MHM SERVICES INC
4, 2000-12-01
GENERAL MEDICAL & SURGICAL HOSPITALS, NEC
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<S>                                                                                                       <C>
--------                                                                                                  --------------------------
 FORM 4                                                                                                         OMB APPROVAL
--------                                          UNITED STATES SECURITIES AND                            --------------------------
[ ] Check this box if no longer                        EXCHANGE COMMISSION                                OMB Number 3235-0287
    subject to Section 16. Form                                                                           --------------------------
    4 or Form 5 obligations may                     WASHINGTON, D.C. 20549                                Expires: December 31, 2001
    continue. See Instruction 1(b).                                                                       --------------------------
                                           STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP                   Estimated average burden
    (Print or Type Responses)                                                                             hours per response....0.5
                                                                                                          --------------------------

         Filed pursuant to Section 16(a) of the Securities and Exchange Act of 1934, Section 17(a) of the Public Utility
                        Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
-----------------------------------------------------------------------------------------------------------------------------------
1. Name and Address of Reporting Person*|   2. Issuer Name                                 |   6. Relationship of Reporting
   SILVERMAN, JOHN L.                   |                                                  |      Persons to Issuer (Check all
       C/O MHM SERVICES, INC.           |              MHMI                                |      applicable)
--------------------------------------- ---------------------------------------------------|        X  Director            10% Owner
                                        |  3. IRS Identification  |  4. Statement for      |                               Other
                                        |     Number of           |     Month/Year         |           Officer (give       (specify
8605 WESTWOOD CENTER DRIVE, SUITE 400   |     Reporting           |     NOV-00             |           title below)    ____ below)
--------------------------------------- |     Person, if an       |------------------------|----------------------------------------
                                        |     entity              |  5. If Amendment,      |   7. Individual or Joint/Group
                                        |     (voluntary)         |     Date of Original   |      Filing (Check Applicable Line)
                                        |                         |                        |             Form filed by
                                        |                         |                        |             One Reporting
                                        |                         |                        |      X      Person
                                        |                         |                        |             Form filed by
VIENNA,        VIRGINIA        22182    |                         |                        |             More than One Reporting
                                        |                         |                        |     ___     Person
------------------------------------------------------------------------------------------------------------------------------------
(City)          (State)          (Zip)  |      TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
------------------------------------------------------------------------------------------------------------------------------------
1.                                      | 2.Transaction | 3.Transaction | 4.Securities Acquired (A)|5.Amount of |6.Owner- |7.Nature
                                        |   Date        |   Code        |   or Disposed of (D)     |Securities  |  ship   | of
                                        |               |   (Instr. 8)  |   (Instr. 3,4 and 5)     |Beneficially|  Form:  | Indirect
                                        |               |               |                          |Owned at End|  Direct | Bene-
   Title of Security                    |               | --------------|--------------------------|of Month    | (D) or  | ficial
   (Instr. 3)                           |               |       |       |        | (A)  |          |(Instr. 3   | Indirect| Owner-
                                        | (Month/Day/   |       |       |        |  or  |          |  and 4)    | (I)     | ship
                                        |   Year)       |  Code | V     | Amount | (D)  |  Price   |            |(Instr.4)|(Instr.4)
----------------------------------------|---------------|-------|-------|--------|------|----------|------------|---------|--------
COMMON STOCK                            |   11/20/00    |   P   |       |   200  |  A   |$14,400.00|         60 |      D  |
----------------------------------------|---------------|-------|-------|--------|------|----------|------------|---------|--------
                                        |               |       |       |        |      |          |        140 |      I  |CHILDREN
----------------------------------------|---------------|-------|-------|--------|------|----------|------------|---------|--------
                                        |               |       |       |        |      |          |            |         |
----------------------------------------|---------------|-------|-------|--------|------|----------|------------|---------|--------
                                        |               |       |       |        |      |          |            |         |
----------------------------------------|---------------|-------|-------|--------|------|----------|------------|---------|--------
                                        |               |       |       |        |      |          |            |         |
----------------------------------------|---------------|-------|-------|--------|------|----------|------------|---------|--------
                                        |               |       |       |        |      |          |            |         |
----------------------------------------|---------------|-------|-------|--------|------|----------|------------|---------|--------
                                        |               |       |       |        |      |          |            |         |
----------------------------------------|---------------|-------|-------|--------|------|----------|------------|---------|--------
                                        |               |       |       |        |      |          |            |         |
----------------------------------------|---------------|-------|-------|--------|------|----------|------------|---------|--------
                                        |               |       |       |        |      |          |            |         |
-----------------------------------------------------------------------------------------------------------------------------------


