Termination Agreement


         This Termination Agreement made this 7th day of December,  2000 between
IntegraMed America, Inc.  ("Corporation") having an office at One Manhattanville
Road, Purchase, New York 10577-2100, Attention: Donald S. Wood, PhD, Senior Vice
President  and  Chief  Operating  Officer  and  Saint  Barnabas  Medical  Center
("Center"), having an office at 95 Old Short Hills Road, Suite 344, West Orange,
New Jersey 07052, Attention: Barry H. Ostrowsky, Esq.

                                 WITNESSETH THAT

         WHEREAS,  Center and IVF America, Inc. entered into a Service Agreement
dated  May 15,  1995,  a  supplement  to such  Service  Agreement  and a  letter
agreement  dated May 12,  1995  relating  to the  management  of the  Livingston
Practices (all of the foregoing and any modifications, amendments or supplements
thereto are hereinafter collectively referred to as "Agreements"); and

         WHEREAS,  Corporation is the same entity as IVF America, Inc.; and

         WHEREAS, Corporation and Center have agreed to terminate the Agreements
effective  with  the  close  of  business  on  December  29,  2000 on the  terms
hereinafter provided.

         NOW THEREFORE, the parties do hereby agree as follows:

         1.  Termination.  Effective at 5:00 p.m.  December 29, 2000 ("Effective
Date"),  the  Agreements  shall be deemed  terminated and of no further force or
effect,  except as herein otherwise  specifically  provided.  From and after the
Effective Date,  neither party nor any of its affiliates,  successors or assigns
shall  be  bound  or in any  way  obligated  to the  other  party  or any of its
affiliates, successors or assigns under the terms of the Agreements or any other
contracts  entered  into prior to the date hereof,  other than this  Termination
Agreement  and  any  instruments   executed  and  delivered   pursuant  to  this
Termination Agreement.

         2. Corporation  Personnel.  Corporation  hereby waives and releases any
and all  restrictions  or  limitations  on the  solicitation  for employment and
employment by Center of any and all persons previously and/or presently employed
by  Corporation  to provide  services to or on behalf of Center and described in
the  Service  Agreement  as  "Corporation   Personnel."   Without  limiting  the
foregoing,  Corporation  waives  any  restrictive  covenants  contained  in  any
agreements  with  Corporation  Personnel or in the Agreements to the extent they
would in any way limit or restrict  Center from  soliciting the employment of or
employing any Corporation Personnel.  Corporation shall pay all wages, salaries,
stay  bonuses,  severance  payments  (to a maximum  of  $51,233.67,  subject  to
reduction  based upon hirings by Center of  Corporation  Personnel) and benefits
for all Corporation Personnel thru the Effective Date, including but not limited
to those  Corporation  Personnel which Center shall elect to employ;  subject to
reimbursement in accordance with the Service  Agreement (except that the maximum
reimbursement  for the stay bonuses  shall be  $34,500.00  and no  reimbursement
shall be made for severance  payments made to Corporation  Personnel to be hired
by Center).

         3.  Lease.  Corporation  is the lessee of Suite 501  located at 101 Old
Short Hills Road, West Orange, New Jersey ("Premises")  pursuant to a lease with
Atkins-Kent Motel, Ltd.  ("Lessor") dated October,  1991 ("Lease").  Corporation
warrants  and  represents  that the  Lease is in full  force  and  effect,  that
Corporation  is in good  standing  under the Lease having  performed  all of its
obligations  thereunder  including  but not  limited to the payment of all rents
through the period  ending  December  31, 2000 and that it has not  received any
notice of  termination or default under the Lease.  Corporation  shall assign to
Center  on  the  Effective  Date  the  Lease  and  all of  Corporation's  rights
thereunder,  including  but not limited to the option to renew for an additional
ten year term,  which option  Corporation  warrants and represents it is in full
force and effect. Such assignment shall also include all of Corporation's rights
in and to any  furniture,  fixtures,  equipment,  supplies and  inventory on the
Premises.   Center  shall  accept  such  assignment  and  shall  assume  all  of
Corporation's  obligations under the Lease from and after the Effective Date and
shall  indemnify  and save  Corporation  harmless  from and  against all of such
assumed obligations. Center shall use its best efforts to obtain from the Lessor
a release of Corporation from any further  obligations and liabilities under the
Lease from and after the  Effective  Date.  Center shall not be required to make
any  payments or to agree to any  modifications  to the Lease in order to obtain
such release for the benefit of Corporation.



