RESCISSION, RESTRUCTURING
                            AND ASSIGNMENT AGREEMENT

      This Rescission, Restructuring and Assignment Agreement (this "AGREEMENT")
is entered  into as of January  27,  2005,  by and among  Integrated  Healthcare
Holdings,  Inc., a Nevada corporation (the "COMPANY"),  Kali P. Chaudhuri,  M.D.
("DR. CHAUDHURI"),  William E. Thomas ("THOMAS") (for purposes of Sections 3 and
10 only),  Anil V. Shah, M.D. ("DR.  SHAH") (for purposes of Sections 2(a) and 9
only), and Orange County Physicians  Investment  Network,  LLC, a Nevada limited
liability company ("OC-PIN").

                                 R E C I T A L S

      A. The Company and Dr. Chaudhuri are parties to a Secured Convertible Note
Purchase  Agreement dated as of September 28, 2004, which was amended by a First
Amendment to Secured  Convertible  Note Purchase  Agreement dated as of November
16,  2004  (collectively,  the  "PURCHASE  AGREEMENT"),  pursuant  to which  Dr.
Chaudhuri   was  issued  a  $500,000   Secured   Convertible   Promissory   Note
("CONVERTIBLE  NOTE"), a $10,000,000  Secured  Promissory Note ("SECURED NOTE"),
and a Stock Option Agreement dated November 16, 2004 ("STOCK OPTION AGREEMENT").

      B. The Company is in default of its  obligation  to repay the  Convertible
Note by December 31, 2004.

      C. The Company desires that OC-PIN invest in the Company.

      D. Dr. Chaudhuri and Dr. Shah, an authorized  representative and affiliate
of OC-PIN, are parties to a Non-Circumvention  Agreement dated November 11, 2004
("NON-CIRCUMVENTION AGREEMENT").

      E. As a condition to investment, OC-PIN has requested that the Convertible
Note, the Secured Note, the Stock Option Agreement and certain provisions of the
Agreement be rescinded and canceled, and Dr. Chaudhuri restructure his financial
arrangements  with the  Company,  and that he  terminate  the  Non-Circumvention
Agreement.  Dr.  Chaudhuri  is  willing  to reduce  his  contractual  rights and
participation and otherwise  accommodate the Company and OC-PIN on the terms and
subject to the conditions set forth in this Agreement.

      F. The parties  acknowledge  that Dr. Chaudhuri had the right to acquire a
majority  interest in the  Company,  which  right he has agreed  (subject to the
conditions  herein) to rescind,  and accept in its place stock purchase warrants
in favor of Dr.  Chaudhuri  and Thomas to acquire only up to (and not to exceed)
24.9% of the Company's capital stock, which warrants are not exercisable for two
years from the date of  issuance,  and the  Company  and  OC-PIN are  willing to
consent to this arrangement.

      G. The  Company is a party to a  definitive  Asset Sale  Agreement,  dated
September 29, 2004 (the "ASSET SALE  AGREEMENT"),  pursuant to which the Company
has agreed to purchase four  hospitals  from  subsidiaries  of Tenet  Healthcare
Corporation  located in Orange  County,  California,  known as  Western  Medical
Center - Santa  Ana,  Western  Medical  Center  -  Anaheim,  Costal  Communities
Hospital,  and Chapman Medical Center.  The transactions  contemplated under the
Asset  Sale  Agreement  are  collectively  referred  to  herein  as  the  "TENET
TRANSACTION".


                                       1


      H. The Tenet  Transaction  has not yet closed,  and the parties  desire to
reflect and memorialize  certain  understandings  among them with respect to the
Tenet  Transaction.   This  Agreement  is  expressly  conditioned  upon  Tenet's
acceptance of the  restructuring  contemplated by this Agreement and its release
of Dr. Chaudhuri from his guarantee of the Chapman lease.

                                A G R E E M E N T

      In  consideration  of the  foregoing  premises,  the mutual  covenants and
agreements set forth herein, and for other good and valuable consideration,  the
receipt  and  sufficiency  of which are  hereby  acknowledged,  and  subject  to
satisfaction of the conditions set forth in Section 9, the parties hereto hereby
agree as follows:

      1. DEFINITIONS.  For the purposes of this Agreement (including  amendments
to the Purchase  Agreement  contained  herein),  (i) unless  otherwise set forth
herein,  capitalized  terms or matters of construction  deemed or established in
the Purchase Agreement, as amended hereby, shall be applied herein as defined or
established therein,  and (ii) the term  "FULLY-DILUTED"  includes all shares of
Common Stock of the Company issued and  outstanding at the date in question plus
all shares of Common  Stock of the Company  issuable  (whether or not vested) at
that date upon full exercise of all options, warrants or other rights to acquire
Common Stock of the Company and full  conversion of all  securities  convertible
into  Common  Stock  of the  Company,  but  excluding  from  that  amount  up to
10,000,000  shares  (or rights to  acquire  shares) of Common  Stock per year to
employees,  consultants,  officers or directors of the Company pursuant to stock
option or restricted  stock plans or agreements  approved by the Company's Board
of Directors.

      2.  RESCISSION  AND  CANCELLATION  OF  NOTES,  OPTION,   NON-CIRCUMVENTION
AGREEMENT AND CERTAIN PROVISIONS OF PURCHASE AGREEMENT.

            (a) Upon  fulfillment  of the conditions set forth in Section 9, the
Convertible  Note,  the  Secured  Note,  the  Stock  Option  Agreement  and  the
Non-Circumvention  Agreement are hereby  rescinded and canceled.  Within two (2)
business days after receipt of the $10,000,000 plus accrued interest referred to
in Section 6, Dr.  Chaudhuri  shall, and he shall cause his attorneys and agents
to, (i) return to the  Company the  originals  of the  Convertible  Note and the
Secured Note for  cancellation and (ii) deliver to OC-PIN copies of all material
agreements  executed by Dr. Chaudhuri with the Company or in connection with the
Tenet Transaction.  Except as provided in this Agreement with respect to Thomas,
Dr.  Chaudhuri  hereby  represents  and warrants to the Company that he has not,
directly  or  indirectly,  transferred,  sold  or  syndicated  any  part  of the
securities that he received or was entitled to acquire from the Company.

            (b) The Purchase Agreement is hereby rescinded and canceled,  except
that the  provisions  of: (i)  Section 1.7  thereof  shall  remain in effect (as
amended by Section 4 below) (ii)  Article II thereof  shall remain in effect (as
amended  by  Section  4 below)  and  shall be  applicable  to the  shares of the
Company's Common Stock issuable pursuant to the warrants  described in Section 3
below;  (iii)  Articles  III and IV  thereof  shall  remain  in  effect  and the
provisions  thereof  shall be  deemed to apply  with  respect  to the  issuances
described  in Section 3 below;  and (iv)  Section  5.3 thereof  shall  remain in
effect for the benefit of both Dr. Chaudhuri and Thomas for so long as either of
them holds either stock purchase warrants pursuant to the new warrants described
in Section 3 below or shares of the Company's Common Stock obtained by them upon
exercise  thereof,  provided,  however that (A) Section 5.3 shall  terminate and
cease to have effect upon an  acquisition  of the Company by an unrelated  third
party  and (B)  each of Dr.  Chaudhuri  and  Thomas  shall  execute  appropriate
confidentiality  agreements  in  customary  form  with  respect  to  information
obtained pursuant to these sections.


                                       2


            (c) Dr.  Chaudhuri  agrees to reasonably  cooperate with the Company
and  California  Department  of Health  Services  at no or  minimal  cost to Dr.
Chaudhuri by providing  information and other reasonable  assistance so that the
Company may promptly  complete the Tenet Transaction and obtain licensing of the
hospital facilities to be acquired therein; provided that such cooperation shall
not result in any material modification to this Agreement.

      3.  ISSUANCE OF NEW  NON-CONVERTIBLE  NOTES AND  WARRANTS;  ASSIGNMENT  TO
THOMAS.   The  Company  has  agreed  to  issue  to  Dr.   Chaudhuri  (i)  a  new
non-convertible secured promissory note reflecting amounts loaned to the Company
by Dr. Chaudhuri as well as expenditures  made by Dr. Chaudhuri on the Company's
behalf or for the Company's  benefit,  plus accrued interest to date, and (ii) a
new  stock  purchase  warrant  reflecting  the right to  purchase  shares of the
Company's  Common Stock.  Dr.  Chaudhuri  has assigned to Thomas  certain of his
rights with respect thereto,  to which assignments the Company and OC-PIN hereby
consent. As a result of the assignment,  the parties acknowledge and agree that,
within 48 hours after the execution of this  Agreement,  but dated and effective
as of the date of this Agreement, the Company shall issue to (A) Dr. Chaudhuri a
non-convertible  secured  promissory note, in substantially  the form of Exhibit
A-1, and in a principal  amount equal to 80% of the sum of all amounts loaned by
Dr.  Chaudhuri to the Company or paid,  advanced or incurred by Dr. Chaudhuri on
behalf or for the benefit of the  Company,  or in  connection  with the Purchase
Agreement and related  documents,  or in connection  with the Tenet  Transaction
(collectively,  the "ADVANCES"), (B) Thomas a non-convertible secured promissory
note, in substantially  the form of Exhibit A-2, and in a principal amount equal
to 20% of the Advances  (collectively,  the "NEW  NOTES"),  (C) Dr.  Chaudhuri a
stock purchase warrant  reflecting the right to purchase up to 60,000,000 shares
of the  Company's  Common  Stock  (but  not  to  exceed  20%  of  the  Company's
Fully-Diluted  capital stock) in  substantially  the form of Exhibit B-1 and (D)
Thomas  a  stock  purchase  warrant  reflecting  the  right  to  purchase  up to
14,700,000  shares of the Company's  Common Stock (but not to exceed 4.9% of the
Company's  Fully-Diluted capital stock) in substantially the form of Exhibit B-2
(collectively,  the  "NEW  WARRANTS").  Repayment  of the  New  Notes  shall  be
guaranteed by OC-PIN pursuant to a General Continuing Guaranty  substantially in
the form of Exhibit C.

      4. CERTAIN AMENDMENTS.

            (a)  Section  1.7 of the  Purchase  Agreement  is hereby  amended by
deleting it in its entirety and replacing it with the following:


                                       3


            "1.7 PRE-EMPTIVE RIGHTS.

                  1.7.1 GENERAL  PRE-EMPTIVE RIGHT.  Provided that Purchaser and
            William E. Thomas  ("THOMAS")  have  exercised  their Stock Purchase
            Warrants  dated  January  17,  2005,  the Company  hereby  grants to
            Purchaser and Thomas a right of first refusal with respect to future
            sales  by  the  Company  of  its  equity  securities  or  securities
            convertible  into  or  exercisable  for  equity  securities,   where
            issuance of those securities would result in dilution of Purchaser's
            and  Thomas's  combined  equity  position  to less than 24.9% of the
            Common Stock of the Company on a Fully-Diluted  basis. Each time the
            Company  proposes to offer any shares of, or securities  convertible
            into or  exercisable  for any shares of, any class of the  Company's
            equity  securities  which  would  reduce  Purchaser's  and  Thomas's
            combined  equity  position  to below 24.9% (the "NEW  SHARES"),  the
            Company  shall first make an offer to  Purchaser  and Thomas of such
            portion of the New  Shares  which  would  maintain  Purchaser's  and
            Thomas's  combined  equity  position at a minimum of 24.9% (the "PRO
            RATA  SHARE").  The  closing of the sale of the Pro Rata Share shall
            occur  simultaneously  with  the  sale of the New  Shares  to  other
            investors,  and the Pro  Rata  Share  shall be  priced  equal to the
            lowest price paid by any of the other  investors,  including any who
            may be  purchasing  New Shares by virtue of similar  pre-emptive  or
            other purchase rights.

                  1.7.2 TAG-ALONG  RIGHT RELATING TO OC-PIN.  The Company hereby
            grants to  Purchaser  and  Thomas a purchase  right with  respect to
            future  issuances by the Company of any of its securities to Anil V.
            Shah,  M.D.  or Orange  County  Physicians  Investment  Network,  or
            affiliates of either of them (collectively,  "OC-PIN GROUP"),  where
            the issuance of such additional  shares of Common Stock would result
            in the OC-PIN Group having been issued, in the aggregate,  more than
            187,240,000  shares of the Company's Common Stock on a Fully-Diluted
            basis (as adjusted for any stock splits, dividends,  combinations or
            the like).  Upon  satisfaction  of these  conditions,  Purchaser and
            Thomas  shall  have the  right to  acquire,  for a period of 90 days
            following  notification  by the Company to Purchaser and Thomas that
            the  pre-emptive  right is  triggered  (which  notice shall be given
            within 10 business days of such trigger),  the same securities,  and
            at the same price, as the member of the OC-PIN Group  purchasing the
            Company's  securities,   in  an  amount  that  represents  the  same
            proportion  as  Purchaser's  and Thomas's  combined  holdings of the
            Company's Common Stock on a Fully-Diluted  basis bears to the OC-PIN
            Group's  combined  holdings  of  the  Company's  Common  Stock  on a
            Fully-Diluted basis immediately prior to the issuance in question.

                  1.7.3 EXCLUSIONS.  The rights in this Section 1.7 shall not be
            applicable to the issuance or sale of (i) securities issued pursuant
            to stock splits,  stock  dividends,  or similar  transactions;  (ii)
            shares of Common Stock issued to employees, consultants, officers or
            directors  of  the  company   pursuant  to  stock  option  plans  or
            restricted stock plans or agreements approved by the Company's Board
            of Directors;  (iii) securities issued to financial  institutions or
            lessors in connection with commercial credit arrangements, equipment
            financings,  commercial  property  lease  transactions,  or  similar
            transactions  approved  by the  Board of  Directors  and not for the
            purpose of raising capital, (iv) shares of Common Stock issued in an
            underwritten public offering; or (v) securities issued in connection
            with bona fide  acquisition  transactions  approved  by the Board of
            Directors.


                                       4


                  1.7.4 TERMINATION.  The pre-emptive rights in this Section 1.7
            shall terminate and cease to have effect upon the earlier of (i) the
            closing of an acquisition of the Company to an unrelated third party
            or (ii) the later of  one-half  (3 1/2)  years from the date of this
            Agreement  or the  termination  of any  similar  pre-emptive  rights
            granted to OC-PIN or its affiliates."

            (b)  Article  II of the  Purchase  Agreement  is hereby  amended  to
reflect  that  references  to  "Purchaser"  or "the  Holder"  shall now mean Dr.
Chaudhuri and Thomas.  The definition of "REGISTRABLE  SECURITIES"  contained in
Section 2.1 of the  Purchase  Agreement  is hereby  deleted in its  entirety and
replaced with the following:

            "`REGISTRABLE SECURITIES' means, collectively,  any shares of common
            stock of the Company issued to Kali P. Chaudhuri, M.D. or William E.
            Thomas   pursuant  to  Stock  Purchase   Warrants  issued  to  those
            individuals  on  January  17,  2005,  and any  securities  issued or
            issuable  upon any stock  dividend,  stock split,  recapitalization,
            merger,  consolidation  or similar event with respect to such shares
            of common stock. As to any particular Registrable  Securities,  such
            securities  shall  cease  to be  Registrable  Securities  when (i) a
            registration  statement  covering such securities  shall have become
            effective  under the 1933 Act and such  securities  shall  have been
            disposed of in accordance  with such  registration  statement,  (ii)
            such securities  shall have been  distributed to the public,  or all
            such securities may be sold publicly without registration,  pursuant
            to Rule 144 or Rule 144A (or any  successor  provisions  ) under the
            1933  Act,  or  (iii)  such  securities  shall  have  ceased  to  be
            outstanding."

      5. AMENDMENT OF SECURITY  AGREEMENT.  The Security  Agreement  between the
Company and Dr. Chaudhuri dated September 28, 2004, is hereby amended to provide
that the secured parties are Dr. Chaudhuri and Thomas,  and that the obligations
secured are the obligations under the New Notes and any other obligations of the
Company to Dr. Chaudhuri  arising  thereunder or under this Agreement;  however,
the security  interest  securing the New Notes shall be terminated  effective at
the closing of the Tenet  Transaction.  Dr.  Chaudhuri (and Thomas if necessary)
shall  execute  and,  if  requested  by the  Company and the lender in the Tenet
Transaction,  deliver to the escrow agent for the Tenet  Transaction an executed
UCC termination statement to accomplish the foregoing.


                                       5


      6. PAYMENT TO DR. CHAUDHURI;  CERTAIN DISCLAIMERS. On the date of approval
of this  Agreement by Tenet as  contemplated  by Section 9, OC-PIN shall pay, or
shall cause the  Company to pay,  or shall cause to be released  from the Escrow
Fund, $10,000,000 plus the accrued interest in the Escrow Fund to Dr. Chaudhuri,
in immediately available funds. Nothing in this Agreement or any of the exhibits
hereto shall be effective  or of any force and effect  until Dr.  Chaudhuri  has
received this payment of $10,000,000  plus accrued  interest.  Any agreements or
arrangements  between  OC-PIN and the Company  with  respect to this  payment of
$10,000,000  plus  accrued  interest  shall be pursuant to a separate  agreement
between  them,  and  Dr.  Chaudhuri  shall  have  no  involvement  therewith  or
responsibility therefor.  Furthermore,  Dr. Chaudhuri makes, and the Company and
OC-PIN expressly  acknowledge that Dr. Chaudhuri has made, no representations or
warranties  to OC-PIN or the Company or any of their  affiliates  regarding  the
Company,  OC-PIN,  OC-PIN's financial  wherewithal,  the Tenet Transaction,  the
financing  related to the Tenet  Transaction (or the Company's ability to obtain
it),  licensing  (or the  Company's  ability to obtain  it) or any other  matter
relating in any way to OC-PIN's  investment in or other  financial  arrangements
with the  Company.  Each of the Company and OC-PIN has done its own  independent
investigation  of the other,  and is fully  satisfied  with the results of those
investigations.  The Company and OC-PIN  hereby agree to  indemnify,  defend and
hold Dr. Chaudhuri  harmless from and against any claims,  liabilities or losses
incurred by either of them as a result of the  financial  or other  arrangements
between them.

      7.  AMENDMENT  AND EXERCISE OF AMENDED AND RESTATED  REAL ESTATE  PURCHASE
OPTION.  Pursuant to Section 3 of the Option Agreement dated September 28, 2004,
as amended and  restated on November  16,  2004 ("LLC  OPTION  AGREEMENT"),  Dr.
Chaudhuri  currently has an option to purchase 100% of the membership  interests
of the LLC (as  defined in the LLC Option  Agreement)  for  $5,000,000.  The LLC
Option Agreement is hereby amended to provide that Dr.  Chaudhuri's option shall
be to purchase 49% of the membership  interests of the LLC for  $2,450,000,  and
may be assigned to and exercised by an affiliate of Dr. Chaudhuri. Dr. Chaudhuri
hereby  exercises  that option,  as so amended,  such exercise to be conditioned
upon, and effective at, the Closing (as defined in the Asset Sale  Agreement) of
the Tenet Transaction.  The exercise is also conditioned upon (a) receipt by Dr.
Chaudhuri  of receipt of evidence  satisfactory  to him that OC-PIN has acquired
the  remaining  51% of the LLC  membership  interests  simultaneously  with  Dr.
Chaudhuri's  acquisition  of the 49% interest,  (b) receipt by Dr.  Chaudhuri of
receipt  of  evidence  satisfactory  to him that the LLC has  acquired  the real
estate (owned in fee) in the Tenet  Transaction  (i.e.  Western Medical Center -
Santa Ana, Western Medical Center - Anaheim and Coastal  Community  Hospital and
the medical office  buildings,  but not the leased Chapman  Hospital and medical
office building),  (c) execution by Dr.  Chaudhuri,  OC-PIN and Dr. Shah, and by
the Company if initially  required,  of a customary  Operating  Agreement  for a
California  manager-managed limited liability company reasonably satisfactory to
Dr.  Chaudhuri  and OC-PIN in which (i) Dr.  Chaudhuri  and Dr.  Shah have equal
rights of management of the LLC, and (ii) Dr. Chaudhuri may not sell,  syndicate
or  otherwise  transfer  any of his  management  rights in the LLC  without  the
consent of the holder(s) of a majority of the LLC membership interests (although
it is  expressly  understood  that  Dr.  Chaudhuri  may  hold  title  to the LLC
membership interests through an affiliate), and (d) execution by the Company, as
tenant,  of a lease with the LLC,  as  landlord,  in  substantially  the form of
Exhibit D. The exercise  price shall be placed into escrow and released  against
delivery  of  certificates  or other  satisfactory  evidence  of transfer to Dr.
Chaudhuri  or an affiliate  of 49% of the  membership  interests of the LLC. The
Company and OC-PIN  agree to comply with all of the  aforesaid  covenants  which
may,  at Dr.  Chaudhuri's  election,  be  specifically  enforced  as provided in
Section 11.6.


                                       6


      8. CERTAIN  AGREEMENTS RELATED TO TENET TRANSACTION AND RELATED FINANCING.
The parties have agreed as follows with respect to the Tenet Transaction and the
proposed $80,000,000 credit facility ("FACILITY") from Company's current Lender,
or other lender agreeable to the parties ("LENDER") related thereto:

            (a) The Company and the LLC shall be  co-borrowers  with  respect to
the  Facility,  with the  Company  and the LLC each fully  liable for the entire
amount borrowed thereunder.

            (b) The  Company  and the LLC will enter into a mutually  acceptable
inter-borrower and cross-indemnity agreement.

            (c) If  requested  by the  Lender,  the Lender  will have a security
interest  not only in all of the assets of the Company and the LLC,  but also in
all  LLC  membership  interests  and in the  master  lease  from  the LLC to the
Company.

      9. CONDITIONS PRECEDENT.  This Agreement, and specifically Dr. Chaudhuri's
and Thomas's  obligations  hereunder,  are  expressly  conditioned  upon Tenet's
acceptance of the restructuring  and other terms set forth herein,  and, because
Dr.  Chaudhuri  is  rescinding  his right to receive any interest in the Chapman
Hospital  real estate,  upon  Tenet's  release of Dr.  Chaudhuri's  guarantee in
Tenet's favor of the tenant's  obligations under the Chapman Hospital lease. Dr.
Shah shall provide his personal  guarantee of the tenant's  obligations in place
of  that of Dr.  Chaudhuri,  in a for  substantially  identical  to the  form of
guaranty  provided by Dr.  Chaudhuri to Tenet. The provisions of this Agreement,
including the exhibits  hereto,  shall only be effective upon (i) receipt by Dr.
Chaudhuri of written  evidence  reasonably  satisfactory to him, and executed by
Tenet,  setting forth Tenet's  acceptance and release as described  above,  (ii)
receipt by Dr.  Chaudhuri of the payment of  $10,000,000  plus accrued  interest
referred  to in Section 6, (iii)  receipt by Dr.  Chaudhuri  and Thomas of fully
executed  originals of the New Notes and New  Warrants,  and (iv)  execution and
delivery of a mutually  agreeable  Operating  Agreement  for the LLC pursuant to
Section 7 above.  If all of the foregoing  conditions are not fully satisfied by
5:00 p.m. on January 31, 2005, Dr. Chaudhuri shall be entitled to terminate this
Agreement,  in which case nothing in this Agreement,  including all rescissions,
amendments and restructurings, shall be of any force or effect.

      10.  MUTUAL  RELEASE.  Except with  respect to  obligations  created in or
expressly  continued  by this  Agreement  and in the New Warrants and New Notes,
each of Dr.  Chaudhuri and Thomas,  on the one hand, and the Company and OC-PIN,
on the other hand, on behalf of  themselves  and their  successors  and assigns,
hereby  release  and  discharge  the  other  and  the  other's  representatives,
officers, directors, agents, employees,  attorneys,  successors and assigns from
any claims,  demands,  actions,  causes of action, losses and liabilities of any
kind or nature  whatsoever that the party may have, may have had in the past, or
may have in the future, whether known or unknown, suspected or unsuspected,  now
due or contingent, to the full extent that any such claim, demand, action, cause
of  action,  loss or  liability  arises  out of or is in any way  related to the
Purchase  Agreement,  the  Convertible  Note, the Secured Note, the Stock Option
Agreement,  the Tenet  Transaction or OC-PIN's  investment in or other financial
arrangements  with the  Company.  Each of the parties  hereby  acknowledges  and
agrees that he or it is aware of, has read,  has had  explained  to him or it by
independent counsel of his or its own choosing,  understands,  and hereby waives
the provisions of California Civil Code Section 1542, which reads:


                                       7


            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  materially have affected
            his settlement with the debtor.

