[10-Q] HEALTHCARE SERVICES GROUP INC Quarterly Earnings Report

Rhea-AI Filing Summary

Healthcare Services Group (HCSG) reported stronger Q3 2025 results. Revenue rose to $464,338 thousand and net income increased to $42,953 thousand, translating to diluted EPS of $0.59. Operating performance reflected lower interest expense and higher investment income.

Results were shaped by special items. The company received Employee Retention Credit refunds of $31.8 million in the quarter ($51.8 million year‑to‑date), recognized $34.2 million as a reduction to costs of services and $5.3 million of related interest income, and recorded a $12.3 million deferred ERC liability tied to a 2021 period. Credit risk remained elevated: following Genesis Healthcare’s Chapter 11 filing, HCSG applied a 100% allowance to Genesis receivables and recorded bad debt expense of $2.7 million in Q3 and $63.9 million year‑to‑date. Cash, cash equivalents and restricted cash equivalents ended at $124,420 thousand, supported by net cash provided by operating activities of $127,581 thousand for the nine months. The company also repurchased $27,271 thousand of treasury stock in Q3.

Insights

Equity analyst — outsourced healthcare services

Mixed quarter: core growth, ERC tailwind, sizable credit charge.

HCSG posted Q3 revenue of $464,338k and diluted EPS of $0.59, aided by ERC refunds that reduced cost of services by $34.2M and added $5.3M to investment income. Year‑to‑date operating cash flow of $127,581k boosted cash balances to $124,420k.

Countering this was credit stress: after Genesis entered Chapter 11, the company applied a 100% allowance to Genesis receivables, driving bad debt expense of $2.7M in Q3 and $63.9M year‑to‑date. Accounts receivable declined versus year‑end.

Near‑term performance depends on recurring operations without ERC benefits and on collection trends. Subsequent filings may detail further ERC recognition tied to the September 2021 period and any changes in receivable quality.

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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

Form 10-Q

(Mark One)

☑ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended September 30, 2025

OR

☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from                 to                    

Commission file number: 0-12015

HEALTHCARE SERVICES GROUP, INC.

(Exact name of registrant as specified in its charter)

Pennsylvania						23-2018365
(State or other jurisdiction of  incorporation or organization)						(I.R.S. Employer Identification No.)

3220 Tillman Drive, Suite 300, Bensalem, Pennsylvania

(Address of principal executive office)

19020

(Zip Code)

Registrant’s telephone number, including area code:

(215) 639-4274

Former name, former address and former fiscal year, if changed since last report:

Not Applicable

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

Title of each class			Trading Symbol(s)			Name of each exchange on which registered
Common Stock, $0.01 par value			HCSG			Nasdaq Global Select Market

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes  þ    No  ¨

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes  þ    No  ¨

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer

þ

Accelerated filer

☐

Non-accelerated filer

☐

Smaller reporting company

☐

Emerging growth company

☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ¨ 

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

Indicate the number of shares outstanding of each of the registrant’s classes of common stock, as of the latest practicable date. Common Stock, $0.01 par value: 70,455,509 shares outstanding as of October 22, 2025.

Healthcare Services Group, Inc.

Quarterly Report on Form 10-Q

For the Period Ended September 30, 2025

TABLE OF CONTENTS

						Page
PART I
Item 1.			Financial Statements (Unaudited)			1
Item 2.			Management’s Discussion and Analysis of Financial Condition and Results of Operations			36
Item 3.			Quantitative and Qualitative Disclosures About Market Risk			47
Item 4.			Controls and Procedures			47
PART II
Item 1.			Legal Proceedings			48
Item 1A.			Risk Factors			48
Item 2.			Unregistered Sales of Equity Securities and Use of Proceeds			48
Item 3.			Defaults Upon Senior Securities			48
Item 4.			Mine Safety Disclosures			48
Item 5.			Other Information			49
Item 6.			Exhibits			49
SIGNATURES						50

Table of Contents

CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING STATEMENTS

This report and documents incorporated by reference into it may contain forward-looking statements within the meaning of federal securities laws, which are not historical facts but rather are based on current expectations, estimates and projections about our business and industry, and our beliefs and assumptions. Words such as “believes,” “anticipates,” “plans,” “expects,” “estimates,” “will,” “goal,” “intend” and similar expressions are intended to identify forward-looking statements. The inclusion of forward-looking statements should not be regarded as a representation by us that any of our plans will be achieved. We undertake no obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. Such forward-looking information is also subject to various risks and uncertainties. Such risks and uncertainties include, but are not limited to, risks arising from our providing services to the healthcare industry and primarily providers of long-term care; credit and collection risks associated with the healthcare industry; the impact of bank failures; our claims experience related to workers’ compensation, general liability and auto insurance; the effects of changes in, or interpretations of laws and regulations governing the healthcare industry, our workforce and services provided, including state and local regulations pertaining to the taxability of our services and other labor-related matters such as minimum wage increases; the Company’s expectations with respect to selling, general and administrative expense; the impacts of past or future cyber attacks or breaches; global events including ongoing international conflicts; and the risk factors described in Part I of our Form 10-K for the fiscal year ended December 31, 2024 under “Government Regulation of Customers,” “Service Agreements and Collections” and “Competition” and under Item 1A. “Risk Factors” in such Form 10-K.

These factors, in addition to delays in payments from customers and/or customers undergoing restructurings, have resulted in, and could continue to result in, significant additional bad debts in the near future. Additionally, our operating results have been in the past and could in the future be adversely affected by continued inflation particularly if increases in the costs of labor and labor-related costs, materials, supplies and equipment used in performing services (including the impact of potential tariffs) cannot be passed on to our customers.

In addition, we believe that to improve our financial performance we must continue to obtain service agreements with new customers, retain and provide new services to existing customers, achieve modest price increases on current service agreements with existing customers and/or maintain internal cost reduction strategies at our various operational levels. Furthermore, we believe that our ability to sustain the internal development of managerial personnel is an important factor impacting future operating results and the successful execution of our projected growth strategies. There can be no assurance that we will be successful in that regard.

Table of Contents

PART I — FINANCIAL INFORMATION

Item 1. Financial Statements (Unaudited)

Healthcare Services Group, Inc.

Consolidated Balance Sheets

(in thousands, except per share amounts)

			September 30, 2025						December 31, 2024
ASSETS:			(unaudited)
Current assets:
Cash and cash equivalents			$	124,388					$	56,776
Restricted cash equivalents			32						3,355
Marketable securities, at fair value			53,073						50,535
Restricted marketable securities, at fair value			30,013						25,105
Accounts receivable, net (less allowances: $118,537 and $87,520)			288,521						330,907
Notes receivable — short–term portion, net (less allowances: $25,469 and $10,372)			25,406						51,429
Inventories and supplies			17,202						16,749
Taxes receivable			15,562						—
Prepaid expenses and other current assets			26,436						21,796
Total current assets			580,633						556,652
Property and equipment, net			26,927						28,198
Goodwill			80,059						75,529
Other intangible assets (less accumulated amortization of $42,331 and $39,242)			7,614						9,442
Notes receivable — long–term portion, net (less allowances: $2,239 and $2,890)			28,351						41,054
Deferred compensation funding, at fair value			55,391						49,639
Deferred tax assets			21,809						38,170
Other long-term assets			3,515						4,088
Total assets			$	804,299					$	802,772
LIABILITIES AND STOCKHOLDERS’ EQUITY:
Current liabilities:
Accounts payable			$	81,715					$	81,147
Accrued payroll and related taxes			50,428						51,579
Other accrued expenses and current liabilities			37,534						24,783
Income taxes payable			—						8,391
Deferred compensation liability — short-term			2,204						1,499
Accrued insurance claims			23,763						25,148
Total current liabilities			195,644						192,547
Accrued insurance claims — long-term			49,138						51,869
Deferred compensation liability — long-term			55,648						50,011
Lease liability — long-term			6,217						8,033
Other long-term liabilities			1,650						385
Commitments and contingencies (Note 17)
STOCKHOLDERS’ EQUITY:
Common stock, $0.01 par value; 200,000 shares authorized; 76,821 and 76,533 shares issued, and 70,671 and 73,203 shares outstanding			768						765
Additional paid-in capital			325,726						318,363
Retained earnings			252,424						224,556
Accumulated other comprehensive loss, net of taxes			(729)						(2,317)
Common stock in treasury, at cost, 6,150 and 3,330 shares			(82,187)						(41,440)
Total stockholders’ equity			$	496,002					$	499,927
Total liabilities and stockholders’ equity			$	804,299					$	802,772

See accompanying notes to consolidated financial statements.

1

Table of Contents

Healthcare Services Group, Inc.

Consolidated Statements of Comprehensive Income

(in thousands, except per share amounts) (Unaudited)

			Three Months Ended September 30,												Nine Months Ended September 30,
			2025						2024						2025						2024
Revenues			$	464,338					$	428,149					$	1,370,491					$	1,277,870
Operating costs and expenses:
Costs of services provided			367,933						364,730						1,203,157						1,108,383
Selling, general and administrative expense			50,541						46,888						144,670						138,236
Other income (expense):
Investment and other income, net			11,837						3,825						17,856						12,145
Interest expense			(393)						(1,548)						(1,206)						(5,260)
Income before taxes			57,308						18,808						39,314						38,136
Income tax provision			14,355						4,778						11,499						10,585
Net income			$	42,953					$	14,030					$	27,815					$	27,551
Per share data:
Basic income per common share			$	0.59					$	0.19					$	0.38					$	0.37
Diluted income per common share			$	0.59					$	0.19					$	0.38					$	0.37
Weighted average number of common shares outstanding:
Basic			72,237						73,687						73,019						73,822
Diluted			72,966						73,926						73,505						74,007
Comprehensive income:
Net income			$	42,953					$	14,030					$	27,815					$	27,551
Other comprehensive income
Unrealized gain on available-for-sale marketable securities, net of taxes			713						2,093						1,588						1,320
Total comprehensive income			$	43,666					$	16,123					$	29,403					$	28,871

See accompanying notes to consolidated financial statements.

2

Table of Contents

Healthcare Services Group, Inc.

Consolidated Statements of Cash Flows

(in thousands) (Unaudited)

						Nine Months Ended September 30,
						2025						2024
Cash flows from operating activities:
Net income						$	27,815					$	27,551
Adjustments to reconcile net income to net cash provided by (used in) operating activities:
Depreciation and amortization						12,908						10,983
Bad debt provision						79,012						36,848
Deferred income taxes						15,939						(1,612)
Share-based compensation expense						8,881						6,828
Amortization of premium on marketable securities						359						1,003
Unrealized gain on deferred compensation fund investments						(6,926)						(7,809)
Changes in other long-term liabilities						(384)						(524)
Net loss on disposals of property and equipment						253						507
Share of losses from equity method investment						2,386						197
Changes in operating assets and liabilities:
Accounts and notes receivable						5,255						(57,909)
Inventories and supplies						(453)						1,434
Prepaid expenses and other assets						(3,603)						(3,503)
Deferred compensation funding						469						(27)
Accounts payable and other accrued expenses						(5,310)						(10,904)
Accrued payroll, accrued and withheld payroll taxes						(134)						(12,820)
Deferred ERC credits						12,276						—
Income taxes receivable/payable						(23,953)						(2,700)
Accrued insurance claims						(4,115)						(1,348)
Deferred compensation liability						6,906						8,403
Net cash provided by (used in) operating activities						127,581						(5,402)
Cash flows from investing activities:
Disposals of property and equipment						86						193
Additions to property and equipment						(4,438)						(4,909)
Cash paid for acquisition						(7,287)						—
Cash paid for investments						(2,125)						(2,750)
Purchases of marketable securities						(13,884)						(51,490)
Sales of marketable securities						8,082						43,205
Net cash used in investing activities						(19,566)						(15,751)
Cash flows from financing activities:
Purchases of treasury stock						(41,982)						(4,008)
Payments of statutory withholding on net issuance of restricted stock units						(1,744)						(1,030)
Net cash used in financing activities						(43,726)						(5,038)
Net increase (decrease) in cash, cash equivalents and restricted cash equivalents						64,289						(26,191)
Cash, cash equivalents and restricted cash equivalents at beginning of the period						60,131						54,330
Cash, cash equivalents and restricted cash equivalents at end of the period						$	124,420					$	28,139

See accompanying notes to consolidated financial statements.

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Healthcare Services Group, Inc.

Consolidated Statements of Stockholders’ Equity

(in thousands) (Unaudited)

			For the nine months ended September 30, 2025
			Common Stock												Additional Paid-in Capital						Accumulated Other Comprehensive Loss, net of taxes						Retained Earnings						Treasury Stock						Stockholders’ Equity
			Shares						Amount
Balance, January 1, 2025			76,533						$	765					$	318,363					$	(2,317)					$	224,556					$	(41,440)					$	499,927
Net income			—						—						—						—						17,228						—						17,228
Unrealized gain on available-for-sale marketable securities, net of taxes			—						—						—						503						—						—						503
Shares issued in connection with equity incentive plans, net of taxes			276						3						(1,747)						—						—						—						(1,744)
Share-based compensation expense			—						—						3,685						—						—						—						3,685
Purchases of treasury stock			—						—						—						—						—						(7,036)						(7,036)
Shares issued for Deferred Compensation Plan, net			—						—						502						—						—						63						565
Shares issued for Employee Stock Purchase Plan			—						—						(72)						—						—						1,090						1,018
Other			—						—						—						—						52						—						52
Balance, March 31, 2025			76,809						$	768					$	320,731					$	(1,814)					$	241,836					$	(47,323)					$	514,198
Net loss			—						—						—						—						(32,366)						—						(32,366)
Unrealized gain on available-for-sale marketable securities, net of taxes			—						—						—						372						—						—						372
Shares issued in connection with equity incentive plans, net of taxes			10						—						—						—						—						—						—
Share-based compensation expense			—						—						2,510						—						—						—						2,510
Purchases of treasury stock			—						—						—						—						—						(7,675)						(7,675)
Shares issued for Deferred Compensation Plan, net			—						—						(52)						—						—						50						(2)
Other			—						—						—						—						1						—						1
Balance, June 30, 2025			76,819						$	768					$	323,189					$	(1,442)					$	209,471					$	(54,948)					$	477,038
Net income			—						—						—						—						42,953						—						42,953
Unrealized gain on available-for-sale marketable securities, net of taxes			—						—						—						713						—						—						713
Shares issued in connection with equity incentive plans, net of taxes			2						—						—						—						—						—						—
Share-based compensation expense			—						—						2,568						—						—						—						2,568
Purchases of treasury stock			—						—						—						—						—						(27,271)						(27,271)
Shares issued for Deferred Compensation Plan, net			—												(31)						—						—						32						1
Balance, September 30, 2025			76,821						$	768					$	325,726					$	(729)					$	252,424					$	(82,187)					$	496,002

See accompanying notes to consolidated financial statements.

