SEVERANCE AGREEMENT


     THIS AGREEMENT is made as of November 1, 1993, by and between HCA-Hospital
Corporation of America, a Delaware corporation (the "Company"), and the
Subsidiary (as hereinafter defined) which employs the Employee, and
___________________________ (the "Employee").

     WHEREAS, the Board of Directors of the company (the "Board") desires to
foster the continuous employment of the Employee and has determined that
appropriate steps should be taken to reinforce and encourage the continued
attention and dedication of the Employee to his duties from distractions which
could arise in the event of a threatened Change in Control of the Company:

     NOW, THEREFORE, in consideration of the mutual covenants contained herein,
the Company and the Employee agree as follows:

     1.   TERM OF AGREEMENT.  This Agreement shall commence as of the date
hereof and shall continue in effect until December 31, 1994; provided, however,
that if a Change in Control (as hereinafter defined) occurs during the term of
this Agreement, the term of this Agreement shall automatically be extended for a
period of thirty-six (36) months after the end of the month in which the Change
in Control occurs.  Furthermore, if the Employee's employment with the Company
shall be terminated prior to a Change in Control, this Agreement shall
automatically expire.

     2.   TERMINATION BENEFITS.

          (a)  If, following a Change in Control, and during the term of this
     Agreement (including any extensions of such term as provided in Section
     hereof), the Employee's employment with the Company shall be terminated,
     the Employee shall be entitled to the following compensation and benefits
     (in addition to any non-severance compensation and benefits provided for
     under any of the Company's employee benefit plans, policies and practices
     or under the terms of any other contracts, but in lieu of any severance pay
     under any Company employee benefit plan, policy and practice or under the
     terms of any other contract including any employment contract):

               1)   If the Employee's employment with the company shall be
          terminated, (A) by reason of the Employee's Disability or Retirement,
          (B) by reason of the Employee's death or (C) by the Employee other
          than for Good Reason, the Company shall pay the Employee his full base
          salary through the Date of Termination at the greater of the rate in
          effect at the time the Change in Control occurred or when the Notice
          of Termination was given (or the Date of Termination in the case of
          the Employee's death), plus any bonuses or incentive compensation
          which pursuant to the terms of any compensation or benefit plan have
          been earned as of the Date of Termination.



               2)   If the Employee's employment with the Company shall be
          terminated for Cause, the Company shall pay the Employee his full base
          salary through the Date of Termination at the rate in effect at the
          time Notice of Termination is given and the Company shall have no
          further obligations to the Employee under this Agreement.

               3)   If the Employee's employment with the Company shall be
          terminated, (A) by the Company other than for Cause or Disability, or
          (B) by the Employee for Good Reason, then the following provisions
          shall apply:

                    (i)    The Company shall, within five (5) days after the
               Date of Termination, pay the Employee (1) his full salary through
               the Date of Termination at the greater of the rate in effect at
               the time the Change in Control occurred or when the Notice of
               Termination was given, plus (2) any bonuses or incentive
               compensation which pursuant to the terms of any compensation or
               benefit plan have been earned but which have not yet been paid
               plus (3) as long as the Company, as a whole, is then performing,
               as evidenced by its most recently available monthly operating
               results, at a level not less than 90% of its budgeted level, an
               amount equal to the target amount the Employee could have earned
               under the Company's annual incentive plan with respect to the
               fiscal year of the Company in which the Date of Termination
               occurs multiplied by a fraction, the numerator of which is the
               number of full months the Employee was employed by the Company
               during the fiscal year of the Company in which the Date of
               Termination occurs and the denominator of which is 12;

                    (ii)   The Company shall, within five (5) days after the
               Date of Termination, pay the Employee a lump sum (together with
               the amounts payable pursuant to clause (iii) below, the
               "Severance Payments") in an amount equal to the product of (A)
               one times (B) the sum of (1) an amount equal to the Employee's
               Annual Base Salary at the rate in effect on October 2, 1993 and
               (2) the target amount the Employee could have earned under the
               Company's annual incentive plan with respect to the fiscal year
               of the Company ending December 31, 1993.

