10-K Filing

CENTENE CORP CIK: 1071739 FY 2020

Filing Information

Form Type	10-K
Accession Number	`0001071739-21-000039`
Period End Date	20201231
Filing Date	20210222
Fiscal Year	2020
Fiscal Period	FY
XBRL Instance	cnc-20201231_htm.xml

Filing Contents

This filing contains the following financial statements:

Balance Sheet 92 Income Statement 72 Cash Flow Statement 122 Stockholders Equity 43 Comprehensive Income 27

Balance Sheet 92 line items

Line Item	Tag	Value	Unit	Period
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$5.34B	USD	Point-in-time
Preferred stock, par value (in usd per share)	`PreferredStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$10.80B	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$12.12B	USD	Point-in-time
Preferred stock, par value (in usd per share)	`PreferredStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Premium and trade receivables	`PremiumsAndOtherReceivablesNet`	$9.70B	USD	Point-in-time
Preferred stock, shares authorized (in shares)	`PreferredStockSharesAuthorized`	10.00M	shares	Point-in-time
Preferred stock, shares authorized (in shares)	`PreferredStockSharesAuthorized`	10.00M	shares	Point-in-time
Premium and trade receivables	`PremiumsAndOtherReceivablesNet`	$6.25B	USD	Point-in-time
Short-term investments	`ShortTermInvestments`	$863.00M	USD	Point-in-time
Preferred stock, shares issued (in shares)	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Short-term investments	`ShortTermInvestments`	$1.58B	USD	Point-in-time
Preferred stock, shares issued (in shares)	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Other current assets	`OtherAssetsCurrent`	$1.32B	USD	Point-in-time
Preferred stock, shares outstanding (in shares)	`PreferredStockSharesOutstanding`	0.00	shares	Point-in-time
Other current assets	`OtherAssetsCurrent`	$1.09B	USD	Point-in-time
Preferred stock, shares outstanding (in shares)	`PreferredStockSharesOutstanding`	0.00	shares	Point-in-time
Common stock, par value (in usd per share)	`CommonStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Total current assets	`AssetsCurrent`	$20.32B	USD	Point-in-time
Total current assets	`AssetsCurrent`	$23.39B	USD	Point-in-time
Common stock, par value (in usd per share)	`CommonStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Common stock, shares authorized (in shares)	`CommonStockSharesAuthorized`	800.00M	shares	Point-in-time
Long-term investments	`LongTermInvestments`	$12.85B	USD	Point-in-time
Long-term investments	`LongTermInvestments`	$7.72B	USD	Point-in-time
Common stock, shares authorized (in shares)	`CommonStockSharesAuthorized`	800.00M	shares	Point-in-time
Common stock, shares issued (in shares)	`CommonStockSharesIssued`	421.51M	shares	Point-in-time
Restricted deposits	`OtherRestrictedAssetsNoncurrent`	$658.00M	USD	Point-in-time
Common stock, shares issued (in shares)	`CommonStockSharesIssued`	598.25M	shares	Point-in-time
Restricted deposits	`OtherRestrictedAssetsNoncurrent`	$1.06B	USD	Point-in-time
Common stock, shares outstanding (in shares)	`CommonStockSharesOutstanding`	581.48M	shares	Point-in-time
Property, software and equipment, net	`PropertyPlantAndEquipmentNet`	$2.77B	USD	Point-in-time
Common stock, shares outstanding (in shares)	`CommonStockSharesOutstanding`	415.05M	shares	Point-in-time
Property, software and equipment, net	`PropertyPlantAndEquipmentNet`	$2.12B	USD	Point-in-time
Goodwill	`Goodwill`	$18.65B	USD	Point-in-time
Treasury stock, at cost (in shares)	`TreasuryStockShares`	6.46M	shares	Point-in-time
Goodwill	`Goodwill`	$6.86B	USD	Point-in-time
Treasury stock, at cost (in shares)	`TreasuryStockShares`	16.77M	shares	Point-in-time
Goodwill	`Goodwill`	$7.01B	USD	Point-in-time
Intangible assets, net	`IntangibleAssetsNetExcludingGoodwill`	$2.06B	USD	Point-in-time
Intangible assets, net	`IntangibleAssetsNetExcludingGoodwill`	$8.39B	USD	Point-in-time
Other long-term assets	`OtherAssetsNoncurrent`	$1.60B	USD	Point-in-time
Other long-term assets	`OtherAssetsNoncurrent`	$1.25B	USD	Point-in-time
Total assets	`Assets`	$68.72B	USD	Point-in-time
Total assets	`Assets`	$40.99B	USD	Point-in-time
Medical claims liability	`LiabilityForClaimsAndClaimsAdjustmentExpense`	$12.44B	USD	Point-in-time
Medical claims liability	`LiabilityForClaimsAndClaimsAdjustmentExpense`	$4.29B	USD	Point-in-time
Medical claims liability	`LiabilityForClaimsAndClaimsAdjustmentExpense`	$7.47B	USD	Point-in-time
