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HEALTHCARE SERVICES GROUP INC - Quarter Report: 2009 September (Form 10-Q)

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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D. C. 20549
FORM 10-Q
(MARK ONE)
     
þ   QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 2009
OR
     
o   TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from                      to                     
Commission File Number 0-12015
HEALTHCARE SERVICES GROUP, INC.
( Exact name of registrant as specified in its charter )
     
Pennsylvania   23-2018365
     
(State or other jurisdiction of   (IRS Employer Identification
incorporation or organization)   number)
     
3220 Tillman Drive-Suite 300, Bensalem, Pennsylvania   19020
     
(Address of principal executive office)   (Zip code)
Registrant’s telephone number, including area code: 215-639-4274
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 Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.
YES þ       NO o
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or such shorter period that the registrant was required to submit and post such files
YES o       NO þ
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one):
             
Large accelerated filer þ   Accelerated filer o   Non-accelerated filer o
(Do not check if a smaller reporting company)
  Smaller reporting company o
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).
YES o       NO þ
APPLICABLE ONLY TO CORPORATE ISSUERS:
Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date. Common Stock, $.01 Par Value: 43,482,000 shares outstanding as of October 15, 2009.
 
 
Total of 43 Pages

 


 

INDEX
     
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  2
 
   
  3
 
   
  4
 
   
  5
 
   
  6
 
   
  7 – 19
 
   
  20 – 35
 
   
  36
 
   
  36
 
   
   
  37
  37
  37
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  37
  37
  37
  38
 EX-31.1
 EX-31.2
 EX-32.1
 EX-32.2

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PART I. FINANCIAL INFORMATION
Item 1. FINANCIAL STATEMENTS
          Consolidated Balance Sheets
                 
    (Unaudited)        
    September 30,     December 31,  
    2009     2008  
     
ASSETS
               
CURRENT ASSETS:
               
Cash and cash equivalents
  $ 37,437,000     $ 37,501,000  
Marketable securities, at fair value
    51,594,000       49,414,000  
Accounts and notes receivable, less allowance for doubtful accounts of $4,400,000 in 2009 and $3,214,000 in 2008
    104,721,000       96,558,000  
Prepaid income taxes
          2,838,000  
Inventories and supplies
    16,804,000       16,079,000  
Prepaid expenses and other
    7,077,000       4,225,000  
 
           
Total current assets
    217,633,000       206,615,000  
PROPERTY AND EQUIPMENT:
               
Laundry and linen equipment installations
    1,672,000       1,767,000  
Housekeeping equipment and office furniture
    16,636,000       16,365,000  
Autos and trucks
    278,000       93,000  
 
           
 
    18,586,000       18,225,000  
Less accumulated depreciation
    14,321,000       14,296,000  
 
           
 
    4,265,000       3,929,000  
GOODWILL
    17,054,000       15,020,000  
OTHER INTANGIBLE ASSETS, Less accumulated amortization of $3,581,000 in 2009 and $2,466,000 in 2008
    9,319,000       5,033,000  
NOTES RECEIVABLE- long term portion, net of discount
    5,394,000       3,202,000  
DEFERRED COMPENSATION FUNDING, at fair value
    10,241,000       8,287,000  
DEFERRED INCOME TAXES- long term portion
    7,713,000       6,386,000  
OTHER NONCURRENT ASSETS
    68,000       89,000  
 
           
TOTAL ASSETS
  $ 271,687,000     $ 248,561,000  
 
           
LIABILITIES AND STOCKHOLDERS’ EQUITY
               
CURRENT LIABILITIES:
               
Accounts payable
  $ 8,377,000     $ 9,301,000  
Accrued payroll, accrued and withheld payroll taxes
    24,872,000       14,365,000  
Income taxes payable
    329,000        
Other accrued expenses
    1,433,000       679,000  
Deferred income taxes
    812,000       754,000  
Accrued insurance claims
    4,802,000       3,943,000  
 
           
Total current liabilities
    40,625,000       29,042,000  
 
               
ACCRUED INSURANCE CLAIMS- long term portion
    11,206,000       9,201,000  
DEFERRED COMPENSATION LIABILITY
    10,484,000       8,636,000  
COMMITMENTS AND CONTINGENCIES
               
STOCKHOLDERS’ EQUITY:
               
Common stock, $.01 par value: 100,000,000 shares authorized, 45,689,000 shares issued in 2009 and 45,563,000 in 2008
    457,000       456,000  
Additional paid in capital
    90,699,000       84,421,000  
Retained earnings
    138,011,000       137,741,000  
Common stock in treasury, at cost, 2,206,000 shares in 2009 and 2,335,000 in 2008
    (19,795,000 )     (20,936,000 )
 
           
Total stockholders’ equity
    209,372,000       201,682,000  
 
           
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY
  $ 271,687,000     $ 248,561,000  
 
           
See accompanying notes.

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Consolidated Statements of Income
                    (Unaudited)
                 
    For the Three Months Ended September 30,  
    2009     2008  
Revenues
  $ 178,829,000     $ 152,978,000  
Operating costs and expenses:
               
Costs of services provided
    155,228,000       134,228,000  
Selling, general and administrative
    11,936,000       9,615,000  
Other Income:
               
Investment and interest
    1,709,000       (157,000 )
 
           
 
               
Income before income taxes
    13,374,000       8,978,000  
 
               
Income taxes
    5,149,000       3,456,000  
 
           
 
               
Net Income
  $ 8,225,000     $ 5,522,000  
 
           
 
               
Basic earnings per Common Share
  $ 0.19     $ 0.13  
 
           
 
               
Diluted earnings per Common Share
  $ 0.19     $ 0.13  
 
           
 
               
Cash dividends per Common Share
  $ 0.19     $ 0.15  
 
           
 
               
Basic weighted average number of Common Shares outstanding
    43,626,000       43,143,000  
 
           
 
               
Diluted weighted average number of Common Shares outstanding
    44,334,000       43,980,000  
 
           
See accompanying notes.

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Consolidated Statements of Income
(Unaudited)
                 
    For the Nine Months Ended September 30,  
    2009     2008  
Revenues
  $ 510,134,000     $ 448,155,000  
Operating costs and expenses:
               
Costs of services provided
    438,950,000       387,157,000  
Selling, general and administrative
    36,328,000       30,318,000  
Other Income:
               
Investment and interest
    3,803,000       753,000  
 
           
 
               
Income before income taxes
    38,659,000       31,433,000  
 
               
Income taxes
    14,883,000       12,102,000  
 
           
 
               
Net Income
  $ 23,776,000     $ 19,331,000  
 
           
 
               
Basic earnings per Common Share
  $ 0.55     $ 0.45  
 
           
 
               
Diluted earnings per Common Share
  $ 0.54     $ 0.44  
 
           
 
               
Cash dividends per Common Share
  $ 0.54     $ 0.42  
 
           
 
               
Basic weighted average number of Common Shares outstanding
    43,540,000       43,078,000  
 
           
 
               
Diluted weighted average number of Common Shares outstanding
    44,224,000       44,050,000  
 
           
See accompanying notes.

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          Consolidated Statements of Cash Flows
                 
    (Unaudited)  
    For the Nine Months Ended  
    September 30,  
    2009     2008  
Cash flows from operating activities:
               
Net Income
  $ 23,776,000     $ 19,331,000  
Adjustments to reconcile net income to net cash provided by operating activities:
               
Depreciation and amortization
    2,336,000       2,152,000  
Bad debt provision
    1,956,000       3,050,000  
Deferred income tax benefits
    (1,269,000 )     (1,376,000 )
Stock-based compensation expense
    739,000       529,000  
Amortization of premium on marketable securities
    702,000          
Unrealized gain on marketable securities
    (589,000 )        
Unrealized (gain) loss on deferred compensation fund investments
    (1,454,000 )     1,212,000  
Changes in operating assets and liabilities:
               
Accounts and notes receivable
    (10,119,000 )     (14,788,000 )
Prepaid income taxes
    2,838,000        
Inventories and supplies
    (449,000 )     (881,000 )
Notes receivable- long term portion
    (2,192,000 )     1,871,000  
Deferred compensation funding
    (500,000 )     (162,000 )
Accounts payable and other accrued expenses
    (261,000 )     (1,187,000 )
Accrued payroll, accrued and withheld payroll taxes
    10,025,000       10,198,000  
Accrued insurance claims
    2,864,000       14,000  
Deferred compensation liability
    2,202,000       (773,000 )
Income taxes payable
    329,000       (616,000 )
Prepaid expenses and other assets
    4,244,000       (148,000 )
 
           
Net cash provided by operating activities
    35,178,000       18,426,000  
 
           
Cash flows from investing activities:
               
Disposals of fixed assets
    219,000       6,000  
Additions to property and equipment
    (1,593,000 )     (1,046,000 )
Purchases of marketable securities, net
    (2,294,000 )        
Cash paid for acquisition
    (4,613,000 )        
 
           
Net cash used in investing activities
    (8,281,000 )     (1,040,000 )
 
           
Cash flows from financing activities:
               
Acquisition of treasury stock
          (4,666,000 )
Dividends paid
    (23,506,000 )     (18,077,000 )
Repayment of debt assumed in acquisition
    (4,718,000 )        
Reissuance of treasury stock pursuant to Dividend Reinvestment Plan
    64,000       46,000  
Proceeds from the exercise of stock options
    826,000       3,054,000  
Tax benefit from equity compensation plans
    373,000       3,368,000  
 
           
Net cash used in financing activities
    (26,961,000 )     (16,275,000 )
 
           
 
               
Net decrease in cash and cash equivalents
    (64,000 )     1,111,000  
 
               
Cash and cash equivalents at beginning of the period
    37,501,000       92,461,000  
 
           
 
               
Cash and cash equivalents at end of the period
  $ 37,437,000     $ 93,572,000  
 
           
 
               
Supplementary Cash Flow Information:
               
Cash payments for income taxes, net of refunds
  $ 12,612,000     $ 5,883,000  
 
           
 
               
Issuance of 66,000 shares of Common Stock related to acquisition
  $ 4,494,000     $  
 
           
 
               
Issuance of 49,000 shares of Common Stock in 2009 and 61,000 shares of Common Stock in 2008 pursuant to Employee Stock Plans
  $ 777,000     $ 1,293,000  
 
           
See accompanying notes.

