Exhibit 4.4



THIS WARRANT CERTIFICATE AND THE WARRANTS EVIDENCED HEREBY HAVE NOT BEEN
REGISTERED UNDER THE UNITED STATES SECURITIES ACT OF 1933 (THE "SECURITIES ACT")
BUT HAVE BEEN ISSUED PURSUANT TO AN EXEMPTION FROM SUCH REGISTRATION AND MAY NOT
BE SOLD, TRANSFERRED, PLEDGED, HYPOTHECATED OR OTHERWISE DISPOSED OF UNTIL
EITHER (i) THE HOLDER THEREOF SHALL HAVE RECEIVED AN OPINION OF COUNSEL
REASONABLY SATISFACTORY TO THE COMPANY (AS HEREINAFTER DEFINED) THAT
REGISTRATION THEREOF UNDER THE SECURITIES ACT IS NOT REQUIRED OR (ii) A
REGISTRATION STATEMENT UNDER THE SECURITIES ACT WITH RESPECT THERETO SHALL HAVE
BECOME EFFECTIVE.

THIS WARRANT CERTIFICATE IS ISSUED PURSUANT TO AND IS SUBJECT TO THE TERMS AND
CONDITIONS OF AN EXCHANGE AGREEMENT (THE "EXCHANGE AGREEMENT") DATED 
SEPTEMBER 10, 1996 BY AND AMONG RAMSAY MANAGED CARE, INC., PAUL RAMSAY
HOSPITALS, PTY. LIMITED AND PAUL J. RAMSAY (A COPY OF WHICH IS ON FILE AT THE
PRINCIPAL OFFICE OF THE COMPANY) AND IS ENTITLED TO THE BENEFITS THEREOF.


                                                                100,000 Warrants


                              WARRANT CERTIFICATE

To Subscribe for and Purchase shares of Common Stock, par value $.01, of

                           RAMSAY MANAGED CARE, INC.

          THIS CERTIFIES that, for value received, Paul Ramsay Hospitals, Pty.
Limited, an Australian corporation, or its registered successors and assigns, is
the owner of the number of warrants (the "Warrants") set forth above, each of
which entitles the owner thereof to purchase from Ramsay Managed Care, Inc., a
Delaware corporation (herein called the "Company"), one share of Common Stock,
par value $.01, of the Company (individually, a "Common Share" and collectively,
the "Common Shares"), at an initial exercise price of $1.00 per share, subject
to adjustment from time to time pursuant to the provisions of paragraph 2.  The
Warrants evidenced hereby may be exercised by the registered holder hereof at
any time during the period from April 25, 2004 through 5:00 P.M., New York City
Time on October 25, 2004; provided, however, that notwithstanding the foregoing,
such Warrants may be exercised at any time after the date hereof, if at the time
of such exercise, the Market Price (as defined in Section 2(a)(H) hereof, but
calculated without giving effect to the last clause of the first

 
                                                                              2

sentence of such definition) shall have equalled or exceeded $2.333 (the
"Acceleration Price") on at least fifteen (15) trading days, which need not be
consecutive, subsequent to the date hereof.  For purposes of this Warrant
Certificate, the term "Common Shares" shall mean the class of capital stock of
the Company designated common stock, par value $.01, as constituted on the date
hereof, and any other class of capital stock of the Company resulting from
successive changes or reclassifications of the Common Shares.

          1.  Exercise of Warrants.  Subject to the foregoing, the Warrants
              --------------------                                         
evidenced hereby may be exercised by the registered holder hereof, in whole or
in part, by the surrender of this Warrant Certificate, duly endorsed (unless
endorsement is waived by the Company), at the principal office of the Company
(or at such other office or agency of the Company as it may designate by notice
in writing to the registered holder hereof at such holder's last address
appearing on the books of the Company) and upon payment to the Company by
certified or official bank check or checks payable to the order of the Company
of the purchase price of the Common Shares purchased.  The Company agrees that
the Common Shares so purchased shall be deemed to be issued to the registered
holder hereof on the date on which this Warrant Certificate shall have been
surrendered and payment made for such Common Shares as aforesaid; provided,
however, that no such surrender and payment on any date when the stock transfer
books of the Company shall be closed shall be effective to constitute the person
entitled to receive such Common Shares as the record holder thereof on such
date, but such surrender and payment shall be effective to constitute the person
entitled to receive such Common Shares as the record holder thereof for all
purposes immediately after the opening of business on the next succeeding day on
which such stock transfer books are open.  The certificate(s) for such Common
Shares shall be delivered to the registered holder hereof within a reasonable
time, not exceeding five days, after the Warrants evidenced hereby shall have
been so exercised and a new Warrant Certificate evidencing the number of
Warrants, if any, remaining unexercised shall also be issued to the registered
holder within such time unless such Warrants shall have expired.  No fractional
Common Shares of the Company, or scrips for any such fractional shares, shall be
issued upon the exercise of any Warrants.