         4.  Books  and  Records.  Corporation  acknowledges  that all books and
records  (including  but  not  limited  to  electronically  stored  information)
relating to Center's activities and in the possession of Corporation  (including
but not  limited to records of the  R.E.A.L.  Laboratory)  are the  property  of
Center. On or before the Effective Date, Corporation shall deliver to Center all
such books and records,  other than employment records of Corporation  Personnel
not to be employed by Center. As to employment records of Corporation  Personnel
to be hired by Center,  Corporation  shall  require the  written  consent of any
employee before delivering his/her records. In any event, Corporation shall give
Center access to employment  records if reasonably  required in connection  with
disputes as to  compensation,  fringe benefits or similar payment  matters.  Any
electronically  stored  information  shall be  delivered  in such  form as to be
readily accessible to Center through the hardware and software currently used in
the  performance  of  Corporation's  services  owned by Center  and in  Center's
possession.  Other than as to  employment  records and records  with  respect to
laboratories for which it was licensee prior to the Effective Date,  Corporation
shall not retain  copies of such books and  records  and  acknowledges  that all
information  concerning  Center's  operations  in  Corporation's  possession  is
proprietary  to  Center  and  not to be  used by  Corporation  for any  purpose.
Corporation shall deliver to Center, free and clear of any claims or limitations
on use, all software and  documentation  used in the performance of the services
described in Exhibit 1(a)(1) of the Service Agreement.  From time to time during
calendar year 2001, Corporation will make its appropriate personnel available to
Center upon  reasonable  request and notice to respond to inquiries  relating to
the various  systems,  software,  reports and other  technical  matters  used or
previously generated by Corporation in the performance of its services under the
Agreements.

         5. Payment.  As consideration for the termination of the Agreements and
in specific satisfaction of its payment obligations under paragraph 10(g) of the
Service Agreement, Center shall pay to Corporation on the Effective Date the sum
of  $1,440,000.00.  In  addition,  on the  Effective  Date,  Center shall pay to
Corporation the sum of $533,716.00,  or such lesser amount which  represents the
full  outstanding  amount due to Corporation  for all services  rendered for the
period  ending  October 31,  2000.  Payments  shall be made by wire  transfer or
immediately  available funds.  Center shall pay via wire transfer or immediately
available  funds to Corporation  for services  rendered  pursuant to the Service
Agreement  for the months of November  and  December,  2000  promptly  following
receipt of the invoice  for such  services in  customary  form,  but in no event
later  than  10 days  after  receipt.  Corporation  acknowledges  that no  other
payments will be due to it from Center.

         6. Releases.  On the Effective Date the parties shall exchange releases
releasing  each  other,  together  with  all  of  their  respective  affiliates,
officers,  directors,  trustees,  shareholders,  agents, attorneys and employees
from any and all claims, costs, charges and liabilities whatsoever, except those
arising under this Termination  Agreement.  Upon delivery by A.R.T. Institute of
New York and New Jersey, Inc. of a general release in favor of Corporation,  its
officers, directors,  shareholders, agents, attorneys and employees, the release
to be  delivered  by  Corporation  shall  also  specifically  extend  to  A.R.T.
Institute  of  New  York  and  New  Jersey,   Inc.,  its  officers,   directors,
shareholders, agents, attorneys and employees.

         7.  Transition.  The parties  agree to  cooperate in effecting a smooth
transition of the management  services  described in the Service  Agreement from
Corporation  to Center to be  completed  on or before  the  Effective  Date.  In
particular,  Corporation  shall direct its  employees to provide all  assistance
reasonably  required to effect such  transition,  shall provide  Center with all
required software passwords and shall arrange for the identification of Center's
designees  as the  contact  persons  with  all  software  support  entities.  In
addition,  Corporation shall cooperate and take all reasonable steps required to
assist Center in and to  facilitate  the transfer or reissuance to Center of the
license of the R.E.A.L. Laboratory.

