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Condensed Financial Information of Registrant (Tables) - Parent Company
 12 Months Ended
Dec. 31, 2018
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,
 
2018
 
2017
ASSETS
 
 
 
Current assets:
 
 
 
Cash and cash equivalents
$
6

 
$
6

Short-term investments, at fair value (amortized cost $2 and $2, respectively)
2

 
2

Other current assets
61

 
46

Total current assets
69

 
54

Long-term investments, at fair value (amortized cost $14 and $17, respectively)
14

 
17

Investment in subsidiaries
17,409

 
11,303

Other long-term assets
278

 
302

Total assets
$
17,770

 
$
11,676

 
 
 
 
LIABILITIES, REDEEMABLE NONCONTROLLING INTERESTS AND STOCKHOLDERS' EQUITY
 
 
 
Current liabilities
$
109

 
$
100

Long-term debt
6,521

 
4,624

Other long-term liabilities
117

 
76

Total liabilities
6,747

 
4,800

 
 
 
 
Redeemable noncontrolling interest
10

 
12

 
 
 
 
Stockholders' equity:
 
 
 
Preferred stock, $.001 par value; authorized 10,000 shares; no shares issued or outstanding at December 31, 2018 and December 31, 2017
—

 
—

Common stock, $.001 par value; authorized 800,000 shares; 417,695 issued and 412,478 outstanding at December 31, 2018, and 360,758 issued and 346,874 outstanding at December 31, 2017
—

 
—

Additional paid-in capital
7,449

 
4,349

Accumulated other comprehensive loss
(56
)
 
(3
)
Retained earnings
3,663

 
2,748

Treasury stock, at cost (5,217 and 13,884 shares, respectively)
(139
)
 
(244
)
Total Centene stockholders' equity
10,917

 
6,850

Noncontrolling interest
96

 
14

Total stockholders' equity
11,013

 
6,864

Total liabilities, redeemable noncontrolling interests and stockholders' equity
$
17,770

 
$
11,676
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,
 
2018
 
2017
 
2016
Expenses:
 
 
 
 
 
Selling, general and administrative expenses
$
24

 
$
6

 
$
5

Other income (expense):
 
 
 
 
 
Investment and other income
3

 
2

 
2

Interest expense
(334
)
 
(247
)
 
(201
)
Earnings (loss) before income taxes
(355
)
 
(251
)
 
(204
)
Income tax benefit
(64
)
 
(114
)
 
(76
)
Net earnings (loss) before equity in subsidiaries
(291
)
 
(137
)
 
(128
)
Equity in earnings from subsidiaries
1,185

 
945

 
689

Net earnings
894

 
808

 
561

Loss attributable to noncontrolling interests
6

 
20

 
1

Net earnings attributable to Centene
$
900

 
$
828

 
$
562

 
 
 
 
 
 
Net earnings per share:
 
 
 
 
 
Basic earnings per common share
$
2.31

 
$
2.40

 
$
1.76

Diluted earnings per common share
$
2.26

 
$
2.34

 
$
1.71
Condensed Statements Of Cash Flows
Centene Corporation (Parent Company Only)
Condensed Statements of Cash Flows
(In millions)

 
Year Ended December 31,
 
2018
 
2017
 
2016
Cash flows from operating activities:
 
 
 
 
 
Dividends from subsidiaries, return on investment
$
464

 
$
292

 
$
25

Other operating activities, net
(317
)
 
(132
)
 
(71
)
Net cash (used in) provided by operating activities
147

 
160

 
(46
)
Cash flows from investing activities:
 
 
 
 
 
Capital contributions to subsidiaries
(681
)
 
(339
)
 
(691
)
Purchases of investments
(23
)
 
(38
)
 
(112
)
Sales and maturities of investments
7

 
4

 
169

Dividends from subsidiaries, return of investment
11

 
28

 
100

Investments in acquisitions
(4,226
)
 
(59
)
 
(2,248
)
Intercompany activities
215

 
322

 
(575
)
Other investing activities, net
—

 
(1
)
 
—

Net cash used in investing activities
(4,697
)
 
(83
)
 
(3,357
)
Cash flows from financing activities:
 
 
 
 
 
Proceeds from the issuance of common stock
2,778

 
—

 
—

Proceeds from borrowings
6,014

 
1,400

 
8,934

Payment of long-term debt
(4,080
)
 
(1,350
)
 
(5,377
)
Common stock repurchases
(71
)
 
(65
)
 
(63
)
Debt issuance costs
(25
)
 
—

 
(76
)
Purchase of noncontrolling interest
(76
)
 
(66
)
 
(14
)
Other financing activities, net
10

 
5

 
—

Net cash provided by (used in) financing activities
4,550

 
(76
)
 
3,404

Net increase in cash and cash equivalents
—

 
1

 
1

Cash and cash equivalents, beginning of period
6

 
5

 
4

Cash and cash equivalents, end of period
$
6

 
$
6

 
$
5