Document:

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                                                                   Exhibit 10.23

STATE OF NORTH CAROLINA

COUNTY OF MECKLENBURG

                                                             Loan No. 76-0000912

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                  PARK MEDICAL ASSOCIATES GENERAL PARTNERSHIP
                                   (Grantor)

                                       to

                              CHARLES T. MARSHALL
                                   (Trustee)

                               FOR THE BENEFIT OF
                      GENERAL ELECTRIC CAPITAL CORPORATION
                                 (Beneficiary)

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                 DEED OF TRUST, ASSIGNMENT OF LEASES AND RENTS,
                     SECURITY AGREEMENT AND FIXTURE FILING

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                           Dated as of August 2, 1999

                  Property Location: Pineville, North Carolina

                    DRAWN BY AND AFTER RECORDING, RETURN TO:

                             ANDREWS & KURTH L.L.P.
                          1717 Main Street, Suite 3700
                              Dallas, Texas  75201

                       Attention: Britton B. Green, Esq.

                       COLLATERAL IS OR INCLUDES FIXTURES

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                 DEED OF TRUST, ASSIGNMENT OF LEASES AND RENTS,
                     SECURITY AGREEMENT AND FIXTURE FILING

     This Deed of Trust, Assignment of Leases and Rents, Security Agreement and
Fixture Filing (this "Deed of Trust") is executed as of August 2, 1999, by PARK
MEDICAL ASSOCIATES GENERAL PARTNERSHIP, a North Carolina general partnership
("Grantor"), whose address for notice hereunder is c/o Brackett Company, 135 S.
Sharon Amity Road, Suite 210, Charlotte, North Carolina 28211, Attention: Diane
B. Rivers, to CHARLES T. MARSHALL ("Trustee"), for the benefit of GENERAL
ELECTRIC CAPITAL CORPORATION, a New York corporation ("Beneficiary"), whose
address for notice is c/o GE Capital Loan Services, Inc. 363 North Sam Houston
Parkway East, Suite 1200, Houston, Texas 77060, Attention: Portfolio
Manager/Access Program.

                                   ARTICLE 1
                                  DEFINITIONS

     SECTION 1.1  DEFINITIONS. As used herein, the following terms shall have
the following meanings:

     "INDEBTEDNESS": The sum of all principal, interest and other amounts due
under or secured by the Loan Documents.

     "LOAN": The Loan made by the Grantor by the Beneficiary as evidenced and
secured by the Loan Documents.

     "LOAN DOCUMENTS": The (a) Loan Agreement of even date between Grantor and
Beneficiary (the "LOAN AGREEMENT"), (b) Promissory Note of even date, executed
by Grantor, payable to the order of Beneficiary, in the stated principal amount
of $4,000,000.00, (c) this Deed of Trust, (d) all other documents now or
hereafter executed by Grantor, or any other person or entity, to evidence,
secure or guaranty the payment of all or any portion of the Indebtedness or the
performance of all or any portion of the Obligations or otherwise executed in
connection with the Note or this Deed of Trust and (e) all modifications,
restatements, extensions, renewals and replacements of the foregoing; provided
however, in no event shall the term "Loan Documents" include that certain
Hazardous Materials Indemnity Agreement dated the date hereof in favor of
Beneficiary.

     "MORTGAGED PROPERTY": (a) the real property located in Mecklenburg County,
North Carolina and more particularly described in EXHIBIT A, together with any
greater estate therein as hereafter may be acquired by Grantor (the "LAND"),
(b) all buildings, structures and other improvements, now or at any time
situated, placed or constructed upon the Land (the "IMPROVEMENTS"), (c) all
materials, supplies, equipment, apparatus and other items of personal property
now owned or hereafter acquired by Grantor and now or hereafter attached to,
installed in or used in connection with any of the Improvements or the Land,
and water, gas, electrical, storm and sanitary sewer facilities and all other
utilities whether or not situated in easements (the "FIXTURES"), (d) all right,
title and interest of Grantor in and to all goods, accounts, general
intangibles, instruments, documents, chattel paper and all other personal
property of any kind or character, including such items of personal property as
defined in the UCC, now owned or hereafter acquired by Grantor and now or
hereafter affixed to, placed upon, used in connection with, arising from or
otherwise related to the Land and Improvements or which may be used in or
relating to the planning, development, financing or operation of the Mortgaged
Property, including, without limitation, furniture, furnishings, equipment,
machinery, money, insurance proceeds, accounts, contract rights, trademarks,
goodwill, chattel paper, documents, trade names, licenses and/or franchise
agreements, rights of Grantor under leases of Fixtures or other personal
property or equipment, inventory, all refundable, returnable or reimbursable
fees, deposits or other funds or evidences of credit or indebtedness deposited
by or on behalf of Grantor with any governmental authorities, boards,
corporations, providers of utility services, public or private, including
specifically, but without limitation, all refundable, returnable or
reimbursable tap fees, utility deposits, commitment fees and development costs
(the "PERSONALTY"), (e) all reserves, escrows or impounds required under the
Loan Agreement and all deposit accounts maintained by Grantor with respect to
the Mortgaged Property, (f) all plans, specifications, shop drawings and other
technical descriptions prepared for construction, repair or alteration of the

                                                                          Page 1
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Improvements, and all amendments and modifications thereof (the "PLANS"), (g)
all leases, subleases, licenses, concessions occupancy agreements, rental
contracts, or other agreements (written or oral) now or hereafter existing
relating to the use or occupancy of all or any part of the Mortgaged Property,
together with all guarantees, letters of credit and other credit support,
modifications, extensions and renewals thereof (whether before or after the
filing by or against Grantor of any petition of relief under 11 U.S.C. Section
101 et seq., as same may be amended from time to time (the "BANKRUPTCY CODE"))
and all related security and other deposits (the "LEASES") and all of Grantor's
claims and rights (the "BANKRUPTCY CLAIMS") to the payment of damages arising
from any rejection by a lessee of any Lease under the Bankruptcy Code, (h) all
of the rents, revenues, issues, income, proceeds, profits, and all other
payments of any kind under the Leases for using, leasing, licensing,
possessing, operating from, residing in, selling or otherwise enjoying the
Mortgaged Property whether paid or accruing before or after the filing by or
against Grantor of any petition for relief under the Bankruptcy Code (the
"RENTS"), (i) all other agreements, such as construction contracts, architects'
agreements, engineers' contracts, utility contracts, maintenance agreements,
franchise agreements, service contracts, permits, licenses, certificates and
entitlements in any way relating to the development, construction, use,
occupancy, operation, maintenance, enjoyment, acquisition or ownership of the
Mortgaged Property (the "PROPERTY AGREEMENTS"), (j) all rights, privileges,
tenements, hereditaments, rights-of-way, easements, appendages and
appurtenances appertaining to the foregoing, and all right, title and interest,
if any, of Grantor in and to any streets, ways, alleys, strips or gores of land
adjoining the Land or any part thereof, (k) all accessions, replacements and
substitutions for any of the foregoing and all proceeds thereof, (l) all
insurance policies, unearned premiums therefor and proceeds from such policies
covering any of the above property now or thereafter acquired by Grantor, (m)
all mineral, water, oil and gas rights now or hereafter acquired and relating
to all or any part of the Mortgaged Property, (n) all tradenames, trademarks,
service marks, logos, copyrights, goodwill, books and records and all other
general intangibles relating to or used or used in connection with the
operation of the Mortgaged Property; and (o) all of Grantor's right, title and
interest in and to any awards, remunerations, reimbursements, settlements or
compensation heretofore made or hereafter to be made by any governmental
authority pertaining to the Land, Improvements, Fixtures or Personalty. As used
in this Deed of Trust, the term "MORTGAGE PROPERTY" shall mean all or, where
the context permits or requires, any portion of the above or any interest
therein.

     "OBLIGATIONS": All of the agreements, covenants, conditions, warranties,
representations and other obligations (other than to repay the Indebtedness)
made or undertaken by Grantor or any other person or entity to Beneficiary or
others as set forth in the Loan Documents.

     "PERMITTED ENCUMBRANCES": The outstanding liens, easements, restrictions,
security interests and other exceptions to title set forth in the policy of
title insurance insuring the lien of this Deed of Trust, together with the liens
and security interests in favor of Beneficiary created by the Loan Documents,
none of which, individually or in the aggregate, materially interfere with the
benefits of the security intended to be provided by this Deed of Trust,
materially and adversely affect the value of the Mortgaged Property, impair the
use or operations of the Mortgaged Property or impair Grantor's ability to pay
its obligations in a timely manner.

     "STATE": The State of North Carolina.

     "UCC": The Uniform Commercial Code of the State or, if the creation,
perfection and enforcement of any security interest herein granted is governed
by the laws of a state other than the State, then, as to the matter in
question, the Uniform Commercial Code in effect in that state.

     SECTION 1.2    OTHER TERMS. Capitalized terms not otherwise defined herein
shall have the meaning set forth in the Loan Agreement.

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                                   ARTICLE 2
                                     GRANT

     SECTION 2.1    GRANT. To secure the full and timely payment of the
Indebtedness and the full and timely performance of the Obligations, Grantor
hereby has bargained, sold, given, granted, and conveyed and does by these
presents bargain, sell, give, grant and convey to Trustee, his heirs, successors
and assigns (and with respect to any portions of the Mortgaged Property that
constitute personal property, to Beneficiary) the Mortgaged Property subject,
however, to the Permitted Encumbrances; TO HAVE AND TO HOLD the Mortgaged
Property, with all privileges and appurtenances thereto belonging, to Trustee,
his heirs, successors and assigns, forever upon the trusts, terms and conditions
and for the uses hereinafter set forth.

                                   ARTICLE 3
                   WARRANTIES, REPRESENTATIONS AND COVENANTS

     Grantor warrants, represents and covenants to Beneficiary as follows:

     SECTION 3.1    TITLE TO MORTGAGED PROPERTY AND LIEN OF THIS INSTRUMENT.
Grantor owns the Mortgaged Property free and clear of any liens, claims or
interests, except the Permitted Encumbrances. This Deed of Trust creates valid,
enforceable first priority liens and security interests against the Mortgaged
Property. Grantor warrants that Grantor has good, marketable and insurable
title to the Mortgaged Property and has the full power, authority and right to
execute, deliver and perform its obligations under this Deed of Trust. Grantor
does hereby bind itself, its successors and assigns to WARRANT AND FOREVER
DEFEND the title to the Mortgaged Property unto Trustee and Beneficiary and
their respective successors, substitutes and assigns.

     SECTION 3.2    FIRST LIEN STATUS. Grantor shall preserve and protect the
first lien and security interest status of this Deed of Trust and the other
Loan Documents. If any lien or security interest other than the Permitted
Encumbrances is asserted against the Mortgaged Property, Grantor shall
promptly, and at its expense, (a) give Beneficiary a detailed written notice of
such lien or security interest (including origin, amount and other terms), and
(b) pay the underlying claim in full or take such other action so as to cause
it to be released or, in Beneficiary's discretion, provide a bond or other
security satisfactory to Beneficiary for the payment of such claim.

     SECTION 3.3    PAYMENT AND PERFORMANCE. Grantor shall pay the Indebtedness
when due under the Loan Documents and shall perform the Obligations in full
when they are required to be performed.

     SECTION 3.4    REPLACEMENT OF FIXTURES AND PERSONALTY. Grantor shall not,
without the prior written consent of Beneficiary, permit any of the Fixtures or
Personalty to be removed at any time from the Land or Improvements, unless the
removed item is removed temporarily for maintenance and repair or, if removed
permanently, is obsolete and is replaced by an article of equal or better
suitability and value, owned by Grantor subject to the liens and security
interests of this Deed of Trust and the other Loan Documents, and free and
clear of any other lien or security interest except such as may be first
approved in writing by Beneficiary.

     SECTION 3.5    MAINTENANCE OF RIGHTS OF WAY, EASEMENTS AND LICENSES.
Grantor shall maintain all rights of way, easements, grants, privileges,
licenses, certificates, permits, entitlements and franchises necessary for the
use of the Mortgaged Property and will not, without the prior consent of
Beneficiary, consent to any public restriction (including any zoning ordinance)
or private restriction as to the use of the Mortgaged Property. Grantor shall
comply with all restrictive covenants affecting the Mortgaged Property, and all
zoning ordinances and other public or private restrictions as to the use of the
Mortgaged Property.

     SECTION 3.6    INSPECTION. Grantor shall permit Beneficiary and its agents,
representatives and employees, upon reasonable prior notice to Grantor, to
inspect the Mortgaged Property and conduct such environmental and 4
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engineering studies as Beneficiary may require, provided that such inspections
and studies shall not materially interfere with the use and operation of the
Mortgaged Property.

     SECTION 3.7    OTHER COVENANTS. All of the covenants in the Loan Agreement
are incorporated herein by reference and, together with covenants in this
Article 3, shall be covenants running with the land. The covenants set forth in
the Loan Agreement include, among other provisions: (a) the obligation to pay
when due all taxes on the Mortgaged Property or assessed against Beneficiary
with respect to the Loan, (b) the right of Beneficiary to inspect the Mortgaged
Property, (c) the obligation to keep the Mortgaged Property insured as
Beneficiary may require, (d) the obligation to comply with all legal
requirements (including environmental laws), maintain the Mortgaged Property in
good condition, and promptly repair any damage or casualty, and (e) except as
otherwise permitted under the Loan Agreement, the obligation of Grantor to
obtain Beneficiary's consent prior to entering into, modifying or taking other
actions with respect to Leases.

     SECTION 3.8    CONDEMNATION AWARDS AND INSURANCE PROCEEDS.

     (a)  CONDEMNATION AWARDS. Grantor assigns all awards and compensation for
any condemnation or other taking, or any purchase in lieu thereof, to
Beneficiary and authorizes Beneficiary to collect and receive such awards and
compensation and to give proper receipts and acquittances therefor, subject to
the terms of the Loan Agreement.

     (b)  INSURANCE PROCEEDS. Grantor assigns to Beneficiary all proceeds of
any insurance policies insuring against loss or damage to the Mortgaged
Property. Grantor authorizes Beneficiary to collect and receive such proceeds
and to give proper receipts and acquittances therefore, subject to the terms of
the Loan Agreement, and further authorizes and directs the issuer of each of
such insurance policies to make payment for all such losses directly to
Beneficiary, instead of to Grantor and Beneficiary jointly.

     SECTION 3.9    TRANSFER OR ENCUMBRANCE OF MORTGAGED PROPERTY.

     (a)       Without the prior written consent of Beneficiary,

               (i)   neither Grantor nor any other Person having an ownership or
                     beneficial interest in Grantor shall (A) directly or
                     indirectly sell, transfer, convey, mortgage, pledge, or
                     assign any interest in the Mortgaged Property or any part
                     thereof (including any partnership or other ownership
                     interest in Grantor); (B) further encumber, alienate, grant
                     a Lien or grant any other interest in the Mortgaged
                     Property or any part thereof (including any partnership or
                     other ownership interest in Grantor), whether voluntarily
                     or involuntarily; or (C) enter into any easement or other
                     agreement granting rights in or restricting the use or
                     development of the Mortgage Property;

               (ii)  no new general partner, member, or limited partner having
                     the ability to control the affairs of Grantor shall be
                     admitted to or created in Grantor (nor shall any existing
                     general partner or member or controlling limited partner
                     withdraw from Grantor), and no change in Grantor's
                     organizational documents relating to control over Grantor
                     and/or the Mortgaged Property shall be effected; and

               (iii) no transfer shall be permitted which would cause Diane B.
                     Rivers to own less than fifty-one percent (51%) of the
                     beneficial interest in Grantor and the Mortgaged Property
                     and not to have the power to direct the affairs of Grantor.

