Exhibit 12.1

HCA Holdings, Inc.

Ratio of Earnings to Fixed Charges

(Dollars in millions)

	Nine Months Ended				Year Ended December 31,
	September 30, 2012		September 30, 2011		2011		2010		2009		2008		2007
Earnings:
Income before income taxes	$	2,339	$	1,107	$	3,561	$	2,231	$	2,002	$	1,170	$	1,398
Fixed charges, exclusive of capitalized interest		1,468		1,693		2,202		2,250		2,136		2,166		2,354
	$	3,807	$	2,800	$	5,763	$	4,481	$	4,138	$	3,336	$	3,752
Fixed charges:
Interest charged to expense	$	1,336	$	1,572	$	2,037	$	2,097	$	1,987	$	2,021	$	2,215
Interest factor on rental expense		132		121		165		153		149		145		139
		1,468		1,693		2,202		2,250		2,136		2,166		2,354
Interest capitalized		14		19		25		22		29		32		29
	$	1,482	$	1,712	$	2,227	$	2,272	$	2,165	$	2,198	$	2,383
Ratio of earnings to fixed charges		2.57		1.64		2.59		1.97		1.91		1.52		1.57