life i 6.9 years i 6.7 years
Expected volatility i 39.5 % i 36.6 %
Dividend yield i  % i 4.6 %
 / 

 i 
The following table summarizes other information about the stock options at September 30, 2023:
September 30, 2023
(amounts in thousands, except per share data)
Outstanding:
Aggregate intrinsic value$ i  
Weighted average remaining contractual life i 4.8 years
Exercisable:
Number of options i 1,704 
Weighted average exercise price$ i 34.72 
Aggregate intrinsic value$ i  
Weighted average remaining contractual life i 3.4 years
 / 

Restricted Stock Units

The fair value of outstanding restricted stock units was determined based on the market price of the shares on the date of grant. During the nine months ended September 30, 2023, the Company granted  i 0.5 million restricted stock units to its employees with a weighted average grant date fair value of $ i 13.73 per unit. During the nine months ended September 30, 2022, the Company granted  i 0.4 million restricted stock units to its employees with a weighted average grant date fair value of $ i 18.06 per unit.
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 i 
A summary of the outstanding restricted stock units as of December 31, 2022 and changes during the nine months ended September 30, 2023 is as follows:
Restricted Stock Units
NumberWeighted Average Grant Date Fair Value
(in thousands)
December 31, 2022 i 825 $ i 24.37 
Granted i 534 $ i 13.73 
Vested( i 237)$ i 27.82 
Forfeited( i 18)$ i 18.83 
September 30, 2023 i 1,104 $ i 18.58 
 / 

Performance Stock Units

On February 24, 2023, the Company issued  i 80,000 Performance Stock Units (“PSUs”) to the Company’s executive officers. Such PSUs are contingent upon the achievement of certain total shareholder return (“TSR”) targets as compared to the TSR of the S&P 400 MidCap Index and the participant’s continued employment with the Company for the  i three year period ending December 31, 2025, the date at which such PSUs vest. The unrecognized share-based compensation cost of the TSR-based PSU awards at September 30, 2023 is $ i 1.7 million and is expected to be recognized over a weighted-average period of  i 1.7 years.

 i 
A summary of the outstanding PSUs as of December 31, 2022 and changes during the nine months ended September 30, 2023 is as follows:

Performance Stock Units
NumberWeighted Average Grant Date Fair Value
(in thousands)
December 31, 2022 i 95 $ i 26.01 
Granted i 80 $ i 16.20 
Vested i  $ i  
Forfeited i  $ i  
September 30, 2023 i 175 $ i 21.52 
 / 

Deferred Stock Units

The Company grants Deferred Stock Units (“DSUs”) to our non-employee directors. Once vested, the recipient shall be entitled to receive a lump sum payment of a number of shares equal to the total number of DSUs issued to such recipient upon the first to occur of (i) the  i five year anniversary of the date of grant, (ii) the recipients death, disability or separation of service from the Board, or (iii) a change of control (as defined by the 2020 Plan). Non-employee directors can also elect to receive their Board of Directors retainer in the form of DSUs in lieu of cash. The number of DSUs granted to these directors is determined based on the stock price on the award date and approximates the cash value the directors would otherwise receive for their retainer.  i Two non-employee directors made an election in 2022 to receive DSUs in lieu of cash for their 2023 Board of Directors retainer. The unrecognized share-based compensation cost of outstanding DSU awards at September 30, 2023 is $ i 0.2 million and is expected to be recognized over a weighted-average period of  i 0.7 years.

Employee Stock Purchase Plan

The Company’s Employee Stock Purchase Plan (“ESPP”) is currently available through 2026 to all eligible employees. All full-time and part-time employees who work an average of  i 20 hours per week and have completed  i two years of continuous service with the Company are eligible to participate. Annual offerings commence and terminate on the respective year’s first and last calendar day.

Under the ESPP, the Company is authorized to issue up to  i 4.1 million shares of its common stock to its employees. Pursuant to such authorization, there are  i 1.9 million shares available for future grant at September 30, 2023.

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 i 
The expense associated with the options granted under the ESPP during the nine months ended September 30, 2023 and 2022 was estimated on the date of grant using the Black-Scholes option valuation model with the following assumptions:
Nine Months Ended September 30,
20232022
Risk-free interest rate i 4.8% i 0.4%
Weighted average expected life (years) i 1.0 i 1.0
Expected volatility i 42.9% i 36.9%
Dividend yield i 7.1% i 4.7%
 / 

Deferred Compensation Plan

The Company offers a Supplemental Executive Retirement Plan (“SERP”) for executives and certain key employees. The SERP allows participants to defer a portion of their earned income on a pre-tax basis and as of the last day of each plan year, each participant will be credited with a match of a portion of their deferral in the form of the Company’s common stock based on the then-current market value. Under the SERP, the Company is authorized to issue  i 1.0 million shares of its common stock to its employees. Pursuant to such authorization, the Company has  i 0.3 million shares available for future grant at September 30, 2023. At the time of issuance, such shares are accounted for at cost as treasury stock.

 i 
The following table summarizes information about the SERP during the nine months ended September 30, 2023 and 2022:
Nine Months Ended September 30,
 20232022
(in thousands)
SERP expense 1
$ i 439 $ i 416 
Unrealized gain (loss) recorded in SERP liability account$ i 2,629 $( i 11,324)
 / 
1.Both the SERP match and the deferrals are included in the selling, general and administrative caption in the Consolidated Statements of Comprehensive (Loss) Income.

 i 
Note 11—Income Taxes

The Company’s annual effective tax rate is impacted by the tax effects of option exercises and the vesting of awards, which are treated as discrete items in the reporting period in which they occur and therefore cannot be considered in the calculation of the estimated annual effective tax rate. Discrete items increased the Company’s income tax provision recognized through the nine months ended September 30, 2023 and 2022 by $ i 1.4 million and $ i 1.1 million, respectively.

