1 EXHIBIT 3.3 CERTIFICATE OF MERGER OF BIRMAN MANAGED CARE, INC. - DELAWARE AND BIRMAN MANAGED CARE, INC. It is herby certified that: 1. The constituent business corporations participating in the merger herein certified are: (i) BIRMAN MANAGED CARE, INC. - DELAWARE, which is incorporated under the laws of the State of Delaware; and (ii) BIRMAN MANAGED CARE, INC., which is incorporated under the laws of the State of Tennessee. 2. An Agreement and Plan of Merger has been approved, adopted, certified, executed, and acknowledged by each of the aforesaid constituent corporations in accordance with the provisions of subsection (c) of Section 252 of the General Corporation Law of the State of Delaware and Sections 48-21-104 and 48-21-105 of the Tennessee Business Corporation Act. 3. The name of the surviving corporation in the merger herein certified is BIRMAN MANAGED CARE, INC.-DELAWARE, which will continue its existence as said surviving corporation under the name Birman Managed Care, Inc. 4. The Certificate of Incorporation of BIRMAN MANAGED CARE, INC. - DELAWARE, as in effect immediately prior to such merger, shall continue to be the Certificate of Incorporation of the surviving corporation, except that Article FIRST shall be amended to change the name of the surviving corporation to Birman Managed Care, Inc. 5. The executed Agreement and Plan of Merger between the aforesaid constituent corporations is on file at the office of the aforesaid surviving corporation, the address of which is as follows: Birman Managed Care, Inc. 502 Gould Drive Cookeville, Tennessee 38506 2 6. A copy of the aforesaid Agreement and Plan of Merger will be furnished by the aforesaid surviving corporation, on request and without cost, to any stockholder of either of the aforesaid constituent corporations. 7. The authorized capital stock of Birman Managed Care, Inc., the Tennessee corporation, consists of twenty million shares (20,000,000) of which fifteen million (15,000,000) share are common stock with a par value of $.001 per share, and five million (5,000,000) shares are preferred stock with a par value of $.001 per share. Dated: ,1996 ------------ BIRMAN MANAGED CARE, INC. - DELAWARE, a Delaware corporation By: /s/ David N. Birman, MD --------------------------- David N. Birman, M.D. President and Chief Executive Officer ATTEST: /s/ Robert D. Arkin - -------------------------------- Name: Robert D. Arkin --------------------------- Its: Secretary ----------------- Dated: August , 1996 ---- BIRMAN MANAGED CARE, INC., a Tennessee corporation By: /s/ David N. Birman ----------------------------- David N. Birman, M.D., President and Chief Executive Officer ATTEST /s/ Robert D. Arkin - -------------------------------- Name: Robert D. Arkin --------------------------- Its: Secretary ----------------- 2