10-Q Filing

CENTENE CORP CIK: 1071739 Q3 2021

Filing Information

Form Type	10-Q
Accession Number	`0001071739-21-000226`
Period End Date	20210930
Filing Date	20211026
Fiscal Year	2021
Fiscal Period	Q3
XBRL Instance	cnc-20210930_htm.xml

Filing Contents

This filing contains the following financial statements:

Balance Sheet 95 Income Statement 100 Cash Flow Statement 93 Stockholders Equity 74 Comprehensive Income 40

Balance Sheet 95 line items

Line Item	Tag	Value	Unit	Period
Preferred stock, par value (in dollars per share)	`PreferredStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$12.20B	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$13.42B	USD	Point-in-time
Preferred stock, par value (in dollars per share)	`PreferredStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$10.80B	USD	Point-in-time
Preferred stock, shares authorized (in shares)	`PreferredStockSharesAuthorized`	10.00M	shares	Point-in-time
Premium and trade receivables	`PremiumsAndOtherReceivablesNet`	$11.52B	USD	Point-in-time
Premium and trade receivables	`PremiumsAndOtherReceivablesNet`	$9.70B	USD	Point-in-time
Preferred stock, shares authorized (in shares)	`PreferredStockSharesAuthorized`	10.00M	shares	Point-in-time
Preferred stock, shares issued (in shares)	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Short-term investments	`ShortTermInvestments`	$1.58B	USD	Point-in-time
Short-term investments	`ShortTermInvestments`	$1.52B	USD	Point-in-time
Preferred stock, shares issued (in shares)	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Other current assets	`OtherAssetsCurrent`	$1.32B	USD	Point-in-time
Preferred stock, shares outstanding (in shares)	`PreferredStockSharesOutstanding`	0.00	shares	Point-in-time
Preferred stock, shares outstanding (in shares)	`PreferredStockSharesOutstanding`	0.00	shares	Point-in-time
Other current assets	`OtherAssetsCurrent`	$1.60B	USD	Point-in-time
Common stock, par value (in dollars per share)	`CommonStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Common stock, par value (in dollars per share)	`CommonStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Total current assets	`AssetsCurrent`	$23.39B	USD	Point-in-time
Total current assets	`AssetsCurrent`	$28.06B	USD	Point-in-time
Common stock, shares authorized (in shares)	`CommonStockSharesAuthorized`	800.00M	shares	Point-in-time
Long-term investments	`LongTermInvestments`	$13.56B	USD	Point-in-time
Long-term investments	`LongTermInvestments`	$12.85B	USD	Point-in-time
Common stock, shares authorized (in shares)	`CommonStockSharesAuthorized`	800.00M	shares	Point-in-time
Restricted deposits	`OtherRestrictedAssetsNoncurrent`	$1.06B	USD	Point-in-time
Restricted deposits	`OtherRestrictedAssetsNoncurrent`	$1.11B	USD	Point-in-time
Common stock, shares issued (in shares)	`CommonStockSharesIssued`	598.25M	shares	Point-in-time
Common stock, shares issued (in shares)	`CommonStockSharesIssued`	600.71M	shares	Point-in-time
Common stock, shares outstanding (in shares)	`CommonStockSharesOutstanding`	583.50M	shares	Point-in-time
Property, software and equipment, net	`PropertyPlantAndEquipmentNet`	$3.30B	USD	Point-in-time
Property, software and equipment, net	`PropertyPlantAndEquipmentNet`	$2.77B	USD	Point-in-time
Common stock, shares outstanding (in shares)	`CommonStockSharesOutstanding`	581.48M	shares	Point-in-time
Treasury stock (in shares)	`TreasuryStockShares`	17.21M	shares	Point-in-time
Goodwill	`Goodwill`	$18.65B	USD	Point-in-time
Goodwill	`Goodwill`	$19.70B	USD	Point-in-time
Treasury stock (in shares)	`TreasuryStockShares`	16.77M	shares	Point-in-time
Intangible assets, net	`IntangibleAssetsNetExcludingGoodwill`	$8.39B	USD	Point-in-time
Intangible assets, net	`IntangibleAssetsNetExcludingGoodwill`	$8.14B	USD	Point-in-time
Other long-term assets	`OtherAssetsNoncurrent`	$1.60B	USD	Point-in-time
Other long-term assets	`OtherAssetsNoncurrent`	$3.87B	USD	Point-in-time
Total assets	`Assets`	$77.74B	USD	Point-in-time
Total assets	`Assets`	$68.72B	USD	Point-in-time
Medical claims liability	`LiabilityForClaimsAndClaimsAdjustmentExpense`	$14.10B	USD	Point-in-time
Medical claims liability	`LiabilityForClaimsAndClaimsAdjustmentExpense`	$12.44B	USD	Point-in-time
Medical claims liability	`LiabilityForClaimsAndClaimsAdjustmentExpense`	$12.90B	USD	Point-in-time
Medical claims liability	`LiabilityForClaimsAndClaimsAdjustmentExpense`	$7.47B	USD	Point-in-time
Accounts payable and accrued expenses	`AccountsPayableAndAccruedLiabilitiesCurrent`	$8.09B	USD	Point-in-time
Accounts payable and accrued expenses	`AccountsPayableAndAccruedLiabilitiesCurrent`	$7.07B	USD	Point-in-time
