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        REPORT</strong></font></div>
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        Exchange Act of 1934</strong></font></div>
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        of
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        31, 2005</strong></font></div>
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                  Healthcare Holdings, Inc.</strong></font></div>
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                  Name of Registrant as Specified in Charter)</strong></font></div>
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</strong></font></div>
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                <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="center"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman"><strong>1301
                  N. Tustin Avenue, Santa Ana, California 92705</strong></font></div>
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        telephone number, including area code: </font><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman"><strong>(714)
        953-3503</strong></font></div>
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        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
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        1.01.&#160;&#160;&#160;&#160;</strong></font><font id="TAB2" style="COLOR: black; LETTER-SPACING: 27pt">&#160;</font><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman"><strong>Entry
        into a Material Definitive Agreement.</strong></font><br></div>
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      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 36pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="left"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">On
        October 31, 2005, Integrated Healthcare Holdings, Inc. (&#8220;IHHI&#8221;) and Orange
        County Physicians Investment Network, LLC (&#8220;OCPIN&#8221;) entered into a Second
        Amendment to Stock Purchase Agreement (the &#8220;Second Amendment&#8221;). The Second
        Amendment amends the Stock Purchase Agreement, dated January 28, 2005, between
        IHHI and OCPIN, as amended by that certain First Amendment to Stock Purchase
        Agreement dated as of June 1, 2005 (the &#8220;First Amendment&#8221;) (the Stock Purchase
        Agreement, as amended by the First Amendment, is referred to in this report
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      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 36pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="left"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">As
        previously disclosed by IHHI, pursuant to the First Amendment and an Escrow
        Agreement, dated June 1, 2005 (the &#8220;Escrow Agreement&#8221;), IHHI and OCPIN
        established an escrow account (the &#8220;Escrow Account&#8221;) with City National Bank.
        OCPIN deposited a total of 57,250,000 shares of IHHI common stock (the &#8220;Escrowed
        Shares&#8221;) into the Escrow Account, and, to date, OCPIN has deposited a total of
        $12,500,000 in cash into the Escrow Account (the &#8220;Escrowed Cash&#8221;). </font></div>
      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="justify">&#160;</div>
      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 36pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="left"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">The
        following are material terms contained in the Second Amendment: </font></div>
      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="justify">&#160;</div>
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            <tr valign="top" style="LINE-HEIGHT: 1.25">
              <td align="right" style="WIDTH: 54pt"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Symbol, serif">&#183;&#160;&#160;</font></td>
              <td>
                <div style="MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; MARGIN-RIGHT: 0pt" align="justify"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">IHHI
                  and OCPIN will immediately terminate the Escrow Account and instruct
                  the
                  escrow agent to transfer the Escrowed Cash and Escrowed Shares
                  as follows:
                  </font></div>
              </td>
            </tr>

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      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="justify">&#160;</div>
      <div style="DISPLAY: block; MARGIN-LEFT: 72pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="left"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">(a)
        </font><font id="TAB2" style="COLOR: black; LETTER-SPACING: 27pt">&#160;</font><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">$1,500,000
        of the Escrowed Cash, plus a pro rata portion of all accumulated and accrued
        interest in the Escrow Account, will be delivered to IHHI, and $11,000,000
        of
        the Escrowed Cash, plus a pro rata portion of all accumulated and accrued
        interest in the Escrow Account, will be delivered to OCPIN; and </font></div>
      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="justify">&#160;</div>
      <div style="DISPLAY: block; MARGIN-LEFT: 72pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="left"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">(b)</font><font id="TAB2" style="COLOR: black; LETTER-SPACING: 27pt">&#160;</font><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">5,798,831
        of the Escrowed Shares will be delivered to OCPIN and 51,451,169 of the Escrowed
        Shares will be delivered to IHHI.</font></div>
      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="justify">&#160;</div>
      <div>
        <table cellpadding="0" cellspacing="0" id="list" width="100%">

