EXHIBIT 12.1

DAVITA INC.

RATIO OF EARNINGS TO FIXED CHARGES

          The ratio of earnings to fixed charges is computed by dividing fixed charges into earnings. Earnings is defined as pretax income from continuing operations adjusted by adding fixed charges and excluding interest capitalized during the period. Fixed charges means the total of interest expense, amortization of financing costs, and the estimated interest component of rental expense on operating leases.

		Nine months ended September 30, 2001				Year ended December 31,
						2000		1999			1998		1997		1996
		(dollars in thousands)
Income (loss) before income      taxes, extraordinary items and      cumulative effect of a change      in accounting principle			$183,480			$   44,935		$(181,826	)		$   48,641		$   81,178		$54,563
Fixed charges:
Interest expense and                amortization of debt                issuance costs and                discounts on all                indebtedness			56,758			116,637		110,797			84,003		29,082		13,670
Interest portion of rental                expense			13,399			17,140		17,501			12,992		8,196		5,301
Total fixed charges			70,157			133,777		128,298			96,995		37,278		18,971
Earnings (loss) before income      taxes, extraordinary items,      cumulative effect of a change      in accounting principle and      fixed charges			$253,637			$178,712		$   (53,528	)		$145,636		$118,456		$73,534
Ratio of earnings to fixed charges			3.62			1.34			(a)		1.50		3.18		3.88

(a) Due to the Company’s loss in 1999, the ratio coverage was less than 1:1. The Company would have had to generate additional earnings of $181,826 to achieve a coverage of 1:1.