Differences between the effective tax rate and the applicable U.S. federal statutory rate arise primarily from the effect of state and local income taxes, share-based compensation and tax credits available to the Company. The actual 2023 effective tax rate will likely vary from the estimate depending on the actual operating income earned with availability of tax credits, the exercising of stock options and vesting of share-based awards.

The Company regularly evaluates the tax positions taken or expected to be taken resulting from financial statement recognition of certain items. Based on the evaluation, there are  i no significant uncertain tax positions requiring recognition in the Company’s financial statements. The evaluation was performed for the tax years ended December 31, 2019 through 2022 (with regard to U.S. federal income tax returns) and December 31, 2018 through 2022 (with regard to various state and local income tax returns), the tax years which remain subject to examination by major tax jurisdictions as of September 30, 2023.
 / 

The Company may from time to time be assessed interest or penalties by taxing jurisdictions, although any such assessments historically have been minimal. When the Company has received an assessment for interest and/or penalties, it will be classified in the financial statements as selling, general and administrative expense. In addition, any interest or penalties relating to recognized uncertain tax positions would also be recorded in selling, general and administrative expense.

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 i 
Note 12—Segment Information

The Company manages and evaluates its operations in  i two reportable segments: Housekeeping (housekeeping, laundry, linen and other services) and Dietary (dietary department services). Although both segments serve a similar customer base and share many operational similarities, they are managed separately due to distinct differences in the type of services provided, as well as the specialized expertise required of the professional management personnel responsible for delivering each segment’s services. Such services are rendered pursuant to discrete contracts, specific to each reportable segment.

 i The Company’s accounting policies for the segments are generally the same as described in the Company’s significant accounting policies. Differences between the reportable segments’ operating results and other disclosed data and the information in the consolidated financial statements relate primarily to corporate-level transactions and recording of transactions at the reportable segment level using other than generally accepted accounting principles. There are certain inventories and supplies that are primarily expensed when incurred within the operating segments which are capitalized in the consolidated financial statements. In addition, most corporate expenses such as corporate salary and benefit costs, certain legal costs, debt expense, information technology costs, depreciation, amortization of finite-lived intangible assets, share-based compensation costs and other corporate-specific costs, are not fully allocated to the operating segments. There are also allocations for workers’ compensation and general liability expense within the operating segments that differ from the actual expense recorded by the Company under U.S. GAAP. Segment amounts disclosed are prior to elimination entries made in consolidation.
 i 
Three Months Ended September 30,Nine Months Ended September 30,
2023202220232022
(in thousands)
Revenues
Housekeeping$ i 190,920 $ i 196,941 $ i 575,256 $ i 597,710 
Dietary i 220,468  i 217,547  i 672,293  i 668,446 
Total$ i 411,388 $ i 414,488 $ i 1,247,549 $ i 1,266,156 
Income before income taxes
Housekeeping$ i 10,286 $ i 17,540 $ i 46,947 $ i 55,784 
Dietary i 1,929 ( i 365) i 29,038  i 19,320 
Corporate and eliminations1
( i 19,166)( i 16,182)( i 53,970)( i 50,080)
Total$( i 6,951)$ i 993 $ i 22,015 $ i 25,024 
1.Primarily represents corporate office costs and related overhead, recording of certain inventories and supplies and workers’ compensation costs at the reportable segment level which use accounting methods that differ from those used at the corporate level, as well as consolidated subsidiaries’ operating expenses that are not allocated to the reportable segments, net of investment and other income and interest expense.
 / 
 / 

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 i 
Note 13—Earnings (Loss) Per Common Share

Basic and diluted (loss) earnings per common share are computed by dividing net (loss)/income by the weighted-average number of basic and diluted common shares outstanding, respectively. The weighted-average number of diluted common shares includes the impact of dilutive securities, including outstanding stock options, restricted stock units, performance stock units and deferred stock units. During periods of net loss, diluted loss per share equals basic loss per share as the antidilutive effect of potential common shares is disregarded.  i The table below reconciles the weighted-average basic and diluted common shares outstanding:
Three Months Ended September 30,Nine Months Ended September 30,
2023202220232022
(in thousands)
Numerator for basic and diluted (loss) earnings per share:
Net (loss) income$( i 5,494)$ i 322 $ i 15,788 $ i 18,471 
Denominator
Weighted average number of common shares outstanding - basic i 74,364  i 74,340  i 74,446  i 74,334 
Effect of dilutive securities1
 i   i 8  i 50  i 12 
Weighted average number of common shares outstanding - diluted i 74,364  i 74,348  i 74,496  i 74,346 
Basic (loss) earnings per share:$( i 0.07)$ i 0.00 $ i 0.21 $ i 0.25 
Diluted (loss) earnings per share:$( i 0.07)$ i 0.00 $ i 0.21 $ i 0.25 
1.Certain outstanding equity awards are anti-dilutive and therefore excluded from the calculation of the weighted average number of diluted common shares outstanding.

 i 
Anti-dilutive outstanding equity awards under share-based compensation plans were as follows:
Three Months Ended September 30,Nine Months Ended September 30,
2023202220232022
(in thousands)
Anti-dilutive  i 3,110  i 3,287  i 2,619  i 3,201 
 / 
 / 

 i 
Note 14—Other Contingencies

Line of Credit

At September 30, 2023, the Company had a $ i 300.0 million bank line of credit on which to draw for general corporate purposes. Amounts drawn under the line of credit are payable upon demand and generally bear interest at a floating rate, based on the Company’s leverage ratio, and starting at the Term Secured Overnight Financing Rate (“SOFR”) plus  i 165 basis points. As of September 30, 2023, there were $ i 45.0 million in borrowings under the line of credit. As of December 31, 2022, there were $ i 25.0 million in borrowings under the line of credit. The line of credit requires the Company to satisfy  i two financial covenants, with which the Company is in compliance as of September 30, 2023. The line of credit expires on November 22, 2027.

