Draft of January 23, 1997
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                             TENET HEALTHCARE CORPORATION



                                         and


                 DONALDSON, LUFKIN & JENRETTE SECURITIES CORPORATION
                                 GOLDMAN, SACHS & CO.
                  MERRILL LYNCH, PIERCE, FENNER & SMITH INCORPORATED
                             J.P. MORGAN SECURITIES INC.
                                  SMITH BARNEY INC.

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


                                UNDERWRITING AGREEMENT

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






                             Dated as of January __, 1997









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



                             TENET HEALTHCARE CORPORATION

                             ____% SENIOR NOTES DUE 2003

                             ____%  SENIOR NOTES DUE 2005

                       ___% SENIOR SUBORDINATED NOTES DUE 2007


                                UNDERWRITING AGREEMENT



                                                               January __, 1997



DONALDSON, LUFKIN & JENRETTE
  SECURITIES CORPORATION
GOLDMAN, SACHS & CO.
MERRILL LYNCH, PIERCE, FENNER
  & SMITH INCORPORATED
J.P. MORGAN SECURITIES INC.
SMITH BARNEY INC.
c/o Donaldson, Lufkin & Jenrette Securities Corporation
    140 Broadway
    New York, New York 10005


Ladies and Gentlemen:

         Subject to the terms and conditions herein contained, Tenet Healthcare
Corporation, a Nevada corporation (the "Company"), proposes to issue and sell to
Donaldson, Lufkin & Jenrette Securities Corporation ("DLJ") and Goldman, Sachs &
Co., J.P. Morgan Securities Inc., Merrill Lynch, Pierce, Fenner & Smith
Incorporated and Smith Barney Inc. (together with DLJ, the "Underwriters") an
aggregate of $400 million principal amount of its ____% Senior Notes due 2003,
an aggregate of $900.0 million principal amount of its ___% Senior Notes due
2005 and an aggregate of $700.0 million principal amount of its ___% Senior
Subordinated Notes due 2007 (together, the "Securities"). The 2003 Senior Notes
are to be issued pursuant to the provisions of an Indenture (the "2003 Senior
Note Indenture") to be dated as of January 15, 1997, by and between the Company
and The Bank of New York, as Trustee (the "2003 Senior Note Trustee"). The 2005
Senior Notes are to be issued pursuant to the provisions of an Indenture (the
"2005 Senior Note Indenture") to be dated as of January 15, 1997, by and between
the Company and The Bank of New York, as Trustee (the "2005 Senior Note
Trustee").  The Senior Subordinated Notes are to be issued pursuant to the
provisions of an Indenture (the "Senior Subordinated Note Indenture" and,
together with the 2003 Senior Note Indenture and the 2005 Senior Note Indenture,
the "Indentures") to be dated as of January 15, 1997 by and between the Company
and The Bank of New York, as Trustee (the "Senior Subordinated Note Trustee"
and, together with the 2003 Senior Note Trustee and the 2005 Senior Note
Trustee, the "Trustees").



    The Securities are being issued and sold in connection with the acquisition
(the "Acquisition") of OrNda HealthCorp, a Delaware corporation ("OrNda"), by
the Company.  The Acquisition is being effected pursuant to an Agreement and
Plan of Merger, dated as of October 16, 1996, as amended as of November 22, 1996
(the "Merger Agreement"), by and among the Company, OHC Acquisition Co., a
Delaware corporation and a wholly owned subsidiary of the Company (the "Merger
Sub"), and OrNda.  Pursuant to the Merger Agreement, the Company will acquire
all of the issued and outstanding capital stock of OrNda (the "Merger").  At the
time the Merger is consummated (the "Effective Time of the Merger") and pursuant
to the Merger Agreement, Merger Sub will be merged with and into OrNda with
OrNda as the surviving corporation.  Prior to or concurrently with the issuance
and sale of the Securities, the Company will enter into a new bank credit
facility (together with the documents and agreements contemplated thereby, the
"New Credit Facility") with Morgan Guaranty Trust Company of New York, Bank of
America NT&SA, The Bank of New York and the Bank of Nova Scotia, as arranging
agents, and certain lenders named therein.  The Merger Agreement, the New Credit
Facility, this Agreement, the Securities and the Indentures are collectively
referred to herein as the "Transaction Documents."

         1.   REGISTRATION STATEMENT AND PROSPECTUS.  The Company has prepared
and filed with the Securities and Exchange Commission (the "Commission") in
accordance with the provisions of the Securities Act of 1933, as amended, and
the rules and regulations of the Commission promulgated pursuant thereto
(collectively, the "Act"), a registration statement on Form S-3 (No. 333-17907),
with respect to the Securities, including a preliminary prospectus, subject to
completion, relating to the Securities. The registration statement, as amended
at the time it becomes effective or, if a post-effective amendment is filed with
respect thereto, as amended by such post-effective amendment at the time of its
effectiveness (including in each case any related registration statement, if
any, increasing the size of the offering pursuant to Rule 462(b) under the Act,
all documents incorporated or deemed to be incorporated by reference therein, if
any, all financial statements and exhibits, and the information, if any,
contained in a prospectus subsequently filed with the Commission pursuant to
Rule 424(b) under the Act and deemed to be a part of the registration statement
at the time of its effectiveness pursuant to Rule 430A of the Act) is
hereinafter referred to as the "Registration Statement"; and the prospectus
constituting a part of the Registration Statement at the time it became
effective, or such revised prospectus as shall be provided to the Underwriters
for use in connection with the offering of the Securities that differs from the
prospectus on file with the Commission at the time the Registration Statement
became effective (including, in each case, all documents incorporated or deemed
to be incorporated by reference therein, if any), whether or not filed with the
Commission pursuant to Rule 424(b) under the Act, is hereinafter referred to as
the "Prospectus." Any reference herein to the Registration Statement, the
Prospectus, any amendment or supplement thereto or any preliminary prospectus
shall be deemed to refer to and include the documents incorporated by reference
therein, and any reference herein to the terms "amend," "amendment" or
"supplement" with respect to the Registration Statement or Prospectus shall be
deemed to refer to and include the filing after the execution hereof of any
document with the Commission deemed to be incorporated by reference therein.

         2.   AGREEMENTS TO SELL AND PURCHASE.  On the basis of the
representations and warranties contained in this Agreement, and subject to its
terms and conditions, the Company agrees to issue and sell to the Underwriters,
and the Underwriters agree, severally and not jointly, to purchase from the
Company (i) the 2003 Senior Notes in the respective principal amounts set forth
opposite their names on Schedule I hereto, plus such amount as they may
individually become obligated to purchase pursuant to Section 8 hereof, at a
purchase price equal to __% of the principal amount of the 2003 Senior Notes,
together with accrued interest, if any, to the Closing Date (the "2003 Senior
Note Purchase Price"), (ii) the 2005 Senior Notes in the respective principal
amounts set forth opposite their names on Schedule II hereto, plus such amount
as they may individually become obligated to purchase pursuant to Section 8
hereof, at a purchase price equal to ____% of the principal amount of the 2005
Senior Notes, together with accrued interest, if any, to the Closing Date (the
"2005 Senior Note Purchase Price") and (iii) the Senior Subordinated Notes in
the respective principal amounts set forth opposite their names on Schedule III
hereto, plus such amounts as they may individually become obligated to purchase
pursuant to Section 8 hereof, at a purchase price equal to ____% of the
principal amount of the Senior Subordinated Notes, together


                                        - 2 -




with accrued interest, if any, to the Closing Date (the "Senior Subordinated
Note Purchase Price" and, together with the 2003 Senior Note Purchase Price and
the 2005 Senior Note Purchase Price, the "Purchase Price").

         3.   DELIVERY AND PAYMENT.  Delivery to you of and payment for the
Securities shall be made at 9:00 A.M., New York City time, on January __, 1997
(such time and date being referred to as the "Closing Date"), at the offices of
DLJ at 277 Park Avenue, New York, New York 10172, or such other place as you
shall reasonably designate.

         The Securities in definitive form shall be registered in such names
and issued in such denominations as you shall request in writing not later than
two full business days prior to the Closing Date, and shall be made available to
you at the offices of DLJ (or at such other place as shall be acceptable to you)
for inspection not later than 10:00 A.M., New York City time, on the business
day next preceding the Closing Date. The Securities shall be delivered to you on
the Closing Date with any transfer taxes payable upon initial issuance thereof
duly paid by the Company, for your respective accounts against payment of the
appropriate Purchase Price by wire transfer of immediately available funds to an
account designated by the Company.  The Closing Date and the location of
delivery of, and the form of payment for, the Securities may be varied by
agreement between DLJ and the Company.

         4.   AGREEMENTS OF THE COMPANY.  The Company agrees with each of you
that:

         (a) It will, if the Registration Statement has not heretofore become
    effective under the Act, and if otherwise necessary or required by law,
    file an amendment to the Registration Statement or, if necessary pursuant
    to Rule 430A of the Act, a post-effective amendment to the Registration
    Statement, in each case as soon as practicable after the execution and
    delivery of this Agreement, and it will use its best efforts to cause the
    Registration Statement or such post-effective amendment to become effective
    at the earliest possible time. If the Registration Statement has become
    effective and the Company, omitting from the Prospectus certain information
    in reliance upon Rule 430A of the Act, elects not to file a post-effective
    amendment pursuant to Rule 430A of the Act, it will file the form of
    Prospectus required by Rule 424(b) of the Act within the time period
    specified by Rule 430A and Rule 424(b) of the Act. The Company will
    otherwise comply in a timely manner with all applicable provisions of Rule
    424 and Rule 430A of the Act.

