RAMSAY HEALTH CARE INC
10-K/A, 1996-11-12
HOSPITALS
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                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549


                                    FORM 10-K/A
(Mark One)                       AMENDMENT NUMBER 1
            /X/ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
                 SECURITIES EXCHANGE ACT OF 1934 [FEE REQUIRED]
                     For the fiscal year ended June 30, 1996
                                       OR
          / / TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
                SECURITIES EXCHANGE ACT OF 1934 [NO FEE REQUIRED]
                        For the transition period from to

                         Commission file number 0-13849

                            RAMSAY HEALTH CARE, INC.
             (Exact name of registrant as specified in its charter)

              Delaware                                  63-0857352
    (State or other jurisdiction            (I.R.S. Employer Identification No.)
   of incorporation or organization)  

            Entergy Corporation Building
           639 Loyola Avenue, Suite 1700                             70113
               New Orleans, Louisiana                              (Zip Code)
      (Address of principal executive offices)

     Registrant's telephone number, including area code (504) 525-2505

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

Title of Each Class               Name of Each Exchange on Which Registered

       None                                      None

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

                          COMMON STOCK, $0.01 PAR VALUE
                                (Title of Class)

     Indicate by a check mark whether the  registrant  (1) has filed all reports
required to be filed by Section 13 or 15(d) of the  Securities  Exchange  Act of
1934 during the  preceding  12 months,  and (2) has been  subject to such filing
requirements for the past 90 days. Yes X No .

     Indicate by check mark if disclosure of delinquent  filers pursuant to Item
405 of Regulation S-K is not contained herein, and will not be contained, to the
best of registrant's  knowledge,  in definitive proxy or information  statements
incorporated by reference in Part III of this Form 10-K or any amendment to this
Form 10-K. / /

     The number of shares of the  registrant's  Common Stock  outstanding  as of
October 2, 1996 was 8,307,131.  The aggregate  market value of Common Stock held
by non-affiliates on such date was $14,952,713.

                       DOCUMENTS INCORPORATED BY REFERENCE

     Certain sections of the registrant's definitive Proxy Statement to be filed
for the 1996 Annual Meeting of Stockholders  are  incorporated by reference into
Part III.

<PAGE>


                                     PART IV

Item 14.    Exhibits, Financial Statement Schedules, and Reports on Form 8-K.
 
            (a) Documents filed as Part of the Report:

                3. Exhibits

                   Information  with  respect  to  this  Item is  contained  in
                the attached Index to Exhibits.

            (c) Exhibits Required by Item 601 of Regulation S-K:

                Exhibits  required  to be filed by the  Company  pursuant to
            Item 601 of Regulation  S-K are  contained in Exhibits  listed in
            response  to  Item  14(a)3,   and  are  incorporated   herein  by
            reference.  The management  contracts and compensatory  plans and
            arrangements required to be filed as an Exhibit to this Form 10-K
            are listed in Exhibits 10.60,  10.65, 10.66, 10.67, 10.68, 10.72,
            10.73, 10.75, 10.81, 10.83, 10.92, 10.95 and 10.97.


                                       35
<PAGE>


                                   SIGNATURES

          Pursuant to the  requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the registrant has duly caused this amendment to be signed
on its behalf by the undersigned thereunto fully authorized.

                                    RAMSAY HEALTH CARE, INC.


Dated:  10/7/96                     By /s/ Bert G. Cibran
                                       Bert G. Cibran
                                       President and Principal Executive Officer


          Pursuant to the  requirements  of the  Securities  and Exchange Act of
1934, this amendment has been signed below by the following persons on behalf of
the registrant and in the capacities and on the dates indicated.

                                Signature/Title


Dated:  10/7/96                     By /s/ Carol C. Lang *
                                       Carol C. Lang 
                                       Principal Financial Officer



Dated:  10/8/96                     By /s/ Paul J. Ramsay *
                                       Paul J. Ramsay
                                       Chairman of the Board and Director



Dated:  10/7/96                    By  /s/ Luis E. Lamela*
                                       Luis E. Lamela
                                       Executive Vice Chairman of the Board and
                                       Director


                                       36
<PAGE>


                                 Signature/Title



Dated:  10/7/96                     By  /s/ Aaron Beam, Jr. *
                                        Aaron Beam, Jr.
                                        Director




Dated:  10/7/96                     By  /s/ Peter J. Evans *
                                        Peter J. Evans
                                        Director




Dated: __________________           By__________________________________________
                                        Robert E. Galloway
                                        Director




Dated:  10/7/96                     By  /s/ Thomas M. Haythe *
                                        Thomas M. Haythe
                                        Director




Dated:  10/7/96                     By  /s/ Steven J. Shulman *
                                        Steven J. Shulman
                                        Director




Dated:  10/8/96                     By  /s/ Michael S. Siddle *
                                        Michael S. Siddle
                                        Director



By /s/  Bert G. Cibran
   ___________________
   Bert G. Cibran
   Attorney-in-fact
                                       37
<PAGE>


                                INDEX OF EXHIBITS

                             
                                                                            Page
                                                                          Number

2.1       Recapitalization Agreement dated as of June 30, 1993 by and
          among the Company,  Ramsay  Holdings HSA Limited and Paul
          Ramsay Holdings Pty. Limited  (incorporated  by reference
          to Exhibit 2.2 to the Company's Annual Report on Form 10-K 
          for the year ended June 30, 1994) .........................         --

2.2       Agreement  of sale and  purchase  dated  April 12, 1995 by
          and between Mesa  Psychiatric  Hospital,  Inc.  and Capstone
          Capital  Corporation (incorporated  by  reference  to
          Exhibit 2.7 to the Company's Annual Report on Form 10-K for
          the year ended June 30, 1995).  Pursuant to Reg. S-K, Item
          601(b)(2),  the Company agrees to furnish a copy of the
          Schedules and Exhibits to such Agreement to the Commission
          upon request ..............................................         --

2.3       Agreement  of sale and  purchase  dated  April 12, 1995 by
          and between RHCI San Antonio, Inc. and Capstone Capital
          Corporation  (incorporated by reference  to Exhibit 2.8 to
          the Company's Annual Report on Form 10-K for the year ended 
          June 30, 1995). Pursuant to Reg.  S-K,  Item 601(b)(2), the
          Company agrees to furnish a copy of the Schedules and
          Exhibits to such Agreement to the Commission upon request .         --

2.4       Agreement  and Plan of Merger dated as of October 1, 1996
          among Ramsay Managed  Care, Inc., the Company and RHCI
          Acquisition Corp. (incorporated  by  reference to Exhibit 2
          to the Company's Current Report on Form 8-K dated
          October 2, 1996).  Pursuant to Reg. S-K, Item 601(b)(2), the
          Company  agrees to  furnish a copy of the  Disclosure
          Schedules to such Agreement to the Commission upon request          --

3.1       Restated Certificate of Incorporation of the Company, as
          amended ...................................................         

3.2       Certificate of Amendment of Restated  Certificate of
          Incorporation of the Company  filed on April 17, 1991
          (incorporated  by  reference  to Exhibit  3.2 to the
          Company's  Registration  Statement  on Form  S-2, 
          Registration No. 33-40762) ................................         --

3.3       Certificate  of  Correction  to  Certificate  of Amendment
          of Restated Certificate  of  Incorporation  of the Company
          filed on April 18, 1991 (incorporated   by   reference  to
          Exhibit  3.3  to  the Company's Registration Statement  on
          Form Registration No. 33-40762) ...........................         --

3.4       By-Laws of the Company,  as amended to date (incorporated
          by reference to Exhibit  3.4 to the  Company's  Annual
          Report on Form 10-K for the year ended June 30, 1994) .....         --

3.5       Certificate of Designation of Preferred  Stock of the Company
          filed on June  27,  1991  (incorporated  by  reference  to
          Exhibit  3.5 to the Company's Registration Statement on 
          Form  S-2,  Registration  No. 33-40762) ...................         --

3.6       Certificate of Designation of Preferred  Stock of the Company
          filed on July  9,  1991  (incorporated  by  reference  to  
          Exhibit  3.6  to the Company's Registration Statement on
          Form  S-2,  Registration  No. 33-40762) ...................         --

3.7       Certificate of Designation of Preferred  Stock of the Company
          filed on June  29,  1993(incorporated  by  reference  to
          Exhibit  3.7  to  the Company's Annual Report on Form 10-K
          for the year ended June 30, 1994) .........................         --


                                       E-1
<PAGE>


                                 
                                                                            Page
                                                                          Number

4.1       Trust  Indenture  dated as of March 31, 1990, between  the
          Company, Bountiful Psychiatric Hospital,  Inc., Cumberland
          Mental Health, Inc., East Carolina  Psychiatric Services
          Corporation,  Havenwyck Hospital, Inc., Mesa Psychiatric 
          Hospital, Inc., Psychiatric Institute of West Virginia, Inc.,
          and The Citizens and Southern National Bank and Susan L.
          Adams .....................................................           


4.2       First Supplemental Trust Indenture dated as of June 15, 1991
          between the Company, Bountiful Psychiatric Hospital, Inc.,
          Cumberland Mental Health,  Inc.,  East  Carolina Psychiatric
          Services Corporation, Havenwyck Hospital, Inc., Mesa
          Psychiatric  Hospital, Inc. and Psychiatric  Hospital of 
          West Virginia, Inc. and The Citizens and Southern National 
          Bank, a national banking  association, and an individual 
          trustee, as Trustees  (incorporated by reference to Exhibit
          4.4 to the Company's  Registration Statement on Form S-2,
          Registration No.33-40762) .................................         --

4.3       Second Supplemental Trust Indenture dated as of May 15, 1993
          between the Company,  Bountiful Psychiatric Hospital,  Inc.,
          Cumberland Mental Health, Inc., East Carolina Psychiatric
          Services Corporation, Havenwyck  Hospital, Inc., Mesa
          Psychiatric Hospital,Inc. and Psychiatric  Hospital of West
          Virginia,  Inc.  and  NationsBank  of Georgia,  National  
          Association  and Susan L. Adams  (incorporated  by reference
          to Exhibit 4.3 to the Company's  Annual Report on Form 10-K
          for the year ended June 30, 1994) .........................         --

4.4       Third  Supplemental Trust Indenture dated as of April 12,
          1995 between the Company,  Bountiful Psychiatric Hospital,
          Inc., Cumberland Mental Health,  Inc.,  East  Carolina
          Psychiatric Services Corporation, Havenwyck Hospital, Inc.,
          Mesa Psychiatric Hospital, Inc. and Psychiatric Hospital of
          West  Virginia,  Inc.,  and  NationsBank of Georgia, 
          National Association and Elizabeth Talley, as Trustee ..... 

4.5       Fourth  Supplemental  Trust  Indenture  dated as of
          September 15, 1995 between the Company,  Bountiful
          Psychiatric Hospital, Inc., Cumberland Mental Health,
          Inc., East Carolina  Psychiatric  Services,  Havenwyck
          Hospital,  Inc.,  Mesa Psychiatric  Hospital, Inc. and
          Psychiatric Institute of West Virginia, Inc. and NationsBank
          of Georgia,  National Association  and  Elizabeth  Talley,
          as Trustee (incorporated  by reference to Exhibit 10.100 to
          the Company's  Quarterly Report on Form 10-Q for the quarter
          ended September 30, 1995) .................................         --

4.6       Subsidiary Borrower Note of Atlantic Treatment Center, Inc.
          dated May 21, 1993 in the principal amount of $4,607,945
          payable to the order of Societe Generale, New York Branch
          (incorporated by reference to Exhibit 4.5 to the Company's
          Annual Report on Form 10-K for the year ended June 30, 1994)        --

4.7       Subsidiary  Borrower Note of Carolina Treatment Center, Inc.
          dated May 21, 1993 in the principal amount of $5,030,000
          payable to the order of Societe Generale, New York Branch
          (substantially  identical to Exhibit 4.6) .................         --

4.8       Subsidiary  Borrower Note of Greenbrier  Hospital,  Inc.
          dated May 21, 1993 in the  principal  amount of  $5,973,125
          payable to the order of Societe Generale, New York Branch
          (substantially identical to Exhibit 4.6) ..................         --

4.9       Subsidiary Borrower Note of Gulf Coast Treatment Center,
          Inc. dated May 21, 1993 in the principal amount of 
          $4,392,500  payable to the order of Societe Generale, 
          New York Branch (substantially identical to Exhibit 4.6) ..         --


                                       E-2
<PAGE>

                                                                            Page
                                                                          Number

4.10      Subsidiary Borrower Note of Houma Psychiatric Hospital, Inc.
          dated May 21, 1993 in the principal amount of $3,979,589 
          payable to the order of Societe Generale, New York Branch 
          (substantially  identical to Exhibit 4.6) ..................        --

 4.11     Subsidiary  Borrower Note of HSA of Oklahoma,  Inc. dated
          May 21, 1993 in the principal amount of $3,445,562  payable
          to the order of Societe Generale, New York Branch 
          (substantially identical to Exhibit 4.6) ...................        --


10.1      Note Purchase Agreement dated as of March 31, 1990, among
          the Company, Bountiful Psychiatric Hospital,  Inc.,
          Cumberland Mental Health, Inc., East Carolina  Psychiatric 
          Services  Corporation,  Havenwyck Hospital, Inc., Mesa
          Psychiatric Hospital,  Inc.,  Psychiatric Institute of West 
          Virginia, Inc., and Aetna Life Insurance Company regarding 
          the purchase  by Aetna Life  Insurance  Company of
          $26,000,000  principal amount of 11.6% Senior Secured 
          $1,000,000 principal amount of 15.6% Subordinated Secured 
          Notes, and Warrants to Purchase Common Stock of the Company

10.2      Note Purchase  Agreement  pursuant to which  Monumental Life
          Insurance Company purchased $15,500,000 principal amount of
          11.6% Senior Secured Notes, $2,000,000  principal  amount
          of 15.6%  Subordinated  Secured Notes, and  Warrants to 
          Purchase Common Stock of the Company (substantially identical
          to Exhibit 10.1) ..........................................         --

10.3      Note  Purchase  Agreement  pursuant to which  Connecticut
          Mutual Life Insurance  Company  purchased  $15,000,000
          principal  amount of 11.6% Senior Secured Notes(substantially
          identical to Exhibit 10.1) ................................         --

10.4      Pledge and Security Agreement between Bountiful Psychiatric
          Hospital, Inc. and The Citizens and Southern National Bank 

10.5      Pledge and Security  Agreement dated as of March 31, 1990,
          between the Company and The Citizens and Southern National
          Bank  (substantially identical to Exhibit 10.4) ...........         --

10.6      Pledge and Security Agreement between Michigan  Psychiatric
          Services, Inc.  and The  Citizens  and  Southern  National
          Bank (substantially identical to Exhibit 10.4) .............        --

10.7      Pledge and Security Agreement between Americare of Galax,
          Inc. and The Citizens  and  Southern  National  Bank
          (substantially  identical  to Exhibit 10.4) ...............         --

10.8      Deed of Trust and Security  Agreement dated as of March 31, 1990
          from  Cumberland Mental Health, Inc. to First American Title 
          Insurance Company for the benefit of The Citizens  and  
          Southern National Bank and  Susan L.  Adams  covering certain 
          property in Fayetteville, North Carolina ..................          

10.9      Deed of Trust, Security Agreement, and Financing Statement
          dated as of March 31, 1990 from Bountiful  Psychiatric
          Hospital,  Inc. to Merrill Title  Company for the benefit 
          of The Citizens and Southern National Bank and Susan L. Adams
          covering  certain  property  in Woods  Cross, Utah
          (substantially identical to Exhibit 10.8)..................         --

10.10     Deed of Trust and Security  Agreement  from East Carolina
          Psychiatric Services Corporation to First American Title
          Insurance Company for the benefit of The Citizens and
          Southern National Bank and Susan L. Adams covering certain
          property in Jacksonville, North Carolina (substantially
          identical to Exhibit 10.8) ................................         --

                                       E-3
<PAGE>
                                        
                                                                            Page
                                                                          Number

10.11     Mortgage  and  Security  Agreement  dated as of March  31,
          1990  from Havenwyck  Hospital,  Inc. to The Citizens and
          Southern  National Bank and Susan L. Adams covering certain
          property in Auburn Hills, Michigan  ........................          

10.12     Leasehold  Deed of Trust,  Assignment of Rents and Security
          Agreement with  Financing  Statement  dated  as of  March  31,
          1990  from  Mesa Psychiatric Hospital, Inc. to Transamerica
          Title Insurance Company for the benefit of The Citizens and
          Southern  National  Bank and Susan L. Adams covering certain 
          property in Mesa, Arizona  ................................           

10.13     Leasehold  Deed of  Trust  and  Security  Agreement  from
          Psychiatric Institute of West Virginia,  Inc. to J. Nicholas
          Barth,  Esq., for the benefit of The Citizens and Southern
          National Bank and Susan L. Adams covering certain property
          in Morgantown,  West Virginia (substantially identical to 
          Exhibit 10.12) ............................................         --

10.14     Obligor Subrogation and Contribution Agreement dated as of
          April 30, 1990 among The Citizens and Southern  National
          Bank, Susan L. Adams, the Company,  Bountiful Psychiatric
          Hospital, Inc., Cumberland Mental Health,  Inc.,  East  
          Carolina   Psychiatric   Services   Corporation, Havenwyck
          Hospital,  Inc.,  Mesa  Psychiatric  Hospital,  Inc., and
          Psychiatric Institute of West Virginia, Inc.  .............           

10.15     Credit  Agreement  dated as of May 15,  1993  among  the
          Company  and certain of its subsidiaries named therein,
          Societe Generale, New York Branch,  First Union  National
          Bank of North  Carolina  and  Hibernia National Bank, as
          lenders, and Societe Generale,  as issuing bank and agent  
          (incorporated by reference to Exhibit 10.16 to the Company's
          Annual Report on Form 10-K for the year ended June 30, 1994)        --

10.16     Security  Agreement dated as of May 15, 1993 by Atlantic 
          Treatment Center,  Inc. in favor of Societe  Generale, as
          agent for the lenders which are  parties  to that  certain
          Credit  Agreement  described  in Exhibit 10.15 above, and 
          covering  certain property in Daytona Beach, Florida 
          (incorporated by reference to Exhibit 10.17 to the Company's
          Annual Report on Form 10-K for the year ended June 30, 1994)        --

10.17     Security  Agreement  dated as of May 15,  1993 by Carolina
          Treatment Center,  Inc. in favor of Societe  Generale,  as
          agent for the lenders which are  parties  to that  certain
          Credit  Agreement  described  in Exhibit 10.15 above
          (substantially identical to Exhibit 10.16) ................         --

10.18     Security  Agreement dated as of May 15, 1993 by Great Plains
          Hospital, Inc. in favor of Societe Generale,  as agent for
          the lenders which are parties to that certain  Credit
          Agreement  described in Exhibit 10.15 above (substantially 
          identical to Exhibit 10.16) ...............................         --

10.19     Security  Agreement  dated as of May 15, 1993 by Greenbrier
          Hospital, Inc. in favor of Societe Generale,  as agent for
          the lenders which are parties to that certain  Credit
          Agreement  described in Exhibit 10.15 above (substantially
          identical to Exhibit 10.16) ...............................         --

10.20     Security  Agreement  dated as of May 15, 1993 by Gulf Coast
          Treatment Center,  Inc. in favor of Societe  Generale,  as
          agent for the lenders which are  parties  to that  certain  
          Credit  Agreement  described  in Exhibit 10.15 above
          (substantially identical to Exhibit 10.16) ................         --

                                       E-4
<PAGE>

                                                                            Page
                                                                          Number

10.21     Security  Agreement dated as of May 15, 1993 by Houma
          Psychiatric Hospital,  Inc.  in favor of Societe  Generale,
          as agent for the lenders which  are parties to that certain
          Credit Agreement described  in Exhibit 10.15 above 
          (substantially  identical  to Exhibit 10.16) ...............        --

10.22     Security  Agreement  dated as of May 15, 1993 by HSA of
          Oklahoma, Inc. in favor of Societe Generale, as agent for
          the lenders which are parties to that certain Credit
          Agreement described in Exhibit 10.15 above (substantially
          identical to Exhibit 10.16) ................................        --

10.23     Security  Agreement  dated  as of  May  15,  1993  by  The
          Haven Hospital,  Inc.  in favor of Societe  Generale,  as
          agent for the lenders  which  are  parties  to that  certain
          Credit  Agreement described  in Exhibit  10.15 above  
          (substantially  identical to Exhibit 10.16) ................        --

10.24     Security  Agreement dated as of May 15, 1993 by the Company in
          favor of Societe  Generale, as agent for the lenders which are
          parties to that  certain  Credit  Agreement  described in
          Exhibit 10.15 above (substantially identical to Exhibit 10.16)      --

10.25     Accounts  Receivable  Security Agreement dated as of
          May 15, 1993 by  Americare  of Galax,  Inc. in favor of
          Societe  Generale, as agent for the lenders  which are parties
          to that  certain  Credit Agreement described in Exhibit 10.15
          above (incorporated by reference to Exhibit 10.26 to the 
          Company's Annual Report on Form 10-K for the year ended 
          June 30, 1994) ............................................         --

10.26     Accounts  Receivable  Security Agreement dated as
          May 15, 1993 by Bountiful Psychiatric Hospital, Inc. in
          favor of Societe Generale, as agent for the lenders which 
          are parties to that certain  Credit Agreement described in
          Exhibit  10.15 above (substantially identical to 
          Exhibit 10.25) ............................................         --

10.27     Accounts  Receivable  Security Agreement dated as of
          May 15, 1993 by Cumberland  Mental Health,  Inc. in favor of
          Societe Generale, New York  Branch,  as agent for the lenders
          which are parties to that certain  Credit  Agreement  described
          in Exhibit 10.15 above (substantially identical to
          Exhibit 10.25) ............................................         --

10.28     Accounts  Receivable  Security  Agreement  dated as of
          May 15, 1993 by East Carolina  Psychiatric  Services
          Corporation  in favor of Societe Generale, New York Branch, 
          as agent for the lenders which are parties to that certain  
          Credit Agreement described in Exhibit 10.15 above 
          (substantially identical to Exhibit 10.25) ................         --

10.29     Accounts  Receivable  Security Agreement dated as of
          May 15, 1993 by Havenwyck  Hospital,  Inc. in favor of
          Societe  Generale,  New York  Branch as agent for the
          lenders  which are parties to that certain  Credit Agreement
          described in Exhibit  10.15  above (substantially identical
          to Exhibit 10.25) .........................................         --

10.30     Accounts  Receivable  Security Agreement dated as of
          May 15, 1993 by Mesa Psychiatric Hospital,  Inc. in favor 
          of Societe Generale, New York  Branch, as agent for the 
          lenders which are parties to that certain  Credit  Agreement
          described in Exhibit 10.15 above (substantially identical to 
          Exhibit 10.25) ............................................         --

10.31     Accounts  Receivable  Security Agreement dated as of
          May 15, 1993 by  Michigan  Psychiatric  Services, Inc.
          in favor  of  Societe Generale,  New York  Branch, as agent
          for the lenders which are parties to that  certain  Credit  
          Agreement described in Exhibit 10.15 above (substantially
          identical to Exhibit 10.25) ...............................         --

                                       E-5
<PAGE>



                                       
                                                                            Page
                                                                          Number

10.32     Accounts  Receivable  Security  Agreement  dated as of
          May 15, 1993 by Psychiatric  Institute  of West  Virginia,
          Inc.  in favor of  Societe Generale,  New York Branch, as
          agent for the lenders which are parties to that certain
          Credit  Agreement  described  in Exhibit  10.15 above 
          (substantially identical to Exhibit 10.25) ................         --

10.33     Stock Pledge  Agreement dated as of May 15, 1993, among the 
          Company in favor of Societe  Generale,  New York Branch, as 
          agent for the lenders which are  parties  to that  certain  
          Credit  Agreement  described  in Exhibit 10.15 above 
          (incorporated by reference to Exhibit 10.34 to the Company's
          Annual Report on Form 10-K for the year ended June 30, 1994)        --

10.34     Revolving  Credit  Guarantee  dated as of May 15, 1993 by
          Americare of Galax,  Inc. in favor of Societe  Generale,
          New York Branch, as agent for the lenders which are parties
          to that certain Credit Agreement described in Exhibit 10.15
          above (incorporated by reference to Exhibit 10.35 to the  
          Company's Annual Report on Form 10-K for the year ended
          June 30, 1994) ............................................         --

10.35     Revolving  Credit  Guarantee  dated  as of May  15,  1993 by
          Bethany Psychiatric  Hospital,  Inc.  in favor of Societe
          Generale,  New York Branch,  as agent for the lenders which
          are  parties to that certain Credit  Agreement  described
          in Exhibit 10.15 above (substantially identical to
          Exhibit 10.34) ............................................         --

10.36     Revolving  Credit  Guarantee  dated  as of May 15,  1993 by
          Bountiful Psychiatric  Hospital,  Inc.  in favor of Societe
          Generale,  New York Branch,  as agent for the lenders which
          are  parties to that  certain Credit  Agreement  described
          in Exhibit  10.15  above  (substantially identical to
          Exhibit 10.34) ............................................         --

10.37     Revolving  Credit  Guarantee  dated as of May 15,  1993 by
          Cumberland Mental Health, Inc. in favor of Societe Generale,
          New York Branch, as agent  for the lenders which are parties
          to that certain Credit Agreement described in Exhibit 10.15
          above (substantially identical to Exhibit 10.34) ..........         --

10.38     Revolving  Credit  Guarantee dated as of May 15, 1993 by
          East Carolina Psychiatric  Services  Corporation in favor
          of Societe  Generale,  New York  Branch,  as agent  for the
          lenders which are  parties  to that certain Credit Agreement
          described in Exhibit 10.15 above (substantially identical to
          Exhibit 10.34) ............................................         --

10.39     Revolving  Credit  Guarantee  dated  as of May 15,  1993
          by  Havenwyck Hospital, Inc. in favor of Societe Generale,
          New York Branch, as agent for the lenders  which are parties
          to that  certain  Credit  Agreement described in Exhibit
          10.15 above  (substantially  identical to Exhibit 10.34) ..         --

10.40     Revolving   Credit  Guarantee  dated  as  of  May  15, 1993
          by  Mesa Psychiatric  Hospital,  Inc.  in favor of Societe
          Generale,  New York Branch,  as agent for the lenders which
          are  parties to that  certain Credit  Agreement  described
          in Exhibit  10.15  above  (substantially identical to 
          Exhibit 10.34) ............................................         --

10.41     Revolving  Credit  Guarantee  dated  as of May 15,  1993
          by  Michigan Psychiatric  Services,  Inc.  in favor of Societe
          Generale,  New York Branch,  as agent for the lenders  which
          are  parties to that  certain Credit  Agreement  described
          in Exhibit  10.15  above  (substantially identical to 
          Exhibit 10.34) ............................................         --




                                       E-6
<PAGE>

                                                                            Page
                                                                          Number

10.42     Revolving  Credit  Guarantee  dated as of May 15, 1993 by
          Psychiatric Institute of West  Virginia,  Inc. in favor of
          Societe  Generale,  New York  Branch,  as agent  for the 
          lenders which are parties to that certain Credit Agreement
          described in Exhibit 10.15 above (substantially identical
          to Exhibit 10.34) .........................................         --

10.43     Management Fee Subordination  Agreement dated May 15, 1993,
          among Paul J.  Ramsay  and  Ramsay  Health  Care Pty.  Ltd.
          in favor of  Societe Generale,  New York Branch, as agent
          for the lenders which are parties to that certain  Credit
          Agreement  described  in Exhibit  10.15 above (incorporated
          by reference to Exhibit 10.44 to the  Company's  Annual 
          Report on Form 10-K for the year ended June 30, 1994) .....         --

10.44     Mortgage and Fixture  Filing and  Assignment of Leases and
          Rents dated as of May 15,  1993  granted by  Atlantic
          Treatment  Center,  Inc. to Societe Generale, individually
          and as agent for the lenders which are parties to that certain 
          Credit Agreement  described in Exhibit 10.15 above,  with  
          respect  to  certain  real  property  located in Volusia 
          County, Florida (incorporated by reference to Exhibit 10.45
          to the Company's Annual Report on Form 10-K for the year
          ended June 30, 1994) .....................................          --

10.45     Mortgage and Fixture  Filing and  Assignment of Leases and
          Rents dated as of May 15,  1993  granted by  Carolina
          Treatment  Center,  Inc. to Societe Generale, individually
          and as agent for the lenders which are parties to that
          certain  Credit  Agreement  described in Exhibit 10.15
          above,  with respect to certain real property located in
          Horry County, South Carolina (substantially identical to
          Exhibit 10.44) ............................................         --

10.46     Deed of Trust and Fixture  Filing and  Assignment of Leases
          and Rents dated as of May 15, 1993  granted by Great Plains
          Hospital,  Inc. to Jacob W.  Bayer,  Jr. as Trustee for the
          benefit of Societe Generale,  individually and as agent for
          the lenders which are parties to that certain Credit
          Agreement  described in Exhibit 10.15 above, with respect to
          certain real property located in Vernon County, Missouri 
          (substantially identical to Exhibit 10.44) ................         --


10.47     Mortgage, Security and Assignment of Leases and Rents dated
          as of May 15, 1993 by Greenbrier Hospital, Inc. to Societe
          Generale individually and as agent for the lenders which are
          parties to that certain Credit Agreement  described in
          Exhibit  10.15 above,  with respect to certain real property 
          located in St. Tammany Parish,  Louisiana (substantially
          identical to Exhibit 10.44) ...............................         --

10.48     Mortgage and Fixture  Filing and  Assignment of Leases and
          Rents dated as of May 15, 1993  granted by Gulf Coast
          Treatment  Center,  Inc. to Societe Generale,  individually
          and as agent for the lenders which are parties to that certain
          Credit  Agreement described in Exhibit 10.15 above,  with  
          respect to certain  real  property  located in  Okaloosa
          County, Florida (substantially identical to Exhibit 10.44)          --

10.49     Mortgage,  Security Agreement and Assignment of Leases and
          Rents dated as of May 15, 1993 granted by Houma Psychiatric
          Hospital,  Inc. to Societe Generale,  individually and as
          agent for the lenders which are parties to that certain  
          Credit  Agreement  described in Exhibit 10.15 above, with
          respect to certain real  property  located in the City of
          Houma,  Parish of Terrebonne,  Louisiana  (substantially
          identical to Exhibit 10.44) ...............................         --




                                       E-7
<PAGE>
                                                                            Page
                                                                          Nimber

10.50     Mortgage  with  Power of Sale and  Fixture  Filing and
          Assignment  of Leases and Rents dated as of May 15, 1993
          granted by HSA of Oklahoma, Inc. to Societe  Generale,
          individually  and as agent for the lenders which are parties
          to that certain Credit Agreement described in Exhibit 10.15
          above, with respect to certain real property located in
          Garfield County, Oklahoma (substantially identical to 
          Exhibit 10.44) ............................................         --
          --

10.51     Deed of Trust and Fixture  Filing and  Assignment of Leases
          and Rents dated as of May 15,  1993 granted by The Haven  
          Hospital,  Inc. to Societe Generate, individually and as 
          agent for the lenders which are parties to that certain  
          Credit  Agreement  described in Exhibit 10.15 above, with 
          respect to certain real  property  located in the City of 
          DeSoto, Dallas County, Texas (substantially identical to 
          Exhibit 10.44) ............................................         --

10.52     Loan  Agreement  between  Okaloosa  County,  Florida  and
          Gulf  Coast Treatment Center, Inc. dated October 1, 1984,
          relating to the issuance of bonds  for Gulf Coast Treatment
          Center,  Inc.  (incorporated  by reference to Exhibit 10.16
          to the Company's  Registration Statement on Form S-1, 
          Registration No. 2-9892) ..................................         --

10.53     Loan  Agreement  between  Louisiana  Public  Facilities
          Authority and Greenbrier Hospital, Inc. dated
          November 1, 1984,  relating to the issuance  of bonds for
          Greenbrier  Hospital,  Inc. (incorporated  by reference to
          Exhibit 10.17 to the Company's  Registration Statement on
          Form S-1, Registration No. 2-98921) .......................         --

10.54     Loan  Agreement  between  Horry  County,  South  Carolina
          and Carolina Treatment Center, Inc. dated December 1, 1984,
          relating  to the issuance of bonds for Carolina Treatment
          Center, Inc. (incorporated by reference to Exhibit 10.18 
          to the Company's  Registration Statement on Form S-1, 
          Registration No. 2-98921) .................................         --

10.55     Loan Agreement between Louisiana Public Facilities Authority
          and Houma Psychiatric Hospital,  Inc. dated as of
          September 1, 1985, relating to the issuance of bonds for HSA
          Bayou Oaks  Hospital  (incorporated  by reference to
          Exhibit 10.56 to the Company's Annual Report on Form 10-K
          for the year ended June 30, 1994) .........................         --

10.56     Ground Lease between Facilities Management  Corporation,
          as landlord, and Psychiatric Institute of West Virginia,
          Inc., as tenant, dated as of September 30, 1985  
          (incorporated  by reference to Exhibit 10.57 to the 
          Company's  Annual Report on Form 10-K for the year ended
          June 30, 1994) ............................................         --

10.57     Lease Agreement between Houma Psychiatric Hospital,  Inc.
          and Hospital Service  District  No. 1  of  the  Parish of
          Terrebonne, State of Louisiana, effective February 1, 1985
          (incorporated by reference to Exhibit 10.38 to the Company's
          Registration Statement on Form S- 1, Registration No. 2-98921)      --

10.58     Lease among  Bethany  Psychiatric Hospital, Inc., Bethany
          General Hospital,  the  City of  Bethany,  Oklahoma and the
          Bethany General Hospital Trust dated December 9, 1985
          (ground lease) ............................................

10.59     Loan  Agreement  between  The Enid  Development  Authority
          and HSA of Oklahoma,Inc.  dated  as of  October  1,  1985,
          relating  to The Enid Development  Authority  Variable Rate
          Demand Revenue Bonds (Meadowlake Hospital  Project)  
          (incorporated by reference to Exhibit 10.60 to the Company's 
          Annual Report on Form 10-K for the year ended June 30, 1995)        --


                                       E-8
<PAGE>

                                                                            Page
                                                                          Number

10.60     Ramsay  Health Care, Inc. 1990 Stock Option Plan, as amended
          to date (incorporated by reference to Exhibit 4.3 to the 
          Company's Registration Statement on Form S-8 filed on
          March 6, 1991) ............................................         --

10.61     Lease  Agreement dated August 30, 1988 between the Company
          and Ayshire Land Dome Joint Venture relating to office space
          at One Poydras Plaza, New Orleans,  Louisiana (incorporated 
          by reference to Exhibit 10.78 to the Company's  Registration
          Statement on Form S-2,  Registration  No. 33-40762) .......         --

10.62     Ramsay Health Care,  Inc.  Deferred  Compensation  and
          Retirement Plan (incorporated   by  reference  to
          Exhibit 10.79 to the Company's Registration Statement on 
          Form S-2,Registration No. 33-40762) .......................         --

10.63     Personnel  and Facility  Sharing  Agreement  dated as of
          June 27, 1991 between the Company and Ramsay Holdings HSA
          Limited  (incorporated  by reference to Exhibit 10.83 to
          the Company's  Registration Statement on Form S-2, 
          Registration No.33-40762) .................................         --

10.64     Indemnity  Agreement  dated as of June 1991  between  the
          Company and Ramsay  Holdings  HSA Limited  (incorporated
          by  reference to Exhibit 10.84  to  the   Company's
          Registration   Statement   on  Form  S-2, Registration
          No. 33-40762) .............................................         --

10.65     Management Agreement dated as of June 25, 1992 between the
          Company and Ramsay Health Care Pty. Limited  (incorporated by
          reference to Exhibit 10.90 to the  Company's Annual Report on
          Form 10-K for the year ended June 30, 1992) ...............         --

10.66     Ramsay  Health  Care,  Inc.  1991 Stock Option Plan  
          (incorporated by reference to Exhibit 10.91 to the Company's
          Annual Report on Form 10-K for the year ended June 30, 1992)        --

10.67    Employment  Agreement  dated  January 23, 1992 between the
         Company and Wallace E. Smith  (incorporated  by reference to
         Exhibit 10.94 to the Company's Annual Report on Form 10-K
         for the year ended June 30, 1992) ..........................         --

10.68    Employment  Agreement  dated  January 23, 1992 between the
         Company and John A. Quinn  (incorporated  by  reference  to
         Exhibit 10.95 to the Company's Annual Report on Form 10-K
         for the year ended June 30, 1992) ..........................         --

10.69     Lease  dated  April 4, 1992  between  The Union  Labor Life
          Insurance Company and the Company (incorporated by reference
          to Exhibit 10.98 to the Company's Annual Report on Form 10-K
          for the year ended  June 30, 1992) ........................         --

10.70     Lease dated May 27, 1992  between Gail Buy and  Bountiful
          Psychiatric Hospital  (incorporated by reference to Exhibit 
          10.99 to the Company's Annual Report on Form 10-K for the 
          year ended June 30, 1992) .................................         --

10.71     Lease  Agreement  dated as of February  12,  1993 by and
          between  Gulf Coast Treatment Center, Inc and Vendell of
          Florida, Inc. (incorporated by reference to Exhibit 10.82
          to the  Company's  Annual Report on Form 10-K for the year
          ended June 30, 1994) ......................................         --

10.72     Ramsay  Health  Care,  Inc.  1993 Stock Option Plan  
          (incorporated  by reference to Exhibit 10.83 to the
          Company's  Quarterly  Report on Form 10-Q for the quarter
          ended December 31, 1993) ..................................         --

                                       E-9
<PAGE>
                                                                            PagE
                                                                          Number
10.73     Ramsay  Health  Care,   Inc.  1993   Employee   Stock
          Purchase Plan (incorporated by reference to Exhibit 10.84
          to the Company's Quarterly Report on Form 10-Q for the  
          quarter ended December 31, 1993 ...........................         --

10.74     Fourth Modification,  Extension and Amendment of Lease
          Agreement dated November 15, 1993 between the Company and 
          One Poydras Plaza Venture relating to the Company's office
          space at One Poydras Plaza, New Orleans,  Louisiana 
          (incorporated by reference to Exhibit 10.84 to the
          Company's Annual Report on Form 10-K for the year ended
          June 30, 1994) ............................................         --

10.75     Employment  Agreement dated July 19, 1994 between the
          Company and Brent J. Bryson  (incorporated  by reference
          to Exhibit 10.85 to the Company's Annual Report on Form
          10-K for the year ended June 30, 1995) ....................         --

10.76     Rights  Agreement  dated as of August 1, 1995  between
          Ramsay  Health Care, Inc. and First Union National Bank of
          North Carolina, as Rights Agent,  which includes the form 
          of Right Certificate as Exhibit A and the  Summary  of  
          Rights to Purchase Common Shares as Exhibit B (incorporated
          by reference to Exhibit 4.1 to the Company's Current Report 
          on Form 8-K dated August 1, 1995) .........................         --

10.77     Letter  Agreement dated June 30, 1995 among Ramsay Health
          Care, Inc., Ramsay  Holdings  HSA Limited and Paul Ramsay
          Holdings Pty. Limited (incorporated by reference to Exhibit
          4.2 to the Company's Current Report on Form 8-K dated
          August 1, 1995) ...........................................         --

10.78     Lease Agreement dated  April  12, 1995  between Capstone
          Capital Corporation and Mesa Psychiatric Hospital, Inc.
          (incorporated by reference to Exhibit 10.88 to the
          Company's Annual Report on Form 10-K for the year ended
          June 30, 1995) ............................................         --

10.79     Lease Agreement dated April 12, 1995 between  Capstone
          Capital of San Antonio,LTD, d/b/a Cahaba of San Antonio,
          LTD. and RHCI San Antonio, Inc. (incorporated by reference
          to Exhibit 10.89 to the Company's Annual Report on Form 
          10-K for the year ended June 30, 1995) ....................         --

10.80      Facility Lease Agreement dated June 26, 1995 by and between
          Charter Canyon Behavioral Health System, Inc. and Bountiful
          Psychiatric Hospital, Inc. (incorporated  by reference to 
          Exhibit 10.90 to the Company's Annual Report on Form 10-K
          for the year ended June 30, 1995) .........................         --

10.81     Employment  termination  letter dated  September  15, 1995
          between the Company and Gregory H. Browne (incorporated by
          reference to Exhibit 10.91 to the Company's Annual Report
          on Form 10-K for the year ended June 30, 1995) ............         --

10.82     Second Amended and Restated Distribution Agreement between
          the Company and Ramsay Managed Care, Inc.  ("RMCI")
          (incorporated by reference to Exhibit 10.1 to RMCI's
          Registration Statement on Form S-1 (Registration  
          No. 33-78034) filed with the Commission on April 24, 1995)          --

10.83     Employee  Benefit  Agreement  dated as of February 1, 1995
          between the Company and RMCI (incorporated by reference to
          Exhibit 10.4 to RMCI's Registration Statement on Form S-1
          (Registration No. 33-78034) filed with the Commission on 
          April 24, 1995) ...........................................         --


                                      E-10
<PAGE>

                                        
                                                                            Page
                                                                          Number

10.84     Tax Sharing Agreement dated as of October 25, 1994 between
          the Company and RMCI(incorporated by reference to Exhibit
          10.5 to RMCI's Registration  Statement on Form S-1
          (Registration No. 33-78034) filed with the Commission 
          on April 24, 1995) ........................................         --

10.85     Corporate  Services  Agreement dated as of January 2, 1995
          between the Company and RMCI  (incorporated by reference to
          Exhibit 10.6 to RMCI's Registration  Statement on Form S-1
          (Registration No. 33-78034) filed with the Commission on
          April 24, 1995) ...........................................         --

10.86     Form of Withholding Tax Agreement between the Company,
          Ramsay Holdings HSA Limited,  Paul Ramsay Holdings Pty.
          Limited and Ramsay Health Care Pty.  Limited  (incorporated
          by  reference  to Exhibit 10.7 to RMCI's Registration
          Statement on Form S-1  (Registration No. 33-78034) filed
          with the Commission on April 24, 1995) ....................         --

10.87     $6,000,000   Subordinated   Promissory   Note  of  RMCI,
          as  amended (incorporated  by  reference to Exhibit  10.13
          to RMCI's Registration Statement on Form S-1 (Registration
          No. 33-78034) filed with the Commission on April 24, 1995)          --

10.88     Consent  and  Amendment  dated  April 12,  1996 among the
          Company and certain of its subsidiaries named therein,
          Societe Generale, New York Branch,  First Union  National  
          Bank of North  Carolina  and  Hibernia National Bank, as 
          lenders, and Societe Generale, as issuing bank and agent ..           

10.89     Second  Amendment to Credit  Agreement  dated as of 
          September 15, 1995 among the  Company  and  certain of its 
          subsidiaries  named  therein, Societe Generale,  New York 
          Branch, First Union National Bank of North Carolina and 
          Hibernia National Bank, as lenders, and Societe Generale,
          as issuing bank and agent  (incorporated by reference to
          Exhibit 10.99 to the Company's  Quarterly  Report on Form
          10-Q for the quarter ended September 30, 1995) ............         --

10.90     Amended and Restated Stock Purchase  Agreement  dated 
          October 12, 1995 by and among Paul Ramsay  Holdings Pty.
          Limited, Ramsay Health Care, Inc. and, solely  for the
          purpose  of  Section I, III and VI of the agreement,  
          Ramsay Health Care Pty. Limited (incorporated by reference
          to Exhibit 10.101 to the Company's  Quarterly  Report on
          Form 10-Q for the quarter ended September 30, 1995) .......         --

10.91     Amendment to Rights  Agreement,  dated October 3, 1995
          between  Ramsay Health Care,  Inc. and First Union Bank
          of North  Carolina,  as Rights Agent  (incorporated  by 
          reference to Exhibit  10.102 to the Company's Quarterly  
          Report on Form 10-Q for the  quarter  ended  September  30,
          1995) .....................................................         --

10.92     Ramsay Health Care,  Inc. 1995 Long Term Incentive Plan
          (incorporated by reference to Exhibit  10.103 to the
          Company's  Quarterly  Report on Form 10-Q for the quarter
          ended December 31, 1995) ..................................         --

10.93     Third Amendment to Credit  Agreement dated as of August 15,
          1996 among the Company and certain subsidiaries named
          therein,  Societe Generale, New York  Branch,  First Union
          National Bank of North  Carolina and Hibernia National
          Bank, as lenders,  and Societe Generale,  as issuing bank
          and agent .................................................           
   
10.94     Stock Purchase Agreement dated as of August 13, 1996 by and
          among Paul Ramsay Holdings Pty. Limited,  the Company and,
          solely for purposes of Sections  I, III and IV  thereof,
          Ramsay Health Care Pty. Limited ...........................           

                                      E-11
<PAGE>

                                                                            Page
                                                                          Number

10.95     Amended and Restated Employment  Agreement dated as of 
          August 15, 1996 by and between Reynold Jennings and the 
          Company ...............................................             

10.96     Exchange Agreement dated September 10, 1996, by and among
          the Company, Paul Ramsay  Hospitals  Pty.  Limited and
          Paul J. Ramsay,  including a  related Warrant  Certificate
          dated September 10, 1996 issued to Ramsay Hospital Pty. 
          Limited ...................................................         

10.97     Consulting  Agreement  dated as of January 1, 1996 between
          the Company and Summa Healthcare Group, Inc. ..............         

10.98     Letter  Agreement  dated as of  September  10,  1996 by and
          among the Company, Ramsay Health Care Pty. Limited and Paul
          Ramsay Holdings Pty. Limited,  included a related Warrant
          Certificate  dated September 10, 1996 issued to Paul Ramsay
          Holdings Pty. Limited .....................................         

11        Computation of Net Income Per Share .......................          

21        Subsidiaries of the Company ...............................         

23        Consent of Ernst & Young LLP ..............................         

27        Financial Data Schedule ...................................         

Copies of exhibits filed with this Annual Report on Form 10-K or
incorporated herein by reference do not accompany copies hereof
for distribution to stockholders of the Company. The Company
will furnish a copy of any of such exhibits to any stockholder
requesting it.



                                      E-12







                      RESTATED CERTIFICATE OF INCORPORATION

                                       OF

                      HEALTHCARE SERVICES OF AMERICA, INC.

          It is hereby certified that:

          1.  The  present  name  of the  corporation  (hereinafter  called  the
"corporation") is Healthcare Services of America,  Inc., which is the name under
which the corporation was originally  incorporated),  and the date of filing the
original  certificate of  incorporation of the corporation with the Secretary of
State of the State of Delaware is July 15, 1983.

          2.  The  provisions  of  the  certificate  of   incorporation  of  the
corporation as heretofore amended and/or  supplemented,  are hereby restated and
integrated into the single  instrument which is hereinafter set forth, and which
is entitled  Restated  Certificate of  Incorporation  of Healthcare  Services of
America, Inc., without further amendment and without any discrepancy between the
provisions  of the  certificate  of  incorporation  as  heretofore  amended  and
supplemented  and the provisions of the said single  instrument  hereinafter set
forth.

          3. The Board of  Directors  of the  corporation  has duly adopted this
Restated Certificate of Incorporation  pursuant to the provisions of Section 245
of the General Corporation Law of the State of Delaware in the form set forth as
follows:



<PAGE>

                                                                     Exhibit 3.1


                     "RESTATED CERTIFICATE OF INCORPORATION"

                                       OF

                      HEALTHCARE SERVICES OF AMERICA, INC.

          (1) The name of the  corporation  is  Healthcare  Services of America,
Inc.

          (2) The address of its  registered  office in the State of Delaware is
Corporation Trust Center,  1209 Orange Street,  Wilmington,  Delaware 19801, New
Castle  County.  The  name  of its  registered  agent  at  such  address  is The
Corporation Trust Company.

          (3) The purpose of the  corporation  is to engage in any lawful act or
activity for which  corporations may be organized under the General  Corporation
Law of Delaware.

          (4) The total  number of shares of stock which the  corporation  shall
have authority to issue is Twenty-Nine Million One Hundred Thousand (29,100,000)
shares, of which Twenty-Five  Million  (25,000,000)  shares, par value $1.00 per
share,  amounting in the aggregate to Twenty-Five Million Dollars  ($25,000,000)
shall be Common Stock; One Million One Hundred Thousand  (1,100,000) shares, par
value $1.00 per share,  amounting  in the  aggregate  to One Million One Hundred
Thousand  Dollars  ($1,100,000)  shall be Class A  Preferred  Stock;  and  Three
Million  (3,000,000)  shares,  par  value  $1.00  per  share,  amounting  in the
aggregate  to Three  Million  Dollars  ($3,000,000),  shall be Class B Preferred
Stock.

          Section 1. Class A Preferred Stock.  Class A Preferred Stock shall not
bear  interest,  shall be non-voting and shall not be entitled to any preference
in  liquidation  or  dissolution.  Each  share  of  Class A  Preferred  Stock is
convertible,  at the option of the holder thereof, at any time after the date of
issuance,  at the office of the corporation  into one (1) share of Common Stock,
par value $1.00 per share (the "Conversion Rate").

          (a) Adjustment to Conversion Rate for Diluting Issues.

               (i) Share Dividends, Class Subscription Offering, Combinations or
Subdivisions  of Shares.  With the exception of that stock split effected in the
nature  of a stock  dividend  payable  to Common  Stockholders  of record on the
effective date of this amendment, which stock split is in connection with a plan
of  recapitalization  of which this amendment forms a part, no dividend or other
distribution on or in respect of Common,  Class A Preferred or Class B Preferred



<PAGE>

                                                                               2

Shares which is payable in  securities of the  corporation  shall be declared or
paid,  nor shall the  corporation  issue  rights or  warrants  to the holders of
Common,  or to  holders  of Class A or B  Preferred  Stock to  subscribe  for or
purchase any securities of the  corporation,  nor shall there be any combination
or subdivision  of outstanding  shares of any of the classes of stock unless (1)
any such  action  is taken  simultaneously  with  respect  to all  shares of all
classes;  (2) all shares  issued as a dividend  or other  distribution  on or in
respect of Common (or  issuable  upon  conversion  or exchange  of any  security
issued as such a dividend or distribution) shall be shares of Common, all shares
issued as a dividend or other distribution on or in respect of Class A Preferred
(or  issuable  upon  conversion  or  exchange of any  security  issued as such a
dividend or distribution)  shall be shares of Class A Preferred,  and all shares
issued as a dividend or other distribution on or in respect of Class B Preferred
(or  issuable  upon  conversion  or  exchange of any  security  issued as such a
dividend or distribution) shall be shares of Class B Preferred;  (3) such rights
or warrants  shall be issued to the holders of Common and the holders of Class A
and Class B  Preferred  on the same  terms;  and (4) any  resulting  increase or
decrease of Common shares or Class A or Class B Preferred shares will be in such
proportion  to any  resulting  increase  or  decrease of the shares of all other
classes  of  capital  stock so that upon any  subsequent  conversion  of Class A
Preferred  shares in to Common,  the resulting  number of shares received by the
holders of those shares being converted shall  constitute the same percentage of
the then  issued and  outstanding  Common  shares and  capital  stock that would
otherwise  have  resulted  had there not been any increase or decrease in any of
the shares of capital stock.

               (ii) Adjustment for Reclassification,  Exchange and Substitution.
If any class of Common shares  issuable upon conversion of any shares of Class A
Preferred shares shall at any time or from time to time be changed into the same
or  different  number of shares of any class or  classes  of stock,  whether  by
capital   reorganization,    reclassification   or   otherwise    (collectively,
"Recapitalization")  other than a subdivision  or combination of shares or stock
dividend  provided  for in Section  1(a)(i)  above and subject to each and every
limitation contained in said section (collectively,  "Stock Distribution"), then
and in each such  event,  the  holder of each share of Class A  Preferred  Stock
shall have the right  thereafter  to convert such share into the kind and amount
of shares  of stock  and other  securities  and  property  receivable  upon such
Recapitalization  by a holder of the  number of shares of the other  classes  of
Common  into which  such  Class A  Preferred  shares  might have been  converted
immediately prior to such Recapitalization.


<PAGE>

                                                                               3


          (b) Adjustment to Conversion Rate for Sale of Capital Stock.

               (i) If at any time,  or from time to time,  after the issuance of
the Class A Preferred Stock (the "Issuance  Date"),  the  corporation  issues or
sells,  or is deemed by the express  provisions of this  subsection  (i) to have
issued or sold,  "Additional Shares of Capital Stock" (as hereinafter  defined),
other than as a Stock  Distribution,  for an "Effective  Price" (as  hereinafter
defined) of less than Two Dollars and Two Cents  ($2.02) per share,  then and in
each such case, as of the opening of business on the date of such issue or sale,
Class A Preferred Stock outstanding  before the issuance of Additional Shares of
Capital  Stock  shall be  convertible  into (i) the  number of shares of Class A
Preferred Stock  outstanding at the Issuance Date plus all Additional  Shares of
Capital Stock issued after the Issuance Date, divided by (ii) the sum of (A) the
number of shares of Class A Preferred  Stock  outstanding  at the Issuance Date,
plus (B) the number of shares of Class A  Preferred  Stock  which the  aggregate
consideration  received  (or by express  provision  thereof  deemed to have been
received)  by the  corporation  for the  total  number of  Additional  Shares of
Capital Stock issued after the Issuance  Date would  purchase at Two Dollars and
Two Cents ($2.02) per share.  Upon  determining  the new number of Common shares
into which each  share of Class A  Preferred  Stock  shall be  convertible,  the
Conversion Rate shall be  appropriately  adjusted to reflect such number.  There
shall be no  adjustment  in the number of Common  shares of the class or classes
into  which  each such  share of Class A  Preferred  Stock can be  converted  if
Additional  Shares of Capital Stock are sold for an Effective Price of more than
Two Dollars and Two Cents ($2.02) per share.

               (ii)  "Additional  Shares of Capital  Stock" issued or sold shall
mean all shares of Capital  Stock  issued or sold by the  corporation  after the
Issuance  Date,  whether  or  not  subsequently  reacquired  or  retired  by the
corporation,  other than  shares of Common  Stock or Common  stock  issued  upon
conversion of the Class A Preferred Stock.  The "Effective  Price" of Additional
Shares of Capital Stock shall mean the quotient determined by dividing the total
number of  Additional  Shares of Capital Stock issued or sold, or deemed to have
been issued or sold, by the corporation under this Section 1. into the aggregate
consideration  received or deemed to have been received by the  corporation  for
such issue under this Section 1.



<PAGE>

                                                                               4


               (iii) For the  purpose of making any  adjustment  required  under
this Section 1., the consideration  received by the corporation for any issue or
sale of  securities  shall (A) to the extent it  consists of cash be computed at
the gross  amount of cash  received  by the  corporation  before  deducting  any
expenses payable by the corporation or any underwriting or similar  commissions,
compensation,  or concessions  paid or allowed by the  corporation in connection
with such issue or sale,  (B) to the extent it consists  of property  other than
cash, be computed at the fair value of that property as determined in good faith
by the corporation's board of directors, and (C) if Additional Shares of Capital
Stock,  Convertible Securities (as hereinafter defined), or rights or options to
either  are issued or sold  together  with other  stock or  securities  or other
assets of the corporation for a consideration  which covers both, be computed as
the portion of the  consideration so received that may be reasonably  determined
in good  faith by the board of  directors  to be  allocated  to such  Additional
Shares of Capital Stock, Convertible Securities, or rights or options.

               (iv)  For the  purpose  of the  adjustment  required  under  this
Section  1., if at any time or from time to time  after  the  Issuance  Date the
corporation  issues or sells any rights or options for the purchase of, or stock
or other securities  convertible into,  Additional Shares of Capital Stock (such
convertible  stock or securities being  hereinafter  referred to as "Convertible
Securities"),  then in each  such case the  corporation  shall be deemed to have
issued at the time of the  issuance  of such  rights or options  or  Convertible
Securities  the maximum  number of Additional  Shares of Capital Stock  issuable
upon exercise or conversion  thereof and to have received as  consideration  for
the  issuance  of  such  shares  amounts  equal  to  the  total  amount  of  the
consideration,  if any,  received by the  corporation  for the  issuance of such
rights or options or Convertible Securities, plus in the case of such options or
rights, the minimum amounts of consideration, if any, payable to the corporation
upon the  exercise of such  options or rights,  and, in the case of  Convertible
Securities,  the  minimum  amount  of  consideration,  if  any,  payable  to the
corporation  upon  conversion  (other than by,  cancellation  or  liabilities or
obligations evidenced by such convertible securities).  No further adjustment of
the  Conversion  Rate  following  adjustment  upon the  issuance of such rights,
options  or  Convertible  Securities,  shall be made as a result  of the  actual
issuance  of  Additional  Shares of Capital  Stock on the  exercise  of any such
rights or options or the conversion of any such Convertible  Securities.  If any
such  rights or  options or the  conversion  privilege  represented  by any such
Convertible Securities shall expire without having been exercised, the


<PAGE>

                                                                               5

Conversion  Rate  adjusted  upon  the  issuance  of  such  rights,   options  or
Convertible  Securities  shall be readjusted to the Conversion  Rate which would
have  been in effect  had an  adjustment  been  made on the basis  that the only
Additional  Shares of  Capital  Stock so issued  were the  Additional  Shares of
Capital Stock, if any, actually issued or sold on the exercise of such rights or
options  or  rights  of  conversion  of such  Convertible  Securities,  and such
Additional  Shares  of  Capital  Stock,  if any,  were  issued  or sold  for the
consideration actually received by the corporation upon such exercise,  plus the
consideration,  if any, actually received by the corporation for the granting of
all such rights or options,  whether or not  exercised,  plus the  consideration
received for issuing or selling the Convertible  Securities  actually  converted
plus the  consideration,  if any,  actually  received  by the  corporation  upon
conversion  (other than by cancellation of liabilities or obligations  evidenced
by such Convertible Securities).

               (v) For the purpose of adjustment required under this Section 1.,
if at any time or from time to time  after  the  Issuance  Date the  corporation
issues  or  sells  any  rights  or  options  for  the  purchase  of  Convertible
Securities,  then in each  such  case the  corporation  shall be  deemed to have
issued at the time of the issuance of such rights or options the maximum  number
of  Additional  Shares of Capital Stock  issuable  upon  conversion of the total
number of Convertible  Securities  covered by such rights or options and to have
received as consideration  for the issuance of such Additional Shares of Capital
Stock an amount equal to the amount of  consideration,  if any,  received by the
corporation for the issuance of such rights or options, plus the minimum amounts
of consideration, if any, payable to the corporation (other than by cancellation
of liabilities or obligations evidenced by such Convertible Securities) upon the
conversion  of  such  Convertible  Securities.  No  further  adjustment  of  the
Conversion Rate, adjusted upon the issuance of such rights or options,  shall be
made as a result of the actual issuance of the  Convertible  Securities upon the
exercise  of such rights or options or upon the actual  issuance  of  Additional
Shares of Capital Stock upon the conversion of such Convertible Securities.  The
provisions of paragraph (iv) above for the  readjustment  of the Conversion Rate
upon the  expiration  of rights  or  options  or the  rights  of  conversion  of
Convertible  Securities  shall apply in as identical a fashion as is possible to
the rights,  options,  and Convertible  Securities referred to in this paragraph
(v).

               (vi) No adjustment shall be made under this Section 1.(b) for the
issuance  of  Additional  Shares of Capital  Stock if and to the extent that the
Conversion Rate will be adjusted for such issuance pursuant to Section 1 (a). If



<PAGE>

                                                                               6

an issuance transaction  qualifies in part for adjustment of the Conversion Rate
under  subsection  1.(a) and qualifies in part for  adjustment of the Conversion
Rate under subsection  1.(b),  then  appropriate  allocation and division of the
transaction  shall be made so as to properly  effectuate  the  intention  of the
provisions of this Section 1.

          (c) In the case of an adjustment  or  readjustment  of the  Conversion
Rate, the  corporation  shall,  at its own expense,  compute such  adjustment or
readjustment  and prepare a  certificate  showing  the same,  and shall mail the
certificate  by certified or  registered  United  States  mail,  return  receipt
requested,  postage  prepaid,  to each holder of Class A Preferred Shares at the
holder's address as shown on the books of the corporation. The certificate shall
be certified by the  corporation's  chief financial  officer and shall set forth
the new Conversion Rate and the facts upon which the new rate was computed. Such
notice shall be deemed given on the earlier or actual  receipt or five  business
days after mailing in the manner  described in this  subsection (c). Such notice
shall not be deemed binding on the holders of Class A Preferred Stock.

          (d)  Fractional  Shares.  No  fractional  shares  shall be issued upon
conversion  of the Class A Preferred  Stock or after  adjustment of the original
Conversion Rate. In lieu thereof,  the corporation  shall pay cash equal to such
fraction  multiplied  by the then market  price per share of the stock  issuable
upon  such  conversion.  The  market  price  shall be  equal to the most  recent
quotation on the  exchange,  if any, on which the Common Stock is listed,  or on
the  automated  quotation  system  of the  National  Association  of  Securities
Dealers.

          (e)  Reservation of Stock Issuable Upon  Conversion.  The  corporation
shall at all times reserve and keep available out of its authorized but unissued
shares of Common Stock,  solely for the purpose of effecting  the  conversion of
the Class A Preferred Stock,  such number of its shares of the classes of Common
Stock as shall from time to time be sufficient  to effect the  conversion of all
outstanding Class A Preferred Stock; and if at any time the number of authorized
but unissued shares of classes of Common Stock shall not be sufficient to effect
the conversion of all then outstanding  Class A Preferred Stock; the corporation
will take such  corporate  action as may,  in the  opinion  of its  counsel,  be
necessary to increase its authorized but unissued shares of Common Stock to such
number of shares as shall be sufficient for such purpose.


<PAGE>
                                                                               7




          Section 2. Class B Preferred Stock. The board of directors shall have,
to the fullest  extent  possible  under Section  151(g) of the Delaware  General
Corporation  law,  the power and  authority  to  designate  the  voting  powers,
designations,  preferences,  and  relative,  participating,  optional  or  other
rights,  if any, and the  qualifications,  limitations,  or  restrictions of the
Class B  Preferred  Stock and the holders  thereof.  The board of  directors  is
authorized to issue, by resolution or  resolutions,  the Class B Preferred Stock
authorized herein to be issued,  and by such resolution or resolutions to divide
said  Preferred  Stock into one or more series of Preferred  Stock,  and by such
resolution or resolutions, to fix the voting powers, designations,  preferences,
and relative,  participating,  optional or other rights, or the  qualifications,
limitations or restrictions thereof.

1,000,000  shares  of such  Class B  Preferred  Stock  has been  authorized  and
subsequently  designated as Class Preferred Stock, Series 1987 (the "Series 1987
Preferred Stock") and shall be described and limited as follows:

           (a) For purposes of this Section 2, the following  definitions  shall
apply:

           "Affiliate" shall mean a person that directly,  or indirectly through
one or more  intermediaries,  controls,  or is  controlled by or is under common
control with a person or entity.

           "Board  of  Directors"  shall  mean  the  board of  directors  of the
corporation.

           "Original Issue Date" shall mean the date on which the first share of
Series 1987 Preferred Stock was originally issued.

           (b) Dividend  Rights.  From and after the issuance of the Series 1987
Preferred Stock, the holders of outstanding Series 1987 Preferred Stock shall be
entitled to receive,  and shall be paid, when and as declared by the Board,  out
of funds legally available therefor,  cumulative  dividends at an annual rate of
$.15 per share,  payable in arrears  quarterly  on January 15, April 15, July 15
and October 15, to  stockholders of record on a date not more than 20 days prior
to the date on which such cash dividends are payable, said dividends to commence
accrual  on the  Original  Issue  Date.  Such  dividends  shall be prior  and in
preference to any  declaration of payment of any dividend on the Common Stock of
the corporation.  Such dividends shall be cumulative and shall accrue whether or
not declared by the Board of Directors of the corporation. No cash dividends


<PAGE>

                                                                               8

shall be paid  with  respect  to any class or  series  of  capital  stock of the
corporation,  including without limitation,  the Class A Preferred Stock and the
Common Stock of the corporation,  until all dividends accrued on any outstanding
shares of the Series 1987 Preferred  Stock,  whether or not declared,  have been
set apart and fully  paid.  No  accumulation  of  dividends  on the Series  1987
Preferred Stock shall bear interest.

           (c) Liquidation  Rights. In the event of liquidation,  dissolution or
winding up of the corporation,  whether voluntary or involuntary, the holders of
each share of the Series  1987  Preferred  Stock,  by reason of their  ownership
thereof, shall be entitled to receive in exchange for and in redemption of their
Series 1987 Preferred Stock,  prior and in preference to any distribution of any
of the assets or surplus funds of the corporation to the holders of any class or
series of capital stock of the corporation,  including without  limitation,  the
Class A Preferred Stock and the Common Stock of the corporation, an amount equal
to $2.50 per  share  plus all  accrued  but  unpaid  dividends,  whether  or not
declared, on such share.

All of the  preferential  amounts to be paid to the  holders of the Series  1987
Preferred  Stock  under this  Section (c) shall be paid or set apart for payment
before the  payment  or setting  apart for  payment  of any amount  for,  or the
distribution  of any assets or surplus funds of the  corporation to, the holders
of any class or series of capital stock of the  corporation,  including  without
limitation, the Class A Preferred Stock and the Common Stock of the corporation,
in  connection  with  such  liquidation,  dissolution  or  winding  up,  whether
voluntary or  involuntary.  If the assets or surplus funds to be  distributed to
the holders of the Series 1987 Preferred  Stock are  insufficient  to permit the
payment  to such  holders  of their  full  preferential  amount,  the assets and
surplus funds legally  available for distribution  shall be distributed  ratably
among the holders of the Series 1987  Preferred  Stock in proportion to the full
preferential amount each such holder is otherwise entitled to receive. After the
payment or distribution to the holders of the Series 1987 Preferred Stock of the
full preferential amounts aforesaid,  the holders of the Class A Preferred Stock
and the Common Stock then  outstanding  shall be entitled to receive ratably all
the remaining assets of the corporation.

           (d) Voting  Rights.  Except as set forth  specifically  below,  or as
required  by law,  the holder of each share of the Series 1987  Preferred  Stock
shall be  entitled  to nine and  two-tenths  (9.2) votes on all matters put to a
vote of the stockholders of the corporation and shall otherwise have voting


<PAGE>

                                                                               9


rights and powers  equal to the  voting  rights and powers of the Common  Stock.
Such  number  of  votes  shall be  appropriately  adjusted  in the  event of any
recapitalization,  reorganization,  stock dividend, stock split or similar event
affecting the capital stock of the corporation.  In the event that any shares of
the Series 1987  Preferred  Stock are  transferred  to a person or persons other
than to (a) an Affiliate of Ramsay  Corporation  ("Ramsay") or (b) a member of a
"group"  (within the meaning of Section 13(d) of the Securities  Exchange Act of
1934, as amended (the "34 Act")) which  includes  Ramsay and/or any Affiliate of
Ramsay and in which Ramsay and/or  Affiliates of Ramsay retain all voting rights
of such Series 1987 Preferred Stock, then such transferred Series 1987 Preferred
Stock shall be entitled to only that number of votes,  on all matters put to the
vote of stockholders of the  corporation,  equal to the number of full shares of
Common  Stock  into  which  such  transferred  Series  1987  Preferred  Stock is
convertible.  In such event,  the Series 1987 Preferred Stock not so transferred
shall retain the voting  rights set forth above.  In the event Ramsay  transfers
shares of Common  Stock  beneficially  owned by it to a person or persons  other
than to (a) an  Affiliate  of  Ramsay or (b) a member  of a "group  (within  the
meaning  of  Section  13(d) of the 34 Act)  which  includes  Ramsay  and/or  any
Affiliates of Ramsay and in which Ramsay and/or  Affiliates of Ramsay retain all
voting  rights of such  Common  Stock,  where  following  such  transfer  Ramsay
beneficially  owns less than  2,375,000  shares of Common  Stock (such number of
shares  to be  appropriately  adjusted  in the  event  of any  recapitalization,
reorganization,  stock  dividend,  stock split or similar  event  affecting  the
capital stock of the  corporation)  then all Series 1987  Preferred  Stock owned
beneficially  by Ramsay  shall be entitled to only that number of votes,  on all
matters put to a vote of stockholders of the corporation, equal to the number of
full  shares of Common  Stock into which such  Series  1987  Preferred  Stock is
convertible at the time of taking such vote. In any and all  circumstances,  the
holders of the Series  1987  Preferred  Stock shall be entitled to notice of any
stockholders' meeting in accordance with the bylaws of the corporation and shall
vote  together with the holders of the Common Stock as one class upon any matter
submitted to a vote of stockholders,  except those matters required by law to be
submitted  to a class  vote of the  holders  of  Series  1987  Preferred  Stock.
Fractional votes shall not,  however,  be permitted,  and any fractions shall be
disregarded in computing voting rights.

           (e) Conversion.  The holders of the Series 1987 Preferred Stock shall
have conversion rights as follows:


<PAGE>

                                                                              10


               (i) Right to Convert.

                   (A) Each  share of  Series  1987  Preferred  Stock  shall be
               convertible,  at the  option of the holder  thereof,  at any time
               after the date of  issuance  of such  share at the  office of the
               corporation  or any transfer  agent for the Series 1987 Preferred
               Stock, into that number of fully paid and nonassessable shares of
               Common Stock that results from dividing the Conversion  Price per
               share in effect at  conversion  into  $2.50 and  multiplying  the
               quotient  obtained  by  the  number  of  shares  of  Series  1987
               Preferred Stock being converted.  The initial Conversion Price is
               $5.00 per  share.  The  initial  Conversion  Price is  subject to
               adjustment from time to time as provided herein.

                   (B) No  fractional  shares of Common  Stock  shall be issued
               upon  conversion of Series 1987 Preferred Stock and if any shares
               of Series 1987 Preferred  Stock  surrendered by a holder,  in the
               aggregate,  for  conversion  which  would  otherwise  result in a
               fractional  share of Common  Stock,  then such  fractional  share
               shall be  redeemed  at the then  effective  Conversion  Price per
               share,  payable as promptly  as  possible  when funds are legally
               available therefor.

               (ii)  Mechanics of  Conversion.  Before any holder of Series 1987
Preferred  Stock  shall be  entitled  to convert  the same into shares of Common
Stock,  such holder shall surrender the  certificate or  certificates  therefor,
duly endorsed and accompanied by properly  executed stock powers,  at the office
of the corporation or of any transfer agent for the Series 1987 Preferred Stock,
shall give written notice to the corporation at such office of the name or names
in which such holder wishes the certificate or certificates for shares of Common
Stock to be issued if different  from the name shown on the books and records of
the  corporation,  and shall pay any  applicable  transfer tax. Said  conversion
notice shall also contain such  representations as may reasonably be required by
the corporation to the effect that the shares to be received upon conversion are
not being  acquired and will not be  transferred  in any way which might violate
the  then  applicable  securities  laws.  The  corporation  shall,  as  soon  as
practicable  thereafter,  issue and  deliver  at such  office to such  holder of
Series 1987  Preferred  Stock,  or to the nominee or nominees of such holder,  a
certificate  or  certificates  for the number of shares of Common Stock to which
such holder shall be entitled as aforesaid. Such conversion shall be deemed to


<PAGE>
                                                                              11

have been made  immediately  prior to the close of  business on the date of such
surrender of the shares of Series 1987 Preferred Stock to be converted,  and the
person or persons  entitled to receive the shares of Common Stock  issuable upon
such  conversion  shall be treated  for all  purposes  as the  record  holder or
holders of such shares of Common Stock as of such date. All certificates  issued
upon  the  exercise  of  the  conversion   shall  contain  a  legend   governing
restrictions upon such shares imposed by applicable securities laws.

               (iii)  Adjustment  for  Subdivisions  or  Combinations  of Common
Stock.  In the event the  corporation at any time or from time to time after the
Original  Issue Date effects a subdivision  or  combination  of its  outstanding
Common Stock into a greater or lesser number of shares  without a  proportionate
and  corresponding  subdivision or combination  of its  outstanding  Series 1987
Preferred  Stock,  then and in each such  event the  Conversion  Price  shall be
increased or decreased proportionately.

               (iv)  Adjustments for Dividends,  Distributions  and Common Stock
Equivalents. In the event the corporation at any time or from time to time after
the  Original  Issue  Date  shall  make or issue,  or fix a record  date for the
determination  of holders of Common  Stock  entitled to  receive,  a dividend or
other  distribution  payable  in  additional  shares  of  Common  Stock or other
securities or rights convertible into or entitling the holder thereof to receive
additional  shares of Common  Stock  (hereinafter  referred to as "Common  Stock
Equivalents") without payment of any consideration by such holder of such Common
Stock  Equivalents  or  the  additional  shares  of  Common  Stock,   without  a
proportionate  and  corresponding  dividend or other  distribution to holders of
Series 1987 Preferred  Stock,  then and in each such event the maximum number of
shares (as set forth in the instrument  relating  thereto  without regard to any
provisions contained therein for subsequent adjustment of such number) of Common
Stock issuable in payment of such dividend or distribution or upon conversion or
exercise of such Common Stock Equivalents shall be deemed,  for purposes of this
Subsection (e)(iv), to be issued and outstanding as of the time of such issuance
or, in the event such a record  date shall have been  fixed,  as of the close of
business on such record date. In each such event the then applicable  Conversion
Price shall be decreased as of the time of such issuance or, in the event such a
record  date shall have been  fixed,  as of the close of business on such record
date, by multiplying the then applicable Conversion Price by a fraction,


<PAGE>
                                                                              12


          (A) the  numerator  of which  shall be the  total  number of shares of
     Common Stock issued and  outstanding or deemed to be issued and outstanding
     immediately  prior to the time of such issuance or the close of business on
     such record date; and

          (B) the  denominator  of which shall be the total  number of shares of
     Common  Stock (x) issued and  outstanding  or deemed  pursuant to the terms
     hereof to be issued and outstanding  (not including any shares described in
     clause  (y)  immediately  below),  immediately  prior  to the  time of such
     issuance or the close of business on such record date,  plus (y) the number
     of  shares  of  Common  Stock  issuable  in  payment  of such  dividend  or
     distribution   or  upon   conversion  or  exercise  of  such  Common  Stock
     Equivalents; and provided, however, (i) if such record date shall have been
     fixed and such  dividend is not fully paid or if such  distribution  is not
     fully  made on the date  fixed  therefor,  the  Conversion  Price  shall be
     recomputed  accordingly as of the close of business on such record date and
     thereafter  the  Conversion  Price  shall  be  adjusted  pursuant  to  this
     Subsection  (e)(iv) as of the time of actual  payment of such  dividends or
     distributions;  or (ii) if such Common Stock Equivalents provide,  with the
     passage of time or otherwise, for any decrease or increase in the number of
     shares of Common Stock  issuable upon  conversion  or exercise  thereof (or
     upon the occurrence of a record date with respect thereto),  the Conversion
     Price computed upon the original issue thereof (or upon the occurrence of a
     record date with respect  thereto),  and any subsequent  adjustments  based
     thereon,  shall, upon any such decrease or increase becoming effective,  be
     recomputed to reflect such  decrease or increase  insofar as it affects the
     rights of  conversion  or exercise  of the Common  Stock  Equivalents  then
     outstanding;  or (iii) upon the  expiration  of any rights of conversion or
     exercise under any  unexercised  Common Stock  Equivalents,  the Conversion
     Price computed upon the original issue thereof (or upon the occurrence of a
     record date with respect  thereto),  and any subsequent  adjustments  based
     thereon,  shall,  upon  such  expiration,  be  recomputed  as if  the  only
     additional  shares of Common Stock issued were the shares of such stock, if
     any,  actually  issued upon the conversion or exercise of such Common Stock
     Equivalents;  or (iv) in the event of issuance of Common Stock  Equivalents
     which expire by their terms not more than sixty (60) days after the date of
     issuance  thereof,  no adjustments  of the  Conversion  Price shall be made
     until the  expiration  or exercise of all such  Common  Stock  Equivalents,
     whereupon  such  adjustment  shall be made in the manner  provided  in this
     Subsection (e)(iv).



<PAGE>
                                                                              13


               (v) Adjustment of Conversion Price for Diluting Issues. Except as
otherwise provided in this Subsection (e)(v), in the event the corporation after
the  Original  Issue  Date  sells or issues  any  Common  Stock or Common  Stock
Equivalents,  at a per share  consideration  (as  defined  below)  less than the
Conversion  Price then in effect for the Series 1987 Preferred  Stock,  then the
Conversion  Price then in effect shall be adjusted as provided in  subparagraphs
(A), (B), (C), and (D) hereof. For the purposes of the foregoing,  the per share
consideration  with respect to the sale or issuance of Common Stock shall be the
price  per  share  received  by the  corporation,  prior to the  payment  of any
expenses, commissions, discounts and other applicable costs. With respect to the
sale or issuance  of Common  Stock  Equivalents  which are  convertible  into or
exchangeable  for Common  Stock  without  further  consideration,  the per share
consideration  shall be determined by dividing the maximum  number of shares (as
set forth in the instrument  relating  thereto  without regard to any provisions
contained  therein for  subsequent  adjustment  of such  number) of Common Stock
issuable  with  respect to such  Common  Stock  Equivalents  into the  aggregate
consideration  received  by the  corporation  upon the sale or  issuance of such
common  Stock  Equivalents.  With  respect to the issuance of other Common Stock
Equivalents,  the per share  consideration  shall be  determined by dividing the
maximum  number  of  shares  (as set forth in the  instrument  relating  thereto
without regard to any provisions contained therein for subsequent  adjustment of
such  number)  of Common  Stock  issuable  with  respect  to such  Common  Stock
Equivalents into the total aggregate  consideration  received by the corporation
upon the sale or  issuance  of such  Common  Stock  Equivalents  plus the  total
consideration  receivable by the corporation  upon the conversion or exercise of
such Common  Stock  Equivalents.  The  issuance of Common  Stock or Common Stock
Equivalents  for no  consideration  or for less than  $1.00  per share  shall be
deemed to be an issuance at a per share  consideration  of $1.00.  In connection
with the sale or issuance of Common Stock and/or  Common Stock  Equivalents  for
noncash  consideration,  the amount of consideration  shall be determined by the
Board of Directors of the corporation.

               As used in this Subsection  (e)(v),  "Additional Shares of Common
Stock"  shall  mean  either  shares of Common  Stock  issued  subsequent  to the
Original Issue Date or, with respect to the issuance of Common Stock Equivalents
subsequent  to the  Original  Issue Date,  the maximum  number of shares (as set
forth in the  instrument  relating  thereto  without  regard  to any  provisions



<PAGE>
                                                                              14

contained  therein for  subsequent  adjustment  of such  number) of Common Stock
issuable in exchange  for, upon  conversion  of, or upon exercise of such Common
Stock Equivalents.

          (A) Upon each  issuance of Common Stock for a per share  consideration
     less than the Conversion Price in effect on the date of such issuance,  the
     Conversion  Price of the Series 1987 Preferred Stock in effect on such date
     will be adjusted by multiplying it by a fraction:

               (x) the  numerator  of which  shall be the  number  of  shares of
          Common  Stock  outstanding  immediately  prior to the issuance of such
          Additional  Shares of Common Stock plus the number of shares of Common
          Stock  which  the   aggregate  net   consideration   received  by  the
          corporation for the total number of such  Additional  Shares of Common
          Stock so issued would purchase at the Conversion Price then in effect,
          and

               (y) the  denominator  of which  shall be the  number of shares of
          Common  Stock  outstanding  immediately  prior to the issuance of such
          Additional  Shares of Common Stock, plus the number of such Additional
          Shares of Common Stock so issued.

           (B) Upon each  issuance  of Common  Stock  Equivalents,  exchangeable
     without  further   consideration   into  Common  Stock,  for  a  per  share
     consideration  less than the Conversion Price in effect on the date of such
     issuance, the Conversion Price of the Series 1987 Preferred Stock in effect
     on such date will be adjusted  as in  subparagraph  (A) of this  Subsection
     (e)(v) on the basis that the related  Additional Shares of Common Stock are
     to be treated as having  been  issued on the date of issuance of the Common
     Stock  Equivalents,   and  the  aggregate  consideration  received  by  the
     corporation for such Common Stock  Equivalents shall be deemed to have been
     received for such Additional Shares of Common Stock.

