10-K Filing

CENTENE CORP CIK: 1071739 FY 2021

Filing Information

Form Type	10-K
Accession Number	`0001071739-22-000071`
Period End Date	20211231
Filing Date	20220222
Fiscal Year	2021
Fiscal Period	FY
XBRL Instance	cnc-20211231_htm.xml

Filing Contents

This filing contains the following financial statements:

Balance Sheet 92 Income Statement 75 Cash Flow Statement 130 Stockholders Equity 44 Comprehensive Income 27

Balance Sheet 92 line items

Line Item	Tag	Value	Unit	Period
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$10.80B	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$13.12B	USD	Point-in-time
Preferred stock, par value (in usd per share)	`PreferredStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Preferred stock, par value (in usd per share)	`PreferredStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$12.12B	USD	Point-in-time
Premium and trade receivables	`PremiumsAndOtherReceivablesNet`	$12.24B	USD	Point-in-time
Preferred stock, shares authorized (in shares)	`PreferredStockSharesAuthorized`	10.00M	shares	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 issued (in shares)	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Short-term investments	`ShortTermInvestments`	$1.58B	USD	Point-in-time
Short-term investments	`ShortTermInvestments`	$1.54B	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
Preferred stock, shares outstanding (in shares)	`PreferredStockSharesOutstanding`	0.00	shares	Point-in-time
Other current assets	`OtherAssetsCurrent`	$1.60B	USD	Point-in-time
Total current assets	`AssetsCurrent`	$28.50B	USD	Point-in-time
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
Total current assets	`AssetsCurrent`	$23.39B	USD	Point-in-time
Common stock, shares authorized (in shares)	`CommonStockSharesAuthorized`	800.00M	shares	Point-in-time
Long-term investments	`LongTermInvestments`	$14.04B	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
Restricted deposits	`OtherRestrictedAssetsNoncurrent`	$1.06B	USD	Point-in-time
Restricted deposits	`OtherRestrictedAssetsNoncurrent`	$1.07B	USD	Point-in-time
Common stock, shares issued (in shares)	`CommonStockSharesIssued`	598.25M	shares	Point-in-time
Common stock, shares issued (in shares)	`CommonStockSharesIssued`	602.70M	shares	Point-in-time
Property, software and equipment, net	`PropertyPlantAndEquipmentNet`	$2.77B	USD	Point-in-time
Common stock, shares outstanding (in shares)	`CommonStockSharesOutstanding`	581.48M	shares	Point-in-time
Property, software and equipment, net	`PropertyPlantAndEquipmentNet`	$3.39B	USD	Point-in-time
Common stock, shares outstanding (in shares)	`CommonStockSharesOutstanding`	582.48M	shares	Point-in-time
Treasury stock, at cost (in shares)	`TreasuryStockShares`	20.23M	shares	Point-in-time
Treasury stock, at cost (in shares)	`TreasuryStockShares`	16.77M	shares	Point-in-time
Goodwill	`Goodwill`	$18.65B	USD	Point-in-time
Goodwill	`Goodwill`	$6.86B	USD	Point-in-time
Goodwill	`Goodwill`	$19.77B	USD	Point-in-time
Intangible assets, net	`IntangibleAssetsNetExcludingGoodwill`	$8.39B	USD	Point-in-time
Intangible assets, net	`IntangibleAssetsNetExcludingGoodwill`	$7.82B	USD	Point-in-time
Other long-term assets	`OtherAssetsNoncurrent`	$3.78B	USD	Point-in-time
Other long-term assets	`OtherAssetsNoncurrent`	$1.60B	USD	Point-in-time
Total assets	`Assets`	$78.38B	USD	Point-in-time
Total assets	`Assets`	$68.72B	USD	Point-in-time
Medical claims liability	`LiabilityForClaimsAndClaimsAdjustmentExpense`	$14.24B	USD	Point-in-time
Medical claims liability	`LiabilityForClaimsAndClaimsAdjustmentExpense`	$7.47B	USD	Point-in-time
Medical claims liability	`LiabilityForClaimsAndClaimsAdjustmentExpense`	$12.44B	USD	Point-in-time
Medical claims liability	`LiabilityForClaimsAndClaimsAdjustmentExpense`	$6.83B	USD	Point-in-time
Accounts payable and accrued expenses	`AccountsPayableAndAccruedLiabilitiesCurrent`	$8.49B	USD	Point-in-time
Accounts payable and accrued expenses	`AccountsPayableAndAccruedLiabilitiesCurrent`	$7.07B	USD	Point-in-time
