10-Q Filing

CENTENE CORP CIK: 1071739 Q1 2023

Filing Information

Form Type	10-Q
Accession Number	`0001071739-23-000116`
Period End Date	20230331
Filing Date	20230425
Fiscal Year	2023
Fiscal Period	Q1
XBRL Instance	cnc-20230331_htm.xml

Filing Contents

This filing contains the following financial statements:

Balance Sheet 92 Income Statement 48 Cash Flow Statement 85 Stockholders Equity 30 Comprehensive Income 20

Balance Sheet 92 line items

Line Item	Tag	Value	Unit	Period
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$15.85B	USD	Point-in-time
Preferred stock, par value (in dollars per share)	`PreferredStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$12.07B	USD	Point-in-time
Preferred stock, par value (in dollars per share)	`PreferredStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$11.24B	USD	Point-in-time
Preferred stock, shares authorized (in shares)	`PreferredStockSharesAuthorized`	10.00M	shares	Point-in-time
Premium and trade receivables	`PremiumsAndOtherReceivablesNet`	$13.27B	USD	Point-in-time
Preferred stock, shares authorized (in shares)	`PreferredStockSharesAuthorized`	10.00M	shares	Point-in-time
Premium and trade receivables	`PremiumsAndOtherReceivablesNet`	$15.21B	USD	Point-in-time
Preferred stock, shares issued (in shares)	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Short-term investments	`ShortTermInvestments`	$2.32B	USD	Point-in-time
Short-term investments	`ShortTermInvestments`	$2.13B	USD	Point-in-time
Preferred stock, shares issued (in shares)	`PreferredStockSharesIssued`	0.00	shares	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`	$2.46B	USD	Point-in-time
Other current assets	`OtherAssetsCurrent`	$1.81B	USD	Point-in-time
Total current assets	`AssetsCurrent`	$35.01B	USD	Point-in-time
Total current assets	`AssetsCurrent`	$30.13B	USD	Point-in-time
Common stock, par value (in dollars per share)	`CommonStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Common stock, par value (in dollars per share)	`CommonStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Long-term investments	`LongTermInvestments`	$15.83B	USD	Point-in-time
Long-term investments	`LongTermInvestments`	$14.68B	USD	Point-in-time
Common stock, shares authorized (in shares)	`CommonStockSharesAuthorized`	800.00M	shares	Point-in-time
Common stock, shares authorized (in shares)	`CommonStockSharesAuthorized`	800.00M	shares	Point-in-time
Restricted deposits	`OtherRestrictedAssetsNoncurrent`	$1.22B	USD	Point-in-time
Common stock, shares issued (in shares)	`CommonStockSharesIssued`	607.85M	shares	Point-in-time
Common stock, shares issued (in shares)	`CommonStockSharesIssued`	614.36M	shares	Point-in-time
Restricted deposits	`OtherRestrictedAssetsNoncurrent`	$1.31B	USD	Point-in-time
Common stock, shares outstanding (in shares)	`CommonStockSharesOutstanding`	550.75M	shares	Point-in-time