            <tr valign="top" style="LINE-HEIGHT: 1.25">
              <td align="right" style="WIDTH: 54pt"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Symbol, serif">&#183;&#160;&#160;</font></td>
              <td>
                <div style="MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; MARGIN-RIGHT: 0pt" align="justify"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">OCPIN
                  will pay to IHHI $2,800,000 and, upon receipt thereof, IHHI will
                  transfer
                  to OCPIN (out of the 51,451,169 Escrowed Shares delivered to IHHI)
                  a total
                  of 10,824,485 shares of common stock.
</font></div>
              </td>
            </tr>

        </table>
      </div>
      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="justify">&#160;</div>
      <div>
        <table cellpadding="0" cellspacing="0" id="list" width="100%">

            <tr valign="top" style="LINE-HEIGHT: 1.25">
              <td align="right" style="WIDTH: 54pt"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Symbol, serif">&#183;&#160;&#160;</font></td>
              <td>
                <div style="MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; MARGIN-RIGHT: 0pt" align="justify"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">OCPIN
                  will have the right to acquire from IHHI up to $6.7 million in
                  common
                  stock within 30 calendar days following the Default Termination
                  Date (the
                  &#8220;Payment Deadline&#8221;), at a price of $0.2586728 per share (for a maximum of
                  25,901,447 Shares) plus interest on the purchase price at the rate
                  of 14%
                  per annum from September 12, 2005 through the date of closing on
                  the funds
                  by IHHI. Under the Second Amendment, the term &#8220;Default Termination Date&#8221;
                  means the date on which IHHI notifies OCPIN that it has been notified
                  by
                  Medical Provider Financial Corporation II (&#8220;MedCap&#8221;) that all events of
                  default have been cured under that certain Credit Agreement, dated
                  as of
                  March 3, 2005, between IHHI and MedCap.
</font></div>
              </td>
            </tr>

        </table>
      </div>
      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="justify">&#160;</div>
      <div>
        <table cellpadding="0" cellspacing="0" id="list" width="100%">

            <tr valign="top" style="LINE-HEIGHT: 1.25">
              <td align="right" style="WIDTH: 54pt"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Symbol, serif">&#183;&#160;&#160;</font></td>
              <td>
                <div style="MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; MARGIN-RIGHT: 0pt" align="justify"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">From
                  time to time as monies are received by IHHI under the aforementioned
                  provisions of the Second Amendment, IHHI will instruct its transfer
                  agent
                  to issue to OCPIN certificates for 5,400,000 shares of common stock
                  multiplied by such percentage of OCPIN&#8217;s payments required to be made
                  under Sections 1.2(a), (b), (c) and (e)(i)-(iii) of the SPA which
                  have
                  been made to date.</font></div>
              </td>
            </tr>

        </table>
      </div>
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      <div>
        <table cellpadding="0" cellspacing="0" id="list" width="100%">

            <tr valign="top" style="LINE-HEIGHT: 1.25">
              <td align="right" style="WIDTH: 54pt"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Symbol, serif">&#183;&#160;&#160;</font></td>
              <td>
                <div style="MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; MARGIN-RIGHT: 0pt" align="justify"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">Under
                  certain circumstances described in the Second Amendment, OCPIN
                  must
                  identify to IHHI&#8217;s Audit Committee and MedCap the sources of funds used to
                  pay for shares under the Second Amendment. Such funds may be rejected
                  under certain circumstances if a reasonable objection is raised
                  by either
                  the Audit Committee or MedCap. </font></div>
              </td>
            </tr>

        </table>
      </div>
      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="justify">&#160;</div>
      <div>
        <table cellpadding="0" cellspacing="0" id="list" width="100%">

            <tr valign="top" style="LINE-HEIGHT: 1.25">
              <td align="right" style="WIDTH: 54pt"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Symbol, serif">&#183;&#160;&#160;</font></td>
              <td>
                <div style="MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; MARGIN-RIGHT: 0pt" align="justify"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">The
                  90-day period referred to in Section 6(b) of the First Amendment
                  is
                  extended until the Payment Deadline.
</font></div>
              </td>
            </tr>

