INTEGRAMED AMERICA INC
8-K, 1997-01-21
OFFICES & CLINICS OF DOCTORS OF MEDICINE
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                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549



                                    FORM 8-K

                                 CURRENT REPORT


                       Pursuant to Section 13 or 15(d) of
                      the Securities and Exchange Act 1934



Date of Report:  January 20, 1997

                            INTEGRAMED AMERICA, INC.
- --------------------------------------------------------------------------------

               (Exact name of registrant as specified in charter)


                                    Delaware
- --------------------------------------------------------------------------------

                 (State of other jurisdiction of incorporation)


   0-20260 and 1-11440                                     06-1150326
- --------------------------------------------------------------------------------
(Commission File Numbers)                      (IRS Employer Identification No.)


One Manhattanville Road, Purchase, NY                           10577
- --------------------------------------------------------------------------------
(Address of principal executive offices)                      (Zip Code)


Registrant's telephone no. including area code: (914) 253-8000


Registrant's former name: IVF America, Inc.



<PAGE>





 ITEM 2. Acquisition of Significant Business

       On  January  7,  1997,  the  Registrant  entered  into an asset  purchase
agreement with the Bay Area Fertility and Gynecology Medical Group, a California
Partnership ( the "Partnership"),  and a long-term management agreement with the
Bay Area Fertility and Gynecology Medical Group, Inc., a California professional
corporation which is the successor to the  Partnership's  medical practice ("Bay
Area Fertility" or the "Medical Group"). Located in San Ramon,  California,  Bay
Area Fertility is one of  California's  premiere  providers of  infertility  and
assisted  reproductive  technology  (ART)  services.  Founded in 1976,  Bay Area
Fertility was one of the first providers of ART services in California and today
has one of the region's largest and most successful programs. Bay Area Fertility
is currently under the medical leadership of Arnold Jacobson,  MD, Donald Galen,
MD, and Louis Weckstein, MD., (the "Physicians").

        The aggregate  purchase price was approximately  $2.0 million,  of which
$1.5 million was paid by the Registrant in cash and $0.5 million was paid in the
form of the  Registrant's  Common Stock,  or 333,333 shares of the  Registrant's
Common Stock,  at closing.  The Company  funded the purchase price from proceeds
raised in its public offering of Preferred Stock in May 1993. In determining the
purchase price,  the Registrant  considered,  among other factors,  the past and
projected revenues generated by Bay Area Fertility. In addition to the exclusive
right to manage the Medical Group,  the  Registrant  acquired other assets which
primarily  consisted of the name "Bay Area Fertility" and medical  equipment and
furniture  and fixtures  which will  continue to be used by the Medical Group in
the provision of infertility and ART services.

       Under  long  term  employment  agreements  with Bay Area  Fertility,  the
Physicians will provide medical services, as defined.


ITEM 7.  Financial Statements, Pro Forma Financial Information and Exhibits

(a) Financial Information of Business Acquired
       To be filed by  amendment.  The  Company  believes it is  impractical  to
provide such information as of the date hereof.  Such information shall be filed
with the Commission no later than March 24, 1997.

(b) Pro Forma Financial Information (unaudited)
       To be filed by  amendment.  The  Company  believes it is  impractical  to
provide such information as of the date hereof.  Such information shall be filed
with the Commission no later than March 24, 1997.

(c) Exhibits

       Exhibit No.                  Description of Exhibit

          10.61       Management  Agreement dated January 7, 1997 by and between
                      the  Registrant  and Bay  Area  Fertility  and  Gynecology
                      Medical Group, Inc.

          10.62       Asset  Purchase  Agreement  dated  January  7, 1997 by and
                      between  the   Registrant   and  Bay  Area  Fertility  and
                      Gynecology Medical Group, a California Partnership.


<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:    January 20, 1997                     By:  /s/Dwight P. Ryan
                                                   ------------------
                                                   Dwight P. Ryan
                                                   Vice President and
                                                   Chief Financial Officer
                                                   (Principal Financial and
                                                   Accounting Officer)







                              MANAGEMENT AGREEMENT

                                     Between

                            INTEGRAMED AMERICA, INC.

                                       And

              BAY AREA FERTILITY AND GYNECOLOGY MEDICAL GROUP, INC.



         THIS  MANAGEMENT  AGREEMENT,  dated  January  7, 1997,  by and  between
IntegraMed America,  Inc., a Delaware  corporation,  with its principal place of
business at One Manhattanville Road,  Purchase,  New York 10577 ("INMD") and Bay
Area Fertility and Gynecology  Medical  Group,  Inc., a California  professional
medical corporation,  with its principal place of business at 5601 Norris Canyon
Road, Suite 300, San Ramon, California 94583 ("P.C.").

                                    RECITALS:

         P.C.  specializes  in the provision of  gynecological  and  infertility
services,   including  the  treatment  of  human  infertility  encompassing  the
provision of in vitro  fertilization  and other assisted  reproductive  services
("Infertility  Services").  All P.C.  interests  in P.C.  are  owned  by  Arnold
Jacobson, M.D., Inc., Donald I. Galen, M.D., Inc. and Louis N. Weckstein,  M.D.,
Inc. (referred to herein as "Physicians" or "Shareholders").

         INMD  is in  the  business  of  owning  certain  assets  and  providing
management and administrative  services to medical practices specializing in the
provision of Infertility  Services,  and furnishing such medical  practices with
the necessary facilities, equipment, personnel, supplies and support staff.

         P.C.  desires  to  obtain  the  services  of  INMD in  performing  such
management and administrative  functions to permit P.C. to devote its efforts on
a concentrated and continuous basis to the rendering of Infertility  Services to
its patients.

         In  addition,  P.C.  desires  access to  capital to fund its growth and
development  and INMD  desires to provide  such  capital or access to capital as
provided herein.

         NOW THEREFORE,  in consideration of the mutual covenants and agreements
herein contained and other good and valuable  consideration,  P.C. hereby agrees
to  purchase  from  INMD  the  management  and  administrative  services  herein
described and INMD agrees to provide such  services on the terms and  conditions
provided herein.

                                      - 1 -

<PAGE>



                                    ARTICLE 1

                                   DEFINITIONS

         1.1  DEFINITIONS.  For the purposes of this  Agreement,  the  following
definitions shall apply:

               1.1.1  "Assets"  shall  mean  those  fixed  assets   utilized  in
          connection with the operation of P.C.'s medical practice.

               1.1.2   "Adjustments"   shall  mean   adjustments   for  refunds,
          discounts, contractual adjustments,  professional courtesies and other
          activities  that  do not  generate  a  collectible  fee as  reasonably
          determined by INMD and P.C..

               1.1.3 "Base Management Fee" shall mean an annual fee paid by P.C.
          to INMD in an amount equal to a percentage of P.C.'s annual  Physician
          and Other  Professional  Revenues as more  specifically  described  in
          Section 2.3.

               1.1.4 "Cost of Services"  shall mean all  ordinary and  necessary
          expenses  of P.C.  and all direct  ordinary  and  necessary  operating
          expenses of INMD,  without  mark-up,  incurred in connection  with the
          management of P.C.'s medical practice, as more specifically  described
          in Section 2.1.

               1.1.5  "Facilities"  shall mean the medical  office and  clinical
          space of P.C., including any satellite  locations,  related businesses
          and all medical group business  operations of P.C., which are utilized
          by P.C. in its medical practice.

               1.1.6  "Fiscal  Year" shall mean the  12-month  period  beginning
          January 1 and ending December 31 of each year.

               1.1.7   "Infertility   Services"  shall  mean  the  provision  of
          gynecological  services,  treatment of human infertility  encompassing
          the   provision  of  in  vitro   fertilization   and  other   assisted
          reproductive services, including but not limited to those which during
          the term of this  Agreement  are  provided  by P.C.  or any  Physician
          Employee and Other Professional Employee.

               1.1.8 "Other Professional  Employees" shall mean the provision of
          gynecological  services,  including the nurse anesthetists,  physician
          assistants,  nurse  practitioners,   psychologists,   and  other  such
          professional  employees who generate  professional  charges, but shall
          not include Technical Employees.


                                      - 2 -

<PAGE>



               1.1.9 "Physician  Employees" shall mean those individuals who are
          employees or shareholders of P.C. or are otherwise under contract with
          P.C. to provide  professional  services to P.C.  patients and are duly
          licensed as physicians in the State of California.

               1.1.10 "Physician and Other Professional Revenues" shall mean all
          fees,  whether received or accrued,  and actually  recorded each month
          (net  of  Adjustments)  by  or  on  behalf  of  P.C.  as a  result  of
          professional  medical  services  personally  furnished  to patients by
          Physician Employees and Other Professional Employees and other fees or
          income earned in their capacity as professionals,  whether rendered in
          an  inpatient or  outpatient  setting,  including  but not limited to,
          medical  director  fees  or  technical  fees  from  medical  ancillary
          services,  consulting fees;  provided,  however,  "Physician and Other
          Professional Revenues" shall not include income derived from testimony
          for  litigation-related  proceedings,  lectures,  passive investments,
          fundraising,  or writing where Physician does not render  professional
          medical services.

               1.1.11   "Predistribution   Earnings"   ("PDE")  shall  mean  (i)
          Physician and Other Professional Revenues,  less (ii) Cost of Services
          and the Base Management Fee.

               1.1.12  "Revenues"  shall mean the sum of all Physician and Other
          Professional Revenues.

               1.1.13   "Shareholders"   shall  mean  Physicians   and/or  other
          physicians who are owners/shareholders of P.C.

               1.1.14  "Technical  Employees"  shall  mean  technicians  such as
          embryologists and other laboratory  personnel,  ultrasonographers  and
          phlebotomists who provide services to the P.C. All Technical Employees
          shall be INMD Employees or independent contractors.


                                    ARTICLE 2

                    COST OF SERVICES AND BASE MANAGEMENT FEE

         2.1 "Cost of Services" (as defined in Section 1.1.4)  includes  without
limitation, the following costs and expenses, whether incurred by INMD or P.C.:

               2.1.1  Salaries  and fringe  benefits  of all  employees  of INMD
          working  directly  in  the  management,  operation  or  administration
          (including,  without  limitation,  Other  Professional  Employees  and
          Technical  Employees)  providing  services at P.C., along with payroll
          taxes or all other taxes and charges now or  hereafter  applicable  to
          such personnel, and services of independent contractors;


                                      - 3 -

<PAGE>

               2.1.2  Expenses   incurred  in  the   recruitment  of  additional
          physicians for P.C.,  including,  but not limited to employment agency
          fees,   relocation   and   interviewing   expenses   and  any   actual
          out-of-pocket  expenses  of INMD  personnel  in  connection  with such
          recruitment effort;

               2.1.3 Direct marketing  expenses of P.C., such as direct costs of
          printing marketing materials prepared by INMD;

               2.1.4 Any sales and use taxes  assessed  against P.C.  related to
          the operation of P.C.'s medical practice;

               2.1.5 Lease payments,  depreciation expense (determined according
          to GAAP),  taxes and interest  directly relating to the Facilities and
          equipment,  and other expenses of the Facilities  described in Section
          3.2 below;

               2.1.6  Legal  fees paid by INMD or P.C.  to  outside  counsel  in
          connection  with matters  specific to the  operation  of P.C.  such as
          regulatory approvals required as a result of the parties entering into
          this Agreement;  provided however,  legal fees incurred by the parties
          hereto as a result  of a  dispute  between  the  parties  shall not be
          considered a Cost of Services;

               2.1.7 Fringe benefits provided to Physician Employees;

               2.1.8 All  insurance  necessary to operate P.C.  including  fire,
          theft,  general  liability  and  malpractice  insurance  for Physician
          Employees of the P.C.;

               2.1.9 Professional licensure fees and board certification fees of
          Physician   Employees  and  Other  Professional   Employees  rendering
          Infertility Services on behalf of P.C.;

               2.1.10  Membership in  professional  associations  and continuing
          professional  education for Physician Employees and Other Professional
          Employees;

               2.1.11 Quality Assurance Program described in Section 3.8 herein;

               2.1.12 Cost of filing  fictitious  name permits  pursuant to this
          Agreement;

               2.1.13  Cost of  supplies,  medical and  administrative,  and all
          direct general and administrative expenses relative to the P.C.

               2.1.14 Such other costs and expenses directly incurred by INMD or
          P.C. necessary for the management or operation of P.C.; and


                                      - 4 -

<PAGE>



         2.2 Notwithstanding  anything to the contrary contained herein, Cost of
Services shall not include costs of the following:

               2.2.1 PDE of the P.C. paid to Shareholders;

               2.2.2  Costs  or  expenses  not  included  in the  annual  budget
          prepared by INMD  pursuant to Section 3.4 herein,  unless  approved by
          the  parties  prior  to  costs  or  expenses  being  incurred   unless
          subsequently ratified by P.C.;

               2.2.3 Any INMD overhead charges;

               2.2.4 Any  federal  or state  income  taxes of INMD other than as
          provided above; and

               2.2.5 The Base Management Fee and the Fixed Management Fee.

         2.3 The "Base Management Fee" and the "Fixed  Management Fee" described
in Article 6 of this Agreement shall constitute INMD's sole compensation for all
indirect costs including all legal, accounting, financial, marketing, management
and  administrative  assistance  provided by INMD  corporate and regional  staff
which are not provided for in Section 2.1.


