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Segment Reporting
3 Months Ended
Mar. 30, 2019
Segment Reporting [Abstract]  
Segment Reporting
Segment Reporting

We have two operating segments, Domestic and International (formerly referred to as Global). Revenues are derived primarily from the sale of clinical, financial and administrative information solutions and services. The cost of revenues includes the cost of third party consulting services, computer hardware, devices and sublicensed software purchased from manufacturers for delivery to clients. It also includes the cost of hardware maintenance and sublicensed software support subcontracted to the manufacturers. Operating expenses incurred by the geographic business segments consist of sales and client service expenses including salaries of sales and client service personnel, expenses associated with our managed services business, marketing expenses, communications expenses and unreimbursed travel expenses. "Other" includes expenses that have not been allocated to the operating segments, such as software development, general and administrative expenses, acquisition costs and related adjustments, share-based compensation expense, and certain amortization and depreciation. Performance of the segments is assessed at the operating earnings level by our chief operating decision maker, who is our Chief Executive Officer. Items such as interest, income taxes, capital expenditures and total assets are managed at the consolidated level and thus are not included in our operating segment disclosures. Accounting policies for each of the reportable segments are the same as those used on a consolidated basis.

The following table presents a summary of our operating segments and other expense for the three months ended March 30, 2019 and March 31, 2018:
(In thousands)
Domestic
 
International
 
Other    
 
Total    
 
 
 
 
 
 
 
 
Three Months Ended 2019
 
 
 
 
 
 
 
Revenues
$
1,230,830

 
$
159,047

 
$

 
$
1,389,877

 
 
 
 
 
 
 
 
Costs of revenue
228,559

 
24,645

 

 
253,204

Operating expenses
572,018

 
68,169

 
298,542

 
938,729

Total costs and expenses
800,577

 
92,814


298,542

 
1,191,933

 
 
 
 
 
 
 
 
Operating earnings (loss)
$
430,253

 
$
66,233

 
$
(298,542
)
 
$
197,944


(In thousands)
Domestic
 
International
 
Other    
 
Total    
 
 
 
 
 
 
 
 
Three Months Ended 2018
 
 
 
 
 
 
 
Revenues
$
1,135,096

 
$
157,765

 
$

 
$
1,292,861

 
 
 
 
 
 
 
 
Costs of revenue
206,674

 
24,604

 

 
231,278

Operating expenses
519,871

 
69,144

 
277,353

 
866,368

Total costs and expenses
726,545

 
93,748

 
277,353

 
1,097,646

 
 
 
 
 
 
 
 
Operating earnings (loss)
$
408,551

 
$
64,017

 
$
(277,353
)
 
$
195,215