STIPULATION OF SETTLEMENT AND COMPROMISE OF ALL CLAIMS

                                      AMONG

                            INTEGRAMED AMERICA, INC.

                                       AND

                   REPRODUCTIVE SCIENCES MEDICAL CENTER, INC.
                            AND SAMUEL H. WOOD, M.D.


         THIS STIPULATION AND SETTLEMENT  AGREEMENT  effective September 1, 1998
["Agreement"], by and among (1) IntegraMed America, Inc., a Delaware corporation
with its principal place of business at One Manhattanville Road,  Purchase,  New
York 10577 ["INMD"];  and (2)  Reproductive  Sciences  Medical  Center,  Inc., a
California  professional  corporation,  with its principal  place of business at
4150 Regents Row, Suite 280, La Jolla,  California 92037 ["PC"];  and (3) Samuel
H. Wood, M.D.,  having a post office address at P.O. Box 1208,  Rancho Sante Fe,
California 92067 ["Wood"].

                                 R E C I T A L S

         WHEREAS,  PC and INMD are parties to a Management  Agreement dated June
6, 1997, as amended ["Management Agreement"]; and

         WHEREAS, Wood and INMD are parties to an Asset Purchase Agreement dated
June 6, 1997, as amended ["Asset Agreement"]; and

         WHEREAS,  PC,  Wood and INMD are  parties to a Personal  Responsibility
Agreement   dated  June  6,   1997,   as   amended   ["Personal   Responsibility
Agreement"];and

         WHEREAS, PC and Wood are parties to a Physician-Shareholder  Employment
Agreement dated June 6, 1998, as amended  ["Employment  Agreement"]  pursuant to
which Wood was the medical director of the Program; and

         WHEREAS, the Management Agreement,  Asset Purchase Agreement,  Personal
Responsibility  Agreement and Employment Agreement,  and any Amendments thereto,
are herein collectively referred to as the "Various Agreements"; and

         WHEREAS, for the purposes of this Agreement,  PC, Wood and INMD accept,
adopt and here  utilize  the  defined  terms and  definitions  contained  in the
Management Agreement; and


                                        1





         WHEREAS,  pursuant to such Management Agreement,  the PC, Wood and INMD
have operated a program providing  Infertility Services (as such term is defined
in ss.1.1.7 of the  Management  Agreement) and known as  "Reproductive  Sciences
Medical Center of San Diego" [hereinafter "Program"]; and

         WHEREAS the  Program is part of the INMD  Reproductive  Science  Center
Division, which consists of a national network of similar Programs; and

         WHEREAS,  pursuant to the Asset  Agreement,  INMD  purchased all of the
assets of Wood used in the  operation  of Wood and PC's  practice  of  providing
Infertility  Services  ["Wood  Practice"]  and Wood, on this date, is the record
tenant of the office and laboratory  space of the Program,  the record tenant of
space at Xi-Med ["Xi-Med Leasehold"]; and

         WHEREAS, INMD is the owner and/or lessee of all equipment, fixtures and
fixed assets and the employer of all personnel at the Program with the exception
of physicians; and

         WHEREAS,  pursuant to the Asset Agreement and the Management Agreement,
INMD was to make certain payments,  during the term of the Management Agreement,
for the assets  and the name  "Reproductive  Sciences  Medical  Center"  ["Asset
Payments"]; and

         WHEREAS, pursuant to the Management Agreement, INMD was to make certain
payments,  over the term of the Management  Agreement and at certain milestones,
to PC, for the Exclusive Management Right ["RTM Payments"]; and

         WHEREAS,  pursuant to the Management  Agreement,  INMD was obligated to
make certain  Advances to the PC, which  Advances if made,  were to be repaid by
the PC to INMD; and

         WHEREAS,  certain disputes have arisen between and among the parties to
this Agreement in which the parties have both served various  Notices of Breach,
claimed breaches of the various  agreements,  as well as fraud in the inducement
and requests for damages and payments; and

