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  <xsd:element id="hcsg_DeferredTaxAssetsLiabilitiesIntangibleAssets" name="DeferredTaxAssetsLiabilitiesIntangibleAssets" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="debit" xbrli:periodType="instant" />
  <xsd:element id="hcsg_DeferredTaxAssetsLiabilitiesOtherCurrent" name="DeferredTaxAssetsLiabilitiesOtherCurrent" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="debit" xbrli:periodType="instant" />
  <xsd:element id="hcsg_DefinedBenefitPlanMaximumPercentageOfEmployeesContribution" name="DefinedBenefitPlanMaximumPercentageOfEmployeesContribution" nillable="true" substitutionGroup="xbrli:item" type="num:percentItemType" xbrli:periodType="duration" />
  <xsd:element abstract="true" id="hcsg_DietaryServicesMember" name="DietaryServicesMember" nillable="true" substitutionGroup="xbrli:item" type="nonnum:domainItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_DiscountedNotesReceivable" name="DiscountedNotesReceivable" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="debit" xbrli:periodType="instant" />
  <xsd:element id="hcsg_DividendsDeclaredAndPaidTextBlock" name="DividendsDeclaredAndPaidTextBlock" nillable="true" substitutionGroup="xbrli:item" type="nonnum:textBlockItemType" xbrli:periodType="duration" />
  <xsd:element abstract="true" id="hcsg_DocumentAndEntityInformationAbstract" name="DocumentAndEntityInformationAbstract" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_Estimatedselfinsuranceclaimcloseoutperiod" name="Estimatedselfinsuranceclaimcloseoutperiod" nillable="true" substitutionGroup="xbrli:item" type="xbrli:durationItemType" xbrli:periodType="duration" />
  <xsd:element abstract="true" id="hcsg_HousekeepingAndOfficeFurnitureAndEquipmentMember" name="HousekeepingAndOfficeFurnitureAndEquipmentMember" nillable="true" substitutionGroup="xbrli:item" type="nonnum:domainItemType" xbrli:periodType="duration" />
  <xsd:element abstract="true" id="hcsg_HousekeepingServicesMember" name="HousekeepingServicesMember" nillable="true" substitutionGroup="xbrli:item" type="nonnum:domainItemType" xbrli:periodType="duration" />
  <xsd:element abstract="true" id="hcsg_HousekeepingandOfficeEquipmentandFurnitureMember" name="HousekeepingandOfficeEquipmentandFurnitureMember" nillable="true" substitutionGroup="xbrli:item" type="nonnum:domainItemType" xbrli:periodType="duration" />
  <xsd:element abstract="true" id="hcsg_ImpairedNotesReceivableRollForward" name="ImpairedNotesReceivableRollForward" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_IncreaseDecreaseInDeferredCompensationFunding" name="IncreaseDecreaseInDeferredCompensationFunding" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="credit" xbrli:periodType="duration" />
  <xsd:element id="hcsg_IncreaseDecreaseInNotesReceivableLongTerm" name="IncreaseDecreaseInNotesReceivableLongTerm" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="credit" xbrli:periodType="duration" />
  <xsd:element id="hcsg_IncreaseInImpairedNotesReceivable" name="IncreaseInImpairedNotesReceivable" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="debit" xbrli:periodType="duration" />
  <xsd:element id="hcsg_IncreaseInReservedForImpairedNotesReceivable" name="IncreaseInReservedForImpairedNotesReceivable" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="debit" xbrli:periodType="duration" />
  <xsd:element abstract="true" id="hcsg_InternationalMember" name="InternationalMember" nillable="true" substitutionGroup="xbrli:item" type="nonnum:domainItemType" xbrli:periodType="duration" />
  <xsd:element abstract="true" id="hcsg_LargeCapGrowthMember" name="LargeCapGrowthMember" nillable="true" substitutionGroup="xbrli:item" type="nonnum:domainItemType" xbrli:periodType="duration" />
  <xsd:element abstract="true" id="hcsg_LaundryAndLinenEquipmentInstallationsMember" name="LaundryAndLinenEquipmentInstallationsMember" nillable="true" substitutionGroup="xbrli:item" type="nonnum:domainItemType" xbrli:periodType="duration" />