Return of premium payable	`ReturnofPremiumPayable`	$2.33B	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`	$434.00M	USD	Point-in-time
Current portion of long-term debt	`LongTermDebtCurrent`	$267.00M	USD	Point-in-time
Current portion of long-term debt	`LongTermDebtCurrent`	$97.00M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$21.59B	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$25.77B	USD	Point-in-time
Long-term debt	`LongTermDebtNoncurrent`	$18.57B	USD	Point-in-time
Long-term debt	`LongTermDebtNoncurrent`	$16.68B	USD	Point-in-time
Deferred tax liability	`DeferredIncomeTaxLiabilitiesNet`	$1.53B	USD	Point-in-time
Deferred tax liability	`DeferredIncomeTaxLiabilitiesNet`	$1.41B	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$5.61B	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$2.96B	USD	Point-in-time
Total liabilities	`Liabilities`	$42.76B	USD	Point-in-time
Total liabilities	`Liabilities`	$51.35B	USD	Point-in-time
Commitments and contingencies	`CommitmentsAndContingencies`	-	USD	Point-in-time
Commitments and contingencies	`CommitmentsAndContingencies`	-	USD	Point-in-time
Redeemable noncontrolling interests	`RedeemableNoncontrollingInterestEquityCarryingAmount`	$77.00M	USD	Point-in-time
Redeemable noncontrolling interests	`RedeemableNoncontrollingInterestEquityCarryingAmount`	$82.00M	USD	Point-in-time
Preferred stock, $0.001 par value; authorized 10,000 shares; no shares issued or outstanding at December 31, 2021 and December 31, 2020	`PreferredStockValue`	-	USD	Point-in-time
Preferred stock, $0.001 par value; authorized 10,000 shares; no shares issued or outstanding at December 31, 2021 and December 31, 2020	`PreferredStockValue`	-	USD	Point-in-time
Common stock, $0.001 par value; authorized 800,000 shares; 602,704 issued and 582,479 outstanding at December 31, 2021, and 598,249 issued and 581,479 outstanding at December 31, 2020	`CommonStockValue`	$1.00M	USD	Point-in-time
Common stock, $0.001 par value; authorized 800,000 shares; 602,704 issued and 582,479 outstanding at December 31, 2021, and 598,249 issued and 581,479 outstanding at December 31, 2020	`CommonStockValue`	$1.00M	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$19.67B	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$19.46B	USD	Point-in-time
Accumulated other comprehensive earnings	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$337.00M	USD	Point-in-time
Accumulated other comprehensive earnings	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$77.00M	USD	Point-in-time
Retained earnings	`RetainedEarningsAccumulatedDeficit`	$6.79B	USD	Point-in-time
Retained earnings	`RetainedEarningsAccumulatedDeficit`	$8.14B	USD	Point-in-time
Treasury stock, at cost (20,225 and 16,770 shares, respectively)	`TreasuryStockValue`	$1.09B	USD	Point-in-time
Treasury stock, at cost (20,225 and 16,770 shares, respectively)	`TreasuryStockValue`	$816.00M	USD	Point-in-time
Total Centene stockholders' equity	`StockholdersEquity`	$26.80B	USD	Point-in-time
Total Centene stockholders' equity	`StockholdersEquity`	$25.77B	USD	Point-in-time
Noncontrolling interest	`MinorityInterest`	$145.00M	USD	Point-in-time
Noncontrolling interest	`MinorityInterest`	$112.00M	USD	Point-in-time
Total stockholders' equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$11.01B	USD	Point-in-time
Total stockholders' equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$26.94B	USD	Point-in-time
Total stockholders' equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$25.89B	USD	Point-in-time
Total stockholders' equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$12.66B	USD	Point-in-time
Total liabilities, redeemable noncontrolling interests and stockholders' equity	`LiabilitiesAndStockholdersEquity`	$78.38B	USD	Point-in-time
Total liabilities, redeemable noncontrolling interests and stockholders' equity	`LiabilitiesAndStockholdersEquity`	$68.72B	USD	Point-in-time

