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                                                                     EXHIBIT 3.1

                                                                                



                          CERTIFICATE OF INCORPORATION



                                       OF



                           LIFEPOINT HOSPITALS, INC.

                                 ______________

                                        

                                    DELAWARE





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                          CERTIFICATE OF INCORPORATION

                                       OF

                           LIFEPOINT HOSPITALS, INC.

        FIRST:  The name of the Corporation is LifePoint Hospitals, Inc.

        SECOND:  The address of the Corporation's registered office in the State
of Delaware is 1013 Centre Road, in the City of Wilmington, County of New
Castle, Delaware 19805. The name of its registered agent at such address is 
Corporation Service Company.

        THIRD:  The purpose of the Corporation is to engage in any lawful act or
activity for which corporations may be organized under the Delaware General
Corporation Law.

        FOURTH:  The total number of shares of all classes of capital stock
which the Corporation shall have the authority to issue is ________ Million
(________) shares, divided into two classes of which ________ Million (________)
shares, par value $.01 per share, shall be designated Preferred Stock, and
________ Million (________) shares, par value $.01 per share, shall be
designated Common Stock. 

                A. Preferred Stock

                1.  Issuance. The Board of Directors is expressly authorized,
                    --------
        subject to limitations prescribed by law, to provide for the issuance of
        shares of Preferred Stock in one or more series, to establish the number
        of shares to be included in each such series, and to fix the
        designations, powers, preferences, and rights of the shares of each such
        series, and any qualifications, limitations or restrictions thereof. The
        number of authorized shares of Preferred Stock may be increased or
        decreased (but not below the number of shares thereof then outstanding)
        by the affirmative vote of the holders of at least 80% of the voting
        power of all of the then outstanding shares of capital stock of the
        Corporation entitled to vote generally in the election of directors,
        voting together as a single class, without a separate vote of the
        holders of the Preferred Stock, unless a vote of any such holders is
        required pursuant to the terms of any such series of Preferred Stock.

                2.  Series A Junior Participating Preferred Stock.
                    ----------------------------------------------

                    Section 1.  Designation and Amount. ________ million
                                ----------------------
                (________) shares of the Preferred Stock of the Corporation
                shall be designated as "Series A Junior Participating Preferred
                Stock," par value $.01 per share (the "Series A Preferred
                Stock"). The number of shares of such series of Preferred Stock
                may be increased or decreased by resolution of the Board of
                Directors; provided, however, that no decrease shall reduce the
                number of shares of such series of Preferred Stock to a number
                less than the number of shares then outstanding plus the number
                of shares reserved for issuance upon the exercise of outstanding
                options, rights or warrants or upon the conversion of any
                outstanding securities issued by the Corporation convertible
                into Series A Preferred Stock.

                                      -1-

 
                Section 2.  Dividends and Distributions.
                            ----------------------------

                (A)  Subject to the rights of the holders of any shares of any
        series of Preferred Stock (or any similar stock) ranking prior and
        superior to the Series A Preferred Stock with respect to dividends, the
        holders of shares of Series A Preferred Stock, in preference to the
        holders of Common Stock, and of any other junior stock, shall be
        entitled to receive, when, as and if declared by the Board of Directors
        out of funds legally available for the purpose, quarterly dividends
        payable in cash on the first day of March, June, September and December
        in each year (each such date being referred to herein as a "Quarterly
        Dividend Payment Date"), commencing on the first Quarterly Dividend
        Payment Date after the first issuance of a share or fraction of a share
        of Series A Preferred Stock, in an amount per share (rounded to the
        nearest cent) equal to the greater of (a) $10 or (b) subject to the
        provision for adjustment hereinafter set forth, 1,000 times the
        aggregate per share amount of all cash dividends, and 1,000 times the
        aggregate per share amount (payable in kind) of all non-cash dividends
        or other distributions, other than a dividend payable in shares of
        Common Stock or a subdivision of the outstanding shares of Common Stock
        (by reclassification or otherwise), declared on the Common Stock since
        the immediately preceding Quarterly Dividend Payment Date or, with
        respect to the first Quarterly Dividend Payment Date, since the first
        issuance of any share or fraction of a share of Series A Preferred
        Stock. In the event the Corporation shall at any time declare or pay any
        dividend on the Common Stock payable in shares of Common Stock, or
        effect a subdivision or combination or consolidation of the outstanding
        shares of Common Stock (by reclassification or otherwise than by payment
        of a dividend in shares of Common Stock) into a greater or lesser number
        of shares of Common Stock, then in each such case the amount to which
        holders of shares of Series A Preferred Stock were entitled immediately
        prior to such event under clause (b) of the preceding sentence shall be
        adjusted by multiplying such amount by a fraction, the numerator of
        which is the number of shares of Common Stock outstanding immediately
        after such event and the denominator of which is the number of shares of
        Common Stock that were outstanding immediately prior to such event.

