10-K Filing

CENTENE CORP CIK: 1071739 FY 2022

Filing Information

Form Type	10-K
Accession Number	`0001071739-23-000047`
Period End Date	20221231
Filing Date	20230221
Fiscal Year	2022
Fiscal Period	FY
XBRL Instance	cnc-20221231_htm.xml

Filing Contents

This filing contains the following financial statements:

Balance Sheet 92 Income Statement 78 Cash Flow Statement 135 Stockholders Equity 46 Comprehensive Income 30

Balance Sheet 92 line items

Line Item	Tag	Value	Unit	Period
Preferred stock, par value (in usd per share)	`PreferredStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$12.07B	USD	Point-in-time
Preferred stock, par value (in usd per share)	`PreferredStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$10.80B	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$13.12B	USD	Point-in-time
Premium and trade receivables	`PremiumsAndOtherReceivablesNet`	$13.27B	USD	Point-in-time
Preferred stock, shares authorized (in shares)	`PreferredStockSharesAuthorized`	10.00M	shares	Point-in-time
Preferred stock, shares authorized (in shares)	`PreferredStockSharesAuthorized`	10.00M	shares	Point-in-time
Premium and trade receivables	`PremiumsAndOtherReceivablesNet`	$12.24B	USD	Point-in-time
Preferred stock, shares issued (in shares)	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Short-term investments	`ShortTermInvestments`	$2.32B	USD	Point-in-time
Preferred stock, shares issued (in shares)	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Short-term investments	`ShortTermInvestments`	$1.54B	USD	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
Preferred stock, shares outstanding (in shares)	`PreferredStockSharesOutstanding`	0.00	shares	Point-in-time
Other current assets	`OtherAssetsCurrent`	$2.46B	USD	Point-in-time
Total current assets	`AssetsCurrent`	$30.13B	USD	Point-in-time
Common stock, par value (in usd per share)	`CommonStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Total current assets	`AssetsCurrent`	$28.50B	USD	Point-in-time
Common stock, par value (in usd per share)	`CommonStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Common stock, shares authorized (in shares)	`CommonStockSharesAuthorized`	800.00M	shares	Point-in-time
Long-term investments	`LongTermInvestments`	$14.04B	USD	Point-in-time
Common stock, shares authorized (in shares)	`CommonStockSharesAuthorized`	800.00M	shares	Point-in-time
Long-term investments	`LongTermInvestments`	$14.68B	USD	Point-in-time
Restricted deposits	`OtherRestrictedAssetsNoncurrent`	$1.07B	USD	Point-in-time
Common stock, shares issued (in shares)	`CommonStockSharesIssued`	607.85M	shares	Point-in-time
Restricted deposits	`OtherRestrictedAssetsNoncurrent`	$1.22B	USD	Point-in-time
Common stock, shares issued (in shares)	`CommonStockSharesIssued`	602.70M	shares	Point-in-time
Property, software and equipment, net	`PropertyPlantAndEquipmentNet`	$2.43B	USD	Point-in-time
Common stock, shares outstanding (in shares)	`CommonStockSharesOutstanding`	582.48M	shares	Point-in-time
Common stock, shares outstanding (in shares)	`CommonStockSharesOutstanding`	550.75M	shares	Point-in-time
Property, software and equipment, net	`PropertyPlantAndEquipmentNet`	$3.39B	USD	Point-in-time
Goodwill	`Goodwill`	$19.77B	USD	Point-in-time
Treasury stock, at cost (in shares)	`TreasuryStockShares`	57.09M	shares	Point-in-time
Goodwill	`Goodwill`	$18.81B	USD	Point-in-time
Goodwill	`Goodwill`	$18.65B	USD	Point-in-time
Treasury stock, at cost (in shares)	`TreasuryStockShares`	20.23M	shares	Point-in-time
Intangible assets, net	`IntangibleAssetsNetExcludingGoodwill`	$6.91B	USD	Point-in-time
Intangible assets, net	`IntangibleAssetsNetExcludingGoodwill`	$7.82B	USD	Point-in-time
Other long-term assets	`OtherAssetsNoncurrent`	$2.69B	USD	Point-in-time
Other long-term assets	`OtherAssetsNoncurrent`	$3.78B	USD	Point-in-time
Total assets	`Assets`	$76.87B	USD	Point-in-time
Total assets	`Assets`	$78.38B	USD	Point-in-time
Medical claims liability	`LiabilityForClaimsAndClaimsAdjustmentExpense`	$14.24B	USD	Point-in-time
Medical claims liability	`LiabilityForClaimsAndClaimsAdjustmentExpense`	$12.44B	USD	Point-in-time
Medical claims liability	`LiabilityForClaimsAndClaimsAdjustmentExpense`	$16.75B	USD	Point-in-time
Medical claims liability	`LiabilityForClaimsAndClaimsAdjustmentExpense`	$7.47B	USD	Point-in-time
