SCHEDULE 14A
                                 (RULE 14A-101)
                     INFORMATION REQUIRED IN PROXY STATEMENT

                            SCHEDULE 14A INFORMATION
                    PROXY STATEMENT PURSUANT TO SECTION 14(A)
                     OF THE SECURITIES EXCHANGE ACT OF 1934

Filed by the Registrant [X]
Filed by a party other than the Registrant [  ]

Check the appropriate box:
--------------------------------

         [X] Preliminary  proxy  statement
         [ ] Definitive  proxy  statement
         [ ] Definitive additional materials
         [ ] Soliciting material pursuant to Rule 14a-12

                   [ ] Confidential, For Use of the Commission
                       Only (as permitted by Rule 14a-6(e)(2))

                            IntegraMed America, Inc.
               ---------------------------------------------------
                (Name of Registrant as Specified in Its Charter)

    ------------------------------------------------------------------------
    (Name of Person(s) Filing Proxy Statement, if Other Than the Registrant)

Payment of filing fee (Check the appropriate box):

[X]      No fee required.

[ ]     Fee computed on table below per Exchange Act Rules 14a-6(i)(1) and 0-11.

         (1) Title of each class of securities to which transaction applies:

         (2) Aggregate number of securities to which transaction applies:

         (3)   Per unit price or other underlying value of transaction  computed
               pursuant to Exchange Act Rule 0-11 (set forth the amount on which
               the filing fee is calculated and state how it was determined):

         (4) Proposed maximum aggregate value of transaction:

         (5) Total fee paid:

[ ]     Fee paid previously with preliminary materials.

[ ]     Check box if any part of the fee is offset as  provided  by  Exchange
        Act Rule  0-11(a)(2)  and identify the filing for which the  offsetting
        fee was paid  previously.  Identify the previous filing by registration
        statement number, or the form or schedule and the date of its filing.

         (1) Amount previously paid:

         (2) Form, schedule or registration statement no.:

         (3) Filing party:

         (4) Date filed:  April 2, 2004







April 16, 2004






Dear Stockholder:

It is my pleasure to invite you to attend the 2004 Annual Meeting of
Stockholders of IntegraMed America, Inc. The meeting will be held at 10:00 a.m.
(local time) on Tuesday, May 18, 2004, at the Company's corporate offices at Two
Manhattanville Road, 3rd Floor, Purchase, New York.

The following pages contain the formal Notice of Annual Meeting of Stockholders
and the Proxy Statement. Please review this material for information concerning
the business to be conducted at the meeting, which is the election of five
directors for a term of one year and the approval, and ratification, of an
amendment to the Company's Certificate of Incorporation. You will also have the
opportunity to hear what has happened in our business in the past year and to
ask questions. You will find detailed information about IntegraMed America, Inc.
in the enclosed 2003 Annual Report to Stockholders.

We hope you can join us on May 18, 2004. Whether or not you can attend, please
read the enclosed Proxy Statement. When you have done so, please mark your votes
on the enclosed Proxy, sign and date the Proxy, and return it in the enclosed
envelope. Your vote is important to the Company, so please return your Proxy
promptly.

Sincerely,

/s/Gerardo Canet
   ----------------------------------
   Gerardo Canet
   President & Chief Executive Officer






                            INTEGRAMED AMERICA, INC.
                             Two Manhattanville Road
                            Purchase, New York 10577



                    NOTICE OF ANNUAL MEETING OF STOCKHOLDERS
                             To be held May 18, 2004





To the Stockholders:


         Notice is hereby given that the Annual Meeting of the Stockholders of
IntegraMed America, Inc. (the "Company") will be held on May 18, 2004, 10:00
a.m. local time, at the Company's headquarters, Two Manhattanville Road, 3rd
Floor, Purchase, New York 10577. The meeting is called for the following
purposes:

         1.   To elect five directors for a term of one year;

         2.   To  consider  and  vote  upon  an   amendment  to  the   Company's
              Certificate  of  Incorporation   reducing  the  number  of  shares
              authorized from 50,000,000 to 15,000,000;

         3.   To transact  such other  business as may properly  come before the
              meeting or any adjournment or adjournments thereof.

         Only stockholders of record at the close of business on March 26, 2004
are entitled to notice of, and to vote at, the meeting.

         All stockholders are cordially invited to attend the meeting. However,
to assure your representation at the meeting, you are urged to mark, sign, date
and return the enclosed proxy card as promptly as possible in the
postage-prepaid envelope enclosed for that purpose. Any stockholder attending
the meeting may vote in person even if the stockholder has returned the proxy
card.

                                            By Order of the Board of Directors,

                                            Claude E. White
                                            Secretary

April 16, 2004





                            INTEGRAMED AMERICA, INC.
                             Two Manhattanville Road
                            Purchase, New York 10577
                                  914-253-8000

                     --------------------------------------
                                 PROXY STATEMENT
                     --------------------------------------

                     For the Annual Meeting of Stockholders
                       To Be Held on Tuesday, May 18, 2004


Solicitation of Proxy

         This Proxy Statement is furnished to stockholders of IntegraMed
America, Inc. (the "Company") in connection with the solicitation by the
Company's Board of Directors of proxies for use at the Annual Meeting of
Stockholders of the Company to be held in Purchase, New York, on Tuesday, May
18, 2004 at 10:00 a.m., and any adjournments of the meeting ("Annual Meeting").

Mailing Date

         The Annual Report of the Company for 2003, including financial
statements, the NOTICE OF ANNUAL MEETING OF STOCKHOLDERS, this Proxy Statement,
and the proxy card are being mailed to stockholders on or about April 16, 2004.

Who can vote -- Record Date

         The record date for determining stockholders entitled to notice of and
to vote at the Annual Meeting is March 26, 2004. Each of the 3,488,162 shares of
Common Stock, par value $.01 per share (the "Common Stock"), of the Company
issued and outstanding on the record date is entitled to one vote at the
meeting.

How to vote -- Proxy Instructions

         You can vote your shares by mailing in your proxy card. Stockholders
who hold their shares in "street name" must vote their shares in the manner
prescribed by their brokers.

         In voting, on the Directors, you may specify whether your shares should
be voted for all, some, or none of the nominees for director (Proposal 1 on the
proxy card).

         If you do not specify on your proxy card how you want to vote your
shares, we will vote them "FOR" the election of all nominees for director as set
forth under "Election of Directors" (Proposal 1).

         In voting on the amendment to the Company's Certificate of
Incorporation (the "Certificate") reducing the Company's authorized shares from
50,000,000 to 15,000,000, you may specify whether your shares should be voted
for or against the amendment or you may abstain (Proposal 2 on the proxy card).

         If you do not specify on your proxy card how you want to vote your
shares, we will vote them "FOR" the amendment to the Certificate (Proposal 2).








 Revocation of Proxies

         You may revoke your Proxy at any time before it is exercised in any of
three ways:

         (1)  by  submitting  written  notice  of  revocation  to the  Company's
              Secretary, which must be received prior to the Annual Meeting;

         (2)  by  submitting a new Proxy by mail that is dated later in time and
              properly signed; or

         (3)  by voting in person at the meeting.

