Exhibit 12.1
Centene Corporation
Computation of ratio of earnings to fixed charges
($ in millions)
 
Year Ended December 31,
 
2015
 
2014
 
2013
 
2012
 
2011
Earnings:
 
 
 
 
 
 
 
 
 
Pre-tax earnings from continuing operations
$
697

 
$
457

 
$
269

 
$
123

 
$
188

Addback:
 
 
 
 
 
 
 
 
 
Fixed charges
65

 
50

 
37

 
29

 
28

Subtract:
 
 
 
 
 
 
 
 
 
Noncontrolling interest
(2
)
 
7

 
(1
)
 
13

 
3

Interest capitalized

 

 

 

 

Total earnings
$
760

 
$
514

 
$
305

 
$
165

 
$
219

 
 
 
 
 
 
 
 
 
 
Fixed Charges:
 
 
 
 
 
 
 
 
 
Interest expensed and capitalized
$
43

 
$
35

 
$
27

 
$
20

 
$
20

Interest component of rental payments (1)
22

 
15

 
10

 
9

 
8

Total fixed charges
$
65

 
$
50

 
$
37

 
$
29

 
$
28

 
 
 
 
 
 
 
 
 
 
Ratio of earnings to fixed charges
11.7

 
10.3

 
8.2

 
5.7

 
7.8

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(1) Estimated at 33% of rental expense as a reasonable approximation of the interest factor.