  <xsd:element abstract="true" id="hcsg_LaundryAndLinenServicesMember" name="LaundryAndLinenServicesMember" nillable="true" substitutionGroup="xbrli:item" type="nonnum:domainItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_LineOfCreditFacilityNumberOfFinancialCovenants" name="LineOfCreditFacilityNumberOfFinancialCovenants" nillable="true" substitutionGroup="xbrli:item" type="xbrli:integerItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_LineofCreditFacilityIncreaseDecreaseRemainingBorrowingCapacity" name="LineofCreditFacilityIncreaseDecreaseRemainingBorrowingCapacity" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="credit" xbrli:periodType="duration" />
  <xsd:element abstract="true" id="hcsg_MaintenanceServicesAndOtherMember" name="MaintenanceServicesAndOtherMember" nillable="true" substitutionGroup="xbrli:item" type="nonnum:domainItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_MajorClientPolicyTextBlock" name="MajorClientPolicyTextBlock" nillable="true" substitutionGroup="xbrli:item" type="nonnum:textBlockItemType" xbrli:periodType="duration" />
  <xsd:element abstract="true" id="hcsg_MidCapGrowthMember" name="MidCapGrowthMember" nillable="true" substitutionGroup="xbrli:item" type="nonnum:domainItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_NatureOfOperationsPolicyTextBlock" name="NatureOfOperationsPolicyTextBlock" nillable="true" substitutionGroup="xbrli:item" type="nonnum:textBlockItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_NotesReceivableImpairedNonperforming" name="NotesReceivableImpairedNonperforming" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="debit" xbrli:periodType="instant" />
  <xsd:element id="hcsg_PercentageOfReductionOfMedicarePaymentsToNursingCenters" name="PercentageOfReductionOfMedicarePaymentsToNursingCenters" nillable="true" substitutionGroup="xbrli:item" type="num:percentItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_PercentageOfReductionOfMedicarePaymentsToPlansAndProviders" name="PercentageOfReductionOfMedicarePaymentsToPlansAndProviders" nillable="true" substitutionGroup="xbrli:item" type="num:percentItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_PercentageOfReductionToMedicarePaymentsToNursingCenters" name="PercentageOfReductionToMedicarePaymentsToNursingCenters" nillable="true" substitutionGroup="xbrli:item" type="num:percentItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_PercentageOfRevenueFromMajorCustomer" name="PercentageOfRevenueFromMajorCustomer" nillable="true" substitutionGroup="xbrli:item" type="num:percentItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_Percentageofincomeearnedinonegeographicsegment" name="Percentageofincomeearnedinonegeographicsegment" nillable="true" substitutionGroup="xbrli:item" type="num:percentItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_Percentageofrevenueearnedinonegeographicsegment" name="Percentageofrevenueearnedinonegeographicsegment" nillable="true" substitutionGroup="xbrli:item" type="num:percentItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_PeriodOfAmortizationOfInventoriesAndSupplies" name="PeriodOfAmortizationOfInventoriesAndSupplies" nillable="true" substitutionGroup="xbrli:item" type="xbrli:durationItemType" xbrli:periodType="duration" />
  <xsd:element abstract="true" id="hcsg_PlatinumHealthServicesLLCMember" name="PlatinumHealthServicesLLCMember" nillable="true" substitutionGroup="xbrli:item" type="nonnum:domainItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_PledgePercentageofCurrentAssets" name="PledgePercentageofCurrentAssets" nillable="true" substitutionGroup="xbrli:item" type="num:percentItemType" xbrli:periodType="instant" />
  <xsd:element id="hcsg_PledgePercentageofTotalAssets" name="PledgePercentageofTotalAssets" nillable="true" substitutionGroup="xbrli:item" type="num:percentItemType" xbrli:periodType="instant" />
  <xsd:element id="hcsg_PropertyAndEquipmentPaymentTerms" name="PropertyAndEquipmentPaymentTerms" nillable="true" substitutionGroup="xbrli:item" type="xbrli:durationItemType" xbrli:periodType="duration" />
  <xsd:element abstract="true" id="hcsg_Range2Member" name="Range2Member" nillable="true" substitutionGroup="xbrli:item" type="nonnum:domainItemType" xbrli:periodType="duration" />
  <xsd:element abstract="true" id="hcsg_RangeOneMember" name="RangeOneMember" nillable="true" substitutionGroup="xbrli:item" type="nonnum:domainItemType" xbrli:periodType="duration" />
