INTEGRAMED AMERICA INC
PRE 14A, 1998-10-09
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

                           Dated: October ______, 1998

Dear Stockholder:

         You  are  cordially  invited  to  attend  the  Special  Meeting  of the
Stockholders of IntegraMed America,  Inc. (the "Company") to be held on November
17,  1998,  at  10:00  a.m.  local  time  at  the  Company's  headquarters,  One
Manhattanville Road, Purchase, New York 10577.

         As you are aware,  the Company's Common Stock, par value $.01 per share
(the "Common Stock") is listed for quotation on the Nasdaq National  Market.  On
September  21,  1998,  the  Company  received a written  notice  from the Nasdaq
National  Market  notifying  the  Company  that its  Common  Stock has failed to
maintain a closing bid price of greater  than or equal to $1.00 per share for 30
consecutive trading days prior to September 21, 1998. While the Company's Common
Stock  continues to remain listed,  failure to maintain a bid price in excess of
$1.00 per share on an ongoing  basis  consistent  with the  requirements  of the
Nasdaq National Market could result in the future  delisting of the Common Stock
on the Nasdaq National  Market,  which might adversely affect the trading in and
liquidity of the Common Stock.

         Your  Board  of  Directors  has  determined  that an  amendment  to the
Company's  Amended  and  Restated  Certificate  of  Incorporation   effecting  a
one-for-four  reverse  stock  split of the  Common  Stock is the best  method of
returning and maintaining the shares of the Company's  Common Stock at a closing
bid price above $1.00.  The  affirmative  vote of a majority of the  outstanding
shares of Common Stock and Preferred  Stock of the Company is required to effect
the proposed reverse stock split. The Company's  ability to implement its plans,
including  continued  listing of its Common Stock on the Nasdaq National Market,
is  conditioned  on the  approval by you of the reverse  stock  split.  Detailed
information  concerning  the reverse  stock  split is set forth in the  attached
proxy statement which we urge you to read carefully.

         At the Special Meeting,  you will be asked to consider and vote upon an
amendment to the Company's Amended and Restated  Certificate of Incorporation to
effect a reverse stock split of the Company's  Common Stock such that every four
(4) shares of Common Stock  outstanding would be converted into one (1) share of
new Common Stock.

         Your  vote is  important  to the  Company.  Whether  or not you plan to
attend the Special  Meeting in person and regardless of the number of shares you
own, please complete,  sign, date and return the enclosed proxy card promptly in
the  enclosed  pre-addressed  envelope.  No postage is required if mailed in the
United States.


                   Sincerely yours,


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


                                       -2-

<PAGE>



                            INTEGRAMED AMERICA, INC.
                             One Manhattanville Road
                            Purchase, New York 10577
                           
                            -------------------------  
                                      
                    NOTICE OF SPECIAL MEETING OF STOCKHOLDERS
                          To be held November 17, 1998

                    -------------------------------------------


To the Stockholders of IntegraMed America, Inc.:

         Notice is hereby given that a Special  Meeting of the  Stockholders  of
IntegraMed  America,  Inc. (the "Company") will be held on November 17, 1998, at
10:00 a.m. local time at the Company's  headquarters,  One Manhattanville  Road,
Purchase, New York 10577 for the following purposes:

         1.   Approval of the  Amendment to the  Company's  Amended and Restated
              Certificate  of  Incorporation  to effect a  one-for-four  reverse
              stock  split of the  issued and  outstanding  shares of the Common
              Stock, par value $.01 per share, of the Company; and

         2.   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 October 16, 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:   October ______, 1998


                                      

<PAGE>



                         SPECIAL MEETING OF STOCKHOLDERS
                                       OF
                            INTEGRAMED AMERICA, INC.
                                 ---------------
                                 PROXY STATEMENT
                                 ---------------




         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 a Special Meeting of Stockholders to be held on
November  17,  1998,  at 10:00  a.m.  and for any  adjournment  or  adjournments
thereof,  for the  purposes  set forth in the  accompanying  NOTICE  OF  SPECIAL
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
address  stated  below.  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
proposal of an amendment to the Company's  Amended and Restated  Certificate  of
Incorporation  to effect a  one-for-four  reverse  stock split of the  Company's
Common Stock, par value $.01 per share.

         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
October , 1998.

