EXHIBIT 10



                        AIRCRAFT HOURLY RENTAL AGREEMENT

THIS AGREEMENT made as of the 30th day of September, 2002, ("Agreement") by and
between Tomco II, LLC, a Tennessee Limited Liability Company ("Owner"), and HCA
Management Services, L.P., a Delaware Partnership ("Operator").

1.       Rental of the Aircraft

         Owner hereby agrees to rent to Operator from time-to-time a certain
         aircraft, as identified on Exhibit A, (the "Aircraft"), which is owned
         and registered at the FAA aircraft registry in the name of Owner. The
         parties understand that the Aircraft will be available to Operator for
         its operation and use hereunder for a series of rental periods that are
         estimated to not exceed 100 hours in the aggregate during any annual
         period during the Term. Owner retains the right to rent the aircraft to
         any other operator. The Aircraft is being rented by Operator for the
         purpose of transporting Operator's directors, officers, employees and
         guests or the directors, officers, employees and guests of Operator's
         subsidiaries in furtherance of its primary, non-transportation
         business.

2.       Term

         The term of this Agreement ("Term") shall commence on the date hereof,
         and shall continue for a period of ten (10) years, unless either party
         terminates this Agreement pursuant to Section 17 of this Agreement.

3.       Delivery of Aircraft

         The Aircraft shall be delivered to Operator at the location indicated
         on Exhibit A, or such other location upon which the parties may agree.
         Each date on which Owner delivers possession of the Aircraft to
         Operator is referred to in this Agreement as a "Delivery Date." Each
         rental period shall commence with delivery and conclude with return of
         the Aircraft to Owner. If requested by Owner, Operator shall execute a
         Delivery and Acceptance Certificate in the form attached to this
         Agreement each time Operator accepts delivery of the Aircraft.

4.       Rental Period

         The "Rental Period" shall consist of time commencing with delivery of
         possession of the Aircraft to Operator until Operator returns the
         Aircraft to Owner. The Aircraft shall be available to Operator at all
         times other than when it is (a) previously scheduled by Owner or any
         other operator or (b) otherwise unavailable, such as due to
         maintenance.




5.       Rent

         Operator shall pay Owner the base rent as indicated on Exhibit A for
         use of the Aircraft. The sum of the base rent and all other charges,
         payments, and indemnities due to Owner by Operator hereunder are
         hereinafter referred to as "Aggregate Rentals." After each use of the
         Aircraft by Operator, Owner shall invoice Operator for rent based on
         the number of hours flown by Operator. Operator shall pay the invoiced
         amount within thirty (30) days after the invoice is sent. The hourly
         charges shall be calculated based on the time from takeoff to landing
         at destination of each leg of the trip as reflected on the Hobbs Meter.
         Operator shall maintain accurate Aircraft and engine logs for the
         Aircraft and make them available for examination by Owner. The base
         rate on Exhibit A will be agreed to annually by the parties on the
         anniversary of the execution date of this agreement. If no agreement is
         reached, the rate used in the previous year will continue until such
         time the parties agree to a change in that rate.

6.       Certain Covenants of Operator. Operator agrees as follows:

         a.       Furnishing of Information

                  Operator shall furnish from time to time to Owner such
                  information regarding Operator's use, operation, or
                  maintenance of the Aircraft as Owner may reasonably request.

         b.       Lawful Use

                  The Aircraft shall not be used, operated or stored by Operator
                  in violation of any law or any rule, regulation, or order of
                  any government or governmental authority having jurisdiction
                  (domestic or foreign), or in violation of any airworthiness
                  certificate, license, or registration relating to the Aircraft
                  or its use, or in violation or breach of any representation or
                  warranty made with respect to obtaining insurance on the
                  Aircraft or any term or condition of such insurance policy.
                  Aircraft operations shall be limited to operations allowed
                  under Part 91 of Title 14 of the Code of Federal Regulations.

         c.       Aircraft Location

                  The Aircraft shall not be operated or located by Operator in
                  (i) any area excluded from coverage by the terms of insurance
                  covering the Aircraft, or (ii) any recognized or threatened
                  area of hostilities, unless fully covered to Owner's
                  satisfaction by war risk insurance.

         d.       Base of the Aircraft

                  The Aircraft shall be principally based as indicated on
                  Exhibit A unless otherwise approved by Owner.