Dr.  Chaudhuri  also  agrees to release  the  individual  members of the Medical
Staff,  as that term is defined in the  Agreement  dated as of January  25, 2005
among  the  Company,  Dr.  Chaudhuri,  Chapman  Medical  Center,  Inc.,  Coastal
Communities Hospital, Inc.; WMCA, Inc. and WMC-SA, Inc. and the Medical Staff of
Western Medical Center - Santa Ana, an  unincorporated  association  (the "STAFF
AGREEMENT"),  as  more  specifically  set  forth  in  Section  11 of  the  Staff
Agreement.

      11. MISCELLANEOUS.

            11.1  AMENDMENT.  This  Agreement may be modified or amended only by
mutual written agreement of the parties. Any such modification or amendment must
be in writing, dated and signed by the parties and attached to this Agreement.

            11.2 BINDING EFFECT. Subject to the foregoing,  this Agreement shall
be binding on and shall inure to the benefit of the parties and their respective
successors and assigns.

            11.3 ATTORNEYS' FEES. In any action or dispute, at law or in equity,
that may arise under or otherwise relate to this Agreement, the prevailing party
shall be  entitled  to the award of  reasonable  attorneys'  fees and costs,  in
addition  to whatever  relief the  prevailing  party may be  awarded;  provided,
however,  that so long as the  present  Company  Board of  Directors  remains in
place,  the  parties  agree to bear their own fees and costs in the event of any
dispute.

            11.4 VENUE.  The parties agree that Orange County,  California shall
be the only proper venue for disputes related to this Agreement.

            11.5 ENTIRE AGREEMENT. This Agreement, along with the New Notes, New
Warrants and General  Continuing  Guaranty,  and the Purchase  Agreement and the
Security Agreement,  as amended hereby,  represents the entire understanding and
agreement of the parties regarding its subject matter,  and supersedes any prior
oral or  written  agreements,  representations,  understandings  or  discussions
between the parties. No other understanding between the parties shall be binding
on them  unless set forth in writing  and signed by the party  against  whom the
understanding is to be enforced.

            11.6  SPECIFIC  PERFORMANCE.  The parties  acknowledge  that the LLC
membership  interests,  the real estate to be acquired by the LLC, the New Notes
and the New  Warrants  are  unique,  and that  damages  would not be an adequate
remedy for Dr.  Chaudhuri  and Thomas in the event of the  Company's or OC-PIN's
failure to perform any of their obligations hereunder and under the New Warrants
(including,  without  limitation,  its  obligation  to deliver the Shares if Dr.
Chaudhuri  or Thomas  elects to  exercise  his New  Warrant).  As a result,  the
parties  agree that this  Agreement  may be  enforced  by any party by  specific
performance.


                                       8


            11.7 GOVERNING LAW. This Agreement  shall be construed in accordance
with and governed by the laws of the State of  California,  except the conflicts
of laws  provisions  that would require the application of the laws of any other
jurisdiction.

            11.8 HEADINGS.  The headings in this  Agreement are intended  solely
for convenience of reference and shall be given no effect in the construction or
interpretation of this Agreement.

            11.9 MEANING OF CERTAIN WORDS. Wherever the context may require, any
pronouns  used in this  Agreement  shall  include the  corresponding  masculine,
feminine,  or neuter  forms,  and the singular  form of nouns shall  include the
plural and vice versa.

            11.10 NO THIRD-PARTY  BENEFICIARY  RIGHTS. The parties do not intend
to confer  and this  Agreement  shall not be  construed  to confer any rights or
benefits to any person, firm, corporation or entity other than the parties.

            11.11 NOTICES.  All notices or communications  required or permitted
under this Agreement shall be given in writing and delivered  personally or sent
by United States  registered or certified  mail with postage  prepaid and return
receipt requested or by overnight delivery service (e.g., Federal Express, DHL).
Notice shall be deemed given when sent, if sent as specified in this Section, or
otherwise deemed given when received. In each case, notice shall be delivered or
sent to:

         IF TO COMPANY, ADDRESSED TO:
         Integrated Healthcare Holdings, Inc.
         695 Town Center Drive, Suite 260
         Costa Mesa, CA 92626
         Attention: Chief Executive Officer

         IF TO DR. CHAUDHURI OR TO THOMAS, ADDRESSED TO:
         c/o Strategic Global Management, Inc.
         6800 Indiana Avenue, Suite 130
         Riverside, CA 92506
         Attention: William E. Thomas, Esq.

         IF TO DR. SHAH OR TO OC-PIN, ADDRESSED TO:
         c/o Orange County Physicians Investment Network, LLC
         2621 S. Bristol Street, Suite 108
         Santa Ana, CA 92704
         Attention: Anil V. Shah, Manager

            11.12 SEVERABILITY. If any provision of this Agreement is determined
to be illegal  or  unenforceable,  that  provision  shall be  severed  from this
Agreement,  and such severance shall have no effect upon the  enforceability  of
the remainder of this Agreement.


                                       9


            11.13  WAIVER.  No delay or failure to  require  performance  of any
provision of this  Agreement  shall  constitute a waiver of that provision as to
that or any other instance.  Any waiver granted by a party must be in writing to
be effective, and shall apply solely to the specific instance expressly stated.

            11.14 CONFIDENTIALITY. Neither party shall disclose any of the terms
of this  Agreement  to any  person  or  entity  (other  than  its  attorneys  or
accountants)  without the prior written  consent of the other party,  unless and
only to the extent such disclosure is required by law, including the 1933 Act.

            11.15 DISPUTE RESOLUTION. In the event of any dispute arising out of
or  relating  to this  Agreement,  such  dispute  shall be  resolved  solely and
exclusively by confidential binding arbitration with the Orange County branch of
JAMS ("JAMS") to be governed by JAMS'  Commercial Rules of Arbitration in effect
at the time of the  commencement of the arbitration (the "JAMS RULES") and heard
before  one  arbitrator.  The  parties  shall  attempt  to  mutually  select the
arbitrator. In the event they are unable to mutually agree, the arbitrator shall
be selected by the procedures prescribed by the JAMS Rules.

            11.16  COUNTERPARTS.  This  Agreement may be executed in one or more
counterparts,  each of which shall be deemed to be an original, and all of which
together shall constitute one and the same instrument.

                                      * * *

                         [SIGNATURES ON FOLLOWING PAGE]


                                       10


      IN WITNESS  WHEREOF,  the parties  hereto have caused this Agreement to be
executed and delivered as of the date first written above.

THE COMPANY:                           INTEGRATED HEALTHCARE HOLDINGS,
                                       INC., a Nevada corporation


                                       By:      /s/ Larry B. Anderson
                                           -------------------------------------
                                            Larry B. Anderson, President


DR. CHAUDHURI:                              /s/ Kali P. Chaudhuri
                                       -----------------------------------------
                                       KALI P. CHAUDHURI, M.D.


OC-PIN:                                ORANGE COUNTY PHYSICIANS
                                       INVESTMENT NETWORK, LLC, a Nevada
                                       limited liability company


                                       By:  /s/ Anil V. Shah
                                           -------------------------------------
                                            Anil V. Shah, M.D., Manager

For purposes of Sections 3 and 10 only:

I hereby  accept the  assignment of a portion of Dr.  Chaudhuri's  rights as set
forth in Section 3, and agree to be bound by the  provisions of a Stock Purchase
Warrant  substantially  in the form  attached  hereto as Exhibit B-2, and by the
provisions of Section 10. Except as expressly set forth above,  I am not a party
to this Agreement and have given no representations, warranties or assurances to
any person.


THOMAS:                                  /s/ William E. Thomas
                                       -----------------------------------------
                                       WILLIAM E. THOMAS

For purposes of Sections 2(a) and 9 only:

I hereby agree to the rescission of the Non-Circumvention Agreement on the terms
and conditions set forth in Section 2(a), and to providing a personal  guarantee
as set forth in Section 9. Except as expressly set forth above, I am not a party
to this Agreement and have given no representations, warranties or assurances to
any person.


DR. SHAH                                 /s/ Anil V. Shah
                                       -----------------------------------------
                                       ANIL V. SHAH, M.D.


                                       11


Approved as to form:


- ----------------------------------------
Gregg Amber, Esq. of Rutan & Tucker, LLP
attorneys for Dr. Chaudhuri


- ----------------------------------------
Allen Z. Sussman, Esq. of Morrison &
Foerster, LLP
attorneys for the Company


- ----------------------------------------
Hari S. Lal, Esq. of The Lal Law Firm,
Inc.
attorneys for Dr. Shah and OC-PIN


                                       12


                                   EXHIBIT A-1

                                     FORM OF
                              NON-CONVERTIBLE NOTE

$__________                                               Costa Mesa, California
                                                                January 27, 2005

                             SECURED PROMISSORY NOTE

      FOR VALUE RECEIVED, the undersigned, INTEGRATED HEALTHCARE HOLDINGS, INC.,
a Nevada  corporation (the  "COMPANY"),  promises to pay to the order of Kali P.
Chaudhuri,  M.D.  ("HOLDER"),  at c/o 6800 Indiana Avenue, Suite 130, Riverside,
California  92506,  or at such  other  location  as is  designated  by Holder in
writing hereunder,  the aggregate sum of  ________________  Dollars  ($_______),
bearing simple interest on the unpaid  principal  balance of this Note, from the
date of this  Note  until  this  Note is paid in full at a rate of five  percent
(5.0%) per annum.  Accrued interest shall be computed based on the actual number
of days  elapsed.  Interest  only shall be payable on the first  Business Day of
each calendar  month  beginning  February 1, 2005. All principal and accrued but
unpaid  interest  will be due and  payable  in full at the  Closing of the Tenet
Transaction,  or on  demand at any time  after  February  28,  2005 if the Tenet
Transaction has not closed by that date (the "DUE DATE").  All payments shall be
made in  lawful  money of the  United  States,  without  offset,  deduction,  or
counterclaim of any kind.

      1.  TERMS.  Capitalized  terms used  herein  without  definition  have the
meanings  ascribed  to  them in the  Rescission,  Restructuring  and  Assignment
Agreement  of even date  herewith by and among the  Company,  Holder and certain
other parties thereto.

      2 PAYMENTS  AND  COMPUTATIONS.  All  payments  on account of  indebtedness
evidenced by this Note shall be made not later than 11:00 A.M. (California time)
on the day when due in  lawful  money of the  United  States  and shall be first
applied to interest due on the unpaid principal balance and the remainder to any
principal  due.  Payments  are to be made at such  place as  Holder or any legal
holder of this  Note may,  from time to time,  in  writing  specify,  and in the
absence of a specification,  at the principal place of business of Holder as set
forth in the first  paragraph  of this Note.  The  Company  may pre-pay the full
amount of all  principal  of and  accrued  interest  under this Note at any time
without premium or penalty.

      3. SECURITY.  Repayment of this Note is secured pursuant to the terms of a
Security  Agreement  dated September 28, 2004, and is guarantied by a Continuing
General Guaranty dated January 27, 2005 by Orange County  Physicians  Investment
Network, LLC.

      4.  ATTORNEYS'  FEES.  If any  action  is  instituted  on this  Note,  the
successful  or  prevailing  party  or  parties  shall  be  entitled  to  recover
reasonable   attorneys'  fees  and  other  costs  incurred  in  that  action  or
proceeding, in addition to any other relief to which the party or parties may be
entitled.  Diligence,  demand, presentment,  notice of dishonor, and protest are
waived  by the  Company,  and any  and all  makers,  sureties,  guarantors,  and
endorsers of this Note, and their successors and assigns. Time is of the essence
for every obligation under this Note.


                                       1


      6.  LAW.  This  Note  shall be  construed  under  the laws of the State of
California,  as such laws are applied to contracts  entered  into and  performed
entirely within that state by residents thereof.

      7. RULES OF  CONSTRUCTION/REPRESENTATION.  The parties agree that they are
sophisticated  business  persons or entities who have had the  opportunity to be
represented  by counsel during the  negotiation  and execution of this Note and,
therefore,  waive the  application  of any law,  regulation,  holding or rule of
construction  providing that  ambiguities in an agreement or other document will
be construed against the party drafting such agreement or document.

      8.  DISPUTE  RESOLUTION.  In the event of any  dispute  arising  out of or
relating to this Note,  such dispute shall be resolved solely and exclusively by
confidential  binding arbitration with the Orange County branch of JAMS ("JAMS")
to be governed by JAMS' Commercial Rules of Arbitration in effect at the time of
the  commencement  of the  arbitration  (the "JAMS  RULES") and heard before one
arbitrator.  The parties shall attempt to mutually select the arbitrator. In the
event they are unable to mutually agree, the arbitrator shall be selected by the
procedures  prescribed  by the  JAMS  Rules.  Each  party  shall  bear  its  own
attorneys' fees,  expert witness fees, and costs incurred in connection with any
arbitration.

      IN WITNESS WHEREOF, the Company has executed and delivered this Note as of
the day and year and at the place first above written.

                                       INTEGRATED HEALTHCARE HOLDINGS, INC.

                                       By:
                                          --------------------------------------
                                              Larry B. Anderson, President


                                       2


                                   EXHIBIT A-2

                                     FORM OF
                              NON-CONVERTIBLE NOTE

$__________                                               Costa Mesa, California
                                                                January 27, 2005

                             SECURED PROMISSORY NOTE

      FOR VALUE RECEIVED, the undersigned, INTEGRATED HEALTHCARE HOLDINGS, INC.,
a Nevada corporation (the "COMPANY"), promises to pay to the order of William E.
Thomas ("HOLDER"), at c/o 6800 Indiana Avenue, Suite 130, Riverside,  California
92506,  or at  such  other  location  as is  designated  by  Holder  in  writing
hereunder,  the aggregate sum of ________________  Dollars  ($_______),  bearing
simple interest on the unpaid  principal  balance of this Note, from the date of
this Note until this Note is paid in full at a rate of five  percent  (5.0%) per
annum.  Accrued  interest  shall be computed  based on the actual number of days
elapsed.  Interest  only  shall be  payable  on the first  Business  Day of each
calendar month beginning  February 1, 2005. All principal and accrued but unpaid
interest  will  be due  and  payable  in  full  at  the  Closing  of  the  Tenet
Transaction,  or on  demand at any time  after  February  28,  2005 if the Tenet
Transaction has not closed by that date (the "DUE DATE").  All payments shall be
made in  lawful  money of the  United  States,  without  offset,  deduction,  or
counterclaim of any kind.

      1.  TERMS.  Capitalized  terms used  herein  without  definition  have the
meanings  ascribed  to  them in the  Rescission,  Restructuring  and  Assignment
Agreement  of even date  herewith by and among the  Company,  Holder and certain
other parties thereto.

      2 PAYMENTS  AND  COMPUTATIONS.  All  payments  on account of  indebtedness
evidenced by this Note shall be made not later than 11:00 A.M. (California time)
on the day when due in  lawful  money of the  United  States  and shall be first
applied to interest due on the unpaid principal balance and the remainder to any
principal  due.  Payments  are to be made at such  place as  Holder or any legal
holder of this  Note may,  from time to time,  in  writing  specify,  and in the
absence of a specification,  at the principal place of business of Holder as set
forth in the first  paragraph  of this Note.  The  Company  may pre-pay the full
amount of all  principal  of and  accrued  interest  under this Note at any time
without premium or penalty.

      3. SECURITY.  Repayment of this Note is secured pursuant to the terms of a
Security  Agreement  dated September 28, 2004, and is guarantied by a Continuing
General Guaranty dated January 27, 2005 by Orange County  Physicians  Investment
Network, LLC.

      4.  ATTORNEYS'  FEES.  If any  action  is  instituted  on this  Note,  the
successful  or  prevailing  party  or  parties  shall  be  entitled  to  recover
reasonable   attorneys'  fees  and  other  costs  incurred  in  that  action  or
proceeding, in addition to any other relief to which the party or parties may be
entitled.  Diligence,  demand, presentment,  notice of dishonor, and protest are
waived  by the  Company,  and any  and all  makers,  sureties,  guarantors,  and
endorsers of this Note, and their successors and assigns. Time is of the essence
for every obligation under this Note.


                                       1


      6.  LAW.  This  Note  shall be  construed  under  the laws of the State of
California,  as such laws are applied to contracts  entered  into and  performed
entirely within that state by residents thereof.

      7. RULES OF  CONSTRUCTION/REPRESENTATION.  The parties agree that they are
sophisticated  business  persons or entities who have had the  opportunity to be
represented  by counsel during the  negotiation  and execution of this Note and,
therefore,  waive the  application  of any law,  regulation,  holding or rule of
construction  providing that  ambiguities in an agreement or other document will
be construed against the party drafting such agreement or document.

      8.  DISPUTE  RESOLUTION.  In the event of any  dispute  arising  out of or
relating to this Note,  such dispute shall be resolved solely and exclusively by
confidential  binding arbitration with the Orange County branch of JAMS ("JAMS")
to be governed by JAMS' Commercial Rules of Arbitration in effect at the time of
the  commencement  of the  arbitration  (the "JAMS  RULES") and heard before one
arbitrator.  The parties shall attempt to mutually select the arbitrator. In the
event they are unable to mutually agree, the arbitrator shall be selected by the
procedures  prescribed  by the  JAMS  Rules.  Each  party  shall  bear  its  own
attorneys' fees,  expert witness fees, and costs incurred in connection with any
arbitration.

      IN WITNESS WHEREOF, the Company has executed and delivered this Note as of
the day and year and at the place first above written.

                                       INTEGRATED HEALTHCARE HOLDINGS, INC.

                                       By:
                                          --------------------------------------
                                              Larry B. Anderson, President


                                       2


                                   EXHIBIT B-1

                                     FORM OF
                             STOCK PURCHASE WARRANT

60,000,000 Shares                                               January 27, 2005

      This certifies that, for good and valuable consideration, receipt of which
is hereby  acknowledged,  Kali P. Chaudhuri,  M.D. (the "HOLDER") is entitled to
purchase,  subject to the terms and conditions of this Warrant,  from Integrated
Healthcare  Holdings,  Inc, a Nevada corporation (the "COMPANY"),  Sixty Million
(60,000,000)  shares of the Company's  common stock (the "SHARES") in accordance
with Section 3 during the period  commencing  on the second  anniversary  of the
date hereof (the "COMMENCEMENT  DATE") and ending at 5:00 p.m.  California time,
on the date which is three and  one-half (3 1/2) years from the date hereof (the
"EXPIRATION  DATE"),  at which time this  Warrant  will  expire and become  void
unless earlier  terminated as provided  herein.  Notwithstanding  the foregoing,
this Warrant may not be exercised in an amount that would exceed,  when added to
the number of shares of common stock of the Company  previously  acquired by the
Holder by virtue of  exercise  of this  Warrant  (or any  replacement  Warrant),
twenty percent (20%) of the total number of outstanding  shares of capital stock
of the Company on a  Fully-Diluted  basis on the date of  exercise.  Capitalized
terms used herein without  definition have the meanings  ascribed to them in the
Rescission,  Restructuring and Assignment Agreement of even date herewith by and
among the Company, the Holder and certain other parties thereto.

      1. VESTING AND EXERCISE PRICE.

            (a) The right to  exercise  this  Warrant  shall  fully  vest on the
      Commencement Date.

            (b) The exercise or purchase price for the first  34,538,153  Shares
      purchased upon exercise of this Warrant shall be $0.003125 per Share,  and
      the  exercise or purchase  price for the  remainder of the Shares shall be
      $0.078 per Share if exercised  between January 27, 2007 and July 26, 2007,
      $0.11 per Share if  exercised  between July 27, 2007 and January 26, 2008,
      and $0.15  thereafter,  all subject to adjustment as provided in Section 2
      (the "EXERCISE PRICE").

      2. ANTI-DILUTION PROVISIONS.  The Exercise Price in effect at any time and
the number of Shares  purchasable  upon the  exercise  of this  Option  shall be
subject  to  adjustment  from  time to time  upon  the  happening  of any of the
following events:

            (a) If at any time the Company  subdivides its outstanding shares of
      Common Stock into a greater number of shares, the Exercise Price in effect
      immediately prior to such subdivision shall be proportionately reduced. If
      at any time the  outstanding  shares of Common  Stock of the  Company  are
      combined  into a smaller  number of shares,  the Exercise  Price in effect
      immediately prior to such combination shall be proportionately increased.


                                       1


            (b)  Whenever  the  Exercise  Price  payable  upon  exercise of this
      Warrant  is  adjusted  pursuant  to this  Section  2, the number of Shares
      purchasable  upon  exercise  hereof  simultaneously  shall be  adjusted by
      multiplying  the  number  of  Shares  issuable  immediately  prior to such
      adjustment  by the  Exercise  Price in  effect  immediately  prior to such
      adjustment and dividing the product so obtained by the Exercise  Price, as
      adjusted.

            (c) the  Company  shall  give  notice to the  Holder of any event or
      transaction  that results in an adjustment in the Exercise  Price,  within
      ten (10) business days thereof,  at the Holder's  address as it appears on
      the books of the Company,  including a computation of such  adjustment and
      any  adjustment  in the number of Shares for which the Holder may exercise
      this Warrant and any further  information as shall be necessary to confirm
      the computation of such adjustments.

            (d) So long as this Warrant is outstanding,  if (i) the Company pays
      any dividend or makes any  distribution  upon the Common  Stock,  (ii) the
      Company  offers to the  holders of the Common  Stock for  subscription  or
      purchase  by them any  share of any  class of  capital  stock or any other
      rights   or   (iii)   any   capital   reorganization   of   the   Company,
      reclassification  of the  capital  stock  of the  Company,  consolidation,
      merger or other  business  combination of the Company with or into another
      entity,  sale, lease or transfer of all or substantially all of the assets
      of the Company to another entity, or voluntary or involuntary dissolution,
      liquidation  or winding up of the Company  shall be effected,  then in any
      such case,  the Company shall cause to be mailed by certified  mail to the
      Holder,  at least ten (10) days prior to the date  specified in clause (x)
      or (y) below, as the case may be, a notice  containing a brief description
      of the  proposed  action and  stating  the date on which (x) a record date
      shall be  established  for the purpose of such dividend,  distribution  or
      rights   offering   or   (y)   such   reclassification,    reorganization,
      consolidation,  merger,  conveyance,  sale, lease, transfer,  dissolution,
      liquidation  or winding  up shall  take  place and the date,  if any to be
      fixed, as of which the holders of Common Stock or other  securities  shall
      receive cash or other  property  deliverable  upon such  reclassification,
      reorganization,    consolidation,    merger,   conveyance,    dissolution,
      liquidation or winding up.

      3. EXERCISE AND PAYMENT.

            3.1 CASH EXERCISE.  At any time after the  Commencement  Date,  this
Warrant may be exercised,  in whole or in part, from time to time by the Holder,
during the term hereof,  by surrender of this Warrant and the Notice of Exercise
annexed  hereto duly  completed and executed by the Holder to the Company at the
principal executive offices of the Company,  together with payment in the amount
of the Exercise  Price then in effect,  as designated in the Notice of Exercise.
Payment may be in cash or by check payable to the order of the Company.

            3.2 NET ISSUANCE. In lieu of payment of the Exercise Price described
in Section  3.1,  the Holder may elect to  receive,  without  the payment by the
Holder  of any  additional  consideration,  Shares  equal  to the  value of this
Warrant or any portion  hereof by the  surrender of this Warrant or such portion
to the Company,  with the net issue  election  notice  annexed  hereto (the "NET
ISSUANCE  ELECTION  NOTICE")  duly  executed,  at the  office  of  the  Company.
Thereupon,  the Company  shall issue to the Holder such number of fully paid and
nonassessable Shares as is computed using the following formula:


                                       2


where: X = Y (A-B)
           -------
              A

       X =    the  number of Shares to be issued to the Holder  pursuant  to
              this Section 3.

       Y =    the  number of Shares  covered  by this  Warrant in respect of
              which  the net  issuance  election  is made  pursuant  to this
              Section 3.

