CHAMPION HEALTHCARE CORP /TX/
S-8, 1995-08-03
GENERAL MEDICAL & SURGICAL HOSPITALS, NEC
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<PAGE>   1

    As filed with the Securities and Exchange Commission on August 3, 1995
                                                Registration No. 33-____________
================================================================================
                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549
                       __________________________________
                                    FORM S-8
                             REGISTRATION STATEMENT
                                     UNDER
                           THE SECURITIES ACT OF 1933
                       __________________________________
                        CHAMPION HEALTHCARE CORPORATION
             (Exact Name of Registrant as Specified in Its Charter)

<TABLE>
<S>                                 <C>                                          <C>
          DELAWARE                       14340 TORREY CHASE, SUITE 320               58-2283872
  (State of Other Jurisdiction               HOUSTON, TEXAS  77014               (I.R.S. Employer
of Incorporation or Organization)               (713) 583-5491                   Identification No.)
                                    (Address of Principal Executive  Office)
</TABLE>
                       __________________________________
                            FOUNDER'S STOCK OPTIONS
           CHAMPION HEALTHCARE CORPORATION EMPLOYEE STOCK OPTION PLAN
        CHAMPION HEALTHCARE CORPORATION EMPLOYEE STOCK OPTION PLAN NO. 2
        CHAMPION HEALTHCARE CORPORATION EMPLOYEE STOCK OPTION PLAN NO. 3
          CHAMPION HEALTHCARE CORPORATION DIRECTORS' STOCK OPTION PLAN
          CHAMPION HEALTHCARE CORPORATION PHYSICIANS STOCK OPTION PLAN
    CHAMPION HEALTHCARE CORPORATION SENIOR EXECUTIVE STOCK OPTION PLAN NO. 4
             AMERIHEALTH, INC. 1988 NON-QUALIFIED STOCK OPTION PLAN
   CHAMPION HEALTHCARE CORPORATION SELECTED EXECUTIVE STOCK OPTION PLAN NO. 5
                            (Full Title of the Plan)
                       __________________________________
                              JAMES G. VANDEVENDER
                            Executive Vice-President
                        Champion Healthcare Corporation
                               14340 Torrey Chase
                                   Suite 320
                             Houston, Texas  77014
                    (Name and Address of Agent for Service)
                     Telephone Number, Including Area Code
                             of Agent for Service:
                                 (713) 583-5491

Approximate Date Sale to Public Will Start:  As soon as practicable after the
effective date of this registration.

                        CALCULATION OF REGISTRATION FEE
<TABLE>
<CAPTION>
- -----------------------------------------------------------------------------------------------------------
      TITLE OF            AMOUNT TO         PROPOSED MAXIMUM          PROPOSED MAXIMUM          AMOUNT  OF
    SECURITIES TO            BE            OFFERING PRICE PER        AGGREGATE OFFERING        REGISTRATION
    BE REGISTERED        REGISTERED             SHARE(1)                  PRICE(1)                FEE(2)
- -----------------------------------------------------------------------------------------------------------
<S>                      <C>               <C>                       <C>                       <C>
     Common Stock
   $0.01 par value        1,077,164              $7.3125                $7,876,761.75           $2,716.00
- -----------------------------------------------------------------------------------------------------------
</TABLE>

(1)   Estimated in accordance with Rule 457(a) solely for the purpose of
      calculating the registration fee and based upon weighted exercise prices
      of the options covering the stock.

(2)   As no separate consideration is payable for the Rights, the registration
      fee for such securities is included in the fee for the Common Stock.

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


<PAGE>   2

                                     PART I

              INFORMATION REQUIRED IN THE SECTION 10(A) PROSPECTS


       NOTE:  The document(s) containing the employee benefit plan information
required by Item 1 of Form S-8 and the document of availability of registrant
information and any other information required by Item 2 of Form S-8 will be
sent or given to employees as specified by Rule 428 under the Securities Act of
1933, as amended (the "Securities Act").  In accordance with Rule 428 and the
requirements of Part I of Form S-8, such documents are not being filed with the
Securities and Exchange Commission (the "Commission") either as part of this
Registration Statement or as prospectuses or prospectus supplements pursuant to
Rule 424 under the Securities Act.  The registrant shall maintain a file of such
documents in accordance with the provision of Rule 428.  Upon request, the
registrant shall furnish to the Commission or its staff a copy or copies of all
of the documents included in such file.



<PAGE>   3

                                    PART II

               INFORMATION REQUIRED IN THE REGISTRATION STATEMENT

ITEM 3.     INCORPORATION OF DOCUMENTS BY REFERENCE

       This registration statement incorporates herein by reference the
following documents which have been filed (File No. 0-11851) with the Commission
by Champion Healthcare Corporation (the "Company") pursuant to the Securities
Exchange Act of 1934, as amended ("Exchange Act"):

       1.   The Company's Annual Report on Form 10-K for the year ended December
            31, 1994, as amended on Form 10-K/A Amendment No. 3;

       2.   The Company's Quarterly Report on Form 10-Q for the quarter ended
            March 31, 1995, as amended in Form 10-Q Amendment No. 2.

       3.   The Company's registration statement on Form 8.

Each document filed by the Company pursuant to Section 13(a), 13(c), 14 or 15(d)
of the Exchange Act subsequent to the date of this registration statement and
prior to the filing of a post-effective amendment which indicates that all
securities offered have been sold or which deregisters all securities then
remaining unsold, shall be deemed to be incorporated by reference in this
registration statement and to be a part hereof from the date of filing such
documents.

Any statement incorporated by reference herein shall be deemed to be modified or
superseded for purposes of this registration statement to the extent that a
statement contained herein or in any subsequently filed document which also is
or is deemed to be incorporated by reference herein modifies or supersedes such
statement.  Any statement so modified or superseded shall not be deemed, except
as so modified or superseded, to constitute a part of this registration
statement.

ITEM 4.     DESCRIPTION OF SECURITIES

       Not Applicable.

ITEM 5.     INTERESTS OF NAMED EXPERTS AND COUNSEL

       Legal opinion-- the validity of the shares of common stock to be offered
hereunder has been passed upon for Champion Healthcare Corporation by Wayne M.
Whitaker of the law firm Michener, Larimore, Swindle, Whitaker, Flowers, Sawyer,
Reynolds & Chalk, L.L.P. ("Michener Larimore").  4,243 shares of common stock of
Champion Healthcare Corporation are owned by partners and associates of the
firm.


                                      II-1



<PAGE>   4

ITEM 6.     INDEMNIFICATION OF DIRECTORS AND OFFICERS

       Section 145 of the Delaware General Corporation Law provides, generally,
that a corporation shall have the power to indemnify any person who was or is a
party or is threatened to be made a party to any suit or proceeding (except
actions by or in the right of the corporation) by reason of the fact that such
person is or was a director or officer of the corporation against all expenses,
judgments, fines and amounts paid in settlement actually and reasonably incurred
by him in connection with such suit or proceeding if he acted in good faith and
in a manner he reasonably believed to be in or not opposed to the best interests
of the corporation and, with respect to any criminal action or proceeding, had
no reasonable cause to believe his conduct was unlawful.  A corporation may
similarly indemnify such person for expenses actually and reasonably incurred by
him in connection with the defense or settlement of any action or suit by or in
the right of the corporation, provided such person acted in good faith and in a
manner he reasonably believed to be in or not opposed to the best interests of
the corporation, and, in the case of claims, issues and matters as to which such
person shall have been adjudged liable to the corporation, provided that a court
shall have determined, upon application, that, despite the adjudication of
liability but in view of all of the facts and circumstances of the case, such
person is fairly and reasonably entitled to indemnity for such expenses which
such court shall deem proper.

       Section 102(b)(7) of the Delaware General Corporation Law ("DGCL")
provides, generally, that the certificate of incorporation may contain a
provision eliminating or limiting the personal liability of a director to the
corporation or its stockholders for monetary damages for breach of fiduciary
duty as a director, provided that such provision may not eliminate or limit the
liability of a director (i) for any breach of the director's duty of loyalty to
the corporation or its stockholders, (ii) for acts or omissions not in good
faith or which involve intentional misconduct or a knowing violation of law,
(iii) under section 174 of Title 8, or (iv) for any transaction from which the
director derived an improper personal benefit.  No such provision may eliminate
or limit the liability of a director for any act or omission occurring prior to
the date when such provision becomes effective.

       Article VI of the Company's Certificate of Incorporation provides as
       follows:

            "A director of the Corporation shall not be personally liable to the
       corporation or its stockholders for monetary damages for any breach of
       fiduciary duty as a director, except for liability (i) for any breach by
       the director of his duty of loyalty to the Corporation or its
       stockholders, (ii) for acts or omissions not in good faith or which
       involve intentional misconduct or a knowing violation of law, (iii) under
       Section 174 of the DGCL or (iv) for any transaction from which the
       director derived an improper personal benefit.

            No repeal, modification or amendment of, or adoption of any
       provision inconsistent with this Article VI nor, to the fullest extent
       permitted by law, any modification of law shall adversely affect any
       right or protection of a director of the





                                      II-2

<PAGE>   5

       Corporation existing at the time of such repeal, amendment, adoption of
       modification or affect the liability of any director of the Corporation
       for any action taken or any omission that occurred prior to the time of
       such repeal, amendment, adoption or modification.

            If the DGCL shall be amended after the date hereof to authorized
       corporation action further eliminating or limiting the liability of
       directors, then a  director of the Corporation, in addition to the
       circumstances in which he is not liable immediately prior to such
       amendment, shall be free of liability to the fullest extent permitted by
       the DGCL, as so amended."

       Article VII of the Company's By-laws also contains an indemnity
provision, requiring the Company to indemnify members of the Board of Directors
and officers of the Company and their respective heirs, personal representatives
and successors in interest, to the extent provided by the Delaware Corporation
statutes and by the Company's Certificate of Incorporation.

       The Company may purchase liability insurance policies covering its
directors and officers.

       In addition, the Selling Stockholders have agreed in the Lenox Agreement
to indemnify the Company, its directors and officers and each person, if any,
who controls the Company within the meaning of either the Securities Act of
1933, as amended, or the Securities and Exchange Act of 1934, as amended,
against certain liabilities including civil liabilities under the Securities
Act.

ITEM 7.      EXEMPTION FROM REGISTRATION CLAIMED

       Not applicable.

ITEM 8.      EXHIBITS

       The Exhibit Index immediately preceding the exhibits is incorporated
herein by reference.

ITEM 9.      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 of 1933;

                                (ii)  To reflect in the prospectus any facts or
                          events arising after the effective date of the
                          registration statement (or the most


                                      II-3
<PAGE>   6

                          recent post-effective amendment thereof) which,
                          individually or in the aggregate, represent a
                          fundamental change in the information set forth in the
                          registration statement;

                                (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;

                   provided, however, that the undertakings set forth in
                   paragraph (i) and (ii) above do not apply if the information
                   required to be included in a post-effective amendment by
                   those paragraphs is contained in periodic reports filed by
                   the registrant pursuant to Section 13 or Section 15(d) of the
                   Exchange Act that are incorporated by reference in the
                   registration statement.

                          (2)   That, for the purpose of determining any
                   liability under the Securities Act of 1933, 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.

                   (b)    The undersigned registrant hereby undertakes that, for
             purposes of determining any liability under the Securities Act of
             1933, each filing of the registrant's annual report pursuant to
             Section 13(a) or Section 15(d) of the Exchange Act (and, where
             applicable, each filing of an employee benefit plan's annual report
             pursuant to Section 15(d) of the Exchange Act) that is incorporated
             by reference in this registration statement 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.

                   (c)    Insofar as indemnification for liabilities arising
            under the Securities Act of 1933 may be permitted to directors,
            officers, and controlling persons of the registrant pursuant to the
            provisions described under Item 6 above, or otherwise, the
            registrant has been advised that in the opinion of the Commission
            such indemnification is against public policy as expressed in the
            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,
            on 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



                                      II-4
<PAGE>   7

            connection with the securities being registered, the registrant
            will, unless in the opinion of its counsel that matter has been
            settled by controlling precedent, submit to a court of appropriate
            jurisdiction the question whether such indemnification by it is
            against public policy as expressed in the Act and will be governed
            by the final adjudication of such issue.

                                   SIGNATURES


            Pursuant to the requirements of the Securities Act of 1933, the
registrant certifies that it has reasonable grounds to believe that it meets all
of the requirements for filing on Form S-8 and has duly caused this registration
statement to be signed on its behalf by the undersigned, thereunto duly
authorized, in the City of Houston, State of Texas, on August 3, 1995.

                                                 CHAMPION HEALTHCARE CORPORATION



                                                 BY:  /s/JAMES G. VANDEVENDER
                                                    ----------------------------
                                                    James G. VanDevender
                                                    Executive Vice-President


                               POWER OF ATTORNEY


       KNOW ALL MEN BY THESE PRESENTS, that each person whose signature appears
below constitutes and appoints James G. VanDevender, Deborah H. Frankovich,
Suzanne S. Miskin, Esq, and Wayne M. Whitaker, Esq., and each of them, his true
and lawful attorneys-in-fact and agents with full power of substitution and
re-substitution for him and in his name, place and stead, in any and all
capacities, to sign any or all amendments (including post-effective amendments)
to this registration statement and to file the same, with all exhibits thereto,
and other documents in connection therewith, with the Securities and Exchange
Commission and any state Securities regulatory board, agency or 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 or necessary
to be done in and about the premises, to all intents and purposes and as fully
as they might or could do in person, hereby ratifying and confirming all that
said attorneys-in-fact and agents or their substitutes may lawfully do or cause
to be done by virtue hereof.





                                      II-5
<PAGE>   8

            Pursuant to the requirements of the Securities Act of 1933, this
registration statement has been signed by the following persons in the
capacities and on the date indicated.

<TABLE>
<CAPTION>

        SIGNATURE                          TITLE                         DATE
<S>                                 <C>                               <C>

/s/ Charles R. Miller               President, CEO & Director             August 3, 1995
- ------------------------
Charles R. Miller

/s/ James G. VanDevender            Executive Vice-president,             August 3, 1995
- ------------------------            CFO and Director
James G. VanDevender

/s/ Nolan Lehmann                   Director                              August 3, 1995
- ------------------------
Nolan Lehmann

/s/ Paul B. Queally                 Director                              August 3, 1995
- ------------------------
Paul B. Queally

/s/ James A. Conroy                 Director                              August 3, 1995
- ------------------------
James A. Conroy

/s/ David S. Spencer                Director                              August 3, 1995
- ------------------------
David S. Spencer

/s/ Manuel M. Ferris                Director                              August 3, 1995
- ------------------------
Manuel M. Ferris


- ------------------------            Director                              
Scott F. Meadow

/s/ William G. White                Director                              August 3, 1995
- ------------------------
William G. White


- ------------------------            Director                              
Richard D. Sage

/s/ Robert M. Starling              Vice-president &                      August 3, 1995
- ------------------------            Controller
Robert M. Starling

</TABLE>


                                      II-6
<PAGE>   9


                               INDEX TO EXHIBITS

EXHIBIT                                             
NUMBER                                                 
- -------                  

*4.1(a)-  Certificate of Incorporation (Incorporated by reference to
          Exhibit 3.01 of the registrant's Form 10-K for the year ended
          December 31, 1987 and to Exhibit 4 of the registrant's
          Form 10-Q for the quarter ended September 30, 1989

*4.1(b)-  Amended Certificate of Incorporation dated December 6, 1994
          (Incorporated by reference to Exhibit 3.01(b) of the registrant's
          Form 10-K for the year ended December 31, 1994)

 4.2-     Bylaws of Champion Healthcare Corporation

 4.3-     Form of Common Stock Certificate

 4.4-     Founder's Stock Option-Charles R. Miller

 4.5-     Founder's Stock Option-James G. VanDevender

 4.6-     Champion Healthcare Corporation Employee Stock Option Plan

 4.7-     Champion Healthcare Corporation Employee Stock Option Plan No. 2

 4.8-     Champion Healthcare Corporation Employee Stock Option Plan No. 3

 4.9-     Champion Healthcare Corporation Directors' Stock Option Plan

 4.10-    Champion Healthcare Corporation Physicians Stock Option Plan

 4.11-    Champion Healthcare Corporation Senior Executive Stock 
          Option Plan No. 4




                                      II-7

<PAGE>   10

EXHIBIT      
NUMBER                  
- ------              

 4.12-    Champion Healthcare Corporation Selected Executive Stock Option
          Plan No. 5

*4.13-    AmeriHealth, Inc. 1988 Non-Qualified Stock Option Plan
          (Incorporated by reference to Exhibit 10.06 of the registrant's
          Form 10-K for the year ended December 31, 1992)

 5   -    Opinion of Michener, Larimore, Swindle, Whitaker, Flowers, Sawyer,
          Reynolds & Chalk, L.L.P.

23.1 -    Consent of Coopers & Lybrand, L.L.P.

23.2 -    Consent of Michener, Larimore, Swindle, Whitaker, Flowers, Sawyer,
          Reynolds & Chalk, L.L.P. (incorporated in Exhibit 5)

_________________
  *  Incorporated by reference as indicated.


                                      II-8



<PAGE>   1

                                                                    EXHIBIT 4.2

                                   BYLAWS OF

                        CHAMPION HEALTHCARE CORPORATION

                              (THE "CORPORATION")


                                   ARTICLE I

                                    OFFICES

                 SECTION 1.1.  OFFICES.  The principal business office of the
Corporation shall be at 14340 Torrey Chase Boulevard, Suite 320, Houston,
Texas.  The registered office of the Corporation shall be in the County of New
Castle, State of Delaware.  The Corporation may have such other offices within
or without the State of Delaware as the Board of Directors may from time to
time establish.


                                   ARTICLE II

                                 CAPITAL STOCK

                 SECTION 2.1.  CERTIFICATE REPRESENTING SHARES.  Shares of the
classes of capital stock of the Corporation shall be represented by
certificates in such form or forms as the Board of Directors may approve;
provided that, such form or forms shall comply with all applicable requirements
of law and of the Certificate of Incorporation.  Such certificates shall be
signed by the president or a vice president, and by the secretary or an
assistant secretary, of the Corporation and may be sealed with the seal of the
Corporation or imprinted or otherwise marked with a facsimile of such seal.  In
the case of any certificate countersigned by any transfer agent or registrar,
provided such countersigner is not the Corporation itself or an employee
thereof, the signature of any or all of the foregoing officers of the
Corporation may be represented by a printed facsimile thereof.  If any officer
whose signature, or a facsimile thereof, shall have been set upon any
certificate shall cease, prior to the issuance of such certificate, to occupy
the position in right of which his signature, or facsimile thereof, was so set
upon such certificate, the Corporation may nevertheless adopt and issue such
certificate with the same effect as if such officer occupied such position as
of such date of issuance; and, issuance and delivery of such certificate by the
Corporation shall constitute adoption thereof by the Corporation.  The
certificates shall be consecutively numbered, and as they are issued, a record
of such issuance shall be entered in the books of the Corporation.

                 SECTION 2.2.  STOCK CERTIFICATE BOOK AND STOCKHOLDERS OF
RECORD.  The secretary of the Corporation shall maintain, among other records,
a stock certificate book, the stubs in which shall set forth the names and
addresses of the holders of all issued shares of the Corporation, the number of
shares held by each, the number of certificates representing such shares, the
date of issue of such certificates, and whether or not such shares originate
from original issue or from transfer.



                                      -1-
<PAGE>   2

The names and addresses of stockholders as they appear on the stock certificate
book shall be the official list of stockholders of record of the Corporation
for all purposes.  The Corporation shall be entitled to treat the holder of
record of any shares as the owner thereof for all purposes, and shall not be
bound to recognize any equitable or other claim to, or interest in, such shares
or any rights deriving from such shares on the part of any other person,
including, but without limitation, a purchaser, assignee, or transferee, unless
and until such other person becomes the holder of record of such shares,
whether or not the Corporation shall have either actual or constructive notice
of the interest of such other person.

                 SECTION 2.3.  STOCKHOLDER'S CHANGE OF NAME OR ADDRESS.  Each
stockholder shall promptly notify the secretary of the Corporation, at its
principal business office, by written notice sent by certified mail, return
receipt requested, of any change in name or address of the stockholder from
that as it appears upon the official list of stockholders of record of the
Corporation.  The secretary of the Corporation shall then enter such changes
into all affected Corporation records, including, but not limited to, the
official list of stockholders of record.

                 SECTION 2.4.  TRANSFER OF STOCK.  The shares represented by
any certificate of the Corporation are transferable only on the books of the
Corporation by the holder of record thereof or by his duly authorized attorney
or legal representative upon surrender of the certificate for such shares,
properly endorsed or assigned.  The Board of Directors may make such rules and
regulations concerning the issue, transfer, registration and replacement of
certificates as they deem desirable or necessary.

                 SECTION 2.5.  TRANSFER AGENT AND REGISTRAR.  The Board of
Directors may appoint one or more transfer agents or registrars of the shares,
or both, and may require all share certificates to bear the signature of a
transfer agent or registrar, or both.

                 SECTION 2.6.  LOST, STOLEN OR DESTROYED CERTIFICATES.  The
Corporation may issue a new certificate for shares of stock in the place of any
certificate theretofore issued and alleged to have been lost, stolen or
destroyed; but, the Board of Directors may require the owner of such lost,
stolen or destroyed certificate, or his legal representative, to furnish an
affidavit as to such loss, theft, or destruction and to give a bond in such
form and substance, and with such surety or sureties, with fixed or open
penalty, as the Board may direct, in order to indemnify the Corporation and its
transfer agents and registrars, if any, against any claim that may be made on
account of the alleged loss, theft or destruction of such certificate.

                 SECTION 2.7.  FRACTIONAL SHARES.  Only whole shares of the
stock of the Corporation shall be issued.  In case of any transaction by reason
of which a fractional share might otherwise be issued, the directors, or the
officers in the exercise of powers delegated by the directors, shall take such
measures consistent with the law, the Certificate of Incorporation and these
Bylaws, including (for example, and not by way of limitation) the payment in
cash of an amount equal to the fair value of any fractional share, as they may
deem proper to avoid the issuance of any fractional share.



                                      -2-
<PAGE>   3

                                  ARTICLE III

                                THE STOCKHOLDERS

                 SECTION 3.1.  ANNUAL MEETING.  The Annual Meeting of the
Stockholders, for the election of directors and for the transaction of such
other business as may properly come before the meeting, shall be held at the
principal office of the Corporation, at 2:00 p.m. local time, on the second
Friday of April of each year unless such day is a legal holiday, in which case
such meeting shall be held at such hour on the first day thereafter which is
not a legal holiday; or, at such other place and time as may be designated by
the Board of Directors.  Failure to hold any annual meeting or meetings shall
not work a forfeiture or dissolution of the Corporation.

                 SECTION 3.2.  SPECIAL MEETINGS.  Except as otherwise provided
by law or by the Certificate of Incorporation, special meetings of the
stockholders may be called by the chairman of the Board of Directors, the
president, or the holders of not less than one-tenth of all the shares having
voting power at such meeting, and shall be held at the principal office of the
Corporation or at such other place, and at such time, as may be stated in the
notice calling such meeting. Business transacted at any special meeting of
stockholders shall be limited to the purpose stated in the notice of such
meeting given in accordance with the terms of Section 3.3.

                 SECTION 3.3.  NOTICE OF MEETINGS - WAIVER.  Written or printed
notice of each meeting of stockholders, stating the place, day and hour of any
meeting and, in case of a special stockholders' meeting, the purpose or
purposes for which the meeting is called, shall be delivered not less than ten
nor more than sixty days before the date of such meeting, either personally or
by mail, by or at the direction of the president, the secretary, or the persons
calling the meeting, to each stockholder of record entitled to vote at such
meeting.  If mailed, such notice shall be deemed to be delivered when deposited
in the United States mail addressed to the stockholder at his address as it
appears on the stock transfer books of the Corporation, with postage thereon
prepaid.  Such further or earlier notice shall be given as may be required by
law.  The signing by a stockholder of a written waiver of notice of any
stockholders' meeting, whether before or after the time stated in such waiver,
shall be equivalent to the receiving by him of all notice required to be given
with respect to such meeting.  Attendance by a person at a stockholders'
meeting shall constitute a waiver of notice of such meeting except when a
person attends a meeting for the express purpose of objecting, at the beginning
of the meeting, to the transaction of any business because the meeting is not
lawfully called or convened.  Except as otherwise provided in Section 3.6, no
notice of any adjournment of any meeting shall be required if the time and
place thereof are announced at the meeting at which the adjournment is taken.

                 SECTION 3.4.  CLOSING OF TRANSFER BOOKS AND FIXING RECORD
DATE.  In order that the Corporation may determine the stockholders entitled to
notice of or to vote at any meeting of stockholders or adjournment thereof, or
entitled to receive payment of any dividend or other distribution or allotment
of any rights, or entitled to exercise any rights in respect of any change,
conversion or exchange of stock or for the purpose of any other lawful action,
the Board of Directors may fix, in advance, a record date, which shall not be
more than sixty nor less than ten days before the date of such meeting, nor
more than sixty days prior to any other action.  If no record date is fixed,
the record date shall be as follows:  the record date for determining
stockholders entitled to


 
                                      -3-
<PAGE>   4

notice of or to vote at a meeting of stockholders shall be at the close of
business on the day next preceding the day on which notice is given, or, if
notice is waived, at the close of business on the day next preceding the day on
which the meeting is held; the record date for determining stockholders
entitled to express consent to corporate action in writing without a meeting,
when no prior action by the Board of Directors is necessary, shall be the day
on which the first written consent is delivered to the Corporation by delivery
to its registered office in Delaware, its principal place of business, or an
officer or agent of the Corporation having custody of the book in which
proceedings of meetings of stockholders are recorded; and, the record date for
determining stockholders entitled to express consent to corporate action
without a meeting, when prior action by the Board of Directors is necessary
shall be at the close of business on the day on which the Board of Directors
adopts the resolution relating thereto.

                 SECTION 3.5.  VOTING LIST.  The officer or agent having charge
of the stock transfer books for shares of the Corporation shall make, at least
ten days before each meeting of stockholders, a complete list of the
stockholders entitled to vote at such meeting or any adjournment thereof,
arranged in alphabetical order, with the address of and the number of shares
held by each, which list, for a period of ten days prior to such meeting, shall
be open to the examination of any stockholder, for any purpose germane to the
meeting, during ordinary business hours, either at a place within the city
where the meeting is to be held, which place shall be specified in the notice
of the meeting, or if not so specified, at the place where the meeting is to be
held, shall be subject to lawful inspection by any stockholder at any time
during the usual business hours.  Such list shall also be produced and kept
open at the time and place of the meeting and shall be subject to the
inspection of any stockholder during the whole time of the meeting.  Failure to
comply with this section shall not affect the validity of any action taken at
such meeting.

                 SECTION 3.6.  QUORUM AND OFFICERS.  Except as otherwise
provided by law, by the Certificate of Incorporation or by these Bylaws, the
presence in person or by proxy of the holders of shares of stock having a
majority of the votes which could be cast by the holders of all outstanding
shares of stock entitled to vote at the meeting shall constitute a quorum at a
meeting of stockholders, but the stockholders present at any meeting, although
representing less than a quorum, may from time to time adjourn the meeting to
some other day and hour, without notice other than announcement at the meeting;
provided, however, that if the adjournment is for more than thirty (30) days,
or if after the adjournment a new second date is set for the adjourned meeting,
a notice of the adjourned meeting shall be given to each stockholder of record
entitled to vote at the meeting.  The stockholders present at a duly organized
meeting may continue to transact business until adjournment, notwithstanding
the withdrawal of enough stockholders to leave less than a quorum.

                 SECTION 3.7.  VOTING AT MEETINGS.  Each outstanding share of
Common Stock shall be entitled to one (1) vote on each matter submitted to a
vote at a meeting of stockholders, except to the extent that the Certificate of
Incorporation or the laws of the State of Delaware provide otherwise.  Each
outstanding share of preferred stock shall be entitled to vote, and shall have
such rights, as may be set forth in the Corporation's Certificate of
Incorporation, as amended, from time to time.  On all questions other than the
election of directors, the vote of the holders of shares of stock having a
majority of the votes which could be cast by the holders of all shares of stock
entitled to vote thereon and represented in person or by proxy at a meeting at
which a quorum is present shall be the act of



                                      -4-
<PAGE>   5

the stockholders' meeting, unless the vote of a greater number is required by
law or by the Certificate of Incorporation or these Bylaws.  The Chairman of
the Board shall preside at, and the secretary shall keep the records of, each
meeting of stockholders, and in the absence of either such officer, his duties
shall be performed by any other officer authorized by these Bylaws or any
person appointed by resolution duly adopted at the meeting.  In the case of any
contested election for any directorship, the candidate for such position
receiving a plurality of the votes cast in such election shall be elected to
such position.

                 SECTION 3.8.  PROXIES.  A stockholder may vote either in
person or by proxy executed in writing by the stockholder or by his duly
authorized attorney-in-fact.  No proxy shall be valid after eleven months from
the date of its execution unless otherwise provided in the proxy.  A duly
executed proxy shall be irrevocable if it states that it is irrevocable and if,
and only as long as, it is coupled with an interest sufficient in law to
support an irrevocable power.  A proxy may be made irrevocable regardless of
whether the interest with which it is coupled is an interest in the stock
itself or an interest in the Corporation generally.

                 SECTION 3.9.  BALLOTING.  All elections of directors shall be
by written ballot.  Upon the demand of any stockholder, the vote upon any other
question before the meeting shall be by ballot.  At each meeting, inspectors of
election shall be appointed by the presiding officer of the meeting.  No
director or candidate for the office of director shall be appointed as such
inspector.  The number of votes cast by shares in the election of directors
shall be recorded in the minutes.

                 SECTION 3.10.  PROHIBITION OF CUMULATIVE VOTING FOR DIRECTORS.
No stockholder shall have the right to cumulate his votes for the election of
directors.

                 SECTION 3.11.  RECORD OF STOCKHOLDERS.  The Corporation shall
keep at its principal business office, or the office of its transfer agents or
registrars, a record of its stockholders, giving the names and addresses of all
stockholders and the number and class of the shares held by each.

                 SECTION 3.12.  ACTION WITHOUT MEETING.  Unless otherwise
provided in the Certificate of Incorporation, any action required to be taken
at any annual or special meeting of stockholders of the Corporation, or any
action which may be taken at any annual or special meeting of such
stockholders, may be taken without a meeting, without prior notice and without
a vote, if a consent in writing, setting forth the action so taken, shall be
signed by the holders of outstanding stock having not less than the minimum
number of votes that would be necessary to authorize or take such action at a
meeting at which all shares entitled to vote thereon were present and voted.
Prompt notice of the taking of the corporate action without a meeting by less
than unanimous written consent shall be given to those stockholders who have
not consented in writing.



                                      -5-
<PAGE>   6

                                   ARTICLE IV

                             THE BOARD OF DIRECTORS

                 SECTION 4.1.  MANAGEMENT AND CONTROL.   The business and
affairs of the Corporation shall be managed and controlled by the Board of
Directors; and, subject to any restrictions imposed by law, by the Certificate
of Incorporation, or by these Bylaws, the Board of Directors may exercise all
the powers of the Corporation.  Provided, however, in accordance with Article
IV, Paragraph 7 of the Corporation's Certificate of Incorporation, as amended,
neither the Board of Directors nor the Corporation shall (A) without the
affirmative consent or approval of the holders of shares representing at least
75% of the Series C Preferred Stock and Series BB Preferred Stock then
outstanding, together voting as a class and 66 2/3% of the Series A Preferred
Stock then outstanding, voting as a class (i) authorize the issuance of any
new, or increase the authorized number of shares of any existing, class of
capital stock of the Corporation (or any other series of Preferred Stock) which
would be senior or superior as to dividends, redemption or upon liquidation to
any of the Series C Preferred Stock , Series BB Preferred Stock or Series A
Preferred Stock, or (ii) increase the number of shares of Preferred Stock
authorized in the Certificate of Incorporation or create any other class of
stock (or any other series of Preferred Stock) ranking on a parity with any of
the Series C Preferred Stock or Series BB Preferred Stock as to dividends,
redemption or upon liquidation, or (B) without the affirmative consent or
approval of the holders of shares representing at least 90% of the Series C
Preferred Stock and Series BB Preferred Stock then outstanding, together voting
as a class, and 90% of the Series A Preferred Stock then outstanding, voting as
a class (x) amend the voting powers, designations, preferences, or relative,
participating, optional or other special rights or qualifications, limitations
or restrictions in respect of the Series A Preferred Stock, Series BB Preferred
Stock or Series C Preferred Stock; (y) reissue any shares of Series C
Preferred Stock, Series BB Preferred Stock or Series A Preferred Stock that
have been redeemed or repurchased; or (z) take any action to cause any
amendment, alteration or repeal of any of the provisions of the Certificate of
Incorporation or the by-laws that would materially adversely affect the rights
of holders of Series A Preferred Stock, Series BB Preferred Stock or Series C
Preferred Stock, or (C) without the affirmative consent or approval of the
holders of shares representing at least 75% of the Series D Preferred Stock
then outstanding, (i) authorize the issuance of any new, or increase the
authorized number of shares of any existing, class of capital stock of the
Corporation (or any other series of Preferred stock) which would be senior or
superior as to dividends, redemption or upon liquidation to the Series D
Preferred Stock, or (ii) increase the number of shares of Preferred Stock
authorized in the Certificate of Incorporation or create any other class of
stock (or any other series of Preferred Stock) ranking on a parity with the
Series D Preferred Stock as to dividends, redemption or upon liquidation, or
(D) without the affirmative consent or approval of the holders of shares
representing at least 90% of the Series D Preferred Stock then outstanding (x)
amend the voting powers, designations, preferences, or relative, participating,
optional or other special rights or qualifications, limitations or restrictions
in respect of the Series D Preferred Stock, or (y) reissue any shares of Series
D Preferred Stock that have been redeemed or repurchased, or (z) take any
action to cause any amendment, alteration or repeal of any of the provisions of
the Certificate of Incorporation or the by-laws that would materially adversely
affect the rights of the holders of Series D Preferred Stock.


