JOHN CHRISTOPHER SHEA - 03 Jan 2022 Form 4/A - Amendment Insider Report for HEALTHCARE SERVICES GROUP INC (HCSG)

Role
EVP & Chief Admin Officer
Signature
/s/ Michael Harrity, by Power of Attorney
Issuer symbol
HCSG
Transactions as of
03 Jan 2022
Net transactions value
+$709,890
Form type
4/A - Amendment
Filing time
06 Jan 2022, 11:06:35 UTC
Date Of Original Report
05 Jan 2022
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 Award $13,442 +889 +5.2% $15.12 18,091 03 Jan 2022 Direct F1, F2
transaction HCSG Common Stock Options Exercise $0 +2,819 +16% $0.000000 20,910 03 Jan 2022 Direct
transaction HCSG Common Stock Options Exercise $0 +1,930 +9.2% $0.000000 22,840 04 Jan 2022 Direct
transaction HCSG Common Stock Options Exercise $0 +1,200 +5.3% $0.000000 24,040 04 Jan 2022 Direct
transaction HCSG Common Stock Options Exercise $0 +1,700 +7.1% $0.000000 25,740 04 Jan 2022 Direct
transaction HCSG Common Stock Options Exercise $0 +2,002 +7.8% $0.000000 27,742 04 Jan 2022 Direct
transaction HCSG Common Stock Tax liability $0 -3,770 -14% $0.000000 23,972 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 $27,219 +1,530 +23% $17.79 8,189 03 Jan 2022 Common Stock 1,530 Direct F3, F4
transaction HCSG Restricted Stock Units Options Exercise $0 -2,819 -25% $0.000000 8,450 03 Jan 2022 Common Stock 2,819 Direct F3, F5
transaction HCSG Stock Option (right to buy) Award $669,229 +36,974 $18.10 36,974 04 Jan 2022 Common Stock 36,974 $18.10 Direct F6
transaction HCSG Restricted Stock Units Award $0 +16,587 $0.000000 16,587 04 Jan 2022 Common Stock 16,587 Direct F3, F7
transaction HCSG Restricted Stock Units Options Exercise $0 -1,930 -100% $0.000000* 0 04 Jan 2022 Common Stock 1,930 Direct F3, F8
transaction HCSG Restricted Stock Units Options Exercise $0 -1,200 -50% $0.000000 1,200 04 Jan 2022 Common Stock 1,200 Direct F3, F9
transaction HCSG Restricted Stock Units Options Exercise $0 -1,700 -33% $0.000000 3,400 04 Jan 2022 Common Stock 1,700 Direct F3, F10
transaction HCSG Restricted Stock Units Options Exercise $0 -2,002 -20% $0.000000 8,009 04 Jan 2022 Common Stock 2,002 Direct F3, F11
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The original Form 4, filed on January 5, 2022, is being amended solely to correct Mr. Shea's officer title in box 5. As announced on August 24, 2021, Mr. Shea was appointed EVP & Chief Administrative Officer.
F2 Acquired by the Reporting Person through participation in the Healthcare Services Group, Inc. Employee Stock Purchase Plan.
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 These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the January 3, 2020 grant date.
F6 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.
F7 These Restricted Stock Units shall vest 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, 2017 grant date.
F9 These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the January 4, 2018 grant date.
F10 These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the January 4, 2019 grant date.
F11 These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the January 4, 2021 grant date.