       A =    the  fair  market  value  of  one  Share,   as  determined  in
              accordance with the provisions of this Section 3.

       B =    the  Exercise  Price in effect  under this Warrant at the time
              the net issuance election is made pursuant to this Section 3.

For purposes of this Section 3, the "fair market value" per Share shall mean:

                   i. If the class of Shares is traded on a national securities
              exchange or is listed on the Nasdaq  National  Market (the "NNM")
              or other over-the-counter quotation system, the fair market value
              shall be the last reported sale price of a Share on such exchange
              or on the NNM or other  over-the-counter  quotation system on the
              last  business day before the  effective  date of exercise of the
              net issuance election or if no such sale is made on such day, the
              mean of the  closing  bid and asked  prices  for such day on such
              exchange, the NNM or over-the-counter quotation system; and

                   ii. If the class of Shares is not so listed  and bid and ask
              prices are not reported, the fair market value shall be the price
              per Share which the Company could obtain from a willing buyer for
              Shares sold by the Company,  as such price shall be determined in
              good faith by the Company's Board of Directors.

            3.3 NO PARTIAL  EXERCISE.  This Warrant,  if exercised,  may only be
exercised  as to the full number of Shares that may be permitted to be purchased
at the time of exercise. No partial exercises are permitted.

      4. DELIVERY OF CERTIFICATES. Within five (5) business days after exercise,
in whole or in part, of this Warrant, the Company shall issue in the name of and
deliver to the Holder,  a certificate  or  certificates  for the number of fully
paid and  nonassessable  Shares  which the Holder  shall have  requested  in the
Notice of Exercise or Net Issuance Election Notice. If this Warrant is exercised
in  part,  the  Company  shall  deliver  to the  Holder  a new  Warrant  for the
unexercised  portion of this Warrant at the time of delivery of such certificate
or certificates.

      5. NO  FRACTIONAL  SHARES.  No  fractional  Shares  or scrip  representing
fractional  Shares will be issued upon  exercise  of this  Warrant.  If upon any
exercise of this Warrant a fraction of a Share results, the Company will pay the
Holder the  difference  between the cash value of the  fractional  Share and the
portion of the Exercise Price allocable to the fractional Share.


                                       3


      6. CHARGES, TAXES AND EXPENSES. The Holder shall pay all transfer taxes or
other incidental  charges, if any, in connection with the transfer of the Shares
purchased pursuant to the exercise hereof from the Company to the Holder.

      7. LOSS, THEFT,  DESTRUCTION OR MUTILATION OF WARRANT. Upon receipt by the
Company  of  evidence  reasonably   satisfactory  to  it  of  the  loss,  theft,
destruction  or  mutilation  of this  Warrant,  and in case of  loss,  theft  or
destruction,  of indemnity or security  reasonably  satisfactory to the Company,
and upon  reimbursement  to the Company of all  reasonable  expenses  incidental
thereto, and upon surrender and cancellation of this Warrant, if mutilated,  the
Company  will make and  deliver a new Warrant of like tenor and dated as of such
cancellation, in lieu of this Warrant.

      8. RIGHTS AS  SHAREHOLDER.  Prior to exercise of this Warrant,  the Holder
shall not be entitled to any rights as a shareholder of the Company with respect
to the Shares,  including  (without  limitation)  the right to vote such Shares,
receive dividends or other distributions  thereon, or be notified of Shareholder
meetings,  and  the  Holder  shall  not be  entitled  to  any  notice  or  other
communication concerning the business or affairs of the Company. However, in the
event of any taking by the  Company  of a record of the  holders of any class of
securities for the purpose of determining  the holders  thereof who are entitled
to receive any dividend (other than a cash dividend) or other distribution,  any
right to subscribe  for,  purchase or otherwise  acquire any Common Stock or any
other  securities or property,  or to receive any other right, the Company shall
mail to each  Holder of this  Warrant,  at least ten (10) days prior to the date
specified  therein,  a notice specifying the date on which any such record is to
be taken for the purpose of such dividend, distribution or right, and the amount
and character of such dividend, distribution or right.

      9. RESTRICTED SECURITIES. The Holder understands that this Warrant and the
Shares  purchasable  hereunder  constitute  "restricted  securities"  under  the
federal  securities  laws  inasmuch as they are, or will be,  acquired  from the
Company in transactions not involving a public offering and accordingly may not,
under such laws and applicable  regulations,  be resold or  transferred  without
registration  under the Securities Act of 1933 (the "1933 ACT") or an applicable
exemption from such registration.  In this connection,  the Holder  acknowledges
that Rule 144 of the Securities and Exchange  Commission (the "SEC") is not now,
and may not in the future be, available for resale of the Warrant and the Shares
purchasable hereunder. Unless the Shares are subsequently registered, the Holder
further  acknowledges  that the securities  legend on Exhibit A to the Notice of
Exercise attached hereto shall be placed on any Shares issued to the Holder upon
exercise of this Warrant.

      10.  CERTIFICATION OF INVESTMENT  PURPOSE.  Unless a current  registration
statement  under the 1933 Act is in effect with respect to the  securities to be
issued upon exercise of this Warrant,  the Holder  covenants and agrees that, at
the  time  of  exercise  hereof,  he  will  deliver  to the  Company  a  written
certification executed by the Holder that the securities acquired by such Holder
upon  exercise  hereof are for the  account  of such  Holder  and  acquired  for
investment  purposes only and that such  securities are not acquired with a view
to, or for sale in connection with, any distribution thereof.


                                       4


      11.  TRANSFERABILITY.  This Warrant  shall be  transferable  by the Holder
subject to compliance with law.

      12. MISCELLANEOUS.

            12.1 CONSTRUCTION.  Unless the context indicates otherwise, the term
"Holder" shall include any  transferee or  transferees of this Warrant,  and the
term "Warrant" shall include any and all warrants  outstanding  pursuant to this
Agreement,  including those  evidenced by a certificate or  certificates  issued
upon division, exchange, substitution or transfer.

            12.2 RESTRICTIONS.  By receipt of this Warrant, the Holder makes the
same  representations  with  respect to the  acquisition  of this Warrant as the
Holder is required to make upon the exercise of this Warrant and  acquisition of
the Shares  purchasable  hereunder as set forth in the Form of Investment Letter
attached as Exhibit A to the Notice of Exercise attached hereto.

            12.3 NOTICES.  Unless  otherwise  provided,  any notice  required or
permitted  under  this  Warrant  shall be given in  writing  and shall be deemed
effectively  given upon  personal  delivery to the party to be notified or three
(3) days following  deposit with the United States Post Office, by registered or
certified  mail,  postage  prepaid and addressed to the party to be notified (or
one (1) day following  timely  deposit with a reputable  overnight  courier with
next day delivery  instructions),  or upon confirmation of receipt by the sender
of any notice by facsimile  transmission,  at the address  indicated below or at
such other address as such party may designate by ten (10) days' advance written
notice to the other parties.

     If to the Company, addressed to:     Integrated Healthcare Holdings, Inc.
                                          695 Town Center Drive, Suite 260
                                          Costa Mesa, CA 92626
                                          Attention: Chief Executive Officer

     If to the Holder, addressed to:      c/o Strategic Global Management, Inc.
                                          6800 Indiana Avenue, Suite 130
                                          Riverside, CA 92506
                                          Attention: William E. Thomas, Esq.

            12.4  GOVERNING LAW. This Warrant shall be governed by and construed
under  the laws of the  State of  California  as  applied  to  agreements  among
California   residents  entered  into  and  to  be  performed   entirely  within
California.

            12.5 ENTIRE  AGREEMENT.  This  Warrant,  the exhibits and  schedules
hereto,  and the documents  referred to herein,  constitute the entire agreement
and  understanding  of the  parties  hereto with  respect to the subject  matter
hereof,   and   supersede   all  prior  and   contemporaneous   agreements   and
understandings, whether oral or written, between the parties hereto with respect
to the subject matter hereof.


                                       5


            12.6  BINDING  EFFECT.  This  Warrant  and the  various  rights  and
obligations  arising hereunder shall inure to the benefit of and be binding upon
the Company and its  successors  and assigns,  and Holder and its successors and
assigns.

            12.7  WAIVER;  CONSENT.  This  Warrant may not be changed,  amended,
terminated,  augmented,  rescinded or discharged (other than by performance), in
whole or in part,  except by a writing  executed by the parties  hereto,  and no
waiver of any of the  provisions  or  conditions  of this  Warrant or any of the
rights of a party hereto shall be effective or binding  unless such waiver shall
be in  writing  and  signed  by the party  claimed  to have  given or  consented
thereto.

            12.8  SEVERABILITY.  If one or more  provisions  of this Warrant are
held to be unenforceable  under applicable law, such provision shall be excluded
from this Warrant and the balance of the Warrant shall be interpreted as if such
provision  were so excluded and the balance shall be  enforceable  in accordance
with its terms.

            12.9 DISPUTE RESOLUTION.  In the event of any dispute arising out of
or  relating  to this  Warrant,  such  dispute  shall  be  resolved  solely  and
exclusively by confidential binding arbitration with the Orange County branch of
JAMS ("JAMS") to be governed by JAMS'  Commercial Rules of Arbitration in effect
at the time of the  commencement of the arbitration (the "JAMS RULES") and heard
before  one  arbitrator.  The  parties  shall  attempt  to  mutually  select the
arbitrator. In the event they are unable to mutually agree, the arbitrator shall
be selected by the  procedures  prescribed  by the JAMS Rules.  Each party shall
bear its own  attorneys'  fees,  expert  witness  fees,  and costs  incurred  in
connection with any arbitration.

      IN WITNESS WHEREOF,  the parties have executed this Warrant as of the date
first above written.


"HOLDER":                              -----------------------------------------
                                       KALI P. CHAUDHURI, M.D., an individual



"COMPANY":                             INTEGRATED HEALTHCARE HOLDINGS,
                                       INC., a Nevada corporation


                                       By:
                                          --------------------------------------
                                             Larry B. Anderson, President


                                       6


                               NOTICE OF EXERCISE

To: INTEGRATED HEALTHCARE HOLDINGS, INC.

            The undersigned  hereby elects to purchase  _____________  shares of
_________ Stock (the "Shares") of Integrated Healthcare Holdings, Inc., a Nevada
corporation (the "Company")  pursuant to the terms of the attached Warrant,  and
tenders  herewith  payment of the  purchase  price  pursuant to the terms of the
Warrant.

            Attached  as  Exhibit  A  is  an  investment  representation  letter
addressed to the Company and executed by the  undersigned as required by Section
10 of the Warrant.

            Please issue  certificates  representing  the Common Stock purchased
hereunder in the names and in the denominations  indicated on Exhibit A attached
hereto.

            Please  issue a new  Warrant  for  the  unexercised  portion  of the
attached Warrant, if any, in the name of the undersigned.

Dated:
       --------------------------------      -----------------------------------
                                             Name:
                                                   -----------------------------

                                             Title:
                                                   -----------------------------



                          NET ISSUANCE ELECTION NOTICE

To: INTEGRATED HEALTHCARE HOLDINGS, INC.
Date:_____________

      The undersigned hereby elects under Section 3.2 of the attached Warrant to
surrender the right to purchase  ___________  shares of  ___________  Stock (the
"Shares")  pursuant to the attached Warrant.  The  Certificate(s) for the Shares
issuable  upon  such net  issuance  election  shall be issued in the name of the
undersigned or as otherwise indicated below.

      Attached as Exhibit A is an investment  representation letter addressed to
the Company and  executed  by the  undersigned  as required by Section 10 of the
Warrant.

      Please issue certificates  representing the Shares purchased  hereunder in
the names and in the denominations indicated on Exhibit A attached hereto.

      Please  issue a new Warrant for the  unexercised  portion of the  attached
Warrant, if any, in the name of the undersigned.


- ---------------------------
Signature


- ---------------------------
Name for Registration


- ---------------------------
Mailing Address



                                    EXHIBIT A

To: INTEGRATED HEALTHCARE HOLDINGS, INC.

      In connection with the purchase by the undersigned of _________  shares of
Common Stock (the "SHARES") of Integrated  Healthcare  Holdings,  Inc., a Nevada
corporation (the  "COMPANY"),  upon exercise of that certain Warrant dated as of
January 27, 2005, the undersigned hereby represents and warrants as follows:

      The Shares to be received by the undersigned  upon exercise of the Warrant
are being acquired for his own account,  not as a nominee or agent, and not with
a view to resale or distribution of any part thereof, and the undersigned has no
present  intention  of selling,  granting  any  participation  in, or  otherwise
distributing the same. The undersigned  further represents that he does not have
any contract,  undertaking,  agreement or  arrangement  with any person to sell,
transfer  or grant  participation  to such person or to any third  person,  with
respect  to the  Shares.  The  undersigned  believes  he has  received  all  the
information  he considers  necessary  or  appropriate  for  deciding  whether to
purchase the Shares.

      The  undersigned   understands  that  the  Shares  are   characterized  as
"restricted  securities" under the federal  securities laws inasmuch as they are
being acquired from the Company in transactions  not involving a public offering
and that under  such laws and  applicable  regulations  such  securities  may be
resold  without  registration  under the Securities Act of 1933, as amended (the
"ACT"),  only  in  certain  limited  circumstances.   In  this  connection,  the
undersigned  represents  that he is familiar  with SEC Rule 144, as presently in
effect, and understands the resale limitations imposed thereby and by the Act.

      Without in any way  limiting  the  representations  set forth  above,  the
undersigned  agrees  not to make any  disposition  of all or any  portion of the
Shares unless and until:

      There is then in effect a  registration  statement  under the Act covering
such proposed  disposition and such  disposition is made in accordance with such
registration statement; or

            (i)  The  undersigned  has  notified  the  Company  of the  proposed
      disposition and shall have furnished the Company with a detailed statement
      of the circumstances surrounding the proposed disposition, and

            (ii) if requested, the undersigned has furnished the Company with an
      opinion of  counsel,  reasonably  satisfactory  to the  Company  that such
      disposition  will not require  registration  of such shares under the Act.
      The Company will not require an opinion of counsel for sales made pursuant
      to Rule 144 except in unusual circumstances.

      The undersigned understands the instruments evidencing the Shares may bear
a legend similar to the following:



      THE SECURITIES  REPRESENTED BY THIS  CERTIFICATE  HAVE NOT BEEN REGISTERED
UNDER THE  SECURITIES  ACT OF 1933;  THEY HAVE BEEN  ACQUIRED  BY THE HOLDER FOR
INVESTMENT AND MAY NOT BE PLEDGED, HYPOTHECATED,  SOLD, TRANSFERRED OR OTHERWISE
DISPOSED OF EXCEPT AS MAY BE AUTHORIZED  UNDER THE  SECURITIES  ACT OF 1933, AND
THE RULES AND REGULATIONS PROMULGATED THEREUNDER.

Dated:
       --------------------------------     ------------------------------------

                                            Name:
                                                   -----------------------------

                                            Title:
                                                   -----------------------------



                                   EXHIBIT B-2

                                     FORM OF
                             STOCK PURCHASE WARRANT

14,700,000 Shares                                               January 27, 2005

      This certifies that, for good and valuable consideration, receipt of which
is hereby  acknowledged,  William  E.  Thomas  (the  "HOLDER")  is  entitled  to
purchase,  subject to the terms and conditions of this Warrant,  from Integrated
Healthcare  Holdings,  Inc,  a  Nevada  corporation  (the  "COMPANY"),  Fourteen
Million,  Seven Hundred  Thousand  (14,700,000)  shares of the Company's  common
stock (the "SHARES") in accordance  with Section 3 during the period  commencing
on the second  anniversary  of the date  hereof  (the  "COMMENCEMENT  DATE") and
ending at 5:00 p.m.  California time, on the date which is three and one-half (3
1/2) years from the date  hereof  (the  "EXPIRATION  DATE"),  at which time this
Warrant  will  expire and become  void  unless  earlier  terminated  as provided
herein.  Notwithstanding the foregoing,  this Warrant may not be exercised in an
amount that would exceed,  when added to the number of shares of common stock of
the  Company  previously  acquired  by the Holder by virtue of  exercise of this
Warrant (or any replacement Warrant), four and nine-tenths percent (4.9%) of the
total  number  of  outstanding  shares  of  capital  stock of the  Company  on a
Fully-Diluted  basis on the date of  exercise.  Capitalized  terms  used  herein
without  definition  have  the  meanings  ascribed  to them  in the  Rescission,
Restructuring  and  Assignment  Agreement of even date herewith by and among the
Company, the Holder and certain other parties thereto.

      1. VESTING AND EXERCISE PRICE.

            (a) The right to  exercise  this  Warrant  shall  fully  vest on the
      Commencement Date.

            (b) The exercise or purchase  price for the first  8,461,847  Shares
      purchased upon exercise of this Warrant shall be $0.003125 per Share,  and
      the  exercise or purchase  price for the  remainder of the Shares shall be
      $0.078 per Share if exercised  between January 27, 2007 and July 26, 2007,
      $0.11 per Share if  exercised  between July 27, 2007 and January 26, 2008,
      and $0.15  thereafter,  all subject to adjustment as provided in Section 2
      (the "EXERCISE PRICE").

      2. ANTI-DILUTION PROVISIONS.  The Exercise Price in effect at any time and
the number of Shares  purchasable  upon the  exercise  of this  Option  shall be
subject  to  adjustment  from  time to time  upon  the  happening  of any of the
following events:

            (a) If at any time the Company  subdivides its outstanding shares of
      Common Stock into a greater number of shares, the Exercise Price in effect
      immediately prior to such subdivision shall be proportionately reduced. If
      at any time the  outstanding  shares of Common  Stock of the  Company  are
      combined  into a smaller  number of shares,  the Exercise  Price in effect
      immediately prior to such combination shall be proportionately increased.


                                       1


            (b)  Whenever  the  Exercise  Price  payable  upon  exercise of this
      Warrant  is  adjusted  pursuant  to this  Section  2, the number of Shares
      purchasable  upon  exercise  hereof  simultaneously  shall be  adjusted by
      multiplying  the  number  of  Shares  issuable  immediately  prior to such
      adjustment  by the  Exercise  Price in  effect  immediately  prior to such
      adjustment and dividing the product so obtained by the Exercise  Price, as
      adjusted.

            (c) the  Company  shall  give  notice to the  Holder of any event or
      transaction  that results in an adjustment in the Exercise  Price,  within
      ten (10) business days thereof,  at the Holder's  address as it appears on
      the books of the Company,  including a computation of such  adjustment and
      any  adjustment  in the number of Shares for which the Holder may exercise
      this Warrant and any further  information as shall be necessary to confirm
      the computation of such adjustments.

            (d) So long as this Warrant is outstanding,  if (i) the Company pays
      any dividend or makes any  distribution  upon the Common  Stock,  (ii) the
      Company  offers to the  holders of the Common  Stock for  subscription  or
      purchase  by them any  share of any  class of  capital  stock or any other
      rights   or   (iii)   any   capital   reorganization   of   the   Company,
      reclassification  of the  capital  stock  of the  Company,  consolidation,
      merger or other  business  combination of the Company with or into another
      entity,  sale, lease or transfer of all or substantially all of the assets
      of the Company to another entity, or voluntary or involuntary dissolution,
      liquidation  or winding up of the Company  shall be effected,  then in any
      such case,  the Company shall cause to be mailed by certified  mail to the
      Holder,  at least ten (10) days prior to the date  specified in clause (x)
      or (y) below, as the case may be, a notice  containing a brief description
      of the  proposed  action and  stating  the date on which (x) a record date
      shall be  established  for the purpose of such dividend,  distribution  or
      rights   offering   or   (y)   such   reclassification,    reorganization,
      consolidation,  merger,  conveyance,  sale, lease, transfer,  dissolution,
      liquidation  or winding  up shall  take  place and the date,  if any to be
      fixed, as of which the holders of Common Stock or other  securities  shall
      receive cash or other  property  deliverable  upon such  reclassification,
      reorganization,    consolidation,    merger,   conveyance,    dissolution,
      liquidation or winding up.

      3. EXERCISE AND PAYMENT.

            3.1 CASH EXERCISE.  At any time after the  Commencement  Date,  this
Warrant may be exercised,  in whole or in part, from time to time by the Holder,
during the term hereof,  by surrender of this Warrant and the Notice of Exercise
annexed  hereto duly  completed and executed by the Holder to the Company at the
principal executive offices of the Company,  together with payment in the amount
of the Exercise  Price then in effect,  as designated in the Notice of Exercise.
Payment may be in cash or by check payable to the order of the Company.

            3.2 NET ISSUANCE. In lieu of payment of the Exercise Price described
in Section  3.1,  the Holder may elect to  receive,  without  the payment by the
Holder  of any  additional  consideration,  Shares  equal  to the  value of this
Warrant or any portion  hereof by the  surrender of this Warrant or such portion
to the Company,  with the net issue  election  notice  annexed  hereto (the "NET
ISSUANCE  ELECTION  NOTICE")  duly  executed,  at the  office  of  the  Company.
Thereupon,  the Company  shall issue to the Holder such number of fully paid and
nonassessable Shares as is computed using the following formula:


                                       2


where: X = Y (A-B)
           -------
              A

       X =    the  number of Shares to be issued to the Holder  pursuant  to
              this Section 3.

       Y =    the  number of Shares  covered  by this  Warrant in respect of
              which  the net  issuance  election  is made  pursuant  to this
              Section 3.

       A =    the  fair  market  value  of  one  Share,   as  determined  in
              accordance with the provisions of this Section 3.

       B =    the  Exercise  Price in effect  under this Warrant at the time
              the net issuance election is made pursuant to this Section 3.

For purposes of this Section 3, the "fair market value" per Share shall mean:

                   i. If the class of Shares is traded on a national securities
              exchange or is listed on the Nasdaq  National  Market (the "NNM")
              or other over-the-counter quotation system, the fair market value
              shall be the last reported sale price of a Share on such exchange
              or on the NNM or other  over-the-counter  quotation system on the
              last  business day before the  effective  date of exercise of the
              net issuance election or if no such sale is made on such day, the
              mean of the  closing  bid and asked  prices  for such day on such
              exchange, the NNM or over-the-counter quotation system; and

                   ii. If the class of Shares is not so listed  and bid and ask
              prices are not reported, the fair market value shall be the price
              per Share which the Company could obtain from a willing buyer for
              Shares sold by the Company,  as such price shall be determined in
              good faith by the Company's Board of Directors.

            3.3 NO PARTIAL  EXERCISE.  This Warrant,  if exercised,  may only be
exercised  as to the full number of Shares that may be permitted to be purchased
at the time of exercise. No partial exercises are permitted.

      4. DELIVERY OF CERTIFICATES. Within five (5) business days after exercise,
in whole or in part, of this Warrant, the Company shall issue in the name of and
deliver to the Holder,  a certificate  or  certificates  for the number of fully
paid and  nonassessable  Shares  which the Holder  shall have  requested  in the
Notice of Exercise or Net Issuance Election Notice. If this Warrant is exercised
in  part,  the  Company  shall  deliver  to the  Holder  a new  Warrant  for the
unexercised  portion of this Warrant at the time of delivery of such certificate
or certificates.

      5. NO  FRACTIONAL  SHARES.  No  fractional  Shares  or scrip  representing
fractional  Shares will be issued upon  exercise  of this  Warrant.  If upon any
exercise of this Warrant a fraction of a Share results, the Company will pay the
Holder the  difference  between the cash value of the  fractional  Share and the
portion of the Exercise Price allocable to the fractional Share.


                                       3


      6. CHARGES, TAXES AND EXPENSES. The Holder shall pay all transfer taxes or
other incidental  charges, if any, in connection with the transfer of the Shares
purchased pursuant to the exercise hereof from the Company to the Holder.

      7. LOSS, THEFT,  DESTRUCTION OR MUTILATION OF WARRANT. Upon receipt by the
Company  of  evidence  reasonably   satisfactory  to  it  of  the  loss,  theft,
destruction  or  mutilation  of this  Warrant,  and in case of  loss,  theft  or
destruction,  of indemnity or security  reasonably  satisfactory to the Company,
and upon  reimbursement  to the Company of all  reasonable  expenses  incidental
thereto, and upon surrender and cancellation of this Warrant, if mutilated,  the
Company  will make and  deliver a new Warrant of like tenor and dated as of such
cancellation, in lieu of this Warrant.

