Exhibit 12.1

Centene Corporation

Computation of ratio of earnings to fixed charges

($ in thousands)

	For the Nine Months Ended,		Year ended December 31,
	09/30/05		2004		2003		2002		2001		2000
Earnings:
Pre-tax earnings from continuing operations	$	63,853	$	70,287	$	51,893	$	41,136	$	22,026	$	7,185
Addback:
Fixed charges		4,191		2,489		1,232		915		1,058		1,067
Total earnings	$	68,044	$	72,776	$	53,125	$	42,051	$	23,084	$	8,252
Fixed Charges:
Interest expense	$	2,386	$	680	$	194	$	45	$	362	$	611
Interest component of rental payments (1)		1,805		1,809		1,038		870		696		456
Total fixed charges	$	4,191	$	2,489	$	1,232	$	915	$	1,058	$	1,067
Ratio of earnings to fixed charges		16.24		29.24		43.12		45.96		21.82		7.73

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