4 1 e4.txt PROVINCE HEALTHCARE COMPANY/HOWARD WALL III 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* | 2. Issuer Name and Ticker or Trading Symbol |6. Relationship of Reporting Person(s)| | Wall, III Howard T. | Province Healthcare Company (PRHC) | to Issuer (Check all applicable) | |--------------------------------------------|----------------------------------------------| | | (Last) (First) (Middle) | 3. I.R.S. Identification| 4. Statement for | [ ] Director [ ] 10% Owner | | | Number of Reporting | Month/Year | [X] Officer (give [ ] Other (specify| | | Person, if an entity | | title below) | | | (Voluntary) | | below) | | | | |Senior Vice President, General Counsel| | 105 Westwood Place, Suite 400 | | 6/2000 | and Secretary | |--------------------------------------------| |--------------------|--------------------------------------| | (Street) | | 5. If Amendment, |7. Individual or Joint/Group Filing | | | | Date of Original| (Check applicable line) | | | | (Month/Year) | [X] Form Filed by One | | Brentwood, TN 37027 | | | Reporting Person | |--------------------------------------------|----------------------------------------------| [ ] Form Filed by More Than | | (City) (State) (Zip) | | One Reporting Person | | | | | |----------------------------------------------------------------------------------------------------------------------------------| | TABLE I -- 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 | 6/21/00 | M | | 8,236 | A |$16.00 | 0 - See Note 1 | | | | | | | | | |per | | | | | | | | | | |share | | | | |---------------------|-------------------|-------|------|------------|-------|-------|-------------------|-------------|----------| | Common Stock | 6/21/00 | M | | 1,764 | A |$15.125| 0 - See Note 1 | | | | | | | | | |per | | | | | | | | | | |share | | | | |---------------------|-------------------|-------|------|------------|-------|-------|-------------------|-------------|----------| | Common Stock | 6/21/00 | S | | 10,000 | D |$32.50 | 0 - See Note 1 | | | | | | | | | |per | | | | | | | | | | |share | | | | |---------------------|-------------------|-------|------|------------|-------|-------|-------------------|-------------|----------| | | | | | | | | | | | |---------------------|-------------------|-------|------|------------|-------|-------|-------------------|-------------|----------| | | | | | | | | | | | |---------------------|-------------------|-------|------|------------|-------|-------|-------------------|-------------|----------| | | | | | | | | | | | |---------------------|-------------------|-------|------|------------|-------|-------|-------------------|-------------|----------| | | | | | | | | | | | |---------------------|-------------------|-------|------|------------|-------|-------|-------------------|-------------|----------| | | | | | | | | | | | ------------------------------------------------------------------------------------------------------------------------------------ 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 respond SEC 1474 (3-99) 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) | | of (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 | | |-----------------------|--------------|----------|-----|----|-------|--------|--------|--------|--------|-----------|-------------| | Employee Stock Options| $16.00 | 6/21/00 | M | | | 8,236 | See |2/10/08 |Common | 8,236 | | | | per share | | | | | | Note 2 | |Stock | | | |-----------------------|--------------|----------|-----|----|-------|--------|--------|--------|--------|-----------|-------------| | Employee Stock Options| $15.125 | 6/21/00 | M | | | 1,764 | 2/25/00|2/24/09 |Common | 1,764 | | | | per share | | | | | | | |Stock | | | |-----------------------|--------------|----------|-----|----|-------|--------|--------|--------|--------|-----------|-------------| | | | | | | | | | | | | | |-----------------------|--------------|----------|-----|----|-------|--------|--------|--------|--------|-----------|-------------| | | | | | | | | | | | | | |-----------------------|--------------|----------|-----|----|-------|--------|--------|--------|--------|-----------|-------------| | | | | | | | | | | | | | |-----------------------|--------------|----------|-----|----|-------|--------|--------|--------|--------|-----------|-------------| | | | | | | | | | | | | | ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------ | 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) | | | | | | |---------------------|-------------------------------|----------------------| | 25,586 | D | | |---------------------|-------------------------------|----------------------| | 12,720 | D | | |---------------------|-------------------------------|----------------------| | | | | |---------------------|-------------------------------|----------------------| | | | | |---------------------|-------------------------------|----------------------| | | | | |---------------------|-------------------------------|----------------------| | | | | ------------------------------------------------------------------------------ Explanation of Responses: (1) End of period beneficial ownership was reported incorrectly on a Form 4 filed by the Reporting Person on June 12, 2000. The end of period amount of common stock reported as beneficially owned by the Reporting Person on the June 12, 2000 Form 4 should have been "0". (2) 2,772 shares became exercisable on 2/10/99; the remainder became exercisable on 2/10/00. ** Intentional misstatements or omissions of facts constitute Federal Criminal /s/ Howard T. Wall III 7/7/00 Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). -------------------------------- ---------- **Signature of Reporting Person Date 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 Page 2 form are not required to respond unless the form displays a currently valid OMB Number. SEC 1474 (3-99)