EXHIBIT 12.1 COLUMBIA HEALTHCARE CORPORATION COMPUTATION OF RATIO OF EARNINGS TO FIXED CHARGES (UNAUDITED) (DOLLARS IN MILLIONS) YEARS ENDED DECEMBER 31, ----------------------------------------------------- 1993 1992 1991 1990 1989 --------- --------- --------- --------- --------- Earnings: Income from continuing operations before minority interests and income taxes................................................................ $ 329 $ 339 $ 569 $ 529 $ 472 Fixed charges, exclusive of capitalized interest...................... 156 144 136 137 161 --------- --------- --------- --------- --------- $ 485 $ 483 $ 705 $ 666 $ 633 --------- --------- --------- --------- --------- --------- --------- --------- --------- --------- Fixed charges: Interest charged to expense........................................... $ 129 $ 117 $ 111 $ 119 $ 147 One-third of rent expense and amortization of deferred loan costs (a).................................................................. 27 27 25 18 14 --------- --------- --------- --------- --------- Fixed charges, exclusive of capitalized interest...................... 156 144 136 137 161 Capitalized interest.................................................. 6 8 7 4 3 --------- --------- --------- --------- --------- $ 162 $ 152 $ 143 $ 141 $ 164 --------- --------- --------- --------- --------- --------- --------- --------- --------- --------- Ratio of earnings to fixed charges...................................... 2.99 3.16 4.94 4.72 3.85 --------- --------- --------- --------- --------- --------- --------- --------- --------- --------- <FN> - ------------------------ (a) One-third of rent expense is considered representative of the underlying interest.