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 fixed charges other than interest capitalized during the period. Fixed charges are defined as the total of debt interest, amortization of financing costs, and the estimated interest component of rental expense on operating leases.

	Nine months ended September 30, 2002		Year ended December 31,
			2001		2000		1999			1998		1997
Earnings adjusted for fixed charges:
Income (loss) before income taxes, extraordinary items and cumulative effect of a change in accounting principle	$	216,776	$	240,938	$	44,935	$	(181,826	)	$	48,641	$	81,178
Add:
Interest expense and amortization of financing costs		52,178		72,438		116,637		110,797			84,003		29,082
Interest portion of rental expense		15,100		18,116		17,140		17,501			12,992		8,196
		67,278		90,554		133,777		128,298			96,995		37,278
Earnings (loss) before income taxes, extraordinary items, cumulative effect of a change in accounting principle and fixed charges	$	284,054	$	331,492	$	178,712	$	(53,528	)	$	145,636	$	118,456
Fixed charges:
Interest expense and amortization of financing costs		52,178		72,438		116,637		110,797			84,003		29,082
Capitalized interest		1,261		751		1,125		709			804		685
Interest portion of rental expense		15,100		18,116		17,140		17,501			12,992		8,196
Total fixed charges	$	68,539	$	91,305	$	134,902	$	129,007		$	97,799	$	37,963
Ratio of earnings to fixed charges		4.14		3.63		1.32		(a	)		1.49		3.12

(a) Due to the Company’s loss in 1999, the ratio coverage was less than 1:1. The Company would have had to generate additional earnings of $182,535 to achieve a coverage ratio of 1:1.