          2.  Adjustment in Exercise Price and Number of Shares.  The initial
              -------------------------------------------------              
exercise price of $1.00 per share shall be subject to adjustment from time to
time as hereinafter provided (such price, as last adjusted, being hereinafter
called the "Exercise Price").  Upon each adjustment of the Exercise Price, the
holder of this Warrant shall thereafter

 
                                                                              3

be entitled to purchase at the Exercise Price resulting from such adjustment,
the number of shares obtained by multiplying the Exercise Price in effect
immediately prior to such adjustment by the number of shares purchasable
pursuant hereto immediately prior to such adjustment and dividing the product
thereof by the Exercise Price resulting from such adjustment.

          (a)  Adjustment of Warrant Exercise Price upon Issue of Common Shares.
               ----------------------------------------------------------------
Except in the case of the issuance from time to time of Excluded Shares (as
defined below), if and whenever after the date hereof the Company shall issue or
sell any Common Shares for a consideration per share less than the Exercise
Price in effect immediately prior to the time of such issue or sale, or the
Company shall issue or sell any Common Shares for a consideration per share less
than the Market Price (as hereinafter defined) of the Common Shares at the time
of such issue or sale, then, forthwith upon such issue or sale, the Exercise
Price shall be reduced (but not increased, except as otherwise specifically
provided in Section 2(a)(C)) to the lower of the prices (calculated to the
nearest cent) determined as follows:

               (x)  by dividing (i) an amount equal to the sum of (A) the
          aggregate number of Common Shares outstanding immediately prior to
          such issue or sale multiplied by the then existing Exercise Price, and
          (B) the consideration, if any, received by the Company upon such issue
          or sale, by (ii) the aggregate number of Common Shares outstanding
          immediately after such issue or sale; and

               (y)  by multiplying the Exercise Price in effect immediately
          prior to the time of such issue or sale by a fraction, the numerator
          of which shall be the sum of (i) the aggregate number of Common Shares
          outstanding immediately prior to such issue or sale multiplied by the
          Market Price of the Common Shares immediately prior to such issue or
          sale plus (ii) the consideration received by the Company upon such
          issue or sale, and the denominator of which shall be the product of
          (iii) the aggregate number of Common Shares outstanding immediately
          after such issue or sale, multiplied by (iv) the Market Price of the
          Common Shares immediately prior to such issue or sale.

No adjustment of the Exercise Price, however, shall be made in an amount less
than $.01 per share, but any such lesser adjustment shall be carried forward and
shall be made upon the earlier of (i) the third anniversary of the issuance or

 
                                                                              4

deemed issuance of the securities requiring such adjustment hereunder, and 
(ii) the time of and together with the next subsequent adjustment.

          For purposes hereof, the term "Excluded Shares" shall mean Common
Shares issued to employees, officers, directors or affiliates of, or consultants
to, the Company (or any of its subsidiaries, direct or indirect), pursuant to
any agreement, plan (including without limitation stock option plans and stock
purchase plans), arrangement or stock option heretofore or hereafter approved by
the Board of Directors of the Company, including without duplication pursuant to
options or warrants to purchase or rights to subscribe for such Common Shares,
securities which by their terms are convertible into or exchangeable for such
Common Shares, and options and warrants to purchase or rights to subscribe for
such convertible or exchangeable securities.

