TENET HEALTHCARE CORP
S-8, EX-4, 2000-10-24
GENERAL MEDICAL & SURGICAL HOSPITALS, NEC
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                                                                       EXHIBIT 4


                          TENET HEALTHCARE CORPORATION
                           SECOND AMENDED AND RESTATED
                        1994 DIRECTORS STOCK OPTION PLAN


1.   PURPOSE OF PLAN.

The purpose of the Second Amended and Restated 1994 Directors Stock Option Plan
of Tenet Healthcare Corporation is to promote the interests of the Company and
its shareholders by strengthening the Company's ability to attract, motivate and
retain Directors of training, experience and ability, and to encourage the
highest level of Directors' performance by providing Directors with a
proprietary interest in the Company's financial success and growth.

2.   DEFINITIONS.

     (a)  "Board" means the Board of Directors of the Company.

     (b)  "Committee" means the Compensation and Stock Option Committee of the
     Board as shall be appointed by the Board from time to time.

     (c)  "Common Stock" means the $.075 par value Common Stock of the Company.

     (d)  "Company" means Tenet Healthcare Corporation, a Nevada corporation,
     formerly known as National Medical Enterprises, Inc.

     (e)  "Director" means a member of the Board who is not an Employee.

     (f)  "Employee" means any full-time employee of the Company, or of any of
     its subsidiaries.

     (g)  "Fair Market Value" means the closing price of a share of Common Stock
     on the New York Stock Exchange on the date as of which fair market value is
     to be determined or the actual sale price of the shares acquired upon
     exercise if the shares are sold in a same day sale, or if no sales were
     made on such date, the closing price of such shares on the New York Stock
     Exchange on the next preceding date on which there were such sales.

     (h)  "Grant Date" means the date on which an Option is granted to a
     Director.

     (i)  "Initial election" means election to the Board by the Board or by the
     shareholders of the Company, whichever first occurs.

     (j)  "Option" means a non-qualified stock option.

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     (k)  "Plan" means the Company's Second Amended and Restated 1994 Directors
     Stock Option Plan, as amended from time to time.

3.   SHARES OF COMMON STOCK SUBJECT TO THIS PLAN.

Subject to the provisions of Section 7, the aggregate number of shares of Common
Stock that may be issued or  transferred  pursuant to exercise of Options  under
this Plan is  1,200,000  shares  of  Common  Stock.  Such  shares  may be either
authorized but unissued shares of Common Stock or treasury shares.

4.   ADMINISTRATION OF THIS PLAN.

     (a)  This Plan shall be administered by the Committee, which shall have the
     power to interpret this Plan and, subject to its provisions, to prescribe,
     amend and rescind rules and to make all other determinations necessary for
     this Plan's administration.

     (b)  All action taken by the Committee in the administration and
     interpretation of this Plan shall be final and binding upon all parties. No
     member of the Committee will be liable for any action or determination made
     in good faith by the Committee with respect to this Plan or any Option.

5.   ELIGIBILITY.

     (a)  Only Directors shall be eligible to participate in this Plan. Each
     Director who is serving in such capacity on the Grant Date automatically
     shall be granted, on the last Thursday of October of each year, an Option
     to acquire the greater of (x) 10,000 shares of Common Stock and (y) the
     number of shares of Common Stock determined by dividing (i) the product of
     four times the then-existing annual retainer fee, by (ii) the Fair Market
     Value on the Grant Date.

     (b)  Upon Initial Election to the Board, each Director automatically shall
     be granted, on the last Thursday of the month of such Director's election
     to the Board, an Option to acquire two times the greater of (x) 10,000
     shares of Common Stock and (y) the number of shares of Common Stock
     determined by dividing (i) the product of four times the then-existing
     annual retainer fee, by (ii) the Fair Market Value on the Grant Date.

     (c)  Each Option will be evidenced by a written instrument including terms
     and conditions consistent with this Plan, as the Committee may determine.


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6.   TERMS AND CONDITIONS OF STOCK OPTIONS.

