Wilcare S-4 Registration of securities issued in business combination transactions

Exhibit 12.1

RATIO OF EARNINGS TO FIXED CHARGES

The following table sets forth our ratio of earnings to fixed charges on a reported basis for the periods indicated. Earnings consist of income from continuing operations plus fixed charges. Fixed charges consist of interest expense, amortization of deferred financing costs and costs related to retiring certain debt early. We have calculated the ratio of earnings to fixed charges by adding net income from continuing operations to fixed charges and dividing that sum by such fixed charges.

																Nine Months Ended
	Year Ended December 31,															September 30,
	2010			2011			2012			2013			2014			2015
Income	$	58,436		$	52,606		$	120,689		$	172,521		$	221,349		$	169,772
Interest Expense		90,602			86,899			106,096			92,048			126,869			122,173
Income before fixed charges	$	149,038		$	139,505		$	226,794		$	264,569		$	348,218		$	291,945
Capitalized Interest	$	22		$	139		$	240		$	190		$	—		$	1,945
Interest Expense	$	90,602		$	86,899		$	106,096		$	92,048		$	126,869		$	122,173
Total Fixed Charges	$	90,624		$	87,038		$	106,336		$	92,238		$	126,869		$	124,118
Earnings / Fixed Charge coverage ratio		1.6	x		1.6	x		2.1	x		2.9	x		2.7	x		2.4	x