Accounts payable and accrued expenses	`AccountsPayableAndAccruedLiabilitiesCurrent`	$9.53B	USD	Point-in-time
Accounts payable and accrued expenses	`AccountsPayableAndAccruedLiabilitiesCurrent`	$8.49B	USD	Point-in-time
Return of premium payable	`ReturnofPremiumPayable`	$2.33B	USD	Point-in-time
Return of premium payable	`ReturnofPremiumPayable`	$1.63B	USD	Point-in-time
Unearned revenue	`ContractWithCustomerLiabilityCurrent`	$478.00M	USD	Point-in-time
Unearned revenue	`ContractWithCustomerLiabilityCurrent`	$434.00M	USD	Point-in-time
Current portion of long-term debt	`LongTermDebtCurrent`	$267.00M	USD	Point-in-time
Current portion of long-term debt	`LongTermDebtCurrent`	$82.00M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$28.46B	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$25.77B	USD	Point-in-time
Long-term debt	`LongTermDebtNoncurrent`	$18.57B	USD	Point-in-time
Long-term debt	`LongTermDebtNoncurrent`	$17.94B	USD	Point-in-time
Deferred tax liability	`DeferredIncomeTaxLiabilitiesNet`	$1.41B	USD	Point-in-time
Deferred tax liability	`DeferredIncomeTaxLiabilitiesNet`	$615.00M	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$5.61B	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$5.62B	USD	Point-in-time
Total liabilities	`Liabilities`	$51.35B	USD	Point-in-time
Total liabilities	`Liabilities`	$52.63B	USD	Point-in-time
Commitments and contingencies	`CommitmentsAndContingencies`	-	USD	Point-in-time
Commitments and contingencies	`CommitmentsAndContingencies`	-	USD	Point-in-time
Redeemable noncontrolling interests	`RedeemableNoncontrollingInterestEquityCarryingAmount`	$56.00M	USD	Point-in-time
Redeemable noncontrolling interests	`RedeemableNoncontrollingInterestEquityCarryingAmount`	$82.00M	USD	Point-in-time
Preferred stock, $0.001 par value; authorized 10,000 shares; no shares issued or outstanding at December 31, 2022 and December 31, 2021	`PreferredStockValue`	-	USD	Point-in-time
Preferred stock, $0.001 par value; authorized 10,000 shares; no shares issued or outstanding at December 31, 2022 and December 31, 2021	`PreferredStockValue`	-	USD	Point-in-time
Common stock, $0.001 par value; authorized 800,000 shares; 607,847 issued and 550,754 outstanding at December 31, 2022, and 602,704 issued and 582,479 outstanding at December 31, 2021	`CommonStockValue`	$1.00M	USD	Point-in-time
Common stock, $0.001 par value; authorized 800,000 shares; 607,847 issued and 550,754 outstanding at December 31, 2022, and 602,704 issued and 582,479 outstanding at December 31, 2021	`CommonStockValue`	$1.00M	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$20.06B	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$19.67B	USD	Point-in-time
Accumulated other comprehensive earnings (loss)	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$77.00M	USD	Point-in-time
Accumulated other comprehensive earnings (loss)	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$-1.13B	USD	Point-in-time
Retained earnings	`RetainedEarningsAccumulatedDeficit`	$8.14B	USD	Point-in-time
Retained earnings	`RetainedEarningsAccumulatedDeficit`	$9.34B	USD	Point-in-time
Treasury stock, at cost (57,093 and 20,225 shares, respectively)	`TreasuryStockValue`	$1.09B	USD	Point-in-time
Treasury stock, at cost (57,093 and 20,225 shares, respectively)	`TreasuryStockValue`	$4.21B	USD	Point-in-time
Total Centene stockholders' equity	`StockholdersEquity`	$26.80B	USD	Point-in-time
Total Centene stockholders' equity	`StockholdersEquity`	$24.06B	USD	Point-in-time
Nonredeemable noncontrolling interest	`MinorityInterest`	$145.00M	USD	Point-in-time
Nonredeemable noncontrolling interest	`MinorityInterest`	$124.00M	USD	Point-in-time
Total stockholders' equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$12.66B	USD	Point-in-time
Total stockholders' equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$26.94B	USD	Point-in-time
Total stockholders' equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$25.89B	USD	Point-in-time
Total stockholders' equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$24.18B	USD	Point-in-time
Total liabilities, redeemable noncontrolling interests and stockholders' equity	`LiabilitiesAndStockholdersEquity`	$78.38B	USD	Point-in-time
Total liabilities, redeemable noncontrolling interests and stockholders' equity	`LiabilitiesAndStockholdersEquity`	$76.87B	USD	Point-in-time