Medical claims liability	`LiabilityForClaimsAndClaimsAdjustmentExpense`	$6.83B	USD	Point-in-time
Accounts payable and accrued expenses	`AccountsPayableAndAccruedLiabilitiesCurrent`	$7.07B	USD	Point-in-time
Accounts payable and accrued expenses	`AccountsPayableAndAccruedLiabilitiesCurrent`	$4.16B	USD	Point-in-time
Return of premium payable	`ReturnofPremiumPayable`	$824.00M	USD	Point-in-time
Return of premium payable	`ReturnofPremiumPayable`	$1.46B	USD	Point-in-time
Unearned revenue	`ContractWithCustomerLiabilityCurrent`	$523.00M	USD	Point-in-time
Unearned revenue	`ContractWithCustomerLiabilityCurrent`	$383.00M	USD	Point-in-time
Current portion of long-term debt	`LongTermDebtCurrent`	$97.00M	USD	Point-in-time
Current portion of long-term debt	`LongTermDebtCurrent`	$88.00M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$21.59B	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$12.93B	USD	Point-in-time
Long-term debt	`LongTermDebtNoncurrent`	$13.64B	USD	Point-in-time
Long-term debt	`LongTermDebtNoncurrent`	$16.68B	USD	Point-in-time
Deferred tax liability	`DeferredIncomeTaxLiabilitiesNet`	$189.00M	USD	Point-in-time
Deferred tax liability	`DeferredIncomeTaxLiabilitiesNet`	$1.53B	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$1.54B	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$2.96B	USD	Point-in-time
Total liabilities	`Liabilities`	$28.30B	USD	Point-in-time
Total liabilities	`Liabilities`	$42.76B	USD	Point-in-time
Commitments and contingencies	`CommitmentsAndContingencies`	-	USD	Point-in-time
Commitments and contingencies	`CommitmentsAndContingencies`	-	USD	Point-in-time
Redeemable noncontrolling interests	`RedeemableNoncontrollingInterestEquityCarryingAmount`	$33.00M	USD	Point-in-time
Redeemable noncontrolling interests	`RedeemableNoncontrollingInterestEquityCarryingAmount`	$77.00M	USD	Point-in-time
Preferred stock, $0.001 par value; authorized 10,000 shares; no shares issued or outstanding at December 31, 2020 and December 31, 2019	`PreferredStockValue`	-	USD	Point-in-time
Preferred stock, $0.001 par value; authorized 10,000 shares; no shares issued or outstanding at December 31, 2020 and December 31, 2019	`PreferredStockValue`	-	USD	Point-in-time
Common stock, $0.001 par value; authorized 800,000 shares; 598,249 issued and 581,479 outstanding at December 31, 2020, and 421,508 issued and 415,048 outstanding at December 31, 2019	`CommonStockValue`	$1.00M	USD	Point-in-time
Common stock, $0.001 par value; authorized 800,000 shares; 598,249 issued and 581,479 outstanding at December 31, 2020, and 421,508 issued and 415,048 outstanding at December 31, 2019	`CommonStockValue`	-	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$19.46B	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$7.65B	USD	Point-in-time
Accumulated other comprehensive earnings	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$134.00M	USD	Point-in-time
Accumulated other comprehensive earnings	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$337.00M	USD	Point-in-time
Retained earnings	`RetainedEarningsAccumulatedDeficit`	$6.79B	USD	Point-in-time
Retained earnings	`RetainedEarningsAccumulatedDeficit`	$4.98B	USD	Point-in-time
Treasury stock, at cost (16,770 and 6,460 shares, respectively)	`TreasuryStockValue`	$214.00M	USD	Point-in-time
Treasury stock, at cost (16,770 and 6,460 shares, respectively)	`TreasuryStockValue`	$816.00M	USD	Point-in-time
Total Centene stockholders' equity	`StockholdersEquity`	$25.77B	USD	Point-in-time
Total Centene stockholders' equity	`StockholdersEquity`	$12.55B	USD	Point-in-time
Noncontrolling interest	`MinorityInterest`	$112.00M	USD	Point-in-time
Noncontrolling interest	`MinorityInterest`	$108.00M	USD	Point-in-time
Total stockholders' equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$12.66B	USD	Point-in-time
Total stockholders' equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$25.89B	USD	Point-in-time
Total stockholders' equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$11.01B	USD	Point-in-time
Total stockholders' equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$6.86B	USD	Point-in-time
Total liabilities, redeemable noncontrolling interests and stockholders' equity	`LiabilitiesAndStockholdersEquity`	$68.72B	USD	Point-in-time
Total liabilities, redeemable noncontrolling interests and stockholders' equity	`LiabilitiesAndStockholdersEquity`	$40.99B	USD	Point-in-time

