Document:

<PAGE>   1
                                                                    EXHIBIT 10.4

                    -----------------------------------------

                              AMENDED AND RESTATED

                                PLEDGE AGREEMENT

                           Dated as of August 14, 2001

                                      among

                                LENDINGTREE, INC.

                                       and

                                DOUGLAS R. LEBDA

                    -----------------------------------------

<PAGE>   2

                              AMENDED AND RESTATED
                                PLEDGE AGREEMENT

           This AMENDED AND RESTATED PLEDGE AGREEMENT (this "Agreement") is made
as of this 14 day of August, 2001, among Douglas R. Lebda, a natural person
residing in the State of North Carolina ( the "Pledgor"), and LendingTree, Inc.,
a Delaware corporation (the "Company").

                              W I T N E S S E T H :
                              - - - - - - - - - -

         WHEREAS, the Pledgor desires that the Company make certain loans in an
aggregate principal amount of $2,664,000 (the "Loans") to Mr. Lebda;

         WHEREAS, it is a condition precedent to the Company making such Loans
to Mr. Lebda that Mr. Lebda execute and deliver to the Company a promissory note
dated August 14, 2001, (the promissory note attached hereto as Exhibit A, the
"Note") in favor of the Company as evidence of Mr. Lebda's obligation to repay
the Loans;

         WHEREAS, it is a condition to the Company making such loans to Mr.
Lebda that the Pledgor execute and deliver to the Company this Agreement; and

         WHEREAS, the Pledgor wishes to grant pledges, assignments and security
interests in favor of the Company as herein provided;

         NOW, THEREFORE, in consideration of the premises contained herein 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. Terms not otherwise defined herein have, as used herein,
the respective meanings provided for in the Note. The following additional
terms, as used herein, have the following respective meanings:

         "Collateral" has the meaning assigned to such term in Section 3(A).

                                       2
<PAGE>   3

         "Company Stock" means the common stock and preferred stock of the
Company, par value $0.01 per share listed on Schedule I hereto.

         "Current Value" has the meaning assigned to such term in the Note.

         "Loans" has the meaning assigned to such term in the recitals hereof.

         "Minimum Collateral Value" has the meaning assigned to such term in the
Note.

         "Pledged Stock" means the Company Stock and any other capital stock
required to be pledged to the Company pursuant to Section 3(B).

         "Secured Obligations" means (i) all principal of and interest
(including, without limitation, fees, expenses or otherwise and any interest
which accrues after the commencement of any case, proceeding or other action
relating to the bankruptcy, insolvency or reorganization of the Pledgor) on the
Loans as evidenced by the Note and (ii) any amendments, restatements, renewals,
extensions or modifications of any of the foregoing.

         "Security Interests" means the security interests in the Collateral
granted hereunder securing the Secured Obligations.

         "Surplus" has the meaning assigned to such term in Section 9.

          Unless otherwise defined herein, or unless the context otherwise
requires, all terms used herein which are defined in the New York Uniform
Commercial Code as in effect on the date hereof shall have the meanings therein
stated.

SECTION 2. Representations and Warranties.

          The Pledgor represents and warrants as follows:

         (A) Title to Pledged Securities. The Pledgor owns all of the Pledged
Stock, free and clear of any Liens other than the Security Interests. All of the
Pledged Stock has been duly authorized and validly issued, and is fully paid and
non-assessable, and is subject to no options to purchase or similar rights of
any person. The Pledgor is not and will not become a party to or otherwise bound
by any agreement, other than this Agreement, which restricts in any manner the
rights of any present or future holder of any of the Pledged Stock with respect
thereto.

                                       3
<PAGE>   4

         (B) Validity, Perfection and Priority of Security Interests. Upon the
delivery of the certificates representing the Pledged Stock to the Company in
accordance with Section 4 hereof, the Company will have valid and perfected
security interests in the Collateral subject to no prior lien. No registration,
recordation or filing with any governmental body, agency or official is required
in connection with the execution or delivery of this Agreement or necessary for
the validity or enforceability hereof or for the perfection or enforcement of
the Security Interests. The Pledgor has not performed or will not perform any
acts which might prevent the Company from enforcing any of the terms and
conditions of this Agreement or which would limit the Company in any such
enforcement.

