HEALTHCARE REALTY TRUST INC
8-K, 1996-12-02
REAL ESTATE INVESTMENT TRUSTS
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        SECURITIES    AND    EXCHANGE    COMMISSION
              WASHINGTON,    D.C.    20549
             ------------------------------
                      FORM 8-K
                   Current Report
               Pursuant to Section 13 or
                     15(d) of
         the  Securities  Exchange  Act of 1934

Date of Report (Date of earliest event  reported):  November 15, 1996
               ------------------------------

           Healthcare Realty Trust Incorporated
     (Exact Name of Registrant as Specified in Its Charter)

Maryland                  1-11852                 62-1507028
(State or Other       (Commission File          (I.R.S.  Employer
Jurisdiction  of          Number)                Identification
Incorporation)                                       Number)

     3310 West End Avenue
     Fourth Floor
     Nashville,  Tennessee                        37203
     (Address of Principal Executive Offices)    (Zip Code)
                     (615) 269-8175
          (Registrant's Telephone  Number, including Area Code)

                         Not Applicable
                         (Former Name)


ITEM 2.  ACQUISITION OR DISPOSITION OF ASSETS.

     Merge with Lewis-Gale  Building  Corporation (the Merger).  On November 15,
1996,  HRT  ofRoanoke,  Inc.,  a Virginia  corporation  (HRR) and  wholly  owned
subsidiary of Healthcare Realty Trust Incorporated,  a Maryland corporation (the
Registrant), completed its merger of Lewis-Gale Building Corporation, a Virginia
corporation (LGBC), with and into HRR. The Merger is accounted for as a tax-free
reorganization  for federal  income tax purposes and as a purchase for financial
reporting purposes.
     LGBC was formed in late 1970 to own the real estate and improvements leased
to and operated by Lewis-Gale  Clinic (the Clinic),  a private,  multi-specialty
group practice  founded in 1909 that has grown to serve a four-county  market in
the Roanoke/ Salem,  Virginia area,  employing 130 physicians and  approximately
1,100  healthcare  professionals.  Its  principal  asset  was a  medical  office
building complex located in Salem,  Virginia adjacent to the 400-bed  Lewis-Gale
Medical Center operated by  Columbia/HCA  Healthcare  Corporation.  The complex,
which was  constructed  between  1972 and 1994,  consists of 11  buildings on an
eight-acre parcel of land, aggregating approximately 261,400 square feet.
     In addition to the main  Lewis-Gale  Clinic  complex,  LGBC owned satellite
clinics leased primarily to the Clinic in Valley View Mall (62,000 square feet),
Salem (8,200 square  feet),  Fincastle  (4,200  square feet),  New Castle (2,200
square feet), Bonsack (7,000 square feet) and Back Creek (3,300 square feet), as
well as the Business  Center tract of  approximately  20 acres on Apperson Drive
(improvements  of 136,000 square feet), at which a satellite  clinic and certain
LGBC operations have been conducted.
     In its most recent  fiscal year,  LGBC  received  approximately  82% of its
rental  revenues  from the Clinic.  The  remaining  18% was paid by a variety of
unaffiliated  parties  leasing  space at Valley  View and the  Business  Center,
including  Lewis-Gale  Hospital,  National  Diabetic,  the U.S.  Postal Service,
Allstate  Insurance Company,  a pharmacy,  dental practices,  an oral surgeon, a
home  health  company,  a  lawn  service,  a  book  store  and  a  dry  cleaner.
Approximately 113,000 square feet are presently being leased to these tenants on
various terms.
     The consideration  delivered by the Registrant in the Merger was determined
in an arms length negotiation between the Registrant and LGBC, and was supported
by an independent appraisal of the value of the assets of LGBC and a replacement
cost  analysis  of the assets.  The  parties  agreed that the total value of the
assets was $43,225,000, reduced by LGBC liabilities and reserves of $27,150,000,
resulting in net shareholders' equity of $16,075,000.
     The conversion of LGBC common stock into the Registrant's  common stock was
then determined according to a ratio of the value of LGBC common stock as of the
closing  date  divided by the  average  closing  sale price of the  Registrant's
common stock for the seven trading days immediately  preceding the closing date.
Based upon this formula, the Registrant issued 687,692 shares of common stock. A
portion of such shares will be retained by the Registrant  pending resolution of
certain tax matters and contingent  liabilities.  The Registrant has also agreed
that, in addition to the Merger consideration described in the foregoing, it may
be obligated to deliver additional shares in an aggregate value estimated not to
exceed $500,000, upon the resolution of certain contingent obligations.
     The remainder of the purchase  price  consisted of assumed  liabilities  of
LGBC,  including  approximately  $20,580,000  of bank  debt  and  $4,071,000  of
industrial  revenue bonds. The bank debt is anticipated to be paid in full prior
to December 31, 1996,  by a borrowing  under the  Registrant's  existing  credit
lines. In addition to the Merger consideration,  the Registrant incurred certain
capitalized and closing costs.
     Simultaneously with the completion of the Merger, the Clinic reorganized as
a  Virginia  limited  liability  company  (the  LLC).  All of the real  property
formerly  occupied  by the Clinic and  subsidiary/affiliates  of the Clinic (the
Clinic Leases) are being leased to the LLC by HRR as landlord.  The leased space
is being managed for the LLC by the Registrant's property management subsidiary.
The leases for each of the LLC spaces  provide for rent including an agreed stop
for operating  expenses.  All  operating  expenses in excess of the stop will be
billed to the LLC.  Approximately  17% of the rents  received  by LGBC were from
tenants  unaffiliated  with the Clinic (the Non-Clinic  Leases).  The Non-Clinic
Leases  were  assigned  to HRR and are also being  managed  by the  Registrant's
property  management  subsidiary.  In addition,  the LLC has guaranteed to HRR a
minimum net cash flow from the operation of the Non-Clinic Leases.  Concurrently
with the Merger,  PhyCor, Inc. (PhyCor), a physician practice management company
based in Nashville,  Tennessee,  purchased the assets of the Clinic and has also
executed a guaranty  of the  obligations  of the LLC to HRR with  respect to the
Clinic Leases. In addition, PhyCor of Roanoke, Inc., a subsidiary of PhyCor, has
entered into a long-term  service agreement with the LLC whereby it will provide
the  physician  group with the equipment  and  facilities  used in their medical
practice,  manage clinic operations,  employ most of the Clinic's  non-physician
personnel, other than certain diagnostic technicians,  and receive a service fee
therefor.  Pursuant  to the  service  agreement,  PhyCor of  Roanoke,  Inc.  has
obtained  a license to enter the  properties  governed  by the Clinic  Leases in
order to perform its duties thereunder.

                                       2
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 ITEM 7.  FINANCIAL  STATEMENTS,  PRO FORMA FINANCIAL INFORMATION AND EXHIBITS.

(a) Financial Statements of Businesses Acquired.

     The required financial statements for the acquisition of assets reported on
in Item 2 of this Current Report are not available on the date of filing of this
Report.  It is anticipated  that such financial  statements  will be filed on or
before January 15, 1997.  When such  statements are available,  they will be
filed under cover of Form 8-K/A.

(c)  Exhibits
                             Exhibit  Index
Exhibit Number                  Document                                   
     2              Agreement  and Plan of Merger,
                    dated  October 1, 1996, among
                    Healthcare Realty Trust Incorporated,
                    HRT of Roanoke, Inc., and Lewis-Gale
                    Building  Corporation.

   99(a)            Lease Agreement,dated November 14, 1996,
                    between HRT of Roanoke,Inc.and Lewis-Gale
                    Clinic,  LLC.

   99(b)            Guaranty of Obligations Pursuant to Lease
                    Administration Agreement, dated November 14, 1996,
                    executed by PhyCor,Inc.in favor of HRT of Roanoke,Inc.


                                       3
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                                   SIGNATURES

     Pursuant to the  requirements  of the Securities  Exchange Act of 1934, the
Registrant  has duly  caused  this  report  to be  signed  on its  behalf by the
undersigned hereunto duly authorized.

                               HEALTHCARE REALTY TRUST INCORPORATED By:
                                   /s/ ROGER O. WEST Roger O.West
                               Executive Vice President and General Counsel

 Date: December 2, 1996

                                       4




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                          AGREEMENT AND PLAN OF MERGER


     This Agreement and Plan of Merger  (Agreement) is entered into effective as
of  October  1, 1996,  by and among  HEALTHCARE  REALTY  TRUST  INCORPORATED,  a
Maryland  corporation  (HRT),  HRT OF  ROANOKE,  INC.,  a  Virginia  corporation
(Acquisition Sub), and LEWIS-GALE BUILDING  CORPORATION,  a Virginia corporation
(the Company).  

                                   RECITALS 

     A. The Boards of Directors of HRT,  Acquisition Sub and the Company have  
approved the merger of the Company  into  Acquisition  Sub, in accordance with 
the Virginia Stock Corporation Act and applicable  provisions of the statutes 
of the Commonwealth of Virginia which permit the Merger, and the transactions 
contemplated by this Agreement. 

     B. For federal income tax purposes, it is intended that the Merger qualify
as a reorganization within the meaning of Section  368(a) of the Internal  
Revenue Code of 1986, as amended.  

     In order to consummate the Merger, HRT, Acquisition Sub and the Company, in
consideration of the mutual covenants and on the basis of the representations 
and warranties set forth below, agree as follows:  

                                 DEFINITIONS  

     For purposes of this Agreement, the following terms shall have the meanings
 indicated below: 

     ARTICLES OF MERGER shall mean the Articles of Merger set forth as Exhibit A
hereto to be filed with the Virginia  State  Corporation  Commission in  
accordance  with the Virginia Stock Corporation Act. 

     BUSINESS  AGREEMENT(S) shall mean any management agreement,  service  
contract,insurance contract, loan agreement, mortgage, easement, covenant,  
restriction or other agreement or instrument affecting all or a portion 
of the Property. 

     CLINIC SPACE shall mean the Phase I, Phase II, and Phase III Main Clinic  
Building at the  intersection of Braeburn Drive and Route 419, Roanoke, Virginia
and any other space occupied or leased, or to be occupied or leased, on the 
Property  by  Lewis-Gale  Clinic,  LLC,  a Virginia  limited liability  company,
from  Acquisition  Sub.  

     CLOSING shall have the meaning set forth in Section  1.2.  

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     CLOSING DATE shall have the meaning set forth in Section 1.2.  

     CLOSING PRICE shall mean the average  closing sale price of a share of HRT
Common  Stock  on the New  York  Stock  Exchange  for  the  seven  trading  days
immediately  preceding  the Closing Date.

     Code shall mean the Internal Revenue Code of 1986,  as amended.  

     COMPANY  CERTIFICATES  shall mean a  certificate  or certificates   that   
immediately   prior  to  the  Effective  Time  represented outstanding shares of
Company Stock. 

     COMPANY DISSENTING SHARES shall mean shares of Company Stock with respect 
to which  dissenters'  rights, if any, are granted by reason of the Merger under
the Virginia Stock  Corporation  Act and which are not voted in favor of the  
Merger  and  otherwise  comply  with the  dissenters' rights  provisions of the 
Virginia Stock  Corporation  Act.  

     COMPANY  DISCLOSURE SCHEDULE shall mean that certain disclosure  document 
referred to in Section 2.1 hereof. 

     COMPANY FINANCIAL STATEMENTS shall have the meaning set forth in Section
2.9.  

     COMPANY  STOCK  shall mean each share of Common  Stock,  par value $15 per
share,  of the Company.  

     CONTROL AND SUPPORT  AGREEMENT  shall mean that certain Control and Support
Agreement to be entered into  between  Acquisition  Sub and Lewis-Gale  Clinic,
LLC,  with respect to the Lease  Agreements  pertaining  to Non-Clinic Space. 

     CONVERSION RATIO shall mean a fraction, the numerator of which is equal to
(i) the Value of the Company divided by (ii) the Closing Price;  and the 
denominator is equal to the number of shares of the Company Stock issued and
outstanding as of the Closing Date. Credit  Enhancements shall mean all security
deposits, security interests,  letters of credit, pledges, prepaid rent or other
sums,  deposits or  interests,  if any,  held by the Company with respect to the
Property,  the Tenant Leases or the Tenants.  

     CUSTODY  AGREEMENT  shall mean the Custody  Agreement  set forth as 
Exhibit D hereto and  described in Section 1.5.

     CUSTODY  SHARES  shall mean the HRT  Merger  Shares to be  deposited  in 
custody pursuant to the Custody Agreement.  

                                       2
<PAGE>
     
     DISPOSITION shall have the meaning set forth in the Custody Agreement.  

     DUE DILIGENCE MATERIALS shall mean the information to be  provided by the 
Company to HRT  pursuant  to the  provisions  of Section 3.1 hereof.  

     EFFECTIVE  TIME  shall  have the  meaning  set  forth in  Section  1.2.

     ENGINEERING  DOCUMENTS shall mean all site plans, surveys, soil and 
substrata studies,architectural drawings, plans and specifications, engineering 
plans and studies,  floor plans,  landscape plans, and other plans and studies 
that relate to the Land, the  Improvements  or the Personal  Property.  

     ENVIRONMENTAL  CLAIM  shall  mean  any  claim,  action,  cause  of  action,
investigation  or notice  (written  or oral) by any  person  or entity  alleging
potential  liability  (including,  without  limitation,  potential liability for
investigatory  costs,  cleanup  costs,   governmental  response  costs,  natural
resources damages,  property damages,  personal injuries,  or penalties) arising
out of, based on or resulting  from, in part or in whole,  (a) the presence,  or
release  into the  environment,  of any  Hazardous  Materials  at any  location,
whether or not owned or operated by the Company or (b) circumstances forming the
basis of any violation, or alleged violation, of the Hazardous Materials Laws.

     EXCEPTION  DOCUMENTS  shall mean true,  correct and legible  copies of each
document listed as an exception to title on the Title Commitment.

     EXCHANGE AGENT shall mean Boston EquiServe, L.P.

     FIXTURES shall mean all permanently affixed equipment, machinery, fixtures,
and other items of real  and/or  personal  property,  including  all  components
thereof,  now and  hereafter  located  in, on or used in  connection  with,  and
permanently affixed to or incorporated into the Improvements, including, without
limitation,  all furnaces,  boilers,  heaters,  electrical  equipment,  heating,
plumbing,  lighting,  ventilating,  refrigerating,  incineration,  air and water
pollution control, waste disposal,  air-cooling and air-conditioning systems and
apparatus,  sprinkler  systems  and fire and  theft  protection  equipment,  and
built-in vacuum,  cable transmission,  oxygen and similar systems, all of which,
to the greatest extent permitted by law, are hereby deemed by the parties hereto
to  constitute  real  estate,  together  with all  replacements,  modifications,
alterations and additions thereto, but specifically excluding all items included
within the category of the Company's Personal Property.

     GUARANTY  AGREEMENT shall mean a Guaranty  Agreement,  between
Acquisition  Sub and PhyCor,  Inc., a Tennessee  corporation,  pursuant to which
PhyCor,  Inc. will guarantee the obligations of Lewis-Gale Clinic, LLC under the
Lease Administration Agreement.

                                       3
<PAGE>

     HAZARDOUS  MATERIALS shall mean any toxic or hazardous  waste,
pollutants   or   substances,   including,   without   limitations,    asbestos,
polychlorinated biphenyls, petroleum products and byproducts, substances defined
or listed as hazardous  substance,  toxic substance,  toxic  pollutant,  medical
waste,  or  similarly  identified  substance  or mixture,  in or pursuant to the
Hazardous Materials Laws.

     HAZARDOUS  MATERIALS  LAWS  shall  mean  the  federal,   state
(including  specifically,  but not by way of  limitation,  the  Commonwealth  of
Virginia),  and  local  environmental,   health  or  safety  laws,  regulations,
ordinances,  rules  and  policies  and  the  common  law  relating  to the  use,
refinement,  handling,  treatment,  removal, storage,  production,  manufacture,
transportation  or  disposal,  emissions,  discharges,  releases  or  threatened
releases of Hazardous  Materials,  or otherwise  relating to  protection  of the
environment (including,  without limitation,  ambient air, surface water, ground
water,  land  surface  or  subsurface  strata),  as the same may be  amended  or
modified, including, without limitation, the statutes listed below:

     Federal Resources Conservation and Recovery Act of 1976, 42 U.S.C.ss. 6901,
et  seq.  

     Federal  Comprehensive  Environmental Response, Compensation, and
Liability Act of 1980, 42 U.S.C. ss. 9601, et seq.  

     Federal Clean Air Act, 42 U.S.C. ss. 7401, et seq.  

     Federal Water Pollution Control Act, Federal Clean
Water Act of 1977, 33 U.S.C. ss. 1251, et seq. 

     Federal Insecticide, Fungicide, and Rodenticide  Act, Federal Pesticide
 Act of 1978, 7 U.S.C.ss. 136, et seq.
     
     Federal Hazardous Materials Transportation Act, 48 U.S.C. ss. 1801, 
et seq. 

     Federal Toxic Substances Control Act, 15 U.S.C. ss. 2601, et seq. 

     Federal Safe Drinking Water Act, 42 U.S.C.  ss. 300f, et seq. 

     HRT COMMON STOCK shall mean the
shares  of  common  stock,  $.01 par value per  share,  of HRT.  HRT  Disclosure
Schedule shall mean that certain disclosure  document referred to in Section 4.1
hereof.

     HRT MERGER SHARES shall mean the shares of HRT Common Stock to be delivered
to the  stockholders of the Company  pursuant to this  Agreement,  including the
Custody Shares.

                                       4
<PAGE>

     HRT SEC DOCUMENTS shall mean each report, schedule,  registration statement
and definitive  proxy statement filed by HRT with the SEC since January 1, 1996,
as such documents have, since the time of their filing, been amended.

     IMPROVEMENTS   shall   mean   all   buildings,   improvements,
structures and Fixtures now or on the Closing Date (as defined below) located on
the  Land,  including,  without  limitation,   landscaping,   parking  lots  and
structures,  roads,  drainage  and all  above  ground  and  underground  utility
structures, equipment systems and other so-called infrastructure improvements.

     INTANGIBLE   PROPERTY   shall  mean  all   Permits  and  other
intangible  property or any interest therein now or on the Closing Date owned or
held by the  Company  in  connection  with the  Land,  the  Improvements  or the
Fixtures,  or any  business or  businesses  now or  hereafter  conducted  by the
Company or any Tenant  thereon or with the use  thereof,  including  all leases,
contract rights, agreements, trade names, water rights and reservations,  zoning
rights,   business   licenses  and  warranties   (including  those  relating  to
construction  or  fabrication)  related  to the Land,  the  Improvements  or the
Fixtures, or any part thereof.

     INTELLECTUAL  PROPERTY  ASSETS shall mean the following to the
extent they are owned,  used,  or licensed  (as  licensee  or  licensor)  by the
Company:

          (i)  The  Company's  name,  all  fictional  business
          names, registered and unregistered trade names, registered and
          unregistered   trademarks,   service   marks,   d/b/a   names,
          applications, and notices of allowance;

          (ii)    All patents and patent applications;

          (iii) All  copyrights,  and copyright  registrations
          and  applications,  in both  published  works and  unpublished
          works that are material to the Company's business;

          (iv)    All rights in mask works; and

          (v)  All  know-how,   trade  secrets,   confidential
          information,    software,   technical   information,   process
          technology,  inventions, processes, formulae, plans, drawings,
          and blue prints.

     INTERIM BALANCE SHEEt shall have the meaning set forth in Section 2.9.

     KNOWLEDGE shall mean the actual knowledge of a party including
(i) receipt of written  notice by such party or (ii)  knowledged  learned  after
inquiry of the directors,  officers and employees of such party,  but not of the
stockholders of such party in their respective capacity as stockholders.

                                       5
<PAGE>

     LAND shall mean the real property more particularly described on Exhibit C,
attached hereto and made a part hereof,  together with all covenants,  licenses,
privileges and benefits  thereto  belonging,  and any easements,  rights-of-way,
rights of ingress or egress or other interests in, on, or to any land,  highway,
street, road or avenue, open or proposed,  in, on, across, in front of, abutting
or adjoining such real property including,  without  limitation,  any strips and
gores  adjacent to or lying  between such real  property  and any adjacent  real
property

     LEASE  AGREEMENTS  shall mean those certain  lease  agreements
with respect to the Clinic Space to be entered into between  Acquisition Sub, as
lessor,  and Lewis-Gale  Clinic,  LLC, as lessee,  which lease  agreements shall
contain terms of at least 15 years,  CPI  adjustments,  and expense  stops,  and
rents as set forth on  Exhibit  F  attached  hereto,  and such  other  usual and
customary terms found in commercial leases of this nature.

     LEASE  ADMINISTRATION  AGREEMENT shall mean that certain Lease
Administration  Agreement  to  be  entered  into  between  Acquisition  Sub  and
Lewis-Gale  Clinic,  LLC with respect to the Lease Agreements  pertaining to the
Clinic Space.

     LEGAL  REQUIREMENT shall have the meaning set forth in Section 2.5.

     MERGER  shall  mean the  merger of the  Company  with and into
Acquisition  Sub in  accordance  with  the  Virginia  Stock  Corporation  Act as
provided in this Agreement and the Articles of Merger.

     MERGER CONSIDERATION shall mean the HRT Merger Shares together with any 
cash  payments  in lieu of  fractional  shares as  provided  in Section
1.6(d) hereof.

     NON-CLINIC  SPACE shall mean any portion of the Property other than Clinic
 Space.

     PERMITS shall mean all permits, licenses, approvals, entitlements and other
governmental   and   quasi-governmental    authorizations   including,   without
limitation,  certificates of occupancy or need,  required in connection with the
ownership, planning, development, construction, use, operation or maintenance of
the Property  (but  excluding  the  Company's  operating  permits,  licenses and
certificates  of need).  As used herein,  quasi-governmental  shall  include the
providers of all utilities services to the Property.

     PERMITTED  EXCEPTIONS  shall  mean  the  title exceptions  or defects which
have been approved in writing by HRT.

     PERSONAL  PROPERTY  shall mean all  Intangible  Property,  Warranties,  and
Engineering Documents, all machinery, furnishings,  equipment, tools, machinery,
                                      
                                    6
<PAGE>
fixtures, computers,  appliances and all other tangible personal property, other
than the  Fixtures,  now or on the Closing  Date located on or about the Land or
Improvements or used in connection with the Company's  business or the Property,
which is owned by the Company (specifically excluding computer equipment,  food,
linens, clothing, medical records, vehicles and other personal property owned by
Tenants and personal property owned by patients and employees of Tenants).


     PROPERTY shall mean,  collectively,  the Land and all rights, titles, and
appurtenant  interests,  the Credit Enhancements,  the Business Agreements, the
Improvements,  the Fixtures, the Personal Property, the Intangible Property, the
Engineering  Documents,  and  the  Tenant  Leases.  As  used  in the  foregoing,
appurtenant  interests shall mean those interests which pass by operation of law
with the conveyance of the fee simple estate in the Land and Improvements.
                  
     REAL PROPERTY shall mean the Land, the Improvements and the Fixtures.

     REVIEW PERIOD shall mean a period  commencing on the date of this Agreement
and ending 30 days from the date of HRT's  receipt of the last of the  following
documents:  Due Diligence  Materials,  Title  Commitment,  Exception  Documents,
Search Reports and Survey.

     S-4 REGISTRATION STATEMENT shall have the meaning set forth in
Section 10.1.

     SEARCH  REPORTS  shall  mean  reports  of  searches  made  of  the  Uniform
Commercial  Code Records of the  jurisdiction  in which the Property is located,
and of the State  Corporation  Commission  of  Virginia,  which  searches  shall
reflect  that none of the  Property  is  encumbered  by liens  other  than liens
disclosed to HRT herein.  The Search Reports shall be updated,  at the Company's
expense, at or within one week prior to the Closing Date.

     SEC shall mean the United States Securities and Exchange Commission.

     SECURITIES  ACT  shall  mean the  Securities Act of 1933, as amended.

     SURVEY  shall  mean a  current  as-built  ALTA  survey,  certified  to ALTA
requirements, prepared by an engineer or surveyor licensed in the State in which
the  Land is  located  acceptable  to HRT,  which  shall:  (a)  include  a legal
description  of the Land by metes and bounds (which shall include a reference to
the recorded plat, if any), and a computation of the area comprising the Land in
both acre, gross square feet and net square feet (to the nearest  one-thousandth
of said respective measurement); (b) accurately show the location on the Land of
all  Improvements,  building and setback  lines,  fences,  evidence of abandoned
fences,  ponds, creeks,  streams,  rivers,  officially designated 100-year flood
plains and flood prone areas, canals, ditches,  easements,  roads, rights-of-way
and  encroachments;  (c) be  certified  to  HRT,  the  Title  Company,  and  any
third-party  lender designated by HRT; (d) legibly identify any and all recorded
matters shown on said survey by appropriate volume and page recording references
with dates of  recording  noted and the survey  shall show the  location  of all
                                  
                                   7
<PAGE>
adjoining streets;  and (e) be satisfactory to the Title Company so as to permit
it to amend the standard exception for area and boundaries in the Title Policy.

     TAXES shall mean all taxes, assessments and charges imposed by any federal,
state,  local or foreign  taxing  authority, including  interest, penalties and
additions thereto.

     TENANT  shall mean the lessees or tenants under the Tenant Leases, if any.

     TENANT  LEASES  shall mean all  subleases,  if any,  under the
Lease  Agreements  for  the  Clinic  Space,  and  all  other  leases  or  rental
agreements,  if any (written or verbal, now or hereafter in effect) that grant a
possessory  interest  in and to any space,  including  the Clinic  Space and the
Non-Clinic  Space, in the Improvements or that otherwise have rights with regard
to the use of the Land or  Improvements,  and all  security  deposits  or Credit
Enhancements, if any, held in connection therewith.

     TITLE  COMMITMENt  shall  mean a  current  commitment  issued  by the Title
Company to the HRT pursuant to the terms of which the Title Company shall commit
to issue  the Title  Policy to HRT in  accordance  with the  provisions  of this
Agreement,  and  reflecting  all matters  which would be listed as exceptions to
coverage  on the  Title  Policy.  

     TITLE  COMPANY  shall  mean a title  insurance company, licensed in the 
Commonwealth of Virginia, acceptable to HRT.
                  
     TITLE  POLICY  shall mean an ALTA  Extended  Coverage Owner's Policy of 
Title  Insurance  (1970 Form B - 1987  revision),  together  with such
endorsements thereto as are reasonably and customarily required by institutional
purchasers  of real  property  similar to the  Property,  with  liability in the
amount of the Value of the Company,  dated as of the Closing Date, issued by the
Title  Company,  insuring title to the fee interest in the Real Property in HRT,
subject only to the Permitted  Exceptions  (as  hereinafter  defined) and to the
standard printed exceptions  included in the ALTA standard form owner's extended
coverage policy of title insurance,  with the following  modifications:  (a) the
exception for areas and  boundaries  shall be deleted;  (b) the exception for ad
valorem taxes shall reflect only taxes for the current and subsequent years; (c)
any exception as to parties in possession  shall be limited to rights of tenants
in possession,  as tenants only, pursuant to each Lease Agreement and the Tenant
Leases;  (d) there  shall be no  general  exception  for  visible  and  apparent
easements or roads and highways or similar items (with any exception for visible
and apparent easements or roads and highways or similar items to be specifically
referenced  to and  shown  on the  Survey  and  also  identified  by  applicable
recording  information);  and (e) all  other  exceptions  shall be  modified  or
endorsed in a manner acceptable to HRT.

     TRANSACTION DOCUMENTS shall mean this Agreement and all other documents 
and agreements to be executed and delivered by a party hereunder.

                                       8
<PAGE>

     VALUE OF THE COMPANY shall mean the value  determined  in  accordance  with
Exhibit B attached hereto;  provided,  however,  that immediately  preceding the
Closing,  Exhibit B shall be adjusted to reflect the Company's  financial status
as of the Effective Time.

     VIOLATION shall have the meaning set forth in Section 2.4.

     WARRANTIES shall mean all warranties,  representations  and guaranties with
respect to the Property,  whether express or implied, which Company now holds or
under which Company is the beneficiary,  including,  without limitation,  all of
the  representations,  warranties  and guaranties  given and/or  assigned to the
Company under the Guaranty Agreement or the Tenant Leases.

                                    ARTICLE I                 

                                   THE MERGER

     1.1. THE MERGER. Subject to the terms and conditions of this Agreement,  at
the Effective  Time (as defined below) the Company shall be merged with and into
Acquisition Sub and the separate existence of the Company shall thereupon cease,
in accordance with the applicable  provisions of the Virginia Stock  Corporation
Act of the  Commonwealth  of  Virginia.  Acquisition  Sub will be the  surviving
corporation  in the Merger and will  continue  to be governed by the laws of the
Commonwealth of Virginia,  and the separate  corporate  existence of Acquisition
Sub and all of its rights and  liabilities as a corporation  organized under the
laws of the Commonwealth of Virginia will continue unaffected by the Merger.

     1.2. THE CLOSING.  The delivery by HRT, Acquisition Sub, and the Company of
the various instruments and documents which this Agreement contemplates shall be
so  delivered  immediately  prior  to the  Effective  Time of the  Merger  shall
constitute the Closing. The Closing shall take place at the offices of HRT, 3310
West End Avenue,  Nashville,  Tennessee,  at 10:00 a.m., local time, on the next
business day (or as soon  thereafter  as  practicable)  after the meeting of the
Company's  stockholders  referred to in Section 10.3, or at such other place and
date as the parties fix by mutual consent (the Closing Date).  Contemporaneously
with the Closing, a fully executed copy of the Articles of Merger shall be filed
with the Virginia  State  Corporation  Commission.  Subject to and in accordance
with the laws of the Commonwealth of Virginia,  the Merger will become effective
at the date and time the  Articles of Merger are filed with the  Virginia  State
Corporation  Commission  or such later time or date as may be  specified  in the
Articles of Merger (the Effective Time).

     1.3.  THE  SURVIVING   CORPORATION.   The  Articles  of   Incorporation  of
Acquisition  Sub as in effect  immediately  prior to the Effective Time shall be
the Articles of Incorporation  of Acquisition Sub, as the surviving  corporation
of the Merger, on and after the Effective Time. The Bylaws of Acquisition Sub as
                                      
                                        9
<PAGE>
in  effect  immediately  prior to the  Effective  Time  shall be the  Bylaws  of
Acquisition  Sub, as the surviving  corporation of the Merger,  on and after the
Effective  Time.  From and after the Effective  Time,  the Board of Directors of
Acquisition  Sub as in effect  immediately  prior to the Effective Time shall be
the Board of Directors of Acquisition  Sub, as the surviving  corporation of the
Merger, on and after the Effective Time.



     1.4.  CONVERSION OF SHARES.   

     (a) At the  Effective  Time, by virtue of the Merger and without any action
on the part of any holder of any capital stock of  Acquisition  Sub, each issued
and  outstanding  share  of  common  stock of  Acquisition  Sub  shall  continue
unchanged and remain  outstanding as a share of common stock of Acquisition  Sub
as the surviving corporation.

     (b) At the  Effective  Time, by virtue of the Merger and without any action
on the part of any holder of any  capital  stock of the  Company,  each share of
Company Stock, other than Company Dissenting Shares,  shall,  subject to Section
1.6(d) below,  be converted  into,  and become  exchangeable  for, the number of
shares of HRT Common Stock determined by the Conversion Ratio.

     1.5.  TAX  CUSTODY. At the Closing, HRT shall issue and retain, in custody,
the Custody Shares pursuant to a Custody Agreement in the form attached hereto 
as Exhibit D.

     1.6.  EXCHANGE OF STOCK CERTIFICATES.

     (a) On or prior to the Closing Date, HRT shall direct the Exchange Agent to
issue the certificates representing the HRT Merger Shares required to effect the
exchange  referred to in Section  1.4.  HRT shall also deposit with the Exchange
Agent the cash required to make the cash  payments in lieu of fractional  shares
referred to in Section 1.6(d) below.  The HRT Merger Shares into which shares of
Company  Stock  shall be  converted  in the Merger  shall be deemed to have been
issued at the Effective Time.

