1 EXHIBIT 12.1 Paracelsus Utah Facilities Computation of Ratio of Earnings to Fixed Charges (Unaudited) (Dollars in thousands) Period from Date of Acquisition Through Year Ended Year Ended Nine Months Ended December 31, 1996 December 31, 1997 December 31, 1998 September 30, 1998 ---------------------- ----------------- ------------------ ------------------ Earnings Income (loss) from continuing operations before minority interests and income taxes (103,257) 3,750 3,548 3,600 Fixed charges 10,693 25,883 20,977 16,384 Less interest capitalized -- -- -- -- ------- ------ ------ ------ (92,564) 29,633 24,525 19,984 Fixed charges Interest charged to expense 8,465 22,097 17,088 13,426 Interest capitalized -- -- -- -- Interest portion of rental expense 2,228 3,786 3,889 2,958 ------- ------ ------ ------ Fixed charges 10,693 25,883 20,977 16,384 ------- ------ ------ ------ Ratio of earnings to fixed charges -- 1.1 1.2 1.2 ======= ====== ====== ====== Nine Months Ended September 30, 1999 ------------------ Earnings Income (loss) from continuing operations before minority interests and income taxes 910 Fixed charges 10,340 Less interest capitalized 218 ------- 11,468 Fixed charges Interest charged to expense 7,304 Interest capitalized 218 Interest portion of rental expense 2,818 ------- Fixed charges 10,340 ------- Ratio of earnings to fixed charges 1.1 =======