Document:

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                                                                    EXHIBIT 10.4

                    (SSG CAPITAL ADVISORS, L.P. LETTERHEAD)

July 31, 2003

Judge Arlin M. Adams
Chapter 11 Trustee of Coram Healthcare Corporation
  and Coram, Inc.
Schnader Harrison Segal & Lewis, LLP
1600 Market Street, Suite 3600
Philadelphia, PA 19103-7286

Dear Judge Adams:

This agreement will serve as the first addendum ("First Addendum") to the
Engagement Agreement dated October 8, 2003 by and between the Chapter 11
Trustee ("Trustee") of Coram Healthcare Corporation and Coram, Inc. and SSG
Capital Advisors, L.P. ("SSG") and Ewing Bemiss & Co. ("EB") (collectively
"Advisor") in connection with Advisor's engagement as exclusive investment
banker and financial advisor to the Trustee, as approved by the Retention Order
dated December 2, 2002.

All defined terms that are capitalized in the Engagement Agreement remain in
place for this First Addendum with the following changes listed below:

1.   The Term is extended from July 9, 2003, the date of the expiration of the
     first Renewal Period, through December 9, 2003.

2.   In addition to the Monthly Fees, Advisor will be paid $100,000 per month
     for August, September, October and November, 2003 ("Additional Monthly
     Fees"). Because the Term has been extended and the scope of the Advisor's
     services has been expanded, the Additional Monthly Fees shall not be
     credited back against the Advisory Fee, the Minimum Advisory Fee or the
     Restructuring Fee.

3.   In the event that the Trustee and/or the Company requires an FASB 142
     Valuation for 2003, Advisor will be paid an additional $50,000, which shall
     not be credited back against the Advisory Fee, Minimum Advisory Fee or
     Restructuring Fee.

This First Addendum is subject to the approval of the United States Bankruptcy
Court for the District of Delaware after notice, which may be expedited, and an
opportunity for a hearing.

<PAGE>
  Judge Arlin M. Adams
  July 31, 2003
  Page 2

  Any further addendum, modification or other changes to the Engagement
  Agreement or this First Addendum must be in writing and signed by both
  parties to be enforceable.

  Please indicate your acceptance of the foregoing by executing and returning
  the enclosed copy of this First Addendum.

SSG CAPITAL ADVISORS, L.P.

By:  Chesen, DeMatteo, Karlson, Victor Securities Corporation,
     General Partner

By:  /s/ Mark E. Chesen                 /s/ J. Scott Victor
     ----------------------------       -------------------------------
     Mark E. Chesen                     J. Scott Victor
     President                          Managing Director

EWING BEMISS & CO.

By:  /s/ Samuel M. Bemiss               /s/ Michael S. Weber
     ----------------------------       -------------------------------
     Samuel M. Bemiss                   Michael S. Weber
     Managing Director                  Managing Director

ACCEPTED:

JUDGE ARLIN M. ADAMS, CHAPTER 11 TRUSTEE
CORAM HEALTHCARE CORPORATION AND CORAM, INC.

By:  /s/ Arlin M. Adams
     ----------------------------       -------------------------------
     Judge Arlin M. Adams               Date
     Chapter 11 Trustee<PAGE>
                                                                    EXHIBIT 10.5

                    SETTLEMENT AGREEMENT AND MUTUAL RELEASE

     This Settlement Agreement and Mutual Release ("Agreement") is made and
entered into as of this 25th day of August, 2003 by and among TBOB ENTERPRISES,
INC. ("TBOB"), a Nebraska corporation and ARLIN M. ADAMS, in his capacity as
Chapter 11 Trustee (the "TRUSTEE") for the Bankruptcy Estates of Coram
Healthcare Corporation ("CHC")and Coram, Inc. ("CORAM") and is made with
reference to the following:

RECITALS

     A.   WHEREAS, TBOB sold all or substantially all the assets of its
prescription services business to CURAFLEX HEALTH SERVICES, INC. ("CURAFLEX")
in 1993 pursuant to an Asset Purchase Agreement (the "Asset Purchase
Agreement");

     B.   WHEREAS, CHC acquired the capital stock of CURAFLEX in 1994;

     C.   WHEREAS, in 1995, a dispute arose concerning the payments due to
under the Asset Purchase Agreement;

     D.   WHEREAS, the aforementioned dispute was resolved by way of a
Settlement Agreement executed in February of 1996 (the "Settlement Agreement");

     E.   WHEREAS, TBOB maintains that the Settlement Agreement was breached
and sought damages by filing a demand for arbitration (the "Arbitration
Proceeding");

     F.   WHEREAS, on August 8, 2000 CHC commenced the bankruptcy cases (the
"Bankruptcy Cases") styled In re Coram Healthcare Corp., et al., Case No.
00-3299 (Bankr. D. Del.) (Jointly Administered) by filing voluntary petitions
for relief with its wholly owned subsidiary, Coram, under Chapter 11 of Title
11 of the United States Code Sections 101 et seq. (the "Bankruptcy Code");

