-----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, IuFMUHrmyZrToxtcRYsFHiqzAFoi0SZhLpR7ukmurXQxbPawBM94Uo4Is46Br4g+ s6Te+RBbFPXO4vf63ylj7Q== 0001209191-05-021189.txt : 20050419 0001209191-05-021189.hdr.sgml : 20050419 20050419162352 ACCESSION NUMBER: 0001209191-05-021189 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050415 FILED AS OF DATE: 20050419 DATE AS OF CHANGE: 20050419 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ANDERSON JAMES THOMAS CENTRAL INDEX KEY: 0001057319 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 333-34421 FILM NUMBER: 05759534 MAIL ADDRESS: STREET 1: 109 WESTPARK DR STREET 2: STE 180 CITY: BRENTWOOD STATE: TN ZIP: 37027 4 1 bna94295_bna03anderson.xml MAIN DOCUMENT DESCRIPTION X0202 4 2005-04-15 1 0001044942 PROVINCE HEALTHCARE CO PRV 0001057319 ANDERSON JAMES THOMAS 109 WESTPARK DR STE 180 BRENTWOOD TN 37027 0 1 0 0 Sr. VP - Acq. & Dev. Common Stock 2005-04-15 4 D 0 155062 D 0 D Stock Option 16.40 2005-04-15 4 D 0 14629 7.96 D 2011-05-15 Common Stock 14629 0 D Stock Option 21.08 2005-04-15 4 D 0 17080 3.28 D 2012-03-13 Common Stock 17080 0 D Stock Option 18.20 2005-04-15 4 D 0 38794 6.16 D 2012-08-21 Common Stock 38794 0 D Stock Option 7.71 2005-04-15 4 D 0 30600 16.65 D 2013-03-11 Common Stock 30600 0 D Stock Option 15.75 2005-04-15 4 D 0 40000 8.61 D 2014-03-10 Common Stock 40000 0 D Stock Option 11.50 2005-04-15 4 D 0 9964 12.86 D 2010-05-03 Common Stock 9964 0 D Stock Option 23.50 2005-04-15 4 D 0 51244 .86 D 2012-05-22 Common Stock 51244 0 D Stock Option 19.00 2005-04-15 4 D 0 24200 5.36 D 2011-10-29 Common Stock 24200 0 D Disposed of pursuant to the Agreement and Plan of Merger between issuer and LifePoint Hospitals, Inc. ("LifePoint") in exchange for cash in the amount of $1,763,830 plus 45,232 shares of LifePoint. This option was canceled in the merger in exchange for a cash payment equal to the product of (i) the number of shares of the issuer's common stock subject to the award; and (ii) the excess, if any, of the per share merger consideration over the exercise price per share of the award. /s/ Tom Anderson 2005-04-18 -----END PRIVACY-ENHANCED MESSAGE-----