| Segment Information |
Segment information for the three months ended September 30, 2014, follows: | | | | | | | | | | | | | | | | | | Managed Care | | Specialty Services | | Eliminations | | Consolidated Total | Premium and service revenues from external customers | $ | 3,730,737 |
| | $ | 428,352 |
| | $ | — |
| | $ | 4,159,089 |
| Premium and service revenues from internal customers | 15,339 |
| | 806,078 |
| | (821,417 | ) | | — |
| Total premium and service revenues | $ | 3,746,076 |
| | $ | 1,234,430 |
| | $ | (821,417 | ) | | $ | 4,159,089 |
| Earnings from operations | $ | 79,702 |
| | $ | 28,230 |
| | $ | — |
| | $ | 107,932 |
|
Segment information for the three months ended September 30, 2013, follows: | | | | | | | | | | | | | | | | | | Managed Care | | Specialty Services | | Eliminations | | Consolidated Total | Premium and service revenues from external customers | $ | 2,502,137 |
| | $ | 223,927 |
| | $ | — |
| | $ | 2,726,064 |
| Premium and service revenues from internal customers | 9,864 |
| | 539,969 |
| | (549,833 | ) | | — |
| Total premium and service revenues | $ | 2,512,001 |
| | $ | 763,896 |
| | $ | (549,833 | ) | | $ | 2,726,064 |
| Earnings from operations | $ | 71,336 |
| | $ | 12,656 |
| | $ | — |
| | $ | 83,992 |
|
Segment information for the nine months ended September 30, 2014, follows: | | | | | | | | | | | | | | | | | |
Managed Care | | Specialty Services | | Eliminations | | Consolidated Total | Premium and service revenues from external customers | $ | 9,925,307 |
| | $ | 1,326,930 |
| | $ | — |
| | $ | 11,252,237 |
| Premium and service revenues from internal customers | 41,953 |
| | 2,120,819 |
| | (2,162,772 | ) | | — |
| Total premium and service revenues | $ | 9,967,260 |
| | $ | 3,447,749 |
| | $ | (2,162,772 | ) | | $ | 11,252,237 |
| Earnings from operations | $ | 187,653 |
| | $ | 82,985 |
| | $ | — |
| | $ | 270,638 |
|
Segment information for the nine months ended September 30, 2013, follows: | | | | | | | | | | | | | | | | | |
Managed Care | | Specialty Services | | Eliminations | | Consolidated Total | Premium and service revenues from external customers | $ | 7,123,336 |
| | $ | 543,472 |
| | $ | — |
| | $ | 7,666,808 |
| Premium and service revenues from internal customers | 30,209 |
| | 1,590,576 |
| | (1,620,785 | ) | | — |
| Total premium and service revenues | $ | 7,153,545 |
| | $ | 2,134,048 |
| | $ | (1,620,785 | ) | | $ | 7,666,808 |
| Earnings from operations | $ | 126,196 |
| | $ | 66,133 |
| | $ | — |
| | $ | 192,329 |
|
|