INTEGRAMED AMERICA INC
10-Q/A, 1996-08-28
OFFICES & CLINICS OF DOCTORS OF MEDICINE
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================================================================================
 
                                 UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                                   ----------
      
                                   FORM 10-Q/A
                                 Amendment No. 1

                                   ----------

              [X] QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d)
                     OF THE SECURITIES EXCHANGE ACT OF 1934

                  For the quarterly period ended June 30, 1996

                                       OR

             [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15 (d)
                     OF THE SECURITIES EXCHANGE ACT OF 1934

                                   ----------

                        For the transition period from to

                           Commission File No. 0-20260
                           Commission File No. 1-11440

                            INTEGRAMED AMERICA, INC.
             (Exact name of Registrant as specified in its charter)


                                    Delaware
         (State or other jurisdiction of incorporation or organization)


                One Manhattanville Road, Purchase, New York 10577
                    (Address of principal executive offices)
 
                                  06-1150326
                      (I.R.S. employer identification no.)

                                 (914) 253-8000
              (Registrant's telephone number, including area code)

                                   ----------

       Indicate by check mark whether the  Registrant  (1) has filed all reports
required to be filed by Section 13 or 15(d) of the  Securities  Exchange  Act of
1934  during  the  preceding  12 months  (or for such  shorter  period  that the
Registrant was required to file such reports),  and (2) has been subject to such
filing requirements for the past 90 days. Yes [X] No [ ]

         The aggregate number of shares of the Registrant's  Common Stock,  $.01
par value, outstanding on August 12, 1996 was 9,198,375.


================================================================================
       IntegraMed  America,  Inc.  hereby amends Part I, Item 1 of the Quarterly
Report on Form 10-Q for the period ended June 30, 1996 as set forth herein.  The
amendment  is  being  filed  to  correct  certain  disclosures  made in Note 6 -
Acquisitions - to the unaudited consolidated financial statements.



<PAGE>


                            INTEGRAMED AMERICA, INC.
                                   FORM 10-Q/A

                                TABLE OF CONTENTS


                                                                           PAGE

PART I  -   FINANCIAL INFORMATION

    Item 1. Financial Statements

               Consolidated  Balance Sheet at June 30, 1996  (unaudited)
               and December 31, 1995.......................................   3

               Consolidated Statement of Operations for the three and
               six-month period ended June 30, 1996 and 1995 (unaudited)...   4

               Consolidated Statement of Cash Flows for the six-month
               period ended June 30, 1996 and 1995 (unaudited).............   5

             Notes to Consolidated Financial Statements (unaudited)........6-13

   
SIGNATURES              ..................................................   14

                                                                 2

<PAGE>

PART I  -  FINANCIAL INFORMATION

    Item 1.      Consolidated Financial Statements
<TABLE>

                            INTEGRAMED AMERICA, INC.
                           CONSOLIDATED BALANCE SHEET
                           (all dollars in thousands)
<CAPTION>

                                     ASSETS
                                                                                        June 30,  December 31,
                                                                                          1996        1995
                                                                                        --------    --------
                                                                                       (unaudited)
Current assets:
<S>                                                                                    <C>         <C>     
  Cash and cash equivalents ........................................................   $  5,739    $  7,883
  Short term investments ...........................................................      2,000       1,500
  Patient accounts receivable, less allowance for doubtful accounts of $96 and $64
  in 1996 and 1995, respectively ...................................................      2,237       1,271
  Management fees receivable .......................................................      1,202       1,125
  Research fees receivable .........................................................        299        --
  Other current assets .............................................................        867         508
  Controlled assets of Medical Providers- (see Note 2):
      Cash .........................................................................        215         296
      Accounts receivable, less allowance for doubtful accounts of $31 and $25 
         in 1996 and 1995, respectively ............................................        872       1,449
      Other current assets .........................................................          9          14
                                                                                       --------    --------
         Total controlled assets of Medical Providers ..............................      1,096       1,759
         Total current assets ......................................................     13,440      14,046
                                                                                       --------    --------
    Fixed assets, net ..............................................................      2,670       2,266
    Trademarks, net ................................................................        158         163
    Goodwill and exclusive management rights, net ..................................      5,457       1,548
    Other assets ...................................................................        216         248
                                                                                       --------    --------
         Total assets ..............................................................   $ 21,941    $ 18,271
                                                                                       ========    ========

