Document:

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                                                                   EXHIBIT 10.29

                     HCA DIRECTORS' 2002 COMPENSATION/FEES

DIRECTOR COMPENSATION (BOARD)

-       Non-employee directors have the choice of (i) receiving an annual
        retainer of $50,000 payable in restricted stock that vests one year from
        the date of grant; or (ii) receiving, in lieu of annual retainers for
        the following 5 years, $200,000 in restricted stock units that vest
        annually over a 5 year period at a rate of 20% per year.

-       Non-employee directors will receive a competitive option award.

-       Non-employee directors are paid an attendance fee of $1,500 per meeting
        for all scheduled meetings of the Board.

-       The Company from time to time may request a director as part of his or
        her service as a director to participate in business related meetings or
        in meetings which the Company believes will further his or her education
        as a director of a public company. In such event, it is the policy of
        the Company to reimburse the director for all reasonable travel expenses
        and to pay the director as an additional director's fee an amount equal
        to that paid a director for attendance at a board meeting. The Company
        shall report payments under this policy periodically to the Board
        committee responsible for Director compensation matters.

DIRECTOR COMPENSATION (COMMITTEES)

-       Non-employee director committee members are paid a committee meeting fee
        of $1,200 per meeting (Committee Chairpersons $1,500) for attendance for
        all scheduled meetings of a respective committee in which that director
        serves. The Board of Directors currently has Audit, Compensation, Ethics
        and Compliance, Executive, Finance and Investment and Nominating
        Committees.

-       Non-employee director committee members are paid an annual committee
        retainer of $3,000 (Committee Chair - $5,000) payable in cash or
        restricted share units.

MATCHING GIFT PROGRAM FOR DIRECTORS

-       Gifts from each Director to organizations and programs exempt from
        taxation (pursuant to Section 501(c)(3) of the Internal Revenue Code),
        including civic, cultural, educational and health and human services
        institutions, will be matched on a dollar-for-dollar basis, from a
        minimum of $500 per gift, up to an aggregate maximum of $15,000
        annually. The Matching Gift Program will be administered by the HCA
        Foundation, Inc. To qualify for a matching gift, contributions must be
        personal gifts from the Director's own funds (including personal or
        family foundations and gifts made jointly with spouses), paid in cash or
        securities. Pledges do not qualify for matches. Directors who have
        retired from service on the Board may participate in this program
        through the end of the first year following the year in which retirement
        was effective. The Company reserves the right to determine whether gifts
        to organizations are within certain guidelines for qualification for
        matching.<PAGE>
                                                                   EXHIBIT 10.31

                              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.

<PAGE>

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,
                Operator shall be solely responsible for its possession, use,
                and operation of the Aircraft.

        f.      Aircraft Operation Expenses

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

        g.      Assignment

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

        h.      Log Books

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

        i.      Pilots

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

        j.      Liens

                Operator will not directly or indirectly create, incur, or
                permit to be created as a result of Operator's acts or
                omissions, any liens on or with respect to (i) the Aircraft or
                any part thereof, (ii) Owner's title thereto or any interest of
                Owner in

                                      -3-
<PAGE>

                or to the Aircraft, or (iii) Operator's interest under this
                Agreement. Operator shall promptly, at its own expense, take
                such action as may be necessary to promptly discharge any such
                lien created, incurred, or permitted to be created.

        k.      Taxes

                Operator shall pay to and indemnify the Owner for, and hold the
                Owner harmless from and against, all landing charges, airport
                use fees, departure taxes and similar taxes, levies, charges or
                fees imposed on Operator's operation and use of the Aircraft
                during any Rental Period whether imposed against or levied upon
                Owner, Operator, or the Aircraft or any part thereof by any
                federal or foreign government, any state, municipal or local
                subdivision, any agency or instrumentality thereof or other
                taxing authority.