     (b)  From  and  after  the  Effective   Time,  each  holder  of  a  Company
Certificate,  other than Company Dissenting Shares, shall be entitled to receive
in exchange  therefor,  upon surrender  thereof to the Exchange Agent  (together
with representations reasonably required by HRT that the party surrendering such
shares has good and marketable  title to such shares free of all restrictions on
transfers  (other than those imposed by the Securities  Act and applicable  blue
sky laws), liens,  encumbrances and security interests, and claims whatsoever) a
certificate  or  certificates  representing  the  number of whole  shares of HRT
Common Stock into which such  holder's  shares of Company  Stock were  converted
pursuant  to Section 1.4 and cash in lieu of any  fractional  shares of such HRT
Common Stock pursuant to Section 1.6(d).  From and after the Effective Time, HRT
shall be  entitled  to treat the  Company  Certificates  which have not yet been
surrendered  for  exchange as  evidencing  the  ownership  of the number of full
shares  of  HRT  Common  Stock  into  which  the  shares  of the  Company  Stock
represented by such certificates  shall have been converted  pursuant to Section

                                       10
<PAGE>
1.4,  notwithstanding  the  failure to  surrender  such  certificates.  However,
notwithstanding  any  other  provision  of  this  Agreement,  until  holders  or
transferees  of Company  certificates  have  surrendered  them for  exchange  as
provided  herein,  no  dividends  shall  be  paid  with  respect  to any  shares
represented by such Company  Certificates  and no payment for fractional  shares
shall be made. Upon surrender of a Company  Certificate,  there shall be paid to
the holder of such  certificate  the amount of any dividends  which  theretofore
became payable, but which were not paid by reason of the foregoing, with respect
to the number of whole shares of HRT Common Stock represented by the certificate
issued upon such surrender. If any certificate for shares of HRT Common Stock is
to be  issued  in a name  other  than  that in  which  the  Company  Certificate
surrendered in exchange therefor is registered,  it shall be a condition of such
exchange  that the person  requesting  such  exchange  shall pay any transfer or
other taxes required by reason of the issuance of  certificates  for such shares
of HRT Common  Stock in a name other than that of the  registered  holder of any
such Company Certificate surrendered.

     (c) As soon as  practicable  after the Effective  Time,  the Exchange Agent
shall mail to each holder of record of a Company  Certificate  (i) a form letter
of transmittal (which shall specify that delivery shall be effected, and risk of
loss and title to the Company  Certificate shall pass, only upon actual delivery
of the Company  Certificate to the Exchange Agent), (ii) instructions for use in
effecting the surrender of the Company Certificate in exchange for a certificate
representing  shares of HRT Common  Stock,  and (iii) the form of letter to make
the  required  representations  as to title  of the  Company  Certificate.  Upon
surrender of the Company  Certificate  for  cancellation  to the Exchange Agent,
together with a duly executed  letter of transmittal and such other documents as
the Exchange Agent shall require,  the holder of such Company  Certificate shall
be entitled  to receive in exchange  therefor a  certificate  representing  that
number of whole  shares of HRT  Common  Stock  into  which the shares of Company
Stock  represented by the Company  Certificate  so  surrendered  shall have been
converted pursuant to the provisions of Section 1.4, and the Company Certificate
so surrendered shall be cancelled.  Notwithstanding  the foregoing,  neither the
Exchange  Agent  nor any party  hereto  shall be liable to a holder of shares of
Company  Stock for any shares of HRT Common Stock or dividends or  distributions
thereon delivered to a public official pursuant to applicable escheat laws.

     (d)  Notwithstanding  any other provision of this Agreement or the Articles
of Merger,  no certificates  or scrip for fractional  shares of HRT Common Stock
shall be issued upon the  surrender  for  exchange  of any  Company  Certificate
pursuant to this Article I in the Merger and no HRT Common Stock dividend, stock
split or interest shall relate to any fractional  security,  and such fractional
interests  shall not entitle the owner thereof to vote or to any other rights of
a security holder. In lieu of any such fractional shares, each holder of Company
Stock who would  otherwise  have been  entitled  to a fraction of a share of HRT
Common Stock upon surrender of the Company  Certificate for exchange pursuant to
this Article I hereof,  shall be entitled to receive  from the Exchange  Agent a
cash payment in lieu of such fractional share equal to such fraction  multiplied
by the Closing Price.

                                       11
<PAGE>

     1.7. DISSENTING SHARES.  Notwithstanding anything to the contrary contained
in this  Agreement  or the  Articles  of Merger,  holders of Company  Dissenting
Shares shall not be entitled to shares of HRT Common  Stock  pursuant to Section
1.4,  unless and until the holder  thereof shall have failed to perfect or shall
have  effectively  withdrawn  or lost such  holder's  right to dissent  from the
Merger  under the  Virginia  Stock  Corporation  Act,  and shall be  entitled to
receive only the payment provided for pursuant to the Virginia Stock Corporation
Act. If any such holder  shall have failed to perfect or shall have  effectively
withdrawn or lost such  holder's  dissenters'  rights  under the Virginia  Stock
Corporation  Act, such holder's  Company  Dissenting  Shares shall  thereupon be
deemed to have been  converted into and to have become  exchangeable  for, as of
the Effective Time, the right to receive the Merger Consideration.

     1.8.  CLOSING OF TRANSFER  BOOKS. From and after the Effective Time, the
stock transfer books of the Company shall be closed and no transfer of shares of
the Company Stock shall  thereafter be made.  If, after the Effective  Time, any
Company Certificates are presented to HRT, they shall be cancelled and exchanged
for Merger  Consideration  in accordance  with the  procedures set forth in this
Article I.


                                   ARTICLE II                               

                  REPRESENTATIONS AND WARRANTIES OF THE COMPANY

     2.1. GENERAL  STATEMENT. The Company represents and warrants to HRT and
Acquisition Sub that to the Knowledge of the Company the statements contained in
this  Article II are correct and complete as of the date of this  Agreement  and
will be correct  and  complete on and as of the Closing (as though made then and
as though  the  Closing  Date were  substituted  for the date of this  Agreement
throughout  this  Article  II),  except as set forth in the  Company  Disclosure
Schedule   delivered   by  the  Company  to  HRT.   The  survival  of  all  such
representations and warranties shall be in accordance with Section 9.1 hereof.

     2.2. ORGANIZATION AND STANDING OF THE COMPANY. The Company is a corporation
duly  organized,  validly  existing,  and in good standing under the laws of the
Commonwealth of Virginia,  with corporate power to own property and carry on its
business as it is now being  conducted.  Copies of the Articles of Incorporation
of  the  Company,  certified  as of a  recent  date  by  the  State  Corporation
Commission  of Virginia and  delivered to HRT,  are complete and  accurate.  The
Company is not  required  to be  qualified  to  transact  business  as a foreign
corporation in any  jurisdiction  other than the  Commonwealth of Virginia.  The
Company has no subsidiaries nor any interest in any other corporation,  firm, or
partnership.

     2.3. AUTHORIZATION  OF THE  TRANSACTION.  The  Company  has all  requisite
corporate  power and  authority  to enter into the  Transaction  Documents  and,
subject to approval of this  Agreement by the  stockholders  of the Company,  to
consummate the transactions  contemplated thereby. The Board of Directors of the

                                       12
<PAGE>

Company, by the unanimous vote of all directors present, has approved the Merger
and the  Transaction  Documents and determined that the Merger is fair to and in
the best  interests of the Company's  stockholders  and has adopted  resolutions
recommending  approval and adoption of the Merger and the Transaction  Documents
by the stockholders of the Company.  No other corporate or legal  proceedings on
the part of the Company, other than the approval of the Company's  stockholders,
are  necessary  to approve  and  authorize  the  execution  and  delivery of the
Transaction  Documents and the  consummation  of the  transactions  contemplated
thereby.


     2.4. VALID AND BINDING AGREEMENT.This Agreement has been and,on the Closing
Date, the Transaction  Documents will have been,  duly and validly  executed and
delivered  by the  Company  and,  subject to such  approval  of the  Transaction
Documents  by the  stockholders  of the Company,  this  Agreement is and, on the
Closing Date, each Transaction  Document will be, a valid and binding obligation
of the Company enforceable in accordance with its terms.

     2.5. NO CONFLICT. Neither the execution and delivery by the Company of the
Transaction  Documents nor the  consummation  of the  transactions  contemplated
thereby nor compliance with any of the provisions of the  Transaction  Documents
will (i) conflict with or result in a breach of any provision of the Articles of
Incorporation or By-Laws of the Company,  (ii),  except as described in Schedule
2.5,  violate,  or conflict  with, or result in a breach of any provision of, or
constitute  a default (or an event  which,  with notice or lapse of time or both
would constitute a default) under, or result in the termination or in a right of
termination or cancellation  of, or accelerate the  performance  required by, or
result in the creation of any lien,  security  interest,  charge or  encumbrance
upon any of the  properties  of the  Company or result in being  declared  void,
voidable,   without  further   binding  effect,   or  subject  to  amendment  or
modification  any of the terms,  conditions or provisions of, any material note,
bond, mortgage,  indenture,  deed of trust, or any material license,  franchise,
permit, lease, contract, agreement or other material instrument or commitment or
obligation  pertaining  to the  business  conducted  by the Company to which the
Company or any of its  properties  may be bound or affected,  (iii)  violate any
law,  statute,  order,  writ,  injunction,   decree,  judgment,   ruling,  rule,
regulation, policy, treaty, directive, convention, interpretation, guideline, or
judgment of any federal, state, local or foreign court or governmental authority
(a Legal  Requirement)  applicable to the Company or any of its  properties,  or
(iv) except as  described  in Schedule  2.5,  require any  consent,  approval or
authorization of, or notice to, or declaration, filing or registration with, any
governmental or regulatory authority.

     2.6. REQUIRED  CONSENTS.  Except as described in Schedule 2.6, neither the
Company  nor any of its  stockholders  is a party to or  bound by any  mortgage,
lien,  deed of trust,  or any material  lease,  agreement or instrument,  or any
statute,  order,  judgment or decree pertaining to the business conducted by the
Company  which would  require the  consent of another to the  execution  of this
Agreement  or  prohibit  or  require  the  consent  of  another  to,  any of the
transactions referred to in or contemplated by the Transaction Documents.


                                       13
<PAGE>

     2.7. CAPITALIZATION. The Company has an authorized capitalization of 50,000
shares of common stock,  all of one class of the par value of $15 per share, and
as of the date of this  Agreement,  18,510  shares are  issued and  outstanding,
fully paid, and nonassessable. There are no outstanding subscriptions,  options,
contracts,  commitments,  preemptive  rights,  securities  convertible  into  or
exchangeable for shares of Common Stock, agreements, or demands of any character
relating to the  authorized  but unissued  stock of the Company  under which the
Company  would be obligated to issue or purchase,  reacquire or redeem shares of
its capital stock.

     2.8.  NO  VIOLATION  OR  DEFAULT.  (a)  Neither  the Company nor any of its
officers,  directors or employees  (because of any such  person's  activities on
behalf of the Company) is in violation of, or under  investigation  with respect
to, or has been charged with or given notice of any violation of, any applicable
Legal  Requirement  which could have a material  adverse  effect on the business
conducted by the Company, nor is there any basis therefor. The Company has filed
with the proper  authorities  all statements  and reports  required by the laws,
regulations,  licensing  requirements,  and  orders  to  which  it or any of its
officers,  directors or employees  (because of any such  person's  activities on
behalf of the  Company)  is  subject,  the  failure to file  which  could have a
material adverse effect on the business conducted by the Company.

     (b) Except as  described  in chedule  2.8,  the  ompany has  performed  all
material  obligations  required to be performed by it, and the Company is not in
default (and no event has occurred which, with the passage of time or the giving
of notice,  or both,  would constitute a default) with respect to any obligation
to be performed under any material  agreement or arrangement to which the assets
of the  Company  are  subject,  nor is there  any claim of such  default,  which
default or its  consequences  might  materially  adversely  affect the  business
conducted by the Company or financial condition of the Company.

     2.9. FINANCIAL  STATEMENTS. Set forth as Schedule 2.9 are true, correct and
complete copies of the following: (i) the audited balance sheets of the Company,
including the notes  thereto,  as of June 30, 1993 through  1995,  respectively,
(ii) the audited statements of income,  changes in stockholders' equity and cash
flow of the Company,  including in each case the notes thereto and the report of
the Company's  independent  certified public accountants  thereon, for the years
ended June 30, 1993 through 1995,  respectively,  and (ii) the unaudited balance
sheet of the Company as of June 30, 1996 (the Interim Balance Sheet),  including
the related  statements of income and changes in  stockholders'  equity and cash
flow of the Company for the 12 months  ended June 30,  1996,  including  in each
case the notes thereto.  (All of the financial  statements  referred to above in
this  Section  2.9  are  hereinafter  collectively  referred  to as the  Company
Financial  Statements.) The Company Financial Statements have been prepared from
and are in  accordance  with the books and  records  of the  Company,  are true,
complete and accurate,  and fairly  present the financial  position,  results of
operations and changes in financial position as of the dates and for the periods
indicated,  in each  case  in  accordance  with  generally  accepted  accounting
principles  consistently  applied,  subject,  in the case of  interim  financial
statements,  to normal recurring year-end  adjustments (the effect of which will


                                       14
<PAGE>

not,  individually  or in the  aggregate,  be materially  adverse).  The Company
Financial  Statements do not contain any statement  which is false or misleading
with respect to any material fact or omit to state any material fact required to
be stated  therein or  necessary  in order to make the  statements  therein  not
misleading.  Schedule 2.9 contains a true and correct  schedule which  describes
all of the  prepaid  items and  deposits  of the  Company  as of the date of the
Interim Balance Sheet.


     2.10. BOOKS AND RECORDS. The  books of account,  minute books, stock record
books and other records of the Company, all of which have been made available to
HRT, are complete and correct and have been  maintained in  accordance  with the
sound  business  practices  and the  requirements  of  Section  13(b)(2)  of the
Securities  Exchange  Act of 1934  (regardless  of whether or not the Company is
subject to that Section),  including,  but not limited to, the maintenance of an
adequate  system of internal  controls.  The minute books of the Company contain
accurate and  complete  records of all meetings  held of, and  corporate  action
taken by, the  stockholders,  the board of directors and committees of the board
of directors of the Company and no meetings of any such  stockholders,  board of
directors or  committees  has been held for which minutes have not been prepared
and are not contained in such minute books.  At the Closing,  all of those books
and records will be in the possession of HRT. The Company has furnished HRT with
any annual management  letters from the Company's  independent  certified public
accountants  for each of the last three years to the extent such letters address
the business conducted by the Company.

     2.11. CONTRACTS; NO DEFAULTS.(a) Schedule 2.11 lists,  and the Company has
delivered  to HRT copies of, all  material  contracts  to which the Company is a
party or by which the Company is bound. Schedule 2.11 also sets forth reasonably
complete details concerning such contracts,  including,  among other things, the
parties to the contracts,  the amount of the remaining commitment of the Company
thereunder.

     (b) Except as described in Schedule  2.11,  all of the contracts  listed in
pursuant to  paragraph  (a) hereof are in full force and  effect,  are valid and
enforceable in accordance with their terms, and no condition exists or event has
occurred which, with notice or lapse of time or both, would constitute a default
or  a  basis  for  force   majeure  or  other  claim  of   excusable   delay  or
non-performance  thereunder.  All parties  with which the  Company has  material
contractual  arrangements  in respect of the  business  conducted by the Company
are, to the Knowledge of the Company,  in substantial  compliance  therewith and
are not in default (and no event has occurred which, with the passage of time or
the giving of notice,  or both would  constitute a default)  thereunder.  To the
best  knowledge of the Company,  the terms and  conditions of all such contracts
are  reasonable  and customary in the industries and trades in which the Company
operates, and there are no extraordinary terms contained therein.

     (c)  There  are no  renegotiations  of,  or  attempts  to  renegotiate,  or
outstanding  rights to renegotiate,  any material amounts paid or payable to the
Company  under  current  or  completed  contracts  with any  person  having  the
contractual or statutory right to demand or require such  renegotiation.  To the
Knowledge  of the  Company,  no such  person  has made  written  demand for such
renegotiation.

                                       15
<PAGE>

      2.12. The Property. 

     (a) The Company, at the Closing, has and following the Merger,  Acquisition
Sub will  have,  good,  marketable  and  insurable  title to all of its  assets,
including the Property, free and clear of any deeds of trust,  mortgages,  liens
(other than the lien for ad valorem taxes for the current year,  not yet due and
payable),   encumbrances,   leases,  tenancies,   licenses,  chattel  mortgages,
conditional  sales  agreements,  security  interests,   covenants,   conditions,
restrictions,  judgments, rights-of-way,  easements, encroachments and any other
matters  affecting  title or use of all of its assets,  including  the Property,
except Permitted Exceptions.

     (b) There are no adverse or other  parties in possession of the Property or
of any part  thereof  except the Company and  Tenants,  if any,  under valid and
effective Tenant Leases.  No party has been granted any license,  lease or other
right  relating to the use or possession of the Property,  except  Tenants under
Tenant Leases.

     (c) Each Tenant Lease is in full force and effect and has not been amended,
modified,  supplemented  or terminated in any way that has not been disclosed to
HRT in writing.  The Tenant Leases constitute all written and oral agreements of
any kind for the leasing, rental or occupancy of any portion of the Property. No
default or breach on the part of the  landlord or Tenant,  if any,  exists under
any of the  Tenant  Leases nor will any exist as of the  Closing.  All rents due
under the leases have not been reduced, modified or forgiven in any way and have
been  timely  paid.  All  Tenant  improvements,   repairs  and  other  work  and
obligations, if any, then required to be performed by the landlord under each of
the Tenant  Leases will be fully  performed  and paid for in full on or prior to
the Closing.  The Company has not accepted the payment of rent or other sums due
under any of the Tenant Leases for more than one month in advance.

     (d) As of the Closing,  none of the Tenant  Leases and none of the rents or
other charges payable  thereunder,  if any, will have been assigned,  pledged or
encumbered.

     (e) As of the  Closing,  no  brokerage  or  leasing  commissions  or  other
compensation  will be due or payable to any person,  firm,  corporation or other
entity with respect to, or on account of, any Tenant Lease or any  extensions or
renewals thereof.

     (f) No notice has been received from any insurance  company that has issued
a policy with  respect to any portion of the  Property or from any board of fire
underwriters (or other body exercising similar functions),  claiming any defects
or  deficiencies  or requiring  the  performance  of any repairs,  replacements,
alterations  or other work and as of the  Closing no such  notice will have been
received  which  shall not have been cured.  No notice has been  received by the
Company from any issuing insurance company that any of such policies will not be
renewed,  or will be renewed  only at a higher  premium  rate than is  presently
payable therefor.

                                       16
<PAGE>

     (g) No  pending  condemnation,   eminent  domain,  assessment  or  similar
proceeding or charge  affecting the Property or any portion  thereof  exists and
none will exist as of the Closing Date. The Company has not heretofore  received
any  notice,  and has no  Knowledge,  that  any such  proceeding  or  charge  is
contemplated.  The Company has not received any notice of a proposed increase in
the assessed valuation of the Property.

     (h) All  Improvements  (including  all utilities)  have been  substantially
completed and installed in accordance with the plans and specifications approved
by the governmental  authorities  having  jurisdiction to the extent applicable.
Permanent certificates of occupancy, all licenses,  permits,  authorizations and
approvals required by all governmental authorities having jurisdiction,  and the
requisite  certificates of the local board of fire  underwriters  (or other body
exercising similar functions) have been issued for the Improvements,  and, as of
the  Closing  Date,  all of the  same  will be in full  force  and  effect.  The
Improvements,   as  designed  and   constructed,   comply  with  all   statutes,
restrictions, regulations and ordinances applicable thereto.

     (i) To the best knowledge of the Company,  the existing water,  sewer,  gas
and electricity lines, storm sewer and other utility systems on the Property are
adequate to serve the utility needs of the Property.  All utilities required for
the operation of the Improvements  enter the Property  through  adjoining public
streets or through  adjoining  private land in  accordance  with valid public or
private  easements  that will  inure to the  benefit  of  Acquisition  Sub.  All
approvals,  licenses and permits  required for said utilities have been obtained
and are, and will be as of the Closing  Date,  in force and effect.  All of said
utilities are installed and operating,  all installation and connection  charges
have  been  paid  in  full,  and the  right  to the  return  of any  deposit  or
contribution in connection therewith shall inure to Acquisition Sub.

     (j)  The  location,  construction,  occupancy,  operation  and  use  of the
Property  (including  the  Improvements)  do not  violate  any  applicable  law,
statute, ordinance, rule, regulation, order or determination of any governmental
authority or any board of fire  underwriters  (or other body exercising  similar
functions),  judicial precedent or any restrictive  covenant or deed restriction
(recorded or otherwise)  affecting  the Property or the location,  construction,
occupancy,   operation  or  use  thereof,  including,  without  limitation,  all
applicable zoning ordinances and building codes,  flood disaster laws and health
and environmental laws and regulations.

     (k) To the best knowledge of the Company,  there are no structural  defects
in any of the buildings or other  Improvements  constituting  the Property.  The
Improvements,  all heating, electrical,  plumbing and drainage at, or servicing,
the Property and all  facilities and equipment  relating  thereto are, and as of
the  Closing  will be, in good  condition  and  working  order and  adequate  in
quantity and quality for the normal  operation of the  Property.  No part of the
Property has been destroyed or damaged by fire or other  casualty.  There are no
unsatisfied requests for repairs, restorations or alterations with regard to the
Property from any person, entity or authority,  including but not limited to any
Tenant, lender, insurance provider or governmental authority.

                                       17
<PAGE>

     (l) Except as described in Schedule 2.12(l),  no work has been performed or
is in progress at the Property, and no materials will have been delivered to the
Property that might provide the basis for a mechanic's,  materialman's  or other
lien against the Property or any portion thereof.

     (m)  There  exist no  service  contracts,  management  or other  agreements
applicable to the Property other than those furnished to HRT pursuant to Article
III.  There are no agreements or  understandings  (whether oral or written) with
respect to the Property or any portion thereof, to which the Company is a party,
other than those delivered to HRT pursuant to Article III.

     (n) No default or breach exists, or as of the Closing will exist, under any
of the Business Agreements, or any of the covenants,  conditions,  restrictions,
rights-of-way or easements affecting the Property or any portion thereof.

     (o)  There are no  actions,  suits or  proceedings  pending  or  threatened
against or affecting the Company,  the Property or any portion  thereof,  any of
the Tenant  Leases or  relating to or arising  out of the  ownership,  or by any
federal,  state, county or municipal  department,  commission,  board, bureau or
agency or other governmental instrumentality,  other than those disclosed to HRT
pursuant to Article III. All judicial  proceedings  concerning the Property will
be finally dismissed and terminated prior to the Closing Date.

     (p) The Property has free and unimpeded access to presently existing public
highways and/or roads (either  directly or by way of perpetual  easements);  and
all approvals  necessary therefor have been obtained,  and are and will be as of
the Closing  Date in full force and effect.  No fact or  condition  exists which
would result in the  termination  of the current access from the Property to any
presently  existing  public  highways  and/or roads adjoining or situated on the
Property.

     (q) There are no  attachments,  executions,  assignments for the benefit of
creditors,  or voluntary or  involuntary  proceedings in bankruptcy or under any
other debtor relief laws  contemplated  by or pending or threatened  against the
Company, the Property or any Tenant.

     2.13. ENVIRONMENTAL.  Except as described in Schedule 2.13: (a) the Company
is currently  in full  compliance  with  all  Hazardous  Materials  Laws  which
compliance includes, but is not limited to, the possession by the Company of all
permits  and other  governmental  authorization  required  under  the  Hazardous
Materials  Laws,  and  compliance in all respects with the terms and  conditions
thereof;

     (b) The Company has not stored, disposed of or arranged for disposal of any
Hazardous  Materials  on any of the Real  Property  (consisting  of  owned  Real
Property and leased Real Property), except in full compliance with the Hazardous
Materials Laws;

                                       18
<PAGE>

     (c) The Company has not received any communication  whatsoever  (written or
oral),  whether  from a  governmental  authority,  citizens  group,  employee or
otherwise,  that  alleges  that the Company is not in full  compliance  with the
Hazardous  Materials  Laws,  and there are no  circumstances  that may  prevent,
interfere  with, or make more  expensive the  Company's  full  compliance in the
future.  There is no Environmental Claim pending or threatened against, or which
has been made known to, the Company.

     (d)  Except as  described  in  Schedule  2.13,  during  the period the Real
Property has been held by the Company,  its  affiliates or its  predecessors  in
interest,  there have been no actions,  activities,  circumstances,  conditions,
events or incidents,  including,  without limitation, the generation,  handling,
transportation,  treatment,  storage, release, emission,  discharge, presence or
disposal  of  any  Hazardous  Materials,  that  could  form  the  basis  of  any
Environmental Claim against the Company.

     (e) Without in any way limiting the  generality of the  foregoing,  (i) all
underground  storage tanks, and the capacity,  uses, date of  installation,  and
contents of such tanks,  located on the Real Property are identified in Schedule
2.13,  (ii)  all  underground  storage  tanks  are in full  compliance  with the
Hazardous  Materials  Laws;  (iii) there is no asbestos  contained in or forming
part of any building, building component,  structure or office space of the Real
Property, and (iv) no polychlorinated  biphenyls have been used or stored on the
Real Property.

     2.14.  INSURANCE.  (a)  Schedule  2.14  contains an accurate  and  complete
description of all policies of property,  fire and casualty,  product liability,
workers' compensation, and other forms of insurance owned or held by the Company
relating  to the  Property  and the  business  conducted  by the  Company.  Such
description  provides  reasonably  material  details  concerning  such policies.
Copies of such policies have been delivered to HRT.

     (b) All  policies  described  in  paragraph  (a)  hereof  (i) are issued by
insurance  companies  reasonably believed by the Company to be financially sound
and  reputable,  (ii) are  sufficient  for  material  compliance  with all Legal
Requirements  and  contracts  to which the  Company is a party or by which it is
bound,  (iii) are valid,  outstanding,  and enforceable  policies,  (iv) provide
adequate insurance coverage for the assets and the operations of the Company for
all material risks  normally  insured  against by a person  carrying on the same
business or businesses  as the Company,  and (v) will not in any way be affected
by,  terminate,  or lapse by reason of,  the  transactions  contemplated  by the
Transaction Documents.

     (c) The Company has not  received,  (i) any notice of  cancellation  of any
policy  referred to in paragraph  (a) hereof or refusal of coverage  thereunder,
(ii) any notice  that any issuer of such policy has filed for  protection  under
applicable  bankruptcy laws or is otherwise in the process of liquidating or has
been liquidated,  or (iii) any other indication that such policies are no longer
in full  force or  effect  or that the  issuer  or any such  policy is no longer
willing or able to perform its obligations hereunder.

                                       19
<PAGE>

     2.15. ABSENCE OF UNDISCLOSED LIABILITIES. (a) Except as and to the  extent
reflected  or  specifically  reserved  against  (which  reserves are adequate in
amount) in the  Company  Financial  Statements,  or in the notes to the  Company
Financial Statements for the periods then ended, the Company did not have at the
respective dates of the Company Financial Statements any material liabilities or
obligations of any nature (whether  accrued,  absolute,  contingent or otherwise
and whether due or to become due), except for liabilities which were incurred in
the  ordinary  course of business  consistent  with past  practice and have been
discharged  or paid in full  prior  to the  date  hereof.  Except  for  expenses
incurred in connection  with the  transactions  contemplated  by the Transaction
Documents,  since the date of the  Interim  Balance  Sheet,  the Company has not
incurred any liabilities or obligations (whether accrued,  absolute,  contingent
or otherwise) which (i) were not incurred in the ordinary course of business and
were in excess of $5,000  individually  (counting  liabilities  and  obligations
arising from one  transaction  or a series of  transactions  between the same or
related  parties,  and all periodic  payments under any agreement  providing for
periodic  payments,  as a  single  liability  or  obligation)  or (ii)  were not
incurred in the  ordinary  course of business and were taken  together  with all
other such  liabilities  and  obligations of the Company in excess of $10,000 in
the aggregate, or (iii) have a reasonable probability of resulting in any change
in or  effect  on the  business  of the  Company  that  is,  or with  reasonable
certainty might be, materially adverse to the business conducted by the Company.

     (b) Except as and to the  extent  reflected  or  disclosed  in the  Company
Financial  Statements or incurred  subsequent to the date of the Interim Balance
Sheet, in the ordinary course of business, or liabilities incurred in connection
with the  transactions  contemplated by the Transaction  Documents,  the Company
will not have at the date of the Closing any  liabilities  or obligations of any
nature (whether accrued, absolute, contingent or otherwise and whether due or to
become due) which might have a material adverse effect on the business conducted
by the Company.

     2.16. ABSENCE OF CERTAIN CHANGES. (a) Except as described in Schedule 2.16,
since the date of the Interim Balance Sheet, there has not been any change in or
effect on the  business  operations,  prospects,  assets,  or  condition  of the
Company that is, or might be,  materially  adverse to the business  conducted by
the Company,  and, to the Knowledge of the Company,  no fact or condition exists
or is reasonably  contemplated  or threatened  which the Company  believes has a
reasonable  probability  of resulting in any change in or effect on the business
conducted by the Company that is, or might be, materially adverse.

     (b) Except as  described  in Schedule  2.16,  since the date of the Interim
Balance  Sheet,  the Company has conducted its  businesses  only in the ordinary
course of business and there has not been any:

                                       20
<PAGE>

               (i)  Change  in its authorized  or  issued  capital stock; grant 
of any stock  option or right to purchase  of its shares of capital  stock;
issuance of any security conv into such capital stock; grant of any registration
rights; purchase, redemption,  retirement or other acquisition by the Company of
any shares of any such capital stock;  or declaration or payment of any dividend
or other  distribution  or payment in respect of shares of capital  stock; 
 
               (ii) Amendment to the Company's Articles of Incorporation or 
By-Laws;

               (iii)  Payment or increase by the  Company of any bonuses,  
salaries,  or other  compensation to any director,  officer,  employee,  or
stockholder (except to directors,  officers, or employees in the ordinary course
of  business  consistent  with  past  practice)  or entry  into any  employment,
severance, or similar contract with any director, officer, or employee;
               
               (iv)   Adoption  of,  or  increase  in,  any  profit sharing,  
bonus, deferred  compensation,  savings,  insurance, pension,  retirement,  or 
other  employee  benefit plan for or with any employees of the Company;

               (v)  Damage, destruction, or loss to any  asset or property of 
the Company, whether or not covered by insurance, affecting  materially  and a
dversely the properties, assets,business, financial condition, or prospects of 
the Company,taken as a whole;

              (vi) Entry into, termination, or receipt of notice of termination 
of (i) any joint venture, credit, or similar agreement,  or (ii) any contract or
transaction involving a total remaining commitment by the Company of at least 
$5,000;

               (vii) Sale (other  than sales of inventory  in the ordinary 
course of business), lease, or other disposition of any asset or property of 
the Company or mortgage, pledge, or imposition of any lien or other  encumbrance
on any material asset or property of the Company,including, without limitation, 
the sale, lease, or other disposition of any Intellectual Property Assets;

               (viii) Cancellation or waiver of any claims or rights with a 
value to the Company in excess of $5,000;

               (xi) Conduct of business or entering into any transaction, other
than in the ordinary course of business of the Company

               (x) Material change in the accounting methods followed by the 
Company; and

                                       21
<PAGE>

               (xi) Agreement or understanding, whether or not in writing, to do
any of the foregoing by the Company.