Return of premium payable	`ReturnofPremiumPayable`	$1.46B	USD	Point-in-time
Return of premium payable	`ReturnofPremiumPayable`	$2.24B	USD	Point-in-time
Unearned revenue	`ContractWithCustomerLiabilityCurrent`	$523.00M	USD	Point-in-time
Unearned revenue	`ContractWithCustomerLiabilityCurrent`	$371.00M	USD	Point-in-time
Current portion of long-term debt	`LongTermDebtCurrent`	$245.00M	USD	Point-in-time
Current portion of long-term debt	`LongTermDebtCurrent`	$97.00M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$21.59B	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$25.04B	USD	Point-in-time
Long-term debt	`LongTermDebtNoncurrent`	$16.68B	USD	Point-in-time
Long-term debt	`LongTermDebtNoncurrent`	$18.59B	USD	Point-in-time
Deferred tax liability	`DeferredIncomeTaxLiabilitiesNet`	$1.44B	USD	Point-in-time
Deferred tax liability	`DeferredIncomeTaxLiabilitiesNet`	$1.53B	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$2.96B	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$5.99B	USD	Point-in-time
Total liabilities	`Liabilities`	$42.76B	USD	Point-in-time
Total liabilities	`Liabilities`	$51.07B	USD	Point-in-time
Commitments and contingencies	`CommitmentsAndContingencies`	-	USD	Point-in-time
Commitments and contingencies	`CommitmentsAndContingencies`	-	USD	Point-in-time
Redeemable noncontrolling interests	`RedeemableNoncontrollingInterestEquityCarryingAmount`	$84.00M	USD	Point-in-time
Redeemable noncontrolling interests	`RedeemableNoncontrollingInterestEquityCarryingAmount`	$77.00M	USD	Point-in-time
Preferred stock, $0.001 par value; authorized 10,000 shares; no shares issued or outstanding at September 30, 2021 and December 31, 2020	`PreferredStockValue`	-	USD	Point-in-time
Preferred stock, $0.001 par value; authorized 10,000 shares; no shares issued or outstanding at September 30, 2021 and December 31, 2020	`PreferredStockValue`	-	USD	Point-in-time
Common stock, $0.001 par value; authorized 800,000 shares; 600,708 issued and 583,500 outstanding at September 30, 2021, and 598,249 issued and 581,479 outstanding at December 31, 2020	`CommonStockValue`	$1.00M	USD	Point-in-time
Common stock, $0.001 par value; authorized 800,000 shares; 600,708 issued and 583,500 outstanding at September 30, 2021, and 598,249 issued and 581,479 outstanding at December 31, 2020	`CommonStockValue`	$1.00M	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$19.46B	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$19.59B	USD	Point-in-time
Accumulated other comprehensive earnings	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$176.00M	USD	Point-in-time
Accumulated other comprehensive earnings	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$337.00M	USD	Point-in-time
Retained earnings	`RetainedEarningsAccumulatedDeficit`	$6.79B	USD	Point-in-time
Retained earnings	`RetainedEarningsAccumulatedDeficit`	$7.54B	USD	Point-in-time
Treasury stock, at cost (17,208 and 16,770 shares, respectively)	`TreasuryStockValue`	$845.00M	USD	Point-in-time
Treasury stock, at cost (17,208 and 16,770 shares, respectively)	`TreasuryStockValue`	$816.00M	USD	Point-in-time
Total Centene stockholders equity	`StockholdersEquity`	$25.77B	USD	Point-in-time
Total Centene stockholders equity	`StockholdersEquity`	$26.47B	USD	Point-in-time
Nonredeemable noncontrolling interest	`MinorityInterest`	$124.00M	USD	Point-in-time
Nonredeemable noncontrolling interest	`MinorityInterest`	$112.00M	USD	Point-in-time
Total stockholders equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$25.89B	USD	Point-in-time
Total stockholders equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$26.05B	USD	Point-in-time
Total stockholders equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$25.84B	USD	Point-in-time
Total stockholders equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$12.66B	USD	Point-in-time
Total stockholders equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$26.46B	USD	Point-in-time
Total stockholders equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$26.59B	USD	Point-in-time
Total stockholders equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$23.66B	USD	Point-in-time
Total stockholders equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$25.17B	USD	Point-in-time
Total liabilities, redeemable noncontrolling interests and stockholders equity	`LiabilitiesAndStockholdersEquity`	$77.74B	USD	Point-in-time
Total liabilities, redeemable noncontrolling interests and stockholders equity	`LiabilitiesAndStockholdersEquity`	$68.72B	USD	Point-in-time