                      LIABILITIES AND SHAREHOLDERS' EQUITY
Current liabilities:
  Accounts payable .................................................................   $    578    $    181
  Accrued liabilities ..............................................................      1,308       1,307
  Due to Medical Providers-(see Note 2) ............................................        665         606
  Dividends accrued on Preferred Stock .............................................      1,254         946
  Current portion of exclusive management rights obligation ........................        322         297
  Current portion of long-term debt ................................................        422         274
  Patient deposits .................................................................        371         411
                                                                                        -------     -------
         Total current liabilities .................................................      4,920       4,022
                                                                                        -------     -------
Exclusive management rights obligation .............................................      1,252         978
Long-term debt .....................................................................        726         340
Commitments and contingencies- (see Note 4) ........................................    -------     -------
Shareholders' equity - (see Note 3)
  Preferred Stock, $1.00 par value -
    3,773,878 and 3,785,378 shares  authorized in 1996 and 1995,  respectively -
    2,500,000 undesignated;  1,273,378 and 1,285,378 shares designated as Series
    A Cumulative  Convertible in 1996 and 1995,  respectively,  of which 773,878
    and 785,378
    shares were issued and outstanding in 1996 and 1995, respectively ..............        774         785
  Common Stock, $.01 par value - 25,000,000 shares authorized; 6,765,375 and
  6,086,910 shares issued and outstanding in 1996 and 1995, respectively                     67          61 
  Capital in excess of par .........................................................     33,891      31,785
  Accumulated deficit ..............................................................    (19,689)    (19,700)
                                                                                        -------     ------- 
                                                                                        
         Total shareholders' equity ................................................     15,043      12,931
                                                                                        -------     -------
                                                                                        
         Total liabilities and shareholders' equity ................................   $ 21,941    $ 18,271
                                                                                       ========    ========
</TABLE>     
  See accompanying notes to the consolidated financial statements.

                                                                 3

<PAGE>


<TABLE>

                            INTEGRAMED AMERICA, INC.
                      CONSOLIDATED STATEMENT OF OPERATIONS
              (all amounts in thousands, except per share amounts)
<CAPTION>


                                                                For the three-month              For the six-month
                                                                period ended June 30,          period ended June 30,
                                                                1996            1995            1996          1995
                                                               -------        -------         -------       -------
                                                                     (unaudited)                    (unaudited)
<S>                                                            <C>           <C>              <C>           <C>  
Clinical revenues and management fees (see Note 2)........      $4,822        $4,288           $8,998        $8,420
Medical Provider retainage (see Note 2)...................         720           730            1,514         1,718
                                                               -------       -------          -------       -------
Revenues after Medical Provider retainage (see Note 2)....       4,102         3,558            7,484         6,702
Costs of services rendered ...............................       2,986         2,479            5,550         5,005
                                                               -------       -------          -------       -------
Network sites' contribution ..............................       1,116         1,079            1,934         1,697
                                                               -------       -------          -------       -------
General and administrative expenses ......................         960           978            1,815         1,794
Research and development..................................          62            61              128           112
Exclusive management rights and goodwill amortization.....          49            13               91            13
Interest income...........................................        (102)         (160)            (222)         (327)
Interest expense..........................................           9             6               14            12
                                                               -------       -------          -------       -------
Total other expenses......................................         978           898            1,826         1,604
                                                               -------       -------          -------       -------
Income before income taxes................................         138           181              108            93
Provision for income and capital  taxes...................          53            53               97            87
                                                               -------       -------          -------       -------
Net income................................................          85           128               11             6
Less: Dividends accrued on Preferred Stock................         155           166              309           331
                                                               -------       -------          -------       -------
Net loss applicable to Common Stock.......................     $   (70)     $    (38)         $  (298)       $ (325)
                                                               =======      ========          =======        ====== 
                                                               
Net loss per share of Common Stock........................      $(0.01)      $ (0.01)         $ (0.05)       $(0.05)
                                                               =======      ========          =======        ====== 
Weighted average number of shares of Common Stock
outstanding...............................................       6,267         6,087            6,177         6,087
                                                               =======      ========          =======        ======  
                                                               
</TABLE>


         See accompanying notes to the consolidated financial statements.

