INTEGRAMED AMERICA INC
8-K, 1998-02-12
OFFICES & CLINICS OF DOCTORS OF MEDICINE
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                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549



                                    FORM 8-K

                                 CURRENT REPORT


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



Date of Report:  January 23, 1998

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

               (Exact name of registrant as specified in charter)


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

                 (State of other jurisdiction of incorporation)


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


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


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





<PAGE>


5.  Other Events.

    On January 23, 1998,  IntegraMed America,  Inc. (the "Company") entered into
an Investment  Agreement with Morgan Stanley Venture Partners III, L.P.,  Morgan
Stanley  Venture  Investors  III, L.P. and The Morgan Stanley  Venture  Partners
Entrepreneur Fund, L.P. ("Morgan Stanley") pursuant to which the Company sold to
Morgan  Stanley  for a total  purchase  price  of  $5,500,000  an  aggregate  of
3,235,294 shares of its Common Stock,  $.01 par value per share ("Common Stock")
and  warrants  expiring  January 23, 2002 to purchase  240,000  shares of Common
Stock, at an exercise price of $.01 per share (the  "Warrants").  Morgan Stanley
was granted  registration rights with respect to the shares of Common Stock sold
pursuant to the  Investment  Agreement  and the shares of Common Stock  issuable
upon  exercise of the Warrants.  Morgan  Stanley also has the right to designate
nominees  for  election  to  the  Company's  Board  of  Directors  based  on its
proportionate  voting  interest in the Company.  In addition,  Morgan Stanley is
required to vote all of its voting  securities  for  nominees  to the  Company's
Board  of  Directors  who  have  been  recommended  by the  Company's  Board  of
Directors.

    In addition, the Company entered into a letter of intent with respect to the
purchase by the Company of Shady Grove Fertility  Centers,  Inc. and a long term
management agreement with its shareholders.

    Reference is made to the press release of the  Registrant  dated January 26,
1998 filed as exhibit 99.1 hereto and incorporated by reference herein.




       Exhibit No.                  Description of Exhibit
       -----------                  ----------------------
           4.6      Warrant issued to Morgan Stanley Venture Partners III, L.P.

           4.7      Warrant issued to Morgan Stanley Venture Partners III, L.P.

           4.8      Warrant  issued  to  The  Morgan  Stanley  Venture  Partners
                    Entrepreneur Fund, L.P.

          10.92     Investment  Agreement between  Registrant and Morgan Stanley
                    Venture Partners III, L.P., Morgan Stanley Venture Investors
                    III,   L.P.  and  the  Morgan   Stanley   Venture   Partners
                    Entrepreneur Fund, L.P., including exhibits thereto.

          99.1      Press Release of Registrant dated January 26, 1998.

<PAGE>




                                   SIGNATURES


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


                                              INTEGRAMED AMERICA, INC.
                                              (Registrant)




Date:    February 12, 1998                    By:  /s/ Dwight P. Ryan
                                                   ------------------
                                                   Dwight P. Ryan
                                                   Vice President and
                                                   Chief Financial Officer
                                                   (Principal Financial and
                                                   Accounting Officer)




                                                                 CONFORMED COPY






                              INVESTMENT AGREEMENT

                                   dated as of

                                January 23, 1998

                                      among

                   MORGAN STANLEY VENTURE PARTNERS III, L.P.,

                   MORGAN STANLEY VENTURE INVESTORS III, L.P.,

                       THE MORGAN STANLEY VENTURE PARTNERS
                            ENTREPRENEUR FUND, L.P.,

                                       and

                            INTEGRAMED AMERICA, INC.



<PAGE>

                                TABLE OF CONTENTS
                             ----------------------

                                                                          PAGE

                                    ARTICLE 1
                                   DEFINITIONS

SECTION 1.01.  Definitions..................................................1

                                    ARTICLE 2
                                PURCHASE AND SALE

SECTION 2.01.  Purchase and Sale............................................5
SECTION 2.02.  Closing......................................................5
SECTION 2.03.  Legending of Securities......................................5

                                    ARTICLE 3
                  REPRESENTATIONS AND WARRANTIES OF THE COMPANY

SECTION 3.01.  Corporate Existence and Power................................6
SECTION 3.02.  Corporate Authorization......................................6
SECTION 3.03.  Governmental Authorization...................................7
SECTION 3.04.  Non-contravention............................................7
SECTION 3.05.  Capitalization...............................................7
SECTION 3.06.  Subsidiaries.................................................8
SECTION 3.07.  SEC Filings..................................................8
SECTION 3.08.  Financial Statements.........................................9
SECTION 3.09.  Absence of Certain Changes...................................9
SECTION 3.10.  No Undisclosed Material Liabilities..........................10
SECTION 3.11.  Litigation...................................................11
SECTION 3.12.  Compliance with Laws.........................................11
SECTION 3.13.  Finders' Fees................................................11
SECTION 3.14.  Employee Benefit Plans.......................................11
SECTION 3.15.  Taxes........................................................12
SECTION 3.16.  Environmental Matters........................................13

                                    ARTICLE 4
                   REPRESENTATIONS AND WARRANTIES OF THE FUNDS

SECTION 4.01.  Organization.................................................15
SECTION 4.02.  Power and Authorization......................................15
SECTION 4.03.  Governmental Authorization...................................15
SECTION 4.04.  Non-contravention............................................15
SECTION 4.05.  Finders' Fees................................................15
SECTION 4.06.  Purchase for Investment......................................16
SECTION 4.07.  Disclosure of Information....................................16


<PAGE>


                                                                          PAGE

SECTION 4.08.  Restricted Securities........................................16

                                    ARTICLE 5
                            COVENANTS OF THE COMPANY

SECTION 5.01.  Notices of Certain Events....................................16
SECTION 5.02.  Registration Rights..........................................17
SECTION 5.03.  Access to Book and Records...................................17

                                    ARTICLE 6
                             COVENANTS OF THE FUNDS

SECTION 6.01.  Notices of Certain Events....................................17
SECTION 6.02.  Agreement to Provide Information.............................17

                                   ARTICLE 7
                     COVENANTS OF THE COMPANY AND THE FUNDS

SECTION 7.01.  Filings; Consents............................................18

                                    ARTICLE 8
                              ADDITIONAL COVENANTS

SECTION 8.01.  Board Representation; Committees.............................18
SECTION 8.02.  Reports......................................................18
SECTION 8.03.  Pre-emptive Rights...........................................19
SECTION 8.04.  Voting Arrangements..........................................20

                                    ARTICLE 9
                                   TERMINATION

SECTION 9.01.  Grounds for Termination......................................20
SECTION 9.02.  Effect of Termination........................................20

                                   ARTICLE 10
                                  MISCELLANEOUS

SECTION 10.01.  Notices.....................................................21
SECTION 10.02.  Survival....................................................22
SECTION 10.03.  Amendments and Waivers......................................22
SECTION 10.04.  Expenses....................................................22
SECTION 10.05.  Successors and Assigns......................................23



<PAGE>


                                                                          PAGE

SECTION 10.06.  Governing Law...............................................23
SECTION 10.07.  Counterparts; Third Party Beneficiaries.....................23
SECTION 10.08.  Public Announcements........................................23
SECTION 10.09.  Entire Agreement; Exhibits..................................23
SECTION 10.10.  Headings....................................................23

Exhibit A         Registration Rights Agreement

Exhibit B         Form of Warrant



<PAGE>



                              INVESTMENT AGREEMENT

         AGREEMENT  dated as of January 23, 1998 among  Morgan  Stanley  Venture
Partners III, L.P., a Delaware  limited  partnership  ("MSVP III Fund"),  Morgan
Stanley Venture Investors III, L.P., a Delaware limited  partnership  ("Employee
Fund") and The Morgan  Stanley  Venture  Partners  Entrepreneur  Fund,  L.P.,  a
Delaware limited partnership ("Entrepreneur Fund") and IntegraMed America, Inc.,
a Delaware corporation (the "Company").

         The parties hereto agree as follows:

                                    ARTICLE 1


                                   DEFINITIONS

         SECTION 1.01.  Definitions.  (a) The following  terms,  as used herein,
have the following meanings:

         "1933 Act" means the Securities Act of 1933, as amended,  and the rules
and regulations promulgated thereunder.

         "1934 Act" means the Securities  Exchange Act of 1934, as amended,  and
the rules and regulations promulgated thereunder.

         "Affiliate"  means,  with  respect  to any  Person,  any  other  Person
directly or indirectly controlling,  controlled by, or under common control with
such Person.

         "Balance  Sheet" means the audited  consolidated  balance  sheet of the
Company and the Subsidiaries as of December 31, 1996.

         "Balance Sheet Date" means December 31, 1996.

         "beneficial  ownership" and  "beneficially  own" shall be determined in
accordance with Rules 13d-3 and 13d-5 under the 1934 Act.

         "Benefit  Arrangement"  means  any  employment,  severance  or  similar
contract or  arrangement  (whether or not  written) or any plan,  policy,  fund,
program or  contract  or  arrangement  (whether or not  written)  providing  for
compensation, bonus, profit-sharing, stock option, or other stock related rights
or  other  forms of  incentive  or  deferred  compensation,  vacation  benefits,
insurance coverage (including any self-insured arrangements),  health or medical
benefits, disability benefits, worker's compensation,  supplemental unemployment
benefits,   severance  benefits  and   post-employment  or  retirement  benefits
(including  compensation,  pension,  health,  medical or life insurance or other
benefits)  that (i) is not an Employee Plan,  (ii) is entered into,  maintained,
administered or contributed to, as the case may be, by the Company or any of its
Affiliates  and (iii) covers any  employee or former  employee of the Company or
any Subsidiary of the Company.

                                        1

<PAGE>



         "Closing Date" means the date of the Closing.

         "Code"  means the  United  States  Internal  Revenue  Code of 1986,  as
amended.

         "Commission"   means  the  United   States   Securities   and  Exchange
Commission.

         "Common  Stock" means the Common  Stock of the Company,  par value $.01
per share.

         "Common  Stock  Plan"  means  any  present  or  future  Employee  Plan,
employment agreement, restricted stock, stock option, stock purchase or dividend
reinvestment  plan or other similar type of plan or  arrangement  of the Company
which  provides  for the issuance of equity  securities  or options or rights to
purchase equity securities of the Company.

         "Convertible  Securities"  means  any  securities  convertible  into or
exercisable for Voting Securities.

         "Employee  Plan"  means any  "employee  benefit  plan",  as  defined in
Section 3(3) of ERISA,  that (i) is subject to any  provision of ERISA,  (ii) is
maintained,  administered  or  contributed  to by  the  Company  or  any  of its
Affiliates  and (iii) covers any  employee or former  employee of the Company or
any Subsidiary of the Company.

         "ERISA" means the Employee  Retirement  Income Security Act of 1974, as
amended,  and any  successor  statute  thereto,  and the rules  and  regulations
promulgated thereunder.

         "ERISA Affiliate" of any entity means any other entity which,  together
with such entity, would be treated as a single employer under Section 414 of the
Code.

         "Fund" means each or any of the MSVP III Fund,  the  Employee  Fund and
the Entrepreneur Fund.

         "Lien"  means,  with  respect to any property or asset,  any  mortgage,
lien, pledge, charge,  security interest,  encumbrance or other adverse claim of
any  kind in  respect  of such  property  or  asset.  For the  purposes  of this
Agreement,  a Person  shall be deemed to own  subject to a Lien any  property or
asset  which it has  acquired  or holds  subject to the  interest of a vendor or
lessor  under any  conditional  sale  agreement,  capital  lease or other  title
retention agreement relating to such property or asset.

                                        2

<PAGE>





         "Material  Adverse  Effect"  means a  material  adverse  effect  on the
condition (financial or otherwise), business, assets or results of operations of
the Company and the Subsidiaries, taken as a whole.

         "MSVP" means the program of investment  funds  comprising  the MSVP III
Fund, the Employee Fund and the Entrepreneur Fund.

         "Multiemployer Plan" means a multiemployer plan, as defined in Section
3(37) of ERISA.

         "PBGC" means the Pension Benefit Guaranty Corporation.

         "Person"  means  an  individual,   corporation,   partnership,  limited
liability company, association, trust or other entity or organization, including
a government or political subdivision or an agency or instrumentality thereof.

         "Registration Rights Agreement" means the Registration Rights Agreement
among the parties hereto attached as Exhibit A hereto.

         "Restricted  Securities" means the shares of Common Stock and any other
securities or rights  convertible  into or exercisable  (whether  immediately or
otherwise) for such Common Stock, including the Warrants, in each case purchased
by the Funds pursuant to this Agreement.

         "Subsidiary"  means any entity of which  securities or other  ownership
interests  having  ordinary  voting  power to elect a  majority  of the board of
directors or other persons performing similar functions are at the time directly
or indirectly owned by the Company.

         "Tax" (and, with correlative meaning,  "Taxes" and "Taxable") means (i)
any net income, alternative or add-on minimum tax, gross income, gross receipts,
sales, use, ad valorem,  value added,  transfer,  franchise,  profits,  license,
withholding on amounts paid to or by any Person,  payroll,  employment,  excise,
severance,  stamp,  occupation,  premium,  property,  environmental  or windfall
profit tax, custom, duty or other tax, governmental fee or other like assessment
or charge of any kind  whatsoever,  together  with any  interest or any penalty,
addition to tax or additional  amount imposed by any  governmental  authority (a
"Taxing authority")  responsible for the imposition of any such tax (domestic or
foreign),  (ii)  liability  of any Person for the  payment of any amounts of the
type  described  in (i)  as a  result  of  being  a  member  of any  affiliated,
consolidated,  combined or unitary  group or being a party to any  agreement  or
arrangement  whereby  liability  of a Person for  payments  of such  amounts was
determined  or taken into account with  reference to the  liability of any other
Person for any period,  and (iii) liability of any Person for the payment of any
amounts  of the type  described  in (i) as a result of any  express  or  implied
obligation to indemnify any other Person.

                                        3

<PAGE>

         "Total Voting  Power" means the aggregate  number of votes which may be
cast by holders of outstanding Voting Securities.

         "Voting  Securities" means all securities of the Company  entitled,  in
the ordinary course, to vote in the election of Directors of the Company.

         "Warrants" means the 240,000 warrants of the Company,  substantially in
the form of Exhibit B hereto, to purchase shares of Common Stock to be issued to
the Funds hereunder.

         (b) Each of the  following  terms is defined in the  Section  set forth
opposite such term:

         Term                                                Section
         ----                                                -------

         Accredited Investor                                  4.06
                                                              -------
         Company Securities                                   3.05(b)
                                                              -------
         Closing                                              2.02
                                                              -------
         Company 10-K                                         3.07(a)
                                                              -------
         Company 10-Q                                         3.07(a)
                                                              -------
         Fund Nominee                                         8.01(a)
                                                              -------
         Pre-emptive Rights Notice                            8.03
                                                              -------
         Proxy Materials                                      3.07
                                                              -------
         Purchase Price                                       2.01
                                                              -------
         Shares                                               2.01
                                                              -------
         Subsidiary Securities                                3.06(b)
                                                              -------


                                    ARTICLE 2


                                PURCHASE AND SALE

         SECTION  2.01.  Purchase  and Sale.  Upon the terms and  subject to the
conditions of this Agreement,  the Company agrees to sell and the Funds agree to
purchase from the Company for an aggregate  purchase  price of  $5,500,000  (the
"Purchase  Price") (a) 3,235,294  shares of Common Stock (the  "Shares") and (b)
the  Warrants.  The  actual  number of Shares and  Warrants  that each Fund will
purchase shall be determined by the Funds at Closing.

                                        4

<PAGE>



         The Purchase Price shall be paid in accordance with Section 2.02.

         SECTION 2.02. Closing.  The closing (the "Closing") of the transactions
contemplated  hereby shall take place at the offices of Davis Polk & Wardwell in
New York City at 1:00 p.m.  EST on  January  23,  1998 or at such  other time or
place as the parties may agree. At the Closing:

         (a) The Company shall deliver to each Fund (i) one or more certificates
for the Shares,  registered in the name of such Fund and representing the number
of the Shares to be purchased by such Fund and (ii) one or more certificates for
the Warrants, registered in the name of such Fund and representing the number of
the Warrants to be purchased by such Fund; and

         (b) Each Fund  shall  deliver  to the  Company  an amount  equal to the
number of the Shares to be purchased by such Fund at the Closing  multiplied  by
$1.70  per  share  for an  aggregate  amount  equal  to the  Purchase  Price  in
immediately  available  funds by wire  transfer  to an  account  of the  Company
designated  by the Company,  by notice to each Fund,  no later than two business
days prior to the Closing.

         SECTION 2.03.  Legending of Securities.  All securities to be issued to
each Fund by the Company hereunder shall bear the following legend:

         "The securities  represented  hereby have not been registered under the
         Securities Act of 1933, as amended, or securities laws of any state and
         may not be offered,  sold,  transferred or otherwise disposed of except
         in compliance therewith."

                                    ARTICLE 3

                  REPRESENTATIONS AND WARRANTIES OF THE COMPANY

         The Company  represents and warrants to each Fund as of the date hereof
and as of the Closing Date that:

         SECTION  3.01.   Corporate  Existence  and  Power.  The  Company  is  a
corporation duly  incorporated,  validly existing and in good standing under the
laws of its jurisdiction of  incorporation  and has all corporate powers and all
governmental licenses, authorizations,  permits, consents and approvals required
to  carry  on  its  business  as  now  conducted,  except  for  those  licenses,
authorizations,  permits, consents and approvals the absence of which would not,
individually or in the aggregate, have a Material Adverse Effect. The Company is
duly qualified to do business as a foreign  corporation  and is in good standing
in each  jurisdiction  where such  qualification is necessary,  except for those
jurisdictions  where failure to be so qualified or in good  standing  would not,
individually or in the aggregate,  have a Material  Adverse Effect.  The Company
has  heretofore  delivered  to  each  Fund  true  and  complete  copies  of  the
certificate of incorporation and bylaws of the Company as currently in effect.
                                        5

<PAGE>



         SECTION 3.02. Corporate Authorization.  (a) The execution, delivery and
performance by the Company of this Agreement are within the Company's  corporate
powers and have been duly  authorized by all necessary  corporate  action on the
part of the Company. This Agreement constitutes a valid and binding agreement of
the Company enforceable against the Company in accordance with its terms, except
as the indemnification under the Registration Rights Agreement may be limited by
applicable law and except as the enforcement hereof may be limited by applicable
bankruptcy,  insolvency,  reorganization,   moratorium  or  other  similar  laws
relating  to  or  affecting   creditors'   rights  generally  and  by  equitable
principles.

         (b) The Shares,  when issued and delivered to and paid for by each Fund
pursuant  to  this   Agreement,   will  be  validly   issued,   fully  paid  and
non-assessable, and the issuance of such Shares is not subject to any preemptive
or similar rights,  except as set forth in this Agreement.  The shares of Common
Stock  reserved  for  issuance  upon  exercise  of the  Warrants  have been duly
authorized by the Company and reserved for issuance upon such exercise and, when
issued upon such  exercise in accordance  with the terms of the  Warrants,  will
have been  validly  issued,  fully paid and  non-assessable,  and such shares of
Common Stock will be free of preemptive  rights or similar  rights except as set
forth in this Agreement.

         (c) The Warrants,  when  executed and delivered in accordance  with the
terms of this Agreement,  will constitute a valid and binding  obligation of the
Company.

         SECTION 3.03. Governmental Authorization.  The execution,  delivery and
performance by the Company of this Agreement and the Warrants  require no action
by or in respect of, or filing with, any governmental  body, agency, or official
other than (i) compliance with any applicable requirements of the 1934 Act; (ii)
compliance with any applicable existing requirements of the Nasdaq Stock Market;
and (iii) any action or filing as to which the  failure to make or obtain  would
not, individually or in the aggregate, have a Material Adverse Effect.

         SECTION   3.04.   Non-contravention.   The   execution,   delivery  and
performance  by the Company of this  Agreement  and the Warrants do not and will
not (i) violate the certificate of incorporation or bylaws of the Company or any
Subsidiary;  (ii) assuming  compliance  with the matters  referred to in Section
3.03, violate any applicable law, rule, regulation,  judgment, injunction, order
or  decree;  (iii)  constitute  a  default  under,  or give rise to any right of
termination,  cancellation  or  acceleration  of any right or  obligation of the
Company or any  Subsidiary  or to a loss of any  benefit to which the Company or
any Subsidiary is entitled under, any agreement or other instrument binding upon
the Company or any Subsidiary or any license, franchise, permit or other similar
authorization  held by the  Company  or any  Subsidiary;  or (iv)  result in the
creation or  imposition  of any material Lien on any asset of the Company or any
Subsidiary.

                                        6

<PAGE>

         SECTION 3.05.  Capitalization.  (a) The authorized capital stock of the
Company  consists of (i) 25,000,000  shares of Common Stock, of which 17,432,730
shares are issued and outstanding as of January 15, 1998, (ii) 3,165,644  shares
of  preferred  stock,  $1.00 par  value,  of which:  (A)  2,500,000  shares  are
undesignated;   (B)  665,644  shares  are  designated  as  Series  A  Cumulative
Convertible  of which 165,644 were issued or outstanding as of January 15, 1998;
(iii)  warrants  outstanding  to purchase  775,427  shares of Common Stock as of
January 15, 1998; and (iv) options  outstanding to purchase  1,420,602 shares of
Common  Stock as of January 15, 1998  (including  a grant of options to purchase
175,000  shares  of  Common  Stock  which is  subject  to  stockholder  approval
increasing  the number of shares  authorized  under the plan).  All  outstanding
shares of Common Stock and any other class of capital  stock of the Company have
been duly authorized and are validly issued, fully paid and nonassessable.

