TENET HEALTHCARE CORP
8-A12B, 1995-12-18
GENERAL MEDICAL & SURGICAL HOSPITALS, NEC
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<PAGE>

                      SECURITIES AND EXCHANGE COMMISSION
                           Washington, D.C.  20549
                                ______________

                                   FORM 8-A

        FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES PURSUANT TO
        SECTION 12(b) OR 12(g) OF THE SECURITIES EXCHANGE ACT OF 1934

                         TENET HEALTHCARE CORPORATION
            (Exact Name of Registrant as Specified in its Charter)

        Nevada                                                95-2557091
(State of Incorporation or                                 (I.R.S. Employer
    Organization)                                         Identification No.)
                                ______________

                             2700 Colorado Avenue
                        Santa Monica, California  90404
                                (310) 998-8000
              (Address, including zip code, and telephone number
                       of principal executive offices)


If this Form relates to the registration of a
class of debt securities and is effective upon
filing pursuant to General Instruction A(c)(1)
please check the following box.  [  ]

If this Form relates to the registration of a
class of debt securities and is to become
effective simultaneously with the effective-
ness of a concurrent registration statement
under the Securities Act of 1933 pursuant to
General Instruction A(c)(2) please check the
following box.    [  ]


Securities to be registered pursuant to Section 12(b) of the Act:


Title of Each Class to be so Registered

____% Exchangeable Subordinated Notes due
2005, Exchangeable for Shares of Common
Stock of Vencor, Inc.

Name of Each Exchange on Which
Each Class is to be Registered

New York Stock Exchange

Securities to be registered pursuant to Section 12(g) of the Act:        None



<PAGE>

                         TENET HEALTHCARE CORPORATION

                      REGISTRATION STATEMENT ON FORM 8-A



ITEM 1.  DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED

     This Registration Statement (the "Registration Statement") relates to
the registration with the Securities and Exchange Commission (the
"Commission") of $350,000,000 aggregate principal amount of ___% Exchangeable
Subordinated Notes dues 2005, Exchangeable for Shares of Common Stock of
Vencor, Inc. (the "Notes") of Tenet Healthcare Corporation, a Nevada
corporation ("Tenet" or the "Registrant"), which Notes are being issued by
Tenet in connection with an underwritten offering.  The description of the
Notes to be registered hereunder is set forth under the caption "DESCRIPTION
OF NOTES" in Registrant's Registration Statement on Form S-3 (No. 33-63451)
filed with the Commission on October 17, 1995, as amended by Amendment No. 1
filed with the Commission on December 5, 1995, as further amended by
Amendment No. 2 filed with the Commission on December 12, 1995, as further
amended by Amendment No. 3 filed with the Commission on December 18, 1995, and
is hereby incorporated herein by reference.

     The form of prospectus subsequently filed by Tenet pursuant to Rule
424(b) under the Securities Act of 1933, as amended, shall be deemed to be
incorporated by reference in this Registration Statement.

ITEM 2.  EXHIBITS

     The Notes are to be registered on the New York Stock Exchange (the
"NYSE"), the exchange on which other securities of the Registrant are
currently registered.  Accordingly, copies of the following exhibits shall be
filed with each copy of the Registration Statement on Form 8-A filed with the
Commission or with the NYSE, subject to Rule 12b-32 regarding the
incorporation of exhibits by reference.

4.1  Form of Indenture for the Registrant's Convertible Floating Rate
     Debentures, dated as of February 1, 1992, among NME PIP Funding I, Inc.,
     the Registrant and Bankers Trust Company, as Trustee (Incorporated by
     reference to Exhibit 4(a) to Registration Statement on Form S-3,
     Registration No. 33-45689, dated February 14, 1992)

4.2  Form of Convertible Floating Rate Debenture due April 3, 1996
     (Incorporated by reference to Exhibit 4(e) to Registrant's Registration
     Statement on Form S-3, Registration No. 33-45689, dated February 14,
     1992)

4.3  Agreement Providing for First Amendment to Convertible Floating Rate
     Debentures due April 3, 1996, dated as of December 11, 1991, between the
     Registrant and NME PIP Funding I, Inc. (Incorporated by reference to
     Exhibit 4(f) to Registrant's Registration Statement on Form S-3,
     Registration No. 33-45689, dated February 14, 1992)



                                     -1-

<PAGE>

4.4  Certificate of Designation, Preferences and Rights of Series A Junior
     Participating Preferred Stock (Incorporated by reference to Exhibit 4(h)
     to Registrant's Annual Report on Form 10-K dated August 30, 1993)

4.5  Certificate of Designation, Preferences and Rights of Series B
     Convertible Preferred Stock (Incorporated by reference to Exhibit 4(d)
     to Registrant's Annual Report on Form 10-K dated August 23, 1991)

4.6  Form of Investment Option Agreement (Incorporated by reference to
     Exhibit 4(f) to Registrant's Annual Report on Form 10-K dated August 25,
     1995)