                    (iii)  The Company shall maintain in full force and effect
               for the benefit of the Employee and the Employee's dependents and
               beneficiaries, at the Company's expense (less the amount such
               individual would have paid for such coverage had him employment
               not terminated) until the earlier of (A) the expiration of 18
               months following the date of Termination or (B) the effective
               date of the Employee's employment on a substantially full-time
               basis by a new employer (whether as an employee, consultant or
               independent contractor), all medical insurance,


                                       -2-



               under plans and programs in which the Employee and/or the
               Employee's dependents and beneficiaries participated immediately
               prior to the Date of Termination, provided that continued
               participation is possible under the general terms and provisions
               of such plans and programs.  If participation in any such plan or
               program is barred, the Company shall arrange at its own expense
               (less the amount such individual would have paid for such
               coverage had his employment not terminated) to provide the
               Employee with benefits substantially similar to those which he
               was entitled to receive under such plans and programs.

                    (iv)   Notwithstanding any other provisions of this
               Agreement, in the event that any payment or benefit received or
               to be received by the Employee in connection with a Change in
               Control or the termination of the Employee's employment (whether
               pursuant to the terms of this Agreement or any other plan,
               arrangement or agreement with the Company, any person whose
               actions result in a change in control of the Company or any
               person affiliated with the Company or such person) (all such
               payments and benefits, including the Severance Payments, being
               hereinafter called "Total Payments") would not be deductible (in
               whole or in part), by the Company, an affiliate or Person making
               such payment or providing such benefit as a result of Section
               280G of the Internal Revenue Code of 1986, as amended (the
               "Code"), then, to the extent necessary to eliminate the
               disallowance of the deduction under Section 280G of the Code with
               respect to such portion of the Total Payments (and after taking
               into account any reduction in the Total Payments provided by
               reason of Section 280G of the Code in such other plan,
               arrangement or agreement) the Severance Payments shall be reduced
               (if necessary, to zero). For purposes of this limitation (w) no
               portion of the Total Payments the receipt or enjoyment of which
               the Employee shall have effectively waived in writing prior to
               the Date of Termination shall be taken into account, (x) no
               portion of the Total Payments shall be taken into account which
               in the opinion of tax counsel selected by the Company's
               independent auditors and acceptable to the Employee does not
               constitute a "parachute payment" within the meaning of Section
               280G(b)(2) of the Code (including by reason of Section
               280G(b)(4)(A) of the Code), (y) the Severance Payments shall be
               reduced only to the extent necessary so that the Total Payments
               (other than those referred to in clauses (w) or (x) in their
               entirety constitute reasonable compensation for services actually
               rendered, within the meaning of Section 280G(B)(4)(B) of the
               Code, or are not otherwise subject to disallowance as deductions
               under Section 280G of the Code, in the opinion of the tax counsel
               referred to in clause (x), and (z) the value of any non-cash
               benefit or any deferred payment or benefit included in the Total
               Payments shall be determined by the Company's independent
               auditors in accordance with the principles of Sections 280G(d)(3)
               and (4)


                                       -3-



               of the Code.  If it is established pursuant to a final
               determination of a court or an Internal Revenue Service
               proceeding that, notwithstanding the good faith of the Employee
               and the Company in applying the terms of this Section
               2(a)(3)(iv), the aggregate "parachute payments" paid to or for
               the Employee's benefit are in an amount that would result in any
               portion of such "parachute payments" not being deductible by
               reason of Section 280G of the Code, then the Employee shall have
               an obligation to pay the Company upon demand an amount equal to
               the excess of the aggregate "parachute payments" paid to or for
               the Employee's benefit over the aggregate "parachute payments"
               that could have been paid to or for the Employee's benefit
               without any portion of such "parachute payments" not being
               deductible by reason of Section 280G of the Code.

          (b)  The Employee shall not be required to mitigate the amount of any
     payment or benefit provided for in Paragraph 2(a) by seeking other
     employment or otherwise; nor shall the amount of any payment or benefit
     provided for in Paragraph 2(a) be reduced by any compensation earned by the
     Employee as a result of employment or otherwise.  The amount of any payment
     or benefit provided for in Section 2 shall be in lieu of any compensation
     or benefits for severance pay due the Employee under any other written
     agreement entered into between the Company and the Employee.  Payment to
     the Employee pursuant to this Agreement shall constitute the entire
     obligation of the Company and the Subsidiary for severance pay and full
     settlement of any claim for severance pay under law or in equity that the
     Employee might otherwise assert against the Company and any Subsidiary or
     any of their employees, officers or directors on account of the Employee's
     termination.