                                    ARTICLE 3

                       DUTIES AND RESPONSIBILITIES OF INMD

         3.1 MANAGEMENT SERVICES AND ADMINISTRATION.

               3.1.1 P.C.  hereby  appoints  INMD as P.C.'s  sole and  exclusive
          manager and administrator of all of its day-to-day  business functions
          and grants INMD all the  necessary  authority  to carry out its duties
          and responsibilities pursuant to the terms of this Agreement. P.C. and
          only P.C.  will perform the medical  functions of its  practice.  INMD
          will have no authority,  directly or indirectly,  to perform, and will
          not perform, any medical function.  INMD may, however,  advise P.C. as
          to the relationship  between its performance of medical  functions and
          the overall  administrative and business  functioning of its practice.
          To the extent that they assist P.C. in performing  medical  functions,
          all  Technical  Employees  provided  by INMD  shall be  subject to the
          professional   supervision   of  P.C.  The  parties   agree  that  the
          "Decision-Making Authority for Integrated Entities Criteria" developed
          by the California  Medical  Association which provides a framework for
          compliance with the California corporate practice  proscriptions shall
          be utilized by the parties as a guide with  respect to the  management
          and administration services to be provided under this Agreement.

               3.1.2 INMD shall,  on behalf of P.C.,  bill  patients and collect
          professional  fees for  Infertility  Services  rendered by P.C. at the
          Facilities,  outside the Facilities for P.C.'s hospitalized  patients,
          and for all  other  Infertility  Services  rendered  by any  Physician
          Employee or Other Professional Employee. P.C. hereby appoints INMD for
          the term  hereof to be its true and lawful  attorney-in-fact,  for the
          following  purposes:  (i) to bill  patients  in P.C.'s name and on its
          behalf;  (ii) to  collect  accounts  receivable  resulting  from  such
          billing in P.C.'s name


                                      - 5 -

<PAGE>



           
          
          and on its behalf; (iii) to receive payments from insurance companies,
          prepayments received from health care plans, and all other third-party
          payors;  (iv) to take  possession  of and  endorse in the name of P.C.
          (and/or in the name of any  Physician  Employee or Other  Professional
          Employee  rendering  Infertility  Services  to  patients  of P.C.) any
          notes, checks, money orders, and other instruments received in payment
          of accounts  receivable;  and (v) to initiate the institution of legal
          proceedings  in the name of P.C.  to collect any  accounts  and monies
          owed to P.C.,  to enforce  the rights of P.C.  as  creditor  under any
          contract or in connection  with the  rendering of any service,  and to
          contest  adjustments  and  denials by  governmental  agencies  (or its
          fiscal intermediaries) as third-party payors.

               3.1.3 INMD shall  supervise  and maintain (on behalf of P.C.) all
          files  and  records  relating  to the  operations  of the  Facilities,
          including but not limited to accounting and billing  records,  patient
          medical records, and collection records. Patient medical records shall
          at all times be and remain the  property of P.C.  and shall be located
          at the Facilities and be readily  accessible for patient care.  INMD's
          management of all files and records  shall comply with all  applicable
          state and federal laws and regulations,  including without limitation,
          those pertaining to  confidentiality  of patient records.  The medical
          records of each patient  shall be expressly  deemed  confidential  and
          shall not be made  available to any third party  except in  compliance
          with all  applicable  laws,  rules and  regulations.  INMD  shall have
          access to such records in order to provide the services hereunder,  to
          perform  billing  functions,  and to  prepare  for the  defense of any
          lawsuit in which those  records may be  relevant.  The  obligation  to
          maintain the confidentiality of such records shall survive termination
          of this Agreement.  P.C. shall have unrestricted  access to all of its
          records at all times.

               3.1.4  INMD  shall  supply  to  P.C.  all  reasonably   necessary
          clerical,  accounting,  bookkeeping and computer  services,  printing,
          postage and duplication services,  medical transcribing  services, and
          any other necessary or appropriate  administrative services reasonably
          necessary for the efficient  operation of P.C.'s  medical  practice at
          the Facilities.

               3.1.5  Subject to P.C.'s  prior  approval,  INMD shall design and
          implement an  appropriate  marketing and public  relations  program on
          behalf of P.C., with  appropriate  emphasis on public awareness of the
          availability  of Infertility  Services from P.C. The public  relations
          program  shall be conducted in  compliance  with  applicable  laws and
          regulations  governing  advertising  by the medical  profession.  P.C.
          shall approve all advertising and marketing materials prior to use.

               3.1.6 INMD shall assist P.C. in recruiting additional physicians,
          including  such  administrative   functions  as  advertising  for  and
          identifying potential candidates,  checking credentials, and arranging
          interviews;  provided,  however,  P.C.  shall  interview  and make the
          ultimate  decision as to the  suitability  of any  physician to become
          associated with P.C. All physicians  recruited by INMD and accepted by
          P.C. shall be employees of or independent contractors to P.C.



                                      - 6 -

<PAGE>
         
               3.1.7 INMD shall assist in negotiating, but shall not enter into,
          and shall  administer all managed care contracts on behalf of P.C. and
          shall  consult  with  P.C.  on  all  administrative  matters  relating
          thereto.

               3.1.8 INMD shall arrange for legal and accounting services as may
          be reasonably required in the ordinary course of the P.C.'s operation,
          including  the cost of enforcing  any  physician  contract  containing
          restrictive  covenants.   Nothing  contained  herein  is  intended  to
          authorize INMD to settle any claim made by or against P.C..

               3.1.9 INMD shall negotiate for and cause premiums to be paid with
          respect to the insurance provided for in Article 10.

               3.1.10 INMD shall take such other  reasonable  actions to collect
          fees and pay  expenses  of the  Facilities  in a timely  manner as are
          deemed  reasonably  necessary to  facilitate  the  operation of P.C.'s
          medical practice at the Facilities.

         3.2 FACILITIES.

             (a) INMD shall  provide the office space and  facilities  necessary
for the operation of P.C.'s medical practice, as set forth in Exhibit 3.2 hereto
(the "Facilities"), including but not limited to, the use of the Facilities, and
shall be responsible  for all repairs,  maintenance  and  improvements  thereto,
utility  (telephone,   electric,  gas,  water)  services,  customary  janitorial
services,  refuse  disposal  and all  other  services  reasonably  necessary  in
conducting  the  Facilities'  physical  operations.  INMD shall  provide for the
cleanliness of the  Facilities,  and timely  maintenance  and cleanliness of the
equipment,  furniture and furnishings  located therein.  INMD shall consult with
P.C.  regarding  the  condition,  use and needs for the  Facilities,  equipment,
services  and  improvements  thereto.  P.C.  shall  have the right to review all
proposed  leases for office space and INMD shall  consult with P.C. with respect
to the terms of such  leases and use its best  efforts to ensure that the leases
provide for reasonable assignment.

             (b)  Inclusive  in  the  Facilities  to  be  provided  shall  be  a
state-of-the-art  clinical  and IVF  laboratory  (the  "Lab")  which  shall meet
minimum national standards and be consistent with other laboratories provided by
INMD to other  medical  practices  it manages.  The Lab  build-out,  which shall
consist of all required  construction  necessary for P.C. to seek licensure (the
"Lab Build- Out"), shall be accomplished within seven (7) months of execution of
the lease for the new Facilities.  INMD shall bear the risk of all  construction
aspects being completed  within the seven (7)- month period in order for the Lab
to be in  operational  and  capable of  generating  Revenues,  but shall have no
liability or responsibility  for the failure of the appropriate  license issuing
agencies to timely issue licenses; all other risks, including the failure of the
Lab to be timely  licensed,  shall be borne by P.C.  INMD and P.C.  agree to use
their best efforts to accomplish  the Lab  build-out  and licensure  thereof and
will cooperate with each other as to all reasonable requests of the other.




                                      - 7 -

<PAGE>

             (c) INMD agrees that in the event the Lab Build-Out isn't completed
as provided for in Section 3.2 (b), P.C. shall,  effective with the commencement
of the 8th month of this Agreement,  suspend  payment of any further  Management
Fee  provided  for in  Section  6.1.3,  unless  and  until  such time as the Lab
Build-Out is completed.

             (d) INMD agrees that during the first 5 years of this Agreement, it
will ensure that Shareholders, as lessors of the Facility located at 5601 Norris
Canyon Road, Suite 300, San Ramon, California 94583, shall realize rental income
of $6,000.00 per month in the event P.C. relocates its medical practice from the
Facility.  In such event,  Shareholders shall cooperate with INMD in obtaining a
subtenant for the Facility.  Such cooperation shall include,  but not be limited
to, active participation in seeking a subtenant,  execution of such documents of
assignment as may be required to effect an assignment  and using best efforts to
accomplish a timely assignment.

         3.3 EXECUTIVE DIRECTOR AND OTHER PERSONNEL.

               3.3.1 EXECUTIVE DIRECTOR.  Subject to the approval of P.C., which
          shall not be  unreasonably  withheld,  INMD shall hire and  appoint an
          Executive  Director  to  manage  and  administer  all  the  day-to-day
          business  functions of the  Facilities  and  determine  the salary and
          fringe  benefits paid to the  Executive  Director.  At the  direction,
          supervision  and control of INMD, the Executive  Director,  subject to
          the terms of this Agreement,  shall implement the policies agreed upon
          by INMD and P.C. and shall generally perform the administrative duties
          assigned to the Executive Director by INMD. P.C. acknowledges that the
          removal of an Executive  Director is likely to involve  financial  and
          other  commitments on the part of INMD that were undertaken after that
          individual's  approval by P.C.  Therefore,  the  decision to remove an
          Executive  Director  shall rest with INMD.  However,  upon  request by
          P.C.,  INMD shall  review any  disputes  between P.C. and an Executive
          Director,  or disapproval of Executive by P.C. and endeavor to resolve
          the  problem  with  consideration  to be given to the  removal  of the
          Executive Director, among other outcomes.

               3.3.2  PERSONNEL.  INMD shall  provide  non-professional  support
          personnel  and  administrative   personnel,   clerical,   secretarial,
          bookkeeping  and  collection  personnel  reasonably  necessary for the
          efficient operation of P.C. at the Facilities. Such personnel shall be
          under the direction,  supervision  and control of INMD, with Technical
          Employees and Other Professional Employees subject to the professional
          supervision of P.C.. If P.C. is dissatisfied  with the services of any
          person delivering  non-professional  services, P.C. shall consult with
          INMD.  INMD shall in good faith  determine  whether the  employment of
          that employee  warrants  termination.  INMD's  obligations  to utilize
          non-professional   personnel  shall  be  governed  by  the  overriding
          principle and goal of  facilitating  P.C.'s  provision of high quality
          medical care and laboratory services.  INMD shall make every effort to
          honor the specific  requests of P.C. with regard to the  assignment of
          INMD's employees, including the Executive Director.

                                      - 8 -

<PAGE>
       

         3.4 FINANCIAL PLANNING AND GOALS. INMD shall prepare,  for the approval
of P.C.,  annual  capital  and  operating  budgets  reflecting  the  anticipated
revenues and expenses, sources and uses of capital for growth of P.C.'s practice
and for the  provision of  Infertility  Services at the  Facilities.  INMD shall
present the budgets to P.C.  for its approval at least thirty (30) days prior to
the  commencement  of the Fiscal Year.  INMD shall  specify the targeted  profit
margin for P.C.'s  practice at the  Facilities  which shall be  reflected in the
overall  budget.  If the parties cannot agree on the budget for any Fiscal Year,
the budget for the  preceding  Fiscal Year shall serve as the budget  until such
time as the dispute can be resolved.

         3.5  AUDITS  AND  STATEMENTS.   INMD  shall  prepare  annual  financial
statements for  operations of P.C. at the  Facilities  within sixty (60) days of
the close of the Fiscal Year.  INMD shall prepare monthly  financial  statements
containing a balance sheet and statement of operations, which shall be delivered
to P.C. within thirty (30) days after the close of each calendar month.

         3.6 TAX PLANNING AND TAX RETURNS.  INMD will not be responsible for any
tax  planning  or tax return  preparation  for P.C.,  but will  provide  support
documentation in connection with the same. Such support  documentation shall not
be destroyed without P.C.'s consent.

         3.7 INVENTORY AND SUPPLIES. INMD shall order and purchase inventory and
supplies, and such other materials which are requested by P.C. to enable P.C. to
deliver Infertility Services in a cost-effective manner.