4.7  Indenture, dated as of March 1, 1995, between the Registrant and The
     Bank of New York, as Trustee, relating to Medium Term Notes
     (Incorporated by reference to Exhibit 4(a) to Registrant's Annual Report
     on Form 10-K dated August 23, 1991)

4.8  Indenture, dated as of March 1, 1995, between Tenet and The Bank of New
     York, as Trustee, relating to 9-5/8% Senior Notes due 2002 (Incorporated by
     reference to Exhibit 4(a) to Registrant's Quarterly Report on Form 10-Q
     dated April 14, 1995)

4.9  Indenture, dated as of March 1, 1995, between Tenet and The Bank of New
     York, as Trustee, relating to 10-1/8% Senior Subordinated Notes due 2005
     (Incorporated by reference to Exhibit 4(b) to Registrant's Quarterly
     Report on Form 10-Q dated April 14, 1995)

4.10 Registration Rights Agreement, dated as of February 22, 1995, by and
     between the Registrant and the Selling Shareholders (Incorporated by
     reference to Exhibit 4.1 to Registrant's Registration Statement on Form
     S-3, Registration No. 33-57801, dated February 22, 1995)

4.11 Form of Indenture, dated as of October 16, 1995, by and between the
     Registrant and The Bank of New York, as Trustee, relating to 8-5/8% Senior
     Notes due 2003 (Incorporated by reference to Exhibit 4.1 to Registrant's
     Amendment No. 1 to Registration Statement on Form S-3, Registration No.
     33-62591, dated September 26, 1995)

4.12 First Supplemental Indenture, dated as of October 30, 1995, supplemental
     to the Indenture, dated as of March 1, 1995, relating to the
     Registrant's 9-5/8% Senior Notes Due 2002

4.13 First Supplemental Indenture, dated as of October 27, 1995, supplemental
     to the Indenture, dated as of March 1, 1995, relating to the
     Registrant's 10-1/8% Senior Subordinated Notes Due 2005

4.14 First Supplemental Indenture, dated as of October 30, 1995, supplemental
     to the Indenture, dated as of October 16, 1995, relating to the
     Registrant's 8-5/8% Senior Notes Due 2003

4.15 Form of Indenture, by and between the Registrant and The Bank of New
     York, as Trustee, relating to the Notes (Incorporated by reference to
     Exhibit 4.1 to Tenet's Amendment No. 2 to Registration Statement on Form
     S-3, Registration No. 33-63451, dated December 12, 1995)



                                     -2-

<PAGE>


                                  SIGNATURE


     Pursuant to the requirements of Section 12 of the Securities Exchange
Act of 1934, the Registrant has duly caused this Registration Statement to be
signed on its behalf by the undersigned, thereto duly authorized.

                                                  TENET HEALTHCARE CORPORATION



Date:  December 18, 1995                          By:   /s/ Richard B. Silver
                                                     ------------------------
                                                     Name.  Richard B. Silver
                                                     Title: Vice President






                                     -3-


<PAGE>

                                                                     EXHIBIT
                                                                        4.12

                         FIRST SUPPLEMENTAL INDENTURE

                   TENET HEALTHCARE CORPORATION, as Issuer

                                     AND

                            THE BANK OF NEW YORK,
                                 as Trustee


                         Dated as of October 30, 1995


                    Supplemental to Indenture, dated as of
                   March 1, 1995, relating to the Issuer's
                        9-5/8% Senior Notes Due 2002





<PAGE>

                              TABLE OF CONTENTS

  PARTIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

  RECITALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

  ARTICLE ONE -     DEFINITIONS AND OTHER GENERAL
                    PROVISIONS . . . . . . . . . . . . . . . . . . .

    SECTION 1.1     Definitions . . . . . . . . . . . . . . . . . . .

    SECTION 1.2     Effect of Headings and Table of
                    Contents . . . . . . . . . . . . . . . . . . . .

    SECTION 1.3     Successors and Assigns. . . . . . . . . . . . . .

    SECTION 1.4     Separability Clause . . . . . . . . . . . . . . .

    SECTION 1.5     Benefits of First Supplemental
                    Indenture. . . . . . . . . . . . . . . . . . . .

    SECTION 1.6     Governing Law . . . . . . . . . . . . . . . . . .

    SECTION 1.7     Effectiveness . . . . . . . . . . . . . . . . . .

  ARTICLE TWO -     AMENDMENTS . . . . . . . . . . . . . . . . . . .

  ARTICLE THREE -   NOTICE, ENDORSEMENT AND CHANGE OF FORM
                    OF SECURITIES. . . . . . . . . . . . . . . . . .

    SECTION 3.1     Replacement of Exhibits . . . . . . . . . . . . .

    SECTION 3.2     Notation on Securities. . . . . . . . . . . . . .

  SIGNATURES. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

  ACKNOWLEDGMENTS . . . . . . . . . . . . . . . . . . . . . . . . . .



