Theodore WAHL - Jan 3, 2022 Form 4 Insider Report for HEALTHCARE SERVICES GROUP INC (HCSG)

Role
President & CEO, Director
Signature
/s/ Michael Harrity, by Power of Attorney
Stock symbol
HCSG
Transactions as of
Jan 3, 2022
Transactions value $
$3,374,136
Form type
4
Date filed
1/5/2022, 08:36 PM
Next filing
Feb 23, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction HCSG Common Stock Award $13.4K +889 +0.37% $15.12 244K Jan 3, 2022 Direct F1
transaction HCSG Common Stock Options Exercise $0 +15.5K +6.38% $0.00 259K Jan 3, 2022 Direct
transaction HCSG Common Stock Options Exercise $0 +6K +2.32% $0.00 265K Jan 4, 2022 Direct
transaction HCSG Common Stock Options Exercise $0 +6K +2.26% $0.00 271K Jan 4, 2022 Direct
transaction HCSG Common Stock Options Exercise $0 +8.5K +3.13% $0.00 280K Jan 4, 2022 Direct
transaction HCSG Common Stock Options Exercise $0 +10K +3.58% $0.00 290K Jan 4, 2022 Direct
transaction HCSG Common Stock Tax liability $0 -16.8K -5.79% $0.00 273K Jan 4, 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 $74K +4.16K +22.83% $17.79 22.4K Jan 3, 2022 Common Stock 4.16K Direct F3, F4, F5
transaction HCSG Restricted Stock Units Options Exercise $0 -15.5K -25% $0.00 46.6K Jan 3, 2022 Common Stock 15.5K Direct F3, F6
transaction HCSG Stock Option (right to buy) Award $3.29M +182K $18.10 182K Jan 4, 2022 Common Stock 182K $18.10 Direct F7
transaction HCSG Restricted Stock Units Award $0 +81.5K $0.00 81.5K Jan 4, 2022 Common Stock 81.5K Direct F3, F8
transaction HCSG Restricted Stock Units Options Exercise $0 -6K -100% $0.00* 0 Jan 4, 2022 Common Stock 6K Direct F3, F9
transaction HCSG Restricted Stock Units Options Exercise $0 -6K -50% $0.00 6K Jan 4, 2022 Common Stock 6K Direct F3, F10
transaction HCSG Restricted Stock Units Options Exercise $0 -8.5K -33.33% $0.00 17K Jan 4, 2022 Common Stock 8.5K Direct F3, F11
transaction HCSG Restricted Stock Units Options Exercise $0 -10K -20% $0.00 40.1K Jan 4, 2022 Common Stock 10K 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.