0001209191-17-002434.txt : 20170105 0001209191-17-002434.hdr.sgml : 20170105 20170105201845 ACCESSION NUMBER: 0001209191-17-002434 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170103 FILED AS OF DATE: 20170105 DATE AS OF CHANGE: 20170105 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: Henderson Ralph CENTRAL INDEX KEY: 0001410701 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16753 FILM NUMBER: 17512624 MAIL ADDRESS: STREET 1: 12400 HIGH BLUFF DRIVE STREET 2: SUITE 100 CITY: SAN DIEGO STATE: CA ZIP: 92130 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-01-03 0 0001142750 AMN HEALTHCARE SERVICES INC AMN 0001410701 Henderson Ralph 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 0 1 0 0 Pres., Prof. Svc. & Staffing Common Stock 2017-01-03 4 M 0 3314 0.00 A 35086 D Common Stock 2017-01-03 4 F 0 1414 38.50 D 33672 D Common Stock 2017-01-04 4 A 0 12553 0.00 A 46225 D Common Stock 2017-01-04 4 F 0 4704 38.925 D 41521 D Restricted Stock Units 2017-01-03 4 M 0 3314 0.00 D Common Stock 3314 0 D Restricted Stock Units 2017-01-04 4 A 0 6294 0.00 A Common Stock 6294 6294 D Common Stock acquired on the vesting of Restricted Stock Units. Number of shares withheld for tax purposes. The acquisition of Common Stock set forth in this row resulted from the vesting of a Performance Restricted Stock Unit ("PRSU") award granted by the Company on January 3, 2014. The ultimate number of PRSUs that could have been earned and vested under this award depended on (1) the total shareholder return for the Company relative to the companies in the Russell 2000 Index as of December 31, 2013 for the 3-year period beginning on January 1, 2014 and ended December 31, 2016 ("Relative TSR") and (2) whether the Company's absolute total shareholder return for the same period was positive or negative (collectively, the "TSR Measurement"). The Compensation Committee performed the TSR Measurement for this award on January 4, 2017. The Company's Relative TSR measured in the 97th percentile and its absolute total shareholder return for the period was positive. Based on these results, the maximum amount of PRSUs for this award were deemed earned and vested. 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 January 3, 2014 and vest on the third anniversary of the grant date. Each Restricted Stock Unit represents a contingent right to receive one share of Common Stock. Restricted Stock Units do not have an expiration date. The Restricted Stock Units identified in this row were granted on January 4, 2017 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 2017 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 2018 fiscal year. /s/ Ralph S. Henderson 2017-01-05