TENET HEALTHCARE CORP
S-4, 1998-09-24
GENERAL MEDICAL & SURGICAL HOSPITALS, NEC
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<PAGE>
   AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON SEPTEMBER 24, 1998
 
                                                      REGISTRATION NO. 333-
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
 
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                           --------------------------
 
                                    FORM S-4
                             REGISTRATION STATEMENT
                                     UNDER
                           THE SECURITIES ACT OF 1933
                           --------------------------
 
                          TENET HEALTHCARE CORPORATION
             (Exact name of registrant as specified in its charter)
 
<TABLE>
<S>                                 <C>                                 <C>
              NEVADA                               8062                             95-2257091
 (State or other jurisdiction of       (Primary Standard Industrial              (I.R.S. Employer
  incorporation or organization)       Classification Code Number)             Identification No.)
</TABLE>
 
                               3820 STATE STREET
                        SANTA BARBARA, CALIFORNIA 93105
                                 (805) 563-7000
         (Address, including zip code, and telephone number, including
            area code, of registrant's principal executive offices)
 
                                 SCOTT M. BROWN
              SENIOR VICE PRESIDENT, GENERAL COUNSEL AND SECRETARY
                          TENET HEALTHCARE CORPORATION
                               3820 STATE STREET
                        SANTA BARBARA, CALIFORNIA 93105
                                 (805) 563-7000
 (Name, address, including zip code, and telephone number, including area code,
                             of agent for service)
                           --------------------------
 
                        COPIES OF ALL COMMUNICATIONS TO:
 
                            BRIAN J. MCCARTHY, ESQ.
                    Skadden, Arps, Slate, Meagher & Flom LLP
                       300 South Grand Avenue, Suite 3400
                         Los Angeles, California 90071
                                 (213) 687-5000
                           --------------------------
 
        APPROXIMATE DATE OF COMMENCEMENT OF PROPOSED SALE TO THE PUBLIC:
  AS SOON AS PRACTICABLE AFTER THIS REGISTRATION STATEMENT BECOMES EFFECTIVE.
                           --------------------------
 
    If the securities being registered on this Form are being offered in
connection with the formation of a holding company and there is compliance with
General Instruction G, check the following box. / /
 
    If this form is filed to register additional securities for an offering
pursuant to Rule 462(b) under the Securities Act, check the following box and
list the Securities Act registration statement number of the earlier effective
registration statement for the same offering. / /
 
    If this form is a post-effective amendment filed pursuant to Rule 462(d)
under the Securities Act, check the following box and list the Securities Act
registration statement number of the earlier effective registration statement
for the same offering. / /
                           --------------------------
 
                        CALCULATION OF REGISTRATION FEE
 
<TABLE>
<CAPTION>
                                                                  PROPOSED MAXIMUM    PROPOSED MAXIMUM       AMOUNT OF
          TITLE OF EACH CLASS OF                 AMOUNT TO         OFFERING PRICE        AGGREGATE          REGISTRATION
        SECURITIES TO BE REGISTERED            BE REGISTERED        PER UNIT(1)      OFFERING PRICE(1)         FEE(2)
<S>                                          <C>                 <C>                 <C>                 <C>
7 5/8% Series B Senior Notes due 2008......     $350,000,000            100%            $350,000,000          $70,000
8 1/8% Series B Senior Subordinated Notes
  due 2008.................................    $1,005,000,000           100%           $1,005,000,000         $201,000
</TABLE>
 
(1) Estimated solely for purposes of calculating the registration fee.
 
(2) The aggregate registration fee of $271,000 for the securities registered
    hereby was wire transferred on September 23, 1998 to the account of the
    Securities and Exchange Commission at Mellon Bank.
                           --------------------------
 
    THE REGISTRANT HEREBY AMENDS THIS REGISTRATION STATEMENT ON SUCH DATE OR
DATES AS MAY BE NECESSARY TO DELAY ITS EFFECTIVE DATE UNTIL THE REGISTRANT SHALL
FILE A FURTHER AMENDMENT WHICH SPECIFICALLY STATES THAT THIS REGISTRATION
STATEMENT SHALL THEREAFTER BECOME EFFECTIVE IN ACCORDANCE WITH SECTION 8(a) OF
THE SECURITIES ACT OF 1933 OR UNTIL THIS REGISTRATION STATEMENT SHALL BECOME
EFFECTIVE ON SUCH DATE AS THE COMMISSION, ACTING PURSUANT TO SAID SECTION 8(a),
MAY DETERMINE.
 
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
<PAGE>
PROSPECTUS
              , 1998
 
                               OFFER TO EXCHANGE
 
                          TENET HEALTHCARE CORPORATION
 
                        7 5/8% SENIOR NOTES DUE 2008 AND
                   8 1/8% SENIOR SUBORDINATED NOTES DUE 2008
                 FOR 7 5/8% SERIES B SENIOR NOTES DUE 2008 AND
               8 1/8% SERIES B SENIOR SUBORDINATED NOTES DUE 2008
                        WHICH HAVE BEEN REGISTERED UNDER
                     THE SECURITIES ACT OF 1933, AS AMENDED
 
    Tenet Healthcare Corporation is offering to exchange an aggregate principal
amount of up to $350,000,000 of its new 7 5/8% Series B Senior Notes due 2008
and $1,005,000,000 of its new 8 1/8% Series B Senior Subordinated Notes due
2008, which have been registered under the Securities Act of 1933, as amended
(the "Securities Act") for its existing ("old") 7 5/8% Senior Notes due 2008 and
its existing ("old") 8 1/8% Senior Subordinated Notes due 2008, respectively.
 
    The terms of the new notes are identical in all material respects to the
terms of the old notes, except that the new notes have been registered under the
Securities Act, and certain transfer restrictions and registration rights
relating to the old notes do not apply to the new notes.
 
    We currently intend to apply to list the new notes on the New York Stock
Exchange.
 
    SEE "RISK FACTORS" BEGINNING ON PAGE 6 FOR A DISCUSSION OF CERTAIN FACTORS
THAT SHOULD BE CONSIDERED BY HOLDERS PRIOR TO TENDERING THEIR OLD NOTES.
 
NEITHER THE SECURITIES AND EXCHANGE COMMISSION (THE "COMMISSION") NOR ANY STATE
  SECURITIES COMMISSION HAS APPROVED OR DISAPPROVED OF THESE SECURITIES OR
         PASSED UPON THE ADEQUACY OR ACCURACY OF THIS PROSPECTUS. ANY
             REPRESENTATION TO THE CONTRARY IS A CRIMINAL OFFENSE.
 
              THE DATE OF THIS PROSPECTUS IS               , 1998.
<PAGE>
                             AVAILABLE INFORMATION
 
    We file reports, proxy statements, registration statements and other
information with the Commission. Our reports, proxy statements, registration
statements and other information filed with the Commission may be inspected and
copied at the public reference facilities maintained by the Commission at 450
Fifth Street, N.W., Room 1024, Washington, D.C. 20549, and at the Commission's
Regional Offices at 500 West Madison Street, Suite 1400, Chicago, Illinois
60661-2511 and Seven World Trade Center, 13th Floor, New York, New York 10048.
Copies may be obtained from the Public Reference Section of the Commission at
450 Fifth Street, N.W., Washington, D.C. 20549. The Commission also maintains a
web site at http://www.sec.gov which contains our reports, proxy and information
statements and other information. Our common stock is listed on the New York
Stock Exchange and the Pacific Exchange under the symbol "THC." You also may
inspect our reports, proxy statements and other information at the offices of
the New York Stock Exchange at 20 Broad Street, New York, New York 10005 and at
the offices of the Pacific Exchange at 618 South Spring Street, Los Angeles,
California 90014 and 301 Pine Street, San Francisco, California 94104.
 
    We have filed with the Commission a registration statement on Form S-4
(together with all amendments and exhibits, the "Registration Statement") under
the Securities Act with respect to our offering of new notes. This Prospectus
does not contain all of the information in the Registration Statement. You will
find additional information about us and the new notes in the Registration
Statement. Any statements made in this Prospectus concerning the provisions of
legal documents are not necessarily complete and you should read the documents
which are filed as exhibits to the Registration Statement or otherwise filed
with the Commission.
 
    In the event that we are not required to comply with the reporting
requirements of the Securities Exchange Act of 1934, as amended (the "Exchange
Act"), we will be required under the indentures for the new notes to continue to
file with the Commission, and to furnish the holders of the new notes with, the
information, documents and other reports specified in Sections 13 and 15(d) of
the Exchange Act.
 
                INCORPORATION OF CERTAIN DOCUMENTS BY REFERENCE
 
    The Company's Annual Report on Form 10-K for the fiscal year ended May 31,
1998, filed with the Commission on August 28, 1998 (File No. 1-7293), is
incorporated in this Prospectus by reference and is a part of this Prospectus.
 
    All documents that we file with the Commission, pursuant to Section 13(a),
13(c), 14 or 15(d) of the Exchange Act, after the date of this Prospectus and
before the termination of the offering of the new notes will be incorporated by
reference in this Prospectus and will be a part of this Prospectus from the day
we file such documents. Any statement in this Prospectus or in a document
incorporated or deemed to be incorporated in this Prospectus by reference will
be modified or superseded for purposes of this Prospectus if a statement
contained in this Prospectus or in any other document we file after this
Prospectus that also is incorporated or deemed to be incorporated by reference
in this Prospectus modifies or supersedes such statement. Only the modified or
superseded statement will be a part of this Prospectus.
 
    This Prospectus incorporates documents by reference that are not part of
this Prospectus or delivered with this Prospectus. We will provide without
charge, if requested, a copy of any or all of the documents incorporated by
reference, other than exhibits to such documents (unless such exhibits are
specifically incorporated by reference in such documents). Please direct your
requests to Tenet Healthcare Corporation, 3820 State Street, Santa Barbara,
California 93105, Attention: Scott M. Brown, Esq., Senior Vice President,
Secretary and General Counsel (telephone number (805) 563-7000). Please make
your request by October [  ], 1998 to insure a timely delivery of the documents.
 
                                       ii
<PAGE>
                               PROSPECTUS SUMMARY
 
    THIS SECTION SUMMARIZES THE MORE DETAILED INFORMATION IN THIS PROSPECTUS OR
INCORPORATED BY REFERENCE IN THIS PROSPECTUS AND YOU SHOULD READ ALL OF SUCH
INFORMATION CAREFULLY AND IN ITS ENTIRETY.
 
                                  THE COMPANY
 
    Tenet Healthcare Corporation is the second largest investor-owned healthcare
services company in the United States. At May 31, 1998, our subsidiaries owned
or operated 122 general hospitals with 27,867 licensed beds and related
healthcare facilities serving urban and rural communities in 18 states and held
investments in other healthcare companies. Our subsidiaries also own or operate
a small number of rehabilitation hospitals, specialty hospitals, long-term care
facilities and psychiatric facilities and many medical office buildings located
at or near its general hospitals. Our subsidiaries also own or operate ancillary
healthcare businesses, including outpatient surgery centers, home healthcare
agencies, occupational and rural healthcare clinics, health maintenance
organizations, a preferred provider organization, a managed care insurance
company and physician practices. We intend to continue our strategic
acquisitions of and partnerships or affiliations with additional general
hospitals and related healthcare businesses to expand and enhance our integrated
healthcare delivery systems. Our integrated healthcare delivery systems offer a
broad range of healthcare services throughout a given geographic area.
 
    Our principal executive offices are located at 3820 State Street, Santa
Barbara, California 93105, and our telephone number is (805) 563-7000. We employ
approximately 116,800 people nationwide. We provide central support services to
our hospitals from an operations center based in Dallas, Texas.
 
                               THE EXCHANGE OFFER
 
<TABLE>
<S>                                 <C>
Securities Offered................  We are offering up to $350,000,000 principal amount of
                                    new 7 5/8% Series B Senior Notes due 2008, and
                                    $1,005,000,000 principal amount of new 8 1/8% Series B
                                    Senior Subordinated Notes due 2008, which have been
                                    registered under the Securities Act.
 
The Exchange Offer................  We are offering to issue the new notes in exchange for a
                                    like principal amount of your old notes. We are offering
                                    to issue the new notes to satisfy our obligations
                                    contained in the registration rights agreement entered
                                    into when the old notes were sold in transactions
                                    pursuant to Rule 144A and Regulation S under the
                                    Securities Act and therefore not registered with the
                                    Commission. For procedures for tendering, see "The
                                    Exchange Offer."
 
Tenders, Expiration Date;
  Withdrawal......................  The Exchange Offer will expire at 5:00 p.m. New York
                                    City time on October [  ], 1998 unless it is extended.
                                    If you decide to exchange your old notes for new notes,
                                    you must acknowledge that you are not engaging in, and
                                    do not intend to engage in, a distribution of the new
                                    notes. If you decide to tender your old notes pursuant
                                    to the Exchange Offer, you may withdraw them at any time
                                    prior to October [  ], 1998. If we decide for any reason
                                    not to accept any old note for exchange, it will be
                                    returned to you without expense to you promptly after
                                    the expiration or termination of the Exchange Offer.
</TABLE>
 
                                       1
<PAGE>
 
<TABLE>
<S>                                 <C>
Listing...........................  We will apply to have the new notes listed on the New
                                    York Stock Exchange.
 
Federal Income Tax Consequences...  Your exchange of old notes for new notes pursuant to the
                                    Exchange Offer will not result in any income, gain or
                                    loss to you for Federal income tax purposes. See
                                    "Certain United States federal Income Tax Consequences."
 
Exchange Agent....................  The Bank of New York is the exchange agent for the
                                    Exchange Offer.
</TABLE>
 
                    CONSEQUENCES OF NOT EXCHANGING OLD NOTES
 
    If you do not exchange your old notes in the Exchange Offer, your old notes
will continue to be subject to the restrictions on transfer set forth in the
legend on the certificate for your old notes. In general, you may offer or sell
your old notes only if they are registered under, offered or sold pursuant to an
exemption from, or offered or sold in a transaction not subject to, the
Securities Act and applicable state securities laws. We do not currently intend
to register the old notes under the Securities Act. Under certain circumstances,
however, certain holders of old notes (including holders who are not permitted
to participate in the Exchange Offer or who may not freely resell new notes
received in the Exchange Offer) may require us to file and cause to become
effective, a shelf registration statement which would cover resales of old notes
by such holders. See "Description of Notes--Exchange Offer; Registration
Rights."
 
                      SUMMARY DESCRIPTION OF THE NEW NOTES
 
    The terms of the new notes and the old notes are identical in all material
respects, except that the new notes have been registered under the Securities
Act, and certain transfer restrictions and registration rights relating to old
notes do not apply to the new notes.
 
<TABLE>
<S>                                 <C>
Maturity Dates....................  June 1, 2008 for the 7 5/8% new notes and December 1,
                                    2008 for the 8 1/8% new notes.
 
Interest Payment Dates............  June 1 and December 1, beginning December 1, 1998.
 
Mandatory Redemption..............  None.
 
Optional Redemption...............  The 7 5/8% old notes are and the 7 5/8% new notes will
                                    be redeemable, in whole, at any time, or in part, from
                                    time to time, at our option at a redemption price equal
                                    to the Make-Whole Price. See "Description of
                                    Notes--Optional Redemption."
 
                                    The 8 1/8% old notes are and the 8 1/8% new notes will
                                    be redeemable at our option in whole or in part on or
                                    after June 1, 2003, at the redemption prices set forth
                                    on page [  ], plus accrued and unpaid interest to the
                                    date of redemption. See "Description of Notes--Optional
                                    Redemption." Our existing bank credit facility and the
                                    7 5/8% notes indenture and our other debt obligations
                                    limit our ability to redeem or otherwise repurchase the
                                    8 1/8% notes prior to the stated maturity thereof, other
                                    than in connection with certain refinancing
                                    transactions.
 
Change of Control.................  Upon a Change of Control Triggering Event, each holder
                                    of old notes and new notes may require us to repurchase
                                    their notes at 101% of the principal amount thereof,
                                    plus accrued and unpaid interest to the date of
                                    repurchase. The terms of the existing bank
</TABLE>
 
                                       2
<PAGE>
 
<TABLE>
<S>                                 <C>
                                    credit facility prohibit us from repurchasing the 8 1/8%
                                    old and new notes upon the occurrence of a Change of
                                    Control Triggering Event. The indentures relating to the
                                    7 5/8% old and new notes and certain of our other debt
                                    obligations also may restrict our ability to purchase
                                    the 8 1/8% old and new notes upon the occurrence of a
                                    Change of Control Triggering Event. See "Risk
                                    Factors--Possible Inability to Repurchase Notes Upon a
                                    Change of Control" and "Description of Notes--Repurchase
                                    at the Option of Holders Upon a Change of Control."
 
Ranking...........................  The 7 5/8% old notes were, and the 7 5/8% new notes will
                                    be, general unsecured obligations ranking senior to our
                                    subordinated indebtedness, including the 8 1/8% old and
                                    new notes, and PARI PASSU in right of payment with all
                                    of our other existing and future unsubordinated
                                    indebtedness. The 8 1/8% old notes were, and the 8 1/8%
                                    new notes will be, our general unsecured obligations
                                    subordinated to all of our existing and future senior
                                    debt. See "Capitalization," "Description of
                                    Notes--General" and "Description of Notes--Subordination
                                    of 8 1/8% Notes."
 
Certain Covenants.................  The indenture governing the 7 5/8% old and new notes and
                                    the indenture governing the 8 1/8% old and new notes
                                    contain certain covenants limiting or prohibiting: (i)
                                    our ability and our subsidiaries ability to incur
                                    additional indebtedness; (ii) our ability to pay
                                    dividends on, and the redemption of, capital stock;
                                    (iii) our ability to create liens securing indebtedness;
                                    (iv) our subsidiaries ability to pay dividends; (v)
                                    transactions with affiliates; and (vi) our ability to
                                    consolidate or merge with or into, or to transfer all or
                                    substantially all of our assets to, another person. See
                                    "Description of Notes--Certain Covenants."
</TABLE>
 
                                  RISK FACTORS
 
    You should consider carefully all of the information set forth or
incorporated by reference in this Prospectus and, in particular, the specific
risk factors, beginning at page 6, before deciding to tender your old notes in
the Exchange Offer.
 
                                       3
<PAGE>
                         SUMMARY FINANCIAL INFORMATION
 
    Certain summary financial information for fiscal years ended May 31, 1997
and 1998 follows. The information for each fiscal year is from our consolidated
financial statements, which have been audited by KPMG Peat Marwick LLP, our
independent auditors, and from our underlying accounting records. We exclude
from our operating results for all periods presented the discontinued
psychiatric operations of certain of our subsidiaries and extraordinary charges
from the early extinguishment of debt.
 
    You also should read "Management's Discussion and Analysis of Financial
Condition and Results of Operations," the consolidated financial statements and
related notes and the report of our independent auditors included in our Annual
Report on Form 10-K for the fiscal year ended May 31, 1998, incorporated in this
Prospectus by reference.
 
<TABLE>
<CAPTION>
                                                                                            YEAR ENDED MAY 31,
                                                                                           --------------------
                                                                                             1997       1998
                                                                                           ---------  ---------
                                                                                               (DOLLARS IN
                                                                                                MILLIONS)
<S>                                                                                        <C>        <C>
STATEMENT OF OPERATIONS DATA:
Net operating revenues...................................................................  $   8,691  $   9,895
Operating expenses:
  Salaries and benefits..................................................................      3,574      4,052
  Supplies...............................................................................      1,197      1,375
  Provision for doubtful accounts........................................................        494        588
  Other operating expenses...............................................................      1,829      2,071
  Depreciation...........................................................................        335        347
  Amortization...........................................................................        108        113
  Merger, facility consolidation and impairment charges(1)...............................        740        221
                                                                                           ---------  ---------
Operating income.........................................................................        414      1,128
Interest expense, net of capitalized portion.............................................       (417)      (464)
Investment earnings......................................................................         26         22
Equity in earnings of unconsolidated affiliates..........................................          1     --
Minority interests.......................................................................        (27)       (22)
Net losses on disposals of facilities and long-term investments..........................        (18)       (17)
                                                                                           ---------  ---------
Income (loss) from continuing operations before income taxes.............................        (21)       647
Taxes on income..........................................................................        (52)      (269)
                                                                                           ---------  ---------
Income (loss) from continuing operations.................................................  $     (73) $     378
                                                                                           ---------  ---------
                                                                                           ---------  ---------
Ratio of earnings to fixed charges(2)....................................................        1.0x       2.1x
</TABLE>
 
                                       4
<PAGE>
 
<TABLE>
<CAPTION>
                                                                                            YEAR ENDED MAY 31,
                                                                                           --------------------
                                                                                             1997       1998
                                                                                           ---------  ---------
                                                                                               (DOLLARS IN
                                                                                                MILLIONS)
<S>                                                                                        <C>        <C>
OTHER OPERATING INFORMATION:
Net cash provided by operating activities................................................  $     404  $     403
Net cash provided by financing activities................................................        653        668
Net cash used in investing activities....................................................     (1,125)    (1,083)
EBITDA(3)................................................................................      1,597      1,809
EBITDA margin(4).........................................................................       18.4%      18.3%
Ratio of EBITDA to net interest expense(5)...............................................       4.1x       4.1x
Ratio of total debt to EBITDA............................................................     --           3.2x
Capital expenditures.....................................................................  $    (406) $    (534)
</TABLE>
 
<TABLE>
<CAPTION>
                                                                                              AS OF MAY 31,
                                                                                           --------------------
                                                                                             1997       1998
                                                                                           ---------  ---------
<S>                                                                                        <C>        <C>
BALANCE SHEET DATA:
Working capital..........................................................................  $     522  $   1,123
Total assets.............................................................................     11,705     12,833
Long-term debt, excluding current portion................................................      5,022      5,829
Shareholders' equity.....................................................................      3,224      3,558
</TABLE>
 
- ------------------------
 
(1) In the year ended May 31, 1997, we recorded merger, facility consolidation
    and impairment charges totaling $740 million, primarily in connection with
    the acquisition of OrNda HealthCorp, ("OrNda"), which was accounted for as a
    pooling-of-interests (the "OrNda Merger"). In the fourth quarter of the year
    ended May 31, 1998, we recorded charges of $221 million relating to: (1) the
    planned closure or sale of five hospitals and several home health agencies;
    (2) write-offs of goodwill and other assets; and (3) write-downs of carrying
    values of long lived assets.
 
(2) We calculate our ratio of earnings to fixed charges by dividing income or
    loss from continuing operations before income taxes plus fixed charges by
    fixed charges. Fixed charges consist of interest expense, including
    amortization of financing costs, and that portion of rental expense
    representing the interest component of rental expense.
 
(3) We define EBITDA as operating income before depreciation, amortization and
    merger, facility consolidation and impairment charges. EBITDA is not a
    substitute for operating income or a better indicator of liquidity than cash
    flows from operating activities. Cash flows from operating, investing and
    financing activities are required disclosures under generally accepted
    accounting principles. EBITDA is included herein to provide additional
    information with respect to our ability to meet our future debt service,
    capital expenditure and working capital requirements. EBITDA is not
    necessarily a measure of our ability to fund our cash needs. See the
    Consolidated Statements of Cash Flows and the related notes thereto included
    in our Annual Report on Form 10-K for the fiscal year ended May 31, 1998,
    incorporated by reference herein. We disclose EBITDA because the investment
    community finds it to be a useful tool for measuring our ability to service
    debt.
 
(4) EBITDA margin is EBITDA divided by net operating revenues.
 
(5) The ratio of EBITDA to net interest expense is calculated by dividing EBITDA
    by interest expense, net of investment earnings and the capitalized portion
    of interest expense.
 
                                       5
<PAGE>
                                  RISK FACTORS
 
    YOU SHOULD CONSIDER CAREFULLY THE FOLLOWING FACTORS, AS WELL AS THE OTHER
INFORMATION SET FORTH OR INCORPORATED BY REFERENCE IN THE PROSPECTUS, BEFORE
TENDERING YOUR OLD NOTES IN THE EXCHANGE OFFER. WHEN WE USE THE TERM "NOTES" IN
THIS PROSPECTUS, THE TERM INCLUDES THE 7 5/8% OLD NOTES, THE 7 5/8% NEW NOTES,
THE 8 1/8% OLD NOTES AND THE 8 1/8% NEW NOTES.
 
CONSEQUENCES OF NOT EXCHANGING NOTES
 
    If you do not exchange your old notes in the Exchange Offer, your old notes
will continue to be subject to the restrictions on transfer described in the
legend on the certificate for the old notes. In general, you may offer or sell
the old notes only if they are registered under, offered or sold pursuant to an
exemption from, or offered or sold in a transaction not subject to, the
Securities Act and applicable state securities laws.
 
    We believe that new notes issued in exchange for old notes pursuant to the
Exchange Offer may be offered for resale, resold or otherwise transferred by you
without registering the new notes under the Securities Act or delivering a
prospectus so long as you (1) are not one of our "affiliates", which is defined
in Rule 405 of the Securities Act, and (2) acquire the new notes in the ordinary
course of your business and, unless you are a broker dealer, you do not have any
arrangement with any person to participate in the distribution of such new
notes. Our belief is based on interpretations by the Commission's staff in no-
action letters issued to third parties. Please note that the Commission has not
considered our Exchange Offer in the context of a no-action letter and we cannot
assure you that the Commission's staff would make a similar determination with
respect to our Exchange Offer.
 
    Unless you are a broker-dealer, you must acknowledge that you are not
engaged in, and do not intend to engage in, a distribution of the new notes and
that you have no arrangement or understanding to participate in a distribution
of the new notes. If you are an affiliate of the Company, or you are engaged in,
intend to engage in or have any arrangement or understanding with respect to,
the distribution of new notes acquired in the Exchange Offer, you (1) should not
rely on our interpretations of the position of the Commission's staff and (2)
must comply with the registration and prospectus delivery requirements of the
Securities Act in connection with any resale transaction.
 
    If you are a broker-dealer and receive new notes for your own account
pursuant to the Exchange Offer, you must acknowledge that you will deliver a
prospectus in connection with any resale of such new notes. The Letter of
Transmittal states that by so acknowledging and by delivering a prospectus, you
will not be deemed to admit that you are an "underwriter" within the meaning of
the Securities Act. If you are a broker-dealer, you may use this Prospectus, as
it may be amended or supplemented from time to time, in connection with the
resale of new notes received in exchange for old notes acquired by you as a
result of market-making or other trading activities. For a period of 90 days
after the expiration of the Exchange Offer, we will make this Prospectus
available to any broker-dealer for use in connection with any such resale. See
"Plan of Distribution."
 
    In addition, you may offer or sell the new notes in certain jurisdictions
only if they have been registered or qualified for sale there, or an exemption
from registration or qualification is available and is complied with. Subject to
the limitations specified in the registration rights agreement, we will register
or qualify the new notes for offer or sale under the securities laws of any
jurisdictions that you reasonably request in writing. Unless you request that
the sale of the new notes be registered or qualified in a jurisdiction, we
currently do not intend to register or qualify the sale of the new notes in any
jurisdiction.
 
CERTAIN FINANCING CONSIDERATIONS; LEVERAGE
 
    AMOUNT OF LEVERAGE
 
    As of May 31, 1998, we had approximately $5.8 billion of outstanding
indebtedness, including short-term borrowings and notes and the current portion
of long-term debt, and approximately $3.6 billion of shareholders' equity.
Outstanding indebtedness was approximately 62.2% of our total capitalization,
which was approximately $9.4 billion. See "Capitalization".
 
                                       6
<PAGE>
    RESTRICTIVE COVENANTS
 
    Our bank credit facility contains various covenants that limit our ability
to engage in certain transactions. Those covenants:
 
    - limit our and our subsidiaries' ability to borrow and to place liens on
      our assets;
 
    - limit our investments and the sale of all or substantially all of our
      assets;
 
    - limit our prepayment of subordinated debt including the 8 1/8% notes;
 
    - prohibit us from purchasing our stock or paying dividends unless our
      senior long-term unsecured debt securities are rated BBB- or higher by
      Standard and Poors' Rating Services and Baa3 or higher by Moody's
      Investors Service, Inc.;
 
    - require us to maintain a minimum consolidated net worth; and
 
    - require us to comply with coverage ratio tests.
 
    Indentures governing our debt securities, including the notes, include some
covenants of a similar nature. Although the old notes do not, and the new notes
will not, contain any requirement that we maintain minimum consolidated net
worth or other ratios, our failure to comply with any of these covenants could
result in an event of default under our indebtedness, including the notes. That
in turn could cause an event of default to occur under all or substantially all
of our other then outstanding indebtedness. See "Description of Notes--Certain
Covenants."
 
    AFFECT ON ABILITY TO FINANCE FUTURE OPERATIONS
 
    Our level of indebtedness relative to our total capitalization and the
covenants described above may adversely affect our ability to finance our future
operations. Those factors also could limit our ability to pursue business
opportunities that may be in our interests. In particular, changes in medical
technology, existing, proposed and future legislation, regulations and the
interpretation thereof, and the increasing importance of entering into contracts
with health maintenance organizations ("HMO's") and other managed care companies
and being part of or creating integrated healthcare delivery systems may require
significant investments in facilities, equipment, personnel and services.
Although we believe that cash generated from operations, amounts available under
our bank credit facility and our ability to access capital markets will be
sufficient to allow us to make such investments, we cannot assure you that we
will be able to obtain the funds necessary to make such investments.
Furthermore, tax-exempt or government-owned competitors have certain financial
advantages such as endowments, charitable contributions, tax-exempt financing
and exemption from sales, property and income taxes not available to us,
providing those competitors with a potential competitive advantage in making
such investments.
 
ACQUISITION STRATEGY
 
    OUR STRATEGY
 
    An important part of our business strategy is expanding and enhancing our
integrated healthcare delivery systems and services through the acquisition of,
and partnerships and affiliations with, hospitals, groups of hospitals, other
healthcare businesses, ancillary healthcare providers, physician practices and
physician practice assets. Although, we believe that this strategy will enable
us to better compete for managed care contracts, there can be no assurance that
this will be a successful strategy.
 
                                       7
<PAGE>
    INDUSTRY-RELATED CONSIDERATIONS
 
    Several factors have caused our pace for acquisitions of, and partnerships
and affiliations with, general hospitals to slow. First, many states have
enacted, and other states are considering enacting, legislation that requires
public hearings about or state approval of conversions of not-for-profit
hospitals to for-profit status and acquisitions of not-for-profit hospitals by
for-profit companies. These reviews and hearings have resulted in it taking
longer to acquire not-for-profit hospitals. Second, not-for-profit boards have
become more deliberative in the process of selling their hospitals and
increasingly are engaging investment bankers or other third parties to assist
with the sale process. Third, start-up companies and financially strong not-
for-profit bidders--alone or in consortiums--continue to compete with us for
acquisitions. As a result, we did not acquire as many hospitals as we otherwise
might have in fiscal 1998. Finally, a recent revenue ruling by the Internal
Revenue Service has had a chilling effect on the formation of certain joint
ventures between not-for-profit and for-profit corporations. In the past,
relationships established through joint ventures have led to acquisition
opportunities.
 
    AFFECT ON ABILITY TO CONSUMMATE AND INTEGRATE ADDITIONAL ACQUISITIONS,
     PARTNERSHIPS OR AFFILIATIONS
 
    We cannot assure you that suitable acquisitions, partnerships and/or
affiliations can be consummated on terms favorable to us or that we can obtain
financing for such acquisitions, if necessary. See "--Certain Financing
Considerations; Leverage." Furthermore, we cannot assure you that even if we
continue to acquire and/or enter into partnerships or affiliations with
additional facilities and related healthcare service providers in the geographic
areas in which we currently operate, federal and state regulatory agencies will
not constrain our ability to grow. Finally, we cannot assure you that we will be
able to operate profitably, or effectively integrate the operations of or
otherwise achieve the intended benefits from, any hospitals, facilities,
businesses or other assets we may acquire or with which we may enter into
partnerships or affiliations.
 
COMPETITION
 
    The healthcare industry, including our company, in recent years has had to
contend with increased competition for patients and staff physicians, excess
capacity at general hospitals, a shift from inpatient to outpatient treatment
settings and increased consolidation. The increased competition as well as the
factors described below have led to increased emphasis on the use of alternative
healthcare delivery systems (such as home health services, outpatient surgery
and emergency and diagnostic centers). That in turn has resulted in certain
conditions being treated and certain procedures being performed outside of
general hospitals, which has reduced the number and the length of general
hospital stays and has led to a higher acuity level for patients who are
admitted to general hospitals. The principal factors contributing to these
trends are advances in medical technology and pharmaceuticals, cost-containment
efforts by managed care payors, employers and traditional healthcare insurers,
changes in regulations and reimbursement policies, increases in the number and
type of competing healthcare providers and changes in physician practice
patterns. We expect these trends and factors to continue to adversely impact our
general hospitals.
 
    The revenues and operating results of most of our hospitals are
significantly affected by the hospitals' ability to negotiate favorable
contracts with HMO's and other managed care payors. Our future success will
depend, in part, on our hospitals' ability to continue to attract and retain
staff physicians, to enter into managed care contracts and to organize and
structure integrated healthcare delivery systems. We cannot assure you that our
hospitals will continue to be able to, on terms favorable to us, attract and
retain physicians to their staffs, enter into managed care contracts or organize
and structure integrated healthcare delivery systems, for which other healthcare
companies, including some with greater financial resources or a wider range of
services, may be competing. We expect pressures imposed by government and
private payors and the increasing percentage of business negotiated with
purchasers of group healthcare services to continue to affect our per-patient
revenues adversely.
 
                                       8
<PAGE>
LIMITS ON PAYMENTS
 
    GOVERNMENT PROGRAMS
 
    Payments from government programs, such as Medicare and Medicaid, account
for approximately 42% of our net operating revenues. Recent legislative changes,
including the Balanced Budget Act of 1997 (the "1997 Act"), have resulted in
limitations on and, in some cases, reductions in levels of payments to,
healthcare providers under government programs. The 1997 Act is being phased in
over a period of five years beginning October 1, 1997. The 1997 Act
significantly changes the method of paying us under the Medicare and Medicaid
programs. These changes have resulted, and we expect will continue to result, in
significant reductions in payments to us for our inpatient, outpatient, home
health, capital and skilled nursing facilities costs. We do not expect the
aggregate effect of the reduced payments, however, to have a material adverse
effect on our business, financial condition or results of operations.
 
    PRIVATE PAYOR FEE STRUCTURES AND PROCEDURES
 
    In addition, private payors, including managed care payors, increasingly are
demanding discounted fee structures or the assumption by healthcare providers of
all or a portion of the financial risk through prepaid capitation arrangements.
With capitated contracts, we receive specific fixed periodic payments from an
HMO, preferred provider organization, or employer, based on the number of
members of such organization we service. In return, we agree to provide
healthcare services to such members regardless of the actual costs incurred and
services provided. The profitability of such contracts depends upon our ability
to negotiate payments per patient that, in the aggregate, are adequate to cover
the cost of meeting the healthcare needs of the covered persons. We cannot
assure you that we will be able to enter into any such contracts or that, if we
do, the payments received will be adequate to cover the cost of meeting the
healthcare needs of the covered persons.
 
    Inpatient utilization, average lengths of stay and occupancy rates continue
to be negatively affected by payor-required pre-admission authorization and
utilization review and by payor pressure to maximize outpatient and alternative
healthcare delivery services for less acutely ill patients. Efforts to impose
reduced allowances, greater discounts and more stringent cost controls by
government and other payors also are expected to continue. Although we are
unable to predict the effect these changes will have on our operations,
significant limits on the scope of services reimbursed and on reimbursement
rates and fees could have a material adverse effect on our business, financial
condition or results of operations.
 
    UTILIZATION REVIEW
 
    Controls imposed by government and private payors designed to reduce
admissions and lengths of stay have affected and are expected to continue to
affect our facilities. For example, certain treatments and procedures are
performed less often due to such controls, including what is commonly referred
to as "utilization review." Utilization review entails the review of the
admission and course of treatment of a patient by a third party. Utilization
review by third-party peer review organizations ("PROs") is required in
connection with providing care paid for by Medicare and Medicaid. Utilization
review by third parties also is a requirement of many managed care arrangements.
 
EXTENSIVE REGULATION
 
    The healthcare industry is subject to extensive federal, state and local
regulation relating to licensure, conduct of operations, ownership of
facilities, addition of facilities and services and prices for services. In
particular, Medicare and Medicaid antikickback and antifraud and abuse
amendments codified under Section 1128B(b) of the Social Security Act (the
"Antikickback Amendments") prohibit certain business practices and relationships
that might affect the provision and cost of healthcare services payable under
the Medicare, Medicaid and other government programs, including the payment or
receipt of remuneration
 
                                       9
<PAGE>
for the referral of patients whose care will be paid for by such programs.
Sanctions for violating the Antikickback Amendments include criminal penalties
and civil sanctions, including fines and possible exclusion from government
programs such as the Medicare and Medicaid programs.
 
    In addition, Section 1877 of the Social Security Act (commonly referred to
as the "Stark" laws) restricts referrals by physicians of Medicare, Medicaid and
other government-program patients to providers of a broad range of designated
health services with which they have ownership or certain other financial
arrangements. Many states have adopted or are considering similar legislative
proposals, some of which extend beyond the Medicaid program to prohibit the
payment or receipt of remuneration for the referral of patients and physician
self-referrals regardless of the source of the payment for the care. Our
participation in and development of joint ventures and other financial
relationships with physicians could be adversely affected by these amendments
and similar state enactments.
 
    The federal government has issued regulations that describe some of the
conduct and business relationships that are permissible under the Antikickback
Amendments ("Safe Harbors"). The fact that certain conduct or a given business
arrangement does not fall within a Safe Harbor does not render the conduct or
business arrangement per se illegal under the Antikickback Amendments. Such
conduct and business arrangements, however, do risk increased scrutiny by
government enforcement authorities. We may be less willing than some of our
competitors to enter into conduct or business arrangements that do not clearly
satisfy the Safe Harbors. Declining opportunities in which our competitors are
willing to engage may put us at a competitive disadvantage.
 
    The "Health Insurance Portability and Accountability Act of 1996," which
became effective January 1, 1997, amends, among other things, Title XI (42
U.S.C. 1301 ET SEQ.) to broaden the scope of current fraud and abuse laws, to
add monetary penalties and include all health plans, whether or not they are
reimbursed as a federal program.
 
    Both federal and state government agencies are continuing heightened and
coordinated civil and criminal enforcement efforts. As part of an announced work
plan, the government has begun to scrutinize, among other things, the terms of
acquisitions of physician practices by companies that own hospitals. We have
received a subpoena from The Department of Health and Human Services requesting
information concerning the purchase of certain physician practices, primarily by
a company that we acquired after the purchase of such physician practices. We
are cooperating with the investigation and we do not believe it will have a
material adverse affect on our business, financial condition or results of
operations. We believe that the healthcare industry will continue to be subject
to increased government scrutiny and investigations such as this.
 
    Another trend impacting the healthcare industry today is the increased use
of the False Claims Act by individuals. Such QUI TAM or "whistleblower" actions
allow private individuals to bring actions on behalf of the government alleging
that the defendant has defrauded the federal government. If the government
intervenes in the action and prevails, the party filing the initial complaint
may share in any settlement or judgment. If the government does not intervene in
the action, the QUI TAM plaintiff may pursue the action independently. From time
to time companies in the healthcare industry, including ours, may be subject to
QUI TAM actions but, we are unable to predict the impact of such actions.
 
    Some states require state approval for construction and expansion of
healthcare facilities, including findings of need for additional or expanded
healthcare facilities or services. Certificates of Need, which are issued by
governmental agencies with jurisdiction over healthcare facilities, are
sometimes required for capital expenditures exceeding a prescribed amount,
changes in bed capacity or services and certain other matters. Following a
number of years of decline, the number of states requiring Certificates of Need
is on the rise as state legislators once again are looking at the Certificate of
Need process as a way to contain rising healthcare costs. At May 31, 1998, we
operated hospitals in 12 states with Certificate of Need requirements. We are
unable to predict whether we will be able to obtain any required Certificates of
Need for future hospitals.
 
                                       10
<PAGE>
    We are unable to predict the future course of federal, state and local
regulation or legislation, including Medicare and Medicaid statutes and
regulations. Further changes in the regulatory framework could have a material
adverse effect on our business, financial condition or results of operations.
 
HEALTHCARE REFORM LEGISLATION
 
    The healthcare industry, one of the largest in the United States, attracts
much legislative interest and public attention. Changes in the Medicare,
Medicaid and other programs, hospital cost-containment initiatives by public and
private payors, proposals to limit payments and healthcare spending and
industry-wide competitive factors are highly significant to the healthcare
industry. In addition, the healthcare industry is governed by a framework of
federal and state laws, rules and regulations that are extremely complex and
there is little history of regulatory or judicial interpretation to rely on.
Although we believe that we are in compliance in all material respects with such
laws, rules and regulations, if a determination were made that we were in
material violation of such laws, rules or regulations, it could have a material
adverse effect on our business, financial condition or results of operations.
 
    As discussed under "--Risk Factors--Limits on Payment," the 1997 Act has the
effect of reducing payments to hospitals and other healthcare providers under
the Medicare program. This has had, and we expect it to continue to have, a
significant but not material impact on our revenues under the Medicare program.
In addition, there continue to be federal and state proposals that would, and
actions that do, impose more limitations on payments to providers like ourselves
and proposals to increase co-payments and deductibles from patients.
 
    Many states have enacted or are considering enacting measures that are
designed to reduce their Medicaid expenditures and to change private healthcare
insurance. Various states have applied, or are considering applying, for a
federal waiver from current Medicaid regulations to allow them to serve some of
their Medicaid participants through managed care providers. Tennessee was
granted a waiver and has implemented a managed care program for some of its
Medicaid participants. Texas was denied a waiver under Section 1115 of the 1997
Act but is in the process of implementing regional managed care programs under a
more limited waiver. Texas also plans to apply for federal funds for children's
health programs under the 1997 Act. Louisiana is considering wider use of
managed care for its Medicaid population. California has created a voluntary
health insurance purchasing cooperative that seeks to make healthcare coverage
more affordable for businesses with five to 50 employees and, effective January
1, 1995, began changing the payment system for participants in its Medicaid
program in certain counties from fee-for-service arrangements to managed care
plans. Florida has enacted a program creating a system of local purchasing
cooperatives and has proposed other changes that have not yet been enacted.
Florida also has adopted, and other states are considering adopting, legislation
imposing a tax on net revenues of hospitals to help finance or expand their
Medicaid systems. A number of other states are considering the enactment of
managed care initiatives designed to provide universal low-cost coverage. These
proposals also may include coverage for some people who are currently uninsured.
 
    We are unable to predict the future course of federal, state or local
healthcare legislation. Further changes in the law or regulatory framework that
reduce our revenues or increase our costs could have a material adverse effect
on our business, financial condition or results of operations.
 
CERTAIN LEGAL PROCEEDINGS
 
    We have been involved in significant legal proceedings of an unusual nature
related principally to our discontinued psychiatric business. In prior years, we
recorded provisions to estimate the cost of the ultimate disposition of these
proceedings, including estimated legal fees. We have settled the most
significant of these matters. The remaining reserves are for unusual litigation
costs that relate to matters that were not settled as of May 31, 1998, and an
estimate of the legal fees to be incurred subsequent to May 31, 1998. These
reserves represent management's estimate of the remaining net costs of the
ultimate
 
                                       11
<PAGE>
disposition of these matters. We cannot assure you, however, that the ultimate
liability will not exceed such estimates. Based upon information currently
available to it, management believes that the amount of damages, if any, in
excess of its reserves for unusual litigation costs that may be awarded in any
unresolved legal proceedings cannot reasonably be estimated; however it does not
believe it is likely that any such damages will have a material adverse effect
on our business, financial condition or results of operations.
 
    We continue to defend a greater-than-normal level of civil litigation
relating to certain subsidiaries' discontinued psychiatric operations. The
majority of such lawsuits allege medical malpractice, fraud and conspiracy by us
and certain of our subsidiaries and former employees and numerous doctors and
other healthcare professionals. Many of the cases alleging fraud and conspiracy
by us and certain of our subsidiaries have been resolved.
 
    We believe that this litigation has arisen primarily from advertisements by
lawyers seeking former psychiatric patients in order to file claims against us
and certain of our subsidiaries. The advertisements focus, in many instances, on
the settlement of past disputes involving the operations of the subsidiaries'
discontinued psychiatric business. The number of advertisements has increased
and we expect that additional lawsuits with similar allegations will be filed.
We believe we have a number of defenses to each of these actions and will defend
these and any additional lawsuits vigorously. Until the lawsuits are resolved,
however, we will continue to incur substantial legal expenses.
 
    In the normal course of business we are also subject to claims and lawsuits
relating to injuries arising from patient treatment. We believe that our
liability for damages resulting from such claims and lawsuits in the normal
course of business is adequately covered by insurance or is adequately provided
for in our consolidated financial statements.
 
POSSIBLE INABILITY TO PURCHASE NOTES UPON A CHANGE OF CONTROL
 
    Upon the occurrence of a Change of Control Triggering Event (defined on page
[  ] below), you may require us to purchase your notes at 101% of their
principal, plus accrued and unpaid interest to the date of purchase. Please
note, however, that the terms of our bank credit facility limit our ability to
purchase your 8 1/8% new notes and the 8 1/8% old notes (together, the "8 1/8%
notes") upon the occurrence of a Change of Control Triggering Event. Any of our
future credit agreements or other agreements relating to indebtedness may
contain similar restrictions and provisions. The Indentures relating to the
7 5/8% new notes and the 7 5/8% old notes (together, the "7 5/8% notes") and our
other debt obligations also may restrict our ability to purchase your 8 1/8%
notes upon a Change of Control Triggering Event. Accordingly, we may not be able
to satisfy our obligations to purchase your 8 1/8% notes unless we are able to
refinance or obtain waivers with respect to our existing bank credit facility
and certain other indebtedness. We cannot assure that we will have the financial
resources to purchase your notes in the event of a Change of Control Triggering
Event, particularly if such Change of Control Triggering Event requires us to
refinance, or results in the acceleration of, other indebtedness.
 
SUBORDINATION
 
    SUBSIDIARY OPERATIONS
 
    Our operations are and will be conducted by our subsidiaries. Similarly,
substantially all of our assets are and will be owned by our subsidiaries.
Accordingly, your new notes and your old notes will be effectively subordinated
to all existing and future obligations and other liabilities (including trade
payables) of our subsidiaries. Any right we have to the assets of each of our
subsidiaries upon the liquidation, reorganization or insolvency of such
subsidiary (and consequently your right as a holder of notes to participate in
those assets) will be effectively subordinated to the claims of the creditors
(including trade creditors) and preferred stockholders, if any, of such
subsidiary, except to the extent we have a claim against such subsidiary as a
creditor of such subsidiary.
 
                                       12
<PAGE>
    If any claims we may have as a creditor of a subsidiary are recognized, such
claims would be subordinate to any security interest in the assets of such
subsidiary and any indebtedness of such subsidiary senior to that held by us.
 
    NOTES ARE NOT GUARANTEED BY SUBSIDIARIES
 
    Our ability to make required principal and interest payments on our
indebtedness, including the notes, depends on the earnings of our subsidiaries
and on our ability to receive dividends or other payments from such
subsidiaries. Please note that the notes are our obligations only. Our
subsidiaries are not obligated or required to pay any amounts due pursuant to
the notes or to make dividends or advances to us.
 
    8 1/8% NOTES ARE SUBORDINATED
 
    Further, the 8 1/8% old notes are, and the 8 1/8% new notes will be,
subordinated to our other debt. The indentures provide that we may not pay
(other than certain payments in the form of subordinated securities or from a
defeasance trust) any principal of, premium, if any, or interest on the 8 1/8%
notes during the continuance of a payment default with respect to any designated
senior debt. The indentures also provide that we may not defease, repurchase,
redeem or otherwise acquire or retire the 8 1/8% notes (other than certain
payments in the form of subordinated securities or from a defeasance trust)
during the continuance of a payment default with respect to any designated
senior debt. Designated senior debt includes all borrowings under our bank
credit facility and, after the repayment of the bank credit facility, any other
senior debt permitted under the 8 1/8% indenture, the principal amount of which
is $100 million or more and that we designated as "designated senior debt." In
addition, if any non-payment default occurs that would permit acceleration of
any designated senior debt, the holders of such designated senior debt may
prohibit us from making any payment upon or in respect of the 8 1/8% notes for a
period of up to 179 days. Upon any liquidation or dissolution of our Company or
in a bankruptcy, reorganization, insolvency, receivership or similar proceeding
relating to our Company, holders of senior debt will be entitled to receive
payment in full prior to your receiving any payment with respect to your 8 1/8%
notes (other than certain payments in the form of subordinated securities or
from a defeasance trust). See "Description of Notes--Subordination of 8 1/8%
notes."
 
FORWARD-LOOKING STATEMENTS
 
    Certain statements contained in this Prospectus, including, without
limitation, statements containing the words "believes, anticipates, expects,
intends, will, may, and might" and words of similar import and statements
regarding our business strategy and plans, constitute "forward-looking
statements" within the meaning of the Private Securities Litigation Reform Act
of 1995. Such forward-looking statements are based on management's current
expectations and involve known and unknown risks, uncertainties and other
factors, many of which we are unable to predict or control, that may cause our
actual results, performance or achievements or industry results to be materially
different from any future results, performance or achievements expressed or
implied by such forward-looking statements. Such factors include, among others,
the following: general economic and business conditions, both nationally and
regionally; industry capacity; demographic changes; existing laws and government
regulations and changes in, or the failure to comply with, laws and governmental
regulations; legislative proposals for healthcare reform; the ability to enter
into managed care provider arrangements on acceptable terms; shifts from fee-
for-service payment to capitated and other risk-based payment systems; changes
in Medicare and Medicaid reimbursement levels; liability and other claims
asserted against us; competition; the loss of any significant customers;
technological and pharmaceutical improvements that increase the cost of
providing, or reduce the demand for, healthcare; changes in business strategy or
development plans; the ability to attract and retain qualified personnel,
including physicians; our significant indebtedness; the availability of suitable
acquisition opportunities and the length of time it takes to accomplish
acquisitions; our ability to integrate
 
                                       13
<PAGE>
new businesses with our existing operations; the availability and terms of
capital to fund the expansion of our business, including the acquisition of
additional facilities; the impact of the computer problems with respect to
two-digit codes not being able to properly recognize the year 2000 and related
issues; and other factors referenced in this Prospectus and the documents
incorporated herein by reference. Certain of these factors are discussed in more
detail elsewhere in this Prospectus and the documents incorporated herein by
reference. GIVEN THESE UNCERTAINTIES, PROSPECTIVE INVESTORS ARE CAUTIONED NOT TO
PLACE UNDUE RELIANCE ON SUCH FORWARD-LOOKING STATEMENTS. We disclaim any
obligation to update any such factors or to publicly announce the result of any
revisions to any of the forward-looking statements contained herein to reflect
future events or developments.
 
ABSENCE OF PUBLIC MARKET; TRANSFER RESTRICTIONS
 
    We will apply to have the new notes listed on the New York Stock Exchange,
however, there is no existing market for your new notes. We cannot assure you
that any market for any of the new notes will develop or that any market that
may develop will be liquid. The credit markets are volatile and unpredictable,
which may have an adverse effect on the liquidity of and prices for the new
notes. The new notes could trade at prices that may be lower than the initial
offering price of the old notes as a result of many factors, including
prevailing interest rates, our financial condition or results of operations and
the markets for similar securities.
 
EXCHANGE OFFER PROCEDURES
 
    Subject to the conditions set forth under "The Exchange Offer--Conditions to
the Exchange Offer," delivery of new notes in exchange for old notes tendered
and accepted for exchange pursuant to the Exchange Offer will be made only after
timely receipt by the exchange agent of the following: (1) certificates for old
notes or a book-entry confirmation of a book-entry transfer of old notes into
the Exchange Agent's account at The Depository Trust Company, New York, New York
as depository, including an Agent's Message (as defined) if the tendering holder
does not deliver a Letter of Transmittal, (2) a completed and signed Letter of
Transmittal (or facsimile thereof), with any required signature guarantees, or,
in the case of a book-entry transfer, an Agent's Message in lieu of the Letter
of Transmittal, and (3) any other documents required by the Letter of
Transmittal. Therefore, holders of old notes who would like to tender old notes
in exchange for new notes should be sure to allow enough time for the old notes
to be delivered on time. We are not required to notify you of defects or
irregularities in tenders of old notes for exchange. Old notes that are not
tendered or that are tendered but we do not accept for exchange will, following
consummation of the Exchange Offer, continue to be subject to the existing
transfer restrictions under the Securities Act and, upon consummation of the
Exchange Offer, certain registration and other rights under the registration
rights agreement will terminate. See "The Exchange Offer--Procedures For
Tendering Old Notes and--Consequences of Exchange and Old Notes."
 
                                USE OF PROCEEDS
 
    We will not receive any proceeds from the Exchange Offer.
 
                                       14
<PAGE>
                                 CAPITALIZATION
 
    The following table sets forth our capitalization as of May 31, 1998.
 
<TABLE>
<CAPTION>
                                                                                                 AS MAY 31, 1998
                                                                                               -------------------
                                                                                                   (DOLLARS IN
                                                                                                    MILLIONS)
<S>                                                                                            <C>
Short-term borrowings and notes..............................................................       $       4
Current portion of long-term debt............................................................              10
                                                                                                       ------
    Total current debt.......................................................................              14
                                                                                                       ------
Long-term debt, net of current portion:
  Loans payable to banks--unsecured..........................................................           1,587
  9 5/8% Senior Notes due 2002...............................................................              14
  8 5/8% Senior Notes due 2003...............................................................             500
  7 7/8% Senior Notes due 2003...............................................................             400
  8% Senior Notes due 2005...................................................................             900
  7 5/8% Senior Notes due 2008...............................................................             350
  10 1/8% Senior Subordinated Notes due 2005.................................................               3
  8 5/8% Senior Subordinated Notes due 2007..................................................             700
  8 1/8% Senior Subordinated Notes due 2008..................................................           1,005
  6% Exchangeable Subordinated Notes due 2005................................................             320
  Other debt(1)..............................................................................              50
                                                                                                       ------
    Total long-term debt, net of current portion.............................................           5,829
                                                                                                       ------
Shareholders' equity:
  Common stock, par value $0.075, authorized 700,000,000 shares; issued 313,044,417
    shares(2)................................................................................              23
  Other shareholders' equity.................................................................           3,605
  Less treasury stock, at cost, 3,754,891 shares.............................................             (70)
                                                                                                       ------
    Total shareholders' equity...............................................................           3,558
                                                                                                       ------
    Total capitalization.....................................................................       $   9,401
                                                                                                       ------
                                                                                                       ------
</TABLE>
 
- ------------------------
 
(1) Includes other notes payable, capitalized lease obligations and $92 million
    of unamortized debt discounts related to several issues of debt.
 
(2) Does not include 42,123,917 shares of our common stock reserved for issuance
    upon exercise of options.
 
                                       15
<PAGE>
                         SELECTED FINANCIAL INFORMATION
 
    The following tables set forth our selected financial information for each
of the fiscal years in the three-year period ended May 31, 1998. The selected
financial information for each of the three fiscal years is from our
consolidated financial statements, which have been audited by KPMG Peat Marwick
LLP, our independent auditors, and from our underlying accounting records.
Operating results for all periods presented exclude the discontinued psychiatric
operations of certain of our subsidiaries and extraordinary charges from the
early extinguishment of debt.
 
    All information included in the following tables should be read in
conjunction with "Management's Discussion and Analysis of Financial Condition
and Results of Operations," with the consolidated financial statements and
related notes and the report of our independent auditors included in our Annual
Report on Form 10-K for the fiscal year ended May 31, 1998, incorporated herein
by reference.
 
<TABLE>
<CAPTION>
                                                                                             YEAR ENDED MAY 31,
                                                                                       -------------------------------
                                                                                         1996       1997       1998
                                                                                       ---------  ---------  ---------
                                                                                            (DOLLARS IN MILLIONS)
<S>                                                                                    <C>        <C>        <C>
STATEMENT OF OPERATIONS DATA:(1)
Net operating revenues...............................................................  $   7,706  $   8,691  $   9,895
Operating expenses:
  Salaries and benefits..............................................................      3,130      3,574      4,052
  Supplies...........................................................................      1,056      1,197      1,375
  Provision for doubtful accounts....................................................        431        494        588
  Other operating expenses...........................................................      1,646      1,829      2,071
  Depreciation.......................................................................        319        335        347
  Amortization.......................................................................        100        108        113
  Merger, facility consolidation and impairment charges(2)...........................         86        740        221
                                                                                       ---------  ---------  ---------
Operating income.....................................................................        938        414      1,128
Interest expense, net of capitalized portion.........................................       (425)      (417)      (464)
Investment earnings..................................................................         27         26         22
Equity in earnings of unconsolidated affiliates......................................         25          1     --
Minority interests...................................................................        (30)       (27)       (22)
Net gains (losses) on disposals of facilities and long-term investments..............        346        (18)       (17)
                                                                                       ---------  ---------  ---------
Income (loss) from continuing operations before income taxes.........................        881        (21)       647
Taxes on income......................................................................       (383)       (52)      (269)
                                                                                       ---------  ---------  ---------
Income (loss) from continuing operations.............................................  $     498  $     (73) $     378
                                                                                       ---------  ---------  ---------
                                                                                       ---------  ---------  ---------
 
Ratio of earnings to fixed charges(3)................................................        2.7x       1.0x       2.1x
</TABLE>
 
                                       16
<PAGE>
 
<TABLE>
<CAPTION>
                                                                                            AS OF MAY 31,
                                                                                   -------------------------------
                                                                                     1996       1997       1998
                                                                                   ---------  ---------  ---------
                                                                                        (DOLLARS IN MILLIONS)
 
<S>                                                                                <C>        <C>        <C>
BALANCE SHEET DATA:(1)
Working capital..................................................................  $     499  $     522  $   1,123
Total assets.....................................................................     10,768     11,705     12,833
Long-term debt, excluding current portion........................................      4,421      5,022      5,829
Shareholders' equity.............................................................      3,277      3,224      3,558
</TABLE>
 
- ------------------------
 
(1) On January 30, 1997, we acquired OrNda by issuing 81.4 million shares of its
    common stock in the OrNda Merger. We have accounted for the transaction as a
    pooling-of-interests and, accordingly, the consolidated financial statements
    and all statistical data incorporated by reference herein with respect to
    periods prior to the combination were restated in fiscal 1997 to include the
    accounts and results of operations of OrNda for all periods presented.
 
(2) In the year ended May 31, 1996, we recorded an impairment loss of $86
    million. In the year ended May 31, 1997, we recorded merger, facility
    consolidation and impairment charges totaling $740 million, primarily in
    connection with the OrNda Merger. In the year ended May 31, 1998, we
    recorded charges of $221 million relating to: 1) the planned closure or sale
    of five hospitals and several home health agencies; 2) write-offs of
    goodwill and other assets; and 3) write-downs of carrying values of
    long-lived assets.
 
(3) We calculate the ratio of earnings to fixed charges by dividing income or
    loss from continuing operations before income taxes plus fixed charges by
    fixed charges. Fixed charges consist of interest expense, including
    amortization of financing costs, and that portion of rental expense deemed
    to be representative of the interest component of rental expense. The ratio
    of earnings to fixed charges for the year ended May 31, 1998, on a pro forma
    basis assuming that the old notes had been issued as of June 1, 1997, would
    have been 2.2x. The ratio of earnings to fixed charges was 2.4x and 2.2x for
    the years ended May 31, 1994 and 1995, respectively.
 
                                       17
<PAGE>
                              DESCRIPTION OF NOTES
 
GENERAL
 
    The 7 5/8% old notes were, and the 7 5/8% new notes will be, issued pursuant
to the 7 5/8% indenture between the Company and The Bank of New York, as Trustee
(the "7 5/8% Note Trustee"). The 8 1/8% old notes were, and the 8 1/8% new notes
will be, issued pursuant to the 8 1/8% indenture between the Company and The
Bank of New York, as Trustee (the "8 1/8% Note Trustee" and, together with the
7 5/8% Note Trustee, the "Trustees"). The terms of the new notes include those
stated in the indentures and those made part of the indentures by reference to
the Trust Indenture Act of 1939, as amended (the "Trust Indenture Act"). The
notes are subject to all such terms, and holders of notes are referred to the
indentures and the Trust Indenture Act for a statement thereof. Because this is
a summary, it does not contain all the information that may be important to you.
You should read the entire indentures, including the definitions therein of
certain terms used below. For definitions of certain terms used in the following
summary, see "--Certain Definitions." As used in this "Description of Notes,"
the term the "Company" refers to Tenet Healthcare Corporation and not to any of
its Subsidiaries.
 
    The 7 5/8% old notes are, and the 7 5/8% new notes will be, general
unsecured obligations of the Company, senior to all subordinated Indebtedness of
the Company, including the 8 1/8% notes, and PARI PASSU in right of payment with
all other existing and future unsubordinated Indebtedness of the Company,
including the Company's 9 5/8% Notes, the Company's 8% Senior Notes due 2005
(the "8% Notes"), the Company's 7 7/8% Senior Notes due 2003 (the "7 7/8%
Notes") and the Company's 8 5/8% Senior Notes due 2003 (the "8 5/8% Senior
Notes" and, together with the untendered 9 5/8% Notes, the 8% Notes and the
7 7/8% Notes, the "Existing Senior Notes") and all Obligations under the
Existing Credit Facility. As of July 31, 1998, approximately $2.0 billion in
principal amount of outstanding indebtedness of the Company was, by its terms,
subordinated to the 7 5/8% new notes.
 
    The 8 1/8% old notes are, and the 8 1/8% new notes will be, general
unsecured obligations of the Company, subordinated in right of payment to all
existing and future Senior Debt of the Company, including the 7 5/8% notes, the
Existing Senior Notes and all Obligations under the Existing Credit Facility,
and PARI PASSU in right of payment to the Company's 10 1/8% Notes and the 8 5/8%
Senior Subordinated Notes due 2007 and senior to the 6% Exchangeable
Subordinated Notes due 2005. As of July 31, 1998, Senior Debt of the Company
would have been approximately $4.1 billion. See "Capitalization" and
"--Subordination of 8 1/8% Notes."
 