     (b)  As used in this Section 3.9, "transfer" shall include (i) an
installment sales agreement wherein Grantor agrees to sell the Mortgaged
Property or any part thereof for a price to be paid in installments; (ii) an
agreement by Grantor leasing all or a substantial part of the Mortgaged Property
for other than actual occupancy by space tenant thereunder or a sale, assignment
or other transfer of, or the grant of a security interest in, Grantor's right,
title and
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interest in and to any Leases or any Rents; (iii) the sale, transfer,
conveyance, mortgage, pledge, or assignment of the legal or beneficial
ownership of any partnership interest in any general partner in Grantor that is
a partnership; and (iv) the sale, transfer, conveyance, mortgage, pledge, or
assignment of the legal or beneficial ownership of any voting stock in any
general partner in Grantor that is a corporation; notwithstanding the
foregoing, "transfer" shall not include (A) the leasing of individual units
within the Project so long as Grantor complies with the provisions of the Loan
Documents relating to such leasing activity; or (B) the transfers of limited
partner or membership interests in Grantor so long as the results of such
transfers do not result in the transfer of more than 49% of the ownership or
beneficial interest in the Grantor and the provisions of Sections 3.9(a)(ii)
and 3.9(a)(iii) are satisfied.

     (c)  Beneficiary shall not be required to demonstrate any actual
impairment of its security or any increased risk of default hereunder in order
to declare the Indebtedness immediately due and payable upon Grantor's sale,
conveyance, alienation, mortgage, encumbrance, pledge or transfer of the
Mortgaged Property without Beneficiary's consent. This provision shall apply to
every sale, conveyance, alienation, mortgage, encumbrance, pledge or transfer
of the Mortgaged Property regardless of whether voluntary or not, or whether or
not Beneficiary has consented to any previous sale, conveyance, alienation,
mortgage, encumbrance, pledge or transfer of the Mortgaged Property.

     (d)  Beneficiary's consent to one sale, conveyance, alienation, mortgage,
encumbrance, pledge or transfer of the Mortgaged Property shall not be deemed to
be a waiver of Beneficiary's right to require such consent to any future
occurrence of same. Any sale, conveyance, alienation, mortgage, encumbrance,
pledge or transfer of the Mortgaged Property made in contravention of this
paragraph shall be null and void and of no force and effect.

     (e)  Grantor agrees to bear and shall pay or reimburse Beneficiary on
demand for all reasonable expenses (including, without limitation, reasonable
attorneys' fees and disbursements, title search costs and title insurance
endorsement premiums) incurred by Beneficiary in connection with the review,
approval and documentation of any such sale, conveyance, alienation, mortgage,
encumbrance, pledge or transfer.

     (f)  Beneficiary's consent to the sale or transfer of the Mortgaged
Property will not be unreasonably withheld after consideration of all relevant
factors, provided that:

          (i)    no Event of Default or event which with the giving of notice or
                 the passage of time would constitute an Event of Default shall
                 have occurred and remain uncured;

          (ii)   the proposed transferee ("TRANSFEREE") shall be a reputable
                 entity or person of good character, creditworthy, with
                 sufficient financial worth considering the obligations assumed
                 and undertaken, as evidenced by financial statements and other
                 information reasonably requested by Beneficiary and shall be a
                 Single Purpose Entity;

          (iii)  the Transferee and its property manager shall have sufficient
                 experience in the ownership and management of properties
                 similar to the Mortgaged Property, and Beneficiary shall be
                 provided with reasonable evidence thereof (and Beneficiary
                 reserves the right to approve the Transferee without approving
                 the substitution of the property manager);

          (iv)   Beneficiary shall have recommendations in writing from the
                 Rating Agencies (as hereinafter defined) to the effect that
                 such transfer will not result in a re-qualification, reduction
                 or withdrawal of any rating initially assigned or to be
                 assigned in a Secondary Market Transaction. The term "RATING
                 AGENCIES" as used herein shall mean each of Standard & Poor's
                 Ratings Group, a division of McGraw-Hill, Inc., Moody's
                 Investors Service, Inc., Duff & Phelps Credit Rating Co. and
                 Fitch IBCA, Inc., or any other nationally-recognized
                 statistical rating agency which has been approved by
                 Beneficiary;

          (v)    the Transferee shall have executed and delivered to Beneficiary
                 an assumption agreement in form and substance acceptable to
                 Beneficiary, evidencing such Transferee's agreement

<PAGE>
                to abide and be bound by the terms of the Note, this Deed of
                Trust and the other Loan Documents, together with such legal
                opinions and title insurance endorsements as may be reasonably
                requested by Beneficiary; and

          (vi)  Beneficiary shall have received an assumption fee equal to one
                percent (1%) of the then unpaid principal balance of the Note in
                addition to the payment of all costs and expenses incurred by
                Beneficiary in connection with such assumption (including
                reasonable attorneys' fees and costs).

                                   ARTICLE 4
                            DEFAULT AND FORECLOSURE

     SECTION 4.1  REMEDIES. If an Event of Default (as defined in the Loan
Agreement) exists, Beneficiary may, at Beneficiary's election, and by or
through Trustee or otherwise, exercise any or all of the following rights,
remedies and recourses:

     (a)  ACCELERATION. Declare the Indebtedness to be immediately due and
payable, without further notice, presentment, protest, notice of intent to
accelerate, notice of acceleration, demand or action of any nature whatsoever
(each of which hereby is expressly waived by Grantor), whereupon the same shall
become immediately due and payable.

     (b)  ENTRY ON MORTGAGED PROPERTY. Enter the Mortgaged Property and take
exclusive possession thereof and of all books, records and accounts relating
thereto. If Grantor remains in possession of the Mortgaged Property after an
Event of Default and without Beneficiary's prior written consent, Beneficiary
may invoke any legal remedies to dispossess Grantor.

     (c)  OPERATION OF MORTGAGED PROPERTY. Hold, lease, develop, manage, operate
or otherwise use the Mortgaged Property upon such terms and conditions as
Beneficiary may deem reasonable under the circumstances (making such repairs,
alterations, additions and improvements and taking other actions, from time to
time, as Beneficiary deems necessary or desirable), and apply all Rents and
other amounts collected by Beneficiary or Trustee in connection therewith in
accordance with the provisions of Section 4.7.

     (d)  FORECLOSURE AND SALE. Sell or offer for sale the Mortgaged Property in
such portions, order and parcels as Beneficiary may determine, with or without
having first taken possession of same, to the highest bidder for cash at public
auction. Such sale shall be made in accordance with the laws of the State of
North Carolina relating to the sale of real estate or by Chapter 9 of the UCC
relating to the sale of collateral after default by a debtor (as such laws now
exist or may be hereafter amended or succeeded), or by any other present or
subsequent articles or enactments relating to same. At any such sale to the
fullest extent permitted by law, (i) whether made under the power herein
contained, the UCC, any other legal requirement or by virtue of any judicial
proceedings or any other legal right, remedy or recourse, it shall not be
necessary for Trustee to have actual or constructive possession of the Mortgaged
Property (Grantor shall deliver to Trustee any portion of the Mortgaged Property
not actually or constructively possessed by Trustee immediately upon demand by
Trustee), and the title to and right of possession of any such property shall
pass to the purchaser thereof as completely as if Trustee had been in actual or
constructive possession of the Mortgaged Property, (ii) each instrument of
conveyance executed by Trustee shall contain a general warranty of title,
binding upon Grantor, (iii) each recital contained in any instrument of
conveyance made by Trustee shall conclusively establish the truth and accuracy
of the matters recited therein, including, without limitation, nonpayment of the
Indebtedness, advertisement and conduct of such sale in the manner provided
herein and otherwise by law, and appointment of any successor Trustee hereunder,
(iv) any prerequisites to the validity of such sale shall be conclusively
presumed to have been performed, (v) the receipt of Trustee or other party
making the sale shall be a sufficient discharge to the purchaser or purchasers
for his or their purchase money and no such purchaser or purchasers, or his or
their assigns or personal representatives, shall thereafter be obligated to see
to the application of such purchase money or be in any way answerable for any
loss, misapplication or nonapplication thereof, and (vi) to the fullest extent
permitted by law, Grantor

<PAGE>
shall be completely and irrevocably divested of all of its right, title,
interest, claim and demand whatsoever, either at law or in equity, in and to
the property sold and such sale shall be a perpetual bar both at law and in
equity against Grantor, and against all other persons claiming or to claim the
property sold or any part thereof, by, through or under Grantor. Beneficiary
may be a purchaser at such sale and if Beneficiary is the highest bidder, may
credit the portion of the purchase price that would be distributed to
Beneficiary against the Indebtedness in lieu of paying cash.

     (e)  RECEIVER. Make application to a court of competent jurisdiction for,
and obtain from such court as a matter of strict right and without notice to
Grantor or regard to the adequacy of the Mortgaged Property for the repayment
of the Indebtedness, the appointment of a receiver of the Mortgaged Property,
and Grantor irrevocably consents to such appointment. Any such receiver shall
have all the usual powers and duties of receivers in similar cases, including
the full power to rent, maintain and otherwise operate the Mortgaged Property
upon such terms as may be approved by the court, and shall apply such Rents in
accordance with the provisions of Section 4.7.

     (f)  UCC. Exercise any and all rights and remedies granted to a
secured party upon default under the Uniform Commercial Code, including,
without limiting the generality of the foregoing: (i) the right to take
possession of the personal property (including, without limitation, the
Personalty, Fixtures, Plans, Leases, Rents, Property Agreements) or any part
thereof, and to take such other measures as Beneficiary may deem necessary for
the care, protection and preservation of the personal property, and (ii)
request Grantor at its expense to assemble the personal property and make it
available to Beneficiary at a convenient place acceptable to Beneficiary. Any
notice of sale, disposition or other intended action by Beneficiary with
respect to the personal property sent to Grantor in accordance with the
provisions hereof at least five (5) days prior to such action, shall constitute
commercially reasonable notice to Grantor.

     (g)  OTHER. Exercise all other rights, remedies and recourses granted
under the Loan Documents or otherwise available at law or in equity (including
an action for specific performance of any covenant contained in the Loan
Documents, or a judgment on the Note either before, during or after any
proceeding to enforce this Deed of Trust).

     Section 4.2    SEPARATE SALES. To the extent permitted by applicable law,
the Mortgaged Property may be sold in one or more parcels and in such manner
and order as Trustee, in his sole discretion, may elect; the right of sale
arising out of any Event of Default shall not be exhausted by any one or more
sales.

     Section 4.3    REMEDIES CUMULATIVE, CONCURRENT AND NONEXCLUSIVE.
Beneficiary shall have all rights, remedies and recourses granted in the Loan
Documents and available at law or equity (including the UCC), which rights (a)
shall be cumulative and concurrent, (b) may be pursued separately, successively
or concurrently against Grantor or others obligated under the Note and the
other Loan Documents, or against the Mortgaged Property, or against any one or
more of them, at the sole discretion of Beneficiary, (c) may be exercised as
often as occasion therefor shall arise, and the exercise or failure to exercise
any of them shall not be construed as a waiver or release thereof or of any
other right, remedy or recourse, and (d) are intended to be, and shall be,
nonexclusive. No action by Beneficiary in the enforcement of any rights,
remedies or recourses under the Loan Documents or otherwise at law or equity
shall be deemed to cure any Event of Default.

     Section 4.4    RELEASE OF AND/OR RESORT TO COLLATERAL. Beneficiary may
release, regardless of consideration and without the necessity for any notice
to or consent by the holder of any subordinate lien on the Mortgaged Property,
any part of the Mortgaged Property without, as to the remainder, in any way
impairing, affecting, subordinating or releasing the lien or security interests
created in or evidenced by the Loan Documents or their stature as a first and
prior lien and security interest in and to the Mortgaged Property. For payment
of the Indebtedness, Beneficiary may resort to any other security in such order
and manner as Beneficiary may elect.

     Section 4.5    WAIVER OF REDEMPTION, NOTICE AND MARSHALLING OF ASSETS. To
the fullest extent permitted by law, Grantor hereby irrevocably and
unconditionally waives and releases (a) all benefit that might accrue to
Grantor by virtue of any present or future statute of limitations or law or
judicial decision exempting the Mortgaged Property from attachment, levy or
sale on execution or providing for any appraisement, valuation, stay of
execution, exemption

<PAGE>
from civil process, redemption or extension of time for payment, (b) all notices
of any Event of Default or of Trustee's election to exercise or his actual
exercise of any right, remedy or recourse provided for under the Loan Documents,
and (c) any right to a marshalling of assets or a sale in inverse order of
alienation.

     SECTION 4.6     DISCONTINUANCE OF PROCEEDINGS.  If Beneficiary shall have
proceeded to invoke any right, remedy or recourse permitted under the Loan
Documents and shall thereafter elect to discontinue or abandon it for any
reason, Beneficiary shall have the unqualified right to do so and, in such an
event, Grantor and Beneficiary shall be restored to their former positions with
respect to the Indebtedness, the Obligations, the Loan Documents, the Mortgaged
Property and otherwise, and the rights, remedies, recourses and powers of
Beneficiary shall continue as if the right, remedy or recourse had never been
invoked, but no such discontinuance or abandonment shall waive any Event of
Default which may then exist or the right of Beneficiary thereafter to exercise
any right, remedy or recourse under the Loan Documents for such Event of
Default.

     SECTION 4.7     APPLICATION OF PROCEEDS.  The proceeds of any sale of, and
the Rents and other amounts generated by the holding, leasing, management,
operation or other use of the Mortgaged Property, shall be applied by
Beneficiary or Trustee (or the receiver, if one is appointed) in the following
order unless otherwise required by applicable, law:

     (a)  to the payment of the reasonable costs and expenses of taking
possession of the Mortgaged Property and of holding, using, leasing, repairing,
improving and selling the same, including, without limitation (i) Trustee's and
receiver's fees and expenses, (ii) court costs, (iii) reasonable attorneys' and
accountants' fees and expenses, (iv) costs of advertisement, (v) insurance
premiums and (vi) the payment of all ground rent, real estate taxes and
assessments, except any taxes, assessments or other charges subject to which the
Mortgaged Property shall have been sold;

     (b)  to the payment of all amounts (including interest), other than the
unpaid principal balance of the Note and accrued but unpaid interest, which may
be due to Beneficiary under the Loan Documents;

     (c)  to the payment of the Indebtedness and performance of the Obligations
in such manner and order of preference as Beneficiary in its sole discretion may
determine; and

     (d)  the balance, if any, to the payment of the persons legally entitled
thereto.

     SECTION 4.8     OCCUPANCY AFTER FORECLOSURE.  The purchaser at any
foreclosure sale pursuant to Section 4.1(d) shall become the legal owner of the
Mortgaged Property. All occupants of the Mortgaged Property shall, at the option
of such purchaser, become tenants of the purchaser at the foreclosure sale and
shall deliver possession thereof immediately to the purchaser upon demand. It
shall not be necessary for the purchaser at said sale to bring any action for
possession of the Mortgaged Property other than the statutory action of forcible
detainer in any justice court having jurisdiction over the Mortgaged Property.

     SECTION 4.9     ADDITIONAL ADVANCES AND DISBURSEMENTS; COSTS OF
ENFORCEMENT.

     (a)  If any Event of Default exists, Beneficiary shall have the right, but
not the obligation, to cure such Event of Default in the name and on behalf of
Grantor. All sums advanced and expenses incurred at any time by Beneficiary
under this Section 4.9, or otherwise under this Deed of Trust or any of the
other Loan Documents or applicable law, shall bear interest from the date that
such sum is advanced or expense incurred, to and including the date of
reimbursement, computed at the Default Rate (as defined in the Loan Agreement),
and all such sums, together with interest thereon, shall be secured by this Deed
of Trust.

     (b)  Grantor shall pay all expenses (including reasonable attorneys' fees
and expenses) of or incidental to the perfection and enforcement of this Deed of
Trust and the other Loan Documents, or the enforcement, compromise or settlement
of the Indebtedness or any claim under this Deed of Trust and the other Loan
Documents, and for the
<PAGE>
curing thereof, or for defending or asserting the rights and claims of
Beneficiary or Trustee in respect thereof, by litigation or otherwise.

     SECTION 4.10 NO MORTGAGEE IN POSSESSION. Neither the enforcement of any of
the remedies under this Article 4, the assignment of the Rents and Leases under
Article 5, the security interests under Article 6, nor any other remedies
afforded to Beneficiary under the Loan Documents, at law or in equity shall
cause Beneficiary to be deemed or construed to be a mortgagee in possession of
the Mortgaged Property, to obligate Beneficiary to lease the Mortgaged Property
or attempt to do so, or to take any action, incur any expense, or perform or
discharge any obligation, duty or liability whatsoever under any of the Leases
or otherwise.