Income Statement 72 line items

Line Item	Tag	Value	Unit	Period
Premium and service revenues	`RevenueFromContractWithCustomerExcludingAssessedTax`	$70.36B	USD	Annual
Premium and service revenues	`RevenueFromContractWithCustomerExcludingAssessedTax`	$103.80B	USD	Annual
Premium and service revenues	`RevenueFromContractWithCustomerExcludingAssessedTax`	$56.44B	USD	Annual
Premium tax and health insurer fee	`PremiumTaxRevenue`	$3.68B	USD	Annual
Premium tax and health insurer fee	`PremiumTaxRevenue`	$4.28B	USD	Annual
Premium tax and health insurer fee	`PremiumTaxRevenue`	$7.32B	USD	Annual
Total revenues	`Revenues`	$60.12B	USD	Annual
Total revenues	`Revenues`	$111.11B	USD	Annual
Total revenues	`Revenues`	$74.64B	USD	Annual
Medical costs	`PolicyholderBenefitsAndClaimsIncurredHealthCare`	$46.06B	USD	Annual
Medical costs	`PolicyholderBenefitsAndClaimsIncurredHealthCare`	$86.26B	USD	Annual
Medical costs	`PolicyholderBenefitsAndClaimsIncurredHealthCare`	$58.86B	USD	Annual
Cost of services	`CostOfGoodsAndServicesSold`	$3.30B	USD	Annual
Cost of services	`CostOfGoodsAndServicesSold`	$2.39B	USD	Annual
Cost of services	`CostOfGoodsAndServicesSold`	$2.46B	USD	Annual
Selling, general and administrative expenses	`SellingGeneralAndAdministrativeExpense`	$9.87B	USD	Annual
Selling, general and administrative expenses	`SellingGeneralAndAdministrativeExpense`	$6.53B	USD	Annual
Selling, general and administrative expenses	`SellingGeneralAndAdministrativeExpense`	$6.04B	USD	Annual
Amortization of acquired intangible assets	`AmortizationOfIntangibleAssets`	$258.00M	USD	Annual
Amortization of acquired intangible assets	`AmortizationOfIntangibleAssets`	$211.00M	USD	Annual
Amortization of acquired intangible assets	`AmortizationOfIntangibleAssets`	$719.00M	USD	Annual
Premium tax expense	`PremiumTaxExpense`	$6.33B	USD	Annual
Premium tax expense	`PremiumTaxExpense`	$4.47B	USD	Annual
Premium tax expense	`PremiumTaxExpense`	$3.25B	USD	Annual
Health insurer fee expense	`HealthInsurerFeeExpense`	$709.00M	USD	Annual
Health insurer fee expense	`HealthInsurerFeeExpense`	-	USD	Annual
Health insurer fee expense	`HealthInsurerFeeExpense`	$1.48B	USD	Annual
Impairment	`AssetImpairmentCharges`	-	USD	Annual
Impairment	`AssetImpairmentCharges`	$72.00M	USD	Annual
Impairment	`AssetImpairmentCharges`	$271.00M	USD	Annual
Total operating expenses	`CostsAndExpenses`	$108.03B	USD	Annual
Total operating expenses	`CostsAndExpenses`	$58.66B	USD	Annual
Total operating expenses	`CostsAndExpenses`	$72.86B	USD	Annual
Earnings from operations	`OperatingIncomeLoss`	$1.46B	USD	Annual
Earnings from operations	`OperatingIncomeLoss`	$1.78B	USD	Annual
Earnings from operations	`OperatingIncomeLoss`	$3.08B	USD	Annual
Investment and other income	`InvestmentIncomeNonoperating`	$443.00M	USD	Annual
Investment and other income	`InvestmentIncomeNonoperating`	$253.00M	USD	Annual
Investment and other income	`InvestmentIncomeNonoperating`	$480.00M	USD	Annual
Debt extinguishment costs	`GainLossOnExtinguishmentOfDebtIncludingCashPortion`	-	USD	Annual
Debt extinguishment costs	`GainLossOnExtinguishmentOfDebtIncludingCashPortion`	$-61.00M	USD	Annual
Debt extinguishment costs	`GainLossOnExtinguishmentOfDebtIncludingCashPortion`	$-30.00M	USD	Annual
Interest expense	`InterestExpense`	$412.00M	USD	Annual
Interest expense	`InterestExpense`	$343.00M	USD	Annual
Interest expense	`InterestExpense`	$728.00M	USD	Annual
Earnings (Loss) before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments`	$2.77B	USD	Annual
Earnings (Loss) before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments`	$1.78B	USD	Annual
Earnings (Loss) before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments`	$1.37B	USD	Annual
Income tax expense	`IncomeTaxExpenseBenefit`	$474.00M	USD	Annual
Income tax expense	`IncomeTaxExpenseBenefit`	$979.00M	USD	Annual
Income tax expense	`IncomeTaxExpenseBenefit`	$473.00M	USD	Annual
Net earnings	`ProfitLoss`	$1.79B	USD	Annual
Net earnings	`ProfitLoss`	$1.31B	USD	Annual
Net earnings	`ProfitLoss`	$894.00M	USD	Annual
Loss attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$-14.00M	USD	Annual
Loss attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$-12.00M	USD	Annual
Loss attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$-6.00M	USD	Annual
Net earnings attributable to Centene Corporation	`NetIncomeLoss`	$1.32B	USD	Annual
Net earnings attributable to Centene Corporation	`NetIncomeLoss`	$900.00M	USD	Annual
Net earnings attributable to Centene Corporation	`NetIncomeLoss`	$1.81B	USD	Annual
Basic earnings per common share (in usd per share)	`EarningsPerShareBasic`	$3.19	USD	Annual
Basic earnings per common share (in usd per share)	`EarningsPerShareBasic`	$3.17	USD	Annual
Basic earnings per common share (in usd per share)	`EarningsPerShareBasic`	$2.31	USD	Annual
Diluted earnings per common share (in usd per share)	`EarningsPerShareDiluted`	$3.14	USD	Annual
Diluted earnings per common share (in usd per share)	`EarningsPerShareDiluted`	$2.26	USD	Annual
Diluted earnings per common share (in usd per share)	`EarningsPerShareDiluted`	$3.12	USD	Annual
Basic (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	390.25M	shares	Annual
Basic (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	570.72M	shares	Annual
Basic (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	413.49M	shares	Annual
Diluted (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	420.41M	shares	Annual
Diluted (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	398.51M	shares	Annual
Diluted (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	579.13M	shares	Annual

