CENTENE CORP

10-K & 10-Q Filings

Centene Corporation is a leading provider of government-sponsored healthcare services in the United States. The company's mission is to transform the health of the communities it serves, one person at a time. Centene provides access to high-quality healthcare through Medicaid, Medicare, and commercial products. The company operates in four segments: Medicaid, Medicare, Commercial, and Other. In 2023, these segments accounted for 66%, 14%, 16%, and 4% of the company's total external revenues, respectively. Centene's membership totaled 27.5 million as of December 31, 2023. The company was organized in Delaware in 2001 and its stock is publicly traded on the New York Stock Exchange under the ticker symbol "CNC." Centene's business strategy is focused on improving health and health care for low-income and complex populations. The company operates in a full spectrum of managed healthcare products and services, primarily through Medicaid, Medicare, and commercial products. Medicaid is the largest publicly funded health insurance program in the United States and covers low-income families and individuals with disabilities. The Medicaid market is projected to grow significantly due to increasing enrollment and expanding eligibility. Centene is the largest Medicaid health insurer in the country, serving over 14 million Medicaid recipients in 30 states. Medicare is the federal health insurance program for people ages 65 and over, as well as those under 65 with certain disabilities and end-stage renal disease. Medicare consists of four parts, including Medicare Advantage, which allows beneficiaries to receive their Medicare benefits through MCOs. Medicare spending is projected to increase significantly in the coming years, creating a notable market opportunity for MCOs. Centene serves 1.3 million Medicare Advantage members across 36 states. Centene also offers Medicare Prescription Drug Plans (PDPs) and commercial health insurance products through the Health Insurance Marketplace. The company's international businesses, Operose Health Group and Circle Health Group, were divested in December 2023 and January 2024, respectively. Centene's website is centene.com.

12 mos ending Dec 31, 201112 mos ending Dec 31, 201212 mos ending Dec 31, 201312 mos ending Dec 31, 201412 mos ending Dec 31, 201512 mos ending Dec 31, 201612 mos ending Dec 31, 201712 mos ending Dec 31, 201812 mos ending Dec 31, 201912 mos ending Dec 31, 202012 mos ending Dec 31, 202112 mos ending Dec 31, 202212 mos ending Dec 31, 20233 mos ending Mar 31, 20233 mos ending Mar 31, 2024CAGR %YoY %Revenue (+)
$5340.58
8667.61
10863.33
16560.00
22760.00
40607.00
48382.00
60116.00
74639.00
111115.00
125982.00
144547.00
153999.00
38889.00
40407.00
32.33%3.90%Premiums Earned (+)
$5077.24
8126.20
10153.46
14198.00
19389.00
35399.00
43353.00
Cost of Revenue (-)
$78.11
87.70
326.92
1280.00
1621.00
1864.00
1847.00
2386.00
2465.00
3303.00
4894.00
7032.00
3564.00
870.00
669.00
37.49%-23.10%Selling, General & Administrative (-)
$587.00
704.60
931.14
1314.00
1826.00
3676.00
4446.00
6043.00
6533.00
9867.00
10166.00
11589.00
12563.00
3011.00
3218.00
29.08%6.87%Depreciation & Amortization (-)