          (b) Except as set forth in Section  3.05(a),  there are no outstanding
(i) shares of capital stock or Voting Securities of the Company, (ii) securities
of the Company  convertible  into or exchangeable for shares of capital stock or
Voting  Securities  of the  Company  or (iii)  except as set  forth on  Schedule
3.05(b), warrants, options or other rights to acquire from the Company, or other
obligations  of the Company to issue,  any capital stock,  Voting  Securities or
securities  convertible  into  or  exchangeable  for  capital  stock  or  Voting
Securities of the Company (the items in clauses 3.05(b)(i), (ii) and (iii) being
referred to collectively as the "Company Securities").  There are no outstanding
obligations of the Company or any Subsidiary to repurchase,  redeem or otherwise
acquire any Company Securities.

         SECTION 3.06.  Subsidiaries.  (a) Each Subsidiary is a corporation duly
incorporated,  validly  existing  and in good  standing  under  the  laws of its
jurisdiction of  incorporation,  has all corporate  powers and all  governmental
licenses,  authorizations,  permits, consents and approvals required to carry on
its  business  as now  conducted,  except  for those  licenses,  authorizations,
permits,  consents and approvals the absence of which would not, individually or
in the  aggregate,  have a Material  Adverse  Effect,  is duly  qualified  to do
business as a foreign  corporation and is in good standing in each  jurisdiction
where such qualification is necessary,  except for those jurisdictions where the
failure to be so qualified or in good standing would not, individually or in the
aggregate, have a Material Adverse Effect. All Subsidiaries and their respective
jurisdictions of incorporation are identified on Schedule 3.06(a).
                                                7

<PAGE>


          (b) Except as set forth on Schedule  3.06(b),  all of the  outstanding
capital  stock of, or other voting  securities  or ownership  interests in, each
Subsidiary, is owned by the Company,  directly or indirectly,  free and clear of
any  Lien  and  free of any  other  limitation  or  restriction  (including  any
restriction  on the right to vote,  sell or  otherwise  dispose of such  capital
stock  or  other  voting  securities  or  ownership  interests).  There  are  no
outstanding (i) securities of the Company or any Subsidiary  convertible into or
exchangeable for shares of capital stock or other voting securities or ownership
interests in any  Subsidiary or (ii) options or other rights to acquire from the
Company or any Subsidiary,  or other obligation of the Company or any Subsidiary
to issue,  any capital stock or other voting  securities or ownership  interests
in, or any securities  convertible into or exchangeable for any capital stock or
other voting securities or ownership  interests in, any Subsidiary (the items in
clauses  3.06(b)(i) and (ii) being referred to  collectively  as the "Subsidiary
Securities").

         SECTION 3.07.  SEC Filings.  (a) The Company has delivered to each Fund
(i) the annual  report on Form 10-K for its fiscal year ended  December 31, 1996
(the  "Company  10-K"),  (ii) its  quarterly  report on Form 10-Q for its fiscal
quarters  ended March 31,  June 30, and  September  30,  1997 (each,  a "Company
10-Q"),  (iii) its proxy or information  statements  relating to meetings of, or
actions  taken  without a meeting  by, the  stockholders  of the  Company  since
January  1,  1997 (the  "Proxy  Materials")  and (iv) all of its other  reports,
statements,  schedules and  registration  statements  filed with the  Commission
since  January  1, 1997 (the  items in  clauses  3.07(a)(i)  through  (iv) being
referred to collectively as the "SEC Reports").

          (b) As of its filing date, or, if such SEC Report was amended,  on the
date of filing of such  amendment,  each SEC Report did not  contain  any untrue
statement  of a material  fact or omit to state any material  fact  necessary in
order to make the  statements  made therein,  in the light of the  circumstances
under which they were made, not misleading.

         SECTION 3.08.  Financial  Statements.  The audited consolidated balance
sheets as of December  31, 1995 and 1996 and the  related  audited  consolidated
statements of operations and cash flows for each of the years ended December 31,
1995  and  1996  included  in  the  Company  10-K  and  the  unaudited   interim
consolidated  balance sheet as of September  30, 1997 and the related  unaudited
interim  consolidated  statements  of  operations  and cash  flows for the three
months ended  September  30, 1997  included in the Company  10-Q, of the Company
fairly present,  in conformity  with generally  accepted  accounting  principles
applied on a consistent basis (except as may be indicated in the notes thereto),
the consolidated  financial  position of the Company as of the dates thereof and
its consolidated results of operations and cash flows for the periods then ended
(subject to normal  year-end  adjustments  in the case of any unaudited  interim
financial statements).

                                        8

<PAGE>


         SECTION 3.09. Absence of Certain Changes.  Since the Balance Sheet Date
other than as disclosed, or provided for, in the Company 10-K, a Company 10-Q or
other SEC Report and except as set forth in Schedule 3.09, the businesses of the
Company  and  its  Subsidiaries  have  been  conducted  in the  ordinary  course
consistent with past practices and there has not been:

         (a) any event,  occurrence,  development or state of  circumstances  or
facts which has had or would  reasonably be expected to have a Material  Adverse
Effect;

         (b) any declaration,  setting aside or payment of any dividend or other
distribution with respect to any shares of capital stock of the Company,  or any
repurchase,  redemption or other acquisition by the Company or any Subsidiary of
any outstanding shares of capital stock or other securities of, or other
ownership interests in, the Company or any Subsidiary;

         (c) any amendment of any material term of any  outstanding  security of
the Company or any Subsidiary;

         (d) any  incurrence,  assumption  or  guarantee  by the  Company or any
Subsidiary of any indebtedness for borrowed money, except in the ordinary course
of business consistent with past practices;

         (e) any creation or assumption by the Company or any  Subsidiary of any
Lien on any  material  asset  other  than in the  ordinary  course  of  business
consistent with past practices; 

         (f) any  making of any loan,  advance or  capital  contributions  to or
investment in any Person other than loans,  advances or capital contributions to
or  investments  in  Subsidiaries  made  in  the  ordinary  course  of  business
consistent with past practices;

         (g) any damage,  destruction  or other  casualty  loss  (whether or not
covered by  insurance)  affecting  the  business or assets of the Company or any
Subsidiary which,  individually or in the aggregate, has had or would reasonably
be expected to have a Material Adverse Effect;

         (h) any change in any method of  accounting or  application  thereof by
the Company or any Subsidiary,  except for any such change required by reason of
a concurrent change in generally accepted accounting principles;

                                        9

<PAGE>




          (i) any (A) employment,  deferred compensation,  severance, retirement
or other similar agreement  entered into with any director,  officer or employee
of the  Company  or any  Subsidiary  (or  any  amendment  to any  such  existing
agreement),  (B) grant of any  severance  or  termination  pay to any  director,
officer  or  employee  of the  Company  or any  Subsidiary,  or  (C)  change  in
compensation or other benefits  payable to any director,  officer or employee of
the Company or any Subsidiary  pursuant to any severance or retirement  plans or
policies thereof,  other than in the ordinary course of business consistent with
past practices; or

          (j) any labor dispute,  other than routine individual  grievances,  or
any  activity  or  proceeding  by a labor  union or  representative  thereof  to
organize any employees of the Company or any  Subsidiary,  which  employees were
not subject to a collective  bargaining  agreement at December 31, 1996,  or any
lockouts,  strikes,  slowdowns,  work  stoppages  or threats  thereof by or with
respect to any employees of the Company or any Subsidiary.

         SECTION 3.10. No Undisclosed Material Liabilities.  Except as set forth
on Schedule  3.10,  there are no liabilities of the Company or any Subsidiary of
any  kind  whatsoever,   whether  accrued,  contingent,   absolute,  determined,
determinable or otherwise, and there is no existing condition,  situation or set
of  circumstances  which  could  reasonably  be  expected  to  result  in such a
liability, other than:

          (a)   liabilities disclosed or provided for in the Balance Sheet;

          (b) liabilities incurred in the ordinary course of business consistent
with past practice since the Balance Sheet Date,  which in the aggregate are not
material,  except  for  liabilities  incurred  in  connection  with  normal  and
recurring fourth quarter operations, to the Company and the Subsidiaries,  taken
as a whole; and

          (c)   liabilities under this Agreement.

         SECTION 3.11.  Litigation.  Except as set forth on Schedule 3.11, there
is no action,  suit,  investigation  or proceeding  pending  against,  or to the
knowledge of the Company  threatened  against or  affecting,  the Company or any
Subsidiary or any of their respective  properties before any court or arbitrator
or any  governmental  body,  agency or official  (i) which would  reasonably  be
expected  to  have a  Material  Adverse  Effect  or  (ii)  which  in any  manner
challenges  or  seeks  to  prevent,   enjoin,  alter  or  materially  delay  the
transactions contemplated by this Agreement.

         SECTION  3.12.  Compliance  with  Laws.  Neither  the  Company  nor any
Subsidiary  is in  violation  of or has violated  any  applicable  law,  rule or
regulation,  except for violations which  individually or in the aggregate would
not reasonably be expected to have a Material Adverse Effect.

                                       10

<PAGE>

         SECTION 3.13.  Finders' Fees.  There is no investment  banker,  broker,
finder or other  intermediary which has been retained by or is authorized to act
on behalf of the  Company  who might be  entitled  to any fee or  commission  in
connection with the transactions contemplated by this Agreement.

         SECTION 3.14.  Employee Benefit Plans.  (a) The Company has provided
the Funds with a list identifying each Employee Plan and Benefit Arrangement.

         (b) No Employee Plan (i)  constitutes a  Multiemployer  Plan or (ii) is
maintained in connection  with any trust  described in Section  501(c)(9) of the
Code.  Neither  the Company nor any ERISA  Affiliate  of the Company  maintains,
contributes  to, or is required to contribute to nor in the past has maintained,
contributed to or been required to contribute to any plan subject to Title IV of
ERISA.

         (c) Each Employee Plan which is intended to be qualified  under Section
401(a) of the Code is so qualified  and has been so qualified  during the period
from its adoption to date,  and each trust forming a part thereof is exempt from
tax  pursuant  to  Section  501(a) of the Code and has been so exempt  since its
creation.  The  Company  has  furnished  to the Funds  copies of the most recent
Internal Revenue Service determination letter with respect to each such Employee
Plan. To the Company's knowledge, each Employee Plan and Benefit Arrangement has
been  maintained  in  substantial   compliance  with  its  terms  and  with  the
requirements prescribed by any and all statutes,  orders, rules and regulations,
including  but not limited to ERISA and the Code,  which are  applicable to such
Employee Plan or Benefit Arrangement, as applicable.

         (d)  Except  as  disclosed  in  Schedule  3.14,  there is no  contract,
agreement,  plan or arrangement  covering any employee or former employee of the
Company or any Subsidiary that, individually or collectively, could give rise to
the payment of any amount that would not be deductible  pursuant to the terms of
Sections 162(m) or 280G of the Code.

         (e) Neither the Company nor any Subsidiary  maintains or contributes to
any  Employee  Plan  which  provides,  or has  any  liability  to  provide  life
insurance,  medical or other welfare benefits to any employee upon retirement or
termination of employment, except as may be required by law.

         (f) Except as disclosed in writing to the Funds since the Balance Sheet
Date,  there has been no amendment to, written  interpretation  or  announcement
(whether or not written) by the Company or any of its affiliates relating to, or

                                       11

<PAGE>



change in employee participation or coverage under, any Employee Plan or Benefit
Arrangement  which would increase  materially  the expense of  maintaining  such
Employee Plan or Benefit  Arrangement above the level of the expense incurred in
respect thereof for the fiscal year ended on the Balance Sheet Date.

         (g) Except as set forth in Schedule  3.14 or disclosed in the Company's
SEC Reports,  neither the Company nor any Subsidiary is a party to or subject to
any union  contract  or any  employment  contract  providing  for annual  future
compensation  of  $100,000  or more with any  officer,  consultant,  director or
employee.

         SECTION 3.15.  Taxes.  Except as disclosed in the financial  statements
included  in the  Company  10-K  (including  the  notes  thereto)  or  except as
disclosed  on Schedule  3.15 or except in respect of Taxes,  the  liability  for
which would not,  individually  or in the  aggregate,  reasonably be expected to
have a Material  Adverse Effect,  (i) all Tax returns,  statements,  reports and
forms  required  to be filed  with any Taxing  authority  by or on behalf of the
Company or any  Subsidiary  (collectively,  the  "Returns"),  on or prior to the
Closing  Date  have  been or will be  filed  when  due in  accordance  with  all
applicable laws except where failure to so file would not subject the Company or
any Subsidiary to liabilities or penalties;  (ii) as of the time of filing,  the
Returns  correctly  reflected  (and,  as to any Returns not filed as of the date
hereof,  will  correctly  reflect)  the facts  regarding  the income,  business,
assets,  operations,  activities and status of the Company and each  Subsidiary;
(iii)  the  Company  and each  Subsidiary  has  timely  paid,  withheld  or made
provision  for all Taxes shown as due and payable on the Returns  that have been
filed;  (iv) neither the Company nor any Subsidiary is delinquent in the payment
of any Tax and has not  requested  any extension of time within which to file or
send any Return,  which Return has not since been filed or sent; (v) neither the
Company nor any Subsidiary (or any member of any affiliated or combined group of
which the Company or any  Subsidiary  is or has been a member) has been  granted
any extension or waiver of the limitation period applicable to the assessment or
collection  of any Taxes  payable by the  Company or any  Subsidiary  which will
remain in effect after the Closing Date; (vi) there is no claim, audit,  action,
suit,  proceeding or  investigation  now pending or  threatened  against or with
respect  to the  Company  or any  Subsidiary  of which the  Company  is aware in
respect of any Tax or  assessment;  and (vii)  there are no liens for Taxes upon
the assets of the Company or any  Subsidiary  except liens for current Taxes not
yet due.

         SECTION 3.16.  Environmental Matters.    (a) Except as set forth in the
Company 10-K, a Company 10-Q or other SEC Report or except as disclosed on
Schedule 3.16:

                                       12

<PAGE>



              (i) no notice,  notification,  demand,  request  for  information,
         citation,  summons or order has been  received,  no complaint  has been
         filed, no penalty has been assessed,  no investigation,  action, claim,
         suit,  proceeding  or review is pending,  or, to the  knowledge  of the
         Company or any  Subsidiary,  threatened by any  governmental  entity or
         other Person with respect to any matters relating to the Company or any
         Subsidiary  and  relating  to or arising out of any  Environmental  Law
         which, individually or in the aggregate, could reasonably be expected
         to result in a Material Adverse Effect;

              (ii) the Company is in compliance with all Environmental  Laws and
         has, and is in compliance with, all environmental permits, except where
         any noncompliance or failure to receive environmental permits could not
         reasonably be expected to result in a Material Adverse Effect; and

              (iii) to the Company's knowledge,  there are no liabilities of, or
         relating  to, the  Company or any  Subsidiary  of any kind  whatsoever,
         whether  accrued,  contingent,  absolute,  determined,  determinable or
         otherwise,  arising under or relating to any  Environmental  Law which,
         individually or in the aggregate,  would reasonably be expected to have
         a  Material  Adverse  Effect,  and  there  are  no  facts,  conditions,
         situations or set of  circumstances  which could reasonably be expected
         to result in or be the basis for any such liability.

         (b) There has been no environmental investigation,  study, audit, test,
review or other analysis conducted of which the Company has knowledge in
relation  to the current or prior  business  of the  Company or any  property or
facility now or previously owned or leased by the Company or any Subsidiary.

         (c) Neither the Company nor any Subsidiary  owns or leases or has owned
or leased any real property, or conducts or has conducted any operations, in New
Jersey or Connecticut.

         (d) For purposes of this Section,  the  following  terms shall have the
meanings set forth below:

              (i) "Company" and "Subsidiary"  shall include any entity which is,
         in whole or in part, a predecessor of the Company or any Subsidiary;

              (ii) "Environmental Laws" means any and all federal,  state, local
         and  foreign   statutes,   laws,   judicial   decisions,   regulations,
         ordinances,   rules,   judgments,   orders,   decrees,   codes,  plans,
         injunctions,   permits,  concessions,   grants,  franchises,  licenses,
         agreements and governmental restrictions, relating to human health, the
         environment  or to  emissions,  discharges  or releases of  pollutants,
         contaminants  or  other   hazardous   substances  or  wastes  into  the
         environment,  including without  limitation ambient air, surface water,
         ground  water  or  land,  or  otherwise  relating  to the  manufacture,
         processing,  distribution, use, treatment, storage, disposal, transport
         or handling of pollutants,  contaminants or other hazardous  substances
         or wastes or the clean-up or other remediation thereof;

                                       13

<PAGE>

  


                                    ARTICLE 4

                   REPRESENTATIONS AND WARRANTIES OF THE FUNDS

         Each Fund  represents  and  warrants to the  Company,  severally  as to
itself and not jointly, as of the date hereof and as of the Closing Date that:

         SECTION 4.01.  Organization.  Such Fund is organized under the laws of
the State of Delaware.

         SECTION 4.02.  Power and  Authorization.  The  execution,  delivery and
performance  by such Fund of this  Agreement  are within the powers of such Fund
and have been duly authorized by all necessary  action on the part of such Fund.
This  Agreement   constitutes  a  valid  and  binding  agreement  of  such  Fund
enforceable  against  such  Fund in  accordance  with its  terms,  except as the
indemnification  under the  Registration  Rights  Agreement  may be  limited  by
applicable law and except as the enforcement hereof may be limited by applicable
bankruptcy,  insolvency,  reorganization,   moratorium  or  other  similar  laws
relating  to  or  affecting   creditors'   rights  generally  and  by  equitable
principles.

         SECTION 4.03. Governmental Authorization.  The execution,  delivery and
performance  by such Fund of this  Agreement  require no action by or in respect
of, or filing with,  any  governmental  body,  agency or official other than any
such  action  or filing as to which the  failure  to make or obtain  would  not,
individually  or in  the  aggregate,  have  a  material  adverse  effect  on the
condition (financial or otherwise), business, assets or results of operations of
such Fund.

         SECTION   4.04.   Non-contravention.   The   execution,   delivery  and
performance  by such Fund of this  Agreement do not and will not (i) violate the
certificate  or agreement of limited  partnership  of such Fund or (ii) assuming
compliance  with the  matters  referred  to in  Section  4.03,  violate  (x) any
applicable  law, rule or  regulation,  that, in the  experience of such Fund, is
normally  applicable to general business entities in relation to transactions of
the type contemplated by this Agreement or (y) any judgment,  injunction,  order
or decree binding on such Fund.

                                       14

<PAGE>



         SECTION 4.05.  Finders' Fees.  There is no investment  banker,  broker,
finder or other  intermediary which has been retained by or is authorized to act
on behalf of such Fund who might be entitled to any fee or commission  from such
Fund or any of its Affiliates upon consummation of the transactions contemplated
by this Agreement.

         SECTION  4.06.  Purchase for  Investment.  Such Fund is  acquiring  the
Shares and Warrants for  investment  for its own account and not with a view to,
or for sale in  connection  with,  any  distribution  thereof.  Such  Fund is an
"Accredited  Investor"  as such term is defined in  Regulation  D under the 1933
Act.

         SECTION  4.07.  Disclosure  of  Information.  Each Fund believes it has
received all the information it considers  necessary or appropriate for deciding
whether to purchase the Restricted Securities. Each Fund further represents that
it has had an opportunity to ask questions and receive  answers from the Company
regarding the terms and conditions of the sale of the Restricted Securities.

         SECTION 4.08.  Restricted  Securities.  Each Fund  understands that the
Restricted   Securities  it  is  purchasing  are  characterized  as  "restricted
securities"  under  the  federal  securities  laws  inasmuch  as they are  being
acquired from the Company in a transaction  not involving a public  offering and
that under such laws and applicable  regulations  such  securities may be resold
without registration under the 1933 Act, only in certain limited  circumstances.
In this  connection each Fund represents that it is familiar with Rule 144 under
the 1933 Act, as presently in effect,  and  understands  the resale  limitations
imposed thereby and by the 1933 Act.



                                    ARTICLE 5

                            COVENANTS OF THE COMPANY

         The Company agrees that:

         SECTION 5.01.  Notices of Certain  Events.  The Company shall  promptly
notify each Fund of:

         (a) any notice or other communication from any Person alleging that the
consent of such Person is or may be required in connection with the transactions
contemplated by this Agreement;


                                       15

<PAGE>



         (b)  any  notice  or  other  communication  from  any  governmental  or
regulatory agency or authority in connection with the transactions  contemplated
by this Agreement; and

         (c) any actions, suits, claims, investigations or proceedings commenced
or to its knowledge  threatened  against,  relating to or involving or otherwise
affecting  the Company or any  Subsidiary  that,  if pending on the date of this
Agreement,  would have been required to have been disclosed  pursuant to Section
3.11.

         SECTION  5.02.  Registration  Rights.  At  any  time  after  the  first
anniversary of the Closing Date,  each Fund shall have the  registration  rights
set forth in Exhibit A.

         SECTION  5.03.  Access to Book and  Records.  The Company  agrees that,
after  Closing and for so long as the Funds in the  aggregate  beneficially  own
directly or  indirectly at least 5% of the  outstanding  shares of Common Stock,
each  Fund will  have  access on  reasonable  terms to the  books,  records  and
employees  of the  Company  and its  Subsidiaries  and to the  provision  by the
Company  of all  information  reasonably  requested  by such  Fund,  subject  to
confidentiality obligations that at the time may be owed by the Company to third
parties, to appropriate confidentiality arrangements and requirements of law.


                                    ARTICLE 6

                             COVENANTS OF THE FUNDS

         Each Fund agrees that:

         SECTION 6.01.  Notices of Certain Events.  Such Fund shall promptly
notify the Company of:

         (a) any notice or other communication from any Person alleging that the
consent of such Person is or may be required in connection with the transactions
contemplated by this Agreement; and

         (b)  any  notice  or  other  communication  from  any  governmental  or
regulatory agency or authority in connection with the transactions  contemplated
by this Agreement.

         SECTION  6.02.  Agreement to Provide  Information.  Such Fund agrees to
provide to the Company in writing all information concerning such Fund as may be
reasonably necessary for the Company to prepare the Proxy Material and any other
current or future securities or regulatory reports or filings of the Company.

