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CONSOLIDATED BALANCE SHEETS - USD ($)
$ in Millions
Mar. 31, 2026
Dec. 31, 2025
Current assets:    
Cash and cash equivalents $ 21,264 $ 17,888
Premium and trade receivables 19,426 18,105
Short-term investments 2,477 2,432
Other current assets 1,822 1,945
Total current assets 44,989 40,370
Long-term investments 16,599 17,035
Restricted deposits 1,432 1,412
Property, software and equipment, net 2,090 2,037
Goodwill 10,835 10,835
Intangible assets, net 4,364 4,530
Other long-term assets 866 528
Total assets 81,175 76,747
Current liabilities:    
Medical claims liability 20,627 20,544
Accounts payable and accrued expenses 16,832 13,796
Return of premium payable 1,570 1,592
Unearned revenue 953 736
Current portion of long-term debt 63 50
Total current liabilities 40,045 36,718
Long-term debt 16,308 17,351
Deferred tax liability 744 833
Other long-term liabilities 2,551 1,789
Total liabilities 59,648 56,691
Commitments and contingencies
Redeemable noncontrolling interests 25 23
Stockholders' equity:    
Preferred stock, $0.001 par value; authorized 10,000 shares; no shares issued or outstanding at March 31, 2026 and December 31, 2025 0 0
Common stock, $0.001 par value; authorized 800,000 shares; 625,477 issued and 493,771 outstanding at March 31, 2026, and 623,463 issued and 491,757 outstanding at December 31, 2025 1 1
Additional paid-in capital 20,823 20,777
Accumulated other comprehensive (loss) (171) (58)
Retained earnings 10,215 8,674
Treasury stock, at cost (131,706 and 131,706 shares, respectively) (9,441) (9,441)
Total Centene stockholders' equity 21,427 19,953
Nonredeemable noncontrolling interest 75 80
Total stockholders' equity 21,502 20,033
Total liabilities, redeemable noncontrolling interests and stockholders' equity $ 81,175 $ 76,747