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.

	Year ended December 31,
	2008		2007		2006		2005		2004
	(dollars in thousands)
Earnings adjusted for fixed charges:
Income from continuing operations before income taxes	$	609,460	$	627,522	$	475,759	$	331,097	$	332,840
Add:
Debt expense		224,716		257,147		276,706		139,586		52,411
Interest portion of rent expense		72,562		64,613		60,395		35,189		24,305
		297,278		321,760		337,101		174,775		76,716
	$	906,738	$	949,282	$	812,860	$	505,872	$	409,556
Fixed charges:
Debt expense		224,716		257,147		276,706		139,586		52,411
Interest portion of rent expense		72,562		64,613		60,395		35,189		24,305
Capitalized interest		4,189		3,878		4,708		1,912		1,078
	$	301,467	$	325,638	$	341,809	$	176,687	$	77,794
Ratio of earnings to fixed charges		3.01		2.92		2.38		2.86		5.26