          The  Company's   principal   executive  offices  are  located  at  One
Manhattanville Road, Purchase,  New York 10577 and the telephone number is (914)
253-8000.

                                VOTING SECURITIES

         Holders  of shares  of Common  Stock,  par  value  $.01 per share  (the
"Common Stock") and Series A Cumulative Convertible Preferred Stock (the "Series
A  Preferred  Stock") of record as of the close of  business on October 16, 1998
(the  "Record  Date"),  are  entitled  to notice  of and to vote at the  Special
Meeting. On the Record Date there were issued and outstanding ___________ shares
of Common Stock and 165,644 shares of Series A Preferred  Stock entitled to vote
at the Special Meeting.  Each outstanding share is entitled to one vote upon the
matters to be acted upon at the Special  Meeting.  A majority of the outstanding
shares of  Common  Stock  and  Series A  Preferred  Stock  entitled  to vote and
represented  at the  Special  Meeting in person or by proxy shall  constitute  a
quorum.  Assuming a quorum is present, the affirmative vote of a majority of the
shares of Common Stock and Series A Preferred Stock  outstanding and entitled to
vote,  excluding broker  non-votes,  is required to approve the Amendment to the
Company's  Amended and Restated  Certificate of  Incorporation.  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  Series A  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.





                                      

<PAGE>



                             PRINCIPAL STOCKHOLDERS

         The  following  table sets forth,  as of September  30,  1998,  certain
information  regarding beneficial ownership of the Company's  outstanding Common
Stock of (i) each  beneficial  owner of more  than 5% or more of the  shares  of
Common Stock,  (ii) each of the Company's  current named executive  officers and
directors  and (iii) all  executive  officers and  directors 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)              16.08%

Gerardo Canet .........................      2,184,579(4),(5)          10.11%
Eugene Curcio..........................         10,000                      *
Jay Higham.............................         84,500(5)                   *
Donald S. Wood, Ph.D...................         61,687(5)                   *
M. Fazle Husain........................      3,475,294(3)              16.08%
Michael J. Levy, M.D...................        357,268(5)               1.67%
Sarason D. Liebler.....................         71,450(5)                   *
Aaron S. Lifchez, M.D..................        276,741(5)               1.29%
Patricia M. McShane, M.D...............         14,250(5)                   *
Lawrence Stuesser .....................        227,200(5)               1.06%
Elizabeth Tallett......................             --                   --
All executive officers and directors
  as a group (12 persons) .............      6,767,726(3), (4), (5)    30.61%

- ----------------------

*     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 September 30, 1998,  there were 165,644 shares of Series A 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 Series A Preferred Stock owned by
      Mr. Blank into  approximately  3.16 shares of Common  Stock,  he would own
      2.2% of the Company's outstanding Common Stock.

(3)   Includes  3,235,294  shares of Common  Stock and 240,000  shares of Common
      Stock  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 the Funds.  Mr.  Husain may be deemed to  beneficially  own the
      shares held by the Funds, although he has disclaimed beneficial ownership.

(4)   Includes an aggregate of 1,833,329 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 - 226,250;  Jay  Higham - 62,500;  Donald S. Wood - 48,039;
      Sarason  Liebler  - 55,000;  Aaron  Lifchez  - 9,375;  Patricia  McShane -
      14,250; and Lawrence Stuesser - 45,000; and currently exercisable warrants
      to  purchase  Common  Stock as  follows:  Michael  Levy - 15,000 and Aaron
      Lifchez - 15,000.




                                       -3-

<PAGE>



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

GENERAL

      The Board of Directors of the Company has approved and  recommends  to the
stockholders  that they  consider and approve a proposal to amend the  Company's
Amended   and   Restated   Certificate   of   Incorporation   ("Certificate   of
Incorporation")  pursuant  to which  each  four (4)  shares  of the  issued  and
outstanding shares of Common Stock of the Company, par value $.01 per share (the
"Old Common Stock") shall be converted into one (1) issued and outstanding share
of Common  Stock of the  Company,  par value  $.01 per  share  (the "New  Common
Stock").  This  proposed  amendment is referred to herein as the "Reverse  Stock
Split". If the proposed amendment is approved by stockholders and following such
approval the Board of Directors still believes the Reverse Stock Split is in the
best  interests  of the  Company  and its  stockholders,  Article  IV(A)  of the
Company's  Certificate  of  Incorporation  would be  amended as set forth in the
Certificate  of  Amendment  attached to this Proxy  Statement  as Exhibit A (the
"Amendment").  The  effective  date of the Reverse Stock Split shall be the date
upon which said  Amendment is filed with the  Secretary of State of the State of
Delaware (the "Effective Date").