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			For the nine months ended September 30, 2024
			Common Stock												Additional Paid-in Capital						Accumulated Other Comprehensive Loss, net of taxes						Retained Earnings						Treasury Stock						Stockholders’ Equity
			Shares						Amount
Balance, January 1, 2024			76,329						$	763					$	310,436					$	(1,844)					$	185,010					$	(37,749)					$	456,616
Net income			—						—						—						—						15,309						—						15,309
Unrealized loss on available-for-sale marketable securities, net of taxes			—						—						—						(328)						—						—						(328)
Shares issued in connection with equity incentive plans, net of taxes			204						2						(1,032)						—						—						—						(1,030)
Share-based compensation expense			—						—						2,444						—						—						—						2,444
Shares issued for Deferred Compensation Plan, net			—						—						448						—						—						71						519
Shares issued for Employee Stock Purchase Plan			—						—						(216)						—						—						1,205						989
Other			—						—						—						—						62						—						62
Balance, March 31, 2024			76,533						$	765					$	312,080					$	(2,172)					$	200,381					$	(36,473)					$	474,581
Net loss			—						—						—						—						(1,788)						—						(1,788)
Unrealized loss on available-for-sale marketable securities, net of taxes			—						—						—						(445)						—						—						(445)
Share-based compensation expense			—						—						2,075						—						—						—						2,075
Purchases of treasury stock			—						—						—						—						—						(3,000)						(3,000)
Shares issued for Deferred Compensation Plan, net			—						—						(9)						—						—						7						(2)
Other			—						—						—						—						2						—						2
Balance, June 30, 2024			76,533						$	765					$	314,146					$	(2,617)					$	198,595					$	(39,466)					$	471,423
Net income			—						—						—						—						14,030						—						14,030
Unrealized gain on available-for-sale marketable securities, net of taxes			—						—						—						2,093						—						—						2,093
Share-based compensation expense			—						—						2,205						—						—						—						2,205
Purchases of treasury stock			—						—						—						—						—						(1,009)						(1,009)
Shares issued for Deferred Compensation Plan, net			—						—						(17)						—						—						17						—
Other			—						—						—						—						6						—						6
Balance, September 30, 2024			76,533						$	765					$	316,334					$	(524)					$	212,631					$	(40,458)					$	488,748

See accompanying notes to consolidated financial statements.

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Healthcare Services Group, Inc.

Notes to Consolidated Financial Statements

(Unaudited)

Note 1—Description of Business and Significant Accounting Policies

Nature of Operations

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

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

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

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

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

Unaudited Interim Financial Data

The accompanying unaudited consolidated financial statements have been prepared in accordance with generally accepted accounting principles in the United States (“U.S. GAAP”) for interim financial information and the requirements of Form 10-Q and Article 10 of Regulation S-X. Accordingly, these consolidated financial statements do not include all of the information and footnotes necessary for a complete presentation of financial position, results of operations and cash flows. However, in the Company’s opinion, all adjustments which are of a normal recurring nature and are necessary for a fair presentation have been reflected in these consolidated financial statements. The balance sheet shown in this report as of December 31, 2024 has been derived from the audited financial statements for the year ended December 31, 2024. These financial statements should be read in conjunction with the financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2024. The results of operations for the three and nine months ended September 30, 2025 are not necessarily indicative of the results that may be expected for any future period.

Use of Estimates in Financial Statements

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

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Principles of Consolidation

The accompanying consolidated financial statements include the accounts of the Company and its wholly-owned subsidiaries. All significant intercompany transactions and balances have been eliminated in consolidation.

Cash and Cash Equivalents and Restricted Cash Equivalents

Cash and cash equivalents and restricted cash equivalents are held in U.S. financial institutions or in custodial accounts with U.S. financial institutions. Cash equivalents are defined as short-term, highly liquid investments with a maturity of three months or less at time of purchase that are readily convertible into cash and have insignificant interest rate risk. The Company currently has bank deposits with financial institutions in the U.S. that exceed FDIC insurance limits.

The following table provides a reconciliation of cash and cash equivalents and restricted cash equivalents reported within the Consolidated Balance Sheets to the amount reported in the Consolidated Statements of Cash Flows.

			September 30, 2025						December 31, 2024
			(in thousands)
Cash and cash equivalents			$	124,388					$	56,776
Restricted cash equivalents1			32						3,355
Total cash and cash equivalents and restricted cash equivalents			$	124,420					$	60,131

1.Restricted cash equivalents represent funds held in money market accounts pursuant to a Collateral Trust Agreement with the Company’s third-party insurer and a trustee whereby investments or money market funds are held in a trust account to benefit the insurer and are restricted for that purpose. The trust account was set up in conjunction with a reduction in the Company’s letters of credit collateral obligation for insurance obligations.

Accounts and Notes Receivable

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

Notes receivable are initially recorded when accounts receivable are transferred into a promissory note and are recorded as an alternative to accounts receivable to memorialize an unqualified promise to pay a specific sum, typically with interest, in accordance with a defined payment schedule. Notes receivable are recorded at face value less any imputed interest assessed. The Company’s payment terms with customers on promissory notes can vary based on several factors and the circumstances of each promissory note, however most promissory notes mature over 1 to 5 years. Similar to accounts receivable, each reporting period the Company evaluates the collectability of outstanding notes receivable balances and records an allowance for doubtful accounts representing an estimate of future expected credit losses.

Allowance for Doubtful Accounts

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

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Inventories and Supplies

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

Revenue Recognition

The Company recognizes revenue from contracts with customers when or as the promised goods and services are provided to customers. Revenues are reported net of sales taxes that are collected from customers and remitted to taxing authorities. The amount of revenue recognized by the Company is based on the expected value of consideration to which the Company is entitled in exchange for providing the contracted goods and services and when it is probable that the Company will collect substantially all of such consideration. Refer to Note 3—Revenue herein for more regarding the Company’s revenue recognition policy.

Leases

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

Income Taxes

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

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

On July 4, 2025, Congress enacted the One Big Beautiful Bill Act (“OBBBA”), which includes several changes to the Internal Revenue Code which may result in changes to the Company’s income tax expense. The Company is currently evaluating the impacts of the OBBBA on income taxes.

Earnings per Common Share

Basic earnings per common share is computed by dividing income available to common shareholders by the weighted-average number of common shares outstanding for the period. Diluted earnings per common share is computed using the weighted-average number of common shares outstanding and dilutive common shares, such as those issuable upon exercise of stock options and upon the vesting of restricted stock units (“RSUs”), deferred stock units (“DSUs”) and performance-based restricted stock units (“PSUs”).

Share-Based Compensation

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

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Goodwill and Other Intangible Assets

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

No impairment loss was recognized on the Company’s goodwill or other intangible assets during the three and nine months ended September 30, 2025 or 2024.

Investments in Equity Securities

The Company accounts for investments in equity securities using the equity method when the Company determines that it can exercise significant influence over the investee. The Company accounts for investments in equity securities at fair value when the Company determines that it cannot exercise significant influence over the investee. Investments in equity securities are recorded within “Other long-term assets” in the Company’s Consolidated Balance Sheets. The Company’s proportionate share of earnings or losses of the investee are recorded within “Investment and other income, net” on the Company’s Consolidated Statements of Comprehensive Income. The Company elects to record its proportionate share of earnings or losses in equity method investments using a three-month lag based on the most recently available financial statements.

Concentrations of Credit Risk

The Company’s financial instruments that are subject to credit risk are cash and cash equivalents, restricted cash equivalents, marketable securities, restricted marketable securities, deferred compensation funding and accounts and notes receivable. At September 30, 2025 and December 31, 2024, the majority of the Company’s cash and cash equivalents, restricted cash equivalents, marketable securities and restricted marketable securities were held in two large financial institutions located in the United States. The Company’s marketable securities and restricted marketable securities are fixed income investments which are highly liquid and can be readily purchased or sold through established markets. The Company’s deferred compensation funding consists of fund and money market investments all of which are highly liquid and held in a trust account.

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

Customer Concentrations

No single customer or customer group represented more than 10% of our consolidated revenues for the three and nine months ended September 30, 2025 or 2024.

Employee Retention Credit

On March 27, 2020, the U.S. government enacted the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”). The CARES Act provided an Employee Retention Credit (“ERC”), which allows for employers to claim a refundable tax credit against the employer share of Social Security tax equal to 50% of the qualified wages paid to employees from March 13, 2020 through December 31, 2020. The ERC was subsequently expanded in 2021 for employers to claim a refundable tax credit for 70% of the qualified wages paid to employees from January 1, 2021 through September 30, 2021. Refunds received by the Company and refunds obtained in any future periods are subject to IRS audit under the applicable statutes of limitations.

The Company accounts for the ERC by analogy to International Accounting Standard (“IAS”) 20, Accounting for Government Grants and Disclosure of Government Assistance and recognizes income when there is reasonable assurance that the receipt of credits and compliance with the terms of the ERC are obtained. See Note 2—Employee Retention Credit for additional detail on ERC refunds received during the three and nine months ended September 30, 2025.

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Recent Accounting Pronouncements

In December 2023, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures, which amends the codification to enhance effective tax rate reconciliation disclosure requirements and provides clarity to the disclosures of income taxes paid, income before taxes and provision for income taxes. The amendments are effective for fiscal years beginning after December 15, 2024. The amendments in this update should be applied on a prospective basis. Retrospective application is permitted. The Company will adopt the guidance prospectively beginning with the Annual Report on Form 10-K for the year ending December 31, 2025. The Company does not believe that adoption of this ASU will have a material impact on the Company’s disclosures.

In November 2024, the FASB issued ASU 2024-03, Income Statement — Reporting Comprehensive Income — Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses, which amends the codification to enhance disclosures about a public business entity’s expenses and addresses requests from investors for more detailed information about the types of expenses (including purchases of inventory, employee compensation, depreciation, amortization, and depletion) in commonly presented expense captions. The amendments are effective for fiscal years beginning after December 15, 2026. Early adoption is permitted for annual financial statements that have not yet been issued or made available for issuance. The amendments in this update should be applied on a prospective basis. Retrospective application is permitted. The Company is currently evaluating this ASU to determine its impact on the Company’s disclosures.

In July 2025, the FASB issued ASU 2025-05, Financial Instruments—Credit Losses (Topic 326): Measurement of Credit Losses for Accounts Receivable and Contract Assets, which amends the codification to, among other changes, provide a practical expedient allowing public entities to assume that conditions as of the balance sheet date impacting the creditworthiness of receivables and contract assets will remain unchanged over their remaining lives when estimating expected credit losses. The amendment is effective for fiscal years beginning after December 15, 2025, including interim periods within those fiscal years. Early adoption is permitted. The amendments in this update should be applied on a prospective basis. The Company elected to early adopt ASU 2025-05 as of September 30, 2025 and apply the practical expedient to its accounts and notes receivables and contract assets arising from transactions within the scope of ASC 606. Adoption of this ASU did not have a material impact on the Company’s consolidated financial statements.

In September 2025, the FASB issued ASU 2025-06, Intangibles—Goodwill and Other—Internal-Use Software (Subtopic 350-40): Targeted Improvements to the Accounting for Internal-Use Software. The amendments update and improve the existing rules for internal-use software, including clarifying when capitalization of software development costs should begin, providing more operable criteria that better align with modern development practices (such as agile and iterative methods), and reducing diversity in practice for cloud computing arrangements. The amendment is effective for fiscal years beginning after December 15, 2027, including interim periods within those fiscal years. Early adoption is permitted, with prospective application required. The Company is currently evaluating the impact of this ASU on its consolidated financial statements.

Other recent accounting pronouncements issued by the FASB, including its Emerging Issues Task Force, the American Institute of Certified Public Accountants, and the Securities and Exchange Commission did not, or are not believed by management to, have a material impact on the Company’s present or future consolidated financial statements.

Note 2—Employee Retention Credit

The OBBBA included provisions impacting the ERC including imposing an extended statute of limitations for the IRS to audit ERC filings for the quarter ended September 30, 2021. The OBBBA did not include any provisions extending the statute of limitations for auditing ERC filings for quarters ending March 31, 2020 through June 30, 2021. Following the passing of the OBBBA, the Company determined that the statute of limitations had expired for filings for quarters ending June 30, 2020 through June 30, 2021 and that the Company obtained reasonable assurance over receipt of, and compliance with, the terms of the ERC for refunds received from the IRS for those periods.

During the three and nine months ended September 30, 2025, the Company received $31.8 million and $51.8 million, respectively, in ERC refunds from the IRS. These amounts include interest payments of $4.6 million and $7.0 million for the three and nine month periods, respectively. During the three and nine months ended September 30, 2025, the Company recognized $34.2 million of ERC refunds as a reduction to “Costs of services provided”, $5.3 million of interest income on such refunds received within “Investment and other income, net”, and $2.1 million of professional fees expense associated with the ERC refunds within Selling, general and administrative expense in the Consolidated Statements of Comprehensive Income. At September 30, 2025, the Company has recorded a deferred ERC liability of $12.3 million within “Other accrued expenses and current liabilities” on the Consolidated Balance Sheets related to ERC refunds received for amended returns filed for the quarter

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ended September 30, 2021. The Company will recognize income on the deferred liability and future ERC refunds received once the Company determines reasonable assurance that compliance with the terms of the ERC has been obtained.

Note 3—Revenue

The Company presents its consolidated revenues disaggregated by reportable segment, as Management evaluates the nature, amount, timing and uncertainty of the Company’s revenues by segment. Refer to Note 13—Segment Information herein as well as the information below regarding the Company’s reportable segments.

