1
                                                                   EXHIBIT 99.3



                         AMENDMENT TO CREDIT AGREEMENT


         This Amendment to Credit Agreement, dated as of March 31, 1994 (this
Amendment"), is made with reference to the Credit Agreement, dated as of
September 29, 1992 (the "Credit Agreement") by and among HEALTHTRUST, INC. --
THE HOSPITAL COMPANY, a Delaware corporation (the "Borrower"), the various
financial institutions parties thereto (collectively, the "Lenders"), THE BANK
OF NOVA SCOTIA ("Scotiabank") and ABN-AMRO BANK N.V., BANK OF AMERICA NATIONAL
TRUST AND SAVINGS ASSOCIATION, THE CHASE MANHATTAN BANK, N.A., CITIBANK, N.A.,
CONTINENTAL BANK N.A., DEUTSCHE BANK AG, LTCB TRUST COMPANY, SWISS BANK
CORPORATION, and THE TORONTO-DOMINION BANK, as co-agents (the "Co-Agents") for
the Lenders, and Scotiabank, as administrative agent (in such capacity, the
"Administrative Agent") for the Co-Agents and the Lenders.

         In consideration of the mutual covenants and agreements herein
contained, and for other good and valuable consideration, the receipt and
sufficiency of which are hereby acknowledged, the parties hereto agree as
follows:

         SECTION 1. Definitions.  All capitalized terms not otherwise defined
herein shall have the meanings set forth in the Credit Agreement.

         SECTION 2. Representations and Warranties.  In order to induce the
Lenders, the Co-Agents and the Administrative Agent to enter into this
Amendment, the Borrower hereby covenants, represents and warrants that after
giving effect to this Amendment:

                 (a)  No Default or Event of Default will exist under the
         Credit Agreement or any other Loan Document;

                 (b)  All representations and warranties of the Borrower
         contained in the Credit Agreement and the other Loan Documents will be
         true and correct in all material respects except to the extent such
         representations and warranties specifically relate to an earlier date,
         in which case they will be true and correct in all material respects
         as of such earlier date; and

                 (c)  The Borrower will be in compliance with, and will
         thereafter continue to be in compliance with, all agreements,
         affirmative covenants and negative covenants





   2
         contained in the Credit Agreement and the other Loan Documents.

         SECTION 3. Amendment.  At the request of the Borrower, the undersigned
Co-Agents, Administrative Agent and the undersigned Lenders, constituting
Required Lenders, hereby amend clause (a) of the definition of "Cash Flow
Coverage Ratio" by adding the following proviso to the end thereof:

         "provided, however, that there shall be excluded from the computation
         of Cash Flow (for purposes of this definition only) Capital
         Expenditures in an amount not to exceed $53,000,000 made in respect of
         the acquisition of the Nashville Memorial Hospital located in or near
         Madison, Tennessee;"

         SECTION 4. Reference to and Effect on the Credit Agreement and the
Other Loan Documents.

                 (a)  Except as specifically provided in this Amendment, the
         Credit Agreement and the other Loan Documents shall remain in full
         force and effect and are hereby ratified and confirmed.

                 (b)  Without limiting the generality of the provisions of
         Section 10.1 of the Credit Agreement, this Amendment does not
         constitute, nor should it be construed as, a waiver of compliance by
         the Borrower with respect to any other term, provision or condition of
         the Credit Agreement or any other instrument or agreement referred to
         therein.

                 (c)  The execution, delivery and performance of this Amendment
         shall not, except as expressly provided herein, constitute a waiver of
         any provision of, or operate as a waiver of any right, power or remedy
         of the Administrative Agent, any Co-Agent or any Lender under, the
         Credit Agreement or any of the other Loan Documents.

         SECTION 5. Counterparts.  Multiple originals of this Amendment may be
executed in counterparts, all of which taken together shall constitute but a
single document.  Signature pages may be detached from the counterpart
documents and reassembled to form duplicate executed originals.

         SECTION 6. Effectiveness.  This Amendment shall be effective upon
execution and delivery of this Amendment by the Borrower and the Required
Lenders and receipt by the Administrative Agent of written or telephonic
notification of such execution and authorization of delivery thereof.





                                     -2-
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         SECTION 7. Applicable Law.  THIS AMENDMENT AND THE RIGHTS AND
OBLIGATIONS OF THE PARTIES HERETO AND ALL OTHER ASPECTS HEREOF SHALL BE DEEMED
TO BE MADE UNDER, SHALL BE GOVERNED BY, AND SHALL BE CONSTRUED AND ENFORCED IN
ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK.





                                     -3-
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         IN WITNESS WHEREOF, the parties hereto have caused this Amendment to
be executed and delivered by their authorized agents or representatives as of
the date first above written.


                                        HEALTHTRUST, INC. -- THE HOSPITAL 
                                           COMPANY

                                        By:
                                           -------------------------------------
                                           Title:


                                        THE BANK OF NOVA SCOTIA, as 
                                        Administrative Agent, Co-Agent and 
                                        Lender

                                        By:
                                           -------------------------------------
                                           Title:


                                        ABN-AMRO BANK N.V.,
                                        as Co-Agent and Lender

                                        By:
                                           -------------------------------------
                                           Title:

                                        By:
                                           -------------------------------------
                                           Title:


                                        BANK OF AMERICA NATIONAL TRUST AND 
                                        SAVINGS ASSOCIATION, as Co-Agent

                                        By:
                                           -------------------------------------
                                           Title:


                                        BANK OF AMERICA NATIONAL TRUST AND 
                                        SAVINGS ASSOCIATION, as Lender

                                        By:
                                           -------------------------------------
                                           Title:





                              -4-
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                                        THE CHASE MANHATTAN BANK, N.A.,
                                        as Co-Agent and Lender

                                        By:
                                           -------------------------------------
                                           Title:


                                        CITIBANK, N.A., as Co-Agent and Lender

                                        By:
                                           -------------------------------------
                                           Title:


                                        CONTINENTAL BANK N.A., as Co-Agent
                                        and Lender

                                        By:
                                           -------------------------------------
                                           Title:


                                        DEUTSCHE BANK AG, New York and/or 
                                        Cayman Islands Branch, as Co-Agent 
                                        and Lender

                                        By:
                                           -------------------------------------
                                           Title:

                                        By:
                                           -------------------------------------
                                           Title:

                                        LTCB TRUST COMPANY, as Co-Agent 
                                        and Lender

                                        By:
                                           -------------------------------------
                                           Title:

                                        SWISS BANK CORPORATION, as Co-Agent 
                                        and Lender

                                        By:
                                           -------------------------------------
                                           Title:

                                        By:
                                           -------------------------------------
                                           Title:







                                     -5-
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                                        THE TORONTO-DOMINION BANK, as Co-
                                        Agent and Lender

                                        By:
                                           -------------------------------------
                                           Title:


                                        BANK OF CALIFORNIA, N.A.

                                        By:
                                           -------------------------------------
                                           Title:

                                        
                                        CHEMICAL BANK

                                        By:
                                           -------------------------------------
                                           Title:


                                        SHAWMUT BANK CONNECTICUT, N.A.
  
                                        By:
                                           -------------------------------------
                                           Title:

                                        
                                        CREDITANSTALT BANKVEREIN

                                        By:
                                           -------------------------------------
                                           Title:

                                        By:
                                           -------------------------------------
                                           Title:


                                        THE DAIWA BANK, LIMITED

                                        By:
                                           -------------------------------------
                                           Title:

                                        By:
                                           -------------------------------------
                                           Title:






                              -6-
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                                        DRESDNER BANK AG, NEW YORK AND 
                                        GRAND CAYMAN BRANCH

                                        By:
                                           -------------------------------------
                                           Title:

                                        By:
                                           -------------------------------------
                                           Title:
 

                                        FIRST AMERICAN NATIONAL BANK

                                        By:
                                           -------------------------------------
                                           Title:


 
                                        THE FIRST NATIONAL BANK OF BOSTON

                                        By:
                                           -------------------------------------
                                           Title:

 
                                        FIRST UNION NATIONAL BANK OF NORTH
                                        CAROLINA

                                        By:
                                           -------------------------------------
                                           Title:

 
                                        THE INDUSTRIAL BANK OF JAPAN, LIMITED

                                        By:
                                           -------------------------------------
                                           Title:


                                        MIDLAND BANK plc, NEW YORK BRANCH

                                        By:
                                           -------------------------------------
                                           Title:


                                        MITSUI LEASING (U.S.A.) INC.

                                        By:
                                           -------------------------------------
                                           Title:


                                        NATIONSBANK

                                        By:
                                           -------------------------------------
                                           Title:






                              -7-
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                                        PNC BANK

                                        By:
                                           -------------------------------------
                                           Title:


                                        THE SAKURA BANK, LIMITED

                                        By:
                                           -------------------------------------
                                           Title:


                                        SUMITOMO BANK, LTD.

                                        By:
                                           -------------------------------------
                                           Title:


                                       THIRD NATIONAL BANK IN NASHVILLE

                                        By:
                                           -------------------------------------
                                           Title:


                                        UNITED STATES NATIONAL BANK OF OREGON

                                        By:
                                           -------------------------------------
                                           Title:






                              -8-
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                                                                [EXECUTION COPY]


                      AMENDMENT NO. 2 TO CREDIT AGREEMENT


         This AMENDATORY AGREEMENT, dated as of May 4, 1994, to the Credit
Agreement, dated as of September 29, 1992 (as amended by the Amendment, dated
March 31, 1994 thereto, the "Existing Credit Agreement") by and among
HEALTHTRUST, INC. - THE HOSPITAL COMPANY, a Delaware corporation (the
"Borrower"), the various financial institutions parties thereto (collectively,
the "Lenders"), THE BANK OF NOVA SCOTIA ("Scotiabank") and ABN AMRO BANK N.V.,
BANK OF AMERICA NATIONAL TRUST AND SAVINGS ASSOCIATION, THE CHASE MANHATTAN
BANK, N.A., CITIBANK, N.A., CONTINENTAL BANK N.A., DEUTSCHE BANK AG, LTCB TRUST
COMPANY, SWISS BANK CORPORATION, and THE TORONTO-DOMINION BANK, as co-agents
(the "Co-Agents") for the Lenders, and Scotiabank, as administrative agent (in
such capacity, the "Administrative Agent") for the Co-Agents and the Lenders.