    The operations of the Company are conducted through its Subsidiaries and,
therefore, the Company is dependent upon the cash flow of its Subsidiaries to
meet its obligations, including its obligations under the notes. The old notes
are and the new notes will be effectively subordinated to all outstanding
Indebtedness and other liabilities and commitments (including trade payables and
lease obligations) of the Company's Subsidiaries. Any right of the Company to
receive assets of any of its Subsidiaries upon the latter's liquidation or
reorganization or insolvency (and the consequent right of the holders of notes
to participate in those assets) will be effectively subordinated to the claims
of that Subsidiary's creditors and preferred stockholders, except to the extent
that the Company is itself recognized as a creditor of such Subsidiary, in which
case the claims of the Company would still be subordinate to any security
interest in the assets of such Subsidiary and any Indebtedness of such
Subsidiary senior to that held by the Company. As of July 31, 1998, the
outstanding debt of the Company's Subsidiaries was approximately $173 million
(excluding trade payables of $510 million, intercompany debt and other
obligations). See "Risk Factors-- Subsidiary Operations; Subordination."
 
PRINCIPAL, MATURITY AND INTEREST
 
    The 7 5/8% old notes are, and the 7 5/8% new notes will be, unsecured,
senior obligations of the Company limited in aggregate principal amount to
$350.0 million and will mature on June 1, 2008. Interest on the 7 5/8% old notes
accrues, and on the 7 5/8% new notes will accrue, at the rate of 7 5/8% per
annum and
 
                                       18
<PAGE>
will be payable semi-annually in arrears on June 1 and December 1 of each year,
commencing on December 1, 1998, to holders of record on the immediately
preceding May 15 and November 15, respectively. Interest on the 7 5/8% old
notes, accrues, and on the 7 5/8% new notes will accrue, from the most recent
date to which interest has been paid.
 
    The 8 1/8% old notes are, and the 8 1/8% new notes will be, unsecured
obligations of the Company limited in aggregate principal amount to $1.05
billion and will mature on December 1, 2008. Interest on the 8 1/8% old notes
accrues, and on the 8 1/8% new notes will accrue, at the rate 8 1/8% per annum
and will be payable semi-annually in arrears on June 1 and December 1 of each
year, commencing on December 1, 1998, to holders of record on the immediately
preceding May 15 and November 15, respectively. Interest on the 8 1/8% old notes
accrues, and on the 8 1/8% new notes will accrue, from the most recent date to
which interest has been paid. Old notes accepted for exchange will cease to
accrue interest from and after the date of consummation of the Exchange Offer.
 
    Interest on the old notes is, and on the new notes will be, computed on the
basis of a 360-day year comprised of twelve 30-day months. Principal, premium,
if any, and interest on the new notes will be payable at the office or agency of
the Company maintained for such purpose within The City and the State of New
York or, at the option of the Company, payment of interest may be made by check
mailed to the holders of the new notes at their respective addresses set forth
in the register of holders of new notes; PROVIDED that all payments with respect
to the new notes, the holders of which have given wire transfer instructions, on
or prior to the relevant record date, to the paying agent, will be required to
be made by wire transfer of immediately available funds to the accounts
specified by such holders. Until otherwise designated by the Company, the
Company's office or agency in New York will be the office of the applicable
Trustee maintained for such purpose. The new notes will initially be issued in
global form and, in the event they are subsequently certificated, in
denominations of $1,000 and integral multiples thereof.
 
OPTIONAL REDEMPTION
 
    7 5/8% NOTES
 
    The 7 5/8% old notes are, and the 7 5/8% new notes will be, redeemable, in
whole, at any time, or in part, from time to time, at the option of the Company
upon not less than 30 nor more than 60 days' notice at a redemption price equal
to the Make-Whole Price. "Make-Whole Price" means an amount equal to the greater
of (i) 100% of the principal amount of the 7 5/8% new notes and (ii) as
determined by an Independent Investment Banker (as defined), the sum of the
present values of the remaining scheduled payments of principal and interest
thereon discounted to the date of redemption on a semiannual basis (assuming a
360-day year consisting of twelve 30-day months) at the Adjusted Treasury Rate
(as defined), plus, in each case, accrued interest thereon to the date of
redemption.
 
    "Adjusted Treasury Rate" means, with respect to any redemption date, the
rate per annum equal to the semiannual equivalent yield to maturity of the
Comparable Treasury Issue (as defined), assuming a price for the Comparable
Treasury Issue (expressed as a percentage of its principal amount) equal to the
Comparable Treasury Price (as defined) for such redemption date, plus 0.5%.
 
    "Comparable Treasury Issue" means the United States Treasury security
selected by an Independent Investment Banker as having a maturity comparable to
the remaining term of the 7 5/8% new notes to be redeemed that would be
utilized, at the time of selection and in accordance with customary financial
practice, in pricing new issues of corporate debt securities of comparable
maturity to the remaining term of the 7 5/8% new notes.
 
    "Comparable Treasury Price" means, with respect to any redemption date, (i)
the average of the bid and asked prices for the Comparable Treasury Issue
(expressed in each case as a percentage of its principal amount) on the third
Business Day preceding such redemption date, as set forth in the daily
statistical release (or any successor release) published by the Federal Reserve
Bank of New York and designated
 
                                       19
<PAGE>
"Composite 3:30 p.m. Quotations for U.S. Government Securities" or (ii) if such
release (or any successor release) is not published or does not contain such
prices on such Business Day, (A) the average of the Reference Treasury Dealer
Quotations (as defined) for such redemption date, after excluding the highest
and lowest of such Reference Treasury Dealer Quotations, or (B) if the 7 5/8%
Note Trustee obtains fewer than three such Reference Treasury Dealer Quotations,
the average of all such quotations.
 
    "Independent Investment Banker" means one of the Reference Treasury Dealers
(as defined) appointed by the Company.
 
    "Reference Treasury Dealer" means DLJ and its successors; PROVIDED, HOWEVER,
that if the foregoing shall cease to be a primary U.S. Government securities
dealer in New York City (a "Primary Treasury Dealer"), the Company shall
substitute therefor another Primary Treasury Dealer.
 
    "Reference Treasury Dealer Quotations" means, with respect to each Reference
Treasury Dealer and any redemption date, the average, as determined by the
7 5/8% Note Trustee, of the bid and asked prices for the Comparable Treasury
Issue (expressed in each case as a percentage of its principal amount) quoted in
writing to the Trustee by such Treasury Reference Dealer at 5:00 p.m. on the
third Business Day preceding such redemption date.
 
    8 1/8% NOTES
 
    The 8 1/8% notes will not be redeemable at the option of the Company prior
to June 1, 2003. Thereafter, the 8 1/8% notes will be subject to redemption at
the option of the Company, in whole or from time to time in part, upon not less
than 30 nor more than 60 days' notice, at the redemption prices (expressed as
percentages of principal amount) set forth below plus accrued and unpaid
interest thereon to the applicable redemption date, if redeemed during the
twelve-month period beginning on June 1 of the following years:
 
<TABLE>
<CAPTION>
YEAR                                                                                PERCENTAGE
- ----------------------------------------------------------------------------------  -----------
<S>                                                                                 <C>
2003..............................................................................     104.063%
2004..............................................................................     102.708%
2005..............................................................................     101.354%
2006 and thereafter...............................................................     100.000%
</TABLE>
 
    GENERAL
 
    If less than all of the notes are to be redeemed at any time, selection of
notes for redemption will be made by the appropriate Trustee in compliance with
the requirements of the principal national securities exchange, if any, on which
the notes to be redeemed are then listed, or, if the notes are not so listed, on
a PRO RATA basis, by lot or by such method as such Trustee shall deem fair and
appropriate; PROVIDED that notes with a principal amount of $1,000 shall not be
redeemed in part. Notices of redemption shall be mailed by first class mail at
least 30 but not more than 60 days before the redemption date to each holder of
notes to be redeemed at its registered address. If any notes are to be redeemed
in part only, the notice of redemption that relates to such notes shall state
the portion of the principal amount thereof to be redeemed. A revised note in
principal amount equal to the unredeemed portion thereof will be issued in the
name of the holder thereof upon cancellation of the original note. On and after
the redemption date, interest will cease to accrue on notes or portions thereof
called for redemption.
 
    The Existing Credit Facility limits the Company's ability to redeem or
otherwise purchase the 8 1/8% notes prior to the stated maturity thereof. In
addition, the terms of the indentures governing the 7 5/8% notes and the
Existing Senior Notes limit the Company's ability to redeem or otherwise
purchase the 8 1/8% notes prior to the stated maturity thereof.
 
                                       20
<PAGE>
SUBORDINATION OF 8 1/8% NOTES
 
    The payment of principal of, premium, if any, and interest on the 8 1/8% old
notes is, and on the 8 1/8% new notes will be, subordinated in right of payment,
as set forth in the 8 1/8% indenture, to the prior payment in full of all Senior
Debt, whether outstanding on the date of the 8 1/8% indenture or thereafter
incurred.
 
    Upon any distribution to creditors of the Company in a liquidation or
dissolution of the Company or in a bankruptcy, reorganization, insolvency,
receivership or similar proceeding relating to the Company or its property, an
assignment for the benefit of creditors or any marshalling of the Company's
assets and liabilities, the holders of Senior Debt will be entitled to receive
payment in full of all Obligations due in respect of such Senior Debt (including
interest accruing after the commencement of any such proceeding at the rate
specified in the applicable Senior Debt, whether or not allowed or allowable as
a claim in such proceeding) before the holders of 8 1/8% notes will be entitled
to receive any payment with respect to the 8 1/8% notes, and until all
Obligations with respect to Senior Debt are paid in full, any distribution to
which the holders of 8 1/8% notes would be entitled shall be made to the holders
of Senior Debt (except (a) that holders of 8 1/8% notes may receive securities
that (i) are subordinated at least to the same extent as the 8 1/8% notes to
Senior Debt and any securities issued in exchange for Senior Debt, (ii) are
unsecured (except to the extent the 8 1/8% notes are secured), (iii) are not
Guaranteed by any Subsidiary of the Company (except to the extent the 8 1/8%
notes are so Guaranteed), and (iv) have a Weighted Average Life to Maturity and
final maturity that are not shorter than the Weighted Average Life to Maturity
of the 8 1/8% notes or any securities issued to holders of Senior Debt under the
Existing Credit Facility pursuant to a plan of reorganization or readjustment,
and (b) payments made from the trust described under "--Legal Defeasance and
Covenant Defeasance."
 
    The Company also may not make any payment upon or in respect of the 8 1/8%
notes (except in such subordinated securities or from the trust described under
"--Legal Defeasance and Covenant Defeasance" if (i) a default in the payment of
the principal of, premium, if any, or interest on Designated Senior Debt occurs
and is continuing beyond any applicable period of grace or (ii) any other
default occurs and is continuing with respect to Designated Senior Debt that
permits holders of the Designated Senior Debt as to which such default relates
to accelerate its maturity and the 8 1/8% Note Trustee receives a notice of such
default (a "Payment Blockage Notice"), for so long as any Obligations are
outstanding under the Existing Credit Facility, from the Representative
thereunder and, thereafter, from the holders or Representative of any Designated
Senior Debt. Payments on the 8 1/8% notes may and shall be resumed (a) in the
case of a payment default, upon the date on which such default is cured or
waived and (b) in the case of a nonpayment default, the earlier of the date on
which such nonpayment default is cured or waived or 179 days after the date on
which the applicable Payment Blockage Notice is received, unless the maturity of
any Designated Senior Debt has been accelerated. No new period of payment
blockage may be commenced within 360 days after the receipt by the 8 1/8% Note
Trustee of any prior Payment Blockage Notice. No nonpayment default that existed
or was continuing on the date of delivery of any Payment Blockage Notice to the
8 1/8% Note Trustee shall be, or be made, the basis for a subsequent Payment
Blockage Notice.
 
    The 8 1/8% indenture further requires that the Company promptly notify
holders of Senior Debt if payment of the 8 1/8% notes is accelerated because of
an Event of Default.
 
    As a result of the subordination provisions described above, in the event of
a liquidation or insolvency, holders of 8 1/8% notes may recover less ratably
than creditors of the Company who are holders of Senior Debt. As of July 31,
1998, Senior Debt of the Company would have been approximately $4.1 billion. The
8 1/8% indenture limits, subject to certain financial tests, the amount of
additional Indebtedness, including Senior Debt, that the Company and its
Subsidiaries can incur. See "--Certain Covenants--Incurrence of Indebtedness and
Issuance of Preferred Stock."
 
                                       21
<PAGE>
PURCHASE AT THE OPTION OF HOLDERS UPON A CHANGE OF CONTROL
 
    Upon the occurrence of a Change of Control Triggering Event, each holder of
notes will have the right to require the Company to purchase all or any part
(equal to $1,000 or an integral multiple thereof) of such Holder's notes
pursuant to the offer described below (the "Change of Control Offer") at an
offer price in cash equal to 101% of the aggregate principal amount thereof plus
accrued and unpaid interest, if any, thereon to the date of purchase (the
"Change of Control Payment") on a date that is not more than 90 days after the
occurrence of such Change of Control Triggering Event (the "Change of Control
Payment Date"). Within 30 days following any Change of Control Triggering Event,
the Company will mail, or at the Company's request the applicable Trustee will
mail, a notice to each holder offering to purchase the notes held by such holder
pursuant to the procedures specified in such notice. The Company will comply
with the requirements of Rule 14e-1 under the Exchange Act and any other
securities laws and regulations thereunder to the extent such laws and
regulations are applicable in connection with the purchase of the notes as a
result of a Change of Control Triggering Event.
 
    On the Change of Control Payment Date, the Company will, to the extent
lawful, (1) accept for payment all notes or portions thereof properly tendered
and not withdrawn pursuant to the Change of Control Offer, (2) deposit with the
Paying Agent an amount equal to the Change of Control Payment in respect of all
notes or portions thereof so tendered and (3) deliver or cause to be delivered
to the applicable Trustee the notes so accepted together with an Officers'
Certificate stating the aggregate principal amount of notes or portions thereof
being purchased by the Company. The Paying Agent will promptly mail to each
holder of notes so tendered the Change of Control Payment for such notes, and
the applicable Trustee will promptly authenticate and mail (or cause to be
transferred by book entry) to each holder a note equal in principal amount to
any unpurchased portion of the notes surrendered, if any; PROVIDED that each
such note will be in a principal amount of $1,000 or an integral multiple
thereof. The 8 1/8% indenture will provide that, prior to complying with the
provisions of this covenant, but in any event within 90 days following a Change
of Control Triggering Event, the Company will either repay all outstanding
Senior Debt or obtain the requisite consents, if any, under all agreements
governing outstanding Senior Debt to permit the purchase of 8 1/8% notes
required by this covenant. The Company will publicly announce the results of the
Change of Control Offer on or as soon as practicable after the Change of Control
Payment Date.
 
    A failure by the Company to comply with the provisions of the two preceding
paragraphs will constitute an Event of Default under the applicable indenture.
Except as described above with respect to a Change of Control, the indentures
will not contain provisions that permit the holders of the notes to require that
the Company purchase or redeem the notes in the event of a takeover,
recapitalization or similar transaction. See "--Events of Default and Remedies."
 
    The Existing Credit Facility limits the ability of the Company to redeem or
otherwise repurchase the 8 1/8% notes prior to the stated maturity thereof, and
also provides that certain change of control events with respect to the Company
will constitute a default thereunder. Any future credit agreements or other
agreements relating to Senior Debt to which the Company becomes a party may
contain similar restrictions and provisions. The indenture relating to the
7 5/8% notes also restricts the Company's ability to purchase the 8 1/8% notes
upon a Change of Control Triggering Event. In the event a Change of Control
occurs at a time when the Company is prohibited from purchasing the 8 1/8%
notes, the Company could seek the consent of its lenders or noteholders to
purchase the 8 1/8% notes or could attempt to refinance the Indebtedness that
contains such prohibition. If the Company does not obtain such a consent or
repay such Indebtedness, the Company's ability to purchase the 8 1/8% notes will
remain limited. In such case, the Company's failure to purchase tendered 8 1/8%
notes would constitute an Event of Default under the 8 1/8% indenture which
could, in turn, constitute a default under all or substantially all of the
Company's other outstanding Indebtedness. In such circumstances, the
subordination provisions in the 8 1/8% indenture would likely restrict payments
to the holders of 8 1/8% notes. See "Risk Factors--Possible Inability to
Purchase Notes Upon a Change of Control" and "Risk Factors--Subsidiary
Operations; Subordination."
 
                                       22
<PAGE>
CERTAIN COVENANTS
 
    RESTRICTED PAYMENTS
 
    The indentures provide that the Company will not, and will not permit any of
its Subsidiaries to, directly or indirectly: (i) declare or pay any dividend or
make any distribution on account of the Company's or any of its Subsidiaries'
Equity Interests (other than (w) Physician Joint Venture Distributions, (x)
dividends or distributions payable in Qualified Equity Interests of the Company,
(y) dividends or distributions payable to the Company or any Subsidiary of the
Company, and (z) dividends or distributions by any Subsidiary of the Company
payable to all holders of a class of Equity Interests of such Subsidiary on a
PRO RATA basis); (ii) purchase, redeem or otherwise acquire or retire for value
any Equity Interests of the Company; or (iii) make any principal payment on, or
purchase, redeem, defease or otherwise acquire or retire for value any
Indebtedness that is subordinated to the notes issued under such indenture,
except at the original final maturity date thereof or pursuant to a Specified
Exchange (all such payments and other actions set forth in clauses (i) through
(iii) above being collectively referred to as "Restricted Payments"), unless, at
the time of and after giving effect to such Restricted Payment (the amount of
any such Restricted Payment, if other than cash, shall be the fair market value
(as conclusively evidenced by a resolution of the Board of Directors set forth
in an Officers' Certificate delivered to the Trustees within 60 days prior to
the date of such Restricted Payment) of the asset(s) proposed to be transferred
by the Company or such Subsidiary, as the case may be, pursuant to such
Restricted Payment):
 
        (a) no Default or Event of Default shall have occurred and be continuing
    or would occur as a consequence thereof; and
 
        (b) the Company would, at the time of such Restricted Payment and after
    giving PRO FORMA effect thereto as if such Restricted Payment had been made
    at the beginning of the most recently ended four full fiscal quarter period
    for which internal financial statements are available immediately preceding
    the date of such Restricted Payment, have been permitted to incur at least
    $1.00 of additional Indebtedness pursuant to the Fixed Charge Coverage Ratio
    test set forth in the first paragraph of the covenant in the indentures
    described below under the caption "--Incurrence of Indebtedness and Issuance
    of Preferred Stock"; and
 
        (c) such Restricted Payment, together with the aggregate of all other
    Restricted Payments made by the Company and its Subsidiaries after March 1,
    1995 (excluding Restricted Payments permitted by clauses (v), (w) and (x) of
    the next succeeding paragraph), is less than the sum of (i) 50% of the
    Consolidated Net Income of the Company for the period (taken as one
    accounting period) from the beginning of the first fiscal quarter commencing
    after March 1, 1995, to the end of the Company's most recently ended fiscal
    quarter for which internal financial statements are available at the time of
    such Restricted Payment (or, if such Consolidated Net Income for such period
    is a deficit, less 100% of such deficit), PLUS (ii) 100% of the aggregate
    net cash proceeds received by the Company from the issue or sale (other than
    to a Subsidiary of the Company) since March 1, 1995 of Qualified Equity
    Interests of the Company or of debt securities of the Company or any of its
    Subsidiaries that have been converted into or exchanged for such Qualified
    Equity Interests of the Company, plus (iii) $50.0 million.
 
    If no Default or Event of Default has occurred and is continuing, or would
occur as a consequence thereof, the foregoing provisions will not prohibit the
following Restricted Payments: (u) the payment of any dividend within 60 days
after the date of declaration thereof, if at said date of declaration such
payment would have complied with the provisions of the indentures; (v) the
payment of cash dividends on any series of Disqualified Stock issued after the
date of the indentures in an aggregate amount not to exceed the cash received by
the Company since the date of the indentures upon issuance of such Disqualified
Stock; (w) the redemption, repurchase, retirement or other acquisition of any
Equity Interests of the Company or any Subsidiary in exchange for, or out of the
net cash proceeds of, the substantially
 
                                       23
<PAGE>
concurrent sale (other than to a Subsidiary of the Company) of Qualified Equity
Interests of the Company; PROVIDED, that the amount of any such net cash
proceeds that are utilized for any such redemption, repurchase, retirement or
other acquisition shall be excluded from clause (c)(ii) of the preceding
paragraph; (x) the defeasance, redemption or repurchase of subordinated
Indebtedness with the net cash proceeds from an incurrence of Permitted
Refinancing Indebtedness or in exchange for or out of the net cash proceeds from
the substantially concurrent sale (other than to a Subsidiary of the Company) of
Qualified Equity Interests of the Company; PROVIDED that the amount of any such
net cash proceeds that are utilized for any such redemption, repurchase,
retirement or other acquisition shall be excluded from clause (c)(ii) of the
preceding paragraph; (y) the repurchase, redemption or other acquisition or
retirement for value of (i) any Equity Interests of the Company or any
Subsidiary of the Company held by any member of the Company's (or any of its
Subsidiaries') management pursuant to any management equity subscription
agreement or stock option agreement or (ii) any Equity Interests of the Company
which are or are intended to be used to satisfy issuances of Equity Interests
upon exercise of employee stock options or upon exercise or satisfaction of
other similar instruments outstanding under employee benefit plans of the
Company or any subsidiary of the Company; PROVIDED that the aggregate price paid
for all such repurchased, redeemed, acquired or retired Equity Interests shall
not exceed $25.0 million in any twelve-month period; and (z) the making and
consummation of a Change of Control Offer with respect to the 8 1/8% notes in
accordance with the provisions of the 8 1/8% indenture or a change of control
offer with respect to the untendered 10 1/8% Notes, the 8 5/8% Subordinated
Notes or the 6% Exchangeable Subordinated Notes in accordance with the
provisions of the indentures relating thereto.
 
    Not later than the date of making any Restricted Payment, the Company shall
deliver to the Trustee an Officers' Certificate stating that such Restricted
Payment is permitted and setting forth the basis upon which the calculations
required by the covenant described under the caption "--Restricted Payments"
were computed.
 
    INCURRENCE OF INDEBTEDNESS AND ISSUANCE OF PREFERRED STOCK
 
    The indentures provide that the Company will not, and will not permit any of
its Subsidiaries to, directly or indirectly, create, incur, issue, assume,
Guarantee or otherwise become directly or indirectly liable, contingently or
otherwise, with respect to (collectively, "incur") after the date of the
indentures any Indebtedness (including Acquired Debt) and that the Company will
not issue any Disqualified Stock and will not permit any of its Subsidiaries to
issue any shares of preferred stock; PROVIDED, HOWEVER, that the Company may
incur Indebtedness (including Acquired Debt) and the Company may issue shares of
Disqualified Stock if the Fixed Charge Coverage Ratio for the Company's most
recently ended four full fiscal quarters for which internal financial statements
are available immediately preceding the date on which such additional
Indebtedness is incurred or such Disqualified Stock is issued would have been at
least 2.5 to 1, determined on a PRO FORMA basis (including a PRO FORMA
application of the net proceeds therefrom), as if the additional Indebtedness
had been incurred, or the Disqualified Stock had been issued, as the case may
be, at the beginning of such four-quarter period. Indebtedness consisting of
reimbursement obligations in respect of a letter of credit will be deemed to be
incurred when the letter of credit is first issued.
 
    The foregoing provisions do not apply to:
 
        (i) the incurrence by the Company of Indebtedness pursuant to the
    Existing Credit Facility in an aggregate principal amount at any time
    outstanding not to exceed an amount equal to $2.8 billion less the aggregate
    amount of all mandatory repayments applied to permanently reduce the
    commitments with respect to such Indebtedness;
 
        (ii) the incurrence by the Company of Indebtedness represented by the
    notes;
 
       (iii) the incurrence by the Company and its Subsidiaries of the Existing
    Indebtedness;
 
                                       24
<PAGE>
        (iv) the incurrence by the Company or any of its Subsidiaries of
    Permitted Refinancing Indebtedness in exchange for, or the net proceeds of
    which are used to extend, refinance, renew, replace, defease or refund,
    Indebtedness that was permitted by the indentures to be incurred (including,
    without limitation, Existing Indebtedness);
 
        (v) the incurrence by the Company or any of its Subsidiaries of
    intercompany Indebtedness between or among the Company and any of its
    Subsidiaries;
 
        (vi) the incurrence by the Company of Hedging Obligations that are
    incurred for the purpose of fixing or hedging interest rate or currency risk
    with respect to any fixed or floating rate Indebtedness that is permitted by
    the indentures to be outstanding or any receivable or liability the payment
    of which is determined by reference to a foreign currency; PROVIDED that the
    notional principal amount of any such Hedging Obligation does not exceed the
    principal amount of the Indebtedness to which such Hedging Obligation
    relates;
 
       (vii) the incurrence by the Company or any of its Subsidiaries of
    Physician Support Obligations;
 
      (viii) the incurrence by the Company or any of its Subsidiaries of
    Indebtedness represented by tender, bid, performance, government contract,
    surety or appeal bonds, standby letters of credit or warranty or contractual
    service obligations of like nature, in each case to the extent incurred in
    the ordinary course of business of the Company or such Subsidiary;
 
        (ix) the incurrence by any Subsidiary of the Company of Indebtedness,
    the aggregate principal amount of which, together with all other
    Indebtedness of the Company's Subsidiaries at the time outstanding
    (excluding the Existing Indebtedness until repaid or refinanced and
    excluding Physician Support Obligations), does not exceed the greater of (1)
    10% of the Company's Stockholders' Equity as of the date of incurrence or
    (2) $10.0 million; PROVIDED that, in the case of clause (1) only, the Fixed
    Charge Coverage Ratio for the Company's most recently ended four full fiscal
    quarters for which internal financial statements are available immediately
    preceding the date on which such Indebtedness is incurred would have been at
    least 2.5 to 1, determined on a PRO FORMA basis (including a PRO FORMA
    application of the net proceeds therefrom), as if such Indebtedness had been
    incurred at the beginning of such four-quarter period; and
 
        (x) the incurrence by the Company of Indebtedness (in addition to
    Indebtedness permitted by any other clause of this covenant) in an aggregate
    principal amount at any time outstanding not to exceed $400.0 million.
 
    LIENS
 
    The 7 5/8% indenture provides that the Company will not, and will not permit
any of its Subsidiaries to, directly or indirectly, create, incur, assume or
suffer to exist any Lien (except Permitted Liens) on any asset now owned or
hereafter acquired, or any income or profits therefrom or assign or convey any
right to receive income therefrom unless all payments due under the 7 5/8%
indenture and the 7 5/8% notes are secured on an equal and ratable basis with
the Obligations so secured until such time as such Obligations are no longer
secured by a Lien.
 
    The 8 1/8% indenture provides that the Company will not, and will not permit
any of its Subsidiaries to, directly or indirectly, create, incur, assume or
suffer to exist any Lien to secure Indebtedness that is PARI PASSU with or
subordinated in right of payment to the 8 1/8% notes (except Permitted Liens) on
any asset now owned or hereafter acquired, or any income or profits therefrom or
assign or convey any right to receive income therefrom unless all payments due
under the 8 1/8% indenture and the 8 1/8% notes are secured on an equal and
ratable basis with the Obligations so secured until such time as such
Obligations are no longer secured by a Lien.
 
                                       25
<PAGE>
    DIVIDEND AND OTHER PAYMENT RESTRICTIONS AFFECTING SUBSIDIARIES
 
    The indentures provide that the Company will not, and will not permit any of
its Subsidiaries to, directly or indirectly, create or otherwise cause or suffer
to exist or become effective any consensual encumbrance or restriction on the
ability of any Subsidiary to (i)(a) pay dividends or make any other
distributions to the Company or any of its Subsidiaries (1) on its Capital Stock
or (2) with respect to any other interest or participation in, or measured by,
its profits, or (b) pay any Indebtedness owed to the Company or any of its
Subsidiaries, (ii) make loans or advances to the Company or any of its
Subsidiaries or (iii) transfer any of its properties or assets to the Company or
any of its Subsidiaries, except for such encumbrances or restrictions existing
under or by reason of (a) Existing Indebtedness as in effect on the date of the
indentures, (b) the indentures, (c) applicable law, (d) any instrument governing
Indebtedness or Capital Stock of a Person acquired by the Company or any of its
Subsidiaries as in effect at the time of such acquisition (except to the extent
such Indebtedness was incurred in connection with or in contemplation of such
acquisition, unless such Indebtedness was incurred in connection with or in
contemplation of such acquisition for the purpose of refinancing Indebtedness
which was tax-exempt, or in violation of the covenant described above under the
caption "--Incurrence of Indebtedness and Issuance of Preferred Stock"), which
encumbrance or restriction is not applicable to any Person, or the properties or
assets of any Person, other than the Person, or the property or assets of the
Person, so acquired, PROVIDED that the Consolidated Cash Flow of such Person is
not taken into account in determining whether such acquisition was permitted by
the terms of the indentures except to the extent that such Consolidated Cash
Flow would be permitted to be dividends to the Company without the prior consent
or approval of any third party, (e) customary non-assignment provisions in
leases entered into in the ordinary course of business, (f) purchase money
obligations for property acquired in the ordinary course of business that impose
restrictions of the nature described in clause (iii) above on the property so
acquired, (g) Permitted Refinancing Indebtedness, PROVIDED that the restrictions
contained in the agreements governing such Permitted Refinancing Indebtedness
are no more restrictive than those contained in the agreements governing the
Indebtedness being refinanced, or (h) the Existing Credit Facility and related
documentation as the same is in effect on the date of the indentures and as
amended, modified, extended, renewed, refunded, refinanced, restated or replaced
from time to time, provided that no such amendment or replacement is more
restrictive as to the matters enumerated above than the Existing Credit Facility
and related documentation as in effect on the date of the indentures.
 
    LINE OF BUSINESS
 
    The indentures provide that the Company will not, and will not permit any of
its Subsidiaries to, engage in any material extent in any business other than
the ownership, operation and management of Hospitals and Related Businesses.
 
    MERGER, CONSOLIDATION OR SALE OF ASSETS
 
    The indentures provide that the Company may not consolidate or merge with or
into (whether or not the Company is the surviving corporation), or sell, assign,
transfer, lease, convey or otherwise dispose of all or substantially all of its
properties or assets in one or more related transactions, to another
corporation, Person or entity unless: (i) the Company is the surviving
corporation or the entity or the Person formed by or surviving any such
consolidation or merger (if other than the Company) or to which such sale,
assignment, transfer, lease, conveyance or other disposition shall have been
made is a corporation organized or existing under the laws of the United States,
any state thereof or the District of Columbia; (ii) the entity or Person formed
by or surviving any such consolidation or merger (if other than the Company) or
the entity or Person to which such sale, assignment, transfer, lease, conveyance
or other disposition shall have been made assumes all the Obligations of the
Company under the Notes and the indentures pursuant to supplemental indentures
in forms reasonably satisfactory to the applicable Trustee; (iii) immediately
after such transaction no Default or Event of Default exists; and (iv) the
Company or the
 
                                       26
<PAGE>
entity or Person formed by or surviving any such consolidation or merger (if
other than the Company), or to which such sale, assignment, transfer, lease,
conveyance or other disposition shall have been made (A) will have a
Consolidated Net Worth immediately after the transaction equal to or greater
than the Consolidated Net Worth of the Company immediately preceding the
transaction and (B) will, at the time of such transaction and after giving PRO
FORMA effect thereto as if such transaction had occurred at the beginning of the
applicable four-quarter period, be permitted to incur at least $1.00 of
additional Indebtedness pursuant to the Fixed Charge Coverage Ratio test set
forth in the first paragraph of the covenant in the applicable indenture
described above under the caption "--Incurrence of Indebtedness and Issuance of
Preferred Stock."
 
    TRANSACTIONS WITH AFFILIATES
 
    The indentures provide that the Company will not, and will not permit any of
its Subsidiaries to, sell, lease, transfer or otherwise dispose of any of its
properties or assets to, or purchase any property or assets from, or enter into
or make any contract, agreement, understanding, loan, advance or Guarantee with,
or for the benefit of, any Affiliate (each of the foregoing, an "Affiliate
Transaction"), unless (i) such Affiliate Transaction is on terms that are no
less favorable to the Company or the relevant Subsidiary than those that could
have been obtained in a comparable transaction by the Company or such Subsidiary
with an unrelated Person and (ii) the Company delivers to the applicable Trustee
(a) with respect to any Affiliate Transaction involving aggregate consideration
in excess of $5.0 million, a resolution of the Board of Directors set forth in
an Officers' Certificate certifying that such Affiliate Transaction complies
with clause (i) above and that such Affiliate Transaction has been approved by a
majority of the disinterested members of the Board of Directors and (b) with
respect to any Affiliate Transaction involving aggregate consideration in excess
of $15.0 million, an opinion as to the fairness to the Company or such
Subsidiary of such Affiliate Transaction from a financial point of view issued
by an investment banking firm of national standing; PROVIDED that (x)
transactions or payments pursuant to any employment arrangements or employee or
director benefit plans entered into by the Company or any of its Subsidiaries in
the ordinary course of business and consistent with the past practice of the
Company or such Subsidiary, (y) transactions between or among the Company and/or
its Subsidiaries and (z) transactions permitted by the provisions of the
indentures described under the caption "Limitations on Restricted Payments", in
each case, shall not be deemed to be Affiliate Transactions.
 
    LIMITATIONS ON ISSUANCES OF GUARANTEES OF INDEBTEDNESS BY SUBSIDIARIES
 
    The 7 5/8% indenture provides that the Company will not permit any
Subsidiary, directly or indirectly, to Guarantee or secure the payment of any
other Indebtedness of the Company or any of its Subsidiaries (except
Indebtedness of a Subsidiary of such Subsidiary or Physician Support
Obligations) unless such Subsidiary simultaneously executes and delivers a
supplemental indenture to the 7 5/8% indenture providing for the Guarantee of
the payment of the 7 5/8% notes by such Subsidiary, which Guarantee shall be
senior to or PARI PASSU with such Subsidiary's Guarantee of or pledge to secure
such other Indebtedness.
 
    The 8 1/8% indenture provides that the Company will not permit any
Subsidiary, directly or indirectly, to Guarantee or secure the payment of any
other Indebtedness of the Company or any of its Subsidiaries (except
Indebtedness of a Subsidiary of such Subsidiary or Physician Support
Obligations) unless such Subsidiary simultaneously executes and delivers a
supplemental indenture to the 8 1/8% indenture providing for the Guarantee of
the payment of the 8 1/8% notes by such Subsidiary, which Guarantee shall be
subordinated to such Subsidiary's Guarantee of or pledge to secure such other
Indebtedness to the same extent as the 8 1/8% notes are subordinated to such
other Indebtedness under the 8 1/8% indenture.
 
    Notwithstanding the foregoing, any such Guarantee by a Subsidiary of the
notes shall provide by its terms that it shall be automatically and
unconditionally released and discharged upon the sale or other disposition, by
way of merger or otherwise, to any Person not an Affiliate of the Company, of
all of the
 
                                       27
<PAGE>
Company's stock in, or all or substantially all the assets of, such Subsidiary.
The forms of such supplemental indentures will be attached as exhibits to the
indentures. The foregoing provisions will not be applicable to any one or more
Guarantees that otherwise would be prohibited of up to $25.0 million in
aggregate principal amount of Indebtedness of the Company or its Subsidiaries at
any time outstanding.
 
    NO AMENDMENT TO SUBORDINATION PROVISIONS
 
    The 7 5/8% indenture provides that the Company will not amend, modify or
alter the 8 1/8% indenture or the indentures relating to the untendered 10 1/8%
Notes, the 8 5/8% Subordinated Notes or the 6% Exchangeable Subordinated Notes
in any way that would (i) increase the principal of, advance the final maturity
date of or shorten the Weighted Average Life to Maturity of (a) any untendered
10 1/8% Notes, 8 5/8% Senior Subordinated Notes or 6% Exchangeable Subordinated
Notes or (b) any 8 1/8% notes such that the final maturity date of the 8 1/8%
notes is earlier than the 91st day following the final maturity date of the
7 5/8% notes or (ii) amend the provisions of Article 10 of the 8 1/8% indenture
(which relates to subordination) or the subordination provisions of the
indentures relating to the untendered 10 1/8% Notes, the 8 5/8% Senior
Subordinated Notes or the 6% Exchangeable Subordinated Notes or any of the
defined terms used therein in a manner that would be adverse to the holders of
the 7 5/8% notes.
 
    NO SENIOR SUBORDINATED DEBT
 
    The 8 1/8% indenture provides that the Company will not incur any
Indebtedness that is subordinate or junior in right of payment to any Senior
Debt and senior in any respect in right of payment to the 8 1/8% notes.
 
REPORTS
 
    The indentures provide that, whether or not required by the rules and
regulations of the Commission, so long as any notes are outstanding, the Company
will furnish to the holders of notes (i) all quarterly and annual financial
information that would be required to be contained in a filing with the
Commission on Forms 10-Q and 10-K if the Company were required to file such
Forms, including a "Management's Discussion and Analysis of Financial Condition
and Results of Operations" and, with respect to the annual information only, a
report thereon by the Company's certified independent accountants and (ii) all
current reports that would be required to be filed with the Commission on Form
8-K if the Company were required to file such reports. In addition, whether or
not required by the rules and regulations of the Commission, the Company will
file a copy of all such information and reports with the Commission for public
availability and make such information available to securities analysts and
prospective investors upon request.
 
EVENTS OF DEFAULT AND REMEDIES
 
    The indentures provide that each of the following constitutes an Event of
Default: (i) default for 30 days in the payment when due of interest on the
notes (whether or not prohibited by the subordination provisions of the 8 1/8%
indenture); (ii) default in payment when due of the principal of or premium, if
any, on the notes, at maturity or otherwise (whether or not prohibited by the
subordination provisions of the 8 1/8% indenture); (iii) failure by the Company
to comply with the provisions described under the captions "--Purchase at the
Option of holders Upon a Change of Control," "--Certain Covenants--Restricted
Payments" or "--Certain Covenants--Incurrence of Indebtedness and Issuance of
Preferred Stock;" (iv) failure by the Company for 60 days after notice to comply
with any of its other agreements in the indentures or the notes; (v) in the case
of the 7 5/8% indenture only, any default occurs under any mortgage, indenture
or instrument under which there may be issued or by which there may be secured
or evidenced any Indebtedness for money borrowed by the Company or any of its
Significant Subsidiaries (or the payment of which is Guaranteed by the Company
or any of its Significant Subsidiaries), whether such Indebtedness or Guarantee
exists on the date of the 7 5/8% indenture or is thereafter created, which
default
 
                                       28
<PAGE>
(a) constitutes a Payment Default or (b) results in the acceleration of such
Indebtedness prior to its expressed maturity and, in each case, the principal
amount of any such Indebtedness, together with the principal amount of any other
such Indebtedness under which there has been a Payment Default or that has been
so accelerated, aggregates $25.0 million or more; (vi) in the case of the 8 1/8%
indenture only, any default occurs under any mortgage, indenture or instrument
under which there may be issued or by which there may be secured or evidenced
any Indebtedness for money borrowed by the Company or any of its Significant
Subsidiaries (or the payment of which is Guaranteed by the Company or any of its
Significant Subsidiaries), whether such Indebtedness or Guarantee exists on the
date of the 8 1/8% indenture or is thereafter created, which default (a)
constitutes a failure to pay principal at final maturity or (b) results in the
acceleration of such Indebtedness prior to its express maturity and, in each
case, the principal amount of such Indebtedness, together with the principal
amount of any other such Indebtedness that has not been paid at final maturity
or that has been so accelerated, aggregates $25.0 million or more; (vii) failure
by the Company or any of its Significant Subsidiaries to pay a final judgment or
final judgments aggregating in excess of $25.0 million, which judgment or
judgments are not paid, discharged or stayed for a period of 60 days; and (viii)
certain events of bankruptcy or insolvency with respect to the Company or any of
its Significant Subsidiaries.
 
    If any Event of Default occurs and is continuing, the appropriate Trustee or
the holders of at least 25% in principal amount of the then outstanding notes,
as the case may be, by written notice to the Company and the appropriate Trustee
may declare all the notes, as the case may be, to be due and payable
immediately. Notwithstanding the foregoing, in the case of an Event of Default
arising from certain events of bankruptcy or insolvency with respect to the
Company or any of its Significant Subsidiaries, all outstanding notes will
become due and payable without further action or notice. holders of the notes
may not enforce the indentures or the notes except as provided in the
indentures. Subject to certain limitations, holders of a majority in principal
amount of the then outstanding notes may direct the applicable Trustee in its
exercise of any trust or power. Either Trustee may withhold from holders of the
notes notice of any continuing Default or Event of Default (except a Default or
Event of Default relating to the payment of principal or interest) if it
determines that withholding notice is in their interest.
 
    In the case of any Event of Default occurring by reason of any willful
action (or inaction) taken (or not taken) by or on behalf of the Company with
the intention of avoiding payment of the premium that the Company would have had
to pay if the Company then had elected to redeem the notes pursuant to the
optional redemption provisions of the indentures, an equivalent premium shall
also become and be immediately due and payable to the extent permitted by law
upon the acceleration of the notes. If an Event of Default occurs under the
8 1/8% indenture prior to June 1, 2003 by reason of any willful action (or
inaction) taken (or not taken) by or on behalf of the Company with the intention
of avoiding the prohibition on redemption of the 8 1/8% notes prior to such
date, then the premium specified in the 8 1/8% indenture shall also become
immediately due and payable to the extent permitted by law upon the acceleration
of the 8 1/8% notes.
 
    The holders of not less than a majority in aggregate principal amount of the
notes, as the case may be, then outstanding by written notice to the applicable
Trustee on behalf of the holders of all of the 7 5/8% notes or 8 1/8% notes, as
the case may be, may waive any existing Default or Event of Default and its
consequences under the applicable indenture except a continuing Default or Event
of Default in the payment of the principal of, premium, if any, or interest on
any of the notes, as the case may be.
 
    The Company is required to deliver to each Trustee annually a statement
regarding compliance with the respective indentures, and the Company is required
upon becoming aware of any Default or Event of Default, to deliver to the
Trustees a statement specifying such Default or Event of Default.
 
                                       29
<PAGE>
NO PERSONAL LIABILITY OF DIRECTORS, OFFICERS, EMPLOYEES AND SHAREHOLDERS
 
    No director, officer, employee, incorporator or shareholder of the Company,
as such, shall have any liability for any obligations of the Company under the
notes, the indentures or for any claim based on, in respect of, or by reason of,
such obligations or their creation. Each holder of notes by accepting a new note
waives and releases all such liability. The waiver and release are part of the
consideration for the issuance of the notes. Such waiver may not be effective to
waive liabilities under the federal securities laws and it is the view of the
Commission that such a waiver is against public policy.
 
LEGAL DEFEASANCE AND COVENANT DEFEASANCE
 
    The Company may, at its option and at any time, elect to have all of its
obligations discharged with respect to the outstanding notes ("Legal
Defeasance") except for (i) the rights of holders of outstanding notes to
receive payments in respect of the principal of, premium, if any, and interest
on such notes when such payments are due from the trust referred to below, (ii)
the Company's obligations with respect to the notes concerning issuing temporary
notes, registration of notes, mutilated, destroyed, lost or stolen notes and the
maintenance of an office or agency for payment and money for security payments
held in trust, (iii) the rights, powers, trusts, duties and immunities of the
applicable Trustee, and the Company's obligations in connection therewith and
(iv) the Legal Defeasance provisions of the applicable indenture. In addition,
the Company may, at its option and at any time, elect to have the obligations of
the Company released with respect to certain covenants that are described in the
applicable indenture ("Covenant Defeasance") and thereafter any failure to
comply with such obligations shall not constitute a Default or Event of Default
with respect to the applicable notes. In the event Covenant Defeasance occurs,
certain events (not including non-payment, bankruptcy, receivership,
rehabilitation and insolvency events) described under "--Events of Default and
Remedies" will no longer constitute an Event of Default with respect to the
applicable notes.
 
    The Company may exercise a Legal or Covenant Defeasance by making an
irrevocable deposit with the Trustee (a "Company Deposit"), in trust, for the
benefit of the holders of the notes, consisting of cash in United States
currency, non-callable Government Securities, or a combination thereof in
amounts that will be sufficient, in the opinion of a nationally-recognized firm
of independent public accountants, to pay the principal of and premium (if any),
interest, and liquidated damages (if any) on the outstanding notes at maturity
or on the applicable redemption date, as the case may be. An entity other than
the Company (a "New Lender") may also make such a deposit (a "New Lender
Deposit" and, together with the Company Deposit, the "Deposits").
 
    Simultaneously with any Deposit, the Company must deliver to the Trustee (i)
a notice specifying whether the Company is exercising Legal or Covenant
Defeasance (or both) and whether the notes are being defeased to maturity or to
a particular redemption date; (ii) an opinion of counsel, reasonably acceptable
to the Trustee, confirming that: (a) the holders of outstanding notes will not
recognize income, gain, or loss for federal income tax purposes as a result of
the proposed defeasance and will be subject to federal income tax on the same
amounts, in the same manner, and at the same times as would have been the case
if the defeasance had not occurred, except that, in the case of Legal
Defeasance, the opinion of counsel must recite that it is based upon a ruling to
that effect received by the Company from or published by the Internal Revenue
Service, or upon a change in applicable federal income tax law; (b) on and after
the date of the New Lender Deposit, or after the 90th day after the Company
Deposit, as the case may be, the cash or securities so deposited will not be
subject to avoidance and repayment under Sections 547 and 550 of the United
States Bankruptcy Code (the "Bankruptcy Code"); and (c) all conditions precedent
to the defeasance set forth in the indenture have been satisfied; and (iii) an
Officer's Certificate to the effect that (a) the Deposit was not made with
actual intent to hinder, delay, or defraud the Company's creditors, (b) all
conditions precedent to the defeasance set forth in the indenture have been
satisfied, and (c) in the case of a New Lender Deposit, (i) the New Lender made
the New Lender Deposit under an agreement (the "New Loan Agreement") with the
Company; (ii) under the New Loan Agreement, the New Lender
 
                                       30
<PAGE>
Deposit constitutes an unsecured loan (the "New Loan) by the New Lender to the
Company; (iii) the maturity date of the New Loan is later than the 90th date
after the date of the New Lender Deposit; and (iv) the New Loan Agreement
prohibits prepayment of the New Loan on or before the 90th day after the date of
the New Lender Deposit, except in the event of a default thereunder, and the
remaining terms of the New Loan Agreement (including the interest rate on the
New Loan) are consistent with ordinary business practice.
 
    The Legal or Covenant Defeasance will occur on the date of a New Lender
Deposit or on the 91st day after the date of a Company Deposit, as the case may
be, unless in either case (i) on and as of the date of the Deposit, a Default or
Event of Default has occurred and is continuing (other than one resulting from
the borrowing of funds used to make the Deposit); (ii) the defeasance will
result in or constitute a breach or default under any material agreement or
indenture to which the Company or any of its Subsidiaries is bound; or (iii) in
the case of a Company Deposit, an Event of Default relating to bankruptcy occurs
within 90 days after the date of the Deposit.
 
TRANSFER AND EXCHANGE
 
    A holder may transfer or exchange notes in accordance with the indentures.
The Registrar and the Trustees may require a holder, among other things, to
furnish appropriate endorsements and transfer documents and the Company may
require a holder to pay any taxes and fees required by law or permitted by the
indentures. The Company is not required to transfer or exchange any 8 1/8% note
selected for redemption. Also, the Company is not required to transfer or
exchange any 8 1/8% note for a period of 15 days before the mailing of a notice
of redemption of 8 1/8% new notes.
 
    The registered holder of a note will be treated as the owner of it for all
purposes.
 
GLOBAL NOTES
 
    The old notes were and the new notes will be issued in the form of one or
more registered notes in book-entry form (each, a "Global Note") that will be
deposited with, or on behalf of, The Depository Trust Company ("DTC") and
registered in the name of DTC's nominee. Except as set forth below, a Global
Note may not be transferred except as a whole by DTC to a nominee of DTC or any
such nominee to a successor of DTC or a nominee of such successor.
 
    So long as DTC or its nominee is the registered holder of a Global Note, DTC
or its nominee, as the case may be, will be treated as the sole owner of it for
all purposes under the indenture and the beneficial owners of notes will be
entitled only to those rights and benefits afforded to them in accordance with
DTC's regular operating procedures. Upon specified written instructions of a
Participant (defined below), DTC will have its nominee assist Participants in
the exercise of certain holders' rights, such as a demand for acceleration or an
instruction to the applicable Trustee. Except as provided below, owners of
beneficial interests in a Global Note will not be entitled to have notes
represented by a Global Note registered in their names, will not receive or be
entitled to receive physical delivery of notes in certificated form and will not
be considered the registered holders thereof under the indenture.
 
    If (i) DTC is at any time unwilling or unable to continue as depository or
if at any time DTC ceases to be a clearing agency registered under the Exchange
Act, and a successor depository is not appointed by the Company within 90 days,
(ii) an Event of Default under the applicable indenture with respect to the
notes has occurred and is continuing and the beneficial owners representing a
majority in principal amount of the notes advise DTC to cease acting as
depository or (iii) the Company, in its sole discretion, determines at any time
that the Notes shall no longer be represented by a Global Note, the Company will
issue individual notes of the applicable amount and in certificated form in
exchange for a Global Note. In any such instance, an owner of a beneficial
interest in the Global Note will be entitled to physical delivery of individual
notes in certificated form of like tenor, equal in principal amount to such
beneficial interest and to have such notes in certificated form registered in
its name.
 
                                       31
<PAGE>
    DTC has advised the Company that it is a limited-purpose trust company
organized under the New York Banking Law, a "banking organization" within the
meaning of the New York Banking Law, a member of the Federal Reserve System, a
"clearing corporation" within the meaning of the New York Uniform Commercial
Code and a "clearing agency" registered pursuant to the provisions of Section
17A of the Exchange Act. DTC holds certificates that its participants
("Participants") deposit with DTC. DTC also facilitates the settlement among
Participants of securities transactions, such as transfers and pledges, in
deposited securities through electronic computerized book-entry changes in
Participants' accounts, thereby eliminating the need for the physical movement
of securities certificates. Direct Participants include securities brokers and
dealers, banks, trust companies, clearing corporations and certain other
organizations ("Direct Participants"). DTC is owned by a number of its Direct
Participants and by the New York Stock Exchange, Inc., the American Stock
Exchange, Inc. and the National Association of Securities Dealers, Inc. Access
to the DTC system is also available to others such as securities brokers and
dealers, banks and trust companies that clear through or maintain a custodial
relationship with a Direct Participant, either directly or indirectly ("Indirect
Participants"). The rules applicable to DTC and its Participants are on file
with the Commission.
 
    None of the Company, the Trustees or the Exchange Agent will have any
responsibility for any aspect of the records relating to or payments made on
account of beneficial interests in a Global Note, or for maintaining,
supervising or reviewing any records relating to such beneficial interests.
 
EXCHANGE OFFER; REGISTRATION RIGHTS
 
    The Company and the initial purchasers entered into a registration rights
agreement on May 21, 1998. Pursuant to the registration rights agreement, the
Company agreed to file an exchange offer registration statement (the "Exchange
Offer Registration Statement") with the Commission within 30 days of filing its
1998 Form 10-K on the appropriate form under the Securities Act with respect to
an offer to exchange each of the old notes for the new notes. Pursuant to the
Exchange Offer, upon the effectiveness of the Exchange Offer Registration
Statement, the Company will offer to the holders of the Transfer Restricted
Securities (as defined), who are able to make certain representations, the
opportunity to exchange their Transfer Restricted Securities for new notes. If
(i) the Exchange Offer is not permitted by applicable law or Commission policy
or (ii) any holder of notes which are Transfer Restricted Securities notifies
the Company prior to the twentieth business day following the consummation of
the Exchange Offer that (a) it is prohibited by law or Commission policy from
participating in the Exchange Offer, or (b) it may not resell the new notes
acquired by it in the Exchange Offer to the public without delivering a
prospectus, and the prospectus contained in the Exchange Offer Registration
Statement is not appropriate or available for such resales by it, or (c) it is a
broker-dealer and owns old notes acquired directly from the Company or any of
the Company's affiliates, the Company will file with the Commission a shelf
registration statement (the "Shelf Registration Statement") to register for
public resale the Transfer Restricted Securities held by any such holder who
provides the Company with certain information for inclusion in the Shelf
Registration Statement. The Company will use its commercially reasonable efforts
to cause the Exchange Offer Registration Statement to be effective continuously,
and shall keep the Exchange Offer open for a period of not less than twenty
business days. For the purposes of the foregoing, "Transfer Restricted
Securities" means each old note until the earliest of the date on which (i) such
old note has been exchanged in the Exchange Offer by a person other than a
broker-dealer for a New note, (ii) such old note has been effectively registered
under the Securities Act and disposed of in accordance with the Shelf
Registration Statement, (iii) following the exchange by a broker-dealer in the
Exchange Offer of an old note for a new note, such new note is sold to a
purchaser who receives from such broker-dealer on or prior to the date of such
sale a copy of the prospects contained in the Exchange Offer Registration
Statement, or (iv) such old note is distributed to the public pursuant to Rule
144(k) under the Securities Act.
 
    The registration rights agreement provides that (i) if the Company fails to
file an Exchange Offer Registration Statement with the Commission on or prior to
the thirtieth day after the Filing Date, (ii) if the
 
                                       32
<PAGE>
Company fails to use its commercially reasonable efforts to have the Exchange
Offer Registration Statement declared effective by the Commission on or prior to
ninety days after the Filing Date, (iii) if the Company fails to use its
commercially reasonable efforts to have the Exchange Offer consummated on or
before the thirtieth business day after the Exchange Offer Registration
Statement is declared effective, (iv) if obligated to file the Shelf
Registration Statement and the Company fails to file the Shelf Registration
Statement with the Commission on or prior to thirty days after such filing
obligation arises and fails to cause the Shelf Registration Statement to be
declared effective on or prior to sixty days after the obligation to file
arises, or (vi) if the Exchange Offer Registration Statement or the Shelf
Registration Statement, as the case may be, is declared effective but thereafter
ceases to be effective or useable in connection with resales of the Transfer
Restricted Securities during the periods specified in the Registration Rights
Agreement, (each such event referred to in clauses (i) through (vi) above a
"Registration Default"), then the Company will pay to each holder of Transfer
Restricted Securities affected thereby liquidated damages ("Liquidated Damages")
in an amount equal to $0.05 per week per $1,000 in principal amount of Transfer
Restricted Securities held by such holder for each week or portion thereof that
the Registration Default continues for the first 90-day period immediately
following the occurrence of such Registration Default. The amount of the
Liquidated Damages shall increase by an additional $0.05 per week per $1,000 in
principal amount of Transfer Restricted Securities with respect to each
subsequent 90-day period until all Registration Defaults have been cured, up to
a maximum amount of Liquidated Damages of $0.35 per week per $1,000 in principal
amount of Transfer Restricted Securities. The Company shall not be required to
pay Liquidated Damages for more than one Registration Default at any given time.
Following the cure of all Registration Defaults, the accrual of Liquidated
Damages will cease.
 
    All accrued Liquidated Damages shall be paid by the Company to holders
entitled thereto by wire transfer to the accounts specified by them or by
mailing checks to their registered address if no such accounts have been
specified.
 
AMENDMENT, SUPPLEMENT AND WAIVER
 
    Except as provided in the next two succeeding paragraphs, the indentures or
the notes may be amended or supplemented with the consent of the holders of at
least a majority in principal amount of the applicable notes then outstanding
(including consents obtained in connection with a tender offer or Exchange Offer
for such notes), and any existing default or compliance with any provision of
the indentures or the notes may be waived with the consent of the holders of a
majority in principal amount of the then outstanding applicable notes (including
consents obtained in connection with a tender offer or Exchange Offer for such
notes).
 
    Without the consent of each holder affected, an amendment or waiver may not
(with respect to any notes held by a non-consenting holder): (i) reduce the
principal amount of notes whose holders must consent to an amendment, supplement
or waiver, (ii) reduce the principal of or change the fixed maturity of any note
or, in the case of the 8 1/8% indenture, alter the provisions with respect to
the redemption of the 8 1/8% notes (other than provisions relating to the
covenants described under the caption "--Repurchase at the Option of holders
Upon a Change of Control"); (iii) reduce the rate of or change the time for
payment of interest on any note; (iv) waive a Default or Event of Default in the
payment of principal of or premium, if any, or interest on the notes (except a
rescission of acceleration of the applicable notes by the holders of at least a
majority in aggregate principal amount thereof and a waiver of the payment
default that resulted from such acceleration); (v) make any note payable in
money other than that stated in the notes; (vi) make any change in the
provisions of the indentures relating to waivers of past Defaults or the rights
of holders of notes to receive payments of principal of or premium, if any, or
interest on the notes; (vii) in the case of the 8 1/8% indenture, waive a
redemption payment with respect to any 8 1/8% note (other than a payment
required by one of the covenants described under the caption "--Repurchase at
the Option of holders Upon a Change of Control"); or (viii) make any change in
the foregoing amendment and waiver provisions. Notwithstanding the foregoing,
any amendment to the provisions of Article 10 of the 8 1/8%
 
                                       33
<PAGE>
indenture (which relate to subordination) will require the consent of the
holders of at least 75% in aggregate principal amount of the 8 1/8% notes then
outstanding if such amendment would adversely affect the rights of holders of
8 1/8% notes.
 
    Notwithstanding the foregoing, without the consent of any holder of notes,
the Company and the appropriate Trustee may amend or supplement the indentures
or the notes to cure any ambiguity, defect or inconsistency, to provide for
uncertificated notes in addition to or in place of certificated notes, to
provide for any supplemental indenture described under the caption "--Certain
Covenants--Limitation on Issuances of Guarantees of Indebtedness by
Subsidiaries," to provide for the assumption of the Company's obligations to
holders of notes in the case of a merger, consolidation or sale of assets
pursuant to the covenant described under the caption "--Certain
Covenants--Merger, Consolidation or Sale of Assets" to make any change that
would provide any additional rights or benefits to the holders of notes or that
does not adversely affect the legal rights under the indentures of any such
holder, or to comply with requirements of the Commission in order to effect or
maintain the qualification of the indentures under the Trust Indenture Act.
 
CONCERNING THE TRUSTEE
 
    The indentures will contain certain limitations on the rights of the
Trustees, should either Trustee become a creditor of the Company, to obtain
payment of claims in certain cases, or to realize on certain property received
in respect of any such claim as security or otherwise. The Trustees will be
permitted to engage in other transactions; however, if either Trustee acquires
any conflicting interest it must eliminate such conflict within 90 days, apply
to the Commission for permission to continue or resign.
 
    The holders of a majority in principal amount of the then outstanding notes,
as the case may be, will have the right to direct the time, method and place of
conducting any proceeding for exercising any remedy available to the applicable
Trustee, subject to certain exceptions. The indentures provide that in case an
Event of Default shall occur (which shall not be cured), the Trustees will be
required, in the exercise of their power, to use the degree of care of a prudent
man in the conduct of his own affairs. Subject to such provisions, neither
Trustee will be under any obligation to exercise any of its rights or powers
under the indentures at the request of any holder of notes, unless such holder
shall have offered to the appropriate Trustee security and indemnity
satisfactory to it against any loss, liability or expense.
 
CERTAIN DEFINITIONS
 
    Set forth below are certain defined terms used in the indentures. Reference
is made to the indentures for a full disclosure of all such terms, as well as
any other capitalized terms used herein for which no definition is provided.
 
"ACQUIRED DEBT" means, with respect to any specified Person, (i) Indebtedness of
any other Person existing at the time such other Person is merged with or into
or became a Subsidiary of such specified Person, including, without limitation,
Indebtedness incurred in connection with, or in contemplation of, such other
Person merging with or into or becoming a Subsidiary of such specified Person,
and (ii) Indebtedness secured by a Lien encumbering any asset acquired by such
specified Person.
 
"AFFILIATE" of any specified Person means any other Person directly or
indirectly controlling or controlled by or under direct or indirect common
control with such specified Person. For purposes of this definition, "control"
(including, with correlative meanings, the terms "controlling," "controlled by"
and "under common control with"), as used with respect to any Person, shall mean
the possession, directly or indirectly, of the power to direct or cause the
direction of the management or policies of such Person, whether through the
ownership of voting securities, by agreement or otherwise; provided that
beneficial ownership of 10% or more of the voting securities of a Person shall
be deemed to be control.
 
                                       34
<PAGE>
"ASSET SALE" means (i) the sale, lease, conveyance or other disposition of any
assets (including, without limitation, by way of a sale and leaseback) other
than in the ordinary course of business consistent with past practices and (ii)
the issuance or sale by the Company or any of its Subsidiaries of Equity
Interests of any of the Company's Subsidiaries, in the case of either clause (i)
or (ii), whether in a single transaction or a series of related transactions (a)
that have a fair market value in excess of $25.0 million or (b) for net proceeds
in excess of $25.0 million. Notwithstanding the foregoing: (a) a transfer of
assets by the Company to a Subsidiary or by a Subsidiary to the Company or to
another Subsidiary, (b) an issuance of Equity Interests by a Subsidiary to the
Company or to another Subsidiary, (c) a Restricted Payment that is permitted by
the covenant described under the caption "--Certain Covenants--Restricted
Payments" and (d) a Hospital Swap will not be deemed to be an Asset Sale.
 
"CAPITAL LEASE OBLIGATION" means, at the time any determination thereof is to be
made, the amount of the liability in respect of a Capital Lease that would at
such time be required to be capitalized on a balance sheet in accordance with
GAAP.
 
"CAPITAL STOCK" means (i) in the case of a corporation, corporate stock, (ii) in
the case of an association or business entity, any and all shares, interests,
participations, rights or other equivalents (however designated) of corporate
stock, (iii) in the case of a partnership, partnership interests (whether
general or limited) and (iv) any other interest or participation that confers on
a Person the right to receive a share of the profits and losses of, or
distributions of assets of, the issuing Person.
 
"CHANGE OF CONTROL" means the occurrence of any of the following: (i) the sale,
lease, transfer, conveyance or other disposition, in one or a series of related
transactions, of all or substantially all of the assets of the Company and its
Subsidiaries taken as a whole to any Person or group (as such term is used in
Sections 13(d)(3) and 14(d)(2) of the Exchange Act) other than to a Person or
group who, prior to such transaction, held a majority of the voting power of the
voting stock of the Company, (ii) the acquisition by any Person or group (as
defined above) of a direct or indirect interest in more than 50% of the voting
power of the voting stock of the Company, by way of merger or consolidation or
otherwise, or (iii) the first day on which a majority of the members of the
Board of Directors of the Company are not Continuing Directors.
 