           (C) Upon each issuance of Common Stock  Equivalents  other than those
     described in subparagraph  (B) of this Subsection  (e)(v),  for a per share
     consideration  less than the Conversion Price in effect on the date of such
     issuance, the Conversion Price of the Series 1987 Preferred Stock in effect
     on such date will be adjusted  as in  subparagraph  (A) of this  Subsection
     (e)(v) on the basis that the related  Additional Shares of Common Stock are
     to be treated as having  been issued on the date of issuance of such Common
     Stock Equivalents, and the aggregate consideration received and


<PAGE>
                                                                              15

     receivable  by the  corporation  on  conversion  or exercise of such Common
     Stock Equivalents shall be deemed to have been received for such Additional
     Shares of Common Stock.

           (D) Once any  Additional  Shares of Common Stock have been treated as
     having been issued for the purposes of this Subsection  (e)(v),  they shall
     be treated as issued and  outstanding  shares of Common Stock  whenever any
     subsequent  calculations must be made pursuant hereto. On the expiration of
     any  options,  warrants or rights to purchase  Additional  Shares of Common
     Stock,  the termination of any rights to convert or exchange for Additional
     Shares of Common Stock,  the expiration of any options or rights related to
     such  convertible  or  exchangeable  securities  on  account  of  which  an
     adjustment in the  Conversion  Price has been made  previously  pursuant to
     this Subsection (e)(v) or the expiration or termination of any Common Stock
     Equivalents,  then the  Conversion  Price shall  forthwith be readjusted to
     such  Conversion  Price as would have obtained had the adjustment made upon
     the issuance of such options,  warrants,  rights,  securities or options or
     rights  related to such  securities of Common Stock  Equivalents  been made
     upon the basis of the issuance of only the number of shares of Common Stock
     actually issued upon the exercise of such options, warrants or rights, upon
     the  conversion or exchange of such  securities or upon the exercise of the
     options or rights  related to such  securities  or upon the exercise of the
     Common Stock Equivalents.

           (E) The foregoing  notwithstanding,  no adjustment of the  Conversion
     Price shall be made as a result of the issuance of the following,  but such
     shares of Common Stock shall be deemed to be outstanding  upon issuance for
     all other purposes hereof:

                (x) shares of Common Stock relating to (i)  outstanding  options
          to purchase  457,683  shares of Common  Stock of the  corporation  and
          outstanding  commitments to grant options to purchase  132,4000 shares
          of Common Stock of the  corporation,  (ii) warrants to purchase shares
          of Common Stock of the corporation outstanding under that certain Note
          and Warrant  Purchase  Agreement dated as of June 15, 1985 pursuant to
          which the  corporation's  13% Senior  Subordinated  Notes due June 15,
          1990 were  issued,  including  any  amendments  thereto,  (iii)  other
          warrants  to  purchase   378,000   shares  of  Common   Stock  of  the
          corporation,  (iv)  948,750  shares of Class A  Preferred  Stock which
          shares are convertible at any time and from time to time into the same




<PAGE>

                                                                              16

          number of shares of Common Stock, (v) the right of Charles A. Speir to
          convert the demand notes of the corporation in the aggregate principal
          amount  of  $1,000,000  into  a  number  of  shares  of  Common  Stock
          determined by dividing the principal and all accrued  interest on such
          notes by $7.00, (vi) the right of the holders of the corporation's 10%
          Subordinated   Convertible  Notes  issued  pursuant  to  that  certain
          Purchase   Agreement   dated  as  of   September  4,  1987  among  the
          corporation, Ramsay Corporation and Paul Joseph Ramsay, as modified by
          a Supplement to Purchase  Agreement dated as of October 30, 1987 among
          such parties,  to convert the principal  amount thereof into sharer of
          Common Stock or any mandatory  conversion thereof,  and (vii) warrants
          or options to  purchase  up to 150,000  shares of Common  Stock of the
          corporation  issued or to be issued to the  participating  banks under
          the Amended and  Restated  Credit  Agreement  dated as of November 10,
          1983, as amended and restated as of May 31, 1985,  as further  amended
          and restated as of August 13, 1986, and as further amended in November
          1987 among the Corporation,  the Banks named therein, Security Pacific
          National Bank as  collateral  agent and Bank of America N.T. & S.A. as
          general  agent (all such numbers to be  appropriately  adjusted in the
          event of any recapitalization,  reorganization,  stock dividend, stock
          split  or  similar   event   affecting   the  capital   stock  of  the
          corporation);

                (y) any shares of Common Stock  pursuant to which the Conversion
          Price has been adjusted  under  Subsection  (3) or (4) of this Section
          (e); or

                (z) any shares of Common Stock issued  pursuant to the exchange,
          conversion  or exercise  of any Common  Stock  Equivalents  which have
          previously been incorporated  into computations  hereunder on the date
          when such Common Stock Equivalents were issued.

               (vi) Reorganizations, Mergers Consolidations, or Sales of Assets.
If at any time or from time to time there shall be a capital  reorganization  of
the Common Stock (other than a subdivision,  combination,  reclassification,  or
exchange of shares  provided for elsewhere in this paragraph (e)) or a merger or
consolidation of the corporation with or into another  corporation,  or the sale
of all or substantially  all of the  corporation's  properties and assets to any
other person which is effected so that holders of Common  Stock are  entitled to


<PAGE>

                                                                              17


receive (either directly or upon subsequent  liquidation)  stock,  securities or
assets with respect to or in exchange for Common Stock,  then, as a part of such
reorganization,  merger, consolidation, or sale, provision shall be made so that
the holders of the Series 1987 Preferred  Stock shall  thereafter be entitled to
receive upon conversion of the Series 1987 Preferred Stock, the number of shares
of  stock,  securities  or  assets  of  the  corporation,  or of  the  successor
corporation  resulting  from such merger or  consolidation  or sale,  to which a
holder of Common Stock  deliverable  upon conversion would have been entitled on
such capital reorganization,  merger, consolidation,  or sale. In any such case,
appropriate  adjustment  shall be made in the  application  of the provisions of
this  paragraph (e) with respect to the rights of the holders of the Series 1987
Preferred Stock after the reorganization,  merger, consolidation, or sale to the
end that the  provisions  of this  paragraph  (e)  (including  adjustment of the
Conversion  Price  then in effect  and the  number of  shares  purchasable  upon
conversion of the Series 1987  Preferred  Stock) shall be applicable  after that
event as nearly equivalent as may be practicable.

               (vii) No Adjustment.  No adjustment to the Conversion Price shall
be made if such adjustment  would result in a change in the Conversion  Price of
less than  $.01.  Any  adjustment  of less than $.01  which is not made shall be
carried  forward  and  shall  be  made  at the  time of and  together  with  any
subsequent  adjustment which, on a cumulative basis, amounts to an adjustment of
$.01 or more in the Conversion Price.

               (viii) Certificate as to Adjustments. Upon the occurrence of each
adjustment or readjustment of the Conversion Price pursuant to this Section (e),
the  corporation  at its expense  shall  promptly  compute  such  adjustment  or
readjustment  in accordance with the terms hereof and cause  independent  public
accountants  selected by the corporation to verify such  computation and prepare
and furnish to each holder of Series 1987 Preferred Stock a certificate  setting
forth such adjustment or readjustment and showing in detail the facts upon which
such  adjustment or  readjustment  is based.  The  corporation  shall,  upon the
written  request  at any time of any  holder of  Series  1987  Preferred  Stock,
furnish or cause to be furnished to such holder a like certificate setting forth
(i) such adjustments and  readjustments,  (ii) the Conversion Price at that time
in effect,  and (iii) the number of shares of Common  Stock and the  amount,  if
any, of other  property which at that time would be received upon the conversion
of Series 1987 Preferred Stock.


<PAGE>
                                                                              18


               (ix)  Notices of Record  Date.  In the event of any taking by the
corporation  of a record of the  holders of any class of  securities  other than
Series 1987 Preferred  Stock for the purpose of determining  the holders thereof
who are entitled to receive any dividend or other distribution, any Common Stock
Equivalents  or any right to subscribe  for,  purchase or otherwise  acquire any
shares of stock of any class or any other securities or property,  or to receive
any other  right,  the  corporation  shall  mail to each  holder of Series  1987
Preferred Stock at least twenty (20) days prior to the date specified therein, a
notice  specifying  the date on which  any such  record  is to be taken  for the
purpose of such dividend,  distribution or rights,  and the amount and character
of such dividend, distribution or rights.

               (x)   Reservation   of  Stock  Issuable  Upon   Conversion.   The
corporation  shall at all times reserve and keep available out of its authorized
but unissued  shares of Common  Stock  solely for the purpose of  effecting  the
conversion of the shares of the Series 1987  Preferred  Stock such number of its
shares of Common  Stock as shall from time to time be  sufficient  to effect the
conversion of all outstanding  shares of the Series 1987 Preferred Stock; and if
at any time the number of authorized  but unissued  shares of Common Stock shall
not be sufficient to effect the conversion of all then outstanding shares of the
Series 1987 Preferred  Stock, the corporation will take such corporate action as
may, in the opinion of its counsel,  be necessary to increase its authorized but
unissued  shares of Common Stock to such number of shares as shall be sufficient
for such purpose.

           (f) Redemption of Series 1987  Preferred  Stock.  The  corporation on
September 30, 1997 shall redeem all of the shares of Series 1987 Preferred Stock
then  outstanding by paying $2.50 per share together with all accrued and unpaid
dividends  thereon  (whether  or not  declared)  to and  including  the  date of
redemption; provided, however, that if the Board of Directors of the corporation
determines  at such time by  resolution  duly adopted that the  corporation  has
insufficient  funds to effect such redemption due solely to the  requirements of
applicable  state  corporate law, then the Series 1987 Preferred Stock shall be,
at such time,  automatically  converted into Common Stock on the terms set forth
in Section (e) hereof.  Notice of the  redemption  of the Series 1987  Preferred
Stock  shall be mailed at least  thirty  (30) but not more than  sixty (60) days
before the  redemption  to each  holder of record of such shares (as of ten (10)
days  prior  to the  date  of  such  notice)  at his  address  as  shown  by the
corporation's  records.  At any time after  such  notice  has been  mailed,  the
corporation  may deposit the aggregate  redemption  price with any bank or trust
company named in such notice, payable in the amounts aforesaid to the respective



<PAGE>

                                                                              19


orders of the record holders of the shares to be redeemed,  on  endorsement  (if
required) and surrender of the certificates therefor, and thereupon said holders
shall cease to be stockholders  with respect to said shares,  and from and after
the making of such  deposit  said  holders  shall have no  interest  in or claim
against the  corporation  with respect to said shares  except only the rights of
the holders  thereof to receive  such  moneys  from said bank or trust  company,
without interest,  and further dividends thereon shall cease to be payable.  Any
funds so deposited by the corporation  which shall be unclaimed after the end of
the period  established by any statute  controlling the disposition of unclaimed
property shall be released or repaid to the corporation upon its request,  after
which the holders of the shares so called for redemption  shall look only to the
corporation for payment thereof without interest.

           (g) Protective  Provisions.  In addition to any other rights provided
bylaw,  so long as any Series 1987  Preferred  Stock shall be  outstanding,  the
corporation  shall not,  without first obtaining the affirmative vote or written
consent of the holders of not less than  66-2/3% of such  outstanding  shares of
Series 1987 Preferred Stock and Common Stock voting together as one class, amend
or  repeal  any  provision  of,  or add  any  provision  to,  the  corporation's
Certificate of Incorporation or Bylaws,  as amended,  or file any certificate of
designations,  preferences and rights of any series of Class B Preferred  Stock,
$1.00 par value, of the  corporation or Class A Preferred  Stock, if such action
would alter or change the preferences,  rights,  privileges or powers of, or the
restrictions  provided  for the  benefit of, any Series  1987  Preferred  Stock.
Nothing  herein shall be deemed to restrict the Board of Directors from amending
the terms hereof prior to the issuance of any Series 1987 Preferred Stock.

           (h) Notices. Any notice required by the provisions hereof to be given
to the holders of shares of Series 1987 Preferred Stock shall be deemed given if
deposited in the United States Postal Service, postage prepaid, and addressed to
each holder of record at his address  appearing on the books of the corporation.
For so long as Ramsay shall be the beneficial  owner of any shares of the Series
1987 Preferred Stock, a copy of any such notices shall also be given to Haythe &
Curley,  437 Madison  Avenue,  New York, New York 10022,  Attention:  Bradley P.
Cost, Esq.

           (5) In furtherance  and not in limitation of the powers  conferred by
statute, the board of directors is expressly authorized to make, alter or repeal
the by-laws of the corporation.


<PAGE>
                                                                              20


           (6) Whenever a compromise  or  arrangement  is proposed  between this
corporation  and  its  creditors  or any  class  of  them  and/or  between  this
corporation  and its  stockholders  or any class of them, any court of equitable
jurisdiction  within the State of Delaware may, on the  application in a summary
way of this  corporation  or of any  creditor or  stockholder  thereof or on the
application of any receiver or receivers  appointed for this  corporation  under
the  provisions  of  Section  291 of  Title  8 of the  Delaware  Code  or on the
application of trustees in dissolution or of any receiver or receivers appointed
for this  corporation  under the  provisions  of  Section  279 of Title 8 of the
Delaware Code order a meeting of the creditors or class of creditors,  and/or of
the stockholders or class of stockholders of this  corporation,  as the case may
be, to be summoned in such  manner as the said court  directs.  If a majority in
number  representing  three-fourths  in  value  of the  creditors  or  class  of
creditors,  and/or  of  the  stockholders  or  class  of  stockholders  of  this
corporation,  as the case may be, agree to any compromise or arrangement  and to
any  reorganization  of this  corporation as  consequence of such  compromise or
arrangement,  the said  compromise or  arrangement  and the said  reorganization
shall,  if sanctioned by the court to which the said  application has been made,
be  binding  on all the  creditors  or class  of  creditors,  and/or  on all the
stockholders or class of stockholders,  of this corporation, as the case may be,
and also on this corporation.

           (7) A director of the corporation  shall not be personally  liable to
the  corporation  or its  stockholders  for the  monetary  damages for breach of
fiduciary  duty as a director,  except for  liability  (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 the  Delaware  General
Corporation law or (iv) for any transaction  from which the director  derived an
improper personal benefit.

Signed and attested to on August 31, 1988.


                                                    ___________________________
                                                              President

Attest:



__________________________________
      Secretary


<PAGE>

                                                                              21

STATE OF ALABAMA           )
                           : ss.
COUNTY OF JEFFERSON        )

               BE IT REMEMBERED  that,  on August 31, 1988,  before me, a Notary
Public duly authorized by law to take acknowledgement of deeds,  personally came
Ralph J. Watts lying]  President of Healthcare  Services of America,  Inc.,  who
duly  signed  the  foregoing  instrument  before me and  acknowledged  that such
signing is his act and deed,  that such  instrument  as  executed is the act and
deed of said corporation, and that the facts stated therein are true.

               GIVEN under my hand on August 31, 1988


                                                                     
                                      _________________________________________
                                      Notary Public




<PAGE>



                            CERTIFICATE OF AMENDMENT

                                       OF

                          CERTIFICATE OF INCORPORATION

                                       OF

                      HEALTHCARE SERVICES OF AMERICA, INC.

                       After Receipt of Payment for Stock
                     Pursuant to Section 242 of the General
                    Corporation Law of the State of Delaware


          The undersigned,  President of HEALTHCARE SERVICES OF AMERICA, INC., a

corporation   organized  and  existing  under  and  by  virtue  of  the  General

Corporation  Law of the  State of  Delaware  (the  "Corporation"),  DOES  HEREBY

CERTIFY as follows:  

          FIRST:  The Certificate of  Incorporation of the Corporation is hereby

amended by deleting  Paragraph (1) of the  Certificate of  Incorporation  in its

present form and so  substituting  therefor a new Paragraph (1) in the following

form:

               "(1) The name of the Corporation is Ramsay Health Care, Inc."

          SECOND:  The Certificate of Incorporation of the Corporation is hereby

amended by deleting the first  sentence of paragraph (4) of the  Certificate  of

Incorporation  in its present  form and so  substituting  the  following in lieu

thereof:

               "(4) The total  number of shares of stock  which the  Corporation
          shall have the authority to issue is  Sixty-Five  Million Five Hundred
          Thousand  (65,500,000)  shares,  of which Sixty  Million  (60,000,000)

<PAGE>
                                                                               2


          shares, par value $1.00 per share, amounting in the aggregate to Sixty
          Million Dollars ($60,000,000), shall be Common Stock; Two Million Five
          Hundred  Thousand  (2,500,000)  shares,  par value  $1.00  per  share,
          amounting  in the  aggregate  to Two  Million  Five  Hundred  Thousand
          Dollars  ($2,500,000),  shall be Class A  Preferred  Stock;  and Three
          Million shares, par value $1.00 per share,  amounting in the aggregate
          to Three  Million  Dollars  ($3,000,000),  shall be Class B  Preferred
          Stock."

          THIRD:  The  amendments to the  Certificate  of  Incorporation  of the

Corporation set forth in this Certificate of Amendment have been duly adopted in

accordance  with  the  applicable  provisions  of  Section  242 of  the  General

Corporation  Law of the State of  Delaware,  (a) the Board of  Directors  of the

Corporation  having duly adopted a resolution  setting forth such amendments and

declaring  their  advisability  and submitting  them to the  stockholders of the

Corporation   for  their  approval  in  conformity   with  the  By-laws  of  the

Corporation,  and (b) the holders of a majority of the outstanding  stock of the

Corporation  entitled  to vote  thereon,  and the  holders of a majority  of the

outstanding stock of the Corporation of each class entitled to vote thereon as a

class having duly adopted resolutions setting forth such amendments by a vote at

a  meeting  of the  stockholders  held in  conformity  with the  By-laws  of the

Corporation.

            *                         *                           *




<PAGE>
                                                                               3


          IN WITNESS  WHEREOF,  the Corporation has caused its corporate seal to

be hereunto  affixed and this  Certificate  of Amendment of its  Certificate  of

Incorporation to be signed as of the 3rd day of November 1988.


                                                      HEALTHCARE SERVICES OF
                                                      AMERICA, INC.


                                                      By _____________________
                                                             Ralph J. Watts
                                                                President


[Corporate Seal]

Attest:



_______________________
Assistant Secretary





                                                                     EXHIBIT 4.1

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




                                 TRUST INDENTURE


                           Dated as of March 31, 1990


                                     Between

                            RAMSAY HEALTH CARE, INC.
                      BOUNTIFUL PSYCHIATRIC HOSPITAL, INC.
                         CUMBERLAND MENTAL HEALTH, INC.
                 EAST CAROLINA PSYCHIATRIC SERVICES CORPORATION
                            HAVENWYCK HOSPITAL, INC.
                                       and
                  PSYCHIATRIC INSTITUTE OF WEST VIRGINIA, INC.

                                       and

                     THE CITIZENS AND SOUTHERN NATIONAL BANK

                                       and

                                 SUSAN L. ADAMS


                                                                     as Trustees

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


<PAGE>






                                TABLE OF CONTENTS


SECTION                                                                     PAGE


Parties...................................................................... 1

1.  INTERPRETATION OF AGREEMENT; DEFINITIONS................................  4

         1.1.       Definitions............................................. 19
         1.2.       Directly or Indirectly.................................. 19
         1.3.       Accounting Principles................................... 19

2.       THE NOTES.......................................................... 19

         2.1.       The Notes............................................... 20
         2.2.       Denominations; Execution of Notes:
                    Certificate of Authentication........................... 21
         2.3.       Authentication and Delivery............................. 21
         2.4.       Payment of the Notes.................................... 21
         2.5.       The Register............................................ 22
         2.6.       Transfer and Exchanges.................................. 22
         2.7.       New Notes............................................... 23
         2.8.       Cancellation of Notes................................... 24
         2.9.       Trustee as Agent........................................ 24
         2.10.      Ownership............................................... 25
         2.11.      Ranking of Notes of Each Class.......................... 25

3.       PARTICULAR COVENANTS OF THE OBLIGORS............................... 25

         3.1.       Warranty of Title....................................... 25
         3.2.       Payment of Principal, Premium and Interest.............. 25
         3.3.       Office for Notices...................................... 25
         3.4.       Note Agreement, Pledge Agreement and Mortgage
                    Covenants............................................... 26
         3.5.       Maintenance of Corporate Existence, Rights.............. 26
         3.6.       Maintenance of Lien; Recording.......................... 26
         3.7.       Further Assurances; After - Acquired
                    Property................................................ 27
         3.8.       Maintenance of Property................................. 28
         3.9.       Right of Trustee to Perform Covenants, Etc.............. 28
         3.10.      Obligors to Give Notice of Default...................... 29
         3.11.      Money for Note Payments to be Held in Trust;
                    Repayment of Unclaimed Money............................ 29
         3.12.      Maintenance of Insurance and Licenses................... 30
         3.13.      Taxes, Claims for Labor and Materials, Compliance
                    with Laws............................................... 31
         3.14.      Maintenance, etc........................................ 31
         3.15.      Nature of Business...................................... 32
         3.16.      Consolidated Tangible Net Worth......................... 32
         3.17.      Fixed Charge Coverage................................... 32

                                                   -i-
<PAGE>






SECTION                                                                     PAGE



         3.18.      Limitations on Indebtedness.............................. 32
         3.19.      Limitation on Liens...................................... 36
         3.20.      Dividends, Stock Purchases, Consolidated
                    Investments.............................................. 39
         3.21.      Mergers, Consolidations and Sales of Assets.............. 41
         3.22.      Guaranties............................................... 43
         3.23.      Repurchase of Notes...................................... 44
         3.24.      Transactions with Affiliates............................. 44
         3.25.      Investments.............................................. 44
         3.26.      Termination of Pension Plans............................. 46
         3.27.      Reports and Rights of Inspection......................... 46
         3.28.      Amendment and Modification of Credit Agreement
                    and Other Documents...................................... 49
         3.29.      Prepayment of Certain Subordinated Funded
                    Indebtedness............................................. 49
         3.30.      Environmental Evaluation and Remediation................. 50
         3.31.      Interest Rate Protection Agreements...................... 50

4.  POSSESSION, USE AND RELEASE OF PROPERTY.................................. 50

         4.1        Obligors' Right of Possession.............................50
         4.2.       Release of Mortgaged Property............................ 50

5.  PREPAYMENT OF LOANS...................................................... 51

         5.1.       Prepayments and Manner Thereof........................... 51
         5.2.       Mandatory Prepayment..................................... 51
         5.3.       Optional Prepayment in the Event of Casualty or
                    Condemnation............................................. 52
         5.4.       Optional Prepayment With Premium......................... 52
         5.5.       Prepayment on Change in Control.......................... 54
         5.6.       Notice of Prepayments.................................... 55
         5.7.       Allocation of Prepayments................................ 56

6.  REMEDIES OF THE TRUSTEES AND THE NOTEHOLDERS

         6.1.       Definition of Event of Default; Acceleration of
                    Maturity................................................. 56
         6.2.       Acceleration of Note Obligations......................... 59
         6.3.       Annulment of Acceleration of Note Obligations............ 61
         6.4.       Suits for Enforcement; Power of Sale..................... 61
         6.5.       Remedies Under Mortgages; Foreclosure and Sale of
                    Mortgaged Property....................................... 62
         6.6.       Adjournment of Sale...................................... 63
         6.7.       Trustees May Execute Conveyances and Deliver
                    Possession; Sale a Bar................................... 63
         6.8.       Receipt Sufficient Discharge for Purchaser............... 64
         6.9.       Sale to Accelerate Notes................................. 64

                                      -ii-
<PAGE>

SECTION                                                                     PAGE



         6.10.      Application of Proceeds of Sale.......................... 64
         6.11.      Purchase of Trust Estate................................. 65
         6.12.      Trustees Entitled to Appointment of Receiver............. 66
         6.13.      Trustees May Enforce Rights Without Notes................ 66
         6.14.      Notice of Event of Default; Waiver....................... 66
         6.15.      Limitation on Noteholders' Right to Sue.................. 67
         6.16.      Remedies Cumulative...................................... 68
         6.17.      Delay or Omission Not a Waiver........................... 68
         6.18.      Waiver of Extension, Appraisement, Stay Laws............. 68
         6.19.      Control of Remedies by Noteholders....................... 69
         6.20.      Trustees May File Proofs of Claims....................... 69
         6.21.      Remedies Subject to Provisions of Law.................... 70

 7.  CONCERNING THE TRUSTEES................................................ 70

         7.1.       Duties of Trustees...................................... 70
         7.2.       Trustees' Liability..................................... 71
         7.3.       No Responsibility of Trustees for Recitals.............. 73
         7.4.       Compensation and Expenses of Trustees;
                    Indemnification; Lien Therefor.......................... 73
         7.5.       Moneys Received by Trustees; Trust Funds -
                    Segregation............................................. 74
         7.6.       Trustee May Hold Notes.................................. 74
         7.7.       Action by Individual Trustee............................ 74
         7.8.       Resignation of Trustee.................................. 75
         7.9.       Removal of Trustee...................................... 75
         7.10.      Appointment of Successor Trustee........................ 75
         7.11.      Succession of Successor Trustee......................... 76
         7.12.      Eligibility of Trustee.................................. 76
         7.13.      Successor Trustee by Merger............................. 76
         7.14.      Resignation of Individual Trustee....................... 77
         7.15.      Removal of Individual Trustee........................... 77
         7.16.      Appointment of Successor to Individual Trustee.......... 77
         7.17.      Succession of Successor to Individual Trustee........... 78

 8.  SUPPLEMENTAL INDENTURE; WAIVERS........................................ 78

         8.1.       Supplemental Indentures Without Noteholders,
                    Consent................................................. 78
         8.2.       Waivers and Consent by Noteholders; Supplemental
                    Indentures With Noteholders' Consent.................... 79
         8.3.       Solicitation of Noteholders............................. 80
         8.4.       Opinion of Counsel Conclusive as to Supplemental
                    Indenture............................................... 81

 9.  ACTION BY NOTEHOLDER................................................... 81

         9.1.       Evidence of Action by Noteholders....................... 81

                                      -iii-
<PAGE>


SECTION                                                                     PAGE



         9.2.       Noteholders' Execution of Instruments; Proof of
                         Holdings........................................... 81

 10.  SUBORDINATION OF THE SUBORDINATED SECURED NOTES....................... 82

 11.  TERMINATION OF INDENTURE.............................................. 85

         11.1.      Termination of Indenture................................ 85
         11.2.      Trustee's Retention of Moneys Deposited for
                         Payment of Notes................................... 86

 12.  MISCELLANEOUS PROVISIONS.............................................. 86

         12.1.      Indenture for Benefit of Parties Hereto................. 86
         12.2.      Severability............................................ 86
         12.3.      Basis of Opinions of Counsel and Certificates........... 87
         12.4.      Addresses for Notices................................... 87
         12.5.      Successors and Assigns.................................. 88
         12.6.      Counterparts; Descriptive Headings...................... 88
         12.7.      Governing Law........................................... 89

Signatures...................................................................89

ATTACHMENTS TO TRUST INDENTURE:

         Exhibit A - Form of Senior Secured Note

         Exhibit B - Form of Subordinated Secured Note


                                                   -iv-
<PAGE>




                                 TRUST INDENTURE



          TRUST INDENTURE dated as of March 31, 1990 (herein, as the same may be
amended and  supplemented  from time to time,  called the  "Indenture")  between
RAMSAY HEALTH CARE,  INC., a Delaware  corporation  (the  "Company"),  BOUNTIFUL
PSYCHIATRIC  HOSPITAL,  INC.,  a  Utah  corporation  ("Bountiful  Psychiatric"),
CUMBERLAND  MENTAL HEALTH,  INC., a North Carolina  corporation  ("Cumberland"),
EAST CAROLINA  PSYCHIATRIC  SERVICES  CORPORATION,  a North Carolina corporation
("East Carolina Psychiatric"),  HAVENWYCK HOSPITAL, INC., a Michigan corporation
("Havenwyck"),  MESA PSYCHIATRIC  HOSPITAL,  INC., an Arizona corporation ("Mesa
Psychiatric"),  and  PSYCHIATRIC  INSTITUTE OF WEST  VIRGINIA,  INC., a Virginia
corporation  ("Psychiatric  Institute";  together  with the  Company,  Bountiful
Psychiatric,   Cumberland,   East  Carolina  Psychiatric,   Havenwyck  and  Mesa
Psychiatric collectively being hereinafter referred to as the Obligors"),  whose
post office addresses are One Poydras Plaza, 639 Loyola Avenue,  Suite 1400, New
Orleans,  Louisiana  70113,  and The  Citizens  and  Southern  National  Bank, a
national banking  association  (the "Trustee"),  whose post office address is 33
North Avenue,  N.E., Suite 700,  Atlanta,  Georgia 30308,  Attention:  Corporate
Trust  Department  and Susan L. Adams  (the  "Individual  Trustee"),  whose post
office address is 33 North Avenue,  N.E., Suite 700, Atlanta,  Georgia 30308, as
Trustees (the "Trustees").

          WHEREAS,  the  Obligors are  authorized  by law, and deem in necessary
from time to time,  to borrow money for their  corporate  purposes and to secure
such  borrowings,  and the  Obligors  have the power and  propose to issue their
11.6% Senior Secured Notes due March 31, 2000 in the aggregate  principal amount
of $56,500,000 (the "Senior Secured Notes") and their 15.6% Subordinated Secured
Notes due March 31, 2000 in the aggregate  principal  amount of $3,000,000  (the
"Subordinated  Secured Notes")  constituting the joint and several obligation of
the  Obligors  which  Senior  Secured  Notes  and  Subordinated   Secured  Notes
(collectively,  the  "Notes")  are  to be  issued  under  and  secured  by  this
Indenture; and

          WHEREAS, the Obligors require funds to prepay certain indebtedness for
borrowed money of the Obligor (which indebtedness was issued by or guaranteed by
each of the  Obligors)  and to finance  capital  expenditures,  renovations  and
construction of facilities owned by certain of the Obligors; and



<PAGE>

                                                                               2

          WHEREAS,  all  things  necessary  to make  this  Indenture  the  valid
obligation  of the Obligors  according to its tenor and effect have been done or
authorized;

          NOW, THEREFORE, in consideration of the premises and of the sum of Ten
Dollars and of other good and valuable  consideration,  receipt whereof upon the
delivery of this  Indenture  the Obligors  hereby  acknowledge,  and in order to
strengthen  the  financial and  operating  condition of each and every  Obligor,
directly and indirectly,  as a result of the enhanced  ability of the Company to
provide  financial,  accounting,  consulting and  administrative  assistance and
services to each other Obligor,  and in order to secure the payment,  subject to
section 10 hereof,  of both the  principal of and interest and premium,  if any,
upon the Notes at any time  outstanding  hereunder  according to their tenor and
the provisions hereof,  and, further subject to section 10 hereof, to secure the
faithful  performance  and observance of all the covenants and provisions in the
Notes,  the Note  Agreements  (hereinafter  referred to), the Pledge  Agreements
(hereinafter  referred to), the Mortgages  (hereinafter referred to) and in this
Indenture  contained,  and to declare  the terms and  conditions  upon which the
Notes will be secured,  authenticated,  issued,  transferred and exchanged,  and
upon which the trusts  hereof are to be  administered  by the  Trustees,  and do
hereby GRANT, CONVEY, PLEDGE,  TRANSFER,  ASSIGN AND DELIVER to the Trustees and
unto their  successors  and  assigns  forever,  in trust for the  benefit of the
holders of the Notes,  subject to section 10 hereof,  and do hereby grant to the
Trustees and their  successors and assigns a security  interest in and to all of
the hereinafter defined Trust Estate, to wit:

          (a) all the right,  title and interest in and to all mortgages,  deeds
of trust, deeds to secure debt, acts of mortgage, security agreements or similar
security  instruments  granted  to  them  by  the  Obligors,  including  without
limitation,  (i) that certain Pledge and Security Agreement of the Company dated
as of March 31, 1990;  (ii) that certain Deed of Trust and Security Agreement of
Bountiful  Psychiatric  dated as of March 31, 1990 relating to certain  Property
commonly known as Benchmark  Regional  Hospital,  Woods Cross,  Utah; (iii) that
certain Deed of Trust and Security Agreement of Cumberland dated as of March 31,
1990  relating  to  certain  Property  commonly  known as  Cumberland  Hospital,
Fayetteville,  North  Carolina;  (iv) that  certain  Deed of Trust and  Security
Agreement of East Carolina  Psychiatric as of March 31, 1990 relating to certain
Property  commonly known as Bryan Marr Hospital,  Jacksonville,  North Carolina;
(v) that certain Mortgage and Security  Agreement of Havenwyck dated as of March
31, 1990 relating to certain Property commonly known as Havenwyck Hospital,


<PAGE>

                                                                               3

Auburn Hills, Michigan; (vi) that certain Leasehold Deed of Trust, Assignment of
Rents and Security  Agreement with Financing  Statement (Fixture Filing) of Mesa
Psychiatric  dated as of March 31, 1990  relating to certain  Property  commonly
known as Desert Vista Hospital, Mesa, Arizona; (vii) that certain Leasehold Deed
of Trust and Security  Agreement of Psychiatric  Institute dated as of March 31,
1990 relating to certain  Property  commonly known as Chestnut  Ridge  Hospital,
Morgantown, West Virginia (the Mortgage and Security Agreements described in the
foregoing clauses (ii) through (vii), inclusive,  are herein collectively called
"Mortgages");  (viii) that  certain  Pledge and  Security  Agreement of Michigan
Psychiatric Services,  Inc. dated as of March 31, 1990; (ix) that certain Pledge
and Security Agreement of Bountiful  Psychiatric dated as of March 31, 1990; and
(x) that certain Pledge and Security Agreement of Americare of Galax, Inc. dated
as of March 31,  1990 (the  Pledge  and  Security  Agreements  described  in the
foregoing clauses (i), (viii),  (ix) and (x) are herein  collectively called the
"Pledge  Agreements"),  together  with all  right,  title  and  interest  now or
hereafter granted,  conveyed,  mortgaged or assigned and all proceeds and avails
thereof (all such  Properties  so held by the Trustees  being  sometimes  herein
referred to as the  "Mortgage  Property and (b) all moneys and  Securities  from
time to time  held by the  Trustees  under  the  terms  of this  Indenture  (the
Mortgaged  Property  together with such moneys and  Securities  being  sometimes
herein collectively referred to as the Trust Estate");

          TO HAVE AND TO HOLD all and  singular  the Trust  Estate  whether  now
owned or held or hereafter  acquired,  unto the  Trustees,  their  successors in
trust and assigns forever;

          IN TRUST, NEVERTHELESS,  WITH POWER OF SALE, for the equal and ratable
benefit and  security of the Notes,  subject to section 10 hereof,  from time to
time outstanding hereunder,  without preference,  priority or distinction of any
thereof  over any  other by  reason  of  deference  in time of  issuance,  sale,
authentication, delivery or otherwise, and for the enforcement of the payment of
the principal of, premium,  if any, and Interest on the Notes in accordance with
their terms,  and all other sums payable  under this  Indenture or on the Notes,
and the  observance and  performance of the provisions of, the Note  Agreements,
the Pledge Agreements, the Mortgages and this Indenture, all as herein provided.

          IT IS HEREBY COVENANTED, DECLARED AND AGREED, that the Notes are to be
issued, authenticated, delivered and secured, and that the Mortgaged Property is


<PAGE>
                                                                               4

to be held, dealt with and disposed of by the Trustees,  upon and subject to the
provisions of this Indenture.

SECTION 1.  INTERPRETATION OF AGREEMENT; DEFINITIONS.

          Section 1.1. Definitions.  Unless the context otherwise requires,  the
terms  hereinafter set forth when used herein shall have the following  meanings
and the following  definitions shall be equally  applicable to both the singular
and plural forms of any of the terms herein defined:

          "Affiliate"   shall  mean  any  Person  (other  than  a   Consolidated
Subsidiary) (i) which directly or indirectly through one or more  intermediaries
controls,  or is controlled  by, or is under common  control with,  the Company,
(ii)  which  beneficially  owns or holds 5% or more of any  class of the  Voting
Stock of the Company or (iii) 5% or more of the Voting  Stock (or in the case of
a Person which is not a corporation, 5% or more of the equity interest) of which
is beneficially owned or held by the Company or a Subsidiary. The term "control"
means the  possession,  directly or indirectly,  of the power to direct or cause
the direction of the  management and policies of a Person,  whether  through the
ownership of Voting Stock, by contract or otherwise.

          "Appraised  Value"  with  respect  to a  Hospital  shall mean the fair
market value on the date of an appraisal of such  Hospital,  including  the Land
Parcels and  Equipment  subjected or to be  subjected  to the  Mortgage  related
thereto,  as  shown  by (i)  the  appraisal  thereof  furnished  to the  Initial
Purchasers in  accordance  with the  provisions of section  7(a)(vi) of the Note
Agreements or (ii) the appraisal thereof furnished to the Trustees in accordance
with the provisions of section 4.2 hereof.

          "Appraiser" shall mean Valuation Counselors,  Inc., or another firm of
appraisers satisfactory to the Required Holders.

          "Bank Debt" shall mean (i) indebtedness for borrowed money outstanding
under the working  capital  facility  provided under the Credit  Agreement in an
aggregate   principal  amount  not  to  exceed  $5,000,000,   (ii)  indebtedness
outstanding  under the term loan facility provided under the Credit Agreement in
an aggregate  principal amount not to exceed  $34,000,000 and (iii) indebtedness
outstanding  under the  letter  of credit  facility  provided  under the  Credit
Agreement in an aggregate principal amount not to exceed $31,000,000.


<PAGE>
                                                                               5

          "Benchmark  Regional Hospital" shall mean the Land Parcels,  building,
improvements and Equipment comprising Benchmark Regional Hospital,  Woods Cross,
Utah.

          "Brynn  Marr  Hospital"  shall  mean  the  Land  Parcels,   buildings,
improvements  and  Equipment  comprising  Brynn Marr Hospital and Life Center of
Jacksonville, Jacksonville, North Carolina.

          "Business Day" shall mean any day other than a Saturday, a Sunday or a
day on which commercial banks in New York City, Atlanta, Georgia or New Orleans,
Louisiana are required or authorized to be closed.

          "Capitalized  Lease"  shall  mean (i) any  lease  the  obligation  for
Rentals with respect to which is required to be  capitalized  on a balance sheet
of the lessee in accordance with generally  accepted  accounting  principles and
(ii) any lease entered into in connection with a sale and leaseback transaction.

          "Capitalized  Rentals" shall mean as of the date of any  determination
the  amount  at which the  aggregate  Rentals  due and to  become  due under all
Capitalized  Leases under which the Company or any Consolidated  Subsidiary is a
lessee.

          "CHAMPUS"  shall mean the Civilian  Health and Medical  Program of the
Uniformed Services which provides health benefits to active and retired military
personnel and their families.

          "Chest  Ridge  Hospital"  shall  mean  the  Land  Parcels,  buildings,
improvements and Equipment comprising Chestnut Ridge Hospital,  Morgantown, West
Virginia.

          "Closing Date" shall have the meaning set forth in section 4(b) of the
Note Agreements.

          "Consolidated  Cash  Flow"  shall  mean  the  sum of (a)  Consolidated
Pre-Tax  Net  Income  plus,  to the  extent  deducted  from the  calculation  of
Consolidated  Pre-Tax Net Income, (b) deprecation plus (c) amortization plus (d)
Interest Expense less actual cash payments of Federal,  state and local taxes of
the  Company  and its  Consolidated  Subsidiaries,  all for the most recent tour
fiscal quarters, determined on a consolidated basis in accordance with generally
accepted accounting principles.


<PAGE>
                                                                               6

          "Consolidated  Current Assets" and "Consolidated  Current Liabilities"
shall mean such  assets and  liabilities  of the  Company  and its  Consolidated
Subsidiaries  on a consolidated  basis as shall be determined in accordance with
generally  accepted  accounting  principles  to  constitute  current  assets and
current liabilities, respectively.

          "Consolidated  Debt  Service"  shall mean the sum of (i) Fixed Charges
plus (ii) scheduled  mandatory  principal  payments of (A)  Consolidated  Funded
Indebtedness  and (B)  Subordinated  Funded  Indebtedness,  required  to be made
within twelve months  following the date of any  determination  of  Consolidated
Debt Service.

          "Consolidated Net Income" for any period shall mean the gross revenues
of the  Company  and its  Consolidated  Subsidiaries  for such  period  less all
expenses and other proper charges  (including taxes on income),  determined on a
consolidated basis in accordance with generally accepted  accounting  principles
consistently  applied and after eliminating  earnings or losses  attributable to
outstanding Minority Interests, but excluding in any event:

          (a)  any  gains  or  losses  on  the  sale  or  other  disposition  of
investments or fixed or capital assets, and any taxes on such excluded gains and
any tax deductions or credits on account of any such excluded losses;

          (b) the proceeds of any insurance policy;

          (c) net  earning  and losses of any  Consolidated  Subsidiary  accrued
prior to the date it became a Consolidated Subsidiary;

          (d)  net  earnings  and  losses  of  any  corporation  (other  than  a
Consolidated  Subsidiary),  substantially  all the  assets  of which  have  been
acquired in any manner,  realized by such other corporation prior to the date of
such acquisition;

          (e)  net  earnings  and  losses  of  any  corporation  (other  than  a
Consolidated  Subsidiary)  with which the Company or a  Consolidated  Subsidiary
shall have consolidated or which shall have merged into or with the Company or a
Consolidated Subsidiary prior to the date of such consolidation or merger;

          (f) net earnings of any  business  entity  (other than a  Consolidated
Subsidiary) in which the Company or any Consolidated Subsidiary has an ownership
interest  unless such net  earnings  shall have  actually  been  received by the
Company or such Subsidiary in the form of cash distributions;


<PAGE>

                                                                               7

          (g) any  portion of the net  earnings of any  Consolidated  Subsidiary
which for any reason is  unavailable  for payment of dividends to the Company or
any other Consolidated Subsidiary;

          (h) earnings  resulting from any reappraisal,  revaluation or write-up
of assets;

          (i) any deferred or other credit representing any excess of the equity
in any Subsidiary at the date of acquisition thereof over the amount invested in
such Subsidiary;

          (j) any gain arising from the  acquisition  of any  Securities  of the
Company or any Consolidated Subsidiary; and

          (k) any reversal of any contingency reserve, except to the extent that
provision for such contingency  reserve shall have been made from income arising
during such  period,  other than  contractual  adjustments  under  reimbursement
programs for Medicare,  Medicaid, Champus and Blue Cross, all in accordance with
generally accepted accounting principles.

          "Consolidated  Net Tangible  Assets" shall mean, as of the time of any
determination  thereof,  the total  assets of the Company  and its  Consolidated
Subsidiaries  appearing on a  consolidated  balance sheet of the Company and its
Consolidated   Subsidiaries   prepped  in  accordance  with  generally  accepted
accounting  principles as of the date of  determination,  after  eliminating all
intercompany  transactions  and all amounts  properly  attributable  to minority
interests, if any, in the stock and surplus of Consolidated  Subsidiaries of the
Company and after deducting therefrom (without  duplication of deductions);  (a)
all  Consolidated  Current  Liabilities;  (b) the net book amount of all assets,
after  deducting  any  reserves  applicable  thereto,  which would be treated as
intangible under generally accepted accounting  principles,  including,  without
limitation,  such items as good will,  trademarks,  trade names,  service marks,
brand names,  copyrights,  patents and licenses,  and rights with respect to the
foregoing,  unamortized debt discount and expense, organization expenses and the
excess of cost of purchased  Subsidiaries  of the Company over equity in the net
assets thereof at the date of acquisition; (c) any write-up in the book value of
any asset on the books of the Company or any of its Consolidated Subsidiaries



<PAGE>

                                                                               8


resulting  from a revaluation  thereof  subsequent to the date of this Indenture
(other than the write-up of the book value of an asset made in  accordance  with
generally accepted accounting principles in connection with the purchase of such
asset); (d) the amounts,  if any, at which shares of stock of the Company or any
of its Consolidated Subsidiaries appear on the asset side of such balance sheet;
(e) all  deterred  charges  (other than  prepaid  expenses);  (f) all  reserves,
including,  without limitation,  reserves for deferred income taxes, liabilities
(fixed or  contingent),  depreciation,  obsolescence,  insurance  and  inventory
valuation,  which appear or under generally accepted  accounting  principles are
required  to appear on such  balance  sheet;  and (g) the  amounts  at which any
investment  in any Person  (other than  investments  permitted by section  3.25)
appears on the asset side of such balance sheet.

          "Consolidated  Pre-Tax Net Income" for any period shall mean the gross
revenues of the Company and its  Consolidated  Subsidiaries for such period less
all expenses and other proper charges  (other than taxes on income),  determined
on a  consolidated  basis  in  accordance  with  generally  accepted  accounting
principles  consistently  applied  and  after  eliminating  earnings  or  losses
attributable to outstanding Minority Interests, but excluding in any event:

          (a)  any  gains  or  losses  on  the  sale  or  other  disposition  of
investments or fixed or capital assets, and any taxes on such excluded gains and
any tax deductions or credits on account of any such excluded losses;

          (b) the proceeds of any insurance policy;

          (c) net earnings  and losses of any  Consolidated  Subsidiary  accrued
prior to the date it became a Consolidated Subsidiary;

          (d)  net  earnings  and  losses  of  any  corporation  (other  than  a
Consolidated  Subsidiary),  substantially  all the  assets  of which  have  been
acquired in any manner,  realized by such other corporation prior to the date of
such acquisition;

          (e)  net  earnings  and  losses  of  any  corporation  (other  than  a
Consolidated  Subsidiary)  with which the Company or a  Consolidated  Subsidiary
shall have consolidated or which shall have merged into or with the Company or a
Consolidated Subsidiary prior to the date of such consolidation or merger;


<PAGE>
                                                                               9


          (f) net earnings of any  business  entity  (other than a  Consolidated
Subsidiary) in which the Company or any Consolidated Subsidiary has an ownership
interest  unless such net  earnings  shall have  actually  been  received by the
Company or such Subsidiary in the form of cash distributions;

          (g) any  portion  of the net  earning of any  Consolidated  Subsidiary
which for any reason is  unavailable  for payment of dividends to the Company or
any other Consolidated Subsidiary;

          (h) earnings  resulting from any reappraisal,  revaluation or write-up
of assets;

          (i) any deferred or other credit representing any excess of the equity
in any Subsidiary at the date of acquisition thereof over the amount invested in
such Subsidiary;

          (j) any gain arising from the  acquisition  of any  Securities  of the
Company or any Consolidated Subsidiary; and

          (k) any reversal of any contingency reserve, except to the extent that
provision for such contingency  reserve shall have been made from income arising
during such  period,  other than  contractual  adjustments  under  reimbursement
programs for Medicare,  Medicaid, Champus and Blue Cross, all in accordance with
generally accepted accounting principles.

          "Consolidated   Subsidiary"   shall   mean   each  of  the   Principal
Subsidiaries  and any other  Subsidiary (i) which is organized under the laws of
the United States or any State thereof;  (ii) which conducts all of its business
and has all of its assets within the United States; (iii) of which more than 80%
(by number of votes) of the Voting  Stock is owned by the Company  and/or one or
more Consolidated  Subsidiaries (iv) which is engaged in the business,  directly
or  through a  Subsidiary,  of  operating  psychiatric  hospitals  in the United
States;  and (v) Which is consolidated with the Company for financial  reporting
purposes in accordance with generally accepted accounting principles.

          "Consolidated  Tangible Net Worth"  shall mean,  as of the date of any
determination  thereof, the aggregate amount of the capital stock (less treasury
stock),  surplus and  retained  earnings  of the  Company  and its  Consolidated
Subsidiaries  after deducting  Minority  Interests to the extent included in the
capital stock accounts of the Company plus the aggregate principal amount of the

<PAGE>
                                                                              10

Subordinated  Funded Indebtedness then outstanding up to an amount not to exceed
$7,500,000 less all Intangible Assets, all as determined on a consolidated basis
by the Company and its Consolidated Subsidiaries.

          "Consumer Price Index" shall mean the percentage rise in the so-called
"Consumer  Price  Index  for  All  Urban  Consumers"  as  released  by the U. S.
Government's  Bureau  of  Labor  Statistics   determined  for  the  most  recent
twelve-month period.

          "Credit  Agreement"  shall mean the Credit Agreement dated as of April
20, 1990 among the Company and certain Subsidiaries,  as the Borrowers, Hibernia
National  Bank,  as a Lender,  the other  Lenders  named  therein,  First  Union
National Bank of North Carolina,  as Issuing Bank and Administrative  Agent, and
HomeFed Bank, Federal Savings Bank, as Agent.

          "Cumberland   Hospital"  shall  mean  the  Land  Parcels,   buildings,
improvements  and Equipment  comprising  Cumberland  Hospital and Lite Center of
Fayetteville, Fayetteville, North Carolina.

          "Current  Indebtedness  shall mean any  obligation  for borrowed money
(and any notes  payable and drafts  accepted  representing  extensions of credit
whether or not representing obligations for borrowed money) payable on demand or
within a period of one year from the date of the creation thereof.

          "Default"  shall mean any event or condition,  the occurrence of which
would,  with the lapse of time or the giving of notice,  or both,  constitute an
Event of Default.

          "Desert  Vista  Hospital"  shall  mean  the Land  Parcels,  buildings,
improvements and Equipment comprising Desert Vista Hospital, Mesa, Arizona.

          "Equipment" shall mean, collectively,  the personal property described
in Granting Clause II of the Mortgages.

          "ERISA"  shall mean the  Employee  Retirement  Income  Security Act of
1974, amended from time to time.

          "Event of Default" shall mean any of the Events of Default referred to
in section 6.1 hereof.


<PAGE>
                                                                              11


          "Facility"  shall mean a psychiatric  hospital or healthcare  facility
owned by the Company or a Consolidated Subsidiary.

          "Fixed Charges" for any period shall mean on a consolidated  basis the
sum of (i) all Rentals  (excluding  all Rentals on Capitalized  Leases)  payable
during such period by the Company and its  Consolidated  Subsidiaries,  and (ii)
all Interest  Expense on all  Indebtedness  (including  interest  payable  under
Capitalized  Leases) payable during such period by Company and its  Consolidated
Subsidiaries.

          "Funded  Indebtedness"  of any Person  shall mean and include  without
duplication,

          (i) any  obligation  payable  more  than  one  year  from  the date of
creation thereof,  which under generally accepted accounting principles is shown
on the balance sheet as a liability (including Capitalized Lease obligations but
excluding  reserves for deferred  income taxes and other  reserves to the extent
that such reserves do not constitute an obligation),

          (ii) indebtedness payable more than one year from the date of creation
thereof  which is  secured  by any Lien on, or payable  out of the  proceeds  of
production from, property owned by the Company or any Subsidiary, whether or not
the indebtedness  secured thereby shall have been assumed by the Company or such
Subsidiary,

          (iii)  contingent  obligations  in respect of letters of credit issued
and not yet drawn upon,

          (iv) Guaranties,  endorsements  (other than endorsements of negotiable
instruments  for  collection  in the  ordinary  course  of  business)  and other
contingent  liabilities  (whether  direct or  indirect) in  connection  with the
obligations,  stocks or dividends of any other Person (other than  Guaranties or
endorsements by the Company or a Subsidiary of, or other contingent  obligations
in respect of, any obligation of a Subsidiary),

          (v) obligations under any contract  providing for the making of loans,
advances or capital  contributions  to any other Person,  or for the purchase of
any  property  from any  Person,  in each  case in order to enable  such  Person
primarily to maintain  working  capital,  net worth or any other  balance  sheet
condition or to pay debts, dividends or expenses,


<PAGE>
                                                                              12


          (vi)  obligations  under any contract  for the purchase of  materials,
supplies  or  other  property  or  services  if such  contract  (or any  related
document)  requires that payment for such materials,  supplies or other property
or  services  shall  be made  regardless  of  whether  or not  delivery  of such
materials, supplies or other property or services is ever made or tendered,

          (vii)  obligations  under any Capitalized Lease or contract to rent or
lease (as lessee) any real or personal property if such contract (or any related
document)  provides that the obligation to make payments  thereunder is absolute
and unconditional under conditions not customarily found in commercial leases or
requires that the lessee purchase or otherwise acquire securities or obligations
of the lessor,

          (viii)  obligations  under  any  contract  for  the  sale  or  use  of
materials,  supplies or other  property or  services  if such  contract  (or any
related  document)  requires that payment for such  materials  supplies or other
property  or  services,  or  the  use  thereof,  shall  be  subordinated  to any
indebtedness  (of the  purchaser  or user of such  materials,  supplies or other
property or the Person  entitled to the benefit of such  services) owed or to be
owed to any Person,

          (ix)  obligations  under any other contract which, in economic effect,
is substantially equivalent to a guarantee, and

          (x) all  capital  stock of  Subsidiaries  of such  Person  which has a
preference  as to dividends or upon  liquidation  and which is not owned by such
Person, either directly or through Subsidiaries of such Person,

all as determined in accordance with generally accepted  accounting  principles.
Notwithstanding anything herein to the contrary, "Funded Indebtedness" shall not
include (i) Subordinated  Funded  Indebtedness,  (ii)  Indebtedness  outstanding
under the working capital  facility of the Credit  Agreement in an amount not to
exceed $5,000,000 or (iii) Practice  Guaranties.  "Consolidated"  when used as a
prefix to any Funded  Indebtedness  shall mean the aggregate  amount of all such
Funded  Indebtedness  of the  Company  and its  Consolidated  Subsidiaries  on a
consolidated basis eliminating intercompany items.

          "Guaranties"  by any Person  shall mean all  obligations  (other  than
endorsements  in the ordinary  course of business of negotiable  instruments for
deport or collection) of such Person  guaranteeing or in effect guaranteeing any
Indebtedness, dividend for other obligation,  of any other Person (the "primary


<PAGE>

                                                                              13

obligor") in any manner,  whether  directly or  indirectly,  including,  without
limitation,  all  obligations  incurred  through an  agreements,  contingent  or
otherwise,  by such Person:  (i) to purchase such  Indebtedness or obligation or
any property or assets constituting security therefor, (ii) to advance or supply
funds (x) for the purchase or payment of such  Indebtedness or obligation or (y)
to maintain  working  capital or other balance  sheet  condition or otherwise to
advance or make available funds for the purchase or payment of such Indebtedness
or  obligation,  or (iii) to lease  property or to purchase  Securities or other
property or  services  primarily  for the purpose of assuring  the owner of such
Indebtedness or obligation of the ability of the primary obligor to make payment
of the Indebtedness or obligation,  or (iv) otherwise to assure the owner of the
Indebtedness  or  obligation  of the  primary  obligor  against  loss in respect
thereof.  For the  purposes of all  computations  made under this  Agreement,  a
Guaranty in respect of any Indebtedness for borrowed money shall be deemed to be
Indebtedness  equal to the principal  amount of such  Indebtedness  for borrowed
money  which  has been  guaranteed,  and a  Guaranty  in  respect  of any  other
obligation or liability or any dividend shall be deemed to be Indebtedness equal
to the maximum  aggregate  amount of such  obligation,  liability  or  dividend.
Notwithstanding anything herein to the contrary,  "Guaranties" shall not include
Practice Guaranties.

          "Havenwyck   Hospital"   shall  mean  the  Land  Parcels,   buildings,
improvements  and  Equipment  comprising   Havenwyck  Hospital,   Auburn  Hills,
Michigan.

          "Hospital" shall mean (i) Benchmark Regional  Hospital;  or (ii) Brynn
Marr Hospital; or (iii) Chestnut Ridge Hospital; or (iv) Cumberland Hospital; or
(v) Desert Vista  Hospital;  or (vi) Havenwyck  Hospital.  The term  "Hospitals"
means the facilities  described in (i), (ii),  (iii),  (iv), (v) end (vi) of the
preceding sentence, collectively.

          "Indebtedness"  of any Person shall mean all Current  Indebtedness and
all Funded Indebtedness of such Person.

          "Initial  Purchasers" shall mean the institutions listed in Schedule I
to the Note Agreements, as Purchasers under the Note Agreements,  end any Person
affiliated  therewith,  so long as such Initial  Purchaser or any such Person or
the respective nominee thereof is holder of any of the Notes.


<PAGE>

                                                                              14


          "Intangible  Assets"  shall  mean as of the date of any  determination
thereof,  the total amount of all of the following assets of the Company and its
Consolidated  Subsidiaries:  good  will,  patents,  trade  names,  trade  marks,
copyrights, franchises,  experimental expense, organization expense, unamortized
debt  discount and expense,  deferred  assets other than prepaid  insurance  and
prepaid taxes,  the excess of cost of shares acquired over book value of related
assets and such other assets as are properly  classified as "intangible  assets"
in accordance with generally accepted accounting principles.

          "Intercreditor Agreement" shall mean the Intercreditor Agreement dated
as of April 27,  1990 among (i) HomeFed  Bank (as  "Agents")  and those  certain
banks  and  other  financial  institutions  which  are or after the date of this
Indenture become parties to the Credit Agreement and (ii) the Trustees, trustees
for the benefit of the holders of the Notes.

          "Interest  Expense" for any period shall mean on a consolidated  basis
the sum of all Interest and all amortization of debt discount and expense on all
Indebtedness of the Company and its Consolidated  Subsidiaries.  Computations of
Interest  Expense  on a pro  forma  basis  for  Indebtedness  having a  variable
interest  rate  shall be  calculated  at the rate in  effect  on the date of any
determination.

          "Land Parcels" shall mean,  collectively,  the real property described
in Granting Clause I of the Mortgages.

          "Lien" shall mean any interest in Property securing an obligation owed
to, or a claim by, a Person other than the owner of the  Property,  whether such
interest is based on the common law, statute or contract,  and including but not
limited to the security  interest or lien arising from a mortgage,  encumbrance,
pledge,  conditional  sale or trust receipt or a lease,  consignment or bailment
for security purposes.  The term "Lien" shall include reservations,  exceptions,
encroachments,  easements rights-of-way,  covenants,  conditions,  restrictions,
leases and other title exceptions and encumbrances  affecting Property.  For the
purposes of this  Indenture,  an Obligor  shall be deemed to be the owner of any
Property which it has acquired or holds subject to a conditional sale agreement,
financing lease or other arrangement pursuant to which title to the Property has
been retained by or vested in some other Person for security purposes.



<PAGE>

                                                                              15


          "Minority  Interests" shall mean any shares of stock of any class of a
Consolidated  Subsidiary (other than directors' qualifying shares as required by
law) that are not owned by the  Company  and/or one or more of its  Consolidated
Subsidiaries.  Minority  Interests shall be valued by valuing Minority Interests
constituting  preferred stock at the voluntary or involuntary  liquidating value
of such preferred stock, whichever is greater, and by valuing Minority Interests
constituting  common  stock at the book value of capital and surplus  applicable
thereto.

          "Mortgaged  Facility"  shall mean a Hospital on which a first lien has
been created pursuant to one of the Mortgages.

          "Note or Notes;  Outstanding"  "Note"  shall mean any of, and  "Notes"
shall  mean all of, the then  outstanding  Notes.  "Outstanding"  when used with
reference  to  Notes  shall  mean,  as  of  any   particular   time,  all  Notes
authenticated and delivered by the Trustee under this Indenture, except:

          (a) Notes  theretofore  cancelled  by the Trustee or  delivered to the
Trustee for cancellation;

          (b)  Notes  for the  payment  or  prepayment  of which  moneys  in the
necessary amount shall have been deposited in trust with the Trustee;  provided,
that if such Notes are to be prepaid  prior to the maturity  thereof,  notice of
such  repayment  shall have been given as provided in section  5.6, or provision
satisfactory to the Trustee shall have been made for giving such notice;

          (c) Notes purchased or held by any Affiliate of any Obligor; and

          (d) Notes in lieu of or in  substitution  for which  other Notes shall
have been  authenticated  and  delivered  pursuant  to the terms of section  2.5
hereof.

          "Note  Agreements"  shall mean the separate and several Note  Purchase
Agreements,  each dated as of March 31,  1990  between  the  Company,  Bountiful
Psychiatric, Cumberland, East Carolina Psychiatric, Havenwyck, Mesa Psychiatric,
Psychiatric Institute and the Initial Purchasers.

          "Officers' Certificate" shall mean certificate signed by the President
and any one of the following  officers of the Company any Vice  President or the
Secretary.



<PAGE>

                                                                              16

          "Opinion of Counsel"  shall mean an opinion in writing signed by legal
counsel who shall be satisfactory to the Trustee,  and who may be counsel to the
Company.

          "Overdue  Rate"  shall mean with  respect  to (i) the  Senior  Secured
Notes,  the  greater  of (A)  13.6%  per  annum  and (B) the sum of the  rate of
interest  publicly  announced by Morgan  Guaranty Trust Company of New York from
time  to  time  in New  York  City  as its  prime  rate  plus  1% and  (ii)  the
Subordinated  Secured Notes,  the greater of (A) 17.6% per annum and (B) the sum
of the rate of interest  publicly  announced by Morgan Guaranty Trust Company of
New York from time to time in New York City as its prime rate plus 1%.

          "Person" shall mean an individual,  partnership,  corporation,  trust,
unincorporated  association  or  other  organization,  or a  government  or  any
department or agency thereof.

          "Practice Guaranties" is defined in section 3.18(a)(11).

          "Principal  Subsidiary"  shall mean  Bountiful  Psychiatric  Hospital,
Inc., a Utah  corporation,  Cumberland  Mental  Health,  Inc., a North  Carolina
corporation,  East Carolina Psychiatric Services  Corporation,  a North Carolina
corporation,  Havenwyck Hospital, Inc., a Michigan corporation, Mesa Psychiatric
Hospital,  Inc.,  an Arizona  corporation,  and  Psychiatric  Institute  of West
Virginia, Inc., a Virginia corporation.

          "Property"  shall mean any  interest in any kind of property or asset,
whether real, personal or mixed, or tangible or intangible.

          "Purchaser"  shall have the meaning set forth in section 1 of the Note
Agreements.

          "Qualified  Holder" shall mean any holder of Senior Secured Notes then
outstanding  or, if no Senior Secured Notes shall be  outstanding,  Subordinated
Secured Notes then  outstanding,  which (together with the Affiliates of which),
and in  either  ease,  owns and holds not less  than  $20,000,000  in  aggregate
principal amount of such Senior Secured Notes or Subordinated  Secured Notes, as
the case may be, and which (or an Affiliate of which) was the  purchaser of such
Notes upon the original issuance thereof pursuant to this Indenture.

          "Register" shall have the meaning specified in section 2.4 hereof.



<PAGE>

                                                                              17

          "Rentals"  shall mean and include all payments  (including as such all
payments  which the lessee is obligated to make to the lessor on  termination of
the  lease or  surrender  of the  property  but  excluding  all  payments  under
Capitalized  Leases)  payable by the Company or a  Consolidated  Subsidiary,  as
lessee or sublessee under a lease of real or personal property.

          "Required Holders" at any time shall mean the holder or holders of not
less than 66-2/3% in aggregate principal amount of the Senior Secured Notes then
outstanding or, if no Senior Secured Notes are then  outstanding,  the holder or
holder  of  not  less  than  66-2/3%  in  aggregate   principal  amount  of  the
Subordinated  Secured Notes then  outstanding;  provided,  however,  that in any
event the term "Required  Holders"  shall also include each Qualified  Holder of
outstanding  Senior  Secured Notes so long as any Senior  Secured Notes shall be
outstanding or, if no Senior Secured Notes are then outstanding,  each Qualified
Holder of outstanding Subordinated Secured Notes.

          "Restricted Investments" shall mean any investment in any Person other
than  investments  permitted by section 3.25(a) through section 3.25(g) hereof,
inclusive.

          "Security"  shall  have the same  meaning  as in  Section  2(1) of the
Securities Act of 1933, as amended.

          "Senior  Secured  Notes"  shall  have  the  meaning  set  forth in the
recitals of this Indenture.

          "Subordinated  Convertible Promissory Note" shall have the meaning set
forth in section 7(a)(xii) of the Note Agreements.

          "Subordinated Funded Indebtedness" shall mean the Subordinated Secured
Notes, the Subordinated Convertible Promissory Note, the Subordinated Promissory
Note  and  any  other  unsecured  Funded  Indebtedness  which  (i) is  expressly
subordinate  or junior in right of payment to the Senior  Secured Notes pursuant
to  subordination  provisions no more  favorable to the holder  thereof than the
subordination provisions contained in section 10 hereof and (ii) is expressed to
mature on or after April 1, 2000.

          "Subordinated  Promissory  Note"  shall have the  meaning set forth in
section 7(a)(xiii) of the Note Agreements.

          "Subordinated  Secured  Notes" shall have the meaning set forth in the
recitals of this Indenture.


<PAGE>

                                                                              18


          The  term  "subsidiary"  shall  mean,  as  to  any  particular  parent
corporation,  any corporation of which more than 50% (by number of votes) of the
Voting  Stock  shall be  owned by such  parent  corporation  and/or  one or more
corporations which are themselves  subsidiaries of such parent corporation.  The
term "Subsidiary" shall mean a subsidiary of the Company.

          "Superior  Indebtedness"  shall mean (i) all obligations,  liabilities
and  indebtedness  of the Obligors to the holders of the Senior Secured Notes in
an aggregate principal amount not to exceed $56,500,000 arising under the Senior
Secured  Notes,  the  Note  Purchase  Agreements  and this  Indenture,  (ii) all
obligations,  liabilities and indebtedness in an aggregate  principal amount not
to exceed $31,000,000  created or arising under certain  industrial  development
bonds of the Company or its  Subsidiaries  and associated  letters of credit and
reimbursement  obligations in connection  therewith  under the Credit  Agreement
(including  extensions,  renewals and refundings thereof without increase in the
outstanding  principal  amount  under  such  facility  at such  time,  (iii) all
obligations, liabilities and indebtedness outstanding under the Credit Agreement
in an aggregate  principal  amount not to exceed  $5,000,000  arising  under the
working  capital  facility   provided  in  such  Credit   Agreement   (including
extensions,  renewals and refundings thereof without increase in the outstanding
principal  amount  under such  facility  at such  time),  (iv) all  obligations,
liabilities and  indebtedness  outstanding  under the Credit  Agreement  arising
under the term loan facility  provided in such Credit  Agreement in an aggregate
principal amount not to exceed $34,000,000 (including  extensions,  renewals and
refunds thereof without increase in the outstanding  principal amount under such
facility at such time), and (v) additional  indebtedness incurred after the date
of this Indenture in an aggregate  principal  amount not to exceed  $25,000,000,
provided that all proceeds of such  indebtedness are used exclusively to finance
the  acquisition,  construction or renovation of facilities owned or acquired by
the Company or any Subsidiary. Interest accrued on the indebtedness described in
the foregoing clauses (i), (ii), (iii), (iv) and (v) shall constitute  "Superior
Indebtedness"  regardless of whether such interest  accrues  before or after the
commencement of any bankruptcy, insolvency or receivership proceeding.

          "Total  Capitalization" shall mean, at any date as of which the amount
thereof is to be determined,  the total of (i) the aggregate principal amount of
all Consolidated Funded Indebtedness then outstanding, plus (ii) Consolidated
Tangible Net Worth as of such date.


<PAGE>

                                                                              19


          "Unconsolidated  Subsidiary"  shall mean any Subsidiary which is not a
Consolidated Subsidiary.

          "Voting  Stock"  shall mean  Securities  of any class or classes,  the
holders of which are ordinarily,  in the absence of  contingencies,  entitled to
elect a majority  of the  corporate  directors  (or Persons  performing  similar
functions).

          "Wholly-owned"  when used in connection with any Subsidiary shall mean
a Subsidiary of which all of the issued and outstanding  shares of stock (except
shares  required  as  directors'  qualifying  shares) and all  Indebtedness  for
borrowed  money  shall  be  owned  by the  Company  and/or  one or  more  of its
Wholly-owned Subsidiaries.

          "Yield-Maintenance Premium" is defined in section 5.4.

          Section  1.2.  Directly or  Indirectly.  Where any  provision  in this
Indenture  refers to action to be taken by any  Person,  or which such Person is
prohibited from taking, such provision shall be applicable whether the action in
question is taken directly or indirectly by such Person.

          Section 1.3. Accounting  Principles.  Where the character or amount of
any asset or liability or item of income or expense is required to be determined
or any consolidation or other accounting  computation is required to be made for
the  purposes  of this  Indenture,  the same  shall be done in  accordance  with
generally accepted accounting principles, to the extent applicable, except where
such principles are inconsistent with the requirements of this Indenture.

SECTION 2. THE NOTES

          Section 2.1. The Notes. (a) The Notes constitute the joint and several
obligation of the Obligors and shall be issuable as fully registered  Notes. The
Notes  will be  dated  the date of  authentication  and  bear  interest  payable
quarterly  on March  31,  June 30,  September  30 and  December  31 in each year
(commencing  June 30, 1990) and will mature on March 31,  2000.  Interest on the
Notes will be computed on the basis of a 360-day year of twelve 30-day months.

          (b) The Senior Secured Notes shall be designated  the Obligors'  11.6%
Senior Secured Notes due March 31, 2000 and shall be limited to $56,500,000 in


<PAGE>

                                                                              20


aggregate principal amount. The Senior Secured Notes will bear interest from the
date of issue  until  maturity  at the rate of 11.6%  per  annum  and will  bear
interest  on overdue  principal  (including  any  overdue  required  or optional
prepayment  of  principal)  and  premium,  if any,  and (to the  extent  legally
enforceable)  on any overdue  installment  of interest at the Overdue Rate after
maturity,  whether by  acceleration  or  otherwise,  until paid,  and will be in
substantially the form attached hereto as Exhibit A.

          (c) The  Subordinated  Secured Notes shall be designated the Obligors'
15.6%  Subordinated  Secured  Notes due March 31,  2000 and shall be  limited to
$3,000,000 in aggregate  principal amount.  The Subordinated  Secured Notes will
bear  interest  from the date of issue  until  maturity at the rate of 15.6% per
annum and will  bear  interest  on  overdue  principal  (including  any  overdue
required or optional  prepayment of principal) and premium,  if any, and (to the
extent  legally  enforceable)  on any  overdue  installment  of  interest at the
Overdue Rate after maturity,  whether by acceleration or otherwise,  until paid,
and will be in substantially the form attached hereto as Exhibit B.

          (d) The Trustee's  certificate of  authentication  to be borne by such
Notes shall be  substantially of the tenor and purport as set forth in Exhibit A
and  Exhibit B hereto,  and the Notes may have such  letters,  numbers  or other
marks of identification or designation and such legends or endorsements  thereon
as the  Obligors  may  deem  appropriate  and as are not  inconsistent  with the
provisions  of this  indenture,  or as may be required to comply with any law or
any rule or regulation made pursuant thereto.

          Section  2.2.  Denominations;   Execution  of  Notes:  Certificate  of
Authentication.   Each  Note  issued  on  the  Closing  Date  shall  be  in  the
denomination  of $100,000 or any multiple of $1,000 in excess of  $100,000.  The
Notes  shall be signed on behalf of each  Obligor by its  President  or any Vice
President and attested by its Secretary or an Assistant  Secretary.  In case any
officer  who shall have signed any Note shall  cease to be such  officer  before
such Note shall have been  authenticated  by the  Trustee  or  delivered  by the
Obligors,  such Note may  nevertheless  be executed and delivered  with the same
force and effect as though the  Person or Persons  who signed  such Note had not
ceased to be such officer of an Obligor; and any Note may be signed on behalf of
an Obligor by a Person who, at the actual date of execution of such Note,  shall
be a proper  officer of such  Obligor,  although at the date of such Note,  such
Person was not then such officer of such Obligor. Only such Notes as shall bear



<PAGE>

                                                                              21

thereon a certificate of  authentication  substantially in the form set forth in
Exhibit  A and  Exhibit  B hereto  shall be  entitled  to the  benefits  of this
Indenture or be valid or obligatory  for any purpose.  Such  certificate  by the
Trustee upon any Note executed by the Obligors shall be conclusive evidence that
the Note so authenticated has been duly  authenticated  and delivered  hereunder
and  that  the  holder  is  entitled  to the  benefits  of this  Indenture.  The
authentication  by the  Trustee  of  any  Note  issued  hereunder  shall  not be
construed as a representation  or warranty by the Trustees as to the validity or
security of this Indenture or of such Note, and the Trustees shall in no respect
be liable or answerable for the use made of such Note or the proceeds thereof.

          Section 2.3. Authentication and Delivery. Forthwith upon the execution
and delivery of this Indenture and pursuant to the Note Agreements, the Obligors
may deliver  Notes  executed by the  Obligors to the  Trustee,  together  with a
request for the  authentication  and delivery of such Notes;  and the Trustee in
accordance with such request shall authenticate and deliver Senior Secured Notes
in the aggregate principal amount of $56,500,000 and Subordinated  Secured Notes
in the aggregate  principal amount of $3,000,000,  as in this Indenture provided
and not otherwise.

          Section 2.4. Payment of the Notes.  (a) The principal of, premium,  if
any, and interest on the Notes shall be payable at the principal corporate trust
office of the Trustee, in lawful money of the United States of America.

          (b)  Notwithstanding  the provisions of the preceding paragraph (a) or
the Notes,  if any Note is held by an Initial  Purchaser or is registered in the
name of any holder  named in a written  notice to the  Company  and the  Trustee
stating  that  the  provisions  of  this  paragraph  shall  apply  (without  any
presentment  of any such  Note),  the  Company  or the  Trustee,  as  applicable
pursuant to section 3.11 hereof, from and after the receipt of such notice shall
make payment of interest on such Notes and shall make payments or prepayments of
the  principal  thereof,  and any  premium,  by  wire  transfer  in  immediately
available Federal Reserve funds to such Bank in the continental United States as
shall be specified in Schedule I attached to the Note Agreements or otherwise in
writing to the Trustee by such holder and such holder (or the  transferee of any
such holder) will, before or after selling,  transferring or otherwise disposing
of such Note,  present  such Note to the Trustee for  transfer  and  notation as
provided in section section 2.6 and 2.7. All payments so made shall be valid and

<PAGE>

                                                                              22

satisfy and  discharge  the  liability  upon such Note to the extent of the sums
soeffectual  to paid.  Any payment or  prepayment  of amounts due on any Note in
accordance with the terms thereof and hereof which is due on a date which is not
a Business Day shall be payable on the next succeeding Business Day. The Trustee
is authorized to act in accordance  with the foregoing  provisions and shall not
be liable or  responsible  to any such  holder or to any Obligor or to any other
Person for any act or  omission  on the part of the  Obligor  or such  holder in
connection  therewith except for negligence or willful misconduct on the part of
the Trustee.

          Section 2.5.  The  Register.  The Obligors  shall cause the Trustee to
keep at its principal corporate trust office a register for the registration and
transfer of Notes (herein called the "Register"). The Trustee hereby accepts the
office of registrar.  The names and  addresses of the holders of the Notes,  the
transfers  of the Notes and the names and  addresses of the  transferees  of all
Notes shall be registered in the Register.

          Section 2.6.  Transfers and Exchanges.  (a) The holder of any Note may
transfer  such Note on the books of the Trustee  upon the  surrender  thereof by
such holder prior to such  transfer or by the  transferee  of such Note promptly
after sued  transfer at the  principal  corporate  trust  office of the Trustee.
Thereupon,  the Obligor  shall execute in the name of the transfer a new Note or
Notes of the same class in aggregate  principal  amount  equal to the  aggregate
unpaid principal amount of the Note so surrendered, in denominations of $100,000
or any amount in excess thereof such transferee  shall specify,  and the Trustee
shall authenticate end deliver such new Note or Notes to such transferee.

          (b) The holder of any Note may at any time  surrender such Note at the
principal  corporate  trust  office  of the  Trustee  in  exchange  for an equal
aggregate  principal  amount of Notes of the same class, in the  denomination of
$100,000 or any amount in excess thereof as such holder shall specify.

          (c) All Notes  presented or surrendered for exchange or transfer shall
be accompanied by a written instrument or instruments of assignment or transfer,
in form and with appropriate  signature guarantees  satisfactory to the Trustee,
duly executed by the  registered  holder or by his attorney  duly  authorized in
writing.

<PAGE>

                                                                              23

          (d) In case any Note shall become  mutilated or be destroyed,  lost or
stolen,  the Obligors,  upon the written  request of the holder  thereof,  shall
execute and the Trustee shall  authenticate and deliver,  a new Note in exchange
and  substitution for the mutilated Note, or in lieu of and substitution for the
Note so  destroyed,  lost or stolen,  which new Note shall be a Note of the same
class in an aggregate  principal  amount equal to the aggregate unpaid principal
amount of such destroyed, lost or stolen Note. In every case the applicant for a
substituted  Note shall furnish to the Obligors and to the Trustee such security
or indemnity as may be required by them to save each of them  harmless  from all
risks,  and the applicant  shall also furnish to the Obligors and to the Trustee
evidence to their satisfaction of the mutilation,  destruction, loss or theft of
the applicant's  Note and of the ownership  thereof.  In case any Note which has
matured or will mature  within 30 days shall become  mutilated or be  destroyed,
lost or stolen,  the Obligors may, instead of issuing a substituted Note, pay or
authorize the payment of the same (without  surrender thereof except in the case
of a mutilated  Note),  if the  applicant  for such payment shall furnish to the
Obligors and to the Trustees  such  security or indemnity as they may require to
save them  harmless,  and evidence to the  satisfaction  of the Obligors and the
Trustee of the  mutilation,  destruction,  loss or theft of such Note and of the
ownership  thereof.  If the  Initial  Purchaser  is the owner of any  mutilated,
destroyed,  lost or stolen  Note,  then the  affidavit  of its  President,  Vice
President,  Assistant  Vice  President  or Treasurer  setting  forth the fact of
destruction,  loss or theft and such Person's  ownership of the Note at the time
of such mutilation, destruction, loss or theft shall be accepted as satisfactory
evidence thereof and no indemnity shall be required as a condition to payment of
such  Note or  execution  and  delivery  of a new Note  other  than the  written
agreement of such Person to indemnify the Obligors and the Trustees.

          (e) No notarial act shall be necessary for the transfer or exchange of
any Note  pursuant  to this  section  2.6,  and the holder of any Note issued as
provided  in this  section  2.6  shall be  entitled  to any and all  rights  and
privileges granted under this Indenture to a holder of a Note.

          Section 2.7. New Notes.  (a) Each new Note (herein in this section 2.7
called a "New Note") issued pursuant to section  2.6(a),  (b) or (d) in exchange
for or in substitution or in lieu of an outstanding Note (herein in this section
2.7 called an "Old Note") shall be dated the date of such Old Note.  The Trustee
shall mark,  to the extent of any  payments  made by the Trustee as paying agent
and any payments made by the Obligors as their own paying agent of which the


<PAGE>

                                                                              24


Trustee has received  notice  pursuant to section 3.11 hereof,  on each New Note
(i) the date to which  principal  and interest  have been paid on such Old Note,
and (ii) all payments and  prepayments of principal  previously made on such Old
Note which are allocable to such New Note. Interest shall be deemed to have been
paid on such New Note to the date on which interest shall have been paid on such
Old Note, and all payments and prepayments of principal marked on such New Note,
as provided in clause (ii) above, shall be deemed to have been made thereon.

          (b) The issuance of a New Note pursuant to section 2.6(a),  (b) or (d)
shall be without expense to the holder, except that the Obligors may require the
payment of a sum to  reimburse  them for, or to provide them with funds for, the
payment of any tax or other governmental charge which are paid or payable by the
Obligors in connection with the transfer or exchange.

          (c) All New Notes  issued  pursuant to section  2.6(a),  (b) or (d) in
exchange for in substitution or in lieu of Old Notes shall be valid  obligations
of the Obligors  evidencing the same outstanding debt as the Old Notes and shall
be entitled to the benefits and security of this Indenture to the same extent as
the Old Notes.

