Document:

PURCHASE OPTION AGREEMENT

      THIS PURCHASE OPTION AGREEMENT (this "Agreement") is made this 16th day of
November, 2004 by and among INTEGRATED HEALTHCARE HOLDINGS, INC., a Nevada
corporation ("IHHI"), and ANIL V. SHAH, M.D. (or his assignee, Orange County
Physicians Investment Network, LLC, a California limited liability company)
(collectively, "Shah").

                                R E C I T A L S:

      A. In connection with the pending Asset Sale Agreement, dated September
29, 2004, by and among IHHI and certain subsidiaries of Tenet Healthcare
Corporation (the "Asset Sale Agreement"), IHHI expects to acquire title to
certain real property located in the cities of Santa Ana and Anaheim, County of
Orange, State of California, more particularly described in Exhibit A attached
hereto (the "Property").

      B. IHHI intends to contribute the Property to a limited liability company
to be formed by IHHI (the "LLC") in which Kali P. Chaudhuri M.D. ("Chaudhuri")
has certain rights to become a member pursuant to that certain Option Agreement,
dated on or about the date hereof, between Chaudhuri and IHHI.

      C. IHHI desires to grant to Shah certain rights to acquire up to 49% of
the membership interests in the LLC and to purchase up to 50,000,000 shares of
common stock, $0.0001 par value per share (the "Common Stock"), of IHHI.

      1. The Option.

            1.1 Tranches. IHHI hereby grants to Shah an option (the "Option") to
purchase (i) from IHHI up to 50,000,000 shares of Common Stock for $0.30 per
share and (ii) from IHHI (or from Chaudhuri as provided in Section 1.2 below) up
to a 49% of the membership interests in the LLC. The Option may be exercised in
three tranches (each, a "Tranche") as follows:

            (a) 14,285,000 shares of the Common Stock and 14% of the membership
interests of the LLC may be purchased by depositing $5,000,000 in cash into an
escrow account established by IHHI with Chicago Title Insurance Company (the
"Escrow Account") pursuant to the Asset Sale Agreement, dated September 29, 2004
between IHHI and the Tenet Sellers (the "Asset Sale Agreement") on the date
hereof, and paid over to IHHI at the closing of the transactions contemplated
under the Asset Sale Agreement. Concurrently upon execution of this Agreement,
Shah shall deposit such $5,000,000 into the Escrow Account or an account to be
designated the Escrow Account upon establishment of the formal escrow
arrangements under the Asset Sale Agreement. Such deposit shall be irrevocable
by Shah; provided, however, if the transactions under the Asset Sale Agreement
are not completed, then the $5,000,000 shall be returned to Shah in which case
this Tranche shall not be deemed to have been exercised and the Option shall
terminate.

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            (b) 14,285,000 shares of Common Stock and 14% of the membership
interests in the LLC may be purchased by paying $5,000,000 in cash to IHHI on or
before February 25, 2005.

            (c) 21,430,000 shares of Common Stock and 21% of the membership
interests in the LLC may be purchased by paying $7,500,000 in cash to IHHI on or
before June 1, 2005; provided, however, that should the weighted-average closing
price of the Common Stock be less than $0.45 during the 20 trading day period
immediately prior to June 1, 2005, then the expiration of this Tranche shall be
extended to December 1, 2005; provided, further, that if the weighted-average
closing price during any 20 trading day period following June 1, 2005 exceeds
$0.45 per share, then the Shah Group will be required to exercise this Tranche
within 5 business days following the end of such period or else this Tranche
will immediately terminate. In no event will this Tranche be exercisable past
December 1, 2005.

            1.2 Chaudhuri Participation in Option. Shah acknowledges that IHHI
has granted an option to Chaudhuri to acquire all of IHHI's membership interests
in the LLC. Therefore, if, upon the due exercise by Shah of any Tranche,
Chaudhuri (or his assignee) has exercised his option and become a member of the
LLC, Chaudhuri (or his assignee) shall honor the terms of Shah's Option under
this Agreement and sell to Shah additional membership interests in the LLC in an
amount up to 49% of the LLC's total membership interests, as provided in this
Section 1.

            1.3 Allocation of Purchase Price. The exercise price for the Option,
if exercised in full, shall be allocated $15,000,000 to the Common Stock and
$2,500,000 to the LLC, and if exercised in part, then according to the same
proportion.

            1.4 Notice of Exercise. A Tranche may be exercised by delivering a
written notice to IHHI specifying the election to exercise the Tranche and
payment for the Tranche by delivery of immediately available funds to IHHI by
bank check or wire transfer. After receiving proper notice, IHHI shall cause to
be issued certificates for shares of Common Stock and membership interests in
the LLC. As a condition to exercise of each Tranche, Shah shall deliver to IHHI
an Investor Representation Statement in a form provided by IHHI.

            1.5 Additional Provisions. None of the Tranches may be transferable
without the prior written consent of IHHI prior to exercise. If any Tranche is
not exercised within the periods of time set forth above, the remaining
unexercised Tranches shall terminate. Each of the Tranches may only be exercised
in full and not in part.

      2. Other Agreements.

            2.1 Intentionally Omitted.

            2.2 Transfer of LLC Interests. Shah shall be permitted to transfer
to a new entity the membership interests in the LLC that he acquires pursuant to
this Agreement and sell participation interests in the new entity on such terms
as he may deem appropriate; provided, however, that any such transactions shall
be conducted at all times in accordance with all applicable law, including
without limitation applicable securities law, and shall be subject to the
reasonable review and prior approval by the manager of the LLC.

