0000731012-24-000014.txt : 20240108
0000731012-24-000014.hdr.sgml : 20240108
20240108171620
ACCESSION NUMBER: 0000731012-24-000014
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: WAHL Theodore
CENTRAL INDEX KEY: 0001454244
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-12015
FILM NUMBER: 24521046
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_1704752169.xml
FORM 4
X0508
4
2023-12-31
0
0000731012
HEALTHCARE SERVICES GROUP INC
HCSG
0001454244
WAHL Theodore
3220 TILLMAN DRIVE
SUITE 300
BENSALEM
PA
19020
1
1
0
0
President & CEO
1
Common Stock
2023-12-31
4
A
0
2083
8.81
A
317892
D
Common Stock
2024-01-04
4
M
0
8500
0
A
326392
D
Common Stock
2024-01-03
4
M
0
15547
0
A
341939
D
Common Stock
2024-01-04
4
M
0
10025
0
A
351964
D
Common Stock
2024-01-04
4
M
0
16293
0
A
368257
D
Common Stock
2024-01-04
4
F
0
16650
0
D
351607
D
Phantom Stock
2023-12-31
4
A
0
4858
10.37
A
Common Stock
4858
33855
D
Restricted Stock Units
2024-01-04
4
M
0
8500
0
D
Common Stock
8500
0
D
Restricted Stock Units
2024-01-03
4
M
0
15547
0
D
Common Stock
15547
15547
D
Restricted Stock Units
2024-01-04
4
M
0
10025
0
D
Common Stock
10025
20048
D
Restricted Stock Units
2024-01-04
4
M
0
16293
0
D
Common Stock
16293
48876
D
Stock Option (right to buy)
10.36
2024-01-03
4
A
0
156735
10.36
A
2034-01-03
Common Stock
156735
156735
D
Restricted Stock Units
2024-01-03
4
A
0
153213
0
A
Common Stock
153213
153213
D
Acquired by the Reporting Person through participation in the Healthcare Services Group, Inc. Employee Stock Purchase Plan.
Total direct and indirect beneficial ownership by reporting person is 837,359.
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 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 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, 2021 grant date.
These Restricted Stock Units vest at the rate of 20% annually, commencing on the first anniversary of the January 4, 2022 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, 2024 grant date.
/s/ Michael Harrity, by Power of Attorney
2024-01-08