INTEGRATED HEALTHCARE HOLDINGS, INC.

                            STOCK PURCHASE AGREEMENT

      This  Stock  Purchase  Agreement  ("AGREEMENT")  is made  this 28th day of
January,  2005 (the  "EFFECTIVE  Date")  by and  between  INTEGRATED  HEALTHCARE
HOLDINGS,  INC., a Nevada corporation ("IHHI"), and The Orange County Physicians
Investment Network, LLC, a Nevada limited liability company) (the "PURCHASER").

                                R E C I T A L S:

      A. IHHI is a party to that certain Asset Sale  Agreement,  dated September
29, 2004 (the "TENET AGREEMENT"),  by and among IHHI and certain subsidiaries of
Tenet Healthcare Corporation (collectively, "TENET").

      B. In connection with the Tenet Agreement,  each of IHHI and Purchaser has
entered into various  financing  agreements  with Kali P.  Chaudhuri  M.D. ("DR.
CHAUDHURI"),  which agreements are being amended concurrently with the execution
of this Agreement.

      C. The parties now desire to terminate their respective  obligations under
that certain Purchase Option  Agreement,  dated November 16, 2004,  between IHHI
and Purchaser (the  "PURCHASE  OPTION  AGREEMENT"),  and instead enter into this
Agreement by which  Purchaser will invest an aggregate of $30,000,000  and other
consideration  through the  purchase of  108,000,000  shares of common  stock of
IHHI.

      NOW, THEREFORE,  in consideration of the promises and mutual covenants set
forth  herein,  and for other good and valuable  consideration,  the receipt and
sufficiency of which is hereby acknowledged, the parties agree as follows:

                                   ARTICLE I
                      PURCHASE OF SHARES; OTHER AGREEMENTS

      1.1  TERMINATION  OF  PURCHASE  OPTION  AGREEMENT.   The  Purchase  Option
Agreement,  dated  November 16, 2004,  between the parties is hereby  terminated
effective immediately, and shall be of no further force or effect.

      1.2 PAYMENTS BY PURCHASER. IHHI shall issue and sell to the Purchaser, and
the  Purchaser  agrees to purchase  from IHHI, an aggregate of One Hundred Eight
Million  (108,000,000)  shares of common stock,  $0.0001 par value per share, of
IHHI (the "SHARES"), for a total of Thirty Million Dollars ($30,000,000) and the
other  consideration  recited below.  The payments for the Shares shall occur as
follow:

                  (a) On or prior to  February 4, 2005,  Purchaser  shall pay an
      aggregate of $10,000,000 on behalf of IHHI by depositing  such amount with
      Tenet on behalf of the  Company  in  connection  with the Tenet  Agreement
      and/or by reimbursing  Dr.  Chaudhuri for his  $10,000,000 on deposit with
      Tenet  (upon which Dr.  Chaudhuri  will  assign to  Purchaser  or IHHI his
      rights to the deposit).


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                  (b) The payment may be provided from the following sources:

                    (i)  The $5,000,000  deposit made by Purchaser and currently
                         held in escrow under the Purchase Option Agreement; and

                    (ii) An   additional   deposit  of  $5,000,000  to  be  made
                         according to the terms of IHHI's escrow commitment with
                         Tenet, by February 4, 2005.

                  (c) Purchaser shall agree with Tenet to make up to $5,000,000,
      a "non-refundable" good faith deposit,  which amount shall be forfeited in
      the event  that IHHI  fails to obtain  its acute  care  licenses  from the
      Department  of Health  Services (the  "LICENSES")  by the date required by
      Tenet.  In the event the licenses are not approved by Department of Health
      Services or if IHHI fails to meet the licensing  deadline agreed to by the
      parties,  IHHI will  refund to  Purchaser  any  remaining  portion  of the
      deposit returned to it from escrow.

                  (d) The  Purchaser  shall  enter into and  satisfy  all of its
      obligations  under  the  Rescission  Agreement,   including  the  "General
      Continuing Guaranty" contemplated thereby.

                  (e) No later than six (6) calendar  days before the closing of
      the transactions under the Tenet Agreement  (currently  contemplated to be
      February  28,  2005 or  another  date  agreed to by Tenet and  IHHI),  the
      Purchaser  shall deliver to IHHI one or more wire transfers of immediately
      available  funds (or such other form of  payment as may be  acceptable  to
      IHHI) totaling $20,000,000.

      1.3 ISSUANCES OF STOCK TO PURCHASER.

                  (a) Upon  satisfactory  completion of Purchaser's  obligations
      under  Sections  1.2(b)(i)  herein,   IHHI  shall  issue  to  Purchaser  a
      certificate  for  90,700,000  Shares (as  adjusted  for any stock  splits,
      dividends, combinations or the like). An additional 6,500,000 shares shall
      be  issued  to  Hari  S.  Lal/and/or  the  Lal  law  Firm,  for  the  same
      consideration.

                  (b) If the  Licenses  are  issued  and  the  remainder  of the
      $10,000,000 deposit with Tenet becomes non-refundable, IHHI shall issue to
      Purchaser a certificate  for an additional  5,400,000  Shares (as adjusted
      for any stock splits, dividends, combinations or the like).

