CENTENE CORP

CNC 10-K · Q4 2025
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Income Statement

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Income Statement
Metric Q4 2025 Q4 2024 YoY
Revenue 44,727 36,296 +23.2%
Show Product Lines breakouts
Health Care Premium 43,978 35,519 +23.8%
Health Care Premium · All Other Segments 557 521 +6.9%
Health Care Premium · Commercial 10,792 8,722 +23.7%
Health Care Premium · Medicaid 23,019 20,800 +10.7%
Health Care Premium · Medicare 9,610 5,476 +75.5%
Premium and service revenues 44,727 36,296 +23.2%
Premium and service revenues · All Other Segments 1,280 1,272 +0.6%
Premium and service revenues · Commercial 10,792 8,723 +23.7%
Premium and service revenues · Medicaid 23,045 20,825 +10.7%
Premium and service revenues · Medicare 9,610 5,476 +75.5%
Service 749 777 -3.6%
Service · All Other Segments 723 751 -3.7%
Service · Commercial 0 1 -100.0%
Service · Medicaid 26 25 +4.0%
Premium Tax Revenue 4,998 4,509 +10.8%
Show Business Segments breakouts
Medicaid · Operating Segments 4,998 4,509 +10.8%
Revenue 49,725 40,805 +21.9%
Show Business Segments breakouts
All Other Segments 1,280 1,272 +0.6%
All Other Segments · Intersegment Elimination -4,529 -4,428 -2.3%
All Other Segments · Operating Segments 4,529 4,428 +2.3%
Commercial 10,792 8,723 +23.7%
Medicaid 28,043 25,334 +10.7%
Medicare 9,610 5,476 +75.5%
Show Consolidation Items breakouts
Intersegment Elimination -4,529 -4,428 -2.3%
Operating Segments 4,529 4,428 +2.3%
Policyholder Benefits And Claims Incurred Net 41,489 31,809 +30.4%
Show Business Segments breakouts
All Other Segments 550 492 +11.8%
Commercial 10,295 7,134 +44.3%
Medicaid 21,412 19,436 +10.2%
Medicare 9,232 4,747 +94.5%
Cost of Revenue 680 688 -1.2%
Show Business Segments breakouts
All Other Segments 656 665 -1.4%
Medicaid 24 23 +4.3%
Selling, General & Administrative 3,370 3,231 +4.3%
Depreciation 160 141 +13.5%
Amortization Of Intangible Assets 169 173 -2.3%
Premium Tax Expense 5,089 4,588 +10.9%
Asset Impairment Charges 513 0 —
Total Costs & Expenses 51,470 40,630 +26.7%
Operating Income -1,745 175 -1097.1%
Investment Income Nonoperating 369 344 +7.3%
Interest Expense -168 -172 +2.3%
Income Before Taxes -1,543 347 -544.7%
Income Tax Expense (Benefit) -443 67 -761.2%
Net Income -1,100 280 -492.9%
Net Income Loss Attributable To Noncontrolling Interest -1 3 -133.3%
Net Income -1,101 283 -489.0%
EPS (Basic) -2.24 0.62 -461.3%
EPS (Diluted) -2.24 0.62 -461.3%
Wtd Avg Shares (Basic) -528 -7,122 +92.6%
Wtd Avg Shares (Diluted) -528 -7,171 +92.6%
Gross Profit 2,558 3,799 -32.7%
Show Business Segments breakouts
All Other Segments 74 115 -35.7%
Commercial 497 1,589 -68.7%
Medicaid 1,609 1,366 +17.8%
Medicare 378 729 -48.1%
Other Non-Operating Income (Expense) 202 172 +17.4%
Comprehensive Income -1,059 5 -21280.0%
Liability For Unpaid Claims And Claims Adjustment Expense Incurred Claims1 41,771 31,962 +30.7%
Show Business Segments breakouts
All Other Segments 550 492 +11.8%
Commercial 10,295 7,134 +44.3%
Medicaid 21,412 19,436 +10.2%
Medicare 9,514 4,900 +94.2%
Revenue From Contract With Customer Including Assessed Tax 49,725 40,805 +21.9%
Show Business Segments breakouts
All Other Segments · Operating Segments 1,280 1,272 +0.6%
Commercial · Operating Segments 10,792 8,723 +23.7%
Medicaid · Operating Segments 28,043 25,334 +10.7%
Medicare · Operating Segments 9,610 5,476 +75.5%