Income Statement 75 line items

Line Item	Tag	Value	Unit	Period
Premium and service revenues	`RevenueFromContractWithCustomerExcludingAssessedTax`	$117.98B	USD	Annual
Premium and service revenues	`RevenueFromContractWithCustomerExcludingAssessedTax`	$103.80B	USD	Annual
Premium and service revenues	`RevenueFromContractWithCustomerExcludingAssessedTax`	$70.36B	USD	Annual
Premium tax and health insurer fee	`PremiumTaxRevenue`	$8.00B	USD	Annual
Premium tax and health insurer fee	`PremiumTaxRevenue`	$7.32B	USD	Annual
Premium tax and health insurer fee	`PremiumTaxRevenue`	$4.28B	USD	Annual
Total revenues	`Revenues`	$125.98B	USD	Annual
Total revenues	`Revenues`	$74.64B	USD	Annual
Total revenues	`Revenues`	$111.11B	USD	Annual
Medical costs	`PolicyholderBenefitsAndClaimsIncurredHealthCare`	$98.60B	USD	Annual
Medical costs	`PolicyholderBenefitsAndClaimsIncurredHealthCare`	$86.26B	USD	Annual
Medical costs	`PolicyholderBenefitsAndClaimsIncurredHealthCare`	$58.86B	USD	Annual
Cost of services	`CostOfGoodsAndServicesSold`	$2.46B	USD	Annual
Cost of services	`CostOfGoodsAndServicesSold`	$4.89B	USD	Annual
Cost of services	`CostOfGoodsAndServicesSold`	$3.30B	USD	Annual
Selling, general and administrative expenses	`SellingGeneralAndAdministrativeExpense`	$10.17B	USD	Annual
Selling, general and administrative expenses	`SellingGeneralAndAdministrativeExpense`	$9.87B	USD	Annual
Selling, general and administrative expenses	`SellingGeneralAndAdministrativeExpense`	$6.53B	USD	Annual
Amortization of acquired intangible assets	`AmortizationOfIntangibleAssets`	$719.00M	USD	Annual
Amortization of acquired intangible assets	`AmortizationOfIntangibleAssets`	$770.00M	USD	Annual
Amortization of acquired intangible assets	`AmortizationOfIntangibleAssets`	$258.00M	USD	Annual
Premium tax expense	`PremiumTaxExpense`	$4.47B	USD	Annual
Premium tax expense	`PremiumTaxExpense`	$6.33B	USD	Annual
Premium tax expense	`PremiumTaxExpense`	$8.29B	USD	Annual
Health insurer fee expense	`HealthInsurerFeeExpense`	-	USD	Annual
Health insurer fee expense	`HealthInsurerFeeExpense`	$1.48B	USD	Annual
Health insurer fee expense	`HealthInsurerFeeExpense`	-	USD	Annual
Impairment	`AssetImpairmentCharges`	$271.00M	USD	Annual
Impairment	`AssetImpairmentCharges`	$229.00M	USD	Annual
Impairment	`AssetImpairmentCharges`	$72.00M	USD	Annual
Legal settlement	`LitigationSettlementExpense`	-	USD	Annual
Legal settlement	`LitigationSettlementExpense`	-	USD	Annual
Legal settlement	`LitigationSettlementExpense`	$1.25B	USD	Annual
Total operating expenses	`CostsAndExpenses`	$108.03B	USD	Annual
Total operating expenses	`CostsAndExpenses`	$72.86B	USD	Annual
Total operating expenses	`CostsAndExpenses`	$124.20B	USD	Annual
Earnings from operations	`OperatingIncomeLoss`	$1.78B	USD	Annual
Earnings from operations	`OperatingIncomeLoss`	$3.08B	USD	Annual
Earnings from operations	`OperatingIncomeLoss`	$1.78B	USD	Annual
Investment and other income	`InvestmentIncomeNonoperating`	$443.00M	USD	Annual
Investment and other income	`InvestmentIncomeNonoperating`	$819.00M	USD	Annual
Investment and other income	`InvestmentIncomeNonoperating`	$480.00M	USD	Annual
Debt extinguishment costs	`GainLossOnExtinguishmentOfDebtIncludingCashPortion`	$-125.00M	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`	$665.00M	USD	Annual
Interest expense	`InterestExpense`	$728.00M	USD	Annual
Earnings before income tax expense	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$1.78B	USD	Annual
Earnings before income tax expense	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$1.81B	USD	Annual
Earnings before income tax expense	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$2.77B	USD	Annual
Income tax expense	`IncomeTaxExpenseBenefit`	$477.00M	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`	$1.34B	USD	Annual
Loss attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$-14.00M	USD	Annual
Loss attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$-11.00M	USD	Annual
Loss attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$-12.00M	USD	Annual
Net earnings attributable to Centene Corporation	`NetIncomeLoss`	$1.35B	USD	Annual
Net earnings attributable to Centene Corporation	`NetIncomeLoss`	$1.81B	USD	Annual
Net earnings attributable to Centene Corporation	`NetIncomeLoss`	$1.32B	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`	$2.31	USD	Annual
Basic earnings per common share (in usd per share)	`EarningsPerShareBasic`	$3.17	USD	Annual
Diluted earnings per common share (in usd per share)	`EarningsPerShareDiluted`	$3.12	USD	Annual
Diluted earnings per common share (in usd per share)	`EarningsPerShareDiluted`	$2.28	USD	Annual
Diluted earnings per common share (in usd per share)	`EarningsPerShareDiluted`	$3.14	USD	Annual
Basic (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	570.72M	shares	Annual
Basic (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	582.83M	shares	Annual
Basic (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	413.49M	shares	Annual
Diluted (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	420.41M	shares	Annual
Diluted (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	590.52M	shares	Annual
Diluted (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	579.13M	shares	Annual

