Centene Cash Flow Statement

Financials in millions USD. Fiscal year is January - December.

Millions USD. Fiscal year is Jan - Dec.

Fiscal Year	FY 2025	FY 2024	FY 2023	FY 2022	FY 2021
Period Ending	Dec '25 Dec 31, 2025	Dec '24 Dec 31, 2024	Dec '23 Dec 31, 2023	Dec '22 Dec 31, 2022	Dec '21 Dec 31, 2021
Net Income	-6,674	3,305	2,702	1,202	1,347
Depreciation & Amortization	1,275	1,241	1,293	1,430	1,335
Gain (Loss) on Sale of Assets	-2	-120	280	-93	-76
Gain (Loss) on Sale of Investments	-	-	-	-	229
Stock-Based Compensation	204	212	216	234	203
Change in Accounts Receivable	1,480	-4,333	-2,380	-1,627	-2,453
Change in Accounts Payable	-657	-528	3,398	421	1,141
Change in Unearned Revenue	80	-54	238	31	-109
Change in Insurance Reserves / Liabilities	2,336	368	1,261	2,397	1,802
Change in Other Net Operating Assets	-201	32	857	1,095	1,136
Other Operating Activities	-64	18	91	-689	-350
Operating Cash Flow	5,088	154	8,053	6,261	4,205
Operating Cash Flow Growth	3203.90%	-98.09%	28.62%	48.89%	-23.59%
Capital Expenditures	-767	-644	-799	-1,004	-910
Cash Acquisitions	-	-	-	-1,460	-534
Investment in Securities	1,239	-1,398	-1,099	-2,934	-1,942
Other Investing Activities	-	-	-	-	19
Investing Cash Flow	472	-1,052	-1,191	-2,921	-3,299
Long-Term Debt Issued	750	1,300	2,335	360	9,267
Total Debt Repaid	-1,895	-622	-2,316	-1,490	-7,434
Net Debt Issued (Repaid)	-1,145	678	19	-1,130	1,833
Issuance of Common Stock	37	46	44	70	35
Repurchases of Common Stock	-475	-3,124	-1,633	-3,096	-297
Other Financing Activities	-38	-6	-88	-41	-209
Financing Cash Flow	-1,621	-2,406	-1,658	-4,197	1,362
Foreign Exchange Rate Adjustments	-	8	-32	-11	-11
Miscellaneous Cash Flow Adjustments	-138	-	-50	-16	-
Net Cash Flow	3,801	-3,296	5,122	-884	2,257
Free Cash Flow	4,321	-490	7,254	5,257	3,295
Free Cash Flow Growth	-	-	37.99%	59.55%	-28.89%
Free Cash Flow Margin	2.45%	-0.33%	5.13%	3.86%	2.78%
Free Cash Flow Per Share	8.76	-0.94	13.29	9.03	5.58
Cash Interest Paid	647	688	688	657	658
Cash Income Tax Paid	448	1,002	887	1,198	678
Levered Free Cash Flow	5,198	638.13	6,046	3,214	3,985
Unlevered Free Cash Flow	5,622	1,077	6,499	3,630	4,401
Change in Working Capital	3,038	-4,515	3,374	2,317	1,517

Source: S&P Global Market Intelligence. Insurance template. Financial Sources.