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Condensed Financial Information of Registrant (Tables)
12 Months Ended
Dec. 31, 2021
Condensed Financial Information Disclosure [Abstract]  
Condensed Balance Sheets
Centene Corporation (Parent Company Only)
Condensed Balance Sheets
(In millions, except shares in thousands and per share data in dollars)
December 31,
 20212020
ASSETS  
Current assets:  
Cash and cash equivalents$$668 
Short-term investments
Other current assets738 24 
Total current assets748 693 
Long-term investments128 129 
Investment in subsidiaries45,117 41,565 
Other long-term assets271 101 
Total assets$46,264 $42,488 
LIABILITIES, REDEEMABLE NONCONTROLLING INTERESTS AND STOCKHOLDERS' EQUITY  
Current liabilities:
Current liabilities$619 $133 
Current portion of long-term debt14 — 
Total current liabilities633 133 
Long-term debt18,148 16,393 
Other long-term liabilities461 — 
Total liabilities19,242 16,526 
Redeemable noncontrolling interest82 77 
Stockholders' equity:  
Preferred stock, $0.001 par value; authorized 10,000 shares; no shares issued or outstanding at December 31, 2021 and December 31, 2020
— — 
Common stock, $0.001 par value; authorized 800,000 shares; 602,704 issued and 582,479 outstanding at December 31, 2021, and 598,249 issued and 581,479 outstanding at December 31, 2020
Additional paid-in capital19,672 19,459 
Accumulated other comprehensive earnings77 337 
Retained earnings8,139 6,792 
Treasury stock, at cost (20,225 and 16,770 shares, respectively)
(1,094)(816)
Total Centene stockholders' equity26,795 25,773 
Noncontrolling interest145 112 
Total stockholders' equity26,940 25,885 
Total liabilities, redeemable noncontrolling interests and stockholders' equity$46,264 $42,488 
Condensed Statements Of Operations
Centene Corporation (Parent Company Only)
Condensed Statements of Operations
(In millions, except per share data in dollars)
 
Year Ended December 31,
 202120202019
Expenses:   
Selling, general and administrative expenses$$13 $11 
Contingent consideration— (1)(24)
Legal settlement1,116 — — 
Other income (expense):   
Investment and other income38 11 
Gain on divestiture118 104 — 
Debt extinguishment costs(125)(61)(30)
Interest expense(641)(723)(394)
Loss before income taxes(1,735)(687)(400)
Income tax benefit(308)(331)(172)
Net (loss) before equity in subsidiaries(1,427)(356)(228)
Equity in earnings from subsidiaries2,763 2,150 1,537 
Net earnings1,336 1,794 1,309 
Loss attributable to noncontrolling interests11 14 12 
Net earnings attributable to Centene$1,347 $1,808 $1,321 
Net earnings per share:   
Basic earnings per common share$2.31 $3.17 $3.19 
Diluted earnings per common share$2.28 $3.12 $3.14 
Condensed Statements Of Cash Flows
Centene Corporation (Parent Company Only)
Condensed Statements of Cash Flows
(In millions)
 Year Ended December 31,
 202120202019
Cash flows from operating activities:   
Dividends from subsidiaries, return on investment$2,194 $739 $429 
Payments for legal settlement(298)— — 
Other operating activities, net(582)(287)(231)
Net cash provided by operating activities1,314 452 198 
Cash flows from investing activities:   
Capital contributions to subsidiaries(1,217)(761)(731)
Purchases of investments(723)(111)(124)
Sales and maturities of investments66 11 — 
Dividends from subsidiaries, return of investment241 87 291 
Investments in acquisitions(151)(7,188)(302)
Proceeds from divestitures, net130 533 — 
Intercompany activities(1,709)1,185 140 
Other investing activities, net— (12)— 
Net cash used in investing activities(3,363)(6,256)(726)
Cash flows from financing activities:   
Proceeds from long-term debt9,066 4,870 24,647 
Payments of long-term debt(7,207)(3,875)(17,778)
Common stock repurchases(297)(626)(75)
Payments for debt extinguishment(157)(81)(23)
Debt issuance costs(72)(120)(25)
Other financing activities, net57 47 33 
Net cash provided by financing activities1,390 215 6,779 
Net increase (decrease) in cash and cash equivalents(659)(5,589)6,251 
Cash and cash equivalents, beginning of period
668 6,257 
Cash and cash equivalents, end of period
$$668 $6,257