1 EXHIBIT 12.1 MEDAPHIS CORPORATION COMPUTATION OF RATIO OF EARNINGS TO FIXED CHARGES FOR THE THREE MONTHS ENDED FOR THE YEAR ENDED DECEMBER 31, MARCH 31, ------------------------------ --------------- 1993 1994 1995 1996 1997 1997 1998 ----- ----- ---- ---- ---- ---- ---- Loss before income taxes, extraordinary item and cumulative effect of accounting change 12,828 38,912 (1,579) (211,426) (110,002) (5,488) (8,555) ------------------------------------------------------------------- FIXED CHARGES: Interest expense 6,202 5,591 9,761 11,585 23,260 6,115 6,375 Capitalized interest - - 2,359 4,092 - - - Rent 3,138 4,221 7,467 8,533 8,367 2,052 1,914 ------------------------------------------------------------------ Total fixed charges 9,340 9,812 19,587 24,210 31,627 8,167 8,289 ------------------------------------------------------------------ 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) 2,679 (266) ================================================================== ------------------------------------------------------------------ RATIO OF EARNINGS TO FIXED CHARGES 2.37 4.97 0.80(1) (7.90)(1) (2.48)(1) 0.33 (1) (0.03)(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, and by $5.5 million and $8.6 million in the three months ended March 31, 1997 and 1998, respectively.