     2.17. LEGAL  PROCEEDINGS,  ETC. Except as described on Schedule 2.17, there
are not now,  and within the past three years  there have not been any  material
claims,  actions or  proceedings  pending,  or, to the Knowledge of the Company,
threatened,  relating to the Property or the  business  conducted by the Company
(or any of the Company's  officers,  directors,  employees or representatives in
connection  with the business  conducted by or any such  person's  activities on
behalf of the Company),  before any court or governmental body, United States or
foreign.  To the  Knowledge  of the Company,  within the past three  years,  the
Company  has  not  been  the  subject  of  any  material  investigation  by  any
governmental  body or agency  thereof in respect of the Property or the business
conducted by the Company.  Schedule 2.17 contains  complete  descriptions of all
complaints  against the Company in pending litigation related to the Property or
the  business  conducted  by the  Company.  There are no such  claims,  actions,
proceedings or investigations pending or, to the Company's Knowledge, threatened
challenging  the validity of the  transactions  contemplated  by the Transaction
Documents.  The Company is not now, and has not been, a party to any injunction,
order, or decree restricting the method of the conduct of the business conducted
by the Company.

     2.18. INTELLECTUAL  PROPERTY.  The Company has no  Intellectual  Property 
Assets which are material to the Company's operations.

     2.19.TAXES. The Company has timely filed all returns,declarations,reports,
information  returns and statements required to be filed by it in respect of any
Taxes and has paid all Taxes  currently  due and payable by it. No notice of any
imposed tax deficiency, assessment or levy has been received by the Company, and
there exists no basis for the assertion or  imposition  of any such  deficiency,
assessment  or levy.  The Company has duly withheld from each payment from which
such  withholding  is  required by law,  the amount of all Taxes  required to be
withheld  therefrom  and has paid the same (to the extent due), or otherwise set
aside, together with the employer's share of the same, if any, to the proper tax
receiving officers.  There are no tax liens on any of the assets of the Company,
and no basis exists for the  imposition  of any such liens.  The Company has not
filed a consent under Code Section 341(f) concerning  collapsible  corporations.
The Company has made no payments,  is not  obligated to make any payments nor is
it a party to any agreement that under certain  circumstances  could obligate it
to make any payments  that will not be deductible  under Code Section 280G.  The
Company has no liability for the Taxes of any person under  Treasury  Regulation
Section 1.1502-6 (or any similar provision of state, local or foreign law), as a
transferee  or  successor,  by contract or  otherwise.  Except as  described  in
Schedule  2.19, no Internal  Revenue  Service audit of the Company is pending or
threatened,  and the results of any completed audit are reflected in the Company
Financial Statements.

     2.20. NO BROKERS OR FINDERS.  All  negotiations  on the part of the Company
related to this Agreement have been  accomplished  solely by the Company without
the assistance of any person employed as a broker or finder. The Company has not
retained,  nor  otherwise  utilized,  the  services  of any  broker or finder in
connection with the transaction  contemplated by this Agreement. The Company has
not done anything to give rise to any valid claims against HRT,  Acquisition Sub
or the Company for a brokerage commission, finder's fee, or any similar charge.

                                       22
<PAGE>

     2.21. EMPLOYEE  MATTERS. The Company has no employees or any  employment,  
bonus, profit-sharing, percentage compensation, deferred compensation,  pension 
contracts and agreements,or any consulting agreements to which the Company is a 
party.

     2.22. LABOR MATTERS.  The Company has no collective  bargaining  agreements
with any labor union and there are no current  negotiations  with a labor union.
The Company is in substantial  compliance  with all applicable  laws  respecting
employment  and  employment  practices,  terms and  conditions of employment and
wages and hours,  and is not engaged in any unfair labor  practice.  The Company
will advise HRT and  Acquisition Sub of any such labor dispute which shall arise
before the Closing.

     2.23. EMPLOYEE BENEFIT PLANS; ERISA. The  Company  does not have any bonus,
deferred  compensation,   hospitalization  or  other  medical,  stock  purchase,
pension,  life  or  other  insurance,   profit-sharing  or  retirement  plan  or
arrangement, and each other employee benefit plan or arrangement, of the Company
for or on behalf of employees  of the Company  employed in  connection  with the
business conducted by the Company.

     2.24. FULL  DISCLOSURE.  As of the Closing  Date,  the  Company  will have
disclosed all events,  conditions,  and facts materially  affecting the business
and  prospects  of the Company.  The Company has not  withheld  knowledge of any
events,  conditions,  and  facts  that it has  reasonable  ground  to  know  may
materially  affect  the  business  and  prospects  of the  Company.  None of the
representations  and  warranties  made by the Company in this  Agreement  or set
forth in any other  instrument  furnished to HRT and/or  Acquisition Sub contain
any untrue statement of a material fact, or fails to state a material fact.

                                   ARTICLE III
                                          
                   ITEMS TO BE FURNISHED TO HRT BY THE COMPANY

     3.1. DOCUMENTS TO BE  DELIVERED. Within 15 days after the date of this 
Agreement,  the Company shall deliver to HRT for its review the following items:

         (a) True, correct, complete and legible copies of all Tenant Leases if 
any, Business Agreements, Warranties, Permits, reports,and Engineering Documents
if any, in the Company's possession or control;

                                       23
<PAGE>

         (b) A true,complete and correct rent roll of all existing Tenant 
Leases, if any,  setting forth with respect to each of the Tenant Leases:  
(i) the premises covered;  (ii) the date of the Tenant Lease and all amendments 
and modifications thereto; (iii) the name of the Tenant,  licensee or occupant; 
(iv) the term; (v) the rents and other charges payable thereunder; (vi) the 
rents or other charges in arrears or prepaid thereunder, if any, and the period 
for which any such  rents and other  charges  are in  arrears  or have been
prepaid; (vii) the nature and amount of the security deposits thereunder; if any
(viii) options to renew or extend  contained in the Tenant Lease;  (ix) any free
rent, concessions,  allowances, rebates or refunds to which the Tenant, licensee
or occupant may have been or be  entitled;  (x)  certification  that no disputes
exist or claims of breach on the part of the Company;  (xi) the status of Tenant
improvements to be performed by the Company;  and (xii) the nature and amount of
any commissions payable with respect thereto;
                  
          (c) True, correct, complete and legible  copies of tax  statements  or
assessments for all real estate and personal property taxes assessed against the
Property for the current and three prior calendar years;

          (d) True,  correct, complete and legible  copies of all Business  
Agreements  to which the Company or the Property are subject;

          (e) True,  correct,  complete and legible copies of all existing fire 
and extended coverage insurance policies and any other insurance policies 
pertaining to the Property;

          (f) A complete, itemized and detailed inventory of the Personal 
Property;

          (g) True,  correct,  complete and legible copies of all instruments  
evidencing,  governing or securing the payment of any loans secured by the 
Property or related thereto;

          (h) A complete and detailed  description  of all machinery, tools and 
equipment, in which the Company has a leasehold interest, with a description of 
each interest;

          (i) List of all employees  of the  Company  as of the date of this  
Agreement,  their  job  titles,  annual  rates  of  compensation,  accrued
vacation,  holiday pay and sick leave as of the Closing  Date,  and other fringe
benefits,  if any, and a description of any severance pay arrangements,  if any,
and the amounts  payable with respect to such accrued  vacation,  holiday pay or
sick leave and the rate at which such  accrued  vacation,  holiday  pay and sick
leave accrues;

          (j) A list of all bank accounts of the Company;

          (k) A Phase I Environmental  Assessment  dated no earlier than
January 1, 1996, together with true, correct, complete and legible copies of any
and all other environmental  studies or impact reports relating to the Property,
if any, in the Company's possession or control,  and any approvals,  conditions,
orders or declarations  issued by any  governmental  authority  relating thereto
(such  studies  and  reports  shall  include,  but not be  limited  to,  reports
indicating  whether  the  Property  is or has  been  contaminated  by  Hazardous
Materials;

                                       24
<PAGE>

          (l) True, correct,  complete and legible copies of any and all
litigation files with respect to any pending  litigation and claim files for any
claims made or threatened,  the outcome of which might have an adverse effect on
the Property or the use and operation of the Property. The Company may make such
files available for inspection and copying by HRT at the Property;

          (m) Legible  copies of any survey and title  policy  relating to the  
Property  existing in the possession of the Company as of the date of execution 
of this Agreement; and

         (n) The Company  Disclosure  Schedule, which shall be attached  hereto 
as an exhibit and incorporated herein by reference.

     3.2.  REVIEW BY HRT.  During the Review  Period,  HRT shall be  entitled to
review the Due Diligence  Materials  delivered by the Company to HRT pursuant to
the provisions of Section 3.1 above. If HRT shall,  for any reason in HRT's sole
discretion,   judgment  and  opinion  reasonably  exercised,  disapprove  or  be
dissatisfied  with any aspect of such  information,  or the  Property,  then HRT
shall be entitled to terminate  this  Agreement by giving written notice thereof
to the Company on or before the expiration of the Review Period,  whereupon this
Agreement  shall  automatically  be  terminated  and have no  further  force and
effect,  and  thereafter  no  party to this  Agreement  shall  have any  further
obligations  or  liabilities  to the  other  hereunder,  except  as set forth in
Section 12.2 hereof.  Alternatively,  HRT may give written  notice setting forth
any defect,  deficiency  or  encumbrance  and  specify a time  within  which the
Company may remedy or cure such default  (before or after the  expiration of the
Review Period).  If any defect,  deficiency or encumbrance,  so noticed,  is not
satisfied  or resolved  to the  satisfaction  of HRT, in HRT's sole  discretion,
within the time period  specified in the written  notice,  this Agreement  shall
automatically  terminate as provided in this Section. HRT agrees to maintain the
confidentiality  of all Due Diligence  Materials;  provided,  however,  that HRT
shall have the right to distribute Due Diligence  Materials to any person deemed
a  necessary  party  by HRT  to  include  but  not  limited  to  regulatory  and
governmental  agencies,  HRT's counsel,  accountants,  engineers,  underwriters,
underwriters' counsel and such others deemed necessary;  and provided,  further,
that upon  termination of this  Agreement or  consummation  of the Closing,  HRT
shall continue to hold all such Due Diligence  Materials  confidential except to
the extent  required by law to disclose such material or in defense of any cause
of action based upon such material.

     3.3. DELIVERY OF ADDITIONAL  DOCUMENTS.  Within 30 days after the date of 
this Agreement, the Company shall  deliver or cause to be delivered to HRT,  the
Title  Commitment,  Exception  Documents,  Survey,  and Search Reports.

                                       25
<PAGE>

     3.4.  REVIEW BY HRT OF  ADDITIONAL  DOCUMENTS.  HRT shall have the right to
review the Title Commitment,  Exception Documents, Search Reports and Survey for
a period of 30 days from the date of HRT's receipt of the last of such items. In
the event any matters  appear therein that are  unacceptable  to HRT, HRT shall,
within said 30-day period,  notify the Company in writing of such fact. Upon the
expiration  of said  30-day  period,  HRT shall be deemed to have  accepted  all
exceptions to title  referenced in the Title Commitment and all matters shown on
the Survey except for matters which are the subject of a notification made under
the preceding  sentence,  and such accepted  exceptions shall be included in the
term Permitted Exceptions as used herein;  provided,  however,  that in no event
shall  any of the  items  listed on  Schedule  B-1 or C of the Title  Commitment
constitute  Permitted  Exceptions  for  purposes  hereof.  In the event that HRT
objects to any such matters within the 30-day Review  Period,  the Company shall
have 30 days from receipt of such notice  within which to  eliminate,  modify or
insure over any such  unacceptable  exceptions  or items.  In the event that the
Company is unable to eliminate, modify or insure over such unacceptable items to
the  satisfaction of HRT on or before the expiration of said 30-day period,  HRT
may either (a) waive such objections and accept title to the Property subject to
such unacceptable  items (which items shall then be deemed to constitute part of
the Permitted Exceptions),  or (b) terminate this Agreement by written notice to
the Company, whereupon this Agreement shall automatically be terminated and have
no further force and effect, except as set forth in Section 12.2 hereof.

     3.5. MODIFICATION  OF  DOCUMENTS. In the event that at any time  the  Title
Commitment,  Exception  Documents,  Survey or Search Reports are modified (other
than  the  deletion  or  elimination  of any  item as to  which  HRT has made an
objection),  HRT shall have the right to review and  approve or  disapprove  any
such  modification and to terminate this Agreement in the event that the Company
is unable to eliminate any such matters to the satisfaction of HRT in accordance
with the provisions of Section 3.4 above,  except that HRT's Review Period as to
such  additional  items  shall be for a period  expiring on the date that is the
earlier  to occur of (a) 15 days  following  the date of HRT's  receipt  of such
modification,  and (b) the Closing Date, and all other time periods  referred to
in Section 3.4 shall expire on the date that is the earlier of (i) the final day
of the specified time period as set forth therein, and (ii) the Closing Date.


                                  ARTICLE IV                                 

          REPRESENTATIONS AND WARRANTIES OF HRT AND ACQUISITION SUB

     4.1.GENERAL STATEMENT. HRT and Acquisition Sub represent and warrant to the
Company  that  to the  Knowledge  of HRT  and  Acquisition  Sub  the  statements
contained  in this  Article IV are correct  and  complete as of the date of this
Agreement  and will be correct and  complete on and as of the Closing (as though
made then and as though the date of  Closing  were  substituted  for the date of
this  Agreement  throughout  this  Article  IV),  except as set forth in the HRT
Disclosure  Schedule  delivered by HRT and Acquisition  Sub to the Company.  The
survival of all such  representations and warranties shall be in accordance with
Section 9.1 hereof.

                                       26
<PAGE>

     4.2. ORGANIZATION  AND  STANDING.  HRT is a  corporation  duly  organized,
validly existing,  and in good standing under the laws of the State of Maryland,
with corporate  power to own its property and carry on its business as it is now
being conducted. Copies of the Articles of Incorporation of HRT, certified as of
a recent date by the  Department  of  Assessments  and  Taxation of the State of
Maryland and delivered to the Company,  are complete and accurate as of the date
of  this  Agreement.  HRT  is  qualified  to  transact  business  as  a  foreign
corporation and is in good standing in all  jurisdictions in which its principal
properties are located.

     4.3. SUBSIDIARIES. Acquisition Sub is a corporation duly organized, validly
existing,  and in good standing under the laws of the  Commonwealth of Virginia,
with corporate  power to own its property and carry on its business as it is now
being  conducted.  Copies of the Articles of  Incorporation  of Acquisition Sub,
certified as of a recent date by the State  Corporation  Commission  of Virginia
and  delivered to the Company,  are complete and accurate as of the date of this
Agreement.  Acquisition Sub is not required to be qualified to transact business
as a foreign  corporation in any  jurisdiction  other than the  Commonwealth  of
Virginia.  HRT  owns  all  of  the  issued  and  outstanding  capital  stock  of
Acquisition Sub.

     4.4. AUTHORIZATION  OF THE  TRANSACTION. HRT and Acquisition Sub have all
requisite corporate power and authority to enter into the Transaction Documents,
to  consummate  the  transactions  contemplated  thereby,  and to  carry  on the
business of the Company  following  the Closing.  The Board of Directors of HRT,
acting for itself and as the sole  stockholder of Acquisition  Sub, has approved
the Merger and the Transaction  Documents and determined that the Merger is fair
to and in the best interests of HRT and  Acquisition  Sub. No other corporate or
legal proceedings on the part of HRT or Acquisition Sub are necessary to approve
and authorize the  execution and delivery of the  Transaction  Documents and the
consummation of the transactions contemplated thereby.

     4.5.VALID AND BINDING AGREEMENT.This Agreement has been and, on the Closing
Date, the Transaction  Documents will have been,  duly and validly  executed and
delivered by HRT and  Acquisition  Sub and this Agreement is and, on the Closing
Date, each Transaction  Document will be, a valid and binding  obligation of HRT
and Acquisition Sub enforceable in accordance with its terms.

     4.6. COMPLIANCE  WITH  LAW. The execution and delivery of the  Transaction
Documents,  the  consummation of the transactions  contemplated  thereby and the
fulfillment of and compliance  with the terms and provisions  thereof do not and
will not (a) violate any judicial or administrative  order,  award,  judgment or
decree  applicable  to HRT or  Acquisition  Sub or (b) conflict  with any of the
terms,  conditions or provisions of the Articles of  Incorporation or By-laws of
HRT or Acquisition Sub.

     4.7.  SEC  DOCUMENTS.  Within  15 days of the date  hereof,  HRT will  make
available  to the  Company  a true  and  complete  copy  of  each of the HRT SEC
Documents.  Such  documents  are  all  the  documents  (other  than  preliminary
material)  that HRT was  required  to file with the SEC since such  date.  As of
their respective dates, the HRT SEC Documents  complied in all material respects
with the  requirements  of the Securities Act or the Securities and Exchange Act
of 1934, as amended,  as the case may be, and the rules and  regulations  of the
SEC  thereunder  applicable  to such HRT SEC  Documents  and none of the HRT SEC
Documents  contained any untrue statement of a material fact or omitted to state
a  material  fact  required  to be  stated  therein  or  necessary  to make  the
statements  therein,  in light of the circumstances  under which they were made,
not misleading.

                                       27
<PAGE>

     4.8. STOCK  EXCHANGE  LISTING.  On the Closing Date, the HRT Merger Shares
will have been approved for listing on the New York Stock Exchange upon 
official notice of issuance.

     4.9. STATUS OF HRT MERGER SHARES. On and after the Effective Date, upon due
and proper  exchange of Company  Stock  therefor,  the HRT Merger Shares will be
validly authorized,  duly issued,  fully paid and nonassessable.  

     4.10. BROKERS.  HRT has not retained nor otherwise utilized the services of
any broker or finder in connection  with the  transaction  contemplated  by this
Agreement. Neither HRT nor Acquisition Sub has done anything to give rise to any
valid claims  against the Company for a brokerage  commission,  finder's fee, or
any similar charge.
                                
                                 ARTICLE V                                   

                          COVENANTS OF THE COMPANY

     5.1. CONDUCT OF BUSINESS IN ITS  ORDINARY  COURSE.  The Company  covenants 
and agrees with HRT and/or Acquisition Sub, from the date of this Agreement 
until the Closing Date or earlier termination of this Agreement:

     (a)  The Company shall:(i) operate the Property in the ordinary  course of 
business  consistent  with reasonable and prudent business practices; (ii) enter
into no new Tenant  Leases except as shall be approved in writing by HRT; 
(iii) grant no rent concessions or special  termination terms to any Tenants;  
(iv) not collect rents in advance for more than one month; and (v) fully 
maintain, repair and replace the Property, all Improvements, landscaping and 
other appurtenances in good condition and repair.

     (b)  HRT  shall be entitled  to  make all inspections or investigations  
desired by HRT with respect to the Property or any portion thereof,and shall
have complete physical access to the Property and each of the leased premises 
located thereon,  which access shall not unreasonably  interfere with Tenants 
in possession.

                                       28
<PAGE>

     (c) The  Company  shall cause to be  maintained  in full force fire  and  
extended  coverage  insurance  upon  the its  assets, including  the Property,  
and public  liability  insurance  with respect to damage or injury to persons or
property occurring on or relating to operation of the Property in at least 
such amounts as are maintained  by the  Company  on the date of this Agreement.

     (d) The Company  shall pay when due all bills and  expenses of the Company 
and the Property. The Company shall not  voluntarily  enter into or assume any 
new  contracts or obligations  which are in addition to or different from those 
furnished and disclosed to HRT and reviewed and approved pursuant to 
Article III.

      (e) The Company shall not create or voluntarily permit to be created any 
liens, easements or other conditions  affecting any portion of its assets,  
including the Property, or the uses thereof without the prior written consent 
of HRT.

      (f) The Company will pay,as and when due, all  interest and principal and 
all other charges  payable under any  indebtedness  of the Company from the date
hereof until Closing and will not suffer or permit any default or amend or 
modify the documents evidencing or securing  any such indebtedness without the 
prior written consent of HRT.

      (g)  The  Company  will: (i) give to HRT, its  attorneys, accountants and 
other representatives,  during normal business hours and as often as may be
requested,  full  access to the  Property  and to all books,  records  and files
relating to the Company and the  Property;  (ii) furnish to HRT all  information
concerning  the  Property  which  HRT,  its  attorneys,   accountants  or  other
representatives  will  reasonably  request;  (iii) to  extent  in the  Company's
possession  or control,  furnish to HRT, its  attorneys,  accountants  and other
representatives,  if HRT deems necessary, all information necessary for an audit
to be conducted  with respect to the  operations of the Company and the Property
for the 36 month period preceding the Closing,  including,  without  limitation,
the general ledger,  check register,  cash receipts and  disbursement  journals,
bank  statements,  rent  rolls,  tenant  leases,  invoices  relating  to  direct
operating  expenses,  ad valorem tax statements,  payroll  records,  schedule of
accounts payable, schedule of accounts receivable;  (iv) cooperate with HRT, its
attorneys, accountants and other representatives, if HRT deems necessary, in the
conducting  of such  audit  and will  execute  and  deliver  to the  accountants
conducting such audit such statement as may be reasonably  required  addressing,
among other things, any irregularities or undisclosed claims or liabilities that
could have a material  effect on the results of the audit;  and (v) consult with
HRT at all times  until the  Closing  Date with  respect  to the  operation  and
conduct of the Company's business.

      (h) The Company  shall not remove any Personal  Property  from the 
Property or Improvements  without replacing same with substantially  similar
items of equal or greater value.

                                       29
<PAGE>

      (i) The Company shall not, directly or indirectly, solicit or encourage 
(including by way of furnishing any nonpublic  information  concerning
the  business,  properties  or  assets  of  the  Company),  or  enter  into  any
negotiations or discussions  concerning,  any  Acquisition  Proposal (as defined
below).  The Company  will  notify HRT  promptly by  telephone,  and  thereafter
promptly  confirm in writing,  if any such information is requested from, or any
Acquisition  Proposal  is  received  by, the  Company.  In the event the Company
receives an Acquisition  Proposal,  the Company shall promptly  inform the maker
thereof  of the  existence  of the  provisions  of this  Section  5.1(i) and the
Company or its board of directors  shall reject such  Acquisition  Proposal.  As
used in this Agreement, Acquisition Proposal shall mean any proposal received by
the Company (or any of its  affiliates,  officers  or  directors),  prior to the
Closing for the acquisition, by sale, merger or otherwise, of any of the assets,
or any portion thereof, or of the business conducted by the Company.

     5.2. SATISFY  CONDITIONS  PRECEDENT. The Company will use its best efforts 
to perform and fulfill all obligations on its part to be performed and fulfilled
under this Agreement and to satisfy all conditions precedent contained in this 
Agreement.

     5.3. ACCESS TO INFORMATION AND DOCUMENTS.DOCUMENTS

     (a) The Company will afford the officers and representatives of HRT, from 
the date of this Agreement until  consummation  of the Merger,  full access
during normal  business hours to all  properties,  books,  accounts,  contracts,
commitments, and any other records of any kind of the Company. Sufficient access
shall be allowed to provide HRT with full opportunity to make any  investigation
it desires to make of the  Company,  and to keep  itself  fully  informed of the
affairs of the Company.

     (b) In addition, the Company will permit HRT to make extracts or copies 
of all such books, accounts, contracts, commitments, and records, and to 
furnish to HRT within  five days after  demand,  any  further  financial  and 
operating data of the Company as HRT reasonably requests.

     (c) HRT will use any  information  obtained under this Section only for its
own purposes in connection with the consummation of the transaction
contemplated by this Agreement, and will not divulge the information to any
other person.

     5.4.DISSENTERS. The Company shall promptly notify HRT of the receipt by the
Company of each written  notice from any  stockholder  of the Company to dissent
from the Merger.  The Company  shall comply with all  provisions of the Virginia
Stock  Corporation  Act  relating to  stockholders  of the  Company  entitled to
dissent from the Merger,  including appropriate notice in the Proxy Statement of
the right to dissent as  provided  in Section  13.1-732  of the  Virginia  Stock
Corporation Act.

     5.5. EARNINGS AND PROFITS  ANALYSIS. The Company shall make an analysis of 
the  Company's  books and  records to  determine  the  amount,  if any,  of
accumulated and/or current earnings and profits,  within the meaning of Sections
312 and/or 316(a) of the Code.  Prior to the Closing Date, the Company will make
one or more  special  distributions  or  dividends  of the  amount  of any  such
earnings and profits.  Such distributions or dividends shall reduce the Value of
the Company, determined in accordance with Exhibit B.

                                       30
<PAGE>

     5.6. TAXES. Lewis-Gale Clinic, LLC shall be responsible for and shall 
indemnify  and hold the  Company  and HRT  harmless  from and  against any
liability  for  federal,  state  or  local  income  taxes  (including,   without
limitation, interest and penalties imposed thereon) as well as legal, accounting
and other expenses;  provided,  however,  that the Company and HRT shall be paid
their legal,  accounting and other expenses only if Lewis-Gale Clinic, LLC shall
not have paid such  liabilities  within 30 days of being  notified in writing of
the same  sustained  by HRT or the  Company  to the extent  that such  liability
relates to any tax period ending prior to or on the Closing Date.

     5.7. NEGATIVE  COVENANTS.  Except with the prior  written  consent of HRT, 
the  Company,  its agents, employees, and directors will not:

     (a) Incur any liabilities other than current liabilities incurred in the 
ordinary course of business;

     (b) Incur any mortgage, lien, pledge,  hypothecation, charge, encumbrance, 
or restriction of any kind, except liens for taxes not due;
 
     (c) Become a party to any contract,or renew, extend, or modify any existing
contract, except in the ordinary course of business;

     (d) Make any capital expenditures,except for ordinary repairs,maintenance, 
and replacement;

     (e) Declare or pay any dividend on or make any other distribution to 
stockholders, except for payment of any special distributions or dividends of 
earnings and profits pursuant to Section 5.5;

     (f) Purchase, retire, or redeem any shares of its capital stock;

     (g) Issue or sell additional  shares of its capital stock,  whether or not 
such shares have been previously authorized or issued;

     (h) Issue or sell any  warrants, rights, or options to acquire  any shares 
of its capital stock;

     (i) Amend its Articles of Incorporation or Bylaws;

     (j) Pay or agree to pay any bonus, increase in compensation,  pension, or 
severance pay to any director, stockholder, officer, consultant, agent, or 
employee;

                                       31
<PAGE>

     (k) Discharge or satisfy any lien or encumbrance,  nor pay any
obligation or liability, except current liabilities shown on the Interim Balance
Sheet,  or incurred  in the  ordinary  course of business  since the date of the
Interim Balance Sheet;

     (l) Merge or consolidate with any other entity;

     (m) Enter  into any  transactions  or take any acts that would  constitute 
a breach of the representations, and warranties contained in this Agreement; 
and 
     (n) Institute, settle, or agree to settle  any action or proceeding 
before any court or governmental body.


                              ARTICLE VI     

                            COVENANTS OF HRT

     6.1. CONDUCT OF BUSINESS  IN ITS  ORDINARY COURSE. HRT will carry on its  
business in substantially the same manner as before the date of execution of 
this Agreement.

     6.2. SATISFY  CONDITIONS  PRECEDENT.  HRT will use its best  efforts  to  
perform and fulfill all obligations on its part to be performed  and  fulfilled 
under this Agreement and to satisfy all conditions precedent contained in this 
Agreement.


                              ARTICLE VII                                

              CONDITIONS PRECEDENT TO OBLIGATIONS OF THE COMPANY

     7.1. CONDITIONS PRECEDENT TO CLOSING. The  obligations of the Company to 
consummate the Merger and the other transactions contemplated by the
Transaction Documents shall be subject to the conditions  precedent specified 
in this Article VII, unless waived by the Company.

     7.2.TRUTH OF REPRESENTATIONS AND WARRANTIES AND COMPLIANCE WITH COVENANTS  
The representations and warranties of HRT contained in this Agreement shall
be true and correct as of the  Closing  Date with the same effect as though made
on and as of the Closing  Date.  HRT shall have  performed all  obligations  and
complied  with all  covenants  required by this  Agreement  to be  performed  or
complied with by it prior to the Closing Date.  HRT shall deliver to the Company
a  certificate  dated as of the  Closing  Date and  signed by an officer of HRT,
certifying the truth and correctness of the representations and warranties.

                                       32
<PAGE>

     7.3. REGISTRATION  STATEMENT.  The S-4  Registration  Statement  described
in  Article X  covering the issuance of the HRT Merger Shares shall have been 
declared  effective by the SEC and no stop order  suspending  its effectiveness 
shall have been issued by the SEC.

     7.4.NO RESTRICTIONS.No action, suit, or proceeding shall be pending before 
any court or quasi-judicial or administrative agency of any federal, state,
local,  or foreign  jurisdiction  wherein an unfavorable  injunction,  judgment,
order,  decree,  ruling, or charge would (i) prevent  consummation of any of the
transactions  contemplated by the Transaction Documents or (ii) cause any of the
transactions contemplated by the Transaction Documents to be rescinded following
consummation.

     7.5. TAX OPINION. The Company shall have received an opinion from Gentry, 
Locke, Rakes & Moore, the Company's counsel, to the effect that for federal
income tax  purposes:  (i) the Merger will  constitute  a  reorganization  under
Section 368(a)(1)(A) of the Code; (ii) no gain or loss will be recognized by the
Company on (a) the transfer of its assets in  constructive  exchange for the HRT
Merger  Shares  and  the  assumption  of the  Company's  liabilities  or (b) the
constructive   distribution   of  the  HRT  Merger   Shares  to  the   Company's
stockholders; (iii) no gain or loss will be recognized by any stockholder of the
Company on the exchange of shares of Company  Stock solely for HRT Merger Shares
(including,  without  limitation,  the  stockholder's  Custody  Shares  and  any
fractional share interest);  (iv) a stockholder's basis in the stockholder's HRT
Merger Shares (including,  without limitation, Custody Shares and any fractional
share  interest)  will be the same as the  stockholder's  basis in the shares of
Company Stock exchanged  therefor;  (v) a stockholder's  holding period for such
HRT Merger Shares will include the stockholder's  holding period for such shares
of Company Stock if they are held as a capital asset at the Effective  Time; and
(vi) a stockholder's receipt of cash in lieu of a fractional share of HRT Common
Stock  pursuant  to Section  1.6(d)  hereof  will be treated as received as full
payment in exchange for such fractional  share pursuant to Section 302(a) of the
Code.

     7.6. OPINION  FROM  COUNSEL TO HRT. HRT shall  deliver  to the  Company an 
opinion of counsel to HRT, dated the Closing Date, in form and substance 
acceptable to the Company.

     7.7. STOCKHOLDER  APPROVAL.  The  stockholders  of the  Company,  at a  
meeting of the  stockholders properly  held, shall have approved the Merger and 
adopted this Agreement and the other Transaction Documents by the vote of not 
less than 66 2/3% of the votes entitled to be cast.

     7.8. LENDER CONSENT. Each of the holders of any indebtedness which is 
secured by a lien against the Property  shall have,  in form  acceptable to
the  Company,  consented  in writing  to the  consummation  of the  transactions
contemplated  by this  Agreement  and  agreed (i) that the  consummation  of the
transactions  contemplated by this Agreement will not constitute a default under
the documents  evidencing or securing such  indebtedness;  (ii) to permit HRT to
prepay the outstanding  balance of the  indebtedness  secured by such liens at a
point in time  substantially  contemporaneous  with  the  Closing,  without  the
payment of any prepayment  fee or penalty in connection  therewith and, (iii) to
deliver a  recordable  release  of all such  liens to HRT upon  receipt  of such
prepayment.

                                       33
<PAGE>

     7.9. LEASE AND GUARANTY AGREEMENT EFFECTIVE. Acquisition Sub shall have
entered into the Lease Agreements,  the Lease Administration  Agreement and
the Control and Support Agreement,  each with Lewis-Gale Clinic,  LLC, and shall
have entered into the Guaranty Agreement with PhyCor, Inc.

                                  ARTICLE VIII                             

                    CONDITIONS PRECEDENT TO OBLIGATIONS OF HRT

     8.1. CONDITIONS PRECEDENT TO CLOSING. The obligations of HRT to consummate 
the Merger and the other transactions contemplated by the Transaction Documents 
shall be subject to the conditions  precedent specified in this Article VIII, 
unless waived by HRT.