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Consolidated Statements of Stockholders’ Equity
(Unaudited)
                                                 
    For the Nine Months Ended September 30, 2009  
                    Additional                    
    Common Stock     Paid-in     Retained     Treasury     Stockholders’  
    Shares     Amount     Capital     Earnings     Stock     Equity  
Balance, December 31, 2008
    45,563,000     $ 456,000     $ 84,421,000     $ 137,741,000       ($20,936,000 )   $ 201,682,000  
Net income for the period
                            23,776,000               23,776,000  
Exercise of stock options and other stock-based compensation, net of 5,000 shares tendered for payment
    126,000       1,000       758,000               67,000       826,000  
Share-based compensation expense — stock options
                    532,000                       532,000  
Tax benefit arising from Stock Plans’ transactions
                    373,000                       373,000  
Treasury shares issued for Deferred Compensation Plan funding and redemptions (21,000 shares)
                    331,000               23,000       354,000  
Shares issued pursuant to Employee Stock Plans (49,000 shares)
                    351,000               426,000       777,000  
Cash dividends - $.54 per common share
                            (23,506,000 )             (23,506,000 )
Shares issued pursuant to Dividend Reinvestment Plan (4,000 shares)
                    30,000               34,000       64,000  
Shares issued pursuant to acquisition (66,000)
                    3,903,000               591,000       4,494,000  
 
                                   
Balance, September 30, 2009
    45,689,000     $ 457,000     $ 90,699,000     $ 138,011,000     $ (19,795,000 )   $ 209,372,000  
 
                                   
See accompanying notes

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited)
Note 1 — Basis of Reporting
          The accompanying financial statements are unaudited and do not include certain information and note disclosures required by accounting principles generally accepted in the United States for complete financial statements. However, in our opinion, all adjustments (consisting of normal recurring adjustments) considered necessary for a fair presentation have been included. The balance sheet shown in this report as of December 31, 2008 has been derived from, and does not include, all the disclosures contained in the financial statements for the year ended December 31, 2008. The financial statements should be read in conjunction with the financial statements and notes thereto included in our Annual Report on Form 10-K for the year ended December 31, 2008. The results of operations for either the quarter or nine month period ended September 30, 2009 are not necessarily indicative of the results that may be expected for the full fiscal year.
As of September 30, 2009, we operate one wholly-owned subsidiary, Huntingdon Holdings, Inc. (“Huntingdon”). Huntingdon invests our cash and cash equivalents, as well as manages our portfolio of marketable securities. On March 1, 2009, we sold our wholly-owned subsidiary HCSG Supply, Inc. (“Supply”) for approximately $1,100,000, financed principally through our acceptance of a secured promissory note which is recorded in our notes receivable in the accompanying September 30, 2009 balance sheet. As a result of the Supply sale, we recorded an immaterial gain in our 2009 first quarter consolidated statements of income.
On April 30, 2009, we executed an Asset Purchase Agreement to acquire essentially all of the assets of Contract Environmental Services, Inc. (“CES”), a South Carolina based corporation which is a provider of professional housekeeping, laundry and food services to long-term care and related facilities. We believe the acquisition of CES expands and compliments our position of being the largest provider of such services to long-term care and related facilities in the United States. The aggregate consideration, subject to future revision, was approximately $16,279,000 consisting of approximately: (i) $4,613,000 in cash, (ii) a current issuance of approximately 66,000 shares of our common stock (valued at approximately $1,183,000) and a future issuance of approximately 265,000 shares (valued at approximately $3,311,000) contingent upon the achievement of certain financial targets, and (iii) the repayment of approximately $4,718,000 of certain debt obligations of CES. Additionally, pursuant to the transaction we assumed approximately $2,454,000 of certain other liabilities of the seller. The allocation of such consideration has resulted in our recording in the accompanying September 30, 2009 consolidated balance sheet of the following assets: (i) approximately $8,845,000 consisting primarily of accounts receivable, (ii) $5,400,000 of amortizable intangible assets, and (iii) $2,034,000 of goodwill.
In preparing financial statements in conformity with accounting principles generally accepted in the United States of America (“U.S. GAAP”), we make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosures of contingent assets and liabilities at the date of the financial statements, as well as the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. Significant estimates are used for, but not limited to, our allowance for doubtful accounts, accrued insurance claims, asset valuations and review for potential impairment, stock-based compensation, and

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deferred tax benefits. The estimates are based upon various factors including current and historical trends, as well as other pertinent industry and regulatory authority information. We regularly evaluate this information to determine if it is necessary to update the basis for our estimates and to compensate for known changes.
Inventories and supplies include housekeeping, linen and laundry supplies, as well as food provisions. Inventories and supplies are stated at cost to approximate a first-in, first-out (FIFO) basis. Linen supplies are amortized over a 24 month period.
Revenues from services provided and equipment sales are recorded net of sales taxes.
Note 2 — Fair Value Measurements and Marketable Securities
          We, in accordance with U.S. GAAP, define fair value as the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date (exit price). Effective January 1, 2008, we elected the fair value option for certain of our marketable securities purchased since such adoption. Management elected the fair value option for certain of our marketable securities because it views such investment securities as highly liquid and available to be drawn upon for working capital purposes making them similar to its cash and cash equivalents.
Certain of our assets and liabilities are reported at fair value in the accompanying balance sheets. Such assets and liabilities include cash and cash equivalents, marketable securities, accounts and notes receivable, and accounts payable (including income taxes payable and accrued expenses). Additionally, the following tables provide fair value measurement information for our marketable securities and deferred compensation fund investment assets as of September 30, 2009 and December 31, 2008.
                                         
                    As of September 30, 2009
                    Fair Value Measurement Using:
                            Significant    
                    Quoted Prices   Other   Significant
                    in Active   Observable   Unobservable
    Carrying           Markets   Inputs   Inputs
    Amount   Total Fair Value   (Level 1)   (Level 2)   (Level 3)
Financial Assets
                                       
Marketable Securities
  $ 51,594,000     $ 51,594,000     $ 51,594,000     $     $  
Deferred Compensation Funding
  $ 10,241,000     $ 10,241,000     $ 10,241,000     $     $  
                                         
                    As of December 31, 2008
                    Fair Value Measurement Using:
                            Significant    
                    Quoted Prices   Other   Significant
                    in Active   Observable   Unobservable
    Carrying           Markets   Inputs   Inputs
    Amount   Total Fair Value   (Level 1)   (Level 2)   (Level 3)
Financial Assets
                                       
Marketable Securities
  $ 49,414,000     $ 49,414,000     $ 49,414,000     $     $  
Deferred Compensation Funding
  $ 8,287,000     $ 8,287,000     $ 8,287,000     $     $  
For the quarter and nine month period ended September 30, 2009, we recorded $217,000 and $589,000, respectively of unrealized gains from marketable securities in the other income- investment

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and interest caption on our consolidated statements of income. There were no unrealized gains or losses reported in our consolidated statements of income in either of the three or nine month periods ended September 30, 2008. Additionally, reported within the other income- investment and interest caption are realized gains from our marketable securities of $64,000 and $249,000, respectively, in the three and nine month periods’ ended September 30, 2009.
                                 
                    Gross   Gross
    Amortized   Unrealized   Unrealized   Estimated
    Cost   Gains   Losses   Fair Value
September 30, 2009
                               
Type of security:
                               
Marketable Securities
  $ 49,859,000     $ 1,735,000     $     $ 51,594,000  
                                 
            Gross   Gross    
    Amortized   Unrealized   Unrealized   Estimated
    Cost   Gains   Losses   Fair Value
December 31, 2008
                               
Type of security:
                               
Marketable Securities
  $ 48,268,000     $ 1,146,000     $     $ 49,414,000  
     Note 3 — Goodwill and Other Intangible Assets
     Goodwill represents the excess of the purchase price over the fair value of net assets acquired of businesses and is not amortized. Goodwill and indefinite-lived intangibles are evaluated for impairment on an annual basis, or more frequently if impairment indicators arise, using a fair-value-based test that compares the fair value of the asset to its carrying value.
The cost of intangible assets is based on fair values at the date of acquisition. Intangible assets with determinable lives are amortized on a straight-line basis over their estimated useful life (between 7 and 8 years).
The following table sets forth the amounts of our identifiable intangible assets subject to amortization, which were acquired in the Summit and CES acquisitions, and the amortization expense recognized thereon for the quarter and nine month period ended September 30, 2009. The CES valuation represents a preliminary allocation and is subject to revision, although we do not believe the final allocation will have a material impact on the amount recorded at this time.:
                         
    Acquisition     Amortization Expense  
    Amount     3rd Quarter     Nine Months  
Customer Relationships
  $ 12,100,000     $ 432,000     $ 1,039,000  
Non-compete Agreements
    800,000       25,000       75,000  
 
                 
Total
  $ 12,900,000     $ 457,000     $ 1,114,000  
 
                 

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          The customer relationships have a weighted-average amortization period of seven years and the non-compete agreements have a weighted-average amortization period of eight years. The following table sets forth the estimated amortization expense for intangibles subject to amortization for the remaining three months in our 2009 fiscal year and the following four fiscal years:
                         
    Customer   Non-Compete        
Period/Year   Relationships   Agreements   Total
October 1 to December 31, 2009
  $ 432,000     $ 25,000     $ 457,000  
2010
  $ 1,729,000     $ 100,000     $ 1,829,000  
2011
  $ 1,729,000     $ 100,000     $ 1,829,000  
2012
  $ 1,729,000     $ 100,000     $ 1,829,000  
2013
  $ 1,410,000     $ 100,000     $ 1,510,000  
          The following table sets forth the amount of goodwill as of September 30, 2009 which is subject to impairment testing, rather than amortization. The goodwill associated with the CES acquisition is deductible for tax purposes over a fifteen year period.
                           
