INTEGRAMED AMERICA INC
PRE 14A, 1998-04-20
OFFICES & CLINICS OF DOCTORS OF MEDICINE
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                                  SCHEDULE 14A
                                 (RULE 14A-1-1)
                     INFORMATION REQUIRED IN PROXY STATEMENT

                            SCHEDULE 14A INFORMATION
                    PROXY STATEMENT PURSUANT TO SECTION 14(A)
                     OF THE SECURITIES EXCHANGE ACT OF 1934

Filed by the Registrant [X]
Filed by a party other than the Registrant [  ]

Check the appropriate box:
- --------------------------------

         [x] Preliminary  proxy  statement
         [ ] Definitive  proxy  statement
         [ ] Definitive additional materials
         [ ] Soliciting material pursuant to Rule 14a-11 (c) or Rule 14a-12

                   [ ] Confidential for Use of the Commission
                       Only (as permitted by Rule 14a-6(e)(2))

                            IntegraMed America, Inc.
                 ---------------------------------------------------
                (Name of Registrant as Specified in Its Charter)

     ------------------------------------------------------------------------
    (Name of Person(s) Filing Proxy Statement, if Other Than the Registrant)

Payment of filing fee (Check the appropriate box):

[X]      No fee required.

[ ]     Fee computed on table below per Exchange Act Rules 14a-6(i)(4) and 0-11.

         (1) Title of each class of securities to which transaction applies:

         (2) Aggregate number of securities to which transaction applies:

         (3)   Per unit price or other underlying value of transaction  computed
               pursuant to Exchange Act Rule 0-11 (set forth the amount on which
               the filing fee is calculated and state how it was determined):

         (4) Proposed maximum aggregate value of transaction:

         (5) Total fee paid:

[ ]     Fee paid previously with preliminary materials.

[ ]     Check box if any part of the fee is offset as  provided  by  Exchange
        Act Rule  0-11(a)(2)  and identify the filing for which the  offsetting
        fee was paid  previously.  Identify the previous filing by registration
        statement number, or the form or schedule and the date of its filing.

         (1)   Amount previously paid:

         (2) Form, schedule or registration statement no.:

         (3) Filing party:

(4)      Date filed:


<PAGE>



                            INTEGRAMED AMERICA, INC.
                             One Manhattanville Road
                            Purchase, New York 10577



                    NOTICE OF ANNUAL MEETING OF STOCKHOLDERS
                             To be held June 9, 1998



To the Stockholders:

         Notice is hereby given that the Annual Meeting of the  Stockholders  of
IntegraMed America,  Inc. (the "Company") will be held on June 9, 1998, at 10:00
a.m.  local  time  at  the  Company's  headquarters,  One  Manhattanville  Road,
Purchase, New York 10577. The meeting is called for the following purposes:

         1.   Election of eight directors for a term of one year;

         2.   Approval and ratification of an amendment to the Company's Amended
              and  Restated   Certificate  of   Incorporation   increasing  from
              25,000,000 to 50,000,000 the number of authorized shares of Common
              Stock.

         3.   Approval and  ratification  of amendments  to the  Company's  1992
              Incentive and Non-Incentive Stock Option Plan;

         4.   Approval and  ratification of the appointment of Price  Waterhouse
              LLP as the independent accountants of the Company; and

         5.   Consideration  of  and  action  upon  such  other  matters  as may
              properly   come   before  the  meeting  or  any   adjournment   or
              adjournments thereof.

         The close of  business  on April 17,  1998 has been fixed as the record
date for the determination of stockholders  entitled to notice of and to vote at
the meeting.

         All stockholders are cordially  invited to attend the meeting.  Whether
or not you  expect to attend,  you are  respectfully  requested  by the Board of
Directors to sign, date and return the enclosed proxy promptly. Stockholders who
execute  proxies retain the right to revoke them at any time prior to the voting
thereof.  A return  envelope  which  requires no postage if mailed in the United
States is enclosed for your convenience.

                                            By Order of the Board of Directors,

                                            Claude E. White
                                            Secretary

Dated:   May 1, 1998

                                       -1-

<PAGE>



                            INTEGRAMED AMERICA, INC.
                             One Manhattanville Road
                            Purchase, New York 10577
                                 (914) 253-8000
                                 ---------------
                                 PROXY STATEMENT
                                 ---------------


                         ANNUAL MEETING OF STOCKHOLDERS

         This Proxy Statement is furnished in connection  with the  solicitation
of proxies by the Board of Directors  of  IntegraMed  America,  Inc., a Delaware
corporation (the  "Company"),  for the Annual Meeting of Stockholders to be held
at the Company's headquarters, One Manhattanville Road, Purchase, New York 10577
on June 9, 1998, at 10:00 a.m. and for any adjournment or adjournments  thereof,
for the  purposes  set forth in the  accompanying  NOTICE OF ANNUAL  MEETING  OF
STOCKHOLDERS.  Any stockholder giving such a proxy has the power to revoke it at
any time  before  it is  voted.  Written  notice  of such  revocation  should be
forwarded  directly to the  Corporate  Secretary  of the  Company,  at the above
stated  address.  Attendance at the meeting will not have the effect of revoking
the proxy unless such written notice is given or the stockholder votes by ballot
at the meeting.

         If the enclosed  proxy is properly  executed and  returned,  the shares
represented  thereby will be voted in accordance with the directions thereon and
otherwise in accordance with the judgment of the persons  designated as proxies.
Any  proxy on  which no  direction  is  specified  will be voted in favor of the
actions  described  in this  Proxy  Statement,  including  the  election  of the
nominees set forth under the caption  "Election of Directors,"  the approval and
ratification of an amendment to the Company's  Amended and Restated  Certificate
of  Incorporation,  the approval and ratification of amendments to the Company's
1992 Incentive and  Non-Incentive  Stock Option Plan (the "1992 Plan"),  and the
approval and  ratification  of the  appointment  of Price  Waterhouse LLP as the
independent accountants of the Company.

         The approximate date on which this Proxy Statement and the accompanying
form of proxy will first be mailed or given to the Company's stockholders is May
1, 1998.

         Your vote is important.  Accordingly,  you are urged to sign and return
the accompanying proxy card whether or not you plan to attend the meeting.

                                VOTING SECURITIES

         Holders  of shares  of Common  Stock,  par  value  $.01 per share  (the
"Common  Stock")  and  Series A  Cumulative  Convertible  Preferred  Stock  (the
"Preferred  Stock") of record as of the close of business on April 17, 1998, are
entitled to notice of and to vote at the meeting on all  matters.  On the record
date there were issued and  outstanding  21,344,423  shares of Common  Stock and
165,644  shares of Preferred  Stock  entitled to vote on all matters to be acted
upon at the  meeting.  Each  outstanding  share is entitled to one vote upon all
matters to be acted upon at the meeting. A majority of the outstanding shares of
Common Stock and Preferred  Stock entitled to vote on any matter and represented
at the  meeting  in person or by proxy  shall  constitute  a quorum.  Assuming a
quorum is present,  (1) the  affirmative  vote of a  plurality  of the shares of
Common  Stock  and  Preferred  Stock  so  represented  and  entitled  to vote is
necessary to elect the directors and (2) the  affirmative  vote of a majority of
the shares of Common Stock and Preferred Stock outstanding and entitled to vote,
excluding broker non-votes,  is necessary to approve and ratify the amendment to
the Company's Amended and Restated Certificate of Incorporation,  to approve and
ratify the amendments to the 1992 Plan and the  appointment of Price  Waterhouse
LLP as the  independent  accountants  of the  Company.  Abstentions  and  broker
non-votes are counted for purposes of  determining  the presence or absence of a
quorum for the transaction of business.  If a stockholder,  present in person or
by proxy,  abstains  on any matter,  the  stockholder's  shares of Common  Stock
and/or  Preferred  Stock will not be voted on such matter.  Thus,  an abstention
from  voting on any  matter has the same legal  effect as a vote  "against"  the
matter,  even though the  stockholder  may  interpret  such action  differently.
Except for  determining  the presence or absence of a quorum for the transaction
of business,  broker  non-votes  are not counted for any purpose in  determining
whether a matter has been approved.


                                       -1-

<PAGE>



                             PRINCIPAL STOCKHOLDERS

         The  following  table  sets  forth,  as  of  March  31,  1998,  certain
information  concerning  stock  ownership of all persons known by the Company to
own  beneficially  5% or more of the shares of Common Stock,  and each director,
and  each  executive  officer  named  under  "Executive  Compensation",  and all
directors and executive officers of the Company as a group.

                                                 Shares of       
                                               Common Stock        Percent of
                                               Beneficially       Common Stock
Name and Address                                Owned (1),(2)      Outstanding
- ----------------                               --------------     ------------

Entities affiliated with
Morgan Stanley, Dean Witter, Discover & Co.
1585 Broadway
New York, NY 10036........................      3,475,294(3)         16.10%

Gerardo Canet ............................  2,354,908(4) (5)         10.90%
Jay Higham................................         54,500(5)              *
Claude E. White...........................          3,926(5)              *
Donald S. Wood, Ph.D......................         48,245(5)              *
M. Fazle Husain...........................      3,475,294(3)        16.10%
Michael J. Levy, M.D......................        357,268(5)          1.67%
Sarason D. Liebler........................         51,700(5)              *
Aaron S. Lifchez, M.D.....................        267,366(5)          1.25%
Patricia M. McShane, M.D..................          7,500(5)              *
Lawrence Stuesser ........................        217,450(5)          1.02%
All executive officers and directors
  as a group (10 persons) ................        6,480,889(3)(4)(5) 29.43%


*     Represents less than 1% of outstanding shares of Common Stock

(1)   For the purposes of this Proxy Statement,  beneficial ownership is defined
      in accordance with the rules of the Securities and Exchange Commission and
      generally  means the power to vote  and/or to  dispose  of the  securities
      regardless of any economic interest therein.

(2)   As of March  31,  1998,  there  were  165,644  shares of  Preferred  Stock
      outstanding of which 150,000 shares,  or 90.6%,  were owned by Barry Blank
      (Box 32056,  Phoenix, AZ 85064) as reported on his Schedule 13D filed with
      the Securities and Exchange Commission (the "Commission") on June 6, 1994.
      Upon  conversion of each share of Preferred  Stock owned by Mr. Blank into
      3.58  shares  of  Common  Stock,  he  would  own  2.51%  of the  Company's
      outstanding Common Stock.


(3)   Includes  3,275,294  shares and 240,000 shares  issuable upon  immediately
      exercisable  warrants held by Morgan  Stanley  Venture  Partners III, L.P.
      ("MSVP III, L.P."), Morgan Stanley Venture Investors III, L.P. ("MSVI III,
      L.P."),  and The Morgan Stanley Venture Partners  Entrepreneur  Fund, L.P.
      ("MSVPE Fund,  L.P.") (MSVP III, L.P., MSVI III, L.P, and MSVPE Fund, L.P.
      are collectively referred to as the "Funds").  Fazle Husain, a director of
      the Company,  is a general partner of a general partner of the Funds.  Mr.
      Husain  may be deemed to  benefically  own the  shares  held by the Funds,
      although he has disclaimed beneficial ownership.