                                       2

<PAGE>



         FIRST SUPPLEMENTAL INDENTURE, dated as of October 30,1995 (the
"First Supplemental Indenture"), between TENET HEALTHCARE CORPORATION, a
Nevada corporation (hereinafter called the "Company"), and THE BANK OF NEW
YORK, as trustee (hereinafter called the "Trustee"), under the Indenture (the
"Indenture"), dated as of March 1, 1995, between the Company and the Trustee
relating to the Company's 9-5/8% Senior Notes due 2002 (the "Securities").

                            RECITALS OF THE COMPANY

         The Company proposes to offer (the "Offering") Exchangeable
Subordinated Notes due 2007 which are exchangeable for shares of common stock
of Vencor, Inc. (the "Exchangeable Notes").

         In connection with the Offering, the Company is soliciting consents
to the amendments to the Indenture (the "Amendments") (all as described in
the Solicitation of Consents, dated October 20, 1995 (the "Consent
Solicitation").

         In accordance with Section 8.02 of the Indenture the Holders of a
majority of the outstanding principal amount of the Securities then
outstanding have consented to such Amendments.

         The Board of Directors of the Company has duly authorized the
execution and delivery of this First Supplemental Indenture. The Company has
delivered an Officers' Certificate and an Opinion of Counsel to the Trustee
pursuant to Section 8.06 of the Indenture and has done all other things
necessary to make this First Supplemental Indenture a valid agreement of the
Company in accordance with the terms hereof and of the Indenture.

         WHEREFORE, each party agrees as follows for the benefit of the other
party and for the equal or ratable benefit of the Holders of the Securities:



                                       3

<PAGE>


                                  ARTICLE I

                       DEFINITIONS AND OTHER PROVISIONS
                            OF GENERAL APPLICATION

         SECTION 1.1    Definitions.

         For all purposes of the Indenture and this First Supplemental
Indenture, except as otherwise expressly provided or unless the context
otherwise requires:

              (1) the words "herein," "hereof" and "hereunder" and other
    words of similar import refer to the Indenture and this First
    Supplemental Indenture as a whole and not to any particular Article,
    Section or subdivision; and

              (2) certain capitalized terms used but not defined herein shall
    have the meanings assigned to them in the Indenture.

         SECTION 1.2    Effect of Headings and Table of Contents.

         The Article and Section headings and the Table of Contents are for
convenience only and shall not affect the construction hereof. All references
to Sections in the Indenture shall remain unchanged.

         SECTION 1.3    Successors and Assigns.

         All covenants and agreements in this First Supplemental Indenture by
the Company shall bind its successors and assigns, or any other obligor on
the Securities, whether expressed or not.

         SECTION 1.4    Separability Clause.

         In case any provision in this First Supplemental Indenture shall be
invalid, illegal or unenforceable, the validity, legality and enforceability
of the remaining provisions shall not in any way be affected or impaired
thereby.



                                       4

<PAGE>


         SECTION 1.5    Benefits of First Supplemental Indenture.

         Nothing in this First Supplemental Indenture, express or implied,
shall give to any Person, other than the parties hereto and their successors
hereunder, any Paying Agent and the Holders, any benefit or any legal or
equitable right, remedy or claim under this First Supplemental Indenture.

         SECTION 1.6    Governing Law.

         This First Supplemental Indenture shall be governed by and construed
in accordance with the laws of the State of New York and all rights and
remedies shall be governed by such law without reference to its conflict of
laws provision.

         SECTION 1.7    Effectiveness.

         This First Supplemental Indenture shall take effect on the date (the
"Effective Date") that each of the following conditions shall have been
satisfied:

              (a) the Trustee shall have received an Opinion of Counsel and
an Officers' Certificate from the Company each dated the Effective Date and
in the form set forth in Section 8.06 of the Indenture.

              (b) each of the parties hereto shall have executed and
delivered this First Supplemental Indenture.


                                  ARTICLE II

                                THE AMENDMENTS

         1.   Section 1.01 of the Indenture is hereby amended, by including
the following between the definition of "Specified Assets" and the definition
of "Stockholders' Equity":

         "SPECIFIED EXCHANGE" means any retirement of Indebtedness upon the
    exercise by a holder of such Indebtedness, pursuant to the terms thereof,
    of any right to exchange such Indebtedness for shares of common stock of
    Vencor, Inc. or any successor there-



                                       5

<PAGE>


    to or any other equity securities, other than Equity Interests of a
    Subsidiary, owned by the Company as of October 11, 1995, or for any
    securities or other property received with respect to such common stock
    or equity securities, whether or not such right is subject to the
    Company's ability to pay an amount in cash in lieu thereof.

