1
 
                                                                    EXHIBIT 23.3
 
              CONSENT OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS
 
     As independent certified public accountants, we hereby consent to the
inclusion of our report dated July 19, 1996, on the consolidated financial
statements of Birman Managed Care, Inc. and Subsidiaries for the year ended June
30, 1995, in the Company's Form SB-2 Registration Statement for the year then
ended, and to the reference to us under the caption "Experts" contained in the
Prospectus.
 
                                          /s/ SEMPLE & COOPER, P.L.C.
 
                                          --------------------------------------
                                          Semple & Cooper, P.L.C.
 
Certified Public Accountants
Phoenix, Arizona
September 10, 1996