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EXHIBIT 99.1


             FULL AND FINAL SETTLEMENT AND MUTUAL RELEASE AGREEMENT


This Full and Final Settlement and Mutual Release Agreement ("AGREEMENT") is
made and entered into by and between Integrated Healthcare Holdings, Inc., a
Nevada Corporation ("IHHI"), on the one hand, and Ajay Meka, M.D. ("MEKA") and
Salman Naqvi, M.D. aka Syed Naqvi M.D. ("NAQVI") on the other. IHHI, MEKA and
NAQVI are collectively referred to herein as the "PARTIES".

The PARTIES are currently engaged in litigation against one another in Orange
County Superior Court Case No. 070005895 and related cross-actions
("LITIGATION"). Without admitting wrongdoing or liability, the PARTIES desire to
forever settle, discharge and release their claims in the LITIGATION against one
another. Specifically, IHHI wishes to settle, discharge and release its claims
against MEKA and NAQVI as currently pled in IHHI's first amended complaint
("FAC") filed by stipulation on April 16, 2008 (a true and correct copy of which
first amended complaint is attached hereto as Exhibit "A"); MEKA and NAQVI wish
to concurrently settle, discharge and release their claims against IHHI as pled
in their cross-complaint filed by stipulation on April 16, 2008 (a true and
correct copy of which cross-complaint is attached hereto as Exhibit "B"). The
PARTIES mutually acknowledge nothing in this AGREEMENT constitutes a waiver,
release, compromise, discharge, settlement or other resolution of their
respective pled or unpled claims, causes of action or other theories of recovery
against anyone else including, but not limited to, Dr. Anil V. Shah, Hari Lal,
William Mitchell, Berger Kahn, Dr. John L. Glavinovich or any other past or
present promoter, organizer, manager or retained professional of Orange County
Physicians Investment Network, LLC ("OC-PIN").

NOW, THEREFORE, the PARTIES agree and warrant to one another:

                         I. CONSIDERATION FOR SETTLEMENT

A.       Upon the Court's approval of this AGREEMENT as having been made in
         "good faith" under the auspices of Code of Civil Procedure section
         877.6, MEKA and NAQVI shall:

         1.       Irrevocably assign, transfer and convey to IHHI (or to an
                  assignee of IHHI as hereinafter designated in accordance with
                  the provisions or para. H infra) all of MEKA and NAQVI's
                  right, title and interest in


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                  and to any claim, cause of action or other theory of recovery
                  that they, either as individuals, OC-PIN investors, members or
                  managers may now have, or may hereinafter acquire, against any
                  of OC-PIN's other past or present promoters, organizers,
                  managers or retained professionals including, but not
                  litigated to, Dr. Anil V. Shah, Hari Lal, William Mitchell,
                  Berger Kahn and/or Dr. John L. Glavinovich ("ASSIGNED
                  CLAIMS").

                  a.       For purposes of this AGREEMENT, it is expressly
                           understood such ASSIGNED CLAIMS broadly include, but
                           are not limited to:

                           i.       MEKA and/or NAQVI's right to recover damages
                                    or any other form of monetary recovery
                                    (including sanctions, fee award(s) or
                                    pre-judgment interest) for any loss or
                                    diminution in the value of MEKA and/or
                                    NAQVI's equity investments or membership
                                    interests in OC-PIN;

                           ii.      MEKA and/or NAQVI's right to seek any form
                                    of interim equitable or injunctive relief
                                    reasonably necessary or advisable to
                                    preserve, protect or enhance the foregoing
                                    assigned right to collect such damages or
                                    monetary recovery;

                           iii.     MEKA and/or NAQVI's right to bring a
                                    derivative action against OC-PIN's other
                                    past or present promoters, organizers,
                                    managers or retained professionals
                                    including, but not limited to, Dr. Anil V.
                                    Shah, Hari Lal, William Mitchell, Berger
                                    Kahn and/or Dr. John L. Glavinovich for
                                    fraud, fraud in the inducement, violation of
                                    state and federal securities laws, negligent
                                    misrepresentation, breach of fiduciary
                                    duties, malpractice, violation of rules of
                                    professional ethics, misappropriation of
                                    OC-PIN funds or assets, embezzlement or
                                    other wrongful conduct that has caused,
                                    threatens to cause or in the future may
                                    cause a material adverse impact on the value
                                    of MEKA or NAQVI's equity investments or
                                    membership interests in OC-PIN;