Cash Flow Statement 130 line items

Line Item	Tag	Value	Unit	Period
Net earnings	`ProfitLoss`	$1.34B	USD	Annual
Net earnings	`ProfitLoss`	$1.79B	USD	Annual
Net earnings	`ProfitLoss`	$1.31B	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$1.48B	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$643.00M	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$1.26B	USD	Annual
Stock compensation expense	`ShareBasedCompensation`	$281.00M	USD	Annual
Stock compensation expense	`ShareBasedCompensation`	$177.00M	USD	Annual
Stock compensation expense	`ShareBasedCompensation`	$203.00M	USD	Annual
Impairment	`AssetImpairmentCharges`	$229.00M	USD	Annual
Impairment	`AssetImpairmentCharges`	$271.00M	USD	Annual
Impairment	`AssetImpairmentCharges`	$72.00M	USD	Annual
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-17.00M	USD	1 Quarter
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-79.00M	USD	Point-in-time
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-125.00M	USD	Annual
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-30.00M	USD	Annual
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-44.00M	USD	Point-in-time
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-57.00M	USD	Annual
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-46.00M	USD	Point-in-time
Gain on acquisition	`BusinessCombinationStepAcquisitionEquityInterestInAcquireeRemeasurementGain`	-	USD	Annual
Gain on acquisition	`BusinessCombinationStepAcquisitionEquityInterestInAcquireeRemeasurementGain`	$309.00M	USD	Annual
Gain on acquisition	`BusinessCombinationStepAcquisitionEquityInterestInAcquireeRemeasurementGain`	-	USD	Annual
Deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$-132.00M	USD	Annual
Deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$55.00M	USD	Annual
Deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$-51.00M	USD	Annual
Gain on divestitures	`GainLossOnSaleOfBusiness`	-	USD	Annual
Gain on divestitures	`GainLossOnSaleOfBusiness`	$104.00M	USD	Annual
Gain on divestitures	`GainLossOnSaleOfBusiness`	$88.00M	USD	Annual
Other adjustments, net	`OtherNoncashIncomeExpense`	-	USD	Annual
Other adjustments, net	`OtherNoncashIncomeExpense`	-	USD	Annual
Other adjustments, net	`OtherNoncashIncomeExpense`	$11.00M	USD	Annual
Premium and trade receivables	`IncreaseDecreaseInPremiumsReceivable`	$52.00M	USD	Annual
Premium and trade receivables	`IncreaseDecreaseInPremiumsReceivable`	$1.08B	USD	Annual
Premium and trade receivables	`IncreaseDecreaseInPremiumsReceivable`	$2.45B	USD	Annual
Other assets	`IncreaseDecreaseInOtherOperatingAssets`	$30.00M	USD	Annual
Other assets	`IncreaseDecreaseInOtherOperatingAssets`	$99.00M	USD	Annual
Other assets	`IncreaseDecreaseInOtherOperatingAssets`	$234.00M	USD	Annual
Medical claims liabilities	`IncreaseDecreaseInHealthCareInsuranceLiabilities`	$1.80B	USD	Annual
Medical claims liabilities	`IncreaseDecreaseInHealthCareInsuranceLiabilities`	$1.12B	USD	Annual
Medical claims liabilities	`IncreaseDecreaseInHealthCareInsuranceLiabilities`	$578.00M	USD	Annual
Unearned revenue	`IncreaseDecreaseInContractWithCustomerLiability`	$-9.00M	USD	Annual
Unearned revenue	`IncreaseDecreaseInContractWithCustomerLiability`	$-528.00M	USD	Annual
Unearned revenue	`IncreaseDecreaseInContractWithCustomerLiability`	$-109.00M	USD	Annual
Accounts payable and accrued expenses	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$1.14B	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`	$1.09B	USD	Annual
Other long-term liabilities	`IncreaseDecreaseInOtherNoncurrentLiabilities`	$1.08B	USD	Annual
Other long-term liabilities	`IncreaseDecreaseInOtherNoncurrentLiabilities`	$185.00M	USD	Annual
Other operating activities, net	`OtherOperatingActivitiesCashFlowStatement`	$-25.00M	USD	Annual
Other operating activities, net	`OtherOperatingActivitiesCashFlowStatement`	$1.00M	USD	Annual
Other operating activities, net	`OtherOperatingActivitiesCashFlowStatement`	$25.00M	USD	Annual
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$4.21B	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`	$869.00M	USD	Annual
Capital expenditures	`PaymentsToAcquirePropertyPlantAndEquipment`	$730.00M	USD	Annual
Capital expenditures	`PaymentsToAcquirePropertyPlantAndEquipment`	$910.00M	USD	Annual
Purchases of investments	`PaymentsToAcquireInvestments`	$7.40B	USD	Annual
Purchases of investments	`PaymentsToAcquireInvestments`	$2.58B	USD	Annual
Purchases of investments	`PaymentsToAcquireInvestments`	$7.40B	USD	Annual
Sales and maturities of investments	`ProceedsFromSaleMaturityAndCollectionsOfInvestments`	$4.92B	USD	Annual
Sales and maturities of investments	`ProceedsFromSaleMaturityAndCollectionsOfInvestments`	$5.46B	USD	Annual
Sales and maturities of investments	`ProceedsFromSaleMaturityAndCollectionsOfInvestments`	$1.81B	USD	Annual