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            2.3 Exclusivity. Between the date of execution of this Agreement by
Shah and June 1, 2005, IHHI agrees not to, without the prior written consent of
Shah, sell any additional shares of Common Stock (other than pursuant to
conversion or exercise of outstanding convertible notes, warrants and options,
and other than pursuant to Board approved equity compensation plans or issuances
with grants to be based on fair market value at the time of grant, and bona fide
acquisitions for stock) for a price per share (or equivalent value per share) of
less than $0.35 (subject to adjustment for any stock splits, combinations or
dividends).

            2.4 Proposed Positions for Dr. Shah. Subject to IHHI's obligations
under applicable law, medical ethics guidelines and similar requirements, IHHI
agrees for a period of 3 years to propose and support Dr. Anil V. Shah for the
position of Chairman of the medical advisory board of Coastal Communities
Hospital and Co-Chairman of the other hospitals acquired by IHHI under the Asset
Sale Agreement, provided that Dr. Shah continues to satisfactorily meet the
professional requirements and skills to hold such positions during such time.

            2.5 Secured Loans. The loans to be obtained by IHHI and/or the LLC
with respect to the purchase of the hospitals under the Asset Purchase Agreement
and collateralized against the real estate shall not exceed an aggregate of $120
million, consisting of (a) a maximum of $50 million which may be a term loan
secured by the real property, (b) a maximum of $50 million which may be asset
based financing secured by, among other things, the accounts receivables of the
hospitals based on revolving round of credit and cross collateralized against
the real property and (c) a credit facility not to exceed $20 million to
purchase new equipment secured by furniture, fixtures and equipment to the
extent such facility is cross collateralized against the real estate. No such
debt limitations shall apply to loans not secured against the real estate.

      3. Confidentiality. The obligations of Shah and his assignees or designees
under the "Confidentiality" provisions (Part Two, Section C) of the letter of
intent, dated November 5, 2004, executed by Shah and IHHI shall remain in full
force and effect following the execution of this Agreement.

      4. Miscellaneous Provisions.

            4.1 Attorneys' Fees. In the event of any dispute between the parties
hereto involving the covenants or conditions contained in this Agreement or
arising out of the subject matter of this Agreement, the prevailing party shall
be entitled to recover reasonable expenses, attorneys' fees and costs.

            4.2 Notices. Unless otherwise provided for herein, any notice to be
given or other document to be delivered by either party to the other hereunder
shall be delivered in person to either party or may be deposited in the United
States mail in the State of California, by registered or certified mail, with
postage prepaid and addressed to the party to whom intended as follows:

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

                  To Shah:          Anil V. Shah, M.D.
                                    2621 South Bristol Street, #108
                                    Santa Ana, California 92704

      Any party hereto may from time to time, by written notice to the other,
designate a different address which shall be substituted for the one above.
Notwithstanding anything to the contrary herein contained, any notices or
documents which may be delivered by mail pursuant to this Section 4.2 must be
actually received by the other party on the last business day immediately
preceding any deadline date specified in this Agreement.

            4.3 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.

            4.4 Entire Agreement and Inurnment. This Agreement and other
documents referred to herein contain the entire agreements of the parties with
respect to the subject matter herein, and all negotiations and agreements
between the parties hereto or their agents with respect to this transaction are
merged in such instruments, which alone express the parties' rights and
obligations. All obligations herein contained shall be binding upon and inure to
the benefit of the parties hereto and their respective successors, heirs, and
assigns.

            4.5 Time of the Essence. It is understood and agreed that time is of
the essence for all performances herein contained.

            4.6 Modification. Any amendments or modifications to this Agreement
must be in writing and executed by all of the parties to this Agreement.

            4.7 Assignment. Shah may not assign this Agreement, the Option or
any Tranche, or any rights thereunder, in whole or in part, without the prior
written consent of IHHI, which consent may be withheld at the sole discretion of
IHHI. IHHI's consent to an assignment by Shah shall not relieve Shah from his
obligations under this Agreement.

            4.8 IHHI's Cooperation and Delivery. IHHI agrees to reasonably
cooperate with Shah in providing access to all documents in IHHI's possession
concerning the Property. All documents made available or provided by IHHI to
Shah shall be delivered without representation or responsibility of IHHI for the
truth, accuracy or quality of material contained in such documents. Such
cooperation shall not, however, require IHHI to: (i) obtain any documents not
already in its possession, (ii) provide technical assistance from persons, or
(iii) expend any funds with respect to its cooperation with Shah.

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            4.9 Authority to Execute. Each individual executing this Agreement
on behalf of a corporation represents and warrants that he or she is duly
authorized to execute and deliver this Agreement on behalf of such corporation,
in accordance with a duly adopted resolution of the board of directors of such
corporation, or in accordance with the by-laws of such corporation, and that
this Agreement is binding upon such corporation in accordance with its terms.

            4.10 Interpretation. This Agreement shall be construed according to
its fair meaning and as if prepared by both parties hereto. Titles and captions
are for convenience only and shall not constitute a portion of this Agreement.
As used in this Agreement, masculine, feminine or neuter gender and the singular
or plural number shall each be deemed to include the others wherever and
whenever the context so dictates.

            4.11 Governing Law. This Agreement shall be construed in accordance
with the laws of the State of California in effect at the time of the execution
of this Agreement.

            4.12 Severability. If any term, provision, condition or covenant of
this Agreement or the application thereof to any party or circumstances shall,
to any extent, be held invalid or unenforceable, the remainder of this
Agreement, or the application of such term, provision, condition or covenant to
persons or circumstances other than those as to whom or which it is held invalid
or unenforceable, shall not be affected thereby, and each term and provision of
this Agreement shall be valid and enforceable to the fullest extent permitted by
law.