                (B)  The Corporation shall declare a dividend or distribution on
        the Series A Preferred Stock as provided in paragraph (A) of this
        Section 2 immediately after it declares a dividend or distribution on
        the Common Stock (other than a dividend payable in shares of Common
        Stock); provided, however, that, in the event no dividend or
        distribution shall have been declared on the Common Stock during the
        period between any Quarterly Dividend Payment Date and the next
        subsequent Quarterly Dividend Payment Date, a dividend of $10 per share
        on the Series A Preferred Stock shall nevertheless be payable on such
        subsequent Quarterly Dividend Payment Date.

                (C)  Dividends shall begin to accrue and be cumulative on
        outstanding shares of Series A Preferred Stock from the Quarterly
        Dividend Payment Date next preceding the date of issue of such shares,
        unless the date of issue of such shares is prior to the record date for
        the first Quarterly Dividend Payment Date, in 

                                      -2-

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

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

                (A)  Subject to the provision for adjustment hereinafter set
        forth, each share of Series A Preferred Stock shall entitle the holder
        thereof to 1,000 votes on all matters submitted to a vote of the
        stockholders of the Corporation. In the event the Corporation shall at
        any time declare or pay any dividend on the Common Stock payable in
        shares of Common Stock, or effect a subdivision or combination or
        consolidation of the outstanding shares of Common Stock (by
        reclassification or otherwise than by payment of a dividend in shares of
        Common Stock) into a greater or lesser number of shares of Common Stock,
        then in each such case the number of votes per share to which holders of
        shares of Series A Preferred Stock were entitled immediately prior to
        such event shall be adjusted by multiplying such number by a fraction,
        the numerator of which is the number of shares of Common Stock
        outstanding immediately after such event and the denominator of which is
        the number of shares of Common Stock that were outstanding immediately
        prior to such event.

                (B)  Except as otherwise provided herein, in a resolution or
        resolutions adopted by the Board of Directors providing for the issuance
        of a series of Preferred Stock or any similar stock (a "Certificate of
        Designation"), or by law, the holders of shares of Series A Preferred
        Stock and the holders of shares of Common Stock and any other capital
        stock of the Corporation entitled to vote generally in the election of
        directors shall vote together as a single class on all matters submitted
        to a vote of stockholders of the Corporation.
                
                (C)  Except as otherwise provided herein, or by law, holders of
        Series A Preferred Stock shall have no special voting rights and their
        consent shall not be required (except to the extent they are entitled to
        vote with holders of Common Stock as set forth herein) for taking any
        corporate action.

                                      -3-

 
                Section 4.  Certain Restrictions.
                            ---------------------

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

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

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

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

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

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

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

                                      -4-

 
                Section 6. Liquidation, Dissolution or Winding Up. Upon any
                           --------------------------------------
        liquidation, dissolution or winding up of the Corporation, no
        distribution shall be made (1) to the holders of shares of stock ranking
        junior (either as to dividends or upon liquidation, dissolution or
        winding up) to the Series A Preferred Stock unless, prior thereto, the
        holders of shares of Series A Preferred Stock shall have received $1,000
        per share, plus an amount equal to accrued and unpaid dividends and
        distributions thereon, whether or not declared, to the date of such
        payment, provided, however, that the holders of shares of Series A
        Preferred Stock shall be entitled to receive an aggregate amount per
        share, subject to the provision for adjustment hereinafter set forth,
        equal to 1,000 times the aggregate amount to be distributed per share to
        holders of shares of Common Stock, or (2) to the holders of shares of
        stock ranking on a parity (either as to dividends or upon liquidation,
        dissolution or winding up) with the Series A Preferred Stock, except
        distributions made ratably on the Series A Preferred Stock, and all such
        parity stock in proportion to the total amounts to which the holders of
        all such shares are entitled upon such liquidation, dissolution or
        winding up. In the event the Corporation shall at any time declare or
        pay any dividend on the Common Stock payable in shares of Common Stock,
        or effect a subdivision or combination or consolidation of the
        outstanding shares of Common Stock (by reclassification or otherwise
        than by payment of a dividend in shares of Common Stock) into a greater
        or lesser number of shares of Common Stock, then in each such case the
        aggregate amount to which holders of shares of Series A Preferred Stock
        were entitled immediately prior to such event under the proviso in
        clause (1) of the preceding sentence shall be adjusted by multiplying
        such amount by a fraction the numerator of which is the number of shares
        of Common Stock outstanding immediately after such event and the
        denominator of which is the number of shares of Common Stock that were
        outstanding immediately prior to such event.

                Section 7.  Consolidation, Merger, etc. In case the Corporation
                            --------------------------
        shall enter into any consolidation, merger, combination or other
        transaction in which the shares of Common Stock are exchanged for or
        changed into other stock or securities, cash and/or any other property,
        then in any such case each share of Series A Preferred Stock shall at
        the same time be similarly exchanged or changed into an amount per
        share, subject to the provision for adjustment hereinafter set forth,
        equal to 1,000 times the aggregate amount of stock, securities, cash
        and/or any other property (payable in kind), as the case may be, into
        which or for which each share of Common Stock is changed or exchanged.
        In the event the Corporation shall at any time declare or pay any
        dividend on the Common Stock payable in shares of Common Stock, or
        effect a subdivision or combination or consolidation of the outstanding
        shares of Common Stock (by reclassification or otherwise than by payment
        of a dividend in shares of Common Stock) into a greater or lesser number
        of shares of Common Stock, then in each such case the amount set forth
        in the preceding sentence with respect to the exchange or change of
        shares of Series A Preferred Stock shall be adjusted by multiplying such
        amount by a fraction, the numerator of which is the number of shares of
        Common Stock outstanding immediately after such event and the

                                      -5-

 
        denominator of which is the number of shares of Common Stock that were
        outstanding immediately prior to such event.

