SURGICARE INC/DE
10SB12G, 1999-08-20
PAINTS, VARNISHES, LACQUERS, ENAMELS & ALLIED PRODS
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                     U.S. SECURITIES AND EXCHANGE COMMISSION

                             WASHINGTON, D.C. 20549

                                   FORM 10-SB

                 GENERAL FORM FOR REGISTRATION OF SECURITIES OF

                             SMALL BUSINESS ISSUERS


        UNDER SECTION 12(B) OR (G) OF THE SECURITIES EXCHANGE ACT OF 1934


                                 SURGICARE, INC.
                 (NAME OF SMALL BUSINESS ISSUER IN ITS CHARTER)




               DELAWARE                                 58-1597246
    (STATE OR OTHER JURISDICTION OF        (I.R.S. EMPLOYER IDENTIFICATION NO.)
     INCORPORATION OR ORGANIZATION)

      6699 CHIMNEY ROCK, SUITE 105                          77081
            HOUSTON, TEXAS
(ADDRESS OF PRINCIPAL EXECUTIVE OFFICES)                 (ZIP CODE)



ISSUER'S TELEPHONE NUMBER: (713) 665-1406

SECURITIES TO BE REGISTERED UNDER SECTION 12(B) OF THE ACT: NOT APPLICABLE
SECURITIES TO BE REGISTERED UNDER SECTION 12(G) OF THE ACT:
                      COMMON STOCK, $.005 PAR VALUE
                      SERIES A REDEEMABLE PREFERRED STOCK, $.001 PAR VALUE
<PAGE>



SURGICARE, INC.


FORM 10-SB


TABLE OF CONTENTS


PART I

Item 1.  Description of Business
Item 2   Management's Discussion and Analysis or Plan of Operation
Item 3.  Description of Property
Item 4.  Security Ownership of Certain Beneficial Owners and Management
Item 5.  Directors, Executive Officers, Promoters and Control Persons
Item 6.  Executive Compensation
Item 7.  Certain Relationships and Related Transactions
Item 8.  Description of Securities


PART II

Item 1.  Market Price of and Dividends on the Registrant's Common Equity and
         other Shareholder Matters
Item 2.  Legal Proceedings
Item 3.  Changes in and Disagreements with Accountants
Item 4.  Recent Sales of Unregistered Securities
Item 5.  Indemnification of Directors and Officers


PART              F/S Financial Statements


PART III

Item 1.  Index to Exhibits
Item 2.  Description of Exhibits

<PAGE>


Part I


ITEM 1. DESCRIPTION OF BUSINESS


THE COMPANY


         SurgiCare  was  incorporated  in  Delaware  on  February  24,  1984  as
Technical Coatings  Incorporated.  On September 10, 1984 its name was changed to
Technical  Coatings,  Inc.  ("TCI").  Immediately prior to July 1999, TCI was an
inactive company.  On July 11, 1999, TCI changed its name to SurgiCare Inc., and
at that  time  changed  its  business  strategy  to  developing,  acquiring  and
operating  freestanding  ambulatory surgery centers. On July 23, 1999, SurgiCare
acquired  all of the issued and  outstanding  shares of common stock of Bellaire
Surgicare, Inc. a Texas corporation  ("Bellaire"),  in exchange for the issuance
of 9,860,000  shares of common stock, par value $.005 per share ("Common Stock")
and 1,350,000 shares of Series A Redeemable Preferred Stock, par value $.001 per
share ("Series A Preferred"),  of SurgiCare to the holders of Bellaire's  common
stock.  Bellaire is now a wholly owned subsidiary of SurgiCare.  Throughout this
document we may refer  occasionally  to  SurgiCare  meaning  SurgiCare  and it's
subsidiary Bellaire.


         SurgiCare  is  authorized  to issue up to  50,000,000  shares of common
stock, par value $.005 per share, and 20,000,000  shares of preferred stock, par
value $.001 per share.


         At the present  time  SurgiCare  conducts  its  operations  through its
wholly owned subsidiary,  Bellaire.  SurgiCare's  current  management  personnel
were, immediately prior to the acquisition of Bellaire,  management personnel of
Bellaire.  Bellaire owns and operates an ambulatory  surgery  center  located in
Houston,  Texas.  This center  provides a wide range of high volume,  lower-risk
surgical procedures. These procedures are performed within a cost structure that
enables  Bellaire to charge fees which  management  believes are generally  less
than those charged by hospitals and hospital based out patient surgery centers.


     SurgiCare's  principal  executive  offices are located at 6699 Chimney Rock
Rd, Suite 105, Houston, Texas 77081, and its telephone number is 713-665-1406.


INDUSTRY OVERVIEW


         In recent years,  government  programs,  private  insurance  companies,
managed care organizations and self-insured  employers have implemented  various
cost-containment measures to limit the growth of healthcare expenditures.  These
cost-containment  measures,  together with technological advances, have resulted
in a  significant  shift  in the  delivery  of  healthcare  services  away  from
traditional   inpatient  hospitals  to  more  cost-effective   alternate  sites,
including ambulatory surgery centers.


         According to the  industry  publication  SMG  Marketing  Group  Inc.'s,
Freestanding Outpatient Surgery Center Directory, (June 1998):


              Outpatient  surgical procedures  represented  approximately 73% of
              all surgical procedures performed in the United States in 1997 and
              the number of  outpatient  surgery  cases  increased  71% from 3.1
              million in 1993 to 5.3 million in 1997.


              As of December 31, 1997, there were 2,634 freestanding  ambulatory
              surgery  centers in the U.S., of which 155 were owned by hospitals
              and 704 were owned by  corporate  entities.  The  remaining  1,775
              centers were independently owned, primarily by physicians.


         SurgiCare  believes that the following  factors have contributed to the
growth of ambulatory surgery:


COST-EFFECTIVE ALTERNATIVE


         Ambulatory  surgery is generally less expensive than hospital inpatient
surgery.  In  addition,  SurgiCare  believes  that  surgery  performed at a free
standing   ambulatory   surgery   center  is  generally   less   expensive  than
hospital-based ambulatory surgery for a number of reasons, including


     Lower facility development costs.
     More efficient staffing and space utilization.
     Specialized   operating   environment   focused   on  costcontainment.


         SurgiCare  believes  that interest in  ambulatory  surgery  centers has
grown as managed care  organizations  have  continued  to seek a  cost-effective
alternative to inpatient services.


PHYSICIAN AND PATIENT PREFERENCE


         SurgiCare  believes  that many  physicians  prefer  ambulatory  surgery
centers.  SurgiCare believes that such centers enhance physicians'  productivity
by providing them with greater  scheduling  flexibility,  more consistent  nurse
staffing and faster  turnaround time between cases. This allows the physician to
perform more surgeries in a defined period.


         In contrast,  hospitals  generally serve a broader group of physicians,
including  those involved with emergency  procedures,  resulting in postponed or
delayed surgeries.  Additionally, many physicians choose to perform surgery in a
free  standing  ambulatory  surgery  center  because their  patients  prefer the
simplified  admissions  and  discharge  procedures  and the  less  institutional
atmosphere.


NEW TECHNOLOGY


         New technology and advances in anesthesia, which have been increasingly
accepted  by  physicians,  have  significantly  expanded  the types of  surgical
procedures that are being performed in ambulatory surgery centers.


         Enhanced endoscopic techniques and fiber optics have reduced the trauma
and recovery time associated with many surgical procedures.  Improved anesthesia
has shortened  recovery time by  minimizing  postoperative  side effects such as
nausea   and   drowsiness,   thereby   avoiding,   in  some   cases,   overnight
hospitalization.


ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OR PLAN OF OPERATION


FORWARD LOOKING STATEMENTS


         The  information  contained  herein  contains  certain  forward looking
statements  within the meaning of Section 27A of the  Securities Act of 1933, as
amended and  Section 21E of the  Securities  Exchange  Act of 1934,  as amended,
which are intended to be covered by the safe harbors created thereby.  Investors
are cautioned that all forward looking statements involve risks and uncertainty,
including,  without  limitation,  the  ability  of  SurgiCare  to  continue  its
expansion strategy,  changes in federal or state healthcare laws and regulations
or third party payer practices,  SurgiCare's  historical and current  compliance
with existing or future  healthcare  laws and  regulations and third party payer
requirements, changes in costs of supplies, labor and employee benefits, as well
as general  market  conditions,  competition  and  pricing.  Although  SurgiCare
believes  that  the  assumptions   underlying  the  forward  looking  statements
contained herein are reasonable, any of the assumptions could be inaccurate, and
therefore,  there  can be no  assurance  that  the  forward  looking  statements
included in this Form 10SB will prove to be accurate. In view of the significant
uncertainties  inherent in the forward looking  statements  included herein, the
inclusion  of such  information  should not be regarded as a  representation  by
SurgiCare or any other person that the objectives and plans of SurgiCare will be
achieved. SurgiCare undertakes no obligation to update or revise forward-looking
statements to reflect  changed  assumptions,  the  occurrence  of  unanticipated
events or changes to future operating results over time.


BUSINESS PHILOSOPHY


         SurgiCare  believes that physician owned and operated  surgical centers
have tended to be extremely  profitable.  This  profitability  results primarily
from the fact that physicians who own and operate an ambulatory  surgical center
are the center's most significant customers, and benefactors.


         SurgiCare  believes  that  ambulatory  surgical  centers  receive their
patient referrals almost exclusively from the operating physicians. Therefore it
becomes an extremely  important role of a center's management to insure that the
operating  physicians  have everything they need, and that they are pleased with
the results that they are able to obtain at the center.  If  management  and the
operating  physicians  are  substantially  the same,  it becomes  much easier to
insure that physician needs are meet, and that their  experiences at the centers
are pleasant.

         Furthermore,  SurgiCare believes that when operating physicians own and
operate an  ambulatory  surgical  center  they become  cost  conscious.  Without
allowing cost consciousness to detrimental to the patients,  it may still have a
significant  effect  on the  overall  profitability  of the  center.  For  these
reasons,  SurgiCare  believes,  physician owned ambulatory surgical centers have
historically been extremely profitable.

         SurgiCare  believes that the  profitability of freestanding  ambulatory
surgery  centers  tends to make  them  attractive  to  acquirers.  Nevertheless,
following the  acquisition of a physician owned center,  evidence  suggests that
the  typical  center's  profitability  will  significantly  decrease.  SurgiCare
believes that this typical decline in profitability  can be explained,  in part,
because in many of such  acquisitions  the operating  physician loses control of
the center.  After a typical  acquisition of an ambulatory  surgery center,  the
control of the  center is  typically  vested in  non-physician  management.  The
factors motivating the physician users to insure the center's  profitability are
therefore typically removed.

         SurgiCare's  management structure consists of physicians and healthcare
professionals.   SurgiCare's  management  have  substantial  experience  in  the
operations and management of ambulatory surgical centers. SurgiCare also expects
that it will issue its own shares, or other equity interests,  to the physicians
who own and  operate  other  centers  which  SurgiCare  may  acquire.  SurgiCare
believes  that it will thereby be able to  substantially  align the interests of
SurgiCare's  management and  shareholders  with those of the physician owners of
centers which SurgiCare may acquire.  SurgiCare also presently intends to permit
each  surgery  center to be  substantially  managed by its own  board,  which is
anticipated  to consist of a majority of physicians  associated  with the center
and  one or  more  representatives  of  SurgiCare.  Based  upon  this  approach,
SurgiCare  expects that it will benefit from the substantial  unity of goals and
motivations of its own management and shareholders  with those of physicians who
have previously owned and operated a freestanding center acquired by SurgiCare.

         SurgiCare   therefore   expects   that  with   goals  and   motivations
substantially  aligned,  the  profitability  of centers which it acquires can be
maintained.  As there are numerous  factors  which affect the  profitability  of
ambulatory surgery centers,  including  regulatory and liability matters,  there
can, however,  be no assurance that the profitability of any center or SurgiCare
as a whole will be maintained.

         SurgiCare   intends  to  apply  its  philosophy  in  the   acquisition,
development and operation of physician owned / managed  freestanding  ambulatory
surgery centers.


THE ESSENTIAL COMPONENTS OF SURGICARE'S STRATEGY ARE:

Acquire physician owned ambulatory surgery centers.


         SurgiCare  expects  to  continue  to  grow  through  a  combination  of
         acquisitions  and development of physician  owned / managed  ambulatory
         surgical centers throughout the United States.


Achieve Growth in Surgery Center Revenues and Profitability.


         SurgiCare  intends  to  enhance  physician   productivity  and  promote
         increased   same-center   revenues  and   profitability  by  increasing
         physician involvement,  and creating operating efficiencies,  including
         improved   scheduling,   group   purchasing   programs   and   clinical
         efficiencies.


         SurgiCare is in the process of identifying  ambulatory surgical centers
as potential acquisition targets, and has, in some cases,  conducted preliminary
discussions with  representatives of centers.  All of such discussions have been
tentative in nature and there can be no assurance  that  SurgiCare  will acquire
any center with whom  discussions  have been conducted.  SurgiCare  expects that
generally  the  acquisition  of another  surgery  center will take the form of a
merger,  stock-for-stock exchange or stock-for-assets exchange, and that in most
instances the target company will wish to structure the business  combination to
be within the definition of a tax-free  reorganization  under Section 368 of the
Internal  Revenue Code of 1986, as amended.  SurgiCare may,  however,  use other
acquisition structuring  techniques,  including purchases of assets or stock for
cash or cash and stock, or through formation of one or more limited partnerships
or limited liability companies.


ACQUISITION AND DEVELOPMENT OF SURGERY CENTERS


         Freestanding  physician owned  ambulatory  surgery centers are licensed
outpatient  surgery centers generally equipped and staffed for a wide variety of
medical specialty.  SurgiCare  anticipates that it will target centers that have
specialties  that  perform  many high  volume,  lower-risk  procedures  that are
appropriate  for  the  freestanding  setting.  Generally  these  centers  may be
expected to have significantly  lower capital and operating costs than the costs
of hospital and hospital based ambulatory  surgery center  alternatives that are
designed to provide more intensive services.


         SurgiCare's  development  staff will identify existing centers that are
potential  acquisition  candidates  and identify  physician  practices  that are
potential partners for new center  development in the medical  specialties which
SurgiCare has targeted for development.


         The  candidates  will then be  evaluated  against  SurgiCare's  project
criteria  which may be expected  to include  several  factors  such as number of
procedures  currently being performed by the practice,  competition from and the
fees being charged by other  surgical  providers,  relative  competitive  market
position of the physician practice under consideration, ability to contract with
payers in the market and state  certificate  of need  ("CON")  requirements  for
development of a new center.


         In the development of a new surgery centers,  SurgiCare intends to work
in conjunction with Surgery Centers of America II ("SCOA").  SurgiCare  believes
that its management has a certain expertise in acquiring, managing and operating
ambulatory  surgical centers.  However,  in order to assure that its acquisition
and development  activities are efficiently and thoroughly conducted,  SurgiCare
has retained SCOA to assist it in these efforts.


         In  presenting  the  advantages  to  physicians  of  developing  a  new
freestanding ambulatory surgery center in partnership with SurgiCare,  SurgiCare
anticipates  that the SurgiCare and SCOA  development  staffs will emphasize the
following factors, among others:

     1.Simplified administrative procedures.

     2.  The  ability  to  schedule  consecutive  cases  without  preemption  by
     inpatient or emergency procedures.

     3. Rapid turnaround time between cases.

     4. The high  technical  competency  of the  center's  clinical  staff  that
     performs   only  a  limited   number   of   specialized   procedures,   and
     state-of-the-art surgical equipment.

         SurgiCare  expects that, in conjunction  with SCOA, it will provide the
following developmental services:


                      Financial feasibility pro forma analysis;
                      Assistance in state CON approval process;
                      Site selection;
                      Assistance in space analysis and schematic floor plan
                          design;
                      Analysis of local, state, and federal building codes;
                      Negotiation of equipment financing with lenders;
                      Equipment budgeting, specification, bidding, and
                         purchasing;
                      Construction financing;
                      Architectural oversight;
                      Contractor bidding;
                      Construction management;
                      Assistance with licensing;
                      Assistance  with  Medicare  certification  and third party
                         Managed care contracts.


         SurgiCare  currently  intends  that  its  ownership  interests  in  its
freestanding  ambulatory  surgery centers will generally be 100%. The physicians
who had owned and  operated a center  acquired by  SurgiCare,  or who have newly
developed  a  center  in  partnership  with  SurgiCare,  generally  will  become
substantial  shareholders  in SurgiCare.  The local  physicians  will  generally
continue to oversee their local operations. SurgiCare anticipates that the terms
of its acquisition  agreements with new centers will include a provision for the
appointment of one or more physician partners from each newly acquired center to
a position on the Board of Directors  of  SurgiCare or on an advisory  committee
that will advise  SurgiCare's board or management on operational  aspects of the
center.


REVENUES


         SurgiCare's  principal source of revenues is a facility fee charged for
surgical  procedures  performed in its surgery center. This fee varies depending
on the  procedure,  but usually  includes all charges for operating  room usage,
special  equipment  usage,  supplies,  recovery  room usage,  nursing  staff and
medications.  Facility fees do not include the charges of the patient's surgeon,
anesthesiologist  or other  attending  physicians,  which are billed directly to
third-party payers by such physicians.

         Freestanding   ambulatory  surgery  centers  such  as  those  in  which
SurgiCare  owns and intends to acquire,  depend upon  third-party  reimbursement
programs,  including  governmental and private  insurance  programs,  to pay for
services rendered to patients.  SurgiCare  derived  approximately 23% of its net
revenues from governmental healthcare programs, including Medicare and Medicaid,
in the past trailing 12 month period.

         The Medicare  program  currently pays  ambulatory  surgery  centers and
physicians in accordance with fee schedules, which are prospectively determined.

         On June  12,  1998,  the  Health  Care  Financing  Agency  of the  U.S.
Department of Health and Human Services ("HCFA")  published a proposed rule that
would update the rate setting  methodology,  payment rates, payment policies and
the list of covered  surgical  procedures for ambulatory  surgery  centers.  The
proposed rule is subject to a comment  period that has been extended  until June
30, 1999,  and provides for an  implementation  date that has been extended to a
date no earlier than January 2000.

         The proposed  rule would  reduce the rates paid for certain  ambulatory
surgery center procedures reimbursed by Medicare.

         While the effects of the proposed rule, if adopted in its current form,
cannot be  precisely  forecasted,  SurgiCare  believes  that if  adopted  in its
current form, the proposed HCFA rule would not directly have a material  adverse
affect its annual revenues.  However many third party payers, base their payment
structure on a percentage of the Medicare  accepted rate. The adjustment of such
payers'  rates to follow the rates  propsoed in te rule could  adversely  affect
SurgiCare's annual revenues. There can be no assurance that HCFA will not modify
the proposed  rule,  before it is enacted in final form,  in a manner that would
adversely  impact  SurgiCare's  financial  condition,  results of operation  and
business prospects.

         In addition to payment from governmental  programs,  ambulatory surgery
centers  derive  a  significant  portion  of their  net  revenues  from  private
healthcare  reimbursement  plans.  These plans include both  standard  indemnity
insurance  programs as well as managed care  structures  such as PPOs,  HMOs and
other similar structures.

         The  strengthening  of managed care systems  nationally has resulted in
substantial  competition  among  providers of services,  including  providers of
surgery center services.  This competition  would include companies with greater
financial  resources and market  penetration than SurgiCare.  In order to better
compete in market penetration, SurgiCare has associated itself with SCOA.

         SurgiCare believes that all payers, both governmental and private, will
continue  their efforts over the next several years to reduce  healthcare  costs
and that  their  efforts  will  generally  result in a less  stable  market  for
healthcare  services.  While no assurances can be given  concerning the ultimate
success of SurgiCare's  efforts to contract with  healthcare  payers,  SurgiCare
believes  that its  position  as a low-cost  alternative  for  certain  surgical
procedures should enable its current center, and additional centers which it may
acquire, to compete effectively in the evolving healthcare marketplace


COMPETITION


         There  are  several  companies,  many in niche  markets,  that  acquire
existing freestanding ambulatory surgery centers. Many of these competitors have
greater resources than SurgiCare.  The principal competitive factors that affect
the ability of SurgiCare  and its  competitors  to acquire  surgery  centers are
price, experience, reputation, and access to capital.


Competition for Managed Care Contracts


         SurgiCare believes that its current center can provide lower-cost, high
quality surgery in a more comfortable  environment for the patient in comparison
to hospitals and to hospital based surgery centers with which SurgiCare competes
for managed care contracts.  SurgiCare  intends that any additional center which
it may acquire will be similarly situated.


GOVERNMENT REGULATION


         The healthcare industry is subject to extensive  regulation by a number
of  governmental  entities at the  federal,  state and local  level.  Regulatory
activities  affect the  business  activities  of SurgiCare  by  controlling  its
growth, requiring licensure and certification for its facilities, regulating the
use of SurgiCare's  properties,  and controlling  reimbursement to SurgiCare for
the services it provides.

     Certificates  of Need and State  Licensing.  CON  regulations  control  the
development  of ambulatory  surgery  centers in certain  states.  CONs generally
provide that prior to the expansion of existing centers, the construction of new
centers,  the  acquisition  of major items of equipment or the  introduction  of
certain new services, approval must be obtained from the designated state health
planning  agency.  State  CON  statutes  generally  provide  that,  prior to the
construction of new facilities or the introduction of new services, a designated
state  health  planning  agency  must  determine  that a need  exists  for those
facilities or services.  SurgiCare  expects that its  development  of ambulatory
surgery  centers  will  generally  focus on  states  that do not  require  CONs.
However,  acquisitions of existing surgery centers,  even in states that require
CONs for new centers, generally do not require CON regulatory approval.

         State   licensing  of  ambulatory   surgery   centers  is  generally  a
prerequisite to the operation of each center and to  participation  in federally
funded programs,  such as Medicare and Medicaid.  Once a center becomes licensed
and  operational,  it must  continue  to comply  with  federal,  state and local
licensing and certification  requirements in addition to local building and life
safety  codes.  In addition,  each center is also subject to federal,  state and
local laws dealing with issues such as occupational safety, employment,  medical
leave, insurance regulations, civil rights and discrimination, and medical waste
and other environmental issues.

         Insurance  Laws.  Laws in all states regulate the business of insurance
and the  operation  of HMOs.  Many states also  regulate the  establishment  and
operation  of networks of  healthcare  providers.  SurgiCare  believes  that its
operations are in compliance with these laws in the states in which it currently
does business. The National Association of Insurance  Commissioners (the "NAIC")
recently  endorsed a policy proposing the state regulation of risk assumption by
healthcare  providers.  The policy proposes prohibiting  providers from entering
capitated  payment  or other  risk  sharing  contracts  except  through  HMOs or
insurance  companies.  Several states have adopted regulations  implementing the
NAIC policy in some form.  In states where such  regulations  have been adopted,
healthcare  providers will be precluded  from entering into capitated  contracts
directly with employers and benefit plans other than HMOs and companies.

     SurgiCare and its affiliated  groups may in the future enter contracts with
managed care  organizations,  such as HMOs, whereby SurgiCare and its affiliated
groups would assume risk in connection with providing  healthcare services under
capitation arrangements. If SurgiCare or its affiliated groups are considered to
be in the business of  insurance as a result of entering  into such risk sharing
arrangements, they could become subject to a variety of regulatory and licensing
requirements  applicable  to  insurance  companies  or HMOs,  which could have a
material adverse effect upon SurgiCare's ability to enter into such contracts.

     With  respect to  managed  care  contracts  that do not  involve  capitated
payments  or some  other  form of  financial  risk  sharing,  federal  and state
antitrust  laws  restrict the ability of  healthcare  provider  networks such as
SurgiCare's  specialty  physician networks to negotiate payments on a collective
basis.

     Reimbursement.  SurgiCare  depends  upon  third-party  programs,  including
governmental and private health insurance programs; to reimburse it for services
rendered to  patients  in its  ambulatory  surgery  center.  In order to receive
Medicare reimbursement,  each ambulatory surgery center must meet the applicable
conditions  of  participation  set forth by the  Department  of Health and Human
Services ("DHHS") relating to the type of facility, its equipment, personnel and
standard of medical care,  as well as  compliance  with state and local laws and
regulations,  all of which are subject to change  from time to time.  Ambulatory
surgery  centers  undergo  periodic  on-site  Medicare   certification  surveys.
SurgiCare's  existing  center is  certified  as a  Medicare  provider.  Although
SurgiCare  intends  for its  current  center and those  which it may  acquire to
participate in Medicare and other government  reimbursement programs,  there can
be no assurance that these centers will continue to qualify for participation.


     Medicare-Medicaid   Illegal  Remuneration  Provisions.   The  anti-kickback
statute makes unlawful knowingly and willfully soliciting,  receiving,  offering
or paying any remuneration  (including any kickback,  bribe, or rebate) directly
or indirectly to induce or in return for referring an individual to a person for
the  furnishing or arranging for the furnishing of any item or service for which
payment may be made in whole or in part under Medicare or Medicaid. Violation is
a felony  punishable by a fine of up to $25,000 or  imprisonment  for up to five
years, or both. The Medicare and Medicaid Patient Program Protection Act of 1987
(the "1987 Act")  provides  administrative  penalties for  healthcare  practices
which  encourage  over  utilization  or illegal  remuneration  when the costs of
services  are  reimbursed   under  the  Medicare   program.   Loss  of  Medicare
certification  and severe financial  penalties are included among the 1987 Act's
sanctions.  The 1987 Act, which adds to the criminal penalties under preexisting
law, also directs the  Inspector  General of the DHHS to  investigate  practices
which may  constitute  over  utilization,  including  investments  by healthcare
providers  in  medical  diagnostic  facilities  and  to  promulgate  regulations
establishing  exemptions or "safe harbors" for  investments  by medical  service
providers in legitimate business ventures that will be deemed not to violate the
law even  though  those  providers  may also refer  patients  to such a venture.
Regulations  identifying  safe harbors were published in final form in July 1991
(the "Regulations").

     The Regulations set forth two specific exemptions or "safe harbors" related
to "investment  interests":  the first concerning  investment interests in large
publicly traded  companies  ($50,000,000 in net tangible  assets) and the second
for investments in smaller  entities.  The corporate  structure of SurgiCare and
its  center  do not meet all of the  criteria  of  either  existing  "investment
interests" safe harbor as announced in the Regulations.

     While  several  federal  court  decisions  have  aggressively  applied  the
restrictions of the  anti-kickback  statute,  they provide little guidance as to
the  application  of the  anti-kickback  statute to SurgiCare or its  subsidiary
company.   SurgiCare  believes  that  it  is  in  compliance  with  the  current
requirements of applicable federal and state law.

     Notwithstanding  SurgiCare's  belief  that the  relationship  of  physician
partners  to  SurgiCare's   surgery   center  should  not   constitute   illegal
remuneration under the anti-kickback  statute, no assurances can be given that a
federal or state agency charged with  enforcement of the  anti-kickback  statute
and  similar  laws might not assert a contrary  position  or that new federal or
state  laws  might not be  enacted  that  would  cause the  physician  partners'
ownership  interest in SurgiCare to become illegal,  or result in the imposition
of penalties on SurgiCare or certain of its facilities.  Even the assertion of a
violation could have a material adverse effect upon SurgiCare.

     Prohibition on Physician Ownership of Healthcare Facilities.  The so-called
"Stark II" provisions of the Omnibus Budget Reconciliation Act of 1993 amend the
federal  Medicare  statute to prohibit a referral by a physician for "designated
health services" to an entity in which the physician has an investment  interest
or other financial relationship, subject to certain exceptions. A referral under
Stark II that does not fall within an  exception  is strictly  prohibited.  This
prohibition took effect on January 1, 1995. Sanctions for violating Stark II can
include civil monetary penalties and exclusion from Medicare and Medicaid.

     Ambulatory surgery is not identified as a "designated health service",  and
SurgiCare  therefore  does not  believe  that  ambulatory  surgery is  otherwise
subject to the restrictions set forth in Stark II. Proposed regulations pursuant
to Stark II that were  published  on January 9, 1998  specifically  provide that
services  provided in any ambulatory  surgery  center and  reimbursed  under the
composite payment rate are not designated health services.

     However, unfavorable final Stark II regulations or subsequent adverse court
interpretations  concerning  similar  provisions found in recently enacted state
statutes could prohibit  reimbursement for treatment  provided by the physicians
affiliated with SurgiCare or its current or future centers to their patients.

     SurgiCare cannot predict whether other  regulatory or statutory  provisions
will be  enacted  by  federal  or state  authorities  which  would  prohibit  or
otherwise  regulate   relationships  which  SurgiCare  has  established  or  may
establish with other healthcare providers or the possibility of material adverse
effects on its business or revenues arising from such future actions.  SurgiCare
believes,  however,  that it will be able  to  adjust  its  operations  to be in
compliance with any regulatory or statutory provision, as may be applicable.

     SurgiCare is subject to state and federal  laws that govern the  submission
of claims for  reimbursement.  These laws  generally  prohibit an  individual or
entity from knowingly and willfully presenting a claim (or causing a claim to be
presented) for payment from Medicare,  Medicaid or other third party payers that
is false or  fraudulent.  The standard for "knowing and willful"  often includes
conduct that amounts to a reckless disregard for whether accurate information is
presented by claims processors.