                                      -2-


         e.       Aircraft Operation

                  Operator will be in operational control of the Aircraft at all
                  times during each Rental Period. During each Rental Period,
                  Operator shall be solely responsible for its possession, use,
                  and operation of the Aircraft.

         f.       Aircraft Operation Expenses

                  During each Rental Period, Operator shall bear the following
                  operating costs: the cost of fuel, crew costs, expenses, and
                  employee benefits; landing, handling, and custom fees and
                  related charges; and all fines, fees, or penalties arising
                  directly or indirectly out of the Operator's use and operation
                  of the Aircraft.

         g.       Assignment

                  Operator shall not sell, transfer, assign, encumber or sublet
                  the Aircraft or its rights under this Agreement without
                  Owner's prior written consent, which consent may be withheld
                  in Owner's sole discretion, and no such action without Owner's
                  written consent shall be valid or effective.

         h.       Log Books

                  Operator shall maintain current and complete logs, books, and
                  records pertaining to the Aircraft during each Rental Period
                  in accordance with Federal Aviation Administration ("FAA")
                  rules and regulations and Operator shall deliver such records
                  in legible form to Owner when it returns the Aircraft pursuant
                  to Section 11 herein.

         i.       Pilots

                  The Aircraft shall, at all times during each Rental Period, be
                  operated by two (2) duly qualified, current, and rated
                  (appropriate to the Aircraft) pilots employed and contracted
                  for by Operator, at Operator's expense, whose licenses are in
                  good standing, who meet the requirements established and
                  specified by the insurance policies required hereunder, and by
                  the FAA, and any other reasonable requirements established by
                  Owner in writing and delivered to Operator from time to time.

         j.       Liens

                  Operator will not directly or indirectly create, incur, or
                  permit to be created as a result of Operator's acts or
                  omissions, any liens on or with respect to (i) the Aircraft or
                  any part thereof, (ii) Owner's title thereto or any interest
                  of Owner in or to the Aircraft, or (iii) Operator's interest
                  under this Agreement. Operator shall promptly, at its own
                  expense, take such action as may be necessary to promptly
                  discharge any such lien created, incurred, or permitted to be
                  created.

         k.       Taxes

                  Operator shall pay to and indemnify the Owner for, and hold
                  the Owner harmless from and against, all landing charges,
                  airport use fees, departure taxes and similar taxes, levies,
                  charges or fees imposed on Operator's operation and use of the



                                      -3-


                  Aircraft during any Rental Period whether imposed against or
                  levied upon Owner, Operator, or the Aircraft or any part
                  thereof by any federal or foreign government, any state,
                  municipal or local subdivision, any agency or instrumentality
                  thereof or other taxing authority.

7.       Aircraft Maintenance and Registration

         During the term of this agreement all maintenance, inspection, repair,
         overhaul and modification costs will be borne by Owner. Owner shall
         keep the Aircraft at all times in (a) fully operational, duly
         certified, and airworthy condition, (b) condition adequate to comply
         with all regulations of the FAA or any other governmental agency having
         jurisdiction over the maintenance, use or operation of the Aircraft.
         Operator shall return the Aircraft to Owner in accordance with Section
         11 herein and in the same condition as existed when the Aircraft was
         delivered to Operator, normal wear and tear excepted. During the Term,
         Owner shall be responsible for maintaining U.S. registration of the
         Aircraft in the name of Owner.

8.       Inspection

         Owner or its designee shall have the right, but not the duty, to
         inspect the Aircraft at any reasonable time and upon reasonable notice.
         Upon Owner's request, Operator shall advise Owner of the Aircraft's
         location and, within a reasonable time and, provided there is no undue
         inconvenience and delay to Operator, shall permit Owner to examine all
         information, logs, documents, and Operator's records regarding or with
         respect to the Aircraft and its use or condition.