         2.   Subsection (iii) of the first paragraph of Section 3.07 of the
Indenture is hereby amended and restated, in its entirety, to state the
following:

         (iii) make any principal payment on, or purchase, redeem, defease or
    otherwise acquire or retire for value any Indebtedness that is
    subordinated to the Securities, except at the original final maturity
    date thereof or pursuant to a Specified Exchange or the Refinancing;

                                  ARTICLE III

             NOTICE, ENDORSEMENT AND CHANGE OF FORM OF SECURITIES

         SECTION 3.1    Notice to Securityholders.

         After the Amendments become effective, the Company shall mail to
Securityholders a notice briefly describing such Amendments in accordance
with Section 8.02 of the Indenture.

         SECTION 3.2    Notation on Securities.

              (a) Securities authenticated and delivered after the
effectiveness of this First Supplemental Indenture shall be affixed by the
Trustee with the following notation:

         "The Company and the Trustee have entered into a First Supplemental
    Indenture, dated as of October 30, 1995, which amended the covenant
    regarding limitations on restricted payments. Reference is hereby made to
    such First Supplemental Indenture, copies of which are on file with The
    Bank of New York, Trustee."



                                       6

<PAGE>


         The Trustee may require holders of Securities authenticated and
delivered prior to the effectiveness of this First Supplemental Indenture to
deliver such Securities to the Trustee so that the Trustee may affix them
with the aforementioned notation.

              (b) If the Company or the Trustee so determines, the Company,
in exchange for the Securities, shall issue and the Trustee shall
authenticate new Securities that reflect the changed terms.

                              * * * * *



                                       7

<PAGE>


         This First Supplemental Indenture may be executed in any number of
counterparts, each of which so executed shall be deemed to be an original,
but all such counterparts shall together constitute but one in the same
instrument.

Dated as of October 30, 1995

                                         TENET HEALTHCARE CORPORATION



                                         By:   /s/ Maris Andersons
                                            --------------------------
                                            Name:   Maris Andersons
                                            Title:  Senior Vice President

Attest:


                                                    (Seal)


    /s/ Alan Lundgren
- ---------------------------
Name:   Alan Lundgren
Title:  Assistant Secretary


Dated as of October 30, 1995

                                         THE BANK OF NEW YORK,
                                             as Trustee


                                         By:      /s/ Vivian Georges
                                            -----------------------------
                                            Name:  Vivian Georges
                                            Title: Assistant Vice President

Attest:


                                                    (Seal)

    /s/ Paul Schmalzel
- ---------------------------
Name:  Paul Schmalzel
Title: Assistant Treasurer



                                       8


<PAGE>

STATE OF CALIFORNIA      )
                         :  ss.:
COUNTY OF LOS ANGELES    )


         On this 30th day of October, 1995, before me personally came Maris
Andersons, to me known, who, being by me duly sworn, did depose and say that
he/she is Senior Vice President of TENET HEALTHCARE CORPORATION, one of the
corporations described in and which executed the above instrument and that
he/she signed his/her name thereto.



                                               /s/ Frances A. Paquet
                                           --------------------------------



STATE OF NEW YORK        )
                         :  ss.:
COUNTY OF NEW YORK       )


         On this 27th day of October, 1995, before me personally came Vivian
Georges, to me known, who, being by me duly sworn, did depose and say that
he/she is an Assistant Vice President of THE BANK OF NEW YORK, one of the
corporations described in and which executed the above instrument and that
he/she signed his/her name thereto.



                                               /s/ William J. Cassels
                                           --------------------------------


                                       9



<PAGE>


                                                                     EXHIBIT
                                                                        4.13

                      FIRST SUPPLEMENTAL INDENTURE


                 TENET HEALTHCARE CORPORATION, as Issuer


                                   AND


                          THE BANK OF NEW YORK,
                               as Trustee




                      Dated as of October 27, 1995




                 Supplemental to Indenture, dated as of
                March 1, 1995, relating to the Issuer's
               10-1/8% Senior Subordinated Notes Due 2005


<PAGE>

                          TABLE OF CONTENTS

     PARTIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

     RECITALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

     ARTICLE ONE -     DEFINITIONS AND OTHER GENERAL
                       PROVISIONS. . . . . . . . . . . . . . . . . . .

          SECTION 1.1  Definitions . . . . . . . . . . . . . . . . . .

          SECTION 1.2  Effect of Headings and Table of
                       Contents. . . . . . . . . . . . . . . . . . . .

          SECTION 1.3  Successors and Assigns. . . . . . . . . . . . .

          SECTION 1.4  Separability Clause . . . . . . . . . . . . . .

          SECTION 1.5  Benefits of First Supplemental
                       Indenture . . . . . . . . . . . . . . . . . . .

          SECTION 1.6  Governing Law . . . . . . . . . . . . . . . . .

          SECTION 1.7  Effectiveness . . . . . . . . . . . . . . . . .

     ARTICLE TWO -     AMENDMENTS. . . . . . . . . . . . . . . . . . .

     ARTICLE THREE -   NOTICE, ENDORSEMENT AND CHANGE OF FORM
                       OF SECURITIES . . . . . . . . . . . . . . . . .