                                      -6-
<PAGE>   7

                 SECTION 4.2.  NUMBER, QUALIFICATIONS AND TERM.  The Board of
Directors may consist of eleven (11) members.  Such number may be increased or
decreased by amendment of these Bylaws and the Certificate of Incorporation,
including without limitation Article IV, Paragraph 6, provided that no decrease
shall effect a shortening of the term of any incumbent director.  Directors
need not be residents of Delaware or stockholders of the Corporation absent
provision to the contrary in the Certificate of Incorporation or laws of the
State of Delaware.  Except as otherwise provided in Section 4.3 of these
Bylaws, each position on the Board of Directors shall be filled by election at
the annual meeting of stockholders.  Any such election shall be conducted in
accordance with Section 3.10 of these Bylaws.  Each person elected a director
shall hold office until his successor is duly elected and qualified or until
his earlier resignation or removal in accordance with Section 4.3 of these
Bylaws.

                 SECTION 4.3.  REMOVAL.  Subject to the rights of the holders
of any class or series of stock having preference over the Common Stock as to
dividends or upon liquidation, dissolution or winding up of the Corporation to
elect directors under specified circumstances, if any, any director or the
entire Board of Directors may be removed from office, with or without cause, at
any special meeting of stockholders by the affirmative vote of the holders of a
majority of the shares present in person or by proxy and entitled to vote at
such meeting, if notice of the intention to act upon such matter shall have
been given in the notice calling such meeting.  If the notice calling such
meeting shall have so provided, the vacancy caused by such removal may be
filled at such meeting by the affirmative vote of a majority in number of the
shares of the stockholders present in person or by proxy and entitled to vote.

                 SECTION 4.4.  VACANCIES.  Subject to the rights of the holders
of any class or series of stock having preference over the Common Stock as to
dividends or upon liquidation, dissolution or winding up of the Corporation to
elect directors under specified circumstances, if any, any vacancy occurring in
the Board of Directors may be filled by the vote of a majority of the remaining
directors, even if such remaining directors comprise less than a quorum of the
Board of Directors.  A director elected to fill a vacancy shall be elected for
the unexpired term of his predecessor in office.  Subject to the rights of the
holders of any class or series of stock having preference over the Common Stock
as to dividends or upon liquidation, dissolution or winding up of the
Corporation to elect directors under specified circumstances, if any, any
position on the Board of Directors to be filled by reason of an increase in the
number of directors shall be filled by the vote of a majority of the directors,
election at an annual meeting of the stockholders, or at a special meeting of
stockholders duly called for such purpose.

                 SECTION 4.5.  REGULAR MEETINGS.  Regular meetings of the Board
of Directors shall be held no less frequently than quarterly, one of which
shall be held immediately following each annual meeting of stockholders, at the
place of such meeting, and at such other times and places as the Board of
Directors shall determine.  No notice of any kind of such regular meetings need
be given to either old or new members of the Board of Directors.

                 SECTION 4.6.  SPECIAL MEETINGS.  Special meetings of the Board
of Directors shall be held at any time by call of the Chairman of the Board,
the president, or more than 50% of the members of the Board of Directors.  The
secretary shall give notice of each special meeting to each



                                      -7-
<PAGE>   8

director at his usual business or residence address by mail at least three days
before the meeting or by telegraph or telephone at least one day before such
meeting. Except as otherwise provided by law, by the Certificate of
Incorporation, or by these Bylaws, such notice need not specify the business to
be transacted at, or the purpose of, such meeting.  No notice shall be
necessary for any adjournment of any meeting.  The signing of a written waiver
of notice of any special meeting by the person or persons entitled to such
notice, whether before or after the time stated therein, shall be equivalent to
the receiving of such notice.  Attendance of a director at a meeting shall also
constitute a waiver of notice of such meeting, except where a director attends
a meeting for the express and announced purpose of objecting, at the beginning
of the meeting, to the transaction of any business on the ground that the
meeting is not lawfully called or convened.

                 SECTION 4.7.  QUORUM.  A majority of the number of directors
fixed by these Bylaws shall constitute a quorum for the transaction of business
and the act of not less than a majority of such quorum of the directors shall
be required in order to constitute the act of the Board of Directors, unless
the act of a greater number shall be required by law, by the Certificate of
Incorporation or by these Bylaws.

                 SECTION 4.8.  PROCEDURE AT MEETINGS.  The Board of Directors,
at each regular meeting held immediately following the annual meeting of
stockholders, shall appoint one of their member as Chairman of the Board of
Directors.  The Chairman of the Board shall preside at meetings of the Board.
In his absence at any meeting, any officer authorized by these Bylaws or any
member of the Board selected by the members present shall preside.  The
secretary of the Corporation shall act as secretary at all meetings of the
Board.  In his absence, the presiding officer of the meeting may designate any
person to act as secretary.  At meetings of the Board of Directors, the
business shall be transacted in such order as the Board may from time to time
determine.

                 SECTION 4.9.  PRESUMPTION OF ASSENT.  Any director of the
Corporation who is present at a meeting of the Board of Directors at which
action on any corporate matter is taken shall be presumed to have assented to
the action taken unless his dissent shall be entered in the minutes of the
meeting or unless he shall file his written dissent to such action with the
person acting as the secretary of the meeting before the adjournment thereof or
shall forward such dissent by registered mail to the secretary of the
Corporation immediately after the adjournment of the meeting.  Such right to
dissent shall not apply to a director who voted in favor of such action.

                 SECTION 4.10.  ACTION WITHOUT A MEETING.  Any action required
by statute or permitted to be taken at a meeting of the directors of the
Corporation, or of any committee thereof, may be taken without a meeting if a
consent in writing, setting forth the action so taken, shall be signed by all
directors or all committee members as the case may be, and such consent shall
have the same force and effect as a unanimous vote of the directors or the
committee.  Such signed consent, or a signed copy thereof, shall be filed with
the minutes of the proceedings of the Board or committee.

                 SECTION 4.11.  COMPENSATION.  Directors as such shall not
receive any stated salary for their service, but by resolution of the Board of
Directors, a fixed sum and reimbursement for reasonable expenses of attendance,
if any, may be allowed for attendance at each regular or special



                                      -8-
<PAGE>   9

meeting of the Board of Directors or at any meeting of the executive committee
of directors, if any, to which such director may be elected in accordance with
the following Section 4.12 or at any other committee meeting of directors, if
any, to which such director may be elected in accordance with Section 4.13;
but, nothing herein shall preclude any director from serving the Corporation in
any other capacity or receiving compensation therefor.

                 SECTION 4.12.  EXECUTIVE COMMITTEE.  The Board of Directors,
by resolution adopted by a majority of the number of directors fixed by these
Bylaws, may designate an executive committee, which committee shall consist of
two or more of the directors of the Corporation.  Such executive committee may
exercise such authority of the Board of Directors in the business and affairs
of the Corporation as the Board of Directors may by resolution duly delegate to
it except as prohibited by law, provided that the executive committee may not
take the following actions:  (i) issue stock; (ii) liquidate or vote to
dissolve the Corporation; (iii) terminate the Corporation's Employment
Agreements with Charles R. Miller or James G. VanDevender;  (iv) declare a
dividend or other distribution of assets; (v) approve any transaction involving
a merger, acquisition, reorganization, sale of assets, or recapitalization in
which the Corporation is not the surviving entity or in which there is a change
in control of the Corporation or (vi) any other action reserved for approval by
the stockholders pursuant to law.  The designation of such committee and the
delegation thereto of authority shall not operate to relieve the Board of
Directors, or any member thereof, of any responsibility imposed upon it or him
by law.  Any member of the executive committee may be removed by the Board of
Directors by the affirmative vote of the greater of (x) a majority of the
number of directors fixed by the Bylaws or (y) that number of directors which
collectively own beneficially two-thirds of the Common Stock of the
Corporation, whenever in the judgment of the Board the best interests of the
Corporation will be served thereby.  The executive committee shall keep regular
minutes of its proceedings and report the same to the Board of Directors when
required.  The minutes of the proceedings of the executive committee shall be
placed in the minute book of the Corporation.

                 SECTION 4.13.  OTHER COMMITTEES.  The Board of Directors, by
resolution adopted by a majority of the full board of directors, may appoint
one or more committees of two or more directors each.  Such committees may
exercise such authority of the Board of Directors in the business and affairs
of the Corporation as the Board of Directors may, by resolution duly adopted,
delegate, except as prohibited by law.  The designation of any committee and
the delegation thereto of authority shall not operate to relieve the Board of
Directors, or any member thereof, of any responsibility imposed on it or him by
law.  Any member of a committee may be removed at any time by the Board of
Directors. Members of any such committees shall receive such compensation as
may be approved by the Board of Directors and will be reimbursed for reasonable
expenses actually incurred by reason of membership on a committee.

         SECTION 4.14     RELATED PARTY TRANSACTIONS.  All transactions between
the Corporation or any subsidiary, on the one hand, and its stockholders,
officers or directors (or relatives thereof, or corporations or other business
organizations owned or controlled by, any such stockholder, officer or
director), on the other hand, other than transactions in their capacity as
stockholders, officers, directors or employees of the Corporation, shall
require approval of five-sevenths (5/7) of the Board



                                      -9-
<PAGE>   10

of Directors and shall be on terms no less favorable than those available at
the same time from non-affiliated third parties.

         SECTION 4.15     ISSUANCE OF COMMON STOCK.  Without the prior approval
in each instance of at least five-sevenths (5/7) of the Board of Directors, the
Corporation shall not, and shall not cause or permit any subsidiary to, issue,
sell or redeem any of its Common Stock or other equity securities (including
any securities directly or indirectly convertible into or exchangeable with the
Common Stock), and if such Common Stock or other securities are to be issued
for consideration other than cash, the consideration paid must be pursuant to
valuation tests reasonably satisfactory to at least five-sevenths (5/7) of the
Board of Directors, except as otherwise permitted by the Certificate of
Incorporation.

         SECTION 4.16     CHANGE IN CORPORATE STRUCTURE; SALE OF ASSETS.
Without the prior approval in each instance of at least five-sevenths (5/7) of
the Board of Directors, the Corporation will not (and will not cause or permit
any subsidiary to) (i) permit its Certificate of Incorporation or Bylaws to be
amended; (ii) consolidate or merge with any other corporation (except that any
subsidiary may merge into or consolidate with the Corporation or another
subsidiary of the Corporation); or (iii) sell, lease or otherwise dispose of
all or substantially all of its properties and assets, other than in the
ordinary course of business consistent with past practice.

     SECTION 4.17     INDEBTEDNESS.  Without the prior approval in each instance
of at least five-sevenths (5/7ths) of the members of the Board of Directors of
the Corporation, the Corporation shall not (and shall not cause or permit any
Subsidiary to) directly or indirectly create, incur, assume, guarantee or be or
remain liable with respect to any indebtedness or liabilities, except for:

                          (i)     indebtedness for borrowed money from the
                 Corporation's senior lenders;

                          (ii)    accounts payable and similar liabilities,
                 deferred taxes, and leases of real or personal property, in
                 each case incurred in the ordinary course of business of the
                 Corporation and subsidiaries;

                          (iii)   purchase money indebtedness incurred in
                 connection with the capital expenditures permitted in
                 connection with the following:  (i) any single capital
                 expenditure not in excess of $500,000, or capital expenditures
                 which for the Corporation and all subsidiaries does not exceed
                 $1,000,000 in the aggregate during any fiscal year; or (ii)
                 any interest in real estate or contract for the construction
                 or renovation of any capital improvements to real estate, in
                 the case of any single project having an aggregate cost not
                 exceeding $1,500,000.  For purposes hereof, capital
                 expenditures shall include acquisitions pursuant to
                 capitalized leases.

                 SECTION 4.18     ACQUISITIONS.  All acquisitions following the
closing by the Corporation or any subsidiary of any hospital, medical building
or complex or any similar medical facility will require the approval of
five-sevenths (5/7ths) of the members of the Board of Directors of the
Corporation.


                                      -10-
<PAGE>   11

                                   ARTICLE V

                                    OFFICERS

                 SECTION 5.1.  NUMBER.  The officers of the Corporation shall
consist of a president, one or more vice presidents, a secretary and a
treasurer; and, in addition, such other officers and assistant officers and
agents as may be deemed necessary or desirable.  Officers shall be elected or
appointed by the Board of Directors.  Any two or more offices may be held by
the same person.  In its discretion, the Board of Directors may leave unfilled
any office except those of president, treasurer and secretary.

                 SECTION 5.2.  ELECTION; TERM; QUALIFICATION.  Officers shall
be chosen by the Board of Directors annually at the meeting of the Board of
Directors following the annual stockholders' meeting.  Each officer shall hold
office until his successor has been chosen and qualified, or until his death,
resignation, or removal.

                 SECTION 5.3.  REMOVAL.  Any officer or agent elected or
appointed by the Board of Directors may be removed by the Board of Directors
whenever in its judgment the best interests of the Corporation will be served
thereby; but, such removal shall be without prejudice to the contract rights,
if any, of the person so removed.  Election or appointment of an officer or
agent shall not of itself create any contract rights.

                 SECTION 5.4.  VACANCIES.  Any vacancy in any office for any
cause may be filled by the Board of Directors at any meeting.

                 SECTION 5.5.  DUTIES.  The officers of the Corporation shall
have such powers and duties, except as modified by the Board of Directors, as
generally pertain to their offices, respectively, as well as such powers and
duties as from time to time shall be conferred by the Board of Directors and by
these Bylaws.

                 SECTION 5.6.  THE PRESIDENT.  The president shall have general
direction of the affairs of the Corporation and general supervision over its
several officers, subject however, to the control of the Board of Directors.
He shall at each annual meeting, and from time to time, report to the
stockholders and to the Board of Directors all matters within his knowledge
which, in his opinion, the interest of the Corporation may require to be
brought to the notice of such persons.  He may sign, with the secretary or an
assistant secretary, any or all certificates of stock of the Corporation.  He
shall preside at all meetings of the stockholders, shall sign and execute in
the name of the  Corporation (i) all contracts or other instruments authorized
by the Board of Directors, and (ii) all contracts or instruments in the usual
and regular course of business, pursuant to Section 6.2 hereof, except in cases
when the signing and execution thereof shall be expressly delegated or
permitted by the Board or by these Bylaws to some other officer or agent of the
Corporation; and, in general, shall perform all duties incident to the office
of president, and such other duties as from time to time may be assigned to him
by the Board of Directors or as are prescribed by these Bylaws.



                                      -11-
<PAGE>   12

                 SECTION 5.7.  THE VICE PRESIDENTS.  At the request of the
president, or in his absence or disability, the vice presidents, in the order
of their election, shall perform the duties of the president, and, when so
acting, shall have all the powers of, and be subject to all restrictions upon,
the president.  Any action taken by a vice president in the performance of the
duties of the president shall be conclusive evidence of the absence or
inability to act of the president at the time such action was taken.  The vice
presidents shall perform such other duties as may, from time to time, be
assigned to them by the Board of Directors or the president.  A vice president
may sign, with the secretary or an assistant secretary, certificates of stock
of the Corporation.

                 SECTION 5.8.  SECRETARY.  The secretary shall keep the minutes
of all meetings of the stockholders and of the Board of Directors, in one or
more books provided for such purpose and shall see that all notices are duly
given in accordance with the provisions of these Bylaws or as required by law.
He shall be custodian of the corporate records and of the seal (if any) of the
Corporation and see, if the Corporation has a seal, that the seal of the
Corporation is affixed to all documents the execution of which on behalf of the
Corporation under its seal is duly authorized; shall have general charge of the
stock certificate books, transfer books and stock ledgers, and such other books
and papers of the Corporation as the Board of Directors may direct, all of
which shall, at all reasonable times, be open to the examination of any
director, upon application at the office of the Corporation during business
hours; and in general shall perform all duties and exercise all powers incident
to the office of the secretary and such other duties and powers as the Board of
Directors or the president from time to time may assign to or confer on him.

                 SECTION 5.9.  TREASURER.  The treasurer shall keep complete
and accurate records of account, showing at all times the financial condition
of the Corporation.  He shall be the legal custodian of all money, notes,
securities and other valuables which may from time to time come into the
possession of the Corporation.  He shall furnish at meetings of the Board of
Directors, or whenever requested, a statement of the financial condition of the
Corporation, and shall perform such other duties as these Bylaws may require or
the Board of Directors may prescribe.

                 SECTION 5.10.  ASSISTANT OFFICERS.  Any assistant secretary or
assistant treasurer appointed by the Board of Directors shall have power to
perform, and shall perform, all duties incumbent upon the secretary or
treasurer of the Corporation, respectively, subject to the general direction of
such respective officers, and shall perform such other duties as these Bylaws
may require or the Board of Directors may prescribe.

                 SECTION 5.11.  SALARIES.  The salaries or other compensation
of the officers shall be fixed from time to time by the Board of Directors.  No
officer shall be prevented from receiving such salary or other compensation by
reason of the fact that he is also a director of the Corporation.

                 SECTION 5.12.  BONDS OF OFFICERS.  The Board of Directors may
secure the fidelity of any officer of the Corporation by bond or otherwise, on
such terms and with such surety or sureties, conditions, penalties or
securities as shall be deemed proper by the Board of Directors.

                 SECTION 5.13.  DELEGATION.  The Board of Directors may
delegate temporarily the powers and duties of any officer of the Corporation,
in case of his absence or for any other reason,



                                      -12-
<PAGE>   13

to any other officer, and may authorize the delegation by any officer of the
Corporation of any of his powers and duties to any agent or employee, subject
to the general supervision of such officer.


                                   ARTICLE VI

                                 MISCELLANEOUS

                 SECTION 6.1.  DIVIDENDS.  Dividends on the outstanding shares
of the Corporation, subject to the provisions of the Certificate of
Incorporation, if any, may be declared by the Board of Directors at any regular
or special meeting, pursuant to law.  Dividends may be paid by the Corporation
in cash, in property, or in the Corporation's own shares, but only out of the
surplus of the Corporation, except as otherwise allowed by law.

         Subject to limitations upon the authority of the Board of Directors
imposed by law or by the Certificate of Incorporation, the declaration of and
provision for payment of dividends shall be at the discretion of the Board of
Directors.

                 SECTION 6.2.  CONTRACTS.  The president shall have the power
and authority to execute, on behalf of the Corporation, contracts or
instruments in the usual and regular course of business, and in addition the
Board of Directors or the President may authorize any officer or officers,
agent or agents, of the Corporation to enter into any contract or execute and
deliver any instruments in the name of and on behalf of the Corporation, and
such authority may be general or confined to specific instances.  Unless so
authorized by the Board of Directors or by these Bylaws, no officer, agent or
employee shall have any power or authority to bind the Corporation by any
contract or engagement, or to pledge its credit or to render it pecuniarily
liable for any purpose or in any amount.

                 SECTION 6.3.  CHECKS, DRAFTS, ETC.  All checks, drafts, or
other orders for the payment of money, notes, or other evidences of
indebtedness issued in the name of the Corporation shall be signed by such
officers or employees of the Corporation as shall from time to time be
authorized pursuant to these Bylaws or by resolution of the Board of Directors.

                 SECTION 6.4.  DEPOSITORIES.  All funds of the Corporation
shall be deposited from time to time to the credit of the Corporation in such
banks or other depositories as the Board of Directors may from time to time
designate, and upon such terms and conditions as shall be fixed by the Board of
Directors.  The Board of Directors may from time to time authorize the opening
and maintaining within any such depository as it may designate, of general and
special accounts, and may make such special rules and regulations with respect
thereto as it may deem expedient.

                 SECTION 6.5.  ENDORSEMENT OF STOCK CERTIFICATES.  Subject to
the specific directions of the Board of Directors, any share or shares of stock
issued by any corporation and owned by the Corporation, including reacquired
shares of the Corporation's own stock, may, for sale or transfer, be endorsed
in the name of the Corporation by the president or any vice president; and such
endorsement may be attested or witnessed by the secretary or any assistant
secretary either with or without the affixing thereto of the corporate seal.



                                      -13-
<PAGE>   14

                 SECTION 6.6.  CORPORATE SEAL.  The corporate seal, if any,
shall be in such form as the Board of Directors shall approve, and such seal,
or a facsimile thereof, may be impressed on, affixed to, or in any manner
reproduced upon, instruments of any nature required to be executed by officers
of the Corporation.

                 SECTION 6.7.  FISCAL YEAR.  The fiscal year of the Corporation
shall begin and end on such dates as the Board of Directors at any time shall
determine.

                 SECTION 6.8.  BOOKS AND RECORDS.  The Corporation shall keep
correct and complete books and records of account and shall keep minutes of the
proceedings of its stockholders and Board of Directors, and shall keep at its
registered office or principal place of business, or at the office of its
transfer agent or registrar, a record of its stockholders, giving the names and
addresses of all stockholders and the number and class of the shares held by
each.

                 SECTION 6.9.  RESIGNATIONS.  Any director or officer may
resign at any time.  Such resignations shall be made in writing and shall take
effect at the time specified therein, or, if no time is specified, at the time
of its receipt by the president or secretary.  The acceptance of a resignation
shall not be necessary to make it effective, unless expressly so provided in
the resignation.

                 SECTION 6.10.  MEETINGS BY TELEPHONE.  Subject to the
provisions required or permitted by these Bylaws or the laws of the State of
Delaware for notice of meetings, members of the Board of Directors, or members
of any committee designated by the Board of Directors, may participate in and
hold any meeting required or permitted under these Bylaws by telephone or
similar communications equipment by means of which all persons participating in
the meeting can hear each other.  Participation in a meeting pursuant to this
Section shall constitute presence in person at such a meeting, except where a
person participates in the meeting for the express purpose of objecting, at the
beginning of the meeting, to the transaction of any business on the ground that
the meeting is not lawfully called or convened.

                 SECTION 6.11.  CONFLICT WITH CERTIFICATE OF INCORPORATION.
Any provision in these Bylaws to the contrary notwithstanding, should any Bylaw
conflict with any provision in the Certificate of Incorporation of the
Corporation, as amended, including without limitation any such provision
governing a change of control of the Corporation's Board of Directors upon the
occurrence of certain events specified therein, then such provision of said
Certificate of Incorporation, as amended, shall be controlling, and the
remainder of these Bylaws shall be construed so as to comply with said
Certificate of Incorporation.

                                  ARTICLE VII

                                  INDEMNITIES

                 SECTION 7.1.  DEFINITIONS.  In this Article:

          (a)  "Indemnitee" means (i) any present or former Director, advisory
director or officer of the Corporation, (ii) any person who while serving in
any of the capacities referred to in clause (i) hereof



                                      -14-
<PAGE>   15

served at the Corporation's request as a director, officer, partner, venturer,
proprietor, trustee, employee, agent or similar functionary of another foreign
or domestic corporation, partnership, joint venture, trust, employee benefit
plan or other enterprise, and (iii) any person nominated or designated by (or
pursuant to authority granted by) the Board of Directors or any committee
thereof to serve in any of the capacities referred to in clauses (i) or (ii)
hereof.

          (b)  "Official Capacity" means (i) when used with respect to a
Director, the office of Director of the Corporation, and (ii) when used with
respect to a person other than a Director, the elective or appointive office of
the Corporation held by such person or the employment or agency relationship
undertaken by such person on behalf of the Corporation, but in each case does
not include service for any other foreign or domestic corporation or any
partnership, joint venture, sole proprietorship, trust, employee benefit plan
or other enterprise.

          (c)  "Proceeding" means any threatened, pending or completed action,
suit or proceeding, whether civil, criminal, administrative, arbitrative or
investigative, any appeal in such an action, suit or proceeding, and any
inquiry or investigation that could lead to such an action, suit or proceeding.

                 SECTION 7.2.  INDEMNIFICATION.  The Corporation shall
indemnify every Indemnitee against all judgments, penalties (including excise
and similar taxes), fines, amounts paid in settlement and reasonable expenses
actually incurred by the Indemnitee in connection with any Proceeding to which
he was, is or is threatened to be named defendant or respondent, or in which he
was or is a witness without being named a defendant or respondent, by reason,
in whole or in part, of his serving or having served, or having been nominated
or designated to serve, in any of the capacities referred to in Section 7.1(a),
if it is determined in accordance with Section 7.4 that the Indemnitee (a)
conducted himself in good faith, (b) reasonably believed, in the case of
conduct in his Official Capacity, that his conduct was in the Corporation's
best interests and, in all other cases, that his conduct was at least not
opposed to the Corporation's best interests, and (c) in the case of any
criminal proceeding, had no reasonable cause to believe that his conduct was
unlawful; provided, however, that in the event a determination is made that a
person is entitled to indemnification pursuant to this Section 7.2 in
connection with a Proceeding brought by or on behalf of the Corporation, such
indemnification shall be limited to the reasonable expenses (including court
costs and attorneys' fees) actually incurred by the Indemnitee in connection
with the Proceeding.  No indemnification shall be made under this Section 7.2
in respect of any judgment, penalty, fine or amount paid in settlement in
connection with any Proceeding in which such Indemnitee shall have been found
liable to the Corporation. If a director is found liable on the basis that
personal benefit was improperly received by him, whether or not the benefit
resulted from an action taken in the Indemnitee's Official Capacity, then
indemnification can be made only if the indemnification (x) is limited to
reasonable expenses and (y) shall not be made if the director is found liable
for willful or intentional misconduct in performing his duties to the
Corporation.  The termination of any Proceeding by judgment, order, settlement
or conviction, or on a plea of nolo contendere or its equivalent, is not of
itself determinative that the Indemnitee did not meet the requirements set
forth in clauses (a), (b) or (c) in the first sentence of this Section 7.2.

                 SECTION 7.3.  SUCCESSFUL DEFENSE.  Without limitation of
Section 7.2 and in addition to the indemnification provided for in Section 7.2,
the Corporation shall indemnify every Indemnitee



                                      -15-
<PAGE>   16

against reasonable expenses incurred by such person in connection with any
Proceeding in which he is a witness or a named defendant or respondent because
he served in any of the capacities referred to in Section 7.1(a), if such
person has been wholly successful, on the merits or otherwise, in defense of
the Proceeding.

                 SECTION 7.4.  DETERMINATIONS.  Any indemnification under
Section 7.2 (unless ordered by a court of competent jurisdiction) shall be made
by the Corporation only upon a determination that indemnification of the
Indemnitee is proper in the circumstances because he has met the applicable
standard of conduct.  Such determination shall be made (a) by the Board of
Directors by a majority vote of the directors who are not parties or
respondents in the Proceeding, even though less than a quorum; (b) by special
legal counsel selected by the Board of Directors by vote as set forth in clause
(a) of this Section 7.4 or, if all of the Directors are named defendants or
respondents in the Proceeding by a majority vote of all of the Directors; or
(c) by the stockholders in a vote that excludes the shares held by Directors
that are named defendants or respondents in the Proceeding.  Determination as
to reasonableness of expenses shall be made in the same manner as the
determination that indemnification is permissible, except that if the
determination that indemnification is permissible is made by special legal
counsel, determination as to reasonableness of expenses must be made in the
manner specified in clause (b) of the preceding sentence for the selection of
special legal counsel.  In the event a determination is made under this Section
7.4 that the Director or officer has met the applicable standard of conduct as
to some matters but not as to others, amounts to be indemnified may be
reasonably prorated.

                 SECTION 7.5.  ADVANCEMENT OF EXPENSES.  Reasonable expenses
(including court costs and attorneys' fees) incurred by an Indemnitee who was
or is a witness or was, is or is threatened to be made a named defendant or
respondent in a Proceeding shall be paid by the Corporation at reasonable
intervals in advance of the final disposition of such Proceeding upon receipt
by the Corporation of (a) a written affirmation by such Indemnitee of his good
faith belief that he has met the standard of conduct necessary for
indemnification by the Corporation under this Article and (b) a written
undertaking by or on behalf of such Indemnitee to repay the amount paid or
reimbursed by the Corporation if it shall ultimately be determined that he is
not entitled to be indemnified by the Corporation as authorized in this
Article.  Such written undertaking shall be an unlimited obligation of the
Indemnitee but need not be secured and it may be accepted without reference to
financial ability to make repayment.  Notwithstanding any other provision of
this Article, the Corporation may pay or reimburse expenses incurred by an
Indemnitee in connection with his appearance as a witness or other
participation in a Proceeding at a time when he is not named a defendant or
respondent in the Proceeding.

                 SECTION 7.6.  EMPLOYEE BENEFIT PLANS.  For purposes of this
Article, the Corporation shall be deemed to have requested an Indemnitee to
serve an employee benefit plan whenever the performance by him of his duties to
the Corporation also imposes duties on or otherwise involves services by him to
the plan or participants or beneficiaries of the plan.  Excise taxes assessed
on an Indemnitee with respect to an employee benefit plan pursuant to
applicable law shall be deemed fines.  Action taken or omitted by an Indemnitee
with respect to an employee benefit plan in the performance of his duties for a
purpose reasonably believed by him to be in the interest of the participants
and



                                      -16-
<PAGE>   17

beneficiaries of the plan shall be deemed to be for a purpose which is not
opposed to the best interests of the Corporation.

                 SECTION 7.7.  OTHER INDEMNIFICATION AND INSURANCE.  The
indemnification provided by this Article shall (a) not be deemed exclusive of,
or to preclude, any other rights to which those seeking indemnification may at
any time be entitled under the Corporation's Certificate of Incorporation, any
law, agreement or vote of stockholders or disinterested Directors, or
otherwise, or under any policy or policies of insurance purchased and
maintained by the Corporation on behalf of any Indemnitee or under any self-
insurance arrangement allowed by law, both as to action in his Official
Capacity and as to action in any other capacity, (b) continue as to a person
who has ceased to be in the capacity by reason of which he was an Indemnitee
with respect to matters arising during the period he was in such capacity, and
(c) inure to the benefit of the heirs, executors and administrators of such a
person.

                 SECTION 7.8.  NOTICE.  Any indemnification of or advance of
expenses to a present or former Director of the Corporation in accordance with
this Article shall be reported in writing to the stockholders of the
Corporation with or before the notice or waiver of notice of the next
stockholders' meeting or with or before the next submission to stockholders of
a consent to action without a meeting and, in any case, within the twelve-month
period immediately following the date of the indemnification or advance.

                 SECTION 7.9.  CONSTRUCTION.  The indemnification provided by
this Article shall be subject to all valid and applicable laws, including,
without limitation, Section 145 of the Delaware General Corporation Law, and,
in the event this Article or any of the provisions hereof or the
indemnification contemplated hereby are found to be inconsistent with or
contrary to any such valid laws, the latter shall be deemed to control and to
provide the fullest possible rights and privileges accorded thereby, and this
Article shall be regarded as modified accordingly, and, as so modified, to
continue in full force and effect.

                 SECTION 7.10.  CONTINUING OFFER, RELIANCE, ETC.  The
provisions of this Article (i) are for the benefit of, and may be enforced by,
each Director and officer of the Corporation, the same as if set forth in their
entirety in a written instrument duly executed and delivered by the Corporation
and such Director or officer and (ii) constitute a continuing offer to all
present and future Directors and officers of the Corporation.  The Corporation,
by its adoption of these Bylaws, (i) acknowledges and agrees that each present
and future Director and officer of the Corporation has relied upon and will
continue to rely upon the provisions of this Article in accepting and serving
in any of the capacities referred to in Section 7.1(a) of this Article, (ii)
waives reliance upon, and all notices of acceptance of, such provisions by such
Directors and officers and (iii) acknowledges and agrees that no present or
future Director or officer of the Corporation shall be prejudiced in his right
to enforce the provisions of this Article in accordance with their terms by any
act or failure to act on the part of the Corporation.

                 SECTION 7.11.  EFFECT OF AMENDMENT.  No amendment,
modification or repeal of this Article or any provision hereof shall in any
manner terminate, reduce or impair the right of any past, present or future
Director or officer of the Corporation to be indemnified by the Corporation,
nor the



                                      -17-
<PAGE>   18

obligation of the Corporation to indemnify any such Director or officer, under
and in accordance with the provisions of the Article as in effect immediately
prior to such amendment, modification or repeal with respect to claims arising
from or relating to matters occurring, in whole or in part, prior to such
amendment, modification or repeal, regardless of when such claims may arise or
be asserted.


                                  ARTICLE VIII

                                   AMENDMENTS

                 SECTION 8.1.  AMENDMENTS.  These Bylaws, subject to Article 4,
may be  altered, amended or repealed, or new bylaws may be adopted, by the
Directors at any duly held meeting or by the holders of a majority of the
shares represented at any duly held meeting of stockholders; provided that
notice of such proposed action shall have been contained in the notice of any
such meeting.

[Including all amendments through and including May 25, 1995.]



                                       ----------------------------------------
                                       James G. VanDevender, Secretary



                                      -18-

<PAGE>   1
                                                                    EXHIBIT 4.3

                             General Description of
                        Champion Healthcare Corporation
                            Common Stock Certificate


         The front of the certificate is engraved with blue ornamental border
and additional blue ornamentation upon white paper, bearing a stylized letter
design of the words "Champion Healthcare Corporation" in dark blue and
substantive text in black.

         The back of the certificate bears no border and no ornamentation
except for the stylized letter design of the words "Champion Healthcare
Corporation" in black.  All text is in black.

<PAGE>   2

                       [Form of Common Stock Certificate]
                                    [Front]

<TABLE>
<CAPTION>
                                                        CHAMPION HEALTHCARE                                                   
                                                            CORPORATION

Number                                                                                                  
 CHC                                                                                                    Shares        
- -----                                                                                                   ------

<S>                                   <C>                                                       <C>
COMMON STOCK
THIS CERTIFICATE IS TRANSFERABLE      INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE                CUSIP 15850B 10 4
IN NEW YORK, NEW YORK                                                                           SEE REVERSE FOR CERTAIN DEFINITIONS


THIS CERTIFIES THAT

is the owner of

                        FULLY PAID AND NON-ASSESSABLE COMMON SHARES, WITH A PAR VALUE OF $.01 PER SHARE, OF
</TABLE>

Champion Healthcare Corporation transferable in person or by duly authorized
attorney on the books of the Corporation upon surrendering of this certificate
properly endorsed.  This certificate is not valid until countersigned and
registered by the Transfer Agent and Registrar.
WITNESS the facsimile seal of the Corporation and the facsimile signatures of
its duly authorized officers.