Property, software and equipment, net	`PropertyPlantAndEquipmentNet`	$2.43B	USD	Point-in-time
Property, software and equipment, net	`PropertyPlantAndEquipmentNet`	$2.48B	USD	Point-in-time
Common stock, shares outstanding (in shares)	`CommonStockSharesOutstanding`	551.71M	shares	Point-in-time
Goodwill	`Goodwill`	$18.84B	USD	Point-in-time
Goodwill	`Goodwill`	$19.77B	USD	Point-in-time
Treasury stock (in shares)	`TreasuryStockCommonShares`	57.09M	shares	Point-in-time
Treasury stock (in shares)	`TreasuryStockCommonShares`	62.64M	shares	Point-in-time
Goodwill	`Goodwill`	$18.81B	USD	Point-in-time
Intangible assets, net	`IntangibleAssetsNetExcludingGoodwill`	$6.91B	USD	Point-in-time
Intangible assets, net	`IntangibleAssetsNetExcludingGoodwill`	$6.73B	USD	Point-in-time
Other long-term assets	`OtherAssetsNoncurrent`	$2.78B	USD	Point-in-time
Other long-term assets	`OtherAssetsNoncurrent`	$2.69B	USD	Point-in-time
Total assets	`Assets`	$82.98B	USD	Point-in-time
Total assets	`Assets`	$76.87B	USD	Point-in-time
Medical claims liability	`LiabilityForClaimsAndClaimsAdjustmentExpense`	$16.26B	USD	Point-in-time
Medical claims liability	`LiabilityForClaimsAndClaimsAdjustmentExpense`	$16.75B	USD	Point-in-time
Medical claims liability	`LiabilityForClaimsAndClaimsAdjustmentExpense`	$14.24B	USD	Point-in-time
Medical claims liability	`LiabilityForClaimsAndClaimsAdjustmentExpense`	$17.50B	USD	Point-in-time
Accounts payable and accrued expenses	`AccountsPayableAndAccruedLiabilitiesCurrent`	$10.78B	USD	Point-in-time
Accounts payable and accrued expenses	`AccountsPayableAndAccruedLiabilitiesCurrent`	$9.53B	USD	Point-in-time
Return of premium payable	`ReturnofPremiumPayable`	$2.08B	USD	Point-in-time
Return of premium payable	`ReturnofPremiumPayable`	$1.63B	USD	Point-in-time
Unearned revenue	`ContractWithCustomerLiabilityCurrent`	$478.00M	USD	Point-in-time
Unearned revenue	`ContractWithCustomerLiabilityCurrent`	$2.40B	USD	Point-in-time
Current portion of long-term debt	`LongTermDebtCurrent`	$82.00M	USD	Point-in-time
Current portion of long-term debt	`LongTermDebtCurrent`	$97.00M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$32.86B	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$28.46B	USD	Point-in-time
Long-term debt	`LongTermDebtNoncurrent`	$18.22B	USD	Point-in-time
Long-term debt	`LongTermDebtNoncurrent`	$17.94B	USD	Point-in-time
Deferred tax liability	`DeferredIncomeTaxLiabilitiesNet`	$522.00M	USD	Point-in-time
Deferred tax liability	`DeferredIncomeTaxLiabilitiesNet`	$615.00M	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$6.19B	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$5.62B	USD	Point-in-time
Total liabilities	`Liabilities`	$52.63B	USD	Point-in-time
Total liabilities	`Liabilities`	$57.80B	USD	Point-in-time
Commitments and contingencies	`CommitmentsAndContingencies`	-	USD	Point-in-time
Commitments and contingencies	`CommitmentsAndContingencies`	-	USD	Point-in-time