                                 WITNESSETH:


         WHEREAS, the Borrower wishes to (a) acquire EPIC Holdings, Inc., a
Delaware corporation, and its subsidiaries (collectively, "EPIC"), and
contemporaneously therewith merge a wholly-owned special purpose subsidiary of
the Borrower with and into EPIC, provide funds to EPIC and its subsidiaries to
refinance EPIC's existing credit agreement (the "EPIC Credit Agreement") and to
redeem EPIC's 11 7/8% Senior ESOP Notes due September 30, 1998 (the "Senior
ESOP Notes") and permit the remaining EPIC indebtedness to remain outstanding
(collectively, the "EPIC Transaction") and (b) acquire Holy Cross Hospital of
Salt Lake City, Holy Cross-Jordan Valley Hospital and St. Benedict's Hospital
from Holy Cross Health Services of Utah (collectively, the "Other
Transactions"); and

         WHEREAS, in connection with the EPIC Transaction and the Other
Transactions, the Borrower will sell shares of its common stock in a registered
public stock offering and will receive proceeds from the exercise of certain
outstanding warrants for its common stock (the "Public Offering") and issue a
new series of subordinated notes in a registered public offering (the "Note
Offering"); and

         WHEREAS, in connection with the EPIC Transaction, the Other
Transactions, the Public Offering and the Note Offering, the Borrower desires
to (a) restructure the indebtedness under the Existing Credit Agreement as a
$310,000,000 revolving credit facility in accordance with the terms set forth
below (the "Credit Agreement Restructuring"; the EPIC Transaction, the Other
Transactions, the Public Offering, the Note Offering and the





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Credit Agreement Restructuring are collectively referred to as the
"Transaction"; and the Existing Credit Agreement as so restructured being the
"Credit Agreement") and (b) in connection therewith obtain from Scotiabank a
Revolving Loan Commitment pursuant to which Revolving Loans and Letters of
Credit in a maximum aggregate amount not to exceed $310,000,000 will be made or
issued, as the case may be, from time to time (provided, that of such amount,
no more than $100,000,000 shall be available for the issuance of Letters of
Credit); and

         WHEREAS, Scotiabank is willing on the terms and conditions hereinafter
set forth to extend such Revolving Loan Commitment:

         NOW, THEREFORE, in consideration of the agreements herein contained,
the parties hereto agree as follows:


                                   ARTICLE I

                                  DEFINITIONS

         SECTION 1.1. Certain Definitions.  Unless otherwise defined herein or
the context otherwise requires, terms used in this Amendatory Agreement,
including its preamble and recitals, have the following meanings (such meanings
to be equally applicable to the singular and plural forms thereof):

         "Administrative Agent" is defined in the preamble.

         "Amendment No. 2" means this Amendatory Agreement.

         "Amendment No. 2 Effective Date" is defined in Section 3.1.

         "Borrower" is defined in the preamble.

         "Co-Agents" is defined in the preamble.

         "Credit Agreement" is defined in the third recital.

         "Credit Agreement Restructuring" is defined in the third recital.

         "EPIC" is defined in the first recital.

         "EPIC Credit Agreement" is defined in the first recital.

         "EPIC Transaction" is defined in the first recital.

         "Existing Credit Agreement" is defined in the preamble.

         "Lenders" is defined in the preamble.





                                     -2-
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         "Master Assignment Agreement" means that certain Assignment Agreement,
dated as of April 26, 1994, between the Lenders party to this Agreement,
collectively as assignor, and Scotiabank, as assignee.

         "Note Offering" is defined in the second recital.

         "Other Transactions" is defined in the first recital.

         "Public Offering" is defined in the second recital.

         "Scotiabank" is defined in the preamble.

         "Senior ESOP Notes" is defined in the first recital.

         "Transactions" is defined in the third recital.

         SECTION 1.2. Other Definitions.  Unless otherwise defined herein or
the context otherwise requires, terms used in this Amendatory Agreement,
including its preamble and recitals, have the meanings provided in the Existing
Credit Agreement.


                                   ARTICLE II

                AMENDMENTS TO EXISTING CREDIT AGREEMENT AS OF
                      THE AMENDMENT NO. 2 EFFECTIVE DATE

         Effective on (and subject to the occurrence of) the Amendment No. 2
Effective Date, the Existing Credit Agreement is hereby amended in accordance
with this Article II.  Except as so amended, the Existing Credit Agreement
shall continue in full force and effect.

         SECTION 2.1. Amendments to the Credit Agreement.

         SECTION 2.1.1.  Amendments to Section 1.1.  Article I of the Existing
Credit Agreement is hereby amended as follows:

                 (a)  Section 1.1 of the Existing Credit Agreement is hereby
         amended by inserting the following new terms in their alphabetically
         appropriate places:

                          "Amendment Fee Letter" means the fee letter, dated 
                 as of May 4, 1994.

                          "Amendment No. 2" means the Amendatory Agreement,
                 dated as of May 4, 1994, among the parties thereto, amending
                 this Agreement as then in effect.





                                     -3-
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                          "Amendment No. 2 Effective Date" is defined in
                 Section 3.1 of Amendment No. 2.

                          "Borrower Effective Date Cash on Hand" means cash of
                 the Borrower on the Amendment No. 2 Effective Date in an
                 amount at least equal to $180,000,000 which will be used to
                 pay in part the cash consideration of the Transaction.

                          "CMOs" means each of the 11 3/8% Class B-1 First
                 Priority Mortgage Notes due 2001, the 11 1/2% Class B-2 First
                 Priority Mortgage Notes due 1998 and the Floating Rate Class
                 B-3 First Priority Mortgage Notes due 1998 of EPIC Properties,
                 Inc. together with the indenture and guaranty relating
                 thereto.

                          "Consent and Tender Document" means the Offer to
                 Purchase and Consent Solicitation of EPIC, EPIC Healthcare
                 Group, Inc. and EPIC Properties, Inc. dated March 15, 1994.

                          "Continuing EPIC Debt" means the 11% Junior
                 Subordinated Pay-in-Kind Notes due 2003 and the Zero Coupon
                 Notes due 2001 of EPIC Healthcare Group, Inc., the 10-7/8%
                 Senior Subordinated Notes due 2003 and the 12% Senior Deferred
                 Coupon Notes due 2002 of EPIC and the CMOs.

                          "EPIC" means EPIC Holdings, Inc., a Delaware
                 corporation.

                          "EPIC Credit Agreement" means that certain Second
                 Amended and Restated Credit Agreement, dated as of September
                 30, 1988 and Amended and Restated as of July 31, 1991 and
                 September 1, 1993 among EPIC Healthcare Group, Inc., various
                 lenders and General Electric Capital Corporation, as
                 administrative agent.

                          "EPIC Transaction" means, collectively, (i) the
                 acquisition of EPIC and its Subsidiaries and the
                 contemporaneous merger of a wholly-owned special purpose
                 subsidiary of the Borrower with and into EPIC, (ii) the
                 provision of funds to EPIC and its Subsidiaries to refinance
                 the EPIC Credit Agreement and to redeem the Senior ESOP Notes
                 and (iii) the actions necessary to permit the Continuing EPIC
                 Debt to remain outstanding.

                          "Existing Healthtrust Subordinated Debenture
                 Indenture" means the Indenture, dated as of March 30, 1993
                 between the Borrower and The First National Bank




                                      
                                     -4-
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                 of Boston, as trustee, pursuant to which the Existing
                 Healthtrust Subordinated Debentures were issued as amended,
                 supplemented or otherwise modified from time to time in
                 accordance with Section 7.2.11.

                          "Existing Healthtrust Subordinated Debentures" means
                 the $300,000,000 aggregate principal amount of 8-3/4%
                 Subordinated Debentures due 2005 issued by the Borrower
                 pursuant to the Existing Healthtrust Subordinated Debenture
                 Indenture.

                          "Existing Healthtrust Subordinated Note Indenture"
                 means the Indenture, dated as of May 1, 1992, between the
                 Borrower and The First National Bank of Boston, as trustee,
                 pursuant to which the Existing Healthtrust Subordinated Notes
                 were issued as amended, supplemented or otherwise modified
                 from time to time in accordance with Section 7.2.11.

                          "Existing Healthtrust Subordinated Notes" means the
                 $500,000,000 aggregate principal amount of 10-3/4%
                 Subordinated Notes due 2002 issued by the Borrower pursuant to
                 the Existing Healthtrust Subordinated Note Indenture.

                          "Good Faith Contest" means the contest of any dispute
                 or inquiry if (a) the dispute or inquiry is diligently
                 contested in good faith by appropriate proceedings timely
                 instituted; (b) adequate reserves are established with respect
                 to the contested dispute or inquiry; (c) during the period of
                 such contest, the enforcement of the contested item is
                 effectively stayed and (d) the failure to pay or comply with
                 the contested item during the period of such contest is not
                 reasonably likely to result in a Material Adverse Effect.

                          "Minority Subsidiaries" means, at any time, those
                 Subsidiaries of the Borrower (other than EPIC and its
                 Subsidiaries) which do not individually or in the aggregate
                 account for more than 5% of the consolidated net revenues or
                 more than 5% of the consolidated net assets of the Borrower
                 and its Subsidiaries (in each case as calculated on the
                 Amendment No. 2 Effective Date and thereafter for the
                 Borrower's most recent Fiscal Year end).

