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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
 WASHINGTON, D.C. 20549
 FORM 11-K
 (Mark One)
 þ
    
    ANNUAL REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES EXCHANGE
ACT OF 1934
 For the fiscal year ended December 31, 2010
 OR
 o
    
    TRANSITION REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934
 For the transition period from  to
 Commission file number 0-12015
 A. Full title of the plan and the address of the plan, if different from that of the
issuer named below:
 HEALTHCARE SERVICES GROUP, INC.
RETIREMENT SAVINGS PLAN
 B. Name of issuer of the securities held pursuant to the plan and the address of its
principal executive office:
 HEALTHCARE SERVICES GROUP, INC.
3220 Tillman Drive
Suite 300
Bensalem, Pennsylvania 19020




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Healthcare Services Group
Retirement Savings Plan
Financial Statements and Supplemental Schedule
 As of December 31, 2010 and 2009 and for the year ended December 31, 2010
 Table of Contents
 Description
    PageReport of Independent Certified Public Accountants
    
    
    3Financial Statements:Statements of Net Assets Available for Benefits
    
    
    4Statements of Changes in Net Assets Available
For Benefits
    
    
    5Notes to Financial Statements
    
    
    6
 12Supplemental Schedule:Schedule H. Line 4(i) Schedule of Assets (Held At End of Year)
    
    
    13Signature
    
    
    14
   -2-




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Report
of Independent Registered Public Accounting Firm
  Healthcare Services Group, Inc. Retirement Savings Plan
      
  -3-




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Healthcare Services Group, Inc.  Retirement Savings Plan
 
 Statements of Net Assets Available for Benefits
 December 31,
 2010
    
    
    2009AssetsInvestments at fair value
    
    $
    2,472,536
    
    
    $
    2,081,969Receivables:Participant contributions
    
    
    2,356
    
    
    
    Net Assets Available for Benefits
    
    $
    2,474,892
    
    
    $
    2,081,969
 The accompanying notes are an integral part of these statements.
  -4-




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Healthcare Services Group, Inc.  Retirement Savings Plan
 
 Statements of Changes in Net Assets Available for Benefits
 For The Year Ended December 31,
 2010
    
    
    2009AdditionsAdditions attributable to:Contributions:Participants
    
    $
    243,596
    
    
    $
    239,076Rollover
    
    
    
    
    
    
    24,437243,596
    
    
    
    263,513Earnings on Investments:Interest and dividends
    
    
    28,272
    
    
    
    23,722Net appreciation in fair value of investments
    
    
    202,327
    
    
    
    314,160230,599
    
    
    
    337,882Other income
    
    
    2,011
    
    
    
    Total Additions
    
    
    476,206
    
    
    
    601,395DeductionsBenefit payments
    
    
    (83,283
    )
    
    
    (172,819
    )Total Deductions
    
    
    (83,283
    )
    
    
    (172,819
    )Net Increase
    
    
    392,923
    
    
    
    428,576Net Assets Available for Benefits, beginning of year
    
    
    2,081,969
    
    
    
    1,653,393Net Assets Available for Benefits, end of year
    
    $
    2,474,892
    
    
    $
    2,081,969
 The accompanying notes are an integral part of these statements.
  -5-




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Healthcare Services Group, Inc.  Retirement Savings Plan
 
 Notes To Financial Statements
 December 31, 2010 and 2009
 Note A  Description Of Plan
  General
  Contributions
     Participant Accounts
  Participant Loans
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Healthcare Services Group, Inc.  Retirement Savings Plan
 Notes To Financial Statements (CONTINUED)
 December 31, 2010 and 2009
 Vesting
  Administrative Expenses
  Benefit Payments
  1 2
  Note B  Summary of Accounting Policies
  Use
of Estimates
  Income Recognition
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Healthcare Services Group, Inc.  Retirement Savings Plan
 Notes To Financial Statements (CONTINUED)
 December 31, 2010 and 2009
 Benefit Payments
  Reclassification
  Fair Value of Financial Instruments
  Recent Accounting Pronouncements
  Note C  Investments
  December 31,2010
    
    
    2009BlackRock Money Market Fund (PNC; Note E)
    
    $
    596,098
    
    
    $
    658,454Fidelity Advisor Equity Income Fund
    
    
    192,284
    
    
    
