Document:

<PAGE>   1
                                                                   EXHIBIT 4.12

[UNLESS THIS SECURITY IS PRESENTED BY AN AUTHORIZED REPRESENTATIVE OF THE
DEPOSITORY TRUST COMPANY, A NEW YORK CORPORATION ("DTC"), TO THE CORPORATION
(AS DEFINED BELOW) OR ITS AGENT FOR REGISTRATION OF TRANSFER, EXCHANGE OR
PAYMENT, AND ANY SECURITY ISSUED IS REGISTERED IN THE NAME OF CEDE & CO., OR
SUCH OTHER NAME AS IS REQUESTED BY AN AUTHORIZED REPRESENTATIVE OF DTC (AND ANY
PAYMENT IS MADE TO CEDE & CO., OR TO SUCH OTHER ENTITY AS IS REQUESTED BY AN
AUTHORIZED REPRESENTATIVE OF DTC), ANY TRANSFER, PLEDGE OR OTHER USE HEREOF FOR
VALUE OR OTHERWISE BY OR TO ANY PERSON IS WRONGFUL INASMUCH AS THE REGISTERED
OWNER HEREOF, CEDE & CO., HAS AN INTEREST HEREIN.

         TRANSFERS OF THIS SECURITY SHALL BE LIMITED TO TRANSFERS IN WHOLE, BUT
NOT IN PART, TO NOMINEES OF DTC OR TO A SUCCESSOR THEREOF OR SUCH SUCCESSOR'S
NOMINEE AND TRANSFERS OF PORTIONS OF THIS SECURITY SHALL BE LIMITED TO
TRANSFERS MADE IN ACCORDANCE WITH THE RESTRICTIONS SET FORTH IN SECTION 2.9 OF
THE INDENTURE (AS DEFINED BELOW).]*

---------

* Include only on a Global Note.

<PAGE>   2

No.                                                            $
   ---------                                                    ---------------

                        MARTIN MARIETTA MATERIALS, INC.

                                     6.875%

                             Note Due April 1, 2011

                                                                CUSIP 573284AG1

MARTIN MARIETTA MATERIALS, INC., a North Carolina corporation, for value
received hereby promises to pay to Cede & Co., or registered assigns, the
principal sum of _______________________________________________
($________________) on April 1, 2011.

         Interest Payment Dates:            April 1 and October 1, commencing
                                            October 1, 2001

         Record Dates:                      March 15 and September 15

Additional Provisions of this Note are set forth on the following pages of this
Note.

Attest:           [SEAL]                    MARTIN MARIETTA MATERIALS, INC.

                                            By:
---------------------------------              --------------------------------
Secretary                                      Chief Executive Officer

Dated:

Authenticated:

This is one of the Securities of
the series designated herein and
referred to in the within-named
Indenture.

FIRST UNION NATIONAL BANK,
    as Trustee

By:
   ------------------------------
   Authorized Officer

                                       2
<PAGE>   3

                        MARTIN MARIETTA MATERIALS, INC.

                                     6.875%

                             NOTE DUE APRIL 1, 2011

         1.       Interest. Martin Marietta Materials, Inc., a North Carolina
corporation (the "Corporation"), promises to pay interest on the principal
amount of this Security at the rate per annum shown above. The Corporation will
pay interest semi-annually on April 1 and October 1 of each year, commencing on
October 1, 2001. Interest on the Securities will accrue from the most recent
date to which interest has been paid, or if no interest has been paid, from
March 30, 2001. Unless otherwise specified, interest will be computed on the
basis of a 360-day year of twelve 30-day months.