          SECTION 3.1  Replacement of Exhibits . . . . . . . . . . . .

          SECTION 3.2  Notation on Securities. . . . . . . . . . . . .

     SIGNATURES. . . . . . . . . . . . . . . . . . . . . . . . . . . .

     ACKNOWLEDGMENTS . . . . . . . . . . . . . . . . . . . . . . . . .


                                      2

<PAGE>

               FIRST SUPPLEMENTAL INDENTURE, dated as of
     October 27, 1995 (the "First Supplemental Indenture"),
     between TENET HEALTHCARE CORPORATION, a Nevada corpora-
     tion (hereinafter called the "Company"), and THE BANK OF
     NEW YORK, as trustee (hereinafter called the "Trustee"),
     under the Indenture (the "Indenture"), dated as of March
     1, 1995, between the Company and the Trustee relating to
     the Company's 10-1/8% Senior Subordinated Notes due 2005
     (the "Securities").

                       RECITALS OF THE COMPANY

               The Company proposes to offer (the "Offering")
     Exchangeable Subordinated Notes due 2007 which are ex-
     changeable for shares of common stock of Vencor, Inc.
     (the "Exchangeable Notes").

               In connection with the Offering, the Company is
     soliciting consents to the amendments to the Indenture
     (the "Amendments") (all as described in the Solicitation
     of Consents, dated October 20, 1995 (the "Consent Solici-
     tation").

               In accordance with Section 8.02 of the Inden-
     ture the Holders of a majority of the outstanding prin-
     cipal amount of the Securities then outstanding have
     consented to such Amendments.

               The Board of Directors of the Company has duly
     authorized the execution and delivery of this First
     Supplemental Indenture.  The Company has delivered an
     Officers' Certificate and an Opinion of Counsel to the
     Trustee pursuant to Section 8.06 of the Indenture and has
     done all other things necessary to make this First Sup-
     plemental Indenture a valid agreement of the Company in
     accordance with the terms hereof and of the Indenture.

               WHEREFORE, each party agrees as follows for the
     benefit of the other party and for the equal or ratable
     benefit of the Holders of the Securities:


                                      3

<PAGE>

                                   ARTICLE I

                       DEFINITIONS AND OTHER PROVISIONS
                            OF GENERAL APPLICATION

               SECTION 1.1  Definitions.

               For all purposes of the Indenture and this
     First Supplemental Indenture, except as otherwise ex-
     pressly provided or unless the context otherwise re-
     quires:

                       (1)  the words "herein," "hereof" and
          "hereunder" and other words of similar import refer
          to the Indenture and this First Supplemental Inden-
          ture as a whole and not to any particular Article,
          Section or subdivision; and

                       (2)  certain capitalized terms used but
          not defined herein shall have the meanings assigned
          to them in the Indenture.

               SECTION 1.2  Effect of Headings and Table of
                            Contents.

               The Article and Section headings and the Table
     of Contents are for convenience only and shall not affect
     the construction hereof.  All references to Sections in
     the Indenture shall remain unchanged.

               SECTION 1.3  Successors and Assigns.

               All covenants and agreements in this First
     Supplemental Indenture by the Company shall bind its
     successors and assigns, or any other obligor on the
     Securities, whether expressed or not.

               SECTION 1.4  Separability Clause.

               In case any provision in this First Supplemen-
     tal Indenture shall be invalid, illegal or unenforceable,
     the validity, legality and enforceability of the remain-
     ing provisions shall not in any way be affected or im-
     paired thereby.


                                      4

<PAGE>

               SECTION 1.5  Benefits of First Supplemental
                            Indenture.

               Nothing in this First Supplemental Indenture,
     express or implied, shall give to any Person, other than
     the parties hereto and their successors hereunder, any
     Paying Agent and the Holders, any benefit or any legal or
     equitable right, remedy or claim under this First Supple-
     mental Indenture.

               SECTION 1.6  Governing Law.

               This First Supplemental Indenture shall be
     governed by and construed in accordance with the laws of
     the State of New York and all rights and remedies shall
     be governed by such law without reference to its conflict
     of laws provision.

               SECTION 1.7  Effectiveness.

               This First Supplemental Indenture shall take
     effect on the date (the "Effective Date") that each of
     the following conditions shall have been satisfied:

                    (a)  the Trustee shall have received an
     Opinion of Counsel and an Officers' Certificate from the
     Company each dated the Effective Date and in the form set
     forth in Section 8.06 of the Indenture.

                    (b)  each of the parties hereto shall have
     executed and delivered this First Supplemental Indenture.


                              ARTICLE II

                            THE AMENDMENTS

               1.   Section 1.01 of the Indenture is hereby
     amended, by including the following between the defini-
     tion of "Specified Assets" and the definition of "Stock-
     holders' Equity":

               "SPECIFIED EXCHANGE" means any retirement of
          Indebtedness upon the exercise by a holder of such
          Indebtedness, pursuant to the terms thereof, of any
          right to exchange such Indebtedness for shares of
          common stock of Vencor, Inc. or any successor there-


                                      5

<PAGE>

          to or any other equity securities, other than Equity
          Interests of a Subsidiary, owned by the Company as
          of October 11, 1995, or for any securities or other
          property received with respect to such common stock
          or equity securities, whether or not such right is
          subject to the Company's ability to pay an amount in
          cash in lieu thereof.