    The phrase "all or substantially all" of the assets of the Company will
likely be interpreted under applicable state law and will be dependent upon
particular facts and circumstances. As a result, there may be a degree of
uncertainty in ascertaining whether a sale or transfer of "all or substantially
all" of the assets of the Company has occurred, in which case a holder's ability
to obtain the benefit of a Change of Control Offer may be impaired. In addition,
no assurances can be given that the Company will be able to acquire notes
tendered upon the occurrence of a Change of Control Triggering Event.
 
"CHANGE OF CONTROL TRIGGERING EVENT" means the occurrence of both a Change of
Control and a Rating Decline.
 
"CONSOLIDATED CASH FLOW" means, with respect to any Person for any period, the
Consolidated Net Income of such Person for such period PLUS in each case,
without duplication (i) an amount equal to any extraordinary loss plus any net
loss realized in connection with an Asset Sale (to the extent such losses were
deducted in computing such Consolidated Net Income), (ii) provision for taxes
based on income or profits of such Person and its Subsidiaries for such period,
to the extent that such provision for taxes was included in computing such
Consolidated Net Income, (iii) the Fixed Charges of such Person and its
Subsidiaries for such period, to the extent that such Fixed Charges were
deducted in computing such Consolidated Net Income, (iv) depreciation and
amortization (including amortization of goodwill and other intangibles but
excluding amortization of prepaid cash expenses that were paid in a prior
period) of such Person and its Subsidiaries for such period to the extent that
such depreciation and amortization were deducted in computing such Consolidated
Net Income, in each case, on a consolidated basis and determined in accordance
with GAAP, (v) the amount of any restructuring charges deducted in such period
 
                                       35
<PAGE>
in computing Consolidated Net Income for such period, (vi) the amount of all
losses related to discontinued operations deducted in such period in computing
Consolidated Net Income for such period, (vii) the amount of all non-recurring
charges and expenses related to acquisitions and mergers deducted in such period
in computing Consolidated Net Income for such period and (viii) any non-cash
charges reducing Consolidated Net Income for such period (excluding any portion
of such charge requiring an accrual of a cash reserve for anticipated cash
charges for any future period).
 
    Notwithstanding the foregoing, the provision for taxes on the income or
profits of, and the depreciation and amortization of, a Subsidiary of the
referent Person shall be added to Consolidated Net Income to compute
Consolidated Cash Flow only to the extent (and in same proportion) that the Net
Income of such Subsidiary was included in calculating the Consolidated Net
Income of such Person and only if a corresponding amount would be permitted at
the date of determination to be dividended to the Company by such Subsidiary
without prior approval (that has not been obtained), pursuant to the terms of
its charter and all agreements, instruments, judgments, decrees, orders,
statutes, rules and governmental regulations applicable to that Subsidiary or
its stockholders.
 
"CONSOLIDATED NET INCOME" means, with respect to any Person for any period, the
aggregate of the Net Income of such Person and its Subsidiaries for such period,
on a consolidated basis, determined in accordance with GAAP; PROVIDED that (i)
the Net Income of any Person that is not a Subsidiary or that is accounted for
by the equity method of accounting shall be included only to the extent of the
amount of dividends or distributions paid in cash to the referent Person or a
Wholly Owned Subsidiary thereof, (ii) the Net Income of any Subsidiary shall be
excluded to the extent that the declaration or payment of dividends or similar
distributions by that Subsidiary of that Net Income is not at the date of
determination permitted without any prior governmental approval (that has not
been obtained) or, directly or indirectly, by operation of the terms of its
charter or any agreement, instrument, judgment, decree, order, statute, rule or
governmental regulation applicable to that Subsidiary or its stockholders, (iii)
the Net Income of any Person acquired in a pooling of interests transaction for
any period prior to the date of such acquisition shall be excluded and (iv) the
cumulative effect of a change in accounting principles shall be excluded.
 
"CONSOLIDATED NET WORTH" means, with respect to any Person as of any date, the
sum of (i) the consolidated equity of the common stockholders of such Person and
its consolidated Subsidiaries as of such date plus (ii) the respective amounts
reported on such Person's balance sheet as of such date with respect to any
series of preferred stock (other than Disqualified Stock), less all write-ups
(other than write-ups resulting from foreign currency translations and write-ups
of tangible assets of a going concern business made in accordance with GAAP as a
result of the acquisition of such business) subsequent to the date of the
indentures in the book value of any asset owned by such Person or a consolidated
Subsidiary of such Person, and excluding the cumulative effect of a change in
accounting principles, all as determined in accordance with GAAP.
 
"CONTINUING DIRECTORS" means, as of any date of determination, any member of the
Board of Directors of the Company who (i) was a member of such Board of
Directors on the date of the indentures or (ii) was nominated for election or
elected to such Board of Directors with the approval of a majority of the
Continuing Directors who were members of such Board at the time of such
nomination or election.
 
"DEFAULT" means any event that is or with the passage of time or the giving of
notice or both would be an Event of Default.
 
"DESIGNATED SENIOR DEBT" means (i) so long as any Obligations are outstanding
under the Existing Credit Facility, such Obligations and (ii) thereafter, any
other Senior Debt permitted under the 8 1/8% indenture the principal amount of
which is $100.0 million or more and that has been designated by the Company as
"Designated Senior Debt."
 
                                       36
<PAGE>
"DISQUALIFIED STOCK" means any Capital Stock that, by its terms (or by the terms
of any security into which it is convertible or for which it is exchangeable),
or upon the happening of any event, matures or is mandatorily redeemable,
pursuant to a sinking fund obligation or otherwise, or redeemable at the option
of the holder thereof, in whole or in part, on or prior to the date on which the
applicable new notes mature.
 
"EQUITY INTERESTS" means Capital Stock and all warrants, options or other rights
to acquire Capital Stock (but excluding any debt security that is convertible
into, or exchangeable for, Capital Stock).
 
"EXISTING CREDIT FACILITY" means that certain Credit Agreement by and among the
Company and Morgan Guaranty Trust Company of New York and the other banks that
are party thereto, providing for $2.8 billion in aggregate principal amount of
Indebtedness, including any related notes, instruments, and agreements executed
in connection therewith, as amended, modified, extended, renewed, refunded,
replaced or refinanced, in whole or in part, from time to time.
 
"EXISTING INDEBTEDNESS" means Indebtedness of the Company and its Subsidiaries
(other than Indebtedness under the Company's Existing Credit Facility) in
existence on the date of the indentures, until such amounts are repaid,
including all reimbursement obligations with respect to letters of credit
outstanding as of the date of the indentures.
 
"FIXED CHARGE COVERAGE RATIO" means with respect to any Person for any period,
the ratio of the Consolidated Cash Flow of such Person for such period to the
Fixed Charges of such Person for such period. In the event that the Company or
any of its Subsidiaries incurs, assumes, Guarantees or redeems any Indebtedness
(other than revolving credit borrowings) or issues preferred stock subsequent to
the commencement of the period for which the Fixed Charge Coverage Ratio is
being calculated but prior to the date on which the event for which the
calculation of the Fixed Charge Coverage Ratio is made (the "Calculation Date"),
then the Fixed Charge Coverage Ratio shall be calculated giving PRO FORMA effect
to such incurrence, assumption, Guarantee or redemption of Indebtedness, or such
issuance or redemption of preferred stock, as if the same had occurred at the
beginning of the applicable four-quarter reference period. In addition, for
purposes of making the computation referred to above, (i) acquisitions that have
been made by the Company or any of its Subsidiaries, including through mergers
or consolidations and including any related financing transactions, during the
four-quarter reference period or subsequent to such reference period and on or
prior to the Calculation Date shall be deemed to have occurred on the first day
of the four-quarter reference period, and (ii) the Consolidated Cash Flow and
Fixed Charges attributable to discontinued operations, as determined in
accordance with GAAP, and operations or businesses disposed of prior to the
Calculation Date, shall be excluded.
 
"FIXED CHARGES" means, with respect to any Person for any period, the sum of (i)
the consolidated interest expense of such Person and its Subsidiaries for such
period, whether paid or accrued (including, without limitation, amortization of
original issue discount, non-cash interest payments, the interest component of
any deferred payment obligations, the interest component of all payments
associated with Capital Lease Obligations, commissions, discounts and other fees
and charges incurred in respect of letters of credit or bankers' acceptance
financings, and net payments or receipts (if any) pursuant to Hedging
Obligations) and (ii) the consolidated interest expense of such Person and its
Subsidiaries that was capitalized during such period, and (iii) any interest
expense on Indebtedness of another Person that is Guaranteed by such Person or
one of its Subsidiaries or secured by a Lien on assets of such Person or one of
its Subsidiaries (whether or not such Guarantee or Lien is called upon) and (iv)
the product of (a) all cash dividend payments (and non-cash dividend payments in
the case of a Person that is a Subsidiary) on any series of preferred stock of
such Person, times (b) a fraction, the numerator of which is one and the
denominator of which is one minus the then current combined federal, state and
local statutory tax rate of such Person, expressed as a decimal, in each case,
on a consolidated basis and in accordance with GAAP.
 
                                       37
<PAGE>
"GAAP" means generally accepted accounting principles set forth in the opinions
and pronouncements of the Accounting Principles Board of the American Institute
of Certified Public Accountants and statements and pronouncements of the
Financial Accounting Standards Board or in such other statements by such other
entity as have been approved by a significant segment of the accounting
profession, as in effect from time to time.
 
"GUARANTEE" means a guarantee (other than by endorsement of negotiable
instruments for collection in the ordinary course of business), direct or
indirect, in any manner (including, without limitation, letters of credit and
reimbursement agreements in respect thereof), of all or any part of any
Indebtedness.
 
"HEDGING OBLIGATIONS" means, with respect to any Person, the obligations of such
Person under (i) interest rate swap agreements, interest rate cap agreements and
interest rate collar agreements, (ii) forward foreign exchange contracts or
currency swap agreements and (iii) other agreements or arrangements designed to
protect such Person against fluctuations in interest rates or currency values.
 
"HOSPITAL" means a hospital, outpatient clinic, long-term care facility or other
facility or business that is used or useful in or related to the provision of
healthcare services.
 
"HOSPITAL SWAP" means an exchange of assets by the Company or a Subsidiary of
the Company for one or more Hospitals and/or one or more Related Businesses or
for the Capital Stock of any Person owning one or more Hospitals and/or one or
more Related Businesses.
 
"INDEBTEDNESS" means, with respect to any Person, any indebtedness of such
Person, whether or not contingent, in respect of borrowed money or evidenced by
bonds, notes, debentures or similar instruments or letters of credit (or
reimbursement agreements in respect thereof) or banker's acceptances or
representing Capital Lease Obligations or the balance deferred and unpaid of the
purchase price of any property or representing any Hedging Obligations, except
any such balance that constitutes an accrued expense or trade payable, if and to
the extent any of the foregoing indebtedness (other than letters of credit and
Hedging Obligations) would appear as a liability upon a balance sheet of such
Person prepared in accordance with GAAP, as well as all indebtedness of others
secured by a Lien on any asset of such Person (whether or not such indebtedness
is assumed by such Person) and, to the extent not otherwise included, the
Guarantee by such Person of any indebtedness of any other Person.
 
"INVESTMENT GRADE" means a rating of BBB- or higher by S&P or Baa3 or higher by
Moody's or the equivalent of such ratings by S&P or Moody's. In the event that
the Company shall select any other Rating Agency, the equivalent of such ratings
by such Rating Agency shall be used.
 
"LIEN" means, with respect to any asset, any mortgage, lien, pledge, charge,
security interest or encumbrance of any kind in respect of such asset given to
secure Indebtedness, whether or not filed, recorded or otherwise perfected under
applicable law (including any conditional sale or other title retention
agreement, any lease in the nature thereof, any option or other agreement to
sell or give a security interest in and any filing of or agreement to give any
financing statement under the Uniform Commercial Code (or equivalent statutes)
of any jurisdiction with respect to any such lien, pledge, charge or security
interest).
 
"MOODY'S" means Moody's Investors Service, Inc. and its successors.
 
"NET INCOME" means, with respect to any Person, the net income (loss) of such
Person, determined in accordance with GAAP and before any reduction in respect
of preferred stock dividends, excluding, however, (i) any gain (but not loss),
together with any related provision for taxes on such gain (but not loss),
realized in connection with (a) any Asset Sale (including, without limitation,
dispositions pursuant to sale and leaseback transactions) or (b) the disposition
of any securities by such Person or any of its Subsidiaries or the
extinguishment of any Indebtedness of such Person or any of its Subsidiaries and
(ii) any extraordinary or nonrecurring gain (but not loss), together with any
related provision for taxes on such extraordinary or nonrecurring gain (but not
loss).
 
                                       38
<PAGE>
"OBLIGATIONS" means any principal, interest, penalties, fees, indemnifications,
reimbursements, damages and other liabilities payable under the documentation
governing any Indebtedness.
 
"PAYMENT DEFAULT" means, for purposes of the 7 5/8% indenture, any failure to
pay any scheduled installment of interest or principal on any Indebtedness
within the grace period provided for such payment in the documentation governing
such Indebtedness.
 
"PERMITTED LIENS" means (i) Liens in favor of the Company; (ii) Liens on
property of a Person existing at the time such Person is merged into or
consolidated with the Company or any Subsidiary of the Company or becomes a
Subsidiary of the Company; PROVIDED that such Liens were in existence prior to
the contemplation of such merger, consolidation or acquisition (unless such
Liens secure Indebtedness that was incurred in connection with or in
contemplation of such acquisition and is used to refinance tax-exempt
Indebtedness) and do not extend to any assets or the Company or its Subsidiaries
other than those of the Person merged into or consolidated with the Company or
that becomes a Subsidiary of the Company; (iii) Liens on property existing at
the time of acquisition thereof by the Company or any Subsidiary of the Company;
PROVIDED that such Liens were in existence prior to the contemplation of such
acquisition (unless such Liens secure Indebtedness that was incurred in
connection with or in contemplation of such acquisition and is used to refinance
tax-exempt Indebtedness); (iv) Liens to secure the performance of statutory
obligations, tender, bid, performance, government contract, surety or appeal
bonds or other obligations of a like nature incurred in the ordinary course of
business; (v) Liens existing on the date of the indentures; (vi) Liens for
taxes, assessments or governmental charges or claims that are not yet delinquent
or that are being contested in good faith by appropriate proceedings promptly
instituted and diligently concluded; PROVIDED that any reserve or other
appropriate provision as shall be required in conformity with GAAP shall have
been made therefor; (vii) other Liens on assets of the Company or any Subsidiary
of the Company securing Indebtedness that is permitted by the terms of the
indentures to be outstanding having an aggregate principal amount at any one
time outstanding not to exceed 10% of the Stockholders' Equity of the Company;
and (viii) Liens to secure Permitted Refinancing Indebtedness incurred to
refinance Indebtedness that was secured by a Lien permitted under the indentures
and that was incurred in accordance with the provisions of the indentures;
PROVIDED that such Liens do not extend to or cover any property or assets of the
Company or any Subsidiary other than assets or property securing the
Indebtedness so refinanced.
 
"PERMITTED REFINANCING INDEBTEDNESS" means any Indebtedness of the Company or
any of its Subsidiaries issued in exchange for, or the net proceeds of which are
used solely to extend, refinance, renew, replace, defease or refund, other
Indebtedness of the Company or any of its Subsidiaries; PROVIDED that, except in
the case of Indebtedness of the Company issued in exchange for, or the net
proceeds of which are used solely to extend, refinance, renew, replace, defease
or refund, Indebtedness of a Subsidiary of the Company: (i) the principal amount
of such Permitted Refinancing Indebtedness (or if such Permitted Refinancing
Indebtedness is issued at a discount, the initial issuance price of such
Permitted Refinancing Indebtedness) does not exceed the principal amount of the
Indebtedness so extended, refinanced, renewed, replaced, defeased or refunded
(plus the amount of any premiums paid and reasonable expenses incurred in
connection therewith); (ii) such Permitted Refinancing Indebtedness has a Stated
Maturity date later than the Stated Maturity date of, and has a Weighted Average
Life to Maturity equal to or greater than the Weighted Average Life to Maturity
of, the Indebtedness being extended, refinanced, renewed, replaced, defeased or
refunded; (iii) if the Indebtedness being extended, refinanced, renewed,
replaced, defeased or refunded is subordinated in right of payment to the 7 5/8%
new notes, such Permitted Refinancing Indebtedness has a Stated Maturity date
later than the Stated Maturity date of, and is subordinated in right of payment
to, the 7 5/8% new notes on subordination terms at least as favorable to the
holders of 7 5/8% new notes as those contained in the documentation governing
the Indebtedness being extended, refinanced, renewed, replaced, defeased or
refunded; (iv) such Indebtedness is incurred by the Company if the Company is
the obligor on the Indebtedness being extended, refinanced, renewed, replaced,
defeased or refunded; and (v) such Indebtedness is incurred by the Company or a
Subsidiary if a
 
                                       39
<PAGE>
Subsidiary is the obligor on the Indebtedness being extended, refinanced,
renewed, replaced, defeased or refunded.
 
"PHYSICIAN JOINT VENTURE DISTRIBUTIONS" means distributions made by the Company
or any of its Subsidiaries to any physician, pharmacist or other allied
healthcare professional in connection with the unwinding, liquidation or other
termination of any joint venture or similar arrangement between any such Person
and the Company or any of its Subsidiaries.
 
"PHYSICIAN SUPPORT OBLIGATIONS" means any obligation or Guarantee incurred in
the ordinary course of business by the Company or a Subsidiary of the Company in
connection with any advance, loan or payment to, or on behalf of or for the
benefit of any physician, pharmacist or other allied healthcare professional for
the purpose of recruiting, redirecting or retaining the physician, pharmacist or
other allied healthcare professional to provide service to patients in the
service area of any Hospital or Related Business owned or operated by the
Company or any of its Subsidiaries; excluding, however, compensation for
services provided by physicians, pharmacists or other allied healthcare
professionals to any Hospital or Related Business owned or operated by the
Company or any of its Subsidiaries.
 
"QUALIFIED EQUITY INTERESTS" shall mean all Equity Interests of the Company
other than Disqualified Stock of the Company.
 
"RATING AGENCIES" means (i) S&P and (ii) Moody's or (iii) if neither S&P nor
Moody's shall make a rating of the 7 5/8% new notes or the 8 1/8% new notes, as
the case may be, publicly available, a nationally recognized securities rating
agency or agencies, as the case may be, selected by the Company, which shall be
substituted for S&P or Moody's or both, as the case may be.
 
"RATING CATEGORY" means (i) with respect to S&P, any of the following
categories: BB, B, CCC, CC, C and D (or equivalent successor categories); (ii)
with respect to Moody's, any of the following categories: Ba, B, Caa, Ca, C and
D (or equivalent successor categories); and (iii) the equivalent of any such
category of S&P or Moody's used by another Rating Agency. In determining whether
the rating of the new notes has decreased by one or more gradations, gradations
within Rating Categories (+ and - for S&P; 1, 2 and 3 for Moody's; or the
equivalent gradations for another Rating Agency) shall be taken into account
(e.g., with respect to S&P, a decline in a rating from BB+ to BB, as well as
from BB- to B+, will constitute a decrease of one gradation).
 
"RATING DATE" means the date which is 90 days prior to the earlier of (i) a
Change of Control and (ii) the first public notice of the occurrence of a Change
of Control or of the intention by the Company to effect a Change of Control.
 
"RATING DECLINE" means the occurrence on or within 90 days after the date of the
first public notice of the occurrence of a Change of Control or of the intention
by the Company to effect a Change of Control (which period shall be extended so
long as the rating of the new notes is under publicly announced consideration
for possible downgrade by any of the Rating Agencies) of: (a) in the event the
new notes are rated by either Moody's or S&P on the Rating Date as Investment
Grade, a decrease in the rating of the new notes by both Rating Agencies to a
rating that is below Investment Grade, or (b) in the event the new notes are
rated below Investment Grade by both Rating Agencies on the Rating Date, a
decrease in the rating of the new notes by either Rating Agency by one or more
gradations (including gradations within Rating Categories as well as between
Rating Categories).
 
"RELATED BUSINESS" means a healthcare business affiliated or associated with a
Hospital or any business related or ancillary to the provision of healthcare
services or information or the investment in, management, leasing or operation
of a Hospital.
 
"SENIOR DEBT" means (i) Indebtedness under the Existing Credit Facility, (ii)
the 7 5/8% new notes and the 7 5/8% old notes, the Existing Senior Notes and any
other Indebtedness permitted to be incurred by the
 
                                       40
<PAGE>
Company under the terms of the 8 1/8% indenture, unless the instrument under
which such Indebtedness is incurred expressly provides that it is on a parity
with or subordinated in right of payment to the 8 1/8% new notes and (iii) all
Obligations with respect to any of the foregoing. Notwithstanding anything to
the contrary in the foregoing, Senior Debt will not include (v) the 8 1/8% new
notes, the Company's untendered 10 1/8% Notes, the Company's 8 5/8% Subordinated
Notes and the 6% Exchangeable Subordinated Notes, (w) any liability for federal,
state, local or other taxes owed or owing by the Company, (x) any Indebtedness
of the Company to any of its Subsidiaries or other Affiliates, (y) any trade
payables or (z) any Indebtedness that is incurred in violation of the 8 1/8%
indenture.
 
"SIGNIFICANT SUBSIDIARY" means any Subsidiary that would be a "significant
subsidiary" as defined in Article 1, Rule 1-02 of Regulation S-X, promulgated
pursuant to the Act, as such Regulation is in effect on the date of the
indentures.
 
"S&P" means Standard & Poor's Corporation and its successors.
 
"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 thereto 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 or cash in lieu thereof, whether or not such right is subject to the
Company's ability to pay an amount in cash in lieu thereof.
 
"STOCKHOLDERS' EQUITY" means, with respect to any Person as of any date, the
stockholders' equity of such Person determined in accordance with GAAP as of the
date of the most recent available internal financial statements of such Person,
and calculated on a PRO FORMA basis to give effect to any acquisition or
disposition by such Person consummated or to be consummated since the date of
such financial statements and on or prior to the date of such calculation.
 
"SUBSIDIARY" means, with respect to any Person, (i) any corporation, association
or other business entity of which more than 50% of the total voting power of
shares of Capital Stock entitled (without regard to the occurrence of any
contingency) to vote in the election of directors, managers or trustees thereof
is at the time owned or controlled, directly or indirectly, by such Person or
one or more of the other Subsidiaries of that Person (or a combination thereof)
and (ii) any partnership (a) the sole general partner or the managing general
partner of which is such Person or a Subsidiary of such Person or (b) the only
general partners of which are such Person or of one or more Subsidiaries of such
Person (or any combination thereof).
 
"WEIGHTED AVERAGE LIFE TO MATURITY" means, when applied to any Indebtedness at
any date, the number of years obtained by dividing (i) the sum of the products
obtained by multiplying (a) the amount of each then remaining installment,
sinking fund, serial maturity or other required payments of principal, including
payment at final maturity, in respect thereof, by (b) the number of years
(calculated to the nearest one-twelfth) that will elapse between such date and
the making of such payment, by (ii) the then outstanding principal amount of
such Indebtedness.
 
"WHOLLY OWNED SUBSIDIARY" of any Person means a Subsidiary of such Person all of
the outstanding Capital Stock or other ownership interests of which (other than
directors' qualifying shares) shall at the time be owned by such Person or by
one or more Wholly Owned Subsidiaries of such Person or by such Person and one
or more Wholly Owned Subsidiaries of such Person.
 
                                       41
<PAGE>
                               THE EXCHANGE OFFER
 
TERMS OF THE EXCHANGE OFFER; PERIOD FOR TENDERING OLD NOTES
 
    Upon the terms and conditions set forth in this Prospectus and in the
accompanying Letter of Transmittal, we will accept for exchange old notes which
are properly tendered on or prior to the Expiration Date and not withdrawn as
permitted below. As used herein, the term "Expiration Date" means 5:00 p.m., New
York City time, on October [  ], 1998; PROVIDED, HOWEVER, that if we, in our
sole discretion, have extended the period of time during which the Exchange
Offer is open, the term "Expiration Date" means the latest time and date to
which the Exchange Offer is extended.
 
    As of the date of this Prospectus, $350,000,000 principal amount of 7 5/8%
old notes and $1,005,000,000 principal amount of 8 1/8% old notes are
outstanding. This Prospectus, together with the Letter of Transmittal, is first
being sent on or about the date hereof, to all holders of old notes known to us.
Our obligation to accept old notes for exchange pursuant to the Exchange Offer
is subject to certain obligations as set forth under "--Certain Conditions to
the Exchange Offer."
 
    We expressly reserve the right, at any time or from time to time, to extend
the period of time during which the Exchange Offer is open, and thereby delay
acceptance for exchange of any old notes, by giving oral or written notice of
such extension to the holders thereof as described below. During any such
extension, all old notes previously tendered will remain subject to the Exchange
Offer and may be accepted for exchange by us. Any old notes not accepted for
exchange for any reason will be returned without expense to the tendering holder
thereof as promptly as practicable after the expiration or termination of the
Exchange Offer.
 
    Old notes tendered in the Exchange Offer must be in denominations of
principal amount of $1,000 and any integral multiple thereof.
 
    We expressly reserves the right to amend or terminate the Exchange Offer,
and not to accept for exchange any old notes not theretofore accepted for
exchange, upon the occurrence of any of the conditions of the Exchange Offer
specified under "--Certain Conditions to the Exchange Offer." We will give oral
or written notice, of any extension, amendment, non-acceptance or termination to
the holders of the old notes as promptly as practicable. Such notice, in the
case of any extension, to be issued by means of a press release or other public
announcement no later than 9:00 a.m., New York City time, on the next business
day after the previously scheduled Expiration Date.
 
PROCEDURES FOR TENDERING OLD NOTES
 
    The tender to us of old notes by a holder as set forth below and our
acceptance of the old notes will constitute a binding agreement between us and
the tendering holder upon the terms and subject to the conditions set forth in
this Prospectus and in the accompanying Letter of Transmittal. Except as set
forth below, a holder who wishes to tender old notes for exchange pursuant to
the Exchange Offer must transmit a properly completed and duly executed Letter
of Transmittal, including all other documents required by such Letter of
Transmittal or in the case of a book-entry transfer, an Agent's Message in lieu
of such Letter of Transmittal, to The Bank of New York (the "Exchange Agent") at
the address set forth below under "Exchange Agent" on or prior to the Expiration
Date. In addition, either (i) certificates for such old notes must be received
by the Exchange Agent along with the Letter of Transmittal, or (ii) a timely
confirmation of a book-entry transfer (a "Book-Entry Confirmation") of such old
notes, if such procedure is available, into the Exchange Agent's account at DTC
pursuant to the procedure for book-entry transfer described on page [       ]
must be received by the Exchange Agent, prior to the Expiration Date, with the
Letter of Transmittal or an Agent's Message in lieu of such Letter of
Transmittal, or (iii) the holder must comply with the guaranteed delivery
procedures described below. The term "Agent's Message" means a message,
transmitted by DTC to and received by the Exchange Agent and forming a part of a
Book-Entry Confirmation, which states that DTC has received an express
acknowledgment from the tendering
 
                                       42
<PAGE>
participant, which acknowledgment states that such participant has received and
agrees to be bound the Letter of Transmittal and that we may enforce such Letter
of Transmittal against such participant.
 
    The method of delivery of old notes, letters of transmittal and all other
required documents is at the election and risk of the holders. If such delivery
is by mail, it is recommended that registered mail, properly insured, with
return receipt requested, be used. In all cases, sufficient time should be
allowed to assure timely delivery. No letter of transmittal or old notes should
be sent to us.
 
    Signatures on a Letter of Transmittal or a notice of withdrawal, as the case
may be, must be guaranteed unless the old notes surrendered for exchange
pursuant thereto are tendered (i) by a holder of the old notes who has not
completed the box entitled "Special Issuance Instructions" or "Special Delivery
Instructions" on the Letter of Transmittal or (ii) for the account of an
Eligible Institution (as defined). In the event that signatures on a Letter of
Transmittal or a notice of withdrawal are required to be guaranteed, such
guarantees must be by a firm which is a member of the Securities Transfer Agent
Medallion Program, the Stock Exchanges Medallion Program or the New York Stock
Exchange Medallion Program (each such entity being hereinafter referred to as an
"Eligible Institution"). If old notes are registered in the name of a person
other than the signer of the Letter of Transmittal, the old notes surrendered
for exchange must be endorsed by, or be accompanied by a written instrument or
instruments of transfer or exchange, in satisfactory form as we determine (which
decision we may delegate to the Exchange Agent) in our sole discretion, duly
executed by the registered holders with the signature thereon guaranteed by an
Eligible Institution.
 
    We shall make a final and binding determination on all questions as to the
validity, form, eligibility (including time of receipt) and acceptance of old
notes tendered for exchange (which decision we may delegate to the Exchange
Agent) in our sole discretion. We reserve the absolute right to reject any and
all tenders of any particular old note not properly tendered or to not accept
any particular old note which acceptance might, in our judgment or our
counsel's, be unlawful. We also reserve the absolute right to waive any defects
or irregularities or conditions of the Exchange Offer as to any particular old
note either before or after the Expiration Date (including the right to waive
the ineligibility of any holder who seeks to tender old notes in the Exchange
Offer). Our interpretation of the terms and conditions of the Exchange Offer as
to any particular old note either before or after the Expiration Date (including
the Letter of Transmittal and the instructions thereto) (which power we may
delegate to the Exchange Agent) shall be final and binding on all parties.
Unless waived, any defects or irregularities in connection with tenders of old
notes for exchange must be cured within such reasonable period of time as we
shall determine. We are not, nor is the Exchange Agent or any other person under
any duty to give notification of any defect or irregularity with respect to any
tender of old notes for exchange, and shall not incur any liability for failure
to give such notification.
 
    If the Letter of Transmittal is signed by a person or persons other than the
registered holder or holders of old notes, such old notes must be endorsed or
accompanied by powers of attorney, in either case signed exactly as the name or
names of the registered holder or holders that appear on the old notes.
 
    If the Letter of Transmittal or any old notes or powers of attorneys are
signed by trustees, executors, administrators, guardians, attorneys-in-fact,
officers of corporations or others acting in a fiduciary or representative
capacity, such persons should so indicate when signing, and, unless waived us
(which power may be delegated to the Exchange Agent), proper evidence
satisfactory to us of their authority to so act must be submitted with the
Letter of Transmittal.
 
    Any holder that tenders old notes to us represents that the new notes
acquired pursuant to the Exchange Offer are being obtained in the ordinary
course of business of the person receiving such new notes, whether or not such
person is the holder and that neither the holder nor such other person has any
arrangement or understanding with any person, to participate in the distribution
of the new notes. If any holder who is our "affiliate" as defined under Rule 405
promulgated under the Securities Act, engages in or intends to engage in or has
an arrangement or understanding with any person to participate in a
 
                                       43
<PAGE>
distribution of such new notes to be acquired pursuant to the Exchange Offer,
such holder or any such
other person (i) could not rely on the applicable interpretations of the staff
of the Commission and (ii) must comply with the registration and prospectus
delivery requirements of the Securities Act in connection with any resale
transaction. Each broker-dealer that receives new notes for its own account in
exchange for old notes, where such old notes were acquired by such broker-dealer
as a result of market-making activities or other trading activities, must
acknowledge that it will deliver a prospectus in connection with any resale of
such new notes. See "Plan of Distribution." The Letter of Transmittal states
that by so acknowledging and by delivering a prospectus, a broker-dealer will
not be deemed to admit that it is an "underwriter" within the meaning of the
Securities Act.
 
ACCEPTANCE OF OLD NOTES FOR EXCHANGE; DELIVERY OF NEW NOTES
 
    Upon satisfaction or waiver of all of the conditions to the Exchange Offer,
we will accept, promptly after the Expiration Date, all old notes properly
tendered and will issue the new notes promptly after acceptance of the old
notes. See "--Certain Conditions to the Exchange Offer." For purposes of the
Exchange Offer, we shall be deemed to have accepted properly tendered old notes
for exchange when, and if we give oral (confirmed in writing) or written notice
thereof to the Exchange Agent.
 
    The holder of each old note accepted for exchange will receive a new note in
the amount equal to the surrendered old note. Accordingly, registered holders of
new notes on the relevant record date for the first interest payment date
following the consummation of the Exchange Offer will receive interest accruing
from the most recent date to which interest has been paid on the old notes.
Holders of old notes whose old notes are accepted for exchange will not receive
any payment in respect of accrued interest on such old notes otherwise payable
on any interest payment date the record date for which occurs on or after the
consummation of the Exchange Offer.
 
    In all cases, issuance of new notes for old notes that are accepted for
exchange pursuant to the Exchange Offer will be made only after timely receipt
by the Exchange Agent of (i) certificates for such old notes or a timely
Book-Entry Confirmation of such old notes into the Exchange Agent's account at
DTC, (ii) a properly completed and duly executed Letter of Transmittal or an
Agent's Message in lieu thereof and (iii) all other required documents. lf any
tendered old notes are not accepted for any reason set forth in the terms and
conditions of the Exchange Offer or if old notes are submitted for a greater
principal amount than the holder desires to exchange, such unaccepted or
non-exchanged old notes will be returned without expense to the tendering holder
thereof (or, in the case of old notes tendered by book-entry transfer into the
Exchange Agent's account at DTC pursuant to the book-entry procedures described
below, such non-exchanged old notes will be credited to an account maintained
with DTC) as promptly as practicable after the expiration or termination of the
Exchange Offer.
 
BOOK-ENTRY TRANSFERS
 
    The Exchange Agent will make a request to establish an account with respect
to the old notes at DTC for purposes of the Exchange Offer within two business
days after the date of this Prospectus, unless the Exchange Agent already has
established an account with DTC suitable for the Exchange Offer, and any
financial institution that is a participant in DTC may make book-entry delivery
of old notes by causing DTC to transfer such old notes into the Exchange Agent's
account at DTC in accordance with DTC's procedures for transfer. However,
although delivery of old notes may be effected through book-entry transfer at
DTC, the Letter of Transmittal or facsimile thereof or an Agent's Message in
lieu thereof, with any required signature guarantees and any other required
documents, must, in any case, be transmitted to and received by the Exchange
Agent at the address set forth under "--Exchange Agent" on or prior to the
Expiration Date or the guaranteed delivery procedures described below must be
complied with.
 
                                       44
<PAGE>
GUARANTEED DELIVERY PROCEDURES
 
    If a holder of the old notes desires to tender such old notes and the old
notes are not immediately available, or time will not permit such holder's old
notes or other required documents to reach the Exchange Agent before the
Expiration Date, a tender may be effected if (i) the tender is made through an
Eligible Institution, (ii) prior to the Expiration Date, the Exchange Agent
received from such Eligible Institution a Notice of Guaranteed Delivery,
substantially in the form we provide (by telegram, telex, facsimile
transmission, mail or hand delivery), setting forth the name and address of the
holder of the old notes and the amount of old notes tendered, stating that the
tender is being made thereby and guaranteeing that within three New York Stock
Exchange ("NYSE") trading days after the date of execution of the Notice of
Guaranteed Delivery, the certificates for all physically tendered old notes, in
proper form for transfer, or a book-entry confirmation, as the case may be,
together with a properly completed and duly executed appropriate Letter of
Transmittal or facsimile thereof or Agent's Message in lieu thereof, with any
required signature guarantees and any other documents required by the Letter of
Transmittal will be deposited by such Eligible Institution with the Exchange
Agent, and (iii) the certificates for all physically tendered old notes, in
proper form for transfer, or a book-entry confirmation, as the case may be,
together with a properly completed and duly executed appropriate Letter of
Transmittal or facsimile thereof or Agent's Message in lieu thereof, with any
required signature guarantees and all other documents required by the Letter of
Transmittal, are received by the Exchange Agent within three NYSE trading days
after the date of execution the Notice of Guaranteed Delivery.
 
WITHDRAWAL RIGHTS
 
    Tenders of old notes may be withdrawn at any time prior to the Expiration
Date. For a withdrawal to be effective, a written notice of withdrawal must be
received by the Exchange Agent at one of the addresses set forth under
"--Exchange Agent." Any such notice of withdrawal must (i) specify the name of
the person having tendered the old notes to be withdrawn, (ii) the old notes to
be withdrawn (including the principal amount of such old notes), and (iii)
(where certificates for old notes have been transmitted) specify the name in
which such old notes are registered, if different from that of the withdrawing
holder. If certificates for old notes have been delivered or otherwise
identified to the Exchange Agent, then, prior to the release of such
certificates the withdrawing holder must also submit the serial numbers of the
particular certificates to be withdrawn and a signed notice of withdrawal with
signatures guaranteed by an Eligible Institution unless such holder is an
Eligible Institution. If old notes have been tendered pursuant to the procedure
for book-entry transfer described above, any notice of withdrawal must specify
the name and number of the account at DTC to be credited with the withdrawn old
notes and otherwise comply with the procedures of DTC. We shall make a final and
binding determination on all questions as to the validity, form and eligibility
(including time of receipt) of such notices (or delegate our power to the
Exchange Agent). Any old notes so withdrawn will be deemed not to have been
validly tendered for exchange for purposes of the Exchange Offer. Any old notes
which have been tendered for exchange but which are not exchanged for any reason
will be returned to the holder thereof without cost to such holder (or, in the
case of old notes tendered by book-entry transfer into the Exchange Agent's
account at DTC pursuant to the book-entry transfer procedures described above,
such old notes will be credited to an account maintained with DTC for the old
notes) as soon as practicable after withdrawal, rejection of tender or
termination of the Exchange Offer. Properly withdrawn old notes may be
retendered by following one of the procedures described under "--Procedures for
Tendering old notes" above at any time on or prior to the Expiration Date.
 
                                       45
<PAGE>
CERTAIN CONDITIONS TO THE EXCHANGE OFFER
 
    Notwithstanding any other provision of the Exchange Offer, we shall not be
required to accept for exchange, or to issue new notes in exchange for, any old
notes and may terminate or amend the Exchange Offer, if at any time before the
acceptance of such old notes, any of the following events shall occur:
 
        (a) there shall be threatened, instituted or pending any action or
    proceeding before, or any injunction, order or decree shall have been issued
    by, any court or governmental agency or other governmental regulatory or
    administrative agency or commission, (i) seeking to restrain or prohibit the
    making or consummation of the Exchange Offer or any other transaction
    contemplated by the Exchange Offer, or assessing or seeking any damages as a
    result thereof, or (ii) resulting in a material delay in our ability to
    accept for exchange or exchange some or all of the old notes pursuant to the
    Exchange Offer; or any statute, rule, regulation, order or injunction shall
    be sought, proposed, introduced, enacted, promulgated or deemed applicable
    to the Exchange Offer or any of the transactions contemplated by the
    Exchange Offer by any government or governmental authority, domestic or
    foreign, or any action shall have been taken, proposed or threatened, by any
    government, governmental authority, agency or court, domestic or foreign,
    that in the sole judgment might, directly or indirectly, result in any of
    the consequences referred to in clauses (i) or (ii) above or, in our
    reasonable judgment, might result in the holders of new notes having
    obligations with respect to resales and transfers of new notes which are
    greater than those described in the interpretation of the Commission
    referred to on the cover page of this Prospectus, or would otherwise make it
    inadvisable to proceed with the Exchange Offer; or
 
        (b) there shall have occurred (i) any general suspension of or general
    limitation on prices for, or trading in, securities on any national
    securities exchange or in the over-the-counter market, (ii) any limitation
    by an governmental agency or authority which may adversely affect our
    ability to complete the transactions contemplated by the Exchange Offer,
    (iii) a declaration of a banking moratorium or any suspension of payments in
    respect of banks in the United States or any limitation by any governmental
    agency or authority which adversely affects the extension of credit or (iv)
    a commencement of a war, armed hostilities or other similar international
    calamity directly or indirectly involving the United States, or, in the case
    of any of the foregoing existing at the time of the commencement of the
    Exchange Offer, a material acceleration or worsening thereof; or
 
        (c) any change (or any development involving a prospective change) shall
    have occurred or be threatened in our business, properties, assets,
    liabilities, financial condition, operations, results of operations or
    prospects and our subsidiaries taken as a whole that, in our reasonable
    judgment, is or may be adverse to us, or we have become aware of facts that,
    in our reasonable judgment, have or may have adverse significance with
    respect to the value of the old notes or the new notes;
 
which in our reasonable judgment in any case, and regardless of the
circumstances (including any action by the Company) giving rise to any such
condition, makes it inadvisable to proceed with the Exchange Offer and/or with
such acceptance for exchange or with such exchange.
 
    The foregoing conditions are for our sole benefit and may be asserted by us
regardless of the circumstances giving rise to any such condition or may be
waived by us in whole or in part at any time and from time to time in our
reasonable discretion. Our failure at any time to exercise any of the foregoing
rights shall not be deemed a waiver of any such right and each such right shall
be deemed an ongoing right which may be asserted at any time and from time to
time.
 
    In addition, we will not accept for exchange any old notes tendered, and no
new notes will be issued in exchange for any such old notes, if at such time any
stop order shall be threatened or in effect with respect to the Registration
Statement, of which this Prospectus constitutes a part, or the qualification of
the indenture under the Trust Indenture Act.
 
                                       46
<PAGE>
EXCHANGE AGENT
 
    The Bank of New York has been appointed as the Exchange Agent for the
Exchange Offer. All executed Letters of Transmittal should be directed to the
Exchange Agent at the address set forth below. Questions and requests for
assistance, requests for additional copies of this Prospectus or of the Letter
of Transmittal and requests for Notices of Guaranteed Delivery should be
directed to the Exchange Agent addressed as follows:
 
                     Main Delivery to: The Bank of New York
                               AS EXCHANGE AGENT
 
<TABLE>
<S>                                            <C>
   BY MAIL, BY HAND AND OVERNIGHT COURIER:                     BY FACSIMILE:
            The Bank of New York                              (212) 815-6339
         101 Barclay Street, 21 West                       CONFIRM BY TELEPHONE:
          New York, New York 10286                            (212) 815-3502
        Attention: Millicent Burnett
</TABLE>
 
    DELIVERY OF THE LETTER OF TRANSMITTAL TO AN ADDRESS OTHER THAN AS SET FORTH
ABOVE OR TRANSMISSION OF SUCH LETTER OF TRANSMITTAL VIA FACSIMILE OTHER THAN AS
SET FORTH ABOVE DOES NOT CONSTITUTE A VALID DELIVERY OF LETTER OF TRANSMITTAL.
 
FEES AND EXPENSES
 
    We will not make any payment to brokers, dealers, or others soliciting
acceptances of the Exchange Offer, except for reimbursement of mailing expenses.
 
    We will pay the estimated cash expenses to be incurred in connection with
the Exchange Offer, which are estimated to be $250,000.
 
TRANSFER TAXES
 
    Holders who tender their old notes for exchange will not be obligated to pay
any transfer taxes in connection therewith, except that holders who instruct us
to register new notes in the name of, or request that old notes not tendered or
not accepted in the Exchange Offer be returned to, a person other that the
registered tendering holder will be responsible for the payment of any
applicable transfer tax thereon.
 
CONSEQUENCES OF EXCHANGING OLD NOTES
 
    Holders of old notes who do not exchange their old notes for new notes
pursuant to the Exchange Offer will continue to be subject to the provisions in
the indentures regarding transfer and exchange of the old notes and the
restrictions on transfer of such old notes as set forth in the legend thereon as
a consequence of the issuance of the old notes pursuant to exemptions from, or
in transactions not subject to, the registration requirements of the Securities
Act and applicable state securities laws. In general, the old notes may not be
offered or sold, unless registered under the Securities Act, except pursuant to
an exemption from, or in a transaction not subject to, the Securities Act and
applicable state securities laws. Under certain circumstances, certain holders
of old notes (including holders who are not permitted to participate in the
Exchange Offer or who may not freely resale new notes received in the Exchange
Offer, may require us to file and cause to become effective, a shelf
registration statement which would cover resales of old notes by such holders.
We do not currently anticipate that we will register old notes under the
Securities Act. However, subject to limitations specified in the registration
rights agreement, we will register or qualify the new notes for offer or sale
under the securities laws of any jurisdictions that you reasonably request in
writing. See "--Description of the Notes--Exchange Offer; Registration Rights."
Based on interpretations by the staff of the Commission, as set forth in
no-action letters issued to third parties, the Company believes that new notes
issued pursuant to the Exchange Offer in exchange for old
 
                                       47
<PAGE>
notes may be offered for resale, resold or otherwise transferred by holders
thereof (other than any such holder which is our "affiliate" within the meaning
of Rule 405 promulgated under the Securities Act) without compliance with the
registration and prospectus delivery requirements of the Securities Act;
PROVIDED that such new notes are acquired in the ordinary course of such
holder's business and such holder has no arrangement or understanding with any
person to participate in the distribution of such new notes. However, the
Commission has not considered the Exchange Offer in the context of a no-action
letter and there can be no assurance that the staff of the Commission would make
a similar determination with respect to the Exchange Offer as in such other
circumstances. Each holder, other than a broker-dealer, must acknowledge that it
is not engaged in, and does not intend to engage in, a distribution of such new
notes and has no arrangement or understanding to participate in a distribution
of new notes. If any holder who is our affiliate engages in or intends to engage
in or has any arrangement or understanding with respect to the distribution of
new notes to be acquired pursuant to the Exchange Offer, such holder (i) could
not rely on the applicable interpretations of the staff of the Commission and
(ii) must comply with the registration and prospectus delivery requirements of
the Securities Act in connection with any resale transaction. Each broker-dealer
that receives new notes for its own account in exchange for old notes must
acknowledge that such old notes were acquired by such broker-dealer as a result
of market-making activities or other trading activities and that it will deliver
a prospectus in connection with any resale of such new notes. See "Plan of
Distribution." In addition, to comply with the securities laws of certain
jurisdictions, if applicable, the new notes may not be offered or sold unless
they have been registered or qualified for sale in such jurisdiction or an
exemption from registration or qualification is available and is complied with.
We have agreed, pursuant to the registration rights agreement, subject to
certain limitations specified therein, to register or qualify the new notes for
offer or sale under the securities laws of such jurisdictions as any holder
reasonably requests in writing. Unless a holder so requests, we do not intend to
register or qualify the sale of the new notes in any such jurisdictions.
 
             CERTAIN UNITED STATES FEDERAL INCOME TAX CONSEQUENCES
 
    The following is a summary of certain United States federal income tax
consequences associated with the exchange of the old notes for new notes, and
the disposition of the new notes. This summary is based upon existing United
States federal income tax law, which is subject to change, possibly
retroactively. This summary does not discuss all aspects of United States
federal income taxation which may be important to particular holders in light of
their individual investment circumstances, such as new notes held by investors
subject to special tax rules (e.g., financial institutions, insurance companies,
broker-dealers, and tax-exempt organizations, or, except to the extent described
below, Non-U.S. holders (as defined below)) or to persons that hold the old
notes or will hold the new notes as a part of a straddle, hedge, or synthetic
security transaction for United States federal income tax purposes or that have
a functional currency other than the United States dollar, all of whom may be
subject to tax rules that differ significantly from those summarized below. In
addition, this summary does not discuss any foreign, state, or local tax
considerations. This summary addresses tax consequences only to current holders
of notes and assumes that such holders hold their new notes as "capital assets"
(generally, property held for investment) under the United States Internal
Revenue Code of 1986, as amended (the "Code"). holders are urged to consult
their tax advisors regarding the United States federal, state, local, and
foreign income and other tax considerations associated with the exchange of old
notes for new notes and the disposition of the new notes.
 
    For purposes of this summary, a "U.S. Holder" is (i) an individual who is a
citizen or resident of the United States, (ii) a corporation, partnership, or
other entity created or organized under the laws of the United States or any
state or political subdivision thereof, (iii) an estate that is subject to
United States federal income taxation without regard to the source of its
income, or (iv) a trust whose administration is subject to the primary
supervision of a United States court and which has one or more United States
persons who have the authority to control all substantial decisions of the
trust. A "Non-U.S. Holder" is a beneficial owner of an old note or new note who
is not a U.S. Holder.
 
                                       48
<PAGE>
U.S. HOLDERS AND NON-U.S. HOLDERS
 
    There will be no United States federal income tax consequences to a U.S.
Holder or Non-U.S. Holder exchanging an old note for a new note pursuant to the
Exchange Offer and such holder will have the same adjusted basis and holding
period in the new note as it had in the old note immediately before the
exchange.
 
U.S. HOLDERS
 
    DISPOSITION OF NEW NOTES.  In general, subject to the market discount rules
discussed below, a U.S. Holder of a new note will recognize capital gain or loss
upon the sale, redemption, retirement or other disposition of the new note in an
amount equal to the difference between the amount realized (except to the extent
attributable to accrued but unpaid interest), in such disposition and the
holder's adjusted tax basis in the new note. Under the recently enacted Internal
Revenue Service Restructuring and Reform Act of 1998, net capital gain (ie.
generally, capital gain in excess of capital loss) recognized by an individual
holder upon the disposition of a new note that has been held for more than 12
months will generally be subject to tax at a rate not to exceed 20%, or, in the
case of a new note that has been held for 12 months or less will be subject to
tax at ordinary income tax rates. In addition, capital gain recognized by a
corporate holder will be subject to tax at the ordinary income tax rates
applicable to corporations.
 
    MARKET DISCOUNT.  Holders, other than original purchasers of old notes in
the original offering, should be aware that the resale of the new notes may be
affected by the market discount provisions of the Code. These rules generally
provide that if a holder of a note purchases such note, subsequent to the
original offering, at a market discount in excess of a statutorily defined DE
MINIMUS amount, and thereafter recognizes gain upon a disposition (including a
partial redemption) of the new note received in exchange for such old note, the
lesser of such gain or the portion of the market discount that accrued while the
old note and the new note were held by such holder will be treated as ordinary
interest income at the time of the disposition. The rules also provide that a
holder who acquires a note at a market discount may be required to defer a
portion of any interest expense that may otherwise be deductible on any
indebtedness incurred or maintained to purchase or carry such note until the
holder disposes of such note in a taxable transaction. If a holder of such a
note elects to include market discount in income currently, both of the
foregoing rules would not apply.
 
NON-U.S. HOLDERS
 
    PAYMENTS OF INTEREST.  Interest paid by the Company to Non-U.S. Holders will
not be subject to United States federal income or withholding tax provided that
(i) such holder does not actually or constructively own 10% or more of the total
combined voting power of all classes of stock of the Company entitled to vote,
(ii) such holder is not a controlled foreign corporation related to the Company
through stock ownership, a foreign tax-exempt organization or foreign private
foundation for United States federal income tax purposes, and (iii) the
requirements of section 871(h) or 881(c) of the Code are satisfied as described
below under the heading "Owner's Statement Requirement." Notwithstanding the
above, unless the holder qualifies for an exemption from such tax or a lower tax
rate under an applicable treaty, a Non-U.S. Holder that is engaged in the
conduct of a United States trade or business will be subject to (i) United
States federal income tax on interest that is effectively connected with the
conduct of such trade or business and (ii) if the Non-U.S. Holder is a
corporation, a United States branch profits tax equal to 30% of its "effectively
connected earnings and profits" as adjusted for the taxable year.
 
    GAIN ON DISPOSITION.  A Non-U.S. Holder will generally not be subject to
United States federal income tax on gain recognized on a sale, redemption, or
other disposition of a new note unless (i) the gain is effectively connected
with the conduct of a trade or business within the United States by the Non-U.S.
Holder or (ii) in the case of a Non-U.S. Holder who is a nonresident alien
individual, such holder is present in the United States for 183 or more days
during the taxable year and certain other requirements are met. Any such gain
that is effectively connected with the conduct of a United States trade or
business by a Non-U.S. Holder will be subject to United States federal income
tax on a net income basis in the same
 
                                       49
<PAGE>
manner as if such holder were a United States person and, if such Non-U.S.
Holder is a corporation, such gain may also be subject to the 30% United States
branch profits tax described above.
 
    FEDERAL ESTATE TAXES.  A new note held by an individual who at the time of
death is not a citizen or resident of the United States will not be subject to
United States federal estate tax as a result of such individual's death,
PROVIDED that (i) the individual does not actually or constructively own 10% or
more of the total combined voting power of all classes of stock of the Company
entitled to vote and (ii) the interest accrued on the new note was not
effectively connected with a United States trade or business of the individual
at the individual's death.
 
    OWNER'S STATEMENT REQUIREMENT.  Sections 871(h) and 881(c) of the Code
require that either the beneficial owner of the new note or a securities
clearing organization, bank or other financial institution that holds customers'
securities in the ordinary course of its trade or business (a "Financial
Institution") and that holds the new note on behalf of such owner file a
statement with the Company or its agent to the effect that the beneficial owner
is not a United States person in order to avoid withholding of United States
federal income tax. Under current regulations, this requirement will be
satisfied if the Company or its agent receives (i) a statement (an "Owner's
Statement") from the beneficial owner of a new note certifying under penalties
of perjury that such owner is not a United States person and that provides such
owner's name and address or (ii) a statement from the Financial Institution
holding the new note on behalf of the beneficial owner in which the Financial
Institution certifies, under penalties of perjury, that it has received the
Owner's Statement together with a copy of the Owner's Statement. The beneficial
owner must inform the Company or its agent (or, in the case of a statement
described in clause (ii) of the immediately preceding sentence, the Financial
Institution) within 30 days of any change in information on the Owner's
Statement.
 
    BACKUP WITHHOLDING AND INFORMATION REPORTING.  Current United States federal
income tax law provides that in the case of payments of interest to Non-U.S.
holders, the 31% backup withholding tax will not apply to payments made outside
the United States by the Company or a paying agent on a new note if an Owner's
Statement is received or an exemption has otherwise been established; PROVIDED
in each case that the Company or the paying agent, as the case may be, does not
have actual knowledge that the payee is a United States person.
 
    Under current Treasury Regulations, payments of the proceeds of the sale of
a new note to or through a foreign office of a "broker" will not be subject to
backup withholding but will be subject to information reporting if the broker is
a United States person, a controlled foreign corporation for United States
federal income tax purposes, a foreign person 50% or more of whose gross income
is from a United States trade or business for a specific three-year period, or,
with respect to payments made after December 31, 1999, a foreign partnership, if
at any time during its tax year, one or more of its partners are U.S. persons
(as defined in United States Treasury regulations) who, in the aggregate, hold
more than 50% of the income or capital interest in the partnership or if, at any
time during its tax year, such foreign partnership is engaged in a United States
trade or business unless the broker has in its records documentary evidence that
the holder is not a United States person and certain conditions are met or the
holder otherwise establishes an exemption. Payment of the proceeds of a sale to
or through the United States office of a broker is subject to backup withholding
and information reporting unless the holder certifies its non-United States
status under penalties of perjury or otherwise establishes an exemption.
 
    Recently, the Treasury Department has promulgated final regulations (the
"Final Regulations") regarding the withholding and information reporting rules
discussed above. In general, the Final Regulations do not significantly alter
the substantive withholding and information reporting requirements but unify
current certification procedures and forms and clarify reliance standards. Under
the Final Regulations, special rules apply which permit the shifting of primary
responsibility for withholding to certain financial intermediaries acting on
behalf of beneficial owners and would alter the rules applicable to certain
partnerships by requiring partners, rather than the partnership, to provide the
Owner's Statement. The Final Regulations are generally effective for payments
made after December 31, 1999, subject to certain transition rules.
 
                                       50
<PAGE>
                              PLAN OF DISTRIBUTION
 
    Each broker-dealer that receives new notes for its own account pursuant to
the Exchange Offer must acknowledge that it will deliver a prospectus in
connection with any resale of such new notes. This Prospectus, as it may be
amended or supplemented from time to time, may be used by a broker-dealer in
connection with resales of new notes received in exchange for old notes where
such old notes were acquired as a result of market-making activities or other
trading activities. We have agreed that, for a period of ninety days after the
Expiration Date, we will make this Prospectus, as amended or supplemented,
available to any broker-dealer for use in connection with any such resale. In
addition, until               , 1999, all dealers effecting transactions in the
new notes may be required to deliver a prospectus.
 
    We will not receive any proceeds form any sale of new notes by
broker-dealers. New notes received by broker-dealers for their own account
pursuant to the Exchange Offer may be sold from time to time in one or more
transactions in the over-the-counter market or, in negotiated transactions, or a
combination of such methods of resale, at market prices or negotiated prices.
Any such resale may be made directly to the purchaser or to or through brokers
or dealers who may receive compensation in the form of commissions or
concessions from any such broker-dealer or the purchasers of any such new notes.
Any broker-dealer that resells new notes that were received by it for its own
account pursuant to the Exchange Offer and any broker or dealer that
participates in a distribution of such new notes may be deemed to be an
"underwriter" within the meaning of the Securities Act and any profit on any
such resale of new notes and any commissions or concessions received by any such
persons may be deemed to be underwriting compensation under the Securities Act.
The Letter of Transmittal states that, by acknowledging that it will deliver and
by delivering a prospectus, a broker-dealer will not be deemed to admit that it
is an "underwriter" within the meaning of the Securities Act.
 
    For a period of ninety days after the Expiration Date, we will promptly send
additional copies of this Prospectus and any amendment or supplement to this
Prospectus to any broker-dealer that requests such documents in the Letter of
Transmittal. We have agreed to pay all expenses incident to the Exchange Offer
(including the expenses of one counsel for the holders of the new notes) other
than commissions or concessions of any brokers or dealers and will indemnify the
holders of the new notes (including any broker-dealer) against certain
liabilities, including liabilities under the Securities Act.
 
                                 LEGAL MATTERS
 
    Certain legal matters as to the validity of the new notes offered hereby
will be passed upon for us by Scott M. Brown, our Senior Vice President and
General Counsel.
 
                                    EXPERTS
 
    Our consolidated financial statements and schedule as of May 31, 1997 and
1998, and for each of the years in the three-year period ended May 31, 1998,
have been incorporated by reference herein and in the Registration Statement in
reliance upon the reports of KPMG Peat Marwick LLP, independent certified public
accountants, incorporated by reference herein, and upon the authority of said
firm as experts in accounting and auditing.
 
                                       51
<PAGE>
    YOU SHOULD RELY ONLY ON THE INFORMATION CONTAINED IN THIS DOCUMENT OR THAT
WE HAVE REFERRED YOU TO. WE HAVE NOT AUTHORIZED ANYONE TO PROVIDE YOU WITH
INFORMATION THAT IS DIFFERENT. THIS PROSPECTUS IS NOT AN OFFER TO SELL, OR A
SOLICITATION OF AN OFFER TO BUY, ANY OF THE NOTES TO ANY PERSON OR BY ANYONE IN
ANY JURISDICTION WHERE IT IS UNLAWFUL. NEITHER THE DELIVERY OF THIS PROSPECTUS
NOR ANY SALE USING THE PROSPECTUS SHALL, UNDER ANY CIRCUMSTANCES, CREATE ANY
IMPLICATION THAT THE INFORMATION CONTAINED IN THIS DOCUMENT OR THAT WE HAVE
REFERRED YOU TO IS CORRECT AFTER THE DATE HEREOF OR THAT THERE HAS BEEN NO
CHANGE IN OUR AFFAIRS SINCE THE DATE HEREOF.
 
                               TABLE OF CONTENTS
 
<TABLE>
<CAPTION>
                                                                                                                PAGE
                                                                                                                -----
<S>                                                                                                          <C>
Available Information......................................................................................          ii
Incorporation of Certain Documents by Reference............................................................          ii
Prospectus Summary.........................................................................................           1
Risk Factors...............................................................................................           6
Use of Proceeds............................................................................................          14
Capitalization.............................................................................................          15
Selected Financial Information.............................................................................          16
Description of Notes.......................................................................................          18
The Exchange Offer.........................................................................................          42
Certain United States Federal Income Tax Consequences......................................................          48
Plan of Distribution.......................................................................................          51
Legal Matters..............................................................................................          51
Experts....................................................................................................          51
</TABLE>
 
                                       52
<PAGE>
                                    PART II
                     INFORMATION NOT REQUIRED IN PROSPECTUS
 
ITEM 20. INDEMNIFICATION OF DIRECTORS AND OFFICERS.
 
    Section 78.751 of the Nevada Revised Statutes Annotated ("Nevada RSA")
provides generally, and in pertinent part, that a Nevada corporation may
indemnify its directors and officers against expenses, judgments, fines, and
settlements actually and reasonably incurred by them in connection with any
civil suit or action, except actions by or in the right of the corporation, or
any administrative or investigative proceeding if, in connection with the
matters in issue, they acted in good faith and in a manner they reasonably
believed to be in, or not opposed to, the best interests of the corporation, and
in connection with any criminal suit or proceeding, if in connection with the
matters in issue, they had no reasonable cause to believe their conduct was
unlawful. Section 78.751 of the Nevada RSA further provides that, in connection
with the defense or settlement of any action by or in the right of a Nevada
corporation, a Nevada corporation may indemnify its directors and officers
against expenses actually and reasonably incurred by them if, in connection with
the matters in issue, they acted in good faith, in a manner they reasonably
believed to be in, or not opposed to, the best interest of the corporation.
Section 78.751 of the Nevada RSA further permits a Nevada corporation to grant
its directors and officers additional rights of indemnification through by-law
provisions and otherwise.
 
    Article IX of the Company's Restated By-Laws, as amended, provides that the
Company shall indemnify its directors and officers to the fullest extent
permitted by Nevada law. The Company has entered into indemnification agreements
with each of its directors and executive officers. Such indemnification
agreements are intended to provide a contractual right to indemnification, to
the maximum extent permitted by law, for expenses (including attorneys' fees),
judgments, penalties, fines, and amounts paid in settlement actually and
reasonably incurred by the person to be indemnified in connection with any
proceeding (including, to the extent permitted by applicable law, any derivative
action) to which they are, or are threatened to be made, a party by reason of
their status in such positions. Such indemnification agreements do not change
the basic legal standards for indemnification set forth under Nevada law or the
Company's Restated Articles of Incorporation, as amended (the "Articles"). Such
agreements are intended to be in furtherance, and not in limitation of, the
general right to indemnification provided in the Articles.
 
    Section 78.037 of the Nevada RSA provides that the articles of incorporation
of a Nevada corporation may contain a provision eliminating or limiting the
personal liability of a director or officer to the corporation or its
shareholders for monetary damages for breach of fiduciary duty as a director
provided that such provisions shall not eliminate or limit the liability of a
director or officer (i) for acts or omissions which involve intentional
misconduct or a knowing violation of law, or (ii) under Section 78.300 of the
Nevada RSA (relating to liability for unauthorized acquisitions or redemptions
of, or dividends on, capital stock). Article X of the Articles contains a
provision eliminating the liability of directors and officers to the extent
permitted under Section 78.037 of the Nevada RSA.
 