     Penalties  under these  statutes  include  substantial  civil and  criminal
fines,  exclusion from the Medicare program,  and imprisonment.  One of the most
prominent of these laws is the federal  False Claims Act,  which may be enforced
by  the  federal  government  directly,  or  by  a  qui  tam  plaintiff  on  the
government's  behalf.  Under the False Claims Act, both the  government  and the
private plaintiff, if successful,  are permitted to recover substantial monetary
penalties,  as well as an amount equal to three times actual damages.  In recent
cases,  some qui tam plaintiffs  have taken the position that  violations of the
anti-kickback  statute and Stark II should also be  prosecuted  as violations of
the federal False Claims Act. SurgiCare believes that it has procedures in place
to ensure the accurate completion of claims forms and requests for payment.

     However,  the laws and regulations defining the proper parameters of proper
Medicare or Medicaid billing are frequently  unclear and have not been subjected
to extensive judicial or agency interpretation. Billing errors can occur despite
SurgiCare's  best efforts to prevent or correct them,  and no assurances  can be
given that the  government  will regard such  errors as  inadvertent  and not in
violation of the False Claims Act or related statutes.


EMPLOYEES


     As of July 23, 1999, SurgiCare and its subsidiary employed approximately 18
persons,  13 of  who  were  full-time  employees  and 5 of  who  were  part-time
employees.  Of the above,  2 were  employed at  SurgiCare's  headquarters  staff
office in Houston,  Texas and the remaining employees were employed by Bellaire.
SurgiCare believes its relationship with its employees to be good.


ITEM 3. DESCRIPTION OF PROPERTY


     SurgiCare's  principal  office is located at 6699 Chimney  Rock Rd.,  Suite
105,  Houston,  Texas,  77081.SurgiCare  currently  occupies  space  within  the
facility  operated by its wholly owned  subsidiary,  Bellaire.  This property is
approximately  10,000  square feet,  occupying  about half of both the first and
second  floors of the  building in which it is located.  The  property is leased
from an unaffiliated  third party for a term that expires in March 2003, with an
annual  rental of $  172,081.92,  payable  monthly in the amount of  $14,340.16.
SurgiCare  maintains tenant fire and casualty  insurance on its property located
in such building in an amount deemed adequate by SurgiCare.


ITEM 4. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT


The following table sets forth  information,  to the best knowledge of SurgiCare
as of August 9, 1999,  with  respect to each person  known by  SurgiCare  to own
beneficially more than 5% of any class of SurgiCare's outstanding common stock.


Title of Class ....Name and address of   Amount and nature of   Percent of Class
                   Beneficial Owner ...  Beneficial Ownership(a)

Common Stock ....... SCOA II                 1,095,556                   8.695%
                     1930 S. Bryant
                     Edmond, OK 73013

Common Stock ....... David Blumfield         804,444 (b)                  6.357%
Series A Preferred . 7400 Fannin # 1100      100,000 (d)                  7.407%
                     Houston, TX 77056

Common Stock ....... Sherman Nagler          804,444 (b)                  6.357%
Series A Preferred . 1200 Binz               100,000 (d)                  7.407%
                     Houston, TX 77004

Common Stock ....... William Bradbury        804,444 (b)                  6.357%
Series A Preferred . 7400 Fannin #1100       100,000 (d)                  7.407%
                     Houston, TX 77056

Common Stock ....... Robert Parker           804,444 (b)                  6.357%
Series A Preferred . 1441 Memorial # 16      100,000 (d)                  7.407%
                     Houston, TX 77079

Common Stock ....... Jeffery Penso           804,444 (b)                  6.357%
Series A Preferred . 11006 Westheimer        100,000 (d)                  7.407%
                     Houston, TX 77042

Common Stock ....... Gregory Mangum          804,444 (b)                  6.357%
Series A Preferred . 4754 Beechnut           100,000 (d)                  7.407%
                     Houston, TX 77096

Common Stock ....... Jeffery Ross            804,444 (b)                  6.357%
Series A Preferred . 6624 Fannin #2450       100,000 (d)                  7.407%
                     Houston, TX 77030

Common Stock ....... Michael Mineo           804,444 (b)                  6.357%
Series A Preferred . 6699 Chimney Rock       100,000 (d)                  7.407%
                     Houston, TX 77081

Common Stock ....... Bruce Miller            804,444 (b)                  6.357%
Series A Preferred . 13737 S.W. Freeway      100,000 (d)                  7.407%
                     Sugarland, TX 77478

Common Stock ....... Brain Zale              804,444 (b)                  6.357%
Series A Preferred . 11320 S. Post Oak #1    100,000 (d)                  7.407%
                     Houston, TX 77035

Common Stock ....... Son Nguyen              804,444 (b)                  6.357%
Series A Preferred . 1120-A Dennis           100,000 (d)                  7.407%
                     Houston, TX 77004

Common Stock ....... Long Nguyen             804,444 (b)                  6.357%
Series A Preferred . 4007 Bellaire #FF       100,000 (d)                  7.407%
                     Houston, TX 77025

Common Stock ....... Larry Likover           804,444 (b)                  6.357%
Series A Preferred . 902 Frostwood #902      100,000 (d)                  7.407%
                     Houston, TX

Common Stock ....... Shirley Browne          402,222 (c)                  3.179%
Series A Preferred . P.O. Box 247             50,000 (d)                  3.704%
                     Richmond, TX 77406


     a. As of July 23,  1999,  12,654,351shares  of common stock were issued and
     outstanding.  Unless otherwise noted, the security  ownership  disclosed in
     the table is of record and beneficial.

     b.  Includes  74,074  shares held in trust  pursuant  to that Voting  Trust
     Agreement, dated, of July 28, 1999 (the "Voting Trust Agreement"),  between
     and among the shareholders and David Blumfield, D.P.M., trustee. A total of
     1,000,000  shares of Common  Stock have been  deposited in the voting trust
     created pursuant to such Voting Trust Agreement. Dr. Blumfield is deemed to
     have sole voting power as to such shares.

     c.  Includes  37,037  shares  held in trust  pursuant  to the Voting  Trust
     Agreement.

     d. As of July 23, 1999,  1,350,000 shares of Series A Preferred were issued
     and outstanding.  Unless  otherwise  noted, the security  ownership of such
     Series A Preferred disclosed in the table is of record and beneficial.


(B) Security ownership of management.


         The following  table sets forth  information,  to the best knowledge of
SurgiCare as of July 23, 1999, with respect to the beneficial  ownership of each
officer and director, and all directors and executive officers as a group.


Title of Class ....Name and address of  Amount and nature of   Percent of Class
                     Beneficial Owner ...Beneficial Ownership (a)

Common Stock .......David Blumfield        804,449 (b)              6.357%
Series A Preferred .7400 Fannin #1100      100,000 (c)              7.407%
                    Houston, TX 7705

Common Stock .......Jeffery Penso          804,449 (b)              6.357%
Series A Preferred .11006 Westheimer       100,000 (c)              7.407%
                    Houston, TX 77042

Common Stock .......Sherman Nagler         804,449 (b)              6.357%
Series A Preferred .1200 Binz              100,000 (c)              7.407%
                    Houston, TX 77004

Common Stock .......Michael Mineo          804,449 (b)              6.357%
Series A Preferred .6699 Chimney Rock      100,000 (c)              7.407%
                    Houston, TX 77081

Common Stock .......Charles S. Cohen        30,000                  0.237%
                    5947 Bankside
                    Houston, TX 77096

All officers and dir                     3,247,796 (a)              25.67%
(five persons) .....                        400,00 (b)              29.62%

     a. As of July 23, 1999,  12,654,351  shares of Common Stock were issued and
     outstanding.  Unless otherwise noted, the security  ownership  disclosed in
     the table is of record and beneficial.

     b.  Includes  74,074  shares  held in trust  pursuant  to the Voting  Trust
     Agreement.

     c. As of July 23, 1999,  1,350,000 shares of Series A Preferred were issued
     and outstanding.  Unless otherwise noted, the security ownership  disclosed
     in the table is of record and beneficial.


 ITEM 5. DIRECTORS, EXECUTIVE OFFICERS, PROMOTERS AND CONTROL PERSONS

         SurgiCare's Directors and Executive Officers are as follows:


    Name /Address .................           Position              Age

David Blumfield ................... President and Chief Executive
7400 Fannin #1100 .................            Officer               41
Houston, TX 77056 .................           Director

Jeffery Penso
11006 Westheimer ..................        Vice-President            44
Houston, TX 77042 .................           Director

Sherman Nagler
1200 Binz .........................           Secretary              44
Houston, TX 77004 .................           Director

Michael Mineo .....................           Treasurer
6699 Chimney Rock Houston, TX 77081           Director               55

Charles S. Cohen
5947 Bankside .....................    Chief Operating Officer       37
Houston, TX 77096 .................           Director




     Dr. David  Blumfield  D.P.M.  was elected as a Director and  President  and
Chief Executive  Oficer of SurgiCare,  Inc. on July 10, 1999. Dr.  Blumfield has
served as President of Bellaire Surgicare, Inc. since March of 1995. He has been
in private practice for 15 years. He received his  undergraduate  degree in 1980
at  Wilkes  University,  and then  attended  the  Temple  College  of  Podiatric
Medicine.  He has been a diplomat of the  American  Board of  Podiatric  Surgery
since 1988.


     Charles S. Cohen was elected as a Director and Chief  Operating  Officer of
SurgiCare,  Inc. on July 10, 1999. Mr. Cohen has been the acting Chief Operating
Officer of Bellaire Surgicare,  Inc. since September 1998. Prior to September of
1998, Mr. Cohen was the President of Medical  Distributors  International,  Inc.
(MDI) he was elected to that  position in November of 1994.  He has serverd as a
Director of TMDI Medical,  from 1995-1997.  Both MDI and TMDI were involved with
the international  purchasing,  importing, and exporting of medical and surgical
equipment.  Mr. Cohen was educated at the  University of Missouri at Columbia in
business.


     Dr.  Jeffery  Penso D.P.M.  was elected as Director  and Vice  President of
SurgiCare,  Inc. on July 10,  1999.  Dr. Penso has served as  Vice-President  of
Bellaire Surgicare, Inc. since July of 1998. He has been in private practice for
16 years. He received his  undergraduate  degree in 1977 at University of Akron,
and then attended the Ohio College of Podiatric Medicine. He has been a Diplomat
of the American Board of Podiatric Surgery since 1988.


     Dr.  Michael  Mineo  D.P.M.  was  elected  as  Director  and  Treasurer  of
SurgiCare,  Inc. on July 10,  1999.  Dr. Mineo has served as  Vice-President  of
Bellaire  Surgicare,  Inc. since March of 1995. He has been in private  practice
for 29 years. He received his undergraduate  degree in 1964 from Geneva College,
Beaver Falls, PA, and then attended the Ohio College of Podiatric  Medicine.  He
has been a Diplomat of the American Board of Podiatric Surgery since 1979, and a
Fellow of the American College of Foot Surgeons since 1980.


     Dr.  Sherman  Nagler  D.P.M.  was  elected as  Director  and  Secretary  of
SurgiCare, Inc. on July 10, 1999. Dr. Nagler has served as Secretary of Bellaire
Surgicare,  Inc.  since  March of 1995.  He has been in private  practice  for16
years. He received his  undergraduate  degree in 1977 at State University of New
York at  Plattsburgh,  and then  attended  the New  York  College  of  Podiatric
Medicine.  He has been a Diplomat of the  American  Board of  Podiatric  Surgery
since 1985.


ITEM 6. EXECUTIVE COMPENSATION


         The following table provides certain summary information concerning the
compensation  for each of the highest paid persons who are officers or directors
of SurgiCare,  Inc., and all other  directors and officers as a group during the
current fiscal year. Each of the persons indicated  received their  compensation
as a director or officer of Bellaire.


      Name .........  Principal Position          Annual Compensation

 David Blumfield ...     President CEO                  $24,000

Charles S. Cohen ...Chief Operating Officer             $75,000


ITEM 7. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS


     On July 21, 1999,  the Board of Directors  of both  SurgiCare  and Bellaire
unanimously  approved  SurgiCare's  acquisition  of 100%  (1,350  shares) of the
issued and out  standing  common  stock of Bellaire in exchange  for  10,955,556
shares of SurgiCare's  common stock and 1,350,000 shares of SurgiCare's Series A
Preferred.  Following the closing of the  transaction,  Bellaire became a wholly
owned  subsidiary  of  SurgiCare.  At the time of the approval by both boards of
directors,  the shareholders of Bellaire jointly held the majority of the issued
and outstanding shares of SurgiCare. In addition four of the five members of the
Board of Directors of SurgiCare each  individually held 7.4% of the out standing
and issued shares of Bellaire.


     In determining the amount and character of the  consideration to be paid by
SurgiCare for the Bellaire stock,  the boards of directors of both SurgiCare and
Bellaire  considered  numerous  factors,  including the then inactive  status of
SurgiCare  and prior offers that  Bellaire had received for the  acquisition  of
Bellaire by others.

     SurgiCare has entered into an Agreement,  effective  July 1,1999 with SCOA,
pursuant to which  agreement SCOA will render certain  administrative  and other
services to SurgiCare.  SurgiCare  believes that the terms of such agreement are
no less  favorable  to  SurgiCare  than could be obtained  from  surgery  center
management companies not affiliated with the Company.


ITEM 8. DESCRIPTION OF SECURITIES


     Qualification.   The  following  statements  constitute  summaries  of  the
material  provisions  of  SurgiCare's   Amended  and  Restated   Certificate  of
Incorporation (including the Certificate of Designation, Powers, Preferences and
Rights of Series A Redeemable Preferred Stock)("Certificate of Designation") and
Bylaws,  as  amended.  Such  summaries  do not  purport to be  complete  and are
qualified  in their  entirety by  reference  to the full text of the Amended and
Restated Certificate of Incorporation and Bylaws.

     Authorized Capital Stock.  SurgiCare's Amended and Restated  Certificate of
Incorporation  authorizes it to issue up to  50,000,000  shares of Common Stock,
$.005 par value per share, and 20,000,000  shares of Preferred Stock,  $.001 par
value  per  share,  in one or more  classes  or series  with such  designations,
rights,  preferences and  restrictions as may be determined from time to time by
the Board of Directors. Pursuant to the Certificate of Designation, the Board of
Directors  has  designated  1,650,000  shares  of  Preferred  Stock as  Series A
Redeemable Preferred Stock ("Series A Preferred").  1,350,000 shares of Series A
Preferred were issued to shareholders of Bellaire in connection with SurgiCare's
acquisition of Bellaire,  and are the only shares of Preferred  Stock  currently
outstanding.  SurgiCare  may issue shares of stock for such  consideration  (not
less than par value) and to such persons as the board of directors  from time to
time  determines.  Such  persons  may  include  management,  promoters  or their
affiliates or  associates,  subject to the fiduciary duty of the Board to ensure
that the transactions are fair to SurgiCare.

     Common and Preferred  Stock.  At the date of this  registration  statement,
SurgiCare  had issued and out  standing  12,654,351  shares of Common  Stock and
1,350,000  shares  of  Preferred  Stock,  comprised  entirely  of the  Series  A
Preferred.  All  outstanding  shares of Common  Stock  and  Preferred  Stock are
legally issued, fully paid and non-assessable.

         COMMON STOCK

     Liquidation Rights.

     Upon  liquidation  or  dissolution,  and after  payment  of the any  senior
securities,  including holders of the Series A Preferred, each outstanding share
of Common  Stock will be entitled to share  equally in the  remaining  assets of
SurgiCare legally  available for distribution to shareholders  after the payment
of all debts and other liabilities.

         Dividend Rights.

     Except  as to  limitations  contained  in the  Certificate  of  Designation
regarding the priority of specified dividends for the Series A Preferred,  there
are no limitations or restrictions  upon the rights of the Board of Directors to
declare  dividends  out of any  funds  legally  available  therefor.  Since  the
acquisition of Bellaire and the substantial redirection of SurgiCare's business,
SurgiCare  has not paid  dividends  on  shares of  Common  Stock,  and it is not
anticipated  that any  dividends  will be paid on shares of Common  Stock in the
foreseeable future. SurgiCare expects to pay dividends on the Series A Preferred
in the amounts provided,  out of funds legally available therefor.  The Board of
Directors  initially may follow a policy of retaining all or  substantially  all
earnings  to  finance  the  future  growth  of  SurgiCare.  Accordingly,  future
dividends,  if any,  on shares of Common  Stock will  depend  upon,  among other
considerations,  SurgiCare's  need for  cash to  finance  acquisitions,  working
capital, and its financial condition at the time.

         Voting  Rights.

     Holders of shares of Common  Stock of  SurgiCare  are  entitled to cast one
vote for each share held at all shareholders  meetings (or by written consent in
lieu thereof) for all purposes.


         Other  Rights.

     Shares of Common Stock are not  redeemable,  have no conversion  rights and
carry no  preemptive  or other  rights to  subscribe  to or purchase  additional
shares of Common Stock in the event of a subsequent offering.


         PREFERRED STOCK.


     The  Corporation  is  authorized  to issue  20,000,000  shares of Preferred
Stock,  par value  $.001 per share,  in one or more  classes or series with such
designations,  rights,  preferences  and  restrictions as may be determined from
time  to  time  by the  Board  of  Directors.  Pursuant  to the  Certificate  of
Designation, the Board of Directors has designated 1,650,000 shares of Preferred
Stock as the Series A Preferred,  of which 1,350,000  shares are the only shares
of Preferred Stock currently outstanding.  The rights,  preferences,  privileges
and  restrictions  granted to and  imposed on the Common  Stock and the Series A
Preferred are identical in all respects, except that the holders of the Series A
Preferred  have  certain   conversion   rights,  and  dividend  and  liquidation
preferences as set forth below.


         Rank and Issue Price.

     The Series A Preferred  Stock will rank prior to all of SurgiCare's  Common
Stock and to any class or series of capital stock of SurgiCare not  specifically
ranking by its terms  senior to or on parity with any Series A Preferred  Stock.
The Series A  Preferred  Stock will rank  junior to any other class or series of
capital stock specifically ranking by its terms senior to the Series A Preferred
Stock and will  rank on a parity  with any  class or  series  of  capital  stock
specifically  ranking by its terms on parity with the Series A Preferred  Stock,
in each case as to  distribution  of assets  upon  liquidation,  dissolution  or
winding  up of  SurgiCare,  whether  voluntary  or  involuntary.  The  Series  A
Preferred  Stock was issued at par value.  For the  purposes  of the  redemption
price, and liquidation preference,  the deemed issued price of this series is $5
per share.

         Dividend Preference.

     Subject to the prior preferences and other rights of any senior securities,
the holders of Series A Preferred  Stock are  entitled to receive,  out of funds
legally  available  for that  purpose,  cash  dividends  at the rate of $.48 per
annum,  payable in monthly  installments.  The dividends are cumulative from the
date of the issuance of the Series A Preferred Stock and are payable in arrears,
when and as declared by the Board of Directors,  on the first day of each month,
commencing on September 1, 1999.

     Liquidation  Preference  In the event of any  liquidation,  dissolution  or
winding up of SurgiCare,  either  voluntary or  involuntary,  the holders of the
Series A Preferred Stock will be entitled to receive,  prior to any distribution
of any of the assets of  SurgiCare  to the holders of Common  Stock by reason of
their  ownership  thereof,  an amount per share equal to the price per share for
which the Series A  Preferred  Stock was  originally  issued plus all accrued or
declared and unpaid dividends on such share.  After payment has been made to the
holders of the Series A  Preferred  Stock of the full  amounts to which they are
entitled,  then the  entire  remaining  assets  and funds of  SurgiCare  legally
available  for  distribution,  if any  shall be  distributed  equally  among the
holders of Common Stock.

     Conversion.  The Series A Preferred Stock may be converted,  at any time at
the direction of the holder on a 1to1basis into shares of Common Stock.

     Redemption by the Company. The Series A Preferred Stock may not be redeemed
prior to the first  anniversary  of the date of issue of the Series A  Preferred
Stock.  Thereafter,  the Series A Preferred  Stock may be redeemed by SurgiCare,
upon vote of not less than two-thirds of the directors comprising the full Board
of Directors of SurgiCare,  in cash at any time in whole or ratably if less than
all shares are redeemed,  at the option of SurgiCare,  at a redemption price per
share equal to the sum of $5 plus all accrued or declared  and unpaid  dividends
on such share.

     Voting Rights. Holders of Series A Preferred Stock are entitled to one vote
for each share of Series A Preferred Stock held at all shareholders meetings for
all purposes.

     Possible  Adverse  Effect on Change of  Control.  Subject  to the rights of
senior  securities,  the  Board of  Directors  may,  without  prior  shareholder
approval, issue preferred stock with dividend,  liquidation,  conversion, voting
or other rights which could adversely  affect the relative voting power or other
rights of the holders of common  stock.  Preferred  stock  could be used,  under
certain  circumstances,  as a method of discouraging,  delaying, or preventing a
change in control of SurgiCare.  SurgiCare  expects that it may issue additional
shares  of  preferred  stock,  in one or  more  series,  with  such  rights  and
preferences as to such matters, including dividends, liquidation preferences and
voting and  conversion  rights,  as  determined  by the board of  directors,  in
connection with future  acquisitions of ambulatory surgery centers. If SurgiCare
issues preferred stock, such issuance may have a dilutive effect upon the common
stockholders.

     In  addition,  Article  IX  of  SurgiCare's  Certificate  of  Incorporation
provides  that special  meetings of the  stockholders  may be called only by the
Board of  Directors,  or by a majority of the members of the Board of Directors,
or by a committee of the Board of Directors  which has been duly  designated  by
the Board of Directors with the power to call  meetings,  subject to such rights
of other persons to call special  meetings as may be granted by the  Certificate
of  Incorporation,  or any  amendment  thereto or any  certificate  filed  under
Section 151(g) of the Delaware General  Corporation Law. SurgiCare believes that
Article IX is  necessary  to  provide  for  proper  order in the  conduct of its
corporate  affairs,  but  recognizes  that  Article  IX could have the effect of
discouraging or delaying a change of control of SurgiCare.


REPORTS TO SHAREHOLDERS


          If  SurgiCare's  obligation  to file  reports with the  Commission  is
          suspended,  SurgiCare  will no longer file such reports but it intends
          to  continue  to  furnish  holders  of  SurgiCare's  common  stock and
          preferred stock with quarterly financial reports containing un-audited
          financial  statements and annual reports  containing audited financial
          statements


PART II


ITEM 1. MARKET PRICE OF AND  DIVIDENDS  ON THE  REGISTRANT'S  COMMON  EQUITY AND
OTHER SHAREHOLDER MATTERS


MARKET INFORMATION


     SurgiCare's Common Stock currently is not traded on any national securities
exchange or other public market.  SurgiCare's  management  intends to apply,  or
assist in an appropriate application,  for the qualification of its Common Stock
to be quoted on National  Association  of  Securities  Dealers,  Inc.'s Over the
Counter Bulletin Board ("OTCBB"), but there can be no assurance that SurgiCare's
securities  will  become  eligible  to be quoted on the OTCBB or that any market
will develop for SurgiCare's securities.

     The  Securities  and  Exchange  Commission  has adopted  regulations  which
generally  define a "penny  stock"  to be an equity  security  that has a market
price (as defined) of less than $5.00 per share, subject to some exemptions. The
Commission's  penny stock  rules  generally  impose  additional  sales  practice
requirements  on  broker/dealers  who sell penny  stocks to  persons  other than
established customers and accredited investors. SurgiCare's shares may be deemed
to be penny stock.  The penny stock rules  therefore may restrict the ability of
broker/dealers  to sell  SurgiCare's  securities,  and may adversely  affect the
ability of SurgiCare stockholders to resell their shares in any secondary market
for its shares which develops


     There has been no market for SurgiCare's stock in the last two years.
Accordingly, there is no range of high and low bid prices for its Common Stock.


HOLDERS


     SurgiCare  believes that there were  approximately 315 holders of record of
the Company's  Common Stock,  and 14 holders of the Company's Series A Preferred
as of July 23, 1999.


DIVIDENDS


     SurgiCare  has not paid  dividends on shares of its Common Stock within the
last two years.


CONVERTIBLE SECURITIES AND RESTRICTED SECURITIES


     Convertible Securities. At the date of filing of this registration
statement,  there are 1,350,000 shares of Series A Preferred Stock  outstanding.
Each  share of Series A  Preferred  Stock is  convertible  at the  option of the
holder into one share of Common Stock of SurgiCare.


     No options or warrants to purchase shares of Common Stock or Series A
Preferred Stock have been issued by SurgiCare.


Restricted Securities.

     As of July 23,  1999  there  were  approximately  315  holders of record of
SurgiCare's  Common  Stock and 14 holders  of record of its  Series A  Preferred
Stock.  Currently 11,055,556 of the 12,654,351 shares of Common Stock and all of
the shares of Series A Preferred  Stock issued and  outstanding are deemed to be
"restricted  securities"  within the meaning of Rule 144  promulgated  under the
Securities  Act  and  may be  publicly  resold  only  if  registered  under  the
Securities Act in the future or sold in accordance with an applicable  exemption
from registration, such as is set forth in Rule 144. SurgiCare believes that its
directors  and  officers  constituting  affiliates  of SurgiCare  currently  own
3,247,776  restricted  shares of Common Stock and 400,000  restricted  shares of
Series A Preferred Stock.


     In general,  under Rule 144 as currently in effect, a person  (including an
affiliate of SurgiCare) who beneficially  has owned  restricted  securities that
were  acquired  from  SurgiCare  for at least one year prior to an intended sale
date is entitled to sell within any  three-month  period a number of shares that
does not exceed the greater of the following:

          a.  one  percent  of  the  number  of  shares  of  common  stock  then
          outstanding; or

          b. the average  weekly  reported  trading  volume of the common  stock
          during the four calendar weeks immediately preceding the date on which
          notice  of  such  sale is  filed  with  the  Securities  and  Exchange
          Commission,  provided that manner of sale and notice  requirements and
          requirements  as to the  availability  of current  public  information
          concerning SurgiCare are satisfied.

     Under Rule 144(k),  a person who has not been an affiliate of SurgiCare for
at least three months  preceding the intended sale date and who beneficially has
owned restricted securities acquired from SurgiCare for at least two years prior
to the  sale  date,  would  be  entitled  to  sell  the  shares  without  volume
limitations, manner of sale provisions, or notification requirements.


     Shares owned by persons  who,  under the  Securities  Act, are deemed to be
affiliates  of  SurgiCare  are  subject  to volume  limitations,  manner of sale
provisions,  notification requirements,  and requirements as to the availability
of current public information  regarding  SurgiCare,  regardless of how long the
shares have been owned.  As defined in Rule 144, an  affiliate of an issuer is a
person   that   directly  or   indirectly   through  the  use  of  one  or  more
intermediaries,  controls, or is controlled by, or is under common control with,
the issuer. SurgiCare believes that Messrs. Blumfield,  Penso, Nagler, Mineo and
Cohen (its directors and officers) are affiliates of SurgiCare.


TRANSFER AGENT


     SurgiCare's  transfer agent is First National Trust Company,  their address
is 240 N. Jones Blvd, STE F-206, Las Vegas, NV 89107. Their toll free telephoned
number is 1-888-505-3721.


ITEM 2. LEGAL PROCEEDINGS


         SurgiCare  is not party to, and none of its  property  or  holdings  is
subject to, any pending or threatened  legal,  governmental,  administrative  or
judicial  proceedings  that will have a material adverse effect upon SurgiCare's
condition or operation.


ITEM 3. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS


     On June  15,  1999,  TCI  retained  Philip  H.  Salchli,  Certified  Public
Accountant,  to serve as its  independent  accountant.  Philip H.  Salchli  is a
member of the SEC  Practice  Section  of the AICPA.  Mr.  Salchli  preformed  an
independent  audit for both. The audit opinion was issued with no  qualification
or modifications.  On May 28, 1999, Bellaire retained Weinstein Spira & Company,
Certified Public Accountants, to serve as its independent accountants. Weinstein
Spira & Company, P.C. is also a member of the SEC Practice Section of the AICPA.
As of the date of this  registration  statement,  Weinstein  Spira & Company has
been retained as the principal independent public accountants for SurgiCare.  To
the best of the knowledge of SurgiCare's current management,  there have been no
disagreements  between SurgiCare and either of its current or former accountants
during the last two years over any accounting policy or practice.


ITEM 4. RECENT SALES OF UNREGISTERED SECURITIES


     On July 2, 1999 SurgiCare issued 100,000 Shares of Common Stock to Marjorie
Kleiman Mintz, personally and as surviving spouse of Martin Kleiman, in exchange
for all of her rights,  title and  interest  in a judgement  owned by her in the
amount of $211,040.40 plus interest and attorney's fees,  pursuant to Settlement
Agreement  dated July, 7, 1999.  The original  judgement had been issued against
TCI in the Circuit Court of the Eleventh Judicial Circuit in and for Dade County
Florida, on April 20, 1990.

     Pursuant to the Settlement Agreement,  Mrs. Kleiman Mintz agreed that for a
period of one year she  would  not sell  more  than 25% of the  shares of Common
Stock  received by her,  increasing by 25% per year  thereafter.  The Settlement
Agreement further provides that if at any time the Common Stock reaches a market
price of $5.00 per share,  and  maintains  that market  price for a period of 90
days, all  restrictions  imposed by the Settlement  Agreement would be released.
The  stock  issued  is  subject  to the  restrictions  of  Rule  144.,  and  any
restriction  imposed by that rule shall supersede any restrictions  imposed,  or
released, pursuant to the terms of the Settlement Agreement.


