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 are defined as pretax income from continuing operations adjusted by adding back fixed charges expensed during the period less pre-tax net income attributable to noncontrolling interests. Fixed charges include debt expense (interest expense, the amortization of deferred financing costs and the amortization of the cap premium), the estimated interest component of rent expense on operating leases, and capitalized interest.

	Six months ended June 30, 2011			Year ended December 31,
				2010			2009			2008			2007			2006
	(dollars in thousands)
Earnings adjusted for fixed charges:
Income from continuing operations before income taxes	$	365,504		$	744,458		$	758,224		$	656,791		$	674,224		$	513,900
Add:
Debt expense		118,492			181,607			185,755			224,716			257,147			276,706
Interest portion of rent expense		46,321			87,116			81,122			72,562			64,613			60,395
Less: Noncontrolling interests		(41,317	)		(79,405	)		(57,803	)		(47,331	)		(46,702	)		(38,141	)
		123,496			189,318			209,074			249,947			275,058			298,960
	$	489,000		$	933,776		$	967,298		$	906,738		$	949,282		$	812,860
Fixed charges:
Debt expense	$	118,492		$	181,607		$	185,755		$	224,716		$	257,147		$	276,706
Interest portion of rent expense		46,321			87,116			81,122			72,562			64,613			60,395
Capitalized interest		1,770			2,621			3,627			4,189			3,878			4,708
	$	166,583		$	271,344		$	270,504		$	301,467		$	325,638		$	341,809
Ratio of earnings to fixed charges		2.94			3.44			3.58			3.01			2.92			2.38