Income Statement 78 line items

Line Item	Tag	Value	Unit	Period
Revenues	`RevenueFromContractWithCustomerExcludingAssessedTax`	$117.98B	USD	Annual
Revenues	`RevenueFromContractWithCustomerExcludingAssessedTax`	$103.80B	USD	Annual
Revenues	`RevenueFromContractWithCustomerExcludingAssessedTax`	$135.48B	USD	Annual
Premium tax and health insurer fee	`PremiumTaxRevenue`	$7.32B	USD	Annual
Premium tax and health insurer fee	`PremiumTaxRevenue`	$8.00B	USD	Annual
Premium tax and health insurer fee	`PremiumTaxRevenue`	$9.07B	USD	Annual
Total revenues	`Revenues`	$111.11B	USD	Annual
Total revenues	`Revenues`	$144.55B	USD	Annual
Total revenues	`Revenues`	$125.98B	USD	Annual
Medical costs	`PolicyholderBenefitsAndClaimsIncurredHealthCare`	$86.26B	USD	Annual
Medical costs	`PolicyholderBenefitsAndClaimsIncurredHealthCare`	$111.53B	USD	Annual
Medical costs	`PolicyholderBenefitsAndClaimsIncurredHealthCare`	$98.60B	USD	Annual
Cost of services	`CostOfGoodsAndServicesSold`	$7.03B	USD	Annual
Cost of services	`CostOfGoodsAndServicesSold`	$4.89B	USD	Annual
Cost of services	`CostOfGoodsAndServicesSold`	$3.30B	USD	Annual
Selling, general and administrative expenses	`SellingGeneralAndAdministrativeExpense`	$9.38B	USD	Annual
Selling, general and administrative expenses	`SellingGeneralAndAdministrativeExpense`	$9.60B	USD	Annual
Selling, general and administrative expenses	`SellingGeneralAndAdministrativeExpense`	$11.59B	USD	Annual
Depreciation expense	`Depreciation`	$565.00M	USD	Annual
Depreciation expense	`Depreciation`	$487.00M	USD	Annual
Depreciation expense	`Depreciation`	$614.00M	USD	Annual
Amortization of acquired intangible assets	`AmortizationOfIntangibleAssets`	$770.00M	USD	Annual
Amortization of acquired intangible assets	`AmortizationOfIntangibleAssets`	$719.00M	USD	Annual
Amortization of acquired intangible assets	`AmortizationOfIntangibleAssets`	$817.00M	USD	Annual
Premium tax expense	`PremiumTaxExpense`	$9.33B	USD	Annual
Premium tax expense	`PremiumTaxExpense`	$8.29B	USD	Annual
Premium tax expense	`PremiumTaxExpense`	$6.33B	USD	Annual
Health insurer fee expense	`HealthInsurerFeeExpense`	$1.48B	USD	Annual
Health insurer fee expense	`HealthInsurerFeeExpense`	-	USD	Annual
Health insurer fee expense	`HealthInsurerFeeExpense`	-	USD	Annual
Impairment	`AssetImpairmentCharges`	$72.00M	USD	Annual
Impairment	`AssetImpairmentCharges`	$2.32B	USD	Annual
Impairment	`AssetImpairmentCharges`	$229.00M	USD	Annual
Legal settlement	`LitigationSettlementExpense`	$1.25B	USD	Annual
Legal settlement	`LitigationSettlementExpense`	-	USD	Annual
Legal settlement	`LitigationSettlementExpense`	-	USD	Annual
Total operating expenses	`CostsAndExpenses`	$124.20B	USD	Annual
Total operating expenses	`CostsAndExpenses`	$108.03B	USD	Annual
Total operating expenses	`CostsAndExpenses`	$143.23B	USD	Annual
Earnings from operations	`OperatingIncomeLoss`	$1.32B	USD	Annual
Earnings from operations	`OperatingIncomeLoss`	$1.78B	USD	Annual
Earnings from operations	`OperatingIncomeLoss`	$3.08B	USD	Annual
Investment and other income	`InvestmentIncomeNonoperating`	$819.00M	USD	Annual
Investment and other income	`InvestmentIncomeNonoperating`	$480.00M	USD	Annual
Investment and other income	`InvestmentIncomeNonoperating`	$1.28B	USD	Annual
Debt extinguishment	`GainLossOnExtinguishmentOfDebtIncludingCashPortion`	$-61.00M	USD	Annual
Debt extinguishment	`GainLossOnExtinguishmentOfDebtIncludingCashPortion`	$30.00M	USD	Annual
Debt extinguishment	`GainLossOnExtinguishmentOfDebtIncludingCashPortion`	$-125.00M	USD	Annual
Interest expense	`InterestExpense`	$728.00M	USD	Annual
Interest expense	`InterestExpense`	$665.00M	USD	Annual
Interest expense	`InterestExpense`	$665.00M	USD	Annual
Earnings before income tax	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$1.96B	USD	Annual
Earnings before income tax	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$2.77B	USD	Annual
Earnings before income tax	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$1.81B	USD	Annual
Income tax expense	`IncomeTaxExpenseBenefit`	$760.00M	USD	Annual
Income tax expense	`IncomeTaxExpenseBenefit`	$979.00M	USD	Annual
Income tax expense	`IncomeTaxExpenseBenefit`	$477.00M	USD	Annual
Net earnings	`ProfitLoss`	$1.79B	USD	Annual
Net earnings	`ProfitLoss`	$1.34B	USD	Annual
Net earnings	`ProfitLoss`	$1.20B	USD	Annual
Loss attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$-14.00M	USD	Annual
Loss attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	-	USD	Annual
Loss attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$-11.00M	USD	Annual
Net earnings attributable to Centene Corporation	`NetIncomeLoss`	$1.20B	USD	Annual
Net earnings attributable to Centene Corporation	`NetIncomeLoss`	$1.35B	USD	Annual
Net earnings attributable to Centene Corporation	`NetIncomeLoss`	$1.81B	USD	Annual
Basic earnings per common share (in usd per share)	`EarningsPerShareBasic`	$3.17	USD	Annual
Basic earnings per common share (in usd per share)	`EarningsPerShareBasic`	$2.09	USD	Annual
Basic earnings per common share (in usd per share)	`EarningsPerShareBasic`	$2.31	USD	Annual
Diluted earnings per common share (in usd per share)	`EarningsPerShareDiluted`	$2.07	USD	Annual
Diluted earnings per common share (in usd per share)	`EarningsPerShareDiluted`	$2.28	USD	Annual
Diluted earnings per common share (in usd per share)	`EarningsPerShareDiluted`	$3.12	USD	Annual
Basic (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	575.19M	shares	Annual
Basic (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	582.83M	shares	Annual
Basic (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	570.72M	shares	Annual
Diluted (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	590.52M	shares	Annual
Diluted (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	582.04M	shares	Annual
Diluted (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	579.13M	shares	Annual