Housekeeping

Housekeeping accounted for $211.8 million and $191.1 million of the Company’s consolidated revenues for the three months ended September 30, 2025 and 2024, respectively, which represented approximately 45.6% and 44.6% of the Company’s revenues in each respective period. Housekeeping accounted for $613.9 million and $572.7 million of the Company’s consolidated revenues for the nine months ended September 30, 2025 and 2024, respectively, which represented approximately 44.8% of the Company’s revenues in each period. Housekeeping services consist of managing customers’ housekeeping departments, which are principally responsible for the cleaning, disinfecting and sanitizing of resident rooms and common areas of the customers’ facilities, as well as the laundering and processing of the bed linens, uniforms, resident personal clothing and other assorted linen items utilized at the customers’ facilities. Upon beginning service with a customer facility, the Company will typically hire and train the employees previously employed by such facility and assign an on-site manager to supervise and train the front-line personnel and coordinate housekeeping services with other facility support functions in accordance with customer requests. Such management personnel also oversee the execution of various cost and quality control procedures including continuous training and employee evaluation.

Dietary

Dietary services accounted for $252.6 million and $237.0 million of the Company’s consolidated revenues for the three months ended September 30, 2025 and 2024, respectively, which represented approximately 54.4% and 55.4% of the Company’s revenues in each respective period. Dietary services accounted for $756.6 million and $705.2 million of the Company’s consolidated revenues for the nine months ended September 30, 2025 and 2024, respectively, which represented approximately 55.2% of the Company’s revenues in each period. Dietary services consist of managing customers’ dietary departments which are principally responsible for food purchasing, meal preparation and professional dietitian services, which include the development of menus that meet the dietary needs of residents. On-site management is responsible for all daily dietary department activities, with regular support provided by a District Manager specializing in dietary services. The Company also offers clinical consulting services to facilities which if contracted is a service bundled within the monthly service provided to customers. Upon beginning service with a customer facility, the Company will typically hire and train the employees previously employed by such facility and assign an on-site manager to supervise and train the front-line personnel and coordinate dietitian services with other facility support functions in accordance with customer requests. Such management personnel also oversee the execution of various cost and quality control procedures including continuous training and employee evaluation.

Revenue Recognition

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

The Company performs services and provides goods in accordance with its contracts with its customers. Such contracts typically provide for a renewable service term, cancellable by either party upon 30 to 90 days’ notice, after an initial period of 60 to 120 days. A performance obligation is the unit of account under ASC 606 and is defined as a promise in a contract to transfer a distinct good or service to the customer. The Company’s Housekeeping and Dietary contracts relate to the provision of bundles of goods, services or both, which represent a series of distinct goods and services that are substantially the same and that have the same pattern of transfer to the customer. The Company accounts for the series as a single performance obligation satisfied over time, as the customer simultaneously receives and consumes the benefits of the goods and services provided. Revenue is recognized using the output method, which is based upon the delivery of goods and services to the customers’ facilities. In limited cases, the Company provides goods, services or both before the execution of a written contract. In these cases, the Company defers the recognition of revenue until a contract is executed. The amount of such deferred revenue was $0.1 million as of September 30, 2025 and $0.2 million as of December 31, 2024. All revenue amounts deferred as of December 31, 2024 have been subsequently recognized as revenue during the nine months ended September 30, 2025.

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

In the event that the Company provides ongoing services to customers in active bankruptcy proceedings, in receivership or in other similar legal positions, the Company defers the recognition of revenue until cash is received, as the Company determines that collectability of substantially all of the entitled consideration in exchange for services provided is not probable for such customers until cash is received. In addition, for a subset of customers with heightened collectability risk or specific contractual terms, the Company recognizes revenue on a cash basis—i.e., when payment is received. The Company evaluates the probability of collection at contract inception and reassesses as facts and circumstances change.

The Company allocates the transaction price to each performance obligation noting that the bundle of goods, services or goods and services provided under each Housekeeping and Dietary contract represents a single performance obligation that is satisfied over time. The Company recognizes the related revenue when it satisfies the performance obligation by transferring a bundle of promised goods, services or both to a customer. Such recognition is on a monthly or weekly basis, as goods are provided and services are performed. In some cases, the Company requires customers to pay in advance for goods and services to be provided. As of September 30, 2025, the value of the contract liabilities associated with customer prepayments was $5.0 million. As of December 31, 2024, the value of the contract liabilities associated with customer prepayments was $4.0 million. The Company recognized $2.7 million of revenue during the nine months ended September 30, 2025 which was recorded as a contract liability on December 31, 2024. The Company recognized $1.9 million of revenue during the nine months ended September 30, 2024 which was recorded as a contract liability on December 31, 2023.

Transaction Price Allocated to Remaining Performance Obligations

The Company recognizes revenue as it satisfies the performance obligations associated with contracts with customers which, due to the nature of the goods and services provided by the Company, are satisfied over time. Contracts may contain transaction prices that are fixed, variable or both. The Company’s contracts with customers typically provide for an initial term with renewable service terms, cancellable by either party upon 30 to 90 days’ notice after an initial period of 60 to 120 days. The Company has elected to apply the practical expedient that permits exclusion of information about the remaining performance obligations with original expected durations of one year or less. There were no remaining performance obligations with original expected durations of one year or longer as of September 30, 2025.

Note 4—Accounts and Notes Receivable

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

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

At September 30, 2025, the face value and discounted value of notes receivable with imputed interest were $30.8 million and $28.7 million, respectively. At December 31, 2024, the face value and discounted value of notes receivable with imputed interest were $39.7 million and $35.9 million, respectively. The effective interest rates applied on notes with imputed interest at September 30, 2025 and December 31, 2024 were 6.0% and 6.9%, respectively.

Note 5—Allowance for Doubtful Accounts

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

The Company evaluates its accounts and notes receivable for expected credit losses quarterly. Accounts receivable are evaluated based on internally developed credit quality indicators derived from the aging of receivables. Notes receivable are evaluated based on internally developed credit quality indicators derived from management’s assessment of collection risk. At the end of each period, the Company sets a reserve for expected credit losses on standard accounts and notes receivable based on the Company’s historical loss rates. Accounts and notes receivable with an elevated risk profile, which are from customers who have filed bankruptcy or are subject to collections activity, are aggregated and evaluated to determine the total reserve for the class of receivable. Additionally, starting in the year ended December 31, 2024, for notes receivable management evaluates standard receivables based on whether the customer is current (paying within 60 days of terms) or delinquent (paying outside of 60 days of terms).

On July 9, 2025, Genesis Healthcare, Inc. (“Genesis”) filed for Chapter 11 bankruptcy protection in the Northern District of Texas. As of September 30, 2025, the Company had outstanding accounts and notes receivable due from Genesis of $50.4 million and $20.4 million, respectively. Upon review of the bankruptcy petition, the Company identified the Genesis accounts and notes receivables as separate loss pools for evaluating the collectability of the receivables due to the size of the outstanding balances and the assessed unlikelihood of any potential recovery. As of September 30, 2025, the Company assessed a 100% allowance on the outstanding balances of both the accounts and notes receivable due from Genesis. In conjunction with recording the allowance for Genesis receivables, the Company recognized bad debt expense of $2.7 million and $63.9 million during the three and nine months ended September 30, 2025, respectively.

ASC 326 permits entities to make an accounting policy election not to measure an estimate for credit losses on accrued interest if those entities write off accrued interest deemed uncollectible in a timely manner. The Company follows an income recognition policy on all interest earned on notes receivable. Under such policy the Company accounts for all notes receivable on a non-accrual basis and defers the recognition of any interest income until receipt of cash payments. This policy was established based on the Company’s history of collections of interest on outstanding notes receivable, as we do not deem it probable that we will receive substantially all interest on outstanding notes receivable. Accordingly, the Company does not record a credit loss adjustment for accrued interest. Interest income from notes receivable for the three months ended September 30, 2025 and 2024 was $0.8 million and $0.5 million, respectively. Interest income from notes receivable for the nine months ended September 30, 2025 and 2024 was $3.1 million and $2.2 million, respectively.

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The following table presents the Company’s four tiers of notes receivable as of and for the nine months ended September 30, 2025 further disaggregated by year of origination, as well as write-off activity:

						Notes receivable
						Amortized cost basis by origination year
						2025						2024						2023						2022						2021						Prior						Total
						(in thousands)
Notes receivable
Standard notes receivable						$	35,065					$	11,468					$	2,967					$	4,931					$	—					$	—					$	54,431
Delinquent notes receivable						$	547					$	164					$	691					$	1,811					$	405					$	—					$	3,618
Genesis notes receivable						$	—					$	—					$	—					$	—					$	—					$	20,410					$	20,410
Elevated risk notes receivable						$	—					$	—					$	1,538					$	—					$	—					$	1,491					$	3,029
Current-period gross write-offs						$	—					$	6					$	326					$	—					$	121					$	—					$	453
Current-period recoveries						—						(278)						—						—						—						—						(278)
Current-period net write-offs						$	—					$	(272)					$	326					$	—					$	121					$	—					$	175

The following table provides information as to the status of payment on the Company’s notes receivable which were past due as of September 30, 2025:

						Age analysis of past-due notes receivable as of September 30, 2025
						0 - 90 Days						91 - 180 Days						Greater than 181 Days						Total
						(in thousands)
Notes receivable
Standard notes receivable						$	43					$	15					$	—					$	58
Delinquent notes receivable						144						344						2,506						2,994
Genesis notes receivable						—						—						20,410						20,410
Elevated risk notes receivable						—						—						3,029						3,029
						$	187					$	359					$	25,945					$	26,491

The following tables provide a summary of the changes in the Company’s allowance for doubtful accounts on a portfolio segment basis for the three months ended September 30, 2025 and 2024, respectively:

						Allowance for doubtful accounts
Portfolio Segment:						June 30, 2025												Write-Offs1						Bad Debt Expense						September 30, 2025
						(in thousands)
Accounts receivable
Aged accounts receivable						$	64,743											$	(816)					$	4,172					$	68,099
Genesis accounts receivable						47,728												—						2,710						50,438
Total accounts receivable						$	112,471											$	(816)					$	6,882					$	118,537
Notes receivable
Standard notes receivable						$	5,621											$	(454)					$	(1,211)					$	3,956
Delinquent notes receivable						1,072												—						(40)						1,032
Genesis notes receivable						20,410												—						—						20,410
Elevated risk notes receivable						2,310												—						—						2,310
Total notes receivable						$	29,413											$	(454)					$	(1,251)					$	27,708
Total accounts and notes receivable						$	141,884											$	(1,270)					$	5,631					$	146,245

1.Write-offs are shown net of recoveries. During the three months ended September 30, 2025, the Company collected less than $0.1 million of accounts and notes receivable which had previously been written-off as uncollectible.

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						Allowance for doubtful accounts
Portfolio segment:						June 30, 2024												Write-Offs1						Bad Debt Expense						September 30, 2024
						(in thousands)
Accounts receivable						$	103,693											$	(14,468)					$	1,151					$	90,376
Notes receivable
Standard notes receivable						$	2,987											$	—					$	579					$	3,566
Delinquent notes receivable						3,850												—						(786)						3,064
Elevated risk notes receivable						4,755												(3,024)						(739)						992
Total notes receivable						$	11,592											$	(3,024)					$	(946)					$	7,622
Total accounts and notes receivable						$	115,285											$	(17,492)					$	205					$	97,998

1.Write-offs are shown net of recoveries. During the three months ended September 30, 2024, the Company collected less than $0.1 million of accounts and notes receivable which had previously been written-off as uncollectible.

The following tables provide a summary of the changes in the Company’s allowance for doubtful accounts on a portfolio segment basis for the nine months ended September 30, 2025 and 2024, respectively:

						Allowance for doubtful accounts
Portfolio Segment:						December 31, 2024						Reclassifications1						Write-Offs2						Bad Debt Expense						September 30, 2025
						(in thousands)
Accounts receivable
Aged accounts receivable						$	87,520					$	(1,651)					$	(33,374)					$	15,604					$	68,099
Genesis accounts receivable						—						1,651						—						48,787						50,438
Total accounts receivable						$	87,520					$	—					$	(33,374)					$	64,391					$	118,537
Notes receivable
Standard notes receivable						$	5,096					$	—					$	278					$	(1,418)					$	3,956
Delinquent notes receivable						6,026						(5,176)						(453)						635						1,032
Genesis notes receivable						—						5,176						—						15,234						20,410
Elevated risk notes receivable						2,140						—						—						170						2,310
Total notes receivable						$	13,262					$	—					$	(175)					$	14,621					$	27,708
Total accounts and notes receivable						$	100,782					$	—					$	(33,549)					$	79,012					$	146,245

1.Reclassifications include only reserve balances moved to new risk portfolios during the nine months ended September 30, 2025.

2.Write-offs are shown net of recoveries. During the nine months ended September 30, 2025, the Company collected $0.3 million of accounts and notes receivable which had previously been written-off as uncollectible.

						Allowance for doubtful accounts
Portfolio segment:						December 31, 2023												Write-Offs1						Bad Debt Expense						September 30, 2024
						(in thousands)
Accounts receivable						$	80,819											$	(27,456)					$	37,013					$	90,376
Notes receivable
Standard notes receivable						$	3,510											$	—					$	56					$	3,566
Delinquent notes receivable						2,615												(69)						518						3,064
Elevated risk notes receivable						4,755												(3,024)						(739)						992
Total notes receivable						$	10,880											$	(3,093)					$	(165)					$	7,622
Total accounts and notes receivable						$	91,699											$	(30,549)					$	36,848					$	97,998

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1.Write-offs are shown net of recoveries. During the nine months ended September 30, 2024, the Company collected $0.1 million of accounts and notes receivable which had previously been written-off as uncollectible.

Note 6—Changes in Accumulated Other Comprehensive Loss by Component

The Company’s accumulated other comprehensive loss consists of unrealized gains and losses from the Company’s available-for-sale marketable securities and restricted marketable securities. The following table provides a summary of the changes in accumulated other comprehensive loss for the nine months ended September 30, 2025 and 2024:

			Unrealized Gains and Losses on Available-for-Sale Securities¹
			Nine Months Ended September 30,
			2025						2024
			(in thousands)
Accumulated other comprehensive loss — beginning balance			$	(2,317)					$	(1,844)
Other comprehensive income before reclassifications			1,598						1,049
(Income) loss reclassified from other comprehensive income²			(10)						271
Net current period other comprehensive income³			1,588						1,320
Accumulated other comprehensive loss — ending balance			$	(729)					$	(524)

1.All amounts are net of tax.

2.Realized gains and losses were recorded pre-tax within “Investment and other income, net” in the Consolidated Statements of Comprehensive Income. For the nine months ended September 30, 2025 and 2024, the Company recorded realized gains of less than $0.1 million and realized losses of $0.3 million, respectively from the sale of available-for-sale securities. Refer to Note 10—Fair Value Measurements herein for further information.

