MEDCATH INC
8-A12B, 1996-10-17
OFFICES & CLINICS OF DOCTORS OF MEDICINE
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                       SECURITIES AND EXCHANGE COMMISSION

                             Washington, D. C. 20549


                                    FORM 8-A


               For Registration of Certain Classes of Securitites
                    Pursuant to Section 12 (b) or (g) of the
                         Securities Exchange Act of 1934


                              MEDCATH INCORPORATED
                            (Exact name of registrant
                          as specified in its charter)

       North Carolina                                 56-1635096       
 (State or other jurisdiction                        (IRS Employer
         of incorporation)                        Identification No.)


         7621 Little Avenue, Suite 106, Charlotte, North Carolina 28226
                    (Address of principal executive offices)

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

Title of each class                    Name of each exchange on which
to be so registered                    each class is to be registered

Preferred Share Purchase Rights        NASDAQ Stock Market


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


                                      None
                                (Title of Class)


                                  Page 1 of 96


    Item 1.  Description of Securities To Be Registered.

           On October 2, 1996,  the Board of Directors  of MedCath  Incorporated
    (the "Company") declared a dividend of one preferred share purchase right (a
    "Right")  for each  outstanding  share of common  stock,  par value $.01 per
    share (the  "Common  Shares"),  of the  Company.  The dividend is payable on
    October 28, 1996 (the "Record Date") to the  shareholders  of record on that
    date. Each Right entitles the registered holder to purchase from the Company
    one  one-hundredth  of a share of  Series A Junior  Participating  Preferred
    stock, par value $.01 per share (the "Preferred Shares"),  of the Company at
    a price of $120 per one  one-hundredth  of a Preferred  Share (the "Purchase
    Price"), subject to adjustment.  The description and terms of the Rights are
    set  forth in a  Rights  Agreement  (the  "Rights  Agreement"),  dated as of
    October 15, 1996, between the Company and First Union National Bank of North
    Carolina, as Rights Agent (the "Rights Agent").

           Until  the  earlier  to  occur  of (i) 10  days  following  a  public
    announcement that a person or group of affiliated or associated  persons (an
    "Acquiring Person") has acquired beneficial  ownership of 15% or more of the
    outstanding  Common  Shares or (ii) 10 business  days (or such later date as
    may be determined by action of the Board of Directors  prior to such time as
    any  person or group of  affiliated  persons  becomes an  Acquiring  Person)
    following the  commencement  of, or  announcement of an intention to make, a
    tender offer or exchange offer the consummation of which would result in the
    beneficial  ownership by a person or group of 15% or more of the outstanding
    Common  Shares  (the  earlier of such dates being  called the  "Distribution
    Date"),  the Rights  will be  evidenced,  with  respect to any of the Common
    Share  certificates  outstanding as of the Record Date, by such Common Share
    certificate with a copy of the Summary of Rights attached thereto.

           The Rights Agreement  provides that, until the Distribution  Date (or
    earlier  redemption  or  expiration  of the  Rights),  the  Rights  will  be
    transferred  with and only with the Common  Shares.  Until the  Distribution
    Date (or earlier  redemption or expiration of the Rights),  new Common Share
    certificates  issued after the Record Date upon  transfer or new issuance of
    Common Shares will contain a notation  incorporating the Rights Agreement by
    reference.  Until the Distribution Date (or earlier redemption or expiration
    of the Rights),  the surrender for transfer of any  certificates  for Common
    Shares  outstanding  as of the Record Date,  even without such notation or a
    copy of the Summary of Rights being attached  thereto,  will also constitute
    the transfer of the Rights associated with the Common Shares  represented by
    such certificate.  As soon as practicable  following the Distribution  Date,
    separate certificates  evidencing the Rights ("Right  Certificates") will be
    mailed to holders of record of the Common Shares as of the close of business
    on the  Distribution  Date and such separate Right  Certificates  alone will
    evidence the Rights.
                                  Page 2 of 96


           The Rights  are not  exercisable  until the  Distribution  Date.  The
    Rights will expire on October 15, 2006 (the "Final Expiration Date"), unless
    the Final  Expiration  Date is  extended  or unless the  Rights are  earlier
    redeemed or exchanged by the Company, in each case, as described below.

           The Purchase  Price  payable,  and the number of Preferred  Shares or
    other  securities  or  property  issuable,  upon  exercise of the Rights are
    subject to adjustment from time to time to prevent dilution (i) in the event
    of a stock  dividend on, or a subdivision,  combination or  reclassification
    of, the  Preferred  Shares,  (ii) upon the grant to holders of the Preferred
    Shares of certain rights or warrants to subscribe for or purchase  Preferred
    Shares at a price, or securities  convertible  into Preferred  Shares with a
    conversion price,  less than the then-current  market price of the Preferred
    Shares or (iii) upon the  distribution to holders of the Preferred Shares of
    evidences  of  indebtedness  or  assets  (excluding  regular  periodic  cash
    dividends paid out of earnings or retained  earnings or dividends payable in
    Preferred  Shares) or of  subscription  rights or warrants (other than those
    referred to above).

           The number of outstanding Rights and the number of one one-hundredths
    of a Preferred  Share  issuable upon exercise of each Right are also subject
    to  adjustment in the event of a stock split of the Common Shares or a stock
    dividend  on the Common  Shares  payable in Common  Shares or  subdivisions,
    consolidations or combinations of the Common Shares  occurring,  in any such
    case, prior to the Distribution Date.

           Preferred Shares  purchasable upon exercise of the Rights will not be
    redeemable.  Each Preferred Share will be entitled to a minimum preferential
    quarterly  dividend  payment  of $1 per  share  but will be  entitled  to an
    aggregate  dividend of 100 times the dividend  declared per Common Share. In
    the event of  liquidation,  the  holders  of the  Preferred  Shares  will be
    entitled to a minimum preferential liquidation payment of $100 per share but
    will be entitled to an  aggregate  payment of 100 times the payment made per
    Common Share. Each Preferred Share will have 100 votes, voting together with
    the Common Shares.  Finally,  in the event of any merger,  consolidation  or
    other transaction in which Common Shares are exchanged, each Preferred Share
    will be entitled to receive 100 times the amount  received per Common Share.
    These rights are protected by customary antidilution provisions.

           Because of the nature of the Preferred Shares' dividend,  liquidation
    and  voting  rights,  the  value  of the  one  one-hundredth  interest  in a
    Preferred Share  purchasable upon exercise of each Right should  approximate
    the value of one Common Share.

                                  Page 3 of 96


           In the  event  that the  Company  is  acquired  in a merger  or other
    business  combination  transaction or 50% or more of its consolidated assets
    or earning  power are sold  after a person or group has become an  Acquiring
    Person,  proper  provision  will be made so that each holder of a Right will
    thereafter have the right to receive,  upon the exercise thereof at the then
    current  exercise price of the Right,  that number of shares of common stock
    of the acquiring  company which at the time of such  transaction will have a
    market value of two times the exercise price of the Right. In the event that
    any person or group of affiliated or associated persons becomes an Acquiring
    Person, proper provision shall be made so that each holder of a Right, other
    than  Rights   beneficially  owned  by  the  Acquiring  Person  (which  will
    thereafter be void), will thereafter have the right to receive upon exercise
    that number of Common Shares having a market value of two times the exercise
    price of the Right.

           At any time after any person or group becomes an Acquiring Person and
    prior  to the  acquisition  by such  person  or  group of 50% or more of the
    outstanding  Common  Shares,  the  Board of  Directors  of the  Company  may
    exchange the Rights (other than Rights owned by such person or group,  which
    will have become  void),  in whole or in part,  at an exchange  ratio of one
    Common Share, or one  one-hundredth of a Preferred Share (or of a share of a
    class or series of the Company's  preferred stock having equivalent  rights,
    preferences and privileges), per Right (subject to adjustment).

           With certain exceptions,  no adjustment in the Purchase Price will be
    required until cumulative  adjustments  require an adjustment of at least 1%
    in such Purchase Price. No fractional Preferred Shares will be issued (other
    than  fractions  which are  integral  multiples  of one  one-hundredth  of a
    Preferred Share, which may, at the election of the Company,  be evidenced by
    depositary receipts) and in lieu thereof, an adjustment in cash will be made
    based on the market  price of the  Preferred  Shares on the last trading day
    prior to the date of exercise.

           At any  time  prior  to the  acquisition  by a  person  or  group  of
    affiliated or associated  persons of beneficial  ownership of 15% or more of
    the  outstanding  Common  Shares,  the Board of Directors of the Company may
    redeem  the Rights in whole,  but not in part,  at a price of $.01 per Right
    (the "Redemption Price"). The redemption of the Rights may be made effective
    at such time on such basis with such conditions as the Board of Directors in
    its sole  discretion may establish.  Immediately  upon any redemption of the
    Rights,  the right to exercise the Rights will  terminate and the only right
    of the holders of Rights will be to receive the Redemption Price.

                                  Page 4 of 96


           The terms of the Rights may be amended by the Board of  Directors  of
    the Company  without the consent of the holders of the Rights,  including an
    amendment to lower certain  thresholds  described above to not less than the
    greater  of  (i)  the  sum  of  .001%  and  the  largest  percentage  of the
    outstanding Common Shares then known to the Company to be beneficially owned
    by any person or group of  affiliated  or  associated  persons and (ii) 10%,
    except that from and after such time as any person or group of affiliated or
    associated  persons  becomes  an  Acquiring  Person  no such  amendment  may
    adversely affect the interests of the holders of the Rights.

           Until a Right is exercised, the holder thereof, as such, will have no
    rights as a shareholder of the Company,  including,  without limitation, the
    right to vote or to receive dividends.

           The Rights have certain anti-takeover  effects. The Rights will cause
    substantial  dilution  to a person or group that  attempts  to  acquire  the
    Company on terms not approved by the Company's  Board of  Directors,  except
    pursuant to an offer  conditioned  on a  substantial  number of Rights being
    acquired.  The Rights should not interfere with any merger or other business
    combination  approved  by the Board of  Directors  since the  Rights  may be
    redeemed  by the  Company at the  Redemption  Price prior to the time that a
    person  or group has  acquired  beneficial  ownership  of 15% or more of the
    Common Shares.

           The Rights  Agreement,  dated as of October  15,  1996,  between  the
    Company and First Union  National Bank of North  Carolina,  as Rights Agent,
    specifying the terms of the Rights and including the form of the Articles of
    Amendment  to the Amended and  Restated  Articles  of  Incorporation  of the
    Company  setting  forth the  terms of the  Preferred  Shares  as an  exhibit
    thereto is  attached  hereto as an  exhibit  and is  incorporated  herein by
    reference.  The  foregoing  description  of the Rights is  qualified  in its
    entirety by reference to such exhibit.

                                  Page 5 of 96

    Item 2.  Exhibits.

        99.1    Rights  Agreement,  dated as of October 15, 1996,  between 
                MedCath  Incorporated and First Union National Bank of North
                Carolina,  which includes the form of Articles of Amendment 
                to the Amended and Restated  Articles of  Incorporation  of
                the Company setting forth the terms of the Series A Junior  
                Participating  Preferred  Stock,  par value $.01 per share,
                as Exhibit A, the form of Right  Certificate  as Exhibit B 
                and the  Summary of Rights to Purchase  Preferred  Shares as
                Exhibit  C.  Pursuant  to the  Rights  Agreement,  printed  
                Right  Certificates  will  not be  mailed  until as soon as
                practicable  after  the  earlier  of the  tenth  day after  
                public  announcement  that a person  or group has  acquired
                beneficial  ownership  of 15% or more of the  Common  Shares
                or the tenth  business  day (or such  later date as may be
                determined by action of the Board of Directors)  after a person
                commences,  or announces its intention to commence,  a
                tender  offer or exchange  offer the  consummation  of which 
                would  result in the  beneficial  ownership by a person or
                group of 15% or more of the Common Shares.

          99.2  Letter, dated as of October 15, 1996, from the Board of 
                Directors of MedCath Incorporated to Shareholders.

          99.3  Press release, dated October 16, 1996, announcing the adoption 
                of the Shareholder Rights Plan.

                                  Page 6 of 96


                                    SIGNATURE


         Pursuant to the requirements of section 12 of the Securities and
Exchange Act of 1934, the Registrant has duly caused this registration statement
to be signed on its behalf by the undersigned thereunto duly authorized.

                              MEDCATH INCORPORATED



Date: October 17, 1996          By:       /s/  Richard J.Post
                                               Richard J. Post
                                               Chief Financial Officer

                                          /s/  Daniel L. Belongia
                                               Daniel L. Belongia
                                               Vice President - Finance


                                  Page 7 of 96


                                  EXHIBIT LIST

                                                                           Page 
                                                                            No.
                                                               
99.1                                                                          9
   Rights  Agreement, dated as of  October 15, 1996,  between  MedCath        
   Incorporated  and First Union  National  Bank of North  Carolina,  which
   includes  the form of Articles of  Amendment to the Amended and Restated
   Articles of  Incorporation of the Company setting forth the terms of the
   Series A Junior Participating Preferred Stock, par value $.01 per share,
   as Exhibit A, the form of Right Certificate as Exhibit B and the Summary
   of Rights to  Purchase  Preferred  Shares as Exhibit C.  Pursuant to the
   Rights Agreement, printed Right Certificates will not be mailed until as
   soon as  practicable  after the  earlier  of the tenth day after  public
   announcement that a person or group has acquired beneficial ownership of
   15% or more of the  Common  Shares  or the tenth  business  day (or such
   later  date as may be  determined  by action of the Board of  Directors)
   after a person  commences,  or announces  its  intention to commence,  a
   tender offer or exchange offer the consummation of which would result in
   the  beneficial  ownership  by a  person  or group of 15% or more of the
   Common Shares.

99.2                                                                          91
   Letter,  dated  October  15,  1996,  from  the  Board  of  Directors of    
   MedCath Incorporated to Shareholders.

99.3                                                                          95
   Press release, dated October 16, 1996, announcing the adoption of the 
   Shareholder Rights Plan.

                                  Page 8 of 96


                                                                    Exhibit 99.1



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


                              MEDCATH INCORPORATED


                                       and


                  First Union National Bank of North Carolina,


                                  Rights Agent


                                Rights Agreement

                          Dated as of October 15, 1996


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


                                  Page 9 of 96


                                TABLE OF CONTENTS


                                                                    Page


Section 1.  Certain Definitions...............................       1

Section 2.  Appointment of Rights Agent.......................       7

Section 3.  Issue of Right Certificates.......................       7

Section 4.  Form of Right Certificates........................      11

Section 5.  Countersignature and Registration.................      11

Section 6.  Transfer, Split Up, Combination and
              Exchange of Right Certificates;
              Mutilated, Destroyed, Lost or
              Stolen Right Certificates.......................      13

Section 7.  Exercise of Rights; Purchase Price;
              Expiration Date of Rights.......................      14

Section 8.  Cancellation and Destruction of
              Right Certificates..............................      17

Section 9.  Availability of Common Shares.....................      17

Section 10. Preferred Shares Record Date......................      18

Section 11. Adjustment of Purchase Price, Number of
              Shares or Number of Rights......................      19

Section 12. Certificate of Adjusted Purchase Price
              or Number of Shares.............................      34

Section 13. Consolidation, Merger or Sale or Transfer
              of Assets or Earning Power......................      35

Section 14. Fractional Rights and Fractional Shares...........      37


                                       -i-
             
                                  Page 10 of 96


Section 15. Rights of Action.................................      39

Section 16. Agreement of Right Holders.......................      40

Section 17. Right Certificate Holder Not Deemed a
              Stockholder....................................      41

Section 18. Concerning the Rights Agent......................      42

Section 19. Merger or Consolidation or Change of
              Name of Rights Agent...........................      43

Section 20. Duties of Rights Agent...........................      44

Section 21. Change of Rights Agent...........................      48

Section 22. Issuance of New Right Certificates...............      50

Section 23. Redemption.......................................      51

Section 24. Exchange.........................................      52

Section 25. Notice of Certain Events.........................      55

Section 26. Notices..........................................      57

Section 27. Supplements and Amendments.......................      58

Section 28. Successors.......................................      59

Section 29. Benefits of this Agreement.......................      59

Section 30. Severability.....................................      59

Section 31. Governing Law....................................      60

Section 32. Counterparts.....................................      60


                                      -ii-

                                 Page 11 of 96


Section 33. Descriptive Headings...............................    60

Signatures.....................................................    61



Exhibit A - Form of Articles of Amendment of the Amended
            and Restated Articles of Incorporation

Exhibit B - Form of Right Certificate

Exhibit C - Summary of Rights to Purchase Preferred
            Shares

                                      -iii-

                                 Page 12 of 96



                       This page left blank intentionally


                                 Page 13 of 96


                  Agreement,  dated as of  October  15,  1996,  between  MedCath
Incorporated,  a North Carolina  corporation  (the  "Company"),  and First Union
National Bank of North Carolina (the "Rights Agent").

                  The Board of  Directors  of the  Company  has  authorized  and
declared a dividend of one preferred  share  purchase right (a "Right") for each
Common Share (as hereinafter  defined) of the Company outstanding on October 28,
1996 (the  "Record  Date"),  each Right  representing  the right to purchase one
one-hundredth of a Preferred Share (as hereinafter defined),  upon the terms and
subject to the  conditions  herein set forth,  and has  further  authorized  and
directed  the issuance of one Right with respect to each Common Share that shall
become outstanding  between the Record Date and the earliest of the Distribution
Date,  the  Redemption  Date and the Final  Expiration  Date (as such  terms are
hereinafter defined).

