Exhibit 12.1
Centene Corporation
Computation of ratio of earnings to fixed charges
($ in millions)
 
Nine Months Ended
 
Year Ended December 31,
 
9/30/18
 
2017
 
2016
 
2015
 
2014
Earnings:
 
 
 
 
 
 
 
 
 
Pre-tax earnings from continuing operations
$
1,011

 
$
1,134

 
$
1,157

 
$
697

 
$
457

Addback:
 
 
 
 
 
 
 
 
 
Fixed charges
296

 
311

 
262

 
65

 
50

Add (Subtract):
 
 
 
 
 
 
 
 
 
Noncontrolling interest
6

 
20

 
1

 
(2
)
 
7

Total earnings
$
1,313

 
$
1,465

 
$
1,420

 
$
760

 
$
514

 
 
 
 
 
 
 
 
 
 
Fixed Charges:
 
 
 
 
 
 
 
 
 
Interest expense
$
245

 
$
255

 
$
217

 
$
43

 
$
35

Interest component of rental payments (1)
51

 
56

 
45

 
22

 
15

Total fixed charges
$
296

 
$
311

 
$
262


$
65

 
$
50

 
 
 
 
 
 
 
 
 
 
Ratio of earnings to fixed charges
4.4

 
4.7

 
5.4

 
11.7

 
10.3

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