          Section 2.8.  Cancellation  of Notes.  All Notes  surrendered  for the
purpose of payment,  redemption,  transfer or exchange shall be delivered to the
Trustee for cancellation  or, if surrendered to the Trustee,  shall be cancelled
by it, and no Notes shall be issued in lieu thereof except as expressly required
or permitted by any of the provisions of this Indenture.  The Trustee shall hold
all such cancelled  Notes until this Indenture  shall have been  discharged,  at
which time the Trustee  shall either  deliver such  cancelled  Notes in a manner
necessary to effect the discharge and release of this Indenture of record or, if
no such delivery is necessary,  shall destroy such cancelled Notes and deliver a
certificate to the Company  certifying  such  destruction.  If any Obligor shall
acquire  any of the Notes,  however,  such  acquisition  shall not  operate as a
redemption or satisfaction of the indebtedness  represented by such Notes unless
and until the same are surrendered to the trustee for cancellation.

          Section 2.9.  Trustee as Agent.  The Trustee is hereby  appointed  the
agent of the Obligors for the  payment,  registration,  transfer end exchange of
Notes. Subject to the provisions of section 2.4 and 12.5, Notes may be presented
for payment at, and notices with respect to the Notes or this Indenture may be


<PAGE>

                                                                              25


served or made at, the principal corporate trust office of the Trustee, provided
that copies of all such notices shall be delivered to the Company.

          Section  2.10.  Ownership.  The Person in whose name any Note shall be
registered  shall be deemed and treated as the owner thereof for all purposes of
this Indenture and neither the Obligors nor the Trustee shall be affected by any
notice to the contrary.  Payment of or on account of the principal of,  premium,
if any,  and  interest  on such Note  shall be made only to or upon the order in
writing of such registered  owner. For the purpose of any request,  direction or
consent  hereunder,  the  Obligors  and the  Trustee  may  deem  and  treat  the
registered  owner of any Note as the owner  thereof  without  production of such
Note.

          Section 2.11.  Ranking of Notes of Each Class.  As provided in section
10 hereof,  Subordinated  Secured Notes shall rank junior and subordinate to the
Senior  Secured Notes in right of payment and in respect of certain other rights
and powers of the holders of Notes issued hereunder.

SECTION 3. PARTICULAR COVENANTS OF THE OBLIGORS

          From and after the Closing Date and  continuing  so long as any amount
remains  unpaid on any Note,  the  Obligors  covenant  with the Trustees for the
benefit of the Trustees and the holders of the Notes as follows:

          Section 3.1. Warranty of Title. Subject only to the Lien of the Pledge
Agreements,   the  Mortgages  and  Liens   permitted   thereby,   the  Obligors,
respectively,  have good and marketable  title to and are lawfully  possessed of
all of the  Mortgaged  Property,  and have full right,  power and  authority  to
mortgage and pledge the same for the  purposes  hereof;  and the  Obligors  will
warrant and defend title thereto to the Trustees  against  claims of all Persons
whomsoever.

          Section 3.2.  Payment of Principal,  Premium and Interest.  Subject to
section 10 hereof, the Obligors, jointly and severally, will duly and punctually
pay the principal of, premium,  if any, and interest on, each and every Note, at
the dates and the places and in the  manner  mentioned  in the Notes and in this
Indenture, according to the true latent and meaning thereof and hereof.

          Section  3.3.  Office for Notices.  The  Obligors  will keep an office
while  any  of  the  Notes  issued  hereunder  are  outstanding  where  notices,
presentations  and/or  demands to or upon the  Obligors in respect of the Notes,
the Pledge Agreements,  the Mortgages or this Indenture may be given or made, at
One Poydras Plaza,  639 Loyola Avenue,  Suite 1400, New Orleans, Louisiana 70113


<PAGE>

                                                                              26

until such time the  Obligors  shall  notify the  Trustee and the holders of the
Notes of any change of location of such office.

          Section 3.4. Note Agreement,  Pledge Agreement and Mortgage Covenants.
Each and all of the terms,  provisions,  restrictions,  covenants and agreements
set forth in the Note Agreements,  the Pledge Agreements and the Mortgages,  and
in each and every supplement  thereto or amendment thereof which may at any time
or from time to time be executed and  delivered by the parties  thereto or their
successors and assigns,  are incorporated herein by reference to the same extent
as though each and all of said terms,  provisions,  restrictions,  covenants and
agreements  were fully set out herein and as though any  amendment or supplement
to the Note  Agreements,  each Pledge Agreement and each Mortgage were fully set
out in an amendment or supplement to this indenture;  and the Obligors do hereby
covenant  and agree  well and truly to abide by,  perform  and be  governed  and
restricted by each and all of the matters  provided for by the Note  Agreements,
the Pledge  Agreements  and the  Mortgages  to the same extent and with the same
force and  effect as if each and all of said  terms,  provisions,  restrictions,
covenants and  agreements so  incorporated  herein by reference were set out and
repeated herein at length.

          Section 3.5. Maintenance of Corporate Existence,  Rights. Each Obligor
will  at all  times  preserve  its  corporate  existence  (except  as  otherwise
permitted  by section 3.21 hereon and will obtain and maintain in full force and
effect all franchises,  privileges,  rights,  licenses and permits and all other
consents,  approvals and authorizations of any governmental  authority necessary
for the  ownership  and efficient  operation  and  maintenance  of the Mortgaged
Property.

          Section 3.6. Maintenance of Lien; Recording. (a) The Obligors will, at
their  expense,  take all necessary  action to maintain and preserve the Lien of
this  Indenture  and of the Pledge  Agreements  and the Mortgages so long as any
Notes are outstanding.

          (b) The Obligors will,  forthwith  after the execution and delivery of
this Indenture, each Pledge Agreement and each and every Mortgage and thereafter
from time to time, cause this Indenture,  each Pledge  Agreement,  each Mortgage
and financing statements to be filed, registered and recorded in such manner and
in such places as may be required by law in order to publish notice of and fully



<PAGE>

                                                                              27


to protect  the Lien hereof and of each Pledge  Agreement  and each  Mortgage in
respect of, upon,  and the title of the Trustees to, the Trust Estate;  and from
time to time will perform or cause to be performed  any other act as provided by
law and will  execute or cause to be executed  any and all further  instruments,
continuation  statements  and similar  statements  that may be  requested by the
Trustees or either of them for such  publication  and  protection  the  Obligors
will, within 10 days after any such filing, registering,  recording or other act
and in any event not less than 10 days prior to the lapse of the  perfection  of
any security interest granted under this Indenture,  any Pledge Agreement or any
Mortgage, furnish the Trustees with an Opinion of Counsel as to the adequacy and
recitals the details of such filing,  reentering,  recording or other act and as
to the perfection of any security interest effected by such filing, registering,
recording or other act and specifying any rerecording or refiling required to be
effected in the future with respect to this  Indenture,  the Pledge  Agreements,
such  Mortgage or financing  statement.  To the extent  permitted by  applicable
lair,  the Obligors  will pay or cause to be paid all filing,  registration  and
recording taxes and fees incident to such filing registration and recording, and
all expenses incident to the preparation,  execution and  acknowledgment of this
Indenture,  each Pledge Agreement,  each Mortgage and each financing  statement,
and of any instrument of further assurance, and all Federal or state stamp taxes
and other taxes, duties,  imposts,  assessments and charges arising out of or in
connection  with the  execution  and  delivery  of this  Indenture,  each Pledge
Agreement,  each Mortgage and each  financing  statement and such  instrument of
further assurance.

          Section 3.7. Further  Assurances;  After - Acquired Property.  (a) The
Obligors will at their expense do, execute, acknowledge and deliver, or cause to
be done,  executed,  acknowledged and delivered,  all such further acts,  deeds,
conveyances, mortgages, assignments, transfers and assurances as may be required
for the perfection of the Lien being herein provided for in the Trust Estate.

          (b)  All  right,  title  and  interest  of any  Obligor  in and to all
extensions,  improvements,  betterments,  renewals, substitutes and replacements
of, and all  additions  and  appurtenances  to, a Hospital or any part  thereof,
hereafter  constructed  or  acquired  by such  Obligor,  immediately  upon  such
construction or acquisition,  and without any further mortgaging,  conveyance or
assignment, shall become and be part of such Hospital and the Mortgaged Property
and shall be subject to the Lien of this Indenture and the Mortgages as fully




<PAGE>

                                                                              28

and completely and with the same effect as though now owned by such Obligor, but
at any and all times the  Obligors  will execute and deliver to the Trustees any
and all such further insurances,  mortgages,  conveyances or assignments thereof
and other instruments with respect thereto as may reasonably be required for the
purpose of expressly and  specifically  subjecting  the same to the Lien of this
Indenture and the Mortgages.

          Section 3.8.  Maintenance of Property.  The Obligors will at all times
maintain,  preserve and keep,  the Hospitals and Equipment in good condition and
make  all  necessary   renewals,   replacements,   additions,   betterments  and
improvements thereto.

          Section  3.9.  Right of  Trustee  to Perform  Covenants,  Etc.  If the
Obligors shall fail to perform any of their covenants under this Indenture,  the
Note Agreements, the Pledge Agreements or the Mortgages, the Trustee, after five
days' prior written  notice to the Company and without  waiving or releasing any
obligation or Default,  shall, if directed by the Required Holders in writing so
to do, make advances  (subject to the  provisions of section  7.2(h)  hereof) to
effect  performance  of such  covenant for the account and at the expense of the
Obligors,  and shall enter upon the  Mortgaged  Property or any part thereof for
such purpose and take all such action thereon as may be necessary or appropriate
therefor.  All sums so paid by the Trustee and all costs and expenses (including
without  limitation,  reasonable  attorneys'  fees and  expenses)  so  incurred,
together with  interest  thereon at a rate equal to the greater of (i) 13.6% per
annum  and (ii) the sum of the rate of  interest  publicly  announced  by Morgan
Guaranty  Trust  Company  of New York  from time to time in New York City as its
prime  rate plus 1% from the date of  payment  or  incurrence,  shall be secured
hereby in priority to the indebtedness  evidenced by the Notes and shall be paid
by the  Obligors  to the  Trustee on demand.  The  Trustee in making any payment
authorized  under  this  Section  relating  to  taxes or  assessments  may do so
according  to any bill,  statement  or estimate  procured  from the  appropriate
public  office  without  inquiry  into the  accuracy of such bill,  statement or
estimate or into the validity of any tax assessment,  sale, forfeiture, tax Lien
or  title  or  claim  thereof,  unless  otherwise  aware  of any  inaccuracy  or
invalidity.  As between the Obligors and the Trustee, the Trustee, in performing
any covenant under this Section, shall be the sole judge of whether the Obligors
are required to perform the same under the terms of this Indenture.



<PAGE>

                                                                              29


          Section  3.10.  Obligors to Give Notice of Default.  When any Event of
Default  described in 6.1 has  occurred,  or if the holder of any Note or of any
other  evidence of  indebtedness  in excess of $50,000 of any Obligor  gives any
notice or takes any other action with respect to a claimed default, the Obligors
agree to give notice to the  Trustee  and each  holder of any Note within  three
business  days after the earlier of (i) the date of discovery by any Obligors of
the  occurrence  of such event or (ii) the date upon which any  Obligor,  in the
exercise of reasonable  diligence  should have discovered the occurrence of such
event,  such notice to be in writing and sent by registered or certified mail or
by telegram.

          Section 3.11.  Money for Note Payments to be Held in Trust,  Repayment
of Unclaimed  Money.  If the Obligors  shall at any time set as their own paying
agent,  they will,  on or before each date upon which a payment of interest or a
payment or prepayment of principal is due (a "Note Payment Date"), segregate and
hold in trust for the  benefit of the holders of the Notes a sum  sufficient  to
pay the principal  (and premium,  if any) or interest  becoming due on such date
until such sums shall be paid to such holders or otherwise disposed of as herein
provided,  and the Obligors will promptly  notify the Trustee of their action or
failure to act.

          Whenever the Trustee shall act as a paying agent,  the Obligors  will,
prior to each Note Payment Date, deposit with the paying agent sum sufficient to
pay the principal (and premium,  if any) or interest  becoming due on such date,
such sum to be held in trust for the  benefit of the  holders of the Notes.  The
Obligors  will not appoint a Person,  other than the  Trustee,  to act as paying
agent.

          Moneys so  segregated or deposited and held in trust shall not be part
of the Trust Estate but shall  constitute a separate  trust fund for the benefit
of the Persons entitled to such principal,  premium or interest.  Moneys held in
trust by the Trustee for the payment of the  principal  (or premium,  if any) or
interest on the Notes need not be  segregated  from other  funds,  except to the
extent required by law.

          Any money  deposited  with the Trustee in trust for the payment of the
principal (and premium, if any) or interest on any Notes and remaining unclaimed
for 6 years after such  principal  (and premium,  if any) or interest has become
due and payable shall be paid to the Company;  and the holder of such Note shall
thereafter,  as an  unsecured  general  creditor,  look only to the  Company for
payment  thereof,  and all  liability  of the Trustee with respect to such trust
money, shall thereupon cease.


<PAGE>

                                                                              30

          Section 3.12. Maintenance of Insurance and Licenses.

          The Company and each Consolidated Subsidiary will:

          (a)  Insurance  -  maintain,  with  financially  sound  and  reputable
insurers  acceptable  to the  Required  Holders,  insurance  with respect to its
properties and business against such casualties and contingencies, of such types
(including  public  liability,   business  interruption,   medical  malpractice,
larceny,  embezzlement or other criminal misappropriation insurance) and in such
amounts  as is  (i)  customary  in  the  case  of  corporations  of  established
reputations engaged in the same or a similar business and similarly situated and
(ii) acceptable to the Required Holders.  The Company will furnish,  or cause to
be furnished,  to each holder of any Note,  within 30 days after the end of each
fiscal year of the Company,  a report signed by an independent firm of insurance
brokers  acceptable to the Required Holders  describing in reasonable detail the
insurance then carried and maintained by the Obligors and stating the opinion of
such firm that such  insurance  complies with the terms of this section 3.12 and
of  section  2.6 of each  Mortgage  and that such  insurance  together  with any
self-insurance  permitted hereby is adequate for the protection of the interests
of the holders of the Notes. In lieu of or  supplemental to such insurance,  but
subject to Section 2.6 of the  Mortgages,  the Company may adopt such other plan
or method of protection,  whether by the  establishment  of an insurance fund or
reserve  to be held  and  applied  to  make  good  losses  from  casualties,  or
otherwise,  and conforming to the practices of similar corporations  maintaining
systems of self-insurance, as may be determined by the Board of Directors of the
Company and as shall be consistent with existing  policies as to  self-insurance
and with generally  accepted  accounting  principles.  If the Company adopts any
such other plan or method of  protection,  whether  by the  establishment  of an
insurance  fund or reserve,  or  otherwise,  the Company  shall,  at the time of
establishment thereof, furnish to each holder of outstanding Notes a certificate
of an actuary that such plan or method of protection is adequate; and

          (b) Licensed  Facilities  - keep and  maintain all material  licensing
requirements  and  accreditations  to serve as a  psychiatric  facility for each
Mortgaged  Facility owned or operated by any Principal  Subsidiary of all local,
state and federal regulatory agencies having jurisdiction over such Mortgaged


<PAGE>

                                                                              31


Facility  (except to the extent such a requirement has been waived in writing by
the  appropriate  regulatory  agency) and shall  participate in, be eligible for
reimbursement  under,  end be in compliance with all requirements of each public
or private  reimbursement  program  applicable to any  Facility,  and shall have
timely filed or caused to be timely filed  completed and accurate cost and other
report  required by law or  otherwise to be made with respect to the purchase of
services  by third party  purchasers,  include,  but not  limited to,  Medicare,
Medicaid and CHAMPUS  programs and other insurance  carriers where applicable to
such  Mortgaged  Facility  as set forth on Annex D to Exhibit D attached  to the
Note Agreements.

          Section 3.13. Taxes,  Claims for Labor and Materials,  Compliance with
Laws.  The  Company  will  promptly  pay and  discharge,  and  will  cause  each
Consolidated  Subsidiary  promptly  to pay  and  discharge,  all  lawful  taxes,
assessments and governmental  charges or levies imposed upon the Company or such
Consolidated Subsidiary,  respectively, or upon or in respect of all or any part
of the property or business of the Company or such Consolidated Subsidiary,  all
trade accounts  payable in accordance  with usual and customary  business terms,
and all claims for work, labor or materials, which if unpaid might become a lien
or charge  upon any  property of the  Company or such  Consolidated  Subsidiary;
provided the Company or such  Consolidated  Subsidiary  shall not be required to
pay any such tax,  assessment,  charge levy, account payable or claim if (i) the
validity,  applicability  or amount thereof is being  contested in good faith by
appropriate  actions or proceedings which will prevent the forfeiture or sale of
any  property of the Company or such  Consolidated  Subsidiary  or any  material
interference   with  the  use  thereof  by  the  Company  or  such  Consolidated
Subsidiary, and (ii) the Company or such Consolidated Subsidiary shall set aside
on its books,  reserves  deemed by it to be adequate with respect  thereto.  The
Company will promptly  comply and will cause each  Subsidiary to comply with all
laws,  ordinances or  governmental  rules and regulations to which it is subject
including,  without  limitation,  the Occupation  Safety and Health Act of 1970,
ERISA  and  all  laws,  ordinances,   and  rules  and  regulations  relating  to
environmental protection in all applicable jurisdictions, the violation of which
would  materially  and adversely  affect the  properties,  business,  prospects,
profits or condition of the Company and its  Subsidiaries or would result in any
lien or charge upon any property of the Company or any Subsidiary.

          Section 3.14.  Maintenance,  etc. The Company will maintain,  preserve
and keep, and will cause each Consolidated Subsidiary to maintain, preserve and

<PAGE>

                                                                              32


keep,  its  properties  which are used or useful in the  conduct of its  bylines
(whether owned in fee or a leasehold  interest) in good repair and working order
and from time to time will make all necessary repair replacements,  renewals and
additions so that at all times the utility thereof shall not be impaired.

          Section  3.15.  Nature  of  Business.  Neither  the  Company  nor  any
Consolidated Subsidiary will engage in any business if, as a result, the general
nature of the  business,  taken on a  consolidated  basis,  which  would then be
engaged  in  by  the  Company  and  its  Consolidated   Subsidiaries   would  be
substantially  excluded from the business of operating  psychiatric hospitals in
the United Stated

          Section 3.16. Consolidated Tangible Net Worth. The Company will at all
times keep and  maintain  Consolidated  Tangible Net Worth at an amount not less
than the sum of (i) 50% of Consolidated Net Income for the period from and after
July 1, 1990 to and including the date of determination hereunder, computed on a
cumulative  basis for said  entire  period (if  Consolidated  Net Income for any
fiscal  year is a deficit  figure then  Consolidated  Net Income for such fiscal
year shall equal zero for the purposes of this section 3.16),  plus (ii) either
(A) during the fiscal year ending June 30, 1990,  $20,000,000  or (B) during the
fiscal year beginning  July 1, 1990 and any subsequent  fiscal year during which
any Notes outstanding, $25,000,000.

          Section 3.17. Fixed Charge  Coverage.  The Company will, as of the end
of  each  fiscal  quarter,  keep  and  maintain  the  ratio  of  (i)  sum of (A)
Consolidated  Cash Flow plus (B)  Rentals  to (ii)  Fixed  Charges  for the most
recent four fiscal  quarters,  at not less than (x) 1.5 to 1, in the case of any
determination  being made hereunder on or prior to June 30, 1991, and (y) 2.0 to
1, in the case of any determination being made hereunder at any time thereafter.

          Section 3.18. Limitations on Indebtedness.

          (a) The  Company  will  not,  and will  not  permit  any  Consolidated
Subsidiary to, create,  assume, incur or guarantee or in any manner be or become
liable in respect of any Current Indebtedness or Funded Indebtedness, except:

          (1) the Note;

          (2) the Bank  Debt,  provided  that  during  the  twelve-month  period
immediately preceding the date of any determination hereunder (commencing on the
date occurring twelve months after the Closing Date), there shall have been a


<PAGE>

                                                                              33


period  of 45  consecutive  days  during  which  the  Company  and  each  of its
Consolidated  Subsidiary  shall have been free of all  Indebtedness  outstanding
under the working capital facility of the Credit Agreement and all other Current
Indebtedness;

          (3)  Funded   Indebtedness   of  the  Company  and  its   Consolidated
Subsidiaries outstanding as of the date of this Indenture and described in Annex
B to Exhibit E attached to the Note Agreements;

          (4)  Funded  Indebtedness  issued  or  incurred  for  the  purpose  of
extending,  renewing or refunding Funded Indebtedness  (including the Bank Debt)
outstanding as of the date of this Indenture,  prodded that the principal amount
of Funded  Indebtedness  extended,  renewed  or  refinanced  does not exceed the
outstanding principal amount of such Funded Indebtedness at such time;

          (5) Guaranties  entered late by the Company in the ordinary  course of
business, provided that the aggregate principal amount of Indebtedness which the
Company may become  obligated to pay thereunder shall not exceed $250,000 at any
one time outstanding;

          (6) other Funded  Indebtedness  issued or incurred after July 1,  1990
provided  that,  at the time of the  issuance  or  incurrence  thereof and after
giving effect thereto and to the application of the proceeds thereof:

               (i)  Consolidated   Funded  Indebtedness  shall  not  exceed  the
following percentages of Total Capitalization:


                                                                 Percentage of
                                                                     Total
               Period                                            Capitalization
July 1, 1990 thru June 30, 1991                                       78%
July 1, 1991 thru June 30, 1992                                       74%
July 1, 1992 thru June 30, 1993                                       69%
July 1, 1993 and thereafter                                           65%

               (ii)  the   ratio  of   Consolidated   Funded   Indebtedness   to
Consolidated Cash Flow for the most recent four fiscal quarters shall not exceed
(A) 4.5 to 1, in the case of any determination being made hereunder on or prior


<PAGE>

                                                                              34

to June 30, 1991, and (B) 4.0 to 1, in the case of any determination  being made
hereunder at any time thereafter;

               (iii) the sum of  Consolidated  Cash Floor plus  Rentals  for the
most  recent  four  focal  quarters  shall be not less then 1.5  times  proforma
Consolidated  Debt Service for the immediately  succeeding four fiscal quarters;
and

               (iv) No Default or Event of Default  shall have  occurred  and be
continuing;

          (7) unsecured Current Indebtedness of the Company and its Consolidated
Subsidiaries,  prodded that during the twelve-month period immediately preceding
the date of any determination hereunder (commencing on the date occurring twelve
months after the Closing Date), there shall have been a period of 45 consecutive
days during which the Company and each of its  Consolidated  Subsidiaries  shall
have  been  free of all  Indebtedness  outstanding  under  the  working  capital
facility of the Credit Agreement and all other Current Indebtedness;

          (8) Current  Indebtedness  or Funded  Indebtedness  (i) of a Principal
Subsidiary  to the Company or to another  principal  Subsidiary  and (ii) of the
Company to a Principal Subsidiary;

          (9) Current  Indebtedness or Funded Indebtedness (i) of a Consolidated
Subsidiary  other  than a  Principal  Subsidiary  to the  Company  or to another
Consolidated  Subsidiary  other  than a  Principal  Subsidiary  and  (ii) of the
Company to a Consolidated Subsidiary other than a Principal Subsidiary;

          (10) Funded indebtedness  representing  purchase money obligations and
secured by purchase money liens permitted by section 3.19(i),  provided that (i)
such Funded  Indebtedness  is incurred in  compliance  with the  limitations  on
Indebtedness  set forth in this  section  3.18 and (ii) at the time of  issuance
thereof and after giving effect  thereto and to the  application of the proceeds
thereof, no Default or Event of Default shall have occurred and be continuing;

          (11) unsecured  Indebtedness of the Company or any of its Consolidated
Subsidiaries  incurred  in  the  ordinary  course  of  business  resulting  from
physician or mental health practice  guaranties pursuant to which the Company or
any such Consolidated  Subsidiary guarantees to pay a physician or mental health
professional  on the  medical  staff of a  Hospital  owned of  operated  by it a
minimum  annual  income  or  guaranties  by the  Company  for such  Consolidated
Subsidiary of  obligations or any such  physician or mental health  professional


<PAGE>

                                                                              35


(Practice  Gustier),  in an  aggregate  amount  at any one time  outstanding  in
respect of Practice  Guaranties  for the benefit of any one  physician or mental
health professional not to exceed $250,000 and in an aggregate amount at any one
time  outstanding  in  respect  of all such  Practice  Guaranties  not to exceed
$5,000,000.

          (12)  Funded  Indebtedness  issued or  incurred  by the Company or any
Consolidated  Subsidiary in connection with the acquisition of telephone systems
to be used at facilities owned by the Company or such  Consolidated  Subsidiary,
provided that the aggregate  principal amount of all such Funded Indebtedness at
any one time outstanding shall not exceed $600,000;

          (13)  additional  unsecured  Subordinated  Funded  Indebtedness  in an
aggregate  principal  amount  not to exceed  $2,000,000;  provided  that (i) all
proceeds of such Subordinated  Funded  Indebtedness shall be used exclusively to
retire the  Subordinated  Promissory  Note, (ii) the terms of such  Subordinated
Funded Indebtedness (including interest rate, covenants, defaults, subordination
provisions  and  related  warrants  if any)  shall be no more  favorable  to the
holders  thereof  than the terms of the  Subordinated  Secured Note and all such
Subordinated Funded Indebtedness shall mature on or after April 1, 2000;

          (14) Guaranties of any Consolidated  Subsidiary  entered into pursuant
to the Credit Agreement; provided that with respect to any such Guaranty entered
into by any Principal Subsidiary (i) the obligations guaranteed by such Guaranty
shall  be  limited  to the  amount  of  accounts  receivable  of  the  Principal
Subsidiaries  allocated  to the  lenders  under the Credit  Agreement  under the
receivable  Print formula  provided under the  Intercreditor  Agreement and (ii)
recourse under such Guaranty shall be limited solely to the accounts  receivable
of such Principal  Subsidiary,  all subject to the accounts  receivable  sharing
provided under the Intercreditor Agreement; and

          (15)  additional  Current  Indebtedness  incurred  under  the  working
capital facility of the Credit Agreement in an aggregate principal amount not to
exceed  $3,000,000,  provided  that,  at the time of the issuance or  incurrence
thereof and after giving effect  thereto and to the  application of the proceeds
thereof:

               (i)  Consolidated   Funded  Indebtedness  shall  not  exceed  the
following percentages of Total Capitalization:

<PAGE>

                                                                              36


                                                                 Percentage of
                                                                     Total
               Period                                            Capitalization
July 1, 1990 thru June 30, 1991                                       78%
July 1, 1991 thru June 30, 1992                                       74%
July 1, 1992 thru June 30, 1993                                       69%
July 1, 1993 and thereafter                                           65%


               (ii)  the   ratio  of   Consolidated   Funded   Indebtedness   to
Consolidated Cash Flow for the most recent four fiscal quarters shall not exceed
(A) 4.5 to 1, in the case of any determination  being made hereunder on or prior
to June 30, 1991, and (B) 4.0 to 1, in the case of any determination  being made
hereunder at any time thereafter;

               (iii) the sum of Consolidated Cash Flow plus Rentals for the most
recent  four  fiscal  quarters  shall  be not  less  then  1.5  times  pro-forma
Consolidated  Debt Service for the immediately  succeeding four fiscal quarters;
and

               (iv) No Default or Event of Default  shall have  occurred  and be
continuing;

and provided further that during the twelve-month  period immediately  preceding
the date of any determination hereunder (commencing on the date occurring twelve
months after the Closing  Date there shall have been a period of 45  consecutive
days during which the Company and each of its  Consolidated  Subsidiaries  shall
have  been  free of all  Indebtedness  outstanding  under  the  working  capital
facility of the Credit Agreement and all other Current Indebtedness.

          (b) Any corporation which becomes a Consolidated  Subsidiary after the
date  hereof  shall  for all  purposes  of this  section  3.18 be deemed to have
created,  assumed or incurred at the time it becomes a  Consolidated  Subsidiary
all Current  Indebtedness and Funded  Indebtedness of such corporation  existing
immediately after it becomes a Consolidated Subsidiary.

          Section 3.19.  Limitation on Liens. The Company will not, and will not
permit any Consolidated Subsidiary to, create or incur, or suffer to be incurred
or to exist, any mortgage, pledge, security interest, encumbrance, lien or choke
of any kind on its or their  property or assets,  whether now owned or hereafter
acquired, or upon any income or profits therefrom,  or transfer any property for
the purpose of subjecting the same to the payment of obligations in priority to


<PAGE>
                                                                              37


the payment of its or their general  creditors,  or acquire or agree to acquire,
or permit any  Consolidated  Subsidiary  to acquire,  any  property or wets upon
conditional sales agreements or other title retention devices, except:

          (a) liens  granted  pursuant to or  permitted  by the  Mortgages,  the
Indenture and the Pledge Agreements securing the Notes;

          (b) liens granted  pursuant to the Credit Agreement in connection with
the  incurrence  of any Bank Debt and described in Annex B to Exhibit E attached
to the Note Agreements;

          (c) liens for property taxes and assessments or governments  shares or
levies  and liens  securing  claims or  demands of  mechanics  and  materialmen,
provided that payment thereof is not at the time required by section 3.13;

          (d) liens of or resulting from any judgment or award, the time for the
appeal or petition for rehearing of which shall not have expired,  or in respect
of which the  Company  or a  Consolidated  Subsidiary  shall at any time in good
faith be  prosecuting  an appeal or  proceeding  for a review  and in respect of
which a stay of  execution  pending such appeal or  proceeding  for review shall
have been secured.

          (e) liens, charges, encumbrances and priority claims incidental to the
conduct of  business  or the  ownership  of  properties  and  assets  (including
warehousemens and attorneys' liens and statutory landlords' liens) and deposits,
pledges or liens to secure the performance of bids,  tenders or trade contracts,
or to secure  statutory  obligations,  surety or appeal  bonds or other liens of
like  general  nature  incurred in the  ordinary  course of business  and not in
connection  trite the borrowing of money,  provided,  in each ease, that (i) the
obligation  secured is not overdue or, if overdue,  is being  contested  in good
faith by appropriate  actions or proceedings and (ii) the obligations secured by
such liens are not material in the aggregate;

          (f)  minor  survey  exceptions  or minor  encumbrances,  easements  or
reservations, or rights of other for rights-of-way,  utilities and other similar
purposes,  or zoning  or other  restrictions  as to the use of real  properties,
which are  nicest for the  conduct  of the  activities  of the  Company  and its
Consolidated Subsidiaries or which customarily exist on properties of


<PAGE>
                                                                              38


corporations  enacted in similar  activities and similarly situated and which do
not in any event materially impair their use in the operation of the business of
the Company and its Consolidated Subsidiaries;

          (g) mortgages,  liens or security interests (i) securing  Indebtedness
of a Consolidated  Subsidiary (other than a Principal Subsidiary) to the Company
or to another  Consolidated  Subsidiary  (other than a Principal  Subsidiary) or
(ii)  securing  Indebtedness  of a  Principal  Subsidiary  to the  Company or to
another Principal Subsidiary;

          (h) mortgages, conditional sale contracts, security interests or other
arrangements for the retention of title (Including  Capitalized Leases) existing
of the date of this  Indenture and described in Annex B to Exhibit E attached to
the  Note  Agreements  securing  Funded  Indebtedness  of  the  Company  or  any
Consolidated Subsidiary outstanding on such date;

          (i) mortgages, conditional sale contracts, security interests or other
arrangements for the retention of title (including  Capitalized Leases) incurred
after the date hereof given to secure the payment of the purchase price incurred
in  connection  with the  acquisition  of fixed assets useful and intended to be
used in carrying on the  business of the Company or a  Consolidated  Subsidiary,
including liens existing on such fixed assets at the time of acquisition thereof
or at the time of acquisition by the Company or a Consolidated Subsidiary of any
business  entity  then owning such fixed  assets,  whether or not such  existing
liens  were  given to secure the  payment  of the  purchase  price of the titled
assets  to which  they  attach so long as they were not  incurred,  extended  or
renewed in  contemplation  of such  acquisition,  provided  that (i) the lien or
charge  shall attach (A) solely to the  property  acquired or purchased  and (B)
within 120 days of the incurrence of the Indebtedness  secured thereby,  (ii) at
the time of  acquisition  of such fixed assets the  aggregate  amount  remaining
unpaid on all Indebtedness  secured by liens on such fixed assets whether or not
assumed by the Company or a Consolidated  Subsidiary  shall not exceed an amount
equal to 100% of the lesser of the total  purchase price or fair market value at
the time of acquisition of such fixed assets (as determined in good faith by the
Board of Directors of the Company),  and (iii) all such indebtedness  shall have
been incurred within the applicable limitations provided in section 3.18;

          (j) liens on accounts  receivable of Consolidated  Subsidiaries  other
than Principal Subsidiaries securing Current Indebtedness to banks incurred for


<PAGE>

                                                                              39

working  capital  purposes,  provided  no such lien  shall be granted or imposed
(with or without the Consent of the Consolidated  Subsidiary concerned) if after
giving effect thereto any Default or Event of Default shall hare occurred and be
continuing;

          (k)  mortgages  (but not by Principal  Subsidiaries)  associated  with
construction  loans or permanent  financing on new  developments  or  facilities
acquired  after the date of this  Indenture;  prodded that (i) all  Indebtedness
secured  by such  mortgages  is  incurred  in  compliance  with  the  applicable
limitations  contained in section 3.18,  (ii) the lien of such mortgages  shall
attach within 120 days of the incurrence of the Indebtedness secured thereby and
(iii) the aggregate  amount of all  indebtedness  secured by such mortgage shall
not  exceed an amount  equal to (A) in the case of the  acquisition  of any such
facilities,  75% of the lesser of the total  purchase price or fair market value
at the time of  acquisition  of such  facilities (as determined in good faith by
the Board of Directors of the Company) or (B) in the case of the construction of
any such facilities,  100% of the lesser of the total  construction cost or fair
market value at the time of  construction  of such  facilities (as determined in
good faith by the Board of Directors of the Company);

          (l) liens in addition to the liens permitted by the preceding  clauses
(a) through (k),  inclusive,  securing Funded Indebtedness of the Company or any
Consolidated  Subsidiary,  provided that (i) all Funded Indebtedness  secured by
such liens shall be  incurred  in  compliance  with the  applicable  limitations
contained  in  section  3.18  and  (ii)  the  aggregate  amount  of  all  Funded
Indebtedness  secured by such liens at any one time outstanding shall not exceed
15% of Consolidated Tangible Net Worth; and

          (m) any extension, renewal or replacement of any lien permitted by the
preceding section 3.19(b) and (h) through (1), inclusive, in respect of the same
property  theretofore  subject to such lien,  incurred  in  connection  with the
extension,  renewal or refunding of the  Indebtedness  secured  thereby which is
permitted  by the  limitations  contained  in section  3.18,  provided  that the
principal amount of Indebtedness extended, renewed or refinanced does not exceed
the outstanding principal amount of such Indebtedness at such time.

          Section 3.20. Dividends,  Stock Purchases,  Consolidated  Investments.
The  Company  will not,  and shall  not  permit  any  Subsidiary  to,  except as
hereinafter provided:


<PAGE>

                                                                              40

          (a) declare or pay any dividends,  either in cash or property,  on any
shares  of  its  capital  stock  of  any  class   (except   dividends  or  other
distributions payable solely in shares of capital stock of the Company); or

          (b)  directly  or  indirectly,  or through any  Subsidiary,  purchase,
redeem or retire any shares of its capital  stock of any class or any  warrants,
rights or options to purchase or acquire any shares of its capital  stock (other
than in exchange  for or out of the net cash  proceeds  to the Company  from the
substantially  concurrent  issue or sale of other shares of capital stock of the
Company or warrants,  rights or options to purchase or acquire any shares of its
capital stock); or

          (c) make  any  other  payment  or  distribution,  either  directly  or
indirectly or through any Subsidiary, in respect of its capital stock; or

          (d) make any Restricted Investment;

(such  declarations  or  payments  of  dividends,   purchases,   redemptions  or
retirements  of  capital  stock  and  warrants,  rights or  options,  Restricted
Investments,  and all such other  distributions being herein collectively called
"Restricted  Payments"  unless at the time of such Restricted  Payment and after
giving effect thereto (i) no Default or Event of Default shall have occurred and
be continuing,  (ii) Consolidated  Funded  Indebtedness  shall not exceed 70% of
Total  Capitalization,  (iii) the ratio of Consolidated  Funded  Indebtedness to
Consolidated  Cash Flow  shall not exceed  4.0 to 1, (iv) the  Company  would be
permitted to incur at least $1.00 of additional  Funded  Indebtedness  under the
provisions  of section  3.18(a)(6)  and (v) the  aggregate  amount of Restricted
Payments  made  during the fiscal  year in  question  would not exceed an amount
equal to 50% of  Consolidated  Net Income for the immediately  preceding  fiscal
year (or if such Consolidated Net Income is a deficit figure, then no Restricted
Payments shall be made during the fiscal year in question).

          Notwithstanding  the limitations of this section 3.20, the Company may
(A) pay or declare the regular fixed  dividends on shares of its Preferred Stock
outstanding  as of  December  31,  1989 and  remaining  outstanding  thereafter;
provided  that (i) at the time of such payment or  declaration  and after giving
effect  thereto  no  Default or Event of  Default  shall  have  occurred  and be
continuing and (ii) all such payments or  declarations  shall be included in all
computations  of  Restricted  Payments  for all other  purposes  and (B)  redeem
capital stock of Gulf Coast Treatment Center, Inc. owned as of the date of this 


<PAGE>

                                                                              41

Indenture by Dr. Todd Estroff;  provided that (i) at the time of redemption  and
after giving  effect  thereto no Default or Event of Default with respect to the
payment  of any  principal,  interest  or  premium on or in respect of the Notes
shall have occurred and be  continuing  and (ii) all such  redemptions  shall be
included in all computations of Restricted Payments for all other purposes.

          The  Company  will  not  declare  any  dividend  which  constitutes  a
Restricted  Payment  payable  more then 60 days  after  the date of  declaration
thereof.

          For the  purposes of this  section  3.20 the amount of any  Restricted
Payment declared, paid or distributed in property of the Company shall be deemed
to be the greater of the book value or fair market value (as  determined in good
faith by the Board of Directors of the Company) of such  property at the time of
the making of the Restricted Payment in question.

          Section 3.21. Mergers, Consolidations and Sales of Assets.

          (a) Subject to section 3.21(e) hereof,  the Company will not, and will
not permit any Consolidated Subsidiary to, (i) consolidate with or be a party to
a merger with any other  corporation or (ii) sell, lease or otherwise dispose of
all or any  substantial  part (as defined in paragraph (d) of this section 3.21)
of the  assets  of the  Company  and its  Consolidated  Subsidiaries,  provided,
however, that:

          (1) any Consolidated  Subsidiary may merge or consolidate with or into
the  Company  or any  Consolidated  Subsidiary  so long as (i) in any  merger or
consolidation  involving  the  Company,  the Company  shall be the  surviving or
continuing  corporation,  (ii) at the time of such  consolidation  or merger and
after giving  effect  thereto no Default or Event of Default shall have occurred
and be continuing and (iii) after giving effect to such  consolidation or merger
the Company  would be  permitted  to incur at least $1.00 of  additional  Funded
Indebtedness under the provisions of section 3.18(a)(6); and

          (2) the Company may consolidate or merge with any other corporation if
(i)  such  surviving  or  acquiring  entity  is a U.S.  corporation,  (ii)  such
surviving or acquiring entity  expressly  assumes all obligations of the Company
under the Notes  and under  this  Agreement  by  written  instrument  reasonably
satisfactory in form and substance to the Required Holders, (iii) at the time of
such consolidation or merger and after giving effect thereto no Default or Event


<PAGE>

                                                                              42




of Default shall have occurred and be  continuing,  and (iv) after giving effect
to such consolidation or merger the Company would be permitted to incur at least
$1.00  of  additional  Funded  Indebtedness  under  the  provisions  of  section
3.18(a)(6).

          (b) Subject to section 3.21(e) hereof, the Company will not permit any
Consolidated  Subsidiary  to  issue  or sell any  shares  of stock of any  class
(including  as "stocks"  for the purpose of this  section  3.22,  any  warrants,
rights or options to purchase or  otherwise  acquire  stock or other  Securities
exchangeable for or convertible into stock) of such  Consolidated  Subsidiary to
any Person  other than the Company or a  Wholly-owned  Consolidated  Subsidiary,
except for the purpose of qualifying directors, or except in satisfaction of the
validly  pre-existing  preemptive rights of minority  shareholders in connection
with the  simultaneous  issuance of stock to the Company  and/or a  Consolidated
Subsidiary  whereby the Company  and/or such  Consolidated  Subsidiary  maintain
their same proportionate interest in such Consolidated Subsidiary.

          (c) Subject to section  3.21(e)  hereof,  the  Company  will not sell,
transfer  or  otherwise  dispose  of any  shares  of stock  in any  Consolidated
Subsidiary (except to qualify directors) or any Indebtedness of any Consolidated
Subsidiary, and will not permit any Consolidated Subsidiary to sell, transfer or
otherwise  dispose  of (except to the  Company  or a  Wholly-owned  Consolidated
Subsidiary) any shares of stock or any  Indebtedness  of any other  Consolidated
Subsidiary, unless:

          (1)  simultaneously  with such sale,  transfer,  or  disposition,  all
shares of stock and all Indebtedness of such Consolidated Subsidiary at the time
owned by the Company and by every other Subsidiary shall be sold, transferred or
disposed of as an entirety;

          (2) the Board of Directors of the Company  shall have  determined,  as
evidenced  by a  resolution  thereof,  that  the  retention  of such  stock  and
Indebtedness is no longer in the best interests of the Company;

          (3) such stock and  Indebtedness  Is sold,  transferred  or  otherwise
disposed of to a Person, for a cash consideration and on terms reasonably deemed
by the Board of Directors to be adequate and satisfactory;

          (4) the  Consolidated  Subsidiary being disposed of shall not have any
continuing  investment  in  the  Company  or  any  other  Subsidiary  not  being
simultaneously disposed of; and


<PAGE>

                                                                              43


          (5) such sale or other disposition does not involve a substantial part
(as  hereinafter  defined)  of the assets of the  Company  and its  Consolidated
Subsidiaries.

          (d) As used in this section 3.21, a sale,  lease or other  disposition
of  assets  shall be  deemed  to be a  "substantial  part" of the  assets of the
Company  and its  Consolidated  Subsidiaries  only if (i) the book value of such
assets,  when  added to the book  value of all  other  assets  sold,  leased  or
otherwise  disposed of by the Company and its Consolidated  Subsidiaries  (other
then in the  ordinary  course of  business)  during  the  immediately  preceding
twelve-month  period  exceeds 10% of the  Consolidated  Net Tangible Nets of the
Company  of  its  Consolidated  Subsidiaries  determined  as of  the  end of the
immediately  preceding  fiscal  year  or  (ii)  the  assets  referred  to in the
foregoing clause (i) contributed more than 10% of the Consolidated Net Income of
the Company and its  Consolidated  Subsidiaries  for the  Immediately  preceding
twelve-month period;  provided,  however,  that the sale or other disposition of
any one hospital facility in any twelve-month  period which (A) has a book value
in excess of 10% of the  Consolidated Net Tangible Assets of the Company and its
Consolidated  Subsidiaries determined as of the end of the immediately preceding
fiscal year or contributed  more than 10% of the  Consolidated Net Income of the
Company  and  its  Consolidated   Subsidiaries  for  the  immediately  preceding
twelve-month period and (B) constitutes security for the obligations outstanding
under the Credit  Agreement shall not be included in any computation of sales or
other dispositions hereunder.

          (e) The  Company  will  not,  and will  not  permit  any  Consolidated
Subsidiary to, (1) sell,  lease or otherwise  dispose of any asset  mortgaged or
pledged  pursuant  to  the  Mortgages  or the  Pledge  Agreements  or  otherwise
constituting  security  for the Notes or (ii) sell or  otherwise  dispose of any
receivables for consideration less than the stated value thereof.

          Section  3.22.  Guaranties.  The Company will not, and will not permit
any  Consolidated  Subsidiary to, become or be liable in respect of any Guaranty
except Guaranties of the Company which are limited in amount to a stated maximum
dollar  exposure and included in Current  Indebtedness  or  Consolidated  Funded
Indebtedness

          Section  3.23.  Repurchase  of  Notes.  Neither  the  Company  nor any
Consolidated Subsidiary or Affiliate,  directly or indirectly, may repurchase or


<PAGE>

                                                                              44

make any offer to  repurchase  Notes of either class  (Senior  Secured  Notes or
Subordinated  Secured Notes) unless the offer has been made to repurchase  Notes
of such class, pro rata, from all holders of the Notes of such class at the same
time and upon the same terms. In case the Company  repurchases  any Notes,  such
Notes shall thereafter be cancelled and no Notes shall be issued in substitution
therefor.

          Section 3.24.  Transactions with Affiliates.  (a)The Company will not,
and will not permit any Consolidated  Subsidiary to, enter into or be a party to
any  transaction  or  arrangement   with  any  Affiliate   (including,   without
limitation,  the purchase  from,  sale to or exchange of property  with,  or the
rendering of any service by or for, any Affiliate),  except (i)  transactions in
the  ordinary  course of and  pursuant  to the  reasonable  requirements  of the
Company's  or  such  Consolidated   Subsidiary's  business  and  upon  fair  and
reasonable  terms  no  less  favorable  to  the  Company  or  such  Consolidated
Subsidiary  than would  obtain in a  comparable  arm's-length  tradition  with a
Person  other than an Affiliate  and (ii) the  Personnel  end  Facility  Sharing
Agreement,  dated of March 31, 1988,  between the Company and Ramsay Corporation
pursuant to which the Company receives fees in exchange for management  services
provided to River West Medical  Center.  The Company  shall provide prior mitten
notice to each holder of any Note of any  transaction  or  arrangement  with any
Affiliate having a value in excess of $100,000.

          (b) The  Company  will  not,  and will  not  permit  any  Consolidated
Subsidiary to, pay any management  fees to any Affiliate  during any fiscal year
unless the aggregate  amount of all management  fees paid by the Company and its
Consolidated  Subsidiaries  during  such fiscal year shall not exceed the sum of
(i) $600,000 plus (ii) the Inflation Factor.  For purposes of this section 3.24,
the  "Inflation  Factor" shall mean $O for the fiscal years ending June 30, 1990
and June 30, 1991 and for any fiscal year thereafter  shall mean an amount equal
to the product of (A) the lesser of the Consumer  Price Index and 10% multiplied
by (B) the  aggregate  amount of  management  fees paid by the  Company  and its
Consolidated Subsidiaries during the immediately preceding fiscal year.

          Section 3.25.  Investments.  The Company will not, and will not permit
any  Consolidated  Subsidiary to, make any investments in or loans,  advances or
extension of credit to, any Person, except:


<PAGE>

                                                                              45

          (a)   investments,   loans  and   advances  by  the  Company  and  its
Consolidated  Subsidiaries  in and to Consolidated  Subsidiaries,  including any
investment  in a  corporation  engaged in the brained of  operating  psychiatric
hospitals in the United  States which,  after giving effect to such  investment,
will  become  a  Consolidated  Subsidiary;  provided  that,  at the time of such
investment  and  after  giving  effect  thereto  and to the  application  of the
proceeds  thereof,  no Default or Event of Default  shall have  occurred  and be
continuing,  and provided further,  that no Principal  Subsidiary shall make any
investment in any entity other than the Company or another Principal Subsidiary.

          (b) investments in commercial  paper maturing in 270 days or less from
the date of issuance  which,  at the time of  acquisition  by the Company or any
Consolidated   Subsidiary,   is  rated  A-1  or  higher  by  Standard  &  Poor's
Corporation,  P-1 or higher by Moody's Investors Service,  Inc. or an equivalent
rating  by any other  nationally  recognized  credit  rating  agency of  similar
standing;

          (c) investments in direct obligations of the United States of America,
or any  agency  thereof,  maturing  in  twelve  months  or less from the date of
acquisition thereof;

          (d) investments in  certificates  of deposit  maturing within one year
from the date of origin,  issued by (i) a Bank or trust company  organized under
the laws of the United States or any state thereof, having capital,  surplus and
undivided  profits  aggregating at least  $300,000,000  or (ii)so long as it has
capital,  surplus and undivided profits aggregating at least $300,000,000 and is
rated A-3 or higher by  Standard & Poor's  Corporation,  A- or higher by Moody's
Investors  Service,  Inc.  or an  equivalent  rating  by  any  other  nationally
recognized credit rating agency of similar standing, Hibernia National Bank;

          (e) loans or advances in the usual and ordinary  course of business to
officers,  directors  and  employees  for expenses  (including  moving  expenses
related to a transfer)  incidental to carrying on the business of the Company or
any Consolidated Subsidiary;

          (f)  receivables  arising  from the sale of goods and  services in the
ordinary course of business of the Company and its Consolidated Subsidiaries;

          (g) Investments in The Bethany  Pavilion,  a joint venture between the
Company and  Bethany  General  Hospital,  in an  aggregate  amount not to exceed
$2,635,000; and




<PAGE>

                                                                              46


          (h) Restricted Investments permitted by section 3.20 hereof.

          In valuing  any  investments,  loans and  advances  for the purpose of
applying the limitations set forth in this section 3.25, such investments, loans
and advances shall be taken at the original cost thereof,  without allowance for
any subsequent  write-offs or appreciation or depreciation therein, but less any
amount repaid or recovered on account of capital or principal

          For  purposes of this  section  3.25,  at any time when a  corporation
becomes a Consolidated  Subsidiary,  all investments of such corporation at such
time shall be deemed to have been made by such  corporation,  as a  Consolidated
Subsidiary, at such time.

          Section 3.26.  Termination of Pension Plans. The Company will not, and
will not permit any Subsidiary to, permit any employee  benefit plan  maintained
by it to be  terminated  in a manner which could result in the  imposition  of a
lien on any property of the Company or any  Subsidiary  pursuant to Section 4068
of ERISA.

          Section 3.27. Reports and Rights of Inspection. The Company will keep,
and will cause each  Subsidiary  to keep,  proper books of record and account in
which full and correct  entries will be made of all dealings or  transactions of
or in relation to the business and affairs of the Company or such Subsidiary, in
accordance  with  generally  accepted  principles  of  accounting   consistently
maintained (except for changes disclosed in the financial  statements  furnished
to you pursuant to this section 3.27 and concurred in by the independent  public
accountants  referred to in section  3.27(b)  hereof)  and will  furnish to each
holder of any Note each other institutional holder of the then outstanding Notes
and the Trustee (in duplicate if so specified below or otherwise requested):

          (a) Quarterly Statements. As soon as available and in any event within
50 days after the end of each quarterly  fiscal period (except the last) of each
fiscal year, duplicate copies of:

               (1)   consolidated   balance   sheets  of  the  Company  and  its
Consolidated  Subsidiaries  as of the  close of such  quarter  setting  forth in
comparative  form the  consolidated  figures for the end of the preceding fiscal
year,

<PAGE>

                                                                              47

               (2) consolidated statements of income and retained earning of the
Company and its  Consolidated  Subsidiaries for such quarterly  period,  setting
forth in comparative form the consolidated  figures for the corresponding period
of the preceding fiscal year, and

               (3) consolidated  statements of cash flows of the Company and its
Consolidated  Subsidiaries  for the  portion of the fiscal year ending with such
quarter  setting  forth in  comparative  form the  consolidated  figures for the
corresponding  period of the preceding fiscal year, all in reasonable detail and
certified  as complete  and correct by an  authorized  financial  officer of the
Company;

          (b) Annual  Statements.  As soon as available  and in any event within
105 days after the close of each fiscal year of the Company duplicate copies of:

               (1)   consolidated   balance   sheets  of  the  Company  and  its
Consolidated Subsidiaries as of the close of such fiscal year,

               (2) consolidated  statements of income and retained  earnings and
cash flows of the  Company  and its  Consolidated  Subsidiaries  for such fiscal
year,

               (3)  consolidated  statements  of  income of the  Company  and in
Principal Subsidiaries for such fiscal year, and

               (4) a budget for the  Company and its  Consolidated  Subsidiaries
for the  immediately  succeeding  fiscal year  together  with an analysis of (i)
changes in such budget from the budget  prepared for the current fiscal year and
(ii) the variance of the  projections  made in the budget for the current fiscal
year from the actual  budget for such fiscal year,  in each case with respect to
items  delivered  pursuant  to  section  3.27(b)(1),  (2)  and  (3)  setting  in
comparative form the consolidated  figures for the preceding fiscal year, all in
reasonable  detail and  accompanied by a report thereon of a firm of independent
public  accountants of recognized  national  standing selected by the Company to
the effect that the  consolidated  financial  statements  have been  prepared in
accordance with generally accepted accounting principles applied on a consistent
basis and present fairly, in all material respects,  the financial  condition of
the Company and its  Consolidated  Subsidiaries and that the examination of such
accountants  in  connection  with  such  financial  statements  has been made in
accordance with generally accepted auditing  standards and accordingly  includes
such tests of the accounting records and such other auditing procedures as were 


<PAGE>

                                                                              48


considered  necessary to provide a reasonable basis for the opinion expressed in
the report;

          (c) Audit  Reports.  Promptly upon receipt  thereof,  one copy of each
interim or special  audit made by  independent  accountants  of the books of the
Company or any Consolidated Subsidiary;

          (d) SEC and Other Reports. Promptly upon their becoming available, one
copy of each financial statement,  report, notice or proxy statement sent by the
Company to stockholders  generally and of each regular or periodic  report,  and
any registration  statement or prospectus filed by the Company or any Subsidiary
with any securities  exchange or the  Securities and Exchange  Commission or any
successor  agency,  and  copies  of any  orders in any  proceeding  to which the
Company  or any of its  Subsidiaries  is a  party,  issued  by any  governmental
agency,  Federal or state,  having  jurisdiction  over the Company or any of its
Subsidiaries;

          (e) Requested Information. With reasonable promptness, such other data
and information as any holder of any Note may reasonably request;

          (f) Officers  Certificates.  Within the periods provided in paragraphs
(a) and (b) above,  a  certificate  of an  authorized  financial  officer of the
Company stating, that such officer has reviewed the provisions of this Agreement
and setting forth (i) the information and  computations  (in sufficient  detail)
required in order to establish  whether the Company was in  compliance  with the
requirements of section 3.16 through section 3.26, inclusive,  at the end of the
period  covered  by the  financial  statements  then being  furnished,  and (ii)
whether there existed as of the date of such  financial  statements and whether,
to the  best  of such  officer's  knowledge,  there  exists  on the  date of the
certificate  or existed at any time during the period  covered by such financial
statements  any Default or Event of Default and, if any such  condition or event
exists  on the date  the  certificate,  specifying  the  nature  and  period  of
existence thereof and the action the Company is taking and proposes to take with
respect  thereto  and  stating  whether  the  Company or any other  Obligor  has
received any notice of possible  decertification under any medical reimbursement
program, including, but not limited to, Medicare, Medicaid and CHAMPUS;

          (g) Accountants' Certificates. Within the period provided in paragraph
(b) above, a certificate of the  accountants  who render an opinion with respect
to such financial statements, stating that they have reviewed this Agreement and


<PAGE>

                                                                              49


stating further  whether,  in making their audit,  such  accountants have become
aware of any Default or Event of Default under any of the terms or provisions of
this  Agreement  insofar as any such terms or  provisions  pertain to or involve
accounting  matters or  determinations,  and if any such condition or event then
exists, specifying the nature and period of existence thereof; and

          (h) Annual Licensure Surveys.  Not later than 30 days after receipt, a
copy of each annual licensure survey of the appropriate  state offices of health
for each of the Hospitals.

Without limiting the foregoing,  the Company will permit each Initial Purchaser,
the Trustee and each Institutional holder of the then outstanding Notes (or such
Persons as either an Initial  Purchaser or such holder may designate),  to visit
and inspect,  under the Company's guidance, any of the properties of the Company
or any Subsidiary,  to examine all their books of account,  records, reports and
other  papers,  to make  copies and  extracts  therefrom,  and to discuss  their
respective  affairs,  finances  and  accounts  with their  respective  officers,
employees, and independent public accountants (and by this provision the Company
authorizes said accountants to discuss with the Initial Purchasers,  the Trustee
or any such holder the Finances and affairs of the Company and its Subsidiaries)
all at such reasonable  times and as often as may be reasonably  requested.  The
Company  shall not be required to pay or reimburse the Initial  Purchasers,  the
Trustee or any such  holder  for  expenses  which the  Initial  Purchasers,  the
Trustee or any such holder may Incur in connection  with any such  visitation or
inspection  unless  such  visitation  or  inspection  is  made  by  the  Initial
Purchasers,  the Trustee or any such holder in response to the  occurrence  of a
Default or an Event of Default.

          Section 3.28. Amendment and Modification of Credit Agreement and Other
Documents. The Company will not, and will not permit any Subsidiary to, directly
or indirectly,  amend, modify or supplement any term,  provision or condition of
(i) the Credit  Agreement or any document  ancillary or related  thereto or (ii)
any agreement,  document,  instrument or notes evidencing any existing or future
Subordinated  Funded  Indebtedness  without  the prior  written  consent  of the
Required Holders

          Section 3.29.  Prepayment of Certain Subordinated Funded Indebtedness.
The  Company  will not,  and will not  permit  any  Subsidiary  to, (i) make any
principal payment on the Subordinated Convertible Promissory Note or (ii) make



<PAGE>

                                                                              50



any principal payment on the Subordinated Promissory Note prior to April 1, 2000
except  with the  proceeds  from (A) the  issuance  of the  Subordinated  Funded
Indebtedness permitted by section 3.18(a)(13) or (B) an offering of common stock
of the Company.

          Section 3.30. Environmental  Evaluation and Remediation.  Upon written
direction from the Required  Holders,  the Company will promptly  employ Fred C.
Hart  Associates,  Inc.  (or other  independent  professional  engineering  firm
acceptable to such Required  Holders)  ("Environmental  Engineers")  to promptly
conduct a ground  water  study of all  potential  groundwater  contamination  at
Cumberland  Hospital.  If such study indicates  groundwater  contamination,  the
Company agrees that it will upon written  direction  from the Required  Holders,
immediately engage  Environmental  Engineers to promptly take the step necessary
to remediate such  contamination.  All fees and expenses in connection with such
study and remediation  shall be paid by the Company.  After such remediation has
been completed,  the Company shall deliver to each holder of an outstanding Note
a copy of a clearance  audit prepared by  Environmental  Engineers,  which audit
shall attest to the effective remediation of such contamination.

          Section 3.31.  Interest  Rate  Protection  Agreements.  Within 60 days
following  the Closing Date,  the Company shall have provided to each  Purchaser
evidence that the borrowers under the term loan facility  provided in the Credit
Agreement have entered into interest rate protection agreements with one or more
of the lenders under the Credit  Agreement or with other financial  institutions
reasonably acceptable to the Purchasers,  providing for an interest rate cap for
not less than 75% of the loans  outstanding  under such term loan  facility or a
swap of not  less  than  50% of the  loans  outstanding  under  such  term  loan
facility.

SECTION 4. POSSESSION, USE AND RELEASE OF PROPERTY.

          Section 4.1.  Obligors'  Right of  Possession.  Provided no Default or
Event of Default has occurred and is continuing, the Oblivious shall be suffered
and  permitted  to remain  in full  possession,  enjoyment  and  control  of the
Mortgaged  Property,  subject always to the  observance  and  performance of the
terms of this  Indenture,  the Note  Agreements,  the Pledge  Agreements and the
Mortgages.

          Section 4.2. Release of Mortgaged Property. (a) So long as no Event of
Default has occurred and is  continuing,  the Obligors  (other than the Company)
shall be permitted to make dispositions of certain Property upon compliance with
section 3.1 of the applicable Mortgage.


<PAGE>

                                                                              51


          (b) The Trustees shall release any Mortgaged Property taken by eminent
domain or sold in  anticipation of a taking by eminent domain upon compliance by
the Obligor then owning such Property with the  provisions of section 3.2 of the
Mortgage.

          (c) In addition to the sale and release of Mortgaged Property pursuant
to section  section  4.2(a) and (b), the Obligor  then owning such  Property may
sell or otherwise dispose of any Mortgaged Property" then subject to the Lien of
this  Indenture and any of the Mortgages or any indenture  supplemental  hereto,
and the Trustees  shall  release the same from the Lien hereof or thereof to the
extent and on the terms and upon compliance with the conditions  provided for in
any written consent given thereto at any time or from time to time by the holder
or holders of all of the then outstanding Notes.

SECTION 5. PREPAYMENT OF LOANS.

          Section  5.1.  Prepayments  and Manner  Thereof.  Except to the extent
provided for in this section 5, the Notes shall not be subject to  prepayment or
redemption  in  whole  or in part at the  option  of the  Obligors  prior to the
expressed  maturity  dates thereof.  Every  prepayment of Notes shall be made in
accordance with the provisions of this section 5.

          Section 5.2.  Mandatory  Prepayment.  (a) The Obligors agree that they
will  prepay the Senior  Secured  Notes at 100% of the  principal  amount of the
Senior  Secured  Notes to be prepaid on March 31 and September 30 of each of the
years and in the principal amount as follows:



  Prepayment                  Principal      Prepayment              Principal
    Date                        Amount          Date                   Amount
- ------------------          ------------ ---------------------     -------------
March 31, 1993               $2,825,000    March 31, 1997           $3,531,250
September 30, 1993            2,825,000    September 30, 1997        3,531,250
March 31, 1994                2,825,000    March 31, 1998            3,531,250
September 30, 1994            2,825,000    September 30, 1998        3,531,250
March 31, 1995                3,531,250    March 31, 1999            5,650,000
September 30, 1995            3,531,250    September 30, 1999        5,650,000
March 31, 1996                3,531,250
September 30, 1996            3,531,250




<PAGE>

                                                                              52


          (b) Subject to section 10 hereof,  the  Obligors  agree that they will
prepay the  Subordinated  Secured Notes at 100% of the  principal  amount of the
Subordinated Secured Notes to be prepaid on March 31 and September 30 of each of
the years and in the principal amounts as follows:


  Prepayment                  Principal      Prepayment               Principal
    Date                        Amount          Date                    Amount
- ----------------------      -------------    -------------------    ------------
March 31, 1994                $230,769.2     March 31, 1997          $230,769.23
September 30, 1994             230,769.2     September 30, 1997       230,769.23
March 31, 1995                 230,769.2     March 31, 1998           230,769.23
September 30, 1995             230,769.2     September 30, 1998       230,769.23
March 31, 1996                 230,769.2     March 31, 1999           230,769.23
September 30, 1996             230,769.2     September 30, 1999       230,769.23


          (c) Subject to section 10 hereof,  the  Obligors  agree that they will
pay the entire  unpaid  principal  amount of the Notes at  maturity on March 31,
2000.  Prepayment  of less than all of the Notes  pursuant to the  provisions of
section 5.3, or section 5.4 shall not relieve the  Obligors of their  obligation
pursuant to this section 5.2.

          Section  5.3.  Optional   Prepayment  in  the  Event  of  Casualty  or
Condemnation.  The Notes may be prepaid at any time prior to maturity,  in whole
or in part,  through the application of moneys received by the Trustee  pursuant
to the  provisions of section 3.1(b) or section 4.1 of any Mortgage upon payment
of the  principal  amount of the Notes so to be  prepaid  and  accrued  interest
thereon  to the  date  of  prepayment,  together  with a  premium  equal  to the
Yield-Maintenance Premium.

          Section 5.4.  Optional  Prepayment  With  Premium.  In addition to the
right of  prepayment  set forth in  section  5.3,  the  Obligors  shall have the
privilege  of  prepaying  either the Senior  Secured  Notes or the  Subordinated
Secured Notes, or both, at any time,  either in whole or in part (but if in part
in units of $100,000 or an  integral  multiple of $10,000 in excess  thereof) by
payment  of the  principal  amount of such  Notes or the  portion  thereof to be
prepaid, and accrued interest thereon to the date of prepayment, together with a
premium equal to the Yield-Maintenance Premium.

          "Called Principal" shall mean, with respect to any Note, the principal
of such Note that is to be prepaid  pursuant  to  section  5.3,  section  5.4 or
section 5.5 hereof (any partial  prepayment  being  applied in  satisfaction  of
required payments of principal in inverse order of their scheduled due dates) or




<PAGE>

                                                                              53


is declared to be immediately due and payable pursuant to section 6.2 hereof, as
the context requires.

          "Discounted Value" shall mean, with respect to the Called Principal of
any Note, the amount  obtained by discounting all Remaining  Scheduled  Payments
with respect to such Called Principal from their respective  scheduled due dates
to the Settlement Date with respect to such Called Principal, in accordance with
accepted  financial  practice and at a discount  factor (applied on a semiannual
basis) equal to the Reinvestment Yield with respect to such Called Principal.

          "Reinvestment  Yield" shall mean, with respect to the Called Principal
of any Note,  the yield to maturity  implied by (i) the yields  reported,  as of
10:00  A.M.  (New  York  City  time)  on the  Business  Day next  preceding  the
Settlement Date with respect to such Called Principal, on the display designated
as "Page 678" on the Tolerate Service (or such other display as may replace Page
678 on the Tolerate Service) for actively traded U.S. Treasury securities having
a maturity  equal to the Remaining  Average Life of such Called  Principal as of
such Settlement Date, or if such yields shall not be reported as of such time or
the  yields  reported  as of with  time  shall  not be  ascertainable,  (ii) the
Treasury Constant Maturity Series yields reported,  for the latest day for which
such yields shall have been so reported as of the  Business  Day next  preceding
the Settlement  Date with respect to such Called  Principal,  in Federal Reserve
Statistical  Release H.15 (519) (or any comparable  successor  publication)  for
actively traded U.S. Treasury securities having a constant maturity equal to the
Remaining Average Life of such Called Principal as of such Settlement Date. Such
implied yield shall be determined, if necessary, by (a) converting U.S. Treasury
bill quotations to bond-equivalent  yields in accordance with accepted financial
practice and (b) interpolating linearly between reported yields.

          "Remaining  Average  Life"  shall  mean,  with  respect  to the Called
Principal  of  any  Note,  the  number  of  years  (calculated  to  the  nearest
one-twelfth  year) obtained by dividing (i) such Called  Principal into (ii) the
sum of the products obtained by multiplying (a) each Remaining Scheduled Payment
of such  Called  Principal  (but not of  interest  thereon) by (b) the number of
years (calculated to the nearest one-twelfth year) which will elapse between the
Settlement Date with respect to such Called Principal and the scheduled due date
of such Remaining Scheduled Payment.






<PAGE>

                                                                              54

          "Remaining  Scheduled Payments" shall mean, with respect to the Called
Principal  of any Note,  all  payments of such  Called  Principal  and  interest
thereon  that  would be due on or after the  Settlement  Date with react to such
Called  Principal if no payment of such Called  Principal were made prior to its
scheduled due date.

          "Settlement  Date" shall mean, with respect to the Called Principal of
any Note, the date on which such Called  Principal is to be prepaid  pursuant to
section 5.3,  section 5.4 or section 5.5 hereof or is declared to be immediately
due and payable pursuant to section 6.2 hereof, as the context requires.

          "Yield-Maintenance  Premium"  shall mean with  respect to any Note,  a
premium  equal to the  excess,  if any,  of the  Discounted  Value of the Called
Principal  of such  Note  over the sum of (i) such  Called  Principal  plus (ii)
interest  accrued thereon as of (including  interest due on) the Settlement Date
with respect to such Called Principal. The Yield-Maintenance Premium shall in no
event be less than zero.

          Section 5.5. Prepayment on Charge in Control.  (a) In the event that a
Change in Control Date shall  occur,  the Company  will give  immediate  written
notice (a  "Company  Notice") of such fact to the Trustee and all holders of the
Notes. The Company Notice shall (i) describe the facts and circumstances of such
Change in Control in reasonable  detail,  (ii) refer to this section 5.5 and the
rights of the holders of the Notes to require  prepayment  of their Notes on the
terms and conditions provided for herein, (iii) contain an offer by the Obligors
to prepay all of the outstanding Notes in full together with accrued interest to
the date of prepayment and a premium equal to the Yield-Maintenance Premium, and
(iv) set forth the date,  which  shall be not less than 30 nor more than 60 days
following the date of the Company  Notice,  on which the Obligors will make such
prepayment.  Each  holder of the Notes shall have the right to accept such offer
and  require  prepayment  of the Notes  held by such  holder in full by  written
notice to the  Company  given  within 30 days  following  receipt of the Company
Notice.  The  Obligors  shall on the  prepayment  date set forth in the  Company
Notice  prepay  all  Notes  held by  holders  who have  accepted  such  offer of
prepayment.

          (b) In the  event  the  Company  fails to give the  Company  Notice as
required above,  upon the occurrence of a Change in Control Date, each holder of
Notes shall have the right to require the Obligors to prepay such holder's Notes
in full together with accrued  interest  thereon to the date of prepayment and a
premium equal to the Yield-Maintenance Premium.  Notice of a required prepayment



<PAGE>

                                                                              55

pursuant to this section 5.5(b) shall be delivered by any holder of Notes to the
Company  not more than 30 days after such  holder has actual  knowledge  of such
Change in Control Date.  The date of such  prepayment  shall be the same date as
the  Change in Control  Date or, in the event the  Change in Control  Data shall
have  occurred  prior to  receipt  of the notice  from a  Noteholder,  then such
prepayment   together  with  accrued   interest  and  a  premium  equal  to  the
Yield-Maintenance  Premium,  if any, thereon shall be on the date designated in,
and shall be not less than 30 nor more than 60 days  following the date of, such
holders notice.

          "Acquiring  Person"  shall  mean  any  Person  or group of two or more
Persons acting as a partnership, limited partnership,  syndicate, or other group
for the  purpose of  acquiring,  holding  or  disposing  of Voting  Stock of the
Company,  together with all  affiliates and associates (as defined in Rule 12b-2
under the Securities and Exchange Act of 1934, as amended) of such Persons.

          "Change in Control"  means any event after the  occurrence of which an
Acquiring Person other than The Paul Ramsay Group of Sydney, Australia owns more
than 50% (by number of votes) of the Voting Stock of the Company.

          "Change  in Control  Date"  shall mean any date upon which a Change in
Control shall have occurred.

          Section  5.6.  Notice of  Prepayments.  The Company  will give written
notice of any  prepayment  of any of the Notes  pursuant  to the  provisions  of
section 5.3, section 5.4 or section 5.5 to each holder of the Notes (with a copy
to the  Trustee)  not less  than 30 days nor more than 60 days  before  the date
fixed for such  prepayment  specifying  (a) such date,  (b) the  section of this
Indenture  and/or the  applicable  Mortgage  under which the prepayment is to be
made, (c) the aggregate principal amount of all Notes to be prepaid on such date
and the principal  amount of the holder's  Notes to be prepaid on such date, (d)
the accrued interest  applicable to the prepayment,  and (e) whether any premium
may be payable in  connection  with such  prepayment.  Such notice of prepayment
shall  also  certify  all  facts  which  are  conditions  precedent  to any such
prepayment.  Notice of prepayment having been so given, the aggregate  principal
amount of the Notes specified in such notice, together with premium, if any, and
accrued interest thereon shall become due and payable on the prepayment date. In
the event of any  prepayment in accordance  with the  provisions of section 5.3,
section 5.4 or section  6.2,  on or prior to the  prepayment  date,  the Company
shall provide the Trustee and each holder of the Notes written notice of the




<PAGE>

                                                                              56

amount of the premium payable in connection with such prepayment, whether or not
any premium is payable, together with a reasonably detailed calculation thereof.
The Trustee shall have no responsibility to verify any such calculation.

          In the event  that the  Company  shall have  given  written  notice in
accordance  with the  provisions of this section 5.6 of any prepayment of any of
the Notes  pursuant to the provisions of section 5.4 and shall fail to make such
prepayment on the date specified in such notice for such prepayment, the Company
promptly  shall pay to each  holder  of Notes an  amount  equal to any costs and
expenses  incurred  by any  such  holder  in  reliance  on any  such  notice  of
prepayment.

          Section 5.7.  Allocation of Prepayments.  (a) The aggregate  principal
amount of each optional  partial  prepayment of the Notes shall be made in units
of $1,000 or multiples  thereof.  Partial  prepayments shall be credited in each
case  first,  against the final  maturity  of the Notes being  prepaid and then,
against  the  required  prepayments  on such Notes in the  inverse  order of the
maturities thereof.

          (b) In any case of the  partial  prepayment  of Notes of either  class
pursuant to section 5.2,  section 5.3 or section 5.4,  the  aggregate  principal
amount of the  Notes of such  class to be  prepaid  shall be  allocated  to each
holder of such Notes in the same proportion as the principal amount of the Notes
of such class of such  holder  bears to the  aggregate  principal  amount of all
Notes of such class then outstanding.

SECTION 6. REMEDIES OF THE TRUSTEES AND THE NOTEHOLDERS.

          Section 6.1. Definition of Event of Default; Acceleration of Maturity.
The following  events are hereby  defined for all purposes of this  Indenture as
"Events of Default":

          (a) if default shall be made in the payment of any interest payment on
any Note when and as the same shall  become due and payable and any such default
shall continue for five days; or

          (b) if default shall be made in the payment of any required prepayment
on any of the Notes as provided in section 5.2; or

          (c) if default  shall be made in the payment of the  principal  of any
Note or the premium thereon at the expressed or any accelerated maturity date or
at any date fixed by this Indenture for mandatory prepayment; or



<PAGE>

                                                                              57


          (d) if any representation or warranty of any of the Obligors set forth
in this Indenture, the Note Agreements,  any Pledge Agreement or any Mortgage or
in any  certificate  delivered  pursuant  hereto or  thereto  or in any  notice,
certificate,  demand or request delivered to the Trustees or any holder of Notes
pursuant to this Indenture,  the Note  Agreements,  any Pledge  Agreement or any
Mortgage shall prove to be false or misleading in any material respect as of the
time when the same shall have been made; or

          (e) If default shall be made in the due  observance or  performance of
any  covenant  or  agreement  contained  in section  3.5 or section 3.8 and such
default shall have  continued for 30 days after the earlier of (i) the giving of
notice of such default by the Obligors to the Trustee in accordance with section
3.10 or (ii) receipt of written notice thereof by the Obligors; or

          (f) if default shall be made in the due  performance  or observance of
any covenant or  agreement  contained  in section  3.16  through  section  3.26,
inclusive, hereof; or

          (g) if the  Company or any  Consolidated  Subsidiary  defaults  in any
payment of principal of or interest on any other  obligation  for money borrowed
(or  any  obligation  under  any  Capitalized  Lease,  any  obligation  under  a
conditional sale or other title retention  agreement,  any obligation  issued or
assumed as full or partial  payment  for  property  whether or not  secured by a
purchase money mortgage or any obligation under notes payable or drafts accepted
representing  extensions  of credit)  beyond any period of grace  provided  with
respect thereto, or the Company or any Consolidated  Subsidiary fails to perform
or observe any other  agreement,  term or condition  contained in any  agreement
under which any such obligation is created (or if any other event  thereunder or
under any such agreement  shall occur and be continuing)  and the effect of such
failure or other  event is to cause,  or to permit the holder or holders of such
obligation  (or a trustee on behalf of such holder or  holders)  to cause,  such
obligation  to  become  due  prior to any  stated  maturity,  provided  that the
aggregate  amount of all  obligations  as to which such a payment  default shall
occur and be  continuing  or such a failure or other event causing or permitting
acceleration shall occur and be continuing exceeds $1,000,000; or

          (h) if default shall be made in the due  observance or  performance of
any other covenant,  condition or agreement of the Obligors  contained herein or
in the Note Agreements, the Notes, any Pledge Agreement or any Mortgage, and 




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                                                                              58


such  default  shall have  continued  for 10 days after any  Obligor  shall have
knowledge of such default; or

          (i) if any Obligor  becomes  insolvent or bankrupt,  is generally  not
paying its debts as they  become due or makes an  assignment  for the benefit of
creditors,  or any  Obligor  causes or suffers an order for relief to be entered
with respect to it under  applicable  Federal  bankruptcy  law or applies for or
consents to the appointment of a custodian,  trustee or receiver for any Obligor
or for the major part of its Properties; or

          (j) if any decree or order for  relief in  respect  of any  Obligor is
entered  under  any   bankruptcy,   reorganization,   compromise,   arrangement,
insolvency,  readjustment  of debt,  dissolution  or liquidation or similar law,
whether now or hereafter in effect (herein called the "Bankruptcy  Law"), of any
jurisdiction; or

          (k) If any  Obligor  petitions  or applies  to any  tribunal  for,  or
consents to, the appointment of, or taking  possession by, a trustee,  receiver,
custodian,  liquidator or similar official of any Obligor, or of any substantial
part of the assets of any  Obligor,  or  commences  a  voluntary  case under the
Bankruptcy  Law of the United States or any proceeding  (other than  proceedings
for the voluntary  liquidation  and  dissolution of an Obligor)  relating to any
Obligor under the Bankruptcy Law of any other jurisdiction; or

          (l)  if any  such  petition  or  application  is  filed,  or any  such
proceedings  are  commenced,  against any  Obligor  and such  Obligor by any act
indicates its approval thereof,  consent thereto or acquiescence  therein, or an
order,  judgment or decree is entered  appointing  any such  trustee,  receiver,
custodian, liquidator or similar official, or approving the petition in any such
proceeding and such order, judgment or decree remains unstayed and in effect for
more than 30 days; or

          (m) any  order,  judgment  or decree  is  entered  in any  proceedings
against any Obligor  decreeing the  dissolution  of such Obligor and such order,
judgment or decree remains unstayed and in effect for more than 60 days; or

          (n) if final  judgment or judgments for the payment of money in excess
of  $100,000  is or are  outstanding  against  any Obligor or against any of its
property or assets and any one of such judgments has remained unpaid, unvacated,


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                                                                              59

unbonded and  unstayed by appeal or otherwise  for a period of 30 days after the
date of its entry; or

          (o)  if  the  Company  shall  default  (after  the  expiration  of any
applicable grace periods) in the due and punctual  observance and performance of
its agreements and undertakings set forth in the Warrants issued to the original
purchasers of the Subordinated Secured Notes pursuant to the Note Agreements, or
any  such  Warrant  shall  be held by a court or  competent  jurisdiction  to be
invalid or unenforceable in any material respect; or

          (p) if the  Company or any  Consolidated  Subsidiary  defaults  in any
payment of principal of or interest on any other  obligation  for money borrowed
(or  any  obligation  under  any  Capitalized  Lease,  any  obligation  under  a
conditional sale or other title retention  agreement,  any obligation  issued or
assumed as full or partial  payment  for  property  whether or not  secured by a
purchase money mortgage or any obligation under notes payable or drafts accepted
representing  extensions  of credit)  beyond any period of grace  provided  with
respect  thereto and the effect of such default is to cause such  obligation  to
become  due prior to any stated  maturity,  or the  Company or any  Consolidated
Subsidiary  fails to perform or observe any other  agreement,  term or condition
contained in any agreement under which any such obligation is created (or if any
other  event  thereunder  or  under  any  such  agreement  shall  occur  and  be
continuing)  and the  effect of such  failure  or other  event is to cause  such
obligation  to  become  due  prior to any  stated  maturity,  provided  that the
aggregate  amount of all  obligations  as to which such a payment  default shall
occur and be continuing  or such a failure or other event  causing  acceleration
shall occur and be continuing exceeds $1,000,000.

          Section 6.2. Acceleration of Note Obligations.