         2.       Method of Payment. Except as described above, the Corporation
will pay interest on the Securities of this series (except defaulted interest,
which shall be paid as set forth below) to the persons who are registered
holders of the Securities at the close of business on the record date for the
next interest payment date even though the Securities are cancelled after the
record date and on or before the interest payment date. Any such interest not
so punctually paid or duly provided for will forthwith cease to be payable to
the Holder on such regular record date and may either be paid to the Person in
whose name this Security (or one or more predecessor Securities) is registered
at the close of business on a special record date for the payment of such
defaulted interest to be fixed by the Trustee for the Securities, notice
whereof shall be given to the Holders of Securities not less than 15 days prior
to such special record date, or may be paid at any time in any other lawful
manner not inconsistent with the requirements of any securities exchange on
which this Security may be listed, and upon such notice as may be required by
such exchange, all as more fully provided in the Indenture. Holders must
surrender the Securities to a Paying Agent to collect principal payments. The
Corporation will pay principal and interest in the money of the United States
that at the time of payment is legal tender for payment of public and private
debts. However, the Corporation may pay principal and interest on Securities
(other than Global Securities) by its check payable in such money. It may mail
any such interest check to a holder's registered address. All payments of
principal and interest with respect to the Global Securities will be made by
the Corporation in immediately available funds. To the extent lawful, the
Corporation shall pay interest on overdue principal at the rate borne by the
Securities and it shall pay interest on overdue installments of interest at the
same rate.

         3.       Paying Agent and Registrar. Initially, First Union National
Bank ("Trustee"), Corporate Trust Division, 401 South Tryon Street, 12th Floor,
Charlotte, North Carolina 28288-1179, will act as Paying Agent and Registrar.
The Corporation may change any Paying Agent, Registrar or co-registrar without
notice. The Corporation or any of its Subsidiaries (as defined in the
Indenture) may act as Paying Agent, Registrar or co-registrar.

         4.       Indenture. The Corporation issued the Securities under an
Indenture dated as of December 7, 1998 ("Indenture"), between the Corporation
and the Trustee, as supplemented by the resolutions of the Corporation dated
March 27, 2001. The terms of the Securities include those stated in the
Indenture and those made part of the Indenture by reference to the Trust
Indenture Act of 1939 (15 U.S. Code ss.ss. 77aaa-77bbbb) ("Act"). The
Securities are subject to

                                       3
<PAGE>   4

all such terms, and holders are referred to the Indenture, all applicable
supplemental indentures and the Act for a statement of those terms. As provided
in the Indenture, the Securities may be issued in one or more series, which
different series may be issued in various aggregate principal amounts, may
mature at different times, may bear interest, if any, at different rates, may
be subject to different redemption provisions, if any, may be subject to
different sinking purchase or analogous funds, if any, may be subject to
different covenants and Events of Default and may otherwise vary as in the
Indenture provided or permitted. This Security is one of a series of the
Securities designated on the face hereof, limited in aggregate principal amount
of $250,000,000 (except as otherwise provided in the Indenture).

         5.       Redemption. The Securities of this series will be redeemable
at the option of the Corporation, in whole at any time or in part from time to
time, on at least 30 days but not more than 60 days prior written notice mailed
to the registered holders thereof, at a redemption price equal to the greater
of (i) 100% of the principal amount of the Securities of this series to be
redeemed or (ii) the sum, as determined by the Quotation Agent (as defined
herein), of the present values of the principal amount of the Securities to be
redeemed and the remaining scheduled payments of interest thereon from the
redemption date to the maturity date of the Securities to be redeemed,
exclusive of interest accrued to the redemption date (the "Remaining Life"),
discounted from their respective scheduled payment dates to the redemption date
on a semiannual basis (assuming a 360-day year consisting of 30-day months) at
the Treasury Rate (as defined herein) plus 25 basis points plus accrued and
unpaid interest on the principal amount being redeemed to the date of
redemption.

         If money sufficient to pay the redemption price of and accrued
interest on all the Securities (or portions thereof) to be redeemed on the
redemption date is deposited with the Trustee or paying agent on or before the
redemption date and certain other conditions are satisfied, then on and after
such redemption date, interest will cease to accrue on such Securities (or such
portion thereof) called for redemption.

         "Comparable Treasury Issue" means the United States Treasury security
selected by the Quotation Agent as having a maturity comparable to the
Remaining Life that would be utilized, at the time of selection and in
accordance with customary financial practice, in pricing new issues of
corporate debt securities of comparable maturity with the Remaining Life.

         "Comparable Treasury Price" means, with respect to any redemption
date, the average of two Reference Treasury Dealer Quotations for such
redemption date.

         "Quotation Agent" means the Reference Treasury Dealer appointed by the
Corporation.

         "Reference Treasury Dealer" means Chase Securities Inc. and its
successors; provided, however, that if the foregoing ceases to be a primary
U.S. Government securities dealer in New York City (a "Primary Treasury
Dealer"), the Corporation will substitute therefor another Primary Treasury
Dealer.