            4.13 No Waiver. No delay or omission by either party hereto in
exercising any right or power accruing upon the compliance or failure of
performance by the other party hereto under the provisions of this Agreement
shall impair any such right or power or be construed to be a waiver thereof. A
waiver by either party hereto of a breach of any of the covenants, conditions or
agreements hereof to be performed by the other party shall not be construed as a
waiver of any succeeding breach of the same or other covenants, agreements,
restrictions or conditions hereof.

            4.14 First Amendment. This Agreement is subject to (1) IHHI and
Chaudhuri modifying his Secured Convertible Note Purchase Agreement with IHHI to
accommodate the transactions contemplated herein and (2) the parties entering
into a limited liability company operating agreement with respect to the real
estate entity acceptable to Chaudhuri and IHHI.

            4.15 Further Assurances. The parties hereto agree that each will
execute and deliver to the other any and all documents, and take such further
acts, in addition to those expressly provided for herein, that may be reasonably
necessary or appropriate to effectuate the provisions of this Agreement.

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            4.16 Counterparts. This First Amendment may be executed in one or
more counterparts, each of which shall be deemed an original, but all of which
together shall constitute one instrument.

                      [Signatures appear on following page]

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      IN WITNESS WHEREOF, the parties hereto have executed this Purchase Option
Agreement the day and year first above written.

Signed by IHHI on:

November 16, 2004                           INTEGRATED HEALTHCARE HOLDINGS, INC.

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

Signed by Shah on:

November 16, 2004                           /s/ Anil V. Shah, M.D.
                                            ------------------------------------
                                            ANIL V. SHAH, M.D.

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                                    EXHIBIT A

                          LEGAL DESCRIPTION OF PROPERTY

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                     EXHIBIT A

                          LEGAL DESCRIPTION OF PROPERTY

WESTERN MEDICAL CENTER - ANAHEIM, CA:

PARCEL A:

PARCELS 1 AND 2, IN THE CITY OF ANAHEIM, COUNTY OF ORANGE, STATE OF CALIFORNIA
AS SHOWN ON A MAP RECORDED IN BOOK 48 PAGE 16 OF PARCEL MAPS, IN THE OFFICE OF
THE COUNTY RECORDER OF SAID COUNTY.

EXCEPT FROM A PORTION OF SAID LAND ALL OIL, GAS AND OTHER HYDROCARBON SUBSTANCES
AND MINERALS IN AND UNDER SAID LAND BELOW 500 FEET FROM THE SURFACE THEREOF, BUT
WITHOUT THE RIGHT TO ENTER UPON ANY PART OF SAID LAND FOR THE PURPOSE OF
RECOVERING SAID SUBSTANCES, AS RESERVED BY DESSA I. WAGONER, A WIDOW, IN DEED
DATED APRIL 1, 1960 IN BOOK 5226 PAGE 241, OFFICIAL RECORDS.

PARCEL B:

LOTS 10, 12, 13 AND 14 INCLUSIVE OF TRACT 3222, IN THE CITY OF ANAHEIM, AS SHOWN
ON A MAP RECORDED IN BOOK 97, PAGES 19 AND 20, OF MISCELLANEOUS MAPS, IN THE
OFFICE OF THE COUNTY RECORDER OF SAID COUNTY.

PARCEL C:

LOT 11 OF TRACT 3222, IN THE CITY OF ANAHEIM, COUNTY OF ORANGE, STATE OF
CALIFORNIA, AS PER MAP RECORDED IN BOOK 97, PAGES 19 AND 20, OF MISCELLANEOUS
MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY.

COASTAL COMMUNITIES HOSPITAL - SANTA ANA, CA:

THAT PORTION OF LOT 3 OF MABURY TRACT, IN THE CITY OF SANTA ANA, COUNTY OF
ORANGE, STATE OF CALIFORNIA, AS SHOWN ON A MAP RECORDED IN BOOK 165, PAGE 301 OF
DEEDS, RECORDS OF LOS ANGELES COUNTY, CALIFORNIA, DESCRIBED AS FOLLOWS:

BEGINNING AT A POINT IN THE NORTH LINE OF THAT CERTAIN PARCEL OF LAND CONVEYED
TO OSCAR GREENWALD BY DEED RECORDED JANUARY 13, 1920 IN BOOK 355, PAGE 205 OF
DEEDS, RECORD OF ORANGE COUNTY, CALIFORNIA, SAID POINT BEING 1675.18 FEET
WESTERLY FROM THE NORTHEAST CORNER OF SAID PARCEL, SAID POINT ALSO BEING THE
NORTHEAST CORNER OF THAT CERTAIN PARCEL OF LAND CONVEYED TO CHARLES C. BRISCO
AND WIFE BY DEED RECORDED OCTOBER 16, 1943 IN BOOK 1214, PAGE 275 OF OFFICIAL
RECORDS; THENCE SOUTH 0(degrees) 47(feet) 00(inches) WEST 435.68 FEET ALONG A
LINE PARALLEL TO AND 1675.18 FEET WESTERLY FROM THE EAST LINE OF SECTION 2,
TOWNSHIP 5 SOUTH, RANGE 10 WEST, S.B.B.&M., SAID PARALLEL LINE BEING THE
EASTERLY LINE OF SAID PARCEL CONVEYED TO BRISCO, TO A POINT IN A LINE PARALLEL
WITH AND 614.26 FEET NORTHERLY MEASURED AT RIGHT ANGLES TO THE CENTERLINE OF
17TH STREET; THENCE SOUTH 88(degrees) 52(feet) 40(inches) WEST 422.68 FEET ALONG
LAST MENTIONED PARALLEL LINE TO A POINT IN THE EAST LINE OF THAT CERTAIN PARCEL
OF LAND CONVEYED TO STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY BY DEED
RECORDED DECEMBER 17, 1963 IN BOOK 2634, PAGE 603 OF OFFICIAL RECORDS; THENCE
NORTH 0(degrees) 47(feet) 00(inches) EAST 445.00 FEET ALONG THE EAST LINE OF
SAID PARCEL CONVEYED TO STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY TO THE
NORTHEAST CORNER THEREOF, SAID CORNER BEING ON THE SAID NORTH LINE OF THE PARCEL
CONVEYED TO GREENWALD; THENCE SOUTH 89(degrees) 51(feet) 30(inches) EAST 422.48
FEET ALONG SAID NORTH LINE TO THE POINT OF BEGINNING.

