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

	Six months ended June 30, 2006		Year ended December 31,
			2005		2004		2003		2002		2001
			(dollars in thousands)
Earnings adjusted for fixed charges:
Income from continuing operations before income taxes	$	201,779	$	331,097	$	332,840	$	269,651	$	249,105	$	227,684
Add:
Debt expense		138,895		139,586		52,411		66,821		71,612		72,401
Interest portion of rent expense		28,378		35,189		24,305		21,685		19,259		17,124
		167,273		174,775		76,716		88,506		90,871		89,525
	$	369,052	$	505,872	$	409,556	$	358,157	$	339,976	$	317,209
Fixed charges:
Debt expense	$	138,895	$	139,586	$	52,411	$	66,821	$	71,612	$	72,401
Interest portion of rent expense		28,378		35,189		24,305		21,685		19,259		17,124
Capitalized interest		1,920		1,912		1,078		1,523		1,888		751
	$	169,193	$	176,687	$	77,794	$	90,029	$	92,759	$	90,276
Ratio of earnings to fixed charges		2.18		2.86		5.26		3.98		3.67		3.51