         "Reference Treasury Dealer Quotations" means, with respect to each
Reference Treasury Dealer and any redemption date, the average, as determined
by the Trustee, of the bid and asked prices for the Comparable Treasury Issue
(expressed in each case as a percentage of its principal

                                       4
<PAGE>   5

amount) quoted in writing to the Trustee by such Reference Treasury Dealer at
5:00 p.m., New York City time, on the third business day preceding such
redemption date.

         "Treasury Rate" means, with respect to any redemption date, the rate
per annum equal to the semiannual yield to maturity of the Comparable Treasury
Issue, calculated on the third business day preceding such redemption date
using a price for the Comparable Treasury Issue (expressed as a percentage of
its principal amount) equal to the Comparable Treasury Price for such
redemption date.

         6.       Denominations; Transfer; Exchange. The Securities of this
series are in registered form without coupons in denominations of $1,000 and
any multiple of $1,000. A holder may transfer or exchange Securities in
accordance with the Indenture. The Registrar may require a holder, among other
things, to furnish appropriate endorsements and transfer documents and to pay
any taxes and fees required by law or permitted by the Indenture. Also, it need
not transfer or exchange any Securities for a period of 15 days before a
selection of Securities to be redeemed or before an interest payment date.

         7.       Persons Deemed Owners. The registered holder of this Security
may be treated as the owner of it for all purposes, and neither the Corporation,
the Trustee, nor any Registrar, Paying Agent or co-registrar shall be affected
by notice to the contrary.

         8.       Unclaimed Money. If money for the payment of principal or
interest remains unclaimed for two years, the Trustee or Paying Agent will pay
the money back to the Corporation at its request. After that, holders entitled
to unclaimed money must look only to the Corporation and not the Trustee for
payment unless an abandoned property law designates another person.

         9.       Defeasance. The Indenture contains provisions for defeasance
at any time of the entire principal of the Securities of any series upon
compliance by the Corporation with certain conditions set forth therein.

         10.      Amendment; Supplement; Waiver. Subject to certain exceptions
as therein provided, the Indenture or the Securities may be amended or
supplemented with the consent of the holders of not less than a majority in
principal amount of the Securities of each series affected, and, subject to
certain exceptions and limitations as provided in the Indenture, any past
default or compliance with any provision may be waived with the consent of the
holders of a majority in principal amount of the Securities. Without the
consent of any holder, the Indenture or the Securities may be amended or
supplemented, for among other reasons, to cure any ambiguity, omission, defect
or inconsistency, to provide for uncertificated Securities in addition to or in
place of certificated Securities or to make any change that does not materially
adversely affect the rights of any holder. Without the consent of any holder,
the Trustee may waive compliance with any provision of the Indenture or the
Securities if the waiver does not materially adversely affect the rights of any
holder.

         11.      Restrictive Covenants. The Indenture does not limit unsecured
debt of the Corporation or any of its Subsidiaries. It does limit certain
mortgages, liens and sale-leaseback

                                       5
<PAGE>   6

transactions. The limitations are subject to a number of important
qualifications and exceptions. Once a year the Corporation must report to the
Trustee on compliance with the limitations.

         12.      Successors. When a successor entity assumes all the
obligations of the Corporation or its successors under the Securities and the
Indenture, the predecessor corporation will be released from those obligations.

         13.      Defaults and Remedies. An Event of Default is: default for 30
days in payment of any interest on the Securities of this series; default in
payment of any principal on the Securities of this series; failure by the
Corporation for 90 days after notice to it to comply with any of its other
agreements in the Indenture or the Securities; and certain events of bankruptcy
or insolvency. If an Event of Default with respect to Securities of this series
shall occur and be continuing, the principal of the Securities of this series
and accrued interest thereon may be declared due and payable in the manner and
with the effect provided in the Indenture. Holders of Securities may not
enforce the Indenture or the Securities except as provided in the Indenture.
The Trustee may refuse to enforce the Indenture or the Securities unless it
receives indemnity satisfactory to it. Subject to certain limitations, holders
of a majority in principal amount of the Securities may direct the Trustee in
its exercise of any trust or power. The Trustee may withhold from holders
notice of any continuing default (except a default in payment of principal or
interest) if it determines in good faith that withholding notice is in the
interests of such holders.

