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,
		2013				2012				2011				2010				2009
		(dollars in thousands)
Earnings adjusted for fixed charges:
Income from continuing operations before income taxes		$	1,124,978			$	1,001,304			$	916,605			$	741,238			$	752,632
Add:
Debt expense			429,943				288,554				241,090				181,607				185,755
Interest portion of rent expense			137,558				112,424				95,919				86,656				80,710
Less: Noncontrolling interests			(124,276	)			(105,891	)			(95,899	)			(79,048	)			(57,285	)
			443,225				295,087				241,110				189,215				209,180
		$	1,568,203			$	1,296,391			$	1,157,715			$	930,453			$	961,812
Fixed charges:
Debt expense		$	429,943			$	288,554			$	241,090			$	181,607			$	185,755
Interest portion of rent expense			137,558				112,424				95,919				86,656				80,710
Capitalized interest			6,408				8,127				4,887				2,621				3,627
		$	573,909			$	409,105			$	341,896			$	270,884			$	270,092
Ratio of earnings to fixed charges			2.73				3.17				3.39				3.43				3.56