                  Accordingly,  in  consideration of the premises and the mutual
agreements herein set forth, the parties hereby agree as follows:

                  Section 1.  Certain Definitions.  For purposes of this 
Agreement, the following terms have the meanings indicated:

                                  Page 14 of 96


                  (a) "Acquiring  Person" shall mean any Person (as such term is
hereinafter  defined) who or which,  together with all Affiliates and Associates
(as such terms are hereinafter  defined) of such Person, shall be the Beneficial
Owner (as such term is hereinafter  defined) of 15% or more of the Common Shares
of the  Company  then  outstanding,  but  shall not  include  the  Company,  any
Subsidiary  (as such term is hereinafter  defined) of the Company,  any employee
benefit  plan of the Company or any  Subsidiary  of the  Company,  or any entity
holding  Common  Shares  for  or  pursuant  to  the  terms  of  any  such  plan.
Notwithstanding  the foregoing,  no Person shall become an "Acquiring Person" as
the result of an acquisition of Common Shares by the Company which,  by reducing
the number of shares outstanding,  increases the proportionate  number of shares
beneficially  owned by such  Person to 15% or more of the  Common  Shares of the
Company then outstanding;  provided,  however, that if a Person shall become the
Beneficial  Owner  of 15% or more  of the  Common  Shares  of the  Company  then
outstanding  by reason of share  purchases by the Company and shall,  after such
share  purchases by the Company,  become the Beneficial  Owner of any additional
Common  Shares  of the  Company,  then  such  Person  shall be  deemed  to be an
"Acquiring Person".  Notwithstanding the foregoing, if the Board of Directors of
the Company  determines  in good faith that a Person who would  otherwise  be an
"Acquiring  Person",  as defined  pursuant to the  foregoing  provisions of this
paragraph  (a),  has  become  such  inadvertently,  and such  Person  divests as
promptly as practicable a sufficient number of Common Shares so that such Person
would no longer be an "Acquiring  Person," as defined  pursuant to the foregoing
provisions of this  paragraph (a), then such Person shall not be deemed to be an
"Acquiring Person" for any purposes of this Agreement.

                                 Page 15 of 96

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

                  (c) A Person  shall be deemed  the  "Beneficial  Owner" of and
shall be deemed to "beneficially own" any securities:

               (i)  which such Person or any of such Person's Affiliates or 
         Associates beneficially owns, directly or indirectly;

              (ii)  which  such  Person or any of such  Person's  Affiliates  or
         Associates  has (A)  the  right  to  acquire  (whether  such  right  is
         exercisable  immediately or only after the passage of time) pursuant to
         any  agreement,  arrangement  or  understanding  (other than  customary
         agreements with and between underwriters and selling group members with
         respect to a bona fide  public  offering  of  securities),  or upon the
         exercise of  conversion  rights,  exchange  rights,  rights (other than
         these Rights),  warrants or options, or otherwise;  provided,  however,
         
                                 Page 16 of 96


         that a Person  shall  not be  deemed  the  Beneficial  Owner  of, or to
         beneficially own,  securities tendered pursuant to a tender or exchange
         offer  made by or on  behalf  of such  Person  or any of such  Person's
         Affiliates or Associates  until such tendered  securities  are accepted
         for  purchase  or  exchange;  or (B) the right to vote  pursuant to any
         agreement,  arrangement or  understanding;  provided,  however,  that a
         Person shall not be deemed the Beneficial  Owner of, or to beneficially
         own, any security if the  agreement,  arrangement or  understanding  to
         vote such security (1) arises solely from a revocable  proxy or consent
         given  to  such  Person  in  response  to a  public  proxy  or  consent
         solicitation  made pursuant to, and in accordance  with, the applicable
         rules and regulations promulgated under the Exchange Act and (2) is not
         also then  reportable  on Schedule  13D under the  Exchange Act (or any
         comparable or successor report); or

             (iii) which are beneficially owned, directly or indirectly,  by any
         other Person with which such Person or any of such Person's  Affiliates
         or Associates has any agreement,  arrangement or  understanding  (other
         than customary  agreements  with and between  underwriters  and selling
         group  members  with  respect  to  a  bona  fide  public   offering  of
         securities)  for the purpose of acquiring,  holding,  voting (except to
         the extent  contemplated  by the  proviso to  Section  1(c)(ii)(B))  or
         disposing of any securities of the Company.

                                 Page 17 of 96


                  Notwithstanding  anything  in this  definition  of  Beneficial
Ownership  to the  contrary,  the  phrase  "then  outstanding,"  when  used with
reference to a Person's Beneficial Ownership of securities of the Company, shall
mean the number of such securities then issued and outstanding together with the
number of such securities not then actually  issued and  outstanding  which such
Person would be deemed to own beneficially hereunder.

                  (d) "Business Day" shall mean any day other than a Saturday, a
Sunday, or a day on which banking  institutions in North Carolina are authorized
or obligated by law or executive order to close.

                  (e)  "Close of  business"  on any given  date  shall mean 5:00
P.M., Charlotte,  North Carolina time, on such date; provided,  however, that if
such date is not a  Business  Day it shall  mean  5:00  P.M.,  Charlotte,  North
Carolina time, on the next succeeding Business Day.

                  (f) "Common  Shares"  when used with  reference to the Company
shall mean the shares of common stock, par value $.01 per share, of the Company.
"Common  Shares"  when used with  reference to any Person other than the Company
shall mean the capital stock (or equity interest) with the greatest voting power
of such other Person or, if such other Person is a Subsidiary of another Person,
the Person or Persons which ultimately control such first-mentioned Person.

                                 Page 18 of 96


                  (g)  "Distribution Date" shall have the meaning set forth in 
Section 3 hereof.

                  (h) "Final  Expiration  Date" shall have the meaning set forth
in Section 7 hereof.

                  (i) "Person" shall mean any individual,  firm,  corporation or
other  entity,  and shall include any successor (by merger or otherwise) of such
entity.

                  (j)  "Preferred  Shares"  shall mean shares of Series A Junior
Participating  Preferred  Stock, par value $.01 per share, of the Company having
the rights and preferences set forth in the Form of Articles of Amendment to the
Amended and Restated  Articles of  Incorporation of the Company attached to this
Agreement as Exhibit A.

                  (k)  "Redemption Date" shall have the meaning set forth in 
Section 7 hereof.

                  (l)  "Shares  Acquisition  Date"  shall mean the first date of
public  announcement  by the Company or an  Acquiring  Person that an  Acquiring
Person has become such.

                  (m)  "Subsidiary"  of any Person shall mean any corporation or
other  entity of which a  majority  of the  voting  power of the  voting  equity
securities or equity interest is owned, directly or indirectly, by such Person.

                                 Page 19 of 97


                  Section 2.  Appointment  of Rights Agent.  The Company  hereby
appoints the Rights Agent to act as agent for the Company and the holders of the
Rights  (who,  in  accordance  with  Section  3  hereof,   shall  prior  to  the
Distribution  Date also be the holders of the Common Shares) in accordance  with
the terms and  conditions  hereof,  and the Rights  Agent  hereby  accepts  such
appointment.  The Company may from time to time appoint such co-Rights Agents as
it may deem necessary or desirable.

                  Section 3. Issue of Right Certificates.  (a) Until the earlier
of (i) the  tenth  day  after  the  Shares  Acquisition  Date or (ii) the  tenth
business day (or such later date as may be  determined by action of the Board of
Directors  prior to such time as any Person  becomes an Acquiring  Person) after
the  date of the  commencement  by any  Person  (other  than  the  Company,  any
Subsidiary  of the Company,  any employee  benefit plan of the Company or of any
Subsidiary of the Company or any entity holding Common Shares for or pursuant to
the  terms of any such  plan) of, or of the  first  public  announcement  of the
intention of any Person (other than the Company,  any Subsidiary of the Company,
any employee  benefit plan of the Company or of any Subsidiary of the Company or
any entity  holding Common Shares for or pursuant to the terms of any such plan)
to commence,  a tender or exchange offer the  consummation of which would result
in any Person becoming the Beneficial Owner of Common Shares  aggregating 15% or

                                 Page 20 of 96


more of the then  outstanding  Common Shares  (including  any such date which is
after the date of this  Agreement  and prior to the issuance of the Rights;  the
earlier of such dates being herein referred to as the "Distribution  Date"), (x)
the Rights will be evidenced  (subject to the provisions of Section 3(b) hereof)
by the  certificates  for Common  Shares  registered in the names of the holders
thereof (which  certificates shall also be deemed to be Right  Certificates) and
not by  separate  Right  Certificates,  and  (y)  the  right  to  receive  Right
Certificates will be transferable only in connection with the transfer of Common
Shares.  As soon as practicable  after the  Distribution  Date, the Company will
prepare and  execute,  the Rights Agent will  countersign,  and the Company will
send or cause to be sent (and the Rights  Agent  will,  if  requested,  send) by
first-class,  insured,  postage-prepaid  mail,  to each record  holder of Common
Shares as of the close of business on the  Distribution  Date, at the address of
such  holder  shown on the  records  of the  Company,  a Right  Certificate,  in
substantially the form of Exhibit B hereto (a "Right  Certificate"),  evidencing
one Right for each Common Share so held. As of the Distribution Date, the Rights
will be evidenced solely by such Right Certificates.

                  (b) On the Record Date, or as soon as practicable  thereafter,
the  Company  will send a copy of a Summary  of  Rights  to  Purchase  Preferred
Shares, in substantially the form of Exhibit C hereto (the "Summary of Rights"),
by first-class,  postage-prepaid mail, to each record holder of Common Shares as
of the close of business on the Record Date, at the address of such holder shown
on the records of the Company.  With respect to  certificates  for Common Shares
outstanding as of the Record Date, until the Distribution  Date, the Rights will
be evidenced by such certificates registered in the names of the holders thereof
together  with a copy of the  Summary  of  Rights  attached  thereto.  Until the
Distribution Date (or the earlier of the Redemption Date or the Final Expiration
Date),  the  surrender  for  transfer  of  any  certificate  for  Common  Shares
outstanding on the Record Date,  with or without a copy of the Summary of Rights
attached  thereto,  shall also constitute the transfer of the Rights  associated
with the Common Shares represented thereby.

                                 Page 21 of 96


                  (c)  Certificates  for Common Shares which become  outstanding
(including, without limitation, reacquired Common Shares referred to in the last
sentence of this  paragraph (c)) after the Record Date but prior to the earliest
of the Distribution Date, the Redemption Date or the Final Expiration Date shall
have  impressed  on,  printed on,  written on or  otherwise  affixed to them the
following legend:

         This  certificate  also  evidences  and entitles  the holder  hereof to
         certain  rights  as set  forth in a Rights  Agreement  between  MedCath
         Incorporated and First Union National Bank of North Carolina,  dated as
         of October 15, 1996 (the  "Rights  Agreement"),  the terms of which are
         hereby  incorporated herein by reference and a copy of which is on file
         at the  principal  executive  offices  of MedCath  Incorporated.  Under
         certain  circumstances,  as set  forth in the  Rights  Agreement,  such
         Rights will be evidenced by separate certificates and will no longer be
         evidenced by this  certificate.  MedCath  Incorporated will mail to the
         holder  of this  certificate  a copy of the  Rights  Agreement  without
         charge  after  receipt of a written  request  therefor.  Under  certain
         circumstances,  as set forth in the Rights Agreement,  Rights issued to
         any Person who  becomes an  Acquiring  Person (as defined in the Rights
         Agreement) may become null and void.

                                 Page 22 of 96


With respect to such  certificates  containing the foregoing  legend,  until the
Distribution  Date, the Rights associated with the Common Shares  represented by
such  certificates  shall  be  evidenced  by such  certificates  alone,  and the
surrender  for  transfer  of any such  certificate  shall  also  constitute  the
transfer of the Rights associated with the Common Shares represented thereby. In
the event that the Company  purchases  or acquires  any Common  Shares after the
Record Date but prior to the Distribution  Date, any Rights associated with such
Common  Shares shall be deemed  cancelled  and retired so that the Company shall
not be entitled to exercise any Rights  associated  with the Common Shares which
are no longer outstanding.

                  Section 4. Form of Right Certificates.  The Right Certificates
(and the forms of election to purchase  Preferred Shares and of assignment to be
printed on the reverse  thereof)  shall be  substantially  the same as Exhibit B
hereto  and may  have  such  marks of  identification  or  designation  and such
legends,  summaries  or  endorsements  printed  thereon as the  Company may deem
appropriate and as are not  inconsistent  with the provisions of this Agreement,
or as may be  required  to comply  with any  applicable  law or with any rule or
regulation  made  pursuant  thereto or with any rule or  regulation of any stock
exchange  on which the Rights may from time to time be listed,  or to conform to
usage.  Subject to the provisions of Section 22 hereof,  the Right  Certificates
shall entitle the holders thereof to purchase such number of one  one-hundredths
of a  Preferred  Share  as shall  be set  forth  therein  at the  price  per one
one-hundredth of a Preferred Share set forth therein (the "Purchase Price"), but
the number of such one  one-hundredths  of a  Preferred  Share and the  Purchase
Price shall be subject to adjustment as provided herein.

                                 Page 23 of 97


                  Section  5.  Countersignature  and  Registration.   The  Right
Certificates  shall be executed on behalf of the Company by its  Chairman of the
Board, its Chief Executive Officer,  its President,  any of its Vice Presidents,
or its Treasurer,  either manually or by facsimile signature, shall have affixed
thereto the Company's seal or a facsimile thereof,  and shall be attested by the
Secretary  or an  Assistant  Secretary  of the  Company,  either  manually or by
facsimile signature.  The Right Certificates shall be manually  countersigned by
the Rights Agent and shall not be valid for any purpose unless countersigned. In
case  any  officer  of the  Company  who  shall  have  signed  any of the  Right
Certificates   shall   cease  to  be  such   officer  of  the   Company   before
countersignature  by the Rights  Agent and issuance and delivery by the Company,
such Right Certificates,  nevertheless, may be countersigned by the Rights Agent
and issued and delivered by the Company with the same force and effect as though
the person who signed such Right  Certificates had not ceased to be such officer
of the Company; and any Right Certificate may be signed on behalf of the Company
by  any  person  who,  at the  actual  date  of  the  execution  of  such  Right
Certificate,  shall  be a proper  officer  of the  Company  to sign  such  Right
Certificate,  although at the date of the execution of this Rights Agreement any
such person was not such an officer.

                                 Page 24 of 96


                  Following the Distribution Date, the Rights Agent will keep or
cause to be kept, at its principal  office,  books for registration and transfer
of the Right Certificates issued hereunder.  Such books shall show the names and
addresses of the  respective  holders of the Right  Certificates,  the number of
Rights  evidenced on its face by each of the Right  Certificates and the date of
each of the Right Certificates.

                  Section 6.  Transfer,  Split Up,  Combination  and Exchange of
Right  Certificates;  Mutilated,  Destroyed,  Lost or Stolen Right Certificates.
Subject to the  provisions of Section 14 hereof,  at any time after the close of
business on the  Distribution  Date, and at or prior to the close of business on
the  earlier of the  Redemption  Date or the Final  Expiration  Date,  any Right
Certificate or Right Certificates  (other than Right  Certificates  representing
Rights that have become void pursuant to Section  11(a)(ii)  hereof or that have
been  exchanged  pursuant  to Section 24 hereof) may be  transferred,  split up,
combined or  exchanged  for another  Right  Certificate  or Right  Certificates,
entitling the registered holder to purchase a like number of one  one-hundredths
of a Preferred Share as the Right Certificate or Right Certificates  surrendered

                                 Page 25 of 96


then  entitled  such  holder to  purchase.  Any  registered  holder  desiring to
transfer,  split  up,  combine  or  exchange  any  Right  Certificate  or  Right
Certificates  shall make such request in writing  delivered to the Rights Agent,
and  shall  surrender  the  Right  Certificate  or  Right   Certificates  to  be
transferred,  split up,  combined or  exchanged at the  principal  office of the
Rights Agent.  Thereupon the Rights Agent shall  countersign  and deliver to the
person entitled thereto a Right Certificate or Right  Certificates,  as the case
may be, as so requested.  The Company may require payment of a sum sufficient to
cover any tax or governmental  charge that may be imposed in connection with any
transfer, split up, combination or exchange of Right Certificates.

                  Upon  receipt by the Company and the Rights  Agent of evidence
reasonably satisfactory to them of the loss, theft, destruction or mutilation of
a Right Certificate, and, in case of loss, theft or destruction, of indemnity or
security  reasonably  satisfactory  to  them,  and,  at the  Company's  request,
reimbursement  to the Company and the Rights  Agent of all  reasonable  expenses
incidental  thereto,  and upon surrender to the Rights Agent and cancellation of
the Right  Certificate  if  mutilated,  the Company  will make and deliver a new
Right  Certificate  of like  tenor  to the  Rights  Agent  for  delivery  to the
registered holder in lieu of the Right Certificate so lost, stolen, destroyed or
mutilated.

                                 Page 26 of 96


                  Section 7. Exercise of Rights; Purchase Price; Expiration Date
of Rights.  (a) The registered  holder of any Right Certificate may exercise the
Rights  evidenced  thereby (except as otherwise  provided herein) in whole or in
part at any time  after  the  Distribution  Date  upon  surrender  of the  Right
Certificate,  with the form of election to purchase on the reverse  side thereof
duly executed,  to the Rights Agent at the principal office of the Rights Agent,
together  with payment of the  Purchase  Price for each one  one-hundredth  of a
Preferred  Share  as to  which  the  Rights  are  exercised,  at or prior to the
earliest of (i) the close of business on October 15, 2006 (the "Final Expiration
Date"), (ii) the time at which the Rights are redeemed as provided in Section 23
hereof  (the  "Redemption  Date"),  or (iii) the time at which  such  Rights are
exchanged as provided in Section 24 hereof.