      8. RIGHTS AS  SHAREHOLDER.  Prior to exercise of this Warrant,  the Holder
shall not be entitled to any rights as a shareholder of the Company with respect
to the Shares,  including  (without  limitation)  the right to vote such Shares,
receive dividends or other distributions  thereon, or be notified of Shareholder
meetings,  and  the  Holder  shall  not be  entitled  to  any  notice  or  other
communication concerning the business or affairs of the Company. However, in the
event of any taking by the  Company  of a record of the  holders of any class of
securities for the purpose of determining  the holders  thereof who are entitled
to receive any dividend (other than a cash dividend) or other distribution,  any
right to subscribe  for,  purchase or otherwise  acquire any Common Stock or any
other  securities or property,  or to receive any other right, the Company shall
mail to each  Holder of this  Warrant,  at least ten (10) days prior to the date
specified  therein,  a notice specifying the date on which any such record is to
be taken for the purpose of such dividend, distribution or right, and the amount
and character of such dividend, distribution or right.

      9. RESTRICTED SECURITIES. The Holder understands that this Warrant and the
Shares  purchasable  hereunder  constitute  "restricted  securities"  under  the
federal  securities  laws  inasmuch as they are, or will be,  acquired  from the
Company in transactions not involving a public offering and accordingly may not,
under such laws and applicable  regulations,  be resold or  transferred  without
registration  under the Securities Act of 1933 (the "1933 ACT") or an applicable
exemption from such registration.  In this connection,  the Holder  acknowledges
that Rule 144 of the Securities and Exchange  Commission (the "SEC") is not now,
and may not in the future be, available for resale of the Warrant and the Shares
purchasable hereunder. Unless the Shares are subsequently registered, the Holder
further  acknowledges  that the securities  legend on Exhibit A to the Notice of
Exercise attached hereto shall be placed on any Shares issued to the Holder upon
exercise of this Warrant.

      10.  CERTIFICATION OF INVESTMENT  PURPOSE.  Unless a current  registration
statement  under the 1933 Act is in effect with respect to the  securities to be
issued upon exercise of this Warrant,  the Holder  covenants and agrees that, at
the  time  of  exercise  hereof,  he  will  deliver  to the  Company  a  written
certification executed by the Holder that the securities acquired by such Holder
upon  exercise  hereof are for the  account  of such  Holder  and  acquired  for
investment  purposes only and that such  securities are not acquired with a view
to, or for sale in connection with, any distribution thereof.


                                       4


      11.  TRANSFERABILITY.  This Warrant  shall be  transferable  by the Holder
subject to compliance with law.

      12. MISCELLANEOUS.

            12.1 CONSTRUCTION.  Unless the context indicates otherwise, the term
"Holder" shall include any  transferee or  transferees of this Warrant,  and the
term "Warrant" shall include any and all warrants  outstanding  pursuant to this
Agreement,  including those  evidenced by a certificate or  certificates  issued
upon division, exchange, substitution or transfer.

            12.2 RESTRICTIONS.  By receipt of this Warrant, the Holder makes the
same  representations  with  respect to the  acquisition  of this Warrant as the
Holder is required to make upon the exercise of this Warrant and  acquisition of
the Shares  purchasable  hereunder as set forth in the Form of Investment Letter
attached as Exhibit A to the Notice of Exercise attached hereto.

            12.3 NOTICES.  Unless  otherwise  provided,  any notice  required or
permitted  under  this  Warrant  shall be given in  writing  and shall be deemed
effectively  given upon  personal  delivery to the party to be notified or three
(3) days following  deposit with the United States Post Office, by registered or
certified  mail,  postage  prepaid and addressed to the party to be notified (or
one (1) day following  timely  deposit with a reputable  overnight  courier with
next day delivery  instructions),  or upon confirmation of receipt by the sender
of any notice by facsimile  transmission,  at the address  indicated below or at
such other address as such party may designate by ten (10) days' advance written
notice to the other parties.

     If to the Company, addressed to:     Integrated Healthcare Holdings, Inc.
                                          695 Town Center Drive, Suite 260
                                          Costa Mesa, CA 92626
                                          Attention: Chief Executive Officer

     If to the Holder, addressed to:      c/o Strategic Global Management, Inc.
                                          6800 Indiana Avenue, Suite 130
                                          Riverside, CA 92506
                                          Attention: William E. Thomas, Esq.

            12.4  GOVERNING LAW. This Warrant shall be governed by and construed
under  the laws of the  State of  California  as  applied  to  agreements  among
California   residents  entered  into  and  to  be  performed   entirely  within
California.

            12.5 ENTIRE  AGREEMENT.  This  Warrant,  the exhibits and  schedules
hereto,  and the documents  referred to herein,  constitute the entire agreement
and  understanding  of the  parties  hereto with  respect to the subject  matter
hereof,   and   supersede   all  prior  and   contemporaneous   agreements   and
understandings, whether oral or written, between the parties hereto with respect
to the subject matter hereof.


                                       5


            12.6  BINDING  EFFECT.  This  Warrant  and the  various  rights  and
obligations  arising hereunder shall inure to the benefit of and be binding upon
the Company and its  successors  and assigns,  and Holder and its successors and
assigns.

            12.7  WAIVER;  CONSENT.  This  Warrant may not be changed,  amended,
terminated,  augmented,  rescinded or discharged (other than by performance), in
whole or in part,  except by a writing  executed by the parties  hereto,  and no
waiver of any of the  provisions  or  conditions  of this  Warrant or any of the
rights of a party hereto shall be effective or binding  unless such waiver shall
be in  writing  and  signed  by the party  claimed  to have  given or  consented
thereto.

            12.8  SEVERABILITY.  If one or more  provisions  of this Warrant are
held to be unenforceable  under applicable law, such provision shall be excluded
from this Warrant and the balance of the Warrant shall be interpreted as if such
provision  were so excluded and the balance shall be  enforceable  in accordance
with its terms.

            12.9 DISPUTE RESOLUTION.  In the event of any dispute arising out of
or  relating  to this  Warrant,  such  dispute  shall  be  resolved  solely  and
exclusively by confidential binding arbitration with the Orange County branch of
JAMS ("JAMS") to be governed by JAMS'  Commercial Rules of Arbitration in effect
at the time of the  commencement of the arbitration (the "JAMS RULES") and heard
before  one  arbitrator.  The  parties  shall  attempt  to  mutually  select the
arbitrator. In the event they are unable to mutually agree, the arbitrator shall
be selected by the  procedures  prescribed  by the JAMS Rules.  Each party shall
bear its own  attorneys'  fees,  expert  witness  fees,  and costs  incurred  in
connection with any arbitration.

      IN WITNESS WHEREOF,  the parties have executed this Warrant as of the date
first above written.


"HOLDER":                              -----------------------------------------
                                       WILLIAM E. THOMAS, an individual


"COMPANY":                             INTEGRATED HEALTHCARE HOLDINGS, INC.,
                                       a Nevada corporation


                                       By:
                                          --------------------------------------
                                             Larry B. Anderson, President


                                       6


                               NOTICE OF EXERCISE

To: INTEGRATED HEALTHCARE HOLDINGS, INC.

            The undersigned  hereby elects to purchase  _____________  shares of
_________ Stock (the "Shares") of Integrated Healthcare Holdings, Inc., a Nevada
corporation (the "Company")  pursuant to the terms of the attached Warrant,  and
tenders  herewith  payment of the  purchase  price  pursuant to the terms of the
Warrant.

            Attached  as  Exhibit  A  is  an  investment  representation  letter
addressed to the Company and executed by the  undersigned as required by Section
10 of the Warrant.

            Please issue  certificates  representing  the Common Stock purchased
hereunder in the names and in the denominations  indicated on Exhibit A attached
hereto.

            Please  issue a new  Warrant  for  the  unexercised  portion  of the
attached Warrant, if any, in the name of the undersigned.

Dated:
      -------------------------------   ----------------------------------------

                                        Name:
                                              ----------------------------------

                                        Title:
                                              ----------------------------------



                          NET ISSUANCE ELECTION NOTICE

To: INTEGRATED HEALTHCARE HOLDINGS, INC.
Date:_____________

      The undersigned hereby elects under Section 3.2 of the attached Warrant to
surrender the right to purchase  ___________  shares of  ___________  Stock (the
"Shares")  pursuant to the attached Warrant.  The  Certificate(s) for the Shares
issuable  upon  such net  issuance  election  shall be issued in the name of the
undersigned or as otherwise indicated below.

      Attached as Exhibit A is an investment  representation letter addressed to
the Company and  executed  by the  undersigned  as required by Section 10 of the
Warrant.

      Please issue certificates  representing the Shares purchased  hereunder in
the names and in the denominations indicated on Exhibit A attached hereto.

      Please  issue a new Warrant for the  unexercised  portion of the  attached
Warrant, if any, in the name of the undersigned.

- ---------------------------
Signature

- ---------------------------
Name for Registration

- ---------------------------
Mailing Address



                                    EXHIBIT A

To: INTEGRATED HEALTHCARE HOLDINGS, INC.

      In connection with the purchase by the undersigned of _________  shares of
Common Stock (the "SHARES") of Integrated  Healthcare  Holdings,  Inc., a Nevada
corporation (the  "COMPANY"),  upon exercise of that certain Warrant dated as of
January 27, 2005, the undersigned hereby represents and warrants as follows:

      The Shares to be received by the undersigned  upon exercise of the Warrant
are being acquired for his own account,  not as a nominee or agent, and not with
a view to resale or distribution of any part thereof, and the undersigned has no
present  intention  of selling,  granting  any  participation  in, or  otherwise
distributing the same. The undersigned  further represents that he does not have
any contract,  undertaking,  agreement or  arrangement  with any person to sell,
transfer  or grant  participation  to such person or to any third  person,  with
respect  to the  Shares.  The  undersigned  believes  he has  received  all  the
information  he considers  necessary  or  appropriate  for  deciding  whether to
purchase the Shares.

      The  undersigned   understands  that  the  Shares  are   characterized  as
"restricted  securities" under the federal  securities laws inasmuch as they are
being acquired from the Company in transactions  not involving a public offering
and that under  such laws and  applicable  regulations  such  securities  may be
resold  without  registration  under the Securities Act of 1933, as amended (the
"ACT"),  only  in  certain  limited  circumstances.   In  this  connection,  the
undersigned  represents  that he is familiar  with SEC Rule 144, as presently in
effect, and understands the resale limitations imposed thereby and by the Act.

      Without in any way  limiting  the  representations  set forth  above,  the
undersigned  agrees  not to make any  disposition  of all or any  portion of the
Shares unless and until:

      There is then in effect a  registration  statement  under the Act covering
such proposed  disposition and such  disposition is made in accordance with such
registration statement; or

          (i)  The   undersigned  has  notified  the  Company  of  the  proposed
     disposition and shall have furnished the Company with a detailed  statement
     of the circumstances surrounding the proposed disposition, and

          (ii) if requested,  the  undersigned has furnished the Company with an
     opinion  of  counsel,  reasonably  satisfactory  to the  Company  that such
     disposition will not require registration of such shares under the Act. The
     Company  will not require an opinion of counsel for sales made  pursuant to
     Rule 144 except in unusual circumstances.

      The undersigned understands the instruments evidencing the Shares may bear
a legend similar to the following:



      THE SECURITIES  REPRESENTED BY THIS  CERTIFICATE  HAVE NOT BEEN REGISTERED
UNDER THE  SECURITIES  ACT OF 1933;  THEY HAVE BEEN  ACQUIRED  BY THE HOLDER FOR
INVESTMENT AND MAY NOT BE PLEDGED, HYPOTHECATED,  SOLD, TRANSFERRED OR OTHERWISE
DISPOSED OF EXCEPT AS MAY BE AUTHORIZED  UNDER THE  SECURITIES  ACT OF 1933, AND
THE RULES AND REGULATIONS PROMULGATED THEREUNDER.

Dated:
       -------------------------------    --------------------------------------

                                          Name:
                                              ----------------------------------

                                          Title:
                                              ----------------------------------



                                    EXHIBIT C

                                     FORM OF
                           GENERAL CONTINUING GUARANTY

      THIS GENERAL  CONTINUING  GUARANTY  ("GUARANTY"),  dated as of January 27,
2005, is executed and delivered by Orange County Physicians  Investment Network,
LLC  ("GUARANTOR")  in favor of Kali P.  Chaudhuri,  M.D.  and William E. Thomas
(collectively, the "HOLDERS"), in light of the following:

      WHEREAS,  the  Company,  Guarantor  and the Holders  have  entered  into a
Rescission  Restructuring and Assignment  Agreement dated as of January 27, 2005
("AGREEMENT"),  pursuant to which, among other things, the Company is issuing to
the Holders  non-convertible secured promissory notes in the aggregate principal
amount of $____ (collectively, the "NOTES");

      WHEREAS,  in order to induce the Holders to enter into the Agreement,  and
in consideration  thereof,  and in consideration of any loans or other financial
accommodations  heretofore or hereafter  extended by the Holders to the Company,
whether  pursuant  to  the  Agreement,  the  Notes  or  otherwise,  each  of the
Guarantors has agreed to guaranty the Guarantied Obligations (as defined below);
and

      WHEREAS,  Guarantor  has a  financial  stake in the  Company  and  derives
substantial economic benefits from the accommodations made by the Holders to the
Company in the Agreement.

      NOW,  THEREFORE,  in  consideration  of the  foregoing,  Guarantor  hereby
agrees, in favor of the Holders, as follows:

      1. DEFINITIONS AND CONSTRUCTION.

            1.1  DEFINITIONS.  Capitalized  terms used herein and not  otherwise
defined herein shall have the meanings  ascribed to them in the  Agreement.  The
term "Guarantied Obligations",  as used in this Guaranty, means: (a) the due and
punctual  payment of the  principal  of, and  interest  (including,  any and all
interest  which,  but for the application of the provisions of the United States
Bankruptcy  Code,  would have accrued on such amounts) on, and premium,  if any,
on, and the performance of, the Notes;  and (b) the due and punctual  payment of
all other present or future obligations owing by the Company to the Holders.

            1.2  CONSTRUCTION.  Unless  the  context  of this  Guaranty  clearly
requires otherwise, references to the plural include the singular, references to
the  singular  include  the  plural,  the part  includes  the  whole,  the terms
"include" and "including" are not limiting,  and the term "or" has the inclusive
meaning  represented  by the  phrase  "and/or."  The words  "hereof,"  "herein,"
"hereby," "hereunder," and other similar terms refer to this Guaranty as a whole
and not to any  particular  provision of this  Guaranty.  Any  reference in this
Guaranty to any of the  following  documents  includes any and all  alterations,
amendments,  restatements,  extensions,  modifications,  renewals,  joinders, or
supplements thereto or thereof, as applicable: the Agreement; this Guaranty; and
the Notes.  Neither this Guaranty nor any uncertainty or ambiguity  herein shall
be construed or resolved against the Holders or Guarantor whether under any rule
of construction or otherwise.  On the contrary,  this Guaranty has been reviewed
by Guarantor,  the Holders, and their respective counsel, and shall be construed
and  interpreted  according to the  ordinary  meaning of the words used so as to
fairly accomplish the purposes and intentions of the Holders and Guarantor.



      2.   GUARANTIED    OBLIGATIONS.    Guarantor   hereby    irrevocably   and
unconditionally  guaranties to the Holders, as and for its own debt, until final
and  indefeasible  payment  thereof  has  been  made,  (a)  the  payment  of the
Guarantied  Obligations,  in each case when and as they become due and  payable,
whether  at  maturity,  pursuant  to  a  mandatory  prepayment  requirement,  by
acceleration,  or otherwise;  it being the intent of Guarantor that the guaranty
set  forth  herein  shall  be a  guaranty  of  payment  and  not a  guaranty  of
collection; and (b) the punctual and faithful performance,  keeping, observance,
and fulfillment by the Company of all of the agreements,  conditions, covenants,
and obligations of the Company  contained in the Purchase  Agreement,  and under
each of the Notes.

      3. CONTINUING  GUARANTY.  This Guaranty  includes  Guarantied  Obligations
arising  under  successive  transactions  continuing,  compromising,  extending,
increasing,  modifying,  releasing,  or  renewing  the  Guarantied  Obligations,
changing  the  interest  rate,  payment  terms,  or other  terms and  conditions
thereof,  or  creating  new or  additional  Guarantied  Obligations  after prior
Guarantied  Obligations  have been satisfied in whole or in part. To the maximum
extent  permitted  by law,  Guarantor  hereby  waives  any right to revoke  this
Guaranty  as  to  future  Indebtedness.   If  such  a  revocation  is  effective
notwithstanding the foregoing waiver, Guarantor acknowledges and agrees that (a)
no such  revocation  shall be effective  until written  notice  thereof has been
received by the Holders,  (b) no such  revocation  shall apply to any Guarantied
Obligations in existence on such date  (including  any subsequent  continuation,
extension, or renewal thereof, or change in the interest rate, payment terms, or
other terms and conditions  thereof),  (c) no such revocation shall apply to any
Guarantied  Obligations  made or created  after such date to the extent  made or
created pursuant to a legally binding  commitment of the Holders in existence on
the date of such revocation,  (d) no payment by Guarantor,  the Company, or from
any other source,  prior to the date of such revocation shall reduce the maximum
obligation  of Guarantor  hereunder,  and (e) any payment by the Company or from
any source other than Guarantor  subsequent to the date of such revocation shall
first be applied to that portion of the  Guarantied  Obligations as to which the
revocation is effective and which are not, therefore,  guarantied hereunder, and
to the extent so applied  shall not reduce the maximum  obligation  of Guarantor
hereunder.

      4.  PERFORMANCE  UNDER THIS  GUARANTY.  If the  Company  fails to make any
payment of any Guarantied Obligations,  on or before the due date thereof, or if
the Company fails to perform,  keep,  observe,  or fulfill any other  obligation
referred to in clause (b) of Section 2 in the manner  provided in the  Agreement
or the Notes, as applicable, Guarantor immediately shall cause the payment to be
made or each of the obligations to be performed, kept, observed, or fulfilled.

      5. PRIMARY OBLIGATIONS. This Guaranty is a primary and original obligation
of  Guarantor,  is not merely the creation of a surety  relationship,  and is an
absolute,  unconditional,  and  continuing  guaranty of payment and  performance
which shall remain in full force and effect without respect to future changes in
conditions. Guarantor agrees that it is directly, jointly and severally with any
other guarantor of the Guarantied  Obligations,  liable to the Holders, that the
obligations of Guarantor  hereunder are  independent  of the  obligations of the
Company  or any other  guarantor,  and that a  separate  action  may be  brought
against  Guarantor,  whether  the action is brought  against  the Company or any
other  guarantor or whether the Company or any other  guarantor is joined in the
action.  Guarantor  agrees that its liability  hereunder  shall be immediate and
shall not be  contingent  upon the  exercise  or  enforcement  by the Holders of
whatever  remedies they may have against the Company or any other guarantor,  or
the enforcement of any lien or realization  upon any security the Holders may at
any time  possess.  Guarantor  agrees that any release which may be given by the
Holders  to the  Company or any other  guarantor  shall not  release  Guarantor.
Guarantor  consents and agrees that the Holders  shall be under no obligation to
marshal any property or assets of the Company or any other guarantor in favor of
Guarantor, or against or in payment of any or all of the Guarantied Obligations.


                                       2


      6. WAIVERS. Guarantor hereby waives: (i) notice of acceptance hereof; (ii)
notice of any loans or other financial accommodations made or extended under the
Agreement,  or the creation or existence of any  Guarantied  Obligations;  (iii)
notice  of the  amount  of the  Guarantied  Obligations,  subject,  however,  to
Guarantor's  right to make inquiry of the Holders to ascertain the amount of the
Guarantied Obligations at any reasonable time; (iv) notice of any adverse change
in the  financial  condition  of the  Company  or of any other  fact that  might
increase  Guarantor's  risk  hereunder;  (v) notice of presentment  for payment,
demand,  protest,  and  notice  thereof  as to the  Notes;  (vi)  notice  of any
unmatured  event of default or event of default  under the Notes;  and (vii) all
other  notices  (except if the notice is  specifically  required  to be given to
Guarantor under this Guaranty or the Notes) and demands to which Guarantor might
otherwise be  entitled.  To the fullest  extent  permitted  by  applicable  law,
Guarantor  waives the right by statute or  otherwise  to require  the Holders to
institute  suit against the Company or to exhaust any rights and remedies  which
the Holders  have or may have against the  Company.  In this  regard,  Guarantor
agrees that it is bound to the payment of each and all  Guarantied  Obligations,
whether  now  existing  or  hereafter  arising,  as fully as if such  Guarantied
Obligations were directly owing to the Holders by Guarantor.  Guarantor  further
waives any defense  arising by reason of any  disability or other defense (other
than the  defense  that the  Guarantied  Obligations  shall  have been fully and
finally  performed  and  indefeasibly  paid) of the  Company or by reason of the
cessation  from any cause  whatsoever of the liability of the Company in respect
thereof.  To the maximum extent permitted by law,  Guarantor hereby waives:  (i)
any rights to assert against the Holders any defense  (legal or equitable),  set
off, counterclaim, or claim which any Guarantor may now or at any time hereafter
have  against  the Company or any other party  liable to the  Holders;  (ii) any
defense,  set-off,  counterclaim,  or  claim,  of any  kind or  nature,  arising
directly  or  indirectly   from  the  present  or  future  lack  of  perfection,
sufficiency,  validity,  or enforceability of the Guarantied  Obligations or any
security  therefor;  (iii) any defense arising by reason of any claim or defense
based upon an  election  of  remedies  by the  Holders;  (iv) the benefit of any
statute of  limitations  affecting the  Guarantors'  liability  hereunder or the
enforcement thereof, and any act which shall defer or delay the operation of any
statute of limitations  applicable to the Guarantied Obligations shall similarly
operate  to  defer  or  delay  the  operation  of such  statute  of  limitations
applicable to the Guarantors' liability hereunder.


                                       3


Until such time as all of the Guarantied  Obligations have been fully,  finally,
and  indefeasibly  paid in full in cash:  (i) each  Guarantor  hereby waives and
postpones any right of subrogation  any Guarantor has or may have as against the
Company  with respect to the  Guarantied  Obligations;  (ii) in  addition,  each
Guarantor  hereby waives and postpones any right to proceed  against the Company
or  any  other  Person,   now  or  hereafter,   for   contribution,   indemnity,
reimbursement,  or any other  suretyship  rights  and  claims  (irrespective  of
whether  direct or  indirect,  liquidated  or  contingent),  with respect to the
Guarantied Obligations; and (iii) in addition, each Guarantor also hereby waives
and postpones  any right to proceed or to seek recourse  against or with respect
to any property or asset of the Company. If any of the Guarantied Obligations at
any time are  secured by a mortgage  or deed of trust  upon real  property,  the
Holders may elect, in their sole discretion,  upon a default with respect to the
Guarantied  Obligations,  to foreclose such mortgage or deed of trust judicially
or  nonjudicially in any manner permitted by law, before or after enforcing this
Guaranty,  without diminishing or affecting the liability of Guarantor hereunder
except to the extent the Guarantied  Obligations are repaid with the proceeds of
the foreclosure.

WITHOUT LIMITING THE GENERALITY OF ANY OTHER WAIVER OR OTHER PROVISION SET FORTH
IN THIS  GUARANTY,  GUARANTOR  WAIVES ALL RIGHTS AND DEFENSES  ARISING OUT OF AN
ELECTION OF REMEDIES BY THE CREDITOR,  EVEN THOUGH THAT ELECTION OF REMEDIES HAS
DESTROYED  GUARANTOR'S  RIGHTS OF  SUBROGATION  AND  REIMBURSEMENT  AGAINST  THE
PRINCIPAL.

Guarantor  agrees that all of the  foregoing  waivers  shall be  effective  even
though  any  rights  or  defenses  which  Guarantor  might  otherwise  have,  by
subrogation,  reimbursement,  indemnification or otherwise, against the Company,
the  Holders  or any other  person may be  diminished,  destroyed  or  otherwise
adversely  affected,  all to the end that  Guarantor  shall  not be  exonerated,
released or discharged (by virtue of the provisions of any statute,  case law or
any  other  law,  rule,   arrangement  or   relationship)   from  its  absolute,
unconditional and independent liabilities under this Guaranty.

