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                                  EXHIBIT 11.1
 
                   BIRMAN MANAGED CARE, INC. AND SUBSIDIARIES
                        COMPUTATION OF EARNING PER SHARE
 


                                                                              YEARS ENDED
                                                                               JUNE 30,
                                                                        -----------------------
                                                                          1995          1996
                                                                        ---------     ---------
                                                                                
Earnings Per Share:(1)
Common stock equivalents
  Options and warrants granted and unexercised........................  1,064,371     1,064,371
  Assumed buyback of options(2).......................................    270,019       270,019
                                                                        ---------     ---------
                                                                          794,352       794,352
Total weighted average shares issued..................................  6,931,082     6,931,082
                                                                        ---------     ---------
Weighted average shares outstanding...................................  7,725,434     7,725,434
                                                                        =========     =========

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(1) Earnings per share are based upon the weighted average number of shares
    outstanding for each of the respective years. 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
    is planning an initial public offering of its common stock. 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 $6.25 per share.