3.For the nine months ended September 30, 2025 and 2024, the changes in accumulated other comprehensive loss were net of a tax expense of $0.2 million and a tax benefit of $0.1 million, respectively.

The following table provides a rollforward of amounts reclassified from accumulated other comprehensive loss to realized gains (losses) for the three and nine months ended September 30, 2025 and 2024:

			Amounts Reclassified from Accumulated Other Comprehensive Loss
			2025						2024
			(in thousands)
Three Months Ended September 30,
Gains (losses) from the sale of available-for-sale securities			$	14					$	(6)
Tax (expense) benefit			(3)						2
Net gains (losses) reclassified from accumulated other comprehensive loss			$	11					$	(4)
Nine Months Ended September 30,
Gains (losses) from the sale of available-for-sale securities			$	13					$	(343)
Tax (expense) benefit			(3)						72
Net gains (losses) reclassified from accumulated other comprehensive loss			$	10					$	(271)

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Note 7—Property and Equipment

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

The following table sets forth the amounts of property and equipment by each class of depreciable asset as of September 30, 2025 and December 31, 2024:

			September 30, 2025						December 31, 2024
			(in thousands)
Housekeeping and dietary equipment			$	18,530					$	17,052
Computer hardware and software			9,212						8,196
Operating lease — right-of-use assets			29,560						29,669
Other1			1,145						904
Total property and equipment, at cost			58,447						55,821
Less accumulated depreciation2			31,520						27,623
Total property and equipment, net			$	26,927					$	28,198

1.Includes furniture and fixtures, leasehold improvements and vehicles.

2.Includes $16.3 million and $13.2 million related to accumulated depreciation on Operating lease – right-of-use assets as of September 30, 2025 and December 31, 2024, respectively.

Depreciation expense for the three and nine months ended September 30, 2025 was $3.4 million and $9.8 million, respectively. Depreciation expense for the three and nine months ended September 30, 2024 was $3.1 million and $9.0 million, respectively. Of the depreciation expense recorded for the three and nine months ended September 30, 2025, $2.1 million and $6.3 million, respectively, was related to the depreciation of the Company’s operating lease - right-of-use assets (“ROU Assets”). Of the depreciation expense recorded for the three and nine months ended September 30, 2024, $2.0 million and $5.8 million, respectively, was related to the depreciation of the Company’s ROU Assets.

At September 30, 2025 and 2024, accrued purchases of property and equipment were $0.4 million in each period.

Note 8—Leases

The Company recognizes ROU Assets and lease liabilities for automobiles, office buildings, IT equipment and small storage units for the temporary storage of operational equipment. The Company’s leases have remaining lease terms ranging from less than 1 year to 5 years. The Company recognizes extension options as part of the initial lease term for ROU Assets and lease liabilities when it is reasonably certain that the Company will exercise the extension option upon the completion of the initial lease term. Most leases include the option to terminate the lease within 1 year.

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

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

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Components of lease expense required by ASC 842 are presented below for the three and nine months ended September 30, 2025 and 2024.

						Three Months Ended September 30,
						2025						2024
						(in thousands)
Lease cost
Operating lease cost						$	2,103					$	1,982
Short-term lease cost						193						174
Variable lease cost						454						375
Total lease cost						$	2,750					$	2,531

						Nine Months Ended September 30,
						2025						2024
						(in thousands)
Lease cost
Operating lease cost						$	6,314					$	5,764
Short-term lease cost						663						668
Variable lease cost						1,415						1,216
Total lease cost						$	8,392					$	7,648

Supplemental information required by ASC 842 is presented below for the nine months ended September 30, 2025 and 2024.

						Nine Months Ended September 30,
						2025						2024
						(dollar amounts in thousands)
Other information
Cash paid for amounts included in the measurement of lease liabilities
Operating cash flows from operating leases						$	6,552					$	6,024
Weighted-average remaining lease term — operating leases						2.3 years						2.7 years
Weighted-average discount rate — operating leases						6.8		%				5.9		%

During the three and nine months ended September 30, 2025, the Company’s ROU Assets and lease liabilities were reduced by $0.3 million and $1.9 million, respectively, due to lease cancellations. During the three and nine months ended September 30, 2024, the Company's ROU Assets and lease liabilities were reduced by $0.1 million and $0.6 million, respectively, due to lease cancellations.

The following is a schedule by calendar year of future minimum lease payments under operating leases that have remaining terms as of September 30, 2025:

Period/Year						Operating Leases
						(in thousands)
October to December 31, 2025						$	2,146
2026						6,853
2027						3,999
2028						1,872
2029						154
2030 and thereafter						27
Total minimum lease payments						$	15,051
Less: imputed interest						1,192
Present value of lease liabilities						$	13,859

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Note 9—Goodwill and Other Intangible Assets

Goodwill

Goodwill represents the excess of the purchase price over the fair value of net assets of acquired businesses. Goodwill is not amortized but is evaluated for impairment on an annual basis or more frequently if impairment indicators arise. To date, the Company has not recognized an impairment of its goodwill.

The following table sets forth the amounts of goodwill by reportable segment as of September 30, 2025 and December 31, 2024:

			December 31, 2024						Acquisition						September 30, 2025
									(in thousands)
Housekeeping			$	42,377					$	4,530					$	46,907
Dietary			33,152						—						33,152
Total Goodwill			$	75,529					$	4,530					$	80,059

Intangible Assets

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

The following table sets forth the estimated amortization expense for intangibles subject to amortization for the remainder of 2025, the following five fiscal years and thereafter:

Period/Year						Total Amortization Expense
						(in thousands)
October to December 31, 2025						$	650
2026						$	2,593
2027						$	1,127
2028						$	545
2029						$	545
2030						$	545
Thereafter						$	1,609

Amortization expense for each of the three months ended September 30, 2025 and 2024 was $0.7 million. Amortization expense for the nine months ended September 30, 2025 and 2024 was $3.1 million and $2.0 million, respectively.

Note 10—Fair Value Measurements

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

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The Company’s marketable securities and restricted marketable securities are held by the Company’s captive insurance company to satisfy capital requirements of the state regulator of our captive insurance company. Restricted marketable securities are held by the Company’s captive insurance company as collateral for certain insurance coverages. Such securities are primarily comprised of municipal bonds, treasury notes, corporate bonds and other government bonds which are classified as available-for-sale and are reported at fair value. Unrealized gains and losses associated with these investments are included in “Unrealized gain on available-for-sale marketable securities, net of taxes” within the Consolidated Statements of Comprehensive Income. Marketable securities and restricted marketable securities are classified within Level 2 of the fair value hierarchy, as these securities are measured using quoted prices for identical or similar instruments in markets that are not active, and model-based valuation techniques for which all significant assumptions are observable. Such valuations are determined by a third-party pricing service. For the three and nine months ended September 30, 2025, the Company recorded unrealized gains, net of taxes of $0.7 million and $1.6 million on marketable securities and restricted marketable securities, respectively. For the three and nine months ended September 30, 2024, the Company recorded unrealized gains, net of taxes of $2.1 million and $1.3 million on marketable securities, respectively.

For the three months ended September 30, 2025 and 2024, the Company received total proceeds of $7.9 million and $15.1 million, respectively, from sales of available-for-sale marketable securities. These sales resulted in realized gains of less than $0.1 million during the three months ended September 30, 2025 and losses of less than $0.1 million for the three months ended September 30, 2024, respectively. For the nine months ended September 30, 2025 and 2024, the Company received total proceeds of $8.1 million and $43.2 million, respectively, from sales of available-for-sale marketable securities. These sales resulted in realized gains of less than $0.1 million and $0.3 million for the nine months ended September 30, 2025 and 2024, respectively. Such gains and losses were recorded in “Investment and other income, net” in the Consolidated Statements of Comprehensive Income. The basis for the sale of these securities was the specific identification of each security sold during the period.

As part of a prior period acquisition of a prepackaged meal manufacturer, the Company agreed to pay royalties to the seller on all future product sales. The fair value of this liability is measured using forecasted sales models (Level 3). For the three months ended September 30, 2024, the Company recorded realized gains of $0.3 million within “Costs of services provided” in the Consolidated Statements of Comprehensive Income related to the measurement of the liability at each reporting date. For the nine months ended September 30, 2025 and 2024, the Company recorded realized gains of $0.4 million and $0.6 million, respectively, within “Costs of services provided” in the Consolidated Statements of Comprehensive Income related to the measurement of the liability at each reporting date.

As part of an acquisition in 2025, the Company agreed to pay consideration to the seller based on post-acquisition revenues. The Company recorded a liability for the expected future consideration within Other long-term liabilities on the Consolidated Balance Sheets. The fair value of this liability is measured using forecasted sales models (Level 3). The Company records gains and losses from this liability within “Selling, general and administrative expense” in the Consolidated Statements of Comprehensive Income related to the measurement of the liability at each reporting date.

The investments under the deferred compensation plan are accounted for as trading securities and unrealized gains or losses are recorded within “Investment and other income, net” in the Consolidated Statements of Comprehensive Income. The fair values of these investments are determined based on quoted market prices (Level 1) or the net asset value (“NAV”) of underlying share investments (Level 2). For the three months ended September 30, 2025 and 2024, the Company recorded unrealized gains of $3.7 million and $2.4 million, respectively, related to trading securities still held at the respective reporting dates. For the nine months ended September 30, 2025 and 2024, the Company recorded unrealized gains of $6.9 million and $7.8 million, respectively, related to trading securities still held at the respective reporting dates.

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The following table summarizes the contractual maturities of debt securities held as of September 30, 2025 and December 31, 2024, which are classified within “Marketable securities, at fair value” and “Restricted marketable securities, at fair value” in the Consolidated Balance Sheets:

						Debt Securities — Available-for-Sale
Contractual maturity:						September 30, 2025						December 31, 2024
						(in thousands)
Marketable securities, at fair value
Maturing in one year or less						$	3,788					$	653
Maturing in second year through fifth year						15,880						23,341
Maturing in sixth year through tenth year						24,755						13,113
Maturing after ten years						8,650						13,428
Total marketable securities, at fair value						$	53,073					$	50,535
Restricted marketable securities, at fair value
Maturing in one year or less						$	4,171					$	2,474
Maturing in second year through fifth year						15,510						15,774
Maturing in sixth year through tenth year						9,285						5,837
Maturing after ten years						1,047						1,020
Total restricted marketable securities, at fair value						$	30,013					$	25,105
Total debt securities — available-for-sale						$	83,086					$	75,640

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The following table shows the amortized cost, unrealized gains and losses, and estimated fair value of the Company’s debt securities as of September 30, 2025 and December 31, 2024:

			Amortized Cost						Gross Unrealized Gains						Gross Unrealized Losses						Estimated Fair Value						Credit Impairment Losses1
September 30, 2025			(in thousands)
Type of security:
Marketable securities
Municipal bonds — taxable			$	11,751					$	18					$	(337)					$	11,432					$	—
Municipal bonds — non-taxable			42,846						118						(1,323)						41,641						—
Total marketable securities			$	54,597					$	136					$	(1,660)					$	53,073					$	—
Restricted marketable securities
U.S. treasury bonds			$	9,699					$	153					$	(9)					$	9,843					$	—
U.S. government agency bonds			1,223						7						—						1,230						—
International fixed income bonds			729						4						—						733						—
Corporate bonds			8,581						182						—						8,763						—
Municipal bonds — taxable			9,178						267						(1)						9,444						—
Total restricted marketable securities			$	29,410					$	613					$	(10)					$	30,013					$	—
Total debt securities — available-for-sale			$	84,007					$	749					$	(1,670)					$	83,086					$	—
December 31, 2024
Type of security:
Marketable securities
Municipal bonds — taxable			$	10,276					$	—					$	(676)					$	9,600					$	—
Municipal bonds — non-taxable			43,255						—						(2,320)						40,935						—
Total marketable securities			$	53,531					$	—					$	(2,996)					$	50,535					$	—
Restricted marketable securities
U.S. treasury bonds			$	7,276					$	38					$	(5)					$	7,309					$	—
U.S. government agency bonds			1,208						10						—						1,218						—
International fixed income bonds			647						5						—						652						—
Corporate bonds			6,780						30						(14)						6,796						—
Municipal bonds — taxable			9,131						40						(41)						9,130						—
Total restricted marketable securities			$	25,042					$	123					$	(60)					$	25,105					$	—
Total debt securities — available-for-sale			$	78,573					$	123					$	(3,056)					$	75,640					$	—

1.The Company performs a credit impairment loss assessment quarterly on an individual security basis. As of September 30, 2025 and December 31, 2024, no allowance for credit loss has been recognized as the issuers of these securities have not established a cause for default and various rating agencies have reaffirmed each security’s investment grade status. The fair value of these securities have fluctuated since the purchase date as market interest rates fluctuate. The Company does not intend to sell these securities and it is more likely than not that the Company will not be required to sell before the recovery of the securities’ amortized cost basis.