                          "1994 Credit Agreement" means that certain Credit
                 Agreement, dated as of April 28, 1994, among the Borrower,
                 certain financial institutions, the co-agents for such
                 financial institutions and Scotiabank as the





                                     -5-
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                 administrative agent for such financial institutions and co-
                 agents.

                          "Note Offering" means the issuance by the Borrower 
                 of the Subordinated Notes.

                          "Public Offering" means the issuance of Common Stock
                 in a registered public stock offering and the receipt by the
                 Borrower of proceeds from the exercise of certain outstanding
                 warrants for Common Stock.

                          "Registration Statements" means the Borrower's
                 Registration Statements, each on a Form S-3 as filed with the
                 Securities and Exchange Commission in connection with the Note
                 Offering and the Public Offering.

                          "Senior ESOP Notes" means the 11-7/8% Senior ESOP
                 Notes due September 30, 1998 of EPIC Healthcare Group, Inc.

                          "Total Debt to EBITDA Coverage Ratio" means, as at
                 any date of determination thereof, the ratio of (a) the total
                 principal amount of consolidated Indebtedness of the Borrower
                 and its Subsidiaries outstanding on such date of determination
                 to (b) EBITDA for the four consecutive Fiscal Quarter period
                 ending on or prior to such date of determination (or for such
                 lesser number of whole Fiscal Quarters which have ended since
                 the Amendment No. 2 Effective Date on an annualized basis).

                 (b)  The term "Capital Expenditures is hereby amended in its
        entirety to read as follows:

                          "Capital Expenditures" means, for any period, the
                 aggregate amount (without duplication) of all expenditures,
                 whether paid in cash or other consideration other than Common
                 Stock, (including the incurrence of Capitalized Lease
                 Liabilities) of the Borrower and its Subsidiaries during such
                 period to acquire fixed or capital assets made during such
                 period which, in accordance with GAAP, would be classified as
                 capital expenditures; provided, however, that there shall be
                 excluded from Capital Expenditures (x) Investments permitted
                 under clauses (d) and (g) of Section 7.2.5 and (y) Capital
                 Expenditures financed with Net Equity Proceeds specifically
                 designated for such purpose.

                 (c)  The terms "Cash Flow" and "Cash Flow Coverage Ratio" are
        hereby amended to read in their entirety as follows:





                                     -6-
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                          "Cash Flow" means, for any Fiscal Quarter, the sum 
                 for such Fiscal Quarter of

                 (a)  EBITDA for such Fiscal Quarter;

minus

                 (b)  all federal, state and foreign income taxes actually paid
         by the Borrower and its Subsidiaries during such Fiscal Quarter;

minus

                 (c)  the amount of Capital Expenditures for such Fiscal
         Quarter.

         "Cash Flow Coverage Ratio" means, for any Fiscal Quarter, the ratio
computed for the period of four consecutive Fiscal Quarters, ending on the
close of such Fiscal Quarter (or, if less, for the period of such lesser number
of whole Fiscal Quarters to have elapsed since the Closing Date of:

                 (a)  Cash Flow for all such Fiscal Quarters; provided,
         however, that the amount of Capital Expenditures used in the
         computation of Cash Flow for the final Fiscal Quarter of 1994 shall be
         calculated by dividing (i) the sum of all amounts of Capital
         Expenditures for 1994 by (ii) 4;

 to

                 (b)  the sum for all such Fiscal Quarters of

                          (i)  Net Interest Expense;

 plus

                            (ii)  the amount expended (other than in connection
                 with the Transaction) by the Borrower or its Subsidiaries
                 during such Fiscal Quarters in respect of the redemption,
                 retirement or other acquisition of Subordinated Debt other
                 than from the proceeds of  Refunding Indebtedness or Net
                 Equity Proceeds."


                 (d)  The term "Commitment" is hereby amended to read in its
         entirety as follows:

                          "Commitment" means the Revolving Loan Commitment.





                                     -7-
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                 (e)  The term "Commitment Amount" is hereby amended to read in
           its entirety as follows:

                          "Commitment Amount" means the Revolving Loan 
                 Commitment Amount.

                 (f)  The term "Commitment Letter" is hereby deleted in its 
           entirety.

                 (g)  The term "Commitment Termination Date" is hereby amended
           to read in its entirety as follows:

                          "Commitment Termination Date" means the Revolving 
                 Loan Commitment Termination Date.

                 (h)  The term "Existing Subordinated Debt" is hereby amended
           in its entirety to read as follows:

                          "Existing Subordinated Debt" means, collectively, the
                 Existing Healthtrust Subordinated Notes and the Existing
                 Healthtrust Subordinated Debentures.

                 (i)  The term "Indentures" is hereby amended in its entirety
           to read as follows:

                          "Indentures" means, collectively, the Existing
                 Healthtrust Subordinated Note Indenture and the Existing
                 Healthtrust Subordinated Debenture Indenture.

                 (j)  The term "Interest Coverage Ratio" is hereby amended in
           its entirety to read as follows:

                          "Interest Coverage Ratio" means as of the last day of
                 any Fiscal Quarter, the ratio computed for the period of four
                 consecutive Fiscal Quarters, ending on the close of such
                 Fiscal Quarter (or, if less, for the period of such lesser
                 number of whole Fiscal Quarters to have elapsed since the
                 Amendment No. 2 Effective Date) of:

                                  (a)  EBITDA for such period

                          to

                                  (b)  Net Interest Expense for such period.

                 (k)  The term "Investment" is hereby amended in its entirety
           to read as follows:

                          "Investment" means (i) any investment in any Person,
                 whether by means of share purchase, capital,





                                     -8-
   17





                 equity or similar contribution, loan, advance, time deposit or
                 otherwise (excluding commission, travel and similar advances
                 to officers and employees made in the ordinary course of
                 business), (ii) without duplication of clause (i), becoming a
                 party to any joint venture or partnership or (iii) without
                 duplication of clause (i) or (ii), an acquisition (whether by
                 purchase, lease or otherwise) of a Facility or any Person
                 owning, leasing or managing a Facility whether through share
                 purchase or otherwise; provided, however, that the term
                 "Investment" shall not include the contribution of an asset
                 which is not a Facility by the Borrower to a not-for-profit
                 corporation or other not-for-profit entity.  The amount of any
                 Investment shall be the original principal or capital amount
                 thereof less all returns of principal or equity thereon (and
                 without adjustment by reason of the financial condition of
                 such other Person) and shall, if made by the transfer or
                 exchange of property other than cash, be deemed to have been
                 made in an original principal or capital amount equal to the
                 book value of such property.

                 (l)  The term "Loan Document" is hereby amended by adding the
        words "and Amendment Fee Letter" after the words "Fee Letter" appearing 
        in the eighth line of such definition.

                 (m)  The term "Material Adverse Effect" is hereby amended in
        its entirety to read as follows:

                          "Material Adverse Effect" means a material adverse
                 effect on (i) the business, operations, properties, assets or
                 condition (financial or otherwise) of the Borrower and its
                 Subsidiaries, taken as a whole, (ii) the ability of the
                 Borrower to perform its Obligations or (iii) the ability of
                 one or more Subsidiaries of the Borrower, which Subsidiaries,
                 individually or in the aggregate, account for more than 5.0%
                 of the consolidated net revenues or more than 5.0% of the
                 consolidated net assets of the Borrower (as calculated as of
                 the Amendment No. 2 Effective Date until August 31, 1994 and
                 thereafter for the Borrower's most recent Fiscal Year end) to
                 perform their respective Obligations.

                 (n)  The term "Net Income" is hereby amended in its entirety
        to read as follows:

                          "Net Income" means, for any period, all amounts
                 which, in accordance with GAAP, would be included as net
                 income on the consolidated statements of income of



                                     -9-
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                 the Borrower and its Subsidiaries for such period; provided,
                 however, that such amount shall exclude (i) extraordinary
                 gains and extraordinary non-cash losses and (ii) non-cash
                 gains and non-cash losses relating to asset sales,
                 dispositions and write-downs.

                 (o)  The term "Net Worth" is hereby amended in its entirety to
        read as follows:

                          "Net Worth" means, at any time, all amounts which, in
                 accordance with GAAP, would be included under shareholders'
                 equity on a consolidated balance sheet of the Borrower and its
                 Subsidiaries at such time; provided, however, that if the
                 Borrower has repurchased any of its Common Stock pursuant to
                 clause (a)(iii) of Section 7.2.6, Net Worth shall include an
                 amount equal to the lesser of (i) the amount of Common Stock
                 the Borrower intends to contribute within the next twelve
                 months pursuant to clause (a)(iii) of Section 7.2.6 to the
                 extent that such contribution would receive recognition in
                 accordance with GAAP if it were in fact contributed on the
                 date of determination and (ii) 75% of the market value of the
                 Borrower's Common Stock held in its treasury and available for
                 any future planned contributions.

                 (p)  The term "Reference Lenders" is hereby amended in its
        entirety to read as follows:

                          "Reference Lenders" means, Scotiabank or such other
                 Lender or Lenders as may be agreed to by the Borrower and the
                 Required Lenders.

                 (q)  The term "Revolving Loan Commitment Amount" is hereby
        amended in its entirety to read as follows:

                          "Revolving Loan Commitment Amount" means, on any
                 date, $310,000,000; provided, however, that such amount shall
                 be reduced from time to time pursuant to Section 2.4.

                 (r)  The term "Revolving Loan Commitment Termination Date" is
        hereby amended in its entirety to read as follows:

                          "Revolving Loan Commitment Termination Date" means 
                 the earliest of

                             (a)  5:00 p.m., New York City time, on May 12, 
                          1994, unless extended pursuant to Section 2.10;





                                     -10-
   19





                                  (b)  the date on which the Revolving Loan
                          Commitment Amount is terminated in full or reduced to
                          zero pursuant to Section 2.4; and
 
                                  (c)  the date on which any Commitment 
                          Termination Event occurs.