          (a) If any Event of Default described in paragraphs (a) through (h) or
paragraph (n) of section 6.1 hereof exists,  upon written  request of the holder
or holders of at least 51% in aggregate  principal  amount of the Senior Secured
Notes then  outstanding,  the Trustee shall declare the entire  principal of and
all  interest  accrued on and all other sums  payable  under all Senior  Secured
Notes then outstanding to be, and such Notes shall thereupon become, or

          (b) subject to the  provisions  of section 10 hereof,  if any Event of
Default  described in paragraphs  (a) through (f) or paragraph  (h), (n), (o) or
(p) of section 6.1 hereof exists,  upon written request of the holder or holders
of at least 51% in aggregate principal amount of the Subordinated Secured Notes 



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                                                                              60


then  outstanding,  the  Trustee  shall  declare  the entire  principal  and all
interest accrued on all  Subordinated  Secured Notes then outstanding to be, and
such Subordinated Secured Notes shall thereupon become, or

          (c) if any Event of Default  described in paragraph (i), (j), (k), (1)
or (m) of section 6.1 hereof shall have occurred, all outstanding Notes, without
any action on the part of the  Trustee  or of any holder of any Notes,  shall be
forthwith,

          due and payable,  without any  presentment,  demand,  protest or other
notice of any kind,  all of which are hereby  expressly  waived by the Obligors,
and the Obligors will forthwith pay to the Trustee for the benefit of the holder
or holders of all the Notes  which  have so become  due and  payable  the entire
principal of and interest accrued on and all other sums payable under such Notes
and,  if the Notes  have so become  due and  payable as a result of any Event of
Default described in section 6.1(a) through section 6.1(h),  inclusive,  section
6.1(n),  section 6.1(o) or section 6.1(p),  to the extent  permitted by law, the
Yield-Maintenance  Premium (as liquidated damages and not as a penalty), if any,
applicable  to such Notes;  provided,  that during the  existence of an Event of
Default described in section 6.1(a),  (b) or (c) and irrespective of whether the
Trustee  shall have declared all the Notes of either class to be due and payable
pursuant  to this  section  6.2 (but  subject  to the  provisions  of section 10
hereof), any holder of the Notes with respect to which such default has occurred
which has not consented to any waiver with respect to such Event of Default may,
at its option, by notice in writing to the Obligors and the Trustee, declare the
Notes then held by such  holder to be, and such Notes  shall  thereupon  become,
forthwith due and payable together with all interest accrued thereon without any
presentment,  demand,  protest  or other  notice of any  kind,  all of which are
hereby expressly waived by the Obligors, and the Obligors shall forthwith pay to
the Trustee for the benefit of such holder of Notes the entire  principal of and
interest  accrued on and all other  sums  payable  under such Notes and,  to the
extent permitted by law, the Yield-Maintenance Premium, it any, as aforesaid, in
the event that any  holder of Notes  shall  declare  any Notes to become due and
payable  pursuant to the  provisions  of this  section  6.2,  the Company  shall
promptly,  but in any  event  within  five  Business  Days of such  declaration,
deliver to each other  holder of Notes and the  Trustee  written  notice of such
declaration.

          In  case  the  Obligors  shall  fail to pay the  same  forthwith,  the
Trustees,  in their  own  name or as  trustees  of an  express  trust,  shall be
entitled to recover judgment for the whole  amount so due and  unpaid  against  



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                                                                              61

the Obligators  and/or any other obligor on the Notes. The right of the Trustees
to recover  such  judgment  shall not be affected  by the  exercise of any other
right,  power or remedy for the enforcement of the provisions of this Indenture.
The Trustees in their  discretion  may exercise in addition all other rights and
powers described herein as they may deem best for the protection and enforcement
of the interests and rights of the Trustees and of the holders of the Notes then
outstanding.

          Section  6.3.  Annulment  of  Acceleration  of Note  Obligation.  If a
declaration  of  acceleration  of maturity of the Notes of either  class is made
pursuant to section 6.2 by the Trustee, then and in every such case, the holders
of 66-2/3%  in  aggregate  principal  amount of the  Senior  Secured  Notes then
outstanding or, if no Senior Secured Notes are then outstanding,  the holders of
66-2/3% in aggregate  principal  amount of the  Subordinated  Secured Notes then
outstanding  may, by written  instrument filed with the Company and the Trustee,
rescind and annul such declaration, and the consequences thereof; provided, that
at the time such declaration is annulled and rescinded:

          (a) no  judgment  or decree has been  entered  for the  payment of any
monies due pursuant to any Notes of either class or this Indenture;

          (b) all arrears of interest  upon all the Notes of all classes and all
other  sums  payable  under  the  Notes and under  this  Indenture  (except  any
principal, interest, Yield-Maintenance Premium or premium on the Notes which has
become due and payable by reason of such  declaration  under  section 6.2) shall
have been duly paid; and

          (c) each and every other  Default and Event of Default shall have been
waived pursuant to section 6.14 or otherwise made good or cured;

and, provided further,  that no such rescission and annulment shall extend to or
affect any subsequent Default or Event of Default or impair any right consequent
thereon.

          Section  6.4.  Suits for  Enforcement;  Power of Sale.  In case of the
happening  of an Event  of  Default,  the  Trustees  from  time to time in their
discretion may exercise,  subject to section 10 hereof, in addition to all other
rights and powers described herein or permitted under applicable law, all or any
of the following powers as they may deem best for the protection and enforcement
of the interests and rights of the Trustees and of the holders of the Notes then
outstanding:



<PAGE>

                                                                              62

          (a) the  Trustees  may in their own name and as trustees of an express
trust  protect  and  enforce  their  rights and the rights of the holders of the
Notes by bringing such actions, at law or in equity or before any administrative
tribunal, as the Trustees,  being advised by counsel,  shall deem appropriate or
as they may be directed in writing by the Required Holders,  including,  without
limitation,  actions for the specific  performance of any covenant hereof, or of
the Notes, and for the foreclosure of any one or all of the Pledge Agreements or
any one or all of the Mortgages;  and the Trustees  shall be entitled,  in their
own names and as trustees of an express trust,  to recover  judgment for any and
all sums then,  or during any Default,  becoming due and payable by the Obligors
under any provision hereof or of the Notes, the Pledge  Agreements or Mortgages,
including,  without limitation, any deficiency in the payment of all amounts due
under the provisions hereof or of the Notes, the Pledge Agreements or Mortgages,
remaining after any sale of the Mortgaged Property in foreclosure proceedings or
by virtue of the Trustees' power of sale or otherwise, and, in addition thereto,
such  amounts  as shall be  sufficient  to  cover  the  costs  and  expenses  of
collection,  including attorneys' fees, and of other proceedings hereunder,  and
to collect out of the Property of the  Obligators in any manner  provided by law
all amounts adjudged or decreed to be payable;

          (b) the  Trustees as a matter of  contract  right and not as a penalty
shall be entitled  to the  appointment  of a receiver  of, or may enter upon and
take possession of, all or any part of the Mortgaged  Property and such receiver
or the  Trustees  shall  thereupon be entitled to operate all or any part of the
Mortgaged  Property  and to  make  all  expenditures  and to  take  all  actions
necessary  or  desirable  therefor,  and to  collect  and  retain all income and
earnings arising from such Property or business; and

          (c) the Trustees may, with or without entry as aforesaid,  sell all or
any part of the Mortgaged  Property at public or private sale, upon such notice,
in such manner,  at such time or times,  and upon such terms consistent with the
applicable  laws of the respective  States  wherein such  Mortgaged  Property is
located, as the Trustees may determine.

          Section  6.5.  Remedies  Under  Mortgages;  Foreclosure  and  Sale  of
Mortgaged Property.  (a) The Trustees, as Mortgagee,  may exercise all or any of
the remedies under one or more of the Mortgages.



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                                                                              63

          (b) In  the  event  of any  sale  made  under  or by  virtue  of  this
Indenture,  whether  made under the power of sale herein  granted or under or by
virtue of judicial  proceedings or decree of foreclosure  and sale, the whole of
the  Mortgaged  Property  may be sold in one  parcel and as an  entirety,  or in
separate parcels or lots, as the Trustees may reasonably  determine,  or as they
may be directed by the written direction of the Required Holders.

          Sections 6.6.  Adjournment of Sale. The Trustees may adjourn from time
to time any sale by them to be made under the provisions of this  Indenture,  by
announcement at the time and place appointed for such sale or for such adjourned
sale or sales; and, except as otherwise  provided by law, the Trustees,  without
further notice or publication, may make such sale at the time and place to which
the same shall be so adjourned.

          Section 6.7. Trustees May Execute  Conveyances and Deliver Possession;
Sale a Bar. Upon the  completion of any sale or sales made under or by virtue of
this Indenture, the Trustees shall execute and deliver to the accepted purchaser
or purchasers a good and  sufficient  deed, or good and  sufficient  deeds,  and
other instruments conveying, assigning and transferring all their estate, right,
title and interest in and to the Properties,  privileges and rights so sold. The
Trustees are hereby irrevocably appointed the true and lawful  attorneys-in-fact
of the  Obligors,  in their names and stead or in the name of the  Trustees,  to
make all necessary  conveyances,  assignments,  transfers and  deliveries of the
premises and the  Property,  privileges  and rights so sold and for that purpose
the Trustees may execute all necessary  deeds and  instruments of assignment and
transfer,  and may substitute one or more Persons with like power,  the Obligors
hereby ratifying and confirming all that their said attorneys or such substitute
or substitutes shall lawfully do by virtue hereof.  Nevertheless,  the Obligors,
if so  requested in writing by the  Trustees,  shall ratify and confirm any such
sale or sales by executing and  delivering to the Trustees or to such  purchaser
or purchasers all such  instruments as may be advisable,  in the judgment of the
Trustees, for the purpose and as may be designated in such request.

          Any such sale or sales  made  under or by  virtue  of this  Indenture,
whether  made  under the power of sale  herein  granted or under or by virtue of
judicial  proceedings or of a judgment or decree of foreclosure and sale,  shall
operate to divest all estate, right, title, interest, claim or demand


<PAGE>

                                                                              64


whatsoever,  whether  at  law  or in  equity,  of  the  Obligors,  in and to the
premises, Property,  privileges and rights so sold, and shall be a perpetual bar
both at law and in equity against any Obligor,  its successors and assigns,  and
against  any and all  Persons  claiming  or who may claim the same,  or any part
thereof from, through or under any Obligor, its successors or assigns.

          Section 6.8. Receipt Sufficient  Discharge for Purchaser.  The receipt
of the Trustee or of the court officer conducting any such sale for the purchase
money  paid at any such sale shall be a  sufficient  discharge  therefor  to any
purchaser of the Property, or any part thereof,  sold as aforesaid;  and no such
purchaser  or his  representatives,  grantees  or  assigns,  after  paying  such
purchase money and receiving such receipt, shall be bound to see the application
of such purchase  money upon or for any trust or purpose of this  Indenture,  or
shall be answerable in any manner  whatsoever  for any loss,  misapplication  or
non-application  of any such purchase  money or any part thereof,  nor shall any
such purchaser be bound to inquire as to the necessity or expediency of any such
sale.

          Section 6.9. Sale to Accelerate  Notes.  In the event of any sale made
under or by  virtue  of this  Indenture,  whether  made  under the power of sale
herein  granted  or under or by  virtue  of  judicial  proceeding  or of a valid
judgment or decree of foreclosure  and sale, the principal of the Notes,  if not
previously due, immediately thereupon shall become due and payable,  anything in
the Notes or in this Indenture to the contrary notwithstanding.

          Section  6.10.  Application  of Proceeds of Sale.  The proceeds of any
exercise of rights with respect to any Mortgaged Property,  the proceeds and the
avails  received by the Trustee  upon the  exercise by the Trustee of any of its
rights or remedies under this Indenture,  shall be paid and applied,  subject to
section 10 hereof, as follows:

          (a) First,  to the payment of all amounts  then due to the Trustee for
advances  made  pursuant  to section 3.9 hereof and then to the payment of costs
and  expenses  of  foreclosure  or suit,  if any,  and of such sale,  and of all
compensation and other proper expenses,  liability and advances, including legal
expenses and attorneys' fees,  incurred or made hereunder by the Trustee, or the
holder or holders of the Senior  Secured  Notes (or,  with the prior consent and
approval  of the  Required  Holders,  of any  Subordinated  Secured  Notes),  in
connection  with the  collection  of any sums due on the  Notes or in  otherwise
evaluating, protecting, asserting, defending or enforcing any of their rights,



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                                                                              65


including any bankruptcy or insolvency proceedings involving any Obligor, and of
all taxes, assessments or Liens superior to the Lien of this Indenture or any of
the Mortgages,  except any taxes,  assessments or other superior Lien subject to
which said sale may have been made;

          (b)  Second,   to  the  payment  of  the   principal,   interest   and
Yield-Maintenance Premium, if any, and all other sums then due and unpaid on all
Senior Secured Notes then outstanding,  without preference or priority of any of
the  foregoing  items over any other or of any such Note over any other and,  in
case such  proceeds  shall be  insufficient  to pay in full the whole  amount of
principal,  interest and Yield-Maintenance Premium and all other sums so due and
unpaid on such Senior Secured Notes so outstanding, then ratably among the holds
of all Senior Secured Notes  outstanding  according to the aggregate amounts due
respectively for principal,  interest and Yield-Maintenance  Premium, if any, on
each such Senior Secured Note;

          (c) Third,  to the  payment  of costs and  expenses,  including  legal
expenses and attorneys' fees, incurred hereunder by the holder or holders of the
Subordinated Secured Notes;

          (d)  Fourth,   to  the  payment  of  the   principal,   interest   and
Yield-Maintenance  Premium,  if any,  then due and  unpaid  on all  Subordinated
Secured  Notes then  outstanding,  without  preference or priority of any of the
foregoing  items over any other or of any such Note over any other and,  in case
such  proceeds  shall  be  insufficient  to pay in  full  the  whole  amount  of
principal,  interest and Yield-Maintenance Premium and all other sums so due and
unpaid on such Subordinated Secured Notes so outstanding, then ratably according
to the amounts due  respectively for principal,  interest and  Yield-Maintenance
Premium, it any, on each such Subordinated Secured Note; and

          (e) Fifth,  to the payment of the  surplus,  if any, to the  Obligors,
their  successors  and assigns,  or to  whomsoever  may be lawfully  entitled to
receive the same.

          Section 6.11. Purchase of Trust Estate. Upon any sale made under or by
virtue of this Indenture, whether made under the power of sale herein granted or
under or by  virtue  of  judicial  proceeding  or of a  judgment  or  decree  of
foreclosure  and sale, the Trustees or any Noteholder or Noteholders may bid for
and purchase the Mortgaged  Property  being sold, and upon  compliance  with the
terms of sale, may hold, retain and possess and dispose of such Property in his


<PAGE>

                                                                              66

or their own absolute  right without  further  accountability;  and,  subject to
section 10 hereof,  any  purchaser  at any such sale may, in paying the purchase
price,  turn in any of the Notes in lieu of cash to the amount which shall, upon
distribution of the net proceeds of such sale, be payable  thereon.  Said Notes,
in case the  amounts  so  payable  thereon  shall be less  than the  amount  due
thereon,  shall be  returned  to the  holders  thereof  after a notation of such
partial payment shall have been made thereon.

          Section  6.12.  Trustees  Entitled to  Appointment  of  Receiver.  The
Obligors  further  covenant  that upon the happening of any Event of Default and
thereafter during the continuance of such Event of Default unless the same shall
have been waived as hereinafter  provided,  the Trustees shall be entitled, as a
matter of right, if they shall so elect, (a) forthwith and without declaring the
principal of the Notes to be due and payable, or (b) after declaring the same to
be due and payable, or (c) upon the filing of a bill in equity to foreclose this
Indenture  or to enforce the  specific  performance  hereof or in aid thereof or
upon the  commencement of any other judicial  proceeding to enforce any right of
the Trustees or of the holders of the Notes, to the appointment of a receiver or
receivers of the  Mortgaged  Property and of all the earning,  revenues,  rents,
issues,  profits and income  thereof,  with such powers as the court making such
appointment shall confer,  which may comprise any or all of the powers which the
Trustees are  authorized to exercise by the  provisions of section  6.4(b).  The
Obligors, if requested so to do by the Trustees, will consent to the appointment
of any such receiver as aforesaid.

          Section 6.13. Trustees May Enforce Rights Without Notes. All rights of
action  under this  Indenture  or under any of the Notes may be  enforced by the
Trustees  without the  possession of any of the Notes and without the production
thereof at any trial or other  proceedings  relative  thereto.  Any such suit or
proceedings instituted by the Trustees shall be brought in their own names or as
Trustees,  and any recovery of judgment  shall be,  subject to the rights of the
Trustees  and  subject  to section 10  hereof,  for the  ratable  benefit of the
holders of the Notes outstanding.

          Section 6.14.  Notice of Event of Default;  Waiver.  The Trustee shall
promptly  after the earlier of (a)  receipt of notice  from the  Obligors or the
holder of any Notes of the  occurrence  of a Default  or Event of Default or (b)
obtaining  actual  knowledge  of any Event of  Default  give  notice  thereof by
registered  or  certified  mail,  to the  holders  of  all  Notes  at  the  time
outstanding.  The  Required  Holders  may waive any  Default or Event of Default
hereunder and its  consequences  which  result from the failure of the  Obligors


<PAGE>

                                                                              67


to comply with any provisions of this  Indenture,  compliance  with which can be
waived by such holders pursuant to section 8.2; provided, however that a Default
in the  payment of  principal  of or premium,  if any,  on any Notes  called for
prepayment  or interest on the Notes may be so waived but only if, prior to such
waiver,  all  arrears of  principal,  premium,  if any,  and  interest,  and all
expenses of the  Trustees and of the holders of the Notes shall be paid or shall
be provided for by deposit with the Trustee of a sum  sufficient to pay the same
and if no other  Default or Event of Default  shall  have  occurred  and then be
continuing.  In case of any such  waiver,  or in case any  proceedings  taken on
account  of any such  Default  or  Event of  Default  shall be  discontinued  or
abandoned or determined adversely to the Trustees,  then and in every such case,
the  Obligors,  the  Trustees  and the holders of the Notes shall be restored to
their former positions and rights hereunder  respectively.  No such waiver shall
extend to any  subsequent  or other  Default  or Event of  Default or impair any
right consequent thereon.

          Section 6.15.  Limitation on  Noteholders'  Right to Sue. No holder of
any Note shall have any right to institute any suit, action or proceeding at law
or in  equity  growing  out of any  provision  of  this  Indenture,  or for  the
foreclosure  or  enforcement  of this  Indenture,  unless  and until an Event of
Default  shall  have  happened  and  unless  and until  such  holder  shall have
previously  given to the Trustee  written notice of the occurrence of such Event
of Default and of the continuance thereof as above provided, and also (except as
hereinafter  provided) unless and until the holders of at least 25% in principal
amount of the Senior  Secured  Notes then  outstanding  shall have made  written
request  upon  the  Trustees  and  shall  have  afforded  to  them a  reasonable
opportunity to institute such action, suit or proceeding in their own names, and
unless  also the  Trustees  shall  have  been  offered  security  and  Indemnity
satisfactory to them against the costs,  expenses and liabilities to be incurred
therein  or  thereby,  and the  Trustees  shall  have  neglected  or  refused to
institute  any such action,  suit or proceeding  within a reasonable  time after
receipt  of  such  notification,  request  and  offer  of  indemnity;  and  such
notification,  request,  offer of  indemnity  and  refusal or neglect are hereby
declared in every such case to be conditions precedent to the institution by any
holder of the Notes of any such action, suit or proceeding;  it being understood
and intended  and being  expressly  covenanted  by the holder of every Note with
every  other  holder and with the  Trustees  that no one or more  holders of the
Notes shall be entitled to take any action or institute any such suit to enforce


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                                                                              68


the  payment of its Notes if and to the extent that the taking of such action or
the Institution or prosecution of any such suit or the entry of judgment therein
would under applicable law result in a surrender,  impairment, waiver or loss of
the Lien of this Indenture upon the Mortgaged Property,  or any part thereof, as
security  for Notes  held by any other  holder of the  Notes,  or shall have any
right in any manner  whatever to effect,  disturb or prejudice the rights of the
holder of any other  Notes,  or to enforce  any right  hereunder,  except in the
manner  herein  provided,  and,  subject to  section  10 hereof,  for the equal,
ratable and common  benefit of all  holders of the Notes.  Subject to section 10
hereof, nothing in this section 6 or elsewhere in this Indenture or in the Notes
contained, however, shall affect or impair the obligation of the Obligors, which
is unconditional and absolute, to pay the principal of, and premium, if any, and
the interest on, the Notes to the respective holders of the Notes, in the manner
and at the time and places therein expressed,  nor shall it affect or impair the
right of the holders of the Notes,  by an action at law upon the promises to pay
therein contained, to enforce such payment.

          Section 6.16. Remedies Cumulative.  No remedy herein conferred upon or
reserved  to the  Trustees  or to the  holders  of the Notes is  intended  to be
exclusive of any other remedy or remedies,  and each and every such remedy shall
be cumulative, and shall be in addition to every other remedy given hereunder or
now or hereafter existing at law or in equity or by statute.

          Section 6.17. Delay or Omission Not a Waiver.  No delay or omission of
the  Trustees,  or of any holder of the Notes,  to  exercise  any right or power
accruing  upon any Default or Event of Default,  shall  impair any such right or
power,  or shall be  construed  to be a waiver of any such  Default  or Event of
Default or an  acquiescence  therein;  and every power and remedy  given by this
Indenture to the  Trustees or to the holders of the Notes may be exercised  from
time to time and as often as may be deemed  expedient  by the Trustees or by the
holder of the Notes.

          Section  6.18.  Waiver of  Extension,  Appraisement,  Stay  Laws.  The
Obligors will not at any time insist upon, or plead,  or in any manner  whatever
claim or take any benefit or advantage  of, any stay or  extension  law wherever
enacted,  now or at any time hereafter in force,  which may affect the covenants
and terms of performance of this Indenture;  nor claim,  take or insist upon any
benefit or  advantage of any law now or  hereafter  in force  providing  for the
valuation or appraisement of the Mortgaged Property, or any part thereof,  prior





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                                                                              69


to any sale or sales thereof which may be made pursuant to any provision  herein
contained,  or  pursuant  to the  decree,  judgment  or  order  of any  court of
competent jurisdiction;  nor after any such sale or sales, claim or exercise any
right under any statute  heretofore or hereafter enacted by the United States of
America or by any state or territory,  or  otherwise,  to redeem the Property so
sold or any part thereof;  and the Obligors hereby  expressly waive all benefits
or  advantage  of any such law or laws,  and  covenant  not to hinder,  delay or
impede the  execution of any power herein  granted or delegated to the Trustees,
but to suffer and permit the  execution  of every power as though no such law or
laws had been made or enacted.

          Section 6.19. Control of Remedies by Noteholders.  Notwithstanding any
other provision of this section 6, the Required Holders shall have the right, by
an instrument in writing  delivered to the Trustees,  to determine  which of the
remedies  herein set forth shall be adopted  and to direct the time,  method and
place of  conducting  all  proceeding  to be taken under the  provisions of this
Indenture for the enforcement thereof or of the Notes;  provided,  however, that
the Trustees shall have the right to decline to follow any such direction if the
Trustees shall be advised by an Opinion of Counsel that the action or proceeding
so  directed  may not  lawfully  be taken or would be  unjustly  prejudicial  to
holders of Notes not parties to such direction.

          Section  6.20.  Trustees  May File Proofs of Claims.  The Trustees are
hereby  appointed,  and each and every  holder of the Notes,  by  receiving  and
holding the same,  shall be  conclusively  deemed to have appointed the Trustees
the true and lawful  attorney-in-fact  of such holder, with authority to make or
file,  in their own names as trustees of an express  that or  otherwise  as they
shall deem advisable, in any receivership,  insolvency, liquidation, bankruptcy,
arrangement, reorganization or other judicial proceeding relative to any Obligor
or any  other  obligor  upon  the  Notes  or to their  respective  creditors  or
Property,  any and all  claims,  proofs  of  debt,  petitions,  consents,  other
documents  and  amendments  of any thereof,  as may be necessary or advisable in
order to have the claims of the Trustees and of the holders of the Notes allowed
in any such proceeding,  and to collect and receive any moneys or other Property
payable or  deliverable  on any such  claim,  proof of debt,  petition  or other
document  and to  distribute  the same after the  deduction  of the  charges and
expenses of the  Trustees,  and to execute and deliver any and all other  papers
and documents  and to do and perform any and all other acts and things,  as they
may deem necessary or advisable in order to enforce in any such  proceedings any
of the claims of the Trustees and of any such holders in respect of any of the




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                                                                              70

Notes; and any receiver,  assignee,  trustee or debtor in any such proceeding is
hereby  authorized,  and each and every holder of the Notes,  by  receiving  and
holding  the  same,  shall be  deemed  to have  authorized  any  such  receiver,
assignee,  trustee or debtor,  to make any such payment or delivery to or on the
order of the Trustees,  and in the event that the Trustees  shall consent to the
making of such  payments or  deliveries  directly to the holders of the Notes to
pay to the Trustees any amount due them for compensation and expenses, including
counsel  fees,  incurred by them down to the date of such  payment or  delivery;
provided, however, that nothing herein contained shall be deemed to authorize or
empower the  Trustees to consent to or accept or adopt,  on behalf of any holder
of Notes, any plan of  reorganization  or readjustment of any Obligor  affecting
the Notes or the rights of any holder  thereof,  or to  authorize or empower the
Trustees  to vote in  respect of the claim of any holder of any Note in any such
proceedings.

          Section  6.21.  Remedies  Subject to  Provisions  of Law.  All rights,
remedies  and power  provided  by this  section 6 may be  exercised  only to the
extent that the exercise  thereof does not violate any  applicable  provision of
law in the premises, and all the provisions of this section 6 are intended to be
subject to all applicable  mandatory  provisions of law which may be controlling
in the premises and to be limited to the extent  necessary so that they will not
render this  Indenture  invalid or  unenforceable  under the  provisions  of any
applicable law.

SECTION 7. CONCERNING THE TRUSTEES.

          The  Trustees  accept the trusts  hereunder  and agree to perform  the
same, but only upon the terms and conditions hereof, including the following, to
all of which the  Obligors  and the  respective  holder of the Notes at any time
outstanding by their acceptance thereof agree:

          Section 7.1.  Duties of Trustees.  The Trustees  undertake  (a) except
while an Event of Default shall have occurred and be continuing, to perform such
duties and only such duties as are specifically set forth in this Indenture, and
(b) while an Event of Default shall have occurred and be continuing, to exercise
such of the rights and  powers as are vested in them by this  Indenture,  and to
use the same  degree of care and skill in their  exercise as a prudent man would
exercise or use under the circumstances in the conduct of his own affairs.




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                                                                              71

          The  Trustees  upon receipt of  instruments  furnished to the Trustees
pursuant  to the  provisions  of  this  Indenture,  shall  examine  the  same to
determine whether or not such instruments  appear to conform to the requirements
of this  Indenture.  Unless  notified in writing to the contrary by the Required
Holders,  the Trustee may assume all insurance  required to be maintained by the
Obligor under the term of this Indenture is acceptable to the Required Holders.

          Section 7.2. Trustees' Liability. No provision of this Indenture shall
be construed  to relieve the Trustees  from  liability  for their own  negligent
action, negligent failure to act, or their own willful misconduct, except that:

          (a) unless an Event of Default shall have occurred and be  continuing,
the Trustees  shall not be liable except for the  performance  of such duties as
are  specifically  set  forth in this  Indenture  and no  implied  covenants  or
obligations  shall be read into this  Indenture  against  the  Trustees  but the
duties and obligations of the Trustees shall be determined solely by the express
provisions of this Indenture; and

          (b) In the  absence  of bad  faith  on the part of the  Trustees,  the
Trustees may rely upon the  authenticity of, and the truth of the statements and
the  correctness of the opinions  expressed in, and shall be protected in acting
upon, any resolution,  Officers' Certificate, Opinion of Counsel, Note, request,
notice,  consent,  waiver,  order,  signature  guaranty,  notarial seal,  stamp,
acknowledgment,  verification,  appraisal,  report, stock certificate,  or other
paper or  document  believed  by the  Trustees  to be  genuine  and to have been
signed, affixed or presented by the proper party or parties; and

          (c) in the absence of bad faith on the part of the Trustees,  whenever
the Trustees, or any of their agents, representatives, experts or counsel, shall
consider it  necessary or  desirable  that any matter be proved or  established,
such matter  (unless other  evidence in respect  thereof be herein  specifically
prescribed)  may be deemed  to be  conclusively  proved  and  established  by an
Officers'  Certificate;  provided,  however,  that the Trustees,  or such agent,
representative,  expert or counsel,  may  require  such  further and  additional
evidence  and  make  such  further  investigation  as it or  they  may  consider
reasonable; and

          (d) the Trustees may consult with counsel and the advice or opinion of
such counsel shall be full and complete  authorization and protection in respect
of any action taken or suffered  hereunder in good faith and in accordance  with
such advice or Opinion of Counsel; and


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                                                                              72


          (e) the Trustees  shall not be liable with respect to any action taken
or omitted to be taken by them in good faith in accordance with any direction or
request of a holder or holders of the Notes with which the Trustees are required
by the provisions hereof to comply; and

          (f) the Trustees shall not be liable for any error of judgment made in
good  faith by an  officer  of the  Trustee  unless it shall be proved  that the
Trustee was negligent in ascertaining the pertinent facts; and

          (g) neither the Trustee nor the Individual  Trustee shall be deemed to
have  knowledge of any Default or Event of Default  unless and until in the case
of the Trustee an officer in its Corporate Trust Department,  or, in the case of
the Individual  Trustee,  the Individual  Trustee,  shall have actual  knowledge
thereof or have received written advice thereof from any Obligator or the holder
of a Note; and

          (h)  whether  or not an Event of  Default  shall  have  occurred,  the
Trustees  shall  not be under  any  obligation  to take any  action  under  this
Indenture (including action under section 3.9 and section 6.19 hereof) which may
involve  them in any  expense  or  liability,  the  payment  of  which  within a
reasonable  time is not, in their  reasonable  opinion,  assured by the security
afforded to them by the terms of this  Indenture,  unless and until requested in
writing  so to do by one or  more  of the  Initial  Purchasers  or the  Required
Holders and  furnished,  from time to time as the  Trustees  may  require,  with
reasonable security and indemnity; and

          (i) whether or not an Event of Default shall have occurred whenever it
is provided in this Indenture  that the Trustees  consent to any act or omission
by any person or that the Trustees exercise their discretion in any manner,  the
Trustees  shall seek the written  approval of the Required  Holders and,  unless
written evidence of such  acquiescence  has been received by the Trustees,  they
shall be fully  justified  in  refusing  so to consent or so to  exercise  their
discretion;

          (j) prior to  entering  or taking  possession  of, or taking any other
action with  respect to any Land Parcel,  the Trustees may require  assurance in
the form of an Opinion of Counsel or otherwise that no liability under any law





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                                                                              73



pertaining  to  hazardous  substances  will be imposed  upon either of them as a
result of such action; and

          (k) when acting in good faith,  the  Trustees  shall not be liable for
any  action or  omission  on the part of the  Trustees  in  compliance  with the
provisions of the Intercreditor Agreement.

          Section 7.3. No Responsibility of Trustees for Recitals.  The recitals
and  statements  contained  herein and in the Notes  (except for the  Trustee's,
certificate  of  authentication  endorsed  on the  Notes)  shall be taken as the
recitals  and   statements  of  the  Obligors,   and  the  Trustees   assume  no
responsibility for the correctness of the same.

          The Trustees make no  representation as to the validity or sufficiency
of this Indenture,  any of the Mortgages, any of the Pledge Agreements or of the
Notes secured hereby or thereby,  the security hereby or thereby  afforded,  the
title of any Obligor to the Mortgaged Property or the descriptions  thereof,  or
the filing or recording or registering  of this  Indenture,  the Mortgages,  the
Pledge Agreements or any other related document.

          The Trustees  shall not be concerned with or accountable to anyone for
the use or  application  of any  deposited  moneys  which  shall be  released or
withdrawn in accordance with the provisions of this Indenture or of any Property
or  securities  or the proceeds  thereof  which shall be released  from the lien
hereof in accordance with the provisions of this Indenture.

          Section 7.4.  Compensation and Expenses of Trustees;  Indemnification;
Lien  Therefor.  The Obligors  covenant,  jointly and  severally,  to pay to the
Trustees such compensation for their services hereunder as shall be agreed to by
the Obligors and the Trustees, or, in the absence of such agreement,  reasonable
compensation  therefor  (which  shall not be limited by any  provision of law in
regard to the  compensation  of a trustee of an express  trust),  and to pay, or
reimburse,   the  Trustees  for  all  reasonable  expenses  incurred  hereunder,
including  the  reasonable  compensation,  expenses  and  disbursements  of such
agents,  representatives,  experts  and  counsel as the  Trustees  may employ in
connection  with the  exercise  and  performance  of  their  powers  and  duties
hereunder.

          The Obligors  also  covenant,  jointly and  severally,  that they will
indemnify and save the Trustees,  their agents,  employees and  representatives,
harmless  against  any  expenses   (including   reasonable   attorneys'   fees),
liabilities and damages, not arising from their own willful default or




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                                                                              74

negligence,  which they or any of them may incur in the exercise and performance
of their rights, powers, trusts, duties and obligations hereunder.

          As security for the  performance  of the  obligations  of the Obligors
under this section 7.4, the Trustees  shall be secured hereby in priority to the
indebtedness evidenced by the Notes.

          Section 7.5. Moneys  Received by Trustees;  Trust Funds - Segregation.
All moneys  received by the Trustees  under or pursuant to any provision of this
Indenture shall  constitute trust funds for the purpose for which they were paid
or are held, but need not be segregated in any manner from other moneys, and may
be held or deposited under such conditions as may be prescribed by law for trust
funds.

          Section  7.6.  Trustee May Hold  Notes.  The Trustee or any officer or
director of the Trustee  may  acquire and hold Notes,  offset  funds or deposits
with it other  than  funds held by it as  Trustee  and  otherwise  deal with any
Obligors or with any other corporation having relations with the Obligor, in the
same  manner and to the same  extent and with like  effect as though it were not
Trustee or such officer or  director;  provided  that nothing  contained in this
section  7.6 shall be deemed to  modify,  amend or waive any of the  duties  and
obligations  of the  Trustee  to the  holders  of the Notes as set forth in this
Indenture.

          Section 7.7.  Action by Individual  Trustee.  The  Individual  Trustee
shall act as and be such upon the following terms and conditions:

          (a) Subject to the  provisions  of section 7.17,  all rights,  powers,
duties and obligations conferred or imposed upon the Trustees shall be conferred
or imposed solely upon and solely  exercised and performed by the Trustee except
as expressly  provided otherwise in this Indenture and except to the extent that
under any law of any  jurisdiction in which any particular act or acts are to be
performed the Trustee shall be incompetent or unqualified to perform such act or
acts,  in which  event such  rights,  powers,  duties and  obligations  shall be
exercised and performed by the Individual Trustee.

          (b) No power  granted by this  Indenture  to, or which this  Indenture
provides may be exercised by, the  Individual  Trustee shall be exercised by the
Individual  Trustee  except jointly with, or with the consent in writing of, the
Trustee, anything herein contained to the contrary notwithstanding.

<PAGE>

                                                                              75


          (c)  The  Individual  Trustee  may at any  time  by an  instrument  in
writing, constitute the Trustee or its successor in trust hereunder his agent or
attorney-in-fact,  with full power and  authority,  to the  extent  which may be
permitted  by law,  to do any and all acts and things and  exercise  any and all
discretion  which he authorized  or permitted to do or exercise,  for and in his
behalf and in his name.

          Section  7.8.  Resignation  of Trustee.  The Trustee may resign and be
discharged from the trusts created hereby by delivering notice thereof, by first
class mail, postage prepaid,  to the Company and all holders of the Notes at the
time outstanding.

          Such resignation shall take effect  immediately upon the acceptance of
appointment by a successor Trustee appointed as provided in section 7.10.

          Section  7.9.  Removal of  Trustee.  The Trustee may be removed at any
time, for or without cause, by an instrument or instruments in writing  executed
by the Required Holders and delivered to the Trustee with a copy to the Company,
specifying  the removal and the date when it shall take effect and such  removal
shall be  effective  upon such date and the  Trustee's  duties  and  obligations
hereunder shall thereupon cease except as specified in section 7.11 hereof.

          Section 7.10.  Appointment of Successor  Trustee.  In case at any time
the  Trustee  shall  resign or be  removed  or become  incapable  of  acting,  a
successor Trustee may be appointed by the Required Holders,  by an instrument or
instruments  in  writing  executed  by such  Noteholders  and  filed  with  such
successor Trustee with a copy of such instrument or instruments to the Company.

          Until a successor  Trustee  shall be so appointed by the  Noteholders,
the  Company  shall  appoint a  successor  Trustee to fill such  vacancy,  by an
instrument in writing  executed by the  President and any Vice  President of the
Obligor and delivered to the successor  Trustee.  If all or substantially all of
the  Mortgaged  Property  shall be in the  possession  of one or more  receiver,
trustees,  liquidators  or  assignees  for the benefit of  creditors,  then such
receivers, trustees, custodians,  liquidators or assignees may, by an instrument
in writing  delivered to the  successor  Trustee,  appoint a successor  Trustee.
Promptly  after  any  such  appointment,  the  Company,  or any  such  receiver,
trustees, custodians, liquidators or assignees, as the case may be, shall give 



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                                                                              76

notice  thereof by registered  or certified  mail to each holder of Notes at the
time outstanding.

          Any successor  Trustee so appointed by the Company,  or such receiver,
trustees,  custodians,  liquidators or assignees  shall  immediately and without
further act be  superseded  by a successor  Trustee  appointed  by the  Required
Holders.

          If a successor Trustee shall not be appointed pursuant to this Section
within 90 days after a vacancy shall have occurred in the office of Trustee, the
holder of any Senior Secured Note or such retiring  Trustee (unless the retiring
Trustee is being  removed) may apply to any court of competent  jurisdiction  to
appoint a successor Trustee, and such court may thereupon, after such notice, if
any, as it may consider proper, appoint a successor Trustee.

          Section 7.11.  Succession of Successor Trustee.  Any successor Trustee
appointed  hereunder shall execute,  acknowledge and deliver to the Obligors and
the predecessor Trustee an instrument accepting such appointment,  and thereupon
such successor Trustee,  without any further act, deed,  conveyance or transfer,
shall become vested with the title to the Trust Estate, and with all the rights,
power,  trusts,  duties and obligations of the predecessor  Trustee in the trust
hereunder, with like effect as if originally named as Trustee herein.

          Upon the request of any such successor Trustee,  however, the Obligors
and the  predecessor  Trustee  shall  execute and deliver  such  instruments  of
conveyance  and further  assurance and do such other things as may reasonably be
required for more fully and certainly  vesting and  confirming in such successor
Trustee the title to the Trust Estate and all such rights, power, trusts, duties
and  obligations  of the  predecessor  Trustee  hereunder,  and the  predecessor
Trustee  shall also assign and  deliver to the  successor  Trustee any  property
subject to the Lien of this Indenture which may then be in its possession.

          Any Trustee  which has  resigned or been  removed  shall  nevertheless
retain  all  rights of  indemnity,  including  any Lien  upon the  Trust  Estate
afforded to it by section 7.4.

          Section 7.12.  Eligibility of Trustee. The Trustee and every successor
Trustee  shall be a state or national  Bank or trust  company in good  standing,
organized  under the laws of the United  States of America or any State  thereof
and having a capital, surplus and undivided profits aggregating at least section
500,000,000.



<PAGE>

                                                                              77




          In case the Trustee shall cease to be eligible in accordance  with the
provisions of this Section,  the Trustee shall resign  immediately in the manner
and with the effect specified in section 7.8.

          Section 7.13.  Successor Trustee by Merger. Any corporation into which
the  Trustee  may be  merged  or  with  which  it may  be  consolidated,  or any
corporation  resulting  from any merger or  consolidation  to which the  Trustee
shall be a party,  or state or  national  Bank or trust  company  in any  manner
succeeding  to the  corporate  trust  business  of the  Trustee  as a  whole  or
substantially  as a whole, if eligible as provided in section 7.12, shall be the
successor of the Trustee  hereunder without the execution or filing of any paper
or any  further act on the part of any of the  parties  hereto,  anything to the
contrary contained herein notwithstanding.

          Section  7.14.  Resignation  of  Individual  Trustee.  The  Individual
Trustee or any of his  successors may resign and may be discharged of the trusts
created by this Indenture by giving written notice thereof to the Company and to
the Trustee.

          Such resignation shall take effect  immediately upon the acceptance of
appointment by a Person succeeding to the office of Individual Trustee appointed
by the Trustee or by the Required Holders as provided in section 7.16.

          Section 7.15. Removal of Individual Trustee. The Individual Trustee or
any of his successors  may be removed at any time by the Required  Holders or by
the Trustee,  by delivery of a notice of such removal to the Individual Trustee,
to the  Company,  and in the case of removal by such  holders,  to the  Trustee,
signed by such holders or the Trustee, as the case may be and such removal shall
be effective upon the date specified in such notice and the Individual Trustee's
duties and  obligations  hereunder  shall thereupon cease except as specified in
section 7.17 thereof.

          Section 7.16.  Appointment of Successor to Individual  Trustee.  If at
any time the Individual Trustee or any of his successors shall die, resign or be
removed or otherwise become incapable of acting, or if for any reason the office
of Individual Trustee shall become vacant, a successor to the Individual Trustee
shall  forthwith  be  appointed by the Trustee or, in the event that the Trustee
shall fail to make such appointment  within 60 days after the occurrence of such
death, resignation,  removal,  incapacity or vacancy, by the Required Holders by
an instrument signed by the Trustee or by such holders.



<PAGE>

                                                                              78


          Section  7.17.  Succession  of Successor to  Individual  Trustee.  Any
Person  appointed  as a  successor  to the  Individual  Trustee  shall  execute,
acknowledge and deliver to his predecessor,  to the Trustee and to the Obligors,
an instrument  accepting such appointment  hereunder,  and thereupon such Person
without any further act,  deed or  conveyance  shall become  vested with all the
estates, Properties, rights, powers, duties and trusts of his predecessor in the
trusts hereunder with like effect as if originally  named as Individual  Trustee
herein;  but  nevertheless,  on the  written  request of the  Obligors or of the
Trustee or of the Individual Trustee,  the predecessor shall execute and deliver
an instrument  transferring to the Individual Trustee, upon the trusts expressed
in this  Indenture,  all the  estates,  Properties,  rights,  powers  and trusts
granted to him by this  Indenture and shall duly assign,  transfer,  deliver and
pay over to the Individual Trustee any Property and money subject to the Lien of
this Indenture held by such  predecessor.  Should any instrument in writing from
the  Obligors  or from the  Trustee be  required  by any Person who  becomes the
Individual  Trustee for more fully and  certainly  vesting in and  confirming to
such Individual  Trustee such estates,  properties,  rights,  powers and trusts,
then,  on  request,  any and all  such  instruments  in  writing  shall be made,
executed, acknowledged and delivered by the Obligors and/or the Trustee.

          Any  Individual  Trustee  which has  resigned  or been  removed  shall
nevertheless  retain  all  rights  of  indemnity,  including  any Lien  upon the
Mortgaged Property afforded to him by section 7.4.

SECTION 8. SUPPLEMENTAL INDENTURE; WAIVERS.

          Section 8.1. Supplemental Indentures Without Noteholders' Consent. The
Obligors,  when authorized by resolutions of their Boards of Directors,  and the
Trustees from time to time and at any time,  subject to the restrictions in this
Indenture contained, may, without consent of the holders of the Note, enter into
an indenture or indentures supplemental hereto and which thereafter shall form a
part hereof for any one or more or all of the following purpose:

          (a) to add to the covenants  and  agreements to be observed by, and to
surrender any right or power reserved to or conferred upon, the Obligors;





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                                                                              79


          (b) to evidence the succession of another  corporation to any Obligor,
or successive  successions,  and the assumption by the successor  corporation to
the  covenants,  agreements and  obligations of any Obligors;  provided that any
such succession and assumption is permitted by the terms of this Indenture;

          (c) to  subject  to the  Lien of this  Indenture  additional  Property
hereafter  acquired by any Obligor or others and intended to be subjected to the
Lien of the Indenture, and to correct or amplify the description of any Property
subject to the Lien of this Indentures; or

          (d) to permit  the  qualification  of this  Indenture  under the Trust
Indenture Act of 1939, as amended,  or any similar Federal statute  hereafter in
effect,  except that nothing  herein  contained  shall  permit or authorize  the
inclusion  of to  provisions  referred  to in  Section  316(a)(2)  of said Trust
Indenture  Act of 1939 or any  corresponding  provision  in any similar  Federal
statute hereafter in effect;

and the Obligors  covenant to perform all requirements of any such  supplemental
indenture.  No restriction or obligation imposed upon the Obligor may, except as
otherwise provided in this Indenture, be waived or modified by such supplemental
indentures, or otherwise.

          Section  8.2.  Waivers  and  Consents  by  Noteholders;   Supplemental
Indentures With Noteholders'  Consent.  With the written consent of the Required
Holders, (a) the Obligors may take any action prohibited,  or omit the taking of
any action required, by any of the provisions of this Indenture or any indenture
supplemented  hereto,  or (b) the Obligors,  when  authorized by  resolutions of
their  respective  Boards of  Directors,  and the  Trustees,  may enter  into an
indenture or indentures supplemental hereto for the purpose of adding, changing,
or eliminating any provisions of this Indenture or of any indenture supplemental
hereto or modifying in any manner the rights and  obligations  of the holders of
the Notes and the  Obligors;  provided that without the consent of the holder of
each Note, no such supplemental indenture shall:

          (i) impair or affect the right of any  holder to receive  payments  or
prepayments  of the  principal of and  payments of the interest and premium,  if
any, on its Note, as therein and herein provided; or

          (ii) permit the  creation  of any Lien prior to, or on a parity  with,
the  Lien  of  this  Indenture,  any  of the  Mortgages  and  any of the  Pledge
Agreements with respect to any of the Mortgaged Property; or


<PAGE>

                                                                              80


          (iii)  deprive  any holder of the Notes of the  benefit of the Lien of
this Indenture upon all or any part of the Mortgaged Property; or

          (iv) reduce the aforesaid percentage of the aggregate principal amount
of Notes,  the  holders of which are  required  to consent to any such waiver or
supplemental indenture pursuant to this Section; or

          (v) modify the  rights,  duties or  immunities  of the  Trustee or the
Individual Trustee without its consent.

Provided,  nevertheless,  that no such  supplemental  indenture shall modify the
duties of the Trustee or Individual Trustee without its consent.

          Section 8.3.  Solicitation of Noteholders.  The Obligors  covenant and
agree that they will not solicit,  request or  negotiate  for or with respect to
any  proposed  waiver,  consent or amendment  of any of the  provisions  of this
Indenture  or the Notes  unless  each holder of the Notes  (irrespective  of the
amount of Notes then owned by it) shall be  informed  thereof by the Company and
shall be afforded the  opportunity of considering the same and shall be supplied
by the  Company  with  sufficient  information  to enable it to make an informed
decision with respect thereto. Executed or true and correct copies of any waiver
or consent  effected  pursuant to the  provisions  of this  section 8.3 shall be
delivered by the Company to each holder of outstanding Notes forthwith following
the date on which the same shall have been  executed and delivered by the holder
or holders of the requisite  percentage of outstanding  Notes. The Obligors will
not, directly or indirectly,  pay or cause to be paid any remuneration,  whether
by way of supplemental or additional  interest,  fee or otherwise,  or grant any
security, to any holder of the Notes as consideration for or as an inducement to
the entering into by any holder of the Notes of any waiver, consent or amendment
of any of the terms and  provisions  of this  Indenture or the Notes unless such
remuneration  is  concurrently  paid, or such  security is granted,  on the same
terms, ratably to the holders of all of the Notes outstanding.

          Provided,  nevertheless,  that no such  supplemental  indenture  shall
modify the duties of the Trustee or Individual Trustee without its consent.



<PAGE>

                                                                              81

          Section  8.4.  Opinion  of  Counsel   Conclusive  as  to  Supplemental
Indenture.  The Trustees are hereby  authorized to join with the Obligors in the
execution  of any such  supplemental  indenture  authorized  or permitted by the
terms of this Indenture to make the further  agreements and  stipulations  which
may be therein  contained,  and the  Trustees  may, as a condition  precedent to
their execution of any supplemented indenture, require delivery of an Opinion of
Counsel  and  an  Officers'   Certificate   as  conclusive   evidence  that  any
supplemental  indenture  executed  pursuant to the  provision  of this section 8
complies with the requirements of this section 8.

SECTION 9. ACTION BY NOTEHOLDERS.

          Section  9.1.  Evidence  of Action by  Noteholders.  Whenever  in this
Indenture,  the Pledge  Agreements  or the  Mortgages  it is  provided  that the
holders of a specified  percentage in aggregate principal amount of the Note may
take any action  (including  the making of any demand or request,  the giving of
any notice, approval,  consent or waiver or the taking of any other action), the
fact that at the time of taking any such  action the  holders of such  specified
percentage  have joined therein may be evidenced by any instrument or any number
of instruments of similar tenor executed by holders of the Notes in person or by
attorney or proxy appointed in writing.

          Section 9.2. Noteholders' Execution of Instruments; Proof of Holdings.
The fact and date of the execution of any instrument by a holder of the Notes or
his attorney or proxy may be proved by the  certificate  under his official seal
of any notary  public or other  officer  in any  jurisdiction  who,  by the laws
thereof,  has power to take  acknowledgements  or proof of deeds to be  recorded
within  such  jurisdiction,  that the  Person  who signed  such  instrument  did
acknowledge before such notary public or other officer the execution thereof, or
by the affidavit of a witness to such  execution;  where such execution is by an
officer of a corporation  or  association or a member of a partnership on behalf
of such  corporation,  association or partnership  such certificate or affidavit
shall also constitute sufficient proof of his authority.

          The  holding by any Person of any of the Notes  shall be proved by the
Register.




<PAGE>

                                                                              82


SECTION 10. SUBORDINATION OF THE SUBORDINATED SECURED NOTES.

          Each  Purchaser  of  Subordinated  Secured  Notes and each  subsequent
holder thereof agrees that all of the indebtedness  evidenced by and accruing on
or in respect of the Subordinated Secured Notes (whether for principal, premium,
Yield-Maintenance  Premium,  if any,  interest or otherwise) and any renewals or
extensions thereof, all obligation to purchase,  redeem or otherwise acquire the
Subordinated  Secured  Notes,  together  with all other amounts  (including  all
reasonable attorneys fees and other costs of collection or enforcement) to which
the  Purchasers  or  holders  of the  Subordinated  Secured  Notes are or may be
entitled  under  the terms  and  provisions  of this  Indenture  or any  related
security  documents shall be subordinate and junior in right of payment,  to the
extent and in the manner hereinafter set forth, to the Superior Indebtedness:

          (a) In the event of any insolvency or bankruptcy proceedings,  and any
receivership,   liquidation,   reorganization,   arrangement  or  other  similar
proceedings  in  connection  therewith,  relative  to  the  Company  or  to  its
creditors, as such, or to its property, and in the event of any proceedings, for
voluntary liquidation,  dissolution or other winding-up of the Company,  whether
or not  involving  insolvency  or  bankruptcy,  then  the  holders  of  Superior
Indebtedness  shall be  entitled  to  receive  payment  in full of all  Superior
Indebtedness  before the holders of the Subordinated  Secured Notes are entitled
to receive any payment on the  Subordinated  Secured Notes,  and to that end the
holders of Superior Indebtedness shall be entitled to receive for application in
payment thereof any payment or distribution of any kind or character, whether in
cash or property or securities,  which may be payable or deliverable in any such
proceedings  in respect of the  Subordinated  Secured Notes,  except  securities
which are subordinate and junior in right of payment,  pursuant to subordination
provision  which are no less  favorable to the holders of Superior  Indebtedness
than the provisions contained in this section 10, to the payment of all Superior
Indebtedness then outstanding;

          (b) In the event that pursuant to the provisions of this Indenture the
Subordinated  Secured Notes are declared or become due and payable  before their
expressed maturity because of the occurrence of an Event of Default as described
in  section  6.1  (under  circumstances  when the  provisions  of the  foregoing
paragraph (a) shall not be applicable),  no amount shall be paid by the Obligors
or the Trustee in respect of the Subordinated Secured Notes in excess of current


<PAGE>

                                                                              83


interest  payments as provided in this Indenture,  except at the stated maturity
thereof or in accordance with the regular mandatory  prepayments provided for in
section 5.2(b) (all subject to the provisions of paragraphs  (a), (c) and (d) of
this  section  18),  nor shall  any  holder of the  Subordinated  Secured  Notes
commence  enforcement of its remedies with respect to such excess amounts unless
and until all Superior  Indebtedness  outstanding  at the time the  Subordinated
Secured  Notes so become due and  payable  because of any such event  shall have
been paid in full or payment  thereof  shall have been  provided for in a manner
satisfactory to the holders of such outstanding Superior Indebtedness;

          (c)  In the  event  that  any  monetary  default  shall  occur  and be
continuing with respect to any Superior  Indebtedness  permitting the holders of
such Superior  Indebtedness to accelerate the maturity  thereof,  the holders of
the  Subordinated  Secured  Notes  shall not be  entitled to receive any payment
thereon  (including  any such  payment  which would cause such  default)  unless
payment in full shall have been made of all Superior  Indebtedness.  The Company
and the Trustee,  forthwith  upon  receiving  notice of any such default,  shall
notify the holders of the Subordinated Secured Notes immediately;

          (d) In the event that any  default  (other  than a  monetary  default)
shall  occur  and  be  continuing  with  respect  to any  Superior  Indebtedness
permitting the holders of such Superior  Indebtedness to accelerate the maturity
thereof,  the holders of the Subordinated Secured Notes shall not be entitled to
receive any payment  thereon  unless payment in full shall have been made of all
Superior  Indebtedness  if either (i) notice of such  default,  in writing or by
telegram,  shall have been given to the Company and the Trustee,  provided  that
the  holders  of  such  Superior  Indebtedness  shall  have  commenced  judicial
proceedings  or enforcement  of their  non-judicial  remedies as a secured party
under  Article 9 of the Uniform  Commercial  Code or as a  mortgagee  or trustee
under  applicable  real  estate law in respect of such  default  within 120 days
after the giving of such notice,  and provided further that only one such notice
shall be given  pursuant to this paragraph (d) in any 12-month  period,  or (ii)
proceeding  shall be pending in respect of such  default.  The  Company  and the
Trustee,  forthwith  upon receipt of any notice  received by it pursuant to this
paragraph  (d),  shall send a copy thereof by registered  mail or by telegram to
the holders of the Subordinated Secured Notes; and

          (e) In the event any payment or distribution of any kind or character,
whether in cash, property or securities, shall be made upon or in respect of any


<PAGE>

                                                                              84


Subordinated  Secured Note in  contravention  of any of the  provisions  of this
section  10  (it  being  understood  that  the  failure  by  the  holder  of any
Subordinated  Secured  Note to receive  notice of any  default  on any  Superior
Indebtedness  shall not abrogate  any of the  provision of this section 10) such
payment  or  distribution  shall be held in trust and paid over by the holder or
holders of the  Subordinated  Secured Notes receiving the same to the holders of
outstanding Superior Indebtedness for application in payment thereof, unless and
until such Superior Indebtedness shall have been paid or satisfied in full.

          Subject to the prior payment in full of all Superior  Indebtedness and
to the extent that such  payment is not voided and  required to be returned as a
result of any bankruptcy,  insolvency or similar proceeding of the Company,  the
holders of the  Subordinated  Secured Notes shall be subrogated to the rights of
the holder of the Superior  Indebtedness to receive payments or distributions of
the assets of any Obligor made on account of the Superior Indebtedness until all
amounts of principal,  premium and interest due with respect to the Subordinated
Secured Notes shall be paid in full. For purposes of such subrogation,  all such
payments or distributions made directly to the holders of Superior  Indebtedness
or turned over thereto by the holders of the  Subordinated  Secured Notes which,
but for the provisions of this section 10 would have been paid to or retained by
the holders of the Subordinated Secured Notes, shall be deemed to be payments or
distributions  by the Obligor on account of the  Subordinated  Secured Notes and
not on account of the Superior Indebtedness.

          No  present  or  future  holder  of  Superior  Indebtedness  shall  be
prejudiced in his right to enforce  subordination  of the  Subordinated  Secured
Notes by any act or failure to act on the part of any Obligor. The provisions of
this section 10 are solely for the purpose of defining  the  relative  rights of
the  holders of  Superior  Indebtedness  on the one hand and the  holders of the
Subordinated  Secured Notes on the other hand and nothing herein shall impair as
between  any  Obligor  and the  holders of the  Subordinated  Secured  Notes the
obligation of the Obligors,  which is unconditional and absolute,  to pay to the
holders the principal,  premium, if any, and interest thereon in accordance with
their terms,  nor shall anything herein prevent the holders of the  Subordinated
Secured Notes from exercising all remedies otherwise permitted by applicable law
or under this Agreement upon default under this Indenture, subject to the rights
it any, under this Indenture of holders of Superior Indebtedness to receive 


<PAGE>

                                                                              85


cash, property or securities  otherwise payable or deliverable to the holders of
the Subordinated Secured Notes from the Company or any of its Subsidiaries, from
any of their assets or from any other source.

          For purposes of this section 10, the Superior  Indebtedness  shall not
be deemed to have been paid or  satisfied  "in full"  until the  holders  of the
Superior  Indebtedness shall have received final,  irrevocable and unconditional
payment of all outstanding  Superior  Indebtedness in full in cash which payment
shall have been  retained by such holders for a period of time one day in excess
of all preference periods under applicable bankruptcy or insolvency laws.

          The  Company  agrees,  for the  benefit  of the  holders  of  Superior
Indebtedness, that in the event that the Subordinated Secured Notes shall become
due and payable before their expressed  maturity because of the occurrence of an
Event of Default as described in section 6.1 the Company will give prompt notice
in writing of such happening to the holders of Superior Indebtedness.

          Each and every holder of the Subordinated  Secured Notes by acceptance
thereof  shall  undertake  and agree for the  benefit of each holder of Superior
Indebtedness to execute, verify, deliver and file any proofs of claim, consents,
assignments or other instruments  which any holder of Superior  Indebtedness may
at any time  require  in order to prove and  realize  upon any  rights or claims
pertaining to the Subordinated  Secured Notes and to effectuate the full benefit
of the subordination  contained  herein;  and upon failure of any such holder of
any of the  Subordinated  Secured  Notes so to do, any such  holder of  Superior
Indebtedness  shall  be  deemed  to  be  irrevocably  appointed  the  agent  and
attorney-in-fact  of such  holder  of  Subordinated  Secured  Notes to  execute,
verify,  deliver and file any such  proofs of claim,  consents,  assignments  or
other instruments.

          Each holder on the  Subordinated  Secured Notes,  the Trustee and each
Obligor  further  agree  that  the  provisions  of this  section  10 will not be
amended,  rescinded,  cancelled or modified  without the prior  consent  written
consent of each holder of any Superior Indebtedness.

SECTION 11. TERMINATION OF INDENTURE.

          Section 11.1. Termination of Indenture.  If the Obligors shall pay and
discharge  the whole amount of the  principal or premium it any, and interest on
all Notes outstanding and shall pay or cause to be paid all other sums payable 


<PAGE>

                                                                              86


hereunder,  then and in that case all  Property,  rights  and  interests  hereby
conveyed or assigned or pledged  shall revert to the  Obligors,  and the estate,
right,  title and interest of the Trustees and the holders of the Notes  therein
shall  thereupon  cease,  terminate and become void;  and the Trustees,  in such
case, on demand of the Obligors and at their cost and expense, shall execute and
deliver to the Obligors a proper instrument or proper instruments  acknowledging
the satisfaction and termination of this Indenture, and shall convey, assign and
transfer, or cause to be conveyed, assigned or transferred, and shall deliver or
cause to be  delivered,  to the  Obligors,  all  Property,  including  money and
securities,  then held by the  Trustees,  other than moneys  deposited  with the
Trustee for the payment of the principal of and premium,  if any, or interest on
any Notes.

          The  indemnities of the Obligors to the Trustees  contained in section
7.4 shall survive such payment and discharge of the Notes and such  satisfaction
and termination of this Indenture.

          Section 11.2.  Trustee's  Retention of Moneys Deposited for Payment of
Notes.  Payment of the Notes being so duly provided for, the Obligors  shall not
be required to pay  interest in respect of any period after the due date thereof
to any holder of Notes,  and moneys  deposited  for the payment of  principal or
interest or for prepayment, or otherwise,  remaining unclaimed in the possession
of the Trustee for six years after the date of the  maturity of the Notes or the
date fixed for the prepayment of the Notes,  as the case may be, shall be repaid
to the Obligors upon their request and holders of such Notes shall thereafter be
entitled to look only to the Obligors for payment thereof.

SECTION 12. MISCELLANEOUS PROVISIONS.

          Section 12.1. Indenture for Benefit of Parties Hereto. Nothing in this
Indenture,  expressed  or implied,  is intended or shall be  construed to confer
upon or to give to, any Person other than the parties hereto, and the holders of
the Notes,  any right,  remedy or claim under or by reason of this  Indenture or
any covenant,  condition or stipulation hereof; and the covenants,  stipulations
and  agreements  in this  Indenture  contained are and shall be for the sole and
exclusive benefit of the parties hereto,  their successors and assigns,  and the
holders of the Notes.

          Section 12.2. Severability.  In case any one or more of the provisions
contained  in this  Indenture  or in the  Notes  shall be  invalid,  illegal  or
unenforceable in any



<PAGE>

                                                                              87

respect,  the validity,  legality and enforceability of the remaining provisions
contained  herein  and  therein  shall not in any way be  affected  or  impaired
thereby.

          Section  12.3.  Basis of  Opinions of Counsel  and  Certificates.  Any
Opinion of Counsel required to be furnished pursuant to any of the provisions of
this  Indenture  may,  in lieu of stating the facts  required  by the  provision
hereof, state that the required condition will be fulfilled on the execution and
delivery of designated instruments, which instruments shall be delivered in form
approved by such counsel prior to or  concurrently  with the taking or suffering
by the Trustee of the action as a condition  precedent  to which such opinion is
required to be furnished under the terms of this Indenture.

          Any  certificate  or  opinion  of  an  officer  of  an  Obligor  or an
accountant  may be  based,  insofar  as it  relates  to  legal  matters,  upon a
certificate  or opinion  of or upon  representations  by  counsel,  unless  such
officer or accountant knows that the certificates or opinions or representations
with respect to the matters upon which his opinion may be based as aforesaid are
erroneous, or in the exercise of reasonable care should have known that the same
were erroneous.

          Any  certificate  or Opinion of  Counsel  may be based,  insofar as it
relates to  factual  matters,  or  information  with  respect to which is in the
possession of an Obligor,  upon the certificate or opinion of or representations
by an officer or officers of such  Obligor  unless such  counsel  knows that the
certificate or opinion or representations with respect to the matters upon which
his opinion  may be based as  aforesaid  are  erroneous,  or in the  exercise of
reasonable care should have known that the same were erroneous.

          Sections   12.4.   Addresses   for  Notices.   All  notices  or  other
communications  required or contemplated by the provisions hereof shall,  unless
otherwise  specified,  be in  writing  and shall be deemed to have been given or
made on the fifth Business Day after deposit  thereof in the United States mail,
by registered or certified mail, postage prepaid,  or when received if delivered
by hand or sent by facsimile  communication or overnight  courier the receipt of
which is confirmed, addressed as follows:

          If to the Obligors:                Ramsay Health Care, Inc.
                                             One Poydras Plaza
                                             639 Loyola Avenue, Suite 1400
                                             New Orleans, Louisiana 70113


<PAGE>

                                                                              88


                                             Attention: Chief Financial
                                                        Officer
                                             Fax:  (504) 585-0506
                                             Telephone: (504) 525-2505

         If to the Trustees:                 The Citizens and Southern National
                                             Bank
                                             33 North Avenue, N.E., Suite 700
                                             Atlanta, Georgia 30308
                                             Attention: Corporate Trust
                                                        Department
                                             Fax:  (404) 897-3142
                                             Telephone: (404) 897-3147

          If to any Noteholder at its address set forth in the Register.

          Any party  may  designate  an  additional  or  different  address  for
subsequent  notices or  communications  by notice duly given in accordance  with
this section 12.4 to the other parties.  So long as an Initial Purchaser (or any
nominee thereof) shall be the holder of a Note, all notices to such holder shall
be made in the  manner  provided  in its Note  Agreement  unless  it shall  have
specified  some  additional  or different  address by notice given in accordance
with the preceding sentence.

          If the  Obligors or the  Trustees  mail a notice to the holders of the
Notes, they shall mail a copy to the other party hereto at the same time.

          Section 12.5.  Successors and Assigns.  Whenever in this Indenture any
of the parties  hereto is named or referred  to, the  successors  and assigns of
such party shall be deemed to be included,  and all the covenants,  promises and
agreements in this Indenture contained by or on behalf of the Obligors, or by or
on behalf of the Trustees, shall bind and inure to the benefit of the respective
successors and assigns, whether so expressed or not.

          Section 12.6.  Counterparts;  Descriptive Headings.  This Indenture is
being executed in any number of  counterparts,  each of which is an original and
all of which are identical.  Each  counterpart of this Indenture is to be deemed
an original hereof and all  counterparts  collectively  are to be deemed but one
instrument.  The descriptive headings of the several Sections of and Exhibits to
this  Indenture  were  formulated,  used  and  inserted  in this  Indenture  for
convenience  only and shall not be deemed to affect the meaning or  construction
of any of the provisions hereof.





<PAGE>

                                                                              89


          Section 12.7.  GOVERNING  LAW. THIS INDENTURE AND THE NOTES ISSUED AND
SOLD  HEREUNDER  SHALL BE GOVERNED BY AND CONSTRUED IN ACCORDANCE  WITH ILLINOIS
LAW.

          IN WITNESS  WHEREOF,  each  Obligor  has caused  the  Indenture  to be
executed on its behalf by its President and attested by its Assistant Secretary;
and THE CITIZENS AND SOUTHERN  NATIONAL  BANK, in evidence of its  acceptance of
the trusts  hereby  created,  has caused  this  Indenture  to be executed on its
behalf by one of its Corporate  Trust Officers and attested by one of its Senior
Vice  Presidents,  and Susan L. Adams in token of her  acceptance  of the trusts
hereby  created,  has  hereunto  set her hand,  all as of the date  first  above
written.


                                                  RAMSAY HEALTH CARE, INC.


                                                  By:__________________________ 
                                                     Its President

ATTEST:


_______________________ 
Assistant Secretary

                                                  BOUNTIFUL PSYCHIATRIC
                                                  HOSPITAL, INC.


                                                  By:__________________________ 
                                                     Its President

ATTEST:


_______________________ 
Assistant Secretary


                                                  CUMBERLAND MENTAL HEALTH, INC.


                                                  By:__________________________ 
                                                     Its President

ATTEST:


<PAGE>


                                                                              90





________________________ 
Assistant Secretary

                                                  EAST CAROLINA PSYCHIATRIC
                                                  SERVICE CORPORATION


                                                  By:__________________________ 
                                                     Its President

ATTEST:


________________________ 
Assistant Secretary

                                                  HAVENWYCK HOSPITAL, INC.


                                                  By:__________________________ 
                                                     Its President

ATTEST:


________________________ 
Assistant Secretary

                                                  MESA PSYCHIATRIC HOSPITAL,
                                                  INC.


                                                  By:__________________________ 
                                                     Its President

ATTEST:


________________________ 
Assistant Secretary


                                                  PSYCHIATRIC INSTITUTE OF WEST
                                                        VIRGINIA, INC.


                                                  By:__________________________ 
                                                     Its President

ATTEST:





<PAGE>

                                                                              91



________________________ 
Assistant Secretary

                                                  THE CITIZENS AND SOUTHERN
                                                  NATIONAL BANK, as Corporate
                                                  Trustee


                                                  By:__________________________ 
                                                     Its Corporate Trust Officer

ATTEST:


________________________ 
Senior Vice President

                                                  _____________________________ 
                                                          Susan L. Adams,
                                                      As Individual Trustee





<PAGE>

                                                                              92

STATE OF ILLINOIS                  )
                                   ) SS
COUNTY OF COOK                     )


          On this 26th day of April, 1990, before me, Joyce E. Honkisz, a Notary
Public,  personally appeared Ralph J. Watts, who acknowledges  himself to be the
President of Ramsay Health Care, Inc., a Delaware  corporation,  and that he, as
such President,  being authorized so to do executed the foregoing instrument for
the  purposes  therein  contained,  by signing  the name of the  corporation  by
himself as President.

          IN  WITNESS  WHEREOF,  I have  hereunto  set my hand  and  affixed  my
official seal the day and year in this certificate first above written.


                                                  _____________________________ 
                                                          Notary Public

(Notarial Seal)




STATE OF ILLINOIS                  )
                                   )SS
COUNTY OF COOK                     )


          On this 26th day of April, 1990, before me, Joyce E. Honkisz, a Notary
Public,  personally appeared Ralph J. Watts, who acknowledges  himself to be the
President of Bountiful Psychiatric Hospital, Inc., a Utah corporation,  and that
he,  as  such  President,  being  authorized  so to do  executed  the  foregoing
instrument  for the  purposes  therein  contained,  by  signing  the name of the
Corporation by himself as President.

          IN  WITNESS  WHEREOF,  I have  hereunto  set my hand  and  affixed  my
official seal the day and year in this certificate first above written.


                                                   ____________________________ 
                                                           Notary Public

(Notarial Seal)




<PAGE>


                                    EXHIBIT A
                              (To Trust Indenture)







                            RAMSAY HEALTH CARE, INC.
                      BOUNTIFUL PSYCHIATRIC HOSPITAL, INC.
                         CUMBERLAND MENTAL HEALTH, INC.
                 EAST CAROLINA PSYCHIATRIC SERVICES CORPORATION
                            HAVENWYCK HOSPITAL, INC.
                         MESA PSYCHIATRIC HOSPITAL INC.
                                       and
                  PSYCHIATRIC INSTITUTE OF WEST VIRGINIA, INC.
                            11.6% Senior Secured Note
                               Due March 31, 2000

No. RA-                                                             April_, 1990

$

          RAMSAY  HEALTH CARE,  INC., a Delaware  corporation  (the  "Company"),
BOUNTIFUL   PSYCHIATRIC   HOSPITAL,   INC.,  a  Utah   corporation   ("Bountiful
Psychiatric")  CUMBERLAND  MENTAL  HEALTH,  INC., a North  Carolina  corporation
("Cumberland"), EAST CAROLINA PSYCHIATRIC SERVICES CORPORATION, a North Carolina
corporation ("East Carolina Psychiatric"),  HAVENWYCK HOSPITAL, INC., a Michigan
corporation   ("Havenwyck"),   MESA  PSYCHIATRIC  HOSPITAL,   INC.,  an  Arizona
corporation  (MESA  Psychiatric"),  and PSYCHIATRIC  INSTITUTE OF WEST VIRGINIA,
INC. a Virginia corporation ("Psychiatric Institute"; together with the Company,
Bountiful Psychiatric, Cumberland, East Carolina Psychiatric, Havenwyck and Mesa
Psychiatric  collectively being hereinafter referred to as the "Obligors"),  for
value received jointly and severally promise to pay to together with interest 

                              or registered assigns
                     on the thirty-first day of March, 2000
                              the principal sum of

                                                            DOLLARS ($         )

(in each case computed on the basis of a 360-day year of twelve  30-day  months)
on the principal amount from time to time remaining unpaid hereon until maturity
at the rate at  11.6%  per  annum,  payable  quarterly  on  March  31,  June 30,
September 30 and December 31 in each year  (commencing  June 30,  1990),  and at
maturity.

          The  Obligors  further  promise to pay interest at a rate equal to the
greater of (i) 13.6% per annum and (ii) the sum of the rate of interest publicly
announced by Morgan  Guaranty Trust Company of New York from time to time in New
York City as its prime rate plus 1% on overdue principal,  premium,  if any, and
(to the extent legally enforceable) upon each overdue installment of interest in
each case after maturity, whether by acceleration or otherwise, until paid.





<PAGE>

                                                                               2


          All payments of  principal,  premium,  if any,  and interest  shall be
payable upon  presentation of this Note at the principal  office of The Citizens
and Southern  National Bank (the "Trustee"),  located at 33 North Avenue,  N.E.,
Suite  700,  Atlanta,  Georgia  30308,  the  corporate  trustee  under the Trust
Indenture dated as of March 31, 1990 (herein,  together with any supplements and
amendments  thereto,  called the "Indenture"),  from the Obligors to the Trustee
and Susan L.  Adams,  as  Trustees,  or at the office of its  successor  as such
Trustee, in lawful money in the United States of America.

          This  Note is one of the  $56,500,000  aggregate  principal  amount of
11.6% Senior Secured Notes of the Obligors (the "Senior  Secured  Notes") which,
together  with the  Obligors'  $3,000,000  aggregate  principal  amount of 15.6%
Subordinated  Secured Notes (the "Subordinated  Secured Notes"),  are secured by
the  Indenture.  Reference is hereby made to the Indenture for a description  of
the property  thereby  mortgaged,  conveyed,  assigned,  affected and  specially
hypothecated, the nature and extent of the security for the Senior Secured Notes
and Subordinated  Secured Notes (the "Notes"),  the rights of the holders of the
Notes,  the Trustees and the Obligors in respect of such  security and otherwise
and the terms upon which the Notes are to be  authenticated  and  delivered.  As
provided in the Indenture,  the aggregate principal amount of Notes which may be
issued thereunder shall not exceed $59,500,000.

          This Note and the other Notes  outstanding  under the Indenture may be
declared due prior to their expressed maturity dates,  voluntary prepayments may
be made thereon by the Obligors and certain  prepayments are required to be made
thereon,  all in the  events,  on the  terms  and in the  manner  and  amount as
provided in the Indenture.

          The  terms  and  provisions  of  the  Indenture  and  the  rights  and
obligations  of the  Obligors  and the rights of the holders of the Notes may be
changed  and  modified  to  the  extent  permitted  by and  be  provided  in the
Indenture.

          This Note is registered  on the books of the Trustee and  transferable
only by surrender  thereof at the principal  office of the Trustee duly endorsed
or  accompanied  by a  written  instrument  of  transfer  duly  executed  by the
registered  holder of this Note or its  attorney  duly  authorized  in  writing.
Payment of or on account of  principal,  premium,  if any,  and interest on this
Note  shall be made  only to or upon  the  order in  writing  of the  registered
holder.





<PAGE>

                                                                               3



          This Note shall not be valid until the  certificate of  authentication
hereon shall have been signed by the Trustee.





<PAGE>

                                                                               4

           IN WITNESS  WHEREOF,  each  Obligor  has caused  this Note to be duly
executed.

                                                  RAMSAY HEALTH CARE, INC.


                                                  By:_______________________ 
                                                     Its President

ATTEST:


_____________________________ 
     Assistant Secretary

                                                  BOUNTIFUL PSYCHIATRIC
                                                  HOSPITAL, INC.


                                                  By:__________________________ 
                                                     Its President

ATTEST:


_____________________________ 
     Assistant Secretary


                                                  CUMBERLAND MENTAL HEALTH, INC.


                                                  By:__________________________ 
                                                     Its President

ATTEST:


_____________________________ 
     Assistant Secretary


<PAGE>


                                                                               5






                                                  EAST CAROLINA PSYCHIATRIC
                                                  SERVICE CORPORATION


                                                  By:__________________________ 
                                                     Its President

ATTEST:


_____________________________ 
     Assistant Secretary


                                                  HAVENWYCK HOSPITAL, INC.


                                                  By:__________________________ 
                                                     Its President

ATTEST:


_____________________________ 
     Assistant Secretary

                                                  MESA PSYCHIATRIC HOSPITAL,
                                                  INC.


                                                  By:__________________________ 
                                                     Its President

ATTEST:


_____________________________ 
     Assistant Secretary


                                                  PSYCHIATRIC INSTITUTE OF WEST
                                                        VIRGINIA, INC.


                                                  By:__________________________ 
                                                     Its President




<PAGE>

                                                                               6


ATTEST:


_____________________________ 
     Assistant Secretary

<PAGE>

                                                                               7


(TRUSTEES CERTIFICATE OF AUTHENTICATION)

          This note is one of the Notes described in the within  mentioned Trust
Indenture.

                                                       THE CITIZENS AND SOUTHERN
                                                         NATIONAL BANK, as
                                                         Trustee

                                                       By:______________________
                                                            Authorized Officer



                        NOTATION OF PAYMENTS OF PRINCIPAL


                    DATE                                       AMOUNT
              _______________                             _______________
              _______________                             _______________
              _______________                             _______________
              _______________                             _______________
              _______________                             _______________
              _______________                             _______________
              _______________                             _______________
              _______________                             _______________
              _______________                             _______________
              _______________                             _______________





<PAGE>



                                    EXHIBIT B
                              (to Trust Indenture)







                            RAMSAY HEALTH CARE, INC.
                      BOUNTIFUL PSYCHIATRIC HOSPITAL, INC.
                         CUMBERLAND MENTAL HEALTH, INC.
                 EAST CAROLINA PSYCHIATRIC SERVICES CORPORATION
                            HAVENWYCK HOSPITAL, INC.
                         MESA PSYCHIATRIC HOSPITAL INC.
                                       and
                  PSYCHIATRIC INSTITUTE OF WEST VIRGINIA, INC.
                            15.6% Senior Secured Note
                               Due March 31, 2000

No. RB-                                                             April_, 1990

$

          RAMSAY  HEALTH CARE,  INC., a Delaware  corporation  (the  "Company"),
BOUNTIFUL   PSYCHIATRIC   HOSPITAL,   INC.,  a  Utah   corporation   ("Bountiful
Psychiatric")  CUMBERLAND  MENTAL  HEALTH,  INC., a North  Carolina  corporation
("Cumberland"), EAST CAROLINA PSYCHIATRIC SERVICES CORPORATION, a North Carolina
corporation ("East Carolina Psychiatric"),  HAVENWYCK HOSPITAL, INC., a Michigan
corporation   ("Havenwyck"),   MESA  PSYCHIATRIC  HOSPITAL,   INC.,  an  Arizona
corporation  (MESA  Psychiatric"),  and PSYCHIATRIC  INSTITUTE OF WEST VIRGINIA,
INC.,  a  Virginia  corporation  ("Psychiatric  Institute";  together  with  the
Company, Bountiful Psychiatric, Cumberland, East Carolina Psychiatric, Havenwyck
and  Mesa  Psychiatric   collectively  being  hereinafter  referred  to  as  the
"Obligors"), for value received jointly and severally promise to pay to

                              or registered assigns
                     on the thirty-first day of March, 2000
                              the principal sum of

                                                            DOLLARS ($         )

together  with interest (in each case computed on the basis of a 360-day year of
twelve 30-day months) on the principal amount from time to time remaining unpaid
hereon until maturity at the rate of 15.6% per annum, payable quarterly on March
31, June 30,  September  30 and  December 31 in each year  (commencing  June 30,
1990), and at maturity.

          The  Obligors  further  promise to pay interest at a rate equal to the
greater of (i) 17.6% per annum and (ii) the sum of the rate of interest publicly
announced by Morgan  Guaranty Trust Company of New York from time to time in New
York City as its prime rate plus 1% on overdue principal,  premium,  if any, and
(to the extent legally enforceable) upon each overdue installment of interest in
each case after maturity, whether by acceleration or otherwise, until paid.





<PAGE>

                                                                               2

          All payments of  principal,  premium,  if any,  and interest  shall be
payable upon  presentation of this Note at the principal  office of The Citizens
and Southern  National Bank (the "Trustee"),  located at 33 North Avenue,  N.E.,
Suite  700,  Atlanta,  Georgia  30308,  the  corporate  trustee  under the Trust
Indenture dated as of March 31, 1990 (herein,  together with any supplements and
amendments  thereto,  called the "Indenture"),  from the Obligors to the Trustee
and Susan L.  Adams,  as  Trustees,  or at the office of its  successor  as such
Trustee, in lawful money in the United States of America.

          This Note is one of the $3,000,000 aggregate principal amount of 15.6%
Subordinated  Secured Notes of the Obligors (the  "Subordinated  Secured Notes")
which,  together with the Obligors'  $56,500,000  aggregate  principal amount of
11.6%  Senior  Secured  Notes (the  "Senior  Secured  Notes") are secured by the
Indenture.  Reference is hereby made to the Indenture  for a description  of the
property  thereby  mortgaged,   conveyed,   assigned,   affected  and  specially
hypothecated, the nature and extent of the security for the Senior Secured Notes
and Subordinated  Secured Notes (the "Notes"),  the rights of the holders of the
Notes,  the Trustees and the Obligors in respect of such  security and otherwise
and the terms upon which the Notes are to be  authenticated  and  delivered.  As
provided in the Indenture,  the aggregate principal amount of Notes which may be
issued thereunder shall not exceed $59,500,000.