Cash Flow Statement 135 line items

Line Item	Tag	Value	Unit	Period
Net earnings	`ProfitLoss`	$1.34B	USD	Annual
Net earnings	`ProfitLoss`	$1.20B	USD	Annual
Net earnings	`ProfitLoss`	$1.79B	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$1.55B	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$1.26B	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$1.48B	USD	Annual
Stock compensation expense	`ShareBasedCompensation`	$234.00M	USD	Annual
Stock compensation expense	`ShareBasedCompensation`	$203.00M	USD	Annual
Stock compensation expense	`ShareBasedCompensation`	$281.00M	USD	Annual
Impairment	`AssetImpairmentCharges`	$72.00M	USD	Annual
Impairment	`AssetImpairmentCharges`	$2.32B	USD	Annual
Impairment	`AssetImpairmentCharges`	$229.00M	USD	Annual
(Gain) loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-125.00M	USD	Annual
(Gain) loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$25.00M	USD	Annual
(Gain) loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-57.00M	USD	Annual
(Gain) on acquisition	`BusinessCombinationStepAcquisitionEquityInterestInAcquireeRemeasurementGain`	$309.00M	USD	Annual
(Gain) on acquisition	`BusinessCombinationStepAcquisitionEquityInterestInAcquireeRemeasurementGain`	-	USD	Annual
(Gain) on acquisition	`BusinessCombinationStepAcquisitionEquityInterestInAcquireeRemeasurementGain`	$2.00M	USD	Annual
Deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$-51.00M	USD	Annual
Deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$-132.00M	USD	Annual
Deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$-631.00M	USD	Annual
(Gain) on divestitures	`GainLossOnSaleOfBusiness`	$104.00M	USD	Annual
(Gain) on divestitures	`GainLossOnSaleOfBusiness`	$772.00M	USD	Annual
(Gain) on divestitures	`GainLossOnSaleOfBusiness`	$88.00M	USD	Annual
Loss on disposal of equipment	`GainLossOnSaleOfPropertyPlantEquipment`	$-12.00M	USD	Annual
Loss on disposal of equipment	`GainLossOnSaleOfPropertyPlantEquipment`	$-5.00M	USD	Annual
Loss on disposal of equipment	`GainLossOnSaleOfPropertyPlantEquipment`	$-221.00M	USD	Annual
Other adjustments, net	`OtherNoncashIncomeExpense`	$31.00M	USD	Annual
Other adjustments, net	`OtherNoncashIncomeExpense`	$5.00M	USD	Annual
Other adjustments, net	`OtherNoncashIncomeExpense`	$23.00M	USD	Annual
Premium and trade receivables	`IncreaseDecreaseInPremiumsReceivable`	$1.63B	USD	Annual
Premium and trade receivables	`IncreaseDecreaseInPremiumsReceivable`	$52.00M	USD	Annual
Premium and trade receivables	`IncreaseDecreaseInPremiumsReceivable`	$2.45B	USD	Annual
Other assets	`IncreaseDecreaseInOtherOperatingAssets`	$30.00M	USD	Annual
Other assets	`IncreaseDecreaseInOtherOperatingAssets`	$-128.00M	USD	Annual
Other assets	`IncreaseDecreaseInOtherOperatingAssets`	$99.00M	USD	Annual
Medical claims liabilities	`IncreaseDecreaseInHealthCareInsuranceLiabilities`	$1.12B	USD	Annual
Medical claims liabilities	`IncreaseDecreaseInHealthCareInsuranceLiabilities`	$2.40B	USD	Annual
Medical claims liabilities	`IncreaseDecreaseInHealthCareInsuranceLiabilities`	$1.80B	USD	Annual
Unearned revenue	`IncreaseDecreaseInContractWithCustomerLiability`	$31.00M	USD	Annual
Unearned revenue	`IncreaseDecreaseInContractWithCustomerLiability`	$-109.00M	USD	Annual
Unearned revenue	`IncreaseDecreaseInContractWithCustomerLiability`	$-528.00M	USD	Annual
Accounts payable and accrued expenses	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$585.00M	USD	Annual
Accounts payable and accrued expenses	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$421.00M	USD	Annual
Accounts payable and accrued expenses	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$1.14B	USD	Annual
Other long-term liabilities	`IncreaseDecreaseInOtherNoncurrentLiabilities`	$1.09B	USD	Annual
Other long-term liabilities	`IncreaseDecreaseInOtherNoncurrentLiabilities`	$842.00M	USD	Annual
Other long-term liabilities	`IncreaseDecreaseInOtherNoncurrentLiabilities`	$1.08B	USD	Annual
Other operating activities, net	`OtherOperatingActivitiesCashFlowStatement`	$1.00M	USD	Annual
Other operating activities, net	`OtherOperatingActivitiesCashFlowStatement`	$25.00M	USD	Annual
