0001209191-19-020971.txt : 20190322 0001209191-19-020971.hdr.sgml : 20190322 20190322153250 ACCESSION NUMBER: 0001209191-19-020971 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190320 FILED AS OF DATE: 20190322 DATE AS OF CHANGE: 20190322 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: 19699660 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 2019-03-20 0 0001142750 AMN HEALTHCARE SERVICES INC AMN 0001158584 SALKA SUSAN R 8840 CYPRESS WATERS BLVD., SUITE 300 COPPELL TX 75019 1 1 0 0 President and CEO Common Stock 2019-03-20 4 M 0 58185 8.78 A 265871 D Common Stock 2019-03-20 4 D 0 29439 47.32 D 236432 D Common Stock 2019-03-20 4 S 0 28746 48.048 D 207686 D Stock Appreciation Rights 8.78 2019-03-20 4 M 0 58185 0.00 D 2020-02-02 Common Stock 58185 58184 D A Stock-Settled Appreciation Right ("SSAR") entitles the Grantee to the right to receive shares of AMN's Common Stock ("Stock") having a value equal to the excess of the Fair Market Value of the closing price of the Stock on the trading day prior to the date of exercise over the Exercise Price multiplied by the number of SSARs exercised. The number set forth in this row represents the difference between the number of SSARs exercised (58,185), and the number of shares of Stock issued as a result of the exercise (28,746). The sale of 28,746 shares of Stock set forth in this row was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person. The price reported in this row represents a weighted average price of $48.048 per share. These shares were sold in multiple transactions at prices ranging from $48.00 to $48.28, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price. The exercise of derivative securities reported in this row was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person. The SSARs set forth in this row were granted on February 2, 2010 pursuant to the AMN Healthcare Equity Plan and vested in three equal installments on the first, second and third anniversary of the grant date. /s/ Susan R. Salka 2019-03-22