     On July 23, 1999,  SurgiCare issued  10,955,556 shares of its Common Stock,
valued at $0.005  per share par  value,  and  1,350,000  shares of its  Series A
Preferred,  with an issue  price of $5.00  per  share,  to the  shareholders  of
Bellaire pursuant to a Stock Exchange  Agreement dated July 23, 1999. The shares
were issued as part of a stock for stock exchange,  upon the completion of which
SurgiCare became the sole shareholder of Bellaire.


     On July 18,1999 SurgiCare issued 1,095,566 shares of its Common Stock
to SCOA pursuant to an agreement,  dated July 1, 1999, among SurgiCare, SCOA and
Bellaire  (the  "SCOA  Agreement").  The  shares  issued to SCOA were  issued in
satisfaction  of SCOA's rights,  under a previous  agreement  with Bellaire,  to
participate in the proceeds of any transaction  resulting in a change of control
of  Bellaire,  and in  connection  with the  agreed  early  termination  of that
agreement.


     The securities issued in the foregoing transactions were issued in reliance
on the exemption from registration and the prospectus  delivery  requirements of
the  Securities  Act of 1933, as amended (the  'Securities  Act"),  set forth in
Section  3(b) and/or  Section  4(2) of the  Securities  Act and the  regulations
promulgated thereunder. Each individual receiving the shares of SurgiCare Common
Stock and Series A Preferred Stock is believed by SurgiCare to be an "accredited
investor"  as that term is  defined  under  Rule 501 of  Regulation  D under the
Securities Act


ITEM 5. INDEMNIFICATION OF DIRECTORS AND OFFICERS


Section 145 of the Delaware  General  Corporation Law provides in relevant parts
as follows:


                           A  corporation  shall  have  power to  indemnify  any
                  person  who was or is a party  or is  threatened  to be made a
                  party to any threatened,  pending, or completed action,  suit,
                  or proceeding,  whether civil,  criminal,  administrative,  or
                  investigative  (other than an action by or in the right of the
                  corporation)  by  reason  of  the  fact  that  he is or  was a
                  director,  officer, employee, or agent of the corporation,  or
                  is or was  serving  at the  request  of the  corporation  as a
                  director,  officer, employee, or agent of another corporation,
                  partnership,   joint  venture,  trust,  or  other  enterprise,
                  against  expenses  (including  attorneys'  fees),   judgments,
                  fines, and amounts paid in settlement  actually and reasonably
                  incurred  by him in  connection  with such  action,  suit,  or
                  proceeding  if he  acted  in good  faith  and in a  manner  he
                  reasonably  believed  to be in or  not  opposed  to  the  best
                  interests  of  the  corporation,  and,  with  respect  to  any
                  criminal  action or  proceeding,  had no  reasonable  cause to
                  believe his  conduct  was  unlawful.  The  termination  of any
                  action,  suit, or proceeding by judgment,  order,  settlement,
                  conviction,   or  on  a  plea  of  no  lo  contendere  or  its
                  equivalent,  shall not, of itself,  create a presumption  that
                  the person did not act in good faith and in a manner  which he
                  reasonably  believed  to be in or  not  opposed  to  the  best
                  interests of the corporation, and with respect to any criminal
                  action or proceeding, had reasonable cause to believe that his
                  conduct was unlawful.

                           A  corporation  shall  have  power to  indemnify  any
                  person  who was or is a party  or is  threatened  to be made a
                  party to any threatened,  pending, or completed action or suit
                  by or in the right of the corporation to procure a judgment in
                  its favor by reason of the feet that he is or was a  director,
                  officer,  employee, or agent of the corporation,  or is or was
                  serving  at there  quest  of the  corporation  as a  director,
                  officer,   employee,   or   agent  of   another   corporation,
                  partnership, joint venture, trust, or other enterprise against
                  expenses  (including  attorneys' fees) actually and reasonably
                  incurred by him in  connection  with the defense or settlement
                  of such  action  or suit if he  acted in good  faith  and in a
                  manner he  reasonably  believed to be in or not opposed to the
                  best  interests  of  the   corporation   and  except  that  no
                  indemnification  shall be made in respect of any claim, issue,
                  or matter as to which such person shall have been  adjudged to
                  be liable for  negligence or misconduct in the  performance of
                  his duty to the corporation unless and only to the extent that
                  the  court in which  such  action  or suit was  brought  shall
                  determine on application  that,  despite the  adjudication  of
                  liability but in view of all  circumstances  of the case, such
                  person is fairly and reasonably entitled to indemnity for such
                  expenses which such court shall deem proper.

                           To the extent that a director,  officer, employee, or
                  agent of a  corporation  has been  successful on the merits or
                  otherwise  in  defense  of any  action,  suit,  or  proceeding
                  referred to in 1) or (2) of this subsection,  or in defense of
                  any claim,  issue or matter  therein,  he shall be indemnified
                  against  expenses  (including  attorneys'  fees)  actually and
                  reasonably incurred by him in connection therewith.

                           The  indemnification  provided by this section  shall
                  not be deemed  exclusive  of any other  rights to which  those
                  seeking  indemnification  may been  titled  under any  bylaws,
                  agreement,  vote of stockholders or disinterested directors or
                  otherwise,  both as to action in his official  capacity and as
                  to action in another  capacity while holding such office,  and
                  shall continue as to a person who has ceased to be a director,
                  officer,  employee, or agent and shall inure to the benefit of
                  the heirs, executors, and administrators of such a person.


     The  foregoing  discussion of  indemnification  merely  summarizes  certain
aspects  of  indemnification  provisions  and is  limited  by  reference  to the
above-discussed sections of the Delaware Corporation Law.


     SurgiCare's  Certificate of Incorporation and Bylaws provide that SurgiCare
"shall  indemnify," and advance litigation  expenses,  to the full extent of its
power  to do so,  all  directors,  officers,  employees,  and/or  agents.  It is
anticipated that SurgiCare will indemnify its officers and directors to the full
extent permitted by the above-quoted statute.


     Insofar as indemnification  by SurgiCare for liabilities  arising under the
Securities Act may be permitted to officers and directors of SurgiCare  pursuant
to the foregoing provisions or otherwise, SurgiCare is aware that in the opinion
of the  Securities  and Exchange  Commission,  such  indemnification  is against
public  policy  as  expressed  in  the   Securities   Act  and  is,   therefore,
unenforceable.

<PAGE>


PART F/S


FINANCIAL STATEMENTS












                                PHILIP H. SALCHLI


                           CERTIFIED PUBLIC ACCOUNTANT







To The Board of Directors
Technical Coatings, Inc.
Lubbock, Texas


                          Independent Auditor's Report


     I have audited the accompanying  balance sheet of Technical Coatings,  Inc.
as of December 31, 1998 and 1997. This financial statement is the responsibility
of the Company's management.  My responsibility is to express an opinion on this
financial statement based on my audit.


     I  conducted  the audit in  accordance  with  generally  accepted  auditing
standards.  Those standards  require that I plan and perform the audit to obtain
reasonable  assurance  about  whether  the  balance  sheet  is free of  material
misstatement.  An audit includes examining, on a test basis, evidence supporting
the  amounts  and  disclosures  in the  balance  sheet.  An audit also  includes
assessing the  accounting  principles  used and  significant  estimates  made by
management,  as well as evaluating  the overall  balance sheet  presentation.  I
believe that my audit provides a reasonable basis for my opinion.


     In my opinion,  the balance sheet referred to above presents fairly, in all
material  respects,  the financial  position of Technical  Coatings,  Inc. as of
December 31, 1998 and 1997 in  conformity  with  generally  accepted  accounting
principles.


Philip H. Salchli


July 2, 1999












          11323 Olympia Drive Houston, Texas 77077-6417 (281) 496-3020


<PAGE>

                            Technical Coatings, Inc.


                             Notes to Balance Sheet


                           December 31, 1998 and 1997





Organization and Background


          Technical  Coatings  Inc, was organized as a Delaware  corporation  on
     July 13, 1984 and.  operated  various plant  manufacturing  facilities  and
     retail sales outlets that marketed paint,  accessories and related products
     through December 31, 1994. On October 2, 1990 a Plan of Reorganization  was
     approved for two of the wholly owned  subsidiaries,  TCI of Texas, Inc. and
     TCI of Houston,  Inc,  TCI of Houston,  Inc.  continued  in business  until
     December  31.  1994 at which time it ceased  operations.  A third  company,
     Technical  Coatings of Miami, Inc. was sold to a third party during 1994. A
     forth company,  Atlas Plant Manufacturing Company, Inc., located in Austin,
     Texas, elected to dissolve on April 27, 1989.  Technical Coatings,  Inc. (a
     Delaware  corporation)  has had no operations  since December 31, 1994 and,
     with the single  exception of recording  accrued  interest on a judgment as
     described below, has recorded no transactions  since then. During the years
     ended December 31, 1997 and 1998 the Company earned no revenue and incurred
     no expenses.


Judgment for Plaintiffs


          On April 25,  1990 a final  judgment  in favor of the  Plaintiffs  was
     recorded in the Circuit Court or the 11th Judiciary Circuit in and for Dade
     County,  Florida, the judgment in the principal amount of $211,040.40 bears
     interest. at the rate of 12% per annum from April 12, 1990 until paid.



<PAGE>



                            Technical Coatings, Inc.


                                  Balance Sheet


                                  December 31,


                                                 1997                1998


ASSETS ........................................ $ -0-               $ -0-


TOTAL ASSETS .................................. $ -0-               $ -0-
                                                                    --------


LIABILITIES & STOCKHOLDER'S EQUITY


Liabilities


Judgment payable .............................. $ 211,040         $ 211,040


Accrued interest on judgment ..................   195,562            20,847


Total liabilities, all current ................   406,562           431,887


Stockholder's Equity


         Common stock, 50,000,000 shares
         authorized, 1,598,795 issued and
         outstanding, $.005 par value ...           7,994             7,994


         Retained deficit .....................                   (414,516)

     Total Stockholder's Equity ...............     -0-                 -0-


     TOTAL LIABILITIES & STOCKHOLDER'S EQUITY     $ -0-               $ -0-











                     See accompanying notes to balance sheet

<PAGE>










                          Independent Auditors' Report





June 28, 1999

The Board of Directors
Bellaire Surgicare, Inc.
Houston, Texas




We have audited the accompanying  Balance Sheets of Bellaire Surgicare,  Inc. as
of  December  31,  1998  and  1997,  and the  related  Statements  of  Earnings,
Shareholders'  Equity,  and Cash Flows for the years then ended. These financial
statements   are  the   responsibility   of  the   Company's   management.   Our
responsibility  is to express an opinion on these financial  statements based on
our audits.


We  conducted  our  audits  in  accordance  with  generally   accepted  auditing
standards. Those standards require that we plan and perform the audits to obtain
reasonable assurance about whether the financial statements are free of material
misstatement.  An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements.  An audit also includes
assessing the  accounting  principles  used and  significant  estimates  made by
management,  as well as evaluating the overall financial statement presentation.
We believe that our audits provide a reasonable basis for our opinion.


In our opinion,  the financial  statements  referred to above present fairly, in
all material respects, the financial position of Bellaire Surgicare,  Inc. as of
December 31, 1998 and 1997, and the results of its operations and its cash flows
for the years then ended,  in  conformity  with  generally  accepted  accounting
principles.





Weinstein Spira & Company, P.C.




<PAGE>



                            BELLAIRE SURGICARE, INC.


                                 BALANCE SHEETS





                                                    December 31,

                                                 1998           1997
                                                ---------------------

     ASSETS

Current Assets
 Cash and cash equivalents ..............       $ 57,049       $108,142
 Accounts receivable (less allowance
  for contractual adjustments
  and doubtful accounts of $835,000 and
  $378,000 at December 31,
  1998 and 1997, respectively) ...........      923,432        566,765
 Inventory ..............................         47,987         45,999
 Prepaid expenses .......................         26,210         30,038
 Shareholder receivables ................         48,750         20,500
 Other current assets ...................          5,862          3,017
                                               -------------------------
     Total Current Assets ... ...........      1,109,290        774,461

Property and Equipment
 Office furniture and equipment .........         34,445         30,996
 Medical and surgical equipment .........        583,648        601,164
 Leasehold improvements .................         28,016          4,513
 Computer equipment .....................         38,175         36,237
                                               -------------------------
                                                 684,284        672,910

Less: Accumulated depreciation .........         401,988        307,512
                                               -------------------------

                                                 282,296        365,398
                                               -------------------------

                                              $1,391,586     $1,139,859
                                               -------------------------


                                                       December 31,

                                                  1998           1997
                                             ------------------------------
     LIABILITIES

Current Liabilities
 Current portion of capital lease obligations $   7,386         12,534
Notes payable ..........................        545,278        560,814
Accounts payable .......................         37,826         90,569
Accrued expenses .......................         49,811         29,964
                                              ----------     ----------
   Total Current Liabilities ............       640,301        693,881

Long-Term Capital Lease Obligations ....          7,491         14,559
                                              ----------     ----------
                                                647,792        708,440

SHAREHOLDERS' EQUITY

Common Stock, par value $.10, 1,000,000 shares
authorized, 1,400 issued ...............            140            140

Additional Paid-In Capital .............         32,610         13,860

Retained Earnings ......................        765,794        417,419

Less: Treasury stock, 150 shares at cost        (54,750)
                                              ----------     ----------
                                                 743,794        431,419
                                              ----------     ----------
                                            $  1,391,586   $  1,139,859
                                              ----------     ----------

                        See notes financial statements.
<PAGE>



                            BELLAIRE SURGICARE, INC.


                             STATEMENTS OF EARNINGS





                                                For the Year Ended
                                                   December 31,

                                                 1998           1997
                                              ----------     ----------

Revenues, net ..........................$     2,559,526$     2,314,638
                                              ----------     ----------
Expenses
 Surgical costs .........................        469,528        544,003
 Salaries, wages and benefits ...........        389,999        390,705
 Contract services ......................         31,871         33,179
 Management fees ........................        204,328        206,061
 Rent ...................................        168,083        168,083
 Depreciation and amortization ..........        131,559        134,683
 Insurance ..............................         21,603         14,804
 Professional fees ......................         87,460        150,540
 Interest expense .......................         45,139         57,668
 Repairs and maintenance ................         52,154         29,365
 Other operating expenses ...............         66,456        100,164
 Taxes ..................................         28,605         15,411
                                              ----------     ----------
                                               1,696,785      1,844,666
                                              ----------     ----------

Other Income
 Gain on sale of property and equipment .         5,092
 Miscellaneous income ...................          7,292          1,574
                                              ----------     ----------
                                                 12,384          1,574
                                              ----------     ----------

Net Earnings ...........................     $  875,125     $   471,546
                                              ----------     ----------



                        See notes financial statements.
<PAGE>





                            BELLAIRE SURGICARE, INC.


                       STATEMENTS OF SHAREHOLDERS' EQUITY








                                   Additional
                         Common      Paid-In    Treasury  Retained   Total
                         Stock       Capital      Stock   Earnings   Equity
                       ---------   -----------  --------- --------  ----------


Balance -
 December 31, 1996      $  140     $  13,860             $ 456,873  $ 470,873

Distributions ......                                      (511,000)  (511,000)

Net Earnings .......                                       471,546    471,546
                        ---------   -----------  --------- --------  ----------
Balance -
 December 31, 1997         140        13,860               417,419    431,419

Purchase of Treasury Stock                     $(146,000)            (146,000)

Sale of Treasury Stock                18,750      91,250              110,000

Distributions ......                                      (526,750)  (526,750)

Net Earnings .......                                       875,125    875,125
                        ---------   -----------  --------- --------  ----------
Balance -
 December 31, 1998 ..   $   140    $  32,610  $  (54,750)$ 765,794  $ 743,794
                        ---------   -----------  --------- --------  ----------














                           See notes to financial statement




<PAGE>



                            BELLAIRE SURGICARE, INC.


                            STATEMENTS OF CASH FLOWS


                                                  For the Year Ended
                                                     December 31,

                                                   1998           1997
                                            ------------------------------

Cash Flows From Operating Activities

Net earnings ...........................     $   875,125     $   471,546
Adjustments to reconcile net earnings to
 net cash provided by operations:
  Depreciation and amortization ..........       131,559         134,683
  Gain on sale of property and equipment .        (5,092)
  (Increase) Decrease in:
    Accounts receivable ....................    (356,667)        (50,095)
    Inventory ..............................      (1,988)         45,370
    Prepaid expenses .......................       3,828            (518)
    Other current assets ...................      (2,845)         (3,017)
  Increase (Decrease) in:
    Accounts payable .......................     (52,743)         14,211
    Accrued expenses .......................      19,847         (24,846)
                                             ------------------------------
Net Cash Provided by Operating Activitie         611,024         587,334
                                             ------------------------------

Cash Flows From Investing Activities
 Capital expenditures ...................        (70,865)        (17,080)
 Collections on shareholder receivable ..         20,500)          7,500
 Proceeds from sale of property and equip         27,500
                                             ------------------------------
   Net Cash Used in Investing Activities ..      (22,865)         (9,580)
                                             ------------------------------

Cash Flows From Financing Activities
 Borrowings on debt .....................         78,500         656,000
 Net payments on debt ...................       (118,369)       (719,055)
 Principal payments on capital lease ....        (12,216         (25,557)
 Purchase of treasury stock .............       (121,667)
 Sale of treasury stock .................         61,250
 Distributions ..........................       (526,750)       (511,000)
                                             ------------------------------
Net Cash Used in Financing Activities ..        (639,252)       (599,612)
                                             ------------------------------


Net Decrease in Cash and Cash Equivalent         (51,093)         (21,858)

Cash and Cash Equivalents - Beginning of         108,142         130,000
                                            ------------------------------

Cash and Cash Equivalents - End of Year           57,049$        108,142
                                            ------------------------------





<PAGE>






                                                  For the Year Ended
                                                     December 31,

                                                   1998           1997
                                              ------------------------------



Non-Cash Transactions

Purchase of treasury stock with note
payable                                     $    24,333
                                              ------------------------------

Notes receivable from sale of treasury
stock collected subsequent to year end      $    48,750
                                              ------------------------------

Supplemental Cash Flow Information

Interest paid ..........................    $    46,938$        54,993
                                              ------------------------------












                        See notes financial statements.

<PAGE>






                            BELLAIRE SURGICARE, INC.
                          NOTES TO FINANCIAL STATEMENTS
                           December 31, 1998 and 1997






Note 1 - Accounting Policies


Bellaire  Surgicare,  Inc. (the  Company)  maintains its accounts on the accrual
method  of  accounting  in  accordance   with  generally   accepted   accounting
principles.  Accounting  principles  followed  by the Company and the methods of
applying those principles which materially affect the determination of financial
position, results of operations and cash flows are summarized below:


Description of Business


The Company was formed in January,  1995 as a Texas corporation to operate a day
surgery center in Houston, Texas.


Cash and Cash Equivalents


The Company  considers all short-term  investments with an original  maturity of
three months or less to be cash equivalents.


Revenue Recognition


Revenue is recognized on the date the  procedures  are  performed,  and accounts
receivable  are recorded at that time.  Revenues  are reported at the  estimated
realizable  amounts from patients and third-party  payers.  Earnings are charged
with a provision for contractual  adjustments and doubtful accounts based on fee
schedules,  contracts and collection  experience.  Contractual  adjustments  and
accounts deemed uncollectible are applied against the allowance account.


Inventory


Inventory  consists of medical and  pharmaceutical  supplies which are stated at
the lower of cost or market.  Cost is determined  under the first-in,  first-out
method.


Property and Equipment


Property  and  equipment  are  presented  at cost.  Property,  of  approximately
$90,000,  under capital lease is recorded at the present value of future minimum
lease payments.  Depreciation  and amortization are computed at rates considered
sufficient to amortize the cost of the assets,  using the  straight-line  method
over their estimated useful lives as follows:

Office furniture and equipment                          7 years
Medical and surgical equipment                          5 years
Leasehold improvements                                  5 years
Computer equipment                                      5 years


Federal Income Tax


The Company has elected S  corporation  status for federal  income tax purposes.
Under S corporation  regulations,  net losses are reportable for tax purposes by
the  shareholders.  Accordingly,  no federal  income  taxes are  included in the
accompanying financial statements.


Use of Estimates


The preparation of financial  statements in conformity  with generally  accepted
accounting principles requires management to make estimates and assumptions that
affect  the  reported  amounts  of assets  and  liabilities  and  disclosure  of
contingent  assets and  liabilities at the date of the financial  statements and
the  reported  amounts of revenues  and expenses  during the  reporting  period.
Actual results could differ from those estimates.


Note 2 - Notes Payable


                                                             December 31,

                                                          1998           1997
                                                       ------------------------
Note payable bearing interest at the prime rate,
 secured by furniture, equipment and intangibles,
 guaranteed by the shareholders, payable on demand
 or in monthly installments of principal and interest
 of $13,398hrough March, 2002 .......................  $457,792$       537,063

Note payable to former owner, bearing interest at 8%,
 secured by equipment, with monthly payments of
 $3,193, maturing in March 1998                                         23,751


Non-interest-bearing unsecured note payable to a
 former shareholder, due November 30, 1999 ..........    24,333

Note payable bearing interest at the prime rate,
 secured by furniture, equipment and intangibles,
 guaranteed by the shareholders, payable on demand or
 in monthly installments of principal and interest of
 $5,000 through January, 2000                            63,153
                                                       ------------------------
                                                       $545,278        $560,814
                                                       ------------------------


Note 3 - Operating Lease


The Company leases its treatment  facility from a shareholder under an operating
sublease  which expires in 2003.  Rent for 1998 and 1997 was  $168,083.  Minimum
payments under this lease agreement are as follows:


          For the Year Ending December 31,

          1999                       $      168,036
          2000                              168,036
          2001                              168,036
          2002                              168,036
          2003                               57,619
                                            -------
                                     $      729,763
                                            -------

Note 4 - Long-Term Capital Leases


The Company  leases certain  equipment from third parties.  The leases are for a
sixty-month term expiring through 2000. The members have guaranteed the leases.


The following is a schedule of future  minimum lease  payments under the capital
leases,  together with the present value of the net minimum lease payments as of
December 31, 1998:


  For the Year Ending December 31,



                  1999                          $      8,148
                  2000                                 7,175
                                                   ----------
                                                      15,323



  Less: amount representing interest                     446
  Present value of minimum lease payments             14,877
  Less: Current obligations                            7,386
  Long-term obligations under capital lease     $      7,491
                                                     ----------


Note 5 - Management Fees


The Company has an agreement with a management  company to manage the operations
of the treatment facility. Under the contract, the Company is required to pay 5%
of  net  monthly  collected  revenues  and  10%  of the  amount  distributed  to
shareholders. Management fee expense was $204,328 and $206,061 in 1998 and 1997,
respectively.  This agreement was terminated in July,  1999  concurrent with the
merger with Technical Coatings, Inc. (See Note 7.)


Note 6 - Related Party Transactions


As of December 31, 1998, the Company had  non-interest-bearing  receivables from
shareholders of $48,750 for the purchase of treasury stock.


As of December 31, 1997, the Company had a non-interest-bearing  receivable from
a shareholder of $20,500.


During 1998 and 1997, the Company paid rent to a shareholder of $168,083.


Note 7 - Subsequent Event


In  July,   1999,  the  Company  merged  with   Technical   Coatings,   Inc.,  a
publicly-owned  company,  in a  transaction  which  will be  accounted  for as a
purchase.







<PAGE>






                                 SURGICARE, INC.
                           CONSOLIDATED BALANCE SHEETS




         ASSETS

Current Assets

     Cash and cash equivalents ...................   $    144,959

     Accounts receivable (less allowance for contractua
     adjustments and doubtful accounts of $1,226,096)
                                                        1,524,505

     Inventory ...................................         50,000
     Prepaid expenses ............................         32,314
     Shareholder receivables .....................         18,819
     Other current assets ........................          4,450
                                                       -----------
Total Current Assets .............................      1,775,047

Property and Equipment

     Office furniture and equipment ..............         35,159
     Medical and surgical equipment ..............        561,423
     Leasehold improvements ......................         28,016
     Computer equipment ..........................         56,278
                                                       -----------
                                                          680,876

Less: Accumulated depreciation and amortization ..        405,909
                                                       -----------
                                                          274,967
                                                       -----------
                                                    $   2,050,014














                        See notes to financial Statements

<PAGE>




                                                       July 31,1999
                                                       -----------

         LIABILITIES


Current Liabilities

     Current portion of capital lease obligations          19,447
     Notes payable ...............................        555,860
     Accounts payable ............................        107,597
     Accrued expenses ............................         79,081
                                                       -----------
Total Current Liabilities ........................        761,985

Long-Term Capital Lease Obligations ..............         38,538
                                                       -----------
                                                          800,523


         SHAREHOLDERS' EQUITY


Series A Preferred Stock par value $.001 1,650,000
authorized, 1,350,000 issued                                1,350



Common Stock, par value $.005, 50,000,000 shares
authorized, 12,654,351 issued                              64,112

Additional Paid-In Capital .......................      1,173,851


Retained Earnings ................................         11,298


         Less: Treasury stock, 150 shares at cost          (1.120)
                                                       -----------

                                                        1,249,491
                                                       -----------

                                                        2,050,014
                                                       -----------


This reflects Retained Earnings since the
acquisition of Bellaire Surgicare, Inc.






                        See notes to financial Statements
<PAGE>













                                 SURGICARE, INC.
                       CONSOLIDATED STATEMENT OF EARNINGS
                           For the Seven Months Ended



                                                     JULY 31, 1999

Revenues, net ....................................      2,439,134
                                                  ---------------

Expenses

     Surgical costs ..............................        337,906
     Salaries, wages and benefits ................        243,048
     Contract services ...........................         17,879
     Management fees .............................        133,804
     Rent ........................................        100,911
     Depreciation and amortization ...............         65,110
     Insurance ...................................         13,978
     Professional fees ...........................         25,561
     Interest expense ............................         25,625
     Repairs and maintenance .....................         30,359
     Other operating expenses ....................        489,276
     Taxes .......................................         17,526
                                                       -----------

                                                        1,198,245
                                                       -----------


Other Income

     Gain on sale of property and equipment
     Miscellaneous income ........................          4,658
                                                       -----------
                                                            4,658



Net Earnings .....................................$     1,245,548
                                                     ---------------












                        See notes to financial Statements

<PAGE>





                                 SURGICARE, INC.

                 CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY



                                        Additional
                     Preferred   Common  Paid-In  Treasury   Retained    Total
                       Stock      Stock  Capital   Stock     Earnings   Equity


Balance - December          0         0         0         0         0         0


Purchase of Stock .     1,350    64,112                                  65,462


Purchase of Subsidi                       1,173,851          (77,600) 1,096,251


Purchase of Treasur                                 (1,120)              (1,120)


Distributions .....                                         (152,000)  (152,000)


Net Earnings ......                                          240,898    240,898


Balance July 31, 19     1,350    64,112   1,173,851 (1,120)   11,298  1,249,491












                       See notes to financial Statements




<PAGE>



                                 SURGICARE, INC.


                          NOTES TO FINANCIAL STATEMENTS


                                  July 31, 1999



Note 1 - Accounting Policies

Surgicare,  Inc. and subsidiaries  (the Company)  maintain their accounts on the
accrual method of accounting in accordance  with generally  accepted  accounting
principles.  Accounting  principles  followed  by the Company and the methods of
applying those principles which materially affect the determination of financial
position, results of operations and cash flows are summarized below:

Description of Business

     The Company had a major  stockholder  change in July 1999. The Company also
purchased the majority of stock for Bellaire Surgicare, Inc which operates a day
surgery center in Houston, Texas. Bellaire Surgicare, Inc. was formed in January
1995. The acquisition of the stock of Bellaire Surgicare, Inc took place on July
1, 1999.

Cash and Cash Equivalents

     The Company considers all short-term  investments with an original maturity
of three months or less to be cash equivalents.


Revenue Recognition


     Revenue  is  recognized  on the  date the  procedures  are  performed,  and
accounts  receivable  are  recorded at that time.  Revenues  are reported at the
estimated realizable amounts from patients and third-party payers.  Earnings are
charged with a provision for contractual adjustments and doubtful accounts based
on fee schedules,  contracts and collection experience.  Contractual adjustments
and accounts deemed uncollectible are applied against the allowance account.


Inventory


     Inventory consists of medical and pharmaceutical  supplies which are stated
at the lower of cost or market. Cost is determined under the first-in, first-out
method.


Property and Equipment


     Property and equipment are presented at cost.  Property,  of  approximately
$90,000,  under capital lease is recorded at the present value of future minimum
lease payments.  Depreciation  and amortization are computed at rates considered
sufficient to amortize the cost of the assets,  using the  straight-line  method
over their estimated useful lives as follows:


         Office furniture and equipment              7 years
         Medical and surgical equipment              5 years
         Leasehold improvements                      5 years
         Computer equipment                          5 years


Acquisition of Bellaire Surgicare, Inc.