Quorum

         A quorum of stockholders is necessary to hold a valid meeting. A quorum
will exist if the holders of a majority of the votes entitled to be cast by the
stockholders at the Annual Meeting are present, in person or by proxy. Broker
"non-votes" and abstentions are counted as present at the Annual Meeting for
purposes of determining whether a quorum exists. However, with respect to
proposals, which require the affirmative vote of a percentage of shares present
at the Annual Meeting and entitled to vote on such proposal for approval, such
broker "non-votes" will be treated as not present for purposes of determining
the outcome of any such matter. With respect to proposals, which require the
affirmative vote of a percentage of the outstanding shares for approval, since
such broker "non-votes" are not cast "FOR" a particular matter, they will have
the same effect as negative votes or votes cast "AGAINST" such proposals. A
broker "non-vote" occurs when a nominee holding shares for a beneficial owner
does not vote on a particular proposal because the nominee does not have
discretionary voting power for that particular item and has not received
instructions from the beneficial owner.

Required Vote

         Election of Directors: Persons receiving a plurality of the voted
shares present in person or represented by proxy at the Annual Meeting will be
elected directors, meaning the individuals receiving the greatest number of
votes will be elected to serve as directors. Shares not voted (whether
abstention, broker "non-votes" or otherwise) have no effect on the election. If
any nominee is unable or declines to serve, proxies will be voted for the
balance of those named and such person as shall be designated by the Board to
replace any such nominee. However, the Board does not anticipate that this will
occur.

         Approval of the amendment to the Certificate: The affirmative vote of a
majority of the shares of Common Stock outstanding and entitled to vote is
necessary to approve and ratify the amendment to the Certificate. Since broker
"non-votes" and abstentions are not cast "FOR" such amendment, they will have
the same effect as negative votes or votes cast "AGAINST" such proposal.

Other Business

         The Company does not intend to bring any business before the meeting
other than that set forth in the Notice of Annual Meeting and described in this
Proxy Statement. However, if any other business should properly come before the
meeting, the persons named in the enclosed proxy card intend to vote in
accordance with their best judgment on such business and any matters dealing
with the conduct of the meeting pursuant to the discretionary authority granted
by your proxy.




                                       2




                               SECURITY OWNERSHIP


         The following table sets forth, as of March 26, 2004, certain
information concerning the stock ownership of all persons known by the Company
to own beneficially 5% or more of the shares of Common Stock, and each director,
and each executive officer named under "Executive Compensation", and all
directors and executive officers of the Company as a group.

                                                 Shares of
                                               Common Stock         Percent of
                                               Beneficially        Common Stock
Beneficial Owners                                Owned (1)          Outstanding
-----------------                              ------------        ------------


Gruber & McBaine Capital Management, LLC......   588,750 (2)           16.9%
50 Osgood Place
San Francisco, CA 94133-4622

IAT Reinsurance Company Ltd...................   403,188(3)            11.7%
120 Broadway
New York, New York 10271

Wilshire Insurance Company....................   300,000(4)             8.6%
c/o Spear Leeds & Kellogg
120 Broadway, 6th Floor
New York, NY 10271



Officer and Director Stock Ownership

Gerardo Canet.................................   203,834(5)             6.7%
Peter Cucchiara...............................    14,860(5)             *
Jay Higham....................................    37,502(5)             1.1%
John W. Hlywak, Jr............................    60,750(5)             1.8%
Donald S. Wood, Ph.D..........................    48,100(5)             1.4%

Michael J. Levy, M.D..........................    52,667(5)             1.5%
Sarason D. Liebler............................    46,962(5)             1.4%
Aaron S. Lifchez, M.D.........................    76,441(5)             2.2%
Wayne R. Moon.................................    11,350(5)             *
Lawrence J. Stuesser..........................    40,850(5)             1.2%
Elizabeth E. Tallett..........................    27,350(5)             *

ALL EXECUTIVE OFFICERS AND DIRECTORS
    AS A GROUP (14 persons)...................   630,530(5)            18.1%
--------------

* Represents less than 1% of outstanding shares of Common Stock.

(1)   For the purposes of this Proxy Statement, beneficial ownership is defined
      in accordance with the rules of the Securities and Exchange Commission
      (the "Commission") and generally means the power to vote and/or to dispose
      of the securities regardless of any economic interest therein.

(2)   Includes 505,525 shares of Common Stock held by accounts managed by Gruber
      and McBaine Capital Management, LLC. (the "LLC"), for which the LLC has
      shared voting and dispositive powers pursuant to various investment
      management agreements, and 48,225 and 35,000 shares held by Jon D. Gruber
      and J. Patterson McBaine, respectively. Mr. Gruber and Mr. McBaine are
      managers of the LLC and Eric B. Swergold. The 505,525 shares of Common
      Stock includes 240,550 shares for which Lagunitas Partners, an investment
      limited partnership of which the LLC is the general partner, has shared
      voting and dispositive powers.

(3)   Includes 100 shares held by Mr. Peter R. Kellogg based on a Schedule 13G
      filed jointly by IAT Reinsurance Company Ltd. ("IAT") and Mr. Kellogg on
      February 20, 2004. According to the Schedule 13G, Mr. Kellogg has sole
      dispositive and voting power with respect to the Company shares owned by
      IAT and its subsidiaries. Mr. Kellogg disclaims beneficial ownership of
      the 403,088 shares owned by IAT and its subsidiaries

(4)   Represents  shares of Common Stock identified by the Company from Security
      Position Lists maintained by ADP Proxy Services.

                                       3

(5)   Includes currently exercisable options to purchase Common Stock, including
      options exercisable within 60 days of March 26, 2004, as follows: Gerardo
      Canet -- 169,002; Peter Cucchiara -- 10,000; Jay Higham -- 13,750; John
      Hlywak -- 13,750; Donald S. Wood -- 32,500; Michael Levy -- 20,500;
      Sarason Liebler -- 35,000; Aaron Lifchez -- 20,500; Wayne R. Moon --
      5,000; Lawrence Stuesser -- 25,000; and Elizabeth Tallett -- 19,000. As to
      "All Executive Officers and Directors as a Group, the 630,530 shares
      includes an aggregate of 9,864 shares beneficially owned by executive
      officers not named above.The address for each of these individuals is c/o
      IntegraMed America, Inc., Two Manhattanville Road, Purchase, New York
      10577.


PROPOSAL 1

                  ELECTION OF DIRECTORS FOR A TERM OF ONE YEAR

         Dr. Aaron S.  Lifchez and Dr.  Michael J. Levy will not be standing for
re-election  to the Board of  Directors at the Annual  Meeting.  Pursuant to the
Board of Director's authority under the Company's By-Laws, the Board amended the
Company's  By-laws in February  2004 to decrease  the number of directors on the
Board of Directors from seven to five.  Therefore,  at the Annual Meeting,  five
directors  will be elected by the  stockholders  to serve  until the next annual
meeting of stockholders or until their successors are elected and shall qualify.
Each of the  nominees  is  currently  a director  of the  Company.  The Board of
Directors recommends that the persons named below be elected as directors of the
Company  and it is  intended  that your proxy will be voted for the  election as
directors of the five persons named below,  unless your proxy contains  contrary
instructions. The Company has no reason to believe that any of the nominees will
not be a candidate  or will be unable to serve.  However,  in the event that any
nominee  should  become  unable or unwilling to serve as a director,  your proxy
will be voted for the election of such person or persons as shall be  designated
by the Board of Directors.

         The following sets forth the names and ages of the five nominees for
election to the Board of Directors, their respective principal occupations or
employments during the past five years and the period during which each has
served as a director of the Company.

         GERARDO CANET (58) became President, Chief Executive Officer and a
director of the Company effective February 14, 1994 and served as the Chairman
of the Board from April 19, 1994 to March 7, 2000. For approximately five years
prior to joining the Company, Mr. Canet held various executive management
positions with Curative Health Services, Inc., the last of which was as
Executive Vice President and President of its Wound Care Business Unit. Mr.
Canet has been a director of Dendreon Corporation since December 1996. Mr. Canet
earned a B.A. in Economics from Tufts University and an M.B.A. from Suffolk
University.

