Exhibit 12.1

HEALTH MANAGEMENT ASSOCIATES, INC.

RATIO OF EARNINGS TO FIXED CHARGES

FIVE YEARS ENDED DECEMBER 31, 2012

			Years Ended December 31,
	2012		2011		2010		2009		2008
EARNINGS
Income from continuing operations before income taxes		$301,481		$312,405		$286,823		$244,240		$328,116
Fixed charges, exclusive of capitalized interest		323,794		233,932		220,589		225,260		251,555
TOTAL EARNINGS		$625,275		$546,337		$507,412		$469,500		$579,671
FIXED CHARGES
Interest charged to expense, including amortization of deferred financing costs		$312,547		$222,747		$211,673		$217,938		$245,395
Interest portion of rental expense		11,247		11,185		8,916		7,322		6,160
Fixed charges, exclusive of capitalized interest		323,794		233,932		220,589		225,260		251,555
Capitalized interest		9,541		5,950		2,674		4,800		4,295
TOTAL FIXED CHARGES		$333,335		$239,882		$223,263		$230,060		$255,850
Ratio of Earnings to Fixed Charges		1.9		2.3		2.3		2.0		2.3