Theodore WAHL - 03 Jan 2022 Form 4 Insider Report for HEALTHCARE SERVICES GROUP INC (HCSG)

Role
President & CEO, Director
Signature
/s/ Michael Harrity, by Power of Attorney
Issuer symbol
HCSG
Transactions as of
03 Jan 2022
Net transactions value
+$3,374,136
Form type
4
Filing time
05 Jan 2022, 20:36:04 UTC
Next filing
23 Feb 2022
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction HCSG Common Stock Award $13,442 +889 +0.37% $15.12 243,601 03 Jan 2022 Direct F1
transaction HCSG Common Stock Options Exercise $0 +15,547 +6.4% $0.000000 259,148 03 Jan 2022 Direct
transaction HCSG Common Stock Options Exercise $0 +6,000 +2.3% $0.000000 265,148 04 Jan 2022 Direct
transaction HCSG Common Stock Options Exercise $0 +6,000 +2.3% $0.000000 271,148 04 Jan 2022 Direct
transaction HCSG Common Stock Options Exercise $0 +8,500 +3.1% $0.000000 279,648 04 Jan 2022 Direct
transaction HCSG Common Stock Options Exercise $0 +10,025 +3.6% $0.000000 289,673 04 Jan 2022 Direct
transaction HCSG Common Stock Tax liability $0 -16,780 -5.8% $0.000000 272,893 04 Jan 2022 Direct F2

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction HCSG Phantom Stock Award $74,042 +4,162 +23% $17.79 22,390 03 Jan 2022 Common Stock 4,162 Direct F3, F4, F5
transaction HCSG Restricted Stock Units Options Exercise $0 -15,547 -25% $0.000000 46,641 03 Jan 2022 Common Stock 15,547 Direct F3, F6
transaction HCSG Stock Option (right to buy) Award $3,286,652 +181,583 $18.10 181,583 04 Jan 2022 Common Stock 181,583 $18.10 Direct F7
transaction HCSG Restricted Stock Units Award $0 +81,462 $0.000000 81,462 04 Jan 2022 Common Stock 81,462 Direct F3, F8
transaction HCSG Restricted Stock Units Options Exercise $0 -6,000 -100% $0.000000* 0 04 Jan 2022 Common Stock 6,000 Direct F3, F9
transaction HCSG Restricted Stock Units Options Exercise $0 -6,000 -50% $0.000000 6,000 04 Jan 2022 Common Stock 6,000 Direct F3, F10
transaction HCSG Restricted Stock Units Options Exercise $0 -8,500 -33% $0.000000 17,000 04 Jan 2022 Common Stock 8,500 Direct F3, F11
transaction HCSG Restricted Stock Units Options Exercise $0 -10,025 -20% $0.000000 40,098 04 Jan 2022 Common Stock 10,025 Direct F3, F12
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Acquired by the Reporting Person through participation in the Healthcare Services Group, Inc. Employee Stock Purchase Plan.
F2 Total direct and indirect beneficial ownership by reporting person is 395,380.
F3 Shares issued at the conversion rate of 1-for-1.
F4 Shares of Phantom Stock are payable in-kind following termination of the Reporting Person's employment with Issuer.
F5 Acquired pursuant to an Issuer contribution under the Healthcare Services Group, Inc. Deferred Compensation Plan.
F6 These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the January 3, 2020 grant date.
F7 These Options shall vest and become exercisable at the rate of 20% annually, commencing on the first anniversary of the January 4, 2022 grant date.
F8 These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the January 4, 2022 grant date.
F9 These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the January 4, 2017 grant date.
F10 These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the January 4, 2018 grant date.
F11 These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the January 4, 2019 grant date.
F12 These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the January 4, 2021 grant date.