     On July 21, 1999,  the Board of Directors  of both  SurgiCare  and Bellaire
unanimously  approved  SurgiCare's  acquisition  of 100%  (1,350  shares) of the
issued and out  standing  common  stock of Bellaire in exchange  for  10,955,556
shares of SurgiCare's  common stock and 1,350,000 shares of SurgiCare's Series A
Preferred.  Following the closing of the  transaction,  Bellaire became a wholly
owned  subsidiary  of  SurgiCare.  At the time of the approval by both boards of
directors,  the shareholders of Bellaire jointly held the majority of the issued
and outstanding shares of SurgiCare. In addition four of the five members of the
Board of Directors of SurgiCare each  individually held 7.4% of the out standing
and issued shares of Bellaire.


     In determining the amount and character of the  consideration to be paid by
SurgiCare for the Bellaire stock,  the Boards of Directors of both SurgiCare and
Bellaire  considered  numerous  factors,  including the then inactive  status of
SurgiCare  and prior offers that  Bellaire had received for the  acquisition  of
Bellaire by others.



     On June 30, 1999 the book value of Bellaire Surgicare Inc. was $ 1,160.594.
The accounting of the purchase of Bellaire Surgicare, Inc by Surgicare,  Inc. is
as follows:


    Common Stock                10,955,556 shares at par value   $      54,778
    Series A Preferred Stock     1,350,000 shares at par value           1,350
    Paid In Capital                                                  1,152,379


     For  accounting  purposes  the above  transaction  was  treated as a direct
purchase.


     Rank and Issue Price.  The Series A Preferred  Stock will rank prior to all
of  SurgiCare's  Common  Stock and to any class or  series of  capital  stock of
SurgiCare not specifically  ranking by its terms senior to or on parity with any
Series A Preferred  Stock.  The Series A Preferred Stock will rank junior to any
other class or series of capital stock specifically  ranking by its terms senior
to the  Series A  Preferred  Stock and will  rank on a parity  with any class or
series of capital  stock  specifically  ranking by its terms on parity  with the
Series A  Preferred  Stock,  in each  case as to  distribution  of  assets  upon
liquidation,  dissolution  or  winding up of  SurgiCare,  whether  voluntary  or
involuntary.  The Series A  Preferred  Stock was  issued at par  value.  For the
purposes of the redemption price, and liquidation preference,  the deemed issued
price of this series is $5 per share.







<PAGE>












PART III


ITEM 1. INDEX TO EXHIBITS


     EXHIBIT                         DESCRIPTION
     NUMBER

       3.1  Amended and Restated Certificate of Incorporation of SurgiCare, Inc.

       3.2  Articles of Incorporation of Bellaire Surgicare, Inc.

       3.3  By-Laws of Technical Coatings Incorporated (now SurgiCare, Inc.)

       3.4  By-Laws of Bellaire Surgicare, Inc.

       4.1  Certificate of Designation, Powers, Preferences and Rights of
            Series A  Redeemable  Preferred  Stock,  par value  $.001 per
            share, of Surgicare, Inc.

       9.1  Voting  Trust  Agreement,  dated July 28,  1999,  among David
            Blumfield,  D.P.M.,  individually  and as  trustee,  and  the
            stockholders named therein.

      10.1  Agreement, dated July 29, 1989, 1999, between SurgiCare, Inc.
            and Surgery Centers of America II, Inc.

       21   List of Subsidiaries of the SurgiCare

       27   Financial Data Schedule








<PAGE>



EXHIBIT 3.1


                              AMENDED AND RESTATED
                          CERTIFICATE OF INCORPORATION
                                       OF
                            TECHNICAL COATINGS, INC.


                  (Including Change of Name to SurgiCare, Inc.)



     (Formerly Technical Coatings Incorporated, incorporated July 20, 1984)



                  TECHNICAL COATINGS, INC., a corporation organized and existing
under and by virtue of the General Corporation Law of the State of Delaware (the
"Corporation"),does hereby certify that:

                                       I.

         The name of the Corporation is Technical Coatings, Inc.

                                       II.

         The original Certificate of Incorporation of the Corporation, under the
name Technical Coatings  Incorporated,  was filed with the Delaware Secretary of
State on July 20, 1984.

                                      III.

         The Board of Directors of the  Corporation,  acting in accordance  with
Sections  141(f),  242 and 245 of the  General  Corporation  Law of the State of
Delaware,  duly  adopted  resolutions  and  declared  the  advisability  of such
resolutions  to amend  and  restate  the  Certificate  of  Incorporation  of the
Corporation to read in its entirety as follows:

                                    ARTICLE I

         The name of the corporation is SurgiCare, Inc.

                                   ARTICLE II

         The  address  of the  Corporation's  registered  office in the State of
Delaware  is  Corporation  Trust  Center,  1209  Orange  Street,  in the City of
Wilmington,  County  of New  Castle.  The name of its  registered  agent at such
address is The Corporation Trust Company.

                                   ARTICLE III

         The nature of the business or purpose to be conducted or promoted is to
engage in any lawful act or activity  for which a  corporation  may be organized
under the General Corporation Law of Delaware.

                                   ARTICLE IV

         (a) The  Corporation is authorized to issue two classes of shares to be
designated, respectively, "Common Stock" and "Preferred Stock." The total number
of shares which the Corporation shall have authority to issue is seventy fifteen
million  (70,000,000)  shares.  The total number of shares of Common Stock which
the  Corporation  shall have  authority to issue is fifty  million  (50,000,000)
shares,  and the par value of each share of Common Stock is  five-tenths  of one
cent  ($0.005).  The  total  number  of  shares  of  Preferred  Stock  which the
Corporation shall have authority to issue is twenty million (20,000,000) shares,
and the par value of each  share of  Preferred  Stock is  one-tenth  of one cent
($0.001).  The  Preferred  Stock may be issued from time to time, in one or more
series, each series to be appropriately designated by a distinguishing letter or
title, prior to the issue of any shares thereof.

         (b) The Board of  Directors  is hereby  authorized  to fix or alter the
dividend rights,  dividend rate,  conversion rights,  voting rights,  rights and
terms of redemption (including sinking fund provisions,  if any), the redemption
price  or  prices,  the  liquidation   preferences,   any  other   designations,
preferences and relative,  participating,  optional or other special rights, and
any qualifications,  limitations or restrictions thereof, of any wholly unissued
series of  Preferred  Stock,  and the  number of  shares  constituting  any such
unissued series and the designation  thereof, or any of them; and to increase or
decrease the number of shares of any series subsequent to the issue of shares of
that series, but not below the number of shares of such series then outstanding.
In case the number of shares of any  series  shall be so  decreased,  the shares
constituting  such decrease  shall resume the status which they had prior to the
adoption  of the  resolution  originally  fixing  the  number  of shares of such
series.

                                    ARTICLE V

         In  furtherance  and  not in  limitation  of the  powers  conferred  by
statute, the Board of Directors is expressly authorized to adopt, repeal, alter,
amend and rescind the bylaws of the Corporation.

                                   ARTICLE VI

         Notwithstanding Article V hereof, the bylaws may be rescinded, altered,
amended or repealed in any respect by the affirmative  vote of the holders of at
least sixty-six and two-thirds  percent (66 2/3) of the outstanding voting stock
of the Corporation, voting together as a single class.

                                   ARTICLE VII

         The Board of Directors  shall have that number of Directors  set out in
the bylaws of the  Corporation  as adopted or as set from time to time by a duly
adopted  amendment  thereto by the Board of  Directors  or  stockholders  of the
Corporation acting in accordance with Article VI.

                                  ARTICLE VIII

         Elections of directors at an annual or special  meeting of stockholders
need not be by written  ballot  unless the  bylaws of the  Corporation  shall so
provide.

                                   ARTICLE IX

        Special meetings of the stockholders of the Corporation for any purpose
or  purposes  may be  called  at any  time by the  Board of  Directors,  or by a
majority of the  members of the Board of  Directors,  or by a  committee  of the
Board of Directors  which has been duly designated by the Board of Directors and
whose  powers  and  authority,  as  provided  in a  resolution  of the  Board of
Directors  or in the Bylaws of the  Corporation,  include the power to call such
meetings,  but such  special  meetings  may not be called by any other person or
persons;  provided,  however, that if and to the extent that any special meeting
of  stockholders  may be called by any other person or persons  specified in any
provisions of the Certificate of Incorporation  or any amendment  thereto or any
certificate filed under Section 151(g) of the Delaware General  Corporation Law,
then such  special  meeting may also be called by the person or persons,  in the
manner, at the times and for the purposes so specified.

                                    ARTICLE X

         The Corporation  reserves the right to amend,  alter,  change or repeal
any provision contained in this Certificate of Incorporation,  in the manner now
or hereafter  prescribed by statute,  and all rights  conferred on  stockholders
herein are  granted  subject to this  reservation;  provided,  however,  that no
amendment,  alteration,  change or repeal may be made to Articles  VI, IX or XII
without the affirmative vote of the holders of at least sixty-six and two-thirds
percent  (66b%)  of the  outstanding  voting  stock of the  Corporation,  voting
together as a single class.

                                   ARTICLE XI

         Each reference in this Certificate of Incorporation to any provision of
the Delaware  General  Corporation Law refers to the specified  provision of the
General  Corporation Law of the State of Delaware,  as the same now exists or as
it may hereafter be amended or superseded.

                                   ARTICLE XII

         To the fullest extent  permitted by the General  Corporation Law of the
State of Delaware,  the Corporation shall indemnify and advance  indemnification
expenses  on  behalf of all  directors  and  officers  of the  Corporation.  The
Corporation  shall indemnify such other persons as may be required by statute or
by the  bylaws of the  Corporation.  The  Corporation  may,  to the full  extent
permitted by Delaware  law,  purchase  and  maintain  insurance on behalf of any
director or officer,  or such other person as may be permitted by statute or the
bylaws of the  Corporation,  against any liability which may be asserted against
any  director,  officer  or such  other  person  and may  enter  into  contracts
providing for the indemnification of any director,  officer or such other person
to the full extent  permitted by Delaware law. The liability of directors of the
Corporation  (for actions or inactions  taken by them as directors) for monetary
damages shall be eliminated to the fullest  extent  permissible  under  Delaware
law.  If the  General  Corporation  Law of the State of  Delaware  is  hereafter
amended to  authorize  corporate  action  further  limiting or  eliminating  the
personal  liability of  directors,  then the  liability of the  directors to the
Corporation  shall be limited or eliminated to the fullest  extent  permitted by
the General Corporation Law of the State of Delaware, as so amended from time to
time. Any repeal or modification of this Article XII by the  stockholders of the
Corporation  shall be  prospective  only,  and shall not  adversely  affect  any
limitation on the personal  liability of a director of the Corporation  existing
at the time of such repeal or modification.

                                       IV.

         Thereafter,  pursuant to a resolution of the Board of  Directors,  this
Restated  Certificate of  Incorporation  was duly approved by the holders of the
necessary number of shares of the Company's voting securities in accordance with
the provisions of Section 228, 242 and 245 of the General Corporation Law of the
State of Delaware.

         IN  WITNESS  WHEREOF,   Technical   Coatings,   Inc.  has  caused  this
certificate  to be signed by its duly  authorized  officer  this 10 day of July,
1999.


TECHNICAL COATINGS, INC.

by:


         David Blumfield, D.P.M.
         President


Attest:


         Sherman Nagler, D.P.M.
         Secretary


<PAGE>






EXHIBIT 3.2

                              ARTICLES OF AMENDMENT
                                       TO
                            ARTICLES OF INCORPORATION
                                       OF
                      CENTER FOR SPECIALIZED SURGERY, INC.


Pursuant to the  provisions  of Article 4.04 of the Texas  Business  Corporation
Act, the undersigned  corporation  adopts the following Articles of Amendment to
its Articles of Incorporation:

                                       I.

         The name of the corporation is Center for Specialized Surgery, Inc.

                                       II.

The following amendment to the Articles of Incorporation was adopted by the sole
Director of the  corporation  on December  29,  1994,  changing  the name of the
corporation as follows:

The Amendment alters Article I of the original Articles of Incorporation and the
full text of each provision altered is as follows:

            "The name of the corporation is BELLAIRE SURGICARE, INC."

                                      III.



         No shares have been issued.

         Dated: December 29, 1994.



CENTER FOR SPECIALIZED  SURGERY,  INC.


BY: ROBERT PARKER,  D.P.M. SOLE
DIRECTOR



                            ARTICLES OF INCORPORATION
                                       OF
                      CENTER FOR SPECIALIZED SURGERY, INC.


The undersigned natural person of the age of eighteen (18) years of age or more,
acting as  incorporator  of a corporation  under the Texas Business  Corporation
Act, hereby adopts the following Articles of Incorporation for such corporation.

                                    ARTICLE I


The name of the corporation is Center for Specialized Surgery, Inc.

                                   ARTICLE II


The period of its duration is perpetual.

                                   ARTICLE III


The  purpose  for  which  the  corporation  is  organized  is to  engage  in the
transaction  of  any  or all  lawful  business  for  which  corporations  may be
incorporated under the Texas Business Corporation Act.

                                   ARTICLE IV.


The aggregate  number of shares which the  corporation  shall have  authority to
issue is 1,000,000 shares, with $. 10 par value.

                                   ARTICLE V.


The  corporation  will  not  commence  business  until it has  received  for the
issuance of its shares  consideration  of the value of $1,000.00,  consisting of
money, labor done or property actually received.


                                   ARTICLE VI.

The street address of its initial registered office is:


                              450 Gears, Suite 600
                                Houston, TX 77067

The name of its initial registered agent at such address is:

                              J. Michael O'Donnell

                                   ARTICLE IX.


A director of the corporation  shall not be personally liable to the corporation
or its shareholders for monetary damages for any act or omission in his capacity
as a director, except to the extent otherwise expressly provided by a statute of
the  State of  Texas.  Any  repeal  or  modification  of this  Article  shall be
prospective  only, and shall not adversely affect any limitation of the personal
liability of a director of the corporation existing at the time of the repeal or
modification.

                                   ARTICLE X.


Any action required by Texas Law to be taken at any annual or special meeting of
shareholders,  or any action which may be taken at any annual or special meeting
of  shareholders,  may be taken without a meeting,  without  prior  notice,  and
without a vote, if a consent or consents in writing, setting forth the action so
taken,  shall be signed by the holder or holders of shares  having not less than
the  minimum  number of votes that would be  necessary  to take such action at a
meeting at which the  holders of all shares  entitled to vote on the action were
present and voted.  Such a written consent shall meet all other  requirements of
Texas law, if any.

                                   ARTICLE XI.

The name and address of the Incorporator is:

                              J. Michael O'Donnell
                              450 Gears, Suite 600
                               Houston, TX. 77067

          IN WITNESS  WIMREOF,  the  undersigned  has executed these Articles of
     Incorporation on this the 15day of September, 1993

                    J. Michael O'Donnell, Incorporator




<PAGE>



EXHIBIT 3.3
                                     BY-LAWS

                                       OF

                            TECHNICAL COATINGS, INC.


                                    ARTICLE I
                                     OFFICES


         SECTION 1 REGISTERED OFFICE. The registered office shall be established
and maintained at 100 W. Tenth Street, in the City of Wilmington,  in the County
of New Castle, in the State of Delaware and The Corporation Trust Company is the
registered agent.


         SECTION 1.2 OTHER  OFFICES.  The  Corporation  may have other  offices,
either  within or  without  the State of  Delaware,  at such place or places the
Board  of  Directors  may  from  time to time  appoint  or the  business  of the
Corporation may require.


                                   ARTICLE II
                            MEETINGS OF STOCKHOLDERS


         SECTION 2.1 ANNUAL MEETINGS. The annual meeting of the stockholders for
the  election of directors  and for the  transaction  of such other  business as
properly may come before such meeting shall be held on the date, at the time and
place within or without the State of Delaware as may be  designated by the Board
of Directors.


         SECTION 2.2 SPECIAL MEETINGS.  Special meetings of the stockholders for
any  proper  purpose  or  purposes  may be  called  at any time by the  Board of
Directors, the President, any Executive Vice President or any Vice President, to
be held on the  date,  at the time and  place  within  or  without  the State of
Delaware as the Board of Directors,  the President,  Executive  Vice  President,
whichever  has  called  the  meeting,  shall  direct.  A special  meeting of the
stockholders shall be called by the President, and Executive Vice President, any
Vice  President  or  Secretary  whenever  stockholders  owning a majority of the
shares of the  Corporation  then issued and  outstanding and entitled to vote on
all of the matters to be submitted to  stockholders  of the  Corporation at such
special meeting shall make written  application to the President,  any Executive
Vice President,  any Vice President or Secretary. Any such written request shall
state a proper  purpose or purposes of the meeting and shall be delivered to the
President, any Executive Vice President, any Vice President or Secretary.


         SECTION 2.3 NOTICE OF MEETING. Written notice, signed by the President,
any Executive Vice President,  any Vice President, the Secretary or an Assistant
Secretary,  of every meeting of stockholders stating the purpose or purposes for
which the meeting is called, and the date and time when, and the place where, it
is to  be  held  shall  be  delivered  either  personally  or by  mail  to  each
stockholder  entitled  to vote at such  meeting  not less than ten (10) nor more
than fifty  (50) days  before  the  meeting,  except as  otherwise  provided  by
statute.  If mailed,  such  notice  shall be directed  to a  stockholder  at his
address as it shall appear on the stock record book of the  Corporation,  unless
the  stockholder  shall have filed with the  Secretary  a written  request  that
notices  intended for him or her be mailed to some other address,  in which case
it shall be mailed to the address designated in such request.


         SECTION 2.4 QUORUM. The presence at any meeting, in person or by proxy,
of the holders of record of a majority of the shares then issued and outstanding
and entitled to vote shall be necessary  and  sufficient  to constitute a quorum
for the transaction of business, except where otherwise provided by statute.


         SECTION  2.5  ADJOURNMENTS.  In the  absence of a quorum,  stockholders
representing  a majority of shares then issued and  outstanding  and entitled to
vote,  present in person or by proxy, or, if no stockholder  entitled to vote is
present  in person or by proxy,  any  officer  entitled  to preside at or act as
secretary  of such  meeting,  may adjourn the meeting  from time to tome until a
quorum shall be present.


         SECTION 2.6  VOTING.  Directors  shall be chosen by a plurality  of the
votes cast at the election, and, except where otherwise provided by statute, all
other  questions  shall be  determined  by a majority  of the votes cast on such
question.


         SECTION  2.7  PROXIES.  Any  stockholders  entitled to vote may vote by
proxy,  provided that the  instrument  authorizing  such proxy to act shall have
been  executed in writing  (which shall include  telegraphing,  cabling or other
means of electronically  transmitted written copy) by the stockholder himself or
herself or by his or her duly authorized attorney.


         SECTION  2.8 JUDGES OF  ELECTION.  The Board of  Directors  may appoint
judges of election to serve at any election of directors and at balloting on any
other matter that may properly come before a meeting of stockholders. If no such
appointment  shall be made,  or if any of the judges so appointed  shall fail to
attend,  or refuse or be unable to serve,  then such  appointment may be made by
the presiding officer of the meeting at the meeting.





                                   ARTICLE III
                               BOARD OF DIRECTORS


         SECTION 3.1 NUMBER.  The initial number of Directors of the Corporation
shall be one.  Thereafter,  the number of directors  which shall  constitute the
whole Board of Directors  shall be fixed from time to time by  resolution of the
Board of Directors or  stockholders  (any such resolution of either the Board of
Directors or  stockholders  being  subject to any later  resolution of either of
them).


         SECTION 3.2 ELECTION AND TERM OF OFFICE.  Directors shall be elected at
the annual meeting of the  stockholders.  Each director  (whether  elected at an
annual meeting or to fill a vacancy or otherwise) shall continue in office until
a successor  shall have been elected or until his or her death,  resignation  or
removal in the manner hereinafter provided, whichever shall first occur.


         SECTION 3.3  VACANCIES  AND  ADDITIONAL  DIRECTORSHIPS.  If any vacancy
shall occur among the directors by reason of death, resignation,  or removal, or
as the result of an increase in the number of directorships,  the directors then
in office  shall  continue to act and may fill any such vacancy by a vote of the
directors then in office, though less than a quorum.


         SECTION 3.4 MEETINGS. A meeting of the Board of Directors shall be held
for  organization,  for the election of officers and for the transaction of such
other business as may properly come before the meeting,  within thirty (30) days
after each annual election of directors.


         The Board of  Directors  by  resolution  may provide for the holding of
regular  meetings and may fix the times and places at which such meetings  shall
be held. Notice of regular meetings shall not be required to be given,  provided
that whenever the time or place of regular  meetings  shall be fixed or changed,
notice of such action  shall be mailed  promptly to each  director who shall not
have been  present at the meeting at which such action was taken,  addressed  to
him or her at his or her residence or usual place of business,  unless he or she
shall have filed with the Secretary a written request that notices  intended for
him or her be mailed to some other address,  in which case it shall be mailed to
the address designated in such request.


         Special  meetings  of the  Board  of  Directors  may be  called  by the
President,  any  Executive  Vice  President,  any  Vice  President  or  any  two
directors,  except if there are fewer than four (4) directors,  then any one (1)
director.  Except as  otherwise  required  by  statute,  notice of each  special
meeting shall be mailed to each director,  addressed to him or her at his or her
residence or usual place of business, unless he or she shall have filed with the
Secretary a written  request that  notices  intended for him or her be mailed to
some other address,  in which case it shall be mailed to the address  designated
in such  request,  or  shall be sent to him or her at such  place  by  telegram,
radiogram or cablegram, or telephoned or other electronic means, or delivered to
him or her  personally,  not  later  than two days  before  the day on which the
meeting  is to be held.  Such  notice  shall  state  the time and  place of such
meeting,  but need not state the purposes thereof,  unless otherwise required by
statute, the Certificate of Incorporation of the Corporation or these By-Laws.


         The Board of  Directors  may meet and  transact any and all business of
the  Corporation  by means of a conference  telephone or similar  communications
equipment,  provided that all persons  participating  in the meeting are able to
hear each other.  Participation in a meeting by means of conference telephone or
similar communication shall constitute presence in person at such meeting.


         Notice  of any  meeting  need not be given to any  director  who  shall
attend such meeting in person or who shall waive notice thereof, before or after
such meeting,  in writing or by telegram,  radiogram or cablegram or other means
of electronically transmitted written copy.


         SECTION 3.5 QUORUM.  One-third  (1/3) of the total number of members of
the Board of Directors as  constituted  from time to time, but not less than two
(2),  shall  be  necessary  and  sufficient  to  constitute  a  quorum  for  the
transaction of business, except that when the Board consists of one (1) director
pursuant to SECTION 3.1, then the one (1) director shall constitute a quorum. In
the absence of a quorum,  a majority  of those  present at the time and place of
any meeting may  adjourn the meeting  from time to time until a quorum  shall be
present and the  meeting  may be held as  adjourned  without  further  notice or
waiver.  A majority of those present at any meeting at which a quorum is present
may decide  any  question  brought  before  such  meeting,  except as  otherwise
provided by law, the Certificate of Incorporation or these By-Laws.


         SECTION 3.6  RESIGNATION  OF DIRECTORS.  Any director may resign at any
time by giving written notice of such resignation to the Board of Directors, the
President,  any Executive Vice  President,  any Vice President or the Secretary.
Any such resignation  shall take effect at the time specified  therein or, if no
time be specified,  upon receipt thereof by the Board of Directors or one of the
above named officers:  and,  unless  specified  therein,  the acceptance of such
resignation shall not be necessary to make it effective.


         SECTION  3.7  REMOVAL  OF  DIRECTORS.  At any  special  meeting  of the
stockholders,  duly  called  as  provided  in these  By-Laws,  any  director  or
directors may, by the  affirmative  vote of the holders of a majority of all the
shares of stock issued and  outstanding and entitled to vote for the election of
directors, be removed from office, either with or without cause. At such meeting
a successor or successors may be elected by a plurality of the votes cast, or if
any such vacancy is not so filled, it may be filled by the directors as provided
in SECTION 3.3 of the By-Laws.


         SECTION 3.8  COMPENSATION  OF DIRECTORS.  Directors  shall receive such
reasonable  compensation  for their  services  as such,  whether  in the form of
salary or a fixed fee for attendance at meetings,  with expenses, if any, as the
Board of Directors may from time to time  determine.  Nothing  herein  contained
shall be construed to preclude any director from serving the  Corporation in any
other capacity and receiving compensation therefor.


                                   ARTICLE IV
                             COMMITTEES OF THE BOARD


         SECTION 4.1 DESIGNATION,  POWER,  ALTERNATE MEMBERS AND TERM OF OFFICE.
The Board of  Directors  may,  by  resolution  passed by a majority of the whole
Board of Directors,  designate one (1) or more committee, to the extent provided
in such resolution,  shall have and may authorize the seal of the Corporation to
be  affixed  to all  papers  which may  require  it The Board of  Directors  may
designate one (1) or more  directors as alternate  members of any committee who,
in the order  specified  by the Board of  Directors,  may  replace any absent or
disqualified  at any meeting of the committee.  If at a meeting of any committee
one (1) or more of the members thereof should be absent or disqualified,  and if
either the Board of Directors  has not so  designated  any  alternate  member or
members,  or the  number of absent or  disqualified,  and if either the Board of
Directors has not so designated any alternate  member or members  thereof should
be absent or disqualified  members  exceeds the number of alternate  members who
are  present at such  meeting,  then the  member of  members  of such  committee
(including  alternates) present at any meeting and not disqualified from voting,
whether or not he or she or they constitute a quorum,  may  unanimously  appoint
another  director  to act at the  meetings  in the  place of any such  absent or
disqualified  member.  The term of office of the members of each committee shall
be as fixed from time to time by the Board, subject to the term of office of the
directors and these By-Laws;  provided,  however,  that any committee member who
ceases to be a member of the Board of  Directors  shall ipso facto cease to be a
committee  member.  Each  committee  shall  appoint a secretary,  who may be the
Secretary or an Assistant Secretary of the Corporation.


         SECTION 4.2 MEETINGS,  NOTICES AND RECORDS.  Each committee may provide
for the holding of regular  meetings,  with or without  notice,  and may fix the
time and place at which such shall be held upon call by or at the  direction  of
its chairman or, if there be no chairman,  by or at the direction of any two (2)
of its members,  at the time and place  specified in the  respective  notices or
waivers of notice  thereof.  Notice of each special meeting of a committee shall
be mailed to each member of such  committee,  addressed  to him or her at his or
her residence or usual place of business, unless he or she shall have filed with
the Secretary a written  request that notices  intended for him or her be mailed
to some  other  address,  in  which  case it  shall  be  mailed  to the  address
designated  in such  request,  at least two (2) day  before the day on which the
meeting is to be held, or shall be sent by telegram,  radiogram or cablegram, or
other means of electronically transmitted written copy, addressed to him at such
place, or telephoned or delivered to him or her  personally,  not later than the
day before the day on which the meeting is to be held.  Notice of any meeting of
a committee need not be given to any member thereof who shall attend the meeting
in person or who shall waive notice thereof by telegram, radiogram, cablegram or
other means of electronically  transmitted written copy. Notice of any adjourned
meeting  need  not  be  given.  Each  committee  shall  keep  a  record  of  its
proceedings.


         Each committee may meet and transact any and all business  delegated to
that  committee by the Board of Directors by means of a conference  telephone or
similar communications  equipment provided that all persons participating in the
meeting are able to hear and  communicate  with each other.  Participation  in a
meeting  by  means  of  conference  telephone  or  similar  communication  shall
constitute presence in person at such meeting.


         SECTION  4.3  QUORUM  AND  MANNER OF  ACTING.  At each  meeting  of any
committee  the  presence  of  one-third  (1/3)  but not less than two (2) of its
members then in office shall be necessary and  sufficient to constitute a quorum
or the transaction of business, and the act of a majority of the members present
at any meeting at which a quorum is present shall be the act of such  committee;
in the absence of a quorum,  a majority  of the members  present at the time and
place of any  quorum  shall be  present.  Subject  to the  foregoing  and  other
provisions of these  By-Laws and except as otherwise  determined by the Board of
Directors,  each  committee may make rules for the conduct of its business.  Any
determination  made in writing and signed by all the  members of such  committee
shall be as effective as if made by such committee at a meeting.


         SECTION 4.4  RESIGNATION.  Any member of a committee  may resign at any
time by giving written notice of such resignation to the Board of Directors, the
President,  any Executive Vice President, any Vice President or the Secretary of
the  corporation.  Unless otherwise  specified in such notice,  such resignation
shall take effect upon  receipt  thereof by the Board of  Directors  or any such
officer.


     SECTION 4.5 REMOVAL. Any member of any committee may be removed at any time
by the  affirmative  vote of a majority of the whole Board of Directors  with or
without cause.


         SECTION 4.6  VACANCIES.  If any vacancy hall occur in any  committee by
reason  of death,  resignation,  disqualification,  removal  or  otherwise,  the
remaining members of such committee,  though less than a quorum,  shall continue
to set until such vacancy is filled by the Board of Directors.


         SECTION  4.7   COMPENSATION.   Committee  members  shall  receive  such
reasonable  compensation  for their  services  as such,  whether  in the form of
salary or a fixed fee for attendance at meetings,  with reasonable expenses,  if
any, as the Board of Directors may from time to time  determine.  Nothing herein
contained  shall be construed to preclude any committee  member from serving the
Corporation in any other capacity and receiving compensation therefor.