        SARASON D. LIEBLER (67) became a director of the Company in August 1994.
Mr. Liebler is President of SDL Consultants, a privately-owned consulting firm
engaged in rendering general business advice. During the past 20 years, Mr.
Liebler was a director and/or officer of a number of companies in the fields of
home health care, clinical diagnostics, high density optical storage and
sporting goods. Mr. Liebler is a graduate of the United States Naval Academy
with a B.S. in Engineering.

        WAYNE R. MOON (64) became a director of the Company in May 2001. Mr.
Moon joined Kaiser Foundation Health Plan, Inc. in 1970 and was subsequently
elected President, Chief Operating Officer and Director. In September 1993, Mr.
Moon was appointed President and Chief Executive Officer of Blue Shield of
California and a member of its Board of Directors and, later, Chairman. Mr. Moon
retired from Blue Shield in January 2000. He currently serves as Executive
Chairman of the Board of RelayHealth, Inc. He serves on various corporate,
professional and civic boards, including Varian, Inc. and the California State
Automobile Association. Mr. Moon earned a B.B.A. and a Masters in Hospital
Administration from the University of Michigan.

        LAWRENCE J. STUESSER (62) became a director of the Company in April
1994. Since June 1999, Mr. Stuesser has been a private investor. From June 1996
to May, 1999, Mr. Stuesser was the President and Chief Executive Officer and a
director of Computer People Inc., the U.S. subsidiary of London-based Delphi
Group plc., of which he was also a director. Mr. Stuesser was a director of
Curative Health Services, Inc. from July 1993 to May 2000 and has been a
director of American Retirement Corporation since May 1997. He is also a
director of several private companies. Early in his career, Mr. Stuesser
qualified as a certified public accountant and served as an audit manager with
Alexander Grant & Company, an accounting firm. Mr. Stuesser holds a B.B.A. in
accounting from St. Mary's University.

                                       4


        ELIZABETH E. TALLETT (55) became a director of the Company in June 1998.
Since July 2002, Ms. Tallett has been a Principal of Hunter Partners, LLC, which
provides  management  services  to  developing  life  sciences  companies.  From
November 2000 until January 2003,  Ms.  Tallett was Chief  Executive  Officer of
Marshall Pharmaceuticals,  Inc., a specialty pharmaceutical company. Ms. Tallett
held the position of President and Chief Executive  Officer of Dioscor,  Inc., a
biopharmaceutical company, from 1996 until July 2003. Ms. Tallett was President
and Chief Executive Officer of Ellard  Pharmaceuticals,  Inc. and Galenor, Inc.,
both  biopharmaceutical   companies,  from  1997  to  2000  and  1999  to  2000,
respectively.  Ms. Tallett is a director of The Principal Financial Group, Inc.,
Varian Semiconductor Associates,  Inc., Varian, Inc., Coventry Health Care, Inc.
and Immunicon,  Inc. She is a founding board member of the Biotechnology Council
of New Jersey. Ms. Tallett graduated from Nottingham University with a degree in
mathematics and economics.

        The Board of Directors recommends a vote "FOR" each nominee listed
above, and your proxy will be voted in accordance with the choice specified
thereon, or, if no choice is properly indicated, in favor of the nominees listed
above.

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

        The Board of Directors has determined that Messrs. Moon and Stuesser and
Ms. Tallet are independent directors in accordance with Rule 4200(a)(15) of the
National Association Securities Dealers ("NASD") listing standards because none
of them is believed to have any relationships that, in the opinion of the Board
of Directors, would interfere with the exercise of independent judgment in
carrying out their responsibilities as a director. Mr. Canet is precluded from
being deemed independent under the NASD listing standards because he currently
serves as an executive officer of the Company and Mr. Liebler is precluded from
being deemed independent under the NASD listing standards because he received
compensation other than director fees from the Company in excess of $60,000
during the previous three (3) years.

        Directors are elected by the Company's stockholders at each annual
meeting or, in the case of a vacancy, are appointed by the directors then in
office, to serve until the next annual meeting of stockholders or until their
successors are elected and qualified. Officers are appointed by and serve at the
discretion of the Board of Directors.

        During 2003, the Board of Directors held 5 meetings, and took action by
written consent twice during 2003. Each director attended at least 75% of the
aggregate of all meetings of (i) the Board of Directors and (ii) the committees
thereof on which each director served during 2003.

        Stockholders may communicate directly with the directors. All
communications should be sent in care of the Secretary of the Company at the
Company's address and should prominently indicate on the outside of the envelope
that it is intended for the Board of Directors, for non-employee directors or a
particular committee of the directors. If no director is specified, the
communication will be forwarded to the entire Board.

        The Company does not have a policy requiring the directors to attend
stockholders meetings; however, all of our directors attended the 2003 annual
meeting. It is expected that all of our directors will attend the 2004 Annual
Meeting.


                             COMMITTEES OF THE BOARD

        The Board of Directors maintains three standing Committees: Audit
Committee, Compensation Committee, and Nominating and Governance Committee whose
members are set forth below. Prior to February 2004, the Company maintained an
Executive Committee consisting of Messrs. Canet, as Chairman, and Liebler and
Drs. Levy and Lifchez. The Executive Committee held one meeting in 2003.

           AUDIT                   COMPENSATION       NOMINATING AND GOVERNANCE
           -----                   ------------       -------------------------

       Wayne R. Moon              Wayne R. Moon             Wayne R. Moon*
   Lawrence J. Stuesser*       Lawrence J. Stuesser      Lawrence J. Stuesser
    Elizabeth E. Tallett      Elizabeth E. Tallett*      Elizabeth E. Tallett

        *Committee Chairperson

                                       5


AUDIT COMMITTEE

        The Audit Committee is charged by the Board of Directors to (i) study,
review and evaluate the Company's accounting, auditing and financial reporting
practices, including the internal controls and audit functions, (ii) assess the
Company's compliance with legal and regulatory requirements, and (iii) select
the independent auditors and review their qualifications, independence and
performance, while being the focal point for communications between the Board of
Directors, management and the independent auditors. More specifically, the Audit
Committee pre-approves all audit and non-audit services to be performed by the
independent auditors, reviews the scope and results of the audit of the
Company's financial statements, reviews financial statements and periodic
filings with the Commission, and discusses the same with management

         Each Audit  Committee  member meets the  independence  standards of The
Nasdaq Stock Market, Inc. The Board of Directors has determined that in addition
to being independent,  Mr. Stuesser is an "audit committee  financial expert" as
such term is defined in Item 401 of  Regulation  S-K of the  Exchange  Act.  The
Board of Directors has adopted a written charter for the Audit Committee, a copy
of which,  as amended and restated as of February 26, 2003,  was appended to the
Company's  2003 Proxy  Statement  as Appendix A. The Audit  Committee  held five
meetings in 2003.

COMPENSATION COMMITTEE

        The Compensation Committee, under a delegation of authority from the
Board of Directors, reviews and makes decisions with respect to salaries, wages,
bonuses, equity awards and other benefits and incentives for executive officers
of the Company. The Compensation Committee also administers all compensation
programs for executive management of the Company. The Compensation Committee
held four meetings in 2003.


Compensation Committee Interlocks and Insider Participation

         For 2003 the members of the Compensation Committee were Messrs.
Stuesser (Chairman) and Moon, and Ms. Tallett. None of these individuals has
ever been an officer or employee of the Company or any of its subsidiaries. For
2003, no executive officer of the Company served on the Compensation Committee
or Board of Directors of any other entity, which had any executive officer who
also served on the Compensation Committee or Board of Directors of the Company.