7.      Aircraft Maintenance and Registration

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

8.      Inspection

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

9.      Loss or Damage

        a.      Risk of Loss

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

                                      -4-
<PAGE>

        b.      Repair or Replacement

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

10.     Insurance

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

11.     Return

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

                                      -5-
<PAGE>

12.     Owner's Disclaimer

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

13.     Indemnification

        a.      General Indemnity

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

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

                                      -6-
<PAGE>

        b.      Survival

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

14.     Operator's Default

        Each of the following events shall constitute an "Event of Default"
        hereunder (whatever the reason for such event of default and whether it
        shall be voluntary or involuntary, or come about or be effected by
        operation of law, or be pursuant to or in compliance with any judgment,
        degree, or order of any court of any order, rule, or regulation of any
        administrative or governmental body):

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

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

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

        d.      Operator shall become insolvent; or

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

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

15.     Owner's Remedies

        a.      Remedies

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

                                      -7-
<PAGE>

                i.      By notice in writing terminate this Agreement, whereupon
                        all rights of the Operator to the use of the Aircraft or
                        any part thereof shall absolutely cease and terminate,
                        but Operator shall remain liable as hereinafter
                        provided; and thereupon Operator, if so requested by the
                        Owner, shall at its expense promptly return the Aircraft
                        as required by Section 11 hereof, or Owner, at its
                        option, may, with or without legal process, enter upon
                        the premises where the Aircraft may be located and take
                        immediate possession of and remove the same. Operator
                        specifically authorizes Owner's entry upon any premises
                        where the Aircraft maybe located for the purpose of, and
                        waives any cause of action Operator may have arising
                        from, a peaceful retaking of the Aircraft. Operator
                        shall, without further demand, forthwith pay to Owner as
                        liquidated damages for loss of a bargain and not as a
                        penalty, an amount equal to the total accrued and unpaid
                        Aggregate Rentals, plus all other accrued and unpaid
                        amounts due to Owner hereunder; and

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

        b.      Costs and Attorneys' Fees

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

        c.      Nonexclusive

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

                                      -8-
<PAGE>

16.     Operator's Remedy

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

17.     Termination

        Either party may terminate this Agreement by providing the other party
        written notice of termination at least thirty days (30) prior to the
        date of termination. Within ten (10) days after the date of termination,
        Owner shall provide Operator with an accounting of all outstanding
        charges or costs relating to this Agreement. Operator shall pay to Owner
        any outstanding charges and costs for which it may be responsible within
        thirty (30) days after receipt of such accounting. Both parties agree to
        take all necessary action with respect to the FAA and insurance
        companies to inform them of the termination of this Agreement.

18.     Notices

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

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

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

19.     Entire Agreement

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

                                      -9-
<PAGE>

20.     Modification of Agreement

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

21.     Time of the Essence

        Time is of the essence in this Agreement.

22.     Headings

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

23.     Governing Law

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

24.     Truth-in-Leasing

        a.      OWNER CERTIFIES THAT THE AIRCRAFT HAS BEEN MAINTAINED AND
                INSPECTED UNDER PART 91 OF THE FEDERAL AVIATION REGULATIONS
                DURING THE 12 MONTHS PRECEDING THE EXECUTION OF THIS AGREEMENT,
                EXCEPT TO THE EXTENT THE AIRCRAFT IS LESS THAN TWELVE (12)
                MONTHS OLD.

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

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

                                      -10-
<PAGE>

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

OWNER:                                      OPERATOR:

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

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

<PAGE>
                       DELIVERY AND ACCEPTANCE CERTIFICATE

This Certificate is delivered by the undersigned Operator ("Operator") pursuant
to the Amended and Restated Aircraft Hourly Rental Agreement dated as of March
28, 2003 ("Agreement"), and in connection with the following aircraft
("Aircraft") rented thereunder:

Manufacturer: Cessna Aircraft Corporation
Model: Cessna 560
Serial Number: 560-0636
Registration Number: N 83TF

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

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

Delivery Time:  ________________

Delivery Location:  Nashville, TN, BNA

Return Date:  __________________

Anticipated Return Time:  ___________

Return Location:  Nashville, TN, BNA

OWNER:                                        WITNESS:

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

OPERATOR:

HCA MANAGEMENT SERVICES, L.P.

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

<PAGE>

                                    EXHIBIT A

                             AIRCRAFT IDENTIFICATION

                    Manufacturer: Cessna Aircraft Corporation
                                Model: Cessna 560
                             Serial Number: 560-0636
                           Registration Number: N 83TF

                                    BASE RENT

                              $1,200 per Hobbs Hour

                                    HOME BASE

                                  Nashville, TN

                                       BNA

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