PARCEL A:

THAT PORTION OF PARCEL 2 MAP NO. 79-887, IN THE CITY OF SANTA ANA, COUNTY OF
ORANGE, STATE OF CALIFORNIA, AS PER MAP RECORDED IN BOOK 136, PAGES 32 AND 33 OF
PARCEL MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY LYING WITHIN
THE LAND SHOWN AS PARCEL 2 OF THAT CERTAIN LOT LINE ADJUSTMENT LL79-10 RECORDED
JANUARY 3, 1980 AS INSTRUMENT NO. 2228, IN BOOK 13456 PAGE 985, OFFICIAL
RECORDS.

PARCEL B:

PARCEL 2 OF PARCEL MAP, IN THE CITY OF SANTA ANA, COUNTY OF ORANGE, STATE OF
CALIFORNIA, AS SHOWN ON A MAP FILED IN BOOK 74, PAGES 46 AND 47 OF PARCEL MAPS,
IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY.

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CHAPMAN MEDICAL CENTER - ORANGE, CA:

PARCEL B-1:

PARCEL 1 OF LOT LINE ADJUSTMENT NO. 94-6, IN THE CITY OF ORANGE, COUNTY OF
ORANGE, STATE OF CALIFORNIA, AS SAID LOT LINE ADJUSTMENT WAS RECORDED MARCH 1,
1995 AS INSTRUMENT NO. 95-81919, OFFICIAL RECORDS, IN THE OFFICE OF THE COUNTY
RECORDER OF SAID COUNTY.

PARCEL B-2:

PARCEL 1, IN THE CITY OF ORANGE, COUNTY OF ORANGE, STATE OF CALIFORNIA, AS SHOWN
ON A MAP FILED IN BOOK 96, PAGES 19 AND 20 OF PARCEL MAPS, IN THE OFFICE OF THE
COUNTY RECORDER OF SAID COUNTY.

PARCEL B-3:

NON-EXCLUSIVE EASEMENTS FOR INGRESS, EGRESS, DRIVEWAY, UTILITY AND DRAINAGE
PURPOSES AS SET FORTH AND FURTHER DESCRIBED IN A DOCUMENT ENTITLED "AGREEMENT TO
QUITCLAIM EXISTING EASEMENT, ESTABLISH NEW EASEMENT, AND FOR MAINTENANCE"
RECORDED NOVEMBER 15, 1990 AS INSTRUMENT NO. 90-602723 OF OFFICIAL RECORDS OVER
PORTIONS OF THE EASTERLY 80 FEET OF THE FOLLOWING DESCRIBED LAND:

THAT PORTION OF LOTS 14 AND 15 IN BLOCK F OF THE A.B. CHAPMAN TRACT SURVEYED BY
FRANK LECOUVREUR IN 1870, AS SHOWN ON A MAP RECORDED IN BOOK 102, PAGE 15 OF
MISCELLANEOUS MAPS, RECORDS OF ORANGE COUNTY, AS MODIFIED BY LOT LINE ADJUSTMENT
90-2, RECORDED JUNE 25, 1990 AS INSTRUMENT NO. 90-335624 OF OFFICIAL RECORDS, IN
THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY, DESCRIBED AS FOLLOWS:

BEGINNING AT A POINT ON THE NORTHERLY RIGHT OF WAY LINE OF CHAPMAN AVENUE (100
FEET WIDE), SAID POINT BEING NORTH 00(degrees) 45(feet) 30(inches) EAST, 50.00
FEET FROM THE SOUTHEASTERLY CORNER OF SAID LOT 14; THENCE NORTH 89(degrees)
46(feet) 00(inches) WEST, ALONG SAID NORTHERLY RIGHT OF WAY LINE, A DISTANCE OF
444.74 FEET; THENCE NORTH 27(degrees) 11(feet) 13(inches) EAST, A DISTANCE OF
473.57 FEET; THENCE SOUTH 89(degrees) 46(feet) 00(inches) EAST, A DISTANCE OF
230.26 FEET, TO THE EASTERLY LINE OF SAID LOT 14; THENCE NORTH 00(degrees)
45(feet) 30(inches) EAST, ALONG SAID EASTERLY LINE, OF SAID LOT 14; THENCE NORTH
00(degrees) 45(feet) 30(inches) EAST, ALONG SAID EASTERLY LINE A DISTANCE OF
5.15 FEET; THENCE SOUTH 89(degrees) 46(feet) 00(inches) EAST, A DISTANCE OF
55.00 FEET; THENCE SOUTH 00(degrees) 45(feet) 30(inches) WEST, A DISTANCE OF
425.41 FEET, TO THE NORTHERLY RIGHT OF WAY LINE OF SAID CHAPMAN AVENUE; THENCE
NORTH 89(degrees) 46(feet) 00(inches) WEST, ALONG SAID NORTHERLY RIGHT OF WAY
LINE, A DISTANCE OF 55.00 FEET, TO THE POINT OF BEGINNING.