          For purposes of this Section 2(a), the following paragraphs (A) to
(I), inclusive, shall be applicable:

               (A)  Issuance of Rights or Options.  In case at any time after
                    -----------------------------
          the date hereof the Company shall in any manner grant (whether
          directly or by assumption in a merger or otherwise) any rights to
          subscribe for or to purchase, or any options for the purchase of
          Common Shares or any stock or securities convertible into or
          exchangeable for Common Shares (such convertible or exchangeable stock
          or securities being herein called "Convertible Securities"), whether
          or not such rights or options or the right to convert or exchange any
          such Convertible Securities are immediately exercisable, and the price
          per share for which Common Shares are issuable upon the exercise of
          such rights or options or upon conversion or exchange of such
          Convertible Securities (determined by dividing (i) the total amount,
          if any, received or receivable by the Company as consideration for the
          granting of such rights or options, plus the minimum aggregate amount
          of additional consideration, if any, payable to the Company upon the
          exercise of such rights or options, or plus, in the case of such
          rights or options which relate to Convertible Securities, the minimum
          aggregate amount of additional consideration, if any, payable upon the
          issue or sale of such Convertible Securities and upon the conversion
          or exchange thereof, by (ii) the total maximum number of Common Shares
          issuable upon the exercise of such rights or options or

 
                                                                              5

          upon the conversion or exchange of all such Convertible Securities
          issuable upon the exercise of such rights or options) shall be less
          than the Exercise Price in effect immediately prior to the time of the
          granting of such rights or options or less than the Market Price of
          the Common Shares determined as of the date of granting such rights or
          options, as the case may be, then the total maximum number of Common
          Shares issuable upon the exercise of such rights or options or upon
          conversion or exchange of all such Convertible Securities issuable
          upon the exercise of such rights or options shall be deemed to be
          outstanding as of the date of the granting of such rights or options
          and to have been issued for such price per share, with the effect on
          the Exercise Price specified in Section 2(a).  Except as provided in
          subparagraph (C), no further adjustment of the Exercise Price shall be
          made upon the actual issue of such Common Shares or of such
          Convertible Securities upon exercise of such rights or options or upon
          the actual issue of such Common Shares upon conversion or exchange of
          such Convertible Securities.

               (B)  Issuance of Convertible Securities.  In case at any time
                    ----------------------------------                      
          after the date hereof the Company shall in any manner issue (whether
          directly or by assumption in a merger or otherwise) or sell any
          Convertible Securities, whether or not the right to exchange or
          convert thereunder is immediately exercisable, and the price per share
          for which Common Shares are issuable upon such conversion or exchange
          (determined by dividing (i) the total amount, if any, received or
          receivable by the Company as consideration for the issue or sale of
          such Convertible Securities, plus the minimum aggregate amount of
          additional consideration, if any, payable to the Company upon the
          conversion or exchange thereof, by (ii) the total maximum number of
          Common Shares issuable upon the conversion or exchange of all such
          Convertible Securities) shall be less than the Exercise Price in
          effect immediately prior to the time of such issue or sale, or less
          than the Market Price of the Common Shares determined as of the date
          of such issue or sale of such Convertible Securities, as the case may
          be, then the total maximum number of Common Shares issuable upon
          conversion or exchange of all such Convertible Securities shall be
          deemed to be outstanding as of the date of the issue or sale of

 
                                                                              6

          such Convertible Securities and to have been issued for such price per
          share, with the effect on the Exercise Price specified in 
          Section 2(a); provided, however, that (a) except as otherwise provided
          in subparagraph (C), no further adjustment of the Exercise Price shall
          be made upon the actual issue of such Common Shares upon conversion or
          exchange of such Convertible Securities, and (b) if any such issue or
          sale of such Convertible Securities is made upon exercise of any
          rights to subscribe for or to purchase or any option to purchase any
          such Convertible Securities for which adjustments of the Exercise
          Price have been or are to be made pursuant to the provisions of
          subparagraph (A), no further adjustment of the Exercise Price shall be
          made by reason of such issue or sale.