9.       Loss or Damage

         a.       Risk of Loss

                  Owner shall bear the risk of loss of its Aircraft, even while
                  the Aircraft is being used by Operator, and shall have the
                  sole right to insurance proceeds payable under hull insurance
                  policies maintained by it in the event of any loss or casualty
                  occurrence.

         b.       Repair or Replacement

                  No party shall be obligated to repair or replace its Aircraft
                  after a loss or casualty occurrence. If the Aircraft becomes
                  unavailable due to loss or casualty, either party shall have
                  the right to terminate this Agreement by written notice to the
                  other party.

10.      Insurance

         Owner shall secure and maintain in effect at its own expense throughout
         the term hereof such hull insurance covering the Aircraft against
         Casualty Occurrence as Owner shall



                                      -4-


         deem appropriate. Owner shall secure and maintain in effect at its own
         expense throughout the term hereof public liability and property damage
         with respect to the Aircraft for an amount not less than Ten Million
         Dollars ($10,000,000) single limit liability coverage. The Aircraft
         shall be operated with two pilots. Owner shall add Operator as an
         additional insured under the liability insurance policy maintained by
         Owner on its Aircraft (with such insurance being primary and
         non-contributory, over any insurance coverage maintained by the
         Operator with respect to claims pertaining to the Aircraft), but the
         Operator shall have no claim to the proceeds of hull insurance, if any,
         maintained with respect to such Aircraft. Owner's insurance policy
         shall include a waiver of subrogation with respect to claims for loss
         or damage to the Aircraft while being operated by the Operator under
         this Agreement to the extent such claims are waived hereunder and shall
         provide that as to the Operator the liability insurance coverage shall
         not be invalidated by acts or negligence of any named insured. All
         insurance required hereunder shall provide that coverage may not be
         adversely reduced or canceled by the insurer without thirty (30) days'
         prior written notice to the Operator. The Operator shall be furnished
         with insurance certificates evidencing such insurance as of the date
         hereof. Each party hereby waives all rights against the other party and
         against those for whom the other party is legally responsible for all
         losses covered by any insurance maintained hereunder or by any
         additional or supplemental insurance maintained by a party on the
         Aircraft or the use thereof. Owner shall be responsible for and provide
         adequate written notice from the respective insurer that pilots of
         Operator are approved to operate the Aircraft.

11.      Return

         Upon the termination or expiration of each Rental Period, Operator
         shall return the Aircraft to the location designated on the Delivery
         and Acceptance Certificate, if such a certificate was executed by
         Operator, or another mutually agreeable location. All expenses for
         delivery and return of the Aircraft shall be borne by Operator.

12.      Owner's Disclaimer

         EXCEPT AS OTHERWISE SET FORTH HEREIN, NEITHER OWNER (NOR ITS
         AFFILIATES) MAKES, HAS MADE, OR SHALL BE DEEMED TO MAKE OR HAVE MADE,
         ANY WARRANTY OR REPRESENTATION, EITHER EXPRESS OR IMPLIED, WRITTEN OR
         ORAL, WITH RESPECT TO THE AIRCRAFT RENTED HEREUNDER OR ANY ENGINE OR
         COMPONENT THEREOF, INCLUDING, WITHOUT LIMITATION, ANY WARRANTY AS TO
         DESIGN, COMPLIANCE WITH SPECIFICATIONS, QUALITY OF MATERIALS OR
         WORKMANSHIP, MERCHANTABILITY, FITNESS FOR ANY PURPOSE, USE OR
         OPERATION, AIRWORTHINESS, SAFETY, PATENT, TRADEMARK OR COPYRIGHT
         INFRINGEMENT, OR TITLE.




                                      -5-




13.      Indemnification

         a.       General Indemnity

                  i.    In the event that any claim is made or any suit filed
                        against Owner, or any affiliate of Owner, or any
                        officer, director or employee of Owner or an affiliate
                        of Owner ("Owner Indemnified Persons"), which claim or
                        suit relates to the possession, maintenance, condition,
                        storage, use, or operation of the Aircraft and is based
                        upon a transaction, incident or occurrence which
                        transpires during a Rental Period and is not
                        attributable to a breach by Owner of its obligations
                        hereunder or to the gross negligence or willful
                        misconduct of any Owner Indemnified Person, then, to the
                        extent not covered by the insurance required to be
                        maintained hereunder, Operator shall indemnify and hold
                        harmless the Owner Indemnified Persons against any and
                        all costs, expenses or judgments arising out of such
                        claim or suit (including, without limitation, reasonable
                        attorneys' fees and expenses).

