EXHIBIT 99.9

                       INTEGRATED HEALTHCARE HOLDINGS INC.

                                AMENDMENT NO.2 TO
                              COMMON STOCK WARRANT

                                 OCTOBER 9, 2007

     This Amendment No. 2 to Common Stock Warrant (this "Amendment No.2") is
made and entered into as of the date set forth above (the "Effective Date") by
and between Integrated Healthcare Holdings, Inc., a Nevada corporation (the
"Company"), and Healthcare Financial Management & Acquisitions, Inc., a Nevada
corporation (the "Holder").

                                    RECITALS
                                    --------

     A. On December 12, 2005, the Company issued a warrant to subscribe for and
purchase a minimum of 26,097,561 shares of Common Stock of the Company subject
to the provisions and upon the terms and conditions set forth therein (the
"Warrant").

     B. The Warrant was issued pursuant to that certain Credit Agreement dated
as of December 12, 2005 (the "Credit Agreement") by and between the Company (as
Borrower), the "Credit Parties" (as defined therein), and Medical Provider
Financial Corporation III, Inc., a Nevada corporation (the "Lender").

     C. The Warrant was amended on April ___, 2006 pursuant to that certain
Amendment to Common Stock Warrant entered into by and between the Company and
the Holder.

     D. The Company (as Borrower) has defaulted under the Credit Agreement and
as a condition to refinancing the loan to Borrowers under the Credit Agreement,
the Lender is requiring that the Company and the Holder enter into this
Amendment No.2.

     NOW, THEREFORE, in consideration of the foregoing recitals and the mutual
promises hereinafter set forth and for other good and valuable consideration the
receipt and sufficiency of which is hereby acknowledged, the parties hereto
agree to amend the Warrant as set forth herein and agree as follows:

                                    AGREEMENT
                                    ---------

     1. Recitals. The foregoing Recitals are incorporated by reference as though
fully set forth herein.

     2. Definitions. Unless otherwise defined herein, capitalized terms shall
have the meanings assigned to such terms in the Warrant.

     3. The first paragraph of the Warrant is hereby amended to read in its
entirety as follows:


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          "THIS COMMON STOCK WARRANT (this "WARRANT") certifies that, for
     consideration received, Healthcare Financial Management & Acquisitions,
     Inc., a Nevada corporation, or its permitted successors or assigns (the
     "HOLDER" or "HOLDERS," as applicable), is entitled to subscribe for and
     purchase a minimum of 26,097,561 fully paid and nonassessable shares (as
     adjusted pursuant to Section 3 hereof, the "SHARES") of the Common Stock
     (the "COMMON STOCK") of Integrated Healthcare Holdings, Inc., a Nevada
     corporation, (the "COMPANY") at a price per Share equal to $0.21, which is
     equal to the per share fair market value of the Common Stock on the Initial
     Exercise Date (as defined below) which shall be determined in accordance
     with Section 1(d) hereof (as adjusted pursuant to Section 3 hereof, the
     "EXERCISE PRICE"), subject to the provisions and upon the terms and
     conditions hereinafter set forth; provided, however, that the Exercise
     Price shall be $1.00 in the aggregate for the Shares if, on the date of
     exercise of this Warrant, the Company's Common Stock is not registered
     under the Securities Exchange Act of 1934, as amended."

     4. Section 1(a) of the Warrant is hereby amended to read in its entirety as
follows:

          "(a) Exercise. This Warrant shall be exercisable from and after
     October 9, 2007 (the "INITIAL EXERCISE DATE") until October 9, 2017 (the
     "EXPIRATION DATE"). This Warrant shall be exercisable by Holder from time
     to time for the Shares (as adjusted pursuant to Section 3 hereof). For
     avoidance of doubt, this Warrant shall be exercisable whether or not such
     exercise is in accordance with Section 10.2(c) or any other provision of
     the Credit Agreement."