                Section 8. No Redemption. The shares of Series A Preferred Stock
                           -------------
        shall not be redeemable.

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

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

        B.  Common Stock.

                Section 1. Dividends. Subject to the preferential rights, if
                           ---------
        any, of the holders of any series of Preferred Stock then outstanding,
        the holders of the Common Stock shall be entitled to receive, when, as
        and if declared by the Board of Directors out of funds legally available
        for the purpose, dividends payable either in cash, in property or in
        shares of Common Stock or other securities of the Corporation.

                Section 2. Voting Rights. Subject to the rights, if any, of the
                           -------------
        holders of any series of Preferred Stock then outstanding, and except as
        otherwise required by law, the holders of the Common Stock shall
        exclusively possess all voting power, and at every annual or special
        meeting of stockholders of the Corporation, each holder of Common Stock
        shall be entitled to one vote, in person or by proxy, for each share of
        Common Stock standing in such holder's name on the books of the
        Corporation.

                Section 3. Liquidation, Dissolution or Winding Up. Upon any
                           -----------
        voluntary or involuntary liquidation, dissolution or winding up of the
        affairs of the Corporation, the holders of the Common Stock shall be
        entitled to share ratably in all assets of the Corporation available for
        distribution to its stockholders, subject to the preferential rights, if
        any, of the holders of any series of Preferred Stock then outstanding.

    FIFTH:  The business and affairs of the Corporation shall be managed by or
under the direction of the Board of Directors.  The Board of Directors may
exercise all such authority and powers of the Corporation and do all such lawful
acts and things as are not by statute or this Certificate of Incorporation
directed or required to be exercised or done by the stockholders.

        A. Number of Directors. The number of directors of the Corporation
     (exclusive of directors to be elected by the holders of one or more series
     of the Preferred Stock of 

                                      -6-

 
     the Corporation which may be outstanding, voting separately as a series or
     class) shall be fixed from time to time by action of not less than a
     majority of the members of the Board of Directors then in office, but in no
     event shall such number of directors of the Corporation be less than three
     nor more than fifteen. Unless changed by the Board of Directors pursuant
     hereto, the number of directors shall be seven.

        B. Classes. The directors, other than those who may be elected by the
     holders of any series of Preferred Stock under specified circumstances,
     shall be divided with respect to the time for which they severally hold
     office, into three classes, as nearly equal in number as reasonably
     possible, with the term of office of the first class to expire at the 2000
     annual meeting of stockholders, the term of office of the second class to
     expire at the 2001 annual meeting of stockholders and the term of office of
     the third class to expire at the 2002 annual meeting of stockholders. At
     each annual meeting of stockholders, commencing with the 2000 annual
     meeting, (i) directors shall be elected to succeed those directors whose
     terms expire for a term of office to expire at the third succeeding annual
     meeting of stockholders after their election, and (ii) if authorized by a
     resolution of the Board of Directors, directors may be elected to fill any
     vacancy in the Board of Directors, regardless of how such vacancy was
     created. Directors need not be stockholders. All directors shall hold
     office until the expiration of the term for which elected and until their
     successors are elected, except in the case of the death, resignation,
     disqualification or removal of any director.

        C. Stockholder Nomination of Director Candidates and Introduction of
     Business. Advance notice of stockholder nominations for the election of
     directors and of business to be brought by stockholders before any meeting
     of the stockholders of the Corporation shall be given in the manner
     provided in the By-Laws of the Corporation.

        D. Vacancies. Subject to the rights, if any, of the holders of any
     series of Preferred Stock then outstanding, and unless the Board of
     Directors otherwise determines, newly created directorships resulting from
     any increase in the authorized number of directors or any vacancies in the
     Board of Directors resulting from death, resignation, disqualification or
     removal may be filled only by a majority vote of the directors then in
     office, though less than a quorum, and directors so chosen shall hold
     office for a term expiring at the annual meeting of stockholders at which
     the term of office of the class to which they have been elected expires or,
     in the case of newly created directorships, shall hold office until such
     time as determined by the directors electing such new director (in a manner
     consistent with paragraph B of this Article Fifth). No decrease in the
     number of directors constituting the Board of Directors shall shorten the
     term of any incumbent director.

        E.  Removal. Subject to the rights, if any, of the holders of any series
     of Preferred Stock then outstanding, any director, or the entire Board of
     Directors, may be removed from office at any time, but only for cause and
     only by the affirmative vote of the holders of at least 80% of the voting
     power of all of the then outstanding shares of capital stock of the
     Corporation entitled to vote generally in the election of directors, voting
     together as a single class.

