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v3.10.0.1

CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($) $ in Millions | 12 Months Ended
--- | ---
Dec. 31, 2018 | Dec. 31, 2017 | Dec. 31, 2016
Revenues: |  |  |
Premium and service revenues | $ 56,435 | $ 45,620 | $ 37,579
Premium tax and health insurer fee | 3,681 | 2,762 | 3,028
Total revenues | 60,116 | 48,382 | 40,607
Expenses: |  |  |
Medical costs | 46,057 | 37,851 | 30,636
Cost of services | 2,386 | 1,847 | 1,864
Selling, general and administrative expenses | 6,043 | 4,446 | 3,673
Amortization of acquired intangible assets | 211 | 156 | 147
Premium tax expense | 3,252 | 2,883 | 2,563
Health insurer fee expense | 709 | 0 | 461
Total operating expenses | 58,658 | 47,183 | 39,344
Earnings from operations | 1,458 | 1,199 | 1,263
Other income (expense): |  |  |
Investment and other income | 253 | 190 | 114
Interest expense | (343) | (255) | (217)
Earnings from operations, before income tax expense | 1,368 | 1,134 | 1,160
Income tax expense | 474 | 326 | 599
Net earnings | 894 | 808 | 561
Loss attributable to noncontrolling interests | 6 | 20 | 1
Net earnings attributable to Centene Corporation | $ 900 | $ 828 | $ 562
Net earnings per common share attributable to Centene Corporation: |  |  |
Basic earnings per common share (in usd per share) | $ 2.31 | $ 2.40 | $ 1.76
Diluted earnings per common share (in usd per share) | $ 2.26 | $ 2.34 | $ 1.71
Premium |  |  |
Revenues: |  |  |
Premium and service revenues | $ 53,629 | $ 43,353 | $ 35,399
Service |  |  |
Revenues: |  |  |
Premium and service revenues | $ 2,806 | $ 2,267 | $ 2,180

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- Definition The aggregate total costs related to selling a firm's product and services, as well as all other general and administrative expenses. Direct selling expenses (for example, credit, warranty, and advertising) are expenses that can be directly linked to the sale of specific products. Indirect selling expenses are expenses that cannot be directly linked to the sale of specific products, for example telephone expenses, Internet, and postal charges. General and administrative expenses include salaries of non-sales personnel, rent, utilities, communication, etc. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 330 -SubTopic 10 -Section 30 -Paragraph 8 -URI http://asc.fasb.org/extlink&oid=68048583&loc=d3e3636-108311 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.4) -URI http://asc.fasb.org/extlink&oid=115205541&loc=SL114868664-224227 + Details
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