         (b) It will advise DLJ promptly and, if requested by DLJ, confirm such
    advice in writing, (i) when the Registration Statement has become
    effective, if and when the Prospectus is sent for filing pursuant to Rule
    424 of the Act and when any post-effective amendment to the Registration
    Statement becomes effective, (ii) of the receipt of any comments from the
    Commission or any state securities commission or any other regulatory
    authority that relate to the Registration Statement or requests by the
    Commission or any state securities commission or any other regulatory
    authority for any amendment or supplement to the Registration Statement or
    any amendment or supplements to the Prospectus or for additional
    information, (iii) of the issuance by the Commission of any stop order
    suspending the effectiveness of the Registration Statement, or of the
    suspension of qualification of the Securities for offering or sale in any
    jurisdiction, or the initiation of any proceeding for such purpose by the
    Commission or any state securities commission or any other regulatory
    authority and (iv) of the happening of any event during the period referred
    to in paragraph (d), below, which makes any statement of a material fact
    made in the Registration Statement untrue or which requires the making of
    any additions to or changes in the Registration Statement in order to make
    the statements therein not misleading or that makes any statement of a
    material fact made in the Prospectus untrue or which requires the making of
    any addition to or change in the Prospectus in order to make the statements
    therein, in light of the circumstances under which they were made, not
    misleading. The Company shall use its best efforts to prevent the issuance
    of any stop order or order suspending the qualification or exemption of the
    Securities under any Federal or state securities or Blue Sky laws, and, if
    at any time the Commission shall issue any stop order suspending the
    effectiveness of the Registration Statement, or any state securities
    commission or any other regulatory


                                        - 3 -




    authority shall issue an order suspending the qualification or exemption of
    the Securities under any state securities or Blue Sky laws, the Company
    shall use every reasonable effort to obtain the withdrawal or lifting of
    such order at the earliest possible time.

         (c) Promptly after the Registration Statement becomes effective, and
    from time to time thereafter for such period as in your reasonable judgment
    a prospectus is required to be delivered in connection with sales of the
    Securities by an Underwriter or a dealer, it will furnish to each
    Underwriter and each dealer, without charge, as many copies of the
    Prospectus, including all documents incorporated by reference therein, (and
    of any amendment or supplement to the Prospectus) as you may reasonably
    request.

         (d) If during the period specified in paragraph (c) of this Section 4
    any event shall occur as a result of which it becomes necessary to amend or
    supplement the Prospectus in order to make the statements therein, in the
    light of the circumstances existing as of the date the Prospectus is
    delivered to an offeree or a purchaser, not misleading, or if it is
    necessary to amend or supplement the Prospectus to comply with any law, it
    will promptly prepare and file with the Commission an appropriate amendment
    or supplement to the Prospectus so that the statements in the Prospectus,
    as so amended or supplemented, will not, in the light of the circumstances
    existing as of the date the Prospectus is so delivered, be misleading, and
    will comply with applicable law, and will promptly notify you of such event
    and amendment or supplement and furnish to you without charge such number
    of copies thereof as you may reasonably request.

         (e) It will make generally available to its security holders, as soon
    as practicable and for the time period specified by Rule 158 under the Act,
    a consolidated earnings statement which shall satisfy the provisions of
    Section 11(a) and Rule 158 of the Act.

         (f) Whether or not the transactions contemplated hereby are
    consummated or this Agreement is terminated, it will pay and be responsible
    for all reasonable costs, charges, expenses, fees and taxes incurred in
    connection with or incident to (i) the preparation, printing, filing,
    distribution and delivery under the Act of the Registration Statement
    (including financial statements and exhibits), each preliminary prospectus,
    the Prospectus and all amendments and supplements thereto, (ii) the
    registration with the Commission and the issuance and delivery of the
    Securities, (iii) the printing and delivery of this Agreement, the
    Indentures and all other agreements, memoranda, reports, correspondence and
    other documents printed, distributed and delivered in connection with the
    offering of the Securities, (iv) the registration or qualification of the
    Securities for offer and sale under the securities or Blue Sky laws of the
    jurisdictions referred to in paragraph (i) below (including, in each case,
    the reasonable fees and disbursements of counsel relating to such
    registration or qualification and memoranda relating thereto and any filing
    fees in connection therewith), (v) furnishing such copies of the
    Registration Statement (including exhibits), Prospectus and preliminary
    prospectuses, and all amendments and supplements to any of them, including
    any document incorporated by reference therein, as may be reasonably
    requested by the Underwriters or by dealers to whom Securities may be sold,
    (vi) any filing with the National Association of Securities Dealers, Inc.
    (the "NASD") in connection with the offering of the Securities (including,
    without limitation, any filing fees in connection therewith but excluding
    the fees of Sullivan & Cromwell, legal counsel to the Underwriters
    ("Underwriters' Counsel")), (vii) the listing of the Securities on the New
    York Stock Exchange (the "NYSE"), (viii) the rating of the Securities by
    investment rating agencies, (ix) any "qualified independent underwriter" as
    required by Rule 2720 of the NASD (including fees and disbursements of
    counsel for such qualified independent underwriter) and (x) the performance
    by the Company of its other obligations under this Agreement, including
    (without limitation) the fees of the Trustees, the cost of their respective
    personnel and other internal costs, the cost of printing and engraving the
    certificates representing the Securities, and all expenses incident to the
    sale and delivery of the Securities to the Underwriters.



                                        - 4 -




         (g) It will furnish to DLJ, without charge, one signed copy (plus one
    additional signed copy to Underwriters' Counsel) of the Registration
    Statement as first filed with the Commission and of each amendment or
    supplement to it, including each post-effective amendment, all exhibits
    filed therewith and all documents incorporated by reference therein, and
    such number of conformed copies of the Registration Statement as so filed
    and of each amendment to it, including each post-effective amendment, but
    without exhibits, as you may reasonably request.

         (h) It will not file any amendment or supplement to the Registration
    Statement, whether before or after the time when it becomes effective, or
    make any amendment or supplement to the Prospectus (other than any document
    required to be filed under the Securities Exchange Act of 1934, as amended,
    including the rules and regulations thereunder (collectively, the "Exchange
    Act") that upon filing is deemed to be incorporated by reference therein)
    of which you shall not previously have been advised and provided a copy
    prior to the filing thereof or to which you shall reasonably object unless
    in the opinion of legal counsel to the Company such amendment or supplement
    is required by law to be filed; it will furnish to you at or prior to the
    filing thereof a copy of any document that upon filing is deemed to be
    incorporated by reference in the Registration Statement or Prospectus; and
    it will prepare and file with the Commission, promptly upon your reasonable
    request, any amendment or supplement to the Registration Statement or
    amendment or supplement to the Prospectus which may be necessary or
    advisable in connection with the distribution of the Securities by you, and
    will use its best efforts to cause the same to become effective as promptly
    as possible.

         (i) Prior to any public offering of the Securities, it will cooperate
    with you and Underwriters' Counsel in connection with the registration or
    qualification of the Securities for offer and sale by the Underwriters
    under the state securities or Blue Sky laws of such United States
    jurisdictions as you may request. The Company will continue such
    qualification in effect so long as required by law for distribution of the
    Securities and will file such consents to service of process or other
    documents as may be necessary in order to effect such registration or
    qualification (PROVIDED, that the Company shall not be obligated to qualify
    as a foreign corporation in any jurisdiction in which it is not so
    qualified nor to take any action that would subject it to general consent
    to service of process in any jurisdiction in which it is not now so
    subject).

         (j) It timely will complete all required filings and otherwise comply
    fully in a timely manner with all provisions of the Exchange Act to effect
    the registration of the Securities pursuant thereto, and, during the period
    specified in paragraph (c) of this Section 4, will file timely all reports
    and any definitive proxy or information statement required to be filed by
    the Company with the Commission pursuant to Sections 13(a), 13(c), 14 or
    15(d) of the Exchange Act and it will use its best efforts to cause the
    Securities to be listed on the NYSE.

         (k) To the extent permitted by law, it will not voluntarily claim, and
    will actively resist any attempts to claim, the benefit of any usury laws
    against the holders of the Securities.

         (l) It will use the proceeds from the sale of the Securities in the
    manner described in the Prospectus under the caption "Use of Proceeds."

         (m) During the period beginning on the date of this Agreement and
    continuing to and including the Closing Date, it will not offer, sell,
    contract to sell or otherwise dispose of any debt securities of the Company
    or warrants, rights, or options to purchase debt securities of the Company
    (other than (i) the Securities and (ii) commercial paper issued in the
    ordinary course of business), without your prior written consent.



                                        - 5 -




         (n) It will use its best efforts to do and perform all things required
    to be done and performed under this Agreement by it prior to or after the
    Closing Date and will use its reasonable best efforts to satisfy all
    conditions precedent on its part to be satisfied prior to the delivery of
    the Securities.

         5.   REPRESENTATIONS AND WARRANTIES.  The Company represents and
warrants to each Underwriter that:

         (a) When the Registration Statement becomes effective, including on
    the date of effectiveness of any post-effective amendment, at the date of
    the Prospectus (if different) and at the Closing Date, the Registration
    Statement will comply in all material respects with the provisions of the
    Act, and will not contain any untrue statement of a material fact or omit
    to state any material fact required to be stated therein or necessary to
    make the statements therein not misleading; at the date of the Prospectus,
    at the date of any supplement or amendment to the Prospectus and at the
    Closing Date, the Prospectus and each supplement or amendment thereto will
    not contain any untrue statement of a material fact or omit to state any
    material fact necessary in order to make the statements therein, in the
    light of the circumstances under which they were made, not misleading,
    except that the representations and warranties contained in this
    paragraph (a) shall not apply to statements in or omissions from the
    Registration Statement or the Prospectus (or any supplement or amendment to
    them) made in reliance upon and in conformity with information relating to
    any Underwriter furnished to the Company in writing by or on behalf of any
    Underwriter through DLJ expressly for use therein. The Company acknowledges
    for all purposes under this Agreement (including this paragraph and Section
    6 hereof) that the statements set forth in the last paragraph on the cover
    page and the third paragraph under the caption "Underwriting" in the
    Prospectus constitute the only written information furnished to the Company
    by or on behalf of any Underwriter through DLJ expressly for use in the
    Registration Statement, the preliminary prospectus, or the Prospectus (or
    any amendment or supplement to any of them) and that the Underwriters shall
    not be deemed to have provided any information (and therefore are not
    responsible for any statements or omissions) pertaining to any arrangement
    or agreement with respect to any party other than the Underwriters. When
    the Registration Statement becomes effective, the Indentures will be deemed
    to have been qualified under and will conform in all material respects to
    the requirements of the Trust Indenture Act of 1939, as amended, and the
    rules and regulations promulgated pursuant thereto (collectively, the
    "TIA"). At the date of any post-effective amendment to the Registration
    Statement, at the date of the Prospectus and any amendment or supplement
    thereto (if different) and at the Closing Date, the qualification of the
    Indentures under the TIA will not have been suspended and the Indentures
    will conform in all material respects to the requirements of the TIA. No
    contract or document of a character required by the Act or the TIA to be
    described in the Registration Statement, the Prospectus or any of the
    documents incorporated by reference therein or to be filed as an exhibit to
    the Registration Statement or to any of the documents incorporated by
    reference therein has not been described and filed as required.