                                      -7-

 
     SIXTH: Subject to the rights, if any, of the holders of any series of
Preferred Stock then outstanding, no action required to be taken or which may be
taken at any annual or special meeting of the stockholders of the Corporation
may be taken without a meeting, and the power of the stockholders to consent in
writing, without a meeting, to the taking of any action, including (without
limitation) the power of stockholders to adopt or amend the By-Laws of the
Corporation by written consent, is hereby specifically denied.

     SEVENTH:  Special meetings of the stockholders of the Corporation may be
called only by (a) the Chairman of the Board of Directors, if one shall have
been elected or (b) the Chief Executive Officer of the Corporation, and, in
addition, a special meeting shall be called by the Chairman of the Board or the
Chief Executive Officer at the request in writing of a majority of the Board of
Directors.  The ability of the stockholders to call a special meeting is hereby
specifically denied.

     EIGHTH:  In furtherance and not in limitation of the powers conferred upon
it by the laws of the State of Delaware, the Board of Directors shall have the
power to adopt, amend, alter or repeal the By-Laws of the Corporation.  The
Corporation's By-Laws may also be adopted, amended, altered or repealed by the
affirmative vote of the holders of at least 80% of the voting power of all
shares of the Corporation entitled to vote generally in the election of
directors, voting together as a single class.

     NINTH:  Elections of directors need not be by written ballot unless the By-
Laws of the Corporation shall otherwise provide.

     TENTH:  A director of the Corporation shall not be personally liable to the
Corporation or its stockholders for monetary damages for breach of fiduciary
duty as a director; provided, however, that the foregoing shall not eliminate or
limit the liability of a director (i) for any breach of the director's duty of
loyalty to the Corporation or its stockholders, (ii) for acts or omissions not
in good faith or which involve intentional misconduct or a knowing violation of
law, (iii) under Section 174 of the Delaware General Corporation Law, or (iv)
for any transaction from which the director derived an improper personal
benefit.  If the Delaware General Corporation Law is hereafter amended to permit
further elimination or limitation of the personal liability of directors, then
the liability of a director of the Corporation shall be eliminated or limited to
the fullest extent permitted by the Delaware General Corporation Law as so
amended. Any repeal or modification of this Article Tenth shall not adversely
affect any right or protection of a director of the Corporation existing at the
time of such repeal or modification.

     ELEVENTH:  Whenever a compromise or arrangement is proposed between this
Corporation and its creditors or any class of them or between this Corporation
and its stockholders or any class of them, any court of equitable jurisdiction
within the State of Delaware may, on the application in a summary way of this
Corporation or of any creditor or stockholder thereof or on the application of
any receiver or receivers appointed for this Corporation under the provisions of
Section 291 of the Delaware General Corporation Law or on the application of
trustees in dissolution or of any receiver or receivers appointed for this
Corporation under the provisions of Section 279 of the Delaware General
Corporation Law,

                                      -8-

 
order a meeting of the creditors or class of creditors, or of the stockholders
or class of stockholders of this Corporation, as the case may be, to be summoned
in such manner as the said court directs. If a majority in number representing
three-fourths in value of the creditors or class of creditors, or of the
stockholders or class of stockholders of this Corporation, as the case may be,
agree to any compromise or arrangement and to any reorganization of this
Corporation as a consequence of such compromise or arrangement, the said
compromise or arrangement and the said reorganization shall, if sanctioned by
the court to which said application has been made, be binding on all the
creditors or class of creditors, or on all of the stockholders or class of
stockholders, of this Corporation, as the case may be, and also on this
Corporation.

     TWELFTH:

          A.  As used in this Article Twelfth, the following terms shall have
     the meanings set forth below:

          "Business Combination" shall mean (a) any merger or consolidation of
     the Corporation or a Subsidiary with a Related Person, (b) any sale, lease,
     exchange, mortgage, pledge, transfer or other disposition other than in the
     ordinary course of business to or with a Related Person of any assets of
     the Corporation or a Subsidiary having an aggregate fair market value of
     [$25,000,000] or more, (c) the issuance or transfer by the Corporation of
     any shares of Voting Stock or securities convertible into or exercisable
     for such shares (other than by way of pro rata distribution to all
     stockholders) to a Related Person, (d) any recapitalization, merger or
     consolidation that would have the effect of increasing the voting power of
     a Related Person, (e) the adoption of any plan or proposal for the
     liquidation or dissolution of the Corporation or a Subsidiary proposed,
     directly or indirectly, by or on behalf of a Related Person, (f) any merger
     or consolidation of the Corporation with another Person proposed, directly
     or indirectly, by or on behalf of a Related Person unless the entity
     surviving or resulting from such merger or consolidation has a provision in
     its certificate or articles of incorporation, charter or similar governing
     instrument which is substantially identical to this Article Twelfth or (g)
     any agreement, contract or other arrangement or understanding providing,
     directly or indirectly, for any of the transactions described in clauses
     (a) through (f) above.

