EX-12.1 4 a2229435zex-12_1.htm EX-12.1
QuickLinks -- Click here to rapidly navigate through this document


EXHIBIT 12.1

GENOMIC HEALTH, INC.
STATEMENT REGARDING COMPUTATION OF RATIOS
(in thousands)

 
  Year ended December 31,  
 
  2011   2012   2013   2014   2015   Six Months ended
June 30, 2016
 

Earnings (deficiency):

                                     

Net income (loss) before income taxes

  $ 8,275   $ 8,671   $ (12,411 ) $ (24,199 ) $ (34,304 ) $ (11,794 )

Add:

                                     

Fixed charges

    239     408     335     403     453     281  

Earnings (deficiency)

  $ 8,514   $ 9,079   $ (12,076 ) $ (23,796 ) $ (33,851 ) $ (11,514 )

Fixed Charges:

                                     

Interest expense

  $   $   $   $   $   $  

Estimated interest portion of rental expense

    239     408     335     403     453     281  

Total fixed charges

  $ 239   $ 408   $ 335   $ 403   $ 453   $ 281  

Deficiency in the coverage of fixed charges

  $   $   $ (12,411 ) $ (24,199 ) $ (34,304 ) $ (11,794 )

Ratio of Earnings to Fixed Charges(1)(2)

    35.6x     22.3x     NM     NM     NM     NM  

No preferred shares were outstanding during the periods set forth in the table and, accordingly, the combined ratio of earnings to fixed charges and preferred stock dividends would be identical to the ratio of earnings to fixed charges.

(1)
The ratio of earnings to fixed charges is computed by dividing income (loss) before income taxes plus fixed charges by fixed charges. Fixed charges consist of interest expense (including interest expense from capital leases) and the estimated portion of rental expense deemed by the Company to be representative of the interest factor of rental payments under operating leases. For the years ended December 31, 2013, 2014 and 2015 and for the six months ended June 30, 2016, earnings were insufficient to cover fixed charges by the amounts set forth in the table above under the heading "Deficiency in the coverage of fixed charges."

(2)
NM—Not meaningful.



QuickLinks

GENOMIC HEALTH, INC. STATEMENT REGARDING COMPUTATION OF RATIOS (in thousands)