PARCEL C-1:

THAT PORTION OF LOT 15 IN BLOCK F OF THE A.B. CHAPMAN TRACT SURVEYED BY FRANK
LECOUVREUR IN 1870, AS SHOWN ON A MAP RECORDED IN BOOK 102, PAGE 15 OF
MISCELLANEOUS MAPS, RECORDS OF ORANGE COUNTY, DESCRIBED AS FOLLOWS:

BEGINNING AT THE SOUTHWEST CORNER OF LOT 1 OF TRACT NO. 4279 AS SHOWN ON A MAP
RECORDED IN BOOK 156, PAGES 40 AND 41 OF MISCELLANEOUS MAPS, IN THE OFFICE OF
THE COUNTY RECORDER OF SAID COUNTY; THENCE ALONG THE WESTERLY BOUNDARY OF SAID
TRACT NO. 4279, THE FOLLOWING COURSES AND DISTANCES: NORTH 00(degrees) 19(feet)
20(inches) EAST 118.82 FEET; THENCE SOUTH 89(degrees) 40(feet) 40(inches) EAST
15.00 FEET; THENCE NORTH 00(degrees) 19(feet) 20(inches) EAST 71.00 FEET; THENCE
NORTH 89(degrees) 40(feet) 40(inches) WEST 15.00 FEET; THENCE NORTH 00(degrees)
19(feet) 20(inches) 280.18 FEET; THENCE LEAVING THE WEST BOUNDARY OF SAID TRACT
NO. 4279 AND RUNNING NORTH 89(degrees) 46(feet) 00(inches) WEST 48.00 FEET;
THENCE SOUTH 00(degrees) 19(feet) 20(inches) WEST 470.00 FEET TO THE NORTHERLY
LINE OF THE CHAPMAN AVENUE (100 FEET WIDE); THENCE SOUTH 89(degrees) 46(feet)
40(inches) EAST 48.00 FEET ALONG SAID NORTHERLY

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LINE 48.00 FEET TO THE POINT OF BEGINNING.

PARCEL C-2:

THAT PORTION OF LOT 15 IN BLOCK F OF THE A.B. CHAPMAN TRACT SURVEYED BY FRANK
LECOUVREUR IN 1870, AS SHOWN ON A MAP RECORDED IN BOOK 102, PAGE 15 OF
MISCELLANEOUS MAPS, RECORDS OF ORANGE COUNTY, DESCRIBED AS FOLLOWS:

A 15 FOOT BY 15 FOOT TRIANGULAR AREA FORMED BY THE INTERSECTION OF THE WEST LINE
OF PARCEL C-1 HEREINABOVE DESCRIBED WITH THE NORTHERLY LINE OF CHAPMAN AVENUE
(100 FEET WIDE) SAID NORTHERLY LINE BEING MORE PARTICULARLY DESCRIBED IN A DEED
TO THE CITY OF ORANGE RECORDED IN BOOK 7479, PAGE 985 OF OFFICIAL RECORDS OF
SAID ORANGE COUNTY.

WESTERN MEDICAL CENTER - SANTA ANA, CA:

PARCEL A:

THAT PORTION OF LOT 4 OF THE FELIPE YORBA TRACT, IN THE CITY OF SANTA ANA,
COUNTY OF ORANGE, STATE OF CALIFORNIA, AS SHOWN ON A MAP RECORDED IN BOOK 4,
PAGE 206 OF MISCELLANEOUS MAPS, RECORDS OF LOS ANGELES COUNTY, CALIFORNIA,
DESCRIBED AS FOLLOWS:

BEGINNING AT THE POINT OF INTERSECTION OF A LINE THAT IS PARALLEL WITH AND
DISTANT EASTERLY 30.00 FEET, MEASURED AT RIGHT ANGLES FROM THE WESTERLY LINE OF
SAID LOT 4, WITH A LINE THAT IS PARALLEL WITH AND DISTANT SOUTHERLY 305.00 FEET,
MEASURED AT RIGHT ANGLES FROM THE NORTH LINE OF SAID LOT 4; THENCE NORTH
88(degrees) 49(feet) 47(inches) EAST, PARALLEL WITH SAID NORTH LINE OF LOT 4, A
DISTANCE OF 718.43 FEET TO A POINT IN THE EASTERLY LINE OF THE LAND DESCRIBED IN
DEED TO SIMON WARONKER, RECORDED JANUARY 5, 1965 IN BOOK 7369, PAGE 708 OF
OFFICIAL RECORDS; THENCE SOUTH 3(degrees) 52(feet) 29(inches) WEST ALONG SAID
EASTERLY LINE, 273.66 FEET TO AN ANGLE POINT THEREIN; THENCE SOUTH 0(degrees)
06(feet) 02(inches) WEST, ALONG SAID EASTERLY LINE, 32.54 FEET TO A POINT IN A
LINE THAT IS PARALLEL WITH AND DISTANT SOUTHERLY 610.14 FEET, MEASURED AT RIGHT
ANGLES FROM SAID NORTH LINE OF LOT 4; THENCE SOUTH 88(degrees) 49(feet)
47(inches) WEST, PARALLEL WITH SAID NORTH LINE OF LOT 4, A DISTANCE OF 695.07
FEET TO SAID LINE THAT IS PARALLEL WITH THE WESTERLY LINE OF LOT 4; THENCE NORTH
0(degrees) 54(feet) 38(inches) WEST, PARALLEL WITH SAID WESTERLY LINE, 305.14
FEET TO THE POINT OF BEGINNING.

