EXHIBIT 12.1 NATIONAL MEDICAL ENTERPRISES, INC. AND SUBSIDIARIES STATEMENT RE:COMPUTATION OF RATIO OF EARNINGS TO FIXED CHARGES For the Three Months For the Year Ended May 31, Ended August 31, ------------------------------------------------------- --------------------- 1990 1991 1992 1993 1994 1993 1994 ---- ---- ---- ---- ---- ---- ---- Income from continuing operations before income taxes.............. $200,486 $245,142 $359,199 $418,644 $359,901 $ 90,728 $107,028 Less: Equity in Earnings of Unconsolidated Affiliates...... (2,902) (5,338) (6,673) (12,489) (23,846) (3,470) (6,329) Add: Cash dividends received from unconsolidated affiliates....... - - - - 178 178 894 Portion of rents representative of interest..................... 38,257 31,803 35,477 35,822 30,728 8,029 6,668 Interest, net of capitalized portion......................... 130,882 123,852 89,376 75,343 70,037 18,406 17,660 Amortization of previously capitalized interest............ 2,538 2,967 3,368 3,595 3,784 899 946 ------- ------- -------- --------- ------- ------- ------- Income, as adjusted................ 369,261 398,426 480,747 520,915 440,782 114,770 126,867 ======= ======= ======== ========= ======= ======= ======= Fixed charges: Interest, net of capitalized portion.......................... 130,882 123,852 89,376 75,343 70,037 18,406 17,660 Capitalized interest............... 19,492 16,890 11,021 9,028 3,749 801 1,129 Portion of rents representative of interest...................... 38,257 31,803 35,477 35,822 30,728 8,029 6,668 -------- -------- ------- -------- -------- ------- -------- Total fixed charges................ $188,631 $172,545 $135,874 $120,193 $104,514 $27,236 $ 25,457 ======== ======== ======== ======== ======== ======= ======== Ratio of earnings to fixed charges: 2.0x 2.3x 3.5x 4.3x 4.2x 4.2x 5.0x