Exhibit 12.1

National Healthcare Corporation
Computation of Ratio of Earnings to Fixed Charges and Preferred Stock Dividends
(dollars in thousands)

	Three Months Ended March 31												Year Ended December 31
	2007			2006			2006			2005				2004			2003			2002
Earnings:
Pretax income	$	10,947		$	8,975		$	54,279		$	46,690			$	40,055		$	33,287		$	27,446
Minority interest adjustment		(11	)		32			(19	)		56				39			62			21
Equity earnings adjustment		(1,175	)		(52	)		(4,300	)		(225	)			(344	)		(330	)		(297	)
Add fixed charges		4,229			4,200			16,466			17,330				16,927			17,818			19,018
Add amortization of capitalized interest		18			18			71			62				61			55			51
Add distributed income of equity investees		118			128			250			155				453			463			304
Deduct interest capitalized		(7	)		(63	)		(370	)		(31	)			(240	)		(162	)		(40	)
Total Earnings Available for Fixed Charges	$	14,119		$	13,238		$	66,377		$	64,037			$	56,951		$	51,193		$	46,503
Fixed charges:
Interest expensed	$	276		$	277		$	980		$	1,531			$	1,299		$	2,080		$	3,482
Interest capitalized		7			63			370			31				240			162			40
Estimated interest within rental expense		3,946			3,860			15,116			15,768				15,388			15,576			15,496
Total fixed charges	$	4,229		$	4,200		$	16,466		$	17,330			$	16,927		$	17,818		$	19,018
Ratio of Earnings to Fixed Charges and Preferred Stock Dividends		3.3×			3.2×			4.0×			3.7×				3.4×			2.9×			2.4×

Computation of Pro Forma Ratio of Earnings to Fixed Charges
(dollars in thousands)

	Three
	Months			Year
	Ended			Ended
	March 31			December 31
	2007			2006
Pro Forma Earnings:
Pretax income	$	13,070		$	61,434
Equity earnings adjustment		(1,176	)		(4,247	)
Add fixed charges		3,306			12,802
Add amortization of capitalized interest		18			71
Add distributed income of equity investees		118			339
Deduct interest capitalized		(7	)		(370	)
Total Earnings Available for Fixed Charges	$	15,329		$	70,029
Pro Forma Fixed charges:
Interest expensed	$	414		$	1,584
Interest capitalized		7			370
Estimated interest within rental expense		2,885			10,848
Total fixed charges	$	3,306		$	12,802
Pro Forma Ratio of Earnings to Fixed Charges		4.6			5.5