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                               August 9, 2023

       Theodore Wahl
       Chief Executive Officer
       Healthcare Services Group, Inc.
       3220 Tillman Drive
       Bensalem, PA 19020

                                                        Re: Healthcare Services
Group, Inc.
                                                            Definitive Proxy
Statement on Schedule 14A
                                                            Filed April 28,
2023
                                                            File No. 000-12015

       Dear Theodore Wahl:

               We have limited our review of your most recent definitive proxy
statement to those issues
       we have addressed in our comments. Please respond to these comments by
confirming that you
       will revise your future proxy disclosures in accordance with the topics
discussed below.

       Definitive Proxy Statement on Schedule 14A filed April 28, 2023

       Pay versus Performance, page 25

   1.                                                   Please clarify the peer
group you have used for purposes of the peer group total
                                                        shareholder return
column in the pay versus performance table. Refer to footnote 4 where
                                                        you indicate that you
have not identified a peer group based on either industry
                                                        classification or
financial characteristics. It also appears that your peer group is not the
                                                        same as the index you
use for disclosures under Regulation S-K Item 402(b), since that
                                                        index is based upon
financial characteristics. Regulation S-K Item 402(v)(2)(iv)
                                                        requires that you use
the same index or issuers you use for purposes of Regulation S-K
                                                        Item 201(e)(1)(ii) or,
if applicable, the companies you use as a peer group for purposes of
                                                        your Regulation S-K
Item 402(b) disclosures. If the peer group is not a published industry
                                                        or line-of-business
index, the identity of the issuers composing the group must be
                                                        disclosed in a
footnote.
   2.                                                   We note that in naming
your non-PEO named executive officers, you include Mr.
                                                        McBryan    in his role
as Executive Vice President, Chief Revenue Officer & Director.    It
                                                        is not clear whether
this is intended to be limiting disclosure. If so, please ensure that the
                                                        amounts reported for
the Summary Compensation Table total and compensation actually
                                                        paid in the pay versus
performance table include all compensation required under
                                                        Regulation S-K Item
402(v)(2)(ii) and (iii). Refer to C&DI Question 128D.02
 Theodore Wahl
Healthcare Services Group, Inc.
August 9, 2023
Page 2
         regarding exclusion of other non-NEO compensation and the change in
value of awards
         during the executive   s tenure as a NEO, which should be included in
the calculation of
         compensation actually paid.
3.       Please provide a clear description of the relationship between your
total shareholder return
         and the total shareholder return of the peer group you selected for
your pay versus
         performance table, as required by Regulation S-K Item 402(v)(5)(iv).
       Please contact Cheryl Brown at 202-551-3905 or Amanda Ravitz at
202-551-3412 with
any questions.



FirstName LastNameTheodore Wahl                                Sincerely,
Comapany NameHealthcare Services Group, Inc.
                                                               Division of
Corporation Finance
August 9, 2023 Page 2                                          Disclosure
Review Program
FirstName LastName