Exhibit 12.1
Centene Corporation
Computation of ratio of earnings to fixed charges
($ in millions)

| Year Ended December 31,
| 2014 |  | 2013 |  | 2012 |  | 2011 |  | 2010
Earnings: |  |  |  |  |  |  |  |  |
Pre-tax earnings from continuing operations | $ | 457 |  |  | $ | 269 |  |  | $ | 123 |  |  | $ | 188 |  |  | $ | 154 |
Addback: |  |  |  |  |  |  |  |  |
Fixed charges | 50 |  |  | 37 |  |  | 29 |  |  | 28 |  |  | 26 |
Subtract: |  |  |  |  |  |  |  |  |
Non-controlling interest | (7 | ) |  | (1 | ) |  | 13 |  |  | 3 |  |  | (3 | )
Interest capitalized | — |  |  | — |  |  | — |  |  | — |  |  | (1 | )
Total earnings | $ | 500 |  |  | $ | 305 |  |  | $ | 165 |  |  | $ | 219 |  |  | $ | 176 |
Fixed Charges: |  |  |  |  |  |  |  |  |
Interest expensed and capitalized | $ | 35 |  |  | $ | 27 |  |  | $ | 20 |  |  | $ | 20 |  |  | $ | 19 |
Interest component of rental payments (1) | 15 |  |  | 10 |  |  | 9 |  |  | 8 |  |  | 7 |
Total fixed charges | $ | 50 |  |  | $ | 37 |  |  | $ | 29 |  |  | $ | 28 |  |  | $ | 26 |
Ratio of earnings to fixed charges | 10.0 |  |  | 8.2 |  |  | 5.7 |  |  | 7.8 |  |  | 6.8 |
(1) Estimated at 33% of rental expense as a reasonable approximation of the interest factor.