0001209191-15-084739.txt : 20151211
0001209191-15-084739.hdr.sgml : 20151211
20151211170512
ACCESSION NUMBER: 0001209191-15-084739
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151209
FILED AS OF DATE: 20151211
DATE AS OF CHANGE: 20151211
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AMN HEALTHCARE SERVICES INC
CENTRAL INDEX KEY: 0001142750
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HELP SUPPLY SERVICES [7363]
IRS NUMBER: 061500476
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 12400 HIGH BLUFF DRIVE
STREET 2: SUITE 100
CITY: SAN DIEGO
STATE: CA
ZIP: 92130
BUSINESS PHONE: 8668718519
MAIL ADDRESS:
STREET 1: 12400 HIGH BLUFF DRIVE
STREET 2: SUITE 100
CITY: SAN DIEGO
STATE: CA
ZIP: 92130
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SALKA SUSAN R
CENTRAL INDEX KEY: 0001158584
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-16753
FILM NUMBER: 151283950
MAIL ADDRESS:
STREET 1: 14778 EL RODEO CT.
CITY: RANCHO SANTA FE
STATE: CA
ZIP: 92067
FORMER NAME:
FORMER CONFORMED NAME: NOWAKOWSKI SUSAN
DATE OF NAME CHANGE: 20010904
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-12-09
0
0001142750
AMN HEALTHCARE SERVICES INC
AHS
0001158584
SALKA SUSAN R
12400 HIGH BLUFF DRIVE
SAN DIEGO
CA
92130
1
1
0
0
President and CEO
Common Stock
2015-12-10
4
M
0
18264
0.00
A
356266
D
Common Stock
2015-12-10
4
F
0
9530
30.835
D
346736
D
Restricted Stock Units
2015-12-09
4
A
0
33461
0.00
A
Common Stock
33461
33461
D
Common Stock acquired on the vesting of Restricted Stock Units.
Number of shares withheld for tax purposes.
The Restricted Stock Units were granted pursuant to the AMN Healthcare Equity Plan. Each Restricted Stock Unit represents a contingent right to receive one share of Common Stock.
The Restricted Stock Units were granted on December 9, 2015 and vest on the third anniversary of the grant date, provided, however, the Restricted Stock Units shall vest on an accelerated basis thirteen months after the grant date, in the incremental amount of 33% should the Company achieve or exceed a certain specified earnings before interest, taxes, depreciation and amortization (EBITDA) target for the 2016 fiscal year, and on the second anniversary of the grant date in the amount of 34% should the Company achieve or exceed the specified EBITDA target for the 2017 fiscal year.
Restricted Stock Units do not have an expiration date.
/s/ Susan R. Salka
2015-12-11