7Baggers

Centene Corporation
(NYSE:CNC) 

CNC stock logo

Centene Corporation operates as a multi-national healthcare enterprise that provides programs and services to under-insured and uninsured individuals in the United States. Its Managed Care segment offers health plan coverage to individuals through government subsidized programs, including Medicaid, ...

Founded: 1984
Full Time Employees: 56,600
Sector: Healthcare
Industry: Healthcare Plans

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    Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 
                                                                     
      revenues:
                                                                     
      premium
    43,887,000,000 43,978,000,000 44,126,000,000 41,740,000,000 41,712,000,000 35,519,000,000 36,115,000,000 35,140,000,000 35,529,000,000 34,232,000,000 33,866,000,000 33,713,000,000 33,825,000,000 31,884,000,000 31,848,000,000 31,510,000,000 31,889,000,000 28,883,000,000 28,876,000,000 27,627,000,000 26,933,000,000 25,559,000,000 26,537,000,000 24,745,000,000 23,214,000,000 17,210,000,000 17,472,000,000 16,554,000,000 16,203,000,000 14,990,000,000 14,623,000,000 12,113,000,000 11,903,000,000 10,960,000,000 10,850,000,000 10,905,000,000 10,638,000,000 10,100,000,000 9,625,000,000 9,688,000,000 5,986,000,000 5,415,000,000 4,983,000,000 4,692,000,000 4,299,000,000 4,015,799,000 3,780,256,000 3,070,887,000 2,494,042,000 2,621,651,000 2,528,718,000 2,509,049,000 2,272,736,000 2,184,061,000 2,034,558,000 1,634,850,000 1,436,413,000 1,239,464,000 1,248,588,000 1,152,777,000 1,106,370,000 1,060,559,000 1,025,928,000 999,315,000  
      service
    768,000,000 749,000,000 772,000,000 727,000,000 777,000,000 777,000,000 784,000,000 833,000,000 808,000,000 1,106,000,000 1,101,000,000 1,125,000,000 1,127,000,000 1,669,000,000 1,878,000,000 2,458,000,000 2,343,000,000 1,610,000,000 1,638,000,000 1,235,000,000 1,181,000,000 886,000,000 922,000,000 979,000,000 958,000,000 802,000,000 743,000,000 745,000,000 635,000,000 659,000,000 732,000,000 762,000,000 653,000,000 633,000,000 571,000,000 536,000,000 527,000,000 577,000,000 590,000,000 588,000,000 425,000,000 442,000,000 480,000,000 492,000,000 462,000,000 398,964,000 378,833,000 281,174,000 121,290,000 112,497,000 105,599,000 33,194,000 28,680,000 28,403,000 27,041,000 28,618,000 22,136,000 25,817,000 29,428,000 26,384,000 23,118,000 20,954,000 24,682,000 22,907,000  
      premium and service revenues
    44,655,000,000 44,727,000,000 44,898,000,000 42,467,000,000 42,489,000,000 36,296,000,000 36,899,000,000 35,973,000,000 36,337,000,000 35,338,000,000 34,967,000,000 34,838,000,000 34,952,000,000 33,553,000,000 33,726,000,000 33,968,000,000 34,232,000,000 30,493,000,000 30,514,000,000 28,862,000,000 28,114,000,000 26,445,000,000 27,459,000,000 25,724,000,000 24,172,000,000 18,012,000,000 18,215,000,000 17,299,000,000 16,838,000,000 15,649,000,000 15,355,000,000 12,875,000,000 12,556,000,000 11,593,000,000 11,421,000,000 11,441,000,000 11,165,000,000 10,677,000,000 10,215,000,000 10,276,000,000 6,411,000,000 5,857,000,000 5,463,000,000 5,184,000,000 4,761,000,000 4,414,763,000 4,159,089,000 3,352,061,000 2,615,332,000 2,734,148,000 2,634,317,000 2,542,243,000 2,301,416,000 2,212,464,000 2,061,599,000 1,663,468,000 1,458,549,000 1,265,281,000 1,278,016,000 1,179,161,000 1,129,488,000 1,081,513,000 1,050,610,000 1,022,222,000  
      premium tax
    5,289,000,000 4,998,000,000 4,792,000,000 6,275,000,000 4,131,000,000 4,509,000,000 5,124,000,000 3,863,000,000 4,070,000,000 4,122,000,000 3,075,000,000 2,770,000,000 3,937,000,000 1,765,000,000 2,139,000,000 1,968,000,000 2,953,000,000                                72,508,000 69,504,000 91,628,000 103,649,000 95,181,000 235,657,000 49,147,000 48,680,000 48,627,000 36,754,000 36,998,000 37,196,000 51,481,000 40,348,000 26,162,000 46,499,000  
      total revenues
    49,944,000,000 49,725,000,000 49,690,000,000 48,742,000,000 46,620,000,000 40,805,000,000 42,023,000,000 39,836,000,000 40,407,000,000 39,460,000,000 38,042,000,000 37,608,000,000 38,889,000,000 35,561,000,000 35,865,000,000 35,936,000,000 37,185,000,000 32,568,000,000 32,406,000,000 31,025,000,000 29,983,000,000 28,288,000,000 29,090,000,000 27,712,000,000 26,025,000,000 18,863,000,000 18,976,000,000 18,356,000,000 18,444,000,000 16,559,000,000 16,182,000,000 14,181,000,000 13,194,000,000 12,806,000,000 11,898,000,000 11,954,000,000 11,724,000,000 11,911,000,000 10,846,000,000 10,897,000,000 6,953,000,000 6,302,000,000 5,821,000,000 5,506,000,000 5,131,000,000 4,724,551,000 4,351,861,000 3,459,888,000 2,687,840,000 2,803,652,000 2,725,945,000 2,645,892,000 2,396,597,000 2,448,121,000 2,110,746,000 1,712,148,000 1,507,176,000 1,302,035,000 1,315,014,000 1,216,357,000 1,180,969,000 1,121,861,000 1,076,772,000 1,068,721,000  
      yoy
    7.13% 21.86% 18.24% 22.36% 15.38% 3.41% 10.46% 5.92% 3.90% 10.96% 6.07% 4.65% 4.58% 9.19% 10.67% 15.83% 24.02% 15.13% 11.40% 11.96% 15.21% 49.97% 53.30% 50.97% 41.10% 13.91% 17.27% 29.44% 39.79% 29.31% 36.01% 18.63% 12.54% 7.51% 9.70% 9.70% 68.62% 89.00% 86.33% 97.91% 35.51% 33.39% 33.76% 59.14% 90.90% 68.51% 59.65% 30.76% 12.15% 14.52% 29.15% 54.54% 59.01% 88.02% 60.51% 40.76% 27.62% 16.06% 22.13% 13.81%      
      qoq
    0.44% 0.07% 1.94% 4.55% 14.25% -2.90% 5.49% -1.41% 2.40% 3.73% 1.15% -3.29% 9.36% -0.85% -0.20% -3.36% 14.18% 0.50% 4.45% 3.48% 5.99% -2.76% 4.97% 6.48% 37.97% -0.60% 3.38% -0.48% 11.38% 2.33% 14.11% 7.48% 3.03% 7.63% -0.47% 1.96% -1.57% 9.82% -0.47% 56.72% 10.33% 8.26% 5.72% 7.31% 8.60% 8.56% 25.78% 28.72% -4.13% 2.85% 3.03% 10.40% -2.10% 15.98% 23.28% 13.60% 15.76% -0.99% 8.11% 3.00% 5.27% 4.19% 0.75%   
      expenses:
                                                                     
      medical costs
    38,303,000,000 41,489,000,000 40,902,000,000 38,808,000,000 36,503,000,000 31,809,000,000 32,201,000,000 30,765,000,000 30,932,000,000 30,634,000,000 29,479,000,000 29,347,000,000 29,434,000,000 28,268,000,000 28,111,000,000 27,312,000,000 27,838,000,000 25,392,000,000 25,430,000,000 24,389,000,000 23,391,000,000 22,605,000,000 22,932,000,000 20,307,000,000 20,420,000,000 15,220,000,000 15,406,000,000 14,354,000,000 13,882,000,000 13,012,000,000 12,626,000,000 10,380,000,000 10,039,000,000 9,573,000,000 9,543,000,000 9,413,000,000 9,322,000,000 8,564,000,000 8,376,000,000 8,385,000,000 5,311,000,000 4,767,000,000 4,433,000,000 4,181,000,000 3,861,000,000 3,585,356,000 3,390,090,000 2,742,453,000 2,183,749,000 2,298,881,000 2,244,611,000 2,267,400,000 2,075,957,000 2,036,999,000 1,890,405,000 1,442,676,000 1,303,346,000 1,028,586,000 1,035,740,000 957,074,000 922,070,000 893,281,000 859,335,000 839,708,000  
      cost of services
    702,000,000 680,000,000 651,000,000 641,000,000 698,000,000 688,000,000 692,000,000 680,000,000 669,000,000 961,000,000 856,000,000 877,000,000 870,000,000 1,374,000,000 1,571,000,000 2,099,000,000 1,988,000,000 1,384,000,000 1,355,000,000 1,107,000,000 1,048,000,000 784,000,000 861,000,000 833,000,000 825,000,000 687,000,000 619,000,000 615,000,000 544,000,000 563,000,000 622,000,000 658,000,000 543,000,000 513,000,000 437,000,000 456,000,000 441,000,000 478,000,000 504,000,000 515,000,000 367,000,000 387,000,000 413,000,000 419,000,000 402,000,000 344,596,000 327,232,000 242,284,000 108,080,000 100,479,000 93,300,000 25,065,000 20,808,000 21,744,000 21,816,000 23,337,000 17,397,000 20,229,000 20,312,000 20,176,000 16,414,000 14,646,000 15,707,000 17,152,000  
      selling, general and administrative expenses
    3,397,000,000 3,370,000,000 3,145,000,000 3,036,000,000 3,353,000,000 3,231,000,000 3,057,000,000 2,894,000,000 3,218,000,000 3,488,000,000 3,048,000,000 3,016,000,000 3,011,000,000 3,198,000,000 2,846,000,000 2,800,000,000 2,745,000,000 2,842,000,000 2,684,000,000 2,273,000,000 2,367,000,000 2,721,000,000 2,507,000,000 2,255,000,000 2,384,000,000 1,733,000,000 1,617,000,000 1,574,000,000 1,609,000,000 1,556,000,000 1,934,000,000 1,237,000,000 1,316,000,000 1,260,000,000 1,030,000,000 1,065,000,000 1,091,000,000                             
      depreciation expense
    134,000,000 160,000,000 147,000,000 141,000,000 142,000,000 141,000,000 140,000,000 133,000,000 135,000,000 139,000,000 148,000,000 146,000,000 142,000,000 144,000,000 150,000,000 164,000,000 156,000,000                                                 
      amortization of acquired intangible assets
    166,000,000 169,000,000 170,000,000 173,000,000 173,000,000 173,000,000 173,000,000 173,000,000 173,000,000 176,000,000 180,000,000 179,000,000 183,000,000 208,000,000 211,000,000 199,000,000 199,000,000 189,000,000 198,000,000 188,000,000 195,000,000 192,000,000 164,000,000 197,000,000 166,000,000 64,000,000 65,000,000 64,000,000 65,000,000 62,000,000 65,000,000 45,000,000 39,000,000 39,000,000 38,000,000 39,000,000 40,000,000 52,000,000 43,000,000 43,000,000 9,000,000                         
      premium tax expense
    5,381,000,000 5,089,000,000 4,886,000,000 6,346,000,000 4,217,000,000 4,588,000,000 5,095,000,000 3,962,000,000 4,161,000,000 4,205,000,000 3,156,000,000 2,854,000,000 4,011,000,000 2,072,000,000 2,211,000,000 2,041,000,000 3,006,000,000 2,158,000,000 1,965,000,000 2,236,000,000 1,928,000,000 1,595,000,000 1,389,000,000 1,723,000,000 1,625,000,000 882,000,000 822,000,000 1,106,000,000 1,659,000,000 801,000,000 716,000,000 1,189,000,000 546,000,000 1,240,000,000 510,000,000 543,000,000 590,000,000 1,103,000,000 512,000,000 498,000,000 450,000,000 357,000,000 274,000,000 239,000,000 281,000,000 206,309,000 160,744,000 78,278,000 71,022,000 68,453,000 90,760,000 102,975,000 94,482,000 235,946,000 49,176,000 48,750,000          
      total operating expenses
    48,083,000,000 51,470,000,000 56,644,000,000 49,200,000,000 45,086,000,000 40,630,000,000 41,358,000,000 38,607,000,000 39,301,000,000 39,654,000,000 37,307,000,000 36,437,000,000 37,671,000,000 35,843,000,000 35,389,000,000 36,065,000,000 35,932,000,000 31,965,000,000 31,861,000,000 31,443,000,000 28,929,000,000 28,273,000,000 28,229,000,000 25,694,000,000 25,837,000,000 18,586,000,000 18,800,000,000 17,713,000,000 17,759,000,000 16,171,000,000 16,141,000,000 13,692,000,000 12,654,000,000 12,625,000,000 11,558,000,000 11,516,000,000 11,484,000,000 11,390,000,000 10,504,000,000 10,520,000,000 6,933,000,000 6,082,000,000 5,638,000,000 5,333,000,000 5,002,000,000 4,531,189,000 4,243,929,000 3,389,854,000 2,599,784,000 2,721,421,000 2,658,919,000 2,605,788,000 2,383,529,000 2,475,762,000 2,157,492,000 1,677,950,000 1,459,799,000 1,253,488,000 1,259,711,000 1,177,260,000 1,135,468,000 1,081,613,000 1,035,063,000 1,039,110,000  
      earnings from operations
    1,861,000,000 -1,745,000,000 -6,954,000,000 -458,000,000 1,534,000,000 175,000,000 665,000,000 1,229,000,000 1,106,000,000 -194,000,000 735,000,000 1,171,000,000 1,218,000,000 -282,000,000 476,000,000 -129,000,000 1,253,000,000 603,000,000 545,000,000 -418,000,000 1,054,000,000 15,000,000 861,000,000 2,018,000,000 188,000,000 277,000,000 176,000,000 643,000,000 685,000,000 388,000,000 41,000,000 489,000,000 540,000,000 181,000,000 340,000,000 438,000,000 240,000,000 521,000,000 342,000,000 377,000,000 20,000,000 220,000,000 183,000,000 173,000,000 129,000,000 193,362,000 107,932,000 70,034,000 88,056,000 82,231,000 67,026,000 40,104,000 13,068,000 -27,641,000 -46,746,000 34,198,000 47,377,000 48,547,000 55,303,000 39,097,000 45,501,000 40,248,000 41,709,000 29,611,000  
      other income:
                                                                     