Income Statement 100 line items

Line Item	Tag	Value	Unit	Period
Premium and service revenues	`RevenueFromContractWithCustomerExcludingAssessedTax`	$27.46B	USD	1 Quarter
Premium and service revenues	`RevenueFromContractWithCustomerExcludingAssessedTax`	$77.36B	USD	3 Qtrs
Premium and service revenues	`RevenueFromContractWithCustomerExcludingAssessedTax`	$30.51B	USD	1 Quarter
Premium and service revenues	`RevenueFromContractWithCustomerExcludingAssessedTax`	$87.49B	USD	3 Qtrs
Premium tax and health insurer fee	`PremiumTaxRevenue`	$1.89B	USD	1 Quarter
Premium tax and health insurer fee	`PremiumTaxRevenue`	$5.92B	USD	3 Qtrs
Premium tax and health insurer fee	`PremiumTaxRevenue`	$5.47B	USD	3 Qtrs
Premium tax and health insurer fee	`PremiumTaxRevenue`	$1.63B	USD	1 Quarter
Total revenues	`Revenues`	$29.09B	USD	1 Quarter
Total revenues	`Revenues`	$93.41B	USD	3 Qtrs
Total revenues	`Revenues`	$32.41B	USD	1 Quarter
Total revenues	`Revenues`	$82.83B	USD	3 Qtrs
Medical costs	`PolicyholderBenefitsAndClaimsIncurredHealthCare`	$73.21B	USD	3 Qtrs
Medical costs	`PolicyholderBenefitsAndClaimsIncurredHealthCare`	$22.93B	USD	1 Quarter
Medical costs	`PolicyholderBenefitsAndClaimsIncurredHealthCare`	$63.66B	USD	3 Qtrs
Medical costs	`PolicyholderBenefitsAndClaimsIncurredHealthCare`	$25.43B	USD	1 Quarter
Cost of services	`CostOfGoodsAndServicesSold`	$3.51B	USD	3 Qtrs
Cost of services	`CostOfGoodsAndServicesSold`	$2.52B	USD	3 Qtrs
Cost of services	`CostOfGoodsAndServicesSold`	$1.35B	USD	1 Quarter
Cost of services	`CostOfGoodsAndServicesSold`	$861.00M	USD	1 Quarter
Selling, general and administrative expenses	`SellingGeneralAndAdministrativeExpense`	$7.15B	USD	3 Qtrs
Selling, general and administrative expenses	`SellingGeneralAndAdministrativeExpense`	$7.32B	USD	3 Qtrs
Selling, general and administrative expenses	`SellingGeneralAndAdministrativeExpense`	$2.51B	USD	1 Quarter
Selling, general and administrative expenses	`SellingGeneralAndAdministrativeExpense`	$2.68B	USD	1 Quarter
Amortization of acquired intangible assets	`AmortizationOfIntangibleAssets`	$527.00M	USD	3 Qtrs
Amortization of acquired intangible assets	`AmortizationOfIntangibleAssets`	$581.00M	USD	3 Qtrs
Amortization of acquired intangible assets	`AmortizationOfIntangibleAssets`	$164.00M	USD	1 Quarter
Amortization of acquired intangible assets	`AmortizationOfIntangibleAssets`	$198.00M	USD	1 Quarter
Premium tax expense	`PremiumTaxExpense`	$1.39B	USD	1 Quarter
Premium tax expense	`PremiumTaxExpense`	$4.74B	USD	3 Qtrs
Premium tax expense	`PremiumTaxExpense`	$1.97B	USD	1 Quarter
Premium tax expense	`PremiumTaxExpense`	$6.13B	USD	3 Qtrs
Health insurer fee expense	`HealthInsurerFeeExpense`	$1.10B	USD	3 Qtrs
Health insurer fee expense	`HealthInsurerFeeExpense`	-	USD	1 Quarter
Health insurer fee expense	`HealthInsurerFeeExpense`	-	USD	3 Qtrs
Health insurer fee expense	`HealthInsurerFeeExpense`	$376.00M	USD	1 Quarter
Impairment	`AssetImpairmentCharges`	-	USD	1 Quarter
Impairment	`AssetImpairmentCharges`	$229.00M	USD	3 Qtrs
Impairment	`AssetImpairmentCharges`	$229.00M	USD	1 Quarter
Impairment	`AssetImpairmentCharges`	$72.00M	USD	3 Qtrs
Legal settlement	`LitigationSettlementExpense`	-	USD	1 Quarter
Legal settlement	`LitigationSettlementExpense`	$1.25B	USD	3 Qtrs
Legal settlement	`LitigationSettlementExpense`	-	USD	1 Quarter
Legal settlement	`LitigationSettlementExpense`	-	USD	3 Qtrs
Total operating expenses	`CostsAndExpenses`	$28.23B	USD	1 Quarter
Total operating expenses	`CostsAndExpenses`	$92.23B	USD	3 Qtrs
Total operating expenses	`CostsAndExpenses`	$31.86B	USD	1 Quarter
Total operating expenses	`CostsAndExpenses`	$79.76B	USD	3 Qtrs
Earnings from operations	`OperatingIncomeLoss`	$861.00M	USD	1 Quarter
Earnings from operations	`OperatingIncomeLoss`	$1.18B	USD	3 Qtrs
Earnings from operations	`OperatingIncomeLoss`	$3.07B	USD	3 Qtrs
Earnings from operations	`OperatingIncomeLoss`	$545.00M	USD	1 Quarter
Investment and other income	`InvestmentIncomeNonoperating`	$566.00M	USD	3 Qtrs
