HEALTHSOUTH CORP
S-8, 1995-11-29
SPECIALTY OUTPATIENT FACILITIES, NEC
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<PAGE>
    As filed with the Securities and Exchange Commission on November 28, 1995

                                           Registration No. 33-______________

                       SECURITIES AND EXCHANGE COMMISSION

                             Washington, D.C. 20549

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

                                    FORM S-8

                          Registration Statement Under

                           The Securities Act of 1933

                              --------------------
                             HEALTHSOUTH Corporation

             (Exact Name of Registrant as Specified in its Charter)

                              --------------------
          Delaware                                    63-0860407
 (State or Other Jurisdiction           (I.R.S. Employer Identification Number)
of Incorporation or Organization)

               Two Perimeter Park South, Birmingham, Alabama 35243
            -------------------------------------------------------
               (Address of Principal Executive Offices) (Zip Code)

               SUTTER SURGERY CENTERS, INC. 1993 STOCK OPTION PLAN

          SUTTER SURGERY CENTERS, INC. NON-QUALIFIED STOCK OPTION PLAN
                             AND AGREEMENT (SAIBENI)

          SUTTER SURGERY CENTERS, INC. NON-QUALIFIED STOCK OPTION PLAN
                              AND AGREEMENT (SHAH)

          SUTTER SURGERY CENTERS, INC. NON-QUALIFIED STOCK OPTION PLAN
                             AND AGREEMENT (AKELLA)

          SUTTER SURGERY CENTERS, INC. NON-QUALIFIED STOCK OPTION PLAN
                              AND AGREEMENT (KELLY)

          SUTTER SURGERY CENTERS, INC. NON-QUALIFIED STOCK OPTION PLAN
                               AND AGREEMENT (MAY)

                            (Full Title of the Plan)
                                                         Copy to:

         RICHARD M. SCRUSHY                                          
        Chairman of the Board                         WILLIAM W. HORTON
    and Chief Executive Officer           Group Vice President--Legal Services 
      HEALTHSOUTH Corporation                   HEALTHSOUTH Corporation
Two Perimeter Park South, Suite 224W       Two Perimeter Park South, Suite 224W
    Birmingham, Alabama 35243                    Birmingham, Alabama  35243
         (205) 967-7116                               (205) 967-7116

                    (Name and address of agent for service)              
         (Telephone number, including area code, of agent for service)

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

     Approximate date of commencement of proposed sale to the public: As soon as
practicable after effective date of this Registration Statement.
<TABLE>
<CAPTION>
                         CALCULATION OF REGISTRATION FEE
==================================================================================================================
       Title of                                    Proposed Maximum         Proposed Maximum           Amount of
      Securities             Amount to be           Offering Price         Aggregate Offering        Registration
   to be Registered         Registered (1)           per Share (2)              Price (2)               Fee (2)
- ------------------------------------------------------------------------------------------------------------------
<S>                         <C>                    <C>                    <C>                      <C>
   Common Stock, Par        175,449 shares         $26.25                 $4,605,536.25            $1,588.12
 Value $.01 Per Share
==================================================================================================================
<FN>
(1) The amount  being  registered  represents  175,449  authorized  and unissued
shares reserved for issuance under the Plans. 

<PAGE>
(2) In accordance with Rule 457(h) promulgated under the Securities Act of 1933,
these  calculations are based upon a price of $26.25 per share, which represents
the  average of the high and low prices  for the shares as  reported  on the New
York Stock Exchange on November 21, 1995.
</FN>
</TABLE>
<PAGE>

                                     PART II
                           INFORMATION REQUIRED IN THE
                             REGISTRATION STATEMENT

Item 3.  Incorporation of Certain Documents by Reference.

         There  are  hereby  incorporated  by  reference  in  this  Registration
Statement,  and  specifically  made  a  part  hereof,  the  following  documents
heretofore filed by HEALTHSOUTH  Corporation (the "Company") with the Securities
and Exchange Commission (the "Commission"),  pursuant to the Securities Exchange
Act of 1934 (the "Exchange Act"):

                  1. The  Company's  Annual  Report on Form 10-K for the  fiscal
         year ended December 31, 1994, as amended.

                  2. The Company's  Proxy  Statement used in connection with the
         solicitation  of proxies for the 1995 Annual  Meeting of  Stockholders,
         held June 6, 1995.

                  3.  HEALTHSOUTH's  Quarterly Reports on Form 10-Q, as amended,
         for the quarters ended March 31, June 30 and September 30, 1995.

                  4. HEALTHSOUTH's Current Report on Form 8-K, as amended, filed
         January 13, 1995 (relating to the acquisition of ReLife, Inc.).

                  5. HEALTHSOUTH's Current Report on Form 8-K, as amended, filed
         February  1, 1995  (relating  to the  acquisition  of  Surgical  Health
         Corporation).

                  6. HEALTHSOUTH's Current Report on Form 8-K, as amended, filed
         February 21, 1995  (relating to the NovaCare  Rehabilitation  Hospitals
         acquisition).

                  7.  HEALTHSOUTH's  Current Report on Form 8-K filed August 15,
         1995 (relating to the acquisition of Surgical Health Corporation).

                  8. HEALTHSOUTH's Current Report on Form 8-K filed September 7,
         1995 (relating to the acquisition of Sutter Surgery Centers, Inc.).

                  9. HEALTHSOUTH's Current Report on Form 8-K, as amended, filed
         October  20,  1995  (relating  to  the  acquisition  of  Surgical  Care
         Affiliates, Inc.).

                  10. HEALTHSOUTH's Current Report on Form 8-K filed October 30,
         1995  (relating  to the  acquisition  of Caremark  Orthopedic  Services
         Inc.).

                  11.  HEALTHSOUTH's  Current  Report on Form 8-K filed November
         13, 1995  (relating to the  consummation  of the  acquisition of Sutter
         Surgery Centers, Inc.).

                  12. The description of  HEALTHSOUTH's  capital stock contained
         in  HEALTHSOUTH's  Registration  Statement on Form 8-A filed August 26,
         1989.

                                      II-1

<PAGE>
         All documents filed by the Company  pursuant to Sections 13(a),  13(c),
14 or 15(d) of the Exchange Act after the  effective  date of this  Registration
Statement and prior to the filing of a post-effective  amendment indicating that
all the  securities  offered  hereby have been sold, or  deregistering  all such
securities  then  remaining  unsold,  shall  be  deemed  to be  incorporated  by
reference in this  Registration  Statement and to be a part hereof from the date
of filing of such documents.  Any statement contained in a document incorporated
or deemed to be incorporated by reference  herein shall be deemed to be modified
or superseded for purposes of this  Registration  Statement to the extent that a
statement  contained  herein or in any other  subsequently  filed document which
also  is or is  deemed  to be  incorporated  by  reference  herein  modifies  or
supersedes such statement.  Any statement so modified or superseded shall not be
deemed,  except as so  modified  or  superseded,  to  constitute  a part of this
Registration Statement.

Item 4.  Description of Securities.

         Not applicable.

Item 5.  Interests of Named Experts and Counsel.

         The legality of the issuance of the Common  Stock  offered  pursuant to
this  Registration  Statement  will be passed  upon for the  Company  by Haskell
Slaughter  Young &  Johnston,  Professional  Association,  1200  AmSouth/Harbert
Plaza, 1901 Sixth Avenue North, Birmingham,  Alabama 35203. At November 1, 1995,
attorneys  with the firm of Haskell  Slaughter  Young &  Johnston,  Professional
Association,   owned   beneficially  an  aggregate  of  9,930  shares  and  held
currently-exercisable  options  to acquire an  additional  15,000  shares of the
Company's Common Stock.

Item 6.  Indemnification of Directors and Officers.

         In  June  1986,   Delaware   enacted   legislation   which   authorized
corporations  to eliminate the personal  liability of directors to  corporations
and their  stockholders  for  monetary  damages for breach or alleged  breach of
directors'  fiduciary "duty of care".  Under prior Delaware law,  directors were
accountable to  corporations  and their  stockholders  for monetary  damages for
conduct  constituting  gross  negligence  in the exercise of their duty of care.
Although the 1986 statute does not change  directors'  duty of care,  it enables
corporations to limit available relief to equitable  remedies such as injunction
or rescission.  Numerous complaints,  not involving the Company, alleging breach
of directors' duty of care have been filed in connection with corporate  mergers
and acquisitions, and the 1986 statute limits available remedies of stockholders
in connection  with these  transactions as well as in other  circumstances.  The
1986  statute has no effect on a  director's  liability  for:  (a) breach of the
director's duty of loyalty; (b) acts or omissions not in good faith or involving
intentional misconduct or knowing violations of law; (c) a corporation's illegal
payment  of  dividends;  and (d)  approval  of any  transaction  from  which the
director derives an improper personal benefit.

         Pursuant to this  Delaware  statute,  the  Company has  included in its
Restated  Certificate  of  Incorporation,  which became  effective on October 1,
1986, a provision  to eliminate  the  personal  liability of its  Directors  for
monetary  damages  for  breach  or  alleged  breach  of their  duty of care.  In
addition,  the Company's  Bylaws  provide that the Company  shall  indemnify its
Directors and officers to the full extent  permitted by Delaware law,  including
in circumstances in which indemnification is otherwise discretionary

                                      II-2
<PAGE>
under Delaware law. The Company  believes that these provisions are necessary to
attract and retain qualified persons as Directors and officers.

          At present,  there is no material  pending  litigation  or  proceeding
involving  a Director or officer of the Company  where  indemnification  will be
required  or  permitted.  The  Company is not aware of any  material  threatened
litigation or proceeding which may result in a claim for  indemnification by any
Director or officer.

Item 7.  Exemption from Registration Claimed.

         Not applicable.

                                      II-3
<PAGE>
Item 8.  Exhibits.

         Exhibits (numbered in accordance with Item 601 of Regulation S-K).

          Exhibit No.                     Exhibit
          ----------                      -------
             4(a)    Sutter Surgery Centers, Inc. 1993 Stock Option Plan

             4(b)    Sutter Surgery Centers, Inc. Nonqualified Stock Option Plan
                     and Agreement (Saibeni)

             4(c)    Sutter Surgery Centers, Inc. Nonqualified Stock Option Plan
                     and Agreement (Shah)

             4(d)    Sutter Surgery Centers, Inc. Nonqualified Stock Option Plan
                     and Agreement (Akella)

             4(e)    Sutter Surgery Centers, Inc. Nonqualified Stock Option Plan
                     and Agreement (Kelly)

             4(f)    Sutter Surgery Centers, Inc. Nonqualified Stock Option Plan
                     and Agreement (May)

                5    Opinion of Haskell Slaughter Young & Johnston, Professional
                     Association.

             23(a)   Consent of Ernst & Young LLP.

             23(b)   Consent of Haskell Slaughter Young & Johnston, Professional
                     Association,   is  contained   within  Opinion   of Counsel
                     included as Exhibit 5.

               24    Powers of Attorney (See Signature Page).


Item 9.  Undertakings.

         The undersigned Registrant hereby undertakes:

                  (1) To file,  during any  period in which  offers or sales are
         being made, a post-effective amendment to this Registration Statement:

                           (iii)  to  include  any  material   information  with
                  respect to the plan of distribution  not previously  disclosed
                  in the  Registration  Statement or any material change to such
                  information in the Registration Statement;

                                      II-4

<PAGE>
                  (2) That, for the purpose of determining  any liability  under
         the Securities Act of 1933, each such post-effective amendment shall be
         deemed to be a new  registration  statement  relating to the securities
         offered therein, and the offering of such securities at that time shall
         be deemed to be the initial bona fide offering thereof.

                  (3) To remove from  registration by means of a  post-effective
         amendment any of the securities being registered which remain unsold at
         the termination of the offering.

         The  undersigned  Registrant  hereby  undertakes  that, for purposes of
determining  any liability  under the Securities Act of 1933, each filing of the
Registrant's  annual  report  pursuant to Section  13(a) or Section 15(d) of the
Securities  Exchange  Act of  1934  that is  incorporated  by  reference  in the
Registration  Statement  shall  be  deemed  to be a new  registration  statement
relating to the securities offered therein,  and the offering of such securities
at that time shall be deemed to be the initial bona fide offering thereof.

         Insofar as indemnification for liabilities arising under the Securities
Act of 1933 may be permitted to directors,  officers and controlling  persons of
the  Registrant  pursuant  to  the  foregoing  provisions,   or  otherwise,  the
Registrant  has been advised that in the opinion of the  Securities and Exchange
Commission such indemnification is against public policy as expressed in the Act
and is, therefore,  unenforceable. In the event that a claim for indemnification
against such  liabilities  (other than the payment by the Registrant of expenses
incurred or paid by a Director,  officer or controlling person of the Registrant
in the successful defense of any action, suit or proceeding) is asserted by such
Director,  officer or controlling person in connection with the securities being
registered, the Registrant will, unless in the opinion of its counsel the matter
has been  settled by  controlling  precedent,  submit to a court of  appropriate
jurisdiction the question whether such  indemnification  by it is against public
policy as expressed in the Act and will be governed by the final adjudication of
such issue.

                                      II-5
<PAGE>
                                   SIGNATURES

         Pursuant  to the  requirements  of the  Securities  Act  of  1933,  the
Registrant certifies that it has reasonable grounds to believe that it meets all
of the requirements for filing on Form S-8 and has duly caused this Registration
Statement  to be  signed  on its  behalf  by  the  undersigned,  thereunto  duly
authorized, in the City of Birmingham, State of Alabama, on November 28, 1995.

                                              HEALTHSOUTH Corporation

                                              By /s/ RICHARD M. SCRUSHY
                                                -------------------------------
                                                     Richard M. Scrushy
                                                   Chairman of the Board
                                                 and Chief Executive Officer

         KNOW ALL MEN BY THESE  PRESENTS,  that each person  whose name  appears
below  constitutes and appoints Richard M. Scrushy and Aaron Beam, Jr., and each
of them, his attorney-in-fact,  with power of substitution for him or her in any
and all capacities, to sign any amendments,  supplements or other instruments he
or she deems  necessary  or  appropriate,  and to file the same,  with  exhibits
thereto,  and other documents in connection  therewith,  with the Securities and
Exchange   Commission,   hereby   ratifying   and   confirming   all  that  said
attorney-in-fact or his substitute may do or cause to be done by virtue hereof.

         Pursuant  to the  requirements  of the  Securities  Act of  1933,  this
Registration  Statement  has been signed below by the  following  persons in the
capacities and on the date indicated.
<TABLE>
<CAPTION>

               Signature                                      Capacity                                Date
               ---------                                      --------                                ----

<S>                                             <C>                                             <C>
          RICHARD M. SCRUSHY                    
- --------------------------------------                  Chairman of the Board                   November 28, 1995
         (Richard M. Scrushy)                        and Chief Executive Officer
                                                              and Director

            AARON BEAM, JR.                         
- --------------------------------------              Executive Vice President and                November 28, 1995
           (Aaron Beam, Jr.)                           Chief Financial Officer
                                                     (Principal Financial Officer)

           WILLIAM T. OWENS                     
- --------------------------------------          Senior Vice President and Controller            November 28, 1995
          (William T. Owens)                       (Principal Accounting Officer)


          RICHARD F. CELESTE                                  Director                          November 28, 1995
- --------------------------------------
         (Richard F. Celeste)


          JOHN S. CHAMBERLIN                                  Director                          November 28, 1995
- --------------------------------------
         (John S. Chamberlin)


            C. SAGE GIVENS                                    Director                          November 28, 1995
- --------------------------------------
           (C. Sage Givens)


        CHARLES W. NEWHALL III                                Director                          November 28, 1995
- --------------------------------------
       (Charles W. Newhall III)


                                                           II-6


<PAGE>

           GEORGE H. STRONG                                   Director                          November 28, 1995
- --------------------------------------
          (George H. Strong)


          PHILLIP C. WATKINS                                  Director                          November 28, 1995
- --------------------------------------
         (Phillip C. Watkins)



           JAMES P. BENNETT                                   Director                          November 28, 1995
- --------------------------------------
          (James P. Bennett)


            LARRY R. HOUSE                                    Director                          November 28, 1995
- --------------------------------------
           (Larry R. House)


           ANTHONY J. TANNER                                  Director                          November 28, 1995
- --------------------------------------
          (Anthony J. Tanner)


            P. DARYL BROWN                                    Director                          November 28, 1995
- --------------------------------------
           (P. Daryl Brown)


                                      II-7



<PAGE>
</TABLE>

                                                                    EXHIBIT 4(a)


                            1993 STOCK OPTION PLAN OF
                          SUTTER SURGERY CENTERS, INC.

ARTICLE 1. ESTABLISHMENT AND PURPOSE.

         The Plan is being established to offer selected employees and directors
an opportunity to acquire a proprietary  interest in the success of the Company,
or to increase such interest,  by exercising  Options to purchase  Shares of the
Company's common Stock.  Options granted under the Plan may include Nonstatutory
Options as well as ISO's  intended  to qualify  under  section  422 of the Code.

ARTICLE 2. DEFINITIONS.

         2.01.  "Board of  Directors"  shall mean the Board of  Directors of the
Company,  as  constituted  from time to time.  2.02.  "Bonus  Awards" shall mean
Performance Awards or Fixed Awards.

         2.03. "Code" shall mean the Internal Revenue Code of 1986, as amended.

         2.04. "Committee" shall mean a committee of the Board of Directors,  as
described in Section 3.01 and Section 3.02.

         2.05.  "Company"  shall mean Sutter Surgery  Centers,  Inc., a Delaware
corporation.

         2.06. "Employee" shall mean any individual who is a common-law employee
of the Company or of a Subsidiary.  

         2.07. "Exercise Price" shall mean the amount for which one Share may be
purchased  upon  exercise of an Option,  as  specified  by the  Committee in the
applicable Stock Option Agreement. 

         2.08.  "Fair Market Value" shall mean the fair market value of a Share,
as  determined  by the  Committee  in good faith.  Such  determination  shall be
conclusive  and binding on all persons.  

         2.09.  "Fixed  Awards" shall mean awards that are not contingent on the
performance of objectives but are  contingent  upon the continued  employment of
the participant  with the Company for a period specified by the Committee in the
award.

         2.10. "ISO" shall mean an employee  incentive stock option described in
section 422(b) of the Code.

<PAGE>
         2.11.  "Nonstatutory Option" shall mean a stock option not described in
section 422(b) or 423(b) of the Code. 

         2.12.  "0ption" shall mean an ISO or Nonstatutory  Option granted under
the Plan and entitling the holder to purchase Shares.

         2.13. "0ptionee" shall mean an individual who holds an Option.

         2.14.  "Performance  Awards"  shall mean awards made in terms of stated
potential  maximum  dollars  amount,  percentage  of  compensation  or number of
Shares, with the actual amount, percentage or number determined by the Committee
with reference to the level of  performance  over a period of time as determined
by the Committee.

         2.15.  "Plan" shall mean this 1993 Stock Option Plan of Sutter  Surgery
Centers, Inc.

         2.16.  "Service"  shall mean  service as an Employee or director of the
Company.

         2.17.  "Share" shall mean one share of Stock, as adjusted in accordance
with Article 9, if applicable.

         2.18. "Stock" shall mean the common Stock of the Company.

         2.19.  "Stock 0ption  Agreement"  shall mean the agreement  between the
Company and an Optionee  which contains the terms,  conditions and  restrictions
pertaining to his or her Option.

         2.20.  "Subsidiary " shall mean any corporation,  if the Company or one
or more other  Subsidiaries  own not less than fifty  percent (50%) of the total
combined voting power of all classes of outstanding stock of such corporation. A
corporation that attains the status of a Subsidiary on a date after the adoption
of the Plan shall be considered a Subsidiary commencing as of such date.

         2.21. 'Total and Permanent Disability " shall mean that the Optionee is
unable to engage in any substantial  gainful activity by reason of any medically
determinable  physical or mental  impairment  which can be expected to result in
death or which has lasted,  or can be expected to last, for a continuous  period
of not less than twelve (12) months.


                                      -2-
<PAGE>
ARTICLE 3. ADMINISTRATION.

         3.01.  Committee  Membership.  The Plan  shall be  administered  by the
Committee,  which  shall  consist  of three (3) or more  members of the Board of
Directors.  The  members of the  Committee  shall be  appointed  by the Board of
Directors.  If no Committee  has been  appointed,  the entire Board of Directors
shall constitute the Committee.

         3.02.  Ineligibility.  No member of the Committee  shall be eligible to
participate in this Plan or any stock purchase, bonus award, stock option, stock
appreciation  right or other  stock  incentive  plan of the  Company  except  as
provided in Section 4.01B. No person may be a member of the Committee if, within
one (1) year prior to appointment to the Committee, such person participated, or
was eligible to participate,  in this Plan or any stock  purchase,  bonus award,
stock option,  stock  appreciation  right or other stock  incentive  plan of the
Company except as provided in Section 4.01B. Except for adjustment under Section
9.01 of Shares  allocable  or  Options  outstanding  under  the Plan to  prevent
dilution or  enlargement  of rights,  neither the Board nor the Committee  shall
have any  discretion  to alter (i) the  number of  Shares  subject  to any stock
options granted to nonemployee  directors under Section 4.01B, or (ii) the terms
under  which  such  options  are  granted.  The  selection  of any member of the
Committee  is  intended  to  qualify  for  exemption  under Rule  16b-3,  or its
successor,  under  such  Act.  Any  provision  of this Plan  shall be  construed
consistent with the  applicability,  interpretation  and scope of Rule 16b-3, or
its successor, under such Act.

         3.03. Committee Procedures.  The Board of Directors shall designate one
of the members of the Committee as chairperson.  The Committee may hold meetings
at such times and places as it shall  determine.  The acts of a majority  of the
Committee  members present at meetings at which a quorum exists, or acts reduced
to or approved in writing by all Committee  members,  shall be valid acts of the
Committee.

         3.04.  Committee  Responsibilities.  Subject to the  provisions  of the
Plan,  the  Committee  shall  have full  authority  and  discretion  to take the
following actions: 

                  A. To interpret the Plan and to apply its provisions;

                  B. To adopt,  amend or  rescind  rules,  procedures  and forms
relating to the Plan;

                                      -3-
<PAGE>
                  C. To  authorize  any  person  to  execute,  on  behalf of the
Company, any instrument required to carry out the purposes of the Plan;

                  D. To determine when Options are to be granted under the Plan;

                  E. To select the Optionees;

                  F. To  determine  the  number of Shares to be made  subject to
each Option;

                  G. To  prescribe  the terms  and  conditions  of each  Option,
including  (without  limitation) the Exercise  Price, to determine  whether such
Option is to be classified as an ISO or as a Nonstatutory Option, and to specify
the provisions of the Stock Option Agreement relating to such Option;

                  H. To amend any outstanding Stock Option Agreement, subject to
applicable  legal  restrictions  and to the consent of the  Optionee who entered
into such agreement;

                  I. To prescribe the consideration for the grant of each Option
under the Plan and to determine the sufficiency of such consideration; and

                  J. To take any other actions deemed necessary or advisable for
the administration of the Plan.

                  All  decisions,  interpretations  and  other  actions  of  the
Committee  shall be final and binding on all Optionees and all persons  deriving
their rights from an Optionee.  No member of the  Committee  shall be liable for
any  action  that he or she has taken or has  failed to take in good  faith with
respect to the Plan or any Option.

         3.05.  Financial  Reports.  Not less often than  annually,  the Company
shall  furnish to  Optionees  reports of its  financial  condition,  unless such
Optionees have access to equivalent  information through their employment.  Such
reports need not be audited.

ARTICLE 4. ELIGIBILITY.
         4.01. General Rule.

