-----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, WjV9wPaMG/8WNq90DY30VQd17zBgVAuNn06y2XPGVwv5EFnkylaJ0mrpsQrY6tyH DgFE5oHOtZW9E0CWLrkXGw== 0000950144-99-011065.txt : 19990913 0000950144-99-011065.hdr.sgml : 19990913 ACCESSION NUMBER: 0000950144-99-011065 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990831 FILED AS OF DATE: 19990910 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PROVINCE HEALTHCARE CO CENTRAL INDEX KEY: 0001044942 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062] IRS NUMBER: 621710772 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-23639 FILM NUMBER: 99709206 BUSINESS ADDRESS: STREET 1: 105 WESTPARK DR STREET 2: STE 400 CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 6153701377 MAIL ADDRESS: STREET 1: 105 WESTPARK DR SUITE 180 STREET 2: 105 WESTPARK DR SUITE 180 CITY: BRENTWOOD STATE: TN ZIP: 37207 COMPANY DATA: COMPANY CONFORMED NAME: NOLAN JOSEPH P CENTRAL INDEX KEY: 0001042055 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: C/O GOLDER THOMA CRESSEY RAUNER INC STREET 2: 6100 SEARS TOWER CITY: CHICAGO STATE: IL ZIP: 60606 MAIL ADDRESS: STREET 1: C/O GOLDER THOMA CRESSEY RAUNER INC STREET 2: 6100 SEARS TOWER CITY: CHICAGO STATE: IL ZIP: 60606 4 1 PROVINCE HEALTCARE CO. JOSEPH P. NOLAN 1 - ------ FORM 4 - ------ U.S. SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP [ ] Check box if no longer subject to Filed pursuant to Section 16(a) of the Securities Section 16. Form 4 Exchange Act of 1934, Section 17(a) of the or Form 5 obligations Public Utility Holding Company Act of 1935 may continue. See or Section 30(f) of the Investment Company Instruction 1(b). Act of 1940 - ------------------------------------------------------------------------------------------------------------------------------------ | 1. Name and Address of Reporting Person(1) | 2. Issuer Name and Ticker or Trading Symbol |6. Relationship of Reporting Person to| | Nolan Joseph P. | Province Healthcare Company (PRHC) | Issuer (Check all applicable) | |--------------------------------------------|----------------------------------------------| | | (Last) (First) (Middle) | 3. IRS Identification | 4. Statement For | [X] Director [ ] 10% Owner | | | Number of Reporting | Month/Year | [ ] Officer (give [ ] Other (Specify| | | Person, if an Entity | | title below) | | | (Voluntary) | | below) | | 6100 Sears Tower | | 8/99 | | |--------------------------------------------| |--------------------|--------------------------------------| | (Street) | | 5. If Amendment, |7. Individual or Joint/Group Filing | | | | Date of Original| (Check applicable line) | | | | (Month/Year) | [X] Form Filed by One | | Chicago IL 60606 | | | Reporting Person | |--------------------------------------------|----------------------------------------------| [ ] Form Filed by More Than | | (City) (State) (Zip) | | One Reporting Person | | | | | |----------------------------------------------------------------------------------------------------------------------------------| | TABLE 1 -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED | |----------------------------------------------------------------------------------------------------------------------------------| |1. Title of Security |2. Transaction |3. Transac- |4. Securities Acquired (A) | 5. Amount of Se- |6. Owner- |7. Nature | | (Instr. 3) | Date | tion Code | or Disposed of (D) | curities Benefi-| ship | of In- | | | (Month/Day/ | (Instr. 8) | | cially Owned at | Form: | direct | | | Year) | | | End of Month | Direct | Benefi-| | | | | (Instr. 3, 4 and 5) | (Instr. 3 and 4)| (D) or | cial | | | |--------------|---------------------------| | Indirect | Owner- | | | | Code | V | Amount | (A) or| Price| | (I) | ship | | | | | | | (D) | | | (Instr. 4)| (Instr.| | | | | | | | | | | 4) | |---------------------|-------------------|-------|------|------------|-------|------|--------------------|-------------|----------| | Common Stock | 8/31/99 |J (See | | 600,000 | D | | 1,110,266 | Both |See Note | | | |Note 1)| | shares | | | shares | | 2 | |---------------------|-------------------|-------|------|------------|-------|------|--------------------|-------------|----------| | Common Stock | 8/31/99 |J (See | | 926 | A | | 1,110,266 | Both |See Note | | | |Note 1)| | shares | | | shares | | 2 | |---------------------|-------------------|-------|------|------------|-------|------|--------------------|-------------|----------| | | | | | | | | | | | |---------------------|-------------------|-------|------|------------|-------|------|--------------------|-------------|----------| | | | | | | | | | | | |---------------------|-------------------|-------|------|------------|-------|------|--------------------|-------------|----------| | | | | | | | | | | | |---------------------|-------------------|-------|------|------------|-------|------|--------------------|-------------|----------| | | | | | | | | | | | |---------------------|-------------------|-------|------|------------|-------|------|--------------------|-------------|----------| | | | | | | | | | | | |---------------------|-------------------|-------|------|------------|-------|------|--------------------|-------------|----------| | | | | | | | | | | | - ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. *If the form is filed by more than one reporting person, see Instruction 4(b)(v). Potential persons who are to respond to the collection of (Over) information contained in this form are not required to SEC 1474 (7-97) respond unless the form displays a currently valid OMB control number.