         3.8 QUALITY  IMPROVEMENT.  INMD shall  assist P.C.  in  fulfilling  its
obligations to maintain a Quality  Improvement  Program and in meeting the goals
and standards of such program.


                                    ARTICLE 4

                       DUTIES AND RESPONSIBILITIES OF P.C.

         4.1 PROFESSIONAL  SERVICES.  P.C. shall provide Infertility Services to
patients in compliance at all times with ethical standards, laws and regulations
applying to the  practice of medicine  in the State of  California.  P.C.  shall
ensure that each Physician Employee,  Other Professional  Employee and any other
professional  provider  associated  with P.C.  is duly  licensed  to provide the
services  being  rendered  within  the  scope of such  provider's  practice.  In
addition,  P.C. shall require each new  shareholder  and  Physician-Employee  to
maintain a DEA number and appropriate  medical staff privileges as determined by
P.C.  during the term of this  Agreement  and to obtain board  certification  in
Reproductive   Endocrinology  within  five  (5)  years  of  a  shareholder's  or
Physician-Employee's  completion  of  an  accredited  training  program.  It  is
acknowledged that Physician-Shareholders are not board certified in Reproductive
Endocrinology  and shall have no  obligation  to meet this  requirement.  In the
event that any disciplinary actions or medical malpractice actions are initiated
against  any  Physician-Shareholder,  Physician-Employee  or other  professional
provider,  P.C. shall  immediately  inform the Executive  Director and provide a
written indication of the underlying facts and circumstances of such action.


                                      - 9 -

<PAGE>

         4.2  MEDICAL  PRACTICE.  P.C.  shall  use  and  occupy  the  Facilities
exclusively for the purpose of providing  Infertility  Services and shall comply
with all applicable laws and regulations and all applicable standards of medical
care,  including,  but not limited to, those established by the American Society
of  Reproductive   Medicine  and  the  American  College  of  Obstetricians  and
Gynecologists.  The  medical  practice  conducted  at the  Facilities  shall  be
conducted solely by physicians employed by or serving as independent contractors
to P.C., and other Professional  Employees as defined herein. No other physician
or medical  practitioner  shall be  permitted  to use or occupy  the  Facilities
without  the  prior  written  consent  of INMD,  except in the case of a medical
emergency, in which event,  notification shall be provided to INMD as soon after
such use or occupancy as possible.

         4.3 EMPLOYMENT OF PHYSICIAN AND OTHER  PROFESSIONAL  EMPLOYEES.  In the
event P.C. shall determine that additional physicians are necessary,  P.C. shall
undertake and use its best efforts to locate physicians who, in P.C.'s judgment,
possess  the  credentials  and  expertise  necessary  to enable  such  physician
candidates  to  become  affiliated  with  P.C.  for  the  purpose  of  providing
Infertility Services.  P.C. shall cause each Physician-Employee to enter into an
employment  agreement with P.C. in the form attached hereto as Exhibit 4.3(A) if
the Physician- Employee is a shareholder or in the form of Exhibit 4.3(B) if the
Physician-Employee  is not a  shareholder,  or such  other  form as is  mutually
acceptable to P.C. and INMD.  Physicians shall also sign, and shall require each
shareholder to sign an Acknowledgement  of Personal Financial  Responsibility in
the form attached  hereto as Exhibit  4.3(C).  P.C.  covenants  that it will not
employ any  physician or make any  physician a  shareholder  of P.C.  unless the
physician shall sign the appropriate  employment  agreement before employment or
ownership   interest  in  P.C.  P.C.   shall  have   complete   control  of  and
responsibility  for  the  hiring,  compensation,   supervision,  evaluation  and
termination  of its  Physician-  Employees  and  Other  Professional  Employees,
although at the request of P.C.,  INMD shall consult with P.C.  respecting  such
matters.

         4.4   CONTINUING   MEDICAL   EDUCATION   .  P.C.   shall   require  its
Physician-Employees  and Other  Professional  Employees to  participate  in such
continuing  medical education as P.C. deems to be reasonably  necessary for such
physicians or Other Professional Employees to remain current in the provision of
Infertility Services.

         4.5 PROFESSIONAL AND OTHER INSURANCE ELIGIBILITY.

             (a)  P.C.  shall  cooperate  in  the  obtaining  and  retaining  of
professional  liability insurance by assuring that its  Physician-Employees  and
Other Professional  Employees are insurable and participating in an ongoing risk
management program, under INMD's direction.


                                     - 10 -

<PAGE>



             (b) P.C. and INMD shall  cooperate in the  obtaining  and retaining
Key  Man  Insurance  and/or  Business  Interruption  coverage  with  respect  to
Physicians and P.C.


                                    ARTICLE 5

                              LICENSE OF INMD NAME

         5.1 GRANT OF  LICENSE.  INMD  hereby  grants to P.C.  a  revocable  and
non-assignable  license  for  the  term  of  this  Agreement  to  use  the  name
Reproductive Science Center(R),  Bay Area Fertility and any other service names,
trademark  names and logos of INMD (the "Trade Names") in  conjunction  with the
provision of Infertility Services by P.C. at the Facilities. Notwithstanding the
License  granted to P.C.  hereunder,  INMD retains the absolute right to use and
license the Trade Names to others, except that INMD agrees that:

               5.1.1 During the term of this  Agreement,  it will not enter into
          any management  agreement with any other physician or medical practice
          providing  Infertility  Services within 25 miles of P.C.'s office(s) (
          the "Radius") county without P.C.'s consent.

               5.1.2 During the first eighteen  months  following the signing of
          this  Agreement,  it shall not enter into a management  agreement with
          any other physician or medical practice providing Infertility Services
          which  physician or medical  practice is located outside the Radius in
          Alameda  county or, San  Francisco,  Marin,  San Mateo or Santa  Clara
          Counties,  California  (the  "Territory"),  without first offering the
          opportunity  for P.C. to  establish  an office in such  counties to be
          managed  by INMD on  essentially  the same  terms  as in the  proposed
          management  arrangement.  P.C.  shall  within  20 days of  receipt  of
          written notice, including all terms and copies of contracts, from INMD
          of INMD's  intent to manage a practice  in the  Territory  indicate to
          INMD in  writing,  its  willingness  to  establish,  at its  costs and
          expense,  an office in the Territory to be managed by P.C.  Failure to
          provide the written  notice within the 20-day period shall be a waiver
          of P.C.'s right of first refusal provided for in this Section 5.1.2.

         5.2 FICTITIOUS NAME PERMIT.  If necessary,  P.C. shall file or cause to
be filed  an  original,  amended  or  renewal  application  with an  appropriate
regulatory  agency to obtain a  fictitious  name  permit  which  allows  P.C. to
practice  at the  Facilities  under  the Trade  Names  and shall  take any other
actions  reasonably  necessary to procure protection of or protect INMD's rights
to the Trade Names.  INMD shall  cooperate and assist P.C. in obtaining any such
original, amended or renewal fictitious name permit.


                                     - 11 -

<PAGE>
       
         5.3  RIGHTS  OF  INMD.  P.C.   acknowledges   INMD's  exclusive  right,
ownership, title and interest in and to the Trade Names and will not at any time
do or cause to be done any act or thing  contesting  or in any way  impairing or
tending to impair any part of such right, title and interest. In connection with
the use of the Trade Names,  P.C. shall not in any manner  represent that it has
any  ownership  interest in the Trade Names,  and P.C.'s use shall not create in
P.C.'s favor any right,  title,  or interest in or to the Trade Names other than
the right of use granted hereunder, and all such uses by P.C. shall inure to the
benefit of INMD. P.C. shall notify INMD  immediately  upon becoming aware of any
claim, suit or other action brought against it for use of the Trade Names or the
unauthorized  use of the Trade Names by a third party.  P.C.  shall not take any
other  action to protect the Trade Names  without the prior  written  consent of
INMD. INMD, if it so desires, may commence or prosecute any claim or suit in its
own name or in the name of P.C. or join P.C. as a party thereto.  P.C. shall not
have any  rights  against  INMD for  damages  or other  remedy  by reason of any
determination  of INMD not to act or by reason of any  settlement  to which INMD
may agree with respect to any alleged infringements,  imitations or unauthorized
use by others of the Trade Names,  nor shall any such  determination  of INMD or
such settlement by INMD affect the validity or enforceability of this Agreement.


         5.4 RIGHTS UPON TERMINATION.

               5.4.1 Upon termination of this Agreement,  P.C. shall: (i) within
          45 days  of the  termination,  cease  using  the  Trade  Names  in all
          respects and refrain from making any  reference on its  letterhead  or
          other  publicly-disseminated  information  or  material  to its former
          relationship  with INMD; and (ii) take any and all actions required to
          make the Trade Names  available  for use by any other person or entity
          designated by INMD.

               5.4.2 P.C.'s  failure  (except as otherwise  provided  herein) to
          cease using the Trade Names at the  termination  or expiration of this
          Agreement will result in immediate and irreparable  damage to INMD and
          to the rights of any licensee of INMD.  There is no adequate remedy at
          law for such  failure.  In the event of such  failure,  INMD  shall be
          entitled  to  equitable  relief by way of  injunctive  relief and such
          other relief as any court with  jurisdiction may deem just and proper.
          Additionally,   pending  such  a  hearing  and  the  decision  on  the
          application for such permanent injunction, INMD shall be entitled to a
          temporary  restraining  order,  without  prejudice to any other remedy
          available to INMD. All such remedies hereunder shall be at the expense
          of P.C. and shall not be a Cost of Services.


                                    ARTICLE 6

                             FINANCIAL ARRANGEMENTS

         6.1 SERVICE FEES. The compensation set forth in this Article 6 is being
paid to INMD in consideration of the substantial commitment made and services to
be rendered by INMD  hereunder  and is fair and  reasonable.  INMD shall be paid
monthly the following  amounts  (collectively  "Service Fees") prior to any P.C.
distributions (defined herein as PDE):

               6.1.1 an amount reflecting all Cost of Services (whether incurred
          by INMD or P.C.) paid or  recorded  by INMD  pursuant  to the terms of
          this Agreement;

                                     - 12 -

<PAGE>



               6.1.2. during each year of this Agreement,  a Base Management Fee
          in an amount equal to six percent (6%) of the Revenues;

               6.1.3 during years 1 through 5 of this  Agreement,  an additional
          management  fee  ("Additional  Management  Fee") in an amount equal to
          twelve (12%) of the Revenues,  but not to exceed 20% of PDE; provided,
          however,  for years 1 through 5 of this Agreement,  if the PDE is $2.0
          million  or less,  the  Additional  Management  Fee shall  not  exceed
          $320,000  per  year.  For all PDE over  $2.0  million,  INMD  shall be
          entitled  to  the  applicable   Additional  Management  Fee,  but  not
          exceeding 20% of PDE over $2.0 million..

               6.1.4 during years 6 through 20 of this Agreement,  an Additional
          Management  Fee in an amount equal to fifteen  (15%) of the  Revenues,
          but not to exceed 25% of PDE.

         6.2  ACCOUNTS  RECEIVABLE.  On or before the 15th  business day of each
month,  INMD shall reconcile the accounts  receivable of P.C. arising during the
previous calendar month. Accounts receivable shall be defined as all receivables
recorded   each   month  (net  of   Adjustments)   on  the  books  of  the  P.C.
("Receivables").  INMD shall  transfer or pay such amount of funds to P.C. equal
to the  Receivable  less Service Fees.  INMD shall,  in addition,  transfer such
portion  of the  Services  Fees  necessary  to pay such  portion  of the Cost of
Services  which are costs and  expenses  of P.C.,  as  described  in Section 2.1
above.  P.C. shall  cooperate  with INMD and execute all necessary  documents in
connection  with the assignment of such  Receivable to INMD or at INMD's option,
to its  lenders.  All  collections  in  respect  of such  Receivables  shall  be
deposited in a bank  account at a bank  designated  by INMD.  To the extent P.C.
comes into possession of any payments in respect of such Receivables, P.C. shall
direct such payments to INMD for deposit in bank accounts designated by INMD.

         6.3 ADVANCES.  In addition to the purchase of the Receivables set forth
in 6.2 above,  INMD agrees to advance  funds to P.C.,  to provide new  services,
utilize new technologies, meet Cost of Services, provide working capital or fund
mergers with other  physicians or physician groups into P.C.  ("Advance").  Such
Advances shall be made only with the consent of P.C..

               6.3.1 Any amounts advanced hereunder shall be a debt owed to INMD
          by P.C.  and shall have  payment  priority  over PDE  distribution  to
          Partners. Any Advance shall be repaid, and accordingly deducted,  from
          Partners'  PDE either as a lump sum payment,  within 60 days after the
          advance or installments as agreed to by INMD.

