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 operations adjusted by adding back fixed charges expensed during the period and debt refinancing charges. Fixed charges include debt expense (interest expense and the amortization of deferred financing costs), the estimated interest component of rental expense on operating leases, and capitalized interest.

		Year ended December 31,
		2003			2002			2001				2000			1999
		(dollars in millions)
Earnings adjusted for fixed charges:
Income (loss) before income taxes, and cumulative effect of a change in accounting principle		$	288,266		$	267,257		$	242,567			$	39,223		$	(181,826	)
Add:
Debt expense			66,828			71,636			72,438				116,637			110,797
Interest portion of rental expense			22,927			20,336			18,116				17,140			17,501
Debt refinancing charges			26,501			48,930			(1,629	)			5,712
			116,256			140,902			88,925				139,489			128,298
		$	404,522		$	408,159		$	331,492			$	178,712		$	(53,528	)
Fixed charges:
Debt expense			66,828			71,636			72,438				116,637			110,797
Interest portion of rental expense			22,927			20,336			18,116				17,140			17,501
Capitalized interest			1,523			1,888			751				1,125			709
		$	91,278		$	93,860		$	91,305			$	134,902		$	129,007
Ratio of earnings to fixed charges			4.43			4.35			3.63				1.32			(a)

(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 $182,535 to achieve a coverage of 1:1.