      investment and other income
    407,000,000 369,000,000 450,000,000 371,000,000 382,000,000 344,000,000 432,000,000 463,000,000 545,000,000 401,000,000 214,000,000 425,000,000 353,000,000 493,000,000 692,000,000 42,000,000 52,000,000 253,000,000 424,000,000 39,000,000 103,000,000 105,000,000 95,000,000 113,000,000 167,000,000 126,000,000 98,000,000 120,000,000 99,000,000 67,000,000 80,000,000 65,000,000 41,000,000 53,000,000 51,000,000 45,000,000 41,000,000 34,000,000 33,000,000 32,000,000 15,000,000 8,000,000 8,000,000 10,000,000 9,000,000 10,348,000 5,676,000 4,724,000 4,754,000 4,946,000 4,286,000 4,471,000 3,377,000 23,244,000 4,045,000 5,291,000 3,990,000 2,697,000 2,933,000 3,749,000 3,293,000 713,000 4,142,000 7,057,000  
      debt extinguishment
    -5,000,000             4,000,000 10,000,000 13,000,000 3,000,000                                                 
      interest expense
    -164,000,000 -168,000,000 -170,000,000 -170,000,000 -170,000,000 -172,000,000 -176,000,000 -176,000,000 -178,000,000 -183,000,000 -181,000,000 -181,000,000 -180,000,000 -174,000,000 -169,000,000 -162,000,000 -160,000,000 -162,000,000 -170,000,000 -163,000,000 -170,000,000 -177,000,000 -184,000,000 -187,000,000 -180,000,000 -113,000,000 -99,000,000 -101,000,000 -99,000,000 -98,000,000 -97,000,000 -80,000,000 -68,000,000 -66,000,000 -65,000,000 -62,000,000 -62,000,000 -75,000,000 -57,000,000 -52,000,000 -33,000,000 -11,000,000 -11,000,000 -11,000,000 -10,000,000 -10,091,000 -9,282,000 -7,023,000 -6,696,000 -6,603,000 -7,033,000 -6,625,000 -6,067,000 -4,855,000 -4,739,000 -4,799,000 -3,880,750 -4,572,000 -5,256,000 -5,695,000 -3,135,000 -4,858,000 -3,869,000 -3,813,000  
      earnings before income tax
    2,099,000,000 -1,543,000,000 -6,674,000,000 -257,000,000 1,746,000,000 347,000,000 921,000,000 1,516,000,000 1,473,000,000 24,000,000 768,000,000 1,415,000,000 1,391,000,000 41,000,000 1,009,000,000 -236,000,000                                                  
      income tax expense
    560,000,000 -443,000,000 -42,000,000 2,000,000 432,000,000 67,000,000 211,000,000 370,000,000 315,000,000 -15,000,000 293,000,000 360,000,000 261,000,000 260,000,000 269,000,000 -65,000,000 296,000,000 101,000,000 139,000,000 -7,000,000 244,000,000 -55,000,000 207,000,000 742,000,000 85,000,000 58,000,000 79,000,000 170,000,000 166,000,000 116,000,000 8,000,000 175,000,000 175,000,000 -55,000,000 125,000,000 169,000,000 87,000,000 223,000,000 171,000,000 188,000,000 17,000,000 105,000,000 87,000,000 84,000,000 63,000,000 89,875,000 26,696,000 34,555,000    15,039,000    12,087,000 17,306,000 18,459,000 16,429,000 14,328,000 16,958,000 13,163,000 17,254,000 12,525,000  
      net earnings
    1,539,000,000 -1,100,000,000 -6,632,000,000 -259,000,000 1,314,000,000 280,000,000 710,000,000 1,146,000,000 1,158,000,000 39,000,000 475,000,000 1,055,000,000 1,130,000,000 -219,000,000 740,000,000 -171,000,000 852,000,000 593,000,000 581,000,000 -535,000,000 697,000,000 -19,000,000 565,000,000 1,202,000,000 46,000,000 202,000,000 96,000,000 492,000,000 519,000,000 241,000,000 16,000,000 299,000,000 338,000,000 223,000,000 201,000,000 252,000,000 132,000,000 263,000,000 146,000,000 168,000,000 -16,000,000 111,000,000 94,000,000 88,000,000 64,000,000 104,376,000 79,151,000 32,347,000 54,882,000 48,914,000 39,011,000 22,911,000 4,639,000 295,000 -38,832,000 22,603,000 29,264,000 28,213,000 28,063,000 22,823,000 26,319,000 23,200,000 24,502,000 24,250,000  
      yoy
    17.12% -492.86% -1034.08% -122.60% 13.47% 617.95% 49.47% 8.63% 2.48% -117.81% -35.81% -716.96% 32.63% -136.93% 27.37% -68.04% 22.24% -3221.05% 2.83% -144.51% 1415.22% -109.41% 488.54% 144.31% -91.14% -16.18% 500.00% 64.55% 53.55% 8.07% -92.04% 18.65% 156.06% -15.21% 37.67% 50.00% -925.00% 136.94% 55.32% 90.91% -125.00% 6.35% 18.76% 172.05% 16.61% 113.39% 102.89% 41.19% 1083.06% 16481.02% -200.46% 1.36% -84.15% -98.95% -238.37% -0.96% 11.19% 21.61% 14.53% -5.88%      
      qoq
    -239.91% -83.41% 2460.62% -119.71% 369.29% -60.56% -38.05% -1.04% 2869.23% -91.79% -54.98% -6.64% -615.98% -129.59% -532.75% -120.07% 43.68% 2.07% -208.60% -176.76% -3768.42% -103.36% -53.00% 2513.04% -77.23% 110.42% -80.49% -5.20% 115.35% 1406.25% -94.65% -11.54% 51.57% 10.95% -20.24% 90.91% -49.81% 80.14% -13.10% -1150.00% -114.41% 18.09% 6.82% 37.50% -38.68% 31.87% 144.69% -41.06% 12.20% 25.39% 70.27% 393.88% 1472.54% -100.76% -271.80% -22.76% 3.73% 0.53% 22.96% -13.28% 13.44% -5.31% 1.04%   
      net income margin %
    3.08% -2.21% -13.35% -0.53% 2.82% 0.69% 1.69% 2.88% 2.87% 0.10% 1.25% 2.81% 2.91% -0.62% 2.06% -0.48% 2.29% 1.82% 1.79% -1.72% 2.32% -0.07% 1.94% 4.34% 0.18% 1.07% 0.51% 2.68% 2.81% 1.46% 0.10% 2.11% 2.56% 1.74% 1.69% 2.11% 1.13% 2.21% 1.35% 1.54% -0.23% 1.76% 1.61% 1.60% 1.25% 2.21% 1.82% 0.93% 2.04% 1.74% 1.43% 0.87% 0.19% 0.01% -1.84% 1.32% 1.94% 2.17% 2.13% 1.88% 2.23% 2.07% 2.28% 2.27%  
      (earnings) loss attributable to noncontrolling interests
    2,000,000    -3,000,000 2,000,000 3,000,000     3,000,000  -1,500,000 -2,000,000 -1,000,000 -3,000,000         1,250,000 -1,000,000       7,000,000 4,000,000  7,000,000   1,000,000 -1,000,000  -1,000,000  -1,000,000                     
      net earnings attributable to centene corporation
    1,541,000,000 -1,101,000,000 -6,631,000,000 -253,000,000 1,311,000,000 283,000,000 713,000,000 1,146,000,000 1,163,000,000 45,000,000 469,000,000 1,058,000,000 1,130,000,000 -213,000,000 738,000,000 -172,000,000 849,000,000 599,000,000 584,000,000 -535,000,000 699,000,000 -12,000,000 568,000,000 1,206,000,000 46,000,000 209,000,000 95,000,000 495,000,000 522,000,000 241,000,000 19,000,000 300,000,000 340,000,000 230,000,000 205,000,000 254,000,000 139,000,000 265,000,000 145,000,000 169,000,000 -17,000,000 111,000,000 93,000,000 88,000,000 63,000,000 106,534,000 82,620,000 32,983,000 53,240,000 49,373,000 39,484,000 23,002,000 9,061,000 3,819,000 -34,999,000 23,978,000 30,112,000 28,987,000 28,374,000 23,745,000 25,399,000 22,662,000 22,773,000 24,002,000  
      net earnings per common share attributable to centene corporation:
                                                                     
      basic earnings per common share
    3,130,000 -2,240,000 -13,500,000 -510,000 2,640,000 620,000 1,370,000 2,160,000 2,170,000 110,000 870,000 1,930,000 2,050,000 -350,000 1,290,000 -290,000 1,460,000 1,030,000 1,000,000 -920,000 1,200,000 -40,000 980,000 2,080,000 80,000 500,000 230,000 1,200,000 1,260,000 -1,130,000 90,000 1,530,000 1,950,000 1,330,000 1,190,000 1,470,000 810,000 1,610,000 850,000 990,000 -140,000 930,000 780,000 740,000 530,000 2,327,160 1,410 570 970 900 720 440 180 70 -680 470          
      diluted earnings per common share
    3,110,000 -2,240,000 -13,500,000 -510,000 2,630,000 620,000 1,360,000 2,160,000 2,160,000 100,000 870,000 1,920,000 2,040,000 -340,000 1,270,000 -290,000 1,440,000 1,010,000 990,000 -920,000 1,190,000 -40,000 970,000 2,050,000 80,000 490,000 230,000 1,180,000 1,240,000 -1,110,000 90,000 1,500,000 1,910,000 1,300,000 1,160,000 1,440,000 790,000 1,560,000 830,000 970,000 -140,000 890,000 760,000 720,000 510,000 2,247,260 1,360 560 940 870 700 420 170 70 -680 450          
      weighted-average number of common shares outstanding:
                                                                     
      basic
    492,069,000,000 493,116,000,000 491,141,000,000 493,548,000,000 496,214,000,000 521,790,000,000 521,965,000,000 529,602,000,000 535,109,000,000 543,319,000,000 539,535,000,000 548,932,000,000 550,779,000,000 575,191,000,000 573,961,000,000 583,644,000,000 583,230,000,000 582,832,000,000 583,244,000,000 582,804,000,000 581,869,000,000 570,722,000,000 579,510,000,000 579,189,000,000 544,436,000,000 413,487,000,000 413,616,000,000 413,370,000,000 412,924,000,000        172,073,968,000,000 159,567,607,000,000 170,774,587,000,000 170,558,778,000,000 125,543,076,000,000 119,100,744,000,000 119,121,524,000,000 119,003,569,000,000 118,783,755,000,000 116,345,764,000,000 58,613,484,000 57,483,876,000 54,126,545,000 54,679,660,000 54,529,036,000 52,357,119,000 51,509,366,000 51,584,860,000 51,515,895,000 51,125,674,000 50,198,954,000 50,345,512,000 50,167,052,000 49,750,430 48,754,947,000 49,238,406,000 49,135,552,000 47,260,714  
      diluted
    495,591,000,000 493,116,000,000 491,141,000,000 493,548,000,000 498,180,000,000 523,744,000,000 523,542,000,000 530,755,000,000 538,060,000,000 545,704,000,000 541,270,000,000 550,308,000,000 553,845,000,000 582,040,000,000 580,607,000,000 583,644,000,000 590,658,000,000 590,516,000,000 590,702,000,000 582,804,000,000 589,343,000,000 579,135,000,000 587,971,000,000 587,498,000,000 552,062,000,000 420,409,000,000 419,956,000,000 419,671,000,000 419,752,000,000        175,836,290,000,000 163,975,407,000,000 174,312,416,000,000 173,778,537,000,000 125,543,076,000,000 123,066,370,000,000 123,131,810,000,000 122,965,011,000,000 122,572,366,000,000 120,360,212,000,000 60,681,875,000 59,361,266,000 56,247,173,000 56,933,056,000 56,601,660,000 54,266,928,000 53,714,375,000 53,806,197,000 51,515,895,000 53,509,243,000 52,474,238,000 52,620,350,000 52,489,414,000 51,811,721 50,447,888,000 50,938,357,000 50,866,318,000 48,761,528  
      impairment
     513,000,000 6,743,000,000 55,000,000     13,000,000 51,000,000 440,000,000 18,000,000 20,000,000 579,000,000 289,000,000 1,450,000,000  57,250,000 229,000,000   18,000,000   72,000,000                                         
      loss attributable to noncontrolling interests
     -1,000,000 1,000,000 6,000,000     5,000,000         6,000,000 3,000,000  2,000,000   4,000,000    3,000,000 3,000,000  3,000,000 1,000,000 2,000,000   2,000,000                              
      (earnings) attributable to noncontrolling interests
             -750,000 -6,000,000                           -250,000 -1,000,000                           
      legal settlement
                       1,250,000,000                                              
      earnings before income tax expense
                    1,148,000,000 694,000,000 720,000,000 -542,000,000 941,000,000                               37,950,000              
      premium tax and health insurer fee
                     2,075,000,000 1,892,000,000 2,163,000,000 1,869,000,000 1,843,000,000 1,631,000,000 1,988,000,000 1,853,000,000 851,000,000 761,000,000 1,057,000,000 1,606,000,000 910,000,000 827,000,000 1,306,000,000 638,000,000 1,213,000,000 477,000,000 513,000,000 559,000,000 1,234,000,000 631,000,000 621,000,000 542,000,000 445,000,000 358,000,000 322,000,000 370,000,000 309,788,000 192,772,000 107,827,000                  
      health insurer fee expense
                         376,000,000 376,000,000 379,000,000 345,000,000     177,000,000 178,000,000 183,000,000 171,000,000     128,000,000 129,000,000 130,000,000 74,000,000 54,000,000 54,000,000 52,000,000 55,000,000 31,360,000 31,985,000 31,327,000                  
      debt extinguishment costs
                      -79,000,000  -46,000,000 -17,000,000   -44,000,000                                -2,122,000  -8,488,000       
      earnings from operations, before income tax expense
                         711,750,000 772,000,000 1,944,000,000 131,000,000 260,000,000 175,000,000 662,000,000 685,000,000 357,000,000 24,000,000 474,000,000 513,000,000                    -5,500,500 -9,252,000 -47,440,000 34,690,000          
      loss (earnings) attributable to noncontrolling interests
                         1,750,000 3,000,000                                           
      goodwill and intangible impairment
                             67,750,000 271,000,000                                       
      earnings from continuing operations, before income tax expense
                                     168,000,000 326,000,000 421,000,000 219,000,000 480,000,000 318,000,000 357,000,000 2,000,000 217,000,000 180,000,000 172,000,000 128,000,000 193,619,000 104,326,000 67,735,000         46,570,000 46,672,000 44,492,000 37,151,000 43,342,000 36,103,000 41,982,000 32,855,000  
      earnings from continuing operations, net of income tax expense
                                     223,000,000 201,000,000 252,000,000 132,000,000 257,000,000 147,000,000 169,000,000 -15,000,000 112,000,000 93,000,000 88,000,000 65,000,000 103,744,000 77,630,000 33,180,000         29,264,000 28,213,000 28,063,000 22,823,000 26,384,000 22,940,000 24,728,000 20,330,000  
      discontinued operations, net of income tax benefit
                                         -750,000 -1,000,000 -1,000,000      592,000 1,521,000 -833,000                3,920,000  
      amounts attributable to centene corporation common shareholders:
                                                                     