    Insofar as indemnification for liabilities arising under the Securities Act
may be permitted to directors, officers or persons controlling the Company
pursuant to the foregoing provisions, the Company has been informed that in the
opinion of the Commission such indemnification is against public policy as
expressed in the Securities Act and is therefore unenforceable.
 
                                      II-1
<PAGE>
ITEM 21. EXHIBITS AND FINANCIAL STATEMENT SCHEDULES.
 
(a) Exhibits
 
<TABLE>
<C>        <S>
     *1.1  Purchase Agreement, dated May 8, 1998, between Tenet Healthcare Corporation (the
           "Company") and Donaldson, Luftkin & Jenrette Securities Corporation, Merrill Lynch,
           Pierce, Fenner & Smith Incorporated, J.P. Morgan Securities Inc., Morgan Stanley &
           Co Incorporated, Salomon Brothers Inc, Deutsche Morgan Grenfell Inc. and
           BancAmerica Robertson Stephens (collectively the "Initial Purchasers").
 
      3.1  Restated Articles of Incorporation of the Company, as amended to date (Incorporated
           by reference to Exhibit 3(a) to Company's Annual Report on Form 10K, dated August
           25, 1995, for the fiscal year ended May 31, 1995).
 
      3.2  Restated By-Laws of the Company, as amended October 16, 1996 (Incorporated by
           reference to Exhibit 3 to Company's Quarterly Report on Form 10-Q dated January 14,
           1998, for the fiscal quarter ended November 30, 1997).
 
      4.1  Indenture, dated May 21, 1998, between the Company and the Bank of New York as
           Trustee, relating to 7 5/8% Senior Notes due 2008 of the Company (the "7 5/8% New
           Notes") (Incorporated by reference to Exhibit 4(o) to the Company's Annual Report
           on Form 10-K, dated August 27, 1998, for fiscal year ended May 31, 1998).
 
      4.2  Form of 7 5/8% New Note (included in Exhibit 4.1).
 
      4.3  Indenture, dated May 21, 1998, between the Company and the Bank of New York as
           Trustee, relating to 8 1/8% Senior Subordinated Notes due 2008 (the 8 1/8% New
           Notes) (Incorporated by reference to Exhibit 4(p) to the Company's Annual Report on
           Form 10-K, dated August 27, 1998, for fiscal year ended May 31, 1998).
 
      4.4  Form of 8 1/8% New Note (included in Exhibit 4.3).
 
     *4.5  Registration Rights Agreement, dated as of May 21, 1998, by and among the Company
           and the Initial Purchasers.
 
      4.6  Indenture, dated as of March 1, 1995, between the Company 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 the Company's Quarterly Report on Form 10-Q dated April 14, 1995,
           for the fiscal quarter ended February 28, 1995).
 
      4.7  First Supplemental Indenture, dated as of October 30, 1995, between the Company and
           The Bank of New York, as Trustee, relating to 9 5/8% Senior Notes due 2002
           (Incorporated by reference to Exhibit 4(c) to the Company's Annual Report on Form
           10-K, dated August 27, 1997, for the fiscal year ended May 31, 1997).
 
      4.8  Second Supplemental Indenture, dated as of August 21, 1997, between the Company and
           The Bank of New York, as Trustee, relating to 9 5/8% Senior Notes due 2002
           (Incorporated by reference to Exhibit 4(d) to the Company's Annual Report on Form
           10-K, dated August 27, 1997, for the fiscal year ended May 31, 1997).
 
     *4.9  Third Supplemental Indenture, dated as of May 7, 1998, between the Company and The
           Bank of New York, as Trustee, relating to 9 5/8% Senior Notes due 2002.
 
     4.10  Indenture, dated as of March 1, 1995, between the Company 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 the Company's Quarterly Report on Form 10-Q dated
           April 14, 1995, for the fiscal quarter ended February 28, 1995).
</TABLE>
 
                                      II-2
<PAGE>
<TABLE>
<C>        <S>
     4.11  First Supplemental Indenture, dated as of October 27, 1995, between the Company and
           The Bank of New York, as Trustee, relating to 10 1/8% Senior Subordinated Notes due
           2005 (Incorporated by reference to Exhibit 4(f) to the Company's Annual Report on
           Form 10-K, dated August 27, 1997, for the fiscal year ended May 31, 1997).
 
     4.12  Second Supplemental Indenture, dated as of August 21, 1997, between the Company and
           The Bank of New York, as Trustee, relating to 10 1/8% Senior Subordinated Notes due
           2005 (Incorporated by reference to Exhibit 4(g) to the Company's Annual Report on
           Form 10-K, dated August 27, 1997, for the fiscal year ended May 31, 1997).
 
    *4.13  Third Supplemental Indenture, dated as of May 7, 1998, between the Company and The
           Bank of New York, as Trustee, relating to 10 1/8% Senior Subordinated Notes due
           2005.
 
     4.14  Indenture, dated as of October 16, 1995, between the Company and the Bank of New
           York, as Trustee, relating to 8 5/8% Senior Notes due 2003 (Incorporated by
           reference to Exhibit 4(d) to the Company's Annual Report on Form 10-K dated August
           26, 1996, for the fiscal year ended May 31, 1996).
 
     4.15  First Supplemental Indenture, dated as of October 30, 1995, between the Company and
           The Bank of New York, as Trustee, relating to 8 5/8% Senior Notes due 2003
           (Incorporated by reference to Exhibit 4(i) to the Company's Annual Report on Form
           10-K, dated August 27, 1997 for the fiscal year ended May 31, 1997).
 
     4.16  Second Supplemental Indenture, dated as of August 21, 1997, between the Company and
           The Bank of New York, as Trustee, relating to 8 5/8% Senior Notes due 2003
           (Incorporated by reference to Exhibit 4(j) to the Company's Annual Report on Form
           10-K, dated August 27, 1997 for the fiscal year ended May 31, 1997).
 
     4.17  Indenture, dated as of January 10, 1996, between the Company and The Bank of New
           York, as Trustee, relating to 6% Exchangeable Subordinated Notes due 2005
           (Incorporated by reference to Exhibit 4(a) to the Company's Quarterly Report on
           Form 10-Q dated January 15, 1996, for the fiscal quarter ended November 30, 1995).
 
     4.18  Indenture, dated January 15, 1997, between the Company and The Bank of New York, as
           Trustee, relating to 7 7/8% Senior Notes due 2003 (Incorporated by reference to
           Exhibit 4(m) to the Company's Annual Report on Form 10-K, dated August 27, 1997 for
           the fiscal year ended May 31, 1997).
 
     4.19  Indenture, dated January 15, 1997, between the Company and The Bank of New York, as
           Trustee, relating to 8% Senior Notes due 2005 (Incorporated by reference to Exhibit
           4(n) to the Company's Annual Report on Form 10-K, dated August 27, 1997 for the
           fiscal year ended May 31, 1997).
 
     4.20  Indenture, dated January 15, 1997, between the Company and The Bank of New York, as
           Trustee, relating to 8 5/8 Senior Subordinated Notes due 2007 (Incorporated by
           reference to Exhibit 4(o) to the Company's Annual Report on Form 10-K, dated August
           27, 1997 for the fiscal year ended May 31, 1997).
 
     *5.1  Form of Opinion of Scott M. Brown, Esq., Senior Vice President, General Counsel and
           Secretary of the Company.
 
     10.1  $2,800,000,000 Credit Agreement, dated as of January 30, 1997, among Tenet, as
           Borrower, the Lenders, Managing Agents and Co-Agents party thereto, the Swingline
           Bank party thereto, The Bank of New York and the Bank of Nova Scotia, as
           Documentation Agents, Bank of America National Trust and Savings Association, as
           Syndication Agent, and Morgan Guaranty Trust Company of New York, as Administration
           Agent (Incorporated by reference to Exhibit 10(a) to the Company's Quarterly Report
           on Form 10-Q, dated as of April 14, 1997, for the fiscal quarter ended February 28,
           1997).
</TABLE>
 
                                      II-3
<PAGE>
<TABLE>
<C>        <S>
     10.2  Amendment, dated as of July 25, 1997, to the Credit Agreement, dated as of January
           30, 1997, among the Company the Lenders, Managing Agents and Co-Agents party
           thereto, the Swingline Bank party thereto, The Bank of New York and The Bank of
           Nova Scotia, as Documentation Agents, Bank of America National Trust and Savings
           Association, as Syndication Agent, and Morgan Guaranty Trust Company of New York,
           as Administrative Agent (Incorporated by reference to Exhibit 10(f) to the
           Company's Annual Report on Form 10-K, dated August 27, 1997 for the fiscal year
           ended May 31, 1997.)
 
     10.3  Escrow Agreement, dated as of January 10, 1996, among the Company, NME Properties,
           Inc., NME Property Holding Co., Inc. and The Bank of New York, as Escrow Agent
           (Incorporated by reference to Exhibit 4(b) to the Company's Quarterly Report on
           Form 10-Q, dated as of January 15, 1996, for the fiscal quarter ended November 30,
           1995).
 
    *12.1  Statement regarding the computation of ratio of earnings to fixed charges for the
           Company.
 
    *23.1  Consent of KPMG Peat Marwick LLP.
 
    *23.2  Consent of Scott M. Brown (included in Exhibit 5.1).
 
    *24.1  Power of Attorney (included on the signature page).
 
    *25.1  Statement of Eligibility on Form T-1 of The Bank of New York, as the Trustees under
           the 7 5/8% and 8 1/8% Indentures relating to the new notes.
 
    *99.1  Form of Letter of Transmittal.
 
    *99.2  Form of Notice of Guaranteed Delivery.
 
    *99.3  Form of Letter of Brokers, Dealers, Commercial Banks, Trust Companies and other
           Nominees.
 
    *99.4  Form of Letter to Clients.
 
    *99.5  Guidelines for Certification of Taxpayer Identification Number on Substitute Form
           W-9.
 
    *99.6  Form of Exchange Agent Agreement.
</TABLE>
 
- ------------------------
 
*   Filed herewith
 
ITEM 22. UNDERTAKINGS.
 
(a) The undersigned registrant hereby undertakes:
 
    (1) To file, during any period in which offers or sales are being made, a
       post-effective amendment to this Registration Statement:
 
        (i) To include any prospectus required by Section 10(a)(3) of the
            Securities Act as amended (the "Securities Act");
 
        (ii) To reflect in the prospectus any facts or events arising after the
             effective date of the registration statement (or the most recent
             post-effective amendment thereof) which, individually or in the
             aggregate, represent a fundamental change in the information set
             forth in the registration statement. Notwithstanding the foregoing,
             any increase or decrease in volume of securities offered (if the
             total dollar value of securities offered would not exceed that
             which was registered) and any deviation from the low or high end of
             the estimated maximum offering range may be reflected in the form
             of prospectus filed with the Commission pursuant to Rule 424(b)
             (Section230.424(b) of this chapter) if, in the aggregate, the
             changes in volume and price represent no more than a 20 percent
             change in the maximum aggregate offering price set forth in the
             "Calculation of Registration Fee" table in the effective
             Registration Statement.
 
                                      II-4
<PAGE>
       (iii) To include any material information with respect to the plan of
             distribution not previously disclosed in the Registration Statement
             or any material change to such information in the Registration
             Statement;
 
    (2) That, for the purpose of determining any liability under the Securities
       Act, each such post-effective amendment shall be deemed to be a new
       registration statement relating to the securities offered therein, and
       the offering of such securities at that time shall be deemed to be the
       initial BONA FIDE offering thereof.
 
    (3) To remove from registration by means of a post-effective amendment any
       of the securities being registered which remain unsold at the termination
       of the offering.
 
(a) Insofar as indemnification for liabilities arising under the Securities Act
    may be permitted to directors, officers and controlling persons of the
    registrant pursuant to the foregoing provisions, or otherwise, the
    registrant has been advised that in the opinion of the Commission such
    indemnification is against public policy as expressed in the Securities Act
    and is, therefore, unenforceable. In the event that a claim for
    indemnification against such liabilities (other than the payment by the
    registrant of expenses incurred or paid by a director, officer or
    controlling person of the registrant in the successful defense of any
    action, suit or proceeding) is asserted by such director, officer or
    controlling person in connection with the securities being registered, the
    registrant will, unless in the opinion of its counsel the matter has been
    settled by controlling precedent, submit to a court of appropriate
    jurisdiction the question whether such indemnification by it against public
    policy as expressed in the Securities Act and will be governed by the final
    adjudication of such issue.
 
(b) The undersigned registrant hereby undertakes to respond to requests for
    information that is incorporated by reference into the Prospectus pursuant
    to Items 4, 10(b), 11, or 13 of this Form S-4, within one business day of
    receipt of such request, and to send the incorporated documents by first
    class mail or other equally prompt means. This includes information
    contained in documents filed subsequent to the effective date of the
    Registration Statement through the date of responding to the request.
 
(c) The undersigned registrant hereby undertakes to supply by means of a
    post-effective amendment all information concerning a transaction, and the
    company being acquired involved therein, that was not the subject of and
    included in the Registration Statement when it became effective.
 
                                      II-5
<PAGE>
                                   SIGNATURES
 
    Pursuant to the requirements of the Securities Act, the registrant has duly
caused this Registration Statement to be signed on its behalf by the
undersigned, thereunto duly authorized, in the City of Santa Barbara, State of
California on September 23, 1998.
 
                                TENET HEALTHCARE CORPORATION
 
                                By:  /s/ SCOTT M. BROWN
                                     -----------------------------------------
                                     Name: Scott M. Brown
                                     Title: SENIOR VICE PRESIDENT
 
                               POWER OF ATTORNEY
 
    KNOW ALL THOSE BY THESE PRESENTS, that each person whose signature appears
below constitutes and appoints Jeffrey C. Barbakow, Trevor Fetter, Raymond L.
Mathiasen and Scott M. Brown and each of them, his true and lawful
attorneys-in-fact and agents, with full power of substitution and
resubstitution, for him and in his name, place and stead, in any and all
capacities, to sign and file any and all amendments (including post-effective
amendments) to this Registration Statement, with all exhibits thereto, and other
documents in connection therewith, with the Commission, granting unto said
attorneys-in-fact and agents, and each of them, full power and authority to do
and perform each and every act and thing requisite and necessary to be done in
and about the premises as fully to all intents and purposes as he or she might
or could do in person, hereby ratifying and confirming all that said
attorneys-in-fact and agents, or any of them, or their or his substitutes or
substitute, may lawfully do or cause to be done by virtue hereof.
 
    Pursuant to the requirements of the Securities Act, this Registration
Statement has been signed by the following persons in the capacities indicated
on September 23, 1998:
 
<TABLE>
<CAPTION>
                      SIGNATURE                                                   TITLE
- ------------------------------------------------------  ----------------------------------------------------------
 
<S>                                                     <C>
               /s/ JEFFREY C. BARBAKOW
      ------------------------------------------              Chairman, Chief Executive Officer and Director
                 Jeffrey C. Barbakow                                  (Principal Executive Officer)
 
              /s/ MICHAEL H. FOCHT, SR.
      ------------------------------------------             President, Chief Operating Officer and Director
                Michael H. Focht, Sr.
 
                  /s/ TREVOR FETTER
      ------------------------------------------           Executive Vice President and Chief Financial Officer
                    Trevor Fetter                                     (Principal Financial Officer)
 
               /s/ RAYMOND L. MATHIASEN
      ------------------------------------------            Senior Vice President and Chief Accounting Officer
                 Raymond L. Mathiasen                                 (Principal Accounting Officer)
 
                 /s/ LAWRENCE BIONDI
      ------------------------------------------                                 Director
                   Lawrence Biondi
 
                 /s/ BERNICE BRATTER
      ------------------------------------------                                 Director
                   Bernice Bratter
</TABLE>
 
                                      II-6
<PAGE>
<TABLE>
<CAPTION>
                      SIGNATURE                                                   TITLE
- ------------------------------------------------------  ----------------------------------------------------------
 
<S>                                                     <C>
                /s/ SANFORD CLOUD, JR.
      ------------------------------------------                                 Director
                  Sanford Cloud, Jr.
 
                /s/ MAURICE J. DEWALD
      ------------------------------------------                                 Director
                  Maurice J. DeWald
 
               /s/ EDWARD EGBERT, M.D.
      ------------------------------------------                                 Director
                 Edward Egbert, M.D.
 
                  /s/ RAYMOND A. HAY
      ------------------------------------------                                 Director
                    Raymond A. Hay
 
                  /s/ LESTER B. KORN
      ------------------------------------------                                 Director
                    Lester B. Korn
 
               /s/ RICHARD S. SCHWEIKER
      ------------------------------------------                                 Director
                 Richard S. Schweiker
</TABLE>
 
                                      II-7
<PAGE>
                               INDEX TO EXHIBITS
 
<TABLE>
<CAPTION>
 EXHIBITS
- -----------
<C>          <S>
      *1.1   Purchase Agreement, dated May 8, 1998, between Tenet Healthcare Corporation (the "Company") and
             Donaldson, Luftkin & Jenrette Securities Corporation, Merrill Lynch, Pierce, Fenner & Smith
             Incorporated, J.P. Morgan Securities Inc., Morgan Stanley & Co Incorporated, Salomon Brothers Inc,
             Deutsche Morgan Grenfell Inc. and BancAmerica Robertson Stephens (collectively the "Initial
             Purchasers").
 
       3.1   Restated Articles of Incorporation of the Company, as amended to date (Incorporated by reference to
             Exhibit 3(a) to Company's Annual Report on Form 10K, dated August 25, 1995, for the fiscal year ended
             May 31, 1995).
 
       3.2   Restated By-Laws of the Company, as amended October 16, 1996 (Incorporated by reference to Exhibit 3 to
             Company's Quarterly Report on Form 10-Q dated January 14, 1998, for the fiscal quarter ended November
             30, 1997).
 
       4.1   Indenture, dated May 21, 1998, between the Company and the Bank of New York as Trustee, relating to
             7 5/8% Senior Notes due 2008 of the Company (the "7 5/8% New Notes") (Incorporated by reference to
             Exhibit 4(o) to the Company's Annual Report on Form 10-K, dated August 27, 1998, for fiscal year ended
             May 31, 1998).
 
       4.2   Form of 7 5/8% New Note (included in Exhibit 4.1).
 
       4.3   Indenture, dated May 21, 1998, between the Company and the Bank of New York as Trustee, relating to
             8 1/8% Senior Subordinated Notes due 2008 (the 8 1/8% New Notes) (Incorporated by reference to Exhibit
             4(p) to the Company's Annual Report on Form 10-K, dated August 27, 1998, for fiscal year ended May 31,
             1998).
 
       4.4   Form of 8 1/8% New Note (included in Exhibit 4.3).
 
      *4.5   Registration Rights Agreement, dated as of May 21, 1998, by and among the Company and the Initial
             Purchasers.
 
       4.6   Indenture, dated as of March 1, 1995, between the Company 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 the Company's Quarterly
             Report on Form 10-Q dated April 14, 1995, for the fiscal quarter ended February 28, 1995).
 
       4.7   First Supplemental Indenture, dated as of October 30, 1995, between the Company and The Bank of New
             York, as Trustee, relating to 9 5/8% Senior Notes due 2002 (Incorporated by reference to Exhibit 4(c) to
             the Company's Annual Report on Form 10-K, dated August 27, 1997, for the fiscal year ended May 31,
             1997).
 
       4.8   Second Supplemental Indenture, dated as of August 21, 1997, between the Company and The Bank of New
             York, as Trustee, relating to 9 5/8% Senior Notes due 2002 (Incorporated by reference to Exhibit 4(d) to
             the Company's Annual Report on Form 10-K, dated August 27, 1997, for the fiscal year ended May 31,
             1997).
 
      *4.9   Third Supplemental Indenture, dated as of May 7, 1998, between the Company and The Bank of New York, as
             Trustee, relating to 9 5/8% Senior Notes due 2002.
 
       4.10  Indenture, dated as of March 1, 1995, between the Company 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 the
             Company's Quarterly Report on Form 10-Q dated April 14, 1995, for the fiscal quarter ended February 28,
             1995).
 
       4.11  First Supplemental Indenture, dated as of October 27, 1995, between the Company and The Bank of New
             York, as Trustee, relating to 10 1/8% Senior Subordinated Notes due 2005 (Incorporated by reference to
             Exhibit 4(f) to the Company's Annual Report on Form 10-K, dated August 27, 1997, for the fiscal year
             ended May 31, 1997).
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
 EXHIBITS
- -----------
<C>          <S>
       4.12  Second Supplemental Indenture, dated as of August 21, 1997, between the Company and The Bank of New
             York, as Trustee, relating to 10 1/8% Senior Subordinated Notes due 2005 (Incorporated by reference to
             Exhibit 4(g) to the Company's Annual Report on Form 10-K, dated August 27, 1997, for the fiscal year
             ended May 31, 1997).
 
      *4.13  Third Supplemental Indenture, dated as of May 7, 1998, between the Company and The Bank of New York, as
             Trustee, relating to 10 1/8% Senior Subordinated Notes due 2005.
 
       4.14  Indenture, dated as of October 16, 1995, between the Company and the Bank of New York, as Trustee,
             relating to 8 5/8% Senior Notes due 2003 (Incorporated by reference to Exhibit 4(d) to the Company's
             Annual Report on Form 10-K dated August 26, 1996, for the fiscal year ended May 31, 1996).
 
       4.15  First Supplemental Indenture, dated as of October 30, 1995, between the Company and The Bank of New
             York, as Trustee, relating to 8 5/8% Senior Notes due 2003 (Incorporated by reference to Exhibit 4(i) to
             the Company's Annual Report on Form 10-K, dated August 27, 1997 for the fiscal year ended May 31, 1997).
 
       4.16  Second Supplemental Indenture, dated as of August 21, 1997, between the Company and The Bank of New
             York, as Trustee, relating to 8 5/8% Senior Notes due 2003 (Incorporated by reference to Exhibit 4(j) to
             the Company's Annual Report on Form 10-K, dated August 27, 1997 for the fiscal year ended May 31, 1997).
 
       4.17  Indenture, dated as of January 10, 1996, between the Company and The Bank of New York, as Trustee,
             relating to 6% Exchangeable Subordinated Notes due 2005 (Incorporated by reference to Exhibit 4(a) to
             the Company's Quarterly Report on Form 10-Q dated January 15, 1996, for the fiscal quarter ended
             November 30, 1995).
 
       4.18  Indenture, dated January 15, 1997, between the Company and The Bank of New York, as Trustee, relating to
             7 7/8% Senior Notes due 2003 (Incorporated by reference to Exhibit 4(m) to the Company's Annual Report
             on Form 10-K, dated August 27, 1997 for the fiscal year ended May 31, 1997).
 
       4.19  Indenture, dated January 15, 1997, between the Company and The Bank of New York, as Trustee, relating to
             8% Senior Notes due 2005 (Incorporated by reference to Exhibit 4(n) to the Company's Annual Report on
             Form 10-K, dated August 27, 1997 for the fiscal year ended May 31, 1997).
 
       4.20  Indenture, dated January 15, 1997, between the Company and The Bank of New York, as Trustee, relating to
             8 5/8 Senior Subordinated Notes due 2007 (Incorporated by reference to Exhibit 4(o) to the Company's
             Annual Report on Form 10-K, dated August 27, 1997 for the fiscal year ended May 31, 1997).
 
      *5.1   Form of Opinion of Scott M. Brown, Esq., Senior Vice President, General Counsel and Secretary of the
             Company.
 
      10.1   $2,800,000,000 Credit Agreement, dated as of January 30, 1997, among Tenet, as Borrower, the Lenders,
             Managing Agents and Co-Agents party thereto, the Swingline Bank party thereto, The Bank of New York and
             the Bank of Nova Scotia, as Documentation Agents, Bank of America National Trust and Savings
             Association, as Syndication Agent, and Morgan Guaranty Trust Company of New York, as Administration
             Agent (Incorporated by reference to Exhibit 10(a) to the Company's Quarterly Report on Form 10-Q, dated
             as of April 14, 1997, for the fiscal quarter ended February 28, 1997).
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
 EXHIBITS
- -----------
<C>          <S>
      10.2   Amendment, dated as of July 25, 1997, to the Credit Agreement, dated as of January 30, 1997, among the
             Company the Lenders, Managing Agents and Co-Agents party thereto, the Swingline Bank party thereto, The
             Bank of New York and The Bank of Nova Scotia, as Documentation Agents, Bank of America National Trust
             and Savings Association, as Syndication Agent, and Morgan Guaranty Trust Company of New York, as
             Administrative Agent (Incorporated by reference to Exhibit 10(f) to the Company's Annual Report on Form
             10-K, dated August 27, 1997 for the fiscal year ended May 31, 1997.)
 
      10.3   Escrow Agreement, dated as of January 10, 1996, among the Company, NME Properties, Inc., NME Property
             Holding Co., Inc. and The Bank of New York, as Escrow Agent (Incorporated by reference to Exhibit 4(b)
             to the Company's Quarterly Report on Form 10-Q, dated as of January 15, 1996, for the fiscal quarter
             ended November 30, 1995).
 
     *12.1   Statement regarding the computation of ratio of earnings to fixed charges for the Company.
 
     *23.1   Consent of KPMG Peat Marwick LLP.
 
     *23.2   Consent of Scott M. Brown (included in Exhibit 5.1).
 
     *24.1   Power of Attorney (included on the signature page).
 
     *25.1   Statement of Eligibility on Form T-1 of The Bank of New York, as the Trustees under the 7 5/8% and
             8 1/8% Indentures relating to the new notes.
 
     *99.1   Form of Letter of Transmittal.
 
     *99.2   Form of Notice of Guaranteed Delivery.
 
     *99.3   Form of Letter of Brokers, Dealers, Commercial Banks, Trust Companies and other Nominees.
 
     *99.4   Form of Letter to Clients.
 
     *99.5   Guidelines for Certification of Taxpayer Identification Number on Substitute Form W-9.
 
     *99.6   Form of Exchange Agent Agreement.
</TABLE>
 
- ------------------------
 
*   Filed herewith

<PAGE>

                          TENET HEALTHCARE CORPORATION

                                     and

               DONALDSON, LUFKIN & JENRETTE SECURITIES CORPORATION
               MERRILL LYNCH, PIERCE, FENNER & SMITH INCORPORATED
                           J.P. MORGAN SECURITIES INC.
                        MORGAN STANLEY & CO. INCORPORATED
                              SALOMON BROTHERS INC
                          DEUTSCHE MORGAN GRENFELL INC.
                                      and
                         BANCAMERICA ROBERTSON STEPHENS

                      ------------------------------------

                               PURCHASE AGREEMENT

                      ------------------------------------





                             Dated as of May 8, 1998





<PAGE>



                          TENET HEALTHCARE CORPORATION

                           7 5/8% SENIOR NOTES DUE 2008

                    8 1/8% SENIOR SUBORDINATED NOTES DUE 2008

                               PURCHASE AGREEMENT

                                                                   May 8, 1998

DONALDSON, LUFKIN & JENRETTE
  SECURITIES CORPORATION
MERRILL LYNCH, PIERCE, FENNER & SMITH
                   INCORPORATED
J.P. MORGAN SECURITIES INC.
MORGAN STANLEY & CO. INCORPORATED
SALOMON BROTHERS INC
DEUTSCHE MORGAN GRENFELL INC.
BANCAMERICA ROBERTSON STEPHENS
c/o Donaldson, Lufkin & Jenrette
    Securities Corporation
    277 Park Avenue
    New York, New York 10172

Ladies and Gentlemen:

                  Subject to the terms and conditions herein contained, Tenet 
Healthcare Corporation, a Nevada corporation (the "Company"), proposes to 
issue and sell to Donaldson, Lufkin & Jenrette Securities Corporation ("DLJ") 
and Merrill Lynch, Pierce, Fenner & Smith Incorporated, J.P. Morgan 
Securities Inc., Morgan Stanley & Co. Incorporated, Salomon Brothers Inc, 
Deutsche Morgan Grenfell Inc. and BancAmerica Robertson Stephens (together 
with DLJ, the "Initial Purchasers") an aggregate of $350.0 million principal 
amount of its 7 5/8% Senior Notes due 2008 (the "Senior Notes") and an 
aggregate of $1.0 billion principal amount of its 8 1/8% Senior Subordinated 
Notes due 2008 ( the "Senior Subordinated Notes" and, together with the 
Senior Notes, the "Securities"). The Senior Notes are to be issued pursuant 
to the provisions of an Indenture (the "Senior Note Indenture") to be dated 
as of May 21, 1998, by and between the Company and The Bank of New York, as 
Trustee (the "Senior Note Trustee"). The Senior Subordinated Notes are to be 
issued pursuant to the provisions of an Indenture (the "Senior Subordinated 
Note Indenture" and, together with the Senior Note Indenture, the 
"Indentures") to be dated as of May 21, 1998 by and between the Company and 
The Bank of New York, as Trustee (the "Senior Subordinated Note Trustee" and, 
together with the Senior Note Trustee, the "Trustees").

                  1. OFFERING MEMORANDUM. The Securities will be offered and
sold to the Initial Purchasers pursuant to one or more exemptions from the
registration requirements under the Securities Act of 1933, as amended,
including the rules and regulations thereunder (collectively, the "Act"). The
Company has prepared a preliminary


<PAGE>

offering memorandum, dated May 1, 1998 (including the documents incorporated by
reference therein, the "Preliminary Offering Memorandum"), and a final offering
memorandum, dated May 8, 1998 (including the documents incorporated by reference
therein, the "Offering Memorandum"), relating to the Securities.

                  Upon original issuance thereof, and until such time as the
same is no longer required pursuant to the Indentures, the Securities (and all
securities issued in exchange therefor, in substitution thereof or upon
conversion thereof) shall bear the following legend:

                  "THIS NOTE (OR ITS PREDECESSORS) HAS NOT BEEN
                  REGISTERED UNDER THE U.S. SECURITIES ACT OF 1933,
                  AS AMENDED (THE "SECURITIES ACT") AND, ACCORDINGLY,
                  MAY NOT BE OFFERED, SOLD, PLEDGED OR OTHERWISE 
                  TRANSFERRED WITHIN THE UNITED STATES OR TO, OR
                  FOR THE ACCOUNT OR BENEFIT OF, U.S. PERSONS,
                  EXCEPT AS SET FORTH IN THE FOLLOWING SENTENCE.
                  BY ITS ACQUISITION HEREOF OR A BENEFICIAL 
                  INTEREST HEREIN, THE HOLDER (1) REPRESENTS THAT
                  (A) IT IS A "QUALIFIED INSTITUTIONAL BUYER" (AS 
                  DEFINED IN RULE 144A UNDER THE SECURITIES ACT)
                  (A "QIB"), OR (B) IT IS NOT A U.S. PERSON, IS NOT
                  ACQUIRING THIS NOTE FOR THE ACCOUNT OR BENEFIT
                  OF A U.S. PERSON AND IS ACQUIRING THIS NOTE IN
                  AN OFFSHORE TRANSACTION IN COMPLIANCE WITH
                  REGULATIONS UNDER THE SECURITIES ACT, (2) AGREES
                  THAT IT WILL NOT, WITHIN THE TIME PERIOD REFERRED
                  TO UNDER RULE 144(k) (TAKING INTO ACCOUNT THE
                  PROVISIONS OF RULE 144(d) UNDER THE SECURITIES
                  ACT, IF APPLICABLE) UNDER THE SECURITIES ACT AS
                  IN EFFECT ON THE DATE OF THE TRANSFER OF THIS NOTE,
                  RESELL OR OTHERWISE TRANSFER THIS NOTE EXCEPT
                  (A) TO THE COMPANY OR ANY SUBSIDIARY THEREOF,
                  (B) TO A PERSON WHOM THE HOLDER REASONABLY BELIEVES
                  IS A QIB PURCHASING FOR ITS OWN ACCOUNT OR FOR THE
                  ACCOUNT OF A QIB IN COMPLIANCE WITH RULE 144A UNDER
                  THE SECURITIES ACT, (C) OUTSIDE THE UNITED STATES 
                  IN AN OFFSHORE TRANSACTION IN COMPLIANCE WITH
                  RULE 903 OR RULE 904 UNDER THE SECURITIES ACT,
                  (D) PURSUANT TO THE EXEMPTION FROM REGISTRATION
                  PROVIDED BY RULE 144 UNDER THE SECURITIES ACT 
                  (IF AVAILABLE), (E) PURSUANT TO AN EFFECTIVE
                  REGISTRATION STATEMENT UNDER THE SECURITIES ACT
                  OR (F) IN ACCORDANCE WITH ANOTHER EXEMPTION FROM
                  THE REGISTRATION REQUIREMENTS OF THE SECURITIES
                  ACT (AND BASED UPON AN OPINION OF COUNSEL ACCEPTABLE
                  TO THE COMPANY) AND, IN EACH CASE, IN ACCORDANCE
                  WITH APPLICABLE STATE SECURITIES LAWS, AND (3) AGREES
                  THAT IT WILL DELIVER TO EACH PERSON TO WHOM THIS 
                  NOTE OR AN INTEREST HEREIN IS TRANSFERRED A NOTICE
                  SUBSTANTIALLY TO THE EFFECT OF THIS LEGEND.  AS 
                  USED HEREIN, THE TERMS "OFFSHORE TRANSACTION,"
                  "UNITED STATES" AND "U.S. PERSON" HAVE THE 
                  MEANINGS GIVEN TO THEM BY RULE 902 OF REGULATION S
                  UNDER THE SECURITIES ACT. THE INDENTURE CONTAINS A
                  PROVISION REQUIRING THE TRUSTEE TO REUSE TO REGISTER
                  ANY TRANSFER IF THIS NOTE IN VIOLATION OF THE 
                  FOREGOING RESTRICTIONS."

                  2. AGREEMENTS TO SELL AND PURCHASE. On the basis of the 
representations and warranties contained in this Agreement, and subject to 
its terms and conditions, the Company agrees to issue and sell to the Initial 
Purchasers, and the Initial Purchasers agree, severally and not jointly, to 
purchase from the Company (i) the Senior Notes in the respective principal 
amounts set forth opposite their names on Schedule I hereto, plus such amount 
as they may individually become obligated to purchase pursuant to Section 9 
hereof, at a purchase price equal to 98.588% of the principal amount of the 
Senior Notes, together with accrued interest, if any, to the Closing Date 
(the "Senior Note
                                       
                                     - 2 -

<PAGE>

Purchase Price") and (ii) the Senior Subordinated Notes in the respective 
principal amounts set forth opposite their names on Schedule II hereto, plus 
such amount as they may individually become obligated to purchase pursuant to 
Section 9 hereof, at a purchase price equal to 97.869% of the principal 
amount of the Senior Subordinated Notes, together with accrued interest, if 
any, to the Closing Date (the "Senior Subordinated Note Purchase Price" and, 
together with the Senior Note Purchase Price, the "Purchase Price"). The 
Initial Purchasers will offer the Senior Notes to Eligible Purchasers 
initially at a price equal to 99.962% of the principal amount thereof. The 
Initial Purchasers will offer the Senior Subordinated Notes to Eligible 
Purchasers initially at a price equal to 99.612% of the principal amount 
thereof. Such prices may be changed at any time without notice.

                  The Initial Purchasers have advised the Company that the 
Initial Purchasers will make offers (the "Exempt Resales") of the Securities 
purchased hereunder on the terms set forth in the Offering Memorandum, as 
amended or supplemented, solely to (i) persons whom the Initial Purchaser 
reasonably believe to be "qualified institutional buyers" as defined in Rule 
144A under the Act ("QIBs") and (ii) to persons permitted to purchase the 
Securities in offshore transactions in reliance upon Regulation S under the 
Act (each, a "Regulation S Purchaser") (such persons specified in clauses (i) 
and (ii) being referred to herein as the "Eligible Purchasers").

                  Holders (including subsequent transferees) of the 
Securities will have the registration rights set forth in the registration 
rights agreement (the "Registration Rights Agreement"), to be dated the 
Closing Date, in substantially the form of Exhibit A hereto, for so long as 
such Securities constitute "Transfer Restricted Securities" (as defined in 
the Registration Rights Agreement). Pursuant to the Registration Rights 
Agreement, the Company will agree to file with the Securities and Exchange 
Commission (the "Commission") under the circumstances set forth therein, a 
registration statement (the "Registration Statement") relating to the 
Securities and to use its commercially reasonable efforts to cause such 
Registration Statements to be declared and remain effective and usable for 
the periods specified in the Registration Rights Agreement. This Agreement, 
the Indenture, the Securities, and the Registration Rights Agreement are 
hereinafter sometimes referred to collectively as the "Operative Documents."

                  3. DELIVERY AND PAYMENT. Delivery to you of and payment for 
the Securities shall be made at 9:00 A.M., New York City time, on May 21, 
1998 (such time and date being referred to as the "Closing Date"), at the 
offices of DLJ at 277 Park Avenue, New York, New York 10172, or such other 
place as you shall reasonably designate.

                  The Securities in definitive form shall be registered in 
such names and issued in such denominations as you shall request in writing 
not later than two full business days prior to the Closing Date, and shall be 
made available to you at the offices of DLJ (or at such other place as shall 
be acceptable to you) for inspection not later than 10:00 A.M., New York City 
time, on the business day next preceding the Closing Date. The Securities 
shall be delivered to you on the Closing Date with any transfer taxes payable 
upon initial issuance thereof duly paid by the Company, for your respective 
accounts against payment of the appropriate Purchase Price by wire transfer 
of immediately available funds to an account designated by the Company. The 
Closing Date and the location of delivery of, and the form of payment for, 
the Securities may be varied by agreement between DLJ and the Company.

                  4. AGREEMENTS OF THE COMPANY. The Company agrees with each 
of you that:

                                        -3-

<PAGE>

                  (a) It will advise DLJ promptly and, if requested by DLJ,
         confirm such advice in writing, (i) of the issuance by any state
         securities commission of any stop order suspending the qualification
         or exemption from qualification of any Securities for offering or sale
         in any jurisdiction designated by the Initial Purchasers pursuant to
         Section 4(f), or the initiation of any proceeding by any state
         securities commission or any other federal or state regulatory
         authority for such purpose and (ii) of the happening of any event
         during the period referred to in Section 4(e), which makes any
         statement of a material fact made in the Preliminary Offering
         Memorandum or the Offering Memorandum untrue or which requires the
         making of any additions to or changes in the Preliminary Offering
         Memorandum or the Offering Memorandum in order to make the statements
         therein, in the light of the circumstances under which they were made,
         not misleading. The Company shall use its best efforts to prevent the
         issuance of any stop order or order suspending the qualification or
         exemption of the Securities under any Federal or state securities or
         Blue Sky laws, and, if at any time any state securities commission or
         other regulatory authority shall issue an order suspending the
         qualification or exemption of the Securities under any state securities
         or Blue Sky laws, the Company shall use every reasonable effort to 
         obtain the withdrawal or lifting of such order at the earliest possible
         time.

                  (b) It will furnish the Initial Purchasers and those persons
         identified by the Initial Purchasers to the Company, without charge, as
         many copies of the Preliminary Offering Memorandum and the Offering
         Memorandum, including all documents incorporated by reference therein,
         and any amendments or supplements thereto, as the Initial Purchasers
         may reasonably request for the time period referred to in Section 4(e).
         Subject to the Initial Purchasers' compliance with its representations
         and warranties and agreements set forth in Section 6 hereof, the
         Company consents to the use of the Preliminary Offering Memorandum and
         the Offering Memorandum, including all documents incorporated by
         reference therein, and any amendments and supplements thereto required
         pursuant hereto, by the Initial Purchasers in connection with Exempt
         Resales.

                  (c) If, during the period referred to in Section 4(e), any
         event shall occur as a result of which it becomes necessary to amend or
         supplement the Offering Memorandum in order to make the statements
         therein, in the light of the circumstances when such Offering
         Memorandum is delivered to an Eligible Purchaser, not misleading, or if
         it is necessary to amend or supplement the Offering Memorandum to
         comply with any law, it will promptly prepare an appropriate amendment
         or supplement to the Offering Memorandum so that the statements in the
         Offering Memorandum, as so amended or supplemented, will not, in the
         light of the circumstances existing as of the date the Offering
         Memorandum is so delivered, be misleading, and will comply with
         applicable law, and will promptly notify you of such event and
         amendment or supplement and furnish to you without charge such number
         of copies thereof as you may reasonably request.

                  (d) Whether or not the transactions contemplated hereby are
         consummated or this Agreement is terminated, it will pay and be
         responsible for all reasonable costs, charges, expenses, fees and taxes
         incurred in connection with or incident to (i) the preparation,
         printing, filing, distribution and delivery of the Offering Memorandum,
         the Preliminary Offering Memorandum and all amendments and supplements
         thereto, (ii) the issuance and delivery of the Securities, (iii) the
         printing and delivery of this Agreement, the Indentures and all other
         agreements, memoranda, reports, correspondence and other documents
         printed, distributed and delivered in connection with the offering of
         the Securities, (iv) the registration or qualification of the
         Securities for offer and sale under the securities or Blue Sky laws of
         the jurisdictions referred to in paragraph (f) below (including, in
         each case, the reasonable fees and disbursements of counsel relating to
         such registration or qualification and memoranda relating thereto and
         any filing fees in connection therewith), (v) furnishing such copies of
         the Offering Memorandum, the Preliminary Offering Memorandum, and all
         amendments and supplements to any of them, including any document
         incorporated by reference therein, as may be reasonably requested by
         the Initial Purchasers or by dealers to whom Securities may be sold,
         (vi) any filing with the National Association of Securities Dealers,
         Inc. (the "NASD") in connection with the offering of the Securities
         (including, without limitation, any filing fees in connection therewith
         but excluding the fees of Sullivan & Cromwell, legal counsel to the
         Underwriters ("Initial Purchasers' Counsel")), (vii) the application
         for quotation of the Securities in the National Association of
         Securities Dealers, Inc. ("NASD")

                                     - 4 -

<PAGE>

         Automated Quotation System - PORTAL ("PORTAL"), (viii) the rating of
         the Securities by investment rating agencies, (ix) any "qualified
         independent underwriter" as required by Rule 2720 of the NASD
         (including fees and disbursements of counsel for such qualified
         independent underwriter) and (x) the performance by the Company of its
         other obligations under this Agreement, including (without limitation)
         the fees of the Trustees, the cost of their respective personnel
         and other internal costs, the cost of printing and engraving the
         certificates representing the Securities, and all expenses incident
         to the sale and delivery of the Securities to the Initial Purchasers.

                  (e) During such period as in the reasonable judgment of the
         Initial Purchasers an Offering Memorandum is required (or would be
         required if the sales were registered under the Securities Act) to be
         delivered in connection with Exempt Resales by the Initial Purchasers,
         it will not make any amendment or supplement to the Offering Memorandum
         (other than any document required to be filed under the Securities
         Exchange Act of 1934, as amended, including the rules and regulations
         thereunder (collectively, the "Exchange Act") that upon filing is
         deemed to be incorporated by reference therein) of which the Initial
         Purchasers shall not previously have been advised and provided a copy
         prior to the filing thereof or to which the Initial Purchasers shall
         reasonably object unless in the opinion of legal counsel to the Company
         such amendment or supplement is required by law to be filed; it will
         furnish to you at or prior to the filing thereof a copy of any document
         that upon filing is deemed to be incorporated by reference in the
         Offering Memorandum; and it will prepare, promptly upon the Initial
         Purchasers' reasonable request, any amendment or supplement to the
         Offering Memorandum which may be necessary or advisable in connection
         with such Exempt Resales and to which the Company shall not reasonably
         object.

                  (f) Prior to the sale of all Securities pursuant to Exempt
         Resales as contemplated hereby, it will cooperate with the Initial
         Purchasers and counsel to the Initial Purchasers in connection with the
         registration or qualification of the Securities for offer and sale to
         the Initial Purchasers and pursuant to Exempt Resales under the
         securities or Blue Sky laws of such United States jurisdictions as the
         Initial Purchasers may request. The Company will continue such
         qualification in effect so long as required by law for Exempt Resales
         and will file such consents to service of process or other documents as
         may be necessary in order to effect such registration or qualification
         (PROVIDED, that the Company shall not be obligated to qualify as a
         foreign corporation in any jurisdiction in which it is not so qualified
         nor to take any action that would subject it to general consent to
         service of process in any jurisdiction in which it is not now so
         subject).

                  (g) So long as any of the Securities remain outstanding and
         during any period in which the Company is not subject to Section 13 or
         15(d) of the Exchange Act, it will make available to any holder of
         Securities in connection with any sale thereof and any prospective
         purchaser of such Securities from such holder, the information ("Rule
         144A Information") required by Rule 144A(d)(4) under the Act.

                  (h) It will file timely all reports and any definitive proxy
         or information statement required to be filed by the Company with the
         Commission pursuant to Sections 13(a), 13(c), 14 or 15(d) of the
         Exchange Act and it will use its best efforts to effect the inclusion
         of the Securities in PORTAL and to maintain the listing of the
         Securities on PORTAL for so long as the Securities are outstanding.

                  (i) To the extent permitted by law, it will not voluntarily
         claim, and will actively resist any attempts to claim, the benefit of
         any usury laws against the holders of the Securities.

                  (j) It will use the proceeds from the sale of the Securities
         in the manner described in the Offering Memorandum under the caption
         "Use of Proceeds."

                  (k) During the period beginning on the date of this Agreement
         and continuing to and including the Closing Date, it will not offer,
         sell, contract to sell or otherwise dispose of any debt securities of
         the Company or warrants, rights, or options to purchase debt securities
         of the Company (other than (i) the Securities, (ii) up

                                     - 5 -

<PAGE>

         to an additional $10 million principal amount of 8__% Senior 
         Subordinated Notes due 2008 and (iii) commercial paper issued in the
         ordinary course of business), without your prior written consent.

                  (l) It will use its best efforts to do and perform all things
         required to be done and performed under this Agreement by it prior to
         or after the Closing Date and will use its reasonable best efforts to
         satisfy all conditions precedent on its part to be satisfied prior to
         the delivery of the Securities.

                  5.     REPRESENTATIONS AND WARRANTIES.  The Company represents
and warrants to each Initial Purchaser that:

                  (a) The Preliminary Offering Memorandum and the Offering
         Memorandum do not, and any supplement or amendment to them will not,
         contain any untrue statement of a material fact or omit to state any
         material fact required to be stated therein or necessary to make the
         statements therein, in the light of the circumstances under which they
         were made, not misleading, except that the representations and
         warranties contained in this paragraph (a) shall not apply to
         statements in or omissions from the Preliminary Offering Memorandum or
         the Offering Memorandum (or any supplement or amendment thereto) based
         upon information relating to the Initial Purchasers furnished to the
         Company in writing by the Initial Purchasers expressly for use therein.
         No stop order preventing the use of the Preliminary Offering Memorandum
         or the Offering Memorandum, or any amendment or supplement thereto, or
         any order asserting that any of the transactions contemplated by this
         Agreement are subject to the registration requirements of the Act, has
         been issued.

                  (b) The documents incorporated by reference in the Offering
         Memorandum, the Preliminary Offering Memorandum or any amendment or
         supplement thereto, when they were or are filed with the Commission
         under the Exchange Act, as the case may be, conformed or will conform
         in all material respects with the requirements of the Exchange Act.

                  (c) No action has been taken and no statute, rule, regulation
         or order has been enacted, adopted or issued by any United States
         Federal or state governmental body, agency or official which prevents
         the issuance of the Securities, prevents or suspends the use of any
         Preliminary Offering Memorandum or Offering Memorandum or suspends the
         sale of the Securities in any jurisdiction referred to in Section 4(f)
         hereof; no injunction, restraining order, or order of any nature by any
         Federal or state court has been issued with respect to the Company or
         any of its subsidiaries which would prevent the issuance or sale of the
         Securities, or prevent or suspend the use of any Preliminary Offering
         Memorandum or Offering Memorandum in any jurisdiction referred to in
         Section 4(f) hereof.

                  (d) The capitalization table set forth in the Offering
         Memorandum under the caption "Capitalization" identifies in reasonable
         detail all outstanding short-term and long-term indebtedness and
         shareholders' equity of the Company and its subsidiaries, prior to and
         after giving PRO FORMA effect to the consummation of the offering of
         the Securities and the application of the net proceeds therefrom on the
         terms described in the Offering Memorandum.

                  (e) The Indentures have been duly authorized by the Company
         and, when duly executed and delivered in accordance with their terms,
         will be valid and legally binding agreements of the Company,
         enforceable against the Company in accordance with their terms, subject
         to applicable bankruptcy, insolvency, reorganization, moratorium,
         fraudulent transfer and similar laws affecting creditors' rights and
         remedies generally and to general principles of equity (regardless of
         whether enforcement is sought in a proceeding at law or in equity) and
         except to the extent that a waiver of rights under any usury laws may
         be unenforceable. On the Closing Date, the Indentures will conform in
         all material respects to the requirements of the Trust Indenture Act of
         1939, as amended (the "TIA" or "Trust Indenture Act"), and the rules
         and regulations of the Commission applicable to an indenture that is
         qualified thereunder.

                                     - 6 -

<PAGE>

                  (f) The Securities have been duly authorized by the Company
         and, when executed and delivered by the Company and authenticated by
         the applicable Trustee in accordance with the applicable Indenture and
         paid for in accordance with the terms of this Agreement, will
         constitute legal, valid and binding obligations of the Company,
         enforceable against the Company according to their terms, subject to
         applicable bankruptcy, insolvency, reorganization, moratorium,
         fraudulent transfer and similar laws affecting creditors' rights and
         remedies generally and to general principles of equity (regardless of
         whether enforcement is sought in a proceeding at law or in equity) and
         except to the extent that a waiver of rights under any usury laws may
         be unenforceable, will be entitled to the benefits of the applicable
         Indenture and will conform in all material respects to the description
         thereof in the Offering Memorandum.

                  (g) This Agreement has been duly authorized and validly
         executed and delivered by the Company and constitutes a valid and
         legally binding agreement of the Company, enforceable against the
         Company in accordance with its terms, subject to applicable bankruptcy,
         insolvency, reorganization, moratorium, fraudulent transfer and similar
         laws affecting creditors' rights and remedies generally and to general
         principles of equity (regardless of whether enforcement is sought in a
         proceeding at law or in equity) and except to the extent that rights to
         indemnification and contribution with respect to liability in
         connection with Federal or state securities laws may be unenforceable
         under such laws or the policies underlying such laws and except to the
         extent that a waiver of rights under any usury laws may be
         unenforceable.

                  (h) The Registration Rights Agreement has been duly authorized
         by the Company and, on the Closing Date, will have been duly executed
         and delivered by the Company. When the Registration Rights Agreement
         has been duly executed and delivered, the Registration Rights Agreement
         will be a valid and binding agreement of the Company, enforceable
         against the Company in accordance with its terms except as (i) the
         enforceability thereof may be limited by bankruptcy, insolvency or
         similar laws affecting creditors' rights generally and (ii) rights of
         acceleration and the availability of equitable remedies may be limited
         by equitable principles of general applicability. On the Closing Date,
         the Registration Rights Agreement will conform in all material respects
         to the description thereof in the Offering Memorandum.

                  (i) The execution and delivery of this Agreement and the
         Indentures and issuance and sale of the Securities by the Company, the
         execution and delivery of each of the other Operative Documents by the
         Company, the performance by the Company of this Agreement, the
         Indentures and the other Operative Documents and the consummation of
         the transactions contemplated by this Agreement and the other Operative
         Documents will not conflict with or result in a breach or violation of
         any of the respective charters or bylaws of the Company or any of its
         subsidiaries (each, a "Subsidiary" and collectively, the
         "Subsidiaries") or any of the terms or provisions of, or constitute a
         default or cause an acceleration of any obligation under or result in
         the imposition or creation of (or the obligation to create or impose)
         any security interest, mortgage, pledge, claim, lien, encumbrance or
         adverse interest of any nature (each, a "Lien") with respect to, any of
         the Operative Documents or any other obligation, bond, agreement, note,
         debenture, or other evidence of indebtedness, or any indenture,
         mortgage, deed of trust or other agreement, lease or instrument
         (collectively, "Agreements") to which the Company or any of the
         Subsidiaries is a party or by which it or any of them is bound, or to
         which any properties of the Company or any of the Subsidiaries is or
         may be subject, or any order of any court or governmental agency, body
         or official having jurisdiction over the Company or any of the
         Subsidiaries or any of their properties, or violate or conflict with
         any statute, rule or regulation or administrative regulation or decree
         or court decree applicable to the Company or any of the Subsidiaries,
         or any of their respective assets or properties, where, in any such
         instance, such conflict, breach, violation, default, acceleration of
         indebtedness or Lien would have, singly or in the aggregate, a material
         adverse effect on the business, financial condition, results of
         operations or prospects of the Company and the Subsidiaries, taken as a
         whole (a "Material Adverse Effect").

                                     - 7 -

<PAGE>
                  (j) No authorization, approval, consent or order of, or filing
         with, any court or governmental body, agency or official is necessary
         in connection with the transactions contemplated by this Agreement,
         except such as may be required by the NASD or have been obtained and
         made under the Act, the Exchange Act, the TIA, state securities or Blue
         Sky laws or regulations.

                  (k) The Company has been duly organized, is validly existing
         as a corporation in good standing under the laws of the State of Nevada
         and has the requisite power and authority to carry on its business as
         it is currently being conducted, to own, lease and operate its
         properties and to authorize the offering of the Securities, to execute,
         deliver and perform this Agreement and to issue, sell and deliver the
         Securities, and is duly qualified and is in good standing as a foreign
         corporation authorized to do business in each jurisdiction where the
         operation, ownership or leasing of property or the conduct of its 
         business requires such qualification and where failure to be so 
         qualified or in good standing would have a Material Adverse Effect.
         Each of the Subsidiaries of the Company that (i) directly or indirectly
         owns or leases any interest in any Hospital (as defined in the Offering
         Memorandum) or (ii) is otherwise material to the Company and the
         Subsidiaries, taken as a whole (collectively, the "Significant 
         Subsidiaries"), has been duly organized, is validly existing as a 
         corporation in good standing under the laws of its jurisdiction of
         incorporation and has the requisite power and authority to carry on 
         its business as it is currently being conducted and to own, lease and
         operate its properties and each is duly qualified and is in good
         standing as a foreign corporation authorized to do business in each
         jurisdiction where the operation, ownership or leasing of property or
         the conduct of its business requires such qualifications and where 
         failure to have such power and authority or to be so qualified or in
         good standing would have a Material Adverse Effect.

                  (l) Except as otherwise disclosed in the Offering Memorandum,
         all of the issued and outstanding shares of capital stock of, or other
         ownership interests in, each of the Significant Subsidiaries that are
         owned directly or indirectly by the Company, have been duly authorized
         and validly issued, and, except as otherwise disclosed in the Offering
         Memorandum, all of the shares of capital stock of, or other ownership
         interests in, each of the Significant Subsidiaries are owned, directly
         or through subsidiaries, by the Company. All such shares of capital
         stock are fully paid and nonassessable, and are owned free and clear of
         any Lien, and, except as disclosed in a certificate or opinion
         delivered to the Initial Purchasers, there are no outstanding
         subscriptions, rights, warrants, options, calls, convertible or
         exchangeable securities, commitments of sale, or Liens related to or
         entitling any person to purchase or otherwise to acquire any shares of
         the capital stock of, or other ownership interest in, any of the
         Subsidiaries.

                  (m) Neither the Company nor the Significant Subsidiaries is in
         violation of its respective charter or bylaws and neither the Company
         nor the Subsidiaries is in default in the performance of any
         obligation, bond, agreement, debenture, note or any other evidence of
         indebtedness, or any indenture, mortgage, deed of trust or other
         contract, lease or other instrument to which the Company or any of the
         Subsidiaries is a party or by which any of them is bound, or to which
         any of the property or assets of the Company or any of the Subsidiaries
         is subject, except as would not have, singly or in the aggregate, a
         Material Adverse Effect.

                  (n) Except as disclosed in the Offering Memorandum, there is
         no action, suit, proceeding or investigation before or by any court,
         governmental agency or body, arbitration board or tribunal, or
         governmental or private accrediting body, domestic or foreign, pending
         against or affecting the Company or any of the Subsidiaries, or any of
         their respective assets or properties, which is required to be
         disclosed in the Offering Memorandum, or in which there is a reasonable
         possibility of adverse decisions which in the aggregate could
         reasonably be expected to have a Material Adverse Effect, or which
         might materially and adversely affect the Company's or any of its
         Subsidiaries' performance of its obligations, as applicable, pursuant
         to this Agreement (including, without limitation, the issuance of the
         Securities), the Operative Documents or the transactions contemplated
         hereby and thereby, and to the best of the Company's knowledge, after
         due inquiry, no such action, suit, or proceeding is contemplated or
         threatened.

                                     - 8 -
<PAGE>
                      Except as disclosed in the Offering Memorandum, neither
         the Company nor the Subsidiaries is subject to any judgment, order or
         decree of any court, governmental authority or arbitration board or
         tribunal which has had or which can reasonably be expected to have, a
         Material Adverse Effect.

                  (o) The firms of accountants that have certified or shall
         certify the applicable consolidated financial statements and supporting
         schedules and the notes thereto of the Company incorporated by
         reference in the Preliminary Offering Memorandum and the Offering
         Memorandum are, to the best of the Company's knowledge, independent
         public accountants with respect to the Company and its Subsidiaries, as
         required by the Act. The consolidated financial statements, together
         with related schedules and notes, set forth or incorporated by 
         reference in the Preliminary Offering Memorandum and the Offering
         Memorandum, comply as to form in all material respects with the
         requirements of the Act and fairly present the consolidated financial
         position of the Company and its Subsidiaries at the respective dates
         indicated and the results of their operations and their cash flows for
         the respective periods indicated, in accordance with generally accepted
         accounting principles in the United States of America ("GAAP")
         consistently applied throughout such periods and in accordance with 
         Regulation S-X. The Company's ratio of earnings to fixed charges
         (actual and PRO FORMA) included in the Offering Memorandum under the 
         relevant captions "Prospectus Summary--Summary Financial Information"
         have been calculated in compliance with Item 503(d) of the Commission's
         Regulation S-K. The other financial and statistical information and
         data of the Company included or incorporated by reference in the
         Preliminary Offering Memorandum and the Offering Memorandum are in all
         material respects accurately presented and prepared on a basis
         consistent with the books and records of the Company.

                  (p) Except as contemplated by the Offering Memorandum,
         subsequent to the respective dates as of which information is presented
         in the Offering Memorandum and up to the Closing Date (i) neither the
         Company nor the Subsidiaries has incurred any liabilities or
         obligations, direct or contingent, or entered into any transaction not
         in the ordinary course of business, which could reasonably be expected
         to have a Material Adverse Effect, (ii) there has been no decision or
         judgment in the nature of litigation or arbitration that could
         reasonably be expected to have a Material Adverse Effect, (iii) there
         has been no dividend or distribution of any kind declared, paid or made
         by the Company on any class of its capital stock and (iv) there has not
         been any material adverse change, or any development which could
         involve a material adverse change, in the business, financial
         condition, results of operations or prospects of the Company and the
         Subsidiaries, taken as a whole (any of the items set forth in clauses
         (i), (ii), (iii) or (iv) above, a "Material Adverse Change").

                  (q) (i) Except as described in the Offering Memorandum or as
         could not reasonably be expected to have a Material Adverse Effect,
         each of the Company and the Subsidiaries has all certificates,
         consents, exemptions, orders, permits, licenses, authorizations,
         accreditations or other approvals or rights (each, an "Authorization")
         of and from, and has made all declarations and filings with, all
         Federal, state, local and other governmental authorities, all
         self-regulatory organizations, all governmental and private accrediting
         bodies and all courts and other tribunals, necessary or required to
         own, lease, license, and use its properties and assets and to conduct
         its business in the manner described in the Offering Memorandum, (ii)
         all such Authorizations are valid and in full force and effect, except
         as could not reasonably be expected to have, singly or in the
         aggregate, a Material Adverse Effect, (iii) the Company and the
         Subsidiaries are in compliance with the terms and conditions of all
         such Authorizations and with the rules and regulations of the
         regulatory authorities and governing bodies having jurisdiction with
         respect thereto except as could not reasonably be expected to have a
         Material Adverse Effect and (iv) none of the Company or the
         Subsidiaries has received any notice of proceedings relating to the
         revocation or modification of any such Authorization.

                  (r) None of the Company or any agent acting on its behalf has
         taken or will take any action that is reasonably likely to cause the
         issuance or sale of the Securities to violate Regulation T, U, or X of
         the Board of Governors of the Federal Reserve System, in each case as
         in effect, on the date hereof.

                                     - 9 -
<PAGE>

                  (s) None of the Company or any of the Significant Subsidiaries
         is (i) an "investment company" or a company "controlled" by an
         investment company within the meaning of the Investment Company Act of
         1940, as amended, or (ii) a "holding company" or a "subsidiary company"
         of a holding company, or an "affiliate" thereof within the meaning of
         the Public Utility Holding Company Act of 1935, as amended.

                  (t) Each certificate signed by any officer of the Company and
         delivered to the Initial Purchasers or the Initial Purchasers' Counsel
         shall be deemed to be a representation and warranty by the Company to
         each Initial Purchaser as to the matters covered thereby.

                  (u) The Company has delivered to the Initial Purchasers a true
         and correct copy of each of the Operative Documents that have been
         executed and delivered prior to the date of this Agreement and each
         other Operative Document in the form substantially as it will be
         executed and delivered on or prior to the Closing Date, together with
         all related agreements and all schedules and exhibits thereto, and
         there have been no amendments, alterations, modifications or waivers of
         any of the provisions of any of the Operative Documents since their
         date of execution or from the form in which it has been delivered to
         the Initial Purchasers; there exists as of the date hereof (after
         giving effect to the transactions contemplated by the Operative
         Documents) no event or condition that would constitute a default or an
         event of default (in each case as defined in each of the Operative
         Documents) under any of the Operative Documents which would reasonably
         be expected to result in a Material Adverse Effect.

                  (v) Each of the Preliminary Offering Memorandum and the
         Offering Memorandum, as of its date, contains all the information
         specified in, and meeting the requirements of, Rule 144A(d)(4) under
         the Act.

                  (w) When the Securities are issued and delivered pursuant to
         this Agreement, the Securities will not be of the same class (within
         the meaning of Rule 144A under the Act) as any security of the Company
         that is listed on a national securities exchange registered under
         Section 6 of the Exchange Act or that is quoted in the United States
         automated inter-dealer quotation system.