               6.3.2  Interest  expense  will be charged for funds  advanced and
          will be  computed  at the Prime  Rate used by INMD's  primary  bank in
          effect at the time of the  Advance.  Advances  shall be evidenced by a
          security  agreement  in the  form  of  Exhibit  6.3.2,  giving  INMD a
          collateral interest in all Receivables of P.C. and PDE to Partners.




                                     - 13 -

<PAGE>

                                    ARTICLE 7

                      EXCLUSIVE MANAGEMENT RIGHT AND TERM

         7.1 INMD  Agrees  to pay  P.C.  on the  Closing  Date,  as  hereinafter
defined, the sum of $1.5 million ("Right to Manage Fee") for the exclusive right
to manage P.C.  during the term of this  Agreement  (the  "Exclusive  Management
Right"), as follows:

               7.1.1 $0.5  million in the form of INMD Common Stock based on the
          closing  price on the 3rd  business day prior to the Closing Date (the
          "Shares"); and

               7.1.2  $0.955  million  in the  form of a check  payable  in U.S.
          funds.

               7.1.3 The Shares will be  unregistered  and issued in relation to
          the provisions of Rule 144 under the Securities Act of 1933. If at any
          time  within two years  after the date of this  Agreement,  INMD shall
          determine to file a registration statement under the Securities Act of
          1933  (the  "Act")  on  Form  S-l  or  its   equivalent   covering  an
          underwritten  public  offering of INMD's  common  stock by INMD (other
          than an exchange offer by INMD to stockholders of another  corporation
          or an offer to INMD's employees) or by any of its  stockholders,  INMD
          shall  so  notify  P.C.  at least 30 days  prior to the  filing.  Upon
          written request made by P.C. within 15 days after the notice is given,
          INMD shall include in the  registration  statement  such number of the
          shares  of  P.C.s  common  stock  acquired  by P.C.  pursuant  to this
          Agreement as P.C.  shall  designate  in its request,  except that INMD
          shall  not be  obligated  to  include  any  of  P.C.'s  shares  in the
          registration statement if:

               (i) in the case of a  proposed  registration  statement  covering
          shares to be offered by INMD, INMD or any proposed  underwriter of the
          shares  covered by the  registration  statement  advises P.C.  that it
          reasonably  believes that  inclusion of P.C.'s shares would  interfere
          with the offering of the other shares being registered;

               (ii) P.C.  shall have  failed to agree in writing  within 10 days
          after  INMD's  request to do so: (A) not to sell any of P.C.'s  shares
          for such a period of time as INMD may  designate  (not to  exceed  120
          days after the effective date of the registration  statement),  or (B)
          to distribute the shares for which registration was requested (or such
          lesser  number of shares,  in proportion to the total number of shares
          to  be  offered  pursuant  to  the   registration   statement  as  the
          underwriter may specify) pursuant to a firm (as  distinguished  from a
          best efforts) underwriting through an underwriter designated by INMD;

               (iii) INMD withdraws the  registration  statement with respect to
          all the  shares for which  registration  was  contemplated  before the
          registration statement becomes effective; or


                                     - 14 -

<PAGE>

               (iv) P.C.  shall have failed to furnish to INMD such  information
          and  other  material  as  INMD  or its  counsel  may  have  reasonably
          requested  with respect to the public  offering of its shares or shall
          have failed to take any other  action or execute any  documents  which
          INMD or its counsel  considers  necessary or  desirable in  connection
          with the registration statement.

         7.2 The term of this  Agreement  shall  begin on the Closing  Date,  as
hereinafter  defined,  and shall expire twenty (20) years after such date unless
earlier  terminated  pursuant to Article 8, below. This Agreement may be renewed
by either party,  if within the period of 180 days prior to the expiration  date
one party gives notice to the other of its intention to continue this  Agreement
under the same terms and  conditions as set forth herein or under such different
terms and conditions as particularly set forth in the written notice and further
providing  that the other  party has 30 days from the date of notice to  accept,
reject or modify the offer.  If within 30 days, the other party does not respond
or by written notice accepts, this Agreement shall continue for an additional 10
years under the terms and conditions as provided in the notice.


                                    ARTICLE 8

                          TERMINATION OF THE AGREEMENT


         8.1 TERMINATION This Agreement may be terminated by either party in the
event of the following:

               8.1.1  INSOLVENCY.  If a receiver,  liquidator  or trustee of any
          party shall be appointed by court order,  or a petition to  reorganize
          shall be filed against any party under any bankruptcy,  reorganization
          or insolvency  law, and shall not be dismissed  within 90 days, or any
          party shall file a voluntary petition in bankruptcy or make assignment
          for the benefit of  creditors,  then  either of the other  parties may
          terminate  this  Agreement  upon 10 days prior  written  notice to the
          other parties.

               8.1.2 MATERIAL BREACH.  If either party shall  materially  breach
          its  obligations  hereunder,  then  either  of the other  parties  may
          terminate  this Agreement by providing 30 days prior written notice to
          the breaching party detailing the nature of the breach,  provided that
          the breaching party shall not have cured the breach within such 30 day
          period,  or, with respect to breaches that are not curable within such
          30 day period,  shall not have  commenced  to cure such breach  within
          such 30 day period and thereafter shall not have cured the breach with
          the exercise of due diligence.

               8.1.3 ILLEGALITY.

               (a) Any party  may  terminate  this  Agreement  immediately  upon
          receipt of notification by any local, state or federal agency or court
          of  competent  jurisdiction  that  the  conduct  contemplated  by this
          Agreement is forbidden by law;  except that this  Agreement  shall not
          terminate  during such  period of time as to any party which  contests
          such  notification in good faith and the conduct  contemplated by this
          Agreement is allowed to continue during such contest. If any governing
          regulatory  agency  asserts that the  services  provided by INMD under
          this  Agreement  are unlawful or that the practice of medicine by P.C.
          as contemplated by this Agreement  requires a certificate of need, and
          any such  assertion is not contested  (or if  contested,  the agency's
          assertion is found to be correct by a court of competent  jurisdiction
          and no appeal is taken,  or if any  appeals are taken and the same are
          unsuccessful),  this Agreement shall thereupon terminate with the same
          force as if such termination date was the date originally specified in
          this  Agreement as the date of final  expiration  of the terms of this
          Agreement.

                                     - 15 -


<PAGE>


               (b) Any illegality may also be cured and the  termination of this
          Agreement    avoided   by    implementing    Section   11.9   entitled
          "Separability."

         8.2 TERMINATION BY INMD FOR PROFESSIONAL DISCIPLINARY ACTIONS. INMD may
terminate  this  Agreement  upon 10  days  prior  written  notice  to P.C.  if a
physician's  authorization  to practice  medicine is  suspended,  revoked or not
renewed, or if any other formal disciplinary action is taken against a physician
which could  reasonably  lead to a suspension,  revocation or  non-renewal  of a
physician's  license;  provided,  however,  such  action may not be taken  until
physician has been given 30 days to resolve such  physician's  authorization  to
practice medicine.  P.C. shall notify INMD within five (5) days of a notice that
a physician's  authorization to practice  medicine is suspended,  revoked or not
renewed or that formal  disciplinary  action has been taken  against a physician
which could  reasonably  lead to s suspension,  revocation or  non-renewal  of a
physician's license.


                                    ARTICLE 9

                  PURCHASE OF ASSETS - OBLIGATIONS AND OPTIONS

         9.1  TERMINATION BY INMD If INMD  terminates  this Agreement due to the
insolvency of P.C. (Section 8.1.1) for reasons other than circumstances directly
attributable  to INMD, for a material  breach by P.C.  (Section  8.1.2),  or for
disciplinary  action against a Physician  Employee  (Section 8.2), P.C.  agrees,
within 90 days of the date of termination, at INMD's option;

               9.1.1  To  purchase  from  INMD  the P.C.  Assets  and  leasehold
          improvements  at their net book value  determined in  accordance  with
          GAAP, consistently applied, as of the date of termination.

               9.1.2 To pay INMD 100% of the preceding 12 months'  Revenues over
          $3.0 million.


                                     - 16 -

<PAGE>


               9.1.3 In addition,  during the first five years of this Agreement
          P.C.  shall repay INMD such  portion of the $2.0  million  received by
          P.C. from INMD for the Exclusive  Management Right and the purchase of
          the name "Bay Area  Fertility"  (the "Name") under the Asset  Purchase
          Agreement  of  even  date  between  INMD  and  Bay  Area  Fertility  &
          Gynecology  Medical  Group, a California  partnership,  predecessor to
          P.C.,  determined by  multiplying  the number of years the  Management
          Agreement has been in effect rounded off to the nearest quarter of the
          year by  $400,000.00  ("Earned  Amount").  The  Earned  Amount is then
          deducted  from the amount  P.C.  actually  received  from INMD for the
          Exclusive  Management  Right and the Name; the excess,  if any, equals
          the amount to be repaid by P.C. to INMD.  Further,  P.C. shall pay all
          Base Management Fees due as of the termination together with any other
          Service Fees, including unpaid Advances.

               9.1.4 If a purchase is completed  under this  Section  9.1,  P.C.
          shall assume all leases for offices and  equipment  used  directly for
          the  management  and  operation  of P.C.'s  business and may hire such
          employees  as it  determines  are  necessary  to operate  the  medical
          practice and business.

         9.2  TERMINATION  BY P.C. In the event this  Agreement is terminated by
P.C. as a result of the  insolvency  of INMD (8.1.1) or material  breach by INMD
(8.1.2), INMD agrees, within 90 days of the date of termination, at P.C. option,
to sell to P.C.  the P.C.  Assets  and  leasehold  improvements  as set forth in
Sections 9.1.1.

               9.2.1 If a termination  occurs under this Section 9.2, P.C. shall
          assume all leases for  offices and  equipment  used  directly  for the
          management  and  operation  of  P.C.'s  business  and  may  hire  such
          employees  as it  determines  are  necessary  to operate  the  medical
          practice and business.

               9.2.2 In the event  P.C.  exercises  the option set forth in this
          Section 9.2, closing shall occur within 90 days of the date the option
          is exercised. In the event P.C. does not exercise the option within 90
          days of  termination,  P.C.  shall  have  relinquished  its  right and
          interest  to the P.C.  Assets and INMD shall be free to use or dispose
          of the P.C.  Assets as it  determines  with  neither  party having any
          further obligations to the other.

         9.3 TRANSFER OF OWNERSHIP

         Upon receipt of payment of the purchase  price and other  payments due,
INMD shall transfer  ownership and possession of the P.C. Assets, and assign all
right,  title and interest in and to and obligations  under the Lease(s) to P.C.
and  return  to P.C.  all  security  deposits.  P.C.  shall  have the  option of
receiving  full  credit on the  purchase  price for all liens,  encumbrances  or
security interest,  or of having INMD transfer ownership of the P.C. Assets free
and clear of all liens, encumbrances or security interests thereon.



                                     - 17 -

<PAGE>



                                   ARTICLE 10

                                    INSURANCE

         10.1 INMD shall carry professional liability insurance, covering itself
and its employees  providing services under this Agreement in the minimum amount
of $1 million per  incident,  $3 million in the  aggregate,  at its own expense.
INMD shall also carry a policy of public liability and property damage insurance
with respect to the Facilities  under which the insurer agrees to indemnify INMD
against all cost,  expense and/or liability arising out of or based upon any and
all claims,  accidents,  injuries and damages  customarily  included  within the
coverage of such policies of insurance available for INMD. The minimum limits of
liability of such insurance  shall be $1 million  combined single limit covering
bodily injury and property damage.  If possible under the terms of the insurance
coverage,  P.C.  shall be named as  additional  insureds  on the  INMD's  public
liability and property damage insurance policies;  provided however,  conditions
for  being  made an  additional  insured  should be (i) P.C.  utilizing  patient
informed   consent  forms  supplied  by  INMD  and  (ii)  P.C.   complying  with
requirements of INMD's insurance company. A certificate of insurance  evidencing
such  policies  shall be  presented  to P.C.  within  thirty (30) days after the
execution of this Agreement.  Failure to provide such  certificate(s)  with such
period shall constitute a material breach by INMD hereunder.

         10.2 INMD shall use its best  efforts  to cause  P.C.,  Physicians  and
physician-employees   to  be  made  named  insureds  under  INMD's  professional
liability  coverage.   If  P.C.  is  not  made  an  insured,  P.C.  shall  carry
professional  liability  insurance  covering  P.C.  and P.C.'s  employees in the
amount of $2 million per incident,  $5 million in the  aggregate.  INMD shall be
made an additional  insured under such  coverage and  Certificates  of Insurance
evidencing  such policies and  additional  insured  status shall be presented to
INMD within ninety (90) days after the execution of this Agreement.

         10.3 P.C. and INMD shall provide  written  notice to the other at least
ten (10) days in advance of the effective date of any reduction, cancellation or
termination of the insurance required to be carried by each hereunder.