$
147.00
156.00
211.00
258.00
719.00
770.00
1431.00
1293.00
325.00
308.00
-5.23%Non-recurring Operating Expenses (-)
$
72.00
229.00
2318.00
529.00
20.00
13.00
-35.00%Operating Expenses (-)
$5072.14
8607.03
10258.99
14816.00
20434.00
37483.00
45336.00
56272.00
70393.00
104730.00
119304.00
136197.00
147505.00
36801.00
38632.00
32.42%4.98%Costs & Expenses (Total) (-)
$5150.26
8694.73
10585.91
16096.00
22055.00
39347.00
47183.00
58658.00
72858.00
108033.00
124198.00
143229.00
151069.00
37671.00
39301.00
32.52%4.33%Operating Income/Loss (+)
$190.32
-27.12
277.42
464.00
705.00
1260.00
1199.00
1458.00
1781.00
3082.00
1784.00
1318.00
2930.00
1218.00
1106.00
25.59%-9.20%Non-operating Income/Expense (+)
$4.88
35.96
18.46
28.00
35.00
114.00
190.00
253.00
413.00
419.00
694.00
1309.00
1393.00
353.00
545.00
60.18%54.39%Interest Expense (-)
$20.32
20.46
26.96
35.00
43.00
217.00
255.00
343.00
412.00
728.00
665.00
665.00
725.00
180.00
178.00
34.70%-1.11%Earnings before Tax (+)
$174.88
-11.62
268.92
457.00
697.00
1157.00
1134.00
1368.00
1782.00
2773.00
1813.00
1962.00
3598.00
1391.00
1473.00
28.66%5.90%Tax Expense (-)
$66.52
-0.33
107.08
196.00
339.00
599.00
326.00
474.00
473.00
979.00
477.00
760.00
899.00
261.00
315.00
24.23%20.69%Income/Loss (Continuing Operations) (+)
$108.36
-11.29
161.84
261.00
358.00
558.00
808.00
894.00
1309.00
1794.00
1336.00
1202.00
2699.00
1130.00
1158.00
30.73%2.48%Income/Loss (Discontinued Operations) (+)
$
-1.00
3.00
Profit/Loss (+)
$108.36
-11.29
165.72
264.00
357.00
561.00
808.00
894.00
1309.00
1794.00
1336.00
1202.00
2699.00
1130.00
1158.00
30.73%2.48%Net Income/Loss (NCI) (-)
$-2.85
-13.15
0.62
-7.00
2.00
-1.00
-20.00
-6.00
-12.00
-14.00
-11.00
-3.00
-5.00
Net Income/Loss (+)
$111.22
1.86
165.10
271.00
355.00
562.00
828.00
900.00
1321.00
1808.00
1347.00
1202.00
2702.00
1130.00
1163.00
30.45%2.92%Net Income/Loss (Common) (+)
$111.22
1.86
165.10
271.00
355.00
562.00
828.00
900.00
1321.00
1808.00
1347.00
1202.00
2702.00
1130.00
1163.00
30.45%2.92%EPS (Basic)
$2.22
0.04
3.05
2.33
2.98
3.52
4.80
2.31
3.19
3.17
2.31
2.09
4.97
2.05
2.17
6.95%5.85%EPS (Diluted)
$2.12
0.03
2.94
2.25
2.88
3.43
4.69
2.26
3.14
3.12
2.28
2.07
4.95
2.04
2.16
7.32%5.88%Weighted Avg Shares (Basic)
50.20
51.51
54.13
116.35
119.10
159.57
173.50
413.17
413.49
570.72
582.83
575.19
543.32
550.78
535.11
21.95%-2.85%Weighted Avg Shares (Diluted)
52.47
53.71
56.25
120.36
123.07
163.98
420.41
579.13
590.52
582.04
545.70
553.85
538.06
21.55%-2.85%Cash
$
843.95
974.30
1546.00
1760.00
3930.00
4072.00
5342.00
12123.00
10800.00
13118.00
12074.00
17193.00
15853.00
17585.00
10.93%Short-term Investments
$130.50
139.12
102.13
177.00
176.00
505.00
531.00
722.00
863.00
1580.00
1539.00
2321.00
2459.00
2135.00
2082.00
27.72%-2.48%Receivables
$157.45
263.45
428.57
912.00
1279.00
3098.00
3413.00
5150.00
6247.00
9696.00
12238.00
13272.00
15532.00
15210.00
16824.00
46.61%10.61%Securities & Long-term Investments
$532.96
649.52
838.85
1380.00
2042.00
4683.00
5447.00
7416.00
8375.00
13913.00
15111.00
15901.00
17672.00
17146.00
17879.00
33.88%4.28%Property, Plant & Equipment (Net)
$349.62
377.73
395.41
445.00
518.00
797.00
1104.00
1706.00
2121.00
2774.00
3391.00
2432.00
2019.00
2478.00
1988.00
