Theodore WAHL - 03 Jan 2023 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 2023
Net transactions value
+$69,411
Form type
4
Filing time
05 Jan 2023, 20:00:08 UTC
Previous filing
12 Dec 2022
Next filing
23 Feb 2023
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 $14,331 +1,405 +0.51% $10.20 277,739 03 Jan 2023 Direct F1
transaction HCSG Common Stock Options Exercise $0 +6,000 +2.2% $0.000000 283,739 04 Jan 2023 Direct
transaction HCSG Common Stock Options Exercise $0 +8,500 +3% $0.000000 292,239 04 Jan 2023 Direct
transaction HCSG Common Stock Options Exercise $0 +15,547 +5.3% $0.000000 307,786 03 Jan 2023 Direct
transaction HCSG Common Stock Options Exercise $0 +10,025 +3.3% $0.000000 317,811 04 Jan 2023 Direct
transaction HCSG Common Stock Options Exercise $0 +16,293 +5.1% $0.000000 334,104 04 Jan 2023 Direct
transaction HCSG Common Stock Tax liability $0 -18,919 -5.7% $0.000000 315,185 04 Jan 2023 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 $55,080 +4,590 +19% $12.00 28,997 03 Jan 2023 Common Stock 4,590 Direct F3, F4, F5
transaction HCSG Restricted Stock Units Options Exercise $0 -6,000 -100% $0.000000* 0 04 Jan 2023 Common Stock 6,000 Direct F3, F6
transaction HCSG Restricted Stock Units Options Exercise $0 -8,500 -50% $0.000000 8,500 04 Jan 2023 Common Stock 8,500 Direct F3, F7
transaction HCSG Restricted Stock Units Options Exercise $0 -15,547 -33% $0.000000 31,094 03 Jan 2023 Common Stock 15,547 Direct F3, F8
transaction HCSG Restricted Stock Units Options Exercise $0 -10,025 -25% $0.000000 30,073 04 Jan 2023 Common Stock 10,025 Direct F3, F9
transaction HCSG Restricted Stock Units Options Exercise $0 -16,293 -20% $0.000000 65,169 04 Jan 2023 Common Stock 16,293 Direct F3, F10
* 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 432,532.
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 4, 2018 grant date.
F7 These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the January 4, 2019 grant date.
F8 These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the January 3, 2020 grant date.
F9 These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the January 4, 2021 grant date.
F10 These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the January 4, 2022 grant date.