        </table>
      </div>
      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="justify">&#160;</div>
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          <div style="WIDTH: 100%; TEXT-ALIGN: center">
            <hr style="COLOR: black" noshade size="2">
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        <div id="HDR">
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      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 36pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="left"><br></div>
      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 36pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="left"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">The
        Second Amendment is furnished as an exhibit to this Report. The preceding
        description of the Second Amendment is summary in nature and does not purport
        to
        be complete. This summary should be read in connection with the exhibit hereto.
        </font></div>
      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="justify">&#160;</div>
      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="left"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman"><strong>Item
        9.01</strong></font><font id="TAB2" style="COLOR: black; LETTER-SPACING: 27pt">&#160;</font><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman"><strong>Financial
        Statements and Exhibits.</strong></font></div>
      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="justify">&#160;</div>
      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 36pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="left"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">(c)</font><font id="TAB2" style="COLOR: black; LETTER-SPACING: 27pt">&#160;</font><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman"><u>Exhibits</u></font><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">.</font></div>
      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="justify">&#160;</div>
      <div>
        <table cellpadding="0" cellspacing="0" width="100%">

            <tr>
              <td align="left" valign="top" width="10%">
                <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="center"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman"><strong>Exhibit
                  </strong></font></div>
                <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="center"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman"><strong>Number</strong></font></div>
              </td>
              <td valign="top" width="66%">
                <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="center"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman"><strong>Description</strong></font></div>
              </td>
            </tr>
            <tr>
              <td align="left" valign="top" width="10%">
                <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="center"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">99.1</font></div>
                <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="justify">&#160;</div>
              </td>
              <td align="left" valign="top" width="66%">
                <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="left"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">Second
                  Amendment to Stock Purchase Agreement, dated as of October 31,
                  2005, by
                  and between the Registrant and Orange County Physicians Investment
                  Network, LLC </font></div>
                <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="justify">&#160;</div>
              </td>
            </tr>

        </table>
      </div>
      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="left"><br></div>
      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="justify">&#160;</div>
      <div id="PN" style="PAGE-BREAK-AFTER: always">
        <div style="WIDTH: 100%; TEXT-ALIGN: center"><font style="DISPLAY: inline; FONT-SIZE: 8pt; FONT-FAMILY: Times New Roman">2</font></div>
        <div style="WIDTH: 100%; TEXT-ALIGN: center">
          <hr style="COLOR: black" noshade size="2">
        </div>
      </div>
      <div id="HDR">
      </div><br>
      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="center"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman"><strong>SIGNATURES</strong></font></div>
      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="justify">&#160;</div>
      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 36pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="left"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">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 hereunto
        duly authorized.</font></div>
      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 36pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="left">&#160;</div>
      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="justify">
        <table align="center" bgcolor="#ffffff" border="0" cellpadding="0" cellspacing="0" width="100%">

            <tr valign="top" bgcolor="#ffffff">
              <td width="50%"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">&#160;</font></td>
              <td width="1%"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">&#160;</font></td>
              <td width="49%"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">&#160;</font></td>
            </tr>
            <tr valign="top" bgcolor="#ffffff">
              <td><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">&#160;</font></td>
              <td colspan="2"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">Integrated
                Healthcare Holdings, Inc.</font></td>
            </tr>
            <tr valign="top" bgcolor="#ffffff">
              <td><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">&#160;<br>&#160;</font></td>
              <td><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">&#160;<br>&#160;</font></td>
              <td><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">&#160;<br>&#160;</font></td>
            </tr>
            <tr valign="top" bgcolor="#ffffff">
              <td>&#160;</td>
              <td><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">By:&#160;&#160;</font></td>
              <td><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">/s/&#160;Steven
                Blake</font></td>
            </tr>
            <tr valign="top" bgcolor="#ffffff">
              <td colspan="2"><font style="FONT-FAMILY: Times New Roman" size="1">&#160;</font></td>
              <td align="left">
                <hr style="COLOR: #000000" align="left" noshade size="2" width="80%"><font size="2">Name:&#160;</font><font id="TAB2" style="COLOR: black; LETTER-SPACING: 27pt">&#160;</font><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">Steven
                Blake</font></td>
            </tr>
            <tr valign="top" bgcolor="#ffffff">
              <td colspan="2"><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">&#160;</font></td>
              <td><font style="DISPLAY: inline; FONT-SIZE: 10pt; FONT-FAMILY: Times New Roman">Title:
                Chief Financial Officer&#160;<font id="TAB2" style="COLOR: black; LETTER-SPACING: -1.8pt" size="3">&#160;</font></font></td>
            </tr>
            <tr valign="top" bgcolor="#ffffff">
              <td colspan="2">&#160;</td>
              <td>&#160;</td>
            </tr>
            <tr valign="top" bgcolor="#ffffff">
              <td colspan="2"><font size="2">Date: November 4, 2005</font></td>
              <td>&#160;</td>
            </tr>

