0000731012-24-000029.txt : 20240227 0000731012-24-000029.hdr.sgml : 20240227 20240227201040 ACCESSION NUMBER: 0000731012-24-000029 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240224 FILED AS OF DATE: 20240227 DATE AS OF CHANGE: 20240227 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: 24689577 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_1709082622.xml FORM 4 X0508 4 2024-02-24 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 2024-02-24 4 M 0 4416 0 A 36267 D Common Stock 2024-02-24 4 F 0 1874 0 D 34393 D Restricted Stock Units 2024-02-24 4 M 0 4416 0 D Common Stock 4416 17662 D Shares issued at the conversion rate of 1-for-1. These Restricted Stock Units shall vest and become exercisable at the rate of 20% annually, commencing on the first anniversary of the February 24, 2023 grant date. /s/ Michael Harrity, by Power of Attorney 2024-02-27