<PAGE>
                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                    FORM 10-K

(X)  ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE
     ACT OF 1934
For the fiscal year ended December 31, 2005
                                       OR
( ) TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE
                          ACT OF 1934 (NO FEE REQUIRED)

              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 No.)
      incorporated or organization)

      3220 Tillman Drive, Suite 300, Bensalem, PA           19020
      -------------------------------------------         ----------
      (Address of principal executive offices)            (Zip Code)

       Registrant's telephone number, including area code: (215) 639-4274
                                                           --------------
        Securities registered pursuant to Section 12(b) of the Act: NONE

           Securities registered pursuant to Section 12(g) of the Act:

      Common Stock ($.01 par value)                NASDAQ National Market
      -----------------------------            ------------------------------
            Title of Class                     Name of each exchange on which
                                                   securities registered

Indicate by check mark if the registrant is a well-known seasoned issuer, as
defined in Rule 405 of the Securities Act. YES ___ NO _X_

Indicate by check mark if the registrant is not required to file reports
pursuant to Section 13 or Section 15(d) of the Act. YES ___ NO _X_

Indicate by check mark whether the registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the preceding 12 months (or for such shorter period that the registrant was
required to file such reports), and (2) has been subject to such filing
requirements for the past 90 days. YES _X_ NO____

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405
of Regulation S-K (Section 229.405 of this chapter) is not contained herein, and
will not be contained, to the best of the registrant's knowledge, in definitive
proxy or information statements incorporated by reference in Part III of this
Form 10-K or any amendment to this Form 10-K _X_
<PAGE>

Indicate by check mark whether the registrant is an accelerated filer (as
defined in Rule 12b-2 of the Act). YES _X_ NO____

Indicate by check mark whether the registrant is a shell company (as defined in
Rule 12b-2 of the Act). YES___ NO_X_

The aggregate market value of the voting stock (Common Stock, $.01 par value)
held by non-affiliates of the Registrant as of the close of business on June 30,
2005 was approximately $496,606,000 based on closing sale price of the Common
Stock on the NASDAQ National Market on that date. The Registrant does not have
any non-voting common equity.

Indicate the number of shares outstanding of each of the registrant's classes of
common stock (Common Stock, $.01 par value) as of the latest practicable date
(February 14, 2006). 24,912,000


                       DOCUMENTS INCORPORATED BY REFERENCE

         Portions of the Registrant's Annual Report to Shareholders for the year
ended December 31, 2005 have been incorporated by reference into Parts I and II
of this Annual Report on Form 10-K. Portions of the definitive Proxy Statement
for the Registrant's Annual Meeting of Shareholders to be held on May 23, 2006
have been incorporated by reference into Parts II and III of this Annual Report
on Form 10-K.

<PAGE>

                                     PART I
                                     ------

         References made herein to "we," "our," "us", or "the Company" include
Healthcare Services Group, Inc. and its wholly owned subsidiaries HCSG Supply,
Inc. and Huntingdon Holdings, Inc., unless the context otherwise requires.

ITEM I. BUSINESS.
-----------------

(a) General
    -------

         The Company is a Pennsylvania corporation, incorporated on November 22,
1976. 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. Based on the nature and similarities of the services provided, our
business operations consist of two business segments (Housekeeping segment and
Food segment). 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 1,700 facilities in 45 states as of December 31,
2005. 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.

         Additionally, we operate two wholly-owned subsidiaries, HCSG Supply,
Inc. ("Supply") and Huntingdon Holdings, Inc. ("Huntingdon"). Supply purchases,
warehouses and distributes essentially all of the supplies and equipment used in
providing our Housekeeping segment services. Additionally, it warehouses and
distributes a limited number of supply items used in providing our Food segment
services. Huntingdon invests our cash and cash equivalents.

(b) Segment Information
    -------------------

         The information called for herein is discussed below in Description of
Services, as well as incorporated by reference to Note 7 of Notes to
Consolidated Financial Statements in the Company's Annual Report to Shareholders
for the year ended December 31, 2005, a copy of which accompanies this Report.

(c) Description of Services
    -----------------------

General
-------

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

         We are organized into, and provide our services through two reportable
segments; housekeeping, laundry, linen and other services ("Housekeeping"), and
food services ("Food").

                                       1

<PAGE>
         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, which began operations in 1997, 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.

         Both segments provide our services primarily pursuant to full service
agreements with our clients. In such agreements, we are responsible for the
management and hourly employees located at our clients' facilities. We also
provide services on the basis of a management-only agreement for a very limited
number of clients. Our agreements with clients typically provide for a one year
service term, cancelable by either party upon 30 to 90 days notice after the
initial 90-day period.

         Our labor force is interchangeable with respect to each of the services
within Housekeeping. Our labor force with respect to Food is specific to it.
There are many similarities in the nature of the services performed by each
segment. However, there are some significant differences in the specialized
expertise required of the professional management personnel responsible for
delivering the services of the respective segments. We believe the services of
each segment provide opportunity for growth.

         For the year ended December 31, 2005, Beverly Enterprises, Inc., our
major client, accounted for 19% of our total revenues. In 2005, we derived 18%
and 27% of Housekeeping and Food total revenues, respectively, from such client.
At December 31, 2005, amounts due from such client represented less than 1% of
our accounts receivable balance. According to public filings, the client entered
into a merger agreement on August 16, 2005 and the transaction is expected to
close in the first quarter of 2006. Although we expect to continue the
relationship with this client's successor, there can be no assurance thereof,
and the loss of such client would have a material adverse affect on the results
of operations of our two operating segments. Additionally, if such client's
successor 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.

         An overview of each of our segments follows:

Housekeeping Segment
--------------------

         Housekeeping services. Housekeeping services is our largest service
sector, representing approximately 56% or $262,842,000 of consolidated revenues
in 2005. This service involves cleaning, disinfecting and sanitizing resident
areas in our clients' facilities. In providing services to any given client
facility, we typically hire and train the hourly employees employed by such
facility prior to our engagement. We normally assign two on-site managers to
each facility to supervise and train hourly personnel and coordinate
housekeeping services with other facility support functions. Such management


                                       2
<PAGE>


personnel also oversee the execution of a variety of quality and cost-control
procedures including continuous training and employee evaluation and on-site
testing for infection control. The on-site management team also assists the
facility in complying with Federal, state and local regulations.

         Laundry and linen services. Laundry and linen services represents
approximately 24% or $109,764,000 of consolidated revenues in 2005. Laundry
services involve the laundering and processing of the residents' personal
clothing. We provide laundry service to all of our housekeeping clients. Linen
services involve providing, laundering and processing of the sheets, pillow
cases, blankets, towels, uniforms and assorted linen items used by our clients'
facilities. At some facilities that utilize our laundry and linen services, we
install our own equipment. Such installation generally requires an initial
capital outlay by us ranging from $5,000 to $150,000 depending on the size of
the facility, installation and construction costs, and the amount of equipment
required. We could incur relocation or other costs in the event of the
cancellation of a linen service agreement where there was an investment by us in
a corresponding laundry installation. The hiring, training and supervision of
the hourly employees who perform laundry and linen services are similar to, and
performed by the same management personnel who oversee the housekeeping services
hourly employees located at the respective client facility.


         In some instances we own linen supplies utilized at our clients'
facilities. We maintain a sufficient inventory of linen supplies in order to
ensure their availability. We provide linen supplies to approximately 20% of the
facilities for which we provide housekeeping services.

         Maintenance and other services. Maintenance services consist of repair
and maintenance of laundry equipment, plumbing and electrical systems, as well
as carpentry and painting. This service sector's total revenues represent less
than 1% of consolidated revenues.

         Laundry installation sales. We (as a distributor of laundry equipment)
sell laundry installations to our clients which generally represent the
construction and installation of a turn-key operation. We generally offer
payment terms, ranging from 36 to 60 months. During the years 2003 through 2005,
laundry installation sales were not material to our operating results as we
prefer to own such laundry installations in connection with performance of our
service agreements.

Food Segment
------------

         Food services. We began providing food services in 1997. Food services
represented 20% or $91,244,000 of consolidated revenues in 2005. Food services
consist of the development of a menu that meets the residents' dietary needs,
purchasing and preparing the food to assure that residents receive an appetizing
meal, and participation in monitoring the residents' on-going nutritional
status. On-site management is responsible for all daily food service activities,
with regular support being provided by a district manager specializing in food
service, as well as a registered dietitian. We also provide consulting services
to facilities to assist them in cost containment, as well as the updating of
their food service operations.


                                       3
<PAGE>

                        Operational Management Structure
                        --------------------------------

         By applying our professional management techniques, we are generally
able to contain or control certain housekeeping, laundry, linen, facility
maintenance and food service costs on a continuing basis. We manage and provide
our services through a network of management personnel, as illustrated below.

      ---------------------------------------------------------------------
                       PRESIDENT / CHIEF OPERATING OFFICER
      ---------------------------------------------------------------------
                                        |
                                        |
         ---------------------------------------------------------------
                            SENIOR VICE PRESIDENT (2)
         ---------------------------------------------------------------
                                        |
                                        |
            ---------------------------------------------------------
                            DIVISIONAL VICE PRESIDENT
                                  (6 DIVISIONS)
            ---------------------------------------------------------
                                        |
                                        |
              -----------------------------------------------------
                                  REGIONAL VICE
                           PRESIDENT/MANAGER/DIRECTOR
                                  (31 REGIONS)
              -----------------------------------------------------
                                        |
                                        |
                ------------------------------------------------
                                DISTRICT MANAGER
                                 (151 DISTRICTS)
                ------------------------------------------------
                                        |
                                        |
                  ---------------------------------------------
                                TRAINING MANAGER
                  ---------------------------------------------
                                        |
                                        |
                    -----------------------------------------
                              FACILITY MANAGER AND
                           ASSISTANT FACILITY MANAGER
                    -----------------------------------------

         Each facility is managed by an on-site Facility Manager, an Assistant
Facility Manager, and if necessary, additional supervisory personnel. Districts,
typically consisting of eight to twelve facilities, are supported by a District
Manager and a Training Manager. District Managers bear overall responsibility
for the facilities within their districts. They are generally based in close
proximity to each facility. These managers provide active support to clients in
addition to the support provided by our on-site management team. Training
Managers are responsible for the recruitment, training and development of
Facility Managers. A division consists of a number of regions within a specific
geographical area. Divisional Vice Presidents manage each division. At December
31, 2005 we maintained 31 regions within six divisions. Each region is headed by
a Regional Vice President/Manager/Director. Some regions also have a Regional
Director who assumes primary responsibility for marketing our services within
the respective region. Regional Vice Presidents/Managers/Directors provide
management support to a number of districts within a specific geographical area.
Regional Vice Presidents/Managers/Directors report to Divisional Vice Presidents
who in turn report to the President/Chief Operating Officer and Senior Vice
Presidents. We believe that our divisional, regional and district organizational
structure facilitates our ability to obtain new clients, and our ability to sell
additional services to existing clients.


                                       4
<PAGE>
                                     Market
                                     ------

         The market for our services consists of a large number of facilities
involved in various aspects of the health care industry, including nursing
homes, retirement complexes, rehabilitation centers and hospitals. Such
facilities may be specialized or general, privately owned or public, profit or
not-for-profit, and may serve patients on a long-term or short-term basis. The
market for our services is expected to continue to grow as the elderly
population increases as a percentage of the United States population and as
government reimbursement policies require increased cost control or containment
by constituents which comprise our targeted market.


         The American Health Care Association reports that there are
approximately 16,300 nursing homes in the United States with about 1.78 million
beds and 1.45 million residents. The facilities primarily range in size from
small private facilities with 65 beds to facilities with over 500 beds. We
generally market our services to facilities with 100 or more beds. We believe
that approximately 10% of our target market, long-term care facilities,
currently use outside providers of housekeeping and laundry services.


                               Marketing and Sales
                               -------------------

         Our services are marketed at four levels of our organization: at the
corporate level by the Chief Executive Officer, President/Chief Operating
Officer and the Senior Vice Presidents; at the divisional level by Divisional
Vice Presidents; at the regional level by the Regional Vice Presidents/Managers
and Regional Directors; and at the district level by District Managers. We
provide incentive compensation to our operational personnel based on achieving
budgeted earnings and to our Regional Directors based on achieving budgeted
earnings and new business revenues.

         Our services are marketed primarily through referrals and in-person
solicitation of target facilities. We also utilize direct mail campaigns and
participate in industry trade shows, health care trade associations and
healthcare support services seminars that are offered in conjunction with state
or local health authorities in many of the states in which we conduct our
business. Our programs have been approved for continuing education credits by
state nursing home licensing boards in certain states, and are typically
attended by facility owners, administrators and supervisory personnel, thus
presenting marketing opportunities for us. Indications of interest in our
services arising from initial marketing efforts are followed up with a
presentation regarding our services and a survey of the service requirements of
the facility. Thereafter, a formal proposal, including operational
recommendations and recommendations for proposed savings, is submitted to the
prospective client. Once the prospective client accepts the proposal and signs
the service agreement, we can set up our operations on-site within days.

                        Government Regulation of Clients
                        --------------------------------

         Our clients are subject to government regulation. Congress has enacted
three major laws during the past decade that have significantly altered
government payment procedures and amounts for nursing home services. They are


                                       5
<PAGE>


the Balance Budget Act of 1997 ("BBA"), the Medicare Balanced Budget Refinement
Act of 1999 ("BBRA") and the Benefits Improvement and Protection Act of 2000
("BIPA").

         Under BBA, participating nursing facilities are reimbursed under a
prospective payment system referred to as PPS. Under PPS, nursing homes are paid
a predetermined amount per patient, per day based on the anticipated costs of
treating patients.

         In November 1999, Congress passed BBRA which provided some relief
(since expired) for certain reductions in Medicare reimbursement caused by PPS.

         The overall effect of these laws, as well as other trends in the long
term care industry have and could adversely affect the liquidity of our clients
resulting in their inability to make payments to us on agreed upon payment
terms.

         The BBA included provisions affecting Medicaid and repealed the "Boren
Amendment" federal payment standard for Medicaid payments to nursing facilities.
With the repeal of the federal payment standards, there can be no assurance that
budget constraints or other factors will not cause states to reduce Medicaid
reimbursements to nursing homes or that payments to nursing homes will be made
on a timely basis. BIPA enacted a phase-out of certain governmental transfers
that may reduce federal support for a number of state Medicaid plans. The
reduced federal payments may impact aggregate available funds requiring states
to further contain payments to providers.

         Although PPS directly affects how clients are paid for certain
services, we do not directly participate in any government reimbursement
programs. Accordingly, all of our contractual relationships with our clients
continue to determine the clients' payment obligations to us. However, clients'
revenues are generally highly reliant on Medicare and Medicaid reimbursement
funding rates. Therefore, many clients have been, and continue to be, adversely
affected by PPS, and other trends in the long-term care industry which have
resulted in certain of our clients filing for bankruptcy protection. Others may
follow (See "Liquidity and Capital Resources").


         The prospects for legislative relief are uncertain. We are unable to
predict or to estimate the ultimate impact of any further changes in
reimbursement programs affecting our clients' future results of operations
and/or their impact on our cash flows and operations.


                         Service Agreements/Collections
                         ------------------------------

         We provide our services primarily pursuant to full service agreements
with our clients. In such agreements, we are responsible for our management and
hourly employees located at our clients' facilities. We provide services on the
basis of a management agreement for a very limited number of clients. In such
agreements, our services are comprised of providing on-site management
personnel, while the hourly and staff personnel remain employees of the
respective client.

         We typically adopt and follow the client's employee wage structure,
including its policy of wage rate increases, and pass through to the client any
labor cost increases associated with wage rate adjustments. Under a management
agreement, we provide management and supervisory services while the client


                                       6
<PAGE>

facility retains payroll responsibility for its hourly employees. Substantially
all of our agreements are full service agreements. These agreements typically
provide for a one year term, cancelable by either party upon 30 to 90 days'
notice after the initial 90-day period. As of December 31, 2005, we provided
services to approximately 1,700 client facilities.

         Although the service agreements are cancelable on short notice, we have
historically had a favorable client retention rate and expect to continue to
maintain satisfactory relationships with our clients. The risk associated with
short-term service agreements have not materially affected either our linen and
laundry services, which may from time-to-time require a capital investment, or
our laundry installation sales, which may require us to finance the sales price.
Such risks are often mitigated by certain provisions set forth in the agreements
entered into with our clients.

         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 $1,425,000, $3,700,000 and $4,550,000 in the
years ended December 31, 2005, 2004 and 2003, respectively (See Schedule
II-Valuation and Qualifying Accounts, for year-end balances). These provisions
represent .3%, .8% and 1.2%, as a percentage of total revenues, for the years
ended December 31, 2005, 2004 and 2003, respectively. 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 our credit risk exposure,
our clients could be adversely affected if future industry trends, as discussed
in "Government Regulation of Clients" and "Risk Factors", change in such a
manner as to negatively impact their cash flows. If our clients experience a
negative impact in their cash flows, it would have a material adverse effect on
our consolidated results of operations and financial condition.