         WHEREAS,  on June  12,  1998,  INMD  commenced  an  arbitration  before
JAMS/Endispute  in San Diego,  California ["JAMS  Arbitration"],  against PC and
Wood,  in which INMD seeks  damages  and  recission  and/or  termination  of the
Various Agreements ["INMD Claims"]; and

         WHEREAS,  PC and  Wood  have  interposed  a  counterclaim  in the  JAMS
Arbitration  as  against  INMD,   which  seeks  damages  and  recission   and/or
termination of the Various  Agreements,  and which asserts  various  theories of
recovery,  in both  tort and  contract,  and  which  asserts  the  right to both
compensatory and exemplary damages ["Wood/PC Claims"]; and


                                        2





         WHEREAS,  the parties desire to effectuate a termination of the Various
Agreements,  and a transition of the management of the Program to Wood and PC in
an orderly fashion,  so as to insure the quality of Infertility  Services at the
Program,  and to settle and  compromise all their disputes in order to avoid the
expense and the uncertainty of litigation.

         NOW, THEREFORE,  in consideration of the foregoing,  and for other good
and valuable  consideration,  the parties,  intending to be legally  bound,  and
without coercion or duress of any kind, hereby agree as follows:

1.       TERMINATION OF AGREEMENTS.  INMD and the PC hereby  terminate the Asset
         Agreement,  the Management Agreement,  the Employment Agreement and the
         Personal Responsibility  Agreement,  effective September 1, 1998. As of
         such date,  except for the rights  and  obligations  contained  in this
         Agreement, all parties are discharged from any obligations arising from
         the Various Agreements,  including but not limited to, the repayment of
         Advances,  payment of RTM  payments,  and  covenants  not to compete or
         solicit employees, and any Lab Build-Out. The parties hereby accelerate
         all  unamortized RTM payments and apply those  accelerated  payments to
         repay Advances and discharge any remaining Advances' balance.

2.       GENERAL  RELEASES.  (a) INMD hereby releases and forever  discharges PC
         and Wood, their  subsidiaries,  affiliates,  successors,  shareholders,
         predecessors, heirs, assigns, agents, officers, directors and employees
         from any and all  claims,  suits,  demands,  debts,  causes of  action,
         liabilities,  indemnities,  obligations,  costs,  losses,  damages  and
         expenses of  whatsoever  kind or nature,  whether  legal,  equitable or
         statutory, liquidated or unliquidated,  known or unknown, including but
         not limited to those  arising out of the  Management  Agreement,  Asset
         Purchase  Agreement,  Personal  Responsibility  Agreement and Physician
         Employment Agreement, and all causes of actions and claims asserted (or
         which could have been asserted) in the JAMS  Arbitration,  arising from
         the first day of the world until the date of this Settlement Agreement.
         It is  expressly  understood  by INMD that the granting of this general
         release to PC and Wood shall  constitute a voluntary and knowing waiver
         of any right to legal recourse as against Wood and PC except such legal
         action that may be necessary to enforce the terms of this Agreement.


         (b)  PC and  Wood  hereby  release  and  forever  discharge  INMD,  its
         subsidiaries,   affiliates,  successors,  shareholders,   predecessors,
         assigns,  agents, officers,  directors and employees,  from any and all
         claims,   suits,  demands,   debts,  causes  of  action,   liabilities,
         indemnities,  obligations,  costs,  losses,  damages  and  expenses  of
         whatsoever  kind or nature,  whether  legal,  equitable  or  statutory,
         liquidated or unliquidated, known or unknown, including but not limited
         to  those  arising  out of the  Management  Agreement,  Asset  Purchase
         Agreement,  Personal Responsibility  Agreement and Physician Employment
         Agreement,  and all causes of actions  and  claims  asserted  (or which
         could have been  asserted)  in the JAMS  Arbitration,  arising from the
         first day of the world until the date of this Settlement Agreement.

                                        3





         It is  expressly  understood  by PC and Wood that the  granting of this
         general release to INMD shall constitute a voluntary and knowing waiver
         of any right to legal  recourse  as  against  INMD,  except  such legal
         action that may be necessary to enforce the terms of this Agreement.