         (b) Each preliminary prospectus and the Prospectus, filed as part of
    the Registration Statement as originally filed or as part of any amendment
    or supplement thereto, or filed pursuant to Rule 424 or 430A under the Act,
    complied when so filed in all material respects with the Act.

         (c) The documents incorporated by reference in the Registration
    Statement, the Prospectus, any amendment or supplement thereto or any
    preliminary prospectus, when they became or become effective under the Act
    or were or are filed with the Commission under the Exchange Act, as the
    case may be, conformed or will conform in all material respects with the
    requirements of the Act or the Exchange Act, as applicable.

         (d) No action has been taken and no statute, rule, regulation or order
    has been enacted, adopted or issued by any United States Federal or state
    governmental body, agency or official which prevents the issuance of the
    Securities, suspends the effectiveness of the Registration Statement,
    prevents or suspends



                                        - 6 -




    the use of any preliminary prospectus or suspends the sale of the
    Securities in any jurisdiction referred to in Section 4(i) hereof; no
    injunction, restraining order, or order of any nature by any Federal or
    state court has been issued with respect to the Company or any of its
    subsidiaries which would prevent the issuance or sale of the Securities,
    suspend the effectiveness of the Registration Statement, or prevent or
    suspend the use of any preliminary prospectus or Prospectus in any
    jurisdiction referred to in Section 4(i) hereof.

         (e) The capitalization table set forth in the Prospectus under the
    caption "Historical and Pro Forma Capitalization" identifies in reasonable
    detail all outstanding short-term and long-term indebtedness and
    shareholders' equity of the Company and its subsidiaries, prior to and
    after giving PRO FORMA effect to the consummation of the offering of the
    Securities and the application of the net proceeds therefrom and the
    consummation of the Merger and the related transactions on the terms
    described in the Prospectus.

         (f) The Indentures have been duly authorized by the Company and, when
    duly executed and delivered in accordance with their terms, will be valid
    and legally binding agreements of the Company, enforceable against the
    Company in accordance with their terms, subject to applicable bankruptcy,
    insolvency, reorganization, moratorium, fraudulent transfer and similar
    laws affecting creditors' rights and remedies generally and to general
    principles of equity (regardless of whether enforcement is sought in a
    proceeding at law or in equity) and except to the extent that a waiver of
    rights under any usury laws may be unenforceable.

         (g) The Securities have been duly authorized by the Company and, when
    executed and delivered by the Company and authenticated by the applicable
    Trustee in accordance with the applicable Indenture and paid for in
    accordance with the terms of this Agreement, will constitute legal, valid
    and binding obligations of the Company, enforceable against the Company
    according to their terms, subject to applicable bankruptcy, insolvency,
    reorganization, moratorium, fraudulent transfer and similar laws affecting
    creditors' rights and remedies generally and to general principles of
    equity (regardless of whether enforcement is sought in a proceeding at law
    or in equity) and except to the extent that a waiver of rights under any
    usury laws may be unenforceable, will be entitled to the benefits of the
    applicable Indenture and will conform in all material respects to the
    description thereof in the Prospectus.

         (h) This Agreement has been duly authorized and validly executed and
    delivered by the Company and constitutes a valid and legally binding
    agreement of the Company, enforceable against the Company in accordance
    with its terms, subject to applicable bankruptcy, insolvency,
    reorganization, moratorium, fraudulent transfer and similar laws affecting
    creditors' rights and remedies generally and to general principles of
    equity (regardless of whether enforcement is sought in a proceeding at law
    or in equity) and except to the extent that rights to indemnification and
    contribution with respect to liability in connection with Federal or state
    securities laws may be unenforceable under such laws or the policies
    underlying such laws and except to the extent that a waiver of rights under
    any usury laws may be unenforceable.

         (i) The execution and delivery of this Agreement and the Indentures
    and issuance and sale of the Securities by the Company, the execution and
    delivery of each of the other Transaction Documents by each of the Company,
    Merger Sub and OrNda (each, a "Merger Party" and collectively, the "Merger
    Parties"), to the extent each is a party thereto, the performance by the
    Merger Parties, as applicable, of this Agreement, the Indentures and the
    other Transaction Documents and the consummation of the transactions
    contemplated by this Agreement and the other Transaction Documents will not
    conflict with or result in a breach or violation of any of the respective
    charters or bylaws of the Company, OrNda or any of their respective
    subsidiaries (each, a "Subsidiary" and collectively, the "Subsidiaries") or
    any of the terms or provisions of, or constitute a default or cause an
    acceleration of any obligation under or result in the imposition or
    creation of (or the obligation to create or impose) any security interest,
    mortgage, pledge, claim, lien, encumbrance or adverse interest of any
    nature (each, a "Lien") with respect to, any of the Transaction Documents
    or any other obligation, bond, agreement, note, debenture, or other
    evidence of


                                        - 7 -




    indebtedness, or any indenture, mortgage, deed of trust or other agreement,
    lease or instrument (collectively, "Agreements") to which the Company,
    OrNda or any of the Subsidiaries is a party or by which it or any of them
    is bound, or to which any properties of the Company, OrNda or any of the
    Subsidiaries is or may be subject (other than pursuant to any Agreement
    that will terminate or be amended prior to the consummation of the Merger,
    including the existing credit facilities of each of the Company and OrNda),
    or any order of any court or governmental agency, body or official having
    jurisdiction over the Company, OrNda or any of the Subsidiaries or any of
    their properties, or violate or conflict with any statute, rule or
    regulation or administrative regulation or decree or court decree
    applicable to the Company, OrNda or any of the Subsidiaries, or any of
    their respective assets or properties, where, in any such instance, such
    conflict, breach, violation, default, acceleration of indebtedness or Lien
    would have, singly or in the aggregate, a material adverse effect on the
    business, financial condition, results of operations or prospects of the
    Company, OrNda and the Subsidiaries, taken as a whole (a "Material Adverse
    Effect").

         (j) No authorization, approval, consent or order of, or filing with,
    any court or governmental body, agency or official is necessary in
    connection with the transactions contemplated by this Agreement, except
    such as may be required by the NASD or have been obtained and made under
    the Act, the Exchange Act, the TIA, state securities or Blue Sky laws or
    regulations and, in the case of the Merger, the Hart-Scott-Rodino Antitrust
    Improvements of 1976, as amended, state antitrust laws or state healthcare
    licensure and regulation laws. Neither the Company nor, to the best of the
    Company's knowledge, any of its affiliates is presently doing business with
    the government of Cuba or with any person or affiliate located in Cuba.

         (k) The Securities have been approved for listing on the NYSE, subject
    to official notice of issuance.

         (l) The Company has been duly organized, is validly existing as a
    corporation in good standing under the laws of the State of Nevada and has
    the requisite power and authority to carry on its business as it is
    currently being conducted, to own, lease and operate its properties and to
    authorize the offering of the Securities, to execute, deliver and perform
    this Agreement and to issue, sell and deliver the Securities, and is duly
    qualified and is in good standing as a foreign corporation authorized to do
    business in each jurisdiction where the operation, ownership or leasing of
    property or the conduct of its business requires such qualification and
    where failure to be so qualified or in good standing would have a Material
    Adverse Effect. OrNda and each of the Subsidiaries of the Company or of
    OrNda that (i) directly or indirectly own or lease any interest in any
    general hospitals or (ii) are otherwise material to the Company, OrNda and
    the Subsidiaries, taken as a whole (collectively, the "Significant
    Subsidiaries"), has been duly organized, is validly existing as a
    corporation in good standing under the laws of its jurisdiction of
    incorporation and has the requisite power and authority to carry on its
    business as it is currently being conducted and to own, lease and operate
    its properties and each is duly qualified and is in good standing as a
    foreign corporation authorized to do business in each jurisdiction where
    the operation, ownership or leasing of property or the conduct of its
    business requires such qualifications and where failure to be so qualified
    or in good standing would have a Material Adverse Effect.

         (m) Except as otherwise disclosed in the Registration Statement, all
    of the issued and outstanding shares of capital stock of, or other
    ownership interests in, each of the Significant Subsidiaries have been duly
    authorized and validly issued, and all of the shares of capital stock of,
    or other ownership interests in, each of the Significant Subsidiaries (over
    80% in the case of Healthcare Underwriting Group) are owned, directly or
    through subsidiaries, by the Company or OrNda, as the case may be. All such
    shares of capital stock are fully paid and nonassessable, and are owned
    free and clear of any Lien, and, except as disclosed in a certificate or
    opinion delivered to the Underwriters, there are no outstanding
    subscriptions, rights, warrants, options, calls, convertible or
    exchangeable securities, commitments of sale, or Liens


                                        - 8 -




    related to or entitling any person to purchase or otherwise to acquire any
    shares of the capital stock of, or other ownership interest in, any of the
    Subsidiaries.

         (n) None of the Company, OrNda or the Significant Subsidiaries is in
    violation of its respective charter or bylaws and none of the Company,
    OrNda or the Subsidiaries is in default in the performance of any
    obligation, bond, agreement, debenture, note or any other evidence of
    indebtedness, or any indenture, mortgage, deed of trust or other contract,
    lease or other instrument to which the Company, OrNda or any of the
    Subsidiaries is a party or by which any of them is bound, or to which any
    of the property or assets of the Company, OrNda or any of the Subsidiaries
    is subject, except as would not have, singly or in the aggregate, a
    Material Adverse Effect.

         (o) Except as disclosed in the Registration Statement or the
    Prospectus, there is no action, suit, proceeding or investigation before or
    by any court, governmental agency or body, arbitration board or tribunal,
    or governmental or private accrediting body, domestic or foreign, pending
    against or affecting the Company, OrNda or any of the Subsidiaries, or any
    of their respective assets or properties, which is required to be disclosed
    in the Registration Statement or the Prospectus, or in which there is a
    reasonable possibility of adverse decisions which in the aggregate could
    reasonably be expected to have a Material Adverse Effect, or which might
    materially and adversely affect the Company's or any of its Subsidiaries'
    performance of its obligations, as applicable, pursuant to this Agreement
    (including, without limitation, the issuance of the Securities), the
    Transaction Documents or the transactions contemplated hereby and thereby,
    and to the best of the Company's knowledge, after due inquiry, no such
    action, suit, or proceeding is contemplated or threatened.

