Centene (CNC)

Company ID: 133 | CIK: 0001071739
10-Q view:
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Segments are charted by their disclosed metrics (revenue, segment profit, etc.). Each line is a single segment. Reconciliation/corporate items are excluded. Major customers are shown as a percentage of revenue. Operational KPIs are grouped by metric concept; sub-metrics appear as separate lines.

Geographic Segments

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Business Unit / Product Segments

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Major Customers (% of Revenue)

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Operational KPIs

Unregulated Cash and Investments (aum)

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Voluntary turnover rate (churn)

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Claims inventory (claims_count)

PDP Membership (customers)

Behavioral health members (customers_served)

Employee engagement (engagement)

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Employees (headcount)

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Revolving Credit Facility Borrowings (loans_outstanding)

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Health Benefits Ratio (loss_ratio)

Adjusted SG&A Expense Ratio (other)

Adjusted SG&A expense ratio (other)

Adjusted diluted EPS (other)

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Ambetter counties served (other)

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Ambetter states served (other)

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Available for General Corporate Use (other)

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Average Portfolio Yield (other)

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Average investment duration (other)

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Average portfolio return (other)

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Bridgeway long-term care membership (other)

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Capital expenditures (other)

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Cash and investments (other)

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Cash and short-term investments (other)

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Cenpatico Arizona membership (other)

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Cenpatico Kansas membership (other)

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Cenpatico behavioral health membership (other)

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Claims auto adjudication rate (other)

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Claims automatic adjudication rate (other)

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Claims inventory (other)

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Common Shares Outstanding (other)

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Common shares outstanding (other)

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Common stock outstanding (other)

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Composite premium rate change (other)

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Composite premium rate increase (other)

Contracted hospitals (other)

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Contracted primary care physicians (other)

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Contracted specialty care physicians (other)

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Cost of Service Ratio (other)

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Cost of service ratio (other)

Cost of services ratio (other)

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Counties licensed (other)

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Counties served (other)

Days in Claims Payable (other)

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Days in claims liability (other)

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Days in claims payable (other)

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Debt to Capital Ratio (other)

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Debt to capital ratio (other)

Debt to capital ratio excluding non-recourse debt (other)

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Debt-to-Capital Ratio (other)

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Debt-to-capital ratio (other)

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Diluted earnings per share (other)

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Domestic leased space reduction (other)

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Dual eligible membership (other)

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Dual-eligible beneficiaries (other)

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Dual-eligible membership (other)

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Effective Tax Rate (other)

Effective Tax Rate on Adjusted Earnings (other)

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Effective tax rate (other)

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Effective tax rate on adjusted earnings (other)

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Expected annualized lease expense savings (other)

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Expected capital expenditures (other)

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Expected net dividends from insurance subsidiaries (other)

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G&A Expense Ratio (other)

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G&A expense ratio (other)

General and Administrative Expense Ratio (other)

General and Administrative expense ratio (other)

General and administrative expense ratio (other)

Health Benefit Ratio (other)

Health Benefits Ratio (other)

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Health Insurance Marketplace membership (other)

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Health benefits ratio (other)

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Health insurer fee (other)

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Healthcare Benefit Ratio (other)

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Hospitals (other)

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Hospitals in network (other)

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IBNR and expected development (other)

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IBNR plus expected development (other)

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Interest rate swap notional (other)

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Investment Portfolio Average Duration (other)

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Investment duration (other)

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Investment grade rating percentage (other)

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Investment grade rating share (other)

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Investment portfolio average duration (other)

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Investment portfolio duration (other)

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Investment portfolio yield (other)

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Investment rate of return (other)

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Letters of Credit Outstanding (other)

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Letters of credit outstanding (other)

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Long-term investments (other)

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MA membership by star rating (other)

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MA membership in 3.5+ star plans (other)

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Market share (other)

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Marketplace counties (other)

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Marketplace membership growth (other)

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Medicaid Expansion membership (other)

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Medicaid Managed Care G&A Expense Ratio (other)

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Medicaid and SCHIP Health Benefits Ratio (other)

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Medicaid expansion membership (other)

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Medicaid market share (other)

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Medicare 4-star members (other)

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Medicare Advantage membership change (other)

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Medicare Advantage membership growth (other)

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Medicare Advantage star rating coverage (other)

Medicare Advantage star rating membership (other)

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Medicare PDP membership growth (other)

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Medicare Star rating (other)

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Medicare counties served (other)

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Medicare members in 4.0+ star plans (other)

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Medicare membership growth (other)

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Medicare states served (other)

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Membership by line of business (other)

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Membership by state (other)

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Membership growth (other)

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Membership in 3.0+ star contracts (other)

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Membership increase (other)

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Membership on 3-star or better contracts (other)

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Membership with star score improvement (other)

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Minimum statutory capital required (other)

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Minimum statutory capital requirement (other)

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Net risk adjustment payable (other)

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Network hospitals (other)

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Non-risk membership (other)

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Number of Reportable Segments (other)

NurseWise Call Volume (other)

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Operating cash flow (other)

Operating cash flows (other)

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PDP membership growth (other)

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PDP regions below benchmark (other)

Portfolio yield (other)

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Premium deficiency reserve (other)

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Premium rate adjustment (other)

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Premium rate increase (other)

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Premium rate increases (other)

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Primary Care Physicians (other)

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Primary care physicians (other)

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Prior-year reserve development (other)

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Product solutions (other)

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Product solutions offered (other)

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Provider network (other)

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Real estate impairment charge (other)

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Remaining share repurchase authorization (other)

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Required Minimum Statutory Capital (other)

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Required minimum statutory capital (other)

Required minimum statutory surplus (other)

Required statutory capital (other)

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Revolving credit availability (other)

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Revolving credit facility borrowings (other)

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Risk Based Capital percentage (other)

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Risk Based Capital ratio (other)

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Risk-Based Capital Level (other)

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Risk-based capital ratio (other)

SG&A Expense Ratio (other)

SG&A Expense Ratio (Excl. Health Net) (other)

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SG&A expense ratio (other)

SSI Health Benefits Ratio (other)

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Senior Note Debt Repurchase Program Available (other)

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Senior Note Debt Repurchase Program Remaining (other)

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Senior note debt repurchase program available (other)

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Share repurchase program remaining (other)

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Shares outstanding (other)

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Specialty Care Physicians (other)

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Specialty Services G&A Expense Ratio (other)

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Specialty Services Health Benefits Ratio (other)

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Specialty care physicians (other)

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Star rating coverage (other)

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Star ratings membership (other)

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States of operation (other)

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States served (other)

States with Marketplace plans (other)

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States with Medicaid operations (other)

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States with Medicare Advantage (other)

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States with PDP coverage (other)

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Statutory Capital and Surplus (other)

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Statutory capital and surplus (other)

Stock Repurchase Program Remaining (other)

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Stock repurchase program remaining (other)

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Surety Bonds Outstanding (other)

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Surety bonds outstanding (other)

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Total debt (other)

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Total membership (other)

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Unregulated Cash and Investments (other)

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Unregulated cash (other)

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Unregulated cash and cash equivalents (other)

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Unregulated cash and investments (other)

Variable rate debt percentage (other)

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Voluntary turnover rate (other)

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Weighted average discount rate (other)

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Weighted average discount rate for leases (other)

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Weighted average remaining lease term (other)

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Working Capital (other)

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Working capital (other)

Total membership (policies_in_force)

Hospitals (properties)

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Hospitals (providers)

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Corporate headquarters square footage (square_footage)

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Medicare Part D Membership (subscribers)

Risk-based capital ratio (tier1_capital)

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Membership (users)

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Human capital disclosures. Workforce totals and demographics are point-in-time. Flow metrics use the year-to-date period for 10-Q and full year for 10-K. Workforce actions (RIFs, restructurings, acquisition-related changes) are listed in the table at the bottom.

Workforce Totals

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Demographics

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Workforce Breakdowns

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HCM Metrics — Point-in-Time

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HCM Metrics — Flow (Annual / YTD)