     SECTION 4.11 ACTIONS AND PROCEEDINGS. Beneficiary has the right to appear
in and defend any action or proceeding brought with respect to the Mortgaged
Property and to bring any action or proceeding, in the name and on behalf of
Grantor, which Beneficiary, in its discretion, decides should be brought to
protect its interest in the Mortgaged Property.

                                   ARTICLE 5
                         ASSIGNMENT OF RENTS AND LEASES

     SECTION 5.1 ASSIGNMENT. Grantor acknowledges and confirms that it has
executed and delivered to Beneficiary an Assignment of Leases and Rents of even
date (the "ASSIGNMENT OF LEASES AND RENTS"), intending that such instrument
create a present, absolute assignment to Beneficiary of the Leases and Rents.
Without limiting the intended benefits or the remedies provided under the
Assignment of Leases and Rents, Grantor hereby assigns to Beneficiary, as
further security for the Indebtedness and the Obligations, the Leases and Rents.
While any Event of Default exists, Beneficiary shall be entitled to exercise
any or all of the remedies provided in the Assignment of Leases and Rents and
in Article 4 hereof, including, without limitation, the right to have a
receiver appointed. If any conflict or inconsistency exists between the
assignment of the Rents and the Leases in this Deed of Trust and the absolute
assignment of the Rents and the Leases in the Assignment of Leases and Rents,
the terms of the Assignment of Leases and Rents shall control.

     SECTION 5.2 NO MERGER OF ESTATES. So long as any part of the Indebtedness
and the Obligations secured hereby remain unpaid and undischarged, the fee and
leasehold estates to the Mortgaged Property shall not merge, but shall remain
separate and distinct, notwithstanding the union of such estates either in
Grantor, Beneficiary, any lessee or any third party by purchase or otherwise.

                                   ARTICLE 6
                               SECURITY AGREEMENT

     SECTION 6.1 SECURITY INTEREST. This Deed of Trust constitutes a "Security
Agreement" on personal property within the meaning of the UCC and other
applicable law with respect to the Personalty, Fixtures, Plans, Leases, Rents
and Property Agreements. To this end, Grantor grants to Trustee and Beneficiary,
a first and prior security interest in the Personalty, Fixtures, Plans, Leases,
Rents and Property Agreements and all other Mortgaged Property which is personal
property to secure the payment of the Indebtedness and performance of the
Obligations, and agrees that Beneficiary shall have all the rights and remedies
of a secured party under the UCC with respect to such property. Any notice of
sale, disposition or other intended action by Beneficiary with respect to the
Personalty, Fixtures, Plans, Leases, Rents and Property Agreements sent to
Grantor at least five (5) days prior to any action under the UCC shall
constitute reasonable notice to Grantor.

     SECTION 6.2 FINANCING STATEMENTS. Grantor shall execute and deliver to
Beneficiary, in form and substance satisfactory to Beneficiary, such financing
statements and such further assurances as Beneficiary may, from time to time,
reasonably consider necessary to create, perfect and preserve Beneficiary's
security interest hereunder and
<PAGE>
Beneficiary may cause such statements and assurances to be recorded and filed,
at such times and places as may be required or permitted by law to so create,
perfect such security interest. Grantor's chief executive office is in the
State at the address set forth in the first paragraph of this Deed of Trust.

     SECTION 6.3  NO OBLIGATION OF TRUSTEE OR BENEFICIARY. The security
interest herein granted shall in no event cause Trustee or Beneficiary to be
deemed or construed as a mortgagee in possession of the Mortgaged Property, to
obligate Trustee or Beneficiary to lease the Mortgaged Property or attempt to
do so, or to take any action, incur any expense or perform or discharge any
obligation, duty or liability whatsoever under any of the Leases or otherwise.

     SECTION 6.4  FIXTURE FILING. This Deed of Trust shall also constitute a
"fixture filing" for the purposes of the UCC against all of the Mortgaged
Property which is or is to become fixtures. Information concerning the security
interest herein granted may be obtained at the addresses of Debtor (Grantor)
and Secured Party (Beneficiary) as set forth in the first paragraph of this
Deed of Trust.

     SECTION 6.5  CONTINUING EFFECT NOTWITHSTANDING TERMINATION OF DEED OF
TRUST. It is expressly agreed that until such time as the Indebtedness and
Obligations have been paid and performed in full, or until the security
interest granted hereby has been released in writing by Beneficiary, this Deed
of Trust shall remain fully effective as a security agreement, notwithstanding
that the lien on real property that is created by this Deed of Trust may be
extinguished or released, by foreclosure of this Deed of Trust or otherwise.

                                   ARTICLE 7
                             CONCERNING THE TRUSTEE

     SECTION 7.1  CERTAIN RIGHTS. With the approval of Beneficiary, Trustee
shall have the right to select, employ and consult with counsel. Trustee shall
have the right to rely on any instrument, document or signature authorizing or
supporting any action taken or proposed to be taken by him hereunder, believed
by him in good faith to be genuine. Trustee shall be entitled to reimbursement
for actual, reasonable expenses incurred by him in the performance of his
duties hereunder. Grantor shall, from time to time, pay the compensation due to
Trustee hereunder and reimburse Trustee for, and indemnify, defend and save
Trustee harmless against, all liability and reasonable expenses which may be
incurred by him in the performance of his duties. Grantor's obligations under
this Section 7.1 shall not be reduced or impaired by principles of comparative
or contributory negligence.

     SECTION 7.2  RETENTION OF MONEY.  All moneys received by Trustee shall,
until used or applied as herein provided, be held in trust for the purposes for
which they were received, but need not be segregated in any manner from any
other moneys (except to the extent required by law), and Trustee shall be under
no liability for interest on any moneys received by him hereunder.

     SECTION 7.3  SUCCESSOR TRUSTEES.  If Trustee or any successor Trustee shall
die, resign or become disqualified from acting in the execution of this trust,
or Beneficiary shall desire to appoint in writing a substitute Trustee,
Beneficiary shall have full power to appoint one or more substitute Trustees
and, if preferred, several substitute Trustees in succession who shall succeed
to all the estates, rights, powers and duties of Trustee. Such appointment may
be executed by any authorized agent of Beneficiary, and as so executed, such
appointment shall be conclusively presumed to be executed with authority, valid
and sufficient, without further proof of any action, and when such writing shall
have been duly probated and registered, the substitute trustee named therein
shall be vested with all rights or title and clothed with all power of the
Trustee named herein.

     SECTION 7.4  PERFECTION OF APPOINTMENT.  Should any deed, conveyance or
instrument of any nature be required from Grantor by any successor Trustee to
more fully and certainly vest in and confirm to such successor Trustee such
estates, rights, powers and duties, then, upon request by such Trustee, all
such deeds, conveyances and

<PAGE>
instruments shall be made, executed, acknowledged and delivered and shall
be caused to be recorded and/or filed by Grantor.

     SECTION 7.5 TRUSTEE LIABILITY. In no event or circumstance shall Trustee or
any substitute Trustee hereunder be personally liable under or as a result of
this Deed of Trust, either as a result of any action by Trustee (or any
substitute Trustee) in the exercise of the powers hereby granted or otherwise.

                                   ARTICLE 8
                                 MISCELLANEOUS

     SECTION 8.1 LIMITATION ON INTEREST. It is the intention of the parties
hereto to conform strictly to applicable usury laws. Accordingly, all agreements
between Grantor and Beneficiary with respect to the Loan are hereby expressly
limited so that in no event, whether by reason of acceleration of maturity or
otherwise, shall the amount paid or agreed to be paid to Beneficiary or charged
by Beneficiary for the use, forbearance or detention of the money to be lent
hereunder or otherwise, exceed the maximum amount allowed by law. If the Loan
would be usurious under applicable law (including the laws of the state where
the Mortgaged Property is located and the laws of the United States of America),
then, notwithstanding anything to the contrary in the Loan Documents: (a) the
aggregate of all consideration which constitutes interest under applicable law
that is contracted for, taken, reserved, charged or received under the Loan
Documents shall under no circumstances exceed the maximum amount of interest
allowed by applicable law, and any excess shall be credited on the Indebtedness;
and (b) if maturity is accelerated by reason of an election by Beneficiary, or
in the event of any prepayment, then any consideration which constitutes
interest may never include more than the maximum amount allowed by applicable
law. In such case, excess interest, if any, provided for in the Loan Documents
or otherwise, to the extent permitted by applicable law, shall be amortized,
prorated, allocated and spread from the date of advance until payment in full so
that the actual rate of interest is uniform through the term hereof. If such
amortization, proration, allocation and spreading is not permitted under
applicable law, then such excess interest shall be canceled automatically as of
the date of such acceleration or prepayment and, if theretofore paid, shall be
credited on the Indebtedness. The Loan Documents are contracts made under and
shall be construed in accordance with and governed by the laws of the State,
except that if at any time the laws of the United States of America permit
Beneficiary to contract for, take, reserve, charge or receive a higher rate of
interest than is allowed by the laws of the State (whether such federal laws
directly so provide or refer to the law of the state), then such federal laws
shall to such extent govern as to the rate of interest which Beneficiary may
contract for, take, reserve, charge or receive under the Loan Documents.

     SECTION 8.2 NOTICES. Any notice required or permitted to be given under
this Deed of Trust shall be (a) in writing, (b) sent in the manner set forth in
the Loan Agreement, and (c) effective in accordance with the terms of the Loan
Agreement.

     SECTION 8.3 COVENANTS RUNNING WITH THE LAND. All Obligations contained in
this Deed of Trust are intended by Grantor, Beneficiary and Trustee to be, and
shall be construed as, covenants running with the Mortgaged Property. As used
herein, "Grantor" shall refer to the party named in the first paragraph of this
Deed of Trust and to any subsequent owner of all or any portion of the
Mortgaged Property (without in any way implying that Beneficiary has or will
consent to any such conveyance or transfer of the Mortgaged Property). All
persons or entities who may have or acquire an interest in the Mortgaged
Property shall be deemed to have notice of, and be bound by, the terms of the
Loan Agreement and the other Loan Documents; however, no such party shall be
entitled to any rights thereunder without the prior written consent of
Beneficiary.

     SECTION 8.4 ATTORNEY-IN-FACT. Grantor hereby irrevocably appoints
Beneficiary and its successors and assigns, as its attorney-in-fact, which
agency is coupled with an interest, (a) to execute and/or record any notices of
completion, cessation of labor or any other notices that Beneficiary deems
appropriate to protect Beneficiary's interest, if Grantor shall fail to do so
within ten (10) days after written request by Beneficiary, (b) upon the
issuance of a deed pursuant to the foreclosure of this Deed of Trust or the
delivery of a deed in lieu of foreclosure, to execute all
<PAGE>
instruments of assignment, conveyance or further assurance with respect to the
Leases, Rents, Personalty, Fixtures, Plans and Property Agreements in favor of
the grantee of any such deed and as may be necessary or desirable for such
purpose, (c) to prepare, execute and file or record financing statements,
continuation statements, applications for registration and like papers
necessary to create, perfect or preserve Beneficiary's security interests and
rights in or to any of the collateral, and (d) while any Event of Default
exists, to perform any obligation of Grantor hereunder; however: (i)
Beneficiary shall not under any circumstances be obligated to perform any
obligation of Grantor; (ii) any sums advanced by Beneficiary in such
performance shall be added to and included in the Indebtedness and shall bear
interest at the Default Rate; (iii) Beneficiary as such attorney-in-fact shall
only be accountable for such funds as are actually received by Beneficiary; and
(iv) Beneficiary shall not be liable to Grantor or any other person or entity
for any failure to take any action which it is empowered to take under this
Section.

     SECTION 8.5 SUCCESSORS AND ASSIGNS. This Deed of Trust shall be binding
upon and inure to the benefit of Beneficiary and Grantor and their respective
successors and assigns. Grantor shall not, without the prior written consent of
Beneficiary, assign any rights, duties or obligations hereunder.

     SECTION 8.6 NO WAIVER. Any failure by Trustee or Beneficiary to insist
upon strict performance of any of the terms, provisions or conditions of the
Loan Documents shall not be deemed to be a waiver of same, and Trustee or
Beneficiary shall have the right at any time to insist upon strict performance
of all of such terms, provisions and conditions.

     SECTION 8.7 SUBROGATION. To the extent proceeds of the Note have been used
to extinguish, extend or renew any indebtedness against the Mortgaged Property,
then Beneficiary shall be subrogated to all of the rights, liens and interests
existing against the Mortgaged Property and held by the holder of such
indebtedness and such former rights, liens and interests, if any, are not
waived, but are continued in full force and effect in favor of Beneficiary.

     SECTION 8.8 LOAN AGREEMENT. If any conflict or inconsistency exists
between this Deed of Trust and the Loan Agreement, the Loan Agreement shall
govern.

     SECTION 8.9 RELEASE OR RECONVEYANCE. Upon payment in full of the
Indebtedness and performance in full of the Obligations, Beneficiary, at
Grantor's expense, shall release the liens and security interests created by
this Deed of Trust or reconvey the Mortgaged Property to Grantor, as applicable.

     SECTION 8.10 WAIVER OF STAY, MORATORIUM AND SIMILAR RIGHTS. Grantor
agrees, to the full extent that it may lawfully do so, that it will not at any
time insist upon or plead or in any way take advantage of any appraisement,
valuation, stay, marshalling of assets, extension, redemption or moratorium
law now or hereafter in force and effect so as to prevent or hinder the
enforcement of the provisions of this Deed of Trust or the indebtedness secured
hereby, or any agreement between Grantor and Beneficiary or any rights or
remedies or Beneficiary.

     SECTION 8.11 LIMITATION ON LIABILITY. Grantor's liability hereunder is
subject to the limitation on liability provisions of Article 12 of the Loan
Agreement.

     SECTION 8.12 OBLIGATIONS OF GRANTOR, JOINT AND SEVERAL. If more than one
person or entity has executed this Deed of Trust as "Grantor," the obligations
of all such persons or entities hereunder shall be joint and several.

     SECTION 8.13 GOVERNING LAW. This Deed of Trust shall be governed by and
construed in accordance with the laws of the State and the applicable laws of
the United States of America.

     SECTION 8.14 HEADINGS. The Article, Section and Subsection titles hereof
are inserted for convenience of reference only and shall in no way alter,
modify or define, or be used in construing, the text of such Articles, Sections
or Subsections.
<PAGE>
     Section 8.15   ENTIRE AGREEMENT. This Deed of Trust and the other Loan
Documents embody the entire agreement and understanding between Beneficiary and
Grantor and supercede all prior agreements and understandings between such
parties relating to the subject matter hereof and thereof. Accordingly, the
Loan Documents 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.

     Section 8.16   COUNTERPARTS. This Deed of Trust may be executed in
multiple counterparts, each of which shall constitute an original, but all of
which shall constitute one document.

(Remainder of Page Intentionally Left Blank)
<PAGE>
     IN WITNESS WHEREOF, Grantor has caused this Deed of Trust to be executed
under seal by its duly authorized representatives as of the date first above
written.

[CORPORATE SEAL]                   PARK MEDICAL ASSOCIATES GENERAL PARTNERSHIP.
                                   a North Carolina general partnership

                                   By:  P-51 ASSOCIATES,
                                        a North Carolina general partnership,
                                        Its: Managing General Partner

                                   By:  Diane Brackett Company, Inc.,
                                        a North Carolina corporation,
                                        Its: Managing General Partner

                                                                          [SEAL]

                                   BY:  /s/ DIANE B. RIVERS
ATTEST:                               ------------------------------------------
                                      Diane B. Rivers, President

/s/ SELMA INMAN
------------------------
Selma Inman, Secretary

     [Corporate Seal]

STATE OF NORTH CAROLINA  )
                         )ss
MECKLENBURG COUNTY       )

     I, A. Donovan Rivers, Jr., a Notary Public of the County and State
aforesaid, certify that Diane B. Rivers personally appeared before me this day
and acknowledged that she is the Secretary of Diane Brackett Company, Inc., a
North Carolina corporation which is the Managing General Partner of P-51
Associates, a North Carolina general partnership which is the Managing General
partner of PARK MEDICAL ASSOCIATES GENERAL PARTNERSHIP, a North Carolina
general partnership, and that by authority duly given and as Managing General
Partner of Park Medical Associates General Partnership, the forgoing instrument
was signed in its name by its President, sealed with its corporate seal and
attested by me as its Secretary.

