Exhibit 12.1

Centene Corporation
Computation of ratio of earnings to fixed charges
($ in thousands)

	For the Nine
	Months Ended			Year ended December 31,
	09/30/06			2005		2004		2003		2002		2001
Earnings:
Pre-tax earnings from continuing operations	$	(43,134	)	$	85,856	$	70,287	$	51,893	$	41,136	$	22,026
Addback:
Fixed charges		10,273			6,506		2,489		1,232		915		1,058
Total earnings	$	(32,861	)	$	92,362	$	72,776	$	53,125	$	42,051	$	23,084
Fixed Charges:
Interest expense	$	7,536		$	3,990	$	680	$	194	$	45	$	362
Interest component of rental payments (1)		2,737			2,516		1,809		1,038		870		696
Total fixed charges	$	10,273		$	6,506	$	2,489	$	1,232	$	915	$	1,058
Ratio of earnings to fixed charges		(3.20	)		14.20		29.24		43.12		45.96		21.82
Dollar amount of deficiency	$	43,134			—		—		—		—		—

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