Redeemable noncontrolling interests	`RedeemableNoncontrollingInterestEquityCarryingAmount`	$56.00M	USD	Point-in-time
Redeemable noncontrolling interests	`RedeemableNoncontrollingInterestEquityCarryingAmount`	$20.00M	USD	Point-in-time
Preferred stock, $0.001 par value; authorized 10,000 shares; no shares issued or outstanding at March 31, 2023 and December 31, 2022	`PreferredStockValue`	-	USD	Point-in-time
Preferred stock, $0.001 par value; authorized 10,000 shares; no shares issued or outstanding at March 31, 2023 and December 31, 2022	`PreferredStockValue`	-	USD	Point-in-time
Common stock, $0.001 par value; authorized 800,000 shares; 614,355 issued and 551,714 outstanding at March 31, 2023, and 607,847 issued and 550,754 outstanding at December 31, 2022	`CommonStockValue`	$1.00M	USD	Point-in-time
Common stock, $0.001 par value; authorized 800,000 shares; 614,355 issued and 551,714 outstanding at March 31, 2023, and 607,847 issued and 550,754 outstanding at December 31, 2022	`CommonStockValue`	$1.00M	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$20.06B	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$20.12B	USD	Point-in-time
Accumulated other comprehensive earnings (loss)	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$-1.13B	USD	Point-in-time
Accumulated other comprehensive earnings (loss)	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$-915.00M	USD	Point-in-time
Retained earnings	`RetainedEarningsAccumulatedDeficit`	$10.47B	USD	Point-in-time
Retained earnings	`RetainedEarningsAccumulatedDeficit`	$9.34B	USD	Point-in-time
Treasury stock, at cost (62,641 and 57,093 shares, respectively)	`TreasuryStockCommonValue`	$4.64B	USD	Point-in-time
Treasury stock, at cost (62,641 and 57,093 shares, respectively)	`TreasuryStockCommonValue`	$4.21B	USD	Point-in-time
Total Centene stockholders' equity	`StockholdersEquity`	$25.04B	USD	Point-in-time
Total Centene stockholders' equity	`StockholdersEquity`	$24.06B	USD	Point-in-time
Nonredeemable noncontrolling interest	`MinorityInterest`	$124.00M	USD	Point-in-time
Nonredeemable noncontrolling interest	`MinorityInterest`	$124.00M	USD	Point-in-time
Total stockholders' equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$26.94B	USD	Point-in-time
Total stockholders' equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$25.17B	USD	Point-in-time
Total stockholders' equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$27.31B	USD	Point-in-time
Total stockholders' equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$24.18B	USD	Point-in-time
Total liabilities, redeemable noncontrolling interests and stockholders' equity	`LiabilitiesAndStockholdersEquity`	$76.87B	USD	Point-in-time
Total liabilities, redeemable noncontrolling interests and stockholders' equity	`LiabilitiesAndStockholdersEquity`	$82.98B	USD	Point-in-time

