0001209191-23-021663.txt : 20230330 0001209191-23-021663.hdr.sgml : 20230330 20230330180552 ACCESSION NUMBER: 0001209191-23-021663 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210216 FILED AS OF DATE: 20230330 DATE AS OF CHANGE: 20230330 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jackson Denise L CENTRAL INDEX KEY: 0001320242 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16753 FILM NUMBER: 23782107 MAIL ADDRESS: STREET 1: 12400 HIGH BLUFF DRIVE STREET 2: SUITE 100 CITY: SAN DIEGO STATE: CA ZIP: 92130 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: 8840 CYPRESS WATERS BOULEVARD STREET 2: SUITE 300 CITY: DALLAS STATE: TX ZIP: 75019 BUSINESS PHONE: 8668718519 MAIL ADDRESS: STREET 1: 8840 CYPRESS WATERS BOULEVARD STREET 2: SUITE 300 CITY: DALLAS STATE: TX ZIP: 75019 4 1 doc4.xml FORM 4 SUBMISSION X0407 4 2021-02-16 0 0001142750 AMN HEALTHCARE SERVICES INC AMN 0001320242 Jackson Denise L 12400 HIGH BLUFF DRIVE, SUITE 500 SAN DIEGO CA 92130 0 1 0 0 Chief Legal Officer 0 Common Stock 2021-02-16 4 A 0 2141 0.00 A 22143 D Common Stock 2021-02-16 4 F 0 741 77.55 D 21402 D Filed late due to administrative error. 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 5, 2018. 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, 2020 over a three-year period beginning on January 1, 2018 and ended December 31, 2020. As a result, 70% of the target amount of PRSUs for this award were deemed earned and vested. Due to the late filing, the amount of securities beneficially owned by the Reporting Person following the reported transactions in subsequently filed Form 4s have been understated. Number of shares withheld for tax purposes. Denise L. Jackson 2023-03-30