Exhibit 12.1

Centene Corporation
Computation of ratio of earnings to fixed charges
($ in thousands)
	Year Ended December 31,
	2010			2009			2008		2007		2006
Earnings:
Pre-tax earnings from continuing operations	$	154,282		$	137,508		$	136,616	$	64,071	$	27,165
Addback:
Fixed charges		26,141			23,104			23,128		20,612		13,909
Subtract:
Non-controlling interest		(3,435	)		(2,574	)		-		-		-
Interest capitalized		(1,089	)		(116	)		-		-		-
Total earnings	$	175,899		$	157,922		$	159,744	$	84,683	$	41,074
Fixed Charges:
Interest expensed and capitalized	$	19,081		$	16,434		$	16,673	$	15,626	$	10,574
Interest component of rental payments (1)		7,060			6,670			6,455		4,986		3,335
Total fixed charges	$	26,141		$	23,104		$	23,128	$	20,612	$	13,909
Ratio of earnings to fixed charges		6.73			6.84			6.91		4.11		2.95
(1) Estimated at 33% of rental expense as a reasonable approximation of the interest factor.