         (c) Each of Wood, PC and INMD knowingly and voluntarily  waives any and
         all rights  that it has under the  provisions  of  Section  1542 of the
         Civil Code of the State of California, which reads as follows:

                  "A  general  release  does not  extend  to  claims  which  the
                  creditor does not know or suspect to exist in his favor at the
                  time of executing the release, which if known by him must have
                  materially affected his settlement with the debtor."

         Each of the  undersigned  acknowledges  and agrees  that this waiver of
         claims  governed by Section 1542 is an essential  and material  term of
         this Stipulation for Settlement,  without which this document would not
         have been executed.

3.       CONTINUATION  OF THE PROGRAM AND  WITHDRAWAL  OF INMD.  (a) The parties
         acknowledge and agree that the Program shall,  commencing  September 1,
         1998, be operated  solely by PC and Wood,  and that INMD shall withdraw
         (except for the INMD Employee detailed in paragraph 8 hereof) and cease
         to offer any management, administrative,  financial or support services
         to the Program.

         (b) Employees. INMD shall terminate the employment of all its employees
         located  at  the  Program  (other  than  the  Employee  referred  to in
         paragraph  8) and PC and Wood  shall  hire such  employees.  INMD shall
         indemnify Wood and PC for any claims by INMD Employees,  arising out of
         their employment  during the term of the Management  Agreement,  except
         for any and all claims  arising out of the  volitional  or  intentional
         acts of Wood.

         (c) Insurances.  (1) Effective September 1, 1998, INMD shall cancel the
         general  liability  insurance  policy  in  effect  for  the PC and  the
         Facilities [as defined in paragraph 3.2 of the Management Agreement and
         including  the Xi-Med  Leasehold]  and shall  cancel  any  professional
         liability  insurance  policy  in  effect  for  the  PC and  PC's  staff
         (including Wood). Wood and PC covenant and warrant that the PC and Wood
         shall have,  effective no later than  September  1, 1998,  professional
         liability  insurance , insuring all  professional  acts  including  the
         storage of Biological Materials in an amount of no less than $1 million
         per claim/$3  million in the aggregate,  and that the PC and Wood shall
         provide INMD, proof of such insurance,  and proof of general  liability
         insurance  for the  Facilities  no later than  September  1, 1998.  The
         Wood/PC  obligation to provide proof of such  insurance  shall continue
         annually  (on the  anniversary  date of the first  proof) for three (3)
         years.  Wood  hereby  acknowledges  and agrees  that any and all health
         and/or disability benefits provided by INMD shall cease on September 1,
         1998.

                                        4





         (2)INMD shall continue,  in full force and effect,  "tail  insurance" ,
         covering  the PC and INMD's  prior  employees  for  professional  acts,
         including  the storage of  biological  materials  for claims made after
         September  1, 1998 but  arising  out of  professional  acts or  conduct
         occuring  during  the  term of the  Management  Agreement.  INMD  shall
         provide  PC and  Wood  with  proof  of such  insurance  no  later  than
         September 1, 1998 and shall continue to provide such proof of insurance
         annually (on the anniversary date of the first proof) for three years.

         (d) Notification of Patients.  Wood and PC shall notify patients of the
         Program, on or before October 1, 1998, that he and the PC are no longer
         affiliated with INMD. The form and content of such  notification  shall
         be previously  approved by INMD,  such approval not to be  unreasonably
         withheld or delayed.

         (e)  Biological Materials.

                  (i) The PC and Wood, hereby acknowledge and agree that, at all
                  times during the time period of the Management Agreement,  and
                  at all times hereafter,  the PC and/or Wood have been the sole
                  and rightful custodians of all biological materials, including
                  but not limited to sperm,  oocytes and embryos  (cryopreserved
                  or fresh)["Biological Materials"] and that they shall continue
                  to preserve  and protect such  Biological  Materials as are in
                  their custody.

                  (ii) The PC shall provide INMD with a list of all patients who
                  (1)  currently  have  cryopreserved  biological  materials  in
                  storage at the Program as of  September  1, 1998,  and (2) who
                  have ever had cryopreserved biological materials in storage at
                  the  Program  from June 6, 1997  through  September  1,  1998,
                  together  with  information  as to and  the  date  as to  when
                  storage ceased.