                              CERTIFICATE OF STOCK

                                                           Dated:

<TABLE>

<S>                         <C>                            <C>
/s/Charles R. Miller
           President                                       Countersigned and Registered:

/s/James G. VanDevender     [FACSIMILE CORPORATE SEAL]           MELLON SECURITIES TRUST COMPANY
           Secretary                                                           (NEW YORK)
                                                                               Transfer Agent and Registrar
                                                           By:

                                                                                       Authorized Signature
</TABLE>

<PAGE>   3

                       [Form of Common Stock Certificate]
                                     [Back]

                              CHAMPION HEALTHCARE
                                  CORPORATION


         The Company will furnish upon request and without charge to each
stockholder the powers, designations, preferences and relative participating,
optional and other special rights of each class of stock and series within a
class of stock of the Company, as well as the qualifications, limitations and
restrictions relating to those preferences and/or rights.  A stockholder may
make the request to the Company or to its Transfer Agent and Registrar.

                 The following abbreviations, when used in the inscription on
         the fact of this certificate, shall be construed as though they were
         written out in full according to applicable laws or regulations:

<TABLE>
<S>                                                 <C>
TEN COMM -- as tenants in common                    UNIF GIFT MIN ACT -- ______ Custodian _______
TEN ENT  -- as tenants by the entireties                         (Cust)          (Minor)
JT TEN   -- as joint tenants with right
              of survivorship and not as                                 under Uniform Gifts to Minors
              tenants in common                                          Act _________________________
                                                                                      (State)
</TABLE>

    Additional abbreviations may also be used though not in the above list.


                 For value received, ________________________________________
         hereby sell, assign and transfer unto

PLEASE INSERT SOCIAL SECURITY OR OTHER
    IDENTIFYING NUMBER OF ASSIGNEE

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

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

- --------------------------------------------------------------------------------
Please print or typewrite name and address including postal zip code of assignee

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

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

                                                                          Shares
- --------------------------------------------------------------------------


- --------------------------------------------------------------------------------
of the Stock represented by the within Certificate, and do hereby irrevocably
constitute and appoint


- --------------------------------------------------------------------------------
Attorney to transfer the said stock on the books of the within-named Company
with full power of substitution in the premises.

Dated
     ------------------------------


                                            X
                                             -----------------------------------
                 NOTICE                                   (Signature)
        THE SIGNATURE(S) TO THIS
        ASSIGNMENT MUST CORRES-
        POND WITH THE NAME(S) AS
        WRITTEN UPON THE FACE OF
        THE CERTIFICATE IN EVERY
        PARTICULAR WITHOUT ALTER-
        ATION OR ENLARGEMENT OR
        ANY CHANGE WHATEVER                 X
                 NOTICE                      -----------------------------------
                                                          (Signature)

                                            THE SIGNATURE(S) SHOULD BE
                                            GUARANTEED BY AN ELIGIBLE GUARANTOR
                                            INSTITUTION (BANKS, STOCKBROKERS,
                                            SAVINGS AND LOAN ASSOCIATIONS AND
                                            CREDIT UNIONS WITH MEMBERSHIP IN AN
                                            APPROVED SIGNATURE GUARANTEE
                                            MEDALLION PROGRAM), PURSUANT TO
                                            S.E.C. RULE 17Ad-15


                                            SIGNATURE(S) GUARANTEED BY:

<PAGE>   1
                                                                     EXHIBIT 4.4


                        CHAMPION HEALTHCARE CORPORATION
                                 DECEMBER 1990
                        FOUNDER'S STOCK OPTION AGREEMENT

         This Agreement is entered into and made effective this 31st day of
December, 1990, by and between CHAMPION HEALTHCARE CORPORATION, a Texas
corporation (hereinafter referred to as the "Company") and CHARLES R. MILLER
(hereinafter referred to as "Optionee").

                                  WITNESSETH:

         WHEREAS, the Board of Directors of the Company has resolved to grant
the Optionee an option to purchase a portion of the shares of the Common Stock
of the Company;

         NOW, THEREFORE, in consideration of the efforts of Optionee in founding
the Company and his execution of his Amended and Restated Employment Agreement
of even date herewith and the premises and mutual covenants hereinafter
contained, the parties hereto agree as follows:

         1. OPTION TO PURCHASE STOCK.   The Company does hereby grant to
Optionee the option to purchase Fifty-Four Thousand (54,000) shares of the
Company's Common Stock, no par value (hereinafter referred to as "Stock'), at a
purchase price of Two Dollars ($2.00) per share.

         2. EXERCISE OF OPTION. Optionee may exercise said option in whole or in
part, for a period of ten (10) years, commencing on the effective date of this
Agreement.

         3. MANNER OF EXERCISE. Said option shall be exercised in whole or in
part only by delivery to Company of a written notice that the option is being
exercised and Optionee shall deliver the total purchase price in cash or a
cashier's or certified check to


                                      -1-
<PAGE>   2

Company. Upon receipt of payment for the Stock being purchased, the Company
shall, as expediently as possible, deliver to the Optionee at the principal
office of the Company, or at such other place as shall be mutually acceptable, a
certificate or certificates for the Stock being purchased.

         4.  RESTRICTIONS.

         (a) Optionee shall have no right to encumber or to dispose of this
Option, and any attempted encumbrance or disposition shall be wholly void and
unenforceable against Company; provided however that the Option may be
transferred to the Estate of Optionee upon Optionee's death. No provision of
this Agreement shall be construed to, in any manner, obligate Optionee to
continue employment with Company for any particular period of time, or obligate
the Company to continue the employment of Optionee for any particular period of
time.

         (b) The shares issued upon the exercise of this option shall have a
restrictive legend placed on the certificates evidencing said shares and
requiring the performance of the action set forth therein and there shall be
entered on the Company's books and records a stop transfer order against the
transfer of said share without compliance with said legend. The restrictive
legend shall be substantially as follows:

                          "These shares have not been registered under the
                          Securities Act of 1933 or any state securities laws,
                          and their sale, pledge or transfer is prohibited
                          without first submitting to the Company an opinion of
                          counsel acceptable to it that said sale, pledge or
                          transfer will not be in violation of applicable
                          federal or state securities laws."


         5.  NOTICE.   Any notices to be given hereunder by either party to the
other may be personal delivery in writing or by mail, registered or certified,
postage prepaid with return receipt requested. Mailed notices shall be addressed
to the parties at the addresses





                                      -2-

<PAGE>   3

appearing below or to the last known address of a party if the party giving
written notice has knowledge of a change in address. Any time limitation
provided for in this Agreement shall commence with the date that the party
actually received such written notice, and the date or postmark of any return
receipt indicating the date of delivery of such notice to the addressee shall be
conclusive evidence to such receipt.

To Company                                 To Optionees
- ----------                                 ------------

Champion Healthcare Corporation            Charles R. Miller
14340 Torrey Chase Boulevard               14340 Torrey Chase Boulevard
Suite 320                                  Suite 320
Houston, Texas 77014                       Houston, Texas 77014

         6.  ASSIGNMENT. Except as specified below, neither Optionee nor anyone
claiming under him may commute, encumber or dispose of the option provided by
this Agreement. This Option may be exercised by the Estate of the Optionee or by
the beneficiary of such estate on the terms and conditions set forth herein.
Except as may be provided for herein such option is hereby declared to be
non-assignable and nontransferable by Optionee and, in the event of any
attempted assignment or transfer, Company shall have no further Liability
hereunder.

         7.  GOVERNING LAW. This Agreement shall be construed and governed in
accordance with the laws of the State of Texas. This Agreement is performable in
Harris County, Texas.

         8.  AMENDMENT. It is further agreed by the parties hereto that this
instrument contains the entire agreement between the parties, and that no
statements, promises or inducements made by either party hereto, which are not
contained in this instrument, shall be valid or binding, and that this Agreement
shall not be enlarged, modified, or altered except in writing and signed by the
parties hereto.





                                      -3-

<PAGE>   4

         9.  SUCCESSORS. In the event of any recapitalization, stock split,
dividend, merger, or other transaction affecting either the number of
outstanding shares of Stock or the fair market value of a share of Stock, the
Company shall make appropriate adjustments to the total number of shares of
Stock that may become subject to options granted pursuant to this Plan, the
number of shares of Stock covered by outstanding options, and the Option Price
of such Stock.

         10. PROTECTION AGAINST VIOLATIONS OF AGREEMENT.   No purported sale,
assignment, mortgage, hypothecation, transfer, pledge, encumbrance, gift,
transfer in trust (voting or other) or other disposition of, or creation of a
security interest in or Hen on, any of the stock by any holder thereof in
violation of the provisions of this agreement, or of the Articles of
Incorporation or the bylaws of the Company, will be valid, and the Company will
not transfer any of said shares on its books, unless and until there has been
compliance with said provisions. The foregoing restrictions are in addition to
and not in lieu of any other remedies, legal or equitable, available to enforce
said provisions.

         11. BENEFITS. The terms and provisions of this Agreement shall be
binding upon and inure to the benefit of the parties hereto and their respective
heirs, legal representatives, successors and assigns.

         12. ANTI-DILUTION. In the event of a stock dividend, split-up or
combination of shares, merger, consolidation, reorganization, recapitalization
or other change in the corporate structure or capitalization affecting the
outstanding Common Stock of the Company, an appropriate adjustment shall be made
to the price and number or kind of shares covered by the stock option agreement.





                                      -4-

<PAGE>   5

         IN WITNESS WHEREOF, the parties hereto have executed this Agreement on
the day and year first above written.

                                 COMPANY:

                                 CHAMPION HEALTHCARE CORPORATION


                                 By:
                                     -------------------------------
                                 James G. VanDevener, Vice President


                                 OPTIONEE:


                                 -----------------------------------
                                 Charles R. Miller





                                      -5-



<PAGE>   1
                                                                     EXHIBIT 4.5


                        CHAMPION HEALTHCARE CORPORATION
                                 DECEMBER 1990
                        FOUNDER'S STOCK OPTION AGREEMENT

         This Agreement is entered into and made effective this 31st day of
December, 1990, by and between CHAMPION HEALTHCARE CORPORATION, a Texas
corporation (hereinafter referred to as the "Company") and JAMES G. VANDEVENDER
(hereinafter referred to as "Optionee").

                                  WITNESSETH:

         WHEREAS, the Board of Directors of the Company has resolved to grant
the Optionee an option to purchase a portion of the shares of the Common Stock
of the Company;

         NOW, THEREFORE, in consideration of the efforts of Optionee in founding
the Company and his execution of his Amended and Restated Employment Agreement
of even date herewith and the premises and mutual covenants hereinafter
contained, the parties hereto agree as follows:

         1. OPTION TO PURCHASE STOCK The Company does hereby grant to Optionee
the option to purchase Thirty-Six Thousand (36,000) shares of the Company's
Common Stock, no par value (hereinafter referred to as "Stock"), at a purchase
price of Two Dollars ($2.00) per share.

         2. EXERCISE OF OPTION. Optionee may exercise said option in whole or in
part, for a period of ten (10) years, commencing on the effective date of this
Agreement.

         3. MANNER OF EXERCISE. Said option shall be exercised in whole or in
part only by delivery to Company of a written notice that the option is being
exercised and Optionee shall deliver the total purchase price in cash or a
cashier's or certified check to


                                      -1-
<PAGE>   2

Company. Upon receipt of payment for the Stock being purchased, the Company
shall, as expediently as possible, deliver to the Optionee at the principal
office of the Company, or at such other place as shall be mutually acceptable, a
certificate or certificates for the Stock being purchased.

         4. RESTRICTIONS.

         (a) Optionee shall have no right to encumber or to dispose of this
Option, and any attempted encumbrance or disposition shall be wholly void and
unenforceable against Company; provided however that the Option may be
transferred to the Estate of Optionee upon Optionee's death. No provision of
this Agreement shall be construed to, in any manner, obligate Optionee to
continue employment with Company for any particular period of time, or obligate
the Company to continue the employment of Optionee for any particular period of
time.

         (b) The shares issued upon the exercise of this option shall have a
restrictive legend placed on the certificates evidencing said shares and
requiring the performance of the action set forth therein and there shall be
entered on the Company's books and records a stop transfer order against the
transfer of said share without compliance with said legend. The restrictive
legend shall be substantially as follows:

                          "These shares have not been registered under the
                          Securities Act of 1933 or any state securities laws,
                          and their sale, pledge or transfer is prohibited
                          without first submitting to the Company an opinion of
                          counsel acceptable to it that said sale, pledge or
                          transfer will not be in violation of applicable
                          federal or state securities laws."

         5.  NOTICE.   Any notices to be given hereunder by either party to the
 other may be personal delivery in writing or by mail, registered or certified,
 postage prepaid with return receipt requested. Mailed notices shall be
 addressed to the parties at the addresses





                                      -2-
<PAGE>   3


appearing below or to the last known address of a party if the party giving
written notice has knowledge of a change in address. Any time limitation
provided for in this Agreement shall commence with the date that the party
actually received such written notice, and the date or postmark of any return
receipt indicating the date of delivery of such notice to the addressee shall be
conclusive evidence to such receipt.

To Company                                 To Optionees
- ----------                                 ------------
Champion Healthcare Corporation            James G. VanDevender
14340 Torrey Chase Boulevard               14340 Torrey Chase Boulevard
Suite 320                                  Suite 320
Houston, Texas 77014                       Houston, Texas 77014

         6. ASSIGNMENT. Except as specified below, neither Optionee nor anyone
claiming under him may commute, encumber or dispose of the option provided by
this Agreement. This Option may be exercised by the Estate of the Optionee or by
the beneficiary of such estate on the terms and conditions set forth herein.
Except as may be provided for herein such option is hereby declared to be
non-assignable and nontransferable by Optionee and, in the event of any
attempted assignment or transfer, Company shall have no further Liability
hereunder.

         7.  GOVERNING LAW. This Agreement shall be construed and governed in
accordance with the laws of the State of Texas. This Agreement is performable in
Harris County, Texas.

         8.  AMENDMENT. It is further agreed by the parties hereto that this
instrument contains the entire agreement between the parties, and that no
statements, promises or inducements made by either party hereto, which are not
contained in this instrument, shall be valid or binding, and that this Agreement
shall not be enlarged, modified, or altered except in writing and signed by the
parties hereto.





                                      -3-
<PAGE>   4
         9. SUCCESSORS. In the event of any recapitalization, stock split,
dividend, merger, or other transaction affecting either the number of
outstanding shares of Stock or the fair market value of a share of Stock, the
Company shall make appropriate adjustments to the total number of shares of
Stock that may become subject to options granted pursuant to this Plan, the
number of shares of Stock covered by outstanding options, and the Option Price
of such Stock.

         10. PROTECTION AGAINST VIOLATIONS OF AGREEMENT.   No purported sale,
assignment, mortgage, hypothecation, transfer, pledge, encumbrance, gift,
transfer in trust (voting or other) or other disposition of, or creation of a
security interest in or Hen on, any of the stock by any holder thereof in
violation of the provisions of this agreement, or of the Articles of
Incorporation or the bylaws of the Company, will be valid, and the Company will
not transfer any of said shares on its books, unless and until there has been
compliance with said provisions. The foregoing restrictions are in addition to
and not in lieu of any other remedies, legal or equitable, available to enforce
said provisions.

         11. BENEFITS. The terms and provisions of this Agreement shall be
binding upon and inure to the benefit of the parties hereto and their respective
heirs, legal representatives, successors and assigns.

         12. ANTI-DILUTION. In the event of a stock dividend, split-up or
combination of shares, merger, consolidation, reorganization, recapitalization
or other change in the corporate structure or capitalization affecting the
outstanding Common Stock of the Company, an appropriate adjustment shall be made
to the price and number or kind of shares covered by the stock option agreement.





                                      -4-
<PAGE>   5

         IN WITNESS WHEREOF, the parties hereto have executed this Agreement on
the day and year first above written.

                                COMPANY:

                                CHAMPION HEALTHCARE CORPORATION

                                By:
                                    ----------------------------
                                Charles R. Miller, President


                                OPTIONEE:


                                -------------------------------
                                James G. VanDevender





                                      -5-

<PAGE>   1

                                                                    EXHIBIT 4.6

                        CHAMPION HEALTHCARE CORPORATION
                           EMPLOYEE STOCK OPTION PLAN


PREAMBLE. The Board of Directors of Champion Healthcare Corporation adopted the
hereinbelow described Employee Stock Option Plan effective as of December 31,
1991 and it was approved by the shareholders with an effective date for all
purposes of December 31, 1991.

1.       Purpose.

         The purpose of this Employee Stock Option Plan (the "Plan") is to give
officers and executive personnel ("key employees") of Champion Healthcare
Corporation, a corporation (the "Company") , and corporations with respect to
which the Company directly or indirectly controls 50% or more of the combined
voting power ("subsidiaries") , an opportunity to acquire shares of the common
stock of the Company, no par value ("Common Stock") , to provide an incentive
for key employees to continue to promote the best interests of the Company and
enhance its long-term performance, and to provide an incentive for key
employees to join or remain with the Company and its subsidiaries.

2.       Administration.

         (a)     Board of Directors. The Plan shall be administered by the
                 Board of Directors of the Company (the "Board"), which, to the
                 extent it shall determine, may delegate its powers with
                 respect to the administration of the Plan (except its powers
                 under Section 12 (c) ) to a committee of directors (the
                 "Committee") appointed by the Board and composed of not less
                 than two members of the Board. If the Board chooses to appoint
                 a Committee, references hereinafter to the Board (except in
                 Section 12(c)) shall be deemed to refer to the Committee.
                 Notwithstanding the preceding provisions of the Section, no
                 member of the Board may exercise discretion with respect to,
                 or participate in, the administration of the Plan if, at any
                 time while serving on the Committee or within one year prior
                 to such exercise or participation, he or she has received
                 stock, stock options or stock appreciation rights pursuant to
                 the Plan or any other plan of the Company or any affiliate
                 thereof entitling the participants therein to acquire stock,
                 stock options or stock apprecia-
<PAGE>   2

                 tion rights of the Company or of any of its affiliates.

         (b)     Powers. Within the limits of the express provisions of the
                 Plan, the Board shall determine: (i) the key employees to whom
                 awards hereunder shall be granted, (ii) the time or times at
                 which such awards shall be granted, (iii) the form and amount
                 of the awards, and (iv) the limitations, restrictions and
                 conditions applicable to any such award.  In making such
                 determinations, the Board may take into account the nature of
                 the services rendered by such employees, or classes of
                 employees, their present and potential contributions to the
                 Company" s success and such other factors as the Board in its
                 discretion shall deem relevant.

         (c)     Interpretations. Subject to the express provisions of the
                 Plan, the Board may interpret the Plan, prescribe, amend and
                 rescind rules and regulations relating to it, determine the
                 terms and provisions of the respective awards and make all
                 other determinations it deems necessary or advisable for the
                 administration of the Plan.

         (d)     Determinations. The determinations of the Board on all matters
                 regarding the Plan shall be conclusive. A member of the Board
                 shall only be liable for any action taken or determination
                 made in bad faith.

         (e)     Nonuniform Determinations. The Board's determinations under
                 the Plan, including without limitation, determinations as to
                 the persons to receive awards, the terms and provisions of
                 such awards and the agreements evidencing the same, need not
                 be uniform and may be made by it selectively among persons who
                 receive or are eligible to receive awards under the Plan,
                 whether or not such persons are similarly situated.

<PAGE>   3

3.      Awards Under the Plan.

         (a)     Type of Award. Awards under the Plan may be granted in any
                 either or both of the following forms: (i) Nonstatutory Stock
                 Options, as described in Section 4, and (ii) Stock
                 Appreciation Rights, as described in Section 6.  Nonstatutory
                 Stock Options shall be referred to herein as "Stock Options."

         (b)     Maximum Limitations. The aggregate number of shares of Common
                 Stock available for grant under the Plan is 75, 000, subject
                 to adjustment pursuant to Section 8. Shares of Common Stock
                 issued pursuant to the Plan may be either authorized but
                 unissued shares or shares now or hereafter held in the
                 treasury of the Company. In the event that, prior to the end
                 of the period during which Stock Options may be granted under
                 the Plan, any Stock Option under the Plan expires unexercised
                 or is terminated, surrendered or canceled (other than in
                 connection with the exercise of a Stock Appreciation Right)
                 without being exercised, in whole or in part, for any reason,
                 the number of shares theretofore subject to such Stock Option
                 or the unexercised, terminated, forfeited or unearned portion
                 thereof, shall be added to the remaining number of shares of
                 Common Stock available for grant as a Stock Option under the
                 Plan, including a grant to a former holder of such Stock
                 Option, upon such terms and conditions as the Board shall
                 determine, which terms may be more or less favorable than
                 those applicable to such former Stock Option.

4.       Stock Options.

         (a)     Conditions. Stock Options may be granted under the Plan for
                 the purchase of shares of Common Stock. Stock Options shall be
                 in such form and upon such terms and conditions as the Board
                 shall from time to time determine, subject to the following.

                 (i)      Option Price. The option price of each Stock Option
                          to purchase Common Stock shall be determined by the
                          Board, but shall not be less than 100% of the fair
                          market value of the Common Stock subject to such
                          Stock Option on the date of grant.
<PAGE>   4

                 (ii)     Term of Options. No Stock Option shall be exercisable
                          after the date ten (10) years and one (1) day f rom
                          the date such Stock Option is granted.

                 (iii)    Conditions of Grant. The Board, in its discretion,
                          may, as a condition to the grant of a Stock Option,
                          require a key employee who is the recipient of such
                          Stock Option to enter into one or more of the
                          following agreements with the Company on or prior to
                          the date of grant of such Option:

                          a)      A covenant not to compete with the Company
                                  and it& subsidiaries which shall become
                                  effective on the date of termination of
                                  employment of the key employee with the
                                  Company and which shall contain such terms
                                  and conditions as shall be specified by the
                                  Board;

                          b)      An agreement to cancel any employment
                                  agreement, fringe benefit or compensation
                                  arrangement in effect between the Company and
                                  the key employee.

                          c)      The Shareholders' Agreement dated effective
                                  December 31, 1990 among the Company and
                                  Company Shareholders set forth in Schedule I
                                  to that agreement.

If the key employee shall fail to enter into any such agreement at the request
of the Board, then no Stock Option shall be granted hereunder to such key
employee and the number of shares of Common Stock which would have been subject
to such Option shall be added to the remaining number of shares of Common Stock
available for grant as a Stock Option under the Plan.

         (b)     Form. The form of the stock option agreement shall subject to
                 paragraph (a) immediately above, be substantially in the form
                 as Exhibit 1 hereto.
<PAGE>   5

5.       Provisions Applicable to Stock Options .

         (a)     Exercise. Stock Options shall be subject to such terms and
                 conditions, shall be exercisable at such time or times, and
                 shall be evidenced by such form of written option agreement
                 between the optionee and the Company, as the Board shall
                 determine; provided, that such determinations are not
                 inconsistent with the other provisions of the Plan.

         (b)     Manner of Exercise of 0ptions and Payment for Common Stock.
                 Stock Options may be exercised by an optionee by giving
                 written notice to the Secretary of the Company stating the
                 number of shares of Common Stock with respect to which the
                 Stock Option is being exercised and tendering payment
                 therefor. At the time that a Stock Option granted under the
                 Plan, or any part thereof, is exercised, payment for the
                 Common Stock issuable thereupon shall be made in full in cash
                 or by certified check or, if the Board in its discretion
                 agrees to accept, in shares of Common Stock of the Company
                 (the number of such shares paid for each share subject to the
                 Stock Option, or part thereof, being exercised shall be
                 determined by dividing the option price by the fair market
                 value per share of the Common Stock on the date of exercise).
                 As soon as reasonably possible following such exercise, a
                 certificate representing shares of Common Stock purchased,
                 registered in the name of the optionee, shall be delivered to
                 the optionee.

         (c)     Cancellation of Stock Appreciation Rights. The exercise of any
                 Stock Option shall cancel that number, if any, of Stock
                 Appreciation Rights (as defined in Section 6) included in such
                 Stock Option, which is equal to the excess of (i) the number
                 of shares of Common Stock subject to Stock Appreciation Rights
                 included in such Stock Option, over (ii) the number of shares
                 of Common Stock which remain subject to such Stock Option
                 after such exercise.
<PAGE>   6

6.       Stock Appreciation Rights.

         (a)     Award. If deemed by the Board to be in the best interest of
                 the Company, any Stock Option granted under the Plan may
                 include a stock appreciation right ("Stock Appreciation
                 Right"), either at the time of grant or thereafter while the
                 Stock Option is outstanding.

         (b)     Terms of Rights. Stock Appreciation Rights shall be subject to
                 such terms and conditions not inconsistent with the other
                 provisions of the Plan as the Board shall determine; provided
                 that:

                          (i)     Limitations. A Stock Appreciation Right shall
                                  be exercisable to the extent, and only to the
                                  extent, the Stock Option in which it is
                                  included is exercisable and shall be
                                  exercisable only for such period as the Board
                                  may determine (which period may expire prior
                                  to the expiration date of such Stock Option).

                          (ii)    Surrender or Exchange. A Stock Appreciation
                                  Right shall entitle the optionee to surrender
                                  to the Company unexercised the Stock Option,
                                  or portion thereof, to which it is related,
                                  or any portion thereof, and to receive from
                                  the Company in exchange therefor that number
                                  of shares of Common Stock having an aggregate
                                  fair market value equal to the excess of the
                                  fair market value on the date of exercise of
                                  one share of Common Stock over the option
                                  price per share specified in such Stock
                                  Option, multiplied by the number of shares of
                                  Common Stock subject to the Stock Option, or
                                  portion thereof, which is so surrendered. The
                                  Board shall be entitled to elect to settle
                                  any part or all of the Company's obligation
                                  arising out of the exercise of a Stock
                                  Appreciation Right by the payment to the
                                  optionee of cash or by check equal to the
                                  aggregate fair market value on the date on
                                  which the Stock Appreciation Right is
                                  exercised of that part or all of the shares
<PAGE>   7

                                  of Common Stock the Company would otherwise
                                  be obligated to deliver.

         (c)     Cash Settlement Restrictions.

                 (i)      Notwithstanding Sections 6(b) and 9 hereof, so long
                          as the grantee of a Stock Appreciation Right is an
                          officer, an owner of 10% or more of an equity
                          security of the Company that is registered under the
                          Securities Exchange Act of 1934, or a director of the
                          Company, the Company" s right to elect to settle any
                          part or all of its obligation arising out of the
                          exercise of a Stock Appreciation Right by 'the
                          payment of cash or by check shall not apply unless
                          such exercise occurs either: (1) pursuant to the
                          provisions of subsection (ii) below, or (2) during
                          the period beginning on the third business day
                          following the date of release by the Company for
                          publication of its quarterly or annual summary
                          statements of sales and earnings and ending on the
                          twelfth business day following such date.

                 (ii)     In the event that, pursuant to Section 9, the Company
                          shall cancel all unexercised Stock Options as of the
                          effective date of a merger or other transaction
                          provided therein or in the case of dissolution of the
                          Company, then each Stock Appreciation Right held by
                          an officer, an owner of 10% or more of an equity
                          security of the Company that is registered under the
                          Securities Exchange Act of 1934, or a director of the
                          Company, shall be automatically exercised on such
                          date within 30 days prior to the effective date of
                          such transaction or dissolution as the Board shall
                          determine and, in the absence of such determination,
                          on the last business day immediately prior to such
                          effective date.
<PAGE>   8

7.     Transferability.

         No Stock Option or Stock Appreciation Right may be transferred,
assigned, pledged or hypothecated (whether by operation of law or otherwise) ,
except as provided by will or the applicable laws of descent or distribution,
and no Stock Option or Stock Appreciation Right shall be subject to execution,
attachment or similar process. Any attempted assignment, transfer, pledge,
hypothecation or other disposition of a Stock Option or Stock Appreciation
Right, or levy of attachment or similar process upon the Stock Option or Stock
Appreciation Right not specifically permitted herein shall be null and void and
without effect. A Stock Option or Stock Appreciation Right may be exercised
only by a key employee during his or her lifetime, or pursuant to Section 11
(c) , by his or her estate or the person who acquires the right to exercise
such Stock Option or Stock Appreciation Right upon his or her death by bequest
or inheritance.

8.     Adjustment Provisions.

         The aggregate number of shares of Common Stock with respect to which
Stock Options and Stock Appreciation Rights may be granted, the aggregate
number of shares of Common Stock subject to each outstanding Stock Option and
Stock Appreciation Right, and the option price per share of each such Stock
Option, may all be appropriately adjusted as the Board may determine for any
increase or decrease in the number of shares of issued Common Stock resulting
from a subdivision or consolidation of shares, whether through reorganization,
recapitalization, stock split-up, stock distribution or combination of shares,
or the payment of a share dividend or other increase or decrease in the number
of such shares outstanding effected without receipt of consideration by the
Company.  Adjustments under this Section 8 shall be made according to the sole
discretion of the Board, and its decisions shall be binding and conclusive.

9.     Dissolution, Merger and Consolidation.

         Except as otherwise provided in Section 6(c)(ii), upon the dissolution
or liquidation of the Company, or upon a merger or consolidation of the Company
in which the Company is not the surviving corporation, each Stock Option and
Stock Appreciation Right granted hereunder shall expire as of the effective
date of such transaction; provided, however, that the Board shall give at least
30 days prior written notice of such event to each optionee during which time
he or she shall have a right to exercise his or her (1) vested or (2) if
specifically provided in the option grant,
<PAGE>   9

vested and unvested, wholly or partially unexercised Stock Option (without
regard to installment exercise limitations, if any) or Stock Appreciation Right
and, subject to prior expiration pursuant to Section 11 (b) or (c) , each Stock
Option and Stock Appreciation Right shall be exercisable after receipt of such
written notice and prior to the effective date of such transaction.

10.    Effective Date and Conditions Subsequent to Effective Date.

         The Plan shall become effective on the date of the approval of the
Plan by the holders of a majority of the shares of Common Stock of the Company,
and the Plan shall be null and void and of no effect if such condition is not
fulfilled, and in such event each Stock Option or Stock Appreciation Right
granted hereunder shall, notwithstanding any of the preceding provisions of the
Plan, be null and void and of no effect. No grant or award shall be made under
the Plan more than ten (10) years from the date of shareholder approval hereof;
provided, however,' that the Plan and all Stock Options and Stock Appreciation
Rights granted under the Plan prior to such date shall remain in effect and
subject to adjustment and amendment as herein provided until they have been
satisfied or terminated in accordance with the terms of the respective grants
or awards and the related agreements.

11.    Termination of Employment.

         (a)     Each Stock Option and Stock Appreciation Right shall, unless
                 sooner expired pursuant to Section 11 (b) or (c) below, expire
                 on the first to occur of the date one day after the tenth
                 anniversary of the date of grant thereof or the expiration
                 date set forth in the applicable option agreement.

         (b)     A Stock Option and Stock Appreciation Right shall expire on
                 the first to occur of the applicable date set forth in
                 paragraph (a) next above and the date that the employment of
                 the key employee with the Company and all subsidiaries
                 terminates for any reason other than death or disability. Upon
                 receipt of notice of termination of employment, whether
                 written or oral, Optionee shall not thereafter have the right
                 to exercise the Stock Option or Stock Appreciation Rights.
                 Notwithstanding the preceding provisions of this paragraph,
                 the Board, in its sole discretion, may, by written notice
                 given to a former employee, permit the former employee to
                 exercise Stock Options or Stock Appreciation Rights during
<PAGE>   10

                          a period following his or her termination of
                          employment, which period shall not exceed ninety (90)
                          days. In no event, however, may the Board permit a
                          former employee to exercise a Stock Option or Stock
                          Appreciation Right after the expiration date
                          contained in the agreement evidencing such Stock
                          Option or Stock Appreciation Right. Notwithstanding
                          the preceding provisions of this paragraph, if the
                          Board permits a former employee to exercise Stock
                          Options or Stock Appreciation Rights during a period
                          following his or her termination of employment
                          pursuant to such preceding provisions, such Stock
                          Options or Stock Appreciation Rights shall, to the
                          extent unexercised, expire on the date that such
                          former employee violates (as determined by the Board)
                          any covenant not to compete in effect between the
                          Company and/or its subsidiaries and the former
                          employee.

                 (c)      If the employment of a key employee with the Company
                          and all subsidiaries terminates by reason of
                          disability (as determined by the Board) or by reason
                          of death, his or her Stock Options and Stock
                          Appreciation Rights, if any, shall expire on the
                          first to occur of the date set forth in paragraph (a)
                          of this Section 11 and the first anniversary of such
                          termination of employment.

12.      Miscellaneous.

                 (a)      Legal and Other Requirements. The obligation of the
                          Company to sell and deliver Common Stock under the
                          Plan shall be subject to all applicable laws,
                          regulations, rules and approvals, including, but not
                          by way of limitation, the effectiveness of a
                          registration statement under the Securities Act of
                          1933 if deemed necessary or appropriate by the
                          Company. Certificates for shares of Common Stock
                          issued hereunder may be legend as the Board shall
                          deem appropriate.

                 (b)      No Obligation to Exercise Options. The granting of a
                          Stock Option shall impose no obligation upon an
                          optionee to exercise such Stock Option.
<PAGE>   11

                 (c)      Termination and Amendment of Plan. The Board, without
                          further action on the part of the shareholders of the
                          Company, may from time to time alter, amend or
                          suspend the Plan or any Stock Option or Stock
                          Appreciation Right granted hereunder or may at any
                          time terminate the Plan, except that, unless approved
                          by the shareholders in accordance with Section 10
                          hereof, it may not (except to the extent provided in
                          Section 8 hereof) : (i) change the total number of
                          shares of Common Stock available for grant under the
                          Plan; (ii) extend the duration of the Plan; (iii)
                          increase the maximum term of Stock Options; or (iv)
                          change the class of employees eligible to be granted
                          Stock Options or Stock Appreciation Rights under the
                          Plan. No action taken by the Board under this Section
                          may materially and adversely affect any outstanding
                          Stock Option or Stock Appreciation Right without the
                          consent of the holder thereof.

