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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 EXCHANGE ACT OF 1934

       Date of Report (date of earliest event reported): December 1, 2008
                           --------------------------

                      INTEGRATED HEALTHCARE HOLDINGS, INC.
             (Exact Name of Registrant as Specified in its Charter)

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

            NEVADA                                               87-0573331
(State or Other Jurisdiction of                               (I.R.S. Employer
 Incorporation or Organization)                              Identification No.)

                                     0-23511
                            (Commission File Number)

                            1301 NORTH TUSTIN AVENUE
                           SANTA ANA, CALIFORNIA 92705
               (Address of Principal Executive Offices) (Zip Code)

                                 (714) 953-3503
                (Registrant's telephone number, including area code)

          (Former Name or Former Address, if Changed Since Last Report)
                           --------------------------

Check the appropriate box below if the Form 8-K filing is intended to
simultaneously satisfy the filing obligation of the registrant under any of the
following provisions:

|_| Written communications pursuant to Rule 425 under the Securities Act (17 CFR
230.425)

|_| Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR
240.14a-12)

|_| Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange
Act (17 CFR 240.14d-2(b))

|_| Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange
Act (17 CFR 240.13e-4(c))



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ITEM 1.01 ENTRY INTO A MATERIAL DEFINITIVE AGREEMENT.

          Integrated Healthcare Holdings, Inc. (the "Company") entered into a
Full and Final Settlement and Mutual Release Agreement (the "Settlement
Agreement") with Ajay Meka, M.D., a director of the Company, and Salman Naqvi,
M.D., a former director of the Company, which became effective on December 1,
2008. The Settlement Agreement relates to a lawsuit filed by the Company against
three directors and other parties, alleging that the defendants breached their
fiduciary duties to the Company.

         The Settlement Agreement is furnished as an exhibit to this Report. The
exhibits referenced in the Settlement Agreement are filed with the Superior
Court of the State of California, County of Orange, Central Justice Center, Case
No. 07CC05895 (consolidated with Case No. 07CC06017).

ITEM 5.02 DEPARTURE OF DIRECTORS OR CERTAIN OFFICERS; ELECTION OF DIRECTORS;
          APPOINTMENT OF CERTAIN OFFICERS; COMPENSATORY ARRANGEMENTS OF CERTAIN
          OFFICERS.

         Effective December 1, 2008, the Company appointed Kenneth K. Westbrook,
58, to serve as President and Chief Executive Officer of the Company, to replace
Bruce Mogel who had previously agreed to resign from these positions. Mr.
Westbrook was also appointed a director of the Company on December 2, 2008.

         Mr. Westbrook previously served as President and Director of Aperture
Health, Inc. since July 2006 and previously as Chief Executive Officer of
CareMore Medical Enterprises prior to its sale to JPMorgan Partners in March
2006. He also served at Tenet Healthcare from 1997 to 2004, where he was the
senior vice president of operations responsible for up to 16 acute care
hospitals in the Southwest United States. In 1996, he was the senior vice
president of operations for over a third of OrNda Healthcorp's hospitals. From
1988 to 1995 he served as the chief operating officer for HCA Healthcare
Corporation's Pacific Division as well as the CEO for four other California
community hospitals. Mr. Westbrook has an MBA from University of Redlands and
was honored with a Legacy of Life Award from the American Heart Association.

         Mr. Westbrook continues to serve as a director of Aperture Health,
Inc., a public reporting company.

         On December 2, 2008, the Company entered into an Employment Agreement
with Mr. Westbrook containing the following principal terms:

         o        Mr. Westbrook will receive a base salary of $500,000 per year;

         o        The Board of Directors will determine in its discretion the
                  amount of bonus to be paid to Mr. Westbrook with 120 days
                  after the end of each Company fiscal year (March 31);

         o        Mr. Westbrook was granted an option to purchase 2,000,000
                  shares of the Company's common stock at $0.01 per share.
                  One-third of the shares subject to the option were immediately
                  vested, and the remaining options vest 1/12 on each fiscal
                  quarter-end beginning March 31, 2009;

         o        Mr. Westbrook will receive an automobile and insurance
                  allowance in the amount of $1,500 per month;

         o        Mr. Westbrook will receive medical, dental, vision and/or
                  other health insurance in the same manner and scope as the
                  Company's similarly situated senior employees;

         o        Mr. Westbrook will be entitled to four weeks of paid vacation
                  per twelve consecutive months of employment;

         o        Mr. Westbrook will receive reimbursement for reasonable
                  business expenses, including the use of a cellular telephone,
                  and is entitled to other employee benefits provided by the
                  Company to the Company's similarly situated senior employees;

         o        Under certain circumstances, upon termination Mr. Westbrook
                  will be entitled to a 12 month severance package.

         The Employment Agreement is furnished as an exhibit to this Report. The
preceding description of the agreement should be read in conjunction with the
exhibit filed herewith.

         There were no transactions, since the beginning of the Company's last
fiscal year, or any currently proposed transaction, in which the Company was or
is to be a participant and the amount involved exceeds $120,000 in which Mr.
Westbrook had or will have a direct or indirect material interest.

         Other than as set forth above, there is no material plan, contract or
arrangement to which Mr. Westbrook is a party or in which he participates that
was entered into, or material amendment, in connection with his appointment as
an officer or director or any grant or award to him or modification thereto,
under any plan, contract or arrangement.

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ITEM 9.01 FINANCIAL STATEMENTS AND EXHIBITS.

         (d)      Exhibits

                                   DESCRIPTION
EXHIBIT
NUMBER

99.1     Full and Final Settlement and Mutual Release Agreement,
          effective as of December 1, 2008, by and between the
          Registrant and Ajay Meka, M.D. and Salman Naqvi, M.D.,
          aka Syed Naqvi, M.D.

99.2     Employment Agreement, dated as of December 1, 2008, by
          and between the Registrant and Mr. Kenneth K. Westbrook.

99.3     Press Release, dated December 2, 2008, announcing the
          appointment of Mr. Kenneth K. Westbrook as
          President and Chief Executive Officer of the Registrant.



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                                   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 hereunto duly authorized.

Date:  December 4, 2008

                                   INTEGRATED HEALTHCARE HOLDINGS, INC.

                                   By: /s/ Steven R. Blake
                                       -----------------------------------------
                                       Name: Steven R. Blake
                                       Title: Chief Financial Officer





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