         (f)  Removal of  Proprietary  Information.  INMD shall  remove from the
         Program Premises any and all copies of proprietary  written information
         (as listed on the annexed  Schedule A), and PC and Wood hereby covenant
         not to copy or utilize any  consents,  procedure  or policy  manuals or
         proprietary  information henceforth in operation of the Program, except
         that,  the PC shall,  for a period of ninety days (up to and  including
         November  30,  1998)  be  permitted  to  utilize  the  text of the INMD
         Consents,  now utilized for documenting patient consent,  provided that
         all reference to INMD is redacted or removed therefrom.

         (g)  Billing  Cooperation.  INMD shall leave at the Program any and all
         documentation  and  equipment  necessary  for the  Program  to bill for
         unbilled Infertility Services and to collect outstanding amounts.  This
         shall include data stored in the computer system at the Program.

                                        5






4.       COVENANT BY WOOD.  Wood hereby  covenants and represents that the PC is
         the  current  professional   corporation  through  which  he  practices
         medicine.  He further  covenants  and  represents  that if, at any time
         prior to the full  payment of the Payment  Price,  he should  establish
         another  professional  corporation  or  entity  through  which he shall
         practice  medicine,  he  shall  do so  only  if  such  PC  and/or  sole
         proprietorship  or business entity expressly assumes the obligations of
         the Payment Price and the obligations of this Agreement.

5.       LEASE OF ASSETS.  The PC shall lease the Program's  tangible assets and
         leasehold  improvements  of the Program on the terms of the Asset Lease
         ["Payment Price"] here annexed as Exhibit A and executed simultaneously
         with this Agreement.

6.       ASSUMPTION OF LEASEHOLD  INTERESTS.  (a) The PC shall assume all future
         lease payments, as of September 1, 1998, the lease for the office space
         of the  Program  located at 4150  Regents  Row,  Suite  280,  La Jolla,
         California  ["Program  Premises"],  and the XiMed  Leasehold  and shall
         indemnify INMD against claims for rent or payments  thereunder  made by
         the Landlord, except as provided in paragraph 11 hereof.

         (b) The PC shall assume the leases,  as of  September 1, 1998,  for any
         and all medical and/or office equipment located at the Program Premises
         except for the  Diagnostic  Products  Corporation  Immulite  Immunology
         Analyzer,  Serial # 5379010  ["Immulite  Analyzer"] and shall indemnify
         INMD  against  any claims for rent or payments  thereunder  made by the
         Lessors thereof. INMD shall assume the lease for the Immulite Analyzer,
         and the parties  shall  cooperate,  in good faith,  in efforts to sell,
         lease, transfer or return such Immulite Analyzer, such sale, leasehold,
         transfer or return not to take place  prior to October 1, 1998.  PC and
         Wood  shall  pay to INMD the  monthly  lease  price of  $1,736.82  (One
         thousand seven hundred and thirty six dollars and eighty-two cents) for
         the use of the Immulite Analyzer for the period September 1, 1998 until
         October 1, 1998  ["Immulite  Payment"].  The Immulite  Payment shall be
         offset,  or  deducted,  from the  first  payment  to be  earned by Wood
         pursuant to Section 9(d)(2) of this Agreement.

7.       RIGHT TO ACCOUNTS RECEIVABLE.  The parties hereby acknowledge and agree
         that,  during the operation of the Program up to and  including  August
         31, 1998,  certain accounts  receivable were, and shall continue to be,
         generated. For the purposes of this Agreement,  accounts receivable are
         deemed generated on the date that the medical or laboratory  service or
         treatment is provided to a patient, irrespective of the date (before or
         after treatment) that payment is actually received.  The parties hereby
         agree and  acknowledge  the following  rights and interests in accounts
         receivable of the Program:

         (a) Any and all  accounts  receivable  generated  prior to September 1,
         1998  ("Pre-  September  Receivables")  are the sole  property of INMD,
         whether  payment  therefor has, or in the future is,  received by INMD,
         the PC and/or Wood.

