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Ownership Document |
Schema Version: X0508 |
Document Type: 4 |
Period of Report: 3/31/24 |
Not Subject to Section 16: 0 |
Issuer: |
| Issuer CIK: 731012 |
| Issuer Name: HEALTHCARE SERVICES GROUP INC |
| Issuer Trading Symbol: HCSG |
Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 946426 |
| | Owner Name: FROME ROBERT L |
| Reporting Owner Address: |
| | Owner Street 1: 3220 TILLMAN DRIVE |
| | Owner Street 2: SUITE 300 |
| | Owner City: BENSALEM |
| | Owner State: PA |
| | Owner ZIP Code: 19020 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? Yes |
| | Is Officer? No |
| | Is Ten Percent Owner? No |
| | Is Other? No |
Aff 10b5 One: 1 |
Non-Derivative Table: |
| Non-Derivative Transaction: |
| | Security Title: |
| | | Value: Common Stock |
| | Transaction Date: |
| | | Value: 3/31/24 |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: A |
| | | Equity Swap Involved? No |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 201 |
| | | Transaction Price Per Share: |
| Value: 12.48 |
| Footnote ID: F1 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 22,412 |
| Footnote ID: F2 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
Derivative Table: |
Footnotes: |
| Footnote - F1: The reporting person has elected to receive fully vested shares of Deferred Stock Units ("DSUs") under the Issuer's 2020 Amended Omnibus Incentive Plan in lieu of cash fees payable for service on the Issuer's Board of Directors and any committees thereof. The reporting person made this election in November 2023 which applies to director's fees earned in 2024 in compliance with the Issuer's black-out period guidelines. The number of shares represents the quotient of the amount of such fees divided by the Issuer's closing stock price on the date such fees would otherwise be paid, rounded up to the nearest whole share. Such DSUs will be settled in shares of common stock ninety days following separation of service from the Board. The reporting person may elect a further deferral beyond the Settlement Date pursuant to the rules of Code Section 409A. |
| Footnote - F2: Amount represents 2,835 unvested DSUs, 4,669 vested DSUs, and 14,908 shares of common stock. |
Remarks: |
Owner Signature: |
| Signature Name: /s/ Michael Harrity, by Power of Attorney |
| Signature Date: 4/2/24 |