         14.      Trustee Dealings with the Corporation. First Union National
Bank, the Trustee under the Indenture, in its individual or any other capacity
may make loans to, accept deposits from and perform services for the
Corporation or any of its affiliates, and may otherwise deal with the
Corporation or its affiliates as if it were not Trustee.

         15.      No Recourse Against Others. A director, officer, employee or
stockholder, as such, of the Corporation shall not have any liability for any
obligations of the Corporation under the Securities or the Indenture or for any
claim based on, in respect of, or by reason of such obligations or their
creation. Each holder by accepting a Security waives and releases all such
liability. This waiver and release are part of the consideration for the issue
of the Securities.

         16.      Authentication. This Security shall not be valid until the
Trustee or other Authenticating Agent manually signs the certificate of
authentication on this Security.

         17.      Abbreviations. Customary abbreviations may be used in the
name of a holder or an assignee, such as: TEN COM (= tenants in common), TEN
ENT (= tenants by the entireties), JT TEN (= joint tenants with right of
survivorship and not as tenants in common), CUST (= Custodian) and U/G/M/A (=
Uniform Gifts to Minors Act).

         18.      Miscellaneous. This Security shall for all purposes be
governed by, and construed in accordance with, the laws of the State of New
York.

         All terms used in this Security which are defined in the Indenture
shall have the meanings assigned to them in the Indenture.

                                       6
<PAGE>   7

         The Corporation will furnish to any holder upon written request and
without charge a copy of the Indenture. Requests may be made to: Martin
Marietta Materials, Inc., 2710 Wycliff Road, Raleigh, North Carolina 27607-3033
Attention: Secretary.

-------------------------------------------------------------------------------
I or we assign and transfer to

         Insert social security or other identifying number of assignee

                    [                                      ]

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

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

-------------------------------------------------------------------------------
             (Print or type name, address and zip code of assignee)

Dated:
      -------------------------------------------------------------------------

Signed:
       ------------------------------------------------------------------------
       (Sign exactly as name appears on the front page of this Note)

Signature Guarantee:
                    -----------------------------------------------------------

Signatures must be guaranteed by an "eligible guarantor institution" meeting
the requirements of the Registrar, which requirements include membership or
participation in the Security Transfer Agent Medallion Program ("STAMP") or
such other "signature guarantee program" as may be determined by the Registrar
in addition to, or in substitution for, STAMP, all in accordance with the
Securities Act of 1934, as amended.

                                       7<PAGE>   1

                                                                   EXHIBIT 4.1

THIS SECURITY IS A GLOBAL SECURITY WITHIN THE MEANING OF THE INDENTURE
HEREINAFTER REFERRED TO AND IS REGISTERED IN THE NAME OF A DEPOSITARY OR A
NOMINEE OF A DEPOSITARY. THIS SECURITY IS EXCHANGEABLE FOR SECURITIES REGISTERED
IN THE NAME OF A PERSON OTHER THAN THE DEPOSITARY OR ITS NOMINEE ONLY IN THE
LIMITED CIRCUMSTANCES DESCRIBED IN THE INDENTURE AND MAY NOT BE TRANSFERRED
EXCEPT AS A WHOLE BY THE DEPOSITARY TO A NOMINEE OF SUCH DEPOSITARY OR BY A
NOMINEE OF SUCH DEPOSITARY TO SUCH DEPOSITARY OR ANOTHER NOMINEE OF SUCH
DEPOSITARY OR BY SUCH DEPOSITARY OR ANY SUCH NOMINEE TO A SUCCESSOR OF SUCH
DEPOSITARY OR A NOMINEE OF SUCH SUCCESSOR.

Unless this certificate is presented by an authorized representative of The
Depository Trust Company, a New York corporation ("DTC"), to the Company or its
agent for registration of transfer, exchange or payment, and any certificate
issued is registered in the name of Cede & Co. or in such other name as is
requested by an authorized representative of DTC (and any payment is made to
Cede & Co. or to such other entity as is requested by an authorized
representative of DTC), ANY TRANSFER, PLEDGE OR OTHER USE HEREOF FOR VALUE OR
OTHERWISE BY OR TO ANY PERSON IS WRONGFUL inasmuch as the registered owner
hereof, Cede & Co., has an interest herein.