     8.2.TRUTH OF REPRESENTATIONS AND WARRANTIES AND COMPLIANCE WITH COVENANTS  
The  representations  and  warranties  of the  Company  contained  in  this
Agreement shall be true and correct as of the Closing Date, with the same effect
as though made on and as of the Closing Date.  The Company shall have  performed
all obligations and complied with all covenants required by this Agreement to be
performed or complied  with by it prior to the Closing  Date.  The Company shall
deliver to HRT a certificate  dated the Closing Date and signed by an officer of
the Company,  certifying the truth and  correctness of the  representations  and
warranties.

     8.3. STOCKHOLDER APPROVAL.The stockholders of the Company, at a meeting of 
the stockholders properly held, shall have approved the Merger and adopted this 
Agreement and the other Transaction  Documents by the vote of not less than
66 2/3% of the votes  entitled  to be cast.  No more than  five  percent  of the
stockholders  of the Company  shall have  dissented  pursuant to the  applicable
provisions of the Virginia Stock  Corporation Act and elected to receive cash in
lieu of the Merger Shares.

     8.4.REGISTRATION  STATEMENT  EFFECTIVE. The S-4 Registration  Statement 
covering the issuance of the HRT Merger  Shares shall be effective  under the  
Securities Act and no stop order suspending its effectiveness shall have been 
issued by the SEC.

     8.5. LEASE AND GUARANTY AGREEMENT EFFECTIVE.  Acquisition Sub shall have
entered into the Lease Agreements, the Lease Administration  Agreement and
the Control and Support Agreement, each with Lewis-Gale Clinic, LLC, and shall
have entered into the Guaranty Agreement with PhyCor, Inc.

                                       34
<PAGE>

     8.6. ACCEPTABILITY  OF PAPERS  AND  PROCEEDINGS. To the  extent requested  
by HRT,the form and substance of all papers and proceedings under this 
Agreement shall be acceptable to counsel to HRT.

     8.7. OPINION FROM COUNSEL TO THE COMPANY. The Company shall deliver to HRT 
an opinion, dated the Closing Date, of Gentry, Locke, Rakes & Moore, counsel to 
the Company, in form and substance acceptable to HRT.

     8.8. TITLE INSURANCE POLICIES AND CONFIRMATION. The Company shall  deliver 
to HRT title insurance policies and supplemental confirmation  from the issuing 
company that the Land described in the policies and owned by the Company is 
covered by the policies.

     8.9. RESIGNATIONS  OF  OFFICERS AND DIRECTORS. The Company shall deliver  
to  HRT  the  written resignations of all officers and directors of the Company.

     8.10. AGREEMENT OF AFFILIATES.  The Company shall deliver to HRT, no later 
than ten days after the date of this Agreement,  a letter  identifying each
person whom the Company  reasonably  believes is an affiliate of the Company for
purposes of Rule 145 under the  Securities  Act. The Company  shall use its best
efforts to cause each person who is identified as an affiliate in such letter to
deliver to HRT,  not later than the date on which the Merger is  approved by the
stockholders of the Company, a written  agreement,  substantially in the form of
Exhibit E hereto, providing that such person will not sell, pledge, transfer, or
otherwise  dispose  of the shares of Company  Common  Stock held by such  person
except as contemplated by this Agreement and will not sell, pledge, transfer, or
otherwise  dispose  of the  shares of HRT Common  Stock to be  received  by such
person upon  consummation  of the Merger  except in compliance  with  applicable
provisions of the Securities Act and the rules and regulations  thereunder.  The
Surviving Corporation shall not be required to maintain the effectiveness of the
S-4  Registration  Statement under the Securities Act for the purposes of resale
of the HRT Common Stock by such affiliates.

     8.11. NO  RESTRICTIONS.  No action,  suit, or proceeding shall be pending 
before any court or quasi-judicial or administrative agency of any federal,
state,  local,  or  foreign  jurisdiction  wherein  an  unfavorable  injunction,
judgment, order, decree, ruling, or charge would (i) prevent consummation of any
of the transactions contemplated by the Transaction Documents, (ii) cause any of
the  transactions  contemplated  by the  Transaction  Documents  to be rescinded
following  consummation,  (iii)  affect  adversely  the  right  of  HRT  to  own
Acquisition Sub following the consummation of the  transactions  contemplated by
the Transaction Documents, or (iv) affect adversely the right of Acquisition Sub
to own its assets and to operate its businesses following the Merger.


     8.12. NO MATERIAL CHANGES TO PROPERTY. 

                                       35
<PAGE>

     (a) No material or substantial change shall have occurred with respect to 
the condition, financial or otherwise, of the Property.

     (b) Neither the  Property  nor any  material  part  thereof or interest  
therein shall have been taken by execution or other process of law in any action
prior to the Closing Date.

     (c) The Company shall have obtained  nd  delivered to HRT a current report,
dated no more than ten days prior to this Agreement, from a licensed pest 
control company reasonably  acceptable to HRT, and which must show the Property
to be free of all  termite,  or other  destructive  insect and pest infestation,
dry rot, fungus or other destructive agency infestation.

     (d) HRT shall have  satisfactorily completed an inspection of the Property 
with respect to the physical condition thereof by agents or contractors selected
by HRT.

     (e) HRT  shall  have  received,  in form  acceptable  to HRT, evidence  of 
compliance by the  Property  with  all building  codes, zoning ordinances  and 
other governmental entitlements materially necessary for the operation of the 
Property for the current and intended  use,  including  without limitation,
certificates of occupancy, healthcare provider permits and agreements, Medicare 
and Medicaid  approvals,  licenses and such other permits, licenses,  approvals,
agreements and authorizations as are required for the operation of the Property 
for the current and intended use.

     (f) All necessary approvals, consents, estoppel certificates and the like  
of third  parties to the  validity and effectiveness of the transactions 
contemplated hereby have been obtained.

     (g) HRT is reasonably satisfied that the Property is sufficient and 
adequate for the Company to carry on the business now being conducted thereon 
and the Property is in good condition and repair as reasonably required for the 
proper operation and use thereof in compliance with applicable laws and the 
requirements of applicable accreditation and licensing authorities.

     (h) HRT shall have received from the Company written  evidence reasonably  
satisfactory  to HRT's counsel  from  which  it may be  essentially concluded 
that the Property and the buildings and  Improvements  located thereon and the 
current use thereof are in compliance with applicable  zoning ordinances and 
bylaws and that the same does not violate  any other land use control laws,
ordinances, bylaws, rules and regulations applicable thereto.

     (i) HRT shall have received, at the Company's expense,a Phase I 
environmental site assessment report covering the Property in form and content
reasonably acceptable to HRT.

                                       36
<PAGE>

     (j) No material portion of the Property shall have been destroyed by fire 
or casualty.

     (k) No condemnation, eminent domain or similar proceedings shall have been 
commenced or threatened with respect to any material portion of the Property.

     (l) HRT shall have  received  from the  Company  certification that the  
Company  has  purchased  the Property  and has all right, title and interest in 
such Property necessary to complete the transactions contemplated by this 
Agreement.

     8.13.  EARNINGS AND PROFITS.  HRT shall have received a certificate, dated 
the Closing Date, from the chief  accounting  officer of the Company to the
effect that  immediately  prior to the Effective  Time, the Company did not have
accumulated  and/or current  earnings and profits within the meaning of Sections
312 and/or 316(a) of the Code.

     8.14. LENDER CONSENT.  Each of the holders of any indebtedness  which is 
secured by a lien against the Property  shall have,  in form  acceptable to
HRT, consented in writing to the consummation of the transactions  contemplated
by this  Agreement  and agreed  (i) that the  consummation  of the  transactions
contemplated by this Agreement will not constitute a default under the documents
evidencing  or  securing  such  indebtedness;  (ii) to permit  HRT to prepay the
outstanding balance of the indebtedness secured by such liens at a point in time
substantially  contemporaneous  with the  Closing,  without  the  payment of any
prepayment  fee or  penalty  in  connection  therewith  and,  (iii) to deliver a
recordable release of all such liens to HRT upon receipt of such prepayment.

                                   ARTICLE IX                                 

                      SURVIVAL OF WARRANTIES AND LIABILITY

     9.1. NATURE AND SURVIVAL OF REPRESENTATIONS AND WARRANTIES. All statements 
of fact contained in this  Agreement,  or in any  memorandum,  certificate,
letter,  document, or other instrument delivered by or on behalf of the Company,
HRT,  or   Acquisition   Sub  pursuant  to  this   Agreement   shall  be  deemed
representations  and warranties  made by any such party,  respectively,  to each
other party under this Agreement. The covenants, representations, and warranties
of the parties and the  stockholders  shall  survive the Closing  Date,  and all
inspections,   examinations,  or  audits  on  behalf  of  the  parties  and  the
stockholders for a period of two years following the Closing Date.

     9.2. INDEMNIFICATION.(a) Lewis-Gale Clinic, LLC hereby agrees to indemnify 
and defend, at its sole cost and expense,  and hold HRT and/or  Acquisition
Sub, their representatives,  agents,  successors and assigns,  harmless from and

                                       37
<PAGE>

against and to reimburse  (and,  upon  request,  advance funds for expenses) HRT
and/or Acquisition Sub, their representatives,  agents,  successors, and assigns
from and against any and all claims, demands, actions, causes of action, losses,
damages,  liabilities,   costs  and  expenses  (including,  without  limitation,
reasonable costs of  investigation,  attorney's fees and court costs) of any and
every kind or character, known or unknown, fixed or contingent, asserted against
or incurred by HRT and/or  Acquisition  Sub at any time and from time to time by
reason of or arising out of (a) the breach of any  representation or warranty of
the Company set forth in Article II, (b) the failure of the Company, in whole or
in part,  to perform  any  obligation  required to be  performed  by the Company
pursuant  to this  Agreement  or (c)  the  ownership,  construction,  occupancy,
operation,  use and  maintenance of the Property prior to the Closing Date. This
indemnity applies, without limitation, to the violation on or before the Closing
Date of any Hazardous  Materials Law in effect on or before the Closing Date and
any and all matters  arising  out of any act,  omission,  event or  circumstance
existing  or  occurring  on or prior to the  Closing  Date  (including,  without
limitation,  the  presence  on the  Property  or release  from the  Property  of
Hazardous  Materials  disposed  of or  otherwise  released  prior to the Closing
Date),   regardless  of  whether  the  act,  omission,   event  or  circumstance
constituted  a  violation  of any  Hazardous  Materials  Law at the  time of its
existence or  occurrence.  The  provisions  of this Section 9.2 as to covenants,
agreements  and  indemnities  of the  Company  and a cause of  action  as to the
Company's  representation  and warranties  shall survive the consummation of the
Merger and shall continue thereafter in full force and effect for the benefit of
HRT and/or  Acquisition  Sub,  their  representatives,  agents,  successors  and
assigns.  Notwithstanding  any provision of this Agreement to the contrary,  HRT
and/or  Acquisition Sub may exercise any right or remedy HRT and/or  Acquisition
Sub may have at law or in equity  should  Lewis-Gale  Clinic,  LLC fail to meet,
comply with or perform its indemnity obligations required by this Section 9.2.

     b)  Whenever  any  claim  shall  arise  for   indemnification hereunder, 
each party seeking  indemnification  (each an Indemnified Party) shall send
Lewis-Gale  Clinic,  LLC a written notice (an Indemnity  Notice)  promptly after
such Indemnified Party has actual knowledge of the facts  constituting the basis
for such claim. Any Indemnity  Notice shall state the amount of  indemnification
sought and all material facts  constituting  the basis for such claim. A copy of
any  documentation  or other  information in the possession of such  Indemnified
Party which supports such claim shall be sent with the Indemnity Notice. Failure
to send an Indemnity Notice promptly shall not release  Lewis-Gale  Clinic,  LLC
from liability  hereunder,  unless such failure has a material adverse effect on
Lewis-Gale  Clinic,  LLC's  defense of the claims  which are the  subject of the
Indemnity Notice.

     (c) Any  Indemnified  Party in respect  of any claim,  action, suit or 
 proceeding  brought  by a third  party (a  Third  Party  Claim) shall,
promptly after receipt of notice of commencement of such claim, action, suit or
proceeding  in respect of which claim is to be made against  Lewis-Gale  Clinic,
LLC, send an Indemnity Notice to Lewis-Gale  Clinic, LLC together with copies of
all papers served on such Indemnified  Party in connection with such Third Party
Claim. Upon receipt of such an Indemnity Notice, Lewis-Gale Clinic, LLC shall be
entitled to participate in such Third Party Claim and, if it so elects, and upon
acknowledgment of such Indemnified Party's right to indemnification in the event
such claim or  proceeding is  successful,  to assume the defense  thereof,  with
counsel satisfactory to such Indemnified Party.

                                       38
<PAGE>

     (d) Lewis-Gale Clinic,LLC shall defend, and shall have the right to settle,
claims  or suits  by  third  parties  that  are  payable  or that are to be
indemnified by Lewis-Gale  Clinic,  LLC under this Agreement.  Each  Indemnified
Party shall reasonably  cooperate with Lewis-Gale  Clinic, LLC in the defense of
claims and suits that Lewis-Gale Clinic, LLC defends, and Lewis-Gale Clinic, LLC
shall reimburse each Indemnified  Party for  out-of-pocket  expenses incurred in
cooperating at Lewis-Gale Clinic, LLC's request. The Indemnified Party shall not
settle  such  claims  or  suits  defended  by  Lewis-Gale  Clinic,  LLC  without
Lewis-Gale  Clinic,  LLC's  prior  consent,  which  shall  not  be  unreasonably
withheld.  An Indemnified  Party shall have the right to approve defense counsel
selected by Lewis-Gale  Clinic,  LLC, which  approval shall not be  unreasonably
withheld,  and the right fully to  participate in the defense of such claims and
suits at the  Indemnified  Party's sole cost and expense.  An Indemnified  Party
shall have the right to defend and settle claims or suits  without  prejudice to
any of their  rights  against  Lewis-Gale  Clinic,  LLC under this  Agreement if
Lewis-Gale Clinic, LLC declines or is unable to undertake the defense of a claim
or suit within a  reasonable  time after  Lewis-Gale  Clinic,  LLC's  receipt of
notice thereof.

     (e) Payment of any amounts due an Indemnified Party hereunder shall be made
by Lewis-Gale  Clinic, LLC by periodic payments during the course of  the   
investigation or defense (subject to repayment in the event indemnification was 
not required by this Section) in cash no later than the 30th day after the date 
an Indemnity Notice in respect of such amounts is received by Lewis-Gale 
Clinic, LLC.


                                   ARTICLE X                                   

                        REGISTRATION OF HRT MERGER SHARES

     10.1.REGISTRATION STATEMENT. HRT shall promptly prepare and file with the 
SEC a registration statement on Form S-4 (the S-4 Registration  Statement) 
relating to the issuance of the HRT Merger Shares. HRT shall use its best 
efforts to have the S-4 Registration  Statement  declared  effective under the 
Securities Act as promptly as practicable after such filing. HRT shall also
take any action  (other than  qualifying to do business in any  jurisdiction  in
which it is now not so  qualified)  required  to be taken  under any  applicable
state securities laws in connection with the issuance of HRT Merger Shares,  and
the Company shall furnish all information concerning the Company and the holders
of the Company Stock as may be reasonably  requested in connection with any such
action.

                                       39
<PAGE>

     10.2. INFORMATION SUPPLIED. The Company shall cooperate with HRT in 
preparing the  S-4  Registration  Statement  and  shall  furnish  to HRT  all  
information  concerning  the  Company  required  to be  set  forth  therein
pursuant  to the  Securities  Act,  and the  applicable  rules  and  regulations
thereunder in connection with the  transactions  contemplated by this Agreement;
comply with any  reasonable  comments  or  requests  for changes of the SEC with
respect  thereto;  distribute  the final  Proxy  Statement  included  in the S-4
Registration  Statement to its  stockholders  in accordance with applicable law;
and take all such other  action  necessary or  appropriate  to obtain the lawful
approval by the  stockholders  of the Company of the Merger and the  Transaction
Documents.  The management of the Company shall recommend in the Proxy Statement
approval  by the  stockholders  of the  Merger  and the  Transaction  Documents.
Immediately prior to the initial mailing of the Proxy Statement, the Chairman of
the Board and  President and Treasurer of the Company shall certify to HRT that,
to the best of their Knowledge,  the information as to the Company  contained in
the Proxy  Statement  is true and complete in all  material  respects,  does not
contain  an untrue  statement  of a  material  fact and does not omit to state a
material fact required to be stated  therein or necessary to make the statements
therein,  in  light  of the  circumstances  under  which  they  were  made,  not
misleading.

     10.3. STOCKHOLDER MEETING. The  Company  shall  call a  meeting  of its  
stockholders  to be held as promptly as practicable  following the date the
S-4 Registration  Statement is declared  effective by the SEC for the purpose of
voting upon the Merger and the Transaction Documents, and related matters.

                              ARTICLE XI                                      

                         TAX STATUS OF MERGER

     11.1. REORGANIZATION. The  parties acknowledge that the Merger is intended 
to qualify as a reorganization under Section 368(a)(1)(A) of the Code, and each 
party agrees to report the Merger as such a reorganization for income tax 
purposes.

     11.2. ELECTION. Acquisition Sub and HRT agree to elect,  pursuant to IRS 
Notice 88-19 and any applicable regulations, to be subject to rules similar
to the rules of Section 1374 of the Code with  respect to all property  acquired
from the Company in the Merger.  The  stockholders  of the Company  shall not be
liable in any way for any tax or other liability  incurred by the Company,  HRT,
or Acquisition  Sub as a result of the failure to make such election,  nor shall
any Custody Shares be  distributed  to HRT or otherwise used to compensate  HRT,
Acquisition  Sub, or the Company for any tax or other  liability  resulting from
such failure.

     11.3. ACTIONS FOLLOWING CLOSING. HRT and Acquisition Sub represent and 
warrant that they have no plan or intention to, and agree that for at least
three  years  after the  Effective  Time they  shall use their  reasonable  best
efforts  not to,  take any action that would cause the Merger to fail to qualify
as a reorganization  under Section  368(a)(1)(A) of the Code, including (without
limitation)  causing or permitting:  (i) HRT to own less than 100% of the issued
and outstanding shares of capital stock of Acquisition Sub, (ii) Acquisition Sub
to liquidate or to merge into another corporation,  and (iii) Acquisition Sub to
voluntarily  sell or  otherwise  dispose of the  Property  or to cease using the
Property in its business.

                                       40
<PAGE>

     11.4.REAL ESTATE INVESTMENT TRUST. HRT represents and warrants that it is a
real estate  investment trust under Section 856 of the Code and that Acquisition
Sub is a qualified  REIT  subsidiary  under Section  856(i)(2) of the Code.  HRT
covenants that it shall use its  reasonable  best efforts to continue to qualify
as a real  estate  investment  trust and to have  Acquisition  Sub  continue  to
qualify as a qualified REIT subsidiary for federal income tax purposes.


                                   ARTICLE XII                                

                                   TERMINATION

     12.1. OPTIONAL  TERMINATION. Subject to the  provisions  of  Section  12.2,
this Agreement may, by written notice given at or prior to the Closing in the 
manner hereinafter provided, be terminated:

     (i) By the mutual consent of HRT and the Company;

     (ii) By either party at any time after December 31, 1996, if, by that date,
any of the conditions to that party's obligations  to close  contained  herein  
shall not have been satisfied or waived;

     (iii) By either  HRT or the  Company, if a material default or breach shall
be made by the  other  party  hereto  with  respect  to the due and  timely
performance of any of its covenants and  agreements  contained  herein,  or with
respect to the accuracy of any of its representations  and warranties  contained
herein; or

     (iv) By either HRT or the Company, if any court of competent jurisdiction  
in the United  States or other United States governmental body shall have issued
an order, decree or ruling or taken any other action restraining, enjoining  or
otherwise  prohibiting  the  transactions  contemplated  by the Transaction
Documents and such order, decree, ruling or other action shall have become final
and non-appealable.

     (v) By HRT, if the Company has  suffered any damage, destruction, or loss, 
whether or not covered by insurance, that materially and adversely affects the 
Property, business, or financial condition of the Company.

                                       41
<PAGE>

     (vi) By HRT pursuant to Sections 3.2 or 3.4 hereof.

     12.2. EFFECT OF TERMINATION. In the event this Agreement is terminated 
pursuant to Section 12.1, all further  obligations of the parties hereunder
(other  than the  obligations  set forth in  Sections  3.2 and 13.1 which  shall
survive)  shall  terminate;  provided,  however,  that, if this  Agreement is so
terminated  by a party  because one or more of the  conditions  to such  party's
obligations  hereunder is not satisfied as a result of the other party's willful
failure to comply with its  obligations  under this  Agreement,  the terminating
party's right to pursue all legal  remedies for breach of contract or otherwise,
including, without limitation, damages relating thereto, shall also survive such
termination unimpaired.

                              ARTICLE XIII                                   

                              MISCELLANEOUS

     13.1. EXPENSES.  HRT,  Acquisition,  Sub,  and the Company  will each bear 
its own costs and expenses incurred by it arising out of the Transaction 
Documents and the transactions contemplated thereby, including but not limited 
to all fees and expenses of its counsel and accountants.

     13.2. AMENDMENT.  This  Agreement  may be amended or  modified at any time 
and in any manner only by an instrument in writing executed by HRT, Acquisition 
Sub and the Company.

     13.3. MODIFICATIONS,  AMENDMENTS AND WAIVERS. At any time prior to the 
Closing, to the  extent  permitted  by law,  (i)  the  parties  hereto  may, by 
written agreement, modify, amend or supplement any term or provision of this 
Agreement and (ii) any term or  provision  of this  Agreement may be  waived by 
the party which is entitled to the benefits thereof.

     13.4. ASSIGNMENT.

     (a) Neither  this entire Agreement nor any right created by this Agreement 
shall be assignable by any party hereto without the prior written consent of the
other, except by the laws of succession.

      (b) Except as limited by the provisions of (a) above, this Agreement shall
be binding  on and inure to the benefit of the respective successors and assigns
of the parties, as well as the parties.

                                       42
<PAGE>

      (c) Nothing in this Agreement, expressed or implied, is intended to confer
upon any person, other than the parties and their successors, any rights or 
remedies under this Agreement.

     13.5. NOTICES. Except as otherwise provided in this Agreement, any notice,
payment, demand or communication required or permitted to be given by any
provision of this Agreement shall  be duly given if delivered in writing
personally to the person to whom it is  authorized  to be given,  or if sent by
mail or overnight delivery service, telecopy, telex or telegraph, as follows:

     (a) In the case of HRT or Acquisition Sub, to:

         Healthcare Realty Trust Incorporated
         Attn: Roger O. West
         3310 West End Avenue, Fourth Floor
         Nashville, Tennessee  37203
         Telecopier No.:  (615) 269-8122

         with a copy to:

         Theodore W. Lenz
         Waller Lansden Dortch & Davis
         511 Union Street, Suite 2100
         Nashville, Tennessee  37219
         Telecopier No.:  (615) 244-6804

         with a copy to:

         Richard D. Bird
         Baker, Donelson, Bearman & Caldwell
         511 Union Street, Suite 1700
         Nashville, Tennessee  37219
         Telecopier No.:  (615) 726-0464

     (b) In the case of the Company, to:

         Lewis-Gale Building Corporation
         Attn: L. B. Brooks, FACMPE
         President and Chief Executive Officer
         1802 Braeburn Drive
         Salem, Virginia  24153
         Telecopier No.:  (540) 989-0879

         with a copy to:
         Bruce C. Stockburger, Esq.
         Gentry, Locke, Rakes & Moore
         10 Franklin Road, S.E.
         P.O. Box 1018
         Roanoke, Virginia  24005
         Telecopier No.:  (540) 983-9400

                                       43
<PAGE>

Any such  notice  shall be  deemed to be given as of the date so  delivered,  if
delivered  personally,  by telecopy,  telex or  telegraph,  or as of the date on
which the same was  deposited in the United  States mail or  overnight  delivery
service, charges prepaid or provided for, addressed and sent as aforesaid.

     13.6. HEADINGS.  Section,  Article, paragraph and other headings contained 
in this Agreement are for reference purposes only and shall not affect in any 
way the meaning or interpretation of this Agreement.

     13.7. ENTIRE  AGREEMENT. This Agreement and the exhibits to this instrument
contain the entire agreement between the parties with respect to the transaction
contemplated by this Agreement. It may be executed in any number of counterparts
but the aggregate of the counterparts together constitute only one and the same
instrument.

     13.8. SCHEDULES. All schedules, appendices and exhibits  referred to in or
attached to this  Agreement are integral parts of this Agreement as if fully set
forth  herein  and all  statements  appearing  therein  shall  be  deemed  to be
disclosed only in connection with the specific  representation to which they are
explicitly referenced.

     13.9. COUNTERPARTS. This Agreement may be executed in two or more  
counterparts all of which shall be considered one and the same agreement and 
each of which shall be deemed an original.

     13.10. PRESS RELEASES. No announcement to the press concerning this 
Agreement and the  transactions  contemplated by the Transaction  Documents
shall be made by HRT or the Company unless the same shall be approved in advance
by HRT.  Nothing  contained in this  Agreement  shall  prevent any party to this
Agreement at any time from furnishing any information to any  governmental  body
or agency.

     13.11. RISK OF LOSS. The  Company shall  bear all  risks of  ownership  in 
respect  of the  Property, including all risk of condemnation,  destruction,  
loss or damage due to fire,  hazard, or other casualty,  through the Closing.

     13.12. EFFECT OF PARTIAL  INVALIDITY. In the event that any one or more of
the provisions  contained in this Agreement  shall  for any reason be held to be
invalid, illegal, or unenforceable in any respect, such invalidity,  illegality,
or unenforceability shall not affect any other provisions of this Agreement, but
this Agreement  shall be constructed as if it never  contained any such invalid,
illegal, or unenforceable provisions.

                                       44
<PAGE>

     13.13. CONTROLLING  LAW. The  validity,  interpretation,  and  performance 
of this Agreement shall be controlled by and construed under the laws of the 
Commonwealth of Virginia.

                                   
                                       HEALTHCARE REALTY TRUST INCORPORATED


                                       By:
                                       Name:
                                       Title:


                                       HRT OF ROANOKE, INC.


                                       By:
                                       Name:
                                       Title:


                                       LEWIS-GALE BUILDING CORPORATION

                                                                 
                                       By:
                                       Name:
                                       Title:



     As a material inducement to the execution of this Agreement by HRT and 
Acquisition Sub, Lewis-Gale Clinic, LLC, by its duly authorized representatives,
hereby agrees to be bound by the provisions of Sections 5.6 and 9.2 of this 
Agreement.


                                       LEWIS-GALE CLINIC, LLC


                                       By:
                                       Name:
                                       Title:


                                       45
<PAGE>


                      AGREEMENT AND PLAN OF MERGER

                                       
                          TABLE OF CONTENTS

 

                                                                        PAGE

DEFINITIONS                                                                1


ARTICLE I                                                                  
  1.1. The Merger..........................................................9
  1.2. The Closing.........................................................9
  1.3. The Surviving Corporation...........................................9
  1.4. Conversion of Shares...............................................10
  1.5. Tax Custody........................................................10
  1.6. Exchange of Stock Certificates.....................................10
  1.7. Dissenting Shares..................................................12
  1.8. Closing of Transfer Books..........................................12


ARTICLE II                                                                12
  2.1. General Statement..................................................12
  2.2. Organization and Standing of the Company...........................12
  2.3. Authorization of the Transaction...................................12
  2.4. Valid and Binding Agreement........................................13
  2.5. No Conflict........................................................13
  2.6. Required Consents..................................................13
  2.7. Capitalization.....................................................14
  2.8. No Violation or Default............................................14
  2.9. Financial Statements...............................................14
  2.10. Books and Records.................................................15
  2.11. Contracts; No Defaults............................................15
  2.12. The Property......................................................16
  2.13. Environmental.....................................................18
  2.14. Insurance.........................................................19
  2.15. Absence of Undisclosed Liabilities................................20
  2.16. Absence of Certain Changes........................................20
  2.17. Legal Proceedings, etc............................................22
  2.18. Intellectual Property.............................................22
  2.19. Taxes.............................................................22
  2.20. No Brokers or Finders.............................................22
  2.21. Employee Matters..................................................23
  2.22. Labor Matters.....................................................23
  2.23. Employee Benefit Plans; ERISA.....................................23
  2.24. Full Disclosure...................................................23


ARTICLE III                                                               23
  3.1. Documents to be Delivered..........................................23
  3.2. Review by HRT......................................................25
  3.3. Delivery of Additional Documents...................................25
  3.4. Review by HRT of Additional Documents..............................25
  3.5. Modification of Documents..........................................26
                                      
                                    (i)
        
ARTICLE IV                                                                26
  4.1. General Statement..................................................26
  4.2. Organization and Standing..........................................27
  4.3. Subsidiaries.......................................................27
  4.4. Authorization of the Transaction...................................27
  4.5. Valid and Binding Agreement........................................27
  4.6. Compliance with Law................................................27
  4.7. SEC Documents......................................................27
  4.8. Stock Exchange Listing.............................................28
  4.9. Status of HRT Merger Shares........................................28
  4.10. Brokers...........................................................28


ARTICLE V                                                                 28
  5.1. Conduct of Business in Its Ordinary Course.........................28
  5.2. Satisfy Conditions Precedent.......................................30
  5.3. Access to Information and Documents................................30
  5.4. Dissenters.........................................................30
  5.5. Earnings and Profits Analysis......................................30
  5.6. Taxes..............................................................31
  5.7. Negative Covenants.................................................31


ARTICLE VI                                                                32
  6.1. Conduct of Business in Its Ordinary Course.........................32
  6.2. Satisfy Conditions Precedent.......................................32


ARTICLE VII                                                               32
  7.1. Conditions Precedent to Closing....................................32
  7.2. Truth  of  Representations  and  Warranties  and  Compliance with
       Covenants..........................................................32
  7.3. Registration Statement.............................................33
  7.4. No Restrictions....................................................33
  7.5. Tax Opinion........................................................33
  7.6. Opinion from Counsel to HRT........................................33
  7.7. Stockholder Approval...............................................33
  7.8. Lender Consent.....................................................33
  7.9. Lease and Guaranty Agreement Effective.............................34


ARTICLE VIII                                                              34
  8.1. Conditions Precedent to Closing....................................34
  8.2. Truth of Representations and Warranties and Compliance with
  Covenants...............................................................34
  8.3. Stockholder Approval...............................................34
  8.4. Registration Statement Effective...................................34
  8.5. Lease and Guaranty Agreement Effective.............................34
  8.6. Acceptability of Papers and Proceedings............................35
  8.7. Opinion from Counsel to the Company................................35
  8.8. Title Insurance Policies and Confirmation..........................35
  8.9. Resignations of Officers and Directors.............................35
  8.10. Agreement of Affiliates...........................................35
  8.11. No Restrictions...................................................35
  8.12. No Material Changes to Property...................................35
  8.13. Earnings and Profits..............................................37
  8.14. Lender Consent....................................................37
                                  
                                   (ii)

ARTICLE IX                                                                37
  9.1. Nature and Survival of Representations and Warranties..............37
  9.2. Indemnification....................................................37


ARTICLE X                                                                 39
  10.1. Registration Statement............................................39
  10.2. Information Supplied..............................................40
  10.3. Stockholder Meeting...............................................40


ARTICLE XI                                                                40
  11.1. Reorganization....................................................40
  11.2. Election..........................................................40
  11.3. Actions Following Closing.........................................40
  11.4. Real Estate Investment Trust......................................41


ARTICLE XII                                                               41
  12.1. Optional Termination..............................................41
  12.2. Effect of Termination.............................................42
ARTICLE XIII                                                              42
  13.1. Expenses..........................................................42
  13.2. Amendment.........................................................42
  13.3. Modifications, Amendments and Waivers.............................42
  13.4. Assignment........................................................42
  13.5. Notices...........................................................43
  13.6. Headings..........................................................44
  13.7. Entire Agreement..................................................44
  13.8. Schedules.........................................................44
  13.9. Counterparts......................................................44
  13.10. Press Releases...................................................44
  13.11. Risk of Loss.....................................................44
  13.12. Effect of Partial Invalidity.....................................44
  13.13. Controlling Law..................................................45
                                    
                                  (iii)
EXHIBITS:

  A - Articles of Merger
  B - Value of the Company
  C - Description of the Property
  D - Custody Agreement
  E - Affiliate Letter
  F - Agreed Rents
                                   (iv)

                                     



<PAGE>


                         LEASE AGREEMENT 

                       HRT OF ROANOKE, INC. 
                     a Virginia corporation  

                          (Landlord) 
                             AND

                  LEWIS-GALE  CLINIC,   L.L.C.  
            a  Virginia  limited  liability  company  
                            (Tenant)

                            Property:
                      Lewis-Gale Clinic 
                     1802 Braeburn Drive 
                         Salem, Virginia 

                       

                 November      14,     1996   
<PAGE>
                   TABLE     OF      CONTENTS 
   
SEC. 1.  DEFINITIONS...................................................1
SEC. 2.  BASE RENT AND CPI INCREASE....................................2
SEC. 3.  ADDITIONAL RENT...............................................2
SEC. 4.  RENT PAYMENT..................................................4
SEC. 5.  PAYMENT FOR OTHER SERVICES....................................4
SEC. 6.  TENANT'S OCCUPANCY AND USE....................................4
SEC. 7.  LANDLORD'S RIGHT OF ACCESS....................................4
SEC. 8.  QUIET POSSESSION..............................................4
SEC. 9.  SERVICES AND UTILITIES........................................5
SEC. 10. REPAIRS AND MAINTENANCE.......................................5
SEC. 11. TENANT'S ALTERATIONS, FIXTURES AND PERSONAL PROPERTY..........5 
SEC. 12. CONDITION OF THE PREMISES.....................................6
SEC. 13. LIENS BY TENANT...............................................6
SEC. 14. SUBLETTING AND ASSIGNING......................................6
SEC. 15. FIRE AND CASUALTY.............................................7
SEC. 16. WAIVER OF SUBROGATION.........................................7
                                       
<PAGE>

SEC. 17. DEFAULT BY TENANT.............................................7
SEC. 18. DEFAULT BY LANDLORD...........................................7
SEC. 19. INSURANCE.....................................................8
SEC. 20. ATTORNEY'S FEES...............................................9
SEC. 21. CONDEMNATION..................................................9
SEC. 22. PAYMENT OF IMPOSITIONS.......................................10
SEC. 23. TAXES ON TENANT'S PROPERTY...................................10
SEC. 24. SIGNS........................................................10
SEC. 25. RULES AND REGULATIONS........................................10
SEC. 26. HOLDING OVER.................................................10
SEC. 27. NON-WAIVER...................................................10
SEC. 28. SUBORDINATION AND ATTORNMENT ................................10
SEC. 29. TRANSFER OF LICENSES.........................................11
SEC. 30. SUCCESSORS AND ASSIGNS.......................................11
SEC. 31. TIME.........................................................11
SEC. 32. APPLICABLE LAW...............................................11
SEC. 33. SEVERABILITY.................................................11
SEC. 34. AUTHORITY OF TENANT..........................................11

                                      
<PAGE>

SEC. 35. BROKERS......................................................11
SEC. 36. NOTICES......................................................12
SEC. 37. RELATIONSHIP OF LEASE TO LEASE ADMINISTRATION AGREEMENT......12   
SEC. 38. ENTIRE AGREEMENT.............................................12
SEC. 39. COUNTERPARTS.................................................13
EXHIBIT A\............................................................14
<PAGE>

                                LEASE AGREEMENT
                            Medical Office Facility

     This Lease  Agreement  (the Lease) made and entered into as of the 14th day
of November,  1996,  between HRT OF ROANOKE,  INC., a Virginia  corporation (the
Landlord),  and LEWIS-GALE CLINIC,  L.L.C., a Virginia limited liability company
(the Tenant).