                                        6





         

         (b) Any and all accounts receivable generated on and after September 1,
         1998 ("Future Program  Receivables")  shall be the sole property of the
         PC, whether payment therefor has been, or in the future is, received by
         any or all of INMD, the the PC and/or Wood.

         (c) In the event there  arises a dispute  between INMD and PC as to the
         nature and  character  of the Program  Receipts  (as  Pre-September  or
         Future  Receivables),  the  parties  shall  first  rely on the date the
         service was  rendered,  as shown on the computer  records  generated by
         INMD.  PC shall have the burden of proving  such  records  erroneous by
         supplying copies of the patient medical records.

 8.      COLLECTION  OF  ACCOUNTS  RECEIVABLE.  An  employee  of INMD (of INMD's
         choosing)(the  "INMD Employee") shall be on the Program Premises for up
         to and  including  December  31,  1998,  in order to  oversee  and make
         efforts for the  collection  of the accounts  receivable of the Program
         and the PC. Such collection  shall be jointly  supervised and conducted
         by the INMD Employee and a representative  of the PC designated by Wood
         (the "PC  Representative").  The INMD  Employee  and PC  Representative
         shall  have  joint  and  simultaneous  access  to any and  all  billing
         information,   data  and  computer  information  necessary,   provided,
         however,  such  information  be  restricted  to  information  needed to
         process,  record and document payment of such accounts receivable.  The
         INMD  Employee  shall have access to the  Program  Premises at any time
         during  normal  business  hours.  The  INMD  Representative  and the PC
         Representative  shall, jointly and in good faith,  allocate any and all
         monies  received as being either  Pre-September  Receivables  or Future
         Receivables.  INMD and the PC shall,  in good  faith,  insure  that the
         Future Receivables are paid to the PC and the Pre-September Receivables
         are paid to INMD. The PC and Wood hereby covenant to cooperate with the
         INMD Employee in his/her efforts to collect  Pre-September  Receivables
         and  agree not to  interfere,  by  omission  or  commission,  with that
         effort.  In the event that there is a dispute  between  the  Companies'
         Representative  and the IntegraMed  Representative  concerning  whether
         monies  received  constitute  a  Pre-September  Receivable  or a Future
         Receivable,  the  parties  shall  first rely on the date of the service
         rendered,  as shown in the computer  records  generated by INMD and, if
         the Companies' representative disagrees with such records, he/she shall
         produce the patient's  records.  If the parties cannot,  in good faith,
         agree to the allocation on the basis of such records,  such collections
         shall be put in escrow until the matter is determined by arbitration or
         agreement.  The parties  anticipate  that the amount of Pre-  September
         Receivables  to be subject to collection by INMD are the sum of (1) One
         hundred  and  twenty-two  thousand  four  hundred  and  ninety  dollars
         ($122,490.00) and (2) such accounts receivable generated by the Program
         between  August 1 and August 31, 1998 ["August  Receivables"].  Between
         September 1 and  September  30, 1998,  INMD shall account to PC for any
         money collected on behalf of the Program which represented pre-payments
         by patients for medical  services to be performed on or after September
         1, 1998,  including  both "patient  deposits" and  "suspended  credits"
         ["Pre-payments"].The  aggregate  amount of such  Pre-payments  shall be
         paid by INMD to PC no later than October 1, 1998.  Between  September 1
         and  September  30,  1998,  Wood and PC shall  account  to INMD for the
         amount of August Receivables.


                                        7





                 
9.       ENTITLEMENTS  OF PC AND WOOD. In  consideration  for the  withdrawal of
         INMD from the Program,  the termination of the Various Agreements,  and
         the  obligations  of this  Agreement,  PC and Wood  shall  receive  the
         following:

         (a) Any and all INMD Common Shares ["INMD  Shares"] issued to PC and/or
         Wood upon the signing of the Management  Agreement,  shall no longer be
         subject to the provisions of Section 7.1.7 of the Management Agreement,
         but shall be  subject to all  applicable  Federal  and State law.  INMD
         agrees to provide any documentation or approval  reasonably required by
         PC or Wood in order to sell the INMD Shares in accordance  with law. No
         additional  INMD  Shares  shall be issued to Wood or the PC as a result
         of, or based upon any rights  contained  in,  the  Various  Agreements,
         hereafter.