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The following tables provide fair value measurement information for the Company’s financial assets, including marketable securities, restricted marketable securities and deferred compensation plan investments as of September 30, 2025 and December 31, 2024:

			As of September 30, 2025
															Fair Value Measurement Using:
(amounts in thousands)			Carrying Amount						Total Fair Value						Quoted Prices in Active Markets (Level 1)						Significant Other Observable Inputs (Level 2)						Significant Unobservable Inputs (Level 3)
Marketable securities
Municipal bonds — taxable			$	11,432					$	11,432					$	—					$	11,432					$	—
Municipal bonds — non-taxable			41,641						41,641						—						41,641						—
Total marketable securities			$	53,073					$	53,073					$	—					$	53,073					$	—
Restricted marketable securities
U.S. treasury bonds			$	9,843					$	9,843					$	—					$	9,843					$	—
U.S. government agency bonds			1,231						1,231						—						1,231						—
International fixed income bonds			732						732						—						732						—
Corporate bonds			8,763						8,763						—						8,763						—
Municipal bonds — taxable			9,444						9,444						—						9,444						—
Total restricted marketable securities			$	30,013					$	30,013					$	—					$	30,013					$	—
Deferred compensation plan
Money market1			$	1,794					$	1,794					$	—					$	1,794					$	—
Commodities			349						349						349						—						—
Fixed income			5,084						5,084						5,084						—						—
International			6,074						6,074						6,074						—						—
Large cap blend			8,239						8,239						8,239						—						—
Large cap growth			20,985						20,985						20,985						—						—
Large cap value			7,281						7,281						7,281						—						—
Mid cap blend			4,097						4,097						4,097						—						—
Real estate			387						387						387						—						—
Small cap blend			3,306						3,306						3,306						—						—
Total deferred compensation plan2			$	57,596					$	57,596					$	55,802					$	1,794					$	—

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			As of December 31, 2024
															Fair Value Measurement Using:
(amounts in thousands)			Carrying Amount						Total Fair Value						Quoted Prices in Active Markets (Level 1)						Significant Other Observable Inputs (Level 2)						Significant Unobservable Inputs (Level 3)
Marketable securities
Municipal bonds — taxable			$	9,600					$	9,600					$	—					$	9,600					$	—
Municipal bonds — non-taxable			40,935						40,935						—						40,935						—
Total marketable securities			$	50,535					$	50,535					$	—					$	50,535					$	—
Restricted marketable securities
U.S. treasury bonds			$	7,309					$	7,309					$	—					$	7,309					$	—
U.S. government agency bonds			1,218						1,218						—						1,218						—
International fixed income bonds			652						652						—						652						—
Corporate bonds			6,796						6,796						—						6,796						—
Municipal bonds — taxable			9,130						9,130						—						9,130						—
Total restricted marketable securities			$	25,105					$	25,105					$	—					$	25,105					$	—
Deferred compensation plan
Money market1			$	1,961					$	1,961					$	—					$	1,961					$	—
Commodities			295						295						295						—						—
Fixed income			4,417						4,417						4,417						—						—
International			4,999						4,999						4,999						—						—
Large cap blend			6,669						6,669						6,669						—						—
Large cap growth			18,524						18,524						18,524						—						—
Large cap value			6,964						6,964						6,964						—						—
Mid cap blend			3,957						3,957						3,957						—						—
Real estate			372						372						372						—						—
Small cap blend			2,980						2,980						2,980						—						—
Deferred compensation plan2			$	51,138					$	51,138					$	49,177					$	1,961					$	—

1.The fair value of the money market is based on the NAV of the shares held by the plan at the end of the period. The money market fund includes short-term United States dollar denominated money market instruments and the NAV is determined by the custodian of the fund. The money market fund can be redeemed at its NAV at the measurement date as there are no significant restrictions on the ability to sell this investment.

2.The deferred compensation plan carrying amounts and total fair value amounts as of September 30, 2025 and December 31, 2024 are inclusive of $2.2 million and $1.5 million of holdings expected to be paid to former employees within the next twelve months which were recorded under “Prepaid expenses and other current assets” in the Company’s Consolidated Balance Sheets.

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Note 11—Share-Based Compensation

The components of the Company’s share-based compensation expense for the nine months ended September 30, 2025 and 2024 are as follows:

			Nine Months Ended September 30,
			2025						2024
			(in thousands)
Stock options			$	2,304					$	531
Restricted stock units and deferred stock units			5,381						5,190
Performance stock units			1,078						1,003
Employee Stock Purchase Plan			118						104
Total share-based compensation expense			$	8,881					$	6,828

At September 30, 2025, the unrecognized compensation cost related to unvested stock options and awards was $22.1 million. The weighted average period over which these awards will vest was approximately 2.9 years.

The following table summarizes the components of share-based compensation expense included within the Consolidated Statements of Comprehensive Income for the nine months ended September 30, 2025 and 2024:

			Nine Months Ended September 30,
			2025						2024
			(in thousands)
Selling, general and administrative expense			$	8,850					$	6,795
Costs of services provided			31						33
Total share-based compensation expense			$	8,881					$	6,828

Amended 2020 Omnibus Incentive Plan

On May 26, 2020, the Company adopted the 2020 Omnibus Incentive Plan after approval by the Company’s Shareholders at the 2020 Annual Meeting of Shareholders. On May 30, 2023, the Company increased the authorized shares under the 2020 Omnibus Incentive Plan (as amended, the “Amended 2020 Plan”) by 2.5 million shares after approval by the Company’s Shareholders at the 2023 Annual Meeting of Shareholders. The Amended 2020 Plan provides that current or prospective officers, employees, non-employee directors and advisors can receive share-based awards such as stock options, PSUs, RSUs and other stock awards. The Amended 2020 Plan seeks to encourage profitability and growth of the Company through short-term and long-term incentives that are consistent with the Company’s operating objectives.

As of September 30, 2025, there were 6.2 million shares of common stock reserved for issuance under the Amended 2020 Plan, of which 1.6 million are available for future grant. The amount of shares available for issuance under the Amended 2020 Plan will increase when outstanding awards under the Company’s Second Amended and Restated 2012 Equity Incentive Plan (the “2012 Plan”) are subsequently forfeited, terminated, lapsed or satisfied thereunder in cash or property other than shares. No stock award will have a term in excess of 10 years. The Nominating, Compensation and Stock Option Committee (the “NCSO”) of the Board of Directors is responsible for determining the terms of the grants in accordance with the Amended 2020 Plan.

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Stock Options

A summary of stock options outstanding under the Amended 2020 Plan and the 2012 Plan as of December 31, 2024 and changes during the nine months ended September 30, 2025 are as follows:

			Stock Options Outstanding
			Number of Shares						Weighted Average Exercise Price
			(in thousands)
December 31, 2024			2,528						$	28.23
Granted			269						$	11.76
Exercised			—						$	—
Forfeited			—						$	—
Expired			(281)						$	31.30
September 30, 2025			2,516						$	26.13

The weighted average grant-date fair value of stock options granted during the nine months ended September 30, 2025 and 2024 were $6.08 and $5.06 per common share, respectively. No stock options were exercised during the nine months ended September 30, 2025 and 2024.

The fair value of stock option awards granted during the nine months ended September 30, 2025 and 2024 was estimated on the dates of grant using the Black-Scholes option valuation model with the following assumptions:

			Nine Months Ended September 30,
			2025						2024
Risk-free interest rate			4.5		%				3.9		%
Weighted average expected life			7.2 years						7.0 years
Expected volatility			42.1		%				40.5		%
Dividend yield			—		%				—		%

The following table summarizes other information about the stock options at September 30, 2025:

			September 30, 2025
			(amounts in thousands, except per share data)
Outstanding:
Aggregate intrinsic value			$	3,885
Weighted average remaining contractual life			4.8 years
Exercisable:
Number of options			1,709
Weighted average exercise price			$	32.04
Aggregate intrinsic value			$	633
Weighted average remaining contractual life			3.3 years

Restricted Stock Units and Deferred Stock Units

The fair value of outstanding RSUs and DSUs was determined based on the market price of the shares on the date of grant. During the nine months ended September 30, 2025, the Company granted 0.7 million RSUs and DSUs with a weighted average grant-date fair value of $11.90 per unit. During the nine months ended September 30, 2024, the Company granted 0.8 million RSUs and DSUs to its employees with a weighted average grant-date fair value of $10.38 per unit.

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A summary of the outstanding RSUs and DSUs as of December 31, 2024 and changes during the nine months ended September 30, 2025 is as follows:

			Restricted Stock Units & Deferred Stock Units
			Number						Weighted Average Grant Date Fair Value
			(in thousands)
December 31, 2024			1,516						$	13.98
Granted			742						$	11.90
Vested			(408)						$	16.17
Forfeited			(28)						$	12.36
September 30, 2025			1,822						$	12.67

The Company grants DSUs to non-employee directors. Once vested, the recipient shall be entitled to receive a lump sum payment of a number of shares equal to the total number of DSUs issued to such recipient upon the first to occur of (i) the five year anniversary of the date of grant, (ii) the recipient’s death, disability or separation of service from the Board, or (iii) a change of control (as defined by the Amended 2020 Plan). Non-employee directors can also elect to receive their Board of Directors retainer in the form of DSUs in lieu of cash. DSUs issued in lieu of cash for retainers vest immediately. The number of DSUs granted to these directors is determined based on the stock price on the award date and approximates the cash value the directors would otherwise receive for their retainer. Two non-employee directors made an election in 2024 to receive DSUs in lieu of cash for their 2025 Board of Directors retainer.

On May 27, 2025, the NCSO granted an aggregate of 25,000 DSUs to the Company’s non-employee directors. Each DSU award grant vests in one year. The unrecognized share-based compensation cost of outstanding DSU awards at September 30, 2025 is $0.2 million and is expected to be recognized over a weighted-average period of 0.6 years.

Performance Stock Units

On January 3, 2025, the NCSO granted 0.1 million PSUs to the Company’s executive officers. Such PSUs are contingent upon the achievement of certain total shareholder return (“TSR”) targets as compared to the TSR of the Russell 2000 Index and the participant’s continued employment with the Company for the three year period ending December 31, 2027, the date at which such awards vest. The unrecognized share-based compensation cost of the TSR-based PSU awards at September 30, 2025 is $1.9 million and is expected to be recognized over a weighted-average period of 1.5 years.

A summary of the outstanding PSUs as of December 31, 2024 and changes during the nine months ended September 30, 2025 is as follows:

			Performance Stock Units
			Number						Weighted Average Grant Date Fair Value
			(in thousands)
December 31, 2024			258						$	15.31
Granted			106						$	14.75
Vested			(31)						$	21.00
Forfeited			(29)						$	21.00
September 30, 2025			304						$	14.00

Employee Stock Purchase Plan

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

Under the ESPP, the Company is authorized to issue up to 4.1 million shares of its common stock to its employees. Pursuant to such authorization, there are 1.7 million shares available for future grant at September 30, 2025.

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The expense associated with the options granted under the ESPP during the nine months ended September 30, 2025 and 2024 was estimated on the date of grant using the Black-Scholes option valuation model with the following assumptions:

			Nine Months Ended September 30,
			2025						2024
Risk-free interest rate			4.2%						4.8%
Weighted average expected life (years)			1.0						1.0
Expected volatility			39.3%						37.1%
Dividend yield			—%						—%

Deferred Compensation Plan

The Company offers a Supplemental Executive Retirement Plan (“SERP”) for executives and certain key employees. The SERP allows participants to defer up to 25% of their earned income on a pre-tax basis and as of the last day of each plan year, each participant will be credited with a 25% match up to 15% of their earnings deferred in the form of the Company’s common stock based on the then-current market value.

Under the SERP, the Company is authorized to issue 1.0 million shares of its common stock to its employees. Pursuant to such authorization, the Company has 0.2 million shares available for future grant at September 30, 2025. At the time of issuance, such shares are accounted for at cost as treasury stock.

The following table summarizes information about the SERP during the nine months ended September 30, 2025 and 2024:

			Nine Months Ended September 30,
			2025						2024
			(in thousands)
SERP expense1			$	523					$	496
Unrealized gain recorded in SERP liability account			$	6,899					$	7,769

1.Both the SERP match and the deferrals are included in the “Selling, general and administrative expense” caption in the Consolidated Statements of Comprehensive Income.

Note 12—Income Taxes

The Company’s annual effective tax rate is impacted by the tax effects of option exercises and the vesting of awards, which are treated as discrete items in the reporting period in which they occur and therefore cannot be considered in the calculation of the estimated annual effective tax rate. Discrete items increased the Company’s income tax provision recognized through the nine months ended September 30, 2025 and 2024 by $11.6 million and $1.5 million, respectively. The increase in the impact of discrete items on the income tax provision was driven by the recognition of income from the ERC refunds.

Differences between the effective tax rate and the applicable U.S. federal statutory rate arise primarily from the effect of state and local income taxes, share-based compensation and tax credits available to the Company. The actual 2025 effective tax rate will likely vary from the estimate depending on the actual operating income earned with availability of tax credits, the exercising of stock options and vesting of share-based awards.

The Company regularly evaluates the tax positions taken or expected to be taken resulting from financial statement recognition of certain items. Based on the evaluation, there are no significant uncertain tax positions requiring recognition in the Company’s financial statements. The evaluation was performed for the tax years ended December 31, 2020 through 2024 (with regard to U.S. federal income tax returns) and December 31, 2019 through 2024 (with regard to various state and local income tax returns), the tax years which remain subject to examination by major tax jurisdictions as of September 30, 2025.

The Company may from time to time be assessed interest or penalties by taxing jurisdictions, although any such assessments historically have been minimal. The Company records assessed interest and penalties, including any interest or penalties relating to recognized uncertain tax positions, in the “Selling, general and administrative expense” caption within the Consolidated Statements of Comprehensive Income.

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Note 13—Segment Information

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

In 2024, the Company adopted ASU 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures (“ASU 2023-07”). ASU 2023-07 created certain additional disclosure requirements, including, among other requirements, a disclosure of the Company’s Significant Segment Expenses (“SSEs”) regularly provided to the Company’s Chief Operating Decision Maker (“CODM”) included within each reported measure of segment profit or loss, a required disclosure for other segment items and a narrative description of such items, a disclosure of the title and the position of the CODM and a narrative disclosure describing how the CODM uses the reported segment profit or loss measures to assess segment performance and allocate resources.

The CODM for both segments for each of the nine months ended September 30, 2025 and 2024 was Theodore Wahl, the Company’s President and Chief Executive Officer. As part of the adoption of ASU 2023-07, management reviewed the information provided to the CODM and updated the presentation of such information, including SSEs, to better align with the requirements of ASU 2023-07. Certain prior period segment information has been recast in order to conform with current-period presentation requirements, including the allocation methodology of bad debt expense, labor and labor-related costs and certain other segment items to segments. Additionally, the Company’s CODM does not review assets by segment to assess segment performance or allocate resources, nor is such information provided to the CODM. Accordingly, the Company does not present assets by segment.

The Company’s SSEs for each segment include direct labor costs and segment-based management expenses (collectively, “labor and labor-related”), food, chemicals and supplies, bad debt expense, and depreciation & amortization, as these are specific costs regularly provided to the CODM and used to evaluate segment performance. Other segment items include expenses recorded within costs of services provided which are not regularly provided to the CODM. The CODM evaluates segment profit each period against historical results, factoring in macroeconomic factors such as the cost of labor and supplies, to assess segment performance.

The Company’s accounting policies for the segments are generally the same as described in the Company’s significant accounting policies. The Company does not allocate Corporate expenses, gains (losses) on deferred compensation plan investments, other (income) expense, net, interest expense and income tax provision to segments; such amounts are added to combined segment profit and reconciled to the Company’s consolidated income before income taxes. All revenues and net income are earned in the United States.

