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                                                                   EXHIBIT 10.11

                                  OFFICE LEASE

STATE OF TENNESSEE:
COUNTY OF WILLIAMSON:

     THIS LEASE (the "Lease"), is made this the 22nd day of November, 1999, by
and between HIGHWOODS/TENNESSEE HOLDINGS, L.P., a Tennessee limited partnership
hereinafter "Landlord" and NETWORK HEALTH SERVICES, INC. d/b/a TOTAL EMED.COM,
INC., a Tennessee corporation hereinafter "Tenant":

                                  WITNESSETH:

     Upon the terms and conditions hereinafter set forth, Landlord leases to
Tenant and Tenant leases from Landlord property referred to as the Premises, all
as follows:

     1. PREMISES. The property hereby leased to Tenant is that area shown on
Exhibit A hereto attached, which consists of approximately 26,084 rentable
square feet (Tenant reserves the right to have space measured), which is located
in what is sometimes called the CoolSprings I Building (the "Building"), located
at 720 Cool Springs Boulevard, Suite 200, The City of Franklin, Williamson
County, State of Tennessee (the "Premises").

     If Landlord and Tenant desire for improvements to be made to the Premises
prior to the Commencement Date such improvements shall be made pursuant to the
workletter attached hereto as Exhibit A-1 (the "Workletter').

     2. TERM. This Lease Term (the "Term") is for 60 months, and shall commence
on April 1, 2000 ("Commencement Date"), and shall expire (unless sooner
terminated or extended as herein provided) at 6:00 p.m. on MARCH 31, 2005
("Expiration Date"). In the event Landlord shall permit Tenant to take
possession of the Premises prior to the Commencement Date referenced above, all
the terms and conditions of this Lease shall apply.

     If Landlord, for any reason whatsoever, cannot deliver possession of the
Premises to Tenant on the Commencement Date, then this Lease shall not be void
or voidable, no obligation of Tenant shall be affected thereby, and neither
Landlord nor Landlord's agents shall be liable to Tenant for any loss or damage
resulting from the delay in delivery of possession; provided, however, that in
such event, the Commencement Date and Expiration Date of this Lease, and all
other dates that may be affected by their change, shall be revised to conform to
the date of Landlord's delivery of possession to Tenant. The above, however, is
subject to the provision that the period permitted for the delay of delivery of
possession of the Premises shall not exceed sixty (60) days after the
Commencement Date set forth in the first sentence of this Section 2 (except that
those delays beyond Landlord's control, including, without limitation, those
encompassed in the meaning of the term "force majeure", or caused by Tenant (the
"Delays") shall be excluded in calculating such period). If Landlord does not
deliver possession to Tenant within such period, then Tenant may terminate this
Lease by written notice to Landlord; provided, that written notice

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shall be ineffective if given after Tenant takes possession of any part of the
Premises, or if given more than one hundred (100) days after the original
Commencement Date plus the time of any Delays. Unless expressly otherwise
provided herein, Rent (as hereinafter defined) shall commence on the earlier of:
(i) the Commencement Date; (ii) occupancy of the Premises by Tenant; (iii) the
date Landlord has the Premises ready for occupancy by Tenant, as such date is
adjusted under the Workletter, if any, attached hereto; or (iv) the date
Landlord could have had the Premises ready had there been no Delays attributable
to Tenant. Unless the context otherwise so requires, the term "Rent" as used
herein includes both Base Rent and Additional Rent as set forth in Section 4.

     If the Expiration Date, as determined herein, does not occur on the last
day of a calendar month, then Landlord, at its option, may extend the Term by
the number of days necessary to cause the Expiration Date to occur on the last
day of the last calendar month of the Term. Tenant shall pay Base Rent and
Additional Rent for such additional days at the same rate payable for the
portion of the last calendar month immediately preceding such extension. The
Commencement Date, Term (including any extension by Landlord pursuant to this
Section 2) and Expiration Date may be set forth in a commencement letter (the
"Commencement Letter") prepared by Landlord and executed by Tenant.

     3. USE. The Premises may be used only for general office purposes in
connection with Tenant's present business, which is currently medical
information management services, and be occupied by no more than one hundred
thirty (130) persons (the "Permitted Use"), but for no other use without
Landlord's prior written consent which shall not be unreasonably withheld.
Tenant shall never make any use of the Premises which is in violation of any
governmental laws, rules or regulations, whether now existing or hereafter
enacted. or which is in violation of the general rules and regulations for
tenants (a copy of the present rules are attached as Exhibit B) as may be
developed or modified from time to time by Landlord effective as of the date
delivered to Tenant or posted on the Premises providing such rules are uniformly
applicable to all tenants in the Building (the "Rules and Regulations"), nor may
Tenant make any use of the Premises not permitted, or otherwise prohibited, by
any restrictive covenants which apply to the Premises. Tenant may not make any
use that is or may be a nuisance or trespass, which increases any insurance
premiums, or makes such insurance unavailable to Landlord on the Building. In
the event of an increase in any of Landlord's insurance premiums which results
from Tenant's use or occupancy of the Premises, if Tenant does not pay Landlord,
on demand, the amount of such increase, Landlord may treat such use as a default
hereunder.

     4. RENT. As used herein, the term "Rent" shall mean Base Rent (as
hereinafter defined) plus Additional Rent (as hereinafter defined). Tenant shall
pay to Landlord Rent, on or before the first day of each calendar month during
the Term, without previous demand or notice therefor by Landlord and without set
off or deduction; provided, however, if the Term commences on a day other than
the first day of a calendar month, then Rent for such month shall be (i)
prorated for the period between the Commencement Date and the last day of the
month in which the Commencement Date falls, and (ii) due and payable on the
Commencement Date. Notwithstanding anything contained herein to the contrary,
Tenant's obligation to pay Rent under this Lease is completely separate and
independent from any of Landlord's obligations under this Lease. For each
monthly Rent payment Landlord receives after the tenth (10'x) day of the month,
Landlord shall be entitled to all remedies provided under Sections 13 and 14
below, and a late

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charge in the amount of five percent (5%) of all Rent due for such month. If
Landlord presents Tenant's check to any bank and Tenant has insufficient funds
to pay for such check, then Landlord shall be entitled to all remedies provided
under Sections 13 and 14 below and a lawful bad check fee or five percent (5%)
of the amount of such check, whichever amount is less.

     4.1 BASE RENT. As used herein, "Base Rent" shall refer to the following
schedule.

<TABLE>
<CAPTION>
 FROM    THROUGH   RATE/SF     MONTHLY      ANNUALLY
 ----    -------   -------   ----------   -----------
<S>      <C>       <C>       <C>          <C>
4/1/00   3/31/01    $18.50   $40,212.83   $482,553.96
4/1/01   3/31/02    $18.50   $40,212.83   $482,553.96
4/1/02   3/31/03    $19.25   $41,843.08   $502,116.96
4/1/03   3/31/04    $19.63   $42,669.08   $512,028.96
4/1/04   3/31/05    $20.02   $43,516.81   $522,201.72
</TABLE>

     4.2 ADDITIONAL RENT. As used in this Lease, the term "Additional Rent"
shall mean all sums and charges, excluding Base Rent, due and payable by Tenant
under this Lease, including, but not limited to, the following:

     (a) sales or use tax imposed on rents collected by Landlord or any tax on
rents in lieu of ad valorem taxes on the Building, even though laws imposing
such taxes attempt to require Landlord to pay the same.

     (b) Tenant's Proportionate Share (as hereinafter defined) of the increase
in Landlord's Operating Expenses (as hereinafter defined) as set forth in the
attached Addendum.

     5. SERVICES BY LANDLORD. Provided that Tenant is not then in default,
Landlord shall cause to be furnished to the Building, or as applicable, the
Premises, in common with other tenants, during business hours of 7:00 A.M. to
6:00 P.M. Monday through Friday and 8:00 A.M. to 12:00 P.M. on Saturday
(excluding National and State holidays), the following services; janitorial
services (five (5) days a week after normal working hours), water (if available
from city mains) for drinking, lavatory and toilet purposes, operatorless
elevator service and heating and air conditioning for the reasonably comfortable
use and occupancy of the Premises, provided heating and cooling conforming to
any governmental regulation prescribing limitations thereon shall be deemed to
comply with this service. Landlord shall furnish the Premises with electricity
for the maintenance of building standard fluorescent lighting composed of 2' x
4' fixtures. Incandescent fixtures, table lamps, all lighting other than the
aforesaid building standard fluorescent light, dimmers and all lighting controls
other than controls for the aforesaid building standard fluorescent lighting
shall be serviced, replaced and maintained at Tenant's expense. Landlord shall
also furnish the Premises with electricity for lighting for the aforesaid
building standard fluorescent lighting and for the operation of general office
machines, such as electric typewriters, desk top computers, word processing
equipment, dictating equipment, adding machines and calculators, and general
service non-production type office copy machines. Landlord shall have the right
to enter and inspect the Premises and all electrical devices therein

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from time to time, provided that Landlord shall have no obligation to provide
more than five (5) watts per usable square foot of electricity serving the
Premises. Landlord must give Tenant reasonable notice before making such
inspection, and Landlord shall conduct such inspection in a manner and at a time
which shall not create a disruption to Tenant's business. Landlord reserves the
right to separately meter the Premises should Tenants use of electricity be
deemed excessive. After hours heating and air conditioning is available at a
charge of $30.00 per hour, per zone, with a minimum of one (1) hour per
occurrence. All additional costs resulting from Tenant's extraordinary usage of
heating, air conditioning or electricity shall be paid by Tenant upon demand as
Additional Rent for each month or portion thereof, and Tenant shall not install
equipment with unusual demands for any of the foregoing without Landlord's prior
written consent, which Landlord may withhold if it determines that in its
opinion such equipment may not be safely used in the Premises or that electrical
service is not adequate therefor. If heat generating machines or equipment or
other intensive activities shall be used or carried on in the Premises by Tenant
which affect the temperature otherwise maintained by the heating and air
conditioning system, Landlord shall have the right to install supplemental air
conditioning units in the Premises and the cost thereof, including the cost of
engineering and installation, and the cost of operation and maintenance thereof,
shall be paid by Tenant upon demand by Landlord. Landlord shall further provide
a reasonable pro rata amount of unreserved free parking, in common with the
other tenants, for Tenant's employees and visitors. There shall be no abatement
or reduction of Rent by reason of any of the foregoing services not being
continuously provided to Tenant.

     Tenant shall report to Landlord immediately any defective condition in or
about the Premises reasonably known to Tenant and if such defect is not so
reported and such failure to promptly report results in other damage, Tenant
shall be liable for same. Landlord shall not be liable to Tenant for any damage
caused to Tenant and its property due to the Building or any part or
appurtenance thereof being improperly constructed or being or becoming out of
repair, or arising from the leaking of gas, water, sewer or steam pipes, or from
problems with electrical service unless such damage arises from the willful
acts, omissions, or gross negligence of Landlord or its contractors.

     6. TENANT'S ACCEPTANCE AND MAINTENANCE OF PREMISES; LANDLORD'S DUTIES AND
RIGHTS. Subject to the terms of the attached Workletter, if any, Tenant's
occupancy of the Premises is Tenant's representation to Landlord that Tenant has
examined and inspected the same, finds the Premises to be as represented by
Landlord and satisfactory for Tenant's intended use, and constitutes Tenant's
acceptance "as is" with the exception of latent defects which may not be
reasonably known to Tenant at the time. Landlord makes no representation or
warranty as to the condition of said Premises. During Tenant's move-in, a
representative of Tenant must be on-site with Tenant's moving company to insure
proper treatment of the Building and the Premises. Elevators in multi-story
office buildings must remain in use for the general public during business hours
as defined herein in Section 5. Any specialized use of elevators must be
coordinated with Landlord's property manager. Tenant must properly dispose of
all packing material and refuse in accordance with the Rules and Regulations.
Any damage or destruction to the Building or the Premises due to moving will be
the sole responsibility of Tenant. Tenant shall deliver at the end of this Lease
each and every part of the Premises in good repair and condition, ordinary wear
and tear and damage by insured casualty excepted. The delivery of a key or other
such tender of possession of the Premises to

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Landlord or to an employee of Landlord shall not operate as a termination of
this Lease or a surrender of the Premises except upon written notice by
Landlord. Tenant shall: (i) keep the Premises and fixtures in good order; (ii)
make repairs and replacements to the Premises or Building needed because of
Tenant's misuse or primary negligence; (iii) repair and replace special
equipment or decorative treatments installed by or at Tenant's request and that
serve the Premises only, except if this Lease is ended because of casualty loss
or condemnation; and (iv) not commit waste. Tenant, however, shall make no
structural or interior alterations of the Premises. If Tenant requires
alterations, Tenant shall provide Landlord's managing agent with a complete set
of construction drawings, and such agent shall then determine the actual cost of
the work to be done (to include a construction supervision fee of five percent
(5%) to be paid to Landlord's managing agent). Tenant may then either agree to
pay Landlord to have the work done or withdraw its request for alterations. On
termination of this Lease or vacation of the Premises by Tenant, Tenant shall
restore the Premises, at Tenant's sole expense, to the same condition as existed
at the Commencement Date, ordinary wear and tear and damage by insured casualty
only excepted. Landlord, however, may elect to require Tenant to leave
alterations performed for Tenant unless at the time of such alterations Landlord
agreed in writing such alterations could be removed on the Expiration Date, upon
the termination of this Lease or upon Tenant's vacation of the Premises.

     Tenant shall keep the Premises and the Building free from any liens arising
out of any work performed, materials furnished, or obligations incurred by or on
behalf of Tenant. Should any claim of lien or other lien be filed against the
Premises or the Building by reason of any act or omission of Tenant or any of
Tenant's agents, employees, contractors or representatives, then Tenant shall
cause the same to-,be canceled and discharged of record by bond or otherwise
within ten (10) days after the filing thereof. Should Tenant fail to discharge
such lien within such ten (10) day period, then Landlord may discharge the same,
in which event Tenant shall reimburse Landlord, on demand, as Additional Rent,
for the amount of the lien or the amount of the bond, if greater, plus all
administrative costs incurred by Landlord in connection therewith. The remedies
provided herein shall be in addition to all other remedies available to Landlord
under this Lease or otherwise. Tenant shall have no power to do any act or make
any contract that may create or be the foundation of any lien, mortgage or other
encumbrance upon the reversionary or other estate of Landlord, or any interest
of Landlord in the Premises. NO CONSTRUCTION LIENS OR OTHER LIENS FOR ANY LABOR,
SERVICES OR MATERIALS FURNISHED TO THE PREMISES SHALL ATTACH TO OR AFFECT THE
INTEREST OF LANDLORD IN AND TO THE PREMISES OR THE BUILDING.

     Notwithstanding anything to the contrary set forth above in this Section 6,
if Tenant does not perform its maintenance obligations in a timely manner as set
forth in this Lease, commencing or diligently attempting to commence the same
within ten (10) days after receipt of notice from Landlord specifying the work
needed and thereafter diligently and continuously pursuing completion of
unfulfilled maintenance obligations, then Landlord shall have the right, but not
the obligation, to perform such maintenance, and any amounts so expended by
Landlord shall be paid by Tenant to Landlord within thirty (30) days after
demand, with interest at the maximum rate allowed by law (or the rate of fifteen
percent (15%) per annum, whichever is less) accruing from the date of
expenditure through the date paid.

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     Except for repairs and replacements that Tenant must make under this
Section 6, Landlord shall pay for and make all other repairs and replacements to
the Premises, common areas and Building (including Building fixtures and
equipment). This maintenance shall include the roof, foundation, exterior walls,
interior structural walls, all structural components, and all exterior (outside
of walls) systems, such as mechanical, electrical, HVAC, and plumbing. Repairs
or replacements required under Section 6 shall be made within a reasonable time
(depending on the nature of the repair or replacement needed) after receiving
notice from Tenant or Landlord having actual knowledge of the need for a repair
or replacement.

     7. DAMAGES TO PREMISES. If the Premises shall be partially damaged by fire
or other casualty insured under Landlord's insurance policies, and if Landlord's
lender(s) shall permit insurance proceeds paid as a result thereof to be so
used, then upon receipt of the insurance proceeds, Landlord shall, except as
otherwise provided herein, promptly repair and restore the Premises (exclusive
of improvements made by Tenant, Tenant's trade fixtures, decorations, signs, and
contents) substantially to the condition thereof immediately prior to such
damage or destruction; limited, however, to the extent of the insurance proceeds
received by Landlord. If by reason of such occurrence: (i) the Premises is
rendered wholly untenantable; (ii) the Premises is damaged in whole or in part
as a result of a risk which is not covered by Landlord's insurance policies;
(iii) Landlord's lender does not permit a sufficient amount of the insurance
proceeds to be used for restoration purposes; (iv) the Premises is damaged in
whole or in part during the last two years of the Term; or (v) the Building
containing the Premises is damaged (whether or not the Premises is damaged) to
an extent of fifty percent (50%) or more of the fair market value thereof, then
Landlord may elect either to repair the damage as aforesaid, or to cancel this
Lease by written notice of cancellation given to Tenant within sixty (60) days
after the date of such occurrence, and thereupon this Lease shall terminate.
Tenant shall vacate and surrender the Premises to Landlord within thirty (30)
days after receipt of such notice of termination. In addition, Tenant may also
terminate this Lease by written notice given to Landlord at any time between the
one hundred twenty-first (121st) and one hundred thirty-sixth (136th) days after
the occurrence of any such casualty, if Landlord has failed to restore the
damaged portions of the Building (including the Premises) within one hundred
twenty (120) days of such casualty. However, if Landlord is prevented by Delays
as defined in Section 2, from completing the restoration within said one hundred
twenty (120) day period, and if Landlord provides Tenant with written notice of
the cause for the Delays within fifteen (15) days after the occurrence thereof,
such notice to contain the reason for the Delays and a good faith estimate of
the period of the Delays caused thereby, then. Landlord shall have an additional
period beyond said one hundred twenty (120) days, equal to the Delays in which
to restore the damaged areas of the Building; and Tenant may not elect to
terminate this Lease until said additional period required for completion has
expired with the Building not having been substantially restored. In such case,
Tenant's fifteen (15) day notice of termination period shall begin to run upon
the expiration of Landlord's additional period for restoration set forth in the
preceding sentence. Upon the termination of this Lease as aforesaid, Tenant's
liability for the Rent and other charges reserved hereunder shall cease as of
the effective date of the termination of this Lease, subject, however, to the
provisions for abatement of Rent hereinafter set forth.

     Notwithstanding the foregoing, Landlord shall use commercially reasonable
efforts to provide Tenant temporary space which is reasonably acceptable to
Tenant during the time period in which the damage to the Building (including the
Premises) is being repaired.

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     Unless this Lease is terminated as aforesaid, this Lease shall remain in
full force and effect, and Tenant shall promptly repair, restore, or replace
Tenant's improvements, trade fixtures, decorations, signs, and contents in the
Premises in a manner and to at least a condition equal to that existing prior to
their damage or destruction, and the proceeds of all insurance carried by Tenant
on said property shall be held in trust by Tenant for the purposes of such
repair, restoration, or replacement.

     If, by reason of such fire or other casualty, the Premises is rendered
wholly untenantable, then the Rent payable by Tenant shall be fully abated, or
if only partially damaged, such Rent and other charges shall be abated
proportionately as to that portion of the Premises rendered untenantable, in
either event (unless the Lease is terminated, as aforesaid) from the date of
such casualty until the Premises have been substantially repaired and restored,
or until Tenant's business operations are restored in the entire Premises,
whichever shall first occur. Tenant shall continue the operation of Tenant's
business in the Premises or any part thereof not so damaged during any such
period to the extent reasonably practicable from the standpoint of prudent
business management. However, if such damages or other casualty shall be caused
by the negligence or other wrongful conduct of Tenant or of Tenant's subtenants,
licensees, contractors, or invitees, or their respective agents or employees,
there shall be no abatement of Rent. Except for the abatement of the Rent
hereinabove set forth, Tenant shall not be entitled to, and hereby waives, all
claims against Landlord for any compensation or damage for loss of use of the
whole or any part of the Premises and/or for any inconvenience or annoyance
occasioned by any such damage, destruction, repair, or restoration.

     8. ASSIGNMENT -SUBLEASE. Tenant may not assign or encumber this Lease or
its interest in the Premises arising under this Lease, and may not sublet any
part or all of the Premises without first obtaining the written consent of
Landlord first had and obtained, which consent may be withheld in Landlord's
sole discretion. Any assignment or sublease to which Landlord may consent (one
consent not being any basis that Landlord should grant any further consent)
shall not relieve Tenant of any or all of its obligations hereunder. For the
purpose of this Section 8, the word "assignment" shall be defined and deemed to
include the following: (i) if Tenant consists of more than one person, an
assignment, whether voluntary, involuntary, or by operation of law, by one
person to one of the other persons that is a Tenant; (ii) if Tenant is a
corporation, any dissolution or reorganization of Tenant, or the sale or other
transfer of a controlling percentage (hereafter defined) of capital stock of
Tenant other than to an affiliate or subsidiary or the sale of fifty-one percent
(51%) in value of the assets of Tenant; (iii) if Tenant is a limited liability
company, the change of members whose interest in the company is fifty percent
(50%) or more. The phrase "controlling percentage" means the ownership of, and
the right to vote, stock possessing at least fifty-one percent (51%) of the
total combined voting power of all classes of Tenant's capital stock issued,
outstanding and entitled to vote for the election of directors, or such lesser
percentage as is required to provide actual control over the affairs of the
corporation. Acceptance of Rent by Landlord after any non-permitted assignment
shall not constitute approval thereof. by Landlord. Notwithstanding the
foregoing provisions of this Section 8, Tenant may assign or sublease part or
all of the Premises without Landlord's consent to: (i) any corporation or
partnership that controls, is controlled by, or is under common control with,
Tenant; or (ii) any corporation resulting from the merger or consolidation with
Tenant or to any entity that acquires all of Tenant's assets as a going concern
of the business that is being conducted on the Premises, as long as the assignee
or sublessee is a bona fide entity and

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assumes the obligations of Tenant, and continues the same Permitted Use as
provided under Section 3. However, Landlord must be given prior written notice
of any such assignment or subletting, and failure to do so shall be a default
hereunder. Landlord will never consent to an assignment or sublease that might
result in a use that conflicts with the rights of an existing tenant under its
lease.

     In no event shall this Lease be assignable by operation of any law, and
Tenant's rights hereunder may not become, and shall not be listed by Tenant as
an asset under any bankruptcy, insolvency or reorganization proceedings. Tenant
is not, may not become, and shall never represent itself to be an agent of
Landlord, and Tenant acknowledges that Landlord's title is paramount, and that
it can do nothing to affect or impair Landlord's title.

     If Landlord consents to any assignment or subletting, Tenant shall pay all
reasonable out-of-pocket costs and expenses incurred by Landlord in connection
with the assignment or sublease transaction, including Landlord's reasonable
attorneys' fees.

     If this Lease shall be assigned or the Premises or any portion thereof
sublet by Tenant at a rental that exceeds the rentals to be paid to Landlord
hereunder, attributable to the Premises or portion thereof so assigned or
sublet, then fifty percent (50%) of any such excess shall be paid over to
Landlord by Tenant. If Landlord assists Tenant in finding a permissible
subtenant, Landlord shall be paid a fee for such assistance in addition to a fee
in an amount necessary to cover the subtenant's improvements to the Premises or
any portion thereof so assigned or sublet.

