0001209191-17-012985.txt : 20170221 0001209191-17-012985.hdr.sgml : 20170220 20170221201905 ACCESSION NUMBER: 0001209191-17-012985 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170216 FILED AS OF DATE: 20170221 DATE AS OF CHANGE: 20170221 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: 17626808 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 2017-02-16 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 2017-02-16 4 A 0 17574 0.00 A 59095 D Common Stock 2017-02-16 4 F 0 9170 38.875 D 49925 D Common Stock 2017-02-16 4 M 0 3058 0.00 A 52983 D Common Stock 2017-02-16 4 F 0 1595 38.875 D 51388 D Common Stock 2017-02-16 4 M 0 2296 0.00 A 53684 D Common Stock 2017-02-16 4 F 0 1198 38.875 D 52486 D Common Stock 2017-02-16 4 S 0 3249 40.00 D 49237 D Restricted Stock Units 2017-02-16 4 M 0 3058 0.00 D Common Stock 3058 2969 D Restricted Stock Units 2017-02-16 4 M 0 2296 0.00 D Common Stock 2296 4662 D 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 the Company achieving or exceeding, on a consolidated basis, a certain specified adjusted earnings before interest, taxes, depreciation and amortization, divided by gross revenue and expressed as a percentage ("Adjusted EBITDA Margin") as of December 31, 2016 for the one-year period beginning on January 1, 2016 and ended December 31, 2016. The maximum amount of PRSUs for this award were deemed earned and vested. Number of shares withheld for tax purposes. Common Stock acquired on the vesting of Restricted Stock Units ("RSUs"). Common Stock acquired on the vesting of RSUs. The sale of 3,249 shares of Common Stock reported in this row was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person. The RSUs identified in this row were granted pursuant to the AMN Healthcare Equity Plan. Each RSU represents a contingent right to receive one share of Common Stock. The RSUs identified in this row were granted on January 5, 2015 and vest on the third anniversary of the grant date, provided, however, the RSUs 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 2015 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 2016 fiscal year. RSUs do not have an expiration date. The RSUs identified in this row were granted on January 5, 2016 and vest on the third anniversary of the grant date, provided, however, the RSUs 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. /s/ Ralph S. Henderson 2017-02-21