(4)   Includes an aggregate of 1,978,783 shares of Common Stock owned by certain
      physicians  for which  Gerardo  Canet  has a proxy to vote for a  two-year
      period with respect to (i) the  election of Directors or any  amendment to
      the Company's Amended and Restated Certificate of Incorporation  affecting
      Directors  and (ii)  any  change  in  stock  options  for  management  and
      Directors of the Company.

                                       -2-

<PAGE>



(5)   Includes (or consists of) currently exercisable options, including options
      exercisable  within  sixty  days,  to  purchase  Common  Stock as follows:
      Gerardo Canet -- 251,125; Jay Higham -- 52,500; Patricia McShane -- 7,500;
      Sarason Liebler -- 35,250; Lawrence Stuesser -- 35,250; Claude E. White --
      3,093; and Donald S. Wood -- 34,597; and currently exercisable warrants to
      purchase Common Stock as follows: Michael Levy -- 15,000 and Aaron Lifchez
      -- 15,000.


                              ELECTION OF DIRECTORS

         At the meeting,  eight directors will be elected by the stockholders to
serve until the next Annual Meeting of  Stockholders  or until their  successors
are elected and shall  qualify.  Each of the nominees is currently a director of
the Company, except for Ms. Elizabeth E. Tallett. Management recommends that the
persons  named below be elected as  directors  of the Company and it is intended
that the  accompanying  proxy will be voted for the election as directors of the
eight persons named below, unless the proxy contains contrary instructions.  The
Company  has no  reason  to  believe  that  any of the  nominees  will  not be a
candidate  or will be unable to serve.  However,  in the event that any  nominee
should become  unable or unwilling to serve as a director,  the persons named in
the proxy have  advised  that they will vote for the  election of such person or
persons as shall be designated by management.

         The following  sets forth the names and ages of the eight  nominees for
election to the Board of Directors,  their respective  principal  occupations or
employments  during  the past five years and the  period  during  which each has
served as a director of the Company.

         GERARDO  CANET (52) became  President,  Chief  Executive  Officer and a
director  of the Company  effective  February  14, 1994 and the  Chairman of the
Board  effective April 19, 1994. For  approximately  five years prior to joining
the Company, Mr. Canet held various executive management positions with Curative
Health  Services,  Inc., most recently as Executive Vice President and President
of its Wound Care  Business  Unit.  From 1979 to 1989,  Mr.  Canet held  various
management  positions  with  Kimberly  Quality  Care,  Inc.  (and a  predecessor
company),  a provider of home health care  services,  most recently from 1987 to
1989 as Executive  Vice  President,  Chief  Operating  Officer and a director of
Kimberly Quality Care, Inc. Mr. Canet earned an M.B.A.  from Suffolk  University
and a B.A. in Economics from Tufts University.  Mr. Canet has been a director of
Curative Health Services, Inc. since July 1991.

        H. FAZLE  HUSAIN (34) became a director of the Company in January  1998.
Mr. Husain is a general partner of Morgan Stanley Venture Partners,  L.P., where
he has been employed since 1991, and certain partnerships affiliated with Morgan
Stanley Venture Partners, L.P. Mr. Husain is also a director of U.S. Healthworks
and Dental Co., Inc.

        MICHAEL J. LEVY,  M.D.  (38)  became a director  of the Company in March
1998. Since 1991, Dr. Levy, a board certified reproductive endocrinologist,  has
been a shareholder and medical  director of Levy,  Sagoskin and Stillman,  M.D.,
P.C., a physician  group  practice that became a Network Site in March 1998. Dr.
Levy graduated from the University of Cape Town Medical School.

        SARASON D. LIEBLER (61) became a director of the Company in August 1994.
Mr. Liebler is President of SDL Consultants,  a privately-owned  consulting firm
engaged in rendering general business advice.  From February 1985 to December 1,
1991, Mr. Liebler served as Chief Executive Officer of American Equine Products,
Inc.  and served as a director of that company  from  February  1985 to November
1992.  During the past 20 years,  Mr. Liebler has been a director and/or officer
of  a  number  of  companies  in  the  fields  of  home  health  care,  clinical
diagnostics, high density optical storage and sporting goods.

        AARON S.  LIFCHEZ,  M.D. (55) became a director of the Company in August
1997.  Since 1996,  Dr.  Lifchez,  a  reproductive  endocrinologist,  has been a
shareholder  and president of Fertility  Centers of Illinois,  S.C., a physician
group  practice  that  became a Network  Site in August  1997.  Dr.  Lifchez has
maintained  a medical  practice in the Chicago  area for more than the past five
years. Dr. Lifchez graduated from the Chicago Medical School.



                                       -3-

<PAGE>



        PATRICIA M. MCSHANE, M.D. (49) became a director of the Company in March
1997 and was a Vice  President of the Company in charge of medical  affairs from
September 1992 through February 28, 1997.  Since May 1988, Dr. McShane,  a board
certified reproductive endocrinologist,  has been, and currently is, the Medical
Director  of the Boston  Network  Site where she is engaged in the  practice  of
medicine,   specializing  in  infertility.  Dr.  McShane  graduated  from  Tufts
University School of Medicine.

        LAWRENCE  J.  STUESSER  (56)  became a director  of the Company in April
1994.  Since  June  1996,  Mr.  Stuesser  has been the of  President  and  Chief
Executive  Officer of Computer People Inc., the U.S.  subsidiary of London-based
Delphi  Group plc.  From July 1993 to May 1996,  he was a private  investor  and
business consultant. Mr. Stuesser was elected Chairman of the Board in July 1995
and has been a director of  Curative  Health  Services,  Inc.  since  1993.  Mr.
Stuesser  also  serves  on  the  Board  of  Directors  of  American   Retirement
Corporation and Delphi Group plc. Mr.  Stuesser was Chief  Executive  Officer of
Kimberly  Quality Care,  Inc. from 1986 to July 1993, at which time that Company
was acquired by the Olsten  Company.  Mr.  Stuesser holds a B.B.A. in accounting
from St. Mary's University.

        ELIZABETH E. TALLETT (49) is a director  nominee.  In 1997,  Ms. Tallett
was  appointed  President  and CEO of Gryphon  Pharmaceuticals,  Inc., a company
involved  in  hematopoietic  stem  cells and other  cellular  therapies  for the
treatment of cancer,  autoimmune  and infectious  diseases.  Ms. Tallett is also
currently  serving as the Chairman of Serex,  Inc., a point of care  diagnostics
company.   In   1992   she   co-founded   Transcell    Technologies,    Inc.   a
carbohydrate-based  pharmaceutical  company,  where she served as President  and
Chief  Executive  Officer  until  1996.  Ms.  Tallett  is a board  member of The
Principal Mutual Life Insurance Company and of Varian Associates,  Inc. She is a
founding board member of the  Biotechnology  Council of New Jersey and serves as
its Treasurer.  Ms. Tallett graduated from Nottingham University with degrees in
mathematics and economics.

        Directors  are  elected by the  Company's  stockholders  at each  annual
meeting or, in the case of a vacancy,  are  appointed by the  directors  then in
office,  to serve until the next annual  meeting or until their  successors  are
elected and qualified.  Officers are appointed by and serve at the discretion of
the Board of Directors.

        The Board of Directors of the Company held four meetings and took action
by consent ten times during the fiscal year ended December 31, 1997. Each of the
directors  attended  at least 75% of the  aggregate  of all  meetings of (i) the
Board of Directors and (ii) the committees thereof on which such director served
during the term of each's directorship.

        The Audit  Committee  consists  of Messrs.  Hillback,  Jr.,  Liebler and
Stuesser. The Audit Committee met one time during the fiscal year ended December
31, 1997. The Audit Committee is authorized by the Board of Directors to review,
with the Company's independent  accountants,  the annual financial statements of
the Company; to review the work of, and approve non-audit services performed by,
such independent  accountants;  and to make annual  recommendations to the Board
for the appointment of independent  public accountants for the ensuing year. The
Audit Committee also reviews the  effectiveness  of the financial and accounting
functions, organization, operations and management of the Company.

        The Compensation  Committee consists of Messrs.  Hillback,  Jr., Liebler
and Stuesser.  The  Compensation  Committee met two times during the fiscal year
ended December 31, 1997. The  Compensation  Committee  reviews and recommends to
the Board of  Directors  the  compensation  and  benefits of all officers of the
Company, reviews general policy matters relating to compensation and benefits of
employees  of the  Company,  administers  the  issuance of stock  options to the
Company's  officers,  employees and  consultants and also has authority to grant
options to directors who are not employees of the Company.


        The  Nominating  Committee,  consisting  of Messrs.  Canet,  Liebler and
Stuesser was established by the Board of Directors in February 1998.  There were
no meetings of the  Nominating  Committee  during the fiscal year ended December
31, 1997.  The  Nominating  Committee  recommends  to the Board of Directors the
nominees for submission to the  Stockholders  for election at the Annual Meeting
of  Stockholders  and  nominees to fill  vacancies on the Board  between  Annual
Meetings of Stockholders.



                                       -4-

<PAGE>



                              DIRECTOR COMPENSATION

        In 1997,  in  addition to stock  option  compensation  discussed  below,
non-employee  directors of the Company received an annual retainer of $10,000, a
fee of $750  for  each  meeting  of the  Board  attended,  $2,500  per  year for
membership  on a  committee  of the  Board,  and were  reimbursed  for  expenses
actually  incurred  in  attending  meetings.  Directors  who are also  executive
officers are not compensated for their services as directors.

        Under the 1994 Outside Director Stock Purchase Plan , there are reserved
for  issuance  thereunder  125,000  shares of Common  Stock,  pursuant  to which
directors  who are not  full-time  employees of the Company may elect to receive
all or a part of their annual  retainer  fees,  the fees  payable for  attending
meetings  of the Board and the fees  payable for  serving on  Committees  of the
Board, in the form of shares of Common Stock rather than cash, provided that any
such election be made at least six months prior to the date that the fees are to
be paid; no such elections were made as of April 17, 1998.

        On June 10,  1997,  the Board of  Directors  granted  stock  options  to
purchase  6,000 shares of Common Stock to each of Messrs.  Liebler and Stuesser,
the  non-employee  directors,  each stock option being  exercisable at $1.63 per
share,  50% of which shares become  exercisable  in June 1998 and the balance of
such shares  become  exercisable  in June 1999.  On June 11, 1996,  the Board of
Directors granted stock options to purchase 6,000 shares of Common Stock to each
of Messrs. Liebler and Stuesser, each such option being exercisable at $3.75 per
share,  50% of which shares became  exercisable  in June 1997 and the balance of
such shares become  exercisable  in June 1998. On October 24, 1995, the Board of
Directors granted stock options to purchase 6,000 shares of Common Stock to each
of Messrs. Liebler and Stuesser, each such option being exercisable at $2.56 per
share,  50% of which shares became  exercisable  in June 1996 and the balance of
such shares became  exercisable in June 1997. On November 15, 1994, the Board of
Directors  granted  stock  options to purchase  30,000 shares of Common Stock to
each of Messrs.  Liebler and  Stuesser,  each such option being  exercisable  at
$1.25 per share,  25% of which shares became  exercisable one year from the date
of the grant;  thereafter the shares became  exercisable at the rate of 6.25% of
the total  number of shares  subject  to the  option  every  three  months.  New
non-employee  directors  will be granted  options to purchase  30,000  shares of
Common Stock under the 1992 Plan and,  annually upon  re-election,  non-employee
directors will be granted options to purchase 6,000 shares of Common Stock under
the 1992 Plan.