                  (x) No form of general solicitation or general advertising (as
         defined in Regulation D under the Act) was used by the Company, or any
         of its representatives (other than the Initial Purchasers, as to whom
         the Company makes no representation) in connection with the offer and
         sale of the Securities contemplated hereby, including, but not limited
         to, articles, notices or other communications published in any
         newspaper, magazine, or similar medium or broadcast over television or
         radio, or any seminar or meeting whose attendees have been invited by
         any general solicitation or general advertising. No securities of the
         same class as the Securities have been issued and sold by the Company
         within the six-month period immediately prior to the date hereof.

                  (y) Prior to the effectiveness of any Registration Statement,
         the Indentures are not required to be qualified under the TIA.

                  (z) Neither the Company, nor any of its respective affiliates
         or any person acting on its or their behalf (other than the Initial
         Purchasers, as to whom the Company makes no representation) has engaged
         or will engage in any directed selling efforts within the meaning of
         Regulation S under the Act ("Regulation S") with respect to the
         Securities.

                  (aa) The Securities offered and sold in reliance of Regulation
         S have been and will be offered and sold only in offshore transactions,
         assuming the accuracy of the Initial Purchasers' representations and
         warranties and agreements set forth in Section 6 hereof.

                  (bb) The sale of the Securities pursuant to Regulation S is
         not part of a plan or scheme to evade the registration provisions of
         the Act.

                                     - 10 -

<PAGE>

                  (cc) No registration of the Securities under the Act is
         required for the sale of the Securities to the Initial Purchasers as
         contemplated hereby or for the Exempt Resales assuming the accuracy of
         the Initial Purchasers' representations and warranties and agreements
         set forth in Section 6 hereof.

                  6. INITIAL PURCHASERS' REPRESENTATIONS AND WARRANTIES. Each
Initial Purchaser, severally and not jointly, represents and warrants to, and
agrees with, the Company:

                  (a) Such Initial Purchaser is a QIB with such knowledge and
         experience in financial and business matters as is necessary in order
         to evaluate the merits and risks of an investment in the Securities.

                  (b) Such Initial Purchaser (A) is not acquiring the Securities
         with a view to any distribution thereof or with any present intention
         of offering or selling any of the Securities in a transaction that
         would violate the Act or the securities laws of any state of the United
         States or any other applicable jurisdiction and (B) will be reoffering
         and reselling the Securities only to (x) QIBs in reliance on the
         exemption from the registration requirements of the Act provided by
         Rule 144A and (y) in offshore transactions in reliance upon
         Regulation S.

                  (c) Such Initial Purchaser agrees that no form of general
         solicitation or general advertising (within the meaning of Regulation D
         under the Act) has been or will be used by such Initial Purchaser or
         any of its representatives in connection with the offer and sale of the
         Securities pursuant hereto, including, but not limited to, articles,
         notices or other communications published in any newspaper, magazine or
         similar medium or broadcast over television or radio, or any seminar or
         meeting whose attendees have been invited by any general solicitation
         or general advertising.

                  (d) Such Initial Purchaser agrees that, in connection with
         Exempt Resales, such Initial Purchaser will solicit offers to buy the
         Securities only from, and will offer to sell the Securities only to,
         Eligible Purchasers. Each Initial Purchaser further agrees that it will
         offer to sell the Securities only to, and will solicit offers to buy
         the Securities only from (A) Eligible Purchasers that such Initial
         Purchaser reasonably believes are QIBs and (B) Regulation S Purchasers,
         in each case, that agree that (x) the Securities purchased by them may
         be resold, pledged, or otherwise transferred within the time period
         referred to under Rule 144(k) (taking into account the provisions of
         Rule 144(d) under the Act, if applicable) under the Act, as in effect
         on the date of the transfer of such Securities, only (I) to the Company
         or any of its subsidiaries, (II) to a person whom the seller reasonably
         believes is a QIB purchasing for its own account or for the account of
         a QIB in a transaction meeting the requirements of Rule 144A under the
         Act, (III) in an offshore transaction (as defined in Rule 902 under the
         Act) meeting the requirements of Rule 903 and Rule 904 of the Act, (IV)
         in a transaction meeting the requirements of Rule 144 under the Act,
         (V) in accordance with another exemption from the registration
         requirements of the Act (and based upon an opinion of counsel
         acceptable to the Company) or (VI) pursuant to an effective
         registration statement and, in each case, in accordance with the
         applicable securities laws of any state of the United States or any
         other applicable jurisdiction and (y) they will deliver to each person
         to whom such Securities or an interest therein is transferred a notice
         substantially to the effect of the foregoing.

                  (e) Such Initial Purchaser and its affiliates or any person
         acting on its behalf have not engaged and will not engage in any
         directed selling efforts within the meaning of Regulation S with
         respect to the Securities.

                  (f) The Securities offered and sold by such Initial Purchaser
         pursuant hereto in reliance on Regulation S have been and will be
         offered and sold only in offshore transactions.

                  (g) The sale of the Securities offered and sold by such
         Initial Purchaser pursuant hereto in reliance on Regulation S is not
         part of a plan or scheme to evade the registration provisions of the
         Act.
                                     - 11 -

<PAGE>

                  (h) Such Initial Purchaser further represents and agrees that
         (i) it has not offered or sold and will not offer or sell any
         Securities to persons in the United Kingdom prior to the expiration of
         the period of six months from the issue date of the Securities, except
         to persons whose ordinary activities involve them in acquiring,
         holding, managing or disposing of investments (as principal or agent)
         for the purposes of their business or otherwise in circumstances that
         have not resulted and will not result in an offer to the public in the
         United Kingdom within the meaning of the Public Offers of Securities
         Regulations 1995, (ii) it has complied and will comply with all
         applicable provisions of the Financial Services Act 1986 with respect
         to anything done by it in relation to the Securities in, from or 
         otherwise involving the United Kingdom and (iii) it has only issued or
         passed on and will only issue or pass on in the United Kingdom any
         document received by it in connection with the issuance of the
         Securities to a person who is of a kind described in Article 11(3) of
         the Financial Services Act of 1986 (Investment Advertisements)
         (Exemptions) Order 1996 or is a person to whom the document may 
         otherwise lawfully be issued or passed on.

                  (i) Such Initial Purchaser agrees that it will not offer, sell
         or deliver any of the Securities in any jurisdiction outside the United
         States except under circumstances that will result in compliance with
         the applicable laws thereof, and that it will take at its own expense
         whatever action is required to permit its purchase and resale of the
         Securities in such jurisdictions. Such Initial Purchaser understands
         that no action has been taken to permit a public offering in any
         jurisdiction outside the United States where action would be required
         for such purpose.

                  Each Initial Purchaser acknowledges that the Company, for
purposes of the opinions to be delivered to each Initial Purchaser pursuant to
Section 8 hereof, counsel to the Company and counsel to the Initial Purchasers
will rely upon the accuracy and truth of the foregoing representations and each
Initial Purchaser hereby consents to such reliance.

                  7.       INDEMNIFICATION.

                  (a) The Company agrees to indemnify and hold harmless (i) each
of the Initial Purchasers and their respective affiliates, (ii) each person, if
any, who controls (within the meaning of Section 15 of the Act or Section 20 of
the Exchange Act) any of the Initial Purchasers or any of their respective
affiliates (any of the persons referred to in this clause (ii) being hereinafter
referred to as a "Controlling Person"), and (iii) each of the respective
officers, directors, partners, employees, representatives and agents of any of
the Initial Purchasers or any Controlling Person, and each of their respective
officers, directors, partners, employees, representatives and agents (any person
referred to in clause (i), (ii) or (iii) of this Section 7(a) may hereinafter be
referred to as an "Indemnified Person") to the fullest extent lawful, from and
against any and all losses, claims, damages, judgments, actions, costs,
assessments, expenses and other liabilities (collectively, "Liabilities"),
including without limitation and as incurred, reimbursement of all reasonable
costs of investigating, preparing, pursuing or defending any claim or action, or
any investigation or proceeding by any foreign, Federal, state or local
authority, regulatory body, administrative agency, court or other governmental
or quasi-governmental body, commenced or threatened, including the reasonable
fees and expenses of counsel to any Indemnified Person, to the extent such
Liabilities are directly or indirectly caused by, related to, based upon or
arising out of, or in connection with, any untrue statement or alleged untrue
statement of a material fact contained in the Offering Memorandum (or any
supplement or amendment thereto), the Preliminary Offering Memorandum or any
Rule 144A Information provided by the Company to any holder or prospective
purchaser of Securities pursuant to Section 4(i), or any omission or alleged
omission to state therein a material fact required to be stated therein or
necessary to make the statements therein not misleading, except insofar as such
Liabilities are caused by any such untrue statement or omission or alleged
untrue statement or omission that is (x) made in reliance upon and in conformity
with information relating to any of the Initial Purchasers furnished in writing
to the Company by or on behalf of an Initial Purchaser through DLJ expressly for
use in the Offering Memorandum (or any amendment or supplement thereto), the
Preliminary Offering Memorandum or any Rule 144A Information provided by the
Company to any holder or prospective purchaser of Securities pursuant to Section
4(g), or (y) with respect to the Initial Purchaser from whom the person
asserting the Liabilities purchased Securities, made in any Preliminary Offering
Memorandum if a copy of the Offering Memorandum

                                     - 12 -

<PAGE>

(as amended or supplemented, if the Company shall have furnished the Initial 
Purchasers with such amendments or supplements thereto on a timely basis) was 
not delivered by or on behalf of such Initial Purchaser to the person 
asserting the Liabilities, if required by law to have been so delivered by 
the Initial Purchaser seeking indemnification, at or prior to the written 
confirmation of the sale of the Securities, and it shall be determined by a 
court of competent jurisdiction or binding mediation or arbitration tribunal, 
in a judgment or determination not subject to appeal or review, that the 
Offering Memorandum (as so amended or supplemented) would have corrected such 
untrue statement or omission in all material respects. The foregoing 
indemnity shall be in addition to any liability that the Company might 
otherwise have to any of the Initial Purchasers and such other Indemnified 
Persons. The Company shall notify you promptly after becoming aware of the 
institution, threat or assertion of any claim, proceeding (including any 
governmental investigation) or litigation in connection with the matters 
addressed by this Agreement which involves the Company or an Indemnified 
Person.

                  (b) In case any action or proceeding (for all purposes of this
Section 7, including any governmental or quasi-governmental investigation) shall
be brought or asserted against any of the Indemnified Persons with respect to
which indemnity under this Section 7 may be sought against the Company, such
Indemnified Person promptly shall notify the Company in writing and the Company
shall assume the defense thereof, including the employment of counsel reasonably
satisfactory to such Indemnified Person and payment of all reasonable fees and
expenses; PROVIDED, that the delay or failure to give such notice shall not
relieve the Company from any liability that it may have on account of the
indemnity under this Section 7, except to the extent that such delay or omission
materially adversely affects the ability of the Company to defend or assume the
defense of such action or proceeding. Upon receiving such notice, the Company
shall be entitled to participate in any such action or proceeding and/or to
assume, at its sole expense, the defense thereof, with counsel reasonably
satisfactory to such Indemnified Person (who shall not, except with the consent
of the Indemnified Person to be represented, be counsel to the Company or any of
the Subsidiaries) and, after written notice from the Company to such Indemnified
Person of its election so to assume the defense thereof promptly after receipt
of the notice from the Indemnified Person of such action or proceeding, the
Company shall not be liable to such Indemnified Person hereunder for legal
expenses of other counsel subsequently incurred by such Indemnified Person in
connection with the defense thereof, other than reasonable costs of
investigation, unless (i) the Company agrees in writing to pay such fees and
expenses, or (ii) the Company fails promptly to assume such defense or fails to
employ counsel reasonably satisfactory to such Indemnified Person, or (iii) the
named parties to any such action or proceeding (including any impleaded parties)
include both such Indemnified Person and the Company or an affiliate of the
Company, and that Indemnified Person shall have been advised in writing by
counsel, with a copy of such writing to the Company, that either (x) there may
be one or more legal defenses available to such Indemnified Person that are
different from or additional to those available to the Company or such affiliate
or (y) a conflict may exist between such Indemnified Person and the Company or
such affiliate. In the event of any of clause (i), (ii) and (iii) of the
immediately preceding sentence, the Company shall not have the right to assume
the defense thereof on behalf of the Indemnified Person and such Indemnified
Person shall have the right to employ its own counsel (who shall be reasonably
acceptable to the Company and shall not, except with the Company's consent, be
counsel to the Company) in any such action and the reasonable fees and expenses
of such counsel shall be paid, as incurred, by the Company, subject to repayment
to the Company if it is ultimately determined that an Indemnified Person is not
entitled to indemnification hereunder, it being understood, however, that the
Company shall not, in connection with any one such action or proceeding or
separate but substantially similar or related actions in the same jurisdiction
arising out of the same general allegations or circumstances, be liable for the
fees and expenses of more than one separate firm of attorneys (in addition to
any local counsel) for all of the Indemnified Persons, which firm shall be
designated in writing by DLJ. The Company shall not be liable for any settlement
of any such action or proceeding effected without the Company's written consent,
which consent may not be unreasonably withheld, but if settled with the written
consent of the Company, the Company agrees to indemnify and hold harmless any
Indemnified Person from and against any loss or liability incurred in such
settlement. The Company shall not, without the prior written consent of each
Indemnified Person, which consent shall not be unreasonably withheld settle,
compromise or consent to the entry of any judgment in or otherwise seek to
terminate any pending or threatened action, claim, suit, investigation or other
proceeding in respect of which any Indemnified Person is or could have been a
party and indemnification or contribution could have been sought hereunder

                                     - 13 -
<PAGE>
by such Indemnified Person, unless such settlement, compromise, consent or 
termination includes an unconditional release of each Indemnified Person from 
all liability on claims that are the subject matter of such proceeding.

                  (c) Each of the Initial Purchasers agrees, severally and 
not jointly, to indemnify and hold harmless the Company, its directors, its 
officers, and any person controlling (within the meaning of Section 15 of the 
Act or Section 20 of the Exchange Act) the Company, to the same extent as the 
foregoing indemnity from the Company to each of the Indemnified Persons, but 
only with respect to claims and actions based on information relating to such 
Initial Purchaser furnished in writing by or on behalf of such Initial 
Purchaser through DLJ expressly for use in the Offering Memorandum, the 
Preliminary Offering Memorandum or any Rule 144A Information provided by the 
Company to any holder or prospective purchaser of Securities pursuant to 
Section 4(g), as applicable. In case any action shall be brought against the 
Company, any of its directors, any such officer, or any such controlling 
person based on the Offering Memorandum, the Preliminary Offering Memorandum 
or any Rule 144A Information provided by the Company to any holder or 
prospective purchaser of Securities pursuant to Section 4(g) in respect of 
which indemnity is sought against any Initial Purchaser pursuant to the 
foregoing sentence, the Initial Purchaser shall have the rights and duties 
given to the Company (except that if an Initial Purchaser shall have assumed 
the defense thereof, the Company shall not be required to do so, but may 
employ separate counsel therein and participate in the defense thereof, but 
the fees and expenses of such counsel shall be at the expense of the 
Company), and the Company, its directors, any such officers, and each such 
controlling person shall have the rights and duties given to the Indemnified 
Person by Section 7(b) above.

                  (d) If the indemnification provided for in this Section 7 
is finally determined by a court of competent jurisdiction to be unavailable 
to an Indemnified Person in respect of any Liabilities referred to herein, 
then the Company, in lieu of indemnifying such Indemnified Person, shall 
contribute to the amount paid or payable by such Indemnified Person as a 
result of such Liabilities: (i) in such proportion as is appropriate to 
reflect the relative benefits received by the Company on the one hand and the 
Indemnified Person on the other hand from the offering of the Securities, or 
(ii) if the allocation provided by clause (i), above, is not permitted by 
applicable law, in such proportion as is appropriate to reflect not only the 
relative benefits referred to in clause (i), above, but also the relative 
fault of the Company and the Indemnified Person in connection with the 
actions, statements or omissions that resulted in such Liabilities, as well 
as any other relevant equitable considerations. The relative benefits 
received by the Company, on the one hand, and any of the Initial Purchasers 
(and its related Indemnified Persons), on the other hand, shall be deemed to 
be in the same proportion as the total proceeds from the offering (net of 
Initial Purchaser's discounts and commissions but before deducting expenses) 
received by the Company bear to the total Initial Purchaser's discounts and 
commissions received by such Initial Purchaser, in each case as set forth in 
the Offering Memorandum. The relative fault of the Company and the Initial 
Purchaser shall be determined by reference to, among other things, whether 
the untrue or alleged untrue statement of a material fact or the omission or 
alleged omission to state a material fact related to information supplied by 
the Company or the Initial Purchaser and the parties' relative intent, 
knowledge, access to information and opportunity to correct or prevent such 
statement or omission. The indemnity and contribution obligations of the 
Company set forth herein shall be in addition to any liability or obligation 
the Company may otherwise have to any Indemnified Person.

                  The Company and the Initial Purchasers agree that it would 
not be just and equitable if contribution pursuant to this Section 7(d) were 
determined by PRO RATA allocation (even if the Initial Purchasers were 
treated as one entity for such purpose) or by any other method of allocation 
that does not take account of the equitable considerations referred to in the 
immediately preceding paragraph. The amount paid or payable by an Indemnified 
Party as a result of the Liabilities referred to in the immediately preceding 
paragraph shall be deemed to include, subject to the limitations set forth 
above, any reasonable legal or other expenses reasonably incurred by such 
Indemnified Party in connection with investigating or defending any such 
action or claim. Notwithstanding the provisions of this Section 7, none of 
the Initial Purchasers (or any of their related Indemnified Persons referred 
to in Section 7 above) shall be required to contribute, in the aggregate, any 
amount in excess of the amount by which the total underwriting discount 
applicable to the Securities purchased by such underwriter exceeds the amount 
of any damages or liabilities which such Initial Purchaser (and its related 
Indemnified Persons referred to in Section 7 above) has otherwise been 
required to pay or incur by reason of such untrue or alleged untrue statement 
or omission or alleged omission or other indemnified action

                                     - 14 -
<PAGE>

or proceeding. Notwithstanding anything to the contrary contained herein, no 
person guilty of fraudulent misrepresentation (within the meaning of Section 
11(f) of the Act) shall be entitled to contribution from any person who was 
not guilty of such fraudulent misrepresentation. The Initial Purchasers' 
obligations to contribute pursuant to this Section 7(d) are several in 
proportion to the respective aggregate principal amount of Securities 
purchased by each of the underwriters hereunder and not joint.

                  8. CONDITIONS OF INITIAL PURCHASERS' OBLIGATIONS. The
respective obligations of the several Initial Purchasers to purchase any
Securities under this Agreement are subject to the satisfaction or waiver by the
several underwriters of each of the following conditions on the Closing Date:

                  (a) All the representations and warranties of the Company
         contained or incorporated by reference in this Agreement shall be true
         and correct on the Closing Date after giving effect to the transactions
         contemplated by the Operative Documents, with the same force and effect
         as if made on and as of the Closing Date, unless another date is
         specified therein. The Company and its Subsidiaries shall have
         performed or complied with all of their obligations and agreements
         herein contained and required to be performed or complied with by them
         at or prior to the Closing Date.

                  (b) No action shall have been taken and no statute, rule,
         regulation or order shall have been enacted, adopted or issued by any
         governmental agency, body or official which would, as of the Closing
         Date, prevent the issuance of the Securities; and no injunction,
         restraining order or order of any nature by any Federal or state court
         shall have been issued as of the Closing Date which would prevent the
         issuance of the Securities. Subsequent to the execution and delivery of
         this Agreement and prior to the Closing Date, there shall not have been
         any downgrading, nor shall any notice have been given of any intended
         or potential downgrading or of any review for a possible change that
         does not indicate the direction of the possible change, in the rating
         accorded any of the Company's securities by any "nationally recognized
         statistical rating organization," as such term is defined for purposes
         of Rule 436(g)(2) of the Act.

                  (c) (i) Since the earlier of the date hereof or the dates as
         of which information is given in the Offering Memorandum, there shall
         not have been any Material Adverse Change, (ii) since the date of the
         latest balance sheet included in the Offering Memorandum, there shall
         not have been any material adverse change, or development involving a
         prospective material adverse change, in the capital stock or debt, of
         the Company and the Subsidiaries, taken as a whole, and (iii) none of
         the Company or any of the Subsidiaries shall have any liability or
         obligation, direct or contingent, that is material to the Company and
         the Subsidiaries, taken as a whole, and which is not disclosed in the
         Offering Memorandum as of the date hereof.

                  (d) You shall have received a certificate of the Company,
         dated the Closing Date, executed on behalf of the Company, by an
         executive officer and a financial officer of the Company satisfactory
         to you confirming, as of the Closing Date, the matters set forth in
         paragraphs (a), (b), (c) and (j) of this Section 8.

                  (e) On the Closing Date, you shall have received:

                           (l) an opinion (reasonably satisfactory to you and
                  your counsel), dated the Closing Date, of Skadden, Arps,
                  Slate, Meagher & Flom LLP, counsel for the Company ("Skadden,
                  Arps"), to the effect that:

                                    (i) each document filed pursuant to the
                           Exchange Act and incorporated by reference in the
                           Offering Memorandum, at the time it was filed or last
                           amended, complied as to form in all material respects
                           to the applicable requirements of the Exchange Act
                           (except for financial statements, the notes thereto
                           and related schedules and other financial data
                           included or incorporated by reference therein or
                           omitted therefrom, as to which no opinion need be
                           expressed);

                                     - 15 -

<PAGE>

                                (ii) the Securities have been duly authorized
                           and executed by the Company and, when authenticated
                           in accordance with the terms of the Indentures and
                           delivered to and paid for by the Initial Purchasers
                           in accordance with the terms of this Agreement, will
                           be valid and binding obligations of the Company,
                           enforceable against the Company in accordance with
                           their respective terms and entitled to the benefits
                           of the respective Indenture under which they are
                           being issued, except to the extent that the 
                           enforceability thereof may be limited by 
                           (a) bankruptcy, insolvency, fraudulent transfer, 
                           reorganization, moratorium and other similar laws in
                           effect as of the date of the opinion or thereafter 
                           relating to or affecting creditors' rights generally 
                           and (b) general principles of equity (regardless of 
                           whether enforcement is sought in a proceeding at law
                           or in equity) and except that such counsel need
                           express no opinion as to the enforceability or effect
                           of the waiver of rights under any usury laws pursuant
                           to each of the Indentures;

                               (iii) each of the Indentures has been duly
                           authorized, executed and delivered by the Company
                           and, assuming due authorization, execution and
                           delivery thereof by the applicable Trustee, is a
                           valid and binding agreement of the Company,
                           enforceable against the Company in accordance with
                           its terms, except to the extent that the
                           enforceability thereof may be limited by (a)
                           bankruptcy, insolvency, fraudulent transfer,
                           reorganization, moratorium and other similar laws in
                           effect as of the date of the opinion or thereafter
                           relating to or affecting creditors' rights generally
                           and (b) general principles of equity (regardless of
                           whether enforcement is sought in a proceeding at law
                           or in equity) and except that such counsel need
                           express no opinion as to the enforceability or effect
                           of the waiver of rights under any usury laws pursuant
                           to each of the Indentures;

                                (iv) the Securities and the Indentures conform
                           in all material respects to the descriptions thereof
                           contained in the Offering Memorandum;

                                 (v) the Company is a corporation existing and
                           in good standing under the laws of its jurisdiction
                           of organization;

                                (vi) the Company is not an "investment company"
                           within the meaning of the Investment Company Act of
                           1940, as amended;

                               (vii) no consent, approval, authorization or
                           other order of, or filing with, any Federal or New
                           York executive, legislative, judicial, administrative
                           or regulatory body, including, without limitation,
                           the Commission (each, a "Governmental Authority"), is
                           legally required under any laws, rules and
                           regulations of the State of New York and the United
                           States of America that, in the experience of such
                           counsel, are normally applicable to transactions of
                           the type contemplated by this Agreement and the
                           Indentures (provided that no opinion need be
                           expressed as to the "blue sky" or state securities
                           laws of any jurisdiction) (collectively, the
                           "Applicable Laws") for the issuance or sale to the
                           Initial Purchasers of the Securities as contemplated
                           by this Agreement;

                              (viii) the execution and delivery by the Company
                           of this Agreement and the Indentures and the issuance
                           and sale of the Securities to you as contemplated
                           thereby and the performance of its obligations
                           pursuant to this Agreement and the Indentures (a)
                           will not conflict with or result in a breach of
                           violation of any of the terms or provisions of, or
                           constitute a default under the charter or bylaws of
                           the Company; and (b) will not conflict with or
                           violate any Applicable Law or any order or decree of
                           any Governmental Authorities by which the Company or
                           any of its Subsidiaries is bound, the existence of
                           which is actually

                                     -16-

<PAGE>
                           known to such counsel or has been specifically
                           disclosed to such counsel in writing by the Company;

                                (ix) the Registration Rights Agreement has been
                           duly authorized, executed and delivered by the
                           Company and is a valid and binding agreement of the
                           Company enforceable against the Company in accordance
                           with its terms, except as (x) the enforceability
                           thereof may be limited by bankruptcy, insolvency or 
                           similar laws affecting creditors' rights generally
                           and (y) rights of acceleration and the availability 
                           of equitable remedies may be limited by equitable 
                           principles of general applicability;

                                 (x) the Indentures comply as to form in all
                           material respects with the requirements of the TIA,
                           and the rules and regulations of the Commission
                           applicable to an indenture that is qualified
                           thereunder. It is not necessary in connection with
                           the offer, sale and delivery of the Securities to the
                           Initial Purchasers in the manner contemplated by this
                           Agreement or in connection with the Exempt Resales to
                           qualify the Indentures under the TIA;

                                (xi) no registration under the Act of the
                           Securities is required for the sale of the Securities
                           to the Initial Purchasers as contemplated by this
                           Agreement or for the Exempt Resales assuming that (i)
                           each Initial Purchaser is a QIB or a Regulation S
                           Purchaser, (ii) the accuracy of, and compliance with,
                           the Initial Purchasers' representations and
                           agreements contained in Section 6 of this Agreement
                           and (iii) the accuracy of the representations of the
                           Company set forth in Sections 4(h) and 5(y), (aa) and
                           (bb) of this Agreement.

                           (2) In giving their opinion required by subsection
                  (e)(l) of this Section 8, such counsel may state that such
                  opinions are limited to matters governed by the Federal laws
                  of the United States of America and the laws of the State of
                  New York.

                           In addition, such counsel shall state that such
                  counsel has participated in conferences with officers and
                  other representatives of the Company, representatives of the
                  independent public accountants for the Company, your
                  representatives and your counsel at which the contents of the
                  Offering Memorandum and related matters were discussed and,
                  although such counsel is not passing upon, and does not assume
                  any responsibility for, the accuracy, completeness or fairness
                  of the statements contained in the Offering Memorandum, on the
                  basis of the foregoing, no fact has come to the attention of
                  such counsel that leads it to believe that, as of the date of
                  the Offering Memorandum or as of the Closing Date, the
                  Offering Memorandum contained an untrue statement of a
                  material fact or omitted to state a material fact required to
                  be stated therein or necessary to make the statements therein
                  not misleading, except that such counsel need not express any
                  opinion or belief with respect to the financial statements,
                  schedules and other financial data included or incorporated by
                  reference in or excluded from the Offering Memorandum.

                           In rendering the foregoing opinions, Skadden, Arps
                  may rely as to matters of Nevada law on the opinion of
                  Woodburn and Wedge, Nevada counsel to the Company, or such
                  other counsel as is reasonably satisfactory to the Initial
                  Purchasers' Counsel.

                           (3) an opinion (satisfactory to you and Initial
                  Purchasers' Counsel), dated the Closing Date, of Scott M.
                  Brown, Esq., Senior Vice President and General Counsel of the
                  Company, or Richard B. Silver, Vice President and Associate
                  General Counsel of the Company, to the effect that:

                                 (i) the descriptions in the Offering Memorandum
                           of statutes, legal and governmental proceedings,
                           contracts and other documents and regulatory matters,
                           including, without limitation, those described in the
                           Offering Memorandum under the captions "Risk

                                                     - 17 -

<PAGE>

                           Factors--Limits on Reimbursement," "--Extensive
                           Regulation," "--Health care Reform Legislation" and
                           in the Company's Annual Report on Form 10-K for the
                           fiscal year ended May 31, 1997 (the "Form 10-K")
                           under the captions "Medicare, Medicaid and Other
                           Revenues" and "Healthcare Reform, Regulation and
                           Licensing" and in the Company's Form 10-K and
                           Quarterly Report on Form 10-Q for the quarter ended
                           February 28, 1997 under the caption "Legal 
                           Proceedings" insofar as such statements constitute
                           summaries of legal matters, documents or proceedings
                           referred to therein are accurate in all material 
                           respects and such counsel does not know of any
                           contracts or documents of a character required to be 
                           described in the Offering Memorandum and not 
                           described therein; it being understood that such
                           counsel need express no opinion as to the financial
                           statements, notes or schedules or other financial
                           data included or incorporated by reference therein;

                                (ii) each of the Company and its Significant
                           Subsidiaries has such Authorizations from all
                           regulatory or governmental officials, bodies and
                           tribunals as are necessary to own, lease and operate
                           its respective properties and to conduct its business
                           in the manner described in the Offering Memorandum,
                           except as could not reasonably be expected to have,
                           singly or in the aggregate, a material adverse effect
                           on the business, financial condition or results of
                           operations of the Company and its Subsidiaries, taken
                           as a whole;

                               (iii) to the best of such counsel's knowledge,
                           there is no current, pending or threatened action,
                           suit or proceeding before any court or governmental
                           agency, authority or body or any arbitrator involving
                           the Company or any of its Subsidiaries or to which
                           any of their respective property is subject of a
                           character required to be disclosed in the Offering
                           Memorandum which is not adequately disclosed in the
                           Offering Memorandum;

                                (iv) except as otherwise disclosed in the
                           Offering Memorandum, all of the issued and
                           outstanding shares of capital stock of, or other
                           ownership interests in, each Significant Subsidiary
                           of the Company that is owned directly or indirectly
                           by the Company have been duly and validly authorized
                           and issued, and, except as otherwise described in the
                           Offering Memorandum, the shares of capital stock of,
                           or other ownership interests in, each of its
                           Significant Subsidiaries are owned of record,
                           directly or through subsidiaries, by the Company, are
                           fully paid and nonassessable, and to the best
                           knowledge of such counsel are owned free and clear of
                           any material, consensual Lien;

                                 (v) the Company and each of its Significant
                           Subsidiaries is a duly organized corporation, has the
                           requisite corporate power and authority to own, lease
                           and operate its properties and to conduct its
                           business as described in the Offering Memorandum,
                           and, to the extent each is a party thereto, to
                           execute, deliver and perform its obligations pursuant
                           to the Indentures and this Agreement, and is duly
                           qualified as a foreign corporation and in good
                           standing in each jurisdiction where the ownership,
                           leasing or operation of property or the conduct of
                           its business requires such qualification, except
                           where the failure so to be qualified could not
                           reasonably be expected to have, singly or in the
                           aggregate, a Material Adverse Effect; and

                                (vi) the execution and delivery by the Company
                           of this Agreement and the Indentures and the issuance
                           and sale of the Securities to you as contemplated
                           thereby and the performance of its obligations
                           pursuant to this Agreement and the Indentures will
                           not conflict with or result in a breach or violation
                           of any of the terms or provisions of, or constitute a
                           default (with the passage of time or otherwise)
                           under, or result in the imposition of a Lien on any
                           properties of the Company or any of its Subsidiaries
                           or an acceleration of indebtedness pursuant to any of
                           the agreements listed on a schedule attached to such

                                                     - 18 -

<PAGE>

                           counsel's opinion, where, in any such instance, such
                           breach, default, Lien, acceleration of indebtedness
                           or conflict could have, singly or in the aggregate, a
                           material adverse effect or a prospective material
                           adverse effect on the business, financial condition
                           or results of operations of the Company and its
                           Subsidiaries, taken as a whole.

                           (4) In giving their opinion required by subsection
                  (e)(3) of this Section 8, such counsel shall state that no
                  fact has come to the attention of such counsel that leads it
                  to believe that the descriptions of statutes, legal and
                  governmental proceedings, contracts and other documents and
                  regulatory matters described in the Offering Memorandum under
                  the captions set forth in subsection (e)(3)(i) of this Section
                  8 contained an untrue statement of a material fact or omitted
                  to state a material fact required to be stated therein or
                  necessary to make the statements therein, in light of the
                  circumstances under which they were made, not misleading.

                           (5) an opinion (satisfactory to you and Initial
                  Purchasers' Counsel), dated the Closing Date, of Woodburn and
                  Wedge, special Nevada counsel to the Company, to the effect
                  that:

                                 (i) the Company has the corporate power and
                           authority to execute, deliver and perform this
                           Agreement and the Company has the corporate power and
                           authority to authorize, issue and sell the Securities
                           as contemplated by this Agreement;

                                (ii) this Agreement has been duly authorized,
                           executed and delivered by the Company, and the
                           Securities and the Indentures have been duly
                           authorized, executed and delivered by the Company;

                               (iii) the Company is a duly organized and validly
                           existing corporation in good standing under the laws
                           of the State of Nevada and has the requisite
                           corporate power and authority to own, lease and
                           operate its properties and to conduct its business as
                           described in the Offering Memorandum, and to execute
                           and deliver, and perform its obligations pursuant to,
                           the Indentures, the Securities and this Agreement;

                                (iv) no consent, approval, authorization, or
                           order of any Nevada governmental agency or body is
                           required, for the consummation by the Company of the
                           transactions contemplated by this Agreement in
                           connection with the issuance and sale of the
                           Securities;

                                 (v) the execution and delivery by the Company
                           of this Agreement and the Indentures, the issuance
                           and sale of the Securities to you as contemplated by
                           this Agreement and the performance of its obligations
                           pursuant to this Agreement, the Securities and the
                           Indentures will not conflict with or result in a
                           breach or violation of any of the terms or provision
                           of, or constitute a default under, (a) any of the
                           charter or bylaws of the Company, or (b) any existing
                           applicable statute, rule or regulation or any order
                           of any Nevada court or governmental agency or body
                           having jurisdiction over the Company or any of its
                           properties; provided that the opinion expressed in
                           clause (b) is limited to those statutes, rules or
                           regulations which, in the experience of such counsel,
                           are normally applicable to transactions of the type
                           contemplated by this Agreement in connection with the
                           issuance and sale of the Securities; and

                                (vi) in any action or proceeding arising out of
                           or relating to this Agreement or the Indentures in
                           any court of the State of Nevada or in any federal
                           court sitting in the state of Nevada, such court
                           would recognize and give effect to the provisions of
                           Section 11 of this Agreement and Section 9.10 of the
                           Indentures wherein the parties thereto agreed, to the

                                                     - 19 -

<PAGE>

                           extent therein stated, that each such document shall
                           be governed by and construed in accordance with the
                           internal laws of the State of New York.

                  (f) You shall have received an opinion, dated the Closing
         Date, of Sullivan & Cromwell, counsel for the Initial Purchasers, in
         form and substance reasonably satisfactory to you.

                  (g) You shall have received complete sets of all closing
         documents, including without limitation all opinions, required to be
         delivered under any of the other Operative Documents.

                  (h) You shall have received letters on and as of the date
         hereof as well as on and as of the Closing Date, in the latter case
         constituting an affirmation of the statements set forth in the earlier
         letters, in form and substance satisfactory to you, from KPMG Peat
         Marwick LLP, independent public accountants to the Company, with
         respect to the financial statements and certain financial information
         contained or incorporated by reference in the Offering Memorandum as
         you shall reasonably require.

                  (i) All corporate proceedings and other legal matters incident
         to the authorization, form and validity of this Agreement and the
         Offering Memorandum and all other legal matters relating to this
         Agreement and the transactions contemplated hereby shall be reasonably
         satisfactory to Sullivan & Cromwell.

                  (j) There shall have been no amendments, alterations,
         modifications, or waivers of any provisions of the Operative Documents
         since the date of the execution and delivery thereof by the parties
         thereto other than those which are disclosed in the Offering Memorandum
         or any supplement thereto or which under the Act are not required to be
         disclosed in the Offering Memorandum or any supplement thereto and
         which have been disclosed to the Initial Purchasers prior to the date
         hereof.

                  (k) On or before the Closing Date, the Initial Purchasers and
         Sullivan & Cromwell, counsel for the Initial Purchasers, shall have
         received such further documents, opinions, certificates and schedules
         or instruments relating to the business, corporate, legal and financial
         affairs of the Company and the Subsidiaries as they shall have
         reasonably requested prior to the date of this Agreement.

                  9. EFFECTIVE DATE OF AGREEMENT, DEFAULT AND TERMINATION. This
Agreement shall become effective upon the execution and delivery of this
Agreement by the parties hereto.

                  This Agreement may be terminated at any time on or prior to
the Closing Date by you by notice to the Company if any of the following has
occurred: (i) subsequent to the date of this Agreement, any Material Adverse
Change which, in your judgment, impairs the investment quality of the
Securities, (ii) any outbreak or escalation of hostilities or other national or
international calamity or crisis or material adverse change in the financial
markets of the United States or elsewhere, or any other substantial national or
international calamity or emergency if the effect of such outbreak, escalation,
calamity, crisis or emergency would, in your judgment make it impracticable or
inadvisable to market the Securities or to enforce contracts for the sale of the
Securities, (iii) any suspension or limitation of trading generally in
securities, or in any securities of the Company on the New York or American
Stock Exchanges, or the National Association of Securities Dealers Automated
Quotation National Market, or the over-the-counter markets or any setting of
minimum prices for trading on such exchanges or markets, (iv) any declaration of
a general banking moratorium by either Federal or New York authorities, (v) the
taking of any action by any Federal or state government or agency in respect of
its monetary or fiscal affairs that in your judgment has a material adverse
effect on the financial markets in the United States, and would, in your
judgment, make it impracticable or inadvisable to market the Securities or to
enforce contracts for the sale of the Securities, (vi) any securities of the
Company or any of its Subsidiaries shall have been downgraded or placed on any
"watch list" for possible downgrading or reviewed for a possible change that
does not indicate the direction of the possible change by any "nationally
recognized statistical rating organization," as such term is defined for
purposes of Rule 436(g)(2) of the Act, or (vii) the enactment, publication,
decree or other
                                     
                                     - 20 -

<PAGE>

promulgation of any Federal or state statute, regulation, or rule or order of 
any court or other governmental authority which in your judgment could 
reasonably be expected to have a Material Adverse Effect.

                  If this Agreement shall be terminated by you pursuant to 
clause (i), (vi) or, in the case of a statute, regulation, rule or order 
specifically addressing the Company, and not affecting the general hospital 
industry generally, (vii) of the second paragraph of this Section 9 or 
because of the failure or refusal on the part of the Company to comply with 
the terms or to fulfill any of the conditions of this Agreement, the Company 
agrees to reimburse you for all reasonable out-of-pocket expenses (including 
the reasonable fees and disbursements of counsel) incurred by you. 
Notwithstanding any termination of this Agreement, the Company shall be 
liable for all expenses which it has agreed to pay pursuant to Section 4(d) 
hereof. If this Agreement is terminated pursuant to this Section 9, such 
termination shall be without liability of any Initial Purchaser to the 
Company or any of its Subsidiaries.

                  If on the Closing Date any Initial Purchaser shall fail or 
refuse to purchase the securities which it has agreed to purchase hereunder 
on such date, and the aggregate principal amount of such Securities that such 
defaulting Initial Purchaser or Initial Purchasers, as the case may be, 
agreed but failed or refused to purchase does not exceed 20% of the total 
principal amount of such Securities to be purchased on such date by all 
Initial Purchasers, each non-defaulting Initial Purchaser shall be obligated 
severally, in the proportion which the amount of Securities set forth 
opposite its name in Schedule I and Schedule II, respectively, hereto bears 
to the aggregate principal amount of Securities which all the non-defaulting 
Initial Purchasers, as the case may be, have agreed to purchase, or in such 
other proportion as you (at your option) may specify, to purchase the 
Securities that such defaulting Initial Purchaser or Initial Purchasers, as 
the case may be, agreed but failed or refused to purchase on such date; 
PROVIDED that in no event shall the aggregate principal amount of Securities 
that any Initial Purchaser has agreed to purchase pursuant to Section 2 
hereof be increased pursuant to this Section 9 by an amount in excess of 
one-ninth of such principal amount of Securities without the written consent 
of such Initial Purchaser. If, on the Closing Date any of the Initial 
Purchasers shall fail or refuse to purchase the Securities, as the case may 
be, and the total principal amount of Securities with respect to which such 
default occurs exceeds 20% of the total amount of Securities to be purchased 
on such date by all Initial Purchasers and arrangements satisfactory to you 
and the Company for the purchase of such Securities are not made within 48 
hours after such default, this Agreement shall terminate without liability on 
the part of the non-defaulting Initial Purchaser and the Company, except as 
otherwise provided in this Section 9. In any such case that does not result 
in termination of this Agreement, either the non-defaulting Initial Purchaser 
or the Company may postpone the Closing Date for not longer than seven (7) 
days, in order that the required changes, if any, in the Offering Memorandum 
or any other documents or arrangements may be effected. Any action taken 
under this paragraph shall not relieve a defaulting Initial Purchaser from 
liability in respect of any default of any such Initial Purchaser under this 
Agreement.

                  10. NOTICES. Notices given pursuant to any provision of this
Agreement shall be addressed as follows: (a) if to the Company, to it at 3820
State Street, Santa Barbara, California 93105, Attention: Chief Financial
Officer, with copies to Attention: General Counsel and to Skadden, Arps, Slate,
Meagher & Flom, 300 South Grand Avenue, Suite 3400, Los Angeles, California
90071, Attention: Thomas C. Janson, Jr. and (b) if to any Initial Purchaser, to
Donaldson, Lufkin & Jenrette Securities Corporation, 277 Park Avenue, New York,
New York 10172, Attention: Syndicate Department, and, in each case, with a copy
to Sullivan & Cromwell, 444 South Flower Street, Suite 1200, Los Angeles,
California 90071, Attention: Alison S. Ressler, or in any case to such other
address as the person to be notified may have required in writing.

                  11. GOVERNING LAW.  THIS AGREEMENT SHALL BE GOVERNED BY AND 
CONSTRUED IN ACCORDANCE WITH THE INTERNAL LAWS OF THE STATE OF NEW YORK AS 
APPLIED TO CONTRACTS MADE AND PERFORMED ENTIRELY WITHIN THE STATE OF NEW 
YORK, WITHOUT REGARD TO PRINCIPLES OF CONFLICTS OF LAW. THE COMPANY HEREBY 
IRREVOCABLY SUBMITS TO THE EXCLUSIVE JURISDICTION OF THE FEDERAL AND NEW YORK 
STATE COURTS LOCATED IN THE CITY OF NEW YORK IN CONNECTION WITH ANY SUIT, 
ACTION OR PROCEEDING RELATED TO THIS AGREEMENT OR ANY OF THE MATTERS 
CONTEMPLATED HEREBY, IRREVOCABLY WAIVES ANY DEFENSE OF LACK OF PERSONAL 
JURISDICTION AND IRREVOCABLY AGREES THAT ALL CLAIMS IN

                                                  - 21 -

<PAGE>


RESPECT OF ANY SUCH SUIT, ACTION OR PROCEEDING MAY BE HEARD AND DETERMINED IN 
ANY SUCH COURT. THE COMPANY IRREVOCABLY WAIVES, TO THE FULLEST EXTENT IT MAY 
EFFECTIVELY DO SO UNDER APPLICABLE LAW, ANY OBJECTION WHICH IT MAY NOW OR 
HEREAFTER HAVE TO THE LAYING OF VENUE OF ANY SUCH SUIT, ACTION OR PROCEEDING 
BROUGHT IN ANY SUCH COURT AND ANY CLAIM THAT ANY SUCH SUIT, ACTION OR 
PROCEEDING BROUGHT IN ANY SUCH COURT HAS BEEN BROUGHT IN AN INCONVENIENT 
FORUM.

                  12. SEVERABILITY.  Any determination that any provision of 
this Agreement may be, or is, unenforceable shall not affect the 
enforceability of the remainder of this Agreement.

                  13. SUCCESSORS. Except as otherwise provided, this Agreement
has been and is made solely for the benefit of and shall be binding upon the
Company, the Initial Purchasers, any Indemnified Person referred to herein and
their respective successors and assigns, all as and to the extent provided in
this Agreement, and no other person shall acquire or have any right under or by
virtue of this Agreement. The terms "successors and assigns" shall not include a
purchaser of any of the Securities from any of the Initial Purchasers merely
because of such purchase.

                  14. CERTAIN DEFINITIONS. For purposes of this Agreement, 
(a) "business day" means any day on which the NYSE is open for trading and 
(b) "subsidiary" has the meaning set forth in Rule 405 under the Act.

                  15. COUNTERPARTS. This Agreement may be executed in one or 
more counterparts and, if executed in one or more counterparts, the executed 
counterparts shall each be deemed to be an original, not all such 
counterparts shall together constitute one and the same instrument.

                  16. HEADINGS.  The headings herein are inserted for 
convenience of reference only and are not intended to be part of, or to 
affect the meaning or interpretation of, this Agreement.

                  17. SURVIVAL. The indemnities and contribution provisions 
and the other agreements, representations and warranties of the Company, its 
officers and directors and of the Initial Purchasers set forth in or made 
pursuant to this Agreement shall remain operative and in full force and 
effect, and will survive delivery of and payment for the Securities, 
regardless of (i) any investigation, or statement as to the results thereof, 
made by or on behalf of any of the Initial Purchasers or by or on behalf of 
the Company, the officers or directors of the Company or any controlling 
person of the Company, (ii) acceptance of the Securities and payment for them 
hereunder and (iii) termination of this Agreement.

                                     - 22 -

<PAGE>

     This Agreement may be signed in various counterparts which together 
shall constitute one and the same instrument. Please confirm that the 
foregoing correctly sets forth the agreement among the Company and you.

                                         Very truly yours,

                                         TENET HEALTHCARE CORPORATION

                                         By: /s/ STEPHEN D. FARBER
                                            ---------------------------------
                                            Name:    Stephen D. Farber
                                            Title:   Vice President

The foregoing Purchase Agreement 
is hereby confirmed and accepted as of 
the date first above written.

DONALDSON, LUFKIN & JENRETTE
  SECURITIES CORPORATION

By: /s/ DAVID L. DENNIS
   -------------------------------------
   Name:     David L. Dennis
   Title:    Managing Director

MERRILL LYNCH, PIERCE, FENNER & SMITH INCORPORATED

By: /s/ JAMES F. FLAHERTY III
   -------------------------------------
   Name:     James F. Flaherty III
   Title:    Managing Director Investment Banking


                                       
                                    - 23 -

<PAGE>

J.P. MORGAN SECURITIES INC.

By: /s/ DAVID H. DEMING
   --------------------------------------
   Name:     David H. Deming
   Title:    Managing Director

MORGAN STANLEY & CO. INCORPORATED

By: /s/ CHARLES DITLOFF
   ---------------------------------------
   Name:     Charles Ditloff
   Title:    Principal

SALOMON BROTHERS INC

By: /s/ GRAEME A. GILFILLAN
   ---------------------------------------
   Name:     Graeme A. Gilfillan
   Title:    Managing Director


DEUTSCHE MORGAN GRENFELL INC.

By: /s/ STEVE WARDEN
   ---------------------------------------
   Name:     Steve Warden
   Title:    Managing Director


By: /s/ LAIN STEWART
   ---------------------------------------
   Name:     Lain Stewart
   Title:    Vice President


                                       
                                    - 24 -

<PAGE>

BANCAMERICA ROBERTSON STEPHENS

By: /s/ JOHN MULRY
   ---------------------------------------
   Name:     John Mulry
   Title:    Managing Director





                                    - 25 -

<PAGE>


                                  SCHEDULE I

<TABLE>
<CAPTION>
                                                                               PRINCIPAL          PERCENTAGE
INITIAL PURCHASER                                                                AMOUNT            OF TOTAL
<S>                                                                           <C>                 <C>
 
Donaldson, Lufkin & Jenrette Securities Corporation ...................       $175,000,000          50.0%

Merrill Lynch, Pierce, Fenner & Smith Incorporated.....................       $ 52,500,000          15.0%

J.P. Morgan Securities Inc.............................................       $ 35,000,000          10.0%

Morgan Stanley & Co. Incorporated......................................       $ 26,250,000           7.5%

Salomon Brothers Inc ..................................................       $ 26,250,000           7.5%

Deutsche Morgan Grenfell Inc...........................................       $ 17,500,000           5.0%

BancAmerica Robertson Stephens.........................................       $ 17,500,000           5.0%
                                                                           ------------------    ------------------
                  Total................................................       $300,000,000          100.0%
                                                                           ==================    ==================

</TABLE>



                                       I-1

<PAGE>

                                   SCHEDULE II

<TABLE>
<CAPTION>

                                                                                PRINCIPAL           PERCENTAGE
INITIAL PURCHASER                                                                AMOUNT              OF TOTAL

<S>                                                                            <C>                 <C> 
Donaldson, Lufkin & Jenrette Securities Corporation....................         $500,000,000            50.0%

Merrill Lynch, Pierce, Fenner & Smith Incorporated.....................         $150,000,000            15.0%

J.P. Morgan Securities Inc.............................................         $100,000,000            10.0%

Morgan Stanley & Co. Incorporated......................................         $100,000,000            10.0%

Salomon Brothers Inc...................................................         $100,000,000            10.0%

Deutsche Morgan Grenfell Inc...........................................         $ 50,000,000             5.0%
                                                                           ------------------      ------------------
                   Total...............................................        $1,000,000,000          100.0%
                                                                           ==================      ==================

</TABLE>


                                      III-1


<PAGE>

                                    EXHIBIT A

                      FORM OF REGISTRATION RIGHTS AGREEMENT








                                      III-2




<PAGE>

                                                                   EXHIBIT 4.5 
                                  A/B EXCHANGE
                          REGISTRATION RIGHTS AGREEMENT

                            Dated as of May 21, 1998
                                  by and among

                          Tenet Healthcare Corporation

                                       and

               Donaldson, Lufkin & Jenrette Securities Corporation
               Merrill Lynch, Pierce, Fenner & Smith Incorporated
                           J.P. Morgan Securities Inc.
                        Morgan Stanley & Co. Incorporated
                              Salomon Brothers Inc
                          Deutsche Morgan Grenfell Inc.
                                       and
                         BancAmerica Robertson Stephens

- -------------------------------------------------------------------------------

<PAGE>

         This Registration Rights Agreement (this "AGREEMENT") is made and 
entered into as of May 21, 1998, by and among Tenet Healthcare Corporation, a 
Nevada corporation (the "COMPANY"), and Donaldson, Lufkin & Jenrette 
Securities Corporation ("DLJ"), Merrill Lynch, Pierce, Fenner & Smith 
Incorporated, J.P. Morgan Securities Inc., Morgan Stanley & Co. Incorporated, 
Salomon Brothers Inc, Deutsche Morgan Grenfell Inc. (collectively, the 
"SENIOR INITIAL PURCHASERS") and BancAmerica Robertson Stephens 
(collectively, with the Senior Initial Purchasers the "INITIAL PURCHASERS"). 
Each of the Senior Initial Purchasers has agreed to purchase the Company's 
7-5/8% Senior Notes due 2008 and each of the Initial Purchasers has agreed to 
purchase the Company's 8-1/8% Senior Subordinated Notes due 2008 (together 
with the 7-5/8% Senior Notes due 2008, the "SERIES A NOTES") pursuant to the 
Purchase Agreement (as defined below).

         This Agreement is made pursuant to the Purchase Agreement, dated May 
8, 1998, and the letter agreement, dated May 21, 1998 (together, the 
"PURCHASE AGREEMENT"), by and among the Company and the Initial Purchasers. 
In order to induce the Initial Purchasers to purchase the Series A Notes, the 
Company has agreed to provide the registration rights set forth in this 
Agreement. The execution and delivery of this Agreement is a condition to the 
obligations of the Initial Purchasers set forth in Section 2 of the Purchase 
Agreement. Capitalized terms used herein and not otherwise defined shall have 
the meaning assigned to them in the Senior Note Indenture, dated as of May 
21, 1998, between the Company and the Bank of New York, as Trustee, and the 
Senior Subordinated Note Indenture, dated as of May 21, 1998, between the 
Company and The Bank of New York, as Trustee (the "INDENTURES"), relating to 
the Series A Notes and the Series B Notes (as defined below).

         The parties hereby agree as follows:

SECTION 1.   DEFINITIONS

         As used in this Agreement, the following capitalized terms shall 
have the following meanings:

         ACT:  The Securities Act of 1933, as amended.

         AFFILIATE:  As defined in Rule 144 of the Act.

         BROKER-DEALER:  Any broker or dealer registered under the Exchange 
Act.

         CLOSING DATE:  The date hereof.

         COMMISSION:  The Securities and Exchange Commission.

         CONSUMMATE: An Exchange Offer shall be deemed "Consummated" for 
purposes of this Agreement upon the occurrence of (a) the filing and 
effectiveness under the Act of the Exchange Offer Registration Statement 
relating to the Series B Notes to be issued in the Exchange Offer, (b) the 
maintenance of such Exchange Offer Registration Statement continuously 
effective and the keeping of the Exchange Offer open for a period not less 
than the period required pursuant to Section 3(b) hereof and (c) the delivery 
by the Company to the Registrar under the Indentures of Series B

<PAGE>

Notes in the same aggregate principal amount as the aggregate principal 
amount of Series A Notes tendered by Holders thereof pursuant to the Exchange 
Offer.

         CONSUMMATION DEADLINE:  As defined in Section 3(b) hereof.

         CONTROLLING PERSON:  As defined in Section 8(a) hereof.

         EFFECTIVENESS DEADLINE:  As defined in Section 3(a) and 4(a) hereof.

         EXCHANGE ACT:  The Securities Exchange Act of 1934, as amended.

         EXCHANGE OFFER: The exchange and issuance by the Company of a 
principal amount of Series B Notes (which shall be registered pursuant to the 
Exchange Offer Registration Statement) equal to the outstanding principal 
amount of Series A Notes that are tendered by Holders in connection with such 
exchange and issuance.

         EXCHANGE OFFER REGISTRATION STATEMENT:  The Registration Statement 
relating to the Exchange Offer, including the related Prospectus.

         EXEMPT RESALES: The transactions in which the Initial Purchasers
propose to sell the Series A Notes to certain "qualified institutional buyers,"
as such term is defined in Rule 144A under the Act, and pursuant to Regulation S
under the Act.

         FILING DATE:  As defined in Section 3(a) hereof.

         FILING DEADLINE:  As defined in Sections 3(a) and 4(a) hereof.

         HOLDERS:  As defined in Section 2 hereof.

         INDEMNIFIED PERSON:  As defined in Section 8(a) hereof.

         LIABILITIES:  As defined in Section 8(a) hereof.

         OFFERING MEMORANDUM:  As defined in Section 8(a) hereof.

         PRELIMINARY OFFERING MEMORANDUM:  As defined in Section 8(a) hereof.

         PROSPECTUS: The prospectus included in a Registration Statement at 
the time such Registration Statement is declared effective, as amended or 
supplemented by any prospectus supplement and by all other amendments 
thereto, including post-effective amendments, and all material incorporated 
by reference into such Prospectus.

         RECOMMENCEMENT DATE:  As defined in Section 6(d) hereof.

         REGISTRATION DEFAULT:  As defined in Section 5 hereof.
                                       
                                      -2-

<PAGE>


         REGISTRATION STATEMENT: Any registration statement of the Company 
relating to (a) an offering of Series B Notes pursuant to an Exchange Offer 
or (b) the registration for resale of Transfer Restricted Securities pursuant 
to the Shelf Registration Statement, in each case, (i) that is filed pursuant 
to the provisions of this Agreement and (ii) including the Prospectus 
included therein, all amendments and supplements thereto (including 
post-effective amendments) and all exhibits and material incorporated by 
reference therein.

         REGULATION S:  Regulation S promulgated under the Act.

         RULE 144:  Rule 144 promulgated under the Act.

         SERIES B NOTES:  The Company's 7-5/8% Senior Notes due 2008 and 
8-1/8% Senior Subordinated Notes due 2008 to be issued pursuant to the 
Indentures: (i) in the Exchange Offer or (ii) as contemplated by Section 4 
hereof.

         SHELF REGISTRATION STATEMENT:  As defined in Section 4 hereof.

         SUSPENSION NOTICE:  As defined in Section 6(d) hereof.

         TIA:  The Trust Indenture Act of 1939 (15 U.S.C. Section 
77aaa-77bbbb) as in effect on the date of the Indentures.

         TRANSFER RESTRICTED SECURITIES: Each Series A Note, until the 
earliest to occur of (a) the date on which such Series A Note is exchanged in 
the Exchange Offer for a Series B Note which is entitled to be resold to the 
public by the Holder thereof without complying with the prospectus delivery 
requirements of the Act, (b) the date on which such Series A Note has been 
disposed of in accordance with a Shelf Registration Statement (and the 
purchasers thereof have been issued Series B Notes), or (c) the date on which 
such Series A Note may be resold to the public pursuant to Rule 144 (k) under 
the Act and each Series B Note until the date on which such Series B Note is 
disposed of by a Broker-Dealer pursuant to the "Plan of Distribution" 
contemplated by the Exchange Offer Registration Statement (including the 
delivery of the Prospectus contained therein).

SECTION 2.  HOLDERS

         A Person is deemed to be a holder of Transfer Restricted Securities
(each, a "HOLDER") whenever such Person owns Transfer Restricted Securities.

SECTION 3.  REGISTERED EXCHANGE OFFER

         (a) Unless the Exchange Offer shall not be permitted by applicable 
federal law (after the procedures set forth in Section 6(a)(i) below have 
been complied with), the Company shall (i) cause the Exchange Offer 
Registration Statement to be filed with the Commission as soon as practicable 
after the date of the filing (the "FILING DATE") of the Company's Annual 
Report on Form 10-K for the year ending May 31, 1998, but in no event later 
than 30 days after the Filing Date (such 30th day being the "FILING 
DEADLINE"), (ii) use its commercially reasonable efforts to cause such 
Exchange Offer Registration Statement to become effective at the earliest 
possible time, but in no
                                       
                                      -3-


<PAGE>

event later than 90 days after the Filing Date (such 90th day being the 
"EFFECTIVENESS DEADLINE"), (iii) in connection with the foregoing, (A) file 
all pre-effective amendments to such Exchange Offer Registration Statement as 
may be necessary in order to cause it to become effective and (B) cause all 
necessary filings, if any, in connection with the registration and 
qualification of the Series B Notes to be made under the Blue Sky laws of 
such jurisdictions as are necessary to permit Consummation of the Exchange 
Offer, and (iv) upon the effectiveness of such Exchange Offer Registration 
Statement, use its commercially reasonable efforts to commence and Consummate 
the Exchange Offer. The Exchange Offer shall be on the appropriate form 
permitting (i) registration of the Series B Notes to be offered in exchange 
for the Series A Notes that are Transfer Restricted Securities and (ii) 
resales of Series B Notes by Broker-Dealers that tendered into the Exchange 
Offer Series A Notes that such Broker-Dealer acquired for its own account as 
a result of market making activities or other trading activities (other than 
Series A Notes acquired directly from the Company or any of its Affiliates) 
as contemplated by Section 3(c) below.

         (b) The Company shall use its commercially reasonable efforts to 
cause the Exchange Offer Registration Statement to be effective continuously, 
and shall keep the Exchange Offer open for a period of not less than the 
minimum period required under applicable federal and state securities laws to 
Consummate the Exchange Offer; PROVIDED, HOWEVER, that in no event shall such 
period be less than 20 Business Days. The Company shall cause the Exchange 
Offer to comply with all applicable federal and state securities laws. No 
securities other than the Series B Notes shall be included in the Exchange 
Offer Registration Statement. The Company shall use its commercially 
reasonable efforts to cause the Exchange Offer to be Consummated on the 
earliest practicable date after the Exchange Offer Registration Statement has 
become effective, but in no event later than 30 business days thereafter 
(such 30th day being the "CONSUMMATION DEADLINE").

         (c) The Company shall include a "Plan of Distribution" section in 
the Prospectus contained in the Exchange Offer Registration Statement and 
indicate therein that any Broker-Dealer who holds Transfer Restricted 
Securities that were acquired for the account of such Broker-Dealer as a 
result of market-making activities or other trading activities (other than 
Series A Notes acquired directly from the Company or any Affiliate of the 
Company), may exchange such Transfer Restricted Securities pursuant to the 
Exchange Offer. Such "Plan of Distribution" section shall also contain all 
other information with respect to such sales by such Broker-Dealers that the 
Commission may require in order to permit such sales pursuant thereto, but 
such "Plan of Distribution" shall not name any such Broker-Dealer or disclose 
the amount of Transfer Restricted Securities held by any such Broker-Dealer, 
except to the extent required by the Commission as a result of a change in 
policy, rules or regulations after the date of this Agreement.

         Because such Broker-Dealer may be deemed to be an "underwriter" 
within the meaning of the Act and must, therefore, deliver a prospectus 
meeting the requirements of the Act in connection with its initial sale of 
any Series B Notes received by such Broker-Dealer in the Exchange Offer, the 
Company shall permit the use of the Prospectus contained in the Exchange 
Offer Registration Statement by such Broker-Dealer to satisfy such prospectus 
delivery requirement. To the extent necessary to ensure that the Prospectus 
contained in the Exchange Offer Registration Statement is available for sales 
of Series B Notes by Broker-Dealers, the Company agrees to use its 
commercially reasonable efforts to keep the Exchange Offer Registration 
Statement continuously effective, supplemented, amended and current as 
required by and subject to the provisions of Section 6(a) and 
                                       
                                      -4-


<PAGE>

(c) hereof and in conformity with the requirements of this Agreement, the Act 
and the policies, rules and regulations of the Commission as announced from 
time to time, for a period of 180 days from the Consummation Deadline or such 
shorter period as will terminate when all Transfer Restricted Securities 
covered by such Registration Statement have been sold pursuant thereto. The 
Company shall provide sufficient copies of the latest version of such 
Prospectus to such Broker-Dealers, promptly upon request, and in no event 
later than one business day after such request, at any time during such 
period.