                                       16

<PAGE>



                                    ARTICLE 7

                     COVENANTS OF THE COMPANY AND THE FUNDS

         The parties hereto agree that:

         SECTION 7.01. Filings;  Consents. Each party hereto agrees to cooperate
with each other in good faith and to use its  reasonable  best efforts in making
all required governmental filings and obtaining at the earliest practicable date
all  necessary  approvals  and  consents  from  governmental  entities and third
parties.



                                    ARTICLE 8

                              ADDITIONAL COVENANTS

         SECTION 8.01. Board Representation;  Committees. (a) The Company agrees
that MSVP III Fund shall have the right to cause the  Company to  include,  as a
nominee for the Company's Board of Directors  recommended by the Board, a number
of Directors  (rounded down to the next whole number if the fraction referred to
below is less than  one-half  or, if  otherwise,  rounded  up to the next  whole
number)  that is equal to the product of the total  number of  Directors  on the
Board of  Directors  times a fraction the  numerator  of which is the  aggregate
number  of  Voting  Securities  owned  by  the  Funds  (assuming  conversion  of
securities   convertible   into  or  exercisable  or  exchangeable   for  Voting
Securities)  and  the  denominator  of  which  is the  total  number  of  Voting
Securities  outstanding;  provided that  notwithstanding  the foregoing,  if the
Funds beneficially own less than 5% of the outstanding  Voting Securities,  MSVP
III Fund shall no longer have the right to designate any nominee for election to
the Company's Board of Directors (the "Fund Nominees").

         (b) The Company  agrees to use its best efforts to increase the size of
the Board of Directors of the Company  promptly  after  Closing by the number of
Directors  as  determined  pursuant  to  Section  8.01(a)  and shall  appoint as
Directors of the Company (with a term expiring at the following  annual  meeting
of the Company's stockholders) such persons designated by MSVP III Fund.

         SECTION 8.02. Reports. The Company agrees that the financial statements
of the  Company  shall  be  audited  as of the  end of each  fiscal  year by the
Company's  independent  certified  public  accountants.  The  Company's  current
independent public accountants are Price Waterhouse LLP. In the event that Price
Waterhouse LLP ceases to be the Company's  accountants,  the Company agrees that
its independent public accountants  thereafter shall be a nationally  recognized
independent certified public accounting firm.

                                       17

<PAGE>



         SECTION 8.03.  Pre-emptive Rights. (a) If the Company shall, other than
pursuant  to any  Excluded  Issuance,  issue  any of its  Voting  Securities  or
Convertible Securities,  the Funds shall have the right to purchase for cash the
number or amount of such Voting Securities or Convertible Securities on the same
terms  and at the same  price as the  issue  price of such  Voting  Security  or
Convertible  Security (if such Voting Security or Convertible  Security is to be
issued for  consideration  other than  cash,  at a cash price  equal to the fair
market value of such non-cash consideration on the date the Company first agrees
to issue such Voting  Securities or Convertible  Securities) so that,  after the
issuance of all such Voting  Securities  or  Convertible  Securities,  the Funds
would,  in the  aggregate,  hold the same  proportional  interest of such equity
securities (or, in the case of Convertible  Securities,  to be outstanding  upon
conversion  or exercise  of all such  Convertible  Securities)  as is held by it
prior to the issuance of any such  additional  equity  securities or Convertible
Securities.  An "Excluded  Issuance" means any issuance of Voting  Securities or
Convertible  Securities  pursuant  to (i)  any  Common  Stock  Plan,  (ii)  upon
conversion  of  Convertible  Securities of the Company  outstanding  on the date
hereof,  (iii) upon an offering or sale to the public  registered under the 1933
Act, (iv) pursuant to a stock  dividend or stock split or other  subdivision  or
recombination  of Voting  Securities,  (v) in connection with any Acquisition or
financing  pursuant to an  Acquisition,  where the issuance is not registered at
the time of such  issuance  under  the 1933  Act,  (vi) in  connection  with any
equipment financing, collaborative arrangement or bank financing not intended to
provide equity financing, or (vii) any issuance pursuant to the Letter of Intent
between the Company and the Shady Grove  Shareholders (as defined therein) dated
January 22, 1998, in connection  with the acquisition of Shady Grove (as defined
therein).  In the event the Company proposes to issue securities  subject to the
provisions of this Section  8.03,  the Company shall  promptly  deliver  written
notice (a "Pre-emptive  Rights  Notice") of such proposed  issuance to the Funds
setting  forth the  material  terms and price.  Each  Fund's  right to  purchase
securities  under this Section  8.03 with respect to any issuance of  securities
shall  terminate 15 days after the  delivery of the  Pre-emptive  Rights  Notice
unless the Funds elect to purchase securities pursuant to such Notice by sending
written notice to the Company prior thereto.  The rights of the Funds under this
Section 8.03 shall terminate in their entirety upon the earlier of (i) the fifth
anniversary  of the  Closing  Date and  (ii)  the  Fund's  ownership  of  Voting
Securities is less than 2% of the outstanding number of Voting Securities.


                                       18

<PAGE>
         (b) For the purposes of this Section 8.03,  (i) the term  "Acquisition"
shall mean any  transaction,  including,  but not  limited  to, any  purchase of
stock,  assets or other  business  combination  not  intended to provide  equity
financing,  where the Company issues Voting Securities as consideration at a per
share  value  (based  on  the  fair  market  value  of  the  cash  and  non-cash
consideration  obtained or acquired by the  Company)  not less than the lower of
(x) the average  closing price per share of the Common Stock on the Nasdaq Stock
Market  over  the 10  trading  days  prior  to the  third  business  day  before
consummation  of such  transaction  and (y) the price as determined by a similar
market based formula set forth in the relevant transaction  agreement;  and (ii)
the term  "fair  market  value"  of any  non-cash  consideration  on the date in
question  shall mean the fair  market  value of such  consideration  as mutually
agreed by the Company and the Funds,  or if such parties are unable to agree, as
determined by an investment banking firm mutually agreeable to both parties.  In
the event that the parties are unable to agree on an  investment  banking  firm,
then each party shall select a third  investment  banking firm to determine  the
"fair market value" of any non-cash consideration. The fees and expenses of such
third  investment  banking  firm shall be borne  equally by the  Company and the
Funds.

         SECTION  8.04.  Voting  Arrangements.  MSVP  shall vote and cause to be
voted all  Voting  Securities  owned by the Funds for  nominees  to the Board of
Directors of the Company who have been  recommended  by the  Company's  Board of
Directors.
                                    ARTICLE 9
                                  TERMINATION

         SECTION 9.01.  Grounds for Termination.  This Agreement may be
terminated at any time:

         (a) by mutual written agreement of the Company and each Fund; or

         (b) by the Funds with  respect to all of their  respective  obligations
hereunder  if the Company  shall fail to nominate for election or appoint to the
Company's Board of Directors the persons designated by MSVP III Fund pursuant to
Section 8.01.

The party  desiring  to  terminate  this  Agreement  shall  give  notice of such
termination to each other party.

         SECTION 9.02. Effect of Termination. If this Agreement is terminated as
permitted by Section 9.01,  termination  shall be without liability of any party
(or  any  stockholder,   director,   officer,  employee,  agent,  consultant  or
representative  of such party) to the other parties to this Agreement;  provided
that if such  termination  shall result from the willful failure of any party to
fulfill a condition to the  performance of the obligations of any other party or
to perform a covenant of this Agreement or from a willful breach by any party to
this Agreement, such party shall be fully liable for any and all damage, loss or
expense  incurred  or suffered by the other party or parties as a result of such
failure or breach.  The  provisions  of  Sections  10.02 and 10.04  survive  any
termination  hereof pursuant to Section 9.01. The provisions of Section 5.02 and
the  Registration   Rights  Agreement  (Exhibit  A  hereto)  shall  survive  any
termination of this Agreement subsequent to the Closing.

                                       19

<PAGE>



                                   ARTICLE 10

                                  MISCELLANEOUS

         SECTION 10.01. Notices. All notices,  requests and other communications
to any party hereunder shall be in writing  (including  facsimile  transmission)
and shall be given,

         if to the Funds, to:

         Morgan Stanley Venture Partners
         1221 Avenue of the Americas
         33rd Floor
         New York, NY 10020
         Attention: M. Fazle Husain
         Fax: (212) 762-8424

         with a copy to:

         Davis Polk & Wardwell
         450 Lexington Avenue
         New York, NY 10017
         Attention: John A. Bick, Esq.
         Fax: (212) 450-4800

         if to the Company, to:

         IntegraMed America, Inc.
         One Manhattanville Road
         Purchase, NY 10577
         Attention: Gerardo Canet
         Fax: (914) 253-8008

         with a copy to:

         Bachner, Tally, Polevoy & Misher LLP
         380 Madison Avenue
         New York, NY 10017
         Attention: Alison S. Newman, Esq.
         Fax: (212) 682-5729

                                       20

<PAGE>



All such notices,  requests and other communications shall be deemed received on
the date of receipt by the recipient  thereof if received prior to 5 p.m. in the
place of  receipt  and  such  day is a  business  day in the  place of  receipt.
Otherwise, any such notice, request or communication shall be deemed not to have
been received until the next succeeding business day in the place of receipt.

         SECTION  10.02.  Survival.  The  representations  and warranties of the
parties  hereto  contained  in this  Agreement  or in any  certificate  or other
writing  delivered  pursuant hereto or in connection  herewith shall survive the
Closing until eighteen months after the Closing Date.

         SECTION  10.03.  Amendments  and  Waivers.  (a) Any  provision  of this
Agreement  may be amended or waived  prior to the Closing  Date if, but only if,
such  amendment  or  waiver  is in  writing  and is  signed,  in the  case of an
amendment,  by each party to this Agreement,  or in the case of a waiver, by the
party against whom the waiver is to be effective.

         (b) No failure or delay by any party in exercising any right,  power or
privilege  hereunder  shall operate as a waiver  thereof nor shall any single or
partial  exercise  thereof preclude any other or further exercise thereof or the
exercise of any other right, power or privilege.  The rights and remedies herein
provided  shall be  cumulative  and not  exclusive  of any  rights  or  remedies
provided by law.

         SECTION 10.04. Expenses. All costs and expenses incurred by the parties
hereto in connection with the transactions  contemplated by this Agreement shall
be the  responsibility of such party.  Notwithstanding  anything to the contrary
contained in this Section 10.04,  all reasonable fees and  disbursements  of the
Fund's legal counsel arising in connection with the transactions contemplated by
this Agreement (up to an amount equal to $25,000) shall be paid by the Company.

         SECTION 10.05. Successors and Assigns. The provisions of this Agreement
shall be binding  upon and inure to the benefit of the parties  hereto and their
respective  successors and assigns;  provided that except as expressly  provided
herein no party may assign,  delegate or otherwise transfer any of its rights or
obligations under this Agreement without the consent of each other party hereto.

         SECTION 10.06.  Governing Law. This Agreement  shall be governed by and
construed in accordance with the law of the State of New York, without regard to
the conflicts of law rules of such state.

         
                                       21

<PAGE>


         SECTION 10.07. Counterparts; Third Party Beneficiaries.  This Agreement
may be signed in any number of counterparts, each of which shall be an original,
with the same effect as if the signatures  thereto and hereto were upon the same
instrument. No provision of this Agreement is intended to confer upon any Person
other than the parties hereto any rights or remedies hereunder.

         SECTION 10.08.  Public  Announcements.  The Company and each Fund shall
agree on the form and  content of any public  announcements  which shall be made
concerning this Agreement or the transactions  contemplated  hereby, and neither
the  Company nor any Fund shall make any such  public  announcement  without the
consent of the other,  except with respect to any public  announcement  or other
public disclosure, to the extent either party determines, in good faith and with
the advice of counsel, such announcement or disclosure is required by law or the
rules or regulations of any exchange on which such party's securities are listed
or to  avoid  undue  risk  that the  transactions  contemplated  hereby  will be
enjoined or that such party, its officers,  directors or representatives will be
liable for damages as a result thereof.

         SECTION 10.09. Entire Agreement;  Exhibits.  This Agreement constitutes
the entire  agreement  among the parties with  respect to the subject  matter of
this Agreement and supersedes all prior agreements and understandings, both oral
and  written,  among the  parties  with  respect to the  subject  matter of this
Agreement. No representation,  inducement, promise, understanding,  condition or
warranty not set forth herein has been made or relied upon by any party  hereto.
All  exhibits  hereto  constitute  part of  this  Agreement  and  are  expressly
incorporated herein.

         SECTION  10.10.  Headings.  The  headings  and the  table  of  contents
appearing in this Agreement are inserted only as a matter of convenience and for
reference  and in no way define,  limit or describe the scope and intent of this
Agreement or any of the provisions hereof.

         IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
duly  executed by their  respective  authorized  officers as of the day and year
first above written.



                             INTEGRAMED AMERICA, INC.


                             By: /s/ Dwight Ryan
                                 ----------------
                             Name: Dwight Ryan
                             Title: Chief Financial Officer

                             MORGAN STANLEY VENTURE PARTNERS III, L.P.

                             By: Morgan Stanley Venture Partners III, L.L.C.
                                 its General Partner

                                       22

<PAGE>



                             By: Morgan Stanley Venture Capital III, Inc.,
                                 its Institutional Managing Member

                             By:   /s/ M. Fazle Husain
                                   -------------------
                             Name: M. Fazle Husain
                             Title:  General Partner

                             By:   /s/ M. Fazle Husain
                                   -------------------
                             Name: M. Fazle Husain
                             Title:General Partner

                             MORGAN STANLEY VENTURE INVESTORS III, L.P.

                             By: Morgan Stanley Venture Partners III, L.L.C.
                                 its General Partner
                             By: Morgan Stanley Venture Capital III, Inc.,
                                 its Institutional Managing Member

                             By:    /s/ M. Fazle Husain
                                    -------------------
                             Name:  M. Fazle Husain
                             Title: General Partner

                             By:   /s/ M. Fazle Husain
                                   -------------------
                             Name: M. Fazle Husain
                             Title:General Partner


                             THE MORGAN STANLEY VENTURE PARTNERS
                                    ENTREPRENEUR FUND, L.P.

                             By: Morgan Stanley Venture Partners III, L.L.C.
                                      its General Partner
                             By: Morgan Stanley Venture Capital III, Inc.,
                                      its Institutional Managing Member

                             By:    /s/ M. Fazle Husain
                                    -------------------
                             Name:  M. Fazle Husain
                             Title:  General Partner

                             By:    /s/ M. Fazle Husain
                                    --------------------
                             Name:  M. Fazle Husain
                             Title: General Partner

                                       23

<PAGE>



                                                                 Exhibit A



                               REGISTRATION RIGHTS



                                    ARTICLE 1

                                   DEFINITIONS

         SECTION 1.01.  Definitions.  Terms defined in the Investment  Agreement
(the "Agreement") dated as of January 23, 1998 among IntegraMed America, Inc., a
Delaware corporation (the "Company"), Morgan Stanley Venture Partners III, L.P.,
a  Delaware  limited  partnership  ("MSVP III  Fund"),  Morgan  Stanley  Venture
Investors III, L.P., a Delaware limited  partnership  ("Employee  Fund") and The
Morgan Stanley Venture  Partners  Entrepreneur  Fund,  L.P., a Delaware  limited
partnership  ("Entrepreneur  Fund")  are used  herein  as  therein  defined.  In
addition, the following terms, as used herein, have the following meanings:

         "Demand Registration" means a Demand Registration as defined in Section
2.01.

         "Form S-3  Registration"  means a Form S-3  Registration  as defined in
Section 2.03.

         "Holder"  means any  person or  persons  owning or having  the right to
acquire Registerable Securities.

         "Piggyback  Registration" means a Piggyback  Registration as defined in
Section 2.02.

         "Registerable  Securities" means shares of Common Stock owned from time
to time by any Fund and its partners and  Affiliates,  and any other  securities
issued by the Company in exchange for or upon conversion of any such securities.

         "Underwriter"  means a securities dealer who purchases any Registerable
Securities  as  principal  and  not  as  part  of  such  dealer's  market-making
activities.

                                        1

<PAGE>



                                    ARTICLE 2

                               REGISTRATION RIGHTS

         SECTION  2.01.  Demand  Registration.  (a) At any time  after the first
anniversary of the Closing Date,  Holders of at least fifty percent (50%) of the
Registerable Securities then outstanding may make up to two written requests for
registration under the 1933 Act of all or part of their Registerable  Securities
(a "Demand  Registration");  provided that the Company shall not be obligated to
effect a Demand  Registration for Registerable  Securities (i) more than once in
any 180 day period and (ii) for an aggregate  public offering price of less than
$5 million and not less than an aggregate of 1,000,000  Registerable  Securities
(as such number may be  adjusted  from time to time for any stock  split,  stock
dividend or other  recapitalization  or  reclassification).  Such  request  will
specify the number of shares of Registerable  Securities proposed to be sold and
will also specify the intended method of disposition thereof. In connection with
any  registration  pursuant to this Section 2.01, the Company shall give written
notice of such registration to its stockholders who have rights similar to those
set forth in Section 2.02, and such notice shall offer, subject to the terms and
conditions  hereof,  each stockholder the opportunity to register shares as each
stockholder may request on the same terms and conditions as the Holders' shares.
A  registration  will not count as a Demand  Registration  until a  registration
statement relating to such Demand Registration has become effective.

         (b) If Holders so elect, the offering of such  Registerable  Securities
pursuant to such  Demand  Registration  shall be in the form of an  underwritten
offering.  Holders  shall  have  the  right  to  appoint  Morgan  Stanley  & Co.
Incorporated  ("MS & Co."),  as the  book-running  and managing  Underwriter  in
connection with such offering and any additional investment bankers and managers
to be used in connection  with the offering.  If Holders  decline their right to
appoint MS & Co. as the book-running and managing Underwriter, the Company shall
select,  subject  to  approval  by Holders  of a  majority  of the  Registerable
Securities  subject to such  Demand  Registration,  the  book-running  and other
managing  Underwriters  in  connection  with such  offering  and any  additional
investment bankers and managers to be used in connection with the offering.  The
Company  shall be  obligated  to  cause  senior  management  of the  Company  to
participate in any "road-show" in connection with the offering.

         SECTION 2.02. Piggyback Registration. If the Company proposes to file a
registration  statement under the 1933 Act with respect to an offering of Common
Stock (i) for the Company's own account (other than a registration  statement on
Form S-4 or S-8 (or any substitute  form that may be adopted by the  Commission)
or  relating  solely to  securities  issued  pursuant  to any  present or future
restricted stock, stock option, stock purchase or dividend  reinvestment plan or
other  similar  type of plan of the Company  which  provides for the issuance of
equity  securities  or options or rights to purchase  equity  securities  of the
Company),  or (ii) for the  account of any of its  stockholders  (not  including
Holders),  then the Company shall give written notice of such proposed filing to
each Holder as soon as practicable (but in no event less than 15 days before the
anticipated filing date), and such notice shall offer,  subject to the terms and
conditions  hereof,  each Holder the  opportunity to register such  Registerable
Securities  as each Holder may request on the same terms and  conditions  as the
Company's or such stockholders' shares (a "Piggyback Registration").

                                        2

<PAGE>





         SECTION 2.03.  Form S-3  Registration.  (a) At any time after the first
anniversary  of the Closing  Date,  in case the Company  shall  receive from any
Holder  or  Holders  who hold in  excess of one  percent  (1%) of the  Company's
outstanding  Common Stock  (including  the number of shares of Common Stock into
which  Convertible  Securities  may be converted) a written  request or requests
that the Company effect a registration on Form S-3 and any related qualification
or compliance with respect to the  Registerable  Securities owned by such Holder
with an anticipated  aggregate offering price, net of discounts and commissions,
of more than $2.5 million (a "Form S-3 Registration"), the Company will:

          (i) promptly give written notice of the proposed registration, and any
         related  qualification or compliance,  to all other stockholders having
         registration  rights, and such notice shall offer, subject to the terms
         and conditions  hereof,  each  stockholder  the opportunity to register
         shares as each stockholder may request on the same terms and conditions
         as the Holders' shares; and

         (ii) as soon as  practicable,  effect  such  registration  and all such
         qualifications  and  compliances  as may be so  requested  and as would
         permit or facilitate the sale and  distribution  of all or such portion
         of such Holder's or Holders'  Registerable  Securities as are specified
         in such request,  together with all or such portion of the Registerable
         Securities  of any other  stockholders  joining in such  request as are
         specified in a written  request  given within 15 days after  receipt of
         such written  notice from the Company;  provided that the Company shall
         not be obligated to honor more than two  requests for  registration  on
         Form S-3 in any one year  period.  Registrations  effected  pursuant to
         this  Section   2.03(a)(ii)   shall  not  be  counted  as  demands  for
         registration or registrations effected pursuant to Section 2.01.

          (b) If Holder or Holders so elect,  the offering of such  Registerable
Securities  pursuant  to such Form S-3  Registration  shall be in the form of an
underwritten  offering.  Holders shall have the right to appoint MS & Co. as the
book-running  and managing  Underwriter in connection with such offering and any
additional  investment  bankers and managers to be used in  connection  with the
offering. If Holders decline their right to appoint MS & Co. as the book-running
and  managing  Underwriter,  the Company  shall  select,  subject to approval by
Holders of a majority of the  Registerable  Securities  subject to such Form S-3
Registration,  the  book-running  and other managing  Underwriters in connection
with such offering and any additional investment bankers and managers to be used
in connection with the offering.  The Company shall be obligated to cause senior
management of the Company to participate in any  "road-show" in connection  with
the offering.
         
