Exhibit 99.1

HEALTHCARE SERVICES GROUP, INC. REPORTS
RESULTS FOR THE THREE MONTHS ENDED
MARCH 31, 2010

Bensalem, PA — April 13, 2010 Healthcare Services Group, Inc. (NASDAQ-HCSG) reported that revenues for the three months ended March 31, 2010 increased 15% to $183,801,000 compared to $160,409,000 for the same 2009 period. Net income for the three months ended March 31, 2010 was $7,428,000 or $.17 per basic and per diluted common share, compared to the 2009 first quarter net income of $7,736,000 or $.18 per basic and per diluted common share.

Additionally, our Board of Directors declared a regular quarterly cash dividend of $.22 per common share, payable on May 14, 2010 to shareholders of record at the close of business April 23, 2010. This represents a 5% increase over the dividend declared for the 2009 fourth quarter and a 22% increase over the dividend declared for the same 2009 period payment. It is the 28th consecutive regular quarterly cash dividend payment, as well as the 27^th consecutive increase since our initiation of regular quarterly cash dividend payments in 2003.

The Company will host a conference call on Wednesday, April 14, 2010 at 8:30 AM Eastern Time to discuss its results for the three month period ended March 31, 2010. The call in numbers will be 800-766-6630 and 416-695-6616.

2010 First Quarter Earnings Release		April 13, 2010
Page 2

Cautionary Statement Regarding Forward-Looking Statements

This release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934 (the “Exchange Act”), as amended, are not historical facts but rather based on current expectations, estimates and projections about our business and industry, our beliefs and assumptions. Words such as “believes,” “anticipates,” “plans,” “expects,” “will,” “goal,” and similar expressions are intended to identify forward-looking statements. The inclusion of forward-looking statements should not be regarded as a representation by us that any of our plans will be achieved. We undertake no obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. Such forward-looking information is also subject to various risks and uncertainties. Such risks and uncertainties include, but are not limited to, risks arising from our providing services exclusively to the health care industry, primarily providers of long-term care; credit and collection risks associated with this industry; one client accounting for approximately 11% of revenues in the three month period ended March 31, 2010; risks associated with our acquisition of Contract Environmental Services, Inc. including integration risks and costs, or such business not achieving expected financial results or synergies or failure to otherwise perform as expected; our claims experience related to workers’ compensation and general liability insurance; the effects of changes in, or interpretations of laws and regulations governing the industry, our workforce and services provided, including state and local regulations pertaining to the taxability of our services; and the risk factors described in our Form 10-K filed with the Securities and Exchange Commission for the year ended December 31, 2009 in Part I thereof under “Government Regulation of Clients”, “Competition” and “Service Agreements/Collections”, and under Item IA “Risk Factors”. Many of our

2010 First Quarter Earnings Release		April 13, 2010
Page 3

clients’ revenues are highly contingent on Medicare and Medicaid reimbursement funding rates, which Congress has affected through the enactment of a number of major laws during the past decade, most recently the March 2010 enactment of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2101. Currently, the U.S. Congress is considering changes or revising legislation to reform health care in the United States which, among other initiatives, may impose cost containment measures impacting our clients. These laws and proposed laws have significantly altered, or threatened to alter, overall government reimbursement funding rates and mechanisms. The overall effect of these laws and trends in the long-term care industry have affected and could adversely affect the liquidity of our clients, resulting in their inability to make payments to us on agreed upon payment terms. These factors, in addition to delays in payments from clients, have resulted in, and could continue to result in, significant additional bad debts in the near future. Additionally, our operating results would be adversely affected if unexpected increases in the costs of labor and labor related costs, materials, supplies and equipment used in performing services could not be passed on to our clients.

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

2010 First Quarter Earnings Release		April 13, 2010
Page 4

Healthcare Services Group, Inc. is the largest national provider of professional housekeeping, laundry and dietary services to long-term care and related facilities.

Company Contacts:
Daniel P. McCartney		Thomas Cook
Chairman and Chief Executive Officer		President
215-639-4274		215-639-4274

HEALTHCARE SERVICES GROUP, INC.
CONSOLIDATED STATEMENTS OF INCOME
(Unaudited)

		For the Three Months Ended
		March 31,
		2010				2009
Revenues		$	183,801,000			$	160,409,000
Operating costs and expenses:
Cost of services provided			158,573,000				137,892,000
Selling, general and administrative			13,901,000				10,876,000
Income from operations			11,327,000				11,641,000
Other income:
Investment and interest			750,000				937,000
Income before income taxes			12,077,000				12,578,000
Income taxes			4,649,000				4,842,000
Net income		$	7,428,000			$	7,736,000
Basic earnings per common share		$	.17			$	.18
Diluted earnings per common share		$	.17			$	.18
Cash dividends per common share		$	.21			$	.17
Basic weighted average number of common shares outstanding			43,899,000				43,457,000
Diluted weighted average number of common shares outstanding			44,659,000				44,073,000

HEALTHCARE SERVICES GROUP, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(Unaudited)

		March 31, 2010				December 31, 2009
Cash and cash equivalents		$	28,648,000			$	31,301,000
Marketable securities, net			43,901,000				52,648,000
Accounts receivable, net			105,065,000				104,356,000
Other current assets			23,747,000				23,865,000
Total current assets			201,361,000				212,170,000
Property and equipment, net			4,574,000				4,391,000
Notes receivable- long term, net			5,080,000				4,623,000
Goodwill , net			16,955,000				17,087,000
Other Intangible Assets, net			8,665,000				8,862,000
Deferred compensation funding			11,553,000				10,783,000
Other assets			8,549,000				7,976,000
Total Assets		$	256,737,000			$	265,892,000
Accrued insurance claims- current		$	5,161,000			$	4,844,000
Other current liabilities			17,801,000				29,873,000
Total current liabilities			22,962,000				34,717,000
Accrued insurance claims- long term			12,042,000				11,302,000
Deferred compensation liability			11,680,000				11,099,000
Stockholders’ equity			210,053,000				208,774,000
Total Liabilities and Stockholders’ Equity		$	256,737,000			$	265,892,000