          "Related Person" shall mean any individual, partnership, corporation,
     trust or other Person which, together with its "affiliates" and
     "associates," as defined in Rule 12b-2 under the Exchange Act as in effect
     on ________ __, 1999, and together with any other individual, partnership,
     corporation, trust or other Person with which it or they have any
     agreement, contract or other arrangement or understanding with respect to
     acquiring, holding, voting or disposing of Voting Stock, "beneficially
     owns" (within the meaning of Rule 13d-3 under the Exchange Act on said
     date) an aggregate of 10% or more of the outstanding Voting Stock. A
     Related Person, its affiliates and associates and all such other
     individuals, partnerships, corporations and other Persons with whom it or
     they have any such agreement, contract or other arrangement or
     understanding, shall be deemed a single Related Person for purposes of this
     Article Twelfth; provided, however, that the members of the Board of
     Directors of the Corporation shall not be deemed to be associates or
     otherwise to constitute a Related Person solely by reason of their board
     membership. A person who is a Related Person as of (i) the time any
     definitive

                                      -9-

 
     agreement relating to a Business Combination is entered into, (ii) the
     record date for the determination of stockholders entitled to notice of and
     to vote on a Business Combination or (iii) immediately prior to the
     consummation of a Business Combination, shall be deemed a Related Person
     for purposes of this Article Twelfth.

          "Continuing Director" shall mean any member of the Board of Directors
     of the Corporation who is not an "affiliate" or "associate" of the Related
     Person and was a member of the Board of Directors prior to the time that
     such Related Person became a Related Person, and any successor of a
     Continuing Director who is unaffiliated with such Related Person and is
     recommended to succeed a Continuing Director by a majority of the
     Continuing Directors.

          "Person" shall mean any individual, firm, corporation or other entity.

          "Subsidiary" shall mean with respect to any Person, (i) any
     corporation in which such Person, directly or indirectly, owns or controls,
     at the time of determination, at least a majority in interest of the
     outstanding voting stock (having by the terms thereof voting power under
     ordinary circumstances to elect a majority of the directors of such
     corporation, irrespective of whether or not stock of any other class or
     classes of such corporation shall have or might have voting power by reason
     of the occurrence of a contingency); or (ii) any non-corporate entity in
     which such Person either (a) directly or indirectly, at the time of
     determination, has at least a majority ownership interest, or (b) at the
     date of determination, is a general partner or an entity performing similar
     functions (for example, manager of a limited liability company or a trustee
     of a trust).

          "Voting Stock" shall mean any shares of the Corporation entitled to
     vote generally in the election of directors.

          "Entire Board of Directors" shall mean the total number of directors
     which the Corporation would have if there were no vacancies.

          "Market Value" shall mean the average of the high- and low-quoted
     sales price on the date in question (or, if there is no reported sale on
     such date, on the last preceding date on which any reported sale occurred)
     of a share on the Composite Tape for the New York Stock Exchange Listed
     Stocks, or, if the shares are not listed or admitted to trading on such
     exchange, on the principal United States securities exchange registered
     under the Exchange Act on which the shares are listed or admitted to
     trading, or, if the shares are not listed or admitted to trading on any
     such exchange, the mean between the closing high-bid and low-asked
     quotations with respect to a share on such date as quoted on the National
     Association of Securities Dealers Automated Quotations System, or similar
     system then in use, or, if no such quotations are available, the fair
     market value on such date of a share as at least 66 2/3% of the Continuing
     Directors shall determine.

        B.  In addition to any other vote required by this Certificate of
Incorporation or the Delaware General Corporation Law, the affirmative vote of
the holders of not less than 85% of the outstanding Voting Stock held by
stockholders other than a Related Person by or with whom or on whose behalf,
directly or indirectly, a Business 

                                      -10-

 
Combination is proposed, voting as a single class, shall be required for the
approval or authorization of such Business Combination; provided, however, that
the 85% voting requirement shall not be applicable and such Business Combination
may be approved by the vote required by law or by any other provision of this
Certificate of Incorporation if either:

        1.  The Business Combination is approved by the Board of Directors of
the Corporation by the affirmative vote of at least 66 2/3% of the Continuing
Directors, or

        2.  All of the following conditions are satisfied:

            (A)  The aggregate amount of cash and the fair market value of the
        property, securities or other consideration to be received per share of
        capital stock of the Corporation in the Business Combination by the
        holders of capital stock of the Corporation, other than the Related
        Person involved in the Business Combination, shall not be less than the
        highest of (i) the highest per share price (including brokerage
        commissions, soliciting dealers' fees, and dealer-management
        compensation, and with appropriate adjustments for recapitalizations,
        stock splits, stock dividends and like transactions and distributions)
        paid by such Related Person in acquiring any of its holdings of such
        class or series of capital stock, (ii) the highest per share Market
        Value of such class or series of capital stock within the twelve-month
        period immediately preceding the date the proposal for such Business
        Combination was first publicly announced or (iii) the book value per
        share of such class or series of capital stock, determined in accordance
        with generally accepted accounting principles, as of the last day of the
        month immediately preceding the date the proposal for such Business
        Combination was first publicly announced;

           (B)  The consideration to be received in such Business Combination by
        holders of capital stock other than the Related Person involved shall,
        except to the extent that a stockholder agrees otherwise as to all or
        part of the shares which he or she owns, be in the same form and of the
        same kind as the consideration paid by the Related Person in acquiring
        capital stock already owned by it, provided, however, that if the
        Related Person has paid for capital stock with varying forms of
        consideration, the form of consideration for shares of capital stock
        acquired in the Business Combination by the Related Person shall either
        be cash or the form used to acquire the largest number of shares of
        capital stock previously acquired by it; and