                                                                 4

<PAGE>




                            INTEGRAMED AMERICA, INC.
                      CONSOLIDATED STATEMENT OF CASH FLOWS
                           (all amounts in thousands)

                                                           For the six-month
                                                          period ended June 30,
                                                             1996     1995
                                                            ----       ----
                                                               (unaudited)
Cash flows from operating activities:
  Net income.............................................. $   11   $     6
  Adjustments to reconcile net income to net cash used
  in operating activities:
   Depreciation and amortization..........................    489       380
   Writeoff of deferred rent in 1996 and fixed assets
     in 1995..............................................   (120)        9
    Changes in assets and liabilities net of effects from
    acquired  businesses--
     (Increase) decrease in assets:
        Accounts receivable...............................   (884)     (329)
        Management fees receivable........................    (77)     (510)
        Other current assets..............................   (359)     (311)
        Trademarks........................................    (14)      -
        Other assets......................................     32        32
     Decrease in controlled assets of Medical Providers:
        Accounts receivable...............................    577       408
        Other current assets..............................      5        21
     Increase (decrease) in liabilities:
        Accounts payable..................................    397      (459)
        Accrued liabilities...............................   (295)      208
        Due to Medical Providers..........................     59      (291)
        Patient deposits..................................    (42)     (122)
                                                            -----    ------
  Net cash used in operating activities...................   (221)     (958)
                                                            -----    ------

  Cash flows (used in) provided by investing activities:
     Purchase of short-term investments...................   (500)      -
     Purchase of net assets of acquired businesses........   (431)      -
     Payments for exclusive management rights.............   (183)     (250)
     Purchase of fixed assets and leasehold improvements..   (650)     (780)
     Sale of fixed assets and leasehold improvements......    -         651
                                                            -----    ------
  Net cash used in investing activities................... (1,764)     (379)
                                                            -----    ------

  Cash flows (used in) provided by financing activities:
     Principal repayments on debt.........................    (46)      (37)
     Principal repayments under capital lease obligations.   (113)      (75)
     Purchase of Convertible Preferred Stock..............    (84)     (150)
     Proceeds from exercise of Common Stock options.......      3       -
                                                            -----    ------
Net cash used in financing activities.....................   (240)     (262)
                                                            -----    ------

Net decrease in cash...................................... (2,225)   (1,599)
Cash at beginning of period...............................  8,179    11,694
                                                            -----    ------
                                                          

Cash at end of period..................................... $5,954   $10,095
                                                          =======   =======


        See accompanying notes to the consolidated financial statements.


                                                                 5

<PAGE>



                            INTEGRAMED AMERICA, INC.
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (unaudited)


NOTE 1 - INTERIM RESULTS:

       The accompanying  unaudited  consolidated  financial statements have been
prepared in accordance with the instructions to Form 10-Q and,  accordingly,  do
not include all of the information and footnotes  required by generally accepted
accounting  principles  for  complete  financial  statements.  In the opinion of
management,  the accompanying unaudited interim financial statements contain all
adjustments  (consisting only of normal recurring accruals) necessary to present
fairly the  financial  position at June 30, 1996,  and the results of operations
and cash flows for the  interim  period  presented.  Operating  results  for the
interim  period are not  necessarily  indicative of results that may be expected
for the year ending December 31, 1996. These financial statements should be read
in conjunction  with the financial  statements and notes thereto included in the
Company's Annual Report on Form 10-K for the year ended December 31, 1995.

NOTE 2 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES:

   Revenue and cost recognition --

   The Company has two divisions:  the Reproductive Science Center Division (the
"RSC  Division")  and the newly formed  Women's  Medical and  Diagnostic  Center
Division (the "WMDC Division").  The RSC Division derives its revenues from nine
Network  sites which it  provides  management  services  to,  including  certain
clinics and/or  laboratories which are directly owned. The WMDC Division derives
its revenues from the three women's healthcare companies and the 51% controlling
interest in the  National  Menopause  Foundation  which it acquired in June 1996
(which  combined,  represent  one  Network  site  referred to herein as "WMDC of
Gainesville").  For the three and six-month periods ended June 30, 1996, the RSC
and the WMDC  Divisions  comprised  98% and 2%, and 99% and 1% of the  Company's
total revenues, respectively.

   All clinical  revenues are recorded on a net realizable basis after deducting
contractual  allowances  and consist of patient  fees  collected  by the Company
either on its own behalf (i.e.,  where the clinic and/or lab are directly  owned
by the Company) and/or on behalf of the medical institution or medical group for
ART,  infertility,  laboratory and peri and post menopausal  women's  healthcare
services performed at the Network sites. Under certain management  contracts the
Company  is   exclusively   liable  to  the  Medical   Providers  for  physician
compensation and other medical costs incurred  ("Medical  Provider  retainage"),
regardless of the actual revenue  generated by the Medical Provider  pursuant to
its  contract  with the Company.  Such  retainage is  segregated  from  clinical
revenues and paid to or on behalf of the Medical Provider; any balance remaining
represents the Company's  management fee. Under  management  contracts where the
Company is not exclusively  liable for the Medical  Provider costs,  the Company
recognizes  management  fees which  typically  have two  components:  1) a fixed
amount per month or a fixed percentage of both monthly net revenues and earnings
after  management  fees;  and 2) reimbursed  cost of services  (including  other
medical costs). Costs incurred in managing the Network sites,  excluding Medical
Provider  retainage  for certain  contracts,  are  included in "Cost of services
rendered".