  CES   Summit   All other   Total
 
$2,034,000
  $   13,408,000     $ 1,612,000     $ 17,054,000  
          The following table sets forth by reportable operating segment, as described in Note 5 herein, the amounts of goodwill:
         
Segment   Amount  
Food
  $ 2,380,000  
Housekeeping
    14,674,000  
 
     
Total
  $ 17,054,000  
 
     
Note 4 — Other Contingencies
     We have a $33,000,000 bank line of credit on which we may draw to meet short-term liquidity requirements in excess of internally generated cash flow. Amounts drawn under the line of credit are payable upon demand. At September 30, 2009, there were no borrowings under the line of credit. However, at such date, we had outstanding a $31,925,000 irrevocable standby letter of credit which relates to payment obligations under our insurance programs. As a result of the letter of credit issued, the amount available under the line of credit was reduced by $31,925,000 at September 30, 2009. The line of credit requires us to satisfy two financial covenants. We are in compliance with the financial covenants at September 30, 2009 and expect to continue to remain in compliance with such financial covenants. This line of credit expires on June 30, 2010. We believe the line of credit will be renewed at that time.
We provide our services in 47 states and are subject to numerous local taxing jurisdictions within those states. Consequently, the taxability of our services is subject to various interpretations within these jurisdictions. In the ordinary course of business, a jurisdiction may contest our reporting positions with respect to the application of its tax code to our services, which may result in additional tax liabilities.

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We have tax matters with various taxing authorities. Because of the uncertainties related to both the probable outcome and amount of probable assessment due, we are unable to make a reasonable estimate of a liability. We do not expect the resolution of any of these matters, taken individually or in the aggregate, to have a material adverse affect on our consolidated financial position or results of operations based on our best estimate of the outcomes of such matters.
We are also subject to various claims and legal actions in the ordinary course of business. Some of these matters include payroll and employee-related matters and examinations by governmental agencies. As we become aware of such claims and legal actions, we provide accruals if the exposures are probable and estimable. If an adverse outcome of such claims and legal actions is reasonably possible, we assess materiality and provide such financial disclosure, as appropriate. We believe that these matters, taken individually or in the aggregate, would not have a material adverse affect on our financial position or results of operations.
Congress has enacted a number of major laws during the past decade that have significantly altered, or threaten to alter, overall government reimbursement for nursing home services. Because our clients’ revenues are generally highly reliant on Medicare and Medicaid reimbursement funding rates and mechanisms, the overall effect of these laws and trends in the long term care industry have affected and could adversely affect the liquidity of our clients, resulting in their inability to make payments to us on agreed upon payment terms. These factors, in addition to delays in payments from clients, have resulted in and could continue to result in significant additional bad debts in the near future.
Note 5 — Segment Information
          Reportable Operating Segments
          We manage and evaluate our operations in two reportable segments. The two reportable segments are Housekeeping (housekeeping, laundry, linen and other services), and Food (food services). Although both segments serve the same client base and share many operational similarities, they are managed separately due to distinct differences in the type of service provided, as well as the specialized expertise required of the professional management personnel responsible for delivering the respective segment’s services. We consider the various services provided within Housekeeping to be one reportable operating segment since such services are rendered pursuant to a single service agreement and the delivery of such services is managed by the same management personnel.
Differences between the reportable segments’ operating results and other disclosed data and our consolidated financial statements relate primarily to corporate level transactions, and the recording of transactions at the reportable segment level which use methods other than generally accepted accounting principles. Additionally, included in the differences between the reportable segments’ operating results and other disclosed data are amounts attributable to our investment holding company subsidiary. This subsidiary does not transact any business with the reportable segments. Segment amounts reported are prior to any elimination entries made in consolidation.

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Housekeeping provides services in Canada, although essentially all of its revenues and net income, 99% in both categories, are earned in one geographic area, the United States. Food provides services solely in the United States.
                                    
    Housekeeping   Food   Corporate and    
    services   services   eliminations   Total
Quarter Ended September 30, 2009
                               
Revenues
  $ 136,496,000     $ 42,322,000     $ 11,000     $ 178,829,000  
Income before income taxes
  $ 12,908,000     $ 1,431,000     $ (965,000 )(1)   $ 13,374,000  
 
                               
Quarter Ended September 30, 2008
                               
Revenues
  $ 124,793,000     $ 29,423,000     $ (1,238,000 )   $ 152,978,000  
Income before income taxes
  $ 11,542,000     $ 717,000     $ (3,281,000 )(1)   $ 8,978,000  
 
                               
Nine Months Ended September 30, 2009
                               
Revenues
  $ 393,431,000     $ 116,567,000     $ 136,000     $ 510,134,000  
Income before income taxes
  $ 38,528,000     $ 5,194,000     $ (5,063,000 )(1)   $ 38,659,000  
 
                               
Nine Months Ended September 30, 2008
                               
Revenues
  $ 364,263,000     $ 84,256,000     $ (364,000 )   $ 448,155,000  
Income before income taxes
  $ 34,585,000     $ 2,696,000     $ (5,848,000 )(1)   $ 31,433,000  
 
(1)   represents primarily corporate office cost and related overhead, as well as consolidated subsidiary’s operations that are not allocated to the reportable segments.
          Total Revenues from Clients
          The following revenues earned from clients differ from segment revenues reported above due to the inclusion of adjustments used for segment reporting purposes by management. We earned total revenues from clients in the following service categories:
                 
    For the Quarter Ended September 30,  
    2009     2008  
Housekeeping services
  $ 92,459,000     $ 85,048,000  
Laundry and linen services
    43,465,000       38,556,000  
Food Services
    42,305,000       28,861,000  
Maintenance services and Other
    600,000       513,000  
 
           
 
  $ 178,829,000     $ 152,978,000  
 
           

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    For the Nine Months Ended September 30,  
    2009     2008  
Housekeeping services
  $ 267,602,000     $ 249,924,000  
Laundry and linen services
    124,205,000       112,763,000  
Food Services
    116,527,000       83,870,000  
Maintenance services and Other
    1,800,000       1,598,000  
 
           
 
  $ 510,134,000     $ 448,155,000  
 
           
          Major Client
          We have one client, a nursing home chain (“Major Client”), which accounted for the respective percentages of our revenues as detailed below:
                 
    2009   2009
    Nine months   3rd quarter
Total revenues
    13 %     12 %
Housekeeping
    13 %     12 %
Food
    12 %     11 %
                 
    2008   2008
    Nine months   3rd quarter
Total revenues
    15 %     14 %
Housekeeping
    14 %     14 %
Food
    18 %     16 %
Additionally, at both September 30, 2009 and December 31, 2008, amounts due from such client represented less than 1% of our accounts receivable balance. The loss of such client, or a significant reduction in revenues from such client, would have a material adverse effect on the results of operations of our two operating segments. In addition, if such client changes its payment terms it would increase our accounts receivable balance and have a material adverse effect on our cash flows and cash and cash equivalents.
Note 6 — Earnings Per Common Share
          A reconciliation of the numerator and denominator of basic and diluted earnings per common share is as follows:
                         
    Quarter Ended September 30, 2009  
    Income     Shares     Per-share  
    (Numerator)     (Denominator)     Amount  
Net income
  $ 8,225,000                  
 
                     
Basic earnings per common share
  $ 8,225,000       43,626,000     $ .19  
Effect of dilutive securities:
                       
Options
            708,000          
 
                 
Diluted earnings per common share
  $ 8,225,000       44,334,000     $ .19  
 
                 

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    Quarter Ended September 30, 2008  
    Income     Shares     Per-share  
    (Numerator)     (Denominator)     Amount  
Net income
  $ 5,522,000                  
 
                     
Basic earnings per common share
  $ 5,522,000       43,143,000     $ .13  
Effect of dilutive securities:
                       
Options
            837,000          
 
                 
Diluted earnings per common share
  $ 5,522,000       43,980,000     $ .13  
 
                 
                         
    Nine Months Ended September 30, 2009  
    Income     Shares     Per-share  
    (Numerator)     (Denominator)     Amount  
Net income
  $ 23,776,000                  
 
                     
Basic earnings per common share
  $ 23,776,000       43,540,000     $ .55  
Effect of dilutive securities:
                       
Options
            684,000       (.01 )
 
                 
Diluted earnings per common share
  $ 23,776,000       44,224,000     $ .54  
 
                 
                         
    Nine Months Ended September 30, 2008  
    Income     Shares     Per-share  
    (Numerator)     (Denominator)     Amount  
Net income
  $ 19,331,000                  
 
                     
Basic earnings per common share
  $ 19,331,000       43,078,000     $ .45  
Effect of dilutive securities:
                       
Options
            972,000       (.01 )
 
                 
Diluted earnings per common share
  $ 19,331,000       44,050,000     $ .44  
 
                 
Options to purchase 353,000 and 358,000 shares of common stock at an average exercise price of $20.89 per common share were outstanding during the three and nine month periods ended September 30, 2009, respectively, but not included in the computation of diluted earnings per common share because the options’ exercise prices were greater than the average market price of the common shares, and therefore, would be antidilutive.
Options to purchase 366,000 shares of common stock at an average exercise price of $20.89 per common share were outstanding during each of the three and nine month periods ended September 30, 2008, respectively, but not included in the computation of diluted earnings per common share because the options’ exercise prices were greater that the average market price of the common shares, and therefore, would be antidilutive.
Note 7 — Dividends
          We have paid regular quarterly cash dividends since the second quarter of 2003. During

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the nine month period ended September 30, 2009, we paid regular cash dividends totaling $23,506,000 as follows.
                         