NOMINATING AND GOVERNANCE COMMITTEE

        The Board of Directors established a Nominating and Governance Committee
in February 2004 consisting of independent directors as defined by NASDAQ rules.
The primary purpose of the Committee is to provide oversight on the broad range
of issues surrounding the composition and operation of the Board of Directors,
including identifying individuals qualified to become Board members,
recommending to the Board director nominees for the next annual meeting of
stockholders, and recommending to the Board a set of corporate governance
principles applicable to the Company. The Committee also provides assistance to
the Board and the Board Chairman in the areas of Committee selection and
rotation practices, evaluation of the overall effectiveness of the Board and
management, and review and consideration of developments in corporate governance
practices. The Committee's goal is to assure that the composition, practices,
and operation of the Board contribute to value creation and effective
representation of the Company stockholders.

        The Nominating and Governance Committee will consider candidates for
board membership whose qualifications, including business experience and skills,
lend themselves to advancing the Company's best interests. There are no minimum
qualifications that the Committee looks for. Stockholders may recommend
candidates for consideration by the Nominating and Governance Committee by
writing to the Chairperson of the Nominating Committee, c/o IntegraMed America,
Inc. 2 Manhattanville Road, Purchase, New York 10577. Such recommendations for
the 2005 annual meeting of stockholders must be received by the Company between
January 18, 2005 and February 18, 2005. The Nominating and Governance
Committee's process for identifying and evaluating nominees for director,
including nominees recommended by stockholders, includes background and
reference checks, together with personal interviews.

                                       6


        Each Nominating and Governance Committee member meets the independence
standards of the Nasdaq Stock Market, Inc.

        The Nominating and Governance Committee has a charter, a copy of which
is available to stockholders at the Company's website http://www.integramed.com
under the Investors' Relation Section thereof.


                              DIRECTOR COMPENSATION

        In 2003 directors of the Company were paid an annual retainer of
$10,000, a fee of $1,000 for each regularly scheduled meeting of the Board
attended, $2,500 per year for membership on each committee of the Board, and
were reimbursed for expenses actually incurred in attending meetings.
Additionally, directors were granted, as part compensation for services
rendered, 3,350 shares of Common Stock, with a market value of $16,582.50 based
on the closing price per share of the Company's Common Stock on the date of the
grant. Directors who are also executive officers are not compensated for their
services as directors.

         The following chart sets forth fees paid for 2003 for non-employee
directors serving on the Board of Directors

  ---------------------    ----------      ---------------      -----------
                                           BOARD/COMMITTEE       COMMITTEE
        DIRECTOR            RETAINER       ATTENDANCE FEE       MEMBERSHIPS
  ---------------------    ----------      ---------------      -----------

  Michael J. Levy, M.D.     $10,000           $5,000 (1)          $2,500

  Aaron S. Lifchez, M.D.    $11,500 (2)       $7,000 (1)          $2,500

  Sarason D. Liebler        $10,000           $7,000 (1)          $2,500

  Wayne R. Moon             $10,000           $4,000              $5,000

  Elizabeth E. Tallett      $10,000           $5,000              $6,500 (3)

  Lawrence J. Stuesser      $10,000           $4,000              $6,500 (3)


(1)    Each of Drs.  Levy and  Lifchez  and Mr.  Liebler  were  paid  $2,000  in
       connection  with attendance at an Executive  Committee  meeting held on a
       day other than a board meeting day.
(2)    Dr.  Lifchez is paid an  additional  $1,500 as  Chairman  of the Board of
       Directors.
(3)    Each of Ms.  Tallett and Mr.  Stuesser is paid an  additional  $1,500 for
       their role as Chairpersons  of the Audit  Committee and the  Compensation
       Committee,  respectively.  Mr. Moon will receive an additional  $1,500 in
       2004  for his role as  Chairperson  of the  Nominating  and  Governance
       Committee.

        SDL Consultants, a company owned by Sarason D. Liebler, who became a
director of the Company in August 1994, rendered consulting services to the
Company for aggregate fees of approximately $83,000, $78,000 and $96,000 during
2003, 2002 and 2001, respectively.

                    BUSINESS EXPERIENCE OF EXECUTIVE OFFICERS

        The following sets forth the business experience of executive officers
who are not also directors of the Company.


        KEVIN CONROY (43) joined the company in 2001 as the Director of Finance
at one of the Company's FertilityPartners office, and was promoted to Vice
President and Treasurer in May 2003. From 1996 to 2001, Mr. Conroy was the Chief
Financial Officer of two provider-sponsored health plans based in New York with
responsibility for Finance and Information Systems management. From 1990-1996,
Mr. Conroy held various positions at the New York City Health and Hospitals
Corporation culminating as the Assistant Vice President of Capital Finance. Mr.
Conroy obtained his BA in Public Policy from Hamilton College and his MS in
Public Policy from the University of Rochester

        PETER CUCCHIARA (52) joined the Company in 1995 as director of
information systems and was promoted to Vice President, Information Systems in


                                       7


March 1999. Prior to joining the Company, Mr. Cucchiara led various information
technology efforts and initiatives for The Hospital for Special Surgery and the
Franciscan Sisters Health Care System, and has over 15 years experience in
medical information systems and informatics. Mr. Cucchiara was awarded a B.S.
degree in Industrial Administration from the New Jersey Institute of Technology.

        JAY HIGHAM became (45) Vice President of Marketing and Development of
the Company in October 1994. In January 1999, Mr. Higham was promoted to Senior
Vice President of Marketing and Development. For four years prior to joining the
Company, Mr. Higham held a variety of executive positions, the most current of
which was as Vice President of Health Systems Development for South Shore
Hospital and South Shore Health and Education Corporation where he developed and
implemented a strategy for integration with physician group practices and
managed care payors. Mr. Higham earned an M.H.S.A. from George Washington
University.

        JOHN W. HLYWAK, JR. (56) joined the Company in July 1999 as its Senior
Vice President and Chief Financial Officer. From 1997 to 1999 he was the Senior
Vice President and Chief Financial Officer of MedSource, Inc., a Tennessee-based
health care billing and receivables management company. From 1995 to 1997 he was
a Principal with The J. William Group, Inc., a merger and acquisition advisory
firm. Prior to 1995 Mr. Hlywak was a partner in Arthur Andersen & Co., a
worldwide accounting and consulting firm. Mr. Hlywak is a C.P.A. and has a B.S.
degree in Accounting from Widener University.

        LISA MARIN (39) joined the Company in June 2003 as Vice President, Human
Resources and Administration. From 2000 to 2003, Ms. Marin was the Senior
Manager of Human Resources at Applera, Inc., a Connecticut based bio-technology
company, where she managed the Human Resources function for senior level
corporate staff, as well as employee relations for the company-owned east coast
facilities. Since prior to 2000, Ms. Marin has held progressively responsible
Human Resources positions both in the for-profit and not-for-profit health care
field in the New York-Connecticut-New Jersey area. Ms. Marin holds a BA degree
in Human Development from Boston College.

        CLAUDE E. WHITE (55) joined the Company in March 1995 as General Counsel
and Assistant Secretary. In January 1998, Mr. White became Corporate Secretary,
in addition to General Counsel, and in May, 2002 became a Vice President. Mr.
White has served as General Counsel of several major companies over a period of
10 years prior to joining the Company, including Burns International Security
Services, Inc., Staff Builders, Inc. and Quality Care, Inc. Mr. White received
his B.A. degree in Political Science from Rutgers College and J.D. degree from
Rutgers School of Law.

