HEALTHCARE SERVICES GROUP INC
SC 13G/A, 1999-02-16
TO DWELLINGS & OTHER BUILDINGS
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                                 UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549


                                  SCHEDULE 13G


                    UNDER THE SECURITIES EXCHANGE ACT of 1934
                               (AMENDMENT NO. 4 )*

                         Healthcare Services Group, Inc.
                                (NAME OF ISSUER)

                                  Common Stock
                         (TITLE OF CLASS OF SECURITIES)

                                   421906108
                                 (CUSIP NUMBER)

                                December 31, 1998
             (DATE OF EVENT WHICH REQUIRES FILING OF THIS STATEMENT)

Check the  appropriate box to designate the rule pursuant to which this Schedule
is filed:

     [ X ]  Rule 13d-1(b)

     [   ]  Rule 13d-1(c)

     [   ]  Rule 13d-1(d)

*The  remainder of this cover page shall be filled out for a reporting  person's
initial filing on this form with respect to the subject class of securities, and
for any  subsequent  amendment  containing  information  which  would  alter the
disclosures provided in a prior cover page.

The information required in the remainder of this cover page shall not be deemed
to be "filed" for the purpose of Section 18 of the  Securities  Exchange  Act of
1934 ("Act") or otherwise  subject to the liabilities of that section of the Act
but shall be subject to all other provisions of the Act (however, see the Notes)

<PAGE>

CUSIP NO. 421906108       13G

1     NAME OF REPORTING PERSON
      S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
          Rockefeller & Co., Inc.
          I.R.S. Identification No.: 13-3006584

2    CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*


          Not applicable           (a)       |_|
                                   (b)       |_|

3    SEC USE ONLY

4    CITIZENSHIP OR PLACE OF ORGANIZATION
       New York

                        5      SOLE VOTING POWER
NUMBER OF                          625,890

SHARES                  6      SHARED VOTING POWER
                                   Not applicable.
BENEFICIALLY
                        7      SOLE DISPOSITIVE POWER
OWNED BY                           625,890

EACH REPORTING          8      SHARED DISPOSITIVE POWER
                                   Not applicable.
PERSON WITH

9    AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
       625,890

10   CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES
CERTAIN SHARES*
       Not applicable.

11   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
       5.6%

12   TYPE OF REPORTING PERSON*
       IA

               *SEE INSTRUCTION BEFORE FILLING OUT!

<PAGE>

Item 1(a).  Name of Issuer:
            Healthcare Services Group, Inc.

Item 1(b).  Address of Issuer's Principal Executive Offices:
            2643 Huntingdon Pike
            Huntingdon Valley, PA  19006

Item 2(a).  Name of Person Filing:
            Rockefeller & Co., Inc.

Item 2(b).  Address of Principal Business Office:
            30 Rockefeller Plaza, New York, New York 10112

Item 2(c).  Citizenship:
            New York

Item 2(d).  Title of Class of Securities:
            Common Stock

Item 2(e).  CUSIP Number:
            421906108

Item 3.     If this statement is filed pursuant to Rules 13d-
            1(b), or 13d-2(b), check whether the person filing is a:

(a)         Broker or Dealer registered under Section 15 of
            the Act,

(b)         Bank as defined in Section 3(a)(6) of the Act,

(c)         Insurance Company as defined in Section 3(a)(19) of
            the Act,

(d)         Investment Company registered under Section 8 of the
            Investment Company Act,

(e)  X      Investment Adviser registered under Section 203 of
            the Investment Advisers Act of 1940,

<PAGE>

(f)         Employee Benefit Plan, Pension Fund which is subject
            to the provisions of the Employee Retirement Income
            Security Act of 1974 or Endowment Fund; see
            13d-(b)(1)(ii)(F),

(g)         Parent Holding Company, in accordance with
            Rule 13d-1(b)(ii)(G),

(h)         Group, in accordance with Rule 13d-1(b)(1)(ii)(H).

Item 4.     Ownership
            As of December 31, 1998:

       (a)  Amount Beneficially Owned:
            625,890

       (b)  Percent of Class:
            5.6%

       (c)  Number of shares as to which such person has:
           (i)  sole power to vote or to direct the vote 625,890,
           (ii) shared power to vote or to direct the vote -0-,
           (iii)sole power to dispose or to direct the disposition of 625,890,
           (iv) shared power to dispose or to direct the disposition of -0-.

Item 5.   Ownership of Five Percent or Less of a Class.
          Not Applicable.

Item 6.   Ownership of More than Five Percent on Behalf of
          Another Person.

    Rockefeller & Co., Inc. ("R&Co.") is making this filing on behalf of certain
clients  for  which  it is the  investment  manager  (collectively,  the  "R&Co.
clients"). Each of these R&Co. clients, individually,  owns less than 5% of this
security.

<PAGE>

Each of these  R&Co.  clients  has  executed  investment  management  agreements
granting R&Co. the right to exercise full discretion with respect to all matters
relating  to the stock of the Issuer  held by them  (including  sole  voting and
dispositive power). Thus, while R&Co. is for purposes of this filing regarded as
the  beneficial  owner of the  shares  of the  Issuer  held by each of the R&Co.
clients, each of the R&Co. clients has the sole right to receive dividends from,
and the proceeds from the sale of, the  securities of the Issuer owned of record
by each of them.

Item 7.   Identification and Classification of the Subsidiary
          Which Acquired the Security Being Reported on By the Parent
          Holding Company.

          Not Applicable.

Item 8.   Identification and Classification of Members of the Group.

          Not Applicable.

Item 9.   Notice of Dissolution of Group.

          Not Applicable.

Item 10.  Certification.

    By signing below I certify that, to the best of my knowledge and belief, the
securities  referred to above were  acquired in the ordinary  course of business
and were not  acquired for the purpose of and do not have the effect of changing
or  influencing  the  control  of the  issuer  of such  securities  and were not
acquired in connection with or as a participant in any  transaction  having such
purpose or effect.

          SIGNATURE

  After reasonable inquiry and to the best of my knowledge and belief, I certify
that the information set forth in this statement is true, complete and correct.

February 12, 1999
(Date)



(Signature) /s/ David A. Strawbridge

David A. Strawbridge, Vice President
(Name/Title)



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