     WITNESS my hand and official stamp or seal, this 2 day of Aug., 1999.

[NOTARIAL SEAL]

                                   /s/ A. DONOVAN RIVERS, JR.
                                   --------------------------------------------
                                   Notary Public
                                   My Commission Expires
                                   March 24, 2001
<PAGE>
                                   EXHIBIT A

Those tracts of land location in Mecklenburg County, North Carolina, as more
particularly described as follows:

                                    TRACT 1

To find the true point of BEGINNING, commence at N.C.G.S control monument
"M098" azimuth mark (State Plane Coordinates: Northing 493,458.92, Easting
1,440,763.09) and run North 34-27-39 West 512.59 feet (ground distance) to a
new nail on the northerly line of the property leased to Mercy Hospital Holding
Company, Inc., as described in Deed Book 4760, Page 709 of the Mecklenburg
County Public Registry; said nail being the true point and place of BEGINNING;
and runs thence with the Mercy Hospital Holding Company, Inc. line North
72-36-32 West 369.10 feet to a new iron rod at the southeast corner of the
Mercy Equipment Corporation property as described in Deed Book 8410, Page 696
of said registry; thence with the easterly line of Mercy Equipment Corporation
property North 26-40-14 East 243.46 feet to an existing iron rod at the
southwest corner of Lot 6, Park Fifty One Professional Center - Map 1
as recorded in Map Book 26, Page 331 of said Registry; thence with the
southerly line of Lot 6 the following two (2) courses and distances: 1) South
63-26-57 East 69.99 feet to an existing iron rod; 2) North 26-34-41 East 50.17
feet to an existing iron rod at a corner of Lot 6; thence with a third line of
Lot 6, and continuing along the southerly line of Lot 5B, South 72-36-36 East
252.64 feet to a new nail at the northwest corner of Lot 2A; thence with the
westerly line of Lot 2A South 17-23-24 West, passing a new nail at the
southwesterly corner of Lot 2A at 277.50 feet, for a total distance of 278.50
feet to the point and place of BEGINNING; containing 93,343 square feet or
2.1429 acres of land as shown on a survey prepared by R.B. Pharr & Associates,
P.A., dated April 14, 1999, last revised May 12, 1999, and bearing File No.
W-2400.

                                    TRACT 2

To find the true point of BEGINNING, commence at N.C.G.S. control monument
"M098" azimuth mark (State Plane Coordinates: Northing 493,458.92, Easting
1,440,763.09) and run North 34-27-39 West 512.59 feet (ground distance) to a new
nail on the northerly line of the property leased to Mercy Hospital Holding
Company, Inc. as described in Deed Book 4760, Page 709 of the Mecklenburg County
Public Registry, said nail being the southeasterly corner of Tract 1 as
described above, said nail also being the true point and place of BEGINNING; and
runs thence with the easterly line of Tract 1 as described above North 17-23-24
East 1.00 foot to a new nail at the southwest corner of Lot 2A, Park Fifty One
Professional Center - Map 1 as recorded in the Map Book 26, Page 331 of said
Registry; thence with the southerly line of Lot 2A and continuing along the
southerly line of Lot 2B, and with the southerly line of the Magnolia
Enterprises property as described in Deed Book 6951, Page 11 of said Registry,
South 72-36-32 East 480.13 feet to a new iron rod on the westerly margin of Park
Road (60' public right-of-way); thence with the westerly margin of Park Road
South 26-17-24 West 1.01 feet to a new iron rod at the northeasterly corner of
the property leased to Mercy Hospital Holding Company, Inc. as described in Deed
Book 4760, Page 709 of said Registry; thence with the northerly line of the
Mercy Hospital Holding Company, Inc. property North 72-36-32 West 479.98 feet to
the point and place of Beginning; containing 480 square feet or 0.0110 acres of
land as shown on a survey prepared by R.B. Pharr & Associates, P.A. dated April
14, 1999, last revised May 12, 1999, and bearing File Number W-2400.

<PAGE>
                                    TRACT 3
                             ENTRANCE ROAD EASEMENT

To find the true point of BEGINNING, commence at N.C.G.S. control monument
"M098" azimuth mark (State Plane Coordinates: Northing 493,458.92, Easting
1,440,763.09) and run the following two (2) courses and distances: 1) North
34-27-39 West 512.59 feet (ground distance) to a new nail, said nail being on
the northerly line of the property leased to Mercy Hospital Holding Company,
Inc. as described in Deed Book 4760, Page 709 of the Mecklenburg County Public
Registry, said nail being the southeasterly corner of Tract 1 as described
above; 2) with the Mercy Holding Company, Inc. property North 72-36-32 West
13.80 feet to a point, the true point and place of BEGINNING; and runs thence
North 17-23-24 East 264.45 feet to a point; thence with the arc of a circular
curve to the right having a radius of 48.76 feet an arc length of 14.25 feet
(chord: North 25-45-48 East 14.20 feet) to a point; thence with the arc of a
circular curve to the right having a radius of 48.76 feet an arc length of
72.05 feet (chord: North 76-27-58 East 65.67 feet) to a point; thence with the
arc of a circular curve to the left having a radius of 222.59 feet an arc
length of 44.41 feet (chord: South 66-55-09 East 44.34 feet) to a point; thence
South 72-38-04 East 244.47 feet to a point; thence with the arc of a circular
curve to the left having a radius of 136.37 feet an arc length of 49.65 feet
(chord: South 83-03-56 East 49.38 feet) to a point; thence North 81-00-40 East
35.85 feet to a point; thence with the arc of a circular curve to the right
having a radius of 111.72 feet an arc length of 68.49 feet (chord: South
81-25-11 East 67.42 feet) to a point; thence South 63-51-20 East 38.20 feet to
a point; thence with the arc of a circular curve to the left having a radius of
39.20 feet an arc length of 14.72 feet (chord: South 74-36-40 East 14.63 feet)
to a point in the westerly margin of Park Road (60' public right-of-way);
thence with the westerly margin of Park Road South 26-17-24 West 55.01 feet to
a point; thence with the arc of a circular curve to the left having a radius of
39.20 feet an arc length of 14.56 feet (chord: North 53-12-45 West 14.48 feet)
to a point; thence North 63-51-24 West 59.43 feet to a point; thence with the
arc of a circular curve to the left having a radius of 116.76 feet an arc
length of 60.77 feet (chord: North 78-45-33 West 60.09 feet) to a point; thence
with the arc of a circular curve to the right having a radius of 164.37 feet an
arc length of 60.38 feet (chord: North 83-09-25 West 60.04 feet) to a point;
thence North 72-38-04 West 244.47 feet to a point; thence with the arc of a
circular curve to the right having a radius of 250.59 feet an arc length of
50.00 feet (chord: North 66-55-09 West 49.92 feet) to a point; thence with the
arc of a circular curve to the left having a radius of 20.76 feet an arc length
of 36.74 feet (chord: South 68-05-37 West 32.13 feet) to a point; thence South
17-23-24 West 264.45 feet to a point; thence North 72-36-32 West 28.00 feet to
the point and place of BEGINNING, as shown on a survey prepared by R.B. Pharr &
Associates, P.A. dated April 14, 1999, last revised May 12, 1999, bearing File
Number W-2400.<PAGE>

                                                                   EXHIBIT 10.24

                        UROLOGY AMBULATORY SURGERY CENTER

                         SUBORDINATION, LIMITED GUARANTY
                                       AND
                            INDEMNIFICATION AGREEMENT
                            BY AND BETWEEN AND AMONG

                        UROLOGY CENTER OF THE SOUTH, P.C.
                                     ("UCS")

                                       AND

                    UROLOGY AMBULATORY SURGERY CENTER, L.L.C.
                                    ("UASC")

                                       AND

                            BRIERBROOK PARTNERS, LLC
                                  ("LANDLORD")

                                      DATED

                             26TH DAY OF JUNE, 2001

<PAGE>

                                TABLE OF CONTENTS

<TABLE>
<S>                                                                                                              <C>
ARTICLE 1.        PURPOSE.........................................................................................2

   Section 1.1    Purpose of Agreement............................................................................2

ARTICLE 2.        DEFINITIONS.....................................................................................2

   Section 2.1    Definitions.....................................................................................2

ARTICLE 3.        SUBORDINATION AND PRIORITY......................................................................5

   Section 3.1    Subordination of Claims and Obligations.........................................................5

   Section 3.2    Priorities Regarding Lease Collateral...........................................................5

   Section 3.3    Assignment of Collateral........................................................................6

ARTICLE 4.        PAYMENTS........................................................................................6

   Section 4.1    UCS as Trustee..................................................................................6

   Section 4.2    Permissible Payments of Subordinated Claims.....................................................6

   Section 4.3    Prepayments to UCS..............................................................................6

   Section 4.4    Insurance Proceeds..............................................................................7

ARTICLE 5.        DEFAULT.........................................................................................7

   Section 5.1    Default Notice and Payment Blockage.............................................................7

   Section 5.2    Acceleration and Enforcement of Subordinated Claims.............................................7

ARTICLE 6.        BANKRUPTCY......................................................................................7

   Section 6.1    Priority of Lease Claims and Obligations........................................................7

   Section 6.2    No Adjudicated or Imputed Value.................................................................8

   Section 6.3    Discharge of UCS................................................................................8

   Section 6.4    Forbearance by UCS..............................................................................8

   Section 6.5    Filing of Claims and Proofs of Claims...........................................................8

   Section 6.6    Rights of UCS...................................................................................9

   Section 6.7    Subrogation.....................................................................................9

ARTICLE 7.        IMPAIRMENT OF SUBORDINATION.....................................................................9

   Section 7.1    Subordination not Prejudiced, Affected or Impaired..............................................9

   Section 7.2    Actions by Landlord............................................................................10

   Section 7.3    Delay or Failure to Exercise Rights............................................................10

   Section 7.4    Reinstatement of Lease Claims and Obligations..................................................11

ARTICLE 8.        REPRESENTATIONS, WARRANTIES AND COVENANTS......................................................11

   Section 8.1    UASC and UCS...................................................................................11

   Section 8.2    UASC's Authority...............................................................................11

   Section 8.3    UCS's Authority................................................................................11

   Section 8.4    Restrictions as to Security for Subordinated Claims............................................11

   Section 8.5    Restrictions Relating to the Lease and Lease Collateral........................................11

   Section 8.6    Amendment of Organizational Documents and Management Agreement.................................12
</TABLE>

                                        i

<PAGE>

<TABLE>
<S>                                                                                                              <C>
   Section 8.7    Assignment of Subordinated Claims and Obligations..............................................12

ARTICLE 9.        LEASE DEFAULT AND ACCELERATION.................................................................12

   Section 9.1    Right to Cure..................................................................................12

   Section 9.2    Acceleration Notice............................................................................12

   Section 9.3    Ownership of Subordinated Obligations..........................................................12

ARTICLE 10.       SPECIAL USE RESTRICTIONS AND INDEMNIFICATION...................................................12

   Section 10.1      Agreement to Observe........................................................................12

   Section 10.2      Indemnification.............................................................................13

ARTICLE 11.       LIMITED GUARANTY...............................................................................13

   Section 11.1      Guaranty of Member..........................................................................13

   Section 11.2      Limitation on Guaranty......................................................................14

ARTICLE 12.       MISCELLANEOUS..................................................................................15

   Section 12.1      Specific Enforcement........................................................................15

   Section 12.2      Powers and Authorities Irrevocable; No Duty.................................................15

   Section 12.3      Enforceability..............................................................................15

   Section 12.4      Complete Agreement; Inconsistency; Modification; Waiver.....................................16

   Section 12.5      Headings....................................................................................16

   Section 12.6      Governing Law; Consent to Jurisdiction......................................................16

   Section 12.7      Waiver of Right to Trial by Jury............................................................16

   Section 12.8      Continuing and Irrevocable Agreement; Acceptance............................................16

   Section 12.9      Counterparts................................................................................16

   Section 12.10     Notices.....................................................................................16

    Exhibit A     ASC Lease

    Exhibit B     Corporate Suite Lease

    Exhibit C     Clinic Lease
</TABLE>

                                      ii

<PAGE>

                    UROLOGY AMBULATORY SURGERY CENTER, L.L.C.
                                 SUBORDINATION,
                                LIMITED GUARANTY
                                       AND
                            INDEMNIFICATION AGREEMENT

                  THIS AGREEMENT (the "Agreement") is made and entered into as
of this 26th day of June, 2001 by, between and among BRIERBROOK PARTNERS, LLC, a
Tennessee limited liability company, ("Landlord"), UROLOGY CENTER OF THE SOUTH,
P.C., a Tennessee professional corporation, ("UCS"), and UROLOGY AMBULATORY
SURGERY CENTER, L.L.C., a Tennessee limited liability company ("UASC").

                                    RECITALS

                  A. Landlord has agreed to enter into a certain Lease Agreement
with UASC (the "ASC Lease"), attached hereto as EXHIBIT A, pursuant to which the
Landlord has agreed to lease to UASC the real property and improvements as set
forth and described in the ASC Lease (the "ASC Suite").

                  B. The obligations of UASC to Landlord are secured by liens on
and security interests in the collateral described in Article 16 of the ASC
Lease (the "ASC Lease Collateral").

                  C. Landlord has agreed to enter into a certain Lease Agreement
with UCS (the "Corporate Suite Lease"), attached hereto as EXHIBIT B, pursuant
to which the Landlord has agreed to lease to UCS the real property and
improvements as set forth and described in the Lease (the "Corporate Suite").

                  D. The obligations of UCS to Landlord are secured by liens on
and security interests in the collateral described in Article 16 of the
Corporate Suite Lease (the "Corporate Suite Lease Collateral").

                  E. Landlord has agreed to enter into a certain Lease Agreement
with UCS (the "Clinic Lease"), attached hereto as EXHIBIT C, pursuant to which
the Landlord has agreed to lease to UCS the real property and improvements as
set forth and described in the Lease (the "Clinic Suite").

                  F. The obligations of UCS to Landlord are secured by liens on
and security interests in the collateral described in Article 16 of the Clinic
Lease (the "Clinic Lease Collateral"). Collectively, the ASC Lease, the
Corporate Suite Lease, and the Clinic Lease are referred to herein as the
"Leases".

                  G. To induce Landlord to enter into the ASC Lease, Ambulatory
Operations, Inc. ("AOI"), a Tennessee corporation, as a member of UASC executed
a Subordination Agreement (the "AOI Subordination Agreement") pursuant to which
AOI subordinated its rights to income and other distributions from UASC to the
obligations of UASC for payment and performance of UASC's obligations under the
ASC

                  H. To induce Landlord to enter into the ASC Lease, Methodist
Healthcare, a Tennessee not for profit corporation ("Methodist"), as owner of
AOI, executed a Limited Guaranty (the "Methodist Limited Guaranty") pursuant to
which Methodist agrees to transfer funds to AOI, in accordance with its
ownership percentage of UASC, to pay lease payments, subject to certain other
limitations as set forth in the Methodist Limited Guaranty.

                  I. To induce Landlord to enter into the ASC Lease, LeBonheur
Ambulatory Services, Inc., ("LeBonheurr") a Tennessee corporation and an
affiliate of Methodist, who is the manager of UASC, has executed a Subordination
Agreement (the "LeBonheur Subordination Agreement") pursuant to which LeBonheur
subordinated its rights to its Management Fee and certain other income and
distributions from UASC to the obligations of UASC for payment and performance
of UASC's obligations under the ASC Lease

                  J. UCS, in addition to being a Tenant under the Clinic Lease
and the Office Suite Lease, is a member of UASC and as a member of UASC holds
ownership interests in the income and profits and certain rights to
distributions from UASC.