Other operating activities, net	`OtherOperatingActivitiesCashFlowStatement`	$2.00M	USD	Annual
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$6.26B	USD	Annual
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$5.50B	USD	Annual
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$4.21B	USD	Annual
Capital expenditures	`PaymentsToAcquirePropertyPlantAndEquipment`	$1.00B	USD	Annual
Capital expenditures	`PaymentsToAcquirePropertyPlantAndEquipment`	$910.00M	USD	Annual
Capital expenditures	`PaymentsToAcquirePropertyPlantAndEquipment`	$869.00M	USD	Annual
Purchases of investments	`PaymentsToAcquireInvestments`	$7.40B	USD	Annual
Purchases of investments	`PaymentsToAcquireInvestments`	$7.40B	USD	Annual
Purchases of investments	`PaymentsToAcquireInvestments`	$6.74B	USD	Annual
Sales and maturities of investments	`ProceedsFromSaleMaturityAndCollectionsOfInvestments`	$4.92B	USD	Annual
Sales and maturities of investments	`ProceedsFromSaleMaturityAndCollectionsOfInvestments`	$5.46B	USD	Annual
Sales and maturities of investments	`ProceedsFromSaleMaturityAndCollectionsOfInvestments`	$3.80B	USD	Annual
Acquisitions, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$4.05B	USD	Annual
Acquisitions, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$534.00M	USD	Annual
Acquisitions, net of cash acquired	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$1.46B	USD	Annual
Divestiture proceeds, net of divested cash	`ProceedsFromDivestitureOfBusinessesNetOfCashDivested`	$466.00M	USD	Annual
Divestiture proceeds, net of divested cash	`ProceedsFromDivestitureOfBusinessesNetOfCashDivested`	$2.48B	USD	Annual
Divestiture proceeds, net of divested cash	`ProceedsFromDivestitureOfBusinessesNetOfCashDivested`	$68.00M	USD	Annual
Other investing activities, net	`PaymentsForProceedsFromOtherInvestingActivities`	$22.00M	USD	Annual
Other investing activities, net	`PaymentsForProceedsFromOtherInvestingActivities`	$-19.00M	USD	Annual
Other investing activities, net	`PaymentsForProceedsFromOtherInvestingActivities`	-	USD	Annual
Net cash (used in) investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-3.30B	USD	Annual
Net cash (used in) investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-6.96B	USD	Annual
Net cash (used in) investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-2.92B	USD	Annual
Proceeds from long-term debt	`ProceedsFromIssuanceOfLongTermDebt`	$5.11B	USD	Annual
Proceeds from long-term debt	`ProceedsFromIssuanceOfLongTermDebt`	$9.27B	USD	Annual
Proceeds from long-term debt	`ProceedsFromIssuanceOfLongTermDebt`	$360.00M	USD	Annual
Payments and repurchases of long-term debt	`RepaymentsOfLongTermDebt`	$4.07B	USD	Annual
Payments and repurchases of long-term debt	`RepaymentsOfLongTermDebt`	$7.43B	USD	Annual
Payments and repurchases of long-term debt	`RepaymentsOfLongTermDebt`	$1.49B	USD	Annual
Common stock repurchases	`PaymentsForRepurchaseOfCommonStock`	$297.00M	USD	Annual
Common stock repurchases	`PaymentsForRepurchaseOfCommonStock`	$3.10B	USD	Annual
Common stock repurchases	`PaymentsForRepurchaseOfCommonStock`	$626.00M	USD	Annual
Proceeds from common stock issuances	`ProceedsFromIssuanceOfCommonStock`	$35.00M	USD	Annual
Proceeds from common stock issuances	`ProceedsFromIssuanceOfCommonStock`	$28.00M	USD	Annual
Proceeds from common stock issuances	`ProceedsFromIssuanceOfCommonStock`	$70.00M	USD	Annual
Payments for debt extinguishment	`PaymentsOfDebtExtinguishmentCosts`	$157.00M	USD	Annual
Payments for debt extinguishment	`PaymentsOfDebtExtinguishmentCosts`	$14.00M	USD	Annual
Payments for debt extinguishment	`PaymentsOfDebtExtinguishmentCosts`	$81.00M	USD	Annual
Debt issuance costs	`PaymentsOfDebtIssuanceCosts`	$72.00M	USD	Annual
Debt issuance costs	`PaymentsOfDebtIssuanceCosts`	$120.00M	USD	Annual
Debt issuance costs	`PaymentsOfDebtIssuanceCosts`	-	USD	Annual
Other financing activities, net	`ProceedsFromPaymentsForOtherFinancingActivities`	$-27.00M	USD	Annual
Other financing activities, net	`ProceedsFromPaymentsForOtherFinancingActivities`	$20.00M	USD	Annual
Other financing activities, net	`ProceedsFromPaymentsForOtherFinancingActivities`	$19.00M	USD	Annual
