Exhibit 12.1

HCA Holdings, Inc.
Ratio of Earnings to Fixed Charges
(Dollars in millions)

	Three Months Ended				Year Ended December 31,
	March 31, 2011		March 31, 2010		2010		2009		2008		2007		2006
Earnings:
Income before income taxes	$	517	$	685	$	2,231	$	2,002	$	1,170	$	1,398	$	1,863
Fixed charges, exclusive of capitalized interest		572		553		2,250		2,136		2,166		2,354		1,092
	$	1,089	$	1,238	$	4,481	$	4,138	$	3,336	$	3,752	$	2,955
Fixed charges:
Interest charged to expense	$	533	$	516	$	2,097	$	1,987	$	2,021	$	2,215	$	955
Interest factor on rental expense		39		37		153		149		145		139		137
		572		553		2,250		2,136		2,166		2,354		1,092
Interest capitalized		6		8		22		29		32		29		38
	$	578	$	561	$	2,272	$	2,165	$	2,198	$	2,383	$	1,130
Ratio of earnings to fixed charges		1.89		2.21		1.97		1.91		1.52		1.57		2.61