Cash Flow Statement 122 line items

Line Item	Tag	Value	Unit	Period
Net earnings	`ProfitLoss`	$1.31B	USD	Annual
Net earnings	`ProfitLoss`	$894.00M	USD	Annual
Net earnings	`ProfitLoss`	$1.79B	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$495.00M	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$1.26B	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$643.00M	USD	Annual
Stock compensation expense	`ShareBasedCompensation`	$177.00M	USD	Annual
Stock compensation expense	`ShareBasedCompensation`	$145.00M	USD	Annual
Stock compensation expense	`ShareBasedCompensation`	$281.00M	USD	Annual
Impairment	`AssetImpairmentCharges`	-	USD	Annual
Impairment	`AssetImpairmentCharges`	$72.00M	USD	Annual
Impairment	`AssetImpairmentCharges`	$271.00M	USD	Annual
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-30.00M	USD	Annual
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-57.00M	USD	Annual
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	-	USD	Annual
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-44.00M	USD	Point-in-time
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-17.00M	USD	1 Quarter
Deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$55.00M	USD	Annual
Deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$-129.00M	USD	Annual
Deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$-51.00M	USD	Annual
Gain on divestiture	`GainLossOnSaleOfBusiness`	$104.00M	USD	Annual
Gain on divestiture	`GainLossOnSaleOfBusiness`	-	USD	Annual
Gain on divestiture	`GainLossOnSaleOfBusiness`	-	USD	Annual
Premium and trade receivables	`IncreaseDecreaseInPremiumsReceivable`	$52.00M	USD	Annual
Premium and trade receivables	`IncreaseDecreaseInPremiumsReceivable`	$1.17B	USD	Annual
Premium and trade receivables	`IncreaseDecreaseInPremiumsReceivable`	$1.08B	USD	Annual
Other assets	`IncreaseDecreaseInOtherOperatingAssets`	$234.00M	USD	Annual
Other assets	`IncreaseDecreaseInOtherOperatingAssets`	$38.00M	USD	Annual
Other assets	`IncreaseDecreaseInOtherOperatingAssets`	$30.00M	USD	Annual
Medical claims liabilities	`IncreaseDecreaseInHealthCareInsuranceLiabilities`	$1.12B	USD	Annual
Medical claims liabilities	`IncreaseDecreaseInHealthCareInsuranceLiabilities`	$578.00M	USD	Annual
Medical claims liabilities	`IncreaseDecreaseInHealthCareInsuranceLiabilities`	$1.32B	USD	Annual
Unearned revenue	`IncreaseDecreaseInContractWithCustomerLiability`	$-9.00M	USD	Annual
Unearned revenue	`IncreaseDecreaseInContractWithCustomerLiability`	$-52.00M	USD	Annual
Unearned revenue	`IncreaseDecreaseInContractWithCustomerLiability`	$-528.00M	USD	Annual
Accounts payable and accrued expenses	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$-533.00M	USD	Annual
Accounts payable and accrued expenses	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$585.00M	USD	Annual
Accounts payable and accrued expenses	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$-421.00M	USD	Annual
Other long-term liabilities	`IncreaseDecreaseInOtherNoncurrentLiabilities`	$1.08B	USD	Annual
Other long-term liabilities	`IncreaseDecreaseInOtherNoncurrentLiabilities`	$185.00M	USD	Annual
Other long-term liabilities	`IncreaseDecreaseInOtherNoncurrentLiabilities`	$258.00M	USD	Annual
Other operating activities, net	`OtherOperatingActivitiesCashFlowStatement`	$-25.00M	USD	Annual
Other operating activities, net	`OtherOperatingActivitiesCashFlowStatement`	$25.00M	USD	Annual
Other operating activities, net	`OtherOperatingActivitiesCashFlowStatement`	$42.00M	USD	Annual
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$1.23B	USD	Annual
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$1.48B	USD	Annual
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$5.50B	USD	Annual