Acquisitions, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$534.00M	USD	Annual
Acquisitions, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$4.05B	USD	Annual
Acquisitions, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$36.00M	USD	Annual
Divestiture proceeds, net	`ProceedsFromDivestitureOfBusinessesNetOfCashDivested`	-	USD	Annual
Divestiture proceeds, net	`ProceedsFromDivestitureOfBusinessesNetOfCashDivested`	$68.00M	USD	Annual
Divestiture proceeds, net	`ProceedsFromDivestitureOfBusinessesNetOfCashDivested`	$466.00M	USD	Annual
Other investing activities, net	`PaymentsForProceedsFromOtherInvestingActivities`	-	USD	Annual
Other investing activities, net	`PaymentsForProceedsFromOtherInvestingActivities`	$-19.00M	USD	Annual
Other investing activities, net	`PaymentsForProceedsFromOtherInvestingActivities`	$22.00M	USD	Annual
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-3.30B	USD	Annual
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-6.96B	USD	Annual
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-1.53B	USD	Annual
Proceeds from long-term debt	`ProceedsFromIssuanceOfLongTermDebt`	$24.72B	USD	Annual
Proceeds from long-term debt	`ProceedsFromIssuanceOfLongTermDebt`	$9.27B	USD	Annual
Proceeds from long-term debt	`ProceedsFromIssuanceOfLongTermDebt`	$5.11B	USD	Annual
Payments of long-term debt	`RepaymentsOfLongTermDebt`	$4.07B	USD	Annual
Payments of long-term debt	`RepaymentsOfLongTermDebt`	$7.43B	USD	Annual
Payments of long-term debt	`RepaymentsOfLongTermDebt`	$17.80B	USD	Annual
Common stock repurchases	`PaymentsForRepurchaseOfCommonStock`	$75.00M	USD	Annual
Common stock repurchases	`PaymentsForRepurchaseOfCommonStock`	$297.00M	USD	Annual
Common stock repurchases	`PaymentsForRepurchaseOfCommonStock`	$626.00M	USD	Annual
Payments for debt extinguishment	`PaymentsOfDebtExtinguishmentCosts`	$157.00M	USD	Annual
Payments for debt extinguishment	`PaymentsOfDebtExtinguishmentCosts`	$23.00M	USD	Annual
Payments for debt extinguishment	`PaymentsOfDebtExtinguishmentCosts`	$81.00M	USD	Annual
Debt issuance costs	`PaymentsOfDebtIssuanceCosts`	$25.00M	USD	Annual
Debt issuance costs	`PaymentsOfDebtIssuanceCosts`	$72.00M	USD	Annual
Debt issuance costs	`PaymentsOfDebtIssuanceCosts`	$120.00M	USD	Annual
Other financing activities, net	`ProceedsFromPaymentsForOtherFinancingActivities`	$47.00M	USD	Annual
Other financing activities, net	`ProceedsFromPaymentsForOtherFinancingActivities`	$37.00M	USD	Annual
Other financing activities, net	`ProceedsFromPaymentsForOtherFinancingActivities`	$55.00M	USD	Annual
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$6.83B	USD	Annual
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$260.00M	USD	Annual
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$1.36B	USD	Annual
Effect of exchange rate changes on cash, cash equivalents, and restricted cash	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$-11.00M	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
Net increase (decrease) in cash, cash equivalents and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$-1.17B	USD	Annual
Net increase (decrease) in cash, cash equivalents and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$6.78B	USD	Annual
Net increase (decrease) in cash, cash equivalents and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$2.26B	USD	Annual
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`	$12.13B	USD	Point-in-time
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`	$13.21B	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`	$12.13B	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`	$13.21B	USD	Point-in-time
Interest paid	`InterestPaidNet`	$725.00M	USD	Annual
Interest paid	`InterestPaidNet`	$374.00M	USD	Annual
Interest paid	`InterestPaidNet`	$658.00M	USD	Annual
Income taxes paid	`IncomeTaxesPaidNet`	$1.19B	USD	Annual
Income taxes paid	`IncomeTaxesPaidNet`	$678.00M	USD	Annual
Income taxes paid	`IncomeTaxesPaidNet`	$612.00M	USD	Annual
Equity issued in connection with acquisitions	`OtherSignificantNoncashTransactionValueOfConsiderationGiven1`	$11.53B	USD	Annual
Equity issued in connection with acquisitions	`OtherSignificantNoncashTransactionValueOfConsiderationGiven1`	-	USD	Annual
Equity issued in connection with acquisitions	`OtherSignificantNoncashTransactionValueOfConsiderationGiven1`	-	USD	Annual
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$10.80B	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$13.12B	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$12.12B	USD	Point-in-time
Restricted cash and cash equivalents, included in restricted deposits	`RestrictedCashAndCashEquivalents`	$157.00M	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`	$96.00M	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`	$10.96B	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`	$13.21B	USD	Point-in-time