          (c)  For purposes of this Agreement the following definitions shall
     apply:

          1)   "Change in Control" shall mean any of the following events:

                    (i)    An acquisition (other than directly from the Company)
               of any voting securities of the Company (the "Voting Securities")
               by any "Person" (as the term Person is used for purposes of
               Section 13(d) or 14(d) of the Securities Exchange Act of 1934, as
               amended (the "1934 Act")) immediately after which such Person has
               "Beneficial Ownership" (within the meaning of Rule 13d-3
               promulgated under the 1934 Act) of twenty percent (20%) or more
               of the combined voting power of the ten outstanding Voting
               Securities; provided, however, that in determining whether a
               Change in Control has occurred, Voting Securities which are
               acquired in a "Non-Control Acquisition" (as hereinafter defined)
               shall not constitute an acquisition which would cause a Change in
               Control.  A "Non-Control Acquisition" shall mean an acquisition
               by (i) an employee benefit plan (or a trust forming a part
               thereof) maintained by (A) the Company or (B) any corporation or
               other Person of which a majority of


                                       -4-



               its voting power or its equity securities or equity interest is
               owned directly or indirectly by the Company (a "Subsidiary") or
               (ii) the Company or any Subsidiary.

                    (ii)   The individuals who, as of the date hereof, are
               members of the Board (the "Incumbent Board"), cease for any
               reason to constitute at least two-thirds of the Board; provided,
               however, that if the election, or nomination for election by the
               Company's stockholders, of any new director was approved by a
               vote of at least two-thirds of the Incumbent Board, such new
               director shall, for purposes of this Agreement, be considered as
               a member of the Incumbent Board; provided, further, however, that
               no individual shall be considered a member of the Incumbent Board
               if (1) such individual initially assumed office as a result of
               either an actual or threatened "Election Contest" (as described
               in Rule 14a-11 promulgated under the 1934 Act) or other actual or
               threatened solicitation of proxies or consents by or on behalf of
               a Person other than the Board (a "Proxy Contest") including by
               reason of any agreement intended to avoid or settle any Election
               Contest or Proxy Contest or (2) such individual was designated by
               a Person who has entered into an agreement with the Company to
               effect a transaction in clause (i) or (iii) of this Section
               2(c)(1); or

                    (iii)  Approval by stockholders of the Company of:

                         (1)  A merger, consolidation or reorganization
                    involving the Company, unless

                              (A)  The stockholders of the Company, immediately
                         before such merger, consolidation or reorganization,
                         own directly or indirectly immediately following such
                         merger, consolidation or reorganization, at least
                         seventy-five percent (75%) of the combined voting power
                         of the outstanding Voting Securities of the corporation
                         resulting from such merger or consolidation or
                         reorganization or its parent corporation (the
                         "surviving Corporation") in substantially the same
                         proportion as their ownership of the Voting Securities
                         immediately before such merger, consolidation or
                         reorganization;

                              (B)  The individuals who were members of the
                         Incumbent Board immediately prior to the execution of
                         the agreement providing for such merger, consolidation
                         or reorganization constitute at least two-thirds of the
                         members of the board of directors of the Surviving
                         Corporation; and

                                       -5-


                              (C)  No Person (other than the Company, any
                         Subsidiary, any employee benefit plan (or any trust
                         forming a part thereof) maintained by the Company, the
                         Surviving Corporation of any subsidiary, or any Person
                         who, immediately prior to such merger, consolidation or
                         reorganization had Beneficial Ownership of twenty
                         percent (20%) or more of the then outstanding Voting
                         Securities has Beneficial Ownership of twenty percent
                         (20%) or more of the combined voting power of the
                         Surviving Corporation's then outstanding Voting
                         Securities.

                         (2)  A complete liquidation or dissolution of the
                    Company; or

                         (3)  an agreement for the sale or other disposition of
                    all or substantially all of the assets of the Company to any
                    Person (other than a transfer to a Subsidiary).