     9. TENANT'S COMPLIANCE; INSURANCE REQUIREMENTS. Tenant shall comply with
all applicable laws, ordinances and regulations affecting the Premises, now
existing or hereafter adopted, including the Rules and Regulations.

     Throughout the Term, Tenant, at its sole cost and expense, shall keep or
cause to be kept for the mutual benefit of Landlord, Landlord's managing agent,
(presently HighwoodslForsyth Limited Partnership and its affiliates) and Tenant,
Commercial General Liability Insurance (1986 ISO Form or its equivalent) with a
combined single limit, each Occurrence and General Aggregate-per location of at
least TWO MILLION DOLLARS ($2,000,000), which policy shall insure against
liability of Tenant, arising out of and in connection with Tenant's use of the
Premises, and which shall insure the indemnity provisions contained herein. Not
more frequently than once every three (3) years, Landlord may require the limits
to be increased if In its reasonable judgment (or that of its mortgagee) the
coverage is insufficient. Tenant shall also carry the equivalent of ISO Special
Form Property Insurance on its personal property and fixtures located in the
Premises and any improvements made by Tenant for their full replacement value
and with coinsurance waived, and Tenant shall neither have, nor make, any claim
against Landlord for any loss or damage to the same, regardless of the cause
thereof.

     Prior to taking possession of the Premises, and annually thereafter, Tenant
shall deliver to Landlord certificates or other evidence of insurance
satisfactory to Landlord. All such policies shall be non-assessable and shall
contain language to the extent obtainable that: (i) any loss shall be payable
notwithstanding any act or negligence of Landlord or Tenant that might otherwise
result in forfeiture of the insurance, (ii) that the policies are primary and
non-contributing with any insurance that Landlord may carry, and (iii) that the
policies cannot be canceled, non-

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renewed, or coverage reduced except after thirty (30) days' prior written notice
to Landlord. If Tenant fails to provide Landlord with such certificates or other
evidence of insurance coverage, Landlord may obtain such coverage and Tenant
shall reimburse the cost thereof on demand.

     Anything in this Lease to the contrary notwithstanding, Landlord hereby
releases and waives unto Tenant (including all partners, stockholders, officers,
directors, employees and agents thereof), its successors and assigns, and Tenant
hereby releases and waives unto Landlord (including all partners, stockholders,
officers, directors, employees and agents thereof), its successors and assigns,
all rights to claim damages for any injury, loss, cost or damage to persons or
to the Premises or any other casualty, as long as the amount of which injury,
loss, cost or damage has been paid either to Landlord, Tenant, or any other
person, firm or corporation, under the terms of any Property, General Liability,
or other policy of insurance, to the extent such releases or waivers are
permitted under applicable law. As respects all policies of insurance carried or
maintained pursuant to this Lease and to the extent permitted under such
policies, Tenant and Landlord each waive the insurance carriers' rights of
subrogation. Subject to the foregoing, Tenant shall indemnify and hold Landlord
harmless from and against any and all claims arising out of (i) Tenant's use of
the Premises or any part thereof, (ii) any activity, work, or other thing done,
permitted or suffered by Tenant in or about the Premises or the Building, or any
part thereof, (iii) any breach or default by Tenant in the performance of any of
its obligations under this Lease, or (iv) any act or negligence of Tenant, or
any officer, agent, employee, contractor, servant, invitee or guest of Tenant;
and in each case from and against any and all damages, losses, liabilities,
lawsuits, costs and expenses (including attorneys' fees at all tribunal levels)
arising in connection with any such claim or claims as described in (1) through
(iv) above, or any action brought thereon.

     If such action is brought against Landlord, Tenant upon notice from
Landlord shall defend the same through counsel selected by Tenant's insurer, or
other counsel acceptable to Landlord. Tenant assumes all risk of damage or loss
to its property or injury or death to

     persons in, on, or about the Premises, from all causes except those
resulting from any act of gross negligence by Landlord, or for which the law
imposes liability on Landlord regardless of any attempted waiver thereof, and
Tenant hereby waives such claims in respect thereof against Landlord. The
provisions of this paragraph shall survive the termination of this Lease.

     Landlord shall keep the Building, including the improvements, insured
against damage and destruction by perils insured by the equivalent of ISO
Special Form Property Insurance in the amount of the full replacement value of
the Building.

     Each party shall keep its personal property and trade fixtures in the
Premises and Building insured with the equivalent of ISO Special Form Property
Insurance in the amount of the full replacement cost of the property and
fixtures. Tenant shall also keep any non-standard improvements made to the
Premises at Tenant's request insured to the same degree as Tenant's personal
property.

     Tenant's insurance policies required by this Lease shall: (I) be issued by
insurance companies licensed to do business in the state in which the Premises
are located with a general policyholder's ratings of at least A- and a financial
rating of at least VI in the most current Best's

                                       9

<PAGE>

Insurance Reports available on the Commencement Date, or if the Best's ratings
are changed or discontinued, the parties shall agree to a comparable method of
rating insurance companies; (ii) name the non-procuring party as an additional
insured as its interest may appear [other landlords or tenants may be added as
additional insureds in a blanket policy]; (iii) provide that the insurance not
be canceled, non-renewed or coverage materially reduced unless thirty (30) days
advance notice is given to the non-procuring party; (iv) be primary policies;
(v) provide that any loss shall be payable notwithstanding any gross negligence
of Landlord or Tenant which might result in a forfeiture thereunder of such
insurance or the amount of proceeds payable; (vi) have no deductible exceeding
TEN THOUSAND DOLLARS ($10,000), unless accepted in writing by Landlord; and
(vii) be maintained during the entire Term and any extension terms.

     10. SUBORDINATION-ATTORNMENT-LANDLORD FINANCING. Tenant agrees that this
Lease will be either subordinate or superior to any mortgage heretofore or
hereafter executed by Landlord covering the Premises, depending on the
requirements of such mortgagee. Tenant, within ten (10) days after request to do
so from Landlord or its mortgagee, will execute such agreement making this Lease
superior or subordinate and containing such other agreements and covenants on
Tenant's part as Landlord's mortgagee may request, and will agree to attorn to
said mortgagee provided the mortgagee agrees not to disturb Tenant's possession
hereunder so long as Tenant is in compliance with this Lease. Further, Tenant
and Landlord, respectively, agree to execute within five (5) days after request
therefor, and as often as requested, estoppel certificates confirming any
factual matter requested therein which is true and is within Tenant's or
Landlord's knowledge regarding this Lease, the Premises, or Tenant's use
thereof, including, but not limited to date of occupancy, Expiration Date, the
amount of Rent due and date to which Rent is paid, whether or not Tenant has any
defense or offsets to the enforcement of this Lease or the Rent payable
hereunder or knowledge of any default or breach by Landlord, and that this Lease
together with any modifications or amendments is in full force and effect.
Tenant and Landlord shall attach to such estoppel certificate copies of all
modifications or amendments.

     Tenant agrees to give any mortgagee of Landlord which has provided a
non-disturbance agreement to Tenant, notice of, and a reasonable opportunity
(which shall in no event be less than thirty (30) days after written notice
thereof is delivered to mortgagee as herein provided) to cure, any Landlord
default hereunder; and Tenant agrees to accept such cure if effected by such
mortgagee. No termination of this Lease by Tenant shall be effective until such
notice has been given and the curd period has expired without the default having
been cured. Further, Tenant agrees to permit such mortgagee (or other purchaser
at any foreclosure sale), and its successors and assigns, on acquiring
Landlord's interest in the Premises and the Lease, to become substitute Landlord
hereunder, with liability only for such Landlord obligations as accrue after
Landlord's interest is so acquired. Tenant agrees to attorn to any successor
Landlord.

     11. SIGNS. Tenant may not erect, install or display any sign or advertising
material upon the Building exterior, the exterior of the Premises (including any
exterior doors), or the exterior walls thereof, or in any window therein,
without the prior written consent of Landlord which shall not be unreasonably
withheld. Tenant shall have the right to such building standard signage which
cost shall be deducted from Tenant's Allowance (as hereinafter defined in
Exhibit A-1).

                                       10

<PAGE>

     12. ACCESS TO PREMISES. Landlord shall have the right, at all reasonable
times and with prior notice to Tenant (except in the case of an emergency),
either itself or through its authorized agents, to enter the Premises (i) to
make repairs, alterations or changes as Landlord deems necessary, (ii) to
inspect the Premises, and (iii) to show the Premises to prospective mortgagees
and purchasers. Landlord shall have the right, either itself or through its
authorized agents, to enter the Premises at all reasonable times for inspection
to show prospective tenants if within one hundred eighty (180) days prior to the
Expiration Date as extended by any exercised option. Tenant, its agents,
employees, invitees, and guests, shall have the right of ingress and egress to
common and public areas of the Building, provided Landlord by reasonable
regulation may control such access for the comfort, convenience, safety and
protection of all tenants in the Building, or as needed for making repairs and
alterations. Tenant shall be responsible for providing access to the Premises to
its agents, employees, invitees and guests after hours, but in no event shall
Tenant's use of and access to the Premises after hours compromise the security
of the Building. Landlord shall have the right to enter the Premises at any
time, with or without notice to Tenant, in the event of an emergency. Upon any
event of entry to the Premises, Landlord shall use all reasonable efforts not to
disrupt or interfere with Tenant's ability to conduct its normal business
operations.

     13. DEFAULT. If Tenant: (i) fails to pay when due any Rent, or any other
sum of money which Tenant is obligated to pay, as provided in this Lease; or
(ii) breaches any other agreement, covenant or obligation herein set forth and
such breach shall continue and not be remedied within fifteen (15) days after
Landlord shall have given Tenant written notice specifying the breach, or if
such breach cannot, with due diligence, be cured within said period of fifteen
(15) days and Tenant does not within said fifteen (15) day period commence and
thereafter with reasonable diligence completely cure the breach within thirty
(30) days after notice; or (iii) files (or has filed against it and not stayed
or vacated within sixty (60) days after filing) any petition or action for
relief under any creditor's law (including bankruptcy, reorganization, or
similar action), either in state or federal court; or (iv) makes any transfer in
fraud of creditors as defined in Section 548 of the United States Bankruptcy
Code (11 U.S.C. 548, as amended, or replaced), has a receiver appointed for its
assets (and appointment shall not have been stayed or vacated within thirty (30)
days), or makes an assignment for benefit of creditors; then Tenant shall be in
default hereunder, and, in addition to any other lawful right or remedy which it
may have, Landlord at its option may do the following: (i) terminate this Lease;
(ii) repossess the Premises, and with or without terminating, relet the same at
such amount as Landlord deems reasonable; and if the amount for which the
Premises is relet is less than Tenant's Rent and all other obligations of Tenant
to Landlord hereunder, then Tenant shall immediately pay the difference on
demand to Landlord, but if in excess of Tenant's Rent, and all other obligations
of Tenant hereunder, the entire amount obtained from such reletting shall belong
to Landlord, free of any claim of Tenant thereto; (iii) seize and hold any
personal property of Tenant located in the Premises and assert against the same
a lien for monies due Landlord; or (iv) without obtaining any court
authorization, lock the Premises and deny Tenant access thereto. All reasonable
expenses of Landlord in repairing, restoring, or altering the Premises for
reletting as general office space, together with leasing fees and all other
expenses in seeking and obtaining a new Tenant, shall be charged to and be 'a
liability of Tenant. Landlord's reasonable attorneys' fees in pursuing any of
the foregoing remedies, or in collecting any Rent due by Tenant hereunder, shall
be paid by Tenant.

                                       11

<PAGE>

     All rights and remedies of Landlord are cumulative, and the exercise of any
one shall not be an election excluding Landlord at any other time from exercise
of a different or inconsistent remedy. No exercise by Landlord of any right or
remedy granted herein shall constitute or effect a termination of this Lease
unless Landlord shall so elect by written notice delivered to Tenant.

     The failure of Landlord to exercise its rights in connection with this
Lease or any breach or violation of any term, or any subsequent breach of the
same or any other term, covenant or condition herein contained shall not be a
waiver of such term, covenant or condition or any subsequent breach of the same
or any other covenant or condition herein contained.

     No acceptance by Landlord of a lesser sum than the Base Rent,
administrative charges, Additional Rent and other sums then due shall be deemed
to be other than on account of the earliest installment of such payments due,
nor shall any endorsement or statement on any check or any letter accompanying
any check or payment be deemed as accord and satisfaction, and Landlord may
accept such check or payment without prejudice to Landlord's right to recover
the balance of such installment or pursue any other remedy provided in this
Lease.

     In addition, no payments of money by Tenant to Landlord after the
expiration or termination of this Lease after the giving of any notice by
Landlord to Tenant shall reinstate or extend the Term, or make ineffective any
notice given to Tenant prior to the payment of such money. After the service of
notice or the commencement of a suit, or after final judgment granting Landlord
possession of the Premises, Landlord may receive and collect any sums due under
this Lease, and the payment thereof shall not make ineffective any notice or in
any manner affect any pending suit or any judgment previously obtained.

     Tenant further agrees that Landlord may obtain an order for summary
ejectment from any court of competent jurisdiction without prejudice to
Landlord's rights to otherwise collect rents from Tenant.

     14. MULTIPLE DEFAULTS.

     (a) Tenant acknowledges that any rights or options of first refusal, or to
extend the Term, to expand the size of the Premises, to purchase the Premises or
the Building, or other such or similar rights or options which have been granted
to Tenant under this Lease are conditioned upon the prompt and diligent
performance of the terms of this Lease by Tenant. Accordingly, should Tenant
default under this Lease on two (2) or more occasions during any twelve (12)
month period, in addition to all other remedies available to Landlord, all such
rights and options shall automatically, and without further action on the part
of any party, expire and be deemed canceled and of no further force and effect.

     (b) Should Tenant default in the payment of Base Rent, Additional Rent, or
any other sums payable by Tenant under this Lease on two (2) or more occasions
during any twelve (12) month period, regardless of whether any such default is
cured, then, in addition to all other remedies otherwise available to Landlord,
Tenant shall, within ten (10) days after demand by Landlord, post a security
deposit in, or increase the existing Security Deposit by, a sum equal to three
(3) months' installments of Base Rent. Any security deposit posted pursuant to
the foregoing sentence shall be governed by Section 20 below.

                                       12

<PAGE>

     (c) Should Tenant default under this Lease on two (2) or more occasions
during any twelve (12) month period, in addition to all other remedies available
to Landlord, any notice requirements or cure periods otherwise set forth in this
Lease with respect to a default by Tenant shall not apply.

     15. PROPERTY OF TENANT. Tenant shall pay, timely, any and all taxes levied
or assessed against or upon Tenant's equipment, fixtures, furniture, leasehold
improvements and personal property located in the Premises. Provided Tenant is
not In default hereunder, Tenant may, prior to the Expiration Date, remove all
fixtures and equipment which it has placed in the Premises; provided, however,
Tenant repairs all damages caused by such removal. If Tenant does not remove its
property from the Premises upon termination (for whatever cause) of this Lease,
such property shall be deemed abandoned by Tenant, and Landlord may dispose of
the same in whatever manner Landlord may elect without any liability to Tenant.

     16. BANKRUPTCY. Landlord and Tenant understand that, notwithstanding
certain provisions to the contrary contained herein, a trustee or debtor in
possession under the United States Bankruptcy Code, as amended, (the "Code") may
have certain rights to assume or assign this Lease. Landlord and Tenant further
understand that, in any event, pursuant to the Code, Landlord is entitled to
adequate assurances of future performance of the provisions of this Lease. The
parties agree that, with respect to any such assumption or assignment, the term
"adequate assurance" shall include at least the following:

     (a) In order to assure Landlord that the proposed assignee will have the
resources with which to pay all Rent payable pursuant to the provisions of this
Lease, any proposed assignee must have, as demonstrated to Landlord's
satisfaction, a net worth (as defined in accordance with generally accepted
accounting principles consistently applied) of not less than the net worth of
Tenant on the Effective Date (as hereinafter defined), increased by seven
percent (7%), compounded annually, for each year from the Effective Date through
the date of the proposed assignment. It is understood and agreed that the
financial condition and resources of Tenant were a material inducement to
Landlord in entering into this Lease.

     (b) Any proposed- assignee must have been engaged in the conduct of
business for the five (5) years prior to any such proposed assignment, which
business does not violate the Permitted Use allowed under Section 3 above and
such proposed assignee shall continue to engage in the Permitted Use. It is
understood that Landlord's asset will be substantially impaired if the trustee
in bankruptcy or any assignee of this Lease makes any use of the Premises other
than the Permitted Use.

     (c) Any proposed assignee of this Lease must assume and agree to be
personally bound by the provisions of this Lease.

     17. EMINENT DOMAIN. If all of the Premises, or such part thereof as will
make the same unusable for the purposes contemplated by this Lease, be taken
under the power of eminent domain (or a conveyance in lieu thereof), then this
Lease shall terminate as of the date possession is taken by the condemnor, and
Rent shall be adjusted between Landlord and Tenant as of such date. If only a
portion of the Premises is taken and Tenant can continue use of the remainder,
then this Lease will not terminate, but Rent shall abate in a just and
proportionate

                                       13

<PAGE>

amount to the loss of use occasioned by the taking. Landlord shall be entitled
to receive and retain the entire award for the affected portion of the Building.
Tenant shall have no right or claim to advance any claim against Landlord for
any part of any award made to or received by Landlord for any taking and no
right or claim for any alleged value of the unexpired portion of this Lease, or
its leasehold estate, or for costs of removal, relocation, business interruption
expense or any other damages arising out of such taking. Tenant, however, shall
not be prevented from making a claim against the condemning party (but not
against Landlord) for any moving expenses, loss of profits, or taking of
Tenant's personal property (other than its leasehold estate) to which Tenant may
be entitled. Any such award shall not reduce the amount of the award otherwise
payable to Landlord, if any.

     18. ADA GENERAL COMPLIANCE. Upon the Commencement Date, Landlord shall
deliver the Premises to Tenant in full compliance with the requirements of ADA.
Thereafter, Tenant, at Tenant's sole expense, shall comply with all laws, rules,
orders, ordinances, directions, regulations and requirements of federal, state,
county and municipal authorities now in force, which shall impose any duty upon
Landlord or Tenant with respect to the use, occupation or alteration of the
Premises, and Tenant shall use all reasonable efforts to fully comply with The
Americans With Disabilities Act of 1990 (the "ADA"). Landlord's responsibility
for compliance with ADA shall include the common areas and restrooms of the
Building, but not the Premises (after the Commencement Date).

     If Tenant receives any notices alleging violation of ADA relating to any
portion of the Building or of the Premises; any written claims or threats
regarding non-compliance with ADA and relating to any portion of the Building or
of the Premises; or any governmental or regulatory actions or investigations
instituted or threatened regarding non-compliance with ADA and relating to any
portion of the Building or of the Premises, then Tenant shall, within ten (10)
days after receipt of such, advise Landlord in writing, and provide Landlord
with copies of any such claim, threat, action or investigation (as applicable).

     19. QUIET ENJOYMENT. If Tenant promptly and punctually complies with each
of its obligations hereunder, Tenant shall have and enjoy peacefully the
possession of the Premises during the Term hereof, provided that no action of
Landlord or other tenants working in other space in the Building, or in
repairing or restoring the Premises, shall be deemed a breach of this covenant,
or give to Tenant any right to modify this Lease either as to term, rent
payables or other obligations to be performed.

     20. SECURITY DEPOSIT. Tenant shall deposit with Landlord the sum of
$31,376.00, which sum Landlord shall retain as security for the performance by
Tenant of each of its obligations hereunder (the "Security Deposit"). The
..Security Deposit shall not bear interest. If, at any time, Tenant fails to
perform its obligations, then Landlord may, at its option, apply the Security
Deposit, or any portion thereof required to cure Tenant's default; provided,
however, if prior to the Expiration Date or any termination of this Lease,
Landlord depletes the Security Deposit, in whole or in part, then immediately
following such depletion, Tenant shall restore the amount so used by Landlord.
Unless Landlord uses the Security Deposit too cure a default of Tenant, or to
restore the Premises to the condition to which Tenant is required to leave the
Premises upon the Expiration Date or any termination of the Lease, then Landlord
shall, within thirty (30) days after the Expiration Date or any termination of
this Lease, refund to

                                       14

<PAGE>

Tenant any funds remaining in the Security Deposit. Tenant may not credit
against or deduct the Security Deposit from any month's Rent.

     21. NOTICES. All notices, demands and requests which may be given or which
are required to be given by either party to the other must be in writing. All
notices, demands and requests by Landlord or Tenant shall be addressed as
follows (or to such other address as a party may specify by duly given notice):

RENT PAYMENT ADDRESS:   HIGHWOODS/TENNESSEE HOLDINGS, L.P.
                        P.0. Box 307310
                        Nashville, TN 37230
                        Tax ID# 56-1993393
LEGAL NOTICE ADDRESS
FOR LANDLORD:           HIGHWOODS/TENNESSEE HOLDINGS, L.P.
                        C/o Highwoods Properties, Inc.
                        Suite 600, 3100 Smoketree Court
                        Raleigh, North Carolina 27604
                        Attn: Manager, Lease Administration
                        Facsimile: 919-320-5607

WITH A COPY TO:         Highwoods Properties, Inc. \
                        2100 West End Avenue Suite 950
                        Nashville, TN 37203
                        Facsimile: 615-320-5607

TENANT:                 Network Health Services, Inc. d/b/a Total eMed.com, Inc.
                        720 CoolSprings Blvd. Ste. 200
                        Franklin, TN 37067
                        Contact: Ted MacDonald Phone:
                        Facsimile #

     Notices, demands or requests which Landlord or Tenant are required or
desire to give the other hereunder shall be deemed to have been properly given
for all purposes if (i) delivered against a written receipt of delivery, (ii)
mailed by express, registered or certified mail of the United States Postal
Service, return receipt requested, postage prepaid, or (iii) delivered to a
nationally recognized overnight courier service for next business day delivery,
to its addressee at such party's address as set forth above or (iv) delivered
via telecopier or facsimile transmission to the facsimile number listed above,
provided, however, that if such communication is given via telecopier or
facsimile transmission, an original counterpart of such communication shall be
sent concurrently in either the manner specified in section (ii) or (iii) above
and written confirmation of receipt of transmission shall be provided. Each such
notice, demand or request shall be deemed to have been received upon the earlier
of the actual receipt or refusal by the addressee or three (3) business days
after deposit thereof at any main or branch United States post office if sent in
accordance with section (ii) above, and the next business day after deposit
thereof with the courier if sent pursuant to section (iii) above. The parties
shall notify the other of any change in address, which notification must be at
least fifteen (15) days in advance of it being effective.

                                       15

<PAGE>

     Notices may be given on behalf of any party by such party's legal counsel.

