INTEGRATED ORTHOPEDICS INC
SC 13D/A, EX-99.5, 2000-08-08
HEALTH SERVICES
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                                  Exhibit 99.5

                                    AGREEMENT

     Effective  this         day  of  July  2000,  FW  Integrated  Orthopaedics
Investors,  L.P., FW Integrated Orthopaedics Investors II, L.P.,  (collectively
the  "B  Holder")  and Jose E. Kauachi ("Kauachi"), William F.  Donovan,  M.D.,
Sharon Ann Donovan, Elwayne Hafen, Ray Bishop, Mark Gerstenfeld, Fred Bressler,
George Valente, Gerry Dye, William Papenhagen, Dean Lousberg, and Brian Rothman
(collectively with Kauachi, the "Other Holders") enter into this Agreement (the
"Agreement") as follows:

     WHEREAS,  the  B  Holder  holds all of the Series  B  Preferred  Stock  of
Integrated Orthopaedics, Inc. (the "Company");

     WHEREAS,  Under  that certain Certificate of Designations filed  with  the
Secretary  of  the State of Texas dated December 12, 1997 (the "Certificate  of
Designations"), the Series B Preferred shares may be converted (either  through
a  mandatory conversion or at the Company's option) into shares of common stock
of the Company;

     WHEREAS,  Kauachi  is  a  common shareholder, Chairman  of  the  Board  of
Directors,  Director,  Interim President and a member of  the  Special  Purpose
Executive    Committee   overseeing   day-to-day   operations   of   Integrated
Orthopaedics, Inc. ("IOI"); and

     WHEREAS;  the  Other  Holders support the Board of Directors'  efforts  to
maximize   shareholder  value  by  all  means  including,  without  limitation,
potential changes in the strategic direction of the Company and the pursuit  of
potential extraordinary transactions.

     NOW  THEREFORE,  in consideration of the mutual promises,  covenants,  and
warranties contained herein, the parties agree as follows:

                                      TERMS

     1.  Notwithstanding  section 10 of the Certificate  of  Designations  (and
specifically section 10.3), in the event that the B Holder chooses  to  convert
its  Series  B Preferred Stock into shares of the Company's common stock  at  a
Conversion  Price (as defined in the Certificate of Designations) of  $1.50  or
higher (the "Reduced Conversion Amount"), the Release (as defined below) agreed
to  by  the  Other  Holders  in this Agreement becomes effectively  immediately
without further action or notice.

     2.  In  exchange  for  the  B Holder's agreement to  receive  the  Reduced
Conversion  Amount,  the Other Holders agree to and hereby discharge,  release,
and  acquit the B Holder from all claims, issues, demands, or causes of  action
of  any  kind or nature whatsoever (including costs, expenses, and  legal  fees
which  may  be incurred in litigating such claims), at common law,  in  equity,
statutory  or  otherwise,  fixed or contingent, known  or  unknown,  actual  or
potential, whether or not asserted, now existing or that might hereafter  arise
directly or indirectly related to the B Holder's (i) ownership of the Series  B
Preferred  Stock,  (ii) conversion of such stock into shares of  the  Company's
common  stock,  (iii)  ownership  of  the Company's  common  stock  after  such
conversion, including any sale, transfer, or disposition of such stock, if any,
(iv)  service  or actions by representatives of the B Holder on  the  Board  of
Directors of the Company and committees thereof, (v) actions by representatives
of  the  B  Holder in support of the B Holder's investment in the Company,  and
(vi)  any  other  actions by representatives of the B Holder  relating  to  the
Company,  its  employees,  customers, or related  entities  (collectively,  the
"Release").

                         REPRESENTATIONS AND WARRANTIES

     3.    Each  party represents and warrants that in the event of  a  default
under  this  Agreement,  it  will pay the other party's  reasonable  costs  and
attorney's  fees  necessary to enforce this Agreement to the extent  the  party
seeking  recovery of such costs and attorneys' fees proves default  under  this
Agreement.

     4.    Each  party represents and warrants that it is authorized to execute
this  Agreement  on behalf of the party for whom they purport to  execute  this
Agreement.