                 (d)      Application of Funds. The proceeds received by the
                          Company from the sale of Common Stock pursuant to
                          Stock Options will be used for general corporate
                          purposes.

                 (e)      Withholding Taxes. Upon the exercise of any Stock
                          Option or Stock Appreciation Right, the Company shall
                          have the right to require the optionee to remit to
                          the Company an amount sufficient to satisfy an
                          federal, state and local withholding tax requirements
                          prior to the delivery of any certificate or
                          certificates for shares of Common Stock. Whenever
                          under the Plan payments are to be made by the Company
                          in cash or by check, such payments shall be net of
                          any amounts sufficient to satisfy all federal, state
                          and local withholding tax requirements.

                 (f)      Right to Terminate Employment. Nothing in the Plan or
                          any agreement entered into pursuant to the Plan shall
                          confer upon any key employee or other optionee the
                          right to continue in the employment of the Company or
                          any subsidiary or affect any right which the Company
                          or any subsidiary may have to terminate the
                          employment of such key employee or other optionee.
<PAGE>   12

                 (g)      Rights as a Shareholder. No optionee shall have any
                          right or privileges as a shareholder unless and until
                          certificates for shares of Common Stock are issued to
                          him or her.

                 (h)      Leaves of Absence and Disability. The Board shall be
                          entitled to make such rules, regulations and
                          determinations as it deems appropriate under the Plan
                          in respect of any leave of absence taken by or
                          disability of any key employee. Without limiting the
                          generality of the foregoing, the Board shall be
                          entitled to determine (i) whether or not any such
                          leaves of absence shall constitute a termination of
                          employment within the meaning of the Plan, and (ii)
                          the impact, if any, of 'any such leave of absence on
                          awards under the Plan theretofore made to any key
                          employee who takes such leave of absence.

                 (i)      Fair Market Value. Whenever the fair market value of
                          Common Stock is to be determined under the Plan as of
                          a given date, such fair market value shall be:

                          (i)     If the Common Stock is traded on the over
                                  the-counter market, the average of the mean
                                  between the bid and the asked price f or the
                                  Common Stock at the close of trading for the
                                  ten (10) consecutive trading days immediately
                                  preceding such given date;

                          (ii)    If the Common Stock is listed on a national
                                  securities exchange, the average of the
                                  closing prices of the Common Stock on the
                                  Composite Tape for the ten (10) consecutive
                                  trading days immediately preceding such given
                                  date; and

                          (iii)   If the Common Stock is neither traded on the
                                  over-the-counter market nor listed on a
                                  national securities exchange, such value as
                                  the Board, in good faith, shall determine.

         (j)     Notices. Every direction, revocation or notice authorized or
                 required by the Plan shall be deemed delivered to the Company
                 (a) on the date it is personally delivered to the Secretary of
                 the Company at its principal executive offices or (b) three
                 business days after it is sent by registered or
<PAGE>   13

                          certified mail, postage prepaid, addressed to the
                          Secretary at such offices; and shall be deemed
                          delivered to an optionee (a) on the date it is
                          personally delivered to him or her or (b) three
                          business days after it is sent by registered or
                          certified mail, postage prepaid, addressed to him or
                          her at the last address shown for him or her on the
                          records of the Company.

                 (k)      Applicable Law. All questions pertaining to the
                          validity, construction and administration of the Plan
                          and Stock Options and Stock Appreciation Rights
                          granted hereunder shall be determined in conformity
                          with the laws of the State of Texas.

                 (l)      Elimination of Fractional Shares. If under any
                          provision of the Plan which requires a computation of
                          the number of shares of Common Stock subject to a
                          Stock Option or Stock Appreciation Right, the number
                          so computed is not a whole number of shares of Common
                          Stock, such number of shares of Common Stock shall be
                          rounded down to the next whole number.

                 (m)      Shareholders' Agreement. Notwithstanding anything to
                          the contrary contained in the Plan, the Company shall
                          be under no obligation to sell or deliver Common
                          Stock under the Plan to an optionee unless such
                          optionee shall execute the Shareholders' Agreement
                          dated effective in December 31, 1990 with respect to
                          such Common Stock, a copy of which will be furnished
                          Optionee reasonably prior to any exercise.

         This Plan, in accordance with Section 10, is effective as of the
approval of shareholders evidenced in the Preamble hereof.


                                            CHAMPION HEALTHCARE CORPORATION



                                            By:
                                               ---------------------------------

                                                   Its:
                                                       -------------------------
<PAGE>   14

               AMENDMENT NO. 1 TO CHAMPION HEALTHCARE CORPORATION
                           EMPLOYEE STOCK OPTION PLAN



This Amendment No. 1 to the Champion Healthcare Corporation Employee Stock
Option Plan is effective this 6th day of December, 1994 upon the execution
hereof by Champion Healthcare Corporation and the holders of options on the
date hereof whose signatures appear below.

PREAMBLE.        Pursuant to authority granted by the Board of Directors of
Champion Healthcare Corporation on August 9, 1994, the hereinbelow described
amendment (the "Amendment") was adopted to the Employee Stock Option Plan (the
"Plan").  This Amendment was approved by the shareholders on December 6, 1994,
with an effective date for all purposes as of the date set forth in the first
paragraph above.

AMENDMENT.       Section 9 of the Plan is hereby amended so that Stock Options
and Stock Appreciation Rights will not expire upon the merger or consolidation
of the Company, and Section 9 is amended to read in its entirety as follows:

         9.      DISSOLUTION, MERGER AND CONSOLIDATION.

                 Except as otherwise provided in Section 6(c)(ii), upon the
         dissolution or liquidation of the Company or upon a merger or
         consolidation of the Company in which the Company is not the surviving
         corporation and for which the plan or agreement of merger or
         consolidation does not provide for assumption by the surviving or
         consolidated corporation of Stock Options and/or Stock Appreciation
         Rights granted hereunder, each Stock Option and Stock Appreciation
         Right granted hereunder shall expire as of the effective date of such
         dissolution or liquidation; provided, however, that the Board shall
         give at least 30 days prior written notice of such event to each
         optionee during which time he or she shall have a right to exercise
         his or her (1) vested or (2) if specifically provided in the option
         grant, vested and unvested, wholly or partially unexercised Stock
         Option (without regard to installment exercise limitations, if any) or
         Stock Appreciation Right and, subject to prior expiration pursuant to
         Section 11(b) or (c), each Stock Option and Stock Appreciation Right
         shall be exercisable after receipt of such written notice and prior to
         the effective date of such transaction.  Any term or provision in this
         Plan to the contrary notwithstanding, in the event of a merger or
         consolidation of the Company in which the Company is not the surviving
         corporation and for which the plan or agreement of merger or
         consolidation does provide for assumption by the surviving or
         consolidated corporation of Stock Options or Stock Appreciation Rights
         granted hereunder, each Stock Option and Stock Appreciation Right
         granted hereunder shall survive such merger or consolidation, and
         shall become and remain an obligation of the surviving corporation,
         and shall be adjusted according to the adjustment provisions of
         Section 8 of the Plan.

AGREEMENT OF EXISTING OPTION HOLDERS.      The undersigned individual, a holder

<PAGE>   15

of an option issued pursuant to the Plan, hereby consents and agrees to the
Amendment.

COUNTERPARTS.    This Amendment may be executed in one or more counterparts,
each of which shall be considered an original and together shall constitute the
one and same document.


                                            CHAMPION HEALTHCARE CORPORATION


                                      By:
                                            -------------------------------
                                            James G. VanDevender,
                                            Executive Vice-president


                                            OPTION HOLDER


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

                                            Print Name:
                                                       --------------------

<PAGE>   1

                                                                  EXHIBIT - 4.7

                        CHAMPION HEALTHCARE CORPORATION
                        EMPLOYEE STOCK OPTION PLAN NO. 2


Preamble.  The Board of Directors of Champion Healthcare Corporation adopted
the hereinbelow described Employee Stock Option Plan No. 2 effective as of May
27, 1992 and it was approved by the shareholders with an effective date for all
purposes of May 27, 1992.

1.     Purpose

         The purpose of this Employee Stock Option Plan No. 2 (the "Plan") is
to give officers and executive personnel ("key employees") of Champion
Healthcare Corporation, a corporation (the "Company"), and corporations with
respect to which the Company directly or indirectly controls 50% or more of the
combined voting power ("subsidiaries"), an opportunity to acquire shares of the
common stock of the Company, no par value ("Common Stock"), to provide an
incentive for key employees to continue to promote the best interests of the
Company and enhance its long-term performance, and to provide an incentive for
key employees to join or remain with the Company and its subsidiaries.

2.     Administration.

         (a)     Board of Directors. The Plan shall be administered by the
                 Board of Directors of the Company (the "Board"), which, to the
                 extent it shall determine, may delegate its powers with
                 respect to the administration of the Plan (except its powers
                 under Section 12(c)) to a committee of directors (the
                 "Committee") appointed by the Board and composed of not less
                 than two members of the Board. If the Board chooses to appoint
                 a Committee, references hereinafter to the Board (except in
                 Section 12(c)) shall be deemed to refer to the Committee.
                 Notwithstanding the preceding provisions of this Section, no
                 member of the Board may exercise discretion with respect to,
                 or participate in, the administration of the Plan if, at any
                 time within one year prior to such exercise or participation,
                 he or she has received stock, stock options, stock
                 appreciation rights or any other derivative security pursuant
                 to the Plan or any other plan of the Company or any affiliate
                 thereof as to which any discretion is exercised.

         (b)     Powers. Within the limits of the express provisions of the
                 Plan, the Board shall determine: (i) the key employees to whom
                 awards hereunder shall be granted, (ii) the time or times at
                 which such awards shall be granted, (iii) the form and amount,





                                      -1-
<PAGE>   2

                 of the awards, and (iv) the limitations, restrictions and
                 conditions applicable to any such award. In making such
                 determinations, the Board may take into account the nature of
                 the services rendered by such employees, or classes of
                 employees, their present and potential contributions to the
                 Company's success and such other factors as the Board in its
                 discretion shall deem relevant.

         (c)     Interpretations.   Subject to the express provisions of the
                 Plan, the Board may interpret the Plan, prescribe, amend and
                 rescind rules and regulations relating to it, determine the
                 terms and provisions of the respective awards and make all
                 other determinations it deems necessary or advisable for the
                 administration of the Plan.

         (d)     Determinations. The determinations of the Board on all matters
                 regarding the Plan shall be conclusive. A member of the Board
                 shall only be liable for any action taken or determination
                 made in bad faith.

         (e)     Nonuniform Determinations. The Board's determinations under
                 the Plan, including without limitation, determinations as to
                 the persons to receive awards, the terms and provisions of
                 such awards and the agreements evidencing the same, need not
                 be uniform and may be made by it selectively among persons who
                 receive or are eligible to receive awards under the Plan,
                 whether or not such persons are similarly situated.

3.     Awards Under the Plan.

         (a) Type of Award. Awards under the Plan may be granted in any either
         or both of the following forms: (i) Nonstatutory Stock Options, as
         described in Section 4, and (ii) Stock Appreciation Rights, as
         described in Section 6. Nonstatutory Stock options shall be referred
         to herein as "Stock Options."

         (b) Maximum Limitations. The aggregate number of shares of Common
         Stock available for grant under the Plan is 150,000, subject to
         adjustment pursuant to Section 8. Shares of Common Stock issued
         pursuant to the Plan may be either authorized but unissued shares or
         shares now or hereafter held in the treasury of the Company. In the
         event that, prior to the end of the period during which Stock Options
         may be granted under the Plan, any Stock Option under the Plan expires
         unexercised or is terminated, surrendered or canceled (other than in
         connection with the exercise of a Stock Appreciation Right) without
         being exercised, in whole or in part, for





                                      -2-
<PAGE>   3

                 any reason, the number of shares theretofore subject to such
                 Stock Option or the unexercised, terminated, forfeited or
                 unearned portion thereof, shall be added to the remaining
                 number of shares of Common Stock available for grant as a
                 Stock Option under the Plan, including a grant to a former
                 holder of such Stock Option, upon such terms and conditions as
                 the Board shall determine, which terms may be more or less
                 favorable than those applicable to such former Stock Option.

4.       Stock Options.

         (a)     Conditions. Stock Options may be granted under the Plan for
                 the purchase of shares of Common Stock. Stock Options shall be
                 in such form and upon such terms and conditions as the Board
                 shall from time to time determine, subject to the following.

                 (i)              Option Price. The option price of each Stock
                                  Option to purchase Common Stock shall be
                                  determined by the Board, but shall not be
                                  less than 80% of the fair market value of the
                                  Common Stock subject to such Stock Option on
                                  the date of grant.

                 (ii)             Term of Options. No Stock Option shall be
                                  exercisable after the date ten (10) years and
                                  one (1) day from the date such Stock Option
                                  is granted.

                 (iii)            Conditions of Grant. The Board, in its
                                  discretion, may, as a condition to the grant
                                  of a Stock Option, require a key employee who
                                  is the recipient of such Stock Option to
                                  enter into one or more of the following
                                  agreements with the Company on or prior to
                                  the date of grant of such Option:

                                  a)       A covenant not to compete with the
                                           Company and its subsidiaries which
                                           shall become effective on the date
                                           of termination of employment of the
                                           key employee with the Company and
                                           which shall contain such terms and
                                           conditions as shall be specified by
                                           the Board;





                                      -3-
<PAGE>   4

                                        (b)     An agreement to cancel any
                                                employment agreement, fringe
                                                benefit or compensation
                                                arrangement in effect between
                                                the Company and the key
                                                employee.

                                        (c)     The Shareholders' Agreement
                                                dated effective December 31,
                                                1990 among the Company and
                                                Company Shareholders set forth
                                                in Schedule I to that agreement.

If the key employee shall fail to enter into any such agreement at the request
of the Board, then no Stock Option shall be granted hereunder to such key
employee and the number of shares of Common Stock which would have been subject
to such Option shall be added to the remaining number of shares of Common Stock
available for grant as a Stock Option under the Plan.

         (b)     Form. The form of the stock option agreement shall subject to
                 paragraph (a) immediately above, be substantially in the form
                 as Exhibit 1 hereto.

5.       Provisions Applicable to Stock Options.

         (a)     Exercise. Stock Options shall be subject to such terms and
                 conditions, shall be exercisable at such time or times, and
                 shall be evidenced by such form of written option agreement
                 between the optionee and the Company, as the Board shall
                 determine; provided, that such determinations are not
                 inconsistent with the other provisions of the Plan.

         (b)     Manner of Exercise of Options and Payment for Common Stock.
                 Stock Options may be exercised by an optionee by giving
                 written notice to the Secretary of the Company stating the
                 number of shares of Common Stock with respect to which the
                 Stock Option is being exercised and tendering payment
                 therefor. At the time that a Stock Option granted under the
                 Plan, or any part thereof, is exercised, payment for the
                 Common Stock issuable thereupon shall be made in full in cash
                 or by certified check or, if the Board in its discretion
                 agrees to accept, in shares of Common Stock of the Company
                 (the number of such shares paid for each share subject to the
                 Stock Option, or part thereof, being exercised shall be
                 determined by dividing the option price by the fair market
                 value per share of the Common Stock on the date of exercise).
                 As soon as reasonably possible following such exercise, a
                 certificate representing shares of Common Stock purchased,
                 registered in the name of the optionee, shall be delivered to
                 the optionee.





                                      -4-
<PAGE>   5
                 (c)      Cancellation of Stock Appreciation Rights. The
                          exercise of any Stock Option shall cancel that
                          number, if any, of Stock Appreciation Rights (as
                          defined in Section 6) included in such Stock Option,
                          which is equal to the excess of (i) the number of
                          shares of Common Stock subject to Stock Appreciation
                          Rights included in such Stock Option, over (ii) the
                          number of shares of Common Stock which remain subject
                          to such Stock Option after such exercise.

6.               Stock Appreciation Rights.

                 (a)      Award. If deemed by the Board to be in the best
                          interest of the Company, any Stock Option granted
                          under the Plan may include a stock appreciation right
                          ("Stock Appreciation Right"), either at the time of
                          grant or thereafter while the Stock Option is
                          outstanding.

                 (b)      Terms of Rights. Stock Appreciation Rights shall be
                          subject to such terms and conditions not inconsistent
                          with the other provisions of the Plan as the Board
                          shall determine; provided that:

                          (i) Limitations. A Stock Appreciation Right shall be
                          exercisable to the extent, and only to the extent,
                          the Stock Option in which it is included is
                          exercisable and shall be exercisable only for such
                          period as the Board may determine (which period may
                          expire prior to the expiration date of such Stock
                          Option).

                          (ii) Surrender or Exchange. A Stock Appreciation
                          Right shall entitle the optionee to surrender to the
                          Company unexercised the Stock Option, or portion
                          thereof, to which it is related, or any portion
                          thereof, and to receive from the Company in exchange
                          therefor that number of shares of Common Stock having
                          an aggregate fair market value equal to the excess of
                          the fair market value on the date of exercise of one
                          share of Common Stock over the option price per share
                          specified in such Stock Option, multiplied by the
                          number of shares of Common Stock subject to the Stock
                          Option, or portion thereof, which is so surrendered.
                          The Board shall be entitled to elect to settle any
                          part or all of the Company's obligation arising out
                          of the exercise of a Stock Appreciation Right by the
                          payment to the optionee of cash or by check equal to
                          the aggregate fair market value on the date on which
                          the Stock Appreciation Right is exercised of that
                          part or all of the shares of Common Stock the Company
                          would otherwise be obligated to deliver.

         (c)     Cash Settlement Restrictions.
                 (i)              Notwithstanding Sections 6(b) and 9 hereof,
                                  so long as the grantee of a Stock
                                  Appreciation-Right is an officer, an owner
                                  of 10% or more of an equity security of the
                                  Company


                                      -5-
<PAGE>   6
                                  that is registered under the Securities
                                  Exchange Act of 1934, or a director of the
                                  Company, the Company's right to elect to
                                  settle any part or all of its obligation
                                  arising out of the exercise of a Stock
                                  Appreciation Right by the payment of cash
                                  or by check shall not apply unless such
                                  exercise occurs either: (1) pursuant to the
                                  provisions of subsection (ii) below, or (2)
                                  during the period beginning on the third
                                  business day following the date of release
                                  by the Company for publication of its
                                  quarterly or annual summary statements of
                                  sales and earnings and ending on the twelfth
                                  business day following such date.
                          (ii)    In the event that, pursuant to Section 9,
                                  the Company shall cancel all unexercised
                                  Stock Options as of the effective date of
                                  a merger or other transaction provided
                                  therein or in the case of dissolution of the
                                  Company, then each Stock Appreciation Right
                                  held by an officer, an owner of 10% or more
                                  of an equity security of the Company that
                                  is registered under the Securities Exchange
                                  Act of 1934, or a director of the Company,
                                  shall be automatically exercised on such
                                  date within 30 days prior to the effective
                                  date of such transaction or dissolution as
                                  the Board shall determine and, in the
                                  absence of such determination, on the last
                                  business day immediately prior to such
                                  effective date.

7.       Transferability.

         No Stock option or Stock Appreciation Right may be transferred,
assigned, pledged or hypothecated (whether by operation of law or otherwise),
except as provided by will or the applicable laws of descent or distribution,
and no Stock option or Stock Appreciation Right shall be subject to execution,
attachment or similar process. Any attempted assignment, transfer, pledge,


                                      -6-
<PAGE>   7

hypothecation or other disposition of a Stock Option or Stock Appreciation
Right, or levy of attachment or similar process upon the Stock Option or Stock
Appreciation Right not specifically permitted herein shall be null and void and
without effect. A Stock Option or Stock Appreciation Right may be exercised
only by a key employee during his or her lifetime, or pursuant to Section 11
(c), by his or her estate or the person who acquires the right to exercise such
Stock Option or Stock Appreciation Right upon his or her death by bequest or
inheritance.

8.     Adjustment Provisions.

         The aggregate number of shares of Common Stock with respect to which
Stock Options and Stock Appreciation Rights may be granted, the aggregate
number of shares of Common Stock subject to each outstanding Stock Option and
Stock Appreciation Right, and the option price per share of each such Stock
Option, may all be appropriately adjusted as the Board may determine for any
increase or decrease in the number of shares of issued Common Stock resulting
from a subdivision or consolidation of shares, whether through reorganization,
recapitalization, stock split-up, stock distribution or combination of shares,
or the payment of a share dividend or other increase or decrease in the number
of such shares outstanding effected without receipt of consideration by the
Company.  Adjustments under this Section 8 shall be made according to the sole
discretion of the Board, and its decisions shall be binding and conclusive.

9.     Dissolution, Merger and Consolidation.

         Except as otherwise provided in Section 6(c)(ii), upon the dissolution
or liquidation of the Company, or upon a merger or consolidation of the Company
in which the Company is not the surviving corporation, each Stock Option and
Stock Appreciation Right granted hereunder shall expire as of the effective
date of such transaction; provided, however, that the Board shall give at least
30 days prior written notice of such event to each optionee during which time
he or she shall have a right to exercise his or her (1) vested or (2) if
specifically provided in the option grant, vested and unvested, wholly or
partially unexercised Stock Option (without regard to installment exercise
limitations, if any) or Stock Appreciation Right and, subject to prior
expiration pursuant to Section 11(b) or (c), each Stock Option and Stock
Appreciation Right shall be exercisable after receipt of such written notice
and prior to the effective date of such transaction.

10.    Effective Date and Conditions Subsequent to Effective Date.

         The Plan shall become effective on the date of the approval of the
Plan by the holders of a majority of the shares of Common Stock of the Company,
and the Plan shall be null and void and of no effect if such condition is not
fulfilled, and in such event each Stock Option or Stock Appreciation Right
granted hereunder shall, notwithstanding any of the preceding provisions of the
Plan,





                                      -7-
<PAGE>   8

be null and void and of no effect. No grant or award shall be made under the
Plan more than ten (10) years from the date of shareholder approval hereof;
provided, however, that the Plan and all Stock Options and Stock Appreciation
Rights granted under the Plan prior to such date shall remain in effect and
subject to adjustment and amendment as herein provided until they have been
satisfied or terminated in accordance with the terms of the respective grants
or awards and the related agreements.

11.      Termination of Employment.

         (a)              Each Stock Option and Stock Appreciation Right shall,
                          unless sooner expired pursuant to Section 11 (b) or
                          (c) below, expire on the first to occur of the date
                          one day after the tenth anniversary of the date of
                          grant thereof or the expiration date set forth in the
                          applicable option agreement.

         (b)              A Stock Option and Stock Appreciation Right shall
                          expire on the first to occur of the applicable date
                          set forth in paragraph (a) next above and the date
                          that the employment of the key employee with the
                          Company and all subsidiaries terminates for any
                          reason other than death or disability. Upon receipt
                          of notice of termination of employment, whether
                          written or oral, Optionee shall not thereafter have
                          the right to exercise the Stock Option or Stock
                          Appreciation Rights. Notwithstanding the preceding
                          provisions of this paragraph, the Board, in its sole
                          discretion, may, by written notice given to a former
                          employee, permit the former employee to exercise
                          Stock Options or Stock Appreciation Rights during a
                          period following his or her termination of
                          employment, which period shall not exceed ninety (90)
                          days. In no event, however, may the Board permit a
                          former employee to exercise a Stock Option or Stock
                          Appreciation Right after the expiration date
                          contained in the agreement evidencing such Stock
                          Option or Stock Appreciation Right. Notwithstanding
                          the preceding provisions of this paragraph, if the
                          Board permits a former employee to exercise Stock
                          Options or Stock Appreciation Rights during a period
                          following his or her termination of employment
                          pursuant to such preceding provisions, such Stock
                          Options or Stock Appreciation Rights shall, to the
                          extent unexercised, expire on the date that such
                          former employee violates (as determined by the Board)
                          any covenant not to compete in effect between the
                          Company and/or its subsidiaries and the former
                          employee.

         (c)              If the employment of a key employee with the Company
                          and all subsidiaries terminates by reason of
                          disability (as determined by the Board) or by reason





                                      -8-
<PAGE>   9

                          of death, his or her Stock Options and Stock
                          Appreciation Rights, if any, shall expire on the
                          first to occur of the date set forth in paragraph (a)
                          of this Section 11 and the first anniversary of such
                          termination of employment.

12.      Miscellaneous.

         (a)              Legal and Other Requirements.   The obligation of the
                          Company to sell and deliver Common Stock under the
                          Plan shall be subject to all applicable laws,
                          regulations, rules and approvals, including, but not
                          by way of limitation, the effectiveness of a
                          registration statement under the Securities Act of
                          1933 if deemed necessary or appropriate by the
                          Company. Certificates for shares of Common Stock
                          issued hereunder may be legend as the Board shall
                          deem appropriate.

         (b)              No Obligation to Exercise Options. The granting of a
                          Stock Option shall impose no obligation upon an
                          optionee to exercise such Stock option.

         (c)              Termination and Amendment of Plan. The Board, without
                          further action on the part of the shareholders of the
                          Company, may from time to time alter, amend or
                          suspend the Plan or any Stock Option or Stock
                          Appreciation Right granted hereunder or may at any
                          time terminate the Plan, except that, unless approved
                          by the shareholders in accordance with Section 10
                          hereof, it may not (except to the extent provided in
                          Section 8 hereof): (i) change the total number of
                          shares of Common Stock available for grant under the
                          Plan; (ii) extend the duration of the Plan; (iii)
                          increase the maximum term of Stock Options; or (iv)
                          change the class of employees eligible to be granted
                          Stock Options or Stock Appreciation Rights under the
                          Plan. No action taken by the Board under this Section
                          may materially and adversely affect any outstanding
                          Stock Option or Stock Appreciation Right without the
                          consent of the holder thereof.

         (d)              Application of Funds. The proceeds received by the
                          Company from the sale of Common Stock pursuant to
                          Stock Options will be used for general corporate
                          purposes.

         (e)              Withholding Taxes. Upon the exercise of aany Stock
                          Option or Stock Appreciation Right, the Company shall
                          have the right to require the optionee to remit to
                          the Company an amount sufficient to satisfy an
                          federal, state and local withholding tax requirements
                          prior to the delivery of any certificate





                                      -9-
<PAGE>   10

                          or certificates for shares of Common Stock. Whenever
                          under the Plan payments are to be made by the Company
                          in cash or by check, such payments shall be net of
                          any amounts sufficient to satisfy all federal, state
                          and local withholding tax requirements.

                 (f)      Right to Terminate Employment.   Nothing in the Plan
                          or any agreement entered into pursuant to the Plan
                          shall confer upon any key employee or other optionee
                          the right to continue in the employment of the
                          Company or any subsidiary or affect any right which
                          the Company or any subsidiary may have to terminate
                          the employment of such key employee or other
                          optionee.

                 (g)      Rights as a Shareholder. No optionee shall have any
                          right or privileges as a shareholder unless and until
                          certificates for shares of Common Stock are issued to
                          him or her.

                 (h)      Leaves of Absence and Disability. The Board shall be
                          entitled to make such rules, regulations and
                          determinations as it deems appropriate under the Plan
                          in respect of any leave of absence taken by or
                          disability of any key employee. Without limiting the
                          generality of the foregoing, the Board shall be
                          entitled to determine (i) whether or not any such
                          leaves of absence shall constitute a termination of
                          employment within the meaning of the Plan, and (ii)
                          the impact, if any, of any such leave of absence on
                          awards under the Plan theretofore made to any key
                          employee who takes such leave of absence.

                 (i)      Fair Market Value. Whenever the fair market value of
                          Common Stock is to be determined under the Plan as of
                          a given date, such fair market value shall be:

                          (i)              If the Common Stock is traded on the
                                           over the-counter market, the average
                                           of the mean between the bid and the
                                           asked price for the Common Stock at
                                           the close of trading for the ten
                                           (10) consecutive trading days
                                           immediately preceding such given
                                           date;

                          (ii)             If the Common Stock is listed on a
                                           national securities exchange, the
                                           average of the closing prices of the
                                           Common Stock on the Composite Tape
                                           for the ten (10) consecutive trading
                                           days immediately preceding such
                                           given date; and





                                      -10-
<PAGE>   11

                          (iii)   If the Common Stock is neither traded on the
                                  over-the-counter market nor listed on a
                                  national securities exchange, such value as
                                  the Board, in good faith, shall determine.

                 (j)      Notices. Every direction, revocation or notice
                          authorized or required by the Plan shall be deemed
                          delivered to the Company (a) on the date it is
                          personally delivered to the Secretary of the Company
                          at its principal executive offices or (b) three
                          business days after it is sent by registered or
                          certified mail, postage prepaid, addressed to the
                          Secretary at such offices; and shall be deemed
                          delivered to an optionee (a) on the date it is
                          personally delivered to him or her or (b) three
                          business days after it is sent by registered or
                          certified mail, postage prepaid, addressed to him or
                          her at the last address shown for him or her on the
                          records of the Company.

                 (k)      Applicable Law. All questions pertaining to the
                          validity, construction and administration of the Plan
                          and Stock Options and Stock Appreciation Rights
                          granted hereunder shall be determined in conformity
                          with the laws of the State of Texas.

                 (1)      Elimination of Fractional Shares. If under any
                          provision of the Plan which requires a computation
                          of the number of shares of Common Stock subject to a
                          Stock Option or Stock Appreciation Right, the number
                          so computed is not a whole number of shares of Common
                          Stock, such number of shares of Common Stock shall be
                          rounded down to the next whole number.

                 (m)      Shareholders' Agreement. Notwithstanding anything to
                          the contrary contained in the Plan, the Company shall
                          be under no obligation to sell or deliver Common
                          Stock under the Plan to an optionee unless such
                          optionee shall execute the Shareholders, Agreement
                          dated effective in December 31, 1990 with respect to
                          such Common Stock, a copy of which will be furnished
                          Optionee reasonably prior to any exercise.





                                      -11-
<PAGE>   12

         This Plan, in accordance with Section 10, is effective as of the
approval of shareholders evidenced in the Preamble hereof.


                                           CHAMPION HEALTHCARE CORPORATION



                                           By:
                                                   Its:





                                      -12-
<PAGE>   13

               AMENDMENT NO. 1 TO CHAMPION HEALTHCARE CORPORATION
                        EMPLOYEE STOCK OPTION PLAN NO. 2



This Amendment No. 1 to the Champion Healthcare Corporation Employee Stock
Option Plan No. 2 is effective this 6th day of December, 1994, upon the
execution hereof by Champion Healthcare Corporation and the holders of options
on the date hereof whose signatures appear below.

PREAMBLE.        Pursuant the authority granted by the Board of Directors of
Champion Healthcare Corporation on August 9, 1994, the hereinbelow described
amendment (the "Amendment") was adopted to the Employee Stock Option Plan No. 2
(the "Plan").  This Amendment was approved by the shareholders on December 6,
1994, with an effective date for all purposes as of the date set forth in the
first paragraph above.

AMENDMENT.       Section 9 of the Plan is hereby amended so that Stock Options
and Stock Appreciation Rights will not expire upon the merger or consolidation
of the Company, and Section 9 is amended to read in its entirety as follows:

         9.      DISSOLUTION, MERGER AND CONSOLIDATION.

                 Except as otherwise provided in Section 6(c)(ii), upon the
         dissolution or liquidation of the Company or upon a merger or
         consolidation of the Company in which the Company is not the surviving
         corporation and for which the plan or agreement of merger or
         consolidation does not provide for assumption by the surviving or
         consolidated corporation of Stock Options and/or Stock Appreciation
         Rights granted hereunder, each Stock Option and Stock Appreciation
         Right granted hereunder shall expire as of the effective date of such
         dissolution or liquidation; provided, however, that the Board shall
         give at least 30 days prior written notice of such event to each
         optionee during which time he or she shall have a right to exercise
         his or her (1) vested or (2) if specifically provided in the option
         grant, vested and unvested, wholly or partially unexercised Stock
         Option (without regard to installment exercise limitations, if any) or
         Stock Appreciation Right and, subject to prior expiration pursuant to
         Section 11(b) or (c), each Stock Option and Stock Appreciation Right
         shall be exercisable after receipt of such written notice and prior to
         the effective date of such transaction.  Any term or provision in this
         Plan to the contrary notwithstanding, in the event of a merger or
         consolidation of the Company in which the Company is not the surviving
         corporation and for which the plan or agreement of merger or
         consolidation does provide for assumption by the surviving or
         consolidated corporation of Stock Options or Stock Appreciation Rights
         granted hereunder, each Stock Option and Stock Appreciation Right
         granted hereunder shall survive such merger or consolidation, and
         shall become and remain an obligation of the surviving corporation,
         and shall be adjusted according to the adjustment





                                      -13-
<PAGE>   14

         provisions of Section 8 of the Plan.

AGREEMENT OF EXISTING OPTION HOLDERS.      The undersigned individual, a holder
of an option issued pursuant to the Plan, hereby consents and agrees to the
Amendment.

COUNTERPARTS.    This Amendment may be executed in one or more counterparts,
each of which shall be considered an original and together shall constitute the
one and same document.

                                           CHAMPION HEALTHCARE CORPORATION


                                  By:
                                           --------------------------------
                                           James G. VanDevender,
                                           Executive Vice-president


                                           OPTION HOLDER


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

                                           Print Name:
                                                      ---------------------


                                           OPTION HOLDER


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

                                           Print Name:
                                                      ---------------------

                                           OPTION HOLDER


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

                                           Print Name:
                                                      ---------------------


                                           OPTION HOLDER


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

                                           Print Name:
                                                      ---------------------





                                      -14-

<PAGE>   1

                                                                    EXHIBIT 4.8

                        CHAMPION HEALTHCARE CORPORATION
                        EMPLOYEE STOCK OPTION PLAN NO. 3


PREAMBLE.  The Board of Directors of Champion Healthcare Corporation adopted
the hereinbelow described Employee Stock Option Plan No. 3 effective as of
__________, 1992 and it was approved by the shareholders with an effective date
for all purposes of ________, 1992.

