Red Bud Illinois Hospital S-3ASR Automatic shelf registration

Exhibit 12.1

STATEMENT RE: COMPUTATION OF RATIO OF EARNINGS TO FIXED CHARGES
(DOLLARS IN THOUSANDS)

																Nine Months Ended
	Year Ended December 31,															September 30,
	2003			2004			2005			2006			2007			2008
Earnings
Income from continuing operations before provision for income taxes and extraordinary item	$	216,454		$	259,749		$	308,174		$	287,847		$	102,900		$	248,245
Minority interest in the income of subsidiaries with fixed charges (1)		—			—			—			—			15,996			28,359
Income from equity investees (2)		—			—			—			—			(25,132	)		(32,083	)
Distributed income from equity investees		—			—			—			—			19,902			12,876
Interest and amortization of deferred finance costs		63,692			69,736			87,185			94,411			364,533			487,848
Amortization of capitalized interest		370			433			494			567			881			1,046
Implicit rental interest expense		15,099			18,041			20,564			22,986			38,892			44,295
Total Earnings	$	295,615		$	347,959		$	416,417		$	405,811		$	517,972		$	790,586
Fixed Charges
Interest and amortization of deferred finance costs	$	63,692		$	69,736		$	87,185		$	94,411		$	364,533		$	487,848
Capitalized interest		2,300			2,131			2,144			2,955			19,009			16,966
Implicit rental interest expense		15,099			18,041			20,564			22,986			38,892			44,295
Total fixed charges	$	81,091		$	89,908		$	109,893		$	120,352		$	422,434		$	549,109
Ratio of earnings to fixed charges		3.65	x		3.87	x		3.79	x		3.37	x		1.23	x		1.44	x

(1)	The Company recognized an immaterial amount of minority interest in income from consolidated subsidiaries prior to 2007.
(2)	The Company recognized an immaterial amount of income from equity investees prior to 2007.