    1st Quarter   2nd Quarter   3rd Quarter
Cash dividend per common share
  $ .17     $ .18     $ .19  
Total cash dividends paid
  $ 7,388,000     $ 7,826,000     $ 8,292,000  
Record date
    February 6       April 24       July 24  
Payment date
    February 20       May 15       August 7  
On October 13, 2009, our Board of Directors declared a regular quarterly cash dividend payment of $.20 per common share to be paid on November 6, 2009 to shareholders of record as of October 23, 2009.
Note 8 — Share-Based Compensation
               Stock Options
          During the nine month period ended September 30, 2009, the stock option activity under our 2002 Stock Option Plan, 1995 Incentive and Non-Qualified Stock Option Plan for key employees, and 1996 Non-Employee Director’s Stock Option Plan (collectively the “Stock Option Plans”), was as follows:
                                 
                    Weighted Average        
                    Remaining        
                    Contractual     Aggregate  
    Weighted Average     Number     Life     Intrinsic  
    Price     of Shares     ( In Years)     Value  
Outstanding, January 1, 2009
  $ 10.14       1,896,000                  
Granted
    15.58       421,000                  
Cancelled
    19.00       (30,000 )                
Exercised
    6.58       (138,000 )                
 
                       
Outstanding, September 30, 2009
  $ 11.31       2,149,000       5.24     $ 16,055,000  
 
                       
 
                               
Options exercisable as of September 30, 2009
            1,458,000       3.52     $ 14,914,000  
 
                         
The following table summarizes information about stock options outstanding at September 30, 2009.
                                                 
            Options Outstanding             Options Exercisable  
                    Average     Weighted             Weighted  
                    Remaining     Average             Average  
Exercise         Number     Contractual     Exercise     Number     Exercise  
Price Range         Outstanding     Life     Price     Exercisable     Price  
$ 1.50 - 2.74    
 
    185,000       2.06     $ 2.64       185,000     $ 2.64  
  3.01 - 5.53    
 
    561,000       3.77       4.76       561,000       4.76  
  9.10 - 9.10    
 
    311,000       5.24       9.10       311,000       9.10  
  13.81 - 15.58    
 
    739,000       5.70       14.78       330,000       13.81  
$ 20.89 - 20.89    
 
    353,000       8.26       20.89       71,000       20.89  
     
 
                             
       
 
    2,149,000       5.24     $ 11.31       1,458,000     $ 8.25  
     
 
                             
Other information pertaining to option activity during the nine month periods ended September 30, 2009 and September 30, 2008 was as follows:

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    September   September
    30, 2009   30, 2008
Weighted average grant-date fair value of stock options granted:
  $ 1,545,000     $ 2,237,000  
Total fair value of stock options vested:
  $ 447,000     $ -0-  
Total pre-tax intrinsic value of stock options exercised:
  $ 1,535,000     $ 9,092,000  
Total pre-tax share-based compensation expense charged against income:
  $ 532,000     $ 335,000  
Total unrecognized compensation expense related to non-vested options:
  $ 2,615,000     $ 1,902,000  
Under our Stock Option Plans at September 30, 2009, in addition to the 2,150,000 shares issuable pursuant to outstanding option grants, an additional 2,011,000 shares of our Common Stock are available for future grants. Options outstanding and exercisable were granted at stock option prices which were not less than the fair market value of our Common Stock on the date the options were granted and no option has a term in excess of ten years. Additionally, with the exception of the options granted in 2009 and 2008, options became vested and exercisable either on the date of grant or commencing six months after the option grant date. The options granted in 2009 and 2008 become vested and exercisable ratably over a five year period on each yearly anniversary date of the option grant.
At September 30, 2009, the total unrecognized compensation expense related to non-vested options, as reported above, was expected to be recognized through the fourth quarter of 2013 for the options granted in 2009 and the fourth quarter of 2012 for the options granted in 2008. The fair value of options granted in 2009 and 2008 was estimated on the date of grant using the Black-Scholes valuation model with the following weighted average assumptions:
                 
    2009   2008
Risk-free interest rate
    2.5 %     4.2 %
Expected volatility
    41.0 %     35.9 %
Weighted average expected life in years
    4.5       4.5  
Dividend yield
    3.6 %     2.0 %
          Employee Stock Purchase Plan
          Total pre-tax share-based compensation expense charged against income for the three and nine month periods ended September 30, 2009 and September 30, 2008 for options granted under our Employee Stock Purchase Plan (“ESPP”) was:
                         
2009   2008
3rd Quarter   Nine Months   3rd Quarter   Nine Months
$63,000
  $ 207,000     $ 37,000     $ 194,000  
It is estimated, at this time, that the expense attributable to such share-based payments in the 2009 fourth quarter will approximate the average of the amounts recorded in each of the first three quarters of 2009. However, such future expense related to our ESPP will be impacted by, and be dependent on the change in our stock price over such remaining period up to the December 31, 2009 measurement date.
Such expense was estimated on the date of grant using the Black-Scholes valuation model with the following weighted average assumptions:

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    2009
    3rd Quarter   Nine Months
Risk-free interest rate
    0.2 %     0.2 %
Expected volatility
    62.9 %     62.9 %
Weighted average expected life (in years)
    1.0       1.0  
Dividend yield
    3.6 %     3.6 %
                 
    2008
    3rd Quarter   Nine Months
Risk-free interest rate
    3.6 %     3.6 %
Expected volatility
    38.8 %     38.8 %
Weighted average expected life (in years)
    1.0       1.0  
Dividend yield
    2.0 %     2.0 %
We may issue new common stock or re-issue common stock from treasury to satisfy our obligations under any of our share-based compensation plans.
Note 9 — Related Party Transactions
          A person who served as a director up until May 19, 2009, as well as the brother of an officer and director (collectively “ Related Parties”) have separate ownership interests in several different client facilities which have entered into service agreements with us. During the nine month periods ended September 30, 2009 and September 30, 2008, the service agreements with the client facilities in which the Related Parties have ownership interests resulted in aggregate revenues of $4,093,000 and $3,776,000, respectively. At September 30, 2009 and December 31, 2008, accounts and notes receivable from such facilities of $1,633,000 (net of reserves of $1,389,000) and $1,837,000 (net of reserves of $739,000), respectively, are included in the accompanying consolidated balance sheets.
Another of our directors is a member of a law firm which was retained by us. During the nine month periods’ ended September 30, 2009 and September 30, 2008, fees received from us by such firm did not exceed $100,000 in either period. Additionally, such fees did not exceed, in either period, 5% of such firm’s revenues.
Note 10 — Income Taxes
          For the nine month periods ended September 30, 2009 and 2008, our effective tax rate was 38.5%. Such differences between the effective tax rates and the applicable U.S. federal statutory rate primarily arise from the effect of state and local income taxes and estimated tax credits available to the Company.
We account for income taxes using the asset and liability method, which results in recognizing income tax expense based on the amount of income taxes payable or refundable for the current year. Additionally, we evaluate regularly the tax positions taken or expected to be taken resulting from financial statement recognition of certain items. Based on our evaluation, we have concluded that there are no significant uncertain tax positions requiring recognition in our

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financial statements. Our evaluation was performed for the tax years ended December 31, 2006 through 2008 (with regard to U.S. federal income tax returns) and December 31, 2005 through 2008 (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, 2009.
We may from time to time be assessed interest or penalties by major tax jurisdictions, although any such assessments historically have been minimal and immaterial to our financial results. When we have received an assessment for interest and/or penalties, it has been classified in the financial statements as selling, general and administrative expense.
Note 11 — Subsequent Events
          We evaluated all subsequent events from the date of the balance sheet through October 16, 2009, which represents the date these financial statements are being filed with the SEC. There were no events or transactions occurring during this subsequent event reporting period which require recognition or disclosure in the financial statements.
Note 12 — Recently Issued Accounting Pronouncements
In December 2007, the Financial Accounting Standards Board (the “FASB”) Accounting Codification Statement (“ASC”) 805-10 (formerly SFAS 141R), “Business Combinations” (“ASC 805-10”) was issued. ASC 805-10 replaces prior guidance on the subject and requires the acquirer of a business to recognize and measure the identifiable assets acquired, the liabilities assumed, and any non-controlling interest in the acquiree at fair value. Additionally, it also requires transaction costs related to the business combination to be expensed as incurred. ASC 805-10 applies prospectively to business combinations for which the acquisition date is on or after the beginning of the first annual reporting period beginning on or after December 15, 2008. The effective date, as well as our adoption date, for the pronouncement was January 1, 2009. The adoption did not have a material impact on our consolidated financial statements.
In April 2008 the FASB issued ASC 350-30 (formerly FSP No. 142-3), Determination of the Useful Life of Intangible Assets, which amends the factors that should be considered in developing renewal or extension assumptions used to determine the useful life of a recognized intangible asset under ASC 350-10 (formerly SFAS 142). This pronouncement requires enhanced disclosures concerning a company’s treatment of costs incurred to renew or extend the term of a recognized intangible asset. It is effective for financial statements issued for fiscal years beginning after December 15, 2008. We determined that the standard will not have a material impact on our consolidated financial statements.
In May 2009, the FASB issued ASC 855-10 (formerly SFAS No. 165), “Subsequent Events,” which establishes general standards for accounting for accounting for and disclosure of events that occur after the balance sheet date but before the financial statements are issued or are available to be issued. The pronouncement requires the disclosure of the date through which an entity has evaluated subsequent events and the

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basis for that date, whether that date represents the date the financial statements were issued or were available to be issued. It is effective with interim and annual financial periods ending after June 15, 2009. We adopted ASC 855-10 at the beginning of our 2009 third quarter. The adoption did not have a significant impact on the subsequent events that we report, either through recognition or disclosure, in our consolidated financial statement
In June 2009, the FASB issued ASC 105-10 (formerly SFAS 168), “The FASB Accounting Standards Codification and the Hierarchy of Generally Accepted Accounting Principles”. ASC 105-10 will become the source of authoritative U.S. GAAP recognized by the FASB to be applied by nongovernment entities. It also modifies the GAAP hierarchy to include only two levels of GAAP; authoritative and non-authoritative. ASC 105-10 is effective for financial statements issued for interim and annual periods ending after September 15, 2009. Therefore, the Company adopted ASC 105-10 for the reporting in our 2009 third quarter. The adoption did not have a significant impact on the reporting of our financial position, results of operations or cash flows.

