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


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


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


     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



                                  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


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


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


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


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


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


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


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


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


      (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


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


      (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


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