                                        3

<PAGE>


         
         SECTION 2.04. Reduction of Offering. Notwithstanding anything contained
herein, if the managing  Underwriter or Underwriters of an offering described in
Section  2.01,  2.02 or 2.03  shall  advise  the  Company  that  the size of the
offering that Holder,  the Company and any other Persons  intend to make is such
that the success of the offering  would be materially  and  adversely  affected,
then the amount of  Registerable  Securities  to be offered  for the  account of
Holder  shall be reduced to the extent  necessary  to reduce the total amount of
securities  to be included in such  offering to the amount  recommended  by such
managing Underwriter or Underwriters;  provided that (x) in the case of a Demand
Registration  by  Holders or Form S-3  Registration  pursuant  to  Section  2.03
hereof,  the amount of Registerable  Securities to be offered for the account of
the Holder  shall be  reduced  only  after (1) the  amount of  securities  to be
offered for the account of such other Persons has been reduced to zero, and then
(2) the amount of  securities  to be offered  for the account of the Company has
been reduced to zero, and (y) in the case of a Piggyback  Registration  (1) that
is initiated by the Company for its own account and where  securities  are being
offered for the account of Persons other than the Company,  then the  proportion
by which the amount of such Registerable  Securities  intended to be offered for
the account of Holder is reduced  shall not exceed the  proportion  by which the
amount of such  securities  intended to be offered for the account of such other
Persons is reduced, such reduction shall be effected before any reduction of the
number of  securities  offered  for the account of the  Company,  or (2) that is
initiated  for the  account of Persons  other  than the  Company,  the amount of
Registerable  Securities  to be offered for the account of the Company,  if any,
shall be reduced only after (A) the amount of  securities  to be offered for the
account  of  Holders  has been  reduced  to zero,  and  then (B) the  amount  of
securities  to be offered for the account of such other Persons has been reduced
to zero.

         SECTION 2.05. General  Limitations.  Any Demand Registration  requested
under  Section  2.01  shall,  if the Company is eligible to use Form S-3 (or any
successor  form) under the 1933 Act,  be  effected  on a Form S-3  Registration.
Notwithstanding  anything to the contrary in this  Article 2, the Company  shall
not be obligated pursuant to Section 2.01 and Section 2.03 hereof to effect more
than an aggregate of two registrations in any one year period.

                                        4

<PAGE>



                                    ARTICLE 3

                             REGISTRATION PROCEDURES

         SECTION 3.01. Filings; Information. Whenever a Holder requests a Demand
Registration or Form S-3 Registration,  the Company will use its best efforts to
effect  the  registration  of  such   Registerable   Securities  as  quickly  as
practicable, and in connection with any such request:

         (a) The Company will as expeditiously as possible prepare and file with
the Commission a  registration  statement on any form for which the Company then
qualifies and which counsel for the Company shall deem appropriate and available
for the sale of the  Registerable  Securities  to be  registered  thereunder  in
accordance with the intended method of distribution  thereof, and use reasonable
best  efforts to cause such filed  registration  statement  to become and remain
effective  for a period  of not less  than 120  days;  provided  that (i) if the
Company  shall furnish to Holder a  certificate  signed by its  Chairman,  Chief
Executive  Officer or Chief  Financial  Officer  stating that in his or her good
faith  judgment it would be  detrimental  or  otherwise  disadvantageous  to the
Company or its stockholders  for such a registration  statement to be filed, or,
in the case of an  effective  registration  statement,  for sales to be effected
thereunder,  the  Company  shall have a period of not more than 120 days  within
which to file such registration  statement  measured from the date of receipt of
the request in  accordance  with  Section  2.01 or, in the case of an  effective
registration  statement,  the Company  shall be  entitled  to require  Holder to
refrain from selling Registerable  Securities under such registration  statement
for a period of up to 120 days and (ii) the Company  shall not be  obligated  to
file any  registration  statement  pursuant  to Sections  2.01 and Section  2.03
hereof if the  Company has filed  within the  previous  120 days a  registration
statement under the 1933 Act (other than on Form S-8); provided further that, in
the case of a registration  statement to be filed, the Company shall be entitled
to only  one 120  day  delay  in any 360  day  period,  and,  in the  case of an
effective  registration  statement,  the  Company  shall be  entitled to require
Holder to refrain from selling  Registerable  Securities under such Registration
Statement  for an  aggregate  of 120 days in any 360 day period.  If the Company
furnishes a notice under this paragraph at a time when a registration  statement
filed  pursuant to this  Agreement is  effective,  the Company  shall extend the
period during which such registration statement shall be maintained effective as
provided in this Section  3.01(a) hereof by the number of days during the period
from and including the date of the giving of notice under this  paragraph to the
date when sales under the registration statement may recommence.

        
                                        5

<PAGE>


         (b) The Company will, if requested,  prior to filing such  registration
statement or any amendment or supplement  thereto,  furnish to a  representative
designated by Holders of a majority of the  Registerable  Securities  covered by
such  registration  statement  and each  managing  Underwriter,  if any,  copies
thereof,  and thereafter  furnish to each Holder and each such  Underwriter,  if
any, such number of copies of such  registration  statement,  each amendment and
supplement  thereto (in each case  including all exhibits  thereto and documents
incorporated  by  reference  therein)  and  the  prospectus   included  in  such
registration statement (including each preliminary prospectus) as such Holder or
such  Underwriter may reasonably  request in order to facilitate the sale of the
Registerable Securities.

         (c) After the filing of the  registration  statement,  the Company will
promptly notify each Holder of any stop order issued or, to the knowledge of the
Company,  threatened  to be  issued  by the  Commission  and take all  necessary
actions  required  to  prevent  the entry of such stop  order or to remove it if
entered.

         (d) The Company  will use its  reasonable  best  efforts to qualify the
Registerable  Securities for offer and sale under such other  securities or blue
sky laws of such  jurisdictions  in the United States as Holders  reasonably (in
light of Holders'  intended  plan of  distribution)  request;  provided that the
Company  will not be  required to (i)  qualify  generally  to do business in any
jurisdiction  where it would not  otherwise  be required to qualify but for this
paragraph (d), (ii) subject itself to taxation in any such jurisdiction or (iii)
generally consent to service of process in any such jurisdiction.

         (e) The Company shall, as promptly as practicable,  notify each Holder,
at  any  time  when  a  prospectus  relating  to the  sale  of the  Registerable
Securities  is required by law to be  delivered in  connection  with sales by an
Underwriter or dealer,  of the occurrence of an event  requiring the preparation
of a supplement  or amendment to such  registration  statement or  prospectus so
that, as thereafter delivered to the purchasers of such Registerable Securities,
such  registration  statement or prospectus will not contain an untrue statement
of a material  fact or omit to state any  material  fact  required  to be stated
therein  or  necessary  to make  the  statements  therein,  in the  light of the
circumstances  under which they were made,  not  misleading,  and as promptly as
practicable  make  available  to  Holders  and  to  the  Underwriters  any  such
supplement  or amendment.  Each Holder  agrees that,  upon receipt of any notice
from the  Company of the  happening  of any event of the kind  described  in the
preceding  sentence,  Holder will  forthwith  discontinue  the offer and sale of
Registerable  Securities  pursuant to the registration  statement  covering such
Registerable  Securities  until  receipt of the copies of such  supplemented  or
amended  prospectus  and, if so directed by the Company,  Holder will deliver to
the  Company  all  copies,  other than  permanent  file  copies then in Holder's
possession,  of the most recent prospectus covering such Registerable Securities
at the time of receipt of such notice.  In the event the Company shall give such
notice,  the Company  shall  extend the period  during  which such  registration
statement shall be maintained effective as provided in Section 3.01(a) hereof by
the number of days during the period from and  including  the date of the giving
of such notice to the date when the Company shall make available to Holders such
supplemented or amended prospectus.

                                        6

<PAGE>




         (f) The Company  will enter into  customary  agreements  (including  an
underwriting  agreement in customary form and satisfactory in form and substance
to the Company in its  reasonable  judgment)  and take such other actions as are
reasonably  required  in  order  to  expedite  or  facilitate  the  sale of such
Registerable Securities.

          (g) The  Company  will  furnish to each  Holder  and to each  managing
Underwriter,  if any, a signed  counterpart,  addressed  to each Holder and each
Underwriter,  of (i) an opinion or opinions of counsel to the Company and (ii) a
comfort  letter  or  comfort  letters  from  the  Company's  independent  public
accountants,  each in  customary  form and  covering  such  matters  of the type
customarily covered by opinions or comfort letters delivered to such parties.

          (h) The Company will make generally available to its  securityholders,
as soon as reasonably practicable, an earnings statement covering a period of 12
months,   beginning  within  three  months  after  the  effective  date  of  the
registration statement, which earnings statement shall satisfy the provisions of
Section 11(a) of the 1933 Act.

          (i)  The  Company  will  use  its  best  efforts  to  cause  all  such
Registerable  Securities covered by such Registration  Statement to be listed on
each securities  exchange on which similar  securities issued by the Company are
then listed.

         The Company may require  each Holder  promptly to furnish in writing to
the Company such information  regarding such Holder, the plan of distribution of
the Registerable  Securities and other  information as the Company may from time
to time reasonably request or as may be legally required in connection with such
registration.

         SECTION 3.02.  Registration  Expenses.  In  connection  with any Demand
Registration, Piggyback Registration or Form S-3 Registration, the Company shall
pay the following  expenses  incurred in connection with such  registration (the
"Registration  Expenses"):  (i) all  filing  fees  with the  Commission  and the
National Association of Securities Dealers, (ii) fees and expenses of compliance
with securities or blue sky laws (including reasonable fees and disbursements of
counsel  in  connection  with  blue  sky   qualifications  of  the  Registerable
Securities),  (iii) printing  expenses,  (iv) the fees and expenses  incurred in
connection  with  the  listing  of the  Registerable  Securities,  (v)  fees and
expenses of counsel and independent certified public accountants for the Company
(including  the  expenses of any  comfort  letters  pursuant to Section  3.01(g)
hereof) and (vi) the  reasonable  fees and  expenses of any  additional  experts
retained by the Company in connection with such registration.  Each Holder shall
pay any underwriting fees, discounts or commissions and the fees and expenses of
counsel to the Holders of  Registerable  Securities  attributable to the sale of
Registerable  Securities of such Holder.  The Company shall pay internal Company
expenses  (including,  without  limitation,  all  salaries  and  expenses of its
officers and employees performing legal or accounting duties).

                                        7

<PAGE>


                                    ARTICLE 4

                        INDEMNIFICATION AND CONTRIBUTION

         SECTION 4.01.  Indemnification  by the Company.  The Company  agrees to
indemnify and hold harmless each Holder,  its officers and  directors,  and each
Person, if any, who controls such Holder within the meaning of either Section 15
of the 1933 Act or  Section  20 of the  1934  Act from and  against  any and all
losses,  claims,  damages  and  liabilities  caused by any untrue  statement  or
alleged  untrue  statement  of a material  fact  contained  in any  registration
statement or prospectus  relating to the Registerable  Securities (as amended or
supplemented  if the Company shall have  furnished any amendments or supplements
thereto) or any  preliminary  prospectus  (including  documents  incorporated by
reference  therein),  or caused by any  omission  or alleged  omission  to state
therein a material fact  required to be stated  therein or necessary to make the
statements  therein  not  misleading,  except  insofar as such  losses,  claims,
damages or  liabilities  are caused by any such untrue  statement or omission or
alleged untrue statement or omission based upon information furnished in writing
to the  Company  by or on  behalf  of such  Holder  expressly  for use  therein;
provided that the foregoing  indemnity agreement with respect to any preliminary
prospectus  shall not inure to the  benefit of such Holder if a copy of the then
current prospectus was not provided to purchaser at or prior to the time of such
purchase and such current  prospectus would have cured the defect giving rise to
such loss,  claim,  damage or  liability or for any sales  occurring  during the
period in which the Company is not required to keep the  registration  statement
effective as provided in Section  3.01(a) or after the Company has informed such
Holder  under  Section  3.01(e) and prior to the  delivery by the Company of any
supplement or amendment to such prospectus. The Company also agrees to indemnify
any  Underwriters of the Registerable  Securities,  their officers and directors
and each person who controls such  underwriters on substantially  the same basis
as that of the indemnification of such Holder provided in this Section 4.01.

         

                                        8

<PAGE>


         SECTION  4.02.   Indemnification  by  Holder.  Each  Holder  agrees  to
indemnify and hold harmless the Company,  its officers and  directors,  and each
Person, if any, who controls the Company within the meaning of either Section 15
of the  1933  Act or  Section  20 of the  1934  Act to the  same  extent  as the
foregoing  indemnity from the Company to such Holder, but only with reference to
information  furnished in writing by or on behalf of such Holder  expressly  for
use in any  registration  statement or prospectus  relating to the  Registerable
Securities,   or  any  amendment  or  supplement  thereto,  or  any  preliminary
prospectus.  Each Holder also agrees to indemnify and hold harmless Underwriters
of the Registerable Securities, their officers and directors and each person who
controls  such  Underwriters  on  substantially  the  same  basis as that of the
indemnification of the Company provided in this Section 4.02.

         SECTION  4.03.  Conduct  of  Indemnification  Proceedings.  In case any
proceeding  (including  any  governmental  investigation)  shall  be  instituted
involving  any Person in respect of which  indemnity  may be sought  pursuant to
Section  4.01 or 4.02,  such Person (the  "Indemnified  Party")  shall  promptly
notify the Person against whom such  indemnity may be sought (the  "Indemnifying
Party")  in  writing  and  the  Indemnifying  Party,  upon  the  request  of the
Indemnified  Party,  shall  retain  counsel  reasonably   satisfactory  to  such
Indemnified  Party to  represent  such  Indemnified  Party  and any  others  the
Indemnifying  Party may designate in such  proceeding and shall pay the fees and
disbursements  of  such  counsel  related  to  such  proceeding.   In  any  such
proceeding,  any  Indemnified  Party  shall  have the  right to  retain  its own
counsel,  but the fees and expenses of such  counsel  shall be at the expense of
such  Indemnified  Party unless (i) the  Indemnifying  Party and the Indemnified
Party shall have  mutually  agreed to the  retention of such counsel or (ii) the
named parties to any such proceeding  (including any impleaded  parties) include
both the Indemnified Party and the Indemnifying Party and representation of both
parties  by the  same  counsel  would,  in the  opinion  of  counsel  reasonably
acceptable  to  the  Indemnifying  Party,  be  inappropriate  due to  actual  or
potential   differing   interests  between  them.  It  is  understood  that  the
Indemnifying  Party  shall not, in  connection  with any  proceeding  or related
proceedings  in the same  jurisdiction,  be liable for the fees and  expenses of
more than one separate firm of attorneys  (in addition to any local  counsel) at
any time for all such Indemnified  Parties,  and that all such fees and expenses
shall be reimbursed as they are incurred.  In the case of any such separate firm
for the  Indemnified  Parties,  such firm shall be  designated in writing by the
Indemnified  Parties.  The  Indemnifying  Party  shall  not be  liable  for  any
settlement  of any  proceeding  effected  without  its written  consent,  but if
settled with such consent,  or if there be a final  judgment for the  plaintiff,
the  Indemnifying  Party shall  indemnify  and hold  harmless  such  Indemnified
Parties from and against any loss or liability  (to the extent  stated above) by
reason of such settlement or judgment.

         
                                        9

<PAGE>


         SECTION 4.04. Contribution. If the indemnification provided for in this
Article 4 is  unavailable to the  Indemnified  Parties in respect of any losses,
claims, damages or liabilities referred to herein, then each Indemnifying Party,
in lieu of indemnifying such Indemnified  Party,  shall contribute to the amount
paid or payable by such  Indemnified  Party as a result of such losses,  claims,
damages or liabilities  (i) in such  proportion as is appropriate to reflect the
relative  benefits  received by the Company and each Holder from the offering of
the  securities,  or (ii) if the allocation  provided by clause (i) above is not
permitted by applicable law, in such proportion as is appropriate to reflect not
only the relative benefits referred to in clause (i) but also the relative fault
of the Company and each Holder in  connection  with the  statements or omissions
which resulted in such losses,  claims,  damages or liabilities,  as well as any
other relevant equitable  considerations.  The relative benefits received by the
Company  and each  Holder  shall be deemed to be in the same  proportion  as the
total proceeds from the offering (net of underwriting  discounts and commissions
but before deducting  expenses) received by the Company and each Holder, in each
case as set forth in the table on the cover page of the prospectus,  bear to the
aggregate  public  offering price of the  securities.  The relative fault of the
Company and each Holder shall be determined by reference to, among other things,
whether  the  untrue or  alleged  untrue  statement  of a  material  fact or the
omission or alleged  omission to state a material  fact  relates to  information
supplied by such party and the parties'  relative intent,  knowledge,  access to
information and opportunity to correct or prevent such statement or omission.

         The  Company  and  each  Holder  agree  that it  would  not be just and
equitable if  contribution  pursuant to this Section 4.04 were determined by pro
rata allocation or by any other method of allocation which does not take account
of  the  equitable  considerations  referred  to in  the  immediately  preceding
paragraph. The amount paid or payable by an Indemnified Party as a result of the
losses,  claims, damages or liabilities referred to in the immediately preceding
paragraph  shall be deemed to  include,  subject  to the  limitations  set forth
above, any legal or other expenses reasonably incurred by such Indemnified Party
in  connection  with  investigating  or defending  any such action or claim.  No
person  guilty of  fraudulent  misrepresentation  (within the meaning of Section
11(f) of the 1933 Act) shall be entitled to contribution from any person who was
not guilty of such fraudulent misrepresentation.



                                    ARTICLE 5

                                  MISCELLANEOUS

         SECTION 5.01. Participations in Underwritten  Registrations.  No Person
may participate in any underwritten  registered offering contemplated  hereunder
unless such Person (a) agrees to sell its  securities  on the basis  provided in
any underwriting arrangements and (b) completes and executes all questionnaires,
powers of attorney,  indemnities,  underwriting  agreements and other  documents
reasonably required under the terms of such underwriting  arrangements and these
Registration Rights.

                                       10

<PAGE>



         SECTION  5.02.  Rule 144. The Company  covenants  that it will use best
efforts to file any  reports  required  to be filed by it under the 1933 Act and
the 1934 Act and that it will take such further action as Holders may reasonably
request,  all to the extent required from time to time to enable Holders to sell
Registerable  Securities  without  registration  under the 1933 Act  within  the
limitation  of the  exemptions  provided by Rule 144 under the 1933 Act, as such
Rule  may be  amended  from  time to time,  or any  similar  rule or  regulation
hereafter adopted by the Commission.  Upon the request of a Holder,  the Company
will  deliver to such Holder a written  statement  as to whether it has complied
with such requirements.

         SECTION 5.03. Holdback Agreements. (a) Each Holder agrees not to offer,
sell, contract to sell or otherwise dispose of any Registerable  Securities,  or
any  securities  convertible  into  or  exchangeable  or  exercisable  for  such
securities,  from the date of filing of a registration statement relating to the
sale of Registerable  Securities through the 90 day period beginning on the date
of the  first  sale of  Registerable  Securities  pursuant  to the  registration
statement  other than the  Registerable  Securities  to be sold pursuant to such
registration statement.

         (b)  The  Company  agrees  not to  offer,  sell,  contract  to  sell or
otherwise dispose of any securities similar to the Registerable Securities to be
sold pursuant  hereto,  or any securities  convertible  into or  exchangeable or
exercisable for such securities,  during the 14 days prior to, and during the 90
day  period  beginning  on, the  effective  date of any  registration  statement
registering the  Registerable  Securities  other than any shares of Common Stock
sold upon the exercise of an option or warrant or the  conversion  of a security
outstanding  at such date or pursuant to any Common  Stock Plan or issued by the
Company as consideration for an acquisition or other transaction not intended to
provide equity financing.

         SECTION 5.04.  Termination  of Company  Obligations.  All  registration
rights  provided  hereunder  shall  terminate with respect to any Holder at such
time as such Holder  holds less than 5% of the  outstanding  common stock and is
able  to  sell  all  of its  Registerable  Securities  under  Rule  144  without
registration under the 1933 Act during any single three month period.



                                               11
<PAGE>

                                                                      Exhibit B
                            INTEGRAMED AMERICA, INC.






                      WARRANT FOR THE PURCHASE OF SHARES OF
                    COMMON STOCK OF INTEGRAMED AMERICA, INC.


No. ____                                                     Warrant to Purchase
                                                                _________ Shares


                THIS SECURITY HAS NOT BEEN REGISTERED UNDER THE
                SECURITIES ACT OF 1933, AS AMENDED, OR ANY STATE
                SECURITIES LAWS AND MAY NOT BE OFFERED OR SOLD
                EXCEPT IN COMPLIANCE THEREWITH.

         FOR VALUE RECEIVED,  INTEGRAMED AMERICA,  INC., a Delaware  corporation
(the  "Company"),  hereby  certifies that [Name of Morgan Stanley Venture Fund],
its successor or permitted assigns (the "Holder"),  is entitled,  subject to the
provisions of this Warrant, to purchase from the Company, at the times specified
herein, a number of fully paid and non-assessable  shares of Common Stock of the
Company,  par value $.01 per share (the  "Common  Stock"),  equal to the Warrant
Shares  (as  hereinafter  defined)  at a purchase  price per share  equal to the
Exercise  Price (as  hereinafter  defined).  The number of Warrant  Shares to be
received upon the exercise of this Warrant is subject to adjustment from time to
time as hereinafter set forth.

         1.  Definitions.  (a) The  following  terms,  as used herein,  have the
following meanings:

         "Affiliate"  shall  have the  meaning  given to such term in Rule 12b-2
promulgated under the Securities and Exchange Act of 1934, as amended.

         "Business Day" means any day except a Saturday,  Sunday or other day on
which commercial banks in the City of New York are authorized by law to close.

         "Common Stock" means the Common Stock, par value $.01 per share, of the
Company.

         "Duly  Endorsed"  means duly endorsed in blank by the Person or Persons
in  whose  name a stock  certificate  is  registered  or  accompanied  by a duly
executed stock  assignment  separate from the certificate  with the signature(s)
thereon  guaranteed  by a  commercial  bank or trust  company  or a member  of a
national  securities  exchange  or of the  National  Association  of  Securities
Dealers, Inc.

         "Exercise Price" means $.01 per Warrant Share.

         "Expiration  Date" means the fourth  anniversary  of the date hereof at
5:00 p.m. New York City time.

         "Investment  Agreement"  means  the  Investment  Agreement  dated as of
January 23, 1998 among the Company and the Shareholders  listed on the signature
pages  thereto,  providing  for the purchase and issuance of the Shares and this
Warrant.