               (C)  Change in Option Price or Conversion Rate.  Upon the
                    -----------------------------------------           
          happening of any of the following events, namely, if the purchase
          price provided for in any right or option referred to in subparagraph
          (A), the additional consideration, if any, payable upon the conversion
          or exchange of any Convertible Securities referred to in subparagraphs
          (A) or (B), or the rate at which any Convertible Securities referred
          to in subparagraphs (A) or (B) are convertible into or exchangeable
          for Common Shares shall change (other than under or by reason of
          provisions designed to protect against dilution), the Exercise Price
          then in effect hereunder shall forthwith be readjusted (increased or
          decreased, as the case may be) to the Exercise Price which would have
          been in effect at such time had such rights, options or Convertible
          Securities still outstanding provided for such changed purchase price,
          additional consideration or conversion rate, as the case may be, at
          the time initially granted, issued or sold.  On the expiration of any
          such option or right referred to in subparagraph (A), or the
          termination of any such right to convert or exchange any such
          Convertible Securities referred to in subparagraphs (A) or (B), the
          Exercise Price then in effect hereunder shall forthwith be readjusted
          (increased or decreased, as the case may be) to the Exercise Price
          which would have been in effect at the time of such expiration or
          termination had such right, option or Convertible Securities, to the
          extent outstanding immediately prior to such expiration or
          termination, never been granted,

 
                                                                              7

          issued or sold, and the Common Shares issuable thereunder shall no
          longer be deemed to be outstanding.  If the purchase price provided
          for in any such right or option referred to in subparagraph (A) or the
          rate at which any Convertible Securities referred to in subparagraphs
          (A) or (B) are convertible into or exchangeable for Common Shares
          shall be reduced at any time under or by reason of provisions with
          respect thereto designed to protect against dilution, then in case of
          the delivery of Common Shares upon the exercise of any such right or
          option or upon conversion or exchange of any such Convertible
          Securities, the Exercise Price then in effect hereunder shall, if not
          already adjusted, forthwith be adjusted to such amount as would have
          obtained had such right, option or Convertible Securities never been
          issued as to such Common Shares and had adjustments been made upon the
          issuance of the Common Shares delivered as aforesaid, but only if as a
          result of such adjustment the Exercise Price then in effect hereunder
          is thereby reduced.

               (D)  Stock Dividends.  In case at any time the Company shall
                    ---------------                                        
          declare a dividend or make any other distribution upon any class or
          series of stock of the Company payable in Common Shares or Convertible
          Securities, any Common Shares or Convertible Securities, as the case
          may be, issuable in payment of such dividend or distribution shall be
          deemed to have been issued or sold without consideration with the
          effect on the Exercise Price specified in Section 2(a).

               (E)  Consideration for Stock.  In case at any time Common Shares
                    -----------------------                                    
          or Convertible Securities or any rights or options to purchase any
          such Common Shares or Convertible Securities shall be issued or sold
          for cash, the consideration therefor shall be deemed to be the amount
          received by the Company therefor, after deduction therefrom of any
          expenses incurred or any underwriting commissions or concessions paid
          or allowed by the Company in connection therewith.  In case at any
          time any Common Shares, Convertible Securities or any rights or
          options to purchase any such Common Shares or Convertible Securities
          shall be issued or sold for consideration other than cash, the amount
          of the consideration other than cash received by the Company shall be
          deemed to be the

 
                                                                              8

          fair value of such consideration, as determined reasonably and in good
          faith by the Board of Directors of the Company, after deduction of any
          expenses incurred or any underwriting commissions or concessions paid
          or allowed by the Company in connection therewith.  In case at any
          time any Common Shares, Convertible Securities or any rights or
          options to purchase any Common Shares or Convertible Securities shall
          be issued in connection with any merger or consolidation in which the
          Company is the surviving corporation, the amount of consideration
          received therefor shall be deemed to be the fair value, as determined
          reasonably and in good faith by the Board of Directors of the Company,
          of such portion of the assets and business of the nonsurviving
          corporation as such Board of Directors may determine to be
          attributable to such Common Shares, Convertible Securities, rights or
          options, as the case may be.  In case at any time any rights or
          options to purchase any shares of Common Stock or Convertible
          Securities shall be issued in connection with the issue and sale of
          other securities of the Company, together comprising one integral
          transaction in which no consideration is allocated to such rights or
          options by the parties thereto, such rights or options shall be deemed
          to have been issued without consideration.  In the event of any
          consolidation or merger of the Company in which stock or securities of
          another corporation or other entity are issued in exchange for Common
          Stock of the Company or in the event of any sale of all or
          substantially all of the assets of the Company for stock or other
          securities of any corporation or other entity, the Company shall be
          deemed to have issued a number of shares of its Common Stock for stock
          or securities of the other corporation or other entity computed on the
          basis of the actual exchange ratio on which the transaction was
          predicated and for a consideration equal to the fair market value on
          the date of such transaction of such stock or securities of the other
          corporation or other entity, and if any such calculation results in
          the adjustment of the Exercise Price, the determination of the number
          of shares of Common Stock receivable upon exercise of this Warrant
          Certificate immediately prior to such merger, consolidation or sale,
          for purposes of Section 2(c), shall be made after giving effect to
          such adjustment of the Exercise Price.

