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Condensed Financial Information of Registrant - Condensed Statements Of Operations (Details) - USD ($) $ / shares in Units, $ in Millions | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2018 | Sep. 30, 2018 | Jun. 30, 2018 | Mar. 31, 2018 | Dec. 31, 2017 | Sep. 30, 2017 | Jun. 30, 2017 | Mar. 31, 2017 | Dec. 31, 2018 | Dec. 31, 2017 | Dec. 31, 2016
Expenses: |  |  |  |  |  |  |  |  |  |  |
Selling, general and administrative expenses |  |  |  |  |  |  |  |  | $ 6,043 | $ 4,446 | $ 3,673
Other income (expense): |  |  |  |  |  |  |  |  |  |  |
Investment and other income |  |  |  |  |  |  |  |  | 253 | 190 | 114
Interest expense |  |  |  |  |  |  |  |  | (343) | (255) | (217)
Earnings (loss) before income taxes |  |  |  |  |  |  |  |  | 1,368 | 1,134 | 1,160
Income tax benefit |  |  |  |  |  |  |  |  | 474 | 326 | 599
Net earnings |  |  |  |  |  |  |  |  | 894 | 808 | 561
Loss attributable to noncontrolling interests |  |  |  |  |  |  |  |  | 6 | 20 | 1
Net earnings attributable to Centene Corporation | $ 241 | $ 19 | $ 300 | $ 340 | $ 230 | $ 205 | $ 254 | $ 139 | $ 900 | $ 828 | $ 562
Net earnings per share: |  |  |  |  |  |  |  |  |  |  |
Basic earnings per common share (in usd per share) | $ 0.59 | $ 0.05 | $ 0.77 | $ 0.98 | $ 0.67 | $ 0.59 | $ 0.74 | $ 0.40 | $ 2.31 | $ 2.40 | $ 1.76
Diluted earnings per common share (in usd per share) | $ 0.57 | $ 0.05 | $ 0.75 | $ 0.96 | $ 0.65 | $ 0.58 | $ 0.72 | $ 0.39 | $ 2.26 | $ 2.34 | $ 1.71
Parent Company |  |  |  |  |  |  |  |  |  |  |
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 Corporation |  |  |  |  |  |  |  |  | $ 900 | $ 828 | $ 562
Net earnings per share: |  |  |  |  |  |  |  |  |  |  |
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

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