Exhibit 21
Subsidiaries of the Company
| 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% |
| (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 |