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Workforce Actions

Period EndTypeStatusAffected% WorkforceAnnouncedExpected CompletionGeographySegment / FunctionChargeSourceNote
2026-06-30restructuringin_progressEnterprise-wideUSD 61 (millions)restructuring_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		YTD charge of $61M (Q2: $47M) covers third-party vendor and severance costs for enterprise optimization initiatives and contract exits; no employee count disclosed.
2026-06-30voluntary_separationannounced2026-07-27Enterprise-wideUSD 315 (millions)subsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Post-quarter voluntary separation program qualifying as a plan of termination; estimated severance of $315M–$365M during remainder of 2026; employee count not disclosed.
2026-06-30restructuringin_progress2026-06-30USD 61 (millions)restructuring_footnote
f5-10q / Qwen3.6-27B-Q8_0		Incurred $61 million of third-party vendor costs and severance costs due to enterprise optimization initiatives and contract exits for the six months ended June 30, 2026.
2026-06-30voluntary_separationannounced2026-07-272026-12-31USD 340 (millions)subsequent_events
f5-10q / Qwen3.6-27B-Q8_0		Committed to accept employees' offers to participate in a voluntary separation program. Estimates severance costs of approximately $315 million to $365 million to be recorded during the remainder of 2026.
2026-03-31restructuringin_progressUnited StatesEnterpriseUSD 13 (millions)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Enterprise optimization costs of $13M pre-tax ($0.03/share) in Q1 2026; no employee count disclosed.
2026-03-31restructuringin_progressUnited StatesEnterpriseUSD 3 (millions)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Severance costs tied to enterprise optimization and contract exits; no employee count disclosed.
2026-03-31restructuringin_progressUSD 3 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Severance costs due to enterprise optimization and contract exits.
2025-12-31restructuringin_progressUnited StatesOtherUSD 22 (millions)MD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Exit costs related to the wind-down of certain contracts in the Other segment; headcount affected not disclosed. Also presented as restructuring costs within adjusted SG&A reconciliation.
2025-12-31divestiture_reductionannounced2025-12-31United StatesOther (Magellan Health behavioral health businesses)USD 513 (millions)discontinued_operations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement signed December 2025; assets/liabilities classified held for sale at year-end. Charge is a non-cash impairment ($389 million after-tax); headcount affected not disclosed. Announcement date shown as month-end since only month is stated.
2025-12-31otherannounced2026-09-30FloridaMedicaid (Florida Children's Medical Services program)Item_1_Business
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Contract loss effective end of September 2026; workforce impact not quantified by filer.
2025-12-31restructuringcompletedUSD 22 (millions)MD&A
f5-10k / Qwen3.6-27B-NVFP4-MTP-HTML		Exit costs related to wind-down of certain contracts in the Other segment.
2025-12-31restructuringcompletedUSD 22 (millions)MD&A
f5-10k / Qwen3.6-27B-Q8_0		Exit costs related to the wind-down of certain contracts in the Other segment.
2025-09-30restructuringin_progressUSD 9 (millions)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Restructuring costs of $9 million recorded in SG&A for both the three and nine months ended September 30, 2025; no employee counts, geographies, or completion timing disclosed.
2025-09-30restructuringin_progressOtherUSD 9 (millions)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Exit costs related to the wind-down of certain contracts in the Other segment ($9 million pre-tax, $0.02 per share) for the three and nine months ended September 30, 2025; no employee counts disclosed.
2025-09-30restructuringcompletedOtherUSD 9 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Exit costs related to the wind-down of certain contracts in the Other segment.
2025-09-30restructuringcompletedUSD 13 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Severance costs due to a restructuring reported in the nine months ended September 30, 2024.
2025-06-30restructuringcompletedOtherUSD 55 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Intangible asset impairment related to the wind-down of certain contracts in the Other segment.
2024-12-31restructuringin_progressUnited StatesenterpriseUSD 13 (millions)MD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Severance costs from a restructuring recognized in 2024; employee count, announcement date and completion timeline not disclosed
2024-12-31divestiture_reductioncompleted2023-08-282024-01-12United KingdomOtherother
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Divestiture of Circle Health Group closed 2024-01-12 for $931 million; associated headcount not disclosed
2024-12-31divestiture_reductioncompleted2024-07-012024-10-04United StatesOtherother
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Sale of CHS management services organization completed 2024-10-04 with a $17 million pre-tax gain; associated headcount not disclosed
2024-12-31restructuringcompletedUSD 13 (millions)MD&A
f5-10k / Qwen3.6-27B-NVFP4-MTP-HTML		Severance costs due to a restructuring of $13 million reported in 2024 other adjustments.
2024-12-31restructuringcompletedUSD 13 (millions)Non-GAAP Financial Presentation
f5-10k / Qwen3.6-27B-Q8_0		Severance costs due to a restructuring of $13 million. Employee count not disclosed.
2024-09-30restructuringin_progressUnited StatesCorporate / enterpriseUSD 13 (millions)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Severance costs from a restructuring recorded in the nine months ended 2024-09-30; no employee count or announcement date disclosed.
2024-09-30divestiture_reductioncompleted2023-08-282024-01-12United KingdomOther segment — Circle Health Groupother
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Circle Health divestiture closed 2024-01-12 for $931 million; no headcount impact disclosed.
2024-09-30divestiture_reductioncompleted2023-12-31United Kingdom / EuropeOther segment — Operose Health Groupother
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Operose Health divested in December 2023; no headcount impact disclosed.
2024-09-30divestiture_reductioncompleted2024-07-012024-10-04United StatesOther segment — Collaborative Health Systemsother
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement entered July 2024; sale completed 2024-10-04 as a subsequent event. No headcount impact disclosed.
2024-09-30restructuringcompletedUSD 13 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Severance costs due to a restructuring of $13 million recorded in the nine months ended September 30, 2024. Employee count not disclosed.
2024-06-30restructuringin_progressUnited StatesCorporate / enterpriseUSD 13 (millions)MD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Severance costs of $13M recognized in six months ended 2024-06-30, including $4M in Q2 2024; no employee counts, announcement date, or completion timing disclosed.
2024-06-30divestiture_reductionannounced2024-072024-12-31United StatesOther segment — Collaborative Health Systems (MSO)MD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement to sell the Collaborative Health Systems management services organization to Astrana Health; transaction expected to close by end of 2024. No headcount disclosed.
2024-06-30otherannounced12024-07-262024-12-02United StatesExecutive — CEO of Markets & Medicaidother
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Dave Thomas to depart effective 2024-12-02 with transition assistance; severance and prorated performance RSU vesting under the Executive Severance and Change in Control Plan.
2024-06-30restructuringin_progressUSD 4 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Severance costs due to a restructuring of $4 million for the three months ended June 30, 2024.
2024-06-30restructuringin_progressUSD 13 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Severance costs due to a restructuring of $13 million for the six months ended June 30, 2024.
2024-03-31restructuringin_progressUSD 9 (millions)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Severance costs of $9M ($0.01/share pre-tax, $0.01 after-tax) from a restructuring recorded in Q1 2024; no employee count, geography, or completion date disclosed.
2024-03-31restructuringcompletedUSD 9 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Severance costs due to a restructuring of $9 million recorded in Q1 2024. Employee count not disclosed.
2023-12-31restructuringin_progressEnterprise (Value Creation Plan — operating model changes, call center and utilization management streamlining)USD 79 (millions)other
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Severance costs due to a restructuring recognized in FY2023; employees affected, announcement date and completion timeline not disclosed. Related to operating model changes initiated in 2022 under the Value Creation Plan.
2023-12-31divestiture_reductioncompleted2022-11-012023-01-05United StatesOtherdiscontinued_operations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement signed November 1, 2022; divestiture completed January 5, 2023. Headcount removed not disclosed.
2023-12-31divestiture_reductioncompleted2023-01-102023-01-10United StatesMedicaiddiscontinued_operations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Signed and closed January 10, 2023. Headcount removed not disclosed.
2023-12-31divestiture_reductioncompleted2022-11-172023-01-20United StatesOther (specialty pharmacy)discontinued_operations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Completed January 20, 2023 for $646 million. Headcount removed not disclosed.
2023-12-31divestiture_reductioncompleted2023-06-13United StatesOther (clinical analytics)discontinued_operations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Majority stake divested June 13, 2023; Centene retained a minority interest. Headcount removed not disclosed.
2023-12-31divestiture_reductioncompleted2023-12-28United KingdomOther (international operations)USD 140 (millions)discontinued_operations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Agreement signed in November 2023 (month only disclosed); completed December 28, 2023. $140 million impairment charge ($128 million after-tax) recorded; headcount removed not disclosed.
2023-12-31divestiture_reductioncompleted2023-08-282024-01-12United KingdomOther (international operations)USD 292 (millions)discontinued_operations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement signed August 28, 2023; completed January 12, 2024 for $931 million cash. $292 million goodwill impairment ($258 million after-tax) recorded in 2023. Circle Health had approximately 8,300 team members at December 31, 2023; headcount removed not explicitly disclosed as a workforce action.
2023-12-31restructuringcompleted2023USD 79 (millions)MD&A
f5-10k / Qwen3.6-27B-NVFP4-MTP-HTML		Severance costs due to a restructuring of $79 million reported in 2023 other adjustments. Employee count not disclosed.
2023-12-31restructuringcompletedUSD 79 (millions)MD&A
f5-10k / Qwen3.6-27B-Q8_0		Severance costs due to a restructuring of $79 million reported in 2023. Employee count not disclosed.
2023-12-31divestiture_reductioncompleted8,3002023-08-282024-01-12United KingdomOtherItem_1_Business
f5-10k / Qwen3.6-27B-Q8_0		Divestiture of Circle Health Group completed in January 2024. Approximately 8,300 team members were part of Circle Health as of December 31, 2023, and are excluded from the consolidated headcount.
2023-12-31divestiture_reductioncompleted2023-11-012023-12-28OtherMD&A
f5-10k / Qwen3.6-27B-Q8_0		Divestiture of Operose Health Group completed in December 2023. Employee count not disclosed.
2023-12-31divestiture_reductioncompleted2023-06-132023-06-13OtherMD&A
f5-10k / Qwen3.6-27B-Q8_0		Divestiture of majority stake in Apixio completed in June 2023. Employee count not disclosed.
2023-12-31divestiture_reductioncompleted2023-01-202023-01-20OtherMD&A
f5-10k / Qwen3.6-27B-Q8_0		Divestiture of Magellan Specialty Health completed in January 2023. Employee count not disclosed.
2023-12-31divestiture_reductioncompleted2023-01-102023-01-10OtherMD&A
f5-10k / Qwen3.6-27B-Q8_0		Divestiture of Centurion completed in January 2023. Employee count not disclosed.
2023-12-31divestiture_reductioncompleted2023-01-052023-01-05OtherMD&A
f5-10k / Qwen3.6-27B-Q8_0		Divestiture of HealthSmart completed in January 2023. Employee count not disclosed.