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ITEM 2 — MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
          Cautionary Statement Regarding Forward Looking Statements
This report and documents incorporated by reference into this report contain forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934 (the “Exchange Act”), as amended, which are not historical facts but rather based on current expectations, estimates and projections about our business and industry, our beliefs and assumptions. Words such as “believes”, “anticipates”, “plans”, “expects”, “will”, “goal”, and similar expressions are intended to identify forward-looking statements. The inclusion of forward-looking statements should not be regarded as a representation by us that any of our plans will be achieved. We undertake no obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. Such forward looking information is also subject to various risks and uncertainties. Such risks and uncertainties include, but are not limited to, risks arising from our providing services exclusively to the health care industry, primarily providers of long-term care; credit and collection risks associated with this industry; one client accounting for approximately 13% of revenues in the nine month period ended September 30, 2009 (see Note 5 – “Major Client” in the accompanying Notes to Consolidated Financial Statements); risks associated with our acquisition of Contract Environmental Services, Inc., including integration risks and costs, or such business not achieving expected financial results or synergies or failure to otherwise perform as expected; our claims experience related to workers’ compensation and general liability insurance; the effects of changes in, or interpretations of laws and regulations governing the industry, our workforce and services provided, including state and local regulations pertaining to the taxability of our services; and the risk factors described in our Form 10-K filed with the Securities and Exchange Commission for the year ended December 31, 2008 in Part I under ”Government Regulation of Clients”, ”Competition”, ”Service Agreements/Collections”, and under Item IA “Risk Factors”. Many of our clients’ revenues are highly contingent on Medicare and Medicaid reimbursement funding rates, which Congress has affected through the enactment of a number of major laws during the past decade. These laws have significantly altered, or threatened to alter, overall government reimbursement funding rates and mechanisms. In addition, the current economic environment and government’s reaction to such could adversely affect prospective funding rates and mechanisms. The effect, overall, of these laws and trends in the long-term care industry have affected and could adversely affect the liquidity of our clients, resulting in their inability to make payments to us on agreed upon payment terms. These factors, in addition to delays in payments from clients, have resulted in, and could continue to result in, significant additional bad debts in the near future. Additionally, our operating results would be adversely affected if unexpected increases in the costs of labor and labor related costs, materials, supplies and equipment used in performing services could not be passed on to our clients.
In addition, we believe that to improve our financial performance we must continue to obtain service agreements with new clients, provide new services to existing clients, achieve modest price increases on current service agreements with existing clients and maintain internal cost reduction strategies at our various operational levels. Furthermore, we believe that our ability to

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sustain the internal development of managerial personnel is an important factor impacting future operating results and successfully executing projected growth strategies.
RESULTS OF OPERATIONS
          The following discussion is intended to provide the reader with information that will be helpful in understanding our financial statements including the changes in certain key items in comparing financial statements period to period. We also intend to provide the primary factors that accounted for those changes, as well as a summary of how certain accounting principles affect our financial statements. In addition, we are providing information about the financial results of our two operating segments to further assist in understanding how these segments and their results affect our consolidated results of operations. This discussion should be read in conjunction with our financial statements as of September 30, 2009 and December 31, 2008 and the periods then ended and the notes accompanying those financial statements.
          Overview
          We provide housekeeping, laundry, linen, facility maintenance and food services to the health care industry, including nursing homes, retirement complexes, rehabilitation centers and hospitals located throughout the United States.
We believe that we are the largest provider of housekeeping and laundry services to the long-term care industry in the United States, rendering such services to approximately 2,300 facilities in 47 states and Canada as of September 30, 2009. Although we do not directly participate in any government reimbursement programs, our clients’ reimbursements are subject to government regulation. Therefore, they are directly affected by any legislation relating to Medicare and Medicaid reimbursement programs.
We provide our services primarily pursuant to full service agreements with our clients. In such agreements, we are responsible for the management and hourly employees located at our clients’ facilities. We also provide services on the basis of a management-only agreement for a very limited number of clients. Our agreements with clients typically provide for a one year service term, cancelable by either party upon 30 to 90 days notice after the initial 90-day period.
We are organized into two reportable segments; housekeeping, laundry, linen and facility maintenance (‘‘Housekeeping’’), and food services (‘‘Food’’). Housekeeping is being provided at all of our approximately 2,300 client facilities, generating approximately 77% or $393,607,000 of total consolidated revenues in the nine month period ended September 30, 2009. Food is being provided to approximately 325 client facilities and contributed approximately 23% or $116,527,000 of 2009 nine month period total consolidated revenues.
The services provided by Housekeeping consist primarily of the cleaning, disinfecting and sanitizing of patient rooms and common areas of a client’s facility, as well as the laundering and processing of the personal clothing belonging to the facility’s patients. Also within the scope of this segment’s service is the laundering and processing of the bed linens, uniforms and other assorted linen items utilized by a client facility.
Food consists of providing for the development of a menu that meets the patient’s dietary needs, and the purchasing and preparing of the food for delivery to the patients.

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As of September 30, 2009, we operate one wholly-owned subsidiary, Huntingdon Holdings, Inc. (“Huntingdon”). Huntingdon invests our cash and cash equivalents, as well as managing our portfolio of marketable securities. On March 1, 2009, we sold our wholly-owned subsidiary HCSG Supply, Inc. (“Supply”) for approximately $1,100,000, financed principally through our acceptance of a secured promissory note which is recorded in our notes receivable in the accompanying September 30, 2009 balance sheet. As a result of the Supply sale, we recorded an immaterial gain in our consolidated statement of income for the nine month period ended September 30, 2009.
On April 30, 2009, we executed an Asset Purchase Agreement to acquire essentially all of the assets of Contract Environmental Services, Inc. (“CES”), a South Carolina based corporation which is a provider of professional housekeeping, laundry and food services to long-term care and related facilities. We believe the acquisition of CES expands and compliments our position of being the largest provider of such services to long-term care and related facilities in the United States. The aggregate consideration, subject to future revision, was approximately $16,279,000 consisting of approximately: (i) $4,613,000 in cash, (ii) a current issuance of approximately 66,000 shares of our common stock (valued at approximately $1,183,000) and a future issuance of approximately 265,000 shares (valued at approximately $3,311,000) contingent upon the achievement of certain financial targets, and (iii) the repayment of approximately $4,718,000 of certain debt obligations of CES. Additionally, pursuant to the transaction we assumed approximately $2,454,000 of certain other liabilities of the seller. The allocation of such consideration has resulted in our recording in the accompanying September 30, 2009 consolidated balance sheet of the following assets; (i) approximately $8,845,000 consisting primarily of accounts receivable, (ii) $5,400,000 of amortizable intangible assets, and (iii) $2,034,000 of goodwill.
           Consolidated Operations
          The following table sets forth, for the periods indicated, the percentage which certain items bear to consolidated revenues:
                                    
    Relation to Consolidated Revenues
    For the Quarter Ended Sept 30,   For the Nine Months Ended Sept 30,
    2009   2008   2009   2008
Revenues
    100.0 %     100.0 %     100.0 %     100.0 %
Operating costs and expenses:
                               
Costs of services provided
    86.8       87.7       86.0       86.4  
Selling, general and administration
    6.7       6.3       7.1       6.8  
Investment and interest income
    1.0       (.1 )     .7       .2  
 
                               
Income before income taxes
    7.5       5.9       7.6       7.0  
Income taxes
    2.9       2.3       2.9       2.7  
 
                               
Net income
    4.6 %     3.6 %     4.7 %     4.3 %
 
                               
          Subject to the factors noted in the Cautionary Statement Regarding Forward Looking Statements included in this report, we anticipate our financial performance for the remainder of 2009 may be comparable to the nine month period ended September 30, 2009 percentages presented in the above table as they relate to consolidated revenues.

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     Housekeeping is our largest and core reportable segment, representing approximately 77%, of consolidated revenues in each of the quarter and nine month periods ended September 30, 2009. Food revenues represented approximately 23% of consolidated revenues in each of such periods.
          Although there can be no assurance thereof, we believe that for the remainder of 2009 each of Housekeeping’s and Food’s revenues, as a percentage of consolidated revenues, will remain approximately the same as their respective percentages noted above. Furthermore, we expect the sources of growth for the remainder of 2009 for the respective operating segments will be primarily the same as historically experienced. Accordingly, although there can be no assurance thereof, the growth in Food is expected to come from our current Housekeeping client base, while growth in Housekeeping is expected to come primarily from obtaining new clients.
2009 Third Quarter Compared with 2008 Third Quarter
          The following table sets forth 2009 third quarter income statement key components that we use to evaluate our financial performance on a consolidated and reportable segment basis, as well as the percentage changes of each compared to 2008 third quarter amounts. The differences between the reportable segments’ operating results and other disclosed data and our consolidated financial statements relate primarily to corporate level transactions and recording of transactions at the reportable segment level which use methods other than generally accepted accounting principles.
                                                         
                            Reportable Segments
            Percent   Corporate and   Housekeeping   Food
    Consolidated   increase   eliminations   Amount   % increase   Amount   % increase
Revenues
  $ 178,829,000       16.9 %   $ (11,000 )   $ 136,496,000       9.4 %   $ 42,322,000       43.8 %
Cost of services provided
    155,228,000       15.6       (9,250,000 )     123,587,000       9.1       40,891,000       42.4  
Selling, general and administrative expense
    11,936,000       24.1       11,936,000                              
Investment and interest income
    1,709,000       N/A       1,709,000                              
Income before income taxes
  $ 13,374,000       49.0 %   $ 966,000     $ 12,909,000       11.8 %   $ 1,431,000       99.6 %
Revenues
          Consolidated
          Consolidated revenues increased 16.9% to $178,829,000 in the 2009 third quarter compared to $152,978,000 in the 2008 third quarter as a result of the factors discussed below under Reportable Segments.
          Our Major Client accounted for 12% and 14%, respectively of consolidated revenues in the three month periods ended September 30, 2009 and September 30, 2008. The loss of such client would have a material adverse effect on the results of operations of our two operating segments. In addition, if such Major Client changes its payment terms it would increase our accounts receivable balance and have a material adverse effect on our cash flows and cash and cash equivalents.
          Reportable Segments
          Housekeeping’s 9.4% net growth in reportable segment revenues resulted primarily from revenues attributable to service agreements entered into with new clients. CES accounted for

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approximately 4.0% of the third quarter’s net growth in reportable segment revenues.
          Food’s 43.8% net growth in reportable segment revenues is primarily a result of providing this service to existing Housekeeping clients. CES accounted for approximately 20.9% of such quarter’s net growth in reportable segment revenues.
          We derived 12% and 11%, respectively, of Housekeeping and Food’s 2009 third quarter revenues from our Major Client.
Costs of services provided
          Consolidated
          Cost of services provided, on a consolidated basis, as a percentage of consolidated revenues for the 2009 third quarter decreased to 86.8% from 87.7% in the corresponding 2008 quarter. The following table provides a comparison of the primary cost of services provided-key indicators that we manage on a consolidated basis in evaluating our financial performance
                         