Investment and other income	`InvestmentIncomeNonoperating`	$95.00M	USD	1 Quarter
Investment and other income	`InvestmentIncomeNonoperating`	$375.00M	USD	3 Qtrs
Investment and other income	`InvestmentIncomeNonoperating`	$424.00M	USD	1 Quarter
Debt extinguishment costs	`GainLossOnExtinguishmentOfDebtIncludingCashPortion`	-	USD	1 Quarter
Debt extinguishment costs	`GainLossOnExtinguishmentOfDebtIncludingCashPortion`	$-44.00M	USD	3 Qtrs
Debt extinguishment costs	`GainLossOnExtinguishmentOfDebtIncludingCashPortion`	$-79.00M	USD	1 Quarter
Debt extinguishment costs	`GainLossOnExtinguishmentOfDebtIncludingCashPortion`	$-125.00M	USD	3 Qtrs
Interest expense	`InterestExpense`	$503.00M	USD	3 Qtrs
Interest expense	`InterestExpense`	$170.00M	USD	1 Quarter
Interest expense	`InterestExpense`	$551.00M	USD	3 Qtrs
Interest expense	`InterestExpense`	$184.00M	USD	1 Quarter
Earnings before income tax expense	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$2.85B	USD	3 Qtrs
Earnings before income tax expense	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$772.00M	USD	1 Quarter
Earnings before income tax expense	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$1.12B	USD	3 Qtrs
Earnings before income tax expense	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$720.00M	USD	1 Quarter
Income tax expense	`IncomeTaxExpenseBenefit`	$376.00M	USD	3 Qtrs
Income tax expense	`IncomeTaxExpenseBenefit`	$207.00M	USD	1 Quarter
Income tax expense	`IncomeTaxExpenseBenefit`	$1.03B	USD	3 Qtrs
Income tax expense	`IncomeTaxExpenseBenefit`	$139.00M	USD	1 Quarter
Net earnings	`ProfitLoss`	$1.81B	USD	3 Qtrs
Net earnings	`ProfitLoss`	$565.00M	USD	1 Quarter
Net earnings	`ProfitLoss`	$743.00M	USD	3 Qtrs
Net earnings	`ProfitLoss`	$581.00M	USD	1 Quarter
Loss attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$-7.00M	USD	3 Qtrs
Loss attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$-3.00M	USD	1 Quarter
Loss attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$-3.00M	USD	1 Quarter
Loss attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$-5.00M	USD	3 Qtrs
Net earnings attributable to Centene Corporation	`NetIncomeLoss`	$568.00M	USD	1 Quarter
Net earnings attributable to Centene Corporation	`NetIncomeLoss`	$1.82B	USD	3 Qtrs
Net earnings attributable to Centene Corporation	`NetIncomeLoss`	$748.00M	USD	3 Qtrs
Net earnings attributable to Centene Corporation	`NetIncomeLoss`	$584.00M	USD	1 Quarter
Basic earnings per common share (in dollars per share)	`EarningsPerShareBasic`	$1.28	USD	3 Qtrs
Basic earnings per common share (in dollars per share)	`EarningsPerShareBasic`	$0.98	USD	1 Quarter
Basic earnings per common share (in dollars per share)	`EarningsPerShareBasic`	$1.00	USD	1 Quarter
Basic earnings per common share (in dollars per share)	`EarningsPerShareBasic`	$3.21	USD	3 Qtrs
Diluted earnings per common share (in dollars per share)	`EarningsPerShareDiluted`	$0.99	USD	1 Quarter
Diluted earnings per common share (in dollars per share)	`EarningsPerShareDiluted`	$1.27	USD	3 Qtrs
Diluted earnings per common share (in dollars per share)	`EarningsPerShareDiluted`	$3.16	USD	3 Qtrs
Diluted earnings per common share (in dollars per share)	`EarningsPerShareDiluted`	$0.97	USD	1 Quarter
Basic (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	567.59M	shares	3 Qtrs
Basic (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	582.64M	shares	3 Qtrs
Basic (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	579.51M	shares	1 Quarter
Basic (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	583.24M	shares	1 Quarter
Diluted (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	587.97M	shares	1 Quarter
Diluted (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	590.15M	shares	3 Qtrs
Diluted (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	575.73M	shares	3 Qtrs
Diluted (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	590.70M	shares	1 Quarter