Capital expenditures	`PaymentsToAcquirePropertyPlantAndEquipment`	$675.00M	USD	Annual
Capital expenditures	`PaymentsToAcquirePropertyPlantAndEquipment`	$730.00M	USD	Annual
Capital expenditures	`PaymentsToAcquirePropertyPlantAndEquipment`	$869.00M	USD	Annual
Purchases of investments	`PaymentsToAcquireInvestments`	$7.40B	USD	Annual
Purchases of investments	`PaymentsToAcquireInvestments`	$3.85B	USD	Annual
Purchases of investments	`PaymentsToAcquireInvestments`	$2.58B	USD	Annual
Sales and maturities of investments	`ProceedsFromSaleMaturityAndCollectionsOfInvestments`	$1.81B	USD	Annual
Sales and maturities of investments	`ProceedsFromSaleMaturityAndCollectionsOfInvestments`	$4.92B	USD	Annual
Sales and maturities of investments	`ProceedsFromSaleMaturityAndCollectionsOfInvestments`	$1.99B	USD	Annual
Acquisitions, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$2.06B	USD	Annual
Acquisitions, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$36.00M	USD	Annual
Acquisitions, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$4.05B	USD	Annual
Divestiture proceeds, net of divested cash	`ProceedsFromDivestitureOfBusinessesNetOfCashDivested`	$466.00M	USD	Annual
Divestiture proceeds, net of divested cash	`ProceedsFromDivestitureOfBusinessesNetOfCashDivested`	-	USD	Annual
Divestiture proceeds, net of divested cash	`ProceedsFromDivestitureOfBusinessesNetOfCashDivested`	-	USD	Annual
Other investing activities, net	`PaymentsForProceedsFromOtherInvestingActivities`	$22.00M	USD	Annual
Other investing activities, net	`PaymentsForProceedsFromOtherInvestingActivities`	-	USD	Annual
Other investing activities, net	`PaymentsForProceedsFromOtherInvestingActivities`	-	USD	Annual
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-6.96B	USD	Annual
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-4.58B	USD	Annual
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-1.53B	USD	Annual
Proceeds from the issuance of common stock	`ProceedsFromIssuanceOfCommonStock`	$2.78B	USD	Annual
Proceeds from the issuance of common stock	`ProceedsFromIssuanceOfCommonStock`	-	USD	Annual
Proceeds from the issuance of common stock	`ProceedsFromIssuanceOfCommonStock`	-	USD	Annual
Proceeds from long-term debt	`ProceedsFromIssuanceOfLongTermDebt`	$6.08B	USD	Annual
Proceeds from long-term debt	`ProceedsFromIssuanceOfLongTermDebt`	$24.72B	USD	Annual
Proceeds from long-term debt	`ProceedsFromIssuanceOfLongTermDebt`	$5.11B	USD	Annual
Payments of long-term debt	`RepaymentsOfLongTermDebt`	$17.80B	USD	Annual
Payments of long-term debt	`RepaymentsOfLongTermDebt`	$4.08B	USD	Annual
Payments of long-term debt	`RepaymentsOfLongTermDebt`	$4.07B	USD	Annual
Common stock repurchases	`PaymentsForRepurchaseOfCommonStock`	$75.00M	USD	Annual
Common stock repurchases	`PaymentsForRepurchaseOfCommonStock`	$626.00M	USD	Annual
Common stock repurchases	`PaymentsForRepurchaseOfCommonStock`	$71.00M	USD	Annual
Payments for debt extinguishment	`PaymentsOfDebtExtinguishmentCosts`	$81.00M	USD	Annual
Payments for debt extinguishment	`PaymentsOfDebtExtinguishmentCosts`	$23.00M	USD	Annual
Payments for debt extinguishment	`PaymentsOfDebtExtinguishmentCosts`	-	USD	Annual
Debt issuance costs	`PaymentsOfDebtIssuanceCosts`	$120.00M	USD	Annual
Debt issuance costs	`PaymentsOfDebtIssuanceCosts`	$25.00M	USD	Annual
Debt issuance costs	`PaymentsOfDebtIssuanceCosts`	$25.00M	USD	Annual
Other financing activities, net	`ProceedsFromPaymentsForOtherFinancingActivities`	$47.00M	USD	Annual
Other financing activities, net	`ProceedsFromPaymentsForOtherFinancingActivities`	$-65.00M	USD	Annual
Other financing activities, net	`ProceedsFromPaymentsForOtherFinancingActivities`	$37.00M	USD	Annual
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$260.00M	USD	Annual