         (C) UCC Filing Locations. The primary residence and principal place of
business, respectively, of Pledgor are located at the following addresses:

                           12110 James Jack Lane
                           Charlotte, NC 28277

                           and

                           11115 Rushmore Drive
                           Charlotte, NC 28277

SECTION 3.  The Security Interests.

         In order to secure the full and punctual payment of the Secured
Obligations in accordance with the terms thereof, and to secure the performance
of all the obligations of the Pledgor hereunder:

         (A) The Pledgor hereby assigns and pledges to the Company and grants to
the Company a security interest in the Pledged Stock, and all of his rights and
privileges with respect to the Pledged Stock (whether such rights are fully
vested or may become fully vested in the future), and all income and profits
thereon, and all dividends and other payments and distributions with respect
thereto, and all proceeds of the foregoing, in each case whether now owned or
hereafter existing or in which Pledgor now has or hereafter acquires an interest
(the "Collateral"). Contemporaneously with the execution and delivery hereof,
the Pledgor is delivering any certificates representing the Pledged Stock in
pledge hereunder. In addition, upon the request of the Pledgor, the Company will
re-issue any such certificates bearing a legend (in addition to any other
legends which may be required on such securities)

                                       4
<PAGE>   5

stating that transfer of such certificates is subject to the terms of this
Agreement in substantially the following form:

         "TRANSFER OF THE SECURITIES REPRESENTED BY THIS CERTIFICATE IS SUBJECT
         TO THE TERMS AND CONDITIONS OF THE AMENDED AND RESTATED PLEDGE
         AGREEMENT, DATED AUGUST 14, 2001, AMONG DOUGLAS R. LEBDA AND
         LENDINGTREE, INC."

         (B) In the event that the Company at any time, in connection with the
Pledged Stock, issues any additional or substitute shares of capital stock of
any class, including, but not limited to, issuing unrestricted shares to replace
restricted shares that have vested, the Pledgor will immediately pledge and
deposit with the Company certificates representing all such shares as additional
security for the Secured Obligations. All such shares constitute Pledged Stock
and are subject to all provisions of this Agreement.

         (C) The Security Interests are granted as security only and shall not
subject to, or transfer or in any way affect or modify, any obligation or
liability of the Pledgor with respect to any of the Collateral or any
transaction in connection therewith.

SECTION 4.  Delivery of Pledged Stock.

         All certificates representing Pledged Stock delivered to the Company by
the Pledgor pursuant hereto shall be in suitable form for transfer by delivery,
or shall be accompanied by duly executed instruments of transfer or assignment
in blank, with signatures appropriately guaranteed, and accompanied by any
required transfer tax stamps, all in form and substance satisfactory to the
Company.

SECTION 5.  Limited-Recourse Obligations.

         (A) The Company hereby agrees that, so long as the conditions set forth
in Section 5(B) are satisfied, the Company's sole recourse for satisfaction of
that portion of the Secured Obligations consisting of principal on the Loans
shall be to exercise its rights against the Collateral secured by this
Agreement. Notwithstanding the foregoing the Company shall have full recourse
for satisfaction of that portion of the Secured Obligations consisting solely of
interest due and payable under the Note.

                                       5
<PAGE>   6

         (B) Conditions for Non-Recourse Status. (i) The Pledgor (x) is not
terminated for Cause by the Company and (y) does not voluntarily terminate his
employment for other than Good Reason, as those terms are defined in the
Employment Agreement dated as of September 2, 1999, between the Company and the
Pledgor; and (ii) Pledgor has exhausted all other capital stock of the Company
directly or indirectly held by Pledgor, and all options or other rights to
acquire capital stock of the Company, in satisfaction of the Secured
Obligations.

SECTION 6.  Filing; Further Assurances.