                  (b)  The  Purchase  Price  for  each  one  one-hundredth  of a
Preferred Share purchasable  pursuant to the exercise of a Right shall initially
be $120,  and shall be subject to  adjustment  from time to time as  provided in
Section  11 or 13 hereof  and shall be  payable  in lawful  money of the  United
States of America in accordance with paragraph (c) below.

                  (c)  Upon   receipt  of  a  Right   Certificate   representing
exercisable  Rights,  with the  form of  election  to  purchase  duly  executed,
accompanied  by payment of the Purchase Price for the shares to be purchased and

                                 Page 27 of 96


an amount equal to any applicable transfer tax required to be paid by the holder
of such Right  Certificate  in  accordance  with  Section 9 hereof by  certified
check,  cashier's check or money order payable to the order of the Company,  the
Rights  Agent shall  thereupon  promptly (i) (A)  requisition  from any transfer
agent of the Preferred Shares certificates for the number of Preferred Shares to
be purchased and the Company hereby irrevocably authorizes its transfer agent to
comply with all such requests,  or (B)  requisition  from the  depositary  agent
depositary  receipts  representing  such  number  of one  one-  hundredths  of a
Preferred  Share as are to be  purchased  (in which  case  certificates  for the
Preferred Shares represented by such receipts shall be deposited by the transfer
agent with the  depositary  agent) and the Company hereby directs the depositary
agent to comply with such request,  (ii) when appropriate,  requisition from the
Company the amount of cash to be paid in lieu of issuance of  fractional  shares
in accordance with Section 14 hereof,  (iii) after receipt of such  certificates
or depositary  receipts,  cause the same to be delivered to or upon the order of
the  registered  holder of such Right  Certificate,  registered  in such name or
names as may be  designated  by such  holder  and (iv) when  appropriate,  after
receipt, deliver such cash to or upon the order of the registered holder of such
Right Certificate.

                  (d) In case the  registered  holder of any  Right  Certificate
shall  exercise  less  than  all  the  Rights  evidenced  thereby,  a new  Right
Certificate  evidencing  Rights  equivalent to the Rights remaining  unexercised
shall be issued  by the  Rights  Agent to the  registered  holder of such  Right
Certificate  or to his duly  authorized  assigns,  subject to the  provisions of
Section 14 hereof.

                                 Page 28 of 96


                  Section 8. Cancellation and Destruction of Right Certificates.
All Right Certificates surrendered for the purpose of exercise,  transfer, split
up,  combination or exchange  shall,  if surrendered to the Company or to any of
its agents,  be delivered to the Rights Agent for  cancellation  or in cancelled
form, or, if  surrendered to the Rights Agent,  shall be cancelled by it, and no
Right Certificates shall be issued in lieu thereof except as expressly permitted
by any of the provisions of this Rights Agreement.  The Company shall deliver to
the Rights Agent for cancellation and retirement,  and the Rights Agent shall so
cancel and retire,  any other  Right  Certificate  purchased  or acquired by the
Company otherwise than upon the exercise thereof. The Rights Agent shall deliver
all  cancelled  Right  Certificates  to the  Company,  or shall,  at the written
request of the Company,  destroy such cancelled Right Certificates,  and in such
case shall deliver a certificate of destruction thereof to the Company.

                  Section 9.  Availability  of  Preferred  Shares.  The  Company
covenants and agrees that it will cause to be reserved and kept available out of
its authorized and unissued Preferred Shares or any Preferred Shares held in its
treasury,  the number of Preferred  Shares that will be sufficient to permit the
exercise in full of all  outstanding  Rights in  accordance  with Section 7. The
Company  covenants  and  agrees  that it will  take  all such  action  as may be
necessary to ensure that all Preferred  Shares delivered upon exercise of Rights
shall,  at the time of delivery of the  certificates  for such Preferred  Shares
(subject to payment of the Purchase Price),  be duly and validly  authorized and
issued and fully paid and nonassessable shares.

                                 Page 29 of 96


                  The Company further covenants and agrees that it will pay when
due and payable any and all federal and state  transfer  taxes and charges which
may be payable in respect of the issuance or delivery of the Right  Certificates
or of any Preferred  Shares upon the exercise of Rights.  The Company shall not,
however,  be required to pay any transfer tax which may be payable in respect of
any transfer or delivery of Right  Certificates  to a person other than,  or the
issuance or delivery of  certificates  or depositary  receipts for the Preferred
Shares  in a name  other  than  that of,  the  registered  holder  of the  Right
Certificate evidencing Rights surrendered for exercise or to issue or to deliver
any  certificates or depositary  receipts for Preferred Shares upon the exercise
of any  Rights  until  any such tax  shall  have  been  paid (any such tax being
payable by the holder of such Right  Certificate  at the time of  surrender)  or
until it has been established to the Company's  reasonable  satisfaction that no
such tax is due.

                  Section 10. Preferred Shares Record Date. Each person in whose
name any certificate for Preferred  Shares is issued upon the exercise of Rights
shall for all  purposes  be deemed to have  become  the  holder of record of the
Preferred Shares  represented  thereby on, and such certificate  shall be dated,

                                 Page 30 of 97


the date upon  which the  Right  Certificate  evidencing  such  Rights  was duly
surrendered  and  payment of the  Purchase  Price (and any  applicable  transfer
taxes)  was made;  provided,  however,  that if the date of such  surrender  and
payment is a date upon which the Preferred  Shares transfer books of the Company
are closed, such person shall be deemed to have become the record holder of such
shares on, and such certificate shall be dated, the next succeeding Business Day
on which the Preferred  Shares transfer books of the Company are open.  Prior to
the exercise of the Rights evidenced thereby,  the holder of a Right Certificate
shall not be  entitled to any rights of a holder of  Preferred  Shares for which
the Rights shall be exercisable,  including,  without  limitation,  the right to
vote, to receive dividends or other  distributions or to exercise any preemptive
rights,  and shall not be entitled to receive any notice of any  proceedings  of
the Company, except as provided herein.

                  Section 11. Adjustment of Purchase Price,  Number of Shares or
Number of Rights.  The Purchase Price, the number of Preferred Shares covered by
each Right and the number of Rights  outstanding  are subject to adjustment from
time to time as provided in this Section 11.

                                 Page 31 of 96


                  (a) (i) In the event the  Company  shall at any time after the
date of this Agreement (A) declare a dividend on the Preferred Shares payable in
Preferred Shares,  (B) subdivide the outstanding  Preferred Shares,  (C) combine
the outstanding  Preferred  Shares into a smaller number of Preferred  Shares or
(D) issue any shares of its capital stock in a reclassification of the Preferred
Shares (including any such  reclassification  in connection with a consolidation
or merger in which the  Company is the  continuing  or  surviving  corporation),
except as otherwise provided in this Section 11(a), the Purchase Price in effect
at the time of the record  date for such  dividend or of the  effective  date of
such subdivision,  combination or  reclassification,  and the number and kind of
shares of capital stock issuable on such date, shall be proportionately adjusted
so that the holder of any Right  exercised  after such time shall be entitled to
receive the aggregate  number and kind of shares of capital stock which, if such
Right had been exercised  immediately  prior to such date and at a time when the
Preferred  Shares  transfer  books of the Company were open, he would have owned
upon such  exercise  and been  entitled  to receive by virtue of such  dividend,
subdivision,  combination or  reclassification;  provided,  however,  that in no
event shall the  consideration to be paid upon the exercise of one Right be less
than the  aggregate  par value of the  shares of  capital  stock of the  Company
issuable upon exercise of one Right.

              (ii)  Subject to Section  24 of this  Agreement,  in the event any
Person becomes an Acquiring Person, each holder of a Right shall thereafter have

                                 Page 32 of 96


a right to receive,  upon exercise  thereof at a price equal to the then current
Purchase  Price  multiplied by the number of one  one-hundredths  of a Preferred
Share for which a Right is then  exercisable,  in  accordance  with the terms of
this Agreement and in lieu of Preferred Shares,  such number of Common Shares of
the  Company as shall  equal the result  obtained  by (x)  multiplying  the then
current Purchase Price by the number of one  one-hundredths of a Preferred Share
for which a Right is then  exercisable  and dividing  that product by (y) 50% of
the  then  current  per  share  market  price  of the  Company's  Common  Shares
(determined  pursuant to Section 11(d) hereof) on the date of the  occurrence of
such event.  In the event that any Person shall  become an Acquiring  Person and
the Rights  shall then be  outstanding,  the  Company  shall not take any action
which would  eliminate or diminish  the benefits  intended to be afforded by the
Rights.

                  From and after the  occurrence of such event,  any Rights that
are or were  acquired  or  beneficially  owned by any  Acquiring  Person (or any
Associate or Affiliate of such Acquiring Person) shall be void and any holder of
such Rights  shall  thereafter  have no right to exercise  such Rights under any
provision of this Agreement.  No Right  Certificate  shall be issued pursuant to
Section 3 that represents Rights beneficially owned by an Acquiring Person whose
Rights  would be void  pursuant to the  preceding  sentence or any  Associate or
Affiliate  thereof;  no Right  Certificate  shall be issued at any time upon the

                                 Page 33 of 96


transfer  of any  Rights  to an  Acquiring  Person  whose  Rights  would be void
pursuant to the preceding  sentence or any Associate or Affiliate  thereof or to
any nominee of such  Acquiring  Person,  Associate or  Affiliate;  and any Right
Certificate  delivered to the Rights  Agent for transfer to an Acquiring  Person
whose  Rights  would  be  void  pursuant  to the  preceding  sentence  shall  be
cancelled.

             (iii) In the event that there shall not be sufficient Common Shares
issued but not  outstanding or authorized but unissued to permit the exercise in
full of the Rights in  accordance  with the  foregoing  subparagraph  (ii),  the
Company  shall take all such action as may be necessary to authorize  additional
Common Shares for issuance upon exercise of the Rights. In the event the Company
shall,  after good  faith  effort,  be unable to take all such  action as may be
necessary  to  authorize  such  additional  Common  Shares,  the  Company  shall
substitute, for each Common Share that would otherwise be issuable upon exercise
of a Right,  a number of  Preferred  Shares or  fraction  thereof  such that the
current per share market price of one Preferred Share  multiplied by such number
or fraction is equal to the current per share  market  price of one Common Share
as of the date of issuance of such Preferred Shares or fraction thereof.

                  (b) In case  the  Company  shall  fix a  record  date  for the
issuance  of rights,  options or warrants  to all  holders of  Preferred  Shares
entitling them (for a period  expiring within 45 calendar days after such record

                                 Page 34 of 96


date) to subscribe for or purchase  Preferred  Shares (or shares having the same
rights,   privileges  and  preferences  as  the  Preferred  Shares  ("equivalent
preferred   shares"))  or  securities   convertible  into  Preferred  Shares  or
equivalent  preferred  shares  at a price  per  Preferred  Share  or  equivalent
preferred  share  (or  having  a  conversion  price  per  share,  if a  security
convertible into Preferred Shares or equivalent  preferred shares) less than the
then  current  per share  market  price of the  Preferred  Shares (as defined in
Section  11(d)) on such record date,  the  Purchase  Price to be in effect after
such record date shall be determined by multiplying the Purchase Price in effect
immediately  prior to such  record date by a fraction,  the  numerator  of which
shall be the number of Preferred Shares outstanding on such record date plus the
number of  Preferred  Shares  which the  aggregate  offering  price of the total
number of Preferred Shares and/or  equivalent  preferred shares so to be offered
(and/or the aggregate initial conversion price of the convertible  securities so
to be offered) would  purchase at such current market price and the  denominator
of which shall be the number of Preferred Shares outstanding on such record date
plus the number of  additional  Preferred  Shares  and/or  equivalent  preferred
shares to be offered for subscription or purchase (or into which the convertible
securities so to be offered are initially convertible);  provided, however, that
in no event shall the consideration to be paid upon the exercise of one Right be
less than the  aggregate par value of the shares of capital stock of the Company

                                 Page 35 of 96


issuable upon exercise of one Right. In case such subscription price may be paid
in a consideration  part or all of which shall be in a form other than cash, the
value of such consideration shall be as determined in good faith by the Board of
Directors of the Company,  whose determination shall be described in a statement
filed with the Rights Agent.  Preferred  Shares owned by or held for the account
of the  Company  shall not be deemed  outstanding  for the  purpose  of any such
computation.  Such adjustment shall be made successively  whenever such a record
date is fixed; and in the event that such rights, options or warrants are not so
issued,  the  Purchase  Price shall be adjusted to be the  Purchase  Price which
would then be in effect if such record date had not been fixed.

                  (c) In case the Company shall fix a record date for the making
of a  distribution  to all holders of the Preferred  Shares  (including any such
distribution  made in  connection  with a  consolidation  or merger in which the
Company is the continuing or surviving corporation) of evidences of indebtedness
or assets (other than a regular quarterly cash dividend or a dividend payable in
Preferred Shares) or subscription  rights or warrants  (excluding those referred
to in Section  11(b)  hereof),  the  Purchase  Price to be in effect  after such
record date shall be  determined  by  multiplying  the Purchase  Price in effect
immediately  prior to such  record date by a fraction,  the  numerator  of which
shall be the then current per share market price of the Preferred Shares on such
record  date,  less the fair market  value (as  determined  in good faith by the

                                 Page 36 of 96


Board of Directors of the Company,  whose  determination shall be described in a
statement filed with the Rights Agent) of the portion of the assets or evidences
of indebtedness so to be distributed or of such subscription  rights or warrants
applicable to one  Preferred  Share and the  denominator  of which shall be such
current per share market price of the Preferred Shares; provided,  however, that
in no event shall the consideration to be paid upon the exercise of one Right be
less than the  aggregate par value of the shares of capital stock of the Company
to be  issued  upon  exercise  of one  Right.  Such  adjustments  shall  be made
successively  whenever  such a record date is fixed;  and in the event that such
distribution  is not so made,  the Purchase  Price shall again be adjusted to be
the  Purchase  Price  which  would then be in effect if such record date had not
been fixed.

                  (d) (i) For the  purpose  of any  computation  hereunder,  the
"current per share market price" of any security (a  "Security"  for the purpose
of this  Section  11(d)(i)) on any date shall be deemed to be the average of the
daily closing prices per share of such Security for the 30  consecutive  Trading
Days (as such  term is  hereinafter  defined)  immediately  prior to such  date;
provided,  however, that in the event that the current per share market price of
the Security is determined  during a period  following the  announcement  by the
issuer of such  Security  of (A) a dividend  or  distribution  on such  Security
payable in shares of such Security or securities  convertible  into such shares,
or (B) any  subdivision,  combination or  reclassification  of such Security and

                                 Page 37 of 96


prior to the expiration of 30 Trading Days after the  ex-dividend  date for such
dividend or distribution,  or the record date for such subdivision,  combination
or  reclassification,  then, and in each such case, the current per share market
price shall be  appropriately  adjusted to reflect the current  market price per
share  equivalent of such Security.  The closing price for each day shall be the
last sale price,  regular way, or, in case no such sale takes place on such day,
the average of the closing bid and asked prices,  regular way, in either case as
reported in the principal consolidated transaction reporting system with respect
to securities  listed or admitted to trading on the New York Stock  Exchange or,
if the  Security  is not  listed or  admitted  to  trading on the New York Stock
Exchange, as reported in the principal consolidated transaction reporting system
with respect to securities listed on the principal national  securities exchange
on which the  Security is listed or  admitted to trading or, if the  Security is
not listed or admitted to trading on any national securities exchange,  the last
quoted  price or, if not so  quoted,  the  average of the high bid and low asked
prices in the  over-the-counter  market, as reported by the National Association
of Securities Dealers, Inc. Automated Quotations System ("NASDAQ") or such other
system  then in use,  or, if on any such date the  Security is not quoted by any
such organization,  the average of the closing bid and asked prices as furnished
by a professional  market maker making a market in the Security  selected by the

                                 Page 38 of 96


Board of Directors of the Company.  The term  "Trading  Day" shall mean a day on
which the principal national securities exchange on which the Security is listed
or  admitted  to  trading is open for the  transaction  of  business  or, if the
Security  is not  listed or  admitted  to  trading  on any  national  securities
exchange, a Business Day.

              (ii) For the purpose of any  computation  hereunder,  the "current
per  share  market  price"  of the  Preferred  Shares  shall  be  determined  in
accordance  with the  method  set forth in Section  11(d)(i).  If the  Preferred
Shares are not publicly  traded,  the  "current  per share market  price" of the
Preferred Shares shall be conclusively deemed to be the current per share market
price  of  the  Common  Shares  as  determined   pursuant  to  Section  11(d)(i)
(appropriately  adjusted to reflect any stock split,  stock  dividend or similar
transaction  occurring  after the date hereof),  multiplied  by one hundred.  If
neither  the Common  Shares nor the  Preferred  Shares are  publicly  held or so
listed or traded, "current per share market price" shall mean the fair value per
share as  determined  in good faith by the Board of  Directors  of the  Company,
whose  determination  shall be  described  in a statement  filed with the Rights
Agent.

                  (e) No  adjustment  in the  Purchase  Price  shall be required
unless such  adjustment  would require an increase or decrease of at least 1% in
the Purchase Price;  provided,  however, that any adjustments which by reason of
this  Section  11(e) are not  required  to be made shall be carried  forward and
taken into account in any subsequent  adjustment.  All  calculations  under this
Section 11 shall be made to the nearest cent or to the nearest one one-millionth

                                 Page 39 of 96


of a Preferred  Share or one ten-  thousandth  of any other share or security as
the case may be.  Notwithstanding  the first sentence of this Section 11(e), any
adjustment  required by this  Section 11 shall be made no later than the earlier
of (i)  three  years  from  the  date of the  transaction  which  requires  such
adjustment  or (ii) the date of the  expiration  of the  right to  exercise  any
Rights.