     22. HOLDING OVER. If Tenant shall hold over after the Expiration Date or
other termination of this Lease, such holding over shall not be deemed to be a
renewal of this Lease but shall be deemed to create a tenancy-at-sufferance and
by such holding over Tenant shall continue to be bound by all of the terms and
conditions of this Lease, except that during such tenancy-at-sufferance Tenant
shall pay to Landlord (i) Rent at the rate equal to one hundred twenty-five
percent (125%) of that provided for in the foregoing Section 4.1, as such rental
amount may have been increased in accordance with the terms of such Section 4.1
hereof, and (ii) any and all Operating Expenses and other forms of Additional
Rent payable under this Lease. The increased Rent during such holding over is
intended to compensate Landlord partially for losses, damages and expenses,
including frustrating and delaying Landlord's ability to secure a replacement
tenant. If Landlord loses a prospective tenant because Tenant fails to vacate
the Premises on the Expiration Date or any termination of the Lease after notice
to do so, then Tenant will be liable for such damages as Landlord can prove
because of Tenant's wrongful failure to vacate.

     23. RIGHT TO RELOCATE. INTENTIONALLY DELETED

     24. BROKER'S COMMISSIONS. Tenant represents and warrants that it has not
dealt with any real estate broker, finder or other person, with respect to this
Lease in any manner, except The John A. Brewer Company whose address is 2103
Crestmoor Road, Nashville, Tennessee 37215. Landlord shall pay only any
commissions or fees that are payable to the above-named broker or finder with
respect to this Lease pursuant to Landlord's separate agreement with such broker
or finder. Tenant shall indemnify and hold Landlord harmless from any and all
damages resulting from claims that may be asserted against Landlord by any other
broker, finder or other person (including, without limitation, any substitute or
replacement broker claiming to have been engaged by Tenant in the future),
claiming to have dealt with Tenant in connection with this Lease or any
amendment or extension hereto, or which may result in Tenant leasing other or
enlarged space from Landlord. The provisions of this paragraph shall survive the
termination of this Lease.

     25. ENVIRONMENTAL COMPLIANCE.

     (a) Tenant's Responsibility. Tenant shall not (either with or without
negligence) cause or permit the escape, disposal or release of any biologically
active or other hazardous substances, or materials. Tenant shall not allow the
storage or use of such substances or materials in any manner not sanctioned by
law or in compliance with the highest standards prevailing in the industry for
the storage and use of such substances or materials, nor allow to be brought
into the Building any such materials or substances except to use in the ordinary
course of Tenant's business, and then only after written notice is given to
Landlord of the identity of such substances or materials. Tenant covenants and
agrees that the Premises will at all times during its use or occupancy thereof
be kept and maintained so as to comply with all now existing or hereafter
enacted or issued statutes, laws, rules, ordinances, orders, permits and
regulations of all state, federal, local and other governmental and regulatory
authorities, agencies and bodies applicable to the Premises, pertaining to
environmental matters or regulating, prohibiting or otherwise having to do with
asbestos and all other toxic, radioactive, or hazardous wastes or

                                       16

<PAGE>

material including, but not limited to, the Federal Clean Air Act, the Federal
Water Pollution Control Act, and the Comprehensive Environmental Response,
Compensation, and Liability Act of 1980, as from time to time amended (all
hereafter collectively called "Laws"). Tenant shall execute affidavits,
representations and the like, from time to time, at Landlord's request,
concerning Tenant's best knowledge and belief regarding the presence of
hazardous substances or materials on the Premises.

     (b) Tenant's Liability. Tenant shall hold Landlord free, harmless, and
indemnified from any penalty, fine, claim, demand, liability, cost, or charge
whatsoever which Landlord shall incur, or which Landlord would otherwise incur,
by reason of Tenant's failure to comply with this Section 25 including, but not
limited to: (I) the cost of bringing the Premises into compliance with all Laws
and in a non-contaminated state, the same condition as prior to occupancy; (ii)
the reasonable cost of all appropriate tests and examinations of the Premises to
confirm that the Premises have been brought into compliance with all Laws; and
(iii) the reasonable fees and expenses of Landlord's attorneys, engineers, and
consultants incurred by Landlord in enforcing and confirming compliance with
this Section 25.

     (c) Property. For the purposes of this Section 25, the Premises shall
include the real estate covered by this Lease; all improvements thereon; all
personal property used in connection with the Premises (including that owned by
Tenant); and the soil, ground water, and surface water of the Premises, if the
Premises includes any ground area.

     (d) Inspections by Landlord. With prior reasonable notice given to Tenant,
Landlord and its engineers, technicians, and consultants (collectively the
"Auditors") may, from time to time as Landlord deems appropriate, conduct
periodic tests and examinations ("Audits") of the Premises to confirm and
monitor Tenant's compliance with this Section 25. Such Audits shall be conducted
in such a manner as to minimize the interference with Tenant's Permitted Use;
however in all cases, the Audits shall be of such nature and scope as shall be
reasonably required by then existing technology to confirm Tenant's compliance
with this Section 25. Tenant shall fully cooperate with Landlord and its
Auditors in the conduct of such Audits. The cost of such Audits shall be paid by
Landlord unless an Audit shall disclose a material failure of Tenant to comply
with this Section 25, in which case, the cost of such Audit, and the cost of all
subsequent Audits made during the Term and within thirty (30) days thereafter
(not to exceed two (2) such Audits per calendar year), shall be paid for on
demand by Tenant.

     (e) Landlord's Liability. Provided, however, the foregoing covenants and
undertakings of Tenant contained in this Section 25 shall not apply to any
condition or matter constituting a violation of any Law: (i) which existed prior
to the commencement of Tenant's use or occupancy of the Premises; (ii) which was
not caused, in whole or in part, by Tenant or Tenant's agents, employees,
officers, partners, contractors or invitees; or (iii) to the extent such
violation is caused by, or results from the acts or neglects of Landlord or
Landlord's agents, employees, officers, partners, contractors, guests, or
invitees.

     (f) Tenant's Liability After Termination of Lease. The covenants contained
in this Section 25 shall survive the expiration or termination of this Lease,
and shall continue for so long as Landlord and its successors and assigns may be
subject to any expense, liability, charge, penalty, or obligation against which
Tenant has agreed to indemnify Landlord under this Section

                                       17

<PAGE>
25.

     26. COMMUNICATIONS COMPLIANCE. Tenant acknowledges and agrees that any and
all telephone and telecommunication services desired by Tenant shall be ordered
and utilized at the sole expense of Tenant. Unless Landlord otherwise requests
or consents in writing, all of Tenant's telecommunications equipment shall be
located and remain solely in the Premises and the telephone closet(s) on the
floor(s) on which the Premises is located, in accordance with rules and
regulations adopted by Landlord from time to time. Landlord shall have no
responsibility for the maintenance of Tenant's telecommunications equipment,
including wiring; nor for any wiring or other infrastructure to which Tenant's
telecommunications equipment may be connected. Tenant agrees that, to the extent
any such service is interrupted, curtailed or discontinued, Landlord shall have
no obligation or liability with respect thereto. Landlord shall have the right,
upon reasonable prior notice to Tenant, to interrupt or turn off
telecommunications facilities in the event of emergency or as necessary in
connection with repairs to the Building or installation of telecommunications
equipment for other tenants of the Building. In the event that Tenant wishes at
any time to utilize the services of a telephone or telecommunications provider
whose equipment is not then servicing the Building, no such provider shall be
permitted to install its lines or other equipment within the Building without
first securing the prior written approval of the Landlord which such approval
shall not be unreasonably withheld. Such approval may be conditioned in such a
manner to as to protect Landlord's financial interests and the interest of the
Building, and the other tenants therein. The refusal of Landlord to grant its
approval to any prospective telecommunications provider shall not be deemed a
default or breach by Landlord of its obligation under this Lease. The provision
of this paragraph may be enforced solely by Tenant and Landlord, are not for the
benefit of any other party, and specifically but without limitation, no
telephone or telecommunications provider shall be deemed a third party
beneficiary of this Lease. Tenant shall not utilize any wireless communications
equipment (other than usual and customary cellular telephones), including
antennae and satellite receiver dishes, within the Premises or the Building,
without Landlord's prior written consent which shall not be unreasonably
withheld. Such consent may be conditioned in such a manner so as to protect
Landlord's financial interests and the interests of the Building, and the other
tenants therein. At Landlord's option, Tenant may be required to remove any and
all telecommunications equipment (including wireless equipment) installed in the
Premises or elsewhere in or on the Building by or on behalf of Tenant, including
wiring, or other facilities for telecommunications transmittal prior to the
expiration or termination of the Lease Term and at Tenant's sole cost.

     27. MISCELLANEOUS. Headings of sections are for convenience only and shall
not be considered in construing the meaning of the contents of such section. The
invalidity of any portion of this Lease shall not have any effect on the balance
hereof. Should Landlord institute any legal proceedings against Tenant for
breach of any provision herein contained, and prevail in such action, Tenant
shall be liable for the costs and expenses of Landlord, including its reasonable
attorneys' fees (at all tribunal levels). This Lease shall be binding upon the
respective parties hereto, and upon their heirs, executors, successors and
assigns. This Lease supersedes and cancels all prior negotiations between the
parties, and no changes shall be effective unless in writing signed by both
parties. Tenant acknowledges and agrees that it has not relied upon any
statements, representations, agreements or warranties except those expressed in
this Lease, and that this Lease contains the entire agreement of the parties
hereto with respect to the subject

                                       18

<PAGE>

matter hereof. Landlord may sell the Premises or the Building without affecting
the obligations of Tenant hereunder; upon the sale of the Premises or the
Building, Landlord shall be relieved of all responsibility for the Premises and
shall be released from any liability thereafter accruing under this Lease. If
any Security Deposit or prepaid Rent has been paid by Tenant, Landlord may
transfer the Security Deposit or prepaid Rent to Landlord's successor and upon
such transfer, Landlord shall be released from any liability for return of the
Security Deposit or prepaid Rent. This Lease may not be recorded without
Landlord's prior written consent which shall not be unreasonably withheld, but
Tenant agrees on request of Landlord to execute a memorandum hereof for
recording purposes. The singular shall include the plural, and the masculine,
feminine or neuter includes the other. If Landlord, or its employees, officers,
directors, stockholders or partners are ordered to pay Tenant a money judgment
because of Landlord's default under this Lease, said money judgment may only be
enforced against and satisfied out of: (I) Landlord's interest in the Building
in which the Premises are located including the rental income and proceeds from
sale; and (ii) any insurance or condemnation proceeds received because of damage
or condemnation to, or of, said Building that are available for use by Landlord.
No other assets of Landlord or said other parties exculpated by the preceding
sentence shall be liable for, or subject to, any such money judgment. This,
Lease shall be interpreted and enforced in accordance with the laws of the State
of Tennessee. If requested by Landlord, Tenant shall furnish appropriate legal
documentation evidencing the valid existence in good standing of Tenant, and the
authority of any person signing this Lease to act for the Tenant. If Tenant
signs as a corporation, each of the persons executing this Lease on behalf of
Tenant does hereby covenant and warrant that Tenant is a duly authorized and
existing corporation, that Tenant has and is qualified to do business in the
State of Tennessee, that the corporation has a full right and authority to enter
into this Lease and that each of the persons signing on behalf of the
corporation is authorized to do so. The submission of this Lease to Tenant for
review does not constitute a reservation of or option for the Premises, and this
Lease shall become effective as a contract only upon the execution and delivery
by both Landlord and Tenant. The date of execution shall be entered on the top
of the first page of this Lease by Landlord, and shall be the date on which the
last party signed the Lease, or as otherwise may be specifically agreed by both
parties. Such date, once inserted, shall be established as the final day of
ratification by all parties to this Lease, and shall be the date for use
throughout this Lease as the "Effective Date".

     28. ADDENDUM. The following special conditions of the attached Addendum
shall apply, and where in conflict with earlier provisions of this Lease shall
control. The attached Addendum is incorporated herein and made a part of this
Lease.

                                       19

<PAGE>

     IN WITNESS WHEREOF, Landlord and Tenant have executed this lease in two (2)
originals, all as of the day and year first above written.

LANDLORD:

HIGHWOODS/TENNESSEE HOLDINGS, L.P.,
a Tennessee limited partnership

By: Highwoods/Tennessee Properties, Inc.,
    a Tennessee corporation,
    its sole General Partner

By: /s/ Brian Reames
    ---------------------------------
Title: Vice President
Date: 11-23-99

TENANT:

NETWORK HEALTH SERVICES, INC.
d/b/a TOTAL eMED.com, INC.

By: /s/ Richard Rehm MD
    ---------------------------------
Title: President and CEO

Date: 11-22-99
                                       20

<PAGE>

                                    ADDENDUM

     1. ADDITIONAL RENT - OPERATING EXPENSE PASS THROUGHS [BASE YEAR]. For the
calendar year commencing on January 1, 2001 and for each calendar year
thereafter, Tenant shall pay to Landlord as Additional Rent, in a lump sum,
Tenant's Proportionate Share of any increase in Operating Expenses (as
hereinafter defined) incurred by Landlord's operation or maintenance of the
Building during calendar year 2000 (the "Base Year"). For purposes of
calculating Tenant's Proportionate Share of real and personal property taxes,
Landlord shall use the Base Year or the year in which the Building and
improvements are completed and are fully assessed, whichever shall be later.
Tenant's Proportionate Share shall be calculated by dividing the 26,084 rentable
square feet of the Premises by the 153,044 rentable square feet of the Building,
which equals 17.043%. If during any calendar year the occupancy of the rentable
area of the Building is less than full, then Operating Expenses (as hereinafter
defined) will be adjusted for such calendar year at a rate of 95% occupancy.

     As used herein, the term "Operating Expenses" shall mean direct costs of
operation, repair and maintenance as determined by standard accounting
practices, including, but not limited to ad valorem real and personal property
taxes, hazard and liability insurance premiums, utilities, heat, air
conditioning, janitorial service, labor, materials, supplies, equipment and
tools, permits, licenses, inspection fees, management fees, and common area
expenses; provided, however, the term "Operating Expenses" shall not include
depreciation on the Building or equipment therein, interest, executive salaries,
real estate brokers' commissions, or other expenses that do not relate to the
operation of the Building. The annual statement of Operating Expenses shall be
accounted for and reported in accordance with generally accepted accounting
principles (the "Annual Statement").

     For the calendar year commencing on January 1, 2001 and for each calendar
year thereafter during the Term, Landlord shall estimate the amount the
Operating Expenses shall increase for such calendar year above the Operating
Expenses incurred during the Base Year. Landlord shall send to Tenant a written
statement of the amount of Tenant's Proportionate Share of any estimated
increase in Operating Expenses and Tenant shall pay to Landlord, monthly,
Tenant's Proportionate Share of such increase in Operating Expenses. Within
ninety (90) days after the end of each calendar year, Landlord shall send a copy
of the Annual Statement to Tenant. Pursuant to the Annual Statement, Tenant
shall pay to Landlord Additional Rent as owed or Landlord shall adjust Tenant's
Rent payments if Landlord owes Tenant a credit, such payment or adjustment to be
made within thirty (30) days after the Annual Statement is received by Tenant.
After the Expiration Date, Landlord shall send Tenant the final Annual Statement
for the Term, and Tenant shall pay to Landlord Additional Rent as owed or if
Landlord owes Tenant a credit, then Landlord shall pay Tenant a refund. If this
Lease expires or terminates on a day other than December 31, then Additional
Rent shall be prorated on a 365-day calendar year (or 366 if a leap year).

     2. SPECIAL PROVISION TO CONSIDER RELOCATION. Provided Tenant is not in
default hereunder, both Landlord and Tenant may agree to terminate this Lease,
in which event Tenant will be required to relocate to space in another building
owned by Highwoods(Tennessee Holdings, L.P., provided, however, that such space
is available, Tenant's new rentable square footage shall be a minimum of fifty
percent (50%) larger than the existing

<PAGE>

Leased Premises under this Lease, and provided further that Landlord and Tenant
shall mutually agree to the terms and conditions of a new lease, including, but
not limited to, Landlord's consideration for remaining lease term relative to
the new lease term, unamortized improvements and commissions, and other market
related conditions.

     3. OPTION TO EXTEND LEASE TERM. Tenant shall have the right and option to
extend the Lease (the "Renewal Option") for one (1) additional period of sixty
(60) months (the "Renewal Lease Term"); provided, however, such renewal Option
is contingent upon the following: (1) Tenant is not in default at the time
Tenant gives Landlord written notice of Tenant's intention to exercise the
Renewal Option; (ii) upon the Expiration Date or the expiration of any Renewal
Lease Term, Tenant has no outstanding default; (iii) no event has occurred that
upon notice or the passage of time would constitute a default; (iv) Tenant is
not disqualified by multiple defaults as provided in the Lease; and (v) Tenant
is occupying the Premises. Tenant shall exercise each Renewal Option by giving
Landlord written notice at least one hundred eighty (180) days prior to the
Expiration Date or the last day of any Renewal Lease Term. If Tenant fails to
give such notice to landlord prior to one hundred eighty (180) day period, then
Tenant shall forfeit the Renewal Option. If Tenant exercises the Renewal Option,
then during any such Renewal Lease Term, Landlord and Tenant's respective
rights, duties and obligations shall be governed by the terms and conditions of
the Lease.

     If Tenant exercises the Renewal Option, then during any such Renewal Lease
Term, all references to the term "Term", as used in the Lease, shall mean the
"Renewal Lease Term".

     The Base Rent for the first year of the Renewal Lease Term shall be at one
hundred three percent (103%) of the then current Rent being paid by Tenant in
the final year of the Term, increasing three percent (3%) per annum, provided
Tenant gives notice of its exercise of the Renewal Option.

     4. RIGHT OF FIRST REFUSAL. Provided Tenant is not in default of any
provisions of the Lease and subordinate to the rights and options of other
tenants on the first floor of the building, Tenant shall have a one time Right
of First Refusal on approximately 16,941 rentable square feet on the first floor
of the building (hereafter referred to as the "First Refusal Space") as outlined
on Exhibit C attached hereto. If this right is exercised by Tenant in writing to
Landlord within five (5) days of receiving written notice from Landlord of its
intent to lease the First Refusal Space to a bonafide third party, then such
First Refusal Space shall be leased under the terms and conditions as mutually
agreed upon between Tenant and Landlord. If Tenant and Landlord cannot mutually
agree to terms and conditions within five (5) days of Landlord's receipt of
notice from Tenant, Landlord will be free to lease the First Refusal Space to a
third party and will have no further notice obligations to Tenant.

     5. ADDITIONAL GROWTH. Landlord will use commercially reasonable efforts to
notify Tenant of any existing space in the Building that comes available during
the term, but in no way will Landlord be in default of this Lease should notice
not be given by Landlord or should Landlord choose to lease to or renew a third
party tenant.

<PAGE>

                                  EXHIBIT - A-1

     WORKLETTER. This Exhibit A-1 shall set forth the rights and obligations of
Landlord and Tenant with respect to space planning, engineering, final workshop
drawings, and the construction and installation of any improvements to the
Premises to be completed before the Commencement Date ("Tenant Improvements").
This Exhibit A-1 contemplates that the performance of this work will proceed in
four stages in accordance with the following schedule: (i) preparation of a
space plan; (ii) final design and engineering and preparation of final plans and
working drawings; (iii) preparation by the Contractor (as hereinafter defined)
of an estimate of the additional cost of the initial Tenant Improvements; (iv)
submission and approval of plans by appropriate governmental authorities and
construction and installation of the Tenant Improvements by the Commencement
Date.

     In consideration of the mutual covenants hereinafter contained, Landlord
and Tenant do mutually agree to the following:

     1. Space Planning. Design and Working Drawings. On Tenant's behalf,
Landlord shall provide and designate architects and engineers, who, at Tenant's
expense, which expense shall be deducted from the Allowance (as hereinafter
defined), will do the following:

     (a) Attend a reasonable number of meetings with Tenant and Landlord's agent
to define Tenant's requirements. Landlord shall provide one complete space plan
prepared by Landlord's architect in order to obtain Tenant's approval. Tenant
shall approve such space plan, in writing, within five (5) days after receipt of
the space plan.

     (b) Complete construction drawings for Tenant's partition layout, reflected
ceiling grid, telephone and electrical outlets, keying, and finish schedule
(subject to the limitation expressed in Section 2 below).

     (c) Complete building standard mechanical plans where necessary (for
installation of air conditioning system and duct work, and heating and
electrical facilities) for the work to be done in the Premises.

     (d) All plans and working drawings for the construction and completion of
the Premises (the "Plans") shall be subject to Landlord's prior written
approval. Any changes or modifications Tenant desires to make to the Plans shall
also be subject to Landlord's, prior approval. Landlord agrees that it will not
unreasonably withhold its approval of the Plans, or of any changes or
modifications thereof; provided, however, Landlord shall have sole and absolute
discretion to approve or disapprove any improvements that will be visible to the
exterior of the Premises, or which may affect the structural integrity of the
Building. Any approval of the Plans by Landlord shall not constitute approval of
any Delays caused by Tenant and shall not be deemed a waiver of any rights or
remedies that may arise as a result of such Delays. Landlord may condition its
approval of the Plans if: (i) the Plans require design elements or materials
that would cause Landlord to deliver the Premises to Tenant after the scheduled
Commencement Date, or (ii) the estimated cost for any improvements under the
Plan is more than the Allowance.

     2. Allowance. Landlord agrees, at its sole cost and expense to provide an
allowance of up to $21.00 per rentable square foot (for a total to be spent by
Tenant on buildout of

<PAGE>

$547,764.00), for all space planning and final workshop drawings, engineer,
install, supply and otherwise to construct the Tenant Improvements in the
Premises that will become a part of the Building (the "Allowance"); otherwise,
Tenant is fully responsible for the payment of all costs in connection with the
Tenant Improvements and all design costs.

     3. Signage and Keying. Door and/or directory signage and suite keying in
accordance with building standards shall be provided and installed by Landlord
and deducted from the Allowance.

     4. Work and Materials at Tenant's Expense

     (a) Prior to commencing and providing any such work or materials to the
Premises, Landlord shall select a licensed general contractor or contractors
(the "Contractor") to construct and install the Tenant Improvements and Landlord
shall submit to Tenant a written estimate(s) of the cost of such work and
materials and Tenant shall approve said estimate(s) in writing within five (5)
business days after the receipt thereof. Landlord shall not be authorized to
proceed thereon until such estimate(s) is mutually agreed upon and approved in
writing and delivered to Landlord.

     (b) Tenant agrees to pay to Landlord, promptly upon being billed
periodically or otherwise, all costs and expenses in excess of the Allowance
incurred in connection with the Tenant Improvements, engineering, space planning
and final workshop drawings. Tenant's payment of periodic billings for costs and
expenses in excess of the Allowance is not subject to the completion of punch
list items, as defined herein. Such costs and expenses shall include all amounts
charged by the Contractor for performing such work and providing such materials
(including the Contractor's general conditions, overhead and profit). If unpaid
within ten (10) days after receipt of invoice from Landlord, a late charge in
the amount of ten percent (10%) of the amount due shall be paid by Tenant.

     5. Tenant Plan Delivery Date

     (a) Tenant covenants and agrees that although certain plans and drawings
may be prepared by Landlord's architect or engineer, Tenant shall be solely
responsible for the timely completion of the Plans and it is hereby understood
time is of the essence.

     (b) Tenant covenants and agrees to deliver to Landlord the final Plans for
the Tenant Improvements on or before December 13, 1999 (the "Tenant Plan
Delivery Date"). If Tenant fails to provide final plans or fails to respond to
Landlord in a timely fashion on any matters of approval, Landlord shall not
carry out any of Tenant's work set forth herein until approval thereof is
received. It is vital that the final Plans be delivered to Landlord by the
Tenant Plan Delivery Date in order to allow Landlord sufficient time to review
such Plans, to discuss with Tenant any changes therein which Landlord believes
to be necessary or desirable, to enable the Contractor to prepare an estimate of
the cost of the initial Tenant Improvements, and to substantially complete the
Premises within a reasonable time frame. All requirements above, whether
performed by Landlord or Contractor, are subject to Tenant's delivering of a
fully executed Lease Agreement.