     5.    Each  party represents and warrants that it is legally competent  to
execute this Agreement and that it is the owner of the claims, liabilities, and
causes  of  action  released herein and that it has not assigned,  transferred,
conveyed,  or  in any way encumbered any claim, liability, or cause  of  action
released herein. Each party represents and warrants that it is fully authorized
to execute this Agreement without the necessity of obtaining the consent of any
other  party  and  that no other person or entity needs to be  joined  in  this
Agreement in order to accomplish the agreements and releases set forth herein.

     6.   Each party represents and warrants that the execution and performance
of  this Agreement will not result in a breach of or constitute a default under
any  charter  or  bylaw or any provision which is binding on it  or  any  other
agreement, contract, or undertaking to which it is a party.

     7.   Any reference to the "party" or the "parties" shall mean and refer to
Integrated Orthopaedics or Kauachi or both and each of Integrated Orthopaedics'
affiliates,    subsidiaries,   parent   corporations,   successors-in-interest,
predecessors-in-interest,  agents,  servants,  employees,  partners,  officers,
directors,  attorneys,  consultants,  and  representatives,  if  any,   whether
specifically named herein or not, and any other person in privity with  any  of
them.

     8.    Each  party represents and warrants that it has read this Agreement,
that  it understands this Agreement, and that it freely and voluntarily entered
into this Agreement after receiving the advice of counsel.

     9.    This instrument constitutes the entire agreement between the parties
hereto  relating  to  the subject matter hereof and there are  no  inducements,
representations, warranties, or understandings between the parties that do  not
appear within the terms and provisions of this Agreement.

     10.   This  Agreement  supersedes any and all prior  oral  and/or  written
agreements between the parties.

     11.   Each  party  understands that this is a full,  final,  and  complete
Agreement  and  that  the  consideration  described  herein  is  all   of   the
consideration to be given by each party hereto.

     12.   Each  party agrees that no promise or agreement that is  not  herein
expressed has been made to either party in executing this Agreement,  and  that
no  party is relying upon any statement on representation of any party  or  any
agent  of  any of the parties being released hereby. Each party is  relying  on
their own judgment in executing this Agreement.

     13.   This  Agreement may not be modified, amended, or terminated  orally,
and  no term hereof may be waived. No modification, amendment, termination,  or
claimed  waiver  of any of the provisions of this Agreement  shall  be  binding
unless  made in writing and signed by the party against whom such modification,
amendment, or waiver is sought to be enforced.

     14.   It  is  expressly understood and agreed that the  terms  hereof  are
contractual and not mere recitals.

     15.   This Agreement may be executed in one or more counterparts, each  of
which when so executed and delivered shall be deemed to be an original, but all
of  which  taken together shall constitute but one and the same  instrument.  A
facsimile signature of this Agreement shall be effective in all respects.

     16.   Each  of  the parties to this Agreement shall bear  its  own  costs,
attorneys' fees, and all other costs.

     17.  All headings used in this Agreement are used for convenience only and
shall not be used to construe the meaning of any provision of this Agreement.

                                  GOVERNING LAW

     18.  This Agreement shall be governed by the laws of the State of Texas.

     19.   In  the  event  any one or more of the provisions  contained  herein
should  be  invalid,  illegal, or unenforceable in any respect,  the  validity,
legality, and enforceability of the remaining provisions contained herein shall
not  in  any  way be affected thereby and each remaining term and provision  of
this  Agreement shall be valid and be enforced to the fullest extent  permitted
by law.

          IN WITNESS WHEREOF, the undersigned have executed this Agreement as of
the date set forth above.

FW INTEGRATED ORTHOPAEDICS
INVESTORS, L.P.

By Group 31, Inc., General Partner

By


FW INTEGRATED ORTHOPAEDICS
INVESTORS II, L.P.

By FW Group Genpar Inc., General Partner

By



Jose E. Kauachi


William F. Donovan, M.D


Sharon Ann Donovan


Elwayne Hafen


Ray Bishop


Mark Gerstenfeld


Fred Bressler


George Valente


Gerry Dye


William Papenhagen


Dean Lousberg


Brian Rothman



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