        </table>
      </div>
      <div style="DISPLAY: block; MARGIN-LEFT: 0pt; TEXT-INDENT: 0pt; LINE-HEIGHT: 1.25; MARGIN-RIGHT: 0pt" align="justify">&#160;</div>
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        </font></div>
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          <div id="GLFTR" style="WIDTH: 100%" align="left">
          </div>
        </div>
        <div id="PN">
          <div style="WIDTH: 100%; TEXT-ALIGN: center"><font style="DISPLAY: inline; FONT-SIZE: 8pt; FONT-FAMILY: Times New Roman">3</font></div>
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{"company-data": {"conformed-name": "Integrated Healthcare Holdings Inc", "cik": "0001051488", "assigned-sic": "8060", "irs-number": "870412182", "state-of-incorporation": "NV", "fiscal-year-end": "1231"}, "filing-values": {"form-type": "8-K", "act": "34", "file-number": "000-23511", "film-number": "051180715"}, "business-address": {"street1": "1301 N. TUSTIN AVENUE", "city": "SANTA ANA", "state": "CA", "zip": "92705", "phone": "714-434-9191"}, "mail-address": {"street1": "1301 N. TUSTIN AVENUE", "city": "SANTA ANA", "state": "CA", "zip": "92705"}, "former-company": [{"former-conformed-name": "Integrated Healthcare Holdings", "date-changed": "20040816"}, {"former-conformed-name": "FIRST DELTAVISION INC", "date-changed": "19971216"}]}
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
        Exchange Act of 1934
Date
        of
        report (Date of earliest event reported):
October
        31, 2005
Integrated
                  Healthcare Holdings, Inc.
(Exact
                  Name of Registrant as Specified in Charter)
Nevada
0-23511
87-0412182
(State
                  or Other Jurisdiction of Incorporation)
(Commission
                  File Number)
(IRS
                  Employer Identification No.)
1301
                  N. Tustin Avenue, Santa Ana, California 92705
(Address
                  of Principal Executive
                  Offices)                        (Zip
                  Code)
Registrant's
        telephone number, including area code:
(714)
        953-3503
(Former
        Name or Former Address, if Changed Since Last Report)
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:
o
Written
                  communications pursuant to Rule 425 under the Securities Act (17
                  CFR
                  230.425)
o
Soliciting
                  material pursuant to Rule 14a-12 under the Exchange Act (17 CFR
                  240.14a-12)
o
Pre-commencement
                  communications pursuant to Rule 14d-2(b) under the Exchange Act
                  (17 CFR
                  240.14d-2(b))
o
Pre-commencement
                  communications pursuant to Rule 13e-4(c) under the Exchange Act
                  (17 CFR
                  240.13e-4(c))
Item
        1.01.
Entry
        into a Material Definitive Agreement.
On
        October 31, 2005, Integrated Healthcare Holdings, Inc. ("IHHI") and Orange
        County Physicians Investment Network, LLC ("OCPIN") entered into a Second
        Amendment to Stock Purchase Agreement (the "Second Amendment"). The Second
        Amendment amends the Stock Purchase Agreement, dated January 28, 2005, between
        IHHI and OCPIN, as amended by that certain First Amendment to Stock Purchase
        Agreement dated as of June 1, 2005 (the "First Amendment") (the Stock Purchase
        Agreement, as amended by the First Amendment, is referred to in this report
        as
        the "SPA").
As
        previously disclosed by IHHI, pursuant to the First Amendment and an Escrow
        Agreement, dated June 1, 2005 (the "Escrow Agreement"), IHHI and OCPIN
        established an escrow account (the "Escrow Account") with City National Bank.
        OCPIN deposited a total of 57,250,000 shares of IHHI common stock (the "Escrowed
        Shares") into the Escrow Account, and, to date, OCPIN has deposited a total of
        $12,500,000 in cash into the Escrow Account (the "Escrowed Cash").
The
        following are material terms contained in the Second Amendment:
·
IHHI
                  and OCPIN will immediately terminate the Escrow Account and instruct
                  the
                  escrow agent to transfer the Escrowed Cash and Escrowed Shares
                  as follows:
(a)
$1,500,000
        of the Escrowed Cash, plus a pro rata portion of all accumulated and accrued
        interest in the Escrow Account, will be delivered to IHHI, and $11,000,000
        of
        the Escrowed Cash, plus a pro rata portion of all accumulated and accrued
        interest in the Escrow Account, will be delivered to OCPIN; and
(b)
5,798,831
        of the Escrowed Shares will be delivered to OCPIN and 51,451,169 of the Escrowed
        Shares will be delivered to IHHI.
·
OCPIN
                  will pay to IHHI $2,800,000 and, upon receipt thereof, IHHI will
                  transfer
                  to OCPIN (out of the 51,451,169 Escrowed Shares delivered to IHHI)
                  a total
                  of 10,824,485 shares of common stock.
·
OCPIN
                  will have the right to acquire from IHHI up to $6.7 million in
                  common
                  stock within 30 calendar days following the Default Termination
                  Date (the
                  "Payment Deadline"), at a price of $0.2586728 per share (for a maximum of
                  25,901,447 Shares) plus interest on the purchase price at the rate
                  of 14%
                  per annum from September 12, 2005 through the date of closing on
                  the funds
                  by IHHI. Under the Second Amendment, the term "Default Termination Date"
                  means the date on which IHHI notifies OCPIN that it has been notified
                  by
                  Medical Provider Financial Corporation II ("MedCap") that all events of
                  default have been cured under that certain Credit Agreement, dated
                  as of
                  March 3, 2005, between IHHI and MedCap.
·
From
                  time to time as monies are received by IHHI under the aforementioned
                  provisions of the Second Amendment, IHHI will instruct its transfer
                  agent
                  to issue to OCPIN certificates for 5,400,000 shares of common stock
                  multiplied by such percentage of OCPIN's payments required to be made
                  under Sections 1.2(a), (b), (c) and (e)(i)-(iii) of the SPA which
                  have
                  been made to date.
·
Under
                  certain circumstances described in the Second Amendment, OCPIN
                  must
                  identify to IHHI's Audit Committee and MedCap the sources of funds used to
                  pay for shares under the Second Amendment. Such funds may be rejected
                  under certain circumstances if a reasonable objection is raised
                  by either
                  the Audit Committee or MedCap.
·
The
                  90-day period referred to in Section 6(b) of the First Amendment
                  is
                  extended until the Payment Deadline.
1
The
        Second Amendment is furnished as an exhibit to this Report. The preceding
        description of the Second Amendment is summary in nature and does not purport
        to
        be complete. This summary should be read in connection with the exhibit hereto.
Item
        9.01
Financial
        Statements and Exhibits.
(c)
Exhibits
.
Exhibit
Number
Description
99.1
Second
                  Amendment to Stock Purchase Agreement, dated as of October 31,
                  2005, by
                  and between the Registrant and Orange County Physicians Investment
                  Network, LLC
2
SIGNATURES
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 hereunto
        duly authorized.
Integrated
                Healthcare Holdings, Inc.
By:
/s/ Steven
                Blake
Name:
Steven
                Blake
Title:
                Chief Financial Officer
Date: November 4, 2005
3