      basic:
                                                                     
      continuing operations
                                     1,330,000 1,190,000 1,470,000 810,000 1,570,000 850,000 1,000,000 -130,000 940,000 770,000 740,000 540,000 2,297,200 1,380 590         600 580 570 0.48 520 460 460 0.43  
      discontinued operations
                                         40,000  -10,000 -10,000  10,000  -10,000 29,960 30 -20                0.08  
      diluted:
                                                                     
      discontinued operations, net of income tax
                                            -1,000,000                         
      general and administrative expenses
                                         652,750,000 940,000,000 949,000,000 722,000,000 517,000,000 464,000,000 442,000,000 403,000,000 363,568,000 333,878,000 295,512,000 236,933,000 253,608,000 230,248,000 210,348,000 192,282,000 181,073,000 168,062,000 163,187,000 90,330,000 167,668,000 166,425,000 162,581,000 146,751,000 132,095,000 133,470,000 135,507,000  
      discontinued operations, net of income tax expense of 0, 0, 0, and 1, respectively
                                              1,000,000                       
      discontinued operations, net of income tax expense
                                              1,000,000  -1,000,000                988,500 260,000 -226,000   
      discontinued operations, net of income tax expense of 0, 1, , and 1, respectively
                                                                     
      discontinued operations, net of income tax expense of 0 and 0, respectively
                                                -1,000,000                     
      discontinued operations, net of income tax benefit of (142), (620), 1,311, and (970), respectively
                                                 592,000 1,521,000                   
      noncontrolling interest
                                                 -1,210,500 -3,469,000 -636,000 1,642,000 -459,000 -473,000 -91,000 -4,422,000 -3,524,000 -3,833,000 -1,375,000 -501,750 -774,000 -311,000 -922,000 920,000 538,000 1,729,000 248,000  
      discontinued operations, net of income tax benefit of ,and 348, respectively
                                                   -833,000                  
      impairment loss
                                                          28,033,000           
      earnings before income tax benefit
                                                    45,700,750 80,574,000 64,279,000               
      income tax benefit
                                                    17,991,750 31,660,000 25,268,000  -1,517,000 -9,547,000 -8,608,000           
      discontinued operations, net of income tax expense of 0, 26, 0 and 4,376, respectively
                                                                     
      amounts attributable to centene corporation common stockholders:
                                                                     
      earnings per common share
                                                            405 580 570 0.48 357.5 460 460 0.51  
      weighted-average number of shares outstanding:
                                                                     
      basic
    492,069,000,000 493,116,000,000 491,141,000,000 493,548,000,000 496,214,000,000 521,790,000,000 521,965,000,000 529,602,000,000 535,109,000,000 543,319,000,000 539,535,000,000 548,932,000,000 550,779,000,000 575,191,000,000 573,961,000,000 583,644,000,000 583,230,000,000 582,832,000,000 583,244,000,000 582,804,000,000 581,869,000,000 570,722,000,000 579,510,000,000 579,189,000,000 544,436,000,000 413,487,000,000 413,616,000,000 413,370,000,000 412,924,000,000        172,073,968,000,000 159,567,607,000,000 170,774,587,000,000 170,558,778,000,000 125,543,076,000,000 119,100,744,000,000 119,121,524,000,000 119,003,569,000,000 118,783,755,000,000 116,345,764,000,000 58,613,484,000 57,483,876,000 54,126,545,000 54,679,660,000 54,529,036,000 52,357,119,000 51,509,366,000 51,584,860,000 51,515,895,000 51,125,674,000 50,198,954,000 50,345,512,000 50,167,052,000 49,750,430 48,754,947,000 49,238,406,000 49,135,552,000 47,260,714  
      diluted
    495,591,000,000 493,116,000,000 491,141,000,000 493,548,000,000 498,180,000,000 523,744,000,000 523,542,000,000 530,755,000,000 538,060,000,000 545,704,000,000 541,270,000,000 550,308,000,000 553,845,000,000 582,040,000,000 580,607,000,000 583,644,000,000 590,658,000,000 590,516,000,000 590,702,000,000 582,804,000,000 589,343,000,000 579,135,000,000 587,971,000,000 587,498,000,000 552,062,000,000 420,409,000,000 419,956,000,000 419,671,000,000 419,752,000,000        175,836,290,000,000 163,975,407,000,000 174,312,416,000,000 173,778,537,000,000 125,543,076,000,000 123,066,370,000,000 123,131,810,000,000 122,965,011,000,000 122,572,366,000,000 120,360,212,000,000 60,681,875,000 59,361,266,000 56,247,173,000 56,933,056,000 56,601,660,000 54,266,928,000 53,714,375,000 53,806,197,000 51,515,895,000 53,509,243,000 52,474,238,000 52,620,350,000 52,489,414,000 51,811,721 50,447,888,000 50,938,357,000 50,866,318,000 48,761,528  
      discontinued operations, net of income tax expense of 0, (90), 0 and 4,350, respectively
                                                                     
      discontinued operations, net of income tax expense of 0 and 4,440, respectively
                                                                     
      net earnings per share attributable to centene corporation:
                                                                     
      discontinued operations, net of income tax expense of 26, (792), 4,376 and (1,148), respectively
                                                                988,500 260,000    
      discontinued operations, net of income tax expense of (90), (196), 4,350 and (356), respectively
                                                                  -226,000   
      discontinued operations, net of income tax benefit of 4,440 and (160), respectively
                                                                   3,920,000  
    Balance Sheets:
    Quarterly
    Annual
      Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 
                                                                        
        assets
                                                                        
        current assets:
                                                                        
        cash and cash equivalents
      21,264,000,000 17,888,000,000 17,058,000,000 14,513,000,000 14,815,000,000 14,063,000,000 14,577,000,000 17,605,000,000 17,585,000,000 17,193,000,000 18,190,000,000 17,170,000,000 15,853,000,000 12,074,000,000 14,987,000,000 13,435,000,000 11,237,000,000 13,118,000,000 13,423,000,000 11,018,000,000 9,627,000,000 10,800,000,000 12,198,000,000 12,798,000,000 9,308,000,000 12,123,000,000 6,215,000,000 6,875,000,000 6,345,000,000 5,342,000,000 6,847,000,000 6,707,000,000 5,668,000,000 4,072,000,000 4,281,000,000 4,425,000,000 4,839,000,000 3,930,000,000 2,982,000,000 2,710,000,000 3,436,000,000 1,760,000,000 1,665,000,000 1,967,000,000 1,666,000,000      741,281,000 688,712,000 730,791,000 843,952,000 796,621,000 421,894,000 432,998,000 573,698,000         
        premium and trade receivables
      19,426,000,000 18,105,000,000 23,109,000,000 21,552,000,000 22,436,000,000 19,713,000,000 18,281,000,000 16,587,000,000 16,824,000,000 15,532,000,000 15,503,000,000 13,601,000,000 15,210,000,000 13,272,000,000 13,770,000,000 14,153,000,000 16,169,000,000 12,238,000,000 11,516,000,000 11,202,000,000 11,601,000,000 9,696,000,000 11,670,000,000 10,339,000,000 11,304,000,000 6,247,000,000 5,606,000,000 5,194,000,000 5,819,000,000 5,150,000,000 4,647,000,000 4,067,000,000 3,648,000,000 3,413,000,000                                 
        short-term investments
      2,477,000,000 2,432,000,000 2,179,000,000 2,768,000,000 2,472,000,000 2,622,000,000 2,992,000,000 2,609,000,000 2,082,000,000 2,459,000,000 2,241,000,000 2,212,000,000 2,135,000,000 2,321,000,000 2,191,000,000 1,794,000,000 1,668,000,000 1,539,000,000 1,517,000,000 1,566,000,000 1,662,000,000 1,580,000,000 1,497,000,000 1,558,000,000 1,386,000,000 863,000,000 804,000,000 765,000,000 697,000,000 722,000,000 594,000,000 602,000,000 507,000,000 531,000,000 595,000,000 586,000,000 725,000,000              122,631,000 131,330,000 146,107,000 139,118,000 139,920,000 152,545,000 126,221,000          
        other current assets
      1,822,000,000 1,945,000,000 1,716,000,000 1,556,000,000 1,565,000,000 1,601,000,000 1,559,000,000 1,605,000,000 1,957,000,000 5,572,000,000 5,471,000,000 1,883,000,000 1,811,000,000 2,461,000,000 2,327,000,000 3,024,000,000 2,036,000,000 1,602,000,000 1,600,000,000 1,678,000,000 1,550,000,000 1,317,000,000 1,910,000,000 2,127,000,000 2,698,000,000 1,090,000,000 832,000,000 762,000,000 755,000,000 784,000,000 1,000,000,000 1,001,000,000 1,153,000,000 687,000,000 829,000,000 736,000,000 723,000,000 832,000,000 922,000,000 1,212,000,000 1,317,000,000 390,000,000 488,000,000 483,000,000 528,000,000 324,000,000 319,700,000 313,946,000 320,393,000 217,661,000 148,576,000 164,410,000 178,002,000 127,080,000 123,841,000 98,805,000 82,925,000 78,363,000 68,908,000 69,143,000 67,062,000 64,154,000    64,866,000 
        total current assets
      44,989,000,000 40,370,000,000 44,062,000,000 40,389,000,000 41,288,000,000 37,999,000,000 37,409,000,000 38,406,000,000 38,448,000,000 40,756,000,000 41,405,000,000 34,866,000,000 35,009,000,000 30,128,000,000 33,275,000,000 32,406,000,000 31,110,000,000 28,497,000,000 28,056,000,000 25,464,000,000 24,440,000,000 23,393,000,000 27,275,000,000 26,822,000,000 24,696,000,000 20,323,000,000 13,457,000,000 13,596,000,000 13,616,000,000 11,998,000,000 13,088,000,000 12,377,000,000 10,976,000,000 8,703,000,000 9,660,000,000 9,648,000,000 9,408,000,000 8,365,000,000 7,755,000,000 7,853,000,000 7,551,000,000 3,605,000,000 3,596,000,000 3,838,000,000 3,590,000,000 3,034,000,000 2,767,711,000 2,324,886,000 2,281,849,000 1,800,173,000 1,368,435,000 1,342,360,000 1,375,271,000 1,373,602,000 1,376,505,000 1,073,438,000 920,377,000 940,010,000 766,376,000 774,536,000 743,829,000 656,821,000 675,988,000 545,837,000 571,902,000 616,134,000 
        long-term investments
      16,599,000,000 17,035,000,000 18,180,000,000 18,797,000,000 18,268,000,000 17,429,000,000 17,691,000,000 16,870,000,000 16,496,000,000 16,286,000,000 15,234,000,000 16,108,000,000 15,833,000,000 14,684,000,000 14,053,000,000 13,671,000,000 14,129,000,000 14,043,000,000 13,561,000,000 13,472,000,000 13,245,000,000 12,853,000,000 9,859,000,000 10,231,000,000 10,521,000,000 7,717,000,000 7,915,000,000 7,632,000,000 7,186,000,000 6,861,000,000 6,272,000,000 5,746,000,000 5,535,000,000 5,312,000,000 4,927,000,000 4,816,000,000 4,636,000,000              816,910,000 769,905,000 748,307,000 614,723,000 559,714,000 630,866,000 605,866,000          
        restricted deposits
      1,432,000,000 1,412,000,000 1,416,000,000 1,411,000,000 1,409,000,000 1,390,000,000 1,452,000,000 1,415,000,000 1,383,000,000 1,386,000,000 1,343,000,000 1,355,000,000 1,313,000,000 1,217,000,000 1,205,000,000 1,225,000,000 1,210,000,000 1,068,000,000 1,114,000,000 1,112,000,000 1,113,000,000 1,060,000,000 1,055,000,000 1,050,000,000 1,014,000,000 658,000,000 655,000,000 630,000,000 582,000,000 555,000,000 550,000,000 1,943,000,000 140,000,000 135,000,000 138,000,000 137,000,000 140,000,000 138,000,000 137,000,000 137,000,000 143,000,000 115,000,000 106,000,000 101,000,000 98,000,000 100,000,000 99,727,000 78,442,000 57,826,000 46,946,000 40,911,000 39,291,000 39,344,000 34,793,000 33,509,000 33,496,000 37,361,000          
        property, software and equipment
      2,090,000,000 2,037,000,000 2,161,000,000 2,122,000,000 2,044,000,000 2,067,000,000 2,042,000,000 2,041,000,000 1,988,000,000 2,019,000,000 2,004,000,000 2,416,000,000 2,478,000,000 2,432,000,000 2,479,000,000 2,557,000,000 3,583,000,000 3,391,000,000 3,302,000,000 2,912,000,000 2,822,000,000 2,774,000,000 2,669,000,000 2,544,000,000 2,439,000,000 2,121,000,000 1,993,000,000 1,878,000,000 1,800,000,000 1,706,000,000 1,584,000,000 1,327,000,000 1,250,000,000 1,104,000,000 1,003,000,000 912,000,000 841,000,000 797,000,000 725,000,000 626,000,000 580,000,000 518,000,000 488,000,000 462,000,000 450,000,000 445,000,000 424,229,000 423,905,000 412,699,000 395,407,000 390,200,000 388,965,000 382,853,000 377,726,000 381,781,000 379,970,000 352,710,000          
        goodwill
      10,835,000,000 10,835,000,000 10,835,000,000 17,558,000,000 17,558,000,000 17,558,000,000 17,558,000,000 17,558,000,000 17,558,000,000 17,558,000,000 17,558,000,000 18,716,000,000 18,836,000,000 18,812,000,000 20,040,000,000 20,310,000,000 20,903,000,000 19,771,000,000 19,699,000,000 18,805,000,000 18,788,000,000 18,652,000,000 17,964,000,000 17,434,000,000 17,417,000,000 6,863,000,000 6,872,000,000 7,126,000,000 6,981,000,000 7,015,000,000 6,803,000,000 5,346,000,000 5,295,000,000 4,749,000,000 4,712,000,000 4,712,000,000 4,712,000,000 4,712,000,000 4,730,000,000 4,707,000,000 4,442,000,000 842,000,000 849,000,000 811,000,000 786,000,000 754,000,000 753,060,000 642,613,000 657,551,000 348,432,000 347,548,000 344,822,000 256,288,000 256,288,000 256,288,000 256,288,000 281,981,000 281,981,000 281,981,000 281,981,000 278,105,000 278,051,000 247,757,000 244,304,000 229,512,000 224,587,000 
        intangible assets
      4,364,000,000 4,530,000,000 4,840,000,000 5,010,000,000 5,236,000,000 5,409,000,000 5,582,000,000 5,755,000,000 5,928,000,000 6,101,000,000 6,277,000,000 6,520,000,000 6,730,000,000 6,911,000,000 7,523,000,000 7,671,000,000 8,138,000,000 7,824,000,000 8,143,000,000 8,069,000,000 8,235,000,000 8,388,000,000 8,130,000,000 8,702,000,000 8,898,000,000 2,063,000,000 2,086,000,000 2,163,000,000 2,208,000,000 2,239,000,000 2,423,000,000 1,501,000,000 1,519,000,000 1,398,000,000 1,428,000,000 1,466,000,000 1,504,000,000 1,545,000,000 1,566,000,000 1,609,000,000 1,646,000,000 155,000,000 161,000,000 148,000,000 131,000,000 120,000,000 127,297,000 81,359,000 85,134,000 48,780,000 50,541,000 52,219,000 19,287,000 20,268,000 21,375,000 22,481,000 26,122,000 27,430,000 28,795,000 30,342,000 27,813,000 29,109,000 24,608,000 24,589,000 22,008,000 22,479,000 
        other long-term assets
      866,000,000 528,000,000 593,000,000 1,108,000,000 1,241,000,000 593,000,000 617,000,000 1,092,000,000 823,000,000 535,000,000 560,000,000 2,872,000,000 2,783,000,000 2,686,000,000 2,597,000,000 3,220,000,000 3,828,000,000 3,781,000,000 3,868,000,000 1,705,000,000 1,642,000,000 1,599,000,000 1,412,000,000 1,564,000,000 1,446,000,000 1,249,000,000 1,274,000,000 1,343,000,000 1,196,000,000 527,000,000 437,000,000 503,000,000 455,000,000 454,000,000 132,000,000 149,000,000 121,000,000              124,492,000 107,673,000 65,807,000 64,282,000 61,764,000 53,011,000 58,730,000 58,335,000 57,526,000 38,041,000 36,470,000 30,057,000  35,557,000 35,416,000 36,829,000 
        total assets
      81,175,000,000 76,747,000,000 82,087,000,000 86,395,000,000 87,044,000,000 82,445,000,000 82,351,000,000 83,137,000,000 82,624,000,000 84,641,000,000 84,381,000,000 82,853,000,000 82,982,000,000 76,870,000,000 81,172,000,000 81,060,000,000 82,901,000,000 78,375,000,000 77,743,000,000 71,539,000,000 70,285,000,000 68,719,000,000 68,364,000,000 68,347,000,000 66,431,000,000 40,994,000,000 34,252,000,000 34,368,000,000 33,569,000,000 30,901,000,000 31,157,000,000 28,743,000,000 25,170,000,000 21,855,000,000 22,000,000,000 21,840,000,000 21,362,000,000 20,197,000,000 19,634,000,000 19,496,000,000 18,652,000,000 7,339,000,000 7,322,000,000 7,022,000,000 6,696,000,000 5,838,000,000 5,446,345,000 4,682,567,000 4,446,447,000 3,529,300,000 3,139,037,000 3,045,235,000 2,887,157,000 2,741,682,000 2,690,936,000 2,449,550,000 2,283,147,000 2,190,336,000 2,037,498,000 2,010,444,000 2,003,685,000 1,943,882,000 1,795,177,000 1,733,537,000 1,730,671,000 1,702,364,000 
        liabilities, redeemable noncontrolling interests and stockholders' equity
                                                                        