         "Person" means an individual,  partnership,  corporation,  trust, joint
stock company, association,  joint venture, or any other entity or organization,
including a government or political  subdivision or an agency or instrumentality
thereof.

         "Principal  Holder"  means the  original  Holder of this Warrant on the
date of issue,  or if such original  Holder so elects,  any transferee of all or
any portion of this Warrant whom such original  Holder shall have  designated by
written notice to the Company as the successor  Principal Holder.  Any successor
Principal Holder designated pursuant to the immediately preceding sentence shall
also have the right  upon any  subsequent  transfer  to  designate  a  successor
Principal Holder in the manner described above.


                                      1
<PAGE>


         "Shareholders"  means the Shareholders listed on the signature pages to
the Investment Agreement.

         "Shares" means the shares of Common Stock purchased by the
Shareholders pursuant to the Investment Agreement.

         "Warrant Shares" means the ________ shares of Common Stock  deliverable
upon exercise of this Warrant, as adjusted from time to time.

         (b)  Capitalized  terms  used but not  defined  herein  shall  have the
meanings given them in the Investment Agreement.

         2. Exercise of Warrant.

              (a) The Holder is entitled to exercise this Warrant in whole or in
         part at any time, or from time to time,  until the Expiration  Date or,
         if such day is not a Business Day, then on the next succeeding day that
         shall be a Business  Day. To exercise  this  Warrant,  the Holder shall
         execute  and  deliver  to  the  Company  a  Warrant   Exercise   Notice
         substantially  in the form  annexed  hereto.  No earlier  than ten days
         after delivery of the Warrant Exercise Notice, the Holder shall deliver
         to the Company this Warrant Certificate, including the Warrant Exercise
         Subscription  Form  forming a part hereof duly  executed by the Holder,
         together  with  payment of the  applicable  Exercise  Price.  Upon such
         delivery  and  payment,  the Holder shall be deemed to be the holder of
         record of the Warrant Shares subject to such exercise,  notwithstanding
         that the stock  transfer  books of the Company  shall then be closed or
         that  certificates  representing  such Warrant Shares shall not then be
         actually delivered to the Holder.

              (b) The  Exercise  Price  may be paid in cash or by  certified  or
         official bank check or bank cashier's check payable to the order of the
         Company or by any combination of such cash or check.  The Company shall
         pay any and all  documentary,  stamp or similar issue or transfer taxes
         payable in respect of the issue or delivery of the Warrant Shares.

              (c) If the Holder  exercises  this  Warrant in part,  this Warrant
         Certificate shall be surrendered by the Holder to the Company and a new
         Warrant Certificate of the same tenor and for the unexercised number of
         Warrant  Shares  shall be executed by the  Company.  The Company  shall
         register  the new Warrant  Certificate  in the name of the Holder or in
         such name or names of its transferee  pursuant to paragraph 6 hereof as
         may be  directed  in writing by the Holder and  deliver the new Warrant
         Certificate to the Person or Persons entitled to receive the same.

              (d) Upon surrender of this Warrant  Certificate in conformity with
         the foregoing  provisions,  the Company shall transfer to the Holder of
         this  Warrant  Certificate  appropriate  evidence of  ownership  of the
         shares of Common Stock or other  securities or property  (including any
         money) to which the Holder is entitled,  registered or otherwise placed
         in, or payable to the order of, the name or names of the Holder or such
         transferee  as may be  directed  in  writing by the  Holder,  and shall
         deliver such evidence of ownership and any other securities or property
         (including any money) to the Person or Persons  entitled to receive the
         same,  together  with an  amount in cash in lieu of any  fraction  of a
         share as provided in paragraph 5 below.

         3. Restrictive Legend. Certificates representing shares of Common Stock
issued pursuant to this Warrant shall bear a legend substantially in the form of
the legend set forth on the first page of this Warrant Certificate to the extent
that and for so long as such  legend  is  required  pursuant  to the  Investment
Agreement.

         4.  Reservation of Shares.  The Company hereby agrees that at all times
there shall be reserved for issuance and delivery  upon exercise of this Warrant
such  number of its  authorized  but  unissued  shares of Common  Stock or other
securities  of the  Company  from time to time  issuable  upon  exercise of this
Warrant as will be  sufficient  to permit the exercise in full of this  Warrant.
All such shares shall be duly  authorized  and, when issued upon such  exercise,
shall be validly issued,  fully paid and  non-assessable,  free and clear of all
liens,  security  interests,  charges and other  encumbrances or restrictions on
sale and free and clear of all preemptive rights, except to the extent set forth
in the Investment Agreement.


                                       2
<PAGE>

         5.  Fractional  Shares.  No  fractional  shares  or scrip  representing
fractional  shares shall be issued upon the exercise of this Warrant and in lieu
of delivery of any such fractional share upon any exercise  hereof,  the Company
shall pay to the Holder an amount in cash equal to such  fraction  multiplied by
the Current Market Price Per Common Share at the date of such exercise.  For the
purpose of any computation under this paragraph 5, on any determination date the
Current  Market  Price  Per  Common  Share  shall be  deemed  to be the  average
(weighted by daily  trading  volume) of the Daily Prices (as defined  below) per
share of the  applicable  class of Common Stock for the 20  consecutive  trading
days immediately  prior to such date.  "Daily Price" means (A) the last reported
sale  price on such day if the Common  Stock is listed on a national  securities
exchange or admitted to unlisted  trading  privileges on such exchange or listed
for trading on the Nasdaq National Market; or (B) if the shares of such class of
Common Stock then are not so listed or admitted to unlisted  trading  privileges
but is traded on the Nasdaq Small Cap Market, the average of the closing bid and
asked  prices  for such day on such  market  and if the  Common  Stock is not so
traded,  the current market value shall be the mean of the last reported bid and
asked  prices  reported by the  National  Quotation  Bureau,  Inc.,  on the last
business day prior to the determination  date. If on any determination  date the
shares of such class of Common  Stock are not so listed or  admitted to unlisted
trading  privileges  and bid and asked prices are not so  reported,  the Current
Market  Price Per Common  Share shall be the fair market value of such shares on
such  determination  date  as  determined  by the  Board  of  Directors.  If the
Principal Holder shall object to any  determination by the Board of Directors of
the Current  Market Price Per Common Share,  the Current Market Price Per Common
Share shall be the fair market value per share of the applicable class of Common
Stock as determined by an independent  appraiser  retained by the Company at its
expense and reasonably  acceptable to the Principal Holder.  For purposes of any
computation  under  this  paragraph  5, the  number of  shares  of Common  Stock
outstanding  at any given time shall not include  shares owned or held by or for
the account of the Company.

         6. Exchange, Transfer or Assignment of Warrant.

              (a) This  Warrant  Certificate  and all rights  hereunder  are not
         transferable by the registered  holder hereof except to any Person who,
         prior to such  transfer,  agrees  in  writing,  in form  and  substance
         reasonably satisfactory to the Company, to be bound by the terms of the
         Investment  Agreement in accordance with the provisions  thereof.  Each
         taker and holder of this Warrant  Certificate  by taking or holding the
         same,  consents  and agrees that the  registered  holder  hereof may be
         treated by the Company and all other persons  dealing with this Warrant
         Certificate  as the  absolute  owner  hereof for any purpose and as the
         person entitled to exercise the rights represented hereby.

              (b)  The  Holder  of  this  Warrant  shall  be  entitled,  without
         obtaining  the  consent  of the  Company to assign  and  transfer  this
         Warrant,  at any  time in whole  or from  time to time in part,  to any
         Person or Persons. Subject to the preceding sentence, upon surrender of
         this  Warrant  to the  Company,  together  with  the  attached  Warrant
         Assignment  Form duly  executed,  the Company  shall,  without  charge,
         execute  and  deliver  a new  Warrant  in the name of the  assignee  or
         assignees  named in such  instrument of assignment and, if the Holder's
         entire  interest is not being  assigned,  in the name of the Holder and
         this Warrant shall promptly be canceled.

         7. Loss or  Destruction  of  Warrant.  Upon  receipt by the  Company of
evidence  satisfactory  to it (in the exercise of its reasonable  discretion) of
the loss, theft, destruction or mutilation of this Warrant Certificate,  and (in
the  case  of  loss,   theft  or   destruction)   of   reasonably   satisfactory
indemnification,   and  upon   surrender  and   cancellation   of  this  Warrant
Certificate,  if mutilated,  the Company shall execute and deliver a new Warrant
Certificate of like tenor and date.


                                       3
<PAGE>

         8.  Anti-dilution  Provisions.  In case the  Company  shall at any time
after the date hereof (i) declare a dividend  or make a  distribution  on Common
Stock payable in Common Stock,  (ii) subdivide or split the  outstanding  Common
Stock,  (iii) combine or reclassify the outstanding  Common Stock into a smaller
number  of  shares,  or  (iv)  issue  any  shares  of  its  capital  stock  in a
reclassification  of  Common  Stock  (including  any  such  reclassification  in
connection with a consolidation or merger in which the Company is the continuing
corporation),  the number of Warrant  Shares in effect at the time of the record
date  for  such  dividend  or  distribution  or of the  effective  date  of such
subdivision,  split,  combination or  reclassification  shall be proportionately
adjusted so that the exercise of this Warrant  after such time shall entitle the
holder to  receive  the  aggregate  number  of  shares of Common  Stock or other
securities  of the Company (or shares of any security  into which such shares of
Common  Stock have been  reclassified  pursuant to clause  8(a)(iii) or 8(a)(iv)
above) which, if this Warrant had been exercised immediately prior to such time,
such holder would have owned upon such  exercise and been entitled to receive by
virtue  of such  dividend,  distribution,  subdivision,  split,  combination  or
reclassification.  An adjustment made pursuant to this Section 8(a) shall become
effective  immediately  after such  record  date in the case of a dividend  or a
distribution  and  immediately  after  the  effective  date  in  the  case  of a
subdivision,  split,  combination or reclassification.  Such adjustment shall be
made successively whenever any event listed above shall occur.

         9.   Consolidation,   Merger,  or  Sale  of  Assets.  In  case  of  any
consolidation  of the Company  with,  or merger of the Company  into,  any other
Person, any merger of another Person into the Company (other than a merger which
does not result in any reclassification, conversion, exchange or cancellation of
outstanding  shares  of  Common  Stock)  or  any  sale  or  transfer  of  all or
substantially  all of the assets of the Company or of the Person  formed by such
consolidation  or resulting from such merger or which  acquires such assets,  as
the case may be, the Holder  shall have the right  thereafter  to exercise  this
Warrant  for the  kind  and  amount  of  securities,  cash  and  other  property
receivable upon such consolidation,  merger, sale or transfer by a holder of the
number of shares of Common Stock for which this Warrant may have been  exercised
immediately prior to such consolidation,  merger, sale or transfer, assuming (i)
such holder of Common Stock is not a Person with which the Company  consolidated
or into which the  Company  merged or which  merged into the Company or to which
such sale or transfer was made, as the case may be ("constituent Person"), or an
Affiliate  of a  constituent  Person  and (ii) in the  case of a  consolidation,
merger,  sale or transfer which includes an election as to the  consideration to
be received by the  holders,  such holder of Common Stock failed to exercise its
rights  of  election,  as to the kind or amount  of  securities,  cash and other
property receivable upon such consolidation,  merger, sale or transfer (provided
that if the kind or amount of  securities,  cash and other  property  receivable
upon such consolidation, merger, sale or transfer is not the same for each share
of Common Stock held immediately prior to such  consolidation,  merger,  sale or
transfer  by other than a  constituent  Person or an  Affiliate  thereof  and in
respect  of  which  such  rights  of  election  shall  not have  been  exercised
("non-electing  share"),  then for the purpose of this paragraph 9, the kind and
amount  of   securities,   cash  and  other   property   receivable   upon  such
consolidation,  merger,  sale or  transfer by each  non-electing  share shall be
deemed to be the kind and amount so  receivable  per share by a plurality of the
non-electing shares). Adjustments for events subsequent to the effective date of
such a consolidation, merger and sale of assets shall be as nearly equivalent as
may be practicable to the adjustments  provided for in this Warrant. In any such
event,  effective  provisions  shall be made in the  certificate  or articles of
incorporation  of the  resulting  or surviving  corporation,  in any contract of
sale,  conveyance,  lease or transfer,  or otherwise so that the  provisions set
forth herein for the  protection  of the rights of the Holder  shall  thereafter
continue to be applicable; and any such resulting or surviving corporation shall
expressly assume the obligation to deliver, upon exercise, such shares of stock,
other  securities,  cash and property.  The provisions of this paragraph 9 shall
similarly  apply  to  successive  consolidations,   mergers,  sales,  leases  or
transfers.

                                       4
<PAGE>

         10. Notices. Any notice,  demand or delivery authorized by this Warrant
Certificate shall be in writing and shall be given to the Holder, the Company or
the  Shareholder  Representative,  as  the  case  may  be,  at its  address  (or
telecopier number) set forth below, or such other address (or telecopier number)
as shall have been  furnished to the party giving or making such notice,  demand
or delivery:

         If to the Company:

                  IntegraMed America, Inc.
                  One Manhattanville Road
                  Purchase, New York 10577
                  Telecopy: (914) 253-8008
                  Attention: Gerardo Canet

         If to the Holder:

                  Morgan Stanley Venture Partners
                  1221 Avenue of the Americas
                  New York, New York 10020
                  Telecopy: (212) 762-8424
                  Attention:  M. Fazle Husain


                                       5
<PAGE>

Each  such  notice,  demand  or  delivery  shall  be  effective  (i) if given by
telecopy,  when such telecopy is  transmitted to the telecopy  number  specified
herein and the intended  recipient confirms the receipt of such telecopy or (ii)
if given by any other means, when received at the address specified herein.


         11.  Rights of the Holder.  Prior to the exercise of any  Warrant,  the
Holder shall not, by virtue  hereof,  be entitled to any rights of a shareholder
of the Company,  including,  without  limitation,  the right to vote, to receive
dividends or other distributions, to exercise any preemptive right or to receive
any notice of meetings of  shareholders  or any notice of any proceedings of the
Company except as may be specifically provided for herein.

         12.  GOVERNING  LAW. THIS WARRANT  CERTIFICATE  AND ALL RIGHTS  ARISING
HEREUNDER SHALL BE CONSTRUED AND DETERMINED IN ACCORDANCE WITH THE INTERNAL LAWS
OF THE STATE OF NEW YORK,  AND THE  PERFORMANCE  THEREOF  SHALL BE GOVERNED  AND
ENFORCED IN ACCORDANCE WITH SUCH LAWS.

         13. Amendments;  Waivers. Any provision of this Warrant Certificate may
be amended or waived if, and only if, such amendment or waiver is in writing and
signed,  in the case of an amendment,  by the Holder and the Company,  or in the
case of a waiver,  by the party against whom the waiver is to be  effective.  No
failure or delay by either  party in  exercising  any right,  power or privilege
hereunder  shall  operate  as a waiver  thereof  nor shall any single or partial
exercise  thereof preclude any other or further exercise thereof or the exercise
of any other right, power or privilege.  The rights and remedies herein provided
shall be cumulative and not exclusive of any rights or remedies provided by law.

         IN  WITNESS   WHEREOF,   the  Company  has  duly  caused  this  Warrant
Certificate  to be signed by its duly  authorized  officer and to be dated as of
January 23, 1998.

                                            INTEGRAMED AMERICA, INC.



                                            By:
                                                  Name:
                                                  Title:


Acknowledged and Agreed:

[Name of Morgan Stanley Venture Fund]


By:
      Title:


                                       6
<PAGE>

                                     WARRANT EXERCISE NOTICE

                        (To be delivered prior to exercise of the Warrant
                     by execution of the Warrant Exercise Subscription Form)


To:      IntegraMed America, Inc.

         The  undersigned  hereby  notifies you of its intention to exercise the
Warrant  to  purchase  shares of Common  Stock,  par value  $.01 per  share,  of
IntegraMed  America,  Inc.  The  undersigned  intends to exercise the Warrant to
purchase ___________ shares (the "Shares") at $.01 per Share (the Exercise Price
currently in effect pursuant to the Warrant). The undersigned intends to pay the
aggregate  Exercise Price for the Shares in cash,  certified or official bank or
bank cashier's check (or a combination of cash and check) as indicated below.

Date:_____________________________
     
                          _____________________________________________________
                          (Signature of Owner)


                          _____________________________________________________
                          (Street Address)


                          _____________________________________________________
                          (City)   (State)        (Zip Code)


Payment:  $__________________ cash

          $__________________ check



<PAGE>


                       WARRANT EXERCISE SUBSCRIPTION FORM

                (To be executed only upon exercise of the Warrant
                    after delivery of Warrant Exercise Notice)


To:      IntegraMed America, Inc.

         The undersigned  irrevocably  exercises the Warrant for the purchase of
___________  shares (the "Shares") of Common Stock, par value $.01 per share, of
IntegraMed  America,  Inc. (the "Company") at $.01 per Share (the Exercise Price
currently  in effect  pursuant to the Warrant)  and  herewith  makes  payment of
$___________  (such  payment being made in cash or by certified or official bank
or bank cashier's  check payable to the order of the Company or by any permitted
combination of such cash or check), all on the terms and conditions specified in
the within Warrant  Certificate,  surrenders  this Warrant  Certificate  and all
right,  title and  interest  therein to the Company and directs  that the Shares
deliverable  upon the  exercise of this Warrant be  registered  or placed in the
name and at the address specified below and delivered thereto.


Date:  _____________________________


                           ----------------------------------------------------
                          (Signature of Owner)


                           -----------------------------------------------------
                           (Street Address)


                           -----------------------------------------------------
                           (City)   (State)     (Zip Code)


<PAGE>

Securities and/or check to be issued to:_______________________________________

Please insert social security or identifying number:___________________________

Name: _________________________________________________________________________

Street Address:________________________________________________________________


City, State and Zip Code:______________________________________________________


Any unexercised portion of the Warrant evidenced by the within Warrant
Certificate to be issued to:

Please insert social security or identifying number: __________________________
                                                     

Name:__________________________________________________________________________
     

Street Address:________________________________________________________________


City, State and Zip Code:______________________________________________________
                         


<PAGE>


                             WARRANT ASSIGNMENT FORM



                                                    Dated ___________ ___, _____


         FOR VALUE RECEIVED, _______________________ hereby sells,

 assigns and transfers unto_____________________________(the "Assignee"),
                       (please type or print in block letters)

________________________________________________________________________________
                                (insert address)

its right to purchase up to shares of Common Stock represented by this Warrant
and does hereby irrevocably constitute and appoint _______________________
Attorney, to transfer the same on the books of the Company, with full power of
substitution in the premises.



                                    Signature:



                            INTEGRAMED AMERICA, INC.







                      WARRANT FOR THE PURCHASE OF SHARES OF
                    COMMON STOCK OF INTEGRAMED AMERICA, INC.


No. 1                                                        Warrant to Purchase
Void after January 23, 2002                                       210,655 Shares


         THIS SECURITY HAS NOT BEEN REGISTERED UNDER THE
         SECURITIES ACT OF 1933, AS AMENDED, OR ANY STATE
         SECURITIES LAWS AND MAY NOT BE OFFERED OR SOLD
         EXCEPT IN COMPLIANCE THEREWITH.

         FOR VALUE RECEIVED,  INTEGRAMED AMERICA,  INC., a Delaware  corporation
(the  "Company"),  hereby  certifies that Morgan Stanley  Venture  Partners III,
L.P., its successor or permitted assigns (the "Holder"), is entitled, subject to
the  provisions  of this  Warrant,  to purchase  from the Company,  at the times
specified  herein,  a number of fully paid and  non-assessable  shares of Common
Stock of the Company,  par value $.01 per share (the "Common  Stock"),  equal to
the Warrant Shares (as hereinafter  defined) at a purchase price per share equal
to the Exercise Price (as hereinafter defined).  The number of Warrant Shares to
be received upon the exercise of this Warrant is subject to adjustment from time
to time as hereinafter set forth.

           1.   Definitions.  (a) The following terms, as used herein, have the
following meanings:

         "Affiliate"  shall  have the  meaning  given to such term in Rule 12b-2
promulgated under the Securities and Exchange Act of 1934, as amended.

         "Business Day" means any day except a Saturday,  Sunday or other day on
which commercial banks in the City of New York are authorized by law to close.

         "Common Stock" means the Common Stock, par value $.01 per share, of
the Company.

         "Duly  Endorsed"  means duly endorsed in blank by the Person or Persons
in  whose  name a stock  certificate  is  registered  or  accompanied  by a duly
executed stock  assignment  separate from the certificate  with the signature(s)
thereon  guaranteed  by a  commercial  bank or trust  company  or a member  of a
national  securities  exchange  or of the  National  Association  of  Securities
Dealers, Inc.




<PAGE>



         "Exercise Price" means $.01 per Warrant Share.

         "Expiration  Date" means the fourth  anniversary  of the date hereof at
5:00 p.m. New York City time.

         "Investment  Agreement"  means  the  Investment  Agreement  dated as of
January 23, 1998 among the Company and the Shareholders  listed on the signature
pages  thereto,  providing  for the purchase and issuance of the Shares and this
Warrant.

         "Person" means an individual,  partnership,  corporation,  trust, joint
stock company, association,  joint venture, or any other entity or organization,
including a government or political  subdivision or an agency or instrumentality
thereof.

         "Principal  Holder"  means the  original  Holder of this Warrant on the
date of issue,  or if such original  Holder so elects,  any transferee of all or
any portion of this Warrant whom such original  Holder shall have  designated by
written notice to the Company as the successor  Principal Holder.  Any successor
Principal Holder designated pursuant to the immediately preceding sentence shall
also have the right  upon any  subsequent  transfer  to  designate  a  successor
Principal Holder in the manner described above.

         "Shareholders" means the Shareholders listed on the signature pages to
the Investment Agreement.

         "Shares" means the shares of Common Stock purchased by the Shareholders
pursuant to the Investment Agreement.

