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.

	Nine months ended September 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	$	623,525		$	743,990		$	757,579		$	656,720		$	673,967		$	514,492
Add:
Debt expense		179,340			181,607			185,755			224,716			257,147			276,703
Interest portion of rent expense		70,595			86,879			80,912			72,404			64,457			60,302
Less: Noncontrolling interests		(67,893	)		(79,406	)		(57,803	)		(47,331	)		(46,702	)		(39,888	)
		182,042			189,080			208,864			249,789			274,902			297,117
	$	805,567		$	933,070		$	966,443		$	906,509		$	948,869		$	811,609
Fixed charges:
Debt expense	$	179,340		$	181,607		$	185,755		$	224,716		$	257,147		$	276,703
Interest portion of rent expense		70,595			86,879			80,912			72,404			64,457			60,302
Capitalized interest		3,148			2,621			3,627			4,189			3,878			4,708
	$	253,083		$	271,107		$	270,294		$	301,309		$	325,482		$	341,713
Ratio of earnings to fixed charges		3.18			3.44			3.58			3.01			2.92			2.38