                    Incr
Cost of Services Provided-Key Indicators   2009 %   2008 %   (Decr) %
Bad debt provision
    .3       1.4       (1.1 )
Workers’ compensation and general liability insurance
    4.0       3.9       .1  
The decrease in bad debt provision resulted primarily from increased expense recorded in the 2008 third quarter relating to certain nursing homes which filed for bankruptcy during that period.
The slight increase in workers’ compensation and general liability insurance is primarily a result of unfavorable claims experience during the quarter.
          Reportable Segments
          Cost of services provided for Housekeeping, as a percentage of Housekeeping revenues, for the 2009 third quarter decreased to 90.5% from 90.8% in the corresponding 2008 quarter. Cost of services provided for Food, as a percentage of Food revenues, for the 2009 third quarter decreased to 96.6% from 97.6% in the corresponding 2008 quarter.
The following table provides a comparison of the primary cost of services provided-key indicators, as a percentage of the respective segment’s revenues, which we manage on a reportable segment basis in evaluating our financial performance:
                         
Cost of Services Provided-Key Indicators   2009 %   2008 %   Incr (Decr) %
Housekeeping labor and other labor costs
    81.4       81.6       (.2 )
Housekeeping supplies
    6.8       6.0       .8  
Food labor and other labor costs
    53.3       53.3        
Food supplies
    40.8       40.2       .6  
The decrease in Housekeeping labor and other labor costs, as a percentage of Housekeeping revenues, resulted primarily from efficiencies achieved in managing these costs at the facility level. The increase in Housekeeping supplies resulted primarily from vendor price increases.

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The increase in Food supplies, as a percentage of Food revenues, resulted primarily from vendor price increases.
Consolidated Selling, General and Administrative Expense
          Selling, general and administrative expenses (“SG&A”) increased in the 2009 third quarter to 6.7%, as a percentage of consolidated revenues, compared to 6.3% in the 2008 third quarter. The increase is primarily attributable to recognizing a net $1,654,000 increase change in compensation expense as a result of the increase in market value of the investments held in our Deferred Compensation Fund (in 2008 third quarter a $721,000 reduction in such expense was recorded). As further described below in Consolidated Investment and Interest Income, such expense was offset by the recording of a similar amount of income in that reporting caption. Excluding the Deferred Compensation Fund investment impact in both three month periods, SG&A, as percentage of consolidated revenues, would have decreased .6% in comparing the periods. Such decrease is primarily a result of our ability to control these expenses and comparing them to a greater revenue base in the current period.
Consolidated Investment and Interest Income
          Investment and interest income, as a percentage of consolidated revenues, increased to $1,709,000 or 1.0% as a percentage of 2009 third quarter consolidated revenues compared to a loss of $157,000 or negative .1% in the 2008 third quarter. The net increase is primarily attributable to increase in market value of the investments held in our Deferred Compensation Fund. Additionally, 2009 third quarter consolidated investment and interest income was favorably impacted by increased returns on our marketable securities as compared to 2008 third quarter returns.
Income before Income Taxes
          Consolidated
          As a result of the discussion above related to revenues and expenses, consolidated income before income taxes for the 2009 third quarter increased to 7.5 %, as a percentage of consolidated revenues, compared to 5.9% in the 2008 third quarter.
          Reportable Segments
          Housekeeping realized a 11.8% increase in income before income taxes in comparing the three month periods ended September 30, 2009 and September 30, 2008. CES contributed approximately 4.3% of the quarter’s increase in income before income taxes with the remaining income before income taxes improvement being attributable to the gross profit earned on Housekeeping’s 5.4% organic revenue growth.
Food’s 2009 third quarter income before income taxes increased 99.6% in comparing it to the 2008 third quarter. CES contributed approximately 50.7% of the quarter’s increase in income before income taxes. The gross profit earned on our organic growth, as well as efficiencies achieved in managing operations at the facility level contributed the remaining approximate 48.9% of the quarter’s income before income taxes increase.
Consolidated Income Taxes
          Our effective tax rate for both of the three month periods ended September 30, 2009 and September 30, 2008 was 38.5%. Our 38.5% effective tax rate differs from the federal income tax

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statutory rate principally because of the effect of state and local income taxes and estimated tax credits available to the Company.
Consolidated Net Income
          As a result of the matters discussed above, consolidated net income for the 2009 third quarter increased to 4.6%, as a percentage of consolidated revenues, compared to 3.6% in the 2008 third quarter.
2009 Nine Month Period Compared with 2008 Nine Month Period
          The following table sets forth for the nine month period ended September 30, 2009 income statement key components that we use to evaluate our financial performance on a consolidated and reportable segment basis, as well as the percentage changes of each compared to the nine month period ended September 30, 2008 amounts.
                                                         
                            Reportable Segments
            Percent   Corporate and   Housekeeping   Food
    Consolidated   increase   eliminations   Amount   % incr   Amount   % incr
Revenues
  $ 510,134,000       13.8 %   $ (136,000 )   $ 393,431,000       8.0 %   $ 116,567,000       38.3 %
Cost of services provided
    438,950,000       13.4       (27,326,000 )     354,903,000       7.7       111,373,000       36.5  
Selling, general and administrative expense
    36,328,000       19.8       36,328,000                              
Investment and interest income
    3,803,000       404.9       3,803,000                              
Income before income taxes
  $ 38,659,000       23.0 %   $ (5,063,000 )   $ 38,528,000       11.4 %   $ 5,194,000       92.7 %
Revenues
          Consolidated
          Consolidated revenues increased 13.8% to $510,134,000 in the nine month period ended September 30, 2009 compared to $448,155,000 in the same 2008 period as a result of the factors discussed below under Reportable Segments.
Our Major Client accounted for 13% and 15%, respectively of consolidated revenues in the nine month periods ended September 30, 2009 and September 30, 2008.
          Reportable Segments
          Housekeeping’s 8.0% net growth in reportable segment revenues resulted primarily from an increase in revenues attributable to service agreements entered into with new clients. CES accounted for approximately 2.2% of the nine month period’s net growth in reportable segment revenues.
Food’s 38.3% net growth in reportable segment revenues is primarily a result of providing this service to existing Housekeeping clients. CES accounted for approximately 12.6% of the nine month period’s net growth in reportable segment revenues.
We derived 13% and 12%, respectively, of Housekeeping and Food’s 2009 nine month period’s revenues from the Major Client.
Costs of services provided
          Consolidated
          Cost of services provided, on a consolidated basis, as a percentage of consolidated

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revenues for the nine month period ended September 30, 2009 decreased to 86.0% from 86.4% in the corresponding 2008 period.
The following table provides a comparison of the primary cost of services provided-key indicators that we manage on a consolidated basis in evaluating our financial performance
                         
                    Incr
Cost of Services Provided-Key Indicators   2009 %   2008 %   (Decr) %
Bad debt provision
    .4       .7       (.3 )
Workers’ compensation and general liability insurance
    3.9       3.4       .5  
The decrease in bad debt provision resulted primarily from increased expenses recorded in the 2008 nine month period relating to certain nursing homes which filed for bankruptcy during that period.
The increase in workers’ compensation and general liability insurance is primarily due to unfavorable claims’ experience during the nine month period.
          Reportable Segments
          Cost of services provided for Housekeeping, as a percentage of Housekeeping revenues, for the nine month period ended September 30, 2009 decreased to 90.2% from 90.5% in the corresponding 2008 period. Cost of services provided for Food, as a percentage of Food revenues, for the 2009 nine month period decreased to 95.5% from 96.8% in comparing it to the 2008 nine month period.
The following table provides a comparison of the primary cost of services provided-key indicators, as a percentage of the respective segment’s revenues, that we manage on a reportable segment basis in evaluating our financial performance:
                         
Cost of Services Provided-Key Indicators   2009 %   2008 %   Incr (Decr) %
Housekeeping labor and other labor costs
    81.3       81.4       (.1 )
Housekeeping supplies
    6.3       6.1       .2  
Food labor and other labor costs
    52.5       53.3       (.8 )
Food supplies
    39.9       39.8       .1  
Housekeeping labor and other labor costs, as a percentage of Housekeeping revenues remained essentially unchanged with a slight .1% decrease in such costs when comparing the two nine month periods. The increase in Housekeeping supplies resulted primarily from vendor price increases.
The decrease in Food labor and other labor costs, as a percentage of Food revenues, resulted from efficiencies achieved in managing these costs at all operating levels. Food segment supplies, as a percentage of Food segment revenues, remained essentially unchanged recognizing a slight .1% increase in such costs when comparing the nine month periods.
Consolidated Selling, General and Administrative Expense
          Consolidated selling, general and administrative expense increased to 7.1%, as a percentage of consolidated revenues in the nine month period ended September 30, 2009

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compared to 6.8% in the 2008 nine month period. The increase is primarily attributable to the affect of recognizing a net $2,667,000 increase change in compensation expense as a result of the increase in market value of the investments held in our Deferred Compensation Fund ( in 2008 a $1,212,000 reduction is such expense was recorded). As further described below in Consolidated Investment and Interest Income, such expense was offset by the recording of a similar amount of income in that reporting caption. Excluding the Deferred Compensation Fund investment impact in both nine month periods, SG&A would decrease .2% in comparing the periods. Such decrease is primarily a result of our ability to control these expenses and comparing them to a greater revenue base in the current period.
Consolidated Investment and Interest Income
          Investment and interest income, as a percentage of consolidated revenues, increased to .7% in the 2009 nine month period compared to .2% in the same 2008 period. The increase was primarily attributable to an increase in the market value of investments held in our Deferred Compensation Fund. Additionally consolidated investment and interest income was favorably impacted by increased returns on our marketable securities.
Income before Income Taxes
          Consolidated
          As a result of the discussion above related to revenues and expenses, consolidated income before income taxes for the nine month period ended September 30, 2009 increased to 7.6%, as a percentage of consolidated revenues, in comparison to 7.0% in the same 2008 period.
          Reportable Segments
          Housekeeping’s 11.4% increase in income before income taxes is primarily attributable to the gross profit earned on the 5.8% increase in organic reportable segment revenues. CES contributed approximately 2.7% of Housekeeping’s 2009 nine month period’s increase in income before income taxes.
Food’s income before income taxes increase of 92.7% on a reportable segment basis is primarily attributable to the gross profit earned on the 25.7% increase in organic reportable segment revenues and efficiencies achieved in managing operations at the facility level. CES contributed approximately 21.6% of Food’s 2009 nine month period’s increase in income before income taxes.
Consolidated Income Taxes
          Our effective tax rate for both of the nine month periods ended September 30, 2009 and September 30, 2008 was 38.5%. Absent any significant change in federal, or state and local tax laws, we expect our effective tax rate for the remainder of 2009 to approximate 38.5%. Our 38.5% effective tax rate differs from the federal income tax statutory rate principally because of the effect of state and local income taxes and estimated tax credits available to the Company.
Consolidated Net Income
          As a result of the matters discussed above, consolidated net income for the nine months ended September 30, 2009 increased to 4.7%, as a percentage of consolidated revenues, compared to 4.3% in the nine month period ended September 30, 2008.