2023-09-30restructuringin_progressUSD 22 (millions)MD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Severance costs from a restructuring recorded in Q3 2023 ($22M in both the three-month and nine-month periods, indicating the charge was recognized entirely in the quarter); no employee count, announcement date, or completion timeline disclosed.
2023-09-30restructuringin_progressUSD 22 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Filing discloses 'severance costs due to a restructuring of $22 million' for the three and nine months ended Sept 30, 2023. No employee count is provided.
2023-03-31divestiture_reductioncompleted2023-01-052023-01-05Third-party health plan administrationbusiness_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Completed divestiture of HealthSmart. Employee count not disclosed.
2023-03-31divestiture_reductioncompleted2023-01-102023-01-10Prison healthcarebusiness_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Completed divestiture of Centurion. Employee count not disclosed.
2023-03-31divestiture_reductioncompleted2023-01-202023-01-20Specialty healthbusiness_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Completed divestiture of Magellan Specialty Health. Employee count not disclosed.
2022-12-31acquisition_additioncompleted2022-01-042022-01-04United StatesSpecialty ServicesUSD 106 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquisition of Magellan Health, Inc. closed January 4, 2022 for $2,491 million total consideration; $106 million of acquisition-related expenses recognized in 2022. Headcount added through the acquisition is not disclosed.
2022-12-31divestiture_reductioncompleted2022-07-142022-07-14United StatesSpecialty Servicesbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Divestiture of PANTHERx Rare completed July 14, 2022 for $1,373 million with a $490 million gain. Headcount removed is not disclosed.
2022-12-31divestiture_reductioncompleted2022-11-162022-11-16Spain and Central EuropeManaged CareUSD 163 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Divestiture of ownership stakes in Ribera Salud, Torrejón Salud, and Pro Diagnostics Group completed November 16, 2022; $163 million impairment charge ($140 million after-tax). Headcount removed is not disclosed.
2022-12-31divestiture_reductioncompleted2022-12-022022-12-02United StatesSpecialty Servicesbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Divestiture of Magellan Rx completed December 2, 2022 for $1,337 million with a $269 million gain. Headcount removed is not disclosed.
2022-12-31divestiture_reductioncompleted2022-11-172023-01-20United StatesSpecialty Servicesbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Agreement signed November 17, 2022; assets held for sale at year-end; divestiture completed January 20, 2023 for approximately $646 million (subsequent to fiscal year-end). Headcount removed is not disclosed.
2022-12-31divestiture_reductioncompleted2022-11-012023-01-05United StatesSpecialty ServicesUSD 36 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Agreement signed November 1, 2022; $36 million goodwill impairment recorded in Q4 2022; divestiture completed January 5, 2023 (subsequent to fiscal year-end). Headcount removed is not disclosed.
2022-12-31divestiture_reductioncompleted2023-01-102023-01-10United StatesSpecialty ServicesUSD 259 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Prison healthcare business; agreement signed and closed January 10, 2023 (subsequent event). $259 million impairment on goodwill and other current assets recorded in Q4 2022. Headcount removed is not disclosed.
2022-12-31restructuringin_progress2022-06-30United StatesManaged CareUSD 1,642 (millions)MD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Real estate optimization initiative initiated in Q2 2022: $1.6 billion impairment on leased and owned real estate, approximately 70% reduction in domestic leased space, expected annualized lease savings over $200 million; $15 million of real estate optimization costs in 2022 SG&A; additional future charges of approximately $60 million anticipated. No employee headcount impact disclosed; announcement date approximated to the initiative's Q2 2022 start.
2022-12-31otherannounced2022-12-012024-03-31United StatesSpecialty Services — Health Net Federal Services (TRICARE)USD 233 (millions)Item_1_Business
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Department of Defense announced in December 2022 it would not award the TRICARE Managed Care Support Contract to Health Net Federal Services; $233 million asset impairment recorded (including $216 million goodwill). Existing contract runs through early 2024; workforce impact not quantified. Announcement date approximated to December 2022.
2022-09-30restructuringin_progress2022-04-01United StatesCorporate / Real EstateUSD 1,574 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Real estate optimization initiative initiated in Q2 2022. Includes $763M owned real estate impairment, $574M leased real estate impairment, and $237M fixed asset impairment. Employee count not disclosed.
2022-09-30restructuringin_progress2022-04-01United StatesCorporate / Real EstateUSD 127 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Additional real estate impairments recorded in Q3 2022 as part of ongoing optimization. Employee count not disclosed.
2022-06-30restructuringin_progress2022-06-30DomesticManaged CareUSD 1,450 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Real estate optimization initiative resulting in impairment of leased and owned real estate and related fixed assets. Employee count not disclosed.
2022-06-30acquisition_additioncompleted2022-01-04United StatesSpecialty Servicesbusiness_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Acquisition of Magellan Health, Inc. Headcount added not explicitly disclosed.
2022-06-30acquisition_additioncompleted2021-07-01United KingdomManaged CareMD&A
f5-10q / Qwen3.6-27B-Q8_0		Acquisition of remaining interest in Circle Health. Headcount added not explicitly disclosed.
2022-03-31acquisition_additioncompleted2022-01-04SpecialtyUSD 97 (millions)business_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Acquisition of Magellan Health, Inc. completed Jan 4, 2022. $97M acquisition-related expenses recognized. Headcount not disclosed.
2022-03-31restructuringcompletedUSD 2 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Legal fees related to PBM legal settlement reserve established in 2021. Not a traditional RIF but classified as restructuring/other adjustment per GAAP reconciliation.
2021-12-31restructuringin_progressUnited Statesnot specifiedUSD 54 (millions)MD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Fiscal 2021 severance charge of $54 million ($0.06 per diluted share, net of tax benefit); employees affected, announcement date and completion timeline not disclosed.
2021-12-31acquisition_additioncompleted2021-072021-07United KingdomManaged Care / international operationsUSD 705 (millions)MD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Consolidation of 100% of Circle Health (BMI Healthcare) from July 2021; purchase price $705 million. Headcount added not disclosed; filing attributes fiscal 2021 employee growth primarily to international expansion.
2021-12-31divestiture_reductioncompleted2021-122021-12United StatesSpecialty Services — physician home health (U.S. Medical Management)MD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Completed December 2021 with a $150 million pre-tax gain; filing states employee count change was offset by international expansion, but no headcount removed disclosed.
2021-12-31acquisition_additionannounced2022-01-042022-01-04United StatesManaged Care / behavioral health and specialtyUSD 2,566 (millions)subsequent_events
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Subsequent event closed 2022-01-04 (after fiscal year-end, before filing); total consideration ~$2,566 million ($2,499 million cash plus $67 million replacement equity awards). Headcount added not disclosed.
2021-12-31restructuringcompleted2021-06-01GlobalCorporateUSD 54 (millions)MD&A
f5-10k / Qwen3.6-27B-NVFP4-MTP-HTML		Severance costs due to a restructuring of $54 million recorded in 2021.
2021-12-31restructuringcompleted2021-12-312021-12-31GlobalCorporateUSD 54 (millions)Non-GAAP Financial Presentation
f5-10k / Qwen3.6-27B-Q8_0		Severance costs due to a restructuring of $54 million. Employee count not disclosed.
2021-09-30restructuringin_progressUSD 59 (millions)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Severance costs from a restructuring of $59M for the nine months ended 2021-09-30, of which $1M fell in Q3 2021. No employee count, geography, or completion date disclosed.
2021-09-30acquisition_additioncompleted2021-07-31United KingdomSpecialty Services (hospital operations)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquired the remaining 60% interest in Circle Health in July 2021 for $705M; 100% consolidated from July 2021. Added $2,351M of ROU assets/lease liabilities from Circle Health leases. No headcount added disclosed.
2021-09-30acquisition_additionannounced2021-01-112021-12-31United StatesManaged Care (behavioral health / whole health)MD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Merger agreement to acquire Magellan Health at $95.00 per share, ~$2.2B enterprise value; expected to close in Q4 2021, pending one remaining state approval. Funded via July 2021 debt issuance and cash on hand. No headcount disclosed.
2021-09-30acquisition_additioncompleted2021-09-30SpainInternational (hospital operations)MD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Spanish subsidiary Ribera Salud acquired the remaining 65% interest in Marina Salud, S.A. in September 2021. No headcount disclosed.
2021-09-30othercompleted12021-09-262021-09-22United StatesExecutive — HealthCare EnterprisesUSD 3 (millions)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Executive Vice President – HealthCare Enterprises separation effective 2021-09-22; includes 12 months base salary plus a $3,000,000 lump-sum payment contingent on a supplemental release, and 12 months of COBRA premium support. Unvested LTI awards forfeited.
2021-09-30restructuringcompletedUSD 1 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Severance costs due to a restructuring of $1 million for the three months ended September 30, 2021. Employee count not disclosed.
2021-09-30restructuringcompletedUSD 59 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Severance costs due to a restructuring of $59 million for the nine months ended September 30, 2021. Employee count not disclosed.
2021-06-30restructuringin_progressUSD 58 (millions)MD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Severance costs from a restructuring; $2M in Q2 2021 and $58M YTD 2021. No employee count or completion date disclosed.
2021-06-30acquisition_additionannounced2021-01-11United StatesManaged Care / Specialty ServicesMD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Merger agreement to acquire Magellan Health at $95.00/share, ~$2.2B enterprise value; expected to close H2 2021. No headcount disclosed.
2021-06-30acquisition_additioncompleted2021-07-01United KingdomInternationalUSD 700 (millions)subsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquired remaining 60% interest in Circle Health for ~$700M in July 2021. No headcount disclosed.
2021-06-30restructuringcompletedUSD 2 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Severance costs due to a restructuring of $2 million for the three months ended June 30, 2021. Employee count not disclosed.
2021-06-30restructuringcompletedUSD 58 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Severance costs due to a restructuring of $58 million for the six months ended June 30, 2021. Employee count not disclosed.
2021-03-31restructuringin_progressUSD 56 (millions)MD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Severance costs from a restructuring recorded in Q1 2021 ($0.07 per diluted share, net of tax benefit); no employee count, announcement date, or completion timing disclosed. Adjusted SG&A discussion attributes decreased ongoing compensation costs to restructuring activities.
2021-03-31restructuringin_progressUSD 56 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Filing discloses 'severance costs due to a restructuring of $56 million' included in Other Adjustments and Adjusted SG&A. No employee count or specific announcement date is provided in this 10-Q.
2020-12-31acquisition_additioncompleted2019-03-262020-01-23United StatesManaged CareUSD 602 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		WellCare Health Plans acquired 2020-01-23; transaction valued at $19,555 million including $1,950 million assumed debt. Employee count added not disclosed; Human Capital section attributes the approximately 14,700 (26%) fiscal 2020 headcount increase primarily to this acquisition. Charge shown is acquisition-related costs recognized in 2020, not a severance charge.
