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FORM 5
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[ ] Check box if no UNITED STATES SECURITIES AND EXCHANGE COMMISSION
longer subject to Washington, D.C. 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, Section 17(a) of the
[ ] Form 3 Holdings Public Utility Holding Company Act of 1935 or
Reported Section 30(f) of the Investment Company Act of 1940
[ ] Form 4
Transactions
Reported
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<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) below) |
| (Street) | |5. If Amendment, | Senior Vice President of |
| | | Date of Original| Acquisitions and Development |
| | | (Month/Year) |---------------------------------------|
| Brentwood, Tennessee 37027 | | 2/00 |7. Individual or Joint/Group Reporting |
|--------------------------------------------|---------------------------------------------| (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 | | (I) | ship |
| | | | | (D) | | | (Instr. 4)| (Instr.|
| | | | | | | | | 4) |
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| Common Stock | | | | | | 28,611 shares(1) | D | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
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| |
| (1) End of period holdings have been updated (i) to include 365 shares of Common Stock acquired in 1999 under the 1998 Employee |
| Stock Purchase Plan and (ii) to correct the number of shares reported on the Amended Form 5 filed on 5/3/00. The number of |
| shares acquired in 2000 under the 1998 Employee Stock Purchase Plan is 246, instead of 249 as previously reported. |
| |
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* If the form is filed by more than one reporting person, POTENTIAL PERSONS WHO ARE NOT TO RESPOND TO THE COLLECTION OF
see instruction 4(b)(v). INFORMATION CONTAINED IN THIS FORM ARE NOT REQUIRED TO RESPOND
UNLESS THE FORM DISPLAYS A CURRENTLY VALID OMB CONTROL NUMBER.
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<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.
** Intentional misstatements or omissions of facts constitute Federal Criminal /s/ James T. Anderson 6/15/00
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 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.
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