           (C)  A proxy statement responsive to the requirements of the Exchange
        Act and regulations promulgated thereunder, whether or not the
        Corporation is then subject to such requirements, shall be mailed to the
        stockholders of the Corporation for the purpose of soliciting
        stockholder approval of such Business Combination and shall contain at
        the front thereof, in a prominent place, (i) any recommendations as to
        the advisability (or inadvisability) of the Business Combination which
        the Continuing Directors may choose to state and (ii) the opinion of a
        reputable investment banking firm selected by the Continuing Directors
        as to the fairness of the terms of such Business Combination, from a

                                      -11-

 
        financial point of view, to the stockholders (other than the Related
        Person) of the Corporation.

           C. A Related Person shall be deemed for purposes of this Article
        Twelfth to have acquired a share of the Corporation at the time when
        such Related Person became the beneficial owner thereof (as such term is
        defined in paragraph A of this Article Twelfth). With respect to shares
        owned by affiliates, associates and other Persons whose ownership is
        attributed to a Related Person, if the price paid by such Related Person
        for such shares is not determinable, the price so paid shall be deemed
        to be the higher of (i) the price paid upon acquisition thereof by the
        affiliate, associate or other Person or (ii) the Market Value of the
        shares in question at the time when the Related Person became the
        beneficial owner thereof.

           For purposes of this Article Twelfth, in the event of a Business
        Combination upon consummation of which the Corporation would be the
        surviving corporation or would continue to exist (unless it is provided,
        contemplated or intended that as part of such Business Combination a
        plan of liquidation or dissolution of the Corporation will be effected),
        the term "other consideration to be received" in paragraph B.2.(A) of
        this Article Twelfth shall include (without limitation) common stock or
        other capital stock of the Corporation retained by stockholders of the
        Corporation (other than Related Persons who are parties to such Business
        Combination).

           Nothing contained in this Article Twelfth shall be construed to
        relieve any Related Person from any fiduciary obligation imposed by law.

           D.  Notwithstanding any other provision of this Certificate of
        Incorporation or the By-Laws of the Corporation (and notwithstanding the
        fact that a lesser percentage may be permitted by law), any amendment,
        addition, alteration, change or repeal of this Article Twelfth, or any
        other amendment of this Certificate of Incorporation or the By-Laws of
        the Corporation inconsistent with or modifying or permitting
        circumvention of this Article Twelfth, must first be proposed by the
        Board of Directors of the Corporation, upon the affirmative vote of at
        least 66 2/3% of the directors then in office at a duly constituted
        meeting of the Board of Directors called for such purpose, and
        thereafter approved by the affirmative vote of the holders of not less
        than 85% of the then outstanding Voting Stock held by stockholders other
        than a Related Person by or with whom or on whose behalf, directly or
        indirectly, a Business Combination is proposed, voting as a single
        class; provided, however, that this paragraph D shall not apply to, and
        such 85% vote shall not be required for, any such amendment, addition,
        alteration, change or repeal recommended to stockholders of the
        Corporation by the affirmative vote of not less than 66 2/3% of the
        Continuing Directors. For the purposes of this paragraph D only, if at
        the time when any such amendment, addition, alteration, change or repeal
        is under consideration there is no proposed Business Combination, the
        term "Continuing Directors" shall mean the Entire Board of Directors.

        THIRTEENTH: The Board of Directors, each committee of the Board of
Directors and each individual director, in discharging their respective duties
under applicable law and this Certificate of Incorporation and in determining
what they each believe to be in the best interests

                                      -12-

 
of the Corporation and its stockholders, may consider the effects, both short-
term and long-term, of any action or proposed action taken or to be taken by the
Corporation, the Board of Directors or any committee of the Board on the
interests of (i) the employees, associates, associated physicians, distributors,
patients or other customers, suppliers or creditors of the Corporation and its
subsidiaries and (ii) the communities in which the Corporation and its
subsidiaries own or lease property or conduct business, all to the extent that
the Board of Directors, any committee of the Board of Directors or any
individual director deems pertinent under the circumstances (including the
possibility that the interests of the Corporation may best be served by the
continued independence of the Corporation); provided, however, that the
provisions of this Article Thirteenth shall not limit in any way the right of
the Board of Directors to consider any other lawful factors in making its
determinations, including, without limitation, the effects, both short-term and
long-term, of any action or proposed action on the Corporation or its
stockholders directly; and provided further, that this Article Thirteenth shall
be deemed solely to grant discretionary authority to the Board of Directors,
each committee of the Board of Directors and each individual director and shall
not be deemed to provide to any specific constituency any right to be
considered.

