SEC Form 4 · accession 0001209191-17-002431
AMN HEALTHCARE SERVICES INC · AMN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Denise L Jackson
Officer — General Counsel / Sr. V.P.
Period of report
Jan 3, 2017
Accepted (ET)
Jan 5, 2017 · 8:17 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001142750
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | May 12, 2016 | G | 275 | $0.00 | D | 43,502 | D | |
| Common Stock | Nov 16, 2016 | G | 162 | $0.00 | D | 43,340 | D | |
| Common Stock | Dec 16, 2016 | G | 3,850 | $0.00 | D | 39,490 | D | |
| Common Stock | Jan 3, 2017 | M | 3,071 | $0.00 | A | 42,561 | D | |
| Common Stock | Jan 3, 2017 | F | 1,330 | $38.50 | D | 41,231 | D | |
| Common Stock | Jan 4, 2017 | A | 11,634 | $0.00 | A | 52,865 | D | |
| Common Stock | Jan 4, 2017 | F | 4,356 | $38.925 | D | 48,509 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF4,F5,F6 | — | Jan 3, 2017 | M | 3,071 | D | — | — | Common Stock | 3,071 | 0 | D |
| Restricted Stock UnitsF4,F7,F6 | — | Jan 4, 2017 | A | 3,687 | A | — | — | Common Stock | 3,687 | 3,687 | D |
Explanation of responses
- F1Common Stock acquired on the vesting of Restricted Stock Units.
- F2Number of shares withheld for tax purposes.
- F3The 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.
- F4The 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.
- F5The 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.
- F6Restricted Stock Units do not have an expiration date.
- F7The 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.