    167,990Growth Fund of America
    
    
    161,831
    
    
    
    127,534Healthcare Services Group, Inc. common stock (Note E)
    
    
    168,476
    
    
    
    140,670Janus Adviser Forty Fund
    
    
    204,299
    
    
    
    169,480MFS Intl New Discovery
    
    
    170,369
    
    
    
    128,636
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Healthcare Services Group, Inc.  Retirement Savings Plan
 Notes To Financial Statements (CONTINUED)
 December 31, 2010 and 2009
 Note C  Investments (continued)
  December 31,2010
    
    
    2009Mutual Funds
    
    $
    182,345
    
    
    $
    275,382Healthcare Services Group, Inc. common stock (Note E)
    
    
    19,983
    
    
    
    37,765BlackRock Money Market Fund (PNC; Note E)
    
    
    (1
    )
    
    
    1,013$
    202,327
    
    
    $
    314,160
 Note D  Plan Termination
  Note E  Party-In-Interest Transactions
   Note F  Tax Status Of Plan
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Healthcare Services Group, Inc.  Retirement Savings Plan
 Notes To Financial Statements (CONTINUED)
 December 31, 2010 and 2009
 Note G  Risks And Uncertainties
  Note H  Fair Value Measurements
  Fair Value Measurement Using:Quoted
    
    
    SignificantPrices in
    
    
    Other
    
    
    SignificantActive
    
    
    Observable
    
    
    UnobservableMarkets
    
    
    Inputs
    
    
    InputsDecember 31, 2010
    
    (Level 1)
    
    
    (Level 2)
    
    
    (Level 3)
    
    
    TotalCommon Stock
    
    $
    168,476
    
    
    $
    
    
    
    $
    
    
    
    $
    168,476Mutual Funds
Balanced and Lifestyle
    
    
    87,047
    
    
    
    
    
    
    
    
    
    
    
    87,047Fixed Income
    
    
    177,953
    
    
    
    
    
    
    
    
    
    
    
    177,953International
    
    
    181,058
    
    
    
    
    
    
    
    
    
    
    
    181,058Large Cap Blend
    
    
    86,566
    
    
    
    
    
    
    
    
    
    
    
    86,566Large Cap Growth
    
    
    508,088
    
    
    
    
    
    
    
    
    
    
    
    508,088Large Cap Value
    
    
    322,779
    
    
    
    
    
    
    
    
    
    
    
    322,779Mid Cap Growth
    
    
    52,685
    
    
    
    
    
    
    
    
    
    
    
    52,685Small Cap Value
    
    
    201,126
    
    
    
    
    
    
    
    
    
    
    
    201,126Specialty
    
    
    90,108
    
    
    
    
    
    
    
    
    
    
    
    90,108Money Market Fund
    
    
    
    
    
    
    596,098
    
    
    
    
    
    
    
    596,098Cash
    
    
    552
    
    
    
    
    
    
    
    
    
    
    
    552Total Assets at Fair Value
    
    $
    1,876,438
    
    
    $
    596,098
    
    
    $
    
    
    
    $
    2,472,536
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Healthcare Services Group, Inc.  Retirement Savings Plan
 Notes To Financial Statements (CONTINUED)
 December 31, 2010 and 2009
 Note H  Fair Value Measurements(continued)
 Fair Value Measurement Using:Quoted
    
    
    SignificantPrices in
    
    
    Other
    
    
    SignificantActive
    
    
    Observable
    
    
    UnobservableMarkets
    
    
    Inputs
    
    
    InputsDecember 31, 2009
    
    (Level 1)
    
    
    (Level 2)
    
    
    (Level 3)
    
    
    TotalCommon Stock
    
    $
    140,670
    
    
    $
    
    
    
    $
    
    
    
    $
    140,670Mutual FundsBalanced and Lifestyle
    
    
    62,996
    
    
    
    
    
    
    
    
    
    
    
    62,996Fixed Income
    
    
    104,413
    
    
    
    
    
    
    
    
    
    
    
    104,413International
    
    
    132,027
    
    
    
    
    
    
    
    
    
    
    
    132,027Large Cap Blend
    
    
    78,598
    
    
    
    
    
    
    
    
    
    
    