                  A. Each  Employee  shall be  eligible  for  designation  as an
Optionee  by  the  Committee.   

                  B. Nonemployee  directors shall be granted  nonqualified stock
options to  purchase  thirty  thousand  (30,000)  Shares of the  Company to each
individual who is a nonemployee director on the date this Plan is adopted and to

                                      -4-
<PAGE>

each  individual  who is first elected as a nonemployee  director in lieu of any
salary or other compensation.

         4.02.  Ten Percent  Shareholders.  An  Employee  who owns more than ten
percent (10%) of the total  combined  voting power of all classes of outstanding
Stock of the  Company  or any of its  Subsidiaries  shall  not be  eligible  for
designation as an Optionee of an ISO unless:  (a) the Exercise Price is at least
one hundred ten percent  (110%) of the Fair Market  Value of a Share on the date
of  grant;  and (b)  the  Option  by its  terms  is not  exercisable  after  the
expiration of five (5) years from the date of grant.

         4.03.  Attribution  Rules.  For  purposes  of Section  4.02  above,  in
determining Stock ownership, an Employee shall be deemed to own the Stock owned,
directly  or  indirectly,  by or  for  his  or her  brothers,  sisters,  spouse,
ancestors and lineal descendants. Stock owned, directly or indirectly, by or for
a  corporation,  partnership,  estate  or  trust  shall  be  deemed  to be owned
proportionately  by or for its shareholders,  partners or  beneficiaries.  Stock
with respect to which such Employee holds an Option shall not be counted.

         4.04.   Outstanding   Stock.   For  purposes  of  Section  4.02  above,
"outstanding  Stock" shall  include all Stock  actually  issued and  outstanding
immediately  after the grant.  "Outstanding  Stock"  shall not include  treasury
shares or shares authorized for issuance under  outstanding  Options held by the
Employee or by any other person.

ARTICLE 5. STOCK SUBJECT TO PLAN.

         5.01.  Basic  Limitation.  Shares  offered  under  the  Plan  shall  be
authorized  but unissued  Shares.  The  aggregate  number of Shares which may be
issued  under the Plan upon  exercise  of Options  shall not exceed two  million
(2,000,000)  Shares,  subject to adjustment pursuant to Article 9. The number of
Shares which are subject to Options outstanding at any time under the Plan shall
not exceed the number of Shares which then remain  available for issuance  under
the Plan. The Company,  during the term of the Plan,  shall at all times reserve
and keep available sufficient Shares to satisfy the requirements of the Plan.

         5.02.  Additional  Shares. In the event that any outstanding Option for
any reason expires or is cancelled or otherwise terminated, the Shares allocable
to the  unexercised  portion of such  Option  shall again be  available  for the
purposes of the


                                       -5-

<PAGE>
Plan.  In the event that  Shares  issued  under the Plan are  reacquired  by the
Company pursuant to a forfeiture provision,  a right of repurchase or a right of
first  refusal,  such Shares  shall again be  available  for the purposes of the
Plan. 

ARTICLE 6. BONUS AWARDS.

         6.01. Form of Award.  Bonus Awards may be made to eligible officers and
other  Employees in the form of any one or more of: (i) cash;  or (ii) Shares of
Stock issued to the Employee but forfeitable  and with  restrictions on transfer
in any  form  consistent  with  this  Plan.  In  addition,  in  the  Committee's
discretion,  the Company may satisfy all or any part of its  obligation  under a
Bonus  Award  payable  in cash by  delivering  Shares of Stock  with a then fair
market value equal to all or a part of the amount of such obligation.

         6.02.  Performance Awards. The Committee may make grants of Performance
Awards to eligible officers,  directors and Employees. An individual receiving a
Performance  Award shall have no rights or  interests  of any kind in such award
until the conclusion of the performance period and the Committee's determination
that the level of achievement specified in the award has been achieved. The time
of vesting,  if any, after reaching the designated level of achievement shall be
as specified in the award.

         6.03.  Fixed  Awards.  The Committee may grant Fixed Awards to eligible
officers, directors and Employees. The participant receiving a Fixed Award shall
not have any rights or interests of any kind in the award until the  participant
satisfies the employment conditions set out in the Fixed Award.

         6.04.  Rights  With  Respect to Shares.  If Shares of common  Stock are
issued pursuant to an award,  the  participant  shall have the right to vote the
Shares  and to  receive  dividends  thereon  from  the  date of  issuance  until
forfeited.

ARTICLE 7. TERMS AND CONDITIONS OF OPTIONS.

         7.01.  Stock 0ption  Agreement.  Each grant of an Option under the Plan
shall be  evidenced  by a Stock  Option  Agreement  between the Optionee and the
Company.  Such Option shall be subject to all applicable terms and conditions of
the Plan and may be  subject  to any other  terms and  conditions  which are not
inconsistent  with  the Plan and  which  the  Committee  deems  appropriate  for
inclusion in a Stock  Option  Agreement.  The  provisions  of the various  Stock
Option


                                       -6-
<PAGE>
Agreements entered into under the Plan need not be identical.  However,  Options
granted to  nonemployee  directors  shall  become  exercisable  with  respect to
twenty-five  percent  (25%) of the Shares  subject  thereto on each of the first
four (4) anniversaries of the date of grant and shall expire ten (10) years from
the date of grant.

         7.02.  Number of Shares.  Each Stock Option Agreement shall specify the
maximum  number of Shares that are  subject to the Option and shall  provide for
the  adjustment  of such number in  accordance  with Article 9. The Stock Option
Agreement  shall also  specify  whether  the Option is an ISO or a  Nonstatutory
Option.

         7.03.  Exercise  Price.  Each Stock Option  Agreement shall specify the
Exercise Price.  The Exercise Price of an ISO shall not be less than one hundred
percent (100%) of the Fair Market Value of a Share on the date of grant,  except
as otherwise  provided in Section  4.02.  The Exercise  Price of a  Nonstatutory
Option shall not be less than eighty-five percent (85%) of the Fair Market Value
of a Share on the date of grant.  The Exercise  Price to a nonemployee  director
shall be one hundred  percent  (100%) of the Fair Market Value of a Share on the
date of grant. Subject to the preceding two sentences,  the Exercise Price under
any Option shall be  determined  by the  Committee at its sole  discretion.  The
Exercise Price shall be payable in a form described in Article 8.

         7.04.   Withholding  Taxes.  As  a  condition  to  the  exercise  of  a
Nonstatutory  Option, the Optionee shall make such arrangements as the Committee
may  require  for the  satisfaction  of any  federal,  state,  local or  foreign
withholding tax obligations that may arise in connection with the disposition of
Shares acquired by exercising an Option. An Option may provide that the Optionee
may elect to deliver to the Company (or authorize the Company to retain from the
Shares  purchased upon exercise of such Option) whole Shares of Stock to satisfy
the  Company's  obligation  to  withhold  federal,  state and local  income  tax
required to be withheld in respect of such exercise.  However, if an Optionee is
an executive  officer or director of the Company  (within the meaning of section
16 of the  Securities  Exchange  Act of 1934),  the  Optionee  may not make this
election during the six (6) month period  beginning on the date of grant of such
Option  and must elect  either (i) at least six (6) months  prior to the date on
which the amount of such  withholding  tax is  determined;  (ii) during the (10)
business day period beginning on the third business day

                                       -7-
<PAGE>
following each release of the Company's quarterly or annual summary of sales and
earnings;  or  (iii) in  advance  of such ten (10)  business  day  period  to be
effective  within such ten (10)  business day period.  The  Optionee's  election
shall be irrevocable, but subject to disapproval by the Committee.

         7.05.  Exercisability  and Term.  Each  Stock  Option  Agreement  shall
specify  the  date  when  all or any  installment  of the  Option  is to  become
exercisable. No Option shall be exercisable earlier than six (6) months from the
date of grant. The vesting of any Option shall be determined by the Committee at
its sole  discretion.  A Stock  Option  Agreement  may provide  for  accelerated
exercisability  in the  event  of the  Optionee's  death,  Total  and  Permanent
Disability or  retirement,  a change in control with respect to the Company,  or
other  events.  The Stock  Option  Agreement  shall also specify the term of the
Option. The term shall not exceed ten (10) years from the date of grant,  except
as otherwise  provided in Section 4.02. Subject to the preceding  sentence,  the
Committee, at its sole discretion, shall determine when an Option is to expire.

         7.06.  Nontransferability.  No  Option  shall  be  transferable  by the
Optionee  other  than by will,  by a  beneficiary  designation  executed  by the
Optionee  and   delivered  to  the  Company  or  by  the  laws  of  descent  and
distribution.  An Option may be  exercised  during the  lifetime of the Optionee
only by him or her or by his or her guardian or legal representative.  No Option
or interest therein may be transferred, assigned, pledged or hypothecated by the
Optionee  during his or her lifetime,  whether by operation of law or otherwise,
or be made subject to execution, attachment or similar process.

         7.07. Termination of Service (Except by Death. If an Optionee's Service
terminates for any reason other than his or her death, then his or her Option(s)
shall expire on the earliest of the following occasions:


                  A. The  expiration  date  determined  pursuant to Section 7.05
above;

                  B. The date ninety (90) days after the  termination  of his or
her Service for any reason other than Total and Permanent Disability; or

                  C. The date twelve (12) months after the termination of his or
her Service by reason of Total and Permanent Disability.

                  The Optionee may exercise all or part of his or her  Option(s)
at any  time  before  the  expiration  of such  Option(s)  under  the  preceding
sentence,  but only to the extent  that such  Option(s)  had become  exercisable
before his or her Service

                                      -8-
<PAGE>
terminated or became exercisable as a result of the termination.  The balance of
such Option(s) shall lapse when the Optionee's Service terminates.  In the event
that the Optionee  dies after the  termination  of his or her Service but before
the  expiration of his or her  Option(s),  all or part of such  Option(s) may be
exercised,  prior to  expiration,  by the  executors  or  administrators  of the
Optionee's estate or by any person who has acquired such Option(s) directly from
him or her by bequest,  beneficiary designation or inheritance,  but only to the
extent  that such  Option(s)  had become  exercisable  before his or her Service
terminated or became exercisable as a result of the termination.

         7.08.  Leaves of Absence.  For purposes of Section 7.07 above,  Service
shall be deemed to continue while the Optionee is on military leave,  sick leave
or other  bona fide  leave of  absence,  as  determined  by the  Committee.  The
foregoing notwithstanding, in the case of an ISO granted under the Plan, Service
shall not be deemed to continue beyond the first ninety (90) days of such leave,
unless  the  Optionee's  reemployment  rights  are  guaranteed  by statute or by
contract.

         7.09.  Death of  0ptionee.  If an  Optionee  dies while he or she is in
Service,  then his or her Option(s) shall expire on the earlier of the following
dates:

                  A. The  expiration  date  determined  pursuant to Section 7.05
above; or 

                  B. The date twelve (12) months after his or her death.  

                  All or part of the  Optionee's  Option(s)  may be exercised at
any time before the expiration of such Option(s) under the preceding sentence by
the  executors or  administrators  of his or her estate or by any person who has
acquired  such  Option(s)  directly  from  him or her  by  bequest,  beneficiary
designation  or  inheritance,  but only to the extent  that such  Option(s)  had
become  exercisable before his or her death or became exercisable as a result of
his or her death.  The balance of such  Option(s)  shall lapse when the Optionee
dies.

         7.10. No Rights as a Stockholder. An Optionee, or an estate of Optionee
or transferee,  pursuant to a qualified  domestic  relations order as defined by
the Code, of an Optionee,  shall have no rights as a stockholder with respect to
any  Shares  covered by his or her Option  until the date of the  issuance  of a
stock  certificate  for such Shares.  No  adjustments  shall be made,  except as
provided in Article 9.

         7.11.  Modification,  Extension and  Assumption of 0ptions.  Within the
limitations of the Plan, the Committee may modify, extend or assume outstanding


                                       -9-
<PAGE>
Options or may accept the cancellation of outstanding  Options,  whether granted
by the Company or another issuer, in return for the grant of new Options for the
same or a different  number of Shares and at the same or a different  price. The
foregoing  notwithstanding,  no  modification  of an Option  shall,  without the
consent  of the  Optionee,  impair  his or her  rights  or  increase  his or her
obligations under such Option.

         7.12.  Restrictions  on  Transfer  of Shares.  Any Shares  issued  upon
exercise of an Option  shall be subject to such special  forfeiture  conditions,
rights of repurchase, rights of first refusal and other transfer restrictions as
the  Committee  may  determine.  Such  restrictions  shall  be set  forth in the
applicable  Stock  Option  Agreement  and shall apply in addition to any general
restrictions  that may apply to all  holders of Shares.  

ARTICLE 8.  PAYMENT FOR SHARES.

         8.01.  General Rule.  The entire  Exercise Price of Shares issued under
the Plan shall be payable in lawful money of the United States of America at the
time when such Shares are purchased, except as follows:

                  A. In the case of an ISO granted under the Plan, payment shall
be made only pursuant to the express  provisions of the applicable  Stock Option
Agreement.  However, the Committee,  at its sole discretion,  may specify in the
Stock  Option  Agreement  that  payment  may be made in one or both of the forms
described in Sections 8.02 and 8.03 below.

                  B. In the case of a  Nonstatutory  Option  granted  under  the
Plan, the Committee (at its sole  discretion)  may accept payment in one or both
of the forms described in Sections 8.02 and 8.03 below.

         8.02.  Surrender  of Stock.  To the extent  that this  Section  8.02 is
applicable and to the extent that  applicable  law permits,  payment may be made
all or in part with Shares  which have already been owned by the Optionee or his
or her  representative for more than six (6) months and which are surrendered to
the Company in good form for transfer. Such Shares shall be valued at their Fair
Market Value on the date when the new Shares are purchased under the Plan.

         8.03.  Promissory  Note.  To the  extent  that  this  Section  8.03  is
applicable,  a portion of the Exercise Price of Shares issued under the Plan may
be payable by a full-recourse  promissory note; provided that: (a) the par value
of such Shares must


                                      -10-
<PAGE>
be paid in lawful  money of the  United  States of America at the time when such
Shares are  purchased;  (b) the Shares are security for payment of the principal
amount of the promissory  note and interest  thereon;  and (c) the interest rate
payable  under  the  terms of the  promissory  note  shall  not be less than the
minimum rate, if any,  required to avoid the  imputation of additional  interest
under the Code. Subject to the foregoing, the Committee, at its sole discretion,
shall specify the term, interest rate,  amortization  requirements,  if any, and
other provisions of such note. 

ARTICLE 9. ADJUSTMENT OF SHARES.

         9.01.  General. In the event of a subdivision of the outstanding Stock,
a  declaration  of a dividend  payable in Shares,  a  declaration  of a dividend
payable in a form other than Shares in an amount  that has a material  effect on
the value of Shares, a combination or consolidation of the outstanding Stock, by
reclassification   or   otherwise,   into  a  lesser   number   of   Shares,   a
recapitalization or a similar  occurrence,  the Committee shall make appropriate
adjustments  in one or more of:  (a) the number of Shares  available  for future
grants  under  Article 5; (b) the number of Shares  covered by each  outstanding
Option; or (c) the Exercise Price under each outstanding Option.

         9.02. Merger;  Consolidation.  In the event that the Company is a party
to a merger  or  consolidation,  outstanding  Options  shall be  subject  to the
agreement of merger or  consolidation.  Such agreement shall provide for either:
(a) the  assumption of outstanding  Options by the surviving  corporation or its
parent;  (b) the  continuation  of  outstanding  Options by the Company,  if the
Company is a surviving  corporation;  (c) the payment of a cash settlement equal
to (i) the  difference  between  the amount to be paid for one Share  under such
agreement and the Exercise Price multiplied by (ii) the number of Shares subject
to the Option, vested or unvested, or both, as determined by the Company; or (d)
the acceleration of the  exercisability  of outstanding  Options followed by the
cancellation  of Options  not  exercised,  in all cases  other  than  clause (c)
without the Optionees' consent.  (The Optionees' consent shall be required for a
cash settlement.) Any cancellation shall not occur earlier than thirty (30) days
after such  acceleration  is effective and Optionees  have been notified of such
acceleration.  In the case of Options that have been  outstanding  for less than
twelve (12) months, a cancellation need not be preceded by an acceleration.


                                      -11-
<PAGE>
         9.03.  Reservation of Rights.  Except as provided in this Article 9, an
Optionee shall have no rights by reason of: (a) any subdivision or consolidation
of shares of stock of any other class;  (b) the payment of any dividend;  or (c)
any other  increase  or  decrease  in the number of shares of stock of any other
class.  Any issue by the Company of shares of stock of any class,  or securities
convertible  into  shares  of stock  of any  class,  shall  not  affect,  and no
adjustment  by reason  thereof  shall be made with  respect  to,  the  number or
Exercise Price of Shares subject to an Option.  The grant of an Option  pursuant
to the Plan  shall not  affect in any way the right or power of the  Company  to
make adjustments,  reclassifications,  reorganizations or changes of its capital
or business structure, to merge or consolidate or to dissolve,  liquidate,  sell
or transfer all or any part of its business or assets.

ARTICLE 10.  SECURITIES LAWS.

         10.01.  Compliance  with  Securities  Laws.  Shares shall not be issued
under the Plan unless the issuance and delivery of such Shares complies with, or
is  exempt  from,  all  applicable  requirements  of  law,  including,   without
limitation,  the Securities Act of 1933, as amended,  the rules and  regulations
promulgated  thereunder,   state  securities  laws  and  regulations,   and  the
regulations  of any stock  exchange or automated  quotation  system on which the
Company's securities may then be listed. 

         10.02. Company Determination.

                  A. The Company shall have the absolute  right to determine the
effective  date of the  exercise  or vesting of any grant  under this Plan after
determining  that the issuance and delivery of any Shares to the holder will not
violate any state or federal securities or other laws.

                  B. Upon the request of the Company,  the person  receiving the
Shares  shall  provide to the  Company  in writing  that all of the Shares to be
acquired  shall be held for that  person's  own  account  without  a view to any
distribution,  that the Shares shall bear an appropriate  legend to that effect,
and that such Shares will not be transferred or disposed of except in compliance
with applicable federal and state securities laws.

                  C. The  Company  has the  complete  discretion  to  defer  the
effectiveness  of any exercise of an Option  granted under this Plan in order to
allow the  issuance  of the Shares to be made  pursuant  to  registration  or an
exemption for

                                      -12-
<PAGE>

registration  in order to comply  with  federal or state  securities  laws.  The
Company is not required to effect any registration of any of the Shares pursuant
to the Securities Act of 1933 or any comparable state statutes.

                  D. The Company shall inform the Optionee,  in writing,  of any
decision to delay the effective date of the  Optionee's  exercise of the Option.
During the period of the delay in the effective  date,  the Optionee may rescind
Optionee's  election to exercise  Optionee's Option at that time. To rescind the
election, Optionee must notify the Company, in writing, before the expiration of
the period to delay the effectiveness of the Option.

         10.03. Effect of Public Offering.  This provision shall take precedence
over any other  provision  of this  Agreement.  If the Company  makes any public
offering and determines, in its sole discretion,  that the number of outstanding
Stock  Options must be reduced in order to comply with any federal or state law,
the Committee  shall have the right to (a) accelerate the dates on which Options
granted  under this Plan may be exercised;  and (b) cancel any such  accelerated
Options if the Options are not exercised within thirty (30) days after notice of
such acceleration has been given to the Optionee.

ARTICLE 11.  NO EMPLOYMENT RIGHTS.

         No provision of the Plan, or any Option  granted under the Plan,  shall
be  construed  to give any person any right to become,  to be treated  as, or to
remain an  Employee.  The  Company  and its  Subsidiaries  reserve  the right to
terminate any person's Service at any time and for any reason.

ARTICLE 12.  DURATION AND AMENDMENTS.

         12.01.  Term of the Plan.  The Plan, as set forth herein,  shall become
effective on the date of its adoption by the Board of Directors,  subject to the
approval of the Company's stockholders.  In the event that the stockholders fail
to approve the Plan within twelve (12) months after its adoption by the Board of
Directors,  any  Option  grants  already  made  shall be null and  void,  and no
additional Option grants shall be made after such date. The Plan shall terminate
automatically  ten (10) years after its adoption by the Board of  Directors  and
may be terminated on any earlier date pursuant to Section 12.02 below.

                                      -13-
<PAGE>
12.02.   Right to Amend or Terminate the Plan.

                  A. The Board of Directors may amend,  suspend or terminate the
Plan at any time and for any reason;  provided,  however,  that any amendment of
the Plan which (1) materially  increases the benefits to the Plan  participants,
(2) materially  increases the number of Shares  available for issuance under the
Plan except as provided in Article 9 or Section 4.01B,  (3) change the number of
Shares  subject to stock options to be granted to  nonemployee  directors  under
Section 4.01B, (4) materially  changes the class of persons who are eligible for
any grant of Options,  or (5) adversely impacts the rights of participants under
awards or grants outstanding at the time of such amendment or termination, shall
be subject to the approval of the Company's  stockholders.  Stockholder approval
shall not be required for any other amendment of the Plan.

                  B.  Notwithstanding  Section 12.02A,  Section 4.01B may not be
amended  more often than once every six (6)  months,  other than to conform  the
Plan to requirements of the Code, the Employee Retirement Income Security Act of
1974, as amended, or the rules and regulations thereunder.

         12.03.  Effect of Amendment or  Termination.  No Shares shall be issued
under the Plan after the termination thereof,  except upon exercise of an Option
granted prior to such termination. The termination of the Plan, or any amendment
thereof,  shall not affect any Share previously  issued or any Option previously
granted under the Plan. 

ARTICLE 13. EXECUTION.

         To record the  adoption of the Plan by the Board of  Directors on 1993,
the Company has caused its authorized officer to execute the same.

                                          SUTTER SURGERY CENTERS, INC., a
                                          Delaware corporation



                                           By  /s/ August A. Saibeni
                                             -------------------------------
                                               August A. Saibeni, President



                                      -14-



<PAGE>


                  FIRST AMENDMENT TO 1993 STOCK OPTION PLAN OF
                          SUTTER SURGERY CENTERS, INC.

         This First Amendment to 1993 Stock Option Plan, dated May 24, 1993 (the
"Plan") of Sutter Surgery Centers, Inc., a Delaware corporation (the "Company"),
is entered into as of July 23, 1993. All terms not defined herein shall have the
meaning set forth in the Plan.

         Section  2.20 of the Plan is hereby  amended to read in its entirety as
follows:

              "Subsidiary"  shall mean any entity, if the Company or one or more
         of its subsidiaries own not less than fifty (50%) of the total combined
         voting  power of all the equity  interests  in such  entity;  provided,
         however,  if  the  Company  receives  a  favorable  response  from  the
         Securities and Exchange  Commission  with respect to an  interpretative
         question  under  Rule  701 the  Securities  Act of  1933,  as  amended,
         subsidiary shall also mean any limited partnership in which the Company
         or one or more of its  subsidiaries  (I)  own the  controlling  general
         partnership   interest   and  (ii)  are   included  in  the   Company's
         consolidated  financial  statements under generally accepted accounting
         principles."

         Section  4.02 of the Plan is hereby  amended to read in its entirety as
follows:

              "4.02. Ten Percent Shareholders.

              "A.  Any  person  eligible  under  the Plan who owns more than ten
         percent  (10%) of the total  combined  voting  power of all  classes of
         outstanding  Stock  of  the  Company,  the  Company's  parents,  or the
         Company's  Subsidiaries  shall  not  receive  any  Options  unless  the
         Exercise  Price is at least one hundred ten percent  (110%) of the Fair
         Market Value of a Share on the date of grant.

              "B. Any employee who is required to receive  Options in accordance
         with Section 4.02A of the Plan,  shall not be eligible for  designation
         as an Optionee of an ISO unless (a) the  Exercise  Price is  calculated
         based on  Section  4.02A of the Plan and (b) the Option by its terms is
         not exercisable after the expiration of five (5) years from the date of
         grant."