Income Statement 48 line items

Line Item	Tag	Value	Unit	Period
Premium and service revenues	`RevenueFromContractWithCustomerExcludingAssessedTax`	$34.95B	USD	1 Quarter
Premium and service revenues	`RevenueFromContractWithCustomerExcludingAssessedTax`	$34.23B	USD	1 Quarter
Premium tax	`PremiumTaxRevenue`	$2.95B	USD	1 Quarter
Premium tax	`PremiumTaxRevenue`	$3.94B	USD	1 Quarter
Total revenues	`Revenues`	$38.89B	USD	1 Quarter
Total revenues	`Revenues`	$37.19B	USD	1 Quarter
Medical costs	`PolicyholderBenefitsAndClaimsIncurredHealthCare`	$29.43B	USD	1 Quarter
Medical costs	`PolicyholderBenefitsAndClaimsIncurredHealthCare`	$27.84B	USD	1 Quarter
Cost of services	`CostOfGoodsAndServicesSold`	$870.00M	USD	1 Quarter
Cost of services	`CostOfGoodsAndServicesSold`	$1.99B	USD	1 Quarter
Selling, general and administrative expenses	`SellingGeneralAndAdministrativeExpense`	$3.01B	USD	1 Quarter
Selling, general and administrative expenses	`SellingGeneralAndAdministrativeExpense`	$2.75B	USD	1 Quarter
Depreciation expense	`Depreciation`	$142.00M	USD	1 Quarter
Depreciation expense	`Depreciation`	$156.00M	USD	1 Quarter
Amortization of acquired intangible assets	`AmortizationOfIntangibleAssets`	$183.00M	USD	1 Quarter
Amortization of acquired intangible assets	`AmortizationOfIntangibleAssets`	$199.00M	USD	1 Quarter
Premium tax expense	`PremiumTaxExpense`	$3.01B	USD	1 Quarter
Premium tax expense	`PremiumTaxExpense`	$4.01B	USD	1 Quarter
Impairment	`AssetImpairmentCharges`	$20.00M	USD	1 Quarter
Impairment	`AssetImpairmentCharges`	-	USD	1 Quarter
Total operating expenses	`CostsAndExpenses`	$37.67B	USD	1 Quarter
Total operating expenses	`CostsAndExpenses`	$35.93B	USD	1 Quarter
Earnings from operations	`OperatingIncomeLoss`	$1.25B	USD	1 Quarter
Earnings from operations	`OperatingIncomeLoss`	$1.22B	USD	1 Quarter
Investment and other income	`InvestmentIncomeNonoperating`	$52.00M	USD	1 Quarter
Investment and other income	`InvestmentIncomeNonoperating`	$353.00M	USD	1 Quarter
Debt extinguishment	`GainLossOnExtinguishmentOfDebtIncludingCashPortion`	-	USD	1 Quarter
Debt extinguishment	`GainLossOnExtinguishmentOfDebtIncludingCashPortion`	$3.00M	USD	1 Quarter
Interest expense	`InterestExpense`	$160.00M	USD	1 Quarter
Interest expense	`InterestExpense`	$180.00M	USD	1 Quarter
Earnings before income tax	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$1.15B	USD	1 Quarter
Earnings before income tax	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$1.39B	USD	1 Quarter
Income tax expense	`IncomeTaxExpenseBenefit`	$296.00M	USD	1 Quarter
Income tax expense	`IncomeTaxExpenseBenefit`	$261.00M	USD	1 Quarter
Net earnings	`ProfitLoss`	$852.00M	USD	1 Quarter
Net earnings	`ProfitLoss`	$1.13B	USD	1 Quarter
(Earnings) loss attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$3.00M	USD	1 Quarter
(Earnings) loss attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	-	USD	1 Quarter
Net earnings attributable to Centene Corporation	`NetIncomeLoss`	$849.00M	USD	1 Quarter
Net earnings attributable to Centene Corporation	`NetIncomeLoss`	$1.13B	USD	1 Quarter
Basic earnings per common share (in dollars per share)	`EarningsPerShareBasic`	$2.05	USD	1 Quarter
Basic earnings per common share (in dollars per share)	`EarningsPerShareBasic`	$1.46	USD	1 Quarter
Diluted earnings per common share (in dollars per share)	`EarningsPerShareDiluted`	$1.44	USD	1 Quarter
Diluted earnings per common share (in dollars per share)	`EarningsPerShareDiluted`	$2.04	USD	1 Quarter
Basic (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	583.23M	shares	1 Quarter
Basic (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	550.78M	shares	1 Quarter
Diluted (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	590.66M	shares	1 Quarter
Diluted (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	553.85M	shares	1 Quarter