        DONALD S. WOOD, PH.D. (59) joined the Company in April 1991 as its Vice
President of Genetics. Dr. Wood became Vice President of Science and Technology
in 1993, was promoted President and Chief Operating Officer of the Reproductive
Science Center Division in 1997 and was promoted to Senior Vice President and
Chief Operating Officer in January 1999. From 1989 through March 1991, Dr. Wood
was the Executive Vice President and Chief Scientific Officer of Odyssey
Biomedical Corp., a genetic testing company, which he co-founded, and which was
acquired by IG Labs, Inc. in December 1990. Dr. Wood received a Ph.D. in
Physiology from Washington State University and completed a post-doctoral
fellowship in neurology at the Columbia/Presbyterian Medical Center in New York,
where he subsequently was appointed an Assistant Professor of Neurology.



                                       8





                             EXECUTIVE COMPENSATION

        The following table sets forth a summary of the compensation paid or
accrued by the Company during the years ended December 31, 2003, 2002 and 2001
for the Company's Chief Executive Officer and for the next four most highly
compensated executive officers (the "Named Executive Officers").




                                                                                  Long Term Compensation
                                                                                ---------------------------
                                                                                                 Securities
                                                                                Restricted       Underlying
                                                      Annual Compensation          Stock           Options
  Name and Principal Position           Year          Salary($)    Bonus($)      Award(s)($)     Granted (#)
  ----------------------------------------------------------------------------------------------------------

                                                                                      
  Gerardo Canet                          2003         275,000       24,750         52,200              --
     President and                       2002         260,000      102,961        102,288            13,000
     Chief Executive Officer             2001         250,000      129,000         92,812            16,000

  Peter Cucchiara                        2003         135,000        4,050         29,750              --
     Vice President,                     2002         129,000       27,477         15,428            4,000
     Information Systems                 2001         125,000       24,751           --              5,500

  Jay Higham                             2003         183,000       13,660         52,200              --
     Sr. Vice President, Marketing       2002         175,000       49,700         50,860            7,500
  and Development                        2001         160,000       48,640         39,600            9,000

  John W. Hlywak, Jr.                    2003         206,000       16,480         6,100              --
     Sr. Vice President and              2002         198,000       56,231         51,861            7,500
     Chief Financial Officer             2001         190,000       65,358         47,025            9,000

  Donald S. Wood, Ph.D.                  2003         195,000       15,600         26,100              --
     Sr. Vice President and              2002         190,000       58,519         49,948            7,500
     Chief Operating Officer             2001         178,000       57,672         44,055            9,000







                                       9





         The Company did not grant any stock options to the Named Executive
  Officers in 2003 and no Named Executive Officer exercised stock options during
  2003.

         The following table sets forth certain information concerning the Named
Executive Officers who held unexercised options at December 31, 2003:




                                        AGGREGATED OPTION EXERCISES IN 2003 AND
                                              2003 YEAR-END OPTION VALUES




                                                                    Number of
                                 Shares                       Securities Underlying            Value of Unexercised
                                Acquired                           Unexercised                     In-the-Money
                                   On         Value                Options at                       Options at
                               Exercise     Realized             December 31, 2003            December 31, 2003($) (1)
                                                         ------------------------------    ------------------------------
        Name                      (#)          ($)        Exercisable     Unexercisable    Exercisable      Unexercisable
-----------------------------  -----------  -----------  ------------------------------    ------------------------------

                                                                                              
Gerardo Canet                      --           --         179,564            7,313          391,999             1,901

Peter Cucchiara                    --           --          10,000             --             17,281               --

Jay Higham                         --           --          23,281            4,219           43,253             1,097

John W. Hlywak, Jr.                --           --          33,281            4,219           53,053             1,097

Donald S. Wood, Ph.D.              --           --          35,619           4,219            77,810             1,097



(1)    Based  upon the  closing  sales  price of the  Common  Stock of $6.24 per
       shares on The Nasdaq National Market(R)on December 31, 2003.

         The following table sets forth information about the Company's Common
Stock authorized for issuance under the Company's Equity Compensation Plans as
of December 31, 2003:



                                    EQUITY COMPENSATION PLAN INFORMATION



                                        (a)                        (b)                (c)
                                                                                     Number of securities
                                                                                   remaining available for
                              Number of securities to       Weighted-average        future issuance under
                              be issued upon exercise      exercise price of      equity compensation plans
                              of outstanding options,     outstanding options,      (excluding securities
       Plan Category            warrants and rights       warrants and rights      reflected in column (a)
----------------------------- ------------------------- ------------------------- ---------------------------

                                                                                  
 Equity Compensation plans
    approved by security              701,247                    $5.00                     101,297
        holders (1)

 Equity compensation plans
  not approved by security               0                         0                          0
          holders

           Total                      701,247                    $5.00                     101,297




     (1) The Company has two equity compensation plans approved by security
         holders. One is the 1992 Incentive and Non-Incentive Stock Option Plan
         (the "1992 Plan") and the other is the 2000 Long-Term Compensation
         Plan. The 1992 Incentive and Non-Incentive Stock Option Plan expired in
         April 2002 and accordingly, no further grants may be made. There are
         option agreements outstanding under the 1992 Plan currently
         outstanding, all of which expire 10 years from date of their respective
         grants.

                                       10



             EMPLOYMENT CONTRACTS AND TERMINATION OF EMPLOYMENT AND
                         CHANGE-IN-CONTROL ARRANGEMENTS

         On February 14, 1994, Gerardo Canet entered into an employment
agreement with the Company to serve as its President and Chief Executive Officer
and was appointed as a director. Pursuant to the employment agreement, Mr. Canet
receives an annual salary of $215,000, subject to increases. Under Mr. Canet's
employment agreement, the Company may terminate his employment without cause on
thirty days' notice, in which event Mr. Canet will receive, as severance pay,
twelve months' salary payable monthly. In the event Mr. Canet's employment is
terminated by reason of his permanent disability or death, Mr. Canet (or his
legal representative) will receive six months' base salary (reduced by any
payments following termination received under any long-term disability policy
maintained by the Company for Mr. Canet's benefit).

         The employment agreement further provides that in the event that (i)
within one year after a "Change of Control" (as defined therein) of the Company,
Mr. Canet's employment terminates or there occurs a material reduction in his
duties (other than by reason of his disability) or a material interference by
the Company's Board of Directors with the exercise of his authority, or (ii) the
Company is acquired for cash in excess of $10.00 per share of Common Stock, the
stock options granted to Mr. Canet under the employment agreement would
accelerate and become exercisable as of the date of such termination, material
reduction, material interference, or cash acquisition, or, with respect to the
incentive stock options, the earliest date thereafter consistent with certain
restrictions set forth in the agreement.

         Under the employment agreement, Mr. Canet has agreed not to compete
with the Company while employed by the Company and for a period of one year
thereafter.
                                 --------------

         The Company is also a party to a Change in Control Severance Agreement
with Mr. Canet entered into in August 1994.

         The Company is also party to Executive Retention Agreements with each
of Messrs. Higham and Wood (Sr. Vice Presidents) entered into in March 1995, and
with Messrs. Cucchiara, (Vice President, Information Systems), Hlywak (Sr. Vice
President) and White (Vice President, General Counsel and Secretary), entered
into in July and August, 1999.