      The  Certificate  of  Incorporation,  as  amended  to date,  provides  for
50,000,000  authorized  shares  of  Common  Stock,  par  value  $.01 per  share;
21,372,369  of which were issued and  outstanding  as of September  30, 1998 and
5,000,000  shares of Preferred  Stock,  $1.00 par value per share,  2,500,000 of
which are  designated  the  Series A  Cumulative  Convertible  Preferred  Stock,
165,644  shares of which were issued and  outstanding  as of September 30, 1998.
The Company is not proposing to reduce the amount of its authorized capital.

      On September  24, 1998,  the Board of Directors of the Company  authorized
the repurchase of up to $2 million of the Company's outstanding shares of Common
Stock  from  time to time on the open  market  at  prevailing  market  prices or
through privately  negotiated  transactions.  Commencing October 1, 1998 through
the Record Date,  the Company has purchased  $_________ of Common Stock (_______
shares).  Such repurchased shares will be held by the Company as treasury shares
and will reduce the number of outstanding shares of the Company's Common Stock.

      In order to effect the Reverse  Stock Split,  the  stockholders  are being
asked to approve the Amendment.  The Board of Directors of the Company  believes
that the Reverse  Stock Split is in the best  interests  of both the Company and
its  stockholders  and has  approved  the  Reverse  Stock  Split.  The  Board of
Directors  of  the  Company  reserves  the  right,  notwithstanding  stockholder
approval  and  without  further  action by the  stockholders,  to decide  not to
proceed with the Reverse  Stock Split if at any time prior to its  effectiveness
it determines, in its sole discretion, that the Reverse Stock Split is no longer
in the best interests of the Company and its stockholders.

EFFECTS OF THE REVERSE STOCK SPLIT

      If  effected,   the  Reverse  Stock  Split  would  reduce  the  number  of
outstanding  shares of Old Common Stock from  [21,372,369]  as of September  30,
1998 to approximately [5,343,092] shares of New Common Stock as of the Effective
Date. (The foregoing assumes no issuances or repurchases of Common Stock between
September 30, 1998 and the  Effective  Date.) The Reverse Stock Split would have
no effect on the  number of  authorized  shares of the  Common  Stock or the par
value of the stock and each share of New Common  Stock will  continue to entitle
its holder to one vote.

      As of September  30,  1998,  in addition to the  21,372,369  shares of Old
Common Stock outstanding, the Company had (i) 522,647 shares of Old Common Stock
issuable  upon  conversion of the Company's  Series A Preferred  Stock,  (ii) an
aggregate of 1,955,510  shares of Old 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  1,458,361  shares of Old Common Stock are
outstanding  , (iii)  125,000  shares of Old Common Stock  reserved for issuance
pursuant to the Company's  1994 outside  director  stock purchase plan, and (iv)
552,953  shares of Old  Common  Stock  issuable  upon  exercise  of  outstanding
warrants. The shares of Series A Preferred Stock and all outstanding options and
warrants  include  provisions  for  adjustment  in the number of shares  covered
thereby,  and the  conversion  or  exercise  prices  thereof,  in the event of a
reverse stock split.  Therefore,  if the proposed Amendment is approved,  on the
Effective  Date,  there will be 130,859 shares of New Common Stock issuable upon


                                       -4-

<PAGE>



the  conversion  of the Series A  Preferred  Stock and an  aggregate  of 658,366
shares of New Common Stock  reserved for issuance upon  exercise of  outstanding
options and warrants. In addition, the Company may issue up to 429,558 shares of
Old Common Stock (based on the market price of the Common Stock on September 30,
1998) in partial payment of the right to manage physician  practices.  Following
the Effective  Date,  the Company will issue such number of shares of New Common
Stock in  partial  payment  of the right to manage  physician  practices  giving
effect to the Reverse Stock Split and a  corresponding  adjustment to the market
price of the New Common Stock.