<PAGE>

                  K. To induce Landlord to enter into the Leases, each of the
Physicians who are members of UCS have executed a Subordination, Non-Compete,
Limited Guaranty and Indemnification Agreement (the "Physician Agreements").

                  L. To induce Landlord to enter into the Leases, UCS and UASC
have executed this Agreement.

                  M. The Landlord, UASC and UCS, desire to confirm as among
themselves the rights and priorities with respect to certain matters arising in
connection with the Leases and the Subordinated Obligations and Subordinated
Claims (as defined herein), which are of mutual importance to them, without
otherwise affecting their respective rights under the Leases or under the other
agreements, instruments, and other writings executed and delivered in connection
therewith, all as more fully set forth herein.

                  N. Further, to induce Landlord to enter into the Leases, UCS
has agreed to enter into the Indemnification, and Guaranty obligations as set
forth herein.

                  Now Therefore, in consideration of the premises and in
consideration of the execution and delivery of the Leases, and for other good
and valuable consideration, the receipt and sufficiency of which are hereby
acknowledged, UCS and UASC, for themselves and for each other present and future
holder of any Subordinated Obligation or Subordinated Claim, intending to be
legally bound, hereby agree for the direct and legally enforceable benefit of
Landlord, each other Landlord and each other present and future holder of any
Lease Obligation or Lease Claim as follows:

                               ARTICLE 1. PURPOSE

SECTION 1.1       PURPOSE OF AGREEMENT.

                  IT IS THE PURPOSE OF THIS AGREEMENT TO PROVIDE THAT PAYMENTS
OR DISTRIBUTIONS THAT MAY OTHERWISE BE DUE TO UCS FROM UASC WILL BE SUBORDINATE
AND JUNIOR TO THE RIGHT OF THE LANDLORD TO PAYMENT UNDER THE ASC LEASE.
PROVIDED, HOWEVER, THAT THIS AGREEMENT SHALL NOT PRECLUDE PAYMENTS IN THE
ORDINARY COURSE OF BUSINESS (EXCLUSIVE OF PREPAYMENTS) FROM UASC TO UCS IF:

                  1.1.1 ALL LEASE OBLIGATIONS (AS HEREIN DEFINED), INCLUDING,
         BUT NOT LIMITED TO ALL PAYMENTS OF RENT, THAT ARE CURRENTLY DUE AND
         PAYABLE HAVE BEEN PAID OR PERFORMED BY UASC;

                  1.1.2 THE LANDLORD HAS NOT DELIVERED A DEFAULT NOTICE (AS
         DEFINED IN SECTION 5.1) TO UCS; AND,

                  1.1.3 AT THE TIME OF SUCH PAYMENT, THERE IS NO BANKRUPTCY,
         INSOLVENCY, OR LIQUIDATION PROCEEDING PENDING AGAINST UCS, UASC OR ANY
         PARTY TO THE COLLATERAL AGREEMENTS; AND,

                  1.1.4 SUCH PAYMENT SHALL NOT RENDER UASC INSOLVENT OR UNABLE
         TO MEET ITS LEASE OBLIGATIONS OR PAY THE LEASE CLAIMS IN CASH AS THEY
         BECOME DUE.

                             ARTICLE 2. DEFINITIONS

SECTION 2.1       DEFINITIONS.

                  As used herein, the following terms (whether in singular or
plural usage) shall have the following meanings:

                  2.1.1 ASC LEASE is defined in the Preamble.

                  2.1.2 BANKRUPTCY CODE means Title 11 of the United States
         Code.

                  2.1.3 BANKRUPTCY, INSOLVENCY OR LIQUIDATION PROCEEDING means
         (a) any case commenced by or against UCS, UASC or any of the Physicians
         under any chapter of the Bankruptcy

                                       2

<PAGE>

         Code, any other proceeding for the reorganization, recapitalization or
         adjustment or marshalling of the assets or liabilities of the foregoing
         parties, any receivership or assignment for the benefit of creditors
         relating to the foregoing parties or any similar case or proceeding
         relative to the foregoing parties or the creditors of any of them, as
         such, in each case whether or not voluntary, (b) any liquidation,
         dissolution, marshalling of assets or liabilities or other winding up
         of or relating to the foregoing parties, in each case whether or not
         voluntary and whether or not involving bankruptcy or insolvency, or (c)
         any other proceeding of any type or nature in which Claims against the
         foregoing parties are determined, proven or paid.

                  2.1.4  CLAIM is used as defined in the Bankruptcy Code,
         whether or not, in the context in which it appears, a case under the
         Bankruptcy Code is pending and shall also mean a claim by the Landlord
         or any holder of a Lease Claim or Lease Obligation to performance of
         any term, condition, covenant or agreement to be performed by UCS or
         UASC under the Leases or UCS or any of the Physicians under any of the
         Collateral Agreements (as herein defined).

                  2.1.5  CLINIC LEASE is defined in the Preamble.

                  2.1.6  COLLATERAL AGREEMENTS mean collectively this Agreement
         and the Physician(s) Agreements.

                  2.1.7  CORPORATE SUITE LEASE is defined in the Preamble.

                  2.1.8  DEFAULT means (a) the failure to pay when due any
         payment on any Lease Claim, or, (b) the failure of the UASC and UCS, as
         Tenants, respectively, to promptly and faithfully perform, keep,
         observe and discharge all of the terms, covenants, conditions,
         agreements and provisions to be performed, kept, observed and
         discharged by UASC and UCS, respectively, under the Leases; (c) the
         failure of UCS to promptly and faithfully perform, keep, observe and
         discharge all of the terms, covenants, conditions, agreements and
         provisions to be performed, kept, observed and discharged by UCS under
         this Agreement, (d) the failure of any Physician to promptly and
         faithfully perform, keep, observe and discharge all of the terms,
         covenants, conditions, agreements and provisions to be performed, kept,
         observed and discharged by the Physician under the Physician
         Agreements: or (e) any event that does or, with the giving of any
         notice or the lapse of any period of time (or both), would constitute a
         Default or an Event of Default under (and as defined in) the Leases or
         under this Agreement.

                  2.1.9  DISCHARGE OF THE LEASE OBLIGATIONS means that UASC and
         UCS, as Tenants, respectively under the Leases have promptly and
         faithfully performed, kept, observed discharged and paid in full all of
         the Lease Obligations to be performed or discharged by them
         respectively.

                  2.1.10 HOLDER includes, in respect of any Obligation or Claim,
         each person or entity which owns, is entitled to enforce, is entitled
         to the benefit of or otherwise holds or owns such Obligation or Claim
         and includes all persons and entities at any time receiving any
         transfer of any interest in any Obligation or Claim or otherwise
         succeeding to any interest in any Obligation or Claim.

                  2.1.11 INCLUDING is used illustratively, and not exhaustively
         or by way of limitation, and means "including but not limited to."

                  2.1.12 LANDLORD is defined in the preamble to this Agreement
         and includes any holder of a Lease Obligation or Lease Claim,
         including, but not limited any assignee of the Leases.

                  2.1.13 LEASES are defined in the preamble to this Agreement.

                  2.1.14 LEASE COLLATERAL is defined in the preamble to this
         Agreement.

                  2.1.15 LEASE CLAIMS means the sum of: (a) all present and
         future Claims against UASC, UCS or any of the Physicians on account or
         in respect to the Lease Obligations and other extensions of credit or
         indebtedness at any time incurred under the Leases or the Collateral
         Agreements, including any guaranty thereof, (b) all present and future
         Claims at any time arising or secured, or purported to be secured,
         under any instrument, conveyance or agreement delivered by such
         parties, respectively, governing, securing or relating in any respect
         to the Leases or the Collateral

                                       3

<PAGE>

         Agreements, (c) all present and future Claims in any manner based
         thereon, arising therefrom or related thereto, in each case whether now
         outstanding or at any time hereafter arising, and specifically includes
         (without limitation) all Claims for fees, taxes, expense
         reimbursements, indemnities and other amounts payable by any of the
         foregoing parties, respectively under the Leases or the Collateral
         Agreements or any other such instrument, conveyance or agreement and
         all Post-Petition Claims in any Bankruptcy, Insolvency or Liquidation
         Proceeding; and, (d) all other indebtedness at any time incurred by or
         committed to any of the foregoing parties to the Landlord.

                  2.1.16 LEASE OBLIGATIONS means (a) the obligations of UASC, as
         Tenant under the ASC Lease to promptly and faithfully perform, keep,
         observe and discharge all of the terms, covenants, conditions,
         agreements and provisions to be performed, kept, observed and
         discharged by UASC under the ASC Lease including without limitation,
         the payment by UASC, in full in cash of all of the amounts now or
         hereafter owed under the ASC Lease, including without limitation the
         Rent (as defined in the Lease), all other sums becoming due there
         under, any damage or loss which Landlord may suffer by reason of the
         breach by UASC of any covenant, agreement, or condition contained in
         the ASC Lease (whether such amounts accrue before and after any
         petition under any chapter of the Bankruptcy Code or any other law
         affecting creditor's rights), Landlord fees, reasonable costs of
         collection, and attorneys fees incurred in connection therewith, and
         reasonable amounts expended to preserve, protect or maintain or
         re-Lease any or all of the Premises and all reimbursement obligations
         in respect thereof and advances made and other credit extended by the
         Landlord; (b) the obligations of UCS to promptly and faithfully
         perform, keep, observe and discharge all of the terms, covenants,
         conditions, agreements and provisions to be performed, kept, observed
         and discharged by UCS under the Corporate Suite Lease and the Clinic
         Lease, and including without limitation, the payment by UCS in full in
         cash of all of the amounts now or hereafter owed under the Corporate
         Suite Lease and the Clinic Lease, including without limitation the Rent
         (as defined in the Lease), all other sums becoming due there under, any
         damage or loss which Landlord may suffer by reason of the breach by UCS
         of any covenant, agreement, or condition contained in the Corporate
         Suite Lease and the Clinic Lease (whether such amounts accrue before
         and after any petition under any chapter of the Bankruptcy Code or any
         other law affecting creditor's rights), Landlord fees, reasonable costs
         of collection, and attorneys fees incurred in connection therewith, and
         reasonable amounts expended to preserve, protect or maintain or
         re-Lease the Premises and all reimbursement obligations in respect
         thereof and advances made and other credit extended by the Landlord;
         and (c) the obligations of UCS and the Physicians, each, to promptly
         and faithfully perform, keep, observe and discharge all of the terms,
         covenants, conditions, agreements and provisions to be performed, kept,
         observed and discharged by each such party under the respective
         Collateral Agreements to be performed by such parties and including
         without limitation, the payment by such parties, as applicable, in full
         in cash of all of the amounts now or hereafter owed under the
         Collateral Agreements, including without limitation all sums becoming
         due there under, any damage or loss which Landlord may suffer by reason
         of the breach by any party of any covenant, agreement, or condition
         contained in the Leases or the Collateral Agreements (whether such
         amounts accrue before and after any petition under any chapter of the
         Bankruptcy Code or any other law affecting creditor's rights), Landlord
         fees, reasonable costs of collection, and attorneys fees incurred in
         connection therewith, and reasonable amounts expended to preserve,
         protect or maintain or re-Lease the Premises and all reimbursement
         obligations in respect thereof and advances made and other credit
         extended by the Landlord

                  2.1.17 METHODIST RELEASE DATE means the date three (3) years
         from the Completion Date under the ASC Lease, provided that on or prior
         to such date, an event of default has not occurred under the ASC Lease
         requiring a payment by Methodist under the Methodist Limited Guaranty
         prior to such date.

                  2.1.18 PHYSICIAN(S) means any shareholder of UCS who is a
         holder of a Subordinated Obligation or Subordinated Claim and includes
         any successor or assign of the Physician and any holder of a
         Subordinated Obligation or Subordinated Claim by and through the
         Physician.

                  2.1.19 POST-PETITION CLAIMS means any Claim with respect to
         Leases or the Collateral Agreements accrued or computed for or as to
         any period of time at any time after the commencement of any
         Bankruptcy, Insolvency or Liquidation Proceeding set forth in or
         applicable under such Agreements or agreement evidencing or governing
         such

                                        4
<PAGE>

         Agreements or for fees, expense reimbursements, indemnification or
         other similar obligations accrued or determined for or as to any such
         period of time in accordance with the provisions of such Agreements,
         whether or not such Claim is allowed, allowable or enforceable in such
         Bankruptcy, Insolvency or Liquidation Proceeding and even if such Claim
         is not allowed or enforced therein.

                  2.1.20 SUBORDINATED CLAIMS means all present and future Claims
         of UCS against UASC, its successors and assigns on account or in
         respect of the Subordinated Obligations.

                  2.1.21 SUBORDINATED OBLIGATIONS means all present and future
         obligations of UASC, its successors and assigns, to pay, reimburse,
         distribute or otherwise deliver to UCS any fees, salary, income,
         capital or expenses or funds of UASC of any nature whatsoever,
         including, but not limited to present or future obligations arising
         under, on account of, or in respect to: (a) UCS's ownership interest in
         UASC (b) any employee, consulting, fee or other agreement of any nature
         providing for payment to UCS for any Physician or other services
         rendered by any employee or affiliate of UCS to UASC; (c) any and all
         other extensions of credit or indebtedness at any time incurred or
         arising between UASC and UCS or their successors and assigns; (d) any
         other agreement between UASC and UCS, and (d) any and all obligations
         owed by UASC to UCS in any manner whatsoever, whether arising from any
         of the above or related thereto or otherwise, in each case whether now
         outstanding or at any time hereafter arising and whether based on
         contract or quasI-contract or founded in tort or arising by law or
         otherwise, and specifically includes (without limitation) all
         obligations UASC or any successor or assigns for to UCS for fees,
         taxes, expense reimbursements, indemnities and other amounts,
         obligations or liabilities of any nature whatsoever.

                  2.1.22 SUBSIDIARY means, with respect to any person or entity
         at any time, any corporation, limited liability company, partnership,
         association or other entity of which equity securities or other
         ownership interests representing more than 50% of the equity or profit
         interests or more than 50% of the ordinary voting power or, in the case
         of a partnership, more than 50% of the general partnership interests
         are, as of such date, owned, controlled or held by, or that is
         otherwise controlled by, the parent or one or more subsidiaries of the
         parent or by the parent and one or more of its subsidiaries.

                  2.1.23 SUBSIDIARY means any subsidiary of UCS or UASC.

                     ARTICLE 3. SUBORDINATION AND PRIORITY

SECTION 3.1       SUBORDINATION OF CLAIMS AND OBLIGATIONS.

                  UASC and UCS hereby covenant and agree that the Subordinated
Obligations and Subordinated Claims are and shall be postponed, subordinated and
junior in right of payment and performance to the prior payment in full in cash
and the performance of all Lease Obligations and Lease Claims, on the terms and
conditions herein set forth.

SECTION 3.2       PRIORITIES REGARDING LEASE COLLATERAL.

                  Notwithstanding anything to the contrary contained in or
arising from the Leases or the Collateral Agreements, or any other note,
agreement, lease, employee agreement, management agreement, instrument, or
document now or hereafter executed and delivered by the Landlord, UASC, UCS, or
any party to the Collateral Agreements, or any instrument or document executed
and delivered in connection therewith, or otherwise including any extensions,
renewals or forbearances thereof, any prior perfection of a security interest,
mortgage, deed of trust, lien, or the provisions of the Uniform Commercial Code,
or other law of any jurisdiction which is applicable, or the existence of any
present or future filing of financing statements under the Uniform Commercial
Code, or other law of any jurisdiction which is applicable, or other filings or
recordings under any other law of any jurisdiction which is applicable or in
which such filing or recording has been made, the priorities of the liens and
security interests of the Landlord in the Lease Collateral (including proceeds
of casualty and title insurance) securing the Lease Obligations and Lease
Claims, shall be senior and prior to any liens and security interest of UCS at
any time obtained on such collateral, and the liens and security interests of
UCS at any time obtained in such Lease Collateral shall be junior liens and
security interests subject to the liens and security interests of the Landlord.

