All Women's Healthcare Services S-4 Registration of securities issued in business combination transactions

Exhibit 12.1

STATEMENT OF COMPUTATION OF RATIO OF EARNINGS TO FIXED CHARGES

	Year Ended December 31,										Nine months ended September 30,
(in thousands)	2009		2010		2011		2012		2013		2014
Computation of Earnings:
Pre-tax earnings from continuing operations, excluding equity in earnings of unconsolidated affiliates	$	206,128	$	208,240	$	222,654	$	262,222	$	305,376	$	189,537
Plus: Fixed charges		9,821		15,636		17,813		19,686		32,542		55,107
Plus: Amortization of capitalized interest		148		142		121		115		91		3
Plus: Distributed earnings from equity investees		—		—		800		1,830		3,073		1,811
Less: Capitalized interest		66		54		85		43		24		—
Earnings	$	216,031	$	223,964	$	241,303	$	283,810	$	341,058	$	246,458
Fixed Charges:
Interest expense and amortization of deferred financing costs on all indebtedness	$	7,751	$	13,471	$	15,327	$	16,967	$	29,538	$	52,909
Capitalized interest		66		54		85		43		24		—
Estimate of interest component of rental expenses		2,004		2,111		2,401		2,676		2,980		2,198
Fixed charges	$	9,821	$	15,636	$	17,813	$	19,686	$	32,542	$	55,107
		22.0		14.3		13.5		14.4		10.5		4.5