Three Rivers Healthcare S-4 Registration of securities issued in business combination transactions

Exhibit 12.1

Universal Health Services, Inc. and Subsidiaries

Computation of Ratio of Earnings to Fixed Charges

(Dollar amounts in thousands)

	12 months ended December 31
	2010		2009		2008		2007		2006
Earnings
Income from continuing operations before income taxes	$	428,097	$	474,722	$	357,012	$	318,628	$	289,937
Fixed charges		110,869		80,667		84,377		83,455		58,346
Amortization of capitalized interest		2,118		1,460		1,417		885		885
		541,084		556,849		442,806		402,968		349,168
Fixed Charges
Interest expense		77,600		45,810		53,207		51,626		32,558
Capitalized interest		7,641		11,565		7,899		9,229		3,403
Interest portion of lease/rental expense		25,628		23,292		23,271		22,600		21,203
Amortization of debt issuance costs		0		0		0		0		1,181
		110,869		80,667		84,377		83,455		58,345
Fixed charge coverage ratio		4.9		6.9		5.2		4.8		6.0