                                       5

<PAGE>

SECTION 3.3       ASSIGNMENT OF COLLATERAL.

                  Upon payment or other satisfaction in full of all obligations
secured by any collateral now or hereafter in the possession of any party
hereto, the then holder thereof will assign and deliver to the other parties
hereto holding a security interest in such collateral, as directed in writing by
such other parties, without representation, warranty, or recourse of any kind,
all such collateral then in the possession of such holder, and in so doing, such
holder shall thereupon be discharged from further responsibility with respect
thereto. So long as any obligations secured by any collateral remain unpaid to
the holder of such collateral, including, without limitation, a holder to which
any such obligations shall have been assigned, such holder may, subject to the
provisions of this Agreement, at all times in its sole discretion exercise any
and all powers and rights which it now has or may hereafter acquire with respect
thereto, without the necessity of obtaining any approval of any of the other
parties hereto; nor shall such holder of any collateral have any liability for
any action taken or failure to act with respect to any of such collateral held
by it beyond the exercise of reasonable care to assure the safe custody thereof.

                              ARTICLE 4. PAYMENTS

SECTION 4.1       UCS AS TRUSTEE.

                  If UCS shall receive any payment or distribution out of any of
the assets of UASC, whether or not arising out of or as a result of any event
described in SECTION 4.2 or any action or right of remedy exercised pursuant to
SECTION 5.2.2 of this Agreement, and such payment or distribution or the
retention thereof by UCS is not in accordance with the provisions of this
Agreement, then UCS shall hold such payment or distribution in trust as trustee
of an express trust, for the benefit of the Landlord, shall not commingle such
payment or distribution with its other assets, and shall promptly take all
action necessary to cause such payment or distribution to be allocated or paid
in accordance with this Agreement.

SECTION 4.2       PERMISSIBLE PAYMENTS OF SUBORDINATED CLAIMS.

                  For as long as the Leases are in effect and thereafter until
all Lease Obligations and Lease Claims have been paid in full in cash and/or
otherwise performed and discharged, UASC will not make or permit to be made, and
UCS will not demand, accept, receive or retain, any payment or distribution of
any kind or character, whether in cash, property, securities or otherwise, on
account or in respect of any Subordinated Obligation or Subordinated Claim,
except that:

                  4.2.1 Any payments of regularly scheduled installments or any
         other payments required under the Subordinated Obligations, may be paid
         if (and only if) at the time of such payment no Rent is due and payable
         to Landlord and all Lease Obligations and Lease Claims then currently
         due and owing have been paid in full in cash by UASC, as Tenant, or if
         such Lease Obligations and Lease Claims do not require the payment of
         cash, such Obligations and Claims have been discharged by UASC, as
         Tenant, and no Default Notice (as herein defined) has been received by
         UASC or UCS. Any payments made to UCS that do not meet the requirements
         of the first sentence of this paragraph shall be held by UCS in trust
         for the benefit of Landlord and promptly forwarded to Landlord for
         application to the Lease Obligations and Lease Claims.

                  4.2.2 No such payment may be made at any time when any
         Bankruptcy, Insolvency, or Liquidation Proceeding against UCS, UASC or
         any party to the Collateral Agreements is pending. No such payment
         shall be made that renders UASC insolvent or unable to meet its Lease
         Obligations or pay the Lease Claims in cash as they become due.

SECTION 4.3       PREPAYMENTS TO UCS.

                  UCS will give Landlord written notice of (a) any prepayment of
a regularly scheduled payment; or, (b) receipt of any payment or distribution of
any kind or character, whether in cash, property, securities or otherwise made
by UASC in violation of SECTION 4.2, on the Subordinated Obligations or
Subordinated Claims or otherwise to UCS, and, within twenty (20) Business Days
after such notice is given, Landlord will notify UCS as to whether such
prepayment will be held by UCS in trust for the benefit of Landlord and promptly
forwarded to Landlord for application to the Lease Obligations and Lease Claims.
If Landlord fails to notify UCS that such prepayment is to be held in trust by
UCS and forwarded to the Landlord as set for in the preceding

                                       6

<PAGE>

sentence, within such twenty (20) Business Day period, then such prepayment
shall be deemed to be a permitted payment, and shall be retained by UCS for its
own account.

SECTION 4.4       INSURANCE PROCEEDS.

                  With respect to the collection of any proceeds of any policy
of insurance covering any collateral, or any part thereof, the proceeds of which
are assigned to Landlord and/or UCS as additional collateral to secure the
obligations of UASC, as Tenant, under the Lease Obligations or the Subordinated
Obligations, the Landlord and UCS shall join in any instructions to the
insurance companies involved so that the proceeds of such insurance shall be
payable in full to Landlord and then, to the extent of any excess, to UCS or any
of the parties to the Collateral Agreements as their interest may appear.

                               ARTICLE 5. DEFAULT

SECTION 5.1       DEFAULT NOTICE AND PAYMENT BLOCKAGE.

                  Upon the occurrence and continuance of any Event of Default
(under and as defined in the Leases, or the Collateral Agreements or this
Agreement), and upon a declaration of an Event of Default by the Landlord with
written notice specifying the nature thereof (the "Default Notice") to UCS, then
unless and until said Event of Default shall be cured or waived to the sole
satisfaction of the Landlord, with written notice of such waiver or cure to be
given to UCS, (a) Landlord shall be entitled to thereafter receive payment and
performance in full of all Lease Obligations and Lease Claims before UCS shall
be entitled to receive any payment upon the Subordinated Obligations or
otherwise, and (b) after all Lease Obligations have been paid in full and
performed and discharged in full, UCS shall be entitled to receive full payment
on the Subordinated Obligations.

SECTION 5.2       ACCELERATION AND ENFORCEMENT OF SUBORDINATED CLAIMS.

                  Until all Lease Obligations and Lease Claims have been
discharged, performed and paid in full in cash, UCS will not (a) demand,
accelerate, bring suit to collect or otherwise exercise or enforce any right or
remedy in respect of any Subordinated Claim or commence or prosecute any action
or proceeding thereon, (b) commence any Bankruptcy, Insolvency or Liquidation
Proceeding or join with any creditor in commencing any Bankruptcy, Insolvency or
Liquidation Proceeding, or appear in any Bankruptcy, Insolvency or Liquidation
Proceeding commenced by any other creditor in support of the commencement or
continuation thereof, or (c) otherwise exercise or enforce any right or remedy
in respect of any Subordinated Claim, including any right or remedy that
otherwise might be available to it in any Bankruptcy, Insolvency or Liquidation
Proceeding, unless:

                  5.2.1 The Landlord has received written notice thereof,
         stating the action to be taken and the grounds therefor, and at least
         180 days have elapsed since the date such written notice was received
         by the Landlord.

                  5.2.2 Notwithstanding the foregoing, nothing in this SECTION
         5.2.2 shall limit the rights of UCS to prove and establish its
         Subordinated Claims in any such Bankruptcy, Insolvency, or Liquidation
         Proceeding.

                             ARTICLE 6. BANKRUPTCY

SECTION 6.1       PRIORITY OF LEASE CLAIMS AND OBLIGATIONS.

                  In the event of any Bankruptcy, Insolvency or Liquidation
Proceeding and any receivership, liquidation, readjustment, merger,
consolidation, amalgamation, reorganization, arrangement, or other similar
proceedings in connection therewith, relative to UASC or any of the parties to
the Collateral Agreements, respectively, or to their property, and in the event
of any proceedings for voluntary liquidation, dissolution, or other winding up
of UASC or any of the parties to the Collateral Agreements, respectively,
whether or not involving insolvency or bankruptcy:

                  6.1.1 All Lease Claims (including all Post-Petition Claims)
         shall be discharged, performed and paid in full in cash before UCS
         shall be entitled to receive any payment, performance or distribution
         of any kind or character, whether in cash, property, securities or
         otherwise, on account or in respect of any Subordinated Claim in such
         Bankruptcy, Insolvency or Liquidation Proceeding.

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                  6.1.2 The holders of Lease Claims after discharge of the Lease
         Claims shall be entitled to receive each payment and distribution of
         any kind or character, whether in cash, property, securities or
         otherwise (including any such payment or distribution which may become
         payable or deliverable by reason of any other Claim being subordinated
         to any Subordinated Claim), that may become payable or deliverable on
         account or in respect of any Subordinated Claim, for application to the
         payment of Lease Claims of such holders (including all Post-Petition
         Claims), until all holders of Lease Claims have received performance
         and payment in full in cash of all Lease Claims (including all
         Post-Petition Claims). All such payments and distributions shall be
         delivered by the debtor, trustee, receiver, disbursing agent, or other
         person making such payment or distribution in such Bankruptcy,
         Insolvency, or Liquidation Proceeding directly to the Landlord for the
         benefit of such holders of Lease Claims.

SECTION 6.2       NO ADJUDICATED OR IMPUTED VALUE.

                  Except as otherwise agreed in writing by the Landlord, no
payment or distribution consisting of any property or securities other than cash
shall be deemed applied to the payment of Lease Claims at any adjudicated or
imputed value.

SECTION 6.3       DISCHARGE OF UCS.

                  No discharge of the liability of the debtor in such
Bankruptcy, Insolvency or Liquidation Proceeding shall, as against UCS as a
creditor, constitute performance and/or payment of the Lease Claims or shall in
any respect affect or impair the right of the holders of Lease Claims to receive
each performance, payment or distribution on account or in respect of
Subordinated Claims and to apply such payment or distribution to pay the Lease
Claims (including all Post-Petition Claims accrued or incurred through the date
on which cash proceeds have been received by the holders of Lease Claims in an
amount sufficient to pay all Lease Claims in full), until cash proceeds have
been received and applied to the payment of and performance of Lease Claims in
an amount sufficient to perform, discharge and pay, in full and in cash, all
Lease Claims (including all Post-Petition Claims accrued or incurred through the
date on which cash proceeds in such amount are received).

SECTION 6.4       FORBEARANCE BY UCS.

                  UCS, as a creditor, shall not, in such Bankruptcy, Insolvency
or Liquidation Proceeding, (a) assert, or request relief predicated on the
assertion that, or join with any creditor or the debtor or any trustee or
representative in asserting or requesting relief predicated on the assertion
that, any of the Lease Obligations and Claims is not enforceable, should be
equitably subordinated, is subject to avoidance on any ground or is not secured
by lawfully granted, continuously perfected and nonavoidable security interests
in the Lease Collateral, (b) oppose or otherwise contest, or join with any
creditor or the debtor or any trustee or representative in opposing or otherwise
contesting any request by Landlord for relief from any automatic stay or from
any other form of order or restraint for the purpose of permitting such Landlord
to foreclose upon or otherwise enforce any or all of its security interests and
liens upon any Lease Collateral or (c) seek, or join with any creditor or the
debtor or any trustee or representative in seeking, substantive consolidation of
the estate of the debtor with the assets, liabilities or estate of its parent
company or any of its subsidiaries or any other person or entity.

SECTION 6.5       FILING OF CLAIMS AND PROOFS OF CLAIMS.

                  UCS, as a creditor, shall file, in appropriate form, all
claims, and proofs of claim in respect of such Subordinated Claims whenever the
filing of claims is required or permitted by law upon any of the Subordinated
Claims. If UCS does not file any such claim or proof of claim promptly upon the
request of Landlord, then the Landlord, and its agents, is hereby irrevocably
authorized and empowered (but shall not be obligated), as attorney-in-fact for
UCS with full power of substitution, either to file such claim or proof thereof
in the name of UCS or, at the option of Landlord, to assign such claim to the
Landlord, for the benefit of the holders of Lease Claims as their interest may
appear in accordance with the provisions of this Agreement, or to their nominee,
and cause such claim or proof thereof to be filed. Landlord will provide UCS
with copies of any documents filed naming and claiming through UCS.

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SECTION 6.6       RIGHTS OF UCS.

                  Except as set forth herein, UCS, as a creditor, shall retain
the right to vote and otherwise act in any such proceeding, including, without
limitation, the right to file claims in its own behalf and to vote to accept or
reject any plan or partial or complete liquidation, reorganization, arrangement,
composition, or extension.

SECTION 6.7       SUBROGATION.

                  In any Bankruptcy, Insolvency or Liquidation Proceeding or any
other action or proceeding, subject to the prior performance and payment in full
and in cash of any and all Lease Obligations and Lease Claims (including all
Post-Petition Claims), UCS, as a creditor, shall have and may enforce any and
all rights of subrogation accorded by law in respect of any payment or
distribution on account of any Subordinated Claim that is applied to the payment
of any Lease Claim pursuant to the provisions of this Agreement. For such
purposes:

                  6.7.1 No right of subrogation shall be available to or may be
         enforced by UCS, unless and until all Lease Claims (including all
         Post-Petition Claims) have been performed and discharged in full and
         paid in full in cash.

                  6.7.2 No holder of any Lease Obligations or Lease Claim makes
         any representation or warranty, or shall otherwise have any
         responsibility, as to whether any such right of subrogation is accorded
         or available to UCS or is enforceable by UCS in any particular
         circumstance.

                  6.7.3 No holder of any Lease Obligation or Lease Claim shall
         have any duty to UCS to ensure, perfect, protect, enforce or maintain
         any right of subrogation that might otherwise be accorded or available
         to or enforceable by UCS. The subordination provided herein and the
         rights of the holders of Lease Claims hereunder shall remain fully
         enforceable on the terms set forth herein, regardless of any act,
         omission or circumstance (whether or not attributable to any holder of
         any Lease Claim and whether or not wrongful) which does or might in any
         manner or in any respect destroy, limit, reduce, affect or impair any
         right of subrogation otherwise accorded or available to or enforceable
         by UCS. Each holder of any Lease Obligations or Lease Claim shall
         remain utterly free to take or fail to take any and all actions in
         respect of any Lease Obligation or Lease Claim or any person or entity
         liable therefor or any collateral security therefor (including each and
         all of the acts, omissions and matters described in SECTION 7.2),
         without exonerating UCS, even if any right of subrogation is destroyed,
         limited, reduced, affected or impaired thereby.

                  6.7.4 The subordination provided herein and the rights of the
         holders of Lease Obligations and Lease Claims hereunder shall be fully
         enforceable as to all Lease Obligations and Lease Claims which are not
         allowed, allowable or enforceable in such Bankruptcy, Insolvency or
         Liquidation Proceeding (including Post-Petition Claims), even if and
         even though no right of subrogation is available in respect of such
         Lease Obligations and Lease Claims.

                  6.7.5 For purposes of enforcing any right of subrogation on
         the terms set forth in this SECTION 6.7, no payment or distribution on
         account of any Subordinated Claim applied to the performance, discharge
         or payment of a Lease Obligation or Lease Claim shall, as between the
         UASC and UCS, as a creditor, and to the extent of the payment or
         distribution so applied, discharge the liability of UASC and UCS, as
         Tenants respectively for the payment of such Lease Obligation and Lease
         Claim and, to this end, UASC, as Tenant shall remain obligated to pay
         such Lease Obligation and Lease Claim in full despite any such
         application.

                     ARTICLE 7. IMPAIRMENT OF SUBORDINATION

SECTION 7.1       SUBORDINATION NOT PREJUDICED, AFFECTED OR IMPAIRED.

                  No right of any present or future holder of any Lease
Obligation and Lease Claim to enforce subordination as provided in this
Agreement shall at any time in any way be prejudiced, affected or impaired by
any act or failure to act on the part of UASC, UCS or any party to the
Collateral Agreements or by any act or

                                       9

<PAGE>

failure to act on the part of the Landlord or any holder of Lease Obligations
and Lease Claims or by any breach or default by UASC, in the performance or
observance of any promise, covenant or obligation enforceable by the Landlord or
UCS, regardless of any knowledge thereof that any holder of Lease Claims may
have or otherwise be charged with.

SECTION 7.2       ACTIONS BY LANDLORD.

