Integrated Healthcare Holdings Inc. filed its 10-K on June 29, 2009 for the period ending March 31, 2009. In this report its auditor, BDO Seidman, LLP, gave an unqualified opinion expressing doubt that the company can continue as a going concern.

On March 25, 2009, IIntegrated Healthcare Holdings Inc., Anil V. Shah, M.D., Orange County Physicians Investment Network, LLC, Bruce Mogel, Pacific Coast Holdings Investment, LLC, West Coast Holdings, LLC, Dr. Kali P. Chaudhuri, Ganesha Realty, LLC, William E. Thomas, Medical Capital Corporation, Medical Provider Financial Corporation I, Medical Provider Financial Corporation II and Medical Provider Financial Corporation III entered into a Settlement Agreement, General Release and Covenant Not to Sue in connection with the settlement of pending and threatened litigation, arbitration, appellate, and other legal proceedings among certain of the parties. Pursuant to the Settlement Agreement and effective on or before March 27, 2009, the company agreed to pay the Callahan & Blaine Trust Account, as the jointly designated representative of Orange County Physicians Investment Network and Dr. Shah, a total sum of $1,500,000 in two installments of $750,000; the first payable at the Closing and the second, together with interest thereon at 8%, payable on September 25, 2009. The company also agreed to pay to the Trust Account the sum of $15,000 as satisfaction of Dr. Shah's individual claims. Additionally, company and Mogel agreed to stipulate to the release and return of a $50,000 bond which was posted in connection with a shareholder derivative suit filed by OC-PIN against both Mogel and the company. Pursuant to the Settlement Agreement and effective no later than closing, the company agreed to amend the its Bylaws, effective April 2, 2009, to provide that the number of members of company's Board of Directors shall be fixed at 7 and that, effective immediately after company's 2009 Annual Meeting of Shareholders, a shareholder who owns 15% or more of the voting stock of the company is entitled to call one special shareholders meeting per year. The company also agreed to appoint an Orange County Physicians Investment Network representative to fill the seat to be vacated by Ken Westbrook at Closing until the September 2009 annual meeting of shareholders.

Integrated Healthcare Holdings Inc. intends to amend and restate its Articles of Incorporation in the form attached as Appendix A to increase the company's authorized shares of common stock, $0.001 par value per share, from 400,000,000 to 500,000,000 shares. This action was approved on January 20, 2009 by unanimous consent of board of directors. In addition, stockholders holding a majority of outstanding shares of common stock approved this action by written consent in lieu of a meeting on or about February 27, 2009.