                                    ARTICLE V
                                    OFFICERS


         SECTION  5.1  EXECUTIVE   OFFICERS.   The  executive  officers  of  the
Corporation shall be a President, one or more Vice-Presidents, a Treasurer and a
Secretary,  all of whom shall be elected  annually by the  Directors,  who shall
hold office  during the pleasure of the  Directors.  In  addition,  the Board of
Directors may elect a Chairman of the Board of Directors. Except for the offices
of  President  and  Secretary,  any two  offices  or more may be held by one (1)
person. All vacancies occurring among any of the officers shall be filled by the
Directors.  Any officer may be removed at any time by the affirmative  vote of a
majority (unless the Certificate of Incorporation required a larger vote) of the
directors  present at a regular  meeting of Directors or at a special meeting of
Directors  called for the purpose.  The Board of Directors may create such other
officers  as in its  opionion  are  in  the  best  interest  of the  Corporation
including one or more Executive Vice  Presidents an one or more Vice  President.
In  addition,  such  other  officers  maybe  appointed  in  accordance  with the
provisions of SECTION 5.3.


         SECTION 5.2 ELECTION, TERM OF OFFICE AND QUALIFICATIONS. Officers shall
be elected by the Board of Directors.  Each such officer (whether elected at the
first meeting of the Board of Directors after the annual meeting of stockholders
or to fill a vacancy or otherwise)  shall hold his or her office until the first
meeting of the Board of Directors  after the next annual meeting of stockholders
and until his or her  successor  shall  have been  elected,  or until his or her
death,  in SECTION  5.4 or shall have been  removed  in the manner  provided  in
SECTION 5.5.


         SECTION 5.3 SUBORDINATE OFFICERS AND AGENTS. The Board of Directors may
appoint  other  officers  or  agents  (including  one  or  more  Assistant  Vice
Presidents,  one  or  more  Assistant  Secretaries  and  one or  more  Assistant
Treasurers),  to hold office for such period,  have such  authority  and perform
such  duties as are  provided  in these  By-Laws  or as may be  provided  in the
resolutions  appointing them. The Board of Directors may delegate to any officer
or agent the power to appoint  any such  subordinate  officers  or agents and to
prescribe their respective terms of office, authorities and duties.


         SECTION 5.4 RESIGNATIONS.  Any officer may resign at any time by giving
written notice of such resignation to the Board of Directors,  the President, an
Executive Vice President,  a Vice President or the Secretary.  Unless  otherwise
specified  in such  written  notice,  such  resignation  shall take  effect upon
receipt thereof by the Board of Directors or any such effect.


         SETION 5.5 REMOVAL. Any officer specifically  designated in SECTION 5.1
may be removed at any time,  either with or without cause, at any meeting of the
Board  of  Directors  by the vote of a  majority  of all the  directors  then in
office.  Any officer or agent  appointed in  accordance  with the  provisions of
SECTION  5.3 may be  removed,  either  with or  without  cause,  by the Board of
Directors at any meeting, by the affirmative vote of a majority of the directors
present  at such  meeting,  or by any  superior  officer or agent upon whom such
power of removal shall have been conferred by the Board of Directors. Such power
of removal from office shall not be abridged by any employment contract or other
agreement..


         SECTION  5.6  VACANCIES  A  vacancy  in any  office by reason of death,
resignation,  removal,  disqualification  or any other cause shall be filled for
the unexpired  portion of the term in the manner prescribed by these By-Laws for
regular election or appointment to such office.


         SETION 5.7 THE  CHAIRMAN  OF THE BOARD.  The  Chairman  of the Board of
Directors, if one by elected, shall have and perform such duties as from time to
time  may be  assigned  to  him  by the  Board  of  Directors  or the  Executive
committee.


         SECTION 5.8 THE PRESIDENT.  The President  shall be the chief executive
officer  and the chief  operating  officer  of the  Corporation.  subject to the
direction of the Board of Directors,  he or she shall have general charge of the
business  affairs and property of the Corporation and general  supervision  over
its  officers and agents.  The  President  shall  preside at all meetings of the
stockholders  and  shall see that all  orders  and  resolutions  of the Board of
Directors  are carried  into  effect.  The  President  may sign,  with any other
officer thereunto duly authorized,  certificates of stock of the Corporation the
issuance of which shall have been duly authorized (the signature to which may be
facsimile  signature),  and may sign and execute in the name of the Corporation,
deeds,  mortgages,   bonds,  contracts,   agreements,   other  instruments  duly
authorized  by the Board of  Directors,  except in cases  where the  signing and
execution thereof shall be expressly delegated by the Board of Directors to some
other officer or agent. From time to time he or she shall report to the Board of
Directors  all matters  within him or her  knowledge  which the interests of the
corporation  may require to be brought to their  attention.  The President shall
also perform such other duties as are assigned by these  By-Laws or as from time
to time may be assigned to his or her by the Board of Directors.


         SETION  5.9 THE  EXECUTIVE  VICE  PRESIENT  AND VICE  PRESIENT.  At the
request of the  President or in hi absence or  disability,  the  Executive  Vice
President  designated by the Board of Directors or if there be no Executive Vice
President  then the Vice  President  designated by the Board of Directors  shall
perform all the duties of the President and, when so acting,  shall have all the
powers of and be subject to all  restriction  upon the President.  Any Executive
Vice President or Vice President may also sign, with any other officer thereupon
duly authorized,  certificates of stock of the Corporation the issuance of which
shall  have been duly  authorized  (the  signature  to which may be a  facsimile
signature),  an may  sign and  execute  in the  name of the  Corporation  deeds,
mortgages,  bonds and other instruments duly signing and execution thereof shall
be expressly  delegated by Executive  Vice  President and Vice  President  shall
perform such other  duties as are  assigned by these  By-Laws or as from time to
time may be assigned by the Board of Directors or the President.


         SECTION 5.10 THE SECETARY, The Secretary shall:


         (i) record all the proceedings of the meetings of the stockholders, the
Board of  Directors,  and all  committees of the Board of Directors in a book or
books to be kept for that  purpose;  (ii) cause all  notices to be duly given in
accordance  with the  provisions of these By-Laws as required by statute;  (iii)
whenever any  committee  shall be appointed in pursuance of a resolution  of the
Board of Directors,  furnish the chairman of such  committee with a copy of such
resolution; (iv) be custodian of the records and of the seal of the Corporation,
and cause such seal to be affixed to all certificates representing capital stock
of the  Corporation  prior to the  issuance  thereof and to all  instrument  the
execution  of which duly  authorized;  (v) see that the lists,  books,  reports,
required by statute are properly  kept and filed;  (vi) have charge of the stock
record and stock transfer books of the Corporation, and exhibit such stock books
at all  reasonable  times to such  persons  as are  entitled  by statute to have
access thereto; (vii) sign (unless the Treasurer or an Assistant Secretary or an
Assistant Treasurer shall sign) certificates  representing  capital stock of the
Corporation the issuance of which shall have been duly authorized (the signature
to which may be a facsimile signature; and (viii) in general, perform all duties
incident to the office of Secretary and such other duties as are given to him or
her by these By-Laws or as from time to time may be assigned to him by the Board
of Directors or the President.


         SECTION 5.11 ASISTANT  SECRETARIES.  At the request of the Secretary or
in his or her absence or disability,  the Assistant Secretary  designated by him
or her  (or  in  the  absence  of  such  designation,  the  Assistant  Secretary
designated  by the Board of Directors or the  President)  shall  perform all the
duties of the Secretary,  and, when so acting,  shall have all the powers of and
be  subject  to all  restrictions  upon the  duties  as from time to time may be
assigned to them by the Board of Directors, the President or the Secretary.


         SECTION 5.12      THE TREASURER. The Treasurer shall:


         (i) have  charge of and  supervision  over and be  responsible  for the
fund, securities,  receipts and disbursements of the Corporation; (ii) cause the
monies and other valuable effects of the Corporation to be deposited in the name
and to the credit of the  Corporation  in such banks or trust  companies or with
such  banker or other  depositories  as shall be  selected  in  accordance  with
SECTION 6.3 of these By-Laws or to be otherwise dealt with in such manner as the
Board of Directors may direct;  (iii) cause the funds of the  Corporation  to be
disbursed  by  checks  or  drafts  upon  the  authorized   depositories  of  the
corporation,  and cause to be taken and preserved proper vouchers for all monies
disbursed;  (iv) render to the Board of  Directors  or the  President,  whenever
requested,  a statement of the financial condition of the corporation and of all
his or her transactions as Treasurer;  (v) cause to be kept at the Corporation's
principal  office  correct books of account of all its business and  transaction
and such  duplicate  books of  account  as he or she  duplicates  thereof  to be
exhibited to any director; (vi) be empowered, from time to time, to require from
the  officers or agents of the  corporation  reports or  statements  giving such
financial  transactions of the Corporation;  (vii) sign (unless the Secretary or
an  Assistant   Secretary  or  Assistant   Treasurer  shall  sign)  certificates
representing stock of the Corporation the issuance of which shall have been duly
authorized (the signature to which may be a facsimile signature);  and (viii) in
general,  perform all duties  incident to the office of Treasurer and such other
duties as are given to him or her by these  By-Laws  or as from time to time may
be assigned to him by the Board of Directors or the President.


         SECTION 5.13 ASSISTANT  TREASURERS.  At the request of the Treasurer or
in his or her absence or disability,  the Assistant Treasurer  designated by him
or her  (or  in  the  absence  of  such  designation,  the  Assistant  Treasurer
designated  by the Board of Directors or the  President)  shall  perform all the
duties of the Treasurer,  and, when so acting,  shall have all the powers of and
be subject to all  restrictions  upon the  Treasurer.  The Assistant  Treasurers
shall  perform  such other  duties as from time to time may be  assigned  by the
Board of Directors, the President or the Treasurer.


         SECTION 5.14 SALARIES.  The salaries of the officers of the Corporation
shall be fixed  from time to time by the  Board of  Directors,  except  that the
Board of  Directors  may delegate to any person the power to fix the salaries or
other  compensation  of any officers or agents  appointed in accordance with the
provisions of SECTION 5.3. No officer  shall be prevented  from  receiving  such
salary  by  reason  of  the  fact  that  he or she is  also  a  director  of the
Corporation.


         SECTION 5.15 SURETY BONDS.  If the Board of Directors shall so require,
any officer or agent of the Corporation  shall execute to the Corporation a bond
in such sum and with such  surety or  sureties  as the  Board of  Directors  may
direct,  conditioned upon the faithful  discharge of his or her duties,  for all
property,  fund or securities of the Corporation  which may come into his or her
hand.


                                   ARTICLE VI
                                  CAPITAL STOCK


         SECTION 6.1 STOCK  CERTIFICATES.  Every holder of capital  stock of the
Corporation shall be entitled to have a certificate or certificates in such form
as shall be approved by the Board of Directors,  certifying the number of shares
of  capital  stock  of the  corporation  owned by him or her.  The  certificates
representing  shares  of  capital  stock  shall  be  signed  in the  name of the
corporation  by the Chairman of the Board,  the  President,  an  Executive  Vice
President or a Vice President of the Board,  the  President,  and Executive Vice
President or a Vice President and by the Secretary, an Assistant Secretary,  the
Treasurer or an Assistant  Treasurer  (which  signatures may be facsimiles)  and
sealed with the seal of the Corporation (which seal may be a facsimile). In case
any  officer,  transfer  agent or  registrar  who  shall  have  signed  or whose
facsimile  signature has been placed upon such certificate  shall have ceased to
be such  officer,  transfer  agent or  registrar  before such  certificates  are
issued,  they may nevertheless be issued by the Corporation with the same effect
as if such officer,  transfer  agent, or registrar are still such at the date of
their issue.


         SECTION 6.2 BOOKS OF ACCOUNT AND RECORD OF STOCKHOLDERS.  The books and
records of the  Corporation  may be kept at such  places,  within or without the
State of Delaware as the Board of Directors may from time to time determine. The
stock  record books and the blank stock  certificate  books shall be kept by the
Secretary or by any other officer or by the transfer agent or registrar, if any,
designated by the Board of  Directors.  There shall be entered on the stock book
of the  shares  represented  thereby,  the  name  of the  person  to  whom  such
certificate was issued and the date of issuance thereof.


         SECTION 6.3  TRANSFERS OF SHARES.  Transfers of shares of capital stock
of the Corporation  shall be made on the stock records of the  Corporation  only
upon  authorization  by  the  registered  holder  thereof,  or by  his  attorney
thereunto  authorized  by power of  attorney  duly  executed  and filed with the
Secretary or with the transfer  agent,  and on surrender of the  certificate  or
certificates  for such shares  properly  endorsed or accompanied by duly execute
stock  transfer power and the payment of all taxes  thereon,  if any.  Except as
otherwise  provided by law, the  Corporation  shall be entitled to recognize the
exclusive  right of a person  in whose  name any  share or  shares  stand on the
record of  stockholders  as the owner of such share or shares for all  purposes,
including,  without  limitation,  the  rights  to  receive  dividends  or  other
distributions, and to vote as such owner, and the Corporation shall not be bound
to  recognize  any  equitable or legal claim to or interest in any such share or
shares on the part of any other person whether or not the Corporation shall have
express or other notice thereof.


         SECTION 6.4 REGULATION. The Board of Directors may make such additional
rule and  regulations,  not  inconsistent  with  these  By-Laws,  as it may deem
expedient  concerning the issue,  transfer and  registration of certificates for
shares of the capital stock of the Corporation. It may appoint, or authorize any
officer or officers to appoint, one or more agents or one or more registrars and
may further provide that no stock certificate shall be valid until countersigned
by one of such transfer agents and registered by one of such registrars. Nothing
herein shall be construed  to prohibit  the  Corporation  from acting as its own
transfer agent or registrar.


         SECTION 6.5 LOST,  DESTROYED OR MUTILATED  CERTIFICATES.  The holder of
any  certificate  representing  any share or shares of the capital  stock of the
Corporation  shall  immediately  notify  the  Corporation  of any  loss,  theft,
destruction, or mutilation of such certificate,  and the Corporation may issue a
new certificate of stock in the place of any certificate  theretofore  issued by
it which the owner thereof shall alleged to have been lost, stolen or destroyed,
or which  shall have been  mutilated,  and the Board of  Directors  may,  in its
discretion,  require such owner of his or her legal  representatives  to give to
the Corporation a bond in such sum,  limited or unlimited,  and in such form and
with  such  surety  or  sureties  as the  Board  of  Directors  in its  absolute
discretion shall determine,  to indemnify the corporation against any claim that
may be made against it on account of the alleged loss,  theft or  destruction of
any such certificate,  or the issuance of a new certificate.  Anything herein to
the contrary notwithstanding,  the Board of Directors in its absolute discretion
may  refuse  to  issue  any  such  new  certificate,  except  pursuant  to legal
proceedings under the laws of the State of Delaware.


         SECTION 6.6 STOCKHOLDER'S RIGHT OF INSPECTION Any stockholder of record
of the Corporation,  in person or by attorney or other agent, shall upon written
demand under oath stating the purpose  thereof,  have the right during the usual
hours for  business to inspect for any proper  purpose the  Corporation's  stock
ledger, a list of its stockholders,  an its other books and records, and to make
copies or extracts there from. A proper purpose shall mean a purpose  reasonably
related to such person's  interest as a stockholder.  In every instance where an
attorney or other  agent shall be the person who seeks the right to  inspection,
the demand under oath shall be  accompanied by a power of attorney or such other
which  authorized  the  attorney  or  other  agent  to so act on  behalf  of the
stockholder.  The demand under oath shall be directed to the  Corporation at its
registered office in Delaware or at its principal place of business.


         SECTION 6.7  DIVIDENDS AN RESERVES.  Subject to any  agreement to which
the  Corporation  is a party or by which it is bound,  the Board of Director may
declare to be payable, in cash, in other property or in stock of the Corporation
of any class or series,  such dividends in respect of  outstanding  stock of the
Corporation  of any class or series  as the Board of  Directors  may at any time
seem to be advisable. Before declaring any such dividend, the Board of Directors
may cause to be set aside,  out of any fund or other  property  or assets of the
Corporation legally available for the payment of dividends,  such sum or sums as
the Board of  Directors,  in its  reserves  to meet  contingencies,  to equalize
dividend, or to repair or maintain any property of the Corporation,  or for such
other  purpose  as the  Board  of  Directors  may  deem  conductive  to the best
interests of the corporation.


                                   ARTICLE VII
                          EXECUTION OF INSTRUMENTS AND
                           DEPOSIT OF CORPORATE FUNDS


         SECTION 7.1 EXECUTION OF  INSTRUMENTS  GENERALLY.  The  President,  and
Executive Vice President,  any Vice  President,  the Secretary or the Treasurer,
subject to the approval of the Board of  Directors,  may enter into any contract
or  execute  and  deliver  any  instrument  in the  name  and on  behalf  of the
Corporation.  The Board of directors  may  authorize any contract or execute and
deliver any  instrument in the name and on behalf of the  Corporation,  and such
authorization may be general or confined to specific instances.


         SECTION  7.2  BORROWING.  No loan or  advances  shall  be  obtained  or
contracted for, by or on behalf of the Corporation and no negotiable paper shall
be  issued  in its  name,  unless  and  except  as  authorized  by the  Board of
Directors.  Such authorization may be general or confined to specific instances.
Any officer or agent of the Corporation thereunto so authorized may obtain loans
and  advances  for the  corporation,  and for such loans and  advances may make,
execute and deliver promissory,  negotiable and non-negotiable  notes, bonds, or
other   negotiable  and   non-negotiable   evidences  of   indebtedness  of  the
Corporation. Any officer or agent of the Corporation thereunto so authorized may
pledge,  hypothcate or transfer as security and liabilities of the  Corporation,
any and all stocks, bonds, other securities, personal property and real property
at any time held by the  corporation,  and to that end may  endorse,  assign and
deliver the same and do every act and thing  necessary  or proper in  connection
therewith.


         SECTION  7.3  DEPOSTIS.  All  fund  of the  Corporation  not  otherwise
employed  shall be  deposited  from time to time to its  credit in such banks or
trust  companies  or with such  bankers  or other  depositories  as the Board of
Directors may select,  or as may be selected by any officer or officers or agent
or agent authorized to do so by the Board of Directors. Endorsements for deposit
to the  credit of the  Corporation  in any of its duly  authorized  depositories
shall be made in such  manner  as the Board of  Directors  from time to time may
determine.


         SECTION 7.4 CHECKS,  DRAFT, ETC. All checks,  drafts or other order for
the  payment of money,  and all  negotiable  and  non-negotiable  notes or other
negotiable or non-negotiable evidences of indebtedness issued in the name of the
Corporation,  shall be signed by such  officer or  officers or agent or agent of
the Corporation, and in such manner, as from time to time shall be determined by
the Board of Directors.


         SECTION 7.5 PROXIES. Proxies to vote with respect to shares of stock of
other  corporations  owned by or standing in the name of the  Corporation may be
executed and  delivered  from time to time on behalf of the  Corporation  by the
President,  any Executive  Vice  President or any Vice President or by any other
person or persons thereunto authorized by the Board of Directors


                                  ARTICLE VIII
                                  RECORD DATES


         SECTION  8.1  In  order  that  the   Corporation   may   determine  the
stockholders  entitled to notice of or to vote at any meeting of stockholders or
any adjournment  thereof,  or to express consent to corporate  action in writing
without a meeting,  or  entitled  to receive  payment of any  dividend  or other
distribution  or allotment of any rights,  or entitled to exercise any rights in
respect of any change, conversion or exchange of stock or for the purpose of any
other lawful action,  the Board of Directors may fix, in advance, a record date,
which  shall be not more than sixty (60) nor less than ten (10) days  before the
date of such  meeting,  nor more than sixty (60) days prior to any other action.
Only those  stockholders of record on the date so fixed shall be entitled to any
of the foregoing rights,  not withstanding the transfer of any such stock on the
books of the  Corporation  after  any such  record  date  filed by the  Board of
Directors.


                                  ARTICLE VIII
                                 INDEMNIFICATION


         SECTION 8.1  INDEMNIFICATION The  Corporation  shall  indemnify  any
person  who  was or is a  party  or is  threatened  to be  made a  party  to any
threatened,  pending or completed  action,  suit or  proceeding,  whether civil,
criminal,  administrative or investigative, by reason of the fact that he or she
or his or her testator or intestate  is or was a director,  officer,  Scientific
Advisory  Board  member,  employee  or  agent to the  Corporation,  or is or was
serving  at  the  request  of  the  Corporation  (or  any  such  constituent  or
predecessor  corporation)  as a director,  officer,  Scientific  Advisory  Board
member,  employee or agent of another corporation,  partnership,  joint venture,
trust or other enterprise, to the fullest extent allowed under the law.


                                   ARTICLE IX
                                 CORPORATE SEAL


         SECTION 9.1 The Corporate seal shall be circular in form and shall bear
the name of the Corporation and the words and figures  denoting its organization
under the laws of the State of Delaware and the year thereof and otherwise shall
be in such  form as  shall  be  approved  from  time  to  time by the  Board  of
Directors.


                                    ARTICLE X
                                   FISCAL YEAR


     SECTION10.1 The fiscal year of the Corporation shall begin on January 1 and
shall terminate on the last day of December of each year.


                                   ARTICLE XI
                                   AMENDMENTS


         SECTION 11.1 All By-Laws of the Corporation may be amended,  altered or
repealed,  and  new  By-Laws  may be  enacted,  by the  affirmative  vote of the
stockholders  or record of a majority  of the issued and  outstanding  shares of
stock of the Corporation  entitled to vote at any annual or special meeting,  or
by the affirmative vote of a majority of the directors present at any regular or
special meeting of the Board of Directors.


                                  ARTICLE XIII
                            ACTION WITHOUT A MEETING


         SECTION 13.1 Any action which might have been taken under these By-Laws
by a vote of the  stockholders  at a  meeting  thereof  may be taken  without  a
meeting,  without  prior  notice  and  without a vote,  if a consent  in writing
setting forth the action so taken,  shall be signed by the  stockholders  of the
issued and  outstanding  shares of capital stock of the  Corporation  having not
less than the minimum  number of votes that would be  necessary  to authorize or
take such action at a meeting at which all shares  entitled to vote thereon were
present  and  voted,  provided  that  prompt  notice  shall  be  given  to those
stockholders who have not so consented if less than unanimous written consent is
obtained.  Any action which might have been taken under these By-Laws by vote of
the directors at any meeting of the Board of Directors or any committee  thereof
may be taken  without a meeting if all the members of the Board of  Directors or
such committee,  as the case may be, consent thereto in writing, and the writing
or  writings  are  filed  with the  minutes  of the Board of  Directors  or such
committee.




<PAGE>

EXHIBIT 3.4

                                     BY-LAWS
                                       OF
                            BELLAIRE SURGICARE, INC.


                                   ARTICLE 1.
                                     Offices


The principal  office of the  Corporation in the State of Texas shall be located
in the City of Houston,  County of Harris.  The  Corporation may have such other
offices,  either within or without the State of Texas, as the Board of Directors
may  designate  or as the business of the  Corporation  may require from time to
time.


The  registered  office  of  the  Corporation  required  by the  Texas  Business
Corporation  Act to be maintained in the State of Texas may be, but need not be,
identical  with the principal  office in the State of Texas,  and the address of
the  registered  office  may be  changed  from  time  to time  by the  Board  of
Directors.


                                   ARTICLE II.
                                  Shareholders


Section 1. Annual Meeting.  The annual meeting of the Shareholders shall be held
on the day and date  determined  by the Board of  Directors  for the  purpose of
electing  Directors and for the  transaction  of such other business as may come
before the  meeting.  If the day fixed for the annual  meeting  shall be a legal
holiday  in the State of Texas,  such  meeting  shall be held on the  succeeding
business  day.  If the  election  of  Directors  shall  not be  held  on the day
designated  herein  for  any  annual  meeting  of  the  Shareholders,  or at any
adjournment  thereof, the Board of Directors shall cause the election to he held
at a special meeting of the Shareholders as soon thereafter as convenient.


Section 2.  Special  Meeting.  Special  meetings  of the  Shareholders,  for any
purpose or purposes,  unless otherwise  prescribed by statute,  may be called by
the  President,  and shall be  called by the  President  at the  request  of the
holders  of not  less  than  one-tenth  of all  the  outstanding  shares  of the
Corporation entitled to vote at the meeting.


Section 3. Place of Meeting.  Meetings of Shareholders may be held at any place,
within or  without  the State of Texas,  designated  in the  notice or waiver of
notice of the meeting.  If no designation is so made,  meetings of  Shareholders
shall be held at the principal office of the Corporation.


Section 4. Notice of Meeting.  Written or printed notice stating the place,  day
and hour of the  meeting  and,  in case of a special  meeting,  the  purpose  or
purposes for which the meeting is called,  shall be delivered  not less than ten
(10) nor more  than  fifty  (50) days  before  the date of the  meeting,  either
personally or by mail, by or at the direction of the  President,  the Secretary,
or the  officer or persons  calling the  meeting to each  Shareholder  of record
entitled to vote at such meeting.  If mailed,  such notice shall be deemed to be
delivered  when   deposited  in  the  United  States  mail,   addressed  to  the
Shareholders  at his  address as it appears on the stock  transfer  books of the
Corporation, with postage thereon prepaid.


Section 5. Closing of Transfer  Books or Fixing of Record Date.  For the purpose
of determining  Shareholders  entitled to notice of or to vote at any meeting of
Shareholders or any  adjournment  thereof,  or Shareholders  entitled to receive
payment of any dividend,- or in order to make a  determination  of  Shareholders
for any other proper  purpose,  the Board of Directors  of the  Corporation  may
provide that the stock  transfer  books shall be closed for a stated  period but
not to exceed,  in any case,  fifty (50) days. If the stock transfer books shall
be closed for the purpose of determining  Shareholders  entitled to notice of or
to vote at a meeting of  Shareholders,  such books  shall be closed for at least
ten (10) days immediately  preceding such meeting.  In lieu of closing the stock
transfer  books,  the Board of Directors may fix in advance a date as the record
date for any such determination of Shareholders, such date in any case to be not
more than fifty (50) days and,  in case of a meeting of  Shareholders,  not less
than ten (10) days prior to the date on which the  particular  action  requiring
such  determination  of Shareholders is to be taken. If the stock transfer books
are not closed and no record date is fixed for the determination of Shareholders
entitled to notice of or to vote at a meeting of  Shareholders,  or Shareholders
entitled  to receive  payment  of a  dividend,  the date on which  notice of the
meeting is mailed or the date on which the  resolution of the Board of Directors
declaring such dividend is adopted, as the case may be, shall be the record date
for such  determination  of  Shareholders.  When a determination of Shareholders
entitled  to vote at any  meeting of  Shareholders  has been made as provided in
this Section,  such determination  shall apply to any adjournment thereof except
where the  determination  has been made by closing the stock  transfer books and
the stated period of closing has expired.


Section  6.  Voting  Lists.  The  officer  or agent  having  charge of the stock
transfer books for shares of the Corporation  shall make, at least ten (10) days
before each meeting of Shareholders, a complete list of Shareholders entitled to
vote at such  meeting,  or any  adjournment  thereof,  arranged in  alphabetical
order, with the address of and the number of shares held by each, which list for
a period of ten (10)  days  prior to such  meeting  shall be kept on file at the
registered  office of the  Corporation and shall be subject to inspection by any
Shareholder at any time during usual business hours. Such list shall be produced
and kept open at the time and place of the  meeting  and shall be subject to the
inspection of any Shareholder during the whole time of the meeting. The original
stock transfer books shall be prima facie evidence as to  Shareholders  entitled
to  examine  such  list  or  transfer  books  or  to  vote  at  any  meeting  of
Shareholders.


Section 7.  Quorum.  A majority  of the  outstanding  shares of the  Corporation
entitled to vote,  represented in person or by proxy,  shall constitute a quorum
at a meeting of the  Shareholders.  If less than a majority  of the  outstanding
shares is represented at a meeting,  a majority of the shares so represented may
adjourn the meeting from time to time without further notice.  At such adjourned
meeting at which a quorum shall be present or  represented,  any business may be
transacted  which  might  have been  transacted  at the  meeting  as  originally
notified.  The Shareholders  present at a duly organized meeting may continue to
transact business until  adjournment,  notwithstanding  the withdrawal of enough
Shareholders to leave less than a quorum.


Section 8.  Proxies.  Each  proxy  shall be  revocable  before it has been voted
unless the proxy form conspicuously states that the proxy of (a) a pledge, (b) a
person  who  Purchased  or  agreed  to  purchase,  or owns or holds an option to
purchase,  the shares, (c) a creditor of the corporation who extended its credit
under terms requiring the appointment,  (d) an employee of the corporation whose
employment  contract  requires  the  appointment,  or (e) a  party  to a  voting
agreement  created under the Texas Business  Corporation  Act. A revocable proxy
shall be deemed to have been revoked if the Secretary of the  Corporation  shall
have  received at or before the meeting  instructions  or  revocation or a proxy
bearing a later date, which  instructions or proxy shall have been duly executed
and dated in writing by the shareholder.


Section 9. Voting of Shares.  Each  outstanding  share entitled to vote shall be
entitled to one (1) vote upon each matter  submitted to a vote at the meeting of
Shareholders. In the election of Directors of the Corporation,  votes may not be
cumulated.