<PAGE>
         Section 7.01 of the Plan is amended by adding the  following  provision
to the end of Section 7.01:

              "Further,  Options  granted to any other eligible person under the
         Plan shall become  exercisable  with respect to at least twenty percent
         (20%) of the Shares subject thereto on each of the first five (5) years
         from the date of grant and shall expire ten (10) years from the date of
         grant."

         Section  7.03 of the Plan is hereby  amended to read in its entirety as
follows:

              "Section 7.03.  Exercise Price.  Each Stock Option Agreement shall
         specify the Exercise  Price.  Except as required by Section 4.02 of the
         Plan:

              "A.  The  Exercise  Price  of an ISO  shall  not be less  than one
         hundred  percent (100%) of the Fair Market Value of a Share on the date
         of the grant.

              "B. The Exercise Price of a Nonstatutory  Option shall not be less
         than eighty-five  (85%) of the Fair Market Value of a Share on the date
         of grant.

              "C. The  Exercise  Price to a  nonemployee  director  shall be one
         hundred  (100%)  of the  Fair  Market  Value  of a Share on the date of
         grant.

              "Subject to the  limitations  set forth above,  the Exercise Price
         under any  Option  shall be  determined  by the  Committee  in its sole
         discretion.  The Exercise Price shall be payable in a form described in
         Article 8."

         Section  7.12 of the Plan is hereby  amended  by adding  the  following
provision to the end of Section 7.12:

              "However,   any  provisions   giving  the  Company  the  right  to
         repurchase the Shares upon the termination of an Optionee's  employment
         with  the  Company,  or the  Company's  Subsidiaries  shall  only be in
         accordance   with  the  Rules  of  the   California   Commissioner   of
         Corporations  (currently set forth in Section 260.140.41(k) of the Code
         of Regulations),  or under the rules of any applicable state securities
         regulator."

                                       -2-
<PAGE>
         IN WITNESS WHEREOF, the Company has caused this First Amendment to 1993
Stock Option Plan of Sutter Surgery Centers, Inc., a Delaware corporation, to be
executed on its behalf by its officer  duly  authorized  to act on behalf of the
Company.

                                          COMPANY:

   
                                          SUTTER SURGERY CENTERS, INC., a
                                          Delaware corporation



                                          By /s/ August A. Saibeni
                                            --------------------------------
                                              August A. Saibeni, President
                                              and Chief Executive Officer












                                       -3-


<PAGE>

                               SECOND AMENDMENT TO
                            1993 STOCK OPTION PLAN OF
                          SUTTER SURGERY CENTERS, INC.

         This Second  Amendment to 1993 Stock  Option  Plan,  dated May 24, 1993
(the "Plan"),  as amended by the First Amendment,  dated as of July 23, 1993, of
Sutter Surgery Centers,  Inc., a Delaware corporation (the "Company"),  is dated
as of March 15,  1994.  All terms not defined  herein shall have the meaning set
forth in the Plan.

         Section 2.21 of the Plan is hereby  amended in its entirety by deleting
the entire Section 2.21.

         Section  7.05 of the Plan is hereby  amended to read in its entirety as
follows:

              "7.05.  Exercisability and Term. Each Stock Option Agreement shall
         specify the date when all or any installment of the Option is to become
         exercisable. No option shall be exercisable earlier than six (6) months
         from the date of grant.  The vesting of any Option shall be  determined
         by the Committee at its sole  discretion.  A Stock Option Agreement may
         provide for accelerated  exercisability  in the event of the Optionee's
         death,  disability or  retirement,  or other events.  However,  a Stock
         Option Agreement may not provide for accelerated  exercisability in the
         event of a change of control of the Company. The Stock Option Agreement
         shall also  specify the term of the  Option.  The term shall not exceed
         ten (10) years from the date of the grant, except as otherwise provided
         in Section 4.02. Subject to the preceding sentence,  the Committee,  at
         its sole discretion, shall determine when an Option is to expire."

         Section 7.07B of the Plan is hereby  amended to read in its entirety as
follows:

              "B. The date ninety days (90) days after the termination of his or
         her Service for any reason other than a disability; or"

              Section  7.07C  of the  Plan  is  hereby  amended  to  read in its
         entirety  as  follows:  "C.  The date  twelve  months  (12)  after  the
         termination of his or her Service by reason of a disability."

         Section  7.12 of the  Plan is  hereby  amended  by  deleting  the  word
"forfeiture" in the first sentence.


<PAGE>
         Section  9.02 of the Plan is hereby  amended to read in its entirety as
follows:

              "9.02. Merger;  Consolidation.  In the event that the Company is a
         party  to a  merger  or  consolidation,  outstanding  Options  shall be
         subject to the  agreement of merger or  consolidation.  Such  agreement
         shall provide for either: (a) the assumption of outstanding  Options by
         the  surviving  corporation  or its  parent;  (b) the  continuation  of
         outstanding  Options by the  Company,  if the  Company  is a  surviving
         corporation;  (C) the  payment  of a cash  settlement  equal to (I) the
         difference  between  the  amount  to be paid for one Share  under  such
         agreement  and the  Exercise  Price  multiplied  by (ii) the  number of
         vested Shares  subject to the Option;  or (d) the  acceleration  of the
         exercisability   of  outstanding   vested   Options   followed  by  the
         cancellation of Options not exercised (including unvested options),  in
         all cases other than clause (C) without the  Optionees'  consent.  (The
         Optionees'  consent  shall  be  required  for a cash  settlement.)  Any
         cancellation  shall not occur  earlier than thirty (30) days after such
         acceleration  is effective  and  Optionees  have been  notified of such
         acceleration.  In the case of Options  that have been  outstanding  for
         less than twelve (12) months, a cancellation need not be preceded by an
         acceleration."

         IN WITNESS  WHEREOF,  the Company has caused this Second  Amendment  to
1993 Stock Option Plan, as amended, of Sutter Surgery Centers,  Inc., a Delaware
corporation,  to be executed on its behalf by its officer duly authorized to act
on behalf of the Company.

                                            COMPANY:

                                            SUTTER SURGERY CENTERS, INC., a
                                            Delaware corporation



                                            By /s/ August A. Saibeni
                                               -----------------------------
                                               August A. Saibeni, President
                                               and Chief Executive Officer

                                      -2-


<PAGE>

                                                                    EXHIBIT 4(b)

         THE OPTION GRANTED PURSUANT TO THIS NONSTATUTORY STOCK OPTION AGREEMENT
(THE "OPTION") AND THE SHARES OF COMMON STOCK ISSUABLE UPON THE EXERCISE  HEREOF
HAVE NOT BEEN  REGISTERED  UNDER THE  SECURITIES  ACT OF 1933,  AS AMENDED  (THE
"SECURITIES ACT"), AND MAY NOT BE PLEDGED,  HYPOTHECATED,  SOLD,  TRANSFERRED OR
OTHERWISE DISPOSED OF IN THE ABSENCE OF AN EFFECTIVE  REGISTRATION STATEMENT FOR
THE OPTION OR THE SHARES  UNDER THE  SECURITIES  ACT,  OR AN OPINION OF COUNSEL,
WHICH IS SATISFACTORY TO THE COMPANY AND ITS COUNSEL,  THAT SUCH REGISTRATION IS
NOT REQUIRED.

                   SUTTER SURGERY CENTERS, INC., NONQUALIFIED
                   STOCK OPTION PLAN AND AGREEMENT (SAIBENI)

         THIS  AGREEMENT is entered into as of December 1, 1992,  between SUTTER
SURGERY CENTERS,  INC., a Delaware  corporation  (the "Company"),  and AUGUST A.
SAIBENI (the "Optionee").

                                    Recitals

         A. The  Company's  Board of Directors  ("Board") has  established  this
Nonqualified  Stock Option Plan and Agreement  ("Agreement") in order to provide
the Optionee with an opportunity to acquire common stock of the Company;  and 

         B. The Board has  determined  that it would be in the best interests of
the  Company  and its  stockholders  to  grant  the  Nonqualified  Stock  Option
described in this  Agreement to the Optionee as an  inducement to enter into and
remain in the  employ  of the  Company  and as an  incentive  for  extraordinary
efforts during such employment.

         NOW, THEREFORE, it is agreed as follows:

                                    Agreement

ARTICLE 1. GRANT OF OPTION.

         1.01.  Option.  On the terms and conditions  stated below,  the Company
hereby  grants to the  Optionee  the option to purchase  One Million  Thirty-One
Thousand Nine Hundred Ninety- Two  (1,031,992)  Shares for the sum of ONE DOLLAR
($1.00)  per Share,  the Fair  Market  Value of the  Shares.  This Option is not
intended to be an incentive stock option described in section 422 of the Code.

         1.02.  Representation and Warranty. The Company represents and warrants
that, as of the effective date of this Agreement:


<PAGE>

                  A. Nineteen  Million Six Hundred Seven  Thousand Eight Hundred
Forty- Three (19,607,843) shares of Common Stock are issued and outstanding;

                  B.  The  Common  Stock  subject  to  this  Option   represents
approximately  five percent (5%) of the  outstanding  Common Stock assuming full
exercise of this Option; and

                  C.  There are no  outstanding  options,  warrants,  conversion
rights or similar  rights under which the Company is or may become  obligated to
issue or sell any shares of Common Stock,  except (I) as may be  contemplated by
this Agreement, and (ii) pursuant to the Purchase Rights Agreement,  dated as of
December 1, 1992, among the Company, E J Financial Investments, L.P., a Delaware
limited  partnership  ("EJF"),   and  Sutter  Ambulatory  Care  Corporation,   a
California nonprofit public benefit corporation ("SACC"); and

                  D.  The   execution  and  delivery  of  this  Option  and  the
performance of the  obligations of the Company have been duly  authorized by all
corporate action on behalf of the Company.

ARTICLE 2. NO TRANSFER OR ASSIGNMENT OF OPTION.

         Except as  otherwise  provided in this  Agreement,  this Option and the
rights and  privileges  conferred  hereby  shall not be  transferred,  assigned,
pledged or  hypothecated  in any way,  whether by operation of law or otherwise,
and shall not be subject to sale under execution, attachment or similar process.
Except as otherwise  provided  herein,  upon any transfer,  assignment,  pledge,
hypothecation or other  disposition of this Option, or of any right or privilege
conferred  hereby,  contrary  to the  provisions  hereof,  or any sale under any
execution,  attachment  or  similar  process  upon  the  rights  and  privileges
conferred  hereby,  this Option and the rights and privileges  conferred  hereby
shall immediately become null and void.

ARTICLE 3. RIGHT TO EXERCISE.

         3.01. Vesting.  Optionee may only exercise this Option to the extent it
is vested.  Subject to the  conditions  stated in this  Agreement,  the right to
exercise this Option shall accrue in installments as follows:


                                       -2-
<PAGE>
                                                       Percentage of
                   Date                              Shares Exercisable

        January 1, 1993                          25.0000% (257,998 Shares)
        February 1, 1993 and the first day of      1.5625% (16,125 Shares)
        each month thereafter until 
        January 1, 1997


less, in the case of each vesting period,  the number of Shares of common stock,
if any, previously purchased under the Option;  provided,  however, the right to
exercise  any  unexercised  shares under this Option  shall  immediately  become
exercisable  in full,  if EJF and SACC,  and  their  respective  affiliates,  as
defined in the Stockholders  Agreement,  dated as of December 1, 1992, among the
Company,  EJF and SACC (the  "Stockholders  Agreement"),  collectively no longer
have the ability to cause the  election of a majority of the Board of  Directors
of the Company,  through the terms of the Stockholders  Agreement, or otherwise.
The Stockholders Agreement is hereby incorporated by reference.

         Any other provision of this Agreement notwithstanding,  if the Optionee
goes on a leave of absence in excess of six (6)  months  duration,  other than a
sick leave or disability  leave (to be determined in the sole  discretion of the
Board), then the date when any installment of this Option would otherwise become
exercisable under the foregoing  schedule shall be delayed for a period equal to
the duration of such leave of absence.

         3.02.  Periods of  Nonexercisability.  This Section 3.02 shall  prevail
over any other  portion of this  Agreement.  The Company shall have the right to
designate  as many as two (2)  periods of time,  each of which  shall not exceed
twelve (12) consecutive months in length,  during which this Option shall not be
exercisable.  The  Company  may only make such a  designation  if it  reasonably
determines that such a limitation on exercise is reasonably likely to facilitate
(I) a lessening of any restriction on transfer pursuant to the Securities Act or
any state securities laws on any issuance of securities by the Company, (ii) the
registration  or  qualification  of any  securities  by the  Company  under  the
Securities  Act or any state  securities  laws,  or (iii) the  perfection of any
exemption from the registration or qualification  requirements of the Securities
Act or any applicable  state securities laws for the issuance or transfer of any
securities. This limitation on exercise shall not alter the vesting schedule set
forth in Section  3.01 other than to limit the periods  during which this Option
shall be  exercisable.  The Optionee  shall be notified in writing in advance of
any such designation by the Company.

                                       -3-
<PAGE>

ARTICLE 4.     EXERCISE PROCEDURES.

         4.01. Notice of Exercise.

                  A. The Optionee may exercise  this Option by giving  notice to
the Secretary of the Company.  In the notice, the Optionee shall specify (I) the
election to exercise  this Option;  (ii) the number of Shares to be issued;  and
(iii) the form of payment for such Shares.  The Optionee  shall sign the notice.
The Optionee shall deliver the notice to the Secretary or Assistant Secretary of
the  Company;  and at the time of giving the  notice,  the  Optionee  shall make
payment  in a form  permissible  under  Article  5 for the  full  amount  of the
Purchase Price.  The notice shall be in the form attached as Exhibit 4.01.

                  B. A representative of the Optionee may exercise the Option on
behalf of the Optionee in accordance  with the procedures of Section  4.01A.  In
addition to the procedures of Section 4.01A,  the  representative  shall provide
proof  satisfactory  to the  Company  of  the  representative's  authority  as a
condition of the representative's right to exercise this Option.

         4.02.  Issuance of Shares.  After receiving a proper notice of exercise
and full  payment for the  Shares,  the Company  shall  issue a  certificate  or
certificates  for the Shares  subject to the Option  exercised by the  Optionee,
registered in the name of the Optionee (or a person set forth in Section 6.04C),
or,  if so  specified  in the  notice of  option  exercise,  in the names of the
Optionee and his spouse as community  property or as joint tenants with right of
survivorship.  The Company shall not issue Optionee any fractions of Shares. The
Company shall pay the Optionee,  in cash, the Fair Market Value of any fractions
of Shares. The Company shall deliver any certificates representing the Shares to
the Optionee no later than thirty (30) days after  receiving  proper  notice and
full payment for the Shares. 

ARTICLE 5. PAYMENT FOR STOCK.

         The Optionee  shall pay for the entire  Purchase Price in United States
dollars, or, at the Optionee's discretion:

         The Optionee may elect to surrender  Shares,  in form  appropriate  for
transfer,  towards payment of the Purchase Price,  provided that the Company has
closed an Initial Public  Offering.  The Shares  surrendered  shall be valued at
their Fair Market Value as of the exercise date. The Optionee may only surrender
Shares if they have an  aggregate  Fair  Market  Value of at least TEN  THOUSAND
DOLLARS ($10,000).

                                       4-
<PAGE>
         The combined  amount paid in cash and the value of  surrendered  Shares
must equal the Purchase Price.

ARTICLE 6. TERM AND EXPIRATION.

         6.01.  Basic Term.  This Option  shall in any event expire on the tenth
(10th)  anniversary  of the  Date of  Grant  unless  extended  due to a delay as
described  in  Section  3.02 with the delay  occurring  after the  eighth  (8th)
anniversary  of the Date of Grant.  If a delay in  exercising  this  Option  (as
described in Section 3.02) occurs after the eighth (8th) anniversary of the Date
of Grant,  the term of this Option  shall be extended by one day for each day of
such delay occurring after the eighth (8th) anniversary of the Date of Grant.

         6.02.  Termination of Service Resulting in Acceleration of Vesting.  If
the Optionee's employment is terminated for any of the following reasons:

                  A. The Optionee's death, disability or incapacity;

                  B.  Action by the  Company  pursuant  to  Section  9(d) of the
Employment Agreement between the Optionee and the Company, dated the date hereof
(the "Employment Agreement"), or otherwise without cause; or

                  C.  Action by the  Optionee  pursuant  to Section  9(e) of the
Employment  Agreement,  or otherwise for good reason;  then, any portion of this
Option  which is not then  exercisable  pursuant  to Section  3.01 shall  become
exercisable as of the date of  termination  of the Optionee's  employment by the
Company (the "Termination Date").

         6.03.  Termination  of Service  Resulting in  Termination  of Nonvested
0ptions.  If the  Optionee's  employment is terminated for any reason other than
set forth in Section 6.02  herein,  then any portion of this Option which is not
then  exercisable  pursuant  to  Section  3.01  herein  shall  terminate  on the
Termination Date. 6.04. Exercise of Options After Termination Date.

                  A. After the  Termination  Date, the Optionee may exercise any
portion of this Option (other than any portion which has terminated  pursuant to
Section 6.03 hereof) on or before the ninetieth  (90th) day after the end of the
calendar year in which the Termination Date occurs.

                  B. After the time period set forth in Section 6.04.A above has
expired, the Optionee shall no longer have any rights whatsoever hereunder.

                  C. All or part of this  Option  may be  exercised  at any time
before its  expiration  by the  executors or  administrators  of the  Optionee's
estate or by

                                       -5-
<PAGE>
any person who has acquired  this Option  directly from the Optionee by bequest,
beneficiary designation or inheritance.

         6.05. Leaves of Absence. For purposes of this Article 6, the employment
relationship  shall be deemed to continue during any period when the Optionee is
on  military  leave,  sick  leave or other  bona fide  leave of  absence  (to be
determined in the sole discretion of the Board).

ARTICLE 7. LEGALITY OF INITIAL ISSUANCE.

         Shares  shall be issued  upon the  exercise  of this Option only if the
Company  has  determined  that (I) it and the  Optionee  have taken any  actions
required by law to register the Shares under the Securities Act or to perfect an
exemption  from the  registration  requirements  thereof;  (ii)  any  applicable
listing  requirement  of any stock  exchange or automated  quotations  system on
which the Shares are listed has been satisfied;  and (iii) any other  applicable
provision of state or federal securities law has been satisfied.

ARTICLE 8. REGISTRATION RIGHTS.

         8.01.  Form S-8  Registration.  From and after (I) the completion of an
Initial Public  Offering and (ii) the expiration of any lock-up period set forth
in the Company's  underwriting  agreement with the managing underwriters) of the
Company's Initial Public Offering, the Company shall register the Shares on Form
S-8 for sale pursuant to employee  benefit plans of the Company;  provided that,
(x) the optionee has given the Company at least sixty (60) days' written  notice
of  Optionee's  request to register the Shares and (y) the  registration  of the
Shares is permitted by the rules of the Securities and Exchange Commission.

         8.02. No Other Registration  Rights. Other than as set forth in Section
8.01 above,  the Company may, but shall not be obligated to, register or qualify
the  resale of  Shares by the  Optionee  under the  Securities  Act or any other
applicable  law.  The Company  shall not be  obligated  to take any  affirmative
action in order to cause such a resale of Shares to comply with any law.

ARTICLE 9. RESTRICTIONS ON TRANSFER OF SHARES.

         9.01.  Restrictions.  Regardless  of whether the  offering  and sale of
Shares have been registered  under the Securities Act or have been registered or
qualifiedunder  the  securities  laws  of any  state,  the  Company  may  impose
restrictions  upon the sale,  pledge or other transfer of such Shares (including
the placement of

                                       -6-
<PAGE>
appropriate legends on stock certificates) if, in the reasonable judgment of the
Company and its counsel,  such  restrictions are necessary or desirable in order
to achieve  compliance with the Securities Act, the securities laws of any state
or any other law or with restrictions imposed by the Company's underwriters.

         9.02.  Investment  Intent at Grant. The Optionee  represents and agrees
that the Shares to be acquired upon  exercising this Option will be acquired for
investment and not with a view to the sale or distribution thereof.

         9.03.  Investment  Intent at  Exercise.  If the sale of Shares  are not
registered  under the  Securities  Act,  but an  exemption  is  available  which
requires an  investment  representation  or other  representation,  the Optionee
shall represent and agree at the time of exercise that the Shares being acquired
upon exercising  this Option are being acquired for  investment,  and not with a
view  to  the  sale  or  distribution   thereof,   and  shall  make  such  other
representations  as are deemed  necessary or  appropriate by the Company and its
counsel.

         9.04.  Stockholders  Agreement.  Unless an Initial Public  Offering has
been completed,  the Optionee shall,  upon exercise of any Options,  execute and
deliver  instruments  necessary  to cause the  Optionee to become a party to the
Stockholders Agreement.  Such instrument shall obligate the Optionee to vote his
Shares for the director nominees nominated by SACC or EJF.

         9.05.  Legend.  All certificates  evidencing Shares acquired under this
Agreement in an unregistered  transaction  shall bear the following  restrictive
legends (and such other restrictive  legends as are required or deemed advisable
under the provisions of any applicable law):

                  A. THE  SHARES  REPRESENTED  HEREBY  HAVE NOT BEEN  REGISTERED
UNDER THE  SECURITIES ACT OF 1933, AS AMENDED,  AND MAY NOT BE SOLD,  PLEDGED OR
OTHERWISE  TRANSFERRED WITHOUT AN EFFECTIVE  REGISTRATION THEREOF UNDER SUCH ACT
OR AN OPINION OF COUNSEL, SATISFACTORY TO THE COMPANY AND ITS COUNSEL, THAT SUCH
REGISTRATION  IS NOT REQUIRED;  and 

                  B. Any legend required by the Stockholders Agreement.

         9.06. Removal of Legends.  If, in the reasonable opinion of the Company
and its counsel,  any legend placed on a stock certificate  representing  Shares
sold under this Agreement is no longer required,  the holder of such certificate
shall be entitled to exchange such  certificate  for a certificate  representing
the same number of Shares but lacking such legend.

                                       -7-
<PAGE>

ARTICLE 10. SHARES AND ADJUSTMENTS.

         10.01.  General. If there is a subdivision of the outstanding Shares, a
declaration of a dividend payable in Shares, a declaration of a dividend payable
in a form other than Shares in an amount that has a material effect on the value
of  Shares,  a  combination  or  consolidation  of the  outstanding  Shares  (by
reclassification   or   otherwise)   into  a  lesser   number   of   Shares,   a
recapitalization or a similar  occurrence,  the Board shall make all appropriate
adjustments  in both (I) the number of Shares  covered by this Option;  and (ii)
the Exercise Price.

         10.02. Merger; Consolidation;  Sale; Liquidation. If the Company is (I)
a party  to a merger  or  consolidation  and the  Company  is not the  surviving
corporation,  (ii)  if  there  is a  sale  of all  or  substantially  all of the
Company's  assets  other than a sale or  transfer to a  Subsidiary,  or (iii) if
there is a dissolution or liquidation of the Company (each referred to herein as
a "Trigger  Event"),  the Optionee shall,  upon a Trigger Event,  have the right
(immediately  prior to the Trigger Event) to exercise this Option in whole or in
part  without  regard to the vesting  schedule  set forth in Section  3.01.  The
Option shall  terminate  after the Trigger  Event has taken  place.  The Company
shall  exercise its best efforts to keep Optionee  informed in advance of when a
Trigger Event may or will occur.