     6. Substantial Completion

<PAGE>

     (a) The Premises shall be deemed to be substantially complete when the work
to be performed by Landlord pursuant to the Plans approved by Landlord and
Tenant has been completed as certified by Landlord and architect, except for
items of work and adjustment of equipment and fixtures that can be completed
after the Premises are occupied without causing material interference with
Tenant's use of the Premises (i.e., "punch list items").

     (b) Notwithstanding the foregoing, if Landlord shall be delayed in
substantially completing the Premises as a result of:

          (i) Tenant's failure to furnish to Landlord the final Plans on or
     before the Tenant Plan Delivery Date; or

          (ii) Tenant's failure to furnish the Plans and/or Tenant's failure to
     approve Landlord's cost estimates within the time specified in Section 4
     herein and/or Tenant's failure to approve the space plan within the time
     specified in Section 1 herein; or

          (iii) Tenant's changes in the Tenant Improvements or the Plans
     (notwithstanding Landlord's approval of any such changes); or

          (iv) Tenant's request for changes in or modifications to the Plans
     subsequent to the Tenant Plan Delivery Date; or

          (v) Inability to obtain non-building standard materials, finishes or
     installations requested by Tenant; or

          (vi) The performance of any work by any person, firm or corporation
     employed or retained by Tenant; or

          (vii) Any other act or omission by Tenant or its agents,
     representatives, and/or employees;

     then, in any such event, for purposes of determining the Commencement Date,
the Premises shall be deemed to have been substantially completed on the date
that Landlord and architect determine that the Premises would have been
substantially completed if such Delay or Delays had not occurred.

     7. Materials and Workmanship. Landlord covenants and agrees that all work
performed in connection with the construction of the Premises shall be performed
in a good and workmanlike manner and in accordance with all applicable laws and
regulations and with the final approved Plans. Landlord agrees to exercise due
diligence in completing the construction of the Premises.

     8. Repairs and Corrections. Landlord agrees to repair and correct any work
or materials installed by Landlord or its Contractor in the Premises that prove
defective as a result of faulty materials, equipment, or workmanship and that
first appear within ninety (90) days after the date of occupancy of the
Premises. Notwithstanding the foregoing, Landlord shall not be responsible to
repair or correct any defective work or materials installed by Tenant or any
contractor other than Landlord's Contractor, or any work or materials that prove
defective as a

<PAGE>

result of any act or omission of Tenant or any of its employees, agents,
invitees, licensees, subtenants, customers, clients, or guests.

     9. Possession by Tenant. The taking of possession of the Premises by Tenant
shall constitute an acknowledgment by Tenant that the Premises are in good
condition and that all work and materials provided by Landlord are satisfactory,
as--of such date of occupancy, except as to any defects or incomplete work that
are described in a written notice given by Tenant to Landlord no later than
thirty (30) days after Tenant commences occupancy of the Premises, and except
for any equipment that is used seasonally if Tenant takes possession of the
Premises during a season when such equipment is not in use.

     10. Access During Construction. During construction of the Tenant
Improvements in the Premises with the approval of Landlord, Tenant shall be
permitted reasonable access to the Premises, as long as such access does not
interfere with or delay construction work on the Premises for the purposes of
taking measurements, making plans, installing trade fixtures, and doing such
other work as may be appropriate or desirable to enable Tenant eventually to
assume possession of and operate in the Premises.

<PAGE>

                                    EXHIBIT B

                             Rules and Regulations

     1. Access to Building. On Saturdays, Sundays, legal holidays and weekdays
between the hours of 6:00 P.M. and 8:00 A.M., access to the Building and/or to
the halls, corridors, elevators or stairways in the Building may be restricted
and access shall be gained by use of a key or electronic card to the outside
doors of the Buildings. Landlord may from time to time establish security
controls for the purpose of regulating access to the Building. Tenant shall be
responsible for providing access to the Premises for its agents, employees,
invitees and guests at times access is restricted, and shall comply with all
such security regulations so established.

     2. Protecting Premises. The last member of Tenant to leave the Premises
shall close and securely lock all doors or other means of entry to the Premises
and shut off all utilities in the Premises.

     3. Building Directories. The directories for the Building in the form
selected by Landlord shall be used exclusively for the display of the name and
location of tenants. Any additional names and/or name change requested by Tenant
to be displayed in the directories must be approved by Landlord and; if
approved, will be provided at the sole expense of Tenant.

     4. Large Articles. Furniture, freight and other large or heavy articles may
be brought into the Building only at times and in the manner designated by
Landlord and always at Tenant's sole responsibility. Alt damage done to the
Building, its furnishings, fixtures or equipment by moving or maintaining such
furniture, freight or articles shall be repaired at Tenant's expense.

     5. Signs. Tenant shall not paint, display, inscribe, maintain or affix any
sign, placard, picture, advertisement, name, notice, lettering or direction on
any part of the outside or inside of the Building, or on any part of the inside
of the Premises which can be seen from the outside of the Premises, without the
written consent of Landlord which such consent shall not be unreasonably
withheld, and then only such name or names or matter and in such color, size,
style, character and material as shall be first approved by Landlord in writing.
Landlord, without notice to Tenant, reserves the right to remove, at Tenant's
expense, all matter other than that provided for above.

     6. Compliance with Laws. Tenant shall comply with all applicable laws,
ordinances, governmental orders or regulations and applicable orders or
directions from any public office or body having jurisdiction, whether now
existing or hereinafter enacted with respect to the Premises and the use or
occupancy thereof. Tenant shall not make or permit any use of the Premises which
directly or indirectly is forbidden by law, ordinance, governmental regulations
or order or direction of applicable public authority, which may be dangerous to
persons or property or which may constitute a nuisance to other tenants.

     7. Hazardous Materials. Tenant shall not use or permit to be brought into
the Premises or the Building any flammable oils or fluids, or any explosive or
other articles deemed hazardous to persons or property, or do or permit to be
done any act or thing which will invalidate, or which, if brought in, would be
in conflict with any insurance policy covering the Building or its operation, or
the Premises, or any part of either, and will not do or permit to be

<PAGE>

done anything in or upon the Premises, or bring or keep anything therein, which
shall not comply with all rules, orders, regulations or requirements of any
organization, bureau, department or body having jurisdiction with respect
thereto (and Tenant shall at all times comply with all such rules, orders,
regulations or requirements), or which shall increase the rate of insurance on
the Building, its appurtenances, contents or operation.

     8. Defacing Premises and Overloading. Tenant shall not place anything or
allow anything to be placed in the Premises near the glass of any door,
partition, wall or window that may be unsightly from outside the Premises.
Tenant shall not place or permit to be placed any article of any kind on any
window ledge or. on the exterior walls; blinds, shades, awnings or other forms
of inside or outside window ventilators or similar devices shall not be placed
in or about the outside windows in the Premises except to the extent. that the
character, shape, color, material and make thereof is approved by Landlord which
such approval shall not be unreasonably withheld. Tenant shall not do any
painting or decorating in the Premises or install any floor coverings in the
Premises or make, paint, cut or drill into, or in any way deface any part of the
Premises or Building without in each instance obtaining the prior written
consent of Landlord which such consent shall not be unreasonably withheld.
Tenant shall not overload any floor or part thereof in the Premises, or any
facility in the Building or any public corridors or elevators therein by
bringing in or removing any large or heavy articles and Landlord may direct and
control the location of safes, files, and all other heavy articles and, if
considered necessary by Landlord may require Tenant at its expense to supply
whatever supplementary supports necessary to properly distribute the weight.

     9. Obstruction of Public Areas. Tenant shall not, whether temporarily,
accidentally or otherwise, allow anything to remain in, place or store anything
in, or obstruct in any way, any sidewalk, court, hall, passageway, entrance, or
shipping area. Tenant shall lend its full cooperation to keep such areas free
from all obstruction and in a clean and sightly condition, and move all
supplies, furniture and equipment as soon as received directly to the Premises,
and shall move all such items and waste (other than waste customarily removed by
Building employees) that are at any time, being taken from the Premises directly
to the areas designated for disposal. All courts, passageways, entrances, exits,
elevators, escalators, stairways, corridors, halls and roofs are not for the use
of the general public and Landlord shall in all cases retain the right to
control and prevent access thereto by all persons whose presence, in the
judgment of Landlord, shall be prejudicial to the safety, character, reputation
and interest of the Building and its tenants; provided, however, that nothing
herein contained shall be construed to prevent such access to persons with whom
Tenant deals within the normal course of Tenant's business so long as such
persons are not engaged in illegal activities.

     10. Additional Locks. Tenant shall not attach, or permit to be attached,
additional locks or similar devices to any door or window, change existing locks
or the mechanism thereof, or make or permit to be made any keys for any door
other than those provided by Landlord. Upon termination of this Lease or of
Tenant's possession, Tenant shall immediately surrender all keys to the
Premises.

     11. Communications or Utility Connections. If Tenant desires signal, alarm
or other utility or similar service connections installed or changed, then
Tenant shall not install or change the same without the approval of Landlord,
and then only under direction of Landlord and at

<PAGE>

Tenant's expense, Tenant shall not install in the Premises any equipment which
requires a greater than normal amount of electrical current for the permitted
use without the advance written consent of Landlord which such consent shall not
be unreasonably withheld. Tenant shall ascertain from Landlord the maximum
amount of load or demand for or use of electrical current which can safely be
permitted in the Premises, taking into account the capacity of the electric
wiring in the Building and the Premises and the needs of other tenants in the
Building, and shall not in any event connect a greater load than that which is
safe.

     12. Office of the Building. Service requirements of Tenant will be attended
to only upon application at the office of Highwoods Properties, Inc. Employees
of Landlord shall not perform, and Tenant shall not engage them to do any work
outside of their duties unless specifically authorized by Landlord.

     13. Restrooms. The restrooms, toilets, urinals, vanities and the other
apparatus shall not be used for any purpose other than that for which they were
constructed, and no foreign substance of any kind whatsoever shall be thrown
therein. The expense of any breakage, stoppage or damage resulting from the
violation of this rule shall be borne by the Tenant whom, or whose employees or
invitees, shall have caused it.

     14. Intoxication. Landlord reserves the right to exclude or expel from the
Building any person who, in the judgment of Landlord, is intoxicated, or under
the influence of liquor or drugs, or who in any way violates any of the Rules
and Regulations of the Building.

     15. Nuisances and Certain Other Prohibited Uses. Tenant shall not (a)
install or operate any internal combustion engine, boiler, machinery,
refrigerating, heating or air conditioning apparatus in or about the Premises;
(b) engage in any mechanical business, or in any service in or about the
Premises or Building, except those ordinarily embraced within the Permitted Use
as specified in Section 3 of the Lease; (c) use the Premises for housing,
lodging, or sleeping purposes; (d) prepare or warm food in the Premises or
permit food to be brought into the Premises for consumption therein (heating
coffee and individual lunches of employees excepted) except by express
permission of Landlord; (e) place any radio or television antennae on the roof
or on or in any part of the inside or outside of the Building other than the
inside of the Premises, or place a musical or sound producing instrument or
device inside or outside the Premises which may be heard outside the Premises;
(f) use any power source for the operation of any equipment or device other than
dry cell batteries or electricity; (g) operate any electrical device from which
may emanate waves that could interfere with or impair radio or television
broadcasting or reception from or in the Building or elsewhere; (h) bring or
permit to be in the Building any bicycle, other vehicle, dog (except in the
company of a blind person), other animal or bird; (i) make or permit any
objectionable noise or odor to emanate from the Premises; (j) disturb, harass,
solicit or canvass any occupant, of the Building; (k) do anything in or about
the Premises which could be a nuisance or tend to injure the reputation of the
Building; (i) allow any firearms in the Building or the Premises except as
approved by Landlord in writing.

     16. Solicitation. Tenant shall not canvass other tenants in the Building to
solicit business or contributions and shall not exhibit, sell or offer to sell,
use, rent or exchange any products or services in or from the Premises unless
ordinarily embraced within the Tenant's Permitted Use as specified in Section 3
of the Lease.

<PAGE>

     17. Energy Conservation. Tenant shall not waste electricity, water, heat or
air conditioning and agrees to cooperate fully with Landlord to insure the most
effective operation of the Building's heating and air conditioning, and shall
not allow the adjustment (except by Landlord's authorized Building personnel) of
any controls.

     18. Building Security. At all times other than normal business hours the
exterior Building doors and suite entry door(s) must be kept locked to assist in
security. The janitorial service, upon completion of its duties, will lock all
Building doors. Problems in Building and suite security should be directed to
Landlord at (615) 320-5566.

     19. Parking. Parking is in designated parking areas only. There may be no
vehicles in "no parking" zones or at curbs. Handicapped spaces are for
handicapped persons and the Police Department will ticket unauthorized
(unidentified) cars in handicapped spaces. Landlord reserves the right to remove
vehicles that do not comply with the Lease or these Rules and Regulations and
Tenant shall indemnify and hold harmless Landlord from its reasonable exercise
of these rights with respect to the vehicles of Tenant and its employees, agents
and invitees.

     20. Janitorial Service. The janitorial staff will remove all trash from
trash cans. Any container or boxes left in hallways or apparently discarded
unless clearly and conspicuously labeled DO NOT REMOVE may be removed without
liability to Tenant. Any large volume of trash resulting from delivery of
furniture, equipment, etc., should be removed by the delivery company, Tenant,
or Landlord at Tenant's expense. Janitorial service will be provided after hours
five (5) days a week. All requests for trash removal other than normal
janitorial services should be directed to Landlord at (615) 320-5566.

     21. Construction. Tenant shall make no structural or interior alterations
of the Premises. All structural and nonstructural alterations and modifications
to the Premises shall be coordinated through Landlord as outlined in the Lease.
Completed construction drawings of the requested changes are to be submitted to
Landlord or its designated agent for pricing and construction supervision.
<PAGE>

           AMENDMENT TO OFFICE LEASE AND GENERATOR LICENSE AGREEMENT

     This Amendment to Office Lease and Generator License Agreement (this
"Amendment") is executed as of the 15th day of February, 2005, by and between
HIGHWOODS/TENNESSEE HOLDINGS, L.P., ("Landlord") and SPHERIS OPERATIONS INC.,
formerly known as Network Health Services, Inc. d/b/a/ Total eMed of Tennessee,
Inc. ("Tenant").

                                    RECITALS:

     WHEREAS, Landlord and Tenant entered into a certain Office Lease dated
November 22, 1999 (the "Lease") pursuant to which Landlord agreed to lease to
Tenant and Tenant agreed to lease from Landlord those certain Leased Premises
more particularly described in the Lease and commonly known and designated as
720 Cool Springs Boulevard, Suite 200, Franklin, Williamson County, Tennessee
(hereinafter referred to as the "Premises"); and

     WHEREAS, Landlord and Tenant entered into that certain Generator License
Agreement dated as of June 29, 2000 (the "Generator License"); and

     WHEREAS, Landlord and Tenant desire to amend certain terms and provisions
of the Lease and the Generator License pursuant to the terms hereof

     NOW, THEREFORE, for and in consideration of the foregoing premises and
other valuable considerations, the receipt and sufficiency of which are hereby
acknowledged, Landlord and Tenant hereby amend the Lease and the Generator
License as follows:

     1. Capitalized terms not otherwise defined herein shall have the meanings
set forth in the Lease or the Generator License, as applicable.

     2. Section 2 of the Lease is hereby amended to the extent necessary to
provide that the Term of the Lease shall be for eighty (80) total months and
will continue until December 31, 2006 and such date shall hereafter be known as
the "Expiration Date."

     3. The parties hereto acknowledge and agree that the term of the Generator
License will be extended for the length of the Term of the Lease, as amended
hereby, and the rental due thereunder shall continue at the same rate.

     4. Base Rent payable for the Lease during the term of the Lease as extended
hereby shall be as follows:

<TABLE>
<CAPTION>
                                        Annually
 From     Through     Monthly    (if for entire year)
------   --------   ----------   --------------------
<S>      <C>        <C>          <C>
5/1/05    4/30/06   $41,843.08        $502,116.96
5/1/06   12/31/06   $43,103.81        $517,245.72
</TABLE>

<PAGE>

     5. Paragraph 3 and paragraph 4 of the Addendum to the Lease, providing for
an option to extend the Term of the Lease, and a Right of First Refusal, are
hereby deleted in their entirety and the provisions of those paragraphs are of
no further force or effect.

     6. Except as herein modified and amended, the terms and conditions of the
Lease and the Generator License shall remain in full force and effect.

     7. This Amendment shall be governed by and construed in accordance with the
laws of the State of Tennessee.

     IN WITNESS WHEREOF, the parties hereto have executed this Amendment as of
the date first written above.

LANDLORD:

HIGHWOODS/TENNESSEE HOLDINGS, L.P.,
a Tennessee limited partnership

By: Highwoods/Tennessee Properties, Inc.,
    a Tennessee corporation, its sole
    General Partner

By: /s/ W. Brian Reames
    -------------------------------------
Print Name: W. Brian Reames
            -----------------------------
Title: Senior V.P.
       ----------------------------------

TENANT:

SPHERIS OPERATIONS INC.,a Tennessee corporation

By: /s/ Gregory T. Stevens
    -------------------------------------
Print Name: Gregory T. Stevens
            -----------------------------
Title: Chief Administrative Officer
       ----------------------------------<PAGE>

                                                                   Exhibit 10.12

                                 LEASE AGREEMENT

     THIS LEASE is executed this 22nd day of March, 2004, by and between
DUKE REALTY LIMITED PARTNERSHIP, an Indiana limited partnership ("Landlord"),
and SPHERIS OPERATIONS INC., a Tennessee corporation ("Tenant").

                                   WITNESSETH:

                          ARTICLE 1 - LEASE OF PREMISES

     Section 1.01. Basic Lease Provisions and Definitions.

     (a) Leased Premises (shown outlined on Exhibit A attached hereto): Suite
512 of the building commonly known as Haywood Oaks 5 (the "Building"), located
at 5211 Linbar Drive, Nashville, Tennessee 37211, within Haywood Oaks
TechneCenter (the "Park").

     (b) Rentable Area of Leased Premises: approximately 2,700 square feet.

     (c) Rentable Area of Building: approximately 61,172 square feet

     (d) Tenant's Proportionate Share: 4.41%.

     (e) Minimum Annual Rent: Months  1 -  2   $     0.00
                              Months  3 - 14   $21,843.00
                              Months 15 - 26   $22,248.00

     (f) Monthly Rental Installments: Months  1 -  2   $    0.00
                                      Months  3 - 14   $1,820.25
                                      Months 15 - 26   $1,854.00

     (g) Intentionally Omitted

     (h) Target Commencement Date: April 19, 2004.

     (i) Lease Term: Twenty-Six (26) months.

     (j) Security Deposit: $2,317.50.

     (k) Broker(s): Colliers Turley Martin Tucker representing Tenant.

     (l) Permitted Use: General office and receipt, repair, storage, shipping
and redeployment of personal computers and related equipment.

     (m) Address for notices and payments are as follows:

          Landlord: Duke Realty Limited Partnership
                    Attn: Senior Property Manager
                    782 Melrose Avenue
                    Nashville, Tennessee 37211

<PAGE>

          With a copy to: Duke Realty Limited Partnership
                          3950 Shackleford Road, Suite 300
                          Duluth, Georgia 30096-8268
                          Attn: Elizabeth C. Belden, Vice President/Corporate
                                Counsel

          Tenant:         Spheris Operations, Inc.
                          5211 Linbar Drive, Suite 512
                          Nashville, Tennessee 37211
                          Attn: Manager

          With a copy to: Spheris Inc.
                          Suite 200
                          720 Cool Springs Blvd.
                          Franklin, Tennessee 37067
                          Attn: Gregory Stevens

          Address for rental and other payments:
                          Duke Realty Limited Partnership
                          75 Remittance Drive, Suite 3205
                          Chicago, Illinois 60675-3205

     (n) Guarantor(s): None.

EXHIBITS
Exhibit A - Leased Premises
Exhibit B - Tenant Improvements
Exhibit B-1-Scope of Work
Exhibit C - Letter of Understanding
Exhibit D - Rules and Regulations
Exhibit E - Offer Space

     Section 1.02. Lease of Premises. Landlord hereby leases to Tenant and
Tenant hereby leases from Landlord the Leased Premises, under the terms and
conditions herein, together with a non-exclusive right, in common with others,
to use the following (collectively, the "Common Areas"): the areas of the
Building and the underlying land and improvements thereto that are designed for
use in common by all tenants of the Building and their respective employees,
agents, customers, invitees and others.

                         ARTICLE 2 - TERM AND POSSESSION

     Section 2.01. Term. The Lease Term ("Lease Term") shall be for the period
of time as set forth in Section 1.01(g) hereof, and shall commence on the date
(the "Commencement Date") that is the later to occur of (i) the Target
Commencement Date and (ii) Substantial Completion (as defined in Exhibit B
hereto) of the Tenant Improvements (as defined in Section 2.02 below) occurs.
Landlord hereby agrees that it shall use all commercially reasonable efforts to
complete Tenant Improvements within thirty (30) calendar days after Lease
execution subject to Tenant

                                       2

<PAGE>

Delay and Force Majeure.

     Section 2.02. Construction of Tenant Improvements. Landlord shall construct
and install all leasehold improvements to the Leased Premises (collectively, the
"Tenant Improvements") in accordance with Exhibit B attached hereto and made a
part hereof.

     Section 2.03. Surrender of the Premises. Upon the expiration or earlier
termination of this Lease, Tenant shall immediately surrender the Leased
Premises to Landlord in broom-clean condition and in good condition and repair.
Tenant shall also remove its personal property, trade fixtures and any of
Tenant's alterations designated by Landlord (including wiring and cabling),
promptly repair any damage caused by such removal, and restore the Leased
Premises to the condition existing upon the Commencement Date, reasonable wear
and tear excepted. If Tenant fails to do so, Landlord may restore the Leased
Premises to such condition at Tenant's expense, Landlord may cause all of said
property to be removed at Tenants expense, and Tenant hereby agrees to pay all
the costs and expenses thereby reasonably incurred. All Tenant property which is
not removed within ten (10) days following Landlord's written demand therefor
shall be conclusively deemed to have been abandoned by Tenant, and Landlord
shall be entitled to dispose of such property at Tenant's cost without thereby
incurring any liability to Tenant. The provisions of this section shall survive
the expiration or other termination of this Lease.

     Section 2.04. Holding Over. If Tenant retains possession of the Leased
Premises after the expiration or earlier termination of this Lease, Tenant shall
become a tenant from month to month at one hundred fifty percent (150%) of the
Monthly Rental Installment in effect at the end of the Lease Term, and otherwise
upon the terms, covenants and conditions herein specified, so far as applicable.
Acceptance by Landlord of rent in such event shall not result in a renewal of
this Lease, and Tenant shall vacate and surrender the Leased Premises to
Landlord upon Tenant being given thirty (30) days' prior written notice from
Landlord to vacate whether or not said notice is given on the rent paying date.
This Section 2.04 shall in no way constitute a consent by Landlord to any
holding over by Tenant upon the expiration or earlier termination of this Lease,
nor limit Landlord's remedies in such event.