                 Upon the occurrence of any event described in clause (b) or
                 (c), the Revolving Loan Commitment shall terminate
                 automatically and without any further action.

                 (s)  The term "Solvent" is hereby amended in its entirety to
         read as follows:

                          "Solvent", as applied to any Person, means, as at the
                 date of determination, that (i) the then fair saleable value
                 of the property of such Person is (A) greater than the total
                 amount of liabilities (including Contingent Liabilities) of
                 such Person and (B) greater than the amount that will be
                 required to pay the probable liabilities of such Person's then
                 existing debts as they become absolute and matured, (ii) such
                 Person's capital is not unreasonably small in relation to its
                 business or any contemplated or undertaken transaction and
                 (iii) such Person does not intend to incur, or does not
                 believe or should not reasonably believe that it will incur,
                 debts beyond its ability to pay such debts as they become due.

                 (t)  The term "Stated Maturity Date" is hereby amended in its
         entirety to read as follows:

                          "Stated Maturity Date" means for each Loan, May 12,
                 1994, except as otherwise extended upon written request
                 pursuant to Section 2.10.

                 (u)  The term "Subordinated Debt" is hereby amended by
         deleting the first clause thereof and inserting in its place the
         following new clause (i):

                 "(i)  The Existing Healthtrust Subordinated Notes, the
                 Existing Healthtrust Subordinated Debentures and the
                 Subordinated Notes".

                 (v)  The term "Subordinated Note Indenture" is hereby deleted
         in its entirety.

                 (w)  The term "Subordinated Notes" is hereby amended in its
         entirety to read as follows:





                                     -11-
   20





                 "Subordinated Notes" means the $200,000,000 aggregate
         principal amount of 10 1/4% Subordinated Notes issued by the Borrower
         pursuant to the Existing Healthtrust Subordinated Note Indenture.

                 (x)  The terms "Applicable Discount", "Current Ratio",
         "Delayed Term Loan", "Delayed Term Loan Commitment", "Delayed Term
         Loan Commitment Amount", "Delayed Term Loan Commitment Termination
         Date", "Guaranteed Subordinated Debentures", "Guaranteed Subordinated
         Debenture Indenture", "Maximum Leverage Ratio", "Senior Subordinated
         Debenture Indentures", "Senior Subordinated Debenture Indenture
         Amendment", "Senior Subordinated Debentures", "Senior Subordinated
         Indenture", "Term Loan", "Term Loan Commitment", "Term Loan Commitment
         Amount", "Term Loan Commitment Termination Date", "Zero Guaranteed
         Subordinated Debenture Indenture" and "Zero Guaranteed Subordinated
         Debentures" are hereby deleted.

         SECTION 2.1.2.  Amendment to Article II.  Article II of the Existing
Credit Agreement is hereby amended as follows:

                 (a)  Section 2.1.1 of the Existing Credit Agreement is hereby
         deleted in its entirety and replaced by the following:

                          "SECTION 2.1.1. Restructuring of Loans.  Effective on
                 the Amendment No. 2 Effective Date, all loans outstanding
                 under the Existing Credit Agreement shall be restructured as
                 Revolving Loans and the Borrower shall repay all such loans to
                 the extent that the principal amount of such loans exceeds the
                 Revolving Loan Commitment less the then Letter of Credit
                 Outstandings."

                 (b)  Section 2.1.2 of the Existing Credit Agreement is hereby
         deleted in its entirety and replaced by the following:

                          SECTION 2.1.2.  [Intentionally Omitted].

                 (c)  Section 2.1.4 of the Existing Credit Agreement is hereby
         amended by adding the parenthetical "(unless otherwise agreed to by
         the relevant Issuer)" after the phrase "Revolving Loan Commitment
         Termination Date" appearing therein.

                 (d)  Sections 2.2.1 and 2.2.2 of the Existing Credit Agreement
         are hereby deleted in their entirety and replaced by the following:





                                     -12-
   21





                      SECTION 2.2.1.  [Intentionally Omitted].

                      SECTION 2.2.2.  [Intentionally Omitted].

                 (e)  Clause (b) of Section 2.4 of the Existing Credit
         Agreement is hereby deleted in its entirety and replaced by the
         following:

                      (b)  [Intentionally Omitted].

                 (f)  Clause (c) of Section 2.4 of the Existing Credit
         Agreement is hereby amended and restated in its entirety to read as
         set forth below:

                      (c)  The Revolving Loan Commitment Amount shall be
                 automatically terminated in full upon the date of the initial
                 credit extension under the 1994 Credit Agreement.

                 (g)  Section 2.6 of the Existing Credit Agreement is hereby
         amended by changing the dollar amount "$10,000,000" appearing therein
         to "$5,000,000".

                 (h)  A new Section 2.10 is hereby added to the Existing Credit
         Agreement as follows:

                      "SECTION 2.10.  Extension of Revolving Loan
                 Commitment Termination Date. Upon at least one Business Day's
                 prior written notice to the Administrative Agent, the Borrower
                 may, so long as no Default has occurred and is continuing,
                 extend the Revolving Loan Commitment Termination Date and the
                 Stated Maturity Date to May 4, 1995."

         SECTION 2.1.3.  Amendment to Article III.  Article III of the Existing
Credit Agreement is hereby amended as follows:

                 (a)  Section 3.1.2 of the Existing Credit Agreement is hereby
         deleted in its entirety and replaced by the following:

                      SECTION 3.1.2.  [Intentionally Omitted].

                 (b)  Section 3.1.3 of the Existing Credit Agreement is hereby
         deleted in its entirety and replaced by the following:

                      SECTION 3.1.3.  [Intentionally Omitted].





                                     -13-
   22


                 (c)  Section 3.1.4 of the Existing Credit Agreement is hereby
         amended by changing the reference to "clause (b)" in the third line of
         such Section to "clause (c)".

                 (d)  Section 3.1.5 of the Existing Credit Agreement is hereby
         amended as follows:

                      (i)  Clauses (a), (b) and (c) are hereby deleted and 
                 replaced by the following:

                           "(a)  to be applied (or held by the Administrative 
                      Agent for application, as the case may be) to Obligations
                      outstanding under the Revolving Loan Commitments with a 
                      commensurate and contemporaneous reduction of the 
                      Revolving Loan Commitments;"; and

                      (ii)  A new last sentence shall be added thereto to 
                 read as follows:

                      "The Borrower shall, immediately upon the initial
                      credit extension made under the 1994 Credit Agreement, 
                      make a mandatory prepayment of all outstanding Revolving 
                      Loans.".

                 (e)  Section 3.2.1 of the Existing Credit Agreement is hereby
         amended as follows:

                      (i)  Clauses (a) and (b) are hereby deleted and replaced 
                 by the following:

                           "(a)  Alternate Base Rate. On that portion of such 
                      Borrowing maintained from time to time as a Base Rate 
                      Loan, equal to the sum of the Alternate Base Rate from 
                      time to time in effect plus 1/2 of 1%.

                            (b)  LIBO Rate. On that portion maintained as a 
                      LIBO Rate Loan, during each Interest Period applicable 
                      thereto, equal to the sum of the LIBO Rate (Reserve 
                      Adjusted) for such Interest Period plus 1 1/2%.", and

                      (ii)  A new sentence is hereby added to the end 
                 thereof to read as set forth below:

                            "All Borrowings of Revolving Loans made on or prior
                      to the seventh Business Day after the Amendment No. 2 
                      Effective Date shall be made as Base Rate Loans.".



                                     -14-
   23

                 (f)  Clause (b) of Section 3.3.1. of the Existing Credit
         Agreement is hereby amended by changing the reference to "1/2 of 1%"
         to "3/8 of 1%".

                 (g)  Clause (a) of Section 3.3.2 of the Existing Credit
         Agreement is hereby amended in its entirety to read as follows:

                      "(a)  The Borrower agrees to pay to the Administrative 
                 Agent for the pro rata account of each Lender having a 
                 Revolving Loan Commitment (including the Issuer), a
                 participation fee equal to 1-1/4% per annum of the Stated
                 Amount of each Letter of Credit.  Such participation fee shall
                 accrue from the date of issuance of any Letter of Credit until
                 the date such Letter of Credit is drawn in full or terminated,
                 and shall be payable in arrears on each Quarterly Payment
                 Date."

                 (h)  Section 3.3.3 of the Existing Credit Agreement is hereby
         amended in its entirety to read as follows:

                      "SECTION 3.3.3. Fee Letter Fees. The Borrower agrees
                 to pay the fees in the amounts and at the times set forth in
                 the Fee Letter and the Amendment Fee Letter."

         SECTION 2.1.4.  Amendment to Section 5.2.1.  Section 5.2.1 of the
Credit Agreement is hereby amended and restated in its entirety to read as set
forth below:

                 "SECTION 5.2.1.  Compliance with Warranties, No Default, etc.
         Both before and after giving effect to such Credit Extension (but, if
         any Default of the nature referred to in Section 8.1.5 shall have
         occurred with respect to any other Indebtedness, without giving effect
         to the application, directly or indirectly, of the proceeds of any
         Borrowing) the following statements shall be true and correct as of
         the date of such Credit Extension:

                      (a)  the representations and warranties set forth
                 in Article VI shall be true and correct in all material
                 respects with the same effect as if then made (unless stated
                 to relate solely to an earlier date, in which case such
                 representations and warranties shall be true and correct in
                 all material respects as of such earlier date); provided,
                 however, that the condition precedent set forth in this clause
                 (a) shall not be applicable to EPIC and its Subsidiaries and
                 shall be satisfied with respect to any representation or
                 warranty (i) made by the Borrower with respect to the
                 Subsidiary Guaranty, (ii) made by the Borrower with respect to
                 the 




                                     -15-
   24
                 Subsidiary Pledge Agreement, or any other Collateral
                 Document to which a Subsidiary of the Borrower is a party, or
                 the Pledged Subsidiary Debt, and (iii) otherwise made by the
                 Borrower with respect to a Subsidiary, unless (A) a Subsidiary
                 or Subsidiaries of the Borrower accounting for more than 5.0%
                 of the consolidated net revenues or more than 5.0% of the
                 consolidated assets of the Borrower, or the Subsidiary
                 Guaranty or Subsidiary Pledge Agreement, or such other 
                 Collateral Documents, or the Pledged Subsidiary Debt, of such a
                 Subsidiary or Subsidiaries, are the subject of one or more
                 materially false representations or warranties of the types
                 described in this proviso (except that in making such
                 determination EPIC and its Subsidiaries shall be excluded from
                 such calculation), or (B) there otherwise exists a Material
                 Adverse Effect in connection with one or more materially false
                 representations or warranties of the types described in this
                 proviso; and

                          (b)  no Default shall have then occurred and be
                 continuing.".