      7. RELEASES.  Guarantor  consents and agrees that, without notice to or by
Guarantor  and without  affecting  or  impairing  the  obligations  of Guarantor
hereunder, the Holders may, by action or inaction,  compromise or settle, extend
the period of duration or the time for the payment, or discharge the performance
of, or may refuse to, or otherwise  not enforce,  or may, by action or inaction,
release  all or any one or more  parties  to,  any one or more of the  terms and
provisions of the Agreement or the Notes or may grant other  indulgences  to the
Company in respect thereof, or may amend or modify in any manner and at any time
(or from time to time) any one or more of the Agreement or any of the Notes,  or
may, by action or inaction,  release or substitute any other guarantor,  if any,
of the Guarantied Obligations,  or may enforce, exchange,  release, or waive, by
action or inaction,  any security for the  Guarantied  Obligations  or any other
guaranty of the Guarantied Obligations, or any portion thereof.

      8. NO ELECTION.  The Holders shall have the right to seek recourse against
Guarantor  to the  fullest  extent  provided  for herein and no  election by the
Holders to proceed in one form of action or proceeding, or against any party, or
on any obligation, shall constitute a waiver of the Holders' right to proceed in
any other form of action or  proceeding  or  against  other  parties  unless the
Holders have expressly waived that right in writing.  Specifically,  but without
limiting the generality of the foregoing, no action or proceeding by the Holders
under any document or instrument  evidencing  the Guarantied  Obligations  shall
serve to diminish the liability of Guarantor  under this Guaranty  except to the
extent  that  the  Holders  finally  and  unconditionally  shall  have  realized
indefeasible payment by the action or proceeding.


                                       4


      9.  INDEFEASIBLE   PAYMENT.  The  Guarantied   Obligations  shall  not  be
considered  indefeasibly paid for purposes of this Guaranty unless and until all
payments to the  Holders  are no longer  subject to any right on the part of any
person whomsoever, including the Company, the Company as a debtor in possession,
or any trustee  (whether  appointed  under the United States  Bankruptcy Code or
otherwise) of the  Company's  assets to invalidate or set aside such payments or
to seek to recoup the amount of such  payments  or any  portion  thereof,  or to
declare same to be fraudulent or  preferential.  If, for any reason,  all or any
portion  of the  payments  to the  Holders  is set  aside or  restored,  whether
voluntarily or involuntarily,  after the making thereof,  the obligation or part
thereof intended to be satisfied  thereby shall be revived and continued in full
force and effect as if said payment or payments had not been made and  Guarantor
shall be liable for the full  amount the  Holders is  required to repay plus any
and all costs and  expenses  (including  attorneys  fees) paid by the Holders in
connection therewith.

      10.  FINANCIAL  CONDITION  OF  THE  COMPANY  AND OF  GUARANTOR.  Guarantor
represents  and  warrants to the Holders  that it is  currently  informed of the
financial  condition  of the  Company  and of all  other  circumstances  which a
diligent  inquiry would reveal and which bear upon the risk of nonpayment of the
Guarantied Obligations. Guarantor further represents and warrants to the Holders
that it has read and  understands  the terms and conditions of the Agreement and
the Notes.  Guarantor  hereby  covenants  that it will  continue  to keep itself
informed of the Company's financial condition,  the financial condition of other
guarantors,  if any, and of all other  circumstances which bear upon the risk of
nonpayment or  nonperformance of the Guarantied  Obligations.  Guarantor further
represents  and  warrants  to the  Holders  that,  as of the  execution  of this
Guaranty, and after giving effect to this Guaranty, it is solvent.

      11.  SUBORDINATION.  Guarantors hereby agrees that any and all present and
future  indebtedness  of the Company owing to Guarantor is postponed in favor of
and subordinated to payment, in full, in cash, of the Guarantied Obligations. In
this regard, no payment of any kind whatsoever shall be made with respect to any
future  indebtedness  to Guarantor  until the Guarantied  Obligations  have been
indefeasibly paid in full.

      12. PAYMENTS;  APPLICATION. All payments to be made hereunder by Guarantor
shall be made in lawful  money of the  United  States of  America at the time of
payment, shall be made in immediately available funds, and shall be made without
deduction  (whether for taxes or  otherwise)  or offset.  All  payments  made by
Guarantor hereunder shall be applied as follows:  first, to all reasonable costs
and expenses  (including  attorneys  fees)  incurred by the Holders in enforcing
this  Guaranty or in  collecting  the  Guarantied  Obligations;  second,  to all
accrued  and unpaid  interest,  premium,  if any,  and fees owing to the Holders
constituting Guarantied Obligations; and third, to the balance of the Guarantied
Obligations.


                                       5


      13.  ATTORNEYS'  FEES AND COSTS.  Guarantor  agree to pay, on demand,  all
reasonable  attorneys fees and all other reasonable costs and expenses which may
be  incurred by the Holders in the  enforcement  of this  Guaranty or in any way
arising out of, or consequential to the protection, assertion, or enforcement of
the Guarantied  Obligations (or any security therefor),  irrespective of whether
suit is brought.

      14. NOTICES.  Unless otherwise specifically provided in this Guaranty, any
notice or other  communication  relating to this Guaranty  shall be delivered as
set forth in the Agreement.  All notices or demands sent in accordance with this
Section 14, other than notices by the Holders in connection  with Sections 9-611
or 9-621 of the Code,  shall be deemed  received  on the  earlier of the date of
actual receipt or three calendar days after the deposit thereof in the mail. The
Guarantors  acknowledge and agree that notices sent by the Holders in connection
with Sections  9-611 or 9-621 of the Code shall be deemed sent when deposited in
the mail or  transmitted  by  telefacsimile  or other  similar  method set forth
above.

      15.  CUMULATIVE  REMEDIES.  No  remedy  under  this  Guaranty,  under  the
Agreement,  or under the Notes is intended to be exclusive of any other  remedy,
but each and every remedy shall be  cumulative  and in addition to any and every
other remedy given under this Guaranty, under the Agreement, or under the Notes,
and those  provided by law. No delay or omission by the Holders to exercise  any
right under this  Guaranty  shall impair any such right nor be construed to be a
waiver thereof. No failure on the part of the Holders to exercise,  and no delay
in exercising,  any right under this Guaranty shall operate as a waiver thereof;
nor shall any  single or  partial  exercise  of any right  under  this  Guaranty
preclude  any other or further  exercise  thereof or the  exercise  of any other
right.

      16.  SEVERABILITY.  Any provision of this Guaranty  which is prohibited or
unenforceable  under  applicable  law shall be ineffective to the extent of such
prohibition or unenforceability  without  invalidating the remaining  provisions
hereof.

      17. AMENDMENTS.  This Guaranty may not be altered,  amended,  or modified,
nor may any provision hereof be waived or noncompliance  therewith consented to,
except by means of a writing  executed by both  Guarantor  and the Holders.  Any
such alteration, amendment,  modification, waiver, or consent shall be effective
only to the extent  specified  therein  and for the  specific  purpose for which
given. No course of dealing and no delay or waiver of any right or default under
this  Guaranty  shall be deemed a waiver of any other,  similar  or  dissimilar,
right or default or otherwise prejudice the rights and remedies hereunder.

      18. SUCCESSORS AND ASSIGNS.  This Guaranty shall be binding upon Guarantor
and its  successors and assigns and shall inure to the benefit of the successors
and assigns of the Holders;  provided,  however, that Guarantor shall not assign
this Guaranty or delegate any of its duties hereunder without the Holders' prior
written consent and any unconsented to assignment  shall be absolutely  void. In
the event of any  assignment  or other  transfer of rights by the  Holders,  the
rights and benefits herein conferred upon the Holders shall automatically extend
to and be vested in such assignee or other transferee.


                                       6


      19. NO THIRD PARTY BENEFICIARY. This Guaranty is solely for the benefit of
the  Holders  and their  successors  and assigns and may not be relied on by any
other person or entity.

      20.  DISPUTE  RESOLUTION.  In the event of any  dispute  arising out of or
relating to this Guaranty, such dispute shall be resolved solely and exclusively
by  confidential  binding  arbitration  with the  Orange  County  branch of JAMS
("JAMS") to be governed by JAMS'  Commercial  Rules of  Arbitration in effect at
the time of the  commencement  of the  arbitration  (the "JAMS RULES") and heard
before  one  arbitrator.  The  parties  shall  attempt  to  mutually  select the
arbitrator. In the event they are unable to mutually agree, the arbitrator shall
be selected by the  procedures  prescribed  by the JAMS Rules.  Each party shall
bear its own  attorneys'  fees,  expert  witness  fees,  and costs  incurred  in
connection with any arbitration.

      21.  COUNTERPARTS;  EFFECTIVENESS.  This  Guaranty  may be executed in any
number  of  counterparts  and  by  the  different  parties  hereto  in  separate
counterparts, each of which when so executed and delivered shall be deemed to be
an  original  for  all  purposes;  but  all  such  counterparts  together  shall
constitute but one and the same instrument. This Guaranty shall become effective
as to Guarantor  upon the  execution of a  counterpart  hereof by Guarantor  and
receipt by the Holders of written or telephonic  notification  of such execution
and authorization of delivery thereof.

      IN WITNESS WHEREOF, the undersigned  Guarantor has caused this Guaranty to
be duly executed and delivered by its official  thereunto duly  authorized as of
the date first written above.

                                        ORANGE COUNTY PHYSICIANS
                                        INVESTMENT NETWORK, LLC, a California
                                        limited liability company

                                        By:
                                           -------------------------------------
                                           Anil V. Shah, M.D., Manager


                                       7


                                    EXHIBIT D

                                     FORM OF
                         TRIPLE NET HOSPITAL AND MEDICAL
                              OFFICE BUILDING LEASE

                                     between

                           PACIFIC COAST HOLDINGS, LLC
                                   (Landlord)

                                       and

                      INTEGRATED HEALTHCARE HOLDINGS, INC.
                                    (Tenant)
                    ----------------------------------------



                 TRIPLE NET HOSPITAL AND MEDICAL OFFICE BUILDING
                                      LEASE

      THIS TRIPLE NET HOSPITAL AND MEDICAL  OFFICE  BUILDING LEASE (the "Lease")
is made this ___ day of January,  2005 by and between  Pacific  Coast  Holdings,
LLC,  a  California  limited  liability  company   ("Landlord")  and  Integrated
Healthcare Holdings, Inc. a Nevada corporation ("Tenant"), with reference to the
following facts:

                                    RECITALS

      A. Tenant is acquiring from Tenet Healthcare System the Property described
below  pursuant to a certain  Asset Sale  Agreement  incorporated  by  reference
herein  ("Tenet  Transaction").   Concurrent  with  the  closing  of  the  Tenet
Transaction,  Tenant is transferring the Property to Landlord whereupon Landlord
shall lease back the  Property to Tenant on the terms and  conditions  set forth
herein.

      B. Upon the closing of the Tenet Transaction,  Landlord shall be the owner
of the Property  consisting of hospital properties  ("Hospital  Properties") and
medical office  buildings  ("MOB  Properties")  more  particularly  described in
Exhibit "A"  attached  hereto  together  with the  buildings,  improvements  and
fixtures (hereinafter collectively referred to as the "Property").

      C. Tenant is willing to lease the Property  from  Landlord and Landlord is
willing to lease the Property to Tenant on the terms and conditions set forth in
this Lease.

      NOW, THEREFORE, the parties agree as follows:

                                    ARTICLE I
                                      TERMS

      1.1  Hospital  Properties  Lease  Term.  The  term of this  Lease  for the
Hospital Properties shall be twenty-five (25) years, commencing upon the closing
of the Tenet Transaction and acquisition of the Hospital  Properties by Landlord
(the "Commencement Date") and which shall terminate on the last day of the month
following twenty-fifth (25th) anniversary of the Commencement Date.

      1.2 Option To Renew Hospital Properties Lease Term. Landlord hereby grants
to  Tenant  the  option  to  extend  the  term of this  Lease  for the  Hospital
Properties (the "Option") for one (1) additional term of twenty-five  (25) years
each  commencing  when the initial term expires (the "Option  Period") upon each
and all of the following terms and conditions:


                                       1


            (a) This  lease  shall  automatically  renew for the  Option  Period
unless,  Tenant gives to Landlord,  and Landlord  actually  receives,  on a date
which is at least six (6) and not more than  nine (9)  months  prior to the date
that such Option Period would  commence (if  exercised),  a written  notice that
Tenant has  declined to  exercise  of the Option to extend  this Lease.  If said
notification  of the  exercise of the Option is not so given and  received,  the
Option shall automatically renew as herein provided.

            (b)  Tenant  shall  not be in  breach  of this  Lease at the time of
exercise of each of the Options.

            (c) All of the  terms  and  conditions  of the  Lease  except  where
specifically modified by this Option shall apply.

      1.3  MOB  Properties  Lease  Term.  The  term of  this  Lease  for the MOB
Properties  shall be one (1)  year,  commencing  upon the  closing  of the Tenet
Transaction and acquisition of the MOB Properties by Landlord (the "Commencement
Date") and which shall  terminate on the last day of the month  following  first
(1st) anniversary of the Commencement Date.

                                   ARTICLE II
                                      RENT

      2.1 Joint Financing.  Landlord and Tenant are both sophisticated entities.
Tenant  has  requested  and  Landlord  has  agreed to  permit  Tenant to use the
Property as collateral  for the purposes of joint  financing of the Property and
Tenant's  business  operation  for an initial  period of time and subject to the
terms herein, the operations of Tenant and the Property. Tenant's obligation for
base rent (Base Rent) payments shall be set in relationship to said financing.

      2.2  Initial  Financing.  Tenant has  arranged  for an  initial  financing
(Initial  Financing) in the form of a loan with interest at the rate of Fourteen
percent (14%) per annum in the amount of Eighty Million Dollars ($80,000,000) of
which Thirty Million Dollars  ($30,000,000)  will be in the form of an operating
loan ("Operating  Loan") and Fifty Million Dollars  ($50,000,000) will be a real
estate loan ("Real Estate Loan").  In addition the Tenant may borrow  additional
funds against  accounts  receivable ("A/R  Financing").  The Operating Loan, the
Real Estate Loan and the A/R Financing  will be secured by both the Property and
Tenant's operations.

2.3 Refinancing.  Tenant and Landlord agree that the Initial Financing should be
replaced  as soon as  practical  but in any  event  within  two (2) years of the
Commencement  Date of the lease term.  Tenant and Landlord covenant and agree to
work cooperatively to secure said refinancing meeting the following criteria:


                                       2


            (a)   The refinancing  shall be provided by an institutional  lender
                  in an arms length transaction.

            (b)   The  refinancing  shall not exceed One Hundred Million Dollars
                  ($100,000,000)  of which not more than Fifty  Million  Dollars
                  ($50,000,000) will be a Real Estate Loan.

            (c)   The terms of said  refinancing  shall not impair the financial
                  viability of either the Tenant or the Landlord.

            (d)   Neither the Landlord,  nor any of Landlord's  members shall be
                  required to assume any personal  liability or  obligation  for
                  said refinancing.  The sole recourse of the lender shall be to
                  the Property and the Tenant's assets.

            (e)   The loan shall be at  commercially  reasonable  rates and upon
                  commercially    reasonable    terms    including    reasonable
                  amortization of principal.

            (f)   The loan will not include any contingent  interest  provisions
                  or any payments other than interest upon a principal sum.

            (g)   The  loan  shall  not  limit  the sale or  transfer  of all or
                  portions of the Property or of interests in the Landlord for a
                  period greater than five (5) years.

      2.4 Cross Payment Duties. So long as the Real Estate Loan , Operating Loan
and/or  A/R  Financing  are  cross  collateralized,  the  Tenant  shall  have an
obligation  and duty to the  Landlord  to pay when due all sums coming due under
the  Operating  Loan and A/R  Financing  and to otherwise  fully comply with all
terms and  conditions of the  Operating  Loan and A/R Financing and the Landlord
shall have an obligation  and duty to the Tenant to pay when due all sums coming
due under the Real Estate Loan and to otherwise  fully comply with all terms and
conditions of the Real Estate Loan.

      2.5  Information  and Notices.  Tenant shall provide copies to Landlord of
all notices,  reports,  information and communications received from or provided
to any lender.

      2.6 Time  Limit on Cross  Collateralization.  Five  (5)  years  after  the
commencement  of the lease term,  the Landlord shall have the right to terminate
the cross  collateralization  of Operating  Loan and A/R Financing with the Real
Estate Loan and to refinance the Real Estate Loan as provided in Section 2.13.


                                       3


      2.8 Base Rent  Definitions.  The following  definitions shall apply to the
determination of Base Rent:

            (a)   Principal  Sum. The "Principal  Sum" is Fifty Million  Dollars
                  ($50,000,000).

            (b)   Cost of  Landlord's  Principal  Sum.  The "Cost of  Landlord's
                  Principal Sum" is the average annual  interest rate charged on
                  loan secured by the first lien Deed of Trust (or  Mortgage) on
                  the Property  for the  preceding  month,  as the same may vary
                  from time to time.

            (c)   Landlord's Spread.  "The "Landlord's Spread" for the first one
                  (1) year of the lease term is the  difference  between  Twelve
                  percent  (12%) per annum and the annual  interest  rate (which
                  may vary monthly) of the Real Estate Loan but in no event more
                  than Two and One-Half percent (2 1/2 %) per annum,  thereafter
                  "Landlord's  Spread" is Two and One-Half percent (2 1/2%) over
                  the Cost of Landlord's Principal Sum.

            (d)   Amortization  Expense.  Commencing  on the  earlier of (i) the
                  refinancing contemplated by Section 2.3 hereof or (ii) two (2)
                  years  following the  commencement of the lease term, then the
                  "Amortization  Expense" shall be the annual sum of Two Million
                  Five Hundred Thousand Dollars  ($2,500,000) until such time as
                  a  total   Amortization   Expense  of  Fifty  Million  Dollars
                  ($50,000,000) has been paid..

            (e)   Consumer  Price Index.  "Consumer  Price Index" or "CPI" shall
                  refer  to  the  "Consumer   Price  Index,   Los   Angeles-Long
                  Beach-Anaheim Average, All Items (1982-1984=100)" as published
                  by the United States  Department  of Labor.  In the event that
                  the Bureau shall cease to publish said  Consumer  Price Index,
                  then the national  index shall apply and if the national index
                  is no longer  published,  then the  successor  or most  nearly
                  comparable  index  thereto  shall  be  used as  determined  by
                  Landlord.

      2.9  Hospital  Properties  Base Rent  Calculation.  The  monthly  Hospital
Properties  Base Rent shall be equal the Principal Sum  multiplied by the sum of
the Cost of the Landlord's  Principal Sum plus the Landlord's Spread the product
of which shall be added to  Landlord's  Amortization  Expense,  then  divided by
twelve (12). Set forth as a formula this calculation is as follows:


                                       4


Monthly Base Rent =
          [Principal  Sum  x  (Cost  of  Landlord's  Principal  Sum  +Landlord's
          Spread)] + Amortization Expense 12

            2.10 Hospital  Properties Base Rent Market Adjustment.  On each five
(5) year  anniversary of the  commencement  of this Lease the Hospital Base Rent
shall be increased  (but not  decreased)  to an amount equal to the then current
fair market  rental  rate,  but in no event  increased by more than five percent
(5%) over the preceding  month's Hospital Base Rent (provided  however that such
time as the  Amortization  Payment is no longer being made the five percent (5%)
limitation  shall  cease to apply).  Commencing  not less than  ninety (90) days
prior to each fifth (5th)  anniversary of the Lease  commencement,  Landlord and
Tenant  shall  attempt to agree on the fair market  rental rate for the Hospital
Properties.  If the Parties are not able to agree to the fair market rental rate
within thirty (30) days,  Landlord and Tenant shall each choose an  independent,
licensed  real estate  broker,  with not less than five (5) years  experience in
leasing healthcare related facilities including  hospitals.  The two real estate
brokers  so  appointed  shall  appoint a third  real  estate  broker,  similarly
qualified.  Each broker shall  independently  determine  the fair market  rental
rate. The three rates so determined will be averaged. The rate determined by the
brokers  which varies the most from the average  shall be discarded  and the two
remaining values and the average value shall be averaged and said second average
shall constitute the fair market rental rate. Each party shall bear the costs of
the real estate  broker  appointed by that party and the parties  shall  equally
divide the costs of the third real estate broker. Notwithstanding the provisions
of this Section 2.10 if at any time the monthly Hospital Base Rent determined in
accordance  with Section 2.9 hereof would exceed the monthly  Hospital Base Rent
determined in accordance with this Section 2.10, then this Section 2.10 shall be
discarded  and the monthly  Hospital Base Rent shall be determined in accordance
with Section 2.9.

            2.11  MOB  Properties  Base  Rent   Calculation.   The  monthly  MOB
Properties  Base Rent shall be equal the rent received from the MOB  Properties,
less the actual  monthly costs to operate said MOB  Properties,  and also less a
monthly charge for insurance and real property taxes equal to one-twelfth (12th)
the  estimated  cost  thereof.  In the event the  estimated  monthly  charge for
insurance and real property taxes is in error at the end of the lease term, then
the  Landlord and Tenant shall make an  appropriate  adjustment  so that the sum
deducted in order to calculate base rent is correct.

            2.12 Invoicing for Base Rent. Landlord shall on or before the second
business day of each month  invoice the Tenant for the monthly Base Rent due for
the prior month. Base Rent shall be due on or before ten (10) days following the
date upon which the  Landlord  delivers  the  monthly  Base Rent  invoice to the
Tenant.  Any  partial  month  shall be  prorated on a daily basis at the rate of
1/30th of the  monthly  rent per day.  Base Rent  shall be paid for the month in
advance.


                                       5


            2.13 Landlord's Rights Regarding Financing.  Upon termination of the
cross collateralization  obligations as set forth above, the Landlord shall have
the right in the Landlord's  commercially  reasonable discretion to from time to
time alter,  replace or revise the loan  secured by the first lien Deed of Trust
(or  Mortgage)  on the  Property  and  therefore  change the Cost of  Landlord's
Principal Sum but such refinancing  shall not increase  Tenant's then prevailing
rent over that of the then  prevailing  fair  market  value  rental rent for the
Property.  Any  dispute  under  this  provision  shall be  referred  to  binding
arbitration under the provisions of Section 20.22. Tenant shall cooperate in all
respects with executing such documents as may be requested by Landlord's lender.

            2.14  Hedging.  Either  Landlord  or Tenant may at their  individual
options elect to hedge  interest rate exposure;  however,  such hedging shall be
undertaken at the sole risk of the party so electing to hedge. Hedging by Tenant
shall in no way restrict the  Landlord's  right to alter,  replace or revise the
loan secured by the first lien Deed of Trust (or Mortgage) on the Property.

            2.15  CPI  Adjustment.  On  January  1st (or as soon  thereafter  as
available) of each year,  the Consumer Price Index figure for the preceding year
shall be  determined,  and the  portion  of the Base  Rent  attributable  to the
Landlord's  Spread shall be increased (but not decreased) by the same percentage
as the percentage,  if any, by which the Consumer Price Index for the January of
the  preceding  year shall have  increased as compared  with the Consumer  Price
Index for the January of the current year. Landlord shall provide written notice
of the CPI  Adjustment to Tenant.  In the event that the adjustment has not been
determined  in time for any  invoicing  sent,  then  upon  determination  of the
adjustment, Landlord shall send out adjustment invoices.

            2.16 Other Charges.  Except as otherwise  expressly provided herein,
this Lease is what is commonly called a net-net-net  lease, it being  understood
that  Landlord  shall  receive  the  Base  Rent  free  and  clear of any and all
impositions  of real and  personal  Property  taxes,  or other taxes  (excepting
Landlord's income tax), insurance costs, costs of repair and maintenance,  liens
and all other charges,  costs,  expenses and  liabilities in connection with the
ownership and operation of the Property and the businesses conducted thereon.