    Clinical  revenues and related  direct costs are recognized in the period in
which the  clinical  and/or  laboratory  services  are  rendered  by the Medical
Providers.  Net realization is dependent upon benefits provided by the patient's
insurance  policy or  agreements  between the Network  site and the  third-party
payor.  Payments collected from patients in advance for services are included in
patient  deposits.  Management  fees under  contracts  where the  Company is not
exclusively  liable  for  the  Medical  Provider  costs  are  recorded  on a net
realizable  basis and are  recognized  in the period in which such  services are
rendered by the Company.



                                                         6

<PAGE>


                            INTEGRAMED AMERICA, INC.
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
                                   (unaudited)



For the three and six month  period  ended June 30, 1996 and 1995 the  Company's
revenues consisted of the following:
<TABLE>

<CAPTION>
                                                                             For the                 For the
                                                                       three-month period       six-month period
                                                                          ended June 30,          ended June 30,
                                                                        1996        1995         1996       1995
                                                                        ----        ----         ----       ----

<S>                                                                    <C>         <C>           <C>      <C>   
Clinical revenues associated with Medical Provider Retainage .....     $3,001      $3,584        $5,526   $7,442
Management fees...................................................      1,464         532         2,906      563
Clinical revenues from clinics and labs owned directly by
  the Company.....................................................        357         172           566      415
                                                                       ------      ------        ------   ------
Total clinical revenues and management fees.......................     $4,822      $4,288        $8,998   $8,420
                                                                       ======      ======        ======   ======
</TABLE>
                                                                       

        Included in clinical  revenues for the  six-month  period ended June 30,
1996  were  approximately  $53,000  of  revenues  earned  under  research  study
contracts between WMDC of Gainesville and various pharmaceutical companies. WMDC
of  Gainesville  contracts  with major  pharmaceutical  companies  (sponsors) to
perform  women's  medical  care  research  mainly to  determine  the  safety and
efficacy of a medication.  Based on the data collected from studies conducted by
WMDC of  Gainesville  and other  non-related  centers  for major  pharmaceutical
companies,   the  Food  and  Drug  Administration  (FDA)  determines  whether  a
medication  can be  manufactured  and made  available  to the  public.  Research
revenues are recognized  pursuant to each  respective  research  contract in the
period which the medical services (as stipulated by the research study protocol)
are  performed  and  collection  of  such  fees  is  considered  probable.   Net
realization is dependent upon final approval by the sponsor that procedures were
performed  according to study  protocol.  Payments  collected  from  sponsors in
advance for services are included in accrued  liabilities and totaled $71,000 as
of June 30, 1996. Costs incurred in performing the research studies are included
in "Cost of services rendered".

    Patient accounts receivable --

       Patient  accounts  receivable  represent  receivables  from  patients for
medical services  provided by the Medical  Providers.  Such amounts are recorded
net of contractual  allowances and estimated bad debts.  As of June 30, 1996 and
December  31,  1995,  approximately  $562,000  and  $150,000,  respectively,  of
accounts  receivable were a function of Network site revenue (i.e.,  the Company
purchased the accounts  receivable from the Medical Provider) and the $1,675,000
and  $1,121,000  balance,  respectively,  was a function of net  revenues of the
Company (see Note 2 -- "Revenue and Cost Recognition" above).

    Management fees receivable --

       Management fees receivable represent fees owed to the Company pursuant to
its management  agreements with certain Network sites (see Note 2 - "Revenue and
cost recognition" above).

    Research Fees Receivable --

       Research  fees  receivable  represent   receivables  from  pharmaceutical
companies  for  medical  services  provided by WMDC of  Gainesville  to patients
pursuant to protocols  stipulated  under  research study  contracts  between the
pharmaceutical companies and WMDC.

                                                         7

<PAGE>


                            INTEGRAMED AMERICA, INC.
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
                                   (unaudited)


    Controlled assets of Medical Providers --

       Controlled  cash  represents  segregated cash held in the name of certain
Medical Providers;  controlled accounts receivable represent patient receivables
due to certain Medical Providers,  and controlled other current assets represent
assets owned by and held in the name of certain Medical Providers,  all of which
are  reflected on the Company's  balance  sheet due to the Company's  unilateral
control of such assets.

       At June 30, 1996 and December 31, 1995, of the  $1,096,000 and $1,759,000
controlled assets of Medical Providers, $198,000 and $279,000, respectively, was
restricted  for payment of the amounts due to Medical  Providers and the balance
of $898,000 and $1,480,000 was payable to the Company.