At September 30, 2023, the Company also had outstanding $ i 85.7 million in irrevocable standby letters of credit, which relate to payment obligations under the Company’s insurance programs. In connection with the issuance of the letters of credit, the amount available under the line of credit was reduced by $ i 85.7 million to $ i 169.3 million at September 30, 2023. The letters of credit expire on January 4, 2024.

Tax Jurisdictions and Matters

The Company provides services throughout the continental United States and is subject to numerous state and local taxing jurisdictions. In the ordinary course of business, a jurisdiction may contest the Company’s reporting positions with respect to the application of its tax code to the Company’s services, which could result in additional tax liabilities.
 / 
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The Company has tax matters with various taxing authorities. Because of the uncertainties related to both the probable outcomes and amount of probable assessments due, the Company is unable to make a reasonable estimate of a liability. The Company does not expect the resolution of any of these matters, taken individually or in the aggregate, to have a material adverse effect on the consolidated financial position or results of operations based on the Company’s best estimate of the outcomes of such matters.

Legal Proceedings

The Company is 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 the Company becomes aware of such claims and legal actions, the Company records accruals for any exposures that are probable and estimable. If adverse outcomes of such claims and legal actions are reasonably possible, Management assesses materiality and provides financial disclosure, as appropriate.

At this time, the Company is unable to reasonably estimate possible losses or form a judgment that an unfavorable outcome is either probable or remote with respect to certain pending litigation claims asserted and it is not currently possible to assess whether or not the outcome of these proceedings may have a material adverse effect on the Company.

Government Regulations

The Company’s customers are concentrated in the healthcare industry and are primarily providers of long-term care many of whom have been significantly impacted by COVID-19. The revenues of many of the Company’s customers are highly reliant on Medicare, Medicaid and third party payors’ reimbursement funding rates. New legislation or additional changes in existing regulations could directly impact the governmental reimbursement programs in which the customers participate.

 i 
Note 15—Subsequent Events

The Company evaluated all subsequent events through the filing date of this Form 10-Q. There were no events or transactions occurring during this subsequent reporting period which require recognition or additional disclosure in these financial statements.

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Item 2.   Management’s Discussion and Analysis of Financial Condition and Results of Operations

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 when 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 September 30, 2023 and December 31, 2022 and the notes accompanying those financial statements.

COVID-19 Considerations

While the crisis brought on by the COVID-19 pandemic has begun to show signs of abatement (e.g., new case rates remain below prior highs, the mortality rate remains low, and the Centers for Disease Control have relaxed masking requirements within healthcare facilities), our clients, who have been at the epicenter of the COVID-19 pandemic since its outset, continue to dedicate significant financial and other resources to protect their residents, employees and visitors. Moreover, we, our clients, vendors and business partners remain challenged by the lingering effects of the COVID-19 pandemic and the global economic crisis that has resulted from it. Significant inflation, labor shortages and unprecedented wage growth remain, and nursing home occupancy levels, while increasing from the lowest point in 2020, are still below the national average target to support a robust recovery of the healthcare sector. All the while, nursing home workforce participation remains depressed and is the slowest segment in the health care sector to recover toward pre-pandemic levels.

For additional information on risk factors related to the pandemic or other risks that could impact our results, please refer to “Risk Factors” in Part I, Item 1A of the Company’s Annual Report on Form 10-K for the year ended December 31, 2022 (the “Form 10-K”).

Overview

We provide management, administrative and operating expertise and services to the housekeeping, laundry, linen, facility maintenance and dietary service departments of healthcare facilities, including nursing homes, retirement complexes, rehabilitation centers and hospitals located throughout the United States. We believe 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 2,700 facilities throughout the continental United States as of September 30, 2023.

We provide services primarily pursuant to full-service agreements with our customers. Under such agreements, we are responsible for the day-to-day management of the employees located at our customers’ facilities, as well as for the provision of certain supplies. We also provide services on the basis of management-only agreements for a limited number of customers. Under a management-only agreement, we provide management and supervisory services while the customer facility retains payroll responsibility for the non-supervisory staff. In certain management-only agreements, the Company maintains responsibility for purchasing supplies. Our agreements with customers typically provide for a renewable one year service term cancellable by either party upon 30 to 90 days’ notice after an initial period of 60 to 120 days.

We are organized into two reportable segments: housekeeping, laundry, linen and other services (“Housekeeping”) and dietary department services (“Dietary”).

Housekeeping consists of managing our customers’ housekeeping departments, which are principally responsible for the cleaning, disinfecting and sanitizing of resident rooms and common areas of the customers’ facilities, as well as the laundering and processing of the bed linens, uniforms, resident personal clothing and other assorted linen items utilized at the customers’ facilities. Upon beginning service with a customer facility, we typically hire and train the employees previously employed by such facility and assign an on-site manager to supervise the front-line personnel and coordinate housekeeping services with other facility support functions in accordance with customer requests. Such management personnel also oversee the execution of various cost and quality control procedures including continuous training and employee evaluation. On-site management is responsible for all daily customer housekeeping department activities with regular support provided by a District Manager specializing in such services.