          All Subordinated  Secured Notes issued under the Indenture are secured
thereby and are entitled to the benefits  thereof.  As provided in section 10 of
the Indenture,  the rights of the holders of all Subordinated  Secured Notes are
subordinate and junior in certain respects to the prior rights of the holders of
all Superior Indebtedness,  including the right to receive payments thereon, and
rights with respect to the  Mortgaged  Property  mortgaged and pledged under the
Indenture  and any of the  Mortgages.  Reference is hereby made to the Indenture
for a complete statement of the express terms and provisions thereof,  including
a description of the Property  mortgaged and pledged  thereunder as security for
the Notes of the Obligors issued and outstanding under the Indenture.

          This Note and the other Notes  outstanding  under the Indenture may be
declared due prior to their expressed maturity dates,  voluntary prepayments may
be made thereon by the Obligors and certain prepayments are required to be made


<PAGE>

                                                                               3


thereon,  all in the  events,  on the terms and in the  manner  and  amounts  as
provided in the Indenture.

          The  terms  and  provisions  of  the  Indenture  and  the  rights  and
obligation  of the  Obligors  and the rights of the  holders of the Notes may be
changed  and  modified  to  the  extent  permitted  by and  as  provided  in the
Indenture.

          This  Note  is   registered  on  the  books  of  the  Trustee  and  is
transferable  only by surrender  thereof at the principal  office of the Trustee
duly endorsed or accompanied  by a written  instrument of transfer duly executed
by the  registered  holder  of this  Note or its  attorney  duly  authorized  in
writing. Payment of or on account of principal, premium, if any, and interest on
this Note shall be made only to or upon the order in  writing of the  registered
holder.

          This Note shall not be valid until the  certificate of  authentication
hereon shall have been signed by the Trustee.







<PAGE>

                                                                               4


          IN WITNESS  WHEREOF,  each  Obligor  has  caused  this Note to be duly
executed.


                                                  RAMSAY HEALTH CARE, INC.


                                                  By:__________________________ 
                                                     Its President

ATTEST:


____________________________ 
    Assistant Secretary


                                                  BOUNTIFUL PSYCHIATRIC
                                                    HOSPITAL, INC.


                                                  By:__________________________ 
                                                     Its President

ATTEST:


____________________________ 
    Assistant Secretary


                                                  CUMBERLAND MENTAL HEALTH, INC.


                                                  By:__________________________ 
                                                     Its President

ATTEST:


____________________________ 
    Assistant Secretary







<PAGE>

                                                                               5




                                                  EAST CAROLINA PSYCHIATRIC
                                                    SERVICES CORPORATION


                                                  By:__________________________ 
                                                     Its President

ATTEST:


____________________________ 
    Assistant Secretary


                                                  HAVENWYCK HOSPITAL, INC.


                                                  By:__________________________ 
                                                     Its President

ATTEST:


____________________________ 
    Assistant Secretary


                                                  MESA PSYCHIATRIC HOSPITAL,
                                                    INC.


                                                  By:__________________________ 
                                                     Its President

ATTEST:


____________________________ 
    Assistant Secretary


                                                  PSYCHIATRIC INSTITUTE OF WEST
                                                    VIRGINIA, INC.


                                                  By:__________________________
                                                     Its President





<PAGE>

                                                                               6


ATTEST:


_____________________________
     Assistant Secretary



<PAGE>
                                                                               7




                    (TRUSTEES CERTIFICATE OF AUTHENTICATION)


          This Note is one of the Notes described in the within  mentioned Trust
Indenture.


                                                  THE CITIZENS AND SOUTHERN
                                                    NATIONAL BANK, as
                                                    Trustee


                                                  By:__________________________
                                                       Authorized Officer



                        NOTATION OF PAYMENTS OF PRINCIPAL


                    DATE                                       AMOUNT
              ________________                            _______________
              _______________                             _______________
              _______________                             _______________
              _______________                             _______________
              _______________                             _______________
              _______________                             _______________
              _______________                             _______________
              _______________                             _______________
              _______________                             _______________
              _______________                             _______________






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



                            RAMSAY HEALTH CARE, INC.

                      BOUNTIFUL PSYCHIATRIC HOSPITAL, INC.

                         CUMBERLAND MENTAL HEALTH, INC.

                 EAST CAROLINA PSYCHIATRIC SERVICES CORPORATION

                            HAVENWYCK HOSPITAL, INC.

                         MESA PSYCHIATRIC HOSPITAL, INC.

                                       and

                  PSYCHIATRIC INSTITUTE OF WEST VIRGINIA, INC.


                    ______________________________________________

                             NOTE PURCHASE AGREEMENT

                           Dated as of March 31, 1990

                    ______________________________________________

                                       Re:

                     $56,500,000 11.6% Senior Secured Notes
                               Due March 31, 2000

                                       and

                   $3,000,000 15.6% Subordinated Secured Notes
                               Due March 31, 2000

                                       and

          Warrants to Purchase Common Stock of Ramsay Health Care, Inc.

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



<PAGE>

                                TABLE OF CONTENTS


Section                                                                     Page

Parties.......................................................................1

 
1.       Issue of Note and Warrants...........................................2

                  2.       Security for the Notes.............................4

                  3.       Other Agreements...................................4

                  4.       Sale of Notes......................................4

                  5.       Representations of the Obligors....................5

                  6.       Representations of the Purchasers..................5

                  7.       Closing Conditions.................................6

                  8.       Expenses and Taxes................................13

                  9.       Successors and Assigns............................14

                  10.      Survival of Covenants and Representations.........14

                  11.      Severability......................................14

                  12.      Communications....................................15

                  13.      Governing Law.....................................15

                  14.      Counterparts......................................15

                  15.      Headings and Table of Contents....................15


ATTACHMENTS TO NOTE PURCHASE AGREEMENT:

         Schedule I        -        Name and Address of Purchasers
         Schedule II       -        Identification of Warrants
         Exhibit A         -        Form of Trust Indenture
         Exhibit B         -        Form of Mortgage and Security Agreement
         Exhibit C         -        Form of Pledge and Security Agreement
         Exhibit D         -        Closing Certificate of Obligors other than
                                    the Company
         Exhibit E         -        Closing Certificate of the Company

                                       -i-

<PAGE>

                                                                            Page

         Exhibit F         -        Description of Special Counsel's Closing
                                    Opinion
         Exhibit G         -        Description of Closing Opinion of Counsel
                                    for the Obligors
         Exhibit H         -        Description of Closing Opinion of Local
                                    Counsel
         Exhibit I         -        Form of Warrant

                                      -ii-
<PAGE>

                            RAMSAY HEALTH CARE, INC.

                      BOUNTIFUL PSYCHIATRIC HOSPITAL, INC.

                         CUMBERLAND MENTAL HEALTH, INC.

                 EAST CAROLINA PSYCHIATRIC SERVICES CORPORATION

                            HAVENWYCK HOSPITAL, INC.

                         MESA PSYCHIATRIC HOSPITAL, INC.

                                       and

                  PSYCHIATRIC INSTITUTE OF WEST VIRGINIA, INC.

                             NOTE PURCHASE AGREEMENT

                                       Re:

                     $56,500,000 11.6% Senior Secured Notes

                               Due March 31, 2000

                                       and

                   $3,000,000 15.6% Subordinated Secured Notes

                               Due March 31, 2000

                                                                     Dated as of
                                                                  March 31, 1990



To the Purchaser named in Schedule I
  attached hereto which is a signatory
  to this Agreement

Gentlemen:

          The undersigned, RAMSAY HEALTH CARE, INC., a Delaware corporation (the
"Company",  BOUNTIFUL PSYCHIATRIC HOSPITAL, INC., a Utah corporation ("Bountiful
Psychiatric"),  CUMBERLAND  MENTAL HEALTH,  INC., a North  Carolina  corporation
("Cumberland"), EAST CAROLINA PSYCHIATRIC SERVICES CORPORATION, a North Carolina
corporation ("East Carolina Psychiatric"), HAVENWYCK HOSPITAL, INC., a Michigan 



<PAGE>

                                                                               2




corporation   ("Havenwyck"),   MESA  PSYCHIATRIC  HOSPITAL,   INC.,  an  Arizona
corporation ("Mesa  Psychiatric"),  and PSYCHIATRIC  INSTITUTE OF WEST VIRGINIA,
INC.,  a  Virginia  corporation  ("Psychiatric  Institute";  together  with  the
Company, Bountiful Psychiatric, Cumberland, East Carolina Psychiatric, Havenwyck
and  Mesa  Psychiatric   collectively  being  hereinafter  referred  to  as  the
"Obligors"), jointly and severally agree with you as follows:

          1. Issue of Notes and  Warrants.  (a) The  Obligors  require  funds to
prepay  certain   indebtedness   for  borrowed  money  of  the  Obligors  (which
indebtedness was issued by or guaranteed by each of the Obligors) and to finance
capital  expenditures,  renovations  and  construction  at  facilities  owned by
certain of the Obligors,  and in order to strengthen the financial and operating
condition of each and every Obligor, directly and indirectly, as a result of the
enhanced ability of the Company to provide financial, accounting, consulting and
administrative  assistance  and  services  to each  other  Obligor.  In order to
provide funds for such purposes,  the Obligors will authorize the issue and sale
of  $56,500,000  aggregate  principal  amount of 11.6% Senior  Secured Notes due
March 31, 2000 (the "Senior Secured Notes") and $3,000,000  aggregate  principal
amount of 15.6%  Subordinated  Secured  Notes due March 31, 2000 of the Obligors
(the   "Subordinated   Secured  Notes").   The  Senior  Secured  Notes  and  the
Subordinated Secured Notes (collectively, the "Notes") will be dated the date of
issue, bear interest from the issue date, be payable quarterly on March 31, June
30,  September 30 and December 31 in each year (commencing June 30, 1990) and be
expressed  to mature on March 31,  2000.  The  Senior  Secured  Notes  will bear
interest  at the rate of 11.6% per annum  prior to  maturity;  the  Subordinated
Secured  Notes  will  bear  interest  at the rate of 15.6%  per  annum  prior to
maturity and the Notes will bear interest on overdue  principal  (including  any
overdue required or optional  prepayment of principal) and premium,  if any, and
(to the extent legally  enforceable) on any overdue installment of interest at a
rate  equal to the  greater  of (i)  13.6% per annum and (ii) the sum of (y) the
rate of interest publicly announced by Morgan Guaranty Trust Company of New York
from time to time in New York City as its prime rate plus (z) 1%, in the case of
the Senior  Secured  Notes,  and at a rate equal to the greater of (i) 17.6% per
annum and (ii) the sum of (y) the rate of interest publicly  announced by Morgan
Guaranty  Trust  Company  of New York  from time to time in New York City as its
prime rate plus (z) 1%, in the case of the  Subordinated  Secured  Notes,  after
maturity,  whether by  acceleration  or otherwise,  until paid.  Interest on the
Notes will be computed on the basis of a 360-day year of twelve 30-day months.  


<PAGE>

                                                                               3

The Senior Secured Notes will be substantially in the form attached as Exhibit A
to the Trust Indenture  hereinafter  referred to; the Subordinated Secured Notes
will be substantially in the form attached as Exhibit B to said Trust Indenture.
The term "Notes" as used herein shall  include each Note  delivered  pursuant to
this  Agreement,  the separate  Note Purchase  Agreements  entered into with the
other purchasers named in Schedule I and said Trust Indenture. You and the other
purchasers named in Schedule I hereto are hereinafter  sometimes  referred to as
the "Purchasers".

          (b) (i) if you are purchasing  Subordinated  Secured Notes  hereunder,
then, in consideration of and as an inducement to your execution and delivery of
this  Agreement and your purchase of such  Subordinated  Secured  Notes,  on the
Closing  Date the  Company  will  execute  and  deliver to you a stock  purchase
warrant  substantially  in the form  thereof  attached  hereto as Exhibit I (the
"Warrants")  to  purchase,  at the  price,  in the manner and upon the terms and
conditions  therein set forth, the Original Number of Warrant Shares (as defined
in the Warrants) set forth opposite your name in Schedule II hereto.

          (ii) The Company and you agree (as  contemplated by proposed  Treasury
Regulations section 1.1273-2(d)(2)(iv)) for U.S. federal income tax purposes (i)
that (a) the present  value as of the  closing  date of all  payments  under the
Subordinated  Secured  Notes,  using a discount  rate based on a yield which the
Company and you agree is the original yield of comparable  debt  instruments not
issued as part of an investment unit (which rate is not less than the applicable
federal  rate on the date the Notes  are  issued),  is equal to $994 per  $1,000
principal  amount,  and (b) the aggregate "issue price" under section 1273(b) of
the  Internal  Revenue  Code of 1986,  as  amended  (the  "Code")  of all of the
Subordinated  Secured Notes issued hereunder and under the other Note Agreements
is $2,982,000;  and (ii) that the aggregate  "issue price" under section 1273(b)
of the Code of all of the Warrants to be purchased hereunder and under the other
Note Agreements is $18,000. The Company and you agree to use the foregoing issue
prices,  purchase  prices and values and the yields  which  result in such issue
prices for U.S. federal income tax purposes with respect to this transaction.

          (iii) Common  Stock.  The rights,  powers and terms of and relating to
the  Common  Stock (as  defined in the  Warrants)  will be  provided  for in the
Company's  Certificate of Incorporation as in effect as of the Closing Date, and
as otherwise provided by Delaware law.


<PAGE>

                                                                               4
 



          2. Security for the Notes.  The Notes will be issued under and secured
by a Trust Indenture (the "Indenture") substantially in the form attached hereto
as Exhibit A from the  Obligors,  jointly and  severally,  to The  Citizens  and
Southern National Bank, as corporate trustee,  and Susan L. Adams, as individual
trustee  (collectively  the  "Trustees").  Pursuant  to the  Indenture,  each of
Bountiful Psychiatric,  Cumberland,  East Carolina Psychiatric,  Havenwyck, Mesa
Psychiatric  and  Psychiatric  Institute  will on or  before  the  Closing  Date
referred to in section  4(b)  execute,  acknowledge  and deliver a Mortgage  and
Security   Agreement  (a   "Mortgage"   and   collectively,   the   "Mortgages")
substantially  in the form attached  hereto as Exhibit B with respect to certain
hospital  facilities referred to in the Mortgages creating a first mortgage lien
and a first security interest thereon.  Terms not otherwise defined herein shall
have the meanings set forth in the Indenture.

          In   addition,   the  Company,   of  which  the  other   Obligors  are
Subsidiaries,  Michigan Psychiatric Services, Inc., a Michigan corporation and a
Subsidiary  ("Michigan  Psychiatric"),  Americare  of Galax,  Inc.,  a  Virginia
corporation  and a Subsidiary  ("Americare"),  and  Bountiful  Psychiatric  will
execute and deliver a Pledge and Security  Agreement (a "Pledge  Agreement"  and
collectively, the "Pledge Agreements") substantially in the form attached hereto
as Exhibit C pledging  all  capital  stock of such other  Obligors  owned by the
Company or such Subsidiary as further security for the Notes.

          3. Other  Agreements.  Concurrently with the execution and delivery of
this Agreement, the Obligors are entering into similar agreements with the other
Purchasers under which such other Purchasers agree to purchase from the Obligors
the principal amount of Notes set opposite such Purchasers'  names in Schedule I
and your  obligations and the obligations of the Obligors  hereunder are subject
to the execution and delivery of the similar agreements by the other Purchasers.
The  obligations  of each  Purchaser  shall  be  several  and not  joint  and no
Purchaser shall be liable or responsible for the act of any other Purchaser.

          4. Sale of Notes.  (a)  Subject  to the  terms and  conditions  herein
contained and on the basis of the representations and warranties hereinafter set
forth,  the  Obligors  agree to issue and sell to you and you agree to  purchase
from the  Obligors  on the  Closing  Date  hereinafter  specified,  Notes of the
Obligors  of the class  specified  in Schedule I at a price equal to 100% of the
principal amount set forth opposite your name in Schedule I.





<PAGE>

                                                                               5

          (b)  Delivery  of the Notes will be made at the offices of Chapman and
Cutler, 111 West Monroe Street, Chicago, Illinois 60603 against payment therefor
by wire transfer of Federal or other funds current and immediately  available at
the principal office of Continental  Bank, N.A., ABA No. 071 000 039, for credit
to Account No.  13-01536-7,  at 10:00 a.m.  local time on such business day (the
"Closing  Date") not later than April 30, 1990 as the Company shall designate to
you by not less than three days' prior written notice.

          (c) The Notes  delivered  to you on the Closing Date will be delivered
to you in the form of a single  registered Note for the principal amount then to
be purchased by you of each class of Notes (unless  different  denominations are
specified  by you),  registered  in your name or in the name of such  nominee as
specified in Schedule I and in substantially  the form attached to the Indenture
as Exhibits A and B, respectively.

          5. Representations of the Obligors. The Obligors represent and warrant
that all representations set forth in the forms of Closing Certificates attached
hereto as  Exhibits D and E are true and  correct as of the date  hereof and are
incorporated herein by reference with the same force and effect as though herein
set forth in full.

          6.  Representation  of the Purchasers.  You acknowledge that the Notes
(and the Warrants,  if any) have not been registered under the Securities Act of
1933, as amended, and as such,  constitute restricted securities that may not be
resold  by you  without  registration  under the Act or the  availability  of an
exemption  therefrom;  you represent that you shall not resell the Notes (or the
Warrants,  if any) in the absence of such registration or applicable  exemption;
and you represent,  and in making this sale to you it is specifically understood
and agreed,  that you are not acquiring  the Notes (or  Warrants,  if any) to be
purchased by you  hereunder  with a view to or for sale in  connection  with any
distribution  thereof  within the  meaning  of the  Securities  Act of 1933,  as
amended;  provided that the  disposition  of your property shall at all times be
and remain within your  control.  You also  represent  that no part of the funds
being used by you to pay the purchase  price of the Notes (or Warrants,  if any)
being purchased by you hereunder  constitutes  assets  allocated to any separate
account  maintained  by you in which  any  employee  benefit  plan,  other  than
employee  benefit plans  identified on a list which has been furnished by you to
the Company,  participates  to the extent of 5% or more. For the purpose of this
section 6, the terms "separate account" and "employee benefit plan" shall have  




<PAGE>

                                                                               6

shall  have the respective  meanings  specified  in  Section 3 of the  Employee
Retirement Income Security Act of 1974, as amended.

          7. Closing  Conditions.  Your  obligation  to purchase and pay for the
Notes to be sold to you on the Closing Date is subject to the performance by the
Obligors of their  agreements  hereunder  which, by the terms hereof,  are to be
performed  at or prior  to the  time of the  delivery  of the  Notes  and to the
following conditions precedent:

          (a)  On or prior to the Closing Date --

               (i) Execution of Indenture.  The Obligors and the Trustees  shall
have executed, acknowledged and delivered the Indenture.

               (ii) Execution of Mortgages and Financing Statements. Each of the
Obligors  except the Company shall have executed,  acknowledged  and delivered a
Mortgage with respect to the Land Parcels, buildings, improvements and Equipment
owned by such Obligor comprising Benchmark Regional Hospital,  Woods Cross, Utah
(the  "Benchmark  Regional  Hospital"),  Brynn Marr  Hospital and Life Center of
Jacksonville, Jacksonville, North Carolina (the "Brynn Marr Hospital"), Chestnut
Ridge  Hospital,  Morgantown,  West Virginia (the  "Chestnut  Ridge  Hospital"),
Cumberland  Hospital  and  Life  Center  of  Fayetteville,  Fayetteville,  North
Carolina (the "Cumberland Hospital"),  Desert Vista Hospital, Mesa, Arizona (the
"Desert Vista  Hospital") and Havenwyck  Hospital,  Auburn Hills,  Michigan (the
"Havenwyck  Hospital"),  respectively,  as security  for the Notes,  in the form
necessary or appropriate  for the purpose of creating a first and paramount Lien
on each such Land Parcel, the buildings, improvements and Equipment thereon; and
any Person  which has or  purports  to have an  interest  in any Land  Parcel in
respect of which any  Obliger  holds a  leasehold  estate  shall have  executed,
acknowledged and delivered an Estoppel Agreement in respect of such Land Parcel.
Each such Mortgage and financing  statements with respect to the Equipment shall
have been  recorded  or filed for  record in each  public  office  wherein  such
recording or filing is deemed  necessary or  appropriate  by you or your special
counsel to perfect the Lien thereof as against  creditors of or purchasers  from
the Obligors and each such Estoppel  Agreement shall have been recorded or filed
for record in each public  office  wherein  such  recording  or filing is deemed
necessary or appropriate by you or your special counsel to protect the rights of
the Obligor and the Trustees created thereby.




<PAGE>

                                                                               7

               For purposes of this section 7(a)(ii), "Estoppel Agreement" means
any agreement between the Trustees and the fee holder/lessor under the leases of
the real property upon which the Morgantown, West Virginia and the Mesa, Arizona
properties  are  located  (the  "Ground  Leases"),  and any  Mortgage of the fee
interest  of such  property  providing,  inter alia for notice of default  under
either Ground Lease,  the right to cure any defaults  under either Ground Lease,
the  approval of a  leasehold  Mortgage of the  Company's  interests  under each
Ground Lease, if required, the right to "quiet enjoyment" of the land subject to
either  Ground  Lease  and such  other  terms as are  requires  by your  special
counsel.

               (iii) Survey.  The Company shall have caused a physical survey of
each Land Parcel  relating to the Benchmark  Regional  Hospital,  the Brynn Marr
Hospital, the Chestnut Ridge Hospital, the Cumberland Hospital, the Desert Vista
Hospital and the Havenwyck Hospital to be made by a registered civil engineer or
surveyor  licensed in the jurisdiction in which each such Land Parcel is located
and shall have  furnished to the  Trustees  and your  special  counsel a plot of
survey  duly  certified  by  such  engineer  or  surveyor  which  shall  show no
encroachments upon such real estate parcel by adjoining  buildings or structures
and no  encroachments  on  adjoining  premises by the  building or  improvements
erected thereon, other then as permitted under section 3.19(f) of the Indenture.
Each  survey  shall  be  prepared  in  accordance   with  the  standard   detail
requirements  for land surveys  adopted by the American  Land Title  Association
("ALTA") and the American  Congress on Surveying and Mapping,  as revised and in
effect on the date of delivery of such  survey,  and shall be  certified  to the
Trustees.

               (iv)  Evidence of Title.  The  Company  shall have  obtained  the
commitment of Chicago Title Insurance Company or another title insurance company
or companies of good standing  selected by the Company and  satisfactory  to you
(collectively,  the  "Title  Company"),  to issue  policies  of  mortgage  title
insurance on a standard American Land Title Association Mortgage Title Insurance
Policy (Loan  Policy-1970  Form) in the aggregate  amount which will provide for
mortgage  title  insurance  in an amount not less than the  aggregate  principal
amount of Notes,  covering each Land Parcel  relating to the Benchmark  Regional
Hospital,  the Brynn Marr Hospital,  the Chestnut Ridge Hospital, the Cumberland
Hospital,  the Desert  Vista  Hospital  and the  Havenwyck  Hospital and showing
marketable  record  title  thereto to be vested in Bountiful  Psychiatric,  East
Carolina Psychiatric,  Psychiatric Institute,  Cumberland,  Mesa Psychiatric and
Havenwyck, respectively, subject only to:



<PAGE>

                                                                               8


               (y) the Liens, if any, permitted by the related Mortgages; and

               (z) such other  exceptions  as shall be  satisfactory  to you and
          your special counsel; and

agreeing  to insure the  Trustees  and the  holders of the Notes upon the proper
execution  and  recording  of the  related  Mortgages  against  loss  or  damage
sustained by reason of such  Mortgages not being a first and paramount Lien upon
such Land Parcels,  subject only to the exceptions  referred to in the foregoing
clauses (y) and (z). Risk assumed by the Title Company under the title policy or
policies will be reinsured when the Loan Value of any one individual Land Parcel
and  Mortgage  Facility  insured  pursuant  to the  provisions  of this  section
7(a)(iv) by First American Title Insurance Company shall exceed  $35,000,000 and
when any such  Land  Parcel  and  Mortgaged  Facility  insured  pursuant  to the
provisions of this section  7(a)(iv) by  Transamarica  Title  Insurance  Company
shall  exceed  $16,600,000,  with  a  reinsurance  company  satisfactory  to the
Purchasers  and  by  means  of  R  coinsurance   and   direct-access   agreement
satisfactory to the Purchasers.

               Such title insurance shall insure over all general exceptions and
shall include the following  endorsements in form and substance  satisfactory to
you  and  your  special   counsel:   (i)  an  endorsement  over  mechanics'  and
materialmen's  lien claims for all labor,  materials and services,  (ii) an ALTA
Form  3.1  Zoning  Endorsement  (including  parking),   (iii)  an  unconditional
Comprehensive  Endorsement No. 1 containing a commitment by the Title company to
extend the coverage of such  endorsement to cover all  improvements  on the Land
Parcels,  (iv) a usury  endorsement,  (v) an  endorsement to the effect that any
interest  accrued  and added to  principal  will be  secured  by the lien of the
Mortgage,  (vi) a tie-in endorsement and (vii) such other endorsements as you or
your  special  counsel  may  require.  If any Land  Parcel  consists  of several
subparcels,  the title policy must affirmatively  insure the contiguity of those
subparcels and contain a perimeter endorsement. If the Survey furnished pursuant
to  section  7(a)(iii)  reveals  that any Land  Parcel  makes  use of any  other
property as a means of, ingress and egress (or for any other purpose),  then the
title policy shall specifically insure the same as easements  appurtenant to the
Land Parcel, subject only to Permitted Encumbrances. If ingress and egress is by
way of a private  street,  then the title policy shall insure ingress and egress
via such private street subject only to Permitted Encumbrances.  If any required
endorsement is unavailable due to state insurance laws or regulations applicable





<PAGE>

                                                                               9

to the Title Company,  then you and your special counsel may require, in lieu of
such  endorsement,  an opinion of counsel to the  Obligors as to such matters in
form  and  substance  and from  counsel  satisfactory  to you and  your  special
counsel.

               The Company will, as soon as practicable  and in any event within
30 days after the  Closing  Date,  without  cost or  expense to you,  obtain and
deliver  to you and the  Trustee  the  policy or  policies  contemplated  by the
commitments of the Title Company.

               (v)  Environmental  Audit.  The Company shall have  furnished you
with an Environmental  Agreement  ("Environmental  Audit")  performed by Fred C.
Hart Associates,  Inc. and/or Waldemar S. Nelson and Company, Inc. for each such
Hospital and a report of the engineer who  performed  each  Environmental  Audit
dated not more than 60 days prior to the  Closing  Date  stating  that except as
disclosed  to you in such  Environmental  Audit,  each such  Hospital is free of
asbestos and any other  hazardous  material and  otherwise in form and substance
satisfactory to you and your special counsel.

               (vi)  Appraisal.  The  Company  shall  have  furnished  to you an
appraisal of the Land Parcels relating to the Benchmark Regional  Hospital,  the
Brynn Marr Hospital,  the Chestnut Ridge Hospital,  the Cumberland Hospital, the
Desert Vista Hospital and the Havenwyck  Hospital and such Hospitals in form and
substance  satisfactory  to you  prepared by  Valuation  Counseling,  Inc.  (the
"Appraiser"). The appraisal shall reflect a correlated value conclusion for such
Hospitals, the related Land Parcels and Equipment, of at least $109,000.000.

               (vii)  Pledge  Agreements.  The  Company,  Michigan  Psychiatric,
Americare and Bountiful Psychiatric shall have executed and delivered the Pledge
Agreements and the Pledge Agreements shall be in full force and effect.

               (viii)  Evidence  of   Accreditation.   The  Company  shall  have
furnished you with evidence that the Benchmark Regional Hospital, the Brynn Marr
Hospital, the Chestnut Ridge Hospital, the CumberLand Hospital, the Desert Vista
Hospital  and the  Havenwyck  Hospital  are each fully  accredited  by the Joint
Commission  on  Accreditation  of  Healthcare  Organizations;  that  each of the
Benchmark  Regional  Hospital,  the Brynn  Marr  Hospital,  the  Chestnut  Ridge
Hospital,  the Cumberland Hospital,  the Desert Vista Hospital and the Havenwyck
Hospital is a  "hospital"  as defined in the Health  Insurance  for the Aged and
Disabled Act (Title 42, Section 1395 of the United States Code Annotated) to 




<PAGE>

                                                                              10


which  payment for medical and other  health  services are  permitted  under the
terms and provisions of said Act, and each such Hospital is an eligible provider
for third  party  reimbursement  programs  as set forth in Annex D to Exhibit D 
attached hereto.

               (ix)  Consent of Holders of Other  Securities.  Any  consents  or
approvals required to be obtained from any holder or holders of any (outstanding
Security of any Obligor and any  amendments of agreements  pursuant to which any
Security   may  have  been  issued  which  shall  be  necessary  to  permit  the
consummation of the  transactions  contemplated  hereby shall have been obtained
and all such consents or amendments  shall be satisfactory in form and substance
to you and your special counsel.

               (x)  Regulatory  Agency  Approvals.  You shall be  provided  with
copies of all  licenses,  orders,  permits and  approvals of all state and local
governmental  licensing or regulatory  agencies,  having  jurisdiction  over the
operation  of a  Hospital,  required  under  applicable  laws,  regulations  and
ordinances for the issuance of the Notes, the mortgaging of such Hospital or the
occupancy  or operation  of such  Hospital,  including,  without  limitation,  a
"certificate of occupancy" covering each such Hospital.

               (xi)  Issuance of Warrants.  The Company shall have duly executed
and delivered the Warrants to the Purchasers or the Subordinated  Secured Notes,
all as contemplated and provided in section 1(b) hereof.

               (xii)  Subordinated  Convertible  Promissory Note. You shall have
received  evidence of the  amendment of the  Company's  Amended and Restated 10%
Subordinated  Convertible Promissory Note, dated October 27,  1988, due November
5, 1993, payable to Ramsay Corporation in the principal amount of $2,500,000 (as
amended on the Closing Date, the "Subordinated  Convertible  Promissory  Note"),
which amendment shall be satisfactory in form and substance to you.

               (xiii)  Subordinated  Promissory  Note.  You shall have  received
evidence of the amendment of the Company's Amended and Restated 13% Subordinated
Promissory Note, dated October 27, 1988, due November 5, 1990, payable to Ramsay
Corporation  in the principal  amount of  $5,000,000  (as amended on the Closing
Date, the "Subordinated Promissory Note"), which amendment shall be satisfactory
in form  and  substance  to you and  shall  evidence  an  aggregate  outstanding
principal amount thereunder of $2,000,000.


<PAGE>

                                                                              11

          (b)  On the Closing Date --

               (i) Obligors Closing Certificate.  You and the Trustee shall have
received  from the  Obligors  other  than the  Company a  certificate  dated the
Closing  Date,  executed by the  President  or any Vice  President  or each such
Obligor  substantially  in the form attached  hereto as Exhibit D, the truth and
accuracy of which shall be a condition to your  obligation to accept and pay for
the Notes.

               (ii) Company Closing Certificate.  You and the Trustee shall have
received from the Company a certificate dated the Closing Date,  executed by the
President  or any  Vice  President  of the  Company,  substantially  in the form
attached  hereto  as  Exhibit E,  the  truth and  accuracy  of which  shall be a
condition to your obligation to accept and pay for the Notes.

               (iii) Insurance. You and the Trustee shall have received from the
Company a  certificate  dated the Closing Date  executed by the  President and a
Vice  President or the  Treasurer of the Company  certifying to the existence of
the insurance  required by Section 2.6 of the  Mortgages  covering the Hospitals
and the payment of all premiums due thereon.  Copies of the policies  evidencing
such insurance (or originals of the certificates  with respect thereto issued by
the insurer) shall have been delivered to the Trustee.

               (iv)  Legal  Opinions.  You  and,  in the  case  of the  opinions
delivered from  McGlinchey,  Stafford,  Cellini & Lang and local counsel for the
Obligors,  the Trustee  shall have  received  from  Chapman and Cutler,  who are
acting as your special counsel in this  transaction,  from McGinchey,  Stafford,
Cellini  & Lang,  counsel  for the  Obligors,  and from  local  counsel  for the
Obligors  other than the Company  their  respective  opinions  dated the Closing
Date,  in form and substance  satisfactory  to you, and covering the matters set
forth in Exhibits F, G and H, respectively, hereto.

               (v) Audited Annual Financial Statements.  You shall have received
from  the  Company  the  audited  consolidated  balance  sheets,  statements  of
operations,  changes in  shareholder's  equity and cash flows of the Company and
its Restricted  Subsidiaries  for the fiscal year ended June 30, 1989,  together
with an opinion thereon of Ernst & Young to the effect set forth in section 3.27
of the Indenture.

               (vi)  Unaudited  Quarterly  Financial  Statement.  You shall have
received from the Company the unaudited consolidated balance sheets, statements



<PAGE>

                                                                              12

of operations, changes in shareholder's equity and cash flows of the Company and
its  Consolidated  Subsidiaries  for the fiscal quarter ended December 31, 1989,
certified as complete and correct,  by an  authorized  financing  officer of the
Company.

               (vii)  Release  of Prior  Liens.  The  Trustee  shall  have  been
furnished  with  executed  releases  in  recordable  form of all liens  upon the
Hospitals which would  constitute liens prior to or on a parity with the lien of
any  Mortgage,  such  releases to be  satisfactory  in form and substance to the
Title Company, to you and your special counsel.

               (viii) Proceedings  Satisfactory.  All proceedings taken or to be
taken in connection with all of the  transactions  described in and contemplated
by this  Agreement,  and all documents  necessary to the  consummation  thereof,
shall he  satisfactory  to you and your special counsel and you and your special
counsel shall have received copies (executed or certified as may be appropriate)
of all  legal  documents  or  proceedings  which  you and  they may  require  in
connection with said transactions.

               (ix) No legal  Impediment.  No  change  shall  have  occurred  in
applicable laws or regulations or any interpretations  thereof which might makes
it illegal for you to participate  in any of the  transactions  contemplated  by
this Agreement.

               (x) Compliance with Agreements. The Obligors shall have performed
and  complied  with all  agreements  and  conditions  contained  herein,  in the
Indenture,  in the Pledge  Agreements and in the Mortgages which are required to
be performed or complied with by the Obligers on or prior to the Closing Date.

               (xi) Commitment Fees. Aetna Life Insurance  Company shall receive
a Structuring Fee by check from the Company in the amount Of $38,750. Monumental
Life Insurance Company shall receive an Commitment Fee by check from the Company
in the amount of  $65,625.  Connecticut  Mutual  Life  Insurance  Company  shall
receive a Commitment  Fee by check  (payable to the order of State House Capital
Management, Inc.) from the Company in the amount of $56,250.

               (xii) Special Counsel Fees. Concurrently with the delivery of the
Notes on the Closing Date, the reasonable  charges and  disbursements of Chapman
and Cutler, your special counsel, shall have been paid.




<PAGE>

                                                                              13

               (xiii) Waiver of  Condition.  If on the Closing Date the Obligors
fail to tender to you the Notes,  or if any other Purchaser fails to take up and
pay for the Notes to be issued, or if the conditions specified in this section 7
have not been  fulfilled,  you may thereupon elect to be relieved of all further
obligations  under  this  Agreement.  Without  limiting  the  foregoing,  if the
conditions specified in this 57(b)(xiii) have not been fulfilled,  you may waive
compliance by the Obligors with any such  condition to such extent as you may in
your sole discretion determine. Nothing in this section 7(b)(xiii) shall operate
to relieve the Obligors of any of their joint and several obligations  hereunder
or to waive any of your rights or remedies  against the  Obligors  other than as
expressly waived in writing by you.

          8. Expenses and Taxes.  Whether or not the Notes are sold, the Company
will pay all reasonable expenses relating to this Agreement,  the Indenture, the
Pledge Agreements and the Mortgages, including but not limited to;

          (a) the cost of reproducing this Agreement,  the Indenture, the Pledge
Agreements,  the  Mortgages,  the  Warrants,  the Notes and all other  documents
required or contemplated thereunder;

          (b) the reasonable fees and disbursements of Chapman and Cutler,  your
special counsel;

          (c) your reasonable out-of-pocket expenses;

          (d) the  cost of  delivering  to your  home  office,  insured  to your
satisfaction, the Notes purchased by you on a Closing Date;

          (e) the  reasonable  fees,  costs and other  expenses of the  Trustees
under the Indenture or any other agreement related thereto;

          (f) all recording  and filing fees and stamp taxes in connection  with
the recordation or filing and  re-recordation  or re-filing of the Mortgages and
other notices thereof;

          (g)  the  reasonable  fees  and  disbursements  of the  Title  Company
referred to in section  7(a)(iv)  hereof in connection  with the issuance of the
title  insurance  policies  referred  to  herein  and the  reasonable  fees  and
disbursements of the civil engineer or surveyor referred to in section 7(a)(iii)
hereof in connection with the preparation of the surveys referred to herein;





<PAGE>

                                                                              14


          (h) the reasonable fees and  disbursements of Fred C. Hart Associates,
Inc.  and/or  Waldemar  S.  Nelson and  Company,  Inc.  in  connection  with the
Environmental Audits referred to in section 7(a)(v) hereof;

          (i)  the  reasonable  fees  and  disbursements  of  the  Appraiser  in
connection with the appraisals referred to in section 7(a)(vi) hereof;

          (j) the reasonable fees and disbursements of J. C. Bradford & Co., the
Obligers' investment banking firm, in connection with the sale of the Notes;

          (k) the processing fee of Standard & Poors  Corporation  for providing
Private Placement Numbers for the Senior Secured Notes, the Subordinated Secured
Notes and the Warrants;

          (l) all reasonable expenses,  including without limitation  attorneys'
fees, relating to any amendments, waivers or consents pursuant to the provisions
of this  Agreement,  the  Indenture,  any of the Pledge  Agreements,  any of the
Mortgages or any other agreement or document relating to such agreements; and

          (m)  expenses  incurred  by  any  Purchaser  in  connection  with  any
bankruptcy, voluntary or involuntary, or similar proceeding of any Obliger.

          The  obligations of the Company under this section 8 shall survive the
payment or prepayment of the Notes and the  termination of this  Agreement,  the
Indenture, the Pledge Agreements and the Mortgages.

          9.  Successors and Assigns.  This Agreement  shall be binding upon the
Obligors  and their  respective  successors  and assigns and shall inure to your
benefit  and to the  benefit of your  successors  and  assigns,  including  each
successive holder or holders of any Notes.

          10.  Survival  of  Covenants  and   Representations.   All  covenants,
representations   and  warranties  made  by  the  Obligors  herein  and  in  any
certificates  delivered  pursuant hereto,  whether or not in connection with the
Closing  Date,  shall survive the issuance of the Notes and the delivery of this
Agreement  and the Notes and  shall  survive  until all of the Notes are paid in
full.

          11. Severability.  Should any part of this Agreement for any reason be
declared  invalid,  such decision shall not affect the validity of any remaining
portion, which remaining portion shall remain in force and effect as if this





<PAGE>

                                                                              15



Agreement had been executed with the invalid portion  thereof  eliminated and it
is hereby  declared  the  intention  of the parties  hereto that they would have
executed the remaining  portion of this Agreement  without including therein any
such part,  parts or portion  which may, for any reason,  be hereafter  declared
invalid.

          12. Communications. All communications provided for hereunder shall be
in writing,  and if to you, delivered or mailed by registered or certified mail,
postage prepaid, or by overnight courier,  charges prepaid,  addressed to you at
your address  appearing on Schedule I to this Agreement or to such other address
as you may  designate  to the  Company  in  writing,  and,  if to the  Obligers,
delivered or mailed by registered or certified  mail or by overnight  courier to
the Company at One Poydras Plaza,  639 Loyola  Avenue,  Suite 1400, New Orleans,
Louisiana 70113, Attention: Chief Financial Officer, or to such other address as
the Obligors may designate to you in writing.

          13.  GOVERNING LAW. THIS  AGREEMENT AND THE NOTES AND WARRANTS  ISSUED
AND SOLD  HEREUNDER  SHALL BE  GOVERNED  BY AND  CONSTRUED  IN  ACCORDANCE  WITH
ILLINOIS LAW.

          14. Counterparts. This Agreement may be simultaneously executed in any
number of counterparts, each of which when so executed and delivered shall be an
original,  but such counterparts  together shall constitute but one and the same
instrument.

          15.  Headings and Table of  Contents.  The headings of the sections of
his Agreement and the Table of Contents are inserted for purposes of convenience
only and shall not be construed to affect the meaning or  construction of any of
the provisions hereof.

               *                        *                       *





<PAGE>

                                                                              16


          If the  foregoing  is in  accordance  with your  understanding  of our
agreement,  please sign and return to us the  enclosed  copy of this  Agreement,
whereupon it shall become a binding agreement between us.

                                                  RAMSAY HEALTH CARE, INC.



                                                  By____________________________
                                                    Its President

                                                  BOUNTIFUL PSYCHIATRIC
                                                  HOSPITAL, INC.



                                                  By____________________________
                                                    Its President

                                                  CUMBERLAND MENTAL HEALTH, INC.



                                                  By____________________________
                                                    Its President
                                                  
                                                  EAST CAROLINA PSYCHIATRIC
                                                  SERVICES CORPORATION



                                                  By____________________________
                                                    Its President

                                                  HAVENWYCK HOSPITAL, INC.



                                                  By____________________________
                                                    Its President

                                                  MESA PSYCHIATRIC HOSPITAL,
                                                  INC.



                                                  By____________________________
                                                    Its President




<PAGE>

                                                                              17


                                                  PSYCHIATRIC INSTITUTE OF WEST
                                                  VIRGINIA, INC.



                                                  By____________________________
                                                    Its President

          The  foregoing  is  hereby  confirmed  and  accepted  as of  the  date
aforesaid.

                                                  AETNA LIFE INSURANCE COMPANY



                                                  By____________________________
                                                    Its _____________________




<PAGE>

                                   SCHEDULE I
                          (to Note Purchase Agreement)



                                      Principal Amount of    Principal Amount of
                   Name and Address  Senior Secured Notes   Subordinated Secured
                     of Purchasers      to be Purchased    Notes to be Purchased

AETNA LIFE INSURANCE COMPANY              $26,000,000              $1,000,000
CityPlace
Hartford, Connecticut  06156
Attention:  Aetna Bond Investors,
YFC4


                                         Denominations          Denominations
Payments                                   $20,000,000                 $770,000

                                             6,000,000                  230,000


         All payments on or in respect of the Notes
         to be by bank wire transfer of Federal or
         other immediately available funds
         (identifying each payment as 11.6% Senior
         Secured Notes due March 31, 2000 and/or
         15.6% Subordinated Secured Notes due
         March 31, 2000, principal or interest")
         to:

                  Morgan Guaranty Trust Company
                    of New York
                  23 Wall Street
                  New York, New York  10015
                  Attention:  Money Transfer Department

                  for credit to Aetna Life
                  Insurance Company's Account
                  No. 000-45-754

Notices

                  All notices and communications to be
                  addressed as first provided above,
                  except notice with respect to
                  payment, and written confirmation of
                  each such payment, to be addressed
                  Attention: Income Collection, YF44
                  and notices with respect to
                  quarterly and annual financial
                  statements addressed Attention:
                  Records Unit, Aetna Bond Investors,
                  YFC4.

Name of Nominee in which Notes are to be issued:
None.





<PAGE>

                                                                               2


                                    Principal Amount of     Principal Amount of
           Name and Address        Senior Secured Notes    Subordinated Secured
            of Purchasers             to be Purchased     Notes to be Purchased

MONUMENTAL LIFE INSURANCE COMPANY      $15,500,000             $2,000,000
c/o Monumental Corporation
1111 North Charles Street
Baltimore, Maryland  21202
Attention:  Securities Department

Payments

                  All payments on or in respect of the
                  Notes to be by bank wire transfer of
                  Federal or other immediately
                  available funds (identifying each
                  payment as 11.6% Senior Secured
                  Notes due March 31, 2000 and/or
                  15.6% Subordinated Secured Notes due
                  March 31, 2000, principal or
                  interest") to:

                           Mercantile Safe-Deposit and
                             Trust Company
                           Charles and Chase Streets
                           Baltimore, Maryland  21201
                           Attention:  Carl Presser

                           for credit to Monumental Life
                           Insurance Company's Account
                           No. 08525-1

Notices

                  All notices of payment, on or in
                  respect of the Notes and written
                  confirmation of each such payment
                  to:

                           Monumental Life Insurance Company
                           Two East Chase Street
                           Baltimore, Maryland  21202
                           Attention:  Treasurer

                  All notices and communications other
                  than those in respect to payments to
                  be addressed as first provided
                  above.

                  Name of Nominee in which Notes are to be
                  issued:  None.





<PAGE>

                                                                               3



                                    Principal Amount of   Principal Amount of
          Name and Address         Senior Secured Notes   Subordinated Secured
            of Purchasers             to be Purchased    Notes to be Purchased

CONNECTICUT MUTUAL LIFE INSURANCE       $15,000,000
COMPANY
140 Garden Street
Hartford, Connecticut  06154
Attention:  Private Placement
  Department

Payments

                  All payments on or in respect of the
                  Notes to be by bank wire transfer of
                  Federal or other immediately
                  available funds (identifying each
                  payment as 11.6% Senior Secured
                  Notes due March 31, 2000 and/or
                  15.6% Subordinated Secured Notes due
                  March 31, 2000, principal or
                  interest") to:

                           The Connecticut Bank and Trust Company
                           One Constitution Plaza
                           Hartford, Connecticut  06115

                           for credit to CML IND
                           Account No. 000-051-5

Notices

                  All notices and communications, to
                  be addressed as first provided
                  above, except notices with respect
                  to payment and written confirmation
                  of each such payment to be addressed
                  Attention: Securities Accounting.

                  Name of Nominee in which Notes are to be
                  issued:  Garden St. Co.




<PAGE>


                                   SCHEDULE II
                          (to Note Purchase Agreement)



                      Information With Respect to Warrants



                       Holder's Equity       Original             
                        Percentage of        Number of                
        Purchaser         Warrants        Warrants Issued      Warrant Valuation

AETNA LIFE INSURANCE       33-1/3%            113,302               $6,000
   COMPANY
MONUMENTAL LIFE            66-2/3%            226,603              $12,000
   INSURANCE COMPANY







_-------------------------------------------------------------------------------




                      DEED OF TRUST AND SECURITY AGREEMENT


                           Dated as of March 31, 1990


                                      FROM


                         CUMBERLAND MENTAL HEALTH, INC.



                                                                 (the "Grantor")


                                       TO


                     FIRST AMERICAN TITLE INSURANCE COMPANY
                            (the "Security Trustee")
           For the Benefit of The Citizens and Southern National Bank,
                a national banking association and Susan L. Adams
                                   as Trustees
               under a Trust Indenture dated as of March 31, 1990
                (the "Indenture Trustees" or the "Beneficiaries")

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


(Fayetteville, North Carolina)              This instrument was prepared
                                            by and when recorded return to:
                                            ______________________________
                                            Michael G. McGee
                                            Chapman and Cutler
                                            111 West Monroe Street
                                            Chicago, Illinois 60603


<PAGE>

                                Table of Contents

Section                                                                     Page

Parties               .......................................................  1
Granting Clauses      .......................................................  2

SECTION 1.  DEFINITIONS...................................................... 10

SECTION 2.  GENERAL COVENANTS AND WARRANTIES................................. 13

         2.1.         Note Agreements and Indenture Covenants................ 13
         2.2.         Ownership of Granted Property.......................... 14
         2.3.         Further Assurances..................................... 14
         2.4.         Payment of Principal and Interest...................... 14
         2.5.         Maintenance of Granted Property, Other Liens,
                      Compliance with Laws, etc.............................. 14
         2.6.         Insurance.............................................. 16
         2.7.         Payment of Taxes and Other Charges..................... 18
         2.8.         Advances............................................... 19
         2.9.         Recordation............................................ 19
         2.10.        After-Acquired Property................................ 20
         2.11.        Priority of this Deed of Trust; Future Advances;
                      Extensions, Modifications, and Renewals................ 20

SECTION 3.            POSSESSION, USE AND RELEASE OF PROPERTY................ 21

         3.1.         Possession by Grantor; Dispositions Without
                      Release................................................ 21
         3.2.         Eminent Domain......................................... 23
         3.3.         Purchaser Protected.................................... 23
         3.4.         Release of Granted Property - Indenture
                      Trustees' Consent...................................... 24

SECTION 4.            APPLICATION OF INSURANCE AND CERTAIN OTHER
                      MONEYS RECEIVED BY THE INDENTURE TRUSTEES.............. 24

         4.1.         Insurance Proceeds and Condemnation Awards............. 24
         4.2.         Other Proceeds......................................... 26

SECTION 5.            DEFAULTS AND REMEDIES THEREFOR......................... 26

         5.1.         Events of Default...................................... 26
         5.2.         Remedies............................................... 27
         5.3.         Application of Proceeds................................ 30
         5.4.         Waiver of Extension, Appraisement and Stay Laws........ 30
         5.5.         Effect of Discontinuance of Proceedings................ 31
         5.6.         Delay or Omission Not a Waiver......................... 31

                                       -i-
<PAGE>

                                                                            Page


SECTION 6.            MISCELLANEOUS.......................................... 31

         6.1.         Successors and Assigns................................. 31
         6.2.         Severability........................................... 32
         6.3.         Addresses for Notices.................................. 32
         6.4.         Headings and Table of Contents......................... 32
         6.5.         Release of Deed of Trust............................... 33
         6.6.         Counterparts........................................... 33
         6.7.         GOVERNING LAW.......................................... 33
         6.8.         Substitution of Security Trustees...................... 33


Signatures................................................................... 34


ATTACHMENTS TO DEED OF TRUST:

Annex A - Legal Description of Real Property
Annex B - Excluded Property

Schedule I - Purchasers
Schedule II - Assigned Agreements
Schedule III - Pledged Shares



                                      -ii-

<PAGE>

          THIS DEED OF TRUST AND SECURITY  AGREEMENT  dated as of March 31, 1990
(the "Deed of Trust") from  Cumberland  Mental  Health,  Inc., a North  Carolina
corporation (the  "Grantor"),  having its principal office at 3425 Melrose Road,
Fayetteville,  North Carolina 28304 to First American Title  Insurance  Company,
whose post  office  address is c/o The Title  Company of North  Carolina,  130-D
McDowell Street,  Charlotte,  North Carolina 28204, (the "Security Trustee") for
the benefit of The  Citizens  and Southern  National  Bank,  a national  banking
association  and  Susan L.  Adams,  as  Trustee  under the  hereinafter  defined
Indenture (herein collectively the "Indenture Trustees" or the "Beneficiaries").

                                R E C I T A L S:

          A. The Grantor together with the other Obligors have entered into that
certain  Trust  Indenture  dated as of March  31,  1990 (the  "Indenture")  with
Citizens and Southern National Bank, a national banking association and Susan L.
Adams, as Indenture Trustees,  pursuant to which the Obligors provide for, among
other  things,  the creation and securing of the full and prompt  payment of all
amounts  due with  respect  thereto  of the 11.6%  Senior  Secured  Notes of the
Obligors due March 31, 2000 in an aggregate principal amount of $56,500,000 (the
"Senior  Secured  Notes")  and the  15.6%  Subordinated  Secured  Notes,  of the
Obligors due March 31, 2000 in an aggregate  principal amount of $3,000,000 (the
"Subordinated  Secured  Notes")  which  Senior  Secured  Notes and  Subordinated
Secured Notes (hereinafter  collectively  referred to as the "Notes") constitute
the joint and several  obligation  of the Obligors and are further  described in
the  Indenture.  The  holders  from time to time of the  Notes  are  hereinafter
collectively referred to as the "Noteholders".  Unless herein otherwise defined,
all capitalized  terms used herein shall have the same meaning as defined in the
Indenture.

          B. The  Obligors  require  funds to prepay  certain  indebtedness  for
borrowed money of the Obligors (which  indebtedness  was issued by or guaranteed
by each of the Obligors) and to finance  capital  expenditures,  renovations and
construction  at  facilities  owned by certain of the  Obligors  and in order to
strengthen  the  financial and  operating  condition of each and every  Obligor,
directly and indirectly,  as a result of the enhanced  ability of the Company to
provide  financial,  accounting,  consulting and  administrative  assistance and
services to each other Obligor. In order to provide funds for such purposes, the
Obligors have entered into separate and several Note Purchase Agreements each




<PAGE>

                                                                               2


dated  as  of  March  31,  1990  (the  "Note   Agreements")  with  each  of  the
institutional   investors  (the  "Purchasers")  named  in  Schedule  I  thereto,
providing for the commitment of the Purchasers to purchase the Notes.

          C. The Notes are further secured by the Pledge and Security Agreements
dated  as  of  March  31,  1990  (the  "Pledges")  from  the  Company,  Michigan
Psychiatric  Services,  Inc., Americare of Galax, Inc. and Bountiful Psychiatric
Hospital, Inc. to the Indenture Trustee.

          D. The Notes and all principal  thereof,  premium if any, and interest
thereon  and all  additional  amounts  and other  sums at any time due and owing
from, and required to be paid by the Obligors under the terms of the Notes,  the
Note  Agreements,  the  Indenture,  the Pledge,  this Deed of Trust or any other
mortgage or deed of trust executed and delivered by the other Obligors  pursuant
to the  Indenture are  hereinafter  sometimes  referred to as the  "Indebtedness
Hereby Secured".

          E. The Grantor is duly authorized  under all applicable  provisions of
law,  its charter and  by-laws to issue the Notes,  to execute and deliver  this
Deed of Trust and to  grant,  convey  and  assign  the  "Granted  Property"  (as
hereinafter defined) to the Security Trustee as security for the Notes and other
Indebtedness Hereby Secured and all corporate action and all consents, approvals
and other  authorizations  and all other acts and things  necessary to make this
Deed of Trust the valid,  binding and legal  instrument  for the security of the
Notes have been done and performed.

          F. The  Purchasers  have required as a condition to their  purchase of
the Notes that the Grantor  execute  and deliver  this Deed of Trust as security
for the payment of the Notes.

          NOW,  THEREFORE,  THIS DEED OF TRUST WITNESSETH:  That the Grantor, in
consideration  of the premises,  the purchase and acceptance of the Notes by the
Purchasers,  and of the sum of Ten  Dollars  received  by the  Grantor  from the
Purchasers,  Indenture Trustees and Security Trustee and other good and valuable
consideration,   receipt  whereof  is  hereby  acknowledged,  and  in  order  to
strengthen  the  financial  and  operating  condition of each and every  Obligor
directly and indirectly,  as a result of the enhanced  ability of the Company to
provide  financial,  accounting,  consulting and  administrative  assistance and
services  to each  other  Obligor,  and in order to secure  the  payment  of the
principal of, premium, if any, and interest on the Notes according to their 



<PAGE>

                                                                               3


tenor and  effect,  and to secure the payment of all other  Indebtedness  Hereby
Secured and the performance and observance of all the covenants,  agreements and
conditions  contained in the Notes,  this Deed of Trust, the Note Agreements and
the  Indenture,  the  Grantor  does hereby  warrant,  pledge,  assign,  bargain,
hypothecate,  convey, grant, transfer and set over unto the Security Trustee and
its  successors  in trust and  assigns,  with  power of sale,  in and to all and
singular the following described properties, rights, interest and privileges and
all of the Grantor's  estate,  right,  title and interest  therein,  thereto and
thereunder (all of which properties  hereby  mortgaged,  assigned and pledged or
intended  so to be are  hereinafter  collectively  referred  to as the  "Granted
Property"):

                                GRANTING CLAUSE I

          The parcels of land in  Cumberland  County,  State of North  Carolina,
described in Annex A attached  hereto and made a part hereof,  together with the
entire interest of the Grantor in and to all buildings, structures, improvements
and appurtenances now standing,  or at any time hereafter constructed or placed,
upon such land,  including all right, title and interest of the Grantor, if any,
in and to all building material,  building equipment, and (except as hereinafter
set forth) all fixtures of every kind and nature  whatsoever  on said land or in
any building,  structure or improvement  now or hereafter  standing on said land
which are  classified  as fixtures  under  applicable  law and which are used in
connection  with the  operation,  maintenance  or protection of said  buildings,
structure and improvements as such (including,  without limitation, all boilers,
air  conditioning,  ventilating,  plumbing,  heating,  lighting  and  electrical
systems and apparatus,  all  communications  equipment and intercom  systems and
apparatus,  all  sprinkler  equipment  and  apparatus,  and  all  elevators  and
escalators).  All items included under this Deed of Trust,  and the reversion or
reversions,  remainder or remainders, in and to said land, and together with the
entire  interest  of the  Grantor  in and to all  and  singular  the  tenements,
hereditaments, easements, rights of way, rights, privileges and appurtenances to
said land,  belonging or in anywise  appertaining  thereto,  including,  without
limitation,  the entire  right,  title and interest of the  Grantor,  in, to and
under any streets,  ways,  alleys,  gores or strips of land adjoining said land,
and all claims or demands  whatsoever of the Grantor either in law or in equity,
in possession or expectancy,  of, in and to said land, it being the intention of
the parties  hereto that, so far as may be permitted by law, all property of the
character hereinabove described, which is now owned or is hereof acquired by the
Grantor and is affixed or  attached  or annexed to said land,  shall be and 




<PAGE>

                                                                               4

remain or become and constitute a portion of said land and the security  covered
by and subject to the lien of this Deed of Trust,  together with all accessions,
parts and appurtenances  appertaining or attached thereto and all substitutions,
renewals  or  replacements  of  and  additions,  improvements,   accessions  and
accumulations  to any and all  thereof,  and  together  with all rents,  income,
revenues,  awards,  issues and profits  thereof,  and the present and continuing
right to make claim for,  collect,  receive  and receipt for any and all of such
rents,  income,  revenues,  awards,  issues and profits arising  therefrom or in
connection therewith (all such property being hereinafter  collectively referred
to as the "Land  Parcels").  The Granted Property shall not include any personal
property  or  equipment  not  owned  by the  Grantor  so long as the same can be
removed  without  causing  material  damage to the  Granted  Property  (all such
property being hereinafter collectively referred to as "Excluded Property"). The
Excluded Property is described in Annex B hereto.

                               GRANTING CLAUSE II

          All machinery and equipment in all of its forms, wherever located, now
or hereafter existing (including,  but not limited to, all drugs,  environmental
monitoring  devices,  medical supplies,  hospital supplies,  uniforms,  x-ray or
nuclear  magnetic  resonance  devices,  imaging devices,  laboratory  equipment,
medical equipment,  surgical equipment,  quality control equipment, motors, test
equipment,  computer software,  data processing  equipment,  printers,  presses,
computer  test  equipment,   industrial   machinery,   equipment  and  fixtures,
transportation   equipment,   office  and  other   machinery,   video  or  audio
reproduction devices, stretchers, wheel-chairs, furniture, aircraft, ambulances,
rolling stock, motor vehicles,  trailers,  tractors,  trucks, cars, tools, spare
parts and fuel,  items employed in the maintenance or repair of any structure or
any grounds, all foodstuffs of any kind, drawings,  books, records and equipment
containing books and records or in which books and records are stored),  and all
parts thereof and all accessions thereto, together with any additional machinery
and  equipment  that may become part of the  Granted  Property or located on the
Land  Parcels  and  less any  Equipment  that may be  deleted  from the  Granted
Property or removed from the Land Parcels,  all in accordance  with the terms of
this Deed of Trust (any and all such machinery,  equipment, parts and accessions
being the "Equipment");



<PAGE>

                                                                               5

                               GRANTING CLAUSE III

          All insurance proceeds,  judgments, awards of damages, settlements and
other  compensation  arising out of any  damage,  destruction,  condemnation  or
taking of the Granted Property;

                               GRANTING CLAUSE IV

          All leases and subleases  belonging or otherwise  appertaining  to the
Land Parcels,  including all extended  terms and all  extensions and renewals of
the term of such  leases  and  subleases,  together  with all  right,  title and
interest of the Grantor as lessor thereunder, including, without limitation, the
present and continuing right to make claim for, collect, receive and receipt for
any and all of the rents, income, revenues, issues and profits and other sums of
money payable or receivable under such leases and subleases,  whether payable as
rent or otherwise, to receive and give notices thereunder,  to bring actions and
proceedings  thereunder or for the  enforcement  thereof,  and to do any and all
things  which the  Grantor or any other  lessor is or may become  entitled to do
under the  leases  and  subleases;  provided  that the  assignment  made by this
Granting  Clause IV shall not impair or diminish any  obligation  of the Grantor
under the leases and  subleases,  nor shall any such  obligation be imposed upon
the Security Trustee, the Indenture Trustees or the holder of any Note;

                                GRANTING CLAUSE V

          All inventory in all of its forms,  wherever located, now or hereafter
existing (including,  but not limited to (i) drugs,  medical supplies,  hospital
supplies, books, uniforms, medical equipment, surgical equipment, video or audio
reproduction devices and foodstuffs of any kind, (ii) goods in which the Grantor
has an  interest  in mass or a joint  or  other  interest  or  right of any kind
(including,  without  limitation,  goods in which the Grantor has an interest or
right as consignee),  and (iii) goods that are returned to or repossessed by the
Grantor), and all accessions thereto and products thereof and documents therefor
(any and all such  inventory,  accessions,  products  and  documents  being  the
"Inventory");

                               GRANTING CLAUSE VI

          All agreements  listed on Schedule II, as each of such  agreements may
be amended,  supplemented or otherwise  modified and in effect from time to time
(such agreements as so amended or modified and in effect, being the "Assigned



<PAGE>

                                                                               6

Agreements"),  including,  without limitation,  (i) all rights of the Grantor to
receive  moneys  due  and to  become  due  under  or  pursuant  to the  Assigned
Agreements, (ii) all rights of the Grantor to receive proceeds of any insurance,
indemnity,  warranty or guaranty with respect to the Assigned Agreements,  (iii)
claims of the Grantor for damages  arising out of or for breach of or default or
misrepresentation under the Assigned Agreements or any documents, instruments or
opinions delivered pursuant thereto,  (iv) the right of the Grantor to terminate
the Assigned  Agreements,  to perform  thereunder and to compel  performance and
otherwise  exercise all remedies  thereunder,  and (v) all rights to receive per
diem or other  reimbursements  and payments  from private  insurance  companies,
federal or state governmental  agencies or any other person or entity in respect
of services provided (in each case, to the extent permitted by law);

                               GRANTING CLAUSE VII

          All of the following collateral (the "Security Collateral"):

          (A) all shares (the "Pledged  Shares") of stock  described in Schedule
     III and  issued by the  corporations  named  therein  and the  certificates
     representing the Pledged Shares, and all dividends,  cash,  instruments and
     other  property  from  time  to  time  received,  receivable  or  otherwise
     distributed  in respect  of or in  exchange  for any or all of the  Pledged
     Shares; and

          (B) all  additional  shares of stock from time to time acquired by the
     Grantor in any manner,  and the certificates  representing  such additional
     shares, and all dividends,  cash,  instruments and other property from time
     to time received,  receivable or otherwise  distributed in respect of or in
     exchange for any or all of such additional shares;

                              GRANTING CLAUSE VIII

          To the extent not otherwise covered by Granting Clauses I through VII,
inclusive, all cash, accounts,  general intangibles (including,  but not limited
to,  all  governmental  or  regulatory  permits  or  certificates  to the extent
permitted  by law);  rights  to  receive  per diem or other  reimbursements  and
payments  from  private  insurance  companies,  federal  or  state  governmental
agencies or any other person or entity in respect of services  provided (in each
ease, to the extent permitted by law); tax refunds; intellectual property rights
of any kind (whether arising under federal, state or foreign law), know how,



<PAGE>

                                                                               7


trade  secrets,   engineering  plans,  computer  software,  drawings  and  other
proprietary   information   (including   without   limitation  any  business  or
organization plans,  reports or projections of any kind, whether or not fixed in
any tangible medium);  patents and patent  applications;  unpatented  inventions
(whether or not patentable); copyrights; trademarks, trade names, service marks,
trademark and service mark  applications,  and all goodwill to which the Grantor
is entitled or of any businesses in which the Grantor is engaged, whether or not
such  goodwill is  associated  with or related to any such mark or  application;
license  agreements  relating to any of the foregoing and income therefrom;  and
the  right  to sue  for  all  past,  present  and  future  infringements  of the
foregoing,  contract  rights to the  extent a security  interest  or lien may be
granted  in or on  such  contract  rights  pursuant  to  the  relevant  contract
(including,  but not limited to, all rights of the Grantor to receive moneys due
and to become due under or pursuant to any  accounts,  general  intangibles  and
contract  rights  and all of the  rights of the  Grantor  to  terminate,  and to
perform,  compel  performance and otherwise  exercise all remedies  under,  such
accounts,  general intangibles and contract rights),  chattel paper, instruments
and other  obligations,  in each ease, of any kind,  now or hereafter  existing,
whether or not arising out of or in  connection  with the sale or lease of goods
or the rendering of services, and all rights now or hereafter existing in and to
all  mortgages,  security  agreements,  leases and other  contracts  securing or
otherwise relating to any such cash,  accounts,  general  intangibles,  contract
rights, chattel paper,  instruments or other obligations (any and all such cash,
accounts,  general intangibles,  contract rights, chattel paper, instruments and
obligations being the  "Receivables",  and any and all such mortgages,  security
agreements, leases and other contracts being the "Related Contracts"); and

                               GRANTING CLAUSE IX

          All  proceeds  of  any  and  all  of the  foregoing  Granted  Property
including,  without  limitation,  proceeds that constitute property of the types
described in Granting Clauses I through VIII, inclusive,  and, to the extent not
otherwise  included,  (x)  all  payments  under  insurance  (whether  or not the
Indenture  Trustees are the loss payee thereof),  or any indemnity,  warranty or
guaranty,  payable by reason of loss or damage to or  otherwise  with respect to
any of the foregoing Granted Property,  and (y) all cash, wherever located,  not
included above in clause (x).



<PAGE>

                                                                               8


          SUBJECT,  HOWEVER, to Permitted Encumbrances,  as defined in section 1
hereof;

          TO HAVE AND TO HOLD the Granted Property unto the Security Trustee and
its  successors  in trust  and  assigns  forever  for the  purpose  of  securing
performance of each  agreement,  covenant and warranty of the Grantor  contained
herein and payment of the Indebtedness Hereby Secured, without limitation,  from
time to time issued under and pursuant to the Note Agreements and the Indenture.
It is understood  and agreed that this Deed of Trust is to secure the obligation
of the  Grantor  to repay all sums due or to become  due in respect of the Notes
executed  and  delivered  pursuant  to the Note  Agreements  and the  Indenture,
including those heretofore executed and those of even date herewith.

          IN TRUST  NEVERTHELESS,  WITH POWER OF SALE, upon the terms and trusts
herein  set forth  for the  benefit  and  security  of the  present  and  future
Indenture Trustees and Noteholders in accordance with the terms of the Indenture
and the Notes and all other sums payable  hereunder or under the  Indenture  and
the Notes,  and for the performance  and observance of the Indenture,  the Notes
and this Deed of Trust, all as herein set forth.

          PROVIDED,  NEVERTHELESS,  and  these  presents  are upon  the  express
condition that if the Grantor performs the covenants herein and in the Indenture
contained  and pays to the  Indenture  Trustees,  their  successors in trust and
assigns,  the full amount of all principal of, and premium, if any, and interest
on the Notes and all other Indebtedness  Hereby Secured,  the estate,  right and
interest of the Security  Trustee in the Granted  Property  shall cease and this
Deed of Trust shall become null and void,  but otherwise to remain in full force
and effect.

          It is agreed and understood by the parties hereto that:

          1. The Notes are to be secured by other  mortgages  and deeds of trust
     of other  Obligors on other real estate in the States or  Commonwealths  of
     Michigan,  Utah, Arizona and West Virginia.  Each and all of said mortgages
     and deeds of trust are  intended to and shall  constitute  security for the
     entire indebtedness represented by said Notes and other Indebtedness Hereby
     Secured without allocation.

          2.  Any  part of the  security  herein  described,  and  any  security
     described in any other mortgage,  Deed of Trust or other  instrument now or
     hereafter given to secure the  indebtedness  which is  secured by this Deed



<PAGE>

                                                                               9


     of Trust,  may be released by the Security  Trustee and Indenture  Trustees
     without affecting the lien and security interest hereof on the remainder or
     the  obligations  of the  Grantor  on and in  respect  of the Notes and any
     person  acquiring  any direct or indirect  interest in the security  herein
     described or in any security  described in any other Deed of Trust or other
     instrument  now or  hereafter  given to secure  the  indebtedness  which is
     secured  by this Deed of Trust  shall  take the same  subject to all of the
     provisions hereof.

          3. The  Grantor  for itself and all who may claim  through or under it
     waives any and all right to have the  property and estates  comprising  the
     Granted Property  marshalled upon any foreclosure of the lien hereof, or to
     have the Granted  Property  hereunder and the property covered by any other
     mortgage  or  deed  of  trust  securing  the  Notes   marshalled  upon  any
     foreclosure of any of said mortgages or deeds of trust, and agrees that any
     court  having  jurisdiction  to  foreclose  such lien may order the Granted
     Property sold as an entirety.

          4. Upon the  occurrence of an Event of Default  hereunder the Security
     Trustee have, among other things, the right to sell the Granted Property at
     a trustee's sale and/or U.C.C.  sale or foreclose on the Granted  Property,
     in the manner  described by  applicable  law, and dispose of the same.  The
     Security  Trustee's  deed or other  instrument of  conveyance,  transfer or
     release (which may be executed by the Security Trustee in their own name or
     as  attorney-in-fact  for the Grantor and the  Security  Trustee are hereby
     irrevocably appointed  attorney-in-fact for the Grantor) shall be effective
     to convey and transfer to the grantee an indefeasible title to the property
     covered  thereby,  discharged of all rights of redemption by the Grantor or
     any person  claiming under it, and to bar forever all claims by the Grantor
     or the said Security Trustee to the property covered thereby and no grantee
     from the  Security  Trustee  shall be under any duty to  inquire  as to the
     authority  of the  Security  Trustee to execute the same,  or to see to the
     application of the purchase money.

                               SECURITY AGREEMENT

          This Deed of Trust  shall  also  constitute  and serve as a  "security
agreement" on personal property within the meaning of, and shall constitute a

<PAGE>

                                                                              10

first and prior security  interest under, the U.C.C.  with respect to all of the
personal  property  described  herein in  Granting  Clauses II, III, V, VI, VII,
VIII,  and IX.  To this end,  the  Grantor  has  granted,  bargained,  conveyed,
assigned,  transferred  and set over and by these presents does grant,  bargain,
convey,  assign,  transfer and set over unto the Indenture  Trustees a first and
prior security interest in all of the Grantor's right, title and interest in all
of the Granted  Property not  constituting  real property  under the laws of the
State of North  Carolina to secure the full and timely  payment and the full and
timely  performance and discharge of the Indebtedness  Hereby Secured.  Upon any
default of the Grantor  hereunder,  the Indenture  Trustees shall be entitled to
exercise  with the respect to all such  personal  property all of the rights and
remedies  set forth  herein  and in the Note  Agreements  and the  Indenture  or
otherwise  afforded to a secured party under the terms of the U.C.C., any or all
of  which  remedies  or  rights  may  be  pursued  and  exercised  concurrently,
consecutively,  alternatively or otherwise.  The Grantor will execute,  file and
refile, one or more supplemental security agreements and financing statements as
Beneficiaries  may  from  time to time  require  covering  any  property  now or
hereafter   constituting  a  portion  of  the  Granted  Property   securing  the
Indebtedness Hereby Secured and such financing  statements and other and further
assurances as Indenture Trustees may request to perfect or evidence the security
interest herein created and to  particularize  and identify the collateral.  The
Grantor  hereby  authorizes  the  Indenture  Trustees  to  file  such  financing
statement  or  statements  pursuant to the  U.C.C.,  without  the  signature  of
Grantor, as Indenture Trustees may deem necessary,  to perfect such interests or
rights in their favor.  This authority  shall be considered a power coupled with
an interest and shall be irrevocable  until all the Indebtedness  Hereby Secured
has been paid in full.

SECTION 1. DEFINITIONS.

          Capitalized  terms used in this Deed of Trust and not  defined  herein
shall have the meaning  provided  therefor in the Indenture.  In addition to the
terms  elsewhere  defined in this Deed of Trust,  the following terms shall have
the following meanings for all purposes of this Deed of Trust:

          "Appraised  Value" with respect to the Granted Property shall mean the
fair market value on the date of an  appraisal of the Granted  Property as shown
by (i) the appraisal  thereof furnished to the Purchasers in accordance with the
provisions of Section  7(a)(vi) of the Note Agreements or Section  10.2(b)(v) or
Section  10.2(c)(vi) of the Indenture or (ii) the appraisal thereof furnished to
the Indenture  Trustees in accordance  with the provisions of section 4.2 of the
Indenture.


<PAGE>

                                                                              11


          "Cost"  shall mean an amount equal to the sum of the  following  items
capitalized on the books of the Grantor in accordance  with  generally  accepted
accounting principles:  (i) the actual construction cost thereof, including cost
of land and buildings, landscaping, on and off site improvements, architectural,
engineering and other professional fees,  interest and taxes during construction
and all carrying  charges,  but excluding the cost of Excluded Property and (ii)
fees and expenses in  connection  with the  placement,  issuance and sale of the
Notes  including  fees  and  expenses  referred  to in  Section  8 of  the  Note
Agreements allocated by the Grantor to the Granted Property, the physical survey
and title  charges  referred  to in  Section  8(g) of the Note  Agreements,  the
charges for the environmental  audit and appraisal  referred to in Sections 8(h)
and (i) of the Note Agreements in respect of such Granted  Property  incurred by
the Grantor and debt service expenses, and all closing costs with respect to the
Granted Property.

          "Default"  shall mean any event or condition,  the occurrence of which
would,  with the lapse of time or the giving of notice,  or both,  constitute an
Event of Default.

          "Event of  Default"  shall  mean any  events  specified  in  section 5
hereof.

          "Loan Value" of the Granted Property shall be an amount  determined by
multiplying  the  aggregate  unpaid  principal  amount of the Notes  outstanding
immediately  prior to the date on which the Loan Value is to be  determined by a
fraction the numerator of which is the Appraised  Value of the Granted  Property
and the denominator is the Appraised Value of all property of the Obligors which
is then  subject  to the lien of this  Deed of Trust  and each and  every  other
mortgage  and deed of trust  delivered  to and for the benefit of the  Indenture
Trustees under and pursuant to the Note Agreements and the Indenture.

          "Note"  shall  mean any of, and  "Notes"  shall mean all of, the Notes
then  outstanding  under  the  Note  Agreements  and  the  Indenture.  The  term
"outstanding" when used with reference to Notes shall mean, as of any particular
time,  all Notes  delivered by the  Obligors  under the Note Agree ments and the
Indenture  and  secured  hereby and by each and every other  mortgage  delivered
pursuant to the Note Agreements and the Indenture, except:



<PAGE>

                                                                              12



               (a) Notes  theretofore  cancelled  by the  Indenture  Trustees or
          delivered to the Indenture Trustees for cancellation;

               (b) Notes for the payment or  prepayment  of which  moneys in the
          necessary  amount  shall  have  been paid to the  Indenture  Trustees,
          provided,  that if such Notes are to be prepaid  prior to the maturity
          thereof,  notice of such prepayment  shall have been given as provided
          in Section  5.6 of the  Indenture  or  provision  satisfactory  to the
          Trustee shall have been made for giving such notice; and

               (c) Notes in lieu of or in  substitution  for which  other  Notes
          shall have been  authenticated and delivered  pursuant to the terms of
          Section 2.6 of the Indenture.

          "Officers'  Certificate"  shall  mean  a  certificate  signed  by  the
President  and  by any  one  of the  following  officers  of the  Grantor:  Vice
President or the Secretary.

          "Opinion of Counsel"  shall mean an opinion in writing signed by legal
counsel who shall be  satisfactory  to the  Indenture  Trustees,  and who may be
counsel to the Grantor.

          "Permitted Encumbrances" shall mean:

               (a) liens for  property  taxes and  assessments  or  governmental
          charges or levies and liens  securing  claims or demands of  mechanics
          and  materialmen,  provided  that  payment  thereof is not at the time
          required by section 2.7;

               (b) liens of or resulting  from any  judgment or award,  the time
          for the  appeal or  petition  for  rehearing  of which  shall not have
          expired,  or in respect of which the Grantor shall at any time in good
          faith be  prosecuting  an appeal  or  proceeding  for a review  and in
          respect of which a stay of execution pending such appeal or proceeding
          for review shall have been secured;

               (c) liens,  charges,  encumbrances and priority claims incidental
          to the conduct of business or the ownership of  properties  and assets
          (including   warehousemen's   and   attorneys'   liens  and  statutory
          landlords' liens) and deposits, pledges or liens to secure the


<PAGE>
                                                                              13



          performance  of  bids,  tenders  or  trade  contracts,  or  to  secure
          statutory  obligations,  surety or appeal bonds or other liens of like
          general nature  incurred in the ordinary course of business and not in
          connection  with the  borrowing of money,  provided in each case,  the
          obligation  secured is not overdue or, if overdue,  is being contested
          in good faith by appropriate actions or proceedings;

               (d) minor survey exceptions or minor  encumbrances,  easements or
          reservations,  or rights of others for  rights-of-way,  utilities  and
          other similar purposes,  or zoning or other restrictions as to the use
          of  real  properties,  which  are  necessary  for the  conduct  of the
          activities of the Grantor or which  customarily exist on properties of
          corporations  engaged in similar activities and similarly situated and
          which do not in any event materially impair their use in the operation
          of the business of the Grantor;

               (e)  mortgages,  deeds of  trust,  liens and  security  interests
          securing the Notes; and

               (f) leases permitted by the provisions of section 3.1(d).

          "Person" shall mean an individual, partnership,  corporation, trust or
unincorporated organization.

SECTION 2. GENERAL COVENANTS AND WARRANTIES.

          The Grantor covenants, warrants and agrees as follows:

          2.1.  Note  Agreements  and Indenture  Covenants.  Each and all of the
terms,  provisions,  restrictions,  covenants  and  agreements  set forth in the
Notes, the Note Agreements, the Pledges and the Indenture, and in each and every
supplement  thereto or amendment  thereof  which may at any time or from time to
time be executed and delivered by the parties  thereto or their  successors  and
assigns,  are incorporated herein by reference to the same extent as though each
and all of said terms, provisions,  restrictions,  covenants and agreements were
fully set out herein and as though any amendment or supplement to the Notes, the
Note  Agreements,  the Pledges or the Indenture,  as the case may be, were fully
set out in an amendment  or  supplement  to this Deed of Trust;  and the Grantor
does hereby covenant and agree well and truly to abide by, perform and be



<PAGE>

                                                                              14


governed  and  restricted  by each and all of the  matters  provided  for by the
Notes,  the Note  Agreements,  the Pledges and the Indenture and so incorporated
herein to the same  extent and with the same force and effect as if each and all
of  said  terms,   provisions,   restrictions,   covenants  and   agreements  so
incorporated  herein by reference  were set out and  repeated  herein at length.
Without  limiting the  foregoing,  the Grantor  covenants  and agrees to pay all
taxes,  assessments and governmental charges or levies imposed upon this Deed of
Trust or the Notes or any other indebtedness secured hereby.

          2.2. Ownership of Granted Property. The Grantor covenants and warrants
that it has  good and  marketable  title to the  Granted  Property  hereinbefore
conveyed  to the  Security  Trustee  free and clear of all  liens,  charges  and
encumbrances  whatever except Permitted  Encumbrances,  and the Grantor has full
right,  power  and  authority  to grant,  convey  and  transfer  the same to the
Security  Trustee for the uses and purposes in this Deed of Trust set forth; and
the Grantor  will warrant and defend the title to the Granted  Property  against
all claims and demands whatsoever.