                           iv.      MEKA and/or NAQVI's right to recover damages
                                    or any other form of monetary recovery
                                    (including sanctions, fee award(s) or
                                    pre-judgment interest) as a result of the
                                    prosecution of such derivative action;

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                           v.       MEKA and/or NAQVI's right to seek any form
                                    of interim equitable or injunctive relief
                                    reasonably necessary or advisable to
                                    preserve, protect or enhance the foregoing
                                    assigned right to collect damages or any
                                    other form of monetary recovery as a result
                                    of the prosecution of such derivative
                                    action;

                           vi.      MEKA and/or NAQVI's right to bring a direct
                                    action against OC-PIN's other past or
                                    present promoters, organizers, managers or
                                    retained professionals including, but not
                                    limited to, Dr. Anil V. Shah, Hari Lal,
                                    William Mitchell, Berger Kahn and/or Dr.
                                    John L. Glavinovich for defamation,
                                    interference with contractual relations,
                                    interference with prospective economic
                                    advantage, intentional infliction of
                                    emotional distress and/or any other form of
                                    tortuous misconduct; and

                           vii.     MEKA and/or NAQVI's right to recover damages
                                    or any other form of monetary recovery
                                    (including sanctions, fee award(s) or
                                    pre-judgment interest) as a result of the
                                    prosecution of such direct action.

         b.       Nothing in this AGREEMENT shall operate to transfer, sell,
                  hypothecate or assign to IHHI, MEKA and/or NAQVI's actual
                  membership interests in OC-PIN. Rather, it is the intent of
                  this AGREEMENT that IHHI shall receive only the ASSIGNED
                  CLAIMS described above, including the right to recover damages
                  or any other form of monetary recovery as a result of IHHI's
                  prosecution of such ASSIGNED CLAIMS.

         2.       Fully cooperate with IHHI's investigation, filing, prosecution
                  and ultimate enforcement of the ASSIGNED CLAIMS in whatever
                  manner deemed necessary or desirable by IHHI's management
                  and/or retained counsel including, but not limited to, signing
                  additional, future written consents or truthful declarations
                  as may from time to time be requested by IHHI.

         3.       In the event IHHI is for any reason contractually or legally
                  barred from, or materially delayed in, filing, prosecuting or
                  enforcing such ASSIGNED CLAIMS in its own name (or in the name
                  of any assignee of IHHI's choosing pursuant to the provisions
                  of para. H infra), MEKA and NAQVI alternatively agree to
                  investigate, file, prosecute and/or enforce such ASSIGNED
                  CLAIMS in their own names and right ("SURROGATE LITIGATION")
                  subject to the following terms and conditions:

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                  a.       IHHI shall directly pay all expenses associated with
                           MEKA and NAQVI's investigation, filing, prosecution
                           and ultimate enforcement of the SURROGATE LITIGATION
                           including, but not limited to, all attorneys' fees,
                           direct and indirect litigation-related expense,
                           damages or other forms of monetary recovery
                           (including sanctions, any fee award(s) or
                           pre-judgment interest) incurred by MEKA and/or NAQVI
                           for that purpose;

                  b.       IHHI shall defend, indemnify and hold MEKA and NAQVI
                           harmless from any and all complaint(s) and
                           cross-complaint(s) as may be filed against MEKA
                           and/or NAQVI by any of OC-PIN's other past or present
                           promoters, organizers, managers or retained
                           professionals including, but not limited to, Dr. Anil
                           V. Shah, Hari Lal, William Mitchell, Berger Kahn
                           and/or Dr. John L. Glavinovich relating to or arising
                           out of the same transaction(s) and occurrence(s)
                           encompassed by the ASSIGNED CLAIMS without regard to
                           whether such complaint(s) and cross-complaint(s) may
                           be filed to commence litigation or in response to an
                           action initiated by IHHI or in SURROGATE LITIGATION.