                  (f) If as a result of an  adjustment  made pursuant to Section
11(a) hereof, the holder of any Right thereafter exercised shall become entitled
to receive  any  shares of capital  stock of the  Company  other than  Preferred
Shares,  thereafter the number of such other shares so receivable  upon exercise
of any Right shall be subject to adjustment from time to time in a manner and on
terms as nearly  equivalent as practicable to the provisions with respect to the
Preferred  Shares  contained in Section  11(a) through (c),  inclusive,  and the
provisions  of Sections  7, 9, 10 and 13 with  respect to the  Preferred  Shares
shall apply on like terms to any such other shares.

                  (g) All Rights originally issued by the Company  subsequent to
any adjustment  made to the Purchase Price hereunder shall evidence the right to
purchase, at the adjusted Purchase Price, the number of one one- hundredths of a
Preferred  Share  purchasable  from time to time  hereunder upon exercise of the
Rights, all subject to further adjustment as provided herein.

                                  Page 40 of 96


                  (h) Unless the Company  shall have  exercised  its election as
provided in Section  11(i),  upon each  adjustment  of the  Purchase  Price as a
result  of  the  calculations  made  in  Sections  11(b)  and  (c),  each  Right
outstanding  immediately prior to the making of such adjustment shall thereafter
evidence the right to purchase,  at the adjusted  Purchase Price, that number of
one  one-hundredths  of  a  Preferred  Share  (calculated  to  the  nearest  one
one-millionth  of a Preferred  Share) obtained by (i) multiplying (x) the number
of one  one-hundredths  of a share covered by a Right  immediately prior to this
adjustment  by (y) the  Purchase  Price  in  effect  immediately  prior  to such
adjustment  of the Purchase  Price and (ii)  dividing the product so obtained by
the Purchase Price in effect  immediately  after such adjustment of the Purchase
Price.

                  (i)  The  Company  may  elect  on or  after  the  date  of any
adjustment of the Purchase Price to adjust the number of Rights, in substitution
for any  adjustment  in the number of one  one-hundredths  of a Preferred  Share
purchasable upon the exercise of a Right.  Each of the Rights  outstanding after
such  adjustment of the number of Rights shall be exercisable  for the number of
one  one-hundredths  of a  Preferred  Share for  which a Right  was  exercisable
immediately  prior to such  adjustment.  Each Right held of record prior to such
adjustment  of  the  number  of  Rights  shall  become  that  number  of  Rights
(calculated to the nearest one ten-thousandth) obtained by dividing the Purchase

                                 Page 41 of 96


Price in effect  immediately  prior to adjustment  of the Purchase  Price by the
Purchase Price in effect immediately after adjustment of the Purchase Price. The
Company shall make a public announcement of its election to adjust the number of
Rights,  indicating  the record  date for the  adjustment,  and, if known at the
time, the amount of the adjustment to be made.  This record date may be the date
on which the Purchase Price is adjusted or any day thereafter, but, if the Right
Certificates have been issued,  shall be at least 10 days later than the date of
the public  announcement.  If Right  Certificates  have been  issued,  upon each
adjustment of the number of Rights  pursuant to this Section 11(i),  the Company
shall, as promptly as practicable,  cause to be distributed to holders of record
of Right Certificates on such record date Right Certificates evidencing, subject
to Section 14  hereof,  the  additional  Rights to which such  holders  shall be
entitled as a result of such adjustment, or, at the option of the Company, shall
cause  to  be  distributed  to  such  holders  of  record  in  substitution  and
replacement for the Right Certificates held by such holders prior to the date of
adjustment,  and upon surrender thereof,  if required by the Company,  new Right
Certificates  evidencing  all the Rights to which such holders shall be entitled
after such adjustment.  Right Certificates so to be distributed shall be issued,
executed  and  countersigned  in the  manner  provided  for  herein and shall be
registered  in the names of the holders of record of Right  Certificates  on the
record date specified in the public announcement.

                                 Page 42 of 96


                  (j)  Irrespective  of any adjustment or change in the Purchase
Price or the number of one one-hundredths of a Preferred Share issuable upon the
exercise of the Rights, the Right Certificates theretofore and thereafter issued
may continue to express the Purchase Price and the number of one  one-hundredths
of a Preferred  Share which were  expressed  in the initial  Right  Certificates
issued hereunder.

                  (k) Before  taking any action that would  cause an  adjustment
reducing the Purchase Price below one  one-hundredth  of the then par value,  if
any, of the Preferred  Shares issuable upon exercise of the Rights,  the Company
shall take any  corporate  action which may, in the opinion of its  counsel,  be
necessary in order that the Company may validly and legally issue fully paid and
nonassessable Preferred Shares at such adjusted Purchase Price.

                  (l) In any case in which this Section 11 shall require that an
adjustment  in the  Purchase  Price be made  effective as of a record date for a
specified  event,  the Company may elect to defer until the  occurrence  of such
event the issuing to the holder of any Right exercised after such record date of
the Preferred  Shares and other  capital stock or securities of the Company,  if
any,  issuable upon such exercise over and above the Preferred  Shares and other
capital stock or securities of the Company,  if any, issuable upon such exercise
on the basis of the Purchase Price in effect prior to such adjustment; provided,

                                  Page 43 of 96


however,  that the  Company  shall  deliver  to such  holder a due bill or other
appropriate instrument evidencing such holder's right to receive such additional
shares upon the occurrence of the event requiring such adjustment.

                  (m)   Anything   in   this   Section   11  to   the   contrary
notwithstanding,  the Company  shall be entitled to make such  reductions in the
Purchase  Price,  in addition to those  adjustments  expressly  required by this
Section 11, as and to the extent that it in its sole discretion  shall determine
to be advisable in order that any  consolidation or subdivision of the Preferred
Shares,  issuance  wholly  for cash of any  Preferred  Shares  at less  than the
current market price, issuance wholly for cash of Preferred Shares or securities
which by their terms are convertible into or exchangeable for Preferred  Shares,
dividends on Preferred Shares payable in Preferred Shares or issuance of rights,
options or warrants referred to hereinabove in Section 11(b),  hereafter made by
the  Company  to holders of its  Preferred  Shares  shall not be taxable to such
stockholders.

                  (n) In the  event  that at any  time  after  the  date of this
Agreement and prior to the  Distribution  Date, the Company shall (i) declare or
pay any dividend on the Common Shares  payable in Common Shares or (ii) effect a
subdivision,   combination   or   consolidation   of  the   Common   Shares  (by
reclassification  or otherwise  than by payment of  dividends in Common  Shares)


                                 Page 44 of 96


into a greater or lesser number of Common Shares,  then in any such case (A) the
number of one  one-hundredths  of a Preferred Share purchasable after such event
upon proper exercise of each Right shall be determined by multiplying the number
of one one- hundredths of a Preferred Share so purchasable  immediately prior to
such event by a fraction,  the numerator of which is the number of Common Shares
outstanding  immediately  before such event and the  denominator of which is the
number of Common Shares  outstanding  immediately after such event, and (B) each
Common  Share  outstanding  immediately  after such event shall have issued with
respect  to it that  number  of  Rights  which  each  Common  Share  outstanding
immediately  prior to such event had issued with respect to it. The  adjustments
provided for in this Section  11(n) shall be made  successively  whenever such a
dividend is declared or paid or such a subdivision, combination or consolidation
is effected.

                  Section 12.  Certificate of Adjusted  Purchase Price or Number
of  Shares.  Whenever  an  adjustment  is made as  provided  in Section 11 or 13
hereof, the Company shall promptly (a) prepare a certificate  setting forth such
adjustment,  and a brief statement of the facts  accounting for such adjustment,
(b) file  with the  Rights  Agent and with each  transfer  agent for the  Common
Shares or the Preferred  Shares a copy of such  certificate and (c) mail a brief
summary thereof to each holder of a Right Certificate in accordance with Section
25 hereof.  The Rights  Agent  shall be fully  protected  in relying on any such
certificate  and on any  adjustment  therein  and  shall  not be  deemed to have
knowledge of any such adjustment  unless and until it shall have received such a
certificate.

                                 Page 45 of 96


                  Section  13.  Consolidation,  Merger  or Sale or  Transfer  of
Assets or Earning Power. In the event, directly or indirectly, at any time after
a Person has become an Acquiring Person, (a) the Company shall consolidate with,
or merge with and into, any other Person,  (b) any Person shall consolidate with
the  Company,  or merge with and into the Company  and the Company  shall be the
continuing or surviving  corporation of such merger and, in connection with such
merger,  all or part of the Common Shares shall be changed into or exchanged for
stock or other  securities  of any other  Person (or the Company) or cash or any
other property,  or (c) the Company shall sell or otherwise  transfer (or one or
more of its  Subsidiaries  shall  sell or  otherwise  transfer),  in one or more
transactions,  assets or earning power  aggregating 50% or more of the assets or
earning  power of the  Company  and its  Subsidiaries  (taken as a whole) to any
other  Person  other  than  the  Company  or one  or  more  of its  wholly-owned
Subsidiaries,  then, and in each such case,  proper  provision  shall be made so
that (i) each holder of a Right  (except as  otherwise  provided  herein)  shall
thereafter have the right to receive, upon the exercise thereof at a price equal

                                 Page 46 of 96


to  the  then  current   Purchase   Price   multiplied  by  the  number  of  one
one-hundredths  of a Preferred Share for which a Right is then  exercisable,  in
accordance  with the terms of this  Agreement  and in lieu of Preferred  Shares,
such  number of Common  Shares of such other  Person  (including  the Company as
successor  thereto or as the  surviving  corporation)  as shall equal the result
obtained by (A) multiplying the then current Purchase Price by the number of one
one-hundredths  of a Preferred  Share for which a Right is then  exercisable and
dividing  that  product by (B) 50% of the then current per share market price of
the Common  Shares of such other Person  (determined  pursuant to Section  11(d)
hereof)  on the date of  consummation  of such  consolidation,  merger,  sale or
transfer;  (ii) the issuer of such Common Shares shall thereafter be liable for,
and shall assume, by virtue of such consolidation, merger, sale or transfer, all
the obligations and duties of the Company pursuant to this Agreement;  (iii) the
term "Company" shall thereafter be deemed to refer to such issuer; and (iv) such
issuer shall take such steps (including,  but not limited to, the reservation of
a sufficient number of its Common Shares in accordance with Section 9 hereof) in
connection  with  such  consummation  as may be  necessary  to  assure  that the
provisions  hereof shall  thereafter be applicable,  as nearly as reasonably may
be, in relation to the Common Shares thereafter deliverable upon the exercise of
the Rights.  The Company shall not  consummate any such  consolidation,  merger,
sale or transfer  unless  prior  thereto the Company and such issuer  shall have
executed  and  delivered  to  the  Rights  Agent  a  supplemental  agreement  so
providing. The Company shall not enter into any transaction of the kind referred
to in this Section 13 if at the time of such  transaction  there are any rights,

                                  Page 47 of 96


warrants,   instruments   or  securities   outstanding   or  any  agreements  or
arrangements  which, as a result of the consummation of such transaction,  would
eliminate or substantially  diminish the benefits intended to be afforded by the
Rights.  The provisions of this Section 13 shall  similarly  apply to successive
mergers or consolidations or sales or other transfers.

                  Section 14. Fractional Rights and Fractional  Shares.  (a) The
Company  shall not be required  to issue  fractions  of Rights or to  distribute
Right Certificates which evidence  fractional Rights. In lieu of such fractional
Rights,  there shall be paid to the registered holders of the Right Certificates
with regard to which such  fractional  Rights would  otherwise  be issuable,  an
amount in cash equal to the same fraction of the current market value of a whole
Right.  For the purposes of this Section  14(a),  the current  market value of a
whole  Right  shall be the  closing  price of the  Rights  for the  Trading  Day
immediately  prior to the date on which such  fractional  Rights would have been
otherwise issuable.  The closing price for any day shall be the last sale price,
regular  way,  or, in case no such sale takes place on such day,  the average of
the closing bid and asked prices, regular way, in either case as reported in the
principal  consolidated  transaction reporting system with respect to securities
listed or admitted to trading on the New York Stock  Exchange  or, if the Rights
are not  listed or  admitted  to  trading  on the New York  Stock  Exchange,  as

                                 Page 48 of 96


reported in the principal consolidated transaction reporting system with respect
to securities listed on the principal national  securities exchange on which the
Rights are  listed or  admitted  to trading  or, if the Rights are not listed or
admitted to trading on any national securities  exchange,  the last quoted price
or, if not so quoted,  the  average of the high bid and low asked  prices in the
over-the-counter  market, as reported by NASDAQ or such other system then in use
or, if on any such date the Rights are not quoted by any such organization,  the
average of the  closing  bid and asked  prices as  furnished  by a  professional
market maker making a market in the Rights selected by the Board of Directors of
the Company.  If on any such date no such market maker is making a market in the
Rights, the fair value of the Rights on such date as determined in good faith by
the Board of Directors of the Company shall be used.

                  (b) The Company  shall not be required to issue  fractions  of
Preferred  Shares  (other than  fractions  which are  integral  multiples of one
one-hundredth of a Preferred Share) upon exercise of the Rights or to distribute
certificates  which evidence  fractional  Preferred Shares (other than fractions
which  are  integral  multiples  of one  one-hundredth  of a  Preferred  Share).
Fractions of Preferred  Shares in integral  multiples of one  one-hundredth of a
Preferred Share may, at the election of the Company,  be evidenced by depositary
receipts,  pursuant  to an  appropriate  agreement  between  the  Company  and a
depositary selected by it; provided,  that such agreement shall provide that the
holders of such  depositary  receipts shall have all the rights,  privileges and
preferences  to which they are entitled as  beneficial  owners of the  Preferred

                                 Page 49 of 96


Shares represented by such depositary receipts.  In lieu of fractional Preferred
Shares  that are not  integral  multiples  of one  one-hundredth  of a Preferred
Share, the Company shall pay to the registered  holders of Right Certificates at
the time such Rights are exercised as herein provided an amount in cash equal to
the same fraction of the current  market value of one Preferred  Share.  For the
purposes of this Section 14(b),  the current  market value of a Preferred  Share
shall be the closing price of a Preferred  Share (as determined  pursuant to the
second  sentence of Section  11(d)(i)  hereof)  for the Trading Day  immediately
prior to the date of such exercise.

                  (c) The  holder  of a Right  by the  acceptance  of the  Right
expressly  waives his right to receive any  fractional  Rights or any fractional
shares upon exercise of a Right (except as provided above).

                  Section 15. Rights of Action.  All rights of action in respect
of this  Agreement,  excepting  the rights of action  given to the Rights  Agent
under Section 18 hereof, are vested in the respective  registered holders of the
Right  Certificates (and, prior to the Distribution Date, the registered holders
of the Common Shares);  and any registered  holder of any Right Certificate (or,
prior to the  Distribution  Date, of the Common Shares),  without the consent of
the Rights Agent or of the holder of any other Right  Certificate  (or, prior to
the Distribution Date, of the Common Shares), may, in his own behalf and for his

                                 Page 50 of 96


own  benefit,  enforce,  and may  institute  and  maintain  any suit,  action or
proceeding  against the Company to enforce,  or otherwise act in respect of, his
right to exercise the Rights  evidenced by such Right  Certificate in the manner
provided in such Right  Certificate and in this Agreement.  Without limiting the
foregoing or any remedies available to the holders of Rights, it is specifically
acknowledged that the holders of Rights would not have an adequate remedy at law
for any breach of this Agreement and will be entitled to specific performance of
the  obligations  under,  and  injunctive  relief  against  actual or threatened
violations of the obligations of any Person subject to, this Agreement.

                  Section 16.  Agreement  of Right  Holders.  Every  holder of a
Right,  by  accepting  the same,  consents  and agrees  with the Company and the
Rights Agent and with every other holder of a Right that:

                  (a)  prior to the Distribution Date, the Rights will be 
transferable only in connection with the transfer of the Common Shares;

                  (b) after the  Distribution  Date, the Right  Certificates are
transferable  only on the registry  books of the Rights Agent if  surrendered at
the principal  office of the Rights Agent,  duly  endorsed or  accompanied  by a
proper instrument of transfer; and

                                 Page 51 of 96


                  (c) the  Company  and the Rights  Agent may deem and treat the
person in whose name the Right Certificate (or, prior to the Distribution  Date,
the associated  Common Shares  certificate)  is registered as the absolute owner
thereof and of the Rights evidenced  thereby  (notwithstanding  any notations of
ownership or writing on the Right  Certificates or the associated  Common Shares
certificate  made by anyone other than the Company or the Rights  Agent) for all
purposes  whatsoever,  and neither  the  Company  nor the Rights  Agent shall be
affected by any notice to the contrary.

                  Section 17. Right Certificate Holder Not Deemed a Stockholder.
No holder, as such, of any Right Certificate shall be entitled to vote,  receive
dividends or be deemed for any purpose the holder of the Preferred Shares or any
other  securities  of the  Company  which  may at any  time be  issuable  on the
exercise of the Rights represented  thereby, nor shall anything contained herein
or in any Right  Certificate be construed to confer upon the holder of any Right
Certificate,  as such,  any of the rights of a stockholder of the Company or any
right to vote for the  election of  directors  or upon any matter  submitted  to
stockholders  at any  meeting  thereof,  or to give or  withhold  consent to any
corporate  action,  or to receive notice of meetings or other actions  affecting
stockholders  (except as provided in Section 25 hereof), or to receive dividends
or subscription  rights,  or otherwise,  until the Right or Rights  evidenced by

                                  Page 52 of 96


such  Right  Certificate  shall  have  been  exercised  in  accordance  with the
provisions hereof.