     5. The first paragraph of Section 3 of the Warrant is hereby amended to
read in its entirety as follows:

          "Adjustment to the Number of Shares Issuable and/or the Exercise
     Price. The number of Shares issuable upon the exercise of this Warrant and
     the Exercise Price are subject to adjustment from time to time as set forth
     in this Section 3. Upon each adjustment pursuant to this Section 3, the
     Holder shall thereafter prior to the Expiration Date be entitled to
     purchase the adjusted number of Shares of Common Stock at the Exercise
     Price as adjusted hereby. Subject to the other provisions of this Section
     3, the number of Shares of Common Stock issuable upon the exercise of this
     Warrant shall be automatically adjusted to be the greater of the following:
     (1) 26,097,561 Shares of Common Stock (as set forth on page 1 of this
     Warrant), or (2) Shares of Common Stock representing thirty-one and nine
     one-hundredths percent (31.09%) of all Common Stock Equivalents (as defined
     hereinbelow) of the Company on the date of exercise of this Warrant.
     "COMMON STOCK EQUIVALENTS" shall mean, collectively, (i) all shares of
     Common Stock issued and outstanding, (ii) shares of Common Stock issued or
     deemed issued as a dividend or distribution, including on any preferred
     stock, (iii) shares of Common Stock issued or issuable by reason of a
     dividend, stock split, split-up or other distribution on shares of Common
     Stock, (iv) shares of Common Stock or Convertible Securities issued or
     issuable upon the exercise of rights, options or warrants to subscribe for,
     purchase or otherwise acquire Common Stock or Convertible Securities (as


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     defined hereinbelow) (collectively, "OPTIONS") or shares of Common Stock
     issued or issuable upon the conversion or exchange of any evidences of
     indebtedness, shares, preferred stock or other securities directly or
     indirectly convertible into or exchangeable for Common Stock ("CONVERTIBLE
     SECURITIES"), pursuant to the terms of such Option or Convertible Security,
     (v) shares of Common Stock or Convertible Securities issued or issuable to
     third parties upon the exercise of rights, options, warrants or otherwise,
     including, without limitation, to suppliers, banks, equipment lessors or
     other financial institutions, or to real property lessors, pursuant to a
     debt financing, equipment leasing or real property leasing transaction, and
     (vi) shares of Common Stock issued or issuable to employees or directors
     of, or consultants to, the Corporation or any of its subsidiaries pursuant
     to a plan, agreement or arrangement approved by the Board of Directors of
     the Company."

     6. Section 3(a) of the Warrant which reads:

          "(a) If the Company, at any time while any Warrants are outstanding,
     (i) shall pay a stock dividend payable in shares of its capital stock
     (whether payable in shares of its Common Stock, preferred stock, or
     securities convertible into, or exchangeable or exercisable for, Common
     Stock or of other capital stock of any class), or (ii) subdivide
     outstanding shares of Common Stock into a larger number of shares, the
     number of shares of Common Stock issuable upon exercise of this Warrant (or
     any shares of stock or other securities at the time issuable upon exercise
     of this Warrant) shall be proportionally increased to reflect such event.
     Any adjustment made pursuant to this Section 3(a) shall become effective
     immediately after the record date for the determination of stockholders
     entitled to receive such dividend or distribution and shall become
     effective immediately after the effective date of a subdivision,
     combination or reclassification."

     is hereby amended to read in its entirety as follows:

          "(a) If the Company, at any time while this Warrant is outstanding,
     (i) shall pay a stock dividend payable in shares of its capital stock
     (whether payable in shares of its Common Stock, preferred stock, or
     securities convertible into, or exchangeable or exercisable for, Common
     Stock or of other capital stock of any class), (ii) shall subdivide
     outstanding shares of Common Stock into a larger number of shares, or (iii)
     combine outstanding shares of Common Stock into a smaller number of shares,
     then (x) the number of shares of Common Stock issuable upon exercise of
     this Warrant (or any shares of stock or other securities at the time
     issuable upon exercise of this Warrant) shall be proportionally increased
     or decreased to reflect such event, and (y) the Exercise Price shall be
     adjusted to an amount obtained by multiplying the Exercise Price in effect
     immediately prior to such event by a fraction equal to the number of Shares
     for which this Warrant is exercisable immediately prior to such event
     divided by the number of Shares for which this Warrant is exercisable
     immediately after such event. Any adjustment made pursuant to this Section
     3(a) shall become effective immediately after the record date for the
     determination of stockholders entitled to receive such dividend or
     distribution and shall become effective immediately after the effective
     date of a subdivision, combination or reclassification."


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     7. Section 8 of the Warrant is hereby amended to read in its entirety as
follows:

          "8. Transfer of Warrant.