                            W I T N E S S E T H : 
     In consideration of the rents, mutual covenants and agreements set forth
herein,  the Landlord  hereby  leases to Tenant,  and Tenant  hereby leases from
Landlord those certain  premises  located in Salem,  Virginia and being known as
the Lewis-Gale  Clinic  (herein  called the Building),  located at 1802 Braeburn
Drive which  premises  consist of  approximately  225,227  rentable  square feet
(herein  called the Premises) and being all of the  improvements  located on the
real  property  more  particularly  described  in Exhibit A attached  hereto and
incorporated  herein.  The total rentable area of the Building is 237,244 square
feet and the Premises  (Tenant's pro rata share for Additional Rent purposes) is
agreed to be 95% thereof.  The rentable square footage area shall be used in the
calculation  of rent and other sums as  appropriate  under this  Lease.  

     SEC. 1. DEFINITIONS: For purposes of this Lease, the following terms
shall have the meanings  hereinafter ascribed thereto: 

     a. ANNUAL BASE RENT (BASE RENT):  Initial Lease Year:  $164,865.00 per year
($15.00/Rentable  SF) for the 10,991 rentable square feet located in the Phase I
basement;  $3,856,248.00 per year ($18.00/Rentable SF) for the remaining 214,236
rentable square feet for a total annual rental of $4,021,113.00 payable monthly.
Base Rent for each Lease Year after  Initial  Lease Year (the Initial Lease Year
begins on  November 1, 1996 and ends on October 31,  1997) to be  determined  in
accordance with Section 2(b).

     b. COMMERCIALLY  REASONABLE:  The term  Commercially  Reasonable shall mean
that which is the fair market cost for comparable goods and services provided in
a first class  manner in the area of the Property  (as defined  hereinafter)  as
evidenced by objective third party criteria,  including without  limitation that
certain Market Value  Appraisal  Update,  dated as of July 1, 1995,  prepared by
Linwood M. Aron,  MAI,  SREA,  and provided to Landlord by  Lewis-Gale  Building
Corporation in connection with the Property, as adjusted by increases in the CPI
(as defined hereinafter). 

     c. IMPOSITIONS: Collectively, all taxes (including, without limitation, all
capital stock and franchise  taxes of Landlord,  all ad valorem,  sales and use,
single business, gross receipts,  transaction privilege, rent or similar taxes),
assessments   (including,   without  limitation,   all  assessments  for  public
improvements  or benefits,  whether or not  commenced or completed  prior to the
date hereof and whether or not to be completed  within the Lease  Term),  ground
rents,  water,  sewer or other rents and  charges,  excises,  tax  levies,  fees
(including, without limitation,  license, permit, inspection,  authorization and
similar fees),  and all  governmental  charges,  in each case whether general or
special,  ordinary  or  extraordinary,  or  foreseen  or  unforeseen,  of  every
character in respect of the Property  (as defined  hereinafter)  and/or the rent
(including  all interest and penalties  thereon due to any failure in payment by
Tenant),  which at any time prior to, during or in respect of the Lease Term may
be  assessed  or imposed on or in respect of or be a lien upon (a)  Landlord  or
Landlord's interest in the Property, (b) the Property or any part thereof or any
rent  therefrom  or any estate,  right,  title or interest  therein,  or (c) any
occupancy,  operation,  use or possession of, sales from, or activity  conducted
on, or in connection with, the Property or the leasing or use of the Property or
any part thereof;  provided,  however, nothing contained in this Agreement shall
be construed to require Tenant to pay (1) any interest and penalties relating to
failure of the Landlord to timely pay any such Imposition;  provided that Tenant
shall  have  timely  paid its rents,  (2) any tax based on net  income  (whether
denominated as a franchise or capital  stock,  financial  institutions  or other
tax) imposed on Landlord,  (3) any transfer or net revenue tax of Landlord,  (4)
any tax imposed with respect to  inheritance,  estate,  succession,  transfer or
gift taxes or the sale, exchange or other disposition by Landlord of any portion
of the Property or the  proceeds  thereof,  or (5) except as expressly  provided
elsewhere in this Lease,  any  principal or interest on any  encumbrance  on the
Property,  except to the  extent  that any tax,  assessment,  tax levy or charge
which  Tenant  is  obligated  to pay  pursuant  to the  first  sentence  of this
definition  and which is in effect at any time  during the Lease Term is totally
or partially repealed,  and a tax,  assessment,  tax levy or charge set forth in
clause (2) or (3) is levied,  assessed or imposed expressly in lieu thereof,  in
which case Tenant shall pay.

                                       1
<PAGE>

     d.  LEASE  ADMINISTRATION  AGREEMENT:  That  certain  Lease  Administration
Agreement,  executed of even date herewith,  by and between Landlord and Tenant,
pursuant  to which  Landlord  (i)  granted to Tenant  certain  rights to use and
control  certain  aspects  of the  Building  and (ii)  Tenant  agreed to pay the
Property Rents (as defined in the Lease Administration  Agreement) and to ensure
the  performance of the obligations of the tenants under the Property Leases (as
defined in the Lease Administration Agreement). 
     
     e. LEASE TERM: 15 years from the Lease Term  Commencement  Date,  with five
(5) five-year  renewal options to be exercised in accordance with the provisions
of  Section  13.5  of  the  Lease  Administration   Agreement.   

     f.  LEASE  TERM COMMENCEMENT  DATE:  November  14,  1996.  
     
     g. LEASE YEAR:  The twelve (12) month period from November 1 to October 31.

     h. PERMITTED USE OF PREMISES:  Use only as a medical facility or for 
general commercial  purposes ancillary to the care and treatment of human beings
 or the practice of medicine. 

     i. TENANT'S PROPORTIONATE SHARE OF OPERATING  COSTS:  95% of the amount by 
which the  Operating  Costs (as defined in Section 3(a)) exceed $6.00 per 
rentable square foot.

     SEC. 2. BASE RENT AND CPI  INCREASE:    

     a. As part of the  consideration  for the  execution of this Lease,  Tenant
agrees to pay the Base  Rent,  payable  at the  office of  Landlord  in  monthly
installments  of  $335,092.75  each in legal  tender  of the  United  States  of
America, in advance,  without demand and without deduction,  on the first day of
each calendar month during the term hereof; provided, however, that if the Lease
Term  Commencement  Date is on a date  other  than the first  day of a  calendar
month,  the first rental  payment to be made on execution of this Lease shall be
the rental pro rated for the remainder of the calendar  month in which the Lease
Term  commences.  Such Base Rent shall be subject to  adjustments as hereinafter
provided.

     b. After the Initial Lease Year,
the amount of Base Rent due for such  Lease Year and each Lease Year  thereafter
shall  be  increased  by  the  percentage   increase  in  the  CPI  (as  defined
hereinafter)  last published prior to the first day of the then applicable Lease
Year and the CPI last published  prior to the first day of the prior Lease Year;
provided,  however,  in no event will the Base Rent  increase at a rate  greater
than four percent (4%) each Lease Year. The percentage increase in the CPI shall
be  calculated  and due from the first day of each Lease Year.  For  purposes of
this Lease,  the term CPI shall mean the Consumer  Price Index  published by the
Bureau of Labor Statistics of the United States  Department of Labor,  U.S. City
Average,  All Items and Major Group  Figures for Urban Wage Earners and Clerical
Workers  (1982-84 = 100), or if such index is not available,  a comparable index
selected by Landlord  which is  published  by a  governmental  institution  or a
nationally recognized publisher of statistical  information.  

     SEC. 3. ADDITIONAL RENT: 

     In addition to the Base Rent as specified in this Lease,  Tenant  agrees to
pay to Landlord as additional  rent  (Additional  Rent)  Tenant's  Proportionate
Share of Operating Costs.

                                       2
<PAGE>

     a.  OPERATING  COSTS:  For the  purposes of  determining  Additional  Rent,
Operating  Costs shall  include,  without  limitation,  all costs,  expenses and
disbursements of every kind, nature and description paid or incurred by Landlord
relating  to (i)  the  management,  operation,  maintenance  and  repair  of the
Building and the land upon which the Building is located (the  Building and land
being  collectively  referred to  hereinafter  as the Property) and any personal
property used in connection therewith,  fixtures, machinery,  equipment, systems
and  apparatus  located  therein  or  used in  connection  therewith,  that  are
reasonably allocated by Landlord and which in accordance with generally accepted
accounting  principles,  are  considered  as an  expense of the  Property,  (ii)
charges for electricity,  power, gas, oil, water and other utilities used during
the Lease Term which are paid by Landlord to the utility service provider, (iii)
premiums  for  insurance  coverage,  (iv)  all  Impositions,  (v)  ordinary  and
necessary  repairs and maintenance of the Property and (vi) reasonable legal and
accounting  expenses,  all for a particular  calendar year or portion thereof as
determined  by Landlord  and  including  all  additional  costs and  expenses of
operation and  maintenance  of the Property which  Landlord  determines  that it
would  have  paid or  incurred  during  such year if the  Building  had been one
hundred  percent  (100%)   occupied.   For  purposes  of  determining   Tenant's
Proportionate  Share,  the  denominator  shall be the  Operating  Costs  for the
Property which shall be calculated in the aggregate and shall include all of the
parcels  comprising  the Property.  For purposes of this Section,  the following
shall not be included as Operating  Costs:  (i) payments  made by tenants of the
Building,  either to third parties or to Landlord,  under  agreements for direct
reimbursement  for  services  (e.g.,  separately  metered  utilities,   separate
contracted janitorial services,  property taxes directly reimbursed to Landlord,
etc.);  (ii) costs of  improvements to or alterations of space leased to tenants
other than Tenant or PhyCor, Inc. or their affiliates and the cost or expense of
any insurance  covering such  improvements  or  alterations in excess of the All
Risk casualty insurance carried by Landlord pursuant to Section 19 hereof; (iii)
depreciation  or amortization  of any  improvements  to the Property  (provided,
however,  that  Landlord  shall be  permitted  to  create as an  Operating  Cost
reasonable  reserves for major capital repairs so as to maintain the Property in
a first class  manner);  (iv) costs of repairing or restoring any portion of the
Building damaged by fire or other casualty for which Landlord recovers insurance
proceeds  sufficient  to  effect  such  repairs  and  restoration;  (v) costs of
repairs, alterations or replacements required as a result of the exercise of any
right of  eminent  domain to the  extent  Landlord  actually  recovers  from the
condemning  authority  condemnation  proceeds as a result of such  condemnation;
(vi) the cost of any special services  rendered to other tenants of the Property
which  are  not  rendered  to  Tenant;  (vii)  costs  of  selling,  syndicating,
financing,  mortgaging or hypothecating any part of or interest in the Property;
(viii) Landlord's overhead costs, including salaries, equipment,  supplies, rent
and other occupancy  costs or any other costs  associated with the operation and
internal  organization and function of Landlord as a business entity; (ix) costs
incurred as a result of  Landlord's  violation  of any lease,  contract,  law or
ordinance,  including  fines and fees  unless  such  violations  are caused by a
default of Tenant  hereunder;  (x) costs  related to any  building or land other
than the Property, including any allocation of costs incurred on a shared basis,
such  as  centralized  accounting  costs,  unless  the  allocation  is made on a
reasonable  and  consistent  basis that fairly  reflects the share of such costs
actually  attributable to the Property and unless such sharing of costs actually
reduces  Operating Costs; and (xi) the part of any cost or other sum paid to any
affiliate  of HR or to any other party that  exceeds a  Commercially  Reasonable
price or cost. 

     b. MONTHLY PAYMENT OF ESTIMATED  ADDITIONAL  RENT:  Tenant's  Proportionate
Share of Operating  Costs for the remainder of the calendar year after the Lease
Term Commencement Date and for each subsequent  calendar year shall be estimated
by Landlord  based on the preceding  year and any  anticipated  increases in the
services  and  expenses  deemed a part of Operating  Costs,  and written  notice
thereof  shall be given to Tenant.  Upon  receipt of said  written  notice  from
Landlord,  the  estimated  Additional  Rent  shall be due and  payable as herein
provided.  For any such  remainder  of the  calendar  year  after the Lease Term
Commencement  Date,  Tenant agrees to pay Landlord each month,  at the same time
the Base Rent is due, an amount  equal to the amount of such  estimated  monthly
Additional  Rent for the  remainder  of such  calendar  year;  and  during  each
calendar year  thereafter  Tenant agrees to pay Landlord each month, at the same
time  the  Base  Rent is due,  an  amount  equal to  one-twelfth  (1/12)  of the
estimated annual Additional Rent due. 

     c. ANNUAL  ADJUSTMENT  TO ADDITIONAL  RENT:  After the end of each calendar
year,  Landlord shall prepare and deliver to Tenant a statement showing Tenant's
total amount of  Additional  Rent  together  with a statement  showing  Tenant's
Proportionate  Share of Operating  Costs for such year.  Within thirty (30) days
after receipt of the aforementioned statement, Tenant agrees to pay Landlord, or
if Tenant has overpaid,  Landlord shall, at Tenant's  election either refund the
overpayment  to Tenant or credit  against the next  Additional  Rent  payment or
payments due from Tenant,  as the case may be, the difference  between  Tenant's
actual  Additional  Rent due for the  preceding  calendar year and the estimated
Additional Rent paid by Tenant during such year; provided,  however, that at the
end of the Lease Term or any renewal  period,  any overpayment by Tenant will be
refunded to Tenant within thirty (30) days of Landlord's  determination  of such
overpayment.

     Anything herein to the contrary notwithstanding, in no event will the Base
Rent provided  for in this Lease ever be reduced.

                                       3
<PAGE>

     SEC. 4. RENT PAYMENT:  The Base Rent,  Additional  Rent, and all other sums
required to be paid by Tenant hereunder,  are sometimes collectively referred to
as, and shall  constitute,  Rent. 

     Rent shall be paid by Tenant when due,  without  prior demand  therefor and
without deduction or set off unless otherwise  specifically  provided herein, at
Landlord's address in Article XIII of the Lease  Administration  Agreement or at
such other place as Landlord may designated from time to time.

     In the event any installment of Base Rent,  Additional Rent or other amount
due from Tenant to Landlord  under this Lease shall not be paid when due, a late
charge  computed  at the Overdue  Rate (as  defined in the Lease  Administration
Agreement)  or the maximum  rate  permitted by law,  whichever  is less,  may be
charged by Landlord, as Additional Rent, for the purpose of defraying Landlord's
administrative  expenses incident to the handling of such overdue payments,  and
Tenant agrees to pay such Rent to Landlord upon demand. 

     SEC. 5.  PAYMENT FOR OTHER  SERVICES:  Tenant  agrees to pay to Landlord as
Rent all charges for any services,  goods, or materials furnished by Landlord at
Tenant's  request which are not required to be furnished by Landlord  under this
Lease, immediately upon receipt of Landlord's request for payment.

     SEC. 6. TENANT'S  OCCUPANCY AND USE: The Premises  shall be used solely for
the purpose of the Permitted Use in accordance with all applicable local,  state
and federal laws, rules and regulations. Tenant shall not permit any activity in
the Premises or take any action which would materially diminish the value of the
Property. Tenant covenants that it will obtain and maintain all approvals needed
to use and operate the Premises for the  Permitted Use under  applicable  local,
state and federal law.  Tenant  shall not commit or suffer to be  committed  any
waste on the Premises or the Property. 

     SEC. 7. LANDLORD'S RIGHT OF ACCESS: Landlord or its authorized agents shall
at any and all reasonable  times have the right to enter the Premises to inspect
the same,  to supply  janitorial  service or any other  service  Landlord  deems
necessary to provide hereunder,  to show the Premises to prospective  purchasers
or tenants, to alter, improve or repair the Premises or any other portion of the
Property all without  being  deemed  guilty of an eviction of Tenant and without
abatement  of  Rent,  and may for  that  purpose  erect  scaffolding  and  other
necessary  structures where reasonably  required by the character of the work to
be performed,  provided such activities of Landlord do not materially  interfere
with Tenant's business in the Premises. Subject to the foregoing,  Tenant hereby
waives any claim for damages for any injury or inconveniences to or interference
with  Tenant's  business,  any  loss of  occupancy  or  quiet  enjoyment  of the
Premises,  and any other  loss  occasioned  thereby.  For each of the  aforesaid
purposes, Landlord shall at all times have and retain a key with which to unlock
all of the doors in, upon and about the  Premises,  excluding  Tenant's  secured
medical  storage areas,  vaults and safes.  Landlord shall have the right to use
any and all means  which  Landlord  may deem  proper to open any  door(s)  in an
emergency without liability therefor. 

     SEC.  8.  QUIET  POSSESSION:  So long as  Tenant  pays  the  Rent  reserved
hereunder  and  observes  and  performs  all of the  covenants,  conditions  and
provisions on Tenant's part to be observed and performed hereunder, Tenant shall
have the quiet  possession  of the  Premises  for the entire  Lease Term hereof,
subject to all of the provisions of this Lease. 

                                       4
<PAGE>

     SEC. 9. SERVICES AND  UTILITIES:  Provided  Tenant is not in default of any
term, condition or covenant of the Lease, Landlord will cause to be available in
the  Premises  gas (to the extent such is  accessible  to the  Property  from an
adjacent  public  right-of-way),  water (for  drinking,  cleaning  and  lavatory
purposes only), and electricity during the Lease Term. Tenant will contract for,
in its own name,  and will pay or cause to be paid all charges for  electricity,
power, oil, water, telephone and other utilities used in the Premises during the
Lease Term.  Landlord shall furnish  janitorial  service in a first class manner
during the periods and hours as may be agreed upon between  Landlord and Tenant;
provided,  however,  that  Tenant  recognizes  that there  will be a  transition
period,  not to exceed  forty-five (45) days, after the Lease Term  Commencement
Date during which  Landlord and Tenant will mutually work toward the  assumption
of these services by Landlord.  Landlord shall  furnish,  as an Operating  Cost,
routine  maintenance,  painting  and  lighting  service for all public areas and
special  service  areas  of the  Building  in a first  class  manner;  provided,
however,  that Tenant recognizes that there will be a transition  period, not to
exceed forty-five (45) days, after the Lease Term Commencement Date during which
Landlord and Tenant will mutually work toward the  assumption of these  services
by Landlord.  Landlord shall not be liable in damages,  direct or consequential,
or otherwise for failure,  stoppage or interruption of any such service, so long
as such failure,  stoppage or interruption is not caused by the gross negligence
or willful misconduct of Landlord, its agents or employees;  provided,  however,
that any such  failure,  stoppage or  interruption  shall not be construed as an
eviction  of Tenant,  work an  abatement  of rent,  or relieve  Tenant  from the
operation  of any  covenant  or  agreement.  In the  event of any such  failure,
stoppage or  interruption  thereof,  Landlord shall use reasonable  diligence to
resume service promptly. 

     SEC. 10.  REPAIRS AND  MAINTENANCE:  Landlord  shall provide or cause to be
provided  cleaning  and  maintenance  of the public  portions  of the  Building,
including  painting and  landscaping  surrounding  the Building in a first class
manner;  provided,  however,  that  Tenant  recognizes  that  there  will  be  a
transition  period,  not to exceed  forty-five  (45) days,  after the Lease Term
Commencement Date during which Landlord and Tenant will mutually work toward the
assumption of these  services by Landlord.  Unless  otherwise  expressly  stated
herein,  Landlord shall not be required to make any  improvements  or repairs of
any kind or character in the Premises during the Lease Term, except such repairs
as may be  required  by  normal  maintenance  operations,  which  shall  include
structural repairs to the outside exterior walls,  corridors,  windows, roof and
other  structural  elements and equipment of the Building,  and such  additional
maintenance as may be necessary because of damages by persons other than Tenant,
its agents, employees,  invitees or visitors.  

     Landlord  may at its  option  and at the sole cost and  expense  of Tenant,
repair or replace any damage or injury done to the Building or any part thereof,
solely caused by Tenant,  Tenant's  agents,  employees,  licensees,  invitees or
visitors,  reasonable wear and tear excepted.  Tenant shall pay the cost of such
repairs plus a fifteen percent (15%)  administrative  fee to Landlord on demand.
Tenant  further agrees to maintain and keep the interior of the Premises in good
repair and condition at Tenant's  expense.  Tenant agrees not to commit or allow
any waste or damage to be committed on any portion of the  Premises,  and at the
termination  of this  Lease,  by lapse of time or  otherwise,  to deliver up the
Premises  to  Landlord  in as good  condition  as they  existed  on the  date of
possession by Tenant,  ordinary wear and tear alone excepted, and Landlord shall
have the right to re-enter and resume  possession of the Premises whether or not
the Premises are vacated by Tenant. 

     All requests for repairs and  maintenance  that are the  responsibility  of
Landlord  pursuant  to any  provision  of this  Lease must be made in writing to
Landlord at the address set forth herein,  or as subsequently  changed from time
to time by Landlord in writing. Landlord shall provide sufficient staff so as to
be  responsive  to  Tenant's   requests  for  normal  and  routine  repairs  and
maintenance. All normal and routine repairs requested by Tenant shall be made by
Landlord promptly and in any event within twenty-four (24) hours after receiving
such request;  provided,  however,  that Tenant  recognizes that there will be a
transition  period,  not to exceed  forty-five  (45) days,  after the Lease Term
Commencement Date during which Landlord and Tenant will mutually work toward the
assumption  of these  services  by  Landlord.  

     SEC. 11.  TENANT'S  ALTERATIONS,  FIXTURES AND  PERSONAL  PROPERTY:  Tenant
covenants  and  agrees  that  it  will  make  no  structural  change,   interior
alterations  or additions that will in the  reasonable  determination  of Tenant
materially  change the general  design or  structural  integrity of the Building
without  Landlord's  written  consent in  advance,  which  consent  shall not be
unreasonably  withheld,  and without first  furnishing the Landlord fifteen (15)
days advance  notice  outlining in detail the proposed  changes or  alterations.
Landlord  shall grant or withhold its consent  within seven (7) business days of
receipt of such a request from Tenant. 

     Any such changes,  interior  alterations  or additions  (including  but not
limited to wall-to-wall  carpeting,  paneling and other wall coverings) approved
in writing by Landlord shall be surrendered to Landlord upon termination of this
Lease, Tenant hereby waiving all rights to any payment or compensation therefor.
All  costs  and  expenses  of any  approved  changes,  interior  alterations  or
additions  shall be borne solely by Tenant which  payment shall be made in cash,
unless  Landlord and Tenant mutually  agree,  that such changes,  alterations or
additions  shall be  treated  as a Capital  Addition  (as  defined  in the Lease
Administration  Agreement)  and treated in accordance  with the Article V of the
Lease   Administration   Agreement.   Any   contractor  or  person  making  such
improvements for Tenant must first be approved in writing by Landlord. 

     Tenant may remove  its trade  fixtures,  office  supplies,  movable  office
furniture or equipment and other personal  property not attached to the Building
during the Lease Term or within  thirty (30) days  following  the  expiration or
earlier  termination  of the Lease provided that Tenant is not in default of any
obligation  or  covenant  under this Lease at the time of such  removal and that
Tenant promptly repairs all damage caused by such removal. 

                                       5
<PAGE>

     SEC.  12.  CONDITION  OF THE  PREMISES:  Tenant  acknowledges  receipt  and
delivery  of  possession  of the  Premises  and that  Tenant  has  examined  and
otherwise  has a acquired  knowledge of the  condition of the Premises  prior to
execution  and delivery of this Lease and has found the same to be in good order
and repair and  satisfactory  for its purpose  hereunder.  Tenant is leasing the
Premises  as is in its  present  condition.  Tenant  waives  any claim or action
against Landlord in respect of the condition of the Premises.  LANDLORD MAKES NO
WARRANTY OR REPRESENTATION,  EXPRESS OR IMPLIED, IN RESPECT OF THE PROPERTY, THE
PREMISES OR ANY PART  THEREOF,  EITHER AS TO ITS  FITNESS FOR USE,  SUITABILITY,
DESIGN OR  CONDITION  FOR ANY  PARTICULAR  USE OR  PURPOSE OR  OTHERWISE,  AS TO
QUALITY OF THE  MATERIAL  OR  WORKMANSHIP  THEREIN,  LATENT OR PATENT,  IT BEING
AGREED THAT ALL SUCH RISKS ARE TO BE BORNE BY TENANT.  TENANT  ACKNOWLEDGES THAT
THE PREMISES HAS BEEN INSPECTED BY TENANT AND IS SATISFACTORY TO IT. 

     SEC.  13. LIENS BY TENANT:  Tenant  shall keep the  Premises  free from any
liens arising out of any work  performed,  materials  furnished,  or obligations
incurred by or for Tenant.  In the event that Tenant shall not,  within  fifteen
(15)  days  following  the  imposition  of any such  lien,  cause the same to be
released of record by payment or posting of a proper bond,  Landlord shall have,
in addition to all other remedies  provided herein and by law, the right but not
the obligation,  to cause the same to be released by such means as it shall deem
proper,  including  payment of or defense  against the claim giving rise to such
lien.  All sums paid by Landlord and all expenses  incurred by it in  connection
therewith shall create  automatically an obligation of Tenant to pay, on demand,
an  equivalent  amount  together  with  interest at a rate of the Prime Rate (as
defined in the Lease  Administration  Agreement) plus two percent (2%) per annum
as Rent. No work which Landlord  permits Tenant to perform in the Premises shall
be  deemed  to be for the  immediate  use and  benefit  of  Landlord  so that no
mechanics  or other lien  shall be allowed  against  the estate of  Landlord  by
reason of its consent to such work. 

     SEC. 14. SUBLETTING AND ASSIGNING:  Tenant shall not sublet the Premises or
any part  thereof.  Tenant  shall not assign this Lease in whole or in part,  by
operation of law or otherwise,  or mortgage or pledge the same without the prior
written  consent of  Landlord  and in no event  shall any such  assignment  ever
release  Tenant from any obligation or liability  hereunder.  No assignee of the
Premises or any portion thereof may assign the Premises or any portion  thereof.
Landlord  shall not be required to collect any rents or other  payments from any
party  on  behalf  of  Tenant's  account;  provided,  however,  that  Landlord's
collection  and acceptance of such payments shall not be construed to constitute
a novation or a release of Tenant from further  performance  of its  obligations
under this Lease. Notwithstanding the foregoing, Landlord shall not unreasonably
withhold  or  delay  its  consent  to  Tenant's  merger  or  consolidation  with
affiliates of Tenant or affiliates of PhyCor,  Inc. or other  entities  provided
that the use of the Premises  remains in  conformity  with the Permitted Use and
the creditworthiness of the proposed assignee is equal to or better than that of
Tenant, in Landlord's sole reasonable discretion. In the event Tenant desires to
assign the Lease to PhyCor,  Inc.  or an  affiliate  of PhyCor,  Inc.,  Landlord
agrees to execute a direct lease with  PhyCor,  Inc. or its  affiliate  upon the
same terms and  conditions  of this  Lease;  provided,  however,  that any space
leased to PhyCor,  Inc. or its  affiliates  shall at all times be deemed  Clinic
Space (as  defined in the Lease  Administration  Agreement).  

                                       6
<PAGE>

     SEC.  15. FIRE AND  CASUALTY:  In the event the Premises or the Building is
partially or totally  destroyed or damaged by fire or other casualty,  the terms
and provisions of Article VII of the Lease Administration Agreement shall govern
this Lease.  Notwithstanding anything herein to the contrary, Landlord shall not
be obligated in any way or manner to insure any  personal  property  (including,
but not limited  to, any  fixtures,  furniture,  machinery,  goods,  supplies or
improvements)  of Tenant or which Tenant may have upon or within the Premises or
any  fixtures  installed  by or paid for by Tenant upon or within the  Premises.

     SEC.  16.  WAIVER  OF  SUBROGATION:  Provided  their  respective  insurance
carriers  will consent and agree,  Landlord  and Tenant  hereby waive any rights
each may have against the other, on account of any loss or damage  occasioned to
Landlord or Tenant, as the case may be, their respective property, the Premises,
its  contents  or to the other  portion of the  Property  arising  from any risk
covered by valid and enforceable fire and extended  coverage  insurance,  to the
extent of such coverage.  Landlord and Tenant each agree to cause an endorsement
to be furnished to their respective  insurance policies  recognizing this waiver
of subrogation. 