      The Reverse Stock Split would not affect any  stockholder's  proportionate
equity  interest or  proportional  voting power in the Company  except for those
stockholders  who would receive cash in lieu of  fractional  shares as described
below. None of the rights currently  accruing to holders of the Company's Common
Stock,  Series A Preferred Stock or options or warrants to purchase Common Stock
will be affected by the Reverse Stock Split.

      Although  the Board of  Directors  believes  as of the date of this  Proxy
Statement that the Reverse Stock Split is advisable, the Reverse Stock Split may
be abandoned  by the Board of Directors at any time before,  during or after the
Special Meeting and prior to the Effective Date.

      The Board of Directors may make any and all changes to the Amendment  that
it deems necessary in order to file the Amendment with the Delaware Secretary of
State and give effect to the Reverse Stock Split.

BACKGROUND AND REASONS FOR THE REVERSE STOCK SPLIT

      The  principal  reason for the Reverse  Stock  Split is for the  Company's
Common Stock to continue to remain  eligible for listing on the Nasdaq  National
Market.  In order  to  maintain  listing  on the  Nasdaq  National  Market,  the
Company's  Common Stock must comply with a minimum bid price per share of $1.00.
On  September  21, 1998,  the Common  Stock had been trading  below $1.00 for 30
consecutive trading days. On such date, the Company was notified in writing that
the Company's Common Stock has failed to maintain a closing bid price of greater
than or equal to $1.00 per share as  required  by the  Nasdaq  National  Market.
While the Company's Common Stock continues to remain listed, failure to maintain
a bid price in excess of $1.00 per share on an ongoing  basis will result in the
future delisting of the Common Stock on the Nasdaq National Market,  which might
adversely affect the trading in and liquidity of the Common Stock.

      The  reduction  in the number of issued and  outstanding  shares of Common
Stock caused by the Reverse Stock Split is expected to increase the market price
of the Common Stock to a level above the current market trading price. While the
Board of Directors believes that the shares of Common Stock will trade at higher
prices than those which have  prevailed  over the recent weeks,  there can be no
assurance  that such  increase  in the  trading  price will occur or, if it does
occur,  that it will  equal or  exceed  the  direct  arithmetical  result of the
Reverse  Stock Split since there are numerous  factors and  contingencies  which
could affect such price.  There can be no assurance that the Company will comply
with the continued listing  requirements of the Nasdaq National Market following
the Reverse Stock Split or that the reduced number of shares  outstanding  after
the Reverse  Stock Split will not  adversely  affect the liquidity of the Common
Stock.

      The Board of Directors also believes that the proposed Reverse Stock Split
will result in a broader  market for the Common Stock than that which  currently
exists.  A variety of brokerage  house policies and practices tend to discourage
individual  brokers  within those firms from  dealing with lower priced  stocks.
Some of  those  policies  and  practices  pertain  to the  payment  of  broker's
commissions and to time consuming  procedures that function to make the handling
of lower priced stock  economically  unattractive to brokers.  In addition,  the
structure  of trading  commissions  also tends to have an  adverse  impact  upon
holders of lower  priced stock  because the  brokerage  commission  on a sale of
lower priced stock generally  represents a higher  percentage of the sales price
than the commission on a relatively higher priced issue. The Reverse Stock Split
may result in a price  level for the  Common  Stock  that will  reduce,  to some
extent, the effect of the  above-referenced  policies and practices of brokerage
firms and diminish the adverse  impact of trading  commissions on the market for
the Common Stock. The expected increased price level may also encourage interest
and trading in the Common Stock and possibly  promote greater  liquidity for the
Company's stockholders.



                                       -5-

<PAGE>



MECHANICS OF REVERSE STOCK SPLIT

      If the  Reverse  Stock  Split is  approved  by the  requisite  vote of the
Company's  stockholders,  the Amendment will be filed no later than November 18,
1998 and the Reverse Stock Split will thus be effected,  unless abandoned by the
Board of Directors as described above. Upon filing of the Amendment,  every four
(4)  issued  and  outstanding  shares  of Old  Common  Stock  will,  immediately
following filing of the Amendment,  be  automatically  and without any action on
the part of the stockholders  converted into and  reconstituted as one (1) share
of New Common Stock.

