Centene corporation (CNC)
CashFlow / Quarterly
Mar'20Dec'19Sep'19Jun'19Mar'19Dec'18Sep'18Jun'18Mar'18Dec'17Sep'17Jun'17Mar'17Dec'16Sep'16Jun'16Mar'16Dec'15Sep'15Jun'15Mar'15Dec'14Sep'14Jun'14Mar'14Dec'13Sep'13Jun'13Mar'13Dec'12Sep'12Jun'12Mar'12Dec'11Sep'11Jun'11Mar'11Dec'10Sep'10Jun'10Mar'10
Cash flows from operating activities:
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest

46,000

202,000

96,000

492,000

519,000

241,000

16,000

299,000

338,000

223,000

201,000

252,000

132,000

259,000

148,000

169,000

-15,000

111,000

94,000

88,000

64,000

105,000

78,000

49,000

32,000

55,164

48,914

39,011

22,911

4,934

295

-38,832

22,603

29,264

28,213

28,063

22,823

26,319

23,200

24,502

24,250

Adjustments to reconcile net earnings to net cash provided by operating activities
Depreciation and amortization

288,000

168,000

162,000

158,000

155,000

141,000

139,000

111,000

104,000

97,000

91,000

87,000

86,000

89,000

78,000

76,000

35,000

29,000

29,000

26,000

27,000

24,000

23,000

22,000

20,000

16,780

17,292

17,237

15,691

16,108

16,626

16,653

16,613

15,272

14,488

14,242

14,325

13,380

13,702

12,391

12,527

Stock compensation expense

117,000

71,000

34,000

34,000

38,000

40,000

38,000

34,000

33,000

36,000

37,000

30,000

32,000

36,000

29,000

32,000

51,000

23,000

15,000

17,000

16,000

13,000

12,000

12,000

11,000

9,748

10,297

8,580

8,375

6,583

6,424

5,618

6,375

4,908

4,424

4,445

4,394

3,650

3,336

3,428

3,460

Impairment

72,000

-

-

-

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Gain on contingent consideration

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-1,000

-7,000

-27,000

0

-10,000

0

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Gain (Loss) on Extinguishment of Debt

-44,000

-

-

-

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Gain on sale of investments, net

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

6

2,344

7,534

-3,547

Gain on sale of UHP

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

16,402

-8,201

Deferred income taxes

112,000

130,000

-65,000

-33,000

23,000

-26,000

-107,000

-26,000

30,000

-76,000

26,000

-7,000

-51,000

109,000

-4,000

4,000

-17,000

-3,000

-1,000

-7,000

-6,000

23,000

-54,000

-3,000

-8,000

-3,626

-9,089

9,729

986

5,318

-28,682

3,509

5,855

2,254

3,306

-2,829

-700

3,305

2,084

3,978

950

Gain on divestiture

93,000

-

-

-

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Other adjustments, net

-24,000

-

-

-

11,000

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Changes in assets and liabilities
Premium and trade receivables