         (b) INMD shall pay one hundred  percent (100%) of the monthly  payments
         on the  XiMed  Leasehold  for (1) a period  of six  months,  commencing
         September 1, 1998; or (2) until the XiMed  Leasehold is fully sublet to
         another tenant or (3) the  commencement of a Navy contract  between the
         government and the PC or Wood, whichever shall first occur. PC and Wood
         covenant to use commercially  reasonable efforts to sublet the premises
         governed by the XiMed Leasehold.

         (c) INMD shall  Advance  the Costs of Services of the Program up to and
         including  August 31, 1998 and shall be repaid  such money  solely from
         the collected Pre- September Accounts Receivable.

         (d) Consulting  Agreement.  (1) Commencing September 1, 1998, and for a
         period  of  twenty-nine  months  thereafter,  Wood  shall be a  Special
         Consultant  to INMD.  His duties as a Special  Consultant  shall be to,
         upon  request of INMD,  consult and advise INMD with respect to new ART
         technologies,  laboratory  methods,  protocols for new  procedures  and
         results.  It is expressly  understood that INMD shall provide Wood with
         reasonable  notice of such  requests,  but Wood shall also make himself
         reasonably available for such consultation, it being understood between
         the  parties  to this  Agreement  that the time  devoted by Wood to his
         duties as a Special  Consultant shall be not greater than an average of
         10 hours per month.


                                        8





         (2)  Wood's  compensation  for  performance  of his  duties as  Special
         Consultant shall be $4800 per month ["Consulting Payment"],  payable on
         the 15th day of each  month,  providing  however,  that  INMD  shall be
         entitled to offset the payment  against the Immulite  Payment due under
         Section 6(b) of this  Agreement and any Asset Lease payments due, or to
         become due within 30 days of the date of required payment by INMD.


10.      GOVERNMENT  CONTRACT EFFORT. (a) The parties agree and acknowledge that
         there is a Request  for  Quotation  (RFQ)  issued by the Naval  Medical
         Center  San  Diego  [NMCSD]  which  seeks  an  infertility  program  to
         associate  with  NMSCD  physicians  for the  provision  of  Infertility
         Services to active,  retired  and/or  reservist  US Navy  care-eligible
         personnel   referred  to  NMSCD  for   infertility   treatment   ["Navy
         Contract"].  PC and Wood  desire  to  submit a  proposal  for such Navy
         Contract and desire that INMD, specifically its COO Dr. Donald S. Wood,
         lend  their/his  expertise in preparing  the  necessary  documents  and
         presentation  of such proposal on behalf of PC and Wood.  Wood and INMD
         have evaluated the RFQ and have  determined  that the Scope of Work and
         qualifications listed therein may, in fact, be too narrow to permit the
         PC (and  other  infertility  programs)  to qualify  for  consideration,
         inasmuch as the RFQ may be designed to meet the specific qualifications
         of a  prior  Navy  contractor.  Nonetheless,  both  parties  feel it is
         nonetheless  worthwhile  to prepare  and submit a proposal on behalf of
         PC. In consideration of this Agreement, INMD and Donald S. Wood, hereby
         agree to use commercially  reasonable  efforts to assist PC and Wood in
         the  preparation  and  submission of a proposal for such Navy Contract.
         The parties agree and acknowledge that the deadline for such submission
         is  September 6, 1998,  and that the  preparation  of such  proposal on
         behalf of PC and Wood shall be a  time-consuming  project.  INMD agrees
         that it  shall  use such  efforts  and  shall  devote  such  time as is
         reasonably necessary,  at its own cost and expense, it being understood
         by the parties that whatever the nature of the INMD efforts,  there can
         be no assurance  that Wood or PC will secure the Navy Contract and that
         it shall be impossible  to ascertain the reason  underlying an award of
         the Navy  Contract to an entity other than PC or Wood.  (b) PC and Wood
         agree that the  proposal  for the Navy  Contract  shall not contain any
         description of INMD's future  relationship with PC unless said language
         receives the express  approval of INMD, and such express approval shall
         not be unreasonably withheld or delayed.

