Exhibit 12.1

AURORA DIAGNOSTICS HOLDINGS, LLC
COMPUTATION OF RATIO OF EARNINGS TO FIXED CHARGES
(In Thousands)

	Period from
	June 2006												Six Months
	(Inception) to												Ended
	December 31,			Year Ended December 31,									June 30,
	2006			2007		2008		2009		2010			2011
Net income (loss)	$	(1,236	)	$	1,241	$	11,078	$	9,047	$	(2,164	)	$	(290	)
Provision for income taxes		—			762		408		45		1,487			1,352
Income (loss) before income taxes		(1,236	)		2,003		11,486		9,092		(677	)		1,062
Fixed charges:
Interest expensed	$	80		$	6,869	$	20,325	$	17,574	$	15,208		$	15,174
Amortization of deferred financing costs and discount		14			245		1,252		1,395		1,833			1,094
Estimated interest factor on operating leases		49			375		817		895		1,158			728
Total fixed charges		143			7,489		22,394		19,864		18,199			16,996
Earnings:
Income (loss) before income taxes		(1,236	)		2,003		11,486		9,092		(677	)		1,062
Fixed charges		143			7,489		22,394		19,864		18,199			16,996
Total earnings	$	(1,093	)	$	9,492	$	33,880	$	28,956	$	17,522		$	18,058
Ratio of earnings to fixed charges		—	(a)		1.27		1.51		1.46		—	(b)		1.06

(a)	For the period from inception, June 2006 through December 31, 2006, earnings were insufficient to cover fixed charges by $1,236,000.
(b)	For year ended December 31, 2010, earnings were insufficient to cover fixed charges by $677,000.