2020-12-31divestiture_reductioncompleted2019-03-262020-01-23Illinois, United StatesManaged Carebusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Immediately prior to the WellCare closing, CVS Health acquired portions of Centene's Illinois Medicaid and Medicare Advantage health plans; Anthem acquired WellCare's Missouri and Nebraska Medicaid plans and a WellCare Missouri Medicare Advantage plan. Headcount removed not disclosed.
2020-12-31acquisition_additioncompleted2020-12-012020-12-31United StatesSpecialty ServicesMD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		PANTHERx, a specialty pharmacy focused on orphan drugs, acquired in Q4 2020 and operated within Envolve Pharmacy Solutions; exact announcement and closing dates and employee count not disclosed.
2020-12-31acquisition_additioncompleted2020-12-012020-12-31United StatesSpecialty ServicesMD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Apixio, an AI healthcare analytics company, acquired in Q4 2020 and retained as an operationally independent entity within Health Care Enterprises; exact dates and employee count not disclosed.
2020-12-31acquisition_additionannounced2021-01-112021-12-31United StatesManaged Caresubsequent_events
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Subsequent event: definitive merger agreement to acquire Magellan Health at $95.00 per share cash, ~$2.2 billion enterprise value; announced January 2021 (exact day not disclosed), expected to close in the second half of 2021, primarily debt-funded. Headcount to be added not disclosed.
2020-12-31acquisition_additioncompleted2020-01-232020-01-23United StatesManaged CareItem_1_Business
f5-10k / Qwen3.6-27B-NVFP4-MTP-HTML		Acquired WellCare Health Plans, Inc. on January 23, 2020. The increase in employee count was primarily due to this acquisition.
2020-12-31acquisition_additioncompleted14,7002020-01-232020-01-23United StatesManaged CareItem_1_Business
f5-10k / Qwen3.6-27B-Q8_0		Employee count increased by approximately 14,700 primarily due to the acquisition of WellCare in 2020.
2020-03-31acquisition_additioncompleted2020-01-232020-01-23United StatesManaged CareUSD 313 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquisition of WellCare Health Plans valued at $19,555M including debt; $313M acquisition-related costs recognized in Q1 2020. Goodwill attributed partly to assembled workforce; no headcount figure disclosed.
2020-03-31divestiture_reductioncompleted2020-01-232020-01-23Illinois, Missouri, Nebraska (United States)Managed Carebusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Pre-closing divestitures required for WellCare deal: Anthem acquired WellCare's Missouri Medicaid and Medicare Advantage plans and Nebraska Medicaid plan; CVS acquired portions of Centene's Illinois Medicaid and Medicare Advantage plans. No headcount figures disclosed.
2020-03-31acquisition_additioncompleted2020-01-23Managed CareUSD 313 (millions)business_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Acquisition of WellCare Health Plans, Inc. completed. $313 million in acquisition-related costs recognized. Employee headcount added not explicitly disclosed.
2019-12-31acquisition_additioncompleted2019-04-012019-04-30Arkansas, United StatesManaged CareMD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquisition of QCA Health Plan and QualChoice Life and Health Insurance completed April 2019; no headcount disclosed
2019-12-31acquisition_additioncompleted2019-05-012019-05-31United StatesSpecialty ServicesMD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquisition of HealthSmart, a third-party administrator, completed May 2019; no headcount disclosed
2019-12-31acquisition_additioncompleted2019-06-012019-06-30SpainInternationalUSD 54 (millions)MD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Purchased additional 40% of Ribera Salud for $54 million, raising ownership to 90%; no headcount disclosed
2019-12-31acquisition_additioncompleted2019-12-012019-12-31SpainInternationalMD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Spanish subsidiary Ribera Salud acquired 93% of Hospital Povisa, S.A. in December 2019; no headcount disclosed
2019-12-31acquisition_additioncompleted2020-01-232020-01-23United StatesManaged Caresubsequent_events
f5-10k / MiMo-V2.6-Flash-fp8-HTML		WellCare Health Plans acquired January 23, 2020 (subsequent to fiscal year-end, closed before filing); transaction valued at approximately $19.6 billion; no headcount disclosed
2019-12-31divestiture_reductioncompleted2020-01-232020-01-23Missouri and Nebraska, United StatesManaged Caresubsequent_events
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Immediately prior to the WellCare closing, Anthem acquired WellCare's Missouri Medicaid and Medicare Advantage plans and Nebraska Medicaid plan; no headcount disclosed
2019-12-31divestiture_reductioncompleted2020-01-232020-01-23Illinois, United StatesManaged Caresubsequent_events
f5-10k / MiMo-V2.6-Flash-fp8-HTML		CVS Health acquired portions of Centene's Illinois Medicaid and Medicare Advantage plans as part of previously announced divestiture agreements; no headcount disclosed
2018-12-31acquisition_additioncompleted2018-07-012018-07-01United States (New York)Managed Carebusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquired substantially all assets of Fidelis Care for approximately $3,604 million cash; headcount added not disclosed. Announcement date not stated in filing; date shown is closing date.
2018-12-31acquisition_additioncompleted2018-04-012018-04-01United StatesSpecialty Services (correctional healthcare)Item_1_Business
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquired MHM Services Inc. and the remaining 49% of Centurion JV in April 2018; headcount added not disclosed. Month-level date only.
2018-12-31acquisition_additioncompleted2018-03-012018-03-01United States (Florida)Managed Care / provider operationsItem_1_Business
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquired Community Medical Group (at-risk primary care provider) in Q1 2018; headcount added not disclosed. Month-level date only.
2018-12-31acquisition_additioncompleted2018-03-012018-03-01United StatesSpecialty Services (data analytics)Item_1_Business
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquired additional 61% of Interpreta Holdings, bringing ownership to 80%; headcount added not disclosed. Month-level date only.
2018-12-31acquisition_additioncompleted2018-12-012018-12-01Spain (Madrid)International operationsItem_1_Business
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Primero Salud acquired 89% of Torrejón Salud in Q4 2018; headcount added not disclosed. Month-level date only.
2018-12-31restructuringin_progress2018-09-302021-12-31United StatesSpecialty Services (federal services / Veterans Affairs)USD 110 (millions)MD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Pre-tax charge of $110 million for negotiated settlements and severance costs on expiration of the VA Patient-Centered Community Care and Veterans Choice contract (expired 2018-09-30); close-out and transition services continue through 2021. Employees affected not disclosed.
2018-12-31acquisition_additioncompleted2018-07-01New YorkManaged CareItem_1_Business
f5-10k / Qwen3.6-27B-NVFP4-MTP-HTML		Acquired substantially all assets of Fidelis Care on July 1, 2018. Expanded scale and presence to New York State. Specific headcount added not disclosed.
2018-12-31acquisition_additioncompleted2018-03-01FloridaSpecialty ServicesItem_1_Business
f5-10k / Qwen3.6-27B-NVFP4-MTP-HTML		Acquired Community Medical Group (CMG) in March 2018. Specific headcount added not disclosed.
2018-12-31acquisition_additioncompleted2018-04-01NationalSpecialty ServicesItem_1_Business
f5-10k / Qwen3.6-27B-NVFP4-MTP-HTML		Acquired MHM Services Inc. and remaining 49% of Centurion in April 2018. Specific headcount added not disclosed.
2018-12-31acquisition_additioncompleted2018-03-01NationalSpecialty ServicesItem_1_Business
f5-10k / Qwen3.6-27B-NVFP4-MTP-HTML		Acquired additional 61% ownership in Interpreta Holdings, Inc. in March 2018. Specific headcount added not disclosed.
2018-12-31acquisition_additioncompleted2018-12-01SpainInternationalItem_1_Business
f5-10k / Qwen3.6-27B-NVFP4-MTP-HTML		Spanish subsidiary Primero Salud acquired 89% of Torrejon Salud in December 2018. Specific headcount added not disclosed.
2018-12-31acquisition_additioncompleted2018-07-012018-07-01New YorkManaged CareUSD 3,600 (millions)Item 1. Business
f5-10k / Qwen3.6-27B-Q8_0		Acquired substantially all assets of Fidelis Care for approx $3.6 billion cash. Expanded scale and presence to New York State.
2018-12-31acquisition_additioncompleted2018-03-012018-03-01FloridaSpecialty ServicesItem 7. MD&A
f5-10k / Qwen3.6-27B-Q8_0		Acquired Community Medical Holdings Corp. (CMG), an at-risk primary care provider in Miami-Dade County.
2018-12-31acquisition_additioncompleted2018-06-012018-06-01NationalSpecialty ServicesItem 7. MD&A
f5-10k / Qwen3.6-27B-Q8_0		Acquired MHM Services Inc. and remaining 49% ownership of Centurion joint venture, expanding national footprint in correctional healthcare.
2018-12-31acquisition_additioncompleted2018-12-012018-12-01SpainSpecialty ServicesItem 7. MD&A
f5-10k / Qwen3.6-27B-Q8_0		Spanish subsidiary Primero Salud acquired 89% of Torrejón Salud.
2018-12-31restructuringcompleted2018-09-302021-12-31NationalSpecialty ServicesUSD 110 (millions)Item 7. MD&A
f5-10k / Qwen3.6-27B-Q8_0		Contract to provide health care coordination services to U.S. Department of Veterans Affairs expired. Recorded pre-tax charge of $110 million for negotiated settlements and severance costs.
2018-09-30restructuringcompletedSpecialty ServicesUSD 110 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Pre-tax charge of $110 million for negotiated settlements and severance costs related to the expiration of the Veterans Affairs contract.
2018-09-30acquisition_additioncompleted2018-07-01New YorkManaged Carebusiness_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Acquisition of Fidelis Care expanded scale and presence to New York State. Headcount not disclosed.
2018-09-30acquisition_additioncompleted2018-04-01Specialty ServicesMD&A
f5-10q / Qwen3.6-27B-Q8_0		Acquisition of MHM Services Inc. and remaining ownership of Centurion. Headcount not disclosed.
2018-09-30acquisition_additioncompleted2018-03-01FloridaSpecialty ServicesMD&A
f5-10q / Qwen3.6-27B-Q8_0		Acquisition of Community Medical Holdings Corp. (CMG). Headcount not disclosed.
2018-03-31acquisition_additioncompleted2018-03-122018-03-12United States (Florida)Managed CareMD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquisition of 100% of Community Medical Holdings Corp. (CMG), an at-risk primary care provider; consideration included $149 million (1,449 thousand shares) of Centene common stock. No employee headcount for CMG disclosed.
2018-03-31acquisition_additioncompleted2018-03-272018-03-27United StatesSpecialty ServicesMD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquisition of an additional 61% of Interpreta Holdings, Inc. (clinical and genomics data analytics), raising total ownership to 80%; consideration included $175 million (1,727 thousand shares) of Centene common stock. No employee headcount disclosed.
2018-03-31acquisition_additioncompleted2018-042018-04United StatesSpecialty Servicessubsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Post-quarter acquisition of 100% of MHM Services Inc. plus the remaining 49% of the Centurion correctional healthcare joint venture; filing states completion in April 2018 without a specific day. No employee headcount disclosed.
2018-03-31acquisition_additionannounced2017-092018-07-01United States (New York)Managed Caresubsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Pending acquisition of substantially all assets of Fidelis Care for $3.75 billion; New York DOH and DFS approvals received April 2018, NY Attorney General approval still outstanding. No employee headcount disclosed; filing notes a $340 million five-year contribution to New York State to be expensed in SG&A at closing.
2017-12-31restructuringcompleted2016-03-242017-03-31United StatesManaged CareUSD 7 (millions)restructuring_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Health Net integration restructuring; FY2017 charges of $7M ($4M employee termination, $3M stock-based compensation), $23M paid/settled in 2017, $2M accrued at year-end. Program began in 2016 with workforce reductions expected to continue through early 2017; headcount affected not disclosed. Announcement date is the Health Net acquisition closing date.
