AMENDED AND RESTATED

                        AIRCRAFT HOURLY RENTAL AGREEMENT



THIS AGREEMENT made as of the 28th day of March, 2003 (the "Agreement") by

and between Tomco II, LLC, a Tennessee Limited Liability Company ("Owner"), and

HCA Management Services, L.P., a Delaware Partnership ("Operator").



                                    RECITALS



1.      The parties entered into a certain Aircraft Hourly Rental Agreement,

        dated as of September 30, 2002, pursuant to which Owner agreed to rent

        to Operator from time-to-time the certain aircraft, as specifically

        identified therein.



2.      Owner has purchased a new aircraft of the same make and model and the

        parties wish to amend and restate the Agreement as provided herein.



                                    AGREEMENT



1.      Rental of the Aircraft



        Owner hereby agrees to rent to Operator from time-to-time a certain

        aircraft, as identified on Exhibit A, (the "Aircraft"), which is owned

        and registered at the FAA aircraft registry in the name of Owner. The

        parties understand that the Aircraft will be available to Operator for

        its operation and use hereunder for a series of rental periods that are

        estimated to not exceed 100 hours in the aggregate during any annual

        period during the Term. Owner retains the right to rent the aircraft to

        any other operator. The Aircraft is being rented by Operator for the

        purpose of transporting Operator's directors, officers, employees and

        guests or the directors, officers, employees and guests of Operator's

        subsidiaries in furtherance of its primary, non-transportation business.



2.      Term



        The term of this Agreement ("Term") shall commence on the date hereof,

        and shall continue for a period of ten (10) years, unless either party

        terminates this Agreement pursuant to Section 17 of this Agreement.



3.      Delivery of Aircraft



        The Aircraft shall be delivered to Operator at the location indicated on

        Exhibit A, or such other location upon which the parties may agree. Each

        date on which Owner delivers possession of the Aircraft to Operator is

        referred to in this Agreement as a "Delivery Date." Each rental period

        shall commence with delivery and conclude with return of the Aircraft to

        Owner. If requested by Owner, Operator shall execute a Delivery and

        Acceptance Certificate in the form attached to this Agreement each time

        Operator accepts delivery of the Aircraft.





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4.      Rental Period



        The "Rental Period" shall consist of time commencing with delivery of

        possession of the Aircraft to Operator until Operator returns the

        Aircraft to Owner. The Aircraft shall be available to Operator at all

        times other than when it is (a) previously scheduled by Owner or any

        other operator or (b) otherwise unavailable, such as due to maintenance.



5.      Rent



        Operator shall pay Owner the base rent as indicated on Exhibit A for use

        of the Aircraft. The sum of the base rent and all other charges,

        payments, and indemnities due to Owner by Operator hereunder are

        hereinafter referred to as "Aggregate Rentals." After each use of the

        Aircraft by Operator, Owner shall invoice Operator for rent based on the

        number of hours flown by Operator. Operator shall pay the invoiced

        amount within thirty (30) days after the invoice is sent. The hourly

        charges shall be calculated based on the time from takeoff to landing at

        destination of each leg of the trip as reflected on the Hobbs Meter.

        Operator shall maintain accurate Aircraft and engine logs for the

        Aircraft and make them available for examination by Owner. The base rate

        on Exhibit A will be agreed to annually by the parties on the

        anniversary of the execution date of this agreement. If no agreement is

        reached, the rate used in the previous year will continue until such

        time the parties agree to a change in that rate.



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



        a.      Furnishing of Information



                Operator shall furnish from time to time to Owner such

                information regarding Operator's use, operation, or maintenance

                of the Aircraft as Owner may reasonably request.



        b.      Lawful Use



                The Aircraft shall not be used, operated or stored by Operator

                in violation of any law or any rule, regulation, or order of any

                government or governmental authority having jurisdiction

                (domestic or foreign), or in violation of any airworthiness

                certificate, license, or registration relating to the Aircraft

                or its use, or in violation or breach of any representation or

                warranty made with respect to obtaining insurance on the

                Aircraft or any term or condition of such insurance policy.

                Aircraft operations shall be limited to operations allowed under

                Part 91 of Title 14 of the Code of Federal Regulations.



        c.      Aircraft Location



                The Aircraft shall not be operated or located by Operator in (i)

                any area excluded from coverage by the terms of insurance

                covering the Aircraft, or (ii) any







                                      -2-

{PAGE}



                recognized or threatened area of hostilities, unless fully

                covered to Owner's satisfaction by war risk insurance.



        d.      Base of the Aircraft



                The Aircraft shall be principally based as indicated on Exhibit

                A unless otherwise approved by Owner.



        e.      Aircraft Operation



                Operator will be in operational control of the Aircraft at all

                times during each Rental Period. During each Rental Period,

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