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<S>                      <C>
                         TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
                                  (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)

------------------------------------------------------------------------------------------------------------------------------------
1.Title of Derivative Security | 2.Conversion | 3.Transaction | 4.Transaction | 5.Number of  | 6.Date Exer-     | 7.Title and Amount
  (Instr. 3)                   | or Exercise  | Date          |   Code        | Derivative   | cisable and      | of Underlying
                               | Price of     |               |  (Instr. 8)   | Securities   | Expiration Date  | Securities
                               | Derivative   |  (Month/Day/  |               | Acquired (A) | (Month/Day/Year) | (Instr. 3 and 4)
                               | Security     |    Year)      |               | or Disposed  |                  |
                               |              |               |               | of (D)       |--------------------------------------
                               |              |               |               | (Instr. 3,   |         |        |        |
                               |              |               |               | 4 and 5)     | Date    | Expir- |        | Amount or
                               |              |               |---------------|--------------| Exer-   | ation  |        | Number of
                               |              |               | Code  |   V   | (A)  |  (D)  | cisable | Date   |  Title | Shares
------------------------------------------------------------------------------------------------------------------------------------
                               |              |               |       |       |      |       |         |        |        |
-------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|----------
                               |              |               |       |       |      |       |         |        |        |
-------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|----------
                               |              |               |       |       |      |       |         |        |        |
-------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|----------
                               |              |               |       |       |      |       |         |        |        |
-------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|----------
                               |              |               |       |       |      |       |         |        |        |
-------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|----------
                               |              |               |       |       |      |       |         |        |        |
-------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|----------
                               |              |               |       |       |      |       |         |        |        |
-------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|----------
                               |              |               |       |       |      |       |         |        |        |
-------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|----------
                               |              |               |       |       |      |       |         |        |        |
-------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|----------
                               |              |               |       |       |      |       |         |        |        |
------------------------------------------------------------------------------------------------------------------------------------
 8.           | 9.             |  10.Ownership     | 11.           |
   Price of   |   Number of    |     Form of       |    Nature of  |
   Derivative |   Derivative   |     Derivative    |    Indirect   |
   Security   |   Securities   |     Securities    |    Beneficial |
   (Instr. 5) |   Beneficially |     Beneficially  |    Ownership  |
              |   Owned at End |     Owned at End  |    (Instr. 4) |
              |   of Month     |     of Month      |               |
              |   (Instr. 4)   |     (Instr. 4)    |               |
-------------------------------------------------------------------|
              |                |                   |               |
--------------|----------------|-------------------|---------------|
              |                |                   |               |
--------------|----------------|-------------------|---------------|
              |                |                   |               |
--------------|----------------|-------------------|---------------|
              |                |                   |               |
--------------|----------------|-------------------|---------------|
              |                |                   |               |
--------------|----------------|-------------------|---------------|
              |                |                   |               |
--------------|----------------|-------------------|---------------|
              |                |                   |               |
--------------|----------------|-------------------|---------------|
              |                |                   |               |
--------------|----------------|-------------------|---------------|
              |                |                   |               |
--------------|----------------|-------------------|---------------|
              |                |                   |               |
-------------------------------------------------------------------

Explanation of Responses:

                                                                                    [SIG]                              11-29-00
                                                                      ------------------------------------        -----------------
                                                                        **Signature of Reporting Person                 Date




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).

        ** Intentional misstatements or omissions of facts constitute
           Federal Criminal Violations.
           See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
     Note: File three copies of this Form, on of which must be manually signed.
           If space is insufficient, see Instruction 6 for
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http://www.sec.gov/smbus/forms/4.htm
Last update: 11/05/1999

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