SECTION 4.  SHELF REGISTRATION

         (a) SHELF REGISTRATION. If (i) the Exchange Offer is not permitted 
by applicable law (after the Company has complied with the procedures set 
forth in Section 6(a)(i) below) or (ii) if any Holder of Transfer Restricted 
Securities shall notify the Company within 20 Business Days following the 
Consummation Deadline that (A) such Holder was prohibited by law or 
Commission policy from participating in the Exchange Offer or (B) such Holder 
may not resell the Series B Notes acquired by it in the Exchange Offer to the 
public without delivering a prospectus and the Prospectus contained in the 
Exchange Offer Registration Statement is not appropriate or available for 
such resales by such Holder or (C) such Holder is a Broker-Dealer and holds 
Series A Notes acquired directly from the Company or any of its Affiliates, 
then the Company shall:

                  (x) cause to be filed, on or prior to 30 days after the
         earlier of (i) the date on which the Company determines that the
         Exchange Offer Registration Statement cannot be filed as a result of
         clause (a)(i) above and (ii) the

         date on which the Company receives the notice specified in clause
         (a)(ii) above, (such earlier date, the "FILING DEADLINE"), a shelf
         registration statement pursuant to Rule 415 under the Act (which may 
         be an amendment to the Exchange Offer Registration Statement (the 
         "SHELF REGISTRATION STATEMENT")), relating to all Transfer Restricted
         Securities, and

                  (y) shall use its commercially reasonable efforts to cause
         such Shelf Registration Statement to become effective on or prior to 
         60 days after the Filing Deadline for the Shelf Registration Statement
         (such 60th day, the "EFFECTIVENESS DEADLINE").

         If, after the Company has filed an Exchange Offer Registration 
Statement that satisfies the requirements of Section 3(a) above, the Company 
is required to file and make effective a Shelf Registration Statement solely 
because the Exchange Offer is not permitted under applicable federal law 
(i.e., clause (a)(i) above), then the filing of the Exchange Offer 
Registration Statement shall be deemed to satisfy the requirements of clause 
(x) above; PROVIDED that, in such event, the Company shall remain obligated 
to meet the Effectiveness Deadline set forth in clause (y).

         To the extent necessary to ensure that the Shelf Registration 
Statement is available for sales of Transfer Restricted Securities by the 
Holders thereof entitled to the benefit of this Section 4(a) and the other 
securities required to be registered therein pursuant to Section 6(b)(ii) 
hereof, the Company shall use its commercially reasonable efforts to keep any 
Shelf Registration Statement required by this Section 4(a) continuously 
effective, supplemented, amended and current as required by and subject to 
the provisions of Sections 6(b) and (c) hereof and in conformity with the 
requirements of this Agreement, the Act and the policies, rules and 
regulations of the Commission as announced from 
                                       
                                      -5-


<PAGE>

time to time, for a period of at least two years (as extended pursuant to 
Section 6(c)(i)) following the Closing Date, or such shorter period as will 
terminate when all Transfer Restricted Securities covered by such Shelf 
Registration Statement have been sold pursuant thereto.

         (b)  PROVISION BY HOLDERS OF CERTAIN INFORMATION IN CONNECTION WITH 
THE SHELF REGISTRATION STATEMENT.  No Holder of Transfer Restricted 
Securities may include any of its Transfer Restricted Securities in any Shelf 
Registration Statement pursuant to this Agreement unless and until such 
Holder furnishes to the Company in writing, within 20 days after receipt of a 
request therefor, the information specified in Item 507 or 508 of Regulation 
S-K, as applicable, of the Act for use in connection with any Shelf 
Registration Statement or Prospectus or preliminary Prospectus included 
therein and such other information as the Company may reasonably request. No 
Holder of Transfer Restricted Securities shall be entitled to liquidated 
damages pursuant to Section 5 hereof unless and until such Holder shall have 
provided all such information. Each selling Holder agrees to promptly furnish 
additional information required to be disclosed in order to make the 
information previously furnished to the Company by such Holder not materially 
misleading.

SECTION 5.  LIQUIDATED DAMAGES

         If (i) any Registration Statement required by this Agreement is not 
filed with the Commission on or prior to the applicable Filing Deadline, (ii) 
any such Registration Statement has not been declared effective by the 
Commission on or prior to the applicable Effectiveness Deadline, (iii) the 
Exchange Offer has not been Consummated on or prior to the Consummation 
Deadline or (iv) any Registration Statement required by this Agreement is 
filed and declared effective but shall thereafter cease to be effective or 
fail to be usable for its intended purpose without being succeeded by a 
post-effective amendment or a Prospectus supplement to such Registration 
Statement that cures such failure and that is itself declared effective 
promptly (each such event referred to in clauses (i) through (iv), a 
"REGISTRATION DEFAULT"), then the Company hereby agrees to pay to each Holder 
of Transfer Restricted Securities affected thereby liquidated damages in an 
amount equal to $.05 per week per $1,000 in principal amount of Transfer 
Restricted Securities held by such Holder for each week or portion thereof 
that the Registration Default continues for the first 90-day period 
immediately following the occurrence of such Registration Default. The amount 
of the liquidated damages shall increase by an additional $.05 per week per 
$1,000 in principal amount of Transfer Restricted Securities with respect to 
each subsequent 90-day period until all Registration Defaults have been 
cured, up to a maximum amount of liquidated damages of $.35 per week per 
$1,000 in principal amount of Transfer Restricted Securities; PROVIDED that 
the Company shall in no event be required to pay liquidated damages for more 
than one Registration Default at any given time. Notwithstanding anything to 
the contrary set forth herein, (1) upon filing of the Exchange Offer 
Registration Statement (and/or, if applicable, the Shelf Registration 
Statement), in the case of (i) above, (2) upon the effectiveness of the 
Exchange Offer Registration Statement (and/or, if applicable, the Shelf 
Registration Statement), in the case of (ii) above, (3) upon Consummation of 
the Exchange Offer, in the case of (iii) above, or (4) upon the filing of a 
post-effective amendment to the Registration Statement or an additional 
Registration Statement that causes the Exchange Offer Registration Statement 
(and/or, if applicable, the Shelf Registration Statement) to again be 
declared effective or made usable in the case of (iv) above, the liquidated 
damages payable with respect to the Transfer Restricted Securities as a 
result of such clause (i), (ii), (iii) or (iv), as applicable, shall cease.
                                       
                                      -6-

<PAGE>

         All accrued liquidated damages shall be paid to the Holders entitled 
thereto, in the manner provided for the payment of interest in the Indenture, 
on each Interest Payment Date, as more fully set forth in the Indentures and 
the Series A Notes. Notwithstanding the fact that any securities for which 
liquidated damages are due cease to be Transfer Restricted Securities, all 
obligations of the Company to pay liquidated damages with respect to such 
securities shall survive until such time as such obligations with respect to 
such securities shall have been satisfied in full.

SECTION 6.   REGISTRATION PROCEDURES

         (a) EXCHANGE OFFER REGISTRATION STATEMENT. In connection with the 
Exchange Offer, the Company shall (x) comply with all applicable provisions 
of Section 6(c) below, (y) use its commercially reasonable efforts to effect 
such exchange and to permit the resale of Series B Notes by Broker-Dealers 
that tendered, in the Exchange Offer, Series A Notes that such Broker-Dealer 
acquired for its own account as a result of its market making activities or 
other trading activities (other than Series A Notes acquired directly from 
the Company or any of its Affiliates) being sold in accordance with the 
intended method or methods of distribution thereof, and (z) comply with all 
of the following provisions:

                  (i) If, following the date hereof there has been announced a
         change in Commission policy with respect to exchange offers such as the
         Exchange Offer, that in the reasonable opinion of counsel to the
         Company raises a substantial question as to whether the Exchange Offer
         is permitted by applicable federal law, the Company hereby agrees to
         seek a no-action letter or other favorable decision from the Commission
         allowing the Company to Consummate an Exchange Offer for such Transfer
         Restricted Securities. In connection with the foregoing, the Company
         hereby agrees, if commercially reasonable, to take all such other
         actions as may be requested by the Commission or otherwise required in
         connection with the issuance of such decision, including without
         limitation (A) participating in telephonic conferences with the
         Commission, (B) delivering to the Commission staff an analysis prepared
         by counsel to the Company setting forth the legal bases, if any, upon
         which such counsel has concluded that such an Exchange Offer should be
         permitted and (C) diligently pursuing a resolution (which need not be
         favorable) by the Commission staff.

                  (ii) As a condition to its participation in the Exchange
         Offer, each Holder of Transfer Restricted Securities (including,
         without limitation, any Holder who is a Broker Dealer) shall furnish, 
         upon the request of the Company, prior to the Consummation of the 
         Exchange Offer, a written representation to the Company (which may be 
         contained in the letter of transmittal contemplated by the Exchange 
         Offer Registration Statement) to the effect that (A) it is not an 
         Affiliate of the Company, (B) it is not engaged in, and does not 
         intend to engage in, and has no arrangement or understanding with any 
         person to participate in, a distribution of the Series B Notes to be 
         issued in the Exchange Offer and (C) it is acquiring the Series B 
         Notes in its ordinary course of business. Each Holder using the 
         Exchange Offer to participate in a distribution of the Series B Notes 
         hereby acknowledges and agrees that, if the resales are of Series B 
         Notes obtained by such Holder in exchange for Series A Notes acquired 
         directly from the Company or an Affiliate thereof, it (1) could not, 
         under Commission policy as in effect on the date of this Agreement, 
         rely on the position of the Commission enunciated in MORGAN STANLEY 
         AND CO. INC. (available June 5, 1991) and 
                                       
                                      -7-


<PAGE>

         EXXON CAPITAL HOLDINGS CORPORATION (available May 13, 1988), as 
         interpreted in the Commission's letter to SHEARMAN & STERLING dated 
         July 2, 1993, and similar no-action letters (including, if 
         applicable, any no-action letter obtained pursuant to clause (i) 
         above), and (2) must comply with the registration and prospectus 
         delivery requirements of the Act in connection with a secondary 
         resale transaction and that such a secondary resale transaction must 
         be covered by an effective registration statement containing the 
         selling security holder information required by Item 507 or 508, as 
         applicable, of Regulation S-K.

                  (iii) Prior to effectiveness of the Exchange Offer
         Registration Statement, the Company shall provide a supplemental 
         letter to the Commission (A) stating that the Company is registering 
         the Exchange Offer in reliance on the position of the Commission 
         enunciated in EXXON CAPITAL HOLDINGS CORPORATION (available May 13, 
         1988), MORGAN STANLEY AND CO. Inc. (available June 5, 1991) as 
         interpreted in the Commission's letter to SHEARMAN & STERLING dated 
         July 2, 1993, and, if applicable, any no-action letter obtained 
         pursuant to clause (i) above, (B) including a representation that 
         the Company has not entered into any arrangement or understanding 
         with any Person to distribute the Series B Notes to be received in 
         the Exchange Offer and that, to the best of the Company's 
         information and belief, each Holder participating in the Exchange 
         Offer is acquiring the Series B Notes in its ordinary course of 
         business and has no arrangement or understanding with any Person to 
         participate in the distribution of the Series B Notes received in 
         the Exchange Offer and (C) any other undertaking or representation 
         required by the Commission as set forth in any no-action letter 
         obtained pursuant to clause (i) above, if applicable.

         (b) SHELF REGISTRATION STATEMENT. In connection with the Shelf 
Registration Statement, if any, the Company shall (i) (x) comply with all the 
provisions of Section 6(c) below and (y) use its commercially reasonable 
efforts to effect such registration to permit the sale of the Transfer 
Restricted Securities being sold in accordance with the intended method or 
methods of distribution thereof (as indicated in the information furnished to 
the Company pursuant to Section 4(b) hereof), and pursuant thereto the 
Company will prepare and file with the Commission a Registration Statement 
relating to the registration on any appropriate form under the Act, which 
form shall be available for the sale of the Transfer Restricted Securities in 
accordance with the intended method or methods of distribution thereof within 
the time periods and otherwise in accordance with the provisions hereof; and

                  (ii) issue, subject to compliance with the applicable 
Indenture, upon the request of any Holder or purchaser of Series A Notes 
covered by any Shelf Registration Statement contemplated by this Agreement, 
Series B Notes having an aggregate principal amount equal to the aggregate 
principal amount of Series A Notes sold pursuant to the Shelf Registration 
Statement and surrendered to the Company for cancellation; the Company shall 
register Series B Notes on the Shelf Registration Statement for this purpose 
and issue the Series B Notes to the purchaser(s) of securities subject to the 
Shelf Registration Statement in the names as such purchaser(s) shall 
designate; PROVIDED, that the Holder shall pay any transfer taxes or other 
fees charged in connection with such registration of Series B Notes.

         (c) GENERAL PROVISIONS. In connection with any Registration 
Statement and any related Prospectus required by this Agreement, the Company 
shall:
                                       
                                      -8-


<PAGE>


                  (i) use its commercially reasonable efforts to keep such
         Registration Statement continuously effective and provide all requisite
         financial statements for the period specified in Section 3 or 4 of this
         Agreement, as applicable. Upon the occurrence of any event that would 
         cause any such Registration Statement or the Prospectus contained 
         therein (A) to contain an untrue statement of material fact or omit
         to state any material fact necessary to make the statements therein 
         not misleading or (B) not to be effective and usable for resale of 
         Transfer Restricted Securities during the period required by this
         Agreement, the Company shall use its commercially reasonable efforts
         to file promptly an appropriate amendment or Prospectus supplement
         to such Registration Statement curing such defect, and, if Commission 
         review is required, use its commercially reasonable efforts to cause
         such amendment to be declared effective as soon as practicable;

                  (ii) use its commercially reasonable efforts to prepare and
         file with the Commission such amendments and post-effective amendments
         to the applicable Registration Statement as may be necessary to keep
         such Registration Statement effective for the applicable period set
         forth in Section 3 or 4 hereof, as the case may be; cause the
         Prospectus to be supplemented by any required Prospectus supplement,
         and as so supplemented to be filed pursuant to Rule 424 under the Act,
         and to comply fully with Rules 424, 430A and 462, as applicable, under
         the Act in a timely manner; and comply with the provisions of the Act
         in connection with the disposition of all securities covered by such
         Registration Statement during the applicable period in accordance with
         the intended method or methods of distribution by the sellers thereof
         set forth in such Registration Statement or supplement to the
         Prospectus;

                  (iii) advise each Holder promptly and, if requested by such
         Holder, confirm such advice in writing, (A) when the Prospectus or any
         Prospectus supplement or post-effective amendment has been filed, and,
         with respect to any applicable Registration Statement or any
         post-effective amendment thereto, when the same has become effective,
         (B) of any request by the Commission for amendments to the Registration
         Statement or amendments or supplements to the Prospectus or for
         additional information relating thereto, (C) of the issuance by the
         Commission of any stop order suspending the effectiveness of the
         Registration Statement under the Act or of the suspension by any state
         securities commission of the qualification of the Transfer Restricted
         Securities for offering or sale in any jurisdiction, or the initiation
         of any proceeding for any of the preceding purposes, (D) of the
         existence of any fact or the happening of any event that makes any
         statement of a material fact made in the Registration Statement, the
         Prospectus, any amendment or supplement thereto or any document
         incorporated by reference therein untrue, or that requires the making
         of any additions to or changes in the Registration Statement in order
         to make the statements therein not misleading, or that requires the
         making of any additions to or changes in the Prospectus in order to
         make the statements therein, in the light of the circumstances under
         which they were made, not misleading. If at any time the Commission
         shall issue any stop order suspending the effectiveness of the
         Registration Statement, or any state securities commission or other
         regulatory authority shall issue an order suspending the qualification
         or exemption from qualification of the Transfer Restricted Securities
         under state securities 
                                       
                                      -9-


<PAGE>

         or Blue Sky laws, the Company shall use its commercially reasonable 
         efforts to obtain the withdrawal or lifting of such order at the 
         earliest possible time;

                  (iv) subject to Section 6(c)(i), if any fact or event
         contemplated by Section 6(c)(iii)(D) above shall exist or have
         occurred, use commercially reasonable efforts to prepare a supplement
         or post-effective amendment to the Registration Statement or related
         Prospectus or any document incorporated therein by reference or file
         any other required document so that, as thereafter delivered to the
         purchasers of Transfer Restricted Securities, the Prospectus will not
         contain an untrue statement of a material fact or omit to state any
         material fact necessary to make the statements therein, in the light of
         the circumstances under which they were made, not misleading;

                  (v) furnish to each Holder in connection with such exchange or
         sale, if any, before filing with the Commission, copies of any
         Registration Statement or any Prospectus included therein or any
         amendments or supplements to any such Registration Statement or
         Prospectus (including all documents incorporated by reference after the
         initial filing of such Registration Statement), which documents will be
         subject to the review and comment of such Holders in connection with
         such sale, if any, for a period of at least five Business Days if
         practicable, or such shorter time period as is practicable, and the
         Company will not file any such Registration Statement or Prospectus or
         any amendment or supplement to any such Registration Statement or
         Prospectus (including all such documents incorporated by reference) to
         which such Holders shall reasonably object within five Business Days
         after the receipt thereof. A Holder shall be deemed to have reasonably
         objected to such filing only if such Registration Statement, amendment,
         Prospectus or supplement, as applicable, as proposed to be filed,
         contains an untrue statement of a material fact or omits to state any
         material fact necessary to make the statements therein not misleading
         or fails to comply with the applicable requirements of the Act;

                  (vi) make available, at reasonable times, for inspection by
         one Holder designated by a majority of the Holders and any attorney or
         accountant retained by such Holders, all financial and other records,
         pertinent corporate documents of the Company and cause the Company's
         officers, directors and employees to supply all information reasonably
         requested by any such Holder, attorney or accountant in connection with
         such Registration Statement or any post-effective amendment thereto
         subsequent to the filing thereof and prior to its effectiveness;

                  (vii) if requested by any Holders in connection with such
         exchange or sale, promptly include in any Registration Statement or
         Prospectus, pursuant to a supplement or post-effective amendment if
         necessary, such information as such Holders may reasonably request to
         have included therein, including, without limitation, information
         relating to the "Plan of Distribution" of the Transfer Restricted
         Securities; PROVIDED, that the Company shall not be required to
         participate in a distribution of any derivative security by or on
         behalf of any Holder; and make all required filings of such Prospectus
         supplement or post-effective amendment as soon as practicable after the
         Company is notified of the matters to be included in such Prospectus
         supplement or post-effective amendment;
                                       
                                     -10-


<PAGE>

                  (viii) deliver to each Holder without charge, as many copies
         of the Prospectus (including each preliminary prospectus) and any
         amendment or supplement thereto as such Persons reasonably may request;
         the Company hereby consents to the use (in accordance with law) of the
         Prospectus and any amendment or supplement thereto by each selling
         Holder in connection with the offering and the sale of the Transfer
         Restricted Securities covered by the Prospectus or any amendment or
         supplement thereto;

                  (ix) upon the request of any Holder, enter into such
         commercially reasonable agreements (including underwriting agreements)
         and make such customary representations and warranties and take all
         such other commercially reasonable actions in connection therewith in
         order to expedite or facilitate the disposition of the Transfer
         Restricted Securities pursuant to any applicable Registration Statement
         contemplated by this Agreement as may be reasonably requested by any
         Holder in connection with any sale or resale pursuant to any applicable
         Registration Statement. In such connection, the Company shall:

                  (A) upon request of any Holder or underwriter of a resale of
         Series A Notes or Series B Notes, furnish (or in the case of paragraphs
         (2) and (3), use its commercially reasonable efforts to cause to be
         furnished) to each such Holder or underwriter upon the effectiveness of
         the Shelf Registration Statement:

                           (1) a certificate, dated such date, signed on behalf
                  of the Company by (x) the President or any Vice President and
                  (y) a principal financial or accounting officer of the
                  Company, confirming, as of the date thereof, the matters set
                  forth in Sections 8(a), 8(b) and 8(c) of the Purchase
                  Agreement and such other similar matters as such Holders may
                  reasonably request;

                           (2) an opinion, dated the date of Consummation of the
                  Exchange Offer or the date of effectiveness of the Shelf
                  Registration Statement, as the case may be, of counsel for the
                  Company covering matters similar to those set forth in
                  paragraph (e) of Section 8 of the Purchase Agreement and such
                  other matters as such Holder may reasonably request, and in
                  any event including a statement to the effect that such
                  counsel has participated in conferences with officers and
                  other representatives of the Company, representatives of the
                  independent public accountants for the Company and have
                  considered the matters required to be stated therein and the
                  statements contained therein, although such counsel has not
                  independently verified the exhibits to the Registration
                  Statement or the accuracy, completeness or fairness of such
                  statements; and that such counsel advises that, on the basis
                  of the foregoing, no facts came to such counsel's attention
                  that caused such counsel to believe that the applicable
                  Registration Statement, at the time such Registration
                  Statement or any post-effective amendment thereto became
                  effective and, in the case of the Exchange Offer Registration
                  Statement, as of the date of Consummation of the 
                                       
                                      -11-

<PAGE>

                  Exchange Offer, contained an untrue statement of a material 
                  fact or omitted to state a material fact required to be 
                  stated therein or necessary to make the statements therein 
                  not misleading, or that the Prospectus contained in such 
                  Registration Statement as of its date and, in the case of 
                  the opinion dated the date of Consummation of the Exchange 
                  Offer, as of the date of Consummation, contained an untrue 
                  statement of a material fact or omitted to state a material 
                  fact necessary in order to make the statements therein, in 
                  the light of the circumstances under which they were made, 
                  not misleading. Without limiting the foregoing, such 
                  counsel may state further that such counsel assumes no 
                  responsibility for, and has not independently verified, the 
                  exhibits to the Registration Statement or the accuracy, 
                  completeness or fairness of the financial statements, notes 
                  and schedules and other financial data included in any 
                  Registration Statement contemplated by this Agreement or the 
                  related Prospectus; and

                           (3) a customary comfort letter, dated the date of
                  Consummation of the Exchange Offer, or as of the date of
                  effectiveness of the Shelf Registration Statement, as the case
                  may be, from the Company's independent accountants, in the
                  customary form and covering matters of the type customarily
                  covered in comfort letters to underwriters in connection with
                  underwritten offerings, and affirming the matters set forth in
                  the comfort letters delivered pursuant to Section 8(h) of the
                  Purchase Agreement; and

                  (B) deliver such other documents and certificates as may be
         reasonably requested by the selling Holders to evidence compliance with
         the matters covered in clause (A) above and with any customary
         conditions contained in the any agreement entered into by the Company
         pursuant to this clause (ix);

                  (x) prior to any public offering of Transfer Restricted
         Securities, cooperate with the selling Holders and their counsel in
         connection with the registration and qualification of the Transfer
         Restricted Securities under the securities or Blue Sky laws of such
         jurisdictions as the selling Holders may request and do any and all
         other acts or things necessary or advisable to enable the disposition
         in such jurisdictions of the Transfer Restricted Securities covered by
         the applicable Registration Statement; PROVIDED, HOWEVER, that the
         Company shall not be required to register or qualify as a foreign
         corporation where it is not now so qualified or to take any action 
         that would subject it to the service of process in suits or to 
         taxation, other than as to matters and transactions relating to the
         Registration Statement, in any jurisdiction where it is not now so 
         subject;

                  (xi) in connection with any sale of Transfer Restricted
         Securities that will result in such securities no longer being Transfer
         Restricted Securities, cooperate with the Holders to facilitate the
         timely preparation and delivery of certificates representing Transfer
         Restricted Securities to be sold and not bearing any restrictive
         legends; and to register such Transfer Restricted Securities in such
         denominations and such names as the selling Holders may request at
         least two Business Days prior to such sale of Transfer Restricted
         Securities;

                  (xii) use its commercially reasonable efforts to cause the
         disposition of the Transfer Restricted Securities covered by the
         Registration Statement to be registered with or approved by such other
         governmental agencies or authorities as may be necessary to enable the
         seller or sellers thereof to consummate the disposition of such
         Transfer Restricted Securities, subject to the proviso contained in
         clause (x) above;
                                       
                                     -12-

<PAGE>
                  (xiii) provide a CUSIP number for all Transfer Restricted
         Securities not later than the effective date of a Registration
         Statement covering such Transfer Restricted Securities and provide the
         Trustee under the Indenture with typed certificates for the Transfer
         Restricted Securities which are in a form eligible for deposit with a
         custodian for the Depository Trust Company;
                  (xiv) otherwise use its commercially reasonable efforts to
         comply with all applicable rules and regulations of the Commission, and
         make generally available to its security holders with regard to any
         applicable Registration Statement, as soon as practicable, a
         consolidated earning statement meeting the requirements of Rule 158
         (which need not be audited) covering a twelve-month period beginning
         after the effective date of the Registration Statement (as such term is
         defined in paragraph (c) of Rule 158 under the Act); and

                  (xv) cause the Indentures to be qualified under the TIA not
         later than the effective date of the first Registration Statement
         required by this Agreement and, in connection therewith, cooperate with
         the Trustee and the Holders to effect such changes to the Indentures as
         may be required for such Indentures to be so qualified in accordance
         with the terms of the TIA; and execute and use its commercially
         reasonable efforts to cause the Trustee to execute, all documents that
         may be required to effect such changes and all other forms and
         documents required to be filed with the Commission to enable such
         Indentures to be so qualified in a timely manner.

         (d)     RESTRICTIONS ON HOLDERS. Each Holder agrees by acquisition 
of a Transfer Restricted Security that, upon receipt of the notice referred 
to in Section 6(c)(iii)(C) or any notice from the Company of the existence of 
any fact of the kind described in Section 6(c)(iii)(D) hereof (in each case, 
a "SUSPENSION NOTICE"), such Holder will forthwith discontinue disposition of 
Transfer Restricted Securities pursuant to the applicable Registration 
Statement until (i) such Holder has received copies of the supplemented or 
amended Prospectus contemplated by Section 6(c)(iv) hereof, or (ii) such 
Holder is advised in writing by the Company that the use of the Prospectus 
may be resumed, and has received copies of any additional or supplemental 
filings that are incorporated by reference in the Prospectus (in each case, 
the "RECOMMENCEMENT DATE"). Each Holder receiving a Suspension Notice hereby 
agrees that it will either (i) destroy any Prospectuses, other than permanent 
file copies, then in such Holder's possession which have been replaced by the 
Company with more recently dated Prospectuses or (ii) deliver to the Company 
(at the Company's expense) all copies, other than permanent file copies, then 
in such Holder's possession of the Prospectus covering such Transfer 
Restricted Securities that was current at the time of receipt of the 
Suspension Notice. The time period regarding the effectiveness of such 
Registration Statement set forth in Section 3 or 4 hereof, as applicable, 
shall be extended by a number of days equal to the number of days in the 
period from and including the date of delivery of the Suspension Notice to 
the date of delivery of the Recommencement Date.

SECTION 7.   REGISTRATION EXPENSES

      (a)    All expenses incident to the Company's performance of or 
compliance with this Agreement will be borne by the Company, regardless of 
whether a Registration Statement becomes

                                     -13-

<PAGE>

effective, including without limitation: (i) all registration and filing fees 
and expenses; (ii) all fees and expenses of compliance with federal 
securities and state Blue Sky or securities laws; (iii) all expenses of 
printing (including printing certificates for the Series B Notes to be issued 
in the Exchange Offer and printing of Prospectuses, messenger and delivery 
services and telephone; (iv) all reasonable fees and disbursements of counsel 
for the Company and the Holders of Transfer Restricted Securities; and (v) 
all fees and disbursements of independent certified public accountants of the 
Company (including the expenses of any special audit and comfort letters 
required by or incident to such performance).

         The Company will, in any event, bear its internal expenses 
(including, without limitation, all salaries and expenses of its officers and 
employees performing legal or accounting duties), the expenses of any annual 
audit and the fees and expenses of any Person, including special experts, 
retained by the Company.

         (b)     In connection with any Shelf Registration Statement required 
by this Agreement, the Company will reimburse the Holders of Transfer 
Restricted Securities who are selling or reselling Series A Notes or Series B 
Notes pursuant to the "Plan of Distribution" contained in the Shelf 
Registration Statement for the reasonable fees and disbursements of not more 
than one counsel, who shall be Sullivan & Cromwell, unless another firm shall 
be chosen by the Holders of a majority in principal amount of the Transfer 
Restricted Securities for whose benefit such Shelf Registration Statement is 
being prepared.

SECTION 8.  INDEMNIFICATION

            (1)     The Company agrees to indemnify and hold harmless (i) 
each of the Holders and their respective affiliates, (ii) each person, if 
any, who controls (within the meaning of Section 15 of the Act or Section 20 
of the Exchange Act) any of the Holders or any of their respective affiliates 
(any of the persons referred to in this clause (ii) being hereinafter 
referred to as a "Controlling Person"), and (iii) each of the respective 
officers, directors, partners, employees, representatives and agents of any 
of the Holders or any Controlling Person, and each of their respective 
officers, directors, partners, employees, representatives and agents (any 
person referred to in clause (i), (ii) or (iii) of this Section 8(a) may 
hereinafter be referred to as an "Indemnified Person") to the fullest extent 
lawful, from and against any and all losses, claims, damages, judgments, 
actions, costs, assessments, expenses and other liabilities (collectively, 
"Liabilities"), including without limitation and as incurred, reimbursement 
of all reasonable costs of investigating, preparing, pursuing or defending 
any claim or action, or any investigation or proceeding by any foreign, 
Federal, state or local authority, regulatory body, administrative agency, 
court or other governmental or quasi-governmental body, commenced or 
threatened, including the reasonable fees and expenses of counsel to any 
Indemnified Person, to the extent such Liabilities are directly or indirectly 
caused by, related to, based upon or arising out of, or in connection with, 
any untrue statement or alleged untrue statement of a material fact contained 
in any Registration Statement, preliminary prospectus or Prospectus (or any 
supplement or amendment thereto) provided by the Company to any Holder or 
prospective purchaser of Series B Notes or registered Series A Notes, or any 
omission or alleged omission to state therein a material fact required to be 
stated therein or necessary to make the statements therein not misleading, 
except insofar as such Liabilities are caused by any such untrue statement or 
omission or alleged untrue statement or omission that is (x) made

                                     -14-

<PAGE>

in reliance upon and in conformity with information relating to any of the 
Holders furnished in writing to the Company by or on behalf of a Holder 
expressly for use therein, or (y) with respect to the Holder from whom the 
person asserting the Liabilities purchased Transfer Restricted Securities, 
made in any Preliminary Prospectus if a copy of the Prospectus (as amended or 
supplemented, if the Company shall have furnished the Holders with such 
amendments or supplements thereto on a timely basis) was not delivered by or 
on behalf of such Holder to the person asserting the Liabilities, if required 
by law to have been so delivered by the Holder seeking indemnification, at or 
prior to the written confirmation of the sale of the Transfer Restricted 
Securities, and it shall be determined by a court of competent jurisdiction 
or binding mediation or arbitration tribunal, in a judgment or determination 
not subject to appeal or review, that the Prospectus (as so amended or 
supplemented) would have completely corrected such untrue statement or 
omission in all material respects. The foregoing indemnity shall be in 
addition to any liability that the Company might otherwise have to any of the 
Holders and such other Indemnified Persons. The Company shall notify you 
promptly after becoming aware of the institution, threat or assertion of any 
claim, proceeding (including any governmental investigation) or litigation in 
connection with the matters addressed by this Agreement which involves the 
Company or an Indemnified Person.

            (2)     In case any action or proceeding (for all purposes of 
this Section 8, including any governmental or quasi-governmental 
investigation) shall be brought or asserted against any of the Indemnified 
Persons with respect to which indemnity under this Section 8 may be sought 
against the Company, such Indemnified Person promptly shall notify the 
Company in writing and the Company shall assume the defense thereof, 
including the employment of counsel reasonably satisfactory to such 
Indemnified Person and payment of all reasonable fees and expenses; PROVIDED, 
that the delay or failure to give such notice shall not relieve the Company 
from any liability that it may have on account of the indemnity under this 
Section 8, except to the extent that such delay or omission materially 
adversely affects the ability of the Company to defend or assume the defense 
of such action or proceeding. Upon receiving such notice, the Company shall 
be entitled to participate in any such action or proceeding and/or to assume, 
at its sole expense, the defense thereof, with counsel reasonably 
satisfactory to such Indemnified Person (who shall not, except with the 
consent of the Indemnified Person to be represented, be counsel to the 
Company or any of the Subsidiaries) and, after written notice from the 
Company to such Indemnified Person of its election so to assume the defense 
thereof promptly after receipt of the notice from the Indemnified Person of 
such action or proceeding, the Company shall not be liable to such 
Indemnified Person hereunder for legal expenses of other counsel subsequently 
incurred by such Indemnified Person in connection with the defense thereof, 
other than reasonable costs of investigation, unless (i) the Company agrees 
in writing to pay such fees and expenses, or (ii) the Company fails promptly 
to assume such defense or fails to employ counsel reasonably satisfactory to 
such Indemnified Person, or (iii) the named parties to any such action or 
proceeding (including any impleaded parties) include both such Indemnified 
Person and the Company or an affiliate of the Company, and that Indemnified 
Person shall have been advised in writing by counsel, with a copy of such 
writing to the Company, that either (x) there may be one or more legal 
defenses available to such Indemnified Person that are different from or 
additional to those available to the Company or such affiliate or (y) a 
conflict may exist between such Indemnified Person and the Company or such 
affiliate. In the event of any of clause (i), (ii) and (iii) of the 
immediately preceding sentence, the Company shall not have the right to 
assume the defense thereof on behalf of the Indemnified Person and such 
Indemnified Person shall have the right to employ its own counsel (who shall 
be reasonably acceptable to the Company and shall not, except with the

                                     -15-

<PAGE>

Company's consent, be counsel to the Company) in any such action and the 
reasonable fees and expenses of such counsel shall be paid, as incurred, by 
the Company, subject to repayment to the Company if it is ultimately 
determined that an Indemnified Person is not entitled to indemnification 
hereunder, it being understood, however, that the Company shall not, in 
connection with any one such action or proceeding or separate but 
substantially similar or related actions in the same jurisdiction arising out 
of the same general allegations or circumstances, be liable for the fees and 
expenses of more than one separate firm of attorneys (in addition to any 
local counsel) for all of the Indemnified Persons, which firm shall be 
designated in writing by a majority of the Holders. The Company shall not be 
liable for any settlement of any such action or proceeding effected without 
the Company's written consent, which consent may not be unreasonably 
withheld, but if settled with the written consent of the Company, the Company 
agrees to indemnify and hold harmless any Indemnified Person from and against 
any loss or liability incurred in such settlement. The Company shall not, 
without the prior written consent of each Indemnified Person, which consent 
shall not be unreasonably withheld, settle, compromise or consent to the 
entry of any judgment in or otherwise seek to terminate any pending or 
threatened action, claim, suit, investigation or other proceeding in respect 
of which any Indemnified Person is or could have been a party and 
indemnification or contribution could have been sought hereunder by such 
Indemnified Person, unless such settlement, compromise, consent or 
termination includes an unconditional release of each Indemnified Person from 
all liability on claims that are the subject matter of such proceeding.

         (3)     Each of the Holders agrees, severally and not jointly, to 
indemnify and hold harmless the Company, its directors, its officers, and any 
person controlling (within the meaning of Section 15 of the Act or Section 20 
of the Exchange Act) the Company, to the same extent as the foregoing 
indemnity from the Company to each of the Indemnified Persons, but only with 
respect to claims and actions based on information relating to such Holder 
furnished in writing by or on behalf of such Holder expressly for use in any 
Registration Statement. In case any action shall be brought against the 
Company, any of its directors, any such officer, or any such controlling 
person in respect of which indemnity is sought against any Holder pursuant to 
the foregoing sentence, the Holder shall have the rights and duties given to 
the Company (except that if a Holder shall have assumed the defense thereof, 
the Company shall not be required to do so, but may employ separate counsel 
therein and participate in the defense thereof, but the fees and expenses of 
such counsel shall be at the expense of the Company), and the Company, its 
directors, any such officers, and each such controlling person shall have the 
rights and duties given to the Indemnified Person by Section 7(b) above. In 
no event shall any Holder, its directors, officers or any Person who controls 
such Holder be liable or responsible for any amount in excess of the amount 
by which the total amount received by such Holder with respect to its sale of 
Transfer Restricted Securities pursuant to a Registration Statement exceeds 
(i) the amount paid by such Holder for such Transfer Restricted Securities 
and (ii) the amount of any damages that such Holder, its directors, officers 
or any Person who controls such Holder has otherwise been required to pay by 
reason of such untrue or alleged untrue statement or omission or alleged 
omission.

            (4)     If the indemnification provided for in this Section 8 is 
finally determined by a court of competent jurisdiction to be unavailable to 
an Indemnified Person in respect of any Liabilities referred to herein, then 
the Company, in lieu of indemnifying such Indemnified Person, shall 
contribute to the amount paid or payable by such Indemnified Person as a 
result of such Liabilities: (i) in such proportion as is appropriate to 
reflect the relative benefits received by the Company on


                                     -16-

<PAGE>

the one hand and the Indemnified Person on the other hand from the sale of 
the Transfer Restricted Securities, or (ii) if the allocation provided by 
clause (i), above, is not permitted by applicable law, in such proportion as 
is appropriate to reflect not only the relative benefits referred to in 
clause (i), above, but also the relative fault of the Company and the 
Indemnified Person in connection with the actions, statements or omissions 
that resulted in such Liabilities, as well as any other relevant equitable 
considerations. The relative fault of the Company and the Holder shall be 
determined by reference to, among other things, whether the untrue or alleged 
untrue statement of a material fact or the omission or alleged omission to 
state a material fact related to information supplied by the Company or the 
Holder and the parties' relative intent, knowledge, access to information and 
opportunity to correct or prevent such statement or omission. The indemnity 
and contribution obligations of the Company set forth herein shall be in 
addition to any liability or obligation the Company may otherwise have to any 
Indemnified Person.

                  The Company and the Holders agree that it would not be just 
and equitable if contribution pursuant to this Section 8(d) were determined 
by PRO RATA allocation (even if the Holders were treated as one entity for 
such purpose) or by any other method of allocation that does not take account 
of the equitable considerations referred to in the immediately preceding 
paragraph. The amount paid or payable by an Indemnified Party as a result of 
the Liabilities referred to in the immediately preceding paragraph shall be 
deemed to include, subject to the limitations set forth above, any reasonable 
legal or other expenses reasonably incurred by such Indemnified Party in 
connection with investigating or defending any such action or claim. 
Notwithstanding the provisions of this Section 8, none of the Holders (or any 
of their related Indemnified Persons referred to in Section 8 above) shall be 
required to contribute, in the aggregate, any amount in excess of the amount 
by which the total received by such Holder with respect to the sale of 
Transfer Restricted Securities pursuant to a Registration Statement exceeds 
(i) the amount paid by such Holder for such Transfer Restricted Securities 
and (ii) the amount of any damages or liabilities which such Holder (and its 
related Indemnified Persons referred to in Section 8 above) has otherwise 
been required to pay or incur by reason of such untrue or alleged untrue 
statement or omission or alleged omission or other indemnified action or 
proceeding. Notwithstanding anything to the contrary contained herein, no 
person guilty of fraudulent misrepresentation (within the meaning of Section 
11(f) of the Act) shall be entitled to contribution from any person who was 
not guilty of such fraudulent misrepresentation. The Holders' obligations to 
contribute pursuant to this Section 8(d) are several in proportion to the 
respective aggregate principal amount of Transfer Restricted Securities held 
by each of the Holders hereunder and not joint.

SECTION 9.       RULE 144A AND RULE 144

         The Company agrees with each Holder, for so long as any Transfer 
Restricted Securities remain outstanding and during any period in which the 
Company (i) is not subject to Section 13 or 15(d) of the Exchange Act, to 
make available, upon request of any Holder, to such Holder or beneficial 
owner of Transfer Restricted Securities in connection with any sale thereof 
and any prospective purchaser of such Transfer Restricted Securities 
designated by such Holder or beneficial owner, the information required by 
Rule 144A(d)(4) under the Act in order to permit resales of such Transfer 
Restricted Securities pursuant to Rule 144A, and (ii) is subject to Section 
13 or 15(d) of the Exchange Act, to use its commercially reasonable efforts 
to make all filings required thereby in a timely manner in order to permit 
resales of such Transfer Restricted Securities pursuant to Rule 144.

                                     -17-

<PAGE>

SECTION 10.  MISCELLANEOUS

     (a)     NO INCONSISTENT AGREEMENTS. The Company will not, on or after the
date of this Agreement, enter into any agreement with respect to its securities
that is inconsistent with the rights granted to the Holders in this Agreement or
otherwise conflicts with the provisions hereof. The rights granted to the
Holders hereunder do not in any way conflict with and are not inconsistent with
the rights granted to the holders of the Company's securities under any
agreement in effect on the date hereof.

      (b)     AMENDMENTS AND WAIVERS. The provisions of this Agreement may 
not be amended, modified or supplemented, and waivers or consents to or 
departures from the provisions hereof may not be given unless (i) in the case 
of Section 5 hereof and this Section 10(b)(i), the Company has obtained the 
written consent of Holders of all outstanding Transfer Restricted Securities 
and (ii) in the case of all other provisions hereof, the Company has obtained 
the written consent of Holders of a majority of the outstanding principal 
amount of Transfer Restricted Securities (excluding Transfer Restricted 
Securities held by the Company or its Affiliates). Notwithstanding the 
foregoing, a waiver or consent to departure from the provisions hereof that 
relates exclusively to the rights of Holders whose Transfer Restricted 
Securities are being tendered pursuant to the Exchange Offer, and that does 
not affect directly or indirectly the rights of other Holders whose Transfer 
Restricted Securities are not being tendered pursuant to such Exchange Offer, 
may be given by the Holders of a majority of the outstanding principal amount 
of Transfer Restricted Securities subject to such Exchange Offer.

      (c)     THIRD PARTY BENEFICIARY. The Holders shall be third party 
beneficiaries to the agreements made hereunder between the Company, on the 
one hand, and the Initial Purchasers, on the other hand, and shall have the 
right to enforce such agreements directly to the extent they may deem such 
enforcement necessary or advisable to protect its rights or the rights of 
Holders hereunder.

      (d)     NOTICES.  All notices and other communications provided for or 
permitted hereunder shall be made in writing by hand-delivery, first-class 
mail (registered or certified, return receipt requested), telex, telecopier, 
or air courier guaranteeing overnight delivery:

                  (i)      if to a Holder, at the address set forth on
         the records of the Registrar under the Indenture, with a copy to the 
         Registrar under the Indenture; and

                  (ii)     if to the Company:
                           Tenet Healthcare Corporation
                           3820 State Street
                           Santa Barbara, California  93105
                                                 Telecopier No.:  
(805) 563-7070
                           Attention: General CounselWith a copy to:
                           Skadden, Arps, Slate, Meagher & Flom LLP
                           300 South Grand Avenue, Suite 3400
                           Los Angeles, California  90071
                           Telecopier No.:  (213) 687-5600
                           Attention:  Thomas C. Janson, Jr.

                                     -18-

<PAGE>

         All such notices and communications shall be deemed to have been 
duly given: at the time delivered by hand, if personally delivered; five 
Business Days after being deposited in the mail, postage prepaid, if mailed; 
when receipt acknowledged, if telecopied; and on the next business day, if 
timely delivered to an air courier guaranteeing overnight delivery.
         Copies of all such notices, demands or other communications shall be
concurrently delivered by the Person giving the same to the Trustee at the
address specified in the Indenture.

      (e)     SUCCESSORS AND ASSIGNS. This Agreement shall inure to the 
benefit of and be binding upon the successors and assigns of each of the 
parties, including without limitation and without the need for an express 
assignment, subsequent Holders; PROVIDED, that nothing herein shall be deemed 
to permit any assignment, transfer or other disposition of Transfer 
Restricted Securities in violation of the terms hereof or of the Purchase 
Agreement or the Indenture. If any transferee of any Holder shall acquire 
Transfer Restricted Securities in any manner, whether by operation of law or 
otherwise, such Transfer Restricted Securities shall be held subject to all 
of the terms of this Agreement, and by taking and holding such Transfer 
Restricted Securities such Person shall be conclusively deemed to have agreed 
to be bound by and to perform all of the terms and provisions of this 
Agreement, including the restrictions on resale set forth in this Agreement 
and, if applicable, the Purchase Agreement, and such Person shall be entitled 
to receive the benefits hereof.

      (f)     COUNTERPARTS. This Agreement may be executed in any number of 
counterparts and by the parties hereto in separate counterparts, each of 
which when so executed shall be deemed to be an original and all of which 
taken together shall constitute one and the same agreement.

      (g)     HEADINGS. The headings in this Agreement are for convenience of
reference only and shall not limit or otherwise affect the meaning hereof.

      (h)     GOVERNING LAW.  THIS AGREEMENT SHALL BE GOVERNED BY AND 
CONSTRUED IN ACCORDANCE WITH THE LAWS OF THE STATE OF NEW YORK, WITHOUT 
REGARD TO THE CONFLICT OF LAW RULES THEREOF.

      (i)     SEVERABILITY. In the event that any one or more of the 
provisions contained herein, or the application thereof in any circumstance, 
is held invalid, illegal or unenforceable, the validity, legality and 
enforceability of any such provision in every other respect and of the 
remaining provisions contained herein shall not be affected or impaired 
thereby.

      (j)     ENTIRE AGREEMENT. This Agreement is intended by the parties as 
a final expression of their agreement and intended to be a complete and 
exclusive statement of the agreement and understanding of the parties hereto 
in respect of the subject matter contained herein. There are no restrictions, 
promises, warranties or undertakings, other than those set forth or referred 
to herein with respect to the registration rights granted with respect to the 
Transfer Restricted Securities. This Agreement supersedes all prior 
agreements and understandings between the parties with respect to such 
subject matter.



                                                  -19-

<PAGE>

         IN WITNESS WHEREOF, the parties have executed this Agreement as of 
the date first written above.

                                    TENET HEALTHCARE CORPORATION
                                    
                                    By: /s/ STEPHEN D. FARBER
                                       ----------------------------
                                       Name:    Stephen D. Farber
                                       Title:   Vice President

DONALDSON, LUFKIN & JENRETTE
  SECURITIES CORPORATION

By: /s/ DAVID L. DENNIS
   -----------------------------
   Name:     David L. Dennis
   Title:    Managing Director

MERRILL LYNCH, PIERCE, FENNER &
  SMITH INCORPORATED

By: /s/ TODD FRENCH
   -----------------------------
   Name:     Todd French
   Title:    Vice President

J.P. MORGAN SECURITIES INC.

By: /s/ BRIAN J. VAN EISLANDER
   -----------------------------
   Name:     Brian J. Van Eislander
   Title:    Vice President






                                                  -20-

<PAGE>

MORGAN STANLEY & CO.INCORPORATED

By: /s/ CHARLES DITLOFF
   -----------------------------
   Name:     Charles Ditloff
   Title:    Principal

SALOMON BROTHERS INC

By: /s/ GRAEME A. GILFILLAN
   -----------------------------
   Name:     Graeme A. Gilfillan
   Title:    Managing Director

DEUTSCHE MORGAN GRENFELL INC.

By: /s/ STEVE WARDEN
   -----------------------------
   Name:     Steve Warden
   Title:    Managing Director

By: /s/ LAIN STEWART
   -----------------------------
   Name:     Lain Stewart
   Title:    Vice President

BANCAMERICA ROBERTSON STEPHENS

By: /s/ JOHN MULRY
   -----------------------------
   Name:     John Mulry
   Title:    Managing Director







                                                  -21-

<PAGE>
                                       
                                   EXHIBIT A

                             NOTICE OF FILING OF
                 A/B EXCHANGE OFFER REGISTRATION STATEMENT

To:         Donaldson, Lufkin & Jenrette Securities Corporation277 Park Avenue
            New York, New York 10172Attention: Louise Guarneri (Compliance
            Department)Fax: (212) 892-7272

From:       Tenet Healthcare Corporation7__% Senior Notes due 2008
            8__% Senior Subordinated Notes due 2008

Date:         _________, 1998

            For your information only (NO ACTION REQUIRED):

            Today, __________, 1998, we filed [an A/B Exchange Registration 
Statement/a Shelf Registration Statement] with the Securities and Exchange
Commission. We currently expect this registration statement to be declared
effective within ___ business days of the date hereof.


                                       
                                       -22-

<PAGE>
                                          
                                          
                                          
                            THIRD SUPPLEMENTAL INDENTURE
                                          
                                          
                      TENET HEALTHCARE CORPORATION, as Issuer
                                          
                                          
                                        AND
                                          
                                          
                               THE BANK OF NEW YORK,
                                     as Trustee
                                          
                                          
                                          
                                          
                              Dated as of May 7, 1998
                                          
                                          
                                          
                                          
                       Supplemental to Indenture, dated as of
                      March 1, 1995, relating to the Issuer's 
                            9 5/8% Senior Notes Due 2002














<PAGE>

<TABLE>
                                  TABLE OF CONTENTS
<S>                                                                                 <C>
PARTIES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  

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

ARTICLE I           DEFINITIONS AND OTHER PROVISIONS OF
                    GENERAL APPLICATION. . . . . . . . . . . . . . . . . . . .

     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 Third Supplemental
                    Indenture. . . . . . . . . . . . . . . . . . . . . . . . .

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

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

ARTICLE II          THE AMENDMENTS . . . . . . . . . . . . . . . . . . . . . . 

     SECTION 2.1    Amendments to Section 1.01 . . . . . . . . . . . . . . . . 

     SECTION 2.2    Amendment to Section 1.02. . . . . . . . . . . . . . . . . 

     SECTION 2.3    Amendment to Section 3.04. . . . . . . . . . . . . . . . . 

     SECTION 2.4    Amendment to Section 3.05. . . . . . . . . . . . . . . . . 

     SECTION 2.5    Amendment to Section 3.07. . . . . . . . . . . . . . . . . 

     SECTION 2.6    Amendment to Section 3.08. . . . . . . . . . . . . . . . . 

</TABLE>

                                       i

<PAGE>

<TABLE>
<S>                                                                                 <C>

     SECTION 2.7    Amendment to Section 3.09. . . . . . . . . . . . . . . . . 

     SECTION 2.8    Amendment to Section 3.11. . . . . . . . . . . . . . . . . 

     SECTION 2.9    Amendment to Section 3.12. . . . . . . . . . . . . . . . . 

     SECTION 2.10   Amendment to Section 3.13. . . . . . . . . . . . . . . . . 

     SECTION 2.11   Amendment to Section 3.14. . . . . . . . . . . . . . . . . 

     SECTION 2.12   Amendment to Section 3.15. . . . . . . . . . . . . . . . . 

     SECTION 2.13   Amendment to Section 3.16. . . . . . . . . . . . . . . . . 

     SECTION 2.14   Amendment to Section 3.17. . . . . . . . . . . . . . . . . 

     SECTION 2.15   Amendment to Section 4.01. . . . . . . . . . . . . . . . . 

ARTICLE III    NOTICE, ENDORSEMENT AND CHANGE OF
               FORM OF SECURITIES. . . . . . . . . . . . . . . . . . . . . . . 

     SECTION 3.1    Notice to Securityholders. . . . . . . . . . . . . . . . . 

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

SIGNATURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 
</TABLE>


                                       ii

<PAGE>


          THIRD SUPPLEMENTAL INDENTURE, dated as of May 7, 1998 (the "THIRD
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

          WHEREAS, the Company proposes to amend (the "AMENDMENTS") the
Indenture to delete substantially all of the restrictive covenants contained
therein.

          WHEREAS, the Company has commenced an offer to purchase any and all of
the Securities pursuant to its Offer to Purchase and Solicitation of Consents
dated April 23, 1998 (the "TENDER OFFER").

          WHEREAS, the Company has solicited consents to the Amendments from the
holders of record of the Securities.

          WHEREAS, in accordance with Section 8.02 of the Indenture, the Holders
of a majority of the principal amount of the Securities then outstanding (other
than any Securities owned by the Company or any Affiliate of the Company) have
consented to such Amendments.

          WHEREAS, the Board of Directors of the Company has duly authorized the
execution and delivery of this Third 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 the Company has done all other
things necessary to make this Third Supplemental Indenture a valid agreement of
the Company in accordance with the terms hereof and of the Indenture.

          NOW THEREFORE, the Company and Trustee agree as follows for the
benefit of the other party and for the equal and ratable benefit of the Holders
of the Securities:

<PAGE>

                                     ARTICLE I

                           DEFINITIONS AND OTHER PROVISIONS
                                OF GENERAL APPLICATION

          SECTION I.1 DEFINITIONS.

          For all purposes of the Indenture and this Third 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 Third 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 I.2  EFFECT OF HEADINGS AND TABLE OF CONTENTS.

          The Article and Section headings and the Table of Contents of this
Third Supplemental Indenture are for convenience only and shall not affect the
construction hereof.  Except as otherwise specifically set forth herein, all
references to Sections in the Indenture shall remain unchanged.

          SECTION I.3  SUCCESSORS AND ASSIGNS.

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

          SECTION I.4  SEPARABILITY CLAUSE.

          In case any provision in this Third 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.

                                       2
<PAGE>

          SECTION I.5  BENEFITS OF THIRD SUPPLEMENTAL INDENTURE.

          Nothing in this Third 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 Third Supplemental Indenture.

          SECTION I.6  GOVERNING LAW.

          This Third 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 I.7  EFFECTIVENESS.

          This Third Supplemental Indenture shall be effective on the date
hereof; PROVIDED, that the Amendments in Article II of this Third Supplemental
Indenture shall take effect on the date (the "EFFECTIVE DATE") that the Trustee
shall have received an Officers' Certificate from the Company, dated the
Effective Date, in accordance with Section 8.06 of the Indenture, stating that
the Tender Offer has been consummated and that the Amendments in Article II of
this Third Supplemental Indenture shall take effect on such date.


                               ARTICLE II

                             THE AMENDMENTS

          SECTION II.1  AMENDMENTS TO SECTION 1.01.

     The following definitions are hereby deleted from Section 1.01 of the 
Indenture:  Acquired Debt, Asset Sale, Capital Lease, Capital Lease 
Obligation, Capital Stock, Change of Control, Change of Control Triggering 
Event, Consolidated Cash Flow, Consolidated Net Income, Consolidated Net 
Worth, Continuing Directors, Disqualified Stock, Equity Interests, Existing 
Indebtedness, Fixed Charge Coverage Ratio, Fixed Charges, Hedging 
Obligations, Hospital, Hospital Swap, Indebtedness, International 
Subsidiaries, Investment Grade, Investments, Lien, Metrocrest Letter of 
Credit Facility, Moody's, Net Income, Net Proceeds, Non-Cash Consideration, 
Non-Recourse Debt, Performance Investment Plan, Permitted Collateral, 
Permitted Liens, Permitted Refinancing Indebtedness, Physician Joint Venture 
Distributions, Physician Support

                                       3
<PAGE>

Obligations, Qualified Equity Interests, Rating Agencies, Rating Category, 
Rating Date, Rating Decline, Refinancing, Related Business, Restricted 
Investment, S&P, Senior Subordinated Notes, Senior Subordinated Note 
Indenture, Specified Assets, Specified Exchange, Stockholders Equity, 
Transfer Restriction, Wholly Owned Subsidiary.

          SECTION II.2  AMENDMENT TO SECTION 1.02.

          The following definitions are hereby deleted from Section 1.02 of 
the Indenture.  Affiliate Transaction, Change of Control Offer, Change of 
Control Payment, Change of Control Payment Date, Purchase Date, Restricted 
Payments and Senior Asset Sale Offer.

          SECTION II.3  AMENDMENT TO SECTION 3.04.

          Clause (ii) of Section 3.04 of the Indenture is hereby amended to 
read in its entirety as follows:

                      "(ii) [Intentionally Omitted]"

          SECTION II.4  AMENDMENT TO SECTION 3.05.

          Section 3.05 of the Indenture is hereby amended to read in its
entirety as follows:

"SECTION 3.05  TAXES.

          [Intentionally Omitted]"

          SECTION II.5  AMENDMENT TO SECTION 3.07.

          Section 3.07 of the Indenture is hereby amended to read in its 
entirety as follows:

SECTION 3.07. LIMITATIONS ON RESTRICTED PAYMENTS.

           [Intentionally Omitted]"

          SECTION II.6  AMENDMENT TO SECTION 3.08.

                                       4
<PAGE>

          Section 3.08 of the Indenture is hereby amended to read in its
entirety as follows:

"SECTION 3.08. LIMITATIONS ON DIVIDEND AND OTHER PAYMENT RESTRICTIONS AFFECTING
               SUBSIDIARIES.

          [Intentionally Omitted]"

          SECTION II.7  AMENDMENT TO SECTION 3.09.

          Section 3.09 of the Indenture is hereby amended to read in its
entirety as follows:

"SECTION 3.09  LIMITATIONS ON INCURRENCE OF INDEBTEDNESS AND ISSUANCE OF
               PREFERRED STOCK

          [Intentionally Omitted]"

          SECTION II.8  AMENDMENT TO SECTION 3.11.

          Section 3.11 of the Indenture is hereby amended to read in its
entirety as follows:

"SECTION 3.11       LIMITATIONS ON TRANSACTIONS WITH AFFILIATES.

          [Intentionally Omitted]"

          SECTION II.9  AMENDMENT TO SECTION 3.12.

          Section 3.12 of the Indenture is hereby amended to read in its
entirety as follows:

"SECTION 3.12  LIMITATIONS ON LIENS.

          [Intentionally Omitted]"

          SECTION II.10  AMENDMENT TO SECTION 3.13.

                                       5

<PAGE>

          Section 3.13 of the Indenture is hereby amended to read in its
entirety as follows:

"SECTION 3.13       CHANGE OF CONTROL.

          [Intentionally Omitted]"

          SECTION II.11  AMENDMENT TO SECTION 3.14.

     Section 3.14 of the Indenture is hereby amended to read in its entirety as
follows:

"SECTION 3.14       CORPORATE EXISTENCE.

          [Intentionally Omitted]"

          SECTION II.12  AMENDMENT TO SECTION 3.15.

     Section 3.15 of the Indenture is hereby amended to read in its entirety as
follows:

"SECTION 3.15       LINES OF BUSINESS.

          [Intentionally Omitted]"

          SECTION II.13  AMENDMENT TO SECTION 3.16.

     Section 3.16 of the Indenture is hereby amended to read in its entirety as
follows:

"SECTION 3.16       LIMITATIONS ON ISSUANCES OF GUARANTEES OF INDEBTEDNESS BY
                          SUBSIDIARIES.

          [Intentionally Omitted]"

          SECTION II.14  AMENDMENT TO SECTION 3.17.

     Section 3.17 of the Indenture is hereby amended to read in its entirety as
follows:

                                       6
<PAGE>

"SECTION 3.17       NO AMENDMENT TO SUBORDINATED PROVISIONS OF SENIOR
                          SUBORDINATED NOTE INDENTURE.

          [Intentionally Omitted]"

          SECTION II.15  AMENDMENT TO SECTION 4.01.

     Section 4.01 of the Indenture is hereby amended to read in its entirety as
follows:

"SECTION 4.01       LIMITATIONS ON MERGERS, CONSOLIDATIONS OR SALES OF ASSETS.

          The Company may not consolidate or merge with or into (whether or not
the Company is the surviving corporation), or sell, assign, transfer, lease,
convey or otherwise dispose of all or substantially all of its properties or
assets in one or more related transactions to another corporation, Person or
entity unless:

          (i)  the Company is the surviving corporation or the entity or the
               Person formed by or surviving any such consolidation or merger
               (if other than the Company) or to which such sale, assignment,
               transfer, lease, conveyance or other disposition shall have been
               made is a corporation organized or existing under the laws of the
               United States, any state thereof or the District or Columbia;

         (ii)  the entity or Person formed by or surviving any such
               consolidation or merger (if other than the Company) or the entity
               or Person to which such sale, assignment, transfer, lease,
               conveyance or other disposition shall have been made assumes all
               the Obligations of the Company under this Indenture and the
               Securities pursuant to a supplemental indenture in a form
               reasonably satisfactory to the Trustee; and

        (iii)  immediately after such transaction no Default or Event of
               Default exists.

          The Company shall deliver to the Trustee prior to the consummation of
the proposed transaction an Officers' Certificate to the foregoing effect and an
Opinion of Counsel, covering clauses (i) through (iii) above, stating that the
proposed

                                       7

<PAGE>

transaction and such supplemental indenture comply with this Indenture. The 
Trustee shall be entitled to conclusively rely upon such Officers' 
Certificate and Opinion of Counsel."

                                   ARTICLE III

             NOTICE, ENDORSEMENT AND CHANGE OF FORM OF SECURITIES

          SECTION III.1  NOTICE TO SECURITYHOLDERS.

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

          SECTION III.2  NOTATION ON SECURITIES.

          Securities authenticated and delivered after the Effective Date shall,
at the Company's expense, be affixed by the Trustee with the following notation:

          "The Company and the Trustee have entered into a Third
     Supplemental Indenture, dated as of May 7, 1998, which deleted
     substantially all of the restrictive covenants in the Securities. 
     Reference is hereby made to such Third Supplemental Indenture, copies
     of which are on file with The Bank of New York, as Trustee."

          The Trustee may, but shall not be required to, require holders of
Securities authenticated and delivered prior to the Effective Date to deliver
such Securities to the Trustee so that the Trustee may affix them with the
aforementioned notation.
                                      * * * * *

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

Dated as of May 7, 1998

                     TENET HEALTHCARE CORPORATION


                                  By: /s/ STEPHEN D. FARBER
                                     ----------------------------
                                      Name:    Stephen D. Farber
                                      Title:   Vice President


                                  THE BANK OF NEW YORK,
                                  AS TRUSTEE


                                  By: /s/ MARY LA GUMINA
                                     ----------------------------
                                      Name:    Mary La Gumina
                                      Title:   Assistant Vice President



                                       8

<PAGE>
                                       

                          THIRD SUPPLEMENTAL INDENTURE

                     TENET HEALTHCARE CORPORATION, as Issuer

                                      AND

                              THE BANK OF NEW YORK,

                                   as Trustee

                             Dated as of May 7, 1998

                     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

<TABLE>

<S>                                                                             <C>
PARTIES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

ARTICLE I            DEFINITIONS AND OTHER PROVISIONS
                     OF GENERAL APPLICATION. . . . . . . . . . . . . . . . . .

     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 Third Supplemental
                     Indenture . . . . . . . . . . . . . . . . . . . . . . . .

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

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

ARTICLE II           THE AMENDMENTS. . . . . . . . . . . . . . . . . . . . . .

     SECTION 2.1     Amendments to Section 1.01. . . . . . . . . . . . . . . .

     SECTION 2.2     Amendment to Section 1.02 . . . . . . . . . . . . . . . .

     SECTION 2.3     Amendment to Section 4.04 . . . . . . . . . . . . . . . .

     SECTION 2.4     Amendment to Section 4.05 . . . . . . . . . . . . . . . .