         10.03. Reservation of Rights. Except as provided in Articles 10 and 11,
the  Optionee  shall  have  no  rights  by  reason  of (I)  any  subdivision  or
consolidation of shares of stock of any class; (ii) the payment of any dividend;
or (iii) any other  increase or decrease in the number of shares of stock of any
class.  Any issue by the Company of shares of stock of any class,  or securities
convertible  into  shares  of stock  of any  class,  shall  not  affect,  and no
adjustment  by reason  thereof  shall be made with  respect  to,  the  number or
Exercise  Price of the Shares  subject to this Option.  The grant of this Option
shall  not  affect  in any  way  the  right  or  power  of the  Company  to make
adjustments,  reclassifications,  reorganizations  or changes of its  capital or
business structure, to merge or consolidate or to dissolve,  liquidate,  sell or
transfer  all or any  part of its  business  or  assets.  

ARTICLE  11.  OPTIONEE PURCHASE RIGHTS.

         If, at any  time,  or from time to time,  prior to the  Initial  Public
Offering, the Company issues or sells any shares of its common stock (other than
shares issued to employees or directors  pursuant to employee  benefit plans and
shares issued in stock splits or  dividends),  the Company  agrees to notify the
Optionee in writing of the terms of the issuance.  The Optionee shall  thereupon
be entitled to purchase

                                      -8-
<PAGE>
from the Company a number of shares of common stock of the Company such that the
Optionee  owns the same  percentage  of common  stock of the  Company  after the
issuance as before the issuance.  The Optionee's  percentage  ownership shall be
calculated  assuming full exercise of this Option.  The Optionee  shall exercise
his purchase  rights under this Article 11 within  thirty (30) days from receipt
of  notification  from the  Company.  The  Optionee  shall  purchase  any shares
acquired  under  this  Article  11 on the same  terms  and  conditions  as those
provided to the other investors in such offering.

ARTICLE 12. MISCELLANEOUS PROVISIONS.

         12.01. Withholding Taxes. If the Company determines that it is required
to withhold foreign,  federal, state or local tax as a result of the exercise of
this Option, the Optionee,  as a condition to the exercise of this Option, shall
make  arrangements  satisfactory to the Company to enable the Company to satisfy
all withholding requirements.

         12.02. Rights as a Stockholder.  The Optionee shall not have any rights
as a  stockholder  with respect to any Shares  subject to this Option until such
Shares have been issued as provided in Section 4.02.

         12.03.  No  Employment  Rights.  Nothing  in this  Agreement  shall  be
construed as giving the Optionee the right to continue as an Employee. The terms
of the  Optionee's  employment  with the Company are set forth in the Employment
Agreement. The Company reserves the right to terminate the Optionee's employment
at any time, with or without cause,  subject to any written Employment Agreement
between the Optionee and the Company to the contrary.

         12.04. Notice. Any notice required by the terms of this Agreement shall
be given in writing and shall be deemed effective upon personal  delivery or two
(2) days after the date of deposit with the United  States  Postal  Service,  by
registered or certified  mail with postage and fees prepaid and addressed to the
party entitled to such notice at the address shown below such party's  signature
on this  Agreement,  or at such other address as such party may designate by ten
(10) days' advance written notice to the other party to this Agreement.

         12.05. Entire Agreement. This Agreement constitutes the entire contract
between the parties hereto with regard to the subject matter hereof.

         12.06.  Choice  of Law.  This  Agreement  shall  be  governed  by,  and
construed in accordance  with,  the laws of the State of Delaware  (exclusive of
its laws

                                       -9-
<PAGE>
regarding the conflict of laws),  as such laws are applied to contracts  entered
into and performed in such state.

         12.07. CONSENT TO JURISDICTION AND SERVICE OF PROCESS. THE OPTIONEE AND
THE COMPANY  HEREBY  CONSENT TO THE  JURISDICTION  OF ANY STATE OR FEDERAL COURT
LOCATED WITHIN THE COUNTY OF THE COMPANY'S  HEADQUARTERS (AT THE TIME ANY ACTION
IS INSTITUTED), AND IRREVOCABLY AGREE THAT, UNLESS BOTH PARTIES ELECT OTHERWISE,
ALL ACTIONS OR PROCEEDINGS  RELATED TO THIS AGREEMENT SHALL BE LITIGATED IN SUCH
COURTS.  THE PARTIES ACCEPT THE EXCLUSIVE  JURISDICTION OF SUCH COURTS AND WAIVE
ANY DEFENSE OF FORUM NON CONVENIENS,  AND  IRREVOCABLY  AGREE TO BE BOUND BY ANY
JUDGMENT  RENDERED  THEREBY IN CONNECTION  WITH THIS  AGREEMENT.  SERVICE OF ALL
PROCESS IN ANY SUCH  PROCEEDINGS  IN ANY SUCH COURT MAY BE MADE BY MAILING IT BY
REGISTERED  OR  CERTIFIED  MAIL TO THE  PARTIES AT THE  ADDRESS  PROVIDED ON THE
SIGNATURE PAGE HEREIN,  SUCH SERVICE BEING HEREBY ACKNOWLEDGED BY THE PARTIES TO
BE EFFECTIVE AND BINDING  SERVICE IN EVERY RESPECT.  NOTHING HEREIN SHALL EFFECT
THE RIGHT TO SERVE PROCESS IN ANY OTHER MANNER PERMITTED BY LAW.

ARTICLE 13. DEFINITIONS.

         13.01.  Board.  Shall mean the Board of Directors  of the  Company,  as
constituted from time to time.

         13.02. Code. Shall mean the Internal Revenue Code of 1986, as amended.

         13.03.  Date of Grant.  Shall mean the date on which the Board resolved
to grant  this  Option,  which is also the date as of which  this  Agreement  is
entered into.

         13.04. Employee. Shall mean any individual who is a common law employee
of the Company or of a Subsidiary.

         13.05.  Exercise  Price.  Shall mean the amount for which one (1) Share
may be purchased upon exercise of this Option as specified in Section 1.01.

         13.06 Fair Market Value.  Shall mean as of the date of this  Agreement,
ONE DOLLAR ($1.00) per share.  After the date of this  Agreement,  it shall mean
for each share:  (I) the  average of the closing  prices per share of the common
stock as reported in The Wall Street  Journal for the last twenty (20)  business
days prior to the

                                      -10-
<PAGE>
exercise  date if shares of the  Common  Stock are  either  listed on a national
securities  exchange or traded on the  NASDAQ/National  Market System;  (ii) the
average bid and asked prices for the last twenty (20) business days prior to the
exercise  date as furnished by two (2) members of the  National  Association  of
Securities  Dealers,  Inc.,  selected  for that purpose from time to time by the
Company and reasonably  acceptable to the Optionee if shares of the Common stock
are not so listed,  admitted or traded;  or (iii) the price determined below, if
the formulas set forth in clauses (I) and (ii) above are inapplicable:

         The price, as of the exercise date  determined by an investment  banker
selected by the mutual  agreement of the Company and the Optionee (the "Mutually
Acceptable  Investment Banker").  If the parties are unable to select a Mutually
Acceptable Investment Banker, the price shall be determined,  as of the exercise
date, by a single  arbitrator  selected in accordance with the provisions of the
American  Arbitration  Association  located in Chicago.  To the extent possible,
this  arbitrator  shall  have at least  ten  (10)  years  of  experience  in the
investment banking industry and shall be familiar with valuing companies engaged
in the surgery center business.

         13.07.  Initial Public Offering.  Initial Public Offering shall mean an
initial public primary  offering by  underwriters  on a firm  commitment or best
efforts  basis in which the  Common  Stock is listed  on a  national  securities
exchange or traded on the Automated Quotation System of the National Association
of Securities Dealers or other over-the-counter- market.

         13.08.  Option.  Shall mean an employee  stock option not  described in
sections 422(b) or 423(b) of the Code granted under this Agreement and entitling
the Optionee to purchase Shares.

         13.09.  Purchase Price. Shall mean the Exercise Price multiplied by the
number of Shares with  respect to which this Option is being  exercised. 

         13.10.  Securities  Act.  Shall  mean the  Securities  Act of 1933,  as
amended.

         13.11.  Share. Shall mean one (1) share of Common Stock, as adjusted in
accordance with Article 10 (if applicable).

         13.12.  Subsidiary.  Shall mean any corporation,  if the Company or one
(1) or more other Subsidiaries own, individually or collectively,  not less than
fifty  percent  (50%) of the  total  combined  voting  power of all  classes  of
outstanding stock of such corporation.


                                      -11-
<PAGE>
         IN WITNESS  WHEREOF,  the  Company  has  caused  this  Agreement  to be
executed on its behalf by its officer  duly  authorized,  and the  Optionee  has
personally executed this Agreement.

                                    OPTIONEE:





                                          ---------------------------------
                                                 AUGUST A. SAIBENI
                                          Address:
                                                  -------------------------
                                                  -------------------------

                                    COMPANY:

                                          SUTTER SURGERY CENTERS, INC., a
                                          Delaware corporation


                                          By
                                            --------------------------------
                                          Its
                                             -------------------------------
                                          Address:     2800 L Street
                                                       Sacramento, CA  95816

<PAGE>
                                  EXHIBIT 4.01

                              OPTION EXERCISE FORM

                                                        Date:_________________

                            NONQUALIFIED STOCK OPTION

                                  EXERCISE FORM

Sutter Surgery Centers, Inc.
Attention: Secretary

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


         The undersigned  elects to exercise the option to purchase  ___________
(________)  shares of common  stock (the  "Shares") of Sutter  Surgery  Centers,
Inc.,  ("Company"),  in accordance with the nonqualified stock option granted to
the undersigned by Company as of , 1992, pursuant to a Nonqualified Stock Option
Plan and Agreement (the "Agreement").

         Prior to the issuance of these Shares,  I will make full payment of the
Purchase Price for the Shares by one of the following methods as indicated:

         [ ]      In cash in the amount of

         [ ]      By tender of Shares of the Company  having a Fair Market Value
                  when combined with other forms of payment of not less than the
                  Purchase Price (shares may only be tendered if the Company has
                  completed  an  Initial  Public  Offering  (as  defined  in the
                  Agreement)).

         Please  issue the  Shares to  ___________________________________[i.e.,
Optionee;  Optionee and spouse as community property;  or Optionee and spouse as
joint tenants]. .

         I represent and agree that I am over eighteen (18) years of age, that I
am acquiring the Shares for investment  and that I have no present  intention to
transfer, sell or otherwise dispose of such Shares, except as permitted pursuant
to the Agreement and in compliance with applicable securities laws.

<PAGE>
         I further  acknowledge  and  understand  that the  Shares  must be held
indefinitely unless they are subsequently registered under the Securities Act or
an exemption from such  registration  is available.  I further  acknowledge  and
understand that,  except as set forth in the Agreement,  the Company is under no
obligation to register the Shares and that, in the absence of registration,  the
Shares may not be transferred.  I understand that the instrument  evidencing the
Shares will be imprinted  with legends which prohibit the transfer of the Shares
unless they are registered or such  registration  is not required in the opinion
of counsel  satisfactory  to Company.  I do not have any contract,  agreement or
arrangement with any persons to sell,  transfer or grant  participations to such
person or to any third person with respect to any of the Shares.

         I am aware of the adoption of Rule 144 by the  Securities  and Exchange
Commission,  promulgated  under the Securities Act, which permits limited public
resale  of  securities   acquired  on  a  nonpublic   offering  subject  to  the
satisfaction  of  certain  conditions,   including,   among  other  things:  The
availability of certain public  information about Company,  the resale occurring
not less than two (2) years  after  the  party  has  purchased  and paid for the
securities  to be sold,  the sale  being  through  a  broker  in an  unsolicited
"broker's transaction," and the amount of securities being sold during any three
(3)-month period not exceeding  specified  limitations  (generally,  one percent
(1%) of the total amount outstanding).

         I agree to  obtain  the  consent  of my spouse  to this  exercise.* 

         My address of record is:

                      -------------------------------------
                      -------------------------------------
and my Social Security number is:
                                  -------------------------------------

                                       Very truly yours,



                                       -------------------------------------
                                       Name:


- ------------------------------
* The Consent of Spouse should be in the form attached to the Nonqualified Stock
Option Exercise Form.

                                       -2-

 
<PAGE>
                                CONSENT OF SPOUSE




         The  undersigned,  being  the  spouse of  ______________________,  does
hereby  acknowledge that she has read and is familiar with the provisions of the
above Nonqualified Stock Option Exercise Form and the Agreement,  and she hereby
agrees  thereto and joins therein to the extent,  if any, that her agreement and
joinder may be necessary.

           DATED:
                 ---------------------------


                                      -------------------------------------
                                                  (Signature)

                                      Print Name:
                                                 --------------------------

Receipt of the above is hereby
acknowledged:
SUTTER SURGERY CENTERS, INC.


By
   -------------------------------
Its
   -------------------------------
Dated:
      -------------------------------



                                      -3-
<PAGE>

                                                                    EXHIBIT 4(c)


                   SUTTER SURGERY CENTERS, INC., NONQUALIFIED
                     STOCK OPTION PLAN AND AGREEMENT (SHAH)

         THIS  AGREEMENT  is entered  into as of May 16,  1994,  between  SUTTER
SURGERY CENTERS,  INC., a Delaware corporation (the "Company"),  and MAHENDRA G.
SHAH, PH.D. (the "Optionee").

                                    Recitals

        The Company's Board has  established  this Agreement in order to fulfill
the  Company's  obligation  under  Section  3 of  the  Consulting  Agreement  by
providing  the  Optionee  with an  opportunity  to acquire  common  stock of the
Company;
         NOW, THEREFORE, it is agreed as follows:

                                    Agreement

ARTICLE 1. GRANT OF OPTION.

         On the terms and conditions  stated below, the Company hereby grants to
the Optionee  the option to purchase  FIFTEEN  THOUSAND SIX HUNDRED  TWENTY-FIVE
(15,625)  Shares for the sum of ONE DOLLAR  ($1.00)  per Share,  the Fair Market
Value of the Shares. This Option is not intended to be an incentive stock option
described in section 422 of the Code.

ARTICLE 2. NO TRANSFER OR ASSIGNMENT OF OPTION.

         Except as  otherwise  provided in this  Agreement,  this Option and the
rights and  privileges  conferred  hereby  shall not be  transferred,  assigned,
pledged or  hypothecated  in any way,  whether by operation of law or otherwise,
and shall not be subject to sale under execution, attachment or similar process.
Except as otherwise  provided  herein,  upon any transfer,  assignment,  pledge,
hypothecation or other  disposition of this Option, or of any right or privilege
conferred  hereby,  contrary  to the  provisions  hereof,  or any sale under any
execution,  attachment  or  similar  process  upon  the  rights  and  privileges
conferred  hereby,  this Option and the rights and privileges  conferred  hereby
shall immediately become null and void.


<PAGE>

ARTICLE 3. RIGHT TO EXERCISE.

     3.01.  Vesting.  Optionee may exercise  this Option only to the extent that
the  Optionee's  interest in this Option has vested.  Subject to the  conditions
stated in this  Agreement,  the right to exercise  this Option  shall  accrue in
installments as follows:

                                   No. of               Percentage of
          Vesting Period           Shares            Shares Exercisable

            May 16,1995             3,125                    20%
            May 16,1996             6,250                    40%
            May 16,1997             9,375                    60%
            May 16,1998            12,500                    80%
            May 15,1999            15,625                   100%
               Total               15,625                   100%

     In the case of each vesting  period,  the number of Shares of common stock,
if any, previously purchased under this Option shall be deducted from the amount
of  Shares  Optionee  is  entitled,  to  acquire.  Any other  provision  of this
Agreement notwithstanding,  if the Optionee does not provide consulting services
under the Consulting  Agreement for any reason, and (I) the Consulting Agreement
is still in effect,  and (ii) the Company has provided the Optionee with written
notice that, although the Consulting  Agreement is still in effect, the Optionee
is not  currently  providing  consulting  services to the Company  (referred  to
herein as a "Lapse  Notice"),  then the date when any installment of this Option
would otherwise become exercisable under the foregoing schedule shall be delayed
for a period equal to the duration of the Lapse  Notice.  The Lapse Notice shall
be of no further  effect once the Company has  notified  the  Optionee  that the
Lapse Notice has terminated.

        3.02. Periods of Nonexercisability. This Section 3.02 shall prevail over
any  other  portion  of this  Agreement.  The  Company  shall  have the right to
designate  as many as two (2)  periods of time,  each of which  shall not exceed
twelve (12) consecutive months in length,  during which this Option shall not be
exercisable.  The  Company  may only make such a  designation  if it  reasonably
determines that such a limitation on exercise is reasonably likely to facilitate
(I) a lessening of any restriction on transfer pursuant to the Securities Act or
any state

                                       -2-

<PAGE>
securities  laws  on any  issuance  of  securities  by  the  Company,  (ii)  the
registration  or  qualification  of any  securities  by the  Company  under  the
Securities  Act or any state  securities  laws,  or (iii) the  perfection of any
exemption from the registration or qualification  requirements of the Securities
Act or any applicable  state securities laws for the issuance or transfer of any
securities. This limitation on exercise shall not alter the vesting schedule set
forth in Section  3.01 other than to limit the periods  during which this Option
shall be  exercisable.  The Optionee  shall be notified in writing in advance of
any such designation by the Company.

     3.03.  Listing,  Registration or Qualification  of Shares.  If the listing,
registration  or  qualification  of the  Shares  subject  to this  Option on any
securities  exchange  or under any state or  federal  law or if the  consent  or
approval of any regulatory  body is necessary in connection with the granting of
this  Option or the  delivery  or  purchase  of Shares,  this  Option may not be
exercised, in whole or in part, until such listing, registration, qualification,
consent or approval has been effected or obtained.  The Company shall make every
reasonable   effort  to  effect  or  obtain  any  such  listing,   registration,
qualification,  consent or  approval  as may be  required. 


ARTICLE 4.  EXERCISE PROCEDURES.
     4.01.  Notice of Exercise.

            A. The  Optionee may  exercise  this Option by giving  notice to the
Chief  Financial  Officer of the  Company.  In the notice,  the  Optionee  shall
specify (I) the election to exercise  this Option;  (ii) the number of Shares to
be issued;  and (iii) the form of payment for such Shares.  The  Optionee  shall
sign the notice.  The Optionee  shall deliver the notice to the Chief  Financial
Officer of the Company; and at the time of giving the notice, the Optionee shall
make payment in a form  permissible  under  Article 5 for the full amount of the
Purchase Price. The notice shall be in the form attached as Exhibit 4.01.

            B. A  representative  of the Optionee  may  exercise  this Option on
behalf of the Optionee in accordance with the procedures of Section  4.0l.A.  In
addition to the procedures of Section 4.0l.A.,  the representative shall provide
proof  satisfactory  to the  Company  of  the  representative's  authority  as a
condition of the representative's right to exercise this Option.

     4.02.  Issuance of Shares.  After receiving a proper notice of exercise and
full  payment  for  the  Shares,  the  Company  shall  issue  a  certificate  or
certificates  for the Shares  subject to this Option  exercised by the Optionee,
registered in the name of

                              -3-
<PAGE>
the Optionee (or a person set forth in Section 6.03), or, if so specified in the
notice  of option  exercise,  in the names of the  Optionee  and the  Optionee's
spouse as community property or as joint tenants with right of survivorship. The
Company shall deliver any certificates  representing the Shares to the Optionee.

ARTICLE 5. PAYMENT FOR STOCK.

         The Optionee  shall pay for the entire  Purchase Price in United States
dollars,  or, at Optionee's  discretion,  Optionee may elect to surrender Shares
provided the Shares have been held for more than six (6) months and provided the
Shares are surrendered to the Company in good form for transfer and the transfer
will not cause Optionee or the Company to be in violation of the Securities Act,
the Securities Exchange Act, or state securities laws.

         The combined  amount paid in cash and the value of  surrendered  Shares
must  equal the  Purchase  Price.  The Board  shall  determine  the value of any
surrendered Shares.

ARTICLE 6. TERM AND EXPIRATION.

         6.01.  Basic  Term.  This  Option  shall  expire on May 15, 2000 unless
extended due to a delay as  described  in Section 3.02 with the delay  occurring
after  the  second  (2nd)  anniversary  of the  Date of  Grant.  If a  delay  in
exercising  this Option (as  described in Section  3.02) occurs after the second
(2nd)  anniversary  of the  Date of  Grant,  the  term of this  Option  shall be
extended by one day for each day of such delay  occurring after the second (2nd)
anniversary of the Date of Grant.

         6.02.  Termination  of Service  (Except by  Death).  If the  Optionee's
Service  terminates  for any reason  other than death,  then this  Option  shall
expire  on the  earliest  of the  following  occasions: 

                A. The date determined pursuant to Section 6.01, above;

                B.  The  date  twelve  (12)  months  after  the  termination  of
Optionee's Service without cause by the Company pursuant to Section 10.A. of the
Consulting Agreement; or

                C. The date ninety (90) days after the termination of Optionee's
Service for any reason other than  termination  of  Optionee's  Service  without
cause by the Company pursuant to Section 10.A. of the Consulting Agreement.

                The Optionee may exercise all or part of this Option at any time
before its expiration under the preceding sentence,  but only to the extent that
this

                                       -4-
<PAGE>
Option had become  vested  before the  Optionee's  Service  terminated,  and the
balance of this Option shall lapse when the Optionee's  Service  terminates.  If
the Optionee dies after the  termination of Service but before the expiration of
this Option,  all or part of this Option may be exercised  (prior to expiration)
by the executors or administrators of the Optionee's estate or by any person who
has acquired  this Option  directly  from the  Optionee by bequest,  beneficiary
designation  or  inheritance  but only to the extent that this Option had become
vested before the Optionee's Service terminated.

         6.03.  Death of 0ptionee.  If the Optionee dies while in Service,  then
this Option shall expire on the earlier of the following dates:

                A. The  expiration  date  determined  pursuant  to Section  6.01
above; or

                B. The date twelve (12) months after the Optionee's  death. 

                All or part of this Option may be  exercised  at any time before
its expiration under the preceding  sentence by the executors or  administrators
of the Optionee's  estate or by any person who has acquired this Option directly
from the Optionee by bequest, beneficiary designation or inheritance but only to
the extent that such Option(s) had become vested before the Optionee's  death or
became  exercisable  as a result of the  Optionee's  death.  The balance of such
Option(s) shall lapse when the Optionee dies.

ARTICLE 7. LEGALITY OF INITIAL ISSUANCE.

         Shares  shall be issued  upon the  exercise  of this Option only if the
Company  has  determined  that (I) it and the  Optionee  have taken any  actions
required by law to register the Shares under the Securities Act or to perfect an
exemption  from the  registration  requirements  thereof;  (ii)  any  applicable
listing  requirement  of any stock  exchange or automated  quotations  system on
which the Shares are listed has been satisfied;  and (iii) any other  applicable
provision of state or federal securities law has been satisfied.

ARTICLE 8. REGISTRATION RIGHTS.

         The Company may, but shall not be obligated to, register or qualify the
resale  of  Shares  by the  Optionee  under  the  Securities  Act  or any  other
applicable  law.  The Company  shall not be  obligated  to take any  affirmative
action in order to cause a resale of Shares to comply with any law. However, the
Company has granted this

                                       -5-
<PAGE>
Option  pursuant  to the  terms of Rule 701  under  the  Securities  Act and the
Optionee may resell Shares,  provided the Optionee  complies with the provisions
described in the Option Exercise Form, attached as Exhibit 4.01.

ARTICLE 9. RESTRICTIONS ON TRANSFER OF SHARES.

     9.01.  Restrictions.  Regardless of whether the offering and sale of Shares
under this Agreement have been registered  under the Securities Act or have been
registered or qualified under the securities laws of any state,  the Company may
impose  restrictions  upon the sale,  pledge or other  transfer  of such  Shares
(including the placement of appropriate  legends on stock  certificates)  if, in
the judgment of the Company and its counsel,  such restrictions are necessary or
desirable in order to achieve compliance with the Securities Act, the securities
laws of any state or any other law or with restrictions imposed by the Company's
underwriters.

     9.02.  Administration.  Any determination by the Company and its counsel in
connection  with  any of the  matters  set  forth  in this  Article  9 shall  be
conclusive and binding on the Optionee and all other persons.