         "Warrant  Shares" means the 210,655 shares of Common Stock  deliverable
upon exercise of this Warrant, as adjusted from time to time.

          (b)  Capitalized  terms  used but not  defined  herein  shall have the
meanings given them in the Investment Agreement.

           2.   Exercise of Warrant.

          (a) The Holder is  entitled to  exercise  this  Warrant in whole or in
         part at any time, or from time to time,  until the Expiration  Date or,
         if such day is not a Business Day, then on the next succeeding day that
         shall be a Business  Day. To exercise  this  Warrant,  the Holder shall
         execute  and  deliver  to  the  Company  a  Warrant   Exercise   Notice
         substantially  in the form  annexed  hereto.  No earlier  than ten days
         after delivery of the Warrant Exercise Notice, the Holder shall deliver
         to the Company this Warrant Certificate, including the Warrant Exercise
         Subscription  Form  forming a part hereof duly  executed by the Holder,
         together  with  payment of the  applicable  Exercise  Price.  Upon such
         delivery  and  payment,  the Holder shall be deemed to be the holder of
         record of the Warrant Shares subject to such exercise,  notwithstanding
         that the stock  transfer  books of the Company  shall then be closed or
         that  certificates  representing  such Warrant Shares shall not then be
         actually delivered to the Holder.




<PAGE>



         
          (b) The Exercise Price may be paid in cash or by certified or official
         bank check or bank cashier's  check payable to the order of the Company
         or by any combination of such cash or check.  The Company shall pay any
         and all  documentary,  stamp or similar issue or transfer taxes payable
         in respect of the issue or delivery of the Warrant Shares.

          (c) If the  Holder  exercises  this  Warrant  in  part,  this  Warrant
         Certificate shall be surrendered by the Holder to the Company and a new
         Warrant Certificate of the same tenor and for the unexercised number of
         Warrant  Shares  shall be executed by the  Company.  The Company  shall
         register  the new Warrant  Certificate  in the name of the Holder or in
         such name or names of its transferee  pursuant to paragraph 6 hereof as
         may be  directed  in writing by the Holder and  deliver the new Warrant
         Certificate to the Person or Persons entitled to receive the same.

          (d) Upon surrender of this Warrant  Certificate in conformity with the
         foregoing provisions,  the Company shall transfer to the Holder of this
         Warrant Certificate  appropriate evidence of ownership of the shares of
         Common Stock or other  securities or property  (including any money) to
         which the Holder is entitled,  registered  or  otherwise  placed in, or
         payable  to the  order  of,  the name or names  of the  Holder  or such
         transferee  as may be  directed  in  writing by the  Holder,  and shall
         deliver such evidence of ownership and any other securities or property
         (including any money) to the Person or Persons  entitled to receive the
         same,  together  with an  amount in cash in lieu of any  fraction  of a
         share as provided in paragraph 5 below.

           3. Restrictive  Legend.  Certificates  representing  shares of Common
Stock issued pursuant to this Warrant shall bear a legend  substantially  in the
form of the legend set forth on the first page of this  Warrant  Certificate  to
the  extent  that and for so long as such  legend is  required  pursuant  to the
Investment Agreement.




<PAGE>



           4. Reservation of Shares. The Company hereby agrees that at all times
there shall be reserved for issuance and delivery  upon exercise of this Warrant
such  number of its  authorized  but  unissued  shares of Common  Stock or other
securities  of the  Company  from time to time  issuable  upon  exercise of this
Warrant as will be  sufficient  to permit the exercise in full of this  Warrant.
All such shares shall be duly  authorized  and, when issued upon such  exercise,
shall be validly issued,  fully paid and  non-assessable,  free and clear of all
liens,  security  interests,  charges and other  encumbrances or restrictions on
sale and free and clear of all preemptive rights, except to the extent set forth
in the Investment Agreement.

           5.  Fractional  Shares.  No fractional  shares or scrip  representing
fractional  shares shall be issued upon the exercise of this Warrant and in lieu
of delivery of any such fractional share upon any exercise  hereof,  the Company
shall pay to the Holder an amount in cash equal to such  fraction  multiplied by
the Current Market Price Per Common Share at the date of such exercise.  For the
purpose of any computation under this paragraph 5, on any determination date the
Current  Market  Price  Per  Common  Share  shall be  deemed  to be the  average
(weighted by daily  trading  volume) of the Daily Prices (as defined  below) per
share of the  applicable  class of Common Stock for the 20  consecutive  trading
days immediately  prior to such date.  "Daily Price" means (A) the last reported
sale  price on such day if the Common  Stock is listed on a national  securities
exchange or admitted to unlisted  trading  privileges on such exchange or listed
for trading on the Nasdaq National Market; or (B) if the shares of such class of
Common Stock then are not so listed or admitted to unlisted  trading  privileges
but is traded on the Nasdaq Small Cap Market, the average of the closing bid and
asked  prices  for such day on such  market  and if the  Common  Stock is not so
traded,  the current market value shall be the mean of the last reported bid and
asked  prices  reported by the  National  Quotation  Bureau,  Inc.,  on the last
business day prior to the determination  date. If on any determination  date the
shares of such class of Common  Stock are not so listed or  admitted to unlisted
trading  privileges  and bid and asked prices are not so  reported,  the Current
Market  Price Per Common  Share shall be the fair market value of such shares on
such  determination  date  as  determined  by the  Board  of  Directors.  If the
Principal Holder shall object to any  determination by the Board of Directors of
the Current  Market Price Per Common Share,  the Current Market Price Per Common
Share shall be the fair market value per share of the applicable class of Common
Stock as determined by an independent  appraiser  retained by the Company at its
expense and reasonably  acceptable to the Principal Holder.  For purposes of any
computation  under  this  paragraph  5, the  number of  shares  of Common  Stock
outstanding  at any given time shall not include  shares owned or held by or for
the account of the Company.



<PAGE>


           6. Exchange, Transfer or Assignment of Warrant.


          (a)  This  Warrant  Certificate  and  all  rights  hereunder  are  not
         transferable by the registered  holder hereof except to any Person who,
         prior to such  transfer,  agrees  in  writing,  in form  and  substance
         reasonably satisfactory to the Company, to be bound by the terms of the
         Investment  Agreement in accordance with the provisions  thereof.  Each
         taker and holder of this Warrant  Certificate  by taking or holding the
         same,  consents  and agrees that the  registered  holder  hereof may be
         treated by the Company and all other persons  dealing with this Warrant
         Certificate  as the  absolute  owner  hereof for any purpose and as the
         person entitled to exercise the rights represented hereby.

          (b) The Holder of this Warrant  shall be entitled,  without  obtaining
         the consent of the Company to assign and transfer this Warrant,  at any
         time in whole or from time to time in part,  to any Person or  Persons.
         Subject to the preceding  sentence,  upon  surrender of this Warrant to
         the Company,  together with the attached  Warrant  Assignment Form duly
         executed,  the Company shall, without charge, execute and deliver a new
         Warrant  in the  name  of the  assignee  or  assignees  named  in  such
         instrument of assignment  and, if the Holder's  entire  interest is not
         being  assigned,  in the  name of the  Holder  and this  Warrant  shall
         promptly be canceled.

           7. Loss or  Destruction  of Warrant.  Upon  receipt by the Company of
evidence  satisfactory  to it (in the exercise of its reasonable  discretion) of
the loss, theft, destruction or mutilation of this Warrant Certificate,  and (in
the  case  of  loss,   theft  or   destruction)   of   reasonably   satisfactory
indemnification,   and  upon   surrender  and   cancellation   of  this  Warrant
Certificate,  if mutilated,  the Company shall execute and deliver a new Warrant
Certificate of like tenor and date.

           8.  Anti-dilution  Provisions.  In case the Company shall at any time
after the date hereof (i) declare a dividend  or make a  distribution  on Common
Stock payable in Common Stock,  (ii) subdivide or split the  outstanding  Common
Stock,  (iii) combine or reclassify the outstanding  Common Stock into a smaller
number  of  shares,  or  (iv)  issue  any  shares  of  its  capital  stock  in a
reclassification  of  Common  Stock  (including  any  such  reclassification  in
connection with a consolidation or merger in which the Company is the continuing
corporation),  the number of Warrant  Shares in effect at the time of the record
date  for  such  dividend  or  distribution  or of the  effective  date  of such
subdivision,  split,  combination or  reclassification  shall be proportionately
adjusted so that the exercise of this Warrant  after such time shall entitle the
holder to  receive  the  aggregate  number  of  shares of Common  Stock or other
securities  of the Company (or shares of any security  into which such shares of
Common  Stock have been  reclassified  pursuant to clause  8(a)(iii) or 8(a)(iv)
above) which, if this Warrant had been exercised immediately prior to such time,
such holder would have owned upon such  exercise and been entitled to receive by
virtue  of such  dividend,  distribution,  subdivision,  split,  combination  or
reclassification.  An adjustment made pursuant to this Section 8(a) shall become
effective  immediately  after such  record  date in the case of a dividend  or a
distribution  and  immediately  after  the  effective  date  in  the  case  of a
subdivision,  split,  combination or reclassification.  Such adjustment shall be
made successively whenever any event listed above shall occur.



<PAGE>



           9.  Consolidation,  Merger,  or  Sale  of  Assets.  In  case  of  any
consolidation  of the Company  with,  or merger of the Company  into,  any other
Person, any merger of another Person into the Company (other than a merger which
does not result in any reclassification, conversion, exchange or cancellation of
outstanding  shares  of  Common  Stock)  or  any  sale  or  transfer  of  all or
substantially  all of the assets of the Company or of the Person  formed by such
consolidation  or resulting from such merger or which  acquires such assets,  as
the case may be, the Holder  shall have the right  thereafter  to exercise  this
Warrant  for the  kind  and  amount  of  securities,  cash  and  other  property
receivable upon such consolidation,  merger, sale or transfer by a holder of the
number of shares of Common Stock for which this Warrant may have been  exercised
immediately prior to such consolidation,  merger, sale or transfer, assuming (i)
such holder of Common Stock is not a Person with which the Company  consolidated
or into which the  Company  merged or which  merged into the Company or to which
such sale or transfer was made, as the case may be ("constituent Person"), or an
Affiliate  of a  constituent  Person  and (ii) in the  case of a  consolidation,
merger,  sale or transfer which includes an election as to the  consideration to
be received by the  holders,  such holder of Common Stock failed to exercise its
rights  of  election,  as to the kind or amount  of  securities,  cash and other
property receivable upon such consolidation,  merger, sale or transfer (provided
that if the kind or amount of  securities,  cash and other  property  receivable
upon such consolidation, merger, sale or transfer is not the same for each share
of Common Stock held immediately prior to such  consolidation,  merger,  sale or
transfer  by other than a  constituent  Person or an  Affiliate  thereof  and in
respect  of  which  such  rights  of  election  shall  not have  been  exercised
("non-electing  share"),  then for the purpose of this paragraph 9, the kind and
amount  of   securities,   cash  and  other   property   receivable   upon  such
consolidation,  merger,  sale or  transfer by each  non-electing  share shall be
deemed to be the kind and amount so  receivable  per share by a plurality of the
non-electing shares). Adjustments for events subsequent to the effective date of
such a consolidation, merger and sale of assets shall be as nearly equivalent as
may be practicable to the adjustments  provided for in this Warrant. In any such
event,  effective  provisions  shall be made in the  certificate  or articles of
incorporation  of the  resulting  or surviving  corporation,  in any contract of
sale,  conveyance,  lease or transfer,  or otherwise so that the  provisions set
forth herein for the  protection  of the rights of the Holder  shall  thereafter
continue to be applicable; and any such resulting or surviving corporation shall
expressly assume the obligation to deliver, upon exercise, such shares of stock,
other  securities,  cash and property.  The provisions of this paragraph 9 shall
similarly  apply  to  successive  consolidations,   mergers,  sales,  leases  or
transfers.



<PAGE>





          10. Notices. Any notice, demand or delivery authorized by this Warrant
Certificate shall be in writing and shall be given to the Holder, the Company or
the  Shareholder  Representative,  as  the  case  may  be,  at its  address  (or
telecopier number) set forth below, or such other address (or telecopier number)
as shall have been  furnished to the party giving or making such notice,  demand
or delivery:

         If to the Company:

                  IntegraMed America, Inc.
                  One Manhattanville Road
                  Purchase, New York 10577
                  Telecopy: (914) 253-8008
                  Attention: Gerardo Canet

         If to the Holder:

                  Morgan Stanley Venture Partners
                  1221 Avenue of the Americas
                  New York, New York 10020
                  Telecopy: (212) 762-8424
                  Attention:  M. Fazle Husain

Each  such  notice,  demand  or  delivery  shall  be  effective  (i) if given by
telecopy,  when such telecopy is  transmitted to the telecopy  number  specified
herein and the intended  recipient confirms the receipt of such telecopy or (ii)
if given by any other means, when received at the address specified herein.

          11.  Rights of the Holder.  Prior to the exercise of any Warrant,  the
Holder shall not, by virtue  hereof,  be entitled to any rights of a shareholder
of the Company,  including,  without  limitation,  the right to vote, to receive
dividends or other distributions, to exercise any preemptive right or to receive
any notice of meetings of  shareholders  or any notice of any proceedings of the
Company except as may be specifically provided for herein.

          12.  GOVERNING  LAW. THIS WARRANT  CERTIFICATE  AND ALL RIGHTS ARISING
HEREUNDER SHALL BE CONSTRUED AND DETERMINED IN ACCORDANCE WITH THE INTERNAL LAWS
OF THE STATE OF NEW YORK,  AND THE  PERFORMANCE  THEREOF  SHALL BE GOVERNED  AND
ENFORCED IN ACCORDANCE WITH SUCH LAWS.



<PAGE>




          13. Amendments; Waivers. Any provision of this Warrant Certificate may
be amended or waived if, and only if, such amendment or waiver is in writing and
signed,  in the case of an amendment,  by the Holder and the Company,  or in the
case of a waiver,  by the party against whom the waiver is to be  effective.  No
failure or delay by either  party in  exercising  any right,  power or privilege
hereunder  shall  operate  as a waiver  thereof  nor shall any single or partial
exercise  thereof preclude any other or further exercise thereof or the exercise
of any other right, power or privilege.  The rights and remedies herein provided
shall be cumulative and not exclusive of any rights or remedies provided by law.




<PAGE>



         IN  WITNESS   WHEREOF,   the  Company  has  duly  caused  this  Warrant
Certificate  to be signed by its duly  authorized  officer and to be dated as of
January 23, 1998.

                                      INTEGRAMED AMERICA, INC.



                                      By:    /s/ Dwight Ryan
                                            ----------------------------
                                            Name:     Dwight Ryan
                                            Title:   Chief Financial Officer


Acknowledged and Agreed:

MORGAN STANLEY VENTURE PARTNERS III, L.P.

      By: Morgan Stanley Venture Partners III, L.L.C.
              its General Partner
      By: Morgan Stanley Venture Capital III, Inc.,
              its Institutional Managing Member

      By: /s/ M. Fazle Husain
          -------------------------
          Name: M. Fazle Husain
          Title:  General Partner





<PAGE>



                             WARRANT EXERCISE NOTICE

                (To be delivered prior to exercise of the Warrant
             by execution of the Warrant Exercise Subscription Form)


To:      IntegraMed America, Inc.

         The  undersigned  hereby  notifies you of its intention to exercise the
Warrant  to  purchase  shares of Common  Stock,  par value  $.01 per  share,  of
IntegraMed  America,  Inc.  The  undersigned  intends to exercise the Warrant to
purchase ___________ shares (the "Shares") at $.01 per Share (the Exercise Price
currently in effect pursuant to the Warrant). The undersigned intends to pay the
aggregate  Exercise Price for the Shares in cash,  certified or official bank or
bank cashier's check (or a combination of cash and check) as indicated below.

Date: __________________________ 



                                   ---------------------------------------------
                                   (Signature of Owner)


                                   ---------------------------------------------
                                   (Street Address)


                                   ---------------------------------------------
                                   (City)   (State)


Payment:     $ ____________  cash

             $ ____________  check






<PAGE>



                       WARRANT EXERCISE SUBSCRIPTION FORM

                (To be executed only upon exercise of the Warrant
                    after deliver of Warrant Exercise Notice)


To:      IntegraMed America, Inc.

         The undersigned  irrevocably  exercises the Warrant for the purchase of
___________  shares (the "Shares") of Common Stock, par value $.01 per share, of
IntegraMed  America,  Inc. (the "Company") at $.01 per Share (the Exercise Price
currently  in effect  pursuant to the Warrant)  and  herewith  makes  payment of
$___________  (such  payment being made in cash or by certified or official bank
or bank cashier's  check payable to the order of the Company or by any permitted
combination of such cash or check), all on the terms and conditions specified in
the within Warrant  Certificate,  surrenders  this Warrant  Certificate  and all
right,  title and  interest  therein to the Company and directs  that the Shares
deliverable  upon the  exercise of this Warrant be  registered  or placed in the
name and at the address specified below and delivered thereto.

Date:  ____________________________ 

                                       -----------------------------------------
                                       (Signature of Owner)


                                       -----------------------------------------
                                       (Street Address)


                                       -----------------------------------------
                                       (City)   (State)






<PAGE>



Securities and/or check to be issued to: _______________________________________

Please insert social security or identifying number:____________________________

Name: __________________________________________________________________________

Street Address: ________________________________________________________________

City, State and Zip Code: ______________________________________________________


Any  unexercised  portion  of  the  Warrant  evidenced  by  the  within  Warrant
Certificate to be issued to:

Please insert social security or identifying number: ___________________________

Name: __________________________________________________________________________

Street Address: ________________________________________________________________

City, State and Zip Code: ______________________________________________________






<PAGE>


                             WARRANT ASSIGNMENT FORM



                                                    Dated ___________ ___, _____


         FOR VALUE RECEIVED, _______________________ hereby sells,

 assigns and transfers unto_____________________________(the "Assignee"),
(please type or print in block letters)


                                        (insert address)

its right to purchase up to shares of Common Stock  represented  by this Warrant
and does  hereby  irrevocably  constitute  and  appoint  _______________________
Attorney,  to transfer the same on the books of the Company,  with full power of
substitution in the premises.



                                    Signature:





                       
                            INTEGRAMED AMERICA, INC.





                      WARRANT FOR THE PURCHASE OF SHARES OF
                    COMMON STOCK OF INTEGRAMED AMERICA, INC.


No. 2                                                        Warrant to Purchase
Void after January 23, 2002                                        20,226 Shares


         THIS SECURITY HAS NOT BEEN REGISTERED UNDER THE
         SECURITIES ACT OF 1933, AS AMENDED, OR ANY STATE
         SECURITIES LAWS AND MAY NOT BE OFFERED OR SOLD
         EXCEPT IN COMPLIANCE THEREWITH.

         FOR VALUE RECEIVED,  INTEGRAMED AMERICA,  INC., a Delaware  corporation
(the  "Company"),  hereby  certifies that Morgan Stanley Venture  Investors III,
L.P., its successor or permitted assigns (the "Holder"), is entitled, subject to
the  provisions  of this  Warrant,  to purchase  from the Company,  at the times
specified  herein,  a number of fully paid and  non-assessable  shares of Common
Stock of the Company,  par value $.01 per share (the "Common  Stock"),  equal to
the Warrant Shares (as hereinafter  defined) at a purchase price per share equal
to the Exercise Price (as hereinafter defined).  The number of Warrant Shares to
be received upon the exercise of this Warrant is subject to adjustment from time
to time as hereinafter set forth.

           1.   Definitions.  (a) The following terms, as used herein, have the
following meanings:

         "Affiliate"  shall  have the  meaning  given to such term in Rule 12b-2
promulgated under the Securities and Exchange Act of 1934, as amended.

         "Business Day" means any day except a Saturday,  Sunday or other day on
which commercial banks in the City of New York are authorized by law to close.

         "Common Stock" means the Common Stock, par value $.01 per share, of
the Company.






<PAGE>



         "Duly  Endorsed"  means duly endorsed in blank by the Person or Persons
in  whose  name a stock  certificate  is  registered  or  accompanied  by a duly
executed stock  assignment  separate from the certificate  with the signature(s)
thereon  guaranteed  by a  commercial  bank or trust  company  or a member  of a
national  securities  exchange  or of the  National  Association  of  Securities
Dealers, Inc.

         "Exercise Price" means $.01 per Warrant Share.

         "Expiration  Date" means the fourth  anniversary  of the date hereof at
5:00 p.m. New York City time.

         "Investment  Agreement"  means  the  Investment  Agreement  dated as of
January 23, 1998 among the Company and the Shareholders  listed on the signature
pages  thereto,  providing  for the purchase and issuance of the Shares and this
Warrant.

         "Person" means an individual,  partnership,  corporation,  trust, joint
stock company, association,  joint venture, or any other entity or organization,
including a government or political  subdivision or an agency or instrumentality
thereof.

         "Principal  Holder"  means the  original  Holder of this Warrant on the
date of issue,  or if such original  Holder so elects,  any transferee of all or
any portion of this Warrant whom such original  Holder shall have  designated by
written notice to the Company as the successor  Principal Holder.  Any successor
Principal Holder designated pursuant to the immediately preceding sentence shall
also have the right  upon any  subsequent  transfer  to  designate  a  successor
Principal Holder in the manner described above.

         "Shareholders" means the Shareholders listed on the signature pages to
the Investment Agreement.

         "Shares" means the shares of Common Stock purchased by the Shareholders
pursuant to the Investment Agreement.

         "Warrant  Shares" means the 20,226  shares of Common Stock  deliverable
upon exercise of this Warrant, as adjusted from time to time.

          (b)  Capitalized  terms  used but not  defined  herein  shall have the
meanings given them in the Investment Agreement.







