<PAGE>
Exhibit 12.1
Health Management Associates, Inc.
The following table sets forth our ratio of earnings to fixed charges for
each of the years ended December 31, 1995, 1996, 1997, 1998 and 1999 and for
each of the nine months ended June 30, 1999 and 2000.
<TABLE>
<CAPTION>
Fiscal Year Ended September 30,
------------------------------------------------------------------
Nine Months Ended
June 30, 2000 1999 1998 1997 1996 1995
------------------------- ---------- --------- --------- --------- ---------
<S> <C> <C> <C> <C> <C> <C>
Consolidated ratio of earnings
to fixed charges............... 7.9 11.7 15.5 16.1 13.2 10.4
</TABLE>
The ratio of earnings to fixed charges was computed by dividing the sum of
earnings before income taxes and fixed charges by fixed charges. Fixed charges
consist of interest expense, amortization of deferred financing costs,
amortization of debt premium/discount, and a portion of operating lease rental
expense which management believes to be representative of the interest factor.
The completion of the ratio has not been audited for any of the periods
indicated.