         (c) In the event that PC secures the Navy Contract, INMD agrees that it
         shall function as Special  Consultant to the Director of the Laboratory
         of PC.  INMD's duties shall be to, upon request of Wood or the Director
         of the  Laboratory  of  PC,  to  advise  PC  with  respect  to new  ART
         Technologies, laboratory methods, protocols and techniques.

         (d) It is expressly understood among the parties that Wood, in his role
         as  Special  Consultant,  shall  function  purely  as  an  advisor  and
         independent contractor and that conduct of INMD, even if based upon his
         advice and/or recommendation, shall be the sole responsibility of INMD.
         It is also  expressly  understood  among the parties that INMD,  in its
         role as Special  Consultant to PC, shall function  purely as an advisor
         and independent contractor and that the conduct of PC, even if based on
         INMD's advice and/or recommendation shall be the sole responsibility of
         PC.
                                        9





         

11.      DISCONTINUANCE  OF JAMS  ARBITRATION.  INMD, PC and Wood shall,  within
         seven  (7)  business  days  of  this  Agreement,  write  a  letter  (or
         independent  letters  ) to  JAMS/Endispute,  discontinuing  all  claims
         against  each other with  prejudice.  Each party shall bear its/his own
         costs,  expenses and attorneys fees. The cost of any administrative fee
         assessed by JAMS,  over and above the filing fee  already  paid by INMD
         shall be borne equally between INMD and PC.

12.      COOPERATION.  In  the  event  of  any  claims,  suits  or  governmental
         investigations,  arising out of or relating  to the  Program,  in which
         INMD,  Wood  and/or the PC shall be named or  involved,  whether or not
         pending during the term of the Management Agreement, the parties hereto
         agree to fully  cooperate  with each other in the defense of such suit,
         claim or  investigation.  Such  cooperation  shall  include,  by way of
         example  but  not  limitation,   meeting  with  defense  counsel,   the
         production   of  any   documents  in  their   possession   for  review,
         participation in discovery or an investigation by an insurer,  response
         to subpoenae  and the  coordination  of any  individual  defenses  with
         counsel for all parties. Wood and the PC shall, as soon as practicable,
         deliver to INMD  copies of any  summonses,  complaints,  suit  letters,
         subpoenae  or legal  papers  of any  kind,  served  upon  them or their
         attorneys.  This obligation to cooperate shall survive the satisfaction
         of any  payment  obligations  hereunder,  or the  termination  of  this
         Agreement  for whatever  reason,  and nothing in this  paragraph  shall
         obligate the parties to pay any legal fees incurred by the other.

13.      NON-DISPARAGEMENT  AND  CONFIDENTIALITY.  The parties  acknowledge that
         this Agreement represents a fully consensual and amicable separation of
         interests  and  that,   hereafter,   each  party   covenants  that,  in
         communicating  with third  parties,  they shall not, by action or word,
         defame,  criticize  or condemn the  actions,  conduct or motives of the
         other.  Each party recognizes that this covenant  represents a material
         obligation  of both parties under this  Agreement,  the breach of which
         may impact  adversely  on the business  interests of the  non-breaching
         party.  The parties  further  covenant that the terms of this Agreement
         shall  not  be  disclosed  to any  third  party,except  to  the  extent
         necessary to enforce the terms  hereto,  and except that each party may
         disclose such terms to his/its spouses,  attorneys,  financial advisors
         or in response to judicial process.


