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CONSOLIDATED STATEMENTS OF COMPREHENSIVE EARNINGS (LOSS) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Statement of Comprehensive Income [Abstract]      
Net earnings $ 3,294 $ 2,699 $ 1,202
Change in unrealized gain (loss) on investments 94 520 (1,475)
Change in unrealized gain (loss) on investments, tax effect (29) (128) 349
Change in unrealized gain (loss) on investments, net of tax 65 392 (1,126)
Reclassification adjustment, net of tax 83 62 11
Foreign currency translation adjustments, net of tax 0 36 (94)
Net unrealized (loss) on cash flow hedge, net of tax 0 (10) 0
Other comprehensive earnings (loss) 148 480 (1,209)
Comprehensive earnings (loss) 3,442 3,179 (7)
Comprehensive loss attributable to noncontrolling interests 11 3 0
Comprehensive earnings (loss) attributable to Centene Corporation $ 3,453 $ 3,182 $ (7)