         (A) The Pledgor agrees that it will, at its expense and in such manner
and form as the Company may require, execute, deliver, file and record any
financing statement, specific assignment or other paper and take any other
action that may be necessary in order to create, preserve, perfect or validate
any Security Interest or to enable the Company to exercise and enforce its
rights hereunder with respect to any of the Collateral. To the extent permitted
by applicable law, the Pledgor hereby authorizes the Company to execute and
file, in the name of the Pledgor or otherwise, Uniform Commercial Code financing
statements (which may be carbon, photographic, photostatic or other
reproductions of this Agreement or of a financing statement relating to this
Agreement) which the Company in its sole discretion may deem necessary to
further perfect the Security Interests.

         (B) The Pledgor agrees that Pledgor will not change (i) Pledgor's name
or (ii) the location of Pledgor's primary residence unless Pledgor shall have
given the Company not less than 30 days' prior notice thereof.

SECTION 7.  Right to Receive Distributions on Collateral.

                                       6
<PAGE>   7

         Prior to the occurrence of any Event of Default, the Pledgor shall be
entitled to receive all cash dividends, if any, on the Pledged Stock. Upon the
occurrence and during the continuance of an Event of Default, the Company shall
be entitled to retain all dividends and other payments and distributions made
upon or with respect to the Collateral and the Pledgor shall take all such
action as the Company may deem necessary or appropriate to give effect to such
right and all such dividends and other payments and distributions which are
received by the Pledgor shall be received in trust for the benefit of the
Company and shall, forthwith upon demand by the Company during the continuance
of an Event of Default, be paid over to the Company as Collateral in the same
form as received (with any necessary endorsement). After all Events of Default
that shall have occurred have been cured, the Company's right to retain
dividends, interest and other payments and distributions under this Section 7
shall cease and the Company shall pay over to the Pledgor any such Collateral
retained by the Company during the continuance of an Event of Default. Any
non-cash dividends and other payments or distributions shall be immediately
pledged to the Company hereunder.

SECTION 8.  General Authority.

         The Pledgor hereby irrevocably appoints the Company its true and lawful
attorney, with full power of substitution, in the name of the Pledgor, the
Company, or otherwise, for the sole use and benefit of the Company, but at the
expense of the Pledgor, to the extent permitted by law to exercise, at any time
and from time to time while an Event of Default has occurred and is continuing,
all or any of the following powers with respect to all or any of the Collateral:

                  (i) to demand, sue for, collect, receive and give acquittance
         for any and all monies due or to become due upon or by virtue thereof,

                  (ii) to settle, compromise, compound, prosecute or defend any
         action or proceeding with respect thereto,

                  (iii) to sell, transfer, assign or otherwise deal in or with
         the same or the proceeds or avails thereof, as fully and effectually as
         if the Company were the absolute owner thereof, and

                  (iv) to extend the time of payment of any or all thereof and
         to make any allowance and other adjustments with reference thereto;

                                       7
<PAGE>   8

provided that the Company shall give the Pledgor not less than ten days' prior
written notice of the time and place of any sale or other intended disposition
of any of the Collateral except any Collateral which is perishable or threatens
to decline speedily in value or is of a type customarily sold on a recognized
market. The Company and the Pledgor agree that such notice constitutes
"reasonable notification" within the meaning of Section 9-504(3) of the Uniform
Commercial Code.

SECTION 9.  Sale of Pledged Stock.

         If the Current Value of the Pledged Stock is less than the Minimum
Collateral Value, the Pledgor shall not sell, transfer or gift the Pledged Stock
without receiving prior written consent from the Company.

SECTION 10.  Remedies upon Event of Default.