                                   Competition
                                   -----------

         We compete primarily with the in-house support service departments of
our potential clients. Most healthcare facilities perform their own support
service functions without relying upon outside management firms. In addition, a
number of local firms compete with us in the regional markets in which we
conduct business. Several national service firms are larger and have greater
financial and marketing resources than us, although historically, such firms
have concentrated their marketing efforts on hospitals rather than the long-term
care facilities typically serviced by us. Although the competition to provide
service to health care facilities is strong, we believe that we compete
effectively for new agreements, as well as renewals of existing agreements,
based upon the quality and dependability of our services and the cost savings we
believe we can usually implement for existing and new clients.

                                       7
<PAGE>

                                    Employees
                                    ---------

         At December 31, 2005, we employed approximately 3,500 management,
office support and supervisory personnel. Of these employees, 300 held
executive, regional/district management and office support positions, and 3,200
of these employees were on-site management personnel. On such date, we employed
approximately 16,900 hourly employees. Many of our hourly employees were
previously support employees of our clients. We manage, for a limited number of
our client facilities, the hourly employees who remain employed by those
clients.


         Approximately 10% of our hourly employees are unionized. The majority
of these employees are subject to collective bargaining agreements that are
negotiated by individual client facilities and are assented to by us, so as to
bind us as an "employer" under the agreements. We may be adversely affected by
relations between our client facilities and the employee unions. We are also a
direct party to negotiated collective bargaining agreements covering a limited
number of employees at a few facilities serviced by us. We believe our employee
relations are satisfactory.

(d) Financial Information About Geographic Areas
    --------------------------------------------

         Our Housekeeping segment provides services in Canada, although
essentially all of its revenues and net income, 99% in each category, are earned
in one geographic area, the United States. The Food segment only provides
services in the United States.

(e) Available Information
    ---------------------

         Healthcare Services Group, Inc. is a reporting company under the
Securities Exchange Act of 1934, as amended, and files reports, proxy statements
and other information with the Securities and Exchange Commission (the
"Commission" or "SEC"). The public may read and copy any of our filings at the
Commissioner's Public Reference Room at 450 Fifth Street, N.W., Washington, D.C.
20549. You may obtain information on the operation of the Public Reference Room
by calling the Commission at 1-800-SEC-0330. Because we make filings to the
Commission electronically, you may access this information at the Commission's
internet site: www.sec.gov. This site contains reports, proxies and information
statements and other information regarding issuers that file electronically with
the Commission.


                                 Website Access
                                 --------------

         Our website address is www.hcsgcorp.com. Our filings with the
Commission, as well as other pertinent financial and Company information are
available at no cost on our website as soon as reasonably practicable after the
filing of such reports with the Commission.


                                       8

<PAGE>

ITEM 1A. RISK FACTORS.
----------------------

         We make forward-looking statements in this report, other public filings
with the Securities and Exchange Commission, and through oral discussions which
senior management has with analysts, investors, the media and others. Generally,
forward-looking statements may include statements on; projections of revenues,
net income, earnings per share, cash flows and other financial data.
Additionally, we may make forward-looking statements relating to business
objectives of management and evaluations of the market we serve. Such
forward-looking statements are subject to risks and uncertainties that could
cause actual results or objectives to differ materially from those projected. We
undertake no obligation to publicly update or revise any forward-looking
statements, whether as a result of new information, future events or otherwise.

         Some of the risk factors, which are beyond our control, that could
cause results to differ significantly from our projections are described below.

We have one client, a nursing home chain, which due to its significant
contribution to our total revenues, we consider a major client.

Beverly Enterprises, Inc, our major client accounted for 19% of our 2005 total
consolidated revenues, consisting of 18% and 27% of our Housekeeping segment and
Food segment revenues, respectively. At December 31, 2005, amounts due from such
client represented less than 1% of our accounts receivable balance. According to
public filings, the client's Board of Directors has entered into a merger
agreement on August 16, 2005 and the transaction is expected to close in the
first quarter of 2006. Although we expect to continue the relationship with this
client's successor, there can be no assurance thereof, and the loss of such
client's business would have a material adverse effect on our consolidated
results of operations. Additionally, if such client's successor changes their
payment terms, it would increase our accounts receivable balance and have a
material adverse effect on our cash flows and cash and cash equivalents.


Our clients are concentrated in the health care industry.

We provide our services primarily to providers of long-term care. The Balance
Budget Act of 1997 changed Medicare policy in a number of ways, most notably the
phasing in, effective July 1, 1998 of a Medicare Prospective Payment System for
skilled nursing facilities which significantly changed the manner and the
amounts of reimbursement they receive. Many of our clients' revenues are highly
contingent on Medicare and Medicaid reimbursement funding rates. Therefore, they
have been and continue to be adversely affected by changes in applicable laws
and regulations, as well as other trends in the long-term care industry. This
has resulted in certain of our clients filing for bankruptcy protection. Others
may follow. 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.


                                       9
<PAGE>


We have a Paid Loss Retrospective Insurance Plan for general liability and
workers' compensation insurance.

Under our insurance plans for general liability and workers' compensation,
predetermined loss limits are arranged with our insurance company to limit both
our per occurrence cash outlay and annual insurance plan cost. We regularly
evaluate our claims pay-out experience, present value factor and other factors
related to the nature of specific claims in arriving at the basis for our
accrued insurance claims estimate. Our evaluation is based primarily on current
information derived from reviewing our claims experience and industry trends. In
the event that our 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.


We provide services in 45 states and are subject to numerous local taxing
jurisdictions within those states.

The taxability of our services is subject to various interpretations within the
taxing jurisdictions of our markets. Consequently, in the ordinary course of
business, a jurisdiction may contest our reporting positions with respect to the
application of its tax code to our services. A jurisdiction's conflicting
position on the taxability of our services could result in additional tax
liabilities which we may not be able to pass on to our clients or could
negatively impact our competitive position in the respective location.

We primarily provide our services pursuant to agreements which have a one year
term, cancelable by either party upon 30 to 90 days' notice after the initial
90-day service agreement period.

We do not enter into long-term contractual agreements with our clients for the
rendering or our services. Consequently, our clients have the ability to
unilaterally decrease the amount of services we provide or terminate all
services pursuant to the terms of our service agreements. Any loss of clients
during the first year of providing services, for which we have incurred
significant start-up costs or invested in an equipment installation, could in
the aggregate materially adversely affect our consolidated results of operations
and financial position.

We are dependent on the management experience of our key personnel.

We manage and provide our services through a network of management personnel,
from the on-site facility manager up to the executive officers of the company.
Therefore, we believe that our ability to recruit and sustain the internal
development of managerial personnel is an important factor impacting future
operating results and our ability to successfully execute projected growth
strategies. Our professional management personnel are the key personnel in
maintaining and selling additional services to current clients and obtaining new
clients.

We may in general be adversely affected by inflationary or market fluctuations
in the cost of products consumed in providing our services or our cost of labor.

The prices we pay for the principal items we consume in performing our services
are dependent primarily on current market price. Additionally, our cost of labor
may be influenced by unanticipated factors in certain market areas or increases
in collective bargaining agreements of our clients, to which we ascend. Although
we endeavor to pass on, as price increases, to our clients such increased costs,
any inability or delay in passing on such increases in costs could negatively
impact our profitability.


                                       10
<PAGE>


ITEM 1B. UNRESOLVED STAFF COMMENTS.
-----------------------------------

         Not applicable.

ITEM 2. PROPERTIES.
-------------------

         We lease our corporate offices, located at 3220 Tillman Drive, Suite
300, Bensalem, Pennsylvania 19020. We also lease office space at other locations
in Pennsylvania, Connecticut, Florida, Illinois, California, Colorado, Georgia,
and New Jersey. These locations serve as divisional or regional offices
providing management and administrative services to both of our operating
segments in their respective geographical areas.

         We lease warehouse space in Bristol, Pennsylvania accommodating the
operations of HCSG Supply, Inc. Supplies and equipment warehoused and
distributed out of this location are used by both operating segments in
providing their respective services.

         We are also provided with office and storage space at each of our
client facilities.

         Management does not foresee any difficulties with regard to the
continued utilization of all of the aforementioned premises. We also believe
that such properties are sufficient for our current operations.

         We presently own laundry equipment, office furniture and equipment,
housekeeping equipment and vehicles. Such office furniture and equipment, and
vehicles are primarily located at our corporate office, warehouse, and
divisional and regional offices. We have housekeeping equipment at all client
facilities where we provide services under a full service housekeeping
agreement. Generally, the aggregate cost of housekeeping equipment located at
each client facility is less than $2,500. Additionally, we have laundry
installations at approximately 125 client facilities. Our cost of such laundry
installations ranges between $5,000 and $150,000. We believe that such laundry
equipment, office furniture and equipment, housekeeping equipment and vehicles
are sufficient for our current operations.

ITEM  3. LEGAL PROCEEDINGS.
---------------------------

         As of December 31, 2005, there were no material pending legal
proceedings to which we were a party, or as to which any of our property was
subject, other than routine litigation or claims and/or proceedings believed to
be adequately covered by insurance.

ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS.
------------------------------------------------------------

         Not applicable.


                                       11
<PAGE>
                                     PART II

ITEM 5. MARKET FOR REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER MATTERS.
------------------------------------------------------------------------------

(a) Market Information
    ------------------

         Our common stock, $.01 par value (the "Common Stock"), is traded under
the symbol "HCSG" on the NASDAQ National Market System. On February 14, 2006,
there were 22,779,000 shares of Common Stock outstanding and held by
non-affiliates.

         The high and low sales price quotations for our Common Stock during the
years ended December 31, 2005 and 2004 ranged as follows (adjusted to reflect
the 3 for 2 stock split in the form of a 50% common stock dividend on May 2,
2005):

                   2005 HIGH           2005 LOW
                   ---------           --------
1st Qtr.            $ 16.53             $ 12.54
2nd Qtr.            $ 20.65             $ 14.17
3rd Qtr.            $ 21.60             $ 15.77
4th Qtr.            $ 21.45             $ 17.01


                   2004 HIGH           2004 LOW         2003 HIGH      2003 LOW
                   ---------           --------         ---------      --------
1st Qtr.            $ 11.33             $  8.44          $  9.31       $
2nd Qtr.            $ 11.23             $  9.86          $  9.35       $
3rd Qtr.            $ 12.41             $ 10.13          $ 11.40       $
4th Qtr.            $ 14.27             $ 11.69          $ 13.44       $ 10.52


(b) Holders
    -------

         As of February 14, 2006, there were 691 shareholders of record of our
common stock, including holders whose stock was held in nominee name by brokers
or other nominees.

(c) Dividends
    ---------

         We have paid regular quarterly cash dividends since the second quarter
of 2003. During 2005, we paid regular quarterly cash dividends totaling
$8,076,000.

         A summary of such 2005 cash dividend payments follows:

                           Cash Dividend        Payment Date       Record Date
                           -------------        ------------       -----------
         1st Quarter           $.06             February 11        January 28

         2nd Quarter           $.07             May 16             May 4

         3rd Quarter           $.08             August 12          July 29

         4th Quarter           $.09             November 14        October 31

                                    12
<PAGE>
         Additionally, on January 24, 2006, our Board of Directors declared a
regular quarterly cash dividend of $.10 per common share, which was paid on
February 13, 2006 to shareholders of record as of February 3, 2006.

         On April 19, 2005, our Board of Directors approved a three-for-two
stock split in the form of a 50% common stock dividend which was paid on May 2,
2005 to shareholders of record on April 29, 2005.

         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 as to 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.

(d) Securities Authorized for Issuance Under Equity Compensation Plans
    ------------------------------------------------------------------

         The information regarding securities authorized for issuance under
equity compensation plans is incorporated herein by reference to the Company's
definitive proxy statement to be mailed to its shareholders in connection with
its 2006 Annual Shareholders' Meeting and to be filed within 120 days of the
close of the year ended December 31, 2005.

ITEM 6. SELECTED FINANCIAL DATA.
--------------------------------

         The information called for herein is incorporated by reference to the
Company's Annual Report to Shareholders for the year ended December 31, 2005, a
copy of which accompanies this Report.

ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL
---------------------------------------------------------
        CONDITION AND RESULTS OF OPERATION.
        -----------------------------------

         The information called for herein is incorporated by reference to the
Company's Annual Report to Shareholders for the year ended December 31, 2005, a
copy of which accompanies this Report.

ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK.
--------------------------------------------------------------------

         Our exposure to market risk is not significant.

ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA.
----------------------------------------------------

         The information called for herein is incorporated by reference to the
Company's Annual Report to Shareholders for the year ended December 31, 2005, a
copy of which accompanies this Report.


ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON
--------------------------------------------------------
        ACCOUNTING AND FINANCIAL DISCLOSURE
        -----------------------------------

         Not Applicable.

                                       13
<PAGE>

ITEM 9A. 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-K, 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.

         As of December 31, 2005 (the "Evaluation Date"), we carried out an
evaluation under the supervision and with the participation of our management,
including our Chief Executive Officer and Chief Financial Officer, of the
effectiveness of the design and operation of our disclosure controls and
procedures pursuant to Exchange Act Rules 13a-15(e) and 15d-15(e). Based upon
our evaluation, at the Evaluation Date, the Chief Executive Officer and Chief
Financial Officer concluded that our disclosure controls and procedures are
effective to insure that information required to be disclosed in the reports
that we file under the Exchange Act is recorded, processed, summarized and
reported within the time periods specified by the SEC's rules and regulations.

         During the evaluation of the controls and procedures as of December 31,
2004, the Chief Executive Officer and Chief Financial Officer concluded a
significant deficiency existed in the design and operation of our general
computer controls related to security involving access to certain components of
our information systems. We were able to fully implement certain changes to our
security access to remediate this deficiency as of December 31, 2005.

     MANAGEMENT'S ANNUAL REPORT ON INTERNAL CONTROL OVER FINANCIAL REPORTING
     -----------------------------------------------------------------------

         The management of the Company is responsible for establishing and
maintaining adequate internal control over financial reporting. Internal control
over financial reporting is defined in Rule 13a-15(f) and 15d-15(f) promulgated
under the Securities Exchange Act of 1934 as a process designed by, or under the
supervision of, the Company's Principal Executive Officer and Principal
Financial Officer and effected by the Company's board of directors, management
and other personnel, to provide reasonable assurance regarding the reliability
of financial reporting and the preparation of financial statements for external
purposes in accordance with generally accepted accounting principles and
includes those policies and procedures that:

                  1. Pertain to the maintenance of records that in reasonable
           detail accurately and fairly reflect the transactions and
           dispositions of assets of the Company;

                  2. Provide reasonable assurance that transactions are recorded
           as necessary to permit preparation of financial statements in
           accordance with generally accepted accounting principles, and that
           receipts and expenditures of the Company are being made only in
           accordance with authorizations of management and directors of the
           Company; and


                                       14
<PAGE>

                  3. Provide reasonable assurance regarding prevention or timely
           detection of unauthorized acquisition, use or disposition of the
           Company's assets that could have a material effect on the financial
           statements.

         The Company's management assessed the effectiveness of the Company's
internal control over financial reporting as of December 31, 2005. In making
this assessment, the Company's management used the criteria set forth by the
Committee of Sponsoring Organizations of the Treadway Commission in Internal
Control-Integrated Framework.

         Under the supervision and with the participation of our management,
including our Principal Executive Officer and Principal Financial Officer, we
conducted an evaluation of our internal control over financial reporting as
prescribed above for the periods covered by this report. Based on our
evaluation, our Principal Executive Officer and Principal Financial Officer
concluded that the Company's internal control over financial reporting is
effective.

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

         The Company's independent auditors have attested to, and reported on,
management's evaluation of our internal control over financial reporting. This
report is contained in this Annual Report on Form 10-K.

ITEM 9B. OTHER INFORMATION
--------------------------

      None.


                                       15
<PAGE>


                                    PART III

ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT
-----------------------------------------------------------


         The information regarding directors and executive officers is
incorporated herein by reference to the Company's definitive proxy statement to
be mailed to its shareholders in connection with its 2006 Annual Meeting of
Shareholders and to be filed within 120 days of the close of the year ended
December 31, 2005.


         The Company has adopted a Code of Ethics and Business Conduct which
apply to all directors and salaried employees, including the Company's principal
executive, financial and accounting officers. The Code of Ethics and Business
Conduct is posted on the Company website at www.hcsgcorp.com and is filed as an
exhibit to this Annual Report on Form 10-K. The Company intends to satisfy the
requirements under Item 10 of Form 8-K regarding disclosure of amendments to, or
waivers from, provisions of our Code of Ethics and Business Conduct that apply,
by posting such information on the Company's website. Copies of the Code of
Ethics and Business Conduct will be provided, free of charge, upon written
request directed to the Secretary, Healthcare Services Group, Inc., 3220 Tillman
Drive, Suite 300, Bensalem PA 19020.

ITEM 11. EXECUTIVE COMPENSATION
-------------------------------

         The information regarding executive compensation is incorporated herein
by reference to the Company's definitive proxy statement to be mailed to
shareholders in connection with its 2006 Annual Meeting of Shareholders and to
be filed within 120 days of the close of the fiscal year ended December 31,
2005.


ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND
------------------------------------------------------------
         MANAGEMENT AND RELATED STOCKHOLDER MATTERS
         ------------------------------------------

         The information regarding security ownership of certain beneficial
owners and management and related stockholder matters is incorporated herein by
reference to the Company's definitive proxy statement to be mailed to
shareholders in connection with its 2006 Annual Meeting of Shareholders and to
be filed within 120 days of the close of the fiscal year ending December 31,
2005.


ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS
-------------------------------------------------------

         The information regarding certain relationships and related
transactions is incorporated herein by reference to the Company's definitive
proxy statement mailed to shareholders in connection with its 2006 Annual
Meeting of Shareholders and to be filed within 120 days of the close of the
fiscal year ended December 31, 2005.


ITEM 14. PRINCIPAL ACCOUNTING FEES AND SERVICES
-----------------------------------------------

         The information regarding principal accounting fees and services is
incorporated herein by reference to the Company's definitive proxy statement
mailed to shareholders in connection with its 2006 Annual Meeting of
Shareholders and to be filed within 120 days of the close of the fiscal year
ended December 31, 2005.

                                       16
<PAGE>
                                     PART IV

ITEM 15. EXHIBITS AND FINANCIAL STATEMENT SCHEDULES
---------------------------------------------------

(a)      1. Financial Statements
            --------------------

         The documents shown below are contained in the Company's Annual Report
to Shareholders for 2005, and are incorporated herein by reference a copy of
which accompanies this report.


         Report of Independent Registered Public Accounting Firm.
         Report of Independent Registered Public Accounting Firm on
          Internal Control.
         Balance Sheets as of December 31, 2005 and 2004.
         Statements of Income for the years ended December 31,
          2005, 2004 and 2003.
         Statements of Cash Flows for the years ended December 31, 2005, 2004
          and 2003.
         Statement of Stockholders' Equity for the years ended December 31,
          2005, 2004 and 2003.
         Notes to Financial Statements.

         2. Financial Statement Schedules
            -----------------------------
            Required to be filed by Item 8 and by Item 15(d) of this report:

         Report of Independent Registered Public Accounting Firm.
         Schedule II - Valuation and Qualifying Accounts for the
           years ended December 31, 2005, 2004 and 2003.

         All other schedules are omitted because they are not required or not
applicable, or the required information is provided in the consolidated
financial statements or notes thereto described in Item 15(a)(1) above.


         3. Exhibits
            --------

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

Exhibit
Number                               Title
-------                              -----

3.1         Articles of Incorporation of the Registrant, as amended, are
            incorporated by reference to Exhibit 4.1 to the Company's
            Registration Statement on Form S-2 (File No. 33-35798).

3.2         Amendment to Articles of Incorporation of the Registrant as of May
            30, 2000, is incorporated by reference to Exhibit 3.2 to the
            Company's Form 10-K for the period ended December 31, 2001.

                                       17
<PAGE>

3.3         Amended By-Laws of the Registrant as of July 18, 1990, are
            incorporated by reference to Exhibit 4.2 to the Company's
            Registration Statement on Form S-2 (File No. 33-35798).

4.1         Specimen Certificate of the Common Stock, $.01 par value, of the
            Registrant is incorporated by reference to Exhibit 4.1 of
            Registrant's Registration Statement on Form S-18 (Commission File
            No. 2-87625-W).

4.2**       Employee Stock Purchase Plan of the Registrant is incorporated by
            reference to Exhibit 4(a) of Registrant's Registration Statement on
            Form S-8 (Commission File No. 333-92835).

4.3**       Amendment to Employee Stock Purchase Plan is incorporated by
            reference to Exhibit 4.3 to the Company's Form 10-K for the period
            ended December 31, 2003.

4.4**       Deferred Compensation Plan is incorporated by reference to Exhibit
            4(b) of Registrant's Registration Statement on Form S-8 (Commission
            File No. 333-92835).

10.1**      1995 Incentive and Non-Qualified Stock Option Plan, as amended is
            incorporated by reference to Exhibit 4(d) of the Form S-8 filed by
            the Registrant, Commission File No. 33-58765.

10.2**      Amendment to the 1995 Employee Stock Option Plan is incorporated by
            reference to Exhibit 4(a) of Registrant's Registration Statement on
            Form S-8 (Commission File No. 333-46656).

10.3**      1996 Non-Employee Directors' Stock Option Plan, Amended and Restated
            as of October 28, 1997 is incorporated by reference to Exhibit 10.6
            of Form 10-Q Report for the quarter ended September 30, 1997 filed
            by Registrant on November 14, 1997).

10.4**      Form of Non-Qualified Stock Option Agreement granted to certain
            Directors is incorporated by reference to Exhibit 10.9 of
            Registrant's Registration Statement on Form S-1 (Commission File No.
            2-98089).


10.5**      Amended and restated 2002 Stock Option Plan is incorporated by
            reference to Exhibit 4(1) to the Company's Registration Statement on
            Form S-8 (Commission File No. 333-127747)


10.7        Healthcare Services Group, Inc. Dividend Reinvestment Plan is
            incorporated by reference to the Company's Registration Statement on
            Form S-3 (Commission File No. 333-108182).


                                       18
<PAGE>

14.         Code of Ethics and Business Conduct. Such document is available at
            our website www.hcsgcorp.com.

21.         List of subsidiaries is filed herewith in Part I, Item I.

23.         Consent of Independent Registered Public Accounting Firm.

31.1        Certification of Principal Executive Officer pursuant to Section 302
            of the Sarbanes-Oxley Act.

31.2        Certification of Principal Financial Officer pursuant to Section 302
            of the Sarbanes-Oxley Act.

32.1        Certification of the Principal Executive Officer pursuant to Section
            906 of the Sarbanes-Oxley Act.

32.2        Certification of the Principal Financial Officer pursuant to Section
            906 of the Sarbanes-Oxley Act.

** indicates that exhibit is a management contract or a management compensatory
plan or arrangement


                                       19


<PAGE>

SELECTED FINANCIAL DATA

The selected financial data presented below should be read in conjunction
with, and is qualified in its entirety by reference to the Financial
Statements and Notes thereto.

(in thousands except for per share data and employees)
Years Ended December 31:
<TABLE>
<CAPTION>
                                                 2005              2004               2003               2002              2001
                                               --------          --------           --------           --------          --------
<S>                                            <C>               <C>                <C>                <C>               <C>
Revenues                                       $466,291          $442,568           $379,718           $328,500          $284,190
Net income                                     $ 19,096          $ 14,699           $ 10,860           $  8,631          $  7,035
Basic earnings per common share                $    .71          $    .56(1)        $    .42(1)        $    .34(1)       $    .29(1)
Diluted earnings per common share              $    .67          $    .53(1)        $    .41(1)        $    .33(1)       $    .28(1)
Cash dividends per common share                $    .30          $    .17(1)        $    .06(1)        $     --          $     --
Weighted average number of common
 shares outstanding for basic EPS                26,921            26,221(1)          25,574(1)          25,342(1)         24,588(1)
Weighted average number of common
 shares outstanding for diluted EPS              28,320            27,660(1)          26,682(1)          26,301(1)         24,925(1)


As of December 31:

Working Capital                                $142,535          $125,012           $112,073           $ 96,117          $ 84,089
Total Assets                                   $188,430          $166,964           $158,328           $134,296          $120,790
Stockholders' Equity                           $148,163          $131,460           $121,198           $107,881          $ 98,943
Book Value Per Common Share                    $   5.47          $   5.01(1)            4.67(1)            4.29(1)           3.97(1)
Employees                                        20,400            19,900             18,400             16,100            15,900
</TABLE>
(1) Adjusted to reflect the 3 for 2 Stock Split paid in the form of a 50% Common
    Stock Dividend on May 2, 2005

<PAGE>

The following discussion and analysis should be read in conjunction with the
Financial Statements and Notes thereto.

MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS

CAUTIONARY STATEMENT REGARDING FORWARD
LOOKING STATEMENTS
This report includes forward-looking statements that are subject to risks and
uncertainties that could cause actual results or objectives to differ
materially from those projected. 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 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 19% of revenues in 2005 (the client entered into a merger
agreement on August 16, 2005 and the transaction is expected to close in the
first quarter of 2006- see Note 1, "Major Client" in the following Notes to
Consolidated Financial Statements); 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, 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, 2005 and in Part I thereof
under "Government Regulation of Clients", "Competition" and "Service
Agreements/Collections". Many of our clients' revenues are highly contingent
on Medicare and Medicaid reimbursement funding rates, which have been and
continue to be adversely affected by the change in Medicare payments under the
1997 enactment of the Medicare Prospective Payment System. That change, and
the lack of substantive reimbursement funding rate reform legislation, as well
as other trends in the long-term care industry have resulted in certain of our
clients filing for bankruptcy protection. Others may follow. Any decisions by
the government to discontinue or adversely modify legislation related to
reimbursement funding rates will have a material adverse effect on our
clients. These factors, in addition to delays in payments from clients have
resulted in and could continue to result in significant additional bad debts
in the near future. Additionally, our operating results would be adversely
affected if unexpected increases in the costs of labor and labor related
costs, materials, supplies and equipment used in performing services could not
be passed on to our clients.

In addition, we believe that to improve our financial performance we must
continue to obtain service agreements with new clients, provide new services
to existing clients, achieve modest price increases on current service
agreements with existing clients and maintain internal cost reduction
strategies at our various operational levels. Furthermore, we believe that our
ability to sustain the internal development of managerial personnel is an
important factor impacting future operating results and successfully executing
projected growth strategies.

RESULTS OF OPERATIONS
The following discussion is intended to provide the reader with information
that will be helpful in understanding our financial statements including the
changes in certain key items in comparing financial statements period to
period. We also intend to provide the primary factors that accounted for those
changes, as well as a summary of how certain accounting principles affect our
financial statements. In addition, we are providing information about the
financial results of our two operating segments to further assist in
understanding how these segments and their results affect our consolidated
results of operations. This discussion should be read in conjunction with our
financial statements as of December 31, 2005 and the year 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

10
<PAGE>
services to approximately 1,700 facilities in 45 states as of December 31,
2005. 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 other services ("Housekeeping"), and food services ("Food").

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, which began operations in 1997, 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.

Additionally, we operate two wholly-owned subsidiaries, HCSG Supply, Inc.
("Supply") and Huntingdon Holdings, Inc. ("Huntingdon"). Supply purchases,
warehouses and distributes the supplies and equipment used in providing our
Housekeeping segment services. Huntingdon invests our cash and cash
equivalents.

CONSOLIDATED OPERATIONS
The following table sets forth, for the years indicated, the percentage which
certain items bear to consolidated revenues:
<TABLE>
<CAPTION>

                                                    Relation to Consolidated Revenues
                                                         Years Ended December 31,
                                                    ----------------------------------
                                                     2005          2004         2003
                                                     ----          ----         ----
<S>                                                  <C>           <C>          <C>
Revenues                                             100.0%        100.0%       100.0%
Operating costs and expenses:
 Costs of services provided                           87.1          87.8         88.1
 Selling, general and
   administration                                      7.0           7.1          7.6
Investment and interest income                          .7            .3           .4
                                                     -----         -----        -----
Income before income taxes                             6.6           5.4          4.7
Income taxes                                           2.5           2.0          1.8
                                                     -----         -----        -----
Net income                                             4.1%          3.4%         2.9%
                                                     =====         =====        =====
</TABLE>

Subject to the factors noted in the Cautionary Statement Regarding Forward
Looking Statements included in this report, we anticipate our financial
performance in 2006 to be comparable to the 2005 percentages presented in the
above table as they relate to consolidated revenues.

Housekeeping is our largest and core reportable segment, representing
approximately 80% of 2005 consolidated revenues. Food revenues represented
approximately 20% of 2005 consolidated revenues.

Although there can be no assurance thereof, we believe that in 2006 each of
Housekeeping's and Food's revenues, as a percentage of consolidated revenues,
will remain approximately the same as their respective 2005 percentages noted
above. Furthermore, we expect the sources of growth in 2006 for the respective
operating segments will be primarily the same as historically experienced.

                                                                             11

<PAGE>
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 will primarily come from obtaining new clients.

2005 Compared with 2004
The following table sets forth 2005 income statement key components that we
use to evaluate our financial performance on a consolidated and reportable
segment basis, as well as the percentage increases of each compared to 2004
amounts.

<TABLE>
<CAPTION>

                                                                                                    REPORTABLE SEGMENTS
                                                                                       --------------------------------------------
                                                                                            HOUSEKEEPING               FOOD
                                                           PERCENT     CORPORATE AND   ---------------------    -------------------
                                            CONSOLIDATED   INCREASE    ELIMINATIONS       AMOUNT       %INCR      AMOUNT      %INCR
                                            ------------   --------    -------------   ------------    -----    -----------   -----
<S>                                         <C>            <C>         <C>             <C>             <C>      <C>           <C>
Revenues                                    $466,291,000      5.4%     $ (1,706,000)   $375,133,000     4.9%    $92,864,000     6.4%
Cost of services provided                    406,114,000      4.5       (27,340,000)    343,224,000     4.5      90,230,000     5.7
Selling, general and
 administrative                               32,576,000      3.3        32,576,000         --                      --
Income before income taxes                    30,799,000     29.9        (3,744,000)     31,909,000     8.8       2,634,000    36.2
</TABLE>


REVENUES
Consolidated
------------
Consolidated revenues increased 5.4% to $466,291,000 in 2005 compared to
$442,568,000 in 2004 as a result of the factors discussed below under
Reportable Segments.

We have one client, a nursing home chain ("Major Client"), which in 2005 and
2004 accounted for 19% and 20%, respectively, of consolidated revenues. At
both December 31, 2005 and 2004 amounts due from such client represented less
than 1% of our accounts receivable balance. According to public filings, the
client entered into a merger agreement on August 16, 2005 and the transaction
is expected to close in the first quarter of 2006. Although we expect to
continue our relationship with this client's successor, there can be no
assurance thereof, and the loss of such client would have a material adverse
effect on our consolidated results of operations. Additionally, if such
client's successor 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 4.9% net growth in reportable segment revenues is primarily a
result of an increase in service agreements entered into with new clients.

Food's 6.4% net growth in reportable segment revenues is a result of providing
this service to an increasing number of existing Housekeeping clients.

We derived 18% and 27%, respectively, of Housekeeping and Food's 2005 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 2005 decreased to 87.1 % from 87.8 % in 2004. 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.

<TABLE>
<CAPTION>

Cost of Services Provided-Key Indicators                    2005%         2004%        (Decr)%
----------------------------------------                    -----         -----        -------
<S>                                                         <C>           <C>          <C>
Bad debt provision                                            .3            .8           (.5)
Workers' compensation and general
 liability insurance                                         3.9           4.0           (.1)
</TABLE>


12

<PAGE>
The decrease in bad debt provision resulted primarily from improved collection
experience. The workers' compensation and liability insurance expense decrease
is primarily a result of a current reduction in the average claim cost.

Reportable Segments
-------------------
Cost of services provided for Housekeeping, as a percentage of Housekeeping
revenues, for 2005 decreased to 91.5% from 91.8% in 2004. Cost of services
provided for Food, as a percentage of Food revenues, for 2005 decreased to
97.2% from 97.8% in 2004.

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:

<TABLE>
<CAPTION>

Cost of Services Provided-Key Indicators                       2005%           2004%          Incr (Decr)%
----------------------------------------                       -----           -----          ------------
<S>                                                             <C>             <C>               <C>
Housekeeping labor and other labor costs                        82.4           82.7                (.3)
Housekeeping segment supplies                                    5.5            5.2                 .3
Food labor and other labor costs                                54.9           54.9                 --
Food segment supplies                                           38.6           38.7                (.1)
</TABLE>

The decrease in Housekeeping labor and other labor costs, as a percentage of
Housekeeping revenues, resulted primarily from efficiencies achieved. The
increase in Housekeeping supplies resulted primarily from vendor price
increases.

The minor decrease in Food segment supplies, as a percentage of Food segment
revenues, is a result of price decreases in vendor purchasing agreements.

CONSOLIDATED SELLING, GENERAL AND ADMINISTRATIVE EXPENSE
Consistent with our 5.4% growth in consolidated revenues, selling, general and
administrative expenses increased by $1,053,000. However, as a percentage of
total consolidated revenues, these expenses decreased to 7.0% in the 2005 as
compared to 7.1% in 2004. The decrease is primarily attributable to our
ability to control these expenses and comparing them to a greater revenue base
in the current period.

INCOME BEFORE INCOME TAXES
Consolidated
------------
As a result of the discussion above related to revenues and expenses,
consolidated income before income taxes for 2005 increased to 6.6 %, as a
percentage of consolidated revenues, compared to 5.4% in 2004.

Reportable Segments
-------------------
Housekeeping's 8.8% increase in income before income taxes is attributable to
the improvement in the gross profit earned at the client facility level and
the gross profit earned on the 4.9% increase in reportable segment revenues.

Food's income before income taxes increased 36.2% on a reportable segment
basis which is primarily attributable to an improvement in the gross profit
earned at the client facility level and the gross profit earned on the 6.4%
increase in reportable segment revenues.

