Exhibit 12.1

DAVITA INC.

RATIO OF EARNINGS TO FIXED CHARGES

The ratio of earnings to fixed charges is computed by dividing earnings by fixed charges. Earnings for this purpose is defined as pretax income from continuing operations adjusted by adding back fixed charges expensed during the period. Fixed charges include debt expense (interest expense and the amortization of deferred financing costs), the estimated interest component of rental expense on operating leases, and capitalized interest.

	Three months ended March 31, 2005		Year ended December 31,
			2004		2003		2002		2001		2000
	(dollars in thousands)
Earnings adjusted for fixed charges:
Income from continuing operations	$	91,609	$	361,884	$	288,266	$	267,257	$	242,567	$	39,223
Add:
Debt expense		17,534		52,412		66,828		71,636		72,438		116,637
Interest portion of rental expense		7,118		25,772		22,927		20,336		18,116		17,140
		24,652		78,184		89,755		91,972		90,554		133,777
	$	116,261	$	440,068	$	378,021	$	359,229	$	333,121	$	173,000
Fixed charges:
Debt expense		17,534		52,412		66,828		71,636		72,438		116,637
Interest portion of rental expense		7,118		25,772		22,927		20,336		18,116		17,140
Capitalized interest		306		1,078		1,523		1,888		751		1,125
	$	24,958	$	79,262	$	91,278	$	93,860	$	91,305	$	134,902
Ratio of earnings to fixed charges		4.66		5.55		4.14		3.83		3.65		1.28

In the above presentation earnings adjusted for fixed charges for years prior to 2004 exclude debt refinancing charges that had been previously reported as extraordinary items.