                  c.       IHHI shall have the right to retain, directly oversee
                           and instruct counsel representing MEKA and NAQVI's
                           interests in the SURROGATE LITIGATION;

                  d.       MEKA and NAQVI shall fully cooperate with such
                           retained counsel in the investigation, filing,
                           prosecution and ultimate enforcement of the SURROGATE
                           LITIGATION;

                  e.       IHHI shall have the right to decide when MEKA and
                           NAQVI should, or should not, settle, compromise,
                           dismiss or otherwise continue to prosecute the
                           SURROGATE LITIGATION;

                  f.       MEKA and NAQVI shall follow IHHI's instructions
                           regarding the filing, prosecution, settlement and/or
                           other disposition of the SURROGATE LITIGATION;

                  g.       At the conclusion of the SURROGATE LITIGATION, MEKA
                           and NAQVI shall promptly remit, transfer or assign to
                           IHHI all damages or other forms of monetary recovery
                           (including sanctions, any fee award(s) or
                           pre-judgment interest) received as a result of the
                           SURROGATE LITIGATION;


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                  h.       IHHI shall be deemed to have a perfected lien on any
                           such damages or other monetary recovery prior to the
                           conclusion of the SURROGATE LITIGATION; and

                  i.       MEKA and NAQVI shall sign any necessary conflict
                           waivers or other consents necessary to accomplish the
                           foregoing.

         4.       Nothing in paragraph 3 shall operate to transfer, sell,
                  hypothecate or assign to IHHI MEKA and/or NAQVI's actual
                  membership interests in OCPIN. Rather, it is the intent of
                  this AGREEMENT that IHHI shall receive only the monetary
                  benefit of MEKA and NAQVI's effective prosecution of the
                  ASSIGNED CLAIMS via the SURROGATE LITIGATION in the event IHHI
                  is for any reason contractually or legally barred from, or
                  materially delayed in, filing, prosecuting or enforcing such
                  ASSIGNED CLAIMS in its own name (or in the name of any
                  assignee of IHHI's choosing pursuant to the provisions of
                  para. H infra).

         5.       Dismiss their cross-complaint against IHHI with prejudice.

B.       In consideration for the foregoing assignments, undertakings,
         agreements and performance by MEKA and NAQVI, upon the Court's approval
         of this AGREEMENT as having been made in "good faith" under the
         auspices of Code of Civil Procedure section 877.6 pursuant to a motion
         brought by IHHI at its sole cost and expense, IHHI shall promptly file
         a dismissal of all claims in its FAC against MEKA and NAQVI (and only
         against MEKA and NAQVI) with prejudice.

                          II. RELEASE OF MEKA AND NAQVI

         Conditioned on the court's favorable ruling on the motion for good
faith settlement, IHHI and any and all administrators, successors and assigns,
hereby fully and forever release and discharge MEKA and NAQVI and each of their
employees, agents and attorneys (with the exception of Mitchell and Berger
Kahn), past and present, from any and all claims, demands, liens, contracts,
covenants, actions, suits, causes of action, obligations, controversies, debts,
costs, expenses, damages, judgments, orders and liabilities of whatever kind and
nature in law, equity or otherwise, whether now known or unknown, suspected or
unsuspected, which have existed or may have existed, or which do exist, or which
hereinafter can, shall or may exist, in connection with the Litigation and any
successor or substitute Litigation including any claims therein for breach of
fiduciary duty or injunctive relief. It is specifically agreed and understood
that IHHI is not releasing MEKA and NAQVI with respect to any obligation assumed
by them pursuant to this Agreement.



