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 and debt refinancing charges. 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.

	Six months ended June 30, 2003		Year ended December 31,
			2002		2001			2000		1999			1998
	(dollars in thousands)
Earnings adjusted for fixed charges:
Income (loss) before income taxes, and cumulative effect of a change in accounting principle	$	124,858	$	267,257	$	242,567		$	39,223	$	(181,826	)	$	28,229
Add:
Debt expense		38,951		71,636		72,438			116,637		110,797			84,003
Debt refinancing charges				48,930		(1,629	)		5,712					20,412
Interest portion of rental expense		11,033		20,336		18,116			17,140		17,501			12,992
		49,984		140,902		88,925			139,489		128,298			117,407
Earnings (loss) before income taxes, debt refinancing charges, cumulative effect of a change in accounting principle and fixed charges	$	174,842	$	408,159	$	331,492		$	178,712	$	(53,528	)	$	145,636
Fixed charges:
Debt expense		38,951		71 636		72,438			116,637		110,797			84,003
Interest portion of rental expense		11,033		20,336		18,116			17,140		17,501			12,992
Capitalized interest		964		1,888		751			1,125		709			804
Total fixed charges	$	50,948	$	93,860	$	91,305		$	134,902	$	129,007		$	97,799
Ratio of earnings to fixed charges		3.43		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.