                                   ARTICLE 11

                                  MISCELLANEOUS

         11.1 INDEPENDENT CONTRACTOR.  INMD and P.C. are independent contracting
parties. In this regard, the parties agree that:

               11.1.1  The  relationship  between  INMD and  P.C.  is that of an
          independent  supplier of non-medical  services and a medical practice,
          respectively,  and, unless otherwise provided herein,  nothing in this
          Agreement   shall  be   construed   to   create   a   principal-agent,
          employer-employee,  or  master-servant  relationship  between INMD and
          P.C.;

                                     - 18 -

<PAGE>



               11.1.2 Notwithstanding the authority granted to INMD herein, INMD
          and P.C. agree that P.C. shall retain the full authority to direct all
          of the  medical,  professional,  and  ethical  aspects of its  medical
          practices;

               11.1.3 Any powers of P.C. not specifically  vested in INMD by the
          terms of this Agreement shall remain with P.C.;

               11.1.4 P.C. shall, at all times, be the sole professional P.C. of
          the  Partners  and,  except with  INMD's  specific  consent,  the sole
          employer of the Physician Employees,  the Other Professional Employees
          required by law to be  employees  of P.C.  and all other  professional
          personnel  engaged by P.C. in  connection  with the  operation  of its
          medical  practice at the Facilities,  and shall be solely  responsible
          for the payment of all applicable federal,  state or local withholding
          or similar taxes and provision of workers' compensation and disability
          insurance for such professional personnel that are employees of P.C.;

               11.1.5  No party  shall  have the  right  to  participate  in any
          benefits,  employment programs or plans sponsored by the other parties
          on behalf of the other parties' employees,  including, but not limited
          to, workers' compensation,  unemployment  insurance,  tax withholding,
          health insurance, life insurance,  pension plans or any profit sharing
          arrangement;

               11.1.6 In no event  shall  any  party be liable  for the debts or
          obligations  of any  other  party  except  as  otherwise  specifically
          provided in this Agreement; and

               11.1.7 Matters involving the internal  agreements and finances of
          P.C.,  including but not limited to the  distribution  of professional
          fee income among Physician Employees and Other Professional  Employees
          who are providing professional services to patients of P.C., and other
          employees of P.C.,  disposition  of P.C.  property and P.C.  interests
          (except all  Partners  shall be required to accept and be bound by the
          Agreement), accounting, tax preparation, tax planning, and pension and
          investment  planning (and expenses  relating  solely to these internal
          business  matters),  hiring and firing of  physicians,  decisions  and
          contents  of reports to  regulatory  authorities  governing  P.C.  and
          licensing,  shall  remain  the  sole  responsibility  of P.C.  and the
          individual Physician Stockholder(s).

         11.2 FORCE  MAJEURE.  No party shall be liable to the other parties for
failure to perform any of the  services  required  under this  Agreement  in the
event of a strike, lockout, calamity, act of God, unavailability of supplies, or
other  event over which  such  party has no  control,  for so long as such event
continues and for a reasonable period of time thereafter,  and in no event shall
such party be liable for  consequential,  indirect,  incidental  or like damages
caused thereby.  This provision shall not apply to INMD's  obligation to provide
for a backup generator for the Lab provided as part of the Facilities.


                                     - 19 -

<PAGE>



         11.3 USE OF NAME OF P.C.. The name or any statement that may implicitly
refer  directly  or  indirectly  to P.C. or impute any  affiliation  directly or
indirectly between INMD and P.C. shall not be used in any manner or on behalf of
INMD in any  advertising  or promotional  materials or otherwise  without P.C.'s
prior  written  consent.  However,  INMD  may  use  P.C.'s  name or  address  in
advertising to the public solely for the purpose of providing  directions to the
office of P.C..

         11.4  EQUITABLE  RELIEF.   Without  limiting  other  possible  remedies
available to a non-breaching  party for the breach of the covenants  contained
herein, injunctive or other equitable relief shall be available to enforce those
covenants,  such relief to be without the  necessity  of posting  bond,  cash or
otherwise.  If any restriction  contained in said covenants is held by any court
to be unenforceable or unreasonable,  a lesser  restriction shall be enforced in
its place and remaining  restrictions therein shall be enforced independently of
each other.

         11.5 PRIOR AGREEMENTS;  AMENDMENTS. This Agreement supersedes all prior
agreements  and  understandings  between the  parties as to the  subject  matter
covered hereunder,  and this Agreement may not be amended,  altered,  changed or
terminated orally. No amendment,  alteration,  change or attempted waiver of any
of the  provisions  hereof shall be binding  without the written  consent of all
parties, and such amendment,  alteration, change, termination or waiver shall in
no way affect the other terms and  conditions  of this  Agreement,  which in all
other respects shall remain in full force.

         11.6  ASSIGNMENT;  BINDING  EFFECT.  This  Agreement and the rights and
obligations  hereunder may not be assigned  without the prior written consent of
all of the parties,  and any attempted  assignment without such consent shall be
void and of no force and effect,  except that INMD may assign this  Agreement to
any  subsidiary  or affiliate of INMD without the consent of the other  parties.
The  provisions of this  Agreement  shall be binding upon and shall inure to the
benefit of the parties' respective heirs, legal representatives,  successors and
permitted  assigns.  In particular,  the obligation to pay Service Fees shall be
owed by any of the Physicians or any other  Shareholder who establishes,  during
the term of this  Agreement,  whether alone or with one or more  Physicians,  or
joins a medical practice in the P.C. Service Area which offers,  whether through
that Shareholder or with his assistance, Infertility Services.

         11.7 WAIVER OF BREACH.  The  failure to insist  upon strict  compliance
with any of the terms,  covenants  or  conditions  herein  shall not be deemed a
waiver  of such  terms,  covenants  or  conditions,  nor  shall  any  waiver  or
relinquishment  of any  right  at any one or more  times be  deemed a waiver  or
relinquishment of such right at any other time or times.

         11.8 GOVERNING  LAW. This Agreement  shall be governed by and construed
in accordance  with the laws of the State of  California  to the fullest  extent
permitted by law,  without  regard to the  application of conflict of law rules.
Any and all claims,  disputes,  or  controversies  arising under,  out of, or in
connection  with this  Agreement or any breach  thereof,  shall be determined by
binding  arbitration  in  the  State  of  California,  County  of  Contra  Costa
(hereinafter  "Arbitration").  The party seeking determination shall subject any
such dispute, claim or controversy

                                     - 20 -

<PAGE>



to either (i) JAMS/Endispute or (ii) the American Arbitration  Association,  and
the rules of commercial  arbitration  of the selected  entity shall govern.  The
Arbitration shall be conducted and decided by three (3) arbitrators,  unless the
parties  mutually  agree,  in writing at the time of the  Arbitration,  to fewer
arbitrators.  In reaching a decision,  the  arbitrators  shall no  authority  to
change or modify any provision of this Agreement,  including without limitation,
any  liquidated  damages  provision.  Each party shall bear its own expenses and
one-half the expenses and costs of the  arbitrators.  Any  application to compel
arbitration,  confirm or vacate an  arbitral  award or  otherwise  enforce  this
Paragraph  shall be brought  either in the Courts of the State of  California or
the United States  District Court for the Northern  District of  California,  to
whose jurisdiction for such purposes P.C.,  Partners and INMD hereby irrevocably
consent and submit.

         11.9 SEPARABILITY. If any portion of the provisions hereof shall to any
extent be invalid or  unenforceable,  the  remainder of this  Agreement,  or the
application of such portion or provisions in  circumstances  other than those in
which it is held invalid or unenforceable,  shall not be affected  thereby,  and
each portion or provision of this  Agreement  shall be valid and enforced to the
fullest  extent  permitted by law, but only to the extent the same  continues to
reflect  fairly the intent and  understanding  of the parties  expressed by this
Agreement taken as a whole.

         11.10  HEADINGS.  Section and  paragraph  headings are not part of this
Agreement  and are included  solely for  convenience  and are not intended to be
full or accurate descriptions of the contents thereof.

         11.11 NOTICES. Any notice hereunder shall have been deemed to have been
given only if in writing and either  delivered in hand or sent by  registered or
certified mail, return receipt requested,  postage prepaid,  or by United States
Express Mail or other commercial  expedited  delivery service,  with all postage
and delivery charges prepaid, to the addresses set forth below:

               11.11.1     If for INMD at:

                           IntegraMed America, Inc.
                           One Manhattanville Road
                           Purchase, NY 10577-2100
                           Attention: Gerardo Canet, President

                                    With a copy to:

                           IntegraMed America, Inc.
                           One Manhattanville Road
                           Purchase, NY 105277-2100
                           Attention:  Claude White, General Counsel




                                     - 21 -

<PAGE>



               11.11.2     If for P.C. at:

                           Bay Area Fertility Group
                           5601 Norris Canyon Road, Suite 300
                           San Ramon, California 94583
                           Attention:  Arnold Jacobson, M.D.


               11.11.3     With a Copy to:

                           Frank Gamma, Esq.
                           Charles Bond & Associates
                           821 Bancroft Way
                           Berkeley, California 94710-0226

         Any party hereto,  by like notice to the other  parties,  may designate
such other address or addresses to which notice must be sent.

         11.12 ENTIRE AGREEMENT.  This Agreement and all attachments  hereto and
the Asset Purchase Agreement  represent the entire  understanding of the parties
hereto with respect to the subject  matter  hereof and  thereof,  and cancel and
supersede all prior  agreements  and  understandings  among the parties  hereto,
whether oral or written, with respect to such subject matter.

         11.13 NO MEDICAL PRACTICE BY INMD. INMD will not engage in any activity
that  constitutes  the  practice  of  medicine,  and nothing  contained  in this
Agreement is intended to authorize INMD to engage in the practice of medicine or
any other licensed profession.

         11.14 CONFIDENTIAL INFORMATION.

         (a) During the initial term and any renewal  term(s) of this Agreement,
the parties  may have access to or become  acquainted  with each  others'  trade
secrets  and  other   confidential  or  proprietary   knowledge  or  information
concerning  the  conduct  and details of each  party's  business  ("Confidential
Information").  At all times during and after the termination of this Agreement,
no party shall directly or indirectly,  communicate,  disclose, divulge, publish
or otherwise  express to any  individual  or  governmental  or  non-governmental
entity or authority  (individually and collectively  referred to as "Person") or
use  for  its  own  benefit  or the  benefit  of  any  Person  any  Confidential
Information,  no matter how or when acquired, of another party. Each party shall
cause each of its  employees  to be advised of the  Confidential  nature of such
Confidential  Information and to agree to abide by the confidentiality  terms of
this Agreement. No party shall photocopy or otherwise duplicate any Confidential
Information  of another party without the prior express  written  consent of the
such other party except as is required to perform services under this Agreement.
All such  Confidential  Information  shall remain the exclusive  property of the
proprietor  and  shall  be  returned  to the  proprietor  immediately  upon  any
termination of this Agreement.

                                     - 22 -

<PAGE>



         (b) Confidential Information shall not include information which (i) is
or becomes known through no fault of a party hereto;  (ii) is learned by a party
from a third-party  legally entitled to disclose such information;  or (iii) was
already known to a party at the time of disclosure by the disclosing party.

         (c)  In  order  to  minimize  any   misunderstanding   regarding   what
information  is considered  to be  Confidential  Information,  INMD or P.C. will
designate  at each others  request the specific  information  which INMD or P.C.
considers to be Confidential Information.

         11.15 INDEMNIFICATION.

               11.15.1  INMD agrees to indemnify  and hold  harmless  P.C.,  its
          directors,  officers,  employees and servants from any suits,  claims,
          actions,   losses,   liabilities  or  expenses  (including  reasonable
          attorney's  fees)  arising  out of or in  connection  with  any act or
          failure to act by INMD  related to the  performance  of its duties and
          responsibilities  under this Agreement.  The obligations  contained in
          this Section 11.15.1 shall survive termination of this Agreement.

               11.15.2 P.C.  agrees to indemnify  and hold  harmless  INMD,  its
          shareholders,  directors,  officers,  employees  and servants from any
          suits,  claims,  actions,  losses,  liabilities or expenses (including
          reasonable  attorney's  fees) arising out of or in connection with any
          act or failure to act by P.C. related to the performance of its duties
          and responsibilities  under this Agreement.  The obligations contained
          in this Section 11.15.2 shall survive termination of this Agreement.

         11.16 HOSPITAL  LABORATORY P.C. represents and warrants that (i) it has
advised San Ramon Regional  Medical Center  ("SRRMC") that P.C.  and/or Bay Area
Fertility  & Medical  Group,  a  California  partnership,  intend to develop and
operate the Lab at the Facilities and that thereafter they intend to cease using
SRRMC's laboratory,  (ii) to their knowledge, SRRMC has not claimed, formally or
informally,  that P.C.'s development and use of the Lab in preference to SRRMC's
would be in breach of any contractual  obligation P.C. has to SRRMC and (iii) to
P.C.'s  knowledge,  no agent or employee of SRRMC has stated nor has SRRMC taken
any action  indicating that SRRMC intends to solicit or recruit other physicians
who specialize in Infertility Services to continue operation of SRRMC's lab.