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The following tables provide profit information disaggregated by the Company’s reportable segments for each of the three and nine months ended September 30, 2025 and 2024:

						Three Months Ended September 30, 2025
						Housekeeping						Dietary						Total
						(in thousands, except for percentages)
Revenues						$	211,788					$	252,550					$	464,338
Significant Segment Expenses
Labor and labor-related1						166,198						150,490						316,688
Food, chemicals and supplies						15,803						79,028						94,831
Bad debt expense						1,954						3,677						5,631
Depreciation and amortization expense						1,142						703						1,845
Other segment items2						3,932						5,733						9,665
Segment profit						$	22,759					$	12,919					$	35,678
Segment margin						10.7		%				5.1		%
Unallocated expenses (income)
ERC refunds3																		$	(34,239)
Corporate expenses4																		20,336
Gain on deferred compensation plan investments																		3,717
Other (income), net																		(11,837)
Interest expense																		393
Income before income taxes																		$	57,308

1.Includes direct labor costs, field management costs (including certain costs included in selling, general and administrative expense), employer taxes, workers' compensation and general liability insurance.

2.Includes expenses for technology, employment advertising, travel & entertainment, professional services and various other less significant expense items.

3.ERC refunds were excluded from segment results for each segment as the credits were related to services provided in previous years and not indicative of current period segment performance, as reviewed by the CODM.

4.Represents selling, general and administrative expense less the amounts allocated to segments for labor and benefits.

						Three Months Ended September 30, 2024
						Housekeeping						Dietary						Total
						(in thousands, except for percentages)
Revenues						$	191,101					$	237,048					$	428,149
Significant Segment Expenses
Labor and labor-related1						152,969						135,463						288,432
Food, chemicals and supplies						14,516						77,695						92,211
Bad debt expense						41						165						206
Depreciation and amortization expense						937						646						1,583
Other segment items2						3,517						5,380						8,897
Segment profit						$	19,121					$	17,699					$	36,820
Segment margin						10.0		%				7.5		%
Unallocated expenses (income)
Corporate expenses3																		$	17,870
Gain on deferred compensation plan investments																		2,419
Other (income), net																		(3,825)
Interest expense																		1,548
Income before income taxes																		$	18,808

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1.Includes direct labor costs, field management costs (including certain costs included in selling, general and administrative expense), employer taxes, workers' compensation and general liability insurance.

2.Includes expenses for technology, employment advertising, travel & entertainment, professional services and various other less significant expense items.

3.Represents selling, general and administrative expense less the amounts allocated to segments for labor and benefits.

						Nine Months Ended September 30, 2025
						Housekeeping						Dietary						Total
						(in thousands, except for percentages)
Revenues						$	613,869					$	756,622					$	1,370,491
Significant Segment Expenses
Labor and labor-related1						482,698						446,015						928,713
Food, chemicals and supplies						43,580						232,323						275,903
Bad debt expense						27,227						51,785						79,012
Depreciation and amortization expense						3,362						3,011						6,373
Other segment items2						11,393						16,946						28,339
Segment profit						$	45,609					$	6,542					$	52,151
Segment margin						7.4		%				0.9		%
Unallocated expenses (income)
ERC refunds3																		$	(34,239)
Corporate expenses4																		56,827
Gain on deferred compensation plan investments																		6,899
Other (income), net																		(17,856)
Interest expense																		1,206
Income before income taxes																		$	39,314

1.Includes direct labor costs, field management costs (including certain costs included in selling, general and administrative expense), employer taxes, workers' compensation and general liability insurance.

2.Includes expenses for technology, employment advertising, travel & entertainment, professional services and various other less significant expense items.

3.ERC refunds were excluded from segment results for each segment as the credits were related to services provided in previous years and not indicative of current period segment performance, as reviewed by the CODM.

4.Represents selling, general and administrative expense less the amounts allocated to segments for labor and benefits.

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						Nine Months Ended September 30, 2024
						Housekeeping						Dietary						Total
						(in thousands, except for percentages)
Revenues						$	572,666					$	705,204					$	1,277,870
Significant Segment Expenses
Labor and labor-related1						451,102						398,957						850,059
Food, chemicals and supplies						42,590						228,348						270,938
Bad debt expense						10,746						26,102						36,848
Depreciation and amortization expense						2,747						2,082						4,829
Other segment items2						10,359						15,615						25,974
Segment profit						$	55,122					$	34,100					$	89,222
Segment margin						9.6		%				4.8		%
Unallocated expenses (income)
Corporate expenses3																		$	50,202
Gain on deferred compensation plan investments																		7,769
Other (income), net																		(12,145)
Interest expense																		5,260
Income before income taxes																		$	38,136

1.Includes direct labor costs, field management costs (including certain costs included in selling, general and administrative expense), employer taxes, workers' compensation and general liability insurance.

2.Includes expenses for technology, employment advertising, travel & entertainment, professional services and various other less significant expense items.

3.Represents selling, general and administrative expense less the amounts allocated to segments for labor and benefits.

The following table provides capital expenditures disaggregated by the Company’s reportable segments for each of the nine months ended September 30, 2025 and 2024.

						Nine Months Ended September 30,
						2025						2024
						(in thousands)
Capital expenditures
Housekeeping						$	3,678					$	3,927
Dietary						643						721
Corporate						117						261
Consolidated						$	4,438					$	4,909

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Note 14—Earnings Per Common Share

Basic and diluted earnings per common share are computed by dividing net income by the weighted-average number of basic and diluted common shares outstanding, respectively. The weighted-average number of diluted common shares includes the impact of dilutive securities, including outstanding stock options, RSUs, PSUs and DSUs. The table below reconciles the weighted-average basic and diluted common shares outstanding:

			Three Months Ended September 30,												Nine Months Ended September 30,
			2025						2024						2025						2024
			(in thousands, except for per share amounts)
Numerator for basic and diluted earnings per share:
Net income			$	42,953					$	14,030					$	27,815					$	27,551
Denominator
Weighted average number of common shares outstanding - basic			72,237						73,687						73,019						73,822
Effect of dilutive securities1			729						239						486						185
Weighted average number of common shares outstanding - diluted			72,966						73,926						73,505						74,007
Basic earnings per share:			$	0.59					$	0.19					$	0.38					$	0.37
Diluted earnings per share:			$	0.59					$	0.19					$	0.38					$	0.37

1.Certain outstanding equity awards are anti-dilutive and therefore were excluded from the calculation of the weighted average number of diluted common shares outstanding.

Anti-dilutive outstanding equity awards under share-based compensation plans were as follows:

			Three Months Ended September 30,												Nine Months Ended September 30,
			2025						2024						2025						2024
			(in thousands)
Anti-dilutive equity awards			2,230						2,935						2,817						2,874

Note 15—Prepaid Expenses and Other Current Assets

The Company’s prepaid expenses and other current assets included the following amounts as of September 30, 2025 and December 31, 2024:

			September 30, 2025						December 31, 2024
			(in thousands)
Prepaid insurance and deposits			$	7,884					$	5,820
Other current assets			12,921						9,892
Other prepaid expenses			5,631						6,084
Total prepaid expenses and other current assets			$	26,436					$	21,796

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Note 16—Other Accrued Expenses and Current Liabilities

The Company’s other accrued expenses and current liabilities included the following amounts as of September 30, 2025 and December 31, 2024:

			September 30, 2025						December 31, 2024
			(in thousands)
Deferred ERC credits			$	12,277					$	—
Lease liability — short-term			7,642						8,422
Deferred revenue			5,153						4,474
Other accrued expenses			11,333						8,896
Other current liabilities			1,129						2,991
Total other accrued expenses and current liabilities			$	37,534					$	24,783

Note 17—Commitments and Contingencies

Line of Credit

At September 30, 2025, the Company had a $300.0 million bank line of credit on which to draw for general corporate purposes. Amounts drawn under the line of credit generally bear interest at a floating rate, based on the Company’s leverage ratio, and starting at the Term Secured Overnight Financing Rate (“SOFR”) plus 165 basis points. As of September 30, 2025 and December 31, 2024, the Company did not have any borrowings under the line of credit. The line of credit requires the Company to satisfy two financial covenants, with which the Company is in compliance as of September 30, 2025. The line of credit expires on November 22, 2027. The Company’s line of credit provides for a five year unsecured revolving loan facility in the aggregate amount of $300.0 million and provides, at the Company’s discretion, the ability to increase the revolving loan commitments to an aggregate amount not to exceed $500.0 million.

At September 30, 2025, the Company had outstanding $48.0 million in irrevocable standby letters of credit, which relate to payment obligations under the Company’s insurance programs. In connection with the issuance of the letters of credit, the amount available under the line of credit was reduced by $48.0 million to $252.0 million at September 30, 2025. The letters of credit expire during the first quarter of 2026.

Tax Jurisdictions and Matters

The Company provides services throughout the continental United States and is subject to numerous state and local taxing jurisdictions. In the ordinary course of business, a jurisdiction may contest the Company’s reporting positions with respect to the application of its tax code to the Company’s services, which could result in additional tax liabilities.

The Company has tax matters with various taxing authorities. Because of the uncertainties related to both the probable outcomes and amount of probable assessments due, the Company is unable to make a reasonable estimate of a liability. The Company does not expect the resolution of any of these matters, taken individually or in the aggregate, to have a material adverse effect on the consolidated financial position or results of operations based on the Company’s best estimate of the outcomes of such matters.

Legal Proceedings

The Company is subject to various claims and legal actions in the ordinary course of business and records legal expenses as they are incurred. Some of these matters include payroll- and employee-related matters and examinations by governmental agencies. As the Company becomes aware of such claims and legal actions, the Company records accruals for any exposures that are probable and estimable. If adverse outcomes of such claims and legal actions are reasonably possible, Management assesses materiality and provides financial disclosure, as appropriate.

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

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Government Regulations

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

Note 18—Related Party Transactions

During the nine months ended September 30, 2025 and 2024, the Company invested $0.1 million and $2.8 million, respectively, in Align+Engage LLC, a health care technology company which specializes in the long-term and acute care markets which was accounted for as an equity method investment. The Company’s total investment represents a 25% ownership share. During the three and nine months ended September 30, 2025, the Company recorded expenses of $0.1 million and $0.7 million, respectively, in connection with services provided by Align+Engage LLC, including the use of an application by Company personnel.

Note 19—Subsequent Events

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

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

Results of Operations

The following discussion is intended to provide the reader with information that will be helpful in understanding our financial statements, including the changes in certain key items when comparing financial statements period to period. We also intend to provide the primary factors that accounted for those changes as well as a summary of how certain accounting principles affect our financial statements. In addition, we are providing information about the financial results of our two operating segments to further assist in understanding how these segments and their results affect our consolidated results of operations. This discussion should be read in conjunction with our financial statements as of September 30, 2025 and December 31, 2024 and the notes accompanying those financial statements.

Overview

We provide management, administrative and operating expertise and services to the housekeeping, laundry, linen, facility maintenance and dietary service departments of healthcare facilities, including nursing homes, retirement complexes, rehabilitation centers and hospitals located throughout the United States. We provide such services to approximately 2,800 facilities throughout the continental United States as of September 30, 2025. We believe we are the largest provider of housekeeping, laundry and dietary management services to the long-term care industry in the United States.

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

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

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

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

Housekeeping services were provided to approximately 2,300 customer facilities at September 30, 2025 and contributed approximately 44.8% or $613.9 million of our consolidated revenues for the nine months ended September 30, 2025. Dietary services were provided at approximately 1,600 customer facilities at September 30, 2025, generating approximately 55.2% or $756.6 million of our total revenues for the nine months ended September 30, 2025.

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In 2024, we adopted ASU 2023-07, which updates reportable segment disclosure requirements primarily through enhanced disclosures about significant segment expenses. As part of our adoption of ASU 2023-07 and the Chief Operating Decision Maker’s evaluation of segment performance for the nine months ended September 30, 2025 and 2024, we updated certain segment information for the three and nine months ended September 30, 2024 in order to conform with our current period segment presentation.

Three Months Ended September 30, 2025 and 2024

The following table summarizes the income statement key components that we use to evaluate our financial performance on a consolidated and reportable segment basis for the three months ended September 30, 2025 and 2024.

			Three Months Ended September 30,
			2025						20241						% Change
			(in thousands)
Revenues
Housekeeping			$	211,788					$	191,101					10.8		%
Dietary			252,550						237,048						6.5		%
Consolidated			$	464,338					$	428,149					8.5		%
Costs of services provided
Housekeeping			$	177,122					$	160,434					10.4		%
Dietary			225,050						204,296						10.2		%
ERC refunds2			(34,239)						—						NR5
Consolidated			$	367,933					$	364,730					0.9		%
Selling, general and administrative expense
Housekeeping			$	11,850					$	11,476					3.3		%
Dietary			14,607						15,125						(3.4)		%
Corporate3			20,367						17,868						14.0		%
Gain on deferred compensation plan investments			3,717						2,419						53.7		%
Consolidated			$	50,541					$	46,888					7.8		%
Other income (expense)4
Investment and other income, net			$	11,837					$	3,825					209.5		%
Interest expense			(393)						(1,548)						(74.6)		%
Income before taxes			$	57,308					$	18,808					204.7		%
Income tax expense4			14,355						4,778						200.4		%
Net income			$	42,953					$	14,030					206.2		%

1.Represents a recast of prior period numbers to conform with current period presentation.

2.Segment costs of services provided excludes the impact of Employee Retention Credits (“ERC”) received by the Company and recorded within income during the three months ended September 30, 2025 as the credits relate to payroll tax credits related to 2020 and 2021 payroll.

3.Represents selling, general and administrative expense less amounts allocated to segments for labor and labor-related and other segment items.

4.These line items represent corporate costs not allocated to segments.

5.Not relevant.

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Housekeeping and Dietary revenues represented approximately 45.6% and 54.4% of consolidated revenues for the three months ended September 30, 2025, respectively.

The following table sets forth the ratio of certain items to consolidated revenues:

			Three Months Ended September 30,
			2025						2024
Revenues			100.0		%				100.0		%
Operating costs and expenses:
Costs of services provided			79.2		%				85.2		%
Selling, general and administrative expense			10.9		%				11.0		%
Other income (expense):
Investment and other income, net			2.5		%				0.9		%
Interest expense			(0.1)		%				(0.4)		%
Income before income taxes			12.3		%				4.3		%
Income tax expense			3.1		%				1.1		%
Net income			9.2		%				3.2		%

Revenues

Consolidated

Consolidated revenues increased 8.5% to $464.3 million during the three months ended September 30, 2025 compared to $428.1 million for the corresponding period in 2024 as a result of the factors discussed below under Reportable Segments.

