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CONSOLIDATED STATEMENTS OF COMPREHENSIVE EARNINGS (LOSS) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Statement of Comprehensive Income [Abstract]        
Net earnings $ 710 $ 475 $ 3,014 $ 2,660
Change in unrealized gain (loss) on investments 549 (235) 442 (124)
Change in unrealized gain (loss) on investments, tax effect (130) 56 (109) 29
Change in unrealized gain (loss) on investments, net of tax 419 (179) 333 (95)
Reclassification adjustment, net of tax 1 57 93 61
Foreign currency translation adjustments, net of tax 0 (22) 0 24
Net unrealized gain on cash flow hedge, net of tax 0 20 0 20
Other comprehensive earnings (loss) 420 (124) 426 10
Comprehensive earnings 1,130 351 3,440 2,670
Comprehensive (earnings) loss attributable to noncontrolling interests 3 (6) 8 (3)
Comprehensive earnings attributable to Centene Corporation $ 1,133 $ 345 $ 3,448 $ 2,667