     9.03. Investment Purpose. The Optionee hereby represents that any Shares of
common  stock  purchased  upon  exercise of this Option  will be  purchased  for
investment and not with a view to the distribution thereof within the meaning of
the Securities Act. As a condition precedent to any exercise of this Option, the
Optionee  agrees that, if requested by the Board, he or she will promptly submit
a written  statement  in a form  satisfactory  to counsel for the Company to the
effect that such  representation  is true and correct as of the date of purchase
of any Shares hereunder.

           A. As a further  condition  precedent to any exercise of this Option,
the  Optionee  shall  comply  with  all  regulations  and  requirements  of  any
regulatory authority having control of, or supervision over, the issuance of the
common  stock of the Company and, in  connection  therewith,  shall  execute any
documents  which the Board  deems  necessary  or  advisable,  provided  that the
Optionee  shall  not be  required  to bear  any  expense  associated  with  such
compliance.

           B. By accepting  this Option,  the Optionee  agrees that the Optionee
shall not,  directly or  indirectly,  without the prior  written  consent of the
Company,  sell, offer, contract to sell, pledge, grant any option to purchase or
otherwise  dispose of any Shares of common  stock  acquired  by exercise of this
Option for a period  beginning  on the date of the Initial  Public  Offering and
ending one

                                       -6-
<PAGE>
hundred  eighty  (180)  days  after  the date that  Shares  of common  stock are
released  by the  Company's  underwriters  for sale to the  public in an Initial
Public  Offering.  Nothing in this Option shall be  construed  as requiring  the
Company to complete or attempt an Initial Public Offering.

         C. Each stock  certificate  issued by the Company to the Optionee  upon
the  Optionee's  exercise  of the Option  granted  shall bear such legend as the
Company deems  necessary or desirable to reflect the  provisions of this Section
9.03.

ARTICLE  10.  SHARES AND  ADJUSTMENTS. 

      10.01.  General.  If there is a subdivision of the outstanding  Shares,  a
declaration of a dividend payable in Shares, a declaration of a dividend payable
in a form other than Shares in an amount that has a material effect on the value
of  Shares,  a  combination  or  consolidation  of the  outstanding  Shares  (by
reclassification   or   otherwise)   into  a  lesser   number   of   Shares,   a
recapitalization or a similar  occurrence,  the Board shall make all appropriate
adjustments  in both (I) the number of Shares  covered by this Option;  and (ii)
the Exercise Price.

      10.02. Merger; Consolidation; Sale; Liquidation. If the Company is a party
to a merger or consolidation  or if there is a sale of all or substantially  all
of the  Company's  assets  other than a sale or transfer to a  Subsidiary,  this
Option shall be subject to the agreement of merger,  consolidation or sale. Such
agreement  may, as determined by the Board,  provide for: (I) the  assumption of
this Option by the surviving corporation or its parent; (ii) its continuation by
the Company,  if the Company is the surviving  corporation;  (iii) payment for a
cash  settlement  equal to (a) the difference  between the amount to be paid for
one (1) Share under such agreement and the Exercise Price  multiplied by (b) the
number  of  Shares  subject  to the  Option,  vested or  unvested,  or both,  as
determined  by the  Company;  or (iv) the  acceleration  of the  vesting of this
Option,  followed by the  cancellation  of this Option if not exercised,  in all
other  cases other than  clause  (iii)  without  the  Optionee's  consent.  (The
Optionee's  consent  shall be required for a cash  settlement.)  A  cancellation
shall not occur  earlier  than  thirty  (30) days  after  such  acceleration  is
effective  and the  Optionee  has been  notified of such  acceleration.  If this
Option has been  outstanding  for less than twelve (12) months,  a  cancellation
need not be preceded by an acceleration.

         10.03.  Reservation  of Rights.  Except as  provided in Article 10, the
Optionee shall have no rights by reason of (I) any subdivision or  consolidation
of

                                       -7-
<PAGE>
shares of stock of any class;  (ii) the  payment of any  dividend;  or (iii) any
other  increase or  decrease in the number of shares of stock of any class.  Any
issue by the Company of shares of stock of any class, or securities  convertible
into shares of stock of any class, shall not affect, and no adjustment by reason
thereof  shall be made with  respect  to,  the number or  Exercise  Price of the
Shares subject to this Option.  The grant of this Option shall not affect in any
way the right or power of the  Company to make  adjustments,  reclassifications,
reorganizations  or changes of its  capital or business  structure,  to merge or
consolidate or to dissolve,  liquidate,  sell or transfer all or any part of its
business or assets.

ARTICLE 11.  MISCELLANEOUS  PROVISIONS.

     11.01.  Withholding Taxes. If the Company determines that it is required to
withhold foreign,  federal,  state or local taxes as a result of the exercise of
this Option, the Optionee,  as a condition to the exercise of this Option, shall
make  arrangements  satisfactory to the Company to enable the Company to satisfy
all withholding requirements.

     11.02. Rights as a Stockholder. The Optionee shall not have any rights as a
stockholder  with respect to any Shares subject to this Option until such Shares
have been issued as provided in Section 4.02.

     11.03.  No Employment or  Directorship  Rights.  Nothing in this  Agreement
shall be  construed  as giving the Optionee the right to become or be treated as
an Employee of the Company or a member of the Board of the Company.

     11.04.  Notice. Any notice required by the terms of this Agreement shall be
given in writing and shall be deemed effective upon personal delivery or two (2)
days  after the date of  deposit  with the  United  States  Postal  Service,  by
registered or certified  mail with postage and fees prepaid and addressed to the
party entitled to such notice at the address shown below such party's  signature
on this  Agreement,  or at such other address as such party may designate by ten
(10) days' advance written notice to the other party to this Agreement.

     11.05.  Entire  Agreement.  This  Agreement  and the  Consulting  Agreement
constitute  the entire  contract  between the parties  hereto with regard to the
subject  matter hereof and supersede all prior and  contemporaneous  agreements,
representations, warranties and understandings of the parties.

     11.06. Choice of Law. This Agreement shall be governed by, and construed in
accordance with, the laws of the State of California (exclusive of its

                                       -8-
<PAGE>
laws  regarding  the  conflict of laws),  as such laws are applied to  contracts
entered into and performed in such state.  The state courts of California  shall
have exclusive jurisdiction over any judicial proceeding relating to any dispute
arising out of the interpretation, performance or breach of this Agreement.


ARTICLE 12. DEFINITIONS.

     12.01.  Agreement.  Shall  mean this  Nonqualified  Stock  Option  Plan and
Agreement.

     12.02.  Board.  Shall  mean  the  Board of  Directors  of the  Company,  as
constituted from time to time.

     12.03. Code. Shall mean the Internal Revenue Code of 1986, as amended.

     12.04. Consulting Agreement. Shall mean the Consulting Agreement, effective
as of May 16, 1994, by and between the Company and the Optionee.

     12.05.  Date of Grant.  Shall mean the date as of which this  Agreement  is
entered into.

     12.06. Employee.  Shall mean any individual who is a common law employee of
the Company or of a Subsidiary.

     12.07. Exercise Price. Shall mean the amount for which one (1) Share may be
purchased upon exercise of this Option as specified in Section 1.01.

     12.08.  Fair Market Value.  Shall mean the fair market value of a Share, as
determined by the Board in good faith.  Such  determination  shall be conclusive
and binding on all persons.

     12.09.  Initial  Public  Offering.  Shall  mean an initial  public  primary
offering by  underwriters on a firm commitment or best efforts basis in which it
is expected  that the common stock will become  listed on a national  securities
exchange or traded on the Automated Quotation System of the National Association
of Securities Dealers or other over-the-counter-market.

     12.10.  0ption.  Shall mean a stock option not described in sections 422(b)
or 423(b) of the Code granted under this Agreement and entitling the Optionee to
purchase Shares.

     12.11.  Purchase  Price.  Shall mean the Exercise  Price  multiplied by the
number of Shares with respect to which this Option is being exercised.

     12.12. Securities Act. Shall mean the Securities Act of 1933, as amended.

                                       -9-
<PAGE>
     12.13.  Securities  Exchange Act. Shall mean the Securities Exchange Act of
1934, as amended.

     12.14.  Service.  Shall mean consulting service of the Optionee pursuant to
the Consulting Agreement.

     12.15.  Share.  Shall mean one (1) share of Common  Stock,  as  adjusted in
accordance with Article 10 (if applicable).

     12.16. Subsidiary. Shall mean any corporation, if the Company or one (1) or
more other Subsidiaries own,  individually or collectively,  not less than fifty
percent (50%) of the total  combined  voting power of all classes of outstanding
stock of such corporation.

     IN WITNESS WHEREOF, the Company has caused this Agreement to be executed on
its behalf by its officer  duly  authorized,  and the  Optionee  has  personally
executed this Agreement.

                                  OPTIONEE:


                                        _____________________________________
                                                MAHENDRA G. SHAH, PH.D.
                                                
                                        Address: ____________________________

                                                 ____________________________


                                   COMPANY:


                                        SUTTER SURGERY CENTERS, INC., a
                                        Delaware corporation

                                         By __________________________________
                                                        
                                         Its _________________________________

                                         Address: 1201 Alhambra Blvd., Ste. 330
                                                  Sacramento, CA 95816


                                      -10-
<PAGE>
                                  EXHIBIT 4.01

                              OPTION EXERCISE FORM

                                                   
<PAGE>
                                            Date: ____________________________

                                            

                            NONQUALIFIED STOCK OPTION
                                  EXERCISE FORM



Sutter Surgery Centers, Inc.
Attention: Chief Financial Officer
1201 Alhambra Boulevard, Suite 330
Sacramento, CA 95816

         The undersigned elects to exercise the option to purchase  ____________
(_________)  shares of common stock (the  "Shares") of Sutter  Surgery  Centers,
Inc. (the "Company"),  in accordance with the nonqualified  stock option granted
to the undersigned by the Company as of May 16, 1994, pursuant to a Nonqualified
Stock Option Plan and Agreement (the "Agreement").

         Prior to the issuance of these Shares,  I will make full payment of the
purchase price for the Shares by one of the following methods as indicated:

         [ ]  In cash in the amount of

         [ ]  By  tender of Shares of the Company owned by  the  undersigned for
              more than six (6) months, having a fair market value when combined
              combined  with  other  forms of  payment of not  less  than    the
              purchase price.

         Please  issue the Shares to  __________________________________  [i.e.,
Optionee;  Optionee and spouse as community property;  or Optionee and spouse as
joint tenants with right of survivorship].

         I  represent  and agree that I am over  eighteen  (18) years of age and
that I have no present intention to transfer,  sell or otherwise dispose of such
Shares,  except as permitted to the Agreement and in compliance  with applicable
securities laws.

<PAGE>
         I acknowledge  and  understand  that the Company has granted the Option
pursuant  to the  terms  of Rule  701  under  the  Securities  Act and  that the
following provisions relating to the resale of my Shares shall apply:

                       (A) If I am not an affiliate  of the Company,  as defined
                  in Rule 144 of the Securities Act of 1933 ("Securities  Act"),
                  I may  resell my Shares  ninety  (90) days  after the  Company
                  becomes subject to the reporting requirements of section 13 or
                  15(d) of the Securities  Exchange Act of 1934 ("Exchange Act")
                  (e.g.,  ninety (90) days after the  Company's  Initial  Public
                  Offering);  provided I comply with Rule 144 of the  Securities
                  Act's  manner of sale  limitations  set  forth in Rule  144(f)
                  (e.g., my Shares are sold in a "broker's  transaction" or to a
                  "market maker"); or

                       (B) If I am an affiliate  of the  Company,  as defined in
                  Rule 144 of the Securities  Act, I may resell my shares ninety
                  (90) days after the Company  becomes  subject to the reporting
                  requirements of section 13 or 15(d) of the Exchange Act (e.g.,
                  ninety (90) days after the Company's Initial Public Offering);
                  provided I comply  with all of the  provisions  of Rule 144 of
                  the  Securities  Act, other than Rule 144(d)  (holding  period
                  requirement).

         I further  acknowledge  and understand  that,  if, for any reason,  the
Shares are not covered by the exemption  contained in Rule 701 of the Securities
Act, the Shares must be sold under the provisions of Rule 144. These  provisions
include,  among other things:  the  availability  of certain public  information
about the  Company,  the Shares  being held for a minimum of two (2) years,  the
sale being made (I) through a broker in an unsolicited "broker's transaction" or
(ii) to a market maker, and the amount of securities being sold during any three
(3) month period not exceeding  specified  limitations  (generally,  one percent
(1%) of the total amount outstanding).

         Moreover,  I further acknowledge and understand that if the Company has
registered  the  Shares  on Form  S-8 (or any  successor  form),  the  following
provisions shall apply:

                                       -2-
<PAGE>
                       (A) If I am not an affiliate of the Company, I may freely
                  resell my Shares, subject to any contractual obligations I may
                  have to the Company; or

                       (B) If I am an affiliate of the Company,  I may resell my
                  Shares,  subject  to (I) the  provisions  of  Rule  144 of the
                  Securities   Act,  other  than  Rule  144(d)  (holding  period
                  requirement);  and (ii) any contractual  obligations I have to
                  the Company.

         I  understand  that the Shares may be  subject to the  restrictions  on
transfer set forth in Article 9 of the Agreement.

         I agree to obtain the consent of my spouse for any such agreement which
may be required by Company.

         My address of record is:

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

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



and my Social Security number is:
                                 ----------------------------------

                                     Very truly yours,


                                 ----------------------------------
                                       MAHENDRA  G. SHAH, PH.D.




                                       -3-

<PAGE>

         The  undersigned,  being the  spouse of  _____________________________,
does  hereby  acknowledge  that he or she has  read  and is  familiar  with  the
provisions  of the  above  Nonqualified  Stock  Option  Exercise  Form  and  the
Agreement,  and he or she hereby agrees thereto and joins therein to the extent,
if any, that his or her agreement and joinder may be necessary.

         DATED:
               ---------------------------


                                        -------------------------------------
                                                      Signature



                                        -------------------------------------
                                                      Print Name

Receipt of the above is hereby 
acknowledged:

SUTTER SURGERY CENTERS, INC.,
a Delaware corporation



By
  -----------------------------------
its
   ----------------------------------
Dated:
      -------------------------------

                                      - 4-

<PAGE>


                                                                    EXHIBIT 4(d)

                   SUTTER SURGERY CENTERS, INC., NONQUALIFIED
                    STOCK OPTION PLAN AND AGREEMENT (AKELLA)

         THIS  AGREEMENT  is entered  into as of May 16,  1994,  between  SUTTER
SURGERY CENTERS, INC., a Delaware corporation (the 'Company"), and RAO S. AKELLA
(the "Optionee").

                                    Recitals

         The Company's Board has established  this Agreement in order to fulfill
the  Company's  obligation  under  Section  3 of  the  Consulting  Agreement  by
providing  the  Optionee  with an  opportunity  to acquire  common  stock of the
Company;
         NOW, THEREFORE, it is agreed as follows:

                                    Agreement

ARTICLE 1.      GRANT OF OPTION.

         On the terms and conditions  stated below, the Company hereby grants to
the Optionee the option to purchase  NINE THOUSAND  THREE  HUNDRED  SEVENTY-FIVE
(9,375)  Shares for the sum of ONE DOLLAR  ($1.00)  per Share,  the Fair  Market
Value of the Shares. This Option is not intended to be an incentive stock option
described in section 422 of the Code.

ARTICLE 2. NO TRANSFER OR ASSIGNMENT OF OPTION.

         Except as  otherwise  provided in this  Agreement,  this Option and the
rights and  privileges  conferred  hereby  shall not be  transferred,  assigned,
pledged or  hypothecated  in any way,  whether by operation of law or otherwise,
and shall not be subject to sale under execution, attachment or similar process.
Except as otherwise  provided  herein,  upon any transfer,  assignment,  pledge,
hypothecation or other  disposition of this Option, or of any right or privilege
conferred  hereby,  contrary  to the  provisions  hereof,  or any sale under any
execution,  attachment  or  similar  process  upon  the  rights  and  privileges
conferred  hereby,  this Option and the rights and privileges  conferred  hereby
shall immediately become null and void.

<PAGE>
ARTICLE 3.      RIGHT TO EXERCISE.

         3.01.  Vesting.  Optionee may  exercise  this Option only to the extent
that  the  Optionee's  interest  in  this  Option  has  vested.  Subject  to the
conditions  stated in this  Agreement,  the right to exercise  this Option shall
accrue in installments as follows:

                            No. of         Percentage of
      Vesting Period        Shares         Shares Exercsable             

       May 16,1995          1,875                 20%
       May 16,1996          3,750                 40%
       May 16,1997          5,625                 60%
       May 16,1998          7,500                 80%
       May 15,1999          9,375                100%
         Total              9,375                100%

         In the case of each  vesting  period,  the  number  of Shares of common
stock, if any, previously purchased under this Option shall be deducted from the
amount of Shares  Optionee is entitled to acquire.  Any other  provision of this
Agreement notwithstanding,  if the Optionee does not provide consulting services
under the Consulting  Agreement for any reason, and (I) the Consulting Agreement
is still in effect,  and (ii) the Company has provided the Optionee with written
notice that, although the Consulting  Agreement is still in effect, the Optionee
is not  currently  providing  consulting  services to the Company  (referred  to
herein as a "Lapse  Notice"),  then the date when any installment of this Option
would otherwise become exercisable under the foregoing schedule shall be delayed
for a period equal to the duration of the Lapse  Notice.  The Lapse Notice shall
be of no further  effect once the Company has  notified  the  Optionee  that the
Lapse Notice has terminated.

         3.02.  Periods of  Nonexercisability.  This Section 3.02 shall  prevail
over any other  portion of this  Agreement.  The Company shall have the right to
designate  as many as two (2)  periods of time,  each of which  shall not exceed
twelve (12) consecutive months in length,  during which this Option shall not be
exercisable.  The  Company  may only make such a  designation  if it  reasonably
determines that such a limitation on exercise is reasonably likely to facilitate
(I) a lessening of any restriction on transfer pursuant to the Securities Act or
any state

                                 -2-
<PAGE>
securities  laws  on any  issuance  of  securities  by  the  Company,  (ii)  the
registration  or  qualification  of any  securities  by the  Company  under  the
Securities  Act or any state  securities  laws,  or (iii) the  perfection of any
exemption from the registration or qualification  requirements of the Securities
Act or any applicable  state securities laws for the issuance or transfer of any
securities. This limitation on exercise shall not alter the vesting schedule set
forth in Section  3.01 other than to limit the periods  during which this Option
shall be  exercisable.  The Optionee  shall be notified in writing in advance of
any such designation by the Company.

         3.03. Listing, Registration or Qualification of Shares. If the listing,
registration  or  qualification  of the  Shares  subject  to this  Option on any
securities  exchange  or under any state or  federal  law or if the  consent  or
approval of any regulatory  body is necessary in connection with the granting of
this  Option or the  delivery  or  purchase  of Shares,  this  Option may not be
exercised, in whole or in part, until such listing, registration, qualification,
consent or approval has been effected or obtained.  The Company shall make every
reasonable   effort  to  effect  or  obtain  any  such  listing,   registration,
qualification, consent or approval as may be required.

ARTICLE 4.    EXERCISE PROCEDURES.
     4.01.    Notice of Exercise.

         A. The Optionee may exercise  this Option by giving notice to the Chief
Financial Officer of the Company.  In the notice, the Optionee shall specify (I)
the election to exercise  this  Option;  (ii) the number of Shares to be issued;
and (iii) the form of  payment  for such  Shares.  The  Optionee  shall sign the
notice.  The Optionee shall deliver the notice to the Chief Financial Officer of
the  Company;  and at the time of giving the  notice,  the  Optionee  shall make
payment  in a form  permissible  under  Article  5 for the  full  amount  of the
Purchase Price. The notice shall be in the form attached as Exhibit 4.01.

         B. A representative  of the Optionee may exercise this Option on behalf
of the Optionee in accordance with the procedures of Section 4.0l.A. In addition
to the procedures of Section  4.0l.A.,  the  representative  shall provide proof
satisfactory to the Company of the representative's  authority as a condition of
the representative's right to exercise this Option.

     4.02.  Issuance of Shares.  After receiving a proper notice of exercise and
full  payment  for  the  Shares,  the  Company  shall  issue  a  certificate  or
certificates  for the Shares  subject to this Option  exercised by the Optionee,
registered in the name of

                             -3-
<PAGE>
the Optionee (or a person set forth in Section 6.03), or, if so specified in the
notice  of option  exercise,  in the names of the  Optionee  and the  Optionee's
spouse as community property or as joint tenants with right of survivorship. The
Company shall deliver any certificates  representing the Shares to the Optionee.

ARTICLE 5. PAYMENT FOR STOCK.

         The Optionee  shall pay for the entire  Purchase Price in United States
dollars,  or, at Optionee's  discretion,  Optionee may elect to surrender Shares
provided the Shares have been held for more than six (6) months and provided the
Shares are surrendered to the Company in good form for transfer and the transfer
will not cause Optionee or the Company to be in violation of the Securities Act,
the Securities Exchange Act, or state securities laws.

         The combined  amount paid in cash and the value of  surrendered  Shares
must  equal the  Purchase  Price.  The Board  shall  determine  the value of any
surrendered Shares.

ARTICLE 6. TERM AND EXPIRATION.

         6.01.  Basic  Term.  This  Option  shall  expire on May 15, 2000 unless
extended due to a delay as  described  in Section 3.02 with the delay  occurring
after  the  second  (2nd)  anniversary  of the  Date of  Grant.  If a  delay  in
exercising  this Option (as  described in Section  3.02) occurs after the second
(2nd) anniversary of the Date of Grant, the term of this Option shall be
extended by one day for each day of such delay  occurring after the second (2nd)
anniversary of the Date of Grant.

         6.02.  Termination  of Service  (Except by  Death).  If the  Optionee's
Service  terminates  for any reason  other than death,  then this  Option  shall
expire  on the  earliest  of the  following  occasions: 

                A. The date determined pursuant to Section 6.01, above;

                B. The date twelve (12) months after the termination of

Optionee's Service without cause by the Company pursuant to Section 10.A. of the
Consulting Agreement; or

                C. The date ninety (90) days after the termination of Optionee's
Service for any reason other than  termination  of  Optionee's  Service  without
cause by the Company pursuant to Section 10.A. of the Consulting Agreement.

                The Optionee may exercise all or part of this Option at any time
before its expiration under the preceding sentence,  but only to the extent that
this

                                       -4-
<PAGE>
 Option had become  vested before the  Optionee's  Service  terminated,  and the
balance of this Option shall lapse when the Optionee's  Service  terminates.  If
the Optionee dies after the  termination of Service but before the expiration of
this Option,  all or part of this Option may be exercised  (prior to expiration)
by the executors or administrators of the Optionee's estate or by any person who
has acquired  this Option  directly  from the  Optionee by bequest,  beneficiary
designation or  inheritance,  but only to the extent that this Option had become
vested before the Optionee's Service terminated.

         6.03.  Death of 0ptionee.  If the Optionee dies while in Service,  then
this Option shall expire on the earlier of the following dates:

                A. The  expiration  date  determined  pursuant  to Section  6.01
above; or
                B. The date twelve (12) months after the Optionee's death.

                All or part of this Option may be  exercised  at any time before
its expiration under the preceding  sentence by the executors or  administrators
of the Optionee's  estate or by any person who has acquired this Option directly
from the Optionee by bequest, beneficiary designation or inheritance but only to
the extent that such Option(s) had become vested before the Optionee's  death or
became  exercisable  as a result of the  Optionee's  death.  The balance of such
Option(s) shall lapse when the Optionee dies.

ARTICLE 7. LEGALITY OF INITIAL ISSUANCE.

