Concentra Managed Care Business Trust S-4 Registration of securities issued in business combination transactions

Exhibit 12.1

CONCENTRA OPERATING CORPORATION

COMPUTATION OF RATIOS

Ratio of Earnings to Fixed Charges

(Unaudited)

	Years Ended December 31,															Nine Months Ended September 30,
	1998			1999			2000			2001			2002			2002			2003
	(dollars in thousands)
Earnings:
Income (loss) before income taxes	$	41,794		$	(17,512	)	$	(2,360	)	$	(14,650	)	$	1,026		$	(2,102	)	$	39,781
Less: Equity in earnings of unconsolidated subsidiaries net of related distributions		(218	)		(474	)		(1,210	)		(3,015	)		(850	)		(937	)		2,209
Fixed charges		25,282			44,126			77,438			77,042			75,560			57,584			51,740
Total earnings(1)	$	66,858		$	26,140		$	73,868		$	59,377		$	75,736		$	54,545		$	93,730
Fixed Charges:
Interest expense	$	18,021		$	35,779		$	68,932		$	67,250		$	63,981		$	48,880		$	43,154
Interest portion of rent expense		7,261			8,347			8,506			9,792			11,579			8,704			8,586
Total fixed charges	$	25,282		$	44,126		$	77,438		$	77,042		$	75,560		$	57,584		$	51,740
Ratio of earnings to fixed charges		2.6x			N/A			N/A			N/A			1.0x			N/A			1.8x

(1) For purposes of determining the ratio of earnings to fixed charges, earnings include income from continuing operations before income taxes adjusted for fixed charges and equity in earnings of unconsolidated subsidiaries and related distributions. Fixed charges consist of interest on debt, including amortization of debt issuance costs, and one-fourth of rent expenses, which we estimate as the interest component of such rentals.