     SECTION 2.5     Amendment to Section 4.07 . . . . . . . . . . . . . . . .

     SECTION 2.6     Amendment to Section 4.08 . . . . . . . . . . . . . . . .

</TABLE>
                                       i

<PAGE>

<TABLE>
    
<S>                                                                              <C>
     SECTION 2.7     Amendment to Section 4.09. . . . . . . . . . . . . . . . .

     SECTION 2.8     Amendment to Section 4.11. . . . . . . . . . . . . . . . .

     SECTION 2.9     Amendment to Section 4.12. . . . . . . . . . . . . . . . .

     SECTION 2.10    Amendment to Section 4.13. . . . . . . . . . . . . . . . .

     SECTION 2.11    Amendment to Section 4.14. . . . . . . . . . . . . . . . .

     SECTION 2.12    Amendment to Section 4.15. . . . . . . . . . . . . . . . .

     SECTION 2.13    Amendment to Section 4.16. . . . . . . . . . . . . . . . .

     SECTION 2.14    Amendment to Section 4.17. . . . . . . . . . . . . . . . .

     SECTION 2.15    Amendment to Section 5.01. . . . . . . . . . . . . . . . .

ARTICLE III          NOTICE, ENDORSEMENT AND CHANGE 
                      OF SECURITIES . . . . . . . . . . . . . . . . . . . . . .

     SECTION 3.1     Notice to Securityholders. . . . . . . . . . . . . . . . .

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

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

</TABLE>
                                       ii

<PAGE>

                  THIRD SUPPLEMENTAL INDENTURE, dated as of May 7, 1998 (the 
"THIRD 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 10 1/8% Senior Subordinated Notes Due 2005 (the 
"SECURITIES").
                                       
                             RECITALS OF THE COMPANY

                  WHEREAS, the Company proposes to amend (the "AMENDMENTS") 
the Indenture to delete substantially all of the restrictive covenants 
contained therein.

                  WHEREAS, the Company has commenced an offer to purchase any 
and all of the Securities pursuant to its Offer to Purchase and Solicitation 
of Consents dated April 23, 1998 (the "TENDER OFFER").

                  WHEREAS, the Company has solicited consents to the 
Amendments from the holders of record of the Securities.

                  WHEREAS, in accordance with Section 9.02 of the Indenture, 
the Holders of a majority of the principal amount of the Securities then 
outstanding (other than any Securities owned by the Company or any Affiliate 
of the Company) have con sented to such Amendments.

                  WHEREAS, the Board of Directors of the Company has duly 
authorized the execution and delivery of this Third Supplemental Indenture, 
the Company has delivered an Officers' Certificate and an Opinion of Counsel 
to the Trustee pursuant to Section 9.06 of the Indenture and the Company has 
done all other things necessary to make this Third Supplemental Indenture a 
valid agreement of the Company in accordance with the terms hereof and of the 
Indenture.

                  NOW THEREFORE, the Company and Trustee agree as follows for 
the benefit of the other party and for the equal and ratable benefit of the 
Holders of the Securities:


<PAGE>
                                       
                                   ARTICLE I

                         DEFINITIONS AND OTHER PROVISIONS
                            OF GENERAL APPLICATION

     SECTION I.1   DEFINITIONS.

     For all purposes of the Indenture and this Third 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 Third
         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 I.2   EFFECT OF HEADINGS AND TABLE OF CONTENTS.

     The Article and Section headings and the Table of Contents of this Third 
Supplemental Indenture are for convenience only and shall not affect the 
construction hereof. Except as otherwise specifically set forth herein, all 
references to Sections in the Indenture shall remain unchanged.

     SECTION I.3   SUCCESSORS AND ASSIGNS.

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

     SECTION I.4   SEPARABILITY CLAUSE.

     In case any provision in this Third 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.

     SECTION I.5   BENEFITS OF THIRD SUPPLEMENTAL INDENTURE.

     Nothing in this Third Supplemental Indenture, express or implied, shall 
give to any Person, other than the parties hereto and their successors 
hereunder, any 

                                       2

<PAGE>

Paying Agent and the Holders, any benefit or any legal or equitable right, 
remedy or claim under this Third Supplemental Indenture.

     SECTION I.6   GOVERNING LAW.

     This Third 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 I.7   EFFECTIVENESS.

     This Third Supplemental Indenture shall be effective on the date hereof; 
PROVIDED, that the Amendments in Article II of this Third Supplemental 
Indenture shall take effect on the date (the "EFFECTIVE DATE") that the 
Trustee shall have received an Officers' Certificate from the Company, dated 
the Effective Date, in accordance with Section 8.06 of the Indenture, stating 
that the Tender Offer has been consummated and that the Amendments in Article 
II of this Third Supplemental Indenture shall take effect on such date.
                                       
                                   ARTICLE II

                                 THE AMENDMENTS

     SECTION II.1   AMENDMENTS TO SECTION 1.01.

     The following definitions are hereby deleted from Section 1.01 of the 
Indenture: Acquired Debt, Asset Sale, Capital Lease, Capital Lease 
Obligation, Capital Stock, Change of Control, Change of Control Triggering 
Event, Consolidated Cash Flow, Consolidated Net Income, Consolidated Net 
Worth, Continuing Directors, Disqualified Stock, Equity Interests, Existing 
Indebtedness, Fixed Charge Coverage Ratio, Fixed Charges, Hedging 
Obligations, Hospital, Hospital Swap, Indebtedness, International 
Subsidiaries, Investment Grade, Investments, Lien, Metrocrest Letter of 
Credit Facility, Moody's, Net Income, Net Proceeds, Non-Cash Consideration, 
Non-Recourse Debt, Performance Investment Plan, Permitted Collateral, 
Permitted Liens, Permitted Refinancing Indebtedness, Physician Joint Venture 
Distributions, Physician Support Obligations, Qualified Equity Interests, 
Rating Agencies, Rating Category, Rating Date, Rating Decline, Refinancing, 
Related Business, Restricted Investment, Senior Asset Sale Offer, S&P, 
Specified Assets, Stockholders Equity, Senior 

                                       3

<PAGE>

Subordinated Notes, Senior Subordinated Note Indenture, Specified Exchange, 
2005 Exchangeable Subordinated Notes, Senior Notes, Senior Note Indenture, 
Transfer Restriction and Wholly Owned Subsidiary.

     SECTION II.2   AMENDMENT TO SECTION 1.02.

     The following definitions are hereby deleted from Section 1.02 of the 
Indenture:  Affiliate Transaction, Change of Control Offer, Change of Control 
Payment, Change of Control Payment Date, Purchase Date, Restricted Payments 
and Senior Subordinated Asset Sale Offer.

     SECTION II.3   AMENDMENT TO SECTION 4.04.

     Clause (ii) of Section 4.04 of the Indenture is hereby amended to read 
in its entirety as follows:

     "(ii) [Intentionally Omitted]"

     SECTION II.4   AMENDMENT TO SECTION 4.05.

     Section 4.05 of the Indenture is hereby amended to read in its entirety 
as follows:

"SECTION 4.05       TAXES.

     [Intentionally Omitted]"

     SECTION II.5   AMENDMENT TO SECTION 4.07.

     Section 4.07 of the Indenture is hereby amended to read in its entirety 
as follows:

"SECTION 4.07       LIMITATIONS ON RESTRICTED PAYMENTS.

     [Intentionally Omitted]"

     SECTION II.6   AMENDMENT TO SECTION 4.08.


                                       4

<PAGE>

                                        

     Section 4.08 of the Indenture is hereby amended to read in its entirety 
as follows:

"SECTION 4.08       LIMITATIONS ON DIVIDEND AND OTHER PAYMENT RESTRICTIONS
                    AFFECTING SUBSIDIARIES.

     [Intentionally Omitted]"

     SECTION II.7   AMENDMENT TO SECTION 4.09.

     Section 4.09 of the Indenture is hereby amended to read in its entirety 
as follows:

"SECTION 4.09       LIMITATIONS  ON INCURRENCE OF INDEBTEDNESS AND ISSUANCE OF
                    PREFERRED STOCK.

     [Intentionally Omitted]"

     SECTION II.8   AMENDMENT TO SECTION 4.11.

     Section 4.11 of the Indenture is hereby amended to read in its entirety 
as follows:

"SECTION 4.11       LIMITATIONS ON TRANSACTIONS WITH AFFILIATES.

     [Intentionally Omitted]"

     SECTION II.9   AMENDMENT TO SECTION 4.12.

     Section 4.12 of the Indenture is hereby amended to read in its entirety 
as follows:

"SECTION 4.12       LIMITATIONS ON LIENS.

     [Intentionally Omitted]"

     SECTION II.10  AMENDMENT TO SECTION 4.13.


                                       5

<PAGE>

     Section 4.13 of the Indenture is hereby amended to read in its entirety 
as follows:

"SECTION 4.13       CHANGE OF CONTROL.

     [Intentionally Omitted]"

     SECTION II.11  AMENDMENT TO SECTION 4.14.

     Section 4.14 of the Indenture is hereby amended to read in its entirety 
as follows:

"SECTION 4.14       CORPORATE EXISTENCE.

     [Intentionally Omitted]"

     SECTION II.12  AMENDMENT TO SECTION 4.15.

     Section 4.15 of the Indenture is hereby amended to read in its entirety 
as follows:

"SECTION 4.15       LINES OF BUSINESS.

     [Intentionally Omitted]"

     SECTION II.13  AMENDMENT TO SECTION 4.16.

     Section 4.16 of the Indenture is hereby amended to read in its entirety 
as follows:

"SECTION 4.16       LIMITATIONS ON ISSUANCES OF GUARANTEES OF INDEBTEDNESS BY
                    SUBSIDIARIES.

     [Intentionally Omitted]"

     SECTION II.14  AMENDMENT TO SECTION 4.17.

     Section 4.17 of the Indenture is hereby amended to read in its entirety 
as follows:

                                       6

<PAGE>

"SECTION 4.17       NO SENIOR SUBORDINATED DEBT.

     [Intentionally Omitted]"

     SECTION II.15  AMENDMENT TO SECTION 5.01.

     Section 5.01 of the Indenture is hereby amended to read in its entirety 
as follows:

"SECTION 5.01       LIMITATIONS ON MERGERS, CONSOLIDATIONS OR SALES OF ASSETS.

     The Company may not consolidate or merge with or into (whether or not 
the Company is the surviving corporation), or sell, assign, transfer, lease, 
convey or otherwise dispose of all or substantially all of its properties or 
assets in one or more related transactions to another corporation, Person or 
entity unless:

                  (i)      the Company is the surviving corporation or the 
                           entity or the Person formed by or surviving any such
                           consolidation or merger (if other than the Company) 
                           or to which such sale, assignment, transfer, lease, 
                           conveyance or other disposition shall have been made 
                           is a corporation organized or existing under the laws
                           of the United States, any state thereof or the 
                           District or Columbia;

                  (ii)     the entity or Person formed by or surviving any such 
                           consolidation or merger (if other than the Company) 
                           or the entity or Person to which such sale, 
                           assignment, transfer, lease, conveyance or other 
                           disposition shall have been made assumes all the 
                           Obligations of the Company under this Indenture and 
                           the Securities pursuant to a supplemental
                           indenture in a form reasonably satisfactory to the 
                           Trustee; and

                  (iii)    immediately after such transaction no Default or 
                           Event of Default exists. 

     The Company shall deliver to the Trustee prior to the consummation of 
the proposed transaction an Officers' Certificate to the foregoing effect and 
an Opinion of Counsel, covering clauses (i) through (iii) above, stating that 
the proposed transaction and such supplemental indenture comply with this 
Indenture. The Trustee shall be entitled to conclusively rely upon such 
Officers' Certificate and Opinion of Counsel."

                                       7

<PAGE>

                                 ARTICLE III

             NOTICE, ENDORSEMENT AND CHANGE OF FORM OF SECURITIES

     SECTION III.1  NOTICE TO SECURITYHOLDERS.

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

     SECTION III.2  NOTATION ON SECURITIES.

     Securities authenticated and delivered after the Effective Date shall, 
at the Company's expense, be affixed by the Trustee with the following 
notation:

                  "The Company and the Trustee have entered into a Third
         Supplemental Indenture, dated as of May 7, 1998, which deleted
         substantially all of the restrictive covenants in the Securities.
         Reference is hereby made to such Third Supplemental Indenture, copies
         of which are on file with The Bank of New York, as Trustee."

     The Trustee may, but shall not be required to, require holders of Securi 
ties authenticated and delivered prior to the Effective Date to deliver such 
Securities to the Trustee so that the Trustee may affix them with the 
aforementioned notation.
                                       
                                   * * * * *

     This Third Supplemental Indenture may be executed in counterparts, each 
of which when so executed shall be deemed to be an original, but all such 
counter parts shall together constitute but one and the same instrument.

Dated as of May 7, 1998

                                      TENET HEALTHCARE CORPORATION



                                      By: /s/ STEPHEN D. FARBER
                                         ----------------------------
                                          Name:    Stephen D. Farber
                                          Title:   Vice President


                                  THE BANK OF NEW YORK,
                                  AS TRUSTEE


                                      By: /s/ MARY LA GUMINA
                                         ----------------------------
                                          Name:    Mary La Gumina
                                          Title:   Assistant Vice President





                                       8


<PAGE>


                                                                , 1998



Board of Directors
Tenet Healthcare Corporation
3820 State Street
Santa Barbara, CA  93105

Ladies and Gentlemen:

          I am the General Counsel of Tenet Healthcare Corporation, a Nevada 
corporation (the "Company"), and in such capacity I am charged with general 
supervisory responsibilities for the legal affairs of the Company and its 
subsidiaries.  This opinion is being furnished in connection with the 
preparation of a Registration Statement on Form S-4 (the "Registration 
Statement") filed by the Company with the Securities and Exchange Commission 
(the "Commission") on September 24, 1998.  The Registration Statement 
relates to the registration under the Securities Act of 1933, as amended (the 
"Securities Act"), of $350,000,000 aggregate principal amount of the 
Company's 75/8% Series B Senior Notes due 2008 (the "Senior Notes") and 
$1,005,000,000 aggregate principal amount of the Company's 81/8% Series B 
Senior Subordinated Notes due 2008 (the "Senior Subordinated Notes," and 
together with the Senior Notes, the "Notes").

          The Notes are to be issued pursuant to an exchange offer (the 
"Exchange Offer") in exchange for a like principal amount of the issued and 
outstanding 75/8% Senior Notes due 2008 (the "Old Senior Notes") and 81/8% 
Senior Subordinated Notes due 2008 (the "Old Subordinated Notes," and 
together with the Old Senior Notes, the "Old Notes"), respectively.  The Old 
Senior Notes and the Old Senior Subordinated Notes and the Senior Notes and 
the Senior Subordinated Notes will be governed by respective indentures (the 
"Senior Note Indenture" and the "Senior Subordinated Note Indenture," 
together the "Indentures"), dated as of May 21, 1998, between the Company and 
The Bank of New York, as trustee (the "Trustee").

                                       

<PAGE>

Board of Directors
Tenet Healthcare Corporation
______________1998
Page 2

          This opinion is being furnished to you in connection with the 
requirements of Item 601(b)(5) of Regulation S-K under the Securities Act.

          In connection with this opinion, I have examined and am familiar 
with originals or copies, certified or otherwise identified to my 
satisfaction, of (i) the Registration Statement on Form S-4 (File No. 
333-_____) relating to the Exchange Offer as filed with the Commission and 
the Prospectus forming a part thereof, (ii) the Restated Articles of 
Incorporation, as amended, of the Company, as presently in effect, (iii) the 
Restated Bylaws of the Company, as presently in effect, (iv) specimen copies 
of the Senior Notes, (v) specimen copies of the Senior Subordinated Notes, 
(vi) the Senior Note Indenture, (vii) the Senior Subordinated Note Indenture, 
(viii) certain resolutions of the Board of Directors of the Company (ix) 
certificates of officers of the Corporation and others, and (x) such other 
documents, instruments, agreements, certificates and records as I have deemed 
necessary or appropriate as a basis for the opinions set forth herein.

          In my examination, I have assumed the genuineness of all 
signatures, the legal capacity of natural persons, the authenticity of all 
documents submitted to me as originals, the conformity to the original 
documents of all documents submitted to me as certified, conformed or 
photostatic copies and the authenticity of the originals of such copies. 

          I am a member of the Bar in the States of New York and California 
and for purposes of this opinion do not express any opinion as to the laws of 
any jurisdiction other than the laws of the States of New York and 
California. Insofar as all matters set forth in this opinion are governed by 
or affected by the laws of the State of Nevada, I have relied, with your 
consent and without any independent investigation, on the opinion of Woodburn 
and Wedge, Special Nevada Counsel to the Company, a copy of which has been 
delivered to you.

          Based upon and subject to the limitations, qualifications, 
exceptions and assumptions set forth herein, I am of the opinion that the 
Notes have been duly authorized by the Company and when executed by an 
officer of  the Company and authenticated in accordance with the terms of the 
Indentures and issued pursuant to the Exchange Offer as described in the 
Registration Statement, will be valid and binding

                                       

<PAGE>

Board of Directors
Tenet Healthcare Corporation
______________1998
Page 3

obligations of the Company, enforceable against the Company in accordance 
with their respective terms and entitled to the benefits of the respective 
Indentures under which they are being issued, except that (i) enforcement 
thereof may be limited by (A) bankruptcy, insolvency, fraudulent transfer, 
reorganization, moratorium and similar laws now or hereafter in effect 
relating to or affecting creditors' rights generally and (B) general 
principles of equity (regardless of whether enforcement is considered in a 
proceeding at law or in equity) and (ii) I express no opinion regarding the 
enforceability or effect of Section 4.06 of the Senior Note Indenture or 
Section 4.06 of the Senior Subordinated Note Indenture.

          This opinion is rendered to you solely for your benefit in connection
with the filing of the Registration Statement and is not to be used, circulated,
quoted or otherwise referred to for any other purpose without my express written
permission.  Notwithstanding the foregoing, I hereby consent to the filing of
this Opinion with the Commission as Exhibit 5 to the Registration Statement and
to the reference to my name under the caption "Legal Matters" in the
Registration Statement.  In giving such consent, I do not thereby admit that I
came within the category of persons whose consent is required under Section 7 of
the Securities Act, or the rules and regulations of the Commission thereunder.

          The Opinion expressed herein is as of the date hereof unless 
otherwise expressly stated, and I disclaim any undertaking to advise you of 
changes of the facts stated or assumed herein of any subsequent changes in 
applicable law.




                                          Very truly yours,


                                          -------------------
                                          Scott M. Brown
                                          General Counsel


<PAGE>
                                         
                                                                    EXHIBIT 12.1
                                       
                          TENET HEALTHCARE CORPORATION
                          STATEMENT RE: COMPUTATION OF
                       RATIO OF EARNINGS TO FIXED CHARGES
                              (DOLLARS IN MILLIONS)

<TABLE>
<CAPTION>
                                                                                  FOR THE
                                                                             YEAR ENDED MAY 31,
                                                           ----------------------------------------
                                                             1994    1995     1996    1997    1998
                                                           ----------------------------------------

<S>                                                        <C>       <C>     <C>      <C>     <C>
Income (loss) from continuing operations before 
 income taxes                                                $314    $417    $  881   $(21)   $  647
Less: Equity in earnings of unconsolidated affiliates          27      43        25      1         5

Add:
    Cash dividends received from unconsolidated affiliates      3       8         6      5         4
    Portion of rents representative of interest                41      53        76     79        89
    Interest, net of capitalized portion                      157     251       425    417       464
    Amortization of previously capitalized interest             4       4         4      4         5
                                                           -----------------------------------------
Income, as adjusted                                           492     690     1,367    483     1,204
                                                           -----------------------------------------
                                                           -----------------------------------------
Fixed charges:

Interest, net of capitalized portion                          157     251       425    417       464
Capitalized interest                                            5       8        11     12        16
Portion of rents representative of interest                    41      53        76     79        89
                                                           -----------------------------------------
Total fixed charges                                          $203    $312    $  512   $508    $  569
                                                           -----------------------------------------
                                                           -----------------------------------------

Ratio of earnings to fixed charges(1):                       2.4X    2.2X      2.7X   1.0X      2.1X
</TABLE>

(1) The ratio of earnings to fixed charges for the year ended May 31, 1998, 
    on a pro forma basis, assuming that the 7-5/8% Senior Notes due 2008 and
    8-1/8% Senior Subordinated Notes due 2008 had been issued as of June 1, 
    1997 and the proceeds applied to reduce indebtedness consistent with the 
    historical refinancing which occurred in May 1998, is 2.2X.




<PAGE>

                                                                 EXHIBIT 23.1

                                       
                              AUDITORS' CONSENT

The Board of Directors
Tenet Healthcare Corporation

     We consent to the use of our reports dated July 24, 1998, incorporated by
reference in the Registration Statement on Form S-4 of Tenet Healthcare 
Corporation, relating to the consolidated balance sheets of Tenet Healthcare 
Corporation and subsidiaries as of May 31, 1997 and 1998, and the related 
consolidated statements of operations, comprehensive income, changes in 
shareholders' equity and cash flows for each of the years in the three-year 
period ended May 31, 1998 and the related schedule, and to the reference to 
our firm under the headings "Summary Financial Information," "Selected 
Financial Information" and "Experts" in the prospectus.

    

                                                   /s/ KPMG PEAT MARWICK LLP

Los Angeles, California
September 23, 1998

 







<PAGE>

===============================================================================


                                   FORM T-1

                       SECURITIES AND EXCHANGE COMMISSION
                            Washington, D.C.  20549

                           STATEMENT OF ELIGIBILITY
                    UNDER THE TRUST INDENTURE ACT OF 1939 OF A
                     CORPORATION DESIGNATED TO ACT AS TRUSTEE

                       CHECK IF AN APPLICATION TO DETERMINE
                       ELIGIBILITY OF A TRUSTEE PURSUANT TO
                         SECTION 305(b)(2)           |__|
                                       
                              ___________________

                             THE BANK OF NEW YORK
              (Exact name of trustee as specified in its charter)


              New York                                          13-5160382
       (State of incorporation                             (I.R.S. employer
        if not a U.S. national bank)                        identification no.)

      One Wall Street, New York, N.Y.                             10286
(Address of principal executive offices)                        (Zip code)

                              ___________________

                          TENET HEALTHCARE CORPORATION 
             (Exact name of obligor as specified in its charter)

               Nevada                                           95-2257091
     (State or other jurisdiction of                       (I.R.S. employer
      incorporation or organization)                        identification no.)

          3820 State Street
        Santa Barbara, California                                 93105
 (Address of principal executive offices)                       (Zip code)

                              ____________________

                     7-5/8% Senior Subordinated Notes due 2008
                       (Title of the indenture securities)


================================================================================
<PAGE>

1.   GENERAL INFORMATION.  FURNISH THE FOLLOWING INFORMATION AS TO THE TRUSTEE:

     (a)  NAME AND ADDRESS OF EACH EXAMINING OR SUPERVISING AUTHORITY TO WHICH
          IT IS SUBJECT.
          
- --------------------------------------------------------------------------------
                  Name                                        Address
- --------------------------------------------------------------------------------

     Superintendent of Banks of the State of       2 Rector Street, New York,
     New York                                      N.Y.  10006, and Albany, N.Y.
                                                   12203

     Federal Reserve Bank of New York              33 Liberty Plaza, New York,
                                                   N.Y.  10045

     Federal Deposit Insurance Corporation         Washington, D.C.  20429

     New York Clearing House Association           New York, New York   10005

     (b)  WHETHER IT IS AUTHORIZED TO EXERCISE CORPORATE TRUST POWERS.

     Yes.

2.   AFFILIATIONS WITH OBLIGOR.
     
     IF THE OBLIGOR IS AN AFFILIATE OF THE TRUSTEE, DESCRIBE EACH SUCH
     AFFILIATION. 

     None.

16.  LIST OF EXHIBITS. 

     EXHIBITS IDENTIFIED IN PARENTHESES BELOW, ON FILE WITH THE COMMISSION, ARE
     INCORPORATED HEREIN BY REFERENCE AS AN EXHIBIT HERETO, PURSUANT TO RULE
     7a-29 UNDER THE TRUST INDENTURE ACT OF 1939 (THE "ACT") AND 17 C.F.R.
     229.10(d).

     1.   A copy of the Organization Certificate of The Bank of New York
          (formerly Irving Trust Company) as now in effect, which contains the
          authority to commence business and a grant of powers to exercise
          corporate trust powers.  (Exhibit 1 to Amendment No. 1 to Form T-1
          filed with Registration Statement No. 33-6215, Exhibits 1a and 1b to
          Form T-1 filed with Registration Statement No. 33-21672 and Exhibit 1
          to Form T-1 filed with Registration Statement No. 33-29637.)

     4.   A copy of the existing By-laws of the Trustee.  (Exhibit 4 to Form T-1
          filed with Registration Statement No. 33-31019.)


                                      -2-

<PAGE>

     6.   The consent of the Trustee required by Section 321(b) of the Act. 
          (Exhibit 6 to Form T-1 filed with Registration Statement No.
          33-44051.)

     7.   A copy of the latest report of condition of the Trustee published
          pursuant to law or to the requirements of its supervising or examining
          authority.


                                      -3-

<PAGE>

                                   SIGNATURE

     Pursuant to the requirements of the Act, the Trustee, The Bank of New 
York, a corporation organized and existing under the laws of the State of New 
York, has duly caused this statement of eligibility to be signed on its 
behalf by the undersigned, thereunto duly authorized, all in The City of New 
York, and State of New York, on the 18th day of September, 1998.

                                               THE BANK OF NEW YORK

                                               By:    /s/ MARY JANE SCHMALZEL
                                                   ---------------------------
                                               Name:  Mary Jane Schmalzel
                                               Title: Vice President

<PAGE>

                                   SIGNATURE

     Pursuant to the requirements of the Act, the Trustee, The Bank of New 
York, a corporation organized and existing under the laws of the State of New 
York, has duly caused this statement of eligibility to be signed on its 
behalf by the undersigned, thereunto duly authorized, all in The City of New 
York, and State of New York, on the 18th day of September, 1998.

                                               THE BANK OF NEW YORK

                                               By:    /s/ ROBERT A. MASSIMILLO
                                                   ---------------------------
                                               Name:  ROBERT A. MASSIMILLO
                                               Title: ASSISTANT VICE PRESIDENT

<PAGE>

                                                                      EXHIBIT 7

- -------------------------------------------------------------------------------
                                       
                      Consolidated Report of Condition of

                              THE BANK OF NEW YORK

                     of 48 Wall Street, New York, N.Y. 10286

      And Foreign and Domestic Subsidiaries, a member of the Federal Reserve 
System, at the close of business March 31, 1998, published in accordance with 
a call made by the Federal Reserve Bank of this District pursuant to the 
provisions of the Federal Reserve Act.

<TABLE>
<CAPTION>

                                                                DOLLAR AMOUNTS
                                                                 IN THOUSANDS
<S>                                                            <C>
ASSETS                                  
Cash and balances due from depository institutions:
  Noninterest-bearing balances and currency and coin. . . . . .  $ 6,397,993
  Interest-bearing balances . . . . . . . . . . . . . . . . . .    1,138,362

Securities:
  Held-to-maturity securities . . . . . . . . . . . . . . . . .    1,062,074
  Available-for-sale securities . . . . . . . . . . . . . . . .    4,167,240
Federal funds sold and Securities purchased under agreements 
 to resell. . . . . . . . . . . . . . . . . . . . . . . . . . .      391,650
Loans and lease financing receivables:
  Loans and leases, net of unearned income. . . . . . . . . . .   36,538,242
  LESS: Allowance for loan and lease losses . . . . . . . . . .      631,725
  LESS: Allocated transfer risk reserve . . . . . . . . . . . .            0
  Loans and leases, net of unearned income, allowance, and 
   reserve. . . . . . . . . . . . . . . . . . . . . . . . . . .   35,906,517
Assets held in trading accounts . . . . . . . . . . . . . . . .    2,145,149
Premises and fixed assets (including capitalized leases). . . .      663,928
Other real estate owned . . . . . . . . . . . . . . . . . . . .       10,895
Investments in unconsolidated subsidiaries and associated 
 companies. . . . . . . . . . . . . . . . . . . . . . . . . . .      237,991
Customers' liability to this bank on acceptances outstanding. .      992,747
Intangible assets . . . . . . . . . . . . . . . . . . . . . . .    1,072,517
Other assets. . . . . . . . . . . . . . . . . . . . . . . . . .    1,643,173
                                                                 -----------
Total assets. . . . . . . . . . . . . . . . . . . . . . . . . .  $55,830,236
                                                                 -----------
                                                                 -----------

LIABILITIES
Deposits:
  In domestic offices . . . . . . . . . . . . . . . . . . . . .  $24,849,054
  Noninterest-bearing . . . . . . . . . . . . . . . . . . . . .   10,011,422
  Interest-bearing. . . . . . . . . . . . . . . . . . . . . . .   14,837,632
  In foreign offices, Edge and Agreement subsidiaries, 
   and IBFs . . . . . . . . . . . . . . . . . . . . . . . . . .   15,319,002
  Noninterest-bearing . . . . . . . . . . . . . . . . . . . . .      707,820
  Interest-bearing. . . . . . . . . . . . . . . . . . . . . . .   14,611,182
Federal funds purchased and Securities sold under agreements 
 to repurchase. . . . . . . . . . . . . . . . . . . . . . . . .    1,906,066
Demand notes issued to the U.S. Treasury. . . . . . . . . . . .      215,985
Trading liabilities . . . . . . . . . . . . . . . . . . . . . .    1,591,288
Other borrowed money:
  With remaining maturity of one year or less . . . . . . . . .    1,991,119
  With remaining maturity of more than one year through 
   three years. . . . . . . . . . . . . . . . . . . . . . . . .            0
  With remaining maturity of more than three years. . . . . . .       25,574
Bank's liability on acceptances executed and outstanding. . . .      998,145
Subordinated notes and debentures . . . . . . . . . . . . . . .    1,314,000
Other liabilities . . . . . . . . . . . . . . . . . . . . . . .    2,421,281
                                                                 -----------
Total liabilities . . . . . . . . . . . . . . . . . . . . . . .   50,631,514
                                                                 -----------

EQUITY CAPITAL
Common stock. . . . . . . . . . . . . . . . . . . . . . . . . .    1,135,284
Surplus . . . . . . . . . . . . . . . . . . . . . . . . . . . .      731,319
Undivided profits and capital reserves. . . . . . . . . . . . .    3,328,050
Net unrealized holding gains (losses) on available-for-sale
  securities. . . . . . . . . . . . . . . . . . . . . . . . . .       40,198
Cumulative foreign currency translation adjustments . . . . . .      (36,129)
                                                                 -----------
Total equity capital. . . . . . . . . . . . . . . . . . . . . .    5,198,722
                                                                 -----------
Total liabilities and equity capital. . . . . . . . . . . . . .  $55,830,236
                                                                 -----------
                                                                 -----------
</TABLE>

     I, Robert E. Keilman, Senior Vice President and Comptroller of the 
above-named bank do hereby declare that this Report of Condition has been 
prepared in conformance with the instructions issued by the Board of 
Governors of the Federal Reserve System and is true to the best of my 
knowledge and belief.

                                                            Robert E. Keilman

     We, the undersigned directors, attest to the correctness of this Report 
of Condition and declare that it has been examined by us and to the best of 
our knowledge and belief has been prepared in conformance with the 
instructions issued by the Board of Governors of the Federal Reserve System 
and is true and correct.

     Thomas A. Renyi         /
     Alan R. Griffith        /Directors
     J. Carter Bacot         /

- -------------------------------------------------------------------------------

<PAGE>

===============================================================================


                                   FORM T-1

                       SECURITIES AND EXCHANGE COMMISSION
                            Washington, D.C.  20549

                           STATEMENT OF ELIGIBILITY
                    UNDER THE TRUST INDENTURE ACT OF 1939 OF A
                     CORPORATION DESIGNATED TO ACT AS TRUSTEE

                       CHECK IF AN APPLICATION TO DETERMINE
                       ELIGIBILITY OF A TRUSTEE PURSUANT TO
                         SECTION 305(b)(2)           |__|
                                       
                              ___________________

                             THE BANK OF NEW YORK
              (Exact name of trustee as specified in its charter)


              New York                                          13-5160382
       (State of incorporation                             (I.R.S. employer
        if not a U.S. national bank)                        identification no.)

      One Wall Street, New York, N.Y.                             10286
(Address of principal executive offices)                        (Zip code)

                              ___________________

                          TENET HEALTHCARE CORPORATION 
             (Exact name of obligor as specified in its charter)

               Nevada                                           95-2257091
     (State or other jurisdiction of                       (I.R.S. employer
      incorporation or organization)                        identification no.)

          3820 State Street
        Santa Barbara, California                                 93105
 (Address of principal executive offices)                       (Zip code)

                              ____________________

                     8-1/8% Senior Subordinated Notes due 2008
                       (Title of the indenture securities)


================================================================================

<PAGE>

1.   GENERAL INFORMATION.  FURNISH THE FOLLOWING INFORMATION AS TO THE TRUSTEE:

     (a)  NAME AND ADDRESS OF EACH EXAMINING OR SUPERVISING AUTHORITY TO WHICH
          IT IS SUBJECT.
          
- --------------------------------------------------------------------------------
                  Name                                        Address
- --------------------------------------------------------------------------------

     Superintendent of Banks of the State of       2 Rector Street, New York,
     New York                                      N.Y.  10006, and Albany, N.Y.
                                                   12203

     Federal Reserve Bank of New York              33 Liberty Plaza, New York,
                                                   N.Y.  10045

     Federal Deposit Insurance Corporation         Washington, D.C.  20429

     New York Clearing House Association           New York, New York   10005

     (b)  WHETHER IT IS AUTHORIZED TO EXERCISE CORPORATE TRUST POWERS.

     Yes.

2.   AFFILIATIONS WITH OBLIGOR.
     
     IF THE OBLIGOR IS AN AFFILIATE OF THE TRUSTEE, DESCRIBE EACH SUCH
     AFFILIATION. 

     None.

16.  LIST OF EXHIBITS. 

     EXHIBITS IDENTIFIED IN PARENTHESES BELOW, ON FILE WITH THE COMMISSION, ARE
     INCORPORATED HEREIN BY REFERENCE AS AN EXHIBIT HERETO, PURSUANT TO RULE
     7a-29 UNDER THE TRUST INDENTURE ACT OF 1939 (THE "ACT") AND 17 C.F.R.
     229.10(d).

     1.   A copy of the Organization Certificate of The Bank of New York
          (formerly Irving Trust Company) as now in effect, which contains the
          authority to commence business and a grant of powers to exercise
          corporate trust powers.  (Exhibit 1 to Amendment No. 1 to Form T-1
          filed with Registration Statement No. 33-6215, Exhibits 1a and 1b to
          Form T-1 filed with Registration Statement No. 33-21672 and Exhibit 1
          to Form T-1 filed with Registration Statement No. 33-29637.)

     4.   A copy of the existing By-laws of the Trustee.  (Exhibit 4 to Form T-1
          filed with Registration Statement No. 33-31019.)


                                      -2-

<PAGE>

     6.   The consent of the Trustee required by Section 321(b) of the Act. 
          (Exhibit 6 to Form T-1 filed with Registration Statement No.
          33-44051.)

     7.   A copy of the latest report of condition of the Trustee published
          pursuant to law or to the requirements of its supervising or examining
          authority.


                                      -3-

<PAGE>

                                   SIGNATURE

     Pursuant to the requirements of the Act, the Trustee, The Bank of New 
York, a corporation organized and existing under the laws of the State of New 
York, has duly caused this statement of eligibility to be signed on its 
behalf by the undersigned, thereunto duly authorized, all in The City of New 
York, and State of New York, on the 18th day of September, 1998.

                                               THE BANK OF NEW YORK

                                               By:    /s/ MARY JANE SCHMALZEL
                                                   ---------------------------
                                               Name:  Mary Jane Schmalzel
                                               Title: Vice President

<PAGE>

                                   SIGNATURE

     Pursuant to the requirements of the Act, the Trustee, The Bank of New 
York, a corporation organized and existing under the laws of the State of New 
York, has duly caused this statement of eligibility to be signed on its 
behalf by the undersigned, thereunto duly authorized, all in The City of New 
York, and State of New York, on the 18th day of September, 1998.

                                               THE BANK OF NEW YORK

                                               By:    /s/ ROBERT A. MASSIMILLO
                                                   ---------------------------
                                               Name:  ROBERT A. MASSIMILLO
                                               Title: ASSISTANT VICE PRESIDENT


<PAGE>

                                                                      EXHIBIT 7

- -------------------------------------------------------------------------------
                                       
                      Consolidated Report of Condition of

                              THE BANK OF NEW YORK

                     of 48 Wall Street, New York, N.Y. 10286

      And Foreign and Domestic Subsidiaries, a member of the Federal Reserve 
System, at the close of business March 31, 1998, published in accordance with 
a call made by the Federal Reserve Bank of this District pursuant to the 
provisions of the Federal Reserve Act.

<TABLE>
<CAPTION>

                                                                DOLLAR AMOUNTS
                                                                 IN THOUSANDS
<S>                                                            <C>
ASSETS                                  
Cash and balances due from depository institutions:
  Noninterest-bearing balances and currency and coin. . . . . .  $ 6,397,993
  Interest-bearing balances . . . . . . . . . . . . . . . . . .    1,138,362

Securities:
  Held-to-maturity securities . . . . . . . . . . . . . . . . .    1,062,074
  Available-for-sale securities . . . . . . . . . . . . . . . .    4,167,240
Federal funds sold and Securities purchased under agreements 
 to resell. . . . . . . . . . . . . . . . . . . . . . . . . . .      391,650
Loans and lease financing receivables:
  Loans and leases, net of unearned income. . . . . . . . . . .   36,538,242
  LESS: Allowance for loan and lease losses . . . . . . . . . .      631,725
  LESS: Allocated transfer risk reserve . . . . . . . . . . . .            0
  Loans and leases, net of unearned income, allowance, and 
   reserve. . . . . . . . . . . . . . . . . . . . . . . . . . .   35,906,517
Assets held in trading accounts . . . . . . . . . . . . . . . .    2,145,149
Premises and fixed assets (including capitalized leases). . . .      663,928
Other real estate owned . . . . . . . . . . . . . . . . . . . .       10,895
Investments in unconsolidated subsidiaries and associated 
 companies. . . . . . . . . . . . . . . . . . . . . . . . . . .      237,991
Customers' liability to this bank on acceptances outstanding. .      992,747
Intangible assets . . . . . . . . . . . . . . . . . . . . . . .    1,072,517
Other assets. . . . . . . . . . . . . . . . . . . . . . . . . .    1,643,173
                                                                 -----------
Total assets. . . . . . . . . . . . . . . . . . . . . . . . . .  $55,830,236
                                                                 -----------
                                                                 -----------

LIABILITIES
Deposits:
  In domestic offices . . . . . . . . . . . . . . . . . . . . .  $24,849,054
  Noninterest-bearing . . . . . . . . . . . . . . . . . . . . .   10,011,422
  Interest-bearing. . . . . . . . . . . . . . . . . . . . . . .   14,837,632
  In foreign offices, Edge and Agreement subsidiaries, 
   and IBFs . . . . . . . . . . . . . . . . . . . . . . . . . .   15,319,002
  Noninterest-bearing . . . . . . . . . . . . . . . . . . . . .      707,820
  Interest-bearing. . . . . . . . . . . . . . . . . . . . . . .   14,611,182
Federal funds purchased and Securities sold under agreements 
 to repurchase. . . . . . . . . . . . . . . . . . . . . . . . .    1,906,066
Demand notes issued to the U.S. Treasury. . . . . . . . . . . .      215,985
Trading liabilities . . . . . . . . . . . . . . . . . . . . . .    1,591,288
Other borrowed money:
  With remaining maturity of one year or less . . . . . . . . .    1,991,119
  With remaining maturity of more than one year through 
   three years. . . . . . . . . . . . . . . . . . . . . . . . .            0
  With remaining maturity of more than three years. . . . . . .       25,574
Bank's liability on acceptances executed and outstanding. . . .      998,145
Subordinated notes and debentures . . . . . . . . . . . . . . .    1,314,000
Other liabilities . . . . . . . . . . . . . . . . . . . . . . .    2,421,281
                                                                 -----------
Total liabilities . . . . . . . . . . . . . . . . . . . . . . .   50,631,514
                                                                 -----------

EQUITY CAPITAL
Common stock. . . . . . . . . . . . . . . . . . . . . . . . . .    1,135,284
Surplus . . . . . . . . . . . . . . . . . . . . . . . . . . . .      731,319
Undivided profits and capital reserves. . . . . . . . . . . . .    3,328,050
Net unrealized holding gains (losses) on available-for-sale
  securities. . . . . . . . . . . . . . . . . . . . . . . . . .       40,198
Cumulative foreign currency translation adjustments . . . . . .      (36,129)
                                                                 -----------
Total equity capital. . . . . . . . . . . . . . . . . . . . . .    5,198,722
                                                                 -----------
Total liabilities and equity capital. . . . . . . . . . . . . .  $55,830,236
                                                                 -----------
                                                                 -----------
</TABLE>

     I, Robert E. Keilman, Senior Vice President and Comptroller of the 
above-named bank do hereby declare that this Report of Condition has been 
prepared in conformance with the instructions issued by the Board of 
Governors of the Federal Reserve System and is true to the best of my 
knowledge and belief.

                                                            Robert E. Keilman

     We, the undersigned directors, attest to the correctness of this Report 
of Condition and declare that it has been examined by us and to the best of 
our knowledge and belief has been prepared in conformance with the 
instructions issued by the Board of Governors of the Federal Reserve System 
and is true and correct.

     Thomas A. Renyi         /
     Alan R. Griffith        /Directors
     J. Carter Bacot         /

- -------------------------------------------------------------------------------


<PAGE>
                             LETTER OF TRANSMITTAL
 
                          TENET HEALTHCARE CORPORATION
                           OFFER FOR ALL OUTSTANDING
                          7 5/8% SENIOR NOTES DUE 2008
                 AND 8 1/8% SENIOR SUBORDINATED NOTES DUE 2008
                                IN EXCHANGE FOR
                     7 5/8% SERIES B SENIOR NOTES DUE 2008
             AND 8 1/8% SERIES B SENIOR SUBORDINATED NOTES DUE 2008
                        WHICH HAVE BEEN REGISTERED UNDER
                    THE SECURITIES ACT OF 1933, AS AMENDED,
              PURSUANT TO THE PROSPECTUS, DATED SEPTEMBER   , 1998
 
       THE EXCHANGE OFFER WILL EXPIRE AT 5:00 P.M. NEW YORK CITY TIME, ON
   OCTOBER   , 1998, UNLESS EXTENDED (THE "EXPIRATION DATE"). TENDERS MAY BE
   WITHDRAWN PRIOR TO 5:00 P.M., NEW YORK CITY TIME, ON THE EXPIRATION DATE.
 
                       DELIVERY TO:  The Bank of New York
                               AS EXCHANGE AGENT
 
                  BY MAIL, OVERNIGHT COURIER OR HAND DELIVERY:
                              The Bank of New York
                          Attention: Millicent Burnett
                           101 Barclay Street 21 West
                            New York, New York 10286
 
                           BY FACSIMILE TRANSMISSION:
                        (FOR ELIGIBLE INSTITUTIONS ONLY)
                                 (212) 815-6339
                          Attention: Millicent Burnett
 
                             CONFIRM BY TELEPHONE:
                                 (212) 815-3502
 
  DELIVERY OF THIS INSTRUMENT TO AN ADDRESS OTHER THAN AS SET FORTH ABOVE, OR
   TRANSMISSION OF THIS LETTER OF TRANSMITTAL VIA FACSIMILE OTHER THAN AS SET
      FORTH ABOVE, WILL NOT CONSTITUTE A VALID DELIVERY OF THIS LETTER OF
                                  TRANSMITTAL.
 
    The undersigned acknowledges that he or she has received and reviewed the
prospectus, dated September   , 1998 (the "Prospectus"), of Tenet Healthcare
Corporation, a Nevada corporation (the "Company"), and this Letter of
Transmittal (the "Letter"), which together constitute the Company's offer (the
"Exchange Offer"), to exchange an aggregate principal amount of up to
$350,000,000 of the Company's 7 5/8% Series B Senior Notes due 2008 and up to
$1,005,000,000 of the Company's 8 1/8% Series B Senior Subordinated Notes due
2008 (collectively, the "New Notes"), which have been registered under the
Securities Act of 1933, as amended (the "Securities Act"), for a like principal
amount of the Company's issued and outstanding 7 5/8% Senior Notes due 2008 and
8 1/8% Senior Subordinated Notes due 2008 (the "Old Notes") from the registered
holders thereof (the "Holders").
 
    For each Old Note accepted for exchange, the Holder of such Old Note will
receive a New Note having a principal amount equal to that of the surrendered
Old Note. The New Notes will bear interest from the most recent date to which
interest has been paid on the Old Notes. Accordingly, registered Holders of New
Notes on the relevant record date for the first interest payment date following
the consummation of the Exchange Offer will receive interest accruing from the
most recent date to which interest has been paid on the Old Notes or if no
interest has been paid on the Old Notes from May 8, 1998. Old Notes accepted for
exchange will cease to accrue interest from and after the date of consummation
of the Exchange Offer. Holders of Old Notes whose Old Notes are accepted for
exchange will not receive any payment in respect of accrued interest on such Old
Notes.
 
    This Letter is to be completed by a Holder of Old Notes either if
certificates for such Old Notes are to be forwarded herewith or if a tender is
to be made by book-entry transfer to the account maintained by the Exchange
Agent at The Depository Trust Company ("DTC") pursuant to the procedures set
forth in "The Exchange Offer--
<PAGE>
Book-Entry Transfers" section of the Prospectus and an Agent's Message is not
delivered. Tenders by book-entry transfer also may be made by delivering an
Agent's Message in lieu of this Letter. The term "Agent's Message" means a
message, transmitted by the DTC to and received by the Exchange Agent and
forming a part of a Book-Entry Confirmation (as defined below), which states
that the DTC has received an express acknowledgment from the tendering
participant, which acknowledgment states that such participant has received and
agrees to be bound by this Letter and that the Company may enforce this Letter
against such participant. Holders of Old Notes whose certificates are not
immediately available, or who are unable to deliver their certificates or
confirmation of the book-entry tender of their Old Notes into the Exchange
Agent's account at the DTC (a "Book-Entry Confirmation") and all other documents
required by this Letter to the Exchange Agent on or prior to the Expiration
Date, must tender their Old Notes according to the guaranteed delivery
procedures set forth in "The Exchange Offer--Guaranteed Delivery Procedures"
section of the Prospectus. See Instruction 1. Delivery of documents to the DTC
does not constitute delivery to the Exchange Agent.
 
    THE METHOD OF DELIVERY OF OLD NOTES, LETTERS OF TRANSMITTAL AND ALL OTHER
REQUIRED DOCUMENTS IS AT THE ELECTION AND RISK OF THE HOLDERS. IF SUCH DELIVERY
IS BY MAIL, IT IS RECOMMENDED THAT REGISTERED MAIL, PROPERLY INSURED, WITH
RETURN RECEIPT REQUESTED, BE USED. IN ALL CASES, SUFFICIENT TIME SHOULD BE
ALLOWED TO ASSURE TIMELY DELIVERY. NO LETTERS OF TRANSMITTAL OR OLD NOTES SHOULD
BE SENT BY THE COMPANY.
 
    The undersigned has completed the appropriate boxes below and signed this
Letter to indicate the action the undersigned desires to take with respect to
the Exchange Offer.
 
    List below the Old Notes to which this Letter relates. If the space provided
below is inadequate, the certificate numbers and principal amount of Old Notes
should be listed on a separate signed schedule affixed hereto.
 
<TABLE>
<CAPTION>
 ----------------------------------------------------------------------------------------------------
 
                                       DESCRIPTION OF OLD NOTES
 ----------------------------------------------------------------------------------------------------
                                                              1               2               3
                                                                          AGGREGATE
                                                                          PRINCIPAL       PRINCIPAL
   NAME(S) AND ADDRESS(ES) OF REGISTERED HOLDER(S)       CERTIFICATE      AMOUNT OF         AMOUNT
              (PLEASE FILL IN, IF BLANK)                  NUMBER(S)*     OLD NOTE(S)      TENDERED**
<S>                                                     <C>             <C>             <C>
- ------------------------------------------------------------------------------------------------------
 
                                                        ----------------------------------------------
 
                                                        ----------------------------------------------
 
                                                        ----------------------------------------------
                                                            TOTAL
 
- ------------------------------------------------------------------------------------------------------
</TABLE>
 
 *  Need not be completed if Old Notes are being tendered by book-entry
    transfer.
 
**  Unless otherwise indicated in this column, a holder will be deemed to have
    tendered ALL of the Old Notes represented by the Old Notes indicated in
    column 2. See Instruction 2. Old Notes tendered hereby must be in
    denominations of principal amount of $1,000 and any integral multiple
    thereof. See Instruction 1.
 
/ /  CHECK HERE IF TENDERED OLD NOTES ARE BEING DELIVERED BY BOOK-ENTRY TRANSFER
    MADE TO THE ACCOUNT MAINTAINED BY THE EXCHANGE AGENT WITH THE DTC AND
    COMPLETE THE FOLLOWING:
 
    Name of Tendering Institution ______________________________________________
 
    Account Number _____________________________________________________________
 
    Transaction Code Number ____________________________________________________
 
    By crediting the Old Notes to the Exchange Agent's account at the DTC using
the Automated Tender Offer Program ("ATOP") and by complying with applicable
ATOP procedures with respect to the Exchange Offer, including transmitting to
the Exchange Agent an Agent's Message in which the holder of the Old Notes
acknowledges and agrees to be bound by the terms of, and makes the
representations and warranties contained in, this Letter, the participant in the
DTC confirms on behalf of itself and the beneficial owners of such Old Notes all
provisions of this Letter (including all representations and warranties)
applicable to it and such beneficial owner as fully as if it had completed the
information required herein and executed and transmitted this Letter to the
Exchange Agent.
 
                                       2
<PAGE>
/ /  CHECK HERE IF TENDERED OLD NOTES ARE BEING DELIVERED PURSUANT TO A NOTICE
    OF GUARANTEED DELIVERY PREVIOUSLY SENT TO THE EXCHANGE AGENT AND COMPLETE
    THE FOLLOWING:
 
    Name(s) of Registered Holder(s) ____________________________________________
 
    Window Ticket Number (if any) ______________________________________________
 
    Date of Execution of Notice of Guaranteed Delivery _________________________
 
    Name of Institution Which Guaranteed Delivery ______________________________
 
    If Delivered by Book-Entry Transfer, Complete the Following:
 
    Account Number _____________________________________________________________
 
    Transaction Code Number ____________________________________________________
 
    Name of Tendering Institution ______________________________________________
 
/ /  CHECK HERE IF TENDERED OLD NOTES ARE ENCLOSED HEREWITH.
 
/ /  CHECK HERE IF YOU ARE A BROKER-DEALER AND WISH TO RECEIVE 10 ADDITIONAL
    COPIES OF THE PROSPECTUS AND 10 COPIES OF ANY AMENDMENTS OR SUPPLEMENTS
    THERETO.
 
    Name: ______________________________________________________________________
 
    Address: ___________________________________________________________________
 
                                        ________________________________________
 
    If the undersigned is not a broker-dealer, the undersigned represents that
it is not engaged in, and does not intend to engage in, a distribution of New
Notes. If the undersigned is a broker-dealer that will receive New Notes for its
own account in exchange for Old Notes that were acquired as a result of
market-making activities or other trading activities, it acknowledges that it
will deliver a prospectus meeting the requirements of the Securities Act in
connection with any resale of such New Notes; however, by so acknowledging and
by delivering such a prospectus the undersigned will not be deemed to admit that
it is an "underwriter" within the meaning of the Securities Act of 1933, as
amended (the "Securities Act"). If the undersigned is a broker-dealer that will
receive New Notes, it represents that the Old Notes to be exchanged for the New
Notes were acquired as a result of market-making activities or other trading
activities.
 
              PLEASE READ THE ACCOMPANYING INSTRUCTIONS CAREFULLY
 
Ladies and Gentlemen:
 
    Upon the terms and subject to the conditions of the Exchange Offer, the
undersigned hereby tenders to the Company the aggregate principal amount of Old
Notes indicated above. Subject to, and effective upon, the acceptance for
exchange of the Old Notes tendered hereby, the undersigned hereby sells, assigns
and transfers to, or upon the order of, the Company all right, title and
interest in and to such Old Notes as are being tendered hereby.
 
    The undersigned hereby irrevocably constitutes and appoints the Exchange
Agent as the undersigned's true and lawful agent and attorney-in-fact with
respect to such tendered Old Notes, with full power of substitution, among other
things, to cause the Old Notes to be assigned, transferred and exchanged. The
undersigned hereby represents and warrants that the undersigned has full power
and authority to tender, sell, assign and transfer the Old Notes, and to acquire
Exchange Notes issuable upon the exchange of such tendered Old Notes, and that,
when the same are accepted for exchange, the Company will acquire good and
unencumbered title thereto, free and clear of all liens, restrictions, charges
and encumbrances and not subject to any adverse claim when the same are accepted
by the Company. The undersigned hereby further represents that any New Notes
acquired in exchange for Old Notes tendered hereby will have been acquired in
the ordinary course of business of the person receiving such New Notes, whether
or not such person is the undersigned, that neither the Holder of such Old Notes
nor any such other person is participating in, intends to participate in or has
an arrangement or understanding with any person to participate in the
distribution of such New Notes and that neither the Holder of such Old Notes nor
any such other person is an "affiliate," as defined in Rule 405 under the
Securities Act, of the Company. The undersigned hereby further represents and
warrants that (i) the undersigned is the owner of the Old Notes; (ii) the
undersigned has a net long position within the meaning of Rule 14e-4 ("Rule
14e-4") under the Securities Exchange Act of 1934, as amended (the "Exchange
Act"), equal to or greater than the principal amount of the Old Notes tendered
hereby; and (iii) the tender of such Old Notes complies with Rule 14e-4 (to the
extent that Rule 14e-4 is applicable to such exchange).
 
                                       3
<PAGE>
    The undersigned acknowledges that this Exchange Offer is being made in
reliance on interpretations by the staff of the Securities and Exchange
Commission (the "SEC"), as set forth in no-action letters issued to third
parties, that the New Notes issued pursuant to the Exchange Offer in exchange
for the Old Notes may be offered for resale, resold and otherwise transferred by
Holders thereof (other than any such Holder that is an "affiliate" of the
Company within the meaning of Rule 405 under the Securities Act), without
compliance with the registration and prospectus delivery provisions of the
Securities Act, PROVIDED that such New Notes are acquired in the ordinary course
of such Holders' business and such Holders have no arrangement with any person
to participate in the distribution of such New Notes. However, the Company has
not sought and does not intend to seek its own no-action letter, and
accordingly, the SEC has not considered the Exchange Offer in the context of a
no-action letter and there can be no assurance that the staff of the SEC would
make a similar determination with respect to the Exchange Offer as in other
circumstances. If the undersigned is not a broker-dealer, the undersigned
represents that it is not engaged in, and does not intend to engage in, a
distribution of New Notes and has no arrangement or understanding to participate
in a distribution of New Notes. If any Holder is an affiliate of the Company, is
engaged in or intends to engage in or has any arrangement or understanding with
respect to the distribution of the New Notes to be acquired pursuant to the
Exchange Offer, such Holder (i) could not rely on the applicable interpretations
of the staff of the SEC and (ii) must comply with the registration and
prospectus delivery requirements of the Securities Act in connection with any
resale transaction. If the undersigned is a broker-dealer that will receive New
Notes for its own account in exchange for Old Notes, it represents that the Old
Notes to be exchanged for the New Notes were acquired by it as a result of
market-making activities or other trading activities and acknowledges that it
will deliver a prospectus meeting the requirements of the Securities Act in
connection with any resale of such New Notes; however, by so acknowledging and
by delivering a prospectus meeting the requirements of the Securities Act, the
undersigned will not be deemed to admit that it is an "underwriter" within the
meaning of the Securities Act. By tendering, the undersigned further represents
to the Company that (i) the undersigned and each beneficial owner acknowledge
and agree that any person who is a broker-dealer registered under the Exchange
Act or its participating in the Exchange Offer for the purpose of distributing
the New Notes must comply with the registration and prospectus delivery
requirements of the Securities Act in connection with a secondary resale
transaction of the New Notes acquired by such person and cannot rely on the
position of the staff of the SEC set forth in certain no-action letters, and
(ii) the undersigned and each beneficial owner understand that a secondary
resale of the Old Notes acquired by the undersigned directly from the Company
should be covered by an effective registration statement containing the selling
securityholder information required by Item 507 or Item 508, as applicable, of
Regulation S-K of the SEC.
 
    The undersigned acknowledges that the Company's acceptance of Old Notes
validly rendered for exchange pursuant to any one of the procedures described in
the section of the Prospectus entitled "the Exchange Offer" and in the
instructions hereto will constitute a binding agreement between the undersigned
and the Company upon the terms and subject to the conditions of the Exchange
Offer.
 
    The undersigned will, upon request, execute and deliver any additional
documents deemed by the Company to be necessary or desirable to complete the
sale, assignment and transfer of the Old Notes tendered hereby. All authority
conferred or agreed to be conferred in this Letter and every obligation of the
undersigned hereunder shall be binding upon the successors, assigns, heirs,
executors, administrators, trustees in bankruptcy and legal representatives of
the undersigned and shall not be affected by, and shall survive, the death or
incapacity of the undersigned. This tender may be withdrawn only in accordance
with the procedures set forth in "The Exchange Offer--Withdrawal Rights" section
of the Prospectus.
 
    Unless otherwise indicated herein in the box entitled "Special Issuance
Instructions" below, please deliver the New Notes (and, if applicable,
substitute certificates representing Old Notes for any Old Notes not exchanged)
in the name of the undersigned or, in the case of a book-entry delivery of Old
Notes, please credit the account indicated above maintained at the DTC.
Similarly, unless otherwise indicated under the box entitled "Special Delivery
Instructions" below, please send the New Notes (and, if applicable, substitute
certificates representing Old Notes for any Old Notes not exchanged) to the
undersigned at the address shown above in the box entitled "Description of Old
Notes."
 
    THE UNDERSIGNED, BY COMPLETING THE BOX ENTITLED "DESCRIPTION OF OLD NOTES"
ABOVE AND SIGNING THIS LETTER, WILL BE DEEMED TO HAVE TENDERED THE OLD NOTES AS
SET FORTH IN SUCH BOX ABOVE.
 
                                       4
<PAGE>
- ---------------------------------------------
 
                         SPECIAL ISSUANCE INSTRUCTIONS
                           (SEE INSTRUCTIONS 3 AND 4)
 
      To be completed ONLY if certificates for Old Notes not exchanged and/or
  New Notes are to be issued in the name of someone other than the person or
  persons whose signature(s) appear(s) on this Letter above, or if Old Notes
  delivered by book-entry transfer which are not accepted for exchange are to
  be returned by credit to an account maintained at the DTC other than the
  account indicated above.
 
  Issue to:  New Notes and/or Old Notes to:
  Name(s)_____________________________________________________________________
                             (PLEASE TYPE OR PRINT)
   __________________________________________________________________________
                             (PLEASE TYPE OR PRINT)
  Address ____________________________________________________________________
  ____________________________________________________________________________
 
  ____________________________________________________________________________
                                   (ZIP CODE)
                         (COMPLETE SUBSTITUTE FORM W-9)
 
      Credit unexchanged Old Notes delivered by book-entry transfer to the
  Book-Entry Transfer Facility account set forth below.
 
  ____________________________________________________________________________
                         (BOOK-ENTRY TRANSFER FACILITY
                         ACCOUNT NUMBER, IF APPLICABLE)
 
- ---------------------------------------------------------
- ---------------------------------------------------------
 
                         SPECIAL DELIVERY INSTRUCTIONS
                           (SEE INSTRUCTIONS 3 AND 4)
 
      To be completed ONLY if certificates for Old Notes not exchanged and/or
  New Notes are to be sent to someone other than the person or persons whose
  signa-ture(s) appear(s) on this Letter above or to such person or persons at
  an address other than shown in the box entitled "Description of Old Notes"
  on this Letter above.
 
  Mail: New Notes and/or Old Notes to:
 
  Name(s) ____________________________________________________________________
                             (PLEASE TYPE OR PRINT)
 
   __________________________________________________________________________
                             (PLEASE TYPE OR PRINT)
 
  Address ____________________________________________________________________
 
  ____________________________________________________________________________
                                   (ZIP CODE)
 
- -----------------------------------------------------
 
IMPORTANT: THIS LETTER OR A FACSIMILE HEREOF OR AN AGENT'S MESSAGE IN LIEU
THEREOF (TOGETHER WITH THE CERTIFICATES FOR OLD NOTES OR A BOOK-ENTRY
CONFIRMA-TION AND ALL OTHER REQUIRED DOCUMENTS OR THE NOTICE OF GUARANTEED
DELIVERY) MUST BE RECEIVED BY THE EXCHANGE AGENT PRIOR TO 5:00 P.M., NEW YORK
CITY TIME, ON THE EXPIRATION DATE.
 
                 PLEASE READ THIS ENTIRE LETTER OF TRANSMITTAL
                   CAREFULLY BEFORE COMPLETING ANY BOX ABOVE.
 
    IN ORDER TO VALIDLY TENDER OLD NOTES FOR EXCHANGE, HOLDERS OF OLD NOTES MUST
COMPLETE, EXECUTE, AND DELIVER THIS LETTER OF TRANSMITTAL.
 
    Except as stated in the Prospectus, all authority herein conferred or agreed
to be conferred shall survive the death, incapacity, or dissolution of the
undersigned, and any obligation of the undersigned hereunder shall be binding
upon the heirs, personal representatives, successors and assigns of the
undersigned. See Instruction 10.
 
                                       5
<PAGE>
- --------------------------------------------------------------------------------
 
                                PLEASE SIGN HERE
                   (TO BE COMPLETED BY ALL TENDERING HOLDERS)
          (COMPLETE ACCOMPANYING SUBSTITUTE FORM W-9 ON REVERSE SIDE)
 
  x ____________________________________________________________________, 1998
  x ____________________________________________________________________, 1998
                    SIGNATURE(S) OF OWNER                DATE
 
  Area Code and Telephone Number _____________________________________________
 
      This Letter must be signed by the registered holder(s) as the name(s)
  appear(s) on the certificate(s) for the Old Notes hereby tendered or on a
  security position, on listing or by any person(s) authorized to become
  registered holder(s) by endorsements and documents transmitted herewith. If
  signature is by a trustee, executor, administrator, guardian, officer or
  other person acting in a fiduciary or representative capacity, please set
  forth full title. See Instruction 3.
 