15.73%-19.77%Goodwill & Intangibles
$309.41
276.56
397.21
874.00
997.00
6257.00
6147.00
9254.00
8926.00
27040.00
27595.00
25723.00
23659.00
25566.00
23486.00
43.53%-8.14%Other Assets
$710.40
191.36
392.84
504.00
567.00
927.00
1141.00
1311.00
2339.00
2916.00
5383.00
5147.00
6107.00
4594.00
2780.00
19.64%-39.49%Assets (Total)
$2190.34
2741.68
3529.30
5838.00
7339.00
20197.00
21855.00
30901.00
40994.00
68719.00
78375.00
76870.00
84641.00
82982.00
82624.00
35.60%-0.43%Accounts Payable
$216.50
191.34
375.86
751.00
976.00
3763.00
4165.00
4051.00
4164.00
7069.00
8493.00
9525.00
16420.00
10781.00
12130.00
43.44%12.51%Debt (Current)
$3.23
3.37
3.06
5.00
5.00
4.00
4.00
38.00
88.00
97.00
267.00
82.00
119.00
97.00
113.00
35.05%16.49%Insurance Liabilities
$607.99
926.30
1111.71
1723.00
2298.00
3929.00
4286.00
6831.00
7473.00
12438.00
14243.00
16745.00
18000.00
17504.00
18109.00
32.62%3.46%Debt (Non-current)
$348.34
535.48
665.70
888.00
1216.00
4651.00
4695.00
6648.00
13638.00
16682.00
18571.00
17938.00
17710.00
18223.00
17887.00
38.73%-1.84%Other Liabilities
$77.85
131.42
129.53
728.00
676.00
1796.00
1829.00
2310.00
2939.00
6471.00
9779.00
8343.00
6436.00
11191.00
7321.00
44.47%-34.58%Liabilities (Total)
$1253.92
1787.91
2285.86
4095.00
5171.00
14143.00
14979.00
19878.00
28302.00
42757.00
51353.00
52633.00
58685.00
57796.00
55560.00
37.78%-3.87%Treasury Stock
$57.12
69.86
89.64
98.00
147.00
179.00
244.00
139.00
214.00
816.00
1094.00
4213.00
5856.00
4636.00
6007.00
47.08%29.57%Retained Earnings
$564.96
566.82
731.92
1003.00
1358.00
1920.00
2748.00
3663.00
4984.00
6792.00
8139.00
9341.00
12043.00
10471.00
13206.00
29.04%26.12%AOCI
$5.76
5.19
-2.62
-1.00
-10.00
-36.00
-3.00
-56.00
134.00
337.00
77.00
-1132.00
-652.00
-915.00
-630.00
31.15%Shareholder's Equity
$936.42
953.77
1243.44
1743.00
2168.00
5909.00
6864.00
11013.00
12659.00
25885.00
26940.00
24181.00
25937.00
25166.00
27048.00
31.89%7.48%Liabilities & Equity
$2190.34
2741.68
3529.30
5838.00
7339.00
20197.00
21855.00
30901.00
40994.00
68719.00
78375.00
76870.00
84641.00
82982.00
82624.00
35.60%-0.43%Net Income/Loss
$108.36
-11.29
165.72
264.00
357.00
561.00
808.00
894.00
1309.00
1794.00
1336.00
1202.00
2699.00
1130.00
1158.00
30.73%2.48%Depreciation & Amortization
$58.33
65.87
67.42
89.00
111.00
278.00
361.00
495.00
643.00
1259.00
1476.00
1553.00
1293.00
346.00
308.00
29.46%-10.98%Increase/Decrease in Working Capital
$-56.44
-212.47
-102.70
-768.00
-134.00
-770.00
-303.00
213.00
977.00
-2170.00
-1375.00
-2192.00
-3378.00
-2943.00
2009.00
168.26%Share-based Compensation
$18.17
25.33
36.66
48.00
71.00
148.00
135.00
145.00
177.00
281.00
203.00
234.00
216.00
61.00
70.00
22.91%14.75%Adjustments to Reconcile Net Income
$153.33
289.99
216.81
959.00
301.00
1290.00
681.00
340.00
174.00
3709.00
2869.00
5059.00
5354.00
3139.00
-1614.00
34.46%-151.42%Net Cash (Operating)
$261.70
278.69
382.53
1223.00
658.00
1851.00
1489.00
1234.00
1483.00
5503.00
4205.00
6261.00
8053.00
4269.00
-456.00
33.05%-110.68%Capital Expenditure
$78.08
96.57
130.61
239.00
168.00
1603.00
472.00
2730.00
766.00
4452.00
1376.00
-13.00
92.00
-218.00
-728.00
1.38%-233.94%Net Cash (Investing)
$-129.08
-187.91
-342.10
-848.00
-813.00
-2397.00
-1265.00
-4585.00