      As soon as practical  after the Effective Date, the Company will forward a
letter of  transmittal  to each  holder of record of shares of Old Common  Stock
outstanding as of the Effective  Date. The letter of transmittal  will set forth
instructions for the surrender of certificates representing shares of Old Common
Stock to American Stock Transfer & Trust Company,  the Company's  transfer agent
("Exchange Agent") in exchange for certificates representing the number of whole
shares of New Common  Stock into which the shares of Old Common  Stock have been
converted  as a result of the Reverse  Stock Split.  CERTIFICATES  SHOULD NOT BE
SENT TO THE  COMPANY OR THE  TRANSFER  AGENT  PRIOR TO RECEIPT OF SUCH LETTER OF
TRANSMITTAL FROM THE COMPANY.

      Until a stockholder  forwards a completed  letter of transmittal  together
with  certificates  representing  his shares of Old Common Stock to the transfer
agent and receives a certificate  representing  shares of New Common Stock, such
stockholder's  Old  Common  Stock  shall be deemed  equal to the number of whole
shares of New Common Stock to which each  stockholder is entitled as a result of
the Reverse Stock Split.

      No scrip or  fractional  share  certificates  evidencing  shares of Common
Stock  will  be  issued  in  connection  with  the  Reverse  Stock  Split.  If a
stockholder  is entitled  to a  fractional  interest of a share,  he or she will
receive in lieu thereof,  cash (without interest) in an amount equal to four (4)
times such fractional share of Common Stock multiplied by the last reported sale
price of the Common Stock on the Nasdaq National Market on the last business day
prior to the Effective Date or, if no such sale is made on such day, the average
of the closing bid and asked prices for such day on the Nasdaq National  Market.
The Company will either deposit  sufficient  cash with the Exchange Agent or set
aside sufficient cash for the purchase of the fractional interests. Stockholders
are encouraged to surrender their Old Common Stock  certificates to the Exchange
Agent for  certificates  evidencing  whole shares of the New Common Stock and to
claim the  sums,  if any,  due them for  fractional  interests  as  promptly  as
possible following the Effective Date. No holder shall be entitled to dividends,
voting  rights  or  any  other  rights  as a  stockholder  with  respect  to any
fractional  shares.  No  service  charge  will be  payable  by  stockholders  in
connection  with  the  exchange  of  certificates  or the  issuance  of cash for
fractional interests, all of which costs will be borne and paid by the Company.

FEDERAL INCOME TAX CONSEQUENCES OF THE REVERSE STOCK SPLIT

      The following is a summary of the material  anticipated federal income tax
consequences  of the Reverse Stock Split to  stockholders  of the Company.  This
summary is based on the  provisions  of the Internal  Revenue  Code of 1986,  as
amended (the "Code"),  the Treasury  Department  Regulations (the "Regulations")
issued pursuant thereto,  and published rulings and court decisions in effect as
of the date  hereof,  all of which are subject to change.  This summary does not
take into account  possible changes in such laws or  interpretations,  including
amendments  to  the  Code,   applicable   statutes,   Regulations  and  proposed
Regulations or changes in judicial or administrative  rulings, some of which may
have  retroactive  effect.  No assurance can be given that any such changes will
not adversely affect the discussion of this summary.

      This summary is provided for general information only and does not purport
to address all aspects of the possible  federal income tax  consequences  of the
Reverse  Stock  Split  and IS NOT  INTENDED  AS TAX  ADVICE  TO ANY  PERSON.  In
particular,  and without limiting the foregoing,  this summary does not consider
the federal income tax  consequences  to stockholders of the Company in light of
their  individual  investment  circumstances  or to  holders  subject to special
treatment  under the  federal  income  tax laws  (for  example,  life  insurance
companies,  regulated investment companies and foreign taxpayers).  In addition,
this summary does not address any  consequence  of the Reverse Stock Split under
any state,  local or foreign tax laws. As a result, it is the  responsibility of
each  stockholder  to obtain  and rely on advice  from his or her  personal  tax
advisor  as to:  (i) the  effect on his or her  personal  tax  situation  of the
Reverse Stock Split,  including the application  and effect of state,  local and
foreign  income  and  other  tax  laws;  (ii)  the  effect  of  possible  future
legislation and Regulations;  and (iii) the reporting of information required in


                                       -6-

<PAGE>



connection  with the Reverse Stock Split on his or her own tax returns.  It will
be the  responsibility  of each  stockholder to prepare and file all appropriate
federal, state and local tax returns.