            2.17 Delinquent Rent. Tenant  acknowledges that late payment of rent
by Tenant to Landlord  will cause  Landlord to incur costs not  contemplated  by
this Lease,  and the exact amount of such costs being  extremely  difficult  and
impracticable  to fix.  Therefore,  if any  installment  of rent is not received
within ten (10) days of when due,  Tenant shall pay Landlord the  additional sum
of Five  Thousand  Dollars  ($5,000) of the overdue rent as a late  charge.  The
parties agree that this late charge represents a fair and reasonable estimate of
the costs that Landlord will incur by reason of late payments. Additionally, any
payments of Base Rent and any other sums payable by Tenant pursuant to the terms
shall bear interest at the maximum legal rate.


                                       6


            2.18 Minimum Base Rent. Notwithstanding anything elsewhere provided,
at all times the  minimum  monthly  Base Rent  shall be equal to the  Landlord's
payment obligations under the Real Estate Loan.

            2.19 MOB Rent  Deferral.  In the  event the  Tenant  is  financially
unable to pay the  monthly  rent on the MOB  Properties  as  provided in Section
2.11, it is agreed that such unpaid shall be amortized together with interest at
the rate of four percent (4%) per annum and paid over the subsequent  thirty-six
(36) months as additional rent.

                                   ARTICLE III
                             INTENTIONAL LEFT BLANK


                                   ARTICLE IV
                                      TAXES

            4.1 Real Property Taxes.  Tenant shall pay, as additional rent, when
and as the same become due, and prior to  delinquency,  all taxes,  both general
and special,  and other charges,  including transient occupancy taxes and rental
taxes, if any, lawfully imposed or assessed against the Property,  including but
not  limited  to any  and all  licenses,  fees or  charges,  improvement  bonds,
ordinary and extraordinary,  general and special, foreseen and unforeseen, which
may be lawfully  levied,  assessed or imposed during the term of this Lease upon
or against Tenant or the Property,  and/or the businesses conducted thereon, and
including  any future tax adopted in lieu of a Property tax, any and all general
and special taxes, including any increase in such taxes resulting from a "change
in  ownership"  of  Landlord  or Tenant (as  defined in  California  Revenue and
Taxation Code Section 60, et seq.).

      Where any  assessment  may, at the option of the  taxpayer,  be payable in
installments,  Tenant shall have the right to exercise the option,  and Tenant's
liability for the payment of the  assessment  shall be limited to the payment of
the installments which become due during the term of this Lease.

      If separate bills are not sent directly to Tenant,  Landlord shall furnish
Tenant,  upon receipt by  Landlord,  with true copies of each bill to be paid by
Tenant in whole or in part.

            4.2 Tax Contest.  Upon written application,  Tenant shall furnish to
Landlord for inspection, and for such use as may be proper for the protection of
Landlord's  interest in the Property,  written  evidence duly certified that any
and all taxes,  assessments or charges  required to be paid by Tenant  hereunder
have been paid, satisfied or otherwise discharged.  Tenant, at its sole cost and
expense,  shall have the right to employ and exhaust all  available  remedies to
protest  and  contest the amount of any  liability  for any taxes,  assessments,
licenses, fees or charges imposed or assessed against the Property, or otherwise
to seek  reduction  or refund.  Tenant  shall post a bond (or, in lieu  thereof,
equivalent  cash  collateral) to prevent  enforcement of any lien resulting from
the foregoing.


                                       7


            4.3 Personal Property Taxes.  Tenant shall pay, before  delinquency,
all taxes and  assessments  levied  against  any of  personal  Property  that is
located on the Property.


                                    ARTICLE V
                                    UTILITIES


            5.1 Utilities.  In addition to the rents,  taxes,  and other charges
herein provided,  Tenant shall pay, or cause to be paid, as additional rent, all
charges for public or private utility services,  including,  but not limited to,
those for water, sewage, electricity, gas, telephone and other utility services,
including trash collection supplied to and used on the Property.


                                   ARTICLE VI
                               USE OF THE PROPERTY


            6.1 Use of the  Property.  Tenant  shall  use the  Property  for the
purpose of  operation  of an acute care  hospital  and  delivery  of health care
services,  and any other uses reasonably related thereto (the "Permitted Uses").
Tenant  shall not use or permit the  Property  to be used for any other  purpose
without the prior written  consent of Landlord,  which consent may be granted or
withheld in the sole and absolute discretion of the Landlord.


                                   ARTICLE VII
                      MAINTENANCE, ALTERATIONS IMPROVEMENTS


            7.1  Maintenance  and Repair.  Tenant shall,  at Tenant's sole cost,
keep and maintain the Property in good and sanitary order, condition and repair,
including,  without limitation,  interior and exterior walls, roof,  foundation,
and  equipment.  Tenant  hereby  accepts  the  Property  in its as is  condition
existing  as of  the  Commencement  Date,  subject  to  all  applicable  zoning,
municipal,  county and state laws,  ordinances  and  regulations  governing  and
regulating the use of the Property,

            7.2 Alterations and Improvements.

                  (a) Tenant shall be responsible  for making any alterations or
improvements  to the  Property  required  in order to  enable  Tenant to use the
Property  for the  Permitted  Uses,  including  without  limitation  any and all
repairs,  alterations,  improvements of any nature or anything else which may be
required  for  compliance  with  SB  1953,   including  without  limitation  any
structural  or  non-structural  alterations.   All  alterations,   improvements,
additions and installations (whether or not such installations  constitute trade
fixtures of Tenant), which may be made to the Property by Tenant,  including but
not limited to, floor coverings,  paneling, doors, drapes, built-ins,  moldings,
sound  attenuation,  lighting and telephone or communication  systems,  conduit,
wiring and outlets shall be made and done in a good and  workmanlike  manner and
of good and  sufficient  quality  and  materials  and shall be the  Property  of
Landlord and remain upon and be surrendered  with the Property at the expiration
of the Lease.


                                       8


                  (b) Tenant  shall  promptly pay and  discharge  all claims for
work or labor done,  supplies  furnished or services rendered and shall keep the
Property  free and clear of all mechanic  and  materialman  liens in  connection
therewith. Landlord shall have the right to post or keep posted on the Property,
or in the immediate vicinity thereof, any notices of non-responsibility  for any
construction,  alteration, or repair of the Property by Tenant. If any such lien
is filed,  Landlord  may,  but shall not be  required to take such action or pay
such amount as may be  necessary  to remove such lien;  and Tenant  shall pay to
Landlord as additional  rent any such amounts  expended by Landlord  within five
(5) days after notice is received by Tenant of the amount expended by Landlord.


                                  ARTICLE VIII
                              COMPLIANCE WITH LAWS


            8.1  Generally.  Tenant,  as  additional  rent, at its sole cost and
expense,  shall make any and all additions to, repairs and  alterations  in, the
Improvements,  the  Property  which  may be  required  by  law  or  governmental
authority,  and shall otherwise observe and comply with any and all public laws,
ordinances,   regulations,   agreements,   and  covenants,   conditions   and/or
restrictions  of public  record  applicable  to the  Property.  Tenant  shall be
obligated to obtain, at its sole effort, cost and expense, all permits, approval
and licenses  required for the operation,  alteration,  addition to or repair of
the Improvements.

            8.2 Hazardous  Substances - Reportable Uses;  Required Consent.  The
terms Hazardous  Substance and Hazardous  Substances shall mean any hazardous or
toxic materials,  pollutants,  effluents,  contaminants,  radioactive materials,
flammable explosives,  chemicals known to cause cancer or reproductive toxicity,
emissions or wastes and any other chemical, material or substance, the handling,
storage, release, transportation, or disposal of which is or becomes prohibited,
limited or regulated by any federal,  state, county, regional or local authority
or which, even if not so regulated,  is or becomes known to pose a hazard to the
health  and  safety  of  the  occupants  of  the  Property,  including,  without
limitation, (I) petroleum and petroleum by-products, (ii) urea formaldehyde foam
insulation, (iii) polychlorinate biphenyls, (iv) all substances now or hereafter
designated as "hazardous substances, "hazardous materials" or "toxic substances"
pursuant to the Comprehensive Environmental Response, Compensation and Liability
Act of 1980  (CERCLA),  42  U.S.C.  Section  9601 et  seq.,  as  amended  by the
Superfund  Amendments and  Reauthorization Act of 1986 (SARA), the Federal Water
Pollution  Control Act, 33 U.S.C.  Section  1251 et seq.,  the Clean Air Act, 42
U.S.C.  Section 7401 et seq.,  the Hazardous  Materials  Transportation  Act, 49
U.S.C. Section 1801 et seq., or the Resource,  Conservation and Recovery Act, 42
U.S.C.  Section 6901 et seq., or (vi) all substances now or hereafter designated
as hazardous  substances,  hazardous  materials,  or toxic  substances under any
other  federal,   state  or  local  laws  or  in  any  regulations  adopted  and
publications promulgated pursuant to said laws.


                                       9


            8.3 Reportable  Use.  Tenant shall not engage in any activity in, on
or about the Property that constitutes a Reportable Use (as hereinafter defined)
of Hazardous  Substances  without the express prior written  consent of Landlord
and compliance in a timely manner,  at Tenant's sole cost and expense,  with all
Applicable  Law (as  defined  hereinafter).  Reportable  Use shall  mean (I) the
installation  or use of  any  above  or  below  ground  storage  tank  (ii)  the
generation, possession, storage, use, transportation, or disposal of a Hazardous
Substance  that  requires a permit  from,  or with respect to which a report and
notice,  registration  or  business  plan  is  required  to be  filed  with  any
governmental  authority.  Reportable  Use  shall  also  include  Tenant's  being
responsible  for the  presence  in,  on or about  the  Property  of a  Hazardous
Substance  with respect to which any  Applicable  Law requires  that a notice be
given to persons  entering or occupying the Property or neighboring  properties.
Notwithstanding the foregoing, Tenant may, without Landlord's prior consent, but
in full compliance with all Applicable Law, use, generate and store any ordinary
and customary  materials  reasonably required to be used by Tenant in the normal
course of  Tenant's  business  permitted  on the  Property  by the terms of this
Lease,  so long as  such  use  does  not  expose  the  Property  or  neighboring
properties  to any risk of  contamination  or damage or expose  Landlord  to any
liability  therefor.  In addition Landlord may (but without any obligation to do
so)  condition  its consent to the use or presence of any  Hazardous  Substance,
activity or storage tank by Tenant upon Tenant's giving Landlord such additional
assurances  as  Landlord,  in its sole  discretion,  deems  necessary to protect
itself, the public, the Property,  the Improvements and the environment  against
damage,   contamination  or  injury  and/or  liability  therefrom  or  therefor,
including,  but not limited to, the  installation  (and removal on or before the
expiration  of the  term of the  Lease or  earlier  termination)  of  reasonably
necessary  protective  modifications to the Property and the Improvements and/or
the disposal and/or the deposit of a security deposit or increase thereof.

            8.4 Duty to Inform  Landlord.  If Tenant's  officers,  directors  or
general  manager know,  or have  reasonable  cause to believe,  that a Hazardous
Substance  or a  condition  involving  or  resulting  from same,  has come to be
located on, in or under the Property,  the Improvements or adjoining properties,
other than as previously consented to by Landlord, Tenant shall immediately give
written  notice of such fact to  Landlord.  Tenant shall also  immediately  give
Landlord a copy of any statement,  report,  notice,  registration,  application,
permit,  business  plan,  license,  claim,  action  or  proceeding  given to, or
received from, any governmental authority or private party, any persons entering
or occupying the Property concerning the presence, spill, release, discharge of,
or exposure to any  hazardous  substance  or  contamination  in, on or about the
Property,  including,  but not limited to, all such documents as may be involved
in any reportable uses involving the Property.


                                       10


            8.5  Indemnification.  Tenant shall indemnify,  protect,  defend and
hold  Landlord,  its agents,  employees,  members and  lenders,  if any, and the
Property  harmless  from and against any and all loss of rents  and/or  damages,
liabilities,  judgments, costs, claims, liens, expenses,  penalties, permits and
attorneys  fees and  consultants  fees arising out of or involving the presence,
storage,  use or transport of any Hazardous  Substance or storage tank, whenever
arising.  Tenant's  obligations  under this Section  shall  include,  but not be
limited to, the effects of any  contamination  or injury to person,  Property or
the  environment  created or  suffered by  Landlord  and for  Tenant,  and their
respective  agents,  employees,  guests,  invitees  and  other  persons  on  the
Property, and the cost of investigation  (including  consultant's and attorney's
fees and testing), removal, remediation,  restoration, and/or abatement thereof,
or of any contamination  therein  involved,  and shall survive the expiration or
earlier  termination  of this Lease.  No  termination,  cancellation  or release
agreement  entered  into by Landlord and Tenant  shall  release  Tenant from its
obligations under this Lease with respect to the Hazardous Substances or storage
tanks,  unless specifically so agreed by Landlord in writing at the time of such
release.

            8.6 Tenant's  Compliance  With  Applicable  Laws.  Tenant shall,  at
Tenant's sole cost and expense,  fully, diligently and in a timely manner comply
with all  Applicable  Law, which term is used in this Lease to include all laws,
rules,   regulations,   ordinances,   directives,   covenants,   easements,  and
restrictions of record,  permits,  the  requirements of any applicable  federal,
state  or  municipal   governmental   authority,   applicable   fire  insurance,
underwriter  or rating bureau and the  recommendations  of Landlord's  engineers
and/or consultants,  relating, in any manner, to the Property including, but not
limited to,  matters  pertaining to (I)  industrial  hygiene (ii)  environmental
conditions on, in, under, or about the Property, including soil and ground water
contamination, (iii) the use, generation, manufacture, production, installation,
maintenance, removal, transportation, signage, spill or release of any Hazardous
Substances or storage tank), (iv) the American with Disabilities Act of 1990, as
amended,  (v) OSHA, (vi) the California Building Code, and (vii) Title 24 now in
effect which may hereinafter  come into effect,  and whether or not reflecting a
change in policy from any previous  existing policy.  Tenant shall,  within five
(5) days after  receipt of Landlord's  written  request,  provide  Landlord with
copies of all documents and information, including, but not limited to, permits,
registrations,  notices,  applications,  reports  and  certificates,  evidencing
Tenant's  compliance  with any  Applicable  Law  specified by Landlord and shall
immediately  upon  receipt  notify  Landlord,  in  writing  (with  copies of any
documents  involved),  of any  threatened  or actual  claim,  notice,  citation,
warning, complaint or report pertaining to or involving failure by Tenant or the
Property to comply with any Applicable Law. In the event that as a result of any
alteration,  addition or change to the Property,  or any portion  thereof or any
improvement  constructed thereon, by Tenant which results in the violation of an
Applicable  Law,  then Tenant  shall be  responsible  for  compliance  with such
Applicable Law,  including any asbestos  abatement or containment  required as a
result of or in connection with such alteration, addition or change.


                                       11



                                   ARTICLE IX
                              INTENTIONALLY DELETED


                                    ARTICLE X
                            EXCULPATION AND INDEMNITY


            10.1 Waiver of Landlord Liability.  Landlord shall not be liable for
any loss,  damage or injury of any kind or  character  to any person or Property
(a) arising from any use and/or  condition  and extent of the  Property,  or any
part thereof including,  without limitation,  environmental  contamination,  (b)
caused by any defect in the equipment or other  facility  located  therein,  (c)
caused by or arising  from any act or omission of Tenant,  or any of its agents,
employees,  licensees or invitees,  (d) arising from or in  connection  with the
conduct  of any  business,  occupation,  transaction,  event or  other  activity
occurring on the Property,  (e) arising from any accident on the Property or any
fire or casualty  thereon,  (f)  occasioned by the failure of Tenant to maintain
the  Property  in a  safe  condition,  or  (g)  arising  from  any  other  cause
whatsoever,  except as occasioned by the act or gross  negligence of any duty by
Landlord  or its agents or  employees  occurring  after the  Commencement  Date.
Tenant, as a material part of the consideration of this Lease, hereby waives, on
its behalf, all claims and damages against Landlord for any such loss, damage or
injury to Tenant.

            10.2 Tenant  Indemnification.  Tenant, for itself and its successors
and  assigns,  hereby  agrees to indemnify  Landlord,  and  Landlord's  members,
managers,  agents,  representatives,  employees and attorneys, free and harmless
from and against any and all claims, actions, damages, liabilities and expenses,
including attorneys fees and costs, in connection with or arising out of (I) any
loss of life,  personal injury and/or damage to Property  arising from or out of
any occurrence in, upon or at the Property,  (ii) the occupancy or use by Tenant
of the  Property,  or any part  thereof,  (iii)  arising  from or out of Tenants
failure to comply with any provision of this Lease, and (iv) with respect to the
violation of any of the  provisions  of this Lease  including but not limited to
Article VIII hereof, in the event Landlord shall,  without fault on its part, be
made a party to any litigation,  arbitration or other proceeding commenced by or
against Tenant, then Tenant shall protect and hold Landlord harmless,  and shall
pay all costs,  expenses  and  attorneys  fees  incurred  or paid by Landlord in
connection with such litigation,  arbitration or other proceeding. Landlord may,
at its option,  require Tenant to assume Landlord  defense in any action covered
by this paragraph through counsel satisfactory to Landlord.


                                       12


            10.3 Survival of Indemnity  Obligation.  The  obligations  of Tenant
under  this  Article  X  shall  survive  the  expiration  of  the  term,  or the
termination, of this Lease.


                                   ARTICLE XI
                                    INSURANCE


            11.1  Liability.  Tenant  agrees to  maintain,  at its  expense,  as
additional rent,  during the term of this Lease  comprehensive  public liability
insurance insuring against liabilities related to the condition of or use of the
Property and the  Improvements,  bodily injury,  employment  related  liability,
liquor  liability,  blanket  contractual  liability,  garage  liability,  garage
keepers legal  liability,  non-owned auto liability and advertising  injury,  in
such  amount  as may be  required  by any  beneficiary  of  any  deed  of  trust
encumbering  the  Property,  but in no  event  less  than  Ten  Million  Dollars
($10,000,000), combined single limit coverage, specifically insuring performance
by Tenant of the  indemnity  set forth in Article X above,  and  containing  the
following provisions:

                  (a)  Providing  that  the  coverage  is  primary  and that any
coverage Landlord may maintain shall be in excess thereto;

                  (b)  Naming  Landlord  and any  beneficiary  under any deed of
trust encumbering the Property as additional insureds;

                  (c)  Providing  that the policy cannot be canceled or modified
without thirty (30) days prior written notice to Landlord and any beneficiary of
a deed of trust encumbering the Property;

                  (d)  Providing  for a cross  liability  or a  severability  of
interest endorsement or equivalent thereof;

                  (e) With respect to  improvements,  alterations,  demolitions,
and changes  required or permitted to be made by Tenant pursuant to the terms of
this Lease, contingent liability and builders- risk insurance;

                  (f)  Workers'   compensation  coverage  as  required  by  law,
together with employer's liability coverage;

                  (g) A waiver by Tenant's  insurers of any right to subrogation
against Landlord, its agents, members,  managers,  employees and representatives
which  arises or might  arise by reason of any  payment  under such policy or by
reason of any act or  admission  of  Landlord,  its agents,  members,  managers,
employees or representatives; and


                                       13


            11.2 Adjustments. The foregoing limits of coverage and the coverages
may be  adjusted  reasonably  by Landlord  and  Tenant,  with the consent of any
beneficiary of any deed of trust  encumbering  the Property,  from time to time,
but not more often than once during any three (3) year  period,  during the term
of this Lease based upon changes in the amounts of judgments for personal injury
and Property damage, industry standards,  inflation,  and other relevant factors
in order to maintain insurance  protection at least equivalent to the protection
afforded on the Commencement Date. In the event that the Landlord and Tenant are
unable to agree upon an adjustment then Landlord and Tenant,  the issue shall be
resolved by arbitration in accordance with the binding arbitration provisions of
Section  20.22.  The cost of such  arbitration  shall be born by the party whose
insurance  proposal is closest to the  insurance  proposal  decided  upon by the
arbitration process.

            11.3  Property.  Tenant  agrees  to  maintain,  at its  expense,  as
additional rent, during the term of this Lease (a) standard form fire,  extended
coverage,  vandalism,  malicious mischief,  boiler and machinery  coverage,  and
building  ordinance  and  law  coverage   endorsements,   and  special  extended
insurance,  including all risk insurance,  and other Property insurance coverage
(except  earthquake  coverage which shall not be required) as may be required by
any beneficiary of any deed of trust  encumbering the Property,  with respect to
the Improvements and the Assets in amounts at least equal to the greater of full
replacement costs thereof or the amount required by any beneficiary of a deed of
trust   encumbering  the  Property,   (b)  with  respect  to  the  construction,
demolition,  additions,  alterations  and the like  required or  permitted to be
constructed by Tenant hereunder,  builders all-risk  insurance insuring the full
replacement  value of all  construction  in  process  on the  Property,  and (c)
business interruption insurance,  in an amount satisfactory to Landlord.  Tenant
shall  also  maintain,  at  Tenants  expense,  earthquake  insurance,  including
sprinkler leakage coverage,  building, contents and loss of income, with a limit
no less than the probable  maximum loss limit as valued either through  Landlord
or any beneficiary under a deed of trust  encumbering the Property.  Each policy
shall  specifically (I) name the beneficiary under any deed of trust encumbering
the Property and then  Landlord as  additional  insureds,  (ii) provide that all
payments  shall  be  made as  provided  in  Article  XII  above,  and  that  the
beneficiary  of a deed of  trust  encumbering  the  Property  shall  have  first
priority and claim to any  payments as provided in its deed of trust,  and (iii)
provide  that it cannot be canceled or  modified by the insurer  without  thirty
(30) days prior written notice to Landlord and such beneficiary

            11.4 Personal  Property  Insurance.  Tenant, at Tenant's cost, shall
maintain  a policy  of  standard  fire and  extended  coverage  insurance  (with
vandalism and malicious mischief endorsements) on all Tenant's personal Property
and alterations to the extent of at least their full replacement  value.  Tenant
shall use the  proceeds  from any such  policy for the  replacement  of personal
Property or the restoration of Tenant's improvements or alterations.


                                       14


            11.5 Rental Loss and Business  Interruption.  Tenant  shall,  at its
sole cost and expense,  as additional rent, at all times during the term of this
Lease,  maintain  in force a policy  of  rental  loss or  business  interruption
insurance in an amount at least  sufficient  to pay, for a period of twelve (12)
months  following any applicable  loss,  the sum of the following:  (a) the then
applicable Base Rent as provided in Article II above; (b) all additional rent as
provided in this Lease; and (c) the insurance  premiums provided in this Article
XI.

            11.6  Quality  of  Policies.  The  minimum  limits  of  policies  of
insurance  required  of Tenant  under  this  Lease  shall in no event  limit the
liability of Tenant under this Lease.  Such insurance  policy shall be issued by
an insurance company having a rating of not less than A (or equivalent) in Bests
Insurance Guide or which is otherwise acceptable to Landlord, and licensed to do
business in the State of California. Upon execution of this Lease and thereafter
not less than thirty (30) days prior to the  expiration  date of each  insurance
policy  required to be furnished  hereunder,  Tenant shall deliver to Landlord a
certificate  of the  insurer  reasonably  satisfactory  to  Landlord  bearing  a
notation  evidencing the payment of the premium or accompanied by other evidence
of payment reasonably satisfactory to Landlord.

            11.7  Adjustments.  All policies of insurance  required or permitted
under this Article XI shall  provide for loss  thereunder  to be adjusted by and
payable to the beneficiary  under any deed of trust encumbering the Property and
then to Landlord or its designee.

            11.8 Payment of Loss.  All policies of insurance  shall  provide for
payment of loss to the  holder of any  security  interest  in the  Property  and
Landlord,  jointly,  and if there  is no such  security  interest,  or as to any
excess, the proceeds shall be paid to Landlord and Tenant,  jointly, in trust or
if Tenant so elects, to a mutually  approved  corporate  trustee,  to be held in
trust and  applied to the  repair  and  restoration  of the  Property.  When the
Improvements have been fully repaired and restored,  any excess shall be paid to
Tenant.  Landlord and Tenant shall use due  diligence to cause the holder of any
security  interest  in the  Property  to make  the  proceeds  of such  insurance
available  for repair and  restoration  following  any  casualty or loss covered
thereby.

