UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549



                                    FORM 8-K

                                 Current Report


                       Pursuant to Section 13 or 15(d) of
                      the Securities and Exchange Act 1934


Date of Report (Date of earliest event reported):    February 17, 2009

                            IntegraMed America, Inc.
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               (Exact name of registrant as specified in charter)

                                    Delaware
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                 (State of other jurisdiction of incorporation)

             0-20260                                  6-1150326
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     (Commission File Numbers)            (IRS Employer Identification No.)

Two Manhattanville Road, Purchase, NY                   10577
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(Address of principal executive offices)             (Zip Code)

Registrant's telephone no. including area code: (914) 253-8000

(Former name or former address, if changed since last report)
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Check  the  appropriate  box  below  if the  Form  8-K  filing  is  intended  to
simultaneously  satisfy the filing obligation of the registrant under any of the
following provisions:

        Written communication  pursuant to Rule 425 under the Securities Act (17
     __ CFR 230.425)

        Soliciting  material  pursuant to Rule 14a-12 under the Exchange Act (17
     __ CFR 240.14a-12)

        Pre-commencement  communication  pursuant  to Rule  14d-2(b)  under  the
     __ Exchange Act (17 CFR 240.14d-2(b)

        Pre-commencement  communication  pursuant  to Rule  13e-4(c)  under  the
     __ Exchange Act (17 CFR 240.13e-4(c))




         ITEM 8.01         Other Events

         We, IntegraMed America,  Inc., (the "Company") recently became aware of
the expected  outcome of a  contractual  dispute  with an important  third-party
payer and one of our top fertility clinics in the mid-west. Our clinic has been
in a dialogue with this  third-party  payer over the last several months but the
net result of those interactions is that our clinic expects to lose the contract
effective  February  26,  2009.  Accordingly,  the clinic's  patient  volume is
expected to be directed to various  other centers that are not  affiliated  with
us.

         The net  result  of this  action  to us is  that  we  expect  to have a
reduction in after-tax income of approximately $350,000. This estimate is prior
to any cost  mitigation  at the  clinic. The  unmitigated  loss of this base of
patients  could impact our 2009 reported EPS by  approximately  $0.03-$0.04  per
share. We are making  appropriate  staffing  and  overhead  adjustments  at the
clinic in  response to this loss of patient  volume.  We also  continue to work
with our clinic  toward  some sort of  resolution  with the  third-party  payer,
though we view the likelihood of a favorable outcome as very remote.

         The foregoing was  disclosed in our 4th Quarter  Earnings  Release call
which took place  today at 10:00 a.m.  EDT. A replay of the call can be found on
our website (www.integramed.com) under the heading "Investors".

         This Current Report on Form 8-K may contain forward-looking  statements
that are not based on historical fact,  including  statements  concerning future
results, performance, and expectations regarding the contract between our clinic
and the  third-party  payer.  These  statements  involve  a number  of risks and
uncertainties.  Actual results may differ materially from the statements made as
a result of various  factors,  including,  but not limited to, the impact of the
loss of the contract on the Company and other risks,  including those identified
in the company's most recent Form 10-K and in other  documents  filed by us with
the U.S. Securities and Exchange Commission.







                                   SIGNAT6URES


         Pursuant to the  requirements  of the Securities  Exchange Act of 1934,
the  Registrant  has duly  caused  this report to be signed on its behalf by the
undersigned thereunto duly authorized.


                                           IntegraMed America, Inc.
                                           (Registrant)




Date:    February 17, 2009          By:    /s/Claude E. White
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                                              Claude E. White,
                                              Vice President & General Counsel