2017-12-31acquisition_additioncompleted2017-10-012017-10-01United StatesSpecialty Servicesbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquired 80% of Foundation Care, a national specialty pharmacy, for $59M total consideration; headcount added not disclosed.
2017-12-31acquisition_additioncompleted2017-08-312017-08-31United StatesSpecialty Servicesbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquired the remaining 32% interest in U.S. Medical Management for $86M total consideration; month stated as August 2017 (day not disclosed). Headcount added not disclosed.
2017-12-31restructuringcompleted2016-03-242017-03-31United StatesManaged CareUSD 7 (millions)restructuring_footnote
f5-10k / Qwen3.6-27B-NVFP4-MTP-HTML		Restructuring plan resulting from integration of Health Net operations. Total accrued costs as of Dec 31, 2017 were $2 million. Charges incurred in 2017 were $7 million ($4M employee termination, $3M stock-based comp). Program expected to continue through early 2017.
2017-12-31restructuringcompleted2016-03-242017-03-31GlobalManaged CareUSD 7 (millions)restructuring_footnote
f5-10k / Qwen3.6-27B-Q8_0		Integration of Health Net acquisition. Charges incurred in 2017 were $7 million ($4 million employee termination, $3 million stock-based compensation). Program expected to continue through early 2017.
2017-12-31restructuringin_progressSelling, General and Administrative Expenses [Member]USD 7,000,000 (absolute)restructuring_footnote
f5-10k / no-ai-xblr
2017-12-31restructuringin_progressSelling, General and Administrative Expenses [Member] / Stock Based Compensation [Member]USD 3,000,000 (absolute)restructuring_footnote
f5-10k / no-ai-xblr
2017-12-31restructuringin_progressSelling, General and Administrative Expenses [Member] / Stock Based Compensation [Member] / Managed Care [Member]USD 3,000,000 (absolute)restructuring_footnote
f5-10k / no-ai-xblr
2017-12-31restructuringin_progressSelling, General and Administrative Expenses [Member] / Employee Severance [Member]USD 4,000,000 (absolute)restructuring_footnote
f5-10k / no-ai-xblr
2017-12-31restructuringin_progressSelling, General and Administrative Expenses [Member] / Employee Severance [Member] / Managed Care [Member]USD 4,000,000 (absolute)restructuring_footnote
f5-10k / no-ai-xblr
2016-12-31acquisition_additioncompleted2016-03-24United StatesManaged Care; Specialty ServicesUSD 234 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquisition of Health Net, Inc. closed 2016-03-24; transaction valued at approximately $5,990 million including $703 million of assumed debt. Headcount added through the acquisition is not disclosed. $234 million of acquisition-related expenses recorded in SG&A for FY2016.
2016-12-31restructuringin_progressUnited StatesManaged CareUSD 46 (millions)restructuring_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Integration-driven reduction in workforce beginning in 2016 and expected to continue through early 2017; number of employees affected is not disclosed. FY2016 charges incurred were $46 million of employee termination costs plus $43 million of stock-based compensation ($89 million total); the company expects total program costs of approximately $51 million of employee termination costs and $45 million of stock-based compensation, with $18 million accrued at year-end.
2016-12-31otherannounced300California, United StatesManaged Careother
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Regulatory undertakings given to California DOI and DMHC as conditions of the Health Net acquisition approval include building a service center in an economically distressed California community, investing $200 million over 10 years and employing at least 300 people; no completion date stated.
2016-12-31restructuringin_progress2016-03-242017-03-31United StatesCorporate / IntegrationUSD 89 (millions)restructuring_footnote
f5-10k / Qwen3.6-27B-NVFP4-MTP-HTML		Integration of Health Net operations resulting in workforce reduction. Total charges of $89 million ($46 million employee termination, $43 million stock-based compensation). Majority expensed in 2016, remainder expected in early 2017. Specific headcount not disclosed.
2016-12-31acquisition_additioncompleted2016-03-242016-03-24United StatesManaged Care / Specialty ServicesItem_1_Business
f5-10k / Qwen3.6-27B-NVFP4-MTP-HTML		Acquisition of Health Net, Inc. on March 24, 2016. Specific headcount added not disclosed in this filing.
2016-12-31restructuringin_progress2016-03-242017-03-31United StatesManaged CareUSD 89 (millions)restructuring_footnote
f5-10k / Qwen3.6-27B-Q8_0		Integration of Health Net operations resulting in workforce reduction beginning in 2016 and expected to continue through early 2017. Charges include $46M employee termination costs and $43M stock-based compensation.
2016-12-31restructuringin_progressGeneral and Administrative Expense [Member]USD 89,000,000 (absolute)restructuring_footnote
f5-10k / no-ai-xblr
2016-12-31restructuringin_progressGeneral and Administrative Expense [Member] / Stock Based Compensation [Member]USD 43,000,000 (absolute)restructuring_footnote
f5-10k / no-ai-xblr
2016-12-31restructuringin_progressGeneral and Administrative Expense [Member] / Employee Severance [Member]USD 46,000,000 (absolute)restructuring_footnote
f5-10k / no-ai-xblr
2016-09-30restructuringin_progress2017United StatesManaged CareUSD 39 (millions)restructuring_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Workforce reduction tied to Health Net integration began in 2016 and is expected to run through early 2017. Nine-month employee termination charges of $39M ($7M in Q3) with $14M accrued at 2016-09-30; a further $40M of stock-based compensation was charged. Company expects roughly $50M total termination costs plus $44M stock comp. No headcount affected disclosed.
2016-09-30acquisition_additioncompletedUnited StatesManaged Care; Specialty ServicesUSD 224 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquisition of Health Net, Inc. closed 2016-03-24 for ~$6.0 billion including assumed debt; headcount added not disclosed. $224M of acquisition-related expenses recorded in G&A for the nine months ended 2016-09-30.
2016-09-30otherannounced3002026-03-24California, United StatesOperationsother
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Regulatory undertaking tied to California deal approval: build a service center in an economically distressed community, investing $200 million over ten years and employing at least 300 people. Employment commitment, not a headcount reduction.
2016-09-30restructuringin_progress2016-03-242017-03-31United StatesManaged CareUSD 79 (millions)restructuring_footnote
f5-10q / Qwen3.6-27B-Q8_0		Restructuring plan resulting from Health Net acquisition integration. Includes $39M employee termination costs and $40M stock-based compensation incurred YTD. Majority expected incurred through 2016 and early 2017. Employee count not disclosed.
2016-09-30restructuringin_progressGeneral and Administrative Expense [Member]USD 79,000,000 (absolute)restructuring_footnote
f5-10q / no-ai-xblr
2016-09-30restructuringin_progressGeneral and Administrative Expense [Member] / Stock Based Compensation [Member]USD 40,000,000 (absolute)restructuring_footnote
f5-10q / no-ai-xblr
2016-09-30restructuringin_progressGeneral and Administrative Expense [Member] / Employee Severance [Member]USD 39,000,000 (absolute)restructuring_footnote
f5-10q / no-ai-xblr
2016-06-30restructuringin_progressUnited StatesManaged CareUSD 50 (millions)restructuring_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Workforce reduction tied to Health Net integration, running from 2016 through early 2017; no employee count disclosed. Expected total ~$50M employee termination costs plus ~$43M stock-based compensation; $32M termination charges incurred YTD 2016 ($18M in Q2), $14M accrued at 2016-06-30.
2016-06-30acquisition_additioncompleted2016-03-24United States (primarily California, Arizona, Oregon, Washington)Managed Care and Specialty Servicesbusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Health Net acquisition closed 2016-03-24 for ~$6.0B including assumed debt; headcount added through the combination is not quantified in the filing.
2016-06-30restructuringin_progress2016-03-242017-03-31United StatesManaged CareUSD 70 (millions)restructuring_footnote
f5-10q / Qwen3.6-27B-Q8_0		Restructuring plan resulting in workforce reduction beginning in 2016 and continuing through early 2017. YTD charges: $32M employee termination costs, $38M stock-based compensation. Total expected charges: ~$50M termination, ~$43M stock-based compensation.
2016-06-30acquisition_additioncompleted2016-03-242016-03-24United StatesManaged Care and Specialty Servicesbusiness_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Acquisition of Health Net, Inc. completed. Headcount added not explicitly quantified in this filing.
2016-06-30restructuringin_progressUSD 70,000,000 (absolute)restructuring_footnote
f5-10q / no-ai-xblr
2016-06-30restructuringin_progressGeneral and Administrative Expense [Member] / Stock Based Compensation [Member]USD 38,000,000 (absolute)restructuring_footnote
f5-10q / no-ai-xblr
2016-06-30restructuringin_progressGeneral and Administrative Expense [Member] / Employee Severance [Member]USD 32,000,000 (absolute)restructuring_footnote
f5-10q / no-ai-xblr
2016-03-31acquisition_additioncompleted2016-03-242016-03-24United StatesManaged Care; Specialty ServicesUSD 189 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquisition of Health Net closed 2016-03-24 for ~$6.0 billion including assumed debt; headcount added not disclosed. $189M acquisition-related costs recorded in G&A, including $75M investment banking fees, $61M California charitable undertakings, $45M employee termination costs, $8M other integration costs.
2016-03-31restructuringin_progress2016-03-242017-03-31United StatesManaged CareUSD 53 (millions)restructuring_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Integration restructuring with workforce reduction beginning 2016 and continuing through early 2017; number of employees affected not disclosed. $14M employee termination costs accrued at 2016-03-31 (charges incurred in Q1, none paid); company expects ~$53M total employee termination costs plus ~$42M stock-based compensation, majority incurred through 2016 and early 2017.
2016-03-31restructuringin_progress2016-03-242017-03-31United StatesManaged CareUSD 14 (millions)restructuring_footnote
f5-10q / Qwen3.6-27B-Q8_0		Restructuring plan resulting in reduction in workforce beginning in 2016 and continuing through early 2017. Employee termination costs incurred of $14 million. Total expected employee termination costs approx $53 million.
2016-03-31acquisition_additioncompleted2016-03-242016-03-24United StatesManaged Care and Specialty Servicesbusiness_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Acquisition of Health Net, Inc. completed. Headcount added not explicitly quantified in filing.
2015-12-31acquisition_additionannounced2015-07-022016-03-31United StatesManaged CareItem_1_Business
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Definitive merger agreement to acquire Health Net, Inc.; transaction valued at approximately $5.5 billion including assumed debt; expected to close in early 2016; no headcount disclosed.
2015-12-31acquisition_additioncompleted2015-09-302015-09-30United States — OregonManaged CareUSD 109 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquisition of Agate Resources, Inc. for $109 million consideration; no employee count disclosed.
2015-12-31acquisition_additioncompleted2015-05-312015-05-31United States — MichiganManaged CareUSD 57 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquisition of 100% of Fidelis for $57 million consideration; no employee count disclosed.
2015-12-31acquisition_additioncompleted2015-01-312015-01-31United StatesManaged CareUSD 28 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquired remaining 79% of LiveHealthier for $28 million; no employee count disclosed.
2015-12-31divestiture_reductioncompleted2015-01-312015-01-31United StatesManaged Carebusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Sold 25% ownership interest in Celtic Insurance Company for $7 million; no gain or loss recognized; no employee count disclosed.
2015-06-30acquisition_additionannounced2015-07-022016-03-31United StatesManaged Caresubsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Definitive merger agreement to acquire Health Net, valued at approximately $6.8 billion including assumed debt; expected to close in early 2016. No employee headcount impact disclosed; Health Net stockholders expected to hold about 29% of combined company.