         IN WITNESS  WHEREOF,  this  Agreement  has been executed by the parties
hereto as of the day and year first above written.


INTEGRAMED  AMERICA, INC.



By: /s/Judith Connell
    ------------------- 
   JUDITH CONNELL, VICE PRESIDENT



BAY AREA FERTILITY AND GYNECOLOGY  MEDICAL GROUP, INC.



BY:/s/ Arnold Jacobson, M.D.
   -------------------------
   ARNOLD JACOBSON, M.D., PRESIDENT








                                     - 23 -



<PAGE>



                                   EXHIBIT 3.2


                      DESCRIPTION OF OFFICE AND FACILITIES
                         TO BE PROVIDED BY INMD TO P.C.




         5601 Norris Canyon Road, Suite 300, San Ramon, California 94583


<PAGE>


                          EXHIBIT NO. 10.61 (CONTINUED)

     IntegraMed America,  Inc. will provide upon request copies of the following
exhibits to the attached Management  Agreement between IntegraMed America,  Inc.
and Bay Area Fertility and Gynecology Medical Group, Inc.


  Exhibit 4.3(a)(1)  - Current Shareholder-Physician Employment Agreement
                           1. Arnold Jacobson, M.D.
                           2. Donald Galen, M.D.
                           3. Louis Weckstein, M.D.

  Exhibit 4.3(a)(2)  - Future Shareholder-Physician Employment Agreement

  Exhibit 4.3(b)     - Employee-Physician Employment Agreement(non-shareholder)

  Exhibit 4.3(c)     - Personal Responsibility Agreement
                            1. Arnold Jacobson, M.D.
                            2. Donald Galen, M.D.
                            3. Louis Weckstein, M.D.

  Exhibit 6.3.2      - Security Agreement







                           ASSET PURCHASE AGREEMENT


         AGREEMENT made this 7th day of January, 1997, by and between IntegraMed
America, Inc., a Delaware corporation, having its principal place of business at
One  Manhattanville  Road,  Purchase,  New  York  10577  ("Buyer")  and Bay Area
Fertility and  Gynecology  Medical  Group,  a California  partnership,  with its
principal  place of business at 5601 Norris  Canyon Road,  Suite 300, San Ramon,
California 94583 ( "Seller").


                                    RECITALS

         Buyer is engaged in the business of owning certain assets and providing
management and administrative  services to medical practices specializing in the
provision of gynecological  services,  including treatment of human infertility,
encompassing  the  provision  of  in  vitro  fertilization  and  other  assisted
reproductive services ("Infertility Services");

         Donald I. Galen,  M.D.,  Arnold Jacobson,  M.D. and Louis N. Weckstein,
M.D.  are  California  physicians  (collectively,  "Physicians")  engaged in the
practice of providing Infertility Services through Seller (the "Practice");

          Seller  wishes to sell and Buyer  wishes to  purchase  certain  assets
utilized  in  connection  with the  Practice,  and Buyer  desires to acquire the
exclusive  right to provide  management and related  administrative  services to
Seller in connection with the continued  operation of the Practice,  pursuant to
the terms of a Management Agreement dated January 7, 1997.

          In   consideration   of  the  mutual  promises  and  covenants  herein
contained, the parties hereto agree as follows:


                                    ARTICLE I

                               PURCHASE OF ASSETS

         1.01 Assets of Practice

              (a)  Subject  to the  terms  and  conditions  set  forth  in  this
Agreement and based upon the  representations,  warranties  and  covenants  made
herein, at the Closing (as herein defined),  Seller shall sell,  assign,  convey
and  transfer  to Buyer and Buyer  shall  acquire  from  Seller  the  assets and
property of the Practice, together with all liens and encumbrances, as set forth
in Exhibit 1.01(a) ("Practice Assets").

              (b) Practice  Assets to be acquired by INMD shall include the name
BAY AREA  FERTILITY  (the "Name") and Seller agrees to change its name within 30
days of the Closing Date, if requested to do so by Buyer.


                                        1

<PAGE>


         1.02 Excluded Assets

              The term Practice Assets does not include, and Seller reserves and
does not sell or transfer to Buyer any right,  title or interest  in, the assets
listed in Exhibit 1.02 ( collectively, "Excluded Assets").

                                   ARTICLE II

                                 PURCHASE PRICE

         2.01 Purchase Price.

              Upon and subject to the terms and  conditions set forth herein and
in  consideration  for the sale of the Practice Assets and the Name, Buyer shall
pay Seller an amount to be determined by Buyer and Seller within 7 days from the
date hereof for the Practice Assets  ("Practice  Assets Price") and $500,000 for
the Name ("Name Price")  (Practice  Assets Price and Name Price are collectively
referred to herein as "Purchase Price").

         2.02 Manner of Payment

              Buyer  shall  pay the  Name  Price  on the  Closing  Date  and the
Practice Assets Price within 10 days of the date hereof.

         2.03 Allocation of Purchase Price

              The Purchase  Price shall be allocated  among the assets of seller
as set forth on Exhibit  2.03  hereto,  and the  parties  agree to respect  such
allocation  for tax purposes and to cause all tax  returns,  including  IRS Form
8594, to be filed consistent therewith.

         2.04 Closing Statement.

              Seller shall  deliver to Buyer  unaudited  statements  dated as of
December 31, 1996 ( the "Closing  Statement"),  which shall set forth the dollar
value as of the date of the Closing  Statement of the Practice  Assets  provided
for in paragraph 2 of Exhibit 1.01(a).

         2.05 Assumption of Liabilities

              Subject to the  conditions  herein  set forth,  from and after the
Closing  Date,  Buyer shall  assume and shall pay,  perform and  discharge  (the
following being  collectively  referred to as "Assumed  Liabilities") only those
liabilities  set forth in  Exhibit  2.05.  Buyer  shall not  assume,  acquire or
otherwise  become  responsible  or liable for any  liabilities  other than those
specifically set forth herein and enumerated in Exhibit 2.05.

                                        2

<PAGE>


                                   ARTICLE III

                                     CLOSING

         The closing ( the "Closing") of the  transactions  contemplated by this
Agreement  shall be held at 4:00 p.m. on January 7, 1997 (the "Closing Date") at
the offices of Charles Bond & Associates, 821 Bancroft Way, Berekely, California
94710 or such other date or at such other time or  location  as to which  Seller
and Buyer may agree to in writing.  The  effective  time of the Closing shall be
12:00 midnight on the Closing Date.


                                   ARTICLE IV

                    REPRESENTATIONS AND WARRANTIES OF SELLER

         Seller,  for the purpose of inducing Buyer to enter into and consummate
this Agreement, hereby represents and warrants to Buyer that:

         4.01 Organization and Power

              (a) Seller is a duly  formed and  existing  partnership  organized
under the laws of California. All partnership interests in Partnership are owned
by Physicians,  each of whom is duly licensed to practice  medicine in the State
of California.

              (b) Seller has full right,  power and authority to enter into this
Agreement and to consummate the transactions  herein contemplated and Seller has
received the consent of the Physician  authorizing  and approving this Agreement
and the transactions contemplated hereby.

              (c) This Agreement constitutes the valid and binding obligation of
Seller fully enforceable against Seller in accordance with its terms.

         4.02 Authority; No Conflicting Instruments

              (a)  The  execution  and  delivery  of  this   Agreement  and  the
consummation of the transactions  herein  contemplated will not, and with notice
or the  lapse  of time  or both  would  not,  except  for  contracts,  liens  or
encumbrances disclosed in Exhibits 1.01 (a) and 2.05 (i) result in the breach of
any of the terms or conditions of, or constitute any default under, the Articles
of  Incorporation or By-Laws of Seller or under any mortgage,  bond,  indenture,
agreement, lease or other instrument or obligation to which Seller is a party or
by which it or any of its properties or assets may be bound, except for any such
breach which does not materially  adversely affect Seller or its business;  (ii)
violate  any law or  regulation  relating  to  Seller;  and  (iii)  violate  any
judgment, award, order, writ, injunction or decree relating to Seller.




                                        3

<PAGE>

              (b) No consent,  approval or  authorization  of, or declaration or
filing with any federal,  state,  local or foreign  governmental  or  regulatory
authority,  or any  other  third  party,  is  required  in  connection  with the
execution and delivery of this Agreement by Seller or the  performance by Seller
of the transactions  contemplated by this Agreement,  except for (i) consents of
lessors under Seller's lease(s), real property or equipment;  and (ii) any state
licensing board approvals  relating to Seller's  business and (iii) any consents
of third parties to contracts that are not material to Seller's business.

         4.03 Practice Assets

              Seller has good and marketable  title to the Practice Assets which
are owned  exclusively  by Seller,  free and clear of all liens,  mortgages  and
encumbrances of any kind or nature, except as set forth on Exhibit 1.01(a).

         4.04  Financial  Statements  Attached  hereto as  Exhibit  4.04 are the
unaudited  financial  statements  of Seller  consisting of Statements of Assets,
Liabilities  and  Equities-  Income Tax Basis,  and  Statement  of Revenues  and
Expenses-Cash  Basis for the fiscal years ended December 31, 1993, 1994 and 1995
, together  with a Statement of Assets,  Liabilities  and  Equities-  Income Tax
Basis, and Statement of Revenues and Expenses-Cash Basis for the 10-month period
ended October 31, 1996 (collectively, the "Financial Statements").

              (a) Seller does not have any  liabilities,  debts or  obligations,
whether accrued, absolute or contingent, and whether due or to become due, which
are not  reflected or reserved  against in the  Financial  Statements or are not
listed on Exhibit 2.05 if such liabilities are to be assumed by Buyer. As of the
date hereof,  Seller has no unfunded  liability under any Employee  Benefit Plan
(as hereinafter  defined) and there are no  circumstances,  conditions events or
arrangements   which  may  hereafter  give  rise  to  any  such  liabilities  or
obligations which may be asserted against Buyer under any such plan.

              (b)  Seller has filed with  appropriate  federal,  state and local
authorities (or has obtained appropriate extensions of the time to file) all tax
returns  required by law,  regulation or otherwise to be filed by Seller for all
taxable periods ending on or prior to the date hereof for which tax returns have
become due.  Seller has paid or made adequate  provisions for the payment of all
taxes,  penalties  and  interest  which have or may become due for or during all
taxable periods of Seller ending on or prior to the date hereof.

         4.05 Financial Position

              Since October 31, 1996:

                                        4

<PAGE>


              (a) There has not been (i) any change in the financial  condition,
assets,  properties,  liabilities,  business or results of  operations of Seller
other than changes in the ordinary and usual course of business,  none of which,
individually or in the aggregate, has been adverse to the business or operations
of Seller; (ii) any strike, labor trouble,  employee dispute,  property dispute,
lease  or  contract  dispute,  loss  or  destruction  or  property,   actual  or
threatened,  claim or other event, adversely effecting, or which would adversely
effect, the financial position or business of Seller.

                  (b)  Seller has not  granted  any wage or salary  increase  or
bonus or any fringe benefits, or created or amended any Employee Benefit Plan or
other  fringe  benefit  plan  (as  hereinafter  defined)  or  entered  into  any
employment or labor  contract with any director,  officer,  employee or group of
employees,  except for normal  increases in a manner  consistent  with  Seller's
policies and practices.

         4.06 Licenses

              (a) Seller holds all such licenses,  orders, approvals and permits
("Licenses")  of every kind or nature  which are  material to the  operation  of
Seller's  business and operations and such Licenses are in full force and effect
and no action.,  proceeding or,  investigation has been instituted or threatened
with  reference to or affecting  the existence of said  Licenses.  A list of all
Licenses is set forth on Exhibit  4.06.  Seller is in compliance in all respects
with the  terms  and  conditions  of such  Licenses  and with all  requirements,
standards  and  procedures  of the  federal,  state  and local  governmental  or
regulatory bodies which issued said Licenses.

              (b) To the best of Seller's knowledge,  Seller is in compliance in
all material respects with all federal, state and local laws, ordinances, codes,
regulations, orders, requirements, standards and procedures which are applicable
to the Practice.

         4.07 Litigation

              (a) To the  best of  Seller's  knowledge,  there  are no  actions,
suits,   claims  or  legal,   administrative   or  arbitration   proceedings  or
investigations pending or, threatened against,  involving or affecting Seller or
Seller's  properties or assets,  except as set forth on Exhibit 4.07(a).  Seller
has no notice or knowledge of any  outstanding  orders,  writs,  injunctions  or
decrees of any  court,  governmental  agency or  arbitration  tribunal  against,
involving or affecting  Seller or Seller's  properties  or assets  except as set
forth on Exhibit  4.07(a).  Buyer shall have no  liability  or  obligation  with
respect  to any  matter  which  arose out of  Seller's  operations  prior to the
Closing Date whether set forth on Exhibit 4.07(a).