         SECTION 2.1.5.  Amendments to Article VI of the Existing Credit
Agreement.  Article VI of the Existing Credit Agreement is hereby amended as
follows:

                 (a)  Section 6.6 of the Existing Credit Agreement is hereby
         amended and restated in its entirety to read as set forth below:

                          "SECTION 6.6.  No Material Adverse Change.  Except as
                 has been disclosed in writing to the Administrative Agent and
                 the Lenders prior to the Amendment No. 2 Effective Date, (i)
                 since August 31, 1993, with respect to the Borrower or any of
                 its Existing Subsidiaries, taken as a whole, (ii) since
                 September 30, 1993, with respect to EPIC or any of its
                 Subsidiaries, taken as a whole or (iii) since the Amendment
                 No. 2 Effective Date with respect to the Borrower or any of
                 its Subsidiaries, taken as a whole, no event has occurred
                 which has or would cause a Material Adverse Effect.".

                 (b)  Section 6.15 of the Existing Credit Agreement is hereby
         amended and restated in its entirety to read as set forth below:

                      "SECTION 6.15. Status of Obligations.

                      (a)  The incurrence by the Borrower of all Obligations 
                   hereunder and any related Hedging




                                     -16-
   25





                 Obligations, and the execution, delivery, maintenance and
                 performance of the Subsidiary Guaranty and the Subsidiary
                 Pledge Agreement, do not and will not violate, or constitute
                 (with due notice or lapse of time or both) an Event of Default
                 (as defined in any indenture relating to Subordinated Debt).

                          (b)  The entry by the Borrower into subordination
                 arrangements with respect to intercompany indebtedness does
                 not and will not violate, or constitute (with due notice or
                 lapse of time or both) a default under, any indenture pursuant
                 to which the Subordinated Debt was issued.

                          (c)  The incurrence and maintenance of the first
                 priority security interests in stock and the Pledged Notes
                 pledged to the Collateral Agent pursuant to the Pledge
                 Agreements do not and will not violate, or constitute (with
                 due notice or lapse of time or both) an Event of Default (as
                 defined in the indenture related to Subordinated Debt).

                          (d)  All Loans, when made, and all Reimbursement
                 Obligations, when incurred, will constitute "Senior
                 Indebtedness" and "Specified Senior Indebtedness" or similar
                 defined terms under all indentures pursuant to which the
                 Subordinated Debt was or will be issued.  The subordination
                 provisions of such indentures pursuant to which such
                 Subordinated Debt was or will be issued, are or will be, as
                 the case may be, enforceable against the holders thereof.".

                 (c)  A new Section 6.16 is hereby added to the Existing Credit
         Agreement to read in its entirety to read as set forth below:

                          "SECTION 6.16.   Environmental Warranties.  Except as
                 set forth in Item 6.12 ("Environmental Matters") of the
                 Disclosure Schedule to the 1994 Credit Agreement:

                          (a)  all facilities and property (including
                 underlying groundwater) owned or leased by the Borrower or any
                 of its Subsidiaries have been, and continue to be, owned or
                 leased by the Borrower and its Subsidiaries in material
                 compliance with all Environmental Laws except for
                 noncompliance which, singly or in the aggregate, could not
                 reasonably be expected to have a Material Adverse Effect or
                 which noncompliance is the subject of a Good Faith Contest;





                                     -17-
   26





                          (b)  there have been no past, and there are no 
                 pending or threatened

                                  (i)  claims, complaints, notices or requests
                          for information received by the Borrower or any of
                          its Subsidiaries with respect to any alleged
                          violation of any Environmental Law which could
                          reasonably be expected to have a Material Adverse
                          Effect, or

                                  (ii)  complaints, notices or inquiries to the
                          Borrower or any of its Subsidiaries regarding
                          potential liability under any Environmental Law which
                          could reasonably be expected to have a Material
                          Adverse Effect;

                          (c)  there have been no Releases of Hazardous
                 Materials at, on or under any property now or previously owned
                 or leased by the Borrower or any of its Subsidiaries that,
                 singly or in the aggregate, have, or may reasonably be
                 expected to have, a Material Adverse Effect;

                          (d)  the Borrower and its Subsidiaries have been
                 issued and are in material compliance with all material
                 permits, certificates, approvals, licenses and other
                 authorizations relating to environmental matters which are
                 necessary or desirable for their businesses;

                          (e)  no property now or previously owned or leased by
                 the Borrower or any of its Subsidiaries is listed or proposed
                 for listing (with respect to owned property only) on the
                 National Priorities List pursuant to CERCLA, on the CERCLIS or
                 on any similar state list of sites requiring investigation or
                 clean-up;

                          (f)  there are no underground storage tanks, active
                 or abandoned, including petroleum storage tanks, on or under
                 any property now or previously owned or leased by the Borrower
                 or any of its Subsidiaries that, singly or in the aggregate,
                 have, or may reasonably be expected to have, a Material
                 Adverse Effect;

                          (g)  neither the Borrower nor any Subsidiary of the
                 Borrower has directly transported or directly arranged for the
                 transportation of any Hazardous Material to any location which
                 is listed or proposed for listing on the National Priorities
                 List pursuant to CERCLA, on the CERCLIS or on any similar
                 state list or which is the subject of federal, state or local
                 enforcement actions or other investigations which may



                                     -18-

   27





                 lead to material claims against the Borrower or such
                 Subsidiary thereof for any remedial work, damage to natural
                 resources or personal injury, including claims under CERCLA;

                          (h)  there are no polychlorinated biphenyls or
                 friable asbestos present at any property now or previously
                 owned or leased by the Borrower or any Subsidiary of the
                 Borrower that, singly or in the aggregate, have, or may
                 reasonably be expected to have, a Material Adverse Effect; and

                          (i)  no conditions exist at, on or under any property
                 now or previously owned or leased by the Borrower which, with
                 the passage of time, or the giving of notice or both, would
                 give rise to liability under any Environmental Law which could
                 reasonably be expected to have a Material Adverse Effect."

         SECTION 2.1.6.  Amendments to Article VII of the Existing Credit
Agreement.  Article VII of the Existing Credit Agreement is hereby amended as
set forth below:

                 (a)  Section 7.1.6 of the Existing Credit Agreement is hereby
         amended and restated in its entirety to read as set forth below:

                          "SECTION 7.1.6.  Use of Proceeds.  The Borrower shall
                 use the Revolving Loans to pay or loan or contribute the
                 proceeds of Revolving Loans to EPIC and its Subsidiaries to
                 pay in part the cash consideration of the Transaction and to
                 finance the Borrower's ongoing working capital and general
                 corporate purposes.".

                 (b)  Section 7.1.9 of the Existing Credit Agreement is hereby
         amended and restated in its entirety to read as set forth below:

                          "SECTION 7.1.9  Future Subsidiaries.  Upon the lapse
                 or other termination of all restrictions contained in any
                 indenture or other agreement existing on the Amendment No. 2
                 Effective Date relating to Indebtedness of EPIC or its
                 Subsidiaries which restrictions prohibit the entering into by
                 EPIC or any such Subsidiary of the Subsidiary Guaranty or
                 Subsidiary Pledge Agreement, the Borrower shall promptly cause
                 (i) EPIC and each of its Subsidiaries (other than JV
                 Subsidiaries) to become parties to the Subsidiary Guaranty,
                 and (ii) EPIC and each of its relevant Subsidiaries to become
                 parties to the



                                     -19-

   28





                 Subsidiary Pledge Agreement and deliver certificates
                 representing all of the issued and outstanding shares of
                 capital stock (other than the capital stock of EPIC
                 Properties, Inc. until such time that all of the CMOs have
                 been redeemed or otherwise retired) of EPIC and its
                 Subsidiaries, together with duly executed stock powers in
                 blank to the Collateral Agent.  Upon any other Person
                 becoming, after the Amendment No. 2 Effective Date, a
                 Subsidiary of the Borrower, the Borrower shall notify the
                 Administrative Agent of such event and such Subsidiary shall
                 become a party to the Subsidiary Guaranty (if such Subsidiary
                 is not a JV Subsidiary) and the Subsidiary Pledge Agreement in
                 a manner reasonably satisfactory to the Administrative Agent.
                 In addition, the Borrower shall provide the Administrative
                 Agent and the Lenders with such opinions of legal counsel, in
                 form and substance reasonably satisfactory to the
                 Administrative Agent, as the Administrative Agent may
                 reasonably require, relating to the obligations of such new
                 Subsidiary under the Subsidiary Guaranty and Subsidiary Pledge
                 Agreement.".

