EXHIBIT 12.1

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

| ** **                                                                     |                                              |        |         |        |        |        | **Combined Basis** |        |        |        | **Year ended June 30, 2006** |        |        |        | **Year ended June 30, 2007** |        |   |        | **Predecessor July 1, 2004 through September 22, 2004** |        |        |        | **Successor September 23, 2004 through June 30, 2005** |        |
|--------------------------------------------------------------------------------|----------------------------------------------|--------|---------|--------|--------|--------|--------------------|--------|--------|--------|------------------------------|--------|--------|--------|------------------------------|--------|--------|--------|---------------------------------------------------------|--------|--------|--------|--------------------------------------------------------|--------|
| **Predecessor**                                                                |
|                                                                                |
| **Year Ended June 30,**                                                        |                                              |
|                                                                                | **Year Ended June 30, 2005**                 |
|     **2003**                                               |       **2004** |
| **EARNINGS:**                                                                  |                                              |        |         |        |        |        |                    |        |        |        |                              |        |        |        |                              |        |        |        |                                                         |        |        |        |                                                        |        |  |  |  |  |
| Income (loss) from continuing operations before    income taxes |                                         | $      | 26.0    |   |   | $      | 57.6               |   |   | $      | (114.5                       | )      |   | $      | 39.7                         |   |   | $      | (125.2                                                  | )      |   | $      | (164.3                                                 | )      |   | $ | 49.8 |   |
| Minority interest expense (income)                                             |                                         |   | 0.7     |   |   |   | (2.5               | )      |   |   | (0.3                         | )      |   |   | 2.6                          |   |   |   | 2.6                                                     |        |   |   | (0.5                                                   | )      |   |   | 0.2 |   |
| Equity method income                                                           |                                              |        | (1.7    | )      |        |        | (1.5               | )      |        |        | (1.0                         | )      |        |        | (0.2                         | )      |        |        | (0.9                                                    | )      |        |        | (0.2                                                   | )      |  |  | (0.8 | ) |
| Fixed charges, exclusive of capitalized interest (a)                           |                                              |        | 39.3    |        |        |        | 47.1               |        |        |        | 91.3                         |        |        |        | 118.8                        |        |        |        | 140.9                                                   |        |        |        | 11.7                                                   |        |  |  | 79.6 |  |
|                                                                                |                                              |   |         |   |   |   |                    |   |   |   |                              |   |   |   |                              |   |   |   |                                                         |        |   |   |                                                        |   |   |   |  |   |
|       Earnings                                   |                                              | $      | 64.3    |        |        | $      | 100.7              |        |        | $      | (24.5                        | )      |        | $      | 160.9                        |        |        | $      | 17.4                                                    |        |        | $      | (153.3                                                 | )      |  | $ | 128.8 |  |
|                                                                           |                                              |        |         |        |        |        |                    |        |        |        |                              |        |        |        |                              |        |        |        |                                                         |        |        |        |                                                        |        |  |  |  |  |
|                                                                           |                                              |        |    |        |        |        |               |        |        |        |                         |        |        |        |                         |        |        |        |                                                    |        |        |        |                                                   |        |  |  |   |  |
| **FIXED CHARGES:**                                                             |                                              |        |    |        |        |        |               |        |        |        |                         |        |        |        |                         |        |        |        |                                                    |        |        |        |                                                   |        |  |  |   |  |
| Interest charged to expense (b)                                                |                                              | $      | 35.2    |        |        | $      | 41.8               |        |        | $      | 84.5                         |        |        | $      | 110.3                        |        |        | $      | 131.6                                                   |        |        | $      | 10.4                                                   |        |  | $ | 74.1 |  |
| Portion of rents representing interest (c)                                     |                                              |        | 4.1     |        |        |        | 5.3                |        |        |        | 6.8                          |        |        |        | 8.5                          |        |        |        | 9.3                                                     |        |        |        | 1.3                                                    |        |  |  | 5.5 |  |
|                                                                                |                                              |   |         |   |   |   |                    |   |   |   |                              |   |   |   |                              |   |   |   |                                                         |        |   |   |                                                        |   |   |   |  |   |
| Fixed charges, exclusive of capitalized interest                               |                                              |        | 39.3    |        |        |        | 47.1               |        |        |        | 91.3                         |        |        |        | 118.8                        |        |        |        | 140.9                                                   |        |        |        | 11.7                                                   |        |  |  | 79.6 |  |
| Capitalized interest                                                           |                                              |        | – |        |        |        | 0.2                |        |        |        | 4.3                          |        |        |        | 8.3                          |        |        |        | 3.0                                                     |        |        |        | 1.1                                                    |        |  |  | 3.2 |  |
|                                                                                |                                              |   |         |   |   |   |                    |   |   |   |                              |   |   |   |                              |   |   |   |                                                         |        |   |   |                                                        |   |   |   |  |   |
|       Total fixed charges                        |                                              | $      | 39.3    |        |        | $      | 47.3               |        |        | $      | 95.6                         |        |        | $      | 127.1                        |        |        | $      | 143.9                                                   |        |        | $      | 12.8                                                   |        |  | $ | 82.8 |  |
|                                                                           |                                              |        |         |        |        |        |                    |        |        |        |                              |        |        |        |                              |        |        |        |                                                         |        |        |        |                                                        |        |  |  |  |  |
|       Ratio of earnings to fixed charges         |                                              |        | 1.64x   |        |        |        | 2.13x              |        |        |        | n/a                          |        |        |        | 1.27x                        |        |        |        | n/a                                                     |        |        |        | n/a                                                    |        |  |  | 1.56x |  |
|                                                                           |                                              |        |         |        |        |        |                    |        |        |        |                              |        |        |        |                              |        |        |        |                                                         |        |        |        |                                                        |        |  |  |  |  |
| Amount by which earnings are inadequate to cover                               |                                         |   |    |   |   |   |               |   |   |   |                         |   |   |   |                         |   |   |   |                                                    |   |        |   |                                                   |   |   |   |   |   |
|    fixed charges                                                |                                         |   | n/a     |        |   |   | n/a                |        |        | $      | 120.1                        |        |        |        | n/a                          |        |        | $      | 126.5                                                   |        |        | $      | 166.1                                                  |        |  |  | n/a |  |

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