               2.   Subsection (iii) of the first paragraph of
     Section 3.07 of the Indenture is hereby amended and
     restated, in its entirety, to state the following:

               (iii) make any principal payment on, or pur-
          chase, redeem, defease or otherwise acquire or
          retire for value any Indebtedness that is subordi-
          nated to the Securities, except at the original
          final maturity date thereof or pursuant to a Speci-
          fied Exchange or the Refinancing;

                             ARTICLE III

         NOTICE, ENDORSEMENT AND CHANGE OF FORM OF SECURITIES

               SECTION 3.1  Notice to Securityholders.

               After the Amendments become effective, the
     Company shall mail to Securityholders a notice briefly
     describing such Amendments in accordance with Section
     8.02 of the Indenture.

               SECTION 3.2  Notation on Securities.

                    (a)  Securities authenticated and deliv-
     ered after the effectiveness of this First Supplemental
     Indenture shall be affixed by the Trustee with the fol-
     lowing notation:

               "The Company and the Trustee have entered
          into a First Supplemental Indenture, dated as
          of October 27, 1995, which amended the covenant
          regarding limitations on restricted payments.
          Reference is hereby made to such First Supple-
          mental Indenture, copies of which are on file
          with The Bank of New York, Trustee."


                                      6

<PAGE>

               The Trustee may require holders of Securities
     authenticated and delivered prior to the effectiveness of
     this First Supplemental Indenture to deliver such Securi-
     ties to the Trustee so that the Trustee may affix them
     with the aforementioned notation.

                    (b)  If the Company or the Trustee so
     determines, the Company, in exchange for the Securities,
     shall issue and the Trustee shall authenticate new Secu-
     rities that reflect the changed terms.

                              * * * * *


                                      7

<PAGE>

          This First Supplemental Indenture may be exe-
     cuted in any number of counterparts, each of which so
     executed shall be deemed to be an original, but all such
     counterparts shall together constitute but one in the
     same instrument.

     Dated as of October 27, 1995

                         TENET HEALTHCARE CORPORATION



                         By:     /s/ Scott M. Brown
                              -----------------------------
                              Name:   Scott M. Brown
                              Title:  Senior Vice President

     Attest:


                                        (Seal)

        /s/ Alan Lundgren
     ---------------------------
     Name:   Alan Lundgren
     Title:  Assistant Secretary


     Dated as of October 27, 1995

                       THE BANK OF NEW YORK,
                            as Trustee



                       By:      /s/ Vivian Georges
                              -------------------------------
                              Name:  Vivian Georges
                              Title: Assistant Vice President

     Attest:


                                        (Seal)

       /s/ Paul Schmalzel
     --------------------------
     Name:  Paul Schmalzel
     Title: Assistant Treasurer

                                      8

<PAGE>


     STATE OF CALIFORNIA      )
                              :  ss.:
     COUNTY OF LOS ANGELES    )


               On this 27th day of October, 1995, before me
     personally came Scott M. Brown, to me known, who, being
     by me duly sworn, did depose and say that he/she is
     Senior Vice President of TENET HEALTHCARE CORPORATION,
     one of the corporations described in and which executed
     the above instrument and that he/she signed his/her name
     thereto.



                                   /s/ Frances A. Paquet
                                 -----------------------------


     STATE OF NEW YORK        )
                              :  ss.:
     COUNTY OF NEW YORK       )


               On this 27th day of October, 1995, before me
     personally came Vivian Georges, to me known, who, being
     by me duly sworn, did depose and say that he/she is an
     Assistant Vice President of THE BANK OF NEW YORK, one of
     the corporations described in and which executed the
     above instrument and that he/she signed his/her name
     thereto.



                                 /s/ William J. Cassels
                                 ---------------------------



                                      9


<PAGE>



                      FIRST SUPPLEMENTAL INDENTURE


                 TENET HEALTHCARE CORPORATION, as Issuer


                                   AND


                          THE BANK OF NEW YORK,
                               as Trustee




                      Dated as of October 30, 1995




                 Supplemental to Indenture, dated as of
               October 16, 1995, relating to the Issuer's
                      8-5/8% Senior Notes Due 2003



<PAGE>

                          TABLE OF CONTENTS

     PARTIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

     RECITALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

     ARTICLE ONE -     DEFINITIONS AND OTHER GENERAL
                       PROVISIONS. . . . . . . . . . . . . . . . . . .

          SECTION 1.1  Definitions . . . . . . . . . . . . . . . . . .

          SECTION 1.2  Effect of Headings and Table of
                       Contents. . . . . . . . . . . . . . . . . . . .

