Andrew M. Brophy - 03 Jan 2022 Form 4 Insider Report for HEALTHCARE SERVICES GROUP INC (HCSG)

Role
Principal Accounting Officer
Signature
/s/ Andrew M. Brophy
Issuer symbol
HCSG
Transactions as of
03 Jan 2022
Net transactions value
+$9,429
Form type
4
Filing time
05 Jan 2022, 20:35:02 UTC
Next filing
05 Jan 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 Options Exercise $0 +123 +102% $0.000000 243 03 Jan 2022 Direct
transaction HCSG Common Stock Options Exercise $0 +25 +10% $0.000000 268 04 Jan 2022 Direct
transaction HCSG Common Stock Options Exercise $0 +141 +53% $0.000000 409 04 Jan 2022 Direct
transaction HCSG Common Stock Tax liability $0 -81 -20% $0.000000 328 04 Jan 2022 Direct

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 $9,429 +530 +143% $17.79 900 03 Jan 2022 Common Stock 530 Direct F1, F2
transaction HCSG Restricted Stock Units Options Exercise $0 -123 -25% $0.000000 368 03 Jan 2022 Common Stock 123 Direct F1, F3
transaction HCSG Restricted Stock Units Award $0 +2,762 $0.000000 2,762 04 Jan 2022 Common Stock 2,762 Direct F1, F4
transaction HCSG Restricted Stock Units Options Exercise $0 -25 -34% $0.000000 48 04 Jan 2022 Common Stock 25 Direct F1, F5
transaction HCSG Restricted Stock Units Options Exercise $0 -141 -20% $0.000000 564 04 Jan 2022 Common Stock 141 Direct F1, F6
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Shares issued at the conversion rate of 1-for-1.
F2 Shares of Phantom Stock are payable in-kind following termination of the Reporting Person's employment with Issuer.
F3 These Restricted Stock Units shall vest and become exercisable at the rate of 20% annually, commencing on the first anniversary of the January 3, 2020 grant date.
F4 These Restricted Stock Units shall vest and become exercisable at the rate of 20% annually, commencing on the first anniversary of the January 4, 2022 grant date.
F5 These Restricted Stock Units shall vest and become exercisable at the rate of 20% annually, commencing on the first anniversary of the January 4, 2019 grant date.
F6 These Restricted Stock Units shall vest and become exercisable at the rate of 20% annually, commencing on the first anniversary of the January 4, 2021 grant date.