                                                               Principal Amount

R9

                          HCA - THE HEALTHCARE COMPANY           $400,000,000

                              7.125% NOTE DUE 2006

                                   GLOBAL NOTE

                                                              CUSIP 404119 AD 1

         HCA - THE HEALTHCARE COMPANY, a corporation duly organized and existing
under the laws of the State of Delaware (herein called the "Company," which term
includes any successor corporation under the Indenture hereinafter referred to),
for value received, hereby promises to pay to Cede & Co., as the nominee of The
Depository Trust Company, or registered assigns, the principal amount of Four
Hundred Million Dollars ($400,000,000), on June 1, 2006 (the "Maturity Date")
and to pay interest (computed on the basis of a 360-day year of twelve 30-day
months) on June 1 and December 1 ("Interest Payment Date") in each year,
beginning on December 1, 2001, and at the Maturity Date specified above on said
principal amount, at the rate of 7.125% per annum, from May 22, 2001 until
payment of said principal amount has been made or duly provided for. The
interest so payable on any Interest Payment Date (other than at maturity) will
be paid to the Person in whose name this Global Note is registered at the close
of

<PAGE>   2

business on the fifteenth day of the month immediately preceding the month in
which such interest payment is due (a "Regular Record Date"), unless the Company
shall default in the payment of interest due on any such Interest Payment Date,
in which case such defaulted interest shall be paid to the Person in whose name
this Global Note is registered at the close of business on a Special Record Date
for the payment of such defaulted interest established by notice to the
registered holders of Notes not less than ten days preceding such Special Record
Date. In any case where the date for any payment on the Notes is not a Business
Day, such payment shall be made on the next succeeding Business Day. A Business
Day is any day that is not a Saturday or Sunday and that, in The City of New
York, New York is not a day on which banking institutions are generally
authorized or required by law or executive order to close.

         Both principal of and interest on this Global Note are payable in
immediately available funds in any coin or currency of the United States of
America, which at the time of payment is legal tender for the payment of public
and private debts. Payments of principal and interest will be made in The City
of New York, New York, at the Corporate Trust Office of Bank One Trust Company,
N.A., or at such other office or agency of the Company as the Company shall
designate pursuant to the Indenture referred to elsewhere herein.

         This Global Note is one of a duly authorized issue of debentures,
notes, bonds or other evidences of indebtedness of the Company (the
"Securities"), of the series hereinafter specified, issued or to be issued under
an Indenture dated as of December 16, 1993, as supplemented, as may be amended
by indentures supplemental thereto (the "Indenture"), duly executed and
delivered by the Company to Bank One Trust Company, N.A., the successor to The
First National Bank of Chicago, as trustee (the "Trustee"), to which Indenture
reference is hereby made for a description of the respective rights and duties
thereunder of the Trustee, the Company and the Holders of the Securities. The
Securities may be issued in one or more series, which different series may be
issued in various aggregate principal amounts, may mature at different times,
may bear interest at different rates, may have different conversion prices (if
any), may be subject to different redemption provisions, may be subject to
different sinking, purchase or analogous funds, may be subject to different
covenants and Events of Default and may otherwise vary as in the Indenture
provided. This Global Note, Certificate R9, along with Global Note, Certificate
R10, together represent a Global Security representing the entire principal
amount of a series of Securities designated "7.125% Notes due 2006" (the
"Notes") issued under the Indenture. Unless otherwise provided herein, all terms
used in this Global Note, which are defined in the Indenture, shall have the
meanings assigned to them in the Indenture.

         The Notes do not have a sinking fund.

         The Notes may be redeemed as a whole or in part at any time by the
Company prior to maturity. The redemption price shall equal the greater of (i)
100% of the principal amount of such Notes and (ii) the sum of the present
values of the remaining scheduled payments of principal and interest thereon
discounted to the redemption date on a semiannual basis (assuming a 360-day year
consisting of twelve 30-day months) at the Treasury Rate (as defined below),
plus 35 basis points, plus, in each case, accrued interest thereon to the date
of redemption.

         "Treasury Rate" means, with respect to any redemption date, the rate
per annum equal to the semiannual equivalent yield to maturity of the Comparable
Treasury Issue, assuming a price

                                       2
<PAGE>   3

for the Comparable Treasury Issue (expressed as a percentage of its principal
amount) equal to the Comparable Treasury Price for the redemption date.