     FOURTEENTH:  Each person who was or is made a party or is threatened to be
made a party to or is involved (including, without limitation, as a witness) in
an actual or threatened action, suit or proceeding, whether civil, criminal,
administrative or investigative (hereinafter a "Proceeding"), by reason of the
fact that he or she is or was a director, officer, employee or agent of the
Corporation or is or was serving at the request of the Corporation as a
director, officer, employee or agent of another corporation or of a partnership,
joint venture, trust or other enterprise, including service with respect to an
employee benefit plan (hereinafter an "Indemnitee"), whether the basis of such
proceeding is alleged action in an official capacity as a director, officer,
employee or agent or in any other capacity while serving as such a director,
officer, employee or agent, shall be indemnified and held harmless by the
Corporation to the full extent authorized by the Delaware General Corporation
Law, as the same exists or may hereafter be amended (but, in the case of any
such amendment, only to the extent that such amendment permits the Corporation
to provide broader indemnification rights than said law permitted the
Corporation to provide prior to such amendment), or by other applicable law as
then in effect, against all expense, liability and loss (including attorneys'
fees, judgments, fines, excise taxes under the Employee Retirement Income
Security Act of 1974, as amended from time to time ("ERISA"), penalties and
amounts to be paid in settlement) actually and reasonably incurred or suffered
by such Indemnitee in connection therewith.

                A.  Procedure.  Any indemnification under this Article
        Fourteenth (unless ordered by a court) shall be made by the Corporation
        only as authorized in the specific case upon a determination that
        indemnification of the Indemnitee is proper in the circumstances because
        he or she has met the applicable standard of conduct set forth in the
        Delaware General Corporation Law, as the same exists or hereafter may be
        amended (but, in the case of any such amendment, only to the extent that
        such amendment permits the Corporation to provide broader
        indemnification rights than said law permitted the Corporation to
        provide prior to such amendment). Such determination shall be made (a)
        by the Board of Directors by a majority vote of a quorum consisting of
        directors who were not parties to such action, suit or proceeding (the
        "Disinterested Directors"), or (b)

                                     -13-

 
if such a quorum of Disinterested Directors is not obtainable, or, even if
obtainable, a quorum of Disinterested Directors so directs, by independent legal
counsel in a written opinion, or (c) by the stockholders.

        B.  Advances For Expenses. Costs, charges and expenses (including
attorneys' fees) incurred by a director or officer of the Corporation in
defending a civil or criminal action, suit or proceeding shall be paid by the
Corporation in advance of the final disposition of such action, suit or
proceeding upon receipt of an undertaking by or on behalf of the director or
officer to repay all amounts so advanced in the event that it shall ultimately
be determined that such director or officer is not entitled to be indemnified by
the Corporation as authorized in this Article Fourteenth. Such costs, charges
and expenses incurred by other employees and agents may be so paid upon such
terms and conditions, if any, as the majority of the Disinterested Directors
deems appropriate. The majority of the Disinterested Directors may, in the
manner set forth above, and upon approval of such Indemnitee, authorize the
Corporation's counsel to represent such person, in any action, suit or
proceeding, whether or not the Corporation is a party to such action, suit or
proceeding.

        C.  Procedure for Indemnification. Any indemnification or advance of
costs, charges and expenses under this Article Fourteenth, shall be made
promptly, and in any event within 60 days upon the written request of the
Indemnitee. The right to indemnification or advances as granted by this Article
Fourteenth, shall be enforceable by the Indemnitee in any court of competent
jurisdiction, if the Corporation denies such request, in whole or in part, or if
no disposition thereof is made within 60 days. Such Indemnitee's costs and
expenses incurred in connection with successfully establishing his or her right
to indemnification, in whole or in part, in any such action shall also be
indemnified by the Corporation. It shall be a defense to any such action (other
than an action brought to enforce a claim for the advance of costs, charges and
expenses under this Article Fourteenth, where the required undertaking, if any,
has been received by the Corporation) that the Indemnitee has not met the
standard of conduct set forth in the Delaware General Corporation Law, as the
same exists or hereafter may be amended (but, in the case of any such amendment,
only to the extent that such amendment permits the Corporation to provide
broader indemnification rights than said law permitted the Corporation to
provide prior to such amendment), but the burden of proving such defense shall
be on the Corporation. Neither the failure of the Corporation (including its
Board of Directors, its independent legal counsel and its stockholders) to have
made a determination prior to the commencement of such action that
indemnification of the Indemnitee is proper in the circumstances because he or
she has met the applicable standard of conduct set forth in the Delaware General
Corporation Law, as the same exists or hereafter may be amended (but, in the
case of any such amendment, only to the extent that such amendment permits the
Corporation to provide broader indemnification rights that said law permitted
the Corporation to provide prior to such amendment), nor the fact that there has
been an actual determination by the Corporation (including its Board of
Directors, its independent legal counsel and its stockholders) that the
Indemnitee has not met such applicable standard of conduct, shall be a defense
to the action or create a presumption that the Indemnitee has not met the
applicable standard of conduct.