        SDL  Consultants,  a company owned by Sarason D.  Liebler,  who became a
director of the Company in August,  1994,  rendered  consulting  services to the
Company for aggregate fees of approximately $93,000,  $17,000 and $22,000 during
1997, 1996 and 1995, respectively. The approximately $93,000 paid to Mr. Liebler
in 1997 which primarily related to services rendered to the Company in assisting
with  the   recruitment  of  five  (5)  senior   management   persons   included
reimbursement of expenses.


                    BUSINESS EXPERIENCE OF EXECUTIVE OFFICERS

        The following sets forth the business  experience of executive  officers
who are not also directors of the Company.

        EUGENE R. CURCIO  became Vice  President of Finance and Chief  Financial
Officer  in April  1998.  Prior to  joining  the  Company,  Mr.  Curcio was Vice
President of the Kaufman Group Division of Superior Consultant Company,  Inc., a
national,  publicly-traded healthcare consulting company. Between 1978 and 1997,
Mr. Curcio held several positions with Central  Connecticut  Health Alliance,  a
multi-provider  organization,  the last of which was Senior Vice  President  and
CFO. Mr. Curcio  received his MBA from the  University  of  Pittsburgh  Graduate
School of Business and is a CPA.

        JAY HIGHAM became Vice President of Marketing and Development in October
1994. For four years prior to joining the Company,  Mr. Higham held a variety of
executive  positions,  the most current of which was as Vice President of Health
Systems  Development  for South  Shore  Hospital  and  South  Shore  Health  and
Education  Corporation  where  he  developed  and  implemented  a  strategy  for
integration with physician group practices and managed care payors. Mr.
Higham earned an M.H.S.A. from George Washington University.


                                       -5-

<PAGE>



        CLAUDE E. WHITE joined the Company in March 1995 as General  Counsel and
Assistant Secretary.  In January 1998, Mr. White became Corporate Secretary,  in
addition to General Counsel. Prior to joining the Company, Mr. White was engaged
in the practice of law with William A. Thomas,  Jr. &  Associates,  a New Jersey
law firm.  Mr. White has served as General  Counsel of several  major  companies
over the past 10 years, including Burns International  Security Services,  Inc.,
Staff  Builders,  Inc. and Quality Care, Inc. Mr. White received his B.A. degree
in Political Science from Rutgers College and J.D. degree from Rutgers School of
Law.

        DONALD S.  WOOD,  PH.D.  joined  the  Company  in April 1991 as its Vice
President of Genetics.  Dr. Wood became President and Chief Operating Officer of
the Reproductive  Science Center Division in 1997. From 1989 through March 1991,
Dr.  Wood was the  Executive  Vice  President  and Chief  Scientific  Officer of
Odyssey  Biomedical  Corp.,  a genetic  testing  company which he co-founded and
which was acquired by IG Labs,  Inc. in December 1990. Dr. Wood received a Ph.D.
in Physiology  from  Washington  State  University and completed a post-doctoral
fellowship in neurology at the Columbia/Presbyterian Medical Center in New York,
where he subsequently was appointed an Assistant Professor of Neurology.


                             EXECUTIVE COMPENSATION

        The  following  table sets forth a summary of the  compensation  paid or
accrued by the Company during the years ended  December 31, 1997,  1996 and 1995
for  the  Company's  Chief  Executive  Officer  and  for the  four  most  highly
compensated executive officers (the "Named Executive  Officers"),  including two
who are no longer serving as officers of the Company.


<TABLE>

                           SUMMARY COMPENSATION TABLE
 <CAPTION>
                                                                                   Long Term
                                                                                 Compensation
                                                                                  Securities
                                                            Annual                Underlying
                                                         Compensation               Options
            Name                    Year            Salary ($)    Bonus ($)       Granted (#)
            ----                    ----            ----------    ---------       -----------
<S>                                 <C>             <C>            <C>             <C>       
Gerardo Canet                       1997            228,000        41,040          175,000(2)
 President and                      1996            220,000          --            120,000
 Chief Executive Officer (1)        1995            215,000        53,750             --

Peter Callan                        1997            112,916         7,500             --
 Vice President,                    1996            108,000        10,000             --
  Central Region (1), (3)           1995            41,545(1)       9,375           40,000

Jay Higham                          1997            120,000        12,600             --
 Vice President, Marketing          1996            125,000           --            40,000
 and Development (1)                1995            110,000        19,250             --

Dwight P. Ryan                      1997             98,000        10,290             --
 Vice President, Finance and        1996             94,120           --            25,000
 CFO (4)                            1995             90,000        15,750             --

Donald S. Wood, Ph.D.               1997             121,738       12,285           60,000
 President and COO                  1996             112,143          --              --
 RSC Division (1)                   1995             108,000       18,900             --



                                       -6-

<PAGE>



(1)      Gerardo Canet, Peter Callan,  Jay Higham,  Dwight Ryan, and Donald Wood
         commenced  employment with the Company on February 14, 1994, August 14,
         1995,   October  10,  1994,   December  1,  1987  and  March  1,  1991,
         respectively.

(2)      Subject to stockholder  approval of an amendment to increase the number
         of  shares  of  Common  Stock  authorized  under the 1992 Plan from 1.3
         million to 2.0 million.

(3)      Peter Callan resigned as Vice President of the Company's Central Region
         effective September 16, 1997.

(4)      Dwight Ryan  resigned as Vice  President  of Finance and CFO  effective
         March 13, 1998.
</TABLE>

         The  following  table sets forth  certain  information  with respect to
individual grants of stock options made by the Company during fiscal 1997 to the
named executive officers.

<TABLE>


<CAPTION>
                                                     OPTIONS GRANTED IN 1997

                                                  Percent of                                        
                                    Number of        Total                                          Potential Realizable
                                     Shares        Options                                    Value at Assumed Annual Rates of
                                   Underlying     Granted to                                Stock Price Appreciation for Option 
                                     Options      Employees     Exercise     Expiration                 Term ($) (2)
              Name                   Granted       in 1997       Price          Date            0%           5%           10%
              ----                  ----------    ----------    --------   -------------     -------      --------     --------   
<S>                                  <C>            <C>          <C>            <C> <C>         <C>       <C>          <C>     
Gerardo Canet                        175,000(1)     32.56%       $2.37     Oct. 21, 2007        $0        $241,021     $610,800
  President and Chief Executive
  Officer
Donald S. Wood, Ph.D.                 25,000         4.65%       $1.68     Feb. 25, 2007        $0        $ 26,413     $ 66,937
  President and COO,                  35,000         6.51%       $2.19     Oct. 21, 2007        $0        $ 48,204     $122,160
  RSC Division


(1)   Subject to stockholder  approval of an amendment to increase the number of
      shares of Common Stock  authorized under the 1992 Plan from 1.3 million to
      2.0 million shares, each such option being exercisable at $2.19 per share,
      25% of which shares  become  exercisable  one year from the date of grant;
      thereafter the shares become exercisable at the rate of 6.25% of the total
      number of shares subject to the option every three months. The options are
      incentive  options which expire on October 21, 2007.  Notwithstanding  the
      above provisions,  these options shall fully vest on the earliest to occur
      of: (i) October 21, 2002;  (ii) the day after the  Company's  Common Stock
      has had an  average  closing  price of $5.00 per share for 45  consecutive
      trading days;  (iii) an  acquisition  of the Company for cash in excess of
      $3.50  per  share of the  Company's  Common  Stock;  or (iv) a  Qualifying
      Termination,  as defined in the August 3, 1994 Change in Control Severance
      Agreement, as amended, between the Company and Mr. Canet.
(2)   Potential  realizable  value is based on the assumption that the price per
      share of Common  Stock  appreciates  at the  assumed  annual rate of stock
      appreciation  for the option term. The assumed 0%, 5% and 10% annual rates
      of appreciation  (compounded annually) over the term of the option are set
      forth  in  accordance  with  the  rules  and  regulations  adopted  by the
      Commission  and do not  represent  the  Company's  estimate of stock price
      appreciation.

</TABLE>


                                       -7-

<PAGE>



      The  following  table  sets forth  certain  information  concerning  Named
Executive Officers who held unexercised options at December 31, 1997:

<TABLE>

                       OPTION VALUES AT DECEMBER 31, 1997
<CAPTION>

                                                                    Number of
                                                                Shares Underlying                  Value of Unexercised
                                                                  Unexercised                           In-the-Money
                          Shares                                   Options at                              Options at
                         Acquired                               December 31, 1997                   December 31, 1997 ($) (1)
                           Upon           Value         ---------------------------------     -------------------------------
  Name                   Exercise       Realized ($)     Exercisable         Unexercisable     Exercisable       Unexercisable
  ----                   --------       ------------     -----------         -------------     -----------       -------------
<S>                        <C>           <C>              <C>                 <C>               <C>                   <C>   
Gerardo Canet               --             --              282,224             308,276           169,244               30,129

Jay Higham                  --             --               42,500              37,500            19,800                6,600

Dwight P. Ryan              --             --               40,580              24,420            12,462                3,419

Donald S. Wood, Ph.D.       --             --               35,366              64,634             9,284                5,005




(1)      Based upon the closing  sales  price of the Common  Stock on the Nasdaq
         National Market on December 31, 1997 of $1.81 per share.

(2)      Subject to stockholder  approval of an amendment to increase the number
         of  shares  of  Common  Stock  authorized  under the 1992 Plan from 1.3
         million to 2.0 million  shares,  each such option being  exercisable at
         $2.19 per share,  25% of which shares become  exercisable one year from
         the date of grant; thereafter the shares become exercisable at the rate
         of 6.25% of the total  number of shares  subject  to the  option  every
         three months. Notwithstanding the above provisions, these options shall
         fully vest on the earliest to occur of: (i) October 21, 2002;  (ii) the
         day after the Company's  Common Stock has had an average  closing price
         of  $5.00  per  share  for  45  consecutive   trading  days;  (iii)  an
         acquisition of the Company for cash in excess of $3.50 per share of the
         Company's Common Stock; or (iv) a Qualifying Termination, as defined in
         the August 3, 1994 Change in Control Severance  Agreement,  as amended,
         between the Company and Mr. Canet.
</TABLE>


                                       -8-

<PAGE>



             EMPLOYMENT CONTRACTS AND TERMINATION OF EMPLOYMENT AND
                         CHANGE-IN-CONTROL ARRANGEMENTS

         On  February  14,  1994,  Gerardo  Canet  entered  into  an  employment
agreement with the Company to serve as its President and Chief Executive Officer
and was appointed as a director. Pursuant to the employment agreement, Mr. Canet
receives an annual salary of $215,000  subject to increases and in February 1994
was granted  options to purchase an aggregate of 140,500 shares of Common Stock.
Under Mr. Canet's employment agreement, the Company may terminate his employment
without cause on thirty days' notice, in which event Mr. Canet will receive,  as
severance pay, twelve months' salary payable  monthly.  In the event Mr. Canet's
employment is terminated  by reason of his  permanent  disability or death,  Mr.
Canet (or his  legal  representative)  will  receive  six  months'  base  salary
(reduced by any payments  following  termination  received  under any  long-term
disability policy maintained by the Company for Mr. Canet's benefit).