                                ARTICLE 3 - RENT

     Section 3.01. Base Rent. Tenant shall pay to Landlord the Minimum Annual
Rent in the Monthly Rental Installments, in advance, without deduction or
offset, beginning on the Commencement Date and on or before the first day of
each and every calendar month thereafter during the Lease Term. The Monthly
Rental Installment for partial calendar months shall be prorated.

     Section 3.02. Additional Rent. In addition to the Minimum Annual Rent
Tenant shall pay to Landlord for each calendar year during the Lease Term, as
"Additional Rent", Tenant's Proportionate Share of all costs and expenses
incurred by Landlord during the Lease Term for Real Estate Taxes and Operating
Expenses for the Building and Common Areas.

     "Operating Expenses" shall mean all of Landlord's expenses for operation,
repair, replacement and maintenance to keep the Building and common areas in
good order, condition and repair (including all additional direct costs and
expenses of operation and maintenance of the

                                       3

<PAGE>

Building which Landlord reasonably determines it would have paid or incurred
during such year if the Building had been fully occupied), including, but not
limited to, management fees and administrative fees; utilities; stormwater
discharge fees; license, permit, inspection and other fees; fees and assessments
imposed by any covenants or owners' association; security services; insurance
premiums and deductibles; and maintenance, repair and replacement of the
driveways, parking areas (including snow removal), exterior lighting, landscaped
areas, walkways, curbs, storm conveyance systems, sewer lines, exterior walls,
foundation, structural frame, roof and gutters. The cost of any capital
improvement shall be amortized over the useful life of such improvement (as
reasonably determined by Landlord), and only the amortized portion shall be
included in Operating Expenses. The term "Operating Expenses" shall not include
(i) any expenses incurred by Landlord in connection with services or other
benefits of a type which are not provided to Tenant, but are provided to other
tenants or occupants of the Building; or (ii) costs of any services sold or
provided to tenants or other occupants for which Landlord is entitled to be
reimbursed by such tenants or other occupants as an additional charge of rental
over and above the basic rent (and escalations thereof).

     "Real Estate Taxes" shall include any form of real estate tax or assessment
or service payments in lieu thereof, and any license fee, commercial rental tax,
state franchise taxes assessed on tangible property, improvement bond or other
similar charge or tax (other than inheritance, personal income or estate taxes)
imposed upon the Building or common areas (or against Landlord's business of
leasing the Building) by any authority having the power to so charge or tax,
together with costs and expenses of contesting the validity or amount of Real
Estate Taxes which at Landlord's option may be calculated as if such contesting
work had been performed on a contingent fee basis (whether charged by Landlord's
counsel or representative; provided, however, that said fees are reasonably
comparable to the fees charged for similar services by others not affiliated
with Landlord, but in no event shall fees exceed thirty-three percent (33%) of
the good faith estimated tax savings). Additionally, Tenant shall pay, prior to
delinquency, all taxes assessed against and levied upon trade fixtures,
furnishings, equipment and all personal property of Tenant contained in the
Leased Premises.

     Section 3.03. Payment of Additional Rent. Landlord shall estimate the total
amount of Additional Rent to be paid by Tenant during each calendar year of the
Lease Term, pro-rated for any partial years. Commencing on the Commencement
Date, Tenant shall pay to Landlord each month, at the same time the Monthly
Rental Installment is due, an amount equal to one-twelfth (1/12) of the
estimated Additional Rent for such year. Within a reasonable time after the end
of each calendar year, Landlord shall submit to Tenant a statement of the actual
amount of such Additional Rent and within thirty (30) days after receipt of such
statement, Tenant shall pay any deficiency between the actual amount owed and
the estimates paid during such calendar year. In the event of overpayment,
Landlord shall credit the amount of such overpayment toward the next
installments of Minimum Rent, or shall promptly make payment in the amount of
such overpayment to Tenant if the overpayment occurs during the last year of the
Lease Term.

     Section 3.04. Late Charges. Tenant acknowledges that Landlord shall incur
certain additional unanticipated administrative and legal costs and expenses if
Tenant fails to timely pay any payment required hereunder. Therefore, in
addition to the other remedies available to Landlord hereunder, if any payment
required to be paid by Tenant to Landlord hereunder shall become overdue, such
unpaid amount shall bear interest from the due date thereof to the date of

                                       4

<PAGE>

payment at the prime rate (as reported in the Wall Street Journal) of interest
("Prime Rate") plus four percent (4%) per annum.

                          ARTICLE 4 - SECURITY DEPOSIT

     Tenant, upon execution of this Lease, shall deposit with Landlord the
Security Deposit as security for the performance by Tenant of all of Tenant's
obligations contained in this Lease. In the event of a default by Tenant,
Landlord may apply all or any part of the Security Deposit to cure all or any
part of such default; and Tenant agrees to promptly, upon demand, deposit such
additional sum with Landlord as may be required to maintain the full amount of
the Security Deposit. All sums held by Landlord pursuant to this section shall
be without interest. At the end of the Lease Term, provided that there is then
no uncured default, Landlord shall return the Security Deposit to Tenant within
thirty (30) days of the expiration or earlier termination of this Lease.

                                 ARTICLE 5 - USE

     Section 5.01. Use of Leased Premises. The Leased Premises are to be used by
Tenant solely for the Permitted Use and for no other purposes without the prior
written consent of Landlord.

     Section 5.02. Covenants of Tenant Regarding Use. Tenant shall (i) use and
maintain the Leased Premises and conduct its business thereon in a safe,
careful, reputable and lawful manner, (ii) comply with all laws, rules,
regulations, orders, ordinances, directions and requirements of any governmental
authority or agency, now in force or which may hereafter be in force, including
without limitation those which shall impose upon Landlord or Tenant any duty
with respect to or triggered by a change in the use or occupation of, or any
improvement or alteration to, the Leased Premises, and (iii) comply with and
obey all reasonable directions of the Landlord, including directions as to the
non-exclusive use of, and ratio of, parking spaces, as well as the Building
rules and regulations that may be adopted by Landlord from time to time. Tenant
shall not do or permit anything to be done in or about the Leased Premises or
common areas which constitutes a nuisance or which interferes with the rights of
other tenants or injures or annoys them. Landlord shall not be responsible to
Tenant for the nonperformance by any other tenant or occupant of the Building of
its lease or of any rules and regulations. Tenant shall not overload the floors
of the Leased Premises. All damage to the floor structure or foundation of the
Building due solely to improper positioning or storage of items or materials by
Tenant shall be repaired by Landlord at the sole expense of Tenant, who shall
reimburse Landlord immediately therefor upon demand. Tenant shall not use the
Leased Premises, or allow the Leased Premises to be used, for any purpose or in
any manner which would invalidate any policy of insurance now or hereafter
carried on the Building or increase the rate of premiums payable on any such
insurance policy unless Tenant reimburses Landlord as Additional Rent for any
increase in premiums charged solely as a result of Tenant's use of the Premises.

     Section 5.03. Landlord's Rights Regarding Use. In addition to the rights
specified elsewhere in this Lease, Landlord shall have the following rights
regarding the use of the Leased Premises or the common areas, each of which may
be exercised without notice or liability to Tenant, (a) Landlord may install
such signs, advertisements, notices or tenant identification

                                       5

<PAGE>

information within the common areas as it shall deem necessary or proper; (b)
Landlord shall have the right at any time to control, change or otherwise alter
the common areas as it shall deem necessary or proper; and (c) Landlord or
Landlord's agent shall be permitted to inspect or examine the Leased Premises at
any reasonable time upon reasonable notice (except in an emergency when no
notice shall be required), and Landlord shall have the right to make any repairs
to the Leased Premises which are necessary for its preservation; provided,
however, that any repairs made by Landlord shall be at Tenant's expense, except
as provided in Section 7.02 hereof and provided further that Landlord shall have
first provided Tenant with reasonable notice and opportunity to make such
repairs. Landlord shall incur no liability to Tenant for such entry, nor shall
such entry constitute an eviction of Tenant or a termination of this Lease, or
entitle Tenant to any abatement of rent therefor.

                       ARTICLE 6 - UTILITIES AND SERVICES

     Tenant shall obtain in its own name and pay directly to the appropriate
supplier the cost of all utilities and services serving the Leased Premises,
including janitorial services. However, if any services or utilities are jointly
metered with other property, Landlord shall make a reasonable determination of
Tenant's proportionate share of the cost of such utilities and services (at
rates that would have been payable if such utilities and services had been
directly billed by the utilities or services providers to Tenant) and Tenant
shall pay such share to Landlord within fifteen (15) days after receipt of
Landlord's written statement. Landlord shall not be liable in damages or
otherwise for any failure or interruption of any utility or other building
service and no such failure or interruption shall entitle Tenant to terminate
this Lease or withhold sums due hereunder. In the event of utility
"deregulation", Landlord may choose the service provider. In the event Landlord
is responsible for an interruption in the supply of utilities as provided
herein, and such interruption adversely affects Tenant's ability to conduct its
business in the Leased Premises for more than five (5) consecutive business
days, Tenant shall be entitled to an abatement of base rental for each day after
the fifth (50th) business day during which the interruption continues as its
sole remedy for such interruption.

                       ARTICLE 7 - MAINTENANCE AND REPAIRS

     Section 7.01. Tenant's Responsibility. During the Lease Term, Tenant shall,
at its own cost and expense, maintain the Leased Premises in good condition,
regularly servicing and promptly making all repairs and replacements thereto,
including but not limited to the electrical systems, heating and air
conditioning systems, plate glass, floors, windows and doors, sprinkler and
plumbing systems, and shall obtain a preventive maintenance contract on the
heating, ventilating and air-conditioning systems, and provide Landlord with a
copy thereof. The preventive maintenance contract shall meet or exceed
Landlord's standard maintenance criteria, and shall provide for the inspection
and maintenance of the heating, ventilating and air conditioning system on not
less than a semi-annual basis. Landlord hereby warrants to Tenant, which
warranty shall survive through and including May 31, 2006, that the heating,
ventilation and air-conditioning system serving the Leased Premises (the "HVAC")
shall be free from defects. This warranty shall exclude (i) damages or defects
caused by Tenant or any agents, contractors, employees or invitees of Tenant,
improper or insufficient maintenance, or improper operation, and (ii) any
repairs or replacements required to be made by Tenant's HVAC service provider
pursuant to Tenant's preventative maintenance contract with said HVAC service

                                       6

<PAGE>

provider.

     Section 7.02. Landlord's Responsibility. During the term of this Lease,
Landlord shall maintain in good condition and repair, and replace as necessary,
the roof, exterior walls, foundation and structural frame of the Building and
the parking and landscaped areas, the costs of which shall be included in
Operating Expenses to the extent provided in Section 3.02; provided, however,
that to the extent any of the foregoing items require repair because of the
negligence, misuse, or default of Tenant, its employees, agents, customers or
invitees, Landlord shall make such repairs solely at Tenant's expense but only
to the extent such repairs are not covered by insurance.

     Section 7.03. Alterations. Tenant shall not permit alterations in or to the
Leased Premises unless and until the plans have been approved by Landlord in
writing. As a condition of such approval, Landlord may require Tenant to remove
the alterations and restore the Leased Premises upon termination of this Lease;
otherwise, all such alterations shall at Landlord's option become a part of the
realty and the property of Landlord, and shall not be removed by Tenant. Tenant
shall ensure that all alterations shall be made in accordance with all
applicable laws, regulations and building codes, in a good and workmanlike
manner and of quality equal to or better than the original construction of the
Building. No person shall be entitled to any lien derived through or under
Tenant for any labor or material furnished to the Leased Premises, and nothing
in this Lease shall be construed to constitute a consent by Landlord to the
creation of any lien. If any lien is filed against the Leased Premises for work
claimed to have been done for or material claimed to have been furnished to
Tenant, Tenant shall cause such lien to be discharged of record within thirty
(30) days after filing. Tenant shall indemnify Landlord from all costs, losses,
expenses and attorneys' fees in connection with any construction or alteration
and any related lien.

                       ARTICLE 8 - INDEMNITY AND INSURANCE

     Section 8.01. Release. All of Tenant's trade fixtures, merchandise,
inventory and all other personal property in or about the Leased Premises, the
Building or the Common Areas, which is deemed to include the trade fixtures,
merchandise, inventory and personal property of others located in or about the
Leased Premises or Common Areas at the invitation, direction or acquiescence
(express or implied) of Tenant (all of which property shall be referred to
herein, collectively, as "Tenant's Property"), shall be and remain at Tenant's
sole risk. Landlord shall not be liable to Tenant or to any other person for,
and Tenant hereby releases Landlord from (a) any and all liability for theft or
damage to Tenant's Property, and (b) any and all liability for any injury to
Tenant or its employees, agents, contractors, guests and invitees in or about
the Leased Premises, the Building or the Common Areas, except to the extent of
personal injury (but not property loss or damage) caused directly by the
negligence or willful misconduct of Landlord, its agents, employees or
contractors. Nothing contained in this Section 8.01 shall limit (or be deemed to
limit) the waivers contained in Section 8.06 below. In the event of any conflict
between the provisions of Section 8.06 below and this Section 8.01, the
provisions of Section 8.06 shall prevail. This Section 8.01 shall survive the
expiration or earlier termination of this Lease.

     Section 8.02. Indemnification by Tenant. Tenant shall protect, defend,
indemnify and

                                       7

<PAGE>

hold Landlord, its agents, employees and contractors harmless from and against
any and all claims, damages, demands, penalties, costs, liabilities, losses, and
expenses (including reasonable attorneys' fees and expenses at the trial and
appellate levels) to the extent (a) arising out of or relating to any act,
omission, negligence, or willful misconduct of Tenant or Tenant's agents,
employees, contractors, customers or invitees in or about the Leased Premises,
the Building or the Common Areas, (b) arising out of or relating to any of
Tenant's Property, or (c) arising out of any other act or occurrence within the
Leased Premises, in all such cases except to the extent of personal injury (but
not property loss or damage) caused directly by the negligence or willful
misconduct of Landlord, its agents, employees or contractors. Nothing contained
in this Section 8.02 shall limit (or be deemed to limit) the waivers contained
in Section 8.06 below. In the event of any conflict between the provisions of
Section 8.06 below and this Section 8.02, the provisions of Section 8.06 shall
prevail. This Section 8.02 shall survive the expiration or earlier termination
of this Lease.

     Section 8.03. Indemnification by Landlord. Landlord shall protect, defend,
indemnify and hold Tenant, its agents, employees and contractors harmless from
and against any and all claims, damages, demands, penalties, costs, liabilities,
losses and expenses (including reasonable attorneys' fees and expenses at the
trial and appellate levels) to the extent arising out of or relating to any act,
omission, negligence or willful misconduct of Landlord or Landlord's agents,
employees or contractors. Nothing contained in this Section 8.03 shall limit (or
be deemed to limit) the waivers contained in Section 8.06 below. In the event of
any conflict between the provisions of Section 8.06 below and this Section 8.03,
the provisions of Section 8.06 shall prevail. This Section 8.03 shall survive
the expiration or earlier termination of this Lease.

     Section 8.04. Tenant's Insurance.

     (a) During the Lease Term (and any period of early entry or occupancy or
holding over by Tenant, if applicable), Tenant shall maintain the following
types of insurance, in the amounts specified below:

          (i) Liability Insurance. Commercial General Liability Insurance (which
insurance shall not exclude blanket contractual liability, broad form property
damage, personal injury, or fire damage coverage) covering the Leased Premises
and Tenant's use thereof against claims for bodily injury or death and property
damage, which insurance shall provide coverage on an occurrence basis with a
combined single limit of not less than $1,000,000 per occurrence, with general
umbrella coverage of not less than $5,000,000 for each policy year, which limits
may be satisfied by any combination of primary and excess or umbrella per
occurrence policies.

          (ii) Casualty Insurance. Special Form Insurance (which insurance shall
not exclude flood or earthquake) in the amount of the full replacement cost of
Tenant's Property and betterments (including alterations or additions performed
by Tenant pursuant hereto, but excluding those improvements, if any, made
pursuant to Section 2.02 above), which insurance shall include an agreed amount
endorsement waiving coinsurance limitations.

          (iii) Worker's Compensation Insurance. Worker's Compensation insurance
in amounts required by applicable law.

                                       8

<PAGE>

          (iv) Business Interruption Insurance. If Tenant elects not to carry
business interruption insurance, Tenant releases Landlord from any and all
liability arising during the Lease Term which would have been covered by
business interruption insurance had Tenant carried such insurance.

     (b) All insurance required by Tenant hereunder shall (i) be issued by one
or more insurance companies reasonably acceptable to Landlord, licensed to do
business in the State in which the Leased Premises is located and having an AM
Best's rating of A IX or better, and (ii) provide that said insurance shall not
be materially changed, canceled or permitted to lapse on less than thirty (30)
days' prior written notice to Landlord. In addition, Tenant's insurance shall
protect Tenant and Landlord as their interests may appear, naming Landlord,
Landlord's managing agent, and any mortgagee requested by Landlord, as
additional insureds under its commercial general liability policies. On or
before the Commencement Date (or the date of any earlier entry or occupancy by
Tenant), and thereafter, within thirty (30) days prior to the expiration of each
such policy, Tenant shall furnish Landlord with certificates of insurance in the
form of ACORD 27, evidencing all required coverages, together with a copy of the
endorsements to Tenant's commercial general liability policies naming the
appropriate additional insureds. Upon Tenant's receipt of a request from
Landlord, Tenant shall provide Landlord with copies of all insurance policies,
including all endorsements, evidencing the coverages required hereunder. If
Tenant fails to carry such insurance and furnish Landlord with such certificates
of insurance or copies of insurance policies (if applicable), Landlord may
obtain such insurance on Tenant's behalf and Tenant shall reimburse Landlord
upon demand for the cost thereof as Additional Rent.

     Section 8.05. Landlord's Insurance. During the Lease Term, Landlord shall
maintain the following types of insurance, in the amounts specified below (the
cost of which shall be included in Operating Expenses):

     (a) Liability Insurance. Commercial General Liability Insurance (which
insurance shall not exclude blanket, contractual liability, broad form property
damage, personal injury, or fire damage coverage) covering the Common Areas
against claims for bodily injury or death and property damage, which insurance
shall provide coverage on an occurrence basis with a combined single limit of
not less than $3,000,000 per occurrence, and with general aggregate limits of
not less than $10,000,000 for each policy year, which limits may be satisfied by
any combination of primary and excess or umbrella per occurrence policies.

     (b) Casualty Insurance. Special Form Insurance (which insurance shall not
exclude flood or earthquake) in the amount of the full replacement cost of the
Building, including, without limitation, any improvements, if any, made pursuant
to Section 2.02 above, but excluding Tenant's Property and any other items
required to be insured by Tenant pursuant to Section 8.04 above.

     Section 8.06. Waiver of Subrogation. Notwithstanding anything contained in
this Lease to the contrary, Landlord and Tenant hereby waive any rights each may
have against the other on account of any loss of or damage to their respective
property, the Leased Premises, its contents, or other portions of the Building
or Common Areas arising from any risk which is required to be insured against by
Sections 8.04(a)(ii) and 8.05(b) above. The special form coverage insurance

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<PAGE>

policies maintained by Landlord and Tenant as provided in this Lease shall
include an endorsement containing an express waiver of any rights of subrogation
by the insurance company against Landlord and Tenant, as applicable.

                              ARTICLE 9 - CASUALTY

     In the event of total or partial destruction of the Building or the Leased
Premises by fire or other casualty, Landlord agrees promptly to restore and
repair same; provided, however, Landlord's obligation hereunder with respect to
the Leased Premises shall be limited to the reconstruction of such of the
leasehold improvements as were originally required to be made by Landlord
pursuant to Section 2.02 above, if any. Rent shall proportionately abate during
the time that the Leased Premises or part thereof are unusable because of any
such damage. Notwithstanding the foregoing, if the Leased Premises are (a) so
destroyed that they cannot be repaired or rebuilt within one hundred eighty
(180) days from the casualty date; or (b) destroyed by a casualty that is not
covered by the insurance required hereunder or, if covered, such insurance
proceeds are not released by any mortgagee entitled thereto or are insufficient
to rebuild the Building and the Leased Premises; then, in case of a clause (a)
casualty, either Landlord or Tenant may, or, in the case of a clause (b)
casualty, then Landlord may, upon thirty (30) days' written notice to the other
party, terminate this Lease with respect to matters thereafter accruing. Tenant
waives any right under applicable laws inconsistent with the terms of this
paragraph. Notwithstanding the provisions of this paragraph, if any such damage
or destruction occurs within the last year of the term hereof, then Landlord, in
its sole discretion, may, without regard to the aforesaid one hundred eighty
(180) day period, terminate this Lease by written notice to Tenant.

                           ARTICLE 10 - EMINENT DOMAIN

     If all or any substantial part of the Building or common areas shall be
acquired by the exercise of eminent domain, Landlord may terminate this Lease by
giving written notice to Tenant on or before the date that actual possession
thereof is so taken. If all or any part of the Leased Premises shall be acquired
by the exercise of eminent domain so that the Leased Premises shall become
materially unfit for use by Tenant for the Permitted Use, Tenant may terminate
this Lease as of the date that actual possession thereof is so taken by giving
written notice to Landlord. All damages awarded shall belong to Landlord;
provided, however, that Tenant may claim dislocation damages if such amount is
not subtracted from Landlord's award.

                      ARTICLE 11 - ASSIGNMENT AND SUBLEASE

     Tenant shall not assign this Lease or sublet the Leased Premises in whole
or in part without Landlord's prior written consent, which consent, except as
set forth below, shall not be unreasonably withheld, delayed or denied. In the
event of any assignment or subletting, Tenant shall remain primarily liable
hereunder, and any extension, expansion, rights of first offer, rights of first
refusal or other options granted to Tenant under this Lease shall be rendered
void and of no further force or effect. The acceptance of rent from any other
person shall not be deemed to be a waiver of any of the provisions of this Lease
or to be a consent to the assignment of this

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<PAGE>

Lease or the subletting of the Leased Premises. Without in any way limiting
Landlord's right to refuse to consent to any assignment or subletting of this
Lease, Landlord reserves the right to refuse to give such consent if in
Landlord's opinion (i) the Leased Premises are or may be in any way adversely
affected; (ii) the business reputation of the proposed assignee or subtenant is
unacceptable; or (iii) the financial worth of the proposed assignee or subtenant
is insufficient to meet the obligations hereunder. Tenant agrees to reimburse
Landlord for reasonable accounting and attorneys' fees incurred in conjunction
with the processing and documentation of any such requested assignment,
subletting or any other hypothecation of this Lease or Tenant's interest in and
to the Leased Premises.

                       ARTICLE 12 - TRANSFERS BY LANDLORD

     Section 12.01. Sale of the Building. Landlord shall have the right to sell
the Building at any time during the Lease Term, subject only to the rights of
Tenant hereunder; and such sale shall operate to release Landlord from liability
hereunder after the date of such conveyance.