2015-06-30acquisition_additioncompleted2015-05-012015-05-31United StatesManaged Carebusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquired 100% of Fidelis SecureCare of Michigan for $57 million in May 2015; no headcount disclosed. Announcement date approximated to month of closing.
2015-06-30acquisition_additionannounced2015-01-152015-09-30United StatesManaged CareMD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement signed January 2015 to acquire Agate Resources, Inc. (Oregon Medicaid products and services); expected to close in Q3 2015 subject to customary conditions. No headcount disclosed; announcement date approximated to month.
2015-03-31acquisition_additioncompleted2015-01-02United StatesManaged CareUSD 28 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquired remaining 79% of LiveHealthier, Inc. for $28M (cash, stock, contingent consideration); no employee count disclosed. Announcement date reflects closing date; definitive agreement date not stated.
2015-03-31divestiture_reductioncompleted2015-01United StatesSpecialty ServicesUSD 7 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Sold 25% ownership interest in Celtic Insurance Company for $7M; no gain or loss recognized and no employee count disclosed. Put option exercisable beginning 2022.
2014-12-31acquisition_additioncompleted2014-012014-01United StatesSpecialty Servicesbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquired 68% of U.S. Medical Management, LLC for $213 million total consideration; headcount added through the acquisition is not disclosed.
2014-12-31acquisition_additioncompleted2014-072014-07Louisiana, United StatesManaged Carebusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		CHS assigned its Louisiana Bayou Health contract to Louisiana Healthcare Connections for $134 million consideration; headcount transferred is not disclosed.
2014-09-30acquisition_additioncompleted2014-07-01United States (Louisiana)Managed Carebusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		July 2014 transaction assigned the CHS Bayou Health contract to subsidiary Louisiana Healthcare Connections; consideration $133,791 thousand including $58,135 thousand of Centene stock (746,369 shares). No employee count transferred or added is disclosed.
2014-03-31acquisition_additioncompleted2014-01-06United StatesSpecialty Servicesbusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquired 68% of U.S. Medical Management, LLC for $214.9M total consideration ($132.7M stock, $82.2M cash); no employee headcount added disclosed. Call/put agreements allow purchase of remaining interest 2015-2017.
2013-12-31divestiture_reductioncompleted2013-07-06KentuckyManaged CareUSD 434 (thousands)discontinued_operations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Exit from the Kentucky Medicaid managed care contract rather than an asset sale; KSHP ceased serving members July 6, 2013 and is reported as discontinued operations. Company notified the Commonwealth in October 2012. Charge shown is FY2013 employee-benefits severance incurred; a further $735 thousand of FY2013 exit cost relates to lease termination, and $2,939 thousand of severance was incurred in FY2012 (prior year, not extracted). Employees affected not disclosed.
2013-12-31acquisition_additioncompleted2013-042013-04United StatesSpecialty Servicesbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquisition of AcariaHealth, a specialty pharmacy company, for $142,495 thousand total consideration, financed with stock and cash. Recorded in the Specialty Services segment; acquired headcount not disclosed.
2013-12-31acquisition_additioncompleted2014-012014-01United Statessubsequent_events
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Majority interest in U.S. Medical Management, LLC acquired for approximately $200,000 thousand in cash and 2,243,217 Centene shares; transaction closed after fiscal year-end and before the filing date. Acquired headcount not disclosed.
2013-09-30acquisition_additioncompleted2013-04-01Specialty ServicesUSD 142 (millions)business_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Acquired 100% of AcariaHealth, Inc., a specialty pharmacy company. Headcount added is not explicitly disclosed.
2013-06-30acquisition_additioncompleted2013-04-01United StatesSpecialty Servicesbusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquisition of specialty pharmacy company for $146.6M total consideration; no employee headcount disclosed.
2013-06-30othercompleted2013-07-052013-07-05KentuckyMedicaid Managed Careother
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Kentucky Spirit Health Plan exited Kentucky Medicaid market on 2013-07-05; no employee count disclosed. Commonwealth alleged material breach; litigation pending.
2013-03-31acquisition_additioncompleted2013-042013-04United StatesSpecialty Services (specialty pharmacy)subsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		April 2013 acquisition of AcariaHealth for approximately $146.2 million, funded with about 2.1 million Centene shares and about $55.4 million cash; no employee headcount added disclosed.
2012-12-31otherannounced2012-102013-07-05KentuckyMedicaid Managed CareMD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Kentucky Spirit notified the Commonwealth of Kentucky in October 2012 that it was exercising a contractual right to terminate the Kentucky Medicaid managed care contract effective July 5, 2013; no affected-employee count disclosed. A $41.5 million pre-tax premium deficiency reserve covering January 1, 2013 through July 5, 2013 was recorded in medical costs expense, but that reserve relates to claims obligations rather than severance.
2012-12-31acquisition_additionannounced2013-012013-03-31United StatesSpecialty Servicessubsequent_events
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement signed in January 2013 to acquire specialty pharmacy company AcariaHealth for $152.0 million, expected to close in Q1 2013; consideration approximately 60% Centene stock with the remainder cash and credit facilities. No headcount added through the transaction is disclosed.
2012-09-30otherannounced2012-102013-07-05KentuckyMedicaid Managed Caresubsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Kentucky Spirit notified the state in October 2012 of intent to terminate its Medicaid managed care contract effective 2013-07-05. Exit costs estimated at $5,000 to $7,000 thousand, primarily lease termination fees and employee retention and severance accruals; no employee count disclosed and costs not reflected in the September 30, 2012 financials.
2010-12-31divestiture_reductioncompleted2008-11-012010-03-31New JerseyMedicaid Managed Carediscontinued_operations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Sale of certain assets of UHP completed March 2010; pre-tax gain of $8.2M recognized. Exit costs of $736K incurred in 2010 (lease termination and employee retention). Headcount not disclosed.
2010-12-31acquisition_additioncompleted2010-06-012010-06-30South CarolinaMedicaid Managed CareUSD 18 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquisition of certain assets of Carolina Crescent Health Plan for $17.993M total consideration; headcount added not disclosed.
2010-12-31acquisition_additioncompleted2010-07-012010-07-31ArkansasSpecialty ServicesUSD 4 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquisition of certain assets and liabilities of NovaSys Health, a third party administrator, for $4.33M cash; headcount added not disclosed.
2010-12-31acquisition_additioncompleted2010-12-012010-12-31FloridaMedicaid Managed CareUSD 29 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquisition of certain assets in non-reform counties of Citrus Health Care, a Florida Medicaid and long-term care health plan, for $28.689M; headcount added not disclosed.
2010-12-31acquisition_additioncompleted2010-12-012010-12-31FloridaMedicaid Managed Carebusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Exercise of right to obtain remaining assets and ownership interest in Access Health Solutions for zero dollars; entity was already consolidated as a VIE. Headcount not disclosed.
2010-12-31acquisition_additioncompleted2010-12-012010-12-31United StatesSpecialty ServicesUSD 7 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquisition of additional ownership interest in Casenet, LLC for $6.619M, bringing ownership to 68%; headcount added not disclosed.
2010-09-30restructuringin_progress2010-03-01New JerseyDiscontinued Operations (University Health Plans)USD 5 (millions)restructuring_footnote
f5-10q / Qwen3.6-27B-Q8_0		Exit costs related to lease termination and employee retention programs following the sale of University Health Plans assets.
2010-06-30restructuringin_progressNew JerseyDiscontinued Operations (University Health Plans)USD 5 (millions)restructuring_footnote
f5-10q / Qwen3.6-27B-Q8_0		Exit costs totaling $5.459 million incurred related to lease termination and employee retention programs following the sale of University Health Plans assets.
2010-03-31restructuringin_progressNew JerseyDiscontinued Operations (University Health Plans)USD 1 (millions)restructuring_footnote
f5-10q / Qwen3.6-27B-Q8_0		Incurred exit costs related to lease termination and employee retention programs for the sale of University Health Plans assets.
2009-12-31divestiture_reductionin_progress2008-11-202010-03-31New JerseyMedicaid Managed Care — University Health Plans, Inc.USD 3 (millions)discontinued_operations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Exit costs incurred in 2009 of $3.14 million consist primarily of lease termination fees and employee severance; headcount affected not disclosed. Separately, $3.6 million of employee retention expenses related to the pending sale were recorded in discontinued operations. Sale settlement reached 2009-10-23 with completion expected in Q1 2010.
2009-12-31acquisition_additioncompletedUnited States (Florida, South Carolina, Texas)Medicaid Managed Care and Specialty Servicesbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Consolidated record for 2009 acquisitions: consolidation of Access Health Solutions LLC (Florida), Pediatric Associates LLC (Feb 2009), Amerigroup Community Care of South Carolina (Mar 2009), and InSpeech, Inc. (Jul 2009). Headcount added through these transactions is not disclosed.
2009-12-31restructuringcompleted352007-10-012007-12-31United StatesMedicaid Managed CareUSD 2,185 (thousands)restructuring_footnote
f5-10k / Qwen3.6-27B-NVFP4-MTP-HTML		Organizational realignment in Q4 2007 resulting in elimination of approximately 35 positions. No restructuring charges recognized in 2009 or 2008.
2009-12-31restructuringcompleted352007-10-012007-12-31United StatesMedicaid Managed CareUSD 2 (millions)restructuring_footnote
f5-10k / Qwen3.6-27B-Q8_0		Organizational realignment in Q4 2007 resulting in elimination of approximately 35 positions. No remaining liability as of Dec 31, 2009.
2009-12-31restructuringcompleted2008-11-012009-12-31New JerseyDiscontinued OperationsUSD 4 (millions)discontinued_operations_footnote
f5-10k / Qwen3.6-27B-Q8_0		Employee retention expenses of $3.6 million related to pending sale of University Health Plans (UHP) included in discontinued operations during 2009.
2009-06-30restructuringin_progress2008-11-01New JerseyDiscontinued Operations (University Health Plans, Inc.)USD 1 (millions)restructuring_footnote
f5-10q / Qwen3.6-27B-Q8_0		Incurred additional restructuring costs primarily related to employee retention programs during the six months ended June 30, 2009. Total restructuring costs incurred to date are $2.464 million.
2008-12-31divestiture_reductionin_progress2008-11-20New Jersey, United StatesMedicaid Managed CareUSD 1,110 (thousands)discontinued_operations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Exit costs of $1.1M incurred in 2008 for lease termination and employee severance related to planned sale of University Health Plans. Employee count not disclosed. Sale contested by AMERIGROUP; litigation filed Jan 2009.
2008-12-31acquisition_additioncompleted2008-07-01United StatesSpecialty Servicesbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquisition of Celtic Insurance Company completed July 1, 2008 for approximately $82.1M. Headcount added not disclosed.
2008-12-31acquisition_additionannounced2008-11-012009-03-31South Carolina, United StatesMedicaid Managed CareMD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Planned acquisition of certain assets of AMERIGROUP Community Care of South Carolina announced November 2008, expected to close Q1 2009. Headcount not disclosed.