        current liabilities:
                                                                        
        medical claims liability
      20,627,000,000 20,544,000,000 21,493,000,000 20,117,000,000 19,911,000,000 18,308,000,000 17,995,000,000 18,173,000,000 18,109,000,000 18,000,000,000 17,141,000,000 16,884,000,000 17,504,000,000 16,745,000,000 16,465,000,000 16,581,000,000 16,259,000,000 14,243,000,000 14,099,000,000 12,763,000,000 12,842,000,000 12,438,000,000 12,899,000,000 11,418,000,000 11,413,000,000 7,473,000,000 7,975,000,000 7,447,000,000 7,381,000,000 6,831,000,000 6,983,000,000 5,003,000,000 4,771,000,000 4,286,000,000 4,333,000,000 4,170,000,000 4,290,000,000 3,929,000,000 3,767,000,000 3,950,000,000 3,863,000,000 2,298,000,000 2,144,000,000 2,092,000,000 1,950,000,000 1,723,000,000 1,588,798,000 1,394,115,000 1,298,513,000 1,111,709,000 1,071,672,000 1,078,386,000 1,067,032,000 926,302,000 919,032,000 859,035,000 708,754,000 607,985,000 498,705,000 482,913,000 471,659,000 456,765,000 457,085,000 455,375,000 444,826,000 470,932,000 
        accounts payable and accrued expenses
      16,832,000,000 13,774,000,000 16,875,000,000 13,520,000,000 13,948,000,000 13,174,000,000 13,338,000,000 12,232,000,000 12,130,000,000 16,420,000,000 15,081,000,000 9,868,000,000 10,781,000,000 9,525,000,000 9,995,000,000 9,303,000,000 9,980,000,000 8,493,000,000 8,089,000,000 8,053,000,000 6,866,000,000 7,069,000,000 7,102,000,000 8,704,000,000 8,531,000,000 4,164,000,000 4,010,000,000 4,032,000,000 4,641,000,000 4,051,000,000 4,550,000,000 3,803,000,000 4,962,000,000 4,165,000,000 4,804,000,000 4,238,000,000 4,275,000,000 3,763,000,000 3,187,000,000 3,218,000,000 3,228,000,000 976,000,000 1,035,000,000 1,004,000,000 1,002,000,000 751,000,000 926,780,000 670,343,000 614,541,000 375,862,000 270,381,000 216,330,000 180,338,000 191,343,000 162,778,000 142,766,000 158,356,000 216,504,000 173,708,000 152,578,000 214,900,000 185,218,000    132,001,000 
        return of premium payable
      1,570,000,000 1,592,000,000 1,568,000,000 2,442,000,000 2,403,000,000 2,008,000,000 1,959,000,000 1,615,000,000 1,751,000,000 1,462,000,000 2,160,000,000 2,071,000,000 2,077,000,000 1,634,000,000 2,205,000,000 2,379,000,000 2,628,000,000 2,328,000,000 2,238,000,000 2,127,000,000 1,935,000,000 1,458,000,000 1,123,000,000 1,242,000,000 1,052,000,000 824,000,000 848,000,000 834,000,000 718,000,000 666,000,000 918,000,000 529,000,000 515,000,000 549,000,000    614,000,000 651,000,000 589,000,000 579,000,000 207,000,000 313,000,000 289,000,000 269,000,000 236,000,000                     
        unearned revenue
      953,000,000 736,000,000 656,000,000 682,000,000 869,000,000 661,000,000 658,000,000 597,000,000 681,000,000 715,000,000 2,356,000,000 2,373,000,000 2,398,000,000 478,000,000 2,416,000,000 523,000,000 526,000,000 434,000,000 371,000,000 446,000,000 574,000,000 523,000,000 582,000,000 448,000,000 526,000,000 383,000,000 381,000,000 253,000,000 363,000,000 385,000,000 286,000,000 523,000,000 638,000,000 328,000,000 568,000,000 554,000,000 633,000,000 313,000,000 573,000,000 212,000,000 197,000,000 143,000,000 66,000,000 68,000,000 117,000,000 168,000,000 94,961,000 22,472,000 74,260,000 38,191,000 41,873,000 21,811,000 38,175,000 34,597,000 131,967,000 29,133,000 17,977,000 9,890,000 54,764,000 111,110,000 127,451,000 117,344,000 52,936,000 5,695,000 18,362,000 91,644,000 
        current portion of long-term debt
      63,000,000 50,000,000 38,000,000 25,000,000 12,000,000 110,000,000 111,000,000 112,000,000 113,000,000 119,000,000 113,000,000 110,000,000 97,000,000 82,000,000 249,000,000 300,000,000 292,000,000 267,000,000 245,000,000 253,000,000 62,000,000 97,000,000 89,000,000 106,000,000 129,000,000 88,000,000 66,000,000 87,000,000 40,000,000 38,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000              3,046,000 3,029,000 3,419,000 3,373,000 3,337,000 3,302,000 3,235,000 3,234,000 3,203,000 3,172,000 3,037,000 2,817,000 663,000 771,000 660,000 646,000 
        total current liabilities
      40,045,000,000 36,696,000,000 40,630,000,000 36,786,000,000 37,143,000,000 34,261,000,000 34,061,000,000 32,729,000,000 32,784,000,000 36,716,000,000 36,851,000,000 31,306,000,000 32,857,000,000 28,464,000,000 31,330,000,000 29,086,000,000 29,685,000,000 25,765,000,000 25,042,000,000 23,642,000,000 22,279,000,000 21,585,000,000 21,795,000,000 21,918,000,000 21,651,000,000 12,932,000,000 13,280,000,000 12,653,000,000 13,143,000,000 11,971,000,000 12,741,000,000 9,862,000,000 10,890,000,000 9,332,000,000 9,709,000,000 8,966,000,000 9,202,000,000 8,623,000,000 9,023,000,000 8,814,000,000 7,871,000,000 3,629,000,000 3,563,000,000 3,458,000,000 3,343,000,000 2,900,000,000 2,634,293,000 2,117,707,000 2,021,443,000 1,559,121,000 1,386,972,000 1,320,572,000 1,307,094,000 1,197,090,000 1,280,114,000 1,034,236,000 888,322,000 837,613,000 730,380,000 749,773,000 817,047,000 765,246,000 661,092,000 636,819,000 685,113,000 715,908,000 
        long-term debt
      16,308,000,000 17,351,000,000 17,545,000,000 17,552,000,000 18,308,000,000 18,423,000,000 17,494,000,000 17,516,000,000 17,887,000,000 17,710,000,000 17,888,000,000 17,896,000,000 18,223,000,000 17,938,000,000 18,084,000,000 18,456,000,000 18,640,000,000 18,571,000,000 18,594,000,000 16,536,000,000 16,695,000,000 16,682,000,000 16,737,000,000 16,708,000,000 17,150,000,000 13,638,000,000 6,975,000,000 7,047,000,000 6,775,000,000 6,648,000,000 6,379,000,000 6,275,000,000 5,172,000,000 4,695,000,000 4,717,000,000 4,716,000,000 4,643,000,000              517,931,000 548,473,000 532,734,000 535,481,000 391,973,000 405,462,000 347,162,000 348,344,000 348,093,000 336,468,000 302,326,000 327,824,000 263,513,000 252,028,000 232,064,000 307,085,000 
        deferred tax liability
      744,000,000 833,000,000 810,000,000 651,000,000 708,000,000 684,000,000 769,000,000 665,000,000 734,000,000 641,000,000 577,000,000 495,000,000 522,000,000 615,000,000 480,000,000 746,000,000 1,292,000,000 1,407,000,000 1,440,000,000 1,438,000,000 1,641,000,000 1,534,000,000                                             
        other long-term liabilities
      2,551,000,000 1,811,000,000 2,047,000,000 3,903,000,000 2,866,000,000 2,567,000,000 2,618,000,000 4,770,000,000 4,155,000,000 3,618,000,000 3,649,000,000 7,369,000,000 6,194,000,000 5,616,000,000 5,678,000,000 6,209,000,000 5,854,000,000 5,610,000,000 5,993,000,000 3,795,000,000 3,134,000,000 2,956,000,000 3,953,000,000 4,516,000,000 3,938,000,000 1,732,000,000 1,561,000,000 2,398,000,000 2,007,000,000 1,259,000,000 1,276,000,000 1,898,000,000 1,520,000,000 952,000,000 901,000,000 1,630,000,000 1,295,000,000              49,043,000 53,916,000 60,799,000 55,344,000 61,785,000 61,865,000 68,544,000 67,960,000 54,926,000 53,899,000 53,116,000 53,378,000 66,355,000 64,870,000 63,575,000 59,561,000 
        total liabilities
      59,648,000,000 56,691,000,000 61,032,000,000 58,892,000,000 59,025,000,000 55,935,000,000 54,942,000,000 55,680,000,000 55,560,000,000 58,685,000,000 58,965,000,000 57,066,000,000 57,796,000,000 52,633,000,000 55,572,000,000 54,497,000,000 55,471,000,000 51,353,000,000 51,069,000,000 45,411,000,000 43,749,000,000 42,757,000,000 42,485,000,000 43,142,000,000 42,739,000,000 28,302,000,000 21,816,000,000 22,098,000,000 21,925,000,000 19,878,000,000 20,396,000,000 18,035,000,000 17,582,000,000 14,979,000,000 15,327,000,000 15,312,000,000 15,140,000,000 14,143,000,000 13,762,000,000 13,809,000,000 13,199,000,000 5,015,000,000 5,113,000,000 4,927,000,000 4,704,000,000 3,947,000,000 3,664,795,000 3,076,945,000 2,903,588,000 2,285,861,000 1,953,946,000 1,922,961,000 1,900,627,000 1,787,915,000 1,733,872,000 1,501,563,000 1,304,028,000 1,253,917,000 1,133,399,000 1,140,140,000 1,172,489,000 1,146,827,000 991,245,000 954,369,000 981,137,000 1,082,937,000 
        commitments and contingencies
                                                                        