<PAGE>



           2.   Exercise of Warrant.

          (a) The Holder is  entitled to  exercise  this  Warrant in whole or in
         part at any time, or from time to time,  until the Expiration  Date or,
         if such day is not a Business Day, then on the next succeeding day that
         shall be a Business  Day. To exercise  this  Warrant,  the Holder shall
         execute  and  deliver  to  the  Company  a  Warrant   Exercise   Notice
         substantially  in the form  annexed  hereto.  No earlier  than ten days
         after delivery of the Warrant Exercise Notice, the Holder shall deliver
         to the Company this Warrant Certificate, including the Warrant Exercise
         Subscription  Form  forming a part hereof duly  executed by the Holder,
         together  with  payment of the  applicable  Exercise  Price.  Upon such
         delivery  and  payment,  the Holder shall be deemed to be the holder of
         record of the Warrant Shares subject to such exercise,  notwithstanding
         that the stock  transfer  books of the Company  shall then be closed or
         that  certificates  representing  such Warrant Shares shall not then be
         actually delivered to the Holder.

          (b) The Exercise Price may be paid in cash or by certified or official
         bank check or bank cashier's  check payable to the order of the Company
         or by any combination of such cash or check.  The Company shall pay any
         and all  documentary,  stamp or similar issue or transfer taxes payable
         in respect of the issue or delivery of the Warrant Shares.

          (c) If the  Holder  exercises  this  Warrant  in  part,  this  Warrant
         Certificate shall be surrendered by the Holder to the Company and a new
         Warrant Certificate of the same tenor and for the unexercised number of
         Warrant  Shares  shall be executed by the  Company.  The Company  shall
         register  the new Warrant  Certificate  in the name of the Holder or in
         such name or names of its transferee  pursuant to paragraph 6 hereof as
         may be  directed  in writing by the Holder and  deliver the new Warrant
         Certificate to the Person or Persons entitled to receive the same.

          (d) Upon surrender of this Warrant  Certificate in conformity with the
         foregoing provisions,  the Company shall transfer to the Holder of this
         Warrant Certificate  appropriate evidence of ownership of the shares of
         Common Stock or other  securities or property  (including any money) to
         which the Holder is entitled,  registered  or  otherwise  placed in, or
         payable  to the  order  of,  the name or names  of the  Holder  or such
         transferee  as may be  directed  in  writing by the  Holder,  and shall
         deliver such evidence of ownership and any other securities or property
         (including any money) to the Person or Persons  entitled to receive the
         same,  together  with an  amount in cash in lieu of any  fraction  of a
         share as provided in paragraph 5 below.






<PAGE>




           3. Restrictive  Legend.  Certificates  representing  shares of Common
Stock issued pursuant to this Warrant shall bear a legend  substantially  in the
form of the legend set forth on the first page of this  Warrant  Certificate  to
the  extent  that and for so long as such  legend is  required  pursuant  to the
Investment Agreement.

           4. Reservation of Shares. The Company hereby agrees that at all times
there shall be reserved for issuance and delivery  upon exercise of this Warrant
such  number of its  authorized  but  unissued  shares of Common  Stock or other
securities  of the  Company  from time to time  issuable  upon  exercise of this
Warrant as will be  sufficient  to permit the exercise in full of this  Warrant.
All such shares shall be duly  authorized  and, when issued upon such  exercise,
shall be validly issued,  fully paid and  non-assessable,  free and clear of all
liens,  security  interests,  charges and other  encumbrances or restrictions on
sale and free and clear of all preemptive rights, except to the extent set forth
in the Investment Agreement.

           5.  Fractional  Shares.  No fractional  shares or scrip  representing
fractional  shares shall be issued upon the exercise of this Warrant and in lieu
of delivery of any such fractional share upon any exercise  hereof,  the Company
shall pay to the Holder an amount in cash equal to such  fraction  multiplied by
the Current Market Price Per Common Share at the date of such exercise.  For the
purpose of any computation under this paragraph 5, on any determination date the
Current  Market  Price  Per  Common  Share  shall be  deemed  to be the  average
(weighted by daily  trading  volume) of the Daily Prices (as defined  below) per
share of the  applicable  class of Common Stock for the 20  consecutive  trading
days immediately  prior to such date.  "Daily Price" means (A) the last reported
sale  price on such day if the Common  Stock is listed on a national  securities
exchange or admitted to unlisted  trading  privileges on such exchange or listed
for trading on the Nasdaq National Market; or (B) if the shares of such class of
Common Stock then are not so listed or admitted to unlisted  trading  privileges
but is traded on the Nasdaq Small Cap Market, the average of the closing bid and
asked  prices  for such day on such  market  and if the  Common  Stock is not so
traded,  the current market value shall be the mean of the last reported bid and
asked  prices  reported by the  National  Quotation  Bureau,  Inc.,  on the last
business day prior to the determination  date. If on any determination  date the
shares of such class of Common  Stock are not so listed or  admitted to unlisted
trading  privileges  and bid and asked prices are not so  reported,  the Current
Market  Price Per Common  Share shall be the fair market value of such shares on
such  determination  date  as  determined  by the  Board  of  Directors.  If the
Principal Holder shall object to any  determination by the Board of Directors of
the Current  Market Price Per Common Share,  the Current Market Price Per Common
Share shall be the fair market value per share of the applicable class of Common
Stock as determined by an independent  appraiser  retained by the Company at its
expense and reasonably  acceptable to the Principal Holder.  For purposes of any
computation  under  this  paragraph  5, the  number of  shares  of Common  Stock
outstanding  at any given time shall not include  shares owned or held by or for
the account of the Company.






<PAGE>



           6. Exchange, Transfer or Assignment of Warrant.

          (a)  This  Warrant  Certificate  and  all  rights  hereunder  are  not
         transferable by the registered  holder hereof except to any Person who,
         prior to such  transfer,  agrees  in  writing,  in form  and  substance
         reasonably satisfactory to the Company, to be bound by the terms of the
         Investment  Agreement in accordance with the provisions  thereof.  Each
         taker and holder of this Warrant  Certificate  by taking or holding the
         same,  consents  and agrees that the  registered  holder  hereof may be
         treated by the Company and all other persons  dealing with this Warrant
         Certificate  as the  absolute  owner  hereof for any purpose and as the
         person entitled to exercise the rights represented hereby.

          (b) The Holder of this Warrant  shall be entitled,  without  obtaining
         the consent of the Company to assign and transfer this Warrant,  at any
         time in whole or from time to time in part,  to any Person or  Persons.
         Subject to the preceding  sentence,  upon  surrender of this Warrant to
         the Company,  together with the attached  Warrant  Assignment Form duly
         executed,  the Company shall, without charge, execute and deliver a new
         Warrant  in the  name  of the  assignee  or  assignees  named  in  such
         instrument of assignment  and, if the Holder's  entire  interest is not
         being  assigned,  in the  name of the  Holder  and this  Warrant  shall
         promptly be canceled.

           7. Loss or  Destruction  of Warrant.  Upon  receipt by the Company of
evidence  satisfactory  to it (in the exercise of its reasonable  discretion) of
the loss, theft, destruction or mutilation of this Warrant Certificate,  and (in
the  case  of  loss,   theft  or   destruction)   of   reasonably   satisfactory
indemnification,   and  upon   surrender  and   cancellation   of  this  Warrant
Certificate,  if mutilated,  the Company shall execute and deliver a new Warrant
Certificate of like tenor and date.








<PAGE>


           8.  Anti-dilution  Provisions.  In case the Company shall at any time
after the date hereof (i) declare a dividend  or make a  distribution  on Common
Stock payable in Common Stock,  (ii) subdivide or split the  outstanding  Common
Stock,  (iii) combine or reclassify the outstanding  Common Stock into a smaller
number  of  shares,  or  (iv)  issue  any  shares  of  its  capital  stock  in a
reclassification  of  Common  Stock  (including  any  such  reclassification  in
connection with a consolidation or merger in which the Company is the continuing
corporation),  the number of Warrant  Shares in effect at the time of the record
date  for  such  dividend  or  distribution  or of the  effective  date  of such
subdivision,  split,  combination or  reclassification  shall be proportionately
adjusted so that the exercise of this Warrant  after such time shall entitle the
holder to  receive  the  aggregate  number  of  shares of Common  Stock or other
securities  of the Company (or shares of any security  into which such shares of
Common  Stock have been  reclassified  pursuant to clause  8(a)(iii) or 8(a)(iv)
above) which, if this Warrant had been exercised immediately prior to such time,
such holder would have owned upon such  exercise and been entitled to receive by
virtue  of such  dividend,  distribution,  subdivision,  split,  combination  or
reclassification.  An adjustment made pursuant to this Section 8(a) shall become
effective  immediately  after such  record  date in the case of a dividend  or a
distribution  and  immediately  after  the  effective  date  in  the  case  of a
subdivision,  split,  combination or reclassification.  Such adjustment shall be
made successively whenever any event listed above shall occur.

           9.  Consolidation,  Merger,  or  Sale  of  Assets.  In  case  of  any
consolidation  of the Company  with,  or merger of the Company  into,  any other
Person, any merger of another Person into the Company (other than a merger which
does not result in any reclassification, conversion, exchange or cancellation of
outstanding  shares  of  Common  Stock)  or  any  sale  or  transfer  of  all or
substantially  all of the assets of the Company or of the Person  formed by such
consolidation  or resulting from such merger or which  acquires such assets,  as
the case may be, the Holder  shall have the right  thereafter  to exercise  this
Warrant  for the  kind  and  amount  of  securities,  cash  and  other  property
receivable upon such consolidation,  merger, sale or transfer by a holder of the
number of shares of Common Stock for which this Warrant may have been  exercised
immediately prior to such consolidation,  merger, sale or transfer, assuming (i)
such holder of Common Stock is not a Person with which the Company  consolidated
or into which the  Company  merged or which  merged into the Company or to which
such sale or transfer was made, as the case may be ("constituent Person"), or an
Affiliate  of a  constituent  Person  and (ii) in the  case of a  consolidation,
merger,  sale or transfer which includes an election as to the  consideration to
be received by the  holders,  such holder of Common Stock failed to exercise its
rights  of  election,  as to the kind or amount  of  securities,  cash and other
property receivable upon such consolidation,  merger, sale or transfer (provided
that if the kind or amount of  securities,  cash and other  property  receivable
upon such consolidation, merger, sale or transfer is not the same for each share
of Common Stock held immediately prior to such  consolidation,  merger,  sale or
transfer  by other than a  constituent  Person or an  Affiliate  thereof  and in
respect  of  which  such  rights  of  election  shall  not have  been  exercised
("non-electing  share"),  then for the purpose of this paragraph 9, the kind and
amount  of   securities,   cash  and  other   property   receivable   upon  such
consolidation,  merger,  sale or  transfer by each  non-electing  share shall be
deemed to be the kind and amount so  receivable  per share by a plurality of the
non-electing shares). Adjustments for events subsequent to the effective date of
such a consolidation, merger and sale of assets shall be as nearly equivalent as
may be practicable to the adjustments  provided for in this Warrant. In any such
event,  effective  provisions  shall be made in the  certificate  or articles of
incorporation  of the  resulting  or surviving  corporation,  in any contract of
sale,  conveyance,  lease or transfer,  or otherwise so that the  provisions set
forth herein for the  protection  of the rights of the Holder  shall  thereafter
continue to be applicable; and any such resulting or surviving corporation shall
expressly assume the obligation to deliver, upon exercise, such shares of stock,
other  securities,  cash and property.  The provisions of this paragraph 9 shall
similarly  apply  to  successive  consolidations,   mergers,  sales,  leases  or
transfers.






<PAGE>



          10. Notices. Any notice, demand or delivery authorized by this Warrant
Certificate shall be in writing and shall be given to the Holder, the Company or
the  Shareholder  Representative,  as  the  case  may  be,  at its  address  (or
telecopier number) set forth below, or such other address (or telecopier number)
as shall have been  furnished to the party giving or making such notice,  demand
or delivery:

         If to the Company:

                  IntegraMed America, Inc.
                  One Manhattanville Road
                  Purchase, New York 10577
                  Telecopy: (914) 253-8008
                  Attention: Gerardo Canet

         If to the Holder:

                  Morgan Stanley Venture Partners
                  1221 Avenue of the Americas
                  New York, New York 10020
                  Telecopy: (212) 762-8424
                  Attention:  M. Fazle Husain

Each  such  notice,  demand  or  delivery  shall  be  effective  (i) if given by
telecopy,  when such telecopy is  transmitted to the telecopy  number  specified
herein and the intended  recipient confirms the receipt of such telecopy or (ii)
if given by any other means, when received at the address specified herein.






<PAGE>



          11.  Rights of the Holder.  Prior to the exercise of any Warrant,  the
Holder shall not, by virtue  hereof,  be entitled to any rights of a shareholder
of the Company,  including,  without  limitation,  the right to vote, to receive
dividends or other distributions, to exercise any preemptive right or to receive
any notice of meetings of  shareholders  or any notice of any proceedings of the
Company except as may be specifically provided for herein.

          12.  GOVERNING  LAW. THIS WARRANT  CERTIFICATE  AND ALL RIGHTS ARISING
HEREUNDER SHALL BE CONSTRUED AND DETERMINED IN ACCORDANCE WITH THE INTERNAL LAWS
OF THE STATE OF NEW YORK,  AND THE  PERFORMANCE  THEREOF  SHALL BE GOVERNED  AND
ENFORCED IN ACCORDANCE WITH
SUCH LAWS.

          13. Amendments; Waivers. Any provision of this Warrant Certificate may
be amended or waived if, and only if, such amendment or waiver is in writing and
signed,  in the case of an amendment,  by the Holder and the Company,  or in the
case of a waiver,  by the party against whom the waiver is to be  effective.  No
failure or delay by either  party in  exercising  any right,  power or privilege
hereunder  shall  operate  as a waiver  thereof  nor shall any single or partial
exercise  thereof preclude any other or further exercise thereof or the exercise
of any other right, power or privilege.  The rights and remedies herein provided
shall be cumulative and not exclusive of any rights or remedies provided by law.







<PAGE>



         IN  WITNESS   WHEREOF,   the  Company  has  duly  caused  this  Warrant
Certificate  to be signed by its duly  authorized  officer and to be dated as of
January 23, 1998.

                                        INTEGRAMED AMERICA, INC.



                                        By:    /s/ Dwight Ryan
                                              --------------------------------
                                              Name:     Dwight Ryan
                                              Title:   Chief Financial Officer


Acknowledged and Agreed:

MORGAN STANLEY VENTURE INVESTORS III, L.P.

      By: Morgan Stanley Venture Partners III, L.L.C.
              its General Partner
      By: Morgan Stanley Venture Capital III, Inc.,
              its Institutional Managing Member

      By: /s/ M. Fazle Husain
          -------------------------------------
          Name: M. Fazle Husain
          Title:  General Partner








<PAGE>



                             WARRANT EXERCISE NOTICE

                (To be delivered prior to exercise of the Warrant
             by execution of the Warrant Exercise Subscription Form)


To:      IntegraMed America, Inc.

         The  undersigned  hereby  notifies you of its intention to exercise the
Warrant  to  purchase  shares of Common  Stock,  par value  $.01 per  share,  of
IntegraMed  America,  Inc.  The  undersigned  intends to exercise the Warrant to
purchase ___________ shares (the "Shares") at $.01 per Share (the Exercise Price
currently in effect pursuant to the Warrant). The undersigned intends to pay the
aggregate  Exercise Price for the Shares in cash,  certified or official bank or
bank cashier's check (or a combination of cash and check) as indicated below.

Date: __________________________ 



                                   ---------------------------------------------
                                   (Signature of Owner)


                                   ---------------------------------------------
                                   (Street Address)


                                   ---------------------------------------------
                                   (City)   (State)


Payment:     $ ____________  cash

             $ ____________  check






<PAGE>



                       WARRANT EXERCISE SUBSCRIPTION FORM

                (To be executed only upon exercise of the Warrant
                    after deliver of Warrant Exercise Notice)


To:      IntegraMed America, Inc.

         The undersigned  irrevocably  exercises the Warrant for the purchase of
___________  shares (the "Shares") of Common Stock, par value $.01 per share, of
IntegraMed  America,  Inc. (the "Company") at $.01 per Share (the Exercise Price
currently  in effect  pursuant to the Warrant)  and  herewith  makes  payment of
$___________  (such  payment being made in cash or by certified or official bank
or bank cashier's  check payable to the order of the Company or by any permitted
combination of such cash or check), all on the terms and conditions specified in
the within Warrant  Certificate,  surrenders  this Warrant  Certificate  and all
right,  title and  interest  therein to the Company and directs  that the Shares
deliverable  upon the  exercise of this Warrant be  registered  or placed in the
name and at the address specified below and delivered thereto.

Date:  ____________________________ 

                                       -----------------------------------------
                                       (Signature of Owner)


                                       -----------------------------------------
                                       (Street Address)


                                       -----------------------------------------
                                       (City)   (State)






<PAGE>



Securities and/or check to be issued to: _______________________________________

Please insert social security or identifying number:____________________________

Name: __________________________________________________________________________

Street Address: ________________________________________________________________

City, State and Zip Code: ______________________________________________________


Any  unexercised  portion  of  the  Warrant  evidenced  by  the  within  Warrant
Certificate to be issued to:

Please insert social security or identifying number: ___________________________

Name: __________________________________________________________________________

Street Address: ________________________________________________________________

City, State and Zip Code: ______________________________________________________






<PAGE>


                             WARRANT ASSIGNMENT FORM



                                                    Dated ___________ ___, _____


         FOR VALUE RECEIVED, _______________________ hereby sells,

 assigns and transfers unto_____________________________(the "Assignee"),
(please type or print in block letters)


                                        (insert address)

its right to purchase up to shares of Common Stock  represented  by this Warrant
and does  hereby  irrevocably  constitute  and  appoint  _______________________
Attorney,  to transfer the same on the books of the Company,  with full power of
substitution in the premises.



                                    Signature:





                            INTEGRAMED AMERICA, INC.







                      WARRANT FOR THE PURCHASE OF SHARES OF
                    COMMON STOCK OF INTEGRAMED AMERICA, INC.


No. 3                                                        Warrant to Purchase
Void after January 23, 2002                                         9,119 Shares


             THIS SECURITY HAS NOT BEEN REGISTERED UNDER THE
             SECURITIES ACT OF 1933, AS AMENDED, OR ANY STATE
             SECURITIES LAWS AND MAY NOT BE OFFERED OR SOLD
             EXCEPT IN COMPLIANCE THEREWITH.

         FOR VALUE RECEIVED, INTEGRAMED AMERICA, INC., a
Delaware  corporation (the "Company"),  hereby certifies that The Morgan Stanley
Venture Partners  Entrepreneur  Fund,  L.P., its successor or permitted  assigns
(the  "Holder"),  is entitled,  subject to the  provisions of this  Warrant,  to
purchase from the Company, at the times specified herein, a number of fully paid
and  non-assessable  shares of Common Stock of the  Company,  par value $.01 per
share (the "Common Stock"), equal to the Warrant Shares (as hereinafter defined)
at a  purchase  price  per share  equal to the  Exercise  Price (as  hereinafter
defined).  The number of Warrant Shares to be received upon the exercise of this
Warrant is subject to adjustment from time to time as hereinafter set forth.

           1.   Definitions.  (a) The following terms, as used herein, have the
following meanings:

         "Affiliate"  shall  have the  meaning  given to such term in Rule 12b-2
promulgated under the Securities and Exchange Act of 1934, as amended.

         "Business Day" means any day except a Saturday,  Sunday or other day on
which commercial banks in the City of New York are authorized by law to close.

         "Common Stock" means the Common Stock, par value $.01 per share, of
the Company.






<PAGE>



         "Duly  Endorsed"  means duly endorsed in blank by the Person or Persons
in  whose  name a stock  certificate  is  registered  or  accompanied  by a duly
executed stock  assignment  separate from the certificate  with the signature(s)
thereon  guaranteed  by a  commercial  bank or trust  company  or a member  of a
national  securities  exchange  or of the  National  Association  of  Securities
Dealers, Inc.

         "Exercise Price" means $.01 per Warrant Share.

         "Expiration  Date" means the fourth  anniversary  of the date hereof at
5:00 p.m. New York City time.

         "Investment  Agreement"  means  the  Investment  Agreement  dated as of
January 23, 1998 among the Company and the Shareholders  listed on the signature
pages  thereto,  providing  for the purchase and issuance of the Shares and this
Warrant.

         "Person" means an individual,  partnership,  corporation,  trust, joint
stock company, association,  joint venture, or any other entity or organization,
including a government or political  subdivision or an agency or instrumentality
thereof.

         "Principal  Holder"  means the  original  Holder of this Warrant on the
date of issue,  or if such original  Holder so elects,  any transferee of all or
any portion of this Warrant whom such original  Holder shall have  designated by
written notice to the Company as the successor  Principal Holder.  Any successor
Principal Holder designated pursuant to the immediately preceding sentence shall
also have the right  upon any  subsequent  transfer  to  designate  a  successor
Principal Holder in the manner described above.

         "Shareholders"  means the Shareholders listed on the signature pages to
the Investment Agreement.

         "Shares" means the shares of Common Stock purchased by the Shareholders
pursuant to the Investment Agreement.

         "Warrant  Shares"  means the 9,119 shares of Common  Stock  deliverable
upon exercise of this Warrant, as adjusted from time to time.

          (b)  Capitalized  terms  used but not  defined  herein  shall have the
meanings given them in the Investment Agreement.







<PAGE>



           2.   Exercise of Warrant.

          (a) The Holder is  entitled to  exercise  this  Warrant in whole or in
         part at any time, or from time to time,  until the Expiration  Date or,
         if such day is not a Business Day, then on the next succeeding day that
         shall be a Business  Day. To exercise  this  Warrant,  the Holder shall
         execute  and  deliver  to  the  Company  a  Warrant   Exercise   Notice
         substantially  in the form  annexed  hereto.  No earlier  than ten days
         after delivery of the Warrant Exercise Notice, the Holder shall deliver
         to the Company this Warrant Certificate, including the Warrant Exercise
         Subscription  Form  forming a part hereof duly  executed by the Holder,
         together  with  payment of the  applicable  Exercise  Price.  Upon such
         delivery  and  payment,  the Holder shall be deemed to be the holder of
         record of the Warrant Shares subject to such exercise,  notwithstanding
         that the stock  transfer  books of the Company  shall then be closed or
         that  certificates  representing  such Warrant Shares shall not then be
         actually delivered to the Holder.