                 (c)  A new Section 7.1.10 is hereby added to the Existing
       Credit Agreement to read as set forth below:

                        "SECTION 7.1.10.  Environmental Covenant.  The Borrower
                 will, and will cause each of its Subsidiaries to,

                          (a)  use and operate all of the its facilities and
                 properties in material compliance with all Environmental Laws,
                 keep all necessary permits, approvals, certificates, licenses
                 and other authorizations relating to environmental matters in
                 effect and remain in material compliance therewith, and handle
                 all Hazardous Materials in material compliance with all
                 applicable Environmental Laws except for noncompliance which,
                 singly or in the aggregate, could not reasonably be expected
                 to have a Material Adverse Effect or which noncompliance is
                 the subject of a Good Faith Contest;

                          (b)  immediately notify the Administrative Agent and
                 provide copies upon receipt of all written claims, complaints,
                 notices or inquiries relating to the condition of its
                 facilities and properties or compliance with Environmental
                 Laws, and shall promptly cure and have dismissed with
                 prejudice to the satisfaction of the Administrative Agent any
                 actions and proceedings relating to compliance with
                 Environmental Laws except for such claims, complaints,



                                     -20-

   29





                 notices and inquiries which, singly or in the aggregate, could
                 not reasonably be expected to have a Material Adverse Effect
                 or which are the subject of a Good Faith Contest; and

                          (c)  provide such information and certifications
                 which the Administrative Agent may reasonably request from
                 time to time to evidence compliance with this Section 7.1.10."

                 (d)  Section 7.2.2 of the Existing Credit Agreement is hereby
         amended by (i) the parenthetical appearing in clause (e)(iii) thereof
         is amended in its entirety to read "(other than (i) a JV Subsidiary
         and (ii) EPIC and its Subsidiaries with respect to any such promissory
         note owing to EPIC or any of its Subsidiaries existing prior to the
         Amendment No.2 Effective Date)", (ii) deleting the word "and"
         appearing at the end of clause (j) thereof, (iii) replacing the period
         at the end of clause (k) thereof with"; and" and (iv) inserting a new
         clause (l) to read as set forth below:

                          "(l)     Indebtedness of EPIC and its Subsidiaries
                 outstanding on the date of the consummation of the EPIC Merger
                 and not incurred in contemplation thereof (other than
                 Indebtedness under the EPIC Credit Agreement and, after the
                 65th day following the Amendment No. 2 Effective Date, the
                 Senior ESOP Notes).".

                 (e)  Section 7.2.3 of the Existing Credit Agreement is hereby
         amended by (i) deleting "and" appearing at the end of clause (m)
         thereof, (ii) replacing the period at the end of clause (n) thereof
         with the word "; and" and (iii) inserting a new clause (o) to read as
         set forth below:

                          "(o)     Liens on assets of EPIC or any of its
                 Subsidiaries existing on the Amendment No. 2 Effective Date,
                 other than Liens arising as a result of or created in
                 contemplation of the Transaction.".

                 (f)  Section 7.2.4 of the Existing Credit Agreement is hereby
         amended and restated in its entirety as follows:

                 "SECTION 7.2.4.  Financial Condition.  The Borrower covenants
         and agrees as follows:

                          (a)     Net Worth.  The Borrower will not permit Net
                 Worth at any time during any period set forth below to be less
                 than the amount set forth opposite such period:


                                     -21-


   30







              Period                                                       Net Worth 
              ------                                                       --------- 
                                                                      
    Amendment No. 2 Effective Date
     through end of Fiscal Year 1994                                     $900,000,000
    First Two Fiscal Quarters of
     Fiscal Year 1995                                                    $925,000,000
    Last Two Fiscal Quarters of
     Fiscal Year 1995                                                    $950,000,000


                          (b)     Cash Flow Coverage Ratio.  The Borrower will
                 not permit the Cash Flow Coverage Ratio, at any time
                 commencing on the Amendment No. 2 Effective Date, to be less
                 than 1.0:1.0.

                          (c)     Interest Coverage Ratio.  The Borrower will
                 not permit the Interest Coverage Ratio, at any time during any
                 period set forth below, to be less than the ratio set forth
                 opposite such period:



                        Period                                              Ratio
                        ------                                              -----
                                                                       
                 Amendment No. 2 Effective Date                           
                  through end of Fiscal Year 1994                         3.75:1.0
                 Fiscal Year 1995                                         3.75:1.0



                          (d)  Total Debt to EBITDA Coverage Ratio.  The
                 Borrower will not permit the Total Debt to EBITDA Coverage
                 Ratio (i) from the Amendment No. 2 Effective Date to August
                 31, 1994 to exceed 4.25:1.0 and (ii) at any time thereafter
                 during any period set forth below, to be greater than the
                 ratio set forth opposite such period:



                          Period                                               Ratio
                          ------                                               -----
                                                                          
                 First 2 Fiscal Quarters
                   of Fiscal Year 1995                                       4.25:1.0
                 Last 2 Fiscal Quarters
                   of Fiscal Year 1995                                       4.00:1.0"


                 (g)  Section 7.2.5 of the Existing Credit Agreement is hereby
         amended in its entirety to read as set forth below:


                          "SECTION 7.2.5  Investments.  The Borrower will not,
                 and will not permit any of its Subsidiaries to, make, incur,
                 assume or suffer to exist any Investment in any other Person,
                 except:



                                     -22-

   31





                          (a) Investments existing on the Effective Date and
                 identified in Item 7.2.5(a) ("Ongoing Investments") of the
                 Disclosure Schedule;

                          (b)   Cash Equivalent Investments;

                          (c)  Investments in the Borrower or any of its
                 wholly-owned Subsidiaries;

                          (d)  Investments in joint ventures;

                          (e)  Investments arising in connection with Permitted
                 Dispositions under Section 7.2.10; and

                          (f)  other Investments in an aggregate amount not to
                 exceed at any time $40,000,000;

                          (g) Investments in the Other Transactions not to
                 exceed $125,000,000; and

                          (h)  Investments by EPIC and its Subsidiaries 
                 existing on the Amendment No. 2 Effective Date;

                          (i)  Investments in EPIC and its Subsidiaries;

                 provided, however, that

                 (i) no Investment otherwise permitted by clause (d), (e), or
                 (f) shall be permitted to be made if, immediately before or
                 after giving effect thereto, any Default of the type described
                 in clauses (a) through (d) of Section 8.1.9 subject to the
                 proviso set forth therein or any Event of Default shall have
                 occurred and be continuing;

                 (ii)  no Investments otherwise permitted by clause (d), (e) or
                 (f) which have not been committed to by the Borrower or any of
                 its Subsidiaries prior to any occurrence thereof shall be
                 permitted if, immediately before or after giving effect
                 thereto, any Material Adverse Effect shall have occurred;

                 (iii) no Investment permitted by this Section may be made in
                 any joint venture if, as of the date such Investment is made,
                 incurred or assumed, all joint venture Investments permitted
                 by this Section shall hold assets of the Borrower or any of
                 its Subsidiaries, or any assets contributed by the Borrower or
                 any of its Subsidiaries which are greater (in Dollar amount,
                 in the case of the following clause (x) and number, in the
                 case of the following clause (y)) than the lesser of



                                      -23-

   32





                 (x) 35% of the value of the consolidated assets of the
                 Borrower and its Subsidiaries at such time and (y) 30% (by
                 number) of all hospitals constituting Facilities at such time;
                 provided, further, that the Borrower will not, and will not
                 permit any of its Subsidiaries to, make, incur, assume or
                 suffer to exist any Investments in Minority Ventures if
                 Minority Ventures, in the aggregate, would hold at such time
                 more than six hospitals which were previously Facilities or if
                 the aggregate amount of assets contributed, which assets shall
                 be valued at book value at the time such contribution is made,
                 net of returns of principal or equity thereon received by the
                 Borrower or any of its Subsidiaries after such contribution is
                 made and loans made available by the Borrower or any of its
                 Subsidiaries to Minority Ventures at such time exceeds
                 $350,000,000;

                 (iv) any Investments permitted under this proviso shall be
                 reduced by any Investments made pursuant to clause (a) above;
                 and

                 (v) Investments in EPIC and its Subsidiaries shall be limited
                 to (A) cash only Investments in EPIC and its Subsidiaries on
                 the Amendment No. 2 Effective Date to pay for the merger
                 consideration in respect of common stock of EPIC in the EPIC
                 Transaction not to exceed in the aggregate $290,000,000 and
                 (B) additional cash only Investments constituting intercompany
                 Indebtedness made in EPIC and its Subsidiaries not to exceed
                 in the aggregate $250,000,000."

                 (h)  Sections 7.2.7 and 7.2.8 are hereby amended in their
         entirety to read as set forth below:

                          SECTION 7.2.7 [Intentionally Omitted.]

                          SECTION 7.2.8 [Intentionally Omitted.]

                 (i)  Section 7.2.9 of the Existing Credit Agreement is hereby
         amended by adding the following new last paragraph to the end thereof
         to read as set forth below:

                 "Notwithstanding the foregoing, no Subsidiary of EPIC existing
                 on the Amendment No. 2 Effective Date ("Existing EPIC
                 Subsidiary") may liquidate or dissolve, consolidate with, or
                 merge into or with, or purchase or otherwise acquire all or
                 substantially all of the assets of any Subsidiary of the
                 Borrower which was a Subsidiary of the Borrower prior to the
                 Amendment No.2 Effective Date ("Prior Subsidiary"), except
                 that an


                                     -24-


   33





                 Existing EPIC Subsidiary (other than EPIC Healthcare Group,
                 Inc. and EPIC Properties, Inc. and, after the Amendment No. 2
                 Effective Date, EPIC) may merge into any Prior Subsidiary so
                 long as the Prior Subsidiary is the surviving corporation of
                 any such merger."

