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 operations adjusted by adding back fixed charges expensed during the period. Fixed charges include debt expense (interest expense and the amortization of financing costs), the estimated interest component of rental expense on operating leases, and capitalized interest.

	Three months ended March 31, 2003		Year ended December 31,
			2002		2001		2000		1999			1998
	(dollars in thousands)
Earnings adjusted for fixed charges:
Income (loss) before income taxes, extraordinary items and cumulative effect of a change in accounting principle	$	60,663	$	316,187	$	240,938	$	44,935	$	(181,826	)	$	48,641
Add:
Debt expense		19,456		71,636		72,438		116,637		110,797			84,003
Interest portion of rental expense		5,448		20,336		18,116		17,140		17,501			12,992
		24,904		91,972		90,554		133,777		128,298			96,995
Earnings (loss) before income taxes, extraordinary items, cumulative effect of a change in accounting principle and fixed charges	$	85,567	$	408,159	$	331,492	$	178,712	$	(53,528	)	$	145,636
Fixed charges:
Debt expense		19,456		71,636		72,438		116,637		110,797			84,003
Interest portion of rental expense		5,448		20,336		18,116		17,140		17,501			12,992
Capitalized interest		514		1,888		751		1,125		709			804
Total fixed charges	$	25,418	$	93,860	$	91,305	$	134,902	$	129,007		$	97,799
Ratio of earnings to fixed charges		3.37		4.35		3.63		1.32		(a)			1.49

(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 of 1:1.