                   Except as disclosed in the Registration Statement or the
    Prospectus, none of the Company, OrNda or the Subsidiaries is subject to
    any judgment, order or decree of any court, governmental authority or
    arbitration board or tribunal which has had or which can reasonably be
    expected to have, a Material Adverse Effect.

         (p) The firms of accountants that have certified or shall certify the
    applicable consolidated financial statements and supporting schedules and
    the notes thereto of the Company and OrNda filed or to be filed with the
    Commission as part of the Registration Statement and the Prospectus or
    incorporated therein by reference are, to the best of the Company's
    knowledge, independent public accountants with respect to the Company and
    its Subsidiaries and OrNda and its Subsidiaries, as the case may be, as
    required by the Act. The consolidated financial statements, together with
    related schedules and notes, set forth or incorporated by reference in the
    Prospectus and the Registration Statement, comply as to form in all
    material respects with the requirements of the Act and fairly present the
    consolidated financial position of the Company and its Subsidiaries and
    OrNda and its Subsidiaries, as the case may be, at the respective dates
    indicated and the results of their operations and their cash flows for the
    respective periods indicated, in accordance with generally accepted
    accounting principles in the United States of America ("GAAP") consistently
    applied throughout such periods and in accordance with Regulation S-X. The
    PRO FORMA financial statements contained in the Registration Statement have
    been prepared in conformity with the standards set forth in Rule 11-02 of
    Regulation S-X and on a basis consistent with such historical statements
    and give effect to assumptions made on a reasonable basis and present
    fairly the historical and proposed transactions contemplated by the
    Prospectus and this Agreement. The Company's ratio of earnings to fixed
    charges (actual and PRO FORMA) included in the Prospectus under the
    relevant captions "Prospectus Summary--Summary Unaudited Pro Forma
    Financial Information," "Pro Forma Financial Information" and in Exhibits
    12.1 and 12.2 to the Registration Statement have been calculated in
    compliance with Item 503(d) of the Commission's Regulation S-K. The other
    financial and statistical information and data of the Company included or
    incorporated by reference in the Prospectus and in the Registration
    Statement, historical and PRO FORMA, are in all material respects
    accurately presented and prepared on a basis consistent with the books and
    records of the Company.



                                        - 9 -




         (q) Except as contemplated by the Registration Statement and the
    Prospectus, subsequent to the respective dates as of which information is
    presented in the Registration Statement and the Prospectus and up to the
    Closing Date (i) none of the Company, OrNda or the Subsidiaries has
    incurred any liabilities or obligations, direct or contingent, or entered
    into any transaction not in the ordinary course of business, which could
    reasonably be expected to have a Material Adverse Effect, (ii) there has
    been no decision or judgment in the nature of litigation or arbitration
    that could reasonably be expected to have a Material Adverse Effect, (iii)
    there has been no dividend or distribution of any kind declared, paid or
    made by the Company on any class of its capital stock and (iv) there has
    not been any material adverse change, or any development which could
    involve a material adverse change, in the business, financial condition,
    results of operations or prospects of the Company, OrNda and the
    Subsidiaries, taken as a whole (any of the items set forth in clauses (i),
    (ii), (iii) or (iv) above, a "Material Adverse Change").

         (r) (i)  Except as described in the Registration Statement or
    Prospectus or as could not reasonably be expected to have a Material
    Adverse Effect, each of the Company, OrNda and the Subsidiaries has all
    certificates, consents, exemptions, orders, permits, licenses,
    authorizations, accreditations or other approvals or rights (each, an
    "Authorization") of and from, and has made all declarations and filings
    with, all Federal, state, local and other governmental authorities, all
    self-regulatory organizations, all governmental and private accrediting
    bodies and all courts and other tribunals, necessary or required to own,
    lease, license, and use its properties and assets and to conduct its
    business in the manner described in the Prospectus, (ii) all such
    Authorizations are valid and in full force and effect, except as could not
    reasonably be expected to have, singly or in the aggregate, a Material
    Adverse Effect, (iii) the Company, OrNda and the Subsidiaries are in
    compliance with the terms and conditions of all such Authorizations and
    with the rules and regulations of the regulatory authorities and governing
    bodies having jurisdiction with respect thereto except as could not
    reasonably be expected to have a Material Adverse Effect and (iv) none of
    the Company, OrNda or the Subsidiaries has received any notice of
    proceedings relating to the revocation or modification of any such
    Authorization.

         (s) None of the Company, OrNda, Merger Sub or any agent acting on its
    behalf has taken or will take any action that is reasonably likely to cause
    the issuance or sale of the Securities or the incurrence of the
    indebtedness under the New Credit Facility to violate Regulation G, T, U,
    or X of the Board of Governors of the Federal Reserve System, in each case
    as in effect, on the date hereof.

         (t) None of the Company, OrNda, or any of the Significant Subsidiaries
    is (i) an "investment company" or a company "controlled" by an investment
    company within the meaning of the Investment Company Act of 1940, as
    amended, or (ii) a "holding company" or a "subsidiary company" of a holding
    company, or an "affiliate" thereof within the meaning of the Public Utility
    Holding Company Act of 1935, as amended.

         (u) Each certificate signed by any officer of the Company and
    delivered to the Underwriters or the Underwriters' Counsel shall be deemed
    to be a representation and warranty by the Company to each Underwriter as
    to the matters covered thereby.

         (v) The Merger has been duly authorized by the Merger Parties and the
    Merger has been approved by stockholders of OrNda and the Company holding
    the requisite number of shares required to approve the Merger.

         (w) Immediately after the consummation of the Merger and the
    transactions contemplated by the Transaction Documents, the fair value and
    present fair saleable value of the assets of the Company will exceed the
    sum of its stated liabilities and identified contingent liabilities;
    neither the Company nor OrNda will be, after giving effect to the
    execution, delivery and performance of the Transaction Documents, to the
    extent each is a party thereto, and the consummation of the transactions
    contemplated thereby, (i) left


                                        - 10 -




    with unreasonably small capital with which to carry on its business as it
    is proposed to be conducted or (ii) unable to pay its debts (contingent or
    otherwise) as they mature.

         (x) The Company has delivered to the Underwriters a true and correct
    copy of each of the Transaction Documents that have been executed and
    delivered prior to the date of this Agreement and each other Transaction
    Document in the form substantially as it will be executed and delivered on
    or prior to the Closing Date, together with all related agreements and all
    schedules and exhibits thereto, and there have been no amendments,
    alterations, modifications or waivers of any of the provisions of any of
    the Transaction Documents since their date of execution or from the form in
    which it has been delivered to the Underwriters; there exists as of the
    date hereof (after giving effect to the transactions contemplated by the
    Transaction Documents) no event or condition which would constitute a
    default or an event of default (in each case as defined in the New Credit
    Facility) under the New Credit Facility and no event or condition which
    would constitute a default or an event of default (in each case as defined
    in each of the Transaction Documents) under any of the Transaction
    Documents other than the New Credit Facility which would reasonably be
    expected to result in a Material Adverse Effect or, as of the date hereof,
    materially adversely affect the ability of each of the Merger Parties to
    consummate the Merger and the transactions contemplated by the Merger
    Agreement.

         (y) Each of the representations and warranties of each party contained
    in the Merger Agreement and in the Credit Agreement, dated as of January
    __, 1997, among the Company, the Lenders party thereto, Morgan Guaranty
    Trust Company of New York, Bank of America NT&SA, The Bank of New York and
    the Bank of Nova Scotia, as Arranging Agents, and Morgan Guaranty, as
    Administrative Agent, entered into in connection with the New Credit
    Facility is true and correct on and as of the date hereof.

         6.   INDEMNIFICATION.

         (a) The Company agrees to indemnify and hold harmless (i) each of the
Underwriters and their respective affiliates, (ii) each person, if any, who
controls (within the meaning of Section 15 of the Act or Section 20 of the
Exchange Act) any of the Underwriters or any of their respective affiliates (any
of the persons referred to in this clause (ii) being hereinafter referred to as
a "Controlling Person"), and (iii) each of the respective officers, directors,
partners, employees, representatives and agents of any of the Underwriters or
any Controlling Person, and each of their respective officers, directors,
partners, employees, representatives and agents (any person referred to in
clause (i), (ii) or (iii) of this Section 6(a) may hereinafter be referred to as
an "Indemnified Person") to the fullest extent lawful, from and against any and
all losses, claims, damages, judgments, actions, costs, assessments, expenses
and other liabilities (collectively, "Liabilities"), including without
limitation and as incurred, reimbursement of all reasonable costs of
investigating, preparing, pursuing or defending any claim or action, or any
investigation or proceeding by any foreign, Federal, state or local authority,
regulatory body, administrative agency, court or other governmental or
quasi-governmental body, commenced or threatened, including the reasonable fees
and expenses of counsel to any Indemnified Person, to the extent such
Liabilities are directly or indirectly caused by, related to, based upon or
arising out of, or in connection with, any untrue statement or alleged untrue
statement of a material fact contained in the Registration Statement (or any
supplement or amendment thereto), or the Prospectus (including any amendment or
supplement thereto) or any preliminary prospectus, or any omission or alleged
omission to state therein a material fact required to be stated therein or
necessary to make the statements therein (in the case of the Prospectus, in
light of the circumstances under which they were made) not misleading, except
insofar as such Liabilities are caused by any such untrue statement or omission
or alleged untrue statement or omission that is (x) made in reliance upon and in
conformity with information relating to any of the Underwriters furnished in
writing to the Company by or on behalf of an Underwriter through DLJ expressly
for use in the Registration Statement (or any amendment or supplement thereto)
or the Prospectus (or any amendment or supplement thereto) or any preliminary
prospectus or (y) with respect to the Underwriter from whom the person asserting
the Liabilities purchased Securities, made in any preliminary prospectus if a
copy of the Prospectus (as amended or supplemented, if the Company shall have
furnished the Underwriters with such amendments or


                                        - 11 -




supplements thereto on a timely basis) was not delivered by or on behalf of such
Underwriter to the person asserting the Liabilities, if required by law to have
been so delivered by the Underwriter seeking indemnification, at or prior to the
written confirmation of the sale of the Securities, and it shall be determined
by a court of competent jurisdiction or binding mediation or arbitration
tribunal, in a judgment or determination not subject to appeal or review, that
the Prospectus (as so amended or supplemented) would have completely corrected
such untrue statement or omission. The foregoing indemnity shall be in addition
to any liability that the Company might otherwise have to any of the
Underwriters and such other Indemnified Persons. The Company shall notify you
promptly after becoming aware of the institution, threat or assertion of any
claim, proceeding (including any governmental investigation) or litigation in
connection with the matters addressed by this Agreement which involves the
Company or an Indemnified Person.