1.          PURPOSE

            The purpose of this Employee Stock Option Plan No. 3 (the "Plan")
is to give officers and executive personnel ("key employees") of Champion
Healthcare Corporation, a corporation (the "Company"), and corporations with
respect to which the Company directly or indirectly controls 50% or more of the
combined voting power ("subsidiaries"), an opportunity to acquire shares of the
common stock of the Company, no par value ("Common Stock"), to provide an
incentive for key employees to continue to promote the best interests of the
Company and enhance its long-term performance, and to provide an incentive for
key employees to join or remain with the Company and its subsidiaries.

2.          ADMINISTRATION.

            (a)           BOARD OF DIRECTORS.  The Plan shall be administered
                          by the Board of Directors of the Company (the
                          "Board"), which, to the extent it shall determine,
                          may delegate its powers with respect to the
                          administration of the Plan (except its powers under
                          Section 12(c)) to a committee of directors (the
                          "Committee") appointed by the Board and composed of
                          not less than two members of the Board. If the Board
                          chooses to appoint a Committee, references
                          hereinafter to the Board (except in Section 12(c))
                          shall be deemed to refer to the Committee.
                          Notwithstanding  the preceding provisions of this
                          Section, no member of the Board may exercise
                          discretion with respect to, or participate in, the
                          administration of the Plan if, at any time within one
                          year prior to such exercise or participation, he or
                          she has received stock, stock options, stock





                                      -1-
<PAGE>   2

                          appreciation rights or any other derivative security
                          pursuant to the Plan or any other plan of the Company
                          or any affiliate thereof as to which any discretion
                          is exercised.

            (b)           POWERS.  Within the limits of the express provisions
                          of the Plan, the Board shall determine: (i) the key
                          employees to whom awards hereunder shall be granted,
                          (ii) the time or times at which such awards shall be
                          granted, (iii) the form and amount of the awards, and
                          (iv) the limitations, restrictions and conditions
                          applicable to any such award. In making such
                          determinations, the Board may take into account the
                          nature of the services rendered by such employees, or
                          classes of employees, their present and potential
                          contributions to the Company's success and such other
                          factors as the Board in its discretion shall deem
                          relevant.

            (c)           INTERPRETATIONS.  Subject to the express provisions
                          of the Plan, the Board may interpret the Plan,
                          prescribe, amend and rescind rules and regulations
                          relating to it, determine the terms and provisions of
                          the respective awards and make all other
                          determinations it deems necessary or advisable for
                          the administration of the Plan.

            (d)           DETERMINATIONS.  The determinations of the Board on
                          all matters regarding the Plan shall be conclusive. A
                          member of the Board shall only be liable for any
                          action taken or determination made in bad faith.

            (e)           NONUNIFORM DETERMINATIONS.  The Board's
                          determinations under the Plan, including without
                          limitation, determinations as to the persons to
                          receive awards, the terms and provisions of such
                          awards and the agreements evidencing the same, need
                          not be uniform and may be made by it selectively
                          among persons who receive or are eligible to receive
                          awards under the Plan, whether or not such persons
                          are similarly situated.





                                      -2-
<PAGE>   3

3.          AWARDS UNDER THE PLAN.

            (a)           TYPE OF AWARD.  Awards under the Plan may be granted
                          in any either or both of the following forms: (i)
                          Nonstatutory Stock Options, as described in Section
                          4, and (ii) Stock Appreciation Rights, as described
                          in Section 6. Nonstatutory Stock Options shall be
                          referred to herein as "Stock Options."

            (b)           MAXIMUM LIMITATIONS.  The aggregate number of shares
                          of Common Stock available for grant under the Plan is
                          100,000, subject to adjustment pursuant to Section 8.
                          Shares of Common Stock issued pursuant to the Plan
                          may be either authorized but unissued shares or
                          shares now or hereafter held in the treasury of the
                          Company. In the event that, prior to the end of the
                          period during which Stock Options may be granted
                          under the Plan, any Stock Option under the Plan
                          expires unexercised or is terminated, surrendered or
                          cancelled (other than in connection with the exercise
                          of a Stock Appreciation Right) without being
                          exercised, in whole or in part, for any reason, the
                          number of shares theretofore subject to such Stock
                          Option or the unexercised, terminated, forfeited or
                          unearned portion thereof, shall be added to the
                          remaining number of shares of Common Stock available
                          for grant as a Stock Option under the Plan, including
                          a grant to a former holder of such Stock Option, upon
                          such terms and conditions as the Board shall
                          determine, which terms may be more or less favorable
                          than those applicable to such former Stock Option.

4.          STOCK OPTIONS.

            (a)           CONDITIONS.  Stock Options may be granted under the
                          Plan for the purchase of shares of Common Stock.
                          Stock Options shall be in such form and upon such
                          terms and conditions as the Board shall from time to
                          time determine, subject to the following.

                          (i)          OPTION PRICE. The option price of each
                                       Stock Option to purchase Common Stock
                                       shall





                                      -3-
<PAGE>   4

                                       be determined by the Board, but shall
                                       not be less than 80% of the fair market
                                       value of the Common Stock subject to
                                       such Stock Option on the date of grant
                                       or $11.50, whichever is greater.

                          (ii)         TERM OF OPTIONS.  No Stock Option shall
                                       be exercisable after the date ten (10)
                                       years and one (1) day from the date such
                                       Stock Option is granted.

                          (iii)        CONDITIONS OF GRANT.  The Board, in its
                                       discretion, may, as a condition to the
                                       grant of a Stock Option, require a key
                                       employee who is the recipient of such
                                       Stock Option to enter into one or more
                                       of the following agreements with the
                                       Company on or prior to the date of grant
                                       of such Option:

                                       a)         A covenant not to compete with
                                                  the Company and its
                                                  subsidiaries which shall
                                                  become effective on the date
                                                  of termination of employment
                                                  of the key employee with the
                                                  Company and which shall
                                                  contain such terms and
                                                  conditions as shall be
                                                  specified by the Board;
                                        
                                       b)         An agreement to cancel any
                                                  employment agreement, fringe
                                                  benefit or compensation
                                                  arrangement in effect between
                                                  the Company and the key
                                                  employee.

                                       c)         The Shareholders' Agreement
                                                  dated effective December 31,
                                                  1990 among the Company and
                                                  Company Shareholders set forth
                                                  in Schedule I to that
                                                  agreement.

                                       d)         The Selected Shareholders'
                                                  Agreement dated May 27, 1992
                                                  among the Company and the
                                                  Shareholders listed therein.


                                      -4-
<PAGE>   5

                                       e)         The Stockholders Agreement
                                                  dated May 27, 1992 among the
                                                  Company and the Stockholders
                                                  listed therein.

If the key employee shall fail to enter into any such agreement at the request
of the Board, then no Stock Option shall be granted hereunder to such key
employee and the number of shares of Common Stock which would have been subject
to such Option shall be added to the remaining number of shares of Common Stock
available for grant as a Stock Option under the Plan.

            (b)           FORM.  The form of the stock option agreement shall
                          subject to paragraph (a) immediately above, be
                          substantially in the form as Exhibit 1 hereto.

5.          PROVISIONS APPLICABLE TO STOCK OPTIONS.

            (a)           EXERCISE. Stock Options shall be subject to such
                          terms and conditions, shall be exercisable at such
                          time or times, and shall be evidenced by such form of
                          written option agreement between the optionee and the
                          Company, as the Board shall determine; provided, that
                          such determinations are not inconsistent with the
                          other provisions of the Plan.

            (b)           MANNER OF EXERCISE OF OPTIONS AND PAYMENT FOR COMMON
                          STOCK.  Stock Options may be exercised by an optionee
                          by giving written notice to the Secretary of the
                          Company stating the number of shares of Common Stock
                          with respect to which the Stock Option is being
                          exercised and tendering payment therefor. At the time
                          that a Stock Option granted under the Plan, or any
                          part thereof, is exercised, payment for the Common
                          Stock issuable thereupon shall be made in full in
                          cash or by certified check or, if the Board in its
                          discretion agrees to accept, in shares of Common
                          Stock of the Company (the number of such shares paid
                          for each share subject to the Stock Option, or part
                          thereof, being exercised shall be determined by
                          dividing the option price by the fair market value
                          per share of the Common Stock on the date of
                          exercise). As soon as reasonably possible following
                          such exercise, a certificate representing shares of
                          Common Stock purchased,





                                      -5-
<PAGE>   6

                          registered in the name of the optionee, shall be
                          delivered to the optionee.

            (c)           CANCELLATION OF STOCK APPRECIATION RIGHTS.  The
                          exercise of any Stock Option shall cancel that
                          number, if any, of Stock Appreciation Rights (as
                          defined in Section 6) included in such Stock Option,
                          which is equal to the excess of (i) the number of
                          shares of Common Stock subject to Stock Appreciation
                          Rights included in such Stock Option, over (ii) the
                          number of shares of Common Stock which remain subject
                          to such Stock Option after such exercise.

6.          STOCK APPRECIATION RIGHTS.

            (a)           AWARD.  If deemed by the Board to be in the best
                          interest of the Company, any Stock Option granted
                          under the Plan may include a stock appreciation right
                          ("Stock Appreciation Right"), either at the time of
                          grant or thereafter while the Stock Option is
                          outstanding.

            (b)           TERMS OF RIGHTS.  Stock Appreciation Rights shall be
                          subject to such terms and conditions not inconsistent
                          with the other provisions of the Plan as the Board
                          shall determine; provided that:

                          (i)          LIMITATIONS.  A Stock Appreciation Right
                                       shall be exercisable to the extent, and
                                       only to the extent, the Stock Option in
                                       which it is included is exercisable and
                                       shall be exercisable only for such
                                       period as the Board may determine (which
                                       period may expire prior to the
                                       expiration date of such Stock Option).

                          (ii)         SURRENDER OR EXCHANGE.  A Stock
                                       Appreciation Right shall entitle the
                                       optionee to surrender to the Company
                                       unexercised the Stock Option, or portion
                                       thereof, to which it is related, or any
                                       portion thereof, and to receive from the
                                       Company in exchange therefor that number
                                       of shares of Common Stock having an
                                       aggregate fair market value





                                      -6-
<PAGE>   7

                                       equal to the excess of the fair market
                                       value on the date of exercise of one
                                       share of Common Stock over the option
                                       price per share specified in such Stock
                                       Option, multiplied by the number of
                                       shares of Common Stock subject to the
                                       Stock Option, or portion thereof, which
                                       is so surrendered. The Board shall be
                                       entitled to elect to settle any part or
                                       all of the Company's obligation arising
                                       out of the exercise of a Stock
                                       Appreciation Right by the payment to the
                                       optionee of cash or by check equal to
                                       the aggregate fair market value on the
                                       date on which the Stock Appreciation
                                       Right is exercised of that part or all
                                       of the shares of Common Stock the
                                       Company would otherwise be obligated to
                                       deliver.

            (c)           CASH SETTLEMENT RESTRICTIONS.

                          (i)          Notwithstanding Sections 6(b) and 9
                                       hereof, so long as the grantee of a
                                       Stock Appreciation Right is an officer,
                                       an owner of 10% or more of an equity
                                       security of the Company that is
                                       registered under the Securities Exchange
                                       Act of 1934, or a director of the
                                       Company, the Company's right to elect to
                                       settle any part or all of its obligation
                                       arising out of the exercise of a Stock
                                       Appreciation Right by the payment of
                                       cash or by check shall not apply unless
                                       such exercise occurs either: (1)
                                       pursuant to the provisions of subsection
                                       (ii) below, or (2) during the period
                                       beginning on the third business day
                                       following the date of release by the
                                       Company for publication of its quarterly
                                       or annual summary statements of sales
                                       and earnings and ending on the twelfth
                                       business day following such date.

                          (ii)         In the event that, pursuant to Section
                                       9, the Company shall cancel all
                                       unexercised Stock Options as of the
                                       effective date of a





                                      -7-
<PAGE>   8

                                       merger or other transaction provided
                                       therein or in the case of dissolution of
                                       the Company, then each Stock
                                       Appreciation Right held by an officer,
                                       an owner of 10% or more of an equity
                                       security of the Company that is
                                       registered under the Securities Exchange
                                       Act of 1934, or a director of the
                                       Company, shall be automatically
                                       exercised on such date within 30 days
                                       prior to the effective date of such
                                       transaction or dissolution as the Board
                                       shall determine and, in the absence of
                                       such determination, on the last business
                                       day immediately prior to such effective
                                       date.

7.          TRANSFERABILITY.

            No Stock Option or Stock Appreciation Right may be transferred,
assigned, pledged or hypothecated (whether by operation of law or otherwise),
except as provided by will or the applicable laws of descent or distribution,
and no Stock Option or Stock Appreciation Right shall be subject to execution,
attachment or similar process. Any attempted assignment, transfer, pledge,
hypothecation or other disposition of a Stock Option or Stock Appreciation
Right, or levy of attachment or similar process upon the Stock Option or Stock
Appreciation Right not specifically permitted herein shall be null and void and
without effect. A Stock Option or Stock Appreciation Right may be exercised
only by a key employee during his or her lifetime, or pursuant to Section 11
(c), by his or her estate or the person who acquires the right to exercise such
Stock Option or Stock Appreciation Right upon his or her death by bequest or
inheritance.

8.          ADJUSTMENT PROVISIONS.

            The aggregate number of shares of Common Stock with respect to
which Stock Options and Stock Appreciation Rights may be granted, the aggregate
number of shares of Common Stock subject to each outstanding Stock Option and
Stock Appreciation Right, and the option price per share of each such Stock
Option, may all be appropriately adjusted as the Board may determine for any
increase or decrease in the number of shares of issued Common Stock resulting
from a subdivision or consolidation of shares, whether through reorganization,
recapitalization, stock split-up, stock distribution or combination of shares,
or the payment of a share





                                      -8-
<PAGE>   9

dividend or other increase or decrease in the number of such shares outstanding
effected without receipt of consideration by the Company. Adjustments under
this Section 8 shall be made according to the sole discretion of the Board, and
its decisions shall be binding and conclusive.

9.          DISSOLUTION, MERGER AND CONSOLIDATION.

            Except as otherwise provided in Section 6(c)(ii), upon the
dissolution or liquidation of the Company, or upon a merger or consolidation of
the Company in which the Company is not the surviving corporation, each Stock
Option and Stock Appreciation Right granted hereunder shall expire as of the
effective date of such transaction; provided, however, that the Board shall
give at least 30 days prior written notice of such event to each optionee
during which time he or she shall have a right to exercise his or her (1)
vested or (2) if specifically provided in the option grant, vested and not
vested, wholly or partially unexercised Stock Option (without regard to
installment exercise limitations, if any) or Stock Appreciation Right and,
subject to prior expiration pursuant to Section 11(b) or (c), each Stock Option
and Stock Appreciation Right shall be exercisable after receipt of such written
notice and prior to the effective date of such transaction.

10.         EFFECTIVE DATE AND CONDITIONS SUBSEQUENT TO EFFECTIVE DATE.

            The Plan shall become effective on the date of the approval of the
Plan by the holders of a majority of the shares of Common Stock of the Company,
and the Plan shall be null and void and of no effect if such condition is not
fulfilled, and in such event each Stock Option or Stock Appreciation Right
granted hereunder shall, notwithstanding any of the preceding provisions of the
Plan, be null and void and of no effect. No grant or award shall be made under
the Plan more than ten (10) years from the date of shareholder approval hereof;
provided, however, that the Plan and all Stock Options and Stock Appreciation
Rights granted under the Plan prior to such date shall remain in effect and
subject to adjustment and amendment as herein provided until they have been
satisfied or terminated in accordance with the terms of the respective grants
or awards and the related agreements.

11.         TERMINATION OF EMPLOYMENT.

            (a)           Each Stock Option and Stock Appreciation Right shall,
                          unless sooner expired pursuant to Section 11





                                      -9-
<PAGE>   10

                          (b) or (c) below, expire on the first to occur of the
                          date one day after the tenth anniversary of the date
                          of grant thereof or the expiration date set forth in
                          the applicable option agreement.

            (b)           A Stock Option and Stock Appreciation Right shall
                          expire on the first to occur of the applicable date
                          set forth in paragraph (a) next above and the date
                          that the employment of the key employee with the
                          Company and all subsidiaries terminates for any
                          reason other than death or disability.  Upon receipt
                          of notice of termination of employment, whether
                          written or oral, Optionee shall not thereafter have
                          the right to exercise the Stock Option or Stock
                          Appreciation Rights.  Notwithstanding the preceding
                          provisions of this paragraph, the Board, in its sole
                          discretion, may, by written notice given to a former
                          employee, permit the former employee to exercise
                          Stock Options or Stock Appreciation Rights during a
                          period following his or her termination of
                          employment, which period shall not exceed ninety (90)
                          days. In no event, however, may the Board permit a
                          former employee to exercise a Stock Option or Stock
                          Appreciation Right after the expiration date
                          contained in the agreement evidencing such Stock
                          Option or Stock Appreciation Right.  Notwithstanding
                          the preceding provisions of this paragraph, if the
                          Board permits a former employee to exercise Stock
                          Options or Stock Appreciation Rights during a period
                          following his or her termination of employment
                          pursuant to such preceding provisions, such Stock
                          Options or Stock Appreciation Rights shall, to the
                          extent unexercised, expire on the date that such
                          former employee violates (as determined by the Board)
                          any covenant not to compete in effect between the
                          Company and/or its subsidiaries and the former
                          employee.

            (c)           If the employment of a key employee with the Company
                          and all subsidiaries terminates by reason of
                          disability (as determined by the Board) or by reason
                          of death, his or her Stock Options and Stock
                          Appreciation Rights, if any, shall expire on the
                          first to occur of the date set forth in paragraph





                                      -10-
<PAGE>   11

                          (a) of this Section 11 and the first anniversary of
                          such termination of employment.

12.         MISCELLANEOUS.

            (a)           LEGAL AND OTHER REQUIREMENTS. The obligation of the
                          Company to sell and deliver Common Stock under the
                          Plan shall be subject to all applicable laws,
                          regulations, rules and approvals, including, but not
                          by way of limitation, the effectiveness of a
                          registration statement under the Securities Act of
                          1933 if deemed necessary or appropriate by the
                          Company. Certificates for shares of Common Stock
                          issued hereunder may bear such legend as the Board
                          shall deem appropriate.

            (b)           NO OBLIGATION TO EXERCISE OPTIONS.  The granting of a
                          Stock Option shall impose no obligation upon an
                          optionee to exercise such Stock Option.

            (c)           TERMINATION AND AMENDMENT OF PLAN. The Board, without
                          further action on the part of the shareholders of the
                          Company, may from time to time alter, amend or
                          suspend the Plan or any Stock Option or Stock
                          Appreciation Right granted hereunder or may at any
                          time terminate the Plan, except that, unless approved
                          by the shareholders in accordance with Section 10
                          hereof, it may not (except to the extent provided in
                          Section 8 hereof): (i) change the total number of
                          shares of Common Stock available for grant under the
                          Plan; (ii) extend the duration of the Plan; (iii)
                          increase the maximum term of Stock Options; or (iv)
                          change the class of employees eligible to be granted
                          Stock Options or Stock Appreciation Rights under the
                          Plan. No action taken by the Board under this Section
                          may materially and adversely affect any outstanding
                          Stock Option or Stock Appreciation Right without the
                          consent of the holder thereof.

            (d)           APPLICATION OF FUNDS.  The proceeds received by the
                          Company from the sale of Common Stock pursuant to
                          Stock Options will be used for general corporate
                          purposes.





                                      -11-
<PAGE>   12

            (e)           WITHHOLDING TAXES.  Upon the exercise of any Stock
                          Option or Stock Appreciation Right, the Company shall
                          have the right to require the optionee to remit to
                          the Company an amount sufficient to satisfy an
                          federal, state and local withholding tax requirements
                          prior to the delivery of any certificate or
                          certificates for shares of Common Stock. Whenever
                          under the Plan payments are to be made by the Company
                          in cash or by check, such payments shall be net of
                          any amounts sufficient to satisfy all federal, state
                          and local withholding tax requirements.

            (f)           RIGHT TO TERMINATE EMPLOYMENT.  Nothing in the Plan
                          or any agreement entered into pursuant to the Plan
                          shall confer upon any key employee or other optionee
                          the right to continue in the employment of the
                          Company or any subsidiary or affect any right which
                          the Company or any subsidiary may have to terminate
                          the employment of such key employee or other
                          optionee.

            (g)           RIGHTS AS A SHAREHOLDER.  No optionee shall have any
                          right or privileges as a shareholder unless and until
                          certificates for shares of Common Stock are issued to
                          him or her.

            (h)           LEAVES OF ABSENCE AND DISABILITY.  The Board shall be
                          entitled to make such rules, regulations and
                          determinations as it deems appropriate under the Plan
                          in respect of any leave of absence taken by or
                          disability of any key employee. Without limiting the
                          generality of the foregoing, the Board shall be
                          entitled to determine (i) whether or not any such
                          leaves of absence shall constitute a termination of
                          employment within the meaning of the Plan, and (ii)
                          the impact, if any, of any such leave of absence on
                          awards under the Plan theretofore made to any key
                          employee who takes such leave of absence.





                                      -12-
<PAGE>   13

            (i)           FAIR MARKET VALUE.  Whenever the fair market value of
                          Common Stock is to be determined under the Plan as of
                          a given date, such fair market value shall be:

                          (i)          If the Common Stock is traded on the
                                       over-the-counter market, the average of
                                       the mean between the bid and the asked
                                       price for the Common Stock at the close
                                       of trading for the ten (10) consecutive
                                       trading days immediately preceding such
                                       given date;

                          (ii)         If the Common Stock is listed on a
                                       national securities exchange, the
                                       average of the closing prices of the
                                       Common Stock on the Composite Tape for
                                       the ten (10) consecutive trading days
                                       immediately preceding such given date;
                                       and

                          (iii)        If the Common Stock is neither traded on
                                       the over-the-counter market nor listed
                                       on a national securities exchange, such
                                       value as the Board, in good faith, shall
                                       determine.

            (j)           NOTICES.  Every direction, revocation or notice
                          authorized or required by the Plan shall be deemed
                          delivered to the Company (a) on the date it is
                          personally delivered to the Secretary of the Company
                          at its principal executive offices or (b) three
                          business days after it is sent by registered or
                          certified mail, postage prepaid, addressed to the
                          Secretary at such offices; and shall be deemed
                          delivered to an optionee (a) on the date it is
                          personally delivered to him or her or (b) three
                          business days after it is sent by registered or
                          certified mail, postage prepaid, addressed to him or
                          her at the last address shown for him or her on the
                          records of the Company.

            (k)           APPLICABLE LAW.  All questions pertaining to the
                          validity, construction and administration of the Plan
                          and Stock Options and Stock Appreciation Rights
                          granted hereunder shall be determined in conformity
                          with the laws of the State of Texas.


                                      -13-
<PAGE>   14

            (l)           ELIMINATION OF FRACTIONAL SHARES.  If under any
                          provision of the Plan which requires a computation of
                          the number of shares of Common Stock subject to a
                          Stock Option or Stock Appreciation Right, the number
                          so computed is not a whole number of shares of Common
                          Stock, such number of shares of Common Stock shall be
                          rounded down to the next whole number.

            (m)           SHAREHOLDERS' AGREEMENT.  Notwithstanding anything to
                          the contrary contained in the Plan, the Company shall
                          be under no obligation to sell or deliver Common
                          Stock under the Plan to an optionee unless such
                          optionee shall execute (i) the Shareholders'
                          Agreement dated effective in December 31, 1990, (ii)
                          the Selected Shareholders' Agreement dated May 27,
                          1992, and (iii) the Stockholders Agreement dated May
                          27, 1992 with respect to such Common Stock, a copies
                          of which will be furnished Optionee reasonably prior
                          to any exercise.

            This Plan, in accordance with Section 10, is effective as of the
approval of shareholders evidenced in the Preamble hereof.


                                       CHAMPION HEALTHCARE CORPORATION



                                       By:
                                          ----------------------------

                                           Its:
                                               -----------------------





                                      -14-
<PAGE>   15

               AMENDMENT NO. 1 TO CHAMPION HEALTHCARE CORPORATION
                        EMPLOYEE STOCK OPTION PLAN NO. 3



This Amendment No. 1 to the Champion Healthcare Corporation Employee Stock
Option Plan No. 3 is effective this 6th day of December, 1994, upon the
execution hereof by Champion Healthcare Corporation and the holders of options
on the date hereof whose signatures appear below.

PREAMBLE.   Pursuant to authority granted by the Board of Directors of Champion
Healthcare Corporation on August 9, 1994, the hereinbelow described amendment
(the "Amendment") was adopted to the Employee Stock Option Plan No. 3 (the
"Plan").  This Amendment was approved by the shareholders on December 6, 1994,
with an effective date for all purposes as of the date set forth in the first
paragraph above.

AMENDMENT.  Section 9 of the Plan is hereby amended so that Stock Options and
Stock Appreciation Rights will not expire upon the merger or consolidation of
the Company, and Section 9 is amended to read in its entirety as follows:

            9.            DISSOLUTION, MERGER AND CONSOLIDATION.

                          Except as otherwise provided in Section 6(c)(ii),
            upon the dissolution or liquidation of the Company or upon a merger
            or consolidation of the Company in which the Company is not the
            surviving corporation and for which the plan or agreement of merger
            or consolidation does not provide for assumption by the surviving
            or consolidated corporation of Stock Options and/or Stock
            Appreciation Rights granted hereunder, each Stock Option and Stock
            Appreciation Right granted hereunder shall expire as of the
            effective date of such dissolution or liquidation; provided,
            however, that the Board shall give at least 30 days prior written
            notice of such event to each optionee during which time he or she
            shall have a right to exercise his or her (1) vested or (2) if
            specifically provided in the option grant, vested and unvested,
            wholly or partially unexercised Stock Option (without regard to
            installment exercise limitations, if any) or Stock Appreciation
            Right and, subject to prior expiration pursuant to Section 11(b) or
            (c), each Stock Option and Stock Appreciation Right shall be
            exercisable after receipt of such written notice and prior to the
            effective date of such transaction.  Any term or provision in this
            Plan to the contrary notwithstanding, in the event of a merger or
            consolidation of the Company in which the Company is not the
            surviving corporation and for which the plan or agreement of merger
            or consolidation does provide for assumption by the surviving or
            consolidated corporation of Stock Options or Stock Appreciation
            Rights granted hereunder, each Stock Option and Stock Appreciation
            Right granted hereunder shall survive such merger or consolidation,
            and shall become and remain an obligation of the surviving
            corporation, and shall be adjusted according to the adjustment
            provisions of Section 8 of the Plan.





                                      -1-
<PAGE>   16

AGREEMENT OF EXISTING OPTION HOLDERS.  The undersigned individual, a holder of
an option issued pursuant to the Plan, hereby consents and agrees to the
Amendment.

COUNTERPARTS.  This Amendment may be executed in one or more counterparts, each
of which shall be considered an original and together shall constitute the one
and same document.

                                 CHAMPION HEALTHCARE CORPORATION



                         By:
                                 -------------------------------
                                 James G. VanDevender,
                                 Executive Vice-president


                                 OPTION HOLDER

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

                                 Print Name:
                                            --------------------


                                 OPTION HOLDER


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

                                 Print Name:
                                            --------------------





                                      -2-

<PAGE>   1
                                                                     EXHIBIT 4.9


                        CHAMPION HEALTHCARE CORPORATION
                          DIRECTORS' STOCK OPTION PLAN


PREAMBLE.  The Board of Directors of Champion Healthcare Corporation adopted
the hereinbelow described Directors' Stock Option Plan effective as of
____________, 1992 and it was approved by the shareholders with an effective
date for all purposes of __________, 1992.

1.    PURPOSE

      The purpose of this Directors' Stock Option Plan (the "Plan") is to give
those members of the Board of Directors of Champion Healthcare Corporation (the
"Company") who are not elected as representatives of existing Series A Preferred
Stockholders, Series B Preferred Stockholders or management pursuant to any
agreement ("key directors")  an opportunity to acquire shares of the common
stock of the Company, no par value ("Common Stock"), to provide an incentive for
key directors to continue to promote the best interests of the Company and
enhance its long-term performance.

2.    ADMINISTRATION.

      (a)     BOARD OF DIRECTORS.  The Plan shall be administered by the Board
              of Directors of the Company (the "Board"), which, to the extent it
              shall determine, may delegate its powers with respect to the
              administration of the Plan (except its powers under Section 12(c))
              to a committee of directors (the "Committee") appointed by the
              Board and composed of not less than two members of the Board, none
              of who can be an eligible key director.  If the Board chooses to
              appoint a Committee, references hereinafter to the Board (except
              in Section 12(c)) shall be deemed to refer to the Committee.
              Notwithstanding  the preceding provisions of this Section, no
              member of the Board may exercise discretion with respect to, or
              participate in, the administration of the Plan if, at any time
              within one year prior to such exercise or participation, he or she
              has received stock, stock options, stock appreciation rights or
              any other derivative security pursuant to the Plan or any other
              plan of

                                      -1-
<PAGE>   2

              the Company or any affiliate thereof as to which any discretion is
              exercised.

      (b)     POWERS.  Within the limits of the express provisions of the Plan,
              the Board shall determine: (i) the key directors to whom awards
              hereunder shall be granted, (ii) the time or times at which such
              awards shall be granted, (iii) the form and amount of the awards,
              and (iv) the limitations, restrictions and conditions applicable
              to any such award. In making such determinations, the Board may
              take into account the nature of the services rendered by such
              directors, their present and potential contributions to the
              Company's success and such other factors as the Board in its
              discretion shall deem relevant.

      (c)     INTERPRETATIONS.  Subject to the express provisions of the Plan,
              the Board may interpret the Plan, prescribe, amend and rescind
              rules and regulations relating to it, determine the terms and
              provisions of the respective awards and make all other
              determinations it deems necessary or advisable for the
              administration of the Plan.

      (d)     DETERMINATIONS.  The determinations of the Board on all matters
              regarding the Plan shall be conclusive. A member of the Board
              shall only be liable for any action taken or determination made in
              bad faith.

      (e)     NONUNIFORM DETERMINATIONS.  The Board's determinations under the
              Plan, including without limitation, determinations as to the
              persons to receive awards, the terms and provisions of such awards
              and the agreements evidencing the same, need not be uniform and
              may be made by it selectively among persons who receive or are
              eligible to receive awards under the Plan, whether or not such
              persons are similarly situated.


                                      -2-


<PAGE>   3

3.    AWARDS UNDER THE PLAN.

      (a)     TYPE OF AWARD.  Awards under the Plan may be granted in any either
              or both of the following forms: (i) Nonstatutory Stock Options, as
              described in Section 4, and (ii) Stock Appreciation Rights, as
              described in Section 6. Nonstatutory Stock Options shall be
              referred to herein as "Stock Options."

      (b)     MAXIMUM LIMITATIONS.  The aggregate number of shares of Common
              Stock available for grant under the Plan is 30,000, subject to
              adjustment pursuant to Section 8. Shares of Common Stock issued
              pursuant to the Plan may be either authorized but unissued shares
              or shares now or hereafter held in the treasury of the Company. In
              the event that, prior to the end of the period during which Stock
              Options may be granted under the Plan, any Stock Option under the
              Plan expires unexercised or is terminated, surrendered or
              cancelled (other than in connection with the exercise of a Stock
              Appreciation Right) without being exercised, in whole or in part,
              for any reason, the number of shares theretofore subject to such
              Stock Option or the unexercised, terminated, forfeited or unearned
              portion thereof, shall be added to the remaining number of shares
              of Common Stock available for grant as a Stock Option under the
              Plan, including a grant to a former holder of such Stock Option,
              upon such terms and conditions as the Board shall determine, which
              terms may be more or less favorable than those applicable to such
              former Stock Option.

4.    STOCK OPTIONS.

      (a)     CONDITIONS.  Stock Options may be granted under the Plan for the
              purchase of shares of Common Stock. Stock Options shall be in such
              form and upon such terms and conditions as the Board shall from
              time to time determine, subject to the following.

              (i)     OPTION PRICE. The option price of each Stock Option to
                      purchase Common Stock shall



                                      -3-
<PAGE>   4



                      be determined by the Board, but shall not be less than 80%
                      of the fair market value of the Common Stock subject to
                      such Stock Option on the date of grant.

              (ii)    TERM OF OPTIONS.  No Stock Option shall be exercisable
                      after the date ten (10) years and one (1) day from the
                      date such Stock Option is granted.

              (iii)   CONDITIONS OF GRANT.  The Board, in its discretion, may,
                      as a condition to the grant of a Stock Option, require a
                      key director who is the recipient of such Stock Option to
                      enter into one or more of the following agreements with
                      the Company on or prior to the date of grant of such
                      Option:

                      a)     A covenant not to compete with the Company and its
                             subsidiaries  and which shall contain such terms
                             and conditions as shall be specified by the Board;

                      b)     An agreement to cancel any employment agreement,
                             fringe benefit or compensation arrangement in
                             effect between the Company and the key director.

                      c)     The Shareholders' Agreement dated effective
                             December 31, 1990 among the Company and Company
                             Shareholders set forth in Schedule I to that
                             agreement.

                     d)     The Selected Shareholders' Agreement dated May 27,
                            1992 among the Company and the shareholders listed 
                            therein.

                     e)     The Stockholders Agreement dated May 27, 1992 among
                            the Company and the stockholders listed therein.


                                      -4-


<PAGE>   5

If the key director shall fail to enter into any such agreement at the request
of the Board, then no Stock Option shall be granted hereunder to such key
director and the number of shares of Common Stock which would have been subject
to such Option shall be added to the remaining number of shares of Common Stock
available for grant as a Stock Option under the Plan.

      (b)     FORM.  The form of the stock option agreement shall subject to
              paragraph (a) immediately above, be substantially in the form as
              Exhibit 1 hereto.

