SURGICARE INC/DE
SC 13D, EX-99.A4, 2000-12-14
OFFICES & CLINICS OF DOCTORS OF MEDICINE
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                      Surgery Centers of America ll, L.L.C.
                         "Physicians Helping Physicians"


July 29, 1999



Dr. David Blumfield
Bellaire SurgiCare. Inc.
6699 Chimney Rock
Houston, Texas 77081


RE:Management Agreement  (Agreement") dated January 12, 1995
   between Surgery Centers of America, Inc. ("SCOA ").
   and Bel1aire SurgiCare, Inc.


Dear Dr. Blumfield:

     As we have agreed, this letter will serve as written evidence of our mutual
decision to terminate the  above-referenced  Agreement  effective the 1st day of
July,  1999,  under paragraph .2.2 of that Agreement  according to the terms and
conditions of this letter .

         By this  letter,  SCOA  acknowledges  receipt of payment in full of all
  sums due and owing to SCOA under the Agreement,  including all of its fees for
  services  under  Sections  5.1  and 5.2 of the  Agreement,  as well as the ten
  percent (10%) of cash available for distrlbution to "SCOA" Under Paragraph 5.3
  of the Agreement.


     Further , in that our mutual decision to terminate the Agreement  coincides
with the planned  acquisition of Bellaire  SurgiCare by a public company,  being
SurgiCare Inc. , and both SurgiCare, Inc. and BeIIaire SurgiCare wish to resolve
the issue of SCOA's claim to a 10% fee in such an event under  Paragraph  5.3 of
the Agreement all three  companies have agreed that in exchange for the issuance
and delivery to SCOA by SurgiCare,  Inc., of 1,095,556 shares of common stock of
SurgiCare  Inc.,  SCOA will,  and does hereby,  release its claim to a fee under
paragraph 5.3 by reason of this acquisition.

     By this letter in addition to acknowledging receipt of all of the aforesaid
consideration  and in  consideration  of the SurgiCare Inc. stock issued to SCOA
herein SCOA specifically  releases Bellaire  SurgiCare,  Inc. and its new owner,
SurgiCare, Inc., of any and all liabilitywhatsoevcr under the Agreement which is
in all things canceled and terminated as of the 1st day of July, 1999,  provided
the acquisition of Bel1aire SurgiCare by SurgiCare,  Inc. , a public,  does take
place.


                     1930 S. Bryant. Edmond, Oklahoma 73013
                405-341-6002 800-730-7262 (SCOA) FAX 405-341-7902


Dr. David Blumfield
Page 2
July 29. 1999


     If this  accurately  reflects our Agreement,  please sign this letter where
indicated  below,as  well as the  duplicate  originals  of this letter which are
enclosed. Please retain one original for your file, one fore SurgiCare, Inc. and
return the other to me.

                                                Very truly yours,
                                               SURGERY CENTERS OF AMERICA, INC.


                                                 /s/ Joe H. Huffmyer
                                                 -----------------------------
                                                 Joe H. Huffmyer, President


AGREED:

BELLAIRE SURGICARE, INC.

By:  /s/ David Blumfield
     -------------------------------
         David Blumfield, DPM
         President

SURGICARE, INC.

By:  /s/ David Blumfield
     -------------------------------
         David Blumfield, DPM
         President












                     1930 S. Bryant. Edmond, Oklahoma 73013
                405-341-6002 800-730-7262 (SCOA) FAX 405-341-7902



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