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Condensed Financial Information of Registrant (Tables) - Parent Company | 12 Months Ended
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Dec. 31, 2018
Condensed Balance Sheets | Centene Corporation (Parent Company Only) Condensed Balance Sheets (In millions, except shares in thousands and per share data in dollars)
| December 31,
| 2018 |  | 2017
ASSETS |  |  |
Current assets: |  |  |
Cash and cash equivalents | $ | 6 |  |  | $ | 6 |
Short-term investments, at fair value (amortized cost $2 and $2, respectively) | 2 |  |  | 2 |
Other current assets | 61 |  |  | 46 |
Total current assets | 69 |  |  | 54 |
Long-term investments, at fair value (amortized cost $14 and $17, respectively) | 14 |  |  | 17 |
Investment in subsidiaries | 17,409 |  |  | 11,303 |
Other long-term assets | 278 |  |  | 302 |
Total assets | $ | 17,770 |  |  | $ | 11,676 |
LIABILITIES, REDEEMABLE NONCONTROLLING INTERESTS AND STOCKHOLDERS' EQUITY |  |  |
Current liabilities | $ | 109 |  |  | $ | 100 |
Long-term debt | 6,521 |  |  | 4,624 |
Other long-term liabilities | 117 |  |  | 76 |
Total liabilities | 6,747 |  |  | 4,800 |
Redeemable noncontrolling interest | 10 |  |  | 12 |
Stockholders' equity: |  |  |
Preferred stock, $.001 par value; authorized 10,000 shares; no shares issued or outstanding at December 31, 2018 and December 31, 2017 | — |  |  | — |
Common stock, $.001 par value; authorized 800,000 shares; 417,695 issued and 412,478 outstanding at December 31, 2018, and 360,758 issued and 346,874 outstanding at December 31, 2017 | — |  |  | — |
Additional paid-in capital | 7,449 |  |  | 4,349 |
Accumulated other comprehensive loss | (56 | ) |  | (3 | )
Retained earnings | 3,663 |  |  | 2,748 |
Treasury stock, at cost (5,217 and 13,884 shares, respectively) | (139 | ) |  | (244 | )
Total Centene stockholders' equity | 10,917 |  |  | 6,850 |
Noncontrolling interest | 96 |  |  | 14 |
Total stockholders' equity | 11,013 |  |  | 6,864 |
Total liabilities, redeemable noncontrolling interests and stockholders' equity | $ | 17,770 |  |  | $ | 11,676 |
Condensed Statements Of Operations | Centene Corporation (Parent Company Only) Condensed Statements of Operations (In millions, except per share data in dollars)
| Year Ended December 31,
| 2018 |  | 2017 |  | 2016
Expenses: |  |  |  |  |
Selling, general and administrative expenses | $ | 24 |  |  | $ | 6 |  |  | $ | 5 |
Other income (expense): |  |  |  |  |
Investment and other income | 3 |  |  | 2 |  |  | 2 |
Interest expense | (334 | ) |  | (247 | ) |  | (201 | )
Earnings (loss) before income taxes | (355 | ) |  | (251 | ) |  | (204 | )
Income tax benefit | (64 | ) |  | (114 | ) |  | (76 | )
Net earnings (loss) before equity in subsidiaries | (291 | ) |  | (137 | ) |  | (128 | )
Equity in earnings from subsidiaries | 1,185 |  |  | 945 |  |  | 689 |
Net earnings | 894 |  |  | 808 |  |  | 561 |
Loss attributable to noncontrolling interests | 6 |  |  | 20 |  |  | 1 |
Net earnings attributable to Centene | $ | 900 |  |  | $ | 828 |  |  | $ | 562 |
Net earnings per share: |  |  |  |  |
Basic earnings per common share | $ | 2.31 |  |  | $ | 2.40 |  |  | $ | 1.76 |
Diluted earnings per common share | $ | 2.26 |  |  | $ | 2.34 |  |  | $ | 1.71 |
Condensed Statements Of Cash Flows | Centene Corporation (Parent Company Only) Condensed Statements of Cash Flows (In millions)
| Year Ended December 31,
| 2018 |  | 2017 |  | 2016
Cash flows from operating activities: |  |  |  |  |
Dividends from subsidiaries, return on investment | $ | 464 |  |  | $ | 292 |  |  | $ | 25 |
Other operating activities, net | (317 | ) |  | (132 | ) |  | (71 | )
Net cash (used in) provided by operating activities | 147 |  |  | 160 |  |  | (46 | )
Cash flows from investing activities: |  |  |  |  |
Capital contributions to subsidiaries | (681 | ) |  | (339 | ) |  | (691 | )
Purchases of investments | (23 | ) |  | (38 | ) |  | (112 | )
Sales and maturities of investments | 7 |  |  | 4 |  |  | 169 |
Dividends from subsidiaries, return of investment | 11 |  |  | 28 |  |  | 100 |
Investments in acquisitions | (4,226 | ) |  | (59 | ) |  | (2,248 | )
Intercompany activities | 215 |  |  | 322 |  |  | (575 | )
Other investing activities, net | — |  |  | (1 | ) |  | — |
Net cash used in investing activities | (4,697 | ) |  | (83 | ) |  | (3,357 | )
Cash flows from financing activities: |  |  |  |  |
Proceeds from the issuance of common stock | 2,778 |  |  | — |  |  | — |
Proceeds from borrowings | 6,014 |  |  | 1,400 |  |  | 8,934 |
Payment of long-term debt | (4,080 | ) |  | (1,350 | ) |  | (5,377 | )
Common stock repurchases | (71 | ) |  | (65 | ) |  | (63 | )
Debt issuance costs | (25 | ) |  | — |  |  | (76 | )
Purchase of noncontrolling interest | (76 | ) |  | (66 | ) |  | (14 | )
Other financing activities, net | 10 |  |  | 5 |  |  | — |
Net cash provided by (used in) financing activities | 4,550 |  |  | (76 | ) |  | 3,404 |
Net increase in cash and cash equivalents | — |  |  | 1 |  |  | 1 |
Cash and cash equivalents, beginning of period | 6 |  |  | 5 |  |  | 4 |
Cash and cash equivalents, end of period | $ | 6 |  |  | $ | 6 |  |  | $ | 5 |

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