     G.   WHEREAS, commencement of the Bankruptcy Cases automatically stayed
the Arbitration Proceeding;

     H.   WHEREAS, TBOB filed a proof of claim in the amount of $2,163,472.00
against both CHC and CORAM (the "TBOB Claims"):

     I.   WHEREAS, CHC and CORAM objected to the allowance of the TBOB Claims;

     J.   WHEREAS, the parties to this Agreement (individually and collectively
referred to as the "Parties") desire to fully and completely resolve any and
all disputes that have been raised between them concerning the TBOB Claims.
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     NOW, THEREFORE, in consideration of the mutual promises, covenants, and
agreements set forth herein, and subject to the terms and conditions set forth
below, and intending to be legally bound hereby, the TRUSTEE and TBOB agree as
follows:

     1. Agreements of the Parties.

          a. In the event that a plan of reorganization providing for payment of
100% of allowed general unsecured claims (hereinafter "a 100% Plan") is
confirmed by the Bankruptcy Court in which the Bankruptcy Cases are pending on
or before December 31, 2003 (the "Deadline Date") TBOB's general unsecured
claim against CHC shall be allowed in the total amount of one million five
hundred thousand dollars ($1,500,000.00) (the "TBOB Settlement Amount"), and
TBOB's general unsecured claim against CORAM shall be disallowed, provided that
TBOB may, in its sole discretion, elect to extend the Deadline Date for a
period up to and including December 31, 2004 by providing written notice to the
Trustee or any successor entity.

          b. In the event a 100% Plan is not confirmed before the Deadline Date
or any extension thereof elected by TBOB, then notwithstanding paragraph 1.a.,
TBOB shall, at its option, and in its sole discretion be permitted to seek
allowance of its claims against CHC or CORAM in an amount greater than one
million five hundred thousand dollars ($1,500,000.00). In the event TBOB elects
to seek allowance of its claims against CHC and CORAM in an amount greater than
one million five hundred thousand dollars ($1,500,000.00) the TRUSTEE shall be
permitted to seek reduction of the claims of TBOB below one million five
hundred thousand dollars ($1,500,000.00). Nothing herein shall be construed to
permit the TRUSTEE (or any other party in interest) to seek reduction of the
TBOB claims unless and until TBOB seeks allowance of its claim in an amount
greater than such amount.

          c. To the extent that the confirmed plan provides interest in favor
of unsecured claims, TBOB shall be eligible to receive interest on its allowed
claim as set forth in such plan.

     2. Conditions Precedent. The Parties hereby acknowledge and that it shall
be a condition precedent to the dismissal of the Arbitration Proceeding and the
granting of mutual releases that this Agreement is approved by the United
States Bankruptcy Court in the Bankruptcy Cases.

     3. Dismissal and Release. Upon confirmation of a 100% Plan by the Deadline
Date or any extension elected by TBOB, provided that this Agreement has been
approved by the Bankruptcy Court, and provided further that payment of its
allowed claim has been made:

          a. TBOB shall cause the Arbitration Proceeding to be dismissed with
prejudice;

          b. TBOB shall release and forever discharge (i) the TRUSTEE and each
of his agents, heirs, successors in interest, assigns and attorneys, (ii) CHC,
CORAM and each of their respective past and present officers, directors,
shareholders, employees, agents, predecessors, successors in interest, assigns,
attorneys, parent companies, companies in common ownership and subsidiaries
(including but not limited to CURAFLEX), from any and all claims,

                                       2
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debts, liabilities, demands, obligations, promises, acts, agreements,
accountings, costs and expenses (including, but not limited to, attorneys fees
and costs), damages, liens, judgments, actions and causes of action of every
kind and nature whatsoever, at law or in equity, known or unknown, suspected or
unsuspected which TBOB ever had, now has, and may in the future have, and
occurring from the beginning of time to the date of this Agreement. Nothing in
such release shall affect the duties and obligations set forth in this
Agreement.

          c.   The TRUSTEE, CHC and CORAM shall release and forever discharge
TBOB and each of its respective past and present officers, directors,
shareholders, employees, agents, predecessors, successors in interest, assigns,
attorneys, parent companies, companies in common ownership, subsidiaries, and
affiliates and each of them, from any and all claims, debts, liabilities,
demands, obligations, promises, acts, agreements, accountings, costs and
expenses (including, but not limited to, attorneys' fees and costs), damages,
liens, judgments, actions and causes of action of every kind and nature
whatsoever, at law or in equity, known or unknown, suspected or unsuspected,
which they ever had or now has, and may in the future have, and occurring from
the beginning of time to the date of this Agreement. Nothing in such release
shall affect the duties and obligations set forth in this Agreement.

     4.   Representations and Warranties.

          a.   Each of the Parties hereto represents and warrants that they
have carefully read this Agreement, the contents hereof are known to them, and
that this Agreement is executed voluntarily and without duress or undue
influence.

          b.   Each of the Parties hereto represents and warrants that in
executing this Agreement they rely solely upon their own judgment, belief, and
knowledge, and on the advice and recommendations of their own independently
selected counsel, concerning the nature, extent, and duration of their rights
and claims, and that they have not been influenced to any extent whatsoever in
executing this Agreement by any representations or statements covering any
matters made by any of the Parties or by any person representing them or any of
them.

          c.   Each of the Parties hereto represents and warrants that the
persons and entities executing this Agreement have the legal authority to do so.