         The employment  agreement  further  provides that in the event that (i)
within one year after a "Change of Control" (as defined therein) of the Company,
Mr. Canet's  employment  terminates or there occurs a material  reduction in his
duties (other than by reason of his  disability) or a material  interference  by
the Company's Board of Directors with the exercise of his authority, or (ii) the
Company is acquired for cash in excess of $10.00 per share of Common Stock,  the
stock options  granted to Mr. Canet under the  agreement  would  accelerate  and
become  exercisable  as of the  date of  such  termination  material  reduction,
material  interference,  or cash acquisition,  or, with respect to the incentive
options,  the earliest date thereafter  consistent with certain restrictions set
forth in the agreement.

         Under the  employment  agreement,  Mr.  Canet has agreed not to compete
with the  Company  while  employed  by the  Company and for a period of one year
thereafter.
                                 --------------

         The Company is also a party to a Change in Control Severance  Agreement
with Mr. Canet entered into in August 1994.

         The Company is also party to Executive  Retention  Agreements with each
of Jay Higham and Donald Wood, Vice  Presidents of the Company,  entered into in
March 1995 and with Eugene R. Curcio, Vice President and Chief Financial Officer
of the Company, entered into in April 1998.

         The  Change  in  Control  Severance  Agreements  and the Key  Executive
Retention Agreements  (together referred to herein as the "Agreements")  provide
for certain severance payments and benefits to the named executives in the event
of a termination of their employment, either by the Company without cause, or by
the executive for "Good Reason" (as defined below),  at any time within eighteen
(18) months  following a "Change in Control"  (as defined  below) of the Company
(any such  termination,  a "Qualifying  Termination").  More  specifically,  the
Agreements  provide the named  executives  with one  additional  year of salary,
bonus (if applicable),  and benefits (or equivalent),  more than he or she would
previously  have been entitled to receive upon a termination  without cause (or,
additionally,  in the case of Mr. Canet,  certain  terminations by Mr. Canet for
Good Reason which would be deemed  equivalent  to a  termination  without  cause
under  his  current  employment   agreement).   Accordingly,   pursuant  to  the
Agreements,  in  the  event  of  a  Qualifying  Termination  of  the  respective
executive,  Mr. Canet's  severance has been increased to two years (from the one
year severance  provision  which was contained in his employment  agreement with
the Company)  and the three Vice  Presidents  will be paid one year's  severance
(the Vice Presidents not previously having been a party to a severance agreement
with the  Company).  Pursuant  to the  terms of the  Agreements,  all  incentive
options  granted to the  respective  executive  would become fully vested upon a
Qualifying Termination,  subject to certain terms and conditions. Also, pursuant
to the  Agreements,  the  Company  would  be  required  to pay  each  respective
executive  for all  reasonable  fees and  expenses  incurred  by the  respective
executive  in  litigating  his or her  rights,  thereunder,  to the  extent  the
executive is successful in any such litigation.

         "Change in Control" under the Agreements  means either:  (i) any one or
more changes in the aggregate composition of the Company's Board of Directors as
a result of which Mr. Canet and the other individuals  constituting the Board of
Directors as of July 26, 1994 (the  "Incumbent  Board"),  cease to  constitute a
majority  of the Board of  Directors,  provided,  however,  that any  individual
elected to the Board by, or nominated for election by, a majority of

                                       -9-

<PAGE>



the then-current Incumbent Board (except if such person assumes office by reason
of an actual or  threatened  election  contest)  is deemed to be a member of the
then-current Incumbent Board; or (ii) the closing of the cash acquisition in the
event the Company is  acquired  for cash in excess of $10.00 per share of Common
Stock,  except in either case (i) or (ii) if the executive is or was a member of
the Board and  approved  such  event in  writing  or by vote at a meeting of the
Board.

         "Good  Reason"  under the  Agreements  consists of any of the following
grounds based on which the named executive  terminates his or her own employment
within eighteen (18) months following a Change in Control of the Company:  (i) a
material reduction in the Executive's duties, title(s) or offices, or a material
interference with his or her authority or status by the Board of Directors; (ii)
a relocation of the Company's principal executive offices to a location at least
fifty (50) miles from the Company's current offices in Purchase, New York; (iii)
in the case of Mr. Canet,  a material  breach of or default by the Company under
his employment agreement; (iv) in the case of any of the Vice Presidents, in the
event Mr.  Canet's  employment as President and Chief  Executive  Officer of the
Company is  terminated  (other than due to the death or permanent  disability of
Mr. Canet)  within the eighteen (18) month period  following a Change in Control
by either the Company  (other than for cause) or Mr. Canet for good Reason;  (v)
if the executive's  total salary and cash bonus  opportunities for a fiscal year
(which includes any portion of the  eighteen-month  period following a Change in
Control)  are less  than 90% of the total  salary  and cash  bonus  compensation
opportunities  made  available  to the  executive  in  the  then  most  recently
completed fiscal year; (vi) the failure of the Company to continue in effect any
material  benefits or perquisites or insurance  plans in which the executive was
participating unless substituted for with substantially  similar benefits, or in
the event the Company takes actions which would adversely affect the executive's
participation  in, or materially  reduce the executive's  benefits  under,  such
plans, or deprive the executive of a material fringe benefit;  (vii) the Company
(either  in one  transaction  or a  series  of  related  transactions)  sells or
otherwise disposes of, not in the ordinary course of business, assets or earning
power  aggregating  more than 30% of the assets or earning  power of the Company
(or the Company and its  subsidiaries),  unless the executive is or was a member
of the Board and approved any of the foregoing either in writing or by vote at a
meeting of the  Board;  (viii) a  material  breach of or default by the  Company
under the Agreements  which is not cured by the Company within thirty days after
its  receipt or prior  written  notice  thereof  from the  executive;  or (ix) a
purported  termination  for cause by the Company of the  executive's  employment
within the eighteen (18) month period following a Change in Control which is not
effected in compliance with certain procedural  requirements (such as notice and
an opportunity for the executive to be heard, together with his counsel,  before
the Board).


                                      -10-

<PAGE>



                      COMPLIANCE WITH SECTION 16(a) OF THE
                         SECURITIES EXCHANGE ACT OF 1934

         Section  16(a)  of the  Securities  Exchange  Act of 1934,  as  amended
("Exchange  Act"),  requires the  Company's  executive  officers,  directors and
persons  who  beneficially  own  more  than  10% of a  registered  class  of the
Company's  equity  securities  to file with the  Commission  initial  reports of
ownership  and reports of changes in  ownership of Common Stock and other equity
securities of the Company. Such executive officers,  directors, and greater than
10%  beneficial  owners are  required by  Commission  regulation  to furnish the
Company with copies of all Section 16(a) forms filed by such reporting persons.

         Based  solely on the  Company's  review of such forms  furnished to the
Company and written  representations from certain reporting persons, the Company
believes  that  the  required  filings  applicable  to the  Company's  executive
officers, and greater than 10% beneficial owners were made on a timely basis for
the year ended  December 31, 1997,  except that on initial  report on Form 3 was
filed on October 14, 1997 by Dr. Aaron S. Lifchez,  who became a director of the
Company on August 19, 1997.


           COMPENSATION COMMITTEE INTERLOCKS AND INSIDER PARTICIPATION

         During  the fiscal  year  ended  December  31,1997  the  members of the
Compensation  Committee  were  Messrs.   Hillback,  Jr.,  Liebler  and  Stuesser
(Chairman).

         The  Company  has   maintained  a  consulting   arrangement   with  SDL
Consultants,  a  privately-owned  consulting  firm engaged in rendering  general
business advice, of which Mr. Liebler is President. During the fiscal year ended
December  31, 1997 the Company  paid SDL  Consultants  approximately  $93,000 in
consulting  fees,  which were  primarily  related to  services  rendered  to the
Company in assisting with the recruitment of five (5) senior management  persons
and included reimbursement for expenses. Additionally, Mr. Liebler was granted a
non-incentive  option to acquire 40,000 shares of Common Stock in  consideration
for consulting services rendered to the Company.

         Each of Messrs.  Hillback,  Jr., Liebler and Stuesser were paid $10,000
as an annual retainer fee, $2,500 for membership on a Board committee and $2,250
in Board attendance fees.


         BOARD COMPENSATION COMMITTEE REPORT ON EXECUTIVE COMPENSATION1

         The goal of the Company's  executive  compensation  policy is to ensure
that an appropriate  relationship exists between executive  compensation and the
creation of stockholder value, while at the same time attracting, motivating and
retaining senior  management.  The Compensation  Committee's  informal executive
compensation  philosophy  (which  applies  generally to all Company  management,
including the President and Chief Executive Officer,  Gerardo Canet) considers a
number of factors, which may include:

o        rewarding  eligible  employees who have achieved  specific business and
         financial success during the fiscal year;

o        giving   eligible   employees   the  incentive  to  strive  for  higher
         productivity, efficiency and quality of service; and

o        encouraging the "best" people to join and stay with the Company.

         
- --------
         1 The material in this report is not soliciting material, is not deemed
filed with the Securities and Exchange  Commission  and is not  incorporated  by
reference in any filing of the Company under the Securities Act of 1993, whether
made  before or after this date of this Proxy  Statement  and  irrespective  any
general incorporation language in such filing.

                                      -11-

<PAGE>



         Compensation  structures  for  senior  management  generally  include a
combination of salary,  bonuses and stock options.  Specific  executive  officer
base salary is determined  based on a range of measures and by comparison to the
compensation of executive  officers of comparable  companies.  During the fiscal
year ended December 31, 1997, the bonuses of senior  management  were derived in
accordance with a predetermined  percent of base salary. The actual bonuses were
based on two  components.  One component was based on the Company's  performance
during the fiscal  year ended  December  31, 1997  versus the 1997  budget.  The
second  component  was based on the  achievement  of  specific  milestones.  The
Compensation  Committee  also  endorses  the position  that equity  ownership by
senior  management  is  beneficial  in  aligning  their  interest  with those of
stockholders',   especially  in  the  enhancement  of  stockholder   value.  The
Compensation  Committee considers the Company's performance under these measures
and  uses  its  subjective  judgment  and  discretion  in  approving  individual
compensation.  Mr. Canet's base salary is established  pursuant to an employment
agreement,  although  his  bonus  is  determined  in the same  fashion  as other
executive officers.


Lawrence J. Stuesser (Chairman)
Elliott Hillback, Jr.
Sarason D. Liebler


                                      -12-

<PAGE>


<TABLE>
<CAPTION>

Performance Graph2

Comparison of Five-Year Cumulative Total Return for
IntegraMed America, Inc. (INMD), NASDAQ Stock Market (U.S.) and
a peer group index ("PPMS")






                              [GRAPH APPEARS HERE]


















                                1992       1993        1994      1995       1996       1997
                                ----       ----        ----      ----       ----       ----

<S>                              <C>        <C>        <C>       <C>        <C>        <C>  
INMD Common Stock                100        22.73      10.80     32.95      14.77      16.48
NASDAQ Stock Market (U.S.)       100       135.88     115.67    198.37     136.65     137.12
PPMS                             100       114.80     112.21    158.70     195.19     239.53
</TABLE>

         The above graph compares the five-year cumulative total return for INMD
Common Stock with the  comparable  cumulative  return of the NASDAQ Stock Market
(U.S.) and a peer group index  ("PPMS").  PPMS includes  American  Oncology Res.
Inc., FPA Medical Management,  Coastal Physician Group Inc,  Medpartners,  Inc.,
Pediatrix Med Group, Inc., Php Healthcare Corp.,  Phycor, Inc., Phymatrix Corp.,
Physician Reliance Network,  Physicians  Resource Group and Sheridan  Healthcare
Inc. The closing prices,  for each over the last twelve months is included.  The
Company  selected these companies for the peer group based on the nature of such
companies' businesses.