         Shares  shall be issued  upon the  exercise  of this Option only if the
Company  has  determined  that (I) it and the  Optionee  have taken any  actions
required by law to register the Shares under the Securities Act or to perfect an
exemption  from the  registration  requirements  thereof;  (ii)  any  applicable
listing  requirement  of any stock  exchange or automated  quotations  system on
which the Shares are listed has been satisfied;  and (iii) any other  applicable
provision of state or federal securities law has been satisfied.

ARTICLE 8. REGISTRATION RIGHTS.

        The Company may, but shall not be obligated to,  register or qualify the
resale  of  Shares  by the  Optionee  under  the  Securities  Act  or any  other
applicable  law.  The Company  shall not be  obligated  to take any  affirmative
action in order to cause a resale of Shares to comply with any law. However, the
Company has granted this

                                       -5-
<PAGE>
 Option  pursuant  to the  terms of Rule 701 under  the  Securities  Act and the
Optionee may resell Shares,  provided the Optionee  complies with the provisions
described in the Option Exercise Form, attached as Exhibit 4.01.

     ARTICLE  9.  RESTRICTIONS  ON  TRANSFER  OF  SHARES. 

           9.01.  Restrictions.  Regardless  of whether the offering and sale of
Shares under this  Agreement  have been  registered  under the Securities Act or
have been registered or qualified  under the securities  laws of any state,  the
Company may impose  restrictions upon the sale, pledge or other transfer of such
Shares  (including the placement of appropriate  legends on stock  certificates)
if, in the  judgment of the  Company  and its  counsel,  such  restrictions  are
necessary or desirable in order to achieve  compliance  with the Securities Act,
the securities laws of any state or any other law or with  restrictions  imposed
by the Company's underwriters.

           9.02.  Administration.  Any  determination  by the  Company  and  its
counsel in connection  with any of the matters set forth in this Article 9 shall
be conclusive and binding on the Optionee and all other persons.

           9.03.  Investment  Purpose.  The Optionee hereby  represents that any
Shares of common stock  purchased upon exercise of this Option will be purchased
for  investment  and not  with a view to the  distribution  thereof  within  the
meaning of the Securities Act. As a condition  precedent to any exercise of this
Option,  the  Optionee  agrees that,  if requested by the Board,  he or she will
promptly  submit a written  statement in a form  satisfactory to counsel for the
Company to the effect  that such  representation  is true and  correct as of the
date of purchase of any Shares hereunder.

                  A. As a further  condition  precedent  to any exercise of this
Option,  the Optionee shall comply with all regulations and  requirements of any
regulatory authority having control of, or supervision over, the issuance of the
common  stock of the Company and, in  connection  therewith,  shall  execute any
documents  which the Board  deems  necessary  or  advisable,  provided  that the
Optionee  shall  not be  required  to bear  any  expense  associated  with  such
compliance.

                  B. By  accepting  this Option,  the  Optionee  agrees that the
Optionee shall not, directly or indirectly, without the prior written consent of
the Company, sell, offer, contract to sell, pledge, grant any option to purchase
or other-wise dispose of any Shares of common stock acquired by exercise of this
Option for a period  beginning  on the date of the Initial  Public  Offering and
ending one

                                       -6-
<PAGE>
hundred  eighty  (180)  days  after  the date that  Shares  of common  stock are
released  by the  Company's  underwriters  for sale to the  public in an Initial
Public  Offering.  Nothing in this Option shall be  construed  as requiring  the
Company to complete or attempt an Initial Public Offering.

                  C.  Each  stock  certificate  issued  by  the  Company  to the
Optionee  upon the  Optionee's  exercise of the Option  granted  shall bear such
legend as the Company deems  necessary or desirable to reflect the provisions of
this Section 9.03.

ARTICLE 10.  SHARES AND ADJUSTMENTS.

     10.01.  General.  If there is a subdivision of the  outstanding  Shares,  a
declaration of a dividend payable in Shares, a declaration of a dividend payable
in a form other than Shares in an amount that has a material effect on the value
of  Shares,  a  combination  or  consolidation  of the  outstanding  Shares  (by
reclassification   or   otherwise)   into  a  lesser   number   of   Shares,   a
recapitalization or a similar  occurrence,  the Board shall make all appropriate
adjustments  in both (I) the number of Shares  covered by this Option;  and (ii)
the Exercise Price.

     10.02. Merger; Consolidation;  Sale; Liquidation. If the Company is a party
to a merger or consolidation  or if there is a sale of all or substantially  all
of the  Company's  assets  other than a sale or transfer to a  Subsidiary,  this
Option shall be subject to the agreement of merger,  consolidation or sale. Such
agreement  may, as determined by the Board,  provide for: (I) the  assumption of
this Option by the surviving corporation or its parent; (ii) its continuation by
the Company,  if the Company is the surviving  corporation;  (iii) payment for a
cash  settlement  equal to (a) the difference  between the amount to be paid for
one (1) Share under such agreement and the Exercise Price  multiplied by (b) the
number  of  Shares  subject  to the  Option,  vested or  unvested,  or both,  as
determined  by the  Company;  or (iv) the  acceleration  of the  vesting of this
Option,  followed by the  cancellation  of this Option if not exercised,  in all
other  cases other than  clause  (iii)  without  the  Optionee's  consent.  (The
Optionee's  consent  shall be required for a cash  settlement.)  A  cancellation
shall not occur  earlier  than  thirty  (30) days  after  such  acceleration  is
effective  and the  Optionee  has been  notified of such  acceleration.  If this
Option has been  outstanding  for less than twelve (12) months,  a  cancellation
need not be preceded by an acceleration.

     10.03.  Reservation  of  Rights.  Except as  provided  in  Article  10, the
Optionee shall have no rights by reason of (I) any subdivision or  consolidation
of

                                       -7-
<PAGE>
shares of stock of any class;  (ii) the  payment of any  dividend;  or (iii) any
other  increase or  decrease in the number of shares of stock of any class.  Any
issue by the Company of shares of stock of any class, or securities  convertible
into shares of stock of any class, shall not affect, and no adjustment by reason
thereof  shall be made with  respect  to,  the number or  Exercise  Price of the
Shares subject to this Option.  The grant of this Option shall not affect in any
way the right or power of the  Company to make  adjustments,  reclassifications,
reorganizations  or changes of its  capital or business  structure,  to merge or
consolidate or to dissolve,  liquidate,  sell or transfer all or any part of its
business or assets.


ARTICLE 11.  MISCELLANEOUS  PROVISIONS. 

     11.01.  Withholding Taxes. If the Company determines that it is required to
withhold foreign,  federal,  state or local taxes as a result of the exercise of
this Option, the Optionee,  as a condition to the exercise of this Option, shall
make  arrangements  satisfactory to the Company to enable the Company to satisfy
all withholding requirements.

     11.02. Rights as a Stockholder. The Optionee shall not have any rights as a
stockholder  with respect to any Shares subject to this Option until such Shares
have been issued as provided in Section 4.02.

     11.03.  No Employment or  Directorship  Rights.  Nothing in this  Agreement
shall be  construed  as giving the Optionee the right to become or be treated as
an Employee of the Company or any  Subsidiary  or a member of the Board.

     11.04.  Notice. Any notice required by the terms of this Agreement shall be
given in writing and shall be deemed effective upon personal delivery or two (2)
days  after the date of  deposit  with the  United  States  Postal  Service,  by
registered or certified  mail with postage and fees prepaid and addressed to the
party entitled to such notice at the address shown below such party's  signature
on this  Agreement,  or at such other address as such party may designate by ten
(10) days' advance written notice to the other party to this Agreement.

     11.05.  Entire  Agreement.  This  Agreement  and the  Consulting  Agreement
constitute  the entire  contract  between the parties  hereto with regard to the
subject  matter hereof and supersede all prior and  contemporaneous  agreements,
representations, warranties and understandings of the parties.

     11.06. Choice of Law. This Agreement shall be governed by, and construed in
accordance with, the laws of the State of California (exclusive of its

                                 -8-
<PAGE>
laws  regarding  the  conflict of laws),  as such laws are applied to  contracts
entered into and performed in such state.  The state courts of California  shall
have exclusive jurisdiction over any judicial proceeding relating to any dispute
arising out of the interpretation, performance or breach of this Agreement.

ARTICLE 12.  DEFINITIONS.

     12.01.  Agreement.  Shall  mean this  Nonqualified  Stock  Option  Plan and
Agreement.

     12.02.  Board.  Shall  mean  the  Board of  Directors  of the  Company,  as
constituted from time to time.

     12.03. Code. Shall mean the Internal Revenue Code of 1986, as amended.

     12.04. Consulting Agreement. Shall mean the Consulting Agreement, effective
as of May 16, 1994, by and between the Company and the Optionee. 

     12.05.  Date of Grant.  Shall mean the date as of which this  Agreement  is
entered into.

     12.06. Employee.  Shall mean any individual who is a common law employee of
the Company or of a Subsidiary.

     12.07. Exercise Price. Shall mean the amount for which one (1) Share may be
purchased upon exercise of this Option as specified in Section 1.01.

     12.08.  Fair Market Value.  Shall mean the fair market value of a Share, as
determined by the Board in good faith.  Such  determination  shall be conclusive
and binding on all persons.

     12.09.  Initial  Public  Offering.  Shall  mean an initial  public  primary
offering by  underwriters on a firm commitment or best efforts basis in which it
is expected  that the common stock will become  listed on a national  securities
exchange or traded on the Automated Quotation System of the National Association
of Securities Dealers or other over-the-counter-market.

     12.10.  Option.  Shall mean a stock option not described in sections 422(b)
or 423(b) of the Code granted under this Agreement and entitling the Optionee to
purchase Shares.

     12.11.  Purchase  Price.  Shall mean the Exercise  Price  multiplied by the
number of Shares with respect to which this Option is being exercised.

     12.12. Securities Act. Shall mean the Securities Act of 1933, as amended.

                                -9-
<PAGE>
     12.13.  Securities  Exchange Act. Shall mean the Securities Exchange Act of
1934, as amended.

     12.14.  Service.  Shall mean consulting service of the Optionee pursuant to
the Consulting Agreement.

     12.15.  Share.  Shall mean one (1) share of Common  Stock,  as  adjusted in
accordance with Article 10 (if applicable).

     12.16. Subsidiary. Shall mean any corporation, if the Company or one (1) or
e other Subsidiaries own,  individually or collectively,  not less than fifty
percent (50%) of the total  combined  voting power of all classes of outstanding
stock of such corporation.

     IN WITNESS WHEREOF, the Company has caused this Agreement to be executed on
its behalf by its officer  duly  authorized,  and the  Optionee  has  personally
executed this Agreement.

                             OPTIONEE:


                                 ______________________________              
                                         RAO S. AKELLA

                                 Address:

                             COMPANY:

                                 SUTTER SURGERY CENTERS, INC., a
                                 Delaware corporation



                                  By  ______________________________

                                  Its _______________________________

                                  Address:  201 Alhambra Blvd., Ste. 330
                                            Sacramento, CA 95816







                                -10-

<PAGE>
                                  EXHIBIT 4.01

                              OPTION EXERCISE FORM




<PAGE>
                                               
                                              Date: ___________________________


                                             NONQUALIFIED STOCK OPTION

                                                   EXERCISE FORM

 Sutter Surgery Centers, Inc.
 Attention: Chief Financial Officer
 1201 Alhambra Boulevard, Suite 330

 Sacramento, CA 95816

         The  undersigned  elects to exercise the option to purchase ) shares of
common stock (the "Shares") of Sutter Surgery Centers, Inc. (the "Company"),  in
accordance with the nonqualified  stock option granted to the undersigned by the
Company as of May 16,  1994,  pursuant to a  Nonqualified  Stock Option Plan and
Agreement (the "Agreement").

         Prior to the issuance of these Shares,  I will make full payment of the
purchase price for the Shares by one of the following methods as indicated:

         [ ]  In cash in the amount of ______________________________________.


         [ ]  By  tender of Shares of the  Company owned by the  undersigned for
              more than six (6) months, having a fair market value when combined
              with other forms of payment of not less than the purchase price.

         Please issue the Shares to  _____________________________________[i.e.,
Optionee;  Optionee and spouse as community property;  or Optionee and spouse as
joint tenants with right of survivorship].

         I  represent  and agree that I am over  eighteen  (18) years of age and
that I have no present intention to transfer,  sell or otherwise dispose of such
Shares,  except as permitted  pursuant to the Agreement  and in compliance  with
applicable securities laws.


<PAGE>
         I acknowledge  and  understand  that the Company has granted the Option
pursuant  to the  terms  of Rule  701  under  the  Securities  Act and  that the
following provisions relating to the resale of my Shares shall apply:

                  (A) If I am not an  affiliate  of the  Company,  as defined in
         Rule 144 of the Securities Act of 1933 ("Securities Act"), I may resell
         my Shares  ninety  (90) days after the Company  becomes  subject to the
         reporting  requirements  of  section  13 or  15(d)  of  the  Securities
         Exchange Act of 1934 ("Exchange Act") (e.g., ninety (90) days after the
         Company's Initial Public Offering);  provided I comply with Rule 144 of
         the  Securities  Act's  manner  of sale  limitations  set forth in Rule
         144(f) (e.g.,  my Shares are sold in a "broker's  transaction"  or to a
         "market maker"); or

                  (B) If I am an affiliate  of the  Company,  as defined in Rule
         144 of the  Securities  Act,  I may resell my shares  ninety  (90) days
         after the Company  becomes  subject to the  reporting  requirements  of
         section 13 or 15(d) of the Exchange  Act (e.g.,  ninety (90) days after
         the Company's Initial Public  Offering);  provided I comply with all of
         the  provisions  of Rule 144 of the  Securities  Act,  other  than Rule
         144(d) (holding period requirement).

         I further  acknowledge  and understand  that,  if, for any reason,  the
Shares are not covered by the exemption  contained in Rule 701 of the Securities
Act, the Shares must be sold under the provisions of Rule 144. These  provisions
include,  among other things:  the  availability  of certain public  information
about the  Company,  the Shares  being held for a minimum of two (2) years,  the
sale being made (I) through a broker in an unsolicited "broker's transaction" or
(ii) to a market maker, and the amount of securities being sold during any three
(3) month period not exceeding  specified  limitations  (generally,  one percent
(1%) of the total amount outstanding).

         Moreover,  I further acknowledge and understand that if the Company has
registered  the  Shares  on Form  S-8 (or any  successor  form),  the  following
provisions shall apply:

                            -2-
<PAGE>
                  (A) If I am not an  affiliate  of the  Company,  I may  freely
         resell my Shares, subject to any contractual  obligations I may have to
         the Company; or

                  (B) If I am an  affiliate  of the  Company,  I may  resell  my
         Shares,  subject to (I) the  provisions  of Rule 144 of the  Securities
         Act, other than Rule 144(d) (holding period requirement);  and (ii) any
         contractual obligations I have to the Company.

         I  understand  that the Shares may be  subject to the  restrictions  on
transfer set forth in Article 9 of the Agreement.

         I agree to obtain the consent of my spouse for any such agreement which
may be required by Company.

         My address of record is:

                    ___________________________

                    ___________________________
                        

and my Social Security number is: _________________________________.

                                
                                     Very truly yours,


                                   _________________________________

                                            RAO S. AKELLA


                         -3-
<PAGE>
         The undersigned,  being the spouse of  ________________________________
does  hereby  acknowledge  that he or she has  read  and is  familiar  with  the
provisions  of the  above  Nonqualified  Stock  Option  Exercise  Form  and  the
Agreement,  and he or she hereby agrees thereto and joins therein to the extent,
if any, that his or her agreement and joinder may be necessary.

         DATED: ______________________________________



                                                  _____________________________
                                                             Signature


                                                  _____________________________
                                                            Print Name

Receipt of the above is hereby
acknowledged:

SUTTER SURGERY CENTERS, INC.,
a Delaware corporation

By  _______________________________

Its _______________________________

Dated: ____________________________

                                      - 4-
<PAGE>

                                                                    EXHIBIT 4(e)


                   SUTTER SURGERY CENTERS, INC., NONQUALIFIED
                     STOCK OPTION PLAN AND AGREEMENT (KELLY)

         THIS  AGREEMENT  is entered  into as of May 16,  1994,  between  SUTTER
SURGERY CENTERS,  INC., a Delaware  corporation (the "Company"),  and TIMOTHY R.
KELLY (the "Optionee").

                                    Recitals

         The Company's Board has established  this Agreement in order to fulfill
the  Company's  obligation  under  Section  3 of  the  Consulting  Agreement  by
providing  the  Optionee  with an  opportunity  to acquire  common  stock of the
Company;

         NOW, THEREFORE, it is agreed as follows:

                                    Agreement

ARTICLE 1. GRANT OF OPTION.

         On the terms and conditions  stated below, the Company hereby grants to
the Optionee the option to purchase TWENTY-FIVE THOUSAND (25,000) Shares for the
sum of ONE DOLLAR ($1.00) per Share,  the Fair Market Value of the Shares.  This
Option is not intended to be an incentive stock option  described in section 422
of the Code.

ARTICLE 2. NO TRANSFER OR ASSIGNMENT OF OPTION.

        Except as  otherwise  provided  in this  Agreement,  this Option and the
rights and  privileges  conferred  hereby  shall not be  transferred,  assigned,
pledged or  hypothecated  in any way,  whether by operation of law or otherwise,
and shall not be subject to sale under execution, attachment or similar process.
Except as otherwise  provided  herein,  upon any transfer,  assignment,  pledge,
hypothecation or other  disposition of this Option, or of any right or privilege
conferred  hereby,  contrary to the  provisions  hereof-,  or any sale under any
execution,  attachment  or  similar  process  upon  the  rights  and  privileges
conferred  hereby,  this Option and the rights and privileges  conferred  hereby
shall immediately become null and void.


<PAGE>

ARTICLE 3. RIGHT TO EXERCISE.

         3.01.  Vesting.  Optionee may  exercise  this Option only to the extent
that  the  Optionee's  interest  in  this  Option  has  vested.  Subject  to the
conditions  stated in this  Agreement,  the right to exercise  this Option shall
accrue in installments as follows:

                                     No. of             Percentage of
       Vesting Period                Shares           Shares Exercisable

        May 16,1995                  5,000                   20%
        May 16,1996                 10,000                   40%
        May 16,1997                 15,000                   60%
        May 16,1998                 20,000                   80%
        May 15,1999                 25,000                  100%
          Total                     25,000                  100%

         In the case of each  vesting  period,  the  number  of Shares of common
stock, if any, previously purchased under this Option shall be deducted from the
amount of Shares  Optionee is entitled to acquire.  Any other  provision of this
Agreement notwithstanding,  if the Optionee does not provide consulting services
under the Consulting  Agreement for any reason, and (i) the Consulting Agreement
is still in effect,  and (ii) the Company has provided the Optionee with written
notice that, although the Consulting  Agreement is still in effect, the Optionee
is not  currently  providing  consulting  services to the Company  (referred  to
herein as a "Lapse  Notice"),  then the date when any installment of this Option
would otherwise become exercisable under the foregoing schedule shall be delayed
for a period equal to the duration of the Lapse  Notice.  The Lapse Notice shall
be of no further  effect once the Company has  notified  the  Optionee  that the
Lapse Notice has terminated.

         3.02.  Periods of  Nonexercisability  . This Section 3.02 shall prevail
over any other  portion of this  Agreement.  The Company shall have the right to
designate  as many as two (2)  periods of time,  each of which  shall not exceed
twelve (12) consecutive months in length,  during which this Option shall not be
exercisable.  The  Company  may only make such a  designation  if it  reasonably
determines that such a limitation on exercise is reasonably likely to facilitate
(i) a lessening of any restriction on transfer pursuant to the Securities Act or
any state

                                       -2-
<PAGE>
securities  laws  on any  issuance  of  securities  by  the  Company,  (ii)  the
registration  or  qualification  of any  securities  by the  Company  under  the
Securities  Act or any state  securities  laws,  or (iii) the  perfection of any
exemption from the registration or qualification  requirements of the Securities
Act or any applicable  state securities laws for the issuance or transfer of any
securities. This limitation on exercise shall not alter the vesting schedule set
forth in Section  3.01 other than to limit the periods  during which this Option
shall be  exercisable.  The Optionee  shall be notified in writing in advance of
any such designation by the Company.

         3.03. Listing, Registration or Qualification of Shares. If the listing,
registration  or  qualification  of the  Shares  subject  to this  Option on any
securities  exchange  or under any state or  federal  law or if the  consent  or
approval of any regulatory  body is necessary in connection with the granting of
this  Option or the  delivery  or  purchase  of Shares,  this  Option may not be
exercised, in whole or in part, until such listing, registration, qualification,
consent or approval has been effected or obtained.  The Company shall make every
reasonable   effort  to  effect  or  obtain  any  such  listing,   registration,
qualification, consent or approval as may be required.

ARTICLE 4.        EXERCISE PROCEDURES.

         4.01.    Notice of Exercise.

                  A. The Optionee may exercise  this Option by giving  notice to
the Chief Financial  Officer of the Company.  In the notice,  the Optionee shall
specify (i) the election to exercise  this Option;  (ii) the number of Shares to
be issued;  and (iii) the form of payment for such Shares.  The  Optionee  shall
sign the notice.  The Optionee  shall deliver the notice to the Chief  Financial
Officer of the Company; and at the time of giving the notice, the Optionee shall
make payment in a form  permissible  under  Article 5 for the full amount of the
Purchase Price. The notice shall be in the form attached as Exhibit 4.01.

                  B. A  representative  of the Optionee may exercise this Option
on behalf of the Optionee in accordance  with the procedures of Section  4.0l.A.
In addition to the  procedures  of Section  4.0l.A.,  the  representative  shall
provide proof satisfactory to the Company of the representative's authority as a
condition of the representative's right to exercise this Option.

         4.02.  Issuance of Shares.  After receiving a proper notice of exercise
and full  payment for the  Shares,  the Company  shall  issue a  certificate  or
certificates  for the Shares  subject to this Option  exercised by the Optionee,
registered in the name of

                                       -3-

<PAGE>
the Optionee (or a person set forth in Section 6.03), or, if so specified in the
notice  of option  exercise,  in the names of the  Optionee  and the  Optionee's
spouse as community property or as joint tenants with right of survivorship. The
Company shall deliver any certificates representing the Shares to the Optionee.

ARTICLE 5.        PAYMENT FOR STOCK.

         The Optionee  shall pay for the entire  Purchase Price in United States
dollars,  or, at Optionee's  discretion,  Optionee may elect to surrender Shares
provided the Shares have been held for more than six (6) months and provided the
Shares are surrendered to the Company in good form for transfer and the transfer
will not cause Optionee or the Company to be in violation of the Securities Act,
the Securities Exchange Act, or state securities laws.

         The combined  amount paid in cash and the value of  surrendered  Shares
must  equal the  Purchase  Price.  The Board  shall  determine  the value of any
surrendered Shares.

ARTICLE 6.        TERM AND EXPIRATION.

         6.01.  Basic  Term.  This  Option  shall  expire on May 15, 2000 unless
extended due to a delay as  described  in Section 3.02 with the delay  occurring
after  the  second  (2nd)  anniversary  of the  Date of  Grant.  If a  delay  in
exercising  this Option (as  described in Section  3.02) occurs after the second
(2nd)  anniversary  of the  Date of  Grant,  the  term of this  Option  shall be
extended by one day for each day of such delay  occurring after the second (2nd)
anniversary of the Date of Grant.

         6.02.  Termination  of Service  (Except by  Death).  If the  Optionee's
Service  terminates  for any reason  other than death,  then this  Option  shall
expire  on the  earliest  of the  following  occasions:  

                  A. The date determined pursuant to Section 6.01, above;

                  B. The date  twelve  (12)  months  after  the  termination  of
Optionee's Service without cause by the Company pursuant to Section 10.A. of the
Consulting Agreement; or

                  C.  The  date  ninety  (90)  days  after  the  termination  of
Optionee's  Service for any reason other than termination of Optionee's  Service
without  cause by the  Company  pursuant  to  Section  10.A.  of the  Consulting
Agreement.