 
                                                                              9

               (F)  Record Date.  In case the Company shall take a record of the
                    -----------                                                 
          holders of its Common Shares for the purpose of entitling them (i) to
          receive a dividend or other distribution payable in Common Shares or
          Convertible Securities, or (ii) to subscribe for or purchase Common
          Shares or Convertible Securities, then such record date shall be
          deemed to be the date of the issue or sale of the Common Shares or
          Convertible Securities deemed to have been issued or sold as a result
          of the declaration of such dividend or the making of such other
          distribution or the date of the granting of such right of subscription
          or purchase, as the case may be.

               (G)  Treasury Shares.  The number of Common Shares outstanding at
                    ---------------                                             
          any given time shall not include shares owned or held by or for the
          account of the Company, and the disposition of any such shares shall
          be considered an issue or sale of Common Shares for the purposes of
          Section 2(a).

               (H)  Definition of Market Price.  The term "Market Price" shall
                    --------------------------                                
          mean, for any day, the last sale price for the Common Shares on the
          principal securities exchange on which the Common Shares are listed or
          admitted to trading, or, if not so listed or admitted to trading on
          any securities exchange, the last sale price for the Common Shares on
          the National Association of Securities Dealers National Market System,
          or, if the Common Shares shall not be listed on such system, the
          NASDAQ Small Cap Market, or, if the Common Shares shall not be listed
          on such market, the average of the closing bid and asked prices in the
          over-the-counter market, in each such case, unless otherwise provided
          herein (including in the second sentence of this Warrant Certificate),
          averaged over a period of 20 consecutive business days prior to the
          day as of which the Market Price is being determined.  If at any time
          the Common Shares are not listed on any such exchange, such system or
          such market or quoted in the over-the-counter market, the Market Price
          of the Common Shares shall be deemed to be the higher of (i) the book
          value thereof, as determined in accordance with generally accepted
          accounting principles consistent with those then being applied by the
          Company, by any firm of independent certified public accountants
          (which may be the regular auditors of the Company) of recognized

 
                                                                             10

          national standing selected by the Board of Directors of the Company,
          as of the last day of the month ending within 31 days preceding the
          date as of which the determination is to be made, and (ii) the fair
          value thereof, as determined in good faith by an independent brokerage
          firm, Standard & Poor's Corporation or Moody's Investors Service, as
          of a date which is within 15 days preceding the date as of which the
          determination is to be made.

               (I)  Certain Acquisitions.  Anything herein to the contrary
                    --------------------                                  
          notwithstanding, in case at any time after the date hereof the Company
          shall issue any Common Shares or Convertible Securities, or any rights
          or options to purchase any Common Shares or Convertible Securities, in
          connection with the acquisition by the Company of the stock or assets
          of any other corporation or other entity or the merger of any other
          corporation or other entity with and into the Company under
          circumstances where on the date of the issuance of such Common Shares
          or Convertible Securities, or such rights or options, the
          consideration received for such Common Shares or deemed to have been
          received for the Common Shares into which such Convertible Securities
          are convertible or for which such rights or options are exercisable is
          less than the Market Price of the Common Shares, but on the date the
          number of Common Shares or Convertible Securities, or in the case of
          Convertible Securities other than stock, the aggregate principal
          amount of Convertible Securities, or the number of such rights or
          options was determined (as set forth in a binding agreement between
          the Company and the other party to the transaction) the consideration
          received for such Common Shares or deemed to have been received for
          the Common Shares into which such Convertible Securities are
          convertible or for which such rights or options are exercisable would
          not have been less than the Market Price of the Common Shares, such
          Common Shares shall not be deemed to have been issued for less than
          the Market Price of the Common Shares.