Cash Flow Statement 93 line items

Line Item	Tag	Value	Unit	Period
Net earnings	`ProfitLoss`	$743.00M	USD	3 Qtrs
Net earnings	`ProfitLoss`	$581.00M	USD	1 Quarter
Net earnings	`ProfitLoss`	$1.81B	USD	3 Qtrs
Net earnings	`ProfitLoss`	$565.00M	USD	1 Quarter
Depreciation and amortization	`DepreciationAndAmortization`	$1.10B	USD	3 Qtrs
Depreciation and amortization	`DepreciationAndAmortization`	$916.00M	USD	3 Qtrs
Stock compensation expense	`ShareBasedCompensation`	$127.00M	USD	3 Qtrs
Stock compensation expense	`ShareBasedCompensation`	$218.00M	USD	3 Qtrs
Impairment	`AssetImpairmentCharges`	$229.00M	USD	3 Qtrs
Impairment	`AssetImpairmentCharges`	-	USD	1 Quarter
Impairment	`AssetImpairmentCharges`	$72.00M	USD	3 Qtrs
Impairment	`AssetImpairmentCharges`	$229.00M	USD	1 Quarter
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$46.00M	USD	Point-in-time
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-125.00M	USD	3 Qtrs
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-44.00M	USD	3 Qtrs
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$79.00M	USD	Point-in-time
Gain on acquisition	`BusinessCombinationStepAcquisitionEquityInterestInAcquireeRemeasurementGain`	$309.00M	USD	3 Qtrs
Gain on acquisition	`BusinessCombinationStepAcquisitionEquityInterestInAcquireeRemeasurementGain`	-	USD	3 Qtrs
Deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$-154.00M	USD	3 Qtrs
Deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$-143.00M	USD	3 Qtrs
Gain on divestiture	`GainLossOnSaleOfBusiness`	$-62.00M	USD	3 Qtrs
Gain on divestiture	`GainLossOnSaleOfBusiness`	$104.00M	USD	3 Qtrs
Other adjustments, net	`OtherNoncashIncomeExpense`	-	USD	3 Qtrs
Other adjustments, net	`OtherNoncashIncomeExpense`	$6.00M	USD	3 Qtrs
Premium and trade receivables	`IncreaseDecreaseInPremiumsReceivable`	$1.64B	USD	3 Qtrs
Premium and trade receivables	`IncreaseDecreaseInPremiumsReceivable`	$1.72B	USD	3 Qtrs
Other assets	`IncreaseDecreaseInOtherOperatingAssets`	$124.00M	USD	3 Qtrs
Other assets	`IncreaseDecreaseInOtherOperatingAssets`	$-185.00M	USD	3 Qtrs
Medical claims liabilities	`IncreaseDecreaseInHealthCareInsuranceLiabilities`	$1.56B	USD	3 Qtrs
Medical claims liabilities	`IncreaseDecreaseInHealthCareInsuranceLiabilities`	$1.66B	USD	3 Qtrs
Unearned revenue	`IncreaseDecreaseInContractWithCustomerLiability`	$-169.00M	USD	3 Qtrs
Unearned revenue	`IncreaseDecreaseInContractWithCustomerLiability`	$-212.00M	USD	3 Qtrs
Accounts payable and accrued expenses	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$-861.00M	USD	3 Qtrs
Accounts payable and accrued expenses	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$993.00M	USD	3 Qtrs
Other long-term liabilities	`IncreaseDecreaseInOtherNoncurrentLiabilities`	$964.00M	USD	3 Qtrs
Other long-term liabilities	`IncreaseDecreaseInOtherNoncurrentLiabilities`	$663.00M	USD	3 Qtrs
Other operating activities, net	`OtherOperatingActivitiesCashFlowStatement`	$19.00M	USD	3 Qtrs
Other operating activities, net	`OtherOperatingActivitiesCashFlowStatement`	$2.00M	USD	3 Qtrs
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$2.52B	USD	3 Qtrs
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$3.53B	USD	3 Qtrs
Capital expenditures	`PaymentsToAcquirePropertyPlantAndEquipment`	$663.00M	USD	3 Qtrs
Capital expenditures	`PaymentsToAcquirePropertyPlantAndEquipment`	$662.00M	USD	3 Qtrs
Purchases of investments	`PaymentsToAcquireInvestments`	$5.25B	USD	3 Qtrs
Purchases of investments	`PaymentsToAcquireInvestments`	$2.91B	USD	3 Qtrs
Sales and maturities of investments	`ProceedsFromSaleMaturityAndCollectionsOfInvestments`	$3.41B	USD	3 Qtrs
Sales and maturities of investments	`ProceedsFromSaleMaturityAndCollectionsOfInvestments`	$4.07B	USD	3 Qtrs
Acquisitions, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$3.00B	USD	3 Qtrs
Acquisitions, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$534.00M	USD	3 Qtrs
Divestiture proceeds, net of divested cash	`ProceedsFromDivestitureOfBusinessesNetOfCashDivested`	$466.00M	USD	3 Qtrs
Divestiture proceeds, net of divested cash	`ProceedsFromDivestitureOfBusinessesNetOfCashDivested`	$-62.00M	USD	3 Qtrs
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-2.70B	USD	3 Qtrs
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-2.44B	USD	3 Qtrs