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                              III. RELEASE OF IHHI

             Conditioned on the court's favorable ruling on the motion for good
faith settlement, MEKA and NAQVI and any and all administrators, successors and
assigns, hereby fully and forever release and discharge IHHI and each of their
principals, agents, officers, directors, subsidiaries, affiliates employees,
agents and attorneys, past and present, from any and all claims, demands, liens,
contracts, covenants, actions, suits, causes of action, obligations,
controversies, debts, costs, expenses, damages, judgments, orders and
liabilities of whatever kind and nature in law, equity or otherwise, whether now
known or unknown, suspected or unsuspected, which have existed or may have
existed, or which do exist, or which hereinafter can, shall or may exist in
connection with the Litigation and any successor or substitute Litigation
including any claims therein for express or implied indemnity It is specifically
agreed and understood that MEKA and NAQVI are not releasing IHHI with respect to
any obligation assumed by them pursuant to this Agreement.


                           IV. CIVIL CODE SECTION 1542

            It is agreed that notwithstanding section 1542 of the California
Civil Code which provides that "a general release does not extend to claims
which the creditor does not know or suspect to exist in his or her favor at the
time of executing the release, which if known by him or her must have materially
affected his or her settlement with the debtor", the release set forth in this
Agreement shall constitute a full release in accordance with its terms. The
Parties to this Agreement knowingly and voluntarily waive the provisions of
section 1542 and acknowledge that this waiver is an essential and material term
of this Agreement, and the settlement which led to it, and that without such
waiver the settlement would not have been entered into.

                        V. ADDITIONAL TERMS AND COVENANTS

A.       The PARTIES agree to waive and release any claim or cause of action
         against one another for reimbursement of court costs, attorney's fees
         or expenses incurred in the Litigation.


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B.       The PARTIES to this AGREEMENT mutually warrant that:

         1.       No promise or inducement has been offered except as set forth
                  herein;

         2.       This AGREEMENT is executed without reliance upon any statement
                  or representation by any other party or person or their
                  representatives concerning the nature and extent of damages,
                  liability or consequences;

         3.       They are legally competent to execute the AGREEMENT and the
                  PARTIES accept full responsibility therefore;

         4.       They have signed the AGREEMENT voluntarily, without any duress
                  or undue influence on the part of or on behalf of any party;

         5.       The terms of this AGREEMENT are contractual and not merely
                  recitals; and

         6.       No claim, cause of action, theory of recovery, demand, right,
                  debt, liability, obligation, cost, expense, debit, sum of
                  money, account, reckoning, lien or any portion thereof arising
                  out of or related to the transaction which is the subject of
                  this AGREEMENT (including the assignment, transfer and/or
                  conveyance of ASSIGNED CLAIMS contemplated in para. 1) has
                  been previously assigned, transferred, conveyed, encumbered,
                  pledged, liened, or purportedly assigned, transferred,
                  conveyed, encumbered, pledged, liened - whether voluntarily or
                  by operation of law - to any person or entity not bound by
                  this AGREEMENT.

C.       The PARTIES similarly acknowledge that:

         1.       The terms and conditions of this AGREEMENT have been read and
                  that the terms and conditions of the AGREEMENT are understood;

         2.       The terms and conditions of the AGREEMENT and the Assignment
                  contemplated by this AGREEMENT have been explained by counsel
                  and are voluntarily accepted for the express purpose of making
                  a full compromise, adjustment, assignment and settlement as
                  set forth in this AGREEMENT;

         3.       They have received independent legal advice with respect to
                  the advisability of executing this AGREEMENT and of entering
                  into any Assignment contemplated by this AGREEMENT; and


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         4.       They have made such investigation as they deem necessary to
                  enter into this AGREEMENT.

D.       The PARTIES agree that this AGREEMENT shall not constitute or be
         construed as an admission of any liability or wrongdoing on the part of
         any them, either in connection with the matters alleged in the
         LITIGATION or otherwise.

E.       Any provisions of Evidence Code sections 1115 through 1128
         notwithstanding, this AGREEMENT may be enforced by any party by a
         motion under Code of Civil Procedure section 664.6 or by any other
         procedures permitted by law before the Superior Court of Orange County.
         The PARTIES agree that the Orange County Superior Court shall retain
         jurisdiction for purposes or enforcing this AGREEMENT. The Court shall
         award the prevailing party in any enforcement proceeding that party's
         actual costs associated with enforcement of the AGREEMENT including,
         but not limited to, attorneys' fees, experts' fees (if any) and court
         costs.