         The Change in Control Severance Agreements and the Executive Retention
Agreements (together referred to herein as the "Agreements") provide for certain
severance payments and benefits to the named executives in the event of a
termination of their employment, either by the Company without cause, or by the
executive for "Good Reason" (as defined below), at any time within eighteen (18)
months following a "Change in Control" (as defined below) of the Company (any
such termination, a "Qualifying Termination"). More specifically, the Agreements
provide the named executives with one additional year of salary, bonus (if
applicable), and benefits (or equivalent), more than he or she would previously
have been entitled to receive upon a termination without cause (or,
additionally, in the case of Mr. Canet, certain terminations by Mr. Canet for
Good Reason which would be deemed equivalent to a termination without cause
under his current employment agreement). Accordingly, pursuant to the
Agreements, in the event of a Qualifying Termination, Mr. Canet's severance has
been increased to two years (from the one year severance provision which was
contained in his employment agreement with the Company) and the named executives
will be paid one year's severance. Pursuant to the terms of the Agreements, all
incentive options granted to the respective executive would become fully vested
upon a Qualifying Termination, subject to certain terms and conditions. Also,
pursuant to the Agreements, the Company would be required to pay each respective
executive for all reasonable fees and expenses incurred by the respective
executive in litigating his or her rights, thereunder, to the extent the
executive is successful in any such litigation.

         "Change in Control" under the Agreements means either: (i) any one or
more changes in the aggregate composition of the Company's Board of Directors as
a result of which Mr. Canet and the other individuals constituting the Board of


                                       11


Directors as of July 26, 1994 (the "Incumbent Board"), cease to constitute a
majority of the Board of Directors, provided, however, that any individual
elected to the Board by, or nominated for election by, a majority of the
then-current Incumbent Board (except if such person assumes office by reason of
an actual or threatened election contest) is deemed to be a member of the
then-current Incumbent Board; or (ii) the closing of the cash acquisition in the
event the Company is acquired for cash in excess of $10.00 per share of Common
Stock, except in either case (i) or (ii) if the executive is or was a member of
the Board and approved such event in writing or by vote at a meeting of the
Board.

         "Good Reason" under the Agreements consists of any of the following
grounds based on which the named executive terminates his or her own employment
within eighteen (18) months following a Change in Control of the Company: (i) a
material reduction in the Executive's duties, title(s) or offices, or a material
interference with his or her authority or status by the Board of Directors; (ii)
a relocation of the Company's principal executive offices to a location at least
fifty (50) miles from the Company's current offices in Purchase, New York; (iii)
in the case of Mr. Canet, a material breach of or default by the Company under
his employment agreement; (iv) in the case of any of the Vice Presidents, in the
event Mr. Canet's employment as President and Chief Executive Officer of the
Company is terminated (other than due to the death or permanent disability of
Mr. Canet) within the eighteen (18) month period following a Change in Control
by either the Company (other than for cause) or Mr. Canet for Good Reason; (v)
if the executive's total salary and cash bonus opportunities for a fiscal year
(which includes any portion of the eighteen-month period following a Change in
Control) are less than 90% of the total salary and cash bonus compensation
opportunities made available to the executive in the then most recently
completed fiscal year; (vi) the failure of the Company to continue in effect any
material benefits or perquisites or insurance plans in which the executive was
participating unless substituted for with substantially similar benefits, or in
the event the Company takes actions which would adversely affect the executive's
participation in, or materially reduce the executive's benefits under, such
plans, or deprive the executive of a material fringe benefit; (vii) the Company
(either in one transaction or a series of related transactions) sells or
otherwise disposes of, not in the ordinary course of business, assets or earning
power aggregating more than 30% of the assets or earning power of the Company
(or the Company and its subsidiaries), unless the executive is or was a member
of the Board and approved any of the foregoing either in writing or by vote at a
meeting of the Board; (viii) a material breach of or default by the Company
under the Agreements which is not cured by the Company within thirty (30) days
after its receipt or prior written notice thereof from the executive; or (ix) a
purported termination for cause by the Company of the executive's employment
within the eighteen (18) month period following a Change in Control which is not
effected in compliance with certain procedural requirements (such as notice and
an opportunity for the executive to be heard, together with his counsel, before
the Board).

         In the event either of Messrs. Cucchiara, Higham, Hlywak, White or Wood
is terminated without cause under circumstances outside a "Change in Control,"
each person would be paid ninety (90) days salary continuation.

             SECTION 16(a) BENEFICIAL OWNERSHIP REPORTING COMPLIANCE

         Section 16(a) of the Securities Exchange Act of 1934, as amended
("Exchange Act"), requires the Company's executive officers, directors and
persons who beneficially own more than 10% of a registered class of the
Company's equity securities to file with the Commission initial reports of
ownership and reports of changes in ownership of Common Stock and other equity
securities of the Company. Such executive officers, directors, and greater than
10% beneficial owners are required by Commission regulation to furnish the
Company with copies of all Section 16(a) forms filed by such reporting persons.

         To the Company's knowledge, based solely on the Company's review of
copies of such reports furnished to the Company and written representations from
certain reporting persons that no other reports were required, all of the
Company's executive officers and directors, and greater than 10% beneficial
owners complied with applicable Section 16(a) filing requirements during the
year ended December 31, 2003.



                                       12



                  COMMITTEE REPORT ON EXECUTIVE COMPENSATION 1

         The goal of the Company's executive compensation policy is to ensure
that an appropriate relationship exists between executive compensation and the
creation of stockholder value, while at the same time attracting, motivating and
retaining senior management. The Compensation Committee's informal executive
compensation philosophy (which applies generally to all Company management,
including the President and Chief Executive Officer, Gerardo Canet) considers a
number of factors, which may include:

o      rewarding  eligible  employees  who have achieved  specific  business and
       financial success during the fiscal year;

o      giving   eligible   employees   the   incentive   to  strive  for  higher
       productivity, efficiency and quality of service; and

o      encouraging the "best" people to join and stay with the Company.

         Compensation structures for senior management generally include a
combination of salary, bonuses stock options and restricted stock grants.
Specific executive officer base salary is determined based on a range of
measures and by comparison to the compensation of executive officers of
comparable companies. For the fiscal year ended December 31, 2003, the bonuses
of senior management were derived in accordance with a predetermined percentage
of base salary. The actual bonuses were based on two components. The first
component was based on the Company's performance during the fiscal year ended
December 31, 2003 versus the 2003 budget. The second component was based on the
achievement of specific individual milestones. The Compensation Committee also
endorses the position that equity ownership by senior management is beneficial
in aligning their interest with those of stockholders, especially in the
enhancement of stockholder value. The Compensation Committee considers the
Company's performance under these measures and uses its subjective judgment and
discretion in approving individual compensation, including restrictive stock
grants. Mr. Canet's base salary is established pursuant to an employment
agreement, although his bonus is determined in the same fashion as other
executive officers.


     Elizabeth E. Tallett (Chairperson)
     Wayne R. Moon
     Lawrence J. Stuesser


                            AUDIT COMMITTEE REPORT 2

         The Audit Committee has oversight for the Company's financial reporting
on behalf of the Board of  Directors.  The Audit  Committee,  composed  of three
independent (as defined by Section (a)(15) of Nasdaq Rule 4200)  directors,  met
five times in 2003, and operates under an amended and restated  charter approved
by the Board of Directors  in February  2003.  The amended and restated  charter
incorporates  changes  required  by the  Sarbanes-Oxley  Act (the "Act") and was
attached as Appendix A to the Company 2003 Proxy Statement.  The Audit Committee
also has at least one member, Mr. Stuesser, who is an "audit committee financial
expert" as such term is defined in Item 401 of  Regulation  S-K of the  Exchange
Act.