          (b) The Exercise Price may be paid in cash or by certified or official
         bank check or bank cashier's  check payable to the order of the Company
         or by any combination of such cash or check.  The Company shall pay any
         and all  documentary,  stamp or similar issue or transfer taxes payable
         in respect of the issue or delivery of the Warrant Shares.

          (c) If the  Holder  exercises  this  Warrant  in  part,  this  Warrant
         Certificate shall be surrendered by the Holder to the Company and a new
         Warrant Certificate of the same tenor and for the unexercised number of
         Warrant  Shares  shall be executed by the  Company.  The Company  shall
         register  the new Warrant  Certificate  in the name of the Holder or in
         such name or names of its transferee  pursuant to paragraph 6 hereof as
         may be  directed  in writing by the Holder and  deliver the new Warrant
         Certificate to the Person or Persons entitled to receive the same.

          (d) Upon surrender of this Warrant  Certificate in conformity with the
         foregoing provisions,  the Company shall transfer to the Holder of this
         Warrant Certificate  appropriate evidence of ownership of the shares of
         Common Stock or other  securities or property  (including any money) to
         which the Holder is entitled,  registered  or  otherwise  placed in, or
         payable  to the  order  of,  the name or names  of the  Holder  or such
         transferee  as may be  directed  in  writing by the  Holder,  and shall
         deliver such evidence of ownership and any other securities or property
         (including any money) to the Person or Persons  entitled to receive the
         same,  together  with an  amount in cash in lieu of any  fraction  of a
         share as provided in paragraph 5 below.






<PAGE>




           3. Restrictive  Legend.  Certificates  representing  shares of Common
Stock issued pursuant to this Warrant shall bear a legend  substantially  in the
form of the legend set forth on the first page of this  Warrant  Certificate  to
the  extent  that and for so long as such  legend is  required  pursuant  to the
Investment Agreement.

           4. Reservation of Shares. The Company hereby agrees that at all times
there shall be reserved for issuance and delivery  upon exercise of this Warrant
such  number of its  authorized  but  unissued  shares of Common  Stock or other
securities  of the  Company  from time to time  issuable  upon  exercise of this
Warrant as will be  sufficient  to permit the exercise in full of this  Warrant.
All such shares shall be duly  authorized  and, when issued upon such  exercise,
shall be validly issued,  fully paid and  non-assessable,  free and clear of all
liens,  security  interests,  charges and other  encumbrances or restrictions on
sale and free and clear of all preemptive rights, except to the extent set forth
in the Investment Agreement.

           5.  Fractional  Shares.  No fractional  shares or scrip  representing
fractional  shares shall be issued upon the exercise of this Warrant and in lieu
of delivery of any such fractional share upon any exercise  hereof,  the Company
shall pay to the Holder an amount in cash equal to such  fraction  multiplied by
the Current Market Price Per Common Share at the date of such exercise.  For the
purpose of any computation under this paragraph 5, on any determination date the
Current  Market  Price  Per  Common  Share  shall be  deemed  to be the  average
(weighted by daily  trading  volume) of the Daily Prices (as defined  below) per
share of the  applicable  class of Common Stock for the 20  consecutive  trading
days immediately  prior to such date.  "Daily Price" means (A) the last reported
sale  price on such day if the Common  Stock is listed on a national  securities
exchange or admitted to unlisted  trading  privileges on such exchange or listed
for trading on the Nasdaq National Market; or (B) if the shares of such class of
Common Stock then are not so listed or admitted to unlisted  trading  privileges
but is traded on the Nasdaq Small Cap Market, the average of the closing bid and
asked  prices  for such day on such  market  and if the  Common  Stock is not so
traded,  the current market value shall be the mean of the last reported bid and
asked  prices  reported by the  National  Quotation  Bureau,  Inc.,  on the last
business day prior to the determination  date. If on any determination  date the
shares of such class of Common  Stock are not so listed or  admitted to unlisted
trading  privileges  and bid and asked prices are not so  reported,  the Current
Market  Price Per Common  Share shall be the fair market value of such shares on
such  determination  date  as  determined  by the  Board  of  Directors.  If the
Principal Holder shall object to any  determination by the Board of Directors of
the Current  Market Price Per Common Share,  the Current Market Price Per Common
Share shall be the fair market value per share of the applicable class of Common
Stock as determined by an independent  appraiser  retained by the Company at its
expense and reasonably  acceptable to the Principal Holder.  For purposes of any
computation  under  this  paragraph  5, the  number of  shares  of Common  Stock
outstanding  at any given time shall not include  shares owned or held by or for
the account of the Company.






<PAGE>


           6. Exchange, Transfer or Assignment of Warrant.

          (a)  This  Warrant  Certificate  and  all  rights  hereunder  are  not
         transferable by the registered  holder hereof except to any Person who,
         prior to such  transfer,  agrees  in  writing,  in form  and  substance
         reasonably satisfactory to the Company, to be bound by the terms of the
         Investment  Agreement in accordance with the provisions  thereof.  Each
         taker and holder of this Warrant  Certificate  by taking or holding the
         same,  consents  and agrees that the  registered  holder  hereof may be
         treated by the Company and all other persons  dealing with this Warrant
         Certificate  as the  absolute  owner  hereof for any purpose and as the
         person entitled to exercise the rights represented hereby.

          (b) The Holder of this Warrant  shall be entitled,  without  obtaining
         the consent of the Company to assign and transfer this Warrant,  at any
         time in whole or from time to time in part,  to any Person or  Persons.
         Subject to the preceding  sentence,  upon  surrender of this Warrant to
         the Company,  together with the attached  Warrant  Assignment Form duly
         executed,  the Company shall, without charge, execute and deliver a new
         Warrant  in the  name  of the  assignee  or  assignees  named  in  such
         instrument of assignment  and, if the Holder's  entire  interest is not
         being  assigned,  in the  name of the  Holder  and this  Warrant  shall
         promptly be canceled.

           7. Loss or  Destruction  of Warrant.  Upon  receipt by the Company of
evidence  satisfactory  to it (in the exercise of its reasonable  discretion) of
the loss, theft, destruction or mutilation of this Warrant Certificate,  and (in
the  case  of  loss,   theft  or   destruction)   of   reasonably   satisfactory
indemnification,   and  upon   surrender  and   cancellation   of  this  Warrant
Certificate,  if mutilated,  the Company shall execute and deliver a new Warrant
Certificate of like tenor and date.

           8.  Anti-dilution  Provisions.  In case the Company shall at any time
after the date hereof (i) declare a dividend  or make a  distribution  on Common
Stock payable in Common Stock,  (ii) subdivide or split the  outstanding  Common
Stock,  (iii) combine or reclassify the outstanding  Common Stock into a smaller
number  of  shares,  or  (iv)  issue  any  shares  of  its  capital  stock  in a
reclassification  of  Common  Stock  (including  any  such  reclassification  in
connection with a consolidation or merger in which the Company is the continuing
corporation),  the number of Warrant  Shares in effect at the time of the record
date  for  such  dividend  or  distribution  or of the  effective  date  of such
subdivision,  split,  combination or  reclassification  shall be proportionately
adjusted so that the exercise of this Warrant  after such time shall entitle the
holder to  receive  the  aggregate  number  of  shares of Common  Stock or other
securities  of the Company (or shares of any security  into which such shares of
Common  Stock have been  reclassified  pursuant to clause  8(a)(iii) or 8(a)(iv)
above) which, if this Warrant had been exercised immediately prior to such time,
such holder would have owned upon such  exercise and been entitled to receive by
virtue  of such  dividend,  distribution,  subdivision,  split,  combination  or
reclassification.  An adjustment made pursuant to this Section 8(a) shall become
effective  immediately  after such  record  date in the case of a dividend  or a
distribution  and  immediately  after  the  effective  date  in  the  case  of a
subdivision,  split,  combination or reclassification.  Such adjustment shall be
made successively whenever any event listed above shall occur.






<PAGE>





           9.  Consolidation,  Merger,  or  Sale  of  Assets.  In  case  of  any
consolidation  of the Company  with,  or merger of the Company  into,  any other
Person, any merger of another Person into the Company (other than a merger which
does not result in any reclassification, conversion, exchange or cancellation of
outstanding  shares  of  Common  Stock)  or  any  sale  or  transfer  of  all or
substantially  all of the assets of the Company or of the Person  formed by such
consolidation  or resulting from such merger or which  acquires such assets,  as
the case may be, the Holder  shall have the right  thereafter  to exercise  this
Warrant  for the  kind  and  amount  of  securities,  cash  and  other  property
receivable upon such consolidation,  merger, sale or transfer by a holder of the
number of shares of Common Stock for which this Warrant may have been  exercised
immediately prior to such consolidation,  merger, sale or transfer, assuming (i)
such holder of Common Stock is not a Person with which the Company  consolidated
or into which the  Company  merged or which  merged into the Company or to which
such sale or transfer was made, as the case may be ("constituent Person"), or an
Affiliate  of a  constituent  Person  and (ii) in the  case of a  consolidation,
merger,  sale or transfer which includes an election as to the  consideration to
be received by the  holders,  such holder of Common Stock failed to exercise its
rights  of  election,  as to the kind or amount  of  securities,  cash and other
property receivable upon such consolidation,  merger, sale or transfer (provided
that if the kind or amount of  securities,  cash and other  property  receivable
upon such consolidation, merger, sale or transfer is not the same for each share
of Common Stock held immediately prior to such  consolidation,  merger,  sale or
transfer  by other than a  constituent  Person or an  Affiliate  thereof  and in
respect  of  which  such  rights  of  election  shall  not have  been  exercised
("non-electing  share"),  then for the purpose of this paragraph 9, the kind and
amount  of   securities,   cash  and  other   property   receivable   upon  such
consolidation,  merger,  sale or  transfer by each  non-electing  share shall be
deemed to be the kind and amount so  receivable  per share by a plurality of the
non-electing shares). Adjustments for events subsequent to the effective date of
such a consolidation, merger and sale of assets shall be as nearly equivalent as
may be practicable to the adjustments  provided for in this Warrant. In any such
event,  effective  provisions  shall be made in the  certificate  or articles of
incorporation  of the  resulting  or surviving  corporation,  in any contract of
sale,  conveyance,  lease or transfer,  or otherwise so that the  provisions set
forth herein for the  protection  of the rights of the Holder  shall  thereafter
continue to be applicable; and any such resulting or surviving corporation shall
expressly assume the obligation to deliver, upon exercise, such shares of stock,
other  securities,  cash and property.  The provisions of this paragraph 9 shall
similarly  apply  to  successive  consolidations,   mergers,  sales,  leases  or
transfers.






<PAGE>





          10. Notices. Any notice, demand or delivery authorized by this Warrant
Certificate shall be in writing and shall be given to the Holder, the Company or
the  Shareholder  Representative,  as  the  case  may  be,  at its  address  (or
telecopier number) set forth below, or such other address (or telecopier number)
as shall have been  furnished to the party giving or making such notice,  demand
or delivery:

         If to the Company:

                  IntegraMed America, Inc.
                  One Manhattanville Road
                  Purchase, New York 10577
                  Telecopy: (914) 253-8008
                  Attention: Gerardo Canet

         If to the Holder:

                  Morgan Stanley Venture Partners
                  1221 Avenue of the Americas
                  New York, New York 10020
                  Telecopy: (212) 762-8424
                  Attention:  M. Fazle Husain

Each  such  notice,  demand  or  delivery  shall  be  effective  (i) if given by
telecopy,  when such telecopy is  transmitted to the telecopy  number  specified
herein and the intended  recipient confirms the receipt of such telecopy or (ii)
if given by any other means, when received at the address specified herein.






<PAGE>



          11.  Rights of the Holder.  Prior to the exercise of any Warrant,  the
Holder shall not, by virtue  hereof,  be entitled to any rights of a shareholder
of the Company,  including,  without  limitation,  the right to vote, to receive
dividends or other distributions, to exercise any preemptive right or to receive
any notice of meetings of  shareholders  or any notice of any proceedings of the
Company except as may be specifically provided for herein.

          12.  GOVERNING  LAW. THIS WARRANT  CERTIFICATE  AND ALL RIGHTS ARISING
HEREUNDER SHALL BE CONSTRUED AND DETERMINED IN ACCORDANCE WITH THE INTERNAL LAWS
OF THE STATE OF NEW YORK,  AND THE  PERFORMANCE  THEREOF  SHALL BE GOVERNED  AND
ENFORCED IN ACCORDANCE WITH
SUCH LAWS.

          13. Amendments; Waivers. Any provision of this Warrant Certificate may
be amended or waived if, and only if, such amendment or waiver is in writing and
signed,  in the case of an amendment,  by the Holder and the Company,  or in the
case of a waiver,  by the party against whom the waiver is to be  effective.  No
failure or delay by either  party in  exercising  any right,  power or privilege
hereunder  shall  operate  as a waiver  thereof  nor shall any single or partial
exercise  thereof preclude any other or further exercise thereof or the exercise
of any other right, power or privilege.  The rights and remedies herein provided
shall be cumulative and not exclusive of any rights or remedies provided by law.







<PAGE>



         IN  WITNESS   WHEREOF,   the  Company  has  duly  caused  this  Warrant
Certificate  to be signed by its duly  authorized  officer and to be dated as of
January 23, 1998.

                                     INTEGRAMED AMERICA, INC.



                                     By:    /s/ Dwight Ryan
                                           -------------------------------
                                           Name:     Dwight Ryan
                                           Title:   Chief Financial Officer


Acknowledged and Agreed:

THE MORGAN STANLEY VENTURE
   PARTNERS ENTREPRENEUR FUND, L.P.

      By: Morgan Stanley Venture Partners III, L.L.C.
              its General Partner
      By: Morgan Stanley Venture Capital III, Inc.,
              its Institutional Managing Member

      By:   /s/ M. Fazle Husain
          --------------------------------
          Name: M. Fazle Husain
          Title:  General Partner








<PAGE>



                             WARRANT EXERCISE NOTICE

                (To be delivered prior to exercise of the Warrant
             by execution of the Warrant Exercise Subscription Form)


To:      IntegraMed America, Inc.

         The  undersigned  hereby  notifies you of its intention to exercise the
Warrant  to  purchase  shares of Common  Stock,  par value  $.01 per  share,  of
IntegraMed  America,  Inc.  The  undersigned  intends to exercise the Warrant to
purchase ___________ shares (the "Shares") at $.01 per Share (the Exercise Price
currently in effect pursuant to the Warrant). The undersigned intends to pay the
aggregate  Exercise Price for the Shares in cash,  certified or official bank or
bank cashier's check (or a combination of cash and check) as indicated below.

Date: __________________________ 



                                   ---------------------------------------------
                                   (Signature of Owner)


                                   ---------------------------------------------
                                   (Street Address)


                                   ---------------------------------------------
                                   (City)   (State)


Payment:     $ ____________  cash

             $ ____________  check






<PAGE>



                       WARRANT EXERCISE SUBSCRIPTION FORM

                (To be executed only upon exercise of the Warrant
                    after deliver of Warrant Exercise Notice)


To:      IntegraMed America, Inc.

         The undersigned  irrevocably  exercises the Warrant for the purchase of
___________  shares (the "Shares") of Common Stock, par value $.01 per share, of
IntegraMed  America,  Inc. (the "Company") at $.01 per Share (the Exercise Price
currently  in effect  pursuant to the Warrant)  and  herewith  makes  payment of
$___________  (such  payment being made in cash or by certified or official bank
or bank cashier's  check payable to the order of the Company or by any permitted
combination of such cash or check), all on the terms and conditions specified in
the within Warrant  Certificate,  surrenders  this Warrant  Certificate  and all
right,  title and  interest  therein to the Company and directs  that the Shares
deliverable  upon the  exercise of this Warrant be  registered  or placed in the
name and at the address specified below and delivered thereto.

Date:  ____________________________ 

                                       -----------------------------------------
                                       (Signature of Owner)


                                       -----------------------------------------
                                       (Street Address)


                                       -----------------------------------------
                                       (City)   (State)






<PAGE>



Securities and/or check to be issued to: _______________________________________

Please insert social security or identifying number:____________________________

Name: __________________________________________________________________________

Street Address: ________________________________________________________________

City, State and Zip Code: ______________________________________________________


Any  unexercised  portion  of  the  Warrant  evidenced  by  the  within  Warrant
Certificate to be issued to:

Please insert social security or identifying number: ___________________________

Name: __________________________________________________________________________

Street Address: ________________________________________________________________

City, State and Zip Code: ______________________________________________________






<PAGE>


                             WARRANT ASSIGNMENT FORM



                                                    Dated ___________ ___, _____


         FOR VALUE RECEIVED, _______________________ hereby sells,

 assigns and transfers unto_____________________________(the "Assignee"),
(please type or print in block letters)


                                        (insert address)

its right to purchase up to shares of Common Stock  represented  by this Warrant
and does  hereby  irrevocably  constitute  and  appoint  _______________________
Attorney,  to transfer the same on the books of the Company,  with full power of
substitution in the premises.



                                    Signature:






 Dwight Ryan                             Noonan/Russo Communications, Inc.
 Vice President and                      (212) 696-4455
 Chief Financial Officer                 Heather Hennessy (media) ext. 274
 IntegraMed America                      Jessica Livingston (investor) ext. 229
 (914) 253-8000 ext. 243                 e-mail: [email protected]

           INTEGRAMED AMERICA ANNOUNCES A PROPOSED MANAGEMENT CONTRACT
                    WITH SHADY GROVE FERTILITY CENTERS, INC.
    - The Company Announces A Financing By Morgan Stanley Venture Partners -


Purchase,  NY, January 26, 1998 - IntegraMed America, Inc. (Nasdaq:  INMD) today
announced it signed a letter of intent providing for the purchase by the Company
of Shady Grove  Fertility  Centers,  Inc.  ("SGFC")  and a long-term  management
agreement with its shareholders. This transaction, expected to close in February
1998, will be the second significant acquisition and fourth management agreement
that  IntegraMed  America has  completed in the last five  months.  In addition,
IntegraMed  America also announced that it closed on an equity private placement
of $5.5 million with Morgan  Stanley  Venture  Partners III,  L.P.,  the venture
capital  affiliate of Morgan Stanley,  Dean Witter,  Discover & Co. (NYSE:  MWD)
providing  for the  purchase of  3,235,294  shares of Common Stock at a price of
$1.70 per share and 240,000  Warrants to purchase  shares of Common Stock,  at a
nominal exercise price.

SGFC's       physician      group       practice,       located      in      the
Maryland/Washington/NorthernVirginia  area,  is one of the  leading  infertility
providers  in the  country.  The  group  provides  a full  range of  infertility
services  including in vitro  fertilization,  intracytoplasmic  sperm injection,
embryo  cryopreservation,  assisted  hatching,  egg donation and other  assisted
reproductive   technologies   (ART)   services.   With  four  locations  in  the
Maryland/Washington/Northern  Virginia area, the group practice has developed an
effective  strategy to concentrate  high cost ART services in a single  location
while  covering  an  extended  geographic  area in one of the  largest  and most
important ART markets in the country.

Led by Michael J. Levy, MD; Arthur W. Sagoskin,  MD; and Robert J. Stillman, MD,
SGFC was founded in 1982 and has since grown over the years  through  mergers of
medical practices,  the most recent of which was with Robert J. Stillman,  MD in
April 1997. "We decided to affiliate with IntegraMed  America's network based on
its reputation of managing medical  practices which offer the highest quality of
care, as well as its  commitment to provide  these  practices  with cutting edge
technology and reduced costs," said Michael Levy, MD.

In 1997, SGFC had unaudited  clinical  revenues of  approximately  $7.2 million.
Based  on the  terms  of the  transaction,  which  provide  that  the  Company's
management  fees will be comprised of  reimbursed  costs of services and a fixed
percentage  of  revenues,  plus an  additional  variable  percentage  of  SGFC's
revenues,  it is  anticipated  that  SGFC  will  have a  positive  impact on the
Company's results of operations.


<PAGE>

"We are  looking  forward  to having  SGFC as a part of our  growing  network of
physicians,"  said  Gerardo  Canet,  President  and Chief  Executive  Officer of
IntegraMed  America.  "This  acquisition  increases our geographic  reach in the
Maryland/Washington/Northern   Virginia   area  and  follows  our   strategy  of
developing  physician  group practices in major market areas.  Morgan  Stanley's
investment significantly  strengthens our financial position and we believe that
their  participation  as an investor  reinforces our position as a leader in the
infertility industry."

Fazle Husain,  General Partner of Morgan Stanley Venture  Partners,  said today,
"Our extensive  research in the  infertility  industry  demonstrated  the growth
potential  of this  niche  market.  IntegraMed  America  is a  leading  practice
management  company in the industry,  and its strong  leadership  and aggressive
business plans make it an exciting investment for us."

IntegraMed  America,  based in  Purchase,  New York,  is the  largest  physician
practice  management company  specializing in infertility and ART services.  The
Company  facilitates  growth and development of its Network sites through access
to clinical,  management,  marketing and capital support. The Company manages 10
reproductive  sciences  Network  sites  in  eight  states  and the  District  of
Columbia.  Currently,  there are  approximately 6.1 million infertile couples in
the United States, totaling a $1 billion U.S. infertility market.


                                      ####

Statements  contained  in this press  release  that are not based on  historical
fact, including statements regarding revenues and future expansion of IntegraMed
America,  are forward-looking  statements.  Actual results may differ materially
from the  statements  made as a result of  various  factors  including,  but not
limited to, the risks  associated  with the Company's  ability to finance future
growth; the loss of significant management contract(s); profitability at Network
sites managed by IntegraMed America;  changes in insurance coverage,  government
laws and regulations regarding health care or managed care contracting and other
risks,  including those identified in the Company's most recent Form 10-K and in
other  documents  filed by the Company  with the U.S.  Securities  and  Exchange
Commission (SEC).

Editor's Notes:
This release is available on the Internet at http://www.noonanrusso.com.



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