Proceeds from long-term debt	`ProceedsFromIssuanceOfLongTermDebt`	$9.25B	USD	3 Qtrs
Proceeds from long-term debt	`ProceedsFromIssuanceOfLongTermDebt`	$2.69B	USD	3 Qtrs
Payments of long-term debt	`RepaymentsOfLongTermDebt`	$7.41B	USD	3 Qtrs
Payments of long-term debt	`RepaymentsOfLongTermDebt`	$1.65B	USD	3 Qtrs
Common stock repurchases	`PaymentsForRepurchaseOfCommonStock`	$570.00M	USD	3 Qtrs
Common stock repurchases	`PaymentsForRepurchaseOfCommonStock`	$49.00M	USD	3 Qtrs
Payments for debt extinguishment	`PaymentsOfDebtExtinguishmentCosts`	$157.00M	USD	3 Qtrs
Payments for debt extinguishment	`PaymentsOfDebtExtinguishmentCosts`	$21.00M	USD	3 Qtrs
Debt issuance costs	`PaymentsOfDebtIssuanceCosts`	$72.00M	USD	3 Qtrs
Debt issuance costs	`PaymentsOfDebtIssuanceCosts`	$94.00M	USD	3 Qtrs
Other financing activities, net	`ProceedsFromPaymentsForOtherFinancingActivities`	$35.00M	USD	3 Qtrs
Other financing activities, net	`ProceedsFromPaymentsForOtherFinancingActivities`	$39.00M	USD	3 Qtrs
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$383.00M	USD	3 Qtrs
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$1.60B	USD	3 Qtrs
Effect of exchange rate changes on cash, cash equivalents, and restricted cash	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$8.00M	USD	3 Qtrs
Effect of exchange rate changes on cash, cash equivalents, and restricted cash	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$-8.00M	USD	3 Qtrs
Net increase in cash, cash equivalents and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$2.68B	USD	3 Qtrs
Net increase in cash, cash equivalents and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$213.00M	USD	3 Qtrs
Cash, cash equivalents, and restricted cash and cash equivalents, beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$10.96B	USD	Point-in-time
Cash, cash equivalents, and restricted cash and cash equivalents, beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$12.13B	USD	Point-in-time
Cash, cash equivalents, and restricted cash and cash equivalents, beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$13.63B	USD	Point-in-time
Cash, cash equivalents, and restricted cash and cash equivalents, beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$12.34B	USD	Point-in-time
Cash, cash equivalents, and restricted cash and cash equivalents, end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$13.63B	USD	Point-in-time
Cash, cash equivalents, and restricted cash and cash equivalents, end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$12.34B	USD	Point-in-time
Cash, cash equivalents, and restricted cash and cash equivalents, end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$12.13B	USD	Point-in-time
Cash, cash equivalents, and restricted cash and cash equivalents, end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$10.96B	USD	Point-in-time
Interest paid	`InterestPaidNet`	$479.00M	USD	3 Qtrs
Interest paid	`InterestPaidNet`	$479.00M	USD	3 Qtrs
Income taxes paid	`IncomeTaxesPaidNet`	$920.00M	USD	3 Qtrs
Income taxes paid	`IncomeTaxesPaidNet`	$477.00M	USD	3 Qtrs
Equity issued in connection with acquisitions	`OtherSignificantNoncashTransactionValueOfConsiderationGiven1`	-	USD	3 Qtrs
Equity issued in connection with acquisitions	`OtherSignificantNoncashTransactionValueOfConsiderationGiven1`	$11.53B	USD	3 Qtrs
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$12.20B	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$13.42B	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$10.80B	USD	Point-in-time
Restricted cash and cash equivalents, included in restricted deposits	`RestrictedCashAndCashEquivalents`	$146.00M	USD	Point-in-time
Restricted cash and cash equivalents, included in restricted deposits	`RestrictedCashAndCashEquivalents`	$211.00M	USD	Point-in-time
Total cash, cash equivalents, and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$12.34B	USD	Point-in-time
Total cash, cash equivalents, and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$12.13B	USD	Point-in-time
Total cash, cash equivalents, and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$13.63B	USD	Point-in-time
Total cash, cash equivalents, and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$10.96B	USD	Point-in-time