  <xsd:element abstract="true" id="hcsg_RangeThreeMember" name="RangeThreeMember" nillable="true" substitutionGroup="xbrli:item" type="nonnum:domainItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_ReclassificationPolicyTextBlock" name="ReclassificationPolicyTextBlock" nillable="true" substitutionGroup="xbrli:item" type="nonnum:textBlockItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_RelatedPartyTransactionFeesPaidRelatedPartyAsPercentageOfOverallRelatedPartyRevenues" name="RelatedPartyTransactionFeesPaidRelatedPartyAsPercentageOfOverallRelatedPartyRevenues" nillable="true" substitutionGroup="xbrli:item" type="num:percentItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_RevenuesByClientServicesTableTextBlock" name="RevenuesByClientServicesTableTextBlock" nillable="true" substitutionGroup="xbrli:item" type="nonnum:textBlockItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_ScheduleOfBadDebtExpenseTableTextBlock" name="ScheduleOfBadDebtExpenseTableTextBlock" nillable="true" substitutionGroup="xbrli:item" type="nonnum:textBlockItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_ScheduleOfFinancingReceivableAllowanceForCreditLossesTableTextBlock" name="ScheduleOfFinancingReceivableAllowanceForCreditLossesTableTextBlock" nillable="true" substitutionGroup="xbrli:item" type="nonnum:textBlockItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_ScheduleOfImpairedFinancingReceivableTableTextBlock" name="ScheduleOfImpairedFinancingReceivableTableTextBlock" nillable="true" substitutionGroup="xbrli:item" type="nonnum:textBlockItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_ScheduleOfOperatingLeasesExpensesTableTextBlock" name="ScheduleOfOperatingLeasesExpensesTableTextBlock" nillable="true" substitutionGroup="xbrli:item" type="nonnum:textBlockItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_ScheduleofDividendsPayableonOutstandingWeightedAverageNumberofBasicCommonSharesTableTextBlock" name="ScheduleofDividendsPayableonOutstandingWeightedAverageNumberofBasicCommonSharesTableTextBlock" nillable="true" substitutionGroup="xbrli:item" type="nonnum:textBlockItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_SelfInsuranceClaimsReserveAdjustment" name="SelfInsuranceClaimsReserveAdjustment" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="credit" xbrli:periodType="instant" />
  <xsd:element id="hcsg_ServiceAgreementsDaysToCancelAgreementAfterInitialPeriod" name="ServiceAgreementsDaysToCancelAgreementAfterInitialPeriod" nillable="true" substitutionGroup="xbrli:item" type="xbrli:durationItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_ServiceAgreementsDurationOfService" name="ServiceAgreementsDurationOfService" nillable="true" substitutionGroup="xbrli:item" type="xbrli:durationItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_ServiceAgreementsInitialPeriod" name="ServiceAgreementsInitialPeriod" nillable="true" substitutionGroup="xbrli:item" type="xbrli:durationItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_ShardbasedCompensationArrangementbySharebasedPaymentAwardContinuousYearsofService" name="ShardbasedCompensationArrangementbySharebasedPaymentAwardContinuousYearsofService" nillable="true" substitutionGroup="xbrli:item" type="xbrli:durationItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_ShardbasedCompensationArrangementbySharebasedPaymentAwardFullVestinMatchingContribution" name="ShardbasedCompensationArrangementbySharebasedPaymentAwardFullVestinMatchingContribution" nillable="true" substitutionGroup="xbrli:item" type="xbrli:durationItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_ShareBasedCompensationArrangementByShareBasedPaymentAwardAnnualEarningPercentOfTaxLimitation" name="ShareBasedCompensationArrangementByShareBasedPaymentAwardAnnualEarningPercentOfTaxLimitation" nillable="true" substitutionGroup="xbrli:item" type="num:percentItemType" xbrli:periodType="instant" />
  <xsd:element id="hcsg_ShareBasedCompensationArrangementByShareBasedPaymentAwardAnnualEarnings" name="ShareBasedCompensationArrangementByShareBasedPaymentAwardAnnualEarnings" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="credit" xbrli:periodType="instant" />