Dietary consists of managing our customers’ dietary departments, which are principally responsible for food purchasing, meal preparation and professional dietitian services, which include the development of menus that meet the dietary needs of
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residents. On-site management is responsible for all daily dietary department activities with regular support provided by a District Manager specializing in dietary services. We also offer clinical consulting services to our dietary customers which may be provided as a standalone service or be bundled with other dietary department services. Upon beginning service with a customer facility, we typically hire and train the employees previously employed by such facility and assign an on-site manager to supervise the front-line personnel and coordinate dietitian services with other facility support functions in accordance with customer requests. Such management personnel also oversee the execution of various cost and quality control procedures including continuous training and employee evaluation.

At September 30, 2023, Housekeeping services were provided at approximately 2,400 customer facilities, generating approximately 46.1% or $575.3 million of our total revenues for the nine months ended September 30, 2023. Dietary services were provided at over 1,600 customer facilities at September 30, 2023, generating approximately 53.9% or $672.3 million of our total revenues for the nine months ended September 30, 2023.


Three Months Ended September 30, 2023 and 2022

The following table summarizes the income statement key components that we use to evaluate our financial performance on a consolidated and reportable segment basis for the three months ended September 30, 2023 and 2022. The differences between the reportable segments’ operating results and other disclosed data and our consolidated financial results relate primarily to corporate level transactions and adjustments related to transactions recorded at the reportable segment level which use methods other than generally accepted accounting principles.
Three Months Ended September 30,
20232022% Change
(in thousands)
Revenues
Housekeeping$190,920 $196,941 (3.1)%
Dietary220,468 217,547 1.3 %
Consolidated$411,388 $414,488 (0.7)%
Costs of services provided
Housekeeping$180,634 $179,401 0.7 %
Dietary218,539 217,912 0.3 %
Corporate and eliminations(21,619)(20,419)5.9 %
Consolidated$377,554 $376,894 0.2 %
Selling, general and administrative expense
Corporate and eliminations$39,047 $35,803 9.1 %
Investment and other income, net
Corporate and eliminations$394 $***
Interest expense
Corporate and eliminations$(2,132)$(799)166.8 %
(Loss) income before income taxes
Housekeeping$10,286 $17,540 (41.4)%
Dietary1,929 (365)(628.5)%
Corporate and eliminations(19,166)(16,182)(18.4)%
Consolidated$(6,951)$993 (800.0)%
***Not meaningful

Housekeeping and Dietary revenues represented approximately 46.4% and 53.6% of consolidated revenues for the three months ended September 30, 2023, respectively.
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The following table sets forth the ratio of certain items to consolidated revenues:
Three Months Ended September 30,
20232022
Revenues100.0 %100.0 %
Operating costs and expenses:
Costs of services provided91.8 %90.9 %
Selling, general and administrative expense9.5 %8.6 %
Other (expense) income:
Investment and other income, net0.1 %— %
Interest expense(0.5)%(0.2)%
(Loss) income before income taxes(1.7)%0.3 %
Income tax (benefit) provision(0.4)%0.2 %
Net (loss) income (1.3)%0.1 %

Revenues

Consolidated

Consolidated revenues decreased 0.7% to $411.4 million during the three months ended September 30, 2023 compared to $414.5 million for the corresponding period in 2022, as a result of the factors discussed below under Reportable Segments.

Reportable Segments

During the three months ended September 30, 2023 and 2022, the Company recognized changes in variable consideration as reductions to revenue of $12.6 million, including $3.7 million of Housekeeping revenues and $8.9 million of Dietary revenues, and $10.0 million, including $2.3 million of Housekeeping revenues and $7.7 million of Dietary revenues, respectively. Excluding the impact of such changes, Housekeeping revenues decreased 2.3% during the three months ended September 30, 2023 compared to the corresponding period in 2022, while Dietary revenues increased 1.8% over the same period. Housekeeping revenues decreased due to a decline in the number of facilities serviced year-over-year. While the number of Dietary facilities serviced declined year-over-year, revenue increased resulting from contractual pass-through of labor and food costs to customer billings, which was a focus of our 2022 service agreement modification initiative.

Costs of Services Provided

Consolidated

Consolidated costs of services provided increased by 0.2% to $377.6 million for the three months ended September 30, 2023 compared to $376.9 million for the three months ended September 30, 2022.

The following table provides a comparison of key indicators we consider when managing the consolidated costs of services provided:
Three Months Ended September 30,
Costs of Services Provided - Key Indicators as a % of Consolidated Revenues20232022Change
Bad debt provision3.4%1.5%1.9%
Self-insurance costs2.5%2.5%—%

During the three months ended September 30, 2023, one customer group entered into bankruptcy which resulted in a $9.1 million increase to our bad debt provision during the quarter.
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Reportable Segments

Costs of services provided for Housekeeping, as a percentage of Housekeeping revenues, increased to 94.6% for the three months ended September 30, 2023 from 91.1% in the corresponding period in 2022. Costs of services provided for Dietary, as a percentage of Dietary revenues, decreased to 99.1% for the three months ended September 30, 2023 from 100.2% in the corresponding period in 2022.