              (b) Seller has received no notice of any  violation of  applicable
law, order, regulation or requirement related to either Seller, the Practice, or
the  Assets,  and is not aware of any  condition  or state of facts  that  could
result in any such notice.

         4.08 Third-Party Billings

              (a) All  billings  by Seller to  third-party  payors  are true and
correct  in  all  respects  and  are in  compliance  in all  respects  with  all
applicable laws and regulations and the policies of such third-party payors.


                                        5

<PAGE>


              (b) Neither Seller nor any of it's officers, directors,  employees
or agents,  on behalf of or for the benefit of Seller,  directly or  indirectly,
has (i) offered or paid any amount to, or made any financial  arrangement  with,
any of Seller's  past or present  customers or  potential  customers in order to
obtain  business from such  customers,  other than standard  pricing or discount
arrangements  consistent with proper business practices (ii) given, or agreed to
give,  or is aware that there has been given,  or that there is an  agreement to
make any gift or gratuitous payment of any kind, nature or description  (whether
in money,  property  or  services)  to any past or present  customer,  supplier,
source of financing, landlord, subtenant, licensee or anyone else at any time of
the year  (iii)  made,  or has  agreed to make,  or is aware  that  there is any
agreement to make any political  contribution or any  contributions,  payment or
gifts of their  respective  funds or  property  to or for the private use of any
governmental official, employee or agent where either the payment or the purpose
of such  contribution,  payment or gift relates to the business of Seller and is
illegal  under the laws of the  United  States,  any state  thereof or any other
jurisdiction  (foreign or domestic),  or (iv) made, or has agreed to make, or is
aware that there have been, or that there is any agreement to make, any payments
to any person with the intention or understanding  that any part of such payment
was to be used  directly  or  indirectly  for the benefit of any past or present
customer,  employee,  supplier or landlord of Seller,  or for any purpose  other
than that reflected in the documents supporting the payments.

         4.09 Contracts and Agreements

              (a)  Exhibit  4.09(a)  is a list as of the date  hereof of all the
material  contracts  or  agreements  related to the  business of Seller to which
Seller  is a party,  all of which  are valid  and  existing,  in full  force and
effect,  and binding upon the parties  thereto in  accordance  with their terms.
Seller  has  paid in full or  accrued  all  amounts  due  thereunder  which  are
currently due and as separately  identified on Exhibit 2.05. Except as otherwise
disclosed,  no  approval  or  consent of any person or entity is needed in order
that the  contracts and other  agreements  as listed  continue in full force and
effect with respect to Buyer from and after the Closing Date.

              (b) Seller and  Physicians  are in  compliance  with all terms and
provisions  of all  contracts  material to the  operation  of the Practice or by
which the  Practice or the Seller is bound or affected;  and all such  contracts
are legally valid and binding in  accordance  with their terms and in full force
and effect except as may be limited by bankruptcy,  moratorium,  reorganization,
insolvency  and  other  similar  laws  of  general  application  relating  to or
affecting the rights of creditors, and by general principles of equity.

 
                                        6

<PAGE>



              (c) All documents,  Exhibits and other materials delivered or made
available,  by or on behalf of Seller to Buyer in connection with this Agreement
and the transactions contemplated hereby, are true and complete. The information
furnished by or on behalf of Seller to Buyer in connection  with this  Agreement
and the transactions contemplated hereby does not, in light of the circumstances
under which the statements  contained in the  information so furnished are made,
contain any untrue  statement  of a material  fact or omit to state any material
fact necessary to make the statements contained therein not false or misleading.
There  is no fact  which  Seller  has not  disclosed  to Buyer  which  adversely
affects,  or insofar as Seller can foresee,  will adversely  affect the Practice
Assets or the ability of Seller to perform its obligations  under this Agreement
or any other agreement entered into in connection with this transaction.

         4.10  Insurance  Seller has  maintained  at all times since  January 1,
1985, with responsible and financially  solvent  insurance  companies,  adequate
insurance  covering risks of such types and in such amounts as are customary for
other  professional  corporations of similar size engaged in Seller's  business.
Exhibit  4.10  contains a true and  complete  list of all  policies of insurance
relating to comprehensive liability coverage, the amount of coverage, the period
of coverage, the type of coverage and all pending claims under such policies.

         4.11 Personnel

              (a) Exhibit  4.11(a) lists each current  employee,  both full-time
and part- time,  of Seller and all current  consultants  of Seller and discloses
their duties, the date of hire or contract, the annual compensation, bonuses and
incentive arrangements with each.

              (b) Exhibit 4.11(b) describes all of Seller's fringe benefit plans
generally available to Seller's employees ("Employee Benefit Plans"). Seller has
complied with the terms and conditions of such Employee  Benefit  Plans.  Seller
has no obligations to establish or create any employee  pension  benefit plan or
defined benefit plan for the benefit of any of its employees to become effective
after the date hereof.  Buyer shall have no obligations relating to the Employee
Benefit  Plans or the  employees  covered  thereunder  and Buyer  shall  have no
obligations  for employees of Seller arising out of federal or state law or case
decisions as to employment  matters arising prior to Closing Date except in each
case for those obligations Buyer assumes hereunder  relating to accrued salaries
and  wages (  including  accrued  vacation  and sick  leave)  or  permanent  and
temporary employees, any accrued bonuses of managerial employees and any accrued
bonus hours of temporary employees of Seller.


                                    ARTICLE V

                     REPRESENTATIONS AND WARRANTIES OF BUYER

         Buyer,  for the purpose of inducing Seller to enter into and consummate
this Agreement, hereby represents and warrants to Seller that:

         5.01 Organization, Power and Authority

              (a) Buyer is a corporation duly organized, validly existing and in
good  standing  under the laws of the State of  Delaware  and has full power and
authority,  corporate and  otherwise,  to carry on its business as now conducted
and to own or lease and to operate its properties and assets now owned or leased
and  operated by it, to conduct the  business  of Seller and to  consummate  the
transactions contemplated hereby.

                                        7

<PAGE>


              (b) The execution,  delivery and  performance of this Agreement by
Buyer has been duly authorized by all requisite corporate action, and no further
action or approval is required in order to constitute this Agreement as a valid,
binding and enforceable  obligation of Buyer, and this Agreement constitutes the
valid and binding obligation of Buyer,  enforceable  against Buyer in accordance
with its terms.

              (c)  The  execution  and  delivery  of  this   Agreement  and  the
consummation  of the  transactions as herein  contemplated  will not violate any
provisions of any  applicable  law or of the  Certificate  of  Incorporation  or
By-Laws of Buyer, or any order,  judgment or decree of any court or other agency
of  government  binding on Buyer,  or  conflict  with,  result in a breach of or
constitute  (with  due  notice  or lapse of time or both) a  default  under  any
contractual obligation of Buyer, result in or require the creation or imposition
of any lien,  charge or encumbrance of any nature whatsoever upon any of Buyer's
properties  or assets , require  any  approval  of or any  consent of any person
under any  contractual  obligation  of Buyer or  conflict  with or result in any
breach or  default  under any of the  terms,  conditions  or  provisions  of any
indenture, mortgage, deed of trust or other instrument to which Buyer is a party
or by which it or its properties may be bound or affected.

         5.02 LITIGATION

              (a) To the best of Buyer's knowledge, there are no actions, suits,
claims or legal,  administrative  or arbitration  proceedings or  investigations
pending  or,  threatened  against,  involving  or  affecting  Buyer  or  Buyer's
properties  or  assets,  except as set forth on  Exhibit  5.02(a).  Buyer has no
notice or knowledge of any outstanding orders, writs,  injunctions or decrees of
any court,  governmental  agency or arbitration  tribunal against,  involving or
affecting  Buyer or Buyer's  properties or assets except as set forth on Exhibit
5.02(a).

              (b) Buyer has received no notice of any  violation  of  applicable
law,  order,  regulation or requirement  related to Buyer's  business and is not
aware of any condition or state of facts that could result in any such notice.

                                   ARTICLE VI

                                 INDEMNIFICATION


         6.01 Survival of Representations and Warranties

              The representations and warranties contained in this Agreement and
in any instrument or certificate  delivered pursuant to, or provided for in this
Agreement ("Representations and Warranties"),  shall survive the consummation of
the  transactions  contemplated  by this Agreement for a period of two (2) years
after the Closing Date ( three years with respect to those in sections  4.01 and
4.02) provided,  however, that the expiration of the applicable period would not
preclude  either  party  from  indemnification  by  the  other  relating  to any
third-party  Claim ( as defined  herein).  Each party to this Agreement shall be
deemed to have relied  upon each and every  representation  and  warranty of the
other  party,  regardless  of any  investigation  made at any time by the  party
relying on such representation and warranty.

                                        8

<PAGE>



         6.02 Indemnification

              (a) After the Closing Date,  Seller shall indemnify Buyer against,
and defend and hold Buyer harmless from, all demands,  claims, actions or causes
of action, assessments,  losses, damages,  deficiencies,  liabilities, costs and
expenses ( including  interest,  penalties and  reasonable  attorneys'  fees and
disbursements)   (excluding  indirect,   punitive  and  consequential   damages)
(hereinafter  collectively  called "Claim") arising out of or in connection with
(i) any breach of the Representations and Warranties, covenants or agreements of
Seller  contained in this Agreement or any agreement or instrument  delivered by
Seller pursuant to this Agreement; and (ii) the operations of Seller (including,
but not limited to provision of services, actions of officers and directors, use
of trademarks, service marks, logos or other proprietary symbols) on or prior to
the Closing Date except as expressly assumed by Buyer pursuant hereto.  Upon the
assertion  of any Claim  against  Buyer that may give rise to a  liability  of a
Seller hereunder,  Buyer shall notify said Seller of the existence of such Claim
(which  notice shall  include a  description  thereof) and Buyer shall give said
Seller  reasonable  opportunity  to  defend  and/or  settle  such  Claim at said
Seller's own expense and with counsel of its own selection,  which counsel shall
be reasonably satisfactory to Buyer; provided,  however, that in the case of any
Claim,  Buyer  shall  have the right to  participate  in any  administrative  or
judicial proceedings with respect to such Claim, at its expense and with counsel
of its choice. If a Seller shall,  after ten (10)- days notice thereof by Buyer,
fail,  in Buyer's  judgment to take adequate  action to defend any Claim,  Buyer
shall have the right to undertake the defense,  compromise or settlement of such
Claim on behalf of,  for the  account  of,  and at the risk of a Seller.  If the
Claim is one that  cannot by its  nature be solely  defended  by a Seller,  then
Buyer shall,  at its expense,  make available all  information and assistance as
may reasonably be requested by a Seller.

              (b) Buyer hereby agrees to indemnify Seller against, and to defend
and hold Seller  harmless from Claims arising out of in connection  with (i) any
breach of any representation, warranty, covenant or agreement of Buyer contained
in this Agreement or any agreement or instrument  delivered by Buyer pursuant to
this  Agreement;  and (ii) the  management  by Buyer of Bay Area  Fertility  and
Gynecology Medical Group, Inc. , a California  professional medical corporation,
successor to Seller,  after the Closing  Date.  Upon the  assertion of any Claim
that may give rise to a liability of Buyer hereunder,  Seller shall notify Buyer
of the  existence  of such  Claim  (which  notice  shall  include a  description
thereof). Seller shall give Buyer reasonable opportunity to defend and/or settle
such  Claim at its own  expense  and with  counsel of its own  selection,  which
counsel shall be satisfactory to Seller; provided,  however, that in the case of
any Claim, a Seller shall have the right to participate in any administrative or
judicial proceedings with respect to such Claim, at its expense and with counsel
of its choice. If Buyer shall,  after ten (10) days- notice thereof by a Seller,
fail to defend any Claim,  said  Seller  shall have the right to  undertake  the
defense,  compromise  or  settlement of such Claim on behalf of, for the account
of, and at the risk of Buyer.  If the Claim is one that can not by its nature be
solely  defended by Buyer,  then said Seller shall,  at its sole  expense,  make
available all information and assistance as may be requested by Buyer.

                                       9

<PAGE>


              (c) The respective  rights of the parties to be indemnified by the
other  shall not in any way be  limited by the  existence  or  non-existence  of
insurance coverage.


                                   ARTICLE VII

                                CERTAIN COVENANTS


         7.01 Conduct Prior to Closing Date

              During  the period  from the date of this  Agreement  through  the
Closing  Date,  Seller agrees to conduct its business in the ordinary and normal
course of business. In connection therewith:

              (a) Seller  shall use its best efforts to (i) maintain all patient
lists,  records,  billing and  collection  data,  goodwill  associated  with the
Practice,  and all material files and records and  intangible  assets related to
the continued operation of the Practice, (ii) preserve, protect and maintain the
Practice  Assets (iii) use its efforts to preserve  the good  standing of Seller
and to keep  available  the  services  of  present  employees  and agents and to
preserve  the  goodwill  of  suppliers,  patients  and  others  having  business
relationships  with Seller and the Practice;  (iv) not sell, lease, or otherwise
dispose of any of the Practice Assets,  or other  properties,  rights or claims,
except in the ordinary course of business, without Buyer's written consent.