5.    PROVISIONS APPLICABLE TO STOCK OPTIONS.

      (a)     EXERCISE. Stock Options shall be subject to such terms and
              conditions, shall be exercisable at such time or times, and shall
              be evidenced by such form of written option agreement between the
              optionee and the Company, as the Board shall determine; provided,
              that such determinations are not inconsistent with the other
              provisions of the Plan.

      (b)     MANNER OF EXERCISE OF OPTIONS AND PAYMENT FOR COMMON STOCK.  Stock
              Options may be exercised by an optionee by giving written notice
              to the Secretary of the Company stating the number of shares of
              Common Stock with respect to which the Stock Option is being
              exercised and tendering payment therefor. At the time that a Stock
              Option granted under the Plan, or any part thereof, is exercised,
              payment for the Common Stock issuable thereupon shall be made in
              full in cash or by certified check or, if the Board in its
              discretion agrees to accept, in shares of Common Stock of the
              Company (the number of such shares paid for each share subject to
              the Stock Option, or part thereof, being exercised shall be
              determined by dividing the option price by the fair market value
              per share of the Common Stock on the date of exercise). As soon as
              reasonably possible following such exercise, a certificate
              representing shares of Common Stock purchased, registered in the
              name of the optionee, shall be delivered to the optionee.

      (c)     CANCELLATION OF STOCK APPRECIATION RIGHTS.  The exercise of any
              Stock Option shall cancel that


                                      -5-

<PAGE>   6


              number, if any, of Stock Appreciation Rights (as defined in
              Section 6) included in such Stock Option, which is equal to the
              excess of (i) the number of shares of Common Stock subject to
              Stock Appreciation Rights included in such Stock Option, over (ii)
              the number of shares of Common Stock which remain subject to such
              Stock Option after such exercise.

6.    STOCK APPRECIATION RIGHTS.

      (a)     AWARD.  If deemed by the Board to be in the best interest of the
              Company, any Stock Option granted under the Plan may include a
              stock appreciation right ("Stock Appreciation Right"), either at
              the time of grant or thereafter while the Stock Option is
              outstanding.

      (b)     TERMS OF RIGHTS.  Stock Appreciation Rights shall be subject to
              such terms and conditions not inconsistent with the other
              provisions of the Plan as the Board shall determine; provided
              that:

              (i)    LIMITATIONS.  A Stock Appreciation Right shall be
                     exercisable to the extent, and only to the extent, the
                     Stock Option in which it is included is exercisable and
                     shall be exercisable only for such period as the Board may
                     determine (which period may expire prior to the expiration
                     date of such Stock Option).

              (ii)   SURRENDER OR EXCHANGE.  A Stock Appreciation Right shall
                     entitle the optionee to surrender to the Company
                     unexercised the Stock Option, or portion thereof, to which
                     it is related, or any portion thereof, and to receive from
                     the Company in exchange therefor that number of shares of
                     Common Stock having an aggregate fair market value equal to
                     the excess of the fair market value on the date of exercise
                     of one share of Common Stock over the option price per
                     share specified in such Stock Option, multiplied by the
                     number of shares of



                                      -6-


<PAGE>   7

                     Common Stock subject to the Stock Option, or portion
                     thereof, which is so surrendered. The Board shall be
                     entitled to elect to settle any part or all of the
                     Company's obligation arising out of the exercise of a Stock
                     Appreciation Right by the payment to the optionee of cash
                     or by check equal to the aggregate fair market value on the
                     date on which the Stock Appreciation Right is exercised of
                     that part or all of the shares of Common Stock the Company
                     would otherwise be obligated to deliver.

      (c)     CASH SETTLEMENT RESTRICTIONS.

              (i)    Notwithstanding Sections 6(b) and 9 hereof, so long as the
                     grantee of a Stock Appreciation Right is an officer, an
                     owner of 10% or more of an equity security of the Company
                     that is registered under the Securities Exchange Act of
                     1934, or a director of the Company, the Company's right to
                     elect to settle any part or all of its obligation arising
                     out of the exercise of a Stock Appreciation Right by the
                     payment of cash or by check shall not apply unless such
                     exercise occurs either: (1) pursuant to the provisions of
                     subsection (ii) below, or (2) during the period beginning
                     on the third business day following the date of release by
                     the Company for publication of its quarterly or annual
                     summary statements of sales and earnings and ending on the
                     twelfth business day following such date.

              (ii)   In the event that, pursuant to Section 9, the Company shall
                     cancel all unexercised Stock Options as of the effective
                     date of a merger or other transaction provided therein or
                     in the case of dissolution of the Company, then each Stock
                     Appreciation Right held by an officer, an owner of 10% or
                     more of an equity security of the




                                      -7-

<PAGE>   8

                     Company that is registered under the Securities Exchange
                     Act of 1934, or a director of the Company, shall be
                     automatically exercised on such date within 30 days prior
                     to the effective date of such transaction or dissolution as
                     the Board shall determine and, in the absence of such
                     determination, on the last business day immediately prior
                     to such effective date.

7.    TRANSFERABILITY.

      No Stock Option or Stock Appreciation Right may be transferred, assigned,
pledged or hypothecated (whether by operation of law or otherwise), except as
provided by will or the applicable laws of descent or distribution, and no Stock
Option or Stock Appreciation Right shall be subject to execution, attachment or
similar process. Any attempted assignment, transfer, pledge, hypothecation or
other disposition of a Stock Option or Stock Appreciation Right, or levy of
attachment or similar process upon the Stock Option or Stock Appreciation Right
not specifically permitted herein shall be null and void and without effect. A
Stock Option or Stock Appreciation Right may be exercised only by a key director
his or her lifetime, or pursuant to Section 11 (c), by his or her estate or the
person who acquires the right to exercise such Stock Option or Stock
Appreciation Right upon his or her death by bequest or inheritance.

8.    ADJUSTMENT PROVISIONS.

      The aggregate number of shares of Common Stock with respect to which Stock
Options and Stock Appreciation Rights may be granted, the aggregate number of
shares of Common Stock subject to each outstanding Stock Option and Stock
Appreciation Right, and the option price per share of each such Stock Option,
may all be appropriately adjusted as the Board may determine for any increase or
decrease in the number of shares of issued Common Stock resulting from a
subdivision or consolidation of shares, whether through reorganization,
recapitalization, stock split-up, stock distribution or combination of shares,
or the payment of a share dividend or other increase or decrease in the number
of such shares outstanding effected without receipt of consideration by the
Company.  Adjustments under this Section 8 shall be made according to the sole
discretion of the Board, and its decisions shall be binding and conclusive.


                                      -8-

<PAGE>   9


9.    DISSOLUTION, MERGER AND CONSOLIDATION.

      Except as otherwise provided in Section 6(c)(ii), upon the dissolution or
liquidation of the Company, or upon a merger or consolidation of the Company in
which the Company is not the surviving corporation, each Stock Option and Stock
Appreciation Right granted hereunder shall expire as of the effective date of
such transaction; provided, however, that the Board shall give at least 30 days
prior written notice of such event to each optionee during which time he or she
shall have a right to exercise his or her (1) vested or (2) if specifically
provided in the option grant, vested and not vested, wholly or partially
unexercised Stock Option (without regard to installment exercise limitations, if
any) or Stock Appreciation Right and, subject to prior expiration pursuant to
Section 11(b) or (c), each Stock Option and Stock Appreciation Right shall be
exercisable after receipt of such written notice and prior to the effective date
of such transaction.

10.   EFFECTIVE DATE AND CONDITIONS SUBSEQUENT TO EFFECTIVE DATE.

      The Plan shall become effective on the date of the approval of the Plan by
the holders of a majority of the shares of Common Stock of the Company, and the
Plan shall be null and void and of no effect if such condition is not fulfilled,
and in such event each Stock Option or Stock Appreciation Right granted
hereunder shall, notwithstanding any of the preceding provisions of the Plan, be
null and void and of no effect. No grant or award shall be made under the Plan
more than ten (10) years from the date of shareholder approval hereof; provided,
however, that the Plan and all Stock Options and Stock Appreciation Rights
granted under the Plan prior to such date shall remain in effect and subject to
adjustment and amendment as herein provided until they have been satisfied or
terminated in accordance with the terms of the respective grants or awards and
the related agreements.

11.   TERMINATION OF DIRECTORSHIP.

      (a)     Each Stock Option and Stock Appreciation Right shall, unless
              sooner expired pursuant to Section 11 (b) or (c) below, expire on
              the first to occur of the date one day after the tenth anniversary
              of the date of grant thereof or the expiration date set forth in
              the applicable option agreement.




                                      -9-

<PAGE>   10

      (b)     A Stock Option and Stock Appreciation Right shall expire on the
              first to occur of the applicable date set forth in paragraph (a)
              next above or ninety (90) days after the date that the key
              director ceases to be a director of the Company for any reason
              other than death or disability.  Notwithstanding the preceding
              provisions of this paragraph, the Board, in its sole discretion,
              may, by written notice given to a former key Director, permit the
              former director to exercise Stock Options or Stock Appreciation
              Rights during a period which period shall not exceed ninety (90)
              days. In no event, however, may the Board permit a former director
              to exercise a Stock Option or Stock Appreciation Right after the
              expiration date contained in the agreement evidencing such Stock
              Option or Stock Appreciation Right.  Notwithstanding the preceding
              provisions of this paragraph, if the Board permits a former
              director to exercise Stock Options or Stock Appreciation Rights
              during a period pursuant to such preceding provisions, such Stock
              Options or Stock Appreciation Rights shall, to the extent
              unexercised, expire on the date that such former director violates
              (as determined by the Board) any covenant not to compete in effect
              between the Company,

      (c)     If a key director terminates his position by reason of disability
              (as determined by the Board) or by reason of death, his or her
              Stock Options and Stock Appreciation Rights, if any, shall expire
              on the first to occur of the date set forth in paragraph (a) of
              this Section 11 and the first anniversary of such termination.

12.   MISCELLANEOUS.

      (a)     LEGAL AND OTHER REQUIREMENTS. The obligation of the Company to
              sell and deliver Common Stock under the Plan shall be subject to
              all applicable laws, regulations, rules and approvals, including,
              but not by way of limitation, the effectiveness of a registration
              statement under the Securities Act of 1933 if deemed necessary or
              appropriate by the


                                      -10-

<PAGE>   11


              Company.  Certificates for shares of Common Stock issued hereunder
              may bear such legend as the Board shall deem appropriate.

      (b)     NO OBLIGATION TO EXERCISE OPTIONS.  The granting of a Stock Option
              shall impose no obligation upon an optionee to exercise such Stock
              Option.

      (c)     TERMINATION AND AMENDMENT OF PLAN. The Board, without further
              action on the part of the shareholders of the Company, may from
              time to time alter, amend or suspend the Plan or any Stock Option
              or Stock Appreciation Right granted hereunder or may at any time
              terminate the Plan, except that, unless approved by the
              shareholders in accordance with Section 10 hereof, it may not
              (except to the extent provided in Section 8 hereof): (i) change
              the total number of shares of Common Stock available for grant
              under the Plan; (ii) extend the duration of the Plan; (iii)
              increase the maximum term of Stock Options; or (iv) change the
              class of persons eligible to be granted Stock Options or Stock
              Appreciation Rights under the Plan. No action taken by the Board
              under this Section may materially and adversely affect any
              outstanding Stock Option or Stock Appreciation Right without the
              consent of the holder thereof.

      (d)     APPLICATION OF FUNDS.  The proceeds received by the Company from
              the sale of Common Stock pursuant to Stock Options will be used
              for general corporate purposes.

      (e)     WITHHOLDING TAXES.  Upon the exercise of any Stock Option or Stock
              Appreciation Right, the Company shall have the right to require
              the optionee to remit to the Company an amount sufficient to
              satisfy an federal, state and local withholding tax requirements
              prior to the delivery of any certificate or certificates for
              shares of Common Stock. Whenever under the Plan payments are to be
              made by the Company in cash or by check, such payments shall be
              net of any amounts sufficient to satisfy all federal, state and
              local withholding tax requirements.






                                      -11-

<PAGE>   12

      (f)     RIGHT TO TERMINATE .  Nothing in the Plan or any agreement entered
              into pursuant to the Plan shall confer upon any key director or
              other optionee the right to continue in such position or affect
              any right which the Company may have to terminate the position of
              such key director or other optionee.

      (g)     RIGHTS AS A SHAREHOLDER.  No optionee shall have any right or
              privileges as a shareholder unless and until certificates for
              shares of Common Stock are issued to him or her.

      (h)    LEAVES OF ABSENCE AND DISABILITY.  The Board shall be entitled to
             make such rules, regulations and determinations as it deems
             appropriate under the Plan in respect of any leave of absence taken
             by or disability of any key director. Without limiting the
             generality of the foregoing, the Board shall be entitled to
             determine the impact, if any, of any such leave of absence on
             awards under the Plan theretofore made to any key director who
             takes such leave of absence.

      (i)    FAIR MARKET VALUE.  Whenever the fair market value of Common Stock
             is to be determined under the Plan as of a given date, such fair
             market value shall be:

             (i)     If the Common Stock is traded on the overthe-counter
                     market, the average of the mean between the bid and the
                     asked price for the Common Stock at the close of trading
                     for the ten (10) consecutive trading days immediately
                     preceding such given date;

            (ii)     If the Common Stock is listed on a national securities
                     exchange, the average of the closing prices of the Common
                     Stock on the Composite Tape for the ten (10) consecutive
                     trading days immediately preceding such given date; and


                                      -12-


<PAGE>   13



            (iii)    If the Common Stock is neither traded on the
                     over-the-counter market nor listed on a national securities
                     exchange, such value as the Board, in good faith, shall
                     determine.

      (j)     NOTICES.  Every direction, revocation or notice authorized or
              required by the Plan shall be deemed delivered to the Company (a)
              on the date it is personally delivered to the Secretary of the
              Company at its principal executive offices or (b) three business
              days after it is sent by registered or certified mail, postage
              prepaid, addressed to the Secretary at such offices; and shall be
              deemed delivered to an optionee (a) on the date it is personally
              delivered to him or her or (b) three business days after it is
              sent by registered or certified mail, postage prepaid, addressed
              to him or her at the last address shown for him or her on the
              records of the Company.

      (k)     APPLICABLE LAW.  All questions pertaining to the validity,
              construction and administration of the Plan and Stock Options and
              Stock Appreciation Rights granted hereunder shall be determined in
              conformity with the laws of the State of Texas.

      (l)     ELIMINATION OF FRACTIONAL SHARES.  If under any provision of the
              Plan which requires a computation of the number of shares of
              Common Stock subject to a Stock Option or Stock Appreciation
              Right, the number so computed is not a whole number of shares of
              Common Stock, such number of shares of Common Stock shall be
              rounded down to the next whole number.

      (m)     SHAREHOLDERS' AGREEMENT.  Notwithstanding anything to the contrary
              contained in the Plan, the Company shall be under no obligation to
              sell or deliver Common Stock under the Plan to an optionee unless
              such optionee shall execute (i) the Shareholders' Agreement dated
              effective in December 31, 1990, (ii) the Selected Shareholders'
              Agreement dated May 27, 1992, and (iii) the Stockholders Agreement
              dated May 27, 1992, with respect to such Common


                                      -13-

<PAGE>   14



              Stock, a copies of which will be furnished Optionee reasonably
              prior to any exercise.

      This Plan, in accordance with Section 10, is effective as of the approval
of shareholders evidenced in the Preamble hereof.


                                          CHAMPION HEALTHCARE CORPORATION



                                          By:
                                             -------------------------------
                                          Its:
                                              -------------------------------





                                      -14-
<PAGE>   15
               AMENDMENT NO. 1 TO CHAMPION HEALTHCARE CORPORATION
                          DIRECTORS' STOCK OPTION PLAN



This Amendment No. 1 to the Champion Healthcare Corporation Directors' Stock
Option Plan is effective this 6th day of December, 1994, upon the execution
hereof by Champion Healthcare Corporation and the holders of options on the date
hereof whose signatures appear below.

PREAMBLE.                 Pursuant to authority granted by the Board of
Directors of Champion Healthcare Corporation on August 9, 1994, the hereinbelow
described amendment (the "Amendment") was adopted to the Directors' Stock Option
Plan (the "Plan").  This Amendment was approved by the shareholders on December
6, 1994, with an effective date for all purposes as of the date set forth in the
first paragraph above.

AMENDMENT.        Section 9 of the Plan is hereby amended so that Stock Options
and Stock Appreciation Rights will not expire upon the merger or consolidation
of the Company, and Section 9 is amended to read in its entirety as follows:

            9.    DISSOLUTION, MERGER AND CONSOLIDATION.

                  Except as otherwise provided in Section 6(c)(ii), upon the
            dissolution or liquidation of the Company or upon a merger or
            consolidation of the Company in which the Company is not the
            surviving corporation and for which the plan or agreement of merger
            or consolidation does not provide for assumption by the surviving or
            consolidated corporation of Stock Options and/or Stock Appreciation
            Rights granted hereunder, each Stock Option and Stock Appreciation
            Right granted hereunder shall expire as of the effective date of
            such dissolution or liquidation; provided, however, that the Board
            shall give at least 30 days prior written notice of such event to
            each optionee during which time he or she shall have a right to
            exercise his or her (1) vested or (2) if specifically provided in
            the option grant, vested and unvested, wholly or partially
            unexercised Stock Option (without regard to installment exercise
            limitations, if any) or Stock Appreciation Right and, subject to
            prior expiration pursuant to Section 11(b) or (c), each Stock Option
            and Stock Appreciation Right shall be exercisable after receipt of
            such written notice and prior to the effective date of such
            transaction.  Any term or provision in this Plan to the contrary
            notwithstanding, in the event of a merger or consolidation of the
            Company in which the Company is not the surviving corporation and
            for which the plan or agreement of merger or consolidation does
            provide for assumption by the surviving or consolidated corporation
            of Stock Options or Stock Appreciation Rights granted hereunder,
            each Stock Option and Stock Appreciation Right granted hereunder
            shall survive such merger or consolidation, and shall become and
            remain an obligation of the surviving corporation, and shall be
            adjusted according to the adjustment provisions of Section 8 of the
            Plan.





                                      -1-
<PAGE>   16

AGREEMENT OF EXISTING OPTION HOLDERS.        The undersigned individual, a
holder of an option issued pursuant to the Plan, hereby consents and agrees to
the Amendment.

COUNTERPARTS.         This Amendment may be executed in one or more
counterparts, each of which shall be considered an original and together shall
constitute the one and same document.

                        CHAMPION HEALTHCARE CORPORATION



            By:
                        -------------------------------
                        James G. VanDevender,

                        Executive Vice-president



                        OPTION HOLDER


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

                        Print Name:
                                   --------------------


                        OPTION HOLDER


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

                        Print Name:
                                   ---------------------





                                      -2-

<PAGE>   1

                                                                   EXHIBIT 4.10

                        CHAMPION HEALTHCARE CORPORATION
                          PHYSICIANS STOCK OPTION PLAN


PREAMBLE.  The Board of Directors of Champion Healthcare Corporation adopted
the hereinbelow described Physicians Stock Option Plan effective as of May 27,
1993.

1.          PURPOSE

            The purpose of this Physicians Stock Option Plan (the "Plan") is to
give physicians who are admitted to the medical staffs of the hospitals
("qualified physicians") of Champion Healthcare Corporation, a Texas
corporation (the "Company"), and hospitals with respect to which the Company
directly or indirectly controls 50% or more of the combined voting power
("subsidiaries"), an opportunity to acquire shares of the common stock of the
Company, no par value ("Common Stock").

2.          ADMINISTRATION.

            (a)           BOARD OF DIRECTORS.  The Plan shall be administered
                          by the Board of Directors of the Company (the
                          "Board"), which, to the extent it shall determine,
                          may delegate its powers with respect to the
                          administration of the Plan (except its powers under
                          Section 11(c)) to a committee of directors (the
                          "Committee") appointed by the Board and composed of
                          not less than two members of the Board. If the Board
                          chooses to appoint a Committee, references
                          hereinafter to the Board (except in Section 11(c))
                          shall be deemed to refer to the Committee.
                          Notwithstanding  the preceding provisions of this
                          Section, no member of the Board may exercise
                          discretion with respect to, or participate in, the
                          administration of the Plan if, at any time within one
                          year prior to such exercise or participation, he or
                          she has received stock, stock options or any other
                          derivative security pursuant to the Plan.


                                      -1-
<PAGE>   2

            (b)           POWERS.  Within the limits of the express provisions
                          of the Plan, the Board shall determine: (i) the
                          qualified physicians to whom awards hereunder shall
                          be granted, (ii) the time or times at which such
                          awards shall be granted, (iii) the form and amount of
                          the awards, and (iv) the limitations, restrictions
                          and conditions applicable to any such award. In
                          making such determinations, the Board may take into
                          account such other factors as the Board in its
                          discretion shall deem relevant.

            (c)           INTERPRETATIONS.  Subject to the express provisions
                          of the Plan, the Board may interpret the Plan,
                          prescribe, amend and rescind rules and regulations
                          relating to it, determine the terms and provisions of
                          the respective awards and make all other
                          determinations it deems necessary or advisable for
                          the administration of the Plan.

            (d)           DETERMINATIONS.  The determinations of the Board on
                          all matters regarding the Plan shall be conclusive. A
                          member of the Board shall only be liable for any
                          action taken or determination made in bad faith.

            (e)           NONUNIFORM DETERMINATIONS.  The Board's
                          determinations under the Plan, including without
                          limitation, determinations as to the persons to
                          receive awards, the terms and provisions of such
                          awards and the agreements evidencing the same, need
                          not be uniform and may be made by it selectively
                          among persons who receive or are eligible to receive
                          awards under the Plan, whether or not such persons
                          are similarly situated.

3.          AWARDS UNDER THE PLAN.

            (a)           TYPE OF AWARD.  Awards under the Plan may be granted
                          in the following form: (i) Nonstatutory Stock
                          Options, as described in Section 4. Nonstatutory
                          Stock Options shall be referred to herein as "Stock
                          Options."

            (b)           MAXIMUM LIMITATIONS.  The aggregate number of shares
                          of Common Stock available for grant under


                                      -2-
<PAGE>   3

                          the Plan is 100,000, subject to adjustment pursuant
                          to Section 7.  Shares of Common Stock issued pursuant
                          to the Plan may be either authorized but unissued
                          shares or shares now or hereafter held in the
                          treasury of the Company. In the event that, prior to
                          the end of the period during which Stock Options may
                          be granted under the Plan, any Stock Option under the
                          Plan expires unexercised or is terminated,
                          surrendered or cancelled without being exercised, in
                          whole or in part, for any reason, the number of
                          shares theretofore subject to such Stock Option or
                          the unexercised, terminated, forfeited or unearned
                          portion thereof, shall be added to the remaining
                          number of shares of Common Stock available for grant
                          as a Stock Option under the Plan, including a grant
                          to a former holder of such Stock Option, upon such
                          terms and conditions as the Board shall determine,
                          which terms may be more or less favorable than those
                          applicable to such former Stock Option.

4.          STOCK OPTIONS.

            (a)           CONDITIONS.  Stock Options may be granted under the
                          Plan for the purchase of shares of Common Stock.
                          Stock Options shall be in such form and upon such
                          terms and conditions as the Board shall from time to
                          time determine, subject to the following.

                          (i)          OPTION PRICE. The option price of each
                                       Stock Option to purchase Common Stock
                                       shall be determined by the Board, but
                                       shall not be less than 80% of the fair
                                       market value of the Common Stock subject
                                       to such Stock Option on the date of
                                       grant or $11.80, whichever is greater.

                          (ii)         TERM OF OPTIONS.  No Stock Option shall
                                       be exercisable after the date ten (10)
                                       years and one (1) day from the date such
                                       Stock Option is granted.

                          (iii)        CONDITIONS OF GRANT.  The Board, in its
                                       discretion, may, as a condition to the
                                       grant of a Stock Option, require a


                                      -3-
<PAGE>   4

                                       qualified physician who is the recipient
                                       of such Stock Option to enter into one
                                       or more of the following agreements with
                                       the Company on or prior to the date of
                                       grant of such Option:

                                       a)         The Shareholders' Agreement
                                                  dated effective December 31,
                                                  1990 among the Company and
                                                  Company Shareholders set forth
                                                  in Schedule I to that
                                                  agreement.

                                       b)          The Selected Shareholders'
                                                  Agreement dated May 27, 1992
                                                  among the Company and the
                                                  Shareholders listed therein.

                                       c)         The Stockholders Agreement
                                                  dated May 27, 1992 among the
                                                  Company and the Stockholders
                                                  listed therein.

If the qualified physician shall fail to enter into any such agreement at the
request of the Board, then no Stock Option shall be granted hereunder to such
qualified physician and the number of shares of Common Stock which would have
been subject to such Option shall be added to the remaining number of shares of
Common Stock available for grant as a Stock Option under the Plan.

                          (iv).        CONSIDERATIONS TO GRANT.  The Board in
                                       exercising its discretion to grant
                                       options to qualified physicians shall

                                       a)         Not require that the qualified
                                                  physician admit or refer
                                                  patients to a Company or
                                                  Subsidiary hospital;

                                       b)         Not grant options based or
                                                  conditioned upon the number
                                                  of referrals to a Company or
                                                  Subsidiary hospital;

                                       c)         Not condition the exercise or
                                                  vesting schedule of the
                                                  options


                                      -4-
<PAGE>   5

                                                  upon referrals to the Company
                                                  or Sub-sidiary hospital;

                                       d)         Not provide for any special
                                                  payment plan or procedure upon
                                                  the exercise of an option
                                                  other than the full payment in
                                                  cash or as may otherwise be
                                                  provided herein; and

                                       e)         Not create any condition that
                                                  would work as a forfeiture of
                                                  the options should the
                                                  qualified physician cease
                                                  referring patients to the
                                                  Company or Subsidiary
                                                  hospital.

            (b)           FORM.  The form of the stock option agreement shall,
                          subject to paragraph 4(a) immediately above, be
                          substantially in the form as Exhibit 1 hereto.

5.          PROVISIONS APPLICABLE TO STOCK OPTIONS.

            (a)           EXERCISE. Stock Options shall be subject to such
                          terms and conditions, shall be exercisable at such
                          time or times, and shall be evidenced by such form of
                          written option agreement between the optionee and the
                          Company, as the Board shall determine; provided, that
                          such determinations are not inconsistent with the
                          other provisions of the Plan.

            (b)           MANNER OF EXERCISE OF OPTIONS AND PAYMENT FOR COMMON
                          STOCK.  Stock Options may be exercised by an optionee
                          by giving written notice to the Secretary of the
                          Company stating the number of shares of Common Stock
                          with respect to which the Stock Option is being
                          exercised and tendering payment therefor. At the time
                          that a Stock Option granted under the Plan, or any
                          part thereof, is exercised, payment for the Common
                          Stock issuable thereupon shall be made in full in
                          cash or by certified check or, if the Board in its
                          discretion agrees to accept, in shares of Common
                          Stock of the Company (the number of such shares paid
                          for each share subject to the Stock Option, or part
                          thereof, being exercised shall be determined by
                          dividing the option price by the fair market value
                          per share of the Common Stock


                                      -5-
<PAGE>   6

                          on the date of exercise).  As soon as reasonably
                          possible following such exercise, a certificate
                          representing shares of Common Stock purchased,
                          registered in the name of the optionee, shall be
                          delivered to the optionee.

6.          TRANSFERABILITY.

            No Stock Option may be transferred, assigned, pledged or
hypothecated (whether by operation of law or otherwise), except as provided by
will or the applicable laws of descent or distribution, and no Stock Option
shall be subject to execution, attachment or similar process. Any attempted
assignment, transfer, pledge, hypothecation or other disposition of a Stock
Option, or levy of attachment or similar process upon the Stock Option not
specifically permitted herein shall be null and void and without effect. A
Stock Option  may be exercised only by a qualified physician during his or her
lifetime, or pursuant to Section 10 (c), by his or her estate or the person who
acquires the right to exercise such Stock Option upon his or her death by
bequest or inheritance.

7.          ADJUSTMENT PROVISIONS.

            The aggregate number of shares of Common Stock with respect to
which Stock Options may be granted, the aggregate number of shares of Common
Stock subject to each outstanding Stock Option, and the option price per share
of each such Stock Option, may all be appropriately adjusted as the Board may
determine for any increase or decrease in the number of shares of issued Common
Stock resulting from a subdivision or consolidation of shares, whether through
reorganization, recapitalization, stock split-up, stock distribution or
combination of shares, or the payment of a share dividend or other increase or
decrease in the number of such shares outstanding effected without receipt of
consideration by the Company. Adjustments under this Section 7 shall be made
according to the sole discretion of the Board, and its decisions shall be
binding and conclusive.

8.          DISSOLUTION, MERGER AND CONSOLIDATION.

            Upon the dissolution or liquidation of the Company, or upon a
merger or consolidation of the Company in which the Company is not the
surviving corporation, each Stock Option granted hereunder shall expire as of
the effective date of such transaction;





                                      -6-
<PAGE>   7

provided, however, that the Board shall give at least 30 days prior written
notice of such event to each optionee during which time he or she shall have a
right to exercise his or her (1) vested or (2) if specifically provided in the
option grant, vested and not vested, wholly or partially unexercised Stock
Option (without regard to installment exercise limitations, if any) and,
subject to prior expiration pursuant to Section 10(b) or (c), each Stock Option
shall be exercisable after receipt of such written notice and prior to the
effective date of such transaction.

9.          EFFECTIVE DATE AND CONDITIONS SUBSEQUENT TO EFFECTIVE DATE.

            The Plan shall become effective on the date designated by the
Board, and the Plan shall be null and void and of no effect if such condition
is not fulfilled, and in such event each Stock Option granted hereunder shall,
notwithstanding any of the preceding provisions of the Plan, be null and void
and of no effect. No grant or award shall be made under the Plan more than ten
(10) years from the effective date hereof; provided, however, that the Plan and
all Stock Options granted under the Plan prior to such date shall remain in
effect and subject to adjustment and amendment as herein provided until they
have been satisfied or terminated in accordance with the terms of the
respective grants or awards and the related agreements.

10.         TERMINATION.

            (a)           Each Stock Option shall, unless sooner terminated
                          pursuant to Section 10(b) below, expire on the first
                          to occur of the date one day after the tenth
                          anniversary of the date of grant thereof or the
                          expiration date set forth in the applicable option
                          agreement.

            (b)           Each Stock Option shall expire on the date it is
                          determined or found by (i) a court or administrative
                          judge or (ii) the Board, that the Stock Option,
                          either upon its grant or exercise, has or will be in
                          violation of any law, rule or regulation.

11.         MISCELLANEOUS.

            (a)           LEGAL AND OTHER REQUIREMENTS. The obligation of the
                          Company to sell and deliver Common Stock under the


                                      -7-
<PAGE>   8

                          Plan shall be subject to all applicable laws,
                          regulations, rules and approvals, including, but not
                          by way of limitation, the effectiveness of a
                          registration statement under the Securities Act of
                          1933 if deemed necessary or appropriate by the
                          Company. Certificates for shares of Common Stock
                          issued hereunder may bear such legend as the Board
                          shall deem appropriate.

            (b)           NO OBLIGATION TO EXERCISE OPTIONS.  The granting of a
                          Stock Option shall impose no obligation upon an
                          optionee to exercise such Stock Option.

            (c)           TERMINATION AND AMENDMENT OF PLAN. The Board, without
                          further action on the part of the shareholders of the
                          Company, may from time to time alter, amend or
                          suspend the Plan or any Stock Option granted
                          hereunder or may at any time terminate the Plan,
                          except that, it may not (except to the extent
                          provided in Section 7 hereof): (i) change the total
                          number of shares of Common Stock available for grant
                          under the Plan; (ii) extend the duration of the Plan;
                          (iii) increase the maximum term of Stock Options; or
                          (iv) change the physician eligibility for Options to
                          be granted  under the Plan. No action taken by the
                          Board under this Section may materially and adversely
                          affect any outstanding Stock Option without the
                          consent of the holder thereof.

            (d)           APPLICATION OF FUNDS.  The proceeds received by the
                          Company from the sale of Common Stock pursuant to
                          Stock Options will be used for general corporate
                          purposes.

            (e)           WITHHOLDING TAXES.  Upon the exercise of any Stock
                          Option, the Company shall have the right to require
                          the optionee to remit to the Company an amount
                          sufficient to satisfy any federal, state and local
                          withholding tax requirements prior to the delivery of
                          any certificate or certificates for shares of Common
                          Stock.  Whenever under the Plan payments are to be
                          made by the Company in cash or by check, such
                          payments shall be net of any amounts sufficient to


                                      -8-
<PAGE>   9

                          satisfy all federal, state and local withholding tax
                          requirements.

            (f)           RIGHT TO TERMINATE MEDICAL STAFF PRIVILEGES.  Nothing
                          in the Plan or any agreement entered into pursuant to
                          the Plan shall confer upon any qualified physician or
                          other optionee the right to continue on the medical
                          staff of the Company or any subsidiary or affect any
                          right which the Company or any subsidiary may have to
                          terminate the medical staff privileges of such
                          qualified physician or other optionee.

            (g)           RIGHTS AS A SHAREHOLDER.  No optionee shall have any
                          right or privileges as a shareholder unless and until
                          certificates for shares of Common Stock are issued to
                          him or her.

            (h)           FAIR MARKET VALUE.  Whenever the fair market value of
                          Common Stock is to be determined under the Plan as of
                          a given date, such fair market value shall be:

                          (i)          If the Common Stock is traded on the
                                       over-the-counter market, the average of
                                       the mean between the bid and the asked
                                       price for the Common Stock at the close
                                       of trading for the ten (10) consecutive
                                       trading days immediately preceding such
                                       given date;

                          (ii)         If the Common Stock is listed on a
                                       national securities exchange, the
                                       average of the closing prices of the
                                       Common Stock on the Composite Tape for
                                       the ten (10) consecutive trading days
                                       immediately preceding such given date;
                                       and

                          (iii)        If the Common Stock is neither traded on
                                       the over-the-counter market nor listed
                                       on a national securities exchange, such
                                       value as the Board, in good faith, shall
                                       determine.

