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INTEGRATED HEALTHCARE HOLDINGS INC. AMENDMENT TO COMMON STOCK WARRANT

Indenture Agreement

INTEGRATED HEALTHCARE HOLDINGS INC.

                                  AMENDMENT TO
                              COMMON STOCK WARRANT | Document Parties: MANAGEMENT & ACQUISITIONS, INC You are currently viewing:
This Indenture Agreement involves

MANAGEMENT & ACQUISITIONS, INC

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Title: INTEGRATED HEALTHCARE HOLDINGS INC. AMENDMENT TO COMMON STOCK WARRANT
Date: 7/14/2008
Industry: Healthcare Facilities     Sector: Healthcare

INTEGRATED HEALTHCARE HOLDINGS INC.

                                  AMENDMENT TO
                              COMMON STOCK WARRANT, Parties: management & acquisitions  inc
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<PAGE>
Exhibit 10.16.1


                       INTEGRATED HEALTHCARE HOLDINGS INC.

                                  AMENDMENT TO
                              COMMON STOCK WARRANT

                                 APRIL 26, 2006

        This Amendment to Common Stock Warrant (this "AMENDMENT") is made and
entered into as of the date set forth above (the "EFFECTIVE DATE") by and
between Integrated Healthcare Holdings, Inc., a Nevada corporation (the
"COMPANY"), and Healthcare Financial Management & Acquisitions, Inc., a Nevada
corporation (the "HOLDER").

                                    RECITALS

         A. On December 12, 2005, the Company issued a warrant to subscribe for
and purchase a minimum of 26,097,561 shares of Common Stock of the Company
subject to the provisions and upon the terms and conditions set forth therein
(the "WARRANT").

         B. The Warrant, a true and correct copy of which is attached hereto as
EXHIBIT A, provides that the number of Shares issuable upon exercise of the
Warrant is subject to adjustment from time to time as set forth therein.

         C. A provision of the Warrant provides for adjustment of the number of
Shares issuable upon exercise of the Warrant based on changes in the fair market
value of the Shares (the "FMV ADJUSTMENTS"). D. The Company and Holder desire to
enter into this Amendment to, among other thing's, amend the provision contained
in the Warrant regarding FMV Adjustments.

        NOW, THEREFORE, in consideration of the foregoing recitals and the
mutual promises hereinafter set forth and for other good and valuable
consideration the receipt and sufficiency of which is hereby acknowledged, the
parties hereto agree to amend the Warrant as set forth herein and agree as
follows:

                                     AGREEMENT

         1. RECITALS. The foregoing Recitals are incorporated by reference as
though fully set forth herein.

         2. DEFINITIONS. Unless otherwise defined herein, capitalized terms
shall have the meanings assigned to such terms in the Warrant.

         3. AMENDMENT OF FMV ADJUSTMENTS. The first paragraph of Section 3 of
the Warrant is hereby amended to read in its entirety as follows:

                "ADJUSTMENT TO THE NUMBER OF SHARES ISSUABLE AND/OR THE EXERCISE
        PRICE. The number of Shares issuable upon the exercise of this Warrant
        is subject to adjustment from time to time as set forth in this Section
        3. Upon each adjustment



                                        1


<PAGE>



         pursuant to this Section 3, the Holder shall thereafter prior to the
         Expiration Date be entitled to purchase the adjusted number of Shares
         of Common Stock at the Exercise Price. Notwithstanding anything to the
         contrary provided herein, the number of Shares of Common Stock issuable
         upon the exercise of this Warrant and the payment of the Exercise Price
         shall be automatically adjusted to be the greater of the following: (1)
         26,097,561 Shares of Common Stock (as set forth on page 1 of this
         Warrant), (2) Shares of Common Stock representing thirty-one and nine
         one-hundredths percent (31.09%) of all Common Stock Equivalents (as
         defined hereinbelow) of the Company, or (3) the number of Shares of
          Common Stock equal to the Outstanding Amount (as defined hereinbelow)
         divided by the then current fair market value (as determined in Section
         1(d) hereof) of each Share of Common Stock; provided , however, that if
         the number of Shares resulting from such calculation exceeds the
         aggregate number of shares of authorized but unissued Common Stock and
         authorized and issued Common Stock held in the Company's treasury then
         available for issuance upon exercise of this Warrant (such excess
         number of Shares is referred to herein as the "EXCESS WARRANT SHARES"),
         then the Company shall pay to the Holder or Holders, upon exercise of
         this Warrant for all or any portion of the Excess Warrant Shares, an
         amount equal to the then current fair market value (as determined in
         Section 1(d) hereof) of each Share of Common Stock multiplied by the
         number of Excess Warrant Shares for which the Holder or Holders have
          exercised their right(s) to purchase pursuant to this Warrant. For
         avoidance of doubt and solely for example purposes, if a) the
         Outstanding Amount is $5,000,000, b) the aggregate number of shares of
         authorized but unissued Common Stock and authorized and issued Common
         Stock held in the Company's treasury then available for issuance upon
         exercise of this Warrant is 28,000,000, c) the then current fair market
         value of each Share of Common Stock is $0.15, and d) the total number
         of shares that the Holder or Holders would be entitled to receive upon
         exercise of this Warrant in full was 33,333,333 Shares of Common Stock,
         then upon exercise of this Warrant in full, the Holder or Holders shall
         receive 28,000,000 Shares of Common Stock, the  


 
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