                                      -14-

 
        D.  Other Rights; Continuation of Right to Indemnification.  The
indemnification and advancement of expenses provided by this Article Fourteenth
shall not be deemed exclusive of any other rights to which a person seeking
indemnification or advancement of expenses may be entitled under any law, by-
law, agreement, vote of stockholders or disinterested directors or otherwise,
both as to action in his or her official capacity and as to action in another
capacity while holding office or while employed by or acting as agent for the
Corporation, and shall continue as to a person who has ceased to be a director,
officer, employee or agent, and shall inure to the benefit of the estate, heirs,
executors and administrators of such person.  All rights to indemnification
under this Article Fourteenth, shall be deemed to be a contract between the
Corporation and each director, officer, employee or agent of the Corporation who
serves or served in such capacity at any time while this Article Fourteenth, is
in effect.  Any repeal or modification of this Article Fourteenth, or any repeal
or modification of relevant provisions of the Delaware General Corporation Law
or any other applicable laws shall not in any way diminish any rights to
indemnification of such director, officer, employee or agent or the obligations
of the Corporation arising hereunder with respect to any action, suit or
proceeding arising out of, or relating to, any actions, transactions or facts
occurring prior to the final adoption of such modification or repeal.  For the
purposes of this Article Fourteenth, references to "the Corporation" include all
constituent corporations absorbed in a consolidation or merger as well as the
resulting or surviving corporation, so that any person who is or was a director,
officer, employee or agent of such a constituent corporation or is or was
serving at the request of such constituent corporation as a director, officer,
employee or agent of another corporation, partnership, joint venture, trust or
other enterprise shall stand in the same position under the provisions of this
Article Fourteenth, with respect to the resulting or surviving corporation, as
he would if he or she had served the resulting or surviving corporation in the
same capacity.

        E.  Insurance. The Corporation shall have power to purchase and maintain
insurance on behalf of any person who is or was or has agreed to become a
director, officer, employee or agent of the Corporation, or is or was serving at
the request of the Corporation as a director, officer, employee or agent of
another corporation, partnership, joint venture, trust or other enterprise
against any liability asserted against him or her and incurred by him or her or
on his or her behalf in any such capacity, or arising out of his or her status
as such, whether or not the Corporation would have the power to indemnify him or
her against such liability under the provisions of this Article Fourteenth;
provided, however, that such insurance is available on acceptable terms, which
determination shall be made by a vote of a majority of the Board of Directors.

        F.  Savings Clause. If this Article Fourteenth, or any portion hereof
shall be invalidated on any ground by any court of competent jurisdiction, then
the Corporation shall nevertheless indemnify each person entitled to
indemnification under paragraph A of this Article Fourteenth, as to all expense,
liability and loss (including attorneys' fees, judgments, fines, ERISA excise
taxes, penalties and amounts to be paid in settlement) actually and reasonably
incurred or suffered by such person and for which indemnification is available
to such person pursuant to this Article Fourteenth, to the full extent permitted
by any applicable portion of this Article Fourteenth, that shall not have been
invalidated and to the full extent permitted by applicable law.

                                      -15-

 
     FIFTEENTH:  In furtherance and not in limitation of the powers conferred by
law or in this Certificate of Incorporation, the Board of Directors (and any
committee of the Board of Directors) is expressly authorized, to the extent
permitted by law, to take such action or actions as the Board or such committee
may determine to be reasonably necessary or desirable to (A) encourage any
person to enter into negotiations with the Board of Directors and management of
the Corporation with respect to any transaction which may result in a change in
control of the Corporation which is proposed or initiated by such person or (B)
contest or oppose any such transaction which the Board of Directors or such
committee determines to be unfair, abusive or otherwise undesirable with respect
to the Corporation and its business, assets or properties or the stockholders of
the Corporation, including, without limitation, the adoption of such plans or
the issuance of such rights, options, capital stock, notes, debentures or other
evidences of indebtedness or other securities of the Corporation, which rights,
options, capital stock, notes, evidences of indebtedness and other securities
(i) may be exchangeable for or convertible into cash or other securities on such
terms and conditions as may be determined by the Board or such committee and
(ii) may provide for the treatment of any holder or class of holders thereof
designated by the Board of Directors or any such committee in respect of the
terms, conditions, provisions and rights of such securities which is different
from, and unequal to, the terms, conditions, provisions and rights applicable to
all other holders thereof.

     SIXTEENTH:  The Corporation reserves the right to amend, alter, change or
repeal any provision contained in this Certificate of Incorporation, and to add
or adopt new provisions, in the manner now or hereafter prescribed by statute,
and all rights conferred upon stockholders herein are granted subject to this
reservation.  In addition to any affirmative vote required by applicable law or
any other provision of this Certificate of Incorporation or specified in any
agreement, and in addition to any voting rights granted to or held by the
holders of any series of Preferred Stock, the affirmative vote of the holders of
not less than 80% of the voting power of all securities of the Corporation
entitled to vote generally in the election of directors shall be required to
amend, alter, change or repeal, or to add or adopt any provisions inconsistent
with, Articles Fifth, Sixth, Seventh, Eight, Tenth, Eleventh, Thirteenth,
Fourteenth, Fifteenth and Sixteenth of this Certificate of Incorporation.

     SEVENTEENTH:  The name and mailing address of the incorporator is Frank R.
Adams, Esq., Dewey Ballantine LLP, 1301 Avenue of the Americas, New York, New
York 10019.

          IN WITNESS WHEREOF, the undersigned incorporator hereby acknowledges
that the foregoing certificate of incorporation is his act and deed and that the
facts stated therein are true on this __ day of ________, 1999.

                              By:
                                 ----------------------------
                                        Frank R. Adams
                                         Incorporator

                                     -16-