Net cash (used in) provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$1.36B	USD	Annual
Net cash (used in) provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$-4.20B	USD	Annual
Net cash (used in) provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$260.00M	USD	Annual
Effect of exchange rate changes on cash, cash equivalents, and restricted cash	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$18.00M	USD	Annual
Effect of exchange rate changes on cash, cash equivalents, and restricted cash	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$-11.00M	USD	Annual
Effect of exchange rate changes on cash, cash equivalents, and restricted cash	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$-11.00M	USD	Annual
Net increase (decrease) in cash, cash equivalents, and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$2.26B	USD	Annual
Net increase (decrease) in cash, cash equivalents, and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$-868.00M	USD	Annual
Net increase (decrease) in cash, cash equivalents, and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$-1.17B	USD	Annual
Cash and cash equivalents reclassified (to) from held for sale	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsDisposalGroupIncludingDiscontinuedOperations`	-	USD	Point-in-time
Cash and cash equivalents reclassified (to) from held for sale	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsDisposalGroupIncludingDiscontinuedOperations`	-	USD	Point-in-time
Cash and cash equivalents reclassified (to) from held for sale	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsDisposalGroupIncludingDiscontinuedOperations`	$16.00M	USD	Point-in-time
Cash, cash equivalents, and restricted cash and cash equivalents, beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$13.21B	USD	Point-in-time
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`	$12.33B	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, end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$12.13B	USD	Point-in-time
Cash, cash equivalents, and restricted cash and cash equivalents, end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$12.33B	USD	Point-in-time
Cash, cash equivalents, and restricted cash and cash equivalents, end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$10.96B	USD	Point-in-time
Cash, cash equivalents, and restricted cash and cash equivalents, end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$13.21B	USD	Point-in-time
Interest paid	`InterestPaidNet`	$725.00M	USD	Annual
Interest paid	`InterestPaidNet`	$658.00M	USD	Annual
Interest paid	`InterestPaidNet`	$657.00M	USD	Annual
Income taxes paid	`IncomeTaxesPaidNet`	$678.00M	USD	Annual
Income taxes paid	`IncomeTaxesPaidNet`	$1.19B	USD	Annual
Income taxes paid	`IncomeTaxesPaidNet`	$1.22B	USD	Annual
Equity issued in connection with acquisitions	`OtherSignificantNoncashTransactionValueOfConsiderationGiven1`	$11.53B	USD	Annual
Equity issued in connection with acquisitions	`OtherSignificantNoncashTransactionValueOfConsiderationGiven1`	$60.00M	USD	Annual
Equity issued in connection with acquisitions	`OtherSignificantNoncashTransactionValueOfConsiderationGiven1`	-	USD	Annual
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$12.07B	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$10.80B	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$13.12B	USD	Point-in-time
Restricted cash and cash equivalents, included in restricted deposits	`RestrictedCashAndCashEquivalents`	$96.00M	USD	Point-in-time
Restricted cash and cash equivalents, included in restricted deposits	`RestrictedCashAndCashEquivalents`	$256.00M	USD	Point-in-time
Restricted cash and cash equivalents, included in restricted deposits	`RestrictedCashAndCashEquivalents`	$157.00M	USD	Point-in-time
Total cash, cash equivalents, and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$12.33B	USD	Point-in-time
Total cash, cash equivalents, and restricted cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$10.96B	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`	$13.21B	USD	Point-in-time