          (b)  Subdivision or Combination of Stock.  In case the Company shall
               -----------------------------------
at any time subdivide its outstanding Common Shares into a greater number of
shares, each of the Exercise Price and the Acceleration Price in effect
immediately prior to such subdivision shall be proportionately reduced, and
conversely, in case the

 
                                                                             11

outstanding Common Shares of the Company shall be combined into a smaller number
of shares, each of the Exercise Price and the Acceleration Price in effect
immediately prior to such combination shall be proportionately increased.

          (c)  Reorganization, Reclassification, Consolidation, Merger.  If any
               -------------------------------------------------------         
capital reorganization, reclassification of the capital stock of the Company,
consolidation or merger of the Company with another corporation or other entity,
or sale, transfer or other disposition of all or substantially all of the
Company's properties to another corporation or other entity shall be effected,
then, as a condition of such reorganization, reclassification, consolidation,
merger, sale, transfer or other disposition, lawful and adequate provision shall
be made whereby each holder of Warrants shall thereafter have the right to
purchase and receive upon the basis and upon the terms and conditions herein
specified and in lieu of the Common Shares immediately theretofore issuable upon
exercise of the Warrants, such shares of stock, securities or properties as may
be issuable or payable with respect to or in exchange for a number of
outstanding Common Shares equal to the number of Common Shares immediately
theretofore issuable upon exercise of the Warrants, had such reorganization,
reclassification, consolidation, merger, sale, transfer or other disposition not
taken place, and in any such case appropriate provision shall be made with
respect to the rights and interests of each holder of Warrants to the end that
the provisions hereof (including, without limitation, provision for adjustment
of the Exercise Price and the Acceleration Price) shall thereafter be
applicable, as nearly equivalent as may be practicable in relation to any shares
of stock, securities or properties thereafter deliverable upon the exercise
thereof.  The Company shall not effect any such consolidation, merger, sale,
transfer or other disposition, unless prior to or simultaneously with the
consummation thereof the successor corporation or other entity, if other than
the Company, resulting from such consolidation or merger, or the corporation or
other entity purchasing or otherwise acquiring such properties shall assume, by
written instrument executed and mailed or delivered to the holders of Warrants
at the last address of such holders appearing on the books of the Company, the
obligation to deliver to such holders such shares of stock, securities or
properties, in accordance with the foregoing provisions, as such holders may be
entitled to acquire.  The above provisions of this subparagraph 2(c) shall
similarly apply to successive reorganizations, reclassifications,
consolidations, mergers, sales, transfers, or other dispositions.

 
                                                                             12

          (d)  Liquidating Dividends.  In case at any time the Company shall
               ---------------------                                        
distribute pro rata to all holders of its Common Shares evidences of its
indebtedness or assets (excluding cash dividends or cash distributions paid out
of retained earnings or retained surplus) then, forthwith upon such
distribution, the Exercise Price shall be reduced by the fair market value of
the evidences of indebtedness or assets so distributed applicable to one Common
Share (as conclusively determined by an investment banking firm designated by a
majority in interest of the holders of Warrants; it being understood that the
fees of such investment banking firm shall be borne by the Company).

          (e)  Notice of Determination.  Except as otherwise provided herein,
               -----------------------                                       
upon any adjustment of the Exercise Price, then and in each such case the
Company shall promptly obtain the certification of a firm of independent
certified public accountants (which may be the regular auditors of the Company)
of recognized national standing selected by the Company's Board of Directors,
which certification shall state the Exercise Price resulting from such
adjustment and the increase or decrease, if any, in the number of Common Shares
issuable upon exercise of the Warrants held by each holder of Warrants, setting
forth in reasonable detail the method of calculation and the facts upon which
such calculation is based.  The Company shall promptly mail a copy of such
accountants' certification to each holder of Warrants.