Cash Flow Statement 85 line items

Line Item	Tag	Value	Unit	Period
Net earnings	`ProfitLoss`	$1.13B	USD	1 Quarter
Net earnings	`ProfitLoss`	$852.00M	USD	1 Quarter
Depreciation and amortization	`DepreciationAndAmortization`	$346.00M	USD	1 Quarter
Depreciation and amortization	`DepreciationAndAmortization`	$390.00M	USD	1 Quarter
Stock compensation expense	`ShareBasedCompensation`	$70.00M	USD	1 Quarter
Stock compensation expense	`ShareBasedCompensation`	$61.00M	USD	1 Quarter
Impairment	`AssetImpairmentCharges`	$20.00M	USD	1 Quarter
Impairment	`AssetImpairmentCharges`	-	USD	1 Quarter
(Gain) loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	-	USD	1 Quarter
(Gain) loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$3.00M	USD	1 Quarter
Deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$-159.00M	USD	1 Quarter
Deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$12.00M	USD	1 Quarter
(Gain) on divestiture	`GainLossOnSaleOfBusiness`	-	USD	1 Quarter
(Gain) on divestiture	`GainLossOnSaleOfBusiness`	$79.00M	USD	1 Quarter
Other adjustments, net	`OtherNoncashIncomeExpense`	$-22.00M	USD	1 Quarter
Other adjustments, net	`OtherNoncashIncomeExpense`	$-7.00M	USD	1 Quarter
Premium and trade receivables	`IncreaseDecreaseInPremiumsReceivable`	$1.94B	USD	1 Quarter
Premium and trade receivables	`IncreaseDecreaseInPremiumsReceivable`	$3.10B	USD	1 Quarter
Other assets	`IncreaseDecreaseInOtherOperatingAssets`	$315.00M	USD	1 Quarter
Other assets	`IncreaseDecreaseInOtherOperatingAssets`	$299.00M	USD	1 Quarter
Medical claims liabilities	`IncreaseDecreaseInHealthCareInsuranceLiabilities`	$1.77B	USD	1 Quarter
Medical claims liabilities	`IncreaseDecreaseInHealthCareInsuranceLiabilities`	$759.00M	USD	1 Quarter
Unearned revenue	`IncreaseDecreaseInContractWithCustomerLiability`	$81.00M	USD	1 Quarter
Unearned revenue	`IncreaseDecreaseInContractWithCustomerLiability`	$1.92B	USD	1 Quarter
Accounts payable and accrued expenses	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$957.00M	USD	1 Quarter
Accounts payable and accrued expenses	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$1.55B	USD	1 Quarter
Other long-term liabilities	`IncreaseDecreaseInOtherNoncurrentLiabilities`	$401.00M	USD	1 Quarter
Other long-term liabilities	`IncreaseDecreaseInOtherNoncurrentLiabilities`	$970.00M	USD	1 Quarter
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$1.15B	USD	1 Quarter
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$4.27B	USD	1 Quarter
Capital expenditures	`PaymentsToAcquirePropertyPlantAndEquipment`	$225.00M	USD	1 Quarter
Capital expenditures	`PaymentsToAcquirePropertyPlantAndEquipment`	$242.00M	USD	1 Quarter
Purchases of investments	`PaymentsToAcquireInvestments`	$1.70B	USD	1 Quarter
Purchases of investments	`PaymentsToAcquireInvestments`	$1.62B	USD	1 Quarter
Sales and maturities of investments	`ProceedsFromSaleMaturityAndCollectionsOfInvestments`	$1.05B	USD	1 Quarter
Sales and maturities of investments	`ProceedsFromSaleMaturityAndCollectionsOfInvestments`	$1.15B	USD	1 Quarter
Acquisitions, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$1.50B	USD	1 Quarter
Acquisitions, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	-	USD	1 Quarter
Divestiture proceeds, net of divested cash	`ProceedsFromDivestitureOfBusinessesNetOfCashDivested`	$443.00M	USD	1 Quarter
Divestiture proceeds, net of divested cash	`ProceedsFromDivestitureOfBusinessesNetOfCashDivested`	-	USD	1 Quarter
Other investing activities, net	`PaymentsForProceedsFromOtherInvestingActivities`	-	USD	1 Quarter
Other investing activities, net	`PaymentsForProceedsFromOtherInvestingActivities`	$2.00M	USD	1 Quarter
Net cash (used in) investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-253.00M	USD	1 Quarter
Net cash (used in) investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-2.40B	USD	1 Quarter
Proceeds from long-term debt	`ProceedsFromIssuanceOfLongTermDebt`	$287.00M	USD	1 Quarter