Section 10. Voting of Shares by Certain Holders.  Shares standing in the name of
another corporation may be voted by such officer,  agent or proxy as the by-laws
of such corporation may prescribe,  or, in the absence of such provision, as the
board of directors of such corporation may determine.


Shares held by an administrator,  executor, guardian or conservator may be voted
by him, either in person or by proxy, without a transfer of such shares into his
name.  Shares  standing in the name of a trustee may be voted by him,  either to
vote shares held by him without transfer of such shares into his name.


Shares  standing in the name of a receiver  may be voted by such  receiver,  and
shares held by or under the control of a receiver may be voted by such  receiver
without the  transfer  into his name if  authority  to do so be  contained in an
appropriate order of the court by which such receiver was appointed.


A  Shareholder  whose  shares are pledged  shall be entitled to vote such shares
until  the  shares  have  been  transferred  into the name of the  pledgee,  and
thereafter the pledgee shall be entitled to vote the shares so transferred.


Shares  of its  own  stock  belonging  to the  Corporation  or  held  by it in a
fiduciary capacity shall not be voted,  directly or indirectly,  at any meeting,
and shall not be counted in determining  the total number of outstanding  shares
at any given time.


Section 11. Order of Business and Rules of  Procedure.  The order of business at
all  annual  and  special   meetings  of  Shareholders   shall,  to  the  extent
practicable, be as follows:


         (1)     Call to order.
         (2)     Presentation of proof of due calling and notice of the meeting.
         (3)     Presentation and examination of proxies.
         (4)     Ascertainment and announcement of presence of quorum.
         (5)     Approval of waiver of approval of prior minutes.
         (6)     Report of officers.
         (7)     Nomination for Directors.
         (8)     Receiving motions and resolutions.
         (9)     Discussion of election of Directors, motions and resolutions.
         (10)    Vote on Directors, motions and resolutions.
         (11)    Any other unfinished business.
         (12)    Any other new business.
         (13)    Receipt of report of  inspectors on results of election and
                 vote on motions and resolutions.

1.      Adjournment.


In all matters  pertaining to conduct of the Shareholders'  meetings,  including
each orderly adjournment  thereof, the procedures set forth in Robert's Rules of
Order shall be followed. Legal counsel to the Corporation,  or such other person
as is specified in the notice of the meeting, shall act as parliamentarian.


Section 12.  Inspectors of Election.  In advance of any meeting of Shareholders,
the Board of Directors shall appoint not less nor more than three (3) inspectors
of  election.  If  there  is no  such  appointment  made in  advance,  or if any
appointed  person  refuses or fails to serve,  the Chairman of the meeting shall
appoint a  replacement.  Inspectors  of election  shall  determine the number of
shares  outstanding,  voting  power of each  share,  shares  represented  at the
meeting,  existence  of a  quorum,  the  authenticity,  validity  and  effect of
proxies;  shall  receive  votes,  ballots,  assents and  consents,  and hear and
determine all challenges  and questions in any way arising in connection  with a
vote;  shall count and tabulate all votes,  assents and consents,  and determine
and  announce  results;  and do all  other  acts  as may be  proper  to  conduct
elections or votes with fairness to all Shareholders.


                                  ARTICLE III.
                               Board of Directors


Section 1. General  Powers.  The business  affairs of the  Corporation  shall be
managed by its Board of Directors.


Section 2.  Number,  Tenure and  Qualifications.  The number of Directors of the
Corporation shall be no less than one nor more than fifteen. Each Director shall
hold  office  until  the next  annual  meeting  of  Shareholders  and  until his
successor  shall have been  elected and  qualified.  Any  Director or the entire
Board of Directors may at any time be removed,  with or without cause, by a vote
of the holders of a majority of the shares then  entitled to vote at an election
of Directors or by the unanimous  consent action of  Shareholders as provided in
ArticleXII  of these  By-Laws.  Directors  need not be residents of the State of
Texas or Shareholders of the Corporation.


Section 3. Regular  Meetings.  A regular meeting of the Board of Directors shall
be held without notice other than this by-law immediately after, and at the same
place as, the annual meeting of Shareholders. The Board of Directors may provide
by resolution  the time and place,  either within or without the State of Texas,
for the holding of additional  regular  meetings  without notice other than such
resolution.


Section 4. Special  Meetings.  Special meetings of the Board of Directors may be
called by or at the  request  of the  President  or any  officer.  The person or
persons  authorized  to call special  meetings of the Board of Directors may fix
any place, either within or without the State of Texas, as the place for holding
any special meeting of the Board of Directors called by them.


Section 5. Notice. Notice of any special meeting shall he given at least two (2)
days previously thereto by written notice delivered personally or mailed to each
Director at his business address or by telegram. If mailed, such notice shall be
deemed to be  delivered  when  deposited  in the U. S. mail so  addressed,  with
postage thereon  prepaid.  If notice be given by telegram,  such notice shall be
deemed to be delivered when the telegram is delivered to the telegraph  company.
The attendance of a Director at a meeting shall constitute a waiver of notice of
such meeting, except where a Director attends meeting for the express purpose of
objecting to the transaction of any business because the meeting is not lawfully
called or convened.  Neither the business to be  transacted  at, nor the purpose
of, any regular or special  meeting of the board of Directors  need be specified
in the notice of such meeting.


Section 6. Quorum.  A majority of the number of Directors  fixed by Section 2 of
Article III[ shall  constitute a quorum for the  transaction  of business at any
meeting of the Board of Directors,  but if less than such majority is present at
a meeting, a majority of the Directors present may adjourn the meeting from time
to time without further notice.


Section 7. Manner of Acting. The act of the majority of the Directors present at
a  meeting  at  which a  quorum  is  present  shall  be the act of the  Board of
Directors.


Section 8.  Vacancies.  Any vacancy  occurring in the Board of Directors  may be
filled by the affirmative  vote of a majority of the remaining  directors though
less than a quorum of the  board of  Directors.  A  Director  elected  to fill a
vacancy shall be elected for the unexpired  term of his  predecessor  in office.
Any  directorship  to be  filled  by reason  of any  increase  in the  number of
Directors  shall be filled by reason of any  increase in the number of Directors
shall be filled by  election  at any annual  meeting or at a special  meeting of
Shareholders called for that purpose.


Section 9. Compensation.  By resolution of the Board of Directors, the Directors
may be paid their  expenses,  if any, of attendance at each meeting of the Board
of Directors,  and may be paid a fixed sum for attendance at each meeting of the
Board of  Directors  or a stated  salary  as  Director.  No such  payment  shall
preclude any Director  from serving the  Corporation  in any other  capacity and
receiving compensation therefore.


Section 10.  Presumption of Assent. A Director of the Corporation who is present
at a meeting of the Board of Directors at which action on any  corporate  matter
is taken  shall be  presumed to have  assented  to the action  taken  unless his
dissent  shall be entered in the  minutes of the meeting or unless he shall file
his written  dissent to such action with the person  acting as the  secretary of
the meeting before the adjournment  thereof or shall  forwarding such dissent by
registered  mail to the  Secretary  of the  Corporation  immediately  after  the
adjournment of the meeting.  Such right to dissent shall not apply to a director
who voted in favor of such action.


Section 11.  Committees.  The Board of Directors may by resolution  adopted by a
majority of the full Board of Directors  designate from its members an Executive
Committee and one or more other  committees,  each of which shall  exercise such
authority and responsibility as may be set forth in the resolution  establishing
the same,  subject  to the  provisions  of Article  2.36A of the Texas  Business
Corporation Act. Each such committee shall serve at the pleasure of the Board of
Directors,  and shall establish its own administrative and operational rules and
procedures,  but shall in all events keep accurate  records of the actions taken
by it.


Section  12.  Professional  Standards  Committee.   The  Professional  Standards
Committee,  a  standing  committee  of the  corporation,  shall  consist  of the
Chairman of the  Board/Chief  Executive  officer,  three  physicians  (M.D.'s or
D.O.'s) and others as the Board shall  appoint.  This  committee  shall have the
power to create bylaws, rules or policies to ensure quality assurance subject to
Board approval of all bylaws, rules or policies  implemented.  A majority of the
members of this committee must have no financial interest in the corporation.


Section  13.  Credentials  Committee.  The  Credentials  Committee,  a  standing
committee of the  corporation,  shall consist of the Chairman of the Board\Chief
Executive Officer,  three physicians (M.D.'s or D.O.'s), and others as the Board
shall appoint.  The  Credentials  Committee  shall review the  requirements  for
appointment to the medical staff and shall work with the Professional  Standards
Committee in improving and maintaining  quality care and in defining the medical
staff  requirements.  Each person applying for medical staff  privileges must be
approved by the  Credentials  Committee  before medical staff  privileges can be
granted.


Section 14. Executive Committee.  The Executive Committee,  a standing committee
of the corporation,  shall consist of five members of the Board.  This committee
shall  along with the Chief  Executive  Officer,  be  responsible  for the daily
operations  of the  corporation  and shall  supervise and manage the conduct and
activity  of the Chief  Executive  Officer.  In the  absence  of a quorum of the
Board,  a quorum of the Executive  Committee may act as the governing  Board for
the corporation.


                                   ARTICLE IV.
                                    Officers


Section 1. Number.  The officers of the  Corporation  shall include a President,
and a  Secretary,  and may include one (1) or more  Vice-Presidents  (the number
thereof to be determined by the Board of  Directors),  and a Treasurer,  each of
who  shall be  elected  by the  Board of  Directors.  Such  other  officers  and
assistant  officers  as may be deemed to be  necessary  may also be  elected  or
appointed by the Board of Directors.  Any two (2) or more offices may be held by
the same person.


Section 2. Election and Term of Office. The officers of the Corporation shall be
elected  annually by the Board of Directors at the first meeting of the Board of
Directors held after each annual meeting of the Shareholders. If the election of
officers shall not be held at such meeting,  such election shall be held as soon
thereafter  as  conveniently  may be. Each  officer  shall hold office until his
successor  shall have been duly  elected and shall have  qualified  or until his
death or until  he  shall  resign  or shall  have  been  removed  in the  manner
hereinafter provided.


Section 3.  Removal.  Any officer or agent  elected or appointed by the Board of
Directors may be removed by the Board of Directors  whenever in its judgment the
best interest of the Corporation would be served thereby, but such removal shall
be without prejudice to the contract rights, if any, of the person so removed.


Section 4.  Vacancies.  A vacancy in any office  because of death,  resignation,
removal,  disqualification or otherwise, may be filled by the Board of Directors
for the unexpired portion of the term.


Section 5. President.  Subject to the Board of Directors, the President shall be
chief  executive  officer of the Corporation and shall supervise and control all
of the business and affairs of the Corporation. He shall preside at all meetings
of the  Shareholders  and of the  Board  of  Directors.  He may  sign,  with the
Secretary or any other proper officer of the Corporation thereunto authorized by
the Board of Directors,  certificates for shares of the  Corporation,  any deed,
mortgages,  bonds,  contracts, or other instruments which the Board of Directors
has  authorized to be executed,  except in cases where the signing and execution
shall be expressly  delegated  by the Board of Directors or by these  By-Laws to
some other officer or agent of the  Corporation,  or shall be required by law to
be otherwise signed or executed; and in general shall perform duties incident to
the office of president  and such other duties as may be prescribed by the Board
of Directors from time to time.


Section 6.  Vice-President.  In the absence of the  President or in the event of
his death,  inability  or refusal to act,  the  Vice-President  (or in the event
there be more  than one (1)  VicePresident,  the  Vice-Presidents  in the  order
designated at the time of their election,  or in the absence of any designation,
then in the order of their  election) shall perform the duties of the President,
and when so  acting,  shall  have all the  powers of and be  subject  to all the
restrictions upon the President.  Any Vice-President may sign with the Secretary
or an Assistant Secretary, certificates for shares of the Corporation; and shall
perform  such other  duties as from time to time may be  assigned  to him by the
President or by the Board of Directors.


Section  7.  Secretarv.  The  Secretary  shall:  (a)  keep  the  minutes  of the
Shareholders'  and of the Board of Directors'  meetings in one (1) or more books
provided for that purpose; (b) see that all notices are given in accordance with
the  provisions  of these By-Laws or as required by law; (c) be custodian of the
corporate  records and of the seal of the  Corporation  and see that the seal of
the  Corporation is affixed to all documents the execution of which on behalf of
the Corporation  under its seal is duly  authorized;  (d) keep a register of the
post  office  address  of each  Shareholder  which  shall  be  furnished  to the
Secretary by such Shareholder; (e) sign with the President, or a Vice-President,
certificates  for shares of the  Corporation,  the  issuance of which shall have
been authorized by resolution of the Board of Directors; (f) have general charge
of the stock, transfer books of the Corporation,  and (g) in general perform all
duties incident to the office of Secretary and such other duties as from time to
time may be assigned to him by the President or by the Board of Directors.


Section 8. Treasurer. If required by the Board of Directors, The Treasurer shall
give a bond for the  faithful  discharge of his duties in such sum and with such
surety or sureties as the Board of Directors shall determine. He shall: (a) have
charge and custody of and be  responsible  for all funds and  securities  of the
Corporation;  receive  and give  receipts  for  moneys  due and  payable  to the
Corporation from any source whatsoever,  and deposit all such moneys in the name
of the Corporation in such banks, trust companies or other depositories as shall
be selected in accordance with the provisions of Article V of these By-Laws; and
(b) in general perform all of the duties incident to the office of Treasurer and
such other  duties as from time to time may be assigned to him by the  President
or by the Board of Directors.


Section  9.  Assistant  Secretaries  and  Assistant  Treasurers.  The  Assistant
Secretaries,  when  authorized  by the  Board of  Directors,  may sign  with the
President or a  Vice-President  certificates  for shares of the  Corporation the
issuance of which shall have been  authorized  by a  resolution  of the Board of
Directors. The Assistant Treasurers shall respectively, if required by the Board
of Directors,  give bond for the faithful discharge of their duties in such sums
and with such sureties as the Board of Directors shall determine.  The Assistant
Secretaries and Assistant Treasurers,  in general,  shall perform such duties as
shall be assigned to them by the Secretary or the Treasurer, respectively, or by
the President or the Board of Directors.


Section 10.  Salaries.  The salaries of the officers shall be fixed from time to
time by the Board of Directors and no officer shall be prevented  from receiving
such salary by reason of the fact that he is also a Director of the Corporation.


                                   ARTICLE V.
                      Contracts, Loans, Checks and Deposits


Section 1.  Contracts.  The Board of  Directors  may  authorize  any  officer or
officers, agent or agents, to enter into any contract or execute and deliver any
instrument in the name of and on behalf of the  Corporation,  and such authority
may be general or confined to specific instances.


Section 2. Loans.  No loans shall be contracted on behalf of the Corporation and
no evidences of indebtedness  shall be issued in its name unless authorized by a
resolution of the


Board of  Directors.  Such  authority  may be general or  confined  to  specific
instances.


Section 3.  Checks,  Drafts.  Etc-.  All checks,  drafts or other orders for the
payment of money, notes or other evidences of indebtedness issued in the name of
the Corporation, shall be signed by such officer or officers, agent or agents of
the  Corporation  and in such manner as shall from time to time be determined by
resolution of the Board of Directors.


Section 4. Deposits.  All funds of the Corporation not otherwise  employed shall
be deposited  from time to time to the credit of the  Corporation in such banks,
trust companies or other depositories as the Board of Directors may select.


                                   ARTICLE VI.
                   Certificates for Shares and Their Transfer


Section 1.  Certificates  for Shares.  Certificates  representing  shares of the
Corporation  shall  be in such  form as  shall  be  determined  by the  Board of
Directors.   Such   certificates   shall  be  signed  by  the   President  or  a
Vice-President and by the Secretary or an Assistant Secretary.  All certificates
for shares shall be consecutively numbered or otherwise identified. The name and
address of the person to whom the shares  represented  thereby are issued,  with
the number of shares and date of issue,  shall be entered on the stock  transfer
books of the Corporation.  All  certificates  surrendered to the Corporation for
transfer shall be canceled and no new  certificate  shall have been  surrendered
and canceled,  except that in case of a lost, destroyed-or mutilated certificate
a new  one  may  be  issued  therefor  upon  such  terms  and  indemnity  to the
Corporation as the Board of Directors may prescribe.


Section 2. Transfer of Shares.  Transfer of shares of the  Corporation  shall be
made only on the stock transfer books of the Corporation by the holder of record
thereof or by his legal  representative,  who shall furnish  proper  evidence of
authority  to  transfer,  or by his attorney  thereunto  authorized  by power of
attorney duly executed and filed with the Secretary of the  Corporation,  and on
surrender for  cancellation of the  certificate  for such shares.  The person in
whose name shares stand on the books of the  Corporation  shall be deemed by the
Corporation to be the owner thereof for all purposes.


                                  ARTICLE VII.
                                   Fiscal Year


         The fiscal year of the Corporation shall be determined by resolution of
the Board of Directors.


                                  ARTICLE VIII.
                                    Dividends


The Board of Directors may from time to time declare,  and the  Corporation  may
pay,  dividends on its  outstanding  shares in the manner and upon the terms and
conditions provided by law and its Articles of Incorporation.


                                   ARTICLE IX.
                                      Seal

The Board of Directors shall provide a corporation  seal which shall be circular
in form and shall have  inscribed  thereon the name of the  Corporation  and the
state of incorporation.

                                   ARTICLE X.
                                   Amendments


The Board of  Directors  shall  have the power to alter,  amend or repeal  these
By-Laws or adopt new By-Laws,  subject to  amendment,  repeal or adopting of new
By-Laws by action of the  shareholders  and unless the shareholders in amending,
repealing or adopting a new By-Law expressly provide that the Board of Directors
may not amend or repeal that By-Law.  The Board of Directors  may exercise  this
power at any  regular  or  special  meeting  at which a quorum is present by the
affirmative vote of two-thirds (2/3) of the Directors present at the meeting and
without any notice of the action taken with  respect to the By-Laws  having been
contained  in the  notice  of  waiver of  notice  of such  meeting.  Unless  the
corporation's  Articles of Incorporation or a By-Law adopted by the shareholders
provide  otherwise as to all or some portion of the By-Laws,  the  corporation's
shareholders may amend,  repeal or adopt new By-Laws even though the By-Laws may
have been amended by the Board of Directors.


                                   ARTICLE XI.
                           Notice and Waiver of Notice


Whenever  any notice  whatever is required to be given under the  provisions  of
these  By-Laws,  said  notice  shall  be  deemed  to be  sufficient  if given by
depositing the same in a post office box in a sealed postpaid wrapper  addressed
to the person entitled thereto at his post office address,  as it appears on the
books of the Corporation,  and such notice shall be deemed to have been given on
the date of such  notice  shall be deemed to have been given on the date of such
mailing.  A waiver of notice,  signed by the person or persons  entitled to said
notice,  whether  before  or after  the time  stated  therein,  shall be  deemed
equivalent  thereto.  Neither the business to be transacted at, nor the purposes
of, any regular or special  meeting of the Board of  Directors  or  Shareholders
need be specified in the waiver of notice of such meeting.


                                  ARTICLE X111.
                            Action Without a Meeting


Section 1. Written  Consent.  Any action  required or permitted to be taken at a
meeting of the Shareholders,  Board of Directors,  or any committee may be taken
without a meeting if a consent in writing,  setting for the action so taken,  is
signed by all the Shareholders, Directors, or committee members, as the case may
be; and such action shall have the same force and effect as a unanimous  vote at
a meeting thereof duly and regularly called.


Section  2.  Conference  Telephone.  Shareholders,  Directors  or members of any
committee may  participate  in and hold a meeting  thereof by means of which all
persons  participating in the meeting can hear each other, and  participation in
such a meeting shall constitute presence in person at such meeting, except where
a person participates in the meeting for the express purpose of objecting to the
transaction  of any  business  on the ground  that the  meeting is not  lawfully
called or convened.  Minutes of any such conference  telephone  meeting shall be
prepared and kept in the same manner as minutes of any other meeting.


                                  ARTICLE XIII.
              Indemnification of Officers, Directors and Employees


Section 1. Definitions. In this Article:


(a) "Indemnitee" means (i) any present or former Director,  advisory director or
officer of the  corporation,  (ii) any  person  who while  serving in any of the
capacities referred to in clause (i) hereof served at the corporation's  request
as a director, officer, partner, venturer, proprietor,  trustee, employee, agent
or similar functionary of another foreign or domestic corporation,  partnership,
joint venture,  trust, employee benefit plan or other enterprise,  and (iii) any
person  nominated or  designated  by (or  pursuant to authority  granted by) the
Board of Directors or any  committee  thereof to serve in any of the  capacities
referred to in clauses (i) or (H) hereof.


(b)  "Official  Capacity"  means (i) when used with  respect to a Director,  the
office of  Director  of the  corporation,  and (ii) when used with  respect to a
person  other  than  a  Director,  the  elective  or  appointive  office  of the
corporation  held  by such  person  or the  employment  or  agency  relationship
undertaken  by such person on behalf of the  corporation,  but in each case does
not  include  service  for any other  foreign  or  domestic  corporation  or any
partnership, joint venture, sole proprietorship, trust, employee benefit plan or
other enterprise.


(c)  "Proceeding"  means any  threatened,  pending or complete  action,  suit or
proceeding,   whether   civil,   criminal,   administrative,    arbitrative   or
investigative, any appeal in such an action, suit or proceeding, and any inquiry
or investigation that could lead to such an action, suit or proceeding.


Section 2.  Indemnification.  The corporation  shall indemnify every  Indemnitee
against all judgments,  penalties  (including excise and similar taxes),  fines,
amounts paid in settlement  and  reasonable  expenses  actually  incurred by the
Indemnitee in connection  with any  Proceeding in which he was, or is threatened
to be named defendant or respondent,  or in which he was or is a witness without
being named a defendant or  respondent,  by reason,  in whole or in part, of his
serving or having served,  or having been  nominated or designated to serve,  in
any  of  the  capacities  referred  to in  Section  1,  if it is  determined  in
accordance  with Section 4 that the  Indemnitee  (a)  conducted  himself in good
faith, (b) reasonably believed, in the case of conduct in his Official Capacity,
that his  conduct was in the  corporation's  best  interests,  and, in all other
cases,  that his  conduct  was at least not  opposed to the  corporation's  best
interests  and (c) in the case of any  criminal  proceeding,  had no  reasonable
cause to believe that his conduct was unlawful;  provided,  however, that in the
event that an Indemnitee is found liable to the  corporation  or is found liable
on the basis that personal benefit was improperly received by the Indemnitee the
indemnification  (i) is limited to reasonable  expenses actually incurred by the
Indemnitee  in  connection  with the  Proceeding  and (ii)  shall not be made in
respect of any Proceeding in which the  Indemnitee  shall have been found liable
for willful or  intentional  misconduct  in the  performance  of his duty to the
corporation.  Except as provided  in the  immediately  preceding  proviso to the
first  sentence of this Section 2, no  indemnification  shall be made under this
Section 2 in respect of any Proceeding in which such Indemnitee  shall have been
(x) found liable on the basis that personal  benefit was improperly  received by
him,  whether  or  not  the  benefit  resulted  from  an  action  taken  in  the
Indemnitee's  Official  Capacity,  or (y) found liable to the  corporation.  The
termination of any Proceeding by judgment,  order, settlement or conviction,  or
on a plea of nolo contendere or its equivalent,  is not of itself  determinative
that the Indemnitee did not meet the  requirements set forth in clauses (a), (b)
or (c) in the first sentence of this Section 2. An Indemnitee shall be deemed to
have been found  liable in respect of any claim,  issue or matter only after the
Indemnitee  shall have been so  adjudged  by a court of  competent  jurisdiction
after exhaustion of all appeals therefrom.  Reasonable expenses shall,  include,
without limitation,  all court costs and all fees and disbursements of attorneys
for the Indemnitee.

Section 3. Successful  Defense.  Without limitation of Section 2 and in addition
to the  indemnification  provided  for  in  Section  2,  the  corporation  shall
indemnify every Indemnitee against  reasonable  expenses incurred by such person
in connection  with any Proceeding in which he is a witness or a named defendant
or respondent because he served in any of the capacities  referred to in Section
1, if such person has been wholly  successful,  on the merits or  otherwise,  in
defense of the Proceeding.


Section 4. Determinations.  Any indemnification  under Section 2 (unless ordered
by a court or competent jurisdiction) shall be made by the corporation only upon
a  determination  that  indemnification  of  the  Indemnitee  is  proper  in the
circumstances  because  he has met the  applicable  standard  of  conduct.  Such
determination  shall be made (a) by the Board of Directors by a majority vote of
a quorum  consisting of Directors,  who, at the time of such vote, are not named
defendants  or  respondents  in the  Proceeding;  (b) if such a quorum cannot be
obtained, then by a majority vote of a committee of the Board of Directors, duly
designated  to act in the matter by a majority  vote of all  Directors (in which
designation  Directors who are named defendants or respondents in the Proceeding
may participate),  such committee to consist solely of two (2) or more Directors
who, at the time of the committee vote, are not named  defendants or respondents
in the  Proceeding;  (c) by  special  legal  counsel  selected  by the  Board of
Directors  or a committee  thereof by vote as set forth in clauses (a) or (b) of
this  Section  4, if the  requisite  quorum  of all of the  Directors  cannot be
obtained  therefor and such committee cannot be established,  by a majority vote
of all of the  Directors  (in  which  Directors  who  are  named  defendants  or
respondents in the Proceeding may participate);  or (d) by the shareholders in a
vote that  excludes the shares held by Directors  that are named  defendants  or
respondents in the Proceeding.  Determination as to  reasonableness  of expenses
shall be made in the same manner as the determination  that  indemnification  is
permissible is made by special legal counsel, determination as to reasonableness
of expenses must be made in the manner  specified in clause (c) of the preceding
sentence  for  the  selection  of  special  legal   counsel.   In  the  event  a
determination  is made  under  this  Section 4 that the  Indemnitee  has met the
applicable standard of conduct as to some matters but not as to others,  amounts
to be indemnified may be reasonably prorated.


Section 5. Advancement of Expenses.  Reasonable  expenses (including court costs
and  attorney's  fees) incurred by an Indemnitee who was or is a witness or was,
is or is threatened  to be made a named  defendant or respondent in a Proceeding
shall be paid by the corporation at reasonable intervals in advance of the final
disposition of such  Proceeding,  and without  making any of the  determinations
specified  in  Section  4, after  receipt  by the  corporation  of (a) a written
affirmation  by such  Indemnitee  of his good faith  belief  that he has met the
standard of conduct necessary for  indemnification by the corporation under this
Article  and (b) a written  undertaking  by or on behalf of such  Indemnitee  to
repay the amount paid or reimbursed by the corporation if it shall ultimately be
determined  that he is not  entitled to be  indemnified  by the  corporation  as
authorized  in this  Article.  Such  written  undertaking  shall be an unlimited
obligation  of the  Indemnitee  but need not be secured  and it may be  accepted
without  reference to financial ability to make repayment.  Notwithstanding  any
other provision of this Article,  the corporation may pay or reimburse  expenses
incurred by an  Indemnitee  in  connection  with his  appearance as a witness or
other  participation  in a Proceeding at a time when he is not named a defendant
or respondent in the Proceeding.


Section 6. Employee Benefit Plans. For purposes of this Article, the corporation
shall be deemed to have  requested an  Indemnitee  to serve an employee  benefit
plan  whenever  the  performance  by him of his duties to the  corporation  also
imposes  duties  on or  otherwise  involves  services  by  him to  the  plan  or
participants  or  beneficiaries  of  the  plan.  Excise  taxes  assessed  on  an
Indemnitee  with respect to an employee  benefit plan pursuant to applicable law
shall be deemed fines.  Action taken or omitted by an Indemnitee with respect to
an  employee  benefit  plan  in the  performance  of his  duties  for a  purpose
reasonably  believed  by him  to be in the  interest  of  the  participants  and
beneficiaries  of the plan  shall be  deemed  to be for a  purpose  which is not
opposed to the best interests of the corporation.


Section 7. Other Indemnification and Insurance.  The indemnification provided by
this Article  shall (a) not be deemed  exclusive  or, or to preclude,  any other
rights to which those seeking  indemnification may at any time be entitled under
the  corporation's  Articles of  Incorporation,  any law,  agreement  or vote of
shareholders or disinterested  Directors,  or otherwise,  or under any policy or
policies of insurance  purchased and maintained by the  corporation on behalf of
any indemnitee,  both as to action in his Official  Capacity and as to action in
any other  capacity,  (b)  continue  as to a person  who has ceased to be in the
capacity by reason of which he was an Indemnitee with respect to matters arising
during the period he was in such capacity,  and (c) insure to the benefit of the
heirs, executors and administrators of such a person.


Section  8.  Notice.  Any  indemnification  of  or  advance  of  expenses  to an
Indemnitee in  accordance  with this Article shall be reported in writing to the
shareholders of the corporation with or before the notice or waiver of notice of
the  next  shareholders'  meeting  or with or  before  the  next  submission  to
shareholders  of a consent to action without a meeting and, in any case,  within
the twelve-month period immediately following the date of the indemnification or
advance.


