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|                               | Jurisdiction      of | Percentage      Owned |
|------------------------------------|----------------------|-----------------------|
| Subsidiaries                       | Incorporation        | By      Registrant    |
|                               |                 |                  |
| DCA      of Adel, LLC              | Georgia              | 100%                  |
| DCA      of Calhoun, LLC           | Georgia              | 100%                  |
| DCA      of Central Valdosta, LLC  | Georgia              | 100%                  |
| DCA      of Fitzgerald, LLC        | Georgia              | 100%                  |
| DCA      of Hawkinsville, LLC      | Georgia              | 80%                   |
| DCA      of Royston, LLC           | Georgia              | 100%                  |
| DCA      of So. Ga., LLC           | Georgia              | 100%                  |
| DCA      of Chesapeake, LLC        | Maryland             | 100%                  |
| DCA      of Chevy Chase, LLC       | Maryland             | 80%                   |
| DCA      of North Baltimore, LLC   | Maryland             | 100%                  |
| DCA      of West Baltimore, LLC    | Maryland             | 75%                   |
| DCA      of Rockville, LLC         | Maryland             | 100%                  |
| DCA      of Manahawkin, Inc.       | New      Jersey      | 100%                  |
| DCA      of Vineland, LLC          | New      Jersey      | 51%                   |
| DCA      of Cincinnati, LLC        | Ohio                 | 60%                   |
| DCA      of Columbus, LLC          | Ohio                 | 100%                  |
| DCA      of Delaware County, LLC   | Ohio                 | 60%                   |
| DCA      of Norwood, LLC           | Ohio                 | 100%                  |
| DCA      of Toledo, LLC            | Ohio                 | 70%                   |
| DCA      of Camp Hill, LLC         | Pennsylvania         | 100%                  |
| DCA      of Carlisle, Inc.         | Pennsylvania         | 80%                   |
| DCA      of Chambersburg, Inc.     | Pennsylvania         | 80%                   |
| DCA      of Lemoyne, Inc.          | Pennsylvania         | 100%                  |
| DCA      of Mechanicsburg, LLC     | Pennsylvania         | 100%                  |
| DCA      of Pottstown, LLC         | Pennsylvania         | 80%                   |
| DCA      of Selinsgrove, LLC       | Pennsylvania         | 100%                  |
| DCA      of Wellsboro, Inc.        | Pennsylvania         | 100%                  |
| DCA      of York, LLC              | Pennsylvania         | 60%                   |
| Keystone      Kidney Care, Inc.(1) | Pennsylvania         | 100%                  |
| York      Realty Holdings, LP(2)   | Pennsylvania         | 60%                   |
| York      Realty Managers, LLC(3)  | Pennsylvania         | 100%                  |
| DCA      of Barnwell, LLC          | South      Carolina  | 100%                  |
| DCA      of Edgefield, LLC         | South      Carolina  | 100%                  |
| DCA      of South Aiken, LLC       | South      Carolina  | 100%                  |
| DCA      of Ashland, LLC           | Virginia             | 80%                   |
| DCA      of Kilmarnock, LLC        | Virginia             | 80%                   |
| DCA      of Warsaw, LLC            | Virginia             | 100%                  |

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| (1) | Operates      two facilities d/b/a DCA of Huntingdon and DCA of  Bedford |
|-----|--------------------------------------------------------------------------|
| (2) |  Ownership      of York, PA property                                |
| (3) |  Management      of York, PA property                               |