            11.9 Cancellation. Each policy or certificate therefor issued by the
insurer  shall to the  extent  obtainable  contain  a  provision  that no act or
omission of Tenant which would  otherwise  result in  forfeiture or reduction of
the  insurance  therein  provided  shall affect or limit the  obligation  of the
insurance company to pay the amount of any loss sustained.


                                       15


            11.10 Compliance with Insurance  Requirements.  Tenant shall observe
and comply with the requirements of all policies of public  liability,  fire and
other policies of insurance in force with respect to the Property.

            11.11 Failure to Obtain Insurance. In the event that Tenant fails to
maintain and pay for any of the insurance  required by this Article XI, Landlord
may  (but  without  obligation  to do so)  procure  such  insurance  and pay the
premiums  therefor,  in which event Tenant shall repay Landlord all sums so paid
by Landlord  within ten (10) days following  Landlords  written demand to Tenant
for such payment.

            11.12  Subrogation.  The  parties  release  each  other,  and  their
respective authorized representatives,  from any claims for damage to any person
or  to  the  Property  and  to  the  fixtures,   personal   Property,   Tenant's
improvements, and alterations of either Landlord or Tenant in or on the Property
that are caused by or result from risks insured  against any insurance  policies
carried by the parties and in force at the time of any such  damage.  Each party
shall cause each insurance  policy  obtained by it to provide that the insurance
company waives all right of recovery by way of subrogation  against either party
in  connection  with any damage  covered by any policy.  Neither  party shall be
liable to the other for any damages  caused by fire or any of the risks  insured
against under any insurance policy required by this Lease.


                                   ARTICLE XII
                                   DESTRUCTION


            12.1 Rent  Continues.  In case of damage  to or  destruction  of the
Property by fire or any other casualty  whatsoever,  Tenants rental  obligations
shall  continue as provided in Article III above (and  elsewhere in this Lease),
and Tenant shall, at no cost or expense to Landlord, restore, repair, replace or
rebuild  improvements  of comparable  value,  use,  design,  size and utility as
existed  immediately  prior to such damage or  destruction.  Such  obligation of
Tenant to restore, repair or rebuild is not conditioned upon the recovery of any
insurance  proceeds for such damage or destruction.  Such restoration,  repairs,
replacements or rebuilding shall be commenced within a reasonable period of time
following such damage and  destruction and thereafter  diligently  prosecuted to
completion. All work required to be performed by Tenant under this Article shall
be performed in accordance  with the  provisions of Article VII above and may be
performed by Tenant's agents, employees or subtenants.

            12.2 Insurance Available. All insurance proceeds paid as provided in
Section 11.9, less Landlord's actual costs, fees, and expenses, if any, incurred
in connection with adjustment of the loss,  shall be applied to pay or reimburse
Tenant  for  the  payment  of the  cost  of the  repair  or  restoration  of the
Improvements  (including the cost of temporary repairs for the protection of the
Improvements  pending the  completion of the permanent  repair or restoration of
the  Improvements)  and shall be paid out from time to time as such  restoration
progresses  upon  the  written  request  of  Tenant,   which  request  shall  be
accompanied by a certificate signed by Tenant and Tenant's architect or engineer
in charge of the restoration, dated not more than thirty (30) days prior to such
request, setting forth the following:


                                       16


                  (a) That the sum then requested either has been paid by Tenant
or  is  justly  due  to  contractors,  subcontractors,  materialmen,  engineers,
architects,  or other persons who have rendered services or furnished  materials
for the restoration;  that no part of such request covers expenditures for which
a request for payment has previously been made; and that to the best of Tenant's
knowledge,  the sum  requested  does not  exceed the value of the  services  and
materials described in the certificate; and

                  (b) That, except for the amounts,  if any, stated (pursuant to
Subsection  (a) above) in such  certificate to be due for services and materials
and except for work in progress on the  restoration  and  materials and supplies
ordered  and  services  rendered  but not yet  billed,  there is no  outstanding
indebtedness  known to Tenant,  after due inquiry,  that is then due and payable
for labor,  wages,  materials,  supplies,  or  services in  connection  with the
restoration.

            12.3 Proceeds Payment. Upon compliance with the foregoing provisions
of this Article XII, the person or persons  holding the proceeds  shall pay from
such  proceeds  to Tenant  or the  persons  named in  Tenant's  certificate  the
respective  amounts stated in the  certificate to have been paid by Tenant or to
be due to them as the case may be.

            12.4 Deficiencies. If the insurance proceeds received as a result of
the damage or destruction,  less the actual costs,  fees, and expenses,  if any,
incurred in connection with the adjustment of the loss, are  insufficient to pay
the entire cost of restoration, Tenant shall promptly pay the deficiency.

            12.5 Landlord Cure.  Notwithstanding any of the foregoing provisions
of this  Article  XII,  if  Tenant  has not  commenced  construction  or has not
notified the Landlord that it intends to promptly commence  construction  within
thirty  (30) days from the date of the  damage or  destruction  which  under the
provisions  of this  Article XII Tenant is  obligated  to repair,  Landlord  may
thereupon, and without further notice to Tenant, commence such work, or Landlord
may exercise any of the rights or remedies  provided in this Lease for a default
by Tenant.  If Landlord  elects to undertake the work,  all  insurance  proceeds
payable  under  Article  XII as a result  of the  damage or  destruction  to the
Improvements  shall then be held by  Landlord  for use by Landlord in doing such
work. If Landlord  undertakes such work,  Tenant shall be liable to Landlord for
any and all costs and expenses  incurred by Landlord in connection  therewith in
excess of the insurance proceeds.

            12.6 No Rent Abatement. There shall be not abatement of Base Rent or
additional rent, or any other sums or obligations of Tenant under this Lease, by
reason of any such damage or destruction.


                                       17


            12.7 No Surrender.  Except as otherwise  provided in this Lease,  no
destruction  of or damage to the Property,  or any part thereof,  by fire or any
other  casualty  shall  terminate or permit Tenant to surrender  this Lease,  or
relieve Tenant of its obligations to pay the full Base Rent, additional rent and
other  sums and  charges  payable  under  this  Lease,  or from any of its other
obligations  under this  Lease,  and Tenant  waives any rights now or  hereafter
conferred  upon it by statute or otherwise,  to quit or surrender  this Lease or
the Property, or any part thereof, or to any suspension,  diminution,  abatement
or reduction of rent,  or other  charges  payable under this Lease on account of
such destruction or damage.


                                  ARTICLE XIII
                                  CONDEMNATION


            13.1 Lease Governs. If, during the term or during the period of time
between the  execution of this Lease and the date the term  commences,  there is
any taking by condemnation of all or any part of the Property, the rights of the
parties shall be determined pursuant to the provisions of this Section.

            13.2 Total Taking. If the Property is totally taken by condemnation,
this Lease shall  terminate  on the date of taking and the entire award shall be
payable to the Landlord.

            13.3 Partial  Taking.  If only a portion of the Property is taken by
condemnation, this Lease shall continue in effect. Provided, however, Tenant can
elect to terminate  this Lease if the remaining  portion of the Property,  other
improvements or parking areas are rendered unsuitable for Tenant's continued use
of the Property.  If Tenant elects to terminate this Lease, Tenant must exercise
such right by giving  written  notice to Landlord  within ninety (90) days after
the  nature  and the  extent of the  taking  have been  fully  determined.  Such
termination  date shall not be earlier  than ninety (90) days nor later than one
hundred eighty (180) days after Tenant has given  termination  notice. If Tenant
does not terminate this Lease within the time period set forth above,  the Lease
shall  continue in force,  except that the base monthly rent shall be reduced by
an amount  that is in the same  ratio to base  monthly  rent as the value of the
area of the portion of the Property  taken bears the total value of the Property
immediately before the date of taking.

            13.4  Distribution of Award. The condemnation  award shall belong to
Landlord.


                                       18


                                   ARTICLE XIV
                                   ASSIGNMENT


            14.1  Assignment.  Except  for  an  assignment  or  sublease  to  an
affiliated company,  including, but not limited to, a wholly owned subsidiary or
parent  entity,  Tenant shall not assign,  mortgage or encumber this Lease,  nor
sublet,  nor suffer or permit  the  Property  or any part  thereof to be used by
others,  without the prior written  consent of Landlord in each instance,  which
consent,  which may be granted or withheld in Landlord's reasonable  discretion.
Landlord  shall be under no  obligation  to  consider a request  for  Landlord's
consent  to an  assignment  until  Tenant  shall  have  submitted  in writing to
Landlord a request  for  Landlord's  consent to such  assignment  together  with
audited financial  statements of Tenant and the proposed assignee,  a history of
the  proposed  assignee's  business  experience  and such other  information  as
required by Landlord to verify that the creditworthiness and business background
of the proposed  assignee Tenant reimburse  Landlord for its time and expense in
considering  such  request.  Notwithstanding  any other  provision of the Lease,
Landlord shall have the right to condition Landlord's approval of the assignment
or  sublease  of the Lease by Tenant to a third party on the payment to Landlord
of any rent  payable  under said  assignment  or  sublease in excess of the then
current rent payable under the Lease.

            14.2 No Release of  Tenant.  Regardless  of  Landlords  consent,  no
subletting or assignment shall release Tenant of Tenants obligation or alter the
primary  liability of Tenant to pay the rent or to perform all other obligations
to be performed by Tenant hereunder. The acceptance of rent by Landlord from any
other  person  shall not be deemed to be a waiver by Landlord  of any  provision
hereof.  Consent to one assignment or subletting  shall not be deemed consent to
any subsequent assignment or subletting. In the event of default by any assignee
of Tenant or any  successor of Tenant,  in the  performance  of any of the terms
hereof,  Landlord may proceed  directly  against Tenant without the necessity of
exhausting  remedies  against said assignee.  Landlord may consent to subsequent
assignments or subletting of this Lease or amendments or  modifications  to this
Lease with  assignees of Tenant,  without  notifying  Tenant or the successor of
Tenant, and without obtaining its or their consent thereto and such action shall
not relieve Tenant of liability under this Lease.

            14.3  Involuntary  Assignment.  No  interest of Tenant in this Lease
shall be assignable  by operation of law.  Each of the  following  acts shall be
considered an involuntary assignment:

                  (a)  If  Tenant  becomes  bankrupt  or  insolvent,   makes  an
assignment for the benefit of creditors,  or is the debtor in a proceeding under
the Bankruptcy  Act; or, if Tenant is a partnership or consists of more than one
person or entity,  if any partner or other person or entity becomes  bankrupt or
insolvent,  or makes an assignment  for the benefit of others.  Provided that in
the event of an involuntary bankruptcy proceeding,  Tenant shall have sixty (60)
days in which to have the proceeding dismissed, before such proceedings shall be
considered an involuntary transfer.


                                       19


                  (b) If a writ of  attachment  or  execution  if levied on this
Lease and Tenant has not caused the same to be  released  or  discharged  within
sixty (60) days . Any such involuntary  assignment shall constitute a default by
Tenant and Landlord  shall have the right to elect to terminate  this Lease upon
fifteen (15) days prior written notice,  if such event giving rise to the notice
is not removed or cured within the notice period.


                                   ARTICLE XV
                                     DEFAULT


            15.1  Default by Tenant.  The  occurrence  of any one or more of the
following events shall constitute a material default and breach of this Lease by
Tenant:

                  (a) The vacating or abandonment of the Property by Tenant;

                  (b) The  failure by Tenant to make any  payment of rent or any
other payment  required to be made by Tenant  hereunder,  as and when due, where
such  failure  shall  continue for a period of fifteen (15) days after notice by
Landlord to Tenant of the failure to receive payment;

                  (c) The  failure by Tenant to  observe  or perform  any of the
covenants,  conditions,  or provisions of any franchise  agreement affecting the
Property or the business operated thereon, or under this Lease to be observed or
performed by Tenant,  where such failure  shall  continue for a period of thirty
(30) days after  written  notice  thereof,  from  Landlord to Tenant;  provided,
however,  that if the nature of  Tenant's  default is such that more than thirty
(30) days are reasonably  required for its cure, than Tenant shall not be deemed
to be in default if Tenant  commenced the cure within the thirty (30) day period
and thereafter diligently prosecutes the cure to completion;

                  (d) The making by Tenant of any general  assignment or general
arrangement for the benefit of creditors  without the consent of Landlord or the
beneficiary under any deed of trust encumbering the Property;

                  (e) The filing by or against Tenant,  or any guarantor of this
Lease, of a petition to have Tenant, or any guarantor of this Lease, adjudicated
a  bankrupt  or a  petition  for  reorganization  or  arrangement  under any law
relating to bankruptcy  (unless, in the case of a petition filed against Tenant,
or any guarantor of this Lease, the same is dismissed within ninety (90) days);

                  (f)  The   appointment  of  a  trustee  or  receiver  to  take
possession of substantially  all of Tenant's,  or any guarantor's of this Lease,
assets located at the Property or of Tenant's, or any guarantor's of this Lease,
interest in this  Lease,  where  possession  is not  restored to Tenant,  or any
guarantor of this Lease, within ninety (90) days; or


                                       20


                  (g)  The   attachment,   execution  or  judicial   seizure  of
substantially all of Tenant's,  or any guarantor's of this Lease, assets located
at the Property or of Tenant's,  or any  guarantor's of this Lease,  interest in
this Lease, if not discharged within ninety (90) days.

            15.2  Termination  Remedies.  Subject to Section 15.7 below,  should
Tenant  breach this Lease or abandon the Property  before the end of the term of
this Lease,  Landlord may terminate this Lease. Upon  termination,  Tenant shall
immediately surrender the Property, the Improvements and the Assets to Landlord,
and if Tenant  fails to do so,  Landlord  may,  without  prejudice to any of the
remedy which it may have for  possession or  arrearages in rent,  enter upon and
take possession of the Property,  the Improvements and the Assets,  and expel or
remove  Tenant and any other person who may be occupying  the  Property,  or any
part  thereof,  without  being  liable for  prosecution  or any claim or damages
therefore, and Landlord may recover from Tenant the following:

                  (a) The worth at the time of award of the  unpaid  rent  which
had been earned at the time of termination; plus

                  (b) The worth at the time of award of the  amount by which the
unpaid  rent which would have been earned  after  termination  until the time of
award  exceeds  the amount of such rental  loss  Tenant  proves  could have been
reasonably avoided, subject to the provisions of this Section 15.2; plus

                  (c) The worth at the time of award of the  amount by which the
unpaid rent for the  balance of the term after time of award  exceeds the amount
of such rental loss for such period Tenant  proves could be reasonably  avoided,
subject to the provisions of this Section 15.6; plus

      The worth at the time of award of the amount  referred  to in  Subsections
15.2(a) and (b) above, is computed by allowing interest at ten percent (10%) per
annum.  The worth at the time of award of the amount  referred to in  Subsection
15.2(c) above is computed by discounting such amount at the discount rate of the
Federal  Reserve Bank of San  Francisco  at the time of award,  plus one percent
(1%).

      For purposes of this  Section  15.2,  the  Property  shall be deemed to be
abandoned by Tenant,  and this Lease shall terminate,  if Landlord gives written
notice of its belief of abandonment to Tenant,  personally  delivered or sent by
first class mail,  postage  prepaid to Tenant at Tenant's last known address and
Tenant  thereafter fails to give Landlord  written notice,  prior to the date of
termination specified in Landlord's notice,  stating that Tenant does not intend
to abandon the  Property and stating an address at which Tenant may be served by
certified mail in any action for unlawful detainer.  Landlord may give notice of
belief of abandonment to Tenant only where the rent on the Property has been due
and unpaid for at least twenty (20)  consecutive  days and  Landlord  reasonably
believes that Tenant has abandoned the Property. The date of termination of this
Lease shall be specified in Landlord's notice and shall not be less than fifteen
(15) days after notice is personally  served or not less than eighteen (18) days
after notice is deposited in the mail.  Nothing  contained herein shall preclude
Landlord from  otherwise  proving that the Property has been abandoned by Tenant
within the meaning of this Section.


                                       21


            15.3 Breach  Without  Termination.  Even though  Tenant has breached
this Lease or abandoned the Property, this Lease continues in effect for so long
as Landlord does not terminate  Tenant's right to possession,  and Landlord may,
from time to time,  enforce  all or any of its  rights and  remedies  under this
Lease, including the right to recover the rental amounts as they become due. For
purposes of this Section 15.3, acts of maintenance or  preservation,  or efforts
to relet the  Property,  or the  appointment  of a  receiver  on  initiative  of
Landlord to protect its  interest in this Lease,  shall not  constitute  acts of
termination of Tenant's right of possession of the Property.

            15.4 Right of Landlord  to  Perform.  In the event of any default of
Tenant,  including the payment of money,  other than rent, or the performance of
obligations  required of Tenant under this Lease,  then in addition to the other
remedies  herein  granted to Landlord,  Landlord may, but shall not be obligated
to, and without waiving or releasing  Tenant from any obligations of this Lease,
make any  payment  and  perform  any other acts on  Tenant's  part to be made or
performed.  All sums paid by Landlord and all necessary  costs incident  thereto
shall be deemed additional rent.

            15.5 Remedies Not Exclusive. Except as otherwise provided herein, no
right or remedy  herein  conferred  on or reserved to Landlord is intended to be
exclusive of any other remedy or right, and each and every right or remedy shall
be cumulative  and in addition to any right or remedy given  hereunder or now or
hereafter existing at law, in equity or by statute.

            15.6  Default  by  Landlord.  Landlord  shall not be deemed to be in
default of the  performance  of any  obligation  required to be  performed by it
hereunder  unless  and until it has failed to perform  within  thirty  (30) days
after written notice by Tenant to Landlord  specifying therein that Landlord has
failed to perform  its  obligations;  provided,  however,  that if the nature of
Landlord's obligations are such that more than thirty (30) days are required for
performance,  then  Landlord  shall not be deemed to be in default  if  Landlord
shall  commence  performance  within the thirty  (30) day period and  thereafter
diligently prosecute the same until completion.

            15.7 Expenses of Reletting.  Tenant shall be  immediately  liable to
pay Landlord,  in addition to any other  indebtedness  hereunder,  the costs and
expenses of retaking possession and reletting of the Property and of alterations
or repairs to the  Property  incurred by Landlord  for the purposes of reletting
the Property after any default of Tenant.


                                       22


            15.8  Application of Rentals and Receipts.  The rentals and receipts
received by Landlord shall be applied.

                  (a) First to the payment of any  indebtedness  other than rent
due hereunder from Tenant to Landlord; and

                  (b)  Second,  to the  payment  of any  costs and  expenses  of
retaking and reletting,  and of all  alterations  and repairs as are expended by
Landlord; and

                  (c) Third, to the payment of rent due and unpaid hereunder.


                                   ARTICLE XVI
                                     WAIVER


            16.1 Waiver. No delay or omission in the exercise of any remedies of
a party upon the  default of the other  party  shall be  construed  as a waiver.
Landlord's  approval of any of Tenant's acts which require  Landlord's  approval
shall not be deemed to waive or render  unnecessary  Landlord's  consent  to any
subsequent acts by Tenant.


                                  ARTICLE XVII
                         LANDLORD'S ENTRY ONTO PROPERTY


            17.1  Landlord's  Entry  onto  Property.  Landlord,  and  Landlord's
agents,  representatives  and  other  acting  on  behalf  of or with  Landlord's
authority,  shall  have the  right to  enter  the  Property  at any  time,  upon
reasonable  notice  and from  time to time for  purposes  of  inspection  of the
Property,  to assure  Tenant's  performance of Tenant's  obligations  under this
Lease, and for such other purposes as Landlord may reasonably determine.


                                  ARTICLE XVIII
                     SURRENDER OF PROPERTY AND HOLDING OVER


            18.1 Surrender of Property. On expiration of this Lease Tenant shall
surrender the Property to Landlord (along with all Tenant's  improvements except
those which  Tenant has the right or  obligation  to remove) in good  condition,
reasonable  wear and tear excepted.  Tenant shall also perform all  restorations
made necessary by the removal of Tenant's  improvements and/or personal Property
within the time periods stated in this Paragraph.


                                       23


            18.2 Holding Over.  If Tenant  remains in possession of the Property
after  expiration of the term, or after the date in any notice given by Landlord
to Tenant to terminate this Lease,  such possession by Tenant shall be deemed to
be a month-to-month tenancy terminable on thirty (30) days' written notice given
at any time by either  party.  During any such  month-to-month  tenancy,  Tenant
shall pay all rent required by this Lease,  except that Base Rent shall be equal
to the last  month of the then term  Base Rent  multiplied  by One  Hundred  ten
percent  (110%).  All provisions of this Lease,  except those  pertaining to the
term and option to extend, shall apply to the month-to-month tenancy.


                                       XIX
                              ESTOPPEL CERTIFICATES


            19.1 Estoppel  Certificates.  At any time and from time to time, but
not more  frequently  than twice per calendar year,  Landlord,  on fourteen (14)
days' prior written request by Tenant,  and Tenant, on fourteen (14) days' prior
written request by Landlord,  will deliver to the party making the request,  and
such  designees  specified  by the  requesting  party,  a  statement  in writing
certifying  that this  Lease is  unmodified  and in full force and effect (or if
there shall have been  modifications,  stating the  modifications),  the current
monthly Base Rent, the dates to which the rent and any other deposits or charges
have been paid,  and stating  whether or not, to the best knowledge of the party
executing the  certificate,  the party requesting the statement is in default in
the performance of any covenant,  agreement or condition contained in this Lease
and,  if so,  specifying  each  default  of which the  executing  party may have
knowledge.  In  addition,  Tenant  shall  provide to  Landlord  such  additional
information,  confirmations  and/or statements as may reasonably be requested by
Landlord or Landlord's lender.


                                   ARTICLE XX
                               GENERAL PROVISIONS


            20.1  Attorneys'  Fees. If either party  commences an action against
the other party arising out of or in connection with this Lease,  the prevailing
party  shall be  entitled  to  recover  from the other  party  their  reasonable
attorneys' fees and costs.

            20.2 Notice.  Any notice the parties are required to give under this
Lease  shall be in writing  and either  served  personally  or sent by  prepaid,
first-class mail addressed as follows:


                                       24


                 If to Landlord:       Pacific Coast Holdings, LLC
                                       c/o Anil Shah, Co-Manager
                                       2621 Southwestern Street Suite 108
                                       Santa Ana, CA 92704
                                       Telephone: 714-290-5322
                                       Telecopier: 714-279-9588

                                                And

                                       Kali P. Chaudhuri, Co-Manager
                                       6800 Indiana Avenue, Suite 130
                                       Riverside, CA   92506
                                       Telephone: 951-782-8812
                                       Telecopier: 951-782-8850

                 With Copy to:         Harry Lal
                                       1000 South Anaheim Boulevard, Suite 230
                                       Anaheim, CA    92805
                                       Telephone: 714-635-1646
                                       Telecopier: 714-635-2457

                                       William E. Thomas
                                       6800 Indiana Avenue, Suite 130
                                       Riverside, CA    92806
                                       Telephone: 951-782-8812
                                       Telecopier: 951-782-8850

                 If to Tenant:         Integrated Healthcare Holdings, Inc.
                                       Attn: Larry Anderson
                                       695 Town Center Drive, Suite 260
                                       Costa Mesa, CA   92626
                                       Telephone: 714-434-9191
                                       Telecopier: 714-434-9505

      Notice shall be deemed communicated within forty-eight (48) hours from the
time of mailing if mailed as provided in this Section.

            20.3 Corporate  Authority.  If either party is a  corporation,  that
party shall  deliver to the other party on  execution  of this Lease a certified
copy of a resolution of its board of directors authorizing the execution of this
Lease and naming  the  officers  that are  authorized  to execute  this Lease on
behalf of the corporation.

            20.4  Headings.  The word titles  underlying the Article and Section
designations  contained  herein are inserted solely for convenience and under no
circumstances  are  they  to be  treated  or  construed  as  any  part  of  this
instrument.


                                       25


            20.5 Covenants and Conditions.  Each term and each provision of this
Lease  performable by Tenant and/or Landlord shall be deemed both a covenant and
a condition.

            20.6 Successors and Assigns.  Subject to the provisions hereof, this
Lease shall be binding upon and shall inure to the benefit of the parties hereto
and their respective successors and assigns.

