Ancillary Services Management S-3ASR Automatic shelf registration

Exhibit 12.1

Manor Care, Inc.
Computation of Ratio of Earnings to Fixed Charges
(In thousands, except ratios)

	Six months ended June 30,									Year ended December 31,
	2006			2005			2005			2004			2003			2002			2001
Earnings Available to Cover Fixed Charges:
Income from continuing operations before income taxes	$	115,163		$	122,341		$	257,672		$	254,879		$	190,412		$	212,684		$	129,992
Less:
Equity in earnings of affiliates, excluding affiliate with guaranteed debt		(3,587	)		(2,823	)		(5,492	)		(6,975	)		(7,236	)		(4,761	)		(4,543	)
Add:
Dividends received from equity affiliates		1,951			2,489			3,231			1,956			4,750			3,026			11,574
Losses of minority interests		(483	)		(134	)		(724	)		(83	)		(35	)		—			—
Fixed charges deducted from earnings (see below)		18,066			25,409			69,219			62,684			53,000			51,173			64,751
Earnings available to cover fixed charges	$	131,110		$	147,282		$	323,906		$	312,461		$	240,891		$	262,122		$	201,774
Fixed Charges:
Interest expense, including amounts in operating expense	$	15,238		$	20,824		$	61,204		$	55,194		$	44,600		$	41,395		$	55,458
Interest within rent expense		2,828			4,585			8,015			7,490			8,400			9,778			9,293
Fixed charges deducted from earnings		18,066			25,409			69,219			62,684			53,000			51,173			64,751
Interest expense on guaranteed debt of affiliate		—			—			—			—			—			—			2,272
Interest capitalized		526			603			990			1,002			671			721			1,933
Fixed charges	$	18,592		$	26,012		$	70,209		$	63,686		$	53,671		$	51,894		$	68,956
Ratio of Earnings to Fixed Charges		7.1x			5.7x			4.6x			4.9x			4.5x			5.1x			2.9x