Andrew M. Brophy - Jan 3, 2022 Form 4 Insider Report for HEALTHCARE SERVICES GROUP INC (HCSG)

Role
Principal Accounting Officer
Signature
/s/ Andrew M. Brophy
Stock symbol
HCSG
Transactions as of
Jan 3, 2022
Transactions value $
$9,429
Form type
4
Date filed
1/5/2022, 08:35 PM
Next filing
Jan 5, 2023

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction HCSG Common Stock Options Exercise $0 +123 +102.5% $0.00 243 Jan 3, 2022 Direct
transaction HCSG Common Stock Options Exercise $0 +25 +10.29% $0.00 268 Jan 4, 2022 Direct
transaction HCSG Common Stock Options Exercise $0 +141 +52.61% $0.00 409 Jan 4, 2022 Direct
transaction HCSG Common Stock Tax liability $0 -81 -19.8% $0.00 328 Jan 4, 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 $9.43K +530 +143.24% $17.79 900 Jan 3, 2022 Common Stock 530 Direct F1, F2
transaction HCSG Restricted Stock Units Options Exercise $0 -123 -25.05% $0.00 368 Jan 3, 2022 Common Stock 123 Direct F1, F3
transaction HCSG Restricted Stock Units Award $0 +2.76K $0.00 2.76K Jan 4, 2022 Common Stock 2.76K Direct F1, F4
transaction HCSG Restricted Stock Units Options Exercise $0 -25 -34.25% $0.00 48 Jan 4, 2022 Common Stock 25 Direct F1, F5
transaction HCSG Restricted Stock Units Options Exercise $0 -141 -20% $0.00 564 Jan 4, 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.