    Intangible Assets --

       Goodwill and Exclusive Management Rights

       Goodwill  represents  the  excess  of the  purchase  price of  businesses
acquired  over the fair  value of the net  assets  of the  businesses  acquired.
Exclusive  management  rights represent the cost incurred by the Company for the
right to manage certain Network sites.

       Trademarks

       Trademarks  which represent  trademarks,  service marks,  trade names and
logos purchased  related to the ART program are valued at cost less  accumulated
amortization.

       Amortization and Recoverability

       The  Company   periodically  reviews  its  intangible  assets  to  assess
recoverability and impairments would be recognized in the consolidated statement
of  operations  if a permanent  impairment  were  determined  to have  occurred.
Recoverability  of  intangibles  is determined  based on  undiscounted  expected
earnings  from  the  related  business  unit  or  activity  over  the  remaining
amortization  period.  Goodwill  is  amortized  over  the  life of the  business
acquired,  not to exceed  forty  years.  At June 30,  1996,  goodwill  was being
amortized over a forty year period.  Exclusive  management  rights are amortized
over the term of the respective management agreement, usually ten years.

    Minority Interest --

       Minority  interest  represents a 49%  interest in the National  Menopause
Foundation  held by the original  owner,  now a significant  shareholder  of the
Company.  The Company  acquired its 51% interest in this entity in June 1996 and
this entity is included in the Company's consolidated financial statements as of
the date of acquisition.  At June 30, 1996, the minority interest is included in
accrued liabilities in the consolidated balance sheet.

NOTE 3 - SHAREHOLDERS' EQUITY:

         Dividends on the Convertible Preferred Stock are payable at the rate of
$.80 per share per annum,  quarterly on the fifteenth  day of August,  November,
February and May of each year  commencing  August 15, 1993. As of June 30, 1996,
the Company's Board of Directors  suspended eight  quarterly  dividend  payments
thereby  entitling  holders of the  Convertible  Preferred Stock to one vote per
share of  Convertible  Preferred  Stock on all  matters  submitted  to a vote of
stockholders,  including  election  of  directors;  once in effect,  such voting
rights are not  terminated by the payment of all accrued  dividends.  As of June
30, 1996,  dividend  payments of $1,254,000 on the  Convertible  Preferred Stock
were in  arrears.  The  Company  does not  anticipate  the  payment  of any cash
dividends on the Convertible Preferred Stock in the foreseeable future.

                                                         8

<PAGE>


                            INTEGRAMED AMERICA, INC.
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
                                   (unaudited)

       The  determination  by the Board of Directors to not declare and pay each
of the last eight  quarterly  dividends  and the  Company's  issuance  of Common
shares in connection with its acquisition of WMDC of Gainesville, resulted in an
adjustment  to the  conversion  rate from 1.122  shares of Common  Stock to 1.45
shares of Common Stock for each share of Convertible Preferred Stock.

       On November 30, 1994 the Company  announced it may purchase up to 300,000
shares of its outstanding  Convertible  Preferred Stock at such times and prices
as it deems  advantageous.  The  Company  has no  commitment  or  obligation  to
purchase any particular number of shares,  and it may suspend the program at any
time. As of June 30, 1996,  the Company had purchased and retired  90,000 shares
of Convertible Preferred Stock, which resulted in a balance of 773,878 shares of
Convertible Preferred Stock outstanding as of this date.

       On June 6, 1996, the Company made a new conversion offer (the "Offer") to
the holders ("Preferred  Stockholders") of the 773,878 outstanding shares of the
Company's Convertible Preferred Stock. Under the Offer,  Preferred  Stockholders
received four shares of the Company's Common Stock upon conversion of a share of
Convertible Preferred Stock subject to the terms and conditions set forth in the
Offer.  The  Offering  was  conditioned  upon a  minimum  of  400,000  shares of
Preferred Stock being tendered;  provided that the Company reserved the right to
accept fewer shares.  Upon expiration of the Offer on July 17, 1996, the Company
accepted for conversion  608,234 shares,  or 78.6% of the Convertible  Preferred
Stock outstanding,  constituting all the shares validly tendered.  Following the
transaction,  there were 9,198,375  shares of IntegraMed  America's Common Stock
outstanding and 165,644 shares of Convertible Preferred Stock outstanding. Refer
to Note 7 for pro forma information regarding the Offer.