      No ruling from the Internal Revenue Service nor opinion of counsel will be
sought  or  obtained  regarding  the  federal  income  tax  consequences  to the
stockholders of the Company as a result of the Reverse Stock Split.
ACCORDINGLY,  EACH  STOCKHOLDER  IS ENCOURAGED TO CONSULT HIS OR HER TAX ADVISOR
REGARDING  THE SPECIFIC TAX  CONSEQUENCES  OF THE PROPOSED  TRANSACTION  TO SUCH
STOCKHOLDER,  INCLUDING THE APPLICATION  AND EFFECT OF STATE,  LOCAL AND FOREIGN
INCOME AND OTHER TAX LAWS.

      The  Company  believes  that the  Reverse  Stock  Split will  qualify as a
"recapitalization"  under Section 368(a)(1)(E) of the Code. As a result, no gain
or loss will be recognized by the Company or its stockholders in connection with
the Reverse Stock Split.  A stockholder  of the Company who exchanges his or her
Old Common Stock solely for New Common Stock will  recognize no gain or loss for
federal  income tax purposes  (except to the extent of any cash received in lieu
of fractional  shares of New Common Stock).  Cash payments in lieu of fractional
shares of New Common  Stock should be treated as if the  fractional  shares were
issued to the  stockholder  and then redeemed by the Company for cash. A Company
stockholder  receiving such payment  should  recognize gain or loss equal to the
difference,  if any,  between the amount of cash received and the  stockholder's
basis in the fractional share (determined as provided below).

      Such gain or loss will be capital gain or loss if the shares are held as a
capital  asset at the time of the Reverse  Stock  Split,  the payment of cash in
lieu of the fractional share is a mere mechanical  rounding off of fractions and
not separately bargained for consideration,  and the payment is "not essentially
equivalent  to a dividend"  with  respect to the  stockholder  under the federal
income tax law. For this purpose,  a payment is not essentially  equivalent to a
dividend  if  it  results  in a  "meaningful  reduction"  in  the  stockholder's
percentage  interest  in the  Company,  taking  into  account  the  constructive
ownership  rules  and  redemptions  of  the  fractional   shares  from  all  the
stockholders. The Internal Revenue Service has ruled publicly that any reduction
in the percentage  interest of a small minority  stockholder in a  publicly-held
corporation who exercises no control over corporate  affairs should constitute a
meaningful reduction; provided, however, if this ruling does not apply, the cash
payment for the fractional shares may be taxed as a dividend payment.

      A  stockholder's  aggregate  tax basis in his or her  shares of New Common
Stock  received  from the Company will be the same as his or her  aggregate  tax
basis in the Old Common Stock exchanged therefor, less any portion of such basis
allocated  to  fractional  shares for which a cash  payment  was  received.  The
holding period of the New Common Stock received by such stockholder will include
the period during which the Old Common Stock  surrendered  in exchange  therefor
was held, provided all such Common Stock was held as a capital asset on the date
of the exchange.

ACCOUNTING EFFECTS OF THE REVERSE STOCK SPLIT

         Following the  Effective  Date,  the par value of the Company's  Common
Stock will remain at $.01 per share. As a result,  the Company's  stated capital
will be reduced and capital in excess of par value (paid-in  capital)  increased
accordingly. Stockholders' equity will remain unchanged.

NO DISSENTERS' RIGHTS

      Dissenting  stockholders  have no appraisal  rights under  Delaware law or
under the Company's Amended and Restated Certificate of Incorporation or By-laws
in connection with the Reverse Stock Split.

VOTE REQUIRED

      The  approval of the  Amendment  to the  Company's  Amended  and  Restated
Certificate  of  Incorporation  effecting the Reverse  Stock Split  requires the
affirmative vote of a majority of the outstanding shares of the Common Stock and
Series A Preferred Stock entitled to vote thereon at the Special Meeting.

THE BOARD OF DIRECTORS RECOMMENDS A VOTE "FOR" THE ABOVE PROPOSAL.

                                       -7-

<PAGE>





                                     GENERAL

      Company management 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.