EXCEPTING FROM THAT PORTION OF SAID LAND THAT IS INCLUDED WITHIN THE LAST HALF
OF SAID LOT 4, ALL MINERALS, OILS, GASES, AND OTHER HYDROCARBONS BY WHATSOEVER
NAME KNOWN THAT MAY BE WITHIN OR UNDER SAID LAND, WITHOUT, HOWEVER, THE RIGHT TO
DRILL, DIG OR MINE THROUGH THE SURFACE THEREOF, AS RESERVED IN THE DEED EXECUTED
BY THE STATE OF CALIFORNIA, RECORDED JANUARY 5, 1965 IN BOOK 7369, PAGE 708 OF
OFFICIAL RECORDS.

ALSO EXCEPTING FROM THE REMAINDER, ALL INTEREST IN AND TO ALL MINERALS, OILS,
GASES AND OTHER HYDROCARBONS BY WHATSOEVER NAME, IN AND UNDER THE SUBJECT
PROPERTY, WITHOUT RIGHT, HOWEVER, TO ENTER UPON THE SURFACE OF SAID LAND OR THE
SUBSURFACE AREA THEREOF TO A DEPTH OF 300 FEET BELOW THE SURFACE, AS RESERVED IN
THE DEEDS FROM SIMON WARONKER AND JEANETTE WARONKER, RECORDED JANUARY 15, 1965.

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PARCEL B:

PARCEL B-1:

PARCEL 1, IN THE CITY OF SANTA ANA, COUNTY OF ORANGE, STATE OF CALIFORNIA, AS
SHOWN OF PARCEL MAP NO. 85-234, FILED IN BOOK 211, PAGES 10, 11 AND 12 OF PARCEL
MAPS, RECORDS OF SAID COUNTY.

EXCEPTING THEREFROM THAT PORTION DESCRIBED IN THE DEED TO THE STATE OF
CALIFORNIA RECORDED JANUARY 16, 1984 AS INSTRUMENT NO. 84-020617, OFFICIAL
RECORDS.

ALSO EXCEPT ALL MINERALS, OIL, GASES AND OTHER HYDROCARBONS BY WHATSOEVER NAME
KNOWN THAT MAY BE WITHIN OR UNDER THAT PORTION OF SAID LOT 2, WITHOUT, HOWEVER,
THE RIGHT TO DRILL, DIG OR MINE THROUGH THE SURFACE OF THE UPPER 500 FEET
THEREOF, AS SET FORTH IN THE DEED FROM THE STATE OF CALIFORNIA, RECORDED MAY 4,
1971 IN BOOK 9629, PAGE 298 OF OFFICIAL RECORDS.

PARCEL B-1A:

ALL OF THOSE CERTAIN EASEMENTS, EXCLUSIVE OF NONEXCLUSIVE (THE "EASEMENTS")
GRANTED TO OR RESERVED BY WESTERN MEDICAL CENTER, A CALIFORNIA NONPROFIT
CORPORATION (FORMERLY, SANTA ANA - TUSTIN COMMUNITY HOSPITAL), AS MORE
PARTICULARLY SET FORTH IN THAT CERTAIN OPERATING AND EASEMENT AGREEMENT, DATED
AS OF DECEMBER 12, 1979 AND RECORDED IN THE OFFICIAL RECORDS OF ORANGE COUNTY,
CALIFORNIA ON MARCH 24, 1981 IN BOOK 13991, AT PAGES 1798 TO 1825, INCLUSIVE, AS
INSTRUMENT NUMBER 30426 AND AS AMENDED BY THAT CERTAIN AMENDMENT TO OPERATING
AND EASEMENT AGREEMENT DATED AS OF FEBRUARY 22, 1982 AND RECORDED IN THE
OFFICIAL RECORDS OF ORANGE COUNTY, CALIFORNIA ON SEPTEMBER 20, 1982 AS
INSTRUMENT NUMBER 82-329898, AND AS AMENDED AND RESTATED BY THAT CERTAIN AMENDED
AND RESTATED OPERATING AND EASEMENT AGREEMENT DATED MARCH 31, 1988, AND RECORDED
IN THE OFFICIAL RECORDS OF ORANGE COUNTY, CALIFORNIA ON MAY 2, 1988 AS
INSTRUMENT NO. 88-201966, ALL OF WHICH EASEMENTS ARE COVENANTS THAT RUN WITH THE
LAND TO WHICH THEY PERTAIN AND MAY BE GRANTED BY THE HOLDER OR HOLDERS THEREOF
TO OTHER PERSONS.

PARCEL B-2:

PARCEL 2, IN THE CITY OF SANTA ANA, COUNTY OF ORANGE, STATE OF CALIFORNIA, AS
SHOWN ON PARCEL MAP NO. 82-879, FILED IN BOOK 200, PAGES 48, 49 AND 50 OF PARCEL
MAPS, RECORDS OF ORANGE COUNTY, CALIFORNIA, AND PARCEL 3, AS SHOWN ON PARCEL MAP
NO. 88-234, FILED IN BOOK 211, PAGES 10, 11 AND 12 OF PARCEL MAPS, RECORDS OF
ORANGE COUNTY, CALIFORNIA.

EXCEPT ALL MINERALS, OIL, GASES AND OTHER HYDROCARBONS BY WHATSOEVER NAME KNOWN
THAT MAY BE WITHIN OR UNDER THAT PORTION OF SAID LOT 2, WITHOUT, HOWEVER, THE
RIGHT TO DRILL, DIG OR MINE THROUGH THE SURFACE OF THE UPPER 500 FEET THEREOF,
AS SET FORTH IN THE DEED FROM THE STATE OF CALIFORNIA, RECORDED MAY 4, 1971 IN
BOOK 9629, PAGE 298 OF OFFICIAL RECORDS.

PARCEL B-3:

PARCEL 2, IN THE CITY OF SANTA ANA, COUNTY OF ORANGE, STATE OF CALIFORNIA, AS
SHOWN ON PARCEL MAP NO. 85-234, FILED IN BOOK 211, PAGES 10, 11 AND 12 OF PARCEL
MAPS, RECORDS OF ORANGE COUNTY, CALIFORNIA.