            (i)           NOTICES.  Every direction, revocation or notice
                          authorized or required by the Plan shall be deemed
                          delivered to the Company (a) on the date it is


                                      -9-
<PAGE>   10

                          personally delivered to the Secretary of the Company
                          at its principal executive offices or (b) three
                          business days after it is sent by registered or
                          certified mail, postage prepaid, addressed to the
                          Secretary at such offices; and shall be deemed
                          delivered to an optionee (a) on the date it is
                          personally delivered to him or her or (b) three
                          business days after it is sent by registered or
                          certified mail, postage prepaid, addressed to him or
                          her at the last address shown for him or her on the
                          records of the Company.

            (j)           APPLICABLE LAW.  All questions pertaining to the
                          validity, construction and administration of the Plan
                          and Stock Options granted hereunder shall be
                          determined in conformity with the laws of the State
                          of Texas.

            (k)           ELIMINATION OF FRACTIONAL SHARES.  If under any
                          provision of the Plan which requires a computation of
                          the number of shares of Common Stock subject to a
                          Stock Option, the number so computed is not a whole
                          number of shares of Common Stock, such number of
                          shares of Common Stock shall be rounded down to the
                          next whole number.

            (l)           SHAREHOLDERS' AGREEMENT.  Notwithstanding anything to
                          the contrary contained in the Plan, the Company shall
                          be under no obligation to sell or deliver Common
                          Stock under the Plan to an optionee unless such
                          optionee shall execute (i) the Shareholders'
                          Agreement dated effective in December 31, 1990, (ii)
                          the Selected Shareholders' Agreement dated May 27,
                          1992, and (iii) the Stockholders Agreement dated May
                          27, 1992 with respect to such Common Stock, copies of
                          which will be furnished Optionee reasonably prior to
                          any exercise.


                                      -10-
<PAGE>   11

            This Plan, in accordance with Section 9, is effective as of the
approval of Board evidenced in the Preamble hereof.


                                       CHAMPION HEALTHCARE CORPORATION



                                       By:
                                          -------------------------------
                                           Its:
                                               --------------------------





                                      -11-
<PAGE>   12

               AMENDMENT NO. 1 TO CHAMPION HEALTHCARE CORPORATION
                          PHYSICIAN STOCK OPTION PLAN



This Amendment No. 1 to the Champion Healthcare Corporation Physician Stock
Option Plan is effective this 6th day of December, 1994, upon the execution
hereof by Champion Healthcare Corporation and the holders of options on the
date hereof whose signatures appear below.

PREAMBLE.   Pursuant to authority granted by the Board of Directors of Champion
Healthcare Corporation on August 9, 1994, the hereinbelow described amendment
(the "Amendment") was adopted to the Physician Stock Option Plan (the "Plan").
This Amendment was approved by the shareholders on December 6, 1994, with an
effective date for all purposes as of the date set forth in the first paragraph
above.

AMENDMENT.  Section 9 of the Plan is hereby amended so that Stock Options and
Stock Appreciation Rights will not expire upon the merger or consolidation of
the Company, and Section 9 is amended to read in its entirety as follows:

            9.            DISSOLUTION, MERGER AND CONSOLIDATION.

                          Except as otherwise provided in Section 6(c)(ii),
            upon the dissolution or liquidation of the Company or upon a merger
            or consolidation of the Company in which the Company is not the
            surviving corporation and for which the plan or agreement of merger
            or consolidation does not provide for assumption by the surviving
            or consolidated corporation of Stock Options and/or Stock
            Appreciation Rights granted hereunder, each Stock Option and Stock
            Appreciation Right granted hereunder shall expire as of the
            effective date of such dissolution or liquidation; provided,
            however, that the Board shall give at least 30 days prior written
            notice of such event to each optionee during which time he or she
            shall have a right to exercise his or her (1) vested or (2) if
            specifically provided in the option grant, vested and unvested,
            wholly or partially unexercised Stock Option (without regard to
            installment exercise limitations, if any) or Stock Appreciation
            Right and, subject to prior expiration pursuant to Section 11(b) or
            (c), each Stock Option and Stock Appreciation Right shall be
            exercisable after receipt of such written notice and prior to the
            effective date of such transaction.  Any term or provision in this
            Plan to the contrary notwithstanding, in the event of a merger or
            consolidation of the Company in which the Company is not the
            surviving corporation and for which the plan or agreement of merger
            or consolidation does provide for assumption by the surviving or
            consolidated corporation of Stock Options or Stock Appreciation
            Rights granted hereunder, each Stock Option and Stock Appreciation
            Right granted hereunder shall survive such merger or consolidation,
            and shall become and remain an obligation of the surviving
            corporation, and shall be adjusted according to the adjustment
            provisions of Section 8 of the Plan.





                                      -1-
<PAGE>   13

AGREEMENT OF EXISTING OPTION HOLDERS.  The undersigned individual, a holder of
an option issued pursuant to the Plan, hereby consents and agrees to the
Amendment.

COUNTERPARTS.  This Amendment may be executed in one or more counterparts, each
of which shall be considered an original and together shall constitute the one
and same document.

                                       CHAMPION HEALTHCARE CORPORATION



                                By:
                                       -------------------------------
                                       James G. VanDevender,
                                       Executive Vice-president


                                       OPTION HOLDER


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

                                       Print Name:
                                                  --------------------





                                      -2-

<PAGE>   1

                                                                   EXHIBIT 4.11

                        CHAMPION HEALTHCARE CORPORATION
                    SENIOR EXECUTIVE STOCK OPTION PLAN NO. 4


PREAMBLE.  The Board of Directors of Champion Healthcare Corporation adopted
the hereinbelow described Senior Executive Stock Option Plan No. 4 effective as
of January 5, 1994.

1.          PURPOSE

            The purpose of this Senior Executive Stock Option Plan No. 4 (the
"Plan") is to give the senior executive officers ("key executives") of Champion
Healthcare Corporation, a corporation (the "Company"), an opportunity to
acquire shares of the common stock of the Company, no par value ("Common
Stock"), to provide an incentive for key executives to continue to promote the
best interests of the Company and enhance its long-term performance, and to
provide an incentive for such key executives to remain with the Company.

2.          ADMINISTRATION.

            (a)           BOARD OF DIRECTORS.  The Plan shall be administered
                          by the Board of Directors of the Company (the
                          "Board"), which, to the extent it shall determine,
                          may delegate its powers with respect to the
                          administration of the Plan (except its powers under
                          Section 12(c)) to a committee of directors (the
                          "Committee") appointed by the Board and composed of
                          not less than two members of the Board. If the Board
                          chooses to appoint a Committee, references
                          hereinafter to the Board (except in Section 12(c))
                          shall be deemed to refer to the Committee.
                          Notwithstanding  the preceding provisions of this
                          Section, no member of the Board may exercise
                          discretion with respect to, or participate in, the
                          administration of the Plan if, at any time within one
                          year prior to such exercise or participation, he or
                          she has received stock, stock options, stock
                          appreciation rights or any other derivative security
                          pursuant to the Plan or any other plan of the Company
                          or any affiliate thereof as to which any discretion
                          is exercised.

            (b)           POWERS.  Within the limits of the express provisions
                          of the Plan, the Board shall determine: (i) the key
                          executives to whom awards hereunder shall be granted,
                          (ii) the time or times at which such awards shall be
                          granted, (iii) the form and amount of the awards, and
                          (iv) the limitations, restrictions and conditions
                          applicable to any such award. In making such
                          determinations, the Board may take into account the
                          nature of the services rendered by such executives,
                          or classes of executives, their present and potential
                          contributions to the Company's success and such other
                          factors as the Board in its discretion shall deem
                          relevant.
<PAGE>   2

            (c)           INTERPRETATIONS.  Subject to the express provisions
                          of the Plan, the Board may interpret the Plan,
                          prescribe, amend and rescind rules and regulations
                          relating to it, determine the terms and provisions of
                          the respective awards and make all other
                          determinations it deems necessary or advisable for
                          the administration of the Plan.

            (d)           DETERMINATIONS.  The determinations of the Board on
                          all matters regarding the Plan shall be conclusive. A
                          member of the Board shall only be liable for any
                          action taken or determination made in bad faith.

            (e)           NONUNIFORM DETERMINATIONS.  The Board's
                          determinations under the Plan, including without
                          limitation, determinations as to the persons to
                          receive awards, the terms and provisions of such
                          awards and the agreements evidencing the same, need
                          not be uniform and may be made by it selectively
                          among persons who receive or are eligible to receive
                          awards under the Plan, whether or not such persons
                          are similarly situated.

3.          AWARDS UNDER THE PLAN.

            (a)           TYPE OF AWARD.  Awards under the Plan may be granted
                          in either or both of the following forms: (i)
                          Nonstatutory Stock Options, as described in Section
                          4, and (ii) Stock Appreciation Rights, as described
                          in Section 6. Nonstatutory Stock Options shall be
                          referred to herein as "Stock Options."

            (b)           MAXIMUM LIMITATIONS.  The aggregate number of shares
                          of Common Stock available for grant under the Plan is
                          300,000, subject to adjustment pursuant to Section 8.
                          Shares of Common Stock issued pursuant to the Plan
                          may be either authorized but unissued shares or
                          shares now or hereafter held in the treasury of the
                          Company. In the event that, prior to the end of the
                          period during which Stock Options may be granted
                          under the Plan, any Stock Option under the Plan
                          expires unexercised or is terminated, surrendered or
                          cancelled (other than in connection with the exercise
                          of a Stock Appreciation Right) without being
                          exercised, in whole or in part, for any reason, the
                          number of shares theretofore subject to such Stock
                          Option or the unexercised, terminated, forfeited or
                          unearned portion thereof, shall be added to the
                          remaining number of shares of Common Stock available
                          for grant as a Stock Option under the Plan, including
                          a grant to a former holder of such Stock Option, upon
                          such terms and conditions as the Board shall
                          determine, which terms may be more or less favorable
                          than those applicable to such former Stock Option.

4.          STOCK OPTIONS.

            (a)           CONDITIONS.  Stock Options may be granted under the
                          Plan for the purchase of shares of Common Stock.
                          Stock Options shall be in such form and upon


Senior Executive Stock Option Plan Page 2

<PAGE>   3
                          such terms and conditions as the Board
                          shall from time to time determine,
                          subject to the following.

                          (i)          OPTION PRICE.  The option price of each
                                       Stock Option to purchase Common Stock
                                       shall be determined by the Board, but
                                       shall not be less than 80% of the fair
                                       market value of the Common Stock subject
                                       to such Stock Option on the date of
                                       grant or $9.00, whichever is greater.

                          (ii)         TERM OF OPTIONS.  No Stock Option shall
                                       be exercisable after the date ten (10)
                                       years and one (1) day from the date such
                                       Stock Option is granted.

                          (iii)        CONDITIONS OF GRANT.  The Board, in its
                                       discretion, may, as a condition to the
                                       grant of a Stock Option, require a key
                                       executive who is the recipient of such
                                       Stock Option to enter into one or more
                                       of the following agreements with the
                                       Company on or prior to the date of grant
                                       of such Option:

                                       a)         A covenant not to compete with
                                                  the Company and its
                                                  subsidiaries which shall
                                                  become effective on the date
                                                  of termination of employment
                                                  of the key executive with the
                                                  Company and which shall
                                                  contain such terms and
                                                  conditions as shall be
                                                  specified by the Board;

                                       b)         An agreement to cancel any 
                                                  employment agreement, fringe
                                                  benefit or compensation
                                                  arrangement in effect between
                                                  the Company and the key
                                                  executive.

                                       c)         The D Stockholders Agreement
                                                  dated effective December 31,
                                                  1993 among the Company and
                                                  Company Shareholders set forth
                                                  in Schedule I to that
                                                  agreement.

If the key executive shall fail to enter into any such agreement at the request
of the Board, then no Stock Option shall be granted hereunder to such key
executive and the number of shares of Common Stock which would have been
subject to such Option shall be added to the remaining number of shares of
Common Stock available for grant as a Stock Option under the Plan.

            (b)          FORM.  The form of the stock option agreement shall
                         subject to paragraph (a) immediately above, be
                         substantially in the form as Exhibit 1 hereto.


Senior Executive Stock Option Plan Page 3

<PAGE>   4

5.          PROVISIONS APPLICABLE TO STOCK OPTIONS.

            (a)          EXERCISE. Stock Options shall be subject to such terms
                         and conditions, shall be exercisable at such time or
                         times, and shall be evidenced by such form of written
                         option agreement between the optionee and the Company,
                         as the Board shall determine; provided, that such
                         determinations are not inconsistent with the other
                         provisions of the Plan.

            (b)          MANNER OF EXERCISE OF OPTIONS AND PAYMENT FOR COMMON
                         STOCK.  Stock Options may be exercised by an optionee
                         by giving written notice to the Secretary of the
                         Company stating the number of shares of Common Stock
                         with respect to which the Stock Option is being
                         exercised and tendering payment therefor. At the time
                         that a Stock Option granted under the Plan, or any part
                         thereof, is exercised, payment for the Common Stock
                         issuable thereupon shall be made in full in cash or by
                         certified check or, if the Board in its discretion
                         agrees to accept, in shares of Common Stock of the
                         Company (the number of such shares paid for each share
                         subject to the Stock Option, or part thereof, being
                         exercised shall be determined by dividing the option
                         price by the fair market value per share of the Common
                         Stock on the date of exercise).  As soon as reasonably
                         possible following such exercise, a certificate
                         representing shares of Common Stock purchased,
                         registered in the name of the optionee, shall be
                         delivered to the optionee.

            (c)          CANCELLATION OF STOCK APPRECIATION RIGHTS.  The 
                         exercise of any Stock Option shall cancel that number,
                         if any, of Stock Appreciation Rights (as defined in 
                         Section 6) included in such Stock Option, which is
                         equal to the excess of (i) the number of shares of 
                         Common Stock subject to Stock Appreciation Rights 
                         included in such Stock Option, over (ii) the number
                         of shares of Common Stock which remain subject to
                         such Stock Option after such exercise.

6.          STOCK APPRECIATION RIGHTS.

            (a)          AWARD.  If deemed by the Board to be in the best
                         interest of the Company, any Stock Option granted under
                         the Plan may include a stock appreciation right ("Stock
                         Appreciation Right"), either at the time of grant or
                         thereafter while the Stock Option is outstanding.

            (b)          TERMS OF RIGHTS.  Stock Appreciation Rights shall be
                         subject to such terms and conditions not inconsistent
                         with the other provisions of the Plan as the Board
                         shall determine; provided that:


Senior Executive Stock Option Plan Page 4

<PAGE>   5

                         (i)          LIMITATIONS.  A Stock Appreciation Right
                                      shall be exercisable to the extent, and
                                      only to the extent, the Stock Option in
                                      which it is included is exercisable and
                                      shall be exercisable only for such
                                      period as the Board may determine (which
                                      period may expire prior to the
                                      expiration date of such Stock Option).

                         (ii)         SURRENDER OR EXCHANGE.  A Stock
                                      Appreciation Right shall entitle the
                                      optionee to surrender to the Company
                                      unexercised the Stock Option, or portion
                                      thereof, to which it is related, or any
                                      portion thereof, and to receive from the
                                      Company in exchange therefor that number
                                      of shares of Common Stock having an
                                      aggregate fair market value equal to the
                                      excess of the fair market value on the
                                      date of exercise of one share of Common
                                      Stock over the option price per share
                                      specified in such Stock Option, multiplied
                                      by the number of shares of Common Stock
                                      subject to the Stock Option, or portion
                                      thereof, which is so surrendered. The
                                      Board shall be entitled to elect to settle
                                      any part or all of the Company's
                                      obligation arising out of the exercise of
                                      a Stock Appreciation Right by the payment
                                      to the optionee of cash or by check equal
                                      to the aggregate fair market value on the
                                      date on which the Stock Appreciation Right
                                      is exercised of that part or all of the
                                      shares of Common Stock the Company would
                                      otherwise be obligated to deliver.

            (c)          CASH SETTLEMENT RESTRICTIONS.

                         (i)          Notwithstanding Sections 6(b) and 9
                                      hereof, so long as the grantee of a Stock
                                      Appreciation Right is an officer, an owner
                                      of 10% or more of an equity security of
                                      the Company that is registered under the
                                      Securities Exchange Act of 1934, or a
                                      director of the Company, the Company's
                                      right to elect to settle any part or all
                                      of its obligation arising out of the
                                      exercise of a Stock Appreciation Right by
                                      the payment of cash or by check shall not
                                      apply unless such exercise occurs either:
                                      (1) pursuant to the provisions of
                                      subsection (ii) below, or (2) during the
                                      period beginning on the third business day
                                      following the date of release by the
                                      Company for publication of its quarterly
                                      or annual summary statements of sales and
                                      earnings and ending on the twelfth
                                      business day following such date.

                         (ii)         In the event that, pursuant to Section 9,
                                      the Company shall cancel all unexercised
                                      Stock Options as of the effective date of
                                      a merger or other transaction provided
                                      therein or in the case of dissolution of
                                      the Company, then each Stock Appreciation


Senior Executive Stock Option Plan Page 5

<PAGE>   6

                                      Right held by an officer, an owner of 10%
                                      or more of an equity security of the
                                      Company that is registered under the
                                      Securities Exchange Act of 1934, or a
                                      director of the Company, shall be
                                      automatically exercised on such date
                                      within 30 days prior to the effective date
                                      of such transaction or dissolution as the
                                      Board shall determine and, in the absence
                                      of such determination, on the last
                                      business day immediately prior to such
                                      effective date.

7.          TRANSFERABILITY.

            No Stock Option or Stock Appreciation Right may be transferred,
assigned, pledged or hypothecated (whether by operation of law or otherwise),
except as provided by will or the applicable laws of descent or distribution,
and no Stock Option or Stock Appreciation Right shall be subject to execution,
attachment or similar process. Any attempted assignment, transfer, pledge,
hypothecation or other disposition of a Stock Option or Stock Appreciation
Right, or levy of attachment or similar process upon the Stock Option or Stock
Appreciation Right not specifically permitted herein shall be null and void and
without effect. A Stock Option or Stock Appreciation Right may be exercised
only by a key executive during his or her lifetime, or pursuant to Section 11
(c), by his or her estate or the person who acquires the right to exercise such
Stock Option or Stock Appreciation Right upon his or her death by bequest or
inheritance.

8.          ADJUSTMENT PROVISIONS.

            The aggregate number of shares of Common Stock with respect to
which Stock Options and Stock Appreciation Rights may be granted, the aggregate
number of shares of Common Stock subject to each outstanding Stock Option and
Stock Appreciation Right, and the option price per share of each such Stock
Option, may all be appropriately adjusted as the Board may determine for any
increase or decrease in the number of shares of issued Common Stock resulting
from a subdivision or consolidation of shares, whether through reorganization,
recapitalization, stock split-up, stock distribution or combination of shares,
or the payment of a share dividend or other increase or decrease in the number
of such shares outstanding effected without receipt of consideration by the
Company.  Adjustments under this Section 8 shall be made according to the sole
discretion of the Board, and its decisions shall be binding and conclusive.

9.          DISSOLUTION, MERGER AND CONSOLIDATION.

            Except as otherwise provided in Section 6(c)(ii), upon the
dissolution or liquidation of the Company, or upon a merger or consolidation of
the Company in which the Company is not the surviving corporation, each Stock
Option and Stock Appreciation Right granted hereunder shall expire as of the
effective date of such transaction; provided, however, that the Board shall
give at least 30 days prior written notice of such event to each optionee
during which time he or she shall have a right to exercise his or her (1)
vested or (2) if specifically provided in the option grant, vested and not
vested, wholly or partially unexercised Stock Option (without regard to
installment exercise limitations, if any) or Stock Appreciation Right and,
subject to prior





Senior Executive Stock Option Plan Page 6

<PAGE>   7

expiration pursuant to section 11(b) or (c), each Stock Option and Stock
Appreciation Right shall be exercisable after receipt of such written notice
and prior to the effective date of such transaction.

10.         EFFECTIVE DATE AND CONDITIONS SUBSEQUENT TO EFFECTIVE DATE.

            The Plan shall become effective on the date established by the
Board of Directors. No grant or award shall be made under the Plan more than
ten (10) years from the date of adoption hereof; provided, however, that the
Plan and all Stock Options and Stock Appreciation Rights granted under the Plan
prior to such date shall remain in effect and subject to adjustment and
amendment as herein provided until they have been satisfied or terminated in
accordance with the terms of the respective grants or awards and the related
agreements.

11.         TERMINATION OF EMPLOYMENT.

            (a)           Each Stock Option and Stock Appreciation Right shall,
                          unless sooner expired pursuant to Section 11 (b) or
                          (c) below, expire on the first to occur of the date
                          one day after the tenth anniversary of the date of
                          grant thereof or the expiration date set forth in the
                          applicable option agreement.

            (b)           A Stock Option and Stock Appreciation Right shall
                          expire on the first to occur of the applicable date
                          set forth in paragraph (a) next above and the date
                          that the employment of the key executive with the
                          Company and all subsidiaries terminates for any
                          reason other than death or disability.  Upon receipt
                          of notice of termination of employment, whether
                          written or oral, Optionee shall not thereafter have
                          the right to exercise the Stock Option or Stock
                          Appreciation Rights.  Notwithstanding the preceding
                          provisions of this paragraph, the Board, in its sole
                          discretion, may, by written notice given to a former
                          employee, permit the former employee to exercise
                          Stock Options or Stock Appreciation Rights during a
                          period following his or her termination of
                          employment, which period shall not exceed ninety (90)
                          days. In no event, however, may the Board permit a
                          former employee to exercise a Stock Option or Stock
                          Appreciation Right after the expiration date
                          contained in the agreement evidencing such Stock
                          Option or Stock Appreciation Right.  Notwithstanding
                          the preceding provisions of this paragraph, if the
                          Board permits a former employee to exercise Stock
                          Options or Stock Appreciation Rights during a period
                          following his or her termination of employment
                          pursuant to such preceding provisions, such Stock
                          Options or Stock Appreciation Rights shall, to the
                          extent unexercised, expire on the date that such
                          former employee violates (as determined by the Board)
                          any covenant not to compete in effect between the
                          Company and/or its subsidiaries and the former
                          employee.

            (c)           If the employment of a key executive with the Company
                          and all subsidiaries terminates by reason of
                          disability (as determined by the Board) or by reason


Senior Executive Stock Option Plan Page 7
<PAGE>   8

                          of death, his or her Stock Options and Stock
                          Appreciation Rights, if any, shall expire on the
                          first to occur of the date set forth in paragraph (a)
                          of this Section 11 or the first anniversary of such
                          termination of employment.





Senior Executive Stock Option Plan Page 8

<PAGE>   9

12.         MISCELLANEOUS.

            (a)           LEGAL AND OTHER REQUIREMENTS. The obligation of the
                          Company to sell and deliver Common Stock under the
                          Plan shall be subject to all applicable laws,
                          regulations, rules and approvals, including, but not
                          by way of limitation, the effectiveness of a
                          registration statement under the Securities Act of
                          1933 if deemed necessary or appropriate by the
                          Company. Certificates for shares of Common Stock
                          issued hereunder may bear such legend as the Board
                          shall deem appropriate.

            (b)           NO OBLIGATION TO EXERCISE OPTIONS.  The granting of a
                          Stock Option shall impose no obligation upon an
                          optionee to exercise such Stock Option.

            (c)           TERMINATION AND AMENDMENT OF PLAN. The Board, without
                          further action on the part of the shareholders of the
                          Company, may from time to time alter, amend or
                          suspend the Plan or any Stock Option or Stock
                          Appreciation Right granted hereunder or may at any
                          time terminate the Plan, except that, it may not
                          (except to the extent provided in Section 8 hereof):
                          (i) change the total number of shares of Common Stock
                          available for grant under the Plan; (ii) extend the
                          duration of the Plan; (iii) increase the maximum term
                          of Stock Options; or (iv) change the class of
                          employees eligible to be granted Stock Options or
                          Stock Appreciation Rights under the Plan. No action
                          taken by the Board under this Section may materially
                          and adversely affect any outstanding Stock Option or
                          Stock Appreciation Right without the consent of the
                          holder thereof.

            (d)           APPLICATION OF FUNDS.  The proceeds received by the
                          Company from the sale of Common Stock pursuant to
                          Stock Options will be used for general corporate
                          purposes.

            (e)           WITHHOLDING TAXES.  Upon the exercise of any Stock
                          Option or Stock Appreciation Right, the Company shall
                          have the right to require the optionee to remit to
                          the Company an amount sufficient to satisfy an
                          federal, state and local withholding tax requirements
                          prior to the delivery of any certificate or
                          certificates for shares of Common Stock. Whenever
                          under the Plan payments are to be made by the Company
                          in cash or by check, such payments shall be net of
                          any amounts sufficient to satisfy all federal, state
                          and local withholding tax requirements.

            (f)           RIGHT TO TERMINATE EMPLOYMENT.  Nothing in the Plan
                          or any agreement entered into pursuant to the Plan
                          shall confer upon any key executive or other optionee
                          the right to continue in the employment of the
                          Company or any subsidiary or affect any right which
                          the Company or any subsidiary may have to terminate
                          the employment of such key executive or other
                          optionee.


Senior Executive Stock Option Plan Page 9

<PAGE>   10

            (g)           RIGHTS AS A SHAREHOLDER.  No optionee shall have any
                          right or privileges as a shareholder unless and until
                          certificates for shares of Common Stock are issued to
                          him or her.

            (h)           LEAVES OF ABSENCE AND DISABILITY.  The Board shall be
                          entitled to make such rules, regulations and
                          determinations as it deems appropriate under the Plan
                          in respect of any leave of absence taken by or
                          disability of any key executive. Without limiting the
                          generality of the foregoing, the Board shall be
                          entitled to determine (i) whether or not any such
                          leaves of absence shall constitute a termination of
                          employment within the meaning of the Plan, and (ii)
                          the impact, if any, of any such leave of absence on
                          awards under the Plan theretofore made to any key
                          executive who takes such leave of absence.

            (i)           FAIR MARKET VALUE.  Whenever the fair market value of
                          Common Stock is to be determined under the Plan as of
                          a given date, such fair market value shall be:

                          (i)          If the Common Stock is traded on the
                                       over-the-counter market, the average of
                                       the mean between the bid and the asked
                                       price for the Common Stock at the close
                                       of trading for the ten (10) consecutive
                                       trading days immediately preceding such
                                       given date;

                          (ii)         If the Common Stock is listed on a
                                       national securities exchange, the
                                       average of the closing prices of the
                                       Common Stock on the Composite Tape for
                                       the ten (10) consecutive trading days
                                       immediately preceding such given date;
                                       and

                          (iii)        If the Common Stock is neither traded on
                                       the over-the-counter market nor listed
                                       on a national securities exchange, such
                                       value as the Board, in good faith, shall
                                       determine.

            (j)           NOTICES.  Every direction, revocation or notice
                          authorized or required by the Plan shall be deemed
                          delivered to the Company (a) on the date it is
                          personally delivered to the Secretary of the Company
                          at its principal executive offices or (b) three
                          business days after it is sent by registered or
                          certified mail, postage prepaid, addressed to the
                          Secretary at such offices; and shall be deemed
                          delivered to an optionee (a) on the date it is
                          personally delivered to him or her or (b) three
                          business days after it is sent by registered or
                          certified mail, postage prepaid, addressed to him or
                          her at the last address shown for him or her on the
                          records of the Company.

            (k)           APPLICABLE LAW.  All questions pertaining to the
                          validity, construction and administration of the Plan
                          and Stock Options and Stock Appreciation Rights


Senior Executive Stock Option Plan Page 10

<PAGE>   11

                          granted hereunder shall be determined in conformity
                          with the laws of the State of Texas.

            (l)           ELIMINATION OF FRACTIONAL SHARES.  If under any
                          provision of the Plan which requires a computation of
                          the number of shares of Common Stock subject to a
                          Stock Option or Stock Appreciation Right, the number
                          so computed is not a whole number of shares of Common
                          Stock, such number of shares of Common Stock shall be
                          rounded down to the next whole number.

            (m)           D STOCKHOLDERS AGREEMENT.  Notwithstanding anything
                          to the contrary contained in the Plan, the Company
                          shall be under no obligation to sell or deliver
                          Common Stock under the Plan to an optionee unless
                          such optionee shall execute (i) the D Stockholders
                          Agreement dated effective in December 31, 1993 with
                          respect to such Common Stock, a copy of which will be
                          furnished Optionee reasonably prior to any exercise.

            This Plan, in accordance with Section 10, is effective as of the
date evidenced in the Preamble hereof.


                                       CHAMPION HEALTHCARE CORPORATION


                                       By:
                                            -------------------------------
                                       Its:
                                            -------------------------------


                                      -11-

<PAGE>   12

               AMENDMENT NO. 1 TO CHAMPION HEALTHCARE CORPORATION
                    SENIOR EXECUTIVE STOCK OPTION PLAN NO. 4



This Amendment No. 1 to the Champion Healthcare Corporation Senior Executive
Stock Option Plan No. 4 is effective this 6th day of December, 1994, upon the
execution hereof by Champion Healthcare Corporation and the holders of options
on the date hereof whose signatures appear below.

PREAMBLE.   Pursuant to authority granted by the Board of Directors of Champion
Healthcare Corporation on August 9, 1994, the hereinbelow described amendment
(the "Amendment") was adopted to the Senior Executive Stock Option Plan No. 4
(the "Plan").  This Amendment was approved by the shareholders on December 9,
1994, with an effective date for all purposes as of the date set forth in the
first paragraph above.

AMENDMENT.  Section 9 of the Plan is hereby amended so that Stock Options and
Stock Appreciation Rights will not expire upon the merger or consolidation of
the Company, and Section 9 is amended to read in its entirety as follows:

            9.            DISSOLUTION, MERGER AND CONSOLIDATION.

                          Except as otherwise provided in Section 6(c)(ii),
            upon the dissolution or liquidation of the Company or upon a merger
            or consolidation of the Company in which the Company is not the
            surviving corporation and for which the plan or agreement of merger
            or consolidation does not provide for assumption by the surviving
            or consolidated corporation of Stock Options and/or Stock
            Appreciation Rights granted hereunder, each Stock Option and Stock
            Appreciation Right granted hereunder shall expire as of the
            effective date of such dissolution or liquidation; provided,
            however, that the Board shall give at least 30 days prior written
            notice of such event to each optionee during which time he or she
            shall have a right to exercise his or her (1) vested or (2) if
            specifically provided in the option grant, vested and unvested,
            wholly or partially unexercised Stock Option (without regard to
            installment exercise limitations, if any) or Stock Appreciation
            Right and, subject to prior expiration pursuant to Section 11(b) or
            (c), each Stock Option and Stock Appreciation Right shall be
            exercisable after receipt of such written notice and prior to the
            effective date of such transaction.  Any term or provision in this
            Plan to the contrary notwithstanding, in the event of a merger or
            consolidation of the Company in which the Company is not the
            surviving corporation and for which the plan or agreement of merger
            or consolidation does provide for assumption by the surviving or
            consolidated corporation of Stock Options or Stock Appreciation
            Rights granted hereunder, each Stock Option and Stock Appreciation
            Right granted hereunder shall survive such merger or consolidation,
            and shall become and remain an obligation of the surviving
            corporation, and shall be adjusted according to the adjustment
            provisions of Section 8 of the Plan.





                                      -1-

<PAGE>   13

AGREEMENT OF EXISTING OPTION HOLDERS.  The undersigned individual, a holder of
an option issued pursuant to the Plan, hereby consents and agrees to the
Amendment.

COUNTERPARTS.  This Amendment may be executed in one or more counterparts, each
of which shall be considered an original and together shall constitute the one
and same document.

                                   CHAMPION HEALTHCARE CORPORATION



                          By:
                                   --------------------------------
                                   James G. VanDevender,
                                   Executive Vice-president

                                   OPTION HOLDER


                                   --------------------------------
                                   Print Name:
                                              ---------------------


                                   OPTION HOLDER


                                   --------------------------------
                                   Print Name:
                                              ---------------------


                                   OPTION HOLDER


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

                                   Print Name:
                                              ---------------------





                                      -2-

<PAGE>   1

                                                                  EXHIBIT 4.12


                        CHAMPION HEALTHCARE CORPORATION
                   SELECTED EXECUTIVE STOCK OPTION PLAN NO. 5


PREAMBLE.  The Board of Directors of Champion Healthcare Corporation adopted
the hereinbelow described Selected Executive Stock Option Plan No. 5 effective
as of May 25, 1995 and it was approved by the shareholders on __________, 1995.

1.          PURPOSE

            The purpose of this Selected Executive Stock Option Plan No. 5 (the
"Plan") is to give the Selected Executive officers ("key executives") of
Champion Healthcare Corporation, a Delaware corporation (the "Company"), an
opportunity to acquire shares of the common stock of the Company, $.01 par
value ("Common Stock"), to provide an incentive for selected executives to
continue to promote the best interests of the Company and enhance its long-term
performance, and to provide an incentive for such selected executives to remain
with the Company.

2.          ADMINISTRATION.

            (a)           BOARD OF DIRECTORS.  The Plan shall be administered
                          by the Board of Directors of the Company (the
                          "Board"), which, to the extent it shall determine,
                          may delegate its powers with respect to the
                          administration of the Plan (except its powers under
                          Section 12(c)) to a committee of directors (the
                          "Committee") appointed by the Board and composed of
                          not less than two members of the Board. If the Board
                          chooses to appoint a Committee, references
                          hereinafter to the Board (except in Section 12(c))
                          shall be deemed to refer to the Committee.
                          Notwithstanding the preceding provisions of this
                          Section, no member of the Board may exercise
                          discretion with respect to, or participate in, the
                          administration of the Plan if, at any time within one
                          year prior to such exercise or participation, he or
                          she has received stock, stock options, stock
                          appreciation rights or any other derivative security
                          pursuant to the Plan or any other plan of the Company
                          or any affiliate thereof as to which any discretion
                          is exercised.