                           By Order of the Board of Directors,

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

Dated: October ____, 1998



                                       -8-

<PAGE>



                                      PROXY

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

           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 Special  Meeting of Stockholders to be held at
the Company's headquarters, One Manhattanville Road, Purchase, New York 10577 on
November 17, 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:

1.  APPROVAL  OF AN  AMENDMENT  TO  THE  AMENDED  AND  RESTATED  CERTIFICATE  OF
INCORPORATION  TO EFFECT A  ONE-FOR-FOUR  REVERSE  STOCK SPLIT OF THE  COMPANY'S
COMMON STOCK, PAR VALUE $.01 PER SHARE.

o FOR                      o AGAINST                  o ABSTAIN

           THE BOARD OF DIRECTORS RECOMMENDS A VOTE FOR THE PROPOSAL.

IN THEIR  DISCRETION,  THE PROXY IS  AUTHORIZED TO VOTE UPON SUCH MATTERS AS MAY
PROPERLY COME BEFORE THE MEETING OR ANY ADJOURNMENT OR POSTPONEMENT THEREOF.

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 amendment to the Amended and
Restated  Certificate of  Incorporation  to effect a one-for-four  reverse stock
split.

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.)




                                      

<PAGE>




                                    EXHIBIT A


                            Certificate of Amendment
                                       to
              the Amended and Restated Certificate of Incorporation
                                       of
                            IntegraMed America, Inc.

                               ------------------

                 IntegraMed America,  Inc., a corporation organized and existing
under the General Corporation Law of the State of Delaware (the  "Corporation"),
hereby certifies as follows:

                 FIRST:  The name of the corporation is IntegraMed America, Inc.

                 SECOND: The Amended and Restated  Certificate of Incorporation
is hereby  amended  to delete  paragraph  A of Article  IV in its  entirety  and
replace it with a new paragraph A, to read as follows:

                                         Article IV
                                        Capital Stock

                 A. The  authorized  capital  stock  of  the  Corporation  shall
                 consist of fifty-five million (55,000,000)  shares,  consisting
                 of fifty  million  (50,000,000)  shares of Common  Stock,  each
                 having  a par  value of $.01  (the  "Common  Stock"),  and five
                 million  (5,000,000)  shares of Preferred Stock,  each having a
                 par  value of $1.00  per  share.  Upon  the  amendment  of this
                 Article  IV,  every four (4) issued and  outstanding  shares of
                 Common  Stock,  $.01 par value per share ("Old Common  Stock"),
                 shall be  automatically  and  without any action on the part of
                 the  stockholders  converted into and  reconstituted as one (1)
                 share of Common  Stock,  $.01 par value per share ("New  Common
                 Stock"),  subject to the treatment of  fractional  interests as
                 described  below.  Each holder of a certificate or certificates
                 which,  immediately  prior to this  Certificate of Amendment of
                 the Amended and Restated Certificate of Incorporation  becoming
                 effective pursuant to the General  Corporation Law of the State
                 of Delaware (the  "Effective  Date"),  represented  outstanding
                 shares of the Old Common  Stock  shall be entitled to receive a
                 certificate  for the number of shares of New Common  Stock they
                 own by presenting their old certificate(s) to the Corporation's
                 transfer  agent  for  cancellation  and  exchange.  No scrip or
                 fractional  certificates will be issued.  Each holder of shares
                 shall be entitled to receive in lieu of  fractional  shares,  a
                 cash payment from the  Corporation  determined  by  multiplying
                 four (4) times  such  fractional  share of Common  Stock by the
                 last  reported  sale  price of the  Common  Stock on the Nasdaq
                 National Market on the last business day prior to the Effective
                 Date or, if no such sale is made on such day,  the  average  of
                 the  closing  bid and asked  prices  for such day on the Nasdaq
                 National Market.
                                      

<PAGE>


                  


                 THIRD:   This  amendment  has been duly  adopted in  accordance
with the provisions of Section 242 of the General  Corporation  Law of the State
of Delaware.

                 IN WITNESS WHEREOF, the Corporation has caused this Certificate
to be subscribed by its President and Chief Executive Officer,  this __th day of
September, 1998.

                            INTEGRAMED AMERICA, INC.


                             ---------------------------
                             Gerardo Canet, President and
                             Chief Executive Officer



                                       -2-



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