     (a)  The purchase price of Common Stock under each Option will be the Fair
     Market Value on the Grant Date. Notwithstanding any other provision to the
     contrary contained in this Plan, including without limitation, Sections
     6(c)(i), (ii) and (iii), each Option will expire not later than ten years
     from the Grant Date.

     (b)  The Committee shall have the discretion to set the vesting terms for
     all Options granted under this Plan, including the discretion to grant
     Options that vest immediately upon grant. Upon vesting, an Option may be
     exercised with respect to all shares of Common Stock covered thereby during
     its term provided hereunder.

     (c)  Subject to the provisions of Section 6(a), each Option will expire at
     the time the Director ceases to be a Director, except as follows:

          (i)  If the service of the Director is terminated by the Company other
          than for cause, for which the Company will be the sole judge, or if
          the Director is nominated but is not reelected by the shareholders of
          the Company, then the Option will expire one year after the date of
          termination;

          (ii) If the Director retires at or after age 65, or retires with the
          consent of the Committee, the Option will expire five years after the
          date of retirement.

          (iii) If the Director dies or becomes permanently and totally disabled
          while serving in such capacity, the Option will expire five years
          after the date of death or permanent and total disability. If the
          Director dies or becomes permanently and totally disabled within the
          one-year period referred to in subparagraph (i) above, the Option will
          expire one year after the date of death or permanent and total
          disability. If the Director dies or becomes permanently and totally
          disabled within the five-year period referred to in subparagraph (ii)
          above, the Option will expire upon the later of five years after
          retirement or one year after the date of death or permanent and
          totally disability.

     (d)  Upon the exercise of an Option, the exercise price will be payable in
     full (i) in cash; or, (ii) with the consent of the Committee in its sole
     discretion, (A) by the assignment and delivery to the Company of shares of
     Common Stock, owned by the holder of the Option for at least six months,
     with a Fair Market Value on the relevant exercise date equal to the
     exercise price, (B) by execution and delivery of a promissory note, secured
     by such number of shares of Common Stock determined by the Committee,
     bearing interest at a rate determined by the Committee, or (C) by a
     combination of any of the above. No

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     payment by an assignment of shares or by a promissory note or by any
     combination thereof will be allowed unless such payments are allowed under
     applicable requirements of federal and state tax, securities and other
     laws, rules and regulations and any regulatory authority having
     jurisdiction.

7.   ADJUSTMENT PROVISIONS.

     (a)  Subject to Section 7(b), if the outstanding shares of Common Stock of
     the Company are increased, decreased, or exchanged for a different number
     or kind of shares or other securities, or if additional shares or new or
     different shares or other securities are distributed with respect to such
     shares of Common Stock or other securities, through merger, consolidation,
     spin-off, sale of all or substantially all the assets of the Company,
     reorganization, recapitalization, reclassification, stock dividend, stock
     split, reverse stock split or other distribution with respect to such
     shares of Common Stock, or other securities, an appropriate and
     proportionate adjustment may be made in (i) the maximum number and kind of
     shares provided in Section 3 and Section 5 and (ii) the number and kind of
     shares or other securities subject to, and the purchase price in,
     then-outstanding Options.

     (b)  Notwithstanding the provisions of Section 7(a), upon dissolution, or
     liquidation of the Company or upon a reorganization, merger or
     consolidation of the Company with one or more corporations as a result of
     which the Company is not the surviving corporation, or upon the sale of all
     or substantially all the assets of the Company, all Options then
     outstanding under this Plan will be fully vested and the restrictions upon
     exercise in Section 6(b) will immediately cease, unless provisions are made
     in connection with such transaction for the continuance of this Plan or the
     assumption or the substitution for such Options of new options covering the
     stock of a successor corporation, or a parent or subsidiary thereof, with
     appropriate adjustments as to the number and kind of shares and prices.

     (c)  Adjustments under Section 7(a) and 7(b) will be made by the Committee,
     whose determination as to what adjustments will be made and the extent
     thereof will be final, binding, and conclusive. No fractional interest will
     be issued under this Plan on account of any such adjustments.