          2.3.  Further  Assurances.  The Grantor will, at its own expense,  do,
execute,  acknowledge  and deliver all and every further act, deed,  conveyance,
transfer and assurance  necessary or proper for the better assuring,  conveying,
assigning and confirming unto the Security Trustee all of the Granted  Property,
or property intended so to be, whether now owned or hereafter acquired.

          2.4.  Payment of  Principal  and  Interest.  The Grantor will duly and
punctually pay the principal of, and premium,  if any, and interest on all Notes
and all other amounts payable under Indebtedness Hereby Secured according to the
terms thereof.

          2.5.  Maintenance of Granted  Property,  Other Liens,  Compliance with
Laws,  etc. (a) Without  limiting the provisions of Section 3.8 of the Indenture
and subject to section 3 hereof, the Grantor shall (i) promptly repair,  restore
or rebuild any  buildings,  improvements  or  Equipment  now or hereafter on the
Granted Property which may become damaged or be destroyed, (ii) keep the Granted
Property in good condition and repair, ordinary wear and tear excepted,  without
waste,  and free from all claims,  liens,  charges and  encumbrances  other than
Permitted Encumbrances, (iii) pay when due any indebtedness which may be secured
by  a  lien  or  charge  on  the  Granted  Property  and  upon  request  exhibit
satisfactory evidence of the discharge of such lien to the Indenture Trustees,



<PAGE>

                                                                              15


(iv) comply with all requirements of law or municipal ordinances with respect to
the Granted  Property  and the use  thereof,  failure to comply with which would
result in any  material  interference  with the use or  operation of the Granted
Property  by the  Grantor,  (v) not,  without the prior  written  consent of the
Indenture Trustees,  (A) initiate or support any zoning  reclassification of the
Granted Property,  seek any variance under existing zoning ordinances applicable
to the Granted  Property  or use or permit the use of the Granted  Property in a
manner  which  would  result in such use  becoming  a  non-conforming  use under
applicable  zoning  ordinances,  (B)  modify  or  amend  any  of  the  Permitted
Encumbrances,  (C) impose any  restrictive  covenants or  encumbrances  upon the
Granted  Property,  execute or file any  subdivision  plat affecting the Granted
Property  or  consent  to  the  annexation  of  the  Granted   Property  to  any
municipality  or (D) permit or suffer  the  Granted  Property  to be used by the
public or any person in such  manner as might  make  possible a claim of adverse
usage or possession or of any implied  dedication or easement,  and (vi) make no
material  alterations  in said  Granted  Property  except as  required by law or
municipal ordinance;  provided, however, the Grantor may make any alterations of
any kind to the Granted Property if (A) the market value of the Granted Property
would not be impaired;  (B) such alterations  shall be performed in a good and a
workmanlike manner; and (C) such alterations shall be expeditiously completed in
compliance  with  all  laws,   ordinances,   orders,   rules,   regulations  and
requirements  applicable thereto,  including to the extent necessary to maintain
in full force and effect the  policies  of  insurance  required  by section  2.6
hereof.  The  Grantor  shall  promptly  pay all costs and  expenses of each such
addition,  alteration,  substitution and replacement,  discharge all liens filed
against the Granted Property arising out of the same and procure and pay for all
permits and licenses required in connection therewith.  The Grantor shall notify
the  Indenture  Trustees  and each holder of the Notes of the filing of any lien
against the Granted Property in an amount greater than $25,000.

          (b) The Grantor may, at its expense,  (i)  construct  upon the Granted
Property  additional  buildings,  structures  and  other  improvements  and (ii)
install, assemble and place upon the Granted Property any items of machinery and
equipment used or useful in the Grantor's business, in each case upon compliance
with the  provisions of paragraph  (a) of this section 2.5. All such  buildings,
structures and other  improvements  shall be and remain part of the Land Parcels
and shall be subject to this Deed of Trust unless such property shall constitute
Excluded  Property.  Excluded  Property  shall not be deemed part of the Granted
Property for purposes of condemnation or casualty, and the Grantor may remove



<PAGE>

                                                                              16




the same  from the  Granted  Property  at any time  prior to the  expiration  or
earlier  termination  of this Deed of Trust,  provided that the Grantor,  at its
expense,  shall repair any damage to the Granted  Property  resulting  from such
removal.

          (c) The Granted  Property is not located in an area  identified by the
Secretary  of Housing and Urban  Development  or a successor  thereto as an area
having  special  flood  hazards  pursuant  to the  terms of the  National  Flood
Insurance Act of 1968, or the Flood Disaster Protection Act of 1973, as amended,
or any  successor  law; or if the  Granted  Property is located in such an area,
Grantor will obtain and maintain  insurance  against  damage or loss by flood on
such basis and in such amounts as shall be required by Indenture Trustees.

          (d) The  Grantor  shall use and  operate  the  Granted  Property  as a
hospital.

          2.6. Insurance. (a) Insurance Against Loss or Damage. The Grantor will
maintain  or  cause  to be  maintained  with  respect  to the  Granted  Property
insurance  against  loss by fire,  windstorm  and  explosion  and with  extended
coverage  and  against  such other  risks of  physical  loss as are  customarily
insured  against,  and in such amounts as are  customarily  carried by companies
owning  property of a similar  character and similarly  located and engaged in a
business similar to that engaged in by the Grantor; provided,  however, that the
amount of such insurance  with respect to the Granted  Property shall not at any
time be less than the replacement value thereof.

          (b)  Insurance  Against  Public  Liability  and Property  Damage.  The
Grantor  will  maintain  or cause to be  maintained  in  effect,  with  insurers
satisfactory to the Indenture  Trustees,  insurance policies with respect to the
Granted Property, insuring against liability for loss or damage to the Person or
property  of others  from  such  risks and in such  amounts  as are  customarily
carried by companies  owning  property of a similar  character  and engaged in a
business similar to that engaged in by the Grantor;  provided,  however, that in
no event shall the insurance  maintained in  accordance  with this  paragraph be
less  than an  aggregate  of  $25,000,000  for  claims  arising  out of a single
occurrence and not less than $25,000,000 in the aggregate for all claims made in
any policy year. All such insurance shall protect the Indenture Trustees and the
Grantor in respect of risks  arising  out of the  condition,  maintenance,  use,
ownership or operation of the Granted Property. The Grantor will indemnify the  



<PAGE>

                                                                              17



Indenture  Trustees  and the  holders  of the Notes  from any and all  liability
imposed against said Indenture Trustees and the holders of the Notes arising out
of the  condition,  maintenance,  use,  ownership  or  operation  of the Granted
Property.

          (c) The Grantor will maintain or cause to be maintained:

          (i) all such  worker's  compensation  or similar  insurance  as may be
     required by law;

          (ii) use and occupancy (or business interruption) insurance,  covering
     interruption of the Grantor's operations, in whole or in part, by reason of
     the total or partial  suspension of, or  interruption  in, the operation of
     the Granted  Property caused by the damage to or destruction of any part of
     the Granted  Property,  with such exceptions as are customarily  imposed by
     insurers,  in an amount  sufficient  to comply with the  requirements  of a
     standard 50% gross earnings business interruption form; and

          (iii)  maintain  liability  insurance  covering  hospital  operations,
     including  malpractice,  against claims arising from professional  services
     performed  by the  Grantor  with limits of not less than  $20,000,000  with
     respect to injuries or deaths  arising out of a single  occurrence  and not
     less than  $20,000,000  in the  aggregate  for all claims made  against the
     Grantor in any policy year.

For the purposes of this Section,  "policy year" means a period of twelve months
while the insurance coverage in question is in force measured from the effective
date of such coverage or any anniversary of such effective date.

          (d) Form of Policies.  Any  insurance  policies  carried in accordance
with this  section  2.6 shall be written by  companies  of  recognized  national
standing  authorized  to do  business in the  jurisdiction  in which the Granted
Property is located (copies of which will be delivered to the Indenture Trustees
on the Closing Date) and shall provide that: (i) the Indenture  Trustees and the
holders of the Notes shall be named as additional  insureds,  as their  interest
may appear, (ii) the Indenture Trustees' interest shall be insured regardless of
any breach or  violation  by the  Grantor  of any  warranties,  declarations  or
conditions contained in such policies,  (iii) such insurance, as to the interest
of the  Indenture  Trustees  therein,  shall  not be  invalidated  by the use or
operation of the Granted Property for purposes which are not permitted by such  



<PAGE>

                                                                              18


policies, (iv) the insurers shall waive any right of subrogation of the insurers
to any set-off or counterclaim or any other deduction,  whether by attachment or
otherwise,  in respect of any  liability of the  Grantor,  (v) if any premium or
installment  is not  paid  when  due,  or if such  insurance  would  lapse or be
cancelled,  terminated  or  materially  changed for any reason  whatsoever,  the
insurers  will  promptly  notify  the  Indenture  Trustees  and any such  lapse,
cancellation,  termination  or change shall not be effective as to the Indenture
Trustees  for 30  days  after  receipt  of such  notice,  and  (vi)  appropriate
certification  shall be made to the  Indenture  Trustees  by each  insurer  with
respect thereto.

          (e) Loss Payee.  Provided no Default or Event of Default has  occurred
and is  continuing,  the loss,  if any,  under any policy  pertaining to loss by
reason of damage to or destruction or condemnation of any portion of the Granted
Property shall be adjusted with the insurance companies by the Grantor,  subject
to the approval of the Indenture Trustees if the loss exceeds $100,000. The loss
so  adjusted  shall be paid to the  Indenture  Trustees  pursuant  to said  loss
payable  clause  unless  said loss is  $100,000  or less in which case said loss
shall be paid  directly to the Grantor,  provided no Default or Event of Default
has  occurred and is  continuing,  in which event any such loss shall be paid to
the Indenture Trustees.

          2.7.  Payment of Taxes and Other  Charges.  The  Grantor  will pay and
discharge,  before the same shall become delinquent,  together with interest and
penalties thereon, if any, (a) all taxes, assessments (including assessments for
benefits from public works or improvements whenever begun or completed), levies,
fees,  water and sewer rents and charges,  and all other  governmental  charges,
general and special,  ordinary and extraordinary,  and whether or not within the
contemplation  of the  parties  hereto,  which  are at any time  levied  upon or
assessed  against it or the Granted  Property  or any part  thereof or upon this
Mortgage or the Notes  secured  thereby,  or upon the revenues,  rents,  issues,
income and profits in respect of the Granted Property,  or arising in respect of
the occupancy,  use or possession thereof,  which failure to pay would result in
the creation of a lien upon the Granted  Property or any part  thereof,  or upon
the revenues,  rents,  issues,  income and profits of the Granted Property or in
the diminution thereof or would result in any material interference with the use
or  operation  of  the  Granted  Property  by the  Grantor,  (b)  all  corporate
franchise,  excise and other taxes, fees and charges assessed, levied or imposed
in respect of its corporate  existence or its right to do business in any state,
(c) all income, excess profits, excise, sales, franchise, gross receipts and



<PAGE>

                                                                              19



other taxes, duties or imposts, whether of a like or different nature, assessed,
levied or imposed by any governmental  authority on it or the Granted  Property,
or any portion thereof, or upon the revenues,  rents, issues, income and profits
of the Granted  Property whether or not the failure to pay any such tax, duty or
impost  might  result in the creation of a lien upon any asset of the Grantor or
the Granted  Property or any part thereof or upon the revenues,  rents,  issues,
income and profits of the Granted  Property or in the  diminution  thereof,  and
whether or not any such tax,  duty or impost is payable  directly by the Grantor
or is subject to withholding at the source and (d) all lawful claims and demands
of mechanics, laborers, materialmen and others which, if unpaid, might result in
the  creation of a lien on the Granted  Property  or upon the  revenues,  rents,
issues,  income and profits of the Granted Property and, in general,  will do or
cause to be done  everything  necessary  so that the lien hereof  shall be fully
preserved, at the cost of the Grantor, without expense to the Indenture Trustees
or the Security Trustee.

          Nothing in this section 2.7 shall require the payment of any sum which
is required to be paid by the  Grantor  pursuant to this  section 2.7 so long as
the Grantor shall in good faith contest its  obligation so to do by  appropriate
proceedings  which will  prevent the  forfeiture  or sale of any property of the
Grantor or any material  interference  with the use or operation  thereof by the
Grantor, and shall set up a reserve,  reasonably adequate, in the opinion of the
President or any Vice President of the Grantor against any such payment.

          2.8. Advances.  If the Grantor shall fail to comply with the covenants
contained  herein or in the Note Agreements or the Indenture with respect to the
procuring of insurance,  the payment of taxes, assessments and other charges, or
the  keeping of the  Granted  Property  in repair and free of other  liens,  the
Indenture Trustees may make advances to perform the same; and the Grantor agrees
to repay all sums so advanced  upon demand with  interest at a rate equal to the
greater  of (i) 13.6%  per  annum  and (ii) the sum of (A) the rate of  interest
publicly  announced by Morgan  Guaranty  Trust  Company of New York from time to
time in New York City as its prime rate plus (B) 1% after  demand;  and all sums
so  advanced,  with  interest,  shall  be  secured  hereby  in  priority  to the
indebtedness evidenced by the Notes or any of them; but no such advance shall be
deemed to relieve the Grantor from any default hereunder.




<PAGE>

                                                                              20



          2.9.  Recordation.  The Grantor will,  at its own expense,  cause this
Deed of  Trust,  all  supplements  hereto,  and  any  financing  statements  and
continuation  statements required by law, including the Uniform Commercial Code,
in respect thereof at all times to be kept recorded and filed at its own expense
in such  manner and in such  places as may be  required by law in order to fully
preserve and protect the rights of the Security  Trustee and Indenture  Trustees
hereunder,  and will furnish to the Indenture Trustees promptly, or in any event
within  thirty (30) days after the  execution and delivery of this Deed of Trust
and of each supplement an Opinion of Counsel stating that in the opinion of such
counsel this Deed of Trust or such  supplement  or such  financing  statement or
continuation  statement, as the case may be, has been properly recorded or filed
for record so as to make  effective  of record the lien  intended  to be created
hereby.

          2.10. After-Acquired Property. Any and all property hereafter acquired
which is of the kind or nature  described in the Granting  Clauses hereof and is
or intended to become a part thereof,  shall ipso facto, and without any further
conveyance, assignment or act on the part of the Grantor or the Security Trustee
and Indenture  Trustees become and be, subject to the lien of this Deed of Trust
as  fully  and  completely  as  though   specifically   described  herein;   but
nevertheless  the Grantor shall from time to time, if requested by the Indenture
Trustees,  execute and deliver any and all such further assurances,  conveyances
and assignments thereof as the Indenture Trustees may reasonably require for the
purpose of expressly  and  specifically  subjecting  to the lien of this Deed of
Trust any and all such property.

          2.11.  Priority of this Deed of Trust;  Future  Advances;  Extensions,
Modifications,  and Renewals.  Any portion of the  Indebtedness  Hereby  Secured
which is  incurred  after the  execution  of this Deed of Trust  pursuant to the
Indenture or any supplemental indenture referencing this Deed of Trust, or which
is evidenced by any instrument  stating that the Indebtedness  Hereby Secured is
secured  by this Deed of  Trust,  shall be  defined  as a Future  Advance.  This
paragraph  shall serve as notice to any subsequent  encumbrances  of the Granted
Property that the Security Trustee and Indenture  Trustees claim the priority of
the lien of this Deed of Trust for all such Future Advances,  as well as for all
other Indebtedness Hereby Secured.  This paragraph shall also be notice that the
Indenture Trustees reserve the right to modify, extend,  consolidate,  and renew
the  Indebtedness  Hereby  Secured,  or any portions  thereof,  and the rates of
interest charged thereon,  without affecting the priority of the lien created by
this Deed of Trust.

<PAGE>

                                                                              21


SECTION 3. POSSESSION, USE AND RELEASE OF PROPERTY.

          3.1. Possession by Grantor;  Dispositions  Without Release. So long as
no Default or Event of Default has occurred and is continuing, the Grantor shall
be  permitted,  subject to the  provisions  of this  Section,  to possess,  use,
manage,  operate and enjoy the Granted  Property and to collect,  receive,  use,
invest and  dispose of the rents,  issues,  profits,  and other  income from the
Granted  Property,  with power, in the ordinary  course of business,  freely and
without  hindrance on the part of the Indenture  Trustees,  to use,  consume and
dispose of any thereof except such as are subject to the lien hereof or intended
so to be,  and to deal with,  exercise  any and all rights  under,  receive  and
enforce performance under, and adjust and settle all matters relating to current
performance of, chases in action, leases and contracts.

          The  Grantor  shall  have the  right,  from time to time if no Default
exists hereunder, without any release from or consent by the Indenture Trustees,

          (a) to sell or  otherwise  dispose of, free from the lien of this Deed
     of Trust,  any Equipment  subject to the lien hereof which, in the judgment
     of the  Grantor,  may have  become  obsolete  or unfit for use or no longer
     useful,  necessary  or  profitable  in the  conduct of the  business of the
     Grantor not exceeding in value at the date of disposition  thereof  $50,000
     in any single transaction or a total of $100,000 in any calendar year, upon
     substituting  for the same other  Equipment of the same character and of at
     least equal  value,  utility and useful life to the Grantor as, and costing
     not less than the amount  realized  from,  the property  disposed of, which
     shall forthwith become, without further action, subject to the lien of this
     Deed of Trust;

          (b) to grant  rights-of-way  and  easements  over or in respect of any
     Granted Property,  provided that such grant will not, in the opinion of the
     Grantor  expressed in an Officers'  Certificate  furnished to the Indenture
     Trustees,  impair the  usefulness  of such  property  in the conduct of the
     Grantor's  business  and will not be  prejudicial  to the  interests of the
     holders of the Notes and provided,  further, that any cash consideration in
     excess of $50,000  received by the Grantor upon or in  connection  with the
     granting  thereof,  forthwith  upon its  receipt by the  Grantor,  shall be
     deposited with the Indenture Trustees;

<PAGE>

                                                                              22


          (c) to alter, repair,  replace, change the location or position of and
     add to the Granted  Property,  provided that no change shall be made in the
     location  of any such  property  subject  to the lien of this Deed of Trust
     which removes such property into a jurisdiction in which this Deed of Trust
     and any required  financing or  continuation  statement  covering  security
     interests in such property have not been  recorded,  registered or filed in
     the manner  required by law to preserve the lien of this  Indenture on such
     property or otherwise impairs the lien hereof; and

          (d) to lease to others from time to time  offices  and  related  areas
     included in the Granted  Property,  other than any thereof essential to the
     operations carried on at the Granted Property;  provided that such lease is
     (i) by its terms  expressly  made subject to the lien of this Deed of Trust
     and (ii) assigned to the Indenture  Trustees and/or the Indenture  Trustees
     as  shall  be  required  by the  Indenture  Trustees  by an  instrument  in
     recordable  form and  otherwise  satisfactory  in form and substance to the
     Indenture  Trustees;  and further provided that the Grantor shall not lease
     all or substantially  all of the Granted Property without the prior written
     consent of the Required Holders.

          The Grantor will deliver to the Indenture Trustees,  on or before July
31 in each year after the year 1989, (i) an Officers' Certificate setting forth,
with respect to  transactions  during the  preceding  calendar  year pursuant to
section 3.1(a), the aggregate fair value at the date or dates of disposition of,
the aggregate  amount realized from, and a general  description of, any property
disposed of  pursuant to section  3.1(a) (and  stating  that such  property  had
become obsolete or unfit for use or no longer useful, necessary or profitable in
the conduct of the business of the Grantor) and the aggregate  fair value to the
Grantor of, the cost of, and a general  description of, any property acquired in
substitution  for such  property  sold or disposed  of,  (ii) such  supplemental
mortgages,  deeds of trust,  financing statements or other instruments as may be
necessary for the purpose of effectually  subjecting  such acquired  property to
the lien hereof and any lease  assignment  of a lease  entered into  pursuant to
section 3.1(d) and (iii) an Opinion of Counsel that such supplemental mortgages,
deeds of trust,  financing  statements,  lease  assignments or other instruments
have been duly  executed  and are  sufficient  for such  purpose or that no such
supplemental mortgages, deeds of trust, financing statements,  lease assignments
or instruments are necessary.


<PAGE>

                                                                              23

          3.2.  Eminent Domain.  If all or any of the Granted  Property shall be
taken by eminent domain or shall be sold in lieu and in reasonable  anticipation
of the taking  thereof by eminent  domain,  the  Indenture  Trustees  may at the
request and  direction of the Indenture  Trustees  release the property so taken
and shall be fully protected in so doing upon being furnished with:

          (a) an Officers' Certificate  requesting such release,  describing the
     property so to be released and stating that such property has been taken by
     eminent domain or that such sale has been made in lieu of and in reasonable
     anticipation of a taking by eminent  domain,  accompanied by an appropriate
     instrument of release;

          (b) an Opinion of Counsel to the effect  that such  property  has been
     (i) lawfully  taken by exercise of the right of eminent domain or (ii) sold
     in lieu and in  reasonable  anticipation  of the taking of such property by
     eminent domain and that such property could lawfully have been taken by the
     grantee by eminent  domain,  that the award for such  property so taken has
     become final or an appeal  therefrom is not  advisable in the  interests of
     the Indenture  Trustees,  the Security  Trustee or the holders of the Notes
     and that the execu tion of such  instrument is appropriate to evidence such
     release; and

          (c) except as otherwise  provided in section  4.1,  cash equal to such
     award to be held and applied by the Indenture Trustees under the Indenture.

          3.3.  Purchaser  Protected.  No  purchaser  in good faith of  property
purporting to be released  herefrom shall be bound to ascertain the authority of
the Security Trustee,  Indenture Trustees or the holders of the Notes to execute
a release or to inquire as to the existence of any conditions  herein prescribed
for the  exercise of such  authority.  No purchaser or lessee of any property or
rights permitted by this Article to be sold, leased or otherwise  disposed of by
the Grantor  shall be under any  obligation  to  ascertain  or inquire  into the
authority of the Grantor to make any such sale, lease or other disposition.  Any
release executed by the Security Trustee,  the Indenture Trustees or the holders
of the Notes under this Section shall be sufficient for the purpose of this Deed
of Trust and shall  constitute a good and valid release of the property  therein
described from the lien hereof.


<PAGE>

                                                                              24


          3.4. Release of Granted  Property - Indenture  Trustees'  Consent.  In
addition  to the sales and  releases  pursuant  to section  section  3.2 and 3.3
hereof,  and,  to the  extent  and on the  terms  and upon  compliance  with the
conditions provided for in any written consent given thereto at any time or from
time to time by the  holders of the Notes,  the  Grantor  may sell or  otherwise
dispose of any Granted  Property  then subject to the lien of this Deed of Trust
or any mortgage  supplement  hereto,  and the Security Trustee at the request of
the Indenture Trustees shall, subject to the terms of the Indenture, release the
same from the lien hereof.

SECTION 4.  APPLICATION  OF INSURANCE AND CERTAIN  OTHER MONEYS  RECEIVED BY THE
INDENTURE TRUSTEES.

          4.1. Insurance  Proceeds and Condemnation  Awards. (a) All proceeds of
fire and extended  coverage  insurance and of  condemnation  awards covering the
Granted  Property  equal to or in excess of $100,000  received by the  Indenture
Trustees  under the provisions of this Deed of Trust and/or the Indenture or any
instruments  supplemental  hereto or thereto, or under any policy or policies of
insurance  covering the Granted  Property or any part thereof,  shall be held by
the Indenture  Trustees as part of the Granted  Property and shall be applied by
the Indenture Trustees as follows:

          (i) If the total amount of any one loss or condemnation or taking,  as
     the case may be, shall equal or exceed  $100,000 and the Cost of rebuilding
     or restoring the Granted Property (as evidenced by an Officers' Certificate
     of the  Grantor  detailing  the same)  shall be less than the  proceeds  of
     insurance or the award or consideration received on account of condemnation
     or other taking of the Granted Property, the Grantor shall prepay the Notes
     pursuant to Section 5.3 of the  Indenture  in a principal  amount  equal to
     such excess,  together with interest  accrued on the Notes to be prepaid to
     the date of payment and a premium equal to the  Yield-Maintenance  Premium,
     upon the terms and in the manner  provided in Section 5.3 of the  Indenture
     and the balance,  if any, of any such proceeds shall be released to or upon
     the  order of the  Grantor  in  accordance  with  clause  (ii)  below.  Any
     application of moneys  pursuant to this section  4.1(a)(i) shall be made by
     the  Grantor  within 60 days  after the  completion  of the  rebuilding  or
     restoration of the Granted Property; and



<PAGE>

                                                                              25


          (ii) If the total  amount in the case of any one loss or  condemnation
     or  taking,  as the  case may be,  shall  equal or  exceed  $100,000,  such
     proceeds  shall be paid to the  Grantor  from  time to time  upon a written
     application  signed by the President and any Vice  President of the Grantor
     and  accompanied  by an approving  certificate  of an architect or engineer
     selected by the Grantor and  approved by the  Indenture  Trustees,  for the
     purpose of paying,  or  reimbursing  the  Grantor  for the  payment of, the
     reasonable  cost, as shown by such  certificate,  of repairing or replacing
     part or all of the  property  damaged  or  destroyed,  but only if  written
     application  is made  therefor  within  12 months  of the  receipt  of such
     proceeds  by the  Indenture  Trustees,  and then only for and to the extent
     that the Grantor shows by such  architect's or engineer's  certificates  or
     other evidence  satisfactory to the Indenture  Trustees that the portion of
     such proceeds  remaining on deposit with the Indenture  Trustees,  together
     with any additional funds irrevocably  allocated or otherwise  provided for
     in a manner satisfactory to the Indenture Trustees for such purpose,  shall
     be  sufficient  to complete  such repairs or  replacements  and restore the
     Granted  Property as nearly as possible to the market  value and  condition
     which existed immediately prior to the damage, destruction, condemnation or
     taking,  as the case may be,  free from liens or  encumbrances  except this
     Deed of Trust and Permitted  Encumbrances.  Every such  application for the
     payment  of such  insurance  or  condemnation  moneys  shall  state that no
     Default or Event of Default has  occurred  and is  continuing  and shall be
     accompanied  by a date down  endorsement  to the lender's  title  insurance
     policy being delivered  pursuant to Section  7(a)(iv) of the Note Agreement
     insuring that, as of the date of such payment, the property will be subject
     to the lien of this Deed of Trust as a first lien  thereon  subject only to
     Permitted Encumbrances.  The Grantor will remain solely responsible for the
     rebuilding, restoration or substitution of the Granted Property, whether or
     not the proceeds of insurance  maintained in accordance with the provisions
     hereof are sufficient therefor.

          (b) In cases involving  insurance proceeds where the amount of any one
loss is less  than  $100,000  and no  Default  or Event of  Default  shall  have
occurred  and be  continuing  under this Deed of Trust,  the  amount  payable in
respect of any such loss will be received by the Indenture Trustees and shall be
by the Indenture  Trustees paid over  immediately  to the Grantor for use by the
Grantor in paying for replacement or repair of or substitutes for the damaged or
destroyed property.




<PAGE>

                                                                              26


          (c) Subject to section  2.6(e) hereof with respect to  adjustments  of
losses, any appraisal or adjustment of such loss or any settlement or payment of
indemnity  therefor  which  shall be agreed  upon  between  the  Grantor and the
relevant insurance company shall be accepted by the Indenture Trustees.

          (d) In the event the insurance  moneys or  condemnation  award, as the
case  may be,  shall  not  have  been  applied  to one or  more of the  purposes
specified  in section  4.1(a)  hereof  within the 12-month  period  provided for
thereby,  then the  Indenture  Trustees  shall  apply such  insurance  moneys or
condemnation award, as the case may be, to the prepayment,  with premium, of the
Notes together with interest accrued thereon in an amount  sufficient to exhaust
such cash as nearly as may be upon giving the Grantor 10 days' advance notice of
its intent so to do, such prepayment to be made in units of $1,000 but otherwise
to be made ratably on all  outstanding  Notes in  accordance  with the principal
amounts unpaid  thereon,  together with interest  accrued  thereon and a premium
equal  to the  Yield-Maintenance  Premium;  any  balance  remaining  after  such
prepayment to be released to the Grantor.  Partial  prepayments made pursuant to
this  section  4.1(d) shall be paid and applied upon the terms and in the manner
provided in Section 5 of the Indenture.

          4.2.  Other  Proceeds.  Any other  moneys  received  by the  Indenture
Trustees  in  connection  with  the  release  of  property  shall be held by the
Indenture  Trustees as part of the Granted  Property and shall be applied by the
Indenture Trustees to the prepayment,  with premium,  of the Notes together with
interest accrued thereon in an amount  sufficient to exhaust such cash as nearly
as may be upon giving the Grantor ten (10) days' advance notice of its intent so
to do, such  prepayment  to be made in units of $1,000 but  otherwise to be made
ratably on all outstanding Notes in accordance with the principal amounts unpaid
thereon, together with interest accrued thereon and a premium equal to the Yield
Maintenance  Premium; any balance remaining after such payment to be released to
the Grantor.

SECTION 5. DEFAULTS AND REMEDIES THEREFOR.

          5.1. Events of Default. The Grantor  acknowledges and agrees,  without
limitation,  that each and all of the terms and provisions of Section 6.1 of the
Indenture have been and are incorporated into this Deed of Trust by reference to
the same  extent  as  though  fully set out  herein  and that the term  Event of
Default  wherever  used in this Deed of Trust  shall mean an Event of Default as
defined in Section 6.1 of the Indenture.

<PAGE>

                                                                              27


          5.2.  Remedies.  When  any  Event  of  Default  has  occurred  and  is
continuing,  the Indenture Trustees and/or the Security Trustee may exercise any
one or more or all, and in any order,  of the remedies  hereinafter set forth or
as provided for in the Indenture,  it being expressly  understood that no remedy
herein or in the  Indenture  conferred  is intended to be exclusive of any other
remedy or remedies;  but each and every remedy shall be cumulative  and shall be
in addition to every other remedy  given herein or now or hereafter  existing at
law or in equity or by statute:

          (a) The  Indenture  Trustees may, by notice in writing to the Grantor,
     declare the entire unpaid  balance of the Notes to be  immediately  due and
     payable;  and  thereupon the entire  principal and interest  accrued on the
     Notes and, to the extent  permitted by law, the  Yield-Maintenance  Premium
     (as  defined  in  Section  5.4  of  the  Indenture)  shall  be  and  become
     immediately due and payable.

          (b) The Indenture  Trustees and/or the Security Trustee  personally or
     by agents or  attorneys  may enter into and take  possession  of all or any
     part of the Granted Property, and may forthwith use, operate and manage the
     Granted  Property,  collect  the  earnings  and income  therefrom,  pay all
     principal  charges  including  taxes and  assessments  levied  thereon  and
     operating and maintenance expenses and all disbursements and liabilities of
     the Grantor  hereunder  and apply the net  proceeds  arising  from any such
     operation  of the  Granted  Property  as  provided in section 5.3 hereof in
     respect of the proceeds of a sale of the Granted Property.

          (c) (i) The  Indenture  Trustees  and/or  the  Security  Trustee  may,
     pursuant to the power of sale granted hereunder, if at the time such action
     may be lawful and always  subject to compliance  with any  mandatory  legal
     requirements, either with or without taking possession and either before or
     after  taking  possession  and without  instituting  any legal  proceedings
     whatsoever  and having  first given  notice of such sale by  registered  or
     certified  mail to the  Grantor  once at least 20 days prior to the date of
     such sale,  and any other  notice  which may be required  by law,  sell and
     dispose of said Granted  Property or any part thereof at public  auction or
     private sale, as permitted by applicable law, to the highest bidder,  which


<PAGE>

                                                                              28



     may be the  Grantor,  in one lot as an entirety  or in  separate  lots (the
     Grantor for itself and for all who may claim by, through or under it hereby
     expressly  waiving and releasing all rights to have the property covered by
     the  lien of this  Deed of Trust  marshalled),  and  either  for cash or on
     credit,  as permitted by applicable law, and on such terms as the Indenture
     Trustees may determine and at any place  (whether or not it be the location
     of the Granted Property or any part thereof) designated in the notice above
     referred to. Any such sale or sales may be  adjourned  from time to time by
     announcement  at the time and place appointed for such sale or sales or for
     any such adjourned sale or sales, without further published notice.

          (ii) With  respect  to any  Granted  Property  located in the State of
     North  Carolina,  the Indenture  Trustees  and/or the Security  Trustee are
     hereby authorized and empowered by giving at least 20 days' notice by three
     publications  in any  newspaper,  daily or weekly,  of general  circulation
     published in the County in which the Granted  Property is located,  to sell
     the  Granted  Property  or any  part  thereof,  at the  front  door  of the
     Courthouse in said County to the highest bidder for cash, at public outcry,
     free from all legal and  equitable  rights  of  redemption,  exemptions  of
     homestead  and all other  exemptions  of every kind all of which are hereby
     expressly  waived.  The Indenture  Trustees and/or the Security Trustee are
     hereby  further  authorized and empowered to execute and deliver a deed for
     the property so sold to the purchaser at any such sale.

          (d) The  Indenture  Trustees may proceed to protect and enforce  their
     rights  by a suit  or  suits  in  equity  or at law,  or for  the  specific
     performance of any covenant or agreement  contained herein or in the Notes,
     or in aid of the execution of any power herein or therein  granted,  or for
     the  foreclosure of this Deed of Trust, or for the enforcement of any other
     appropriate  legal or  equitable  remedy.  Upon the bringing of any suit to
     foreclose  this  Deed of Trust or to  enforce  any other  remedy  available
     hereunder,  the plaintiff  shall be entitled as a matter of right,  without
     notice and without giving bond to the Grantor or anyone  claiming under, by
     or through it, and without  regard to the  solvency  or  insolvency  of the
     Grantor  or the then  value of the  Granted  Property,  to have a  receiver
     appointed of all the Granted Property and of the earnings,  income,  rents,
     issues,  profits and proceeds thereof,  with such power as the court making
     such  appointment  shall  confer,  and the Grantor does hereby  irrevocably
     consent to such appointment.



<PAGE>

                                                                              29

          (e) In  case of any  sale  of the  Granted  Property,  or of any  part
     thereof,  pursuant to any  judgment or decree of any court or  otherwise in
     connection  with the enforcement of any of the terms of this Deed of Trust,
     the principal of the Notes, if not previously due, and the interest accrued
     thereon,  shall at once become and be immediately due and payable;  also in
     the case of any such sale,  the  Indenture  Trustees may bid and become the
     purchaser,  and the  purchaser  or  purchasers,  for the  purpose of making
     settlement for or payment of the purchase price,  shall be entitled to turn
     in and use the Notes and any claims for  interest  and premium  matured and
     unpaid thereon, in order that there may be credited as paid on the purchase
     price  the  sum  apportionable  and  applicable  to  the  Notes,  including
     principal and interest and premium thereof, out of the net proceeds of such
     sale after allowing for the proportion of the total purchase price required
     to be  paid  in  actual  cash.  If at any  foreclosure  proceeding  or sale
     pursuant to the power of sale, or U.C.C. sale the Granted Property shall be
     sold for a sum  less  than the  total  amount  of  indebtedness  for  which
     judgment is therein given, the Indenture  Trustees shall be entitled to the
     entry of a deficiency  decree  against the Grantor and against the property
     of the Grantor for the amount of such deficiency.

          (f) In addition to any other  remedies  provided for hereby or by law,
     the Indenture  Trustees  shall have the rights of a secured party under the
     Uniform  Commercial Code of the  jurisdiction in which the Granted Property
     is  located  upon the  occurrence  and  continuance  of an Event of Default
     hereunder.  Any requirement of said Uniform  Commercial Code for reasonable
     notification shall be met by mailing written notice to the Grantor,  at its
     address set forth in section 6.3 hereof, at least 10 days prior to the sale
     or other event for which such notice is required.

          It is  understood  and agreed that the Notes are also secured by other
mortgages  and deeds of trust and that in case of  default  in any of the terms,
conditions or provisions of this Deed of Trust or the  Indenture,  the Indenture
Trustees  may  resort to part or all of the  security  for the  Notes,  the Note
Agreements  and the  Indenture and foreclose the mortgages and deeds of trust in
any  order.  The  pendency  of any  proceeding  with  respect  to any one of the
above-mentioned  mortgages  and  deeds of trust  shall  not be  grounds  for the
abatement of, or for hindering,  staying,  delaying or preventing any proceeding
with respect to foreclosure of this Deed of Trust.


<PAGE>

                                                                              30


          5.3.  Application  of Proceeds.  The purchase  money  proceeds  and/or
avails of any sale of the Granted Property, or any part thereof and the proceeds
and the avails of any remedy  hereunder and all insurance  monies or proceeds or
awards of condemnation paid to the Indenture Trustees pursuant to the provisions
of section  section 2.6 and 3.2 hereof shall be paid to the  Indenture  Trustees
under the Indenture and such  Indenture  Trustees  shall apply such proceeds and
avails,  and all insurance monies and proceeds or awards of condemnation held by
the Indenture  Trustees during the continuation of any Event of Default,  in the
manner provided in section 6.10 of the Indenture.

          5.4.  Waiver of  Extension,  Appraisement  and Stay Laws.  The Grantor
covenants that, to the extent that such rights may be lawfully  waived,  it will
not now,  or at any time  hereafter,  insist  upon or  plead,  or in any  manner
whatever  claim or take any  benefit  or  advantage  of,  legal,  equitable  and
statutory  rights of redemption,  exemption or homestead,  any stay or extension
law now or at any time  hereafter in force or any other similar  exemptions  and
rights arising under or created by an applicable  statute or judicial  decision,
or claim, take or insist upon any benefit or advantage of or from any law now or
hereafter in force  providing for the valuation or  appraisement  of the Granted
Property  or any part  thereof  prior to any  sale or sales  thereof  to be made
pursuant to any provision herein contained,  or to the decree, judgment or order
of any court of competent  jurisdiction or, after  confirmation of any such sale
or sales claim or exercise any right under any statute now or hereafter  made or
enacted by any state or  otherwise  to redeem the  property  so sold or any part
thereof,  and hereby expressly waives for itself and on behalf of each and every
person who may claim under it, all benefit and advantage of any such law or laws
which would  otherwise be available  to any such person in  connection  with the
enforcement of any of the Security Trustee and the Indenture  Trustees' remedies
hereunder;  and  covenants  that  it  will  not  in  connection  with  any  such
enforcement  proceedings  invoke or  utilize  any such law or laws or  otherwise
hinder,  delay or impede the execution of any power herein granted and delegated
to the Security  Trustee and the  Indenture  Trustees but will suffer and permit
the execution of every such power as though no such law or laws had been made or
enacted.

          Any sale, whether under any power of sale hereby given or by virtue of
judicial proceedings,  shall operate to divest all right, title, interest, claim



<PAGE>

                                                                              31



and demand whatsoever,  either at law or in equity, of the Grantor in and to the
property sold and shall be a perpetual  bar, both at law and in equity,  against
the  Grantor,  its  successors  and  assigns,  and  against  any and all persons
claiming the property sold or any part thereof under, by or through the Grantor,
its successors or assigns.

          5.5. Effect of  Discontinuance  of Proceedings.  In case the Indenture
Trustees  and/or the Security  Trustee shall have proceeded to enforce any right
under this Deed of Trust by  foreclosure,  sale,  entry or  otherwise,  and such
proceedings  shall have been  discontinued  or abandoned for any reason or shall
have been determined adversely,  then and in every such case the Grantor and the
Indenture  Trustees  and/or the  Security  Trustee  shall be  restored  to their
position  and  rights  hereunder  as  they  existed  immediately  prior  to  the
commencement  of such  proceedings  with respect to the property  subject to the
lien of this Deed of Trust.

          5.6.  Delay or  Omission  Not a Waiver.  No delay or  omission  of the
Indenture  Trustees  and/or the Security  Trustee to exercise any right or power
arising from any default on the part of the Grantor  shall exhaust or impair any
such right or power or prevent  its  exercise  during  the  continuance  of such
default.  No waiver by the Indenture Trustees and/or the Security Trustee of any
such  default,  whether  such waiver be full or partial,  shall  extend to or be
taken to affect  any  subsequent  default,  or to impair  the  rights  resulting
therefrom,  except as may be otherwise  provided herein.  No remedy hereunder is
intended to be  exclusive of any other remedy but each and every remedy shall be
cumulative  and in addition to any and every other  remedy  given  hereunder  or
otherwise existing.  Nor shall the giving, taking or enforcement of any other or
additional security,  collateral or guaranty for the payment of the indebtedness
secured  under  this Deed of Trust  operate  to  prejudice,  waive or affect the
security of this Deed of Trust or any rights, powers or remedies hereunder;  nor
shall the Indenture  Trustees  and/or the Security  Trustee be required to first
look to,  enforce or exhaust such other or  additional  security,  collateral or
guaranties.

SECTION 6. MISCELLANEOUS.

          6.1.  Successors  and Assigns.  Whenever any of the parties  hereto is
referred  to,  such  reference  shall be deemed to include  the  successors  and
assigns of such party;  and all the  covenants,  promises and agreements in this
Deed of Trust  contained by or on behalf of the  Grantor,  or by or on behalf of
the Indenture Trustees and/or the Security Trustee,  shall bind and inure to the
benefit of the  respective  successors  and assigns of such  parties  whether so
expressed or not.


<PAGE>

                                                                              32


          6.2. Severability. The unenforceability or invalidity of any provision
or  provisions  of this Deed of Trust  shall not render any other  provision  or
provisions herein contained unenforceable or invalid.

          6.3.  Addresses  for  Notices.  All  notices  or other  communications
required or  contemplated  by the  provisions  hereof  shall,  unless  otherwise
specified,  be in writing  and shall be deemed to have been given or made on the
fifth  business  day  after  deposit  thereof  in the  United  States  mail,  by
registered or certified mail, postage prepaid,  or when received if delivered by
hand or sent by  facsimile  communication  the  receipt  of which is  confirmed,
addressed as follows:

          If to the Grantor:

          Cumberland Mental Health,  Inc. 
          3425 Melrose Road 
          Fayetteville,  North Carolina 28304 
          Attention: Chief Financial Officer 
          FAX: ______________________________
          Telephone: ________________________

          If to the Security Trustee:

          First American Title Insurance
          Company of North Carolina, Inc.
          130-D North McDowell Street
          Charlotte, North Carolina 28204

          With a copy to the
               Indenture Trustees:

               The Citizens and Southern National Bank,
                 as trustee under a Trust Indenture
                 dated as of March 31, 1990
               33 North Avenue, N.E., Suite 700
               Atlanta, Georgia 30308
               Attention: Corporate Trust Department
               FAX: (404) 897-3142
               Telephone: (404) 897-3147

          Any party  may  designate  an  additional  or  different  address  for
subsequent  notices or  communications  by notice duly given in accordance  with
this Section to the other party.

<PAGE>

                                                                              33

          6.4.  Headings and Table of Contents.  The headings of the sections of
this  Deed of  Trust  and  table  of  contents  are  inserted  for  purposes  of
convenience   only  and  shall  not  be  construed  to  affect  the  meaning  or
construction of any of the provisions hereof.

          6.5.  Release of Deed of Trust.  The Indenture  Trustees shall release
and  discharge  this Deed of Trust and the lien hereof by proper  instrument  or
instruments  upon  presentation of satisfactory  evidence that all  indebtedness
secured hereby has been fully paid or discharged.

          6.6.  Counterparts.  This Deed of Trust may be executed,  acknowledged
and  delivered  in  any  number  of  counterparts,  each  of  such  counterparts
constituting an original but all together only one Deed of Trust.

          6.7.  GOVERNING  LAW.  THIS  DEED OF TRUST  SHALL BE  GOVERNED  BY AND
CONSTRUED IN ACCORDANCE WITH NORTH CAROLINA LAW.

          6.8.  Substitution of Security Trustees.  Grantor and Security Trustee
covenant and agree to and with the Indenture Trustees and the Beneficiaries that
in case the said Security Trustee, or any successor trustees,  shall die, become
incapable  of  acting,  renounce  their  trust,  or for any reason the desire to
replace either or both of the Security Trustee or its successors  and/or assigns
in trust,  then the  Indenture  Trustees may appoint,  in writing,  a trustee or
trustees  to take the place of the  Security  Trustee;  and upon the probate and
registration  of the same, the trustee or trustees thus appointed  shall succeed
to all rights, powers, and duties of the Security Trustee.



<PAGE>

                                                                              34


          IN WITNESS  WHEREOF,  the  Grantor has caused this Deed of Trust to be
executed in its behalf by its President and attested by its Assistant  Secretary
and First American Title Insurance Company, as Security Trustee, has caused this
Deed of Trust to be executed on its behalf by one of its _______________________
and its  corporate  seal  to be  hereunto  affixed  and  attested  by one of its
_______________, all as of the day and year above written.

                                                  CUMBERLAND MENTAL HEALTH, INC.


                                                  By ___________________________
                                                       Its President


ATTEST:


______________________________
     Assistant Secretary


                                                  FIRST AMERICAN TITLE INSURANCE
                                                    COMPANY, as Security Trustee


                                                  By ___________________________
                                                       Its _____________________


ATTEST:



By: ________________________
     Its ___________________



  <PAGE>





STATE OF ILLINOIS                   )
                                    ) SS
COUNTY OF COOK                      )


          On this  25th day of  April,  1990,  before  me  __________,  a Notary
Public,  personally appeared Ralph J. Watts, who acknowledged  himself to be the
President of Cumberland Mental Health, Inc., a North Carolina  corporation,  and
that he, as such  President,  being  authorized so to do, executed the foregoing
instrument  for the  purposes  therein  contained,  by  signing  the name of the
corporation by himself as President.

          IN  WITNESS  WHEREOF,  I have  hereunto  set my hand  and  affixed  my
official seal the day and year in this certificate first above written.


                                                      _________________________
                                                             Notary Public


(Notarial Seal)


My commission expires:  ______________, 199___.





<PAGE>

                                                                               2




STATE OF NORTH CAROLINA                     )
                                            ) SS
COUNTY OF                                   )


          On this day of April, 1990, before me,  ___________________,  a Notary
Public, personally appeared ___________________,  who acknowledged himself to be
the  ___________________ of First American Title Insurance Company, and that he,
as such _____________________,  being authorized so to do executed the foregoing
instrument  for the  purposes  therein  contained,  by signing  the name of said
corporation by himself as __________________.

          IN  WITNESS  WHEREOF,  I have  hereunto  set my hand  and  affixed  my
official seal the day and year in this certificate first above written.


                                                         _______________________
                                                               Notary Public


(Notarial Seal)

My commission expires:  ______________, 199_.




<PAGE>

                                     ANNEX A


A certain  tract or parcel of land  containing  5.398  acres  lying and being in
Cross Creek Township, Cumberland County, North Carolina. Bounded on the North by
proposed Melrose Road Connector and Cumberland Medical Center, Inc., on the East
by Melrose Road Associates,  Inc., on the South by Cumberland  County (Cape Fear
Valley  Hospital),  on the West by Lots 21 and 31 of Section III Welmar Heights,
Furman Drive and Lots 32 and 66 of Part II, Section III Welmar Heights, and more
particularly described as follows:

Beginning at an existing  iron pipe in the  southern  margin of Melrose Road (60
foot RJW),  the northeast  corner of a 5.398 acre tract as recorded in Plat Book
66, Page 99, Cumberland County Registry;  said existing iron pipe also being the
northwest corner of Melrose Road Associates, Inc. as recorded in Deed Book 2258,
Page 323,  Cumberland County registry;  and runs thence with the western line of
Melrose Road Associates, Inc. South 31 degrees 51 minutes East 630.19 feet to an
existing iron pipe, the southeast  corner of the aforesaid  5.398 acre tract and
being in the northern line of Cumberland  County (Cape Fear Valley  Hospital) as
recorded in Deed Book 2363, Page 839,  Cumberland  County Registry;  thence with
said  northern  line South 75 degrees 01 minutes West 409.05 feet to an existing
concrete  monument,  the southwest  corner of aforesaid  5.398 acre tract,  said
monument  also being the  southeast  corner of Lot No. 66 of Part II Section III
Welmar Heights as recorded In Plat Book 25, Page 11, Cumberland County Registry;
thence with the eastern lines of Lots 66 and 32 of said  subdivision and Lots 31
and 21 of Section  III  Welmar  Heights as  recorded  in Plat Book 23,  Page 58,
Cumberland  County Registry,  North 30 degrees 01 minutes West 573.90 feet to an
existing  iron  pipe in the  eastern  line of said  Lot  No.  21 and  being  the
northwest  corner of  aforesaid  5.398  acre  tract,  said  point also being the
southwest  corner of Cumberland  Medical  Center,  Inc. as recorded In Deed Book
2626, Page 213,  Cumberland  County  Registry;  thence with the southern line of
Cumberland Medical Center,  Inc. North 58 degrees 18 minutes East 188.59 feet to
an existing iron pipe where the southern line of said Medical Center  intersects
the southern  margin of the Proposed  Melrose  Road  Connector;  thence with the
southern  margin of the  Proposed  Melrose  Road  Connector  South 88 degrees 58
minutes East 22.65 feet to an existing p. k. nail;  thence  continuing with said
proposed  road on a radius of 235.32  feet an arc  distance  of 90.29 feet to an
existing iron pipe;  thence continuing with said Proposed Melrose Road Connector
North 69 degrees 03 minutes East 83.76 feet to the point of beginning.


<PAGE>

                                                                               2


Containing 5.398 acres and being the same property of Cumberland  Mental Health,
Inc. as recorded in Plat Book 66, Page 99, Cumberland County Registry.



<PAGE>



                                EXCLUDED PROPERTY

          The property  covered by the  following  U.C.C.  Financing  Statements
constitutes Excluded Property hereunder:

     FILING LOCATION: SECRETARY OF STATE, NORTH CAROLINA

DEBTOR:        Healthcare Services of America, Inc., Cumberland Hospital

SECURED PARTY: The Citizens and Southern National Bank

FILING NO.:    0015322
- -amended       0110085
- -continued     0515782

DATE FILED:    February 20, 1984
- -amended       March 18, 1985
- -continued     December 2, 1988

COLLATERAL:    Leased computer equipment

     FILING LOCATION: SECRETARY OF STATE, NORTH CAROLINA

DEBTOR:        Ramsay Health Care, Inc.

SECURED PARTY: AT&T Credit Corporation

FILING NO.:    0620481

DATE FILED:    November 3, 1989

COLLATERAL:    Leased office equipment













                                     ANNEX B


                    (to Deed of Trust and Security Agreement)

<PAGE>








                                   SCHEDULE I

                                   Purchasers


Aetna Life Insurance Company
Hartford, Connecticut 06156

Monumental Life Insurance Company
c/o Monumental Corporation
Baltimore, Maryland 21202

Connecticut Mutual Life Insurance Company
Hartford, Connecticut 06154

































                                   Schedule I

                    (to Deed of Trust and Security Agreement)


<PAGE>







                                   SCHEDULE II

                               Assigned Agreements


                                      NONE.









































                                   Schedule II

                    (to Deed of Trust and Security Agreement)


<PAGE>













                                  SCHEDULE III

                                 Pledged Shares

                                      NONE.










































                                  Schedule III

                    (to Deed of Trust and Security Agreement)




                                                                               1

________________________________________________________________________________
________________________________________________________________________________



                         MORTGAGE AND SECURITY AGREEMENT

                           Dated as of March 31, 1990

                                      FROM

                            HAVENWYCK HOSPITAL, INC.

                                                               (the "Mortgagor")

                                       TO

                    THE CITIZENS AND SOUTHERN NATIONAL BANK,
                         a national banking association

                                       and

                                 SUSAN L. ADAMS

                                                               (the "Mortgagee")


________________________________________________________________________________
________________________________________________________________________________


                                                   This Instrument was
                                                   prepared by and when
                                                   recorded return to:
(Auburn Hills, Michigan)                           _________________________

                                                   Michael G. McGee
                                                   Chapman and Cutler
                                                   111 West Monroe Street
                                                   Chicago, Illinois 60603



<PAGE>

                                TABLE OF CONTENTS

Section                                                                     Page


1.  DEFINITIONS............................................................. 10

2.  GENERAL COVENANTS AND WARRANTIES........................................ 14
         2.1      Note Agreements and Indenture Covenants................... 14
         2.2      Ownership of Mortgaged Property........................... 14
         2.3      Further Assurances........................................ 15
         2.4      Payment of Principal and Interest......................... 15
         2.5      Maintenance of Mortgaged Property, Other
                  Liens, Compliance with Laws, etc.......................... 15
         2.6      Insurance................................................. 17
         2.7      Payment of Taxes and Other Charges........................ 19
         2.8      Advances.................................................. 20
         2.9      Recordation............................................... 20
         2.10     After-Acquired Property................................... 21
         2.11     Priority of this Deed of Trust; Future
                  Advances; Extensions, Modifications, and
                  Renewals.................................................. 21

3.  POSSESSION, USE AND RELEASE OF PROPERTY................................. 21
         3.1      Possession by Mortgagor; Dispositions Without
                  Release................................................... 21
         3.2      Eminent Domain............................................ 23
         3.3      Purchaser Protected....................................... 24
         3.4      Release Of Mortgaged Property - Mortgagee
                  Consent................................................... 24

4.  APPLICATION OF INSURANCE AND CERTAIN OTHER
                    MONEYS RECEIVED BY THE MORTGAGEE........................ 24
         4.1      Insurance Proceeds and Condemnation Awards................ 24
         4.2      Other Proceeds............................................ 27

5.  DEFAULTS AND REMEDIES THEREFOR.......................................... 27
         5.1      Events of Default......................................... 27
         5.2      Remedies.................................................. 27
         5.3      Application of Proceeds................................... 30
         5.4      Waiver of Extension, Appraisement and Stay
                  Laws...................................................... 30
         5.5      Waste..................................................... 31
         5.6      Effect of Discontinuance of Proceedings................... 31
         5.7      Delay or Omission Not a Waiver............................ 32

6.  MISCELLANEOUS........................................................... 32
         6.1      Successors and Assigns.................................... 32
         6.2      Severability.............................................. 32
         6.3      Addresses for Notices..................................... 32
         6.4      Headings and Table of Contents............................ 33
         6.5      Release of Mortgage....................................... 33
         6.6      Counterparts.............................................. 33
         6.7      GOVERNING LAW............................................. 33




                                        i
<PAGE>

ATTACHMENTS TO MORTGAGE:

Annex A - Legal Description of Real Property
Annex B - Excluded Property


Schedule I   - Purchasers
Schedule II  - Assigned Agreements
Schedule III - Pledged Shares




                                       ii
<PAGE>


                                Table of Contents

Section                                                                     Page

Parties......................................................................  1

Granting Clauses.............................................................  2

1.  DEFINITIONS.............................................................. 10

2.  GENERAL COVENANTS AND WARRANTIES......................................... 14
         2.1      Note Agreements and Indenture Covenants.................... 14
         2.2      Ownership of Mortgaged Property............................ 14
         2.3      Further Assurances......................................... 15
         2.4      Payment of Principal and Interest.......................... 15
         2.5      Maintenance of Mortgaged Property, Other
                  Liens, Compliance with Laws, etc........................... 15
         2.6      Insurance.................................................. 17
         2.7      Payment of Taxes and Other Charges......................... 19
         2.8      Advances................................................... 20
         2.9      Recordation................................................ 20
         2.10     After-Acquired Property.................................... 21
         2.11     Priority of this Deed of Trust; Future
                  Advances; Extensions, Modifications, and
                  Renewals................................................... 21

3.  POSSESSION, USE AND RELEASE OF PROPERTY.................................. 21
         3.1      Possession by Mortgagor; Dispositions Without
                  Release.................................................... 21
         3.2      Eminent Domain............................................. 23
         3.3      Purchaser Protected........................................ 24
         3.4      Release Of Mortgaged Property - Mortgagee
                  Consent.................................................... 24

4.  APPLICATION OF INSURANCE AND CERTAIN OTHER
                    MONEYS RECEIVED BY THE MORTGAGEE......................... 24
         4.1      Insurance Proceeds and Condemnation Awards................. 24
         4.2      Other Proceeds............................................. 27

5.  DEFAULTS AND REMEDIES THEREFOR........................................... 27
         5.1      Events of Default.......................................... 27
         5.2      Remedies................................................... 27
         5.3      Application of Proceeds.................................... 30
         5.4      Waiver of Extension, Appraisement and Stay
                  Laws....................................................... 30
         5.5      Waste...................................................... 31
         5.6      Effect of Discontinuance of Proceedings.................... 31
         5.7      Delay or Omission Not a Waiver............................. 32


                                        i
<PAGE>



Section                                                                     Page

6.  MISCELLANEOUS............................................................ 32
         6.1      Successors and Assigns..................................... 32
         6.2      Severability............................................... 32
         6.3      Addresses for Notices...................................... 32
         6.4      Headings and Table of Contents............................. 33
         6.5      Release of Mortgage........................................ 33
         6.6      Counterparts............................................... 33
         6.7      GOVERNING LAW.............................................. 33




                                       ii
<PAGE>



          THE MORTGAGE AND  SECURITY  AGREEMENT  dated as of March 31, 1990 (the
"Mortgage")  from  HAVENWYCK  HOSPITAL,   INC.,  a  Michigan   corporation  (the
"Mortgagor"),  having its  principal  office at 1525  University  Drive,  Auburn
Hills,  Michigan  48057 to The Citizens and Southern  National  Bank, a national
banking  association,  whose  post  office  address  is 33 North  Avenue,  N.E.,
Atlanta, Georgia 30302, Attention: Corporate Trust Department and Susan L. Adams
(the "Individual  Trustee") whose post office address is 33 North Avenue,  N.E.,
Atlanta,  Georgia  30302,  as Trustees (the Trustee and the  Individual  Trustee
being hereinafter collectively referred to as the "Mortgagee").


                                R E C I T A L S:


          A. The Mortgagor  together  with the other  Obligors have entered into
that certain Trust Indenture dated as of March 31, 1990 (the  "Indenture")  with
The  Citizens  and  Southern  National  Bank,  and Susan L. Adams,  as Trustees,
pursuant to which the Obligors provide for, among other things, the creation and
securing of the full and prompt payment of all amounts due with respect there to
of the 11.6%  Senior  Secured  Notes of the  Obligors  due March 31,  2000 in an
aggregate  principal  amount of $56,500,000 (the "Senior Secured Notes") and the
15.6%  Subordinated  Secured  Notes,  of the  Obligors  due March 31, 2000 in an
aggregate  principal  amount of $3,000,000  (the  "Subordinated  Secured Notes")
which  Senior  Secured  Notes  and  Subordinated   Secured  Notes   (hereinafter
collectively  referred  to as the  "Notes")  constitute  the joint  and  several
obligation  of the Obligors  and are further  described  in the  Indenture.  the
holders from time to time of the Notes are hereinafter  collectively referred to
as the  "Noteholders".  Unless herein otherwise  defined,  all capitalized terms
used herein shall have the same meaning as defined in the Indenture.

          B. The  Obligors  require  funds to prepay  certain  indebtedness  for
borrowed money of the obligors (which  indebtedness  was issued by or guaranteed
by each of the Obligors) and to finance  capital  expenditures,  renovations and
construction  at  facilities  owned by certain of the  Obligors  and in order to
strengthen  the  financial and  operating  condition of each and every  Obligor,
directly and indirectly,  as a result of the enhanced  ability of the Company to
provide  financial,  accounting,  consulting and  administrative  assistance and
services to each other Obligor. In order to provide funds for such purposes, the
Obligors have entered into separate and several Note  Purchase  Agreements  each
dated  as  of  March  31,  1990  (the  "Note   Agreements")  with  each  of  the


<PAGE>

                                                                               2

institutional   investors  (the  "Purchasers")  named  in  Schedule  I  thereto,
providing for the commitment of the Purchasers to purchase the Notes.

          C. The Notes are further secured by the Pledge and Security Agreements
dated  as  of  March  31,  1990  (the  "Pledges")  from  the  Company,  Michigan
Psychiatric  Services,  Inc., Americare of Galax, Inc. and Bountiful Psychiatric
Hospital, Inc. to the Trustee.

          D. The Notes and all principal  thereof,  premium if any, and interest
thereon  and all  additional  amounts  and other  sums at any time due and owing
from, and required to be paid by the Obligors under the terms of the Notes,  the
Note Agreements,  the Indenture, the Pledge, this Mortgage or any other mortgage
or deed of trust  executed and delivered by the other  Obligors  pursuant to the
Indenture are  hereinafter  sometimes  referred to as the  "Indebtedness  hereby
secured".

          E. The Mortgagor is duly authorized under all applicable provisions of
law,  its charter and  by-laws to issue the Notes,  to execute and deliver  this
Mortgage  and to  mortgage,  convey  and  assign the  "Mortgaged  Property"  (as
hereinafter  defined)  to the  Mortgagee  as  security  for the  Notes and other
indebtedness hereby secured and all corporate action and all consents, approvals
and other  authorizations  and all other acts and things  necessary to make this
Mortgage the valid,  binding and legal  instrument for the security of the Notes
have been done and performed.

          F. The Purchasers  have required as a condition to their  purchaser of
the Notes that the  Mortgagor  execute and deliver this Mortgage as security for
the payment of the Notes.

          NOW,  THEREFORE,  THIS MORTGAGE  WITNESSETH:  That the  Mortgagor,  in
consideration of the premises,  the purchaser and acceptance of the Notes by the
Purchasers,  and of the sum of Ten Dollars  received by the  Mortgagor  from the
Purchasers and the Mortgagee and other good and valuable consideration,  receipt
whereof is hereby  acknowledged,  and in order to  strengthen  the financial and
operating  condition of each and every  Obligor  directly and  indirectly,  as a
result of the enhanced ability of the Company to provide financial,  accounting,
consulting and administrative  assistance and service to each other Obligor, and
in order to secure  the  payment  of the  principal  of,  premium,  if any,  and
interest on the Notes  according  to their  tenor and effect,  and to secure the
payment  of all  other  indebtedness  hereby  secured  and the  performance  and
observance of all the covenants, agreements and  conditions contained in the



<PAGE>

                                                                               3

Notes, this Mortgage, the Note Agreements and the Indenture,  the Mortgagor does
hereby warrant, mortgage, pledge, assign, bargain,  hypothecate,  convey, grant,
transfer  and set over  unto  the  Mortgagee  and its  successors  in trust  and
assigns,  and grants to the Mortgagee and its  successors in trust and assigns a
security  interest  with power of sale, in and to all and singular the following
described properties, rights, interest and privileges and all of the Mortgagor's
estate, right, title and interest therein,  thereto and thereunder (all of which
properties  hereby  mortgaged,  assigned  and  pledged or  intended so to be are
hereinafter collectively referred to as the "Mortgaged Property"):


                                GRANTING CLAUSE I

          The parcels of land in Oakland County,  State of Michigan described in
Annex A  attached  hereto  and made a part  hereof,  together  with  the  entire
interest of the Mortgagor in and to all buildings, structures,  improvements and
appurtenances now standing, or at any time hereafter constructed or placed, upon
such land, including all right, title and interest of the Mortgagor,  if any, in
and to all building material, building equipment, and (except as hereinafter set
forth) all fixtures of every kind and nature  whatsoever  on said land or in any
building,  structure or improvement now or hereafter standing on said land which
are classified as fixtures under applicable law and which are used in connection
with the operation,  maintenance or protection of said buildings,  structure and
improvements as such (including, without limitation, all boilers, air condition,
ventilating,  plumbing,  heating, lighting and electrical systems and apparatus,
all communications  equipment and intercom systems and apparatus,  all sprinkler
equipment and apparatus,  and all elevators and escalators).  All items included
under this Mortgage,  and the reversion or reversions,  remainder or remainders,
in and to said land,  and together with the entire  interest of the Mortgagor in
and to all and singular the tenements, hereditaments,  easements, rights of way,
rights,  privileges  and  appurtenances  to said land,  belonging  or in anywise
appertaining thereto, including, without limitation, the entire right, title and
interest of the Mortgagor,  in, to and under any streets, ways, alleys, gores or
strips of land adjoining said land, and all claims or demands  whatsoever of the
Mortgagor either in law or in equity, in possession or expectancy, of, in and to
said and, it being the  intention of the parties  hereto that,  so far as may be
permitted by law, all property of the character hereinabove described,  which is
now owned or is hereafter acquired by the Mortgagor and is affixed or attached  



<PAGE>

                                                                               4

or annexed to said land,  shall be and remain or become and constitute a portion
of said  land  and the  security  covered  by and  subject  to the  lien of this
Mortgage, together with all accessions,  parts and appurtenances appertaining or
attached  thereto  and  all  substitutions,  renewals  or  replacements  of  and
additions,  improvements,  accessions and  accumulations to any and all thereof,
and  together  with all rents,  income,  revenues,  awards,  issues and  profits
hereof, and the present and continuing right to make claim for, collect, receive
and receipt for any and all of such rents, income, revenues,  awards, issues and
profits  arising  therefrom or in connection  therewith (all such property being
hereinafter  collectively  referred  to as the "Land  Parcels").  The  Mortgaged
Property  shall not include any personal  property or equipment not owned by the
Mortgagor so long as the same can be removed without causing  material damage to
the  Mortgaged  Property  (all  such  property  being  hereinafter  collectively
referred to as "Excluded Property"). The Excluded Property is described in Annex
B hereto.


                               GRANTING CLAUSE II

          All machinery and equipment in all of its forms, wherever located, now
or hereafter existing (including,  but not limited to, all drugs,  environmental
monitoring  devices,  medical supplies,  hospital supplies,  uniforms,  x-ray or
nuclear  magnetic  resonance  devices,  imaging devices,  laboratory  equipment,
Medical equipment,  surgical equipment,  quality control equipment, motors, test
equipment,  computer software,  data processing  equipment,  printers,  presses,
computer  test  equipment,   industrial   machinery,   equipment  and  fixtures,
transportation   equipment,   office  and  other   machinery,   video  or  audio
reproduction devices, stretchers, wheel-chairs, furniture, aircraft, ambulances,
rolling stock, motor vehicles,  trailers,  tractors,  trucks, cars, tools, spare
parts and fuel,  items employed in the maintenance or repair of any structure of
any grounds, all foodstuffs of any kind, drawings,  books, records and equipment
containing books and records or in which books and records are stored),  and all
parts thereof and all accessions thereto and replacements thereof, together with
any  additional  machinery and  equipment  that may become part of the Mortgaged
Property  or  located on the Land  Parcels  and less any  Equipment  that may be
deleted from the  Mortgaged  Property or removed from the Land  Parcels,  all in
accordance  with  the  terms  of this  Mortgage  (any  and all  such  machinery,
equipment, parts and accessions being the "Equipment");



<PAGE>

                                                                               5

                               GRANTING CLAUSE III

          All insurance proceeds,  judgments, awards of damages, settlements and
other  compensation  arising out of any  damage,  destruction,  condemnation  or
taking of the Mortgaged Property;

          All leases and subleases  belonging and otherwise  appertaining to the
Land Parcels,  including all extended  terms and all  extensions and renewals of
the term of such  leases  and  subleases,  together  with all  right,  title and
interest of th Mortgagor as lessor thereunder,  including,  without  limitation,
the present and continuing right to make claim  thereunder,  including,  without
limitation, the present and continuing right to make claim for, collect, receive
and receipt for any and all of the rents, income,  revenues,  issues and profits
and other sums of money payable or receivable  under such leases and  subleases,
whether payable as rent or otherwise, to receive and give notices thereunder, to
bring actions and proceedings  thereunder or for the enforcement thereof, and to
do any and all things  which the  Mortgagor or any other lessor is or may become
entitled to do under the leases and subleases; provided that the assignment made
by this  Granting  Clause IV shall not impair or diminish any  obligation of the
Mortgagor  under the  leases and  subleases,  nor shall any such  obligation  be
imposed upon the Mortgagee or the holder of any Note;

                                GRANTING CLAUSE V

          All inventory in all of its forms,  wherever located, now or hereafter
existing (including,  but not limited to (i) drugs,  medical supplies,  hospital
supplies, books, uniforms, medical equipment, surgical equipment, video or audio
reproduction  devices  and  foodstuffs  of any  kind,  (ii)  goods in which  the
Mortgagor  has an interest in mass or a joint or other  interest or right of any
kind  (including,  without  limitation,  goods in  which  the  Mortgagor  has an
interest  or right as  consignee),  and  (iii)  goods  that are  returned  to or
repossessed by the Mortgagor),  and all accessions  thereto and products thereof
and documents  therefor (any and all such  inventory,  accessions,  products and
documents being the "Inventory");


                               GRANTING CLAUSE VI

          All agreements  listed on Schedule II, as each of such  agreements may
be amended,  supplemented or otherwise  modified and in effect from time to time
(such agreements as so amended or modified and in effect, being the "Assigned



<PAGE>

                                                                               6

Agreements"),  including, without limitation, (i) all rights of the Mortgagor to
receive  moneys  due  and to  become  due  under  or  pursuant  to the  Assigned
Agreements,  (ii)  all  rights  of the  Mortgagor  to  receive  proceeds  of any
insurance,  indemnity,  warranty  or  guaranty  with  respect  to  the  Assigned
Agreements,  (iii)  claims of the  Mortgagor  for damages  arising out of or for
breach of or default or  misrepresentation  under the Assigned Agreements or any
documents, instruments or opinions delivered pursuant thereto, (iv) the right of
the Mortgagor to terminate the Assigned Agreements, to perform thereunder and to
compel performance and otherwise exercise all remedies  thereunder,  and (v) all
rights to receive per diem or other  reimbursements  and  payments  from private
insurance companies,  federal or state governmental agencies or any other person
or entity in respect of services provided (in each case, to the extent permitted
by law);


                               GRANTING CLAUSE VII

          All of the following collateral (the "Security Collateral"):

          (A) all shares (the  "Pledge  Shares") of stock  described in Schedule
III  and  issued  by  the  corporations   named  therein  and  the  certificates
representing the Pledged Shares, and all dividends,  cash, instruments and other
property  from time to time  received,  receivable or otherwise  distributed  in
respect of or in exchange for any or all of the Pledged Shares; and

          (B) all  additional  shares of stock from time to time acquired by the
Mortgagor  in any manner,  and the  certificates  representing  such  additional
shares,  and all dividends,  cash,  instruments  and other property from time to
time received,  receivable or otherwise distributed in respect of or in exchange
for any or all of such additional shares;


                              GRANTING CLAUSE VIII

          To the extent not otherwise covered by Granting Clauses I through VII,
inclusive, all cash, accounts,  general intangibles (including,  but not limited
to, all:  governmental  or  regulatory  permits or  certificate  s(to the extent
permitted  by law);  rights  to  receive  per diem or other  reimbursements  and
payments  from  private  insurance  companies,  federal  or  state  governmental
agencies or any other person or entity in respect of services provided (in each



<PAGE>

                                                                               7

case, to the extent permitted by law); tax refunds; intellectual property rights
of any kind (whether  arising under  federal,  state or foreign law),  know how,
trade  secrets,   engineering  plans,  computer  software,  drawings  and  other
proprietary   information   (including   without   limitation  any  business  or
organization plans,  reports or projections of any kind, whether or not fixed in
any tangible medium);  patents and patent  applications;  unpatented  inventions
(whether or not patentable); copyrights; trademarks, trade names, service marks,
trademark  and  service  mark  applications,  and all  good  will to  which  the
Mortgagor is entitled or of any  businesses  in which the  Mortgagor is engaged,
whether or not such goodwill is  associated  with or related to any such mark or
application;  license  agreements  relating to any of the  foregoing  and income
therefrom;  and the right to sue for all past, present and future  infringements
of the foregoing,  contract rights to the extent a security interest or lien may
be granted in or on such  contract  rights  pursuant  to the  relevant  contract
(including,  but not limited to, all rights of the  Mortgagor to receive  moneys
due and to become due under or pursuant to any accounts, general intangibles and
contract  rights and all of the rights of the  Mortgagor  to  terminate,  and to
perform,  compel  performance and otherwise  exercise all remedies  under,  such
accounts,  general intangibles and contract rights),  chattel paper, instruments
and other  obligations,  in each case, of any kind,  now or hereafter  existing,
whether or not arising out of or in  connection  with the sale or lease of goods
or the rendering of services, and all rights now or hereafter existing in and to
all  mortgages,  security  agreements,  leases and other  contracts  securing or
otherwise relating to any such cash,  accounts,  general  intangibles,  contract
rights,  chattel  paper,  instruments  and  obligations  (any and all such cash,
accounts,  general intangibles,  contract rights, chattel paper, instruments and
obligations being the  "Receivables",  and any and all such mortgages,  security
agreements, leases and other contracts being the "Related Contracts"): and


                               GRANTING CLAUSE IX

          All  proceeds  of any  and  all of the  foregoing  Mortgaged  Property
including,  without  limitation,  proceeds that constitute property of the types
described in Granting Clauses I through VIII, inclusive,  and, to the extent not
otherwise  included,  (x)  all  payments  under  insurance  (whether  or not the
Mortgagee is the loss payee  thereof),  or any indemnity,  warranty or guaranty,
payable by reason of loss or damage to or  otherwise  with respect to any of the
foregoing Mortgaged Property,  and (y) all cash, wherever located,  not included
above in clause (x).

<PAGE>

                                                                               8

          SUBJECT,  HOWEVER, to Permitted Encumbrances,  as defined in section 1
hereof;

          TO HAVE AND TO HOLD the Mortgaged  Property unto the Mortgagee and its
successors in trust and assigns forever for the purpose of securing  performance
of each agreement,  covenant and warranty of the Mortgagor  contained herein and
payment of the  indebtedness  hereby  secured from time to time issued under and
pursuant to the Note  Agreements and the Indenture.  It is understood and agreed
that this  Mortgage is to secure the  obligation  of the  Mortgagor to repay all
sums due or to  become  due in  respect  of the  Notes  executed  and  delivered
pursuant to the Note Agreements and the Indenture,  including  those  heretofore
executed and those of even date herewith.

          PROVIDED,  NEVERTHELESS,  and  these  present  are  upon  the  express
condition  that  if the  Mortgagor  performs  the  covenants  herein  and in the
indenture  contained  and pays to the  Mortgagee,  its  successors  in trust and
assigns,  the full amount of all principal of, and premium, if any, and interest
on the Notes and all other indebtedness  hereby secured,  the estate,  right and
interest  of the  Mortgagee  in the  Mortgaged  Property  shall  cease  and this
Mortgage  shall become null and void,  but otherwise to remain in full force and
effect.

          It is agreed and understood by the parties hereto that:

          1. The Notes are to be secured by other  mortgages  and deeds of trust
     of other  Obligors on other real estate in the States or  Commonwealths  of
     Michigan,  North Carolina, Utah, Arizona and West Virginia. Each and all of
     said  mortgages  and deeds of trust are  intended  to and shall  constitute
     security  for the entire  indebtedness  represented  by said Notes  without
     allocation.

          2.  Any  part of the  security  herein  described,  and  any  security
     described in any other mortgage or other  instrument now or hereafter given
     to secure  the  indebtedness  which is  secured  by this  Mortgage,  may be
     released by the Mortgagee  without affecting the lien and security interest
     hereof on the  remainder  or the  obligations  of the  Mortgagor  on and in
     respect  of the Notes  and any  person  acquiring  any  direct or  indirect
     interest in the security herein described or in any security described in  



<PAGE>

                                                                               9


     any other mortgage or other instrument now or hereafter given to secure the
     indebtedness  which is secured by this Mortgage shall take the same subject
     to all of the provisions hereof.

          3. The  Mortgagor for itself and all who may claim through or under it
     waives any and all right to have the  property and estates  comprising  the
     Mortgaged  Property  marshalled upon any foreclosure of the lien hereof, or
     to have the Mortgaged  Property  hereunder and the property  covered by any
     other  mortgage or deed of trust  securing  the Notes  marshalled  upon any
     foreclosure of any of said mortgages or deeds of trust, and agrees that any
     court having  jurisdiction  to foreclose  such lien may order the Mortgaged
     Property sold as an entirety.

          4. Upon the occurrence of an Event of Default  hereunder the Mortgagee
     has, among other things, the right to foreclose on the Mortgaged  Property,
     in the manner  described by  applicable  law, and dispose of the same.  The
     Mortgagee's  deed or other  instrument of  conveyance,  transfer of release
     (which  may  be  executed  by  the   Mortgagee   in  its  own  name  or  as
     attorney-in-fact  for the Mortgagor and the Mortgagee is hereby irrevocably
     appointed  attorney-in-fact for the Mortgagor) shall be effective to convey
     and transfer to the grantee an indefeasible  title to the property  covered
     thereby,  discharged  of all rights of  redemption  by the Mortgagor or any
     person claiming under it, and to bar forever all claims by the Mortgagor or
     the said Mortgagee to the property  covered thereby and no grantee from the
     Mortgagee  shall be under any duty to  inquire as to the  authority  of the
     Mortgagee to execute the same,  or to see the  application  of the purchase
     money.

SECTION 1.  DEFINITIONS.

          Capitalized  terms used in this Mortgage and not defined  herein shall
have the meaning provided  therefore in the Indenture.  In addition to the terms
elsewhere defined in this Mortgage, the following terms shall have the following
meanings for all purposes of this Mortgage:

          "Appraised  Value" with respect to the Mortgaged  Property  shall mean
     the fair market value on the date of an appraisal of the Mortgaged Property



<PAGE>
                                                                              10


     as  shown by (i) the  appraisal  thereof  furnished  to the  Purchasers  in
     accordance  with the provisions of Section  7(a)(vi) of the Note Agreements
     or Section  10.2(b)(v) or Section  10.2(c)(vi) of the Indenture or (ii) the
     appraisal  thereof  furnished  to the  Mortgagee  in  accordance  with  the
     provisions of section 4.2 of the Indenture.

          "Cost"  shall mean an amount equal to the sum of the  following  items
     capitalizing  on the books of the  Mortgagor in accordance  with  generally
     accepted accounting principles:  (i) the actual construction costs thereof,
     including  cost  of  land  and  buildings,  landscaping,  on and  off  site
     improvements,  architectural,  engineering  and  other  professional  fees,
     interest  and taxes  during  construction  and all  carrying  charges,  but
     excluding  the cost of  Excluded  Property  and (ii) fees and  expenses  in
     connection  with the  placement,  issuance and sale of the Notes  including
     fees and expenses referred to in Section 8 of the Note Agreements allocated
     by the Mortgagor to the Mortgaged  Property,  the physical survey and title
     charges referred to in Section 8(g) of the Note Agreements, the charges for
     the environmental  audit and appraisal  referred to in Section 8(h) and (i)
     of the Note  Agreements in respect of such Mortgaged  Property  incurred by
     the Mortgagor and debt service expenses, and all closing costs with respect
     to the Mortgaged Property.

          "Default"  shall mean any event or condition,  the occurrence of which
     would, with the lapse of time or the giving of notice, or both,  constitute
     an Event of Default.

          "Event of  Default"  shall  mean any  events  specified  in  section 5
     hereof.

          "Loan Value" of the Mortgaged  Property shall be an amount  determined
     by  multiplying  the  aggregate   unpaid  principal  amount  of  the  Notes
     outstanding  immediately prior to the date on which the Loan Value is to be
     determined by a fraction the numerator of which is t he Appraised  Value of
     the Mortgaged  Property and the  denominator is the Appraised  Value of all
     property of the Obligors which is then subject to the lien of this Mortgage
     and each and  every  other  mortgage  and  deed of trust  delivered  to the
     Mortgagee under and pursuant to the Note Agreements and the Indenture.

<PAGE>

                                                                              11

          "Note" shall mean any of, and "Notes" shall mean all of, the Noes then
     outstanding  under  the  Note  Agreements  and  the  Indenture.   The  term
     "outstanding"  when used with  reference  to Notes  shall  mean,  as of any
     particular  time,  all  Notes  delivered  by the  Obligors  under  the Note
     Agreements and the Indenture and secured hereby and by each and every other
     mortgage  delivered  pursuant  to the Note  Agreements  and the  Indenture,
     except:

               (a) Notes  theretofore  cancelled  by the Trustee or delivered to
          the Trustee for cancellation;

               (b) Notes for the payment or  prepayment  of which  moneys in the
          necessary amount shall have been paid to the Mortgagee, provided, that
          if such Notes are to be prepaid prior to the maturity thereof,  notice
          of such prepayment shall have been given as provided in Section 5.6 of
          the Indenture or provision satisfactory to the Trustee shall have been
          made for giving such notices; and

               (c) Notes in lieu of or in  substitution  for which  other  Notes
          shall have been  authenticated and delivered  pursuant to the terms of
          Section 2.6 of the Indenture.