                  The  Optionee  may  exercise all or part of this Option at any
time before its expiration under the preceding sentence,  but only to the extent
that this

                                       4-

<PAGE>
Option had become  vested  before the  Optionee's  Service  terminated,  and the
balance of this Option shall lapse when the Optionee's  Service  terminates.  If
the Optionee dies after the  termination of Service but before the expiration of
this Option,  all or part of this Option may be exercised  (prior to expiration)
by the executors or administrators of the Optionee's estate or by any person who
has acquired  this Option  directly  from the  Optionee by bequest,  beneficiary
designation  or  inheritance  but only to the extent that this Option had become
vested before the Optionee's Service terminated.

         6.03.  Death of 0ptionee.  If the Optionee dies while in Service,  then
this Option shall expire on the earlier of the following dates:

                  A. The  expiration  date  determined  pursuant to Section 6.01
above; or

                  B. The date twelve (12) months after the Optionee's death. All
or part of this Option may be exercised at any time before its expiration  under
the preceding  sentence by the  executors or  administrators  of the  Optionee's
estate or by any person who has acquired this Option  directly from the Optionee
by bequest,  beneficiary  designation or inheritance but only to the extent that
such  Option(s)  had  become  vested  before  the  Optionee's  death  or  became
exercisable as a result of the Optionee's  death.  The balance of such Option(s)
shall lapse when the Optionee dies.

ARTICLE 7. LEGALITY OF INITIAL ISSUANCE.

         Shares  shall be issued  upon the  exercise  of this Option only if the
Company  has  determined  that (i) it and the  Optionee  have taken any  actions
required by law to register the Shares under the Securities Act or to perfect an
exemption  from the  registration  requirements  thereof;  (ii)  any  applicable
listing  requirement  of any stock  exchange or automated  quotations  system on
which the Shares are listed has been satisfied;  and (iii) any other  applicable
provision of state or federal securities law has been satisfied.

ARTICLE 8.     REGISTRATION RIGHTS.

         The Company may, but shall not be obligated to, register or qualify the
resale  of  Shares  by the  Optionee  under  the  Securities  Act  or any  other
applicable  law.  The Company  shall not be  obligated  to take any  affirmative
action in order to cause a resale of Shares to comply with any law. However, the
Company has granted this

                                       -5-
<PAGE>
Option  pursuant  to the  terms of Rule 701  under  the  Securities  Act and the
Optionee may resell Shares,  provided the Optionee  complies with the provisions
described in the Option Exercise Form, attached as Exhibit 4.01.

ARTICLE 9.   RESTRICTIONS ON TRANSFER OF SHARES.

         9.01.  Restrictions.  Regardless  of whether the  offering  and sale of
Shares under this  Agreement  have been  registered  under the Securities Act or
have been registered or qualified  under the securities  laws of any state,  the
Company may impose  restrictions upon the sale, pledge or other transfer of such
Shares  (including the placement of appropriate  legends on stock  certificates)
if, in the  judgment of the  Company  and its  counsel,  such  restrictions  are
necessary or desirable in order to achieve  compliance  with the Securities Act,
the securities laws of any state or any other law or with  restrictions  imposed
by the Company's underwriters.

         9.02. Administration.  Any determination by the Company and its counsel
in  connection  with any of the  matters  set  forth in this  Article 9 shall be
conclusive and binding on the Optionee and all other persons.

         9.03.  Investment  Purpose.  The Optionee  hereby  represents  that any
Shares of common stock  purchased upon exercise of this Option will be purchased
for  investment  and not  with a view to the  distribution  thereof  within  the
meaning of the Securities Act. As a condition  precedent to any exercise of this
Option,  the  Optionee  agrees that,  if requested by the Board,  he or she will
promptly  submit a written  statement in a form  satisfactory to counsel for the
Company to the effect  that such  representation  is true and  correct as of the
date of purchase of any Shares hereunder.

                  A. As a further  condition  precedent  to any exercise of this
Option,  the Optionee shall comply with all regulations and  requirements of any
regulatory authority having control of, or supervision over, the issuance of the
common  stock of the Company and, in  connection  therewith,  shall  execute any
documents  which the Board  deems  necessary  or  advisable,  provided  that the
Optionee  shall  not be  required  to bear  any  expense  associated  with  such
compliance.

                  B. By  accepting  this Option,  the  Optionee  agrees that the
Optionee shall not, directly or indirectly, without the prior written consent of
the Company, sell, offer, contract to sell, pledge, grant any option to purchase
or otherwise  dispose of any Shares of common stock acquired by exercise of this
Option for a period  beginning  on the date of the Initial  Public  Offering and
ending one

                                       -6-

<PAGE>
hundred  eighty  (180)  days  after  the date that  Shares  of common  stock are
released  by the  Company's  underwriters  for sale to the  public in an Initial
Public  Offering.  Nothing in this Option shall be  construed  as requiring  the
Company to complete or attempt an Initial Public Offering.

                  C.  Each  stock  certificate  issued  by  the  Company  to the
Optionee  upon the  Optionee's  exercise of the Option  granted  shall bear such
legend as the Company deems  necessary or desirable to reflect the provisions of
this Section 9.03.

ARTICLE 10. SHARES AND ADJUSTMENTS.

         10.01.  General. If there is a subdivision of the outstanding Shares, a
declaration of a dividend payable in Shares, a declaration of a dividend payable
in a form other than Shares in an amount that has a material effect on the value
of  Shares,  a  combination  or  consolidation  of the  outstanding  Shares  (by
reclassification   or   otherwise)   into  a  lesser   number   of   Shares,   a
recapitalization or a similar  occurrence,  the Board shall make all appropriate
adjustments  in both (i) the number of Shares  covered by this Option;  and (ii)
the Exercise Price.

         10.02. Merger;  Consolidation;  Sale; Liquidation.  If the Company is a
party to a merger or consolidation or if there is a sale of all or substantially
all of the Company's assets other than a sale or transfer to a Subsidiary,  this
Option shall be subject to the agreement of merger,  consolidation or sale. Such
agreement  may, as determined by the Board,  provide for: (i) the  assumption of
this Option by the surviving corporation or its parent; (ii) its continuation by
the Company,  if the Company is the surviving  corporation;  (iii) payment for a
cash  settlement  equal to (a) the difference  between the amount to be paid for
one (1) Share under such agreement and the Exercise Price  multiplied by (b) the
number  of  Shares  subject  to the  Option,  vested or  unvested,  or both,  as
determined  by the  Company;  or (iv) the  acceleration  of the  vesting of this
Option,  followed by the  cancellation  of this Option if not exercised,  in all
other  cases other than  clause  (iii)  without  the  Optionee's  consent.  (The
Optionee's  consent  shall be required for a cash  settlement.)  A  cancellation
shall not occur  earlier  than  thirty  (30) days  after  such  acceleration  is
effective  and the  Optionee  has been  notified of such  acceleration.  If this
Option has been  outstanding  for less than twelve (12) months,  a  cancellation
need not be preceded by an acceleration.

         10.03.  Reservation  of Rights.  Except as  provided in Article 10, the
Optionee shall have no rights by reason of (i) any subdivision or  consolidation
of

                                       -7-
<PAGE>
shares of stock of any class;  (ii) the  payment of any  dividend;  or (iii) any
other  increase or  decrease in the number of shares of stock of any class.  Any
issue by the Company of shares of stock of any class, or securities  convertible
into shares of stock of any class, shall not affect, and no adjustment by reason
thereof  shall be made with  respect  to,  the number or  Exercise  Price of the
Shares subject to this Option.  The grant of this Option shall not affect in any
way the right or power of the  Company to make  adjustments,  reclassifications,
reorganizations  or changes of its  capital or business  structure,  to merge or
consolidate or to dissolve,  liquidate,  sell or transfer all or any part of its
business or assets.

ARTICLE 11. MISCELLANEOUS PROVISIONS.

         11.01. Withholding Taxes. If the Company determines that it is required
to withhold foreign,  federal,  state or local taxes as a result of the exercise
of this  Option,  the  Optionee,  as a condition to the exercise of this Option,
shall make  arrangements  satisfactory  to the  Company to enable the Company to
satisfy all withholding requirements.

         11.02. Rights as a Stockholder.  The Optionee shall not have any rights
as a  stockholder  with respect to any Shares  subject to this Option until such
Shares have been issued as provided in Section 4.02.

         11.03. No Employment or Directorship Rights.  Nothing in this Agreement
shall be  construed  as giving the Optionee the right to become or be treated as
an Employee of the Company or any  Subsidiary  or a member of the Board.  

         11.04. Notice. Any notice required by the terms of this Agreement shall
be given in writing and shall be deemed effective upon personal  delivery or two
(2) days after the date of deposit with the United  States  Postal  Service,  by
registered or certified  mail with postage and fees prepaid and addressed to the
party entitled to such notice at the address shown below such party's  signature
on this  Agreement,  or at such other address as such party may designate by ten
(10) days' advance written notice to the other party to this Agreement.

         11.05.  Entire Agreement.  This Agreement and the Consulting  Agreement
constitute  the entire  contract  between the parties  hereto with regard to the
subject  matter hereof and supersede all prior and  contemporaneous  agreements,
representations, warranties and understandings of the parties.

         11.06.  Choice  of Law.  This  Agreement  shall  be  governed  by,  and
construed in accordance with, the laws of the State of California  (exclusive of
its

                                       -8-

<PAGE>
laws  regarding  the  conflict of laws),  as such laws are applied to  contracts
entered into and performed in such state.  The state courts of California  shall
have exclusive jurisdiction over any judicial proceeding relating to any dispute
arising out of the interpretation, performance or breach of this Agreement.

ARTICLE 12. DEFINITIONS.

         12.01.  Agreement.  Shall mean this Nonqualified  Stock Option Plan and
Agreement.

         12.02.  Board.  Shall mean the Board of Directors  of the  Company,  as
constituted from time to time.

         12.03. Code. Shall mean the Internal Revenue Code of 1986, as amended.

         12.04.  Consulting  Agreement.  Shall  mean the  Consulting  Agreement,
effective as of May 16, 1994, by and between the Company and the Optionee.
 
         12.05. Date of Grant. Shall mean the date as of which this Agreement is
entered into.

         12.06. Employee. Shall mean any individual who is a common law employee
of the Company or of a Subsidiary.

         12.07.  Exercise  Price.  Shall mean the amount for which one (1) Share
may be purchased upon exercise of this Option as specified in Section 1.01.

         12.08. Fair Market Value.  Shall mean the fair market value of a Share,
as determined by the Board in good faith. Such determination shall be conclusive
and binding on all persons.

         12.09.  Initial Public  Offering.  Shall mean an initial public primary
offering by  underwriters on a firm commitment or best efforts basis in which it
is expected  that the common stock will become  listed on a national  securities
exchange or traded on the Automated Quotation System of the National Association
of Securities Dealers or other over-the-counter-market.

         12.10.  0ption.  Shall mean a stock  option not  described  in sections
422(b) or 423(b) of the Code granted  under this  Agreement  and  entitling  the
Optionee to purchase Shares.

         12.11.  Purchase Price. Shall mean the Exercise Price multiplied by the
number of Shares with respect to which this Option is being exercised.

         12.12.  Securities  Act.  Shall  mean the  Securities  Act of 1933,  as
amended.

                                       -9-
<PAGE>
         12.13.  Securities Exchange Act. Shall mean the Securities Exchange Act
of 1934, as amended.

         12.14. Service.  Shall mean consulting service of the Optionee pursuant
to the Consulting Agreement.

         12.15.  Share. Shall mean one (1) share of Common Stock, as adjusted in
accordance with Article 10 (if applicable).

         12.16.  Subsidiary.  Shall mean any corporation,  if the Company or one
(1) or more other Subsidiaries own, individually or collectively,  not less than
fifty  percent  (50%) of the  total  combined  voting  power of all  classes  of
outstanding stock of such corporation.

         IN WITNESS  WHEREOF,  the  Company  has  caused  this  Agreement  to be
executed on its behalf by its officer  duly  authorized,  and the  Optionee  has
personally executed this Agreement.

                                    OPTIONEE:


                                        ----------------------------------
                                                 TIMOTHY R. KELLY 

                                       Address:
                                               ---------------------------
                                               ---------------------------

                                    COMPANY:

                                       SUTTER SURGERY CENTERS, INC., a
                                       Delaware corporation



                                       By
                                          -------------------------------
                                       Its
                                          -------------------------------
                                       Address:   1201 Alhambra BlvD., Ste. 330 
                                                  Sacramento, CA 95816








                                      -10-
<PAGE>

                                  EXHIBIT 4.01

                              OPTION EXERCISE FORM
































<PAGE>

                                                       Date: __________________

                            NONQUALIFIED STOCK OPTION

                                  EXERCISE FORM



Sutter Surgery Centers, Inc.
Attention: Chief Financial Officer
1201 Alhambra Boulevard, Suite 330
Sacramento, CA 95816

        The undersigned elects to exercise the option to purchase_______________
(__________) shares of common stock (the  "Shares") of Sutter  Surgery  Centers,
Inc. (the "Company"),  in accordance with the nonqualified  stock option granted
to the undersigned by the Company as of May 16, 1994, pursuant to a Nonqualified
Stock Option Plan and Agreement (the "Agreement").

         Prior to the issuance of these Shares,  I will make full payment of the
purchase price for the Shares by one of the following methods as indicated:

         [ ]     In cash in the amount of

         [ ]     By  tender  of Shares of the Company  owned by the  undersigned
                 for more than six (6) months,  having a fair market  value when
                 combined  with  other  forms of  payment  of not less  than the
                 purchase price.

         Please  issue the Shares to  ____________________________________[i.e.,
Optionee;  Optionee and spouse as community property;  or Optionee and spouse as
joint tenants with right of survivorship].

         I  represent  and agree that I am over  eighteen  (18) years of age and
that I have no present intention to transfer,  sell or otherwise dispose of such
Shares,  except as permitted  pursuant to the Agreement  and in compliance  with
applicable securities laws.
<PAGE>
         I acknowledge  and  understand  that the Company has granted the Option
pursuant  to the  terms  of Rule  701  under  the  Securities  Act and  that the
following provisions relating to the resale of my Shares shall apply:

                       (A) If I am not an affiliate  of the Company,  as defined
                  in Rule 144 of the Securities Act of 1933 ("Securities  Act"),
                  I may  resell my Shares  ninety  (90) days  after the  Company
                  becomes subject to the reporting requirements of section 13 or
                  15(d) of the Securities  Exchange Act of 1934 ("Exchange Act")
                  (e.g.,  ninety (90) days after the  Company's  Initial  Public
                  Offering);  provided I comply with Rule 144 of the  Securities
                  Act's  manner of sale  limitations  set  forth in Rule  144(f)
                  (e.g., my Shares are sold in a "broker's  transaction" or to a
                  "market maker"); or

                       (B) If I am an affiliate  of the  Company,  as defined in
                  Rule 144 of the Securities  Act, I may resell my shares ninety
                  (90) days after the Company  becomes  subject to the reporting
                  requirements of section 13 or 15(d) of the Exchange Act (e.g.,
                  ninety (90) days after the Company's Initial Public Offering);
                  provided I comply  with all of the  provisions  of Rule 144 of
                  the  Securities  Act, other than Rule 144(d)  (holding  period
                  requirement).

         I further  acknowledge  and understand  that,  if, for any reason,  the
Shares are not covered by the exemption  contained in Rule 701 of the Securities
Act, the Shares must be sold under the provisions of Rule 144. These  provisions
include,  among other things:  the  availability  of certain public  information
about the  Company,  the Shares  being held for a minimum of two (2) years,  the
sale being made (i) through a broker in an unsolicited "broker's transaction" or
(ii) to a market maker, and the amount of securities being sold during any three
(3) month period not exceeding  specified  limitations  (generally,  one percent
(1%) of the total amount outstanding).

         Moreover,  I further acknowledge and understand that if the Company has
registered  the  Shares  on Form  S-8 (or any  successor  form),  the  following
provisions shall apply:

                                       -2-
<PAGE>
                       (A) If I am not an affiliate of the Company, I may freely
                  resell my Shares, subject to any contractual obligations I may
                  have to the Company; or

                       (B) If I am an affiliate of the Company,  I may resell my
                  Shares,  subject  to (i) the  provisions  of  Rule  144 of the
                  Securities   Act,  other  than  Rule  144(d)  (holding  period
                  requirement);  and (ii) any contractual  obligations I have to
                  the Company.

         I  understand  that the Shares may be  subject to the  restrictions  on
transfer set forth in Article 9 of the Agreement.

         I agree to obtain the consent of my spouse for any such agreement which
may be required by Company.

         My address of record is:

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

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

and my Social Security number is:
                                 ---------------------------
                                     Very truly yours,



                                     -------------------------------------
                                                TIMOTHY R. KELLY

                                       -3-


<PAGE>
         The undersigned,  being the spouse of  _______________________________,
does  hereby  acknowledge  that he or she has  read  and is  familiar  with  the
provisions  of the  above  Nonqualified  Stock  Option  Exercise  Form  and  the
Agreement,  and he or she hereby agrees thereto and joins therein to the extent,
if any, that his or her agreement and joinder may be necessary.

         DATED:
               ---------------------------

                                                --------------------------------
                                                             Signature


                                                --------------------------------
                                                             Print Name




Receipt of the above is hereby 
acknowledged:

SUTTER SURGERY CENTERS, INC.,
a Delaware corporation



By
  -------------------------------

Its
   ------------------------------

Dated:
      ---------------------------

<PAGE>

                                                                    EXHIBIT 4(f)

                   SUTTER SURGERY CENTERS, INC., NONQUALIFIED
                      STOCK OPTION PLAN AND AGREEMENT (MAY)

         THIS  AGREEMENT  is  entered  into as of May  16,1994,  between  SUTTER
SURGERY CENTERS, INC., a Delaware corporation (the "Company"), and ROBERT G. MAY
(the "Optionee").

                                    Recitals

         The Company's Board has established  this Agreement in order to fulfill
the  Company's  obligation  under  Section  3 of  the  Consulting  Agreement  by
providing  the  Optionee  with an  opportunity  to acquire  common  stock of the
Company;

         NOW, THEREFORE, it is agreed as follows:

                                    Agreement

ARTICLE 1. GRANT OF OPTION.

         On the terms and conditions  stated below, the Company hereby grants to
the Optionee  the option to purchase  FIFTEEN  THOUSAND SIX HUNDRED  TWENTY-FIVE
(15,625)  Shares for the sum of ONE DOLLAR  ($1.00)  per Share,  the Fair Market
Value of the Shares. This Option is not intended to be an incentive stock option
described in section 422 of the Code.

ARTICLE 2. NO TRANSFER OR ASSIGNMENT OF OPTION.

         Except as  otherwise  provided in this  Agreement,  this Option and the
rights and  privileges  conferred  hereby  shall not be  transferred,  assigned,
pledged or  hypothecated  in any way,  whether by operation of law or otherwise,
and shall not be subject to sale under execution, attachment or similar process.
Except as otherwise  provided  herein,  upon any transfer,  assignment,  pledge,
hypothecation or other  disposition of this Option, or of any right or privilege
conferred  hereby,  contrary  to the  provisions  hereof,  or any sale under any
execution,  attachment  or  similar  process  upon  the  rights  and  privileges
conferred  hereby,  this Option and the rights and privileges  conferred  hereby
shall immediately become null and void.
<PAGE>
ARTICLE 3. RIGHT TO EXERCISE.

         3.01.  Vesting.  Optionee may  exercise  this Option only to the extent
that  the  Optionee's  interest  in  this  Option  has  vested.  Subject  to the
conditions  stated in this  Agreement,  the right to exercise  this Option shall
accrue in installments as follows:

                                     No. of                   Percentage of
  Vesting Period                     Shares                 Shares Exercisable
 
   May 16,1995                       3,125                         20%
   May 16,1996                       6,250                         40%
   May 16,1997                       9,375                         60%
   May 16,1998                      12,500                         80%
   May 15,1999                      15,625                        100%
       Total                        15,625                        100%

         In the case of each  vesting  period,  the  number  of Shares of common
stock, if any, previously purchased under this Option shall be deducted from the
amount of Shares  Optionee is entitled to acquire.  Any other  provision of this
Agreement notwithstanding,  if the Optionee does not provide consulting services
under the Consulting  Agreement for any reason, and (i) the Consulting Agreement
is still in effect,  and (ii) the Company has provided the Optionee with written
notice that, although the Consulting  Agreement is still in effect, the Optionee
is not  currently  providing  consulting  services to the Company  (referred  to
herein as a "Lapse  Notice"),  then the date when any installment of this Option
would otherwise become exercisable under the foregoing schedule shall be delayed
for a period equal to the duration of the Lapse  Notice.  The Lapse Notice shall
be of no further  effect once the Company has  notified  the  Optionee  that the
Lapse Notice has terminated.

         3.02.  Periods of  Nonexercisability.  This Section 3.02 shall  prevail
over any other  portion of this  Agreement.  The Company shall have the right to
designate  as many as two (2)  periods of time,  each of which  shall not exceed
twelve (12) consecutive months in length,  during which this Option shall not be
exercisable.  The  Company  may only make such a  designation  if it  reasonably
determines that such a limitation on exercise is reasonably likely to facilitate
(i) a lessening of any restriction on transfer pursuant to the Securities Act or
any state

                                       -2-
<PAGE>
securities  laws  on any  issuance  of  securities  by  the  Company,  (ii)  the
registration  or  qualification  of any  securities  by the  Company  under  the
Securities  Act or any state  securities  laws,  or (iii) the  perfection of any
exemption from the registration or qualification  requirements of the Securities
Act or any applicable  state securities laws for the issuance or transfer of any
securities. This limitation on exercise shall not alter the vesting schedule set
forth in Section  3.01 other than to limit the periods  during which this Option
shall be  exercisable.  The Optionee  shall be notified in writing in advance of
any such designation by the Company.

         3.03. Listing, Registration or Qualification of Shares. If the listing,
registration  or  qualification  of the  Shares  subject  to this  Option on any
securities  exchange  or under any state or  federal  law or if the  consent  or
approval of any regulatory  body is necessary in connection with the granting of
this  Option or the  delivery  or  purchase  of Shares,  this  Option may not be
exercised, in whole or in part, until such listing, registration, qualification,
consent or approval has been effected or obtained.  The Company shall make every
reasonable   effort  to  effect  or  obtain  any  such  listing,   registration,
qualification, consent or approval as may be required.

ARTICLE 4.  EXERCISE PROCEDURES.

         4.01. Notice of Exercise.

                  A. The Optionee may exercise  this Option by giving  notice to
the Chief Financial  Officer of the Company.  In the notice,  the Optionee shall
specify (i) the election to exercise  this Option;  (ii) the number of Shares to
be issued;  and (iii) the form of payment for such Shares.  The  Optionee  shall
sign the notice.  The Optionee  shall deliver the notice to the Chief  Financial
Officer of the Company; and at the time of giving the notice, the Optionee shall
make payment in a form  permissible  under  Article 5 for the full amount of the
Purchase Price. The notice shall be in the form attached as Exhibit 4.01.

                  B. A  representative  of the Optionee may exercise this Option
on behalf of the Optionee in accordance  with the procedures of Section  4.0l.A.
In addition to the  procedures  of Section  4.0l.A.,  the  representative  shall
provide proof satisfactory to the Company of the representative's authority as a
condition of the representative's right to exercise this Option.