2008-12-31restructuringcompleted352007-10-012007-12-31United StatesCorporate / HeadquartersUSD 2 (millions)restructuring_footnote
f5-10k / Qwen3.6-27B-NVFP4-MTP-HTML		Organizational realignment in Q4 2007 resulting in elimination of approximately 35 positions. Charge of $2.2 million recorded in 2007. No remaining liability as of Dec 31, 2007.
2008-12-31restructuringcompleted352007-10-012007-12-31United StatesMedicaid Managed CareUSD 2 (millions)restructuring_footnote
f5-10k / Qwen3.6-27B-Q8_0		Organizational realignment in Q4 2007 resulting in elimination of approximately 35 positions. Charge recorded in 2007; no remaining liability at Dec 31, 2007.
2008-12-31restructuringcompleted2008-11-012008-12-31New JerseyDiscontinued Operations (University Health Plans)USD 4 (millions)discontinued_operations_footnote
f5-10k / Qwen3.6-27B-Q8_0		One-time charge primarily for asset impairments and employee severance related to the sale of New Jersey health plan. Remaining liability for these charges was $1.1 million at Dec 31, 2008.
2008-09-30restructuringcompleted352007-12-312007-12-31United StatesMedicaid Managed CareUSD 2,185 (thousands)restructuring_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Organizational realignment completed in Q4 2007; approximately 35 positions eliminated. Remaining severance liability of $43 thousand at September 30, 2008. Action originated prior to the current reporting period but is disclosed in this filing.
2008-09-30restructuringcompleted2007-12-312007-12-31United StatesMedicaid Managed CareUSD 7,207 (thousands)restructuring_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Abandonment of Clayton, Missouri corporate office redevelopment project with real estate impairment charge recorded in Q4 2007. No employee count disclosed. Remaining liability of $850 thousand at September 30, 2008.
2008-09-30restructuringcompleted352007-12-31Clayton, MissouriGeneral and AdministrativeUSD 2,185 (thousands)restructuring_footnote
f5-10q / Qwen3.6-27B-Q8_0		Organizational realignment completed in Q4 2007 resulting in elimination of approximately 35 positions. Remaining liability for severance costs was $43 thousand as of September 30, 2008.
2008-06-30restructuringcompleted352007-12-31United StatesMedicaid Managed CareUSD 2,185 (thousands)restructuring_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Organizational realignment completed in Q4 2007 (prior to this quarter); disclosed here because a residual severance liability of $153 thousand remained at 2008-06-30. Positions eliminated were recorded in G&A expense.
2008-06-30acquisition_additioncompleted2008-07-012008-07-01United StatesSpecialty Servicessubsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquisition of Celtic Insurance Company completed 2008-07-01 for $80.0 million cash plus transaction costs; no employee headcount added disclosed. An extraordinary dividend of $31.4 million was received from Celtic in July 2008.
2008-06-30restructuringcompleted352007-10-01Clayton, MissouriMedicaid Managed CareUSD 2,185 (thousands)restructuring_footnote
f5-10q / Qwen3.6-27B-Q8_0		Organizational realignment in Q4 2007 resulting in elimination of approximately 35 positions. Remaining liability for these costs was $153 thousand at June 30, 2008.
2008-03-31restructuringin_progress352007-12-31United StatesMedicaid Managed CareUSD 2,185 (thousands)restructuring_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Organizational realignment completed in Q4 2007 eliminated approximately 35 positions; $494 thousand severance liability remained at March 31, 2008. Charge recorded in Q4 2007, not current quarter.
2008-03-31restructuringin_progress2007-12-31United StatesMedicaid Managed CareUSD 7,207 (thousands)restructuring_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Abandoned Clayton, Missouri corporate office redevelopment project; impairment charge recorded Q4 2007. $850 thousand liability remained at March 31, 2008. No employee count disclosed.
2008-03-31restructuringcompleted352007-10-01United StatesMedicaid Managed CareUSD 2,185 (thousands)restructuring_footnote
f5-10q / Qwen3.6-27B-Q8_0		Organizational realignment completed in Q4 2007; $2.2M severance recorded then. Remaining liability of $494k as of March 31, 2008.
2007-12-31restructuringcompleted352007-12-31United StatesMedicaid Managed CareUSD 2,185 (thousands)restructuring_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Organizational realignment completed in Q4 2007 eliminating approximately 35 positions; severance recorded as G&A expense in the Medicaid Managed Care segment, with the full accrual remaining at year-end.
2007-12-31divestiture_reductioncompleted2007-02-01Missouri, United StatesMedicaid Managed Carediscontinued_operations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Sale of FirstGuard Missouri operating assets completed effective February 1, 2007; associated workforce headcount not disclosed.
2007-12-31divestiture_reductioncompleted2007-12-31Kansas, United StatesMedicaid Managed Carediscontinued_operations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Kansas Medicaid contract was not renewed effective December 31, 2006; in 2007 the Company abandoned the FirstGuard stock, incurring exit costs of $8.7 million cumulative (including $2.5 million incurred in 2007) for lease terminations and severance. Affected headcount not disclosed.
2007-12-31acquisition_additioncompleted2007-11-30United StatesMedicaid Managed Care; Specialty Servicesbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		2007 acquisitions: PhyTrust of South Carolina (April 20, 2007), Physician's Choice (October 2007) and Work Life Innovations (November 30, 2007), plus a 49% minority interest in Access Health Solutions (July 2007). Headcount added not disclosed.
2007-12-31restructuringcompleted352007-Q4United StatesMedicaid Managed CareUSD 2 (millions)MD&A
f5-10k / Qwen3.6-27B-NVFP4-MTP-HTML		Organizational realignment resulting in elimination of approximately 35 positions. Charge recorded in Q4 2007.
2007-12-31restructuringcompleted352007-Q42007-12-31United StatesMedicaid Managed CareUSD 2 (millions)restructuring_footnote
f5-10k / Qwen3.6-27B-Q8_0		Organizational realignment in Q4 2007 resulting in elimination of approximately 35 positions. Recorded $2.185 million in severance costs.
2007-09-30divestiture_reductioncompleted2007-02-01Missouri, United StatesMedicaid Managed Careother
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Sale of FirstGuard Missouri operating assets completed 2007-02-01; no employee count disclosed. Company continues winding down FirstGuard Kansas and Missouri operations.
2007-09-30acquisition_additioncompleted2007-04-20South Carolina, United StatesMedicaid Managed Carebusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquisition of PhyTrust of South Carolina, LLC effective 2007-04-20; no headcount added disclosed.
2007-09-30restructuringin_progressKansas and MissouriFirstGuard Health PlansUSD 2 (millions)restructuring_footnote
f5-10q / Qwen3.6-27B-Q8_0		Incurred $2.481 million in exit costs during the nine months ended Sept 30, 2007, consisting primarily of lease termination fees and employee severance costs. Total exit costs incurred to date are $8.683 million.
2007-06-30divestiture_reductioncompleted2007-02-01Kansas and MissouriMedicaid Managed Care (FirstGuard Health Plans)USD 8,516 (thousands)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Exit program tied to Missouri asset sale (effective 2007-02-01) and Kansas contract non-renewal/stock abandonment (March 2007). Disclosed $8,516 thousand of cumulative exit costs, primarily lease termination fees and employee severance costs ($6,202 thousand incurred in 2006; $2,314 thousand in six months ended 2007-06-30; $848 thousand accrual remaining at 2007-06-30). No employee count disclosed. Charge shown is total exit costs to date, not a period-only charge.
2007-06-30acquisition_additioncompleted2007-04-20South CarolinaMedicaid Managed Care (PhyTrust of South Carolina, LLC)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquisition of a Medicaid Medical Home Network effective 2007-04-20; results consolidated from that date. No headcount added disclosed; pro forma disclosures omitted as immaterial.
2007-06-30divestiture_reductioncompleted2007-02-01MissouriMedicaid Managed Carebusiness_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Sale of operating assets of FirstGuard Missouri completed effective February 1, 2007. Employee count not disclosed.
2007-06-30divestiture_reductioncompleted2007-03-01KansasMedicaid Managed CareUSD 2 (thousands)business_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Abandoned stock of FirstGuard Kansas in March 2007. Recognized expense of $1,602 thousand for write-off of remaining assets. Employee count not disclosed.
2007-06-30acquisition_additioncompleted2007-04-20South CarolinaMedicaid Managed Carebusiness_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Acquired PhyTrust of South Carolina, LLC effective April 20, 2007. Employee count not disclosed.
2007-03-31divestiture_reductioncompleted2007-02-01Missouri, United StatesMedicaid Managed Careother
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Sale of FirstGuard Missouri operating assets completed effective 2007-02-01; no employee count disclosed. Company incurred $7,801 thousand of aggregate FirstGuard exit costs (lease terminations, severance), $1,599 thousand of it in Q1 2007, with a $1,619 thousand accrual remaining at quarter-end; exit costs are not split between the Missouri and Kansas entities. Goodwill written off was $5,995 thousand.
2007-03-31divestiture_reductioncompletedKansas, United StatesMedicaid Managed Careother
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Kansas Medicaid contract terminated 2006-12-31 (non-renewal); in March 2007 the Company abandoned the stock of FirstGuard Kansas to an unrelated entity, recognizing a $1,602 thousand asset write-off and a $29,919 thousand tax benefit. No employee count disclosed; exact abandonment date not stated (month only).
2007-03-31acquisition_additioncompletedSouth Carolina, United StatesMedicaid Managed Caresubsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Subsequent-event acquisition of PhyTrust of South Carolina, LLC, a physician-driven company serving over 30,000 members; disclosed only as 'In April 2007' (month only, no exact date). No employee headcount disclosed for the acquired entity.
2007-03-31divestiture_reductioncompleted2007-02-01MissouriMedicaid Managed Carerestructuring_footnote
f5-10q / Qwen3.6-27B-Q8_0		Sale of operating assets of FirstGuard Missouri completed Feb 1, 2007. Exit costs of $1,599 incurred in Q1 2007 (primarily lease termination and employee severance). Employee count not disclosed.
2007-03-31acquisition_additioncompleted2007-04-01South CarolinaSpecialty ServicesMD&A
f5-10q / Qwen3.6-27B-Q8_0		Acquired PhyTrust of South Carolina, LLC in April 2007. Serves over 30,000 members. Employee count not disclosed.
2006-12-31plant_closurecompleted2006-08-312006-12-31KansasMedicaid Managed Care (FirstGuard Health Plan Kansas)USD 6 (millions)restructuring_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Kansas Medicaid contract not renewed; terminated 2006-12-31 after unsuccessful appeal and litigation. Exit costs of $6.2M cover lease terminations and employee severance (MD&A cites $13.4M of total FirstGuard exit costs in G&A); $3.027M accrual remained at year-end. FirstGuard unit had 138,900 members at 2006-12-31.
2006-12-31divestiture_reductioncompleted2006-12-312007-02-01MissouriMedicaid Managed Care (FirstGuard Health Plan, Inc.)subsequent_events
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Sale of FirstGuard Missouri operating assets completed 2007-02-01, after fiscal year-end; decision to divest made during 2006. No headcount disclosed; part of the same FirstGuard reporting unit that took an $81.1M goodwill impairment.
2006-12-31acquisition_additioncompleted2006-01-012006-01-01United StatesSpecialty Services (US Script, Inc. — pharmacy benefits manager)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquired 100% of US Script for $40.6M cash plus up to $10M contingent consideration; acquired headcount not disclosed.
2006-12-31acquisition_additioncompleted2006-06-012006-07-01United StatesSpecialty Services and Medicaid Managed Care (Health Dimensions of Florida, Cardium Health Services, OptiCare Managed Vision) and Ohio (MediPlan Corporation)USD 31 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Four acquisitions effective 2006-04-01 through 2006-07-01 for $30.8M cash and transaction costs combined; acquired headcount not disclosed. Announcement date shown as approximate midpoint of the effective dates.