                                       8
<PAGE>   9

         If any Event of Default shall have occurred and be continuing, the
Company may exercise all the rights of a secured party under the Uniform
Commercial Code (whether or not in effect in the jurisdiction where such rights
are exercised) and, in addition, the Company may, without being required to give
any notice, except as herein provided or as may be required by applicable law,
(i) apply the cash, if any, then held by it as Collateral as specified in
Section 13 and (ii) if there shall be no such cash or if such cash shall be
insufficient to pay all the Secured Obligations in full, sell the Collateral or
any part thereof at public or private sale or at any broker's board or on any
securities exchange, for cash, upon credit or for future delivery, and at such
price or prices as the Company may deem satisfactory. The Company may be the
purchaser of any or all of the Collateral so sold at any public sale (or, if the
Collateral is of a type customarily sold in a recognized market or is of a type
which is the subject of widely distributed standard price quotations, at any
private sale). The Company is authorized, in connection with any such sale, if
it deems it advisable so to do, (i) to restrict the prospective bidders on or
purchasers of any of the Pledged Stock to a limited number of sophisticated
investors who will represent and agree that they are purchasing for their own
account for investment and not with a view to the distribution or sale of any of
such Pledged Stock, (ii) to cause to be placed on certificates for any or all of
the Pledged Stock or on any other securities pledged hereunder a legend to the
effect that such security has not been registered under the Securities Act of
1933 and may not be disposed of in violation of the provision of said Act, and
(iii) to impose such other limitations or conditions in connection with any such
sale as the Company deems necessary or advisable in order to comply with said
Act or any other law. The Pledgor covenants and agrees that it will execute and
deliver such documents and take such other action as the Company deems necessary
or advisable in order that any such sale may be made in compliance with law.
Upon any such sale the Company shall have the right to deliver, assign and
transfer to the purchaser thereof the Collateral so sold. Each purchaser at any
such sale shall hold the Collateral so sold absolutely and free from any claim
or right of whatsoever kind, including any equity or right of redemption of the
Pledgor which may be waived, and the Pledgor, to the extent permitted by law,
hereby specifically waives all rights of redemption, stay or appraisal which it
has or may have under any law now existing or hereafter adopted. The notice (if
any) of such sale required by Section 9 shall (1) in case of a public sale,
state the time and place fixed for such sale, (2) in case of sale at a broker's
board or on a securities exchange, state the board or exchange at which such
sale is to be made and the day on which the Collateral, or the portion thereof
so being sold, will first be offered for sale at such board or exchange, and (3)
in the case of a private sale, state the day after which such sale may be
consummated. Any such public sale shall be held at such time or times within
ordinary business hours and at such place or places as the Company may fix in
the notice of such sale. At any such

                                       9
<PAGE>   10

sale the Collateral may be sold in one lot as an entirety or in separate
parcels, as the Company may determine. The Company shall not be obligated to
make any such sale pursuant to any such notice. The Company may, without notice
or publication, adjourn any public or private sale or cause the same to be
adjourned from time to time by announcement at the time and place fixed for the
sale, and such sale may be made at any time or place to which the same may be so
adjourned. In case of any sale of all or any part of the Collateral on credit or
for future delivery, the Collateral so sold may be retained by the Company until
the selling price is paid by the purchaser thereof, but the Company shall not
incur any liability in case of the failure of such purchaser to take up and pay
for the Collateral so sold and, in case of any such failure, such Collateral may
again be sold upon like notice. The Company, instead of exercising the power of
sale herein conferred upon it, may proceed by a suit or suits at law or in
equity to foreclose the Security Interests and sell the Collateral, or any
portion thereof, under a judgment or decree of a court or courts of competent
jurisdiction.

SECTION 11.  Expenses.

         The Pledgor agrees that it will forthwith upon demand pay to the
Company:

                  (i) the amount of any taxes which the Company may have been
         required to pay by reason of the Security Interests or to free any of
         the Collateral from any Lien thereon, and

                  (ii) the amount of any and all out-of-pocket expenses,
         including the fees and disbursements of counsel and of any other
         experts, which the Company may incur in connection with (w) the
         administration or enforcement of this Agreement, (x) the collection,
         sale or other disposition of any of the Collateral, (y) the exercise by
         the Company of any of the rights conferred upon it hereunder or (z) any
         Event of Default.

SECTION 12.  Limitation on Duty of Company in Respect of Collateral.