                  ii.   In the event that any claim is made or any suit filed
                        against Operator, or any affiliate of Operator, or any
                        officer, director or employee of Operator or an
                        affiliate of Operator ("Operator Indemnified Persons"),
                        which claim or suit relates to the possession,
                        maintenance, condition, storage, use, operation or
                        ownership of the Aircraft and is not based upon a
                        transaction, incident or occurrence which transpires
                        during a Rental Period or attributable to a breach by
                        Operator of its obligations hereunder or to the gross
                        negligence or willful misconduct of any Operator
                        Indemnified Person, then, to the extent not covered by
                        the insurance required to be maintained hereunder, Owner
                        shall indemnify and hold harmless the Operator
                        Indemnified Persons against any and all costs, expenses
                        or judgments arising out of such claim or suit
                        (including, without limitation, reasonable attorneys'
                        fees and expenses).

         b.       Survival

                  The parties' obligations under this Section 13 shall survive
                  termination of this Agreement and shall remain in effect until
                  all required indemnity payments have been made. All references
                  to Owner in this Section 12 include Owner and any consolidated
                  taxpayer group of which Owner is a member.

14.      Operator's Default

         Each of the following events shall constitute an "Event of Default"
         hereunder (whatever the reason for such event of default and whether it
         shall be voluntary or involuntary, or come about or be effected by
         operation of law, or be pursuant to or in compliance with



                                      -6-


         any judgment, degree, or order of any court of any order, rule, or
         regulation of any administrative or governmental body):

         a.       Operator shall fail to make payment of any Aggregate Rental
                  within thirty (30) days after the same shall become due and
                  such failure shall continue for five (5) days after written
                  notice thereof from Owner to Operator; or

         b.       Operator shall fail to perform or observe any covenant,
                  condition, or agreement to be performed or observed by it
                  under this Agreement or any agreement, document, or
                  certificate delivered by Operator in connection herewith.
                  Owner shall endeavor to provide Operator with written notice
                  and three (3) days to cure such breach, except in the case of
                  emergency or a continuing breach which cannot be cured; or

         c.       Any representation or warranty made by Operator in this
                  Agreement or any agreement, document, or certificate delivered
                  by the Operator in connection herewith is or shall become
                  incorrect in any material respect, and, if such a default is
                  susceptible of being corrected, Operator fails to correct such
                  default within three (3) days of a written notice of Owner
                  requesting correction of same; or

         d.       Operator shall become insolvent; or

         e.       Operator makes an assignment for the benefit of creditors, or
                  if a petition is file by or against Operator under any
                  bankruptcy or insolvency law; or

         f.       A receiver is appointed for Operator or any of Operator's
                  property.

15.      Owner's Remedies

         a.       Remedies

                  Upon the occurrence of any Event of Default Owner may, at its
                  option, exercise any or all remedies available to Owner at law
                  or in equity, including, without limitation, any or all of the
                  following remedies, as Owner in its sole discretion shall
                  elect:

                  i.    By notice in writing terminate this Agreement, whereupon
                        all rights of the Operator to the use of the Aircraft or
                        any part thereof shall absolutely cease and terminate,
                        but Operator shall remain liable as hereinafter
                        provided; and thereupon Operator, if so requested by the
                        Owner, shall at its expense promptly return the Aircraft
                        as required by Section 10 hereof, or Owner, at its
                        option, may, with or without legal process, enter upon
                        the premises where the Aircraft may be located and take
                        immediate possession of and remove the same. Operator
                        specifically authorizes Owner's entry upon any premises
                        where the Aircraft maybe located for the purpose of,


