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 are defined as pretax income from continuing operations adjusted by adding back fixed charges expensed during the period less noncontrolling interests. 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.

	Year ended December 31,
	2009			2008			2007			2006			2005
	(dollars in thousands)
Earnings adjusted for fixed charges:
Income from continuing operations before income taxes(1)	$	758,224		$	656,791		$	674,224		$	513,900		$	354,592
Add:
Debt expense		185,755			224,716			257,147			276,706			139,586
Interest portion of rent expense		81,122			72,562			64,613			60,395			35,189
Less: Noncontrolling interests(1)		(57,803	)		(47,331	)		(46,702	)		(38,141	)		(23,495	)
		209,074			249,947			275,058			298,960			151,280
	$	967,298		$	906,738		$	949,282		$	812,860		$	505,872
Fixed charges:
Debt expense	$	185,755		$	224,716		$	257,147		$	276,706		$	139,586
Interest portion of rent expense		81,122			72,562			64,613			60,395			35,189
Capitalized interest		3,627			4,189			3,878			4,708			1,912
	$	270,504		$	301,467		$	325,638		$	341,809		$	176,687
Ratio of earnings to fixed charges		3.58			3.01			2.92			2.38			2.86

(1) The Company has changed the presentation of earnings attributable to noncontrolling interests for all prior periods presented.