         (b) In case any action or proceeding (for all purposes of this Section
6, including any governmental or quasi-governmental investigation) shall be
brought or asserted against any of the Indemnified Persons with respect to which
indemnity under this Section 6 may be sought against the Company, such
Underwriter (or the Underwriter controlled by such Controlling Person) promptly
shall notify the Company in writing and the Company shall assume the defense
thereof, including the employment of counsel reasonably satisfactory to such
Underwriter and payment of all reasonable fees and expenses; PROVIDED, that the
delay or failure to give such notice shall not relieve the Company from any
liability that it may have on account of the indemnity under this Section 6,
except to the extent that such delay or omission materially adversely affects
the ability of the Company to defend or assume the defense of such action or
proceeding. Upon receiving such notice, the Company shall be entitled to
participate in any such action or proceeding and to assume, at its sole expense,
the defense thereof, with counsel reasonably satisfactory to such Indemnified
Person (who shall not, except with the consent of the Indemnified Person to be
represented, be counsel to the Company or any of the Subsidiaries) and, after
written notice from the Company to such Indemnified Person of its election so to
assume the defense thereof promptly after receipt of the notice from the
Indemnified Person of such action or proceeding, the Company shall not be liable
to such Indemnified Person hereunder for legal expenses of other counsel
subsequently incurred by such Indemnified Person in connection with the defense
thereof, other than reasonable costs of investigation, unless (i) the Company
agrees in writing to pay such fees and expenses, or (ii) the Company fails
promptly to assume such defense or fails to employ counsel reasonably
satisfactory to such Indemnified Person, or (iii) the named parties to any such
action or proceeding (including any impleaded parties) include both such
Indemnified Person and the Company or an affiliate of the Company, and that
Indemnified Person shall have been advised in writing by counsel, with a copy of
such writing to the Company, that either (x) there may be one or more legal
defenses available to such Indemnified Person that are different from or
additional to those available to the Company or such affiliate or (y) a conflict
may exist between such Indemnified Person and the Company or such affiliate. In
the event of any of clause (i), (ii) and (iii) of the immediately preceding
sentence, the Company shall not have the right to assume the defense thereof on
behalf of the Indemnified Person and such Indemnified Person shall have the
right to employ its own counsel in any such action and the reasonable fees and
expenses of such counsel shall be paid, as incurred, by the Company, subject to
repayment to the Company if it is ultimately determined that an Indemnified
Person is not entitled to indemnification hereunder, it being understood,
however, that the Company shall not, in connection with any one such action or
proceeding or separate but substantially similar or related actions in the same
jurisdiction arising out of the same general allegations or circumstances, be
liable for the fees and expenses of more than one separate firm of attorneys (in
addition to any local counsel) for all of the Indemnified Persons, which firm
shall be designated in writing by DLJ. The Company shall not be liable for any
settlement of any such action or proceeding effected without the Company's
written consent, which consent may not be unreasonably withheld, but if settled
with the written consent of the Company, the Company agrees to indemnify and
hold harmless any Indemnified Person from and against any loss or liability
incurred in such settlement. The Company shall not, without the prior written
consent of each Indemnified Person, settle, compromise or consent to the entry
of any judgment in or otherwise seek to terminate any pending or threatened
action, claim, suit, investigation or other proceeding in respect of which any
Indemnified Person is or could have been a party and indemnification or
contribution could have been sought hereunder by such Indemnified Person, unless
such settlement, compromise, consent or termination includes an


                                        - 12 -




unconditional release of each Indemnified Person from all liability on claims
that are the subject matter of such proceeding.

         (c) Each of the Underwriters agrees, severally and not jointly, to
indemnify and hold harmless the Company, its directors, its officers who sign
the Registration Statement, and any person controlling (within the meaning of
Section 15 of the Act or Section 20 of the Exchange Act) the Company, to the
same extent as the foregoing indemnity from the Company to each of the
Indemnified Persons, but only with respect to claims and actions based on
information relating to such Underwriter furnished in writing by or on behalf of
such Underwriter through DLJ expressly for use in the Registration Statement,
Prospectus or preliminary prospectus, as applicable. In case any action shall be
brought against the Company, any of its directors, any such officer, or any such
controlling person based on the Registration Statement, the Prospectus or any
preliminary prospectus in respect of which indemnity is sought against any
Underwriter pursuant to the foregoing sentence, the Underwriter shall have the
rights and duties given to the Company (except that if the Company shall have
assumed the defense thereof, such Underwriter shall not be required to do so,
but may employ separate counsel therein and participate in the defense thereof,
but the fees and expenses of such counsel shall be at the expense of such
Underwriter), and the Company, its directors, any such officers, and each such
controlling person shall have the rights and duties given to the Indemnified
Person by Section 6(b) above.

         (d) If the indemnification provided for in this Section 6 is finally
determined by a court of competent jurisdiction to be unavailable to an
Indemnified Person in respect of any Liabilities referred to herein, then the
Company, in lieu of indemnifying such Indemnified Person, shall contribute to
the amount paid or payable by such Indemnified Person as a result of such
Liabilities:  (i) in such proportion as is appropriate to reflect the relative
benefits received by the Company on the one hand and the Indemnified Person on
the other hand from the offering of the Securities, or (ii) if the allocation
provided by clause (i), above, is not permitted by applicable law, in such
proportion as is appropriate to reflect not only the relative benefits referred
to in clause (i), above, but also the relative fault of the Company and the
Indemnified Person in connection with the actions, statements or omissions that
resulted in such Liabilities, as well as any other relevant equitable
considerations. The relative benefits received by the Company, on the one hand,
and any of the Underwriters (and its related Indemnified Persons), on the other
hand, shall be deemed to be in the same proportion as the total proceeds from
the offering (net of underwriting discounts and commissions but before deducting
expenses) received by the Company bear to the total underwriting discounts and
commissions received by such Underwriter, in each case as set forth in the
Prospectus. The relative fault of the Company and the Underwriter shall be
determined by reference to, among other things, whether the untrue or alleged
untrue statement of a material fact or the omission or alleged omission to state
a material fact related to information supplied by the Company or the
Underwriter and the parties' relative intent, knowledge, access to information
and opportunity to correct or prevent such statement or omission. The indemnity
and contribution obligations of the Company set forth herein shall be in
addition to any liability or obligation the Company may otherwise have to any
Indemnified Person.

         The Company and the Underwriters agree that it would not be just and
equitable if contribution pursuant to this Section 6(d) were determined by PRO
RATA allocation (even if the Underwriters were treated as one entity for such
purpose) or by any other method of allocation that does not take account of the
equitable considerations referred to in the immediately preceding paragraph. The
amount paid or payable by an indemnified party as a result of the Liabilities
referred to in the immediately preceding paragraph shall be deemed to include,
subject to the limitations set forth above, any reasonable legal or other
expenses reasonably incurred by such indemnified party in connection with
investigating or defending any such action or claim. Notwithstanding the
provisions of this Section 6, none of the Underwriters (or any of their related
Indemnified Persons referred to in Section 6 above) shall be required to
contribute, in the aggregate, any amount in excess of the amount by which the
total underwriting discount applicable to the Securities purchased by such
underwriter exceeds the amount of any damages or liabilities which such
Underwriter (and its related Indemnified Persons referred to in Section 6 above)
has otherwise been required to pay or incur by reason of such untrue or alleged
untrue statement or omission or alleged omission or other indemnified action or
proceeding. Notwithstanding anything to the contrary contained


                                        - 13 -




herein, no person guilty of fraudulent misrepresentation (within the meaning of
Section 11(f) of the Act) shall be entitled to contribution from any person who
was not guilty of such fraudulent misrepresentation. The Underwriters'
obligations to contribute pursuant to this Section 6(d) are several in
proportion to the respective aggregate principal amount of Securities purchased
by each of the underwriters hereunder and not joint.

         7.   CONDITIONS OF UNDERWRITERS' OBLIGATIONS.  The respective
obligations of the several Underwriters to purchase any Securities under this
Agreement are subject to the satisfaction or waiver by the several underwriters
of each of the following conditions on the Closing Date:

         (a) All the representations and warranties of the Company contained or
    incorporated by reference in this Agreement shall be true and correct on
    the Closing Date after giving effect to the transactions contemplated by
    the Transaction Documents, with the same force and effect as if made on and
    as of the Closing Date, unless another date is specified therein. The
    Company and its Subsidiaries shall have performed or complied with all of
    their obligations and agreements herein contained and required to be
    performed or complied with by them at or prior to the Closing Date.

         (b) (i)  The Registration Statement shall have become effective (or,
    if a post-effective amendment is required to be filed pursuant to Rule 430A
    of the Act, such post-effective amendment shall have become effective (or,
    if any Securities are sold in reliance upon Rule 430A of the Act and no
    post-effective amendment is so required to be filed, the Prospectus shall
    have been timely filed with the Commission in accordance with Section 4(a)
    hereof)) on or prior to the date of this Agreement or at such later date
    and time as you may approve in writing, (ii) at the Closing Date, no stop
    order suspending the effectiveness of the Registration Statement shall have
    been issued and no proceedings for that purpose shall have been commenced
    or shall be pending before or contemplated by the Commission, (iii) no stop
    order suspending the sale of the Securities in any jurisdiction referred to
    in Section 4(i) shall have been issued and no proceeding for that purpose
    shall have been commenced or shall be pending or, to the knowledge of the
    Company, threatened, and (iv) since the effective date of the Registration
    Statement, there shall not have occurred any event required to be set forth
    in an amendment or supplement to the Registration Statement or Prospectus
    that has not been set forth, and there shall not have been any document
    required to be filed under the Exchange Act that upon such filing would be
    deemed to be incorporated by reference in the Prospectus that has not been
    so filed.