Stockholders Equity 74 line items

Line Item	Tag	Value	Unit	Period
Par value (in dollars per share)	`CommonStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Par value (in dollars per share)	`CommonStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Other comprehensive loss, tax	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodTax`	$-40.00M	USD	1 Quarter
Other comprehensive loss, tax	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodTax`	$-49.00M	USD	1 Quarter
Other comprehensive loss, tax	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodTax`	$19.00M	USD	1 Quarter
Other comprehensive loss, tax	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodTax`	$76.00M	USD	1 Quarter
Other comprehensive loss, tax	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodTax`	$13.00M	USD	1 Quarter
Other comprehensive loss, tax	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodTax`	$-15.00M	USD	1 Quarter
Balance (in shares)	`CommonStockSharesOutstanding`	581.48M	shares	Point-in-time
Balance (in shares)	`CommonStockSharesOutstanding`	583.50M	shares	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$25.17B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$25.89B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$26.05B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$25.84B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$12.66B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$26.46B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$26.59B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$23.66B	USD	Point-in-time
Treasury stock (in shares)	`TreasuryStockShares`	17.21M	shares	Point-in-time
Treasury stock (in shares)	`TreasuryStockShares`	16.77M	shares	Point-in-time
Net earnings (loss)	`NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest`	$576.00M	USD	1 Quarter
Net earnings (loss)	`NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest`	$-538.00M	USD	1 Quarter
Net earnings (loss)	`NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest`	$1.20B	USD	1 Quarter
Net earnings (loss)	`NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest`	$694.00M	USD	1 Quarter
Net earnings (loss)	`NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest`	$562.00M	USD	1 Quarter
Net earnings (loss)	`NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest`	$43.00M	USD	1 Quarter
Other comprehensive loss , net of tax	`OtherComprehensiveIncomeLossNetOfTax`	$250.00M	USD	1 Quarter
Other comprehensive loss , net of tax	`OtherComprehensiveIncomeLossNetOfTax`	$-139.00M	USD	1 Quarter
Other comprehensive loss , net of tax	`OtherComprehensiveIncomeLossNetOfTax`	$63.00M	USD	1 Quarter
Other comprehensive loss , net of tax	`OtherComprehensiveIncomeLossNetOfTax`	$48.00M	USD	1 Quarter
Other comprehensive loss , net of tax	`OtherComprehensiveIncomeLossNetOfTax`	$-161.00M	USD	3 Qtrs
Other comprehensive loss , net of tax	`OtherComprehensiveIncomeLossNetOfTax`	$-63.00M	USD	1 Quarter
Other comprehensive loss , net of tax	`OtherComprehensiveIncomeLossNetOfTax`	$-161.00M	USD	1 Quarter
Other comprehensive loss , net of tax	`OtherComprehensiveIncomeLossNetOfTax`	$159.00M	USD	3 Qtrs
Common stock issued for acquisitions	`StockIssuedDuringPeriodValueAcquisitions`	$11.53B	USD	1 Quarter
Common stock issued for employee benefit plans	`StockIssuedDuringPeriodValueShareBasedCompensation`	$9.00M	USD	1 Quarter
Common stock issued for employee benefit plans	`StockIssuedDuringPeriodValueShareBasedCompensation`	$5.00M	USD	1 Quarter
Common stock issued for employee benefit plans	`StockIssuedDuringPeriodValueShareBasedCompensation`	$9.00M	USD	1 Quarter
Common stock issued for employee benefit plans	`StockIssuedDuringPeriodValueShareBasedCompensation`	$7.00M	USD	1 Quarter
Common stock issued for employee benefit plans	`StockIssuedDuringPeriodValueShareBasedCompensation`	$9.00M	USD	1 Quarter
Common stock issued for employee benefit plans	`StockIssuedDuringPeriodValueShareBasedCompensation`	$8.00M	USD	1 Quarter
Common stock repurchases	`TreasuryStockValueAcquiredCostMethod`	$15.00M	USD	1 Quarter
Common stock repurchases	`TreasuryStockValueAcquiredCostMethod`	$3.00M	USD	1 Quarter
Common stock repurchases	`TreasuryStockValueAcquiredCostMethod`	$29.00M	USD	1 Quarter
Common stock repurchases	`TreasuryStockValueAcquiredCostMethod`	$4.00M	USD	1 Quarter
Common stock repurchases	`TreasuryStockValueAcquiredCostMethod`	$558.00M	USD	1 Quarter
Common stock repurchases	`TreasuryStockValueAcquiredCostMethod`	$9.00M	USD	1 Quarter
Stock compensation expense	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$117.00M	USD	1 Quarter
Stock compensation expense	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$36.00M	USD	1 Quarter
Stock compensation expense	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$47.00M	USD	1 Quarter
Stock compensation expense	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$40.00M	USD	1 Quarter
Stock compensation expense	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$54.00M	USD	1 Quarter
Stock compensation expense	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$51.00M	USD	1 Quarter
Contribution from noncontrolling interest	`NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance`	$15.00M	USD	1 Quarter
Contribution from noncontrolling interest	`NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance`	$21.00M	USD	1 Quarter
Contribution from noncontrolling interest	`NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance`	$5.00M	USD	1 Quarter
Contribution from noncontrolling interest	`NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance`	$9.00M	USD	1 Quarter
Contribution from noncontrolling interest	`NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance`	$8.00M	USD	1 Quarter
Contribution from noncontrolling interest	`NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance`	$2.00M	USD	1 Quarter
Divestiture of noncontrolling interest	`NoncontrollingInterestDecreaseFromDeconsolidation`	$10.00M	USD	1 Quarter
Acquisition resulting in noncontrolling interest	`NoncontrollingInterestIncreaseFromBusinessCombination`	$3.00M	USD	1 Quarter
Other	`AdjustmentsToAdditionalPaidInCapitalOther`	$1.00M	USD	1 Quarter
Balance (in shares)	`CommonStockSharesOutstanding`	583.50M	shares	Point-in-time
Balance (in shares)	`CommonStockSharesOutstanding`	581.48M	shares	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$25.89B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$26.05B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$25.84B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$12.66B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$26.46B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$26.59B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$23.66B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$25.17B	USD	Point-in-time
Treasury stock (in shares)	`TreasuryStockShares`	16.77M	shares	Point-in-time
Treasury stock (in shares)	`TreasuryStockShares`	17.21M	shares	Point-in-time