                  Without in any way limiting the generality of the foregoing,
the Landlord and each holder of any Lease Obligations or Lease Claim may at any
time and from time to time, without the consent of or notice to UCS, as a
creditor, without incurring any responsibility or liability to UCS and without
in any manner prejudicing, affecting or impairing the subordination provided
herein or the obligations of UCS under this Agreement:

                  7.2.1 Make loans and advances to UASC or otherwise extend
         credit to UASC, in any amount and on any terms, whether pursuant to a
         commitment or as a discretionary advance and whether or not any default
         or event of default or failure of condition is then continuing; and,

                  7.2.2 Change the manner, place or terms of payment or extend
         the time of payment of; or, renew or alter, compromise, accelerate,
         extend, any Lease Obligations and Lease Claim or any agreement,
         guaranty, lien or obligation of UASC or any other person or entity in
         any manner related thereto, or otherwise amend, supplement or change in
         any manner any Lease Obligations or Lease Claim or any such agreement,
         guaranty, lien or obligation; and,

                  7.2.3 Increase or reduce the amount of any Lease Obligation or
         Lease Claim or any amounts payable in respect thereof; and,

                  7.2.4 Release or discharge any Lease Obligation or Lease Claim
         or any guaranty thereof or any agreement or obligation of UASC or any
         other person or entity with respect thereto; and,

                  7.2.5 Take or fail to take any collateral security for any
         Lease Obligation or Lease Claim or take or fail to take any action
         which may be necessary or appropriate to ensure that any security
         interest or lien upon any property securing any Lease Obligation or
         Lease Claim is duly enforceable or perfected or entitled to priority as
         against any other lien or to ensure that any proceeds of any property
         subject to any security interest or lien are applied to the payment of
         any Lease Obligation or Lease Claim; and,

                  7.2.6 Release, discharge or permit the lapse of any or all
         security interests or liens upon any property at any time securing any
         Lease Obligation or Lease Claim; and,

                  7.2.7 Exercise or enforce, in any manner, order or sequence,
         or fail to exercise or enforce, any right or remedy against UASC or any
         collateral security or any other person, entity or property in respect
         of any Lease Obligation or Lease Claim or any security interest or lien
         securing any Lease Obligation or Lease Claim or any right under this
         Agreement, and apply any payment or proceeds of collateral in any order
         of application; and,

                  7.2.8 Sell, exchange, release, foreclose upon, or otherwise
         deal with any property that may at any time be subject to any security
         interest or lien securing any Lease Obligation or Lease Claim.

SECTION 7.3       DELAY OR FAILURE TO EXERCISE RIGHTS.

                  No exercise, delay in exercising or failure to exercise any
right arising under this Agreement, no act or omission of any holder of Lease
Obligation or Lease Claim in respect of UASC or any other person or entity or
any collateral security for any Lease Obligation or Lease Claim or any right
arising under this Agreement or the Collateral Agreements, no change,
impairment, or suspension of any right or remedy of any holder of any Lease
Obligation or Lease Claim, and no other act, failure to act, circumstance,
occurrence or event which, but for this provision, would or could act as a
release or exoneration of the obligations of UCS hereunder shall in any way
affect, decrease, diminish or impair any of the obligations of UCS under this
Agreement or give UCS or any other person or entity any recourse or defense
against any holder of a Lease Obligation or Lease Claim in respect of any right
arising under this Agreement.

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<PAGE>

SECTION 7.4       REINSTATEMENT OF LEASE CLAIMS AND OBLIGATIONS.

                  If any payment or other transfer at any time applied to the
payment or satisfaction of any Lease Obligation or Lease Claim is thereafter
rescinded, recovered, set aside, avoided or required to be returned, then such
Lease Obligation or Lease Claim and all rights of the holder of such Lease
Obligation or Lease Claim to enforce subordination as set forth herein shall be
automatically and unconditionally reinstated, as fully as if such payment or
transfer had never been made.

              ARTICLE 8. REPRESENTATIONS, WARRANTIES AND COVENANTS

SECTION 8.1       UASC AND UCS.

                  During the term of this Agreement and until the full and
complete performance, discharge and payment in full, in cash of all Lease
Obligations and Lease Claims, UASC and UCS hereby represent, warrant, covenant
and agree as set forth in this Article 8.

SECTION 8.2       UASC'S AUTHORITY.

                  UASC hereby represents and warrants to each present and future
holder of any Lease Obligation or Lease Claim that (a) the Recitals are true and
correct as of the date hereof, (b) it has duly executed and delivered this
Agreement, in compliance with all laws and regulations applicable to it and all
agreements binding upon it, with full power and authority to bind itself and its
successor and assigns, (c) this Agreement is binding upon and legally
enforceable against it and its successor and assigns, and (d) its execution and
delivery of this Agreement, and the performance of its obligations hereunder and
the obligations hereunder, does not violate or conflict with, or constitute a
default under, any law, regulation, agreement or other contractual obligation
binding upon or enforceable against such party.

SECTION 8.3       UCS'S AUTHORITY.

                  UCS hereby represents and warrants to each present and future
holder of any Lease Obligation or Lease Claim that (a) the Recitals are true and
correct as of the date hereof, (b) it has duly executed and delivered this
Agreement, in compliance with all laws and regulations applicable to it and all
agreements binding upon it, with full power and authority to bind itself and its
successor and assigns, (c) this Agreement is binding upon and legally
enforceable against it and its successor and assigns, and (d) its execution and
delivery of this Agreement, and the performance of its obligations hereunder and
the obligations hereunder, does not violate or conflict with, or constitute a
default under, any law, regulation, agreement or other contractual obligation
binding upon or enforceable against such party.

SECTION 8.4       RESTRICTIONS AS TO SECURITY FOR SUBORDINATED CLAIMS.

                  UASC agrees that it will not grant or permit to exist, and UCS
will not demand, accept, take, seize, or retain, any security interest or lien
upon any property now owned or hereafter acquired by UASC as security for any
Subordinated Obligation or Subordinated Claim.

SECTION 8.5       RESTRICTIONS RELATING TO THE LEASE AND LEASE COLLATERAL.

                  No holder of any Subordinated Obligation or Subordinated Claim
will accept or retain the benefit of any agreement in any respect restricting
the right of UASC and UCS, respectively, (a) to incur or repay or secure any
Lease Obligation or Lease Claim in any amount, (b) to enter into, amend,
supplement, or change the Leases or any other agreement governing or relating to
any lease, including, but not limited to any subordination or attornment or
estoppel agreements requested by Landlord with respect to any mortgage or deed
of trust or loan on the Premises, or (c) to sell, transfer or otherwise dispose
of any or all of the capital stock of, or partnership or limited liability
company interests in, or other equity interests in, any Subsidiary or to sell,
transfer or otherwise dispose of any or all of the property or assets of UASC
and UCS, including dispositions by merger or consolidation, except only the
sale, transfer or other disposition of all or substantially all of the assets of
UASC and UCS and their Subsidiaries, taken as a whole.

                                       11

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SECTION 8.6       AMENDMENT OF ORGANIZATIONAL DOCUMENTS AND MANAGEMENT
                  AGREEMENT.

                  UCS will not enter into or accept any agreement to amend,
supplement, terminate or otherwise change the Management Agreement, the
Operating Agreement of UASC or to change its By-laws and Charter, except upon
the prior written consent of the Landlord.

SECTION 8.7       ASSIGNMENT OF SUBORDINATED CLAIMS AND OBLIGATIONS.

                  Prior to making or agreeing to make any transfer of any
Subordinated Claim or any transfer of any interest in any Subordinated
Obligation or Subordinated Claim, the then holder thereof will (a) deliver a
copy of this Agreement to the transferee, (b) cause the transferee duly to
execute and deliver its agreement to be bound by the provisions hereof, by
execution of a counterpart of the signature page hereto, stating the interest
transferred, and (c) deliver such counterpart, so executed, to the Landlord,
accompanied by, if requested by the Landlord, an opinion of reputable counsel
stating that the execution and delivery of such counterpart is within the power
of such transferee and that such counterpart was duly authorized, executed and
delivered by such transferee and is enforceable against such transferee in
accordance with its terms, subject to laws generally affecting the enforcement
of the rights of creditors and the applicability of general equitable
principles.

                   ARTICLE 9. LEASE DEFAULT AND ACCELERATION

SECTION 9.1       RIGHT TO CURE.

                  When Landlord gives UCS, as a creditor, as provided in ARTICLE
5 hereof, a Default Notice, UCS shall have the right, but not the obligation, to
undertake to cure such an Event of Default. If UCS determines to undertake to
cure such Event of Default, it will so notify Landlord within three (3) Business
Days after receipt of Landlord's notice, or it will be deemed to have waived
this right. Landlord may exercise any and all remedies available to it
consistent with the provisions of this Agreement while UCS is considering
whether to cure such Event of Default. If UCS elects to cure such Event of
Default, UCS must cure within ten (10) Business Days of the receipt of such
notice such Event of Default as it exists on the date of cure and not on the
date of the Default Notice delivered to UCS; provided, however, UCS shall have
no obligation to then cure any other Event of Default not stated in the Default
Notice.

SECTION 9.2       ACCELERATION NOTICE.

                  Upon any acceleration of the Lease Obligations, a written
notice of acceleration (the "Acceleration Notice") shall be given by the
Landlord to UCS within fifteen (15) Business Days (a Business Day for the
purposes of this Agreement being a day that satisfies the definition of Business
Day in the applicable Lease) of such acceleration. Under certain circumstances
specified in such Lease, the Landlord may be entitled to send out Default
Notices and Acceleration Notices simultaneously, and UCS hereby acknowledges
this right.

SECTION 9.3       OWNERSHIP OF SUBORDINATED OBLIGATIONS.

                  UCS, as creditor, warrants and represents that it has not
previously assigned any interest in the Subordinated Obligations or Subordinated
Claims and that no party other than UCS owns an interest in the Subordinated
Obligations or Subordinated Claims.

            ARTICLE 10. SPECIAL USE RESTRICTIONS AND INDEMNIFICATION

SECTION 10.1      AGREEMENT TO OBSERVE.

                  UCS AS AN OWNER OF UASC SHALL OBSERVE AND PERFORM (AND CAUSE
UASC) TO OBSERVE AND PERFORM IN ALL MATERIAL RESPECTS EACH AND EVERY TERM TO BE
OBSERVED OR PERFORMED BY UASC PURSUANT TO THE TERMS OF THE USE RESTRICTIONS OF
THE ASC LEASE INCLUDING, BUT NOT LIMITED TO (a) THE USE RESTRICTIONS SET FORTH

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<PAGE>

THEREIN WITH RESPECT TO SPECIFIC MEDICAL SERVICES WHICH MAY BE PERFORMED BY
TENANTS; (b) THOSE MEDICAL SERVICES WHICH SHALL NOT BE PERFORMED ON THE
PREMISES, (c) THE REQUIREMENT THAT ALL PERSONS OR ENTITIES RENDERING MEDICAL
SERVICES IN THE PREMISES MUST BE QUALIFIED MEDICAL PROVIDERS (AS DEFINED IN THE
ASC LEASE) AND (d) THE SPECIFIC PROHIBITIONS OF PROVIDING ANY SERVICE INVOLVING
THE ELECTIVE TERMINATION OF A PREGNANCY.

                  UCS FURTHER ACKNOWLEDGES AND AGREES THAT THE RESTRICTIONS SET
FORTH ABOVE APPLY TO EACH OF UASC'S AND UCS'S RESPECTIVE MEMBERS, OFFICERS,
SHAREHOLDERS, PARTNERS, EMPLOYEES AND AFFILIATES OR ANY OTHER PERSON OR ENTITY
WHICH UASC ALLOWS TO PERFORM MEDICAL SERVICES AND UCS ASSUMES FULL AND COMPLETE
RESPONSIBILITY FOR COMPLIANCE WITH THE FOREGOING RESTRICTIONS UNDER THE ASC
LEASE. IN THE EVENT OF ANY VIOLATION OF ANY OF THE FOREGOING RESTRICTIONS, THEN
UASC AND UCS NOTWITHSTANDING ANY OTHER PROVISION OF THE LEASES OR THIS AGREEMENT
SHALL BE IN IMMEDIATE DEFAULT OF THE APPLICABLE LEASE WHERE SUCH SERVICES ARE
PERFORMED AND UCS SHALL BE IN DEFAULT OF THIS AGREEMENT. UASC and UCS SHALL (AND
UCS SHALL CAUSE UASC) TO IMMEDIATELY CEASE AND DESIST SUCH VIOLATION AND/OR
CAUSE ANY PERSON OR ENTITY CAUSING SUCH VIOLATION TO IMMEDIATELY AND PERMANENTLY
VACATE THE ASC SUITE.

                  WITHOUT LIMITING ANY OTHER RIGHTS THAT LANDLORD MAY HAVE UNDER
THE LEASE, INCLUDING LANDLORD'S RIGHT OF TERMINATION, LANDLORD SHALL BE ENTITLED
TO EXERCISE ANY AND ALL REMEDIES, AT LAW OR IN EQUITY, TO ENFORCE THE FOREGOING
PROVISIONS OF THE ASC LEASE WITH RESPECT TO THESE USE RESTRICTIONS,THIS SECTION
AND ANY BREACH OR DEFAULT THEREUNDER INCLUDING, WITHOUT LIMITATION, THE RIGHT TO
OBTAIN A TEMPORARY OR PERMANENT INJUNCTION AND/OR SPECIFIC PERFORMANCE BY UASC
AND UCS. SPECIFICALLY, UASC AND UCS ACKNOWLEDGE THAT THE COVENANTS SET FORTH
ABOVE WITH RESPECT TO THE LEASE ARE MATERIAL TO LANDLORD ENTERING INTO THE LEASE
AND THIS AGREEMENT. UASC AND UCS FURTHER ACKNOWLEDGE AND AGREE THAT THE
INTERESTS OF LANDLORD WILL BE IRREPARABLY HARMED AND DAMAGED IN THE EVENT OF A
BREACH OF THE COVENANTS SET FORTH ABOVE. ACCORDINGLY, LANDLORD SHALL BE ENTITLED
TO INJUNCTIVE RELIEF (TEMPORARY AND PERMANENT) AND/OR SPECIFIC PERFORMANCE, OR
OTHER APPROPRIATE EQUITABLE REMEDY, IN CONNECTION WITH ANY BREACH OR THREATENED
BREACH OF THE USE RESTRICTIONS SET FORTH IN THIS SECTION OR IN THE LEASE,
WITHOUT THE NECESSITY OF POSTING BOND OR OTHER SECURITY.

SECTION 10.2      INDEMNIFICATION.

                  UCS shall, at its sole expense, indemnify, defend and hold
Landlord, any holder of a Subordinated Obligation or Subordinated Claim, and
their respective successors and assigns, and their respective directors,
offices, employees, servants agents, partners, members and shareholders (each,
an "Indemnified Party") harmless from and against and reimburse Landlord, any
holder of a Subordinated Obligation or Subordinated Claim and their respective
successors and assigns with respect to any and all claims, demands, actions,
causes of action, losses, damages, liabilities, costs and expenses (including,
without limitation, reasonable attorney's fees, consultant's fees and court
costs) of any and every kind or character, known or unknown, fixed or
contingent, asserted against or incurred by any Indemnified Party at any time
and from time to time by reason or arising out of any breach or violation of
ARTICLE 10 of this Agreement by UASC, UCS or any physician performing medical
services in the ASC Suite, their affiliates, successors and assigns.

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                          ARTICLE 11. LIMITED GUARANTY

SECTION 11.1      GUARANTY OF MEMBER.