     SEC. 17. DEFAULT BY TENANT: 

     a. The occurrence of any of the following shall constitute a material
default and breach of this Lease by Tenant (hereinafter referred to as an Event
of Default):  

        i.   Any failure by Tenant to pay Rent or to make any other payment
             required to be made by Tenant  hereunder  when due; 

        ii.  Any failure by Tenant to observe  and  perform  any other provision
             of this Lease to be observed or performed  by Tenant,  where such 
             failure  continues  for thirty (30) days after written notice to 
             Tenant (unless such failure cannot be cured within thirty (30)
             days and Tenant shall have commenced to cure said  failure  within
             said thirty (30) days and continues diligently to pursue the curing
             of the same);

        iii. An event of default shall occur under the Lease Administration  
             Agreement or any of the Property Leases (as defined in the Lease 
             Administration Agreement). 

     b. If an Event of Default shall have  occurred,  Landlord shall have at its
election, then or at any time thereafter, the right to pursue any one or more of
the remedies available to Landlord under Article IX of the Lease  Administration
Agreement. 

     c. Landlord shall give Tenant and PhyCor,  Inc. written notice of any Event
of Default  within  fifteen (15) business days of the occurrence of the same, at
the  addresses  set forth in Section 36. 

     SEC. 18. DEFAULT BY LANDLORD:  Except as otherwise  provided in this Lease,
Landlord  shall be in default under this Lease if Landlord  fails to perform any
of its obligations  hereunder and said failure  continues for a period of thirty
(30) days after  written  notice  thereof  from Tenant to Landlord  (unless such
failure  cannot  reasonably be cured within thirty (30) days and Landlord  shall
have  commenced to cure said failure  within said thirty (30) days and continues
diligently to pursue the curing of the same).  In no event shall Tenant have the
right to levy execution against any property of Landlord other than its interest
in the Building. 

                                       7
<PAGE>

     SEC. 19. INSURANCE:
     
     a. GENERAL INSURANCE  REQUIREMENTS.  During the Lease Term, Landlord, as an
Operating Cost,  shall at all times keep the Property and the Premises,  insured
with the kinds and amounts of insurance described below. All such policies shall
be issued by insurance  companies  licensed to do business in the state in which
the  Property  is  located,  with a rating of A-IX or better as  established  by
Best's Rating Guide (or an equivalent rating approved by Landlord). The policies
on the Property and the Premises  shall insure against the following  risks:

        i. Loss or damage  by fire, vandalism and malicious  mischief,  extended
     coverage  perils  commonly known as All Risk and all  physical loss perils,
     including but not limited  to  sprinkler  leakage,  windstorm, hail, flood,
     earthquake (when the Property is located in whole or in part  within a zone
     designated at risk for earthquakes), tornado, hurricane and similar damage,
     in an amount not less than one hundred percent (100%) of the then Full  
     Replacement Cost thereof (as defined below) with a replacement cost 
     endorsement sufficient to prevent Landlord from becoming a co-insurer  
     together with an agreed value endorsement; 

        ii.  Loss or damage by explosion of steam boilers,  pressure  vessels or
     similar apparatus,now or hereafter installed in the Property,in such limits
     with respect to any one accident as may be  reasonably  desired by Landlord
     from time to time; 

        iii. Business interruption or loss of rental under a rental value 
     insurance policy  covering  risk of loss during the first twenty-four (24)
     months of reconstruction necessitated by the occurrence of any of the 
     hazards described in Sections 19(a)(i)or 19(a)(ii), in an amount sufficient
     to prevent Landlord from becoming a co-insurer; 

        iv.  Claims for personal injury or  property  damage  under a policy of
     comprehensive general public liability insurance, including but not limited
     to, insurance  against  assumed or contractual  liability  including any 
     indemnities under this Lease with an amount not less than Five Million 
     Dollars ($5,000,000) per occurrence for injury to or death of persons 
     and/or property damage; and 

        v. Flood (when the Property is located in whole or in part within a zone
     designated at risk for floods) and such other hazards and in such amounts 
     as may be customary for comparable properties in the area and if available
     from insurance companies authorized to do business in the state in which 
     the Property is located at rates which are economically practicable in 
     relation to the risks covered. 

     b. REPLACEMENT  COST. The term Full Replacement Cost as used herein,  shall
mean the  greater  of (i) actual  replacement  cost  thereof  from time to time,
including increased cost of construction endorsement, or (ii) the purchase price
paid by Landlord for the Property at the time of such acquisition (together with
all capitalized  costs related to such acquisition) plus capital addition costs,
less  exclusions  provided in the normal  fire  insurance  policy.  In the event
either Landlord or Tenant believes that the Full  Replacement Cost has increased
or decreased at any time during the Lease Term,  it shall have the right to have
such Full Replacement Cost  redetermined by the fire insurance  company which is
then  providing the largest  amount of fire  insurance  carried on the Property,
hereinafter referred to as the impartial  appraiser.  The party desiring to have
the Full  Replacement Cost so redetermined  shall forthwith,  on receipt of such
determination  by such impartial  appraiser,  give written notice thereof to the
other party hereto. The determination of such impartial appraiser shall be final
and binding on the parties hereto, and Landlord shall forthwith, as an Operating
Cost, increase, or may decrease, the amount of the insurance carried pursuant to
this  Section,  as the case may be, to the amount so determined by the impartial
appraiser.  Landlord,  as an Operating  Cost,  shall pay the fee, if any, of the
impartial appraiser.

                                       8
<PAGE>

     c. WORKMANS COMPENSATION INSURANCE. In addition to the insurance described
above,  Landlord,  as  an  Operating  Cost,  shall  maintain  adequate  worker's
compensation  insurance  coverage  for all  persons  employed by Landlord on the
Property, if any, in accordance with the requirements of applicable local, state
and federal law.

     d.  INCREASE  IN  LIMITS.  In the  event  that  Landlord  shall at any time
reasonably  deem the limits of the personal  injury,  property damage or general
public liability  insurance then carried to be insufficient  based on commercial
insurance  standards  for  similar  properties  or  the  advice  of  independent
insurance  advisers,  such insurance  shall  thereafter be increased and carried
with the new limits until  further  changed  pursuant to the  provisions of this
Section.

     e. BLANKET POLICY.  Notwithstanding  anything to the contrary  contained in
this  Section,  obligations of the Landlord and Tenant to carry  the  insurance
provided for herein may be brought  within the  coverage of a so-called  blanket
policy or policies of insurance carried and maintained by Landlord or Tenant, as
the case may be,  provided,  that any such  blanket  policy  or  policies  shall
otherwise satisfy the insurance requirements of this Section.

     f. LIABILITIES.  Notwithstanding  the foregoing,  and without regard to the
policy  limits  of any  such  insurance  or  self  insurance,  all  liabilities,
obligations,  claims, damages,  penalties,  causes of action, costs and expenses
(including,  without  limitation,  reasonable  attorneys'  fees  and  expenses),
imposed  upon or  incurred  by or asserted  against Landlord  by reason  of any
accident,  injury to or death of persons  occurring  on or about the Property or
adjoining  sidewalks but excluding any claims arising from the gross  negligence
or willful misconduct of Landlord,  its employees or agents,  shall be deemed to
be an Operating Cost.

     g.  TENANT'S  INSURANCE  OBLIGATIONS.  During the Lease Term,  Tenant shall
maintain (i) adequate worker's  compensation  insurance coverage for all persons
employed by Tenant on the  Property,  in  accordance  with the  requirements  of
applicable  local,  state and federal law; (ii) insurance against claims arising
out of malpractice in an amount not less than Five Million Dollars  ($5,000,000)
for each person and Ten Million Dollars  ($10,000,000) for each occurrence;  and
(iii)  claims  for  personal  injury  or  property  damage  under  a  policy  of
comprehensive general public liability insurance,  including but not limited to,
insurance  against  assumed or contractual  liability  including any indemnities
under this Lease with an amount not less than Five Million Dollars  ($5,000,000)
per  occurrence  for injury to or death of persons and/or  property  damage.  If
Tenant shall engage or cause to be engaged any contractor to perform work on the
Premises,  Tenant shall require such  contractor  to carry and  maintain,  at no
expense to Landlord,  non-deductible  comprehensive general liability insurance,
including  but  not  limited  to  contractor's  liability  coverage,   completed
operations  coverage,  broad form property damage  endorsement and  contractor's
protection  liability  coverage  in such  amounts  and with  such  companies  as
Landlord  shall  approve.  Tenant  shall,  upon request by Landlord,  furnish to
Landlord policies or certificates  evidencing such coverage,  which certificates
shall state that such insurance coverage may not be changed or cancelled without
at least thirty (30) days prior  written  notice to Landlord and Tenant.  All of
the policies of insurance  referred to in this Section 19(g) shall be written in
form  satisfactory  to Landlord  and by  insurance  companies  authorized  to do
insurance  business  in the  state in  which  the  Property  is  located  and by
insurance companies  satisfactory to Landlord.  The insurance policies must name
Landlord as an  additional  insured.  In the event  Tenant shall fail to procure
such  insurance,  Landlord may at its option procure the same for the account of
Tenant,  and the cost thereof shall be paid to Landlord as Additional  Rent upon
receipt by Tenant of bills therefor.

     SEC. 20.  ATTORNEY'S  FEES:  In the event of any legal action or proceeding
brought  by either  party  against  the other  arising  out of this  Lease,  the
prevailing  party shall be entitled to recover  reasonable  attorney's  fees and
costs  incurred in such action and such amount shall be included in any judgment
rendered in such proceeding.

     SEC.  21.  CONDEMNATION:  In the event the  Property or the Building or any
portion  thereof  shall  be taken or  condemned  in whole or in part for  public
purposes,  or sold to a condemning  authority to prevent taking,  then the terms
and  provisions  of Article  VIII of the Lease  Administration  Agreement  shall
govern and control. 

                                       9
<PAGE>

     SEC. 22. PAYMENT OF  IMPOSITIONS:  Landlord will pay, or cause to be paid,
all Impositions. 

     SEC. 23.  TAXES ON TENANT'S PROPERTY: Tenant shall be liable for and shall
pay,  prior to their  becoming  delinquent, any and all taxes and assessments 
levied against any personal property or trade or other fixtures placed by 
Tenant in or about the Premises.  

     SEC. 24. SIGNS: No signs of any kind or nature,  symbol or identifying mark
shall be put on the Building, the Property, in the halls, elevators, staircases,
entrances,  parking  areas or upon the doors or walls,  whether  plate  glass or
otherwise,  of the Premises nor within the Premises so as to be visible from the
public areas or exterior of the  Building,  without  prior  written  approval of
Landlord.  All signs of  lettering  shall  conform in all  respects  to the sign
and/or  lettering  criteria   established  by  Landlord.   

     SEC. 25.  RULES AND  REGULATIONS:  Such  reasonable  rules and  regulations
applying  to all  Tenants in the  Building  as may be adopted  by  Landlord  and
approved by Tenant, for safety, care,  cleanliness,  preservation of good order,
or operation of the Premises,  the Building and the Property,  are hereby made a
part  hereof and Tenant  agrees to comply  with all such rules and  regulations.
Such rules and  regulations  adopted by Landlord and approved by Tenant shall be
thereafter  carried out and observed by Tenant.  

     SEC. 26.  HOLDING OVER: In the event Tenant,  or any party  claiming  under
Tenant,  retains  possession  of the Premises  after the  expiration  or earlier
termination  of this  Lease,  such  possession  shall be a tenancy at will under
applicable law. Tenant shall be subject to immediate  eviction and removal,  and
Landlord,  in addition to all other  remedies  available to it hereunder,  shall
have the right to receive as liquidated damages for all the time Tenant shall so
retain possession of the Premises or any part thereof,  an amount equal to twice
the Base Rent  specified in the Lease,  as applied to such period  together with
all other payments required  hereunder as Additional Rent. 

     Tenant  shall also pay any and all damages,  including  but not limited to,
consequential  damages  sustained  by  Landlord  as a result of such  hold-over.
Tenant will vacate the Premises and deliver  same to Landlord  immediately  upon
Tenant's  receipt  of  notice  to do so from  Landlord.  The  Rent  during  such
hold-over  period  shall be payable to  Landlord on demand.  No holding  over by
Tenant, whether with or without consent of Landlord, shall operate to extend the
Lease Term. 

     SEC. 27.  NON-WAIVER:  No waiver by Landlord of any provision of this Lease
or of any breach by Tenant hereunder shall be deemed to be a waiver of any other
provision hereof, or of any subsequent breach by Tenant of the same or any other
provision.  Landlord's  consent to or  approval  of any act by Tenant  requiring
Landlord's  consent or approval  shall not be deemed to render  unnecessary  the
obtaining of Landlord's  consent to or approval of any subsequent act of Tenant.
No act or thing done by Landlord or  Landlord's  agents  during the term of this
Lease shall be deemed an acceptance of a surrender of the Premises,  unless done
in writing signed by Landlord.  The acceptance of any Rent by Landlord following
a breach of this Lease by Tenant  shall not  constitute  a waiver by Landlord of
such  breach or any other  breach  unless  such  waiver is  expressly  stated in
writing signed by Landlord.

     SEC. 28.  SUBORDINATION  AND ATTORNMENT:

     a. This Lease shall be subject to and  subordinate to any lease  (including
ground  lease)  wherein  Landlord  is the  tenant and to the lien of any and all
mortgages  or deeds of trust,  regardless  of whether  such lease,  mortgages or
deeds of trust now exist or may  hereafter  be created with regard to all or any
part of the Building or the Property, or both, and to any and all advances to be
made  thereunder,   and  to  the  interest  thereon,   and  all   modifications,
consolidations,  renewals,  replacements,  and extensions  thereof.  Tenant also
agrees  that any lessor or  mortgagee  may elect to have this Lease prior to any
lease  or  lien of its  mortgage  or deed of  trust,  and in the  event  of such
election  and upon  notification  by such lessor or  mortgagee to Tenant to that
effect,  this  Lease  shall be  deemed  prior  to the said  lease or lien of its
mortgage or deed of trust, whether this Lease is dated prior to or subsequent to
the date of said lease, mortgage or deed of trust. 

     b. In the event of the sale or  assignment  of  Landlord's  interest in the
Premises  (except in a sale - leaseback  financing  transaction),  Tenant  shall
attorn to and  recognize  such  purchaser  or assignee or  mortgagee as Landlord
under this  Lease,  provided  that the  transferee  or  assignee  assumes all of
Landlord's  obligations  hereunder and provided further that Tenant shall not be
disturbed in its possession so long as it is not in default hereunder. 

     c. In the  event of any  proceedings  brought  for the  foreclosure  of any
mortgage or deed of trust covering the Property, or in the event of the exercise
of a power of sale pursuant  thereto and upon the written request of a purchaser
at such foreclosure proceedings, Tenant shall, at the request of such purchaser,
attorn to and recognize such  purchaser as Landlord  under this Lease,  provided
that the transferee or mortgagee assumes all of Landlord's obligations hereunder
and provided  further that Tenant  shall not be disturbed in its  possession  so
long as it is not in default hereunder.  

     d. Tenant agrees that, upon the request of Landlord,  or any such lessor or
mortgagee,  Tenant shall execute and deliver whatever instruments may reasonably
be required for such purposes in order to carry out the intent of this Section.

                                       10
<PAGE>

     SEC. 29. TRANSFER OF LICENSES:  Upon the expiration or earlier  termination
of the Lease Term,  Tenant shall use its best efforts to transfer (to the extent
legally  transferable)  to Landlord or Landlord's  nominee,  without  additional
consideration  to Tenant,  all licenses (except  Tenant's  operating  licenses),
operating  permits  and other  governmental  authorizations  and all  contracts,
including contracts with governmental or  quasi-governmental  entities which may
be necessary or useful in the operation of the Property.

     SEC.  30.  SUCCESSORS  AND ASSIGNS:  Except as  otherwise  provided in this
Lease,  all of the  covenants,  conditions and provisions of this Lease shall be
binding  upon and shall  inure to the  benefit of the  parties  hereto and their
respective successors and permitted assigns.

     SEC. 31. TIME: Time is of the essence.  

     SEC. 32. APPLICABLE LAW: This Lease shall be governed by and construed  
pursuant to the laws of the Commonwealth of Virginia.   

     SEC. 33.  SEVERABILITY:  If any provision of this Lease or the  application
thereof to any person or circumstances  shall be invalid or unenforceable to any
extent,  the remainder of this Lease and the  application of such  provisions to
other  persons  or  circumstances  shall not be  affected  thereby  and shall be
enforced to the greatest extent permitted by law.

     SEC. 34.  AUTHORITY OF TENANT:  If Tenant or Landlord,  as the case may be,
executes  this Lease in other than an individual  capacity,  each of the persons
executing  this Lease on behalf of Tenant or Landlord,  as the case may be, does
hereby personally covenant and warrant that Tenant or Landlord,  as the case may
be, is a duly authorized and existing legal entity as herein  represented,  that
Tenant or  Landlord,  as the case may be, has and is qualified to do business in
the State in which the Building is located,  that the Tenant or Landlord, as the
case may be, has full right and  authority  to enter into this  Lease,  and that
each person signing on behalf of the Tenant or Landlord,  as the case may be, is
authorized  to  do  so.  Upon  request  the  signatories   hereto  will  furnish
satisfactory  evidence of their authority to execute this Lease on behalf of the
respective parties.

     SEC. 35. BROKERS:  Tenant and Landlord warrant to the other that it has had
no  dealings  with any real  estate  broker  or  agent  in  connection  with the
negotiation  of this Lease,  and that it knows of no real estate broker or agent
who might be entitled to a commission in connection with this Lease.  Tenant and
Landlord  agree to indemnify  and hold harmless the other party from and against
any liability from all other claims for commissions arising from the negotiation
of this Lease.

                                       11
<PAGE>

     SEC. 36. NOTICES: All notices which Landlord or Tenant may be required,  or
may  desire,  to serve on the other  shall be in writing  and shall be served or
delivered in accordance  with the provisions  and to the addresses  specified in
Article XIII of the Lease Administration  Agreement.  All notices which Landlord
or Tenant may be required,  or may desire, to serve on PhyCor,  Inc. shall be in
writing and shall be either (a) delivered in person, (b) sent by certified mail,
return receipt requested,  (c) delivered by a recognized  delivery service which
takes a receipt on delivery or (d) sent by facsimile  transmission and addressed
as follows:

            PhyCor, Inc.: PhyCor, Inc.
                          30 Burton Hills Boulevard, Suite 500 
                          Nashville,  Tennessee 37215 
                          Attn: President
                          Phone:  (615)  665-9066 
                          Fax:  (615) 665-9088
            
            With a copy to: William E. Shofner, Esq.
                          Waller,  Lansden,  Dortch & Davis 
                          511 Union Street,  Suite 2100 
                          Nashville, Tennessee  37219-1760  
                          Phone: (615) 244-6380  
                          Fax: (615)  244-6804  

     SEC.  37.  RELATIONSHIP  OF  LEASE  TO  LEASE   ADMINISTRATION   AGREEMENT:
Notwithstanding any provision herein to the contrary, no provision in this Lease
shall be  construed  or  interpreted  to limit or abrogate  any of the terms and
provisions  of the  Lease  Administration  Agreement.  In the  event any term or
provision  of this Lease shall  contradict  any term or  provision  in the Lease
Administration  Agreement,  the Lease Administration  Agreement shall govern and
control. 

     SEC. 38. ENTIRE AGREEMENT: Except for the terms and provisions of the Lease
Administration  Agreement,  this Lease  contains  all of the  agreements  of the
parties hereto with respect to this Lease, and no prior agreement, understanding
or  representation  pertaining  to any such matter  shall be  effective  for any
purpose.  No  provision  of this  Lease may be  amended or added to except by an
agreement in writing signed by the parties hereto or their respective successors
in interest. 

                                       12
<PAGE>

     SEC.  39.  COUNTERPARTS:  This  Agreement  may be  signed  in  one or  more
counterparts,  duplicate  signature pages or facsimile signature pages, with the
same force and effect as if all required  signatures  were contained in a single
original instrument.  Any one or more of such counterparts,  duplicate signature
pages or facsimile  signature pages may be removed from any one or more original
copies of this Agreement and annexed to other counterparts,  duplicate signature
pages or  facsimile  signature  pages  to form a  completely  executed  original
instrument.

     IN WITNESS WHEREOF, the parties have caused  this Lease to be executed  by 
their respective duly authorized officers.  

TENANT:                                   LANDLORD:
LEWIS-GALE CLINIC, L.L.C.                 HRT OF ROANOKE, INC.

By:________________________________       By:________________________________

Print Name: _______________________       Print Name:________________________

Its________________________________       Its:_______________________________ 

                                     
                                     13
<PAGE>

                                  EXHIBIT "A"
                              PROPERTY DESCRIPTION

LEWIS-GALE CLINIC 

PARCEL I                       TRACT I (0.432 AC) 

Being a tract of land situated in Salem,  Virginia and  designated as Tract I,
containing 0.432 acre of land and designated as tax #303-1-2.

COMMENCING at corner #1, said corner #1
being the  intersection  of the  property of Lewis Gale  Hospital as recorded in
Deed Book 4, Page 176 (Tax  #283-2-1) and Tract IIB, said corner #1 lying on the
northerly  right-of-way  line of Keagy  Road (50'  R/W);  

Thence  along the line common to said  property of Lewis Gale  Hospital and
Tract IIB, the following  courses and  distances,  N 22(Degree) 56' 30 E. 212.01
feet to a point; 

Thence S 67(Degree)  03' 30 E.  5.66  feet to the  Actual  Point of  BEGINNING;

Thence S 67(Degree)  03' 30 E. 37.84 feet along the line common to said property
of Lewis Gale  Hospital,  Inc.  and  property  herein  described  to a  point;  

Thence  N 22(Degree)  56' 30 E. 88.58 feet along  said  common  line to a point;

Thence S 67(Degree) 03' 30 E. 7.65 feet along the line common to aforesaid Tract
IIB and the property  herein  described to a point;

Thence N 22(Degree) 56' 30 E. 35.20 feet along said common line to a point; 

Thence S 67(Degree) 03' 30 E. 79.00 feet along said  common  line to a point;  

Thence S  22(Degree)  56' 30 W. 35.20 feet along the line  common  to Tract IIA
(tax  parcel  #303-1-2.1) and the  herein described  tract;

Thence along said common line the following courses and distances, S 67(Degree)
03' 30 E. 17.05 feet to a point; 

Thence S 22(Degree) 56' 30 W.  73.80  feet to a point;  

Thence N  67(Degree)  03' 30 W. 16.97 feet to a point;  

Thence S 22(Degree) 56' 30 W. 33.20 feet to a point; 

Thence S 67(Degree) 03' 30 E. 16.97 feet to a point;  

Thence S 22(Degree)  56' 30 W. 55.02 feet to a point;  

Thence N 67(Degree) 03' 30 W. 54.35 feet along the line common to property of 
Lewis Gale Medical  Foundation  as recorded in Deed Book 26, Page 77
(tax #303-1-1) and the herein described property;  

Thence N 22(Degree) 56' 30 E.13.02 feet along the line common to the 
aforementioned Tract IIB and the herein described property;  

                                       14
<PAGE>

Thence along said common line for the following courses and distances,
N 67(Degree) 03' 30 W. 51.00 feet to a point; 

Thence N 22(Degree) 56' 30 E. 45.44 feet to a point; 

Thence N 67(Degree) 03' 30 W. 7.07 feet to a point; 

Thence N 22(Degree)  56' 30 E. 6.51 feet to a point;

Thence N 67(Degree) 03' 30 W. 29.12 feet to a point;  

Thence N 22(Degree) 56'30 E. 8.47 feet to the Point of BEGINNING and  containing
a computed  acreage of 0.432 acre (18.829 sq. ft.) 

Together with appropriate non-exclusive easements of ingress and egress over and
along private roads (now  existing or as may  hereafter be  constructed  and/or
relocated) of Lewis-Gale Hospital, Incorporated, running across its remaining 
lands connecting the subject property to Keagy Road and Braeburn Drive.

Together also with easements for general utility purposes over, across and
under remaining  properties of  Lewis-Gale  Hospital,  Incorporated, including
water, sewer, drainage, electricity, gas and telephone, such easements to be
reasonable  and to be  exactly  located  as might  be  mutually  agreed  upon by
Lewis-Gale Hospital,  Incorporated,  and Industrial Development Authority of the
City of Salem, Virginia, their successors and assigns.  

PARCEL I - continued        TRACT II-B (3.032 AC) 

Being a tract of land situated in Salem,  Virginia, and designated as Tract
IIB and containing 3.032 acres of land.

BEGINNING at corner #1, a point located on the northerly  right-of-way line
of Keagy Road (50' R/W) and being the corner  common to  property  of Lewis Gale
Hospital, Inc. as recorded in Deed Book 4, Page 176 (tax number 283-2-1) and the
herein described parcel;

Thence  along the line common to said  property of Lewis Gale  Hospital and the 
herein described parcel, N 22(Degree) 56' 30 E. 212.01 feet to a point;

Thence S 67(Degree) 03' 30 E. 5.66 feet along said common line to a point;

Thence along the line common to Tract I (tax #303-1-2) and the herein described
parcel, the following courses and distances,  S 22(Degree) 56' 30 W. 8.47 feet 
to a point;

Thence S 67(Degree) 03' 30 E. 29.12 feet to a point;

Thence S  22(Degree)  56' 30 W. 6.51 feet to a point;

Thence S 67(Degree) 03' 30 E. 7.07 feet to a point;

Thence S 22(Degree) 56' 30 W. 45.44 feet to a point;

Thence S 67(Degree)  03' 30 E. 51.00 feet to a point;

Thence S  22(Degree)  56' 30 W. 13.02 feet to a point;

                                       15
<PAGE>

Thence along the line  common to property of Lewis Gale  Medical  Foundation as
recorded in Deed Book 26, Page 77 (tax  parcel  #303-1-1) and the herein 
described  parcel the following  courses and  distances,  N 67(Degree) 03' 30 W
48.35 feet to a point;

Thence S 22(Degree) 56' 30 W. 110.58 feet to a point;

Thence S 71(Degree) 03' 15 E. 137.51 feet to a point;

Thence N 22(Degree) 56' 30 E. 78.40 feet to a point;

Thence  along  the line  common  to Tract IIA (tax  #303-1-2.1)  and the  herein
described  tract the following  courses and  distances,  N 67(Degree)  56' 30 E.
79.65  feet to a point;

Thence S  67(Degree)  03' 30 E.  67.51 feet to a point;

Thence  along  the line  common to Tract IIC (tax #  303-1-2.3)  and the  herein
described  parcel,  S  23(Degree)  00' 34 W.  32.79  feet to a  point;

Thence S 21(Degree) 59' 26 E. 40.22 feet to a point;

Thence S 66(Degree) 59' 26 E. 130.79 feet to a point;

Thence N 23(Degree) 00' 34 E. 83.09 feet to a point;

Thence N 21(Degree) 59' 26 W. 121.21 feet to a point;

Thence S 68(Degree) 00' 34 W. 21.36 feet to a point;

Thence N 36(Degree) 59' 26 W. 37.78 feet to a point;

Thence N 45(Degree) 30' 34 E. 41.22 feet to a point;

Thence N 44(Degree) 29' 26 W. 26.00 feet to a point;

Thence S  45(Degree)  30' 34 W. 20.71 feet to a point;

Thence along the line common to the aforementioned Tract IIA (tax #303-1-2.1)
and the herein described parcel the following courses and distances,N 22 Degree)
56' 30 E. 32.09 feet to a point;

Thence N 67(Degree) 03' 30 W. 185.05 feet to a point;

Thence S 22(Degree) 56' 30 W. 8.83 feet to a point;

Thence along the line common to the aforementioned Tract I (tax #303-1-2) and 
the herein described parcel for the following courses and distances, 
N 67(Degree)  03' 30 W. 79.00 feet to a point;

Thence S 22(Degree) 56' 30 W. 35.20 feet to a point;

Thence N 67(Degree) 03' 30 W. 7.65 feet to a point;

Thence along the line common to said property of Lewis Gale  Hospital,  Inc. 
(tax #283-2-1) and the herein  described  parcel the following  courses and 
distances,  N 22(Degree) 56' 30 E. 89.44 feet to a point;

                                       16
<PAGE>

Thence S 70(Degree) 20' 51 E. 274.71 feet to a point;

Thence N 52(Degree) 19' 29 E. 14.21 feet to a point;

Thence S 67(Degree) 03' 30 E. 199.58 feet to a point;

Thence along the line common to property of Lewis Gale Building  Corporation  as
recorded  in Deed Book 81,  Page 298 (tax  #303.1-3)  and the  herein  described
parcel the following  courses and distances,  S 04(Degree) 00' 00 W. 350.42 feet
to a point,  said point lying on the northerly  right-of-way line of Keagy Road;

Thence along the line common to the northerly right-of-way of Keagy Road and the
herein described parcel the following courses and distances, N 86(Degree) 00' 00
W. 103.70 feet to a point of  curvature to the right;

Thence 323.98 feet along the arc of the curve to the right, whose radius is
980.00  feet,  tangent  163.48  feet,  delta angle  18(Degree)  56' 30 and chord
bearing and distance N 76(Degree) 31' 45 W. 322.51 feet to a point;

Thence N 67(Degree)  03' 30 W. 221.86 feet to the Point of BEGINNING containing
a computed acreage of 3.032 acres (132,062 SQ. FT.).

Together with appropriate  non-exclusive  easements of ingress and egress
over and along private  roads (now  existing or as may hereafter be  constructed
and/or  relocated)  of Lewis-Gale  Hospital,  Incorporated,  running  across its
remaining  lands  connecting  the subject  property  to Keagy Road and  Braeburn
Drive.  

Together also with easements for general utility  purposes over,  across
and under remaining properties of Lewis-Gale Hospital,  Incorporated,  including
water, sewer,  drainage,  electricity,  gas and telephone,  such easements to be
reasonable  and to be  exactly  located  as might  be  mutually  agreed  upon by
Lewis-Gale Hospital,  Incorporated,  and Industrial Development Authority of the
City of Salem,  Virginia,  their  successors  and assigns.

PARCEL II                 TRACT II-A (0.758 AC) 

Being a tract of land situated in Salem, Virginia, designated as Tract IIA,
containing 0.758 acre of land and designated at tax #303-1-2.1.

BEGINNING  at a  northeasterly  corner of Tract 1 (tax  #303-1-2),  a  southerly
corner of Tract IIB and a northwesterly  corner of the herein  described  tract;

Thence  along the line common to said Tract IIB and the herein  described  tract
the following courses and distance, N 22(Degree) 56' 30 E. 8.83 feet to a point;

Thence S 67(Degree) 03' 30 E. 185.05 feet to a point; Thence S 22(Degree) 56' 30
W.  172.33  feet along the  aforesaid  common  line and along the line common to
Tract IIC (tax #303-1-2.3) and the herein  described tract;

Thence N 67(Degree) 03' 30 W. 77.20 feet along  said  common  line and along the
line  common to the aforementioned  Tract IIB and herein described tract;

                                       17
<PAGE>

Thence S 67(Degree) 56' 30 W. 79.65  feet to a point;

Thence N  22(Degree) 56' 30 E. 22.60 feet along the line  common to property
of Lewis Gale  Medical  Foundation  as recorded in Deed Book 26, Page 77 
(tax #303-1-1) and the aforementioned  tract to a point;

Thence N  67(Degree)  03' 30 W. 34.48 feet along said common line to a point;

Thence N 22(Degree)  56' 30 E.  55.02 feet along the line  common to the  
aforementioned Tract I (tax #303-1-2) and the herein described  tract;

Thence N 67(Degree) 03' 30 W. 16.97 feet along said common line to a point;

Thence N 22(Degree)  56' 30 E. 33.20 feet along said common line to a point;

Thence S 67(Degree)  03' 30 E. 16.97 feet along said  common  line to a point;

Thence N  22(Degree)  56' 30 E. 73.80 feet along said  common  line to a point;

Thence N  67(Degree)  03' 30 W. 17.05 feet along said  common  line to a point;

Thence N  22(Degree)  56' 30 E. 35.20 feet to the Point of BEGINNING and 
containing a computed  acreage of 0.758 acre (33,014 SQ FT).