         The graph assumes $100 was invested on December 31, 1992 in INMD Common
Stock and $100 was  invested  at that same time in each of the  NASDAQ  and PPMS
indexes. The comparison assumes that all dividends were reinvested.  Measurement
points are at the last trading day of the years ended  December 31, 1992,  1993,
1994, 1995, 1996 and 1997.

- --------
         2 The material in this chart is not soliciting material,  is not deemed
filed with the Securities and Exchange  Commission  and is not  incorporated  by
reference in any filing of the Company under the Securities Act of 1993, whether
made  before or after this date of this Proxy  Statement  and  irrespective  any
general incorporation language in such filing.

                                      -13-

<PAGE>





                 CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS

         Dr. Patricia M. McShane, became a director of the Company in March 1997
and was a Vice  President  of the  Company  in charge of  medical  affairs  from
September 1992 through  February 28, 1997. Since May 1988, Dr. McShane has been,
and currently is, the Medical  Director of the Boston  Network Site where she is
engaged in the practice of medicine,  specializing in infertility. Dr. McShane's
aggregate compensation earned in 1997 for serving as an executive officer of the
Company and as the Medical Director of the Boston Network Site was $242,500.

         SDL  Consultants,  a company  owned by  Sarason D.  Liebler,  a Company
director, rendered consulting services to the Company during 1997, 1996 and 1995
for aggregate fees of approximately $93,000, $17,000 and $22,000,  respectively.
The  approximately  $93,000  paid to Mr.  Liebler in 1997  primarily  related to
services  rendered to the Company in assisting with the  recruitment of five (5)
senior management persons and included reimbursement of expenses.




                                      -14-

<PAGE>



                APPROVAL AND RATIFICATION OF THE AMENDMENT TO THE
                AMENDED AND RESTATED CERTIFICATE OF INCORPORATION


         The Board of Directors of the Company has adopted and recommends to the
stockholders  approval  of a proposed  amendment  to the  Company's  Amended and
Restated Certificate of Incorporation ("Certificate") to increase the authorized
number of shares of Common Stock from  25,000,000  to  50,000,000.  The proposed
increase in the authorized number of shares of Common Stock has been recommended
by the  Board of  Directors  to assure  that an  adequate  supply of  authorized
unissued shares of Common Stock is available for general corporate needs.

         As of March 31, 1998,  in addition to the  21,344,423  shares of Common
Stock  outstanding,  the Company had (i) 593,006 shares of Common Stock issuable
upon  conversion  of the  Company's  Series A Cumulative  Convertible  Preferred
Stock,  (ii) an  aggregate  of  1,283,456  shares of Common  Stock  reserved for
issuance  upon exercise of options  granted  under the  Company's  1988 and 1992
Stock Option  Plans,  of which  options to purchase  1,246,361  shares of Common
Stock are  outstanding,  excluding the 1997 grant to Gerardo Canet of options to
purchase 175,000 shares of Common Stock which is subject to stockholder approval
of  increasing  the  number  of  shares  available  under the 1992 Plan from 1.3
million to 2.0 million  shares , (iii) 125,000  shares of Common Stock  reserved
for issuance  pursuant to the Company's  1994 outside  director  stock  purchase
plan,  (iv)  1,073,032   shares  of  Common  Stock  issuable  upon  exercise  of
outstanding  warrants and (v) up to  approximately  245,000 shares (based on the
Company's  current  market  price per share as of April 17,  1998)  which may be
issued in partial payment of the right to manage  physician  practices;  leaving
approximately  161,083 additional shares of Common Stock available for issuance.
If the  amendment  to the  Certificate  is  approved,  there will be  25,161,083
authorized  shares of Common Stock  available  for  issuance,  on such terms and
conditions as may be determined by the Board of Directors.

         While the Company has no specific plans, arrangements, or agreements to
issue  shares of Common  Stock other than those  described  above,  the Board of
Directors of the Company  believes it is advisable and in the best  interests of
the Company to have available  authorized and unissued shares of Common Stock in
an  amount  adequate  to  provide  for the  future  needs  of the  Company.  The
additional  authorized  shares of Common  Stock  will  benefit  the  Company  by
providing  flexibility  to the  Board of  Directors  without  further  action or
authorization  by  stockholders  (except as required by law),  in  responding to
business needs and  opportunities  as they arise, or for other proper  corporate
purposes.  These corporate purposes might include acquisitions of certain assets
of and the right to manage  physician group practices,  stock  dividends,  stock
splits, employee stock options, debt financings,  the obtaining of capital funds
through public and private offerings of shares of Common Stock, or to compensate
employees or retain consultants. The issuance of any additional shares of Common
Stock will be on terms deemed to be, at the time of such issuances,  in the best
interests of the Company and its  stockholders.  If such  additional  authorized
shares  of  Common  Stock  are  subsequently   issued  to  other  than  existing
stockholders,  the percentage  interest of existing  stockholders in the Company
will be reduced.  Holders of shares of Common Stock have no  pre-emptive  rights
with respect to future issuances of shares of Common Stock.

         The Board of  Directors  is not aware of any attempt to gain control of
the Company nor is it  recommending  this  amendment  to increase  the number of
authorized  shares of Common Stock in response to any specific  effort to obtain
control  of the  Company.  The  proposed  amendment  to  increase  the number of
authorized  shares of Common  Stock is not  designed  as nor  intended  to be an
anti-takeover  measure;  however the  authorized  but unissued  shares of Common
Stock could be used by incumbent  management  to make a change in control of the
Company more difficult and  time-consuming.  Under certain  circumstances,  such
unissued  shares  of  Common  Stock  could  be used to  create  obstacles  or to
frustrate  persons seeking to effect a takeover or otherwise gain control of the
Company  with a view  to  instituting  a  merger,  sale  of all or  part  of the
Company's  assets,  or other  similar  transaction  which may not be in the best
interest of the stockholders.

         It is  expected  that  the  proposed  amendment,  if  approved  by  the
stockholders, will be made effective on or about June 10, 1998 by the filing and
recording of an appropriate  Certificate of Amendment as required under Delaware
law.

         The Board of Directors  recommends  a vote FOR the proposed  amendment,
and the persons named in the accompanying proxy will vote in accordance with the
choice specified thereon or, if no choice is properly indicated, in favor of the
amendment.

                                      -15-

<PAGE>




                 APPROVAL AND RATIFICATION OF AMENDMENTS TO THE
               1992 INCENTIVE AND NON-INCENTIVE STOCK OPTION PLAN

         The 1992 Incentive and Non-Incentive Stock Option Plan (the "Plan") was
adopted by the Board of Directors and  stockholders of the Company in June 1992.
The  Board of  Directors  of the  Company  has  adopted  and  recommends  to the
stockholders  approval of  amendments  to the Plan to (i) increase the number of
shares of Common Stock reserved for issuance upon exercise of options granted or
to be granted  under the Plan from 1.3  million to 2.0  million  shares and (ii)
provide for the ability of the Board of Directors, in its sole discretion to (i)
accelerate  the date or dates on which all or any  particular  option or options
granted  under the Plan may be  exercised  or (ii) extend the dates during which
all,  or any  particular,  option  or  options  granted  under  the  Plan may be
exercised;  provided,  however,  that no such extension shall be permitted if it
would cause the Plan to fail to comply with Section 422 of the Internal  Revenue
Code of 1986, as amended (the "Code") or with Rule 16b-3  promulgated  under the
Securities   Exchange  Act  of  1934,  as  amended  (the  "Exchange   Act")  (if
applicable). The proposed amendments to the Plan are described below.

Purpose

         The  purpose of the Plan is to enable the  Company to grant  options to
selected employees, directors,  consultants, agents, independent contractors and
other persons so as to further the growth and  development  of the Company,  its
direct  and  indirect  subsidiaries  and the  entities  with  which the  Company
collaborates  to  deliver  services  ("Collaborating  Entities").  The  grant of
options  by the  Company is  intended  to  encourage  such  selected  employees,
directors,  consultants,  agents,  independent contractors and other persons who
contribute and are expected to contribute materially to the Company's success to
obtain a  proprietary  interest in the Company  through  ownership of its stock,
thereby  providing  such  persons  with an added  incentive  to promote the best
interests of the Company and affording the Company a means of attracting persons
of outstanding ability.

Common Stock Subject to the Plan

         Under the Plan,  1.3 million  shares of Common Stock of the Company are
currently reserved for issuance upon exercise of options granted thereunder. The
amendments presently before the stockholders, if approved, will (i) increase the
number of shares of Common Stock  issuable under the Plan to an aggregate of 2.0
million  shares and (ii) provide for the ability of the Board of  Directors,  in
its sole  discretion  to (i)  accelerate  the date or dates on which  all or any
particular  option or options  granted  under the Plan may be  exercised or (ii)
extend the dates during which all, or any particular,  option or options granted
under the Plan may be exercised; provided, however, that no such extension shall
be  permitted  if it would cause the Plan to fail to comply with  Section 422 of
the Code or with Rule 16b-3 promulgated under the Exchange Act (if applicable).

         At March 31, 1998, options to purchase an aggregate of 1,246,361 shares
of Common Stock were outstanding  under the 1992 Plan at exercise prices ranging
from $0.625 per share to $3.75 per share.

Grant of Options

         Under the Plan,  incentive stock options  ("Incentive  Stock Options"),
qualifying  under  Section 422 of the Internal  Revenue Code of 1986, as amended
("the "Code"),  may be granted to employees  (including officers) of the Company
and/or any of its subsidiaries,  and non-incentive  (or  "non-qualified")  stock
options  ("Non-Incentive  Stock Options," together with Incentive Stock Options,
hereinafter   "Stock   Options")  may  be  granted  to   employees,   directors,
consultants,  agents,  independent  contractors  and such  other  persons as the
Incentive and Non-Incentive Stock Option Plan Committee (the "Committee") of the
Board of Directors  determines  will  contribute to the Company's  success.  The
Committee,  which  consists of two or more  directors  appointed by the Board of
Directors  who  themselves  are not eligible for  discretionary  grants of Stock
Options,  selects the optionees  under the Plan and  determines  (i) whether the
respective  Stock Option is to be a  Non-Incentive  Stock Option or an Incentive
Stock Option,  (ii) the number of shares of Common Stock  purchasable  under the
option,  (iii) the  exercise  price,  which cannot be less than 100% of the fair
market  value of the Common Stock on the date of grant with respect to Incentive
Stock  Options  (110% of fair  market  value in the case of an  Incentive  Stock
Option granted to an owner of stock possessing more than 10% of the total voting
power of all classes of stock of the Company (a "10% Owner")),  (iv) the time or

                                      -16-

<PAGE>



times when the Stock Option becomes exercisable,  and (v) the term of the option
(not to exceed ten years).  Incentive Stock Options are not exercisable prior to
one year from the date of grant.  The fair market  value,  determined  as of the
date the  option is  granted,  of shares  exercisable  for the first time by the
holder of an  Incentive  Stock  Option may not exceed  $100,000 in any  calendar
year.