     5.   Acknowledgements by the Parties.

          a.   Upon receipt of the settlement amounts referenced in Paragraph 1
above in the manner and method contemplated herein, the TRUSTEE and TBOB each
acknowledge and agree that they have knowingly relinquished, waived and
released any and all remedies that might otherwise be available to them for the
matters or transactions that are the subject of this Agreement.

          b.   It is further acknowledged and agreed that this Agreement is a
compromise of disputed claims, and that the exchange of consideration
contemplated herein is not to be construed as an admission of liability on the
part of the Parties hereby released.

                                       3

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     6.   Applicable Law. This Agreement shall in all respects be
interpreted, enforced and governed by the laws of the State of Delaware,
disregarding Delaware's conflicts of law principles.

     7.   Construction of Agreement.

          a.   This Agreement shall be construed as a whole according to its
fair meaning and as if all the Parties hereto had jointly prepared this
Agreement.

          b.   Whenever from the context it is appropriate, each item, whether
stated in the singular or the plural, will include both the singular and the
plural.

          c.   Each pronoun stated in the masculine, feminine or neuter
includes the masculine, feminine and neuter.

          d.   The words "herein," "hereunder" and "hereto" refer to this
Agreement in its entirety rather than to a particular portion of this Agreement.

          e.   Captions and headings in this Agreement are inserted for
convenience of reference only and are not intended to be a part of, or to
affect the interpretation of, this Agreement.

     8.   Binding on Parties. This Agreement shall be binding upon and inure
to the benefit of the Parties and their respective heirs, representatives,
successors, and assigns and each and every entity which now or ever was a
division, parent, successor, predecessor, or subsidiary for any of the parties
and/or their respective legal successors and assigns. In the event that the
conditions precedent set forth in paragraph 2 above are not satisfied, each
party shall be entitled to pursue any available claims, remedies or causes of
action, in law or in equity, against the other party as if this Agreement did
not exist.

     9.   Severability. In the event that any covenant, condition or other
provision contained in this Agreement is held to be invalid, void or illegal by
any court of competent jurisdiction, the covenant, condition, or other
provision shall be deemed severable from the remainder of this Agreement and
shall in no way affect, impair or invalidate any other covenant, condition or
other provision. If any covenant, condition, or other provision shall be deemed
invalid due to its scope or breadth, the covenant, condition or other provision
shall be deemed valid to the extent of the scope or breadth permitted by law.

     10.  Waiver. A breach of any provision of this Agreement can be waived
only by a writing signed by the non-breaching party. Waiver of any one breach
of any provision hereof shall not be deemed to be a waiver of any other breach
of such provision or any other provision hereof.

     11.  Amendments. This Agreement may be amended only by a written agreement
executed by the Parties.

                                       4

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     12.  Entire Agreement. This Agreement constitutes the entire agreement
between or among the Parties pertaining to the subject matter hereof, and there
are no terms other than those contained herein. Any prior writing or agreement
previously between the Parties and/or any of their affiliates or subsidiaries is
superceded by this Agreement and shall be of no force and effect.

     13.  Further Action. The parties hereto agree to execute promptly upon
request any and all other documents and instruments necessary to effectuate the
terms of this Agreement.

     14.  Counterparts. This Agreement may be executed in counterparts and by
facsimile and when each of the Parties has signed and delivered at least one
such counterpart, each counterpart shall be deemed an original, and all
counterparts taken together shall constitute one and the same agreement, which
shall be binding and effective as to all Parties.

     15.  Notices. All notices, claims, demands, and other communications
hereunder shall be in writing and shall be delivered by facsimile transmission
and overnight mail, addressed to the respective parties at the following
addresses (or at such other address for a party as specified by notice under
this Paragraph):

          If to the TRUSTEE:

               Barry E. Bressler, Esquire
               Schnader Harrison Segal & Lewis LLP
               1600 Market Street, Suite 3600
               Philadelphia, PA 19103

          If to TBOB:

               T. Randall Wright, Esquire
               Baird Holm
               1500 Woodmen Tower
               Omaha, Nebraska 68102

     16.  Bankruptcy Court Approval. This Agreement is subject to approval by
the United States Bankruptcy Court in the Bankruptcy Cases. The parties
irrevocably consent to the jurisdiction of the Bankruptcy Court with respect to
any action to approve and enforce the terms and provisions of this Agreement and
expressly waives any right to commence any such action in any other forum or to
contest the jurisdiction of the Bankruptcy Court.

     IN WITNESS WHEREOF, the Parties hereto have executed this Agreement,
effective as of the date first written above.

                                       5
<PAGE>
    ARLIN M. ADAMS                               TBOB ENTERPRISES, INC.

    /s/ ARLIN M. ADAMS                       By: /s/ THOMAS SMITH
    ---------------------------------            ------------------------------
    Arlin M. Adams, as Chapter 11                Name: Thomas Smith
    Trustee of Coram Healthcare Corp.            Title: President
    and Coram, Inc.

                                       6

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