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,
	2011			2010			2009			2008			2007
	(dollars in thousands)
Earnings adjusted for fixed charges:
Income from continuing operations before income taxes	$	892,674		$	743,990		$	757,579		$	656,720		$	673,967
Add:
Debt expense		241,090			181,607			185,755			224,716			257,147
Interest portion of rent expense		96,205			86,879			80,912			72,404			64,457
Less: Noncontrolling interests		(96,049	)		(79,406	)		(57,803	)		(47,331	)		(46,702	)
		241,246			189,080			208,864			249,789			274,902
	$	1,133,920		$	933,070		$	966,443		$	906,509		$	948,869
Fixed charges:
Debt expense	$	241,090		$	181,607		$	185,755		$	224,716		$	257,147
Interest portion of rent expense		96,205			86,879			80,912			72,404			64,457
Capitalized interest		4,887			2,621			3,627			4,189			3,878
	$	342,182		$	271,107		$	270,294		$	301,309		$	325,482
Ratio of earnings to fixed charges		3.31			3.44			3.58			3.01			2.92