                  (c) Upon  receipt  of the  $20,000,000  under  Section  1.2(e)
      herein,  IHHI shall issue to  Purchaser a  certificate  for an  additional
      5,400,000   Shares  (as   adjusted  for  any  stock   splits,   dividends,
      combinations or the like).

                  (d) IHHI AGREEMENTS WITH DR.  CHAUDHURI.  Purchaser  agrees to
      honor the terms of all agreements executed between IHHI and Dr. Chaudhuri.
      IHHI shall provide to Purchaser copies of all such documents promptly.


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                                   ARTICLE II
                          REPRESENTATIONS OF PURCHASER

      The Purchaser hereby makes the following representations and warranties to
IHHI, upon which representations and warranties IHHI has relied in entering into
this Agreement

      2.1  AUTHORIZATION  AND POWER.  The Purchaser has the requisite  power and
authority  to enter into and perform this  Agreement  and to purchase the Shares
being sold hereunder. The execution,  delivery and performance of this Agreement
by Purchaser shall constitute the valid and binding obligations of the Purchaser
enforceable against the Purchaser in accordance with their terms.

      2.2 PURCHASE FOR OWN ACCOUNT. The Purchaser is acquiring the Shares solely
for investment for  Purchaser's  own account not as a nominee or agent,  and not
with a view to the  resale or  distribution  of any part  thereof,  and that the
Purchaser has no present intention of selling, granting any participation in, or
otherwise  distributing the same. The acquisition by the Purchaser of any of the
Shares shall constitute confirmation of the representation by the Purchaser that
the Purchaser does not have any contract, undertaking,  agreement or arrangement
with any person to sell,  transfer or grant  participations to such person or to
any third person, with respect to any of the Shares.

      2.3 FINANCIAL RISKS; DISCLOSURE OF INFORMATION. The Purchaser acknowledges
that it is able to bear the financial risks associated with an investment in the
Shares.  The  Purchaser  has  received  all the  information  that it  considers
necessary or  appropriate  (to the best of  Purchaser's  knowledge) for deciding
whether to acquire the Shares.  The Purchaser further represents that it has had
an opportunity to ask questions and receive  answers from the Company  regarding
the terms  and  conditions  of the  offering  of the  Shares  and the  business,
properties,  prospects and financial condition of the Company.  The Purchaser is
capable of  evaluating  the risks and merits of an  investment  in the Shares by
virtue of its  experience  and that of its advisors as investors in  securities,
and their knowledge,  experience,  and  sophistication in financial and business
matters.

      2.4  ACCREDITED  INVESTOR.  The Purchaser is an  "accredited  investor" as
defined in Regulation D promulgated under the Shares Act of 1933, as amended.

      2.5  CALIFORNIA  RESIDENT.  The  Purchaser is a bona fide  resident of, is
domiciled  in and  received  the  offer and made the  decision  to invest in the
Shares in the State of California.

      2.6  LIMITATIONS ON  DISPOSITION;  LEGEND.  The Purchaser  understands and
agrees that the Shares may not be sold except in accordance with applicable law.
The  certificates  evidencing  the Shares may bear  substantially  the following
legend:

      "These  securities have not been registered  under the Shares Act of 1933,
      as  amended.   They  may  not  be  sold,  offered  for  sale,  pledged  or
      hypothecated  in the absence of a  registration  statement  in effect with
      respect  to the  securities  under  such  Act  or an  opinion  of  counsel
      satisfactory  to the Company  that such  registration  is not  required or
      unless sold pursuant to Rule 144 of such Act."


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      2.7 RELIANCE.  The Purchaser  understands  and agrees that IHHI is relying
upon the truth and  accuracy  of the  representations,  warranties,  agreements,
acknowledgments and understandings of the Purchaser set forth herein in order to
determine the suitability of the Purchaser to acquire the Shares.

                                   ARTICLE III
                                  MISCELLANEOUS

      3.1 CONDITIONS  PRECEDENT.  This Agreement is expressly  conditioned  upon
Tenet's  written   acceptance  of  the  restructuring  of  the  Tenet  Agreement
contemplated in the Rescission Agreement and this Agreement.

      3.2  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.

      3.3  ASSIGNMENT.  The  parties may not assign any  interest or  obligation
under this  Agreement  without the other party's prior written  consent,  except
that the  Purchaser  may  assign  this  Agreement  to Orange  County  Physicians
Investment  Network,  LLC.  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.

      3.4  DISPUTE  RESOLUTION.  In the event of any  dispute  arising out of or
relating to this  Agreement,  then 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.

      3.5 ENTIRE  AGREEMENT.  This  Agreement  is 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, signed and attached to this Agreement.

      3.6 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  which would require the  application  of the laws of any other
jurisdiction.

      3.7  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.

      3.8 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.


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

          IF TO PURCHASER, ADDRESSED TO:
          Anil V. Shah, M.D.
          2621 South Bristol Street, #108
          Santa Ana, California 92704

      3.10 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.

      3.11 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.

      3.12  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 applicable securities laws.
Purchaser acknowledges that IHHI may be required to file publicly this Agreement
as it is a public company.

      3.13  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.

                         [Remainder of page left blank]


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

                                        IHHI

                                        Integrated Healthcare Holdings, Inc.,
                                        a Nevada corporation


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



                                        PURCHASER

                                        /s/ Anil V. Shah, M.D.
                                        ----------------------------------------
                                        Anil V. Shah, M.D.

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