Exercise of Options

         All options are exercisable during the optionee's  lifetime only by the
optionee  and only while the  optionee  is an  employee,  director,  consultant,
agent,  independent contractor or otherwise employed by or engaged in performing
services  for  the  Company  or a  subsidiary,  either  directly  or  through  a
Collaborating Entity, and for a period of three months thereafter,  except where
termination  of employment or engagement is due to death or  disability.  In the
event of death or  disability,  the option is exercisable by the optionee or the
optionee's  executor or administrator  within one year from the date of death or
termination of employment by reason of such  disability,  only to the extent the
option  would be  exercisable  by the  optionee  as at such  date.  No option is
transferable other than by will or the laws of descent and distribution.

         Options are  exercisable by payment in cash to the Company,  or a check
to its order,  of the full  purchase  price for the shares of Common Stock to be
purchased, plus the amount, if any, required for withholding taxes in connection
with such exercise (the "Exercise Payment");  provided,  however,  that with the
consent of the  Committee or such officer of the Company as may be authorized by
the Committee from time to time to give such consent,  the Exercise  Payment may
be paid by the  surrender  of Common  Stock owned by the person  exercising  the
option  and  having a fair  market  value on the date of  exercise  equal to the
Exercise Payment,  or in any combination of cash and Common Stock so long as the
total cash so paid and the fair  market  value of the Common  Stock  surrendered
equals the Exercise Payment, and the Common Stock so surrendered,  if originally
issued to the optionee upon exercise of an option granted by the Company,  shall
have been held by the optionee for more than six months.

Option Adjustments

         The Plan contains a customary  anti-dilution  provision  which provides
that in the event of any change in the  Company's  outstanding  capital stock by
reason  of  stock   dividends,   recapitalizations,   mergers,   consolidations,
split-ups,  combinations  or  exchanges  of shares and the like,  the  aggregate
number of shares of Common Stock subject to outstanding options and the exercise
price  are to be  appropriately  adjusted  by the  Board  of  Directors  (or the
Committee), whose determination thereon shall be conclusive.

Amendments

         The Board has the authority to make changes in or additions to the Plan
as it deems  desirable  and the Board  and the  Committee  may  adopt  rules and
regulations  to carry out the  Plan.  The  Board  may not,  without  stockholder
approval,  (i) increase the number of shares which may be issued under the Plan,
(ii)  adversely  affect the rights of a holder of an option  previously  granted
under the  Plan,  (iii)  modify  materially  the  eligibility  requirements  for
participation in the Plan, or (iv) increase  materially the benefits accruing to
participants under the Plan.

Termination

         The Plan terminates on April 30, 2002 (unless sooner  terminated at the
discretion of the Board of Directors).

Federal Income Tax Consequences

         Under  current  tax law,  there are  generally  no  Federal  income tax
consequences to either the employee or the Company on the grant of Non-Incentive
Stock  Options if granted  under the terms set forth in the 1992 Plan and if the
option is not  immediately  exercisable.  Upon exercise of such a  Non-Incentive
Stock Option,  the excess of the fair market value of the shares  subject to the
option over the option  price (the  "Spread") at the date of exercise is taxable
as ordinary  compensation income to the optionee in the year it is exercised and
is deductible by the Company as compensation for Federal income tax purposes, if
Federal income tax is withheld on the Spread. However, if the shares are subject
to  vesting  restrictions  conditioned  on future  employment  or the  holder is
subject to the short-swing  profits liability  restrictions of Section 16(b) the
Exchange Act (i.e., is an executive officer,  director or 10% stockholder of the


                                      -17-

<PAGE>



Company)then  taxation  and  measurement  of the Spread is  deferred  until such
restrictions lapse, unless a special election is made under Section 83(b) of the
Code to report such income currently  without regard to such  restrictions.  The
optionee's  basis in the shares  will be equal to the fair  market  value on the
date  taxation  is  imposed   (determined   without   regard  to   marketability
restrictions imposed by the securities laws) and the holding period commences on
such date.
 
         Holders of Incentive  Stock Options incur no regular Federal income tax
liability at the time of grant or upon  exercise of such option,  assuming  that
the optionee was an employee of the Company from the date the option was granted
until 90 days before such exercise.  However, upon exercise,  the Spread must be
added to regular Federal taxable income in computing the optionee's "alternative
minimum tax" liability.  An optionee's  basis in the shares received on exercise
of an Incentive Stock Option will be the option price of such shares for regular
income tax purposes. No deduction is allowable to the Company for Federal income
tax purposes in connection with the grant or exercise of such option.

         If the holder of shares acquired through exercise of an Incentive Stock
Option sells such shares within two years of the date of grant of such option or
within  one year from the date of  exercise  of such  option  (a  "Disqualifying
Disposition"),  the optionee  will  realize  income  taxable at ordinary  rates.
Ordinary  income  is  reportable  during  the  year of such  sale  equal  to the
difference  between the option  price and the fair market value of the shares at
the date the option is exercised,  but the amount  includable as ordinary income
shall not exceed  the  excess,  if any,  of the  proceeds  of such sale over the
option price. In addition to ordinary  income,  a Disqualifying  Disposition may
result in  taxable  income  subject  to  capital  gains  treatment  if the sales
proceeds exceed the optionee's  basis in the shares (i.e., the option price plus
the amount includable as ordinary income).  The amount of the optionee's taxable
ordinary  income  will  be  deductible  by  the  Company  in  the  year  of  the
Disqualifying Disposition.

         At the time of sale of  shares  received  upon  exercise  of an  option
(other than a Disqualifying  Disposition of shares received upon the exercise of
an Incentive Stock Option),  any gain or loss is long-term or short-term capital
gain or  loss,  depending  upon the  holding  period.  The  holding  period  for
long-term capital gain or loss treatment is more than one year.

         The foregoing is not intended to be an  exhaustive  analysis of the tax
consequences relating to stock options issued under the Plan. For instance,  the
treatment  of options  under state and local tax laws,  which are not  described
above, may differ from their treatment for Federal income tax purposes.


                                      -18-

<PAGE>




         The following table sets forth information as of December 31, 1997 with
respect to unexercised options granted under the 1992 Plan during the year ended
December  31, 1997  (excluding  any options  granted  subject to approval of the
foregoing amendment to the 1992 Plan) and options granted subject to approval of
the foregoing amendment to the 1992 Plan (the "Contingent Options").

<TABLE>


                                                 NEW PLAN BENEFITS
                                1992 INCENTIVE AND NON-INCENTIVE STOCK OPTION PLAN
<CAPTION>

                                                 Number of Shares                         Weighted
                                                    Covered by                             Average
                                                   Unexercised        Number of            Exercise
                                                 Options Granted       Shares              Price Per
                                                   (Excluding        Covered by          Share Covered
                                                   Contingent        Contingent          by Contingent
             Name of Grantee                        Options)           Options            Options ($)
             ---------------                        --------           -------        ---------------

<S>                                                   <C>           <C>                    <C>  
Gerardo Canet, Chairman, President
     and Chief Executive Officer                        --           175,000(1)             $2.19

Jay Higham, Vice President, Marketing
     and Development                                     --                --                 --

Dwight P. Ryan, Vice President, Finance
     and Chief Financial Officer                         --                --                 --

Donald S. Wood, Ph.D., President and COO,
     RSC Division                                      60,000            --                   --

All current executive officers, as a group            100,000          175,000               $2.19

All current directors who are not
     executive officers, as a group                   124,000            --                   --

All employees, including all current
     officers who are not executive officers,
     as a group                                       138,484            --                   --
</TABLE>


(1)      Represents  options to purchase  shares of Common  Stock at an exercise
         price of $2.19 per share,  25% of which shares become  exercisable  one
         year from the date of grant;  thereafter the shares become  exercisable
         at the rate of 6.25% of the  total  number  of  shares  subject  to the
         option every three  months.  The options are  incentive  options  which
         expire on October 21, 2007. Notwithstanding the above provisions, these
         options  shall fully vest on the  earliest to occur of: (i) October 21,
         2002; (ii) the day after the Company's  Common Stock has had an average
         closing price of $5.00 per share for 45 consecutive trading days; (iii)
         an  acquisition of the Company for cash in excess of $3.50 per share of
         the  Company's  Common  Stock;  or (iv) a  Qualifying  Termination,  as
         defined in the August 3, 1994 Change in Control Severance Agreement, as
         amended,  between the Company and Mr. Canet.  On March 31, 1998,  these
         options were not in-the-money.

         Other than the options set forth in the table above,  the options to be
granted pursuant to the 1992 Plan are not determinable. The table above does not
include  options  that may be  automatically  granted  in the  future to Outside
Directors  of the Company  pursuant to the terms of the Plan,  because it is not
determinable whether additional Outside Directors will be elected to the Board.

         The  Board  of  Directors  recommends  a  vote  for  the  approval  and
ratification  of the  amendments to the 1992 Plan,  and the persons named in the
accompanying proxy will vote in accordance with the choice specified thereon or,
if no choice is properly indicated, in favor of the approval and ratification.


                                      -19-

<PAGE>




                  APPROVAL AND RATIFICATION OF THE APPOINTMENT
                           OF INDEPENDENT ACCOUNTANTS

         The Board of Directors has approved the firm of Price  Waterhouse  LLP,
Certified Public Accountants,  as the Company's independent  accountants for the
fiscal year ending  December 31, 1998 and recommends to  stockholders  that they
vote for  ratification of that  appointment.  Price  Waterhouse LLP has been the
Company's  accountants  for the past  fiscal  year and has no direct or indirect
financial  interest in the Company.  A representative of Price Waterhouse LLP is
expected  to  be  present  at  the  Annual  Meeting  of  Stockholders  with  the
opportunity  to make a  statement  if he or she  desires  to do so, and shall be
available to respond to appropriate questions.

         The Board of Directors recommends a vote FOR this approval.


                                     GENERAL

         The  Management  of the Company does not know of any matters other than
those stated in this Proxy Statement which are to be presented for action at the
meeting.  If any other matters  should  properly come before the meeting,  it is
intended that proxies in the  accompanying  form will be voted on any such other
matters in  accordance  with the  judgment of the persons  voting such  proxies.
Discretionary  authority  to vote on such  matters is  conferred by such proxies
upon the persons voting them.

         The Company will bear the cost of preparing,  printing,  assembling and
mailing  the proxy,  Proxy  Statement  and other  material  which may be sent to
stockholders  in connection  with this  solicitation.  It is  contemplated  that
brokerage  houses will forward the proxy  materials to beneficial  owners at the
request of the Company. In addition to the solicitation of proxies by use of the
mails,  officers  and regular  employees of the Company may solicit by telephone
proxies without additional compensation.  The Company does not expect to pay any
compensation for the solicitation of proxies.

         The Company will provide  without charge to each person being solicited
by this Proxy  Statement,  on the written request of any such person,  a copy of
the Annual Report of the Company on Form 10-K for the fiscal year ended December
31, 1997 (as filed with the  Securities and Exchange  Commission)  including the
financial statements thereto. All such requests should be directed to Mr. Eugene
R. Curcio,  Vice President and Chief  Financial  Officer of IntegraMed  America,
Inc., One Manhattanville Road, Purchase, New York 10577.