          SECTION 1.3  Successors and Assigns. . . . . . . . . . . . .

          SECTION 1.4  Separability Clause . . . . . . . . . . . . . .

          SECTION 1.5  Benefits of First Supplemental
                       Indenture . . . . . . . . . . . . . . . . . . .

          SECTION 1.6  Governing Law . . . . . . . . . . . . . . . . .

          SECTION 1.7  Effectiveness . . . . . . . . . . . . . . . . .

     ARTICLE TWO -     AMENDMENTS. . . . . . . . . . . . . . . . . . .

     ARTICLE THREE -   NOTICE, ENDORSEMENT AND CHANGE OF FORM
                       OF SECURITIES . . . . . . . . . . . . . . . . .

          SECTION 3.1  Replacement of Exhibits . . . . . . . . . . . .

          SECTION 3.2  Notation on Securities. . . . . . . . . . . . .

     SIGNATURES. . . . . . . . . . . . . . . . . . . . . . . . . . . .

     ACKNOWLEDGMENTS . . . . . . . . . . . . . . . . . . . . . . . . .


                                      2


<PAGE>

               FIRST SUPPLEMENTAL INDENTURE, dated as of
     October 30,1995 (the "First Supplemental Indenture"),
     between TENET HEALTHCARE CORPORATION, a Nevada corpora-
     tion (hereinafter called the "Company"), and THE BANK OF
     NEW YORK, as trustee (hereinafter called the "Trustee"),
     under the Indenture (the "Indenture"), dated as of Octo-
     ber 16, 1995, between the Company and the Trustee relat-
     ing to the Company's 8-5/8% Senior Notes due 2003 (the
     "Securities").

                       RECITALS OF THE COMPANY

               The Company proposes to offer (the "Offering")
     Exchangeable Subordinated Notes due 2007 which are ex-
     changeable for shares of common stock of Vencor, Inc.
     (the "Exchangeable Notes").

               In connection with the Offering, the Company is
     soliciting consents to the amendments to the Indenture
     (the "Amendments") (all as described in the Solicitation
     of Consents, dated October 20, 1995 (the "Consent Solici-
     tation").

               In accordance with Section 8.02 of the Inden-
     ture the Holders of a majority of the outstanding prin-
     cipal amount of the Securities then outstanding have
     consented to such Amendments.

               The Board of Directors of the Company has duly
     authorized the execution and delivery of this First
     Supplemental Indenture.  The Company has delivered an
     Officers' Certificate and an Opinion of Counsel to the
     Trustee pursuant to Section 8.06 of the Indenture and has
     done all other things necessary to make this First Sup-
     plemental Indenture a valid agreement of the Company in
     accordance with the terms hereof and of the Indenture.

               WHEREFORE, each party agrees as follows for the
     benefit of the other party and for the equal or ratable
     benefit of the Holders of the Securities:


                                      3


<PAGE>

                                  ARTICLE I

                      DEFINITIONS AND OTHER PROVISIONS
                           OF GENERAL APPLICATION

               SECTION 1.1  Definitions.

               For all purposes of the Indenture and this
     First Supplemental Indenture, except as otherwise ex-
     pressly provided or unless the context otherwise re-
     quires:

                       (1)  the words "herein," "hereof" and
          "hereunder" and other words of similar import refer
          to the Indenture and this First Supplemental Inden-
          ture as a whole and not to any particular Article,
          Section or subdivision; and

                       (2)  certain capitalized terms used but
          not defined herein shall have the meanings assigned
          to them in the Indenture.

               SECTION 1.2  Effect of Headings and Table of
                            Contents.

               The Article and Section headings and the Table
     of Contents are for convenience only and shall not affect
     the construction hereof.  All references to Sections in
     the Indenture shall remain unchanged.

               SECTION 1.3  Successors and Assigns.

               All covenants and agreements in this First
     Supplemental Indenture by the Company shall bind its
     successors and assigns, or any other obligor on the
     Securities, whether expressed or not.

               SECTION 1.4  Separability Clause.

               In case any provision in this First Supplemen-
     tal Indenture shall be invalid, illegal or unenforceable,
     the validity, legality and enforceability of the remain-
     ing provisions shall not in any way be affected or im-
     paired thereby.


                                      4


<PAGE>

               SECTION 1.5  Benefits of First Supplemental
                            Indenture.

               Nothing in this First Supplemental Indenture,
     express or implied, shall give to any Person, other than
     the parties hereto and their successors hereunder, any
     Paying Agent and the Holders, any benefit or any legal or
     equitable right, remedy or claim under this First Supple-
     mental Indenture.

               SECTION 1.6  Governing Law.

               This First Supplemental Indenture shall be
     governed by and construed in accordance with the laws of
     the State of New York and all rights and remedies shall
     be governed by such law without reference to its conflict
     of laws provision.

               SECTION 1.7  Effectiveness.

