EXHIBIT 12.1

Vanguard Health Systems, Inc.Computations of Ratios of Earnings to Fixed Charges(unaudited)(dollars in millions)

| ** **                                                                     |                              |        | **Predecessor** | **Combined Basis** |        |        |        | **Year ended June 30, 2006** |        |        |        | **Year ended June 30, 2007** |        |        |        | **Year ended June 30, 2008** |        |   |       | **Predecessor July 1, 2004 through September 22, 2004** |        |                                 |        | **Successor September 23, 2004 through June 30, 2005** |        |
|--------------------------------------------------------------------------------|------------------------------|--------|-----------------|--------------------|--------|--------|--------|------------------------------|--------|--------|--------|------------------------------|--------|--------|--------|------------------------------|--------|--------|-------|---------------------------------------------------------|--------|---------------------------------|--------|--------------------------------------------------------|--------|
| **Year ended June 30 2004**                                                    | **Year ended June 30, 2005** |
| **EARNINGS:**                                                                  |                              |        |                 |                    |        |        |        |                              |        |        |        |                              |        |        |        |                              |        |        |       |                                                         |        |                                 |        |                                                        |        |  |  |
| Income (loss) from continuing operations before    income taxes |                         | $      | 57.6            |               |   | $      | (114.5 | )                            |   | $      | 39.7   |                         |   | $      | (125.2 | )                            |   | $      | 1.3   |                                |   |      $ | (164.3 | )                                                      |   | $ | 49.8 |   |
| Minority interest expense (income)                                             |                         |   | (2.5            | )                  |   |   | (0.3   | )                            |   |   | 2.6    |                         |   |   | 2.6    |                              |   |   | 3.0   |                                                         |   |                            | (0.5   | )                                                      |   |   | 0.2 |   |
| Equity method income                                                           |                              |        | (1.5            | )                  |        |        | (1.0   | )                            |        |        | (0.2   | )                            |        |        | (0.9   | )                            |        |        | (0.7  | )                                                       |        |                                 | (0.2   | )                                                      |        |  | (0.8 | ) |
| Fixed charges, exclusive of capitalized interest (a)                           |                              |        | 47.1            |                    |        |        | 91.3   |                              |        |        | 118.8  |                              |        |        | 140.9  |                              |        |        | 138.9 |                                                         |        |                                 | 11.7   |                                                        |        |  | 79.6 |  |
|                                                                                |                              |   |                 |               |   |   |        |                         |   |   |        |                         |   |   |        |                              |   |   |       |                                                         |   |                            |        |                                                   |   |   |  |   |
|       Earnings                                   |                              | $      | 100.7           |                    |        | $      | (24.5  | )                            |        | $      | 160.9  |                              |        | $      | 17.4   |                              |        | $      | 142.5 |                                                         |        | $                               | (153.3 | )                                                      |        | $ | 128.8 |  |
|                                                                           |                              |        |                 |                    |        |        |        |                              |        |        |        |                              |        |        |        |                              |        |        |       |                                                         |        |                                 |        |                                                        |        |  |  |  |
|                                                                           |                              |        |            |                    |        |        |   |                              |        |        |   |                              |        |        |   |                              |        |        |       |                                                         |        |                                 |   |                                                        |        |  |   |  |
| **FIXED CHARGES:**                                                             |                              |        |            |                    |        |        |   |                              |        |        |   |                              |        |        |   |                              |        |        |       |                                                         |        |                                 |   |                                                        |        |  |   |  |
| Interest charged to expense (b)                                                |                              | $      | 41.8            |                    |        | $      | 84.5   |                              |        | $      | 110.3  |                              |        | $      | 131.6  |                              |        | $      | 128.4 |                                                         |        | $                               | 10.4   |                                                        |        | $ | 74.1 |  |
| Portion of rents representing interest (c)                                     |                              |        | 5.3             |                    |        |        | 6.8    |                              |        |        | 8.5    |                              |        |        | 9.3    |                              |        |        | 10.5  |                                                         |        |                                 | 1.3    |                                                        |        |  | 5.5 |  |
|                                                                                |                              |   |                 |               |   |   |        |                         |   |   |        |                         |   |   |        |                              |   |   |       |                                                         |   |                            |        |                                                   |   |   |  |   |
| Fixed charges, exclusive of capitalized interest                               |                              |        | 47.1            |                    |        |        | 91.3   |                              |        |        | 118.8  |                              |        |        | 140.9  |                              |        |        | 138.9 |                                                         |        |                                 | 11.7   |                                                        |        |  | 79.6 |  |
| Capitalized interest                                                           |                              |        | 0.2             |                    |        |        | 4.3    |                              |        |        | 8.3    |                              |        |        | 3.0    |                              |        |        | 1.4   |                                                         |        |                                 | 1.1    |                                                        |        |  | 3.2 |  |
|                                                                                |                              |   |                 |               |   |   |        |                         |   |   |        |                         |   |   |        |                              |   |   |       |                                                         |   |                            |        |                                                   |   |   |  |   |
|       Total fixed charges                        |                              | $      | 47.3            |                    |        | $      | 95.6   |                              |        | $      | 127.1  |                              |        | $      | 143.9  |                              |        | $      | 140.3 |                                                         |        | $                               | 12.8   |                                                        |        | $ | 82.8 |  |
|                                                                           |                              |        |                 |                    |        |        |        |                              |        |        |        |                              |        |        |        |                              |        |        |       |                                                         |        |                                 |        |                                                        |        |  |  |  |
|       Ratio of earnings to fixed charges         |                              |        | 2.13x           |                    |        |        | n/a    |                              |        |        | 1.27x  |                              |        |        | n/a    |                              |        |        | 1.02x |                                                         |        |                                 | n/a    |                                                        |        |  | 1.56x |  |
|                                                                           |                              |        |                 |                    |        |        |        |                              |        |        |        |                              |        |        |        |                              |        |        |       |                                                         |        |                                 |        |                                                        |        |  |  |  |
| Amount by which earnings are inadequate to cover                               |                         |   |            |               |   |   |   |                         |   |   |   |                         |   |   |   |                         |   |   |       |                                                         |        |                            |   |                                                   |   |   |   |   |
|    fixed charges                                                |                         |   | n/a             |                    |   | $      | 120.1  |                              |        |        | n/a    |                              |        | $      | 126.5  |                              |        |        | n/a   |                                                         |        | $                               | 166.1  |                                                        |        |  | n/a |  |

____________________(a) Calculated in fixed charges section below.(b) Excludes interest income.(c) Estimated to be 25% of consolidated rental expense.