     Section 12.02. Estoppel Certificate. Within ten (10) business days
following receipt of a written request from Landlord, Tenant shall execute and
deliver to Landlord, without cost, any instrument which Landlord deems
reasonably necessary or desirable to confirm the subordination of this Lease and
an estoppel certificate in such form as Landlord may reasonably request
certifying (i) that this Lease is in full force and effect and unmodified or
stating the nature of any modification, (ii) the date to which rent has been
paid, (iii) that there are not, to Tenant's knowledge, any uncured defaults or
specifying such defaults if any are claimed, and (iv) any other matters or state
of facts reasonably required respecting the Lease. Such estoppel may be relied
upon by Landlord and by any purchaser or mortgagee of the Building.

     Section 12.03. Subordination. Landlord shall have the right to subordinate
this Lease to any mortgage presently existing or hereafter placed upon the
Building by so declaring in such mortgage. Notwithstanding the foregoing, if the
mortgagee shall take title to the Leased Premises through foreclosure or deed in
lieu of foreclosure, Tenant shall be allowed to continue in possession of the
Leased Premises as provided for in this Lease so long as Tenant shall not be in
default. Landlord shall (a) notify Tenant in writing of the name of the
mortgagee if Landlord places a mortgage on the Building and (b) use commercially
reasonable efforts, upon written request by Tenant and at Tenant's sole expense,
to obtain a Subordination, Non-Disturbance and Attornment Agreement executed by
holders of any mortgages on the Leased Premises providing that (i) in the event
the mortgagee files suit to foreclose the mortgage, the mortgagee will not join
Tenant in the foreclosure proceedings so long as Tenant is not in default under
any of the terms, covenants and conditions of the Lease, (ii) in the event
mortgagee succeeds to the interest of mortgagor, as Landlord, and Tenant is not
in default under the terms, covenants or conditions of the Lease, the mortgagee
shall be bound to Tenant under all of the terms, covenants and conditions of the
Lease, (iii) Tenant agrees to attorn to mortgagee, and (iv) Tenant agrees to
give mortgagee notice of Landlord's default and opportunity to cure.

                         ARTICLE 13 - DEFAULT AND REMEDY

     Section 13.01. Default. The occurrence of any of the following shall be a
"Default":

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<PAGE>

     (a) Tenant fails to pay any Monthly Rental Installment or Additional Rent
within five (5) days after the same is due (a "Monetary Default"), but Tenant
will not be in Monetary Default for the first such failure within any
consecutive twelve (12) month period if Tenant pays the delinquent amount, plus
any applicable late fee, within five (5) days after Landlord delivers written
notice of such failure to Tenant., or Tenant fails to pay any other amounts due
Landlord from Tenant within ten (10) days after written notice from Landlord
that the same is due.

     (b) Tenant fails to perform or observe any other term, condition, covenant
or obligation required under this Lease for a period of thirty (30) days after
notice thereof from Landlord; provided, however, that if the nature of Tenant's
default is such that more than thirty days are reasonably required to cure, then
such default shall be deemed to have been cured if Tenant commences such
performance within said thirty-day period and thereafter diligently completes
the required action within a reasonable time.

     (c) Tenant shall assign or sublet all or a portion of the Leased Premises
in contravention of the provisions of Article 11 of this Lease.

     (d) All or substantially all of Tenant's assets in the Leased Premises or
Tenant's interest in this Lease are attached or levied under execution (and
Tenant does not discharge the same within sixty (60) days thereafter); a
petition in bankruptcy, insolvency or for reorganization or arrangement is filed
by or against Tenant (and Tenant fails to secure a stay or discharge thereof
within sixty (60) days thereafter); Tenant is insolvent and unable to pay its
debts as they become due; Tenant makes a general assignment for the benefit of
creditors; Tenant takes the benefit of any insolvency action or law; the
appointment of a receiver or trustee in bankruptcy for Tenant or its assets if
such receivership has not been vacated or set aside within thirty (30) days
thereafter; or, dissolution or other termination of Tenant's corporate charter
if Tenant is a corporation if the same is not promptly reinstated.

     Section 13.02. Remedies. Upon the occurrence of any Default, Landlord shall
have the following rights and remedies, in addition to those allowed by law or
in equity, any one or more of which may be exercised without further notice to
Tenant:

     (a) Landlord may apply the Security Deposit or re-enter the Leased Premises
and cure any default of Tenant, and Tenant shall reimburse Landlord as
additional rent for any costs and expenses which Landlord thereby incurs; and
Landlord shall not be liable to Tenant for any loss or damage which Tenant may
sustain by reason of Landlord's action.

     (b) Landlord may terminate this Lease or, without terminating this Lease,
terminate Tenant's right to possession of the Leased Premises as of the date of
such Default, and thereafter (i) neither Tenant nor any person claiming under or
through Tenant shall be entitled to possession of the Leased Premises, and
Tenant shall immediately surrender the Leased Premises to Landlord; and (ii)
Landlord may re-enter the Leased Premises and dispossess Tenant and any other
occupants of the Leased Premises by any lawful means and may remove their
effects, without prejudice to any other remedy which Landlord may have. Upon the
termination of this Lease, Landlord may declare the present value (discounted at
the Prime Rate) of all rent which would have been due under this Lease for the
balance of the Lease Term to be immediately due and payable minus the amount
Landlord could reasonably mitigate by reletting the Premises to

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<PAGE>

another person or entity, whereupon Tenant shall be obligated to pay the same to
Landlord, together with all loss or damage which Landlord may sustain directly
by reason of Tenant's default ("Default Damages"), which shall include without
limitation expenses of preparing the Leased Premises for re-letting, demolition,
repairs, tenant finish improvements, brokers' commissions and attorneys' fees,
it being expressly understood and agreed that the liabilities and remedies
specified in this subsection (b) shall survive the termination of this Lease.

     (c) Landlord may, without terminating this Lease, re-enter the Leased
Premises and re-let all or any part thereof for a term different from that which
would otherwise have constituted the balance of the Lease Term and for rent and
on terms and conditions different from those contained herein, whereupon Tenant
shall be immediately obligated to pay to Landlord as liquidated damages the
present value (discounted at the Prime Rate) of the difference between the rent
provided for herein and that provided for in any lease covering a subsequent
re-letting of the Leased Premises, for the period which would otherwise have
constituted the balance of the Lease Term, together with all of Landlord's
Default Damages.

     (d) Landlord may sue for injunctive relief or to recover damages for any
loss resulting from the Default.

     Section 13.03. Landlord's Default and Tenant's Remedies. Landlord shall be
in default if it fails to perform any term, condition, covenant or obligation
required under this Lease for a period of thirty (30) days after written notice
thereof from Tenant to Landlord; provided, however, that if the term, condition,
covenant or obligation to be performed by Landlord is such that it cannot
reasonably be performed within thirty (30) days, such default shall be deemed to
have been cured if Landlord commences such performance within said thirty-day
period and thereafter diligently undertakes to complete the same. Upon the
occurrence of any such default, Tenant may sue for injunctive relief or to
recover damages for any loss directly resulting from the breach, but Tenant
shall not be entitled to terminate this Lease or withhold, offset or abate any
sums due hereunder except pursuant to an order of a court of competent
jurisdiction.

     Section 13.04. Limitation of Landlord's Liability. If Landlord shall fail
to perform any term, condition, covenant or obligation required to be performed
by it under this Lease and if Tenant shall, as a consequence thereof, recover a
money judgment against Landlord, Tenant agrees that it shall look solely to
Landlord's right, title and interest in and to the Building (including rents and
profits therefrom) for the collection of such judgment; and Tenant further
agrees that no other assets of Landlord shall be subject to levy, execution or
other process for the satisfaction of Tenant's judgment.

     Section 13.05. Nonwaiver of Defaults. Neither party's failure or delay in
exercising any of its rights or remedies or other provisions of this Lease shall
constitute a waiver thereof or affect its right thereafter to exercise or
enforce such right or remedy or other provision. No waiver of any default shall
be deemed to be a waiver of any other default. Landlord's receipt of less than
the full rent due shall not be construed to be other than a payment on account
of rent then due, nor shall any statement on Tenant's check or any letter
accompanying Tenant's check be deemed an accord and satisfaction. No act or
omission by Landlord or its employees or agents during the Lease Term shall be
deemed an acceptance of a surrender of the Leased Premises, and no agreement to
accept such a surrender shall be valid unless in writing and signed by Landlord.

                                       13

<PAGE>

     Section 13.06. Attorneys' Fees. If either party defaults in the performance
or observance of any of the terms, conditions, covenants or obligations
contained in this Lease and the non-defaulting party obtains a judgment against
the defaulting party, then the defaulting party agrees to reimburse the
non-defaulting party for reasonable attorneys' fees incurred in connection
therewith.

                ARTICLE 14 - LANDLORD'S RIGHT TO RELOCATE TENANT

Landlord shall have the right upon at least sixty (60) days' prior written
notice to Tenant to relocate Tenant and to substitute for the Leased Premises
other space in the Building or in the Park containing at least as much rentable
area as the Leased Premises. Such substituted space shall be improved by
Landlord, at its expense, with improvements at least equal in quantity and
quality to those in the Leased Premises and in the same manner as the Leased
Premises were altered for Tenant prior to or after the commencement of this
Lease by Landlord. Landlord shall reimburse Tenant for all reasonable expenses
incurred in connection with such relocation, including but not limited to
Tenant's reasonable out-of-pocket expenses for (i) moving and installation of
Tenant's furniture, equipment, supplies, (ii) replacement of Tenant's stationary
and business cards and (iii) moving and installation of Tenant's telephones and
telephone equipment from the present Leased Premises to the Substitution Space.
In no event shall Landlord be liable to Tenant for any consequential damages as
a result of any such relocation, including, but not limited to, loss of business
income or opportunity.

          ARTICLE 15 - TENANT'S RESPONSIBILITY REGARDING ENVIRONMENTAL
                         LAWS AND HAZARDOUS SUBSTANCES.

     Section 15.01. Definitions.

     a. "Environmental Laws" - All present or future federal, state and
municipal laws, ordinances, rules and regulations applicable to the
environmental and ecological condition of the Leased Premises, the rules and
regulations of the Federal Environmental Protection Agency or any other federal,
state or municipal agency or governmental board or entity having jurisdiction
over the Leased Premises.

     b. "Hazardous Substances" - Those substances included within the
definitions of "hazardous substances", "hazardous materials", "toxic substances"
"solid waste" or "infectious waste" under Environmental Laws.

     Section 15.02. Compliance. Tenant, at its sole cost and expense, shall
promptly comply with the Environmental Laws including any notice from any source
issued pursuant to the Environmental Laws or issued by any insurance company
which shall impose any duty upon Tenant with respect to the use, occupancy,
maintenance or alteration of the Leased Premises whether such notice shall be
served upon Landlord or Tenant.

     Section 15.03. Restrictions on Tenant. Tenant shall operate its business
and maintain the Leased Premises in compliance with all Environmental Laws.
Tenant shall not cause or permit the use, generation, release, manufacture,
refining, production, processing, storage or disposal of any Hazardous
Substances on, under or about the Leased Premises, or the transportation to or
from the Leased Premises of any Hazardous Substances, except as necessary and
appropriate for

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<PAGE>

its Permitted Use in which case the use, storage or disposal of such Hazardous
Substances shall be performed in compliance with the Environmental Laws and the
standards generally prevailing in the industry.

     Section 15.04. Notices, Affidavits, Etc. Tenant shall immediately notify
Landlord when Tenant obtains any actual knowledge of (i) any violation by
Tenant, its employees, agents, representatives, customers, invitees or
contractors of the Environmental Laws on, under or about the Leased Premises, or
(ii) the presence or suspected presence of any Hazardous Substances on, under or
about the Leased Premises and shall immediately deliver to Landlord any notice
received by Tenant relating to (i) and (ii) above from any source. Tenant shall
execute affidavits, representations and the like within five (5) business days
of Landlord's written request therefor concerning Tenant's best knowledge and
belief regarding the presence of any Hazardous Substances on, under or about the
Leased Premises.

     Section 15.05. Landlord's Rights. Landlord and its agents shall have the
right, but not the duty, upon reasonable advance notice (except in the case of
emergency when no notice shall be required) to inspect the Leased Premises and
conduct tests thereon to determine whether or the extent to which there has been
a violation of Environmental Laws by Tenant or whether there are Hazardous
Substances on, under or about the Leased Premises. In exercising its rights
herein, Landlord shall use reasonable efforts to minimize interference with
Tenant's business but such entry shall not constitute an eviction of Tenant, in
whole or in part, and Landlord shall not be liable for any interference, loss,
or damage to Tenant's property or business caused thereby.

     Section 15.06. Tenant's Indemnification. Tenant shall indemnify Landlord
and Landlord's managing agent from any and all claims, losses, liabilities,
costs, expenses and damages, including attorneys' fees, costs of testing and
remediation costs, incurred by Landlord in connection with any breach by Tenant
of its obligations under this Article 15. The covenants and obligations under
this Article 15 shall survive the expiration or earlier termination of this
Lease. Notwithstanding anything contained in this Article 15 to the contrary,
Tenant shall not have any liability to Landlord under this Article 15 resulting
from any conditions existing, or events occurring, or any Hazardous Substances
existing or generated, at, in, on, under or in connection with the Leased
Premises prior to the Commencement Date of this Lease (except to the extent
Tenant exacerbates the same) or that are not otherwise caused by Tenant.

     Section 15.07. Landlord's Representation. To the best of Landlord's
knowledge and belief Landlord represents that as of the Commencement Date of the
term hereof, the Leased Premises shall either be in compliance with all
governmental codes, ordinances, rules and regulations (including but not limited
to all Environmental Laws) or, if required at such time, shall be brought into
such compliance.

                           ARTICLE 16 - MISCELLANEOUS

     Section 16.01. Benefit of Landlord and Tenant. This Lease shall inure to
the benefit of and be binding upon Landlord and Tenant and their respective
successors and assigns.

     Section 16.02. Governing Law. This Lease shall be governed in accordance
with the laws of the State where the Building is located.

                                       15

<PAGE>

     Section 16.03. Guaranty. In consideration of Landlord's leasing the Leased
Premises to Tenant, Tenant shall provide Landlord with a Guaranty of Lease
executed by the guarantor(s) described in the Basic Lease Provisions, if any.

     Section 16.04. Force Majeure. Landlord and Tenant (except with respect to
the payment of any monetary obligation) shall be excused for the period of any
delay in the performance of any obligation hereunder when such delay is
occasioned by causes beyond its control, including but not limited to work
stoppages, boycotts, slowdowns or strikes; shortages of materials, equipment,
labor or energy; unusual weather conditions; or acts or omissions of
governmental or political bodies.

     Section 16.05. Examination of Lease. Submission of this instrument for
examination or signature to Tenant does not constitute a reservation of or
option for Lease, and it is not effective as a Lease or otherwise until
execution by and delivery to both Landlord and Tenant.

     Section 16.06. Indemnification for Leasing Commissions. The parties hereby
represent and warrant that the only real estate brokers involved in the
negotiation and execution of this Lease are the Brokers. Each party shall
indemnify the other from any and all liability for the breach of this
representation and warranty on its part and shall pay any compensation to any
other broker or person who may be entitled thereto.

     Section 16.07. Notices. Any notice required or permitted to be given under
this Lease or by law shall be deemed to have been given if it is written and
delivered in person or by overnight courier or mailed by certified mail, postage
prepaid, to the party who is to receive such notice at the address specified in
Article 1. If delivered in person, notice shall be deemed given as of the
delivery date. If sent by overnight courier, notice shall be deemed given as of
the first business day after sending. If mailed, the notice shall be deemed to
have been given on the date which is three business days after mailing. Either
party may change its address by giving written notice thereof to the other
party.

     Section 16.08. Partial Invalidity; Complete Agreement. If any provision of
this Lease shall be held to be invalid, void or unenforceable, the remaining
provisions shall remain in full force and effect. This Lease represents the
entire agreement between Landlord and Tenant covering everything agreed upon or
understood in this transaction. There are no oral promises, conditions,
representations, understandings, interpretations or terms of any kind as
conditions or inducements to the execution hereof or in effect between the
parties. No change or addition shall be made to this Lease except by a written
agreement executed by Landlord and Tenant.

     Section 16.09. Financial Statements. During the Lease Term and any
extensions thereof, Tenant shall provide to Landlord, upon Landlord's request,
on an annual basis, within ninety (90) days following the end of Tenant's fiscal
year, a copy of Tenant's most recent financial statements (certified and audited
if the Minimum Annual Rent hereunder exceeds $100,000) prepared as of the end of
Tenant's fiscal year. Such financial statements shall be signed by Tenant who
shall attest to the truth and accuracy of the information set forth in such
statements. All financial statements provided by Tenant to Landlord hereunder
shall be prepared in conformity with generally accepted accounting principles,
consistently applied. Landlord agrees that it shall keep the information
contained in such financial statements confidential and shall use

                                       16

<PAGE>

the financial statements solely for the purposes of evaluating Tenant's
financial worth and will not use any of the financial statements, directly or
indirectly, for Landlord's own account or in any manner that is detrimental to
the interest of Tenant.

     Section 16.10. Representations and Warranties. The undersigned represent
and warrant that (i) such party is duly organized, validly existing and in good
standing (if applicable) in accordance with the laws of the state under which it
was organized and if such state is not the state in which the Leased Premises is
located, that it is authorized to do business in such state; and (ii) the
individual executing and delivering this Lease has been properly authorized to
do so, and such execution and delivery shall bind such party.

                         ARTICLE 17 - SPECIAL PROVISIONS

     Section 17.01. Option To Extend.

     (a) Grant and Exercise of Option. Provided that (i) Tenant has not been in
Default under the Lease beyond applicable cure periods, (ii) the
creditworthiness of Tenant is then acceptable to Landlord, (iii) Tenant
originally named herein remains in possession of and has been continuously
operating in the entire Leased Premises throughout the Lease Term and (iv) the
current use of the Leased Premises is consistent with the Permitted Use
hereunder (unless a change in Permitted Use has since been approved by
Landlord), Tenant shall have one (1) option to extend the Term for one (1)
additional period of two (2) years (the "Extension Term"). The Extension Term
shall be upon the same terms and conditions contained in the Lease for the
original Lease Term except (i) Tenant shall not have any further option to
extend and (ii) the Minimum Annual Rent shall be adjusted as set forth in
subsection (b) below ("Rent Adjustment"). Tenant shall exercise such option by
delivering to Landlord, no later than six (6) months prior to the expiration of
the Lease Term, written notice of Tenant's desire to extend the Lease Term.
Tenant's failure to properly exercise such option shall be deemed a waiver of
such option. If Tenant properly exercises its option to extend, Landlord shall
notify Tenant of the Rent Adjustment no later than one hundred fifty (150) days
prior to the commencement of the Extension Term. Tenant shall have five (5)
business days following its receipt of Landlord's notice to notify Landlord in
writing that Tenant objects to the Rent Adjustment, and therefore that Tenant
retracts its option to extend the Lease Term, in which case the Lease Term shall
expire on its scheduled expiration date and Tenant's option to extend shall be
void and of no further force and effect. Tenant shall be deemed to have accepted
the Rent Adjustment if it fails to deliver to Landlord a written objection
thereto within five (5) business days after receipt thereof. If Tenant properly
exercises its option to extend, Landlord and Tenant shall execute an amendment
to the Lease (or, at Landlord's option, a new lease on the form then in use for
the Building) reflecting the terms and conditions of the Extension Term, within
thirty (30) days after Tenant's exercise of its option to extend, which
amendment shall have no force or effect until both Tenant and Landlord shall
have executed same.

     (b) Rent Adjustment. The Minimum Annual Rent for the Extension Term shall
be an amount equal to the minimum annual rent then being quoted by Landlord to
prospective new tenants of the Building for space of comparable size and quality
and with similar or equivalent improvements as are found in the Building, and if
none, then in similar buildings in the Park, excluding free rent and other
concessions. The Minimum Monthly Rent shall be an amount equal

                                       17

<PAGE>

to one-twelfth (1/12) of the Minimum Annual Rent for the Extension Term and
shall be paid at the same time and in the same manner as provided in the Lease.

     Section 17.02. Right of First Offer.

     (a) Provided that (i) Tenant has not been in Default under the Lease beyond
applicable cure periods, (ii) the creditworthiness of Tenant is then acceptable
to Landlord beyond applicable cure periods, (iii) Tenant originally named herein
remains in possession of and has been continuously operating in the entire
Leased Premises throughout the Lease Term and (iv) the current use of the Leased
Premises is consistent with the Permitted Use hereunder unless a change in
Permitted Use has been approved by Landlord, and subject to any renewals,
extensions or expansions of the existing tenant or other tenants to the Offer
Space (as hereinafter defined), Landlord shall notify Tenant in writing
("Landlord's Notice") of the availability of Suite 511 and Suite 513 in the
Building, as shown on Exhibit E attached hereto (the "Offer Space") before
entering into a lease with a third party for such Offer Space. Tenant shall have
five (5) business days from its receipt of Landlord's Notice to deliver to
Landlord a written acceptance agreeing to lease the Offer Space on the terms and
conditions contained in Landlord's Notice. In the event Tenant fails to notify
Landlord of its acceptance within said five (5) business day period, such
failure shall be conclusively deemed a waiver of Tenant's rights under this
Section 17.02 and a rejection of the Offer Space, whereupon Tenant shall have no
further rights with respect to the Offer Space and Landlord shall be free to
lease the Offer Space to a third party. In the event Tenant accepts the Offer
Space, Tenant shall lease the Offer Space on the terms and conditions of this
Lease, as modified by Landlord's Notice. Notwithstanding the foregoing, if
Tenant accepts the Offer Space, the term for the Offer Space shall be
coterminous with the term for the original Leased Premises; provided, however,
that the minimum term for the Offer Space shall be thirty-six (36) months and
the Lease Term for the original Leased Premises shall be extended, if necessary,
to be coterminous with the term for the Offer Space. The Minimum Annual Rent for
the Offer Space shall be equal to the rate which is then being quoted by
Landlord to prospective new tenants for the Offer Space, excluding free rent and
other concessions. The Minimum Annual Rent for the original Leased Premises
during any such extended term shall be an amount equal to the Minimum Annual
Rent then being quoted by Landlord to prospective new tenants of the Building
for space of comparable size and quality and with similar or equivalent
improvements as are found in the Building, and if none, then in similar
buildings in the vicinity, excluding free rent and other concessions.

     (b) If Tenant waives its right to lease the Offer Space pursuant to
subsection (a) above, and Landlord fails to lease the Offer Space to a third
party within ninety (90) days following such waiver, Landlord shall not lease
the Offer Space to a third party without again notifying Tenant of the
availability of the Offer Space, in which case Tenant shall again have the right
to lease the Offer Space in accordance with this Section 17.02.

     (c) This Right of First Offer shall commence as of the date hereof, and
shall expire and be of no further force or effect upon the expiration of the
initial Lease Term, or any earlier waiver of this Right of First Offer pursuant
to subsection (a) above.