  Name(s): ___________________________________________________________________
 
  ____________________________________________________________________________
                             (PLEASE TYPE OR PRINT)
 
  Capacity: __________________________________________________________________
 
  Address: ___________________________________________________________________
 
  ____________________________________________________________________________
                              (INCLUDING ZIP CODE)
 
  Principal place of business (if different from address listed above):
 
  ____________________________________________________________________________
                              (INCLUDING ZIP CODE)
 
  Area Code and Telephone No.: (   )__________________________________________
 
  Tax Identification or Social Security Nos.:
 
  ____________________________________________________________________________
 
                              SIGNATURE GUARANTEE
                         (IF REQUIRED BY INSTRUCTION 3)
 
  Signature(s) Guaranteed by
  an Eligible Institution: ___________________________________________________
                             (AUTHORIZED SIGNATURE)
 
   __________________________________________________________________________
                                    (TITLE)
 
   __________________________________________________________________________
                                (NAME AND FIRM)
 
  Dated: _______________________________________________________________, 1998
- --------------------------------------------------------------------------------
 
                                       6
<PAGE>
                                  INSTRUCTIONS
     FORMING PART OF THE TERMS AND CONDITIONS OF THE EXCHANGE OFFER FOR THE
 7 5/8% SENIOR NOTES DUE 2008 AND 8 1/8% SENIOR SUBORDINATED NOTES DUE 2008 OF
                        TENET HEALTHCARE CORPORATION IN
   EXCHANGE FOR THE 7 5/8% SERIES B SENIOR NOTES DUE 2008 AND 8 1/8% SERIES B
                       SENIOR SUBORDINATED NOTES DUE 2008
    WHICH HAVE BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED
 
1.  DELIVERY OF THIS LETTER AND NOTES; GUARANTEED DELIVERY PROCEDURES.
 
    This Transmittal Letter (this "Letter") is to be completed by holders of Old
Notes either if certificates are to be forwarded herewith or if tenders are to
be made pursuant to the procedures for delivery by book-entry transfer set forth
in "The Exchange Offer--Book-Entry Transfers" section of the Prospectus and an
Agent's Message is not delivered. Tenders by book-entry transfer also may be
made by delivering an Agent's Message in lieu of this Letter. The term "Agent's
Message" means a message, transmitted by the DTC to and received by the Exchange
Agent and forming a part of a Book-Entry Confirmation, which states that the DTC
has received an express acknowledgment from the tendering participant, which
acknowledgment states that such participant has received and agrees to be bound
by, and makes the representations and warranties contained in, the Letter and
that the Company may enforce the Letter against such participant. Certificates
for all physically tendered Old Notes, or Book-Entry Confirmation, as the case
may be, as well as a properly completed and duly executed Letter (or manually
signed facsimile hereof or Agent's Message in lieu thereof) and any other
documents required by this Letter, must be received by the Exchange Agent at the
address set forth herein prior to the Expiration Date, or the tendering holder
must comply with the guaranteed delivery procedures set forth below. Old Notes
tendered hereby must be in denominations of principal amount of $1,000 and any
integral multiple thereof.
 
    Holders whose certificates for Old Notes are not immediately available or
who cannot deliver their certificates and all other required documents to the
Exchange Agent before the Expiration Date, or who cannot complete the procedure
for book-entry transfer on a timely basis, may tender their Old Notes pursuant
to the guaranteed delivery procedures set forth in "The Exchange
Offer--Guaranteed Delivery Procedures" section of the Prospectus. Pursuant to
such procedures, (i) such tender must be made through an Eligible Institution,
(ii) prior to 5:00 p.m., New York City time, on the Expiration Date, the
Exchange Agent must receive from such Eligible Institution a properly completed
and duly executed Letter (or a facsimile thereof) and Notice of Guaranteed
Delivery, substantially in the form provided by the Company (by telegram, telex,
facsimile transmission, mail or hand delivery), setting forth the name and
address of the holder of Old Notes and the amount of Old Notes tendered, stating
that the tender is being made thereby and guaranteeing that within three New
York Stock Exchange ("NYSE") trading days after the date of execution of the
Notice of Guaranteed Delivery, the certificates for all physically tendered Old
Notes, in proper form for transfer, or a Book-Entry Confirmation, as the case
may be, together with a properly completed and duly executed Letter (or
facsimile thereof or Agent's Message in lieu thereof) with any required
signature guarantees and any other documents required by this Letter will be
deposited by the Eligible Institution with the Exchange Agent, and (iii) the
certificates for all physically tendered Old Notes, in proper form for transfer,
or a Book-Entry Confirmation, as the case may be, together with a properly
completed and duly executed Letter (or facsimile thereof or Agent's Message in
lieu thereof) with any required signature guarantees and all other documents
required by this Letter, are received by the Exchange Agent within three NYSE
trading days after the Expiration Date.
 
    The method of delivery of this Letter, the Old Notes and all other required
documents is at the election and risk of the tendering holders, but the delivery
will be deemed made only when actually received or confirmed by the Exchange
Agent. If Old Notes are sent by mail, it is suggested that the mailing be
registered mail, properly insured, with return receipt requested, made
sufficiently in advance of the Expiration Date to permit delivery to the
Exchange Agent prior to 5:00 p.m., New York City time, on the Expiration Date.
See "The Exchange Offer" section of the Prospectus.
 
2.  PARTIAL TENDERS (NOT APPLICABLE TO NOTEHOLDERS WHO TENDER BY BOOK-ENTRY
  TRANSFER).
 
    If less than all of the Old Notes evidenced by a submitted certificate are
to be tendered, the tendering holder(s) should fill in the aggregate principal
amount of Old Notes to be tendered in the box above entitled "Description of Old
Notes--Principal Amount Tendered." A reissued certificate representing the
balance of nontendered Old Notes will be sent to such tendering holder, unless
otherwise provided in the appropriate box
 
                                       7
<PAGE>
on this Letter, promptly after the Expiration Date. ALL OF THE OLD NOTES
DELIVERED TO THE EXCHANGE AGENT WILL BE DEEMED TO HAVE BEEN TENDERED UNLESS
OTHERWISE INDICATED.
 
3.  SIGNATURES ON THIS LETTER; BOND POWERS AND ENDORSEMENTS; GUARANTEE OF
  SIGNATURES.
 
    If this Letter is signed by the Holder of the Old Notes tendered hereby, the
signature must correspond exactly with the name as written on the face of the
certificates or on the DTC's security position listing as the holder of such Old
Notes without any change whatsoever.
 
    If any tendered Old Notes are owned of record by two or more joint owners,
all of such owners must sign this Letter.
 
    If any tendered Old Notes are registered in different names on several
certificates, it will be necessary to complete, sign and submit as many separate
copies of this Letter as there are different registrations of certificates.
 
    When this Letter is signed by the registered holder or holders of the Old
Notes specified herein and tendered hereby, no endorsements of certificates or
separate bond powers are required. If, however, the New Notes are to be issued,
or any untendered Old Notes are to be reissued, to a person other than the
registered holder, then endorsements of any certificates transmitted hereby or
separate bond powers are required. Signatures on such certificate(s) must be
guaranteed by a participant in a securities transfer association recognized
signature program.
 
    If this Letter is signed by a person other than the registered holder or
holders of any certificate(s) specified herein, such certificate(s) must be
endorsed or accompanied by appropriate bond powers, in either case signed
exactly as the name or names of the registered holder or holders appear(s) on
the certificate(s) and signatures on such certificate(s) must be guaranteed by
an Eligible Institution.
 
    If this Letter or any certificates or bond powers are signed by trustees,
executors, administrators, guardians, attorneys-in-fact, officers of
corporations or others acting in a fiduciary or representative capacity, such
persons should so indicate when signing, and, unless waived by the Company,
proper evidence satisfactory to the Company of their authority to so act must be
submitted.
 
    ENDORSEMENTS ON CERTIFICATES FOR OLD NOTES OR SIGNATURES ON BOND POWERS
REQUIRED BY THIS INSTRUCTION 3 MUST BE GUARANTEED BY A FIRM WHICH IS A FINANCIAL
INSTITUTION (INCLUDING MOST BANKS, SAVINGS AND LOAN ASSOCIATIONS AND BROKERAGE
HOUSES) THAT IS A PARTICIPANT IN THE SECURITIES TRANSFER AGENTS MEDALLION
PROGRAM, THE NEW YORK STOCK EXCHANGE MEDALLION SIGNATURE PROGRAM OR THE STOCK
EXCHANGES MEDALLION PROGRAM (EACH AN "ELIGIBLE INSTITUTION").
 
    SIGNATURES ON THIS LETTER NEED NOT BE GUARANTEED BY AN ELIGIBLE INSTITUTION,
PROVIDED THE OLD NOTES ARE TENDERED: (I) BY A REGISTERED HOLDER OF OLD NOTES
(WHICH TERM, FOR PURPOSES OF THE EXCHANGE OFFER, INCLUDES ANY PARTICIPANT IN THE
DTC SYSTEM WHOSE NAME APPEARS ON A SECURITY POSITION LISTING AS THE HOLDER OF
SUCH OLD NOTES) WHO HAS NOT COMPLETED THE BOX ENTITLED "SPECIAL ISSUANCE
INSTRUCTIONS" OR "SPECIAL DELIVERY INSTRUCTIONS" ON THIS LETTER, OR (II) FOR THE
ACCOUNT OF AN ELIGIBLE INSTITUTION.
 
4.  SPECIAL ISSUANCE AND DELIVERY INSTRUCTIONS
 
    Tendering holders of Old Notes should indicate in the applicable box the
name and address to which New Notes issued pursuant to the Exchange Offer and or
substitute certificates evidencing Old Notes not exchanged are to be issued or
sent, if different from the name or address of the person signing this Letter.
In the case of issuance in a different name, the employer identification or
social security number of the person named also must be indicated. Noteholders
tendering Old Notes by book-entry transfer may request that Old Notes not
exchanged be credited to such account maintained at the DTC as such noteholder
may designate hereon. If no such instructions are given, such Old Notes not
exchanged will be returned to the name and address of the person signing this
Letter.
 
5.  TAXPAYER IDENTIFICATION NUMBER AND BACKUP WITHHOLDING
 
    Federal income tax law generally requires that a tendering Holder whose Old
Notes are accepted for exchange must provide the Exchange Agent (as payor) with
such Holder's correct Taxpayer Identification Number (a "TIN"), which, in the
case of a Holder who is an individual, is such Holder's social security number.
If the Exchange Agent is not provided with the correct TIN or an adequate basis
for an exemption, such Holder may be subject to a $50 penalty imposed by the
Internal Revenue Service and backup withholding in an amount equal to 31% of the
amount of any reportable payments made after the exchange to such tendering
Holder. If withholding results in an overpayment of taxes, a refund may be
obtained.
 
                                       8
<PAGE>
    To prevent backup withholding, each tendering Holder must provide such
Holder's correct TIN by completing the "Substitute Form W-9" set forth herein,
certifying that the TIN provided is correct (or that such Holder is awaiting a
TIN) and that (i) the Holder is exempt from backup withholding, (ii) the Holder
has not been notified by the Internal Revenue Service that such Holder is
subject to backup withholding as a result of a failure to report all interest or
dividends or (iii) the Internal Revenue Service has notified the Holder that
such Holder is no longer subject to backup withholding.
 
    If the Holder does not have a TIN, such Holder should consult the enclosed
Guidelines for Certification of Taxpayer Identification Number on Substitute
Form W-9 (the "W-9 Guidelines") for instructions on applying for a TIN, write
"Applied For" in the space for the TIN in Part 1 of the Substitute Form W-9, and
sign and date the Substitute Form W-9 and the Certificate of Awaiting Taxpayer
Identification Number set forth herein. If the Holder does not provide such
Holder's TIN to the Exchange Agent within 60 days, backup withholding will begin
and continue until such Holder furnishes such Holder's TIN to the Exchange
Agent. NOTE: WRITING "APPLIED FOR" ON THE FORM MEANS THAT THE HOLDER HAS ALREADY
APPLIED FOR A TIN OR THAT SUCH HOLDER INTENDS TO APPLY FOR ONE IN THE NEAR
FUTURE.
 
    If the Old Notes are held in more than one name or are not in the name of
the actual owner, consult the W-9 Guidelines for information on which TIN to
report.
 
    Exempt Holders (including, among others, all corporations and certain
foreign individuals) are not subject to these backup withholding and reporting
requirements. To prevent possible erroneous backup withholding, an exempt Holder
should write "Exempt" in Part 2 of Substitute Form W-9. See the W-9 Guidelines
for additional instructions. In order for a nonresident alien or foreign entity
to qualify as exempt, such person must submit a completed Form W-8, "Certificate
of Foreign Status," signed under penalty of perjury attesting to such exempt
status. Such form may be obtained from the Exchange Agent.
 
6.  TRANSFER TAXES
 
    The Company will pay all transfer taxes, if any, applicable to the transfer
of Old Notes to it or its order pursuant to the Exchange Offer. If, however, New
Notes and/or substitute Old Notes not exchanged are to be delivered to, or are
to be registered or issued in the name of, any person other than the registered
holder of the Old Notes tendered hereby, or if tendered Old Notes are registered
in the name of any person other than the person signing this Letter, or if a
transfer tax is imposed for any reason other than the transfer of Old Notes to
the Company or its order pursuant to the Exchange Offer, the amount of any such
transfer taxes (whether imposed on the registered holder or any other persons)
will be payable by the tendering holder. If satisfactory evidence of payment of
such taxes or exemption therefrom is not submitted herewith, the amount of such
transfer taxes will be billed directly to such tendering holder. EXCEPT AS
PROVIDED IN THIS INSTRUCTION 6, IT WILL NOT BE NECESSARY FOR TRANSFER TAX STAMPS
TO BE AFFIXED TO THE OLD NOTES SPECIFIED IN THIS LETTER.
 
7.  WAIVER OF CONDITIONS.
 
    The Company reserves the right (in its reasonable discretion) to waive
satisfaction of any or all conditions enumerated in the Prospectus.
 
8.  NO CONDITIONAL TENDERS; DEFECTS.
 
    No alternative, conditional, irregular or contingent tenders will be
accepted. All tendering holders of Old Notes, by execution of this Letter or an
Agent's Message in lieu thereof, shall waive any right to receive notice of the
acceptance of their Old Notes for exchange.
 
    Neither the Company, the Exchange Agent nor any other person is obligated to
give notice of any defect or irregularity with respect to any tender of Old
Notes nor shall any of them incur any liability for failure to give any such
notice.
 
9.  MUTILATED, LOST, STOLEN OR DESTROYED OLD NOTES.
 
    Any holder whose Old Notes have been mutilated, lost, stolen or destroyed
should contact the Exchange Agent at the address indicated above for further
instructions.
 
                                       9
<PAGE>
10.  WITHDRAWAL RIGHTS
 
    Tenders of Old Notes may be withdrawn at any time prior to 5:00 p.m., New
York City time, on the Expiration Date.
 
    For a withdrawal of a tender of Old Notes to be effective, a written notice
of withdrawal must be received by the Exchange Agent at the address set forth
above prior to 5:00 p.m., New York City time, on the Expiration Date. Any such
notice of withdrawal must (i) specify the name of the person having tendered the
Old Notes to be withdrawn (the "Depositor"), (ii) identify the Old Notes to be
withdrawn (including certificate number or numbers and the principal amount of
such Old Notes), (iii) contain a statement that such holder is withdrawing such
holder's election to have such Old Notes exchanged, (iv) be signed by the holder
in the same manner as the original signature on the Letter by which such Old
Notes were tendered (including any required signature guarantees) or be
accompanied by documents of transfer to have the Trustee with respect to the Old
Notes register the transfer of such Old Notes in the name of the person
withdrawing the tender and (v) specify the name in which such Old Notes are
registered, if different from that of the Depositor. If Old Notes have been
tendered pursuant to the procedure for book-entry transfer set forth in "The
Exchange Offer--Book-Entry Transfers" section of the Prospectus, any notice of
withdrawal must specify the name and number of the account at the DTC to be
credited with the withdrawn Old Notes and otherwise comply with the procedures
of such facility. All questions as to the validity, form and eligibility
(including time of receipt) of such notices will be determined by the Company
(which power may be delegated to the Exchange Agent), whose determination shall
be final and binding on all parties. Any Old Notes so withdrawn will be deemed
not to have been validly tendered for exchange for purposes of the Exchange
Offer and no New Notes will be issued with respect thereto unless the Old Notes
so withdrawn are validly retendered. Any Old Notes that have been tendered for
exchange but which are not exchanged for any reason will be returned to the
Holder thereof without cost to such Holder (or, in the case of Old Notes
tendered by book-entry transfer into the Exchange Agent's account at the DTC
pursuant to the book-entry transfer procedures set forth in "The Exchange
Offer--Book-Entry Transfers" section of the Prospectus, such Old Notes will be
credited to an account maintained with the DTC for the Old Notes) as soon as
practicable after withdrawal, rejection of tender or termination of the Exchange
Offer. Properly withdrawn Old Notes may be retendered by following the
procedures described above at any time prior to 5:00 p.m., New York City time,
on the Expiration Date.
 
11.  REQUESTS FOR ASSISTANCE OR ADDITIONAL COPIES.
 
    Questions relating to the procedure for tendering, as well as requests for
additional copies of the Prospectus and this Letter, and requests for Notices of
Guaranteed Delivery and other related documents may be directed to the Exchange
Agent, at the address and telephone number indicated above.
 
                                       10
<PAGE>
TO BE COMPLETED BY ALL TENDERING HOLDERS OF SECURITIES
 
               PAYOR'S NAME: U.S. BANK TRUST NATIONAL ASSOCIATION
 
<TABLE>
<C>                               <S>                         <C>
- ----------------------------------------------------------------------------------------------
           SUBSTITUTE             Part 1  PLEASE PROVIDE                    TIN
            FORM W-9              YOUR TIN IN THE BOX AT          (Social Security Number
   Department of the Treasury     RIGHT AND CERTIFY BY                  or Employer
    Internal Revenue Service      SIGNING AND DATING BELOW         Identification Number)
 
                                  ------------------------------------------------------------
  Payer's Request for Taxpayer    Part 2  FOR PAYEES EXEMPT FROM BACKUP WITHHOLDING (SEE
 Identification Number ("TIN")    INSTRUCTIONS)
       and Certification
                                  ------------------------------------------------------------
                                  Part 3  CERTIFICATION UNDER PENALTIES OF PERJURY, I CERTIFY
                                  THAT (1) The number shown on this form is my correct TIN (or
                                  I am waiting for a number to be issued to me), and (2) I am
                                  not subject to backup withholding because: (a) I am exempt
                                  from backup withholding, or (b) I have not been notified by
                                  the Internal Revenue Service (the "IRS") that I am subject
                                  to backup withholding as a result of a failure to report all
                                  interest or dividends or (c) the IRS has notified me that I
                                  am no longer subject to backup withholding.
 
                                  SIGNATURE  DATE
- ----------------------------------------------------------------------------------------------
</TABLE>
 
    You must cross out item (2) in Part 3 above if you have been notified by the
IRS that you are currently subject to backup withholding because of
underreporting interest or dividends on your tax return.
 
     YOU MUST COMPLETE THE FOLLOWING CERTIFICATE IF YOU WROTE "APPLIED FOR"
                      IN PART 1 OF THE SUBSTITUTE FORM W-9
 
- ------------------------------------------------------------
 
             CERTIFICATE OF AWAITING TAXPAYER IDENTIFICATION NUMBER
 
      I certify under penalties of perjury that a taxpayer identification
  number has not been issued to me, and that I mailed or delivered an
  application to receive a taxpayer identification number to the appropriate
  Internal Revenue Service Center or Social Security Administration Office (or
  I intend to mail or deliver an application in the near future). I understand
  that if I do not provide a taxpayer identification number to the Payor
  within 60 days, the Payor is required to withhold 31 percent of all cash
  payments made to me thereafter until I provide a number.
 
<TABLE>
<S>                                                       <C>
                      SIGNATURE                                            DATE
</TABLE>
 
   --------------------------------------------------------------------------
 
NOTE:  FAILURE TO COMPLETE AND RETURN THIS FORM MAY RESULT IN BACKUP WITHHOLDING
       OF THIRTY-ONE PERCENT OF ANY CASH PAYMENTS. PLEASE REVIEW THE ENCLOSED
       GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION NUMBER ON
       SUBSTITUTE FORM W-9 FOR ADDITIONAL DETAILS.
 
                                       11

<PAGE>
                       NOTICE OF GUARANTEED DELIVERY FOR
                          TENET HEALTHCARE CORPORATION
 
    This form or one substantially equivalent hereto must be used to accept the
Exchange Offer of Tenet Healthcare Corporation (the "Company") made pursuant to
the prospectus, dated September   , 1998 (the "Prospectus"), if certificates for
the outstanding 7 5/8% Senior Notes due 2008 and 8 1/8% Senior Subordinated
Notes due 2008 of the Company (the "Old Notes") are not immediately available or
if the procedure for book-entry transfer cannot be completed on a timely basis
or time will not permit all required documents to reach The Bank of New York, as
exchange agent (the "Exchange Agent") prior to 5:00 p.m., New York City time, on
the Expiration Date of the Exchange Offer. Such form may be delivered or
transmitted by facsimile transmission, mail or hand delivery to the Exchange
Agent as set forth below. In addition, in order to utilize the guaranteed
delivery procedure to tender Old Notes pursuant to the Exchange Offer, a
completed, signed and dated Letter of Transmittal (or facsimile thereof) must be
received by the Exchange Agent prior to 5:00 p.m., New York City time, on the
Expiration Date. Capitalized terms not defined herein shall have the respective
meanings ascribed to them in the Prospectus.
 
               DELIVERY TO: The Bank of New York, EXCHANGE AGENT
 
                  BY MAIL, OVERNIGHT COURIER OR HAND DELIVERY:
 
                          Attention: Millicent Burnett
                              The Bank of New York
                           101 Barclay Street 21 West
                            New York, New York 10286
 
                           BY FACSIMILE TRANSMISSION:
                        (FOR ELIGIBLE INSTITUTIONS ONLY)
                                 (212) 815-6339
                          Attention: Millicent Burnett
 
                             CONFIRM BY TELEPHONE:
 
                                 (212) 815-3502
 
    DELIVERY OF THIS INSTRUMENT TO AN ADDRESS OTHER THAN AS SET FORTH ABOVE, OR
TRANSMISSION OF THIS INSTRUMENT VIA FACSIMILE OTHER THAN AS SET FORTH ABOVE,
WILL NOT CONSTITUTE A VALID DELIVERY.
 
Ladies and Gentlemen:
 
    Upon the terms and conditions set forth in the Prospectus, the undersigned
hereby tenders to the Company the principal amount of Old Notes set forth below
pursuant to the guaranteed delivery procedure described in "The Exchange
Offer--Guaranteed Delivery Procedures" section of the Prospectus.
 
<TABLE>
<S>                                            <C>
Principal Amount of Old Notes Tendered:*
$
Certificate Nos. (if available):
 
                                               If Old Notes will be delivered by book-entry
                                               transfer to The Depository Trust Company,
                                               provide account number.
Total Principal Amount Represented by
Old Notes Certificate(s):
$                                              Account Number
</TABLE>
 
*Must be in denominations of principal amount of $1,000 and any integral
 multiple thereof.
<PAGE>
    ALL AUTHORITY HEREIN CONFERRED OR AGREED TO BE CONFERRED SHALL SURVIVE THE
DEATH OR INCAPACITY OF THE UNDERSIGNED AND EVERY OBLIGATION OF THE UNDERSIGNED
HEREUNDER SHALL BE BINDING UPON THE HEIRS, PERSONAL REPRESENTATIVES, SUCCESSORS
AND ASSIGNS OF THE UNDERSIGNED.
 
- --------------------------------------------------------------------------------
 
                                PLEASE SIGN HERE
 
<TABLE>
<S>        <C>                                   <C>              <C>
X
X
           Signature(s) of Owner(s)                   Date
           or Authorized Signatory
           Area Code and Telephone Number:
</TABLE>
 
    Must be signed by the holder(s) of Old Notes as such holder(s) name(s)
appear(s) on certificates for Old Notes or on a security position listing, or by
person(s) authorized to become registered holder(s) by endorsement and documents
transmitted with this Notice of Guaranteed Delivery. If signature is by a
trustee, executor, administrator, guardian, attorney-in-fact, officer or other
person acting in a fiduciary or representative capacity, such person must set
forth his or her full title below.
 
                      PLEASE PRINT NAME(S) AND ADDRESS(ES)
 
<TABLE>
<S>          <C>
Name(s):
Capacity:
Address(es):
</TABLE>
 
                                   GUARANTEE
 
                    (Not to be used for signature guarantee)
 
    The undersigned, a financial institution that is a participant in the
Securities Transfer Agents Medallion Program, the New York Stock Exchange
Medallion Signature Program or the Stock Exchanges Medallion Program, hereby
guarantees that the certificates representing the principal amount of Old Notes
tendered hereby in proper form for transfer, or timely confirmation of the
book-entry transfer of such Old Notes into the Exchange Agent's account at The
Depository Trust Company pursuant to the procedures set forth in "The Exchange
Offer--Guaranteed Delivery Procedures" section of the Prospectus, together with
one or more properly completed and duly executed Letters of Transmittal (or
facsimile thereof or Agent's Message in lieu thereof) and any required signature
guarantee and any other documents required by the Letter of Transmittal, will be
received by the Exchange Agent at the address set forth above, no later than
three New York Stock Exchange trading days after the date of execution of the
Notice of Guaranteed Delivery.
 
<TABLE>
<S>                                            <C>
                Name of Firm                               Authorized Signature
                   Address                                         Title
                                                                   Name:
                                    Zip Code              (Please Type or Print)
           Area Code and Tel. No.                                 Dated:
</TABLE>
 
NOTE: DO NOT SEND CERTIFICATES FOR OLD NOTES WITH THIS FORM. CERTIFICATES FOR
      OLD NOTES SHOULD BE SENT ONLY WITH A COPY OF YOUR PREVIOUSLY EXECUTED
      LETTER OF TRANSMITTAL.

<PAGE>
                          TENET HEALTHCARE CORPORATION
                           OFFER FOR ALL OUTSTANDING
                     7 5/8% SERIES A SENIOR NOTES DUE 2008
             AND 8 1/8% SERIES A SENIOR SUBORDINATED NOTES DUE 2008
                                IN EXCHANGE FOR
                     7 5/8% SERIES B SENIOR NOTES DUE 2008
              8 1/8% SERIES B SENIOR SUBORDINATED NOTES DUE 2008,
                        WHICH HAVE BEEN REGISTERED UNDER
                          THE SECURITIES ACT OF 1933,
                                   AS AMENDED
 
To:BROKERS, DEALERS, COMMERCIAL BANKS,
   TRUST COMPANIES AND OTHER NOMINEES:
 
    Tenet Healthcare Corporation (the "Company") is offering, upon and subject
to the terms and conditions set forth in the prospectus dated September   , 1998
(the "Prospectus"), and the enclosed letter of transmittal (the "Letter of
Transmittal"), to exchange (the "Exchange Offer") its 7 5/8% Series B Senior
Notes due 2008 and its 8 1/8% Series B Senior Subordinated Notes due 2008, which
have been registered under the Securities Act of 1933, as amended, for its
outstanding 7 5/8% Senior Notes due 2008 and its 8 1/8% Senior Subordinated
Notes due 2008 (the "Old Notes"). The Exchange Offer is being made in order to
satisfy certain obligations of the Company contained in the registration rights
agreement in respect of the Old Notes, dated May 21, 1998, by and among the
Company and the initial purchasers referred to therein.
 
    We are requesting that you contact your clients for whom you hold Old Notes
regarding the Exchange Offer. For your information and for forwarding to your
clients for whom you hold Old Notes registered in your name or in the name of
your nominee, or who hold Old Notes registered in their own names, we are
enclosing the following documents:
 
    1.  Prospectus dated September   , 1998;
 
    2.  The Letter of Transmittal for your use and for the information of your
clients;
 
    3.  A Notice of Guaranteed Delivery to be used to accept the Exchange Offer
if certificates for Old Notes are not immediately available or time will not
permit all required documents to reach the Exchange Agent referred to below
prior to the Expiration Date (as defined below) or if the procedure for
book-entry transfer cannot be completed on a timely basis;
 
    4.  A form of letter which may be sent to your clients for whose account you
hold Old Notes registered in your name or the name of your nominee, with space
provided for obtaining such clients' instructions with regard to the Exchange
Offer;
 
    5.  Guidelines for Certification of Taxpayer Identification Number on
Substitute Form W-9; and
 
    6.  Return envelopes addressed to The Bank of New York, the Exchange Agent
for the Exchange Offer.
 
    YOUR PROMPT ACTION IS REQUESTED. THE EXCHANGE OFFER WILL EXPIRE AT 5:00
P.M., NEW YORK CITY TIME, ON OCTOBER   , 1998, UNLESS EXTENDED BY THE COMPANY
(THE "EXPIRATION DATE"). OLD NOTES TENDERED PURSUANT TO THE EXCHANGE OFFER MAY
BE WITHDRAWN AT ANY TIME BEFORE THE EXPIRATION DATE.
 
    To participate in the Exchange Offer, a duly executed and properly completed
Letter of Transmittal (or facsimile thereof or Agent's Message in lieu thereof),
with any required signature guarantees and any other required documents, should
be sent to the Exchange Agent and certificates representing the Old Notes, or a
timely Book-Entry confirmation of such Old Notes into the Exchange Agent's
account at The Depository Trust Company, should be delivered to the Exchange
Agent, all in accordance with the instructions set forth in the Letter of
Transmittal and the Prospectus.
<PAGE>
    If a registered holder of Old Notes desires to tender, but such Old Notes
are not immediately available, or time will not permit such holder's Old Notes
or other required documents to reach the Exchange Agent before the Expiration
Date, or the procedure for book-entry transfer cannot be completed on a timely
basis, a tender may be effected by following the guaranteed delivery procedures
described in the Prospectus under "The Exchange Offer--Guaranteed Delivery
Procedures."
 
    The Company will, upon request, reimburse brokers, dealers, commercial banks
and trust companies for reasonable and necessary costs and expenses incurred by
them in forwarding the Prospectus and the related documents to the beneficial
owners of Old Notes held by them as nominee or in a fiduciary capacity. The
Company will pay or cause to be paid all stock transfer taxes applicable to the
exchange of Old Notes pursuant to the Exchange Offer, except as set forth in
Instruction 6 of the Letter of Transmittal.
 
    Any requests for additional copies of the enclosed materials, should be
directed to The Bank of New York, the Exchange Agent for the Exchange Offer, at
its address and telephone number set forth on the front of the Letter of
Transmittal.
 
                                          Very truly yours,
 
                                          TENET HEALTHCARE CORPORATION
 
    NOTHING HEREIN OR IN THE ENCLOSED DOCUMENTS SHALL CONSTITUTE YOU OR ANY
PERSON AS AN AGENT OF THE COMPANY OR THE EXCHANGE AGENT, OR AUTHORIZE YOU OR ANY
OTHER PERSON TO USE ANY DOCUMENT OR MAKE ANY STATEMENTS ON BEHALF OF EITHER OF
THEM WITH RESPECT TO THE EXCHANGE OFFER, EXCEPT FOR STATEMENTS EXPRESSLY MADE IN
THE PROSPECTUS OR THE LETTER OF TRANSMITTAL.
 
Enclosures
 
                                       2

<PAGE>
                          TENET HEALTHCARE CORPORATION
                           OFFER FOR ALL OUTSTANDING
                     7 5/8% SERIES A SENIOR NOTES DUE 2008
             AND 8 1/8% SERIES A SENIOR SUBORDINATED NOTES DUE 2008
                                IN EXCHANGE FOR
                     7 5/8% SERIES B SENIOR NOTES DUE 2008
            AND 8 1/8% SERIES B SENIOR SUBORDINATED NOTES DUE 2008,
                        WHICH HAVE BEEN REGISTERED UNDER
                          THE SECURITIES ACT OF 1933,
                                   AS AMENDED
 
TO OUR CLIENTS:
 
    Enclosed for your consideration is a prospectus, dated September   , 1998
(the "Prospectus"), and the related letter of transmittal (the "Letter of
Transmittal"), relating to the offer (the "Exchange Offer") of Tenet Healthcare
Corporation (the "Company") to exchange its 7 5/8% Series B Senior Notes due
2008 and its 8 1/8% Series B Senior Subordinated Notes due 2008 (the "New
Notes"), which have been registered under the Securities Act of 1933, as
amended, for its outstanding 7 5/8% Senior Notes due 2008 and its 8 1/8% Senior
Subordinated Notes due 2008 (the "Old Notes"), upon the terms and subject to the
conditions described in the Prospectus and the Letter of Transmittal. The
Exchange Offer is being made in order to satisfy certain obligations of the
Company contained in the registration rights agreement, dated as of May 21,
1998, by and among the Company and the initial purchasers referred to therein.
 
    This material is being forwarded to you as the beneficial owner of the Old
Notes held by us for your account but not registered in your name. A TENDER OF
SUCH OLD NOTES MAY ONLY BE MADE BY US AS THE HOLDER OF RECORD AND PURSUANT TO
YOUR INSTRUCTIONS.
 
    Accordingly, we request instructions as to whether you wish us to tender on
your behalf the Old Notes held by us for your account, pursuant to the terms and
conditions set forth in the enclosed Prospectus and Letter of Transmittal.
 
    Your instructions should be forwarded to us as promptly as possible in order
to permit us to tender the Old Notes on your behalf in accordance with the
provisions of the Exchange Offer. The Exchange Offer will expire at 5:00 p.m.,
New York City time, on October   , 1998, unless extended by the Company. Any Old
Notes tendered pursuant to the Exchange Offer may be withdrawn at any time
before the Expiration Date.
 
    Your attention is directed to the following:
 
    1.  The Exchange Offer is for any and all Old Notes.
 
    2.  The Exchange Offer is subject to certain conditions set forth in the
Prospectus in the section captioned "The Exchange Offer--Certain Conditions to
the Exchange Offer."
 
    3.  Any transfer taxes incident to the transfer of Old Notes from the holder
to the Company will be paid by the Company, except as otherwise provided in the
Instructions in the Letter of Transmittal.
 
    4.  The Exchange Offer expires at 5:00 p.m., New York City time, on October
  , 1998, unless extended by the Company.
 
    If you wish to have us tender your Old Notes, please so instruct us by
completing, executing and returning to us the instruction form on the back of
this letter. THE LETTER OF TRANSMITTAL IS FURNISHED TO YOU FOR INFORMATION ONLY
AND MAY NOT BE USED DIRECTLY BY YOU TO TENDER OLD NOTES.
<PAGE>
                          INSTRUCTIONS WITH RESPECT TO
                               THE EXCHANGE OFFER
 
    The undersigned acknowledge(s) receipt of your letter and the enclosed
material referred to therein relating to the Exchange Offer made by Tenet
Healthcare Corporation with respect to its Old Notes.
 
    This will instruct you to tender the Old Notes held by you for the account
of the undersigned, upon and subject to the terms and conditions set forth in
the Prospectus and the related Letter of Transmittal.
 
    Please tender the Old Notes held by you for my account as indicated below:
 
<TABLE>
<CAPTION>
AGGREGATE PRINCIPAL AMOUNT OF OLD NOTES
- --------------------------------------------------------
<S>                                                       <C>
 
- --------------------- 7 5/8% Senior Notes due 2008
 
- --------------------- 8 1/8% Senior Subordinated Notes due 2008
 
/ /  Please do not tender any Old Notes held                                     SIGN HERE
    by you for my account.
 
Dated:           , 1998                                         --------------------------------------------
                                                                                Signature(s)
 
                                                                --------------------------------------------
                                                                         Please print name(s) here
 
                                                                --------------------------------------------
 
                                                                --------------------------------------------
                                                                                Address(es)
 
                                                                --------------------------------------------
                                                                       Area Code and Telephone Number
 
                                                                --------------------------------------------
                                                                Tax Identification or SocialSecurity No(s).
</TABLE>
 
    None of the Old Notes held by us for your account will be tendered unless we
receive written instructions from you to do so. Unless a specific contrary
instruction is given in the space provided, your signature(s) hereon shall
constitute an instruction to us to tender all Old Notes held by us for your
account.
 
                                       2

<PAGE>
            GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION
                         NUMBER ON SUBSTITUTE FORM W-9
 
    GUIDELINES FOR DETERMINING THE PROPER IDENTIFICATION NUMBER TO GIVE THE
PAYOR. -- Social Security numbers have nine digits separated by two hyphens:
I.E., 000-00-0000. Employer identification numbers have nine digits separated by
only one hyphen: I.E., 00-0000000. The table below will help determine the
number to give the payor.
 
<TABLE>
<CAPTION>
- -------------------------------------------------------
<S>                          <C>
FOR THIS TYPE OF ACCOUNT:    GIVE THE SOCIAL
                             SECURITY NUMBER OF --
- -------------------------------------------------------
 
1. An individual's account   The individual
 
2. Two or more individuals   The actual owner of the
   (joint account)           account, or, if combined
                             funds, the first
                             individual on the
                             account(1)
 
3. Husband and wife (joint   The actual owner of the
   account)                  account or, if joint
                             funds, either person(1)
 
4. Custodian account of a    The minor(2)
   minor (Uniform Gift to
   Minors Act)
 
5. Adult and minor (joint    The adult or, if the minor
   account)                  is the only contributor,
                             the minor(1)
 
6. Account in the name of    The ward, minor, or
   guardian or committee     incompetent person(3)
   for a designated ward,
   minor, or incompetent
   person
 
7. a. The revocable savings  The grantor-trustee(1)
      trust account
      (grantor is also
      trustee)
 
  b. Any "trust" account     The actual owner(1)
     that is not a legal or
     valid trust under
     State law
 
- -------------------------------------------------------
FOR THIS TYPE OF ACCOUNT:    GIVE THE EMPLOYER
                             IDENTIFICATION NUMBER
                             OF--
- -------------------------------------------------------
 
8. Sole proprietorship       The owner(4)
   account
 
9. A valid trust, estate or  The legal entity (Do not
   pension trust             furnish the identifying
                             number of the personal
                             representative or the
                             trustee unless the legal
                             entity itself is not
                             designated in the account
                             title.)(5)
 
10. Corporate account        The corporation
 
11. Religious, charitable,   The organization
    or educational
    organization account
 
12. Partnership              The partnership
 
13. Association, club, or    The organization
    other tax-exempt
    organization
 
14. A broker or registered   The broker or nominee
    nominee
 
15. Account with the         The public entity
    Department of
    Agriculture in the name
    of a public entity
    (such as a State or
    local government,
    school district, or
    prison) that receives
    agricultural program
    payments
</TABLE>
 
- -------------------------------------------
                                     -------------------------------------------
 
(1)   List first and circle the name of the person whose number you furnish.
 
(2)   Circle the minor's name and furnish the minor's social security number.
 
(3)   Circle the ward's, minor's or incompetent person's name and furnish such
    person's social security number.
 
(4)   Show the name of the owner. If the owner does not have an employer
    identification number, furnish the owner's social security number.
 
(5)   List first and circle the name of the legal trust, estate, or pension
    trust.
 
NOTE: IF NO NAME IS CIRCLED WHEN THERE IS MORE THAN ONE NAME, THE NUMBER WILL BE
      CONSIDERED TO BE THAT OF THE FIRST NAME LISTED.
<PAGE>
            GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION
                         NUMBER ON SUBSTITUTE FORM W-9
                                     PAGE 2
 
OBTAINING A NUMBER
 
If you do not have a taxpayer identification number or you do not know your
number, obtain Form SS-5, Application for a Social Security Number Card (for
resident individuals), Form SS-4, Application for Employer Identification Number
(for businesses and all other entities), Form W-7 for International Taxpayer
Identification Number (for alien individuals required to file U.S. tax returns),
at an office of the Social Security Administration or the Internal Revenue
Service.
 
To complete the Substitute Form W-9, if you do not have a taxpayer
identification number, write "Applied For" in the space for the taxpayer
identification number in Part 1, sign and date the Form, and give it to the
requester. Generally, you will then have 60 days to obtain a taxpayer
identification number and furnish it to the requester. If the requester does not
receive your taxpayer identification number within 60 days, backup withholding,
if applicable, will begin and will continue until you furnish your taxpayer
identification number to the requester.
 
PAYEES EXEMPT FROM BACKUP WITHHOLDING PENALTIES
 
Payees specifically exempted from backup withholding on ALL payments include the
following:*
 
- - A corporation.
 
- - A financial institution.
 
- - An organization exempt from tax under section 501(a), or an individual
  retirement plan, or a custodial account under section 403(b)(7).
 
- - The United States or any agency or instrumentality thereof.
 
- - A State, the District of Columbia, a possession of the United States, or any
  political subdivision or instrumentality thereof.
 
- - A foreign government or a political subdivision, agency or instrumentality
  thereof.
 
- - An international organization or any agency, or instrumentality thereof.
 
- - A registered dealer in securities or commodities registered in the U.S. or a
  possession of the U.S.
 
- - A real estate investment trust.
 
- - A common trust fund operated by a bank under section 584(a).
 
- - An entity registered at all times under the tax year under the Investment
  Company Act of 1940.
 
- - A foreign central bank of issue.
 
Payments of dividends and patronage dividends not generally subject to backup
withholding include the following:
 
- - Payments to nonresident aliens subject to withholding under section 1441.
 
- - Payments to partnerships not engaged in a trade or business in the U.S. and
  which have at least one nonresident partner.
 
- ------------------------------
 
*   Unless otherwise noted herein, all references below to section numbers or to
    regulations are references to the Internal Revenue Code and the regulations
    promulgated thereunder.
 
- - Payments of patronage dividends where the amount received is not paid in
  money.
 
- - Payments made by certain foreign organizations.
 
- - Payments made to a nominee.
 
Payments of interest not generally subject to backup withholding include the
following:
 
- - Payments of interest on obligations issued by individuals. NOTE: You may be
  subject to backup withholding if (i) this interest is $600 or more, (ii) the
  interest is paid in the course of the payor's trade or business and (iii) you
  have not provided your correct taxpayer identification number to the payor.
 
- - Payments of tax-exempt interest (including exempt-interest dividends under
  section 852).
 
- - Payments described in section 6049(b)(5) to nonresident aliens.
 
- - Payments on tax-free covenant bonds under section 1451.
 
- - Payments made by certain foreign organizations.
 
- - Payments made to a nominee.
 
EXEMPT PAYEES DESCRIBED ABOVE SHOULD FILE A SUBSTITUTE FORM W-9 TO AVOID
POSSIBLE ERRONEOUS BACKUP WITHHOLDING. FILE THIS FORM WITH THE PAYOR, FURNISH
YOUR TAXPAYER IDENTIFICATION NUMBER, WRITE "EXEMPT" IN PART 2, SIGN AND DATE THE
FORM AND RETURN IT TO THE PAYOR.
 
Certain payments other than interest, dividends, and patronage dividends that
are not subject to information reporting are also not subject to backup
withholding. For details, see the regulations under sections 6041, 6041A(a),
6045 and 6050A.
 
PRIVACY ACT NOTICES. Section 6109 requires most recipients of dividends,
interest, or other payments to give taxpayer identification numbers to payors
who must report the payments to IRS. The IRS uses the numbers for identification
purposes and to help verify the accuracy of your tax return. Payors must be
given the numbers whether or not recipients are required to file tax returns.
Payors must generally withhold 31% of taxable interest, dividends, and certain
other payments to a payee who does not furnish a taxpayer identification number
to a payor. Certain penalties may also apply.
 
PENALTIES
 
(1) PENALTY FOR FAILURE TO FURNISH TAXPAYER IDENTIFICATION NUMBER-- If you fail
to furnish your taxpayer identification number to a payor, you are subject to a
penalty of $50 for each such failure unless your failure is due to reasonable
cause and not to willful neglect.
 
(2) CIVIL PENALTY FOR FALSE STATEMENTS WITH RESPECT TO WITHHOLDING-- If you make
a false statement with no reasonable basis which results in no imposition of
backup withholding, you are subject to a penalty of $500.
 
(3) CRIMINAL PENALTY FOR FALSIFYING INFORMATION--If you falsify certifications
or affirmations, you are subject to criminal penalties including fines and/or
imprisonment.
 
FOR ADDITIONAL INFORMATION CONTACT YOUR TAX CONSULTANT OR THE INTERNAL REVENUE
SERVICE.

<PAGE>

                                                                   EXHIBIT 99.6

                                                                  _______, 1998
                                       
                           EXCHANGE AGENT AGREEMENT

The Bank of New York
Corporate Trust Trustee Administration
101 Barclay Street - 21st Floor
New York, New York 10286

Ladies and Gentlemen:

                  Tenet Healthcare Corporation (the "Company") proposes to 
make an offer (the "Exchange Offer") to exchange $350,000,000 aggregate 
principal amount of its 7-5/8% Senior Notes due 2008 (the "Old Securities") 
for its 7-5/8% Series B Senior Notes due 2008 (the "New Securities"). The 
terms and conditions of the Exchange Offer as currently contemplated are set 
forth in a prospectus, dated September _____, 1998 (the "Prospectus"), 
proposed to be distributed to all record holders of the Old Securities. The 
Old Securities and the New Securities are collectively referred to herein as 
the "Securities".

                  The Company hereby appoints The Bank of New York to act as 
exchange agent (the "Exchange Agent") in connection with the Exchange Offer. 
References hereinafter to "you" shall refer to The Bank of New York.

                  The Exchange Offer is expected to be commenced by the 
Company on or about _______, 1998. The Letter of Transmittal accompanying the 
Prospectus (or in the case of book entry securities, the ATOP system) is to 
be used by the holders of the Old Securities to accept the Exchange Offer and 
contains instructions with respect to the delivery of certificates for Old 
Securities tendered in connection therewith.

                  The Exchange Offer shall expire at 5:00 P.M., New York City 
time, on _____________, 1998 or on such later date or time to which the 
Company may extend the Exchange Offer (the "Expiration Date"). Subject to the 
terms and conditions set forth in the Prospectus, the Company expressly 
reserves the right to extend the Exchange Offer from time to time and may 
extend the Exchange Offer by giving oral (confirmed in writing) or written 
notice to you before 9:00 A.M., New York City time, on the business day 
following the previously scheduled Expiration Date.

                  The Company expressly reserves the right to amend or 
terminate the Exchange Offer, and not to accept for exchange any Old 
Securities not theretofore accepted for exchange, upon the occurrence of any 
of the events in the Prospectus under the caption "The Exchange Offer -- 
Certain Conditions to the

<PAGE>

Offer." The Company will give oral (confirmed in writing) or written notice 
of any amendment, termination or nonacceptance to you as promptly as 
practicable.]

                  In carrying out your duties as Exchange Agent, you are to 
act in accordance with the following instructions:

                  1. You will perform such duties and only such duties as are 
specifically set forth in the section of the Prospectus captioned 
["The Exchange Offer"] or as specifically set forth herein; PROVIDED, 
HOWEVER, that in no way will your general duty to act in good faith be 
discharged by the foregoing.

                  2. You will establish an account with respect to the Old 
Securities at The Depository Trust Company (the "Book-Entry Transfer 
Facility") for purposes of the Exchange Offer within two business days after 
the date of the Prospectus, and any financial institution that is a 
participant in the Book-Entry Transfer Facility's systems may make book-entry 
delivery of the Old Securities by causing the Book-Entry Transfer Facility to 
transfer such Old Securities into your account in accordance with the 
Book-Entry Transfer Facility's procedure for such transfer.

                  3. You are to examine each of the Letters of Transmittal 
and certificates for Old Securities (or confirmation of book-entry transfer 
into your account at the Book-Entry Transfer Facility) and any other 
documents delivered or mailed to you by or for holders of the Old Securities 
to ascertain whether: (i) the Letters of Transmittal and any such other 
documents are duly executed and properly completed in accordance with 
instructions set forth therein and (ii) the Old Securities have otherwise 
been properly tendered. In each case where the Letter of Transmittal or any 
other document has been improperly completed or executed or any of the 
certificates for Old Securities are not in proper form for transfer or some 
other irregularity in connection with the acceptance of the Exchange Offer 
exists, you will endeavor to inform the presenters of the need for 
fulfillment of all requirements and to take any other action as may be 
necessary or advisable to cause such irregularity to be corrected.

                  4. With the approval of the President, Senior Vice 
President, Executive Vice President, or any Vice President of the Company 
(such approval, if given orally, to be confirmed in writing) or any other 
party designated by such an officer in writing, you are authorized to waive 
any irregularities in connection with any tender of Old Securities pursuant 
to the Exchange Offer.

                  5. Tenders of Old Securities may be made only as set forth 
in the Letter of Transmittal and in the section of the Prospectus captioned 
["The Exchange Offer -- Procedures 

                                      - 2 -

<PAGE>

for Tendering Old Securities"], and Old Securities shall be considered 
properly tendered to you only when tendered in accordance with the procedures 
set forth therein.

                  Notwithstanding the provisions of this paragraph 5, Old 
Securities which the President, Senior Vice President, Executive Vice 
President, or any Vice President of the Company shall approve as having been 
properly tendered shall be considered to be properly tendered (such approval, 
if given orally, shall be confirmed in writing).

                  6. You shall advise the Company with respect to any Old 
Securities received subsequent to the Expiration Date and accept its 
instructions with respect to disposition of such Old Securities.

                  7. You shall accept tenders:

                  (a) in cases where the Old Securities are registered in two 
or more names only if signed by all named holders;

                  (b) in cases where the signing person (as indicated on the 
Letter of Transmittal) is acting in a fiduciary or a representative capacity 
only when proper evidence of his or her authority so to act is submitted; and

                  (c) from persons other than the registered holder of Old 
Securities provided that customary transfer requirements, including any 
applicable transfer taxes, are fulfilled.

                  You shall accept partial tenders of Old Securities where so 
indicated and as permitted in the Letter of Transmittal and deliver 
certificates for Old Securities to the transfer agent for split-up and return 
any untendered Old Securities to the holder (or such other person as may be 
designated in the Letter of Transmittal) as promptly as practicable after 
expiration or termination of the Exchange Offer.

                  8. Upon satisfaction or waiver of all of the conditions to 
the Exchange Offer, the Company will notify you (such notice, if given 
orally, to be confirmed in writing) of its acceptance, promptly after the 
Expiration Date, of all Old Securities properly tendered and you, on behalf 
of the Company, will exchange such Old Securities for New Securities and 
cause such Old Securities to be cancelled. Delivery of New Securities will be 
made on behalf of the Company by you at the rate of $1,000 principal amount 
of New Securities for each $1,000 principal amount of the corresponding 
series of Old Securities tendered promptly after notice (such notice if 
given orally, to be confirmed in writing) of acceptance of said Old 
Securities by the Company; provided, however, that in all cases, Old 
Securities tendered pursuant to the Exchange Offer will be exchanged only 
after timely receipt by you of 

                                      - 3 -

<PAGE>

certificates for such Old Securities (or confirmation of book-entry transfer 
into your account at the Book-Entry Transfer Facility), a properly completed 
and duly executed Letter of Transmittal (or facsimile thereof) with any 
required signature guarantees and any other required documents. You shall 
issue New Securities only in denominations of $1,000 or any integral 
multiple thereof.

                  9. Tenders pursuant to the Exchange Offer are irrevocable, 
except that, subject to the terms and upon the conditions set forth in the 
Prospectus and the Letter of Transmittal, Old Securities tendered pursuant to 
the Exchange Offer may be withdrawn at any time prior to the Expiration Date.

                  10. The Company shall not be required to exchange any Old 
Securities tendered if any of the conditions set forth in the Exchange Offer 
are not met. Notice of any decision by the Company not to exchange any Old 
Securities tendered shall be given (and confirmed in writing) by the Company 
to you.

                  11. If, pursuant to the Exchange Offer, the Company does 
not accept for exchange all or part of the Old Securities tendered because of 
an invalid tender, the occurrence of certain other events set forth in the 
Prospectus under the caption ["The Exchange Offer -- Certain Conditions to 
the Exchange Offer"] or otherwise, you shall as soon as practicable after 
the expiration or termination of the Exchange Offer return those certificates 
for unaccepted Old Securities (or effect appropriate book-entry transfer), 
together with any related required documents and the Letters of Transmittal 
relating thereto that are in your possession, to the persons who deposited 
them.

                  12. All certificates for reissued Old Securities, unaccepted
Old Securities or for New Securities shall be forwarded by first-class mail.

                  13. You are not authorized to pay or offer to pay any
concessions, commissions or solicitation fees to any broker, dealer, bank or
other persons or to engage or utilize any person to solicit tenders.

                  14.      As Exchange Agent hereunder you:

                           (a)  shall have no duties or obligations other 
than those specifically set forth herein or as may be subsequently agreed to 
in writing by you and the Company;

                           (b)  will be regarded as making no representations 
and having no responsibilities as to the validity, sufficiency, value or 
genuineness of any of the certificates or the Old Securities represented 
thereby deposited with you pursuant to the Exchange Offer, and will not be 
required to and 

                                     - 4 -

<PAGE>

will make no representation as to the validity, value or genuineness of the 
Exchange Offer;

                           (c)  shall not be obligated to take any legal 
action hereunder which might in your reasonable judgment involve any expense 
or liability, unless you shall have been furnished with reasonable indemnity;

                           (d)  may reasonably rely on and shall be protected 
in acting in reliance upon any certificate, instrument, opinion, notice, 
letter, telegram or other document or security delivered to you and 
reasonably believed by you to be genuine and to have been signed by the 
proper party or parties;

                           (e)  may reasonably act upon any tender, 
statement, request, comment, agreement or other instrument whatsoever not 
only as to its due execution and validity and effectiveness of its 
provisions, but also as to the truth and accuracy of any information 
contained therein, which you shall in good faith believe to be genuine and to 
have been signed or represented by a proper person or persons;

                           (f)  may rely on and shall be protected in acting 
upon written or oral instructions from any officer of the Company;

                           (g)  may consult with your counsel with respect to 
any questions relating to your duties and responsibilities and the advice or 
opinion of such counsel shall be full and complete authorization and 
protection in respect of any action taken, suffered or omitted to be taken by 
you hereunder in good faith and in accordance with the advice or opinion of 
such counsel; and

                           (h)  shall not advise any person tendering Old
Securities pursuant to the Exchange Offer as to the wisdom of making such tender
or as to the market value or decline or appreciation in market value of any Old
Securities.

                  15. You shall take such action as may from time to time be 
requested by the Company or its counsel (and such other action as you may 
reasonably deem appropriate) to furnish copies of the Prospectus, Letter of 
Transmittal and the Notice of Guaranteed Delivery (as defined in the 
Prospectus) or such other forms as may be approved from time to time by the 
Company, to all persons requesting such documents and to accept and comply 
with telephone requests for information relating to the Exchange Offer, 
provided that such information shall relate only to the procedures for 
accepting (or withdrawing from) the Exchange Offer. The Company will furnish 
you with copies of such documents at your request. All other requests for 
information relating to the Exchange Offer shall be directed to the Company, 
Attention: General Counsel.

                                      - 5 -

<PAGE>

                  16. You shall advise by facsimile transmission or 
telephone, and promptly thereafter confirm in writing to the Vice President 
and Associate General Counsel of the Company and such other person or persons 
as it may request, daily (and more frequently during the week immediately 
preceding the Expiration Date and if otherwise requested) up to and including 
the Expiration Date, as to the number of Old Securities which have been 
tendered pursuant to the Exchange Offer and the items received by you 
pursuant to this Agreement, separately reporting and giving cumulative 
totals as to items properly received and items improperly received. In 
addition, you will also inform, and cooperate in making available to, the 
Company or any such other person or persons upon oral request made from time 
to time prior to the Expiration Date of such other information as it or he or 
she reasonably requests. Such cooperation shall include, without limitation, 
the granting by you to the Company and such person as the Company may request 
of access to those persons on your staff who are responsible for receiving 
tenders, in order to ensure that immediately prior to the Expiration Date the 
Company shall have received information in sufficient detail to enable it to 
decide whether to extend the Exchange Offer. You shall prepare a final list 
of all persons whose tenders were accepted, the aggregate principal amount of 
Old Securities tendered, the aggregate principal amount of Old Securities 
accepted and deliver said list to the Company.

                  17. Letters of Transmittal and Notices of Guaranteed 
Delivery shall be stamped by you as to the date and the time of receipt 
thereof and shall be preserved by you for a period of time at least equal to 
the period of time you preserve other records pertaining to the transfer of 
securities. You shall dispose of unused Letters of Transmittal and other 
surplus materials by returning them to the Company.

                  18. You hereby expressly waive any lien, encumbrance or 
right of set-off whatsoever that you may have with respect to funds deposited 
with you for the payment of transfer taxes by reasons of amounts, if any, 
borrowed by the Company, or any of its subsidiaries or affiliates pursuant to 
any loan or credit agreement with you or for compensation owed to you 
hereunder.

                  19. For services rendered as Exchange Agent hereunder, you 
shall be entitled to such compensation as set forth on Schedule I attached 
hereto.

                  20. You hereby acknowledge receipt of the Prospectus and 
the Letter of Transmittal and further acknowledge that you have examined each 
of them. Any inconsistency between this Agreement, on the one hand, and the 
Prospectus and the Letter of Transmittal (as they may be amended from time to 
time), on the other hand, shall be resolved in favor of the latter two 
documents, except with respect to the duties, 

                                       - 6 -

<PAGE>

liabilities and indemnification of you as Exchange Agent, which shall be 
controlled by this Agreement.

                  21. The Company covenants and agrees to indemnify and hold 
you harmless in your capacity as Exchange Agent hereunder against any loss, 
liability, cost or expense, including attorneys' fees and expenses, arising 
out of or in connection with any act, omission, delay or refusal made by you 
in reliance upon any signature, endorsement, assignment, certificate, order, 
request, notice, instruction or other instrument or document reasonably 
believed by you to be valid, genuine and sufficient and in accepting any 
tender or effecting any transfer of Old Securities reasonably believed by you 
in good faith to be authorized, and in delaying or refusing in good faith to 
accept any tenders or effect any transfer of Old Securities; provided, 
however, that the Company shall not be liable for indemnification or 
otherwise for any loss, liability, cost or expense to the extent arising out 
of your gross negligence or willful misconduct. In no case shall the Company 
be liable under this indemnity with respect to any claim against you unless 
the Company shall be notified by you, by letter or by facsimile confirmed by 
letter, of the written assertion of a claim against you or of any other 
action commenced against you, promptly after you shall have received any such 
written assertion or notice of commencement of action. The Company shall be 
entitled to participate at its own expense in the defense of any such claim 
or other action, and, if the Company so elects, the Company shall assume the 
defense of any suit brought to enforce any such claim. In the event that the 
Company shall assume the defense of any such suit, the Company shall not be 
liable for the fees and expenses of any additional counsel thereafter 
retained by you so long as the Company shall retain counsel reasonably 
satisfactory to you to defend such suit, and so long as you have not 
determined, in your reasonable judgment, that a conflict of interest exists 
between you and the Company.

                  22. You shall arrange to comply with all requirements under 
the tax laws of the United States, including those relating to missing Tax 
Identification Numbers, and shall file any appropriate reports with the 
Internal Revenue Service. The Company understands that you are required to 
deduct 31% on payments to holders who have not supplied their correct 
Taxpayer Identification Number or required certification. Such funds will be 
turned over to the Internal Revenue Service in accordance with applicable 
regulations.

                  23. You shall deliver or cause to be delivered, in a timely 
manner to each governmental authority to which any transfer taxes are payable 
in respect of the exchange of Old Securities, the Company's check in the 
amount of all transfer taxes so payable, and the Company shall reimburse you 
for the amount of any and all transfer taxes payable in respect of the 
exchange of Old Securities; provided, however, that you 

                                      - 7 -

<PAGE>

shall reimburse the Company for amounts refunded to you in respect of your 
payment of any such transfer taxes, at such time as such refund is received 
by you.

                  24. This Agreement and your appointment as Exchange Agent 
hereunder shall be construed and enforced in accordance with the laws of the 
State of New York applicable to agreements made and to be performed entirely 
within such state, and without regard to conflicts of law principles, and 
shall inure to the benefit of, and the obligations created hereby shall be 
binding upon, the successors and assigns of each of the parties hereto.

                  25. This Agreement may be executed in two or more 
counterparts, each of which shall be deemed to be an original and all of 
which taken together shall constitute one and the same agreement.

                  26. In case any provision of this Agreement 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.

                  27. This Agreement shall not be deemed or construed to be 
modified, amended, rescinded, cancelled or waived, in whole or in part, 
except by a written instrument signed by a duly authorized representative of 
the party to be charged. This Agreement may not be modified orally.

                  28. Unless otherwise provided herein, all notices, requests 
and other communications to any party hereunder shall be in writing 
(including facsimile or similar writing) and shall be given to such party, 
addressed to it, at its address or telecopy number set forth below:

                                      - 8 -

<PAGE>

                  If to the Company:

                          Tenet Healthcare Corporation
                          3820 State Street
                          Santa Barbara, CA 93105

                          Facsimile: (805) 563-7085
                          Attention: General Counsel

                  If to the Exchange Agent:

                          The Bank of New York
                          101 Barclay Street
                          Floor 21 West
                          New York, New York 10286

                          Facsimile:  (212) 815-5915
                          Attention:  Corporate Trust Trustee
                                       Administration

                  29. Unless terminated earlier by the parties hereto, this 
Agreement shall terminate 90 days following the Expiration Date. 
Notwithstanding the foregoing, Paragraphs 19, 21 and 23 shall survive the 
termination of this Agreement. Upon any termination of this Agreement, you 
shall promptly deliver to the Company any certificates for Securities, funds 
or property then held by you as Exchange Agent under this Agreement.

                  30. This Agreement shall be binding and effective as of the 
date hereof.

                                      - 9 -

<PAGE>

                  Please acknowledge receipt of this Agreement and confirm 
the arrangements herein provided by signing and returning the enclosed copy.

                                       TENET HEALTHCARE CORPORATION

                                       By:
                                          ------------------------------------
                                          Name:
                                          Title:

Accepted as of the date first above written:

THE BANK OF NEW YORK, as Exchange Agent

By:
   --------------------------------
   Name:
   Title:




                                     - 10 -

<PAGE>
                                       



                                   SCHEDULE I

                                     FEES














                                     - 11 -



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