                                       10
<PAGE>   11

         Beyond the exercise of reasonable care in the custody thereof, the
Company shall have no duty as to any Collateral in its possession or control or
in the possession or control of any agent or bailee or any income thereon or as
to the preservation of rights against prior parties or any other rights
pertaining thereto. The Company shall be deemed to have exercised reasonable
care in the custody and preservation of the Collateral in its possession if the
Collateral is accorded treatment substantially equal to that which it accords
its own property, and shall not be liable or responsible for any loss or damage
to any of the Collateral, or for any diminution in the value thereof, by reason
of the act or omission of any agent or bailee selected by the Company in good
faith.

SECTION 13.  Application of Proceeds.

         Upon the occurrence and during the continuance of an Event of Default,
the proceeds of any sale of, or other realization upon, all or any part of the
Collateral and any cash held shall be applied by the Company in the following
order of priorities:

                  first, to payment of the expenses of such sale or other
         realization, including reasonable compensation to agents and counsel
         for the Company, and all expenses, liabilities and advances incurred or
         made by the Company in connection therewith, and any other unreimbursed
         expenses for which the Company is to be reimbursed pursuant to Section
         12 of the Note or Section 11 hereof;

                  second, to the ratable payment of accrued but unpaid interest
         on the Secured Obligations in accordance with the provisions of the
         Note;

                  third, to the ratable payment of unpaid principal of the
         Secured Obligations;

                  fourth, to the ratable payment of all other Secured
         Obligations, until all Secured Obligations shall have been paid in
         full; and

                  finally, to payment to the Pledgor or its successors or
         assigns, or as a court of competent jurisdiction may direct, of any
         surplus then remaining from such proceeds.

SECTION 14.  Appointment of Agents.

                                       11
<PAGE>   12

         At any time or times, in order to comply with any legal requirement in
any jurisdiction, the Company may appoint a bank or trust company or one or more
other persons, to act as agent or agents on behalf of the Company with such
power and authority as may be necessary for the effectual operation of the
provisions hereof and may be specified in the instrument of appointment (which
may, in the discretion of the Company, include provisions for the protection of
such agent or agents similar to the provisions of Section 14).

SECTION 15.  Termination of Security Interests; Release of Collateral.

         Upon the repayment in full of all Secured Obligations, the Security
Interests shall terminate and all rights to the Collateral shall revert to the
Pledgor. At any time and from time to time prior to such termination of the
Security Interests, the Company may release any of the Collateral in accordance
with its discretion. Upon any such termination of the Security Interests or
release of Collateral, the Company will, at the expense of the Pledgor, execute
and deliver to the Pledgor such documents as the Pledgor shall reasonably
request to evidence the termination of the Security Interests or the release of
such Collateral, as the case may be.

SECTION 16.  Notices.

         (A) All notices, communications and distributions hereunder shall be
given in accordance with Section 9 of the Note.

         (B) The Company agrees to use its reasonable efforts to provide written
notice to the Pledgor at least ten (10) business days before any amounts become
due under this Agreement or either Note. No failure by the Company to provide
such notice shall excuse or waive the performance by the Pledgor of the
Pledgor's obligations under this Agreement or the Note.

SECTION 17.  Waivers, Non-Exclusive Remedies.

         No failure on the part of the Company to exercise, and no delay in
exercising and no course of dealing with respect to, any right under this
Agreement shall operate as a waiver thereof; nor shall any single or partial
exercise by the Company of any right under the Note or this Agreement preclude
any other or further exercise thereof or the exercise of any other right. The
rights in this Agreement and the Note are cumulative and are not exclusive of
any other remedies provided by law.

SECTION 18.  Successors and Assigns.

                                       12
<PAGE>   13

         This Agreement is for the benefit of the Company and its successors and
assigns, and in the event of an assignment of all or any of the Secured
Obligations, the rights hereunder, to the extent applicable to the indebtedness
so assigned, may be transferred with such indebtedness. This Agreement cannot be
assigned by the Pledgor without the written consent of the Company and its
successors and assigns.

SECTION 19.  Changes in Writing.

         Neither this Agreement nor any provision hereof may be changed, waived,
discharged or terminated orally, but only in writing signed by the Pledgor and
the Company.

SECTION 20.  GOVERNING LAW.

