CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($) shares in Thousands, $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Revenues:
Premium and service revenues	$ 34,967	$ 33,726	$ 104,757	$ 101,926
Premium tax	3,075	2,139	9,782	7,060
Total revenues	38,042	35,865	114,539	108,986
Expenses:
Medical costs	29,479	28,111	88,260	83,261
Cost of services	856	1,571	2,603	5,658
Selling, general and administrative expenses	3,048	2,846	9,075	8,391
Depreciation expense	148	150	436	470
Amortization of acquired intangible assets	180	211	542	609
Premium tax expense	3,156	2,211	10,021	7,258
Impairment	440	289	478	1,739
Total operating expenses	37,307	35,389	111,415	107,386
Earnings from operations	735	476	3,124	1,600
Other income (expense):
Investment and other income	214	692	992	786
Debt extinguishment	0	10	0	26
Interest expense	(181)	(169)	(542)	(491)
Earnings before income tax	768	1,009	3,574	1,921
Income tax expense	293	269	914	500
Net earnings	475	740	2,660	1,421
(Earnings) attributable to noncontrolling interests	(6)	(2)	(3)	(6)
Net earnings attributable to Centene Corporation	$ 469	$ 738	$ 2,657	$ 1,415
Net earnings per common share attributable to Centene Corporation:
Basic earnings per common share (in dollars per share)	$ 0.87	$ 1.29	$ 4.86	$ 2.44
Diluted earnings per common share (in dollars per share)	$ 0.87	$ 1.27	$ 4.85	$ 2.41
Weighted average number of common shares outstanding:
Basic (in shares)	539,535	573,961	546,374	580,277
Diluted (in shares)	541,270	580,607	548,412	587,084
Premium
Revenues:
Premium and service revenues	$ 33,866	$ 31,848	$ 101,404	$ 95,247
Service
Revenues:
Premium and service revenues	$ 1,101	$ 1,878	$ 3,353	$ 6,679