Stockholders Equity 46 line items

Line Item	Tag	Value	Unit	Period
Common stock, par value (in usd per share)	`CommonStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Common stock, par value (in usd per share)	`CommonStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Other comprehensive earnings (loss), tax	`OtherComprehensiveIncomeLossTax`	$-75.00M	USD	Annual
Other comprehensive earnings (loss), tax	`OtherComprehensiveIncomeLossTax`	$349.00M	USD	Annual
Other comprehensive earnings (loss), tax	`OtherComprehensiveIncomeLossTax`	$60.00M	USD	Annual
Beginning balance (in shares)	`CommonStockSharesOutstanding`	582.48M	shares	Point-in-time
Beginning balance (in shares)	`CommonStockSharesOutstanding`	550.75M	shares	Point-in-time
Beginning balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$25.89B	USD	Point-in-time
Beginning balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$24.18B	USD	Point-in-time
Beginning balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$12.66B	USD	Point-in-time
Beginning balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$26.94B	USD	Point-in-time
Beginning balance Treasury stock (in shares)	`TreasuryStockShares`	20.23M	shares	Point-in-time
Beginning balance Treasury stock (in shares)	`TreasuryStockShares`	57.09M	shares	Point-in-time
Net earnings (loss)	`NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest`	$1.19B	USD	Annual
Net earnings (loss)	`NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest`	$1.33B	USD	Annual
Net earnings (loss)	`NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest`	$1.78B	USD	Annual
Other comprehensive (loss) earnings, net of tax	`OtherComprehensiveIncomeLossNetOfTax`	$-1.21B	USD	Annual
Other comprehensive (loss) earnings, net of tax	`OtherComprehensiveIncomeLossNetOfTax`	$-260.00M	USD	Annual
Other comprehensive (loss) earnings, net of tax	`OtherComprehensiveIncomeLossNetOfTax`	$203.00M	USD	Annual
Common stock issued for acquisitions	`StockIssuedDuringPeriodValueAcquisitions`	$11.53B	USD	Annual
Common stock issued for employee benefit plans	`StockIssuedDuringPeriodValueShareBasedCompensation`	$38.00M	USD	Annual
Common stock issued for employee benefit plans	`StockIssuedDuringPeriodValueShareBasedCompensation`	$71.00M	USD	Annual
Common stock issued for employee benefit plans	`StockIssuedDuringPeriodValueShareBasedCompensation`	$29.00M	USD	Annual
Fair value of unvested equity awards in connection with acquisition	`SharesIssuedValueAcquisitionsShareBasedPaymentArrangementAfterForfeiture`	$60.00M	USD	Annual
Common stock repurchases	`TreasuryStockValueAcquiredCostMethod`	$3.10B	USD	Annual
Common stock repurchases	`TreasuryStockValueAcquiredCostMethod`	$297.00M	USD	Annual
Common stock repurchases	`TreasuryStockValueAcquiredCostMethod`	$626.00M	USD	Annual
Stock compensation expense	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$281.00M	USD	Annual
Stock compensation expense	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$234.00M	USD	Annual
Stock compensation expense	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$203.00M	USD	Annual
Contribution from noncontrolling interest	`NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance`	$46.00M	USD	Annual
Contribution from noncontrolling interest	`NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance`	$28.00M	USD	Annual
Reclassification to non-redeemable	`NoncontrollingInterestIncreaseFromSaleOfParentEquityInterest`	$17.00M	USD	Annual
Divestiture of noncontrolling interest	`NoncontrollingInterestDecreaseFromDeconsolidation`	$4.00M	USD	Annual
Divestiture of noncontrolling interest	`NoncontrollingInterestDecreaseFromDeconsolidation`	$14.00M	USD	Annual
Acquisition resulting in noncontrolling interest	`NoncontrollingInterestIncreaseFromBusinessCombination`	$3.00M	USD	Annual
Dividend to noncontrolling interest	`MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders`	$10.00M	USD	Annual
Purchase of noncontrolling interest	`MinorityInterestDecreaseFromRedemptions`	$-1.00M	USD	Annual
Ending balance (in shares)	`CommonStockSharesOutstanding`	582.48M	shares	Point-in-time
Ending balance (in shares)	`CommonStockSharesOutstanding`	550.75M	shares	Point-in-time
Ending balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$12.66B	USD	Point-in-time
Ending balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$26.94B	USD	Point-in-time
Ending balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$25.89B	USD	Point-in-time
Ending balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$24.18B	USD	Point-in-time
Ending balance Treasury stock (in shares)	`TreasuryStockShares`	20.23M	shares	Point-in-time
Ending balance Treasury stock (in shares)	`TreasuryStockShares`	57.09M	shares	Point-in-time

