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CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($)
shares in Thousands, $ in Millions
 12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Revenues:      
Revenues $ 135,479 $ 117,983 $ 103,800
Premium tax and health insurer fee 9,068 7,999 7,315
Total revenues 144,547 125,982 111,115
Expenses:      
Medical costs 111,529 98,602 86,264
Cost of services 7,032 4,894 3,303
Selling, general and administrative expenses 11,589 9,601 9,380
Depreciation expense 614 565 487
Amortization of acquired intangible assets 817 770 719
Premium tax expense 9,330 8,287 6,332
Health insurer fee expense 0 0 1,476
Impairment 2,318 229 72
Legal settlement 0 1,250 0
Total operating expenses 143,229 124,198 108,033
Earnings from operations 1,318 1,784 3,082
Other income (expense):      
Investment and other income 1,279 819 480
Debt extinguishment 30 (125) (61)
Interest expense (665) (665) (728)
Earnings before income tax 1,962 1,813 2,773
Income tax expense 760 477 979
Net earnings 1,202 1,336 1,794
Loss attributable to noncontrolling interests 0 11 14
Net earnings attributable to Centene Corporation $ 1,202 $ 1,347 $ 1,808
Net earnings per common share attributable to Centene Corporation:      
Basic earnings per common share (in usd per share) $ 2.09 $ 2.31 $ 3.17
Diluted earnings per common share (in usd per share) $ 2.07 $ 2.28 $ 3.12
Weighted average number of common shares outstanding:      
Basic (in shares) 575,191 582,832 570,722
Diluted (in shares) 582,040 590,516 579,135
Premium      
Revenues:      
Revenues $ 127,131 $ 112,319 $ 100,055
Service      
Revenues:      
Revenues $ 8,348 $ 5,664 $ 3,745