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, INC.
                              AFFILIATION AGREEMENT


     This Affiliation Agreement (the "Agreement") is made effective the 1 st 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-specialty  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.




                                     Page 1

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 PartyWithout 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)
                                     Page 2
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.


                                     Page 3
4.2      Termination Payment

                  In the  event of  tern1ination  of this  Agreement,  the final
payment due SCOA hereunder shall be the payment due on the l5th day of the month
next  subsequent to  completion of the last full calendar  month of the tern1 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  inforn1 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:




                                     Page 4

Notice to the Owner shall be addressed as follows:

Bellaire SurgiCare, Inc.
6699 Chimney Rock Road
Houston, Texas 770801
Attn: David Blumfield, D PM, 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 .





                                     Page 5

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


         "SCOA"                             SURGERY CENTERS OF AMERICA, INC.

ATTEST:

Rick Mason                                 By:  /s/ Joe H. Huffmyer
---------------------------                ------------------------------
Assistant Secretary                        Joe H. Huffmyer, President


         "OWNER"                            BELLAIRE SURGICARE, INC.

ATTEST:

By: Sharon Negler                           By: /s/ David Blumbield,
    -----------------------                     --------------------------------
         Secretary                              David Blumfield, DPM, President

         "OWNER"                            SURGICARE, INC.

ATTEST:

By: Sharon Negler                           By: /s  Michael Mineo
    -----------------------                     --------------------------------
         Secretary                                 Michael Mineo, Vice-President




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