Exhibit 12.1

HCA Holdings, Inc.

Ratio of Earnings to Fixed Charges

(Dollars in millions)

	Nine Months Ended				Year Ended December 31,
	September 30, 2014		September 30, 2013		2013		2012		2011		2010		2009
Earnings:
Income before income taxes	$	2,513	$	2,146	$	2,946	$	2,894	$	3,561	$	2,231	$	2,002
Fixed charges, exclusive of capitalized interest		1,458		1,530		2,032		1,975		2,202		2,250		2,136
	$	3,971	$	3,676	$	4,978	$	4,869	$	5,763	$	4,481	$	4,138
Fixed charges:
Interest charged to expense	$	1,314	$	1,392	$	1,848	$	1,798	$	2,037	$	2,097	$	1,987
Interest factor on rental expense		144		138		184		177		165		153		149
		1,458		1,530		2,032		1,975		2,202		2,250		2,136
Interest capitalized		18		23		30		22		25		22		29
	$	1,476	$	1,553	$	2,062	$	1,997	$	2,227	$	2,272	$	2,165
Ratio of earnings to fixed charges		2.69		2.37		2.41		2.44		2.59		1.97		1.91