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Condensed Financial Information of Registrant
 12 Months Ended
Dec. 31, 2022
Condensed Financial Information Disclosure [Abstract]  
Condensed Financial Information of Registrant Condensed Financial Information of Registrant
Centene Corporation (Parent Company Only)
Condensed Balance Sheets
(In millions, except shares in thousands and per share data in dollars)
 December 31, 2022December 31, 2021
ASSETS  
Current assets:  
Cash and cash equivalents$12 $9 
Short-term investments— 1 
Other current assets6 738 
Total current assets18 748 
Long-term investments66 128 
Investment in subsidiaries42,306 45,117 
Other long-term assets422 271 
Total assets$42,812 $46,264 
LIABILITIES, REDEEMABLE NONCONTROLLING INTERESTS AND STOCKHOLDERS' EQUITY  
Current liabilities:
Current liabilities$534 $619 
Current portion of long-term debt69 14 
Total current liabilities603 633 
Long-term debt17,699 18,148 
Other long-term liabilities273 461 
Total liabilities18,575 19,242 
Redeemable noncontrolling interest56 82 
Stockholders' equity:  
Preferred stock, $0.001 par value; authorized 10,000 shares; no shares issued or outstanding at December 31, 2022 and December 31, 2021
— — 
Common stock, $0.001 par value; authorized 800,000 shares; 607,847 issued and 550,754 outstanding at December 31, 2022, and 602,704 issued and 582,479 outstanding at December 31, 2021
1 1 
Additional paid-in capital20,060 19,672 
Accumulated other comprehensive earnings (loss)(1,132)77 
Retained earnings9,341 8,139 
Treasury stock, at cost (57,093 and 20,225 shares, respectively)
(4,213)(1,094)
Total Centene stockholders' equity24,057 26,795 
Noncontrolling interest124 145 
Total stockholders' equity24,181 26,940 
Total liabilities, redeemable noncontrolling interests and stockholders' equity$42,812 $46,264 

See notes to condensed financial information of registrant.
Centene Corporation (Parent Company Only)
Condensed Statements of Operations
(In millions, except per share data in dollars)
Year Ended December 31,
 202220212020
Expenses:   
Selling, general and administrative expenses$21 $9 $13 
Contingent consideration— — (1)
Legal settlement33 1,116 — 
Other income (expense):   
Investment and other income55 38 5 
Gain on divestiture13 118 104 
Debt extinguishment 14 (125)(61)
Interest expense(643)(641)(723)
(Loss) before income taxes(615)(1,735)(687)
Income tax benefit(208)(308)(331)
Net (loss) before equity in subsidiaries(407)(1,427)(356)
Equity in earnings from subsidiaries1,609 2,763 2,150 
Net earnings1,202 1,336 1,794 
Loss attributable to noncontrolling interests— 11 14 
Net earnings attributable to Centene Corporation$1,202 $1,347 $1,808 
Net earnings per common share attributable to Centene Corporation:   
Basic earnings per common share$2.09 $2.31 $3.17 
Diluted earnings per common share$2.07 $2.28 $3.12 

See notes to condensed financial information of registrant.
Centene Corporation (Parent Company Only)
Condensed Statements of Cash Flows
(In millions)
 Year Ended December 31,
 202220212020
Cash flows from operating activities:   
Dividends from subsidiaries, return on investment$1,706 $2,194 $739 
Payments for legal settlement(282)(298)— 
Other operating activities, net(450)(582)(287)
Net cash provided by operating activities974 1,314 452 
Cash flows from investing activities:   
Capital contributions to subsidiaries(880)(1,217)(761)
Purchases of investments(2)(723)(111)
Sales and maturities of investments— 66 11 
Dividends from subsidiaries, return of investment10 241 87 
Investments in acquisitions(2,431)(151)(7,188)
Proceeds from divestitures— 130 533 
Intercompany activities5,785 (1,709)1,185 
Other investing activities, net3 — (12)
Net cash (used in) provided by investing activities2,485 (3,363)(6,256)
Cash flows from financing activities:   
Proceeds from common stock issuances70 35 28 
Proceeds from long-term debt75 9,066 4,870 
Payments and repurchases of long-term debt(491)(7,207)(3,875)
Common stock repurchases(3,096)(297)(626)
Payments for debt extinguishment(14)(157)(81)
Debt issuance costs— (72)(120)
Other financing activities, net— 22 19 
Net cash (used in) provided by financing activities(3,456)1,390 215 
Net increase (decrease) in cash and cash equivalents3 (659)(5,589)
Cash and cash equivalents, beginning of period
9 668 6,257 
Cash and cash equivalents, end of period
$12 $9 $668 

See notes to condensed financial information of registrant.
Notes to Condensed Financial Information of Registrant

Note A - Basis of Presentation and Significant Accounting Policies

The parent company only financial statements should be read in conjunction with Centene Corporation's audited consolidated financial statements and the notes to consolidated financial statements included in this Form 10-K.
    
The parent company's investment in subsidiaries is stated at cost plus equity in undistributed earnings of the subsidiaries. The parent company's share of net income of its unconsolidated subsidiaries is included in income using the equity method of accounting. Certain unrestricted subsidiaries receive monthly management fees from the Company's restricted subsidiaries. The management and service fees received by its unrestricted subsidiaries are associated with all of the functions required to manage the restricted subsidiaries including but not limited to salaries and wages for all personnel, rent, utilities, population health management, provider contracting, compliance, member services, claims processing, information technology, cash management, finance and accounting, and other services. The management fees are based either on a percentage of the restricted subsidiaries' revenue or a cost basis reimbursement.

Due to the Company's centralized cash management function, cash flows generated by its unrestricted subsidiaries are utilized by the parent company to the extent required, primarily to repay borrowings on the parent company's credit facilities, repurchase the parent company's common stock, make acquisitions, fund capital contributions to subsidiaries, and fund its operations.

Certain amounts presented in the parent company only financial statements are eliminated in the consolidated financial statements of Centene Corporation.