Together with the following easements:

     (1) A non-exclusive easement for ingress, egress and parking on, over,along
and through all roads,  driveways and parking areas no existing and as hereafter
constructed or located on the remaining  property of the Industrial  Development
Authority of the City of Salem,  Virginia,  its successors and assigns,  located
between Keagy Road and Braeburn Drive.

     (2)  Such  easements  as  are   reasonably   necessary  for  the  location,
construction,  installation,  maintenance,  repair, removal,  reinstallation and
reconstruction  of utilities and utility  lines,  including  without  limitation
water, sewer, drainage,  electricity, gas and telephone, over, across, under and
through thr remaining  property of the Industrial  Development  Authority of the
City of Salem,  Virginia,  located between Keagy Road and Braeburn  Drive,  said
easements  to be  specifically  located by the mutual  agreement  of  Lewis-Gale
Building  Corporation  and the Industrial  Development  Authority of the City of
Salem, Virginia, their successors and assigns.

     (3) An  easement  for  the  lateral  support,  by the  eastern  wall of the
Lewis-Gale Clinic building now located on the land of the Industrial Development
Authority  of the  City of  Salem,  Virginia,  of the  building  constructed  by
Lewis-Gale Building corporation on the above-described land, including the right
to  insert  into and  attached  to said wall  such  beams  and other  structural
materials as shall be  reasonably  necessary  for the benefit and support of the
building constructed by Lewis-Gale Building Corporation; provided, however, that
such use shall not render unstable or unsafe or otherwise  materially  adversely
affect the  structural  integrity  of the building not located on Tract I (0.432
Ac.) as hereinabove described.

     (4) The easements for ingress and egress over and along existing and future
private roads connecting the hereinabove  described property with Keagy Road and
Braeburn  Drive and for  general  utility  purposes  over,  across and under the
property  of  Lewis-Gale  Hospital,  Incorporated,  which were  conveyed  to the
Industrial  Development Authority of the City of Salem,  Virginia, by Lewis-Gale
Hospital,  Incorporated,  by deed dated July 1, 1971,  recorded  in the  Clerk's
office of the  Circuit  Court of the City of Salem,  Virginia,  in Deed Book 17,
page  363,  to  which  deed  reference  is  hereby  made  for a more  particular
description  of said  easements,  said  easements  to be used in common with the
Industrial Development Authority of the City of Salem, Virginia, and its 
assigns.

                                       18
<PAGE>

PARCEL III                  TRACT II-C (0.518 AC) 

Being a tract of land situated in Salem,  Virginia, and designated as Tract
IIC containing 0.518 acre of land and designated as tax #303-1-2.3.

BEGINNING  at a point  lying in the  easterly  property  line of Tract IIA,
being a  southerly  point of Tract IIB and being a  northwesterly  corner of the
herein described parcel, said point also lying S 22(Degree) 56' 30 W. 32.09 feet
from the northeast property corner of the aforementioned Tract IIA;

Thence along the line common to the aforesaid Tract IIB and the herein described
parcel the following  courses and distances,  N 45(Degree) 30' 34 E. 20.71 feet
to a point;

Thence S 44(Degree) 29' 26 E. 26.00 feet to a point;

Thence S 45(Degree) 30' 34 W. 41.22 feet to a point;

Thence S 36(Degree)  59' 26 E. 37.78 feet to a point;

Thence N 68(Degree) 00' 34 E. 21.36 feet to a point;

Thence S 21(Degree) 59' 26 E. 121.21 feet to a point;

Thence S 23(Degree) 00' 34 W. 83.09 feet to a point;

Thence N 66(Degree) 59' 26 W. 130.79 feet to a point;

Thence N 21(Degree) 59' 26 W. 40.22 feet to a point;

Thence N 23(Degree)  00' 34 E. 32.79 feet to a point;

Thence along the line common to said Tract IIA and the herein described parcel
the following courses and distances, S 67(Degree) 03' 30 E. 9.69 feet to a
point;  

Thence N 22(Degree)  56' 30 E. 140.24 feet to the Point of BEGINNING and
containing a computed acreage of 0.518 acre (22,563 SQ FT).acre (22,563 SQ FT).

                                       19



                                     
<PAGE>

TO:      HRT OF ROANOKE, INC.

FROM:    PHYCOR, INC.
                                    Guaranty

                             GUARANTY OF OBLIGATIONS
                   PURSUANT TO LEASE ADMINISTRATION AGREEMENT

     The undersigned,  PhyCor, Inc., a Tennessee corporation  (Guarantor),  as a
material  and  necessary  inducement  to  HRT  of  Roanoke,   Inc.,  a  Virginia
corporation  (HRT),  to  enter  into a  Lease  Administration  Agreement,  dated
_______________,  (the  Agreement) with Lewis-Gale  Clinic,  L.L.C.,  a Virginia
limited liability company corporation (Lewis-Gale), affecting ancillary hospital
facilities  and  physicians'  clinics  commonly  known as  Lewis-Gale  Clinic on
several properties located and described on Exhibits A (the Properties),  hereby
represents, warrants, covenants and agrees as follows:

     I. Guarantor hereby  irrevocably  guarantees to HRT the payment when due of
all rents and all other sums payable by  Lewis-Gale  under the Agreement and the
faithful  and  prompt  performance  when due of each and every one of the terms,
conditions  and  covenants  to be kept and  performed  by  Lewis-Gale  under the
Agreement, and any and all amendments, extensions and renewals of the Agreement;
provided,  however, Guarantor shall have no liability or any other obligation to
HRT  hereunder  or  otherwise  upon (a) the  occurrence  of an event of  default
described in subsection 9.1(k) of the Agreement or (b) the failure by Lewis-Gale
to pay any  impositions  in respect to real property  assessed prior to the date
hereof.  In the event of the failure of Lewis-Gale to pay any such rent or other
sums,  or to render  any other  performance  required  of  Lewis-Gale  under the
Agreement,  if and when due after the expiration of any applicable  cure period,
the Guarantor shall upon receiving  notice of such failure from HRT pay the rent
and  forthwith  perform all  provisions  of the  Agreement  to be  performed  by
Lewis-Gale thereunder.  It is understood and agreed that the aggregate amount of
the obligations  guaranteed hereby may not exceed the amount which accrues under
the  Agreement,  provided that the  Guarantor  shall be obligated to pay for all
reasonable  costs  and  expenses  that are  incurred  by HRT in  enforcing  this
Guaranty.

     2. In  such  manner,  upon  such  terms  and at  such  times  as HRT in its
reasonable  discretion  deems  necessary  or  expedient,  but with notice to and
consent by the  Guarantor,  HRT may  alter,  compromise,  accelerate,  extend or
change the time or manner for the payment or the  performance  of any obligation
hereby  guaranteed,   release  Lewis-Gale  by  consent  to  any  assignment  (or
otherwise)  as to all or any  portion  of  the  obligations  hereby  guaranteed,
release,  substitute  or add any one or more  guarantors,  accept  additional or
substituted  security for any obligation secured hereby,  release or subordinate
any security for any  obligation  secured  hereby or release or  substitute  the
Property  now or  hereafter  covered by the  Agreement  for any other  facility.
Subject to the foregoing  sentence,  no exercise or  non-exercise  by HRT of any
right hereby given HRT (or neglect or delay in connection therewith), no dealing
by HRT with the  Guarantor or any other  guarantor or any other  person,  and no
change, impairment,  release or suspension of any right or remedy of HRT against
any  person,  including  Lewis-Gale  and any other  guarantor,  shall in any way
affect  any of  the  obligations  of the  Guarantor  hereunder  or any  security
furnished by the Guarantor or give the Guarantor any recourse or offset  against
HRT. If HRT has  exculpated  Lewis-Gale  from personal  liability in whole or in
part,  said  exculpation  shall not  affect  the  obligations  of the  Guarantor
hereunder,  it being understood that the Guarantor's  obligations  hereunder are
independent  of the  obligations  of Lewis-Gale and are to be construed as if no
such  exculpation had been given to Lewis-Gale by HRT. It is further  understood
and agreed that if any such  exculpation  has been or at any time  hereafter  is
given to  Lewis-Gale,  HRT has  done or will do so in  reliance  upon the  terms
expressed  herein.  

     3. Subject to the  provisions  of the last  sentence of this  Section,  the
Guarantor hereby waives and relinquishes (a) any right to require HRT to proceed
against  Lewis-Gale  or any other  person or to proceed  against or exhaust  any
security  held by HRT at any time or to pursue any other  remedy in HRT's  power


                                       1
<PAGE>

before  proceeding  against the  Guarantor;  (b) any  defense  that may arise by
reason  of  incapacity,  lack of  authority,  insolvency,  bankruptcy,  death or
disability  of any other  person or  persons  or the  failure  of HRT to file or
enforce a claim against the estate (in  administration,  bankruptcy or any other
proceeding) of any other person or persons;  (c) any defense  arising because of
HRT's election,  in any proceeding instituted under the Federal Bankruptcy Code,
together with all amendments and revisions thereto (the Bankruptcy Code), of the
application of Section  1111(b)(2) of the Bankruptcy Code; (d) any defense based
on any  borrowing  or grant of a  security  interest  under  Section  364 of the
Bankruptcy  Code;  and (e) any duty on the part of HRT to disclose to  Guarantor
any facts HRT may now or hereafter know about Lewis-Gale,  regardless of whether
HRT has  reason to  believe  that any such facts  materially  increase  the risk
beyond that which Guarantor intends to assume or has reason to believe that such
facts are unknown to Guarantor or has a reasonable  opportunity  to  communicate
such facts to Guarantor,  it being understood and agreed that the undersigned is
fully  responsible for being and keeping informed of the financial  condition of
Lewis-Gale  and of all  circumstances  bearing  on the  risk of  non-payment  or
non-performance  of any  obligations  or  indebtedness  hereby  guaranteed.  The
Guarantor  hereby waives all notices of acceptance  of this  Guaranty,  protest,
notice of intention to accelerate (and notice of such acceleration),  demand and
dishonor,  presentment,  and all  other  demands  of any kind  now or  hereafter
provided for by any statute or rule of law, other than any notice or demand that
HRT must give Guarantor hereunder, under the Agreement, under any Property Lease
subject to the Agreement or under any other  agreement to which HRT or Guarantor
may be a party.  Notwithstanding  anything to the contrary in this Guaranty, the
Guarantor  shall have as a defense to payment or performance  hereunder each and
every defense,  real and personal,  which  Lewis-Gale may have to the payment or
performance under the Agreement, it being the intention of the Guarantor and HRT
that the Guarantor's obligations hereunder shall not be greater, more burdensome
or otherwise different from Lewis-Gale's obligations under the Agreement.

     4.  Notwithstanding  any  modification  or  discharge  of  the  obligations
guaranteed  hereby  (or  any  part  thereof)  or  any  amendment,  modification,
rearrangement,  stay, or cure of any of HRT's rights, remedies or recourse under
the  Agreement  which  may occur in any  bankruptcy  or  reorganization  case or
proceeding concerning Lewis-Gale, whether permanent or temporary, and whether or
not assented to by HRT, the Guarantor  hereby agrees that the Guarantor shall be
obligated  under  this  Guaranty  to pay  and  perform  all  of the  obligations
guaranteed  hereby in accordance with the respective  terms of the Agreement and
of this  Guaranty in effect on the date hereof.  The Guarantor  understands  and
acknowledges  that, by virtue of this Guaranty,  the Guarantor has  specifically
assumed  any and all risk of a  bankruptcy,  reorganization,  or  other  case or
proceeding  under any of the Debtor  Relief Laws (as  hereinafter  defined) with
respect to  Lewis-Gale.  The term Debtor Relief Laws, as used in this  Guaranty,
shall  mean  the   Bankruptcy   Code  or  any  other   applicable   liquidation,
conservatorship,    bankruptcy,   moratorium,    rearrangement,    receivership,
insolvency, reorganization, suspension of payments, or similar debtor relief law
from time to time in effect which affects the rights of creditors generally.

     5. The  amount of the  Guarantor's  liability  and all  rights,  powers and
remedies  of HRT  hereunder  and under any  other  agreement  now or at any time
hereafter  in force  between HRT and  Guarantor,  including  any other  guaranty
executed by Guarantor  relating to any  indebtedness or other  obligation of any
lessee to HRT, shall be cumulative and not alternative  and such rights,  powers
and remedies  shall be in addition to all rights,  powers and remedies  given to
HRT by law. This Guaranty is in addition to and exclusive of the guaranty of any
other guarantor of any indebtedness of Lewis-Gale to HRT.

     6. The  obligations  of the  Guarantor  hereunder  are primary,  direct and
independent of the obligations of Lewis-Gale and, in the event of any default by
Lewis-Gale under the Agreement (beyond any period of cure provided  therein),  a
separate action may be brought and prosecuted  against the Guarantor  whether or
not  Lewis-Gale  is joined  therein  or a  separate  action is  brought  against
Lewis-Gale. HRT may maintain successive actions for other defaults. HRT's rights
hereunder  shall  not be  exhausted  by its  exercise  of any of its  rights  or
remedies or by any such action or by any number of successive  actions until and
unless all indebtedness  and  obligations,  the payment and performance of which
are hereby guaranteed, have been paid and fully performed.

     7. The Guarantor  shall pay to HRT all reasonable  attorneys'  fees and all
costs  and  expenses  which HRT  expends  or incurs  to the  extent  allowed  by


                                       2
<PAGE>

applicable law in enforcing  performance of any indebtedness or other obligation
hereby  guaranteed or in enforcing this Guaranty against the Guarantor,  whether
or not  suit is  filed,  expressly  including  but  not  limited  to all  costs,
reasonable  attorneys' fees and expenses  incurred by HRT in connection with any
insolvency, bankruptcy, reorganization, arrangement or other similar proceedings
involving  the  Guarantor  which in any way affects  the  exercise by HRT of its
rights and remedies hereunder.

     8. The most recent audited financial statements of the Guarantor heretofore
delivered  to HRT, if any,  have been  prepared  in  accordance  with  generally
accepted accounting principles and fairly present the financial condition of the
Guarantor as of the date thereof and no material  adverse change has occurred in
the financial condition of Guarantor since the respective dates thereof.
         
     9. If any  provision  or portion  thereof of this  Guaranty  is declared or
found by a court of competent jurisdiction to be unenforceable or null and void,
such provision or portion thereof shall be deemed stricken and severed from this
Guaranty,  and the remaining  provisions and portions  thereof shall continue in
full force and effect.

     10. This  Guaranty  shall inure to the benefit of HRT, its  successors  and
assigns,  and any  subsequent  owners of the  Property who succeed to all or any
portion of HRT's obligations and rights under the Agreement,  and shall bind the
heirs,  executors,  administrators,  personal  representatives,  successors  and
assigns of the  Guarantor;  provided that the  Guarantor may not,  without HRT's
prior  written  consent,  assign  or  transfer  any of  its  powers,  duties  or
obligations under this Guaranty which consent will not be unreasonably withheld.
Any  assignment  by Guarantor of this  Guaranty that requires the consent of HRT
but which  Guarantor  does not obtain from HRT shall be a default only under the
Agreement  and only if  declared  to be such a default  by HRT.  HRT's  remedies
against  Guarantor  in such event  shall be as in the case of any other  default
under the Agreement.  Notwithstanding  the  foregoing,  Guarantor (i) may assign
this Guaranty to any subsidiary or other entity owned at least 51%,  directly or
indirectly,  by  Guarantor;  and (ii)  guarantor may assign its interest in this
guaranty to any person,  firm or  corporation  that is the  purchaser  of all or
substantially  all of the assets of  Guarantor  or that is the  successor to the
assets  and  business  of   Guarantor  by  virtue  of  a  corporate   merger  or
consolidation  of, with or into  Guarantor.  No such  assignment as described in
clauses (i) or (ii) above shall be effective  unless (a) HRT receives  notice of
such  assignment  and (b) each such  assignee  assumes and agrees to perform and
observe all of the  covenants and  agreements  of Guarantor  under this Guaranty
either by agreement in writing or by operation of law. If each such  assignee so
agrees,  Guarantor  shall then be secondarily  liable for the performance of its
covenants  and  agreements  herein;  provided,  however,  in  the  event  of  an
assignment  of the kind  described  in clause  (ii)  above,  Guarantor  shall be
released from all liability for rent or any other sums or  obligations  becoming
due and payable or performable  after the effective time of the  assignment,  if
and only if, at the  completion of such merger,  consolidation,  acquisition  or
purchase, the successor to Guarantor shall have a net worth no less than the net
worth of Guarantor immediately prior to such merger, consolidation,  acquisition
or purchase.  such net worth shall be evidenced  in a form and  calculated  in a
manner reasonably satisfactory to HRT.

     This  Guaranty may be assigned by HRT with respect to all or any portion of
the indebtedness or obligations  hereby  guaranteed to any subsequent  owners or
encumbrances of the Property, and when so assigned the Guarantor shall be liable
to the  assignees  under  this  Guaranty  without in any  manner  affecting  the
liability  of the  Guarantor  hereunder  with  respect  to any  indebtedness  or
obligations retained by HRT.

     11.  Neither any  provision of this Guaranty nor any right of either HRT or
the Guarantor  hereunder can be waived in whole or in part nor can the Guarantor
be released from the Guarantor's  obligations hereunder except by a writing duly
executed by an authorized officer of the waiving or releasing party.

     12.  When the context and  construction  so require,  all words used in the
singular  herein  shall  be  deemed  to have  been  used in the  plural  and the
masculine shall include the feminine and neuter and vice versa.  The word person
as used  herein  shall  include  any  individual,  company,  firm,  association,
partnership,  corporation,  trust or other legal entity of any kind  whatsoever.
The term  Lewis-Gale as used herein shall mean the party herein so named and its
successors  including,  but not limited to, a debtor in possession under Chapter
11 of the Bankruptcy Code.

                                       3
<PAGE>

     13. EXCEPT WHERE FEDERAL LAW IS APPLICABLE AND UNLESS  OTHERWISE  EXPRESSLY
PROVIDED HEREIN, THIS GUARANTY SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE
WITH, THE LAWS OF THE STATE OF TENNESSEE.  The Guarantor hereby: (a) irrevocably
submits to the non-exclusive jurisdiction of the state and federal courts of the
State of  Tennessee  in any legal  proceeding  arising out of, or in  connection
with,  this Guaranty,  the Agreement and the  obligations  guaranteed  hereby as
provided for by Tennessee  law; and (b)  irrevocably  consents to the service of
process upon the Guarantor by the mailing of copies  thereof by certified  mail,
return receipt requested,  postage prepaid,  to the Guarantor at 30 Burton Hills
Blvd., Suite 500,  Nashville,  Tennessee 37215,  Attention:  General Counsel, or
such other address of which the Guarantor  shall notify HRT in writing.  Nothing
herein shall affect the rights of HRT to commence legal proceedings or otherwise
proceed  against the  Guarantor in any  jurisdiction  or to serve process in any
manner  permitted  by  applicable  law, and nothing  herein  shall  constitute a
general consent to jurisdiction or service of process.

     14.  THIS  GUARANTY  REPRESENTS  THE FINAL  AGREEMENT  BETWEEN  THE PARTIES
PERTAINING TO THE SUBJECT MATTER ADDRESSED HEREIN AND MAY NOT BE CONTRADICTED BY
EVIDENCE  OF  PRIOR,  CONTEMPORANEOUS,  OR  SUBSEQUENT  ORAL  AGREEMENTS  OF THE
PARTIES. THERE ARE NO UNWRITTEN ORAL AGREEMENTS BETWEEN THE PARTIES.

         EXECUTED as of ______________________, 1996.

                                                  PhyCor, Inc.,
                                                  a Tennessee corporation


                                                  By:___________________________

                                                  Title:________________________


                                       4
<PAGE>


                                  EXHIBIT "A"


                              PROPERTY DESCRIPTION
LEWIS-GALE CLINIC

PARCEL I                       TRACT I (0.432 AC)

Being a tract of land situated in Salem,  Virginia and  designated as Tract I, 
containing 0.432 acre of land and designated as tax #303-1-2.

COMMENCING  at corner  #1,  said  corner #1 being the  intersection  of the
property  of Lewis  Gale  Hospital  as  recorded  in Deed  Book 4, Page 176 (Tax
#283-2-1) and Tract IIB, said corner #1 lying on the northerly right-of-way line
of Keagy Road (50' R/W);

Thence  along the line common to said  property of Lewis Gale  Hospital and
Tract IIB, the following  courses and  distances,  N 22(Degree) 56' 30 E. 212.01
feet to a point;

Thence S 67(Degree) 03' 30 E. 5.66 feet to the Actual Point of BEGINNING;

Thence S  67(Degree)  03' 30 E. 37.84  feet  along the line  common to said
property of Lewis Gale Hospital, Inc. and property herein described to a point;

Thence N 22(Degree) 56' 30 E. 88.58 feet along said common line to a point;

Thence S 67(Degree)  03' 30 E. 7.65 feet along the line common to aforesaid
Tract IIB and the property herein described to a point;

Thence N 22(Degree) 56' 30 E. 35.20 feet along said common line to a point;

Thence S 67(Degree) 03' 30 E. 79.00 feet along said common line to a point;

Thence S 22(Degree) 56' 30 W. 35.20 feet along the line common to Tract IIA
(tax parcel #303-1-2.1) and the herein described tract;

Thence along said common line the following  ourses and distances, S 67(Degree)
03' 30 E. 17.05 feet to a point;

Thence S 22(Degree) 56' 30 W. 73.80 feet to a point;

Thence N 67(Degree) 03' 30 W. 16.97 feet to a point;

Thence S 22(Degree) 56' 30 W. 33.20 feet to a point;

Thence S 67(Degree) 03' 30 E. 16.97 feet to a point;

Thence S 22(Degree) 56' 30 W. 55.02 feet to a point;

Thence N 67(Degree)  03' 30 W. 54.35 feet along the line common to property
of Lewis Gale  Medical  Foundation  as  recorded  in Deed Book 26,  Page 77 (tax
#303-1-1) and the herein described property;

Thence N  22(Degree)  56' 30 E.  13.02  feet  along the line  common to the
aforementioned Tract IIB and the herein described property;

Thence along said common line for the following courses and distances,
N 67(Degree) 03' 30 W. 51.00 feet to a point;

Thence N 22(Degree) 56' 30 E. 45.44 feet to a point;

Thence N 67(Degree) 03' 30 W. 7.07 feet to a point;

Thence N 22(Degree) 56' 30 E. 6.51 feet to a point;

Thence N 67(Degree) 03' 30 W. 29.12 feet to a point;

Thence N  22(Degree)  56' 30 E.  8.47 feet to the  Point of  BEGINNING  and
containing a computed acreage of 0.432 acre (18.829 sq. ft.)

                                       1
<PAGE>

Together with appropriate non-exclusive easements of ingress and egress over and
along private  roads (now existing or as may hereafter be constructed and/or
relocated) of Lewis-Gale Hospital, Incorporated, running across its remaining
lands connecting the subject property to Keagy Road and Braeburn Drive.

Together also with easements for general utility purposes over,  across and
under  remaining  properties of  Lewis-Gale  Hospital,  Incorporated,  including
water, sewer,  drainage,  electricity,  gas and telephone,  such easements to be
reasonable  and to be  exactly  located  as might  be  mutually  agreed  upon by
Lewis-Gale Hospital,  Incorporated,  and Industrial Development Authority of the
City of Salem, Virginia, their successors and assigns.
                                                                       
PARCEL I - continued         TRACT II-B (3.032 AC)

Being a tract of land situated in Salem, Virginia, and designated as Tract IIB 
and containing 3.032 acres of land.

BEGINNING at corner #1, a point located on the northerly  right-of-way line
of Keagy Road (50' R/W) and being the corner  common to  property  of Lewis Gale
Hospital, Inc. as recorded in Deed Book 4, Page 176 (tax number 283-2-1) and the
herein described parcel;

Thence  along the line common to said  property of Lewis Gale  Hospital and the
herein described parcel, N 22(Degree) 56' 30 E. 212.01 feet to a point;

Thence S 67(Degree) 03' 30 E. 5.66 feet along said common line to a point;

Thence  along the line  common  to Tract I (tax  #303-1-2)  and the  herein
described parcel,  the following  courses and distances,  S 22(Degree) 56' 30 W.
8.47 feet to a point;

Thence S 67(Degree) 03' 30 E. 29.12 feet to a point;

Thence S 22(Degree) 56' 30 W. 6.51 feet to a point;

Thence S 67(Degree) 03' 30 E. 7.07 feet to a point;

Thence S 22(Degree) 56' 30 W. 45.44 feet to a point;

Thence S 67(Degree) 03' 30 E. 51.00 feet to a point;

Thence S 22(Degree) 56' 30 W. 13.02 feet to a point;

                                       2
<PAGE>

Thence along the line common to property of Lewis Gale  Medical  Foundation
as  recorded  in Deed Book 26,  Page 77 (tax  parcel  #303-1-1)  and the  herein
described  parcel the following  courses and  distances,  N 67(Degree)  03' 30 W
48.35 feet to a point;

Thence S 22(Degree) 56' 30 W. 110.58 feet to a point;

Thence S 71(Degree) 03' 15 E. 137.51 feet to a point;

Thence N 22(Degree) 56' 30 E. 78.40 feet to a point;

Thence along the line common to Tract IIA (tax  #303-1-2.1)  and the herein
described  tract the following  courses and  distances,  N 67(Degree)  56' 30 E.
79.65 feet to a point;

Thence S 67(Degree) 03' 30 E. 67.51 feet to a point;

Thence along the line common to Tract IIC (tax # 303-1-2.3)  and the herein
described parcel, S 23(Degree) 00' 34 W. 32.79 feet to a point;

Thence S 21(Degree) 59' 26 E. 40.22 feet to a point;

Thence S 66(Degree) 59' 26 E. 130.79 feet to a point;

Thence N 23(Degree) 00' 34 E. 83.09 feet to a point;

Thence N 21(Degree) 59' 26 W. 121.21 feet to a point;

Thence S 68(Degree) 00' 34 W. 21.36 feet to a point;

Thence N 36(Degree) 59' 26 W. 37.78 feet to a point;

Thence N 45(Degree) 30' 34 E. 41.22 feet to a point;

Thence N 44(Degree) 29' 26 W. 26.00 feet to a point;

Thence S 45(Degree) 30' 34 W. 20.71 feet to a point;

Thence  along  the  line  common  to  the  aforementioned  Tract  IIA  (tax
#303-1-2.1) and the herein described parcel the following courses and distances,
N 22(Degree) 56' 30 E. 32.09 feet to a point;

Thence N 67(Degree) 03' 30 W. 185.05 feet to a point;

Thence S 22(Degree) 56' 30 W. 8.83 feet to a point;

Thence along the line common to the  aforementioned  Tract I (tax #303-1-2)
and the herein  described  parcel for the  following  courses and  distances, N
67(Degree) 03' 30 W. 79.00 feet to a point;

Thence S 22(Degree) 56' 30 W. 35.20 feet to a point;

Thence N 67(Degree) 03' 30 W. 7.65 feet to a point;

Thence along the line common to said property of Lewis Gale Hospital,  Inc.
(tax  #283-2-1)  and the herein  described  parcel  the  following  courses and
distances, N 22(Degree) 56' 30 E. 89.44 feet to a point;

                                       3
<PAGE>

Thence S 70(Degree) 20' 51 E. 274.71 feet to a point;

Thence N 52(Degree) 19' 29 E. 14.21 feet to a point;

Thence S 67(Degree) 03' 30 E. 199.58 feet to a point;

Thence along the line common to property of Lewis Gale Building Corporation
as recorded in Deed Book 81, Page 298 (tax  #303.1-3)  and the herein  described
parcel the following  courses and distances,  S 04(Degree) 00' 00 W. 350.42 feet
to a point, said point lying on the northerly right-of-way line of Keagy Road;

Thence along the line common to the  northerly  right-of-way  of Keagy Road
and  the  herein  described  parcel  the  following  courses  and  distances, N
86(Degree) 00' 00 W. 103.70 feet to a point of curvature to the right;

Thence 323.98 feet along the arc of the curve to the right, whose radius is
980.00  feet,  tangent  163.48  feet,  delta angle  18(Degree) 56' 30 and chord
bearing and distance N 76(Degree) 31' 45 W. 322.51 feet to a point;

Thence  N  67(Degree)  03' 30 W.  221.86  feet to the  Point  of  BEGINNING
containing a computed acreage of 3.032 acres (132,062 SQ. FT.).

Together with appropriate non-exclusive easements of ingress and egress over and
along private roads (now  existing or as may hereafter be constructed and/or
relocated) of Lewis-Gale Hospital, Incorporated, running across its remaining 
lands  connecting  the subject  property  to Keagy Road and  Braeburn Drive.

Together also with easements for general utility purposes over,  across and
under  remaining  properties of  Lewis-Gale  Hospital,  Incorporated,  including
water, sewer,  drainage,  electricity,  gas and telephone,  such easements to be
reasonable  and to be  exactly  located  as might  be  mutually  agreed  upon by
Lewis-Gale Hospital,  Incorporated,  and Industrial Development Authority of the
City of Salem, Virginia, their successors and assigns.
                                                                           

PARCEL II                    TRACT II-A (0.758 AC)

Being a tract of land situated in Salem, Virginia, designated as Tract IIA,
containing 0.758 acre of land and designated at tax #303-1-2.1.

BEGINNING at a northeasterly corner of Tract 1 (tax #303-1-2),  a southerly
corner of Tract IIB and a northwesterly corner of the herein described tract;

Thence along the line common to said Tract IIB and the  herein described tract
the following courses and distance, N 22(Degree) 56' 30 E. 8.83 feet to a
point;

Thence S 67(Degree) 03' 30 E. 185.05 feet to a point;

Thence S 22(Degree)  56' 30 W. 172.33 feet along the aforesaid  common line
and along the line common to Tract IIC (tax #303-1-2.3) and the herein described
tract;

Thence N  67(Degree)  03' 30 W. 77.20 feet along said common line and along
the line common to the aforementioned Tract IIB and herein described tract;

                                       4
<PAGE>

Thence S 67(Degree) 56' 30 W. 79.65 feet to a point;

Thence N 22(Degree)  56' 30 E. 22.60 feet along the line common to property
of Lewis Gale  Medical  Foundation  as  recorded  in Deed Book 26,  Page 77 (tax
#303-1-1) and the aforementioned tract to a point;

Thence N 67(Degree) 03' 30 W. 34.48 feet along said common line to a point;

Thence N  22(Degree)  56' 30 E.  55.02  feet  along the line  common to the
aforementioned Tract I (tax #303-1-2) and the herein described tract;

Thence N 67(Degree) 03' 30 W. 16.97 feet along said common line to a point;

Thence N 22(Degree) 56' 30 E. 33.20 feet along said common line to a point;

Thence S 67(Degree) 03' 30 E. 16.97 feet along said common line to a point;

Thence N 22(Degree) 56' 30 E. 73.80 feet along said common line to a point;

Thence N 67(Degree) 03' 30 W. 17.05 feet along said common line to a point;

Thence N  22(Degree)  56' 30 E.  35.20 feet to the Point of  BEGINNING  and
containing a computed acreage of 0.758 acre (33,014 SQ FT).

Together with the following easements:

     (1) A  non-exclusive  easement  for  ingress,  egress and parking on, over,
along and through all roads,  driveways  and  parking  areas no existing  and as
hereafter  constructed  or located on the remaining  property of the  Industrial
Development  Authority  of the  City of  Salem,  Virginia,  its  successors  and
assigns, located between Keagy Road and Braeburn Drive.