            (b)           POWERS.  Within the limits of the express provisions
                          of the Plan, the Board shall determine: (i) the
                          selected executives to whom awards hereunder shall be
                          granted, (ii) the time or times at which such awards
                          shall be granted, (iii) the form and amount of the
                          awards, and (iv) the limitations, restrictions and
                          conditions applicable to any such award. In making
                          such determinations, the Board may take into account
                          the nature of the services rendered by such
                          executives, or classes of executives, their present
                          and potential contributions to the Company's success
                          and such other factors as the Board in its discretion
                          shall deem relevant.

            (c)           INTERPRETATIONS.  Subject to the express provisions
                          of the Plan, the Board may interpret the Plan,
                          prescribe, amend and rescind rules and regulations
                          relating to it, determine the terms and provisions of
                          the respective awards and make all other
                          determinations it deems necessary or advisable for
                          the administration of the Plan.

            (d)           DETERMINATIONS.  The determinations of the Board on
                          all matters regarding the Plan shall be conclusive. A
                          member of the Board shall only be liable for any
                          action taken or determination made in bad faith.

            (e)           NONUNIFORM DETERMINATIONS.  The Board's
                          determinations under the Plan, including without
                          limitation, determinations as to the persons to
                          receive awards, the terms and


Selected Executive Stock Option Plan Page 1
<PAGE>   2

                          provisions of such awards and the agreements
                          evidencing the same, need not be uniform and may be
                          made by it selectively among persons who receive or
                          are eligible to receive awards under the Plan,
                          whether or not such persons are similarly situated.

3.          AWARDS UNDER THE PLAN.

            (a)           TYPE OF AWARD.  Awards under the Plan may be granted
                          in either or both of the following forms: (i)
                          Nonstatutory Stock Options, as described in Section
                          4, and (ii) Stock Appreciation Rights, as described
                          in Section 6. Nonstatutory Stock Options shall be
                          referred to herein as "Stock Options."

            (b)           MAXIMUM LIMITATIONS.  The aggregate number of shares
                          of Common Stock available for grant under the Plan is
                          144,500, subject to adjustment pursuant to Section 8.
                          Shares of Common Stock issued pursuant to the Plan
                          may be either authorized but unissued shares or
                          shares now or hereafter held in the treasury of the
                          Company. In the event that, prior to the end of the
                          period during which Stock Options may be granted
                          under the Plan, any Stock Option under the Plan
                          expires unexercised or is terminated, surrendered or
                          canceled (other than in connection with the exercise
                          of a Stock Appreciation Right) without being
                          exercised, in whole or in part, for any reason, the
                          number of shares theretofore subject to such Stock
                          Option or the unexercised, terminated, forfeited or
                          unearned portion thereof, shall be added to the
                          remaining number of shares of Common Stock available
                          for grant as a Stock Option under the Plan, including
                          a grant to a former holder of such Stock Option, upon
                          such terms and conditions as the Board shall
                          determine, which terms may be more or less favorable
                          than those applicable to such former Stock Option.

4.          STOCK OPTIONS.

            (a)           CONDITIONS.  Stock Options may be granted under the
                          Plan for the purchase of shares of Common Stock.
                          Stock Options shall be in such form and upon such
                          terms and conditions as the Board shall from time to
                          time determine, subject to the following.

                          (i)          OPTION PRICE.  The option price of each
                                       Stock Option to purchase Common Stock
                                       shall be determined by the Board, but
                                       shall not be less than 80% of the fair
                                       market value of the Common Stock subject
                                       to such Stock Option on the date of
                                       grant or $9.00, whichever is greater.

                          (ii)         TERM OF OPTIONS.  No Stock Option shall
                                       be exercisable after the date ten (10)
                                       years and one (1) day from the date such
                                       Stock Option is granted.

                          (iii)        CONDITIONS OF GRANT.  The Board, in its
                                       discretion, may, as a condition to the
                                       grant of a Stock Option, require a
                                       selected executive who is the recipient
                                       of such Stock Option to enter into one
                                       or more of the following agreements with
                                       the Company on or prior to the date of
                                       grant of such Option:

                                       a)         A covenant not to compete with
                                                  the Company and its
                                                  subsidiaries which shall
                                                  become effective on the date
                                                  of termination of employment
                                                  of the selected executive with
                                                  the Company and which shall
                                                  contain such terms and
                                                  conditions as shall be
                                                  specified by the Board;


Selected Executive Stock Option Plan Page 2
<PAGE>   3

                                       b)         An agreement to cancel any
                                                  employment agreement, fringe
                                                  benefit or compensation
                                                  arrangement in effect between
                                                  the Company and the selected
                                                  executive.

                                       c)         The D Stockholders Agreement
                                                  dated effective December 31,
                                                  1993 as amended, among the
                                                  Company and Company
                                                  Shareholders set forth in
                                                  Schedule I to that agreement.

If the selected executive shall fail to enter into any such agreement at the
request of the Board, then no Stock Option shall be granted hereunder to such
selected executive and the number of shares of Common Stock which would have
been subject to such Option shall be added to the remaining number of shares of
Common Stock available for grant as a Stock Option under the Plan.

            (b)           FORM.  The form of the stock option agreement shall
                          subject to paragraph (a) immediately above, be
                          substantially in the form as Exhibit 1 hereto.

5.          PROVISIONS APPLICABLE TO STOCK OPTIONS.

            (a)           EXERCISE. Stock Options shall be subject to such
                          terms and conditions, shall be exercisable at such
                          time or times, and shall be evidenced by such form of
                          written option agreement between the optionee and the
                          Company, as the Board shall determine; provided, that
                          such determinations are not inconsistent with the
                          other provisions of the Plan.

            (b)           MANNER OF EXERCISE OF OPTIONS AND PAYMENT FOR COMMON
                          STOCK.  Stock Options may be exercised by an optionee
                          by giving written notice to the Secretary of the
                          Company stating the number of shares of Common Stock
                          with respect to which the Stock Option is being
                          exercised and tendering payment therefor. At the time
                          that a Stock Option granted under the Plan, or any
                          part thereof, is exercised, payment for the Common
                          Stock issuable thereupon shall be made in full in
                          cash or by certified check or, if the Board in its
                          discretion agrees to accept, in shares of Common
                          Stock of the Company (the number of such shares paid
                          for each share subject to the Stock Option, or part
                          thereof, being exercised shall be determined by
                          dividing the option price by the fair market value
                          per share of the Common Stock on the date of
                          exercise). As soon as reasonably possible following
                          such exercise, a certificate representing shares of
                          Common Stock purchased, registered in the name of the
                          optionee, shall be delivered to the optionee.

            (c)           CANCELLATION OF STOCK APPRECIATION RIGHTS.  The
                          exercise of any Stock Option shall cancel that
                          number, if any, of Stock Appreciation Rights (as
                          defined in Section 6) included in such Stock Option,
                          which is equal to the excess of (i) the number of
                          shares of Common Stock subject to Stock Appreciation
                          Rights included in such Stock Option, over (ii) the
                          number of shares of Common Stock which remain subject
                          to such Stock Option after such exercise.

6.          STOCK APPRECIATION RIGHTS.

            (a)           AWARD.  If deemed by the Board to be in the best
                          interest of the Company, any Stock Option granted
                          under the Plan may include a stock appreciation right
                          ("Stock Appreciation Right"), either at the time of
                          grant or thereafter while the Stock Option is
                          outstanding.

            (b)           TERMS OF RIGHTS.  Stock Appreciation Rights shall be
                          subject to such terms and conditions not inconsistent
                          with the other provisions of the Plan as the Board
                          shall determine; provided that:


Selected Executive Stock Option Plan Page 3
<PAGE>   4

                          (i)          LIMITATIONS.  A Stock Appreciation Right
                                       shall be exercisable to the extent, and
                                       only to the extent, the Stock Option in
                                       which it is included is exercisable and
                                       shall be exercisable only for such
                                       period as the Board may determine (which
                                       period may expire prior to the
                                       expiration date of such Stock Option).

                          (ii)         SURRENDER OR EXCHANGE.  A Stock
                                       Appreciation Right shall entitle the
                                       optionee to surrender to the Company
                                       unexercised the Stock Option, or portion
                                       thereof, to which it is related, or any
                                       portion thereof, and to receive from the
                                       Company in exchange therefor that number
                                       of shares of Common Stock having an
                                       aggregate fair market value equal to the
                                       excess of the fair market value on the
                                       date of exercise of one share of Common
                                       Stock over the option price per share
                                       specified in such Stock Option,
                                       multiplied by the number of shares of
                                       Common Stock subject to the Stock
                                       Option, or portion thereof, which is so
                                       surrendered. The Board shall be entitled
                                       to elect to settle any part or all of
                                       the Company's obligation arising out of
                                       the exercise of a Stock Appreciation
                                       Right by the payment to the optionee of
                                       cash or by check equal to the aggregate
                                       fair market value on the date on which
                                       the Stock Appreciation Right is
                                       exercised of that part or all of the
                                       shares of Common Stock the Company would
                                       otherwise be obligated to deliver.

            (c)           CASH SETTLEMENT RESTRICTIONS.

                          (i)          Notwithstanding Sections 6(b) and 9
                                       hereof, so long as the grantee of a
                                       Stock Appreciation Right is an officer,
                                       an owner of 10% or more of an equity
                                       security of the Company that is
                                       registered under the Securities Exchange
                                       Act of 1934, or a director of the
                                       Company, the Company's right to elect to
                                       settle any part or all of its obligation
                                       arising out of the exercise of a Stock
                                       Appreciation Right by the payment of
                                       cash or by check shall not apply unless
                                       such exercise occurs either: (1)
                                       pursuant to the provisions of subsection
                                       (ii) below, or (2) during the period
                                       beginning on the third business day
                                       following the date of release by the
                                       Company for publication of its quarterly
                                       or annual summary statements of sales
                                       and earnings and ending on the twelfth
                                       business day following such date.

                          (ii)         In the event that, pursuant to Section
                                       9, the Company shall cancel all
                                       unexercised Stock Options as of the
                                       effective date of a merger or other
                                       transaction provided therein or in the
                                       case of dissolution of the Company, then
                                       each Stock Appreciation Right held by an
                                       officer, an owner of 10% or more of an
                                       equity security of the Company that is
                                       registered under the Securities Exchange
                                       Act of 1934, or a director of the
                                       Company, shall be automatically
                                       exercised on such date within 30 days
                                       prior to the effective date of such
                                       transaction or dissolution as the Board
                                       shall determine and, in the absence of
                                       such determination, on the last business
                                       day immediately prior to such effective
                                       date.

7.          TRANSFERABILITY.

            No Stock Option or Stock Appreciation Right may be transferred,
assigned, pledged or hypothecated (whether by operation of law or otherwise),
except as provided by will or the applicable laws of descent or distribution,
and no Stock Option or Stock Appreciation Right shall be subject to execution,
attachment or similar process. Any attempted assignment, transfer, pledge,
hypothecation or other disposition of a Stock Option or Stock Appreciation
Right, or levy of attachment or similar process upon the Stock Option or Stock
Appreciation Right not specifically permitted herein shall be null and void and
without effect. A Stock Option or Stock Appreciation Right may be exercised
only by a selected executive during his or her lifetime, or pursuant to Section
11 (c), by his or


Selected Executive Stock Option Plan Page 4
<PAGE>   5

her estate or the person who acquires the right to exercise such Stock Option
or Stock Appreciation Right upon his or her death by bequest or inheritance.

8.          ADJUSTMENT PROVISIONS.

            The aggregate number of shares of Common Stock with respect to
which Stock Options and Stock Appreciation Rights may be granted, the aggregate
number of shares of Common Stock subject to each outstanding Stock Option and
Stock Appreciation Right, and the option price per share of each such Stock
Option, may all be appropriately adjusted as the Board may determine for any
increase or decrease in the number of shares of issued Common Stock resulting
from a subdivision or consolidation of shares, whether through reorganization,
recapitalization, stock split-up, stock distribution or combination of shares,
or the payment of a share dividend or other increase or decrease in the number
of such shares outstanding effected without receipt of consideration by the
Company.  Adjustments under this Section 8 shall be made according to the sole
discretion of the Board, and its decisions shall be binding and conclusive.

9.          DISSOLUTION, MERGER AND CONSOLIDATION.

            Except as otherwise provided in Section 6(c)(ii), upon the
dissolution or liquidation of the Company, or upon a merger or consolidation of
the Company in which the Company is not the surviving corporation, each Stock
Option and Stock Appreciation Right granted hereunder shall expire as of the
effective date of such transaction; provided, however, that the Board shall
give at least 30 days prior written notice of such event to each optionee
during which time he or she shall have a right to exercise his or her (1)
vested or (2) if specifically provided in the option grant, vested and not
vested, wholly or partially unexercised Stock Option (without regard to
installment exercise limitations, if any) or Stock Appreciation Right and,
subject to prior expiration pursuant to Section 11(b) or (c), each Stock Option
and Stock Appreciation Right shall be exercisable after receipt of such written
notice and prior to the effective date of such transaction.

10.         EFFECTIVE DATE AND CONDITIONS SUBSEQUENT TO EFFECTIVE DATE.

            The Plan shall become effective on the date established by the
Board of Directors. No grant or award shall be made under the Plan more than
ten (10) years from the date of adoption hereof; provided, however, that the
Plan and all Stock Options and Stock Appreciation Rights granted under the Plan
prior to such date shall remain in effect and subject to adjustment and
amendment as herein provided until they have been satisfied or terminated in
accordance with the terms of the respective grants or awards and the related
agreements.

11.         TERMINATION OF EMPLOYMENT.

            (a)           Each Stock Option and Stock Appreciation Right shall,
                          unless sooner expired pursuant to Section 11 (b) or
                          (c) below, expire on the first to occur of the date
                          one day after the tenth anniversary of the date of
                          grant thereof or the expiration date set forth in the
                          applicable option agreement.

            (b)           A Stock Option and Stock Appreciation Right shall
                          expire on the first to occur of the applicable date
                          set forth in paragraph (a) next above and the date
                          that the employment of the selected executive with
                          the Company and all subsidiaries terminates for any
                          reason other than death or disability.  Upon receipt
                          of notice of termination of employment, whether
                          written or oral, Optionee shall not thereafter have
                          the right to exercise the Stock Option or Stock
                          Appreciation Rights.  Notwithstanding the preceding
                          provisions of this paragraph, the Board, in its sole
                          discretion, may, by written notice given to a former
                          employee, permit the former employee to exercise
                          Stock Options or Stock Appreciation Rights during a
                          period following his or her termination of
                          employment, which period shall not exceed ninety (90)
                          days. In no event, however, may the Board permit a
                          former employee to exercise a Stock Option or Stock
                          Appreciation Right after the expiration date
                          contained in the agreement evidencing such Stock
                          Option or Stock Appreciation Right.  Notwithstanding
                          the preceding provisions of this paragraph, if the
                          Board permits a former


Selected Executive Stock Option Plan Page 5
<PAGE>   6

                          employee to exercise Stock Options or Stock
                          Appreciation Rights during a period following his or
                          her termination of employment pursuant to such
                          preceding provisions, such Stock Options or Stock
                          Appreciation Rights shall, to the extent unexercised,
                          expire on the date that such former employee violates
                          (as determined by the Board) any covenant not to
                          compete in effect between the Company and/or its
                          subsidiaries and the former employee.

            (c)           If the employment of a selected executive with the
                          Company and all subsidiaries terminates by reason of
                          disability (as determined by the Board) or by reason
                          of death, his or her Stock Options and Stock
                          Appreciation Rights, if any, shall expire on the
                          first to occur of the date set forth in paragraph (a)
                          of this Section 11 or the first anniversary of such
                          termination of employment.

12.         MISCELLANEOUS.

            (a)           LEGAL AND OTHER REQUIREMENTS. The obligation of the
                          Company to sell and deliver Common Stock under the
                          Plan shall be subject to all applicable laws,
                          regulations, rules and approvals, including, but not
                          by way of limitation, the effectiveness of a
                          registration statement under the Securities Act of
                          1933 if deemed necessary or appropriate by the
                          Company. Certificates for shares of Common Stock
                          issued hereunder may bear such legend as the Board
                          shall deem appropriate.

            (b)           NO OBLIGATION TO EXERCISE OPTIONS.  The granting of a
                          Stock Option shall impose no obligation upon an
                          optionee to exercise such Stock Option.

            (c)           TERMINATION AND AMENDMENT OF PLAN. The Board, without
                          further action on the part of the shareholders of the
                          Company, may from time to time alter, amend or
                          suspend the Plan or any Stock Option or Stock
                          Appreciation Right granted hereunder or may at any
                          time terminate the Plan, except that, it may not
                          (except to the extent provided in Section 8 hereof):
                          (i) change the total number of shares of Common Stock
                          available for grant under the Plan; (ii) extend the
                          duration of the Plan; (iii) increase the maximum term
                          of Stock Options; or (iv) change the class of
                          employees eligible to be granted Stock Options or
                          Stock Appreciation Rights under the Plan. No action
                          taken by the Board under this Section may materially
                          and adversely affect any outstanding Stock Option or
                          Stock Appreciation Right without the consent of the
                          holder thereof.

            (d)           APPLICATION OF FUNDS.  The proceeds received by the
                          Company from the sale of Common Stock pursuant to
                          Stock Options will be used for general corporate
                          purposes.

            (e)           WITHHOLDING TAXES.  Upon the exercise of any Stock
                          Option or Stock Appreciation Right, the Company shall
                          have the right to require the optionee to remit to
                          the Company an amount sufficient to satisfy an
                          federal, state and local withholding tax requirements
                          prior to the delivery of any certificate or
                          certificates for shares of Common Stock. Whenever
                          under the Plan payments are to be made by the Company
                          in cash or by check, such payments shall be net of
                          any amounts sufficient to satisfy all federal, state
                          and local withholding tax requirements.

            (f)           RIGHT TO TERMINATE EMPLOYMENT.  Nothing in the Plan
                          or any agreement entered into pursuant to the Plan
                          shall confer upon any selected executive or other
                          optionee the right to continue in the employment of
                          the Company or any subsidiary or affect any right
                          which the Company or any subsidiary may have to
                          terminate the employment of such selected executive
                          or other optionee.


Selected Executive Stock Option Plan Page 6
<PAGE>   7

            (g)           RIGHTS AS A SHAREHOLDER.  No optionee shall have any
                          right or privileges as a shareholder unless and until
                          certificates for shares of Common Stock are issued to
                          him or her.

            (h)           LEAVES OF ABSENCE AND DISABILITY.  The Board shall be
                          entitled to make such rules, regulations and
                          determinations as it deems appropriate under the Plan
                          in respect of any leave of absence taken by or
                          disability of any selected executive. Without
                          limiting the generality of the foregoing, the Board
                          shall be entitled to determine (i) whether or not any
                          such leaves of absence shall constitute a termination
                          of employment within the meaning of the Plan, and
                          (ii) the impact, if any, of any such leave of absence
                          on awards under the Plan theretofore made to any
                          selected executive who takes such leave of absence.

            (i)           FAIR MARKET VALUE.  Whenever the fair market value of
                          Common Stock is to be determined under the Plan as of
                          a given date, such fair market value shall be:

                          (i)          If the Common Stock is traded on the
                                       over-the-counter market, the average of
                                       the mean between the bid and the asked
                                       price for the Common Stock at the close
                                       of trading for the ten (10) consecutive
                                       trading days immediately preceding such
                                       given date;

                          (ii)         If the Common Stock is listed on a
                                       national securities exchange, the
                                       average of the closing prices of the
                                       Common Stock on the Composite Tape for
                                       the ten (10) consecutive trading days
                                       immediately preceding such given date;
                                       and

                          (iii)        If the Common Stock is neither traded on
                                       the over-the-counter market nor listed
                                       on a national securities exchange, such
                                       value as the Board, in good faith, shall
                                       determine.

            (j)           NOTICES.  Every direction, revocation or notice
                          authorized or required by the Plan shall be deemed
                          delivered to the Company (a) on the date it is
                          personally delivered to the Secretary of the Company
                          at its principal executive offices or (b) three
                          business days after it is sent by registered or
                          certified mail, postage prepaid, addressed to the
                          Secretary at such offices; and shall be deemed
                          delivered to an optionee (a) on the date it is
                          personally delivered to him or her or (b) three
                          business days after it is sent by registered or
                          certified mail, postage  prepaid, addressed to him or
                          her at the last address shown for him or her on the
                          records of the Company.

            (k)           APPLICABLE LAW.  All questions pertaining to the
                          validity, construction and administration of the Plan
                          and Stock Options and Stock Appreciation Rights
                          granted hereunder shall be determined in conformity
                          with the laws of the State of Texas.

            (l)           ELIMINATION OF FRACTIONAL SHARES.  If under any
                          provision of the Plan which requires a computation of
                          the number of shares of Common Stock subject to a
                          Stock Option or Stock Appreciation Right, the number
                          so computed is not a whole number of shares of Common
                          Stock, such number of shares of Common Stock shall be
                          rounded down to the next whole number.

            (m)           D STOCKHOLDERS AGREEMENT.  Notwithstanding anything
                          to the contrary contained in the Plan, the Company
                          shall be under no obligation to sell or deliver
                          Common Stock under the Plan to an optionee unless
                          such optionee shall execute (i) the D Stockholders
                          Agreement dated effective in December 31, 1993 as
                          amended, with respect to such Common Stock, a copy of
                          which will be furnished Optionee reasonably prior to
                          any exercise.


Selected Executive Stock Option Plan Page 7
<PAGE>   8

            This Plan, in accordance with Section 10, is effective as of the
date evidenced in the Preamble hereof.


                                       CHAMPION HEALTHCARE CORPORATION



                                       By:
                                            --------------------------
                                       Its:
                                            --------------------------





Selected Executive Stock Option Plan Page 8
<PAGE>   9

                        CHAMPION HEALTHCARE CORPORATION
                               SELECTED EXECUTIVE
                             STOCK OPTION AGREEMENT

                              (STOCK OPTION ONLY)

            A Stock Option ("Option") is hereby granted by Champion Healthcare
Corporation, a Texas corporation ("Company"), to the Selected Executive named
below ("Optionee"), for and with respect to common stock of the Company, $.01
par value per share ("Common Stock"), subject to the following terms and
conditions:

            13.  TERMS OF OPTION.  Subject to the provisions set forth herein
and the terms and conditions of the Champion Healthcare Corporation Selected
Executive Stock Option Plan No. 5 ("Plan"), the terms of which are hereby
incorporated by reference, and in consideration of the agreements of Optionee
herein provided, the Company hereby grants to Optionee: an option to purchase
from the Company the number of shares of Common Stock, ("Shares") at the
purchase price per share, and with the terms, all as set forth below.  At the
time of exercise of the Option, payment of the purchase price must be made in
cash, or if the committee ("Committee") of the Board of Directors of the
Company charged with the administration of the Plan in its discretion agrees to
so accept, then by the delivery to the Company of other Common Stock owned by
Optionee, valued at its fair market value on the date of exercise, or in some
combination of cash and such Common Stock so valued.

<TABLE>
<S>                       <C>              <C>
Name of Optionee:
Address:
Social Security No.:
Number of Shares
  Subject to Option:                                   
                                           --------------
Option Price Per Share:   $              
                           --------------
Value of Common Stock
  at Date of Grant:                        $
                                            -------------
Date of Grant:                                         
                                           --------------
Exercise Schedule:
</TABLE>
<TABLE>
<CAPTION>
                                            Exercise Period
         Number of Shares                     Commencement                 Expiration
   
         <S>                             <C>                           <C>     
         -------------------------       ----------------------        -------------------

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

         -------------------------       ----------------------        -------------------
</TABLE>

Accelerated Vesting:      Upon notification by the Company of any event
                          provided for in Section 9 of the Plan, all options
                          not then vested as reflected in the Exercise Schedule
                          herein shall immediately vest.


                 14.  EXERCISE.  The exercise of the Option is conditioned upon
the acceptance by Optionee of the terms hereof as evidenced by his execution of
this agreement in the space provided therefor at the end hereof and the return
of an executed copy to the Secretary of the Company no later than
___________________.

                 If Optionee's employment with the Company and all subsidiaries
is terminated for any reason, other than for death or disability, the Option
shall expire on the earlier of 90 days after such termination of employment or
the date the Option expires in accordance with its terms. If Optionee's
employment with the Company and all subsidiaries is terminated due to his
disability or death, the Option shall expire on the earlier of the first
anniversary of such termination of employment or the date the Option expires in
accordance with its terms. During such periods the Option may be exercised by
Optionee with respect to the same number of shares of Common Stock, in the same
manner, and to the same extent as if Optionee had continued employment during
such period and the Option shall be canceled with respect to all remaining
shares of Common Stock; provided that in the event Optionee shall die at a time
when the Option, or any portion thereof is exercisable by him, the Option shall
be exercisable in whole


                                      -1-
<PAGE>   10

or in part during the applicable period set forth herein by a legatee or
legatees of the Option under Optionee's will, or by his executors, personal
representatives or distributees, with respect to the number of shares of Common
Stock which Optionee could have purchased hereunder on the date of his death
and the Option shall be canceled with respect to all remaining shares of Common
Stock.


                 Written notice of an election to exercise any portion of the
Option, specifying the portion thereof being exercised and the exercise date,
shall be given by Optionee, or his personal representative in the event of
Optionee's death, (i) by delivering such notice at the principal executive
offices of the Company no later than the exercise date, or (ii) by mailing such
notice, postage prepaid, addressed to the Secretary of the Company at the
principal executive offices of the Company at least three business days prior
to the exercise date.

                 15.  ASSIGNABILITY.  The Option may be exercised only by
Optionee during his lifetime and may not be transferred other than by will or
the applicable laws of descent or distribution.  The Option shall not otherwise
be transferred, assigned, pledged or hypothecated for any purpose whatsoever
and is not subject, in whole or in part, to execution, attachment, be similar
process.  Any attempted assignment, transfer, pledge or hypothecation or other
disposition of the Option, other than in accordance with the terms set forth
herein, shall be void and of no effect.

                 16.  STATUS AS SHAREHOLDERS.  Neither Optionee nor any other
person entitled to exercise the Option under the terms hereof shall be, or have
any of the rights or privileges of, a shareholder of the Company in respect of
any of the shares of Common Stock issuable on exercise of the Option, unless
and until the purchase price for such shares shall have been paid in full and
the shares issued.

                 17.  SURRENDER OF AGREEMENT, NOTATION.  In the event the
Option shall be exercised in whole, this agreement shall be surrendered to the
Company for cancellation. In the event the Option shall be exercised in part,
or a change in the number or designation of the Common Stock shall be made,
this agreement shall be delivered by Optionee to the Company for the purpose of
making appropriate notation thereon, or of otherwise reflecting, in such manner
as the Company shall determine, the partial exercise or the change in the
number or designation of the Common Stock.

                 18.  ADMINISTRATIVE REGULATIONS.  The Option shall be
exercised in accordance with such administrative regulations as the Committee
shall from time to time adopt.

                 19.  TEXAS LAWS.  The Option and this agreement shall be
construed, administrative and governed in all respects under and by the laws of
the State of Texas.

                 20.  RESTRICTIONS.

                          (a)     SECURITIES LAW.  Neither the Option nor the
Shares of Common Stock to be received upon the exercise thereof have at the
date of grant been registered pursuant to the Securities Act of 1933,
("Securities Act") as amended or any state securities laws.  The Shares
issuable upon exercise of the Option may not be transferred, sold or otherwise
disposed of without registration under the Securities Act and any applicable
state security laws, or exemption therefrom.  The Shares issuable upon the
exercise of the Option will not be transferred on the records of the Company
and new certificates issued unless evidence satisfactory to the Company is
presented that such transfer will not be a violation of the Securities Act or
any applicable state securities laws, and to evidence such restriction each
certificate of Common Stock issued to Optionee shall bear the following or
similar restrictive legend:

                 "The shares represented by this certificate have not been
                 registered under the Securities act of 1933, as amended, or
                 the securities laws of any state, pursuant to one or more
                 exemptions therefrom.  Such shares may not be sold,
                 transferred or otherwise disposed of in the absence of any
                 such registration unless the Company is furnished with an
                 opinion of counsel reasonably satisfactory to the Company


                                      -2-
<PAGE>   11

                 to the effect that such transfer is exempt from registration
                 under such laws.

                 These shares are also subject to restrictions contained in the
                 D Stockholders Agreement dated December 31, 1995 as amended, a
                 copy of which is available for inspection at the offices of
                 the Company"

                          (b)     SHAREHOLDER AGREEMENT.  The exercise of the
Option and delivery of the Shares is conditioned on the Optionee executing the
D Stockholders Agreement dated effective December 31, 1993 as amended,  a copy
of which will be furnished Optionee upon request.


                                           CHAMPION HEALTHCARE CORPORATION


                                           By:
                                              ----------------------------


                 The undersigned hereby accepts the foregoing Option and the
terms and conditions hereof.

                                           SELECTED EXECUTIVE


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


                                           Date:                    , 199
                                                --------------------     -


                                      -3-

<PAGE>   1
                                                                     EXHIBIT - 5

                                  [LETTERHEAD]
                MICHENER, LARIMORE, SWINDLE, WHITAKER, FLOWERS,
                        SAWYER, REYNOLDS & CHALK, L.L.P.


(817) 878-0530                                                 Refer to File No.
                                                                   11574.187


                                            July 25, 1995


Champion Healthcare Corporation
14340 Torrey Chase, Suite 320
Houston, Texas  77014

         Re:     Founders' Stock Options
                 Champion Healthcare Corporation Employee Stock Option Plan;
                 Champion Healthcare Corporation Employee Stock Option Plan 
                       No. 2;
                 Champion Healthcare Corporation Employee Stock Option Plan 
                       No. 3;
                 Champion Healthcare Corporation Directors' Stock Option Plan;
                 Champion Healthcare Corporation Physicians Stock Option Plan;
                 Champion Healthcare Corporation Senior Executive Stock Option
                       Plan No. 4; 
                 AmeriHealth, Inc. 1988 Non-Qualified Stock Option Plan; 
                 Champion Healthcare Corporation Selected Executive Stock 
                       Option Plan No. 5

Gentlemen:

         As set forth in the Registration Statement on Form S-8 (the
"Registration Statement") to be filed by Champion Healthcare Corporation, a
Delaware corporation (the "Company"), with the Securities and Exchange
Commission (the "Commission") under the Securities Act of 1933, as amended (the
"Act"), relating to 1,077,164 shares of common stock, $0.01 par value, of the
Company (the "Common Stock"), to be issued from time to time pursuant to the
above-referenced plans agreement (collectively the "Plans"), certain legal
matters in connection with the Common Stock are being passed upon for you by
us.  At your request, this opinion is being furnished to you for filing as
Exhibit 5 to the Registration Statement.

         The Plans provide for the grant to certain key employees, directors,
and medical staff physicians of the Company and its subsidiaries (i)
nonstatutory stock options ("Nonstatutory Options"), and (ii) stock
appreciation rights ("SARs").  As used herein, the term "Options" shall mean
Nonstatutory Options, and the term "Option Shares" shall mean the Shares
issuable upon the exercise of Options.
<PAGE>   2
[LETTERHEAD]
Champion Healthcare Corporation
July 25, 1995
Page 2


         In our capacity as your counsel in connection referred to above, we
have examined the Plans, the Company's Articles of Incorporation, and its
Bylaws, each as amended to date, and have examined the originals, or copies
certified or otherwise identified, of corporate records of the Company,
including minute books of the Company as furnished to us by the Company,
certificates of public officials and of representatives of the Company,
statutes and other instruments or documents, a basis for the opinions
hereinafter expressed.

         We have assumed that all signatures on all documents examined by us
are genuine, that all documents submitted to us as originals are accurate and
complete, that all documents submitted to us as copies are true and correct
copies of the originals thereof and that all information submitted to us was
accurate and complete.

         Based upon our examination as aforesaid and subject to assumptions,
limitations and qualifications set forth herein, we are of the opinion that:

                 1.       The Company is a corporation duly organized and
         validly existing in good standing under the laws of the State of
         Delaware.

                 2.       Upon the issuance and delivery of such Option Shares
         upon the exercise of Options in accordance with the Plans and the
         receipt of the consideration fixed by the Options, such Option Shares
         will be validly issued, fully paid and nonassessable.

         We do not express any opinion herein on any other respect of the
Options or the Option Shares, the effect of any equitable principles or
fiduciary considerations relating to the adoption of the Plans or the issuance
of the Options or Option Shares, the enforceability of any particular
provisions of the Plans or the Options, or the provisions of the Plans or
Options which discriminate or create unequal voting power among shareholders.

         The opinions set forth above are limited in all respects to matters of
Delaware law as in effect on the date hereof.
<PAGE>   3

[LETTERHEAD]

Champion Healthcare Corporation
July 25, 1995
Page 3


         We consent to the inclusion in the Registration Statement (Form S-8)
pertaining to the Champion Healthcare Corporation Founders' Stock Options,
Champion Healthcare Corporation Employee Stock Option Plan, Champion Healthcare
Corporation Employee Stock Option Plan No. 2, Champion Healthcare Corporation
Employee Stock Option Plan No. 3, Champion Healthcare Corporation Directors'
Stock Option Plan, Champion Healthcare Corporation Physicians Stock Option
Plan, Champion Healthcare Corporation Senior Executive Stock Option Plan No. 4,
AmeriHealth, Inc. 1988 Non-Qualified Stock Option Plan, and Champion Healthcare
Corporation Selected Executive Stock Option Plan No. 5, of this opinion.

                                            Very truly yours,


                                            /s/ Wayne M. Whitaker

                                            Wayne M. Whitaker, Partner
WMW/jj

<PAGE>   1

                                                                    EXHIBIT 23.1

                       CONSENT OF INDEPENDENT ACCOUNTANTS

We consent to the incorporation by reference in the registration statement of
Champion Healthcare Corporation, on Form S-8 (File No.  33-________) of our
report dated March 30, 1995, on our audits of the consolidated financial
statements of Champion Healthcare Corporation.  We also consent to the
reference to our firm under the caption "Experts."



                                       Coopers & Lybrand, L.L.P.




Houston, Texas
July 31, 1995


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