     (d)  Upon the occurrence of a "Change of Control" of the Company, all
     Options then outstanding under this Plan will be fully vested and the
     restrictions upon exercise in Section 6(b) will immediately cease. For
     purposes of this Section 7(d) the following definitions shall apply:

          (i)  A "Change in Control" of the Company shall have occurred when a
          Person, alone or together with its Affiliates and Associates, becomes

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          the beneficial owner of 20% or more of the general voting power of the
          Company.

          (ii) "Affiliate" and "Associate" shall have the respective meanings
          ascribed to such terms in Rule 12b-2 of the General Rules and
          Regulations under the Securities and Exchange Act of 1934, as amended
          (the "Exchange Act")

          (iii) "Person" shall mean an individual, firm, corporation or other
          entity or any successor to such entity, but "Person" shall not include
          the Company, any subsidiary of the Company, any employee benefit plan
          or employee stock plan of the Company, or any Person organized,
          appointed, established or holding Voting Stock by, for or pursuant to
          the terms of such a plan or any Person who acquires 20% or more of the
          general voting power of the Company in a transaction or series of
          transactions approved prior to such transaction or series of
          transactions by the Board.

          (iv) "Voting Stock" shall mean shares of the Company's capital stock
          having general voting power, with "voting power" meaning the power
          under ordinary circumstances (and not merely upon the happening of a
          contingency) to vote in the election of directors.

8.   GENERAL PROVISIONS.

     (a)  Nothing in this Plan or in any instrument executed pursuant to this
     Plan will confer upon any Director any right to continue as a Director or
     affect the right of the Company to terminate the services of any Director
     in accordance with the bylaws of the Company.

     (b)  No shares of Common Stock will be issued or transferred pursuant to an
     Option unless and until all then-applicable requirements imposed by federal
     and state securities and other laws, rules and regulations and by any
     regulatory agencies having jurisdiction, and by any stock exchanges upon
     which the Common Stock may be listed, have been fully met. As a condition
     precedent to the issuance of shares pursuant to the exercise of an Option,
     the Company may require the Director to take any reasonable action to meet
     such requirements.

     (c)  No Director and no beneficiary or other person claiming under or
     through such Director will have any right, title or interest in or to any
     shares of Common Stock allocated or reserved under this Plan or subject to
     any Option except as to such shares of Common Stock, if any, that have been
     issued or transferred to such Director.

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     (d)  No Option and no right under this Plan, contingent or otherwise, will
     be assignable or subject to any encumbrance, pledge or charge of any nature
     except (i) with the written consent of the Committee, (ii) an assignment in
     favor of the Company, and (iii) under such rules and regulations as the
     Committee may establish pursuant to the terms of this Plan.

     (e)  No Option and no right under this Plan, contingent or otherwise, will
     be transferable by a Director other than by will or the laws of descent and
     distribution or pursuant to a qualified domestic relations order as defined
     by the Internal Revenue Code of 1986, as amended (the "Code") or Title I of
     the Employee Retirement Income Security Act ("ERISA"), or the rules
     thereunder. The designation of a beneficiary by a Director does not
     constitute a transfer.

9.   AMENDMENT AND TERMINATION.

     (a)  The Board will have the power, in its discretion, to amend, suspend or
     terminate this Plan at any time, subject to approval of the shareholders of
     the Company if and to the extent necessary for the continued applicability
     of Rule 16b-3 under the Exchange Act.

     (b)  No amendment, suspension or termination of this Plan will, without the
     consent of the holder, alter, terminate, impair or adversely affect any
     right or obligation under any Option previously granted under this Plan.

     (c)  Notwithstanding the provisions of Section 9(a), the Board may not
     amend the provisions of Section 5 or the definition of "Director" in
     Section 2 more than once every six months, other than to comport with
     changes in the Code, ERISA or the rules thereunder.

10.  EFFECTIVE DATE OF PLAN AND DURATION OF PLAN.

This amended Plan is effective as of July 26, 2000. Unless this Plan is
previously terminated, this Plan will terminate on July 26, 2010 except with
respect to Options then outstanding.

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