HEALTHCARE SERVICES GROUP INC 4

4 · HEALTHCARE SERVICES GROUP INC · Filed Jan 4, 2017

Form 4

Period: 2016-12-31

Executive Vice President

Transactions

Award
Restricted Stock Units
2017-01-04+3,125→ 3,125 total
From: 2022-01-04→ Common Stock (3,125 underlying)
Award
Stock Option (right to buy)
2017-01-04+15,000→ 15,000 total
Exercise: $39.38From: 2022-01-04Exp: 2027-01-04→ Common Stock (15,000 underlying)
Award
Phantom Stock
2016-12-31$39.17/sh+949$37,172→ 949 total
From: 2016-12-31→ Common Stock (949 underlying)
Award
Common Stock
2016-12-31$29.64/sh+716$21,222→ 106,941 total

Footnotes (6)

[F1]Acquired by the Reporting Person through participation in the Healthcare Services Group, Inc. Employee Stock Purchase Plan.
[F2]These options shall vest and become exercisable at the rate of 20% annually, commencing on the first anniversary of the January 4, 2017 grant date.
[F3]Shares issued at the conversion rate of 1-for-1.
[F4]These Restricted Stock Units shall vest and become exercisable at the rate of 20% annually, commencing on the first anniversary of the January 4, 2017 grant date.
[F5]Acquired pursuant to an Issuer contribution under the Healthcare Services Group, Inc. Deferred Compensation Plan.
[F6]Shares of Phantom Stock are payable in-kind following termination of the Reporting Person's employment with Issuer.

Documents

2 files