Stockholders Equity 44 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 income (loss), tax	`OtherComprehensiveIncomeLossTax`	$59.00M	USD	Annual
Other comprehensive income (loss), tax	`OtherComprehensiveIncomeLossTax`	$60.00M	USD	Annual
Other comprehensive income (loss), tax	`OtherComprehensiveIncomeLossTax`	$-75.00M	USD	Annual
Beginning balance (in shares)	`CommonStockSharesOutstanding`	581.48M	shares	Point-in-time
Beginning balance (in shares)	`CommonStockSharesOutstanding`	582.48M	shares	Point-in-time
Beginning balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$25.89B	USD	Point-in-time
Beginning balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$12.66B	USD	Point-in-time
Beginning balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$11.01B	USD	Point-in-time
Beginning balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$26.94B	USD	Point-in-time
Beginning balance Treasury stock (in shares)	`TreasuryStockShares`	16.77M	shares	Point-in-time
Beginning balance Treasury stock (in shares)	`TreasuryStockShares`	20.23M	shares	Point-in-time
Net earnings (loss)	`NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest`	$1.78B	USD	Annual
Net earnings (loss)	`NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest`	$1.31B	USD	Annual
Net earnings (loss)	`NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest`	$1.33B	USD	Annual
Other comprehensive (loss) earnings, net of tax	`OtherComprehensiveIncomeLossNetOfTax`	$-260.00M	USD	Annual
Other comprehensive (loss) earnings, net of tax	`OtherComprehensiveIncomeLossNetOfTax`	$190.00M	USD	Annual
Other comprehensive (loss) earnings, net of tax	`OtherComprehensiveIncomeLossNetOfTax`	$203.00M	USD	Annual
Common stock issued for acquisitions	`StockIssuedDuringPeriodValueAcquisitions`	$11.53B	USD	Annual
Common stock issued for employee benefit plans	`StockIssuedDuringPeriodValueShareBasedCompensation`	$21.00M	USD	Annual
Common stock issued for employee benefit plans	`StockIssuedDuringPeriodValueShareBasedCompensation`	$29.00M	USD	Annual
Common stock issued for employee benefit plans	`StockIssuedDuringPeriodValueShareBasedCompensation`	$38.00M	USD	Annual
Common stock repurchases	`TreasuryStockValueAcquiredCostMethod`	$626.00M	USD	Annual
Common stock repurchases	`TreasuryStockValueAcquiredCostMethod`	$75.00M	USD	Annual
Common stock repurchases	`TreasuryStockValueAcquiredCostMethod`	$297.00M	USD	Annual
Common stock repurchases (in shares)	`TreasuryStockSharesAcquired`	2.40M	shares	Annual
Common stock repurchases (in shares)	`TreasuryStockSharesAcquired`	8.70M	shares	Annual
Stock compensation expense	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$281.00M	USD	Annual
Stock compensation expense	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$177.00M	USD	Annual
Stock compensation expense	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$203.00M	USD	Annual
Contribution from noncontrolling interest	`NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance`	$21.00M	USD	Annual
Contribution from noncontrolling interest	`NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance`	$46.00M	USD	Annual
Contribution from noncontrolling interest	`NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance`	$28.00M	USD	Annual
Divestiture of noncontrolling interest	`MinorityInterestDecreaseFromRedemptions`	$4.00M	USD	Annual
Acquisition resulting in noncontrolling interest	`NoncontrollingInterestIncreaseFromBusinessCombination`	$3.00M	USD	Annual
Ending balance (in shares)	`CommonStockSharesOutstanding`	581.48M	shares	Point-in-time
Ending balance (in shares)	`CommonStockSharesOutstanding`	582.48M	shares	Point-in-time
Ending balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$11.01B	USD	Point-in-time
Ending balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$26.94B	USD	Point-in-time
Ending balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$25.89B	USD	Point-in-time
Ending balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$12.66B	USD	Point-in-time
Ending balance Treasury stock (in shares)	`TreasuryStockShares`	16.77M	shares	Point-in-time
Ending balance Treasury stock (in shares)	`TreasuryStockShares`	20.23M	shares	Point-in-time