         8. Notices.  Any notices  hereunder shall have been deemed to have been
duly given only if in writing and mailed by registered or certified mail (return
receipt requested),  or by United States Express Mail or other next business day
receipted  commercial  delivery service,  postage and delivery charge prepaid to
the parties at the addresses set forth  hereinabove or specified by like notice;
provided  that  notices  of a change of  address  shall be  effective  only upon
receipt thereof. Any notice to Center shall also be copied to Bruce D. Shoulson,
Esq., Lowenstein Sandler, PC, 65 Livingston Avenue,  Roseland, New Jersey 07068.
Any notice to Corporation shall also be copied to Robert E. Levy, Esq., Scarinci
& Hollenbeck, LLC, 500 Plaza Drive, P.O. Box 3189, Secaucus, New Jersey 07096.

         9. Warrant of Authority.  Each  individual  executing this  Termination
Agreement  warrants  and  represents  that he/she has been fully  authorized  to
execute and deliver this  Termination  Agreement as and for the act of the party
in whose name  he/she has signed and that such party is fully bound to the terms
hereof.



         10. Benefits of Termination Agreement. This Termination Agreement shall
be binding  upon and inure to the benefit of the  parties  and their  respective
successors, assigns, legal representatives and heirs.

         11. Prior  Agreements;  Amendments.  As of the  effective  date,  this
Termination Agreement supersedes all prior agreements and understandings between
the parties, and may not be amended,  altered, changed, or terminated orally. No
amendment,  alteration,  change,  or attempted  waiver of any of the  provisions
hereof shall be binding  without the written  consent of both parties,  and such
amendment,  alteration, change, termination or waiver shall in no way affect the
other terms and  conditions of this  Termination  Agreement,  which in all other
respects shall remain in full force.

         12. Construction of Termination  Agreement.  The failure to insist upon
strict  compliance  with any of the terms,  covenants  or  conditions  contained
herein shall not be deemed a waiver of such terms, covenants, or conditions, nor
shall any  waiver  or  relinquishment  of any right at any one or more  times be
deemed a waiver of relinquishment of such right at any other time or times.

         13. Applicable Law; Severability; Consent to Jurisdiction.

                  (a) The parties agree that this Termination Agreement shall be
governed and construed in accordance with the laws of the State of New Jersey to
the fullest  extent  permitted  by law,  without  regard to the  application  of
conflict of laws rules.  If any portion of the  provisions  hereof  shall to any
extent be invalid or unenforceable, the remainder of this Termination Agreement,
or the  application  of such portion or provisions in  circumstances  other than
those  in which it is held  invalid  or  unenforceable,  shall  not be  affected
thereby,  and each portion or provision of this  Termination  Agreement shall be
valid and  enforced  to the fullest  extent  permitted  by law,  but only to the
extent the same continues to reflect fairly the intent and the  understanding of
the parties expressed by this Termination Agreement taken as a whole.

                  (b)  Each   party  to  this   Termination   Agreement   hereby
irrevocably  consents  and  agrees  that any legal  action,  suit or  proceeding
arising out of or in any way in accordance with this Termination Agreement shall
be  instituted  or  brought  in the  courts of the State of New Jersey or in the
United  States  Court for the  District  of New  Jersey,  and by  execution  and
delivery of this Termination Agreement each party hereby irrevocably accepts and
consents  to,  for  itself  and  in  respect  to  its  property  the   exclusive
jurisdiction of such courts and to all proceedings in such courts.

                  (c) Each party to this  Termination  Agreement  further agrees
that final  judgment  against it in any such legal  action,  suit or  proceeding
shall be  conclusive  and may be enforced in any other  jurisdiction,  within or
outside the United States of America.

         14. Headings.  Section  headings  are  not  part  of  this  Termination
Agreement  and are included  solely for  convenience  and are not intended to be
full or accurate descriptions of the consents thereof.

         15. Waiver  of  Breach.  The  waiver  by  either  party of a breach  of
violation of any provision of this  Termination  Agreement shall not operate as,
or be  construed to be, a waiver of any  subsequent  breach of the same or other
provision hereof.

