0001209191-17-006516.txt : 20170131 0001209191-17-006516.hdr.sgml : 20170131 20170131195807 ACCESSION NUMBER: 0001209191-17-006516 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170130 FILED AS OF DATE: 20170131 DATE AS OF CHANGE: 20170131 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: 17562726 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 2017-01-30 0 0001142750 AMN HEALTHCARE SERVICES INC AMN 0001158584 SALKA SUSAN R 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 1 1 0 0 President and CEO Common Stock 2017-01-30 4 A 0 80477 0.00 A 364826 D Common Stock 2017-01-30 4 F 0 40101 36.2625 D 324725 D Performance Restricted Stock Units 2017-01-30 4 M 0 80477 0.00 D Common Stock 80477 0 D The acquisition of Common Stock set forth in this row resulted from the deferred release of a Performance Restricted Stock Unit ("PRSU") award that vested on January 5, 2016. In 2013, the reporting person elected to defer receipt of these PRSUs pursuant to the Company's deferred compensation plan, with a settlement date of January 30, 2017. Number of shares withheld for tax purposes. Each PRSU represents a contingent right to receive one share of Common Stock. The PRSUs set forth in this row resulted from the vesting of a PRSU award granted by the Company on January 3, 2013. On January 5, 2016, the maximum number of PRSUs that could have been earned, 80,477, were deemed earned and vested under the January 3, 2013 PRSU award. PRSUs do not have an expiration date. /s/ Susan R. Salka 2017-01-31