                 (j)  Section 7.2.11 of the Existing Credit Agreement is hereby
         amended in its entirety to read as set forth below:

                          "SECTION 7.2.11.  Modification of Certain Agreements.
                 After the Amendment No. 2 Effective Date, the Borrower will
                 not consent and will not permit any Subsidiary to consent to
                 any amendment, supplement or other modification of any of the
                 terms or provisions contained in, or applicable to,

                          (a)  the Subordinated Debt or Continuing EPIC Debt,
                 if the effect of such amendment or change is to increase the
                 interest rate on such Indebtedness, change (to earlier dates)
                 the date upon which payments of principal or interest are due
                 thereon, change the subordination provisions thereof (or of
                 any guaranty thereof) (if any) or if the effect of such
                 amendment or change, together with all amendments or changes
                 made, is to increase materially the obligations of the obligor
                 or confer additional rights on the holder of such Indebtedness
                 which would be adverse to the Borrower or the Lenders; or

                          (b)  the Consent and Tender Document, unless,
                 simultaneously therewith, the Borrower shall have paid all
                 Obligations in full and terminated all Commitments
                 hereunder.".

                 (k)  Section 7.2.13 of the Existing Credit Agreement is hereby
         amended by adding the following phrase at the end of the parenthetical
         appearing therein "or as contained in any indenture or other document
         relating to Indebtedness of EPIC or its Subsidiaries existing on the
         Amendment No. 2 Effective Date".

         SECTION 2.1.7.  Amendments to Article VIII of the Existing Credit
Agreement.  Article VIII of the Existing Credit Agreement is hereby amended as
set forth below:

                 (a) The proviso appearing at the end of Section 8.1.9 of the
         Existing Credit Agreement is hereby amended in its entirety to read as
         set forth below:

                 "provided, however, that, with respect to any Subsidiary of
                  the Borrower and subject to Section 8.4,




                                     -25-
   34





                 an "Event of Default" shall not occur under this Section 8.1.9
                 until such time as such a Subsidiary or Subsidiaries of the
                 Borrower accounting for more than 5.0% of the consolidated net
                 revenues or more than 5.0% of the consolidated assets of the
                 Borrower (as calculated as of the Amendment No. 2 Effective
                 Date until August 31, 1994 and thereafter for the Borrower's
                 most recent Fiscal Year end) is or are the subject of one or
                 more of the events described in this Section 8.1.9."

                 (b)  Section 8.1.11 of the Existing Credit Agreement is hereby
         amended in its entirety to read as follows:

                          "SECTION 8.1.11.  Subsidiary Guaranty.  (i) Without
                 duplication of the terms of Section 8.1.12, the guaranty given
                 by any Subsidiary of the Borrower under the Subsidiary
                 Guaranty shall for any reason other than the satisfaction in
                 full of all Obligations and termination of this Agreement or
                 the release of such Subsidiary from its Obligations under the
                 Subsidiary Guaranty in accordance with the terms thereof,
                 cease to be in full force and effect at any time or is
                 declared to be null and void or (ii) any such Subsidiary
                 denies that it has any further liability under the Subsidiary
                 Guaranty, or gives notice to such effect, and such denial or
                 notice is not revoked within one Business Day after the
                 earlier of (A) receipt by the Borrower of notice from the
                 Administrative Agent or any Lender of such denial or notice
                 being made or given, as the case may be or (B) the Borrower
                 becomes aware of such denial or notice being made or given, as
                 the case may be; provided, however, that, subject to Section
                 8.4, an "Event of Default" shall not occur under this Section
                 8.1.11 until such time as a Subsidiary or Subsidiaries of the
                 Borrower accounting for more than 5.0% of the consolidated net
                 revenues or more than 5.0% of the consolidated assets of the
                 Borrower (as calculated as of the Amendment No. 2 Effective
                 Date until August 31, 1994 and thereafter for the Borrower's
                 most recent Fiscal Year end) is or are the subject of one or
                 more of the events described in this Section 8.1.11; provided
                 further, however, that in making such determination EPIC and
                 its Subsidiaries shall be excluded from such calculation."

                 (c)  Section 8.1.12 of the Existing Credit Agreement is hereby
         amended in its entirety to read as follows:

                      SECTION 8.1.12.  Impairment of Security, etc.  Any Loan 
                 Document shall (except in accordance with its
    


                                     -26-

   35





                 terms), in whole or in part, terminate, cease to be effective
                 or cease to be the legally valid, binding and enforceable
                 obligation of any Obligor party thereto or any Lien granted
                 under any Loan Document on any substantial portion of the
                 collateral shall, in whole or in part, terminate, cease to be
                 effective or cease to be the legally valid, binding and
                 enforceable Obligation of any Obligor party thereto; the
                 Borrower or any other Obligor shall, directly or indirectly,
                 contest in any manner such effectiveness, validity, binding
                 nature or enforceability; or any Lien securing any Obligation
                 shall, in whole or in part, cease to be a perfected prior to
                 all other Liens (other than as a result of actions of the
                 Collateral Agent or any Lender); provided, however, that,
                 subject to Section 8.4, an "Event of Default" shall not occur
                 under this Section 8.1.12 with respect to any of the foregoing
                 relating to any Collateral Document to which a Subsidiary of
                 the Borrower is a party or any Pledged Subsidiary Debt until
                 such time as the Collateral Documents or Pledged Subsidiary
                 Debt of a Subsidiary or Subsidiaries of the Borrower
                 accounting for more than 5.0% of the consolidated net revenues
                 or more than 5.0% of the consolidated assets of the Borrower
                 (as calculated as of the Amendment No. 2 Effective Date until
                 August 31, 1994 and thereafter for the Borrower's most recent
                 Fiscal Year end) is or are the subject of one or more of the
                 events described in this Section 8.1.12; provided further,
                 however, that in making such determination EPIC and its
                 Subsidiaries shall be excluded from such calculation."


                                  ARTICLE III

                          CONDITIONS TO EFFECTIVENESS

         SECTION 3.1. Amendment No. 2 Effective Date.  This Amendatory
Agreement shall become effective as of the date upon which (the "Amendment No.
2 Effective Date ") all the conditions set forth in this Section 3.1 shall have
been satisfied (on or prior to such date) and, thereafter, this Amendatory
Agreement shall be known, and may be referred to, as "Amendment No. 2".

         SECTION 3.1.1.  Execution of Counterparts.  The Administrative Agent
shall have received counterparts of this Amendatory Agreement duly executed by
the Borrower and Scotiabank.  The delivery of an executed counterpart hereof by
the Borrower shall constitute a representation and warranty by the Borrower
that, on the date of such delivery and on Amendment No. 2 Effective Date, after
giving effect to Amendment No. 2, all


                                     -27-


   36





statements set forth in Section 5.2.1 of the Credit Agreement, as amended by
Amendment No. 2, are true and correct as of each such date.

         SECTION 3.1.2.  Delivery of Note.  The Administrative Agent shall have
received a promissory note payable to Scotiabank evidencing the Revolving Loans
made by Scotiabank from time to time to the Borrower pursuant to Amendment No.
2, dated the Amendment No. 2 Effective Date, duly executed and delivered by the
Borrower, in the form of Annex I hereto.

         SECTION 3.1.3.  1994 Credit Agreement.  The Administrative Agent shall
have received counterparts of the 1994 Credit Agreement, duly executed by the
Borrower, the Lenders, the Co-Agents and the Administrative Agent (as each such
term is defined in the 1994 Credit Agreement), together with counterparts of
the Pledge Agreements and the Subsidiary Guaranty (as defined in and delivered
pursuant to the 1994 Credit Agreement), duly executed by each Obligor (as
defined in the 1994 Credit Agreement) party thereto (other than EPIC and its
Subsidiaries).  The Administrative Agent shall have received (i) shares of
stock pledged to the Collateral Agent pursuant to the Pledge Agreements (except
with respect to the shares of stock of EPIC and its Subsidiaries), (ii) the
Subsidiary Notes and other Indebtedness of the Borrower's Subsidiaries
evidenced by promissory notes and pledged to the Collateral Agent pursuant to
the Note Pledge Agreement (including the promissory notes of EPIC's
subsidiaries payable to the Borrower, but excluding the promissory notes of
EPIC's Subsidiaries not so payable) and (iii) evidence reasonably satisfactory
to the Collateral Agent that all filings, recordings and other actions which
the Collateral Agent shall reasonably deem necessary or advisable to establish,
preserve and perfect the Liens granted to the Lenders pursuant to the
Collateral Documents have been made or taken.

         SECTION 3.1.4.  Termination of EPIC Credit Agreement.  On or prior to
the Amendment No. 2 Effective Date, the Borrower shall have taken and shall
have caused EPIC to have taken all necessary actions such that on or prior to
the Amendment No. 2 Effective Date (i) the commitments under the EPIC Credit
Agreement shall have been terminated, (ii) all outstanding obligations
thereunder, including, without limitation, any principal, interest, fees,
commissions and other amounts accrued and unpaid thereunder shall be discharged
and (iii) no lender thereunder or other party thereto shall have any effective
Lien over the collateral or any other property of the Borrower or any of its
Subsidiaries.


                                     -28-


   37





         SECTION 3.1.5.  Transaction Consummated.

                 (a)  EPIC Merger Agreement and Related Documents.  The
         Administrative Agent shall have received (with copies for each Lender)
         a fully executed copy of the EPIC Merger Agreement, and all other
         certificates, filings, documents, consents, approvals, board of
         directors resolutions and opinions furnished pursuant to or in
         connection with the consummation of the EPIC Transaction each of which
         shall be in form and substance satisfactory to the Administrative
         Agent and the majority Co-Agents.  No amendment, waiver or other
         modification of, or other forbearance to exercise any rights with
         respect to, any of the terms or provisions relating to the conditions
         to the consummation of the EPIC Merger in the EPIC Merger Agreement
         that could reasonably be expected to have a material adverse effect on
         the financial condition, operations, assets, business or properties of
         the Borrower or the Borrower and its Subsidiaries, taken as a whole,
         shall have been made or consented to by the Borrower (unless otherwise
         agreed to by the Lenders).