            20.7 Partial  Invalidity.  If any term or provision of this Lease or
the application  thereof to any person or circumstance  shall, to any extent, be
invalid  or  unenforceable,  the  remainder  of this  Lease  shall be valid  and
enforced to the fullest extent permitted by law.

            20.8  Amendment.  This Lease may be amended only by a writing signed
by all the parties hereto.

            20.9 Entire  Agreement.  This Lease contains the entire agreement of
the parties  hereto with respect to the matters set forth herein with respect to
the leasing of the  Property  and the  Improvements,  and  supersedes  any prior
written or oral agreement  between them respecting the subject matter  contained
herein.

            20.10  Construction  of Lease.  In  determining  the  meaning of, or
resolving any ambiguity  with respect to, any word,  phrase or provision of this
Lease,  no uncertainty or ambiguity  shall be construed or resolved  against any
party under any rule of construction,  including the party primarily responsible
for the drafting and preparation of this Lease.

            20.11 Currency.  All sums payable  hereunder shall be determined and
paid in United States Dollars.

            20.12  Quitclaim  Deed. At the expiration or earlier  termination of
this Lease,  Tenant shall,  upon request of Landlord,  execute,  acknowledge and
deliver to  Landlord  within  thirty  (30) days,  any  quitclaim  deeds or other
documents to remove the cloud of this Lease from the Property.

            20.13  Recording of Memorandum  of Lease.  At the request of Tenant,
Landlord  shall execute and Tenant may record a Memorandum of Lease  referencing
the Lease in the Official Records of the County Recorder for the County in which
the Property is located.

            20.14 Financial  Information.  During the term of this Lease, Tenant
shall provide to Landlord,  monthly,  quarterly and annual financial  statements
(audited  annually) for the businesses  conducted on the Property prepared by an
independent  certified  public  accountant using generally  accepted  accounting
principles consistently applied. Landlord shall retain such financial statements
in confidence,  but may,  nevertheless,  deliver copies thereof to its advisors,
lenders, buyers, investors,  attorney, and accountants. In the event of default,
Tenant  shall  provide  Landlord  full  and  complete  access  to all  financial
information.


                                       26


            20.15  Relationship  of the  Parties.  Nothing  herein  shall create
between  the  parties  hereto,  or be relied  upon by others  as  creating,  any
relationship of partnership,  association, joint venture, or otherwise. The sole
relationship of the parties hereto shall be that of Landlord and Tenant.

            20.16 Time of Essence.  Time is of the essence of each  provision of
this Lease.

            20.17  Successors.  Subject to the  limitations on assignment,  this
Lease  shall be binding on and inure to the  benefit  of the  parties  and their
successors.

            20.18 Integrated  Agreement,  Modification.  This Lease contains all
the agreements of the parties pertaining to the lease of the Property and cannot
be amended or modified except by another written agreement.

            20.19 Severability.  The unenforceability,  invalidity or illegality
of  any  provision  of  this  Lease  shall  not  render  the  other   provisions
unenforceable, invalid or illegal.

            20.20 Real Estate Brokers,  Finders.  Each party  represents that it
has not had dealings with any real estate broker,  finder, or other person, with
respect to this Lease in any manner.  Each party shall hold  harmless  the other
party from all damages  resulting  from any claims that may be asserted  against
the other  party by any broker,  finder,  or other  person,  with whom the other
party has or purportedly has dealt.

            20.21 State Law.  This Lease shall be construed and  interpreted  in
accordance with the laws of the State of California.

            20.22 Dispute Resolution. All disputes under this Agreement shall be
resolved  by  arbitration  in  accordance  with  the  Judicial  Arbitration  and
Mediation  Service  Comprehensive  Arbitration  Rules and Procedures  before the
Judicial  Arbitration and Mediation Service  ("JAMS").  The arbitration shall be
held in Orange County, California (or any place agreed to by the Parties and the
arbitrator). The decision of the arbitrator shall be final and binding as to any
matters  submitted  hereunder;  provided,  however,  the Superior  Court for the
County  of  Orange  shall  have  jurisdiction  for  the  purpose  of  compelling
arbitration,  awarding provisional or equitable relief,  confirming the award of
the arbitrator, enforcing judgment and similar matters.

                  Notwithstanding  any provision of the California Code of Civil
Procedure or the applicable  rules of the JAMS to the contrary,  each Party will
have all of the rights of discovery  pertaining to civil  litigation as provided
in the California Code of Civil Procedure. Unless the Parties otherwise agree in
writing,  any  arbitration  hereunder  will be conducted in accordance  with the
rules  of  evidence  existing  in the  State  of  California  at the time of the
arbitration.


                                       27


            20.23 Landlord  Authority.  The parties recognize that Landlord is a
manager managed  California  limited  liability company operated by co-managers.
Any approval,  disapproval  or other action by landlord  shall require a writing
executed by both co-managers.

            20.24 Subordination.  This Lease shall be subject and subordinate at
all times to the lien of any  mortgage or deed of trust or other  encumbrance(s)
which may now or which may at any time  hereafter  be made upon the  Property or
any portion thereof,  or upon Landlord  interest  therein.  This clause shall be
self-operative,  and no further instrument of subordination shall be required to
effect the  subordination  of this Lease.  Nonetheless,  in confirmation of such
subordination,  Tenant  shall  execute and deliver  such  further  instrument(s)
subordinating  this  Lease  to the lien of any  such  mortgage  or deed of trust
thereby,  and Tenant hereby appoints  Landlord the  attorney-in-fact  of Tenant,
irrevocably,  to execute and deliver any such  instrument(s)  for Tenant. If the
interests  of  Landlord  under  this  Lease  shall be  transferred  by reason of
foreclosure  or other  proceedings  for  enforcement  of any mortgage or deed of
trust on the Property,  Tenant shall be bound to the transferee at the option of
the transferee,  under the terms, covenants and conditions of this Lease for the
remaining  term,  including any extensions or renewals,  with the same force and
effect as if the transferee were Landlord under this Lease, and, if requested by
such transferee,  Tenant agrees to attorn to the transferee as its Landlord. The
holder of any mortgage or deed of trust  encumbering the Property shall have the
right, unilaterally,  at any time to subordinate fully or partially its mortgage
or deed of trust or other  security  instrument  to this Lease on such terms and
subject to such  conditions  as such  holder  may  consider  appropriate  in its
discretion.  Upon  request  Tenant  shall  execute  and  deliver  an  instrument
confirming any such full or partial subordination.

            20.25  Sale  by  Landlord.   In  the  event  the  original  Landlord
hereunder,  or any successor owner of the Property or any portion thereof, shall
sell or convey same, all liabilities and obligations on the part of the original
Landlord,  or such successor owner,  under this Lease accruing  thereafter shall
terminate,  and thereupon all such liabilities and obligations  shall be binding
upon the new owner. Tenant agrees to attorn to each such new owner.


                                   ARTICLE XXI
                TRANSFER OF OPERATIONS UPON TERMINATION OF LEASE


            21.1.  Closing Date. The date on which this Lease either  terminates
or  expires  pursuant  to its terms or is  terminated  by either  party  whether
pursuant to a right granted to it hereunder or otherwise shall be referred to as
the "Closing  Date" in this Article.  On the Closing  Date,  this Lease shall be
deemed and  construed  as an  absolute  assignment  for  purposes  of vesting in
Landlord (or Landlord's  designee) all of Tenant's right,  title and interest in
and to the  following  intangible  Property  which is now or  hereafter  used in
connection  with  the  operation  of the  Property  (the  "Intangibles")  and an
assumption by Landlord of Tenant's  obligations  under the Intangibles  from and
after the Closing Date;  provided that, from and after the Closing Date,  Tenant
shall indemnify,  defend and hold harmless Landlord against any claims,  losses,
costs or damages,  including  reasonable  attorneys' fees incurred or arising by
reason of Tenant's obligations under the Intangibles prior to the Closing Date:


                                       28


                  (a) service  contacts and equipment  leases for the benefit of
the Property to which  Tenant is a party,  and which can be  terminated  without
penalty by Tenant  within  sixty (60) or fewer  days'  notice or which  Landlord
requests be assigned to Landlord pursuant to this Article XXI;

                  (b) any provider  agreements  with  Medicare,  Medicaid or any
other third-party  payor programs  (excluding the right to any reimbursement for
periods prior to the Closing Date, as defined above) entered in connection  with
the Property to the extent assignable by Tenant;

                  (c) all existing  agreements with residents and any guarantors
thereof of the Property, to the extent assignable by Tenant (excluding the right
to any payments for periods  prior to the Closing  Date) and any and all patient
trust fund accounts; and

                  (d) at Landlord's  option, the business of Tenant as conducted
at the Property as a going concern, including but not limited to the name of the
business conducted thereon and all telephone numbers presently in use therein.

            21.2. Proration. Landlord shall be responsible for and shall pay all
accrued expenses with respect to the Property accruing on or after 12:01 a.m. on
the day of the  Closing  Date and shall be  entitled  to receive  and retain all
revenues from the Property accruing on or after the Closing Date. Within fifteen
(15)  business  days after the  Closing  Date,  the  following  adjustments  and
prorations shall be determined as of the Closing Date:

                  (a)  Real  estate  taxes,  ad  valorem  taxes,  school  taxes,
assessments  and personal  Property,  intangible  and use taxes,  if any. If the
information  as to  the  actual  amount  of  any  of  the  foregoing  taxes  and
assessments are not available for the tax year in which the Closing Date occurs,
the proration of such taxes shall be estimated based upon reasonable information
available  to the  parties,  including  information  disclosed  by the local tax
office or other public information,  and an adjustment shall be made when actual
figures are published or otherwise become available.


                                       29


                  (b) Tenant will  terminate the  employment of all employees on
the Closing Date and shall be and remain  liable for any and all wages,  accrued
vacation and sick leave pay for  employees  of the Property  with respect to the
period prior to and including the Closing Date.

                  (c)  Landlord  shall  receive  a credit  equal to any  advance
payments by patients at the  Property to the extent  attributable  to periods on
and after the Closing Date.

                  (d) The present  insurance  coverage on the Property  shall be
terminated  as of the Closing  Date and there shall be no proration of insurance
premiums.

                  (e) All other  income  from,  and  expenses  of, the  Property
(other than  mortgage  interest  and  principal),  including  but not limited to
public utility  charges and deposits,  maintenance  charges and service  charges
shall be prorated  between  Tenant and Landlord as of the Closing  Date.  Tenant
shall, if possible,  obtain final utility meter readings as of the Closing Date.
To the extent that  information for any such proration is not available,  Tenant
and  Landlord  shall  effect such  proration  within  ninety (90) days after the
Closing Date.

                  (f) Tenant  shall be and remain  responsible  for any employee
severance  pay and  accrued  benefits  which may be payable as the result of any
termination of an employee's employment on or prior to the Closing Date.

            21.3.  Possession.  All  necessary  arrangements  shall  be  made to
provide  possession of Leased Property to Landlord on the Closing Date, at which
time Tenant shall also deliver to Landlord all medical records,  patient records
and other personal information  concerning all patients residing at the Property
as of the  Closing  Date  and  other  relevant  records  used  or  developed  in
connection  with the  business  conducted  at the  Property.  Such  transfer and
delivery shall be in accordance with all applicable  laws, rules and regulations
concerning the transfer of medical records and other types of patient records.

            21.4.  Interim  Operation.  For the period commencing on the Closing
Date and  ending on the date  Landlord,  or its  designee,  obtains  any and all
appropriate state or other governmental licenses and certifications  required to
operate  the  Facility,  Tenant  hereby  agrees  that  Landlord,  or  Landlord's
designee,  shall have the right,  but not the obligation,  to manage and operate
the  Property,  on a triple net basis,  and shall be entitled to all revenues of
the Property during such period, and to use any and all licenses, certifications
and  provider  agreements  issued  to  Tenant  by any  federal,  state  or other
governmental  authority for such operation of the Property,  if permitted by any
such governmental  authorities.  If Landlord or its designee exercises the right
described  above in this Section 21.4, the provisions of this Section 21.4 shall
be self-operative and shall constitute a management agreement between Tenant, on
the one hand, and Landlord or its designee,  on the other hand, on the terms set
forth above in this Section  21.4  provided,  however,  that upon the request of
Landlord  or  its  designee,  Tenant  shall  enter  into a  separate  management
agreement  on the terms set forth in this  Section  21.4 and on such other terms
and provisions as may be specified by Landlord or its designee.


                                       30


            21.5.   Patient  Funds.   Tenant  shall  provide  Landlord  with  an
accounting  within  fifteen  (15)  days  after  the  Closing  Date of all  funds
belonging to patients at the  Property,  which are held by Tenant in a custodial
capacity.  Such  accounting  shall set forth the names of the  patients for whom
such  funds are held,  the  amounts  held on  behalf  of each such  patient  and
Tenant's   warranty  that  the   accounting  is  true,   correct  and  complete.
Additionally,  Tenant,  in accordance with all applicable rules and regulations,
shall make all necessary  arrangements  to transfer such funds to a bank account
designated by Landlord, and Landlord shall in writing acknowledge receipt of and
expressly assume all Tenant's  financial and custodial  obligations with respect
thereto.  Notwithstanding the foregoing,  Tenant will indemnify, defend and hold
Landlord harmless from all liabilities, claims and demands, including reasonable
attorney's  fees,  in the event the  amount of  funds,  if any,  transferred  to
Landlord's bank account as provided above,  did not represent the full amount of
the funds then or thereafter shown to have been delivered to Tenant as custodian
that remain  undisbursed for the benefit of the patient for whom such funds were
deposited,  or with  respect to any  matters  relating  to patient  funds  which
accrued prior to the Closing Date.

            21.6.  Cash  and  Cash  Equivalents.   All  cash,  checks  and  cash
equivalent  at the Property and  deposits in bank  accounts  (other than patient
trust  accounts)  relating  to the  Property on the  Closing  Date shall  remain
Tenant's  Property  after the  Closing  Date.  All  accounts  receivable,  loans
receivable and other  receivables of Tenant,  whether  derived from operation of
the Property or otherwise, shall remain the Property of Tenant after the Closing
Date.  Tenant  shall  retain full  responsibility  for the  collection  thereof.
Landlord shall assume  responsibility for the billing and collection of payments
on account of services rendered by it on and after the Closing Date. In order to
facilitate Tenant's  collection  efforts,  Tenant agrees to deliver to Landlord,
within a reasonable  time after the Closing Date, a schedule  identifying all of
those  private pay  balances  owing for the month prior to the Closing  Date and
Landlord agrees to apply any payments received which are specifically designated
as being applicable to services rendered prior to the Closing Date to reduce the
pre-Closing  Date balances of said patients by promptly  remitting said payments
to Tenant. Landlord shall retain all other payments received as being applicable
to services  rendered  after the Closing Date.  Landlord  shall  cooperate  with
Tenant in Tenant's collection of its pre-Closing accounts  receivable.  Landlord
shall have no liability for uncollectible receivables and shall not be obligated
to bear any expense as a result of such activities on behalf of Tenant. Landlord
shall remit to Tenant or its assignee those portions of any payments received by
Landlord which are specifically designated as repayment or reimbursement arising
out of cost reports filed for the cost  reporting  periods ending on or prior to
the Closing Date.


                                       31


            21.7.  Residents.  With  respect to residents at the Property on the
Closing Date, Landlord and Tenant agree as follows:

                  (a) With respect to Medicare and Medicaid residents,  Landlord
and Tenant agree payment for in-house  residents covered by Medicare or Medicaid
on the  Closing  Date will be made (on a per diem basis) by Medicare or Medicaid
under  current  regulations  directly  to Tenant for  services  rendered  at the
Property   prior  to  the  Closing  Date.   Said  payments  shall  be  the  sole
responsibility of Tenant and Landlord shall in no way be liable therefore. After
the  Closing  Date,  Landlord  and  Tenant  shall  each have the right to review
supporting books,  records and  documentation  that are in the possession of the
other relating to Medicaid or Medicare payments.

                  (b) If, following the Closing Date,  Landlord receives payment
from any  state or  federal  agency  or  third-party  provider  that  represents
reimbursement  with respect to services  provided at the  Property  prior to the
Closing Date,  Landlord  agrees that it shall remit such  payments to Tenant.  A
copy of the  appropriate  remittance  shall  accompany  payments  by Landlord to
Tenant.

            21.8. Additional Documents.  In addition to the obligations required
to be performed  hereunder by Tenant and Landlord on and after the Closing Date,
Tenant  and  Landlord  agree  to  perform  such  other  acts,  and  to  execute,
acknowledge,   and/or  deliver   subsequent  to  the  Closing  Date  such  other
instruments,  documents and materials,  as the other may  reasonably  request in
order to effectuate the consummation of the transaction contemplated herein.

            21.9.  Tenant  Indemnity.  Tenant for  itself,  its  successors  and
assigns  hereby  indemnifies  and  agrees to defend  and hold  Landlord  and its
successors and assigns harmless from any and all claims,  demands,  obligations,
losses,  liabilities,  damages, recoveries and deficiencies (including interest,
penalties and reasonable  attorney's fees, costs and expenses) which any of them
may suffer as a result of the breach by Tenant in the  performance of any of its
commitments, covenants or obligations under this Article XXI, or with respect to
any suits,  arbitration  proceedings,  administrative  actions or investigations
which  relate to the use by Tenant of the  Property  during  the Term or for any
liability  which may arise  from  operation  of the  Property  as an acute  care
hospital during the Term, including without limitation, any amounts due or to be
reimbursed  to any  governmental  authority  based  upon any  audit or review of
Tenant or of the Facility or the operation  thereof and pertaining to the period
prior to the Closing Date or any amounts  recaptured  under Title XIX based upon
applicable Medicaid/Medicare recapture regulations. The rights of Landlord under
this  paragraph  are without  prejudice to any other  remedies not  inconsistent
herewith which  Landlord may have against  Tenant  pursuant to the terms of this
Lease.  The foregoing  indemnity  shall survive the expiration or termination of
this Lease, whether due to lapse of time or otherwise.


                                       32


            21.10. Landlord Indemnity.  So long as the termination of this Lease
is not due to a default by Tenant hereunder, Landlord for itself, its successors
and  assigns  hereby  indemnifies  and agrees to defend and hold  Tenant and its
successors and assigns harmless from any and all claims,  demands,  obligations,
losses,  liabilities,  damages, recoveries and deficiencies (including interest,
penalties and reasonable  attorney's fees, costs and expenses) which any of them
may suffer as a result of the breach by  Landlord in the  performance  of any of
its  commitments,  covenants  or  obligations  under this  Article  XXI, or with
respect  to  any  suits,  arbitration  proceedings,  administrative  actions  or
investigations which relate to the use of the Property after the Term or for any
liability  which may arise  from  operation  of the  Property  as an acute  care
hospital  after the Term.  The rights of Tenant under this paragraph are without
prejudice to any other remedies not inconsistent  herewith which Tenant may have
against Landlord pursuant to the terms of this Lease or otherwise.

            21.11.  Offset  Rights.  Landlord  shall  have the  right to  offset
against any monies due Tenant  pursuant to the terms of this  Article  XXI,  any
amounts due by Tenant to Landlord pursuant to this Lease or due by Tenant to any
third  party,  including  without  limitation  any amounts  due for,  utilities,
insurance premiums, payroll obligations or any other obligation arising from the
Property.

            21.12. No Waiver. Anything to the contrary contained in this Article
XII  notwithstanding,  in the  event of  termination  of this  Lease is due to a
default by Tenant hereunder, none of the provisions of this Article shall in any
way limit, reduce, restrict or modify the rights granted to Landlord.

            21.13. Cooperation. Landlord and Tenant agree to cooperate with each
other in order to effectuate the terms and provisions of this Article XXI.


                                  ARTICLE XXII
                       LIMITATION OF LANDLORD'S LIABILITY


            22.1.  Limitation  of  Landlord's  Liability.  In the  event  of any
conveyance or other  divestiture of title to the Leased  Property the grantor or
the person who is divested of title shall be entirely  freed and relieved of all
covenants and obligations thereafter accruing hereunder,  and the grantee or the
person who  otherwise  succeeds  to title  shall be deemed to have  assumed  the
covenants and obligations of Landlord  thereafter  accruing  hereunder and shall
then be Landlord  under this  Lease.  Notwithstanding  anything to the  contrary
provided in this Lease,  if  Landlord or any  successor  in interest of Landlord
shall be an individual,  partnership,  limited liability  company,  corporation,
trust,  tenant in common or  mortgagee,  there shall be  absolutely no personal,
corporate or entity  liability on the part of such Landlord or any individual or
member of Landlord or any manager,  stockholder,  director,  officer,  employee,
partner  or  trustee  of  Landlord  with  respect  to the  terms,  covenants  or
conditions  of this  Lease,  and Tenant  shall look  solely to the  interest  of
Landlord in the Leased  Property for the  satisfaction  of each and every remedy
which  Tenant  may have for the  breach of this  Lease;  such  exculpation  from
personal,  corporate  or  entity  liability  to  be  absolute  and  without  any
exception, whatsoever.


                                       33


                                  ARTICLE XXIII
                            TENANT OPTION TO PURCHASE


      Upon the condition that Tenant has exercised  Tenant's  option to renew as
provided  in Section  1.2  hereof,  and  provided  that Tenant is not in default
hereunder, Tenant shall have the option to purchase the Hospital Properties upon
each and all of the following terms:

            (a)   Tenant gives to Landlord, and Landlord actually receives, on a
                  date  which is at least  six (6) and not  more  than  nine (9)
                  months  prior to  expiration  of the lease term as extended by
                  the exercise of the renewal  option.  If said  notification of
                  the exercise of this Option is not so given and received,  the
                  Option  shall  automatically  terminate  and be of no  further
                  force and effect.

            (b)   The Purchase  Price for the Hospital  Properties  shall be the
                  fair market value  thereof.  The parties  agree to meet within
                  thirty (30) days of the  exercise of notice of the exercise of
                  said option and  attempt to agree upon the fair market  price,
                  which if agreed upon shall  constitute the purchase  price. If
                  the  parties are unable to agree,  then each shall  appoint an
                  appraiser with not less than five (5) years  experience in the
                  valuation of hospital  properties,  the two  appraisers  shall
                  appoint a third  appraiser.  Each appraiser  shall  separately
                  appraise the Hospital  Properties.  The three appraisals shall
                  then be averaged,  the appraisal  which deviates the most from
                  the  average  shall  be  disregarded  and  the  remaining  two
                  appraisals and the average of the three  appraisals shall then
                  be averaged,  the  resulting  average shall be deemed the fair
                  market value and shall constitute the purchase price.

            (c)   The Hospital Properties shall be transferred in "As Is" "Where
                  Is"  condition  free of any liens  other than for real  estate
                  taxes and installments of special  assessments not yet due and
                  payable  and any other  lien  which is the  obligation  of the
                  Tenant under this Agreement.

            (d)   The closing date for the sale of the Hospital Properties shall
                  be the date of expiration of the lease term as extended by the
                  exercise of the option,  or such other date as the parties may
                  agree upon.

            (e)   Any dispute  with  respect to this option shall be resolved in
                  accordance with Section 20.22 hereof.


                                       34


                                    EXECUTION

      IN WITNESS THEREOF, Landlord and Tenant have executed this Lease in one or
more counterparts which, taken together, shall constitute one agreement.

                                    TENANT

                                    By:
                                         ---------------------------------------

                                    Its:
                                         ---------------------------------------


                                    LANDLORD

                                    By:
                                         ---------------------------------------

                                    Its:
                                         ---------------------------------------


                                       35


                                    EXHIBIT A

HOSPITAL PROPERTIES

Western Medical Center-Santa Ana
1001 North Tustin Avenue
Santa Ana, CA 92705

Western Medical Center-Anaheim
1025 South Anaheim Boulevard
Anaheim, CA 92805

Costal Communities Hospital
2701 South Bristol Street
Santa Ana, CA 92704

MEDICAL OFFICE BUILDING PROPERTIES

Hospital Department (WMCSA)
999 North Tustin Ave.
Santa Ana, CA 92705

Doctor's Hospital (Coastal)
1901 N. College Ave.
Santa Ana, CA 92706

Doctor's MOB (Coastal)
1901 N. College Ave.
Santa Ana, CA 92706


                                       36