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CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($)
shares in Thousands, $ in Millions
 3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Revenues:    
Premium and service revenues $ 44,655 $ 42,489
Premium tax 5,289 4,131
Total revenues 49,944 46,620
Expenses:    
Medical costs 38,303 36,503
Cost of services 702 698
Selling, general and administrative expenses 3,397 3,353
Depreciation expense 134 142
Amortization of acquired intangible assets 166 173
Premium tax expense 5,381 4,217
Total operating expenses 48,083 45,086
Earnings from operations 1,861 1,534
Other income (expense):    
Investment and other income 407 382
Debt extinguishment (5) 0
Interest expense (164) (170)
Earnings before income tax 2,099 1,746
Income tax expense 560 432
Net earnings 1,539 1,314
(Earnings) loss attributable to noncontrolling interests 2 (3)
Net earnings attributable to Centene Corporation $ 1,541 $ 1,311
Net earnings per common share attributable to Centene Corporation:    
Basic earnings per common share (in dollars per share) $ 3.13 $ 2.64
Diluted earnings per common share (in dollars per share) $ 3.11 $ 2.63
Weighted average number of common shares outstanding:    
Basic (in shares) 492,069 496,214
Diluted (in shares) 495,591 498,180
Premium    
Revenues:    
Premium and service revenues $ 43,887 $ 41,712
Service    
Revenues:    
Premium and service revenues $ 768 $ 777