                                      -20-

<PAGE>



                              STOCKHOLDER PROPOSALS

         The Annual Meeting of Stockholders  for the fiscal year ending December
31,  1998 is  expected  to be held in June 1999.  All  proposals  intended to be
presented at the Company's next Annual Meeting of Stockholders  must be received
at the Company's  executive office no later than December 31, 1998 for inclusion
in the Proxy Statement and form of proxy related to that meeting.

                   By Order of the Board of Directors,

                  Gerardo Canet
                  Chairman of the Board, President and Chief Executive Officer

Dated:   May 1, 1998



                                      -21-

                        1992 INCENTIVE AND NON-INCENTIVE

                                STOCK OPTION PLAN

                                       OF

                            INTEGRAMED AMERICA, INC.

                   (As Amended and Restated on April 16, 1998)

1.       Purpose of Plan.

         The purpose of this 1992 Incentive and Non-Incentive  Stock Option Plan
("Plan") is to further the growth and  development of IntegraMed  America,  Inc.
(the "Company") its direct and indirect subsidiaries and the entities with which
the  Company  collaborates  to  deliver  services  (hereinafter   "Collaborating
Entities") by encouraging selected employees,  directors,  consultants,  agents,
independent  contractors  and other persons who  contribute  and are expected to
contribute  materially to the Company's success to obtain a proprietary interest
in the Company  through the ownership of stock,  thereby  providing such persons
with an added  incentive  to  promote  the best  interests  of the  Company  and
affording  the  Company  a  means  of  attracting  to  its  service  persons  of
outstanding ability.

2.       Stock Subject to the Plan.

         An aggregate of 2,000,000  shares of the Company's  Common Stock,  $.01
par value ("Common Stock"),  subject,  however, to adjustment or change pursuant
to  paragraph 12 hereof,  shall be reserved  for  issuance  upon the exercise of
options  which  may be  granted  from time to time in  accordance  with the Plan
("Options").  Such  shares  may be, in whole or in part,  as the  Incentive  and
Non-Incentive Stock Option Plan Committee  ("Committee") shall from time to time
determine,  authorized  but  unissued  shares or issued  shares  which have been
reacquired by the Company.  If, for any reason, an Option shall lapse, expire or
terminate without having been exercised in full, the unpurchased  shares covered
thereby shall again be available for purposes of the Plan.

3.       Administration.

         (a)      The Board of Directors  shall appoint the Committee from among
                  its members.  Such Committee  shall be composed of two or more
                  Directors who shall be  "disinterested  persons" as defined by
                  Regulation  240.16b-3  under the  Securities  Exchange  Act of
                  1934, as amended (the "Act").  Such  Committee  shall have and
                  may  exercise  any  and  all of  the  powers  relating  to the
                  administration of the Plan and the grant of Options thereunder
                  as are set forth in  subparagraph  3(b)  hereof.  The Board of
                  

                                                                         
                                        1

<PAGE>



                  Directors  shall have the power at any time to fill  vacancies
                  in,  to  change  the  membership  of,  or  to  discharge  such
                  Committee.  The  Committee  shall select one of its members as
                  its  chairman  and shall hold its meetings at such time and at
                  such  places as it shall deem  advisable.  A majority  of such
                  Committee  shall  constitute a quorum and such majority  shall
                  determine  its  action.  Any  action  may be taken  without  a
                  meeting  by  written   consent  of  all  the  members  of  the
                  Committee. The Committee shall keep minutes of its proceedings
                  and shall  report  the same to the Board of  Directors  at the
                  meeting next succeeding.

         (b)      The Committee  shall  administer the Plan and,  subject to the
                  provisions  of the  Plan,  shall  have sole  authority  in its
                  discretion to determine  the persons to whom,  and the time or
                  times at which, Options shall be granted, the number of shares
                  to be  subject  to each such  Option  and  whether  all or any
                  portion  of such  Options  shall be  incentive  stock  options
                  ("Incentive  Options")  qualifying  under  Section  422 of the
                  Internal Revenue Code of 1986, as amended  ("Code"),  or stock
                  options  which do not so  qualify  ("Non-Incentive  Options").
                  Both  Incentive  Options  and  Non-Incentive  Options  may  be
                  granted to the same person at the same time provided each type
                  of   Option   is   clearly   designated.    In   making   such
                  determinations, the Committee may take into account the nature
                  of the services  rendered by such  persons,  their present and
                  potential  contributions  to the  Company's  success  and such
                  other factors as the Committee in its sole discretion may deem
                  relevant.  Subject to the express  provisions of the Plan, the
                  Committee shall also have the authority to interpret the Plan,
                  to prescribe, amend and rescind rules and regulations relating
                  thereto,   to  determine  the  terms  and  provisions  of  the
                  respective Option Agreements,  which shall be substantially in
                  the forms  attached  hereto as Exhibit A and Exhibit B, and to
                  make all other  determinations  necessary or advisable for the
                  administration of the Plan, all of which  determinations shall
                  be conclusive and not subject to review.

4.       Eligibility for Receipt of Options.

         (a)      Incentive Options.

                  Incentive Options may be granted only to employees  (including
                  officers) of the Company and/or any of its subsidiaries.

                  The aggregate  Fair Market Value (as defined in paragraph 5 of
                  this Plan)  determined as of the time the Incentive  Option is
                  granted  of  the  shares  of  the   Company's   Common   Stock
                  purchasable  thereunder  exercisable  for the first time by an
                  employee during any calendar year may not exceed $100,000.

                  A  director  of the  Company or any  subsidiary  who is not an
                  employee of the Company or of one of its  subsidiaries  is not
                  eligible to receive Incentive Options under the Plan. Further,
                  Incentive Options may not be granted to any person who, at the
                

                                                                          
                                                         2

<PAGE>



                  time the Incentive  Option is granted,  owns (or is considered
                  as owning  within the  meaning of Section  424(d) of the Code)
                  stock  possessing  more than 10% of the total combined  voting
                  powers  of  all  classes  of  stock  of  the  Company  or  any
                  subsidiary  (10%  Owner),  unless  at the time  the  Incentive
                  Option is granted to a 10% Owner, the option price is at least
                  110% of the fair  market  value of the  Common  Stock  subject
                  thereto  and  such  Incentive  Option  by  its  terms  is  not
                  exercisable subsequent to five years from the date of grant.

         (b)      Non-Incentive Options.

                  (i)    Non-Incentive  Options  may be granted to any  employee
                         (including  employees  who have been granted  Incentive
                         Options), directors,  consultants,  agents, independent
                         contractors   and  other  persons  whom  the  Committee
                         determines will contribute to the Company's success.

                  (ii)   Directors   of  the  Company  who  are  not   full-time
                         employees of the Company and receiving  compensation as
                         such  (an  "Outside  Director"),  will  receive  a Non-
                         Incentive  Option  ("Director  Option")  exercisable to
                         purchase  30,000  shares  of Common  Stock  immediately
                         following the initial  election or  appointment of such
                         Outside  Director.  The  exercise  price for each share
                         subject to the  Director  Option  shall be equal to the
                         "Fair Market  Value" of the Common Stock on the date of
                         grant  (which,  if the  Common  Stock is  traded on the
                         Nasdaq  National  Market  or on a  national  securities
                         exchange, shall be the closing sale price of the Common
                         Stock on the Nasdaq  National  Market or such  national
                         securities  exchange on the  business  day  immediately
                         preceding the date of such election or appointment,  as
                         the case may be, or on the next preceding date on which
                         the  Common  stock is  traded  if no  Common  Stock was
                         traded  on such  immediately  preceding  business  day;
                         otherwise, Fair Market Value shall be determined by the
                         Board of Directors in the manner otherwise described in
                         Section 5 of this Plan).  Director Options shall become
                         exercisable  in an  amount  equal  to 25% of the  total
                         number  of  shares  subject  to  the  Director   Option
                         exercisable  one year  following  the date of grant and
                         the  balance  exercisable  at the  rate of 6.25% of the
                         total number of shares  subject to the Director  Option
                         every  three  months  thereafter,  and will  expire the
                         earlier  of 10 years  from the date of grant or 90 days
                         after  the  termination  of  such  Outside   Director's
                         service on the Board of Directors;  provided,  however,
                         that such Director Options will vest immediately upon a
                         "Change in Control" of the Company. The term "Change in
                         Control" is defined to mean any one or more  changes in
                         the aggregate  composition of the Board of Directors as
                         a result of which individuals constituting the Board of
                         Directors  on July 26,  1994 (the  "Incumbent  Board"),
                         cease  to   constitute  a  majority  of  the  Board  of
                         Directors;   provided,  however,  that  any  individual
                         elected to the Board by, or nominated  for election by,
                         a majority of the then current  Incumbent Board (except
                         

                                                                          
                                        3

<PAGE>



                         if such person assumes office by reason of an actual or
                         threatened  election  contest) is deemed to be a member
                         of the current Incumbent Board.  Further,  no Change in
                         Control will be deemed to occur as a result of an event
                         or events  approved by the Chief  Executive  Officer of
                         the Company.

                  (iii)  the  provisions  of  Section   4(b)(ii)  shall  not  be
                         amended,  if at all,  more than once  every six  months
                         other than to comport  with  changes in the Code or the
                         rules thereunder.

5.       Option Price.

         The  purchase  price of the shares of Common  Stock  under each  Option
shall be determined by the Committee,  which  determination  shall be conclusive
and not  subject to review.  In no event shall the  purchase  price of shares of
Common  Stock  under an  Incentive  Option be less than 100% of the fair  market
value of the Common Stock on the date of grant (110% of fair market value in the
case of Incentive Options granted to a 10% Owner).

         In  determining  the  fair  market  value of the  Common  Stock as of a
specified date (the "Fair Market Value"),  the Committee shall consider,  if the
Common  Stock is listed  on the New York  Stock  Exchange  or  another  national
securities  exchange,  the closing price of the Common Stock on the business day
immediately  preceding  the date as of  which  the  Fair  Market  Value is being
determined,  or on the next  preceding date on which such Common Stock is traded
if no Common Stock was traded on such immediately preceding business day, or, if
the  Common  Stock is not so  listed  on a  national  securities  exchange,  but
publicly traded,  the representative  closing bid price in the  over-the-counter
market as reported by NASDAQ or as quoted by the National  Quotation Bureau or a
recognized  dealer in the Common Stock,  on the date  immediately  preceding the
date as of which  the Fair  Market  Value  is being  determined,  or on the next
preceding  date on which  such  Common  Stock is traded  if no Common  Stock was
traded on such  immediately  preceding  business  day.  The  Committee  may also
consider such other factors as it shall deem appropriate.

         For  purposes of the Plan,  the date of grant of an Option shall be the
date on which the Committee shall by resolution duly authorize such Option.

6.       Term of Options.

         (a)      Incentive Options.

                  The term of each  Incentive  Option  shall be ten years  (five
                  years  in the  case of a 10%  Owner)  from  the  date of grant
                  thereof,  or  such  shorter  period  as  the  Committee  shall
                  determine, subject to earlier termination as herein provided.