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$6.83B	USD	Annual
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$4.61B	USD	Annual
Effect of exchange rate changes on cash, cash equivalents, and restricted cash	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$-2.00M	USD	Annual
Effect of exchange rate changes on cash, cash equivalents, and restricted cash	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$18.00M	USD	Annual
Effect of exchange rate changes on cash, cash equivalents, and restricted cash	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	-	USD	Annual
Net increase (decrease) in cash, cash equivalents, and restricted cash and equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$6.78B	USD	Annual
Net increase (decrease) in cash, cash equivalents, and restricted cash and equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$1.26B	USD	Annual
Net increase (decrease) in cash, cash equivalents, and restricted cash and equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$-1.17B	USD	Annual
Cash, cash equivalents, and restricted cash and cash equivalents, beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$10.96B	USD	Point-in-time
Cash, cash equivalents, and restricted cash and cash equivalents, beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$12.13B	USD	Point-in-time
Cash, cash equivalents, and restricted cash and cash equivalents, beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$5.35B	USD	Point-in-time
Cash, cash equivalents, and restricted cash and cash equivalents, beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$4.09B	USD	Point-in-time
Cash, cash equivalents, and restricted cash and cash equivalents, end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$5.35B	USD	Point-in-time
Cash, cash equivalents, and restricted cash and cash equivalents, end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$10.96B	USD	Point-in-time
Cash, cash equivalents, and restricted cash and cash equivalents, end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$12.13B	USD	Point-in-time
Cash, cash equivalents, and restricted cash and cash equivalents, end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$4.09B	USD	Point-in-time
Interest paid	`InterestPaidNet`	$374.00M	USD	Annual
Interest paid	`InterestPaidNet`	$323.00M	USD	Annual
Interest paid	`InterestPaidNet`	$725.00M	USD	Annual
Income taxes paid	`IncomeTaxesPaidNet`	$612.00M	USD	Annual
Income taxes paid	`IncomeTaxesPaidNet`	$1.19B	USD	Annual
Income taxes paid	`IncomeTaxesPaidNet`	$448.00M	USD	Annual
Equity issued in connection with acquisitions	`OtherSignificantNoncashTransactionValueOfConsiderationGiven1`	$507.00M	USD	Annual
Equity issued in connection with acquisitions	`OtherSignificantNoncashTransactionValueOfConsiderationGiven1`	-	USD	Annual
Equity issued in connection with acquisitions	`OtherSignificantNoncashTransactionValueOfConsiderationGiven1`	$11.53B	USD	Annual
Restricted cash and cash equivalents, included in restricted deposits	`RestrictedCashAndCashEquivalents`	$8.00M	USD	Point-in-time
Restricted cash and cash equivalents, included in restricted deposits	`RestrictedCashAndCashEquivalents`	$8.00M	USD	Point-in-time
Restricted cash and cash equivalents, included in restricted deposits	`RestrictedCashAndCashEquivalents`	$157.00M	USD	Point-in-time
Total cash, cash equivalents, and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$12.13B	USD	Point-in-time
Total cash, cash equivalents, and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$5.35B	USD	Point-in-time
Total cash, cash equivalents, and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$10.96B	USD	Point-in-time
Total cash, cash equivalents, and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$4.09B	USD	Point-in-time