2006-12-31divestiture_reductioncompleted2006-08-012007-02-01MissouriMedicaid Managed CareUSD 13 (millions)MD&A
f5-10k / Qwen3.6-27B-NVFP4-MTP-HTML		Sale of operating assets of FirstGuard Missouri completed effective February 1, 2007. $13.4 million in exit costs recorded in 2006.
2006-12-31divestiture_reductioncompleted2006-08-012006-12-31KansasMedicaid Managed CareMD&A
f5-10k / Qwen3.6-27B-NVFP4-MTP-HTML		FirstGuard Kansas contract terminated December 31, 2006, following notification in August 2006 that contract would not be renewed.
2006-03-31acquisition_additioncompleted2006-01-01United StatesSpecialty Services (pharmacy benefits management)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquisition of US Script, Inc. effective 2006-01-01 for approximately $40.6 million cash plus transaction costs, with up to $10.0 million contingent consideration. Headcount added not disclosed.
2006-03-31acquisition_additionannounced2006-01-312006-06-30United States (Ohio)Medicaid Managed CareMD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement executed in January 2006 to acquire MediPlan Corporation for approximately $8.5 million cash plus transaction costs, subject to regulatory approval; expected close Q2 2006. Headcount not disclosed; announcement date stated only as month.
2006-03-31acquisition_additionannounced2006-04-012006-09-30United StatesSpecialty Services (managed vision)subsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Post-quarter definitive agreement (April 2006) to acquire the managed vision business of OptiCare Health Systems, Inc. for approximately $7.5 million cash plus transaction costs, subject to regulatory approval; expected close Q3 2006. Headcount not disclosed; announcement date stated only as month.
2005-12-31acquisition_additioncompleted2005-07-222005-07-22United StatesSpecialty Servicesbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Disease management provider acquired for approximately $36.2 million cash plus transaction costs, with up to $5.0 million additional consideration; headcount added not disclosed.
2005-12-31acquisition_additioncompleted2005-05-012005-05-01United States (Ohio)Medicaid Managed Carebusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Certain Medicaid-related assets of SummaCare, Inc. acquired for approximately $30.4 million ($21.4 million cash and 318,735 shares); headcount added not disclosed.
2005-12-31acquisition_additionannounced2006-01-312006-01-31United StatesSpecialty Servicessubsequent_events
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Pharmacy benefits manager acquired in January 2006 for approximately $40 million plus transaction costs, with up to $10 million contingent on earnings targets; post-year-end event, headcount added not disclosed.
2005-09-30acquisition_additioncompleted2005-07-22United StatesSpecialty Services (disease management)USD 36 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquired AirLogix, Inc. for approximately $36.2 million in cash plus transaction costs, with up to $5.0 million contingent consideration. No employee headcount added disclosed.
2005-09-30acquisition_additioncompleted2005-05-01United States (Ohio)Medicaid Managed CareUSD 30 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquired Medicaid-related assets of SummaCare, Inc. for approximately $30.3 million ($21.3 million cash, $9.0 million in stock). No employee headcount added disclosed.
2005-06-30acquisition_additioncompletedUnited States (Ohio)Medicaid Managed CareUSD 30 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Effective 2005-05-01; purchase price ~$30.3M ($21.3M cash plus 318,735 shares); serves ~37,500 members in Ohio. No employee count disclosed.
2005-06-30acquisition_additionannounced2005-07-01United StatesSpecialty Services (respiratory disease management)USD 35 (millions)subsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Post-quarter acquisition of AirLogix, Inc. for ~$35.0M cash plus transaction costs, with up to $5M contingent consideration. No employee count disclosed.
2004-12-31acquisition_additioncompleted2004-12-012004-12-01Kansas; MissouriMedicaid Managed CareUSD 96 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Purchase price approximately $96.1 million cash and transaction costs; acquired entity served approximately 135,000 members. Acquired headcount not disclosed; FirstGuard excluded from management's ICFR assessment (29% of consolidated assets).
2004-12-31acquisition_additioncompleted2004-01-012004-01-01OhioMedicaid Managed CareUSD 7 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquisition of Medicaid-related assets for approximately $6.9 million; plan served 23,800 members in Toledo, Ohio. Acquired headcount not disclosed.
2004-12-31reduction_in_forcecompletedUnited StatesCorporate and health plan operationsMD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		2004 G&A increase attributed in part to severance costs for job eliminations; no headcount, charge amount, or timing disclosed. No restructuring footnote present in this filing.
2004-12-31acquisition_additionannounced2005-012005-06-30OhioMedicaid Managed CareUSD 31 (millions)subsequent_events
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement announced January 2005 to acquire Medicaid-related assets of SummaCare, Inc. for approximately $31 million (~$22M cash, ~$9M stock); expected to close Q2 2005 subject to regulatory approvals. Headcount not disclosed.
2004-09-30acquisition_additionannounced2004-092005-03-31Kansas and MissouriMedicaid Managed CareUSD 93 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement to buy two health plan entities (FirstGuard) for about $93 million plus transaction costs; no employee count disclosed. To be funded from cash, investments and credit facility borrowings; closing subject to regulatory approvals.
2003-12-31acquisition_additioncompleted2004-01-01New JerseyMedicaid Managed CareUSD 13 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Purchased remaining 20% of UHP in October 2003 (80% acquired December 2002); aggregate purchase price $13.3M. Headcount added not disclosed.
2003-12-31acquisition_additioncompleted2003-03-01United StatesSpecialty ServicesUSD 2 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquired 100% of GPA (63.7% March 2003, 36.3% August 2003); behavioral health company serving over 700,000 individuals in five states. Headcount added not disclosed.
2003-12-31acquisition_additioncompleted2003-03-01United StatesSpecialty ServicesUSD 1 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Purchased contract and name rights of medication compliance company for $563 thousand. Asset purchase; headcount impact not disclosed.
2003-12-31acquisition_additioncompleted2003-08-01TexasMedicaid Managed CareUSD 1 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquired Medicaid-related contract rights in San Antonio market for $1.0M, enabling service to approximately 17,000 additional members. Contract rights only; headcount added not disclosed.
2003-12-31acquisition_additioncompleted2004-01-01OhioMedicaid Managed CareUSD 7 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquired Medicaid-related assets; operations commenced January 1, 2004 (subsequent to fiscal year-end), right to serve up to 24,000 members in Toledo. Start-up costs incurred in 2003; headcount added not disclosed.
2003-09-30plant_closurein_progress262003-08-152003-12-31Atlanta, Georgia, United StatesSpecialty Services (Group Practice Affiliates) — overhead functionsUSD 377 (thousands)restructuring_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Office closure decided in connection with acquiring the remaining 36.3% of GPA; overhead functions moved to other offices. One employee terminated by 2003-09-30; $200 thousand severance accrual remaining, expected paid in Q4 2003.
2003-09-30acquisition_additioncompleted2003-03-012003-08-15United States (four states)Specialty Services (behavioral healthcare)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Cenphiny acquired 63.7% of GPA effective 2003-03-01 and the remaining 36.3% effective 2003-08-15; total investment approximately $5.1 million. Employee headcount added through the acquisition is not disclosed.
2003-09-30restructuringin_progress262003-08-152003-12-31Atlanta, GeorgiaOverhead functionsUSD 377 (thousands)business_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Closure of Atlanta office following acquisition of remaining GPA interest. One employee terminated as of Sept 30, 2003; remaining accrual of $200k expected paid in Q4 2003.
2003-06-30acquisition_additioncompleted2003-03-01United States (Atlanta, Georgia; three states)Specialty Services (behavioral health)USD 4,300 (thousands)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Cenphiny acquired 63.7% of Group Practice Affiliates, LLC for approximately $4,300 thousand cash; goodwill of $1,775 thousand. No employee headcount added or retained is disclosed. Consolidated results included since 2003-03-01.
2003-03-31acquisition_additioncompleted2003-03-01United States (Atlanta, Georgia)Specialty Services (behavioral health)USD 4 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Cenphiny acquired 63.7% of Group Practice Affiliates, LLC for approximately $4.3 million cash; no employee headcount for the acquired entity is disclosed.
2003-03-31acquisition_additioncompleted2003-03-01United StatesSpecialty Services (pharmacy compliance)USD 1 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Asset purchase of ScriptAssist, LLC contract and name rights for approximately $561,000 cash; no headcount transferred is disclosed.
2002-12-31acquisition_additioncompleted772002-12-012002-12-01New JerseyUniversity Health Plans (health plan subsidiary)USD 11 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		80% equity acquired for $10.6M; 77 employees as of 2003-01-31 per Item 1. Purchase price not a severance charge.
2002-12-31acquisition_additioncompleted2002-06-012002-11-01TexasSuperior HealthPlan — SCHIP contractsUSD 1 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Purchased SCHIP contracts from Texas Universities Health Plan; added ~24,000 members. Employee headcount impact not disclosed. $595K recorded as purchased contract rights intangible.
2002-12-31acquisition_additioncompleted2002-03-142002-03-14WisconsinBankers Reserve Life Insurance Company of WisconsinUSD 4 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Cash purchase price $3.527M. Employee headcount impact not disclosed; acquired for reinsurance purposes with run-off operations.
2002-09-30acquisition_additionannounced2002-08-02New Jersey, United StatesMedicaid managed careUSD 10 (millions)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Centene agreed to acquire 80% of University Health Plans, Inc. for $10.0M cash. Stock Purchase Agreement states UHP has fewer than 100 employees. Closing subject to NJ regulatory approval; expected Q4 2002.
2002-09-30acquisition_additionin_progress2002-08-012002-11-30Texas, United StatesSCHIP managed careUSD 570 (thousands)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Superior HealthPlan purchased SCHIP contract rights in three Texas service areas for $570K; transition occurring Sept–Nov 2002. No employee count disclosed for this transaction.
2002-09-30acquisition_additioncompleted2002-03-14WisconsinReinsurance / Managed CareUSD 3,527 (thousands)business_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Acquired Bankers Reserve Life Insurance Company of Wisconsin. No specific headcount disclosed.
2002-09-30acquisition_additioncompleted2002-08-012002-11-30TexasSCHIPUSD 570 (thousands)business_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Superior HealthPlan purchased rights to Texas Universities Health Plan SCHIP contracts. Transition Sept-Nov 2002. No specific headcount disclosed.
2002-09-30acquisition_additionannounced2002-08-012002-12-31New JerseyMedicaidUSD 10,000 (thousands)subsequent_events
f5-10q / Qwen3.6-27B-Q8_0		Agreement to acquire 80% of University Health Plans, Inc. (UHP). Expected to close in Q4 2002. No specific headcount disclosed.
2001-12-31acquisition_additioncompleted2000-12-012001-02-01Wisconsin and TexasMedicaid health plan operationsUSD 1 (millions)restructuring_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Humana Medicaid contracts acquired; approximately 65,000 members transferred (35,000 WI, 30,000 TX). Charge represents purchased contract rights intangible, not severance. No employee count disclosed.
2001-12-31acquisition_additioncompleted2001-01-012001-12-31TexasSuperior HealthPlanbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Centene acquired additional 51% of Superior effective January 1, 2001 and remaining 10% in December 2001, reaching 100% ownership. No employee count disclosed.