                                                                    
                                        4

<PAGE>



         (b)      Non-Incentive Options.

                  The term of each Non-Incentive  Option shall be such number of
                  years as the  Committee  shall  determine,  subject to earlier
                  termination as herein provided.

7.       Exercise of Options.

         (a)      The Committee  shall determine the dates upon which any Option
                  granted  under  the  Plan  shall  be  exercisable,   provided,
                  however,  no Incentive  Option shall be  exercisable  until at
                  least one year after the date of grant.

                  An Option may not be exercised for less than ten shares at any
                  one time (or the  remaining  shares then  purchasable  if less
                  than ten) and may not be exercised  for  fractional  shares of
                  the Company's Common Stock.

         (b)      Except as  provided  in  paragraphs  9, 10 and 11  hereof,  no
                  Option shall be  exercisable  unless the holder  thereof shall
                  have   been  an   employee,   director,   consultant,   agent,
                  independent  contractor or other person employed by or engaged
                  in  performing  services for the Company  and/or a subsidiary,
                  either   directly   or   through   a   Collaborating   Entity,
                  continuously from the date of grant to the date of exercise.

         (c)      

                  The  exercise of an Option  shall be  contingent  upon receipt
                  from the holder  thereof of a written  representation  that at
                  the time of such  exercise it is the  optionee's  then present
                  intention to acquire the Option shares for  investment and not
                  with a view to the  distribution  or resale thereof  (unless a
                  Registration  Statement  covering the shares purchasable shall
                  have been declared  effective by the  Securities  and Exchange
                  Commission)  and upon  receipt by the  Company  of cash,  or a
                  check  to its  order,  for the  full  purchase  price  of such
                  shares;   plus  any  amount,   if  any,  as  is  required  for
                  withholding taxes; provided, however, that with the consent of
                  the  Committee  or  such  officer  of  the  Company  as may be
                  authorized  by the Committee  from time to time,  the purchase
                  price and such amount,  if any, as is required for withholding
                  taxes may be paid by the  surrender  of  Common  Stock in good
                  form for transfer  owned by the person  exercising  the Option
                  and having a Fair Market  Value on the date of exercise  equal
                  to the purchase price and such amount,  if any, as is required
                  for  withholding  taxes,  or in any  combination  of cash  and
                  Common  Stock so long as the total of the cash so paid and the
                  Fair Market Value of the Common Stock  surrendered  equals the
                  purchase  price and such  amount,  if any, as is required  for
                  withholding  taxes,  and the Common Stock so  surrendered,  if
                  originally  issued to the optionee  upon exercise of an option
                  granted by the  Company,  shall have been held by the optionee
                  for more than six (6) months.  Any Common  Stock  delivered in
                  satisfaction of all or any portion of the purchase price shall
                  be  appropriately  endorsed for transfer and assignment to the
                  

                                                                
                                        5

<PAGE>



                  Company. No shares shall be issued until full payment therefor
                  has been made, and any withholding  obligations of the Company
                  have been satisfied.

         (d)      The  holder of an Option  shall  have none of the  rights of a
                  stockholder  with  respect  to  the  shares  purchasable  upon
                  exercise  of the Option  until a  certificate  for such shares
                  shall have been issued to the holder upon due  exercise of the
                  Option.

         (e)      The  proceeds  received  by the  Company  upon  exercise of an
                  Option shall be added to the Company's  working capital and be
                  available for general corporate purposes.

8.       Non-Transferability of Options.

         No option granted pursuant to the Plan shall be transferable  otherwise
than  by will or the  laws of  descent  or  distribution  and an  Option  may be
exercised during the lifetime of the holder only by such holder.

9.       Termination of Employment or Engagement.

         In the  event  the  employment  of the  holder  of an  Option  shall be
terminated by the Company or a subsidiary for any reason other than by reason of
death  or  disability,   or  the  engagement  of  a  non-employee  holder  of  a
Non-Incentive  Option shall be  terminated by the Company or a subsidiary or the
employment of an employee of a Collaborating  Entity shall be terminated for any
reason,  or an Outside Director holder of a Non-Incentive  Option shall cease to
serve as a director of the Company for any reason, such holder's Option, and his
rights to exercise such Option shall  terminate,  lapse and expire effective the
date falling three months after  termination of such  employment,  engagement or
director status. Absence on leave approved by the employer corporation shall not
be considered  an  interruption  of  employment  for any purpose under the Plan.
Notwithstanding the foregoing, no Option may be exercised subsequent to the date
of its expiration.

         Nothing in the Plan or in any Option Agreement  granted hereunder shall
confer upon any  Optionholder any right to continue in the employ of the Company
or any  subsidiary  or obligate  the Company or any  subsidiary  to continue the
engagement  of any  Optionholder  or  interfere in any way with the right of the
Company or any such  subsidiary to terminate such  Optionholder's  employment or
engagement at any time.

10.      Disability of Holder of Option.

         If the  employment  of the holder of an Option shall be  terminated  by
reason of such holder's  disability,  such holder may,  within one year from the
date of such  termination,  exercise  such  Option to the extent such Option was
exercisable by such holder at the date of such termination.  Notwithstanding the
foregoing, no Option may be exercised subsequent to the date of its expiration.


                                                               
                                        6

<PAGE>




11.      Death of Holder of Option.

         If the holder of any Option  shall die while in the employ of, or while
performing  services  for,  the Company or one or more of its  subsidiaries  (or
within six months  following  termination  of  employment  due to  disability or
within three months  following  termination of employment for any other reason),
the Option theretofore granted to such person may be exercised,  but only to the
extent such Option was  exercisable by the holder at the date of death (or, with
respect to employees,  the date of  termination of employment due to disability)
by the legatee or legatees of such person under such  person's  Last Will, or by
such person's personal representative or distributees,  within one year from the
date of death but in no event subsequent to the expiration date of the Option.

12.      Adjustments Upon Changes in Capitalization.

         If at any time after the date of grant of an Option,  the Company shall
by stock  dividend,  split-up,  combination,  reclassification  or exchange,  or
through merger or consolidation or otherwise,  change its shares of Common Stock
into a  different  number  or kind or class of  shares  or other  securities  or
property,  then the number of shares  covered  by such  Option and the price per
share  thereof  shall be  proportionately  adjusted  for any such  change by the
Committee,  whose determination thereon shall be conclusive. In the event that a
fraction of a share results from the foregoing  adjustment,  said fraction shall
be  eliminated  and the price per share of the remaining  shares  subject to the
Option adjusted accordingly.

13.      Option Agreements.

         Notwithstanding  anything  contained  in the Plan or in any  resolution
adopted or to be adopted by the Committee or the stockholders of the Company, no
rights  under any  Option  may be  asserted  unless  and until a written  Option
Agreement,  substantially  in the form of the Incentive  Stock Option  Agreement
attached  hereto  as  Exhibit  A or the  Non-Incentive  Stock  Option  Agreement
attached  hereto as Exhibit B, shall be duly  executed  and  delivered by and on
behalf of the Company and the person to whom the Option shall be granted.

14.      Termination and Amendment.

         This Plan shall  terminate  on April 30,  2002,  and no Option shall be
granted  under the Plan after such date.  The Board of Directors may at any time
prior to such date terminate the Plan or make such  modifications  or amendments
thereto as it shall deem advisable provided, however, that

                  (i)      no increase shall be made in the aggregate  number of
                           shares which may be issued under the Plan;

                  (ii)     no  termination,   modification  or  amendment  shall
                           adversely  affect the rights of a holder of an Option
                           previously granted under the Plan;

                                                                        
                                        7

<PAGE>



                  (iii)    no  material   modification  shall  be  made  to  the
                           requirements of eligibility for  participation in the
                           Plan; and

                  (iv)     no material  increase  shall be made in the  benefits
                           accruing to participants under the Plan.

15.      Acceleration, Extension.

         The Board of Directors may, in its sole discretion,  (i) accelerate the
date on which all or any particular option or options granted under the Plan may
be exercised or (ii) extend the date during when all or any particular option or
options granted under the Plan may be exercised; provided, however, that no such
extention  shall be  permitted if it would cause the Plan to fail to comply with
Section 422 of the Code or with Rule 16 b-3 (if applicable) of the Act.

                                                                       
                                        8




<PAGE>

                                      Proxy

                            IntegraMed America, Inc.
 
                         Annual Meeting of Stockholders

           This Proxy is Solicited on Behalf of the Board of Directors

         The undersigned  hereby  appoints  Gerardo Canet or Eugene R. Curcio as
proxy to represent the  undersigned at the Annual Meeting of  Stockholders to be
held at the Company's headquarters,  One Manhattanville Road, Purchase, New York
10577 on June 9, 1998 at 10:00 a.m. and at any adjournments thereof, and to vote
the shares of Common  Stock  and/or  Preferred  Stock the  undersigned  would be
entitled to vote if personally present, as indicated on the reverse:

                                                (To be Signed on Reverse Side)

<PAGE>

<TABLE>

<CAPTION>

         [EXAMPLE] Please mark your votes as in this example
<S>                        <C>                                <C> 
 
                             For all nominees                   WITHHOLDING AUTHORITY                          
                             listed at right(except             to vote for all nominees listed            
                             as marked to the contrary          at right                                    
                             below)                                                             <C> 
                                                                                                 Nominees:   
                                                                                                 -------------   
                                                                                                 Gerardo Canet 
1.   ELECTION OF DIRECTORS                                                                       M. Fazle Husain
                                                                                                 Michael J. Levy, M.D.
(Instructions: To withhold authority to                                                          Sarason D. Liebler
vote for any individual nominee, print                                                           Aaron S. Lifchez, M.D.
that nominees name(s) on the line provided                                                       Patricia M. McShane, M.D.
below)                                                                                           Lawrence J. Stuesser
                                                                                                 Elizabeth E. Tallett
______________________________________________

                                                                       FOR      AGAINST          ABSTAIN

2.    Approval and ratification of an amendment
      to the Company's Amended and Restated
      Certificate of Incorporation

3.    Approval and ratification of amendments to
      the Company's 1992 Incentive and Non-
      Incentive Stock Option Plan

4.       Approval and ratification of the appointment of
         Price Waterhouse LLP as the independent
         accountants of the Company

         In their discretion,  proxies are authorized to vote upon such business
as may properly come before the meeting.

         The shares of Common Stock and/or  Preferred Stock  represented by this
proxy will be voted as directed. If no contrary instruction is given, the shares
of Common  Stock  and/or  Preferred  Stock will be voted FOR the election of the
nominees,  FOR the approval and  ratification  of the proposed  amendment to the
Amended  and  Restated  Certificate  of  Incorporation,  FOR  the  approval  and
ratification  of the proposed  amendments  to the Company's  1992  Incentive and
Non-Incentive  Stock Option Plan, and FOR the ratification of the appointment of
Price Waterhouse LLP as the independent accountants of the Company.

Signature___________________ Date__________ Signature______________Date_________

Note:    (Please date, sign as name appears above, and return  promptly.  If the
         shares of Common Stock and/or  Preferred  Stock are  registered  in the
         names  of two or more  persons,  each  should  sign.  When  signing  as
         Corporate  Officer,  Partner,  Executor,   Administrator,   Trustee  or
         Guardian,  please  give full  title.  Please  note any  changes in your
         address alongside the address as it appears in the proxy.)
</TABLE>



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