          (a) This Warrant may be sold, transferred, assigned or hypothecated,
     in whole or in part, by the Holder without the consent of the Company;
     provided, in each case that any transferee or assignee agrees to be bound
     by the terms of this Warrant, and such transfer or assignment is in
     compliance with the Securities Act and the securities law of any applicable
     jurisdiction. The Warrant may be divided or combined, upon request to the
     Company by the Holder, into one or more new warrants representing the same
     aggregate number of Shares. For purposes of this Warrant, "CONTROL" of a
     person shall mean the power, direct or indirect, (x) to vote or direct the
     voting of 10% or more of the voting equity of such person or (y) to direct
     or cause the direction of the management and policies of such person
     whether by ownership or equity, by contract or otherwise, and "PERSON"
     means an individual or a corporation, association, partnership, limited
     liability company, joint venture, organization, business, trust or any
     other entity or organization, including a government or any subdivision or
     agency thereof. The terms and conditions of this Warrant shall inure to the
     benefit of and be binding upon the respective permitted successors and
     assigns of the parties.

          (b) No opinion of counsel or "no-action" letter shall be necessary for
any transfer or assignment by any Holder."

     8. The first sentence of Section 9(a) of the Warrant which reads:

          "The Company shall file a registration statement under the Securities
     Act of 1933, as amended and the rules and regulations promulgated
     thereunder (the "Securities Act"), covering the resale of all Shares of the
     Holder no later than ninety (90) days prior to the Loan's "Maturity Date"
     (as defined in the Credit Agreement governing the Loan), and use its
     reasonable best efforts to have the registration statement declared
     effective by the Securities Exchange Commission ("SEC") as soon as
     practicable but no later than the Maturity Date for distribution thereof by
     means of an underwriting."

          is hereby amended to read in its entirety as follows:

          "The Company shall file a registration statement under the Securities
     Act of 1933, as amended and the rules and regulations promulgated
     thereunder (the "Securities Act"), covering the resale of all Shares of the
     Holder as soon as practicable following the Holder's written request to do
     so, and use its reasonable best efforts to have the registration statement
     declared effective by the Securities Exchange Commission ("SEC") for
     distribution thereof by means of an underwriting."


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     9. The first sentence of Section 9(b)(ii) of the Warrant which reads:

          "The Company shall permit, or shall cause the managing underwriter of
     a proposed offering to permit, the Holders from whom such written requests
     have been received to include such number of Shares (the "Piggy-back
     Shares") in the proposed offering on the same terms and conditions as
     applicable to securities of the Company included therein or as applicable
     to securities of any person other than the Company and the Holders of
     Piggy-back Shares if the securities of any such person are included
     therein; provided, however, that the Company shall not be required to honor
     any such request that is received more than sixty (60) days after the
     proper giving of the Company's notice or after the Expiration Date."

          is hereby amended to read in its entirety as follows:

          "The Company shall permit, or shall cause the managing underwriter of
     a proposed offering to permit, the Holders from whom such written requests
     have been received to include such number of Shares (the "Piggy-back
     Shares") in the proposed offering on terms and conditions no less favorable
     to the Holders as the terms and conditions applicable to securities of the
     Company included therein or as applicable to securities of any person other
     than the Company and the Holders of Piggy-back Shares if the securities of
     any such person are included therein; provided, however, that the Company
     shall not be required to honor any such request that is received more than
     sixty (60) days after the proper giving of the Company's notice or after
     the Expiration Date."

     10. Except as set forth herein, the Warrant shall remain unmodified and in
full force and effect.

     11. This Amendment No.2 may be executed in counterparts, each of which
shall be deemed an original, but all of which together shall constitute one and
the same instrument.



                            [SIGNATURE PAGE FOLLOWS.]


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     IN WITNESS WHEREOF, the parties hereto have executed this Amendment No.2 to
Common Stock Warrant as of the date and year first above written.


                                           INTEGRATED HEALTHCARE HOLDINGS, INC.,
                                           A NEVADA CORPORATION


                                           By:__________________________________

                                           Name:________________________________

                                           Title:_______________________________



                                           HEALTHCARE FINANCIAL MANAGEMENT
                                           & ACQUISITIONS, INC., A NEVADA
                                           CORPORATION


                                           By:__________________________________

                                           Name:________________________________

                                           Title:_______________________________