         THIS AGREEMENT SHALL BE CONSTRUED IN ACCORDANCE WITH AND GOVERNED BY
THE LAWS OF THE STATE OF NEW YORK (WITHOUT REGARD TO PRINCIPLES OF CONFLICTS OF
LAW), EXCEPT AS OTHERWISE REQUIRED BY MANDATORY PROVISIONS OF LAW AND EXCEPT TO
THE EXTENT THAT REMEDIES PROVIDED BY THE LAWS OF ANY JURISDICTION OTHER THAN NEW
YORK ARE GOVERNED BY THE LAWS OF SUCH JURISDICTION.

SECTION 21.  WAIVER OF TRIAL BY JURY.

         TO THE EXTENT PERMITTED BY APPLICABLE LAW, THE PLEDGOR HEREBY
IRREVOCABLY WAIVES ALL RIGHT OF TRIAL BY JURY IN ANY ACTION, PROCEEDING OR
COUNTERCLAIM ARISING OUT OF OR IN CONNECTION WITH THIS AGREEMENT OR ANY MATTER
ARISING HEREUNDER.

SECTION 22.  Severability.

         If any provision hereof is invalid or unenforceable in any
jurisdiction, then, to the fullest extent permitted by law, (i) the other
provisions hereof shall remain in full force and effect in such jurisdiction and
shall be liberally construed in favor of the Company in order to carry out the
intentions of the parties hereto as nearly as may be possible; and (ii) the
invalidity or unenforceability of any provision hereof in any jurisdiction shall
not affect the validity or enforceability of such provision in any other
jurisdiction.

                                       13
<PAGE>   14

SECTION 23.  Counterparts.

         This Agreement may be signed in any number of counterparts, each of
which shall be an original, with the same effect as if the signatures thereto
and hereto were upon the same instrument.

                  [Remainder of page intentionally left blank]

                                       14
<PAGE>   15

         IN WITNESS WHEREOF, the parties hereto have caused this Pledge
Agreement to be duly executed and delivered as of the day and year first above
written.

                                                By /S/ Douglas R. Lebda
                                                   -----------------------
                                                   Name:  Douglas R. Lebda

                                                      LENDINGTREE, INC.

                                                 By _______________________
                                                    Name:
                                                    Title:

                                       15
<PAGE>   16

                       SCHEDULE I TO AMENDED AND RESTATED
                                PLEDGE AGREEMENT

Attached to and forming a part of that certain Amended and Restated Pledge
Agreement, dated as of August 14, 2001 made by Douglas R. Lebda to LendingTree,
Inc.

<TABLE>
<CAPTION>
                                                         Pledged  Shares

                                               Class of Stock     Certificate                                  Number of Shares
Pledgor                   Issuer               or Interest        Nos.                Par Value                     of Interest
-------                   ------               -----------        -----               ----------                    -----------
<S>                       <C>                  <C>                <C>                 <C>                      <C>

Douglas R. Lebda          LendingTree, Inc.    Common             BOOK001             $0.01                          146,387.00

Douglas R. Lebda          LendingTree, Inc.    Common             BOOK002             $0.01                           21,747.00

Douglas R. Lebda          LendingTree, Inc.    Common             LT000069            $0.01                          109,494.00

Douglas R. Lebda          LendingTree, Inc.    Common             Broker              $0.01                            3,800.00

Douglas R. Lebda & Tara   LendingTree, Inc.    Common             LT000070            $0.01                          589,280.00
G. Lebda, JT TEN WROS

Douglas R. Lebda          LendingTree, Inc.    Series A 8%        New Issue           $0.01                          200,000.00
                                               Convertible
                                               Preferred Stock
</TABLE>

                                       16
<PAGE>   17

                          EXHIBIT A TO PLEDGE AGREEMENT

                                 Promissory Note

                                  See Attached

                                       17<PAGE>   1

                                                                     EXHIBIT 4.1

                                    HCA INC.