        redeemable noncontrolling interests
      25,000,000 23,000,000 23,000,000 11,000,000 12,000,000 10,000,000 13,000,000 16,000,000 16,000,000 19,000,000 21,000,000 19,000,000 20,000,000 56,000,000 66,000,000 133,000,000 117,000,000 82,000,000 84,000,000 83,000,000 78,000,000 77,000,000 36,000,000 33,000,000 36,000,000 33,000,000 31,000,000 22,000,000 10,000,000 10,000,000 11,000,000 11,000,000 8,000,000 12,000,000 20,000,000 136,000,000 138,000,000 145,000,000 148,000,000 147,000,000 144,000,000  156,000,000 155,000,000 155,000,000                      
        stockholders' equity:
                                                                        
        preferred stock, 0.001 par value...
                                                                        
        common stock, 0.001 par value...
      1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000                                             
        additional paid-in capital
      20,823,000,000 20,777,000,000 20,713,000,000 20,671,000,000 20,631,000,000 20,562,000,000 20,522,000,000 20,461,000,000 20,388,000,000 20,304,000,000 20,243,000,000 20,183,000,000 20,121,000,000 20,060,000,000 19,774,000,000 19,899,000,000 19,830,000,000 19,672,000,000 19,594,000,000 19,545,000,000 19,500,000,000 19,459,000,000 19,390,000,000 19,333,000,000 19,279,000,000 7,647,000,000 7,571,000,000 7,531,000,000 7,491,000,000 7,449,000,000 7,395,000,000 7,355,000,000 4,592,000,000 4,349,000,000 4,310,000,000 4,258,000,000 4,224,000,000 4,190,000,000 4,154,000,000 4,119,000,000 4,084,000,000 956,000,000 909,000,000 891,000,000 870,000,000 840,000,000 811,752,000 754,637,000 739,972,000 594,326,000 578,188,000 563,873,000 461,360,000 450,856,000 458,741,000 450,506,000 443,111,000 421,981,000 411,924,000 405,711,000 396,380,000 384,206,000 400,213,000 395,926,000 390,878,000 281,806,000 
        accumulated other comprehensive
      -171,000,000 -58,000,000 -100,000,000 -231,000,000 -337,000,000 -504,000,000 -226,000,000 -646,000,000 -630,000,000 -652,000,000 -1,122,000,000 -998,000,000                     -54,000,000                                  
        retained earnings
      10,215,000,000 8,674,000,000 9,775,000,000 16,406,000,000 16,659,000,000 15,348,000,000 15,065,000,000 14,352,000,000 13,206,000,000 12,043,000,000 11,998,000,000 11,529,000,000 10,471,000,000 9,341,000,000 9,554,000,000 8,816,000,000 8,988,000,000 8,139,000,000 7,540,000,000 6,956,000,000 7,491,000,000 6,792,000,000 6,804,000,000 6,236,000,000 5,030,000,000 4,984,000,000 4,775,000,000 4,680,000,000 4,185,000,000 3,663,000,000 3,422,000,000 3,403,000,000 3,104,000,000 2,748,000,000 2,518,000,000 2,313,000,000 2,059,000,000 1,920,000,000 1,655,000,000 1,510,000,000 1,341,000,000 1,358,000,000 1,247,000,000 1,154,000,000 1,066,000,000 1,003,000,000 896,385,000 813,765,000 764,902,000 731,919,000 678,679,000 629,306,000 589,822,000 566,820,000 557,759,000 553,940,000 588,939,000 564,961,000 534,849,000 505,862,000 477,488,000 453,743,000 428,344,000 405,682,000 382,909,000 358,907,000 
        treasury stock
      -9,441,000,000 -9,441,000,000 -9,441,000,000 -9,441,000,000 -9,038,000,000 -8,997,000,000 -8,055,000,000 -6,817,000,000 -6,007,000,000 -5,856,000,000 -5,825,000,000 -5,044,000,000 -4,636,000,000 -4,213,000,000 -2,557,000,000 -1,514,000,000 -1,165,000,000 -1,094,000,000 -845,000,000 -830,000,000 -826,000,000 -816,000,000 -762,000,000 -758,000,000 -755,000,000 -214,000,000 -180,000,000 -176,000,000 -174,000,000 -139,000,000 -85,000,000 -81,000,000 -139,000,000 -244,000,000 -197,000,000 -194,000,000 -192,000,000 -179,000,000 -145,000,000 -143,000,000 -138,000,000 -147,000,000 -103,000,000 -101,000,000 -98,000,000 -98,000,000 -74,690,000 -94,512,000 -91,655,000 -89,643,000 -75,541,000 -70,969,000 -70,429,000 -69,864,000 -59,277,000 -58,914,000 -58,632,000 -57,123,000 -50,594,000 -50,343,000 -50,888,000 -50,486,000 -47,976,000 -47,830,000 -47,742,000 -47,262,000 
        total centene stockholders' equity
      21,427,000,000 19,953,000,000 20,948,000,000 27,406,000,000 27,916,000,000 26,410,000,000 27,307,000,000 27,351,000,000 26,958,000,000 25,840,000,000 25,295,000,000 25,671,000,000 25,042,000,000 24,057,000,000    26,795,000,000    25,773,000,000    12,551,000,000                                         
        nonredeemable noncontrolling interest
      75,000,000 80,000,000 84,000,000 86,000,000 91,000,000 90,000,000 89,000,000 90,000,000 90,000,000 97,000,000 100,000,000 97,000,000 124,000,000 124,000,000 156,000,000 141,000,000 144,000,000  124,000,000 134,000,000 116,000,000  118,000,000 116,000,000 107,000,000  94,000,000                                        
        total stockholders' equity
      21,502,000,000 20,033,000,000 21,032,000,000 27,492,000,000 28,007,000,000 26,500,000,000 27,396,000,000 27,441,000,000 27,048,000,000 25,937,000,000 25,395,000,000 25,768,000,000 25,166,000,000 24,181,000,000    26,940,000,000    25,885,000,000    12,659,000,000                                         
        total liabilities, redeemable noncontrolling interests and stockholders' equity
      81,175,000,000 76,747,000,000 82,087,000,000 86,395,000,000 87,044,000,000 82,445,000,000 82,351,000,000 83,137,000,000 82,624,000,000 84,641,000,000 84,381,000,000 82,853,000,000 82,982,000,000 76,870,000,000    78,375,000,000    68,719,000,000    40,994,000,000                                         
        accumulated other comprehensive earnings
                  -915,000,000 -1,132,000,000 -1,394,000,000 -913,000,000 -485,000,000 77,000,000 176,000,000 239,000,000 176,000,000 337,000,000 293,000,000 245,000,000 -5,000,000 134,000,000 145,000,000 119,000,000 38,000,000      9,000,000 1,000,000   46,000,000 43,000,000 10,000,000                          
        liabilities, redeemable noncontrolling interests and stockholders’ equity
                                                                        
        stockholders’ equity:
                                                                        
        total centene stockholders’ equity
                    25,378,000,000 26,289,000,000 27,169,000,000  26,466,000,000 25,911,000,000 26,342,000,000  25,725,000,000 25,056,000,000 23,549,000,000  12,311,000,000 12,154,000,000 11,540,000,000 10,917,000,000 10,653,000,000 10,610,000,000 7,503,000,000 6,850,000,000 6,640,000,000 6,378,000,000 6,070,000,000 5,895,000,000 5,710,000,000 5,529,000,000 5,297,000,000 2,157,000,000 2,051,000,000 1,940,000,000 1,837,000,000 1,744,000,000 1,632,903,000 1,476,165,000 1,412,666,000 1,234,041,000 1,179,539,000 1,118,207,000 985,708,000 953,056,000 963,979,000 951,428,000 979,709,000 935,634,000 902,710,000 868,466,000 829,002,000 793,939,000   733,299,000 600,845,000 
        total stockholders’ equity
                    25,534,000,000 26,430,000,000 27,313,000,000  26,590,000,000 26,045,000,000 26,458,000,000  25,843,000,000 25,172,000,000 23,656,000,000  12,405,000,000 12,248,000,000 11,634,000,000 11,013,000,000 10,750,000,000 10,697,000,000 7,580,000,000 6,864,000,000 6,653,000,000 6,392,000,000 6,084,000,000 5,909,000,000 5,724,000,000 5,540,000,000 5,309,000,000 2,168,000,000 2,053,000,000 1,940,000,000 1,837,000,000 1,743,000,000 1,641,051,000 1,485,951,000 1,422,178,000 1,243,439,000 1,185,091,000 1,122,274,000 986,530,000 953,767,000 957,064,000 947,987,000 979,119,000 936,419,000 904,099,000 870,304,000 831,196,000 797,055,000 803,932,000 779,168,000 749,534,000 619,427,000 
        total liabilities, redeemable noncontrolling interests and stockholders’ equity
                    81,172,000,000 81,060,000,000 82,901,000,000  77,743,000,000 71,539,000,000 70,285,000,000  68,364,000,000 68,347,000,000 66,431,000,000  34,252,000,000 34,368,000,000 33,569,000,000 30,901,000,000 31,157,000,000 28,743,000,000 25,170,000,000 21,855,000,000 22,000,000,000 21,840,000,000                               
        noncontrolling interest
                       145,000,000    112,000,000    108,000,000  94,000,000 94,000,000 96,000,000 97,000,000 87,000,000 77,000,000 14,000,000 13,000,000 14,000,000 14,000,000 14,000,000 14,000,000 11,000,000 12,000,000 11,000,000 2,000,000   -1,000,000 8,148,000 9,786,000 9,512,000 9,398,000 5,552,000 4,067,000 822,000 711,000 -6,915,000 -3,441,000 -590,000 785,000 1,389,000 1,838,000 2,194,000 3,116,000 13,638,000 15,938,000 16,235,000 18,582,000 
        preferred stock, .001 par value...
                                                                        
        common stock, .001 par value...
                                                    61,000 61,000 61,000 59,000 58,000 58,000 55,000 55,000 54,000 54,000 54,000 54,000 53,000 53,000 53,000 52,000 52,000 52,000 51,000 46,000 
        accumulated other comprehensive loss
                                   -56,000,000 -79,000,000 -67,000,000  -3,000,000   -21,000,000 -36,000,000    -10,000,000 -2,000,000 -4,000,000 -1,000,000 -1,000,000 -605,000                    
        premium and related receivables
                                        3,955,000,000 3,901,000,000 3,121,000,000 3,098,000,000 3,445,000,000 3,488,000,000 2,529,000,000 1,279,000,000 1,281,000,000 1,248,000,000 1,245,000,000 912,000,000 685,188,000 610,969,000 570,105,000 428,570,000 355,947,000 357,908,000 320,371,000 263,452,000 316,123,000 400,194,000 278,233,000          
        liabilities and stockholders’ equity
                                                                        
        total liabilities and stockholders’ equity
                                          21,362,000,000 20,197,000,000 19,634,000,000 19,496,000,000 18,652,000,000 7,339,000,000 7,322,000,000 7,022,000,000 6,696,000,000 5,838,000,000 5,446,345,000 4,682,567,000 4,446,447,000 3,529,300,000 3,139,037,000 3,045,235,000 2,887,157,000 2,741,682,000 2,690,936,000 2,449,550,000 2,283,147,000 2,190,336,000 2,037,498,000 2,010,444,000 2,003,685,000 1,943,882,000 1,795,177,000 1,733,537,000 1,730,671,000 1,702,364,000 
        short term investments
                                           505,000,000 406,000,000 443,000,000 269,000,000 176,000,000 162,000,000 140,000,000 151,000,000 177,000,000 166,993,000 127,348,000 99,696,000 102,126,000                 
        long term investments
                                           4,545,000,000 4,568,000,000 4,230,000,000 3,973,000,000 1,927,000,000 1,992,000,000 1,541,000,000 1,527,000,000 1,280,000,000 1,108,261,000 996,965,000 840,152,000 791,900,000                 
        other long term assets
                                           95,000,000 153,000,000 334,000,000 317,000,000 177,000,000 130,000,000 121,000,000 114,000,000 80,000,000 140,429,000 107,967,000 80,961,000 59,357,000                 
        current portion of long term debt
                                           4,000,000 845,000,000 845,000,000 4,000,000 5,000,000 5,000,000 5,000,000 5,000,000 5,000,000 5,131,000 6,135,000 6,110,000 3,065,000                 
        long term debt
                                           4,651,000,000 3,744,000,000 3,649,000,000 4,276,000,000 1,216,000,000 1,276,000,000 1,139,000,000 1,123,000,000 888,000,000 949,720,000 884,890,000 810,970,000 665,697,000                 
        other long term liabilities
                                           869,000,000 995,000,000 1,346,000,000 1,052,000,000 170,000,000 274,000,000 330,000,000 238,000,000 158,000,000 80,371,000 73,897,000 70,166,000 60,015,000                 
        redeemable noncontrolling interest
                                               156,000,000    148,000,000 140,499,000 119,671,000 120,681,000                  
        cash and cash equivalents of continuing operations
                                                   1,546,000,000 1,523,596,000 1,199,784,000 1,218,004,000 974,304,000         451,657,000 474,450,000 492,045,000 433,914,000    400,951,000 
        cash and cash equivalents of discontinued operations
                                                   64,000,000 59,376,000 59,013,000 52,788,000 63,769,000            252,000 147,000 877,000 14,000 2,801,000 
        total cash and cash equivalents
                                                   1,610,000,000 1,582,972,000 1,258,797,000 1,270,792,000 1,038,073,000         451,657,000 474,450,000 492,045,000 434,166,000 397,666,000 265,600,000 350,089,000 403,752,000 
        other current assets of discontinued operations
                                                   11,000,000 12,858,000 13,826,000 20,863,000 13,743,000                 
        long term assets of discontinued operations
                                                   25,000,000 25,631,000 26,430,000 30,275,000 38,305,000                 
        current liabilities of discontinued operations
                                                   17,000,000 18,623,000 24,642,000 28,019,000 30,294,000            3,102,000 4,531,000 7,365,000 20,650,000 20,685,000 
        long term liabilities of discontinued operations
                                                   1,000,000 411,000 451,000 1,009,000 1,028,000                 
        accumulated other comprehensive income:
                                                                        