          (f)  Intent of Provisions.  If any event occurs as to which, in the
               --------------------                                          
opinion of the Board of Directors of the Company, the other provisions of this
Section 2 are not strictly applicable or if strictly applicable, would not
fairly protect the rights of the holders of the Warrants in accordance with the
essential intent and principles of such provisions, then such Board of Directors
shall appoint a firm of independent certified public accountants (which may be
the regular auditors of the Company) of recognized national standing, which
shall give their opinion upon the adjustment, if any, on a basis consistent with
such essential intent and principles, necessary to preserve, without dilution,
the rights of the holders of Warrants.  Upon receipt of such opinion by the
Board of Directors of the Company, the Company shall forthwith make the
adjustments described therein; provided, however, that no such adjustment
pursuant to this Section 2(f) shall have the effect of increasing the Exercise
Price as otherwise determined pursuant to the other provisions of this Section 2
except in the event of a combination of shares of the type contemplated in
Section 2(b) and then in no event to an

 
                                                                             13

amount larger than the Exercise Price as adjusted pursuant to Section 2(b).

          3.   Other Notices.  If at any time prior to the expiration of the
               -------------                                                
Warrants evidenced hereby:

               (a)  The Company shall declare any dividend on the Common Shares
          payable in shares of capital stock of the Company, cash or other
          property; or

               (b)  The Company shall authorize the issue of any options,
          warrants or rights pro rata to all holders of Common Shares entitling
          them to subscribe for or purchase any shares of stock of the Company
          or to receive any other rights; or

               (c)  The Company shall authorize the distribution pro rata to all
          holders of Common Shares of evidences of its indebtedness or assets
          (excluding cash dividends or cash distributions paid out of retained
          earnings or retained surplus); or

               (d)  There shall occur any reclassification of the Common Shares,
          or any consolidation or merger of the Company with or into another
          corporation or other entity (other than a consolidation or merger in
          which the Company is the continuing corporation and which does not
          result in any reclassification of the Common Shares) or a sale or
          transfer to another corporation or other entity of all or
          substantially all of the properties of the Company; or

               (e)  There shall occur the voluntary or involuntary liquidation,
          dissolution or winding up of the affairs of the Company;

then, and in each of such cases, the Company shall deliver to the registered
holder hereof at its last address appearing on the books of the Company, as
promptly as practicable but in any event at least 15 days prior to the
applicable record date (or determination date) mentioned below, a notice
stating, to the extent such information is available, (i) the date on which a
record is to be taken for the purpose of such dividend, distribution or rights,
or, if a record is not to be taken, the date as of which the holders of Common
Shares of record to be entitled to such dividend, distribution or rights are to
be determined, or (ii) the date on which such reclassification, consolidation,

 
                                                                             14

merger, sale, transfer, liquidation, dissolution or winding up is expected to
become effective and the date as of which it is expected that holders of Common
Shares of record shall be entitled to exchange their Common Shares for
securities or other property deliverable upon such reclassification,
consolidation, merger, sale, transfer, liquidation, dissolution or winding up.

          4.   Representations and Warranties of the Company.  The Company
               ---------------------------------------------              
represents and warrants to and covenants with the registered holder hereof as
follows:

               (a)  The Company is a corporation duly organized, validly
existing and in good standing under the laws of the State of Delaware, is duly
qualified and in good standing under the laws of any foreign jurisdiction where
the failure to be so qualified would have a material adverse effect on its
ability to perform its obligations under the Warrants evidenced by this Warrant
Certificate and it has full corporate power and authority to issue the Warrants
and to carry out the provisions of the Warrants evidenced by this Warrant
Certificate.

               (b)  The issuance, execution and delivery of this Warrant
Certificate has been duly authorized by all necessary corporate action on the
part of the Company and each of the Warrants evidenced by this Warrant
Certificate constitutes the valid and legally binding obligation of the Company,
enforceable against it in accordance with the terms hereof, except as such
enforceability may be limited by bankruptcy, insolvency or other laws affecting
generally the enforceability of creditors' rights, by general principles of
equity and by limitations on the availability of equitable remedies.

