Exhibit 12.1

DAVITA HEALTHCARE PARTNERS 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,
	2015			2014			2013			2012			2011
	(in thousands, except share data)
Earnings adjusted for fixed charges:
Income from continuing operations before income taxes	$	723,136		$	1,309,673		$	1,124,978		$	1,001,304		$	916,605
Add:
Debt expense		408,380			410,294			429,943			288,554			241,090
Interest portion of rent expense		166,821			149,432			137,558			112,424			95,919
Less: Noncontrolling interests		(158,304	)		(140,949	)		(124,276	)		(105,891	)		(95,899	)
		416,897			418,777			443,225			295,087			241,110
	$	1,140,033		$	1,728,450		$	1,568,203		$	1,296,391		$	1,157,715
Fixed charges:
Debt expense		408,380			410,294			429,943			288,554			241,090
Interest portion of rent expense		166,821			149,432			137,558			112,424			95,919
Capitalized interest		9,723			7,888			6,408			8,127			4,887
	$	584,924		$	567,614		$	573,909		$	409,105		$	341,896
Ratio of earnings to fixed charges		1.95			3.05			2.73			3.17			3.39