                                      -7-


                        and waives any cause of action Operator may have arising
                        from, a peaceful retaking of the Aircraft. Operator
                        shall, without further demand, forthwith pay to Owner as
                        liquidated damages for loss of a bargain and not as a
                        penalty, an amount equal to the total accrued and unpaid
                        Aggregate Rentals, plus all other accrued and unpaid
                        amounts due to Owner hereunder; and

                  ii.   Perform or cause to be performed any obligation,
                        covenant, or agreement of Operator hereunder. Operator
                        agrees to pay all reasonable costs and expenses incurred
                        by Owner for such performance as additional Aggregate
                        Rental hereunder and acknowledges that such performance
                        by Owner shall not be deemed to cure said Event of
                        Default.

         b.       Costs and Attorneys' Fees

                  Operator shall be liable for all costs, charges, and expenses,
                  including reasonable legal fees and disbursements, incurred by
                  Owner by reason of the occurrence of any Event of Default or
                  the exercise of Owner's remedies with respect thereto.

         c.       Nonexclusive

                  No remedy referred to herein is intended to be exclusive, but
                  each shall be cumulative and in addition to any other remedy
                  referred to above or otherwise available to Owner at law or in
                  equity. Owner shall not be deemed to have waived any breach,
                  Event of Default or right hereunder unless the same is
                  acknowledged in writing by a duly authorized representative of
                  Owner. No waiver by Owner of any default or Event of Default
                  hereunder shall in any way be, or be construed to be, a waiver
                  of any future or subsequent default or Event of Default. The
                  failure or delay of Owner in exercising any rights granted it
                  hereunder upon any occurrence of any of the contingencies set
                  forth herein shall not constitute a waiver of any such right
                  upon the continuation or recurrence of any such contingencies
                  or similar contingencies and any single or partial exercise of
                  any particular right by Owner shall not exhaust the same or
                  constitute a waiver of any other right provided herein.

16.      Operator's Remedy

         Upon the occurrence of any breach by Owner of Owner's obligations
         hereunder, Operator may, at its option, exercise any or all remedies
         available to Operator at law or in equity, as Operator in its sole
         discretion shall elect.

17.      Termination

         Either party may terminate this Agreement by providing the other party
         written notice of termination at least thirty days (30) prior to the
         date of termination. Within ten (10) days after the date of
         termination, Owner shall provide Operator with an accounting of all



                                      -8-


         outstanding charges or costs relating to this Agreement. Operator shall
         pay to Owner any outstanding charges and costs for which it may be
         responsible within thirty (30) days after receipt of such accounting.
         Both parties agree to take all necessary action with respect to the FAA
         and insurance companies to inform them of the termination of this
         Agreement.

18.      Notices

         Unless specifically provided to the contrary herein all notices
         permitted or required by this Agreement shall be in writing and shall
         be deemed given if sent by commercial courier, or by registered mail or
         certified mail, return receipt requested, postage prepaid, to the
         address set forth herein below, or such other address as may hereafter
         be designated by the addressee in a written notice to the other party.

         Owner:       Tomco II, LLC
                      3319 West End Avenue
                      Suite 900A
                      Nashville, TN 37203

         Operator:    HCA Management Services, L.P.
                      One Park Plaza
                      Nashville, TN 37203
                      ATTN: President

19.      Entire Agreement

         The terms and conditions of this Agreement constitute the entire
         agreement between the parties as to the subject matter hereof and
         supersede all prior written and oral negotiations, representations, and
         agreements, if any, between the parties on such matters and shall be
         binding upon the parties, their successors, assigns, and legal
         representatives.

20.      Modification of Agreement

         No change or modification hereof or waiver of any term or condition
         hereof shall be effective unless the change or modification is in
         writing and signed by both parties.

21.      Time of the Essence

         Time is of the essence in this Agreement.

22.      Headings

         The headings of Sections and subsections of this Agreement are included
         for convenience only and shall not be used in its construction or
         interpretation.



                                      -9-


23.      Governing Law

         THE PARTIES HERETO ACKNOWLEDGE THAT THIS AGREEMENT SHALL BE GOVERNED BY
         AND CONSTRUED IN ALL RESPECT IN ACCORDANCE WITH THE SUBSTANTIVE LAWS OF
         THE STATE OF TENNESSEE (WITHOUT REGARD TO ITS CHOICE OF LAWS RULES).