     Not withstanding the foregoing, a Change in Control shall not be deemed to
occur solely because any Person (the "Subject Person") acquired Beneficial
Ownership of more than the permitted amount of the outstanding Voting Securities
as a result of the acquisition of Voting Securities by the Company which, by
reducing the number of Voting Securities outstanding, increases the proportional
number of shares Beneficially Owned by the Subject person, provided that if a
Change in Control would occur (but for the operation of this sentence) as a
result of the acquisition of Voting Securities by the Company, and after such
share acquisition by the Company, the Subject Person becomes the Beneficial
Owner of any additional Voting Securities which increases the percentage of the
ten outstanding Voting Securities Beneficially Owned by the Subject Person,
then a Change in Control shall occur.

               2)   "Disability" shall mean a physical or mental illness which
          impairs the Employee's ability to substantially perform his duties as
          an Employee and as a result of which the Employee shall have been
          absent from his duties with the Company on a full-time basis for six
          (6) consecutive months.

               3)   "Retirement" shall mean the voluntary termination of the
          Employee's employment after having attained age sixty-five (65) or
          such other age as shall have been fixed in any qualified retirement
          arrangement established by the Company with the Employee's consent.

               4)   A termination for "Cause" is a termination (i) by reason of
          the conviction of the Employee, by a court of competent jurisdiction
          and following the exhaustion of all possible appeals, of a criminal
          act classified as a felony or involving moral turpitude or (ii)
          pursuant to a determination by no less than a majority of the persons
          designated by the Company prior to Change in Control

                                       -6-



          to serve as members of the board of directors of the ultimate parent
          company following a merger, consolidation or reorganization involving
          the Company and still serving the ultimate parent company as a member
          of the board of directors, that the Employee either (x) intentionally
          failed substantially to perform his reasonably assigned duties with
          the Company (other than a failure resulting from the Employee's
          incapacity due to physical or mental illness or from the Employee's
          assignment of duties that would constitute "Good Reason" as
          hereinafter defined) or (y) intentionally acted in a fraudulent and
          unethical manner in the course of performing his duties.  No act, nor
          failure to act on the Employee's part, shall be considered
          "intentional" unless the Employee has acted, or failed to act, with a
          lack of good faith and with a lack of reasonable belief that the
          Employee's action or failure to act was in the best interest of the
          Company

               5)   "Good Reason" shall mean the occurrence after a Change in
          Control of any of the following events without the Employee's express
          written consent:

                    (i)    any change in the Employee's title, authorities
               responsibilities (including reporting responsibilities) which, in
               the Employee's reasonable judgement, represents an adverse change
               from his status, title, position or responsibilities (including
               reporting responsibilities) which were in effect immediately
               prior to the Change in Control or from his status, title,
               position or responsibilities (including reporting
               responsibilities) which were in effect following a change in
               Control pursuant to the Employee's consent to accept any such
               change; the assignment to him of any duties or work
               responsibilities which, in his reasonable judgment, are
               inconsistent with such status, title, position or work
               responsibilities; or any removal of the Employee from, or failure
               to reappoint or reelect him to any of such positions, except if
               any such changes are because of Disability, Retirement, death or
               Cause;

                    (ii)   a reduction by the Company in (or the failure by the
               Company to pay any portion of) the Employee's Annual Base Salary
               as in effect on the date hereof or as the same may be increased
               from time to time;

                    (iii)  the relocation of the Employee's office at which he
               is to perform his duties, to a location more that (30) miles from
               the location at which the Employee performed his duties prior to
               the Change in Control, except for required travel on the
               Company's business to an extent substantially consistent with his
               business travel obligations prior to the Change in Control;

                                       -7-



                    (iv)   the adverse and substantial alteration of the nature
               and quality of the office space within which the Employee
               performed his duties prior to a Change in Control as well as in
               the secretarial and administrative support provided to the
               Employee, provided however that a reasonable alteration of the
               secretarial or administrative support provided to the Employee as
               a result of reasonable measures implemented by the Company to
               effectuate a cost-reduction or consolidation program shall not
               constitute Good Reason hereunder;

