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Exhibit 12.1

CONCENTRA OPERATING CORPORATION

COMPUTATION OF RATIOS

Ratio of Earnings to Fixed Charges

(Unaudited)

		Years Ended December 31,														Six Months Ended June 30,
		1999			2000			2001			2002			2003		2003		2004
		(dollars in thousands)
Earnings:
Income (loss) before income taxes		$	(17,512	)	$	(2,360	)	$	(14,650	)	$	1,026		$	49,503	$	25,629	$	20,821
Less: Equity in earnings of unconsolidated subsidiaries net of related distributions			(474	)		(1,210	)		(3,015	)		(850	)		2,805		1,412		1,757
Fixed charges			46,796			80,160			80,175			79,266			71,397		36,833		36,086
	Total earnings(1)	$	28,810		$	76,590		$	62,510		$	79,442		$	123,705	$	63,874	$	58,664
Fixed Charges:
Interest expense		$	35,779		$	68,932		$	67,250		$	63,981		$	56,632	$	29,284	$	28,241
Interest portion of rent expense			11,017			11,228			12,925			15,285			14,765		7,549		7,845
	Total fixed charges	$	46,796		$	80,160		$	80,175		$	79,266		$	71,397	$	36,833	$	36,086
Ratio of earnings to fixed charges			0.6x			1.0x			0.8x			1.0x			1.7x		1.7x		1.6x

(1)

For purposes of determining the ratio of earnings to fixed charges, earnings include income from continuing operations before income taxes adjusted for fixed charges and equity in earnings of unconsolidated subsidiaries and related distributions. Fixed charges consist of interest on debt, including amortization of debt issuance costs, and 33% of rent expenses, which we estimate as the interest component of such rentals.

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Exhibit 12.1