DAVITA INC
10-Q, EX-12.1, 2000-11-14
MISC HEALTH & ALLIED SERVICES, NEC
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                                                                   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 and
amortization of financing costs, and the estimated interest component of
rental expense on operating leases.

<TABLE>
<CAPTION>
                          Nine Months
                             Ended               Year ended December 31,
                         September 30, ----------------------------------------------
                             2000        1999         1998     1997    1996    1995
                         ------------- ---------    -------- -------- ------- -------
                                   (in thousands, except for ratio data)
<S>                      <C>           <C>          <C>      <C>      <C>     <C>
Income (loss) before
 income taxes,
 extraordinary items and
 cumulative effect of a
 change in accounting
 principle..............   $ 16,710    $(181,826)   $ 48,641 $ 81,178 $54,563 $37,141
                           --------    ---------    -------- -------- ------- -------
Fixed charges:
  Interest expense and
   amortization of debt
   issuance costs and
   discounts on all
   indebtedness.........     94,017      110,797      84,003   29,082  13,670  12,921
  Interest portion of
   rental
   expense..............     13,126       17,501      12,992    8,196   5,301   3,346
                           --------    ---------    -------- -------- ------- -------
    Total fixed charges
     ...................    107,143      128,298      96,995   37,278  18,971  16,267
                           --------    ---------    -------- -------- ------- -------
Earnings (loss) before
 income taxes,
 extraordinary items,
 cumulative effect of a
 change in accounting
 principle and fixed
 charges ...............   $123,853    $ (53,528)   $145,636 $118,456 $73,534 $53,408
                           ========    =========    ======== ======== ======= =======
Ratio of earnings to
 fixed
 charges................       1.16             (a)     1.50     3.18    3.88    3.28
                           ========    =========    ======== ======== ======= =======
</TABLE>
--------
(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 million
    to achieve coverage of 1:1.


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