Proceeds from long-term debt	`ProceedsFromIssuanceOfLongTermDebt`	$100.00M	USD	1 Quarter
Payments and repurchases of long-term debt	`RepaymentsOfLongTermDebt`	$526.00M	USD	1 Quarter
Payments and repurchases of long-term debt	`RepaymentsOfLongTermDebt`	-	USD	1 Quarter
Common stock repurchases	`PaymentsForRepurchaseOfCommonStock`	$71.00M	USD	1 Quarter
Common stock repurchases	`PaymentsForRepurchaseOfCommonStock`	$423.00M	USD	1 Quarter
Proceeds from common stock issuances	`ProceedsFromIssuanceOfCommonStock`	-	USD	1 Quarter
Proceeds from common stock issuances	`ProceedsFromIssuanceOfCommonStock`	$27.00M	USD	1 Quarter
Payments for debt extinguishment	`PaymentsOfDebtExtinguishmentCosts`	-	USD	1 Quarter
Payments for debt extinguishment	`PaymentsOfDebtExtinguishmentCosts`	$27.00M	USD	1 Quarter
Purchase of noncontrolling interest	`PaymentsToMinorityShareholders`	-	USD	1 Quarter
Purchase of noncontrolling interest	`PaymentsToMinorityShareholders`	$58.00M	USD	1 Quarter
Other financing activities, net	`ProceedsFromPaymentsForOtherFinancingActivities`	$-1.00M	USD	1 Quarter
Other financing activities, net	`ProceedsFromPaymentsForOtherFinancingActivities`	$11.00M	USD	1 Quarter
Net cash (used in) financing activities	`NetCashProvidedByUsedInFinancingActivities`	$-183.00M	USD	1 Quarter
Net cash (used in) financing activities	`NetCashProvidedByUsedInFinancingActivities`	$-498.00M	USD	1 Quarter
Effect of exchange rate changes on cash, cash equivalents, and restricted cash	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$2.00M	USD	1 Quarter
Effect of exchange rate changes on cash, cash equivalents, and restricted cash	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$33.00M	USD	1 Quarter
Net increase (decrease) in cash, cash equivalents, and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$3.83B	USD	1 Quarter
Net increase (decrease) in cash, cash equivalents, and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$-1.72B	USD	1 Quarter
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, beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$11.50B	USD	Point-in-time
Cash, cash equivalents, and restricted cash and cash equivalents, beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$16.16B	USD	Point-in-time
Cash, cash equivalents, and restricted cash and cash equivalents, beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$12.33B	USD	Point-in-time
Cash, cash equivalents, and restricted cash and cash equivalents, end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$16.16B	USD	Point-in-time
Cash, cash equivalents, and restricted cash and cash equivalents, end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$12.33B	USD	Point-in-time
Cash, cash equivalents, and restricted cash and cash equivalents, end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$11.50B	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`	$139.00M	USD	1 Quarter
Interest paid	`InterestPaidNet`	$144.00M	USD	1 Quarter
Income taxes paid	`IncomeTaxesPaidNet`	$11.00M	USD	1 Quarter
Income taxes paid	`IncomeTaxesPaidNet`	$11.00M	USD	1 Quarter
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$15.85B	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$12.07B	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$11.24B	USD	Point-in-time
Restricted cash and cash equivalents, included in restricted deposits	`RestrictedCashAndCashEquivalents`	$262.00M	USD	Point-in-time
Restricted cash and cash equivalents, included in restricted deposits	`RestrictedCashAndCashEquivalents`	$312.00M	USD	Point-in-time
Total cash, cash equivalents, and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$12.33B	USD	Point-in-time
Total cash, cash equivalents, and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$11.50B	USD	Point-in-time
Total cash, cash equivalents, and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$16.16B	USD	Point-in-time
Total cash, cash equivalents, and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$13.21B	USD	Point-in-time

