EXHIBIT 12.1

RADNET, INC. AND SUBSIDIARIES

COMPUTATION OF RATIO OF EARNINGS TO FIXED CHARGES

(in thousands)

(unaudited)

	Years Ended
	December 31,
	2017			2016			2015			2014			2013			2012
Earnings:
Pre-tax net income (1)	$	26,385		$	12,436		$	14,645		$	3,961		$	5,886		$	4,377
Less: Equity in earnings of unconsolidated joint ventures		(13,554	)		(9,767	)		(8,927	)		(6,970	)		(6,194	)		(6,476	)
Plus: Distributions from unconsolidated joint ventures		8,690			2,926			7,731			7,358			7,204			6,477
Fixed charges		51,631			54,554			51,717			56,145			54,891			61,352
Total adjusted earnings	$	73,152		$	60,149		$	65,166		$	60,494		$	61,787		$	65,730
Fixed charges:
Interest expense (including debt issue costs amortized to interest expense)	$	40,623		$	43,455		$	41,684		$	42,727		$	45,791		$	53,783
Adjustments to exclude fair value adjustments of cash flow hedges reclassified from OCI to interest expense		–			–			–			–			–			(918	)
Write-off of debt issue costs		–			709			–			4,389			–			–
Portion of rent expense representative of the interest factor (2)		11,008			10,390			10,033			9,029			9,100			8,487
Total fixed charges	$	51,631		$	54,554		$	51,717		$	56,145		$	54,891		$	61,352
Ratio of earnings to fixed charges		1.42			1.10			1.26			1.08			1.13			1.07
Additional earnings required to have a one-to-one ratio of earnings to fixed charges	$	–		$	–		$	–		$	–		$	–		$	–

(1) Excludes net income attributable to non-controlling interests

(2) Represents 14% of operating lease costs, which approximates the portion that relates to the interest portion based on our estimated incremental borrowing rate