EXHIBIT 10.28

 
       COLUMBIA/HCA HEALTHCARE CORPORATION DIRECTORS' COMPENSATION PLAN
                (AS REVISED MAY 15, 1997 AND NOVEMBER 13, 1997)



DIRECTORS' FEES/COMPENSATION
- ----------------------------

 .       Effective May 15, 1997, directors who are not officers of Columbia/HCA
        Healthcare Corporation (the "Company") are paid an annual retainer fee
        of $40,000 in shares of Columbia/HCA Healthcare Corporation common
        stock, $.01 par value ("Columbia Common Stock") under the Directors'
        Compensation Plan. The shares are issued on a yearly basis to coincide
        with the election of directors at the Company's Annual Meeting. The
        number of Columbia shares granted to directors under the plan will be
        computated at the annual retainer fee of $40,000, divided by the fair
        market value of a share of Columbia Common Stock on the first business
        day subsequent to the Annual Meeting of Stockholders of the Company. The
        fair market value shall be determined as the hi/lo average of the stock
        as reported by the NYSE at closing on the applicable date the Columbia
        Common Stock is granted.


COLUMBIA OUTSIDE DIRECTORS NONQUALIFIED STOCK OPTION PLAN
- ---------------------------------------------------------

 .       Each non-employee director who joins the Columbia Board receives an
        option to acquire shares of Columbia Common Stock under the Columbia
        Hospital Corporation Outside Directors Nonqualified Stock Option Plan
        (copy attached) (exercisable at the shares' fair market value on the
        date of grant of the option) having an aggregate exercise price equal to
        two times the non-employee directors' annual retainer fee then in
        effect, but in no event more than 3,000 shares. Following each
        succeeding Annual Meeting of Stockholders and to coincide with the
        election of directors, each non-employee director who continues in
        office will receive an option to acquire shares of Columbia Common Stock
        (exercisable at the shares' fair market value on the date of grant of
        the option) having an aggregate exercise price equal to the non-employee
        directors= annual retainer fee then in effect, but in no event more than
        2,000 shares. The options may generally be exercised from the date of
        the grant up to 90 days following resignation from the board, expire
        five years from the date of grant, and may be paid by (i) cash; (ii)
        Columbia Common Stock that has been held for a minimum of six months; or
        (iii) a combination thereof.


OTHER FEES
- ----------

 .       Attendance fees of $1,200 per meeting are paid to non-employee directors
        for all scheduled meetings of the Board.

 .       Non-employee directors are paid a committee meeting fee of $800 per
        meeting if such meeting is not held in conjunction with a regularly
        scheduled Board meeting. The Board of Directors has Audit, Compensation
        and Executive Committees.

 .       The Chairperson of the Executive Committee (provided the Chairperson is
        a non-employee director) receives an additional $7,500 annual fee and
        all other non-employee Executive Committee directors receive an
        additional $5,000 annual fee.

 .       All other non-employee Committee Chairpersons receive $1,000 per
        committee meeting attended.

                                       2

 
COLUMBIA/HCA HEALTHCARE FOUNDATION, INC. - MATCHING GIFT PROGRAM
- ----------------------------------------------------------------

 .       Effective for 1997 and subsequent years, the Company will match gifts
        from each Director to organizations and programs exempt from taxation
        (pursuant to Section 501(c)(3) of the Internal Revenue Code), including
        civic, cultural, educational and health and human services institutions,
        on a dollar-for-dollar basis, from a minimum of $500 per gift, up to an
        aggregate maximum of $15,000 annually. The Matching Gift Program will be
        administered by the Columbia/HCA Healthcare Foundation, Inc. To qualify
        for a matching gift, contributions must be personal gifts from the
        Director's own funds (including personal or family foundations and gifts
        made jointly with spouses), paid in cash or securities. Pledges do not
        qualify for matches. Directors who have retired from service on the
        Board may participate in this program through the end of the first year
        following the year in which retirement was effective. The Company
        reserves the right to determine whether gifts to organizations are
        within certain guidelines for qualification for matching.

MATCHING CONTRIBUTIONS (APPLIES ONLY TO FORMER GALEN DIRECTORS)
- ---------------------------------------------------------------

 .       The Company matches, on an annual basis, up to $20,000 in charitable
        contributions made by each non-employee director who had been a director
        of Galen Health Care, Inc. ("Galen").


DENTAL AND MEDICAL PLANS (APPLIES ONLY TO FORMER GALEN DIRECTORS)
- -----------------------------------------------------------------

 .       Each non-employee director who had been a director of Galen is eligible
        to participate in the self-funded dental and medical plans at the same
        contribution paid by a regular full-time employee.

                                       3