Centene (CNC) 10-Q 2017 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,
	06/30/17		2016		2015			2014		2013			2012
Earnings:
Pre-tax earnings from continuing operations	$	640	$	1,157	$	697		$	457	$	269		$	123
Addback:
Fixed charges	153		262		65			50		37			29
Add (Subtract):
Noncontrolling interest	9		1		(2		)	7		(1		)	13
Interest capitalized	—		—		—			—		—			—
Total earnings	$	802	$	1,420	$	760		$	514	$	305		$	165
Fixed Charges:
Interest expensed and capitalized	$	124	$	217	$	43		$	35	$	27		$	20
Interest component of rental payments (1)	29		45		22			15		10			9
Total fixed charges	$	153	$	262	$	65		$	50	$	37		$	29
Ratio of earnings to fixed charges	5.2		5.4		11.7			10.3		8.2			5.7
(1) Estimated at 33% of rental expense as a reasonable approximation of the interest factor.