Exhibit 12.1 Triad Hospitals, Inc Computation of Ratios of Earnings to Fixed Charges For the For the Three Months Three Months Ended Ended March 31, March 31, For the Years Ended December 31, 1999 1998 1998 1997 1996 1995 1994 Earnings: Income from continuing operations before minority interests and income taxes $ (46.1) $ (1.9) $ (113.9) $ (14.7) $ 127.3 $ 143.3 $ 90.1 Fixed charges, exclusive of capitalized interest 21.2 19.5 82.4 73.6 64.5 47.6 38.7 -------------------------------------------------------------------------- Income as adjusted $ (24.9) $ 17.6 $ (31.5) $ 58.9 $ 191.8 $ 190.9 $ 128.8 ========================================================================== Fixed Charges: Interest charged to expense $ 18.2 $ 16.1 $ 68.9 $ 60.5 $ 52.0 $ 36.6 $ 30.7 Portion of rents representative of interest 3.0 3.4 13.5 13.1 12.5 11.0 8.0 -------------------------------------------------------------------------- 21.2 19.5 82.4 73.6 64.5 47.6 38.7 Interest expense included in cost of plant construction 1.3 0.4 1.7 0.4 0.6 0.6 0.3 -------------------------------------------------------------------------- $ 22.5 $ 19.9 $ 84.1 $ 74.0 $ 65.1 $ 48.2 $ 39.0 ========================================================================== Ratios of Earnings to Fixed Charges (A) (A) (A) (A) 3.0 4.0 3.3 ========================================================================== (A) Triad's earnings were insufficient to cover fixed charges by $47.4 million and $2.3 million for the three months ended March 31, 1999 and 1998, respectively, and $115.6 million and $15.1 million for the years ended December 31, 1998 and 1997, respectively