        unrealized gain on investments, net of tax
                                                     2,214,000  -2,620,000 -1,845,000 -4,061,000 4,900,000 5,189,000 6,702,000 5,842,000 6,237,000 5,761,000 6,478,000 7,183,000 5,969,000 6,424,000  9,400,000 7,203,000 7,348,000 
        unrealized loss on investments, net of tax
                                                      -614,000                  
        premium deficiency reserve
                                                         1,016,000 18,130,000 41,475,000 63,000,000            
        premium and related receivables, net of allowance for uncollectible accounts of 639 and 17, respectively
                                                               157,450,000         
        short-term investments, at fair value
                                                               130,499,000 106,344,000 78,808,000 52,699,000 21,346,000 30,857,000 29,660,000 40,220,000 39,554,000 
        long-term investments, at fair value
                                                               506,140,000 530,452,000 518,490,000 556,806,000 595,879,000 479,164,000 537,399,000 558,270,000 525,497,000 
        restricted deposits, at fair value
                                                               26,818,000 26,768,000 26,662,000 26,482,000 22,758,000 20,589,000 20,570,000 20,618,000 20,132,000 
        property, software and equipment, net of accumulated depreciation of 177,294 and 138,629, respectively
                                                               349,622,000         
        premium and related receivables, net of allowance for uncollectible accounts of 592 and 17, respectively
                                                                139,467,000        
        current assets of discontinued operations other than cash
                                                                   912,000 1,678,000 2,314,000 2,337,000 4,506,000 
        property, software and equipment, net of accumulated depreciation of 166,442 and 138,629, respectively
                                                                345,600,000        
        long-term assets of discontinued operations
                                                                   4,866,000 7,478,000 11,442,000 23,453,000 26,285,000 
        long-term liabilities of discontinued operations
                                                                   379,000 285,000 652,000 385,000 383,000 
        premium and related receivables, net of allowance for uncollectible accounts of 574 and 17, respectively
                                                                 152,135,000       
        property, software and equipment, net of accumulated depreciation of 157,706 and 138,629, respectively
                                                                 340,392,000       
        premium and related receivables, net of allowance for uncollectible accounts of 17 and 17, respectively
                                                                  132,023,000      
        property, software and equipment, net of accumulated depreciation of 148,051 and 138,629, respectively
                                                                  334,180,000      
        premium and related receivables, net of allowance for uncollectible accounts of 17 and 1,338, respectively
                                                                   136,243,000     
        property, software and equipment, net of accumulated depreciation of 138,629 and 103,883, respectively
                                                                   326,341,000     
        cash and cash equivalents of continuing operations, including 5,389 and 8,667, respectively, from consolidated variable interest entities
                                                                    397,519,000    
        premium and related receivables, net of allowance for uncollectible accounts of 1,336 and 1,338, respectively, including 3,208 and 11,313, respectively, from consolidated variable interest entities
                                                                    182,379,000    
        other current assets, including 2,023 and 4,507, respectively, from consolidated variable interest entities
                                                                    63,408,000    
        property, software and equipment, net of accumulated depreciation of 127,969 and 103,883, respectively, including 138,008 and 89,219, respectively, from consolidated variable interest entities
                                                                    311,195,000    
        other long-term assets, including 2,806 and 30, respectively, from consolidated variable interest entities
                                                                    28,398,000    
        accounts payable and accrued expenses, including 20,926 and 14,020, respectively, from consolidated variable interest entities
                                                                    145,877,000    
        net unrealized gain on investments, net of tax
                                                                    9,661,000    
        total centene corporation stockholders’ equity
                                                                    790,294,000 763,230,000   
        cash and cash equivalents of continuing operations, including 5,154 and 8,667, respectively, from consolidated variable interest entities
                                                                     264,723,000   
        premium and related receivables, net of allowance for uncollectible accounts of 1,336 and 1,338, respectively, including 7,266 and 11,313, respectively, from consolidated variable interest entities
                                                                     164,420,000   
        other current assets, including 3,918 and 4,507, respectively, from consolidated variable interest entities
                                                                     83,843,000   
        property, software and equipment, net of accumulated depreciation of 118,995 and 103,883, respectively, including 138,998 and 89,219, respectively, from consolidated variable interest entities
                                                                     313,839,000   
        accounts payable and accrued expenses, including 30,366 and 14,020, respectively, from consolidated variable interest entities
                                                                     167,613,000   
        cash and cash equivalents of continuing operations, including 5,918 and 8,667, respectively, from consolidated variable interest entities
                                                                      350,075,000  
        premium and related receivables, net of allowance for uncollectible accounts of 1,338 and 1,338, respectively, including 6,565 and 11,313, respectively, from consolidated variable interest entities
                                                                      110,120,000  
        other current assets, including 5,023 and 4,507, respectively, from consolidated variable interest entities
                                                                      69,136,000  
        property, software and equipment, net of accumulated depreciation of 111,938 and 103,883, respectively, including 110,764 and 89,219, respectively, from consolidated variable interest entities
                                                                      269,492,000  
        accounts payable and accrued expenses, including 23,122 and 14,020, respectively, from consolidated variable interest entities
                                                                      200,615,000  
        premium and related receivables, net of allowance for uncollectible accounts of 1,338 and 1,304, respectively
                                                                       103,456,000 
        property, software and equipment, net of accumulated depreciation of 103,883 and 74,194, respectively
                                                                       230,421,000 
      Cashflow Statements:
      Quarterly
      Annual
        Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 
                                                                         
          cash flows from operating activities:
                                                                         
          net earnings
        1,539,000,000 -1,100,000,000 -6,632,000,000 -259,000,000 1,314,000,000 280,000,000 710,000,000 1,146,000,000 1,158,000,000 39,000,000 475,000,000 1,055,000,000 1,130,000,000 -219,000,000 740,000,000 -171,000,000 852,000,000 593,000,000 581,000,000 -535,000,000 697,000,000 -19,000,000 565,000,000 1,202,000,000 46,000,000 202,000,000 96,000,000 492,000,000 519,000,000 241,000,000 16,000,000 299,000,000 338,000,000 223,000,000 201,000,000 252,000,000 132,000,000 263,000,000 146,000,000 168,000,000 -16,000,000 111,000,000 94,000,000 88,000,000 64,000,000 104,376,000 79,151,000 48,126,000 32,347,000 54,882,000 48,914,000 39,011,000 22,911,000 4,639,000 295,000 -38,832,000 22,603,000 29,264,000 28,213,000 28,063,000 22,823,000 26,319,000 23,200,000 24,502,000 24,250,000 
          adjustments to reconcile net earnings to net cash from operating activities
                                                                         
          depreciation and amortization
        300,000,000 329,000,000 317,000,000 315,000,000 314,000,000 314,000,000 313,000,000 306,000,000 308,000,000 315,000,000 328,000,000 304,000,000 346,000,000 375,000,000 391,000,000 397,000,000 390,000,000 378,000,000 381,000,000 356,000,000 361,000,000 343,000,000 298,000,000 330,000,000 288,000,000 168,000,000 162,000,000 158,000,000 155,000,000 141,000,000 139,000,000 111,000,000 104,000,000 97,000,000 91,000,000 87,000,000 86,000,000 89,000,000 78,000,000 76,000,000 35,000,000 29,000,000 29,000,000 26,000,000 27,000,000 23,992,000 22,907,000 21,783,000 20,318,000 17,200,000 17,292,000 17,237,000 15,691,000 15,974,000 16,626,000 16,653,000 16,613,000 15,272,000 14,488,000 14,242,000 14,325,000 13,380,000 13,702,000 12,391,000 12,527,000 
          stock compensation expense
        67,000,000 58,000,000 52,000,000 35,000,000 59,000,000 31,000,000 49,000,000 62,000,000 70,000,000 49,000,000 50,000,000 56,000,000 61,000,000 54,000,000 51,000,000 59,000,000 70,000,000 76,000,000 40,000,000 36,000,000 51,000,000 63,000,000 54,000,000 47,000,000 117,000,000 71,000,000 34,000,000 34,000,000 38,000,000 40,000,000 38,000,000 34,000,000 33,000,000 36,000,000 37,000,000 30,000,000 32,000,000 36,000,000 29,000,000 32,000,000 51,000,000 23,000,000 15,000,000 17,000,000 16,000,000 13,387,000 11,863,000 11,453,000 11,297,000 9,404,000 10,297,000 8,580,000 8,375,000 6,915,000 6,424,000 5,618,000 6,375,000 4,908,000 4,424,000 4,445,000 4,394,000 3,650,000 3,336,000 3,428,000 3,460,000 
          loss on debt extinguishment
        5,000,000             1,000,000 -10,000,000 -13,000,000 -3,000,000 79,000,000 46,000,000 13,000,000 44,000,000                                         
          deferred income taxes
        -53,000,000 -73,000,000 129,000,000 -89,000,000 -27,000,000 -1,000,000 -26,000,000 -64,000,000 104,000,000 -92,000,000 174,000,000 -1,000,000 -159,000,000 51,000,000 -265,000,000 -429,000,000 12,000,000 11,000,000 -67,000,000 -232,000,000 156,000,000 103,000,000 -171,000,000 -95,000,000 112,000,000 130,000,000 -65,000,000 -33,000,000 23,000,000 -26,000,000 -107,000,000 -26,000,000 30,000,000 -76,000,000 26,000,000 -7,000,000 -51,000,000 109,000,000 -4,000,000 4,000,000 -17,000,000 -3,000,000 -1,000,000 -7,000,000 -6,000,000 22,931,000 -53,673,000 -3,385,000 -7,873,000 -3,919,000 -9,089,000 9,729,000 986,000 4,880,000 -28,682,000 3,509,000 5,855,000 2,254,000 3,306,000 -2,829,000 -700,000 3,305,000 2,084,000 3,978,000 950,000 
          loss on divestitures
         -12,000,000 10,000,000 -17,000,000 -5,000,000 -98,000,000 20,000,000                                                        
          changes in assets and liabilities
                                                                         
          premium and trade receivables
        -1,353,000,000 4,818,000,000 -1,537,000,000 883,000,000 -2,684,000,000 -1,596,000,000 -1,678,000,000 152,000,000 -1,211,000,000 -51,000,000 -2,010,000,000 1,619,000,000 -1,938,000,000 -353,000,000 14,000,000 1,811,000,000 -3,099,000,000 -730,000,000 -209,000,000 377,000,000 -1,891,000,000 1,588,000,000 -481,000,000 1,023,000,000 -2,182,000,000 -757,000,000 -553,000,000 896,000,000 -662,000,000 -477,000,000 -143,000,000 -377,000,000 -176,000,000                                 
          other assets
        -188,000,000 15,000,000 298,000,000 126,000,000 -669,000,000 -32,000,000 482,000,000 70,000,000 -474,000,000 108,000,000 222,000,000 -10,000,000 -315,000,000 -24,000,000 397,000,000 54,000,000 -299,000,000 25,000,000 334,000,000 -171,000,000 -287,000,000 -215,000,000 -17,000,000 105,000,000 97,000,000 -220,000,000 33,000,000 -67,000,000 20,000,000 -103,000,000 63,000,000 -49,000,000 51,000,000 -107,000,000 -104,000,000 -24,000,000 89,000,000     31,000,000 -10,000,000 -17,000,000 -13,000,000 43,625,000 -22,892,000 -14,308,000 -14,425,000 64,661,000 -27,206,000 -38,196,000 5,000 907,000 398,000 996,000 524,000 1,228,000 -352,000 -1,029,000 151,000 -1,038,000 -2,709,000 -218,000 1,937,000 
          medical claims liabilities
        95,000,000 -840,000,000 1,367,000,000 206,000,000 1,603,000,000 373,000,000 -178,000,000 65,000,000 108,000,000 860,000,000 262,000,000 -620,000,000 759,000,000 421,000,000 -113,000,000 322,000,000 1,767,000,000 141,000,000 1,336,000,000 -80,000,000 405,000,000 -446,000,000 1,417,000,000 -106,000,000 252,000,000 -513,000,000 533,000,000 10,000,000 548,000,000 -55,000,000 663,000,000 232,000,000 485,000,000 -47,000,000 163,000,000 -115,000,000 358,000,000 130,000,000 -173,000,000 -8,000,000 196,000,000 142,000,000 28,000,000 139,000,000 227,000,000 132,586,000 192,280,000 87,913,000 196,221,000 67,674,000 -7,730,000 -5,760,000 117,385,000 -14,254,000 122,996,000 150,281,000 100,769,000  15,792,000 11,254,000 13,430,000  -436,000 4,261,000 -33,129,000 
          unearned revenue
        217,000,000 85,000,000 -26,000,000 -187,000,000 208,000,000 4,000,000 60,000,000 -84,000,000 -34,000,000 -1,640,000,000 -17,000,000 -24,000,000 1,919,000,000 -1,933,000,000 1,889,000,000 -6,000,000 81,000,000 60,000,000 -86,000,000 -131,000,000 48,000,000 -316,000,000 -85,000,000 -39,000,000 -88,000,000 1,000,000 128,000,000 -116,000,000 -22,000,000 98,000,000 -352,000,000 -115,000,000 317,000,000 -236,000,000 14,000,000 -79,000,000 320,000,000 -258,000,000 351,000,000 14,000,000 -64,000,000 77,000,000 -2,000,000 -51,000,000 -51,000,000 75,000,000 72,066,000 -52,728,000 34,662,000 -5,252,000 20,044,000 -15,646,000 3,578,000 -97,370,000 102,192,000 11,309,000 8,576,000 -43,899,000 -52,718,000 -22,571,000 10,106,000 64,408,000 47,242,000 -12,668,000 -73,282,000 
          accounts payable and accrued expenses
        2,905,000,000 -3,338,000,000 2,472,000,000 -354,000,000 563,000,000 -25,000,000 1,201,000,000 -293,000,000 -1,411,000,000 271,000,000 2,509,000,000 -930,000,000 1,548,000,000 -265,000,000 645,000,000 -916,000,000 957,000,000 148,000,000 -292,000,000 1,253,000,000 32,000,000 1,446,000,000 -2,170,000,000 605,000,000 704,000,000 131,000,000 64,000,000 -973,000,000 357,000,000 -568,000,000 900,000,000 -1,022,000,000 157,000,000 -152,000,000 462,000,000 -20,000,000 -237,000,000 303,000,000 107,000,000 -43,000,000 35,000,000 -170,000,000 43,000,000 108,000,000 58,000,000 78,872,000 267,000,000 69,647,000 90,481,000 102,872,000 50,328,000 21,257,000 -22,745,000 38,398,000 17,138,000 -16,184,000 -60,826,000 50,303,000 23,325,000 -61,007,000 26,268,000 40,572,000 362,000 -43,969,000 40,433,000 
          other long-term liabilities
        849,000,000 -84,000,000 -1,819,000,000 1,043,000,000 814,000,000 14,000,000 -1,922,000,000 825,000,000 1,013,000,000 273,000,000 -1,498,000,000 1,111,000,000 970,000,000 -21,000,000 -195,000,000 657,000,000 401,000,000 129,000,000 -197,000,000 738,000,000 423,000,000 415,000,000 -365,000,000 667,000,000 361,000,000 117,000,000 -801,000,000 522,000,000 347,000,000 59,000,000 -666,000,000 388,000,000 477,000,000 23,000,000 -736,000,000 322,000,000 459,000,000                             
          other operating activities
        -17,000,000 67,000,000    50,000,000 2,000,000      1,000,000   -1,000,000    6,000,000 5,000,000 8,000,000 6,000,000 -11,000,000 -1,000,000 -6,000,000 -7,000,000 16,000,000 -3,000,000 -1,000,000 30,000,000   3,000,000 1,000,000 -77,000,000 94,000,000 4,000,000 -7,000,000 1,000,000 2,000,000 3,000,000 2,000,000 74,787,000 8,965,000 7,035,000 5,213,000 8,179,000 -1,508,000 1,572,000 4,078,000 1,819,000 -4,814,000 -3,844,000 -1,078,000 6,632,000 -27,000 2,823,000 732,000 694,000 -3,118,000 -83,000 1,934,000 
          net cash from operating activities
        4,366,000,000 437,000,000 1,356,000,000 1,785,000,000 1,510,000,000 -587,000,000 -978,000,000 2,175,000,000 -456,000,000 217,000,000 1,021,000,000 2,546,000,000 4,269,000,000 -1,576,000,000 3,332,000,000 3,354,000,000 1,151,000,000 675,000,000 1,802,000,000 1,685,000,000 43,000,000 2,981,000,000 -952,000,000 3,714,000,000 -240,000,000 -651,000,000 -99,000,000 917,000,000 1,316,000,000 -634,000,000 548,000,000 -526,000,000 1,846,000,000 450,000,000 97,000,000 -306,000,000 1,248,000,000 1,596,000,000 480,000,000 -420,000,000 195,000,000 201,000,000 62,000,000 350,000,000 45,000,000 369,266,000 441,845,000 159,444,000 252,445,000 170,856,000 130,731,000 37,946,000 42,993,000 -28,591,000 317,182,000 22,196,000 -32,096,000 172,023,000 36,519,000 -40,837,000 93,991,000 194,625,000 72,563,000 -59,756,000 -38,500,000 
          cash flows from investing activities:
                                                                         