CONSOLIDATED INVESTMENT AND INTEREST INCOME
Investment and interest income, as a percentage of consolidated revenues, was
..7% in 2005 compared to .3% in 2004. The increase is attributable to improved
rates of return on the higher cash and cash equivalents' average balance and
the increase in market value of the investments held in our Deferred
Compensation Fund.


                                                                             13

<PAGE>
CONSOLIDATED INCOME TAXES
Our effective tax rate at both December 31, 2005 and 2004 was 38%. Absent any
significant change in federal, or state and local tax laws, we expect our
effective tax rate for 2006 to be approximately the same as realized in 2005.
Our 38% effective tax rate differs from the federal income tax statutory rate
principally because of the effect of state and local income taxes.

CONSOLIDATED NET INCOME
As a result of the matters discussed above, consolidated net income for 2005
increased to 4.1%, as a percentage of consolidated revenues, compared to 3.4%
in 2004.

2004 Compared with 2003
The following table sets forth for 2004 income statement key components that
we use to evaluate our financial performance on a consolidated and reportable
segment basis, as well as the percentage increases (decreases) of each
compared to 2003 amounts.

<TABLE>
<CAPTION>

                                                                                                REPORTABLE SEGMENTS
                                                                                ---------------------------------------------------
                                                                                     HOUSEKEEPING                   FOOD
                                                    PERCENT     CORPORATE AND   ---------------------    --------------------------
                                     CONSOLIDATED   INCREASE    ELIMINATIONS       AMOUNT       %INCR      AMOUNT      %INCR (DECR)
                                     ------------   --------    -------------   ------------    -----    -----------   ------------
<S>                                  <C>            <C>         <C>             <C>             <C>      <C>           <C>
Revenues                             $442,568,000     16.6%     $ (2,495,000)   $357,754,000     12.3%   $87,309,000        40.4%
Cost of services provided             388,668,000     16.2       (25,125,000)    328,418,000     11.3     85,375,000        41.8
Selling, general and
 administrative                        31,523,000      8.5        31,523,000              --                      --
Income before income taxes             23,706,000     35.3        (7,564,000)     29,336,000     25.6      1,934,000       (1.5)
</TABLE>

REVENUES
Consolidated
------------
Consolidated revenues increased 16.6% to $442,568,000 in 2004 compared to
$379,718,000 in 2003 as a result of the factors discussed below under
Reportable Segments.

Our Major Client accounted for 20% and 23% of consolidated revenues in 2004
and 2003, respectively.

Reportable Segments
-------------------
Housekeeping's 12.3% net growth in reportable segment revenues is primarily a
result of an increase in service agreements entered into with new clients.

Food's 40.4% net growth in reportable segment revenues is a result of
providing this service to an increasing number of existing Housekeeping
clients.

We derived 19% and 27%, respectively, of the Housekeeping and Food's 2004
revenues from our Major Client.

COSTS OF SERVICES PROVIDED
Consolidated
------------
Cost of services provided, on a consolidated basis, as a percentage of
consolidated revenues in 2004 decreased slightly to 87.8 % from 88.1 % in
2003. 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:

<TABLE>
<CAPTION>

Cost of Services Provided-Key Indicators                        2004%          2003%         Incr (Decr)%
----------------------------------------                        -----          -----         ------------
<S>                                                              <C>            <C>           <C>
Bad debt provision                                                .8            1.2              (.4)
Workers' compensation and general
 liability insurance                                             4.0            4.6              (.6)
</TABLE>


14

<PAGE>
The decrease in bad debt provision resulted primarily from improved collection
experience. The decrease in workers' compensation and general liability
insurance is primarily a result of a current reduction in average claim cost.

Reportable Segments
-------------------
Cost of services provided for Housekeeping, as a percentage of Housekeeping
revenues, for 2004 decreased to 91.8% from 92.7% in 2003. Cost of services
provided for Food, as a percentage of Food revenues, for 2004 increased to
97.8% from 96.8% in 2003.

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:

<TABLE>
<CAPTION>

Cost of Services Provided-Key Indicators                        2004%          2003%         Incr (Decr)%
----------------------------------------                        -----          -----         ------------
<S>                                                              <C>            <C>           <C>
Housekeeping labor and other labor costs                         82.7          83.7              (1.0)
Housekeeping segment supplies                                     5.2           4.7                .5
Food labor and other labor costs                                 54.9          53.7               1.2
Food segment supplies                                            38.7          39.0               (.3)
</TABLE>

The decrease in Housekeeping labor and other labor costs, as a percentage of
Housekeeping revenues, resulted primarily from efficiencies achieved. The
increase in Housekeeping supplies resulted primarily from vendor price
increases.

The 1.2% increase in Food labor and other labor costs, as a percentage of Food
revenues, resulted primarily from inefficiencies experienced in the management
of these costs in connection with this segment's 40.4% growth in revenues. The
decrease in Food supplies, as a percentage of Food revenues, is a result of
price decreases in vendor purchasing agreements.

CONSOLIDATED SELLING, GENERAL AND ADMINISTRATIVE EXPENSE
Consistent with our 16.6% growth in consolidated revenues, selling, general
and administrative expenses increased by $2,478,000. However, as a percentage
of total consolidated revenues, these expenses decreased to 7.1% in 2004 as
compared to 7.6% in 2003. The decrease is primarily attributable to our
ability to control these expenses and comparing them to a greater revenue base
in the current period.

INCOME BEFORE INCOME TAXES
Consolidated
------------
As a result of the discussion above related to revenues and expenses,
consolidated income before income taxes for 2004 increased to 5.4 %, as a
percentage of consolidated revenues, compared to 4.7% in 2003.

Reportable Segments
-------------------
Housekeeping's 25.6% increase in income before income taxes is attributable to
the improvement in the gross profit earned at the client facility level and
the gross profit earned on the 12.3% increase in reportable segment revenues.

Food's income before income taxes decreased 1.5% on a reportable segment
basis. The decrease is attributable to a lower gross profit earned at the
client facility level resulting primarily from the discussion above related to
labor and other labor costs increase.

CONSOLIDATED INVESTMENT AND INTEREST INCOME
Investment and interest income, as a percentage of consolidated revenues, was
..3% in 2004 compared to .4% in 2003. The slight decrease is primarily
attributable to a reduction in interest income earned on clients' notes
receivable as a result of having less outstanding balances on such notes
during 2004.


                                                                             15

<PAGE>
CONSOLIDATED INCOME TAXES
Our effective tax rate at both December 31, 2004 and 2003 was 38%. Our 38%
effective tax rate differs from the federal income tax statutory rate
principally because of the effect of state and local income taxes.

CONSOLIDATED NET INCOME
As a result of the matters discussed above, consolidated net income for 2004
increased to 3.4%, as a percentage of consolidated revenues, compared to 2.9%
in 2003.

CRITICAL ACCOUNTING POLICIES AND ESTIMATES
We consider the two 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 two 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 generally accepted
accounting principles, with no need for our judgment in their application.
There are also areas in which our judgment in selecting another available
alternative would not produce a materially different result. See our audited
consolidated financial statements and notes thereto which are included in this
Annual Report, which contain accounting policies and other disclosures
required by generally accepted accounting principles.

ALLOWANCE FOR DOUBTFUL ACCOUNTS
-------------------------------
The Allowance for Doubtful Accounts is established as losses are estimated to
have occurred through a provision for bad debts charged to earnings. The
Allowance for Doubtful Accounts is evaluated based on our periodic review of
accounts and notes receivable and is inherently subjective as it requires
estimates that are susceptible to significant revision as more information
becomes available.

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 Doubtful Accounts for such
receivables. We generally follow a policy of reserving for receivables 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 negotiation to
be less than the recorded amount on our balance sheet, we will charge-off the
applicable amount to the Allowance for Doubtful Accounts.

At December 31, 2005, we identified accounts totaling $2,960,000 that require
an Allowance for Doubtful Accounts based on potential impairment or loss of
value. An Allowance for Doubtful Accounts totaling $2,275,000 was provided for
these accounts at December 31, 2005. Actual collections of these accounts
could differ from that which we currently estimate. If our actual

16

<PAGE>
collection experience is 5% less than our estimate, the related increase to
our Allowance for Doubtful Accounts would decrease net income by $21,000.

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
Form 10-K filed with Securities and Exchange Commission for the year ended
December 31, 2005 in Part I thereof 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
36% of our liabilities at December 31, 2005. Our accounting for this plan is
affected by various uncertainties because we must make assumptions and apply
judgment to estimate the ultimate cost to settle reported claims and claims
incurred but not reported as of the balance sheet date. We address these
uncertainties by regularly evaluating our claims pay-out experience, present
value factor and other factors related to the nature of specific claims in
arriving at the basis for our accrued insurance claims estimate. Our
evaluations are based primarily on current information derived from reviewing
our claims experience and industry trends. In the event that our claims
experience and/or industry trends result in an unfavorable change, 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 $76,000. Additionally, reducing the estimated payout
period by six months would result in an approximate $132,000 reduction in net
income.

For general liability, we record a reserve for the estimated ultimate amounts
to be paid for known claims.

LIQUIDITY AND CAPITAL RESOURCES
At December 31, 2005, we had cash and cash equivalents of $91,005,000 and
working capital of $142,535,000 compared to December 31, 2004 cash and cash
equivalents and working capital of $74,847,000 and $125,012,000, respectively.
We view our cash and cash equivalents as our principal measure of liquidity.
Our current ratio at December 31, 2005 remained the same as at December 31,
2004 of 7.2 to 1. 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.

OPERATING ACTIVITIES
--------------------
The net cash provided by our operating activities was $24,495,000 for the year
ended December 31, 2005. The principal sources of net cash flows from
operating activities for 2005 were net income, including non-cash charges to
operations for bad debt provisions and depreciation. Additionally, operating
activities' cash flows increased by $2,324,000 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 year ended
December 31, 2005 was a net increase of $3,895,000 in accounts and notes
receivable and long-term notes receivable resulting primarily from the 5.4%
growth in the Company's 2005 revenues.


                                                                             17

<PAGE>
INVESTING ACTIVITIES
--------------------
Our principal use of cash in investing activities for the year ended
December 31, 2005 was $1,897,000 for the purchase 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 $2,000,000 to $3,000,000 during 2006
for such capital expenditures.

FINANCING ACTIVITIES
--------------------
During 2005, we paid to shareholders regular quarterly cash dividends in the
aggregate of $8,076,000. Such regular quarterly cash dividend payments of
$.06, $.07, $.08 and $.09 per common share were paid on February 11, May 16,
August 12, and November 18, 2005, respectively. Additionally, on January 24,
2006, our Board of Directors declared a regular quarterly cash dividend of
$.10 per common share to be paid on February 13, 2006 to shareholders of
record as of February 3, 2006.

Our Board of Directors reviews our dividend policy on a quarterly basis.
Although there can be no assurance that we will continue to pay dividends or
the amount of the dividend, we expect to continue to pay a regular quarterly
cash dividend. In connection with the establishment of our dividend policy, we
adopted a Dividend Reinvestment Plan in 2003.

During the year ended December 31, 2005, we expended $3,857,000 for the
repurchase of 218,000 shares of our common stock. We remain authorized to
purchase 1,282,000 shares pursuant to previous Board of Directors' actions.

During 2005, we received proceeds of $5,549,000 from the exercise of stock
options by employees and directors.

LINE OF CREDIT
--------------
We have a $25,000,000 bank line of credit on which we may draw to meet
short-term liquidity requirements in excess of internally generated cash flow.
Amounts drawn under the line of credit are payable upon demand. At December 31,
2005, there were no borrowings under the line of credit. However, at such
date, we had outstanding a $17,925,000 (increased to $23,925,000 on January 1,
2006) 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
$17,925,000 at December 31, 2005. The line of credit requires us to satisfy
two financial covenants. Such covenants, and their respective status at
December 31, 2005, were as follows:

<TABLE>
<CAPTION>

      Covenant Description and Requirement                              Status at December 31, 2005
      ------------------------------------                              ---------------------------
<S>                                                                   <C>
Commitment coverage ratio: cash and cash equivalents must             Commitment coverage is 5.1
 equal or exceed outstanding obligations under the line
 of credit by a multiple of 2.

Tangible net worth: must exceed $112,000,000.                         Tangible net worth is $146,000,000
</TABLE>
As noted above, we complied with both financial covenants at December 31, 2005
and expect to continue to remain in compliance with all such financial
covenants. This line of credit expires on June 30, 2006. 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. The
Balance Budget Act of 1997 changed Medicare policy in a number of ways, most
notably the phasing in, effective July 1, 1998, of a Medicare Prospective
Payment System for skilled nursing facilities which significantly changed the
reimbursement procedures and the amounts of reimbursement our clients receive.
Many of our clients' revenues are highly contingent on Medicare and Medicaid
reimbursement funding rates. Therefore, they have been and continue to be
adversely affected by changes in applicable laws and regulations, as well as
other trends in the long-term care industry. This

18

<PAGE>
has resulted in certain of our clients filing for bankruptcy protection.
Others may follow. These factors, in addition to delays in payments from
clients, have resulted in and could continue to result in significant
additional bad debts in the near future. Whenever possible, when a client
falls behind in making agreed-upon payments, we convert the unpaid accounts
receivable to interest bearing promissory notes. The promissory notes
receivable provide a means by which to further evidence the amounts owed and
provide a definitive repayment plan and therefore may ultimately enhance our
ability to collect the amounts due. At December 31, 2005 and December 31,
2004, we had $8,514,000 and $8,942,000, 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.

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 $1,425,000,
$3,700,000 and $4,550,000 in the years ended December 31, 2005, 2004 and 2003,
respectively. These provisions represent approximately .3%, .8% and 1.2%, 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 December 31, 2005, amounts due from our Major Client represented less than
1% of our accounts receivable balance. If such client's successor 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.

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 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.

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

                                                                             19

<PAGE>
software. Although we have no specific material commitments for capital
expenditures through the end of calendar year 2006, we estimate that for the
period we will have capital expenditures of $2,000,000 to $3,000,000 in
connection with housekeeping equipment purchases and laundry and linen
equipment installations in our clients' facilities, as well as expenditures
relating to internal data processing hardware and software requirements. We
believe that our cash from operations, existing cash and cash equivalents
balance and credit line will be adequate for the foreseeable future to satisfy
the needs of our operations and to fund our anticipated growth. However,
should these sources not be sufficient, we would, if necessary, seek to obtain
necessary working capital from such sources as long-term debt or equity
financing.

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

EFFECTS OF INFLATION
--------------------
Although there can be no assurance thereof, we believe that in most instances
we will be able to recover increases in costs attributable to inflation by
passing through such cost increases to our clients.