Comprehensive Income 40 line items

Line Item	Tag	Value	Unit	Period
Net earnings	`ProfitLoss`	$743.00M	USD	3 Qtrs
Net earnings	`ProfitLoss`	$581.00M	USD	1 Quarter
Net earnings	`ProfitLoss`	$1.81B	USD	3 Qtrs
Net earnings	`ProfitLoss`	$565.00M	USD	1 Quarter
Reclassification adjustment, net of tax	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax`	$16.00M	USD	3 Qtrs
Reclassification adjustment, net of tax	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax`	-	USD	1 Quarter
Reclassification adjustment, net of tax	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax`	$-1.00M	USD	3 Qtrs
Reclassification adjustment, net of tax	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax`	$-1.00M	USD	1 Quarter
Change in unrealized gain (loss) on investments, net of tax	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax`	$38.00M	USD	1 Quarter
Change in unrealized gain (loss) on investments, net of tax	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax`	$152.00M	USD	3 Qtrs
Change in unrealized gain (loss) on investments, net of tax	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax`	$-125.00M	USD	3 Qtrs
Change in unrealized gain (loss) on investments, net of tax	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax`	$-47.00M	USD	1 Quarter
Defined benefit pension plan net gain, net of tax	`OtherComprehensiveIncomeDefinedBenefitPlansNetUnamortizedGainLossArisingDuringPeriodNetOfTax`	$2.00M	USD	3 Qtrs
Defined benefit pension plan net gain, net of tax	`OtherComprehensiveIncomeDefinedBenefitPlansNetUnamortizedGainLossArisingDuringPeriodNetOfTax`	-	USD	3 Qtrs
Defined benefit pension plan net gain, net of tax	`OtherComprehensiveIncomeDefinedBenefitPlansNetUnamortizedGainLossArisingDuringPeriodNetOfTax`	-	USD	1 Quarter
Defined benefit pension plan net gain, net of tax	`OtherComprehensiveIncomeDefinedBenefitPlansNetUnamortizedGainLossArisingDuringPeriodNetOfTax`	-	USD	1 Quarter
Foreign currency translation adjustments	`OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax`	$-20.00M	USD	3 Qtrs
Foreign currency translation adjustments	`OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax`	$4.00M	USD	3 Qtrs
Foreign currency translation adjustments	`OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax`	$-17.00M	USD	1 Quarter
Foreign currency translation adjustments	`OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax`	$10.00M	USD	1 Quarter
Other comprehensive earnings (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$-161.00M	USD	1 Quarter
Other comprehensive earnings (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$-63.00M	USD	1 Quarter
Other comprehensive earnings (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$-161.00M	USD	3 Qtrs
Other comprehensive earnings (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$159.00M	USD	3 Qtrs
Other comprehensive earnings (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$48.00M	USD	1 Quarter
Other comprehensive earnings (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$63.00M	USD	1 Quarter
Other comprehensive earnings (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$-139.00M	USD	1 Quarter
Other comprehensive earnings (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$250.00M	USD	1 Quarter
Comprehensive earnings	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$582.00M	USD	3 Qtrs
Comprehensive earnings	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$518.00M	USD	1 Quarter
Comprehensive earnings	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$613.00M	USD	1 Quarter
Comprehensive earnings	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$1.97B	USD	3 Qtrs
Comprehensive loss attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest`	$-5.00M	USD	3 Qtrs
Comprehensive loss attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest`	$-7.00M	USD	3 Qtrs
Comprehensive loss attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest`	$-3.00M	USD	1 Quarter
Comprehensive loss attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest`	$-3.00M	USD	1 Quarter
Comprehensive earnings attributable to Centene Corporation	`ComprehensiveIncomeNetOfTax`	$587.00M	USD	3 Qtrs
Comprehensive earnings attributable to Centene Corporation	`ComprehensiveIncomeNetOfTax`	$616.00M	USD	1 Quarter
Comprehensive earnings attributable to Centene Corporation	`ComprehensiveIncomeNetOfTax`	$1.98B	USD	3 Qtrs
Comprehensive earnings attributable to Centene Corporation	`ComprehensiveIncomeNetOfTax`	$521.00M	USD	1 Quarter

Data is extracted from SEC EDGAR XBRL filings. Values shown are as reported in the filing.