NOTE 4 - COMMITMENTS AND CONTINGENCIES:

    Reliance on Third Party Vendors --

       The Network sites are dependent on three third-party  vendors that supply
patient medication.  Should any of these vendors experience a supply shortage of
medication,  it may have an  adverse  impact on the  operations  of the  Network
sites.  Currently,  the  Network  sites have not  experienced  any such  adverse
impacts.

    Commitments to Medical Providers --

       Under certain management  contracts , the Company is obligated to perform
the  following:  (i) advance  funds to the Network  site to  guarantee a minimum
physician  draw and/or to provide to the Network site new services,  utilize new
technologies, fund projects, etc. ; and (ii) on or before the fifteenth business
day of each month  purchase  the net  accounts  receivable  of the Network  site
arising  during the  previous  month and to transfer or pay to the Network  site
such amount of funds equal to the net accounts  receivable less any amounts owed
to the Company for  management  fees and/or  advances.  Any  advances  are to be
repaid  monthly  and  interest  expense,  computed at the prime rate used by the
Company's primary bank in effect at the time of the advance,  will be charged by
the  Company for funds  advanced.  Advances  due to the Company are  included in
"management  fees  receivable" and net receivables  purchased by the Company are
included in "patient  accounts  receivable"  in the balance sheet as of June 30,
1996 and December 31, 1995, respectively.



                                                         9

<PAGE>

                            INTEGRAMED AMERICA, INC.
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
                                   (unaudited)

    Commitments to the National Menopause Foundation --

       In connection with its acquisition of 51% of the outstanding stock of the
National  Menopause  Foundation  ("NMF") in June 1996,  the Company will provide
funding to and for the  development of NMF on an as-needed basis during the four
year period  commencing  June 6, 1996 in amounts  not to exceed  $500,000 in the
aggregate.

    Litigation -

       On June 20, 1996, the Company announced that the Court of Chancery of the
State of Delaware has denied a claim by a Preferred Stockholder, in Bernstein v.
IVF  America,  et.al.  that  the  anti-dilution  rights  of  existing  Preferred
Stockholders  were required to be expanded as a result of a previous  Conversion
Offer made by the Company in November 1994.

       The lawsuit was  originally  filed in the Court on December 13, 1994.  By
its June 11,  1996  decision,  the  Court has  directed  that the  Complaint  be
dismissed and judgement entered accordingly. The plaintiff has a right of appeal
but has not indicated what, if any, further action he intends to take.

       The  plaintiffs'  application  for class  certification  in Karlin v. IVF
America, Inc. et.al., filed in Supreme Court,  Westchester County, New York, has
been denied by the Court.  The Court ruled that the potential  class of patients
treated at the IVF America  Program at United Hospital did not meet the criteria
for class action  status as required by New York law. In  particular,  the Court
reached this conclusion  because,  "individualized and varied issues arising out
of the particular physician-patient relationship, more aligned with the issue of
lack of informed consent,  tend to predominate." While plaintiffs have appealed,
the Company is pleased by this decision, sustaining the individualized nature of
treatment at IVF America  Network  sites,  and intends to defend  vigorously the
Court's ruling.

NOTE 5 - RELATED PARTY TRANSACTION

       Under the WMDC of Gainesville  acquisition agreement,  Morris Notelovitz,
M.D., Ph.D.  ("Physician"),  the founder of the Gainesville entities acquired by
the Company,  became a member of the Company's Board of Directors,  and, under a
long term employment  agreement,  the Physician will serve as Vice President for
Medical Affairs and Medical Director of the Division. The Company simultaneously
entered into an Employment  Agreement  with the Physician  pursuant to which the
Physician will provide medical services, as defined.

NOTE 6 - ACQUISITIONS

       The transactions detailed below were accounted for on the purchase method
and the purchase price has been allocated to the assets acquired and liabilities
assumed  based upon the  estimated  fair value at the date of  acquisition.  The
unaudited  consolidated  financial  statements  include  the  results  of  these
transactions from their respective dates of acquisition.

        On June 7, 1996,  the  Company  entered  into an  Agreement  and Plan of
Merger (the  "Agreement")  pursuant to which INMD Acquisition Corp.  ("IAC"),  a
Florida corporation and wholly-owned subsidiary of the Company,  acquired all of
the outstanding stock of the following three related Florida  corporations:  The
Climacteric Clinic, Inc. ("CCI"),  Midlife Centers of America, Inc. ("MCA"), and
Women's  Research  Centers,  Inc.  ("WRC"),  America  (collectively  "the Merger
Companies"),  and  51% of  the  outstanding  stock  of  the  National  Menopause
Foundation,  Inc. ("NMF"),  also a related Florida corporation.  Pursuant to the
Agreement,  the Merger  Companies  were merged with and into IAC, the  surviving
corporation in the Merger, which will continue its corporate existence under the
laws of the State of Florida under the name Women's Medical & Diagnostic Center,

