Income StatementBalance SheetCash FlowSegments
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Centene Cash Flow Statement

Operating, investing, and financing cash movements

Centene generated $7.9B in operating cash flow over the trailing twelve months. After $832.0M in capital expenditures, free cash flow was $7.1B. Free cash flow increased 3.8% year-over-year. Based on the Q1 2026 filing.

Net Cash From Operating (TTM)$7.9BNet Cash From Investing (TTM)$1.1BNet Cash From Financing (TTM)-$2.4BCapital Expenditures (TTM)$832.0MDepreciation And Amortization Cf (TTM)$1.3BNet Change In Cash (TTM)$6.6B
Latest FilingQ1 2026
Report Date2026-04-28
Market Cap$28.8B
ROE-26.12%

Investing

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Capital expenditures$154.0M$135.0M$208.0M$211.0M$213.0M$200.0M
Proceeds from disposition of marketable securities and other investments$1.6B$1.2B$1.3B$1.6B$1.6B$1.3B
Net cash from investing activities$0.0-$529.0M-$899.0M$1.2B$660.0M$89.0M
Proceeds from maturities/sales of investments$1.6B$1.2B$1.3B$1.6B$1.6B$1.3B
Purchases of investments$1.4B$1.6B$2.0B$172.0M$776.0M$987.0M

Operating

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Change in accounts payable-$25.0M$563.0M-$354.0M$2.5B-$3.3B$2.9B
Change in benefits payable$373.0M$1.6B$206.0M$1.4B—$95.0M
Change in deferred revenue$0.0$208.0M-$187.0M-$26.0M$85.0M$217.0M
Change in other assets—$669.0M-$126.0M-$298.0M$0.0$188.0M
Change in other liabilities—$814.0M$1.0B-$1.8B-$84.0M$849.0M
Other working capital changes$68.0M$5.0M-$5.0M$8.0M$67.0M-$17.0M
Deferred income taxes$0.0-$27.0M-$89.0M$129.0M-$73.0M-$53.0M
Depreciation and amortization$314.0M$314.0M$315.0M$317.0M$329.0M$300.0M
Loss on extinguishment of debt$0.0$0.0———-$5.0M
Change in other non-current liabilities—$814.0M$1.0B-$1.8B-$84.0M$849.0M
Net cash from operating activities—$1.5B$1.8B$1.4B$437.0M$4.4B
Net income$280.0M$1.3B-$259.0M-$6.6B-$1.1B$1.5B
Gain on sale of business and assets$17.0M-$10.0M$0.0$0.0$12.0M$0.0
Other long-term liabilities—$814.0M$1.0B-$1.8B-$84.0M$849.0M
Increase (Decrease) in Other Operating Assets—$669.0M-$126.0M-$298.0M$0.0$188.0M
Increase (Decrease) in Premiums Receivable$1.6B$2.7B-$883.0M$1.5B-$4.8B$1.4B
Stock-based compensation$31.0M$59.0M$35.0M$52.0M$58.0M$67.0M
Loss on Sale of Subsidiary$17.0M-$10.0M$0.0$0.0$12.0M$0.0

Financing

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Proceeds from issuance of debt$950.0M$750.0M$0.0$0.0$0.0$0.0
Repayments of debt$28.0M$958.0M$749.0M$1.0M$187.0M$1.0B
Other, net-$1.0M-$11.0M-$1.0M-$1.0M-$6.0M$2.0M
Payment of Deferred Purchase Consideration-$1.0M-$11.0M-$1.0M-$1.0M-$6.0M$2.0M
Noncontrolling interest transactions and other-$1.0M-$11.0M-$1.0M-$1.0M-$6.0M$2.0M
Net cash from financing activities-$13.0M-$250.0M-$1.2B-$10.0M-$187.0M-$1.1B
Other financing activities-$1.0M-$11.0M-$1.0M-$1.0M-$6.0M$2.0M
Noncontrolling Interests Activity and Other-$1.0M-$11.0M-$1.0M-$1.0M-$6.0M$2.0M
Proceeds from issuance of common stock$9.0M$10.0M$8.0M$11.0M$8.0M$10.0M
Repurchases of common stock$943.0M$41.0M$432.0M$0.0$2.0M$29.0M

Free Cash Flow

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Free cash flow-$741.0M$1.4B$1.6B$1.1B$224.0M$4.2B

Supplemental

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Income taxes paid$181.0M$7.0M$497.0M$36.0M—-$19.0M
Interest paid$193.0M$129.0M$191.0M$138.0M$189.0M$146.0M
Income Taxes Paid, Net$181.0M$7.0M$497.0M$36.0M—-$19.0M

Other

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Net increase (decrease) in cash-$497.0M$731.0M-$288.0M$2.6B$910.0M$3.4B