                    (v)    the failure by the Company to provide (until the
               expiration of two (2) years after the occurrence of a Change in
               Control) to the Employee compensation and benefits (including,
               without limitation, incentive, bonus and other compensation plans
               and any vacation, medical, hospitalization, life insurance,
               dental or disability benefit plan), or cash compensation in lieu
               thereof, which are, in the aggregate, no less favorable than
               those provided by the Company to the Employee immediately prior
               to the occurrence of the Change in Control;

                    (vi)   any material breach by the Company of any provision
               of this Agreement;

                    (vii)  the failure of the Company to obtain a satisfactory
               agreement from any successor or assign of the Company to assume
               and agree to perform this Agreement, as contemplated in Section 3
               hereof; or

                    (viii) any purported termination of the Employee's
               employment which is not effected pursuant to a Notice of
               Termination substantially satisfying the requirements of
               Paragraph 2(c)(6) below; and for purposes of this Agreement, no
               such purported termination shall be effective. The Employee's
               right to terminate his employment for Good Reason shall not be
               affected by his incapacity due to physical or mental illness.

     Continuation of employment by the Employee shall not constitute consent to,
or a waiver of rights with respect to, any circumstances constituting "Good
Reason" hereunder provided, however, that the Employee's continued employment
after the expiration of sixty (60) days from any action which would constitute
Good Reason under paragraph (i) above shall constitute a waiver of rights with
respect to such action constituting Good Reason hereunder.

          6)   "Notice of Termination" shall mean a notice which shall set forth
     in reasonable detail the facts and circumstances claimed to provide a basis
     for termination of the Employee's employment. Any purported termination by
     the Company or by the Employee shall be communicated by written Notice of
     Termination to the other party hereto in accordance with Section 5 hereof.
     For


                                       -8-

 

     purposes of this Agreement, no such purported termination shall be
     effective without such Notice of Termination.

               7)   "Date of Termination" shall mean:

                    (i)    if the Employee's employment is terminated for
               Disability, thirty (30) days after Notice of Termination is given
               (provided that the Employee shall not have returned to the
               performance of his duties with the Company on a full-time basis
               during such thirty (30) day period);

                    (ii)   if the Employee's employment is terminated on account
               of his death, the date of his death; and

                    (iii)  if the Employee's employment is terminated for any
               other reason, the date specified in the Notice of Termination
               (which in the case of a termination pursuant to Paragraph 2(c)(4)
               above shall not be less than thirty (30) days, and in the case of
               a termination pursuant to Paragraph 2(c)(5) above shall not be
               more than sixty (60) days, after the date such Notice of
               Termination is given); provided that if within thirty (30) days
               after any Notice of Termination is given the party receiving such
               Notice of Termination notifies the other party that a dispute
               exists concerning the termination, the Date of Termination shall
               be the date on which the dispute is finally determined either by
               mutual written agreement of the parties, or by the final
               judgment, order or decree of a court of competent jurisdiction
               (the time for appeal therefrom having expired and no appeal
               having been taken).

               8)   "Annual Base Salary" shall mean that yearly compensation
          rate established from time to time by the Company as an employee's
          regular compensation for the next succeeding twelve (12) month period,
          payable to an employee by the Company's payroll checks on a periodic
          basis.

     3.   SUCCESSORS; BINDING AGREEMENT.

     (a)  The Company will require any successor or assign (whether direct or
indirect, by purchase, merger, consolidation or otherwise) to all or
substantially all of the business and/or assets of the Company to expressly
assume and agree to perform this Agreement in the same manner and to the same
extent the Company would be required to perform it if no such succession or
assignment had taken place. As used in this Agreement, "Company" shall mean the
Company as hereinbefore defined and any successor or assign to its business
and/or assets as aforesaid which assumes and agrees to perform this Agreement by
operation of law, or otherwise. For convenience only, and not as an
acknowledgement that the Company employs the Employee, "Company" is used in this
Agreement to identify either the Company, the


                                       -9-

 

Company and one or more of its Subsidiaries or the Subsidiary which employs the
Employee, as the context shall require.

     (b)  This Agreement shall inure to the benefit of and be enforceable by the
Employee's personal and legal representatives, executors, administrators,
successors, heirs, distributees, devisees and legatees. If the Employee should
die while any amounts would still be payable to him hereunder if he had
continued to live, all such amounts, unless otherwise provided herein, shall be
paid in accordance with the terms of this Agreement to the Employee's devisee,
legatee or other designee and if there is no such devisee, legatee or designee,
to the Employees's estate.