                                                        10

<PAGE>


                            INTEGRAMED AMERICA, INC.
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
                                   (unaudited)

Inc. ("WMDC").  In exchange for the shares of the Merger Companies,  the Company
paid cash in an aggregate amount of $350,000 and issued 666,666 shares of Common
Stock which had a market value of $2.5  million.  In exchange for the 51% of the
outstanding  stock of NMF,  the  Company  paid  cash in an  aggregate  amount of
$50,000 and issued a note in an amount of $600,000,  which is payable in sixteen
quarterly  installments  of  $37,500  beginning  September  1, 1996 with  simple
interest at a rate of 4%.

   
       The aggregate  purchase  price of the Merger  Companies of $2,850,000 was
allocated  as follows to assets  acquired  and  liability  assumed:  $390,000 to
current  assets,  $99,000 to fixed  assets,  $254,000  to  accrued  liabilities,
$97,000  to debt and the  balance  of  $2,712,000  to  goodwill,  which  will be
amortized  over a forty year  period.  The  aggregate  purchase  price of NMF of
$650,000 was allocated as follows:  $2,000 to current  assets,  $30,000 to fixed
assets,  $10,000 to current  liabilities  and the $628,000  balance to goodwill,
         -------------------------------
which will be amortized over a forty year period.
             
       On May 15, 1996,  the Company  entered into an asset  purchase and a long
term management  agreement with W.F. Howard,  M.D., P.A. near Dallas, Texas (the
"Reproductive  Science  Center ("RSC") of Dallas"),  a provider of  conventional
infertility  and  assisted  reproductive   technology  services.  The  aggregate
purchase price was approximately  $701,500 of which  approximately  $244,000 was
paid at  closing  and the  Company  issued a  promissory  note for the  $457,500
balance  which is payable as follows:  $100,000 on the last  business day of May
1997 and 1998,  and $36,786 on the last business day of May in each of the seven
years thereafter,  thru May 2005. The aggregate  purchase price was allocated to
fixed  assets in the amount of $144,000 and the balance of $557,500 to exclusive
                               --------
management  rights,  which  will be  amortized  over  the ten  year  term of the
agreement.
    

       The  following  unaudited  pro  forma  results  of  operations  have been
prepared by  management  based on the  unaudited  financial  information  of the
Merger  Companies,  NMF and the RSC of Dallas  adjusted  where  necessary,  with
respect  to  pre-acquisition  periods,  to the basis of  accounting  used in the
historical  financial  statements  of  the  Company.  Such  adjustments  include
modifying  the  unaudited  results  to  reflect  operations  as if  the  related
management  agreements  had been  consummated  on  January  1,  1996  and  1995,
respectively.  Additional  general  corporate  expenses  which  would  have been
required to support the  operations of the new Network sites are not included in
the pro forma results.  The unaudited pro forma results may not be indicative of
the results that would have occurred if the acquisition and management agreement
had been in effect  on the  dates  indicated  or which  may be  obtained  in the
future.


                                                           For the  
                                                      six-month period 
                                                        ended June 30, 
                                                     1996           1995
                                                     ----           ----
                                                           Unaudited


   
Clinical revenues and management fees.........    $10,166,000    $10,164,000
Income (loss) before income taxes (1).........    $   (87,000)   $    59,000
Net loss  applicable to Common Stock
(includes  $309,000 and $331,000  dividends
accrued on Preferred Stock for the six-month
period ended June 30, 1996 and 1995,
respectively).................................    $  (493,000)    $ (359,000)
Net loss per share of Common Stock............    $     (0.07)    $    (0.05)

 
(1) Income (loss)  before income taxes include  $150,000 and $70,000 of goodwill
and exclusive management rights amortization in 1996 and 1995, respectively.

    
                                                        11

<PAGE>


                            INTEGRAMED AMERICA, INC.
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
                                   (unaudited)

NOTE 7- PROFORMA EFFECT OF JULY 1996 PREFERRED STOCK CONVERSION OFFERING

       In connection  with the July 1996 conversion of Preferred Stock to Common
Stock (see Note 3), the Company converted 78% of its Convertible Preferred Stock
to Common  Stock.  The  pro-forma  effect of this change,  as if the  conversion
occurred on January 1, 1996,  would have resulted in a reduction in the net loss
applicable  to Common  Stockholders  from $(0.05) per share to $(0.01) per share
for the  six-month  period ended June 30,  1996.  The  pro-forma  effect of this
change, as if the conversion occurred on January 1, 1995, would have resulted in
a reduction in the net loss applicable to Common  Stockholders  from $(0.05) per
share to $(0.01) per share for the six-month period ended June 30, 1995. The pro
forma loss per share  calculations  give effect to the  2,432,936  Common Shares
which were issued in the  conversion and the  elimination  of accrued  dividends
related to the converted  Preferred  Shares of  approximately  $243,000 for both
1996 and  1995,respectively.  However,  the pro forma  information does not give
effect to the inducement discussed in the following paragraph.

