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 write-off 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, 2007		Year ended December 31,
			2006		2005		2004		2003		2002
			(dollars in thousands)
Earnings adjusted for fixed charges:
Income from continuing operations before income taxes	$	333,606	$	475,759	$	331,097	$	332,840	$	269,651	$	249,105
Add:
Debt expense		131,781		276,706		139,586		52,411		66,821		71,612
Interest portion of rent expense		31,637		60,395		35,189		24,305		21,685		19,259
		163,418		337,101		174,775		76,716		88,506		90,871
	$	497,024	$	812,860	$	505,872	$	409,556	$	358,157	$	339,976
Fixed charges:
Debt expense	$	131,781	$	276,706	$	139,586	$	52,411	$	66,821	$	71,612
Interest portion of rent expense		31,637		60,395		35,189		24,305		21,685		19,259
Capitalized interest		1,939		4,708		1,912		1,078		1,523		1,888
	$	165,357	$	341,809	$	176,687	$	77,794	$	90,029	$	92,759
Ratio of earnings to fixed charges		3.01		2.38		2.86		5.26		3.98		3.67