20

<PAGE>
CONSOLIDATED BALANCE SHEETS
<TABLE>
<CAPTION>
                                                                         December 31,
                                                                -----------------------------
                                                                    2005             2004
                                                                ------------     ------------
<S>                                                             <C>              <C>
ASSETS
CURRENT ASSETS:
 Cash and cash equivalents                                      $ 91,005,000     $ 74,847,000
 Accounts and notes receivable, less allowance
   for doubtful accounts of $2,275,000 in 2005 and
   $1,869,000 in 2004                                             59,197,000       55,725,000
 Inventories and supplies                                         11,729,000       11,015,000
 Deferred income taxes                                               355,000          574,000
 Prepaid expenses and other                                        3,330,000        3,110,000
                                                                ------------     ------------
    TOTAL CURRENT ASSETS                                         165,616,000      145,271,000

PROPERTY AND EQUIPMENT:
 Laundry and linen equipment installations                         2,416,000        2,329,000
 Housekeeping equipment and office furniture                      15,141,000       13,987,000
 Autos and trucks                                                     79,000           80,000
                                                                ------------     ------------
                                                                  17,636,000       16,396,000
 Less accumulated depreciation                                    12,892,000       11,592,000
                                                                ------------     ------------
                                                                   4,744,000        4,804,000
COSTS IN EXCESS OF FAIR VALUE OF
 NET ASSETS ACQUIRED
 Less accumulated amortization of $1,743,000 in
  2005 and 2004                                                    1,612,000        1,612,000
NOTES RECEIVABLE-long term portion, net of discount                4,555,000        5,557,000
DEFERRED COMPENSATION FUNDING                                      5,626,000        4,062,000
DEFERRED INCOME TAXES-long term portion                            6,181,000        5,563,000
OTHER NONCURRENT ASSETS                                               96,000           95,000
                                                                ------------     ------------
    TOTAL ASSETS                                                $188,430,000     $166,964,000
                                                                ============     ============

LIABILITIES AND STOCKHOLDERS' EQUITY
CURRENT LIABILITIES:
 Accounts payable                                               $  8,760,000     $  7,272,000
 Accrued payroll, accrued and withheld payroll taxes               7,792,000        6,110,000
 Other accrued expenses                                              657,000        1,692,000
 Income taxes payable                                              1,467,000        1,016,000
 Accrued insurance claims                                          4,405,000        4,169,000
                                                                ------------     ------------
    TOTAL CURRENT LIABILITIES                                     23,081,000       20,259,000

ACCRUED INSURANCE CLAIMS -- long term portion                     10,277,000       10,227,000
DEFERRED COMPENSATION LIABILITY                                    6,909,000        5,018,000
COMMITMENTS AND CONTINGENCIES

STOCKHOLDERS' EQUITY:
 Common stock, $.01 par value, 67,500,000
   shares authorized, 28,677,000 shares
   issued in 2005 and 27,761,000 in 2004                             287,000          277,000
 Additional paid-in capital                                       48,603,000       39,374,000
 Retained earnings                                               112,299,000      101,279,000
 Common stock in treasury, at cost, 1,616,000
   shares in 2005 and 1,488,000 shares in 2004                   (13,026,000)      (9,470,000)
                                                                ------------     ------------
    TOTAL STOCKHOLDERS' EQUITY                                   148,163,000      131,460,000
                                                                ------------     ------------
     TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY                 $188,430,000     $166,964,000
                                                                ============     ============
</TABLE>
                             See accompanying notes

                                                                             21

<PAGE>
CONSOLIDATED STATEMENTS OF INCOME

<TABLE>
<CAPTION>

                                                                      Years Ended December 31,
                                                             -------------------------------------------
                                                                 2005           2004            2003
                                                             ------------   ------------    ------------
<S>                                                          <C>            <C>             <C>
Revenues                                                     $466,291,000   $442,568,000    $379,718,000
Operating costs and expenses:
 Cost of services provided                                    406,114,000    388,668,000     334,609,000
 Selling, general and administrative                           32,576,000     31,523,000      29,045,000
Other income:
 Investment and interest                                        3,198,000      1,329,000       1,451,000
                                                             ------------   ------------    ------------
Income before income taxes                                     30,799,000     23,706,000      17,515,000
Income taxes                                                   11,703,000      9,007,000       6,655,000
                                                             ------------   ------------    ------------
Net income                                                   $ 19,096,000   $ 14,699,000    $ 10,860,000
                                                             ============   ============    ============
Basic earnings per common share                              $       0.71   $       0.56    $       0.42
                                                             ============   ============    ============
Diluted earnings per common share                            $       0.67   $       0.53    $       0.41
                                                             ============   ============    ============
Cash dividends per common share                              $       0.30   $       0.17    $       0.06
                                                             ============   ============    ============
Basic weighted average number of
 common shares outstanding                                     26,921,000     26,221,000      25,574,000
                                                             ============   ============    ============
Diluted weighted average number of
 common shares outstanding                                     28,320,000     27,660,000      26,682,000
                                                             ============   ============    ============
</TABLE>

                             See accompanying notes

22

<PAGE>
CONSOLIDATED STATEMENTS OF CASH FLOWS
<TABLE>
<CAPTION>

                                                                                          Years Ended December 31,
                                                                                  -----------------------------------------
                                                                                     2005           2004           2003
                                                                                  -----------   -----------    ------------
<S>                                                                               <C>           <C>            <C>
Cash flows from operating activities:
 Net Income                                                                       $19,096,000   $14,699,000    $ 10,860,000
 Adjustments to reconcile net income
   to net cash provided by operating activities:
   Depreciation                                                                     1,872,000     1,873,000       1,914,000
   Bad debt provision                                                               1,425,000     3,700,000       4,550,000
   Deferred income taxes benefits                                                    (399,000)     (986,000)       (174,000)
   Tax benefit of stock option transactions                                         3,454,000     1,900,000       1,039,000
   Non-employee stock-based compensation expense                                       35,000        --             --
   Unrealized gain on deferred compensation
    fund investments                                                                 (705,000)     (336,000)       (418,000)
 Changes in operating assets and liabilities:
   Accounts and notes receivable                                                   (4,897,000)   (1,279,000)    (11,141,000)
   Prepaid income taxes                                                               --             --             884,000
   Inventories and supplies                                                          (714,000)     (560,000)     (1,792,000)
   Notes receivable -- long term portion                                            1,002,000     2,347,000       2,034,000
   Deferred compensation funding                                                     (859,000)     (879,000)       (954,000)
   Accounts payable and other accrued expenses                                        453,000     1,553,000       1,865,000
   Accrued payroll, accrued and withheld payroll taxes                              2,324,000    (7,651,000)      3,177,000
   Accrued insurance claims                                                           285,000     2,481,000       4,104,000
   Deferred compensation liability                                                  1,892,000     1,521,000       1,602,000
   Income taxes payable                                                               452,000       837,000         179,000
   Prepaid expenses and other assets                                                 (221,000)      215,000        (985,000)
                                                                                  -----------   -----------    ------------
   Net cash provided by operating activities                                       24,495,000    19,435,000      16,744,000
                                                                                  -----------   -----------    ------------
Cash flows from investing activities:
 Disposals of fixed assets                                                             85,000       321,000         221,000
 Additions to property and equipment                                               (1,897,000)   (2,387,000)     (2,309,000)
                                                                                  -----------   -----------    ------------
   Net cash used in investing activities                                           (1,812,000)   (2,066,000)     (2,088,000)
                                                                                  -----------   -----------    ------------
Cash flows from financing activities:
 Treasury stock transactions in benefit plans                                        (173,000)       --             --
 Acquisition of treasury stock                                                     (3,857,000)   (6,026,000)       (164,000)
 Dividends paid                                                                    (8,076,000)   (4,598,000)     (1,489,000)
 Reissuance of treasury stock pursuant to Dividend
   Reinvestment Plan                                                                   32,000        11,000           2,000
 Proceeds from the exercise of stock options                                        5,549,000     3,910,000       2,856,000
                                                                                  -----------   -----------    ------------
    Net cash provided by (used in) financing activities                            (6,525,000)   (6,703,000)      1,205,000
                                                                                  -----------   -----------    ------------
Net increase in cash and cash equivalents                                          16,158,000    10,666,000      15,861,000
Cash and cash equivalents at beginning of the year                                 74,847,000    64,181,000      48,320,000
                                                                                  -----------   -----------    ------------
Cash and cash equivalents at end of the year                                      $91,005,000   $74,847,000    $ 64,181,000
                                                                                  ===========   ===========    ============
Supplementary Cash Flow Information:
Issuance of 90,000, 72,000, and 56,000
   shares of Common Stock in 2005,
   2004 and 2003, respectively, pursuant to
   Employee Stock Plans                                                           $   643,000   $   366,000    $    212,000
                                                                                  ===========   ===========    ============
</TABLE>

                             See accompanying notes

                                                                             23

<PAGE>
CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY
<TABLE>
<CAPTION>

                                                                   Years Ended December 31, 2005, 2004 and 2003
                                                -----------------------------------------------------------------------------------
                                                                         Additional        Total
                                                    Common Stock          Paid-in        Retained        Treasury     Stockholders'
                                                 Shares       Amount      Capital        Earnings         Stock           Equity
                                                ---------------------   -----------    ------------    ------------   -------------
<S>                                            <C>           <C>        <C>            <C>             <C>            <C>
Balance, December 31, 2002                     26,129,000    $261,000   $29,531,000    $ 81,807,000    $ (3,717,000)   $107,882,000
   Net income for the year                                                               10,860,000                      10,860,000
   Exercise of stock options and other
    share-based compensation                      780,000       8,000     2,848,000                                       2,856,000
   Tax benefit arising from stock
    option transactions                                                   1,039,000                                       1,039,000
   Purchase of common stock for treasury
    (33,000 shares)                                                                                        (164,000)       (164,000)
   Shares issued pursuant to Employee
    Stock Plans (56,000 shares)                                               7,000                         205,000         212,000
   Cash dividends - $.06 per
    common share                                                                         (1,489,000)                     (1,489,000)
   Shares issued pursuant to Dividend
    Reinvestment Plan (134 shares)                                            1,000                           1,000           2,000
                                               ----------    --------   -----------    ------------    ------------    ------------
Balance, December 31, 2003                     26,909,000     269,000    33,426,000      91,178,000      (3,675,000)    121,198,000
   Net income for the year                                                               14,699,000                      14,699,000
   Exercise of stock options and other
    share-based compensation                      852,000       8,000     3,948,000                         (46,000)      3,910,000
   Tax benefit arising from stock
    option transactions                                                   1,900,000                                       1,900,000
   Purchase of common stock for treasury
    (579,000 shares)                                                                                     (6,026,000)     (6,026,000)
   Shares issued pursuant to Employee Stock
    Plans (72,000 shares)                                                    94,000                         272,000         366,000
   Cash dividends - $.17 per
    common share                                                                         (4,598,000)                     (4,598,000)
   Shares issued pursuant to Dividend
    Reinvestment Plan (792 shares)                                            6,000                           5,000          11,000
                                               ----------    --------   -----------    ------------    ------------    ------------
Balance, December 31, 2004                     27,761,000     277,000    39,374,000     101,279,000      (9,470,000)    131,460,000
   Net income for the year                                                               19,096,000                      19,096,000
   Exercise of stock options and other
    stock-based compensation, net of 14,000
    shares tendered for payment                   900,000       9,000     5,575,000                                       5,584,000
   Tax benefit arising from stock
    option transactions                                                   3,454,000                                       3,454,000
   Purchase of treasury stock
    (218,000 shares)                                                                                     (3,857,000)     (3,857,000)
   Shares purchased and shares sold in
    employee Deferred Compensation Plan and
    other benefit plans
    (17,000 shares)                                                                                        (173,000)       (173,000)
   Shares issued pursuant to Employee Stock
    Plans (90,000 shares)                          16,000       1,000       181,000                         461,000         643,000
   Cash dividends - $.30 per
    common share                                                                         (8,076,000)                     (8,076,000)
   Shares issued pursuant to Dividend
    Reinvestment Plan (2,000 shares)                                         19,000                          13,000          32,000
                                               ----------    --------   -----------    ------------    ------------    ------------
Balance, December 31, 2005                     28,677,000    $287,000   $48,603,000    $112,299,000    $(13,026,000)   $148,163,000
                                               ==========    ========   ===========    ============    ============    ============
</TABLE>
                            See accompanying notes.

24
<PAGE>
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

NOTE 1--SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Nature of Operations
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 1,700 facilities in 45 states as of December 31,
2005. 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 other services ("Housekeeping"), and food services ("Food").

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, which began
operations in 1997, 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.

Additionally, we operate two wholly-owned subsidiaries, HCSG Supply, Inc.
("Supply") and Huntingdon Holdings, Inc ("Huntingdon"). Supply purchases,
warehouses and distributes the supplies and equipment used in providing our
Housekeeping segment services. Huntingdon invests our cash and cash
equivalents.

Principles of Consolidation
The consolidated financial statements include the accounts of Healthcare
Services Group, Inc. and its wholly-owned subsidiaries, HCSG Supply, Inc. and
Huntingdon Holdings, Inc. after elimination of intercompany transactions and
balances.

Cash and Cash Equivalents
Cash and cash equivalents consist of short-term, highly liquid investments
with a maturity of three months or less at time of purchase.

Inventories and Supplies
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.

Property and Equipment
Property and equipment are stated at cost. Additions, renewals and
improvements are capitalized, while maintenance and repair costs are expensed
when incurred. When assets are retired or otherwise disposed of, the cost and
related accumulated depreciation are removed from the respective accounts and
any resulting gain or loss is included in income. Depreciation is provided by
the straight-line method over the following estimated useful lives: laundry
and linen equipment installations - 3 to 7 years; housekeeping and office
equipment - 3 to 7 years; autos and trucks - 3 years.


                                                                             25

<PAGE>
Revenue Recognition
Revenues from our annual service agreements with clients are recognized as
services are performed.

As a distributor of laundry equipment, we occasionally sell laundry
installations to certain clients. The sales in most cases represent the
construction and installation of a turn-key operation and are for payment
terms ranging from 24 to 60 months. Our accounting policy for these sales is
to recognize the gross profit over the life of the payments associated with
our financing of the transactions. During 2005, 2004 and 2003 laundry
installation sales were not material.

Income Taxes
The provision for income taxes has been determined using the asset and
liability approach of accounting for income taxes. Under this approach,
deferred taxes represent the future tax consequences expected to occur when
the reported amounts of assets and liabilities are recovered or paid. The
provision for income taxes represents income taxes paid or payable for the
current year plus the change in deferred taxes during the year. Deferred taxes
result from differences between the financial and tax bases of the Company's
assets and liabilities and are adjusted for changes in tax rates and tax laws
when changes are enacted.

In accordance with SFAS 109, deferred tax assets should be reduced by a
valuation allowance if it is more likely than not that some portion or all of
the deferred tax assets will not be realized. The future realization of our
net deferred tax assets depends on the availability of sufficient future
taxable income. In making this determination, we considered all available
positive and negative evidence and made certain assumptions. We considered,
among other things, the overall business environment and our historical
earnings. We performed this analysis as of December 31, 2005 and determined
that there was sufficient positive evidence to conclude that it is more likely
than not that our deferred tax assets will be realized. We will assess the
need for a deferred tax asset valuation allowance on an ongoing basis
considering factors such as those mentioned above, as well as other relevant
criteria.

Earnings per Common Share
Basic earnings per common share is computed by dividing income available to
common shareholders by the weighted-average common shares outstanding for the
period. Diluted earnings per common share reflects the weighted-average common
shares outstanding and dilutive common shares, such as those issuable upon
exercise of stock options.

Stock-Based Compensation
At December 31, 2005, we had stock based compensation plans, which are
described more fully in Note 4. As permitted by SFAS No. 123, "Accounting for
Stock Based Compensation" ("SFAS No. 123"), we account for stock-based
compensation arrangements in accordance with provisions of Accounting
Principles Board ("APB") Opinion No. 25, "Accounting for Stock Issued to
Employees". Compensation expense for stock options issued to employees is
based on the difference on the date of grant, between the fair market value of
our stock and the exercise price of the option. No stock based employee
compensation cost is reflected in net income, as all options granted under our
plans had an exercise price equal to the market value of the underlying common
stock at the date of grant. We account for equity instruments issued to
non-employees in accordance with the provisions of SFAS No. 123 and Emerging
Issues Task Force ("EITF") Issue No. 96-18, "Accounting for Equity Instruments
That Are Issued to Other Than Employees for Acquiring, or in Conjunction With
Selling, or in Conjunction With Selling Goods or Services". Accordingly, all
transactions in which goods or services are the consideration received for the
issuance of equity instruments are accounted for based on the fair value of
the consideration received or the fair value of the equity instrument issued,
whichever is more reliably measurable.


26

<PAGE>
The following table illustrates the effect on net income and earnings per
share if we had applied the fair value recognition provisions of SFAS No. 123
to stock based compensation.

<TABLE>
<CAPTION>

                                                                             Year Ended December 31,
                                                                ------------------------------------------------
                                                                   2005               2004              2003
                                                                -----------       -----------        -----------
<S>                                                             <C>               <C>                <C>
Net Income
 As reported                                                    $19,096,000       $14,699,000        $10,860,000
Deduct:
 Total stock based employee compensation
 expense determined under fair value based
 method for all awards, net of related
 tax effects                                                     (3,735,000)       (1,619,000)        (1,639,000)
                                                                -----------       -----------        -----------
 Pro forma                                                      $15,361,000       $13,080,000        $ 9,221,000
                                                                ===========       ===========        ===========
Basic Earnings Per Common Share
 As reported                                                    $       .71       $       .56        $       .42
 Pro forma                                                      $       .57       $       .50        $       .36
Diluted Earnings Per Common Share
 As reported                                                    $       .67       $       .53        $       .41
 Pro forma                                                      $       .54       $       .47        $       .35
</TABLE>

The fair value of the options granted as reported in the table above was
estimated at the date of grant using the Black-Sholes pricing model with the
following assumptions: risk free interest rate (2.0% to 7.0%), dividend yield
(.4% to 1.45%), expected volatility (35.0% to 37.9%), and weighted average
expected life (2.32 years - 5.00 years)

In December 2004, the Financial Accounting Standards Board (the "FASB") issued
a revision of SFAS No 123 ("SFAS No. 123R"). This new statement supersedes APB
Opinion No. 25 and its related implementation guidance. SFAS No. 123R requires
a public entity to measure the cost of options granted based on the grant-date
fair value of the grant award (with limited exceptions). That cost will be
recognized over the vesting period of the granted options. This statement is
effective as of the first annual reporting period that begins after June 15,
2005. We have adopted the standard on January 1, 2006. The adoption of SFAS
123R is expected to have a material impact, starting in the 2006 fourth
quarter, on our consolidated results of operations and financial position.
This impact will result from the share based payments of our 2006 Employee
Stock Purchase Plan and the stock options expected to be granted during the
2006 fourth quarter. Although such impact is expected to be material, the
impact cannot be reasonably estimated because it will depend on certain
factors which are not fully known at this time. The options outstanding at
December 31, 2005 (including options granted during the 2005 fourth quarter)
will not impact 2006 consolidated results of operations and financial position
since all option-holders were fully vested in such options at December 31,
2005.

Advertising Costs
Advertising costs are expensed when incurred. For the years ended December 31,
2005, 2004 and 2003, advertising costs were not material.