     4.   FEES AND EXPENSES. Following a Change in Control, the Company shall
pay all reasonable legal fees and related expenses (including the reasonable
costs of experts, evidence and counsel), when and as incurred by the Employee,
as a result of (a) contesting or disputing any termination of employment of the
Employee whether or not such contest or dispute is resolved in the Employee's
favor but if only such contest or dispute is pursued by the Employee in good
faith or (b) the Employee seeking to obtain or enforce any right or benefit
provided by this Agreement or by any other plan or arrangement maintained by the
Company under which the Employee is or may be entitled to receive benefits (but
only if the Employee acts in good faith in seeking to obtain or enforce such
right or benefit) or (c) any tax audit or proceeding to the extent attributable
to the application of Section 4999 of the Code to any payment or benefit
hereunder.

     5.   NOTICE. For the purposes of this Agreement, notices and all other
communications provided for in the Agreement shall be in writing and shall be
deemed to have been duly given when personally delivered or sent by certified
mail, return receipt requested, postage prepaid, addressed to the respective
addresses last given by each party to the other, provided that all notices to
the Company shall be directed to the attention of the Board with a copy to the
Secretary of the Company, or to such other address as either party may have
furnished to the other in writing in accordance herewith. All notices and
communications shall be deemed to have been received on the date of delivery
thereof or on the third business day after the mailing thereof, except that
notice of change of address shall be effective only upon receipt.

     6.   MISCELLANEOUS. No provision of this Agreement may be modified, waived
or discharged unless such modification, waiver or discharge is agreed to in
writing and signed by the Employee and such officer of the Company as may be
specifically designated by the Board. No waiver by either party hereto at any
time of any breach by the other party hereto of, or compliance with, any
condition or provision of this Agreement to be performed by such other party
shall be deemed a waiver of similar or dissimilar provisions or conditions at
the same or at any prior or subsequent time. No agreement or representations,
oral or otherwise, express or implied, with respect to the subject matter hereof
have been made by either party which are not expressly set forth in this
Agreement. The obligations of the Company under Section 2 shall survive the
expiration of the term of this Agreement.

                                      -10-

 

     7.   GOVERNING LAW. This Agreement shall be governed by and construed and
enforced in accordance with the laws of Tennessee without giving effect to the
conflicts of laws principles thereof. Any action brought by any party to this
Agreement shall be brought and maintained in a court of competent jurisdiction
in Davidson County in the State of Tennessee and the parties hereto hereby
consent to the jurisdiction of such courts.

     8.   SEVERABILITY. The provisions of this Agreement shall be deemed
severable and the invalidity or unenforceability of any provision shall not
affect the validity or enforceability of the other provisions hereof.

     9.   ENTIRE AGREEMENT. This Agreement constitutes the entire agreement
between the parties hereto and supersedes all prior agreements, understandings
and arrangements, oral or written between the parties hereto with respect to the
subject matter hereof.

     10.  COUNTERPARTS. This Agreement may be executed in several counterparts,
each of which shall be deemed to be an original but all of which together will
constitute one and the same instrument.

     11.  NON-EXCLUSIVITY OF RIGHTS. Nothing in this Agreement shall prevent or
limit the Employee's continuing or future participation in any benefit, bonus,
incentive or other plan or program provided by the Company (except for any
severance or termination policies, plans, programs or practices) and for which
the Employee may qualify, nor shall anything herein limit or reduce such rights
as the Employee may have under any other agreements with the Company (except for
any severance or termination agreement). Amounts which are vested benefits or
which the Employee is otherwise entitled to receive under any plan or program of
the Company shall be payable in accordance with such plan or program, except as
explicitly modified by this Agreement.

                                        HCA-HOSPITAL CORPORATION OF AMERICA


                                        By:
                                           ------------------------------------
                                             Thomas F. Frist, Jr.
                                             Chairman of the Board,
                                             President and Chief Executive
                                             Officer

                                        HOSPITAL CORPORATION OF AMERICA


                                        By:
                                           ------------------------------------
                                             Philip R. Patton
                                             Senior Vice President, Human
                                             Resources


                                        ---------------------------------------
                                        Employee:

                                      -11-