The following table provides a comparison of the key indicators we consider when managing costs of services provided at the segment level, as a percentage of the respective segment’s revenues:
Three Months Ended September 30,
Costs of Services Provided - Key Indicators as a % of Segment Revenue20232022Change
Housekeeping labor and other labor-related costs84.5%82.5%2.0%
Housekeeping supplies7.2%7.3%(0.1)%
Dietary labor and other labor-related costs62.0%63.5%(1.5)%
Dietary supplies36.5%33.3%3.2%

Variations within these key indicators relate to the provision of services at new facilities and changes in the mix of customers for whom we provide supplies or do not provide supplies. Management focuses on building efficiencies and managing labor and other costs at the facility level, as well as managing supply chain costs, for new and existing facilities.

Consolidated Selling, General and Administrative Expense 

Included in selling, general and administrative expense are gains and losses associated with changes in the value of investments under the deferred compensation plan. These investments represent the amounts held on behalf of the participating employees and changes in the value of these investments affect the amount of our deferred compensation liability. Losses on the plan investments during the three months ended September 30, 2023 and 2022 decreased our total selling, general and administrative expense.

Excluding the change in the deferred compensation plan described above, consolidated selling, general and administrative expense increased $3.3 million or 9.0% for the three months ended September 30, 2023 compared to the corresponding period in 2022. The change was driven by increases in payroll, professional fees and travel-related expenses, driven by inflationary pressures.

The table below summarizes the changes in these components of selling, general and administrative expense:
Three Months Ended September 30,
20232022$ Change% Change
(dollar amounts in thousands)
Selling, general and administrative expense excluding change in deferred compensation plan liability$40,289 $36,963 $3,326 9.0 %
Loss on deferred compensation plan liability(1,242)(1,160)(82)7.1 %
Selling, general and administrative expense$39,047 $35,803 $3,244 9.1 %

Consolidated Investment and Other Income, net

Investment and other income was a $0.4 million gain for the three months ended September 30, 2023 compared to a less than $0.1 million gain in the corresponding 2022 period. The change was driven by market fluctuations in the value of our trading security investments representing the funding for our deferred compensation plan.

Consolidated Interest Expense

Consolidated interest expense increased to $2.1 million for the three months ended September 30, 2023 compared to $0.8 million for the same period in 2022 due to increased short-term borrowings during 2023 and increased market interest rates.

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Consolidated Income Taxes

During the three months ended September 30, 2023, the Company recognized a benefit for income taxes of $1.5 million, or 21.0% effective tax rate, versus a provision for income taxes of $0.7 million, or 67.6% effective tax rate, for the same period in 2022. The effective tax rate change is based on the impact of discrete items in each quarter combined with the impact of our full year income estimate on the tax provision.

The actual annual effective tax rate will be impacted by the tax effects of option exercises or vested awards, which are treated as discrete items in the reporting period in which they occur and may vary based upon the Company’s common stock price at exercise and the volume of such exercises; therefore, these cannot be considered in the calculation of the estimated annual effective tax rate. The impact on our income tax provision for the three months ended September 30, 2023 for such discrete items was a $0.3 million expense versus a $0.5 million expense for the same period in 2022.

Nine Months Ended September 30, 2023 and 2022

The following table summarizes the income statement key components that we use to evaluate our financial performance on a consolidated and reportable segment basis for the nine months ended September 30, 2023 and 2022. The differences between the reportable segments’ operating results and other disclosed data and our consolidated financial results relate primarily to corporate level transactions and adjustments related to transactions recorded at the reportable segment level which use methods other than generally accepted accounting principles.
Nine Months Ended September 30,
20232022% Change
(in thousands)
Revenues
Housekeeping$575,256 $597,710 (3.8)%
Dietary672,293 668,446 0.6 %
Consolidated$1,247,549 $1,266,156 (1.5)%
Costs of services provided
Housekeeping$528,309 $541,926 (2.5)%
Dietary643,255 649,126 (0.9)%
Corporate and eliminations(65,304)(61,526)6.1 %
Consolidated$1,106,260 $1,129,526 (2.1)%
Selling, general and administrative expense
Corporate and eliminations$120,523 $100,820 19.5 %
Investment and other income (loss), net
Corporate and eliminations$7,047 $(9,034)(178.0)%
Interest expense
Corporate and eliminations$(5,798)$(1,752)230.9 %
Income before income taxes
Housekeeping$46,947 $55,784 (15.8)%
Dietary29,038 19,320 50.3 %
Corporate and eliminations(53,970)(50,080)7.8 %
Consolidated$22,015 $25,024 (12.0)%

Housekeeping and Dietary revenues represented approximately 46.1% and 53.9% of consolidated revenues for the nine months ended September 30, 2023, respectively.
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The following table sets forth the ratio of certain items to consolidated revenues:
Nine Months Ended September 30,
20232022
Revenues100.0 %100.0 %
Operating costs and expenses:
Costs of services provided88.7 %89.2 %
Selling, general and administrative expense9.7 %8.0 %
Other (expense) income:
Investment and other income (loss), net0.6 %(0.7)%
Interest expense(0.5)%(0.1)%
Income before income taxes1.7 %2.0 %
Income tax provision0.5 %0.5 %
Net income1.2 %1.5 %

Revenues

Consolidated

Consolidated revenues decreased to $1,247.5 million for the nine months ended September 30, 2023 compared to $1,266.2 million for the corresponding period in 2022 as a result of the factors discussed below under Reportable Segments.

Reportable Segments

During the nine months ended September 30, 2023 and 2022, the Company recognized changes in variable consideration as reductions to revenue of $12.6 million, including $3.7 million of Housekeeping revenues and $8.9 million of Dietary revenues, and $10.0 million, including $2.3 million of Housekeeping revenues and $7.7 million of Dietary revenues, respectively. Excluding the impact of such changes, Housekeeping revenues decreased 3.5% during the nine months ended September 30, 2023 and 2022, while Dietary revenues increased 0.7% over the same period. Housekeeping revenues decreased due to a decline in the number of facilities serviced year-over-year. While the number of Dietary facilities serviced declined year-over-year, revenue increased resulting from contractual pass-through of labor and food costs to customer billings, which was a focus of our 2022 service agreement modification initiative.

