Form 4 for HCSG HEALTHCARE SERVICES GROUP INC
Accepted 2023-01-05 00:00:00 ET · period of report 2023-01-03 · accession 0000731012-23-000004 · SEC index · Original document
Summary rows
Aggregated the way they appear in lists: one row per insider, transaction code and security table.
| X | Filed | Traded | Ticker | Insider | Title | Type | Price | Qty | Owned | ΔOwn | Value |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DM | 2023-01-05 | 2023-01-03+ | HCSG | WAHL Theodore | Pres, CEO, Dir | M - OptEx | $0.00 | +56.4K | 317.8K | +22% | $0 |
| D | 2023-01-05 | 2023-01-03 | HCSG | WAHL Theodore | Pres, CEO, Dir | A - Grant | $10.20 | +1,405 | 277.7K | +0.5% | +$14.3K |
| D | 2023-01-05 | 2023-01-04 | HCSG | WAHL Theodore | Pres, CEO, Dir | F - Tax | $0.00 | -18.9K | 315.2K | -6% | $0 |
| DM | 2023-01-05 | 2023-01-03+ | HCSG | WAHL Theodore | Pres, CEO, Dir | M - OptEx | $0.00 | -56.4K | 0 | -100% | $0 |
| D | 2023-01-05 | 2023-01-03 | HCSG | WAHL Theodore | Pres, CEO, Dir | A - Grant | $12.00 | +4,590 | 29.0K | +19% | +$55.1K |
Purchase Sale Sale after option exercise All abbreviations
Every reported transaction
| # | Table | Security | Date | Code | A/D | Shares | Price | Owned after | Own | Exercise / expiry | Underlying | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Common | Common Stock | 2023-01-04 | M | A | 16,293 | $0.00 | 334,104 | D | — | — | |
| 2 | Common | Common Stock | 2023-01-04 | M | A | 8,500 | $0.00 | 292,239 | D | — | — | |
| 3 | Common | Common Stock | 2023-01-04 | M | A | 6,000 | $0.00 | 283,739 | D | — | — | |
| 4 | Common | Common Stock | 2023-01-03 | A | A | 1,405 | $10.20 | 277,739 | D | — | — | (F1) Acquired by the Reporting Person through participation in the Healthcare Services Group, Inc. Employee Stock Purchase Plan. |
| 5 | Common | Common Stock | 2023-01-03 | M | A | 15,547 | $0.00 | 307,786 | D | — | — | |
| 6 | Common | Common Stock | 2023-01-04 | M | A | 10,025 | $0.00 | 317,811 | D | — | — | |
| 7 | Common | Common Stock | 2023-01-04 | F | D | 18,919 | $0.00 | 315,185 | D | — | — | (F2) Total direct and indirect beneficial ownership by reporting person is 432,532. |
| 8 | Derivative | Restricted Stock Units | 2023-01-04 | M | D | 16,293 | $0.00 | 65,169 | D | — · — to — | 16,293 Common Stock | (F3) Shares issued at the conversion rate of 1-for-1. (F10) These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the January 4, 2022 grant date. |
| 9 | Derivative | Restricted Stock Units | 2023-01-04 | M | D | 10,025 | $0.00 | 30,073 | D | — · — to — | 10,025 Common Stock | (F3) Shares issued at the conversion rate of 1-for-1. (F9) These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the January 4, 2021 grant date. |
| 10 | Derivative | Restricted Stock Units | 2023-01-03 | M | D | 15,547 | $0.00 | 31,094 | D | — · — to — | 15,547 Common Stock | (F3) Shares issued at the conversion rate of 1-for-1. (F8) These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the January 3, 2020 grant date. |
| 11 | Derivative | Restricted Stock Units | 2023-01-04 | M | D | 8,500 | $0.00 | 8,500 | D | — · — to — | 8,500 Common Stock | (F3) Shares issued at the conversion rate of 1-for-1. (F7) These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the January 4, 2019 grant date. |
| 12 | Derivative | Restricted Stock Units | 2023-01-04 | M | D | 6,000 | $0.00 | 0 | D | — · — to — | 6,000 Common Stock | (F3) Shares issued at the conversion rate of 1-for-1. (F6) These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the January 4, 2018 grant date. |
| 13 | Derivative | Phantom Stock | 2023-01-03 | A | A | 4,590 | $12.00 | 28,997 | D | — · — to — | 4,590 Common Stock | (F5) Acquired pursuant to an Issuer contribution under the Healthcare Services Group, Inc. Deferred Compensation 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. |