         16. Entire Agreement. This Termination Agreement constitutes the entire
Termination  Agreement  between the parties.  Neither party shall be entitled to
any benefits  other than those  specified  herein.  No oral  statements or prior
written material not specifically  incorporated herein shall be of any force and
effect  and no change in or  additions  to the  Termination  Agreement  shall be
recognized unless incorporated herein by amendment,  such amendment(s) to become
effective on the date stipulated in such amendment(s).



         17.  Confidentiality.

                  (a)  Corporation  and its  affiliates,  on the one  hand,  and
Center,  on the other hand, each agrees to treat as confidential  and to require
its respective affiliates,  subsidiaries,  employees, contractors and agents who
provided  services in  connection  with  Center's IVF Program (as defined in the
Service Agreement) to treat as confidential,  all information  received by it in
the course of the fulfillment of the terms of the Agreements,  including but not
limited to information of a technical,  scientific or business nature,  from the
other party,  as it pertains to the IVF Program,  and without the prior  written
permission of the non-disclosing party, each further agrees not to:

                       (i)  disclose any part of such information to any person
or organization; or

                       (ii)  utilize any part of such information except for the
purposes of this Termination Agreement;

                  (b)  Nothing in  subsection  (a) above shall be  applicable to
any information that:

                       (i)   is or  becomes  known  publicly  or  known  in  the
scientific community through no fault of the disclosing party; or;

                       (ii)  is  learned  by the  disclosing  party from a third
party legally entitled to disclose that information;

                       (iii) was already  known to the  disclosing  party at the
time of disclosure to it by the other party;

                       (iv)  with respect to business  information  and business
data, authorized disclosure to the Corporation's or the Center's Auditors, third
party insurers and payors or regulating bodies.

                  (c) The  Center  acknowledges  that  the  Corporation  and its
subsidiaries  and  affiliates,  have rights and goodwill in its logos,  designs,
service marks, trade names and trademarks ("Marks"). The Center agrees that such
Marks shall remain the sole property of the  Corporation,  its  subsidiaries  or
affiliates  and  shall  not be  used  by the  Center  after  termination  of the
Agreements.

         18.  Medicare  Audit  Requirements.   Pursuant  to  42  U.S.C.  Section
1395x(v)(I)(II), to the extent applicable, the Corporation, until the expiration
of four (4) years after the Effective  Date,  shall make  available for Medicare
audit  purposes the books,  documents  and records of the  Corporation  that are
necessary  to certify  the  nature  and  extent of sums paid to the  Corporation
pursuant to the  Agreements  upon the written  request of the  Secretary  of the
Department of Health and Human Services of the United States, or upon request of
the  Comptroller  General of the United States,  or any of their duly authorized
representatives.

         19.  Assignment.  This  Termination  Agreement  may not be  assigned by
either of the  parties  hereto  without  the  express  written  consent  of such
assignment  by the other and upon the written  assumption by the assignee of all
obligations of the assignor.

         20.  Counterparts. This Termination Agreement may be executed in one or
more counterparts,  each of which shall be deemed to be an original,  but all of
which taken together shall constitute one and the same document.



         21.  Miscellaneous.

                  (a) Use of the Name of the Center:  The name,  "Saint Barnabas
Medical  Center," "Saint Barnabas  Outpatient  Center," or any trade name of the
IVF Program,  or any portion or  variation  thereof  (excluding  any trade name,
related to IVF America,  Inc.) (collectively the "Trade Names") or any statement
which may implicitly refer directly or indirectly to the Trade Names,  shall not
be used in any manner by or on behalf of Corporation.

                  (b) Use  of  Name  of  A.R.T.  Institute:   The  name  "A.R.T.
Institute of New York & New Jersey,  Inc." or any variation thereof shall not be
used in any manner or on behalf of Corporation.

         IN WITNESS WHEREOF, the parties have caused this Termination  Agreement
to be executed and delivered the day and year first above written.

                                Saint Barnabas Medical Center

                                By: ____________________________


                                   IntegraMed America, Inc.

                                By:_____________________________
                                   Donald S. Wood, PhD
                                   Senior Vice President and
                                   Chief Operating Officer