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Critical Accounting Policies and Estimates
          The preparation of financial statements in accordance with accounting standards generally accepted in the United States requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period.
We consider the three policies discussed below to be critical to an understanding of our financial statements because their application places the most significant demands on our judgment. Therefore, it should be noted that financial reporting results rely on estimating the effect of matters that are inherently uncertain. Specific risks for these critical accounting policies and estimates are described in the following paragraphs. For these estimates, we caution that future events rarely develop exactly as forecasted, and the best estimates routinely require adjustment. Any such adjustments or revisions to estimates could result in material differences to previously reported amounts.
The three policies discussed are not intended to be a comprehensive list of all of our accounting policies. In many cases, the accounting treatment of a particular transaction is specifically dictated by accounting standards generally accepted in the United States, with no need for our judgment in their application. There are also areas in which our judgment in selecting another available alternative would not produce a materially different result. See our audited consolidated financial statements and notes thereto which are included in our Annual Report on Form 10-K for the year ended December 31, 2008, which contain accounting policies and estimates and other disclosures required by accounting principles generally accepted in the United States.
Allowance for Doubtful Accounts
The Allowance for Doubtful Accounts (the “Allowance”) is established as losses are estimated to have occurred through a provision for bad debts charged to earnings. The Allowance is evaluated based on our periodic review of accounts and notes receivable and is inherently subjective as it requires estimates that are susceptible to significant revision as more information becomes available.
We have had varying collection experience with respect to our accounts and notes receivable. When contractual terms are not met, we generally encounter difficulty in collecting amounts due from certain of our clients. Therefore, we have sometimes been required to extend the period of payment for certain clients beyond contractual terms. These clients include those who have terminated service agreements and slow payers experiencing financial difficulties. In making credit evaluations, in addition to analyzing and anticipating, where possible, the specific cases described above, we consider the general collection risks associated with trends in the long-term care industry. We also establish credit limits, perform ongoing credit evaluations, and monitor accounts to minimize the risk of loss.
In accordance with the risk of extending credit, we regularly evaluate our accounts and notes receivable for impairment or loss of value and when appropriate, will provide in our Allowance for such receivables. We generally follow a policy of reserving for receivables due from clients in bankruptcy, clients with which we are in litigation for collection and other slow paying clients. The reserve is based upon our estimates of ultimate collectibility. Correspondingly, once our recovery of a receivable is determined through either litigation, bankruptcy proceedings or

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negotiation to be less than the recorded amount on our balance sheet, we will charge-off the applicable amount to the Allowance.
Our methodology for the Allowance is based upon a risk-based evaluation of accounts and notes receivable associated with a client’s ability to make payments. Such Allowance generally consists of an initial amount established based upon criteria generally applied if and when a client account files bankruptcy, is placed for collection/litigation and/or is considered to be pending collection/litigation. The initial Allowance is adjusted either higher or lower when additional information is available to permit a more accurate estimate of the collectibility of an account.
Summarized below for the nine month period ended September 30, 2009 and year ended December 31, 2008 are the aggregate account balances for the three Allowance criteria noted above, net write-offs of client accounts, bad debt provision and allowance for doubtful accounts.
                                 
    Aggregate Account            
    Balances of Clients            
    in Bankruptcy or            
Period   In/Pending   Net Write-Offs   Bad Debt   Allowance for
Ended   Collection/Litigation   of Client Accounts   Provision   Doubtful Accounts
September 30, 2009
  $ 9,954,000     $ 770,000     $ 1,956,000     $ 4,400,000  
December 31, 2008
  $ 8,417,000     $ 5,304,000     $ 4,234,000     $ 3,214,000  
At September 30, 2009, we identified accounts totaling $9,954,000 that require an Allowance based on potential impairment or loss of value. An Allowance totaling $4,400,000 was provided for these accounts at such date. Actual collections of these accounts could differ from that which we currently estimate. If our actual collection experience is 5% less than our estimate, the related increase to our Allowance would decrease net income by $171,000.
Notwithstanding our efforts to minimize credit risk exposure, our clients could be adversely affected if future industry trends, as more fully discussed under Liquidity and Capital Resources below, and as further described in our 2008 Annual Report on Form 10-K in Part I under “Risk Factors”, “Government Regulation of Clients” and “Service Agreements/Collections”, change in such a manner as to negatively impact the cash flows of our clients. If our clients experience a negative impact in their cash flows, it would have a material adverse effect on our results of operations and financial condition.
Accrued Insurance Claims
We currently have a Paid Loss Retrospective Insurance Plan for general liability and workers’ compensation insurance, which comprise approximately 26% of our liabilities at September 30, 2009. Our accounting for this plan is affected by various uncertainties because we must make assumptions and apply judgment to estimate the ultimate cost to settle reported claims and claims incurred but not reported as of the balance sheet date. We address these uncertainties by regularly evaluating our claims’ pay-out experience, present value factor and other factors related to the nature of specific claims in arriving at the basis for our accrued insurance claims estimate. Our evaluations are based primarily on current information derived from reviewing our

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claims experience and industry trends. In the event that our claims experience and/ or industry trends result in an unfavorable change, it would have a material adverse effect on our consolidated results of operations and financial condition. Under these plans, predetermined loss limits are arranged with an insurance company to limit both our per-occurrence cash outlay and annual insurance plan cost.
For workers’ compensation, we record a reserve based on the present value of future payments, including an estimate of claims incurred but not reported, that are developed as a result of a review of our historical data and open claims. The present value of the payout is determined by applying an 8% discount factor against the estimated value of the claims over the estimated remaining pay-out period. Reducing the discount factor by 1% would reduce net income by approximately $33,000. Additionally, reducing the estimated payout period by six months would result in an approximate $76,000 reduction in net income.
For general liability, we record a reserve for the estimated ultimate amounts to be paid for known claims. The estimated ultimate reserve amount recorded is derived from the estimated claim reserves provided by our insurance carrier reduced by an historical experience factor.
Asset Valuations and Review for Potential Impairment
We review our fixed assets, goodwill and other intangible assets at least annually or whenever events or changes in circumstances indicate that its carrying amount may not be recoverable. This review requires that we make assumptions regarding the value of these assets and the changes in circumstances that would affect the carrying value of these assets. If such analysis indicates that a possible impairment may exist, we are then required to estimate the fair value of the asset and, as deemed appropriate, expense all or a portion of the asset. The determination of fair value includes numerous uncertainties, such as the impact of competition on future value. We believe that we have made reasonable estimates and judgments in determining whether our long-term assets have been impaired; however, if there is a material change in the assumptions used in our determination of fair value or if there is a material change in economic conditions or circumstances influencing fair value, we could be required to recognize certain impairment charges in the future. As a result of our most recent reviews, no changes in asset values were required.
Liquidity and Capital Resources
At September 30, 2009, we had cash and cash equivalents, and marketable securities of $89,031,000 and working capital of $177,008,000 compared to December 31, 2008 cash and cash equivalents, and marketable securities of $86,915,000 and working capital of $177,573,000. We view our cash and cash equivalents, and marketable securities as our principal measure of liquidity. Our current ratio at September 30, 2009 decreased to 5.4 to 1 compared to 7.1 to 1 at December 31, 2008. This decrease resulted from the timing of payments for accrued payroll, accrued and withheld payroll taxes, as well as the timing of payments for income taxes and insurance programs, which were offset by the increase in accounts and notes receivable resulting from primarily from our 13.8% increase in revenues. On an historical basis, our operations have generally produced consistent cash flow and have required limited capital resources. We believe our current and near term cash flow positions will enable us to fund our continued anticipated growth.

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     Operating Activities
     The net cash provided by our operating activities was $35,178,000 for the nine month period ended September 30, 2009. The principal sources of net cash flows from operating activities for this period were net income, non-cash charges to operations for bad debt provisions, and depreciation and amortization. Additionally, operating activities’ cash flows increased by $10,025,000 as a result of the timing of payments for accrued payroll, accrued and withheld payroll taxes. The operating activity that used the largest amount of cash during the nine month period ended September 30, 2009 was a net increase of $12,311,000 in accounts and notes receivable and long-term notes receivable resulting primarily from the 13.8% growth in the Company’s 2009 nine month period consolidated revenues.
     Investing Activities
     Our principal use of cash in investing activities for the nine month period ended September 30, 2009 was $4,613,000 expended for the CES acquisition. Additionally, we expended $2,294,000 and $1,593,000, respectively, for the net purchases of marketable securities, and of housekeeping equipment, computer software and equipment, and laundry equipment installations. Under our current plans, which are subject to revision upon further review, it is our intention to spend an aggregate of approximately $500,000 during the remainder of 2009 for such capital expenditures.
     Financing Activities
     In connection with the CES acquisition, we made cash payments of $4,718,000 for the repayment of CES debt assumed in the transaction.
     We have paid regular quarterly cash dividends since the second quarter of 2003. During the nine month period ended September 30, 2009 we paid regular cash dividends totaling $23,506,000 as follows.
                         