              (c) Seller shall not , without Buyer's prior written  consent,  do
any of the following:  waive or commit to waive any right of substantial  value;
sell, transfer,  dispose of or encumber or commit to sell, transfer,  dispose of
or encumber the Practice Assets; incur any indebtedness for borrowed money; make
capital  expenditures  in excess of $5,000 in the  aggregate;  terminate any key
employee or take any action  that  impairs the  existing  relationships  between
Seller  and its  employees  and  other  persons  and  entities  having  business
relations  with Seller;  or take any action in the conduct of its business which
would be contrary  to, or in breach of, any term or  Representation  or Warranty
contained in this Agreement.

         7.02 Conduct After Closing Date

              Seller assumes any and all liabilities for taxes and  deficiencies
with respect to the operation of the Practice prior to the Closing Date.

                                       10

<PAGE>



                                  ARTICLE VIII

                            CONDITION TO OBLIGATIONS

         8.01 Conditions to Seller's Obligations The obligations of Seller under
this Agreement are subject to the  satisfaction on or before the Closing Date of
the  following  conditions,  any of which may be waived by Seller by  proceeding
with the Closing:

              (a) The  representations and warranties of Buyer set forth in this
Agreement  shall be true on and as of the  Closing  Date with the same effect as
though  made on such  date.  Buyer  shall have  performed  all  obligations  and
complied  with all  covenants  required by this  Agreement  to be  performed  or
complied  with by Buyer  prior to or on the  Closing  Date and Buyer  shall have
delivered to Seller a  certificate,  dated as of the Closing  Date,  to all such
effects;

              (b) No suit,  action or other  proceeding  shall be pending before
any  court or other  government  agency in which it is  sought  to  restrain  or
prohibit  performance of this Agreement or the  consummation of the transactions
contemplated  herein or in connection herewith to subject Seller to liability on
the ground that it has breached any law or duty or otherwise  acted  improperly,
nor shall any such suit, action, or proceeding be threatened;

              (c) Buyer shall have delivered in form  satisfactory to Seller and
which is consistent with this Agreement the documents identified below:

                   1.  The  consideration  required  pursuant  to  Section  2.01
hereof.

                   2. The  opinion of Claude E.  White,  Esq.  legal  counsel to
Buyer, dated the Closing Date, in the form of Exhibit 8.01(c)2 attached hereto.

                   3. An agreement of Buyer assuming the liabilities,  including
without  limitation  office and equipment leases, of Seller set forth on Exhibit
2.05 and taking assets  subject to liens and  encumbrances  set forth on Exhibit
1.01(a).

         8.02  Conditions to Buyer's  Obligation The  obligations of Buyer under
this Agreement are subject to the  satisfaction on or before the Closing Date of
the following conditions, any of which may be waived by Buyer by proceeding with
the Closing:

              (a) The representations and warranties of Seller set forth in this
Agreement  shall be true on and as of the  Closing  Date with the same effect as
though  made on such date.  Seller  shall have  performed  all  obligations  and
complied  with by Seller  prior to or on the Closing  Date and Seller shall have
delivered  to Buyer,  a  certificate,  dated as the  Closing  Date,  to all such
effects.

                                       11

<PAGE>



              (b) No suit,  action or other  proceeding  shall be pending before
any  court or other  government  agency in which it is  sought  to  restrain  or
prohibit  performance of this Agreement or the  consummation of the transactions
contemplated  herein or in connection  herewith to subject Buyer to liability on
the ground that it has breached any law or duty or otherwise  acted  improperly,
nor shall any such suit,  action or proceeding be threatened except as disclosed
on Exhibit 4.07(a);

              (c) Seller shall have delivered in form reasonably satisfactory to
Buyer and consistent with this Agreement the documents identified below:

                   1. An  assignment to Buyer  transferring  to Buyer all of the
right,  title and interest of Seller in and to all telephone numbers utilized by
Seller in the operation of its business.

                   2. An assignment of all office and equipment leases listed on
Exhibits 4.09 (a), including security deposits.

                   3. Such bills of sale and  instruments  of title as requested
by Buyer as shall convey to Buyer all of the Practice Assets , free and clear of
all liens.

                   4. An  assignment  to Buyer of all  executory  agreements  of
Seller  set  forth on or  referred  to in  Exhibit  4.09(a)  including  separate
assignments of each agreement listed in Paragraph 5 of Exhibit 1.01 (a).

                   5. The opinion of Frank Gamma,  Esq., legal counsel to Seller
and  Physicians,  dated the Closing Date, in the form annexed  hereto as Exhibit
8.01(c) 6.



                                   ARTICLE IX

                                  MISCELLANEOUS

         9.01 Seller  represents and warrants to Buyer that Seller has not dealt
with or retained any broker or finder or agreed to pay any  commission or fee to
any broker or finder for or on account  of this  Agreement  or the  transactions
contemplated  hereby.  Buyer  represents  and warrants to Seller that it has not
dealt with or retained any broker or finder for or on account of this  Agreement
or the  transactions  contemplated  hereby.  Each party agrees to indemnify  the
other against any loss, cost or expense,  including attorneys' fees, as a result
of any claim  for a fee or  commission  asserted  by any  broker or finder  with
respect to this Agreement or the consummation thereof whose claim arises through
dealings with such broker or finder by the indemnifying party.

         9.02 If at any time  after the  Closing  Date any  further  assignment,
transfers or  assurances in law are  reasonably  necessary or desirable to carry
out the  provisions  of this  Agreement,  the  parties to this  Agreement  shall
execute and deliver any and all assignments,  transfers,  and assurances in law,
and do all things,  reasonably  necessary or proper to such end and otherwise to
carry out the provisions and intent of this Agreement.


                                       12

<PAGE>


         9.03 Any notice or other  communication  required,  by, or which may be
given  pursuant  to this  Agreement  shall be in writing  and either  personally
delivered or mailed,  certified or  registered  mail,  postage  prepaid,  return
receipt requested, or overnight courier, prepaid, and shall be deemed given when
received.  Any such  notice or  communication  shall be sent to the  address set
forth below:

         If to Buyer, at:

                  IntegraMed  America, Inc.
                  One Manhattanville Road
                  Purchase, New York 10577-2100
                  Attention: Gerardo Canet, President

         With a copy to:

                  IntegraMed America, Inc.
                  One Manhattanville Road
                  Purchase, New York 10577-2100
                  Attention: Claude  White, General Counsel

         And if to Partnership, at:

                  Bay Area Fertility & Gynecology Medical Group
                  5601 Norris Canyon Road, Suite 300
                  San Ramon, California 94583
                  Attention: Arnold Jacobson, M.D.

         With a copy to:

                  Frank Gamma, Esq.
                  Charles Bond & Associates
                  821 Bancroft Way
                  Berkeley, California 94710-0226

         Any party may change the persons  and  addressees  to which  notices or
other  communications  are to be sent to it by giving written notice of any such
change to the other party hereto.

         9.04  The  headings  contained  in  this  Agreement  are  inserted  for
convenience of reference only and shall not affect the meaning or interpretation
of this Agreement.

         9.05 All  Exhibits  referred to in this  Agreement  are deemed  annexed
hereto and made a part of this Agreement.

         9.06 This Agreement, together with the Exhibits:

                   (a) Constitutes the entire  agreement among the parties to it
with respect to the purchase and sale of the Practice  Assets and supersedes all
prior agreements and understandings;

                   (b) May not be  modified  or  discharged,  nor may any of its
terms be waived,  except by an  instrument  in  writing,  signed by the party or
parties to be charged; and

                   (c) Shall bind and inure to the  benefit of the  parties  and
their  respective  successors  and  permitted  assigns.   Nothing  expressed  or
mentioned  in this  Agreement  is intended,  or will be  construed,  to give any
person,  firm  corporation  or other  entity,  other  than the  parties  to this
Agreement and their  respective  successors and assigns,  any legal or equitable
right,  remedy or claim  under or in  respect of this  Agreement,  or any of its
provisions.


         9.07 This Agreement may not be assigned by any party hereto without the
prior  written  consent of the other party.  No  assignment or delegation of any
rights or  obligations  hereunder  shall  release the  assignor  from any of its
liabilities hereunder.

                                       13

<PAGE>


         9.08  The  failure  of any  party  at any  time  or  times  to  require
performance of any provision  hereof shall in no manner affect the right of such
party at a later time to enforce the same.  No waiver of any nature,  whether by
conduct or  otherwise,  in any one or more  instances,  shall be deemed to be or
construed  as a further or  continuing  waiver of any such  condition  or of any
breach  of  any  other  term,  covenant,  representation  or  warranty  of  this
Agreement.

         9.09  This  Agreement  may  be  executed  in  any  number  of  separate
counterparts,  each of which shall be deemed to be an original, but all of which
together shall constitute one and the same instrument.

         9.10 This  Agreement  shall be governed by and  construed in accordance
with the laws of the State of California, irrespective of the principal place of
business of the parties hereto. Any and all claims,  disputes,  or controversies
arising  under,  out of, or in  connection  with this  Agreement  or any  breach
thereof,  except for equitable  relief  sought  pursuant to Article IX, shall be
determined by binding  arbitration in the State of California,  County of Contra
Costa (hereinafter "Arbitration"). The party seeking determination shall subject
any such dispute,  claim or controversy to either (i) JAMS/Endispute or (ii) the
American Arbitration Association, and the rules of commercial arbitration of the
selected entity shall govern.  The Arbitration shall be conducted and decided by
three (3) arbitrators, unless the parties mutually agree, in writing at the time
of  the  Arbitration,   to  fewer  arbitrators.  In  reaching  a  decision,  the
arbitrators  shall have no authority  to change or modify any  provision of this
Agreement.  Each party shall bear its own expenses and one-half the expenses and
costs of the  arbitrators.  Any  application to compel  Arbitration,  confirm or
vacate an arbitral award or otherwise enforce this Paragraph shall be brought in
the Courts of the State of California or the United  States  District  Court for
the Northern  District of California,  to whose  jurisdiction  for such purposes
Seller and Buyer hereby irrevocably consent and submit.

         IN WITNESS  WHEREOF,  the parties have executed this Agreement the date
first above written by their respective duly authorized officers.


INTEGRAMED AMERICA, INC.




By:  /s/ Dwight P. Ryan
     --------------------------------------
     Dwight P. Ryan, Vice President




BAY AREA FERTILITY & GYNECOLOGY MEDICAL GROUP




By:  /s/  Donald I. Galen, M.D.
    ----------------------------------------
     Donald I. Galen, M.D., Inc.,  Partner



By:  /s/ Arnold Jacobson, M.D.
     ---------------------------------------
     Arnold Jacobson, M.D., Inc., Partner



By:  /s/  Louis N. Weckstein, M.D.
     ----------------------------------------
     Louis N. Weckstein, M.D., Inc., Partner

                                       14

<PAGE>


                          EXHIBIT NO. 10.62 (CONTINUED)


        IntegraMed  America,  Inc.  will  provide  upon  request  copies  of the
following  exhibits to the attached Asset Purchase  Agreement between IntegraMed
America, Inc. and Bay Area Fertility and Gynecology Medical Group

  Exhibit 1.01(a)   - Partnership Assets

  Exhibit 1.02      - Assets Excluded from Asset Purchase Agreement

  Exhibit 2.03      - Allocation of Purchase Price

  Exhibit 2.05      - Assumed Liabilities

  Exhibit 4.04      - Unaudited Financial Statements for Bay Area Fertility and
                      Gynecology Medical Group

  Exhibit 4.06      - Licenses
                      1. Physician and Surgeon License for Arnold Jacobson, M.D.
                      2. Physician and Surgeon License for Donald Galen, M.D.
                      3. Physician and Surgeon License for Louis Weckstein, M.D.
                      4. R.N. License for Kimberly R. Hampton

   Exhibit 4.07(a)   - Litigation (Seller)

   Exhibit 4.09(a)   - Contracts and Agreements

   Exhibit 4.10      - Insurance

   Exhibit 4.11(a)   - Employee Roster

   Exhibit 4.11(b)   - Schedule of Employee Fringe Benefit Plans

   Exhibit 5.02(a)   - Litigation (Buyer)

   Exhibit 8.01(c)(2)- Opinion  of Claude E.  White,  Esq.,  General  Counsel to
                       IntegraMed America

   Exhibit 8.01(c)(6) -Opinion  of  Frank  Gamma,  Esq.,  Counsel  for Bay Area
                       Fertility and Gynecology Medical Group





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