Long-Lived Assets and Impairment of Long-Lived Assets
Our long-lived assets include property and equipment and costs in excess of
fair value of net assets acquired (i.e. goodwill). Costs in excess of fair
value of net assets acquired arose from the purchase of another company in
1985 which were being amortized over a 31 year period and is included in other
noncurrent assets.

As of January 1, 2002 we adopted SFAS No. 142 "Goodwill and Other Intangible
Assets", which eliminated the amortization of purchased goodwill. Upon
adoption of SFAS No. 142, as well as at December 31, 2005 and 2004, we
performed an impairment

                                                                             27

<PAGE>
test of our goodwill (amounting to $1,612,000 at these dates) and determined
that no impairment of the recorded goodwill existed. Under SFAS No. 142,
goodwill is tested annually and more frequently if an event occurs which
indicates the goodwill may be impaired.

As of January 1, 2002, we adopted SFAS No. 144, "Accounting for the Impairment
or Disposal of Long-lived Assets" which supersedes SFAS No. 121, "Accounting
for the Impairment of Long-lived Assets to be Disposed Of". The adoption of
SFAS No. 144 had no effect on the Company.

Treasury Stock
Treasury stock purchases are accounted for under the cost method whereby the
entire cost of the acquired stock is recorded as treasury stock. Gains or
losses on the subsequent reissuance of shares are credited or charged to
additional paid in capital.

Three-for-Two Stock Splits
On April 19, 2005, our Board of Directors approved a three-for-two stock split
in the form of a 50% common stock dividend which was paid on May 2, 2005 to
shareholders of record on April 29, 2005. Additionally, on February 12, 2004,
our Board of Directors approved a three-for-two stock split in the form of a
50% common stock dividend which was paid on March 1, 2004 to shareholders of
record on February 23, 2004. All share and per common share information for
all periods presented have been adjusted to reflect the three-for-two stock
splits.

Reclassification
Certain prior period amounts have been reclassified to conform to current year
presentation.

Use of Estimates in Financial Statements
In preparing financial statements in conformity with generally accepted
accounting principles, 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 and 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.

Concentrations of Credit Risk
SFAS No. 105, "Disclosure of Information about Financial Instruments with
Off-Balance-Sheet Risk and Financial Instruments with Concentrations of Credit
Risk", requires the disclosure of significant concentrations of credit risk,
regardless of the degree of such risk. Financial instruments, as defined by
SFAS No. 105, which potentially subject us to concentrations of credit risk,
consist principally of cash and cash equivalents and accounts and notes
receivable. At December 31, 2005 and 2004, substantially all of our cash and
cash equivalents were invested with one large financial institution located in
the United States.

Our clients are concentrated in the health care industry, primarily providers
of long-term care. Many of our clients' revenues are highly contingent on
Medicare and Medicaid reimbursement funding rates, which have been and
continue to be adversely affected by the change in Medicare payments under the
1997 enactment of the Prospective Payment System. That change and lack of
substantive reimbursement funding rate reform legislation, as well as other
trends in the long-term care industry have resulted in certain of our clients
filing for bankruptcy protection. Others may follow. Any decisions by the
government to discontinue or adversely modify legislation related to
reimbursement funding rates will have a material adverse affect on our
clients. 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.

28

<PAGE>
Major Client
We have one client, a nursing home chain, which due to its significant
contribution to our total revenues, we consider a major client. Such client's
percentage contribution to revenues and accounts receivable balances is
summarized below:

<TABLE>
<CAPTION>

                                                    Reportable Segments Revenues         Amounts due at December 31,
                                 Total Revenues        Housekeeping       Food        % of accounts receivable balance
                                 --------------        ------------       ----        --------------------------------
<S>                              <C>                   <C>                <C>         <C>
2005                                   19%                  18%            27%                  less than 1%
2004                                   20%                  19%            27%                  less than 1%
2003                                   23%                  23%            22%                  less than 1%
</TABLE>
According to public filings, the client entered into a merger agreement on
August 16, 2005 and the transaction is expected to close in the first quarter
of 2006. Although we expect to continue our relationship with this client's
successor, there can be no assurance thereof, and the loss of such client
would have a material adverse affect on our results of operations of our two
operating segments. Additionally, if such client's successor 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.

Fair Value of Financial Instruments
The carrying value of financial instruments (principally consisting of cash
and cash equivalents, accounts and notes receivable and accounts payable)
approximate fair value based on their short-term nature. We estimate the fair
value of our other financial instruments through the use of public market
prices, quotes from financial institutions and other available information.

We have certain notes receivable that do not bear interest. Therefore, such
notes receivable of $3,365,000 and $3,984,000 at December 31, 2005 and 2004,
respectively, have been discounted to their present value and are reported at
such values of $2,288,000 and $2,855,000 at December 31, 2005 and 2004,
respectively.

Recent Accounting Pronouncements
In December 2004, the FASB issued a revision of Financial Accounting Standards
No. 123 ("SFAS 123R") which requires all share-based payments to employees to
be recognized in the income statement based on their fair values. Our option
grants to employees, non-employees and directors, as well as common stock
shares issued pursuant to our Employee Stock Purchase Plan will represent
share-based payments.

As permitted by Statement 123, we currently account for share-based payments
to employees in accordance with APB No. 25. We expect to calculate the fair
value of share-based payments under SFAS 123R on a basis substantially
consistent with the fair value approach of SFAS 123. We have adopted SFAS 123R
in our fiscal year beginning January 1, 2006. The adoption of SFAS 123R is
expected to have a material impact, starting in the 2006 fourth quarter, on
our consolidated results of operations and financial position. This impact
will result from the share based payments under our 2006 Employee Stock
Purchase Plan and the stock options expected to be granted during the 2006
fourth quarter. Although such impact is expected to be material, the impact
cannot be reasonably estimated because it will depend on certain factors which
are not fully known at this time. The options outstanding at December 31, 2005
(including options granted during the 2005 fourth quarter) will not impact
2006 consolidated results of operations and financial position since all
option-holders were fully vested in such options at December 31, 2005.

In May 2005, the FASB issued SFAS No. 154, "Accounting Changes and Error
Corrections, a replacement of APB Opinion No. 20 and FASB Statement No. 3."
This statement will be effective for accounting changes and corrections of
errors made in fiscal years beginning after December 15, 2005. Early adoption
is permitted for accounting changes and corrections of errors made in fiscal
years beginning after the date this statement was issued. This statement
requires retrospective application to prior periods' financial statements of
changes in accounting principle, unless it is impracticable to determine
either the period-specific effects or

                                                                             29

<PAGE>
the cumulative effect of the change. The Company does not anticipate that the
adoption of this statement will have a material impact on our consolidated
results of operations or financial condition.

NOTE 2--ALLOWANCE FOR DOUBTFUL ACCOUNTS
The Balance Budget Act of 1997 changed Medicare policy in a number of ways,
most notably the phasing in, effective July 1, 1998 of a Medicare Prospective
Payment System for skilled nursing facilities which significantly changed the
manner and the amounts of reimbursement they receive. Many of our clients'
revenues are highly contingent on Medicare and Medicaid reimbursement funding
rates. Therefore, they have been and continue to be adversely affected by
changes in applicable laws and regulations, as well as other trends in the
long-term care industry. This has resulted in certain of our clients filing
for bankruptcy protection. Others may follow. 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.

The allowance for doubtful accounts is established as losses are estimated to
have occurred through a provision for bad debts charged to earnings. The
allowance for doubtful accounts is evaluated based on our periodic review of
accounts and notes receivable and is inherently subjective as it requires
estimates that are susceptible to significant revision as more information
becomes available.

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 have included 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 $1,425,000,
$3,700,000 and $4,550,000 in the years ended December 31, 2005, 2004 and 2003,
respectively. In making our 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. Notwithstanding our efforts to minimize our 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. In the event that our
clients experience such significant impact in their cash flows, it would have
a material adverse effect on our results of operations and financial
condition.

Impaired Notes Receivable
We evaluate our notes receivable for impairment quarterly and on an individual
client basis. Notes receivable considered impaired are generally attributable
to clients that are either in bankruptcy, are subject to collection activity
or those slow payers that are experiencing financial difficulties. In the
event that a note receivable is impaired, it is accounted for in accordance
with Statement of Financial Accounting Standards ("SFAS") No. 114 and SFAS No.
118; that is, it is valued at the present value of expected cash flows or
market value of related collateral.

At December 31, 2005, 2004 and 2003, we had notes receivable aggregating
$2,500,000, $2,500,000 and $3,900,000, respectively, that are impaired. During
2005, 2004 and 2003, the average outstanding balance of impaired notes
receivable was $2,500,000, $3,200,000 and $4,800,000, respectively. No
interest income was recognized in any of these years.


30

<PAGE>
Summary schedules of impaired notes receivable, and the related reserve, for
the years ended December 31, 2005, 2004 and 2003 are as follows:

<TABLE>
<CAPTION>

                                                     Impaired Notes Receivable
                                        ----------------------------------------------------
                                          Balance                                 Balance
                                         Beginning                                 End of
                                          of Year     Additions    Deductions       Year
                                        ----------    ----------   ----------    ----------
<S>                                     <C>           <C>          <C>           <C>
2005                                    $2,500,000    $   60,000   $   60,000    $2,500,000
                                        ==========    ==========   ==========    ==========
2004                                    $3,900,000    $1,600,000   $3,000,000    $2,500,000
                                        ==========    ==========   ==========    ==========
2003                                    $5,800,000    $  100,000   $2,000,000    $3,900,000
                                        ==========    ==========   ==========    ==========
</TABLE>
<TABLE>
<CAPTION>

                                               Reserve for Impaired Notes Receivable
                                        ----------------------------------------------------
                                          Balance                                 Balance
                                         Beginning                                 End of
                                          of Year     Additions    Deductions       Year
                                        ----------    ----------   ----------    ----------
<S>                                     <C>           <C>          <C>           <C>
2005                                    $  500,000    $  900,000   $  100,000    $1,300,000
                                        ==========    ==========   ==========    ==========
2004                                    $1,900,000    $1,300,000   $2,700,000    $  500,000
                                        ==========    ==========   ==========    ==========
2003                                    $2,500,000    $1,250,000   $1,850,000    $1,900,000
                                        ==========    ==========   ==========    ==========
</TABLE>

We follow an income recognition policy on notes receivable that does not
recognize interest income until cash payments are received. This policy was
established for conservative reasons, recognizing the environment of the
long-term care industry, and not because such notes receivable are impaired.
The difference between income recognition on a full accrual basis and cash
basis, for notes receivable that are not considered impaired, is not material.
For impaired notes receivable, interest income is recognized on a cost
recovery basis only.

NOTE 3--LEASE COMMITMENTS
We lease office facilities, equipment and autos under operating leases
expiring on various dates through 2010. Certain office leases contain renewal
options. The following is a schedule, by calendar year, of future minimum
lease payments under operating leases that have remaining terms in excess of
one year as of December 31, 2005.

<TABLE>
<CAPTION>
                                                                Operating
Year                                                              Leases
----                                                           -----------
<S>                                                            <C>
2006                                                           $  982,000
2007                                                              812,000
2008                                                              565,000
2009                                                              419,000
2010                                                              339,000
Thereafter                                                         --
                                                               ----------
Total minimum lease payments                                   $3,117,000
                                                               ==========
</TABLE>

Total expense for all operating leases was approximately $913,000, $973,000
and $961,000 for the years ended December 31, 2005, 2004 and 2003,
respectively.

                                                                             31

<PAGE>
NOTE 4--STOCKHOLDERS' EQUITY
The Nominating, Compensation and Stock Option Committee of the Board of
Directors is responsible for determining the individuals who will be granted
options, the number of options each individual will receive, the option price
per share, and the exercise period of each option.

We have granted incentive and non-qualified stock options primarily to
employees and directors under either our 2002 Stock Option Plan, 1995
Incentive and Non-Qualified Stock Option Plan for key employees or 1996
Non-Employee Director's Stock Option Plan. On April 19, 2005, our Board of
Directors adopted an Amendment to the 2002 Stock Option Plan to increase the
total number of shares of our Common Stock available for issuance under such
Plan from 2,363,000 to 3,863,000. Such Amendment was approved by shareholders
on May 24, 2005. On April 22, 2003, our Board of Directors adopted an
Amendment to the 2002 Stock Option Plan. Such Amendment was approved by
shareholders on May 27, 2003. The Amendment increased the total number of
shares of our Common Stock available for issuance under such Plan from
1,125,000 shares to 2,363,000. On March 28, 2002, our Board of Directors
adopted the 2002 Stock Option Plan. It was approved by shareholders on May 21,
2002.

Incentive Stock Options
As of December 31, 2005, 3,084,000 shares of common stock were reserved under
our incentive stock option plans, including 1,555,000 shares which are
available for future grant. The incentive stock option price will not be less
than the fair market value of the common stock on the date the option is
granted. No option grant will have a term in excess of ten years.
Additionally, options granted vest and become exercisable either on the date
of grant or commencing six months from the option grant date.

A summary of incentive stock option activity is as follows:

<TABLE>
<CAPTION>

                                                      2005                    2004                    2003
                                             ----------------------  ----------------------  ----------------------
                                             Weighted                Weighted                 Weighted
                                              Average     Number      Average      Number     Average      Number
                                               Price     Of Shares     Price     of Shares     Price     of Shares
                                             --------    ---------   --------    ---------    --------   ---------
<S>                                          <C>         <C>         <C>         <C>          <C>        <C>
Beginning of period                           $ 7.35     1,969,000    $ 5.26     2,206,000     $3.90     2,253,000
Granted                                        20.71       318,000     13.65       468,000      8.29       648,000
Cancelled                                       5.42       (55,000)     7.52       (30,000)     4.39        (5,000)
Exercised                                       6.93      (703,000)     4.86      (675,000)     3.67      (690,000)
                                              ------     ---------    ------     ---------     -----     ---------
End of period                                 $10.40     1,529,000    $ 7.35     1,969,000     $5.26     2,206,000
                                              ======     =========    ======     =========     =====     =========
</TABLE>

The weighted average fair value of incentive stock options granted during
2005, 2004 and 2003 was $4.99, $3.47 and $1.85, respectively.

The following table summarizes information about incentive stock options
outstanding at December 31, 2005.

<TABLE>
<CAPTION>
                                                               Options Outstanding              Options Exercisable
                                                      --------------------------------------   ----------------------
                                                                      Average      Weighted                  Weighted
                                                                     Remaining      Average                   Average
                                                        Number      Contractual    Exercise      Number      Exercise
Exercise Price Range                                  Outstanding       Life         Price     Exercisable     Price
--------------------                                  -----------   -----------    --------    -----------   --------
<S>                                                   <C>           <C>            <C>         <C>           <C>
$ 2.25 - 3.75                                            267,000        3.85        $ 3.00        267,000     $ 3.00
$ 4.11 - 5.62                                            338,000        6.54          4.98        338,000       4.98
$ 8.29 - 8.29                                            269,000        7.99          8.29        269,000       8.29
$13.65 - 20.71                                           655,000        7.05         17.09        655,000      17.09
                                                       ---------        ----        ------      ---------     ------
                                                       1,529,000        6.54        $10.40      1,529,000     $10.40
                                                       =========        ====        ======      =========     ======
</TABLE>


32

<PAGE>
Non-Qualified Options
As of December 31, 2005, 1,481,000 shares of common stock were reserved under
our non-qualified stock option plans, including 167,000 shares which are
available for future grant. Pursuant to the terms of the 1996 Non-Employee
Director's Stock Option Plan, each eligible non-employee director receives an
automatic grant based on a prescribed formula on the fixed annual grant date.
The non-qualified options were granted at option prices which were not less
than the fair market value of the common stock on the date the options were
granted. The options are exercisable over a five to ten year period, either on
the date of grant or commencing six months from the option date.

A summary of non-qualified stock option activity is as follows.

<TABLE>
<CAPTION>
                                                     2005                    2004                    2003
                                            ---------------------   ---------------------   ---------------------
                                            Weighted                Weighted                 Weighted
                                             Average     Number      Average      Number     Average      Number
                                              Price     Of Shares     Price     of Shares     Price     of Shares
                                            --------    ---------   --------    ---------    --------   ---------
<S>                                         <C>         <C>         <C>         <C>          <C>        <C>
Beginning of period                          $ 5.63     1,417,000    $ 4.52     1,438,000     $3.85     1,313,000
Granted                                       20.71       108,000     13.65       157,000      8.29       214,000
Cancelled                                        --            --        --            --        --            --
Exercised                                      3.67      (211,000)     3.78      (178,000)     3.63       (89,000)
                                             ------     ---------    ------     ---------     -----     ---------
End of period                                $ 7.18     1,314,000    $ 5.63     1,417,000     $4.52     1,438,000
                                             ======     =========    ======     =========     =====     =========
</TABLE>

The weighted average fair value of non-qualified options granted during 2005,
2004 and 2003 were $7.08, $4.49 and $2.53, respectively.