         4.02.  Issuance of Shares.  After receiving a proper notice of exercise
and full  payment for the  Shares,  the Company  shall  issue a  certificate  or
certificates  for the Shares  subject to this Option  exercised by the Optionee,
registered in the name of

                                       -3-
<PAGE>
the Optionee (or a person set forth in Section 6.03), or, if so specified in the
notice  of option  exercise,  in the names of the  Optionee  and the  Optionee's
spouse as community property or as joint tenants with right of survivorship. The
Company shall deliver any certificates  representing the Shares to the Optionee.

ARTICLE 5. PAYMENT FOR STOCK.

         The Optionee  shall pay for the entire  Purchase Price in United States
dollars,  or, at Optionee's  discretion,  Optionee may elect to surrender Shares
provided the Shares have been held for more than six (6) months and provided the
Shares are surrendered to the Company in good form for transfer and the transfer
will not cause Optionee or the Company to be in violation of the Securities Act,
the Securities Exchange Act, or state securities laws.

         The combined  amount paid in cash and the value of  surrendered  Shares
must  equal the  Purchase  Price.  The Board  shall  determine  the value of any
surrendered Shares.

ARTICLE 6. TERM AND EXPIRATION.

         6.01.  Basic  Term.  This  Option  shall  expire on May 15, 2000 unless
extended due to a delay as  described  in Section 3.02 with the delay  occurring
after  the  second  (2nd)  anniversary  of the  Date of  Grant.  If a  delay  in
exercising  this Option (as  described in Section  3.02) occurs after the second
(2nd)  anniversary  of the  Date of  Grant,  the  term of this  Option  shall be
extended by one day for each day of such delay  occurring after the second (2nd)
anniversary of the Date of Grant.

         6.02.  Termination  of Service  (Except by  Death).  If the  Optionee's
Service  terminates  for any reason  other than death,  then this  Option  shall
expire on the earliest of the following occasions:

                  A. The date determined pursuant to Section 6.01, above;

                  B. The date  twelve  (12)  months  after  the  termination  of
Optionee's Service without cause by the Company pursuant to Section 10.A. of the
Consulting Agreement; or

                  C.  The  date  ninety  (90)  days  after  the  termination  of
Optionee's  Service for any reason other than termination of Optionee's  Service
without  cause by the  Company  pursuant  to  Section  10.A.  of the  Consulting
Agreement.

                  The  Optionee  may  exercise all or part of this Option at any
time before it sexpiration under the preceding sentence,  but only to the extent
that this

                                       -4-
<PAGE>
Option had become  vested  before the  Optionee's  Service  terminated,  and the
balance of this Option shall lapse when the Optionee's  Service  terminates.  If
the Optionee dies after the  termination of Service but before the expiration of
this Option,  all or part of this Option may be exercised  (prior to expiration)
by the executors or administrators of the Optionee's estate or by any person who
has acquired  this Option  directly  from the  Optionee by bequest,  beneficiary
designation or  inheritance,  but only to the extent that this Option had become
vested before the Optionee's Service terminated.

         6.03.  Death of Optionee.  If the Optionee dies while in Service,  then
this Option shall expire on the earlier of the following dates:

                  A. The  expiration  date  determined  pursuant to Section 6.01
above;or

                  B. The date twelve (12) months after the Optionee's death.

                  All or part of this Option may be exercised at any time before
its expiration under the preceding  sentence by the executors or  administrators
of the Optionee's  estate or by any person who has acquired this Option directly
from the Optionee by bequest, beneficiary designation or inheritance but only to
the extent that such Option(s) had become vested before the Optionee's  death or
became  exercisable  as a result of the  Optionee's  death.  The balance of such
Option(s) shall lapse when the Optionee dies.

ARTICLE 7. LEGALITY OF INITIAL ISSUANCE.

         Shares  shall be issued  upon the  exercise  of this Option only if the
Company  has  determined  that (i) it and the  Optionee  have taken any  actions
required by law to register the Shares under the Securities Act or to perfect an
exemption  from the  registration  requirements  thereof;  (ii)  any  applicable
listing  requirement  of any stock  exchange or automated  quotations  system on
which the Shares are listed has been satisfied;  and (iii) any other  applicable
provision of state or federal securities law has been satisfied.

ARTICLE 8. REGISTRATION RIGHTS.

         The Company may, but shall not be obligated to, register or qualify the
resale  of  Shares  by the  Optionee  under  the  Securities  Act  or any  other
applicable  law.  The Company  shall not be  obligated  to take any  affirmative
action in order to cause a resale of Shares to comply with any law. However, the
Company has granted this

                                      -5-
<PAGE>

Option  pursuant  to the  terms of Rule 701  under  the  Securities  Act and the
Optionee may resell Shares,  provided the Optionee  complies with the provisions
described in the Option  Exercise  Form,  attached as Exhibit  4.01. 

ARTICLE 9.  RESTRICTIONS ON TRANSFER OF SHARES.

         9.01.  Restrictions.  Regardless  of whether the  offering  and sale of
Shares under this  Agreement  have been  registered  under the Securities Act or
have been registered or qualified  under the securities  laws of any state,  the
Company may impose  restrictions upon the sale, pledge or other transfer of such
Shares  (including the placement of appropriate  legends on stock  certificates)
if, in the  judgment of the  Company  and its  counsel,  such  restrictions  are
necessary or desirable in order to achieve  compliance  with the Securities Act,
the securities laws of any state or any other law or with  restrictions  imposed
by the Company's underwriters.  

         9.02. Administration.  Any determination by the Company and its counsel
in  connection  with any of the  matters  set  forth in this  Article 9 shall be
conclusive and binding on the Optionee and all other persons.

         9.03.  Investment  Purpose.  The Optionee  hereby  represents  that any
Shares of common stock  purchased upon exercise of this Option will be purchased
for  investment  and not  with a view to the  distribution  thereof  within  the
meaning of the Securities Act. As a condition  precedent to any exercise of this
Option,  the  Optionee  agrees that,  if requested by the Board,  he or she will
promptly  submit a written  statement in a form  satisfactory to counsel for the
Company to the effect  that such  representation  is true and  correct as of the
date of purchase of any Shares hereunder.

                  A. As a further  condition  precedent  to any exercise of this
Option,  the Optionee shall comply with all regulations and  requirements of any
regulatory authority having control of, or supervision over, the issuance of the
common  stock of the Company and, in  connection  therewith,  shall  execute any
documents  which the Board  deems  necessary  or  advisable,  provided  that the
Optionee  shall  not be  required  to bear  any  expense  associated  with  such
compliance.

                  B. By  accepting  this Option,  the  Optionee  agrees that the
Optionee shall not, directly or indirectly, without the prior written consent of
the Company, sell, offer, contract to sell, pledge, grant any option to purchase
or otherwise  dispose of any Shares of common stock acquired by exercise of this
Option for a period  beginning  on the date of the Initial  Public  Offering and
ending one

                                       -6-

<PAGE>
hundred  eighty  (180)  days  after  the date that  Shares  of common  stock are
released  by the  Company's  underwriters  for sale to the  public in an Initial
Public  Offering.  Nothing in this Option shall be  construed  as requiring  the
Company to complete or attempt an Initial Public Offering.

                  C.  Each  stock  certificate  issued  by  the  Company  to the
Optionee  upon the  Optionee's  exercise of the Option  granted  shall bear such
legend as the Company deems  necessary or desirable to reflect the provisions of
this Section 9.03.

ARTICLE 10. SHARES AND ADJUSTMENTS.

         10.01.  General. If there is a subdivision of the outstanding Shares, a
declaration of a dividend payable in Shares, a declaration of a dividend payable
in a form other than Shares in an amount that has a material effect on the value
of  Shares,  a  combination  or  consolidation  of the  outstanding  Shares  (by
reclassification   or   otherwise)   into  a  lesser   number   of   Shares,   a
recapitalization or a similar  occurrence,  the Board shall make all appropriate
adjustments  in both (i) the number of Shares  covered by this Option;  and (ii)
the Exercise Price. 

         10.02. Merger;  Consolidation;  Sale; Liquidation.  If the Company is a
party to a merger or consolidation or if there is a sale of all or substantially
all of the Company's assets other than a sale or transfer to a Subsidiary,  this
Option shall be subject to the agreement of merger,  consolidation or sale. Such
agreement  may, as determined by the Board,  provide for: (i) the  assumption of
this Option by the surviving corporation or its parent; (ii) its continuation by
the Company,  if the Company is the surviving  corporation;  (iii) payment for a
cash  settlement  equal to (a) the difference  between the amount to be paid for
one (1) Share under such agreement and the Exercise Price  multiplied by (b) the
number  of  Shares  subject  to the  Option,  vested or  unvested,  or both,  as
determined  by the  Company;  or (iv) the  acceleration  of the  vesting of this
Option,  followed by the  cancellation  of this Option if not exercised,  in all
other  cases other than  clause  (iii)  without  the  Optionee's  consent.  (The
Optionee's  consent  shall be required for a cash  settlement.)  A  cancellation
shall not occur  earlier  than  thirty  (30) days  after  such  acceleration  is
effective  and the  Optionee  has been  notified of such  acceleration.  If this
Option has been  outstanding  for less than twelve (12) months,  a  cancellation
need not be preceded by an acceleration.

         10.03.  Reservation  of Rights.  Except as  provided in Article 10, the
Optionee shall have no rights by reason of (i) any subdivision or  consolidation
of

                                       -7
<PAGE>
shares of stock of any class;  (ii) the  payment of any  dividend;  or (iii) any
other  increase or  decrease in the number of shares of stock of any class.  Any
issue by the Company of shares of stock of any class, or securities  convertible
into shares of stock of any class, shall not affect, and no adjustment by reason
thereof  shall be made with  respect  to,  the number or  Exercise  Price of the
Shares subject to this Option.  The grant of this Option shall not affect in any
way the right or power of the  Company to make  adjustments,  reclassifications,
reorganizations  or changes of its  capital or business  structure,  to merge or
consolidate or to dissolve,  liquidate,  sell or transfer all or any part of its
business or assets.

ARTICLE 11. MISCELLANEOUS PROVISIONS.

         11.01. Withholding Taxes. If the Company determines that it is required
to withhold foreign,  federal,  state or local taxes as a result of the exercise
of this  Option,  the  Optionee,  as a condition to the exercise of this Option,
shall make  arrangements  satisfactory  to the  Company to enable the Company to
satisfy all withholding requirements.

         11.02. Rights as a Stockholder.  The Optionee shall not have any rights
as a  stockholder  with respect to any Shares  subject to this Option until such
Shares have been issued as provided in Section 4.02.

         11.03. No Employment or Directorship Rights.  Nothing in this Agreement
shall be  construed  as giving the Optionee the right to become or be treated as
an Employee of the Company or a member of the Board of the Company.

         11.04. Notice. Any notice required by the terms of this Agreement shall
be given in writing and shall be deemed effective upon personal  delivery or two
(2) days after the date of deposit with the United  States  Postal  Service,  by
registered or certified  mail with postage and fees prepaid and addressed to the
party entitled to such notice at the address shown below such party's  signature
on this  Agreement,  or at such other address as such party may designate by ten
(10) days' advance written notice to the other party to this Agreement.

         11.05.  Entire Agreement.  This Agreement and the Consulting  Agreement
constitute  the entire  contract  between the parties  hereto with regard to the
subject  matter hereof and supersede all prior and  contemporaneous  agreements,
representations, warranties and understandings of the parties.

         11.06.  Choice  of Law.  This  Agreement  shall  be  governed  by,  and
construed in accordance with, the laws of the State of California  (exclusive of
its

                                       -8-
<PAGE>
laws  regarding  the  conflict of laws),  as such laws are applied to  contracts
entered into and performed in such state.  The state courts of California  shall
have exclusive jurisdiction over any judicial proceeding relating to any dispute
arising out of the interpretation, performance or breach of this Agreement.

ARTICLE 12. DEFINITIONS.

         12.01.  Agreement.  Shall mean this Nonqualified  Stock Option Plan and
Agreement.

         12.02.  Board.  Shall mean the Board of Directors  of the  Company,  as
constituted from time to time.

         12.03. Code. Shall mean the Internal Revenue Code of 1986, as amended.

         12.04.  Consulting  Agreement.  Shall  mean the  Consulting  Agreement,
effective  as of May 16,  1994,  by and between  the  Company and the  Optionee.

         12.05. Date of Grant. Shall mean the date as of which this Agreement is
entered into.

         12.06. Employee. Shall mean any individual who is a common law employee
of the Company or of a Subsidiary.

         12.07.  Exercise  Price.  Shall mean the amount for which one (1) Share
may be purchased upon exercise of this Option as specified in Section 1.01.

         12.08. Fair Market Value.  Shall mean the fair market value of a Share,
as determined by the Board in good faith. Such determination shall be conclusive
and  binding on all  persons.  

         12.09.  Initial Public  Offering.  Shall mean an initial public primary
offering by  underwriters on a firm commitment or best efforts basis in which it
is expected  that the common stock will become  listed on a national  securities
exchange or traded on the Automated Quotation System of the National Association
of Securities Dealers or other over-the-counter-market.

         12.10.  0ption.  Shall mean a stock  option not  described  in sections
422(b) or 423(b) of the Code granted  under this  Agreement  and  entitling  the
Optionee to purchase Shares.

         12.11.  Purchase Price. Shall mean the Exercise Price multiplied by the
number of Shares with respect to which this Option is being exercised.

         12.12.  Securities  Act.  Shall  mean the  Securities  Act of 1933,  as
amended.

                                       -9-

<PAGE>
         12.13.  Securities Exchange Act. Shall mean the Securities Exchange Act
of 1934, as amended.

         12.14. Service.  Shall mean consulting service of the Optionee pursuant
to the Consulting Agreement.

         12.15.  Share. Shall mean one (1) share of Common Stock, as adjusted in
accordance with Article 10 (if applicable).

         12.16.  Subsidiary.  Shall mean any corporation,  if the Company or one
(1) or more other Subsidiaries own, individually or collectively,  not less than
fifty  percent  (50%) of the  total  combined  voting  power of all  classes  of
outstanding stock of such corporation.

         IN WITNESS  WHEREOF,  the  Company  has  caused  this  Agreement  to be
executed on its behalf by its officer  duly  authorized,  and the  Optionee  has
personally executed this Agreement.

                                    OPTIONEE:



                                            ------------------------------------
                                                      ROBERT G. MAY 


                                            Address:
                                                    ----------------------------
                                                    ----------------------------


                                    COMPANY:

                                          SUTTER SURGERY CENTERS, INC., a
                                          Delaware corporation


                                           By
                                              ----------------------------------
                                           Its
                                              ----------------------------------
                                           Address: 201 Alhambra Blvd., Ste. 330
                                                    Sacramento, CA 95816







                                      -10-

<PAGE>

                                  EXHIBIT 4.01

                              OPTION EXERCISE FORM





















<PAGE>

                                                       Date:___________________


                            NONQUALIFIED STOCK OPTION

                                  EXERCISE FORM

Sutter Surgery Centers, Inc.
Attention: Chief Financial Officer
1201 Alhambra Boulevard, Suite 330
Sacramento, CA 95816

         The undersigned elects to exercise the option to purchase______________
(__________) shares of common stock (the  "Shares") of Sutter  Surgery  Centers,
Inc. (the "Company"),  in accordance with the nonqualified  stock option granted
to the undersigned by the Company as of May 16, 1994, pursuant to a Nonqualified
Stock Option Plan and Agreement (the "Agreement").

         Prior to the issuance of these Shares,  I will make full payment of the
purchase price for the Shares by one of the following methods as indicated:

         [ ]      In cash in the amount of

         [ ]      By tender of Shares of the  Company  owned by the  undersigned
                  for more than six (6) months,  having a fair market value when
                  combined  with  other  forms of  payment  of not less than the
                  purchase price.

         Please  issue the Shares to  ____________________________________[i.e.,
Optionee;  Optionee and spouse as community property;  or Optionee and spouse as
joint tenants with right of survivorship].

         I  represent  and agree that I am over  eighteen  (18) years of age and
that I have no present intention to transfer,  sell or otherwise dispose of such
Shares,  except as permitted  pursuant to the Agreement  and in compliance  with
applicable securities laws.
<PAGE>
         I acknowledge  and  understand  that the Company has granted the Option
pursuant  to the  terms  of Rule  701  under  the  Securities  Act and  that the
following provisions relating to the resale of my Shares shall apply:

                       (A) If I am not an affiliate  of the Company,  as defined
                  in Rule 144 of the Securities Act of 1933 ("Securities  Act"),
                  I may  resell my Shares  ninety  (90) days  after the  Company
                  becomes subject to the reporting requirements of section 13 or
                  15(d) of the Securities  Exchange Act of 1934 ("Exchange Act")
                  (e.g.,  ninety (90) days after the  Company's  Initial  Public
                  Offering);  provided I comply with Rule 144 of the  Securities
                  Act's  manner of sale  limitations  set  forth in Rule  144(f)
                  (e.g., my Shares are sold in a "broker's  transaction" or to a
                  "market maker"); or

                       (B) If I am an affiliate  of the  Company,  as defined in
                  Rule 144 of the Securities  Act, I may resell my shares ninety
                  (90) days after the Company  becomes  subject to the reporting
                  requirements of section 13 or 15(d) of the Exchange Act (e.g.,
                  ninety (90) days after the Company's Initial Public Offering);
                  provided I comply  with all of the  provisions  of Rule 144 of
                  the  Securities  Act, other than Rule 144(d)  (holding  period
                  requirement).

         I further  acknowledge  and understand  that,  if, for any reason,  the
Shares are not covered by the exemption  contained in Rule 701 of the Securities
Act, the Shares must be sold under the provisions of Rule 144. These  provisions
include,  among other things:  the  availability  of certain public  information
about the  Company,  the Shares  being held for a minimum of two (2) years,  the
sale being made (i) through a broker in an unsolicited "broker's transaction" or
(ii) to a market maker, and the amount of securities being sold during any three
(3) month period not exceeding  specified  limitations  (generally,  one percent
(1%) of the total amount outstanding).

         Moreover,  I further acknowledge and understand that if the Company has
registered  the  Shares  on Form  S-8 (or any  successor  form),  the  following
provisions shall apply:

                                       -2-

     
<PAGE>
                       (A) If I am not an affiliate of the Company, I may freely
                  resell my Shares, subject to any contractual obligations I may
                  have to the Company; or

                       (B) If I am an affiliate of the Company,  I may resell my
                  Shares,  subject  to (i) the  provisions  of  Rule  144 of the
                  Securities   Act,  other  than  Rule  144(d)  (holding  period
                  requirement);  and (ii) any contractual  obligations I have to
                  the Company.

         I  understand  that the Shares may be  subject to the  restrictions  on
transfer set forth in Article 9 of the Agreement.

         I agree to obtain the consent of my spouse for any such agreement which
may be required by Company.

         My address of record is:


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

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

and my Social Security number is:
                                 ---------------------------
                                      Very truly yours,



                                      ---------------------------
                                            ROBERT G. MAY

                                       -3-
<PAGE>
         The undersigned,  being the spouse of  _______________________________,
does  hereby  acknowledge  that he or she has  read  and is  familiar  with  the
provisions  of the  above  Nonqualified  Stock  Option  Exercise  Form  and  the
Agreement,  and he or she hereby agrees thereto and joins therein to the extent,
if any, that his or her agreement and joinder may be necessary.

         DATED:
               ---------------------------

                                                --------------------------------
                                                             Signature


                                                --------------------------------
                                                             Print Name




Receipt of the above is hereby 
acknowledged:

SUTTER SURGERY CENTERS, INC.,
a Delaware corporation



By
  -------------------------------

Its
   ------------------------------

Dated:
      ---------------------------


<PAGE>


                                                                     Exhibit 5

Haskell Slaughter Young & Johnston,
  Professional Association
1200 AmSouth/Harbert Plaza
1901 Sixth Avenue North
Birmingham, Alabama  35203-2618

November 27, 1995

HEALTHSOUTH Corporation
Two Perimeter Park South
Birmingham, Alabama 35243

                    Re: Registration Statement on Form S-8 --
              Sutter Surgery Centers, Inc. 1993 Stock Option Plan;
                Sutter Surgery Centers, Inc. Non-Qualified Stock
                          Options Plans and Agreements

Gentlemen:

         We have  served as  counsel  for  HEALTHSOUTH  Corporation,  a Delaware
corporation  (the  "Company"),  in connection  with the  registration  under the
Securities  Act of 1933,  as amended,  of an  aggregate  of 175,449  shares (the
"Shares") of the Company's authorized Common Stock, par value $.01 per share, to
be issued to participants  of the Company's  Sutter Surgery  Centers,  Inc. 1993
Stock Option Plan, Sutter Surgery Centers, Inc.  Non-Qualified Stock Option Plan
and Agreement (Saibeni), Sutter Surgery Centers, Inc. Non-Qualified Stock Option
Plan and Agreement  (Shah),  Sutter Surgery Centers,  Inc.  Non-Qualified  Stock
Option Plan and Agreement (Akella),  Sutter Surgery Centers, Inc.  Non-Qualified
Stock  Option Plan and  Agreement  (Kelly),  and Sutter  Surgery  Centers,  Inc.
Non-Qualified  Stock Option Plan and Agreement (May) (the "Plans"),  pursuant to
the  Company's   Registration  Statement  on  Form  S-8  relating  thereto  (the
"Registration  Statement").  This  opinion is  furnished  to you pursuant to the
requirements of Form S-8.

         In connection with this opinion, we have examined and are familiar with
originals or copies  (certified or otherwise  identified to our satisfaction) of
such  documents,  corporate  records  and  other  instruments  relating  to  the
incorporation of the Company and to the authorization and issuance of the Shares
and the  authorization  and adoption of the Plan as we have deemed necessary and
appropriate.

         Based  upon  the   foregoing,   and   having   regard  for  such  legal
considerations we have deemed relevant, it is our opinion that:
<PAGE>
HEALTHSOUTH Corporation
November 27, 1995
Page 2

         1.       The Shares have been duly authorized.

         2. Upon issuance,  sale and delivery of the Shares as  contemplated  in
the  Registration  Statement and the Plans,  the Shares will be legally  issued,
fully paid and nonassessable.

         We do hereby  consent to the  reference  to our firm under the  heading
"Interests  of Named Experts and Counsel" in the  Registration  Statement and to
the filing of this Opinion as an Exhibit thereto.

                                Very truly yours,

                                HASKELL SLAUGHTER YOUNG & JOHNSTON
                                    Professional Association

                                By         /s/  GWEN L. WINDLE
                                   ----------------------------------------
                                               Gwen L. Windle

<PAGE>


                                                                 EXHIBIT 23(a)

                          Consent of Ernst & Young LLP,
                              Independent Auditors

We consent to the incorporation by reference in the Registration Statement (Form
S-8)  pertaining  to the Sutter  Surgery  Centers,  Inc. 1993 Stock Option Plan,
Sutter  Surgery  Centers,  Inc.  Non-Qualified  Stock Option Plan and  Agreement
(SAIBENI),  Sutter Surgery  Centers,  Inc.  Non-Qualified  Stock Option Plan and
Agreement (SHAH), Sutter Surgery Centers,  Inc.  Non-Qualified STock Option Plan
and Agreement (AKELLA),  Sutter Surgery Centers, Inc. Non-Qualified Stock Option
Plan and Agreement (KELLY) and Sutter Surgery Centers, Inc.  Non-Qualified Stock
Option Plan and Agreement  (MAY) of HEALTHSOUTH  Corporation of our report dated
March 1, 1995,  except for Notes 2 and 17 as to which the date is June 13, 1995,
with  respect  to  the  consolidated   financial   statements  and  schedule  of
HEALTHSOUTH  Corporation  included in its Annual Report (Form 10-K) for the year
ended December 31, 1994, filed with the Securities and Exchange Commission.

                                           /s/ ERNST & YOUNG LLP

Birmingham, Alabama
November 27, 1995



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