Stockholders Equity 43 line items

Line Item	Tag	Value	Unit	Period
Common stock, par value (in usd per share)	`CommonStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Common stock, par value (in usd per share)	`CommonStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Other comprehensive (loss) income, tax	`OtherComprehensiveIncomeLossTax`	$60.00M	USD	Annual
Other comprehensive (loss) income, tax	`OtherComprehensiveIncomeLossTax`	$-15.00M	USD	Annual
Other comprehensive (loss) income, tax	`OtherComprehensiveIncomeLossTax`	$59.00M	USD	Annual
Beginning balance (in shares)	`CommonStockSharesOutstanding`	581.48M	shares	Point-in-time
Beginning balance (in shares)	`CommonStockSharesOutstanding`	415.05M	shares	Point-in-time
Beginning balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$11.01B	USD	Point-in-time
Beginning balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$6.86B	USD	Point-in-time
Beginning balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$12.66B	USD	Point-in-time
Beginning balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$25.89B	USD	Point-in-time
Beginning balance Treasury stock (in shares)	`TreasuryStockShares`	16.77M	shares	Point-in-time
Beginning balance Treasury stock (in shares)	`TreasuryStockShares`	6.46M	shares	Point-in-time
Net earnings (loss)	`NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest`	$898.00M	USD	Annual
Net earnings (loss)	`NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest`	$1.78B	USD	Annual
Net earnings (loss)	`NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest`	$1.31B	USD	Annual
Other comprehensive (loss) earnings, net of tax	`OtherComprehensiveIncomeLossNetOfTax`	$203.00M	USD	Annual
Other comprehensive (loss) earnings, net of tax	`OtherComprehensiveIncomeLossNetOfTax`	$-53.00M	USD	Annual
Other comprehensive (loss) earnings, net of tax	`OtherComprehensiveIncomeLossNetOfTax`	$190.00M	USD	Annual
Common stock issued for acquisitions	`StockIssuedDuringPeriodValueAcquisitions`	$11.53B	USD	Annual
Common stock issued for acquisitions	`StockIssuedDuringPeriodValueAcquisitions`	$507.00M	USD	Annual
Common stock issued for stock offering	`StockIssuedDuringPeriodValueNewIssues`	$2.78B	USD	Annual
Common stock issued for employee benefit plans	`StockIssuedDuringPeriodValueShareBasedCompensation`	$21.00M	USD	Annual
Common stock issued for employee benefit plans	`StockIssuedDuringPeriodValueShareBasedCompensation`	$17.00M	USD	Annual
Common stock issued for employee benefit plans	`StockIssuedDuringPeriodValueShareBasedCompensation`	$29.00M	USD	Annual
Common stock repurchases	`TreasuryStockValueAcquiredCostMethod`	$75.00M	USD	Annual
Common stock repurchases	`TreasuryStockValueAcquiredCostMethod`	$626.00M	USD	Annual
Common stock repurchases	`TreasuryStockValueAcquiredCostMethod`	$71.00M	USD	Annual
Stock compensation expense	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$281.00M	USD	Annual
Stock compensation expense	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$177.00M	USD	Annual
Stock compensation expense	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$145.00M	USD	Annual
Purchase of noncontrolling interest	`MinorityInterestDecreaseFromRedemptions`	$187.00M	USD	Annual
Acquisition resulting in noncontrolling interest	`NoncontrollingInterestIncreaseFromBusinessCombination`	$99.00M	USD	Annual
Contribution from noncontrolling interest	`NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance`	$28.00M	USD	Annual
Contribution from noncontrolling interest	`NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance`	$21.00M	USD	Annual
Ending balance (in shares)	`CommonStockSharesOutstanding`	581.48M	shares	Point-in-time
Ending balance (in shares)	`CommonStockSharesOutstanding`	415.05M	shares	Point-in-time
Ending balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$12.66B	USD	Point-in-time
Ending balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$25.89B	USD	Point-in-time
Ending balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$11.01B	USD	Point-in-time
Ending balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$6.86B	USD	Point-in-time
Ending balance Treasury stock (in shares)	`TreasuryStockShares`	16.77M	shares	Point-in-time
Ending balance Treasury stock (in shares)	`TreasuryStockShares`	6.46M	shares	Point-in-time