Costs of services provided

Consolidated

Consolidated costs of services decreased by 2.1% to $1,106.3 million for the nine months ended September 30, 2023 compared to $1,129.5 million for the nine months ended September 30, 2022.

The following table provides a comparison of key indicators we consider when managing the consolidated costs of services provided:
Nine Months Ended September 30,
Costs of Services Provided - Key Indicators as a % of Consolidated Revenues20232022Change
Bad debt provision2.6%1.8%0.8%
Self-insurance costs2.5%2.6%(0.1)%

Bad debt provision as a percentage of revenue increased in the nine months ended September 30, 2023 relative to the comparable prior year period due to changes in the credit risk profile of customers each year. During the nine months ended September 30, 2023, two customer groups (including one which entered bankruptcy) had a change in credit risk profile resulting in an increase of $13.8 million of bad debt expense. During the nine months ended September 30, 2022, one customer group entered into receivership resulting in an increase of $7.1 million in bad debt expense.



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Reportable Segments

Costs of services provided for Housekeeping, as a percentage of Housekeeping revenues, was 91.8% and 90.7% for the nine months ended September 30, 2023 and 2022. Costs of services provided for Dietary, as a percentage of Dietary revenues, decreased to 95.7% for the nine months ended September 30, 2023 from 97.1% in the corresponding period in 2022.

The following table provides a comparison of the key indicators we consider when managing costs of services provided at the segment level, as a percentage of the respective segment’s revenues:
Nine Months Ended September 30,
Costs of Services Provided - Key Indicators as a % of Segment Revenues20232022Change
Housekeeping labor and other labor-related costs82.0%81.4%0.6%
Housekeeping supplies7.1%6.7%0.4%
Dietary labor and other labor-related costs59.6%61.9%(2.3)%
Dietary supplies34.0%32.0%2.0%

Variations within these key indicators relate to the provision of services at facilities served and changes in the mix of customers for whom we provide supplies or do not provide supplies. Management focuses on building efficiencies and managing labor and other costs at the facility level, as well as managing supply chain costs, for new and existing facilities. The increase in dietary supplies spend as a percentage of dining revenues was driven by the mix of business where we provide all dining department supplies and some continued inflationary impacts.

Consolidated Selling, General and Administrative Expense

Included in selling, general and administrative expense are gains and losses associated with changes in the value of investments under the deferred compensation plan. These investments represent the amounts held on behalf of the participating employees and changes in the value of these investments affect the amount of our deferred compensation liability. Gains on the plan investments during the nine months ended September 30, 2023 increased our total selling, general and administrative expense for these periods. Losses on the plan investments during the nine months ended September 30, 2022 decreased our total selling, general and administrative expense for these periods.

Excluding the change in the deferred compensation plan described above, consolidated selling, general and administrative expense increased $5.7 million or 5.1% for the nine months ended September 30, 2023 compared to the corresponding period in 2022. The change was driven primarily by increases in professional fees and travel-related expenses, impacted by inflationary pressures.

The table below summarizes the changes in these components of selling, general and administrative expense:
Nine Months Ended September 30,
20232022$ Change% Change
(dollar amounts in thousands)
Selling, general and administrative expense excluding change in deferred compensation plan liability$117,893 $112,144 $5,749 5.1 %
Loss on deferred compensation plan liability2,630 (11,324)13,954 (123.2)%
Selling, general and administrative expense$120,523 $100,820 $19,703 19.5 %

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Consolidated Investment and Interest Income, net

Investment and other income was a $7.0 million gain for the nine months ended September 30, 2023, compared to a $9.0 million loss during the corresponding 2022 period, due to market fluctuations in the value of our trading security investments representing the funding for our deferred compensation plan.

Consolidated Interest Expense

Consolidated interest expense increased to $5.8 million for the nine months ended September 30, 2023 compared to $1.8 million during the corresponding 2022 period due to increased short-term borrowings during 2023 and increased market interest rates.

Consolidated Income Taxes

During the nine months ended September 30, 2023 and 2022, the Company recognized a benefit for income taxes of $6.2 million, a 28.3% effective tax rate, and $6.6 million, a 26.2% effective tax rate, respectively. The actual annual effective tax rate will be impacted by the tax effects of option exercises or vested awards, which are treated as discrete items in the reporting period in which they occur and may vary based upon the Company’s common stock price at exercise and the volume of such exercises; therefore, these cannot be considered in the calculation of the estimated annual effective tax rate. The impact on our income tax provision for the nine months ended September 30, 2023 and 2022 for such discrete items was an expense of approximately $1.4 million and $1.1 million, respectively.

Liquidity and Capital Resources

Our primary sources of liquidity are available cash and cash equivalents, available lines of credit under our revolving credit facility and cash flows from operating activities. At September 30, 2023, we had cash, cash equivalents and marketable securities of $121.3 million and working capital of $345.6 million, compared to cash, cash equivalents and marketable securities of $121.5 million and working capital of $330.0 million at December 31, 2022. Our current ratio was 2.8 to 1 at both September 30, 2023 and December 31, 2022. Marketable securities represent fixed income investments that are highly liquid and can be readily purchased or sold through established markets. Such securities are held by our captive insurance company to satisfy capital requirements of the state regulator related to captive insurance companies.