          "Officers'  Certificate"  shall  mean  a  certificate  signed  by  the
     President and by any one of the following  officers of the Mortgagor:  Vice
     President or the Secretary.

          "Opinion of Counsel"  shall mean an opinion in writing signed by legal
     counsel who shall be satisfactory to the Mortgagee,  and who may be counsel
     to the Mortgagor.

          "Permitted Encumbrances" shall mean:

               (a) liens for  property  taxes and  assessments  or  governmental
          charges or levies and liens  securing  claims or demands of  mechanics
          and  materialmen,  provided  that  payment  thereof is not at the time
          required by section 2.7;

<PAGE>

                                                                              12

                  
               (b) Liens of or resulting  from any  judgment or award,  the time
          for the  appeal or  petition  for  rehearing  of which  shall not have
          expired,  or in  respect of which the  Mortgagor  shall at any time in
          good faith be  prosecuting an appeal or proceeding for a review and in
          respect of which a stay of execution pending such appeal or proceeding
          for review shall have been secured;

               (c) liens,  charges,  encumbrances and priority claims incidental
          to the conduct of business or the ownership of  properties  and assets
          (including   warehousemen's   and   attorneys'   liens  and  statutory
          landlords'  liens)  and  deposits,  pledges  or  liens to  secure  the
          performance  of  bids,  tenders  or  trade  contracts,  or  to  secure
          statutory  obligations,  surety or appeal bonds or other liens of like
          general nature  incurred in the ordinary course of business and not in
          connection  with the  borrowing of money,  provided in each case,  the
          obligation  secured is not overdue or, if overdue,  is being contested
          in good faith by appropriate actions or proceedings;

               (d) minor survey exceptions or minor  encumbrances,  easements or
          reservations,  or rights of others for  rights-of-way,  utilities  and
          other similar purposes,  or zoning or other restrictions as to the use
          of  real  properties,  which  are  necessary  for the  conduct  of the
          activities of the Mortgagor or which  customarily  exist on properties
          of corporations  engaged in similar  activities and similarly situated
          and  which do not in any  event  materially  impair  their  use in the
          operation of the business of the Mortgagor;


<PAGE>

                                                                              13

               (e) mortgages,  liens and security  interests securing the Notes;
          and

               (f) leases permitted by the provisions of section 3.1(d).

               "Person"  shall  mean an  individual,  partnership,  corporation,
          trust or unincorporated organization.

SECTION 2. GENERAL COVENANTS AND WARRANTIES.

          The Mortgagor covenants, warrants and agrees as follows:

          2.1  Note  Agreements  and  Indenture  Covenants.  Each and all of the
terms,  provisions,  restrictions,  covenants  and  agreements  set forth in the
Notes, the Note Agreements, the Pledges and the Indenture, and in each and every
supplement  thereto or amendment  thereof which may at any time for form time to
time be executed and delivered by the parties  thereto or their  successors  and
assigns are  incorporated  herein by reference to the same extent as though each
and all of said terms, provisions,  restrictions,  covenants and agreements were
fully set out herein and as though any amendment or supplement to the Notes, the
Notes Agreements,  the Pledges or the Indenture,  as the case may be, were fully
set out in an amendment or supplement to this  Mortgage;  and the Mortgagor does
hereby  covenant  and agree well and truly to abide by,  perform and be governed
and  restricted  by each and all of the matters  provided for by the Notes,  the
Notes  Agreements,  the Pledges and Indenture and so incorporated  herein to the
same extent and with the same force and effect as if each and all of said terms,
provisions,  restrictions,  covenants  and agreement so  incorporated  herein by
reference  were set out and  repeated  herein at length.  Without  limiting  the
foregoing,  the Mortgagor covenants and agrees to pay all taxes, assessments and
governmental  charges or levies  imposed upon this  Mortgage or the Notes or any
other indebtedness secured hereby.

          2.2  Ownership of Mortgaged  Property.  The  Mortgagor  covenants  and
warrants  that it has  good  and  marketable  title  to the  Mortgaged  Property
hereinbefore  conveyed to the Mortgagee free and clear of all liens, charges and
encumbrances whatever except Permitted Encumbrances,  and the Mortgagor has full
right,  power and  authority  to convey,  transfer  and mortgage the same to the
Mortgagee  for the  uses  and  purposes  in this  Mortgage  set  forth;  and the
Mortgagor  will warrant and defend the title to the Mortgaged  Property  against
all claims and demands whatsoever.

<PAGE>

                                                                              14


          2.3 Further  Assurances.  The Mortgagor will, at its own expense,  do,
execute,  acknowledge  and deliver all and every further act, deed,  conveyance,
transfer and assurance  necessary or proper for the better assuring,  conveying,
assigning and confirming  unto the Mortgagee all of the Mortgaged  Property,  or
property intended so to be, whether now owned or hereafter acquired.

          2.4 Payment of Principal  and Interest.  The  Mortgagor  will duly and
punctually pay the principal of, and premium,  if any, and interest on all Notes
and all other amounts payable under indebtedness hereby secured according to the
terms thereof.

          2.5 Maintenance of Mortgaged  Property,  Other Liens,  Compliance with
Laws,  etc. (a) Without  limiting the provisions of Section 3.8 of the Indenture
and  subject to  section 3 hereof,  the  Mortgagor  shall (i)  promptly  repair,
restore or rebuild any buildings,  improvements or Equipment now or hereafter on
the Mortgaged  Property which may become damaged or be destroyed,  (ii) keep the
Mortgaged  Property  in good  condition  and  repair,  ordinary  wear  and  tear
excepted,   without  waste,  and  free  from  all  claims,  liens,  charges  and
encumbrances  other  than  Permitted  Encumbrances,   (iii)  pay  when  due  any
indebtedness  which may be secured by a lien or charge on the Mortgaged Property
and upon request exhibit satisfactory  evidence of the discharge of such lien to
the Mortgagee,  (iv) comply with all requirements of law or municipal ordinances
with respect to the  Mortgaged  Property and the use thereof,  failure to comply
with which would result in any material  interference  with the use or operation
of the Mortgaged  Property by the Mortgagor,  (v) not, without the prior written
consent of Mortgagee, (A) initiate or support any zoning reclassification of the
Mortgaged   Property,   seek  any  variance  under  existing  zoning  ordinances
applicable to the  Mortgaged  Property or use or permit the use of the Mortgaged
Property in a manner which would result in such use becoming a nonconforming use
under  applicable  zoning  ordinances,  (B) modify or amend any of the Permitted
Encumbrances,  (C) impose any  restrictive  covenants or  encumbrances  upon the
Mortgaged Property, execute or file any subdivision plat affecting the Mortgaged
Property  or  consent  to  the  annexation  of  the  Mortgaged  Property  to any
municipality  or (D) permit or suffer the  Mortgaged  Property to be used by the
public or any person in such  manner as might  make  possible a claim of adverse
usage or possession or of any implied  dedication or easement,  and (vi) make no
material alterations in said Mortgaged Property except as required by law or



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                                                                              15

municipal ordinance;  provided,  however, the Mortgagor may make any alterations
of any kind to the  Mortgaged  Property if (A) the market value of the Mortgaged
Property  would not be impaired;  (B) such  alterations  shall be performed in a
good and a workmanlike  manner;  and (C) such alterations shall be expeditiously
completed in compliance with all laws,  ordinances,  orders, rules,  regulations
and  requirements  applicable  thereto,  including  to the extent  necessary  to
maintain in full force and effect the policies of insurance  required by section
2.5 hereof. The Mortgagor shall promptly pay all costs and expenses of each such
addition,  alteration,  substitution and replacement,  discharge all liens filed
against the Mortgaged  Property  arising out of the same and procure and pay for
all permits and licenses required in connection  therewith.  The Mortgagor shall
notify  the  Mortgagee  and each  holder of the Notes of the  filing of any lien
against the Mortgaged Property in an amount greater then $25,000.

          (b)  The  Mortgagor  may,  at its  expense,  (i)  construct  upon  the
Mortgaged Property additional  buildings,  structures and other improvements and
(ii)  install,  assemble  and  place  upon the  Mortgaged  property  an items of
machinery and equipment used or useful in the Mortgagor's business, in each case
upon  compliance  with the  provisions of paragraph (a) of this section 2.5. All
such buildings,  structures and other  improvements  shall be and remain part of
the Land  Parcels and shall be subject to this  Mortgage  unless  such  property
shall constitute  Excluded Property.  Excluded Property shall not be deemed part
of the  Mortgaged  Property for purposes of  condemnation  or casualty,  and the
Mortgagor may remove the same from the  Mortgaged  Property at any time prior to
the  expiration  or earlier  termination  of this  Mortgage,  provided  that the
Mortgagor,  at its expense,  shall repair any damage to the  Mortgaged  Property
resulting form such removal.

          (c) The Mortgaged Property is not located in an area identified by the
Secretary  of Housing and Urban  Development  or a successor  thereto as an area
having  special  flood  hazards  pursuant  to the  terms of the  National  Flood
Insurance Act of 1963, or the Flood Disaster Protection Act of 1973, as amended,
or any successor  law; or if the Mortgaged  Property is located in such an area,
Mortgagor will obtain and maintain  insurance against damage or loss by flood on
such basis and in such amounts as shall be required by Mortgagee.

          (d) The Mortgagor  shall use and operate the  Mortgaged  Property as a
hospital.




<PAGE>

                                                                              16

          2.6  Insurance.  (a) Insurance  Against Loss or Damage.  The Mortgagor
will maintain or cause to be maintained  with respect to the Mortgaged  Property
insurance  against  loss by fire,  windstorm  and  explosion  and with  extended
coverage  and  against  such other  risks of  physical  loss as are  customarily
insured  against,  and in such amounts as are  customarily  carried by companies
owning  property of a similar  character and similarly  located and engaged in a
business similar to that engaged in by the Mortgagor;  provided,  however,  that
the amount of such insurance with respect to the Mortgaged Property shall not at
any time be less than the greater of replacement value or Loan Value thereof.

          (b)  Insurance  Against  Public  Liability  and Property  Damage.  The
Mortgagor  will  maintain or cause to be  maintained  in effect,  with  insurers
satisfactory to the Mortgagee,  insurance policies with respect to the Mortgaged
Property,  insuring  against  liability  for loss or  damage  to the  Person  or
property  of others  from  such  risks and in such  amounts  as are  customarily
carried by companies  owning  property of a similar  character  and engaged in a
business similar to that engaged in by the Mortgagor; provided, however, that in
no event shall the insurance  maintained in  accordance  with this  paragraph be
less  than an  aggregate  of  $25,000,000  for  claims  arising  out of a single
occurrence and not less then $25,000,000 in the aggregate for all claims made in
any  policy  year.  All such  insurance  shall  protect  the  Mortgagee  and the
Mortgagor in respect of risks arising out of the  condition,  maintenance,  use,
ownership or operation of the Mortgaged  Property.  The Mortgagor will indemnify
the Mortgagee and holders of the Noes from any and all liability imposed against
said  Mortgagee  and  holders  of  the  Notes  arising  out  of  the  condition,
maintenance, use, ownership or operation of the Mortgaged Property.

          (c) The Mortgagor will maintain or cause to be maintained:

          (i) all such  worker's  compensation  or similar  insurance  as may be
     required by law;

          (ii) use and occupancy (or business interruption) insurance,  covering
     interruption of the Mortgagor's operations,  in whole or in part, by reason
     of the total or partial suspension of, or interruption in, the operation of
     the Mortgaged  Property  caused by the damage to or destruction of any part
     of the Mortgaged Property,  with such exceptions as are customarily imposed
     by insurers,  in an amount  sufficient to comply with the requirements of a
     standard 50% gross earnings business interruption form; and

<PAGE>

                                                                              17


          (iii)  maintain  liability  insurance  covering  hospital  operations,
     including  malpractice,  against claims arising from professional  services
     performed by the Mortgagor  with limits of not less then  $20,000,000  with
     respect to injuries or deaths  arising out of a single  occurrence  and not
     less than  $20,000,000  in the  aggregate  for all claims made  against the
     Mortgagor in any policy year.

For the purposes of this Section,  "policy year" means a period of twelve months
while the insurance coverage in question is in force measured from the effective
date of such coverage or any anniversary of such effective date.

          (d) Form of Policies.  Any  insurance  policies  carried in accordance
with this  section  2.6 shall be written by  companies  of  recognized  national
standing  authorized to do business in the  jurisdiction  in which the Mortgaged
Property  is located  (copies of which will be  delivered  to the Trustee on the
Closing  Date) and shall provide that : (i) the Mortgagee and the holders of the
Notes shall be named as additional insureds,  as their interest may appear, (ii)
the Mortgagee's  interest shall be insured regardless of any breach or violation
by the Mortgagor of any warranties, declarations or conditions contained in such
policies,  (iii) such  insurance,  as to the interest of the Mortgagee  therein,
shall not be invalidated  by the use or operation of the Mortgaged  Property for
purposes which are not permitted by such policies, (iv) the insurers shall waive
any right of subrogation of the insurers to any set-off or  counterclaim  or any
other deduction, whether by attachment or otherwise, in respect of any liability
of the Mortgagor,  (v) if any premium or installment is not paid when due, or if
such insurance would lapse or be cancelled, terminated or materially changed for
any reason  whatsoever,  the insurers will promptly notify the Mortgagee and any
such lapse, cancellation, termination or change shall not be effective as to the
Mortgagee  for 30 days  after  receipt  of such  notice,  and  (vi)  appropriate
certification  shall  be made to the  Mortgagee  by each  insurer  with  respect
thereto.

          (e) Loss Payee.  Provided no Default or Event of Default has  occurred
and is  continuing,  the loss,  if any,  under any policy  pertaining to loss by
reason  of  damage to or  destruction  or  condemnation  of any  portion  of the
Mortgaged  Property  shall be  adjusted  with  the  insurance  companies  by the
Mortgagor,  subject  to the  approval  of the  Mortgagee  if  the  loss  exceeds
$100,000. The loss so adjusted shall be paid to the Mortgagee pursuant to said


<PAGE>

                                                                              18

loss payable  clause.  Is said loss is $100,000 or less, then said shall be paid
first to the Mortgagee,  and shall be by the Mortgagee paid over  immediately to
the Mortgagor for use by the Mortgagor in paying for  replacement  or rep[air of
or  substitutes  for the damaged or destroyed  property,  provided no Default or
Event of Default has  occurred and is  continuing,  in which event any such loss
shall be paid to the Mortgagee.

          2.7 Payment of Taxes and Other  Charges.  The  Mortgagor  will pay and
discharge,  before the same shall become delinquent,  together with interest and
penalties thereon, if any, (a) all taxes, assessments (including assessments for
benefits from public works or improvements whenever begun or completed), levies,
fees,  water and sewer rents and charges,  and all other  governmental  charges,
general and special,  ordinary and extraordinary,  and whether or not within the
contemplation  of the  parties  hereto,  which  are at any time  levied  upon or
assessed  against it or the Mortgaged  Property or any part thereof or upon this
Mortgage or the Notes  secured  thereby,  or upon the revenues,  rents,  issues,
income and profits in respect of the Mortgaged  Property,  or arising in respect
of the occupancy,  use or possession thereof,  which failure to pay would result
in the creation of a lien upon the Mortgaged  Property or any part  thereof,  or
upon the revenues,  rents, issues,  income and profits of the Mortgaged Property
or in the diminution  thereof or would result in any material  interference with
the  use or  operation  of the  Mortgaged  Property  by the  Mortgagor,  (b) all
corporate franchise,  excise and other taxes, fees and charges assessed,  levied
or imposed in respect of its corporate  existence or its right to do business in
any state,  (c) all income,  excess profits,  excise,  sales,  franchise,  gross
receipts  and other  taxes,  duties or imposts,  whether of a like or  different
nature,  assessed,  levied or imposed by any governmental authority on it or the
Mortgaged Property, or any portion thereof, or upon the revenues, rents, issues,
income and profits of the Mortgaged  Property  whether or not the failure to pay
any such tax,  duty or impost  might  result in the  creation of a lien upon any
asset of the Mortgagor or the Mortgaged Property or any part thereof or upon the
revenues,  rents, issues, income and profits of the Mortgaged Property or in the
diminution  thereof,  and whether or not any such tax, duty or impost is payable
directly by the Mortgagor or is subject to withholding at the source and (d) all
lawful claims and demands of mechanics,  laborers, materialmen and others which,
if unpaid,  might result in the creation of a lien on the Mortgaged  Property or
upon the revenues, rents, issues, income and profits of the Mortgaged Property



<PAGE>

                                                                              19


and, in general,  will do or cause to be done  everything  necessary so that the
lien hereof  shall be fully  preserved,  at the cost of the  Mortgagor,  without
expense to the Mortgagee.

          Nothing in this section 2.7 shall require the payment of any sum which
is required to be paid by the Mortgagor  pursuant to this section 2.7 so long as
the Mortgagor shall in good faith contest its obligation so to do by appropriate
proceedings  which will  prevent the  forfeiture  or sale of any property of the
Mortgagor or any material  interference with the use or operation thereof by the
Mortgagor,  and shall set up a reserve,  reasonably adequate,  in the opinion of
the President or any Vice President of the Mortgagor against any such payment.

          2.8 Advances. If the Mortgagor shall fail to comply with the covenants
contained  herein or in th Note  Agreements or in the Indenture  with respect to
the procuring of insurance, the payment of taxes, assessments and other charges,
or the keeping of the Mortgaged  Property in repair and free of other liens, the
Mortgagee  may make advances to perform the same;  and the  Mortgagor  agrees to
repay all sums so  advanced  upon  demand  with  interest at a rate equal to the
greater  of (i) 13.6%  per  annum  and (ii) the sum of (A) the rate of  interest
publicly  announced by Morgan  Guaranty  Trust  Company of New York from time to
time in new York city as its prime rate plus (B) 1% after  demand;  and all sums
so  advanced,  with  interest,  shall  be  secured  hereby  in  priority  to the
indebtedness evidenced by the Notes or any of them; but no such advance shall be
deemed to relieve the Mortgagor from any default hereunder.

          2.9  Recordation.  The Mortgagor will, at its own expense,  cause this
Mortgage,  all supplements hereto, and any financing statements and continuation
statements  required by law,  including the Uniform  Commercial Code, in respect
thereof at all times to be kept  recorded  and filed at its own  expense in such
manner and in such places as may be  required by law in order to fully  preserve
and  protect  the rights of the  Mortgagee  hereunder,  and will  furnish to the
Mortgagee  promptly,  and in any  event  within  thirty  (30)  days,  after  the
execution  and delivery of this  Mortgage and of each  supplement  an Opinion of
Counsel  stating  that in the  opinion of such  counsel  this  Mortgage  or such
supplement or such financing  statement or continuation  statement,  as the case
may be, has been properly  recorded or filed for record so as to make  effective
of record the lien intended to be created hereby.



<PAGE>

                                                                              20

          2.10 After-Acquired  Property. Any and all property hereafter acquired
which is of the kind or nature  described in the Granting  Clauses hereof and is
or intended to become a part thereof,  shall ipso facto, and without any further
conveyance,  assignment  or act on the part of the  Mortgagor  or the  Mortgagee
become and be,  subject to the lien of this Mortgage as fully and  completely as
though specifically  described herein; but nevertheless the Mortgagor shall from
time to time,  if  requested by the  Mortgagee,  execute and deliver any and all
such further  assurances,  conveyances and assignments  thereof as the Mortgagee
may reasonably require for the purpose of expressly and specifically  subjecting
to the lien of this Mortgage any and all such property.

          2.11  Priority  of this Deed of Trust;  Future  Advances;  Extensions,
Modifications,  and Renewals.  Any portion of the  indebtedness  hereby  secured
which is incurred after the execution of this Mortgage pursuant to the Indenture
or any supplemental indenture referencing this Mortgage, or which is evidence by
any instrument  stating that the indebtedness  hereby secured is secured by this
Mortgage , shall be defined as a Future  Advance.  This paragraph shall serve as
notice  to any  subsequent  encumbrancer  of the  Mortgaged  Property  that  the
Mortgagee  claims the priority of the lien of this  Mortgage for all such Future
Advances,  as well as for all other indebtedness hereby secured.  This paragraph
shall also be noticed that the Mortgagee  reserves the right to modify,  extend,
consolidate, and renew the indebtedness hereby secured, or any portions thereof,
and the rates of interest charged thereon, without affecting the priority of the
lien  created  by this  Mortgage.  

SECTION 3. POSSESSION, USE AND RELEASE OF PROPERTY.

          3.1 Possession by Mortgagor;  Dispositions Without Release. So long as
no Default or Event of Default has occurred  and is  continuing,  the  Mortgagor
shall be permitted,  subject to the provisions of this Section, to possess, use,
manage,  operate and enjoy the Mortgaged Property and to collect,  receive, use,
invest and  dispose of the rent,  issues,  profits,  and other  income  from the
Mortgaged Property,  with power, in the ordinary course of business,  freely and
without  hindrance on the part of the Mortgagee,  to use, consume and dispose of
any thereof  except such as are subject to the lien hereof or intended so to be,
and to deal  with,  exercise  any and all  rights  under,  receive  and  enforce
performance  under,  and  adjust  and settle  all  matters  relating  to current
performance of, choses in action, leases and contracts.


<PAGE>

                                                                              21

          The  Mortgagor  shall have the right,  from time to time if no Default
exists hereunder, without any release from or consent by the Mortgagee,

          (a) to sell or  otherwise  dispose  of,  free  from  the  lien of this
     Mortgage,  any Equipment  subject to the lien hereof which, in the judgment
     of the  Mortgagor,  may have become  obsolete or unfit for use or no longer
     useful,  necessary  or  profitable  in the  conduct of the  business of the
     Mortgagor not exceeding in value at the date of disposition thereof $50,000
     in any single transaction or a total of $100,000 in any calendar year, upon
     substituting  for the same other  Equipment of the same character and of at
     least equal value, utility and useful life to the Mortgagor as, and costing
     not less than the amount  realized  from,  the property  disposed of, which
     shall forthwith become, without further action, subject to the lien of this
     Mortgage;

          (b) to grant  rights-of-way  and  easements  over or in respect of any
     Mortgaged  Property,  provided  that such grant will not, in the opinion of
     the  Mortgagor  expressed  in  an  Officers'  Certificate  furnished  to th
     Mortgagee,  impair the  usefulness  of such  property in the conduct of the
     Mortgagor's  business  and will not be  prejudicial  to the interest of the
     holders of the Notes and provided,  further, that any cash consideration in
     excess of $50,000  received by the Mortgagor upon or in connection with the
     granting  thereof,  forthwith upon its receipt by the  Mortgagor,  shall be
     deposited with the Mortgagee;

          (c) to alter, repair,  replace,  change the location or position of an
     add to the Mortgaged Property, provided that no change shall be made in the
     location of any such property  subject to the lien of this  Mortgage  which
     removes such  property into a  jurisdiction  in which this Mortgage and any
     required financing or continuation statement covering security interests in
     such  property  have not been  recorded,  registered or filed in the manner
     required by law to preserve the lien of this  indenture on such property or
     otherwise impairs the lien hereof; and

          (d) to lease to others from time to time  offices  and  related  areas
     included in the Mortgaged Property, other than any thereof essential to the



<PAGE>

                                                                              22

     operations carried on at the Mortgaged  Property;  provided that such lease
     is (i) by its terms expressly made subject to the lien of this Mortgage and
     (ii) assigned to the  Mortgagee by an  instrument  in  recordable  form and
     otherwise satisfactory in form and substance to the Mortgagee;  and further
     provided that the Mortgagor shall not lease all or substantially all of the
     Mortgaged  Property  without  the prior  written  consent  of the  Required
     Holders.

          The Mortgagor  will deliver to th  Mortgagee,  on or before July 31 in
each year after the year 1989, (i) an Officers'  Certificate setting forth, with
respect to transactions  during the preceding  calendar year pursuant to section
3.1(a),  the aggregate  fair value at the date or dates of  disposition  of, the
aggregate  amount  realized  from,  and a general  description  of, any property
disposed of  pursuant to section  3.1(a) (and  stating  that such  property  had
become obsolete or unfit for use or no longer useful, necessary or profitable in
the conduct of the business of the  Mortgagor)  and the aggregate  fair value to
the  Mortgagor  of, the cost of,  and a general  description  of,  any  property
acquired  in  substitution  for such  property  sold or  disposed  of, (ii) such
supplemental  mortgages,  financing  statement  or other  instruments  as may be
necessary for the purpose of effectively  subjecting  such acquired  property to
the lien hereof and any lease  assignment  of a lease  entered into  pursuant to
section 3.1(d) and (iii) an Opinion of Counsel that such supplemental mortgages,
financing  statements,  lease  assignments or other  instruments  have been duly
executed  and are  sufficient  for  such  purpose  or that no such  supplemental
mortgages, financing statements, lease assignments or instruments are necessary.

          3.2 Eminent Domain.  If all or any of the Mortgaged  Property shall be
taken by eminent domain or shall be sold in lieu and in reasonable  anticipation
of the taking thereof by eminent domain,  the Mortgagee may release the property
so taken and shall be fully protected in so doing upon being furnished with:

          (a) an Officers' Certificate  requesting such release,  describing the
     property so to be released and stating that such property ahs been taken by
     eminent domain or that such sale has been made in lieu of and in reasonable
     anticipation of a taking by eminent  domain,  accompanied by an appropriate
     instrument of release;




<PAGE>

                                                                              23

          (b) an Opinion of Counsel to the effect  that such  property  has been
     (i) lawfully  taken by exercise of the right of eminent domain or (ii) sold
     in lieu and in  reasonable  anticipation  of the taking of such property by
     eminent domain and that such property could lawfully have been taken by the
     grantee by eminent  domain,  that the award for such  property so taken has
     become final or an appeal  therefrom is not  advisable in the  interests of
     the  Mortgagee  or the holders of the Notes and that the  execution of such
     instrument is appropriate to evidence such release; and

          (c) except as otherwise  provided in section  4.1,  cash equal to such
     award to be held and applied by the Mortgagee under the indenture.

          3.3  Purchaser  Protected.  No  purchaser  in good  faith of  property
purporting to be released  herefrom shall be bound to ascertain the authority of
the  Mortgagee or the holders of the Notes to execute a release or to inquire as
to the existence of any  conditions  herein  prescribed for the exercise of such
authority.  No purchaser  or lessee of any property or rights  permitted by this
Article to be sold,  leased or otherwise  disposed of by the Mortgagor  shall be
under any obligation to ascertain or inquire into the authority of the Mortgagor
to make any such sale, lease or other  disposition.  Any release executed by the
Mortgagee or the holders of the Notes under this Section shall be sufficient for
the purpose of this  Mortgage and shall  constitute a good and valid  release of
the property therein described from the lien hereof.

          3.4 Release Of Mortgaged Property - Mortgagee Consent.  In addition to
the sales and releases  pursuant to section section 3.2 and 3.3 hereof,  and, to
the extent and on the terms and upon compliance with the conditions provided for
in any  written  consent  given  thereto at any time or form time to time by the
holders  of the  Notes,  the  Mortgagor  may sell or  otherwise  dispose  of any
Mortgaged  Property  then  subject to the lien of this  Mortgage or any mortgage
supplement  hereto,  and  the  Mortgagee  shall,  subject  to the  terms  of the
indenture, release the same from the lien hereof.


SECTION 4.  APPLICATION  OF INSURANCE AND CERTAIN  OTHER MONEYS  RECEIVED BY THE
MORTGAGEE.

          4.1 Insurance  Proceeds and Condemnation  Awards.  (a) All proceeds of
fire and extended  coverage  insurance and of  condemnation  awards covering the
Mortgaged Property equal to or in excess of $100,000 received by the Mortgagee



<PAGE>

                                                                              24

under the  provisions of this Mortgage  and/or the Indenture or any  instruments
supplemental  hereto or thereto,  or under any policy or  policies of  insurance
covering  the  Mortgaged  Property  or any  part  thereof,  shall be held by the
Mortgagee  as part  of the  Mortgaged  Property  and  shall  be  applied  by the
Mortgagee as follows:

          (i) If the total amount of any one loss or condemnation or taking,  as
     the case may be, shall equal or exceed  $100,000 and the cost of rebuilding
     or  restoring  the  Mortgaged   Property  (as  evidenced  by  an  Officers'
     Certificate  of the  Mortgagor  detailing  the same) shall be less than the
     proceeds of insurance or the award or consideration  received on account of
     condemnation or other taking of the Mortgaged Property, the Mortgagor shall
     prepay the Notes  pursuant to Section 5.3 of the  Indenture  in a principal
     amount equal to such excess, together with interest accrued on the Notes to
     be  prepaid  to  the  date  of   payment   and  a  premium   equal  to  the
     Yield-Maintenance  Premium,  upon the terms and in the manner  provided  in
     Section 5.3 of the Indenture and the balance,  if any, of any such proceeds
     shall be released to or upon the order of the Mortgagor in accordance  with
     clause (ii)  below.  Any  application  of moneys  pursuant to this  section
     4.1(a)(i)  shall  be  made  by the  Mortgagor  within  60  days  after  the
     completion of the rebuilding or restoration of the Mortgaged Property; and

          (ii) If the total  amount in the case of any one loss or  condemnation
     or  taking,  as the  case may be,  shall  equal or  exceed  $100,000,  such
     proceeds  shall be paid to the  Mortgagor  from time to time upon a written
     application signed by the President and any Vice President of the Mortgagor
     and  accompanied  by an approving  certificate  of an architect or engineer
     selected by the Mortgagor and approved by the Mortgagee, for the purpose of
     paying,  or  reimbursing  the Mortgagor for the payment of, the  reasonable
     cost, as shown by such  certificate,  of repairing or replacing part or all
     of the property  damaged or destroyed,  but only if written  application is
     made  therefor  within 12 months of the  receipt  of such  proceeds  by the
     Mortgagee,  and then only for and to the extent hat the Mortgagor  shows by
     such architect's or engineer's  certificates or other evidence satisfactory
     to the  Mortgagee  that the portion of such  proceeds  remaining on deposit
     with  the  Mortgagee,   together  with  any  additional  funds  irrevocably
     allocated  or  otherwise  provided  for  in a  manner  satisfactory  to the
     Mortgagee for such purpose, shall be sufficient to complete such repairs or



<PAGE>

                                                                              25

     replacements  and restore the  Mortgaged  Property as nearly as possible to
     the market  value and  condition  which  existed  immediately  prior to the
     damage, destruction,  condemnation or taking, as the case may be, free from
     liens or  encumbrances  except this  Mortgage and  Permitted  Encumbrances.
     Every such  application  for the payment of such insurance or  condemnation
     moneys  shall state that no Default or Event of Default has occurred and is
     continuing  and  shall  be  accompanied  by date  down  endorsement  to the
     lender's  title  insurance  policy  being  delivered  pursuant  to  Section
     7(a)(iv) of the Note Agreement  insuring that, as the date of such payment,
     the property  will be subject to the lien of this  Mortgage as a first lien
     thereon subject only to Permitted  Encumbrances.  The Mortgagor will remain
     solely  responsible for the rebuilding,  restoration or substitution of the
     Mortgaged Property,  whether or not the proceeds of insurance maintained in
     accordance with the provisions hereof are sufficient therefor.

          (b) In cases involving  insurance proceeds where the amount of any one
loss is less  then  $100,000  and no  Default  or Event of  Default  shall  have
occurred and be continuing under this Mortgage, the amount payable in respect of
any such loss will be received by the  Mortgagee  and shall be by the  Mortgagee
paid over  immediately  to the  Mortgagor for use by the Mortgagor in paying for
replace or repair of or substitutes for the damages or destroyed property.

          (c) Subject to section  2.6(c) hereof with respect to  adjustments  of
losses, any appraisal or adjustment of such loss or any settlement or payment of
indemnity  therefor  which shall be agreed upon  between the  Mortgagor  and the
relevant insurance company shall be accepted by the Mortgagee.

          (d) In the vent the insurance  moneys or  condemnation  award,  as the
case  may be,  shall  not  have  been  applied  to one or  more of the  purposes
specified  in section  4.1(a)  hereof  within the 12-month  period  provided for
thereby,  then the Mortgagee  shall apply such insurance  moneys or condemnation
award,  as the  case may be,  to the  prepayment,  with  premium,  of the  Notes
together with interest  accrued thereon in an amount  sufficient to exhaust such
cash as nearly as may be upon giving the  Mortgagor 10 days'  advance  notice of
its intent so to do, such prepayment to be made in units of $1,000 but otherwise
to be made ratably on all  outstanding  Notes in  accordance  with the principal
amounts unpaid thereon, together with interest accrued thereon and a premium 



<PAGE>

                                                                              26

equal  to the  Yield-Maintenance  Premium;  any  balance  remaining  after  such
prepayment to be released to the Mortgagor. Partial prepayments made pursuant to
this  section  4.1(d) shall be paid and applied upon the terms and in the manner
provided in Section 5 of the Indenture.

          4.2 Other  Proceeds.  Any other  moneys  received by the  Mortgagee in
connection  with the release or property  shall be held by the Mortgagee as part
of  the  Mortgaged  Property  and  shall  be  applied  by the  Mortgagee  to the
prepayment, with premium, of the Notes together with interest accrued thereon in
an amount  sufficient  to exhaust  such cash as nearly as may be upon giving the
mortgagor 10 days' advance notice of its intent so to do, such  prepayment to be
made in units of $1,000 but  otherwise  to be made  ratably  on all  outstanding
Notes in accordance  with the principal  amounts unpaid  thereon,  together with
interest accrued thereon and a premium equal to the  Yield-Maintenance  Premium;
any  balance  remaining  after such  payment to be  released  to the  Mortgagor.

SECTION 5. DEFAULTS AND REMEDIES THEREFOR.

          5.1 Events of Default. The Mortgagor  acknowledges and agrees, without
limitation,  that each and all of the terms and provisions of Section 6.1 of the
Indenture have been and are incorporated  into this Mortgage by reference to the
same  extent as though  fully set out  herein and that the term Event of Default
wherever  used in this  Mortgage  shall man an Event of  Default  as  defined in
Section 6.1 of the Indenture.

          5.2  Remedies.   When  any  Event  of  Default  has  occurred  and  is
continuing, the Mortgagee may exercise any one or more or all, and in any order,
of the remedies  hereinafter  set forth or as provided for in the Indenture,  it
being expressly  understood that no remedy herein or in the Indenture  conferred
is intended to be exclusive of any other remedy or remedies;  but each and every
remedy shall be cumulative  and shall be in addition to every other remedy given
herein or now or hereafter existing at law or in equity or by statute:

          (a) The Mortgagee may, by notice in writing to the Mortgagor,  declare
     the entire unpaid balance of the Notes to be  immediately  due and payable;
     and thereupon the entire  principal and interest  accrued on the Notes and,
     to the extent permitted by law, the Yield- Maintenance  Premium (as defined
     in Section 5.4 of the Indenture)  shall be and become  immediately  due and
     payable.


<PAGE>

                                                                              27

          (b) The Mortgagee personally and by agents or attorneys may enter into
     and take possession of all or any part of the Mortgaged  Property,  and may
     forthwith  use,  operate  and manage the  Mortgaged  Property,  collect the
     earnings and income  therefrom,  pay all principal  charges including taxes
     and assessments  levied thereon and operating and maintenance  expenses and
     all disbursements and liabilities of the Mortgagor  hereunder and apply the
     net proceeds  arising from any such operation of the Mortgaged  Property as
     provided in section 5.3 hereof in respect of the  proceeds of a sale of the
     Mortgaged Property.

          (c) The Mortgagee  may commence  foreclosure  proceedings  against the
     Mortgaged  Property  as  an  entirety   (including  personal  property)  or
     otherwise as the Mortgagee may determine,  through judicial  proceedings or
     by advertisement,  at the option of the Mortgagee, pursuant to the statutes
     in such case made and  provided,  and may sell the  Mortgaged  property  or
     cause  the  same to be sold at  public  sale  and  convey  the  same to the
     purchaser,  in  accordance  with said  statutes,  in a single  parcel or in
     several  parcels at the option of the  Mortgagee.  The  Mortgagee is hereby
     granted the power to sell any or all of the Mortgaged  Property as provided
     herein.  The Mortgagor hereby  acknowledges  that this Mortgage  contains a
     Power of Sale and that in the event the  Mortgagee  elects to  foreclose by
     advertisement  pursuant  to the  Power of Sale,  in  accordance  with  MCLA
     600.3201 et seq.,  the Mortgagor  expressly  waives a hearing prior to sale
     and any rights,  constitutional  or  otherwise,  that the  Mortgagor  might
     otherwise  have to require any judicial  foreclosure.  The Mortgagee  shall
     give at least 20 days'  notice  of such sale by three  publications  in any
     newspaper,  daily or weekly, of general circulation published in the County
     in which the  Mortgaged  Property is located and all other such  additional
     notice, if any,  required by applicable law.  Further,  the Mortgagee shall
     give notice of such sale by registered or certified  mail to Mortgagor once
     at  least  20 days  prior  to the  date of such  sale  and any  other  such
     additional  notice,  if any, required by applicable law. This Power of Sale
     shall not be exhausted by any one or more such sales as to any apart of the
     Mortgaged  Property  not  theretofore  lawfully  sold,  but shall  continue
     unimpaired  until all the  Mortgaged  Property  shall have been sold or the
     indebtedness secured hereby shall have been fully paid and satisfied.



<PAGE>

                                                                              28


          WARNING:  THIS MORTGAGE  CONTAINS A POWER OF SALE AND UPON DEFAULT MAY
     BE FORECLOSED BY ADVERTISEMENT. IN FORECLOSURE BY ADVERTISEMENT AND SALE OF
     THE MORTGAGED PROPERTY IN CONNECTION THEREWITH,  NO HEARING IS REQUIRED AND
     THE ONLY NOTICE  REQUIRED IS TO PUBLISH NOTICE IN A LOCAL  NEWSPAPER AND TO
     POST A COPY OF THE NOTICE ON THE PREMISES.

          (d) The  Mortgagee  may proceed to protect and enforce its rights by a
     suit or suits in equity or at law, or for the specific  performance  of any
     covenant or agreement  contained  herein or in the Notes,  or in aid of the
     execution of any power herein or therein granted, or for the foreclosure of
     this Mortgage,  or for the  enforcement of any other  appropriate  legal or
     equitable  remedy.  Upon  the  bringing  of any  suit to  foreclosure  this
     Mortgage or to enforce any other remedy available hereunder,  the plaintiff
     shall be entitled as a matter of right,  without  notice and without giving
     bond to the  Mortgagor  or anyone  claiming  under,  by or through  it, and
     without  regard to the solvency or  insolvency of the Mortgagor or the then
     value of the  Mortgaged  Property,  to have a receive  appointed of all the
     Mortgaged Property and of the earnings,  income, rents, issues, profits and
     proceeds  thereof,  with such power as the court  making  such  appointment
     shall confer,  and the Mortgagor  does hereby  irrevocably  consent to such
     appointment.

          (e) In case of any  sale of the  Mortgaged  Property,  or of any  part
     thereof,  pursuant to any  judgment or decree of any court or  otherwise in
     connection with the  enforcement of any of the terms of this Mortgage,  the
     principal of the Notes,  if not  previously  due, and the interest  accrued
     thereon,  shall at once become and be immediately due and payable;  also in
     the case of any such sale,  the Mortgagee may bid and become the purchaser,
     and the purchaser or purchasers,  for the purpose of making  settlement for
     or payment of the purchase price,  shall be entitled to turn in and use the
     Notes and any claims for interest and premium  matured and unpaid  thereon,
     in order that there may be credited as paid on the  purchase  price the sum
     apportionable and applicable to the Notes, including principal and interest
     and premium  thereof,  out of the net proceeds of such sale after  allowing
     for the  proportion  of the total  purchase  price  required  to be paid in
     actual cash. If at any foreclosure  proceeding the Mortgaged Property shall



<PAGE>

                                                                              29

     be sold for a sum less than the  total  amount  of  indebtedness  for which
     judgment is therein given,  the Mortgagee shall be entitled to the entry of
     a deficiency  decrees against the Mortgagor and against the property of the
     Mortgagor for the amount of such deficiency.

          (f) In addition to any other  remedies  provided for hereby or by law,
     the  Mortgagee  shall have the rights of a secured  party under the Uniform
     Commercial  Code of the  jurisdiction  in which the  Mortgaged  Property is
     located  upon  the  occurrence  and  continuance  of an  Event  of  Default
     hereunder.  any  requirement of said Uniform  Commercial Code or reasonable
     notification  shall be met by mailing  written notice to the Mortgagor,  at
     its address set forth in section 6.3 hereof,  at least 10 days prior to the
     sale or other event for which such notice is required.

          It is  understood  and agreed that the Notes are also secured by other
mortgages  and deeds of trust and that in case of  default  in any of the terms,
conditions or provisions  of this Mortgage or the  Indenture,  the Mortgagee may
resort to part or all of the security for the Notes, the Note Agreements and the
Indenture  and  foreclose  the  mortgages  and deeds of trust in any order.  The
pendency  of any  proceeding  with  respect to any one of the  above-  mentioned
mortgages  and deeds of trust shall not be grounds for the  abatement of, or for
hindering,  staying,  delaying or  preventing  any  proceeding  with  respect to
foreclosure of this Mortgage.

          5.3 Application of Proceeds. The purchase money proceeds and/or avails
of any sale of the Mortgaged  Property,  or any part hereof and the proceeds and
the avails of any remedy  hereunder  and all  insurance  monies or  proceeds  or
awards of  condemnation  paid to the  Mortgagee  pursuant to the  provisions  of
section  section  2.6 and 3.2  hereof  shall be paid to the  Trustee  under  the
Indenture  and such  Trustee  shall  apply such  proceeds  and  avails,  and all
insurance  monies and proceeds or awards of  condemnation  held by the Mortgagee
during the  continuation  of any Event of  Default,  in the manner  provided  in
section 6.10 of the indenture.

          5.4 Waiver of  Extension,  Appraisement  and Stay Laws.  The Mortgagor
covenants that, to the extent that such rights may be lawfully  waived,  it will
not now,  or at any time  hereafter,  insist  upon or  plead,  or in any  manner
whatever  claim or take any  benefit  or  advantage  of,  legal,  equitable  and
statutory  rights of redemption,  exemption or homestead,  any stay or extension
law now or at any time




<PAGE>

                                                                              30

hereafter in force or any other similar  exemptions  and rights arising under or
created by an applicable statute or judicial decision,  or claim, take or insist
upon any  benefit  or  advantage  of or from any law now or  hereafter  in force
providing for the  valuation or  appraisement  of the Mortgaged  Property or any
part  thereof  prior to any sale or sales  thereof  to be made  pursuant  to any
provision herein contained,  or to the decree, judgment or order of any court of
competent jurisdiction or, after confirmation of any such sale or sales claim or
exercise  any right under any statute  now or  hereafter  made or enacted by any
state or  otherwise  to redeem the  property  so sold or any part  thereof,  and
hereby  expressly  waives for itself and on behalf of each and every  person who
may claim  under it, all  benefit  and  advantage  of any such law or laws which
would  otherwise  be  available  to any  such  person  in  connection  with  the
enforcement of any of the Mortgagee's remedies hereunder;  and covenants that it
will not in connection with any such enforcement  proceedings  invoke or utilize
any such law or laws or otherwise  hinder,  delay or impede the execution of any
power herein  granted and  delegated to the Mortgagee but will suffer and permit
the execution of every such power as though no such law or laws had been made or
enacted.

          Any sale, whether under any power of sale hereby given or by virtue of
judicial proceedings,  shall operate to divest all right, title, interest, claim
and demand  whatsoever,  either at law or in equity,  of the Mortgagor in and to
the  property  sold and shall be a  perpetual  bar,  both at law and in  equity,
against the  Mortgagor,  its  successors  and  assigns,  and against any and all
persons  claiming the property sold or any part thereof under, by or through the
Mortgagor, its successors or assigns.

          5.5  Waste.  The  failure  of  the  Mortgagor  to  pay  any  taxes  or
assessments  assessed against the Mortgaged Property or any installment thereof,
or any  premiums  payable  with  respect to any  insurance  policy  covering the
Mortgaged  Property shall  constitute  waste,  as provided by Michigan  Compiled
Laws, 194B, as amended,  Section 600.2927. The Mortgagor further hereby consents
to the appointment of a receiver under said statute,  should the Mortgagee elect
to seek such relief thereunder.

          5.6 Effect of  Discontinuance  of  Proceedings.  In case the Mortgagee
shall have  proceeded to enforce any right under this  Mortgage by  foreclosure,
sale, entry or otherwise,  and such proceedings  shall have been discontinued or
abandoned for any reason or shall have been  determined  adversely,  then and in
every such case the  Mortgagor  and the  Mortgagee  shall be  restored  to their
position  and  rights  hereunder  as  they  existed  immediately  prior  to  the
commencement  of such  proceedings  with respect to the property  subject to the
lien of this Mortgage.


<PAGE>

                                                                              31


          5.7  Delay or  Omission  Not a  Waiver.  No delay or  omission  of the
Mortgagee to exercise any right or power arising from any default on the part of
the  Mortgagor  shall  exhaust or impair any such right or power or prevent  its
exercise during the  continuance of such default.  No waiver by the Mortgagee of
any such default,  whether such waiver be full or partial, shall extend to or be
taken to affect  any  subsequent  default,  or to impair  the  rights  resulting
therefrom,  except as may be otherwise  provided herein.  No remedy hereunder is
intended to be  exclusive of any other remedy but each and every remedy shall be
cumulative  and in addition to any and every other  remedy  given  hereunder  or
otherwise existing.  Nor shall the giving, taking or enforcement of any other or
additional security,  collateral or guaranty for the payment of the indebtedness
secured under this Mortgage  operate to prejudice,  waive or affect the security
of this  Mortgage or any rights,  powers or  remedies  hereunder;  nor shall the
Mortgagee  be  required  to first  look to,  enforce  or  exhaust  such other or
additional security, collateral or guaranties.


SECTION 6. MISCELLANEOUS.

          6.1  Successors  and Assigns.  Whenever  any of the parties  hereto is
referred  to,  such  reference  shall be deemed to include  the  successors  and
assigns of such party;  and all the  covenants,  promises and agreements in this
Mortgage  contained by or on behalf of the Mortgagor,  or by or on behalf of the
Mortgagee,  shall bind and inure to the benefit of the respective successors and
assigns of such parties whether so expressed or not.

          6.2 Severability. The unenforceability or invalidity of any provisions
or  provisions  of this  Mortgage  shall  not  render  any other  provisions  or
provisions herein contained unenforceable or invalid.

          6.3  Addresses  for  Notices.  All  notices  or  other  communications
required or  contemplated  by the  provisions  hereof  shall,  unless  otherwise
specified,  be in writing  and shall be deemed to have been given or made on the
fifth  business  day  after  deposit  thereof  in the  United  States  mail,  by
registered or certified mail, postage prepaid,  or when received if delivered by
hand or sent by  facsimile  communication  the  receipt  of which is  confirmed,
addressed as follows:




<PAGE>

                                                                              32

              If to the Mortgagor:       Havenwyck Hospital, Inc.
                                         1525 University Drive
                                         Auburn Hills, Michigan 48057

                                         Attention:  Chief Financial
                                         Officer
                                         FAX: ______________________
                                         Telephone:_________________

              If to the Mortgagee:       The Citizens and Southern
                                         National Bank, as trustee
                                         under a Trust Indenture
                                         dated as of March 31, 1990
                                         33 North Avenue, N.E.
                                         Atlanta, Georgia 30308

                                         Attention:  Corporate Trust
                                                     Department
                                         FAX:  (404) 897-3142
                                         Telephone:  (404) 897-3147

          Any party may  designate  any  additional  or  different  address  for
subsequent  notices or  communications  by notice duly given in accordance  with
this Section to the other party.

          6.4 Headings  and Table of  Contents.  The headings of the sections of
this  Mortgage and table of contents  are  inserted for purposes of  convenience
only and shall not be construed to affect the meaning or  construction of any of
the provisions hereof.

          6.5 Release of Mortgage.  The  Mortgagee  shall  release and discharge
this  Mortgage  and the lien hereof by proper  instrument  or  instruments  upon
presentation of satisfactory  evidence that all indebtedness  secured hereby has
been fully paid or discharged.

          6.6  Counterparts.  This  Mortgage may be executed,  acknowledged  and
delivered in any number of counterparts,  each of such counterparts constituting
an original but all together only one Mortgage.

          6.7 GOVERNING LAW. THIS MORTGAGE SHALL BE GOVERNED BY AND CONSTRUED IN
ACCORDANCE WITH MICHIGAN LAW.



<PAGE>

          IN WITNESS  WHEREOF,  the  Mortgagor  has caused  this  Mortgage to be
executed in its behalf by its President and attested by its Assistant  Secretary
and The Citizens and Southern National Bank, a national banking association,  as
Trustee,  has caused  this  Mortgage  to be executed on its behalf by one of its
Corporate  Trust Officers and attested by one of its Senior Vice  Presidents and
Susan L. Adams, as Individual Trustee,  has hereunto set her hand, all as of the
day and year above written.

Witnesses:                                    HAVENWYCK HOSPITAL, INC.

________________________________
Printed name:___________________
                                              By_______________________
________________________________                Its President
Printed name:___________________


ATTEST:

________________________________
       Assistant Secretary


Witnesses:                                    THE CITIZENS AND SOUTHERN
                                              NATIONAL BANK, a national
                                              banking association, as
                                              Trustee
________________________________
Printed name:___________________
                                              By_______________________
________________________________                Its ___________________
Printed name:___________________



ATTEST:


By: ____________________________
    Its_________________________

Witnesses:                                    SUSAN L. ADAMS, as
                                              Individual Trustee

________________________________              ________________________
Printed name:___________________

________________________________
Printed name:___________________



<PAGE>

STATE OF ILLINOIS          )
                           )  SS
COUNTY OF COOK             )


          On this ________ day of April,  1990,  before me __________,  a Notary
Public,  personally appeared Ralph J. Watts, who acknowledged  himself to be the
President of Havenwyck Hospitals, Inc., a Michigan corporation,  and that he, as
such  President,  being  duly  authorized  so  to  do,  executed  the  foregoing
instrument  for the  purposes  therein  contained,  by  signing  the name of the
corporation by himself as President.

          IN  WITNESS  WHEREOF,  I have  hereunto  set my hand  and  affixed  my
official seal the day and year in this certificate first above written.

(Notarial Seal)

                                                   _____________________________
                                                            Notary Public


My commissions expires: _________________, 1990 ______.



<PAGE>

STATE OF ILLINOIS          )
                           )  SS
COUNTY OF COOK             )


          On this ________ day of _______, 1990, before me __________,  a Notary
Public,   personally  appeared  __________,   who  acknowledged  himself  to  be
________________  of the Citizens and Southern National Bank, a national banking
association,  and that he, as such  ___________,  being duly authorized so to do
executed the foregoing instrument for the purposes therein contained, by signing
the name of said bank by himself as ______________.

          IN  WITNESS  WHEREOF,  I have  hereunto  set my hand  and  affixed  my
official seal the day and year in this certificate first above written.

(Notarial Seal)

                                                  _____________________________
                                                           Notary Public


My commissions expires: _________________, 1990 ______.





<PAGE>

STATE OF ILLINOIS          )
                           )  SS
COUNTY OF COOK             )


          On this ________ day of _______, 1990, before me __________,  a Notary
Public,  personally  appeared Susan L. Adams, known to me to be the person whose
name is  subscribed  to the within  instrument  as the  Individual  Trustee  and
acknowledged to me that she executed the same as such Individual Trustee.

          IN  WITNESS  WHEREOF,  I have  hereunto  set my hand  and  affixed  my
official seal the day and year in this certificate first above written.



                                                  _____________________________
                                                         Notary Public

(Notarial Seal)


My commissions expires: _________________, 1990 ______.





  
<PAGE>

                       LEGAL DESCRIPTION OF REAL PROPERTY



Part of the northwest  one-quarter  of Section 23, Town 3 North,  Range 10 East,
being more  particularly  described  as follows:  Beginning  at a point which is
North 00 degrees 13 minutes 10 seconds East 1,360.94 feet along the West line of
Section 23,  which is also the East line of  Assessor's  Plat No. 104 (Liber 49,
Page 26 and 26A,  Oakland County  Records) from the West  one-quarter  corner of
Section 23, Town 3 North,  Range 10 East;  thence along the West line of Section
23, 897.98 feet; thence North 69 degrees 00 minutes 00 seconds East 270.00 feet;
thence South 65 degrees 09 minutes 27 seconds East 538.14 feet;  thence South 39
degrees 10  minutes 58 seconds  East  292.62  feet;  thence  South 01 degrees 26
minutes 00 seconds West 135.00 feet;  thence along the centerline of Mt. Clemens
Road (University Drive),  Southwesterly 177.16 feet along a curve concave to the
Northwest  (Radius  of  1,084.04  feet,  central  angle 09 degrees 21 minutes 30
seconds,  along chord  bears South 67 degrees 41 minutes 35 seconds  West 176.97
feet),  and South 72 degrees 22 minutes 30 seconds West 817.91 feet to the point
of beginning.


Parcel Identification No. 14-23-101-007


Address of Property:

1525 University Drive
Auburn Hills, MI  48057














                                     ANNEX A
                      (to Mortgage and Security Agreement)



<PAGE>


                                EXCLUDED PROPERTY


          The property  covered by the  following  U.C.C.  Financing  Statements
constitutes Excluded Property hereunder:

FILING LOCATION:                                  SECRETARY OF STATE, MICHIGAN

DEBTOR:                                           Havenwyck Hospital, Inc.

SECURED PARTY:                                    Inncomp Financial Services

DATE FILED:                                       February 24, 1989

FILING NO.:                                       0186614

COLLATERAL:                                       Lease computer equipment


FILING LOCATION:                                  SECRETARY OF STATE, MICHIGAN

DEBTOR:                                           Havenwyck Hospital, Inc.

SECURED PARTY                                     Lake Leasing Corporation

DATE FILED:                                       July 24, 1987

FILING NO.:                                       B962221

COLLATERAL:                                       Leased office equipment


FILING LOCATION:                                  SECRETARY OF STATE, MICHIGAN
   
DEBTOR:                                           Life Center of Auburn Hills

SECURED PARTY:                                    General Funding Corp.

DATE FILED:                                       June 24, 1985

FILING NO.:                                       B682584

COLLATERAL:                                       Copy machine



                                     ANNEX B
                      (to Mortgage and Security Agreement)



  <PAGE>


FILING LOCATION:                                  SECRETARY OF STATE, MICHIGAN

DEBTOR:                                           The Life Center of Michigan,
                                                    Inc.

SECURED PARTY:                                    The Citizens and Southern
                                                    National Bank

DATE FILED:                                       March 26, 1985

FILING NO.:                                       B647549

COLLATERAL:                                       Chrysler Van


FILING LOCATION:                                  SECRETARY OF STATE, MICHIGAN

DEBTOR:                                           Havenwyck Hospital, Inc.

SECURED PARTY                                     Bankers Leasing Assn., Inc.

DATE FILED:                                       October 26, 1987

FILING NO.:                                       B995664

COLLATERAL:                                       Leased office equipment



















                                     ANNEX B
                      (to Mortgage and Security Agreement)



<PAGE>

                                   SCHEDULE I

                                   Purchasers




                           Aetna Life Insurance Company
                           Hartford, Connecticut 06156

                           Monumental Life Insurance Company
                           c/o Monumental Corporation
                           Baltimore, Maryland 21202

                           Connecticut Mutual Life Insurance Company
                           Hartford, Connecticut 06154

















































                                   Schedule I
                      (to Mortgage and Security Agreement)




  

<PAGE>


                                   SCHEDULE II

                               Assigned Agreements


                                      NONE.



























































                                   Schedule II
                      (to Mortgage and Security Agreement)




 
<PAGE>

                                  SCHEDULE III

                                 Pledged Shares


                                      NONE.



























































                                  Schedule III
                      (to Mortgage and Security Agreement)







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




                  LEASEHOLD DEED OF TRUST, ASSIGNMENT OF RENTS
                 AND SECURITY AGREEMENT WITH FINANCING STATEMENT
                                (FIXTURE FILING)


                           Dated as of March 31, 1990


                                      FROM


                         MESA PSYCHIATRIC HOSPITAL, INC.

                                                                 (the "Grantor")

                                       TO


                      TRANSAMERICA TITLE INSURANCE COMPANY

                                                        (the "Security Trustee")


                               For the Benefit of
                    The Citizens and Southern National Bank,
                      and Susan L. Adams, as trustees under
                  a Trust Indenture dated as of March 31, 1990

                (the "Indenture Trustees" or the "Beneficiaries")



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



                                                         This instrument was
                                                         prepared by and when
                                                         recorded return to:
(Mesa, Arizona)
                                                         Michael G. McGee
                                                         Chapman and Cutler
                                                         111 West Monroe Street
                                                         Chicago, Illinois 60603



<PAGE>







                                Table of Contents

Section                                                                     Page

Parties......................................................................  1

Granting Clauses.............................................................  2

1.  DEFINITIONS.............................................................. 11

2.  GENERAL COVENANTS AND WARRANTIES......................................... 15
         2.1.     Note Agreements and Indenture Covenants.................... 15
         2.2.     Ownership of Granted Property.............................. 15
         2.3.     Further Assurances......................................... 15
         2.4.     Payment of Principal and Interest.......................... 16
         2.5.     Maintenance of Granted Property, Other Liens,
                  Compliance with Laws, Etc.................................. 16
         2.6.     Insurance.................................................. 17
         2.7.     Payment of Taxes and Other Charges......................... 20
         2.8.     Advances................................................... 21
         2.9.     Recordation................................................ 21
         2.10.    After-Acquired Property.................................... 21
         2.11.    Priority of this Deed of Trust; Future
                  Advances; Extensions, Modifications, and
                  Renewals................................................... 22

3.  POSSESSION, USE AND RELEASE OF PROPERTY.................................. 22
         3.1.     Possession by Company; Dispositions Without
                  Release.................................................... 22
         3.2.     Eminent Domain............................................. 24
         3.3.     Purchaser Protected........................................ 25
         3.4.     Release of Granted Property - Indenture
                  Trustees Consent........................................... 25

4.       APPLICATION OF INSURANCE AND CERTAIN OTHER MONEYS
         RECEIVED BY THE INDENTURE TRUSTEES.................................. 26
         4.1.     Insurance Proceeds and Condemnation Awards................. 26
         4.2.     Other Proceeds............................................. 28

5.  DEFAULTS AND REMEDIES THEREFOR........................................... 28
         5.1.     Events of Default.......................................... 28
         5.2.     Remedies................................................... 28
         5.3.     Application of Proceeds.................................... 34
         5.4.     Waiver of Extension, Appraisement and Stay
                  Laws....................................................... 34
         5.5.     Effect of Discontinuance of Proceedings.................... 35
         5.6.     Delay or Omission Not a Waiver............................. 35

6.  MISCELLANEOUS............................................................ 36
         6.1.     Successors and Assigns..................................... 36

                                       -i-


<PAGE>

Section                                                                     Page


         6.2.     Severability............................................... 36
         6.3.     Addresses for Notices...................................... 36
         6.4.     Headings and Table of Contents............................. 37
         6.5.     Release of Deed of Trust................................... 37
         6.6.     Counterparts............................................... 37
         6.7.     GOVERNING LAW.............................................. 37
         6.8.     Successor Security Trustee................................. 37


                                      -ii-

<PAGE>

                                                                               2

          THIS  LEASEHOLD  DEED OF  TRUST,  ASSIGNMENT  OF  RENTS  AND  SECURITY
AGREEMENT WITH FINANCING  STATEMENT  (FIXTURE FILING) dated as of March 31, 1990
(the  "Deed  of  Trust")  from  MESA  PSYCHIATRIC  HOSPITAL,  INC.,  an  Arizona
corporation (the "Grantor"), having its principal office at 570 West Brown Road,
Mesa,  Arizona  85201 to  TRANSAMERICA  TITLE  INSURANCE  COMPANY,  a California
corporation (the "Security Trustee"), whose post office address is 235 North 1st
Avenue,  Phoenix,  Arizona  85003 for the benefit of The  Citizens  and Southern
National Bank, a national banking  association,  and SUSAN L. ADAMS, as trustees
under the hereinafter defined Indenture  (together,  the "Indenture  Trustees"),
having an address as set forth in Section 6.3 hereof.

                                 R E C I T A L S

          A.  Pursuant  to a Lease  dated  May 12,  1986  (the  "Ground  Lease")
Lutheran  Hospitals  and Homes  Society of America,  a North  Dakota  non-profit
corporation  (the "Fee Owner")  demised and let to the Grantor the real property
described in Annex A hereto.  A  memorandum  of the Ground Lease was recorded on
September 26, 1986 in Document  Number  86-525337 in the records of the recorder
of Maricopa County, Arizona.

          B. The Grantor together with the other Obligors have entered into that
certain Trust  Indenture dated as of March 31, 1990 (the  "Indenture")  with The
Citizens and Souther  National Bank and Susan L. Adams,  as Indenture  Trustees,
pursuant to which the Obligors provide for, among other things, the creation and
securing of the full and prompt payment of all amounts due with respect  thereto
of the 11.6%  Senior  Secured  Notes of the  Obligors  due March 31,  2000 in an
aggregate  principal  amount of $56,500,000 (the "Senior Secured Notes") and the
15.6%  Subordinated  Secured  Notes,  of the  Obligors  due March 31, 2000 in an
aggregate  principal  amount of $3,000,000  (the  "Subordinated  Secured Notes")
which  Senior  Secured  Notes  and  Subordinated   Secured  Notes   (hereinafter
collectively  referred  to as the  "Notes")  constitute  the joint  and  several
obligation  of the Obligors  and are further  described  in the  Indenture.  The
holders from time to time of the Notes are hereinafter  collectively referred to
as the  "Noteholders".  Unless herein otherwise  defined,  all capitalized terms
used herein shall have the same meaning as defined in the Indenture.

          C. The  Obligors  require  funds to prepay  certain  indebtedness  for
borrowed money of the Obligors (which  indebtedness  was issued by or guaranteed
by each of the Obligors) and to finance capital expenditures, renovations and



  
<PAGE>

                                                                               3

construction  at  facilities  owned by certain of the  Obligors  and in order to
strengthen  the  financial and  operating  condition of each and every  Obligor,
directly and indirectly,  as a result of the enhanced  ability of the Company to
provide  financial,  accounting,  consulting and  administrative  assistance and
services to each other Obligor. In order to provide funds for such purposes, the
Obligors have entered into separate and several Note  Purchase  Agreements  each
dated  as  of  March  31,  1990  (the  "Note   Agreements")  with  each  of  the
Institutional   Investors  (the  "Purchasers")  named  in  Schedule  I  thereto,
providing for the commitment of the Purchasers to purchase the Notes.

          D. The Notes are further secured by the Pledge and Security Agreements
dated  as  of  March  31,  1990  (the  "Pledges")  from  the  Company,  Michigan
Psychiatric  Services,  Inc., Americare of Galax, Inc. and Bountiful Psychiatric
Hospital, Inc. to the Trustee.

          E. The Notes and all principal  thereof,  premium if any, and interest
thereon  and all  additional  amounts  and other  sums at any time due and owing
from, and required to be paid by the Obligors, under the terms of the Notes, the
Note  Agreements,  the  Indenture,  the Pledge,  this Deed of Trust or any other
mortgage or deed of trust executed and delivered by the other Obligors  pursuant
to the  Indenture are  hereinafter  sometimes  referred to as the  "Indebtedness
hereby secured".

          F. The Grantor is duly authorized  under all applicable  provisions of
law,  its charter and by-laws to issue the Notes and other  indebtedness  hereby
secured,  to execute  and  deliver  this Deed of Trust and to grant,  convey and
assign the "Granted  Property" (as hereinafter  defined) to the Security Trustee
as security for the Notes and all corporate  action and all consents,  approvals
and other  authorizations  and all other acts and things  necessary to make this
Deed of Trust the valid,  binding and legal  instrument  for the security of the
Notes have been done and performed.

          G. The  Purchasers  have required as a condition to their  purchase of
the Notes that the Grantor  execute  and deliver  this Deed of Trust as security
for the payment of the Notes.

          NOW,  THEREFORE,  THIS DEED OF TRUST WITNESSETH:  That the Grantor, in
consideration  of the premises,  the purchase and acceptance of the Notes by the
Purchasers,  and  the  sum of Ten  Dollars  received  by the  Grantor  from  the
Purchasers and the Indenture Trustees and the Security




<PAGE>

                                                                               4

Trustee and other good and  valuable  consideration,  receipt  whereof is hereby
acknowledged,  and in order to strengthen the financial and operating  condition
of each and every Obligor  directly and indirectly,  as a result of the enhanced
ability  of  the  Company  to  provide  financial,  accounting,  consulting  and
administrative  assistance and services to each other  Obligor,  and in order to
secure the payment of the  principal  of,  premium,  if any, and interest on the
Notes  according  to their  tenor and  effect,  and to secure the payment of all
other indebtedness  hereby secured and the performance and observance of all the
covenants, agreements and conditions contained in the Notes, this Deed of Trust,
the Note  Agreements and  indenture,  the Grantor does hereby  warrant,  pledge,
assign,  bargain,  hypothecate,  convey,  grant,  transfer and set over unto the
Security Trustee and its successors in trust and assigns, and, where applicable,
to the Indenture  Trustees for the purposes of  personality,  rents,  issues and
profits,  WITH POWER OF SALE, in and to all and singular the following described
properties,  rights,  interest and privileges  and all of the Grantor's  estate,
right,  title  and  interest  therein,  thereto  and  thereunder  (all of  which
properties  hereby  granted,  assigned  and  pledged  or  intended  so to be are
hereinafter collectively referred to as the "Granted Property"):

                               GRANTING CLAUSE I

          All the  leasehold  estate of the Grantor in the real property and all
the rights,  privileges  and franchises  associated  with the parcels of land in
Maricopa County, State of Arizona, described in Annex A attached hereto and made
a part hereof, including without limitation all right, title and interest of the
Grantor in, to and under the Ground Lease,  together with the entire interest of
the Grantor in and to all buildings, structures,  improvements and appurtenances
now standing,  or at any time  hereafter  constructed  or placed upon such land,
including  all right,  title and interest of the Grantor,  if any, in and to all
building material, building equipment, and (except as hereinafter set forth) all
fixtures of every kind and nature  whatsoever  on said land or in any  building,
structure  or  improvement  now or  hereafter  standing  on said land  which are
classified  as fixtures  under  applicable  law and which are used in connection
with the operation,  maintenance or protection of said buildings,  structure and
improvements  as  such  (including,   without  limitation,   all  boilers,   air
conditioning,  ventilating,  plumbing,  heating, lighting and electrical systems
and apparatus,  all communications equipment and intercom systems and apparatus,
all sprinkler equipment and apparatus, and all elevators and escalators).




<PAGE>

                                                                               5

All items  included  under this Deed of Trust,  and the reversion or reversions,
remainder  or  remainders,  in and to said land,  and  together  with the entire
interest of the Grantor in and to all and singular the tenements, hereditaments,
easements,  rights of way,  rights,  privileges and  appurtenances to said land,
belonging or in anywise appertaining thereto, including, without limitation, the
entire right,  title and interest of the Grantor,  in, to and under any streets,
ways,  alleys,  gores or strips of land  adjoining  said land, and all claims or
demands  whatsoever of the Grantor either in law or in equity,  in possession or
expectance,  of, in and to said  land,  it being the  intention  of the  parties
hereto that,  so far as may be  permitted by law, all property of the  character
hereinabove  described,  which is now  owned  or is  hereafter  acquired  by the
Grantor and is affixed or attached or annexed to said land,  shall be and remain
or become and constitute a portion of said land and the security  covered by and
subject to the lien of the Deed of Trust,  together with all  accessions,  parts
and  appurtenances  appertaining  or  attached  thereto  and  all  substitution,
renewals  or  replacements  of  and  additions,  improvements,   accessions  and
accumulations  to any and all  thereof,  and  together  with all rents,  income,
revenues,  awards,  issues and profits  thereof,  and the present and continuing
right to make claim for,  collect,  receive  and receipt for any and all of such
rents,  income,  revenues,  awards,  issues and profits arising  therefrom or in
connection therewith (all such property being hereinafter  collectively referred
to as the "Land  Parcels").  The Granted Property shall not include any personal
property  or  equipment  not  owned  by the  Grantor  so long as the same can be
removed  without  causing  material  damage to the  Granted  Property  (all such
property being hereafter  collectively referred to as "Excluded Property").  The
Excluded Property is described in Annex B hereto.

                               GRANTING CLAUSE II

          All machinery and equipment in all of its forms, wherever located, now
or hereafter existing (including,  but not limited to, all drugs,  environmental
monitoring  devices,  medical supplies,  hospital supplies,  uniforms,  x-ray or
nuclear  magnetic  resonance  devices,  imaging devices,  laboratory  equipment,
medical equipment,  surgical equipment,  quality control equipment, motors, test
equipment,  computer software,  data processing  equipment,  printers,  presses,
computer  test  equipment,   industrial   machinery,   equipment  and  fixtures,
transportation   equipment,   office  and  other   machinery,   video  or  audio
reproduction devices, stretchers, wheel-chairs, furniture, aircraft, ambulances,
rolling stock, motor vehicles, trailers, tractors, trucks, cars, tools, spare



<PAGE>

                                                                               6


parts and fuel,  items employed in the maintenance or repair of any structure or
any grounds, all foodstuffs of any kind, drawings,  books, records and equipment
containing books and records or in which books and records are stored),  and all
parts thereof and all accessions thereto and replacements thereof, together with
any  additional  machinery  and  equipment  that may become  part of the Granted
Property  or  located on the Land  Parcels  and less any  Equipment  that may be
deleted  from the Granted  Property  or removed  from the Land  Parcels,  all in
accordance  with the  terms of this Deed of Trust  (any and all such  machinery,
equipment, parts and accessions being the "Equipment");

                               GRANTING CLAUSE III

          All insurance proceeds,  judgments, awards of damages, settlements and
other  compensation  arising out of any  damage,  destruction,  condemnation  or
taking of the Granted Property; GRANTING CLAUSE IV

          All leases and subleases  belonging or otherwise  appertaining  to the
Land Parcels,  including all extended  terms and all  extensions and renewals of
the term of such  leases  and  subleases,  together  with all  right,  title and
interest  of the  Grantor as lessor  sublessor  thereunder,  including,  without
limitation, the present and continuing right to make claim for, collect, receive
and receipt for any and all of the rents, income,  revenues,  issues and profits
and other sums of money payable or receivable  under such leases and  subleases,
whether payable as rent or otherwise, to receive and give notices thereunder, to
bring actions and proceedings  thereunder or for the enforcement thereof, and to
do any and all things  which the Grantor or any other  lessor or sublessor is or
may become  entitled  to do under the leases and  subleases;  provided  that the
assignment  made by this  Granting  Clause IV shall not impair or  diminish  any
obligation  of the Grantor  under the leases and  subleases,  nor shall any such
obligation be imposed upon the Indenture Trustees or the holder of any Note;




<PAGE>

                                                                               7

                                GRANTING CLAUSE V

          All inventory in all of its forms,  wherever located, now or hereafter
existing (including,  but not limited to (i) drugs,  medical supplies,  hospital
supplies, books, uniforms, medical equipment, surgical equipment, video or audio
reproduction devices and foodstuffs of any kind, (ii) goods in which the Grantor
has an  interest  in mass or a joint  or  other  interest  or  right of any kind
(including,  without  limitation,  goods in which the Grantor has an interest or
right as consignee),  and (iii) goods that are returned to or repossessed by the
Grantor), and all accessions thereto and products thereof and documents therefor
(any and all such  inventory,  accessions,  products  and  documents  being  the
"inventory"); 

                               GRANTING CLAUSE VI

          All agreements  listed on Schedule II, as each of such  agreements may
be amended,  supplemented or otherwise  modified and in effect from time to time
(such  agreements  as so amended or modified and in effect,  being the "Assigned
Agreements"),  including,  without limitation,  (i) all rights of the Grantor to
receive  moneys  due  and to  become  due  under  or  pursuant  to the  Assigned
Agreements, (ii) all rights of the Grantor to receive proceeds of any insurance,
indemnity,  warranty or guaranty with respect to the Assigned Agreements,  (iii)
claims of the Grantor for damages  arising out of or for breach of or default or
misrepresentation under the Assigned Agreements or any documents, instruments or
opinions delivered pursuant thereto,  (iv) the right of the grantor to terminate
the Assigned  Agreements,  to perform  thereunder and to compel  performance and
otherwise  exercise all remedies  thereunder,  and (v) all rights to receive per
diem or other  reimbursements  and payments  from private  insurance  companies,
federal or state governmental  agencies or any other person or entity in respect
of services  provided (in each case, to the extent  permitted by law);

                               GRANTING CLAUSE VII

          All of the following collateral (the "Security Collateral");

          (A) all shares (the "Pledged  Shares") of stock  described in Schedule
     III and  issued by the  corporations  named  therein  and the  certificates
     representing the Pledged Shares, and all dividends,  cash,  instruments and
     other  property  form  time  to  time  received,  receivable  or  otherwise
     distributed  in respect  of or in  exchange  for any or all of the  Pledged
     Shares; and


<PAGE>

                                                                               8

          (B) all  additional  shares of stock from time to time acquired by the
     Grantor in any manner,  and the certificates  representing  such additional
     shares, and all dividends,  cash,  instruments and other property from time
     to time received,  receivable or otherwise  distributed in respect of or in
     exchange for any or all of such additional shares;

                              GRANTING CLAUSE VIII

          To the extent not otherwise covered by Granting Clauses I through VII,
inclusive, all cash, accounts,  general intangibles (including,  but not limited
to,  all  governmental  or  regulatory  permits or  certificates  (to the extent
permitted  by law);  rights  to  receive  per diem or other  reimbursements  and
payments  form  private  insurance  companies,  federal  or  state  governmental
agencies or any other person or entity in respect of services  provided (in each
case, to the extent permitted by law); tax refunds; intellectual property rights
of any kind (whether  arising under  federal,  state or foreign law),  know how,
trade  secrets,   engineering  plans,  computer  software,  drawings  and  other
proprietary   information   (including   without   limitation  any  business  or
organization plans,  reports or projections of any kind, whether or not fixed in
any tangible medium);  patents and patent  applications;  unpatented  inventions
(whether or not patentable); copyrights; trademarks, trade names, service marks,
trademark and service mark  applications,  and all goodwill to which the Grantor
is entitled or of any businesses in which the Grantor is engaged, whether or not
such  goodwill is  associated  with or related to any such mark or  application;
license  agreements  relating to any of the foregoing and income therefrom;  and
the  right  to sue  for  all  past,  present  and  future  infringements  of the
foregoing,  contract  rights to the  extent a security  interest  or lien may be
granted  in or on  such  contract  rights  pursuant  to  the  relevant  contract
(including,  but not limited to, all rights of the Grantor to receive moneys due
and to become due under or pursuant to any  accounts,  general  intangibles  and
contract  rights  and all of the  rights of the  Grantor  to  terminate,  and to
perform,  compel  performance and otherwise  exercise all remedies  under,  such
accounts,  general intangibles and contract rights),  chattel paper, instruments
and other  obligations,  in each case, of any kind,  now or hereafter  existing,
whether or not arising out of or in  connection  with the sale or lease of goods



<PAGE>

                                                                               9

or the rendering of services, and all rights now or hereafter existing in and to
all  mortgages,  security  agreements,  leases and other  contracts  securing or
otherwise relating to andy such cash, accounts,  general  intangibles,  contract
rights, chattel paper,  instruments or other obligations (any and all such cash,
accounts,  general intangibles,  contract rights, chattel paper, instruments and
obligations being the  "Receivables",  and any and all such mortgages,  security
agreements,  leases and other  contracts  being the  "Related  Contracts");  and

                               GRANTING CLAUSE IX

          All  proceeds  of  any  and  all  of the  foregoing  Granted  Property
including,  without  limitation,  proceeds that constitute property of the types
described in Granting Clauses I through VIII, inclusive,  and, to the extent not
otherwise  included,  (x)  all  payments  under  Insurance  (whether  or not the
Indenture  Trustees are the loss payee thereof),  or any indemnity,  warranty or
guaranty,  payable by reason of loss or damage to or  otherwise  with respect to
any of the foregoing Granted Property,  and (y) all cash, wherever located,  not
included above in clause (x).

          SUBJECT,  HOWEVER, to Permitted Encumbrances,  as defined in section 1
hereof;

          TO HAVE AND TO HOLD the Granted Property unto the Security Trustee and
its  successors  in trust  and  assigns  forever  for the  purpose  of  securing
performance of each  agreement,  covenant and warranty of the Grantor  contained
herein and payment of the  indebtedness  hereby secured from time to time issued
under and pursuant to the Note  Agreements and the  Indenture.  It is understood
and agreed that this Deed of Trust is to secure the obligation of the Grantor to
repay  all sums due or to  become  due in  respect  of the  Notes  executed  and
delivered  pursuant to the Note  Agreements and the Indenture,  including  those
heretofore executed and those of even date herewith.

          IN TRUST,  NEVERTHELESS,  WITH POWER OF SALE, upon the terms and trust
herein  set forth  for the  benefit  and  security  of all  present  and  future
Indenture Trustees and Noteholders in accordance with the terms of the Indenture
and the Notes and all other sums payable  hereunder or under the  Indenture  and
the Notes,  and for the performance  and observance of the Indenture,  the Notes
and this Deed of Trust, all as herein set forth.



<PAGE>

                                                                              10

          PROVIDED,  NEVERTHELESS,  and  these  presents  are upon  the  express
condition that if the Grantor performs the covenants herein and in the Indenture
contained  and pays to the  Indenture  Trustee,  its  successors  in  trust  and
assigns,  the full amount of all principal of, and premium, if any, and interest
on the Notes and all other indebtedness  hereby secured,  the estate,  right and
interest of the Security  Trustee in the Granted  Property  shall cease and this
Deed of Trust shall become null and void,  but otherwise to remain in full force
and effect.

          It is agreed and understood by the parties hereto that:

          1. The Notes are to be secured by other  mortgages  and deeds of trust
     of other  Obligors on other real estate in the States or  Commonwealths  of
     Michigan,  North  Carolina,  Utah and West  Virginia.  Each and all of said
     mortgages and deeds of trust are intended to and shall constitute  security
     for the entire indebtedness represented by said Notes without allocation.

          2.  Any  part of the  security  herein  described,  and  any  security
     described in any other mortgage or deed of trust or other instrument now or
     hereafter given to secure the indebtedness which is secured by this Deed of
     Trust, may be released by the Security  Trustee without  affecting the lien
     and security  interest  hereof on the remainder or the  obligations  of the
     Grantor on and in respect of the Notes and any person  acquiring any direct
     or indirect  interest in the security  herein  described or in any security
     described in any other mortgage or deed of trust or other instrument now or
     hereafter given to secure the indebtedness which is secured by this Deed of
     Trust shall take the same subject to all of the provisions hereof.

          3. The  Grantor  for itself and all who may claim  through or under it
     waives andy and all right to have the property and estates  comprising  the
     Granted Property  marshalled upon any foreclosure of the lien hereof, or to
     have the Granted  Property  hereunder and the property covered by any other
     mortgage  or  deed  of  trust  securing  the  Notes   marshalled  upon  any
     foreclosure of any of said mortgages or deeds of trust, and agrees that any
     court  having  jurisdiction  to  foreclose  such lien may order the Granted
     Property sold as an entirety.



