Exhibit 12.1
Centene Corporation
Computation of ratio of earnings to fixed charges
($ in millions)
 
Year Ended December 31,
 
2017
 
2016
 
2015
 
2014
 
2013
Earnings:
 
 
 
 
 
 
 
 
 
Pre-tax earnings from continuing operations
$
1,134

 
$
1,157

 
$
697

 
$
457

 
$
269

Addback:
 
 
 
 
 
 
 
 
 
Fixed charges
311

 
262

 
65

 
50

 
37

Add (Subtract):
 
 
 
 
 
 
 
 
 
Noncontrolling interest
20

 
1

 
(2
)
 
7

 
(1
)
Total earnings
$
1,465

 
$
1,420

 
$
760

 
$
514

 
$
305

 
 
 
 
 
 
 
 
 
 
Fixed Charges:
 
 
 
 
 
 
 
 
 
Interest expense
$
255

 
$
217

 
$
43

 
$
35

 
$
27

Interest component of rental payments (1)
56

 
45

 
22

 
15

 
10

Total fixed charges
$
311

 
$
262

 
$
65


$
50

 
$
37

 
 
 
 
 
 
 
 
 
 
Ratio of earnings to fixed charges
4.7

 
5.4

 
11.7

 
10.3

 
8.2

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