         (c) No action shall have been taken and no statute, rule, regulation
    or order shall have been enacted, adopted or issued by any governmental
    agency, body or official which would, as of the Closing Date, prevent the
    issuance of the Securities; and no injunction, restraining order or order
    of any nature by any Federal or state court shall have been issued as of
    the Closing Date which would prevent the issuance of the Securities.
    Subsequent to the execution and delivery of this Agreement and prior to the
    Closing Date, there shall not have been any downgrading, nor shall any
    notice have been given of any intended or potential downgrading or of any
    review for a possible change that does not indicate the direction of the
    possible change, in the rating accorded any of the Company's securities by
    any "nationally recognized statistical rating organization," as such term
    is defined for purposes of Rule 436 (g)(2) of the Act.

         (d) (i)  Since the earlier of the date hereof or the dates as of which
    information is given in the Registration Statement and the Prospectus,
    there shall not have been any Material Adverse Change, (ii)  since the date
    of the latest balance sheet included in the Registration Statement and the
    Prospectus, there shall not have been any material adverse change, or
    development involving a prospective material adverse change, in the capital
    stock or debt, of the Company, OrNda and the Subsidiaries, taken as a
    whole, and (iii) none of the Company, OrNda or any of the Subsidiaries
    shall have any liability or obligation, direct or contingent, that is
    material to the Company, OrNda and the Subsidiaries, taken as a whole, and
    which is not disclosed in the Registration Statement and the Prospectus.



                                        - 14 -




         (e) You shall have received a certificate of the Company, dated the
    Closing Date, executed on behalf of the Company, by an executive officer
    and a financial officer of the Company satisfactory to you confirming, as
    of the Closing Date, the matters set forth in paragraphs (a), (b), (c), (d)
    and (k) of this Section 7.

         (f) On the Closing Date, you shall have received:

              (1) an opinion (satisfactory to you and your counsel), dated the
         Closing Date, of Skadden, Arps, Slate, Meagher & Flom, counsel for the
         Company ("Skadden, Arps"), to the effect that:

                   (i) the Registration Statement (other than the documents
              incorporated by reference therein described in clause (iii)
              below), at the time it became effective and on the Closing Date,
              complied as to form in all material respects with the applicable
              requirements of the Act and the TIA (except for financial
              statements, the notes thereto and related schedules and other
              financial data included therein and the Statements of Eligibility
              and Qualification of the Trustees on Forms T-1 (the "Forms T-1"),
              as to which no opinion need be expressed);

                   (ii) each document filed pursuant to the Exchange Act and
              incorporated by reference in the Prospectus, at the time it was
              filed or last amended, complied as to form in all material
              respects to the applicable requirements of the Exchange Act
              (except for financial statements, the notes thereto and related
              schedules and other financial data included or incorporated by
              reference therein or omitted therefrom, as to which no opinion
              need be expressed);

                   (iii) the Securities have been duly authorized and executed
              by the Company and, when authenticated in accordance with the
              terms of the Indentures and delivered to and paid for by the
              Underwriters in accordance with the terms of this Agreement, will
              be valid and binding obligations of the Company, enforceable
              against the Company in accordance with their respective terms and
              entitled to the benefits of the respective Indenture under which
              they are being issued, except to the extent that the
              enforceability thereof may be limited by (a) bankruptcy,
              insolvency, fraudulent transfer, reorganization, moratorium and
              other similar laws in effect as of the date of the opinion or
              thereafter relating to or affecting creditors' rights generally
              and (b) general principles of equity (regardless of whether
              enforcement is sought in a proceeding at law or in equity) and
              except that such counsel need express no opinion as to the
              enforceability or effect of the waiver of rights under any usury
              laws pursuant to each of the Indentures;

                   (iv) each of the Indentures has been duly authorized,
              executed and delivered by the Company and, assuming due
              authorization, execution and delivery thereof by the applicable
              Trustee, is a valid and binding agreement of the Company,
              enforceable against the Company in accordance with its terms,
              except to the extent that the enforceability thereof may be
              limited by (a) bankruptcy, insolvency, fraudulent transfer,
              reorganization, moratorium and other similar laws in effect as of
              the date of the opinion or thereafter relating to or affecting
              creditors' rights generally and (b) general principles of equity
              (regardless of whether enforcement is sought in a proceeding at
              law or in equity) and except that such counsel need express no
              opinion as to the enforceability or effect of the waiver of
              rights under any usury laws pursuant to each of the Indentures;

                   (v) the Securities and the Indentures conform in all
              material respects to the descriptions thereof contained in the
              Prospectus;


                                        - 15 -




                   (vi) the Company and each of its Significant Subsidiaries
              (as identified by the Company on a schedule to such opinion) is a
              corporation existing and in good standing under the laws of its
              jurisdiction of organization;

                   (vii) neither the Company nor any of its Significant
              Subsidiaries is an "investment company" within the meaning of the
              Investment Company Act of 1940, as amended;

                   (viii) no consent, approval, authorization or other order
              of, or filing with, any Federal, Delaware or New York executive,
              legislative, judicial, administrative or regulatory body,
              including, without limitation, the Commission (each, a
              "Governmental Authority"), is legally required under any laws,
              rules and regulations of the State of Delaware, the State of New
              York and the United States of America that, in the experience of
              such counsel, are normally applicable to transactions of the type
              contemplated by this Agreement and the Indentures (provided that
              no opinion need be expressed as to the "blue sky" or state
              securities laws of any jurisdiction) (collectively, the
              "Applicable Laws") for the issuance or sale to the Underwriters
              of the Securities as contemplated by this Agreement except such
              as may be required under the Act, the Exchange Act and the TIA;
              and

                   (ix) the execution and delivery by the Company of this
              Agreement and the Indentures and the issuance and sale of the
              Securities to you as contemplated thereby and the performance of
              its obligations pursuant to this Agreement and the Indentures
              (a) will not conflict with or result in a breach of violation of
              any of the terms or provisions of, or constitute a default under
              the charter or bylaws of the Company; and (b) will not conflict
              with or violate any Applicable Law or any order or decree of
              Delaware, New York or federal Governmental Authorities by which
              the Company or any of its Subsidiaries is bound, the existence of
              which is actually known to such counsel or has been specifically
              disclosed to such counsel in writing by the Company.

                        Such counsel shall also state that the Staff of the
              Commission has orally advised such counsel that the Registration
              Statement was declared effective under the Act and the Indentures
              were qualified under the TIA, in each case, at _____ p.m.,
              Washington, D.C. time, on January __, 1997, and, to the best of
              such counsel's knowledge, no stop order suspending the
              effectiveness of the Registration Statement or the qualification
              of Indentures has been issued and no proceedings for that purpose
              are pending; and the Prospectus has been sent for filing with the
              Commission pursuant to Rule 424(b) within the time period
              required by such Rule.

              (2) In giving their opinion required by subsection (f)(l) of this
         Section 7, such counsel may state that such opinions are limited to
         matters governed by the Federal laws of the United States of America,
         the laws of the State of New York and the laws of the State of
         Delaware.

              In addition, such counsel shall state that such counsel has
         participated in conferences with officers and other representatives of
         the Company and OrNda, representatives of the independent public
         accountants for the Company and OrNda, your representatives and your
         counsel at which the contents of the Registration Statement and the
         Prospectus and related matters were discussed and, although such
         counsel is not passing upon, and does not assume any responsibility
         for, the accuracy, completeness or fairness of the statements
         contained in the Registration Statement or the Prospectus, on the
         basis of the foregoing, no fact has come to the attention of such
         counsel that leads it to believe that the Registration Statement, at
         the time it became effective, contained an untrue statement of a
         material fact or omitted to state a material fact required to be
         stated therein or necessary to make the statements therein not
         misleading, or that the Prospectus, as of its date


                                        - 16 -




         and as of the Closing Date, contained an untrue statement of a
         material fact or omitted to state a material fact required to be
         stated therein or necessary to make the statements therein, in light
         of the circumstances under which they were made, not misleading,
         except that such counsel need not express any opinion or belief with
         respect to the financial statements, schedules and other financial and
         statistical data included or incorporated by reference in or excluded
         from the Registration Statement or the Prospectus, the exhibits to the
         Registration Statement or the Forms T-1.

              In rendering the foregoing opinions, Skadden, Arps may rely as to
         matters of Nevada law on the opinion of Woodburn and Wedge, Nevada
         counsel to the Company, or such other counsel as is reasonably
         satisfactory to the Underwriters' Counsel.

              (3) an opinion (satisfactory to you and Underwriters' Counsel),
         dated the Closing Date, of Scott M. Brown, Esq., Senior Vice President
         and General Counsel of the Company, to the effect that:

                   (i) the descriptions in the Registration Statement and the
              Prospectus of statutes, legal and governmental proceedings,
              contracts and other documents and regulatory matters, including,
              without limitation, those described in the Prospectus under the
              captions "Risk Factors--Limits on Reimbursement," "--Extensive
              Regulation," "--Healthcare Reform Legislation" and in the
              Company's Annual Report on Form 10-K for the fiscal year ended
              May 31, 1996 under the captions "Medicare, Medicaid and Other
              Revenues" and "Healthcare Reform, Regulation and Licensing" and
              in the Company's Quarterly Report on Form 10-Q for the quarter
              ended November 30, 1996 under the caption "Legal Proceedings"
              insofar as such statements constitute summaries of legal matters,
              documents or proceedings referred to therein are accurate in all
              material respects and such counsel does not know of any contracts
              or documents of a character required to be described in the
              Registration Statement or Prospectus (or required to be filed
              under the Exchange Act if upon such filing they would be
              incorporated by reference therein) or to be filed as exhibits to
              the Registration Statement which are not described and filed as
              required; it being understood that such counsel need express no
              opinion as to the financial statements, notes or schedules or
              other financial data included or incorporated by reference
              therein or those parts of the Registration Statement that
              constitute the Form T-1;

                   (ii) each of the Company and its Significant Subsidiaries
              (as defined under the Commission's Regulation S-X and identified
              on a schedule to such opinion) has such Authorizations from all
              regulatory or governmental officials, bodies and tribunals as are
              necessary to own, lease and operate its respective properties and
              to conduct its business in the manner described in the
              Prospectus, except as could not reasonably be expected to have,
              singly or in the aggregate, a material adverse effect on the
              business, financial condition or results of operations of the
              Company and its Subsidiaries, taken as a whole;