               (c)  Neither the execution and delivery of the Warrants evidenced
by this Warrant Certificate by the Company, nor compliance by the Company with
the provisions hereof, violates any provision of its Certificate of
Incorporation or By-Laws, as amended, or any law, statute, ordinance,
regulation, order, judgment or decree of any court or governmental agency, or
conflicts with or will result in any breach of the terms of or constitute a
default under or result in the termination of or the creation of any lien
pursuant to the terms of any agreement or instrument to which the Company is a
party or by which it or any of its properties is bound.

          5.   Company to Provide Stock.  The Company covenants and agrees that
               ------------------------                                        
all shares of capital stock of the Company which may be issued upon the exercise
of the

 
                                                                             15

Warrants evidenced hereby will be duly authorized, validly issued and fully paid
and nonassessable and free from all taxes, liens and charges with respect to the
issue thereof to the registered holder hereof.  The Company further covenants
and agrees that during the period within which the Warrants evidenced hereby may
be exercised, the Company will at all times reserve such number of shares of its
capital stock as may be sufficient to permit the exercise in full of the
Warrants evidenced hereby.

          6.   Registered Holder.  The registered holder of this Warrant
               -----------------                                        
Certificate shall be deemed the owner hereof and of the Warrants evidenced
hereby for all purposes.  The registered holder of this Warrant Certificate
shall not be entitled by virtue of ownership of this Warrant Certificate to any
rights whatsoever as a shareholder of the Company.

          7.   Transfer.  This Warrant Certificate and the Warrants evidenced
               --------                                                      
hereby may be sold, transferred, pledged, hypothecated or otherwise disposed of;
provided that this Warrant Certificate and the Warrants evidenced hereby may not
be sold, transferred, pledged, hypothecated or otherwise disposed of unless, in
the opinion of counsel reasonably satisfactory to the Company, such transfer
would not result in a violation of the provisions of the Securities Act.  Any
transfer of this Warrant Certificate and the Warrants evidenced hereby, in whole
or in part, shall be effected upon surrender of this Warrant Certificate, duly
endorsed (unless endorsement is waived by the Company), at the principal office
or agency of the Company referred to in Section 1 hereof.  If all of the
Warrants evidenced hereby are being sold, transferred, pledged, hypothecated or
otherwise disposed of, the Company shall issue a new Warrant Certificate
registered in the name of the appropriate transferee(s).  If less than all of
the Warrants evidenced hereby are being sold, transferred, pledged, hypothecated
or otherwise disposed of, the Company shall issue new Warrant Certificates, in
each case in the appropriate number of Warrants, registered in the name of the
registered holder hereof and the transferee(s), as applicable.  Any Common
Shares of the Company issued upon any exercise hereof may not be sold,
transferred, pledged, hypothecated or otherwise disposed of unless, in the
opinion of counsel reasonably satisfactory to the Company, such transfer would
not result in a violation of the Securities Act.  Each taker and holder of this
Warrant Certificate, the Warrants evidenced hereby and any shares of capital
stock of the Company issued upon exercise of any such Warrants, by taking or
holding the same, consents to and agrees to be bound by the provisions of this
Section 7.
                               *       *       *

 
                                                                             16

          IN WITNESS WHEREOF, RAMSAY MANAGED CARE, INC. has caused this Warrant
Certificate to be signed by a duly authorized officer and this Warrant
Certificate to be dated September 10, 1996.


                                       RAMSAY MANAGED CARE, INC.



                                       By____________________________
                                         Name:  Remberto Cibran
                                         Title: President

 
                               FORM OF EXERCISE
                               ----------------

               (to be executed by the registered holder hereof)


          The undersigned hereby exercises ____ Warrants to subscribe for and
purchase shares of common stock, par value $.01 ("Common Shares"), of RAMSAY
MANAGED CARE, INC. evidenced by the within Warrant Certificate and herewith
makes payment of the purchase price in full.  Kindly issue certificates for the
Common Shares in accordance with the instructions given below.  The certificate
for the unexercised balance of the Warrants evidenced by the within Warrant
Certificate, if any, will be registered in the name of the undersigned.


Dated:


                                            _____________________________



Instructions for registration of shares



_________________________________
    Name (please print)


Social Security or Other Identifying
Number:__________________________


Address:


_________________________________
             Street


_________________________________
     City, State and Zip Code