                  Section 18. Concerning the Rights Agent. The Company agrees to
pay to the Rights Agent reasonable  compensation for all services rendered by it
hereunder and, from time to time, on demand of the Rights Agent,  its reasonable
expenses and counsel fees and other disbursements incurred in the administration
and execution of this  Agreement and the exercise and  performance of its duties
hereunder.  The  Company  also  agrees to  indemnify  the  Rights  Agent and its
officers, employees, agents and directors for, and to hold each of them harmless
against, any loss, liability, or expense, incurred without gross negligence, bad
faith or  willful  misconduct  on the  part of the  Rights  Agent or such  other
indemnified  party,  for  anything  done or omitted by the Rights  Agent or such
other indemnified party in connection with the acceptance and  administration of
this Agreement or the performance of its duties  hereunder,  including the costs
and expenses of defending against any claim of liability in the premises.

                  The  Rights  Agent  shall  be  protected  and  shall  incur no
liability  for, or in respect of any action taken,  suffered or omitted by it in
connection with, its  administration of this Agreement or the performance of its
duties  hereunder in reliance upon any Right  Certificate or certificate for the
Preferred  Shares or  Common  Shares or for  other  securities  of the  Company,
instrument of assignment or transfer, power of attorney, endorsement, affidavit,
letter, notice, direction,  consent,  certificate,  statement, or other paper or
document  believed by it to be genuine  and to be signed,  executed  and,  where
necessary,  verified  or  acknowledged,  by the  proper  person or  persons,  or
otherwise upon the advice of counsel as set forth in Section 20 hereof.

                                 Page 53 of 96


                  The  indemnity  provided in this Section 18 shall  survive the
expiration of the Rights and the termination of this Agreement.

                  Section  19.  Merger  or  Consolidation  or  Change of Name of
Rights  Agent.  Any  corporation  into which the Rights  Agent or any  successor
Rights  Agent  may be  merged  or  with  which  it may be  consolidated,  or any
corporation resulting from any merger or consolidation to which the Rights Agent
or any successor Rights Agent shall be a party, or any corporation succeeding to
the  stock  transfer  or  corporate  trust  powers  of the  Rights  Agent or any
successor  Rights  Agent,  shall be the successor to the Rights Agent under this
Agreement without the execution or filing of any paper or any further act on the
part of any of the parties  hereto;  provided,  that such  corporation  would be
eligible for  appointment  as a successor  Rights Agent under the  provisions of
Section 21 hereof. In case at the time such successor Rights Agent shall succeed
to the agency created by this  Agreement,  any of the Right  Certificates  shall
have been  countersigned but not delivered,  any such successor Rights Agent may

                                 Page 54 of 96


adopt the  countersignature  of the  predecessor  Rights  Agent and deliver such
Right  Certificates so countersigned;  and in case at that time any of the Right
Certificates shall not have been  countersigned,  any successor Rights Agent may
countersign such Right Certificates either in the name of the predecessor Rights
Agent or in the name of the successor  Rights Agent;  and in all such cases such
Right  Certificates shall have the full force provided in the Right Certificates
and in this Agreement.

                  In case at any  time  the name of the  Rights  Agent  shall be
changed  and at  such  time  any of  the  Right  Certificates  shall  have  been
countersigned but not delivered, the Rights Agent may adopt the countersignature
under its prior name and deliver Right  Certificates  so  countersigned;  and in
case  at  that  time  any  of  the  Right   Certificates  shall  not  have  been
countersigned,  the Rights Agent may countersign such Right Certificates  either
in its prior  name or in its  changed  name;  and in all such  cases  such Right
Certificates shall have the full force provided in the Right Certificates and in
this Agreement.

                  Section  20.  Duties  of  Rights   Agent.   The  Rights  Agent
undertakes  the  duties  and  obligations  imposed  by this  Agreement  upon the
following terms and  conditions,  by all of which the Company and the holders of
Right Certificates, by their acceptance thereof, shall be bound:

                                 Page 55 of 96


                  (a) The Rights Agent may consult  with legal  counsel (who may
be legal  counsel for the  Company),  and the advice or opinion of such  counsel
shall be full and complete  authorization  and protection to the Rights Agent as
to any action taken or omitted by it in good faith and in  accordance  with such
advice or opinion.

                  (b)  Whenever  in the  performance  of its  duties  under this
Agreement the Rights Agent shall deem it necessary or desirable that any fact or
matter be proved or  established by the Company prior to taking or suffering any
action hereunder,  such fact or matter (unless other evidence in respect thereof
be herein  specifically  prescribed) may be deemed to be conclusively proved and
established  by a certificate  signed by any person  reasonably  believed by the
Rights  Agent  to be one of the  Chairman  of the  Board,  the  Chief  Executive
Officer,  the President,  any Vice President,  the Treasurer or the Secretary of
the Company and delivered to the Rights  Agent;  and such  certificate  shall be
full  authorization to the Rights Agent for any action taken or suffered in good
faith by it under  the  provisions  of this  Agreement  in  reliance  upon  such
certificate.

                  (c) The Rights Agent shall be liable  hereunder to the Company
and any other  Person  only for its own gross  negligence,  bad faith or willful
misconduct.

                                 Page 56 of 96


                  (d) The Rights  Agent  shall not be liable for or by reason of
any of the statements of fact or recitals  contained in this Agreement or in the
Right  Certificates  (except  its  countersignature  thereof)  or be required to
verify the same, but all such statements and recitals are and shall be deemed to
have been made by the Company only.

                  (e) The Rights Agent shall not be under any  responsibility in
respect of the validity of any provision of this  Agreement or the execution and
delivery  hereof  (except the due  execution  hereof by the Rights  Agent) or in
respect of the  validity  or  execution  of any Right  Certificate  (except  its
countersignature  thereof);  nor shall it be  responsible  for any breach by the
Company of any covenant or condition contained in this Agreement or in any Right
Certificate; nor shall it be responsible for any change in the exercisability of
the Rights  (including  the Rights  becoming void pursuant to Section  11(a)(ii)
hereof) or any  adjustment  in the terms of the Rights  (including  the  manner,
method or amount thereof) provided for in this Agreement, or the ascertaining of
the existence of facts that would require any such change or adjustment  (except
with respect to the exercise of Rights  evidenced  by Right  Certificates  after
actual notice that such change or  adjustment is required);  nor shall it by any
act  hereunder  be  deemed  to make any  representation  or  warranty  as to the
authorization  or reservation of any Preferred  Shares to be issued  pursuant to
this Agreement or any Right  Certificate  or as to whether any Preferred  Shares
will,  when  issued,   be  validly   authorized  and  issued,   fully  paid  and
nonassessable.

                                 Page 57 of 96


                  (f)  The  Company  agrees  that  it  will  perform,   execute,
acknowledge  and deliver or cause to be performed,  executed,  acknowledged  and
delivered  all such further and other acts,  instruments  and  assurances as may
reasonably be required by the Rights Agent for the carrying out or performing by
the Rights Agent of the provisions of this Agreement.

                  (g) The Rights  Agent is hereby  authorized  and  directed  to
accept instructions with respect to the performance of its duties hereunder from
any person reasonably  believed by the Rights Agent to be one of the Chairman of
the Board, the Chief Executive Officer, the President,  any Vice President,  the
Secretary or the  Treasurer of the  Company,  and to apply to such  officers for
advice or instructions in connection with its duties, and it shall not be liable
for any  action  taken  or  suffered  by it in good  faith  in  accordance  with
instructions  of any such officer or for any delay in acting  while  waiting for
those instructions. Any application by the Rights Agent for written instructions
from the Company  may, at the option of the Rights  Agent,  set forth in writing
any  action  proposed  to be taken or omitted  by the  Rights  Agent  under this
Agreement  and the date on or after  which  such  action  shall be taken or such
omission shall be effective. The Rights Agent shall not be liable for any action
taken by, or  omission  of,  the  Rights  Agent in  accordance  with a  proposal
included  in any  such  application  on or  after  the  date  specified  in such

                                 Page 58 of 96


application  (which date shall not be less than ten Business Days after the date
any of (x) the Chairman of the Board, the Chief Executive Officer, the President
or any Vice  President  and (y) the Secretary of the Company  actually  receives
such  application,  unless the  Company  shall have  consented  in writing to an
earlier date) unless,  prior to taking any such action (or the effective date in
the  case  of an  omission),  the  Rights  Agent  shall  have  received  written
instructions in response to such  application  specifying the action to be taken
or omitted.

                  (h) The Rights Agent and any stockholder, director, officer or
employee of the Rights Agent may buy, sell or deal in any of the Rights or other
securities of the Company or become pecuniarily interested in any transaction in
which the  Company  may be  interested,  or  contract  with or lend money to the
Company or otherwise  act as fully and freely as though it were not Rights Agent
under this Agreement. Nothing herein shall preclude the Rights Agent from acting
in any other capacity for the Company or for any other legal entity.

                  (i) The  Rights  Agent may  execute  and  exercise  any of the
rights or powers hereby vested in it or perform any duty hereunder either itself
or by or through  its  attorneys  or agents,  and the Rights  Agent shall not be
answerable or  accountable  for any act,  default,  neglect or misconduct of any

                                 Page 59 of 96


such attorneys or agents or for any loss to the Company  resulting from any such
act, default,  neglect or misconduct,  provided the Rights Agent was not grossly
negligent in the selection and continued employment thereof.

                  (j) The Rights Agent  undertakes  only the express  duties and
obligations imposed on it by this Agreement and no implied duties or obligations
shall be read into this Agreement against the Rights Agent.

                  (k)    Anything   in   this    Agreement   to   the   contrary
notwithstanding,  in no event  shall the  Rights  Agent be liable  for  special,
indirect or consequent loss or damage of any kind whatsoever  (including but not
limited  to lost  profits),  even if the  Rights  Agent has been  advised of the
likelihood of such loss or damage and regardless of the form of the action.

                  (l) No provision of this  Agreement  shall  require the Rights
Agent to expend or risk its own funds or otherwise incur any financial liability
in the  performance  of any of its duties  hereunder  or in the  exercise of its
rights if there shall be reasonable grounds for believing that repayment of such
funds  or  adequate  indemnification  against  such  risk  or  liability  is not
reasonably assured to it.

                                 Page 60 of 96


                  Section 21.  Change of Rights  Agent.  The Rights Agent or any
successor  Rights Agent may resign and be discharged  from its duties under this
Agreement  upon 30 days'  notice in writing  mailed to the  Company  and to each
transfer  agent of the  Common  Shares  or  Preferred  Shares by  registered  or
certified  mail,  and to the holders of the Right  Certificates  by  first-class
mail. The Company may remove the Rights Agent or any successor Rights Agent upon
30 days'  notice in  writing,  mailed to the Rights  Agent or  successor  Rights
Agent,  as the case may be, and to each  transfer  agent of the Common Shares or
Preferred  Shares by  registered  or certified  mail,  and to the holders of the
Right  Certificates by first-class  mail. If the Rights Agent shall resign or be
removed or shall otherwise become incapable of acting, the Company shall appoint
a  successor  to the  Rights  Agent.  If the  Company  shall  fail to make  such
appointment  within a period of 30 days after  giving  notice of such removal or
after it has been notified in writing of such  resignation  or incapacity by the
resigning or incapacitated  Rights Agent or by the holder of a Right Certificate
(who shall, with such notice, submit his Right Certificate for inspection by the
Company),  then the registered  holder of any Right Certificate may apply to any
court of competent  jurisdiction  for the appointment of a new Rights Agent. Any
successor  Rights  Agent,  whether  appointed by the Company or by such a court,
shall be a corporation organized and doing business under the laws of the United
States or of the State of North  Carolina  (or of any other  state of the United
States so long as such  corporation  is  authorized  to do business as a banking
institution in the State of North Carolina), in good standing,  having an office
in the State of North Carolina,  which is authorized under such laws to exercise
corporate  trust or stock  transfer  powers  and is subject  to  supervision  or

                                 Page 61 of 96


examination  by  federal  or state  authority  and  which has at the time of its
appointment  as Rights  Agent a  combined  capital  and  surplus of at least $50
million. After appointment,  the successor Rights Agent shall be vested with the
same powers,  rights,  duties and  responsibilities as if it had been originally
named as Rights Agent without  further act or deed; but the  predecessor  Rights
Agent shall deliver and transfer to the  successor  Rights Agent any property at
the time held by it  hereunder,  and execute and deliver any further  assurance,
conveyance,  act or deed necessary for the purpose. Not later than the effective
date of any such  appointment  the Company shall file notice  thereof in writing
with the  predecessor  Rights Agent and each transfer agent of the Common Shares
or  Preferred  Shares,  and mail a notice  thereof in writing to the  registered
holders of the Right  Certificates.  Failure to give any notice  provided for in
this Section 21, however,  or any defect therein,  shall not affect the legality
or validity of the resignation or removal of the Rights Agent or the appointment
of the successor Rights Agent, as the case may be.

                  Section   22.    Issuance    of   New   Right    Certificates.
Notwithstanding  any of the provisions of this Agreement or of the Rights to the
contrary,  the  Company  may,  at  its  option,  issue  new  Right  Certificates
evidencing  Rights in such form as may be approved by its Board of  Directors to

                                 Page 62 of 96


reflect any adjustment or change in the Purchase Price and the number or kind or
class of shares or other  securities  or  property  purchasable  under the Right
Certificates made in accordance with the provisions of this Agreement.

                  Section  23.  Redemption.  (a) The Board of  Directors  of the
Company may, at its option, at any time prior to such time as any Person becomes
an  Acquiring  Person,  redeem  all but not less  than all the then  outstanding
Rights  at a  redemption  price of $.01 per  Right,  appropriately  adjusted  to
reflect any stock split, stock dividend or similar  transaction  occurring after
the date hereof  (such  redemption  price being  hereinafter  referred to as the
"Redemption  Price"). The redemption of the Rights by the Board of Directors may
be made  effective at such time,  on such basis and with such  conditions as the
Board of Directors in its sole discretion may establish.

                  (b)  Immediately  upon the action of the Board of Directors of
the Company  ordering the redemption of the Rights  pursuant to paragraph (a) of
this  Section 23, and without  any  further  action and without any notice,  the
right to exercise the Rights will terminate and the only right thereafter of the
holders of Rights shall be to receive the  Redemption  Price.  The Company shall
promptly give public notice of any such redemption;  provided, however, that the
failure to give, or any defect in, any such notice shall not affect the validity
of such  redemption.  Within 10 days after such action of the Board of Directors
ordering  the  redemption  of the  Rights,  the  Company  shall mail a notice of
redemption  to all the  holders  of the then  outstanding  Rights at their  last
addresses as they appear upon the  registry  books of the Rights Agent or, prior

                                 Page 63 of 96


to the  Distribution  Date, on the registry  books of the transfer agent for the
Common Shares. Any notice which is mailed in the manner herein provided shall be
deemed given, whether or not the holder receives the notice. Each such notice of
redemption  will state the method by which the payment of the  Redemption  Price
will be made.  Neither the Company nor any of its  Affiliates or Associates  may
redeem, acquire or purchase for value any Rights at any time in any manner other
than that specifically set forth in this Section 23 or in Section 24 hereof, and
other  than in  connection  with the  purchase  of  Common  Shares  prior to the
Distribution Date.

                  Section  24.  Exchange.  (a) The  Board  of  Directors  of the
Company  may, at its option,  at any time after any Person  becomes an Acquiring
Person,  exchange all or part of the then  outstanding  and  exercisable  Rights
(which shall not include Rights that have become void pursuant to the provisions
of Section  11(a)(ii)  hereof)  for Common  Shares at an  exchange  ratio of one
Common Share per Right, appropriately adjusted to reflect any stock split, stock
dividend or similar  transaction  occurring after the date hereof (such exchange
ratio being hereinafter  referred to as the "Exchange  Ratio").  Notwithstanding
the  foregoing,  the Board of  Directors  shall not be  empowered to effect such
exchange at any time after any Person (other than the Company, any Subsidiary of

                                 Page 64 of 96


the Company, any employee benefit plan of the Company or any such Subsidiary, or
any entity holding Common Shares for or pursuant to the terms of any such plan),
together  with  all  Affiliates  and  Associates  of such  Person,  becomes  the
Beneficial Owner of 50% or more of the Common Shares then outstanding.

                  (b)  Immediately  upon the action of the Board of Directors of
the Company  ordering  the exchange of any Rights  pursuant to paragraph  (a) of
this Section 24 and without any further action and without any notice, the right
to exercise  such Rights  shall  terminate  and the only right  thereafter  of a
holder of such Rights shall be to receive that number of Common  Shares equal to
the number of such Rights held by such holder  multiplied by the Exchange Ratio.
The Company shall  promptly give public notice of any such  exchange;  provided,
however,  that the  failure to give,  or any defect in,  such  notice  shall not
affect the validity of such exchange.  The Company  promptly shall mail a notice
of any  such  exchange  to all of the  holders  of such  Rights  at  their  last
addresses as they appear upon the registry books of the Rights Agent. Any notice
which is mailed in the manner herein provided shall be deemed given,  whether or
not the holder receives the notice.  Each such notice of exchange will state the
method by which the  exchange  of the Common  Shares for Rights will be effected
and, in the event of any partial  exchange,  the number of Rights  which will be
exchanged.  Any partial  exchange shall be effected pro rata based on the number
of Rights (other than Rights which have become void  pursuant to the  provisions
of Section 11(a)(ii) hereof) held by each holder of Rights.