    1st Quarter   2nd Quarter   3rd Quarter
Cash dividend per common share
  $ .17     $ .18     $ .19  
Total cash dividends paid
  $ 7,388,000     $ 7,826,000     $ 8,292,000  
Record date
    February 6       April 24       July 24  
Payment date
    February 20       May 15       August 7  
Additionally, on October 13, 2009, our Board of Directors declared a regular cash dividend of $.20 per common share to be paid on November 6, 2009 to shareholders of record as of October 23, 2009.
Our Board of Directors reviews our dividend policy on a quarterly basis. Although there can be no assurance that we will continue to pay dividends or the amount of the dividend, we expect to continue to pay a regular quarterly cash dividend. In connection with the establishment of our dividend policy, we adopted a Dividend Reinvestment Plan in 2003.
During the nine month period ended September 30, 2009, we received proceeds of $826,000 from the exercise of stock options by employees and directors. Additionally, as a result of deductions derived from transactions in our equity compensation plans, we recognized an income tax benefit of approximately $373,000.

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     Line of Credit
     We have a $33,000,000 bank line of credit on which we may draw to meet short-term liquidity requirements in excess of internally generated cash flow. Amounts drawn under the line of credit are payable upon demand. At September 30, 2009, there were no borrowings under the line. However, at such date, we had outstanding a $31,925,000 irrevocable standby letter of credit which relates to payment obligations under our insurance programs. As a result of the letter of credit issued, the amount available under the line of credit was reduced by $31,925,000 at September 30, 2009.
     The line of credit requires us to satisfy two financial covenants. Such covenants, and their respective status at September 30, 2009, were as follows:
     
Covenant Description and Requirement   Status at September 30, 2009
Commitment coverage ratio: cash and cash equivalents must equal or exceed outstanding obligations under the line by a multiple of 2
  Commitment coverage is 2.8
 
   
Tangible net worth: must exceed $164,330,000
  Tangible net worth is $183,000,000
As noted above, we complied with the financial covenants at September 30, 2009 and expect to continue to remain in compliance with such financial covenants. This line of credit expires on June 30, 2010. We believe the line of credit will be renewed at that time.
     Accounts and Notes Receivable
     We expend considerable effort to collect the amounts due for our services on the terms agreed upon with our clients. Many of our clients participate in programs funded by federal and state governmental agencies which historically have encountered delays in making payments to its program participants. Congress has enacted a number of laws during the past decade that have significantly altered, or may alter, overall government reimbursement for nursing home services. Because our clients’ revenues are generally reliant on Medicare and Medicaid reimbursement funding rates and mechanisms, the overall effect of these laws and trends in the long term care industry have affected and could adversely affect the liquidity of our clients, resulting in their inability to make payments to us on agreed upon payment terms. These factors, in addition to delays in payments from clients, have resulted in and could continue to result in significant additional bad debts in the near future. Whenever possible, when a client falls behind in making agreed-upon payments, we convert the unpaid accounts receivable to interest bearing promissory notes. The promissory notes receivable provide a means by which to further evidence the amounts owed and provide a definitive repayment plan and therefore may ultimately enhance our ability to collect the amounts due. At September 30, 2009 and December 31, 2008, we had $10,353,000 and $6,418,000, net of reserves, respectively, of such promissory notes outstanding. Additionally, we consider restructuring service agreements from full service to management-only service in the case of certain clients experiencing financial difficulties. We believe that such restructurings may provide us with a means to maintain a relationship with the client while at the same time minimizing collection exposure.
As a result of the current economic crisis, many states have significant budget deficits. State Medicaid programs are experiencing increased demand, and with lower revenues than projected, they have fewer resources to support their Medicaid programs. As a result, some state

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Medicaid programs are reconsidering previously approved increases in nursing home reimbursement or are considering delaying those increases. A few states have indicated it is possible they will run out of cash to pay Medicaid providers, including nursing homes. Any of these developments would adversely affect the liquidity of our clients, resulting in their inability to make payments to us as agreed upon. Congress has enacted major economic stimulus legislation which may help to counter the impact of the economic crisis on state budgets. The legislation includes the temporary provision of additional federal matching funds to help states maintain their Medicaid programs. Given the volatility of the economic environment, it is difficult to predict the impact of this legislation on our clients’ liquidity and their ability to make payments to us as agreed.
We have had varying collection experience with respect to our accounts and notes receivable. When contractual terms are not met, we generally encounter difficulty in collecting amounts due from certain of our clients. Therefore, we have sometimes been required to extend the period of payment for certain clients beyond contractual terms. These clients include those who have terminated service agreements and slow payers experiencing financial difficulties. In order to provide for these collection problems and the general risk associated with the granting of credit terms, we have recorded bad debt provisions (in an Allowance for Doubtful Accounts) of $1,956,000 in the nine month period ended September 30, 2009 and $3,050,000 in the nine month period ended September 30, 2008. These provisions represent approximately .4% and .7%, as a percentage of total revenues for such respective periods. In making our credit evaluations, in addition to analyzing and anticipating, where possible, the specific cases described above, we consider the general collection risk associated with trends in the long-term care industry. We also establish credit limits, perform ongoing credit evaluation and monitor accounts to minimize the risk of loss. Notwithstanding our efforts to minimize credit risk exposure, our clients could be adversely affected if future industry trends change in such a manner as to negatively impact their cash flows. If our clients experience a negative impact in their cash flows, it would have a material adverse effect on our results of operations and financial condition.
At September 30, 2009, amounts due from our Major Client represented less than 1% of our accounts receivable balance. However, if such client changes its payments terms, it would increase our accounts receivable balance and have a material adverse affect on our cash flows and cash and cash equivalents.
     Insurance Programs
     We have a Paid Loss Retrospective Insurance Plan for general liability and workers’ compensation insurance. Under these plans, pre-determined loss limits are arranged with an insurance company to limit both our per-occurrence cash outlay and annual insurance plan cost.
For workers’ compensation, we record a reserve based on the present value of future payments, including an estimate of claims incurred but not reported, that are developed as a result of a review of our historical data and open claims. The present value of the payout is determined by

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applying an 8% discount factor against the estimated value of the claims over the estimated remaining pay-out period.
For general liability, we record a reserve for the estimated ultimate amounts to be paid for known claims. The estimated ultimate reserve amount recorded is derived from the estimated claim reserves provided by our insurance carrier reduced by an historical experience factor.
We regularly evaluate our claims’ pay-out experience, present value factor and other factors related to the nature of specific claims in arriving at the basis for our accrued insurance claims’ estimate. Our evaluation is based primarily on current information derived from reviewing our claims experience and industry trends. In the event that our claims experience and/ or industry trends result in an unfavorable change, it would have an adverse effect on our results of operations and financial condition.
     Capital Expenditures
     The level of capital expenditures is generally dependent on the number of new clients obtained. Such capital expenditures primarily consist of housekeeping equipment purchases, laundry and linen equipment installations, and computer hardware and software. Although we have no specific material commitments for capital expenditures through the end of calendar year 2009, we estimate that for the remainder of 2009 we will have capital expenditures of approximately $500,000 in connection with housekeeping equipment purchases and laundry and linen equipment installations in our clients’ facilities, as well as expenditures relating to internal data processing hardware and software requirements. We believe that our cash from operations, existing cash and cash equivalents balance and credit line will be adequate for the foreseeable future to satisfy the needs of our operations and to fund our anticipated growth. However, should these sources not be sufficient, we would, if necessary, seek to obtain necessary working capital from such sources as long-term debt or equity financing.
     Material Off-Balance Sheet Arrangements
     We have no material off-balance sheet arrangements, other than our irrevocable standby letter of credit previously discussed.
     Effects of Inflation
     Although there can be no assurance thereof, we believe that in most instances we will be able to recover increases in costs attributable to inflation by passing such cost increases through to our clients.

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ITEM 3   QUANTITATIVE AND QUALITATIVE DISCLOSURE ABOUT MARKET RISK
     Management does not believe that there is any material market risk exposure with respect to derivative or other financial instruments that would require disclosure under this item.
ITEM 4. CONTROLS AND PROCEDURES
     Evaluation of Disclosure Controls and Procedures
     Disclosure controls are procedures that are designed with the objective of ensuring that information required to be disclosed in our reports under the Securities Exchange Act of 1934 (the “Exchange Act”), such as this Form 10-Q, is reported in accordance with Securities and Exchange Commission (“SEC”) rules. Disclosure controls are also designed with the objective of ensuring that such information is accumulated and communicated to management, including the Chief Executive Officer and Chief Financial Officer, as appropriate, to allow timely decisions regarding required disclosure.
     Based on their evaluation as of September 30, 2009, pursuant to Exchange Act Rules 13a-15(b), our management, including our Chief Executive Officer and Chief Financial Officer, believe our disclosure controls and procedures (as defined in Exchange Act 13a-15(e) are effective.
     In connection with the evaluation pursuant to Exchange Act Rule 13a-15(d) of our internal control over financial reporting (as defined in Exchange Act Rule 13a-15(f)) by our management, including our Chief Executive Officer and Chief Financial Officer, no changes during the quarter ended September 30, 2009, were identified that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
     Certifications
     Certifications of the Principal Executive Officer and Principal Financial 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. Not Applicable
ITEM 1A. Risk Factors
     There has been no material change in the risk factors from those set forth in Part I, Item 1A, “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2008.
ITEM 2. Unregistered Sales of Equity Securities and Use of Proceeds.
     None
ITEM 3. Defaults under Senior Securities. Not Applicable
ITEM 4. Submission of Matters to a Vote of Security Holders None
ITEM 5. Other Information.
          a) None
ITEM 6. Exhibits
  a)   Exhibits -
31.1 Certification of Principal Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
31.2 Certification of Principal Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
32.1 Certification of Principal Executive Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, 18 U.S.C. Section 1350
32.2 Certification of Principal Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, 18 U.S.C. Section 1350

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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.    
 
       
October 16, 2009
  /s/ Daniel P. McCartney    
Date
 
 
DANIEL P. McCARTNEY, Chief
   
 
  Executive Officer    
 
       
October 16, 2009
  /s/Richard W. Hudson    
Date
 
 
RICHARD W. HUDSON, Chief
   
 
  Financial Officer and Secretary    

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