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                                                                    EXHIBIT 11.1


                            BIRMAN MANAGED CARE, INC.

                 STATEMENT OF COMPUTATION OF EARNINGS PER SHARE







                                                              Three Months Ended                    Six Months Ended
                                                                  December 31,                         December 31,
                                                        ------------------------------        ------------------------------
                                                            1995               1996               1995               1996
                                                        -----------        -----------        -----------        -----------

                                                                                                     
Net income                                              $    74,366        $   131,389        $   109,334        $   372,580

Primary Earnings Per Share: (1)
Common stock equivalents
     Options and warrants granted and unexercised         1,076,371          1,076,371          1,076,371          1,076,371
     Assumed buyback of options (2)                        (303,936)          (303,936)          (303,936)          (303,936)
                                                        -----------        -----------        -----------        -----------
                                                            772,435            772,435            772,435            772,435
Total weighted average shares issued                      5,931,082          5,931,082          5,931,082          5,931,082
                                                        -----------        -----------        -----------        -----------

Weighted average common shares outstanding                6,703,517          6,703,517          6,703,517          6,703,517
                                                        ===========        ===========        ===========        ===========

Primary Earnings Per Share                              $      0.01        $      0.02        $      0.02        $      0.06
                                                        ===========        ===========        ===========        ===========

Fully Diluted Earnings Per Share: (1)
Common stock equivalents
     Options and warrants granted and unexercised         1,076,371          1,076,371          1,076,371          1,076,371
     Escrow shares (3)                                    1,000,000          1,000,000          1,000,000          1,000,000
     Assumed buyback of options (2)                        (303,936)          (303,936)          (303,936)          (303,936)
                                                        -----------        -----------        -----------        -----------
                                                          1,772,435          1,772,435          1,772,435          1,772,435
Total weighted average shares issued                      5,931,082          5,931,082          5,931,082          5,931,082
                                                        -----------        -----------        -----------        -----------

Weighted average common shares outstanding                7,703,517          7,703,517          7,703,517          7,703,517
                                                        ===========        ===========        ===========        ===========

Fully Diluted Earnings Per Share                        $      0.01        $      0.02        $      0.01        $      0.05
                                                        ===========        ===========        ===========        ===========


- --------------------

(1)      Earnings per share are based upon the weighted average number of shares
         outstanding for each of the respective periods. All weighted average
         shares outstanding give retroactive effect to the 1,000 to 1 stock
         split in October 1995 and the 72.939 for 100 exchange in September
         1996. The Company completed an initial public offering of its common
         stock on February 12, 1997. Pursuant to Securities and Exchange
         Commission rules, common stock issued for consideration below the
         anticipated offering price per share during the 12-month period prior
         to filing of the registration statement has been included in the
         calculation of common share equivalent shares, using the treasury stock
         method, as if they had been outstanding for all periods presented.

(2)      Buyback of stock options under the treasury stock method is at the
         assumed IPO price of $5.00 per share.

(3)      Shares deposited into escrow by Dr. Birman pursuant to the Underwriting
         Agreement are included in fully diluted earnings per share unless they
         are anti-dilutive.


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