EXHIBIT12VANGUARD HEALTH SYSTEMS, INC.Computation of Ratio of Earnings to Fixed Charges (dollars inthousands)

|                                                                                                 |   | **For theYear Ended June 30,** |     |   | **SixMonths Ended December 31,** |     |    | **ProForma Year Ended June 30,** |     |   | **ProForma Six Months Ended December 31,** |
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|                                                                                                 |   |                           | **1998** |   |                             | **1999** |    |                             | **2000** |   |                                       | **2001** |   |   | **2001** |   |   | **2001** |   |   | **2001** |
|                                                                                                 |   |                                |          |
| Income (loss) fromcontinuing operations       before income taxes           |   | $                              | (2,713   | )      |                             | $        | (6,421  | )                                |     | $      | (181                                       | ) |   | $ | 10,671 |  |   | $ | 5,051 |   |   | $ | (5,141 | ) |   | $ | 3,765 |   |
| Equity method (income)loss                                                                           |   |                           | 68       |   |                             |     | (240    | )                                |     |   | 74                                         |   |   |   | (165 | ) |   |  | (302 | ) |   |   | (165 | ) |   |   | (302 | ) |
| Portion of rentsrepresentative       of interest                            |   |                           | 105      |   |                             |     | 560     |                             |     |   | 1,709                                      |   |   |   | 3,058 |  |   |  | 1,668 |   |   |   | 3,622 |   |   |   | 1,668 |   |
| Interest, includingamortization       of debt issuance expense              |   |                           | 330      |   |                             |     | 4,395   |                             |     |   | 9,235                                      |   |   |   | 17,491 |  |   |  | 15,161 |   |   |   | 31,111 |   |   |   | 16,447 |   |
|                                                                                                 |   |                           |          |   |                             |     |         |                             |     |   |                                            |   |   |   |  |  |   |  |  |   |   |   |  |   |   |   |  |   |
|            Earnings                                |   | $                              | (2,210   | )      |                             | $        | (1,706  | )                                |     | $      | 10,837                                     |   |   | $ | 31,055 |  |   | $ | 21,578 |   |   | $ | 29,427 |   |   | $ | 21,578 |   |
|                                                                                                 |   |                           |          |   |                             |     |         |                             |     |   |                                            |   |   |   |  |  |   |  |  |   |   |   |  |   |   |   |  |   |
| Portion of rentsrepresentative       of interest                            |   |                           | 105      |   |                             |     | 560     |                             |     |   | 1,709                                      |   |   |   | 3,058 |  |   |  | 1,668 |   |   |   | 3,622 |   |   |   | 1,668 |   |
| Interest includingamortization       of debt issuance expense               |   |                           | 330      |   |                             |     | 4,395   |                             |     |   | 9,235                                      |   |   |   | 17,491 |  |   |  | 15,161 |   |   |   | 31,111 |   |   |   | 16,447 |   |
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|            Fixed Charges                      |   | $                              | 435      |   |                             | $        | 4,955   |                             |     | $      | 10,944                                     |   |   | $ | 20,549 |  |   | $ | 16,829 |   |   | $ | 34,733 |   |   | $ | 18,115 |   |
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|            Ratio of earnings to fixed charges |   |                           | ―  |   |                             |     | ― |                             |     |   | ―                                    |   |   |   | 1.51 |  |   |  | 1.28 |   |   |   | ― |   |   |   | 1.19 |   |
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| Amount by which earningsare       inadequate to cover fixedcharges          |   | $                              | 2,645    |   |                             | $        | 6,661   |                             |     | $      | 107                                        |   |   | $ | ― |  |   | $ | ― |   |   | $ | 5,306 |   |   | $ | ― |   |
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