-----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, Fd/ldfyjuJSiFePmehcBn5c61uXJPf5XSBsIB7LAuH+7J+3UsySqH8eQ9RNfSRKO rBLQPyuOc/p60BtwBF6fPg== 0001209191-04-015684.txt : 20040312 0001209191-04-015684.hdr.sgml : 20040312 20040312205408 ACCESSION NUMBER: 0001209191-04-015684 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040310 FILED AS OF DATE: 20040312 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WALL HOWARD T III CENTRAL INDEX KEY: 0001057317 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31320 FILM NUMBER: 04667515 BUSINESS ADDRESS: STREET 1: 109 WESTPARK DR STREET 2: STE 180 CITY: BRENTWOOD STATE: TN ZIP: 37027 MAIL ADDRESS: STREET 1: 109 WESTPARK DR STREET 2: STE 180 CITY: BRENTWOOD STATE: TN ZIP: 37027 FORMER NAME: FORMER CONFORMED NAME: WALL HOWARD I III DATE OF NAME CHANGE: 19980309 ISSUER: 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 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 STREET 2: SUITE 180 CITY: BRENTWOOD STATE: TN ZIP: 37207 4 1 bna87564_bna03hw.xml MAIN DOCUMENT DESCRIPTION X0201 4 2004-03-10 0 0001044942 PROVINCE HEALTHCARE CO PRV 0001057317 WALL HOWARD T III 109 WESTPARK DR STE 180 BRENTWOOD TN 37027 0 1 0 0 Senior VP, Sec. & Gen. Counsel Stock Options 15.75 2004-03-10 4 A 0 40000 0 A 2005-03-10 2014-03-10 Common Stock 40000 40000 D 8,000 options become exercisable on each of March 10, 2005, March 10, 2006, March 10, 2007, March 10, 2008 and March 10, 2009. /s/ Howard T. Wall III 2004-03-11 -----END PRIVACY-ENHANCED MESSAGE-----