                                 Page 65 of 96


                  (c) In the event that  there  shall not be  sufficient  Common
Shares  issued but not  outstanding  or  authorized  but  unissued to permit any
exchange  of Rights as  contemplated  in  accordance  with this  Section 24, the
Company  shall take all such action as may be necessary to authorize  additional
Common Shares for issuance upon exchange of the Rights. In the event the Company
shall,  after good  faith  effort,  be unable to take all such  action as may be
necessary  to  authorize  such  additional  Common  Shares,  the  Company  shall
substitute, for each Common Share that would otherwise be issuable upon exchange
of a Right,  a number of  Preferred  Shares or  fraction  thereof  such that the
current per share market price of one Preferred Share  multiplied by such number
or fraction is equal to the current per share  market  price of one Common Share
as of the date of issuance of such Preferred Shares or fraction thereof.

                  (d) The Company  shall not be required to issue  fractions  of
Common Shares or to distribute  certificates  which evidence  fractional  Common
Shares. In lieu of such fractional  Common Shares,  the Company shall pay to the
registered  holders  of  the  Right  Certificates  with  regard  to  which  such
fractional  Common Shares would otherwise be issuable an amount in cash equal to
the same fraction of the current  market value of a whole Common Share.  For the

                                 Page 66 of 97


purposes of this paragraph (d), the current market value of a whole Common Share
shall be the  closing  price of a Common  Share (as  determined  pursuant to the
second  sentence of Section  11(d)(i)  hereof)  for the Trading Day  immediately
prior to the date of exchange pursuant to this Section 24.

                  Section 25. Notice of Certain Events.  (a) In case the Company
shall  propose  (i) to pay any  dividend  payable  in stock of any  class to the
holders of its Preferred Shares or to make any other distribution to the holders
of its Preferred Shares (other than a regular quarterly cash dividend),  (ii) to
offer to the holders of its Preferred Shares rights or warrants to subscribe for
or to purchase any additional  Preferred  Shares or shares of stock of any class
or any other securities, rights or options, (iii) to effect any reclassification
of its  Preferred  Shares  (other  than a  reclassification  involving  only the
subdivision of outstanding  Preferred Shares),  (iv) to effect any consolidation
or merger into or with,  or to effect any sale or other  transfer  (or to permit
one or more of its Subsidiaries to effect any sale or other transfer), in one or
more transactions,  of 50% or more of the assets or earning power of the Company
and its Subsidiaries  (taken as a whole) to, any other Person, (v) to effect the
liquidation, dissolution or winding up of the Company, or (vi) to declare or pay
any  dividend  on the  Common  Shares  payable  in Common  Shares or to effect a
subdivision,   combination   or   consolidation   of  the   Common   Shares  (by
reclassification  or otherwise  than by payment of dividends in Common  Shares),

                                 Page 67 of 96


then,  in each such  case,  the  Company  shall  give to each  holder of a Right
Certificate,  in  accordance  with Section 26 hereof,  a notice of such proposed
action,  which  shall  specify  the record  date for the  purposes of such stock
dividend,  or  distribution  of rights or  warrants,  or the date on which  such
reclassification,    consolidation,   merger,   sale,   transfer,   liquidation,
dissolution,  or  winding  up is to take  place  and the  date of  participation
therein by the holders of the Common Shares and/or Preferred Shares, if any such
date is to be fixed, and such notice shall be so given in the case of any action
covered by clause  (i) or (ii)  above at least 10 days prior to the record  date
for determining holders of the Preferred Shares for purposes of such action, and
in the case of any such other action,  at least 10 days prior to the date of the
taking of such  proposed  action  or the date of  participation  therein  by the
holders of the Common Shares and/or  Preferred  Shares,  whichever  shall be the
earlier.

                  (b) In case the event set forth in  Section  11(a)(ii)  hereof
shall occur,  then the Company shall as soon as practicable  thereafter  give to
each holder of a Right  Certificate,  in  accordance  with Section 26 hereof,  a
notice of the  occurrence of such event,  which notice shall describe such event
and the consequences of such event to holders of Rights under Section  11(a)(ii)
hereof.

                  Section 26.  Notices.  Notices or demands  authorized  by this
Agreement  to be given or made by the Rights Agent or by the holder of any Right

                                 Page 68 of 96


Certificate to or on the Company shall be sufficiently  given or made if sent by
first-class mail, postage prepaid,  addressed (until another address is filed in
writing with the Rights Agent) as follows:

                           MedCath Incorporated
                           7621 Little Avenue, Suite 106
                           Charlotte, North Carolina 28226
                           Attention:  Corporate Secretary


Subject to the provisions of Section 21 hereof,  any notice or demand authorized
by this  Agreement  to be given or made by the  Company  or by the holder of any
Right Certificate to or on the Rights Agent shall be sufficiently  given or made
if sent by first-class mail,  postage prepaid,  addressed (until another address
is filed in writing with the Company) as follows:

                           First Union National Bank of North Carolina
                           230 South Tryon Street
                           Charlotte, North Carolina  28288
                           Attention:  Shareholder Services


Notices  or  demands  authorized  by this  Agreement  to be given or made by the
Company or the  Rights  Agent to the  holder of any Right  Certificate  shall be
sufficiently  given  or  made  if sent by  first-class  mail,  postage  prepaid,
addressed  to such holder at the address of such holder as shown on the registry
books of the Company.

                Section 27.  Supplements  and  Amendments.  The Company may from
time to time  supplement  or amend this  Agreement  without the  approval of any

                                 Page 69 of 96


holders  of Right  Certificates  in order to cure any  ambiguity,  to correct or
supplement any provision contained herein which may be defective or inconsistent
with any other provisions  herein,  or to make any other provisions with respect
to the Rights  which the  Company  may deem  necessary  or  desirable,  any such
supplement  or amendment to be evidenced by a writing  signed by the Company and
the Rights Agent; provided, however, that from and after such time as any Person
becomes an Acquiring  Person,  this Agreement shall not be amended in any manner
which  would   adversely   affect  the  interests  of  the  holders  of  Rights.
Notwithstanding  anything  contained  in  this  Agreement  to the  contrary,  no
supplement  or amendment  that changes the rights and duties of the Rights Agent
under this Agreement shall be effective without the consent of the Rights Agent.
Without  limiting the foregoing,  the Company may at any time prior to such time
as any Person  becomes an  Acquiring  Person  amend this  Agreement to lower the
thresholds  set forth in Sections  1(a) and 3(a) to not less than the greater of
(i) the sum of .001% and the largest percentage of the outstanding Common Shares
then known by the Company to be beneficially owned by any Person (other than the
Company, any Subsidiary of the Company, any employee benefit plan of the Company
or any  Subsidiary of the Company,  or any entity  holding  Common Shares for or
pursuant to the terms of any such plan) and (ii) 10%.

                                 Page 70 of 96


                Section 28.  Successors.  All the covenants and provisions of 
this Agreement by or for the benefit of the Company or the Rights Agent shall
bind and inure to the benefit of their respective successors and assigns 
hereunder.

                  Section  29.  Benefits  of  this  Agreement.  Nothing  in this
Agreement shall be construed to give to any person or corporation other than the
Company,  the Rights Agent and the registered  holders of the Right Certificates
(and, prior to the Distribution  Date, the Common Shares) any legal or equitable
right, remedy or claim under this Agreement; but this Agreement shall be for the
sole and exclusive  benefit of the Company,  the Rights Agent and the registered
holders of the Right  Certificates  (and,  prior to the  Distribution  Date, the
Common Shares).

                  Section 30. Severability.  If any term, provision, covenant or
restriction  of this Agreement is held by a court of competent  jurisdiction  or
other  authority  to be invalid,  void or  unenforceable,  the  remainder of the
terms, provisions,  covenants and restrictions of this Agreement shall remain in
full force and effect and shall in no way be affected, impaired or invalidated.

                  Section  31.  Governing  Law.  This  Agreement  and each Right
Certificate  issued  hereunder  shall be deemed to be a contract  made under the
laws of the State of North  Carolina and for all  purposes  shall be governed by
and construed in accordance with the laws of such State  applicable to contracts
to be made and performed entirely within such State.

                                 Page 71 of 96


                  Section 32.  Counterparts.  This  Agreement may be executed in
any number of counterparts and each of such counterparts  shall for all purposes
be deemed to be an original, and all such counterparts shall together constitute
but one and the same instrument.

                  Section 33.  Descriptive Headings.  Descriptive headings of 
the several Sections of this Agreement are inserted for convenience only and 
shall not control or affect the meaning or construction of any of the provisions
hereof.

                                 Page 72 of 96



                  IN WITNESS  WHEREOF,  the  parties  hereto  have  caused  this
Agreement  to be duly  executed and  attested,  all as of the day and year first
above written.

                              MEDCATH INCORPORATED

Attest:


    By  /s/ Daniel L. Belongia              By /s/ Lawrence J. Scott
        Title:  VP - Finance                   Title:  Vice President


                   First Union National Bank of North Carolina
Attest:

    By /s/ D. Ann Harris                   By /s/ Myron O. Gray
       Title:  Corporate Trust Officer        Title:  Vice President
                     
                                 Page 73 of 96
<PAGE>


                                                                       Exhibit A


                                      FORM

                                       of

                              ARTICLES OF AMENDMENT

                                       to

                 AMENDED AND RESTATED ARTICLES OF INCORPORATION

                                       of

                              MEDCATH INCORPORATED

                (Pursuant to Sections 55-6-02 and 55-10-02 of the
                    North Carolina Business Corporation Act)




                  The undersigned  corporation  hereby submits these Articles of
Amendment  for the purpose of amending  its  Amended  and  Restated  Articles of
Incorporation:

                  I.  The name of the corporation is MedCath Incorporated.

                  II. On  October 2, 1996,  pursuant  to Section  55-6-02 of the
North Carolina Business  Corporation Act, the following amendment to the Amended
and  Restated  Articles  of  Incorporation  was  duly  adopted  by the  Board of
Directors  of  the  Corporation  (the  "Board  of  Directors"  or  the  "Board")
(shareholder  approval  was not  required  because  the action was taken  before
issuance of any shares of the series affected):

                  The Amended and  Restated  Articles  of  Incorporation  of the
Corporation  are hereby  amended by adding the  following  after  Section (b) of
Article 4 thereof as Section (c) of such Article 4:

(c)  Series A Junior Participating Preferred Stock:

                  There is hereby created a series of Preferred Stock, par value
$.01 per share (the "Preferred  Stock"), of the Corporation which shall have the
designation,  number  of  shares,  and the  relative  rights,  preferences,  and
limitations as hereinafter set forth.

                  (1) Designation and Amount. The shares of such series shall be
designated  as "Series A Junior  Participating  Preferred  Stock" (the "Series A

                                 Page 74 of 96

Preferred  Stock") and the number of shares  constituting the Series A Preferred
Stock shall be 200,000.  Such number of shares may be  increased or decreased by
resolution of the Board of Directors;  provided,  that no decrease  shall reduce
the  number  of shares of  Series A  Preferred  Stock to a number  less than the
number of shares  then  outstanding  plus the  number  of  shares  reserved  for
issuance upon the exercise of  outstanding  options,  rights or warrants or upon
the  conversion  of  any  outstanding   securities  issued  by  the  Corporation
convertible into Series A Preferred Stock.

                  (2)  Dividends and Distributions.

                  (A)  Subject to the rights of the holders of any shares of any
         series of  Preferred  Stock (or any similar  stock)  ranking  prior and
         superior to the Series A Preferred Stock with respect to dividends, the
         holders of shares of Series A Preferred  Stock,  in  preference  to the
         holders of Common Stock, par value $.01 per share (the "Common Stock"),
         of the Corporation, and of any other junior stock, shall be entitled to
         receive,  when,  as and if  declared by the Board of  Directors  out of
         funds legally available for the purpose, quarterly dividends payable in
         cash on the first day of March,  June,  September  and December in each
         year (each such date being referred to herein as a "Quarterly  Dividend
         Payment Date"), commencing on the first Quarterly Dividend Payment Date
         after the first  issuance of a share or fraction of a share of Series A
         Preferred  Stock,  in an amount per share (rounded to the nearest cent)
         equal to the  greater  of (a) $1 or (b)  subject to the  provision  for
         adjustment  hereinafter  set forth,  100 times the  aggregate per share
         amount of all cash  dividends,  and 100 times the  aggregate  per share
         amount   (payable  in  kind)  of  all  non-  cash  dividends  or  other
         distributions,  other than a dividend payable in shares of Common Stock
         or a  subdivision  of  the  outstanding  shares  of  Common  Stock  (by
         reclassification or otherwise),  declared on the Common Stock since the
         immediately  preceding Quarterly Dividend Payment Date or, with respect
         to the first Quarterly  Dividend Payment Date, since the first issuance
         of any share or fraction of a share of Series A Preferred Stock. In the
         event the Corporation  shall at any time declare or pay any dividend on
         the  Common  Stock  payable  in  shares of  Common  Stock,  or effect a
         subdivision or combination or consolidation  of the outstanding  shares
         of Common Stock (by  reclassification or otherwise than by payment of a
         dividend in shares of Common  Stock) into a greater or lesser number of
         shares of  Common  Stock,  then in each  such case the  amount to which
         holders of shares of Series A Preferred Stock were entitled immediately
         prior to such event under clause (b) of the preceding sentence shall be
         adjusted by  multiplying  such amount by a fraction,  the  numerator of
         which is the number of shares of Common Stock  outstanding  immediately
         after such event and the  denominator  of which is the number of shares
         of Common Stock that were outstanding immediately prior to such event.

                                 Page 75 of 96


                  (B) The  Corporation  shall declare a dividend or distribution
         on the Series A Preferred  Stock as provided in  paragraph  (A) of this
         Section immediately after it declares a dividend or distribution on the
         Common Stock (other than a dividend payable in shares of Common Stock);
         provided that, in the event no dividend or distribution shall have been
         declared on the Common  Stock during the period  between any  Quarterly
         Dividend  Payment  Date  and the  next  subsequent  Quarterly  Dividend
         Payment  Date,  a dividend  of $1 per share on the  Series A  Preferred
         Stock  shall  nevertheless  be  payable  on such  subsequent  Quarterly
         Dividend Payment Date.

                  (C)  Dividends  shall  begin to accrue  and be  cumulative  on
         outstanding  shares  of Series A  Preferred  Stock  from the  Quarterly
         Dividend  Payment Date next preceding the date of issue of such shares,
         unless the date of issue of such shares is prior to the record date for
         the first Quarterly  Dividend  Payment Date, in which case dividends on
         such  shares  shall  begin  to  accrue  from  the date of issue of such
         shares,  or unless the date of issue is a  Quarterly  Dividend  Payment
         Date or is a date  after  the  record  date  for the  determination  of
         holders of shares of Series A  Preferred  Stock  entitled  to receive a
         quarterly  dividend and before such Quarterly Dividend Payment Date, in
         either of which  events  such  dividends  shall  begin to accrue and be
         cumulative  from such  Quarterly  Dividend  Payment  Date.  Accrued but
         unpaid dividends shall not bear interest.  Dividends paid on the shares
         of Series A Preferred  Stock in an amount less than the total amount of
         such  dividends at the time accrued and payable on such shares shall be
         allocated pro rata on a  share-by-share  basis among all such shares at
         the time outstanding.  The Board of Directors may fix a record date for
         the  determination  of  holders of shares of Series A  Preferred  Stock
         entitled  to receive  payment of a dividend  or  distribution  declared
         thereon,  which record date shall be not more than 60 days prior to the
         date fixed for the payment thereof.

                  (3)  Voting Rights. The holders of shares of Series A 
Preferred Stock shall have the following voting rights:

                  (A) Subject to the provision for  adjustment  hereinafter  set
         forth,  each share of Series A Preferred Stock shall entitle the holder
         thereof  to  100  votes  on all  matters  submitted  to a  vote  of the
         stockholders of the Corporation.  In the event the Corporation shall at
         any time  declare or pay any  dividend on the Common  Stock  payable in
         shares of Common  Stock,  or effect a  subdivision  or  combination  or
         consolidation   of  the   outstanding   shares  of  Common   Stock  (by
         reclassification  or otherwise  than by payment of a dividend in shares

                                 Page 76 of 96


         of Common  Stock)  into a greater or lesser  number of shares of Common
         Stock,  then in each such  case the  number of votes per share to which
         holders of shares of Series A Preferred Stock were entitled immediately
         prior to such event shall be adjusted by  multiplying  such number by a
         fraction,  the  numerator  of which is the  number  of shares of Common
         Stock  outstanding  immediately after such event and the denominator of
         which is the  number of shares of Common  Stock  that were  outstanding
         immediately prior to such event.

                  (B)  Except  as  otherwise   provided  herein,  in  any  other
         provision  of these  Amended and  Restated  Articles  of  Incorporation
         creating a series of Preferred  Stock or any similar stock,  or by law,
         the  holders of shares of Series A  Preferred  Stock and the holders of
         shares of Common Stock and any other capital  stock of the  Corporation
         having  general  voting  rights shall vote together as one class on all
         matters submitted to a vote of stockholders of the Corporation.

                  (C) Except as set forth  herein,  or as otherwise  provided by
         law,  holders of Series A Preferred  Stock shall have no special voting
         rights and their  consent  shall not be required  (except to the extent
         they are  entitled  to vote with  holders of Common  Stock as set forth
         herein) for taking any corporate action.

                  (4)  Certain Restrictions.