Comprehensive Income 27 line items

Line Item	Tag	Value	Unit	Period
Net earnings	`ProfitLoss`	$1.31B	USD	Annual
Net earnings	`ProfitLoss`	$894.00M	USD	Annual
Net earnings	`ProfitLoss`	$1.79B	USD	Annual
Reclassification adjustment, net of tax	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax`	$-2.00M	USD	Annual
Reclassification adjustment, net of tax	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax`	$5.00M	USD	Annual
Reclassification adjustment, net of tax	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax`	$3.00M	USD	Annual
Change in unrealized gain (loss) on investments, net of tax	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax`	$203.00M	USD	Annual
Change in unrealized gain (loss) on investments, net of tax	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax`	$-52.00M	USD	Annual
Change in unrealized gain (loss) on investments, net of tax	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax`	$191.00M	USD	Annual
Defined benefit pension plan net gain (loss), net of tax	`OtherComprehensiveIncomeDefinedBenefitPlansNetUnamortizedGainLossArisingDuringPeriodNetOfTax`	$-6.00M	USD	Annual
Defined benefit pension plan net gain (loss), net of tax	`OtherComprehensiveIncomeDefinedBenefitPlansNetUnamortizedGainLossArisingDuringPeriodNetOfTax`	$1.00M	USD	Annual
Defined benefit pension plan net gain (loss), net of tax	`OtherComprehensiveIncomeDefinedBenefitPlansNetUnamortizedGainLossArisingDuringPeriodNetOfTax`	-	USD	Annual
Foreign currency translation adjustments	`OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax`	$-2.00M	USD	Annual
Foreign currency translation adjustments	`OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax`	$15.00M	USD	Annual
Foreign currency translation adjustments	`OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax`	$-4.00M	USD	Annual
Other comprehensive earnings (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$203.00M	USD	Annual
Other comprehensive earnings (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$-53.00M	USD	Annual
Other comprehensive earnings (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$190.00M	USD	Annual
Comprehensive earnings	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$2.00B	USD	Annual
Comprehensive earnings	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$1.50B	USD	Annual
Comprehensive earnings	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$841.00M	USD	Annual
Comprehensive loss attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest`	$-12.00M	USD	Annual
Comprehensive loss attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest`	$-6.00M	USD	Annual
Comprehensive loss attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest`	$-14.00M	USD	Annual
Comprehensive earnings attributable to Centene Corporation	`ComprehensiveIncomeNetOfTax`	$2.01B	USD	Annual
Comprehensive earnings attributable to Centene Corporation	`ComprehensiveIncomeNetOfTax`	$847.00M	USD	Annual
Comprehensive earnings attributable to Centene Corporation	`ComprehensiveIncomeNetOfTax`	$1.51B	USD	Annual

Data is extracted from SEC EDGAR XBRL filings. Values shown are as reported in the filing.