0001209191-17-065287.txt : 20171212
0001209191-17-065287.hdr.sgml : 20171212
20171212191916
ACCESSION NUMBER: 0001209191-17-065287
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171209
FILED AS OF DATE: 20171212
DATE AS OF CHANGE: 20171212
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: 171252815
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
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-12-09
0
0001142750
AMN HEALTHCARE SERVICES INC
AMN
0001158584
SALKA SUSAN R
8840 CYPRESS WATERS BLVD.
COPPELL
TX
75019
1
1
0
0
President and CEO
Common Stock
2017-12-09
4
M
0
12770
0.00
A
269331
D
Common Stock
2017-12-09
4
F
0
5357
50.15
D
263974
D
Restricted Stock Units
2017-12-09
4
M
0
12770
0.00
D
Common Stock
12770
0
D
Common Stock acquired on the vesting of Restricted Stock Units ("RSUs").
Number of shares withheld for tax purposes.
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 December 9, 2014 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.
/s/ Susan R. Salka
2017-12-12