     Section 17.03. Option to Expand. Provided that (i) Tenant has not been in
Default under the Lease beyond applicable cure periods (ii) the creditworthiness
of Tenant is then acceptable to

                                       18

<PAGE>

Landlord, (iii) Tenant originally named herein remains in possession of and has
been continuously operating in the entire Leased Premises throughout the
Original Term, (iv) Tenant finds it necessary to expand its operations during
the term of this Lease and requires at least fifty percent (50%) more rentable
area than is contained in the Leased Premises, (v) Landlord has sufficient space
to lease to Tenant in the Park, and (vi) Landlord and Tenant mutually agree on
the terms and conditions of the lease of such space, Tenant shall have the
option to expand the Leased Premises by delivering to Landlord, no later than
six (6) months prior to the proposed effective date of such expansion, written
notice of Tenant's desire to expand the Leased Premises. The Leased Premises,
after such expansion, shall consist of not less than 4,050 rentable square feet
(the "Expanded Premises"). Provided the conditions set out above are met, if
sufficient space is not available for lease in the Building at the time Tenant
exercises its option to expand, Landlord shall, at Tenant's election and at
Tenant's expense, relocate the Expanded Premises to another Building owned by
Landlord in the Park. If Tenant properly exercises its option to expand,
Landlord and Tenant shall execute a new Lease or an amendment to the Lease
reflecting the terms and conditions for the Expanded Premises. In no event shall
Landlord be required to terminate this Lease in order to relocate Tenant to any
place other than another building owned by Landlord, as described above.

     Section 17.04. Parking. Tenant shall be entitled to the non-exclusive use
of the parking spaces designated for the Building by Landlord. Tenant agrees not
to overburden the parking facilities and agrees to cooperate with Landlord and
other tenants in the use of the parking facilities. Landlord reserves the right
in its absolute discretion to determine whether parking facilities are becoming
crowded and, in such event, to allocate parking spaces between Tenant and other
tenants. There will be no assigned parking unless Landlord, in its sole
discretion, deems such assigned parking advisable. No vehicle may be repaired or
serviced in the parking area and any vehicle brought into the parking area by
Tenant, or any of Tenant's employees, contractors or invitees, and deemed
abandoned by Landlord will be towed and all costs thereof shall be borne by the
Tenant. All driveways, ingress and egress, and all parking spaces are for the
joint use of all tenants. There shall be no parking permitted on any of the
streets or roadways located within the Park. In addition, Tenant agrees that its
employees will not park in the spaces designated visitor parking.

     IN WITNESS WHEREOF, the parties hereto have executed this Lease as of the
day and year first above written.

                                        LANDLORD:

                                        DUKE REALTY LIMITED PARTNERSHIP, an
                                        Indiana limited partnership

                                        By: Duke Realty Corporation,
                                            its general partner

                                        By: /s/ John W. Nelley, Jr.
                                            ------------------------------------
                                            John W. Nelley, Jr.
                                            Managing Director
                                            Nashville Operations

                                       19

<PAGE>

                                        TENANT:

                                        SPHERIS OPERATIONS INC., a Tennessee
                                        corporation

                                        By: /s/ Tony James, CFO
                                            ------------------------------------
                                        Printed: Tony James
                                                 -------------------------------
                                        Title: CFO
                                               ---------------------------------

                           END OF EXECUTION SIGNATURES

                                       20

<PAGE>

                                    EXHIBIT A

                                 LEASED PREMISES

                                       21
<PAGE>

                                    EXHIBIT B

                               TENANT IMPROVEMENTS

     1. Landlord's Obligations. Tenant has personally inspected the Leased
Premises and accepts the same "AS IS" without representation or warranty by
Landlord of any kind and with the understanding that Landlord shall have no
responsibility with respect thereto except to construct and install within the
Leased Premises, in a good and workmanlike manner, the Tenant Improvements, in
accordance with this EXHIBIT B and the Scope of Work attached as EXHIBIT B-1.

     2. Schedule and Early Occupancy. Landlord shall provide Tenant with a
proposed schedule for the construction and installation of the Tenant
Improvements and shall notify Tenant of any material changes to said schedule.
Tenant agrees to coordinate with Landlord regarding the installation of Tenant's
phone and data wiring and any other trade related fixtures that will need to be
installed in the Leased Premises prior to Substantial Completion. During any
entry prior to the Commencement Date (a) Tenant shall comply with all terms and
conditions of this Lease other than the obligation to pay rent, (b) Tenant shall
not interfere with Landlord's completion of the Tenant Improvements, (c) Tenant
shall cause its personnel and contractors to comply with the terms and
conditions of Landlord's rules of conduct (which Landlord agrees to furnish to
Tenant upon request), and (d) Tenant shall not begin operation of its business.
Tenant acknowledges that Tenant shall be responsible for obtaining all
applicable permits and inspections relating to any such entry by Tenant.

     3. Change Orders. Tenant shall have the right to request changes to the
Scope of Work at any time following the date hereof by way of written change
order (each, a "Change Order", and collectively, "Change Orders"). Provided such
Change Order is reasonably acceptable to Landlord, Landlord shall prepare and
submit promptly to Tenant a memorandum setting forth the impact on cost and
schedule resulting from said Change Order (the "Change Order Memorandum of
Agreement"). Tenant shall, within three (3) days following Tenant's receipt of
the Change Order Memorandum of Agreement, either (a) execute and return the
Change Order Memorandum of Agreement to Landlord, or (b) retract its request for
the Change Order. At Landlord's option, Tenant shall pay to Landlord (or
Landlord's designee), within ten (10) days following Landlord's request, any
increase in the cost to construct the Tenant Improvements resulting from the
Change Order, as set forth in the Change Order Memorandum of Agreement. Landlord
shall not be obligated to commence any work set forth in a Change Order until
such time as Tenant has delivered to Landlord the Change Order Memorandum of
Agreement executed by Tenant and, if applicable, Tenant has paid Landlord in
full for said Change Order.

     4. Tenant Delay. Notwithstanding anything to the contrary contained in the
Lease, if Substantial Completion of the Tenant Improvements is delayed beyond
the Target Commencement Date as a result of Tenant Delay (as hereinafter
defined), then, for purposes of determining the Commencement Date, Substantial
Completion of the Tenant Improvements shall be deemed to have occurred on the
date that Substantial Completion of the Tenant Improvements would have occurred
but for such Tenant Delay. Without limiting the foregoing, Landlord shall use
commercially reasonable speed and diligence to Substantially Complete the Tenant

                                       22

<PAGE>

Improvements on or before the Target Commencement Date.

     5. Letter of Understanding. Promptly following the Commencement Date,
Tenant shall execute Landlord's Letter of Understanding in substantially the
form attached hereto as Exhibit C and made a part hereof, acknowledging (a) the
Commencement Date of this Lease, and (b) except for any punchlist items, that
Tenant has accepted the Leased Premises. If Tenant takes possession of and
occupies the Leased Premises, Tenant shall be deemed to have accepted the Leased
Premises and that the condition of the Leased Premises and the Building was at
the time satisfactory and in conformity with the provisions of this Lease in all
respects, subject to any punchlist items.

     6. Definitions. For purposes of this Lease (a) "Substantial Completion" (or
any grammatical variation thereof) shall mean completion of construction of the
Tenant Improvements, subject only to punchlist items to be identified by
Landlord and Tenant in a joint inspection of the Leased Premises prior to
Tenant's occupancy, as established by a certificate of occupancy for the Leased
Premises or other similar authorization issued by the appropriate governmental
authority, and (b) "Tenant Delay" shall mean any delay in the completion of the
Tenant Improvements attributable to Tenant, including, without limitation (i)
Tenant's failure to meet any time deadlines specified herein, (ii) Change
Orders, (iii) the performance of any other work in the Leased Premises by any
person, firm or corporation employed by or on behalf of Tenant, or any failure
to complete or delay in completion of such work, (iv) Landlord's inability to
obtain an occupancy permit for the Leased Premises because of the need for
completion of all or a portion of improvements being installed in the Leased
Premises directly by Tenant, and (v) any other act or omission of Tenant.

                                       23

<PAGE>

                                   EXHIBIT B-1

                                  SCOPE OF WORK

                                  Scope of Work

TENANT NAME:      SPHERIS
BLD. LOCATION:    HAYWOOD OAKS 5
PROPOSAL DATE:    2/10/2004
REVISED (#) DATE: ______________
PROJECT MANGR:    BRET COX
ARCH. DWG. BY:    MP
DRAWING DATE:     3/21/2003
BUILDING TYPE:    ______________
OFFICE - RSF:     1,378
WAREHOUSE - RSF:  1,322
TOTAL - RSF:      2,700

Based upon the "Contract Documents", DUKE REALTY LIMITED PARTNERSHIP ("Duke")
agrees to perform the following "Work".

<TABLE>
<CAPTION>
                       DESCRIPTION                                  UNIT
                       -----------                                  ----
<S>                                                         <C>     <C>
TIME PERIOD REQUIREMENTS

BID PROCESS                                                         WKS
ARCHITECTURAL / MECHANICAL / ELECTRICAL / PLUMBING DESIGN           WKS
BUILDING PERMIT                                                     WKS
CONSTRUCTION                                                    3   WKS
PUNCH LIST COMPLETION                                           1   WKS

                               TOTAL TIME PERIOD REQUIRED       4   WKS
SUPERVISION                                                     1   WKS
SUPERINTENDENT

PROJECT CLEAN-UP                                            1,322   SF
BROOM CLEAN WAREHOUSE                                       1,378   SF
FINAL CLEAN UP                                                  1   WK
DUMPSTER RENTAL

DESIGN FEES                                                     1   LS
BLUEPRINTS f PRINTING COSTS

ROOFING
FLASH HVAC ROOF CURBS-4'X7' OPENING                             1   EA
30"x30" WALKOFF MATS                                           10   EA

WOOD DOORS / FRAMES
3' X 7' SOLID CORE FIELD FINISHED BIRCH DOOR W / STANDARD
HINGES AND HOLLOW METAL FRAME                                   1   EA
REMOVE EXISTING DOOR FRAME & DRYWALL FOR NEW DOOR.              1   EA
</TABLE>

                                       25

<PAGE>

<TABLE>
<S>                                                         <C>     <C>
HARDWARE (LOCKS/KEYS)
93K LEVER HANDLE LOCKSET (HEAVY DUTY).                          1   EA
COMBINATED CORES WITH NO HARDWARE PURCHASED.                    1   EA

GENERAL CONSTRUCTION                                            1   LS
REMOVE EXISTING VIEW WINDOW/FILLWITH DRYWALL.                   1   LS
CREATE CASED OPENING IN EXISTING WALL.

INTERIOR WALL FINISHES
PAINT DOOR FRAMES ONLY WITH TWO COATS OF ENAMEL FINISH.         7   EA
STAIN DOORS ONLY WITH ONE COAT STAIN AND TWO COATS CLEAR
FINISH.                                                         1   EA
PAINT ALL DRYWALL WITH TWO COATS OF LATEX PAINT.            3,798   SF

FLOOR FINISHES
TAKE UP EXISTING CARPET / VINYL COVE BASE.                    360   SF
4" VINYL COVE BASE THROUGHOUT OFFICE AREA.                    120   LF
STANDARD 118" COMMERCIAL VINYL COMPOSITION TILE.              360   SF
CLEAN CARPET THROUGOUT.                                     1,378   SF

HVAC
ADD 3 TON COOLING ONLY ROOF TOP UNIT IN WAREHOUSE
DESIGNED TO MAINTAIN 80                                         1   EA
DEGREES FAHRENHEIT IN SUMMER MONTHS.

POWER - OFFICE
DISCONNECTION FOR DEMOLITION                                    1   LS
STANDARD 15 AMP / 120 VOLT DUPLEX RECEPTACLE.                   6   EA

POWER - WAREHOUSE                                               3   TON
POWER TO ROOF TOP UNIT.

EXCLUSIONS / QUALIFICATIONS 1 ALTERNATES
</TABLE>

                                       26

<PAGE>

                                    EXHIBIT C

                             LETTER OF UNDERSTANDING

DUKE REALTY LIMITED PARTNERSHIP
Attention: ____________________, Property Manager
782 Melrose Avenue
Nashville, TN 37211

     RE: LEASE AGREEMENT BETWEEN DUKE REALTY LIMITED PARTNERSHIP, AN INDIANA
         LIMITED PARTNERSHIP ("LANDLORD") AND ______________________________
         ("TENANT") FOR THE LEASED PREMISES LOCATED AT (THE "LEASED PREMISES"),
         DATED (THE "LEASE").

Dear Sir or Madame:

The undersigned, on behalf of Tenant, certifies to the Landlord as follows:

     1.   The Commencement Date under the Lease is

     2.   The rent commencement date is

     3.   The expiration date of the Lease is

     4.   The Lease (including amendments or guaranty, if any) is the entire
          agreement between Landlord and Tenant as to the leasing of the Leased
          Premises and is in full force and effect.

     5.   The Landlord has completed the improvements designated as Landlord's
          obligation under the Lease (excluding punchlist items as agreed upon
          by Landlord and Tenant), if any, and Tenant has accepted the Leased
          Premises as of the Commencement Date.

     6.   To the best of the undersigned's knowledge, there are no uncured
          events of default by either Tenant or Landlord under the Lease.

     IN WITNESS WHEREOF, the undersigned has caused this Letter of Understanding
to be executed this ____ day of ___________, 20 ___.

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

                                        By:
                                            ------------------------------------
                                        Printed Name:
                                                      --------------------------
                                        Title:
                                               ---------------------------------

                                       27

<PAGE>

                                    EXHIBIT D

                              RULES AND REGULATIONS

     1. The sidewalks, entrances, passages, courts, elevators, vestibules,
stairways, corridors or halls shall not be obstructed or used for any purpose
other than ingress and egress. Landlord may control the Common Areas.

     2. No awnings or other projections shall be attached to the outside walls
of the Building. No curtains, blinds, shades or screens shall be attached to or
hung in, or used in connection with, any window or door of the Leased Premises
other than Landlord standard drapes without Landlord's prior written approval.
All electric ceiling fixtures hung in offices or spaces along the perimeter of
the Building must be fluorescent, of a quality, type, design and bulb color
approved by Landlord. Neither the interior nor the exterior of any windows shall
be coated or otherwise sunscreened without written consent of Landlord.

     3. No sign, advertisement, notice or handbill shall be exhibited,
distributed, painted or affixed by any tenant on, about or from any part of the
Leased Premises or the Building without the prior written consent of Landlord.
In the event of the violation of the foregoing by any tenant, Landlord may
remove or stop same without any liability, and may charge the expense incurred
in such removal or stopping to tenant. Standard interior signs on doors and
lobby directory shall be inscribed, painted or affixed for each tenant by the
Landlord, and shall be of a size, color and style acceptable to Landlord. The
lobby directory will be provided exclusively for the display of the name and
location of tenants only, and Landlord reserves the right to exclude any other
names therefrom. Nothing may be placed on the exterior of corridor walls or
corridor doors other than Landlord's standard lettering.

     4. The sashes, sash doors, windows, and doors that reflect or admit light
and air into halls, passageways or other public places in the Building shall not
be covered or obstructed by tenant.

     5. The sinks and toilets and other plumbing fixtures shall not be used for
any purpose other than those for which they were constructed, and no sweepings,
rubbish, rags, or other substances shall be thrown therein. All damages
resulting from any misuse of the fixtures shall be borne by the tenant who, or
whose subtenants, assignees or any of their servants, employees, agents,
visitors or licensees shall have caused the same.

     6. No tenant shall mark, paint, drill into, or in any way deface any part
of the Leased Premises or the Building. No boring, cutting or stringing of wires
or laying of linoleum or other similar floor coverings shall be permitted,
except with the prior written consent of the Landlord and as the Landlord may
direct. Landlord shall direct electricians as to where and how telephone or
telegraph wires are to be introduced. No boring or cutting for wires or
stringing of wires will be allowed without written consent of Landlord. The
location of telephones, call boxes and other office equipment affixed to the
Leased Premises shall be subject to the approval of Landlord.

     7. No bicycles, vehicles, birds or animals of any kind (except seeing eye
dogs) shall

                                       28

<PAGE>

be brought into or kept in or about the Leased Premises, and no cooking shall be
done or permitted by any tenant on the Leased Premises, except microwave
cooking, and the preparation of coffee, tea, hot chocolate and similar items for
tenants and their employees which shall be permitted provided power shall not
exceed that amount which can be provided by a 30 amp circuit. No tenant shall
cause or permit any unusual or objectionable odors to be produced or permeate
the Leased Premises.

     8. The Leased Premises shall not be used for manufacturing or for the
storage of merchandise except as such storage may be incidental to the permitted
use of the Leased Premises. No tenant shall occupy or permit any portion of the
Leased Premises to be occupied as an office for the manufacture or sale of
liquor, narcotics, or tobacco in any form, or as a medical office, or as a
barber or manicure shop, or an employment bureau without the express written
consent of Landlord. The Leased Premises shall not be used for lodging or
sleeping or for any immoral or illegal purpose.

     9. No tenant shall make, or permit to be made any unseemly or disturbing
noises or disturb or interfere with occupants of this or neighboring buildings
or premises or those having business with them, whether by the use of any
musical instrument, radio, phonograph, unusual noise, or in any other way. No
tenant shall throw anything out of doors, windows or down the passageways.

     10. No tenant, subtenant or assignee nor any of its servants, employees,
agents, visitors or licensees, shall at any time bring or keep upon the Leased
Premises any inflammable, combustible or explosive fluid, chemical or substance
or firearm.

     11. No additional locks or bolts of any kind shall be placed upon any of
the doors or windows by any tenant, nor shall any changes be made in existing
locks or the mechanism thereof. Each tenant must upon the termination of his
tenancy, restore to the Landlord all keys of doors, offices, and toilet rooms,
either furnished to, or otherwise procured by, such tenant and in the event of
the loss of keys so furnished, such tenant shall pay to the Landlord the cost of
replacing the same or of changing the lock or locks opened by such lost key if
Landlord shall deem it necessary to make such changes.

     12. No Tenant shall overload the floors of the Leased Premises. All damage
to the floor, structure or foundation of the Building due to improper
positioning or storage items or materials shall be repaired by Landlord at the
sole cost and expense of tenant, who shall reimburse Landlord immediately
therefor upon demand. All removals or the carrying in or out of any safes,
freight, furniture, or bulky matter of any description must take place during
the hours which Landlord shall reasonably determine from time to time. The
moving of safes or other fixtures or bulky matter of any kind must be done upon
previous notice to the superintendent of the Building and under his supervision,
and the persons employed by any tenant for such work must be acceptable to
Landlord. Landlord reserves the right to inspect all safes, freight or other
bulky articles to be brought into the Building and to exclude from the Building
all safes, freight or other bulky articles which violate any of these Rules and
Regulations or the Lease of which these Rules and Regulations are a part. The
Landlord reserves the right to prescribe the weight and position of all safes,
which must be placed upon supports approved by Landlord to distribute the
weight.

                                       29

<PAGE>

     13. No tenant shall purchase janitorial or maintenance or other like
services, from any person or persons not approved by Landlord.

     14. Landlord shall have the right to prohibit any advertising by any tenant
which, in Landlord's opinion tends to impair the reputation of the Building or
its desirability as an office location, and upon written notice from Landlord
any tenant shall refrain from or discontinue such advertising.

     15. Landlord reserves the right to require all persons entering the
Building between the hours of 6 p.m. and 8 a.m. and at all hours on Sunday and
legal holidays to register with Landlord's security personnel. Each tenant shall
be responsible for all persons entering the Building at tenant's invitation,
express or implied. Landlord shall in no case be liable for damages for any
error with regard to the admission to or exclusion from the Building of any
person. In case of an invasion, mob riot, public excitement or other
circumstances rendering such action advisable in Landlord's opinion, Landlord
reserves the right without any abatement of rent to require all persons to
vacate the Building and to prevent access to the Building during the continuance
of the same for the safety of the tenants and the protection of the Building and
the property in the Building.

     16. Any persons employed by any tenant to do janitorial work or other work
in the Leased Premises shall, while in the Building and outside of the Leased
Premises, be subject to and under the control and direction of the
superintendent of the Building (but not as an agent or servant of said
superintendent or of the Landlord), and tenant shall be responsible for all acts
of such persons.

     17. The requirements of tenant will be attended to only upon application to
the Property Management Office of the Building.

     18. Canvassing, soliciting and peddling in the Building are prohibited, and
each tenant shall report and otherwise cooperate to prevent the same.

     19. All office equipment of any electrical or mechanical nature shall be
placed by tenant in the Leased Premises in settings which will, to the maximum
extent possible, absorb or prevent any vibration, noise and annoyance.

     20. No air-conditioning unit or other similar apparatus shall be installed
or used by any tenant without the written consent of Landlord.

     21. There shall not be used in any space, or in the public halls of the
Building, either by any tenant or others, any hand trucks except those equipped
with rubber tires and rubber side guards.

     22. The scheduling of tenant move-ins shall be subject to the reasonable
discretion of Landlord.

     23. The Building is a smoke-free Building. Smoking is strictly prohibited
within the Building. Smoking shall only be allowed in areas designated as a
smoking area by Landlord. Tenant and its employees, representatives, contractors
or invitees shall not smoke within the

                                       30

<PAGE>

Building or throw cigar or cigarette butts or other substances or litter of any
kind in or about the Building, except in receptacles placed in it for that
purpose. Landlord may, at its sole discretion, impose a charge against monthly
rent of $50.00 per violation by tenant or any of its employees, representatives,
contractors or invitees, of this smoking policy.

     24. Tenants will see that all doors are securely locked, and water faucets,
electric lights and electric machinery are turned off before leaving the
Building.

     25. Parking spaces associated with the Building are intended for the
exclusive use of passenger automobiles. Except for intermittent deliveries, no
vehicles other than passenger automobiles may be parked in a parking space
without the express written permission of Landlord.

     26. Tenant shall be responsible for and cause the proper disposal of
medical waste, including hypodermic needles, created by its employees.

It is Landlord's desire to maintain in the Building the highest standard of
dignity and good taste consistent with comfort and convenience for tenants. Any
action or condition not meeting this high standard should be reported directly
to Landlord. The Landlord reserves the right to make such other and further
rules and regulations as in its judgment may from time to time be necessary for
the safety, care and cleanliness of the Building, and for the preservation of
good order therein.

                                END OF EXHIBIT D

                                       31
<PAGE>

                              FIRST LEASE AMENDMENT

     THIS FIRST LEASE AMENDMENT (the "Amendment') is executed this 7th day of
April, 2005, by and between DUKE REALTY LIMITED PARTNERSHIP, an Indiana
limited partnership ("Landlord"), and SPHERIS OPERATIONS INC., a Tennessee
corporation ("Tenant").

                                   WITNESSETH:

     WHEREAS, Landlord and Tenant entered into a certain lease dated March 22,
2004 (the "Lease"), whereby Tenant leased from Landlord certain premises
consisting of approximately 2,700 rentable square feet of space (the "Original
Premises") located in a building commonly known as Haywood Oaks TechneCenter
Building 5 (the "Building"), located at 5211 Linbar Drive, Suite 512, Nashville,
Tennessee 37211; and

     WHEREAS, Landlord and Tenant desire to relocate Tenant from the Original
Premises to a larger space in the Building commonly known as Suite 507 and
consisting of approximately 4,680 rentable square feet (the "Relocated Space");
and

     WHEREAS, Landlord and Tenant desire to extend the Lease Term through April
30, 2008; and

     WHEREAS, Landlord and Tenant desire to amend certain provisions of the
Lease to reflect such relocation, extension and any other changes to the Lease,
all as more particularly set forth herein;

     NOW, THEREFORE, in consideration of the foregoing premises, the mutual
covenants herein contained and each act performed hereunder by the parties,
Landlord and Tenant hereby enter into this Amendment.