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

 1    The material in this report is not soliciting  material,  is not deemed
filed with the Commission and is not  incorporated by reference in any filing of
the Company under the Securities Act of 1993 or the Exchange Act,  except to the
extent the Company specifically incorporates the report by reference in any such
document,  whether  made  before or after the date of this Proxy  Statement  and
irrespective of any general incorporation language in such filing.

2     The material in this report is not soliciting  material,  is not deemed
filed with the Commission and is not  incorporated by reference in any filing of
the Company under the Securities Act of 1933 or the Exchange Act,  except to the
extent the Company specifically incorporates the report by reference in any such
document,  whether  made  before or after the date of this Proxy  Statement  and
irrespective of any general incorporation language in such filing.

                                       13


          Management has the primary responsibility for the financial statements
and the reporting process, including the Company's system of internal controls
and the Company's compliance with legal and regulatory requirements. In
fulfilling its oversight responsibilities, the Audit Committee reviewed and
discussed with management the audited financial statements to be included in the
Company's Annual Report on Form 10-K .

         The Audit Committee has discussed with the Company's independent
auditors, PricewaterhouseCoopers, LLP, the matters required to be discussed by
Statement on Auditing Standards No. 61, Communications With Audit Committees, as
amended by the Auditing Standards Board of the American Institute of Certified
Public Accountants.

         The Audit Committee has received and reviewed, including matters in the
written disclosures and the letter from PricewaterhouseCoopers, LLP required by
Independent Standards Board No. 1, Independence Discussions with Audit
Committees, as amended by the Independence Standards Board, and has discussed
with PricewaterhouseCoopers, LLP their independence.

         The Audit Committee has also considered whether any services provided
by PricewaterhouseCoopers, LLP not related to the audit of the financial
statements referred to above and the reviews of the interim financial statements
included in the Company's Form 10-Qs for the quarters ended March 31, 2003, June
30, 2003 and September 30, 2003.

         Based on the reviews and discussions referred to above, the Audit
Committee, in accordance with its charter, recommended to the Company's
management that the audited financial statements referred to above be included
in the Company's Annual Report on Form 10-K for the fiscal year ended December
31, 2003. The Committee has also reappointed PricewaterhouseCoopers, LLP for the
Company's 2004 fiscal year audit.

     Lawrence J. Stuesser (Chairperson)
     Wayne R. Moon
     Elizabeth E. Tallett


                         INDEPENDENT PUBLIC ACCOUNTANTS

         The Company engaged the independent public accounting firm of
PricewaterhouseCoopers, LLP to audit the Company's financial statements for the
fiscal year ended December 31, 2003 and has selected such firm to audit the
Company's financial statements for the Company's fiscal year ending December 31,
2004. A representative from PricewaterhouseCoopers, LLP is expected to be
present at the 2004 Annual Meeting with the opportunity to make a statement if
desired. The PricewaterhouseCoopers, LLP representative is also expected to be
available to respond to appropriate questions.

Pre-Approval Policy

         In accordance with the requirements of the  Sarbanes-Oxley  Act of 2002
(the "Act") and the Audit Committee  Charter,  as amended in 2003, all audit and
audit-related   work  and  all  non-audit  work  performed  by  the  independent
accountants,   PricewaterhouseCoopers  LLP,  must  be  submitted  to  the  Audit
Committee for specific approval in advance by the Audit Committee, including the
proposed  fees for such work.  The Audit  Committee has not delegated any of its
responsibilities to management.

Audit Fees

         Audit fees billed or expected to be billed to Company by
PricewaterhouseCoopers LLP for the audit of the consolidated financial
statements included in the Company 's Annual Report on Form 10-K, reviews of the
consolidated financial statements included in the Company 's Quarterly Reports
on Form 10-Q, work related to IntegraMed 's registration statements on Form S-8
and consultation on accounting topics for the years ended December 31, 2003 and
December 31, 2002 totaled $150,000 and $128,500, respectively.

Audit-Related Fees

         The aggregate fees billed for audit related services for the years
ended December 31, 2003 and 2002 were $0 and $54,740 respectively. For the year
ended December 31, 2002, these fees primarily related to the Company's response
to a Securities and Exchange Commission letter during the First Quarter of 2002
and the filing of a Registration Statement on Form S-3 by the Company on August
29, 2002.

                                       14


Tax Fees
         There were no fees billed for tax services for the years ended December
31, 2003 and 2002.

All Other Fees
         There were no other fees for the years ended December 31, 2003 and
2002.
                      ------------------------------------

Performance Graph3

         The following graph compares the five-year cumulative total return for
the Company's Common Stock with the comparable cumulative return of The NASDAQ
Stock Market(R) (U.S.) and NASDAQ Health Services Index. The comparisons in the
graph are based upon historical data and are not indicative of, nor intended to
forecast, future performance of the Company's Common Stock.

         The graph assumes $100 was invested on December 31, 1998 in the
Company's Common Stock and $100 was invested at that same time in each of The
NASDAQ Stock Market (U.S.) and NASDAQ Health Services indexes. The comparison
assumes that all dividends were reinvested. Measurement points are at the last
trading day of the years ended December 31, 1998, 1999, 2000, 2001, 2002 and
2003.

                 COMPARISON OF 5 YEAR CUMULATIVE TOTAL RETURN*
      AMONG INTEGRAMED AMERICA, INC., THE NASDAQ STOCK MARKET (U.S.) INDES
                      AND THE NASDAQ HEALTH SERVICES INDEX


                                [OBJECT OMITTED]




                                       1998         1999        2000          2001        2002       2003
                                       ----         ----        ----          ----        ----       ----

                                                                                  
IntegraMed America, Inc.              100.00       65.06        36.14        119.52      112.00     120.29
NASDAQ Stock Market (U.S.)            100.00      186.20       126.78         96.96       68.65     108.18
NASDAQ Health Services Index          100.00       75.96       101.66        169.10      142.66     188.30



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

3     The  material  in this chart is not  soliciting  material,  is not deemed
filed with the Commission and is not  incorporated by reference in any filing of
the  Company  under  the  Securities  Act of 1993 or the  Exchange  Act of 1934,
whether made before or after the date of this Proxy  Statement and  irrespective
of any general incorporation language in such filing.


                                       15




                 CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS

         The Company is a party to a FertilityPartner agreement with Fertility
Centers of Illinois, S.C. ("FCI") of which Dr. Lifchez, a director and Chairman
of the Board of the Company, is a principal stockholder and officer. During the
fiscal year ended December 31, 2003, FCI paid $3,214,841 in service fees to the
Company pursuant to such agreement. Dr. Lifchez will not continue on the board
after the 2004 Annual Meeting of Stockholders.

         The Company is a party to a FertilityPartner agreement with Shady Grove
Fertility Centers, P.C. ("Shady Grove") of which Dr. Levy, a director and Vice
Chairman of the Board of the Company, is a principal stockholder and officer.
During the fiscal year ended December 31, 2003, Shady Grove paid $2,909,466 in
management fees to the Company pursuant to such agreement. Dr. Levy will not
continue on the board after the 2004 Annual Meeting of Stockholders.

         The Company has maintained a consulting arrangement with SDL
Consultants, a privately-owned consulting firm engaged in rendering general
business advice, of which Mr. Liebler is President. During the fiscal year ended
December 31, 2003 the Company paid SDL Consultants approximately $83,000 in
consulting fees, which were primarily related to services rendered to the
Company in assisting with the recruitment of several senior managers and
included reimbursement for expenses.


