-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, WsoiZhteZ2oFEkroMe2hvkZJ/ZExjfEQgIDsAk8z1d8R71sCkTlNVIIVu7sdT+zA sGoIfCeL2R1LnO8tuctRVg== 0001181431-10-054453.txt : 20101109 0001181431-10-054453.hdr.sgml : 20101109 20101109175139 ACCESSION NUMBER: 0001181431-10-054453 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101108 FILED AS OF DATE: 20101109 DATE AS OF CHANGE: 20101109 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: 101177488 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-MISC HEALTH & ALLIED SERVICES, NEC [8090] 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 rrd290545.xml FORM 4 NOV. 8, 2010 X0303 4 2010-11-08 0 0001142750 AMN HEALTHCARE SERVICES INC AHS 0001158584 SALKA SUSAN R 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 1 1 0 0 President and CEO Common Stock 2010-11-08 4 P 0 8000 4.85 A 47327 D Restricted Stock Units Common Stock 55000 55000 D Stock Appreciation Rights 18.03 2016-04-12 Common Stock 43250 43250 D Stock Options (Right to buy) 9.68 2004-05-08 2013-05-08 Common Stock 39405 39405 D Stock Options (Right to buy) 14.94 2005-05-18 2014-05-18 Common Stock 160000 160000 D Stock Options (Right to buy) 14.86 2006-05-04 2015-05-04 Common Stock 185000 185000 D Restricted Stock Units Common Stock 71681 71681 D Stock Appreciation Rights 16.18 2018-04-08 Common Stock 61646 61646 D Restricted Stock Units Common Stock 67782 67782 D Stock Appreciation Rights 8.71 2019-01-07 Common Stock 116586 116586 D Restricted Stock Units Common Stock 112111 112111 D Stock Appreciation Rights 8.78 2020-02-02 Common Stock 193949 193949 D The 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. The Restricted Stock Units were granted on April 12, 2006 and vested on April 12, 2009, provided, however, 33% of the Restricted Stock Units vested on an accelerated basis on May 12, 2007, due to the Company achieving specified earnings before interest, taxes, depreciation and amortization (EBITDA) targets for fiscal year 2006. The settlement date of the Restricted Stock Units is based on the grantee's elected distribution date under the terms of the Company's 2005 Amended and Restated Executive Nonqualified Excess Plan. Restricted Stock Units do not have an expiration date. The Options to purchase shares of Common Stock were granted pursuant to the AMN Healthcare Services, Inc. Stock Option Plan. The shares become vested in four equal installments on the first, second, third and fourth anniversary of the grant date. The Restricted Stock Units were granted on April 8, 2008 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 specified earnings before interest, taxes, depreciation and amortization (EBITDA) target for the previous fiscal year and on the second anniversary of the grant date in the amount of 34% should the Company achieve or exceed EBITDA target for the previous fiscal year. The settlement date of the Restricted Stock Units shall be the vesting date unless the grantee otherwise elects under the terms of the Company's 2005 Amended and Restated Eexcutive Nonqualified Excess Plan. The Restricted Stock Units were granted on January 7, 2009 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 specified earnings before interest, taxes, depreciation and amortization (EBITDA) target for the previous fiscal year and on the second anniversary of the grant date in the amount of 34% should the Company achieve or exceed EBITDA target for the previous fiscal year. The settlement date of the Restricted Stock Units shall be the vesting date unless the grantee otherwise elects under the terms of the Company's 2005 Amended and Restated Executive Nonqualified Excess Plan. The Restricted Stock Units were granted on February 2, 2010 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 specified earnings before interest, taxes, depreciation and amortization (EBITDA) threshold for the previous fiscal year and on the second anniversary of the grant date in the amount of 34% should the Company achieve or exceed EBITDA threshold for the previous fiscal year. The settlement date of the Restricted Stock Units shall be the vesting date unless the grantee otherwise elects under the terms of the Company's 2005 Amended and Restated Executive Nonqualified Excess Plan. The Stock Appreciation Rights were granted pursuant to the AMN Healthcare Equity Plan and vest over three years on the anniversary of the date of the grant in increments of 33%, 34% and 33% respectively. This transaction was executed in multiple trades at prices ranging from $4.81to $4.88. The price reported above reflects the weighted average purchase price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. Susan R. Salka 2010-11-09 -----END PRIVACY-ENHANCED MESSAGE-----