F.       IHHI reserves the right to unilaterally change the recipient or
         assignee of the ASSIGNED CLAIMS, or to thereafter subsequently transfer
         or re-assign the ASSIGNED CLAIMS to a person or entity or IHHI's own
         choosing. IHHI may exercise this right at any time, and for any reason,
         by giving MEKA and NAQVI written notice or IHHI's designation or such
         other recipient or assignee. Such notice shall be signed by the
         Chairman or the Litigation Committee of IHHI's Board of Directors and
         witnessed by IHHI's General Counsel.

G.       This AGREEMENT is intended by the PARTIES as a final expression or
         their AGREEMENT and is intended to be a complete and exclusive
         statement or the AGREEMENT and understanding of the PARTIES with
         respect to the subject matters contained in this AGREEMENT. This
         AGREEMENT supersedes any and all prior promises, representations,
         warranties, agreements, understandings or undertakings with respect to
         such subject matters set forth or referred to in this AGREEMENT. Other
         than as provided in paragraph H supra, neither this AGREEMENT, nor any
         term of this AGREEMENT, may be changed, waived, discharged or
         terminated, orally or in writing, other than by the PARTIES' mutual
         signing of a formal written amendment hereto.

H.       This AGREEMENT shall be construed according to its fair meaning and not
         strictly for or against any party.

I.       If any provision of this AGREEMENT shall for any reason or to any
         extent be construed by a court of competent jurisdiction to be invalid
         or unenforceable, the remainder of this AGREEMENT shall be interpreted
         so as best to reasonably effect the intent of the PARTIES.


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J.       In the event that any action or proceeding of any type whatsoever is
         commenced or prosecuted by any person or entity not a party of this
         AGREEMENT to invalidate, interpret, or prevent the validation,
         enforcement, or carrying out of all or any of the provisions of this
         AGREEMENT, the PARTIES mutually agree, represent, warrant, and covenant
         to cooperate fully in opposing such action or proceedings.

K.       The AGREEMENT is entered into and shall be governed, construed, and
         interpreted in accordance with the substantive and procedural laws and
         rules of the State of California.

L.       The PARTIES, and each of them, agree to execute such additional
         documents as may be reasonably required in order to carry out the
         purpose and intent of this AGREEMENT, or to evidence anything contained
         in this AGREEMENT.

M.       This AGREEMENT may be signed by the PARTIES in counterpart, and the
         signature pages may be combined to create a document binding on all of
         the PARTIES and together they shall constitute one and the same
         instrument.

IN WITNESS WHEREOF, the PARTIES have executed this AGREEMENT on the dates set
forth opposite their respective signatures below.


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                 (THIS IS A RELEASE AND BINDING LEGAL DOCUMENT,
                         READ CAREFULLY BEFORE SIGNING)



       7/31/08                                 /s/ Ajay Meka, M.D.
- -------------------                            ---------------------
Date                                           AJAY MEKA, M.D.



       7/31/08                                 /s/ Salman Naqvi, M.D.
- -------------------                            ------------------------
Date                                           SALMAN NAQVI, M.D. aka
                                               SYED NAQVI, M.D.


                                               INTEGRATED HEALTHCARE HOLDINGS,
                                               INC., a Nevada Corporation



       7/31/08                                By  /s/ Bruce Mogel
- -------------------                               -----------------------
Date
                                              Its  President & CEO
                                                   -----------------------------


                                              By
- -------------------                               -----------------------------
Date
                                              Its
                                                   -----------------------------

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APPROVED AS TO FORM AND SUBSTANCE:

                                              ENTERPRISE COUNSEL GROUP, ALC

                                              Counsel for INTEGRATED HEALTHCARE
                                              HOLDINGS, INC.


       7/31/08                                  By /s/ William F. Zulch
- -------------------                             --------------------------------
Date


                                              GARY H. BALDRIDGE, APC

                                              Counsel for AJAY MEKA, M.D. and
                                              SALMAN NAQVI, M.D.


       7/31/08                                By /s/ Gary H. Baldridge
- -------------------                             --------------------------------
Date






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