               This First Supplemental Indenture shall take
     effect on the date (the "Effective Date") that each of
     the following conditions shall have been satisfied:

                    (a)  the Trustee shall have received an
     Opinion of Counsel and an Officers' Certificate from the
     Company each dated the Effective Date and in the form set
     forth in Section 8.06 of the Indenture.

                    (b)  each of the parties hereto shall have
     executed and delivered this First Supplemental Indenture.


                              ARTICLE II

                            THE AMENDMENTS

               1.   Section 1.01 of the Indenture is hereby
     amended, by including the following between the defini-
     tion of "Specified Assets" and the definition of "Stock-
     holders' Equity":

               "SPECIFIED EXCHANGE" means any retirement of
          Indebtedness upon the exercise by a holder of such
          Indebtedness, pursuant to the terms thereof, of any
          right to exchange such Indebtedness for shares of
          common stock of Vencor, Inc. or any successor there-


                                      5


<PAGE>

          to or any other equity securities, other than Equity
          Interests of a Subsidiary, owned by the Company as
          of October 11, 1995, or for any securities or other
          property received with respect to such common stock
          or equity securities, whether or not such right is
          subject to the Company's ability to pay an amount in
          cash in lieu thereof.

               2.   Subsection (iii) of the first paragraph of
     Section 3.07 of the Indenture is hereby amended and
     restated, in its entirety, to state the following:

               (iii) make any principal payment on, or pur-
          chase, redeem, defease or otherwise acquire or
          retire for value any Indebtedness that is subordi-
          nated to the Securities, except at the original
          final maturity date thereof or pursuant to a Speci-
          fied Exchange or the Refinancing;

                             ARTICLE III

         NOTICE, ENDORSEMENT AND CHANGE OF FORM OF SECURITIES

               SECTION 3.1  Notice to Securityholders.

               After the Amendments become effective, the
     Company shall mail to Securityholders a notice briefly
     describing such Amendments in accordance with Section
     8.02 of the Indenture.

               SECTION 3.2  Notation on Securities.

                    (a)  Securities authenticated and deliv-
     ered after the effectiveness of this First Supplemental
     Indenture shall be affixed by the Trustee with the fol-
     lowing notation:

               "The Company and the Trustee have entered
          into a First Supplemental Indenture, dated as
          of October 30, 1995, which amended the covenant
          regarding limitations on restricted payments.
          Reference is hereby made to such First Supple-
          mental Indenture, copies of which are on file
          with The Bank of New York, Trustee."


                                      6


<PAGE>

               The Trustee may require holders of Securities
     authenticated and delivered prior to the effectiveness of
     this First Supplemental Indenture to deliver such Securi-
     ties to the Trustee so that the Trustee may affix them
     with the aforementioned notation.

                    (b)  If the Company or the Trustee so
     determines, the Company, in exchange for the Securities,
     shall issue and the Trustee shall authenticate new Secu-
     rities that reflect the changed terms.

                              * * * * *


                                      7


<PAGE>

          This First Supplemental Indenture may be exe-
     cuted in any number of counterparts, each of which so
     executed shall be deemed to be an original, but all such
     counterparts shall together constitute but one in the
     same instrument.

     Dated as of October 30, 1995

                         TENET HEALTHCARE CORPORATION



                         By:     /s/ Maris Andersons
                              -----------------------------
                              Name:   Maris Andersons
                              Title:  Senior Vice President

     Attest:


                                        (Seal)

        /s/ Alan Lundgren
     ---------------------------
     Name:   Alan Lundgren
     Title:  Assistant Secretary


     Dated as of October 30, 1995

                       THE BANK OF NEW YORK,
                              as Trustee



                       By:      /s/ Vivian Georges
                              -------------------------------
                              Name:  Vivian Georges
                              Title: Assistant Vice President

     Attest:


                                        (Seal)

       /s/ Paul Schmalzel
     --------------------------
     Name:  Paul Schmalzel
     Title: Assistant Treasurer


                                      8


<PAGE>


     STATE OF CALIFORNIA      )
                              :  ss.:
     COUNTY OF LOS ANGELES    )


               On this 30th day of October, 1995, before me
     personally came Maris Andersons, to me known, who, being
     by me duly sworn, did depose and say that he/she is
     Senior Vice President of TENET HEALTHCARE CORPORATION,
     one of the corporations described in and which executed
     the above instrument and that he/she signed his/her name
     thereto.



                                   /s/ Frances A. Paquet
                                 -----------------------------


     STATE OF NEW YORK        )
                              :  ss.:
     COUNTY OF NEW YORK       )


               On this 27th day of October, 1995, before me
     personally came Vivian Georges, to me known, who, being
     by me duly sworn, did depose and say that he/she is an
     Assistant Vice President of THE BANK OF NEW YORK, one of
     the corporations described in and which executed the
     above instrument and that he/she signed his/her name
     thereto.



                                 /s/ William J. Cassels
                                 -----------------------------


                                       9




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