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FORM 4 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) - ------------------------------------------------------------------------------------------------------------------------------------ |1. Title of Derivative | 2. Conver- |3. Trans- |4. Trans- | 5. Number of | 6. Date Exer- | 7. Title and Amount |8. Price | | Security | sion or | action | action | Derivative | cisable and | of Underlying | of | | (Instr. 3) | Exercise | Date | Code | Securities | Expiration | Securities | Deriv- | | | Price of | (Month/| (Instr.| Acquired (A)| Date | (Instr. 3 and 4) | ative | | | Deriv- | Day/ | 8) | or Disposed | (Month/Day/ | | Secur- | | | ative | Year) | | or (D) | Year) | | ity | | | Security | | | (Instr. 3, | | | (Instr. 5)| | | | | | 4, and 5) |----------------|---------------------| | | | | | | | Date |Expira-| | Amount or| | | | | |----------|----------------| Exer- |tion | Title | Number of| | | | | | Code| V | (A) | (D) | cisable|Date | | Shares | | |-----------------------|--------------|----------|-----|----|--------|-------|--------|-------|---------|-----------|-------------| | | | | | | | | | | | | | |-----------------------|--------------|----------|-----|----|--------|-------|--------|-------|---------|-----------|-------------| | | | | | | | | | | | | | |-----------------------|--------------|----------|-----|----|--------|-------|--------|-------|---------|-----------|-------------| | | | | | | | | | | | | | |-----------------------|--------------|----------|-----|----|--------|-------|--------|-------|---------|-----------|-------------| | | | | | | | | | | | | | |-----------------------|--------------|----------|-----|----|--------|-------|--------|-------|---------|-----------|-------------| | | | | | | | | | | | | | |-----------------------|--------------|----------|-----|----|--------|-------|--------|-------|---------|-----------|-------------| | | | | | | | | | | | | | |---------------------------------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------ | 9. Number of | 10. Ownership | 11. Nature of | | Derivative | Form of | Indirect | | Securities | Derivative | Beneficial | | Beneficially | Security: | Ownership | | Owned at End | Direct (D) | (Instr. 4) | | of Month | or Indirect (I) | | | (Instr. 4) | (Instr. 4) | | | | | | |---------------------|-------------------------------|----------------------| | | | | |---------------------|-------------------------------|----------------------| | | | | |---------------------|-------------------------------|----------------------| | | | | |---------------------|-------------------------------|----------------------| | | | | |---------------------|-------------------------------|----------------------| | | | | |---------------------|-------------------------------|----------------------| | | | | - ------------------------------------------------------------------------------ Explanation of Responses: Note 1: Golder, Thoma, Cressey, Rauner Fund IV, L.P. Distributed 600,000 shares on 8/31/99. The reporting person received a total of 926 shares in the distribution. Note 2: Golder, Thoma, Cressey, Rauner Fund IV, L.P. ("GTCR Fund IV") is the direct beneficial owner of 1,101,258 shares of the issuer's common stock. Golder, Thoma, Cressey, Rauner, Inc. ("GTCR") is the general partner of GTCR IV, L.P., which is the general partner of GTCR Fund IV. The reporting person is a principal of GTCR and may be deemed to have an indirect pecuniary interest in the issuer's common stock directly or indirectly owned by GTCR Fund IV to the extent of the reporting person's indirect proportionate general partnership interest in GTCR Fund IV through GTCR. The reporting person disclaims beneficial ownership of the shares held by GTCR Fund IV. The reporting person is the direct beneficial owner of 9,008 shares of the issuer's common stock. /s/ Joseph P. Nolan 9/10/99 ---------------------------------- ---------------- ** Intentional misstatements or omissions of facts constitute Federal **Signature of Reporting Person Date Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a) JOSEPH P. NOLAN Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
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