PROPOSAL 2

                APPROVAL AND RATIFICATION OF THE AMENDMENT TO THE
                AMENDED AND RESTATED CERTIFICATE OF INCORPORATION


         The Board of Directors of the Company has adopted and recommends to the
stockholders approval of a proposed amendment to the Company's Amended and
Restated Certificate of Incorporation ("Certificate") to decrease the authorized
number of shares of Common Stock from 50,000,000 to 15,000,000. As of March 26,
2004 there were 3, 488,162 shares of the Company's Common Stock outstanding, The
proposed decrease in the authorized number of shares of Common Stock has been
recommended by the Board of Directors to reduce the costs incurred by the
Company annually in connection with franchise taxes paid by the Company in
various jurisdictions, including Delaware, the Company's state of incorporation.

         If the amendment to the Certificate is approved, the Company would
realize annual savings in excess of $75,000 in franchise tax payments in the
various jurisdictions where the Company is required to pay franchise taxes based
on the Company's authorized shares.

It is expected that the proposed amendment, if approved by the stockholders,
will be made effective on or about May 19, 2004 by the filing and recording of
an appropriate Certificate of Amendment as required under Delaware law. In
addition, if the proposal is approved and the amendment becomes effective, the
first sentence of Article IV of the Company's Certificate of Incorporation,
which sets forth the Company's presently authorized capital stock, will be
amended to read in its entirety as follows:

         "The authorized capital stock of the Corporation shall consist of
         twenty million (20,000,000) shares, consisting of fifteen million
         (15,000,000) shares of Common Stock, each having a par value of $.01
         (the "Common Stock"), and five million (5,000,000) shares of Preferred
         Stock, each having a par value $1.00 per share."


         The Board of Directors recommends a vote FOR the proposed amendment,
and the persons named in the accompanying proxy will vote in accordance with the
choice specified thereon or, if no choice is properly indicated, FOR the
amendment.


                                       16




                  SHAREHOLDER PROPOSALS FOR 2005 ANNUAL MEETING

         Under the Commission's proxy rules, stockholder proposals that meet
certain conditions may be included in the Company's proxy statement and form of
proxy for a particular annual meeting. Stockholders that intend to present a
proposal at the Company's 2005 Annual Meeting must give notice of the proposal
to the Company no later than December 17, 2004 to be considered for inclusion in
the proxy statement and form of proxy relating to that meeting. Stockholders
that intend to present a proposal at the 2005 Annual Meeting that will not be
included in the proxy statement and form of proxy must give notice of the
proposal to the Company no fewer than 90 days and no more than 120 days prior to
the first anniversary of the 2004 Annual Meeting. Receipt by the Company of any
such proposal from a qualified stockholder in a timely manner will not guarantee
its inclusion in the Company's proxy materials or its presentation at the 2005
Annual Meeting because there are other requirements in the proxy rules.

         Pursuant to Rule 14a-4 under the Exchange Act, as amended,  the Company
intends  to retain  discretionary  authority  to vote  proxies  with  respect to
shareholder  proposals  for which the proponent  does not seek  inclusion of the
proposed  matter in the Company's  proxy  statement for our 2005 Annual Meeting,
except in  circumstances  where (i) the Company  receives notice of the proposed
matter no earlier than January 18, 2005 and no later than February 18, 2005, and
(ii) the proponent complies with the other requirements set forth in Rule 14a-4.



                                     GENERAL

         The management of the Company does not know of any matters other than
those stated in this Proxy Statement, which are to be presented for action at
the 2004 Annual Meeting. If any other matters should properly come before the
meeting, it is intended that proxies in the accompanying form will be voted on
any such other matters in accordance with the judgment of the persons voting
such proxies. Discretionary authority to vote on such matters is conferred by
such proxies upon the persons voting them.

         The Company will bear the cost of preparing, printing, assembling and
mailing the proxy card, Proxy Statement and other material which may be sent to
stockholders in connection with this solicitation. It is contemplated that
brokerage houses will forward the proxy materials to beneficial owners at the
request of the Company. In addition to the solicitation of proxies by use of the
mails, officers and regular employees of the Company may solicit by telephone
proxies without additional compensation. The Company does not expect to pay any
compensation for the solicitation of proxies.

         The Company will provide without charge to each person being solicited
by this Proxy Statement, on the written request of any such person, a copy of
the Annual Report of the Company on Form 10-K for the fiscal year ended December
31, 2003 (as filed with the Commission), including the financial statements
thereto. All such requests should be directed to Mr. John W. Hlywak, Jr., Senior
Vice President and Chief Financial Officer of IntegraMed America, Inc., Two
Manhattanville Road, Purchase, New York 10577. You may also obtain certain other
of the Company's Commission filings through the Internet at http://www.sec.gov
or under "Investor Relations" at http://www.integramed.com, the Company's
website.

         By Order of the Board of Directors,
         Aaron S. Lifchez, M.D.
         Chairman of the Board

Dated:   April 16, 2004


                                       17


                                     PROXY

                            INTEGRAMED AMERICA, INC.

                         Annual Meeting of Stockholders

           This Proxy is Solicited on Behalf of the Board of Directors


         The undersigned hereby appoints Gerardo Canet or Claude E. White as
proxy to represent the undersigned at the Annual Meeting of Stockholders to be
held at the Company's Headquarters, Two Manhattanville Road, 3rd Floor,
Purchase, New York 10577 on May 18, 2004 at 10:00 a.m. and at any adjournments
thereof, and to vote the shares of Common Stock the undersigned would be
entitled to vote if personally present, as indicated on the reverse:

                         (To be Signed on Reverse Side)







                         Annual Meeting of Stockholders
                            INTEGRAMED AMERICA, INC.

                                  May 18, 2004



                        Please date, sign and mail your
                      Proxy card back as soon as possible!




                 Please Detach and Mail in the Envelope Provided


   1.  Election of Directors:                Nominees:
       ----------------------                ---------

       --    FOR ALL NOMINEES                ---    Gerardo Canet
                                             ---    Sarason D. Liebler
       --    WITHHOLD AUTHORITY              ---    Wayne R. Moon
             FOR ALL NOMINEES                ---    Lawrence J. Stuesser
                                             ---    Elizabeth E. Tallett
       --    FOR ALL EXCEPT
             (See instructions below)


       Instructions:   To  withhold   authority  to  vote  for  any   individual
                       nominee(s), mark "FOR ALL, EXCEPT" and fill in the circle
                       next to each nominee you wish to withhold as shown here:

                       ---

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


   2.  To approve the amendment to the Company's Amended and Restated
       Certificate of Incorporation decreasing the authorized shares of Common
       Stock from 50,000,000 to 15,000,000.

           ---  FOR              ---  AGAINST               ---  ABSTAIN


               In their  discretion,  proxies are  authorized  to vote upon such
        business as may properly come before the meeting.

               The  shares of Common  Stock  represented  by this  proxy will be
        voted as directed.  If no contrary  instruction is given,  the shares of
        Common  Stock will be voted FOR the  election  of the  nominees  and FOR
        Proposal 2.

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



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To change the  address on your  account,  please  check the box at the right and
indicate your new address in the address  space above.  Please note that changes
to the registered name(s) on the account may not be submitted via this method.
--------------------------------------------------------------------------------

Signature              Date            Signature               Date
         -------------     ----------           -------------      ---------

       NOTE:  (Please  sign  exactly as your name or names appear on this Proxy.
              When  shares are held  jointly,  each  holder  should  sign.  When
              signing as executor, administrator, attorney, trustee or guardian,
              please  give full title as such.  If the signer is a  corporation,
              please sign full corporate name by duly authorized officer, giving
              full title as such.  If signer is a  partnership,  please  sign in
              partnership name by authorized person.)