Revenue growth was spreadacross the US other than a few marginally challenged markets such as SouthFlorida and Northern California. Fertility Center contribution margin increased to 7.3% in Q1 `09 compared to7.0% in Q1 `08, reflecting growing operating leverage. Q1 2009Q1 2008Change % Change Revenues:$36.3M $32.7M + $3.6M+11% Operating Income:$2.6M$2.3M+$0.3M +15% New Patient Visits:7,5546,765+789 +12% IVF Cycles:3,5333,141+412 +13%In addition to pursuing organic growth, IntegraMed continues to target theacquisition of one to two mid-sized fertility center contracts each year. TheCompany is currently in dialogue with various prospective centers and remainsconfident in its ability to acquire new centers to further augment its growth.Additionally, as referenced above, the Company is also evaluating the potentialfor larger-scale fertility center acquisitions, however there can be noassurance of the timing or outcome of this initiative. Consumer Services (Attain IVF Program)Consumer Services revenue grew 30% to $5.2 million in Q1 `09 versus Q1 `08.Contribution from the Consumer Services sector rose 42% from Q1 `08, reflectingboth revenue growth as well as an increase in contribution margin to 29% from26.6% in Q1` 08. The improved results reflect strong growth in enrollments andpregnancy success rates which were at the top end of the range in Q1 `09.

Thebenefit of a growing base of consumer services affiliates also contributed tothe year-over-year improvement. Applications for IntegraMed`s Attain IVF (invitro fertilization) Program (formerly known as the IntegraMed Shared RiskRefund Program) rose 14% while enrollments grew 19% in Q1 `09 versus Q1 `08.Q1 2009Q1 2008Change% Change Revenues:$5.2M$4.0M+$1.2M+30% Operating Income:$1.5M$1.1M+$0.4M+42% Applications:549481+68 +14% Enrollments: 253212+41 +19%The Attain IVF Program was pioneered by IntegraMed to help mitigate thefinancial risk associated with embarking on a series of IVF treatments byoffering patients refunds of 70% to 100% of their fees in the event theirtreatments do not result in a take home baby. The multiple treatment package andrefund provisions of this unique program have strong consumer appeal andrepresent an important competitive advantage for IntegraMed affiliated centers. IntegraMed provides its Attain IVF program through the Fertility Center Divisionas well as a network of 22 affiliate providers with 52 locations in 29 states.In addition to supporting the marketing and patient recruitment efforts of itsaffiliate providers, IntegraMed targets the addition of four new affiliates toits network during 2009. Vein Clinics (VCA)Q1 `09 revenues for IntegraMed`s Vein Clinics business grew 22.7% to $10.8million compared to $8.8 million in the year-ago quarter, reflecting improvingclinic performance as well as the benefit of new clinic openings over the pastyear. Contribution from the Vein Clinics segment increased to $0.8 million in Q1`09 from $0.3 million in Q1 `08, demonstrating the strong leverage this businessaffords.

Vein Clinics contribution margin expanded to 7% in Q1 `09 from 3.6% inQ1 `08. To date in 2009, IntegraMed has opened new vein clinics in Cincinnati andCleveland, marking the Company`s entry into the state of Ohio These additionsbring the total number of vein clinics to 34. IntegraMed continues to target theopening of five or six new VCA locations across the U.S. during 2009, howeverthis pace could be affected by recent challenges in physician recruitment. Toaddress this issue going forward, IntegraMed is assembling a physicianrecruitment task force to develop a strategy and plan to raise the profile ofthe VCA career opportunity to high-quality physicians across the US.Q1 2009Q1 2008Change% Change Revenues: $10.8M $8.8M+$2.0M+23% Operating Income: $0.8M$0.3M+$0.5M+134%New Consultations:3,1211,961+1,160+59% First Leg Starts: 1,5741,208+366+30%VCA has more than 25 years of experience in the vein care field, specializing inall aspects of vein disease. VCA uses minimally invasive techniques fordiagnosing and treating patients` chronic vein problems. All procedures areperformed in state-of-the-art facility, requiring no hospitalization or surgery,allowing patients to be back on their feet the same day.

Cash Flow and Balance SheetIntegraMed experienced a net decrease in cash of $4.2 million in Q1 `09 comparedto an $8.3 million cash decline in Q1 `08. The Q1 `09 decrease in cash was dueto the normal Q1 payout of year-end accruals and physician draw-downs ofundistributed 2008 annual earnings of nearly $3 million, tax payments of $2.6million, prepayments of marketing costs of $1.9 million and capital investmentsof $2.6 million. Cash and cash equivalents at March 31, 2009 were $24 millioncompared to$15.4 million a year ago and $28.3 million at December 31, 2008.IntegraMed expects to build cash from operations through the balance of theyear About IntegraMed America, Inc.IntegraMed America, Inc. is a leading provider of specialty health care servicesin emerging, technology-driven, niche segments of the health care market:currently the fertility and vein care segments.

IntegraMed supports its providernetworks with clinical and business information systems, marketing and sales,facilities and operations management, finance and accounting, human resources,legal services, risk management and quality assurance. IntegraMed also offerstreatment-financing programs for self-pay patients. IntegraMed is the leading provider of fertility services in the US through itsfertility network of 33 contracted centers with 109 locations in 13 states.Nearly one of every four IVF procedures in the U.S is performed in anIntegraMed fertility practice. The IntegraMed Vein Care network is the leadingprovider of varicose vein care services in the US and operates 34 centers in 13states, principally in the Midwest and Southeast. Please visit for investor background, a leading fertility portal or ,a leading vein care portal, for more information. Hlywak, Jr., 914-251-4143EVP and ORPhysicians:IntegraMed America, Inc.Scott Soifer, 914-251-4186EVP Administration, Strategy and ORMedia/Investors:Jaffoni & Collins IncorporatedNorberto Aja/David Collins, Copyright Business Wire 2009. According to NBC Sports, sources close to Phil Jackson are saying that LeBron James wants to be a Los Angeles Laker next year.”LeBron wants to win.