         "Comparable Treasury Issue" means the United States Treasury security
selected by an Independent Investment Banker and having a maturity comparable to
the remaining term of the Notes to be redeemed that would be utilized, at the
time of selection and in accordance with customary financial practice, in
pricing new issues of corporate debt securities of comparable maturity to the
remaining term of the Notes. "Independent Investment Banker" means one of the
Reference Treasury Dealers appointed by the Trustee after consultation with us.

         "Comparable Treasury Price" means, with respect to any redemption date,
(1) the average of the bid and asked prices for the Comparable Treasury Issue
(expressed in each case as a percentage of its principal amount) on the third
business day preceding the redemption date, as set forth in the daily
statistical release (or any successor release) published by the Federal Reserve
Bank of New York and designated "Composite 3:30 p.m. Quotations for U.S.
Government Securities" or (2) if the release (or any successor release) is not
published or does not contain the prices on that business day, (a) the average
of the Reference Treasury Dealer Quotations for the redemption date, after
excluding the highest and lowest Reference Treasury Dealer Quotations, or (b) if
the Trustee obtains fewer than four Reference Treasury Dealer Quotations, the
average of all the quotations.

         "Reference Treasury Dealer Quotations" means, with respect to each
Reference Treasury Dealer and any redemption date, the average, as determined by
the Trustee, of the bid and asked prices for the Comparable Treasury Issue
(expressed in each case as a percentage of its principal amount) quoted in
writing to the Trustee by the Reference Treasury Dealer at 5:00 p.m. on the
third business day preceding the redemption date.

         "Reference Treasury Dealer" means each of Goldman, Sachs & Co. and
Salomon Smith Barney Inc., and their respective successors; provided however,
that if any of the foregoing shall cease to be a primary U.S. Government
securities dealer in New York City (a "Primary Treasury Dealer"), the Company
shall substitute another Primary Treasury Dealer.

         The Company will mail notice of any redemption between 30 and 60 days
preceding the redemption date to each holder of the Notes to be redeemed.

         Unless the Company defaults in payment of the redemption price, on and
after the redemption date, interest will cease to accrue on the Notes or
portions called for redemption.

         In case an Event of Default with respect to the Notes shall have
occurred and be continuing, the principal hereof may be declared, and upon such
declaration shall become, immediately due and payable, in the manner, with the
effect and subject to the conditions provided in the Indenture. The Indenture
provides that such declaration may in certain events be waived by the Holders of
a majority in principal amount of the Notes then Outstanding.

         The Company is party to a $2.5 billion credit agreement dated April 30,
2001 with a group of banks, which agreement consists of a $1.75 billion
revolving credit loan and a $750 million term loan, both of which mature in
April 2006. The Company will be in default under

                                       3
<PAGE>   4

the Notes if a default occurs under that agreement (as it may be amended,
modified, extended, renewed or replaced from time to time) and that default
results in an acceleration of the maturity of the Company's indebtedness under
that agreement. A declaration of the acceleration of the maturity of the Notes
for this reason is subject to annulment if the default that caused acceleration
of the indebtedness under the agreement is cured or waived and the Trustee is
given notice of the cure or waiver within sixty (60) days of the declaration.
The Company does not need the consent of the holders of the Notes to enter into
any amendment, modification, extension, renewal or replacement of the agreement.
Such cross-acceleration will no longer be applicable following the time, if
ever, as the Notes are rated Baa3 (or the equivalent) or higher by Moody's and
BBB- (or the equivalent) or higher by Standard & Poor's. "Moody's" means Moody's
Investors Service, Inc. and its successors. "Standard & Poor's" means Standard
and Poor's Ratings Services, a division of The McGraw-Hill Companies, Inc., and
its successors.

         The Indenture permits, with certain exceptions as therein provided, the
amendment thereof and the modification of the rights and obligations of the
Company and the rights of the Holders of the Securities of each series to be
affected under the Indenture at any time by the Company and the Trustee with the
consent of the Holders of not less than a majority in principal amount of the
outstanding Securities of each series to be affected. It is also provided in the
Indenture that, prior to any declaration accelerating the maturity of the Notes
as a series, the Holders of a majority in aggregate principal amount of the
Securities of such series at the time Outstanding may on behalf of the Holders
of all of the Securities of such series waive any past default with respect to
the Securities of such series under the Indenture and its consequences, except a
default in the payment of the principal of, or interest on, any of the
Securities of such series.