                   (iii) to the best of such counsel's knowledge, there is no
              current, pending or threatened action, suit or proceeding before
              any court or governmental agency, authority or body or any
              arbitrator involving the Company or any of its Subsidiaries or to
              which any of their respective property is subject of a character
              required to be disclosed in the Registration Statement which is
              not adequately disclosed in the Prospectus;

                   (iv) except as otherwise disclosed in the Registration
              Statement, all of the issued and outstanding shares of capital
              stock of, or other ownership interests in, each Significant
              Subsidiary of the Company have been duly and validly authorized
              and issued, and the shares of capital stock of, or other
              ownership interests in, each of its Significant


                                        - 17 -




              Subsidiaries (over 80% in the case of Healthcare Underwriting
              Group) are owned of record, directly or through subsidiaries, by
              the Company, are fully paid and nonassessable, and to the best
              knowledge of such counsel are owned free and clear of any
              material, consensual Lien;

                   (v) the Company and each of its Significant Subsidiaries is
              a duly organized corporation, has the requisite corporate power
              and authority to own, lease and operate its properties and to
              conduct its business as described in the Registration Statement
              and the Prospectus, and, to the extent each is a party thereto,
              to execute, deliver and perform its obligations pursuant to the
              Indentures and this Agreement, and is duly qualified as a foreign
              corporation and in good standing in each jurisdiction where the
              ownership, leasing or operation of property or the conduct of its
              business requires such qualification, except where the failure so
              to be qualified could not reasonably be expected to have, singly
              or in the aggregate, a Material Adverse Effect; and

                   (vi) the execution and delivery by the Company of this
              Agreement and the Indentures and the issuance and sale of the
              Securities to you as contemplated thereby and the performance of
              its obligations pursuant to this Agreement and the Indentures
              will not conflict with or result in a breach or violation of any
              of the terms or provisions of, or constitute a default (with the
              passage of time or otherwise) under, or result in the imposition
              of a Lien on any properties of the Company or any of its
              Subsidiaries or an acceleration of indebtedness pursuant to any
              of the agreements listed on a schedule attached to such counsel's
              opinion, where, in any such instance, such breach, default, Lien,
              acceleration of indebtedness or conflict could have, singly or in
              the aggregate, a material adverse effect or a prospective
              material adverse effect on the business, financial condition or
              results of operations of the Company and its Subsidiaries, taken
              as a whole.

              (4) In giving their opinion required by subsection f(3) of this
         Section 7, such counsel shall state that no fact has come to the
         attention of such counsel that leads it to believe that the
         descriptions of statutes, legal and governmental proceedings,
         contracts and other documents and regulatory matters described in the
         Registration Statement and the Prospectus under the captions set forth
         in subsection (f)(3)(i) of this Section 7 contained an untrue
         statement of a material fact or omitted to state a material fact
         required to be stated therein or necessary to make the statements
         therein, in light of the circumstances under which they were made, not
         misleading.

              (5) an opinion (satisfactory to you and Underwriters  Counsel),
         dated the Closing Date, of Woodburn and Wedge, special Nevada counsel
         to the Company, to the effect that:

                   (i) the Company has the corporate power and authority to
              execute, deliver and perform this Agreement and the Company has
              the corporate power and authority to authorize, issue and sell
              the Securities as contemplated by this Agreement;

                   (ii) this Agreement has been duly authorized, executed and
              delivered by the Company, and the Securities and the Indentures
              have been duly authorized, executed and delivered by the Company;

                   (iii) the Company is a duly organized and validly existing
              corporation in good standing under the laws of the State of
              Nevada and has the requisite corporate power and authority to
              own, lease and operate its properties and to conduct its business
              as described in the Registration Statement and the Prospectus,
              and to execute and deliver, and perform its obligations pursuant
              to, the Indentures, the Securities and this Agreement;



                                        - 18 -




                   (iv) no consent, approval, authorization, or order of any
              Nevada governmental agency or body is required, for the
              consummation by the Company of the transactions contemplated by
              this Agreement in connection with the issuance and sale of the
              Securities;

                   (v) the execution and delivery by the Company of this
              Agreement and the Indentures, the issuance and sale of the
              Securities to you as contemplated by this Agreement and the
              performance of its obligations pursuant to this Agreement, the
              Securities and the Indentures will not conflict with or result in
              a breach or violation of any of the terms or provision of, or
              constitute a default under, (a) any of the charter or bylaws of
              the Company, or (b) any existing applicable statute, rule or
              regulation or any order of any Nevada court or governmental
              agency or body having jurisdiction over the Company or any of its
              properties; provided that the opinion expressed in clause (b) is
              limited to those statutes, rules or regulations which, in the
              experience of such counsel, are normally applicable to
              transactions of the type contemplated by this Agreement in
              connection with the issuance and sale of the Securities; and

                   (vi) in any action or proceeding arising out of or relating
              to this Agreement or the Indentures in any court of the State of
              Nevada or in any federal court sitting in the state of Nevada,
              such court would recognize and give effect to the provisions of
              Section 10 of this Agreement and Section 9.10 of the Indentures
              wherein the parties thereto agreed, to the extent therein stated,
              that each such document shall be governed by and construed in
              accordance with the internal laws of the State of New York.

         (g) You shall have received an opinion, dated the Closing Date, of
    Sullivan & Cromwell counsel for the Underwriters, in form and substance
    reasonably satisfactory to you.

         (h) You shall have received complete sets of all closing documents,
    including without limitation all opinions, required to be delivered under
    any of the other Transaction Documents, together, in the case of the
    opinions of Scott M. Brown and Woodburn and Wedge delivered pursuant to the
    Merger Agreement and Scott M. Brown delivered pursuant to the New Credit
    Facility, with appropriate reliance letters addressed to the Underwriters.

         (i) You shall have received letters on and as of the date hereof as
    well as on and as of the Closing Date, in the latter case constituting an
    affirmation of the statements set forth in the earlier letters, in form and
    substance satisfactory to you, from KPMG Peat Marwick LLP and Ernst & Young
    LLP, independent public accountants to the Company and OrNda, respectively,
    with respect to the financial statements and certain financial information
    contained or incorporated by reference in the Registration Statement and
    the Prospectus as you shall reasonably require.

         (j) All corporate proceedings and other legal matters incident to the
    authorization, form and validity of this Agreement, the Securities, the
    Registration Statement and the Prospectus, and all other legal matters
    relating to this Agreement and the transactions contemplated hereby shall
    be reasonably satisfactory to Sullivan & Cromwell.

         (k) There shall have been no amendments, alterations, modifications,
    or waivers of any provisions of the Transaction Documents since the date of
    the execution and delivery thereof by the parties thereto other than those
    which are disclosed in the Registration Statement or the Prospectus or any
    supplement thereto or which under the Act are not required to be disclosed
    in the Prospectus or any supplement thereto and which have been disclosed
    to the Underwriters prior to the date hereof.



                                        - 19 -




         (l) The certificate of merger with respect to the Merger shall have
    been filed with the Secretary of State of the State of Delaware and shall
    have become effective, the Merger shall have become effective under
    Section 103(d) of the Delaware General Corporation Law and all other
    transactions contemplated by the Transaction Documents (other than the
    closing of the offering and sale of the Securities under this Agreement) to
    be consummated at or prior to the Effective Time of the Merger shall have
    been consummated prior to or simultaneously with the consummation of the
    purchase and sale of the Securities hereunder.

         (m) The New Credit Facility, providing for borrowings by the Company
    in an amount up to $2.5 billion, shall be in effect and the existing credit
    facilities of each of the Company and OrNda shall have been terminated.

         (n) On or before the Closing Date, the Underwriters and Sullivan &
    Cromwell, counsel for the Underwriters, shall have received such further
    documents, opinions, certificates and schedules or instruments relating to
    the business, corporate, legal and financial affairs of the Company, OrNda
    and the Subsidiaries as they shall have reasonably requested prior to the
    date of this Agreement.

         8.   EFFECTIVE DATE OF AGREEMENT, DEFAULT AND TERMINATION.  This
Agreement shall become effective upon the later of (i) the execution and
delivery of this Agreement by the parties hereto, (ii) the effectiveness of the
Registration Statement, and (iii) if a post-effective amendment is required to
be filed pursuant to Rule 430A under the Act, the effectiveness of such
post-effective amendment.

         This Agreement may be terminated at any time on or prior to the
Closing Date by you by notice to the Company if any of the following has
occurred:  (i) subsequent to the date the Registration Statement is declared
effective or the date of this Agreement, any Material Adverse Change which, in
your judgment, impairs the investment quality of the Securities, (ii) any
outbreak or escalation of hostilities or other national or international
calamity or crisis or material adverse change in the financial markets of the
United States or elsewhere, or any other substantial national or international
calamity or emergency if the effect of such outbreak, escalation, calamity,
crisis or emergency would, in your judgment make it impracticable or inadvisable
to market the Securities or to enforce contracts for the sale of the Securities,
(iii) any suspension or limitation of trading generally in securities, or in any
securities of the Company on the New York, American or Pacific Stock Exchanges,
the National Association of Securities Dealers Automated Quotation National
Market, or the over-the-counter markets or any setting of minimum prices for
trading on such exchanges or markets, (iv) any declaration of a general banking
moratorium by either Federal or New York authorities, (v) the taking of any
action by any Federal, state or local government or agency in respect of its
monetary or fiscal affairs that in your judgment has a material adverse effect
on the financial markets in the United States, and would, in your judgment, make
it impracticable or inadvisable to market the Securities or to enforce contracts
for the sale of the Securities, (vi) any securities of the Company or any of its
Subsidiaries shall have been downgraded or placed on any "watch list" for
possible downgrading or reviewed for a possible change that does not indicate
the direction of the possible change by any "nationally recognized statistical
rating organization," as such term is defined for purposes of Rule 436(g)(2) of
the Act, or (vii) the enactment, publication, decree or other promulgation of
any Federal or state statute, regulation, or rule or order of any court or other
governmental authority which in your judgment could reasonably be expected to
have a Material Adverse Effect.