EXCEPT ALL MINERALS, OIL, GASES AND OTHER HYDROCARBONS BY WHATSOEVER NAME KNOWN
THAT MAY BE WITHIN OR UNDER THAT PORTION OF SAID LOT 2, WITHOUT, HOWEVER, THE
RIGHT TO DRILL, DIG OR MINE THROUGH THE SURFACE OF THE UPPER 500 FEET THEREOF,
AS SET FORTH IN THE DEED FROM THE STATE OF CALIFORNIA, RECORDED MAY 4, 1971 IN
BOOK 9629, PAGE 298 OF OFFICIAL RECORDS.

PARCEL C:

PARCEL 1:

AN UNDIVIDED 20/72 INTEREST IN PARCEL 1, IN THE CITY OF SANTA ANA, COUNTY OF
ORANGE, STATE OF CALIFORNIA, AS PER MAP RECORDED IN BOOK 159, PAGES 35 AND 36 OF
PARCEL MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY, EXCEPT
THEREFROM CONDOMINIUM UNITS 1 THROUGH 23 INCLUSIVE, 101 THROUGH 124 INCLUSIVE
AND 201 THROUGH 225 INCLUSIVE, AS SHOWN ON THE CONDOMINIUM PLAN REFERRED TO IN
PARCEL 2 HEREIN, AND ALSO EXCEPT ALL BUILDINGS, IMPROVEMENTS AND OTHER
APPURTENANCES ERECTED OR INSTALLED ON SAID LAND.

                                       12
<PAGE>

PARCEL 2:

UNITS 1, 2, 3, 4, 5, 6, 7, 8, 188, 120, 121, 201, 202, 203, 204, 213, 214, 215,
218 AND 225, IN THE CITY OF SANTA ANA, COUNTY OF ORANGE, STATE OF CALIFORNIA, AS
SHOWN ON A CONDOMINIUM PLAN RECORDED AUGUST 5, 1982 AS DOCUMENT NO. 82-272137,
IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY.

PARCEL 3:

AN UNDIVIDED 21/72 INTEREST IN FEE IN AND TO ALL BUILDINGS AND OTHER
IMPROVEMENTS LOCATED ON PARCEL 1, IN THE CITY OF SANTA ANA, COUNTY OF ORANGE,
STATE OF CALIFORNIA, AS SHOWN ON PARCEL MAP NO. 81-866, FILED FOR RECORD IN BOOK
159, PAGES 35 AND 36 OF PARCEL MAPS, OFFICIAL RECORDS OF ORANGE COUNTY,
CALIFORNIA.

PARCEL 4:

A NON-EXCLUSIVE EASEMENT OVER, UPON AND THROUGH PORTIONS OF PARCEL 1 OF PARCEL
MAP RECORDED IN BOOK 147, PAGES 26 AND 27 OF PARCEL MAPS, IN THE OFFICE OF THE
COUNTY RECORDER OF ORANGE COUNTY, CALIFORNIA, FOR THE PURPOSES OF VEHICULAR
PARKING, PEDESTRIAN TRAFFIC, PEDESTRIAN AND VEHICULAR ACCESS, UTILITY AND
CONSTRUCTION, AS MORE PARTICULARLY DESCRIBED AND SET FORTH AND CREATED BY THAT
CERTAIN OPERATING AND EASEMENT AGREEMENT DATED DECEMBER 12, 1979 BY AND BETWEEN
SANTA ANA - TUSTIN COMMUNITY HOSPITAL, A CALIFORNIA NON-PROFIT CORPORATION, AND
SATCH - MED, INC., A CALIFORNIA CORPORATION, RECORDED MARCH 24, 1981 AS
INSTRUMENT NO. 30426 IN BOOK 13991, PAGE 1798, OFFICIAL RECORDS AND AMENDED BY
INSTRUMENT RECORDED SEPTEMBER 20, 1982 AS INSTRUMENT NO. 82-329898, OFFICIAL
RECORDS AND FURTHER AMENDED AND RESTATED BY INSTRUMENT RECORDED MAY 2, 1988 AS
INSTRUMENT NO. 88-20966, OFFICIAL RECORDS.

PARCEL D:

PARCEL 1:

AN UNDIVIDED 1/72 INTEREST IN PARCEL 1, IN THE CITY OF SANTA ANA, COUNTY OF
ORANGE, STATE OF CALIFORNIA, AS SHOWN ON A MAP RECORDED IN BOOK 159, PAGES 35
AND 36 OF PARCEL MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY,
EXCEPTING THEREFROM CONDOMINIUM UNITS 1 THROUGH 23 INCLUSIVE, 101 THROUGH 124
INCLUSIVE AND 201 THROUGH 225 INCLUSIVE, AS SHOWN ON THE CONDOMINIUM PLAN
RECORDED AUGUST 5, 1982 AS INSTRUMENT NO. 82-272137, OFFICIAL RECORDS, AND ALSO
EXCEPTING ALL BUILDINGS, IMPROVEMENTS AND OTHER APPURTENANCES ERECTED OR
INSTALLED ON SAID LAND.

PARCEL 2:

UNIT 11 SHOWN ON A CONDOMINIUM PLAN RECORDED AUGUST 5, 1982 AS INSTRUMENT NO.
82-272137M OFFICIAL RECORDS.

