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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)$6.9B
Latest FilingQ1 2026
Report Date2026-04-28
Market Cap$31.4B
ROE-26.12%

Investing

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Capital expenditures$154M$135M$208M$211M$213M$200M
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-$529M-$899M$1.2B$660M$89M
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$2B$172M$776M$987M

Operating

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Change in accounts payable-$25M$563M-$354M$2.5B-$3.3B$2.9B
Change in benefits payable$373M$1.6B$206M$1.4B—$95M
Change in deferred revenue—$208M—-$26M$85M$217M
Change in other assets—$669M———$188M
Change in other liabilities—$814M$1B-$1.8B-$84M$849M
Other working capital changes$68M$5M-$5M$8M$67M-$17M
Deferred income taxes—-$27M-$89M$129M-$73M-$53M
Depreciation and amortization$314M$314M$315M$317M$329M$300M
Gain (loss) on sale of assets$17M-$10M——$12M$0
Loss on extinguishment of debt$0$0———-$5M
Net cash from operating activities—$1.5B$1.8B$1.4B$437M$4.4B
Net income$280M$1.3B-$259M-$6.6B-$1.1B$1.5B
Gain on sale of business and assets$17M-$10M——$12M$0
Other long-term liabilities—$814M$1B-$1.8B-$84M$849M
Increase (Decrease) in Other Operating Assets—$669M———$188M
Increase (Decrease) in Premiums Receivable$1.6B$2.7B-$883M$1.5B-$4.8B$1.4B
Stock-based compensation$31M$59M$35M$52M$58M$67M

Financing

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Proceeds from issuance of debt$950M$750M———$0
Repayments of debt$28M$958M$749M$1M$187M$1B
Other, net-$1M-$11M-$1M-$1M-$6M$2M
Net cash from financing activities-$13M-$250M-$1.2B-$10M-$187M-$1.1B
Other financing activities-$1M-$11M-$1M-$1M-$6M$2M
Proceeds from issuance of common stock$9M$10M$8M$11M$8M$10M
Repurchases of common stock$943M$41M$432M$0$2M$29M

Free Cash Flow

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Free cash flow-$741M$1.4B$1.6B$1.1B$224M$4.2B

Supplemental

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Income taxes paid$181M$7M$497M$36M—-$19M
Interest paid$193M$129M$191M$138M$189M$146M
Income Taxes Paid, Net$181M$7M$497M$36M—-$19M

Other

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Net increase (decrease) in cash-$497M$731M$0$2.6B$910M$3.4B