         If this Agreement shall be terminated by you pursuant to clause (i),
(vi) or, in the case of a statute, regulation, rule or order specifically
addressing the Company, and not affecting the general hospital industry
generally, (vii) of the second paragraph of this Section 8 or because of the
failure or refusal on the part of the Company to comply with the terms or to
fulfill any of the conditions of this Agreement, the Company agrees to reimburse
you for all reasonable out-of-pocket expenses (including the reasonable fees and
disbursements of counsel) incurred by you. Notwithstanding any termination of
this Agreement, the Company shall be liable for all expenses


                                        - 20 -




which it has agreed to pay pursuant to Section 4(f) hereof. If this Agreement is
terminated pursuant to this Section 8, such termination shall be without
liability of any Underwriter to the Company or any of its Subsidiaries.

         If on the Closing Date any Underwriter shall fail or refuse to
purchase the securities which it has agreed to purchase hereunder on such date,
and the aggregate principal amount of such Securities that such defaulting
Underwriter or Underwriters, as the case may be, agreed but failed or refused to
purchase does not exceed 20% of the total principal amount of such Securities to
be purchased on such date by all Underwriters, each non-defaulting Underwriter
shall be obligated severally, in the proportion which the amount of Securities
set forth opposite its name in Schedule I, Schedule II and Schedule III,
respectively, hereto bears to the aggregate principal amount of Securities which
all the non-defaulting Underwriters, as the case may be, have agreed to
purchase, or in such other proportion as you (at your option) may specify, to
purchase the Securities that such defaulting Underwriter or Underwrites, as the
case may be, agreed but failed or refused to purchase on such date; PROVIDED
that in no event shall the aggregate principal amount of Securities that any
Underwriter has agreed to purchase pursuant to Section 2 hereof be increased
pursuant to this Section 8 by an amount in excess of one-ninth of such principal
amount of Securities without the written consent of such Underwriter.  If, on
the Closing Date any of the Underwriters shall fail or refuse to purchase the
Securities, as the case may be, and the total principal amount of Securities
with respect to which such default occurs exceeds 20% of the total amount of
Securities to be purchased on such date by all Underwriters and arrangements
satisfactory to you and the Company for the purchase of such Securities are not
made within 48 hours after such default, this Agreement shall terminate without
liability on the part of the non-defaulting Underwriter and the Company, except
as otherwise provided in this Section 8. In any such case that does not result
in termination of this Agreement, either the non-defaulting Underwriter or the
Company may postpone the Closing Date for not longer than seven (7) days, in
order that the required changes, if any, in the Registration Statement and the
Prospectus or any other documents or arrangements may be effected. Any action
taken under this paragraph shall not relieve a defaulting Underwriter from
liability in respect of any default of any such Underwriter under this
Agreement.

         9.   NOTICES.  Notices given pursuant to any provision of this
Agreement shall be addressed as follows:  (a) if to the Company, to it at 3820
State Street, Santa Barbara, California 93105, Attention: Chief Financial
Officer, with copies to Attention: General Counsel and to Skadden, Arps, Slate,
Meagher & Flom, 300 South Grand Avenue, Suite 3400, Los Angeles, California
90071, Attention: Brian J. McCarthy and (b) if to any Underwriter, to Donaldson,
Lufkin & Jenrette Securities Corporation, 277 Park Avenue, New York, New York
10172, Attention: Syndicate Department, and, in each case, with a copy to
Sullivan & Cromwell, 444 South Flower Street, Suite 1200, Los Angeles,
California  90071, Attention: Alison S. Ressler, or in any case to such other
address as the person to be notified may have required in writing.

         10.  GOVERNING LAW.  THIS AGREEMENT SHALL BE GOVERNED BY AND CONSTRUED
IN ACCORDANCE WITH THE INTERNAL LAWS OF THE STATE OF NEW YORK AS APPLIED TO
CONTRACTS MADE AND PERFORMED ENTIRELY WITHIN THE STATE OF NEW YORK, WITHOUT
REGARD TO PRINCIPLES OF CONFLICTS OF LAW. THE COMPANY HEREBY IRREVOCABLY SUBMITS
TO THE EXCLUSIVE JURISDICTION OF THE FEDERAL AND NEW YORK STATE COURTS LOCATED
IN THE CITY OF NEW YORK IN CONNECTION WITH ANY SUIT, ACTION OR PROCEEDING
RELATED TO THIS AGREEMENT OR ANY OF THE MATTERS CONTEMPLATED HEREBY, IRREVOCABLY
WAIVES ANY DEFENSE OF LACK OF PERSONAL JURISDICTION AND IRREVOCABLY AGREES THAT
ALL CLAIMS IN RESPECT OF ANY SUCH SUIT, ACTION OR PROCEEDING MAY BE HEARD AND
DETERMINED IN ANY SUCH COURT. THE COMPANY IRREVOCABLY WAIVES, TO THE FULLEST
EXTENT IT MAY EFFECTIVELY DO SO UNDER APPLICABLE LAW, ANY OBJECTION WHICH IT MAY
NOW OR HEREAFTER HAVE TO THE LAYING OF VENUE OF ANY SUCH SUIT, ACTION OR
PROCEEDING BROUGHT IN ANY SUCH COURT AND ANY CLAIM THAT ANY SUCH SUIT, ACTION OR
PROCEEDING BROUGHT IN ANY SUCH COURT HAS BEEN BROUGHT IN AN INCONVENIENT FORUM.



                                        - 21 -




         11.  SEVERABILITY.  Any determination that any provision of this
Agreement may be, or is, unenforceable shall not affect the enforceability of
the remainder of this Agreement.

         12.  SUCCESSORS.  Except as otherwise provided, this Agreement has
been and is made solely for the benefit of and shall be binding upon the
Company, the Underwriters, any Indemnified Person referred to herein and their
respective successors and assigns, all as and to the extent provided in this
Agreement, and no other person shall acquire or have any right under or by
virtue of this Agreement. The terms "successors and assigns" shall not include a
purchaser of any of the Securities from any of the Underwriters merely because
of such purchase.

         13.  CERTAIN DEFINITIONS.  For purposes of this Agreement, (a)
"business day" means any day on which the NYSE is open for trading and (b)
"subsidiary" has the meaning set forth in Rule 405 under the Act.

         14.  COUNTERPARTS.  This Agreement may be executed in one or more
counterparts and, if executed in one or more counterparts, the executed
counterparts shall each be deemed to be an original, not all such counterparts
shall together constitute one and the same instrument.

         15.  HEADINGS.  The headings herein are inserted for convenience of
reference only and are not intended to be part of, or to affect the meaning or
interpretation of, this Agreement.

         16.  SURVIVAL.  The indemnities and contribution provisions and the
other agreements, representations and warranties of the Company, its officers
and directors and of the Underwriters set forth in or made pursuant to this
Agreement shall remain operative and in full force and effect, and will survive
delivery of and payment for the Securities, regardless of (i) any investigation,
or statement as to the results thereof, made by or on behalf of any of the
Underwriters or by or on behalf of the Company, the officers or directors of the
Company or any controlling person of the Company, (ii) acceptance of the
Securities and payment for them hereunder and (iii) termination of this
Agreement.



                                        - 22 -




         This Agreement may be signed in various counterparts which together
shall constitute one and the same instrument. Please confirm that the foregoing
correctly sets forth the agreement among the Company and you.


                                  Very truly yours,

                                  TENET HEALTHCARE CORPORATION



                                  By:________________________________
                                     Name:
                                     Title:


The foregoing Underwriting Agreement
is hereby confirmed and accepted as of
the date first above written.

DONALDSON, LUFKIN & JENRETTE
  SECURITIES CORPORATION
GOLDMAN, SACHS & CO.
MERRILL LYNCH, PIERCE, FENNER
  & SMITH INCORPORATED
J.P. MORGAN SECURITIES INC.
SMITH BARNEY INC.

Acting on behalf of themselves


DONALDSON, LUFKIN & JENRETTE
  SECURITIES CORPORATION



By:________________________________
Name:     David L. Dennis
Title:   Managing Director




GOLDMAN, SACHS & CO.



By:________________________________



                                        - 23 -





MERRILL LYNCH, PIERCE, FENNER
  & SMITH INCORPORATED



By:_________________________________



J.P. MORGAN SECURITIES INC.



By:________________________________



SMITH BARNEY INC.



By:_________________________________


                                        - 24 -







                                             SCHEDULE I



                                                                  PRINCIPAL          PERCENTAGE
UNDERWRITER                                                        AMOUNT             OF TOTAL
                                                                           
Donaldson, Lufkin & Jenrette Securities Corporation  . . .    $                             %
Goldman, Sachs & Co. . . . . . . . . . . . . . . . . . . .
Merrill Lynch, Pierce, Fenner & Smith Incorporated . . . .
J.P. Morgan Securities Inc.  . . . . . . . . . . . . . . .
Smith Barney Inc.  . . . . . . . . . . . . . . . . . . . 
                                                              ----------------   ----------------
  Total. . . . . . . . . . . . . . . . . . . . . . . . . .    $400,000,000               100%
                                                              ----------------   ----------------
                                                              ----------------   ----------------



                                                I-1





                                             SCHEDULE II



                                                                  PRINCIPAL          PERCENTAGE
UNDERWRITER                                                        AMOUNT             OF TOTAL
                                                                           
Donaldson, Lufkin & Jenrette Securities Corporation  . . .    $                             %
Goldman, Sachs & Co. . . . . . . . . . . . . . . . . . . .
Merrill Lynch, Pierce, Fenner & Smith Incorporated . . . .
J.P. Morgan Securities Inc.  . . . . . . . . . . . . . . .
Smith Barney Inc.  . . . . . . . . . . . . . . . . . . . .
                                                              ----------------   ----------------
  Total. . . . . . . . . . . . . . . . . . . . . . . . . .    $900,000,000               100%
                                                              ----------------   ----------------
                                                              ----------------   ----------------



                                               II-1





                                             SCHEDULE III



                                                                  PRINCIPAL          PERCENTAGE
UNDERWRITER                                                        AMOUNT             OF TOTAL
                                                                           
Donaldson, Lufkin & Jenrette Securities Corporation  . . .    $                             %
Goldman, Sachs & Co. . . . . . . . . . . . . . . . . . . .
Merrill Lynch, Pierce, Fenner & Smith Incorporated . . . .
J.P. Morgan Securities Inc.  . . . . . . . . . . . . . . .
Smith Barney Inc.  . . . . . . . . . . . . . . . . . . . .
                                                              ----------------   ----------------
  Total. . . . . . . . . . . . . . . . . . . . . . . . . .    $700,000,000               100%
                                                              ----------------   ----------------
                                                              ----------------   ----------------



                                              III-1