                 (b)  Consummation of EPIC Merger; Delivery of Certificate of
         EPIC Merger.  The EPIC Merger shall have been consummated in
         accordance with the EPIC Merger Agreement.  The Certificate of Merger,
         in recordable form, shall have been executed by the parties thereto,
         and the Administrative Agent shall have received evidence satisfactory
         to it that counterparts thereof have been presented for filing with
         the Secretary of State of the State of Delaware.  The Administrative
         Agent shall have received a copy of the Certificate of Merger, duly
         executed and delivered by each party thereto.

                 (c)  Senior ESOP Notes.  The Administrative Agent shall have
         received a true and correct copy of each irrevocable notice of
         redemption delivered to the trustee of the Senior ESOP Notes which
         redemption shall have been arranged on terms and conditions
         satisfactory to the Lenders.

                 (d)  No Default under Continuing EPIC Debt.  No Event of
         Default (as defined in any indenture relating to the Continuing EPIC
         Debt) shall have occurred or be created as a result of the
         Transaction.

         SECTION 3.1.6.  Funds Available for the Transaction.  On or prior to
the Amendment No. 2 Effective Date, the cash proceeds of the Public Offering
shall have been applied to the EPIC Merger and the Borrower Effective Date Cash
on Hand shall have been applied to the payment of the cash consideration of the
Transaction.  The amount of such funds not so applied on the Amendment No. 2
Effective Date, together with the amount of



                                     -29-

   38





Commitments shall be sufficient to pay in full all remaining cash consideration
for the Transaction.

         SECTION 3.1.7.  Public Offering.  The Administrative Agent shall have
received copies of all documents, agreements and instruments related to the
Public Offering and the other transactions contemplated in connection therewith
(including the Borrower's Registration Statement on Form S-3 filed with the
Securities and Exchange Commission), all of which shall be in form and
substance reasonably satisfactory to the Administrative Agent.  Upon completion
of the Public Offering, the Borrower shall have received gross cash proceeds
from the Public Offering in an amount at least equal to $140,000,000.

         SECTION 3.1.8.  Issuance of the Subordinated Notes.  The Borrower
shall have duly authorized, executed and delivered the Subordinated Note
Indenture, the Subordinated Notes and all other certificates, documents and
agreements entered into in connection therewith, and the Administrative Agent
shall have received, with counterpart copies for each Lender, true and correct
copies of the Subordinated Notes and all other certificates, documents,
agreements, consents and opinions furnished pursuant to or in connection
therewith, the terms and conditions of which shall be reasonably satisfactory
to the Administrative Agent. The Borrower shall have received gross cash
proceeds from the issuance of the Subordinated Notes in an amount at least
equal to $200,000,000.

         SECTION 3.1.9.  Master Assignment Agreement.  The Administrative Agent
shall have received counterparts of the Master Assignment Agreement duly
executed by the Borrower and each Lender (other than Scotiabank).

         SECTION 3.1.10.  No Material Adverse Change.  Except as disclosed in
writing to the Lenders prior to the Amendment No. 2 Effective Date, (i) since
August 31, 1993, with respect to the Borrower or any of its existing
Subsidiaries, taken as a whole or (ii) since September 30, 1993, with respect
to EPIC or any of its Subsidiaries, taken as a whole, no event has occurred
which or would cause a Material Adverse Effect.

         SECTION 3.1.11.  Amendment Fee Letter.  The Administrative Agent shall
have received counterparts of the Amendment Fee Letter, duly executed by the
Borrower.

         SECTION 3.1.12.  Opinions of Counsel.  The Administrative Agent shall
have received opinions, dated the Amendment No. 2 Effective Date, in form and
substance satisfactory to the Administrative Agent, from

                 (a)  Dewey Ballantine, counsel to the Borrower; and



                                     -30-

   39





                 (b)  Philip D. Wheeler, Esq., General Counsel to the Borrower.

         SECTION 3.1.13.  Legal Details, etc.  All documents executed or
submitted pursuant hereto shall be satisfactory in form and substance to the
Administrative Agent and its counsel and shall include certified copies of
board resolutions of the Borrower and its Subsidiaries authorizing the
transactions contemplated hereby and certificates of incumbency for those
officers of such Persons authorized to execute and deliver all agreements and
instruments contemplated hereby or relating hereto.  The Administrative Agent
shall have received all information, and such counterpart originals or such
certified or other copies of such other materials, as the Administrative Agent
or its counsel may reasonably request, and all legal matters incident to the
transactions contemplated by this Amendment shall be satisfactory to the
Administrative Agent and its counsel.  In addition, the Administrative Agent
shall have received such other agreements and documents as it may from time to
time request.

         SECTION 3.1.14.  Payment of Fees and Expenses.  The Borrower shall
have paid in full all reasonable fees and expenses of the Scotiabank, or its
counsel or consultants incurred in respect of the negotiation, preparation and
review of the documentation relating to the transactions contemplated by this
Amendment No. 2 invoiced on or prior thereto.


                                  ARTICLE IV

                                 MISCELLANEOUS

         SECTION 4.1. Cross-References.  References in this Amendatory
Agreement to any Article or Section are, unless otherwise specified or
otherwise required by the context, to such Article or Section of this
Amendatory Agreement.

         SECTION 4.2. Loan Document Pursuant to Credit Agreement; Limited
Waiver.  This Amendatory Agreement is a Loan Document executed pursuant to the
Credit Agreement and shall (unless otherwise expressly indicated therein) be
construed, administered, and applied in accordance with all of the terms and
provisions of the Credit Agreement.  Except as expressly amended or waived
hereby, all of the representations, warranties, terms, covenants and conditions
of the Credit Agreement shall remain unamended and unwaived.  The amendments,
waivers and other terms set forth herein shall be limited precisely as provided
for herein and shall not be deemed to be a waiver of, amendment of, consent to,
or modification of, any other term or provision of the Credit Agreement or of
any term or provision of any other Collateral Document or Loan Document or of
any transaction or


                                     -31-


   40





further or future action on the part of the Borrower which would require the
consent of any of Scotiabank under the Credit Agreement.

         SECTION 4.3. Successors and Assigns.  This Amendatory Agreement shall
be binding upon and inure to the benefit of the parties hereto and their
respective successors and assigns.

         SECTION 4.4. Counterparts.  This Amendatory Agreement may be executed
by the parties hereto in several counterparts and be deemed to be an original
and all of which shall constitute together but one and the same agreement.


                                     -32-


   41





         IN WITNESS WHEREOF, the parties hereto have caused this Amendment
No. 2 to be executed and delivered by their authorized agents of
representatives as of the date first above written.


                                        HEALTHTRUST, INC. - THE HOSPITAL COMPANY



                                        By:
                                           ----------------------------- 
                                           Title:




                                        THE BANK OF NOVA SCOTIA, as
                                        Administrative Agent, Co-Agent and 
                                        Lender


             
                                        By:
                                           ----------------------------- 
                                           Title:


                                     -33-


   42





                                                                         ANNEX I

                                     NOTE

$310,000,000                                                         May 5, 1994


FOR VALUE RECEIVED, the undersigned, HEALTHTRUST INC. - THE HOSPITAL COMPANY,
a Delaware corporation (the "Borrower"), promises to pay to the order of THE
BANK OF NOVA SCOTIA ("Scotiabank") on or before the Stated Maturity Date (as
defined in the Credit Agreement) the principal sum of THREE HUNDRED TEN MILLION
DOLLARS ($310,000,000) or, if less, the aggregate unpaid principal amount of all
Loans shown on the schedule attached hereto (and any continuation thereof) made
by the Lender pursuant to that certain Credit Agreement, dated as of September
29, 1992 (as heretofore or hereafter amended, supplemented, amended and restated
or otherwise modified from time to time, the "Credit Agreement"), among the
Borrower the various financial institutions parties thereto (collectively, the
"Lenders"), Scotiabank and ABN-AMRO Bank, N.V., Bank of America National Trust
and Savings Association, The Chase Manhattan Bank, N.A., Citibank, N.A.,
Continental Bank N.A., Deutsche Bank AG, LTCB Trust Company, Swiss Bank
Corporation and The Toronto-Dominion Bank, as co-agents (the "Co-Agents") for
the Lenders and Scotiabank, as administrative agent (the "Administrative Agent")
for the Co-Agents and the Lenders.

The Borrower also promises to pay interest on the unpaid principal
amount hereof from time to time outstanding from the date hereof until maturity
(whether by acceleration or otherwise) and, after maturity, until paid, at the
rates per annum and on the dates specified in the Credit Agreement.

Payments of both principal and interest are to be made in lawful money
of the United States of America in same day or immediately available funds to
the account designated by the Lender pursuant to the Credit Agreement.

This Note is the Note referred to in, and evidences Indebtedness
incurred under, the Credit Agreement, to which reference is made for a
description of the security for this Note and for a statement of the terms and
conditions on which the Borrower is permitted and required to make prepayments
and repayments of principal of the Indebtedness evidenced by this Note and on
which such Indebtedness may be declared to be immediately due and payable. 
Unless otherwise defined, terms used herein have the meanings provided in the
Credit Agreement.





                                      -1-
   43





        All parties hereto, whether as makers, endorsers, or otherwise,
severally waive presentment for payment, demand, protest and notice of dishonor.

        THIS NOTE HAS BEEN DELIVERED IN NEW YORK, NEW YORK AND SHALL BE DEEMED
TO BE A CONTRACT MADE UNDER AND GOVERNED BY THE INTERNAL LAWS OF THE STATE OF
NEW YORK.

                                        HEALTHTRUST, INC. - THE HOSPITAL COMPANY



                                        By:
                                           -----------------------------------
                                           Title:





   44





                                     LOANS AND PRINCIPAL PAYMENTS




                                            Amount of Principal       Unpaid Principal
              Amount of Loan Made                         Repaid                    Balance     
                                      Interest
                                                                                                
             Base            LIBO    Period (if     Base             LIBO    Base           LIBO              Notation
      Date   Rate            Rate    applicable)    Rate             Rate    Rate           Rate     Total    Made By








                                         -3-