For the nine months ended September 30, 2023 and 2022, our cash flows were as follows:
Nine Months Ended September 30,
20232022
(in thousands)
Net cash used in operating activities$(5,947)$(31,060)
Net cash (used in) from investing activities$(1,910)$2,872 
Net cash from (used in) financing activities$12,891 $(22,973)

Operating Activities

Our primary sources of cash from operating activities are the revenues generated from our Housekeeping and Dietary services. Our primary uses of cash from operating activities are the funding of our payroll and other personnel-related costs as well as the costs of supplies used in providing our services. For the nine months ended September 30, 2023, cash flow from operations was negative primarily due to the increase in accounts receivable, which is driven by the timing of customer payments.

Investing Activities

Our principal uses of cash for investing activities are capital expenditures such as housekeeping and food service equipment, computer software and hardware, and furniture and fixtures (see “Capital Expenditures” below for additional information). While no purchases of marketable securities were made during the nine months ended September 30, 2023, we also use cash for such purchases when deemed appropriate in line with capital funding requirements for our captive entity. Such uses of cash are offset by proceeds from sales of marketable securities.

Our investments in marketable securities are primarily comprised of tax-exempt municipal bonds and are intended to achieve our goal of preserving principal, maintaining adequate liquidity and maximizing returns subject to our investment guidelines.
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Our investment policy limits investment to certain types of instruments issued by institutions primarily with investment-grade ratings and places restrictions on concentration by type and issuer.

Financing Activities

The primary use of cash from financing activities is repurchases of our common stock. Prior to 2023, the primary use of cash from financing activities was the payment of dividends. On February 14, 2023, our Board of Directors authorized the repurchase of up to 7.5 million outstanding shares and suspended the quarterly dividend issued on common stock as part of our overall capital rebalancing strategy. No dividends were issued during the nine months ended September 30, 2023. In the three months ended September 30, 2022, we paid $15.9 million in cash dividends.

We repurchased 0.3 million shares of our common stock for $4.0 million during the three months ended September 30, 2023. We have repurchased 0.5 million shares of our common stock for $6.2 million for the nine months ended September 30, 2023. We remain authorized to repurchase up to 7.0 million outstanding shares under the capital rebalancing strategy.

Line of Credit

As of September 30, 2023, we had a $300 million bank line of credit on which to draw for general corporate purposes. Amounts drawn under the line of credit are payable upon demand and generally bear interest at a floating rate, based on our leverage ratio, and starting at the Term Secured Overnight Financing Rate (“SOFR”) rate plus 165 basis points. The Company’s line of credit was amended on November 22, 2022 to, among other things, provide for a five-year unsecured revolving loan facility in the aggregate amount of $300 million with, at the Company’s option, the ability to increase the revolving loan commitments to an aggregate amount not to exceed $500 million and to change the benchmark rate from the London Interbank Offered Rate (“LIBOR”) to SOFR. At September 30, 2023, there were $45.0 million in borrowings under the line of credit.

The line of credit requires us to satisfy two financial covenants. The covenants and their respective status at September 30, 2023 were as follows:
Covenant Descriptions and RequirementsAs of September 30, 2023
Funded debt 1 to EBITDA 2 ratio: less than 3.50 to 1.00
1.49
EBITDA to Interest Expense ratio: not less than 3.00 to 1.009.47
1.All indebtedness for borrowed money including, but not limited to, capitalized lease obligations, reimbursement obligations in respect of letters of credit and guarantees of any such indebtedness.
2.Net income plus interest expense, income tax expense, depreciation, amortization, stock compensation expense, costs incurred to maintain the line of credit facility and certain third-party charges associated with the line of credit agreement or permitted acquisition-related activity, subject to limitations.

As noted above, we were in compliance with our financial covenants at September 30, 2023 and we expect to remain in compliance. The line of credit expires on November 22, 2027. We believe that our existing capacity under the line of credit provides adequate liquidity.

At September 30, 2023, we also had outstanding $85.7 million in irrevocable standby letters of credit, which relate to payment obligations under our insurance programs.

Capital Expenditures

The level of capital expenditures is generally dependent on the number of new customers obtained. Such capital expenditures primarily consist of housekeeping and food service equipment purchases, laundry and linen equipment installations, computer hardware and software, furniture and fixtures. Although we have no specific material commitments for capital expenditures through the end of calendar year 2023, we estimate that for 2023 we will have capital expenditures of approximately $4.0 million to $6.0 million, of which we have made $4.0 million through September 30, 2023.

Although there can be no assurance, 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 seek to obtain necessary capital from such sources as long-term debt or equity financing. In addition, there can be no assurance of the terms thereof and any subsequent equity financing sought may have dilutive effects on our current shareholders.

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Material Off-Balance Sheet Arrangements

We have no material off-balance sheet arrangements, other than our irrevocable standby letter of credit previously discussed.

Critical Accounting Policies and Estimates

Our significant accounting policies are described in the notes to the consolidated financial statements included in the Form 10-K for the period ended December 31, 2022. As described in such notes, we recognize revenue in the period in which the performance obligation is satisfied. Refer to our Management’s Discussion and Analysis of Financial Condition and Results of Operations included in the Form 10-K.

In preparing our financial statements, management is required to make estimates and assumptions that, among other things, affect the reported amounts of assets, liabilities, revenue and expenses. These estimates and assumptions are most significant when they involve levels of subjectivity and judgment necessary to account for highly uncertain matters or matters susceptible to change and where they can have a material impact on our financial condition and operating performance. If actual results were to differ materially from the estimates made, the reported results could be materially affected.