-1532.00
-6955.00
-3299.00
-2921.00
-1191.00
-253.00
852.00
436.76%Increase/Decrease in Debt
$2.90
182.27
138.41
201.00
342.00
2870.00
47.00
1994.00
6918.00
1040.00
1833.00
-1130.00
19.00
287.00
163.00
16.96%-43.21%Increase/Decrease in Equity
$8.01
3.17
4.43
-21.00
-40.00
-63.00
-65.00
2708.00
-75.00
-626.00
-297.00
-3026.00
-1589.00
-423.00
-137.00
67.61%Interest Expenses
$27.38
21.61
30.01
40.00
55.00
165.00
237.00
323.00
374.00
725.00
658.00
657.00
688.00
144.00
155.00
30.82%7.64%Net Cash (Financing)
$6.91
179.47
153.69
198.00
305.00
2717.00
-82.00
4612.00
6832.00
260.00
1362.00
-4197.00
-1658.00
-183.00
23.00
112.57%Cash Taxes Paid
$50.44
42.88
84.68
237.00
328.00
556.00
496.00
448.00
612.00
1191.00
678.00
1222.00
883.00
11.00
13.00
26.94%18.18%Effect of Exchange Rate
$
-1.00
-1.00
-2.00
18.00
-11.00
-11.00
-32.00
2.00
6.00
200.00%Increase/Decrease in Cash
$139.53
270.25
194.12
572.00
150.00
2170.00
142.00
1261.00
6781.00
-1174.00
2257.00
-868.00
5172.00
3835.00
425.00
35.13%-88.92%Cash (Beginning)
$434.17
573.70
843.95
1038.00
1610.00
1760.00
3930.00
4089.00
5350.00
12131.00
10957.00
13214.00
12330.00
12330.00
17452.00
32.16%41.54%Cash (Ending)
$573.70
843.95
1038.07
1610.00
1760.00
3930.00
4072.00
5350.00
12131.00
10957.00
13214.00
12330.00
17452.00
32018.00
35462.00
32.92%10.76%NOPAT
$135.43
-27.89
190.06
223.37
373.24
654.50
674.57
980.53
1169.34
1758.28
1116.85
497.10
2210.94
1208.37
1096.24
26.20%-9.28%Gross Margin %
98.54%
98.99%
96.99%
92.27%
92.88%
95.41%
96.18%
96.03%
96.70%
97.03%
96.12%
95.14%
97.69%
97.76%
98.34%
Operating Margin %
3.56%
-0.31%
2.55%
2.80%
3.10%
3.10%
2.48%
2.43%
2.39%
2.77%
1.42%
0.91%
1.90%
3.13%
2.74%
NOPAT Margin %
2.54%
-0.32%
1.75%
1.35%
1.64%
1.61%
1.39%
1.63%
1.57%
1.58%
0.89%
0.34%
1.44%
3.11%
2.71%
Net Margin %
2.08%
0.02%
1.52%
1.64%
1.56%
1.38%
1.71%
1.50%
1.77%
1.63%
1.07%
0.83%
1.75%
2.91%
2.88%
Tax Rate %
28.84%
-2.83%
31.49%
51.86%
47.06%
48.06%
43.74%
32.75%
34.34%
42.95%
37.40%
62.28%
24.54%
0.79%
0.88%
ROA
6.18%
-1.02%
5.39%
3.83%
5.09%
3.24%
3.09%
3.17%
2.85%
2.56%
1.43%
0.65%
2.61%
1.46%
1.33%
ROE
14.46%
-2.92%
15.28%
12.82%
17.22%
11.08%
9.83%
8.90%
9.24%
6.79%
4.15%
2.06%
8.52%
4.80%
4.05%
ROIC
20.55%
-1.78%
10.44%
7.38%
10.43%
6.34%
6.38%
5.63%
5.68%
4.07%
2.36%
1.13%
5.50%
3.32%
3.20%
Asset Turnover
2.44
3.16
3.08
2.84
3.10
2.01
2.21
1.95
1.82
1.62
1.61
1.88
1.82
0.47
0.49
Equity Multiplier
2.34
2.87
2.84
3.35
3.39
3.42
3.18
2.81
3.24
2.65
2.91
3.18
3.26
3.30
3.05
Current Ratio
1.31
6.40
3.97
3.49
3.28
2.00
1.92
2.74
4.52
3.08
3.07
2.88
2.13
3.05
2.98
Quick Ratio
1.31
6.40
3.97
3.49
3.28
2.00
1.92
2.74
4.52
3.08
3.07
2.88
2.13
3.05
2.98
Debt/Equity Ratio
0.38
0.56
0.54
0.51
0.56
0.79
0.68
0.61
1.08
0.65
0.70
0.75
0.69
0.73
0.67
Interest Coverage Ratio
6.95
-1.26
9.24
11.60
12.82
7.64
5.06
4.51
4.76
4.25
2.71
2.01
4.26
8.46
7.14
Working Capital/Sales
0.11
0.09
0.10
0.09
0.08
0.07
0.11
0.13
0.12
0.13
0.11
0.09
0.21
0.22
Total Payout
$16.48
-163.83
-112.83
-140.00
-247.00
-2642.00
255.00
-4379.00
-6469.00
311.00
-878.00
4813.00
2258.00
280.00
129.00
50.69%-53.93%Payout Ratio %
12.17%
-587.45%
-59.36%
-62.68%
-66.18%
-403.67%
37.80%
-446.60%
-553.22%
17.69%
-78.61%
968.21%
102.13%
23.17%
11.77%