0000731012-24-000006.txt : 20240108
0000731012-24-000006.hdr.sgml : 20240108
20240108170359
ACCESSION NUMBER: 0000731012-24-000006
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231231
FILED AS OF DATE: 20240108
DATE AS OF CHANGE: 20240108
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kush Andrew
CENTRAL INDEX KEY: 0001704092
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-12015
FILM NUMBER: 24520946
MAIL ADDRESS:
STREET 1: 3220 TILLMAN DRIVE
STREET 2: SUITE 300
CITY: BENSALEM
STATE: PA
ZIP: 19020
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: HEALTHCARE SERVICES GROUP INC
CENTRAL INDEX KEY: 0000731012
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-NURSING & PERSONAL CARE FACILITIES [8050]
ORGANIZATION NAME: 08 Industrial Applications and Services
IRS NUMBER: 232018365
STATE OF INCORPORATION: PA
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3220 TILLMAN DRIVE
STREET 2: SUITE 300
CITY: BENSALEM
STATE: PA
ZIP: 19020
BUSINESS PHONE: 2159381661
MAIL ADDRESS:
STREET 1: 3220 TILLMAN DRIVE
STREET 2: SUITE 300
CITY: BENSALEM
STATE: PA
ZIP: 19020
4
1
wk-form4_1704751430.xml
FORM 4
X0508
4
2023-12-31
0
0000731012
HEALTHCARE SERVICES GROUP INC
HCSG
0001704092
Kush Andrew
3220 TILLMAN DRIVE
SUITE 300
BENSALEM
PA
19020
0
1
0
0
EVP & Chief Operating Officer
1
Common Stock
2024-01-03
4
M
0
2816
0
A
28572
D
Common Stock
2024-01-04
4
M
0
1700
0
A
30272
D
Common Stock
2024-01-04
4
M
0
2003
0
A
32275
D
Common Stock
2024-01-04
4
M
0
3318
0
A
35593
D
Common Stock
2024-01-04
4
F
0
3742
0
D
31851
D
Phantom Stock
2023-12-31
4
A
0
2857
10.37
A
Common Stock
2857
12237
D
Restricted Stock Units
2024-01-03
4
A
0
31226
0
A
Common Stock
31226
31226
D
Stock Option (right to buy)
10.36
2024-01-03
4
A
0
31944
10.36
A
2034-01-03
Common Stock
31944
31944
D
Restricted Stock Units
2024-01-03
4
M
0
2816
0
D
Common Stock
2816
2816
D
Restricted Stock Units
2024-01-04
4
M
0
1700
0
D
Common Stock
1700
0
D
Restricted Stock Units
2024-01-04
4
M
0
2003
0
D
Common Stock
2003
4004
D
Restricted Stock Units
2024-01-04
4
M
0
3318
0
D
Common Stock
3318
9953
D
Shares issued at the conversion rate of 1-for-1.
Shares of Phantom Stock are payable in-kind following termination of the Reporting Person's employment with Issuer.
Acquired pursuant to an Issuer contribution under the Healthcare Services Group, Inc. Deferred Compensation Plan.
These Restricted Stock Units vest at the rate of 20% annually, commencing on the first anniversary of the January 3, 2024 grant date.
These Options shall become exercisable at the rate of 20% annually, commencing on the first anniversary of the January 3, 2024 grant date.
These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the January 3, 2020 grant date.
These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the January 4, 2019 grant date.
These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the January 4, 2021 grant date.
These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the January 4, 2022 grant date.
/s/ Michael Harrity, by Power of Attorney
2024-01-08