Critical accounting estimates and the related assumptions are evaluated periodically as conditions warrant, and changes to such estimates are recorded as new information or changed conditions require.

Item 3.   Quantitative and Qualitative Disclosures About Market Risk

At September 30, 2023, we had $121.3 million in cash, cash equivalents and marketable securities. The fair value of all of our cash equivalents and marketable securities are determined based on “Level 1” or “Level 2” inputs, which are 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. The market value of fixed rate securities may be adversely impacted by 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.

Item 4. Controls and Procedures

Evaluation of Disclosure Controls and Procedures

Disclosure controls and procedures are intended to ensure that information required to be disclosed in our reports under the Exchange Act, such as this Form 10-Q, is reported in accordance with Securities and Exchange Commission rules. Disclosure controls are also intended to ensure that such information is accumulated and communicated to Management, including the Principal Executive Officer (President and Chief Executive Officer) and Principal Financial Officer (Principal Accounting Officer), as appropriate, to allow timely decisions regarding required disclosure.

Based on their evaluation as of September 30, 2023, pursuant to Securities Exchange Act of 1934, as amended (the “Exchange Act”) Rule 13a-15(b), our Management, including our Principal Executive Officer and Principal Financial Officer, believe our disclosure controls and procedures (as defined in Exchange Act 13a-15(e)) are effective.

Changes in Internal Controls over Financial Reporting

There were no changes in the Company’s internal controls over financial reporting that occurred during the three months ended September 30, 2023 that have materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting. The Company continues to review its disclosure controls and procedures, including its internal control over financial reporting, and may from time to time make changes aimed at enhancing their effectiveness and to ensure that the Company’s systems evolve with its business.





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Certifications

Certifications of the Principal Executive Officer and Principal Financial and Accounting Officer regarding, among other items, disclosure controls and procedures are included as exhibits to this Form 10-Q.

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PART II — OTHER INFORMATION

Item 1. 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.

At this time, the Company is unable to reasonably estimate possible losses or form a judgment that an unfavorable outcome is either probable, reasonably possible or remote with respect to certain pending litigation claims asserted.

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 1A. Risk Factors

There have been no material changes in the risk factors set forth in Part I, Item 1A, “Risk Factors” in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022.

Item 2. Unregistered Sales of Equity Securities, Use of Proceeds, and Issuer Purchases of Equity Securities

Repurchases of Equity Securities

On February 14, 2023, our Board of Directors authorized the repurchase of up to 7.5 million outstanding shares of common stock (the “Repurchase Plan”). We remain authorized to purchase 7.0 million shares of common stock under the Repurchase Plan.

Shares repurchased pursuant to the Repurchase Plan during the three months ended September 30, 2023, were as follows:
Quarter Ended September 30, 2023Total number of shares of Common Stock repurchasedAverage price paid per share of Common Stock
Aggregate purchase price of Common Stock repurchases1
Number of remaining shares authorized for repurchase
(in thousands)
July 1, 2023 - July 31, 202358,601 $12.53 $734 7,272 
August 1, 2023 - August 31, 2023102,011 $12.34 $1,259 7,170 
September 1, 2023 - September 30, 2023185,000 $10.68 $1,977 6,985 
Third quarter345,612 $11.49 $3,970 6,985 
1.    Excludes commissions and other costs of less than $0.1 million.

Item 3. Defaults Upon Senior Securities

Not applicable.

Item 4. Mine Safety Disclosures

Not applicable.

Item 5. Other Information

During the three months ended September 30, 2023, none of our directors or officers (as defined in Rule 16a-1(f) of the Securities Exchange Act of 1934, as amended),  i  i adopted / ,  i  i terminated /  or modified a Rule 10b5-1 trading arrangement or non-Rule 10b5-1 trading arrangement (as such terms are defined in Item 408 of Regulation S-K of the Securities Act of 1933, as amended).

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Item 6. Exhibits

The following exhibits are filed as part of this Report:
Exhibit NumberDescription
31.1
31.2
32.1
101
The following financial information from the Company’s Form 10-Q for the quarterly period ended September 30, 2023 formatted in iXBRL (Inline eXtensible Business Reporting Language): (i) Consolidated Balance Sheets, (ii) Consolidated Statements of Comprehensive (Loss) Income, (iii) Consolidated Statements of Cash Flows, (iv) Consolidated Statement of Stockholders’ Equity, and (v) Notes to Consolidated Financial Statements
104Cover Page Interactive Data File (formatted as inline XBRL with applicable taxonomy extension information contained in Exhibits 101.)


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Signatures

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant had duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
HEALTHCARE SERVICES GROUP, INC.
Date:October 27, 2023/s/ Theodore Wahl
Theodore Wahl
President & Chief Executive Officer
(Principal Executive Officer)
Date:October 27, 2023/s/ Andrew M. Brophy
Andrew M. Brophy
Vice President, Controller & Principal Accounting Officer
(Principal Financial and Accounting Officer)

41

Dates Referenced Herein   and   Documents Incorporated by Reference

This ‘10-Q’ Filing    Date    Other Filings
11/22/27
12/31/25
1/4/24
12/31/23
Filed on:10/27/23
10/25/238-K
For Period end:9/30/234
9/1/23
8/31/23
8/1/23
7/31/23
7/1/23
6/30/2310-Q,  4
5/30/234,  8-K
3/31/2310-Q,  4
2/24/234
2/14/23
12/31/2210-K,  ARS
11/22/228-K
9/30/2210-Q
6/30/2210-Q
3/31/2210-Q
12/31/2110-K
9/30/2110-Q
1/1/213
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