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CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($)
shares in Thousands, $ in Millions
 12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Revenues:      
Revenues $ 145,505 $ 140,095 $ 135,479
Premium tax 17,566 13,904 9,068
Total revenues 163,071 153,999 144,547
Expenses:      
Medical costs 125,707 118,894 111,529
Cost of services 2,729 3,564 7,032
Selling, general and administrative expenses 12,400 12,563 11,589
Depreciation expense 549 575 614
Amortization of acquired intangible assets 692 718 817
Premium tax expense 17,806 14,226 9,330
Impairment 13 529 2,318
Total operating expenses 159,896 151,069 143,229
Earnings from operations 3,175 2,930 1,318
Other income (expense):      
Investment and other income 1,784 1,393 1,279
Debt extinguishment 0 0 30
Interest expense (702) (725) (665)
Earnings before income tax 4,257 3,598 1,962
Income tax expense 963 899 760
Net earnings 3,294 2,699 1,202
Loss attributable to noncontrolling interests 11 3 0
Net earnings attributable to Centene Corporation $ 3,305 $ 2,702 $ 1,202
Net earnings per common share attributable to Centene Corporation:      
Basic earnings per common share (in usd per share) $ 6.33 $ 4.97 $ 2.09
Diluted earnings per common share (in usd per share) $ 6.31 $ 4.95 $ 2.07
Weighted average number of common shares outstanding:      
Basic (in shares) 521,790 543,319 575,191
Diluted (in shares) 523,744 545,704 582,040
Premium      
Revenues:      
Revenues $ 142,303 $ 135,636 $ 127,131
Service      
Revenues:      
Revenues $ 3,202 $ 4,459 $ 8,348