                                       TO

                          BANK ONE TRUST COMPANY, N.A.,
                                     TRUSTEE

                             ----------------------

                          SECOND SUPPLEMENTAL INDENTURE

                                       TO

                  INDENTURE OF COLUMBIA HEALTHCARE CORPORATION

                            Dated as of July 1, 2001

                             ----------------------

Supplementing the Indenture, dated as of December 16, 1993, by and between
Columbia Healthcare Corporation and The First National Bank of Chicago, as
supplemented by the First Supplemental Indenture dated May 25, 2000, by and
between HCA - The Healthcare Company (successor-in-interest to Columbia
Healthcare Corporation) and Bank One Trust Company, N.A. (successor-in-interest
to The First National Bank of Chicago).

<PAGE>   2

         THIS SECOND SUPPLEMENTAL INDENTURE (the "Supplemental Indenture"),
dated as of July 1, 2001, by and among HCA Inc., a corporation duly organized
and existing under the laws of the State of Delaware ("HCA"), having its
principal offices at One Park Plaza, Nashville, Tennessee 37203, formerly known
as HCA - The Healthcare Company; and Bank One Trust Company, N.A., a national
banking association duly organized and existing under the laws of the United
States of America ("Bank One"), having its principal corporate trust offices in
the State of New York at 153 West 51st Street, New York, New York, 10019.

         WHEREAS, Columbia Healthcare Corporation, a Delaware corporation, duly
executed and delivered to The First National Bank of Chicago, as trustee
("Trustee"), that certain Indenture, dated as of December 16, 1993 (the
"Indenture"), as supplemented by that certain First Supplemental Indenture dated
as of May 25, 2000 by and between HCA (then known as HCA - The Healthcare
Company) and Bank One (successor in interest to the Trustee); and relating to
the issuance from time to time of debentures, notes, bonds and other evidences
of indebtedness (collectively, the "Debt Securities");

         WHEREAS, pursuant to the terms of that certain Certificate of Ownership
and Merger (the "Merger Certificate"), effective as of July 1, 2001, by and
between HCA (then known as HCA - The Healthcare Company) and its wholly-owned
subsidiary, HCA Inc., a Delaware corporation ("Merger Subsidiary"), Merger
Subsidiary was merged with and into HCA, for the sole purpose and with the sole
effect of changing HCA's name from HCA - The Healthcare Company to HCA Inc. (the
"Merger");

         WHEREAS, Section 901(1) of the Indenture requires HCA to execute and
deliver a supplemental indenture to the Trustee providing for, among other
matters, the assumption by HCA of the due and punctual payment of the principal
of (and premium, if any), and interest on all the Debt Securities, according to
their tenor, and the due and punctual performance and observance of all of the
covenants and conditions of the Indenture to be performed or observed by HCA;

         WHEREAS, pursuant to Section 1001(1) of the Indenture, this
Supplemental Indenture may be executed and delivered by the Trustee and HCA (the
continuing corporation) without the consent of the Holders (as defined in the
Indenture) of the Debt Securities;

         WHEREAS, the Board of Directors of HCA has authorized the execution of
this Supplemental Indenture and its delivery to the Trustee; and

         WHEREAS, all acts and things necessary to make this Supplemental
Indenture the valid, binding and legal obligation of HCA in accordance with its
terms have been done.

         NOW, THEREFORE, in consideration of the premises, it is mutually
covenanted and agreed for the equal and proportionate benefit of all Holders of
the Debt Securities as follows. Capitalized terms used but not defined herein
shall have the meanings ascribed to such terms in the Indenture.

<PAGE>   3

                                   ARTICLE I.

                  ASSUMPTION OF HCA - THE HEALTHCARE COMPANY'S
                             OBLIGATIONS BY HCA INC.

         Section 1.1 HCA, a corporation duly organized and validly existing
under the laws of the State of Delaware, hereby expressly assumes the due and
punctual payment of the principal of (and premium, if any) and interest on all
the Debt Securities, according to their tenor, and the due and punctual
performance and observance of all of the covenants and conditions of the
Indenture to be performed or observed by HCA and shall otherwise succeed and be
substituted for HCA in the Indenture and in the Debt Securities with the same
effect as if HCA had been named therein as HCA.