     (2)  Such  easements  as  are   reasonably   necessary  for  the  location,
construction,  installation,  maintenance,  repair, removal,  reinstallation and
reconstruction  of utilities and utility  lines,  including  without  limitation
water, sewer, drainage,  electricity, gas and telephone, over, across, under and
through thr remaining  property of the Industrial  Development  Authority of the
City of Salem,  Virginia,  located between Keagy Road and Braeburn  Drive,  said
easements  to be  specifically  located by the mutual  agreement  of  Lewis-Gale
Building  Corporation  and the Industrial  Development  Authority of the City of
Salem, Virginia, their successors and assigns.

     (3) An  easement  for  the  lateral  support,  by the  eastern  wall of the
Lewis-Gale Clinic building now located on the land of the Industrial Development
Authority  of the  City of  Salem,  Virginia,  of the  building  constructed  by
Lewis-Gale Building corporation on the above-described land, including the right
to  insert  into and  attached  to said wall  such  beams  and other  structural
materials as shall be  reasonably  necessary  for the benefit and support of the
building constructed by Lewis-Gale Building Corporaiton; provided, however, that
such use shall not render unstable or unsafe or otherwise  materially  adversely
affect the  structural  integrity  of the building not located on Tract I (0.432
Ac.) as hereinabove described.

     (4) The easements for ingress and egress over and along existing and future
private roads connecting the hereinabove  described property with Keagy Road and
Braeburn  Drive and for  general  utility  purposes  over,  across and under the
property  of  Lewis-Gale  Hospital,  Incorporated,  which were  conveyed  to the
Industrial  Development Authority of the City of Salem,  Virginia, by Lewis-Gale
Hospital,  Incorporated,  by deed dated July 1, 1971,  recorded  in the  Clerk's
office of the  Circuit  Court of the City of Salem,  Virginia,  in Deed Book 17,
page  363,  to  which  deed  reference  is  hereby  made  for a more  particular
description  of said  easements,  said  easements  to be used in common with the
Industrial  Development  Authority  of the  City  of  Salem,  Virginia,  and its
assigns.

                                       5
<PAGE>

PARCEL III                   TRACT II-C (0.518 AC)

Being a tract of land situated in Salem,  Virginia, and designated as Tract
IIC containing 0.518 acre of land and designated as tax #303-1-2.3.

BEGINNING  at a point  lying in the  easterly  property  line of Tract IIA,
being a  southerly  point of Tract IIB and being a  northwesterly  corner of the
herein described parcel, said point also lying S 22(Degree) 56' 30 W. 32.09 feet
from the northeast property corner of the aforementioned Tract IIA;

Thence  along the line  common to the  aforesaid  Tract IIB and the  herein
described  parcel the following  courses and  distances,  N 45(Degree) 30' 34 E.
20.71 feet to a point;

Thence S 44(Degree) 29' 26 E. 26.00 feet to a point;

Thence S 45(Degree) 30' 34 W. 41.22 feet to a point;

Thence S 36(Degree) 59' 26 E. 37.78 feet to a point;

Thence N 68(Degree) 00' 34 E. 21.36 feet to a point;

Thence S 21(Degree) 59' 26 E. 121.21 feet to a point;

Thence S 23(Degree) 00' 34 W. 83.09 feet to a point;

Thence N 66(Degree) 59' 26 W. 130.79 feet to a point;

Thence N 21(Degree) 59' 26 W. 40.22 feet to a point;

Thence N 23(Degree) 00' 34 E. 32.79 feet to a point;

Thence  along the line  common to said Tract IIA and the  herein  described
parcel the following courses and distances,  S 67(Degree) 03' 30 E. 9.69 feet to
a point;

Thence N  22(Degree)  56' 30 E. 140.24 feet to the Point of  BEGINNING  and
containing a computed acreage of 0.518 acre (22,563 SQ FT).
                                                                      

PARCEL IV                       (6.360 AC)

BEGINNING at an old pin found on the  cul-de-sac of Braeburn  Circle,  said
point beginning  designated  corner no. 1 on plat entitled Urban Class ALTA/ACSM
Land Title Survey for Healthcare Realty Trust  Incorporated by T.P. Parker & Son
and also being on the westerly boundary of G & M LLC property;  Thence along the
westerly boundary of G & M LLC property,  S 14(Degree)42'00  W. 88.20 feet to an
old pin found  being the  southwest  corner  of G & M LLC  property,  designated
corner no. 2;  Thence  along the  southerly  boundary of G & M LLC  property,  S
86(Degree)00'00  E.  passing  an old pin  found on line at 20.98  feet,  in all,
221.02 feet to an old pin found being the southeast corner of G & M LLC property
and on the  westerly  boundary of Braeburn  Medical  Park  property,  designated
corner no. 3; Thence along the boundary of Braeburn  Medical  Park  property,  S
04(Degree)00'00 W. 200.00 feet to an old pin found being the southwest corner of
Braeburn  Medical Park property and also being on the northerly  right-of-way of
Keagy Road,  designated  corner no. 4; Thence along the  northerly  right-of-way
line of Keagy Road, N  86(Degree)00'00  W. 800.00 feet to an old pin found being
the southeast corner of Lewis Gale Building Corp.  property,  designated  corner
no. 5; Thence  leaving the  northerly  right-of-way  of Keagy Road and along the
easterly boundary of Lewis Gale Building Corp. property and Lewis Gale Hospital,
Inc.  property,  N 04(Degree)00'00  E. 405.27 feet to an old pin found being the
southwest corner of Ganot Corporation property,  designated corner no. 6; Thence
along the southerly boundary of Ganot Corporation property, S 86(Degree)00'00 E.
470.20  feet to a 1/2 rebar with  yellow cap set being the  southeast  corner of
Ganot  Corporation  property and the southwest  corner of HCA Health Services of
Virginia,  Inc.  property,  designated  corner no. 7; Thence along the southerly
boundary of HCA Health Services of Virginia, Inc. property, S 75(Degree)18'00 E.
120.00  feet to an old pin  found  being  the  southeast  corner  of HCA  Health
Services of Virginia,  Inc. property and also being on the westerly right-of-way
of Braeburn  Circle,  designated  corner no. 8; Thence along the  cul-de-sac  of
Braeburn  Circle  with a curve to the left  whose  radius  is 50.00  feet an arc
distance of 130.89 feet (ch = S  00(Degree)18'00  E. 96.59 feet) to the POINT OF
BEGINNING  and  containing  6.360 Ac.  being Lots 1 thru 8 & 20,  Braeburn  Map,
Section 2 recorded in P.B. 1, Pg. 36 and being as shown on the aforesaid plat by
T.P. Parker & Son.

                                       6
<PAGE>

LEWIS-GALE MEDICAL FOUNDATION

PARCEL V                            (0.333 AC)

Being a tract  of land  situated  in  Salem,  Virginia,  and  designated  as tax
#303-1-1, Property of Lewis Gale Medical Foundation as recorded in Deed Book 26,
Page 77 and containing 0.333 acre of land.

COMMENCING  at corner #10, a point on the northerly  right-of-way  line of Keagy
Road and also being a southerly corner of Tract IIB;

Thence  along the line  common to the  aforesaid  Keagy Road and Tract IIB, N 67
(Degree) 03' 30 W. 40.18 feet to a point;

Thence with a tie line across the  aforementioned  Tract IIB, N 22(Degree) 56'
30 E. 37.57 feet to the Actual Place of BEGINNING;

Thence along the line common to said Tract IIB and the herein  described  tract,
N 71(Degree) 03' 15 W. 137.51 feet to a point;

Thence N 22(Degree) 56' 30 E. 110.58 feet along said common line to a point;

Thence S  67(Degree)  03' 30 E. 137.18 feet along said common line and along the
line common to Tract 1 (tax #303-1-2) and the herein  described  tract and Tract
IIA (tax #303-1-2.1) and the herein described tract;

Thence S 22(Degree) 56' 30 W.101.00 feet along the line common to said Tract IIA
and the herein  described tract and Tract IIB and the herein described tract to
the Point of BEGINNING containing a computed acreage of 0.333 acre (14,511 SQ
FT).

Together with  appropriate  non-exclusive  easements of right-of-way for ingress
and egress over the adjoining property of The Industrial  Development  Authority
of the City of Salem, Virginia,  connecting with private roads (as now or may in
the  future  exist)  of The  Medical  Foundation  of  Roanoke  Valley  (formerly
Lewis-Gale Medical Foundation) extending to Keagy Road and Braeburn Drive.

                                       7
<PAGE>

LEE-HI BUSINESS CENTER

PARCEL VI                  APPERSON DRIVE (19.546 AC)

BEGINNING at a point on the northerly  right-of-way  of Lee Highway,  said point
being the southeast  corner of NAD Properties and also being  designated  corner
no. 1 on plat entitled  Urban Class  ALTA/ACSM  Land Title Survey for Healthcare
Realty Trust  Incorporated by T.P.  Parker & Son dated October 24, 1996;  Thence
leaving said right-of-way and along the westerly  boundary of NAD Properties,  N
24(Degree)09'00  E.  921.61  feet to an old pin found  designated  corner no. 2;
Thence along the southerly  boundary of NAD  Properties,  S  81(Degree)52'00  E.
869.29 feet to an old pin found at the southeast  corner of NAD  Properties  and
being on the westerly boundary of CSW Associates  property designated corner no.
3; Thence  along the  westerly  boundary of CSW  Associates  property,  Jerry L.
Conner, Et Ux property and Alexander P. Fekas, Et Ux property, S 08(Degree)10'30
W.  933.14  feet  to a  point  on the  northerly  right-of-way  of  Lee  Highway
designated corner no. 4; Thence along the northerly  right-of-way of Lee Highway
with a curve to the right whose  radius is 676.20 feet an arc  distance of 20.81
feet (chord = N 69(Degree)14'34  W. 20.81 feet) to a point designated corner no.
5; Thence continuing with said right-of-way,  N 68(Degree)21'40 W. 81.18 feet to
a point designated corner no. 6; Thence continuing with said right-of-way with a
curve to the left whose  radius is 1949.86  feet an arc  distance of 152.80 feet
(chord = N 70(Degree)36'21 W. 152.76 feet) to a point being the southeast corner
of EMAS, Inc. property designated corner no. 7; Thence leaving said right-of-way
and along the easterly boundary of EMAS, Inc.  property,  N  08(Degree)08'00  E.
144.80  feet to an old pin  found  being  the  northeast  corner  of EMAS,  Inc.
property  designated corner no. 8; Thence along the northerly  boundary of EMAS,
Inc.  property,  N 81(Degree)52'00  W. 150.00 feet to an old pin found being the
northwest corner of EMAS, Inc.  property  designated  corner no. 9; Thence along
the westerly boundary of EMAS, Inc.  property,  S 08(Degree)08'00 W. 126.93 feet
to a point on the northerly  right-of-way of Lee Highway and being the southwest
corner of EMAS,  Inc.  property  designated  corner  no.  10;  Thence  along the
northerly  right-of-way  of Lee Highway with a curve to the left whose radius is
1949.86 feet an arc distance of 26.20 feet (chord = N  77(Degree)40'33  W. 26.20
feet)  to a  point  designated  corner  no.  11;  Thence  continuing  with  said
right-of-way  with a curve to the left  whose  radius is  1625.08  feet,  an arc
distance of 297.68 feet (chord = N  82(Degree)25'57  W. 297.27  feet) to a point
designated  corner no. 12; Thence continuing with said right-of-way with a curve
to the left whose radius is 1949.86 feet, an arc distance of 21.44 feet (chord =
N  87(Degree)07'09  W. 21.44 feet) to a point  designated  corner no. 13; Thence
continuing with said  right-of-way,  N 02(Degree)33'57  E. 33.00 feet to a point
designated  corner  no.  14;  Thence  continuing  with  said   right-of-way,   N
88(Degree)05'10  W. 67.06  feet to a point  designated  corner  no.  15;  Thence
continuing with said  right-of-way,  S 01(Degree)44'12  W. 33.00 feet to a point
designated  corner  no.  16;  Thence  continuing  with  said   right-of-way,   N
88(Degree)15'48  W.  143.56  feet to a point  designated  corner no. 17;  Thence
continuing  with said  right-of-way  with a curve to the right  whose  radius is
682.63 feet, an arc distance of 170.73 feet (chord = N 81(Degree)05'55 W. 170.28
feet to the POINT OF BEGINNING and  containing  19.546 ac. and being as shown on
the aforesaid plat by T.P. Parker & Son.

VALLEY VIEW MALL

PARCEL VII                        (2.611 Ac)

BEGINNING at a point being the  intersection  of the southerly  right-of-way  of
Valley View Boulevard  North,  N.W. and the westerly  right-of-way of Ring Road,
N.W., Thence along said westerly right-of-way of Ring Road, N.W. with a curve to
the left whose  radius is 660.00  feet,  an arc  distance  of 25.00 feet (ch = S
02(Degree)02'51   W.   25.00   feet)   to  an  old   pin   found,   the   ACTUAL
POINT-OF-BEGINNING, being designated corner no. 1 on Urban Class, ALTA/ACSM Land
Title Survey for Healthcare Realty Trust Incorporated by T.P. Parker & Son dated
October 8, 1996; Thence continuing with said westerly right-of-way of Ring Road,
N.W.  with a curve to the left whose radius is 660.00  feet,  an arc distance of
56.51 feet (ch = S 01(Degree)28'27 E. 56.49 feet) to an old pin found designated
corner no. 2; Thence  continuing  with said westerly  right-of-way of Ring Road,
N.W., S 03(Degree)55'38  E. 90.00 feet to an old pin found designated corner no.
3; Thence  leaving the westerly  right-of-way  of Ring Road,  N.W. and along the
northerly  boundary of the Retention Pond lot, S 86(Degree)04'22  W. 279.34 feet
to an old pin found on the northerly  right-of-way  of Interstate 581 designated
corner no. 4; Thence  along the  northerly  right-of-way  of  Interstate  581, N
48(Degree)55'38  W. 173.16 feet to a concrete  monument found designated  corner
no. 5; Thence continuing with said northerly right-of-way of Interstate 581 with
a curve to the right whose  radius is 2739.79  feet,  an arc  distance of 118.84
feet (ch = N  47(Degree)41'05  W. 118.83  feet) to an old pin found,  designated
corner no. 6; Thence  leaving the northerly  right-of-way  of Interstate 581 and
along the easterly  boundary of lot 7A-8 of Valley View Mall recorded in M.B. 1,
Pg. 746, N  41(Degree)04'22  E. passing an old pin found on line at 243.74 feet,
in all, 251.11 feet to an old pin found on the southerly  right-of-way of Valley
View Boulevard North, N.W.,  designated corner no. 7; Thence along the southerly
right-of-way  of Valley  View  Boulevard,  N.W.  with a curve to the left  whose
radius is 570.00 feet, an arc distance of 282.08 feet (ch = S 59(Degree)41'18 E.
279.21 feet) to an old pin found,  designated  corner no. 8; Thence  leaving the
southerly  right-of-way  of Valley  View  Boulevard  North,  N.W.  and along the
southerly  boundary of the Valley View Mall Pylon Sign Tract, S  47(Degree)23'28
E. 113.39 feet to the ACTUAL  POINT-OF-BEGINNING  and containing 2.611 ac. being
designated  Lot 7A-1,  Valley View Mall recorded in M.B. 1, Pg. 445 and being as
shown on the aforesaid plat by T.P. Parker & Son.

                                       8
<PAGE>

WEST SALEM FAMILY PRACTICE AND IMMEDIATE CARE

PARCEL VIII                          (0.80 AC)

Description of Lot 6 of the Subdivision of Dixie Farms Associates, Et Als (P.B.
2, Page 11).

BEGINNING at the northeasterly corner of Lot A, as recorded in Plat Book 3, page
82, said point also located on the westerly side of a 30 foot roadway (D.B.  76,
Page 585);  Thence leaving Lot A and with a tie line bearing N 80(Degree) 55' 16
E. 30.44 feet to the Actual Place of Beginning being corner #1, an existing iron
pin, said point  located on the southerly  boundary of Property of City of Salem
(Salem High School) as recorded in Deed Book 28, Page 515, said point also being
the  northeasterly  corner of Lot 2A as recorded in Plat Book 3, Page 78; Thence
leaving  Lot 2A and  with  property  of City of Salem  (Salem  High  School),  N
80(Degree)  55' 16 E. 225.80 feet to corner #2, an existing iron pin, said point
being the northwesterly  corner of Lot 1 as recorded in Plat Book 2, Page 11, of
the Subdivision of Dixie Farms  Associates,  Et Als; Thence leaving the property
of the City of  Salem  and with Lot 1, S  07(Degree)  06' 58 E.  155.00  feet to
corner #3, an existing iron pin, said point located on the northerly boundary of
Lot 2A as recorded in Plat Book 3, Page 78; thence leaving Lot 1 and with Lot 2A
for the following 2 courses; S 80(Degree) 55' 16 W. 225.80 feet to corner #4, an
existing iron pin;  Thence N 07(Degree)  06' 58 W. 155.00 feet to corner #1, the
Actual Place of Beginning and containing 0.80 acres (34,848 square feet).

Together  with a  non-exclusive  easement for ingress and egress over a strip of
the  remaining  property  of Dixie  Farm  Associates  thirty  (30) feet in width
adjacent to and parallel  with the westerly  boundary of the property  described
above and then  extending  from said westerly  boundary in a westerly  direction
adjacent to and parallel with the northerly  boundary of the remaining  property
of  Dixie  Farm   Associates   for  a  distance  of  189.54  feet,   giving  the
above-described   property   access  to  Spartan  Drive.   This  easement  shall
automatically  cease and terminate when a public street has been constructed and
dedicated for public use, and accepted by the City of Salem, Virginia,  adjacent
to the westerly boundary of said above-described 0.80 acre parcel and connecting
said property with spartan Drive.
 
FINCASTLE FAMILY PRACTICE AND FOUR (4) LOTS

PARCEL IX                       (0.724 AC)

BEGINNING at a 1/2 rebar with yellow cap set on the  northerly  right-of-way  of
Herndon Street,  said point being the southwest corner of Lot 14, Fincastle Land
and  Improvement  Company  Map  recorded  in Plat Book 1, page 4, and also being
designated corner no. 1 on plat entitled Urban Class ALTA/ACSM Land Title Survey
for Healthcare Realty Trust  Incorporated by T.P. Parker & Son dated October 28,
1996;   Thence  along  the  northerly   right-of-way   of  Herndon   Street,   N
85(Degree)15'00  W.  31.68 feet to a 1/2 rebar  with  yellow cap set  designated
corner no. 2; Thence continuing with said  right-of-way,  N  04(Degree)45'00  E.
0.94 feet to a 1/2 rebar with  yellow cap set  designated  corner no. 3;  Thence
continuing  with said  right-of-way,  N  40(Degree)29'33  W. 35.66 feet to a 1/2
rebar  with  yellow  cap set on the  easterly  right-of-way  of U.S.  Route 220,
designated  corner no. 4; Thence along the easterly  right-of-way  of U.S. Route
220 with a curve to the right whose  radius is 1402.39  feet an arc  distance of
324.35  feet  (chord = N  03(Degree)32'27  W.  323.63  feet) to an old pin found
designated   corner  no.  5;  Thence  continuing  with  said   right-of-way,   N
03(Degree)05'06  E,  10.67  feet to a 1/2 rebar  with  yellow  cap set being the
southwest  corner of the Bank of  Fincastle  property  designated  corner no. 6;
Thence  along  the  southerly  boundary  of the Bank of  Fincastle  property,  N
89(Degree)21'40  E.  87.96 feet to an old flat iron  found  being the  northwest
corner of the Ruby W. Taylor property  designated corner no. 7; Thence along the
westerly boundary of the Ruby W. Taylor property, S 04(Degree)50'00 E. passing a
concrete monument found on line at 0.31 feet, in all, 248.69 feet to an old flat
iron found being the  southwest  corner of the Ruby W. Taylor  property  and the
northeast  corner  of Lot  14,  Fincastle  Land  and  Improvement  Company  map,
designated  corner  no. 8;  Thence  along the  northerly  boundary  of Lot 14, N
85(Degree)15'00  W. 25.00 feet to a point designated  corner no. 9, Thence along
the westerly boundary of Lot 14, S  04(Degree)45'00  W. 120.00 feet to the POINT
OF BEGINNING and containing 0.724 ac. (31,547 sq. ft.) and being as shown on the
aforesaid plat by T.P. Parker & Son.
PARCEL IX - continued

                                       9
<PAGE>

      (0.276 AC - Lots 11, 12, 13 & 14, FINCASTLE LAND & IMPROVEMENT CO.)

BEGINNING at a 1/2 rebar with yellow cap set on the  northerly  right-of-way  of
Herndon  Street  being  the  southwest  corner  of Lot 14,  Fincastle  Land  and
Improvement  Company  map  recorded  in Plat Book 1, page 4,  said  point  being
designated corner no. 1 on plat entitled Urban Class ALTA/ACSM Land Title Survey
for Healthcare Realty Trust  Incorporated by T.P. Parker & Son dated October 28,
1996; Thence leaving the northerly  right-of-way of Herndon Street and along the
westerly  boundary  of  Lot  14,  Fincastle  Land  and  Improvement  Company,  N
04(Degree)45'00  E. 120.00 feet to a point designated corner no. 9; Thence along
the northerly  boundary of Lots 14, 13, 12 & 11,  Fincastle Land and Improvement
Company  and  the  southerly  boundary  of  the  Ruby  W.  Taylor  property,   S
85(Degree)15'00 E. passing an old flat iron found on line at 25.00 feet, in all,
100.00 feet to a point being the  northwest  corner of the Charles E. & Greta S.
Stull  property  and  the  northeast  corner  of  Lot  11,  Fincastle  Land  and
Improvement  Company,  designated  corner  no.  10;  Thence  along the  westerly
boundary of the Charles E. & Greta S. Stull  property and the easterly  boundary
of Lot 10, Fincastle Land and Improvement  Company,  S 04(Degree)45'00 W. 120.00
feet to a 1/2 rebar with yellow cap set on the northerly right-of-way of Herndon
Street  being the  southwest  corner of said Stull  property  and the  southeast
corner of Lot 11, Fincastle Land and Improvement Company,  designated corner no.
11; Thence along the northerly  right-of-way of Herndon Street and the southerly
boundary of Lots 11, 12, 13 & 14,  Fincastle  Land and  Improvement  Company,  N
85(Degree)15'00  W. 100.00 feet to the POINT OF BEGINNING and  containing  0.276
ac. 12,000 sq. ft.) and being as shown on the aforesaid  plat by T.P. Parker &
Son.

Together with the right to use of that certain well and water system, situate on
the  remaining  lands of  Charles  Edward  Stull  and Greta S.  Stull,  or their
successors,  together  with that  certain  easement of  reasonable  access over,
across and through such lands for the purpose of operating and maintaining  said
well and water system,  all of such rights and easements  which were  previously
conveyed.
 
NEW CASTLE FAMILY PRACTICE

PARCEL X                 2.079 AC) - NEWCASTLE, VA

BEGINNING at an old pin found,  said pin being at the northeast corner of Market
Street and Court Street and being designated corner no. 1 on plat entitled Urban
Class  ALTA/ACSM Land Title Survey for Healthcare  Realty Trust  Incorporated by
T.P. Parker & Son dated October 24, 1996; Thence along the easterly right-of-way
of Court Street  (unimproved) and the easterly  boundary of the Jimmie B. Layman
property,  N 42(Degree)15'00  W. passing a 1/2 rebar with yellow cap set on line
at 400.00 feet, in all, 450.00 feet to a point on the southerly  boundary of the
Shirley A. Wade property in the center of John's Creek, designated corner no. 2;
Thence  with the  southerly  boundary of the  Shirley A. Wade  property  and the
center of John's  Creek,  N  67(Degree)11'27  E.  241.30  feet to a point in the
center of John's Creek and the northwest  corner of Ralph A. Thompson  property,
designated  corner  no. 3;  Thence  leaving  said  creek and along the  westerly
boundary of the Ralph A. Thompson  property,  S 39(Degree)58'34 E. passing a 1/2
rebar with  yellow cap set on line at 69.98 feet,  in all,  369.98 feet to a 1/2
rebar  with  yellow  cap set at the  southwest  corner of the Ralph A.  Thompson
property  and  also  being  on the  northerly  right-of-way  of  Market  Street,
designated  corner no. 4;  Thence  along the  northerly  right-of-way  of Market
Street, S  47(Degree)45'00  W. passing an old pin found on line at 2.86 feet, in
all, 212.86 feet to the  POINT-OF-BEGINNING and containing 2.079 ac. (90,542 sq.
ft.) and being as shown on the aforesaid plat by T.P. Parker & Son.

Together with a sewer line easement as more  particularly set forth in Deed Book
38, page 135.

                                       10
<PAGE>

BACKCREEK FAMILY PRACTICE

PARCEL XI                 (1.4144 AC) ROANOKE, VA

BEGINNING at a point on the northerly right-of-way of U.S. Route 221, said point
being in the  centerline of Little Back Creek and  designated as corner no. 1 on
plat entitled  Urban Class  ALTA/ACSM  Land Title Survey for  Healthcare  Realty
Trust Incorporated by T.P. Parker & Son dated October 17, 1996; Thence along the
northerly  right-of-way of U.S. Route 221, S 87(Degree)36'00 W. 20.03 feet to an
old pin found,  designated  corner no. 2; Thence  continuing along the northerly
right-of-way of U.S. Route 221, S  67(Degree)15'00  W. 103.61 feet to an old pin
found,   designated   corner  no.  3;  Thence  continuing  along  the  northerly
right-of-way of U.S. Route 221, S  70(Degree)27'30  W. 325.88 feet to an old pin
found,  designated  corner no. 4; Thence leaving said right-of-way and along the
easterly  boundary  of the  Roanoke  County  Board of  Supervisors  property,  N
02(Degree)04'00  W.  197.77 feet to an old pin found,  designated  corner no. 5;
Thence along the southerly  boundary of the Roanoke  County Board of Supervisors
property, N 70(Degree)06'30 E. 95.05 feet to an old pin found, designated corner
no. 6; Thence  continuing  along the  southerly  boundary of the Roanoke  County
Board of Supervisors  property,  S 89(Degree)47'10 E. passing an old pin on line
at 220.90 feet, in all,  264.64 feet to a point in the centerline of Little Back
Creek, designated corner no. 7; Thence with the centerline of Little Back Creek,
S  53(Degree)48'00  E. 18.20 feet to a point in the  centerline  of Little  Back
Creek,  designated corner no. 8; Thence continuing with the centerline of Little
Back  Creek,  S  41(Degree)48'00  E.  91.67 feet to the POINT OF  BEGINNING  and
containing  1.4144 ac. and being known as New Lot A,  Subdivision for the County
of Roanoke,  P.B. 10, Pg. 147 and being as shown on the  aforesaid  plat by T.P.
Parker & Son.
                                                  
BONSACK FAMILY PRACTICE

PARCEL XII               (1.927 AC) HUNTRIDGE ROAD

BEGINNING at an old pin found on the northerly  right-of-way  of Huntridge Road,
said point being designated  corner no. 1 on plat entitled Urban Class ALTA/ACSM
Land Title Survey for Healthcare Realty Trust  Incorporated by T.P. Parker & Son
dated  October 17, 1996;  Thence along the northerly  right-of-way  of Huntridge
Road, N  41(Degree)27'50  W. 352.29 feet to an old pin found, said pin being the
southeast corner of the Roanoke County Board of Supervisors property, designated
corner no. 2; Thence leaving  Huntridge Road and along the easterly  boundary of
the Roanoke County Board of Supervisors  property,  N 48(Degree)32'10  E. 138.26
feet to an old pin found,  said pin being the  northeast  corner of the  Roanoke
County Board of Supervisors property and being on the southerly boundary line of
the F & W Community Development Corp. property,  designated corner no. 3; Thence
along the southerly boundary of the F & W Community  Development Corp.  property
the following:

                                       11
<PAGE>

      (1)  S 40(Degree)43'05 E. 24.56 feet to an old pin found, corner no. 4
      (2)  S 68(Degree)43'05 E. 165.00 feet, to an old pin found, corner no. 5
      (3)  S 80(Degree)13'00 E. 115.00 feet, to an old pin found, corner no. 6,
      (4)  N  76(Degree)26'30  E.  127.28  feet to an old pin found,  said pin 
being the southeast corner of the F & W Community Development Corp. property and
also being on the westerly right-of-way of Challenger Avenue,  designated corner
no.  7;  Thence  along  the  westerly   right-of-way  of  Challenger  Avenue,  S
42(Degree)07'00  W.  80.00 feet to an old pin  found,  designated  corner no. 8;
Thence continuing with said right-of-way, S 37(Degree)49'00 W. 200.48 feet to an
old pin found, designated corner no. 9; Thence continuing with said right-of-way
S 42(Degree)11'10  W. 94.30 feet to an old pin found,  designated corner no. 10;
Thence  leaving the  right-of-way  of Challenger  Avenue and along the northerly
right-of-way  of Huntridge  Road with a curve to the right whose radius is 25.00
feet,  an arc distance of 42.04 feet (ch = N  89(Degree)38'20  W. 37.26 feet) to
the  POINT OF  BEGINNING  and  containing  1.927  ac.  and being as shown on the
aforesaid plat by T.P. Parker & Son.

Together  with a perpetual,  non-exclusive  easement and right of way 15 feet in
width for sanitary  sewer lines as shown on Proposed 15' Sanitary Sewer Easement
to be Granted by F & W Community  Development Corp. to Lewis Gale Building Corp.
on that plat of survey  dated  March 9, 1992,  prepared  by Lumsden  Associates,
P.C., of record in the Clerk's  Office of the Circuit  Court of Roanoke  County,
Virginia,  in Deed Book 1364,  page 24.  Said Deed of  Easement  recorded in the
Clerk's Office of the Circuit Court for the County of Roanoke,  Virginia in Deed
Book 1364, page 20.

                                       12
<PAGE>

HOUSE AND PROPERTY ON KEAGY ROAD

PARCEL XIII                 (1.489 AC) KEAGY ROAD

Beginning  at a 40 white oak on the south side of Keagy Road,  S.W.,  said white
oak being  approximately  847 feet southeast of the  intersection of Keagy Road,
S.W. and Va. Route 419;  Thence  leaving said white oak and along the  southerly
right-of-way of Keagy Road, S.W., N 72(Degree)45'36  W. 93.09 feet to an old pin
found, the ACTUAL POINT OF BEGINNING,  said point being designated  corner no. 1
on plat entitled Urban Class  ALTA/ACSM Land Title Survey for Healthcare  Realty
Trust  Incorporated by T.P. Parker & Son dated October 14, 1996;  Thence leaving
the southerly  right-of-way of Keagy Road, S.W. and along the northerly boundary
of  Virginia  H.  Dunaville  and  Frank  F.  Ellis,  Jr.,  Et Ux  properties,  S
84(Degree)00'00  W.  passing  an old pin  found on line at 64.42  feet,  in all,
149.50 feet to an old bolt  found,  designated  corner no. 2;  Thence  along the
westerly boundary of the Frank F. Ellis, Jr., Et Ux property,  S 00(Degree)59'00
W. 158.00 feet to an old pin found on the  northerly  boundary of an old private
road,  designated  corner no. 3;  Thence  along the  northerly  boundary of said
private road, S  57(Degree)19'32  W. 173.13 feet to an old pin found, said point
being the  northerly  corner of Lot 7, Block 1, Medmont  Lake and the  southeast
corner of the Theo D. Wilson property, designated corner no. 4; Thence along the
easterly boundary of the Theo D. Wilson property,  N  13(Degree)09'47  W. 215.04
feet to an old pin found,  designated  corner no. 5; Thence  continuing with the
easterly boundary of the Theo D. Wilson property,  N  05(Degree)56'38  E. 197.36
feet to an old pin found on the  southerly  right-of-way  of Keagy  Road,  S.W.,
designated corner no. 6; Thence along the southerly  right-of-way of Keagy Road,
S.W., S  66(Degree)56'32  E. 353.93 feet to the ACTUAL  POINT OF  BEGINNING  and
containing  1.489 ac.  (64,877 sq. ft.) and being as shown on the aforesaid plat
by T.P. Parker & Son.

                             END OF EXHIBIT A

                                       13



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