          capital expenditures
        -200,000,000 -213,000,000 -211,000,000 -208,000,000 -135,000,000 -154,000,000 -153,000,000 -186,000,000 -151,000,000 -223,000,000 -136,000,000 -215,000,000 -225,000,000 -233,000,000 -247,000,000 -282,000,000 -242,000,000 -248,000,000 -225,000,000 -250,000,000 -187,000,000 -206,000,000 -251,000,000 -235,000,000 -177,000,000 -200,000,000 -194,000,000 -160,000,000 -176,000,000 -186,000,000 -127,000,000 -144,000,000 -218,000,000 -121,000,000 -120,000,000 -98,000,000 -83,000,000 -95,000,000 -117,000,000 -49,000,000 -45,000,000 -49,000,000 -43,000,000 -31,000,000 -27,000,000 -34,472,000 -26,960,000 -23,452,000 -18,116,000 -21,452,000 -16,326,000 -19,403,000 -10,654,000 -11,543,000 -13,159,000 -42,462,000 -14,980,000 -16,062,000 -21,187,000 -16,019,000 -15,725,000 28,656,000 -28,358,000 -40,503,000 -23,099,000 
          free cash flows
        4,166,000,000 224,000,000 1,145,000,000 1,577,000,000 1,375,000,000 -741,000,000 -1,131,000,000 1,989,000,000 -607,000,000 -6,000,000 885,000,000 2,331,000,000 4,044,000,000 -1,809,000,000 3,085,000,000 3,072,000,000 909,000,000 427,000,000 1,577,000,000 1,435,000,000 -144,000,000 2,775,000,000 -1,203,000,000 3,479,000,000 -417,000,000 -851,000,000 -293,000,000 757,000,000 1,140,000,000 -820,000,000 421,000,000 -670,000,000 1,628,000,000 329,000,000 -23,000,000 -404,000,000 1,165,000,000 1,501,000,000 363,000,000 -469,000,000 150,000,000 152,000,000 19,000,000 319,000,000 18,000,000 334,794,000 414,885,000 135,992,000 234,329,000 149,404,000 114,405,000 18,543,000 32,339,000 -40,134,000 304,023,000 -20,266,000 -47,076,000 155,961,000 15,332,000 -56,856,000 78,266,000 223,281,000 44,205,000 -100,259,000 -61,599,000 
          purchases of investments
        -987,000,000 -776,000,000 -172,000,000 -1,963,000,000 -1,630,000,000 -1,413,000,000 -2,336,000,000 -2,117,000,000 -1,317,000,000 -1,893,000,000 -1,530,000,000 -1,580,000,000 -1,619,000,000 -1,618,000,000 -2,004,000,000 -1,414,000,000 -1,700,000,000 -2,147,000,000 -1,663,000,000 -1,937,000,000 -1,653,000,000 -4,491,000,000 -1,062,000,000 -449,000,000 -1,400,000,000 -501,000,000 -794,000,000 -700,000,000 -580,000,000 -1,155,000,000 -1,316,000,000 -610,000,000 -765,000,000 -984,000,000 -426,000,000 -700,000,000 -594,000,000 -922,000,000 -572,000,000 -744,000,000 -212,000,000 -244,000,000 -564,000,000 -206,000,000 -307,000,000 -276,526,000 -263,127,000 -307,974,000 -167,373,000 -124,637,000 -128,426,000 -179,459,000 -358,131,000 -193,729,000 -95,057,000 -151,689,000 -255,212,000  -97,906,000 -62,816,000 -40,423,000  -76,606,000 -159,189,000 -146,935,000 
          sales and maturities of investments
        1,276,000,000 1,649,000,000 1,623,000,000 1,272,000,000 1,236,000,000 1,638,000,000 1,650,000,000 1,056,000,000 1,441,000,000 1,150,000,000 2,080,000,000 1,145,000,000 1,148,000,000 960,000,000 837,000,000 958,000,000 1,047,000,000 1,389,000,000 1,260,000,000 1,418,000,000 1,391,000,000 1,513,000,000 1,640,000,000 866,000,000 902,000,000 562,000,000 528,000,000 336,000,000 383,000,000 416,000,000 854,000,000 276,000,000 445,000,000 564,000,000 345,000,000 641,000,000 349,000,000 701,000,000 362,000,000 390,000,000 203,000,000 251,000,000 142,000,000 165,000,000 111,000,000 86,289,000 98,369,000 109,348,000 111,994,000 128,127,000 92,063,000 146,463,000 212,508,000 155,912,000 180,290,000 104,378,000 149,341,000 87,280,000 59,676,000 75,121,000 45,327,000 118,295,000 160,393,000 174,266,000 117,469,000 
          net cash from investing activities
        89,000,000 660,000,000 1,240,000,000 -899,000,000 -529,000,000 102,000,000 -839,000,000 -1,167,000,000 852,000,000 -949,000,000 435,000,000 -424,000,000 -253,000,000 221,000,000 3,000,000 -744,000,000 -2,401,000,000 -857,000,000 -1,022,000,000 -813,000,000 -607,000,000 -4,255,000,000 332,000,000 240,000,000 -3,272,000,000 -144,000,000 -459,000,000 -556,000,000 -373,000,000 -1,022,000,000 -2,310,000,000 -489,000,000 -764,000,000 -579,000,000 -200,000,000 -157,000,000 -329,000,000 -765,000,000 -313,000,000 -483,000,000 -836,000,000 -44,000,000 -470,000,000 -74,000,000 -225,000,000 -266,555,000 -191,868,000 -239,093,000 -150,484,000 -17,962,000 -48,630,000 -119,231,000 -156,277,000 -49,360,000 72,074,000 -89,773,000 -120,851,000 -47,925,000 -60,040,000 -9,133,000 -11,978,000 -174,618,000 50,055,000 -44,880,000 -41,164,000 
          cash flows from financing activities:
                                                                         
          proceeds from long-term debt
         750,000,000 950,000,000 350,000,000 165,000,000 889,000,000 994,000,000 287,000,000 3,000,000 26,000,000 231,000,000 100,000,000 20,000,000 6,849,000,000 81,000,000 2,317,000,000 2,420,000,000 57,000,000 88,000,000 2,542,000,000 12,265,000,000 6,839,000,000 4,599,000,000 1,018,000,000  334,000,000 3,131,000,000 2,015,000,000  360,000,000 250,000,000 560,000,000                             
          payments and repurchases of long-term debt
        -1,046,000,000 -187,000,000 -1,000,000 -749,000,000 -958,000,000 -28,000,000 -29,000,000 -378,000,000 -187,000,000 -346,000,000 -648,000,000   -288,000,000                                                    
          common stock repurchases
        -29,000,000 -2,000,000 -432,000,000 -41,000,000 -943,000,000 -1,227,000,000 -803,000,000 -151,000,000 -31,000,000 -774,000,000 -405,000,000 -423,000,000 -1,433,000,000 -1,243,000,000 -349,000,000 -71,000,000 -248,000,000 -16,000,000 -4,000,000 -29,000,000 -56,000,000 -9,000,000 -3,000,000 -558,000,000 -34,000,000 -4,000,000 -2,000,000 -35,000,000 -54,000,000 -4,000,000 -4,000,000 -9,000,000 -47,000,000 -3,000,000 -2,000,000 -13,000,000 -34,000,000 -2,000,000 -5,000,000 -22,000,000 -44,000,000 -2,000,000 -3,000,000 -4,000,000 -23,368,000 -763,000 -2,857,000 -2,012,000 -14,102,000 -4,572,000 -540,000 -565,000 -10,587,000 -363,000 -282,000 -1,509,000 -6,529,000 -251,000 -627,000 -402,000 -2,510,000 -146,000 -88,000 -480,000 
          proceeds from common stock issuances
        10,000,000 8,000,000 11,000,000 8,000,000 10,000,000 9,000,000 12,000,000 11,000,000 14,000,000 12,000,000 11,000,000                                                       
          other financing activities
        2,000,000 -6,000,000 -1,000,000 -1,000,000 -11,000,000 -1,000,000 -1,000,000 -1,000,000 -3,000,000    11,000,000 -84,000,000 25,000,000 6,000,000 26,000,000 16,000,000 15,000,000 9,000,000 15,000,000 12,000,000 13,000,000 15,000,000 7,000,000 4,000,000 3,000,000 7,000,000 2,000,000 11,000,000 -1,000,000 1,000,000 -2,000,000 3,000,000 -4,000,000 3,000,000 3,000,000 -15,000,000 -6,000,000 5,000,000 2,000,000                         
          net cash from financing activities
        -1,063,000,000 -187,000,000 -10,000,000 -1,174,000,000 -250,000,000 -13,000,000 -1,245,000,000 -1,171,000,000 23,000,000 -201,000,000 -524,000,000 -750,000,000 -183,000,000 -1,732,000,000 -1,481,000,000 -486,000,000 -498,000,000 -235,000,000 1,643,000,000 27,000,000 -73,000,000 -123,000,000 4,000,000 -460,000,000 839,000,000 6,704,000,000 -108,000,000 178,000,000 58,000,000 152,000,000 82,000,000 3,865,000,000 513,000,000 -79,000,000 -42,000,000 49,000,000 -10,000,000 119,000,000 104,000,000 177,000,000 2,317,000,000 -62,000,000 106,000,000 25,000,000 236,000,000 -75,099,000 74,687,000 67,654,000 130,758,000 143,898,000 -29,532,000 39,206,000 123,000 125,282,000 -14,529,000 56,473,000 12,247,000 -2,057,000 728,000 32,375,000 -24,134,000 16,493,000 9,448,000 20,147,000 26,001,000 
          net increase in cash, cash equivalents and restricted cash and cash equivalents
        3,392,000,000 910,000,000 2,586,000,000 -288,000,000 731,000,000 -497,000,000 -3,062,000,000 -162,000,000 425,000,000         -420,000,000 2,439,000,000    -611,000,000    -664,000,000 541,000,000 1,001,000,000                                     
          cash and cash equivalents reclassified from held for sale
        4,000,000                                                                 
          cash, cash equivalents and restricted cash and cash equivalents, beginning of period
        17,957,000,000 14,156,000,000 17,452,000,000                                                         
          cash, cash equivalents and restricted cash and cash equivalents, end of period
        21,353,000,000 772,000,000 2,586,000,000 -288,000,000 14,887,000,000 -494,000,000 -3,065,000,000 -162,000,000 17,877,000,000                                                         
          supplemental disclosures of cash flow information:
                                                                         
          interest paid
        146,000,000 189,000,000 138,000,000 191,000,000 129,000,000 193,000,000 143,000,000 197,000,000 155,000,000 192,000,000 148,000,000 204,000,000 144,000,000 195,000,000 135,000,000 188,000,000 139,000,000 179,000,000 124,000,000 225,000,000 130,000,000 246,000,000 119,000,000 256,000,000 104,000,000 161,000,000 81,000,000 45,000,000 87,000,000 110,000,000 83,000,000 57,000,000 73,000,000 27,000,000 111,000,000 27,000,000 72,000,000 52,000,000 77,000,000 33,000,000 3,000,000 27,000,000 1,000,000 25,000,000 2,000,000 22,098,000 1,463,000 14,791,000 1,648,000 13,271,000 1,568,000 13,760,000 1,410,000 9,478,000 1,815,000 8,723,000 1,589,000 11,286,000 4,275,000 10,108,000 1,714,000 7,795,000 2,181,000 6,975,000 345,000 
          income tax net payments
        -19,000,000                                                                 
          the following table provides a reconciliation of cash, cash equivalents and restricted cash and cash equivalents reported within the consolidated balance sheets to the totals above:
                                                                         