The following table summarizes information about non-qualified stock options
outstanding at December 31, 2005.
<TABLE>
<CAPTION>
                                                              Options Outstanding              Options Exercisable
                                                     -------------------------------------    ----------------------
                                                                     Average      Weighted                  Weighted
                                                                    Remaining      Average                   Average
                                                       Number      Contractual    Exercise      Number      Exercise
Exercise Price Range                                 Outstanding       Life         Price     Exercisable     Price
--------------------                                 -----------   -----------    --------    -----------   --------
<S>                                                  <C>           <C>            <C>         <C>           <C>
$ 2.25 - 3.75                                           295,000        3.73        $ 3.17        295,000     $ 3.17
$ 4.09 - 5.62                                           562,000        6.02          4.50        562,000       4.50
$8.29 - 8.29                                            193,000        8.00          8.29        193,000       8.29
$13.65 - 20.71                                          264,000        7.36         16.53        264,000      16.53
                                                      ---------        ----        ------      ---------     ------
                                                      1,314,000        6.07        $ 7.18      1,314,000     $ 7.18
                                                      =========        ====        ======      =========     ======
</TABLE>
Fair Value Valuation Estimates
As discussed in Note 1, we apply APB Opinion 25 in measuring stock-based
compensation. Accordingly, no compensation cost has been recorded for options
granted to employees or directors in the years ended December 31, 2005, 2004
and 2003. The fair value of each option granted has been estimated on the
grant date using the Black-Scholes Option Valuation Model. The following
assumptions were made in estimating fair value:
<TABLE>
<CAPTION>

                                                        2005              2004             2003
                                                     ----------        ----------       ----------
<S>                                                  <C>               <C>              <C>
Risk-Free Interest-Rate                                 7.00%             3.00%            2.00%
Weighted Average Expected Life -
   Incentive Options                                 2.32 years        2.65 years       2.34 years
   Non-Qualified Options                             4.20 years        4.46 years       5.00 years
Expected Volatility                                     35.0%             35.0%            37.9%
Dividend Yield                                          1.45%             1.25%             1.6%

</TABLE>


                                                                             33
<PAGE>
Dividends
We have paid regular quarterly cash dividends since the second quarter of
2003. During 2005, we paid regular quarterly cash dividends totaling
$8,076,000 as detailed below.
<TABLE>
<CAPTION>

    2005 Cash Dividend Payments                             1st Quarter      2nd Quarter     3rd Quarter      4th Quarter
                                                            -----------      -----------     -----------      -----------
    <S>                                                     <C>              <C>             <C>              <C>
    Cash dividend per common share                          $.06             $.07            $.08             $.09
    Payment date                                            February 11      May 16          August 12        November 14
    Record date                                             January 28       May 4           July 29          October 31
</TABLE>

On January 24, 2006, our Board of Directors declared a regular quarterly cash
dividend of $.10 per common share, which was paid on February 13, 2006 to
shareholders of record as of February 3, 2006.

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.

On April 19, 2005, our Board of Directors approved a three-for-two stock split
in the form of a 50% common stock dividend which was paid on May 2, 2005 to
shareholders of record on April 29, 2005. Additionally, on February 12, 2004,
our Board of Directors approved a three-for-two stock split in the form of a
50% common stock dividend which was paid on March 1, 2004 to shareholders of
record on February 23, 2004. The effect of these actions was to increase
common shares outstanding by 9,345,000 to 28,036,000 and 5,980,000 to
17,950,000 in 2005 and 2004, respectively. All share and per common share
information for all periods presented have been adjusted to reflect the
three-for-two stock splits.

NOTE 5--INCOME TAXES
The following table summarizes the provision for income taxes.

<TABLE>
<CAPTION>

                                                                 Year Ended December 31,
                                                        ----------------------------------------------
                                                            2005              2004             2003
                                                        -----------        ----------       ----------
<S>                                                     <C>                <C>              <C>
Current:
   Federal                                              $ 9,732,000        $7,687,000       $5,095,000
   State                                                  2,370,000         2,306,000        1,734,000
                                                        -----------        ----------       ----------
                                                         12,102,000         9,993,000        6,829,000
Deferred:
   Federal                                                 (504,000)         (814,000)         (99,000)
   State                                                    105,000          (172,000)         (75,000)
                                                        -----------        ----------       ----------
                                                           (399,000)         (986,000)        (174,000)
                                                        -----------        ----------       ----------
Tax Provision                                           $11,703,000        $9,007,000       $6,655,000
                                                        ===========        ==========       ==========
</TABLE>


34

<PAGE>
Significant components of our federal and state deferred tax assets and
liabilities are as follows:

<TABLE>
<CAPTION>
                                                           Year Ended December 31,
                                                       ----------------------------------
                                                          2005                   2004
                                                       -----------           -----------
<S>                                                    <C>                   <C>
Net current deferred assets:
Allowance for doubtful accounts                        $   915,000           $   765,000
Accrued insurance c1aims- current                        1,771,000             1,705,000
Expensing of housekeeping supplies                      (2,074,000)           (2,013,000)
Other                                                     (257,000)              117,000
                                                       -----------           -----------
                                                       $   355,000           $   574,000
                                                       ===========           ===========
Net noncurrent deferred tax assets:
Deferred compensation                                  $ 2,364,000           $ 1,883,000
Non-deductible reserves                                    433,000               462,000
Depreciation of property and equipment                    (822,000)           (1,077,000)
Accrued insurance claims- noncurrent                     4,132,000             4,183,000
Other                                                       74,000               112,000
                                                       -----------           -----------
                                                       $ 6,181,000           $ 5,563,000
                                                       ===========           ===========
</TABLE>


A reconciliation of the provision for income taxes and the amount computed by
applying the statutory federal income tax rate to income before income taxes
is as follows:
<TABLE>
<CAPTION>

                                                                       Year Ended December 31,
                                                           --------------------------------------------------
                                                              2005                2004                2003
                                                           -----------         ----------          ----------
<S>                                                        <C>                 <C>                 <C>
Tax expense computed at
   statutory rate                                          $10,779,000         $8,297,000          $5,955,000
Increases (decreases) resulting
   from:
   State income taxes, net of
     federal tax benefit                                     1,576,000          1,386,000           1,128,000
Federal jobs credits                                          (524,000)          (641,000)           (578,000)
Tax exempt interest                                           (243,000)          (102,000)            (73,000)
Other, net                                                     115,000             67,000             223,000
                                                           -----------         ----------          ----------
                                                           $11,703,000         $9,007,000          $6,655,000
                                                           ===========         ==========          ==========
</TABLE>
Income taxes paid were $8,196,000, $7,256,000 and $4,728,000 during 2005, 2004
and 2003, respectively.

NOTE 6--RELATED PARTY TRANSACTIONS
One of our directors, 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 years ended December 31, 2005, 2004 and 2003 the service
agreements with the client facilities in which the Related Parties have
ownership interests resulted in revenues of $7,652,000, $6,608,000 and
$4,265,000, respectively. At December 31, 2005 and 2004, accounts and notes
receivable from such facilities of $2,343,000 and $1,633,000, respectively,
are included in the accompanying consolidated balance sheets. During 2005, we
encountered difficulty in collecting amounts due from facilities operated by
the brother of an officer and director. We were issued interest bearing
promissory notes in the aggregate amount of $1,200,000 for the obligations

                                                                             35

<PAGE>
due. At December 31, 2005, the subject accounts and notes receivable balances
due from the Related Parties are within agreed upon payment terms.

Another of our directors is a member of a law firm which was retained by us
during the years ended December 31, 2005, 2004 and 2003. Fees received from us
by such firm did not exceed $100,000 in any of the years ended December 31,
2005, 2004 and 2003. Additionally, such fees did not exceed, in any year, 5%
of such firm's revenues.

NOTE 7--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, as well as transactions between reportable
segments and our warehousing and distribution subsidiary. The subsidiary's
transactions with reportable segments are made on a basis intended to reflect
the fair market value of the goods transferred. 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 disclosed are prior to any elimination entries made
in consolidation.

Housekeeping provides services in Canada, although essentially all of its
revenues and net income, 99% in both categories, are earned in one geographic
area, the United States. Food provides services solely in the United States.

<TABLE>
<CAPTION>
                                                       Housekeeping            Food           Corporate and
                                                         services            services         eliminations            Total
                                                       ------------        -----------        -------------       ------------
<S>                                                    <C>                 <C>                <C>                 <C>
YEAR ENDED DECEMBER 31, 2005
Revenues                                               $375,133,000        $92,864,000        $ (1,706,000)       $466,291,000
Income before income taxes                               31,909,000          2,634,000          (3,744,000)(1)      30,799,000
Depreciation                                              1,229,000            116,000             527,000           1,872,000
Total assets                                             62,631,000         17,754,000         108,045,000(2)      188,430,000

YEAR ENDED DECEMBER 31, 2004
Revenues                                               $357,754,000        $87,309,000        $ (2,495,000)       $442,568,000
Income before income taxes                               29,336,000          1,934,000          (7,564,000)(1)      23,706,000
Depreciation                                              1,191,000             97,000             585,000           1,873,000
Total assets                                             60,958,000         15,546,000          90,460,000(2)      166,964,000

YEAR ENDED DECEMBER 31, 2003
Revenues                                               $318,540,000        $62,189,000        $ (1,010,000)       $379,718,000
Income before income taxes                               23,361,000          1,964,000          (7,811,000)(1)      17,515,000
Depreciation                                              1,159,000             69,000             687,000           1,915,000
Total assets                                             65,045,000         14,789,000           78,494,00(2)      158,328,000
</TABLE>

(1)  represents primarily corporate office cost and related overhead, as well
     as consolidated subsidiaries' operating expenses that are not allocated
     to the reportable segments.
(2)  represents primarily cash and cash equivalents, deferred income taxes and
     other current and noncurrent assets.


36

<PAGE>
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:

<TABLE>
<CAPTION>
                                                                   Year Ended December 31,
                                                       ---------------------------------------------------
                                                           2005               2004                2003
                                                       ------------       ------------        ------------
<S>                                                    <C>                <C>                 <C>
Housekeeping services                                  $262,842,000       $249,314,000        $223,303,000
Laundry and linen services                              109,764,000        105,545,000          93,257,000
Food services                                            91,244,000         85,593,000          61,677,000
Maintenance services and Other                            2,441,000          2,116,000           1,481,000
                                                       ------------       ------------        ------------
                                                       $466,291,000       $442,568,000        $379,718,000
                                                       ============       ============        ============
</TABLE>
Major Client
We have one client, a nursing home chain, which in 2005, 2004 and 2003
accounted for 19%, 20% and 23%, respectively, of total revenues. In the year
ended December 31, 2005, we derived 18% and 27%, respectively, of the
Housekeeping and Food segments' revenues from such client. Additionally, at
both December 31, 2005 and 2004, amounts due from such client represented less
than 1% of our accounts receivable balance. According to public filings, the
client entered into a merger agreement on August 16, 2005 and the transaction
is expected to close in the first quarter of 2006. Although we expect to
continue the relationship with this client's successor, there can be no
assurance thereof, and the loss of such client would have a material adverse
affect on the results of operations of our two operating segments. In
addition, if such client's successor 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.


                                                                             37

<PAGE>
NOTE 8--EARNINGS PER COMMON SHARE
A reconciliation of the numerators and denominators of basic and diluted
earning per common share is as follows:

<TABLE>
<CAPTION>
                                                                           Year Ended December 31, 2005
                                                                     ----------------------------------------
                                                                     Income        Shares           Per-share
                                                                     (Numerator)   (Denominator)    Amount
                                                                     -----------   -------------    ---------
<S>                                                                  <C>           <C>              <C>
Net Income                                                           $19,096,000
                                                                     ===========
Basic earnings per common share                                       19,096,000     26,921,000       $.71
Effect of dilutive securities:
   Options                                                                            1,399,000       (.04)
                                                                     -----------     ----------       ----
Diluted earnings per common share                                    $19,096,000     28,320,000       $.67
                                                                     ===========     ==========       ====
</TABLE>


<TABLE>
<CAPTION>
                                                                           Year Ended December 31, 2004
                                                                     ----------------------------------------
                                                                     Income        Shares           Per-share
                                                                     (Numerator)   (Denominator)    Amount
                                                                     -----------   -------------    ---------
<S>                                                                  <C>           <C>              <C>
Net Income                                                           $14,699,000
                                                                     ===========
Basic earnings per common share                                       14,699,000     26,221,000       $.56
Effect of dilutive securities:
   Options                                                                            1,439,000       (.03)
                                                                     -----------     ----------       ----
Diluted earnings per common share                                    $14,699,000     27,660,000       $.53
                                                                     ===========     ==========       ====
</TABLE>


<TABLE>
<CAPTION>
                                                                           Year Ended December 31, 2003
                                                                     ----------------------------------------
                                                                     Income        Shares           Per-share
                                                                     (Numerator)   (Denominator)    Amount
                                                                     -----------   -------------    ---------
<S>                                                                  <C>           <C>              <C>
Net Income                                                           $10,860,000
                                                                     ===========
Basic earnings per common share                                       10,860,000     25,574,000       $.42
Effect of dilutive securities:
   Options                                                                            1,108,000       (.01)
                                                                     -----------     ----------       ----
Diluted earnings per common share                                    $10,860,000     26,682,000       $.41
                                                                     ===========     ==========       ====
</TABLE>

No outstanding options were excluded from the computation of diluted earnings
per common share for the years ended December 31, 2005, 2004 and 2003 as none
have an exercise price in excess of the average market value of our common
stock during such periods.

NOTE 9--0THER CONTINGENCIES
We have a $25,000,000 bank line of credit on which we may draw to meet
short-term liquidity requirements in excess of internally generated cash flow.
Amounts drawn under the line of credit are payable upon demand. At December 31,
2005 there were no borrowings under the line of credit. However, at such date,
we had outstanding a $17,925,000 (increased to $23,925,000 on January 1, 2006)
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 $17,925,000 at
December 31, 2005. The line of credit requires us to satisfy two financial
covenants. We are in compliance with the financial covenants at December 31,
2005 and expect to continue to remain in compliance with such financial
covenants.

We provide our services in 45 states and we 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

38

<PAGE>
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.

As of December 31, 2005 and December 31, 2004 we have unsettled tax
assessments (including interest to date) from various state taxing authorities
of $550,000 ($358,000, net of federal income taxes) and $2,800,000
($1,800,000, net of federal income taxes), respectively. With respect to these
assessments, we have recorded a reserve at December 31, 2005 of $155,000
($100,000, net of federal income taxes) and at December 31, 2004 of $900,000
($590,000, net of federal income taxes). During 2005, we executed a closing
agreement with a state's revenue services department settling a $2,400,000
assessment (including interest) resulting from the state's audit of our sales
and use tax filings for the period July 1, 1999 through June 30, 2003. The
closing agreement settlement, among other understandings, required a payment
of $700,000 (including interest) in connection with the audit assessment. Such
payment was charged to the aforementioned reserve.

With respect to the other remaining outstanding assessments, we intend to
vigorously defend our positions that the assessments are without merit. In
other tax matters, because of the uncertainties related to both the probable
outcome and amount of probable assessment due, we are unable to make a
reasonable estimate of a liability. We do not expect the resolution of any of
these matters, taken individually or in the aggregate, to have a material
adverse effect on our consolidated financial position or results of
operations.

We are involved in miscellaneous claims and litigation arising in the ordinary
course of business. 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.

The Balance Budget Act of 1997 changed Medicare policy in a number of ways,
most notably the phasing in, effective July 1, 1998, of a Medicare Prospective
Payment System for skilled nursing facilities which significantly changed the
manner and the amounts of reimbursement they receive. Many of our clients'
revenues are highly contingent on Medicare and Medicaid reimbursement funding
rates. Therefore, they have been and continue to be adversely affected by
changes in applicable laws and regulations, as well as other trends in the
long-term care industry. This has resulted in certain of our clients filing
for bankruptcy protection. Others may follow. 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 10--ACCRUED INSURANCE CLAIMS
We currently have a Paid Loss Retrospective Insurance Plan for general
liability and workers' compensation insurance. Under these plans,
predetermined loss limits are arranged with our insurance company to limit
both our per occurrence cash outlay and annual insurance plan cost.

We regularly evaluate our claims' pay-out experience, present value factor and
other factors related to the nature of specific claims in arriving at the
basis for our accrued insurance claims' estimate. Our evaluation is based
primarily on current information derived from reviewing our claims' experience
and industry trends. In the event that our claims' experience and/or industry
trends result in an unfavorable change, it would have an adverse effect on our
consolidated results of operations and financial condition.

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 accrued insurance claims were reduced by approximately $903,000,
$935,000 and $1,287,000 at December 31, 2005, 2004 and 2003, respectively in
order to record the estimated present value at the end of each year using an
8% discount factor over the estimated remaining pay-out period.

For general liability, we record a reserve for the estimated amounts to be
paid for known claims.