         Section 1.2 HCA hereby represents and warrants that, immediately after
giving effect to the Merger, no Event of Default, and no event which, after
notice or lapse of time, or both, would become an Event of Default, has occurred
or is continuing.

                                  ARTICLE II.

                                 MISCELLANEOUS

         Section 2.1 The Indenture shall be deemed to be modified and amended as
herein provided, but, except as modified and amended by this Supplemental
Indenture, the Indenture shall continue in full force and effect.

         Section 2.2 The Indenture, the First Supplemental Indenture and this
Supplemental Indenture shall be read, taken and construed as one and the same
instrument.

         Section 2.3 This Supplemental Indenture shall become effective at the
effective time of the Merger upon the execution and delivery hereof by each of
the parties hereto.

         Section 2.4 The Trustee makes no representations as to the validity or
sufficiency of this Supplemental Indenture, except the due and valid execution
hereof by the Trustee. The Trustee's execution of this Supplemental Indenture
should not be construed to be an approval or disapproval of the advisability of
the action taken by HCA (then known as HCA - The Healthcare Company) and Merger
Subsidiary with respect to the Merger.

         Section 2.5 This Supplemental Indenture shall be governed by and
construed in accordance with the laws of the State of New York.

         Section 2.6 This Supplemental Indenture may be executed in any number
of counterparts each of which shall be an original, but all of which together
shall be deemed to constitute one and the same instrument.

                                       2
<PAGE>   4

         IN WITNESS WHEREOF, the parties hereto have caused this Supplemental
Indenture to be duly executed, and their respective corporate seals to be
hereunto affixed and duly attested, all as of the day and year first above
written.

                                       HCA Inc.

                                       By: /s/ R. Milton Johnson
                                           ------------------------------------
                                           R. Milton Johnson
                                           Senior Vice President and Controller

(CORPORATE SEAL)

Attest

/s/ John M. Franck II
---------------------------------
By: John M. Franck II
Title: Vice President - Legal and Corporate Secretary

                                       Bank One Trust Company, N.A.,
                                       As Trustee

                                       By: /s/ Sandra Whalen
                                           ------------------------------------
                                       Name: Sandra Whalen
                                             ----------------------------------
                                       Title: Vice President
                                              ---------------------------------

(CORPORATE SEAL)

Attest

/s/ Mary R. Fonti
---------------------------------
By:  Mary R. Fonti
Title:  Vice President

                                       3
<PAGE>   5

STATE OF TENNESSEE                  )
                                    )
COUNTY OF DAVIDSON                  )

         Personally appeared before me, the undersigned, a Notary Public, R.
Milton Johnson, with whom I am personally acquainted, and who acknowledged that
he executed the within instrument for the purposes therein contained, and who
further acknowledged that he is the Senior Vice President and Controller of HCA
Inc., a Delaware corporation, and is authorized by the corporation to execute
this instrument on behalf of the corporation.

         WITNESS my hand, at office, this 1st day of July, 2001.

                                              /s/ Shirley E. Scharf
                                              ----------------------------------
                                              Notary Public

My Commission Expires: My Commission Expires NOV. 30, 2002
                       -----------------------------------

                                       4
<PAGE>   6

STATE OF NY    )
               )
COUNTY OF NY   )

         Personally appeared before me, the undersigned, a Notary Public, Sandra
Whalen, with whom I am personally acquainted, and who acknowledged that she
executed the within instrument for the purposes therein contained, and who
further acknowledged that she is the Vice President of Bank One Trust Company,
N.A., a national banking association, and is authorized by corporation to
execute this instrument on behalf of the corporation.

         WITNESS my hand, at office, this 1st day of July, 2001.

                                          /s/ Mark E. Davis
                                          --------------------------------------
                                          Notary Public

My Commission Expires:   3/23/02
                       -----------

                                                        MARK E. DAVIS
                                             Notary Public, State of New York
                                                   Reg. No. 01DA6004466
                                               Qualified in New York County
                                            Commission Expires March 23, 2002

                                       5

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00028-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00028-of-00352.parquet"}]]