Comprehensive Income 30 line items

Line Item	Tag	Value	Unit	Period
Net earnings	`ProfitLoss`	$1.34B	USD	Annual
Net earnings	`ProfitLoss`	$1.20B	USD	Annual
Net earnings	`ProfitLoss`	$1.79B	USD	Annual
Change in unrealized gain (loss) on investments	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodBeforeTax`	$251.00M	USD	Annual
Change in unrealized gain (loss) on investments	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodBeforeTax`	$-1.48B	USD	Annual
Change in unrealized gain (loss) on investments	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodBeforeTax`	$-296.00M	USD	Annual
Change in unrealized gain (loss) on investments, tax effect	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodTax`	$-75.00M	USD	Annual
Change in unrealized gain (loss) on investments, tax effect	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodTax`	$-349.00M	USD	Annual
Change in unrealized gain (loss) on investments, tax effect	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodTax`	$60.00M	USD	Annual
Change in unrealized gain (loss) on investments, net of tax	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax`	$-221.00M	USD	Annual
Change in unrealized gain (loss) on investments, net of tax	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax`	$-1.13B	USD	Annual
Change in unrealized gain (loss) on investments, net of tax	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax`	$191.00M	USD	Annual
Reclassification adjustment, net of tax	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax`	$3.00M	USD	Annual
Reclassification adjustment, net of tax	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax`	$20.00M	USD	Annual
Reclassification adjustment, net of tax	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax`	$-11.00M	USD	Annual
Foreign currency translation adjustments, net of tax	`OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax`	$15.00M	USD	Annual
Foreign currency translation adjustments, net of tax	`OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax`	$-19.00M	USD	Annual
Foreign currency translation adjustments, net of tax	`OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax`	$-94.00M	USD	Annual
Other comprehensive earnings (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$-1.21B	USD	Annual
Other comprehensive earnings (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$-260.00M	USD	Annual
Other comprehensive earnings (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$203.00M	USD	Annual
Comprehensive earnings (loss)	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$2.00B	USD	Annual
Comprehensive earnings (loss)	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$1.08B	USD	Annual
Comprehensive earnings (loss)	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$-7.00M	USD	Annual
Comprehensive loss attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest`	$-11.00M	USD	Annual
Comprehensive loss attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest`	$-14.00M	USD	Annual
Comprehensive loss attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest`	-	USD	Annual
Comprehensive loss attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTax`	$1.09B	USD	Annual
Comprehensive loss attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTax`	$-7.00M	USD	Annual
Comprehensive loss attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTax`	$2.01B	USD	Annual

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