San Angelo Medical S-4/A Registration of securities issued in business combination transactions (amended)

Exhibit 12.1

STATEMENT RE: COMPUTATION OF RATIO OF EARNINGS TO FIXED CHARGES
(DOLLARS IN THOUSANDS)

																						Pro			Pro
																						Forma			Forma
																						Six Months			Year
																Six Months Ended						Ended			Ended
	Year Ended December 31,															June 30,						June 30,			December 31,
	2002			2003			2004			2005			2006			2006			2007			2007			2006
Earnings
Income from continuing operations before provision for income taxes and extraordinary item	$	171,488		$	225,616		$	266,428		$	310,920		$	278,161		$	178,788		$	175,752			$  63,358			$117,682
Interest and amortization of deferred finance costs		59,960			68,192			75,256			94,613			102,299			45,657			61,559			363,042			710,601
Amortization of capitalized interest		287			370			433			494			567			233			314			362			642
Implicit rental interest expense		12,539			16,270			19,247			21,803			24,276			11,657			13,560			29,222			53,480
Total Earnings	$	244,274		$	310,448		$	361,364		$	427,830		$	405,303		$	236,335		$	251,185			$455,984			$882,405
Fixed Charges
Interest and amortization of deferred finance costs	$	59,960		$	68,192		$	75,256		$	94,613		$	102,299		$	45,657		$	61,559			$363,042			$710,601
Capitalized interest		3,500			2,300			2,131			2,144			2,955			1,306			2,092			8,860			8,190
Implicit rental interest expense		12,539			16,270			19,247			21,803			24,276			11,657			13,560			29,222			53,480
Total fixed charges	$	75,999		$	86,762		$	96,634		$	118,560		$	129,530		$	58,620		$	77,211			$401,124			$772,271
Ratio of earnings to fixed charges		3.21	x		3.58	x		3.74	x		3.61	x		3.13	x		4.03	x		3.25	x		1.14	x		1.14	x