<PAGE>

                                                                              11

          4. Upon the  occurrence of an Event of Default  hereunder the Security
     Trustee has, among other things,  the right to sell the Granted Property at
     a trustee's sale and/or U.C.C.  sale or foreclose on the Granted  Property,
     in the manner  described by  applicable  law, and dispose of the same.  the
     Security  Trustee's  deed or other  instrument of  conveyance,  transfer or
     release  (which may be executed by the Security  Trustee in its own name or
     as  attorney-in-fact  for the Grantor and the Trustee is hereby irrevocably
     appointed  attorney-in-  fact for the Grantor) shall be effective to convey
     and transfer to the grantee an indefeasible  title to the property  covered
     thereby,  discharged  of all  rights of  redemption  by the  Grantor or any
     person  claiming  under it, and to bar forever all claims by the Grantor or
     the said Security  Trustee to the property  covered  thereby and no grantee
     from the  Security  Trustee  shall be under any duty to  inquire  as to the
     authority  of the  Security  Trustee to execute the same,  or to see to the
     application of the purchase money.

SECTION 1. DEFINITIONS.

          Capitalized  terms used in this Deed of Trust and not  defined  herein
shall have the meaning provided  therefore in the Indenture.  In addition to the
terms  elsewhere  defined in this Deed of Trust,  the following terms shall have
the following meanings for all purposes of this Deed of Trust:

          "Appraised  Value" with respect to the Granted Property shall mean the
     fair market value on the date of an  appraisal  of the Granted  Property as
     shown  by  (i)  the  appraisal  thereof  furnished  to  the  Purchasers  in
     accordance  with the provisions of Section  7(a)(vi) of the Note agreements
     or Section  10.2(b)(v) or Section  10.2(c)(vi) of the Indenture or (ii) the
     appraisal thereof furnished to the Indenture Trustee in accordance with the
     provisions of section 4.2 of the Indenture.

          "Cost"  shall mean an amount equal to the sum of the  following  items
     capitalized  on the  books of the  Grantor  in  accordance  with  generally
     accepted accounting  principles:  (i) the actual construction cost thereof,
     including  cost  of  land  and  buildings,  landscaping,  on and  off  site
     improvements,  architectural,  engineering  and  other  professional  fees,
     interest and taxes during construction and all carrying charges, but




<PAGE>

                                                                              12

     excluding  the cost of  Excluded  Property  and (ii) fees and  expenses  in
     connection  with the  placement,  issuance and sale of the Notes  including
     fees and expenses  referred to in Section 8 of the Notes including fees and
     expenses  referred to in Section 8 of the Note Agreements  allocated by the
     Grantor to the  Granted  Property,  the  physical  survey an title  charges
     referred  to in Section  B(g) of the Note  Agreements,  the charges for the
     environmental  audit and appraisal  referred to in Sections 8(h) and (i) of
     the Note  Agreements  in respect of such Granted  Property  incurred by the
     Grantor and debt service  expenses,  and all closing  costs with respect to
     the Granted Property.

          "Default"  shall mean nay event or condition,  the occurrence of which
     would, with the lapse of time or the giving of notice, or both,  constitute
     an Event of Default.

          "Event of  Default"  shall  mean any  events  specified  in  section 5
     hereof.

          "Loan Value" of the Granted Property shall be an amount  determined by
     multiplying the aggregate unpaid principal amount of the Notes  outstanding
     immediately  prior to the date on which the Loan Value is to be  determined
     by a fraction the numerator of which is the Appraised  Value of the Granted
     Property and the  denominator is the Appraised  Value of al property of the
     Obligors  which is then  subject to the lien of this Deed of Trust and each
     and every other mortgage and deed of trust  delivered to or for the benefit
     of the Indenture  Trustee under and pursuant to the Note Agreements and the
     Indenture.

          "Note"  shall  mean nay of, and  "Notes"  shall mean all of, the Notes
     then  outstanding  under the Note  Agreements and the  Indenture.  The term
     "outstanding"  when used with  reference  to Notes  shall  mean,  as of any
     particular  time,  all  Notes  delivered  by the  Obligors  under  the Note
     Agreements and the Indenture and secured hereby and by each and every other
     mortgage  delivered  pursuant  to the Note  Agreements  and the  Indenture,
     except:





<PAGE>

                                                                              13

               (a) Notes  theretofore  cancelled  by the  Indenture  Trustee  or
          delivered to the Indenture Trustee for cancellation;

               (b) Notes for the payment or  prepayment  of which  moneys in the
          necessary  amount  shall  have  been  paid to the  Indenture  Trustee,
          provided,  that if such Notes are to be prepaid  prior to the maturity
          thereof,  notice of such prepayment  shall have been given as provided
          in Section  5.6 of the  Indenture  or  provision  satisfactory  to the
          Indenture Trustee shall have been made for giving such notice; and

               (c) Notes in lieu of or in  substitution  for which  other  Notes
          shall have been  authenticated and delivered  pursuant to the terms of
          Section 2.6 of the Indenture.

          "Officers'  Certificate"  shall  mean  a  certificate  signed  by  the
President  and  by any  one  of the  following  officers  of the  Grantor:  Vice
President or the Secretary.

          "Opinion of Counsel"  shall mean an opinion in writing signed by legal
counsel who shall be  satisfactory  to the  Indenture  Trustees,  and who may be
counsel to the Grantor.

          "Permitted Encumbrances" shall mean:

               (a) Liens for  property  taxes and  assessments  or  governmental
          charges or levies and liens  securing  claims or demands of  mechanics
          and  materialmen,  provided  that  payment  thereof is not at the time
          required by section 2.7;

               (b) liens of or resulting  form any  judgment or award,  the time
          for the  appeal or  petition  for  rehearing  of which  shall not have
          expired,  or in respect of which the Grantor shall at any time in good
          faith be  prosecuting  an appeal  or  proceeding  for a review  and in
          respect of which a stay of execution pending such appeal or proceeding
          for review shall have been secured;







<PAGE>

                                                                              14

               (c) liens,  charges,  encumbrances and priority claims incidental
          to the conduct of business or the ownership of  properties  and assets
          (including   warehousemen's   and   attorneys'   liens  and  statutory
          landlords'  liens)  and  deposits,  pledges  or  liens to  secure  the
          performance  of  bids,  tenders  or  trade  contracts,  or  to  secure
          statutory  obligations,  surety or appeal bonds or other liens of like
          general nature  incurred in the ordinary course of business and not in
          connection  with the  borrowing of money,  provided in each case,  the
          obligation  secured is not overdue or, if overdue,  is being contested
          in good faith by appropriate actions or proceedings;

               (d) minor survey exceptions or minor  encumbrances,  easements or
          reservations,  or rights of others for  rights-of-way,  utilities  and
          other similar purposes,  or zoning or other restrictions as to the use
          of  real  properties,  which  are  necessary  for the  conduct  of the
          activities of the Grantor or which  customarily exist on properties of
          corporations  engaged in similar activities and similarly situated and
          which do not in any event materially impair their use in the operation
          of the business of the Grantor;

               (e)  mortgages,  deeds of  trust,  liens and  security  interests
          securing the Notes;

               (f) leases permitted by the provisions of section 3.1(d); and

               (g) the Ground Lease.

          "Person" shall mean an individual, partnership,  corporation, trust or
     unincorporated organization.




<PAGE>
                                                                              15

SECTION 2. GENERAL COVENANTS AND WARRANTIES.

          The Grantor covenants, warrants and agrees as follows:

          2.1.  Note  Agreements  and Indenture  Covenants.  Each and all of the
terms,  provisions,  restrictions,  covenants  and  agreements  set forth in the
Notes, the Note Agreements, the Pledges and the Indenture, and in each and every
supplement  thereto or amendment  thereof  which may at any time or from time to
time be executed and delivered by the parties  thereto or their  successors  and
assigns,  are incorporated herein by reference to the same extent as though each
and all of said terms, provisions,  restrictions,  covenants and agreements were
fully set out herein and as though any amendment or supplement to the Notes, the
Note  Agreements,  the Pledges or the Indenture,  as the case may be, were fully
set out in an amendment  or  supplement  to this Deed of Trust;  and the Grantor
does  hereby  covenant  and agree  well and truly to abide  by,  perform  and be
governed  and  restricted  by each and all of the  matters  provided  for by the
Notes,  the Note  Agreements,  the Pledges and the Indenture and so incorporated
herein to the same  extent and with the same force and effect as if each and all
of  said  terms,   provisions,   restrictions,   covenants  and   agreements  so
incorporated  herein by reference  were set out and  repeated  herein at length.
Without  limiting the  foregoing,  the Grantor  covenants  and agrees to pay all
taxes,  assessments and governmental charges or levies imposed upon this Deed of
Trust or the Notes or any other indebtedness secured hereby.

          2.2. Ownership of Granted Property. The Grantor covenants and warrants
that it has  good and  marketable  title to the  Granted  Property  hereinbefore
conveyed  to the  Security  Trust  free and  clear  of all  liens,  charges  and
encumbrances  whatever except Permitted  Encumbrances,  and the Grantor has full
right,  power  and  authority  to grant,  convey  and  transfer  the same to the
Security  Trustee for the uses and purposes in this Deed of Trust set forth; and
the Grantor  will warrant and defend the title to the Granted  Property  against
all claims and demands whatsoever.

          2.3.  Further  Assurances.  The Grantor will, at its own expense,  do,
execute,  acknowledge  and deliver all and every further act, deed,  conveyance,
transfer and assurance  necessary or proper for the better assuring,  conveying,
assigning and confirming unto the Security Trustee all of the Granted  Property,
or property intended so to be, whether now owned or hereafter acquired.




<PAGE>

                                                                              16

          2.4.  Payment of  Principal  and  Interest.  The Grantor will duly and
punctually pay the principal of, and premium,  if any, and interest on all Notes
and all other amounts payable under the indebtedness hereby secured according to
the terms thereof.

          2.5.  Maintenance of Granted  Property,  Other Liens,  Compliance with
Laws,  Etc.  (a) Without  limiting the  provisions  of Section 3.8 of the of the
Indenture  and  subject  to section 3 hereof,  the  Grantor  shall (i)  promptly
repair,  restore or rebuild any  buildings,  improvements  or  Equipment  now or
hereafter on the Granted Property which may become damages or be destroyed, (ii)
keep the Granted  Property in good condition and repair,  ordinary wear and tear
excepted,   without  waste,  and  free  from  all  claims,  liens,  charges  and
encumbrances  other  than  Permitted  Encumbrances,   (iii)  pay  when  due  any
indebtedness  which may be secured by a lien or charge on the  Granted  Property
and upon request exhibit satisfactory  evidence of the discharge of such lien to
the Security  Trustees,  (iv) comply with all  requirements  of law or municipal
ordinances with respect to the Granted Property and the use thereof,  failure to
comply  with which would  result in any  material  interference  with the use or
operation  of the Granted  Property by the Grantor,  (v) not,  without the prior
written  consent of  Security  Trustees,  (A)  initiate  or  support  any zoning
reclassification  of the Granted  Property,  seek any  variance  under  existing
zoning ordinances applicable to the Granted Property or use or permit the use of
the Granted  Property in a manner which would result in such use becoming a non-
conforming use under applicable  zoning  ordinances,  (B) modify or amend any of
the Permitted Encumbrances, (C) impose any restrictive covenants or encumbrances
upon the Granted  Property,  execute or file any subdivision  plat affecting the
Granted  Property or consent to the  annexation  of the Granted  Property to any
municipality  or (D) permit or suffer  the  Granted  Property  to be used by the
public or any person in such  manner as might  make  possible a claim of adverse
usage or possession or of any implied  dedication or easement,  and (vi) make no
material  alterations  in said  Granted  Property  except as  required by law or
municipal ordinance;  provided, however, the Grantor may make any alterations of
any kind to the Granted Property if (A) the market value of the Granted Property
would not be  impaired;  (B) such  alterations  shall be performed in a good and
workmanlike manner; and (C) such alterations shall be expeditiously completed in
compliance  with  all  laws,   ordinances,   orders,   rules,   regulations  and
requirements  applicable thereto,  including to the extent necessary to maintain
in full force and effect the  policies  of  insurance  required  by section  2.6
hereof.  The  Grantor  shall  promptly  pay all costs and  expenses of each such


<PAGE>
                                                                              17

addition,  alteration,  substitution and replacement,  discharge all liens filed
against the Granted Property arising out of the same and procure and pay for all
permits and licenses required in connection therewith.  The Grantor shall notify
the  Indenture  Trustees  and each  holder of the Noes of the filing of any lien
against the Granted Property in an amount greater than $25,000.

          (b) The Grantor may, at its expense,  (i)  construct  upon the Granted
Property  additional  buildings,  structures  and  other  improvements  and (ii)
install, assemble and place upon the Granted Property any items of machinery and
equipment used or useful in the Company's business, in each case upon compliance
with the  provisions of paragraph  (a) of this section 2.5. All such  buildings,
structures and other  improvements  shall be and remain part of the Land parcels
and shall be subject to this Deed of Trust unless such property shall constitute
Excluded  Property.  Excluded  Property  shall not be deemed part of the Granted
Property for purposes of  condemnation  of casualty,  and the Grantor may remove
the same  from the  Granted  Property  at any time  prior to the  expiration  or
earlier  termination  of this Deed of Trust , provided that the Grantor,  at its
expense,  shall repair any damage to the Granted  Property  resulting  from such
removal.

          (c) The Granted  Property is not located in an area  identified by the
Secretary  of Housing and Urban  Development  or a successor  thereto as an area
having  special  flood  hazards  pursuant  to the  terms of the  National  Flood
Insurance Act of 1968, or the Flood Disaster Protection Act of 1973, as amended,
or any  successor  law; or if the  Granted  Property is located in such an area,
Grantor will obtain and maintain  insurance  against  damage or loss by flood on
such basis and in such amounts as shall be required by Indenture Trustees.

          (d) The  Grantor  shall use and  operate  the  Granted  Property  as a
hospital.

          2.6. Insurance. (a) Insurance Against Loss or Damage. The Grantor will
maintain  or  cause  to be  maintained  with  respect  to the  Granted  Property
insurance  against  loss by fire,  windstorm  and  explosion  and with  extended
coverage  and  against  such other  risks of  physical  loss as are  customarily
insured  against,  and in such amounts as are  customarily  carried by companies
owning  property of a similar  character and similarly  located and engaged in a
business similar to that engaged in by the Grantor; provided,  however, that the
amount of such insurance  with respect to the Granted  Property shall not at any
time be less than the greater of replacement value or Loan Value thereof.

<PAGE>

                                                                              18

          (b) Insurance  Against Public Liability  Property Damage.  The Grantor
will maintain or cause to be maintained in effect, with insurers satisfactory to
the Indenture Trustees, insurance policies with respect to the Granted Property,
insuring  against  liability  for loss or damage to the  person or  property  of
others  from such  risks  and in such  amounts  as are  customarily  carried  by
companies  owning  property  of a similar  character  and  engaged in a business
similar to that engaged in by the Company;  provided,  however, that in no event
shall the insurance maintained in accordance with this paragraph be less than an
aggregate of $25,000,000  for claims arising out of a single  occurrence and not
less than  $25,000,000  in the aggregate for all claims made in any policy year.
All such  insurance  shall  protect the  Indenture  Trustees  and the Grantor in
respect of risks arising out of the condition,  maintenance,  use,  ownership or
operation of the Granted  Property.  The grantor will  indemnify  the  Indenture
Trustees  and holders of the Notes from any and all  liability  imposed  against
said  Indenture  Trustee  and  said  holders  of the  Notes  arising  out of the
condition, maintenance, use, ownership or operation of the Granted Property.

          (c) The Grantor will maintain or cause to be maintained:

          (i)all  such  worker's  Compensation  or similar  insurance  as may be
     required by law;

          (ii) use and occupancy (or business interruption) insurance,  covering
     interruption of the Grantor's operations, in whole or in part, by reason of
     the total or partial  suspension of, or  interruption  in, the operation of
     the Granted  Property caused by the damage to or destruction of any part of
     the Granted  Property,  with such exceptions as are customarily  imposed by
     insurers,  in an amount  sufficient  to comply with the  requirements  of a
     standard 50% gross earnings business interruption form; and

          (iii)maintain   liability  insurance  covering  hospital   operations,
     including  malpractice,  against claims arising from professional  services
     performed  by the  Grantor  with limits of not less than  $20,000,000  with
     respect to injuries or deaths  arising out of a single  occurrence  and not
     less than  $20,000,000  in the  aggregate  for all claims made  against the
     Grantor in any policy year.

<PAGE>

                                                                              19

For the purposes of this Section,  "policy year" means a period of twelve months
while the insurance coverage in question is in force measured from the effective
date of such coverage or any anniversary of such effective date.

          (d) Form of Policies.  Any  insurance  policies  carried in accordance
with this  section  2.6 shall be written by  companies  of  recognized  national
standing  authorized  to do  business in the  jurisdiction  in which the Granted
Property is located (copies of which will be delivered to the Indenture Trustees
on the Closing Date) and shall provide that: (i) the Indenture  Trustees and the
holders of the Notes shall be named as additional  insureds,  as their  interest
may appear, (ii) the Indenture Trustees' interest shall be insured regardless of
any breach or  violation  by the  Grantor  of any  warranties,  declarations  or
conditions contained in such policies,  (iii) such insurance, as to the interest
of the  Indenture  Trustees  therein,  shall  not be  invalidated  by the use or
operation of the Granted  Property for purposes  which are not permitted by such
policies, (iv) the insurers shall waive any right of subrogation of the insurers
to any set-off or counterclaim or any other deduction,  whether by attachment or
otherwise,  in respect of any  liability of the  Grantor,  (v) if any premium or
installment  is not  paid  when  due,  or if such  insurance  would  lapse or be
cancelled,  terminated  or  materially  changed for any reason  whatsoever,  the
insurers  will  promptly  notify  the  Indenture  Trustees  and any such  lapse,
cancellation,  termination  or change shall not be effective as to the Indenture
Trustees  for 30  days  after  receipt  of such  notice,  and  (vi)  appropriate
certification  shall be made to the  Indenture  Trustees  by each  insurer  with
respect thereto.

          (e) Loss Payee.  Provided no Default or Even t of Default has occurred
and is  continuing,  the loss,  if any,  under any policy  pertaining to loss by
reason of damage to or destruction or condemnation of any portion of the Granted
Property shall be adjusted with the insurance companies by the Grantor,  subject
to the approval of the Indenture Trustees if the loss exceeds 4100,000. The loss
so  adjusted  shall be paid to the  Indenture  Trustees  pursuant  to said  loss
payable  clause  unless  said loss is  $100,000  or less in which case said loss
shall be paid  directly to the Grantor,  provided no Default or Event of Default
has  occurred and is  continuing,  in which event any such loss shall be paid to
the Indenture Trustees.





<PAGE>

                                                                              20

          2.7.  Payment of Taxes and Other  Charges.  The  Grantor  will pay and
discharge,  before the same shall become delinquent,  together with interest and
penalties thereon, if any, (a) all taxes, assessments (including assessments for
benefits from public works or improvements whenever begun or completed), levies,
fees,  water and sewer rent sand charges,  and all other  governmental  charges,
general and special,  ordinary and extraordinary,  and whether or not within the
contemplation  of the  parties  hereto,  which  are at any time  levied  upon or
assessed against it or the Granted Property or any part thereof or upon the real
property  describe  din annex A and  required  to be paid under the terms of the
Ground Lease or upon this Deed of Trust or the Notes  secured  thereby,  or upon
the  revenues,  rents,  issues,  income and  profits  in respect of the  Granted
Property,  or arising in respect of the  occupancy,  use or possession  thereof,
which  failure to pay would  result in the  creation  of a lien upon the Granted
Property or any part thereof, or upon the revenues,  rents,  issues,  income and
profits of the Granted Property or in the diminution  thereof or would result in
any material  interference  with the use or operation of the Granted Property by
the  Grantor,  (b) al  corporate  franchise,  excise and other  taxes,  fees and
charges assessed, levied or imposed in respect of its corporate existence or its
right to do  business  in any state,  (c) all income,  excess  profits,  excise,
sales, franchise,  gross receipts and other taxes, duties or imposts, whether of
a like or  different  nature,  assessed,  levied or imposed by any  governmental
authority on it or the Granted  Property,  or any portion  thereof,  or upon the
revenues,  rents, issues,  income and profits of the Granted Property whether or
not the failure to pay any such tax, duty or impost might result in the creation
of a lien upon any assets of the Grantor or the Granted Property, or any portion
thereof, or upon the revenues,  rents, issues, income and profits of the Granted
Property  whether or not the failure to pay any such tax,  duty or impost  might
result in the  creation  of a lien upon any asset of the  Grantor or the Granted
Property or any part thereof or upon the  revenues,  rents,  issues,  income and
profits of the Granted Property or in the diminution thereof, and whether or not
any such tax, duty or impost is payable directly by the Grantor or is subject to
withholding  at the source and (d) all lawful  claims and demands of  mechanics,
laborers,  materialmen and others which, if unpaid, might result in the creation
of a lien on the Granted Property or upon the revenues,  rents,  issues,  income
and profits of the Granted Property and, in general, will do or cause to be done
everything  necessary so that the lien hereof shall be fully  preserved,  at the
cost of the Grantor, without expense to the Indenture Trustees.




<PAGE>

                                                                              21

          Nothing in this section 2.7 shall require the payment of any sum which
is required to be paid by the  Grantor  pursuant to this  section 2.7 so long as
the Grantor shall in good faith contest its  obligation so to do by  appropriate
proceedings  which will  prevent the  forfeiture  or sale of any property of the
Grantor or any material  interference  with the use or operation  thereof by the
Grantor, and shall set up a a reserve,  reasonably  adequate,  in the opinion of
the President or any Vice President of the Grantor against any such payment.

          2.8. Advances.  If the Grantor shall fail to comply with the covenants
contained  herein or in the Note Agreements or the Indenture with respect to the
procuring of insurance,  the payment of taxes, assessments and other charges, or
the  keeping of the  Granted  Property  in repair and free of other  liens,  the
Indenture Trustees may make advances to perform the same; and the Grantor agrees
to repay all sums so advanced  upon demand with  interest at a rate equal to the
greater  of (i) 13.6%  per  annum  and (ii) the sum of (A) the rate of  interest
publicly  announced by Morgan  Guaranty  Trust  Company of New York from time to
time in New York City as its prime rate plus (B) 1% after demand;  and evidenced
by the Notes or any of them;  but no such advance shall be deemed to relieve the
Grantor form any default hereunder.

          2.9.  Recordation.  The Grantor will,  at its own expense,  cause this
Deed of  Trust,  all  supplements  hereto,  and  any  financing  statements  and
continuation  statements required by law, including the Uniform Commercial Code,
in respect thereof at all times to be kept recorded and filed at its own expense
in such  manner and in such  places as may be  required by law in order to fully
preserve and protect the rights of the Security  Trustee and Indenture  Trustees
hereunder, and will furnish to the Indenture Trustees promptly, and in any event
within thirty (30) days,  after the execution and delivery of this Deed of Trust
and of each supplement an Opinion of Counsel stating that in the opinion of such
counsel this Deed of Trust or such  supplement  or such  financing  statement or
continuation  statement, as the case may be, has been properly recorded or filed
for record so as to make  effective  of record the lien  intended  to be created
hereby.

          2.10. After-Acquired Property. Any and all property hereafter acquired
which is of the kind or nature  described in the Granting  Clauses hereof and is
or intended to become a part thereof,  shall ipso facto, and without any further
conveyance, assignment or act on the part of the Grantor or the Security Trustee
and  Indenture  Trustees  and be,  subject  to the lien of this Deed of Trust as



<PAGE>

                                                                              22

fully and completely as though  specifically  described herein; but nevertheless
the Grantor  shall from time to time,  if requested by the  Indenture  Trustees,
execute  and  deliver  any and all  such  further  assurances,  conveyances  and
assignments  thereof as the Indenture  Trustees may  reasonably  require for the
purpose of expressly  and  specifically  subjecting  to the lien of this Deed of
Trust any and all such property.

          2.11.  Priority of this Deed of Trust;  Future  Advances;  Extensions,
Modifications,  and Renewals.  Any portion of the  indebtedness  hereby  secured
which is  incurred  after the  execution  of this Deed of Trust  pursuant to the
Indenture or any supplemental indenture referencing this Deed of Trust, or which
is evidenced by any instrument  stating that the indebtedness  hereby secured is
secured  by this Deed of  Trust,  shall be  defined  as a Future  Advance.  This
paragraph  shall serve as notice to any subsequent  encumbrancer  of the Granted
Property that the Security Trustee and the Indenture Trustees claim the priority
of the lien of this Deed of Trust for all such Future  Advances,  as well as for
all other indebtedness hereby secured.  This paragraph shall also be notice that
the Indenture  Trustees reserve the right to modify,  extend,  consolidate,  and
renew the indebtedness hereby secured, or any portions thereof, and the rates of
interest charge thereon,  without  affecting the priority of the lien created by
this Deed of Trust. 

SECTION 3. POSSESSION, USE AND RELEASE OF PROPERTY.

          3.1. Possession by Company;  Dispositions  Without Release. So long as
no Default or Event of Default has occurred and is continuing, the Grantor shall
be  permitted,  subject to the  provisions  of this  Section,  to possess,  use,
manage,  operate and enjoy the Granted  Property and to collect,  receive,  use,
invest and  dispose of the rents,  issues,  profits,  and other  income from the
Granted  Property,  with power, in the ordinary  course of business,  freely and
without  hindrance on the part of the Indenture  Trustees,  to use,  consume and
dispose of any thereof except such as are subject to the lien hereof or intended
so to be,  and to deal with,  exercise  any and all rights  under,  receive  and
enforce performance under, and adjust and settle all matters relating to current
performance of, choses in action, leases and contracts.

          The  Grantor  shall  have the  right,  from time to time if no Default
exists hereunder, without any release from or consent by the Indenture Trustees,



<PAGE>

                                                                              23

               (a) to sell or  otherwise  dispose of, free from the lien of this
          Deed of Trust, any Equipment  subject to the lien hereof which, in the
          judgment of the Company,  may have become obsolete or unfit for use or
          no longer  useful,  necessary  or  profitable  in the  conduct  of the
          business  of the  Grantor  not  exceeding  in  value  at the  date  of
          disposition  thereof  $50,000 in any single  transaction or a total of
          $100,000 in any calendar year,  upon  substituting  for the same other
          Equipment of the same  character and of at least equal value,  utility
          and  useful  life to the  Grantor  as, and  costing  not less than the
          amount realized form, the property  disposed of, which shall forthwith
          become,  without further  action,  subject to the lien of this Deed of
          Trust;

               (b) to  the  extent  permitted  under  the  Ground  Lease,  or in
          conjunction with the Fee Owner, to grant  rights-of-way  and easements
          over or in respect of any Granted  Property,  provided that such grant
          will not,  in the  opinion of the Grantor  expressed  in an  Officers'
          Certificate furnished to the Indenture Trustees, impair the usefulness
          of such property in the conduct of the Grantor's business and will not
          be  prejudicial  to the  interests  of the  holders  of the  Notes and
          provided,  further,  that any cash  consideration in excess of $50,000
          received  by the  Grantor  upon or in  connection  with  the  granting
          thereof, forthwith upon its receipt by the Grantor, shall be deposited
          with the Indenture Trustees;

               (c) to alter, repair, replace, change the location or position of
          and add to the Granted Property, provided that no change shall be made
          in the location of any such property  subject to the lien of this Deed
          of Trust which removes such property into a jurisdiction in which this
          Deed of Trust and any required  financing or  continuation  statements
          covering  security  interests in such property have not been recorded,
          registered or filed in the manner required by law to preserve the lien
          of this  indenture  on such  property  or  otherwise  impairs the lien
          hereof; and

               (d) to lease and sublease to others form time to time offices and
          related areas included in the Granted Property, other than any thereof
          essential  to  the  operations  carried  on at the  Granted  Property;
          provided that such lease is (i) by its terms expressly made subject to





<PAGE>

                                                                              24

          the lien of this  Deed of  Trust  and (ii)  assigned  to the  Security
          Trustee  and/or  the  Indenture  Trustees  shall  be  required  by the
          Indenture  Trustee,  by an instrument in recordable form and otherwise
          satisfactory  in form and  substance to the  Indenture  Trustees;  and
          further  provided  that the Grantor shall not lease or sublease all or
          substantially  all of the Granted  Property  without the prior written
          consent of the Required Holders.

          The Grantor will deliver to the Indenture Trustees,  on or before July
31 in each year after the year 1989, (i) an Officers' Certificate setting forth,
with respect to  transactions  during the  preceding  calendar  year pursuant to
section 3.1(a), the aggregate fair value at the date or dates of disposition of,
the aggregate  amount realized from, and a general  description of, any property
disposed of  pursuant to section  3.1(a) (and  stating  that such  property  had
become obsolete or unfit for use or no longer useful, necessary or profitable in
the conduct of the business of the Grantor) and the aggregate  fair value to the
Grantor of, the cost of, and a general  description of, any property acquired in
substitution  for such  property  sold or disposed  of,  (ii) such  supplemental
mortgages,  deeds of trust,  financing statements or other instruments as may be
necessary for the purpose of effectually  subjecting  such acquired  property to
the lien hereof and any lease  assignment  of a lease  entered into  pursuant to
section 3.1(d) and (iii) an Opinion of Counsel that such supplemental mortgages,
deeds of trust,  financing  statements,  lease  assignments or other instruments
have been duly  executed  and are  sufficient  for such  purpose or that no such
supplemental mortgages, deeds of trust, financing statements,  lease assignments
or instruments are necessary.

          3.2.  Eminent Domain.  If all or any of the Granted  Property shall be
taken by eminent domain or shall be sold in lieu and in reasonable  anticipation
of the taking thereof by eminent domain, the Security Trustee at the request and
direction of the Indenture  Trustees may release the property so taken and shall
be fully protected in so doing upon the Indenture Trustees being furnished with:

               (a) an Officers' Certificate requesting such release,  describing
          the property so to be released and stating that such property has been
          taken by eminent domain or that such sale has been made in lieu of and
          in reasonable anticipation of a taking by eminent domain,  accompanied
          by an appropriate instrument of release;






<PAGE>

                                                                              25

               (b) an Opinion of Counsel to the effect  that such  property  has
          been (i) lawfully  taken by exercise of the right of eminent domain or
          (ii) sold in lieu and in reasonable anticipation of the taking of such
          property by eminent  domain and that such property could lawfully have
          been taken by the grantee by eminent  domain,  that the award for such
          property  so taken  has  become  final or an appeal  therefrom  is not
          advisable in the interests of the Indenture Trustees or the holders of
          the Notes and that the execution of such  instrument is appropriate to
          evidence such release; and

               (c) except as otherwise  provided in section  4.1,  each equal to
          such award to be held and applied by the Indenture  Trustees under the
          Indenture.

          3.3.  Purchaser  Protected.  No  purchaser  in good faith of  property
purporting to be released  herefrom shall be bound to ascertain the authority of
the  Security  Trustee,  the  Indenture  Trustees or the holders of the Notes to
execute a release or to inquire as to the  existence  of any  conditions  herein
prescribed for the exercise of such authority.  No purchaser of or lessee of any
property or rights  permitted  by this  Article to be sold,  leased or otherwise
disposed of by the Grantor shall be under any obligation to ascertain or inquire
into  the  authority  of the  Grantor  to make  any  such  sale,  lease or other
disposition.  Any  release  executed  by the  Security  Trustee,  the  Indenture
Trustees or the holders of the Notes under this Section shall be sufficient  for
the purpose of this Deed of Trust and shall  constitute a good and valid release
of the property therein described from the lien hereof.

          3.4.  Release of Granted  Property - Indenture  Trustees  Consent.  In
addition  to the sales and  releases  pursuant  to section  section  3.2 and 3.3
hereof,  and,  to the  extent  and on the  terms  and upon  compliance  with the
conditions provided for in any written consent given thereto at any time or from
time to time by the  holders of the Notes,  the  Grantor  may sell or  otherwise
dispose of any Granted  Property  then subject to the lien of this Deed of Trust
or any deed of trust supplement  hereto, and the Security Trustee at the request
of the Indenture Trustees shall, subject to the terms of the Indenture,  release
the same from the lien hereof.






<PAGE>

                                                                              26

SECTION 4.  APPLICATION  OF INSURANCE AND CERTAIN  OTHER MONEYS  RECEIVED BY THE
            INDENTURE TRUSTEES.

          4.1. Insurance  Proceeds and Condemnation  Awards. (a) All proceeds of
fire and extended  coverage  insurance and of  condemnation  awards covering the
Granted Property equal to or in excess of $100,000 received by the Trustee under
the  provisions  of this Deed of Trust and/or the  Indenture or any  instruments
supplemental  hereto or thereto,  or under any policy or  policies of  insurance
covering  the  Granted  Property  or any  part  thereof,  shall  be  held by the
Indenture  Trustees as part of the Granted  Property and shall be applied by the
Indenture Trustees as follows:

          (i)If the total amount of any one loss or condemnation  or taking,  as
     the case may be, shall equal or exceed  $100,000 and the Cost of rebuilding
     or restoring the Granted Property (as evidenced by an Officers' Certificate
     of the  Grantor  detailing  the same)  shall be less than the  proceeds  of
     insurance or the award or consideration received on account of condemnation
     or other taking of the Granted Property, the Grantor shall prepay the Notes
     pursuant to Section 3.3 of the  Indenture  in a principal  amount  equal to
     such excess,  together with interest  accrued on the Notes to be prepaid to
     the date of payment and  premium  equal to the  Yield-Maintenance  Premium,
     upon the terms and in the manner  provided in Section 5.3 of the  Indenture
     and the balance,  if any, of any such proceeds shall be released to or upon
     the  order of the  Grantor  in  accordance  with  clause  (ii)  below.  Any
     application of moneys  pursuant to his section  4.1(m)(i)  shall be made by
     the  Grantor  within 60 days  after the  completion  of the  rebuilding  or
     restoration of the Granted Property; and

          (ii) If the total  amount in the case of any one loss or  condemnation
     or  taking,  as the  case may be,  shall  equal or  exceed  $100,000,  such
     proceeds  shall be paid to the  Grantor  from  time to time  upon a written
     application  signed by the President and any Vice  President of the Grantor
     and  accompanied  by an approving  certificate  of an architect or engineer
     selected by the Grantor and  approved by the  Indenture  Trustees,  for the
     purpose of paying,  or  reimbursing  the  Grantor  for the  payment of, the
     reasonable  cost, as shown by such  certificate,  of repairing or replacing
     part or all of the property, damaged or destroyed, but only if  written





<PAGE>

                                                                              27

     application  is made  therefore  within 12 months  of the  receipt  of such
     proceeds by the Indenture Trustees, and then only for an to the extent that
     the Grantor shows by such  architect's or engineer's  certificates or other
     evidence  satisfactory  to the Indenture  Trustees that the portion of such
     proceeds  remaining on deposit with the Indenture  Trustees,  together with
     any additional funds irrevocably  allocated or otherwise  provided for in a
     manner  satisfactory to the Indenture  Trustees for such purpose,  shall be
     sufficient to complete such repairs or replacements and restore the Granted
     Property  as nearly as  possible to the market  value and  condition  which
     existed  immediately  prior to the  damage,  destruction,  condemnation  or
     taking,  as the case may be,  free form liens or  encumbrances  except this
     Deed of Trust and Permitted  Encumbrances.  Every such  application for the
     payment f such insurance or condemnation moneys shall state that no Default
     or Event of Default has occurred and is continuing and shall be accompanied
     by a date down  endorsement  to the lender's title  insurance  policy being
     delivered pursuant to Section 7(a)(iv) of the Note Agreement insuring that,
     as of the date of such payment, the property will be subject to the lien of
     this  Deed of Trust  as a first  lien  thereon  subject  only to  Permitted
     Encumbrances.   The  Grantor  will  remain  solely   responsible   for  the
     rebuilding, restoration or substitution of the Granted Property, whether or
     not the proceeds of insurance  maintained in accordance with the provisions
     hereof are sufficient therefor.

          (b) In cases involving  insurance proceeds where the amount of any one
loss is less than $100,00 and no Default or Event of Default shall have occurred
and be continuing under this Deed of Trust, the amount payable in respect of any
such  loss  will be  received  by the  Indenture  Trustees  and  shall be by the
Indenture  Trustees paid over  immediately to the Grantor for use by the Grantor
in paying  for  replacement  or  repair of or  substitutes  for the  damaged  or
destroyed property.

          (c) Subject to section  2.6(e) hereof with respect to  adjustments  of
losses, any appraisal or adjustment of such loss or any settlement or payment of
indemnity  therefore  which  shall be agreed  upon  between  the Grantor and the
relevant insurance company shall be accepted by the Indenture Trustees.





<PAGE>

                                                                              28

          (d) In the event the insurance  moneys or  condemnation  award, as the
case  may be,  shall  not  have  been  applied  to one or  more of the  purposes
specified  in section  4.1(a)  hereof  within the 12-month  period  provided for
thereby,   then  Indenture   Trustees  shall  apply  such  insurance  moneys  or
condemnation award, as the case may be, to the prepayment,  with premium, of the
Notes together with interest accrued thereon in an amount  sufficient to exhaust
such cash as nearly as may be upon giving the Grantor 10 days's  advance  notice
of its  intent  so to do,  such  prepayment  to be made in units of  $1,000  but
otherwise to be made ratably on all  outstanding  Notes in  accordance  with the
principal  amounts unpaid thereon,  together with interest accrued thereon and a
premium equal to the Yield-Maintenance Premium; any balance remaining after such
prepayment to be released to the Grantor.  Partial  prepayments made pursuant to
this  section  4.1(d) shall be paid and applied upon the terms and in the manner
provided in Section 5 of the Indenture.

          4.2.  Other  Proceeds.  Any other  moneys  received  by the  Indenture
Trustees  in  connection  with  the  release  of  property  shall be held by the
Indenture  Trustees as part of the Granted  Property and shall be applied by the
Indenture Trustees to the prepayment,  with premium,  of the Notes together with
interest accrued thereon in an amount  sufficient to exhaust such cash as nearly
as may be upon  giving the Grantor 10 days'  advance  notice of its intent so to
do,  such  prepayment  to be made in units of $1,000  but  otherwise  to be made
ratably on all outstanding Notes in accordance with the principal amounts unpaid
thereon,  together  with  interest  accrued  thereon and a premium  equal to the
Yield-Maintenance  Premium;  any  balance  remaining  after  such  payment to be
released to the Grantor.

SECTION 5. DEFAULTS AND REMEDIES THEREFOR.

          5.1. Events of Default. The Grantor  acknowledges and agrees,  without
limitation,  that each and all of the terms and provisions of Section 5.1 of the
Indenture have been and are incorporated into this Deed of Trust by reference to
the same  extent  as  though  fully set out  herein  and that the term  Event of
Default  wherever  used in this Deed of Trust  shall mean an Event of Default as
defined in Section 6.1 of the Indenture.

          5.2.  Remedies.  When  any  Event  of  Default  has  occurred  and  is
continuing,  the Indenture  Trustees (or the Security Trustee as may be required
by law) may exercise  any one or more or all, and in any order,  of the remedies
hereinafter set forth or as provided for in the Indenture, it  being  expressly 





<PAGE>

                                                                              29

understood that no remedy herein or in the Indenture conferred is intended to be
exclusive of any other  remedy or  remedies;  but each and every remedy shall be
cumulative and shall be in addition to every other remedy given herein or now or
hereafter existing at law or in equity or by statute:

          (a) The  Indenture  Trustees may, by notice in writing to the Grantor,
     declare the entire unpaid  balance of the Notes to be  immediately  due and
     payable;  and  thereupon the entire  principal and interest  accrued on the
     Notes and, to the extent  permitted by law, the  Yield-Maintenance  Premium
     (as  defined  in  Section  6.4  of  the  Indenture)  shall  be  and  become
     immediately due and payable.

          (b) The Indenture Trustees (or the Security trustee as may be required
     by law)  personally  or by agents  or  attorneys  may  enter  into and take
     possession  of all or any part of the Granted  Property,  and may forthwith
     use,  operate and manage the Granted  Property,  collect the  earnings  and
     income therefrom, pay all principal charges including taxes and assessments
     levied thereon and operating and maintenance expenses and all disbursements
     and liabilities of the Grantor hereunder and apply the net proceeds arising
     from any such operation of the Granted  Property as provided in section 5.3
     hereof in respect of the proceeds of a sale of the Granted Property.

          (c) (i) The  Indenture  Trustees  (or the  Security  Trustee as may be
     required by law) may pursuant to the power of sale granted hereunder, if at
     the time such action may be lawful and always  subject to  compliance  with
     any mandatory legal requirements,  either with or without taking possession
     and either before or after taking  possession and without  instituting  any
     legal proceedings  whatsoever and having first given notice of such sale by
     registered or certified  mail to the grantor once at least 20 days prior to
     the date of such sale,  and any other  notice which may be required by law,
     sell and dispose of said  Granted  Property  or any part  thereof at public
     auction or private  sale,  as permitted by  applicable  law, to the highest
     bidder,  which may be the Grantor, in one lot as an entirety or in separate
     lots (the Grantor for itself and for al who may claim by,  through or under
     it hereby expressly waiving and releasing all rights to have the  property 




<PAGE>

                                                                              30

     covered by the lien of this Deed of Trust marshalled),  and either for cash
     or on credit,  as  permitted  by  applicable  law, and on such terms as the
     Indenture  Trustees (or the Security Trustee as may be required by law) may
     determine  and at any  place  (whether  or  not it be the  location  of the
     Granted  Property  or any part  thereof)  designated  in the  notice  above
     referred to. Any such sale or sales may be  adjourned  from time to time by
     announcement  at the time and place appointed for such sale or sales or for
     any such adjourned sale or sales, without further published notice.

          (ii)  The  Indenture  Trustees  (or  the  Security  Trustee  as may be
     required  by law) shall give  written  notice of the time and place of sale
     legally  describing  the  Granted  Property  to be  soled  by  each  of the
     following methods:

               (A)  publication  of  such  notice  in  a  newspaper  of  general
          circulation in the county  wherein the Granted  Property to be sold is
          located  (the  "County");  such notice to be published at least once a
          week for four consecutive  weeks, with the last date of publication to
          be not less than ten nor more than thirty days prior to the date fixed
          for the sale;

               (B) posting of such notice,  at least twenty days before the date
          of sale in come conspicuous  place of the Granted Property to be sold,
          if such can be accomplished  without a breach of the peace, and at one
          of the places  provided for posting  public notices at the court house
          of the County;

               (C) recording of such notice in the office of the recorder of the
          County; and

               (D) giving  notice to all persons so  requesting or who appear on
          the  records of the county  recorder of the County to have an interest
          in any of the Granted Property, in accordance with the requirements of
          Title 33, Chapter 6.1, Section 33-809.





<PAGE>

                                                                              31

               The  Indenture  Trustees  (or  the  Security  Trustee  as  may be
          required by law) shall also, within five days after the recordation of
          such  notice of sale,  mail by  certified  or  registered  mail,  with
          postage  prepaid,  a copy of any  notice of sale to each party to this
          Deed of Trust.  Notice to each such party  shall  contain a  statement
          that an Event of Default has occurred, and setting forth the nature of
          such Event of Default and of the  election of the  Indenture  Trustees
          (or the  Security  Trustee as may be required by law) to sell or cause
          to be sold the Granted  Property,  and such notice  shall be signed by
          this agent.

               The sale  shall be held at the time and place  designated  in the
          notice  of  sale  hereinabove  referred  to,  on a day  other  than  a
          Saturday,  Sunday, or legal holiday, between the hours of nine o'clock
          A.M.  and  five  o'clock  P.M at a  specified  place  on  the  Granted
          Property,  at the court house or at a specified place at the principal
          place of business of the Security Trustee, in the County.

               The provisions  hereof with respect to posting and giving notices
          of sale are  intended  to  comply  with the  provisions  of Title  33,
          Chapter 6.1 of the Arizona Revised  Statutes,  as amended,  and in the
          event the requirement for any notice under such Title 33, Chapter 6.1,
          shall  be  eliminated  or the  prescribed  manner  of  giving  same is
          modified  by future  amendment  to such  Title 33,  Chapter  6.1,  the
          requirement  for such  particular  notice  shall be  stricken  from or
          modified in this  instrument in conformity  with such  amendment.  The
          manner herein prescribed for serving or giving any notice,  other than
          that to be posted or caused to be posted by the Indenture Trustees (or
          the Security Trustee on behalf of the Indenture  Trustees),  shall not
          be deemed  exclusive  but such  notice or notices  may be given in any
          other manner which may be permitted by applicable la.w

               If at the time  designated  in the notice of sale,  the  Security
          Trustee, or the attorney conducting the sale, deems it in the interest
          of the Indenture Trustees or the  Beneficiaries,  or both, to postpone
          or continue the sale,  he may  postpone or continue  the sale,  giving
          notice of the new time and place by public declaration at the time and



<PAGE>

                                                                              32

          place last appointed for sale without further  published  notice.  The
          purchaser at the sale shall  forthwith  pay the price bid,  either for
          cash or on  credit  and on such  terms  as the  Security  Trustee  may
          determine  and at any place  (whether or not it be the location of the
          Granted  Property or any part thereof)  designated in the notice above
          referred  to.  Upon  receipt of payment  the  Security  Trustee  shall
          execute and deliver its deed without  covenant or warranty  expression
          implied.

               (d) In lieu of the sale  pursuant to the power of sale  conferred
          by this Deed of Trust, at the option of the Indenture  Trustees,  this
          Deed of Trust may be foreclosed in the same manner provided by law for
          the foreclosure of mortgages on real property.  The Indenture Trustees
          shall  also have all  other  rights  and  remedies  available  to them
          hereunder  and at law or in  equity,  specifically  including  but not
          limited to those described in section  33-702.B of the Arizona Revised
          Status,  as  amended,  or any  similar or  successor  statute  for the
          collection of rents,  issues and profits and Arizona Revised  Statutes
          section 47-9101 et. seq., as amended. All rights and remedies shall be
          cumulative.  At any time the Indenture Trustees may declare themselves
          to be a trustee and may treat this  document  as a  mortgage.  In such
          event,  (i) the Security Trustee shall have not authority and shall be
          disregarded,  (ii) the references to the "Trustee"  shall be deemed to
          refer to  Indenture  Trustees  to the  extent  not  inconsistent  with
          interpreting  this instrument as though it were a mortgage,  and (iii)
          the  Grantor in its  capacity as  mortgagor  shall have been deemed to
          have conveyed the Granted Property ab initio to the Indenture Trustees
          as  trustee,  such  conveyance  for  security  and to be void upon the
          condition  that the Grantor pay all  indebtedness  hereby  secured and
          perform all of its obligations hereby secured.

               (e) The  Indenture  Trustees  may  proceed to protect and enforce
          their  rights  by a suit or  suits  in  equity  or at law,  or for the
          specific  performance of any covenant or agreement contained herein or
          in the  Notes,  or in aid of the  execution  of any  power  herein  or
          therein granted,  or for the foreclosure of this Deed or Trust, or for
          the enforcement of any other appropriate legal or equitable remedy.





<PAGE>

                                                                              33

          Upon the  bringing of any suit to  foreclose  this Deed of Trust or to
          enforce any other remedy available  hereunder,  the plaintiff shall be
          entitled as a matter of right,  without notice and without giving bond
          to the Grantor or anyone claiming under, by or through it, and without
          regard to the solvency or  insolvency of the Grantor or the then value
          of the  Granted  Property,  to have a  receiver  appointed  of all the
          Granted Property and of the earnings,  income, rents, issues,  profits
          and  proceeds  thereof,  with  such  power as the  court  making  such
          appointment  shall  confer,  and the Grantor  does hereby  irrevocably
          consent to such appointment

               (f) in case of any sale of the Granted  Property,  or of any part
          thereof,  pursuant to any judgment or decree of any court or otherwise
          in connection with the enforcement of any of the terms of this Deed of
          Trust,  the  principal of the Notes,  if not  previously  due, and the
          interest accrued thereon,  shall at once become and be immediately due
          and payable; also in the case of any such sale, the Indenture Trustees
          may bid and become the purchaser, and the purchaser or purchasers, for
          the purpose of making settlement for or payment of the purchase price,
          shall be  entitled  to turn in and use the  Notes and any  claims  for
          interest and premium matured and unpaid  thereon,  in order that there
          may be credited as paid on the  purchase  price the sum  apportionable
          and  applicable  to the Notes,  including  principal  and interest and
          premium  thereof,  out of the net proceeds of such sale after allowing
          for the  proportion of the total purchase price required to be paid in
          actual cash. If at any foreclosure proceeding, or sale pursuant to the
          power of sale, or U.C.C.  sale, the Granted Property shall be sold for
          a sum less than the total amount of indebtedness for which judgment is
          therein given,  the Indenture  Trustees shall be entitled to the entry
          of a deficiency decree against the Grantor and against the property of
          the Grantor for the amount of such deficiency.

               (g) In addition to any other  remedies  provided for hereby or by
          law, the Indenture  Trustees  shall have the rights of a secured party
          under the Uniform  Commercial  Code of the  jurisdiction  in which the
          Granted  Property is located upon the occurrence and continuance of an
          Event of Default hereunder. Any requirement of said Uniform Commercial
          Code  for  reasonable  notification  shall be met by  mailing  written
          notice to the Grantor, at its address set forth in section 6.3 hereof,
          at least 10 days  prior to the sale or  other  event  for  which  such
          notice is required.

<PAGE>

                                                                              34

          It is  understood  and agreed that the Notes are also secured by other
mortgages  and deeds of trust and that in case of  default  in any of the terms,
conditions or provisions of this Deed of Trust or the  Indenture,  the Indenture
Trustees  may  resort to part or all of the  security  for the  Notes,  the Note
Agreements  and the  Indenture and foreclose the mortgages and deeds of trust in
any  order.  The  pendency  of any  proceeding  with  respect  to any one of the
above-mentioned  mortgages  and  deeds of trust  shall  not be  grounds  for the
abatement of, or for hindering,  staying,  delaying or preventing any proceeding
with respect to foreclosure of this Deed of Trust.

          5.3.  Application  of Proceeds.  The purchase  money  proceeds  and/or
avails of any sale of the Granted Property,  or any part hereof and the proceeds
and the avails of any remedy  hereunder and all insurance  monies or proceeds or
awards of condemnation paid to the Indenture Trustees pursuant to the provisions
of section  section 2.6 and 3.2 hereof shall be paid to the  Indenture  Trustees
under the Indenture and such  Indenture  Trustees  shall apply such proceeds and
avails,  and all insurance monies and proceeds or awards of condemnation held by
the Indenture  Trustees during the continuation of any Event of Default,  in the
manner  provided in section 6.10 of the Indenture or to the extent  section 6.10
of the Indenture conflicts with section 33-812A of the Arizona Revised Statutes,
as amended,  then in  accordance  with  section  33-812A of the Arizona  Revised
Statutes,  as  amended,  but only to the  extent  required  to be in  compliance
therewith.

          5.4.  Waiver of  Extension,  Appraisement  and Stay Laws.  The Grantor
covenants that, to the extent that such rights may be lawfully  waived,  it will
not now,  or at any time  hereafter,  insist  upon or  plead,  or in any  manner
whatever  claim or take any  benefit  or  advantage  of,  legal,  equitable  and
statutory  rights of redemption,  exemption or homestead,  any stay or extension
law now or at any time  hereafter in force or any other similar  exemptions  and
rights arising under or created by an applicable  statute or judicial  decision,
or claim, take or insist upon any benefit or advantage of or from any law now or
hereafter in force  providing for the valuation or  appraisement  of the Granted
Property  or any part  thereof  prior to any  sale or sales  thereof  to be made
pursuant to any provision contained,  or to the decree, judgment or order of any
court of competent jurisdiction or, after confirmation of any such sale or sales
claim or exercise any right under any statute now or  hereafter  made or enacted
by any state or otherwise to redeem the property so sold or any part thereof,



<PAGE>

                                                                              35

and hereby  expressly  waives for itself and on behalf of each and every  person
who may claim under it, all benefit and  advantage of any such law or laws which
would  otherwise  be  available  to any  such  person  in  connection  with  the
enforcement of any of the Indenture Trustees' remedies hereunder;  and covenants
that it will not in connection with any such enforcement  proceedings  invoke or
utilize any such law or laws or otherwise hinder,  delay or impede the execution
of any power herein  granted and  delegated to the  Indenture  Trustees but will
suffer  and permit  the  execution  of every such power as though no such law or
laws had been made or enacted.

          Any sale,  whether  under power of sale  hereby  given or by virtue of
judicial proceedings,  shall operate to divest all right, title, interest, claim
and demand whatsoever,  either at law or in equity, of the Grantor in and to the
property sold and shall be a perpetual  bar, both at law and in equity,  against
the  Grantor,  its  successors  and  assigns,  and  against  any and all persons
claiming the property sold or any part thereof under, by or through the Grantor,
its successors or assigns.

          5.5. Effect of  Discontinuance  of Proceedings.  In case the Indenture
Trustees (or the Security  Trustee on behalf of the  Indenture  Trustees)  shall
have  proceeded  to enforce any right  under this Deed of Trust by  foreclosure,
sale, entry or otherwise,  and such proceedings  shall have been discontinued or
abandoned for any reason or shall have been  determined  adversely,  than and in
every such case the Grantor and the Indenture  Trustees (or the Security Trustee
on behalf of the  Indenture  Trustees)  shall be restored to their  position and
rights hereunder as they existed  immediately  prior to the commencement of such
proceedings  with  respect to the  property  subject to the lien of this Deed of
Trust.

          5.6.  Delay or  Omission  Not a Waiver.  No delay or  omission  of the
Indenture Trustee to exercise any right or power arising from any default on the
part of the Grantor  shall  exhaust or impair any such right or power or prevent
its exercise during the continuance of such default.  No waiver by the Indenture
Trustees (or the Security  Trustee on behalf of the  Indenture  Trustees) of any
such default whether such waiver be full or partial, shall extend to or be taken
to affect any subsequent default,  or to impair the rights resulting  therefrom,
except as may be otherwise  provided herein.  No remedy hereunder is intended to
be exclusively of any other remedy but each and every remedy shall to cumulative
and in addition to any and every remedy given  hereunder or otherwise  existing.
Nor shall the giving, taking or enforcement of any other or additional security,



<PAGE>

                                                                              36


collateral  or guaranty for the payment of the  indebtedness  secured under this
Deed of Trust operate to prejudice, waive or affect the security of this Deed of
rust or any  rights,  powers or  remedies  hereunder  nor  shall  the  Indenture
Trustees  (or the  Security  Trustee  on behalf of the  Indenture  Trustees)  be
required to first look to, enforce or exhaust such other or additional security,
collateral or guaranties. 

SECTION 6. MISCELLANEOUS.

          6.1.  Successors  and Assigns.  Whenever any of the parties  hereto is
referred  to,  such  reference  shall be deemed to include  the  successors  and
assigns of such party;  and all the  covenants,  promises and agreements in this
Deed of Trust  contained by or on behalf of the  Grantor,  or by or on behalf of
the  Indenture  Trustees  (or the  Security  Trustee on behalf of the  Indenture
Trustees),  shall bind and inure to the benefit of the respective successors and
assigns of such  parties  whether so  expressed  or not.  The Grantor  expressly
waives the  benefits  of section  section  12-1641  and  12-1642 of the  Arizona
Revised Statutes,  as amended, and Arizona Rule of Civil Procedure 17(f) or such
similar provisions as may hereafter be adopted or enacted.

          6.2. Severability. The unenforceability or invalidity of any provision
or  provisions  of this Deed of Trust  shall not render any other  provision  or
provisions herein contained unenforceable or invalid.

          6.3.  Addresses  for  Notices.  All  notices  or other  communications
required or  contemplated  by the  provisions  hereof  shall,  unless  otherwise
specified,  be in writing  and shall be deemed to have been given or made on the
fifth  business  day  after  deposit  thereof  in the  United  States  mail,  by
registered or certified mail, postage prepaid,  or when received if delivered by
hand or sent by  facsimile  communication  the  receipt  of which is  confirmed,
addressed as follows:

         If to the Grantor:         Mesa Psychiatric Hospital,
                                      Inc.
                                    570 West Brown Road
                                    Mesa, Arizona  85201
                                    Attention:  Chief Financial
                                                Officer
                                    FAX: ________________________
                                    Telephone: __________________



<PAGE>



                                                                              37

         If to the Security         Transamerica Title Insurance
                  Trustee:          Company
                                    235 North 1st Avenue
                                    Phoenix, Arizona  85003
                                    Attention: __________________
                                    FAX: (602) __________________
                                    Telephone: __________________

 
         If to the Indenture                The Citizens and Southern
                   Trustees:                Bank,
                                              as trustee under an
                                              Indenture of Trust dated
                                              as of March 31, 1990
                                            33 North Avenue, N.E.
                                            Atlanta, Georgia 30302
                                            Attention:  Corporate Trust
                                                        Department
                                            FAX: (404) 897-3142
                                            Telephone: (404) 897-3147

          Any party  may  designate  an  additional  or  different  address  for
subsequent  notices or  communications  by notice duly given in accordance  with
this Section to the other party.

          6.4.  Headings and Table of Contents.  The headings of the sections of
this  Deed of  Trust  and  table  of  contents  are  inserted  for  purposes  of
convenience   only  and  shall  not  be  construed  to  affect  the  meaning  or
construction of any of the provisions hereof.

          6.5.  Release of Deed of Trust.  The Indenture  Trustees shall release
and  discharge  this Deed of rust and the lien  hereof by proper  instrument  or
instruments  upon  presentation of satisfactory  evidence that all  indebtedness
secured hereby has been fully paid or discharged.

          6.6.  Counterparts.  This Deed of Trust may be executed,  acknowledged
and  delivered  in  any  number  of  counterparts,  each  of  such  counterparts
constituting an original but all together only one Deed of Trust.

          6.7.  GOVERNING  LAW.  THIS  DEED OF TRUST  SHALL BE  GOVERNED  BY AND
CONSTRUED IN ACCORDANCE WITH ARIZONA LAW.

          6.8.  Successor  Security  Trustee.  The  Beneficiaries  may appoint a
successor  Security  Trustee in the manner  prescribed by section  33-804 of the
Arizona Revised Statutes,  as amended,  or any successor  statute.  The Security
Trustee may resign by the giving of written notice of  such  registration to the





<PAGE>

                                                                              38

Beneficiaries  and by such  further acts as are required by law. If the Security
Trustee shall resign or become disqualified from executing the obligations under
this Deed of rust or shall fail or refuse to execute the same when  requested by
the  Beneficiaries  to do so, of if, for any  reason,  the  Beneficiaries  shall
prefer to appoint a substitute  trustee,  and if preferred,  several  substitute
trustees in  succession,  each such  successor  trustee shall succeed to all the
estates, rights, powers and duties of the aforenamed Security Trustee.


<PAGE>

                                                                              39

          IN WITNESS  WHEREOF,  the  Grantor  has cause this Deed of Trust to be
executed in its behalf by its President and attested by its Assistant Secretary,
all as of the day and year above written.


                                            MESA PSYCHIATRIC HOSPITAL, INC.



                                            By______________________________
                                              Its President



ATTEST:



____________________________________
         Assistant Secretary







<PAGE>

                                                                              40

STATE OF ILLINOIS          )
                           )  SS
COUNTY OF COOK             )


          On this ________ day of April, 1990, before me,  __________,  a Notary
Public,  personally appeared Ralph J. Watts, who acknowledged  himself to be the
President of Mesa Psychiatric Hospital,  Inc., an Arizona corporation,  and that
he, as such  President,  being duly  authorized so to do, executed the foregoing
instrument  for the  purposes  therein  contained,  by  signing  the name of the
corporation by himself as President.

          IN  WITNESS  WHEREOF,  I have  hereunto  set my hand  and  affixed  my
official seal the day and year in this certificate first above written.



                                                   _____________________________
                                                           Notary Public


(Notarial Seal)




<PAGE>

                       LEGAL DESCRIPTION OF REAL PROPERTY


PARCEL NO. 1

That part of the East half of the Northwest  quarter of the Northeast quarter of
Section 16,  Township 1 North,  Range 5 East of the Gila and Salt River Base and
Meridian, Maricopa County, Arizona, described as follows:

         COMMENCING at the Northeast corner of said Section 16;
         thence South 88 degrees 40' 15" West 1253.68 feet to the
                  Northeast corner of the North 695.00 feet of
                  said East half;
         thence continuing South 00 degree 10' 08" East 2.86 feet
                  along said East line to a point on the
                  Northwesterly Right-of-Way line for "Brown
                  Road" as set forth in instrument recorded in
                  Docket 9044, page 91 records of said County;
         thence along said Northwesterly Right-of-Way,
                  along a curve to the left having a radius of
                  470.74 feet, a delta of 32 degrees 30' 03", and a
                  chord bearing and distance of South 35 degrees 19'
                  23" West, 263.46 feet, to a Point of Spiral
                  Curve;
         thence continuing along said Northwesterly Right-
                  of-Way, along said spiral curve to the left,
                  having an "A" of 10 and a chord bearing and
                  distance of South 14 degrees 10' 49" West, 115.49
                  feet, to a Point of Curve;
         thence continuing along said Northwesterly Right-
                  of-Way, along a curve to the left having a
                  radius of 3183.02 feet, a delta of 00 degree 52'
                  34" and a chord bearing and distance of South
                  10 degrees 25' 43" West, 48.66 feet to the most
                  Southerly corner of that certain parcel
                  described in said Memorandum of Lease;
         thence along a non-tangent line North 12 degrees 58' 08"
                  West (Record North 12 degrees 43' West) 381.00 feet
                  to a point on the South line of the North
                  695.00 feet of said Northwest quarter of the
                  Northeast quarter, said point being South 88 degrees
                  40' 15" West, (Record South 88 degrees 47' West)
                  275.00 feet from the East line of said
                  Northwest quarter of the Northeast quarter;
         thence South 88 degrees 40' 15" West 349.01 feet along
                  said South line of the North 695.00 feet as
                  set forth in said Memorandum of Lease;




<PAGE>
                                                                               2




                                     ANNEX A
                    (to Deed of Trust and Security Agreement)




<PAGE>

                                EXCLUDED PROPERTY



          The  property  covered  by  the  following  U.C.C.  filing  Statements
constitutes Excluded Property hereunder:


FILING LOCATION:                                  SECRETARY OF STATE, ARIZONA

DEBTOR:                                           Healthcare Service America

SECURED PARTY:                                    Comstock Leasing

FILING NO.:                                       481266

DATE FILED:                                       April 10, 1987

COLLATERAL:                                       Leased copier equipment





FILING LOCATION:                                  SECRETARY OF STATE, ARIZONA

DEBTOR:                                           Healthcare Services of America

SECURED PARTY:                                    Comstock Leasing

FILING NO.:                                       482958

DATE FILED:                                       April 24, 1987

COLLATERAL:                                       Leased office equipment





<PAGE>




                                   SCHEDULE I

                                   Purchasers



Aetna Life Insurance Company
Hartford, Connecticut 06156

Monumental Life Insurance Company
c/o Monumental Corporation
Baltimore, Maryland 21202

Connecticut Mutual Life Insurance Company
Hartford, Connecticut 06154





<PAGE>


                                   SCHEDULE II

                               Assigned Agreements



                                      NONE.











































                                   Schedule II
                    (to Deed of Trust and Security Agreement)






<PAGE>






                                  SCHEDULE III

                                 Pledged Shares



                                      NONE.











































                                  Schedule III
                    (to Deed of Trust and Security Agreement)








                               OBLIGOR SUBROGATION
                           AND CONTRIBUTION AGREEMENT



          This OBLIGOR SUBROGATION AND CONTRIBUTION AGREEMENT (this "Agreement")
dated as of April __, 1990,  is executed by The  Citizens and Southern  National
Bank, a national banking  association (as Trustee under the Indenture  described
below,  the  "Trustee")  and Susan L.  Adams (as  Individual  Trustee  under the
Indenture   described  below,   the  "Individual   Trustee")  as  Trustees  (the
"Trustees")   those   certain   subsidiaries   (collectively,   the   "Principal
Subsidiaries," and each individually a "Principal  Subsidiary") of RAMSAY HEALTH
CARE,  INC.,  a Delaware  corporation  (the  "Company"),  which are or hereafter
become parties to this Agreement and the Company, for the benefit of each other,
the  Company,   those  certain  institutional   investors   (collectively,   the
"Noteholders," and each individually,  a "Noteholder")  which are holders of the
outstanding  Notes under the Indenture  described  below and with respect to the
following facts:

          A. The Company has entered  into that  certain  Trust  Indenture  (the
"Indenture")   dated  as  of  March  31,  1990,   together  with  those  certain
subsidiaries  of the Company which are or hereafter  become parties thereto (the
"Principal  Subsidiaries",   together  with  the  Company,   collectively,   the
"Obligors,"  and each  individually,  an "Obligor") and the Trustees.  All terms
used, but not defined,  herein shall have the  respective  meanings set forth in
the Indenture.

          B. The Noteholders  have agreed to purchase the $56,500,000  aggregate
principal  amount of 11.6% Senior  Secured  Notes of the  Obligors  (the "Senior
Secured  Notes")  and  the  $3,000,000   aggregate  principal  amount  of  15.6%
Subordinated  Secured Notes of the Obligors (the  "Subordinated  Secured Notes",
collectively  with the  Senior  Secured  Notes,  the  "Notes")  on the terms and
subject to the conditions of the Indenture.

          C. The Trustees and the  Noteholders  have  required that the Obligors
execute  and  deliver  this  Agreement  to the  Trustees  for the benefit of the
Noteholders as a condition to purchasing the Notes.

          D. In order to induce the  Noteholders  to  purchase  the Notes on the
terms and subject to the conditions of the Indenture, and to effect an equitable




<PAGE>

                                                                               2


sharing  of the  risks of the joint  and  several  issuance  of the  Notes,  the
Obligors wish to enter into this Agreement.

          NOW,  THEREFORE,  in consideration of the foregoing premises and other
good and valuable  consideration  as set forth in Section 1 hereof,  the receipt
and adequacy of which are hereby  acknowledged,  the Obligors  hereby agree with
the Trustees and the Noteholders as follows:

          1.  Consideration.  Each Obligor hereby  acknowledges that the Company
requires funds to prepay certain  indebtedness for borrowed money of the Company
(which  indebtedness  was issued or  guaranteed  by each of the Obligors) and to
finance capital  expenditures,  renovations and construction at facilities owned
by  certain  of the  Obligors,  and in order to  strengthen  the  financial  and
operating  condition of each and every Obligor,  directly and  indirectly,  as a
result of the enhanced ability of the Company to provide financial,  accounting,
consulting and administrative  assistance and services to each other Obligor and
that, as a result,  each Obligor will receive direct and indirect  benefits from
the purchase of the Notes  contemplated by the Indenture and that the waiver set
forth in this Section 1 knowingly is made in contemplation of such benefits.

          2. Contribution  Rights.  If any Principal  Subsidiary makes a payment
with respect to the Notes,  it shall have the rights of  contribution  set forth
below against the other Principal  Subsidiaries;  provided,  however,  that such
Principal  Subsidiary  shall  not  enforce  its right to any  payment  by way of
exercising its right of  contribution  or by any other means until after all the
obligations  incurred by any of the Obligors under the Indenture shall have been
fully satisfied. If any Principal Subsidiary makes a payment with respect to the
obligations  under the Indenture which is smaller in proportion to its Allocable
Share, as determined by the Obligors and as set forth in Schedule A hereto (such
Principal  Subsidiary's  "Allocable Share"), than the payments made by the other
Principal  Subsidiaries are in proportion to the respective Allocable Share, the
Principal  Subsidiary  making such  proportionately  smaller payment shall, when
permitted by the preceding sentence,  pay to the other Principal Subsidiaries an
amount such that the aggregate  amount of the net payments made by the Principal
Subsidiaries with respect to the obligations under the Indenture shall be shared
among the Principal  Subsidiaries  pro rata in  proportion  to their  respective
Allocable  Share.  Notwithstanding  anything to the  contrary  set forth in this
Agreement,  no liability or obligation of any  Principal  Subsidiary  that shall

<PAGE>

                                                                               3
accrue  pursuant to this  Agreement  shall be paid,  nor shall it be deemed owed
pursuant to this Agreement,  until after all of the obligations  incurred by any
of the Obligors under the Indenture shall have been fully satisfied.

          3. Continuing Agreement to Pay. To the extent that any Obligor makes a
payment or payments to the Trustees or any  Noteholder or any  Noteholder or the
Trustees  receives  any  proceeds  of  collateral  and a claim is made upon such
Noteholder  or the  Trustees at any time for  repayment  or recovery of any such
amount received, and the Trustees or such Noteholder repays or otherwise becomes
liable for all or any part of such claim by reason of (a) any  judgment,  decree
or order of any court or administrative body having competent  jurisdiction,  or
(b) any  settlement  or  compromise  of any such claim,  the  obligation or part
thereof  which has been  paid,  reduced or  satisfied  by such  amount  shall be
reinstated  and  continued  in full force and effect as of the date such initial
payment,  reduction  or  satisfaction  occurred,  to the same  extent as if such
amount   never  had  been   received  by  the   Trustees  or  such   Noteholder,
notwithstanding any termination hereof or the cancellation of the Indenture, the
Notes or any other  document,  instrument  or  agreement  evidencing  any of the
obligations incurred by the Obligors under the transactions  contemplated by the
Indenture.  Each  Obligor  shall  defend and  indemnify  the  Trustees  and each
Noteholder  from and against any claim or loss under this  Section 3  (including
any reasonable  attorneys'  fees and expenses) in the defense of any such action
or other proceeding.

          4. Relation to Indenture.  This Agreement is executed  pursuant to the
Indenture and, unless otherwise expressly set forth herein or therein,  shall be
construed,  administered  and applied in accordance  with the  provisions of the
Indenture.

          5.  Notices.  Any  notice,  request,  demand  or  other  communication
required or permitted  under this Agreement shall be given or made in the manner
and to the appropriate address set forth in the Indenture.

          6.  Amendments.  Except as otherwise set forth in the  Indenture,  the
provisions  of  this  Agreement  may  not  be  modified,  amended,  restated  or
supplemented,  whether  or  not  the  modification,  amendment,  restatement  or
supplement  is supported by new  consideration,  except by a written  instrument
duly  executed  and  delivered  on  behalf  of  the  Trustees  and  all  of  the
Noteholders.


<PAGE>

                                                                               4

          7.  Waivers  and  Consents.  Except  as  otherwise  set  forth  in the
Indenture  or this  Agreement,  any waiver of the terms and  conditions  of this
Agreement,  or any Default or Event of Default and its consequences hereunder or
thereunder,  and any consent or approval required or permitted by this Agreement
to be given by the  Noteholders,  may be made or given  with,  but only with the
written  consent  of the  Trustees  and the  Required  Holders on such terms and
conditions as specified in the written instrument granting such waiver,  consent
or approval.  A waiver,  to be  effective,  must be in writing and signed by the
party making the waiver.

          8.  Headings and  Captions.  The  headings  and captions  used in this
Agreement  are solely for the purpose of reference  and are not to be considered
as construing or interpreting the provisions hereof.

          9. GOVERNING LAW. THIS AGREEMENT  SHALL BE GOVERNED BY,  CONSTRUED AND
ENFORCED IN ACCORDANCE WITH THE LAWS OF THE STATE OF ILLINOIS, WITHOUT REFERENCE
TO THE CONFLICTS OR CHOICE OF LAW PRINCIPLES THEREOF.

          10.  Necessary  Acts.  Each Obligor shall perform any further acts and
execute  and  deliver  any  additional  agreements,  assignments,  documents  or
instruments  that may be reasonably  necessary to carry out the provisions or to
effectuate the purposes of this Agreement.

          11.  Counterparts.  This  Agreement  may be  executed  in one or  more
counterparts,  each of which  shall be deemed an  original,  but all which shall
together constitute one and the same documents.

          IN WITNESS WHEREOF, the Obligors have caused this Agreement to be duly
executed and delivered to the Trustees as of the date first written above.

                                            RAMSAY HEALTH CARE, INC.



                                            By_________________________________
                                              Its President


ATTEST:


_________________________
   Assistant Secretary

<PAGE>
                                                                               5

                                            BOUNTIFUL PSYCHIATRIC HOSPITAL,
                                              INC.



                                            By_________________________________
                                              Its President


ATTEST:


_________________________
   Assistant Secretary


                                            CUMBERLAND MENTAL HEALTH, INC.



                                            By_________________________________
                                              Its President


ATTEST:


_________________________
   Assistant Secretary


                                            EAST CAROLINA PSYCHIATRIC SERVICES
                                             CORPORATION



                                            By_________________________________
                                              Its President


ATTEST:


_________________________
   Assistant Secretary




<PAGE>

                                                                               6


                                            HAVENWYCK HOSPITAL, INC.



                                            By_________________________________
                                              Its President


ATTEST:


_________________________
   Assistant Secretary


                                            MESA PSYCHIATRIC HOSPITAL, INC.



                                            By_________________________________
                                              Its President


ATTEST:


_________________________
   Assistant Secretary


                                            PSYCHIATRIC INSTITUTE OF WEST
                                             VIRGINIA, INC.



                                            By_________________________________
                                              Its President


ATTEST:


_________________________
   Assistant Secretary




<PAGE>

                                                                               7

                                            THE CITIZENS AND SOUTHERN NATIONAL
                                             BANK, as Corporate Trustee



                                            By_________________________________
                                              Its Corporate Trust Officer


ATTEST:


_________________________
  Senior Vice President



                                            ___________________________________
                                            Susan L. Adams,
                                              as Individual Trustee




<PAGE>

                                                                               8




STATE OF ILLINOIS          )
                           )  ss
COUNTY OF COOK             )


          On this  _____ day of April,  1990,  before me,  _________________,  a
Notary Public,  personally appeared Ralph J. Watts, who acknowledges  himself to
be the President of Ramsay Health Care, Inc., a Delaware  corporation,  and that
he,  as  such  President,  being  authorized  so to do  executed  the  foregoing
instrument  for the  purposes  therein  contained,  by  signing  the name of the
corporation by himself as President.

          IN  WITNESS  WHEREOF,  I have  hereunto  set my hand  and  affixed  my
official seal the day and year in this certificate first above written.


                                            ___________________________________
                                                        Notary Public

(Notarial Seal)




STATE OF ILLINOIS          )
                           )  ss
COUNTY OF COOK             )


          On this  _____ day of April,  1990,  before me,  _________________,  a
Notary Public,  personally appeared Ralph J. Watts, who acknowledges  himself to
be the President of Bountiful  Psychiatric  Hospital,  Inc., a Utah corporation,
and that he, as such President, being authorized so to do executed the foregoing
instrument  for the  purposes  therein  contained,  by  signing  the name of the
corporation by himself as President.

          IN  WITNESS  WHEREOF,  I have  hereunto  set my hand  and  affixed  my
official seal the day and year in this certificate first above written.


                                            ___________________________________
                                                        Notary Public

(Notarial Seal)



<PAGE>
                                                                               9




STATE OF ILLINOIS          )
                           )  ss
COUNTY OF COOK             )


          On this  _____ day of April,  1990,  before me,  _________________,  a
Notary Public,  personally appeared Ralph J. Watts, who acknowledges  himself to
be  the  President  of  Cumberland   Mental  Health,   Inc.,  a  North  Carolina
corporation,  and that he, as such President, being authorized so to do executed
the foregoing instrument for the purposes therein contained, by signing the name
of the corporation by himself as President.

          IN  WITNESS  WHEREOF,  I have  hereunto  set my hand  and  affixed  my
official seal the day and year in this certificate first above written.


                                            ___________________________________
                                                       Notary Public

(Notarial Seal)





STATE OF ILLINOIS          )
                           )  ss
COUNTY OF COOK             )


          On this  _____ day of April,  1990,  before me,  _________________,  a
Notary Public,  personally appeared Ralph J. Watts, who acknowledges  himself to
be the  President of East Carolina  Psychiatric  Services  Corporation,  a North
Carolina corporation,  and that he, as such President, being authorized so to do
executed the foregoing instrument for the purposes therein contained, by signing
the name of the corporation by himself as President.

          IN  WITNESS  WHEREOF,  I have  hereunto  set my hand  and  affixed  my
official seal the day and year in this certificate first above written.


                                            ___________________________________
                                                      Notary Public

(Notarial Seal)




<PAGE>

                                                                              10


STATE OF ILLINOIS          )
                           )  ss
COUNTY OF COOK             )


          On this  _____ day of April,  1990,  before me,  _________________,  a
Notary Public,  personally appeared Ralph J. Watts, who acknowledges  himself to
be the President of Havenwyck Hospital,  Inc., a Michigan corporation,  and that
he,  as  such  President,  being  authorized  so to do  executed  the  foregoing
instrument  for the  purposes  therein  contained,  by  signing  the name of the
corporation by himself as President.

          IN  WITNESS  WHEREOF,  I have  hereunto  set my hand  and  affixed  my
official seal the day and year in this certificate first above written.


                                            ___________________________________
                                                      Notary Public

(Notarial Seal)




STATE OF ILLINOIS          )
                           )  ss
COUNTY OF COOK             )


          On this  _____ day of April,  1990,  before me,  _________________,  a
Notary Public,  personally appeared Ralph J. Watts, who acknowledges  himself to
be the President of Mesa Psychiatric Hospital, Inc., an Arizona corporation, and
that he, as such  President,  being  authorized  so to do executed the foregoing
instrument  for the  purposes  therein  contained,  by  signing  the name of the
corporation by himself as President.

          IN  WITNESS  WHEREOF,  I have  hereunto  set my hand  and  affixed  my
official seal the day and year in this certificate first above written.


                                            ___________________________________
                                                      Notary Public

(Notarial Seal)




<PAGE>

                                                                              11




STATE OF ILLINOIS          )
                           )  ss
COUNTY OF COOK             )


          On this  _____ day of April,  1990,  before me,  _________________,  a
Notary Public,  personally appeared Ralph J. Watts, who acknowledges  himself to
be the President of  Psychiatric  Institute of West  Virginia,  Inc., a Virginia
corporation,  and that he, as such President, being authorized so to do executed
the foregoing instrument for the purposes therein contained, by signing the name
of the corporation by himself as President.

          IN  WITNESS  WHEREOF,  I have  hereunto  set my hand  and  affixed  my
official seal the day and year in this certificate first above written.


                                            ___________________________________
                                                      Notary Public

(Notarial Seal)




STATE OF ILLINOIS          )
                           )  ss
COUNTY OF COOK             )


          On this  _____ day of April,  1990,  before me,  _________________,  a
Notary Public,  personally appeared ______________,  who acknowledges himself to
be a Corporate  Trust  Officer of The  Citizens and  Southern  National  Bank, a
national  banking  association,  and that he, as such  Corporate  Trust Officer,
being  authorized  so to do executed the foregoing  instrument  for the purposes
therein  contained,  by signing  the name of said Bank by  himself as  Corporate
Trust Officer.

          IN  WITNESS  WHEREOF,  I have  hereunto  set my hand  and  affixed  my
official seal the day and year in this certificate first above written.


                                            ___________________________________
                                                      Notary Public

(Notarial Seal)


<PAGE>
                                                                              12
STATE OF ILLINOIS          )
                           )  ss
COUNTY OF COOK             )


          On this  _____ day of April,  1990,  before me,  _________________,  a
Notary Public,  personally appeared Susan L. Adams, known to me to be the person
whose name is subscribed to the within instrument as the Individual  Trustee and
acknowledged to me that she executed the same as such Individual Trustee.

          IN  WITNESS  WHEREOF,  I have  hereunto  set my hand  and  affixed  my
official seal the day and year in this certificate first above written.


                                            ___________________________________
                                                      Notary Public

(Notarial Seal)



<PAGE>
                                                                              13

                Principal Subsidiary                 Allocable Share

     Bountiful Psychiatric                                  5.8%
     Hospital, Inc.
     
     Cumberland Mental Health,                             33.3
     Inc.
     
     East Carolina Psychiatric                             17.3
     Services Corporation
     
     Havenwyck Hospital, Inc.                              21.9
     
     Mesa Psychiatric Hospital,                             8.9
     Inc.
     
     Psychiatric Institute of                              12.8
     West Virginia, Inc.






















                                   Schedule A
                         (to Obligor Subrogation Waiver
                           and Contribution Agreement)



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