Reportable Segments

Housekeeping revenues increased 10.8% and Dietary revenues increased 6.5% during the three months ended September 30, 2025 compared to the corresponding period in 2024. The increase in Housekeeping revenues was driven by an increase in facility count and contractual price increases. The increase in Dietary revenues was driven by organic growth in expanding services performed for existing customers and increased pass-through costs to customers.

Costs of Services Provided

Consolidated

During the three months ended September 30, 2025, we recognized $34.2 million of income, recorded as a reduction to costs of services provided, related to the receipt of ERC refunds for periods from the second quarter of 2020 through the second quarter of 2021. Excluding the impact of the ERC refunds, consolidated costs of services provided increased by 0.9% to $367.9 million for the three months ended September 30, 2025 compared to $364.7 million for the corresponding period in 2024 as a result of the factors discussed below under Reportable Segments. Costs of services provided, as a percentage of revenues, was 79.2% for the three months ended September 30, 2025 compared to 85.2% for the same period in 2024. Our goal is to manage consolidated costs of services provided as a percentage of revenues in the 86% range for the full year, although there can be no assurance thereof.

Effective in the three months ended September 30, 2025, we perform quarterly independent actuarial evaluations to update loss estimates for our self-insurance reserves for workers' compensation and general liability. The update to our loss estimates did not have a material impact on our consolidated financial statements for the three months ended September 30, 2025.

Reportable Segments

We include certain expenses classified as selling, general and administrative expenses within segment expenses. Segment expenses for Housekeeping, as a percentage of Housekeeping revenues, decreased to 89.2% for the three months ended September 30, 2025 from 90.0% in the corresponding period in 2024. Segment expenses for Dietary, as a percentage of Dietary revenues, increased to 94.9% for the three months ended September 30, 2025 from 92.6% in the corresponding period in 2024, with the increases from the comparable period driven by the bad debt expense noted above.

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The following tables provide a comparison of the key indicators we consider when managing segment expenses as a percentage of the respective segment’s revenues:

						Three Months Ended September 30,
Key Indicators as a % of Segment Revenue - Housekeeping						2025						2024						Change
Labor and other labor-related costs1						78.5%						80.0%						(1.5)%
Supplies						7.5%						7.6%						(0.1)%
Bad debt expense						0.9%						0.0%						0.9%
Depreciation and amortization						0.5%						0.5%						—%
Other costs1						1.8%						1.9%						(0.1)%
Total segment expenses						89.2%						90.0%						(0.8)%

1.Inclusive of certain expenses reported within selling, general and administrative expense that are segment-specific.

						Three Months Ended September 30,
Key Indicators as a % of Segment Revenue - Dietary						2025						2024						Change
Labor and other labor-related costs1						59.6%						57.1%						2.5%
Supplies						31.3%						32.8%						(1.5)%
Bad debt expense						1.5%						0.1%						1.4%
Depreciation and amortization						0.3%						0.3%						—%
Other costs1						2.2%						2.3%						(0.1)%
Total segment expenses						94.9%						92.6%						2.3%

1.Inclusive of certain expenses reported within selling, general and administrative expense that are segment-specific.

Variations within these key indicators relate to the provision of services at new facilities, changes in the mix of customers for whom we provide supplies or do not provide supplies, changes in the services provided to certain customers, and changes in bad debt expense. Management focuses on building efficiencies and managing labor and other costs at the facility level, as well as managing supply chain costs, for new and existing facilities, and has also evaluated the impact of recent tariff and trade policy changes, which to date have not had a material impact on our operations or financial results as such costs are generally passed through to customers.

Consolidated Selling, General and Administrative Expense 

Selling, general and administrative expense incurred at a segment-level is discussed in the Reportable Segments section above. Also included in consolidated selling, general and administrative expense are corporate expenses and gains and losses associated with changes in the value of investments in the deferred compensation plan. These investments represent the amounts held on behalf of the participating employees as changes in the value of these investments affect the amount of our deferred compensation liability. Gains on the plan investments during the three months ended September 30, 2025 and 2024 increased our total selling, general and administrative expense.

Excluding the change in the deferred compensation plan described above, consolidated selling, general and administrative expense increased $2.4 million or 5.3% for the three months ended September 30, 2025 compared to the corresponding period in 2024, driven by a $2.1 million increase to selling, general and administrative expense for professional fees incurred related to the ERC refunds.

The table below summarizes the changes in these components of selling, general and administrative expense:

			Three Months Ended September 30,
			2025						2024						$ Change						% Change
			(dollar amounts in thousands)
Selling, general and administrative expense excluding change in deferred compensation liability			$	46,824					$	44,469					$	2,355					5.3		%
Gain on deferred compensation plan investments			3,717						2,419						1,298						53.7		%
Selling, general and administrative expense			$	50,541					$	46,888					$	3,653					7.8		%

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Consolidated Investment and Other Income, net

Investment and other income, net was a gain of $11.8 million for the three months ended September 30, 2025, compared to a gain of $3.8 million in the corresponding 2024 period. Included in investment and other income, net in 2025 was $5.3 million of interest income recognized on ERC refunds received during the three months ended September 30, 2025. Excluding the impact of the ERC refund, investment and other income, net increased due to favorable market fluctuations in the value of our trading security investments representing the funding for our deferred compensation plan.

The table below summarizes the changes in these components of investment and other income, net:

			Three Months Ended September 30,
			2025						2024						$ Change						% Change
			(dollar amounts in thousands)
Investment and other income, net excluding change in deferred compensation plan assets			$	8,106					$	1,405					$	6,701					476.9		%
Gain on deferred compensation plan investments			3,731						2,420						1,311						54.2		%
Investment and other income, net			$	11,837					$	3,825					$	8,012					209.5		%

Consolidated Interest Expense

Consolidated interest expense decreased to $0.4 million for the three months ended September 30, 2025 compared to $1.5 million for the same period in 2024 as we incurred lower average borrowings on our line of credit during the three months ended September 30, 2025 compared to 2024.

Consolidated Income Taxes

During the three months ended September 30, 2025, we recognized a provision for income taxes of $14.4 million, or 25.0% effective tax rate, versus a provision for income taxes of $4.8 million, or 25.4% effective tax rate, for the same period in 2024. The effective tax rate change is based on the impact of discrete items in each quarter combined with the impact of our full year income estimate on the tax provision.

The actual annual effective tax rate will be impacted by the tax effects of option exercises or vested awards, which are treated as discrete items in the reporting period in which they occur and may vary based on our common stock price at exercise and the volume of such exercises; therefore, these cannot be considered in the calculation of the estimated annual effective tax rate. The impact on our income tax provision for the three months ended September 30, 2025 and 2024 for such discrete items was an expense of $10.4 million (driven by the impact of income recognition from the ERC refunds) and $0.3 million, respectively.

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Nine Months Ended September 30, 2025 and 2024

The following table summarizes the income statement key components that we use to evaluate our financial performance on a consolidated and reportable segment basis for the nine months ended September 30, 2025 and 2024.

			Nine Months Ended September 30,
			2025						20241						% Change
			(in thousands)
Revenues
Housekeeping			$	613,869					$	572,666					7.2		%
Dietary			756,622						705,204						7.3		%
Consolidated			$	1,370,491					$	1,277,870					7.2		%
Costs of services provided
Housekeeping			$	532,081					$	481,925					10.4		%
Dietary			705,315						626,458						12.6		%
ERC Credits2			(34,239)						—						NR5
Consolidated			$	1,203,157					$	1,108,383					8.6		%
Selling, general and administrative expense
Housekeeping			$	36,122					$	35,554					1.6		%
Dietary			44,791						44,711						0.2		%
Corporate3			56,858						50,202						13.3		%
Gain on deferred compensation plan investments			6,899						7,769						(11.2)		%
Consolidated			$	144,670					$	138,236					4.7		%
Other income (expense)4
Investment and other income, net			$	17,856					$	12,145					47.0		%
Interest expense			(1,206)						(5,260)						(77.1)		%
Income before taxes			$	39,314					$	38,136					3.1		%
Income tax provision4			11,499						10,585						8.6		%
Net income			$	27,815					$	27,551					1.0		%

1.Represents a recast of prior period numbers to conform with current period presentation.

2.Consolidated costs of services provided excludes the impact of ERC refunds received by the Company and recorded within income during the nine months ended September 30, 2025 as the credits relate to payroll tax credits related to 2020 and 2021 payroll.

3.Represents selling, general and administrative expense less amounts allocated to segments for labor and labor-related and other segment items.

4.These line items represent corporate costs not allocated to segments.

5.Not relevant.

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The following table sets forth the ratio of certain items to consolidated revenues:

			Nine Months Ended September 30,
			2025						2024
Revenues			100.0		%				100.0		%
Operating costs and expenses:
Costs of services provided			87.8		%				86.7		%
Selling, general and administrative expense			10.6		%				10.8		%
Other (expense) income:
Investment and other income, net			1.3		%
Interest expense			(0.1)		%				(0.4)		%
Income before income taxes			2.8		%				3.1		%
Income tax provision			0.8		%				0.8		%
Net income			2.0		%				2.3		%

Revenues

Consolidated

Consolidated revenues increased 7.2% to $1,370.5 million for the nine months ended September 30, 2025 compared to $1,277.9 million for the corresponding period in 2024 as a result of the factors discussed below under Reportable Segments.

Reportable Segments

Housekeeping revenues increased 7.2% during the nine months ended September 30, 2025 compared to the 2024 comparable period, while Dietary revenues increased 7.3% over the same period. The increase in Housekeeping revenues was driven by an increase in facility count and contractual price increases. The increase in Dietary revenues was driven by increased pass-through costs to customers and organic growth in expanding services performed for customers.

Costs of services provided

Consolidated

During the nine months ended September 30, 2025, we recognized $34.2 million of income, recorded as a reduction to costs of services provided, related to the receipt of ERC refunds for periods from the second quarter of 2020 through the second quarter of 2021. Excluding the impact of the ERC refunds, consolidated costs of services increased by 8.6% to $1,203.2 million for the nine months ended September 30, 2025 compared to $1,108.4 million for the nine months ended September 30, 2024 as a result of bad debt expense and the factors discussed below under Reportable Segments. Effective in the third quarter of 2025, we perform quarterly independent actuarial evaluations to update loss estimates for our self-insurance reserves for workers' compensation and general liability. The update to our loss estimates did not have a material impact on our consolidated financial statements for the quarter ended September 30, 2025.

During the nine months ended September 30, 2025 and 2024, we recognized $63.9 million and $17.6 million, respectively, of bad debt expense related to large customer bankruptcies, which were recorded within costs of services provided. Excluding the impact of these bankruptcies, costs of services provided increased $48.5 million, or 4.4%, in line with our revenue growth.

Reportable Segments

Costs of services provided for Housekeeping, as a percentage of Housekeeping revenues, was 92.6% and 90.4% for the nine months ended September 30, 2025 and 2024. Costs of services provided for Dietary, as a percentage of Dietary revenues, increased to 99.1% for the nine months ended September 30, 2025 from 95.2% in the corresponding period in 2024, with the increases from the comparable period driven by the bad debt expense noted above.

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The following table provides a comparison of the key indicators we consider when managing costs of services provided at the segment level, as a percentage of the respective segment’s revenues:

						Nine Months Ended September 30,
Key Indicators as a % of Segment Revenue - Housekeeping						2025						2024						Change
Labor and other labor-related costs1						78.6%						78.8%						(0.2)%
Supplies						7.1%						7.4%						(0.3)%
Bad debt expense						4.4%						1.9%						2.5%
Depreciation and amortization						0.5%						0.5%						0.1%
Other costs1						1.8%						1.8%						—%
Total segment expenses						92.6%						90.4%						2.2%

1.Inclusive of certain expenses reported within selling, general and administrative expense that are segment-specific.

						Nine Months Ended September 30,
Key Indicators as a % of Segment Revenue - Dietary						2025						2024						Change
Labor and other labor-related costs1						58.9%						56.6%						2.3%
Supplies						30.7%						32.4%						(1.7)%
Bad debt expense						6.8%						3.7%						3.1%
Depreciation and amortization						0.4%						0.3%						0.1%
Other costs1						2.3%						2.2%						0.1%
Total segment expenses						99.1%						95.2%						3.9%

1.Inclusive of certain expenses reported within selling, general and administrative expense that are segment-specific.

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

Consolidated Selling, General and Administrative Expense

Included in selling, general and administrative expense are gains and losses associated with changes in the value of investments under the deferred compensation plan. These investments represent the amounts held on behalf of the participating employees and changes in the value of these investments affect the amount of our deferred compensation liability. Gains on the plan investments during the nine months ended September 30, 2025 and 2024 increased our total selling, general and administrative expense.

Excluding the change in the deferred compensation plan described above, consolidated selling, general and administrative expense increased $7.3 million or 5.6% for the nine months ended September 30, 2025 compared to the corresponding period in 2024. The change was driven in part by a $2.1 million increase to selling, general and administrative expense for professional fees incurred related to the ERC refunds, along with increases in payroll and payroll-related expenses.

The table below summarizes the changes in these components of selling, general and administrative expense:

			Nine Months Ended September 30,
			2025						2024						$ Change						% Change
			(dollar amounts in thousands)
Selling, general and administrative expense excluding change in deferred compensation plan liability			$	137,771					$	130,467					$	7,304					5.6		%
Gain on deferred compensation plan investments			6,899						7,769						(870)						(11.2)		%
Selling, general and administrative expense			$	144,670					$	138,236					$	6,434					4.7		%

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Consolidated Investment and Other Income, net

Investment and other income, net was a $17.9 million gain for the nine months ended September 30, 2025, compared to a $12.1 million gain during the corresponding 2024 period. Included in investment and other income, net in the nine months ended September 30, 2025 was $5.3 million of interest income recognized on ERC refunds received.

The table below summarizes the changes in these components of investment and other income, net:

			Nine Months Ended September 30,
			2025						2024						$ Change						% Change
			(dollar amounts in thousands)
Investment and other income, net excluding change in deferred compensation plan assets			$	10,930					$	4,336					$	6,594					152.1		%
Gain on deferred compensation plan investments			6,926						7,809						(883)						(11.3)		%
Investment and other income, net			$	17,856					$	12,145					$	5,711					47.0		%

Consolidated Interest Expense

Consolidated interest expense decreased to $1.2 million for the nine months ended September 30, 2025 compared to $5.3 million in the same period in 2024 as we incurred lower average borrowings on our line of credit during the nine months ended September 30, 2025 compared to the same period in 2024.