                  UCS, as Guarantor, as additional consideration for the
execution of the Leases by Landlord, hereby irrevocably, unconditionally and
absolutely becomes guarantor of the prompt and faithful performance by UASC of
all of the terms, covenants, conditions, agreements and provisions to be kept,
observed and performed by UASC under the ASC Lease, including without
limitation, the payment by UASC of the Rent (as defined in the ASC Lease) and
any and all other sum or sums to become due thereunder, and hereby further
agrees as follows:

                  11.1.1 Guarantor agrees that (a) this obligation shall be
         binding upon Guarantor without any further notice or acceptance hereof;
         (b) immediately upon receipt of notice by Guarantor of the occurrence
         of a Default (as such term is defined in the Lease or under this
         Agreement or the Collateral Agreements), Guarantor will pay to Landlord
         the Rent and will keep, observe and perform all the terms, covenants,
         conditions, agreements and provisions of the Lease which are to be
         kept, observed and performed by UASC under the ASC Lease; (c) no
         extension, forbearance or leniency extended by Landlord to UASC shall
         discharge Guarantor and Guarantor agrees that it will remain liable
         hereunder at all times; (d) Landlord and UASC, may at any time or times
         enter into such modifications, extensions, amendments or other
         covenants respecting the Lease, and Guarantor shall not be released
         thereby, and Guarantor shall then continue as guarantor with respect to
         the ASC Lease as so modified, extended, amended or otherwise affected,
         provided Guarantor has consented to any and all such modifications,
         extensions or amendments; (e) neither Guarantor's obligation to make
         payment in accordance with the provisions of this Guaranty nor any
         remedy for the enforcement thereof shall be impaired, modified,
         changed, released or limited in any manner whatsoever by any
         impairment, modification, change, release of limitation of the
         liability of UASC or its estate in bankruptcy arising from the
         operation of any present or future provision of the Federal Bankruptcy
         Code or any other law of the United States or of any state relating to
         bankruptcy, insolvency, reorganization, readjustment, receivership or
         similar proceeding of any nature whatsoever, or the disaffirmance of
         the ASC Lease in any such proceedings or otherwise; and (f) Guarantor
         shall continue as guarantor with respect to the ASC Lease upon any
         assignment and/or subletting by UASC of any or all of its interests,
         in, to and under the ASC Lease or the ASC Suite, whether or not
         Guarantor has received notice of or consent to any and all such
         assignments and/or sublettings.

                  11.1.2 Guarantor further agrees to be bound by each and every
         term, covenant, condition, agreement, and provision of the Leases, with
         the same force and effect as if it were designated in and had executed
         the Leases as tenant thereunder. Guarantor hereby acknowledges receipt
         and acceptance of a copy of the Leases.

                  11.1.3 This as an agreement of both guaranty and suretyship.
         The liability of Guarantor shall be direct and may be enforced without
         Landlord's being required to resort to any other right, remedy, or
         security, or to proceed against any other party. Landlord may proceed
         against UASC, Guarantor, or other parties in such order as Landlord may
         elect without waiving its right to proceed singly, successively, or
         cumulatively against Guarantor or any other party.

                  11.1.4 Guarantor may, at Landlord's option, be joined in any
         action or proceeding commenced by Landlord against UASC in connection
         with and based upon any terms, covenants, conditions, agreements or
         provisions of the ASC Lease. Guarantor waives any demand by Landlord or
         prior action by Landlord of any nature whatsoever against UASC,
         including without limitation, any right which Guarantor might otherwise
         have, under any statute or rule of law, to require Landlord to take any
         action against UASC prior to proceeding against Guarantor hereunder.

                  11.1.5 Guarantor hereby acknowledges that the rights, benefits
         and privileges hereunder shall inure to the benefit of each and every
         assignee of Landlord and of Landlord's interest in, to and under the
         Lease, and that Guarantor shall continue to be bound hereunder upon
         such assignment without further documentation.

SECTION 11.2      LIMITATION ON GUARANTY.

                  The obligations of UCS as Guarantor hereunder shall expire and
be of no further force and effect upon:

                  11.2.1 The Discharge of the Lease Obligations by UASC and UCS
         under the Leases and the Discharge of Lease Obligations by all of the
         parties to the Collateral Agreements; or,

                                       14

<PAGE>

                  11.2.2  Prior to the Methodist Release Date:

                           11.2.2.1 Upon UCS's payment to Landlord or any holder
                                    of the Lease Obligations and Lease Claims of
                                    an amount equal to Seventy percent (70%) of
                                    all Lease Obligations and Lease Claims which
                                    are not performed, discharged or paid in
                                    full by UASC under the ASC Lease.

                           11.2.2.2 Upon UCS's payment to Landlord or any holder
                                    of the Lease Obligations and Lease Claims of
                                    all Lease Obligations and Lease Claims of
                                    UCS under the Corporate Suite Lease and the
                                    Clinic Suite Lease.

                  11.2.3 From and after the Methodist Release Date:

                           11.2.3.1 Upon UCS's payment to Landlord or any holder
                                    of the Lease Obligations and Lease Claims of
                                    an amount equal Seventy percent (70%) of all
                                    Lease Obligations and Lease Claims which are
                                    not performed, discharged or paid in full by
                                    UASC under the ASC Lease.

                           11.2.3.2 Upon UCS's payment to Landlord or any holder
                                    of the Lease Obligations and Lease Claims of
                                    all Lease Obligations and Lease Claims of
                                    UCS under the Corporate Suite Lease and the
                                    Clinic Suite Lease.

                           11.2.3.3 Provided, however, that the aggregate amount
                                    payable by UCS under SECTION 11.2.3.1 shall
                                    not exceed $2,000,000.

                  11.2.4  Provided, however that the limitations on Guarantor's
         obligations under this ARTICLE 11 shall not be limit or restrict UCS's
         obligations under ARTICLE 10.

                           ARTICLE 12. MISCELLANEOUS

SECTION 12.1      SPECIFIC ENFORCEMENT.

                  UASC and UCS acknowledge and agree that an action for money
damages is not an adequate remedy for enforcement of this Agreement and,
accordingly, agree that each and all of the obligations arising hereunder may,
at the option of the Landlord, be enforced by an action for specific performance
or other lawful specific or injunctive relief.

SECTION 12.2      POWERS AND AUTHORITIES IRREVOCABLE; NO DUTY.

                  All rights, powers and authorities herein granted to the
Landlord are coupled with an interest and are irrevocable until Discharge of the
Lease Obligations and Lease Claims and all outstanding Lease Obligations or
Lease Claims have been performed, discharged and paid in full in cash. Such
rights, powers and authorities may be freely exercised by Landlord, or not
exercised by it, in each instance as it may see fit given its own individual
interest as a holder of a Lease Obligation or Lease Claim, without any duty of
care, duty of loyalty or other duty whatsoever to UCS.

SECTION 12.3      ENFORCEABILITY.

                  This Agreement (a) shall be binding upon and enforceable
against UASC and UCS and their respective successors and assigns whether such
holder of a Subordinated Obligation or Subordinated Claims holds such
Subordinated Claim or Subordinated Obligation as a lien holder, secured party or
otherwise, (b) may be jointly or separately enforced in any lawful manner
against any one or more or all of the persons and entities bound hereby, without
any requirement that other Claims or persons or entities bound hereby be joined
(and no single or partial exercise or enforcement of any right hereunder shall
preclude any other or further exercise or enforcement thereof), and (c) shall
inure to the benefit of and be enforceable by Landlord, its

                                       15

<PAGE>

successors and assigns and transferees and each other present and future holder
of any Lease Obligation or Lease Claim. Without limiting the foregoing, Landlord
shall have the right to assign this Agreement to any Lender of Landlord with
respect to the Leases and UCS hereby agrees to provide such estoppel
certificates to such Lender as may be required and necessary with respect to the
right of the Lender to the benefits of this Agreement.

SECTION 12.4      COMPLETE AGREEMENT; INCONSISTENCY; MODIFICATION; WAIVER.

                  This Agreement, the Leases, and the Collateral Agreements set
forth definitely and exhaustively the complete agreement of the parties with
respect to the subject matter hereof. No provision hereof and no right arising
hereunder may be modified or waived by any oral agreement or shall be deemed to
have been modified or waived by any act or failure to act or shall otherwise be
affected or changed, except as and to the extent expressly set forth in a
writing signed by the party to be bound thereby.

SECTION 12.5      HEADINGS.

                  The paragraph headings herein are inserted solely for
convenience of reference and shall not be used to construe, interpret, define,
or limit the provisions hereof.

SECTION 12.6      GOVERNING LAW; CONSENT TO JURISDICTION.

                  This Agreement shall be governed by, and construed in
accordance with, the laws of the State of Tennessee. UASC and UCS hereby (a)
irrevocably consents to the exclusive jurisdiction of the courts of the County
of Davidson in the State of Tennessee or the courts of the United States for the
Middle District of Tennessee in respect of any action or proceeding arising out
of or in connection with this Agreement or for the enforcement of any right
hereunder, (b) waives any objection which it may have at any time to the laying
of venue of any such action or proceeding in any such court, waives any claim
that such action or proceeding has been brought in an inconvenient forum, and
further waives the right to object that such court does not have jurisdiction
over such party, and (c) agrees that process in any such action or proceeding
may be served upon it, and shall be sufficiently served upon it, by mail to its
address set out on the signature pages hereof; without limiting the right of any
person or entity to serve process in any other manner permitted by law.

SECTION 12.7      WAIVER OF RIGHT TO TRIAL BY JURY.

                  Each party hereto hereby waives, absolutely, unconditionally,
irrevocably and forever, any right to trial by jury in any action or proceeding
arising out of or in connection with this Agreement or for the enforcement of
any right hereunder.

SECTION 12.8      CONTINUING AND IRREVOCABLE AGREEMENT; ACCEPTANCE.

                  This Agreement is a continuing and irrevocable agreement
enforceable against each signatory party hereto by Landlord and each other
present and future holder of any Lease Obligation or Lease Claim. Notice of
acceptance hereof by Landlord or any such holder is hereby waived, and reliance
hereon by each of them is hereby unconditionally and conclusively acknowledged.

SECTION 12.9      COUNTERPARTS.

                  This Agreement may be executed in any number of counterparts
and by the parties on one or more counterparts, all of which taken together
shall constitute a single agreement. Delivery of an executed signature page to
this Agreement by facsimile shall be effective as delivery of a manually signed
counterpart.

SECTION 12.10     NOTICES.

                  All notices, requests, demands, and other communications
hereunder shall be in writing and shall be deemed to have been given when
actually delivered, if personally delivered, or when mailed, if mailed by
registered or certified mail, return receipt requested, to the following
addresses or to such other address as either party may subsequently designate in
writing:

                                       16

<PAGE>

                  12.10.1   If to Landlord:

                            Brierbrook Properties, LLC
                            c/o Med Properties Asset Group, L.L.C.
                            Attn:  O.B. McCoin, Chief Manager
                            Suite 250 (Suite)
                            7101 Executive Center Drive (Street)
                            Brentwood, Tn. 37027 (City, State, zip)
                            (615)-376-9995 (phone)
                            (615) 371-0246 (fax)
                            mccoino@hadc.com

                  12.10.2   With a copy given in the manner prescribed above,
                            to:

                            Daniel R. Loftus
                            Suite 1500
                            2525 West End Avenue
                            Nashville, Tn. 37203-1423
                            615-244-0020 (phone)
                            615-256-1726 (fax)
                            dloftus@wyattfirm.com (email)

                  12.10.3   If to UCS:

                            UROLOGY CENTER OF THE SOUTH, P.C.
                            c\o Rusty DeGeorge, Administrator
                            Suite 220
                            1325 Wolf Park Drive
                            Germantown, Tn. 38138
                            Phone: 901-384-8840
                            Fax: 901-384-6422
                            Email: rustydegeorge@aol.com

                  12.10.4   With a copy given in the manner prescribed above,
                            to:

                            Frank S. Carney, Esq.
                            Stokes, Bartholomew, Evans & Petree
                            81 Monroe Avenue, Suite 600
                            Memphis, TN  38103-2402
                            Phone:  901-525-6781
                            Fax:  901-521-6544
                            fcarney@stokesbartholomew.com

                  12.10.5   If to UASC:

                            Urology Ambulatory Surgery Center, L.L.C.
                                                              (c/o)
                            ---------------------------------
                                                              (Suite)
                            ---------------------------------
                                                              (Street)
                            ---------------------------------
                                                              (City, State, zip)
                            ---------------------------------
                                                              (phone)
                            ---------------------------------
                                                              (fax)
                            ----------------------------------
                                                              (email)
                            ----------------------------------

                                       17

<PAGE>

                  12.10.6   With a copy given in the manner prescribed above,
                            to:

                            Frank S. Carney, Esq.
                            Stokes, Bartholomew, Evans & Petree
                            81 Monroe Avenue, Suite 600
                            Memphis, TN  38103-2402
                            Phone:  901-525-6781
                            Fax:  901-521-6544
                            fcarney@stokesbartholomew.com

                            [SIGNATURE PAGE FOLLOWS]

                                       18

<PAGE>

                  IN WITNESS WHEREOF, this Agreement has been duly executed and
delivered as of the day and year first above stated.

LANDLORD:

BRIERBROOK PARTNERS, LLC

a Tennessee limited liability company

By: MED PROPERTIES ASSET GROUP, L.L.C.,

an Indiana limited liability company

Its Managing Member

By:  /s/ O.B. McCoin
   -------------------------------------

Title: Chief Manager
      ----------------------------------

UCS:

UROLOGY CENTER OF THE SOUTH, P.C.

a Tennessee professional corporation

By: /s/ Richard M. Pearson
   -------------------------------------

Title:  President
      ----------------------------------

UASC

UROLOGY AMBULATORY SURGERY CENTER, L.L.C.

a Tennessee limited liability company

By:  /s/ Richard M. Pearson
   --------------------------------------
         Chief Manager
-----------------------------------------
Its Managing Member

By:
   ---------------------------------------

Title:
      ------------------------------------

                                       19

<PAGE>

STATE OF TENNESSEE
COUNTY OF DAVIDSON

         I, the undersigned, a Notary Public in and for said County in said
State, hereby certify that O.B. McCoin, whose name as Chief Manager of Med
Properties Asset Group, L.L.C., an Indiana limited liability company, in its
capacity as Managing Member of Brierbrook Partners, LLC, a Tennessee limited
liability company, is signed to the foregoing instrument, and who is known to
me, acknowledged before me on this day that, being informed of the contents of
said instrument, he, as such Chief Manager and with full authority, executed the
same voluntarily for and as the act of said limited liability company, in its
capacity as Managing Member as aforesaid.

         Given under my hand and official seal, this the 20th day of June, 2001.

                                           /s/                            (SEAL)
                                           -------------------------------
                                           Notary Public

                                           My Commission Expires:
                                                                 ---------

                                      20

<PAGE>

STATE OF TENNESSEE

COUNTY OF SHELBY

         I, the undersigned, a Notary Public in and for said County in said
State, hereby certify that Richard M. Pearson, whose name as President of
Urology Center of the South, P.C., a Tennessee professional corporation, is
signed to the foregoing instrument, and who is known to me, acknowledged before
me on this day that, being informed of the contents of said instrument, he/she,
as such President and with full authority,999 executed the same voluntarily for
and as the act of said professional corporation, in his/her capacity as
President as aforesaid.

         Given under my hand and official seal, this the 26th day of June, 2001.

                                      /s/ Mary Louise Grubbs             (SEAL)
                                      -----------------------------------
                                      Notary Public

                                      My Commission Expires: FEB 26, 2001

                                       21

<PAGE>

STATE OF TENNESSEE

COUNTY OF SHELBY

         I, the undersigned, a Notary Public in and for said County in said
State, hereby certify that Richard M. Pearson whose name as Chief Manager of
Urology Ambulatory Surgery Center, L.L.C., a Tennessee limited liability
company, is signed to the foregoing instrument, and who is known to me,
acknowledged before me on this day that, being informed of the contents of said
instrument, he/she, as such Chief Manager and with full authority, executed the
same voluntarily for and as the act of said limited liability company, in
his/her capacity as Chief Manager as aforesaid.

         Given under my hand and official seal, this the 26th day of June,
2001.

                                /s/ Mary Louise Grubbs
                               ------------------------------------
                                Notary Public

                                       22

<PAGE>

                                    EXHIBIT A
                                    ASC LEASE

                                       A

<PAGE>

                                    SEE ASC
                      AMENDED AND RESTATED LEASE AGREEMENT

<PAGE>

                                    EXHIBIT B
                              CORPORATE SUITE LEASE

                                       B

<PAGE>

                                    SEE UCS
                        CORPORATE OFFICE LEASE AGREEMENT

<PAGE>

                                    EXHIBIT C
                                  CLINIC LEASE

                                      C

<PAGE>

                                    SEE UCS
                             CLINIC LEASE AGREEMENT

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