       As discussed in Note 3, the Company  made a new  conversion  offer to its
Convertible Preferred  Stockholders in July 1996. In connection  therewith,  the
Company  offered the  Preferred  holders  four  shares of Common  Stock for each
Preferred share owned. The four shares represented an increase from the original
terms of the  Preferred  Stock which  provided  for 1.45 Common  Shares for each
Preferred  Share  after  adjustment  for the failure of the Company to pay eight
dividends and after adjustment for the issuance of Common Shares pursuant to the
acquisition  of  WMDC  of  Gainesville.  Under  a  recently  enacted  accounting
pronouncement,  the Company is required to reduce  earnings  available to Common
Stockholders  to convert  their shares.  Since the Company  issued an additional
1,550,997  Common Shares in the tender offer,  compared to the shares that would
have been issued under the original  terms of the Preferred  Stock,  the Company
was  required  to  deduct  the  fair  value  of  these   additional   shares  of
approximately  $4,265,000 from earnings available to Common  shareholders.  This
non-cash charge,  partially offset by the reversal of $973,000 accrued dividends
attributable  to the  conversion,  will  result in the  increase in net loss per
share by  approximately  $(.46)  and $(.57) in the three and  nine-month  period
ended  September 30, 1996,  respectively.  While this charge is intended to show
the  cost  of the  inducement  to the  owners  of the  Company's  Common  Shares
immediately  before  the  tender  offer,  management  does not  believe  that it
accurately  reflects  the impact of the  tender  offer on the  Company's  Common
Stockholders.  As a result of the conversion,  the Company will reverse $973,000
in accrued  dividends  from its balance sheet and the  conversion  will save the
Company from accruing annual dividends of $486,000 and the need to include these
dividends in earnings per share calculations. The conversion has also eliminated
a $6.1 million liquidation preference related to the Preferred Shares converted.

 NOTE 8 - SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION AND NON-CASH
 TRANSACTIONS:

       In connection  with the Company's  acquisition  of WMDC of Gainesville in
June 1996, the Company issued 666,666 shares of Common Stock, acquired assets of
$521,000,  assumed  current  liabilities  of $264,000,  and debt of $97,000.  In
connection with this transaction,  the Company also issued a note payable in the
amount of $600,000 with annual interest payable at 4%.

       In May 1996,  the Company  entered into a management  agreement with W.F.
Howard, M.D., P.A. located near Dallas, Texas.  Pursuant to this agreement,  the
Company  incurred a $550,000  obligation for the exclusive  right to manage this
facility of which $100,000 had been paid as of June 30, 1996.

       At June 30, 1996 and 1995,  there were accrued  dividends on  Convertible
Preferred Stock outstanding of $1,254,000 and $676,000, respectively (see Note 3
and Note 7).


                                                            12

<PAGE>



       At June 30,  1996 and  1995  controlled  cash of  Medical  Providers  was
$215,000 and $429,000, respectively, which represented a decrease of $81,000 and
$60,000 for the six-month periods ended June 30, 1996 and 1995, respectively.

       State taxes, which primarily reflect  Massachusetts  income taxes and New
York  capital  taxes of $65,000 and $70,000  were paid in the  six-month  period
ended June 30, 1996 and 1995, respectively.

       Interest  paid in cash in the  six-month  period  ended June 30, 1996 and
1995  amounted to $13,000 and $12,000,  respectively.  Interest  received in the
six-month period ended June 30, 1996 and 1995 amounted to $221,000 and $327,000,
respectively.


                                                          13

<PAGE>











                                                    SIGNATURES


         Pursuant to the  requirements  of the Securities  Exchange Act of 1934,
the  Registrant  has duly  caused  this report to be signed on its behalf by the
undersigned thereunto duly authorized.


                                  INTEGRAMED AMERICA, INC.
                                  (Registrant)




Date:    August 28, 1996          By: /s/ Dwight P. Ryan
                                      ------------------
                                      Dwight P. Ryan
                                      Vice President and
                                      Chief Financial Officer
                                      (Principal Financial and
                                      Accounting Officer)


                                                       14



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