Comprehensive Income 27 line items

Line Item	Tag	Value	Unit	Period
Net earnings	`ProfitLoss`	$1.34B	USD	Annual
Net earnings	`ProfitLoss`	$1.79B	USD	Annual
Net earnings	`ProfitLoss`	$1.31B	USD	Annual
Reclassification adjustment, net of tax	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax`	$20.00M	USD	Annual
Reclassification adjustment, net of tax	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax`	$3.00M	USD	Annual
Reclassification adjustment, net of tax	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax`	$5.00M	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`	$-221.00M	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`	-	USD	Annual
Defined benefit pension plan net gain (loss), net of tax	`OtherComprehensiveIncomeDefinedBenefitPlansNetUnamortizedGainLossArisingDuringPeriodNetOfTax`	$2.00M	USD	Annual
Foreign currency translation adjustments	`OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax`	$15.00M	USD	Annual
Foreign currency translation adjustments	`OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax`	$-21.00M	USD	Annual
Foreign currency translation adjustments	`OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax`	$-2.00M	USD	Annual
Other comprehensive earnings (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$-260.00M	USD	Annual
Other comprehensive earnings (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$190.00M	USD	Annual
Other comprehensive earnings (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$203.00M	USD	Annual
Comprehensive earnings	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$2.00B	USD	Annual
Comprehensive earnings	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$1.50B	USD	Annual
Comprehensive earnings	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$1.08B	USD	Annual
Comprehensive loss attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest`	$-12.00M	USD	Annual
Comprehensive loss attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest`	$-11.00M	USD	Annual
Comprehensive loss attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest`	$-14.00M	USD	Annual
Comprehensive earnings attributable to Centene Corporation	`ComprehensiveIncomeNetOfTax`	$1.09B	USD	Annual
Comprehensive earnings attributable to Centene Corporation	`ComprehensiveIncomeNetOfTax`	$2.01B	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.