Better Health for All

Centene's core business of providing managed healthcare services to under-insured and uninsured individuals delivers exceptional health benefits, with no revenue from products with negative health impacts. The company demonstrates a strong commitment to vulnerable populations, with initiatives like the Provider Accessibility Initiative, which has funded over $2.3 million in accessible healthcare facilities across 16 states since 2018.

The Centene Foundation also facilitates $900 million in construction for affordable housing in low-income areas, enhancing health-conducive amenities. Centene's comprehensive health equity programs, including a Health Equity Improvement Model that received an NCQA Innovation Award for improving cancer screening and immunization rates in underserved groups, show a major impact on health disparities. The company offers exceptional mental health programs, integrating behavioral health services, addressing substance use disorders, suicide prevention, and social isolation through evidence-based interventions and partnerships with behavioral health apps. Telehealth services, with over 13 million virtual visits in 2023, significantly increase accessibility in rural and underserved areas. Centene's operations generate significant positive health externalities, such as enhancing housing amenities with health centers. Support for the healthcare workforce is moderate, evidenced by a tailored learning curriculum for Community Health Centers. The company also shows a strong prevention focus through initiatives like improving maternal and child health and cancer screening. However, the response to global health crises, such as the COVID-19 pandemic, was reactive, involving a task force to explore disparities and propose reforms.

Fair Money & Economic Opportunity

Centene Corporation is primarily a healthcare enterprise. While the company engages in initiatives that support economic opportunity and underserved populations, such as providing below-market-rate loans for affordable housing construction

and seed funding for small business loan programs , the provided articles do not contain the specific quantitative data points required by the 'Fair Money & Economic Opportunity' rubric. There is no evidence regarding the percentage of total customers from underserved segments, specific APRs or fee structures for consumer credit products, revenue share from high-cost products, the share of a loan book dedicated to inclusion initiatives, measurable customer wealth-building outcomes, the percentage of pre-tax profit reinvested in community finance, or the reach and outcomes of financial literacy programs. Consequently, no KPIs can be scored based on the available evidence.

Fair Pay & Worker Respect

Centene Corporation's CEO-to-median employee pay ratio was 224:1 in 2024, with the CEO earning $20,612,148

and the median employee earning $91,902. The company has faced multiple lawsuits alleging wage and hour violations, including a 2016 lawsuit that settled for $265,000 for unpaid wages from 2013-2017. Other lawsuits include a 2015 collective action alleging misclassification of LTC Case Managers, a 2022 proposed collective action for care coordinators, and a 2023 lawsuit for salespersons. Substantiated wage and hour violations recorded include settlements of $6,500,000 in 2013, $4,500,000 in 2016, and $2,179,700 in 2021. However, there are no substantiated labor-law or human-rights violations documented within the past three years (2023-2025).

Fair Trade & Ethical Sourcing

Centene, as a healthcare services company, does not procure or trade physical commodities, making certain sourcing-related KPIs not applicable. Its procurement organization expects suppliers to comply with a Vendor Code of Conduct for ethical behavior.

The company emphasizes working with diverse suppliers to foster economic growth and promote economic equity by supporting underrepresented vendors. Centene also operates under a Corporate Sustainability Framework and an Ethics and Compliance Program.

Honest & Fair Business

Centene Corporation incurred ethics-related regulatory fines totaling $424.5 million in the past three years (February 2022 to February 2025).

This includes an $11.2 million settlement in February 2025 for cybersecurity compliance failures and False Claims Act violations by its subsidiary Health Net Federal Services. In February 2023, Centene paid over $215 million to California to resolve allegations of overcharging the state’s Medi-Cal program. Additional settlements in 2022 include $165.6 million with Texas, $19 million with Washington, and $13.7 million with New Mexico, all related to allegations of overcharging or improper pharmacy benefit management practices in state Medicaid programs.

Kind to Animals

Centene Corporation is a healthcare services provider, and its core business model does not involve activities such as animal testing, animal agriculture, or the production of animal-derived products. No evidence was found to suggest that the company conducts or contracts animal testing, making these activities not applicable to its operations. The company's environmental initiatives, such as planting 43 trees

and removing 50 pounds of litter, are general environmental efforts and do not provide specific, measurable biodiversity impact or species recovery metrics as required by the rubric for wildlife conservation.

No War, No Weapons

Centene's core business is healthcare, with no engagement in weapons manufacturing or direct military operations.

Consequently, the company has no revenue from arms or defense contracts, no defense assets to divest, and no exposure to controversial weapons. Board oversight is not applicable to defense business due to the nature of its operations. Centene follows a fair and objective procurement process, conducting thorough due diligence and holding vendors accountable to a Vendor Sustainability Code, with an expectation that vendors share a commitment to human rights, including access to food, water, and sanitation. The company is unequivocally committed to supporting the International Bill of Rights and the International Labor Organization’s Declaration, and aligns its vendor expectations with the principles of the UN Guiding Principles on Business and Human Rights. Ethical red lines are codified through a zero-tolerance policy for the denial of basic human rights. , consistent with its non-military business model.

Planet-Friendly Business

Centene Corporation's total Scope 1, 2, and 3 greenhouse gas emissions in 2023 were 1.4 million tCO₂e.

Between 2019 and 2023, the company achieved an average annual decline of 16.5% in its total emissions. Despite these reductions, Centene has not committed to science-based GHG reduction targets aligned with the Paris Agreement, nor has it declared a net-zero target year. The company reduced its real estate footprint by 78% by the end of 2023 compared to 2021, with approximately 75% of employees working remotely. Its global headquarters includes two LEED Gold Certified buildings. In 2023, Centene diverted over 828,000 pounds of office furniture waste from landfills and composted 40,000 pounds of food waste. A print optimization initiative saved over 99 million sheets of paper. The expansion of telehealth services facilitated over 13 million virtual visits in 2023, contributing to reduced transportation-related emissions.

Respect for Cultures & Communities

Centene's subsidiary, WellCare of North Carolina, established a formal partnership with the Coharie Tribe to support the Great Coharie River Initiative, which focuses on restoring the river's cultural significance.

This initiative represents an active measure for cultural site protection. No cultural appropriation incidents have been reported. Additionally, Centene, through its Texas subsidiary Superior HealthPlan, invested $7.9 million in a new community center in Uvalde, Texas, which includes a tranquility garden to honor Robb Elementary School victims. Centene employees have also engaged in efforts to advance diversity, equity, and inclusion, including sharing experiences to promote understanding of Native American culture.

Safe & Smart Tech

Centene Corporation and Health Net Federal Services agreed to pay over $11 million in a cybersecurity fraud case in February 2025.

This settlement was due to insufficient cybersecurity measures, including inadequate vulnerability scanning and poor password policies, despite claiming compliance with federal standards. These issues indicate significant failures in regulatory compliance, authentication security, vulnerability management, and security testing coverage.

Zero Waste & Sustainable Products

Centene's electronic document delivery initiative saved over 99 million sheets of paper in 2023.

The company also reduced its real estate footprint by 78% by December 31, 2023, compared to December 31, 2021. Other waste reduction efforts include office furniture recycling and print optimization, alongside the use of LEED-certified buildings.