Section 9. Construction.  The  indemnification  provided by this Article (a) are
for the benefit of, and may be enforced by, each Indemnitee of the  corporation,
the same as if set forth in their entirety in a written instrument duly executed
and  delivered  by the  Corporation  and such  Indemnitee  and (b)  constitute a
continuing offer to all present and future Indemnities.  The corporation, by its
adoption of these By-Laws,  (x)  acknowledges and agrees that each Indemnitee of
the Corporation has relied upon and will continue to rely upon the provisions of
this Article in becoming,  and serving in any of the  capacities  referred to in
Section 1 (a) of this  Article,  (y) waives  reliance  upon,  and all notices of
acceptance of, such  provisions by such  Indemnities  and (z)  acknowledges  and
agrees that no present or future  Indemnitee shall be prejudiced in his right to
enforce the provisions of this Article in accordance with their terms by any act
or failure to act on the part of the corporation.


Section 10. Effect of Amendment.  No amendment,  modification  or repeal of this
Article or any provision hereof shall in any manner terminate,  reduce or impair
the right of any past,  present or future  Indemnities  to be indemnified by the
corporation,  nor the  obligation  of the  corporation  to  indemnify  any  such
Indemnities,  under and in accordance  with the  provisions of the Article as in
effect immediately prior to such amendment,  modification or repeal with respect
to claims  arising from or relating to matters  occurring,  in whole or in part,
prior to such amendment,  modification or repeal, regardless of when such claims
may arise or be asserted.


The  Undersigned  certifies that the foregoing  By-Laws have been adopted as the
first By Laws of Bellaire  Surgicare,  Inc., in accordance with the requirements
of the laws of the State of Texas.


         DATED:   1995


David Blumfield W, D.P.M.
President





ATTEST:


Ben Po . M.D.
Secretary




<PAGE>






 EXHIBIT 4.1 CERTIFICATE OF DESIGNATION,



                        POWERS, PREFERENCES AND RIGHTS OF
                       SERIES A REDEEMABLE PREFERRED STOCK
                            PAR VALUE $.001 PER SHARE
                                       OF
                                 SURGICARE, INC.


         (Formerly Technical Coatings, Inc., incorporated July 20, 1984)

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

                     Pursuant to Section 151 of the General


                    Corporation Law of the State of Delaware

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

         IT IS HEREBY CERTIFIED that:

         1. The name of the company  (hereinafter  called the  "Corporation") is
SurgiCare,  Inc.,  a  corporation  organized  and  existing  under  the  General
Corporation Law of the State of Delaware.

         2.  The  Amended  and  Restated  Certificate  of  Incorporation  of the
Corporation  authorizes  the issuance of Twenty Million  (20,000,000)  shares of
Preferred Stock, par value $.001 per share  ("Preferred  Stock"),  and expressly
vests in the  Board of  Directors  of the  Corporation  the  authority  provided
therein  to issue  any or all of said  shares in one (1) or more  series  and by
resolution or resolutions to establish the designation and number and to fix the
relative rights and preferences of each series to be issued.

         3. The Board of Directors of the Corporation, pursuant to the authority
expressly  vested in it as aforesaid,  and pursuant to the provisions of Section
151 of the General  Corporation  Law of the State of  Delaware,  has adopted the
resolutions set forth below creating the Series A Redeemable Preferred Stock:

         RESOLVED,  that One  Million  Six Hundred  Fifty  Thousand  (1,650,000)
shares of the Twenty Million  (20,000,000)  authorized shares of Preferred Stock
of the  Corporation  shall be designated  Series A Redeemable  Preferred  Stock,
$.001 par value per share,  and shall  possess  the rights and  preferences  set
forth below:

         Section 1. Designation and Amount. The shares of such series shall have
a par value of $.001 per share and shall be  designated  as Series A  Redeemable
Preferred  Stock  (the  "Series A  Preferred  Stock")  and the  number of shares
constituting the Series A Preferred Stock shall be One Million Six Hundred Fifty
Thousand (1,650,000). The Series A Preferred Stock shall be issued or offered at
a purchase price of Five Dollars ($5.00) per share (the "Original Issue Price").

         Section 2. Rank. The Series A Preferred Stock shall rank: (i) junior to
any other class or series of capital stock of the Corporation  hereafter created
specifically  ranking by its terms  senior to the Series A Preferred  Stock (the
"Senior Securities"); (ii) prior to all of the Corporation's Common Stock, $.005
par value per share (the "Common Stock");  (iii) prior to any class or series of
capital stock of the Corporation  hereafter created not specifically  ranking by
its terms  senior to or on parity with any Series A Preferred  Stock of whatever
subdivision (collectively, with the Common Stock, "Junior Securities"); and (iv)
on parity with any class or series of capital stock of the Corporation hereafter
created  specifically ranking by its terms on parity with the Series A Preferred
Stock  ("Parity  Securities")  in each case as to  distribution  of assets  upon
liquidation,  dissolution or winding up of the Corporation, whether voluntary or
involuntary   (all  such   distributions   being  referred  to  collectively  as
"Distributions").

     Section 3. Dividends.

     (a)  Subject  to the  prior  preferences  and other  rights  of any  Senior
Securities,  the holders (the  "Holders")  of Series A Preferred  Stock shall be
entitled to receive,  out of funds  legally  available  for that  purpose,  cash
dividends at the rate of $.48 per annum. Such dividends shall be cumulative from
the date of the issuance (the "Issue Date") of the Series A Preferred  Stock and
shall be payable in arrears, when and as declared by the Board of Directors,  on
the first day of each month  thereafter (each such date being herein referred to
as a "Dividend Payment Date"),  commencing on August 1, 1999. The monthly period
between consecutive Dividend Payment Dates shall hereinafter be referred to as a
"Dividend  Period." Each such dividend shall be paid to the holders of record of
the  Preferred  Stock  as  their  names  appear  on the  share  register  of the
Corporation  on the Record Date.  As used above,  the term "Record  Date" means,
with respect to the dividend  payable on the first day of a month, the fifteenth
day of the preceding month, or such other record date designated by the Board of
Directors  of the  Corporation  with  respect  to the  dividend  payable on such
respective  Dividend Payment Date.  Dividends on account of arrears for any past
Dividend Periods may be declared and paid at any time,  without reference to any
Dividend  Payment Date, to holders of record on such date, not exceeding 50 days
preceding the payment date thereof, as may be fixed by the Board of Directors.

     (b) In the event that full cash dividends are not paid or made available to
the holders of all  outstanding  shares of Series A  Preferred  Stock and of any
Parity  Securities,  and funds available shall be insufficient to permit payment
in full in cash to all such  holders of the  preferential  amounts to which they
are then  entitled,  the entire amount  available for payment of cash  dividends
shall be  distributed  among the holders of the Series A Preferred  Stock and of
any Parity  Securities  ratably in  proportion  to the full amount to which they
would otherwise be respectively  entitled, and any remainder not paid in cash to
the  holders of the Series A  Preferred  Stock  shall  cumulate  as  provided in
Section 3(c) below.

     (c) If, on any Dividend Payment Date, the holders of the Series A Preferred
Stock  shall not have  received  the full  dividends  provided  for in the other
provisions of this Section 3, then such dividends shall cumulate, whether or not
earned or declared,  with additional  dividends thereon for each succeeding full
Dividend  Period  during  which  such  dividends  shall  remain  unpaid.  Unpaid
dividends  for any period less than a full Dividend  Period shall  cumulate on a
day-to-day basis and shall be computed on the basis of a 360 day year.


     (d) So long as any shares of Series A Preferred Stock shall be outstanding,
the Corporation  shall not declare or pay on any Junior  Securities any dividend
whatsoever, whether in cash, property or otherwise (other than dividends payable
in shares of the class or series upon which such dividends are declared or paid,
or payable in shares of Common  Stock with  respect to Junior  Securities  other
than Common Stock,  together with cash in lieu of fractional shares),  nor shall
the Corporation  make any distribution on any Junior  Securities,  nor shall any
Junior Securities be purchased or redeemed by the Corporation or any subsidiary,
nor  shall  any  monies be paid or made  available  for a  sinking  fund for the
purchase or redemption of any Junior  Securities,  unless all dividends to which
the  holders  of Series A  Preferred  Stock  shall  have been  entitled  for all
previous  Dividend  Periods  shall have been paid or declared and a sum of money
sufficient for the payment thereof set apart.


     (e) So long as any shares of Series A Preferred Stock shall be outstanding,
no  dividend  shall  be paid on any  share of  Common  Stock  unless a  dividend
(including the amount of any dividends paid pursuant to the above  provisions of
this  Section  3) is paid with  respect  to all  outstanding  shares of Series A
Preferred  Stock in an amount  for each such share of Series A  Preferred  Stock
equal to or greater than the aggregate  amount of such  dividends for all shares
of Common  Stock into which each such share of Series A  Preferred  Stock  could
then be converted.


 Section 4. Liquidation Preference.

     (a) In the  event of any  liquidation,  dissolution  or  winding  up of the
Corporation,  either voluntary or involuntary, the Holders of shares of Series A
Preferred   Stock  shall  be  entitled   to  receive,   immediately   after  any
distributions to Senior  Securities  required by the  Corporation's  Amended and
Restated  Certificate of  Incorporation  or any certificate of designation,  and
prior in preference to any distribution to Junior  Securities but in parity with
any distribution to Parity  Securities,  an amount per share equal to the sum of
the Original Issue Price,  plus all accrued or declared and unpaid  dividends on
such  share,  for each  share of  Series A  Preferred  Stock  then  held by such
Holders.  If upon the occurrence of such event, and after payment in full of the
preferential amounts with respect to the Senior Securities, the assets and funds
available to be  distributed  among the Holders of the Series A Preferred  Stock
and  Parity  Securities  shall be  insufficient  to permit  the  payment to such
Holders  of the full  preferential  amounts  due to the  Holders of the Series A
Preferred Stock and the Parity Securities,  respectively, then the entire assets
and  funds  of the  Corporation  legally  available  for  distribution  shall be
distributed  among the  Holders of the Series A  Preferred  Stock and the Parity
Securities,  pro rata, based on the respective liquidation amounts to which each
such  series of stock is  entitled by the  Corporation's  Amended  and  Restated
Certificate of  Incorporation  and any  certificate(s)  of designation  relating
thereto.  Neither the  consolidation  or merger of the Corporation  into or with
another corporation or corporations, nor the sale of all or substantially all of
the assets of the Corporation to another  corporation or  corporations  shall be
deemed  a  liquidation,  dissolution  or  winding  up  of  the  affairs  of  the
Corporation within the meaning of this Section 4.


     (b) Upon the  completion of the  distribution  required by Section 4(a), if
assets remain in the Corporation, they shall be distributed to holders of Junior
Securities in accordance with the Corporation's Amended and Restated Certificate
of Incorporation including any duly adopted certificate(s) of designation.


Section 5.  Conversion of Series A Preferred  Stock.  The record  Holders of the
Series A Preferred Stock shall have conversion rights as follows:


         (a) Right to Convert.  Each record  Holder of Series A Preferred  Stock
shall be entitled to convert each outstanding  share of Series A Preferred Stock
held by such  Holder  into one  fully-paid  and  non-assessable  share of Common
Stock. No payment or adjustment to the number of shares of Common Stock issuable
upon  conversion  of one  share of  Series A  Preferred  Stock  shall be made on
account of any stock split, subdivision,  reclassification, issue or sale of any
capital stock of the Corporation or other event.


         (b)  Mechanics of  Conversion.  In order to convert  Series A Preferred
Stock into full shares of Common  Stock,  the Holder  shall (i) deliver or fax a
copy of a fully executed  notice of conversion  ("Notice of  Conversion") to the
Corporation at the office of the Corporation or to the Corporation's  designated
transfer agent (the "Transfer  Agent") for the Series A Preferred  Stock stating
that the Holder  elects to  convert,  which  notice  shall  specify  the date of
conversion,  the number of shares of Series A Preferred  Stock to be  converted,
and a  calculation  of the number of shares of Common Stock  issuable  upon such
conversion  (together  with a copy of the front page of each  certificate  to be
converted) and (ii)  surrender to a common  courier for either  overnight or two
(2) day delivery to the office of the  Corporation  or the Transfer  Agent,  the
original certificates  representing the Series A Preferred Stock being converted
(the  "Preferred  Stock  Certificates"),  duly endorsed for transfer;  provided,
however,  that the  Corporation  shall not be  obligated  to issue  certificates
evidencing  the shares of Common  Stock  issuable  upon such  conversion  unless
either the Preferred Stock  Certificates are delivered to the Corporation or the
Transfer Agent as provided  above, or the Holder notifies the Corporation or its
Transfer  Agent  that such  certificates  have been  lost,  stolen or  destroyed
(subject to the requirements of subsection 5(b)(i) below).


         (i) Lost or Stolen  Certificates.  Upon receipt by the  Corporation  of
evidence of the loss,  theft,  destruction or mutilation of any Preferred  Stock
Certificates  representing  shares of Series A Preferred Stock, and (in the case
of loss, theft or destruction) of indemnity or security reasonably  satisfactory
to the  Corporation,  and upon surrender and cancellation of the Preferred Stock
Certificates,  if  mutilated,  the  Corporation  shall  execute  and deliver new
Preferred Stock  Certificates of like tenor and date.  However,  the Corporation
shall  not be  obligated  to  re-issue  such  lost  or  stolen  Preferred  Stock
Certificates if the Holder contemporaneously requests the Corporation to convert
such Series A Preferred Stock into Common Stock.


         (ii) Delivery of Common Stock Upon Conversion. The Corporation no later
than 6:00 p.m.  (Houston,  Texas  time) on the third  (3rd)  business  day after
receipt by the Corporation or its Transfer Agent of all necessary  documentation
duly executed and in proper form required for conversion, including the original
Preferred Stock Certificates to be converted (or after provision for security or
indemnification  in the case of  lost,  stolen  or  destroyed  certificates,  if
required), shall issue and surrender to a common courier for either overnight or
(if delivery is outside the United States) two (2) day delivery to the Holder as
shown on the stock records of the  Corporation  a certificate  for the number of
shares of Common Stock to which the Holder shall be entitled as aforesaid.


         (iii) Date of  Conversion.  The date on which  conversion  occurs  (the
"Date of  Conversion")  shall be deemed to be the date such Notice of Conversion
is delivered or faxed to the  Corporation or the Transfer Agent, as the case may
be,  provided  that the advance copy of the Notice of Conversion is delivered or
faxed to the Corporation on or prior to 6:00 p.m.,  Houston,  Texas time, on the
Date of Conversion.  The original Preferred Stock Certificates  representing the
shares of Series A  Preferred  Stock to be  converted  shall be  surrendered  by
depositing such  certificates  with a common courier for either overnight or two
(2) day delivery, as soon as practicable  following the Date of Conversion.  The
person or persons  entitled to receive the shares of Common Stock  issuable upon
such  conversion  shall be treated  for all  purposes  as the  record  Holder or
Holders of such shares of Common Stock on the Date of Conversion.


Section 6. Redemption by the Corporation.

     (a) The Series A Preferred Stock shall not be redeemed in whole or in
part prior to the first  anniversary  of the Issue Date.  On and after the first
anniversary of the Issue Date,  the Series A Preferred  Stock may be redeemed by
the  Corporation,  upon  vote  of not  less  than  two-thirds  of the  directors
comprising the full Board of Directors of the  Corporation,  in cash at any time
in whole or (subject to the last  sentence of Section 6(b) below),  from time to
time in part, at the option of the Corporation,  at a redemption price per share
equal to the sum of the Original  Issue Price,  plus all accrued or declared and
unpaid  dividends on such share, for each share of Series A Preferred Stock then
held by such Holders.


     (b) If less than all of the outstanding  shares of Series A Preferred Stock
are to be  redeemed,  such  shares  shall  be  redeemed  pro  rata  or by lot as
determined by the Board of Directors in its sole discretion.


     (c) Notice of every proposed  redemption of Series A Preferred  Stock shall
be sent by or on  behalf  of the  Corporation,  by  first  class  mail,  postage
prepaid,  to the  Holders  of  record  of the  shares  to be  redeemed  at their
respective addresses as they shall appear on the records of the Corporation, not
less than thirty (30) days nor more than sixty (60) days prior to the date fixed
for  redemption  (the  "Redemption  Date")  (i)  notifying  such  holders of the
election of the Corporation to redeem such shares and of the date of redemption,
(ii)  stating  the date on which the  shares  cease to be  convertible,  and the
Conversion Rate (iii) stating the place or places at which the shares called for
redemption shall, upon presentation and surrender of the certificates evidencing
such shares,  be redeemed,  and the Redemption Price therefor,  and (iv) stating
the name and address of any  Redemption  Agent  selected by the  Corporation  in
accordance   with  Section  6(d)  below,   and  the  name  and  address  of  the
Corporation's transfer agent for the Preferred Stock. The Corporation may act as
the transfer agent for the Series A Preferred Stock.


     (d) Prior to the date on which there shall have been a public  distribution
of the Preferred  Stock,  the  Corporation  may act as the  redemption  agent to
redeem the Preferred  Stock.  Thereafter  the  Corporation  shall appoint as its
agent for such purpose a recognized stock transfer agent, which may be a bank or
trust company in good standing, organized under the laws of the United States of
America or any jurisdiction  thereof, and may appoint any one or more additional
such  agents.  The  Corporation  or such bank or trust  company are  hereinafter
referred to as the "Redemption  Agent."  Following such appointment and prior to
any  redemption,   the  Corporation   shall  deliver  to  the  Redemption  Agent
irrevocable written instructions authorizing the Redemption Agent, on behalf and
at the expense of the Corporation, to cause such notice of redemption to be duly
mailed  as  herein  provided  as  soon  as  practicable  after  receipt  of such
irrevocable instructions and in accordance with the above provisions.  All funds
necessary for the redemption  shall be deposited  with the  Redemption  Agent in
trust at least two business days prior to the Redemption  Date, for the pro rata
benefit of the holders of the shares so called for  redemption,  so as to be and
continue to be available  therefor.  Neither  failure to mail any such notice to
one or  more  such  holders  nor any  defect  in any  notice  shall  affect  the
sufficiency of the proceedings for redemption as to other holders.


     (e) If notice of redemption shall have been given as hereinbefore provided,
and the  Corporation  shall not default in the payment of the Redemption  Price,
then each  holder of shares  called  for  redemption  shall be  entitled  to all
preferences and relative and other rights accorded by this resolution  until and
including  the date  prior to the  Redemption  Date.  If the  Corporation  shall
default in making payment or delivery as aforesaid on the Redemption  Date, then
each  holder of the  shares  called  for  redemption  shall be  entitled  to all
preferences and relative and other rights accorded by this resolution  until and
including  the date prior to the date (the  "Final  Redemption  Date")  when the
Corporation  makes  payment  or  delivery  as  aforesaid  to the  holders of the
Preferred Stock. From and after the Redemption Date or, if the Corporation shall
default in making payment or delivery as aforesaid,  the Final  Redemption Date,
the shares called for  redemption  shall no longer be deemed to be  outstanding,
and all rights of the holders of such shares shall cease and  terminate,  except
the  right  of the  holders  of such  shares,  upon  surrender  of  certificates
therefor,  to receive  amounts to be paid  hereunder.  The  deposit of monies in
trust with the Redemption Agent shall be irrevocable except that the Corporation
shall be entitled to receive  from the  Redemption  Agent the  interest or other
earnings, if any, earned on any monies so deposited in trust, and the holders of
any shares redeemed shall have no claim to such interest or other earnings,  and
any balance of monies so  deposited  by the  Corporation  and  unclaimed  by the
holders of the Preferred  Stock  entitled  thereto at the  expiration of two (2)
years from the  Redemption  Date (or the Final  Redemption  Date, as applicable)
shall be repaid,  together with any interest or other earnings  thereon,  to the
Corporation, and after any such repayment, the holders of the shares entitled to
the funds so repaid to the  Corporation  shall look only to the  Corporation for
such payment, without interest.


Section 7. Voting  Rights.  In addition to any special  voting rights  expressly
provided by the General  Corporation Law of Delaware,  and until each such share
is converted into a share of Common Stock,  Holders of Series A Preferred  Stock
shall be entitled to vote on matters to be voted on by the  stockholders  of the
Corporation, and shall be entitled to one vote for each such share held by them,
respectively, such votes to be counted together with all other shares of capital
stock having general  voting powers and not separately as a class.  In all cases
where the Holders of shares of Series A  Preferred  Stock have the right to vote
separately as a class,  such Holders shall be entitled to one vote for each such
share held by them respectively.


Section 8. Protective  Provision.  So long as shares of Series A Preferred Stock
are outstanding,  the Corporation shall not without first obtaining the approval
(by vote or written  consent,  as  provided by the  General  Corporation  Law of
Delaware) of the Holders of at least a majority of the then  outstanding  shares
of Series A Preferred Stock:


     (a) alter or change the rights,  preferences  or privileges of the Series A
Preferred Stock or any Senior  Securities so as to affect adversely the Series A
Preferred Stock; or

     (b) increase the size of the authorized number of Series A Preferred Stock.
In the event  Holders of at least a majority of the then  outstanding  shares of
Series A Preferred  Stock agree to allow the  Corporation to alter or change the
rights,  preferences  or privileges  of the shares of Series A Preferred  Stock,
pursuant  to  subsection  (a)  above,  so as to affect  adversely  the  Series A
Preferred  Stock,  then the  Corporation  will deliver  notice of such  approved
alteration or change to the Holders of the Series A Preferred Stock that did not
agree to such alteration or change (the "Dissenting Holders") and the Dissenting
Holders  shall  have the  right for a period  of  thirty  (30)  days to  convert
pursuant to the terms of this  Certificate of Designation as they exist prior to
such alteration or change or continue to hold their shares of Series A Preferred
Stock subject to the approved alteration or change of the rights, preferences or
privileges of the Series A Preferred Stock.

Section 9. Notices. In the event of

     (a) any taking by the  Corporation  of a record of the holders of any class
of  securities  for the  purpose of  determining  the  holders  thereof  who are
entitled  to  receive  any  dividend  or  other  distribution,  or any  right to
subscribe for, purchase or otherwise acquire any shares of stock of any class or
any other securities or property, or to receive any other right,

     (b) any capital reorganization of the Corporation,  any reclassification or
recapitalization  of  the  capital  stock  of the  Corporation,  any  merger  or
consolidation of the Corporation, or any transfer of all or substantially all of
the  assets of the  Corporation  to any  other  corporation,  limited  liability
company,  partnership  (whether  general or limited)  or other  person or firm a
majority  of the  equity  interests  in which  shall not be owned by  holders of
capital stock of the Corporation immediately thereafter, or

     (c) any voluntary or involuntary dissolution,  liquidation or winding up of
the Corporation, then and in each such event the Corporation shall mail or cause
to be mailed to each holder of Series A Preferred Stock a notice  specifying (i)
the date on which  any  such  record  is to be  taken  for the  purpose  of such
dividend, distribution or right and a description of such dividend, distribution
or  right,  (ii) the date on which  any such  reorganization,  reclassification,
recapitalization,  transfer, consolidation,  merger, dissolution, liquidation or
winding up is expected to become  effective  and (iii) the time, if any, that is
to be  fixed,  as to when the  holders  of  record  of  Common  Stock  (or other
securities) shall be entitled to exchange their shares of Common Stock (or other
securities)   for   securities   or  other   property   deliverable   upon  such
reorganization,  reclassification,  recapitalization,  transfer,  consolidation,
merger,  dissolution,  liquidation or winding up. Such notice shall be mailed at
least thirty (30) days prior to the date  specified in such notice on which such
action is to be taken.  In  addition to the  foregoing,  each holder of Series A
Preferred  Stock shall be given,  at the same times as holders of Common  Stock,
all notices of corporate action or proposed corporate action given to holders of
Common Stock.

     Section 10. Exclusion of Other Rights.  Except as may otherwise be required
by law, the shares of Series A Preferred Stock shall not have any preferences or
relative,  participating,  optional or other  special  rights,  other than those
specifically  set forth in this  resolution  (as such  resolution may be amended
from time to time) and in the Corporation's  Amended and Restated Certificate of
Incorporation.  The shares of Series A Preferred  Stock shall have no preemptive
or subscription rights.

     Section 11. Headings. The headings of the various scetions and subdivisions
hereof  are  for  convenience  of  reference  only  and  shall  not  affect  the
interpretation of any of the provisions hereof.

     Section  12.  Severability  of  Provisions.  If any  right,  preference  or
limitation of the Series A Preferred Stock set forth in this resolution (as such
resolution  may be amended from time to time) is invalid,  unlawful or incapable
of being  enforced  by  reason of any rule of law or  public  policy,  all other
rights, preferences and limitations set forth in this resolution (as so amended)
which can be given effect without the invalid,  unlawful or unenforceable right,
preference or limitation shall,  nevertheless,  remain in full force and effect,
and no  right,  preference  or  limitation  herein  set  forth  shall be  deemed
dependent  upon any  other  such  right,  preference  or  limitation  unless  so
expressed herein.

     Section 13. Status of Reacquired Shares. Shares of Series A Preferred Stock
which have been issued and reacquired in any manner shall (upon  compliance with
any applicable  provisions of the laws of the State of Delaware) have the status
of  authorized  and  unissued  shares  of  Preferred  Stock  issuable  in series
undesignated as to series and may be redesignated and reissued.


     Section 14. Preference Rights.  Nothing contained herein shall be construed
to prevent the Board of  Directors  of the  Corporation  from issuing one (1) or
more series of Preferred  Stock with  dividend  and/or  liquidation  preferences
junior to the dividend  and  liquidation  preferences  of the Series A Preferred
Stock.


         IN WITNESS  WHEREOF,  the Corporation has caused this Certificate to be
duly executed on its behalf by its President this 25 day of July, 1999.





SURGICARE, INC.





By: Dr. David Blumfield
President





Attest:


Dr. Sherman Nagler
Secretary





                                   SIGNATURES


In  accordance  with  Section 12 of the  Securities  Exchange  Act of 1934,  the
registrant caused this registration  statement to be signed on its behalf by the
undersigned, thereunto duly authorized.




<PAGE>






EXHIBIT 9.1 TECHNICAL COATINGS, INC.





                             VOTING TRUST AGREEMENT





     1. Creation of Trust. The stockholders listed on Exhibit A hereto (the
"Stockholders")  of  Technical  Coatings,  Inc.,  a  Delaware  corporation  (the
"Company"),  hereby  create  the  Voting  Trust (the  "Trust"),  which  shall be
governed  in  accordance  with the terms of this  trust  agreement  (the  "Trust
Agreement"). The initial Trustee shall be David Blumfield, D.P.M.



     2. Term of Trust. The Trust shall continue for a period of two (2)
years,  unless it is sooner  terminated  by the  decision  of the Trustee or the
withdrawal of all Shares as hereinafter provided.



     3. Deposit of Shares.  The Stockholders  hereby  acknowledge and agree that
one or more certificates  evidencing the total number of shares of the Company's
Common Stock ($.005 par value) set forth on the  signature  page(s)  hereof (the
"Shares"), beneficially owned by the Stockholders as set forth on such signature
page(s) have been  deposited  and  delivered  to the Trustee,  on behalf of such
Stockholders.  All such certificates delivered to the Trustee as herein provided
shall  be  registered  in the  name of the  Trustee  or  shall  be  endorsed  or
accompanied  by  duly  executed   stock  powers  and  such  other   assignments,
certificates  of  authority  and  consent  to  transfer  instruments  as  may be
reasonably  requested  by counsel to the  Trustee  in order to  transfer  record
ownership of the Shares to the Trustee.  Such Shares shall be  registered in the
name of  "Trustee,  Voting  Trust U/A dtd.  July29  1999," and all  certificates
representing  the Shares shall contain a legend that such  certificates are held
subject to the provisions of the Trust Agreement.



     4.  Issuance  of  Trust  Certificates.  In  exchange  for the  certificates
evidencing the Shares delivered by each Stockholder hereunder, the Trustee shall
issue  and  deliver  to  each  Stockholder  a  Trust   certificate  (the  "Trust
Certificate")  or  certificates,  substantially  in the form attached  hereto as
Exhibit A,  representing,  in the aggregate,  the number of Shares  deposited by
that Stockholder. Trust Certificates shall evidence the Stockholder's beneficial
interest in the Trust and the Shares  deposited  with the Trustee in  accordance
herewith. The holder of a Trust Certificate shall have all rights of a holder of
the Shares  represented by the Trust  Certificate  except as otherwise  provided
herein. The Trust Certificates  shall be  non-transferable  except to the extent
transfer  is  required  by  operation  of  law or  order  of  any  court  having
jurisdiction thereof.



     5. Powers and Duties of the Trustee.


         (a) While  this Trust  Agreement  is in effect and until the Shares are
withdrawn  from  the  Trust  as  hereinafter  provided,   the  Trustee,  in  his
unrestricted  discretion,  in person, by proxy or by written consent, shall have
the sole and unqualified  right and power to vote the Shares for the election of
any person or persons as directors of the Company, and to act in connection with
the voting of the Shares in the same  manner and to the same extent as if he was
the absolute owner thereof in his own right.  On all other  proposals or matters
which are required to be or which shall be submitted for a vote of the Company's
Common Stock,  the Trustee shall be entitled to vote the Shares,  for or against
such proposal or matter, or to refrain from voting, as he in his sole discretion
shall determine.





         (b) The  Trustee  may  request  the  Company to send proxy  statements,
quarterly and annual reports and other reports and  information  directly to the
Stockholders at their addresses as shown by the records of the Trustee who shall
furnish a list of such names and addresses to the Company.