    78,598Large Cap Growth
    
    
    404,838
    
    
    
    
    
    
    
    
    
    
    
    404,838Large Cap Value
    
    
    271,157
    
    
    
    
    
    
    
    
    
    
    
    271,157Mid Cap Growth
    
    
    36,881
    
    
    
    
    
    
    
    
    
    
    
    36,881Small Cap Value
    
    
    115,728
    
    
    
    
    
    
    
    
    
    
    
    115,728Specialty
    
    
    75,652
    
    
    
    
    
    
    
    
    
    
    
    75,652Money Market Fund
    
    
    
    
    
    
    658,454
    
    
    
    
    
    
    
    658,454Cash
    
    
    555
    
    
    
    
    
    
    
    
    
    
    
    555Total Assets at Fair Value
    
    $
    1,423,515
    
    
    $
    658,454
    
    
    $
    
    
    
    $
    2,081,969
  Common Stock (Healthcare Services Group, Inc.)
 Mutual Funds
 Money Market Fund
 Cash 
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Healthcare Services Group, Inc.  Retirement Savings Plan
 Notes To Financial Statements (CONTINUED)
 December 31, 2010 and 2009
 Note I  Subsequent Events
   -12-




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Healthcare Services Group, Inc.  Retirement Savings Plan
 
 Schedule Of Assets (Held At End Of Year)
 Schedule H, Line 4i of Form 5500
 (a)
    
    
    
    (c)Party-In-
    
    (b)
    
    Description of
    
    (e)Interest
    
    Identity of Issue
    
    Investment
    
    Current ValueAIM Dynamics Fund Cl A
    
    Mutual Fund
    
    $
    52,685AIM Global Health Care Fund
    
    Mutual Fund
    
    
    59,183American Balanced Fund
    
    Mutual Fund
    
    
    60,821American Beacon Sm Cap Value
    
    Mutual Fund
    
    
    22,336American Century Sm Cap Value
    
    Mutual Fund
    
    
    44,125American Century Value Fund
    
    Mutual Fund
    
    
    39,609American Euro-Pacific Growth Fund
    
    Mutual Fund
    
    
    10,689BlackRock GNMA Fund Cls A
    
    Mutual Fund
    
    
    94,962BlackRock Managed Inc Fund Cls A
    
    Mutual Fund
    
    
    17,762*
    
    BlackRock Money Market (PNC)
    
    Money Market Fund
    
    
    596,098Federated High Income Bond Fund
    
    Mutual Fund
    
    
    65,229Federated Stock Trust
    
    Mutual Fund
    
    
    90,886Fidelity Advisor Equity Growth
    
    Mutual Fund
    
    
    94,168Fidelity Advisor Equity Income
    
    Mutual Fund
    
    
    192,284Growth Fund of America
    
    Mutual Fund
    
    
    161,831*
    
    Healthcare Services Group
    
    Common Stock
    
    
    168,476*
    
    Healthcare Services Stock Liquidity
    
    Cash
    
    
    552Income Fund of America
    
    Mutual Fund
    
    
    65,878Janus Adviser Forty Fund
    
    Mutual Fund
    
    
    204,299Janus Fund Cls S
    
    Mutual Fund
    
    
    47,790MFS Intl New Discovery Fund
    
    Mutual Fund
    
    
    170,369MFS Core Equity Cls A
    
    Mutual Fund
    
    
    20,688MFS Technology Fund Cl A
    
    Mutual Fund
    
    
    30,925My Retire 2015 Livestrong Portfolio A
    
    Mutual Fund
    
    
    20,965My Retire 2025 Livestrong Portfolio A
    
    Mutual Fund
    
    
    4,506My Retire 2035 Livestrong Portfolio A
    
    Mutual Fund
    
    
    474My Retire Inc. Livestrong Income Port A
    
    Mutual Fund
    
    
    281Royce Low Priced Stock Fund
    
    Mutual Fund
    
    
    83,123Royce Opportunity Fund
    
    Mutual Fund
    
    
    51,542$
    2,472,536
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Signatures
  Healthcare Services Group, Inc. Retirement Savings PlanDate:  June 29, 2011
    /s/ Richard W. HudsonName:
    Richard W. HudsonTitle:
    Chairman of Plan Committee  -14-