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FORM 5
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[ ] Check box if no U.S. SECURITIES AND EXCHANGE COMMISSION
longer subject to Washington, DC 20549
Section 16. Form
4 or Form 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
obligations may
continue. See Filed pursuant to Section 16(a) of the Securities
Instruction 1(b). Exchange Act of 1934,
[ ] Form 3 Holdings Section 17(a) of the Public Utility
Reported Holding Company Act of 1935 or Section 30(f) of
[ ] Form 4 the Investment Company Act
Transactions of 1940
Reported
<TABLE>
<S> <C> <C> <C> <C> <C> <C>
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| 1. Name and Address of Reporting Person* | 2. Issuer Name and Ticker or Trading Symbol |6. Relationship of Reporting Person(s) |
| Anderson James Thomas | Province Healthcare Company (PRHC) | to Issuer (Check all applicable) |
|--------------------------------------------|---------------------------------------------| |
| (Last) (First) (Middle) | 3. IRS Identification |4. Statement For | [ ] Director [ ] 10% Owner |
| | Number of Reporting | Month/Year | |
| 105 Westwood Place, Suite 400 | Person, if an Entity | 12/99 | [X] Officer (give [ ] Other (specify|
|--------------------------------------------| (Voluntary) |-------------------| title below) |
| (Street) | |5. If Amendment, | below) |
| | | Date of Original| Senior Vice President of Acquisitions |
| | | (Month/Year) | and Development |
| | | |---------------------------------------|
| Brentwood, Tennessee 37027 | | 2/00 |7. Individual or Joint/Group Filing |
|--------------------------------------------|---------------------------------------------| (Check applicable line) |
| (City) (State) (Zip) | | [X] Form Filed by one |
| | | Reporting Person |
| | | [ ] Form Filed by more than |
| | | one Reporting Person |
|----------------------------------------------------------------------------------------------------------------------------------|
| TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED |
|----------------------------------------------------------------------------------------------------------------------------------|
| 1. Title of Security | 2. Trans- | 3. Transac- |4. Securities Acquired (A)|5. Amount of Se- |6. Owner- |7. Nature |
| (Instr. 3) | action | tion | or Disposed of (D) | curities Benefi-| ship | of In- |
| | Date | Code | (Instr. 3, 4 and 5) | cially Owned at | Form: | direct |
| | | (Instr. | | End of Issuer's | Direct | Benefi-|
| | (Month/ | 8) | | Fiscal Year | (D) or | cial |
| | Day/ | |--------------------------| (Instr. 3 and 4)| Indirect | Owner- |
| | Year) | | Amount | (A) or | Price | | (1) | ship |
| | | | | (D) | | | (Instr. 4)| (Instr.|
| | | | | | | | | 4) |
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| Common Stock | | | | | | 28,249 shares(1) | D | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
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(1) End of period holdings have been updated to include 249 shares of Common
Stock acquired under the 1998 Employee Stock Purchase Plan.
* If the form is filed by more than one reporting person, POTENTIAL PERSONS WHO ARE NOT TO RESPOND TO THE (Over)
see instruction 4(b)(v). COLLECTION OF INFORMATION CONTAINED IN THIS FORM SEC 2270 (3-99)
ARE NOT REQUIRED TO RESPOND UNLESS THE FORM DISPLAYS
A CURRENTLY VALID OMB CONTROL NUMBER.
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<TABLE>
<CAPTION>
FORM 5 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
<S> <C> <C> <C> <C> <C> <C> <C>
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| 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 | |
| | | | | (A) | (D) | cisable|Date | | Shares | |
|-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------|
| Stock Options | $15.125 | 2/25/99 | A |15,900 | | (1) |2/24/04 |Common| 15,900 | |
| (right to buy) | | | | | | | |Stock | | |
|-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------|
| Stock Options | $14.25 | 7/14/99 | A | 6,169 | | (2) |7/13/04 |Common| 6,169 | |
| (right to buy) | | | | | | | |Stock | | |
|-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------|
| | | | | | | | | | | |
|-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------|
| | | | | | | | | | | |
|-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------|
| | | | | | | | | | | |
|-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------|
| | | | | | | | | | | |
|-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------|
| | | | | | | | | | | |
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<CAPTION>
<S> <C> <C>
- ------------------------------------------------------------------------
| 9. Number of | 10. Ownership | 11. Nature of |
| Derivative | of Derivative | Indirect |
| Securities | Security: | Beneficial |
| Beneficially | Direct (D) | Ownership |
| Owned at End | or Indirect (I) | (Instr. 4) |
| of Year | (Instr. 4) | |
| (Instr. 4) | | |
| | | |
|--------------------|--------------------------|----------------------|
| 15,900 | D | |
|--------------------|--------------------------|----------------------|
| 6,169 | D | |
|--------------------|--------------------------|----------------------|
| | | |
|--------------------|--------------------------|----------------------|
| | | |
|--------------------|--------------------------|----------------------|
| | | |
|--------------------|--------------------------|----------------------|
| | | |
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Explanation of Responses:
(1) The options were granted under the 1997 Long Term Equity Incentive Plan and vest in five equal annual installments
beginning on February 25, 2000.
(2) The options were granted under the 1997 Long Term Equity Incentive Plan and were fully vested on the transaction date.
/s/ James T. Anderson 4/27/00
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** 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).
Note: File three copies of this Form, one of which must be manually signed.
If space provided 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. Page 2
SEC 2270 (3-99)
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