     6. Term of Trustee; Election of Successor Trustee. The initial term of
office of the Trustee shall continue until the second anniversary of the date of
this Trust Agreement and for successive one-year terms thereafter.





     7. Vacancies. The Trustee may resign by delivering a written resignation to
the  Company,  which  shall  forward a copy  thereof  to the  Stockholders,  and
thereupon a successor  Trustee shall be  designated  in writing by  Stockholders
holding  Voting  Trust  Certificates  representing  not less than 66 2/3% of the
total number of Shares deposited hereunder.  Upon a vacancy created by the death
or legal  incompetence  of a Trustee,  such  vacancy  shall be filled as set out
above.


     8. Withdrawal.


         (a) No  Stockholder  may  withdraw  from the  Trust  any of the  Shares
transferred to the Trustee  hereunder unless Shares are withdrawn,  pro rata, in
such amounts,  and as authorized  by the prior written  consent of  Stockholders
holding  Voting  Trust  Certificates  representing  not less than 66 2/3% of the
total number of Shares then subject to this Trust Agreement. Any such authorized
withdrawal must be made by giving prior written notice thereof to the Trustee.


         (b) Upon proper  authorization of withdrawal in accordance with Section
8(a) hereof,  the Trustee shall cause  certificates  representing  the Shares so
withdrawn to be delivered to the  withdrawing  Stockholders  in accordance  with
their  instructions  approved in Section 8(a), and the withdrawing  Stockholders
shall deliver to the Trustee the Trust Certificates duly endorsed to the Trustee
covering such Shares. Except as provided in Section 8(c) any Shares so withdrawn
shall no longer be  subject  to the  provisions  of the  Trust  Agreement.  Upon
withdrawal,  the Trustee shall not be obligated to deliver  certificates for the
withdrawn Shares until such time as the withdrawing  Stockholder has paid to the
Trustee his or her  proportionate  share of the expenses of the Trust which have
accrued  through the date of  withdrawal  as set out in Section 13 including any
expenses which may have been paid by advances from other  Stockholders,  and all
expenses  relating to such  withdrawal,  which shall be paid by the  withdrawing
Stockholder.


         (c) After notice of withdrawal  of Shares  hereunder is received by the
Trustee,  the Shares  covered  thereby shall continue to be subject to the Trust
Agreement  until the Trustee has  received the Trust  Certificates  representing
such Shares as set out above.  Until the date of such receipt,  or thereafter if
the Stockholder  owning such withdrawn Shares is unable to vote them because the
record  date for such vote has  passed,  the  Trustee  will vote such  Shares in
accordance  with  the  written   instructions   of  such   Stockholder  if  such
instructions  are received at lease five  business days prior to the date of any
annual or special meeting of stockholders of the Company. In the absence of such
written  instructions  the Trustee shall have  authority to vote these Shares as
they may determine in accordance with the provisions of the Trust Agreement.


     9. Dividends and Distributions.


         (a) Cash Dividends.  The Trustee shall give the Company or its dividend
disbursing  agent a list of the  names  and  addresses  of the  then  registered
holders of Trust  Certificates,  which list shall set forth the number of Shares
represented by the Trust  Certificates  registered in the name of each holder on
the record  date for any cash  dividends,  and the  Trustee  shall  request  the
Company  to make  distribution  of cash  dividends,  on behalf  of the  Trustee,
directly to each such registered  holder of the Trust  Certificates or to a bank
designated  by the  Trustee  or by such  holder.  In the  event  that  any  cash
dividends are paid directly to the Trustee,  the Trustee shall promptly pay over
such dividends to the then registered holders of Trust Certificates according to
their respective interests at the record date.


         (b) Stock Dividends.  If any dividend or distribution in respect of the
Shares  held by the  Trustee is paid,  in whole or in part,  in shares of Common
Stock of the Company or other voting  shares of the Company,  the Trustee  shall
hold the  certificates  for such  shares  which are  received on account of such
dividend and such shares shall thereafter for all purposes be treated as part of
the  Shares.  The  holder of each  Trust  Certificate  issued  under  this Trust
Agreement on the date for the determination of those stockholders of the Company
entitled  to  receive  such  dividend  shall  be  entitled  to  receive  a Trust
Certificate  evidencing  such  holder's  pro rata  share of the number of shares
received as such dividend.


         (c)  Dividends  in Other  Assets.  If any dividend or  distribution  in
respect  of the Shares  held by the  Trustee  is paid,  in whole or in part,  in
assets of the  Company,  the Trustee  shall give the Company a list of the names
and addresses of the then registered holders of Trust  Certificates,  which list
shall set forth the  number  of  Shares  represented  by the Trust  Certificates
registered in the name of each holder on the record date,  and the Trustee shall
request  the  Company  to make such  distribution,  on  behalf  of the  Trustee,
directly to each registered holder of the Trust  Certificates.  In the event the
distributions  are paid directly to the Trustee,  the Trustee shall promptly pay
over such  distributions  to the then registered  holders of Trust  Certificates
according to their respective interests at the record date.


         (d) Mergers,  etc. If, during the term hereof,  the Company shall merge
or  consolidate  into or with  another  corporation  or  corporations  or  other
business entity, or if there shall be reorganization or  recapitalization of the
Company,  voting securities  representing any such corporation or other business
entity  received by the Trustee in exchange for or with respect to the Shares as
a result of such merger, consolidation, recapitalization or reorganization shall
be held by him in accordance with the terms hereof and shall  thereafter for all
purposes be treated as part of the Shares.  The Trustee  shall issue and deliver
Trust  Certificates  representing  such voting securities to the then registered
holders of Trust Certificates as their interests shall appear, against surrender
by such  holders  of any  Trust  Certificates  registered  in their  name  which
represented  Shares which were  surrendered by the Trustee pursuant to the terms
of such merger,  consolidation,  recapitalization  or reorganization.  Any other
consideration received by the Trustee in such a transaction shall be paid by the
Trustee to the then registered  holders of Trust Certificates in accordance with
their respective interests at the applicable record date.


         (e)  Dissolution.  If,  during the term  hereof,  the Company  shall be
dissolved  or  liquidated  in such a manner as to entitle the holders of Capital
Stock to liquidating dividends,  the Trustee shall request all such dividends to
be distributed  directly by the Company to the holders of Trust  Certificates in
proportion  to their  respective  beneficial  ownership in the Shares upon which
dividends  are paid.  In the event that such  dividends are paid directly to the
Trustee,  the  Trustee  shall  promptly  pay  over  such  dividends  to the then
registered holders of Trust Certificates according to their respective interests
at the record date.


         (f) Rights  Offerings.  If any capital stock or other securities of the
Company are offered for subscription or otherwise to the holders of Common Stock
of the  Company,  the  Trustee,  promptly  upon receipt of notice of such offer,
shall mail a copy thereof to each of the holders of the Trust Certificates. Upon
receipt by the Trustee,  at least five business days prior to the last day fixed
by the  Company  for  subscription  and  payment,  of a  request  from  any such
registered  holder of Trust  Certificates to subscribe on behalf of such holder,
accompanied  by the sum of money  required to pay for such stock or  securities,
the Trustee shall make such  subscription  and payment,  and upon receiving from
the Company the  certificates  for shares or securities so subscribed for, shall
issue to such  holder a Trust  Certificate  in  respect  thereof  if the same be
shares of Common Stock,  but if the same be securities  other than Common Stock,
the Trustee  shall mail or deliver  such  securities  to the holder of the Trust
Certificate  on whose  behalf the  subscription  was made,  or may  request  the
Company  to make  delivery  directly  to the  holder  of the  Trust  Certificate
entitled thereto.


     10. Transfer and Replacement of Voting Trust Certificates.


         (a) The Trustee shall keep a record of all Trust Certificates issued by
the  Trust  upon the  original  issuance  thereof  in  exchange  for the  Shares
deposited  hereunder,  or in exchange for any additional  shares of Common Stock
deposited  with the Trustee as provided  herein,  or upon the  transfer of Trust
Certificates,  or as a result of the release of Shares to the Stockholders.  The
record  of Trust  Certificates  shall be kept,  and  Trust  Certificates  may be
transferred,  subject to applicable legal requirements including those under the
Securities Act of 1933, at the office of the Trustee or counsel for the Trustee.
The  records  so  kept  by  the  Trustee  shall  conform,  as  nearly  as may be
practicable, to the form of stock ledger or statutory stock books which would be
used by a corporation or a transfer agent under similar circumstances, and shall
indicate,  among other  things,  the names and  addresses of all persons who are
holders of Trust  Certificates,  the number of Shares  represented  by the Trust
Certificates  held by each of them and the dates  when each of them  became  the
owners thereof.


         (b)  The   Trust   Certificates   are  to  be   non-transferable.   If,
nevertheless, a Trust Certificate is transferred by operation of law or pursuant
to order of any  court  having  jurisdiction  thereof,  transfer  of such  Trust
Certificate  shall be accomplished by delivery of the Trust  Certificates to the
Trustee,  duly endorsed or accompanied by duly executed powers and by such other
assignments,  certificates  of authority and consent to transfer  instruments as
may be  reasonably  requested  by  counsel  to the  Trustee in order to effect a
transfer of the Trust  Certificates.  Upon  effecting  any  transfer,  all Trust
Certificates  so  surrendered  to the Trustee shall be canceled  forthwith.  The
Trustee may, in his sole  discretion,  treat the registered  holder of any Trust
Certificates as the owner thereof for all purposes whatsoever,  and shall not be
affected by any notice to the contrary.  Upon the  expiration or  termination of
the Trust  Agreement,  the  Shares  will not be  delivered  to the  Stockholders
without  the  surrender  of the Trust  Certificates  representing  such  Shares,
properly endorsed for surrender.  Each transferee of a Trust Certificate  issued
hereunder shall, by his acceptance thereof,  assent to and become a party to the
Trust  Agreement  and shall be deemed to be a  Stockholder  for  purposes of the
Trust Agreement,  and such acceptance shall have the same force and effect as if
such transferee had in fact executed the Trust Agreement.


         (c) If any Trust Certificate  shall become  mutilated,  lost, stolen or
destroyed,  the Trustee may provide for the issuance of a new Trust  Certificate
in lieu of such lost,  stolen or destroyed Trust  Certificate or in exchange for
such  mutilated  Trust  Certificate,  under  such  conditions  with  respect  to
indemnity and otherwise as he in his sole discretion may prescribe.


     11. Filings with SEC. The Trustee shall make all required  filings with the
Securities  and  Exchange  Commission,  including  filings on  Schedule  13D and
amendments  thereto under the Securities  Exchange Act of 1934. Each Stockholder
and Trustee  hereby agrees that the Trustee are  authorized to make such filings
on his or her behalf,  and that any such  document  (including  Schedule 13D and
amendments  thereto)  may be executed  and filed by the Trustee on behalf of all
Stockholders.  The Trustee  shall have primary  responsibility  to see that such
filings are made.





     12. Expenses.  The Trustee shall receive no compensation or commissions for
acting as Trustee. The Trustee shall have authority to pay necessary expenses in
connection with the business of the Trust and the expenses of the termination of
the Trust when it terminates,  and may retain  counsel and other  professionals.
The Trustee shall be entitled to reimbursement for any reasonable  out-of-pocket
expenses  incurred by him in connection  with the conduct of the business of the
Trust,  upon  presentation  of receipts  or other  proper  documentation  to the
Trustee.  The Trustee shall from time to time assess  Stockholders  for funds to
pay these expenses, in proportion to the number of shares contributed by each.


     13. Liability.


         (a) The  Trustee  shall not be liable for the  consequence  of any vote
cast or  consent  given and shall not incur any  liability  to any  Stockholder,
except for willful  misconduct  evidencing  bad faith or gross  negligence.  The
Stockholders  agree to indemnify  the Trustee hold him harmless from any and all
liabilities  which he may incur as a result of carrying  on the  business of the
Trust and the termination thereof,  except for willful misconduct evidencing bad
faith or gross negligence.


         (b) No  contract  or other  transaction  between  the  Company  and the
Trustee  or any  person,  firm  or  corporation  in  which  the  Trustee  may be
interested or with which he may be  affiliated  or in any way related,  shall be
rendered invalid by the fact of their being a party thereto, or being interested
in or affiliated with or related to such person,  firm or  corporation,  and the
Trustee,  and any such person,  firm or corporation are hereby relieved from any
liability  by  reason of the  making of any  Contract  or  participating  in any
transaction wherein the Trustee or any such person, firm or corporation,  may be
interested.


     14.  Amendments.  The Trust  Agreement  may be  amended  at any time by the
written consent of Stockholders  holding Voting Trust Certificates  representing
at least 66 2/3% of the total  number of Shares.  The Trustee  shall  notify all
Stockholders in writing of any amendment.


     15. Notice to Company.  An executed or conformed  counterpart  of the Trust
Agreement, and all amendments thereto if any, shall be filed with the registered
office of the Company.


     16. Termination. Upon termination of the Trust hereunder, either because of
the  expiration  of the  trust  term  or the  withdrawal  of all  Shares  by the
Stockholders  or the  decision of the Trustee,  the Trustee  shall take all such
action as may be required to cause such Shares to be  re-registered in the names
of the Stockholders who contributed them or transferred in accordance with their
written instructions.


     17. Miscellaneous Provisions. Notice hereunder shall be in writing and
shall be addressed to any party  hereunder at the address  listed on the records
of the  Trustee or such other  address  as a party may have  notified  the other
parties hereto in writing,  or delivered to such person  personally.  Notices by
the  Stockholders  to the Trustee  shall be sent to them at 6699  Chimney  Rock,
Houston,  Texas  77081,  or to such  other  address  as any party may notify the
others in accordance with the provisions  hereof. All notices hereunder shall be
sent by certified or registered  mail return  receipt  requested or delivered by
telex, telecopy,  fax, telegram or similar method of communication.  Such notice
shall be effective  upon receipt.  The Trust  Agreement may not be terminated or
amended orally but only by an agreement in writing signed by the parties hereto,
except as set out above in  Sections  14 and 16.  The Trust  Agreement  shall be
binding  upon the  successors,  assigns,  executors  and  administrators  of the
undersigned.  It may be  executed in any number of  counterparts,  each of which
shall be deemed an original but all of which together shall  constitute a single
instrument. It shall not be effective as to any party until it has been executed
by all parties either individually or pursuant to a power of attorney.


     18.  Governing  Law.  This Trust  shall be  governed  by and  construed  in
accordance with the laws of the State of Delaware.


Dated: As of July 28, 1999





Trustee:




DAVID BLUMFIELD D.P.M.











STOCKHOLDERS:                                      No. of Shares:



_____________________________                        74,074
David Blumfield, D.P.M.


___________________________________                  74,074
Robert Parker D.P.M.


___________________________________                  74,074
Michael Mineo, D.P.M.


___________________________________                  74,074
Gregory Mangum, D.P.M.


___________________________________                  74,074
Sherman Nagler, D.P.M.


___________________________________                  74,074
William Bradbury, D.P.M.


___________________________________                  74,074
Jeffrey Ross, D.P.M.


___________________________________                  74,074
Brian Zale, D.P.M.


___________________________________                  74,074
Bruce Miller, D.P.M.


___________________________________                  74,074
Jeffrey Penso, D.P.M.


___________________________________                  37,037
Shirley Browne, M.D.


___________________________________                  74,074
Long Nguyen, M.D.


___________________________________                  74,074
Son Nguyen, M.D.


___________________________________                  74,074
Larry Likover, M.D.



<PAGE>









         EXHIBIT A


                                                              __________ Shares



                            Technical Coatings, Inc.


                    Non-Transferable Voting Trust Certificate


         This certifies that __________________________________________________

________________________________________________________________________________

is the beneficial owner of ________________ shares of __________________________
Common  Stock ($.005 par value) of Technical  Coatings,  a Delaware  corporation
(the Company"),  which shares have been deposited with the Trustee of the Voting
Trust dated July 28, 1999 (the "Voting  Trust").  Upon the surrender of this
certificate,  when  permitted by and in accordance  with the terms of the Voting
Trust,  the  registered  holder hereof will be entitled to receive a certificate
representing the same number of shares of the Company's Common Stock.


         This  certificate is issued subject to, and the holder by accepting the
same consents to, all the terms of the Voting Trust  Agreement,  a copy of which
will be made  available to the holder hereof upon  application to the Trustee at
the office of the Trustee,


         Voting Trust interests  represented by this  certificate  have not been
registered  under the Securities Act of 1933 (the "Act") or any state securities
law, and may not be assigned,  sold or  transferred  in violation of such Act or
any such law.


 Dated: _____________, 1999.





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


Trustee



                           SURGICARE, INC.

                           Date: August ___, 1999


                           By:________________________


                           Name:______________________


                          Title:_______________________


<PAGE>



EXHIBIT 10.1


                        SURGERY CENTERS OF AMERICA, INC.

                              AFFILIATION AGREEMENT


         This Affiliation  Agreement (the "Agreement") is made effective the 1st
day of July, 1999, by and between SURGERY CENTERS OF AMERICA,  INC., an Oklahoma
corporation   ("SCOA")  and  BELLAIRE  SURGICARE,   INC.,  a  Texas  corporation
("Owner"), a wholly owned subsidiary of Surgicare, Inc, a Delaware corporation.


                                    Recitals


         A. Owner owns and operates a multi-speciality ambulatory surgery center
in  Houston,  Texas (the  "Center"),  and the Owner  desires  to retain  certain
services of SCOA to assist Owner in conducting  the business and services of the
Center.

          B. SCOA desires to provide such services upon the terms and conditions
     set forth herein.


         NOW THEREFORE,  in consideration of the foregoing mutual agreements and
covenants contained herein, and for other good and valuable  consideration,  the
receipt and  sufficiency of which is hereby  acknowledged,  the parties agree as
follows:


                                   DEFINITIONS


          1.1 Certain Defined Terms - As used in this  Agreement,  the following
     terms shall have the following meaning unless otherwise provided.

               "SCOA"  -  Surgery   Centers  of   America,   Inc.   an  Oklahoma
               corporation.

               "Owner" - Bellaire Surgicare, Inc., a Texas corporation.

               "Center"  - a  multi-specialty  ambulatory  surgery  center to be
               located at 6699  Chimney  Rock,  Houston,  Harris  County,  Texas
               77081.


                                     GENERAL

         2.1      Appointment

          The Owner hereby retains SCOA and SCOA hereby accepts such  retention,
     to provide certain management-related  materials and consulting services to
     Owner,  to assist Owner in the course of the conduct of the business of the
     Center, all as hereinafter set forth.

         2.2      Term

          The term of this Agreement shall be for of twelve (12) months from the
     date set forth on the first page hereof,  and continue until termination by
     mutual  consent of SCOA and the Owner,  or until  otherwise  terminated  as
     hereinafter set forth.


         2.3      Termination


          Notwithstanding   the   provisions  of  the  foregoing   Section  2.2,
     termination   of  this  Agreement  may  occur  pursuant  to  the  following
     provisions:


         2.3.1    Termination by Party Without Cause


          This  Agreement may be terminated by either party without cause at any
     time after twelve months upon thirty (30) day prior written notice from the
     terminating  party to the  non-terminating  party, such termination to take
     effect upon the expiration of such notice.


         2.3.2    Termination for Cause


          Either  party  to  this  Agreement  may  immediately   terminate  this
     Agreement  for cause in the event of a material  breach of the Agreement by
     the non-terminating party, which breach is not cured prior to expiration of
     a  ten  (30)  day  written  notice  from  the  terminating   party  to  the
     non-terminating  party,  identifying the alleged breach.  Termination  will
     become effective upon expiration of such notice,  in the absence of cure by
     the  non-terminating  party.  Provided,  however,  if such breach cannot be
     reasonably cured within such thirty (30) day period, SCOA may in good faith
     commence  performance to cure the breach within such thirty (30) day period
     and shall diligently proceed therewith to completion.


         2.3.3    Termination by Bankruptcy

          This  Agreement  shall  expire and  automatically  terminate if either
     party shall file or have filed  against it a petition in  bankruptcy or any
     petition seeking reorganization,  arrangement,  composition,  readjustment,
     liquidation,  dissolution or relief under the present or any future federal
     bankruptcy act or any other present or future applicable federal, state, or
     other  statute or law,  or  seeking or  consenting  to  acquiescing  in the
     appointment  of  any  trustee,  receiver,  or  liquidation  of  all  or any
     substantial part of its properties and such filing remains unresolved or is
     not dismissed within ninety (90) days.


                  SERVICES AND MATERIALS TO BE PROVIDED BY SCOA


         3.1      General Services


          In that Owner intends to operate Center in substantial conformity with
     the policies and procedures utilized by SCOA in the operation of SCOA's own
     ambulatory   surgery  centers,   SCOA  agrees  to  designate  Center  as  a
     SCOA-affiliated  center,  and to  include  Center  and Owner in any and all
     managed care contracts entered into by SCOA with third party payors, either
     by (a) including Owner's Center in the appendix listing centers included in
     the contracts  negotiated  with third party payors,  or (b) naming  Owner's
     Center as a SCOA affiliate in the text of the contract itself. Further SCOA
     agrees  to  name  Owner's  Center  as an  affiliate  center  in any and all
     agreements  it  has,  or  will  enter  into,  with  any  group   purchasing
     organizations.  These  designations  of  affiliation  will remain in effect
     throughout the term of this Agreement.


         3.2      Clinical Policies and Procedures



          SCOA  agrees  to  provide  Owner  with  copies  of all of its  written
     clinical  policies  and  procedures  manuals,  either  in text  form or via
     editable  computer  files,  at Owner's  option,  and further SCOA agrees to
     provide  Owner with any and all updates  revisions,  etc., to such policies
     and procedures in like form throughout the term of this Agreement.


         3.3      Business Policies and Procedures


          SCOA  agrees  to  provide  Owner  with  copies  of all of its  written
     business clinical policies and procedures  manuals,  either in text form or
     via editable computer files, at Owner's option,  and further SCOA agrees to
     provide  Owner with any and all updates  revisions,  etc., to such policies
     and procedures in like form throughout the term of this Agreement.


         3.4.     Retention of Title


          It is  expressly  understood  and agreed  that all  systems,  methods,
     manuals,  procedures  and  controls  provided  by SCOA will be kept for the
     exclusive  use by Owner for its  Center.  All right  title and  interest in
     these systems, methods,  manuals,  procedures and controls provided by SCOA
     shall remain the property of SCOA.  SCOA agrees to leave systems,  methods,
     manuals,  procedures  and  controls  in place for at least one  hundred and
     twenty (120) days subsequent to the  termination of this  Agreement.  Owner
     shall ultimately return to SCOA all such material including all manuals and
     copyrighted materials.


                                FEES FOR SERVICES


         4.1      Fees for Materials and Services


          In  consideration  for all materials and services  provided by SCOA to
     Owner for its Center hereunder,  Owner shall pay to SCOA a fee equal to two
     percent (2%) of the "net monthly collected revenues" from the Center's cash
     collections,  with  said  monthly  fees to be paid on the  15th day of each
     month  following  the month  earned.  For  purposes of this  section,  "net
     monthly collected revenues" shall be defined as actual gross collections of
     Center deposited in its bank, received from its gross charges placed on the
     books,  adjusted for all patient allowances,  discounts,  fixed fee write -
     downs and bad debts.


         4.2      Proration


          In the event that this  Agreement is effective on a day other than the
     first day of the calendar month, the monthly fee payable hereunder shall be
     prorated for such month.


         4.3      Termination Payment


          In the event of termination of this  Agreement,  the final payment due
     SCOA  hereunder  shall be the payment due on the 15th day of the month next
     subsequent to  completion  of the last full  calendar  month of the term of
     this Agreement.

                                 INDEMNIFICATION


         5.1      Indemnification


          In that Owner is responsible  for management of its Center and SCOA is
     not engaged, nor is it responsible,  hereunder to provide actual management
     services  to the  Center,  Owner  agrees to hold SCOA  harmless,  and fully
     indemnify  SCOA,  from all loss or harm  arising  out of or related to the,
     operations  of the  Center,  from  and  after  the  effective  date of this
     Agreement;  however,  this grant of indemnity shall not extend to any claim
     of Center which results from the failure of SCOA to provide materials under
     Sections  3.2  and  3.3  hereof  which  are in  compliance  with  all  laws
     applicable to the procedures and policies set forth in such materials.



                                  MISCELLANEOUS


         6.1      Disclosure of Relationships


          SCOA  agrees to fully  inform the Owner if at any time during the term
     of this  Agreement,  SCOA,  its  Officers or  Directors,  have an ownership
     interest in any entity which provides goods or services to the Center.


         6.2      Related Party Transactions


          Subject to the disclosure  requirements of Section 6.1, this Agreement
     shall not  prohibit  SCOA from  dealing  or  contracting  with  related  or
     affiliated  entities  in  providing  goods  and/or  services to the Center,
     provided,  such goods and/or services are offered at the prevailing  market
     rates to the Center.


         6.3      Notices


          All notices,  requests,  demands or other  communications  pursuant to
     this  Agreement  or  contemplated  hereby  shall be in writing and shall be
     deemed to have been  given  when  personally  delivered  or if  mailed,  by
     registered or certified US Mail, postage prepaid,  return receipt requested
     upon such  mailing to the parties at the  addresses  set forth  below.  Any
     party may change the  address  to which  such  notices  are given by giving
     notice in the manner provided herein:


                  Notice to the Owner shall be addressed as follows:

                  Bellaire Surgicare, Inc.
                  6699 Chimney Rock Road
                  Houston, Texas 770801
                  Attn:  David Blumfield, DPM, President





                  Notice to SCOA shall be addressed as follows:

                  Surgery Centers of America, Inc.
                  1601 S. State Street
                  Edmond, OK 73013
                  Attn:  Dr. Joe H. Huffmyer, President


         6.4      Entire Agreement


          This  Agreement  represents the entire  agreement  between the parties
     hereto and all prior  understandings  and agreements are hereby merged into
     this Agreement.  This Agreement may not be modified except by an instrument
     in writing signed by the parties hereto.


         6.5      Governing Law


          This  Agreement and all actions taken  hereunder  shall be governed by
     and  construed  in  accordance  with the laws of the State of  Texas.  This
     Agreement is performable in Harris County, Texas.



         6.6.     Binding Effect



          This  Agreement  shall inure to the benefit of and be binding upon the
     parties hereto and their respective heirs, representatives,  successors and
     permitted assigns.



         6.7      Severability


          If any of the  provisions of this  Agreement  shall be construed to be
     illegal or  invalid,  such  construction  shall not affect the  legality or
     validity of any of the other  provisions  hereof and the illegal or invalid
     provisions hereof shall be deemed stricken and deleted herefrom to the same
     extent as if never  herein but all  provisions  hereof shall remain in full
     force and effect.


         6.8      Assignability


          This  Agreement may not be assigned by either party hereto without the
     prior written consent of the other party.


         6.9      Attorneys' Fees

          The prevailing party in an action arising under this Agreement or as a
     result of its termination may recover reasonable  attorneys' fees and costs
     from the non-prevailing party, to include arbitration.



         EXECUTED the 29 day of July,  1999,  but effective the 1st day of July,
1999.





         "SCOA"                             SURGERY CENTERS OF AMERICA, INC.

ATTEST:


___________________________                 By: ______________________________
Assistant Secretary                             JOE H. HUFFMYER, President




         "OWNER"                            BELLAIRE SURGICARE, INC.

ATTEST:

By: _______________________                 By: ______________________________
Secretary                                       David Blumfield, DPM, President



         "OWNER"                            SURGICARE, INC.

ATTEST:



By: _______________________                 By: ______________________________
Secretary                                     Michael Mineo, DPM, Vice-President







<PAGE>



EXHIBIT 21


                         SUBSIDIARES OF SURGICARE, INC.





As of the date of this filing SurgiCare, Inc. had one wholly owned subsidary;


         Bellaire Surgicare, Inc.
         6699 Chimney Rock #200
         Houston, TX 77081
<PAGE>

<TABLE> <S> <C>


<ARTICLE>                     5
<CIK>                         0000755113
<NAME>                        SurgiCare, Inc
<MULTIPLIER>                  1000

<S>                           <C>
<PERIOD-START>                JAN-01-1999
<PERIOD-TYPE>                 7-MOS
<FISCAL-YEAR-END>             DEC-31-1999
<PERIOD-END>                  JUL-31-1999
<CASH>                        145
<SECURITIES>                  0
<RECEIVABLES>                 2769
<ALLOWANCES>                  1226
<INVENTORY>                   50
<CURRENT-ASSETS>              36
<PP&E>                        681
<DEPRECIATION>                406
<TOTAL-ASSETS>                2050
<CURRENT-LIABILITIES>         235
<BONDS>                       566
         0
                   1
<COMMON>                      63
<OTHER-SE>                    1185
<TOTAL-LIABILITY-AND-EQUITY>  2050
<SALES>                       0
<TOTAL-REVENUES>              2444
<CGS>                         0
<TOTAL-COSTS>                 527
<OTHER-EXPENSES>              645
<LOSS-PROVISION>              0
<INTEREST-EXPENSE>            26
<INCOME-PRETAX>               1246
<INCOME-TAX>                  0
<INCOME-CONTINUING>           1246
<DISCONTINUED>                0
<EXTRAORDINARY>               0
<CHANGES>                     0
<NET-INCOME>                  1246
<EPS-BASIC>                 .10
<EPS-DILUTED>                 .09



</TABLE>


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