Centene (CNC) 10-Q 2015 Q2 Quarterly report

Exhibit 12.1

Centene Corporation

Computation of ratio of earnings to fixed charges

($ in millions)

	Six Months Ended			Year Ended December 31,
	06/30/15			2014		2013			2012		2011		2010
Earnings:
Pre-tax earnings from continuing operations	$	300		$	457	$	269		$	123	$	188	$	154
Addback:
Fixed charges	31			50		37			29		28		26
Subtract:
Noncontrolling interest	(1		)	7		(1		)	13		3		(3		)
Interest capitalized	—			—		—			—		—		(1		)
Total earnings	$	330		$	514	$	305		$	165	$	219	$	176
Fixed Charges:
Interest expensed and capitalized	$	21		$	35	$	27		$	20	$	20	$	19
Interest component of rental payments (1)	10			15		10			9		8		7
Total fixed charges	$	31		$	50	$	37		$	29	$	28	$	26
Ratio of earnings to fixed charges	10.6			10.3		8.2			5.7		7.8		6.8
(1) Estimated at 33% of rental expense as a reasonable approximation of the interest factor.