     1. Incorporation of Recitals. The above recitals are hereby incorporated
into this Amendment as if fully set forth herein.

     2. Extension of Term. The Lease Term is hereby extended through April 30,
2008.

     3. Surrender of Original Premises. Tenant hereby agrees to surrender the
Original Premises (as shown outlined on EXHIBIT A attached to the Lease) to
Landlord on April 30, 2005 at 11:59 PM (the "Original Premises Surrender Date")
in accordance with the terms of the Lease including, but not limited to, Section
2.03. The Original Premises Surrender Date is anticipated to be April 30, 2005.
However, if Landlord does not deliver the Relocated Space to Tenant on or before
April 30, 2005 then the Original Space Surrender Date shall be extended by one
day for each day that the completion of the Relocated Space and delivery of
possession of the Relocated Space by Landlord is delayed. Provided Tenant (i)
surrenders the Original Premises as provided herein and (ii) commences payment
of rent for the Relocated Space, Tenant's obligations under the Lease with
respect to the Original Premises shall be terminated on the Original Premises
Surrender Date, and Landlord and Tenant shall each be released from further
liability for the Original Premises thereafter; provided, however, that such
termination shall not affect any right

<PAGE>

or obligation arising prior to or surviving termination including, but not
limited to, Tenant's obligation to pay Minimum Annual Rent and Tenant's
Proportionate Share of Additional Rent and the reconciliation thereof. In the
event, however, Tenant (I) fails to deliver the Original Premises to Landlord in
accordance with this paragraph or (ii) fails to commence payment of rent for the
Relocated Space, Tenant shall pay rent for the Original Premises in accordance
with Section 2.04 of the Lease until Tenant satisfies the foregoing
requirements.

     4. Amendment of Article 1. Lease of Premises. Commencing as of May 1, 2005,
(the "Relocated Space Commencement Date") subsections (a), (b), (d), (e), (0,
(i), (k) and (m) of Section 1.01 of Article 1 of the Lease are hereby amended as
follows:

          (a) "Leased Premises (shown outlined on AMENDED EXHIBIT A, attached
     hereto): Suite 507 of the building commonly known as Haywood Oaks
     TechneCenter Building 5 (the "Building"), located at 5211 Linbar Drive,
     Nashville, Tennessee 37211, within Haywood Oaks TechneCenter (the "Park").

          (b) Rentable Area of Leased Premises: approximately 4,680 square feet.

          (d) Tenant's Proportionate Share: 7.65%;

          (e) Minimum Annual Rent:*

<TABLE>
<S>                            <C>
May 1,2005  - April 30, 2006   $42,915.60 per year
May 1, 2006 - April 30, 2007   $43,992.00 per year
May 1, 2007 - April 30, 2008   $45,068.40 per year
</TABLE>

          (f) Monthly Rental Installments:*

<TABLE>
<S>                            <C>
May 1, 2005 - April 30, 2006   $3,576.30 per month
May 1, 2006 - April 30, 2007   $3,666.00 per month
May 1, 2007 - April 30, 2008   $3,755.70 per month
</TABLE>

          (i) Lease Term:* Commencement Date through April 30, 2008.

*    The Relocated Space Commencement Date is anticipated to be May 1, 2005. If
     the Relocated Space is delivered to Tenant by Landlord after May 1, 2005,
     then the Relocated Space Commencement Date shall be the actual date that
     Landlord delivers the Relocated Space to Tenant and the dates set forth in
     subsections (e), (f) and (i) above shall be adjusted accordingly.

          (k) Brokers: Duke Realty Services Limited Partnership representing
     Landlord and Colliers Turley Martin Tucker representing Tenant.

          (m) Addresses for payments and notices are as follows:

              Landlord:         Duke Realty Limited Partnership
                                c/o Duke Realty Corporation
                                Attn: Nashville Market - Senior Property Manager

                                      -2-

<PAGE>

                                782 Melrose Avenue
                                Nashville, TN 37211

              With Payments to: Duke Realty Limited Partnership
                                75 Remittance Drive, Suite 3205
                                Chicago, IL 60675-3205

              Tenant:           Spheris Operations Inc.
                                Attn: Manager
                                5211 Linbar Drive, Suite 507
                                Nashville, TN 37211

              With a copy to:   Spheris Operations Inc.
                                Attn: Gregory Stevens
                                720 Cool Springs Boulevard, Suite 200
                                Franklin, TN 37067"

     5. Amendment of Section 2.02. Construction of Tenant Improvements. Section
2.02 of the Lease is hereby deleted in its entirety and the following is
substituted in lieu thereof:

          "Section 2.02. Construction of Tenant Improvements. Tenant has
     personally inspected the Relocated Space and accepts the same "AS IS"
     without representation or warranty by Landlord of any kind and with the
     understanding that Landlord shall have no responsibility with respect
     thereto except to construct in a good and workmanlike manner the
     improvements (the "Tenant Improvements") designated as Landlord's
     obligations in the attached AMENDED EXHIBIT B, the scope of work attached
     hereto as AMENDED EXHIBIT B-1, and the space plan attached hereto as
     EXHIBIT B-2. Any work not shown on AMENDED EXHIBIT B, AMENDED EXHIBIT B-1
     and EXHIBIT B-2 shall be performed at Tenant's sole expense."

     6. Confirmation of Section 17.01. Option to Extend. Landlord and Tenant
hereby acknowledge that Section 17.01 of the Lease shall remain in full force
and effect.

     7. Deletion of Section 17.02. Right of First Offer. Commencing as of the
date hereof, Section 17.02 is hereby deleted in its entirety and is of no
further force or effect.

     8. Amendment of Section 17.03. Option to Expand. Commencing as of the date
hereof, Section 17.03 is hereby amended by deleting "4,050 rentable square feet"
in the tenth line thereof and by substituting "7,020 rentable square feet" in
lieu thereof.

     9. Storage Agreement. Landlord and Tenant acknowledge that the Storage
Agreement by and between Landlord and Tenant dated August 9, 2004 is hereby
terminated effective on the Original Premises Surrender Date.

                                      -3-

<PAGE>

     10. Tenant's Representations and Warranties. The undersigned represents and
warrants to Landlord that (i) Tenant is duly organized, validly existing and in
good standing in accordance with the laws of the state under which it was
organized and if such state is not the state in which the Leased Premises is
located, that it is authorized to do business in such state; (ii) all action
necessary to authorize the execution of this Amendment has been taken by Tenant;
and (iii) the individual executing and delivering this Amendment on behalf of
Tenant has been authorized to do so, and such execution and delivery shall bind
Tenant. Tenant, at Landlord's request, shall provide Landlord with evidence of
such authority.

     11. Examination of Amendment. Submission of this instrument for examination
or signature to Tenant does not constitute a reservation or option, and it is
not effective until execution by and delivery to both Landlord and Tenant.

     12. Definitions. Except as otherwise provided herein, the capitalized terms
used in this Amendment shall have the definitions set forth in the Lease.

     13. Incorporation. This Amendment shall be incorporated into and made a
part of the Lease, and all provisions of the Lease not expressly modified or
amended hereby shall remain in full force and effect.

     IN WITNESS WHEREOF, the parties have caused this Amendment to be executed
on the day and year first written above.

                                        LANDLORD:

                                        DUKE REALTY LIMITED PARTNERSHIP,
                                        an Indiana limited partnership

                                        By:  Duke Realty Corporation,
                                             its general partner

                                        By: /s/ John W. Nelley, Jr.
                                            ------------------------------------
                                            John W. Nelley, Jr.
                                            Managing Director
                                            Nashville Operations

                                        TENANT:

                                        SPHERIS OPERATIONS INC.,
                                        a Tennessee corporation

                                        By: /s/ Gregory T. Stevens
                                            ------------------------------------
                                        Printed: Gregory T. Stevens
                                                 -------------------------------
                                        Title: Chief Administrative Officer
                                               ---------------------------------

                                      -4-

<PAGE>
                                   EXHIBIT A

                                Leased Premises

<PAGE>
                               AMENDED EXHIBIT A

                                Leased Premises

<PAGE>

                                AMENDED EXHIBIT B

                               TENANT IMPROVEMENTS

     1. Construction Drawings. Landlord shall prepare and submit to Tenant a set
of construction drawings (the "CD's") covering all work to be performed by
Landlord in constructing and installing the Tenant Improvements, which shall be
based on the scope of work attached hereto as AMENDED EXHIBIT B-1 and the space
plan attached hereto as EXHIBIT B-2. Tenant shall have five (5) days after
receipt of the CD's in which to review the CD's and to give to Landlord written
notice of Tenants approval of the CD's or its requested changes to the CD's.
Tenant shall have no right to request any changes to the CD's that would
increase the scope of work or materially alter the exterior appearance or basic
nature of the Building or the Building systems. If Tenant fails to approve or
request changes to the CD's within five (5) days after its receipt thereof,
Tenant shall be deemed to have approved the CD's and the same shall thereupon be
final. If Tenant requests any changes to the CDs, Landlord shall make those
changes which are reasonably requested by Tenant and shall within ten (10) days
of its receipt of such request submit the revised portion of the CD's to Tenant.
Tenant may not thereafter disapprove the revised portions of the CD's unless
Landlord has unreasonably failed to incorporate reasonable comments of Tenant
and, subject to the foregoing, the CD's, as modified by said revisions, shall be
deemed to be final upon the submission of said revisions to Tenant. Tenant shall
at all times in its review of the CD's, and of any revisions thereto, act
reasonably and in good faith. Without limiting the foregoing, Tenant agrees to
confirm Tenant's consent to the CD's in writing within three (3) days following
Landlord's written request therefor.

     2. Schedule and Early Occupancy. Landlord shall provide Tenant with a
proposed schedule for the construction and installation of the Tenant
Improvements and shall notify Tenant of any material changes to said schedule.
Tenant agrees to coordinate with Landlord regarding the installation of Tenant's
phone and data wiring and any other trade related fixtures that will need to be
installed in the Leased Premises prior to substantial completion of the Tenant
Improvements. In addition, if and to the extent permitted by applicable laws,
rules and ordinances, Tenant shall have the right to enter the Leased Premises
prior to the scheduled date for substantial completion (as may be modified from
time to time) in order to install fixtures (such as racking) and otherwise
prepare the Leased Premises for occupancy, which right shall expressly exclude
making any structural modifications. During any entry prior to substantial
completion of the Tenant Improvements, (a) Tenant shall comply with all terms
and conditions of this Lease (other than the obligation to pay rent for Suite
507 which shall commence on May 1, 2005), (b) Tenant shall not interfere with
Landlord's completion of the Tenant Improvements, (c) Tenant shall cause its
personnel and contractors to comply with the terms and conditions of Landlord's
rules of conduct (which Landlord agrees to furnish to Tenant upon request), and
(d) Tenant shall not begin operation of its business. Tenant acknowledges that
Tenant shall be responsible for obtaining all applicable permits and inspections
relating to any such entry by Tenant.

     4. Change Orders. Tenant shall have the right to request changes to the
CD's at any time following the date hereof by way of written change order (each,
a "Change Order", and collectively, "Change Orders"). Provided such Change Order
is reasonably acceptable to Landlord, Landlord shall prepare and submit promptly
to Tenant a memorandum setting forth the

                                      -5-

<PAGE>

impact on cost and schedule resulting from said Change Order (the "Change Order
Memorandum of Agreement"). Tenant shall, within three (3) days following
Tenant's receipt of the Change Order Memorandum of Agreement, either (a) execute
and return the Change Order Memorandum of Agreement to Landlord, or (b) retract
its request for the Change Order. At Landlord's option, Tenant shall pay to
Landlord (or Landlord's designee), within ten (10) days following Landlord's
request, any increase in the cost to construct the Tenant Improvements resulting
from the Change Order, as set forth in the Change Order Memorandum of Agreement.
Landlord shall not be obligated to commence any work set forth in a Change Order
until such time as Tenant has delivered to Landlord the Change Order Memorandum
of Agreement executed by Tenant and, if applicable, Tenant has paid Landlord in
full for said Change Order.

     5. Letter of Understanding. Promptly following substantial completion of
the Tenant Improvements, Tenant shall execute Landlord's Letter of Understanding
in substantially the form attached hereto as AMENDED EXHIBIT C and made a part
hereof, acknowledging except for any punchlist items, that Tenant has accepted
the Leased Premises. If Tenant takes possession of and occupies the Leased
Premises, Tenant shall be deemed to have accepted the Leased Premises and that
the condition of the Leased Premises and the Building was at the time
satisfactory and in conformity with the provisions of this Lease in all
respects, subject to any punchlist items.

                                      -6-

<PAGE>

                              AMENDED EXHIBIT "B-I"

     TENANT NAME: SPHERIS
   BLD. LOCATION: HAYWOOD OAKS - SUITE 507
   PROPOSAL DATE: 1/5/2005
REVISED (#) DATE: 3/1/2005
   PROJECT MANGR: HEINRICH TISCHLER
   ARCH. DWG. BY: CLIENT - 3RD RECOMMENDATION
    DRAWING DATE: 1/26/2005, REVISED 03-01-05
   BUILDING TYPE: _____
    OFFICE - RSF: 2,234
 WAREHOUSE - RSF: 2,446
     TOTAL - RSF: 4,680

     Based upon the "Contract Documents", DUKE REALTY LIMITED PARTNERSHIP
("Duke") agrees to perform the following "Work".

<TABLE>
<CAPTION>
DESCRIPTION                                                           UNIT
-----------                                                           ----
<S>                                                           <C>     <C>
T1ME PERIOD REQUIREMENTS
BID PROCESS                                                       1   WKS
ARCHITECTURAL / MECHANICAL I ELECTRICAL I PLUMBING DESIGN             WKS
BUILDING PERMIT                                                   1   WKS
CONSTRUCTION                                                      3   WKS
PUNCH LIST COMPLETION                                             1   WKS

   TOTAL TIME PERIOD REQUIRED                                     6   WKS
PERMITS / FEES
BUILDING PERMIT                                               4,680   SF

SUPERVISION
SUPERINTENDENT (FOR CONSTRUCTION & PUNCH LIST)                 2.00   WKS

MISCELLANEOUS BUILDING COMPONENTS
MISCELLANEOUS MATERIALS                                       4,680   SF

PROJECT CLEAN-UP
BROOM CLEAN WAREHOUSE                                         2,446   SF
FINAL CLEAN UP FOR CONSTRUCTION                               2,234   SF
DUMPSTER RENTAL 30 CV                                          1.00   LD

DESIGN FEES
ARCHITECTURAL CD'S                                            4,680   SF
BLUEPRINTS/PRINTING COSTS                                      1.00   LS

METAL WORK
EDGE ANGLE FOR ROOF TOP UNITS                                     1   SET

FINISH CARPENTRY! MILLWORK
MISC BLOCKING and ROUGH HARDWARE                                  1   LS
TELEPHONE BOARD 4' X 8'                                           1   EA

ROOFING
FLASH HVAC ROOF CURBS-4'X7' OPENING                               1   EA
FLASH ROUND VENT PIPES UP TO 4" DIAM.                             1   EA
30"x30" WALKOFF MATS (10 EA PER UNIT)                            10   EA
</TABLE>

                                      -7-

<PAGE>

<TABLE>
<CAPTION>
DESCRIPTION                                                           UNIT
-----------                                                           ----
<S>                                                           <C>     <C>
SEALANT/CAULKING
MISC. EXTERIOR CAULKING                                        1.00   LS

WOOD DOORS / FRAMES
3' X 7' SOLID CORE FIELD FINISHED BIRCH DOOR W/ STANDARD          2   EA
HINGES AND HOLLOW METAL FRAME
4' x 7' HOLLOW METAL CASED OPENING                                1   EA
RELOCATE EXISTING DOORS ! FRAMES I HARDWARE.                      1   EA

HARDWARE (LOCKS/KEYS)
CLOSURE                                                           2   EA
COMBINATED CORES WITH NO HARDWARE PURCHASED.                      2   EA
COMBINATED CORES WITH (6)EA TENANT KEYS.                          2   EA

GENERAL CONSTRUCTION
CLOSE DOOR OPENING                                                1   LF
DEMO FOR CASED OPENINGS                                           1   EA
DRYWALL PARTITIONS 90" HGHT /25 GA. 3 5/8" STN- MS /24"          42   LF
OC / 5/8" DRYW.
PATCH AND REPAIR EXISTING DRYWALL IN WAREHOUSE                1,125   SF

INTERIOR WALL FINISHES
PAINT NEW DOOR UNIT WITH TWO COATS OF ENAMEL FINISH.              2   EA
PAINT EXISTING DOOR UNITS WITH TWO COATS OF ENAMEL FINISH.        7   EA
PAINT EXISTING HM FRAMES WITH TWO COATS OF ENAMEL FINISH.         1   EA
PAINT ALL DRYWALL WITH TWO COATS OF LATEX PAINT - OFFICE      5,300   SF
PAINT ALL DRYWALL WITH TWO COATS OF LATEX PAINT - WAREHOUSE   5,000   SF

FLOOR FINISHES
TAKE UP EXISTING CARPET! VINYL COVE BASE.                     1,600   SF
STANDARD CARPET TO BE DIRECT GLUE DOWN LEVEL LOOP OR CUT      1,680   SF
PILE THROUGH OUT OFFICE AREA. (ALLOWANCE $15.50/SQ. YD.
INSTALLED)
FLOOR PREP                                                        1   LS
4" VINYL COVE BASE THROUGHOUT OFFICE AREA.                      480   LF
STANDARD 1/8" COMMERCIAL VINYL COMPOSITION TILE.                450   SF

FIRE EXTINGUISHERS/CABINETS
WALL MOUNT FIRE EXTINGUISHERS WITH NO CABINET                     2   EA

HVAC
CEILING MOUNT EXHAUST FAN FOR SERVER ROOM                         1   EA
RELOCATE EXISTING 4-TON TRANE ROOF TOP UNIT                       1   EA

LIGHTING-OFFICE RATE OF I / 65 SF
RELOCATE EXISTING 2' X 4' LAY-IN LIGHT FIXTURE.                   6   EA
SINGLE POLE LIGHT SWITCH.                                         4   EA

LIGHTING-WAREHOUSE
8 FT. STRIP FLUORESCENT WAREHOUSE (2) LAMP FIXTURE.               7   EA

POWER - OFFICE
DISCONNECTION FOR DEMOLITION                                      1   LS
STANDARD 15 AMP/120 VOLT DUPLEX RECEPTACLE.                       8   EA
STANDARD 15 AMP/120 VOLT QUADPLEX RECEPTACLE.                     3   EA
DEDICATED 20 AMP /120 VOLT DUPLEX RECEPTACLE. - KITCHEN           2   EA
DEDICATED 20 AMP /120 VOLT DUPLEX RECEPTACLE. - OFFICE            1   EA
DEDICATED 20 AMP /120 VOLT DUPLEX RECEPTACLE. - EQUIPMENT         3   EA
FURNITURE POWER JUNCTION BOX WITH (3) CIRCUIT 1(1) SHARED         2   EA
NEUTRAL 1(1) GROUND I
</TABLE>

                                      -8-

<PAGE>

<TABLE>
<CAPTION>
DESCRIPTION                                                           UNIT
-----------                                                           ----
<S>                                                           <C>     <C>
PARTITION CONNECTION I AND (1) PHONE/DATA OPENING. TENANTS
FURNITURE TO BE A MINIMUM (5) WIRE SYSTEM. POWER TO
ENERGIZE UP TO (6) FURNITURE STATIONS.

POWER POLE.                                                       5   EA
WALL PARTITION PHONE/DATA                                         3   EA
SERVER ROOM EXHAUST FAN HOOK-UP AND CIRCUIT.                      1   EA

POWER - WAREHOUSE
STANDARD 15 AMP / 120 VOLT DUPLEX RECEPTACLE.                    20   EA
ROOFTOP GFI RECEPTACLE. POWER FROM UNIT                           1   EA
HVAC UNIT HOOK-UP WITH GAS HEATING                                4   TON

FIRE SAFETY DEVICES- OFFICE
EXIT LIGHT FIXTURE W/ 1 1/2 HR. BATTERY BACK-UP.                  1   EA
EMERGENCY LIGHT FIXTURE W/ 1 1/2 HR. BATTERY BACK-UP.             1   EA

SERVICE AND DISTRIBUTION
225 AMP- 240 VOLT -3 PHASE /4 WIRE ELECTRIC SERVICE WITH          1   EA
CT. CABINET AND METERING / WITH THE FOLLOWING: (1) 225 AMP
-240 VOLT - THREE PHASE /4 WIRE PANEL ((1)225 AMP -208/120
VOLT -3 PHASE /4 WIRE PANEL. INCLUDES NEW WIRE IN EXISTING
CONDUIT TO NEW DISCONNECT

ELEC. DRAWING FEES I PERMITS AND INSPECTIONS. (INDUSTRIAL     2,234   SF
OFFICE/WAREHOUSE PROJECTS)

EXCLUSIONS / QUALIFICATIONS/ ALTERNATIVES
QUALIFICATION
              1 WAREHOUSE TO BE CLEARED BEFORE CONSTRUCTION
              2 INCLUDE NEW CARPET AND BASE
              3 NEW VCT IN COMPUTER ROOM AND RESTROOMS
              4 EXCLUDE LINE ITEMS AT REAR OF WAREHOUSE
              5 EXCLUDE OFFICE IN WAREHOUSE
</TABLE>

                                      -9-

<PAGE>

                                   EXHIBIT B-2

                                   SPACE PLAN

                                [TO BE ATTACHED]

                                      -10-

<PAGE>

                                AMENDED EXHIBIT C

                             LETTER OF UNDERSTANDING

Duke Realty Limited Partnership
Attention: Tammy Cain, Property Manager
782 Melrose Avenue
Nashville, TN 37211

     Re:  Lease Agreement between DUKE REALTY LIMITED PARTNERSHIP, AN INDIANA
          LIMITED PARTNERSHIP ("Landlord") and SPHERIS OPERATIONS INC., A
          TENNESSEE CORPORATION ("Tenant") for the Lease Premises located at
          5211 Linbar Drive, Suite 507, Nashville Tennessee (the "Leased
          Premises"), dated March 22, 2004, as amended April 7, 2005
          (collectively, the "Lease").

Dear Mr. Stevens:

     The undersigned, on behalf of Tenant, certifies to Landlord as follows:

     1.   The expiration date of the Lease is April 30, 2008.

     2.   The Lease (including amendments or guaranty, if any) is the entire
          agreement between Landlord and Tenant as to the leasing of the Leased
          Premises and is in full force and effect.

     3.   The Landlord has completed the Tenant Improvements designated as
          Landlord's obligation under the Lease (excluding punchlist items as
          agreed upon by Landlord and Tenant), if any, and Tenant has accepted
          the Leased Premises as of May 1, 2005.

     4.   To the best of the undersigned's knowledge, there are no uncured
          events of default by either Tenant or Landlord under the Lease.

     IN WITNESS WHEREOF, the undersigned has caused this Letter of Understanding
to be executed this 15th day of June, 2005.

                                        SPHERIS OPERATIONS INC.,
                                        a Tennessee corporation

                                        By: /s/ Gregory T. Stevens
                                            ------------------------------------
                                        Printed Name: Gregory T. Stevens
                                                      --------------------------
                                        Title: Chief Administrative Officer
                                               ---------------------------------

                                      -11-

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