PARCEL E:

PARCEL 1:

AN UNDIVIDED 1/72 INTEREST IN PARCEL 1, IN THE CITY OF SANTA ANA, AS SHOWN ON A
MAP RECORDED IN BOOK 159, PAGES 35 AND 36 OF PARCEL MAPS, IN THE OFFICE OF THE
COUNTY RECORDER OF SAID COUNTY, EXCEPTING THEREFROM CONDOMINIUM UNITS 1 THROUGH
23 INCLUSIVE, 101 THROUGH 124 INCLUSIVE AND 201 THROUGH 225 INCLUSIVE, AS SHOWN
ON THE CONDOMINIUM PLAN REFERRED TO IN PARCEL 2 HEREIN.

PARCEL 2:

UNIT 12 SHOWN ON A CONDOMINIUM PLAN RECORDED AUGUST 5, 1982 AS INSTRUMENT NO.
82-272137, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY.

                                       11STOCK OPTION

                              (ANIL V. SHAH, M.D.)

      THIS STOCK OPTION (the "Option") is issued this 16th day of November,
2004, by Integrated Healthcare Holdings, Inc., a Nevada corporation
("Optionor"), to Anil V. Shah, M.D. ("Optionee").

                                 R E C I T A L S

      A. Optionor and Optionee are parties to that certain Purchase Option
Agreement, dated November 16, 2004 (the "Purchase Option Agreement").

      B. In consideration of the mutual agreements set forth in the Purchase
Option Agreement, Optionor desires to grant to Optionee this Option to acquire
shares of its common stock on the terms and conditions specified herein.

                                A G R E E M E N T

      1. GRANT OF OPTION. Optionor hereby grants to Optionee an irrevocable,
non-transferable option (the "Option") to purchase 10,000,000 shares of
Optionor's Common Stock (the "SHARES") at an exercise price (the "EXERCISE
PRICE") of $0.25 per share, subject to adjustment as provided herein. The Option
shall be exercisable at any time prior to November 30, 2005 (the "EXPIRATION
DATE"), but only if Optionee (or his assignee under the Purchase Option
Agreement) has fully exercised the "Option" under the Purchase Option Agreement
by exercising all three "Tranches" (as such terms are defined in the Purchase
Option Agreement) and delivering to Optionor a total of $17,500,000 in
connection with such exercise. The Expiration Date will be extended to a date
that is one year after the Optionor's closing at its acquisition of the property
as defined in the Purchase Option Agreement, if later than November 30, 2004.

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

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

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

                                       1
<PAGE>

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

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

      3. MANNER OF EXERCISE. Optionee may exercise this Option by delivering to
Optionor, on or prior to the Expiration Date, a written notice of election to
exercise this Option ("NOTICE OF EXERCISE"). The Notice of Exercise shall state
the election to exercise the Option and the number of shares in respect of which
it is being exercised and shall be signed by the Optionee. Such notice shall be
accompanied by payment in cash, certified check or bank draft in the amount of,
or with the prior consent of the Optionor's board of directors, any other lawful
form of consideration representing, the full purchase price of such shares. As
soon as practicable following receipt by the Optionor of the Notice of Exercise
and full payment of the Exercise Price, the Optionor shall deliver (or cause to
be delivered) to Optionee, appropriate original stock certificates in the name
of Optionee representing the Shares. The Shares that shall be purchased upon the
exercise of the Option as provided herein shall be fully paid and nonassessable.
If this Option is exercised in part, the remaining portion of this Option shall
continue to be exercisable during the term hereof, and Optionor shall, upon
Optionee's request, issue to Optionee a replacement Option for the remaining
amount of Shares.

      4. RESTRICTED SECURITIES. The share certificates delivered to the Optionee
upon exercise of this Option will bear a legend indicating that the Shares
represented thereby are "restricted securities" as defined in Rule 144
promulgated under the Securities Act of 1933, as amended ("RULE 144") and are
not transferable outside of Rule 144 unless a registration statement filed with
the Securities and Exchange Commission covering the Shares is in effect at the
time of the transfer thereof.

      5. TAXES. Optionor shall pay any transfer tax payable by reason of the
granting of this Option and all other fees and expenses necessarily incurred by
the Optionor in connection therewith. 6. MISCELLANEOUS.

                                       2
<PAGE>

            6.1. NOTICES. All notices or communications required or permitted
under this Option 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 Optionor, addressed to:   Integrated Healthcare Holdings, Inc.
                                           695 Town Center Drive, Suite 260
                                           Costa Mesa, CA 92626
                                           Attention: Chief Executive Officer

           If to Optionee, addressed to:   Anil V. Shah, M.D.
                                           2621 South Bristol Street, #108
                                           Santa Ana, California 92704

            6.2. ENTIRE AGREEMENT. This Option, together with the Purchase
Option Agreement, constitutes the entire agreement of the parties hereto with
respect to the subject matter hereof and may not be modified or amended except
in writing.

            6.3. BINDING ON SUCCESSORS. This Option binds and benefits the
respective parties hereto and their respective heirs, legal representations,
designees, successors and assigns.

            6.4. ATTORNEYS' FEES. In any legal action or proceeding to enforce
or interpret the terms of this Option, the finally prevailing party shall be
entitled to recover reasonable attorneys' fees, in addition to any other relief
to which that party may be entitled.

            6.5. GOVERNING LAW. This Option shall be governed by and construed
in accordance with the laws of the state of California without regard to its
choice of laws principles.

            6.6. GENDER. As used herein, the masculine gender includes the
feminine and neuter, and the singular number includes the plural and the plural
number includes the singular, wherever the context requires.

            6.7. DISPUTE RESOLUTION. In the event of any dispute arising out of
or relating to this Option, 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
<PAGE>

            6.8. COUNTERPARTS. This Option may be executed in one or more
counterparts, each of which shall be deemed an original, but all of which
together shall constitute one instrument.

IN WITNESS WHEREOF, the Optionor has executed this Option as of the date first
above written.

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

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

                                       4

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