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14.      ARBITRATION.  Any and all claims,  disputes,  or controversies  arising
         under,  out of, or in  connection  with this  Agreement  or any  breach
         thereof,  shall be  determined by binding  arbitration  in the State of
         California, County of San Diego (hereinafter "Arbitration").  The party
         seeking  determination  shall  subject  any  such  dispute,   claim  or
         controversy  to  either  (i)   JAMS/Endispute   or  (ii)  the  American
         Arbitration Association, and the rules of commercial arbitration of the
         selected entity shall govern.  The  Arbitration  shall be conducted and
         decided by three (3) arbitrators, unless the parties mutually agree, in
         writing  at the  time of the  Arbitration,  to  fewer  arbitrators.  In
         reaching a decision,  the arbitrators shall have no authority to change
         or modify any  provision of this  Agreement.  Each party shall bear its
         own expenses  and  one-half the expenses and costs of the  arbitrators.
         Any  application to compel  arbitration,  confirm or vacate an arbitral
         award or otherwise  enforce this  paragraph  shall be brought either in
         the Courts of the State of  California  or the United  States  District
         Court for the Southern  District of California,  to whose  jurisdiction
         for such  purposes  PC,  Wood and INMD hereby  irrevocably  consent and
         submit.

15.      GOVERNING  LAW.  This  Agreement  shall be  governed by the laws of the
         State of California, without reference to rules of conflicts of laws.

16.      AMENDMENT.  No  modification,  amendment or addition to this Agreement,
         nor  waiver  of any of its  provisions,  shall be valid or  enforceable
         unless in writing and signed by all parties.

17.      No  assignment  or  delegation  of this  Agreement  or the  rights  and
         obligations  hereunder  shall be valid without the specific  consent of
         all parties.

18.      No consent or waiver,  express or implied,  by either party hereto,  of
         any  breach or  default by the other  party in the  performance  by the
         other of its obligations  hereunder,  shall be valid unless in writing,
         and no such  consent  or waiver  shall be deemed or  construed  to be a
         consent  or  waiver  to or of  any  other  breach  or  default  in  the
         performance by such other party of the same or any other  obligation of
         such party  hereunder.  Failure on the part of either party to complain
         of any act or failure to act of the other party or to declare the other
         party in  default,  irrespective  of how long such  failure  continues,
         shall not constitute a waiver by such party of its rights hereunder.

19.      Any notices, requests, demands and other communications provided for in
         this  Agreement as required  among the parties in  connection  with the
         Agreement shall be in writing and shall be deemed to have been given at
         the time when mailed at any United  States Post Office via  register or
         certified  mail,  prepaid,  or sent  by  overnight  delivery  services,
         addressed  to the party at the  address  set forth  below or such other
         addresses as such party may designate by notice:

         

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         To PC or Wood at:

         Reproductive Sciences Medical Center, Inc.
         4150 Regents Park Row, Suite 280
         La Jolla, CA 92037
         Attention:  Samuel H. Wood, M.D., P.C.

         With Copy to:

         David J. Hirsch, Esq.
         9460 Wilshire Boulevard
         Suite 830
         Beverly Hills, California 90212

         To IntegraMed America, Inc:

         Donald S. Wood, Ph.D.
         Chief Operating Officer
         Integramed America, Inc.
         One Manhattanville Road
         Purchase, New York 10577

         The  failure  of any party to claim  such  notice,  or the  refusal  of
         delivery, shall not alter the effectiveness of said notice.

20.      This Agreement is the result of arms-length and deliberate negotiations
         and each party has consulted with counsel. Should this Agreement be the
         subject of  interpretation,  it shall be deemed to have been drafted by
         all of the parties equally.

21.      This Agreement may be executed in any number of separate  counterparts,
         each of  which  shall be  deemed  to be an  original,  but all of which
         together shall constitute one and the same  instrument.  This Agreement
         shall be effective  upon the receipt by each party of facsimile  copies
         of the  signature  page,  with the original,  executed  documents to be
         exchanged within seven (7) business days thereafter.

IN  WITNESS  WHEREOF,  the  parties  have set  their  hands  hereunto  as of the
effective date herein written.

INTEGRAMED AMERICA, INC.                      REPRODUCTIVE SCIENCES
                                              MEDICAL CENTER, INC.


By:    /s/Donald S. Wood                        By:  /s/Samuel H. Wood
       ------------------------------                ------------------------
       Donald S. Wood, Ph.D.                         Samuel H. Wood, M.D.
Title: Chief Operating Officer                Title: President


       ------------------------------
       Samuel H. Wood, M.D.

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