Balance Sheet

Balance Sheet
Metric Q4 2025 Q4 2024 YoY
Current Assets
Cash & Cash Equivalents 17,888 14,063 +27.2%
Premiums And Other Receivables Net 18,105 19,713 -8.2%
Short-Term Investments 2,432 2,622 -7.2%
Other Assets Current 1,945 1,601 +21.5%
Show Consolidated Entities breakouts
Parent Company 1 9 -88.9%
Total Current Assets 40,370 37,999 +6.2%
Show Consolidated Entities breakouts
Parent Company 1 16 -93.8%
Non-Current Assets
Long Term Investments 17,035 17,429 -2.3%
Show Consolidated Entities breakouts
Parent Company 251 206 +21.8%
Other Restricted Assets Noncurrent 1,412 1,390 +1.6%
Property, Plant & Equipment 2,037 2,067 -1.5%
Goodwill 10,835 17,558 -38.3%
Show Business Segments breakouts
All Other Segments 19 344 -94.5%
Commercial 5,212 5,424 -3.9%
Medicaid 4,012 10,198 -60.7%
Medicare 1,592 1,592 0.0%
Other Non-Current Assets 528 593 -11.0%
Show Consolidated Entities breakouts
Parent Company 104 85 +22.4%
Total Assets 76,747 82,445 -6.9%
Show Consolidated Entities breakouts
Parent Company 37,801 45,455 -16.8%
Operating Lease Right-of-Use Assets 317 359 -11.7%
Intangible Assets 4,530 5,409 -16.3%
Other Assets
Intangible Assets Net Excluding Goodwill 4,530 5,409 -16.3%
Current Liabilities
Liability For Claims And Claims Adjustment Expense 20,544 18,308 +12.2%
Show Business Segments breakouts
All Other Segments 85 188 -54.8%
Commercial 5,683 4,463 +27.3%
Medicaid 10,375 10,299 +0.7%
Medicare 4,401 3,358 +31.1%
Accounts Payable And Accrued Liabilities Current 13,774 13,174 +4.6%
Returnof Premium Payable 1,592 2,008 -20.7%
Deferred Revenue (Current) 736 661 +11.3%
Current Portion of Long-Term Debt 50 110 -54.5%
Show Consolidated Entities breakouts
Parent Company 50 110 -54.5%
Total Current Liabilities 36,696 34,261 +7.1%
Show Consolidated Entities breakouts
Parent Company 222 353 -37.1%
Non-Current Liabilities
Long-Term Debt 17,351 18,423 -5.8%
Show Consolidated Entities breakouts
Parent Company 17,351 18,423 -5.8%
Deferred Tax Liabilities 833 684 +21.8%
Other Non-Current Liabilities 1,811 2,567 -29.5%
Show Consolidated Entities breakouts
Parent Company 172 169 +1.8%
Total Liabilities 56,691 55,935 +1.4%
Show Consolidated Entities breakouts
Parent Company 17,745 18,945 -6.3%
Long-Term Debt 17,493 — —
Operating Lease Liabilities 615 738 -16.7%
Other Liabilities
Redeemable Noncontrolling Interest Equity Carrying Amount 23 10 +130.0%
Show Consolidated Entities breakouts
Parent Company 23 10 +130.0%
Stockholders' Equity
Common Stock 1 1 0.0%
Show Consolidated Entities breakouts
Parent Company 1 1 0.0%
Additional Paid In Capital Common Stock 20,777 20,562 +1.0%
Show Consolidated Entities breakouts
Parent Company 20,777 20,562 +1.0%
Accumulated Other Comprehensive Income -58 -504 +88.5%
Show Consolidated Entities breakouts
Parent Company -58 -504 +88.5%
Retained Earnings 8,674 15,348 -43.5%
Show Consolidated Entities breakouts
Parent Company 8,674 15,348 -43.5%
Treasury Stock Common Value -9,441 -8,997 -4.9%
Total Stockholders' Equity 19,953 26,410 -24.4%
Show Consolidated Entities breakouts
Parent Company 19,953 26,410 -24.4%
Minority Interest 80 90 -11.1%
Show Consolidated Entities breakouts
Parent Company 80 90 -11.1%
Stockholders Equity Including Portion Attributable To Noncontrolling Interest 20,033 26,500 -24.4%
Show Equity Components breakouts
Accumulated Other Comprehensive Income -58 -504 +88.5%
Additional Paid In Capital 20,777 20,562 +1.0%
Common Stock 1 1 0.0%
Noncontrolling Interest 80 90 -11.1%
Retained Earnings 8,674 15,348 -43.5%
Treasury Stock Common -9,441 -8,997 -4.9%
Show Consolidated Entities breakouts
Parent Company 20,033 26,500 -24.4%
Total Liabilities & Equity 76,747 82,445 -6.9%
Show Consolidated Entities breakouts
Parent Company 37,801 45,455 -16.8%

Cash Flow Statement

Cash Flow Statement
Metric YTD Q4 2025 YTD Q4 2024 YoY
Operating Activities
Depreciation And Amortization 329 314 +4.8%
Stock-Based Compensation 58 31 +87.1%
Deferred Income Taxes -73 -1 -7200.0%
Gain Loss On Sale Of Business -12 -17 +29.4%
Increase Decrease In Premiums Receivable 4,818 -1,596 +401.9%
Increase Decrease In Other Operating Assets 15 -32 +146.9%
Increase Decrease In Health Care Insurance Liabilities -840 373 -325.2%
Change in Deferred Revenue 85 4 +2025.0%
Increase Decrease In Accounts Payable And Accrued Liabilities -3,338 -25 -13252.0%
Change in Other Liabilities -84 14 -700.0%
Other Operating Activities Cash Flow Statement 67 68 -1.5%
Net Cash from Operations 437 -587 +174.4%
Investing Activities
Capital Expenditures -213 -154 -38.3%
Payments To Acquire Investments -776 -1,413 +45.1%
Proceeds From Sale Maturity And Collections Of Investments 1,649 1,638 +0.7%
Net Cash from Investing 660 102 +547.1%
Financing Activities
Proceeds From Issuance Of Long Term Debt 0 950 -100.0%
Repayments Of Long Term Debt -187 -28 -567.9%
Share Repurchases -2 -943 +99.8%
Proceeds From Issuance Of Common Stock 8 9 -11.1%
Proceeds From Payments For Other Financing Activities -6 -1 -500.0%
Net Cash from Financing -187 -13 -1338.5%
Supplemental
Interest Paid 189 193 -2.1%
Income Taxes Paid -92 181 -150.8%
Other Cash Flow
Net Change in Cash 910 -497 +283.1%
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Disposal Group Including Discontinued Operations -138 — —
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents 17,957 14,156 +26.9%
Restricted Cash And Cash Equivalents 69 93 -25.8%

Values in millions USD. Source: SEC EDGAR 10-K filing.

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