  <xsd:element id="hcsg_ShareBasedCompensationArrangementByShareBasedPaymentAwardDateOfIssue" name="ShareBasedCompensationArrangementByShareBasedPaymentAwardDateOfIssue" nillable="true" substitutionGroup="xbrli:item" type="xbrli:dateItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOptionsVestedInPeriodTotalFairValue" name="ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOptionsVestedInPeriodTotalFairValue" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="debit" xbrli:periodType="duration" />
  <xsd:element id="hcsg_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsForfeitureRate" name="ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsForfeitureRate" nillable="true" substitutionGroup="xbrli:item" type="num:percentItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_ShareBasedCompensationArrangementByShareBasedPaymentAwardMaximumTermOfGrants" name="ShareBasedCompensationArrangementByShareBasedPaymentAwardMaximumTermOfGrants" nillable="true" substitutionGroup="xbrli:item" type="xbrli:durationItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_ShareBasedCompensationArrangementByShareBasedPaymentAwardMaximumValueOfSharesPerEmployeePerCalendarYear" name="ShareBasedCompensationArrangementByShareBasedPaymentAwardMaximumValueOfSharesPerEmployeePerCalendarYear" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="credit" xbrli:periodType="instant" />
  <xsd:element id="hcsg_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfAdditionalOfferings" name="ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfAdditionalOfferings" nillable="true" substitutionGroup="xbrli:item" type="xbrli:integerItemType" xbrli:periodType="instant" />
  <xsd:element id="hcsg_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsGrantDateFairValue" name="ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsGrantDateFairValue" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="debit" xbrli:periodType="instant" />
  <xsd:element id="hcsg_ShareBasedCompensationNumberofCompensationPlans" name="ShareBasedCompensationNumberofCompensationPlans" nillable="true" substitutionGroup="xbrli:item" type="xbrli:integerItemType" xbrli:periodType="duration" />
  <xsd:element abstract="true" id="hcsg_SharebasedCompensationSharesAuthorizedunderStockOptionPlansExercisePriceRangeExercisableAbstractAbstract" name="SharebasedCompensationSharesAuthorizedunderStockOptionPlansExercisePriceRangeExercisableAbstractAbstract" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration" />
  <xsd:element abstract="true" id="hcsg_SharebasedCompensationSharesAuthorizedunderStockOptionPlansExercisePriceRangeExercisedAbstract" name="SharebasedCompensationSharesAuthorizedunderStockOptionPlansExercisePriceRangeExercisedAbstract" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration" />
  <xsd:element abstract="true" id="hcsg_SmallCapGrowthMember" name="SmallCapGrowthMember" nillable="true" substitutionGroup="xbrli:item" type="nonnum:domainItemType" xbrli:periodType="duration" />
  <xsd:element abstract="true" id="hcsg_SmallCapValueMember" name="SmallCapValueMember" nillable="true" substitutionGroup="xbrli:item" type="nonnum:domainItemType" xbrli:periodType="duration" />
  <xsd:element abstract="true" id="hcsg_StockOptionPlansMember" name="StockOptionPlansMember" nillable="true" substitutionGroup="xbrli:item" type="nonnum:domainItemType" xbrli:periodType="duration" />
  <xsd:element abstract="true" id="hcsg_TotalContingentConsiderationMember" name="TotalContingentConsiderationMember" nillable="true" substitutionGroup="xbrli:item" type="nonnum:domainItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_TreasuryStockPolicyTextBlock" name="TreasuryStockPolicyTextBlock" nillable="true" substitutionGroup="xbrli:item" type="nonnum:textBlockItemType" xbrli:periodType="duration" />
  <xsd:element id="hcsg_UnrealizedGainLossOnSecuritiesRelatedToDeferredCompensationFund" name="UnrealizedGainLossOnSecuritiesRelatedToDeferredCompensationFund" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="credit" xbrli:periodType="duration" />
  <xsd:element id="hcsg_WorkersCompensationPercentOfLiabilities" name="WorkersCompensationPercentOfLiabilities" nillable="true" substitutionGroup="xbrli:item" type="num:percentItemType" xbrli:periodType="duration" />
</xsd:schema>
