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, ------------------------- ---------------------------------------------------------- 2005 2004 2004 2003 2002 2001 2000 --------- ------------- ---------- --------- --------- --------- --------- EARNINGS AVAILABLE TO COVER FIXED CHARGES: Income from continuing operations before income taxes and minority interests.............. $ 122,341 $ 129,960 $ 254,879 $ 190,412 $ 212,684 $ 129,992 $ 61,669 Less: Equity in earnings of affiliates, excluding affiliate with guaranteed debt.................... (2,823) (3,897) (6,975) (7,236) (4,761) (4,543) (2,016) Add: Dividends received from equity affiliates........................ 2,489 1,661 1,956 4,750 3,026 11,574 6,000 Losses of minority interests......... (134) (58) (83) (35) -- -- -- Fixed charges deducted from earnings (see below)............... 25,409 26,562 62,684 53,000 51,173 64,751 75,511 --------- ------------- ---------- --------- --------- --------- --------- Earnings available to cover fixed charges.............................. $ 147,282 $ 154,228 $ 312,461 $ 240,891 $ 262,122 $ 201,774 $ 141,164 ========= ============= ========== ========= ========= ========= ========= FIXED CHARGES: Interest expense, including amounts in operating expense................. $ 20,824 $ 22,537 $ 55,194 $ 44,600 $ 41,395 $ 55,458 $ 66,460 Interest within rent expense............ 4,585 4,025 7,490 8,400 9,778 9,293 9,051 --------- ------------- ---------- --------- --------- --------- --------- Fixed charges deducted from earnings............................. 25,409 26,562 62,684 53,000 51,173 64,751 75,511 Interest expense on guaranteed debt of affiliate......................... -- -- -- -- -- 2,272 4,309 Interest capitalized.................... 603 472 1,002 671 721 1,933 4,457 --------- ------------- ---------- --------- --------- --------- --------- Fixed charges........................... $ 26,012 $ 27,034 $ 63,686 $ 53,671 $ 51,894 $ 68,956 $ 84,277 ========= ============= ========== ========= ========= ========= ========= RATIO OF EARNINGS TO FIXED CHARGES.............................. 5.7x 5.7x 4.9x 4.5x 5.1x 2.9x 1.7x ========= ============= ========== ========= ========= ========= =========