Stockholders Equity 30 line items

Line Item	Tag	Value	Unit	Period
Par value (in dollars per share)	`CommonStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Par value (in dollars per share)	`CommonStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Balance (in shares)	`CommonStockSharesOutstanding`	550.75M	shares	Point-in-time
Balance (in shares)	`CommonStockSharesOutstanding`	551.71M	shares	Point-in-time
Treasury stock (in shares)	`TreasuryStockCommonShares`	62.64M	shares	Point-in-time
Treasury stock (in shares)	`TreasuryStockCommonShares`	57.09M	shares	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$26.94B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$25.17B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$27.31B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$24.18B	USD	Point-in-time
Net earnings (loss)	`NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest`	$848.00M	USD	1 Quarter
Net earnings (loss)	`NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest`	$1.13B	USD	1 Quarter
Other comprehensive earnings (loss), net of tax	`OtherComprehensiveIncomeLossNetOfTax`	$217.00M	USD	1 Quarter
Other comprehensive earnings (loss), net of tax	`OtherComprehensiveIncomeLossNetOfTax`	$-562.00M	USD	1 Quarter
Common stock issued for employee benefit plans	`StockIssuedDuringPeriodValueShareBasedCompensation`	$28.00M	USD	1 Quarter
Common stock issued for employee benefit plans	`StockIssuedDuringPeriodValueShareBasedCompensation`	$12.00M	USD	1 Quarter
Fair value of unvested equity awards in connection with acquisition	`SharesIssuedValueAcquisitionsShareBasedPaymentArrangementAfterForfeiture`	$60.00M	USD	1 Quarter
Common stock repurchases	`TreasuryStockValueAcquiredCostMethod`	$423.00M	USD	1 Quarter
Common stock repurchases	`TreasuryStockValueAcquiredCostMethod`	$71.00M	USD	1 Quarter
Stock compensation expense	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$70.00M	USD	1 Quarter
Stock compensation expense	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$61.00M	USD	1 Quarter
Purchase of redeemable noncontrolling interest	`MinorityInterestDecreaseFromRedemptions`	$12.00M	USD	1 Quarter
Balance (in shares)	`CommonStockSharesOutstanding`	550.75M	shares	Point-in-time
Balance (in shares)	`CommonStockSharesOutstanding`	551.71M	shares	Point-in-time
Treasury stock (in shares)	`TreasuryStockCommonShares`	62.64M	shares	Point-in-time
Treasury stock (in shares)	`TreasuryStockCommonShares`	57.09M	shares	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$26.94B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$25.17B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$27.31B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$24.18B	USD	Point-in-time

Comprehensive Income 20 line items

Line Item	Tag	Value	Unit	Period
Net earnings	`ProfitLoss`	$1.13B	USD	1 Quarter
Net earnings	`ProfitLoss`	$852.00M	USD	1 Quarter
Change in unrealized gain (loss) on investments	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodBeforeTax`	$253.00M	USD	1 Quarter
Change in unrealized gain (loss) on investments	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodBeforeTax`	$-715.00M	USD	1 Quarter
Change in unrealized gain (loss) on investments, tax effect	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodTax`	$61.00M	USD	1 Quarter
Change in unrealized gain (loss) on investments, tax effect	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodTax`	$-171.00M	USD	1 Quarter
Change in unrealized gain (loss) on investments, net of tax	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax`	$192.00M	USD	1 Quarter
Change in unrealized gain (loss) on investments, net of tax	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax`	$-544.00M	USD	1 Quarter
Reclassification adjustment, net of tax	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax`	$-2.00M	USD	1 Quarter
Reclassification adjustment, net of tax	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax`	$-2.00M	USD	1 Quarter
Foreign currency translation adjustments, net of tax	`OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax`	$-20.00M	USD	1 Quarter
Foreign currency translation adjustments, net of tax	`OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax`	$23.00M	USD	1 Quarter
Other comprehensive earnings (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$217.00M	USD	1 Quarter
Other comprehensive earnings (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$-562.00M	USD	1 Quarter
Comprehensive earnings	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$1.35B	USD	1 Quarter
Comprehensive earnings	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$290.00M	USD	1 Quarter
Comprehensive (earnings) loss attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest`	$3.00M	USD	1 Quarter
Comprehensive (earnings) loss attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest`	-	USD	1 Quarter
Comprehensive earnings attributable to Centene Corporation	`ComprehensiveIncomeNetOfTax`	$287.00M	USD	1 Quarter
Comprehensive earnings attributable to Centene Corporation	`ComprehensiveIncomeNetOfTax`	$1.35B	USD	1 Quarter

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