                  (A)  Whenever  quarterly   dividends  or  other  dividends  or
         distributions  payable on the Series A  Preferred  Stock as provided in
         Section 2 are in arrears,  thereafter  and until all accrued and unpaid
         dividends  and  distributions,  whether or not  declared,  on shares of
         Series A Preferred Stock  outstanding shall have been paid in full, the
         Corporation shall not:

                        (i)  declare  or  pay  dividends,   or  make  any  other
                  distributions,  on any shares of stock ranking  junior (either
                  as to dividends or upon  liquidation,  dissolution  or winding
                  up) to the Series A Preferred Stock;

                       (ii)  declare  or  pay  dividends,   or  make  any  other
                  distributions,  on any  shares  of stock  ranking  on a parity
                  (either as to dividends or upon  liquidation,  dissolution  or
                  winding  up)  with  the  Series  A  Preferred  Stock,   except
                  dividends paid ratably on the Series A Preferred Stock and all
                  such parity stock on which dividends are payable or in arrears
                  in proportion to the total amounts to which the holders of all
                  such shares are then entitled;

                      (iii)  redeem  or  purchase  or   otherwise   acquire  for
                  consideration shares of any stock ranking junior (either as to
                  dividends or upon  liquidation,  dissolution or winding up) to
                  the Series A Preferred  Stock,  provided that the  Corporation
                  may at any time redeem,  purchase or otherwise  acquire shares

                                 Page 77 of 96

                  of any such junior  stock in exchange  for shares of any stock
                  of the  Corporation  ranking junior (either as to dividends or
                  upon  dissolution,  liquidation or winding up) to the Series A
                  Preferred Stock; or

                       (iv)  redeem  or  purchase  or   otherwise   acquire  for
                  consideration  any shares of Series A Preferred  Stock, or any
                  shares  of  stock  ranking  on a  parity  with  the  Series  A
                  Preferred  Stock,  except in accordance  with a purchase offer
                  made in writing or by publication  (as determined by the Board
                  of Directors) to all holders of such shares upon such terms as
                  the Board of Directors,  after consideration of the respective
                  annual   dividend   rates  and  other   relative   rights  and
                  preferences  of  the  respective  series  and  classes,  shall
                  determine  in good  faith  will  result in fair and  equitable
                  treatment among the respective series or classes.

                  (B) The  Corporation  shall not permit any  subsidiary  of the
         Corporation  to purchase or  otherwise  acquire for  consideration  any
         shares of stock of the Corporation  unless the Corporation could, under
         paragraph  (A) of this Section 4,  purchase or  otherwise  acquire such
         shares at such time and in such manner.

                  (5) Reacquired  Shares. Any shares of Series A Preferred Stock
purchased  or otherwise  acquired by the  Corporation  in any manner  whatsoever
shall be retired and cancelled promptly after the acquisition  thereof. All such
shares shall upon their  cancellation  become  authorized but unissued shares of
Preferred  Stock and may be reissued as part of a new series of Preferred  Stock
subject to the  conditions and  restrictions  on issuance set forth herein or as
otherwise required by law.

                  (6)   Liquidation,   Dissolution   or  Winding  Up.  Upon  any
liquidation, dissolution or winding up of the Corporation, no distribution shall
be made (1) to the  holders  of shares of stock  ranking  junior  (either  as to
dividends  or upon  liquidation,  dissolution  or  winding  up) to the  Series A
Preferred  Stock  unless,  prior  thereto,  the  holders  of  shares of Series A
Preferred  Stock shall have  received  $100 per share,  plus an amount  equal to
accrued and unpaid dividends and distributions thereon, whether or not declared,
to the date of such  payment,  provided  that the  holders of shares of Series A
Preferred  Stock  shall be entitled  to receive an  aggregate  amount per share,
subject to the  provision for  adjustment  hereinafter  set forth,  equal to 100
times the aggregate  amount to be distributed  per share to holders of shares of
Common  Stock,  or (2) to the  holders  of shares of stock  ranking  on a parity

                                 Page 78 of 96


(either as to dividends or upon liquidation, dissolution or winding up) with the
Series A Preferred  Stock,  except  distributions  made  ratably on the Series A
Preferred  Stock and all such parity stock in proportion to the total amounts to
which the  holders  of all such  shares  are  entitled  upon  such  liquidation,
dissolution  or  winding  up.  In the event  the  Corporation  shall at any time
declare  or pay any  dividend  on the Common  Stock  payable in shares of Common
Stock,  or  effect  a  subdivision  or  combination  or   consolidation  of  the
outstanding  shares of Common Stock (by  reclassification  or otherwise  than by
payment of a dividend in shares of Common Stock) into a greater or lesser number
of shares of Common Stock,  then in each such case the aggregate amount to which
holders of shares of Series A Preferred Stock were entitled immediately prior to
such event under the proviso in clause (1) of the  preceding  sentence  shall be
adjusted by multiplying  such amount by a fraction the numerator of which is the
number of shares of Common Stock  outstanding  immediately  after such event and
the  denominator  of which is the  number of shares  of Common  Stock  that were
outstanding immediately prior to such event.

                  (7) Consolidation,  Merger, etc. In case the Corporation shall
enter into any consolidation,  merger, combination or other transaction in which
the shares of Common  Stock are  exchanged  for or changed  into other  stock or
securities,  cash and/or any other property, then in any such case each share of
Series A  Preferred  Stock  shall at the same  time be  similarly  exchanged  or
changed  into an amount  per  share,  subject to the  provision  for  adjustment
hereinafter  set  forth,  equal to 100  times  the  aggregate  amount  of stock,
securities,  cash and/or any other property  (payable in kind),  as the case may
be, into which or for which each share of Common Stock is changed or  exchanged.
In the event the  Corporation  shall at any time  declare or pay any dividend on
the Common Stock payable in shares of Common Stock,  or effect a subdivision  or
combination  or  consolidation  of the  outstanding  shares of Common  Stock (by
reclassification  or otherwise than by payment of a dividend in shares of Common
Stock) into a greater or lesser number of shares of Common  Stock,  then in each
such case the amount set forth in the  preceding  sentence  with  respect to the
exchange  or change of shares of Series A  Preferred  Stock shall be adjusted by
multiplying  such amount by a fraction,  the numerator of which is the number of
shares  of  Common  Stock  outstanding  immediately  after  such  event  and the
denominator  of  which is the  number  of  shares  of  Common  Stock  that  were
outstanding immediately prior to such event.

                  (8)  No Redemption.  The shares of Series A Preferred Stock 
shall not be redeemable.

                  (9) Rank.  The  Series A  Preferred  Stock  shall  rank,  with
respect to the payment of dividends and the  distribution  of assets,  junior to
all series of any other class of the Corporation's Preferred Stock.

                                 Page 79 of 96



                  (10)   Amendment.   The  Amended  and  Restated   Articles  of
Incorporation of the Corporation  shall not be amended in any manner which would
materially  alter or change the  powers,  preferences  or special  rights of the
Series A Preferred Stock so as to affect them adversely  without the affirmative
vote of the holders of at least two-thirds of the outstanding shares of Series A
Preferred Stock, voting together as a single class.

This the 2nd day of October, 1996.

                                                     MEDCATH INCORPORATED

                                                 By:___________________________
                                                    Name:
                                                    Title:

                                 Page 80 of 96

<PAGE>


                                                                       Exhibit B
                            Form of Right Certificate


Certificate No. R-                                             Rights



            NOT EXERCISABLE AFTER , 2006 OR EARLIER IF REDEMPTION OR
          EXCHANGE OCCURS. THE RIGHTS ARE SUBJECT TO REDEMPTION AT $.01
         PER RIGHT AND TO EXCHANGE ON THE TERMS SET FORTH IN THE RIGHTS
                                   AGREEMENT.


                                Right Certificate

                              MEDCATH INCORPORATED


                This certifies that , or registered  assigns,  is the registered
owner of the number of Rights set forth above,  each of which entitles the owner
thereof,  subject  to  the  terms,  provisions  and  conditions  of  the  Rights
Agreement,  dated as of  October  15,  1996 (the  "Rights  Agreement"),  between
MedCath  Incorporated,  a North Carolina corporation (the "Company"),  and First
Union National Bank of North Carolina (the "Rights Agent"), to purchase from the
Company at any time after the Distribution  Date (as such term is defined in the
Rights  Agreement)  and prior to 5:00 P.M.,  Charlotte,  North Carolina time, on
October 15, 2006 at the principal  office of the Rights Agent,  or at the office
of  its  successor  as  Rights  Agent,   one   one-hundredth  of  a  fully  paid
non-assessable share of Series A Junior Participating Preferred Stock, par value
$.01 per share (the "Preferred Shares"),  of the Company, at a purchase price of
$120 per one  one-hundredth  of a Preferred Share (the "Purchase  Price"),  upon
presentation  and surrender of this Right  Certificate with the Form of Election
to  Purchase  duly  executed.  The  number of  Rights  evidenced  by this  Right
Certificate (and the number of one one-hundredths of a Preferred Share which may
be purchased upon exercise  hereof) set forth above,  and the Purchase Price set
forth above,  are the number and Purchase Price as of October 28, 1996, based on
the  Preferred  Shares as  constituted  at such date.  As provided in the Rights
Agreement,  the  Purchase  Price  and  the  number  of one  one-hundredths  of a
Preferred Share which may be purchased upon the exercise of the Rights evidenced
by this Right  Certificate are subject to  modification  and adjustment upon the
happening of certain events.

                This  Right   Certificate  is  subject  to  all  of  the  terms,
provisions and conditions of the Rights Agreement,  which terms,  provisions and
conditions  are hereby  incorporated  herein by reference and made a part hereof
and to which Rights Agreement reference is hereby made for a full description of
the rights, limitations of rights, obligations,  duties and immunities hereunder
of the Rights  Agent,  the Company  and the  holders of the Right  Certificates.
Copies of the Rights Agreement are on file at the principal executive offices of
the Company and the above-mentioned offices of the Rights Agent.

                                 Page 81 of 96


                This   Right   Certificate,   with  or   without   other   Right
Certificates, upon surrender at the principal office of the Rights Agent, may be
exchanged for another Right Certificate or Right  Certificates of like tenor and
date evidencing  Rights entitling the holder to purchase a like aggregate number
of Preferred  Shares as the Rights  evidenced by the Right  Certificate or Right
Certificates  surrendered  shall have entitled such holder to purchase.  If this
Right  Certificate  shall be exercised in part,  the holder shall be entitled to
receive upon surrender  hereof another Right  Certificate or Right  Certificates
for the number of whole Rights not exercised.

                Subject to the  provisions of the Rights  Agreement,  the Rights
evidenced by this Certificate (i) may be redeemed by the Company at a redemption
price  of $.01  per  Right  or (ii)  may be  exchanged  in  whole or in part for
Preferred  Shares or shares of the Company's  Common  Stock,  par value $.01 per
share.

                No fractional  Preferred Shares will be issued upon the exercise
of any Right or Rights evidenced hereby (other than fractions which are integral
multiples of one one-hundredth of a Preferred Share,  which may, at the election
of the Company, be evidenced by depositary receipts), but in lieu thereof a cash
payment will be made, as provided in the Rights Agreement.

                No holder of this Right Certificate shall be entitled to vote or
receive  dividends  or be deemed for any  purpose  the  holder of the  Preferred
Shares  or of any  other  securities  of the  Company  which  may at any time be
issuable on the  exercise  hereof,  nor shall  anything  contained in the Rights
Agreement or herein be construed to confer upon the holder hereof,  as such, any
of the  rights  of a  stockholder  of the  Company  or any right to vote for the
election  of  directors  or upon any matter  submitted  to  stockholders  at any
meeting thereof,  or to give or withhold consent to any corporate  action, or to
receive notice of meetings or other actions  affecting  stockholders  (except as
provided  in the Rights  Agreement),  or to receive  dividends  or  subscription
rights,  or  otherwise,  until  the  Right or  Rights  evidenced  by this  Right
Certificate shall have been exercised as provided in the Rights Agreement.

                This Right  Certificate shall not be valid or obligatory for any
purpose until it shall have been countersigned by the Rights Agent.

                                 Page 82 of 96

                WITNESS the  facsimile  signature of the proper  officers of the
Company and its corporate seal. Dated as of , 1996.

                              MEDCATH INCORPORATED
ATTEST:

                                       By
_________________________                   __________________________


Countersigned:


                  First Union National Bank of North Carolina


By ___________________________________
                Authorized Signature

                                 Page 83 of 96



                    Form of Reverse Side of Right Certificate


                               FORM OF ASSIGNMENT



                   (To be executed by the registered holder if
                    such holder desires to transfer the Right
                                  Certificate.)


                  FOR VALUE RECEIVED ___________________________________________
hereby sells, assigns and transfers unto _______________________________________
________________________________________________________________________________
                  (Please print name and address of transferee)
this Right Certificate, together with all right, title and interest therein, and
does hereby  irrevocably  constitute  and appoint  _____________________________
Attorney,  to  transfer  the  within  Right  Certificate  on  the  books  of the
within-named Company, with full power of substitution.


Dated: ______________________, 1996


                                                     __________________________
                                                     Signature

Signature Guaranteed:

                  Signatures must be guaranteed by a member firm of a registered
national securities exchange, a member of the National Association of Securities
Dealers,  Inc.,  or a  commercial  bank or trust  company  having  an  office or
correspondent in the United States.


                  The undersigned  hereby certifies that the Rights evidenced by
this Right  Certificate are not beneficially  owned by an Acquiring Person or an
Affiliate or Associate thereof (as defined in the Rights Agreement).

                                                     __________________________
                                                     Signature

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

             Form of Reverse Side of Right Certificate -- continued


                          FORM OF ELECTION TO PURCHASE

                  (To be executed if holder desires to exercise
                  Rights represented by the Right Certificate.)

                                 Page 84 of 96


To:  MEDCATH INCORPORATED

                The  undersigned  hereby  irrevocably  elects to exercise Rights
represented by this Right  Certificate to purchase the Preferred Shares issuable
upon the  exercise  of such  Rights  and  requests  that  certificates  for such
Preferred Shares be issued in the name of:

Please insert social security
or other identifying number


                         (Please print name and address)


If such  number of Rights  shall not be all the Rights  evidenced  by this Right
Certificate,  a new Right  Certificate for the balance  remaining of such Rights
shall be registered in the name of and delivered to:

Please insert social security
or other identifying number


                         (Please print name and address)


Dated:___________________________, 1996


                                                   ____________________________
                                                   Signature



Signature Guaranteed:

                Signatures  must be  guaranteed by a member firm of a registered
national securities exchange, a member of the National Association of Securities
Dealers,  Inc.,  or a  commercial  bank or trust  company  having  an  office or
correspondent in the United States.

                                 Page 85 of 96



             Form of Reverse Side of Right Certificate -- continued

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

                The undersigned  hereby  certifies that the Rights  evidenced by
this Right  Certificate are not beneficially  owned by an Acquiring Person or an
Affiliate or Associate thereof (as defined in the Rights Agreement).




                                    Signature

         _____________________________________________________________



                                     NOTICE

                The  signature in the Form of  Assignment or Form of Election to
Purchase,  as the case may be, must conform to the name as written upon the face
of this Right Certificate in every particular, without alteration or enlargement
or any change whatsoever.

                  In the event the  certification set forth above in the Form of
Assignment  or the Form of  Election  to  Purchase,  as the case may be,  is not
completed,  the Company and the Rights Agent will deem the  beneficial  owner of
the Rights  evidenced by this Right  Certificate to be an Acquiring Person or an
Affiliate or  Associate  thereof (as defined in the Rights  Agreement)  and such
Assignment or Election to Purchase will not be honored.


                                 Page 86 of 96
<PAGE>

                                                                      Exhibit C



                          SUMMARY OF RIGHTS TO PURCHASE
                                PREFERRED SHARES


                  On  October  2,  1996,  the  Board  of  Directors  of  MedCath
Incorporated (the "Company") declared a dividend of one preferred share purchase
right (a "Right") for each outstanding share of common stock, par value $.01 per
share (the "Common Shares"),  of the Company. The dividend is payable on October
28, 1996 (the "Record Date") to the  stockholders  of record on that date.  Each
Right  entitles  the  registered   holder  to  purchase  from  the  Company  one
one-hundredth of a share of Series A Junior  Participating  Preferred Stock, par
value $.01 per share (the "Preferred Shares"), of the Company at a price of $120
per one  one-hundredth of a Preferred Share (the "Purchase  Price"),  subject to
adjustment.  The  description  and terms of the Rights are set forth in a Rights
Agreement (the "Rights  Agreement") between the Company and First Union National
Bank of North Carolina, as Rights Agent (the "Rights Agent").

                  Until the  earlier to occur of (i) 10 days  following a public
announcement  that a person or group of  affiliated  or  associated  persons (an
"Acquiring  Person")  have acquired  beneficial  ownership of 15% or more of the
outstanding Common Shares or (ii) 10 business days (or such later date as may be
determined by action of the Board of Directors  prior to such time as any person
or group of  affiliated  persons  becomes an  Acquiring  Person)  following  the
commencement  of, or  announcement  of an  intention  to make, a tender offer or
exchange  offer  the  consummation  of  which  would  result  in the  beneficial
ownership by a person or group of 15% or more of the  outstanding  Common Shares
(the earlier of such dates being  called the  "Distribution  Date"),  the Rights
will  be  evidenced,  with  respect  to  any of the  Common  Share  certificates
outstanding as of the Record Date, by such Common Share  certificate with a copy
of this Summary of Rights attached thereto.