Consolidated Income Taxes

During the nine months ended September 30, 2025 and 2024, we recognized a provision for income taxes of $11.5 million, or a 29.2% effective tax rate, and $10.6 million, or a 27.8% effective tax rate, respectively. The actual annual effective tax rate will be impacted by the tax effects of option exercises or vested awards, which are treated as discrete items in the reporting period in which they occur and may vary based upon our common stock price at exercise and the volume of such exercises; therefore, these cannot be considered in the calculation of the estimated annual effective tax rate. The impact on our income tax provision for the nine months ended September 30, 2025 and 2024 for such discrete items was an expense of approximately $11.6 million (driven by the impact of income recognition from the ERC refunds) and $1.5 million, respectively.

Liquidity and Capital Resources

Our primary sources of liquidity are available cash and cash equivalents, available lines of credit under our revolving credit facility and cash flows from operating activities. At September 30, 2025, we had cash, cash equivalents and marketable securities of $177.5 million, restricted cash equivalents of less than $0.1 million, restricted marketable securities of $30.0 million and working capital of $385.0 million, compared to cash, cash equivalents and marketable securities of $107.3 million, restricted cash equivalents of $3.4 million, restricted marketable securities of $25.1 million and working capital of $364.1 million at December 31, 2024. Our current ratio was 3.0 to 1.0 at September 30, 2025, and 2.9 to 1.0 at December 31, 2024. Marketable securities and restricted marketable securities represent fixed income investments that are highly liquid and can be readily purchased or sold through established markets. Such securities are held by the Company’s captive insurance company to satisfy capital requirements of the state regulator of our captive insurance company.

For the nine months ended September 30, 2025 and 2024, our cash flows were as follows:

			Nine Months Ended September 30,
			2025						2024
			(in thousands)
Net cash provided by (used in) operating activities			$	127,581					$	(5,402)
Net cash used in investing activities			$	(19,566)					$	(15,751)
Net cash used in financing activities			$	(43,726)					$	(5,038)

Operating Activities

Our primary sources of cash from operating activities are the revenues generated from our Housekeeping and Dietary services. Our primary uses of cash from operating activities are the funding of our payroll and other personnel-related costs as well as the

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costs of supplies used in providing our services. For the nine months ended September 30, 2025, cash flow from operations included $27.8 million in net income, non-cash add-backs to net income of $112.4 million, and a $12.7 million increase in cash flows from changes in operating assets and liabilities, all inclusive of $51.8 million of ERC refunds received. Such activities are the primary drivers of the period-over-period changes in net cash provided by operating activities.

Investing Activities

Our principal uses of cash for investing activities are acquisitions and other strategic investments, capital expenditures such as housekeeping and food service equipment, computer software and equipment, furniture and fixtures (see “Capital Expenditures” below for additional information) and purchases of marketable securities and restricted marketable securities. Such uses of cash are offset by proceeds from sales of marketable securities.

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

Financing Activities

The primary uses of cash for financing activities are repurchases of common stock. On February 14, 2023, our Board of Directors authorized the repurchase of up to 7.5 million outstanding shares (the “Repurchase Plan”). During the three months ended September 30, 2025 and 2024, we repurchased 1.7 million and 0.1 million shares of our common stock for $27.3 million and $1.0 million, respectively, including commissions and taxes. During the nine months ended September 30, 2025 and 2024, we repurchased 2.9 million and 0.4 million shares of our common stock for $42.1 million and $4.0 million, respectively, including commissions and excise taxes. We remain authorized to repurchase up to 3.1 million shares of our common Stock pursuant to the Repurchase Plan.

For the nine months ended September 30, 2025 and the year ended December 31, 2024, our quarterly repurchases of common stock were as follows:

Three Months Ended						Total number of shares of Common Stock repurchased						Average price paid per share of Common Stock						Aggregate purchase price of Common Stock repurchases						Number of remaining shares authorized for repurchase
						(in thousands)						(in dollars per share)						(in thousands)						(in thousands)
September 30, 2025						1,743						$	15.46					$	26,969					3,111
June 30, 2025						523						$	14.38					$	7,706					4,854
March 31, 2025						653						$	10.63					$	7,036					5,377
December 31, 2024						90						$	11.10					$	997					6,030
September 30, 2024						94						$	10.65					$	996					6,120
June 30, 2024						263						$	11.33					$	2,981					6,214
March 31, 2024						—						$	—					$	—					6,477

Line of Credit

At September 30, 2025, we had a $300 million bank line of credit on which to draw for general corporate purposes. Amounts drawn under the line of credit are payable upon demand and generally bear interest at a floating rate, based on our leverage ratio, and starting at the Term Secured Overnight Financing Rate (“SOFR”) rate plus 165 basis points. Our line of credit also provides, at our discretion, the ability to increase the revolving loan commitments to an aggregate amount not to exceed $500 million. At September 30, 2025, we had no borrowings under the line of credit.

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The line of credit requires us to satisfy two financial covenants. The covenants and their respective status at September 30, 2025 were as follows:

Covenant Descriptions and Requirements						As of September 30, 2025
Funded debt1 to EBITDA2 ratio: less than 3.50 to 1.00						0.18
EBITDA to Interest Expense ratio: not less than 3.00 to 1.00						33.67

1.All indebtedness for borrowed money including, but not limited to, capitalized lease obligations, reimbursement obligations in respect of letters of credit and guarantees of any such indebtedness.

2.EBITDA is defined as net income plus interest expense, income tax expense, depreciation, amortization, share-based compensation expense, costs incurred to maintain the line of credit facility and certain third-party charges associated with the line of credit agreement or permitted acquisition-related activity, subject to limitations outlined in the credit agreement, incurred over a trailing twelve-month period.

As noted above, we were in compliance with our financial covenants at September 30, 2025 and we expect to remain in compliance. The line of credit expires on November 22, 2027. We believe that our existing capacity under the line of credit and our history of favorable operating cash flows provides adequate liquidity to fund our operations for the next twelve months following the date of this report.

At September 30, 2025, we had outstanding $48.0 million in irrevocable standby letters of credit, which relate to payment obligations under our insurance programs.

Capital Expenditures

The level of capital expenditures is generally dependent on the number of new customers obtained. Such capital expenditures primarily consist of housekeeping and food service equipment purchases, laundry and linen equipment installations, computer hardware and software, furniture and fixtures. Although we have no specific material commitments for capital expenditures through the end of calendar year 2025, we estimate that for 2025 we will have capital expenditures of approximately $5.0 million to $7.0 million, of which we have made $4.4 million through September 30, 2025.

Although there can be no assurance, we believe that our cash from operations, existing cash and cash equivalents balance and credit line will be adequate for the foreseeable future to satisfy the needs of our operations and to fund our anticipated growth. However, should these sources not be sufficient, we would seek to obtain necessary capital from such sources as long-term debt or equity financing. In addition, there can be no assurance of the terms thereof and any subsequent equity financing sought may have dilutive effects on our current shareholders.

Material Off-Balance Sheet Arrangements

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

Critical Accounting Policies and Estimates

Our significant accounting policies are described in the notes to the consolidated financial statements included in the Form 10-K for the period ended December 31, 2024. As described in such notes, we recognize revenue in the period in which the performance obligation is satisfied. Refer to our Management’s Discussion and Analysis of Financial Condition and Results of Operations included in the Form 10-K.

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

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

Effective in the third quarter of 2025, we perform quarterly independent actuarial evaluations to update loss estimates for our self-insurance reserves for workers' compensation and general liability. The update to our loss estimates did have a material impact on our consolidated financial statements for the quarter ended September 30, 2025.

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Item 3.   Quantitative and Qualitative Disclosures About Market Risk

At September 30, 2025, we had $207.5 million in cash and cash equivalents, restricted cash equivalents, marketable securities and restricted marketable securities. The fair value of all of our cash equivalents and marketable securities are determined based on “Level 1” or “Level 2” inputs, which are based upon quoted prices for identical or similar instruments in markets that are not active, and model-based valuation techniques for which all significant assumptions are observable in the market. We place our cash investments in instruments that meet credit quality standards, as specified in our investment policy guidelines.

Investments in both fixed-rate and floating-rate investments carry a degree of interest rate risk. The market value of fixed rate securities may be adversely impacted by an increase in interest rates, while floating rate securities may produce less income than expected if interest rates fall. Due in part to these factors, our future investment income may fall short of expectations due to changes in interest rates or if there is a decline in the fair value of our investments.

Item 4. Controls and Procedures

Evaluation of Disclosure Controls and Procedures

Disclosure controls and procedures are intended to ensure that information required to be disclosed in our reports under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), such as this Form 10-Q, is reported in accordance with Securities and Exchange Commission rules. Disclosure controls are also intended to ensure that such information is accumulated and communicated to Management, including the Principal Executive Officer (President and Chief Executive Officer) and the Principal Financial Officer (Chief Financial Officer) as appropriate, to allow timely decisions regarding required disclosure. Based on their evaluation as of September 30, 2025, pursuant to the Exchange Act Rule 13a-15(b), our Management, including our Principal Executive Officer and Principal Financial Officer, concluded that our internal control over financial reporting was effective.

Changes in Internal Control over Financial Reporting

There were no changes in the Company’s internal controls over financial reporting that occurred during the three months ended September 30, 2025 that have materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting. The Company continues to review its disclosure controls and procedures, including its internal control over financial reporting, and may from time to time make changes aimed at enhancing their effectiveness and to ensure that the Company’s systems evolve with its business.

Certifications

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

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PART II — OTHER INFORMATION

Item 1. Legal Proceedings

In the normal course of business, the Company is involved in various administrative and legal proceedings, including labor and employment, contracts, personal injury and insurance matters. The Company believes it is not a party to, nor are any of its properties the subject of, any pending legal proceeding or governmental examination that would have a material adverse effect on the Company’s consolidated financial condition or liquidity.

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

In light of the uncertainties involved in such proceedings, the ultimate outcome of a particular matter could become material to the Company’s results of operations for a particular period depending on, among other factors, the size of the loss or liability imposed and the level of the Company’s operating income for that period.

Item 1A. Risk Factors

As of September 30, 2025, there have been no material changes to the Risk Factors disclosed in “Part I. Item 1A. Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2024.

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

Repurchases of Equity Securities

On February 14, 2023, our Board of Directors authorized the repurchase of up to 7.5 million outstanding shares of common stock (under the “Repurchase Plan”). We remain authorized to purchase 3.1 million shares of common stock under the Repurchase Plan.

Shares repurchased pursuant to the Repurchase Plan during the three months ended September 30, 2025, were as follows:

Three Months Ended September 30, 2025						Total number of shares of Common Stock repurchased						Average price paid per share of Common Stock						Aggregate purchase price of Common Stock repurchases1						Number of remaining shares authorized for repurchase
																		(in thousands)
July 1, 2025 - July 31, 2025						122,650						$	13.33					$	1,655					4,732
August 1, 2025 - August 31, 2025						465,965						$	14.63					$	6,815					4,266
September 1, 2025 - September 30, 2025						1,155,327						$	16.01					$	18,499					3,111
Total						1,743,942						$	15.46					$	26,969					3,111

1.    Excludes commissions and other costs of $0.3 million.

During the quarter, a significant portion of the Company’s repurchases were made pursuant to Rule 10b5-1 trading plans adopted under the Securities Exchange Act of 1934, as amended, while the remainder were discretionary open-market transactions executed under the Company’s publicly announced share repurchase program.

Item 3. Defaults Upon Senior Securities

Not applicable.

Item 4. Mine Safety Disclosures

Not applicable.

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Item 5. Other Information

During the three months ended September 30, 2025, none of our directors or officers (as defined in Rule 16a-1(f) of the Exchange Act) adopted, terminated or modified a Rule 10b5-1 trading arrangement or non-Rule 10b5-1 trading arrangement (as such terms are defined in Item 408 of Regulation S-K of the Securities Act of 1933, as amended).

Item 6. Exhibits

The following exhibits are filed as part of this Report:

Exhibit Number						Description
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 and Principal Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act +
101						The following financial information from the Company’s Form 10-Q for the quarterly period ended September 30, 2025 formatted in iXBRL (Inline eXtensible Business Reporting Language): (i) Consolidated Balance Sheets, (ii) Consolidated Statements of Comprehensive (Loss) Income, (iii) Consolidated Statements of Cash Flows, (iv) Consolidated Statement of Stockholders’ Equity, and (v) Notes to Consolidated Financial Statements
104						Cover Page Interactive Data File (formatted as inline XBRL with applicable taxonomy extension information contained in Exhibits 101.)

+ Filed herewith

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Signatures

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant had duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

HEALTHCARE SERVICES GROUP, INC.

Date:

October 24, 2025

/s/ Theodore Wahl

Theodore Wahl

President & Chief Executive Officer

(Principal Executive Officer)

Date:

October 24, 2025

/s/ Vikas Singh

Vikas Singh

Executive Vice President & Chief Financial Officer

(Principal Financial Officer)

50

FAQ

What were HCSG (HCSG) Q3 2025 revenues and earnings?

Revenue was $464,338 thousand and net income was $42,953 thousand, with diluted EPS of $0.59.

How did the Employee Retention Credit affect HCSG in Q3 2025?

HCSG received $31.8M in ERC refunds, recognized $34.2M as a cost reduction and $5.3M interest income, and recorded a $12.3M deferred ERC liability.

What is the status of HCSG’s receivables related to Genesis Healthcare?

After Genesis’s Chapter 11 filing, HCSG applied a 100% allowance to Genesis accounts and notes receivable, contributing to $63.9M year‑to‑date bad debt expense.

What was HCSG’s operating cash flow and cash balance year‑to‑date?

Net cash provided by operating activities was $127,581 thousand, and cash, cash equivalents and restricted cash equivalents were $124,420 thousand at September 30, 2025.

How did segment revenues split for HCSG in Q3 2025?

Housekeeping was $211.8M (about 45.6%) and Dietary was $252.6M (about 54.4%) of consolidated revenue.

Did HCSG repurchase shares in Q3 2025?

Yes. Purchases of treasury stock were $27,271 thousand in Q3, totaling $41,982 thousand for the nine months.

What were HCSG’s accounts receivable and allowances at quarter‑end?

Accounts receivable, net, were $288,521 thousand with allowances on accounts and notes receivable totaling $146,245 thousand.