         No reference herein to the Indenture and no provision of this Global
Note or of the Indenture (including the Company's right to defease and discharge
the Notes pursuant to Article Four and Article Fourteen of the Indenture) shall
alter or impair the obligation of the Company, which is absolute and
unconditional, to pay the principal of, and interest on, this Global Note at the
place, at the respective times, at the rate and in the coin or currency herein
prescribed.

         This Global Note shall be exchangeable for Securities registered in the
names of Persons other than the Depositary or its nominee only if (i) the
Depositary notifies the Company that it is unwilling or unable to continue as
the Depositary or if at any time the Depositary ceases to be registered or in
good standing under the United States Securities Exchange Act of 1934, as
amended, and the Company fails to appoint a successor Depositary within 90 days
after the Company receives such notice or becomes aware of such event or (ii)
the Company executes and delivers to the Trustee a Company Order that this
Global Note shall be so exchangeable. To the extent that this Global Note is
exchangeable pursuant to the preceding sentence, it shall be exchangeable for
Notes registered in such names as the Depositary shall direct.

         Except as provided in the immediately preceding paragraph, this Global
Note may not be transferred except as a whole by the Depositary to a nominee of
such Depositary or by a nominee of such Depositary to such Depositary or another
nominee of such Depositary or by such Depositary or any such nominee to a
successor of such Depositary or a nominee of such successor.

                                       4
<PAGE>   5

         Prior to due presentment for registration of transfer of this Global
Note, the Company, the Trustee and any agent of the Company or the Trustee may
deem and treat the Holder hereof as the absolute owner of this Global Note
(whether or not this Global Note shall be overdue and notwithstanding any
notation of ownership or other writing hereon), for the purpose of receiving
payment hereof or on account hereof (except as otherwise provided in the
Indenture), as herein provided, and for all other purposes, and neither the
Company nor the Trustee nor any Paying Agent nor any Security Registrar shall be
affected by any notice to the contrary. All payments made to or upon the order
of such Holder shall, to the extent of the sum or sums paid, effectually satisfy
and discharge liability for moneys payable on this Global Note.

         None of the Company, the Trustee, any Paying Agent or the Security
Registrar will have any responsibility or liability for any aspect of the
records relating to or payments made on account of beneficial ownership
interests of this Global Note or for maintaining, supervising or reviewing any
records relating to such beneficial ownership interests.

         No recourse for the payment of the principal of, or interest on, this
Global Note, or for any claims based hereon or otherwise in respect hereof, and
no recourse under or upon any obligation, covenant or agreement of the Company
in the Indenture or any indenture supplemental thereto or in any Note or because
of the creation of any indebtedness represented thereby, shall be had against
any incorporator, stockholder, officer or director, as such, past, present or
future, of the Company, whether by virtue of any assessment or penalty or
otherwise, all such liability being, by the acceptance hereof and as part of the
consideration for the issue hereof, expressly waived and released.

         Except as otherwise expressly provided in this Global Note, this Global
Note shall in all respects be entitled to all benefits, and subject to the same
terms and conditions, as definitive registered securities authenticated and
delivered under the Indenture.

         The Indenture and this Global Note shall be governed by and construed
in accordance with the laws of the State of New York.

         This Global Note shall not be valid or become obligatory for any
purpose until the certificate of authentication hereon shall have been signed by
the Trustee under the Indenture referred to on the reverse hereof.

                                       5
<PAGE>   6

         IN WITNESS WHEREOF, the Company has caused this instrument to be duly
executed under its corporate seal.

Dated as of May 22, 2001            HCA - THE HEALTHCARE COMPANY

                                     By:  /s/ Keith M. Giger
                                        ---------------------------------------
                                     Title:  Vice President, Finance
                                           ------------------------------------

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

TRUSTEE'S CERTIFICATE
OF AUTHENTICATION

This is one of the Securities
of the series designated herein
referred to in the within-
mentioned Indenture.

BANK ONE TRUST COMPANY, N.A.
as Trustee

By:  /s/ Sandra Whalen
   ---------------------------

                                       6

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