24.      Truth-in-Leasing

         a.       OWNER CERTIFIES THAT THE AIRCRAFT HAS BEEN MAINTAINED AND
                  INSPECTED DURING THE 12 MONTHS PRECEDING THE EXECUTION OF THIS
                  AGREEMENT UNDER PART 91 OF THE FEDERAL AVIATION REGULATIONS.

         b.       OPERATOR, HCA MANAGEMENT SERVICES, L.P., ONE PARK PLAZA,
                  NASHVILLE, TENNESSEE 37203 CERTIFIES THAT OPERATOR, AND NOT
                  OWNER, IS RESPONSIBLE FOR OPERATIONAL CONTROL OF THE AIRCRAFT
                  UNDER THIS AGREEMENT DURING EACH RENTAL PERIOD. OPERATOR AND
                  OWNER FURTHER CERTIFY THAT THEY EACH UNDERSTAND THEIR
                  RESPECTIVE RESPONSIBILITIES FOR COMPLIANCE WITH APPLICABLE
                  FEDERAL AVIATION REGULATIONS.

         c.       OPERATOR UNDERSTANDS THAT AN EXPLANATION OF FACTORS BEARING ON
                  OPERATIONAL CONTROL AND PERTINENT FEDERAL AVIATION REGULATIONS
                  CAN BE OBTAINED FROM THE NEAREST FAA FLIGHT STANDARDS DISTRICT
                  OFFICE





                                      -10-



         IN WITNESS WHEREOF, the parties hereto have each caused this Agreement
to be duly executed as of the year and day first above written. THIS AGREEMENT
SHALL NOT BE EFFECTIVE UNTIL EXECUTED ON BEHALF OF EACH PARTY.

OWNER:                                      OPERATOR:

Tomco II, LLC                               HCA MANAGEMENT SERVICES, L.P.

By:   /s/ Thomas R. Frist, Jr.              By: CMS GP, LLC
      ------------------------------        Its: General Partner
      Thomas F. Frist, Jr., M.D.
      President                             By: /s/ A. Bruce Moore, Jr.
                                                --------------------------------
                                                A. Bruce Moore, Jr.
                                                President















                       DELIVERY AND ACCEPTANCE CERTIFICATE

This Certificate is delivered by the undersigned Operator ("Operator") pursuant
to the Aircraft Agreement dated as of September 30, 2002 ("Agreement"), and in
connection with the following aircraft ("Aircraft") rented thereunder:

Manufacturer: Cessna Aircraft Corporation
Model: Cessna 560
Serial Number: 560-0573
Registration Number: N 162TF

Operator hereby certifies that the Aircraft (including all pertinent operational
equipment and logs and maintenance manuals) has been delivered to Operator, that
Operator has caused its duly qualified expert to inspect the Aircraft (and all
pertinent operational equipment and logs and maintenance manuals), and that,
based upon such inspection (which is entirely to Operator's satisfaction),
Operator hereby accepts the Aircraft as of the Delivery Date specified below for
all purposes of the Agreement (including, without limitation, "operational
control" thereof as such term is used and defined under the Federal Aviation
Regulations). Operator will have operational control commencing at the beginning
of each Rental Period and ending upon the return of the Aircraft to Owner at the
end of each Rental Period throughout the term of this Agreement. Operator hereby
further certifies that the following information is true and correct:

Delivery Date:  The date of Operator's execution of this Certificate.

Delivery Time:  ________________

Delivery Location:  Nashville, TN, BNA

Return Date:  __________________

Anticipated Return Time:  ___________

Return Location:  Nashville, TN, BNA

OWNER:                                      WITNESS:

Tomco II, LLC                               By:
                                                --------------------------------
By:                                         Date:
   ------------------------------------          -------------------------------
Date:
       --------------------------------

OPERATOR:

HCA MANAGEMENT SERVICES, L.P.

By:
     ----------------------------------
Date:
       --------------------------------







                                    EXHIBIT A




                             AIRCRAFT IDENTIFICATION


                    Manufacturer: Cessna Aircraft Corporation
                                Model: Cessna 560
                             Serial Number: 560-0573
                          Registration Number: N 162TF



                                    BASE RENT

                              $1,200 per Hobbs Hour



                                    HOME BASE



                                  Nashville, TN

                                       BNA