          cash and cash equivalents
        21,264,000,000 830,000,000 2,545,000,000 -302,000,000 14,815,000,000 -514,000,000 -3,028,000,000 20,000,000 17,585,000,000 -997,000,000 1,020,000,000 1,317,000,000 15,853,000,000 -2,913,000,000 1,552,000,000 2,198,000,000 11,237,000,000 -305,000,000 2,405,000,000 1,391,000,000 9,627,000,000 -1,398,000,000 -600,000,000 3,490,000,000 9,308,000,000  -660,000,000 530,000,000 6,345,000,000                                     
          restricted cash and cash equivalents, included in restricted deposits
        89,000,000 -58,000,000 41,000,000 14,000,000 72,000,000 20,000,000 -37,000,000 -182,000,000 292,000,000 -1,000,000 -98,000,000 46,000,000 312,000,000 28,000,000 82,000,000 -116,000,000 262,000,000 -115,000,000 34,000,000 -500,000,000 677,000,000 11,000,000 -11,000,000 8,000,000 149,000,000  -4,000,000 11,000,000 6,000,000                                     
          total cash, cash equivalents and restricted cash and cash equivalents
        21,353,000,000  2,586,000,000 -288,000,000 14,887,000,000  -3,065,000,000 -162,000,000 17,877,000,000                                                         
          impairment
         513,000,000 6,743,000,000   13,000,000 51,000,000 440,000,000 18,000,000 20,000,000 579,000,000 289,000,000      72,000,000                                         
          (gain) on debt extinguishment
                                                                         
          divestiture proceeds, net of divested cash
             31,000,000 80,000,000 879,000,000 17,000,000 21,000,000 226,000,000 443,000,000 1,115,000,000       10,000,000 456,000,000                                         
          purchase of noncontrolling interest
                -1,000,000 -2,000,000 -27,000,000 -58,000,000                 -11,000,000   -33,000,000     -14,000,000                         
          effect of exchange rate changes on cash, cash equivalents and restricted cash
             1,000,000 1,000,000 6,000,000                  2,000,000                                       
          cash and cash equivalents reclassified (to) from held for sale
                                                                         
          income taxes paid
         -92,000,000 36,000,000 497,000,000 7,000,000 181,000,000 211,000,000 597,000,000 13,000,000 124,000,000 167,000,000 581,000,000 11,000,000 774,000,000 37,000,000 400,000,000 11,000,000 201,000,000 71,000,000 386,000,000 20,000,000 271,000,000 845,000,000 72,000,000 3,000,000 101,000,000 130,000,000 375,000,000 6,000,000 108,000,000 145,000,000 194,000,000 1,000,000 138,000,000 153,000,000 203,000,000 2,000,000 162,000,000 172,000,000 189,000,000 33,000,000 99,000,000 84,000,000 121,000,000 24,000,000 69,717,000 57,165,000 88,853,000 21,265,000 43,760,000 19,227,000 19,489,000 2,205,000 8,876,000 1,607,000 11,880,000 20,514,000 448,000 9,885,000 30,544,000 9,567,000 9,531,000 16,467,000 19,668,000 8,272,000 
          total cash, cash equivalents, and restricted cash and cash equivalents
                 -998,000,000 922,000,000 1,363,000,000 16,165,000,000 -2,885,000,000 1,634,000,000 2,082,000,000 11,499,000,000 -420,000,000 2,439,000,000 891,000,000 10,304,000,000 -1,387,000,000 -611,000,000 3,498,000,000 9,457,000,000  -664,000,000 541,000,000 6,351,000,000                                     
          other adjustments
           11,000,000 5,000,000 18,000,000 9,000,000 -9,000,000 -2,000,000 14,000,000 90,000,000 61,000,000 7,000,000 -195,000,000 2,000,000 140,000,000 22,000,000 -5,000,000 -20,000,000 12,000,000 2,000,000   -22,000,000 24,000,000                                         
          (gain) on acquisition
                                                                        
          loss on disposal of equipment
                                                                         
          acquisitions, net of cash acquired
                     -3,000,000 55,000,000 -8,000,000 -1,504,000,000 -394,000,000 18,000,000 -158,000,000 -1,049,000,000 48,000,000 -3,048,000,000 -5,000,000 1,000,000    -1,721,000,000 -11,000,000 -226,000,000                                 
          payments for debt extinguishment
                     13,000,000 -27,000,000 -103,000,000 -54,000,000 -60,000,000 -21,000,000                                         
          equity issued in connection with acquisitions
                             11,526,000,000     183,000,000 324,000,000     3,105,000,000 -1,000,000 13,000,000                     
          other investing activities
                        -2,000,000       -5,000,000           -1,000,000                             
          debt issuance costs
                         -44,000,000 -1,000,000 -27,000,000 -26,000,000 -1,000,000 -1,000,000 -92,000,000 -19,000,000                                       
          effect of exchange rate changes on cash, cash equivalents, and restricted cash
                  26,000,000 -9,000,000 2,000,000 26,000,000 -28,000,000 -42,000,000 33,000,000 -3,000,000 16,000,000 -8,000,000 -16,000,000 10,000,000 5,000,000 4,000,000 -1,000,000                                         
          net increase in cash, cash equivalents, and restricted cash and cash equivalents
                  958,000,000 1,363,000,000 3,835,000,000 -3,061,000,000                                                    
          cash and cash equivalents reclassified from (to) held for sale
                                                                         
          cash, cash equivalents, and restricted cash and cash equivalents, beginning of period
                  12,330,000,000 13,214,000,000 10,957,000,000 12,131,000,000 5,350,000,000 4,089,000,000                                 
          cash, cash equivalents, and restricted cash and cash equivalents, end of period
                  922,000,000 1,363,000,000 16,165,000,000 -2,885,000,000 1,634,000,000 2,082,000,000 11,499,000,000 -420,000,000 2,439,000,000 891,000,000 10,304,000,000 -1,387,000,000 -611,000,000 3,498,000,000 9,457,000,000 5,903,000,000 -664,000,000 541,000,000 6,351,000,000 -1,504,000,000 -1,680,000,000 2,850,000,000 5,684,000,000                                 
          the following table provides a reconciliation of cash, cash equivalents, and restricted cash and cash equivalents reported within the consolidated balance sheets to the totals above:
                                                                         
          (gain) on divestiture
                   -93,000,000 -79,000,000                                                     
          (gain) on divestitures
                                                                         
          gain on acquisition
                                                                        
          gain on divestiture
                            -11,000,000 -93,000,000                                         
          payments of long-term debt
                       -374,000,000 -526,000,000 -23,000,000 -5,058,000,000 -58,000,000 -2,295,000,000 -2,413,000,000 -56,000,000 -559,000,000 -1,039,000,000 -5,510,000,000 -6,940,000,000 -4,426,000,000 -927,000,000  -221,000,000 -1,980,000,000 -1,491,000,000  -362,000,000 -202,000,000 -560,000,000                             
          net decrease in cash, cash equivalents and restricted cash and cash equivalents
                        -1,715,000,000    -653,000,000                                             
          gain on divestitures
                                                                         
          divestiture proceeds
                                                                         
          proceeds from the issuance of common stock
                                     -1,000,000                                   
          net increase in cash, cash equivalents, and restricted cash and equivalents
                                                                         
          net increase
                                -2,674,000,000                                         
          goodwill and intangible impairment
                                                                        
          contribution from noncontrolling interest
                                                 9,000,000    593,000 5,407,000 2,204,000 1,944,000 3,718,000 202,000  50,000       306,000 
          debt extinguishment costs
                                                                       
          investments in acquisitions, net of cash acquired
                                             -449,000,000 14,000,000 -80,000,000 -782,000,000 -2,000,000 -5,000,000 -2,000,000 -9,000,000 -41,846,000 -150,000 -17,015,000 -76,989,000 4,059,000           -5,374,000 -19,454,000 -2,019,000 
          proceeds from borrowings
                                             1,990,000,000 1,245,000,000 1,921,000,000 3,790,000,000 620,000,000 555,000,000 250,000,000 500,000,000 490,000,000 240,000,000 500,000,000 645,000,000 150,000,000   185,500,000 140,000,000   291,883,000 127,300,000 164,726,000 11,651,000 20,131,000 22,030,000 
          payment of long-term debt
                                                      -171,684,000 -426,479,000 -519,413,000  -30,724,000 -9,342,000 -776,000 -40,812,000 -155,821,000 -20,806,000 -795,000 -808,000 -780,000 -262,118,000 -152,577,000 -98,261,000 -274,000 -57,000 -97,136,000 
          net increase in cash, cash equivalents and restricted cash
                                     -1,504,000,000 -1,680,000,000 2,850,000,000 1,595,000,000                                 
          gain on contingent consideration
                                             -3,000,000 -1,000,000 -1,000,000                         
          goodwill and intangible adjustment
                                                 10,000,000                        
          effect of exchange rate changes on cash and cash equivalents
                                             -2,000,000        -511,000                    
          net increase in cash and cash equivalents
                                         -209,000,000 -144,000,000 -414,000,000 909,000,000 948,000,000 272,000,000 -726,000,000 1,676,000,000 95,000,000 -302,000,000 301,000,000 56,000,000 27,101,000 324,175,000 -11,995,000 232,719,000 296,792,000    47,331,000 374,727,000 -11,104,000 -140,700,000 122,041,000 -22,793,000 -17,595,000 57,879,000 36,500,000 132,066,000   
          cash and cash equivalents, beginning of period
                                         3,930,000,000 1,760,000,000 1,610,000,000 -73,000 1,038,073,000 843,952,000 573,698,000 434,166,000 403,752,000 
          cash and cash equivalents, end of period
                                         -209,000,000 -144,000,000 -414,000,000 4,839,000,000 948,000,000 272,000,000 -726,000,000 3,436,000,000 95,000,000 -302,000,000 301,000,000 1,666,000,000 27,028,000 324,175,000 -11,995,000 1,270,792,000 296,792,000 52,569,000 -42,079,000 730,791,000 47,331,000 374,727,000 -11,104,000 432,998,000 122,041,000 -22,793,000 -17,595,000 492,045,000 36,500,000 132,066,000 -84,489,000 350,089,000 
          premium and related receivables
                                          -53,000,000 -755,000,000 59,000,000 980,000,000 215,000,000 -947,000,000 -174,000,000 -19,000,000 -7,000,000 -334,000,000 -219,968,000 -82,318,000 -41,507,000 -119,207,000 -84,390,000 12,643,000 -14,496,000 -56,734,000 22,856,000 93,331,000 -111,961,000 -120,784,000 2,000,000 2,840,000 -20,362,000 4,216,000 44,766,000 -10,407,000 -53,261,000 -4,457,000 
          other long term liabilities
                                             -217,000,000 -307,000,000 271,000,000 192,000,000 -50,000,000 -43,000,000 76,000,000 68,000,000                     
          payment of long term debt
                                             -1,819,000,000 -1,133,000,000 -1,736,000,000 -1,388,000,000 -673,000,000 -431,000,000 -226,000,000 -253,000,000                     
          other current assets
                                              -55,000,000 9,000,000 -35,000,000 7,000,000 -75,000,000 -25,000,000 -3,000,000 19,678,000 -53,504,000 25,415,000 3,411,000 -60,455,000 16,746,000 14,658,000 -50,537,000 -13,331,000 10,618,000 -23,382,000 -10,723,000 -5,145,000 -2,666,000 -2,365,000 -1,636,000 -308,000 -3,880,000 2,323,000 -1,375,000 
          debt issue costs
                                              -8,000,000 -51,000,000 -4,000,000 -525,000 -456,000   -2,000 -2,926,000 -661,000     -147,000 -2,990,000 -6,105,000     
          proceeds from asset sale
                                                 7,000,000                     
          proceeds from exercise of stock options
                                                 8,000,000 2,000,000 1,000,000 2,000,000 2,528,000 1,802,000 2,206,000 1,464,000 1,309,000 3,807,000 2,459,000 1,408,000 4,226,000 1,366,000 1,241,000 9,079,000 2,233,000 1,318,000 5,746,000 6,518,000 1,025,000 635,000 1,240,000 519,000 
          proceeds from stock offering
                                                         -14,000           -23,000 104,557,000 
          excess tax benefits from stock compensation
                                                 18,000,000 1,000,000 3,000,000 3,000,000 12,097,000 5,788,000 803,000 312,000 5,240,000 27,000 598,000 515,000 4,947,000 239,000 338,000 5,472,000 2,803,000 263,000 237,000 1,132,000 539,000 129,000 199,000 96,000 
          payment of contingent consideration obligation
                                                 -21,000,000 -8,000,000                     
          gain on settlement of contingent consideration
                                                  -27,000,000 -10,000,000                     
          health insurer fee paid
                                                                         
          impairment loss
                                                                       
          gain on sale of investment in convertible note
                                                                        
          equity issued in connection with acquisition
                                                      58,041,000 132,371,000 -13,000               
          net decrease in cash and cash equivalents
                                                           -42,079,000 -113,161,000            -53,663,000 
          gain on sale of investments
                                                             -24,000    -74,000 -106,000 11,000 -118,000     
          gain on sale of uhp
                                                                         
          proceeds from asset sales
                                                                     13,420,000 
          contribution from (to) noncontrolling interest
                                                                         
          supplemental disclosure of non-cash investing and financing activities:
                                                                         
          adjustments to reconcile net earnings to net cash from operating activities:
                                                                         
          (gain) on sale of uhp
                                                                     -8,201,000 
          impairment loss on casenet, llc
                                                                         
          changes in assets and liabilities:
                                                                         
          medical claims liability
                                                                         
          capital expenditures of centene center llc
                                                                 -708,000 -623,000 -2,227,000 -1,157,000     
          purchase of investments
                                                                         
          investments in acquisitions, net of cash acquired, and investment in equity method investee
                                                                         
          distributions from (to) noncontrolling interest
                                                                         
          impairment of investment
                                                                         
          contributions from (distributions to) noncontrolling interest
                                                                  325,000       
          distributions to noncontrolling interest
                                                                       -1,255,000 -3,585,000 
          (gain) loss on sale of investments
                                                                        -3,547,000 
          distributions (to) from noncontrolling interest
                                                                        
          loss on sale of investments
                                                                      -2,344,000   
          gain on sale of firstguard missouri
                                                                         
          property acquired under capital lease obligation