HEALTHCARE SERVICES GROUP INC — Director's Dealing 2017

Jan 4, 2017

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: HEALTHCARE SERVICES GROUP INC (HCSG)
CIK: 0000731012
Period of Report: 2016-12-31

Reporting Person: McCartney Bryan D (Executive Vice President)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2016-12-31	Common Stock	A	716	$29.64	Acquired	106941	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2017-01-04	Stock Option (right to buy)	$39.38	A	15000	Acquired	2027-01-04	Common Stock (15000.0)	Direct
2017-01-04	Restricted Stock Units	$	A	3125	Acquired		Common Stock (3125.0)	Direct
2016-12-31	Phantom Stock	$	A	949	Acquired		Common Stock (949.0)	Direct

Footnotes

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.