                  The Rights  Agreement  provides that,  until the  Distribution
Date (or earlier  redemption or  expiration  of the Rights),  the Rights will be
transferred with and only with the Common Shares.  Until the  Distribution  Date
(or  earlier  redemption  or  expiration  of  the  Rights),   new  Common  Share
certificates  issued  after the Record  Date upon  transfer  or new  issuance of
Common  Shares will  contain a notation  incorporating  the Rights  Agreement by
reference.  Until the Distribution Date (or earlier  redemption or expiration of
the Rights),  the surrender for transfer of any  certificates  for Common Shares
outstanding as of the Record Date,  even without such notation or a copy of this
Summary of Rights being attached  thereto,  will also constitute the transfer of
the Rights associated with the Common Shares represented by such certificate. As

                                 Page 87 of 96


soon as  practicable  following the  Distribution  Date,  separate  certificates
evidencing the Rights ("Right Certificates") will be mailed to holders of record
of the Common  Shares as of the close of business on the  Distribution  Date and
such separate Right Certificates alone will evidence the Rights.

                  The Rights are not exercisable  until the  Distribution  Date.
The Rights will expire on October 15, 2006 (the "Final Expiration Date"), unless
the Final  Expiration Date is extended or unless the Rights are earlier redeemed
or exchanged by the Company, in each case, as described below.

                  The Purchase Price payable, and the number of Preferred Shares
or other  securities  or  property  issuable,  upon  exercise  of the Rights are
subject to adjustment from time to time to prevent  dilution (i) in the event of
a stock dividend on, or a subdivision,  combination or reclassification  of, the
Preferred  Shares,  (ii) upon the grant to  holders of the  Preferred  Shares of
certain  rights or warrants to subscribe for or purchase  Preferred  Shares at a
price, or securities  convertible into Preferred Shares with a conversion price,
less than the  then-current  market price of the Preferred  Shares or (iii) upon
the distribution to holders of the Preferred Shares of evidences of indebtedness
or assets  (excluding  regular  periodic cash  dividends paid out of earnings or
retained  earnings or dividends  payable in Preferred Shares) or of subscription
rights or warrants (other than those referred to above).

                  The  number  of  outstanding  Rights  and  the  number  of one
one-hundredths  of a Preferred  Share  issuable  upon exercise of each Right are
also subject to adjustment in the event of a stock split of the Common Shares or
a stock dividend on the Common Shares payable in Common Shares or  subdivisions,
consolidations or combinations of the Common Shares occurring, in any such case,
prior to the Distribution Date.

                  Preferred Shares  purchasable upon exercise of the Rights will
not  be  redeemable.  Each  Preferred  Share  will  be  entitled  to  a  minimum
preferential  quarterly dividend payment of $1 per share but will be entitled to
an aggregate  dividend of 100 times the dividend  declared per Common Share.  In
the event of liquidation,  the holders of the Preferred  Shares will be entitled
to a  minimum  preferential  liquidation  payment  of $120 per share but will be
entitled to an aggregate payment of 100 times the payment made per Common Share.
Each  Preferred  Share  will have 100  votes,  voting  together  with the Common
Shares. Finally, in the event of any merger,  consolidation or other transaction
in which Common Shares are exchanged,  each Preferred  Share will be entitled to
receive  100 times the  amount  received  per  Common  Share.  These  rights are
protected by customary antidilution provisions.

                                 Page 88 of 96


                  Because  of the  nature  of the  Preferred  Shares'  dividend,
liquidation and voting rights, the value of the one one-hundredth  interest in a
Preferred Share  purchasable upon exercise of each Right should  approximate the
value of one Common Share.

                  In the event that the Company is acquired in a merger or other
business  combination  transaction or 50% or more of its consolidated  assets or
earning  power are sold after a person or group has become an Acquiring  Person,
proper  provision  will be made so that each  holder of a Right will  thereafter
have the  right  to  receive,  upon the  exercise  thereof  at the then  current
exercise  price of the  Right,  that  number of  shares  of common  stock of the
acquiring company which at the time of such transaction will have a market value
of two times the  exercise  price of the Right.  In the event that any person or
group of affiliated or associated  persons becomes an Acquiring  Person,  proper
provision  shall be made so that  each  holder  of a Right,  other  than  Rights
beneficially owned by the Acquiring Person (which will thereafter be void), will
thereafter  have the right to receive upon exercise that number of Common Shares
having a market value of two times the exercise price of the Right.

                  At any time  after any person or group  becomes  an  Acquiring
Person and prior to the  acquisition  by such  person or group of 50% or more of
the  outstanding  Common  Shares,  the Board of  Directors  of the  Company  may
exchange the Rights  (other than Rights owned by such person or group which will
have  become  void),  in whole or in part,  at an  exchange  ratio of one Common
Share,  or one  one-hundredth  of a Preferred Share (or of a share of a class or
series of the Company's  preferred stock having equivalent  rights,  preferences
and privileges), per Right (subject to adjustment).

                  With certain  exceptions,  no adjustment in the Purchase Price
will be required until cumulative  adjustments require an adjustment of at least
1% in such Purchase Price. No fractional  Preferred Shares will be issued (other
than fractions which are integral  multiples of one one-hundredth of a Preferred
Share,  which may, at the  election of the Company,  be evidenced by  depositary
receipts) and in lieu  thereof,  an adjustment in cash will be made based on the
market price of the  Preferred  Shares on the last trading day prior to the date
of exercise.

                  At any time prior to the  acquisition  by a person or group of
affiliated or associated  persons of beneficial  ownership of 15% or more of the
outstanding  Common Shares, the Board of Directors of the Company may redeem the
Rights in whole,  but not in part, at a price of $.01 per Right (the "Redemption
Price"). The redemption of the Rights may be made effective at such time on such
basis with such  conditions as the Board of Directors in its sole discretion may
establish.  Immediately upon any redemption of the Rights, the right to exercise
the Rights will terminate and the only right of the holders of Rights will be to
receive the Redemption Price.

                                 Page 89 of 96


                  The  terms  of the  Rights  may be  amended  by the  Board  of
Directors  of the  Company  without  the  consent of the  holders of the Rights,
including an amendment to lower certain  thresholds  described above to not less
than the  greater  of (i) the sum of .001%  and the  largest  percentage  of the
outstanding  Common Shares then known to the Company to be beneficially owned by
any person or group of  affiliated or  associated  persons and (ii) 10%,  except
that from and after such time as any person or group of affiliated or associated
persons becomes an Acquiring  Person no such amendment may adversely  affect the
interests of the holders of the Rights.

                  Until a Right is exercised,  the holder thereof, as such, will
have no rights as a stockholder of the Company,  including,  without limitation,
the right to vote or to receive dividends.

                  A copy  of the  Rights  Agreement  has  been  filed  with  the
Securities and Exchange Commission as an Exhibit to a Registration  Statement on
Form 8-A dated  October ___,  1996. A copy of the Rights  Agreement is available
free of charge from the Company. This summary description of the Rights does not
purport to be complete  and is  qualified  in its  entirety by  reference to the
Rights Agreement, which is hereby incorporated herein by reference.


                                 Page 90 of 96




                                                                    Exhibit 99.2

To Our Shareholders:

         Your Board of Directors  today  instituted a  Shareholders  Rights Plan
through the  declaration of a dividend  distribution of Preferred Share Purchase
Rights.  This letter  describes the Share  Purchase  Rights Plan and the Board's
reasons for adopting it.

         These Rights contain provisions to protect shareholders in the event of
an unsolicited attempt to acquire the Company,  including a gradual accumulation
of shares in the open market,  a partial or two-tier  tender offer that does not
treat all shareholders  equally, a squeeze-out merger and other abusive takeover
tactics which the Board believes are not in the best interests of  shareholders.
These  tactics  unfairly  pressure  shareholders,  squeeze  them  out  of  their
investment  without  giving them any real  choice and  deprive  them of the full
value of their shares. However, it should be noted that no such takeover efforts
have occurred to date, nor do we know of any which may occur in the future.

         Over 1,700 companies, including approximately half of the Business Week
1000  companies and Fortune 500 companies  and  approximately  two-thirds of the
companies in the Fortune 200, have issued  rights to protect their  shareholders
against these tactics.  We consider the Rights to be the best available means of
protecting  both your right to retain your equity  investment in MedCath and the
full value of that investment,  while not foreclosing a fair acquisition bid for
the Company.

         The Rights are not  intended  to prevent a takeover  of the Company and
will not do so. However, they should deter any attempt to acquire the Company in
a manner or on terms not approved by the Board.  The Rights  approved  today are
designed  to deal with the very  serious  problem of  another  person or company
using abusive  tactics to deprive  MedCath's  Board and its  shareholders of any
real opportunity to determine the destiny of the Company.

         The Rights may be redeemed by the Board of  Directors  for one cent per
Right prior to the accumulation,  through open-market  purchases, a tender offer
or  otherwise,  of 15% or more of the Company's  shares by a single  acquiror or
group.  Thus,  the Rights  should  not  interfere  with any  merger or  business
combination approved by the Board of Directors prior to that time.


                                 Page 91 of 96


Letter to Shareholders
October 15, 1996


         Issuance  of the  Rights  does  not in any  way  weaken  the  financial
strength of the Company or interfere  with its business  plans.  The issuance of
the Rights has no dilutive effect,  will not affect reported earnings per share,
is not  taxable to the  Company or to you,  and will not change the way in which
you can presently trade the Company's  shares. As explained in detail below, the
Rights will only be  exercisable  if and when the problem arises which they were
created  to deal with.  They will then  operate to  protect  you  against  being
deprived of your right to share in the full measure of your Company's  long-term
potential.

         Your  Board was aware  when it acted  that some  people  have  advanced
arguments  that  securities  of  the  sort  we  are  issuing  deter   legitimate
acquisition  proposals.  We carefully  considered these views and concluded that
the arguments are speculative and do not justify  leaving  shareholders  without
any  protection  against  unfair  treatment by an acquiror -- who, after all, is
seeking his own company's  advantage,  not yours. Your Board believes that these
Rights  represent a sound and reasonable  means of addressing the complex issues
of corporate policy created by the current takeover environment.

         The Rights  will be issued on October  28,  1996,  to  shareholders  of
record on that date and will expire in ten years. Initially, the Rights will not
be  exercisable,  certificates  will  not be sent to you,  and the  Rights  will
automatically trade with the common shares.  However, ten days after a person or
group  acquires 15% or more of the  Company's  shares,  or ten business days (or
such later  date as may be  determined  by the Board  prior to a person or group
acquiring 15% or more of the Company's shares) after a person or group announces
an offer the  consummation  of which would result in such person or group owning
15% or more of the shares (even if no purchases actually occur), the Rights will
become  exercisable and separate  certificates  representing  the Rights will be
distributed.  We expect that the Rights will begin to trade  independently  from
the  Company's  shares at that time.  At no time will the Rights have any voting
power.

         When the Rights first become exercisable,  unless a person or group has
acquired 15% or more of the Company's  shares,  a holder will be entitled to buy
from  the  Company  one  one-hundredth  of a share  of a new  series  of  junior
participating  preferred  stock for $120. If the Company is involved in a merger
or other  business  combination at any time after a person or group has acquired
15% or more of the Company's  shares,  the Rights will entitle a holder to buy a
number of shares of common stock of the acquiring  company having a market value
of twice the exercise  price of each Right.  For example,  if at the time of the
business combination the acquiring company's stock has a per share value of $60,
the holder of each Right would be entitled to receive 4 shares of the  acquiring
company's common stock for $120, i.e., at a 50% discount.


                                 Page 92 of 96

Letter to Shareholders
October 15, 1996


         If  any  person  or  group  acquires  15%  or  more  of  the  Company's
outstanding  common  stock,  the  "flip-in"  provision  of the  Rights  will  be
triggered  and the Rights will  entitle a holder  (other than such person or any
member of such group) to buy a number of  additional  shares of common  stock of
the Company  having a market  value of twice the  exercise  price of each Right.
Thus, if at the time of the 15%  acquisition  the Company's stock were to have a
market  value per share equal to $30,  the holder of each Right (other than such
person or any member of such  group)  would be  entitled  to receive 8 shares of
MedCath common stock for $120.

         Following the  acquisition by any person or group of 15% or more of the
Company's  common stock,  but only prior to the acquisition by a person or group
of a 50% stake,  the Board of  Directors  will also have the ability to exchange
the Rights  (other than  Rights  held by such  person or group),  in whole or in
part, for one share of common stock (or one  one-hundredth of a share of the new
series of junior  participating  preferred stock) per Right. This provision will
have  an  economically   dilutive   effect  on  the  acquiror,   and  provide  a
corresponding benefit to the remaining rightsholders,  that is comparable to the
flip-in without requiring rightsholders to go through the process and expense of
exercising their Rights.

         While,  as noted  above,  the  distribution  of the Rights  will not be
taxable to you or the Company,  shareholders  may recognize  taxable income upon
the occurrence of certain subsequent events.

         In addition to  instituting  the Rights Plan,  your Board today amended
the Amended and Restated  Articles of  Incorporation of the Company to authorize
the new series of junior participating preferred stock purchasable upon exercise
of the Rights.  The shares of the new series of junior  participating  preferred
stock  will be  nonredeemable.  Each  preferred  share  will be  entitled  to an
aggregate  dividend  equal  to the  greater  of $1 per  share or 100  times  the
dividend declared on the common shares. In the event of liquidation, the holders
of the  preferred  shares will be entitled to receive an  aggregate  liquidation
payment  equal to the greater of $100 or 100 times the payment made per share of
common stock. Each preferred share will have 100 votes, voting together with the
common  shares.  Finally,  in the event of any  merger,  consolidation  or other
transaction in which common shares are exchanged,  each preferred  share will be
entitled to receive 100 times the amount received per common share. These rights
are protected by customary anti-dilution provisions. In the event of issuance of
preferred shares upon exercise of the Rights,  in order to facilitate  trading a
depository  receipt  may be issued  for each one  one-hundredth  of a  preferred
share.  The dividend,  liquidation  and voting  rights,  and the  non-redemption
feature,  of the  preferred  shares  are  designed  so  that  the  value  of the
one-hundredth  interest in a preferred  share  purchasable  with each right will
approximate the value of one share of common stock.

                                 Page 93 of 96

Letter to Shareholders
October 15, 1996


         In declaring the Rights  dividend,  we have expressed our confidence in
the future and our  determination  that you,  our  shareholders,  be given every
opportunity to participate fully in that future.

                                        On behalf of the Board of Directors,




                                        Stephen R. Puckett
                                        President, Chairman of the Board
                                        of Directors and Chief Executive Officer


                                 Page 94 of 96



                                                                    Exhibit 99.3


                         MEDCATH INCORPORATED INSTITUTES
                            A SHAREHOLDER RIGHTS PLAN

Charlotte,    North   Carolina   (October   16,   1996)   MedCath   Incorporated
(Nasdaq/NM:MCTH)  today  announced  that its Board of Directors has instituted a
Shareholder  Rights Plan through the  declaration of a dividend  distribution of
one  Preferred  Share  Purchase  Right  on each  outstanding  share  of  MedCath
Incorporated common stock.

         Stephen R. Puckett,  president of MedCath  Incorporated,  stated,  "The
Rights are  designed to assure that all of MedCath's  shareholders  receive fair
and equal treatment in the event of any proposed  takeover of the Company and to
guard against partial tender offers, squeeze-outs, open market accumulations and
other abusive tactics to gain control of MedCath without paying all shareholders
a control  premium.  It's  important to note that no such takeover  efforts have
occurred to date, nor do we know of any which may occur in the future."

         The Rights will be  exercisable  only if a person or group acquires 15%
or more of MedCath's  common stock or announces a tender offer, the consummation
of which would  result in  ownership  by a person or group of 15% or more of the
common stock. Each Right will entitle shareholders to buy one one-hundredth of a
share of a new series of junior  participating  preferred  stock at an  exercise
price of $120.

         If  MedCath  Incorporated  is  acquired  in a merger or other  business
combination transaction after a person has acquired 15% or more of the Company's
outstanding common stock, each Right will entitle its holder to purchase, at the
Right's then-current  exercise price, a number of the acquiring company's common
shares  having a market value of twice such price.  In addition,  if a person or
group  acquires 15% or more of MedCath's  outstanding  common stock,  each Right
will  entitle  its holder  (other  than such person or members of such group) to
purchase,  at the Right's  then-current  exercise  price,  a number of MedCath's
common shares having a market value of twice such price.

                                 Page 95 of 96


         Following the acquisition by a person or group of beneficial  ownership
of 15% or more of the Company's  common stock and prior to an acquisition of 50%
or more of the common  stock,  the Board of  Directors  may  exchange the Rights
(other than Rights  owned by such person or group),  in whole or in part,  at an
exchange ratio of one share of common stock (or one  one-hundredth of a share of
the new series of junior participating preferred stock) per Right.

         Prior to the  acquisition by a person or group of beneficial  ownership
of 15% or more of the Company's  common stock, the Rights are redeemable for one
cent per Right at the option of the Board of Directors.

         The Board of  Directors  is also  authorized  to reduce the 15% 
thresholds  referred to above to not less than 10%.

         The Rights are intended to enable all MedCath Incorporated shareholders
to realize the long-term value of their investment in the Company. They will not
prevent a takeover,  but should  encourage anyone seeking to acquire the Company
to negotiate with the Board prior to attempting a takeover.

         The dividend  distribution will be made on October 28, 1996, payable to
shareholders of record on that date. The Rights will expire on October 15, 2006.
The Rights distribution is not taxable to shareholders.

         MedCath  Incorporated  is a provider of cardiology  and  cardiovascular
services  through the operation of specialized  facilities and the management of
physician  practices.  The Company operates one specialty heart hospital and has
four  additional  heart  hospitals  under  development,  manages  three  medical
practices  comprised of a total of 74  physicians,  manages  fixed-site  cardiac
diagnostic  and  therapeutic  centers,  and owns  and  operates  mobile  cardiac
catheterization laboratories serving networks of hospitals.

                                 Page 96 of 96



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