1 EXHIBIT 12.1 MEDAPHIS CORPORATION COMPUTATION OF RATIO OF EARNINGS TO FIXED CHARGES FOR THE YEAR ENDED DECEMBER 31, ------------------------------ 1993 1994 1995 1996 1997 ----- ----- ---- ---- ---- Loss before income taxes, extraordinary item and cumulative effect of accounting change 12,828 38,912 (1,579) (211,426) (110,002) -------------------------------------------- FIXED CHARGES: Interest expense 6,202 5,591 9,761 11,585 23,260 Capitalized interest - - 2,359 4,092 - Rent 3,138 4,221 7,467 8,533 8,367 ------------------------------------------- Total fixed charges 9,340 9,812 19,587 24,210 31,627 ------------------------------------------- Earnings (loss) before income taxes, extraordinary item, cumulative effect of accounting change and fixed charges -------------------------------------------- (not including capitalized interest) 22,168 48,724 15,649 (191,308) (78,375) ============================================ -------------------------------------------- RATIO OF EARNINGS TO FIXED CHARGES 2.37 4.97 0.80(1) (7.90)(1) (2.48)(1) ============================================ - --------------- (1) Earnings did not cover fixed charges by $3.9 million, $215.5 million and $110.0 million in 1995, 1996 and 1997, respectively.