                                                                             39

<PAGE>
NOTE 11--EMPLOYEE BENEFIT PLANS
Employee Stock Purchase Plan
Since January 1, 2000, we have had a non-compensatory Employee Stock Purchase
Plan ("the ESPP") for all eligible employees. All full-time and certain
part-time employees who have completed two years of continuous service with us
are eligible to participate. The ESPP was implemented through four annual
offerings. The first annual offering commenced on January 1, 2000. On
February 12, 2004 (effective January 1, 2004), our Board of Directors extended
the ESPP for an additional eight annual offerings. Annual offerings commence
and terminate on the respective year's first and last calendar day. Under the
ESPP, we are authorized to issue up to 1,800,000 shares of our common stock to
our employees. Furthermore, under the terms of the ESPP, eligible employees
can choose each year to have up to $25,000 of their annual earnings withheld
to purchase our Common Stock. The purchase price of the stock is 85% of the
lower of its beginning or end of the plan year market price.

The following table summarizes information about our ESPP annual offerings for
the years ended December 31, 2005, 2004 and 2003:.

<TABLE>
<CAPTION>
                                                                           ESPP Annual Offering
                                                      ---------------------------------------------------------------
                                                           2005                    2004                    2003
                                                      ---------------        ----------------         ---------------
<S>                                                   <C>                    <C>                      <C>
Common shares purchased                                        64,000                  90,000                  72,000
Per common share purchase price                                $11.32                   $7.17                   $5.06
Common shares date of issue                           January 9, 2006        January 10, 2005         January 9, 2004
</TABLE>

Retirement Savings Plan
Since October 1, 1999, we have had a retirement savings plan for non-highly
compensated employees (the "RSP") under Section 401(k) of the Internal Revenue
Code. The RSP allows eligible employees to contribute up to fifteen percent
(15%) of their eligible compensation on a pre-tax basis. There is no match by
the Company.

Deferred Compensation Plan
Since January 1, 2000, we have had a Supplemental Executive Retirement Plan
(the "SERP") for certain key executives and employees. The SERP is not
qualified under section 401 of the Internal Revenue Code. Under the SERP,
participants may defer up to 15% of their earned income on a pre-tax basis. As
of the last day of each plan year, each participant will receive a 25% match
of their deferral in our Common Stock based on the then current market value.
SERP participants fully vest in our matching contribution three years from the
first day of the initial year of participation. The income deferred and our
matching contribution are unsecured and subject to the claims of our general
creditors. In the aggregate, since initiation of the SERP, 148,000 shares
(including the 2005 funding of shares delivered in 2006) held by the trustee
are accounted for at cost, as treasury stock. At December 31, 2005, 116,000 of
such shares are vested in the respective participants' accounts.

The following table summarizes information about our SERP for the plan years
ended December 31, 2005, 2004 and 2003:
<TABLE>
<CAPTION>
                                                                                     SERP Plan Year
                                                                   --------------------------------------------------
                                                                      2005                2004                2003
                                                                   ----------          ----------           ---------
<S>                                                                <C>                 <C>                  <C>
Amount expensed under SERP                                         $  317,000          $  280,000           $ 238,000
Treasury shares issued to fund SERP expense                            15,000              20,000              29,000
SERP trust account balance at December 31                          $5,626,000(1)       $4,062,000(1)        $2,848,00(1)
Unrealized gains recorded in SERP trust account                    $  705,000          $  336,000           $ 418,000
</TABLE>

(1) SERP trust account investments are recorded at their fair value which is
    based on quoted market prices.

40

<PAGE>
NOTE 12--SELECTED QUARTERLY FINANCIAL DATA (UNAUDITED)
<TABLE>
<CAPTION>
                                                                                       Three Months Ended
                                                               --------------------------------------------------------------------
                                                                 March 31            June 30         September 30       December 31
                                                               ------------       ------------       ------------      ------------
<S>                                                            <C>                <C>                <C>               <C>
2005
Revenues                                                       $114,695,000       $116,048,000       $117,684,000      $117,864,000
Operating costs and expenses                                   $108,199,000       $109,494,000       $110,908,000      $110,089,000
Income before income taxes                                     $  6,876,000       $  7,393,000       $  7,699,000         8,831,000
Net income                                                     $  4,263,000       $  4,584,000       $  4,774,000         5,475,000
Basic earnings per common share(1)                             $        .16       $        .17       $        .18      $        .20
Diluted earnings per common share(1)                           $        .15       $        .16       $        .17      $        .19
Cash dividends per common share(1)                             $        .06       $        .07       $        .08      $        .09


2004
Revenues                                                       $106,622,000       $110,489,000       $112,324,000      $113,133,000
Operating costs and expenses                                   $101,412,000       $105,101,000       $106,611,000      $107,067,000
Income before income taxes                                     $  5,352,000       $  5,694,000       $  6,006,000      $  6,654,000
Net income                                                     $  3,318,000       $  3,530,000       $  3,724,000      $  4,127,000
Basic earnings per common share(1)                             $        .13       $        .13       $        .14      $        .16
Diluted earnings per common share(1)                           $        .12       $        .13       $        .13      $        .15
Cash dividends per common share(1)                             $        .03       $        .04       $        .05      $        .05
</TABLE>
(1) Year-to-date earnings and cash dividends per common share amounts may differ
    from the sum of quarterly amounts due to rounding.


                                                                             41

<PAGE>
MANAGEMENT'S ANNUAL REPORT ON INTERNAL CONTROL OVER
FINANCIAL REPORTING

The management of Healthcare Services Group, Inc., is responsible for
establishing and maintaining adequate internal control over financial
reporting. The Company's internal control over financial reporting is defined
in Rule 13a-15(f) and 15d-15(f) promulgated under the Securities Exchange Act
of 1934 as a process designed by, or under the supervision of, the Company's
principal executive and principal financial officers and effected by the
Company's board of directors, management and other personnel, to provide
reasonable assurance regarding the reliability of financial reporting and the
preparation of The Company's financial statements for external purposes in
accordance with generally accepted accounting principles in the United States
and includes those policies and procedures that:

     1. Pertain to the maintenance of records that in reasonable detail
        accurately and fairly reflect the transactions and dispositions of
        assets of the Company;

     2. Provide reasonable assurance that transactions are recorded as
        necessary to permit preparation of financial statements in accordance
        with generally accepted accounting principles, and that receipts and
        expenditures of the Company are being made only in accordance with
        authorizations of management and directors of the company; and

     3. Provide reasonable assurance regarding prevention or timely detection
        of unauthorized acquisition, use or disposition of the Company's
        assets that could have a material effect on the financial statements.

The Company's management assessed the effectiveness of the Company's internal
control over financial reporting as of the end of December 31, 2005. In making
this assessment, the Company's management used the criteria set forth by the
Committee of Sponsoring Organizations of the Treadway Commission in Internal
Control-Integrated Framework.

Under the supervision and with the participation of our management, including
our principal executive officer and principal financial officer, we conducted
an evaluation of our internal control over financial reporting, as prescribed
above, for the periods covered by this report. Based on our evaluation, our
principal executive officer and principal financial officer concluded that the
Company's internal control over financial reporting as of December 31, 2005 is
effective.

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

The Company's independent auditors have attested to, and reported on,
management's evaluation of the company's internal control over financial
reporting as of December 31, 2005. This report appears on page 44.

         /s/ Daniel P. McCartney            /s/ James L. DiStefano
         ------------------------           -----------------------
         Daniel P. McCartney                James L. DiStefano
         Chief Executive Officer            Chief Financial Officer
         February 14, 2006                  February 14, 2006

42

<PAGE>
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

The Stockholders and Board of Directors
Healthcare Services Group, Inc.

We have audited the accompanying consolidated balance sheets of Healthcare
Services Group, Inc. and Subsidiaries as of December 31, 2005 and 2004, and
the related consolidated statements of income, cash flows, and stockholders'
equity for each of the three years in the period ended December 31, 2005.
These consolidated financial statements are the responsibility of the
Company's management. Our responsibility is to express an opinion on these
consolidated financial statements based on our audits.

We conducted our audits in accordance with standards of the Public Company
Accounting Oversight Board (United States). Those standards require that we
plan and perform the audit to obtain reasonable assurance about whether the
consolidated financial statements are free of material misstatement. An audit
includes examining, on a test basis, evidence supporting the amounts and
disclosures in the consolidated financial statements. An audit also includes
assessing the accounting principles used and significant estimates made by
management, as well as evaluating the overall consolidated financial statement
presentation. We believe that our audits provide a reasonable basis for our
opinion.

In our opinion, the consolidated financial statements referred to above
present fairly, in all material respects, the consolidated financial position
of Healthcare Services Group, Inc. and Subsidiaries at December 31, 2005 and
2004 and the consolidated results of their operations and their consolidated
cash flows for each of the three years in the period ended December 31, 2005,
in conformity with accounting principles generally accepted in the United
States of America.

We also have audited, in accordance with the standards of the Public Company
Oversight Board (United States), the effectiveness of Healthcare Services
Group, Inc's internal control over financial reporting as of December 31,
2005, based on criteria established in Internal Control-Integrated Framework
issued by the Committee of Sponsoring Organizations of the Treadway Commission
and our report dated February 14, 2006 expressed an unqualified opinion
thereon.

GRANT THORNTON LLP

Edison, New Jersey

February 14, 2006


                                                                             43

<PAGE>
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

The Stockholders and Board of Directors
Healthcare Services Group, Inc.

We have audited management's assessment, included in the accompanying
Management Report on Internal Control Over Financial Reporting, that
Healthcare Services Group, Inc. and Subsidiaries maintained effective internal
control over financial reporting as of December 31, 2005, based on criteria
established in Internal Control-Integrated Framework issued by the Committee
of Sponsoring Organizations of the Treadway Commission (the COSO criteria).
The Company's management is responsible for maintaining effective internal
control over financial reporting and for its assessment of the effectiveness
of internal control over financial reporting. Our responsibility is to express
an opinion on management's assessment and an opinion on the effectiveness of
the Company's internal control over financial reporting based on our audit.

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

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

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

In our opinion, management's assessment that Healthcare Services Group, Inc.
and Subsidiaries maintained effective internal control over financial
reporting as of December 31, 2005, is fairly stated, in all material respects,
based on the COSO criteria. Also, in our opinion, the Company maintained, in
all material respects, effective internal control over financial reporting as
of December 31, 2005, based on the COSO criteria.

We also have audited, in accordance with the standards of the Public Company
Accounting Oversight Board (United States), the consolidated balance sheets of
the Company as of December 31, 2005 and 2004, and the related consolidated
statements of income, cash flows, and stockholders' equity, for each of the
three years in the period ended December 31, 2005, and our report dated
February 14, 2006 expressed an unqualified opinion thereon.


GRANT THORNTON LLP

Edison, New Jersey

February 14, 2006


44

<PAGE>

<TABLE>
<CAPTION>
<S>                                       <C>                                       <C>
TRANSFER AGENT                            CORPORATE OFFICES                         STOCK LISTING
American Stock Transfer & Trust Co.       Healthcare Services Group, Inc.           Listed on the NASDAQ
99 Wall St.                               3220 Tillman Drive, Suite 300             National Market System Symbol - "HCSG"
New York, NY 10005                        Bensalem, PA 19020
                                          215-639-4274


AUDITORS                                  CORPORATE COUNSEL                         ANNUAL STOCKHOLDERS' MEETING
Grant Thornton LLP                        Olshan Grundman Frome                     Date  - May 23, 2006
399 Thornall Street                       Rosenzweig & Wolosky LLP                  Time  - 10:00 A.M.
Edison, NJ 08837                          Park Avenue Tower                         Place - The Radisson Hotel of Bucks County
                                          65 East 55th Street                               2400 Old Lincoln Highway
                                          New York, NY 10022                                Trevose, PA 19047
DIRECTORS
DANIEL P. MCCARTNEY                       BARTON D. WEISMAN                         JOHN M. BRIGGS
Chairman & Chief Executive Officer        Chairman-NuVision Management, LLC         Certified Public Accountant

THOMAS A. COOK                            ROBERT L. FROME, ESQ.
President & Chief Operating Officer       Senior Partner - Olshan Grundman Frome
                                            Rosenzweig & Wolosky LLP
JOSEPH F. MCCARTNEY
Northeast Divisional Vice President       ROBERT J. MOSS, ESQ.
                                          President - Moss Associates
OFFICERS AND CORPORATE
MANAGEMENT
DANIEL P. MCCARTNEY                       JOHN D. KELLY                             KEVIN MCCARTNEY
Chief Executive Officer                   Western Divisional Vice President         Northeast Divisional Vice President

THOMAS A. COOK                            GERROD LAMBRECHT                          JAMES SCHRECK
President & Chief Operating Officer       Midwest Divisional Vice President         Midwest Divisional Vice President

JAMES L. DISTEFANO                        NICHOLAS R. MARINO                        ROBERT SCUTTA
Chief Financial Officer & Treasurer       Human Resources Director                  Mid-Atlantic Divisional Vice President

MICHAEL HAMMOND                           MICHAEL E. MCBRYAN                        DAVID SMIGEL
Western Regional Vice President           Senior Vice President                     Western Divisional Vice President

MICHAEL HARDER                            BRYAN D. MCCARTNEY                        JAMES P. O'TOOLE
Vice President - Credit Administration    Senior Vice President                     Mid-Atlantic Divisional Vice President


RICHARD W. HUDSON                         JOSEPH F. MCCARTNEY                       BRIAN M. WATERS
Vice President - Finance and Secretary    Northeast Divisional Vice President       Southeast Divisional Vice President

MARKET MAKERS

As of the end of 2005, the following firms were making a market in the shares of Healthcare Services Group, Inc.:

UBS Capital Markets, L.P.                 Morgan Stanley & Co., Inc.                Merrill Lynch, Pierce, Fenner
Goldman, Sachs & Co.                      C.L. King & Associates                    Crown Financial Group
Jefferies & Company, Inc.                 Citigroup Global Markets, Inc.            Wm. Blair & Co.
Lehman Bros. Inc.                         J.P. Morgan Securities
</TABLE>

ABOUT YOUR SHARES

Healthcare Services Group, Inc.'s Common Stock is traded on the NASDAQ
National Market System of the over-the-counter market. On December 31, 2005
there were 27,062,000 of the Company's common shares issued and outstanding.
As of February 14, 2006 there were 691 holders of record of the common stock,
including holders whose stock was held in nominee name by brokers or other
nominees. It is estimated that there are Xxx beneficial holders.
The high and low closing price quotations for our Common Stock during the
years ended December 31, 2005 and 2004, ranged as follows (adjusted to reflect
the 3 for 2 stock split paid in the form of a 50% common stock dividend on May
2, 2005):

<TABLE>
<CAPTION>
                                         2005 High          2005 Low          2004 High         2004 Low
                                         ---------          --------          ---------         --------
<S>                                        <C>                <C>               <C>               <C>
1st Qtr.                                   $16.53            $12.54            $11.33            $ 8.44
2nd Qtr.                                    20.65             14.17             11.23              9.86
3rd Qtr.                                    21.60             15.77             12.41             10.13
4th Qtr.                                    21.45             17.01             14.27             11.69
</TABLE>

AVAILABILITY OF FORM 10-K
A copy of Healthcare Services Group, Inc.'s 2005 Annual Report on Form 10-K,
as filed with the Securities and Exchange Commission is available on the
Company's website "www.hcsgcorp.com". Additionally, it will be provided
without charge to each shareholder making a written request to the Investor
Relations Department of the Company at its Corporate Offices.


<PAGE>
                                   SIGNATURES
                                   ----------

         Pursuant to the requirements of Section 13 or 15(d) of the Securities
and Exchange Act of 1934, the Registrant has duly caused this report to be
signed on its behalf by the undersigned, thereunto duly authorized.


Dated: February 14, 2006                  HEALTHCARE SERVICES GROUP, INC.
                                                   (Registrant)

                                          By: /s/ Daniel P. McCartney
                                              --------------------------------
                                                  Daniel P. McCartney
                                                  Chief Executive Officer and
                                                  Chairman of the Board

         Pursuant to the requirements of the Securities and Exchange Act of
1934, this report has been signed below by the following persons and in the
capacities and on the date indicated:
<TABLE>
<CAPTION>
       Signature                                 Title                                     Date
       ---------                                 -----                                     ----
<S>                                               <C>                                       <C>
/s/ Daniel P. McCartney                    Chief Executive                           February 14, 2006
-----------------------                    Officer and Chairman
Daniel P. McCartney


/s/ Joseph F. McCartney                    Director and Vice                         February 14, 2006
-----------------------                    President
Joseph F. McCartney


/s/ Barton D. Weisman                      Director                                  February 14, 2006
-----------------------
Barton D. Weisman


/s/ Robert L. Frome                        Director                                  February 14, 2006
-----------------------
Robert L. Frome


/s/ Thomas A. Cook                         Director, President                       February 14, 2006
-----------------------                    and Chief Operating
Thomas A. Cook                             Officer

/s/ John M. Briggs                         Director                                  February 14, 2006
-----------------------
John M. Briggs

/s/ Robert J. Moss                         Director                                  February 14, 2006
-----------------------
Robert J. Moss

/s/ James L. DiStefano                     Chief Financial                           February 14, 2006
-----------------------                    Officer and
James L. DiStefano                         Treasurer

/s/ Richard W. Hudson                      Vice President-                           February 14, 2006
-----------------------                    Finance, Secretary
Richard W. Hudson                          and Chief Accounting
                                           Officer
</TABLE>