2,182,000

757,000

553,000

-896,000

662,000

477,000

143,000

377,000

176,000

-699,000

53,000

755,000

-59,000

-980,000

-215,000

947,000

174,000

0

19,000

7,000

334,000

220,000

82,000

42,000

119,000

84,413

-12,643

14,496

56,734

-22,414

-93,331

111,961

120,784

-2,000

-2,840

20,362

-4,216

-44,766

10,407

62,175

-4,457

Other assets

-97,000

220,000

-33,000

67,000

-20,000

103,000

-63,000

49,000

-51,000

107,000

104,000

24,000

-89,000

-160,000

-43,000

-10,000

46,000

-

-

25,000

3,000

-18,000

54,000

-26,000

-3,000

60,867

-16,746

-14,658

50,537

13,513

-10,618

23,382

10,723

5,145

2,666

2,365

1,636

308

3,880

427

-1,375

Other assets

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

22,000

15,000

14,000

-64,397

27,206

38,196

-5

-1,082

-398

-996

-524

-1,228

352

1,029

-151

1,038

-729

-218

1,937

Medical claims liabilities

252,000

-513,000

533,000

10,000

548,000

-55,000

663,000

232,000

485,000

-47,000

163,000

-115,000

358,000

130,000

-173,000

-8,000

196,000

142,000

28,000

139,000

227,000

133,000

192,000

88,000

196,000

68,105

-7,730

-5,760

117,385

-14,046

122,996

150,281

100,769

109,280

15,792

11,254

13,430

-1,117

-436

4,261

-33,129

Unearned revenue

-88,000

1,000

128,000

-116,000

-22,000

98,000

-352,000

-115,000

317,000

-236,000

14,000

-79,000

320,000

-258,000

351,000

14,000

-64,000

77,000

-2,000

-51,000

-51,000

75,000

72,000

-53,000

35,000

-4,976

20,044

-15,646

3,578

-97,077

102,192

11,309

8,576

-43,899

-52,718

-22,571

10,106

64,408

47,242

-12,668

-73,282

Accounts payable and accrued expenses

704,000

131,000

64,000

-973,000

357,000

-568,000

900,000

-1,022,000

157,000

-152,000

462,000

-20,000

-237,000

303,000

107,000

-43,000

35,000

-170,000

43,000

108,000

58,000

79,000

267,000

69,000

91,000

103,160

50,328

21,257

-22,745

37,872

17,138

-16,184

-60,826

50,303

23,325

-61,007

26,268

40,572

362

-43,969

40,433

Other long-term liabilities

361,000

117,000

-801,000

522,000

347,000

59,000

-666,000

388,000

477,000

23,000

-736,000

322,000

459,000

-217,000

-307,000

271,000

192,000

-50,000

-43,000

76,000

68,000

72,000

7,000

6,000

4,000

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Other operating activities, net

6,000

-11,000

-1,000

-17,000

4,000

16,000

-3,000

-1,000

30,000

-10,000

-4,000

3,000

1,000

8,000

-5,000

2,000

4,000

38,000

-8,000

-14,000

-11,000

-3,000

2,000

1,000

1,000

-1,142

-1,508

1,572

4,078

2,196

-6,274

-3,844

-1,078

6,345

80

2,834

614

694

-3,118

-83

1,934

Net cash (used in) provided by operating activities

-240,000

-651,000

-99,000

917,000

1,316,000

-634,000

548,000

-526,000

1,846,000

450,000

97,000

-306,000

1,248,000

1,592,000

482,000

-419,000

196,000

201,000

62,000

350,000

45,000

370,000

441,000

160,000

252,000

170,330

130,731

37,946

42,993

-28,282

317,182

22,196

-32,096

172,023

36,519

-40,837

93,991

194,625

72,563

-59,756

-38,500

Cash flows from investing activities:
Capital expenditures

177,000

200,000

194,000

160,000

176,000

186,000

127,000

144,000

218,000

121,000

120,000

98,000

83,000

95,000

117,000

49,000

45,000

49,000

43,000

31,000

27,000

34,000

27,000

24,000

18,000

21,617

16,326

19,403

10,654

11,399

13,159

42,462

14,980

16,770

21,810

18,246

16,882

68,203

19,176

18,657

12,520

Capital expenditures of Centene Center LLC

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

74,032

-21,846

-10,579

Purchases of investments

1,400,000

501,000

794,000

700,000

580,000

1,155,000

1,316,000

610,000

765,000

963,000

376,000

735,000

582,000

904,000

572,000

744,000

212,000

244,000

564,000

206,000

307,000

277,000

263,000

308,000

167,000

123,984

128,426

179,459

358,131

194,042

95,057

151,689

255,212

117,252

97,906

62,816

40,423

232,776

76,606

159,189

146,935

Sales and maturities of investments

902,000

562,000

528,000

336,000

383,000

416,000

854,000

276,000

445,000

554,000

293,000

672,000

343,000

611,000

362,000

390,000

203,000

251,000

142,000

165,000

111,000

86,000

99,000

109,000

112,000

127,966

92,063

146,463

212,508

155,991

180,290

104,378

149,341

87,280

59,676

75,121

45,327

118,295

160,393

174,266

117,469

Proceeds from asset sale

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

13,420

Acquisitions, net of cash acquired

3,048,000

5,000

-1,000

32,000

0

97,000

1,721,000

11,000

226,000

50,000

0

0

0

449,000

-14,000

80,000

782,000

2,000

5,000

2,000

9,000

42,000

0

17,000

77,000

227

-4,059

66,832

0

-

-

-

-

-

-

-

-

33,541

5,374

19,454

2,019

Divestiture proceeds, net of divested cash

456,000

-

-

-

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Other investing activities, net

5,000

-

-

-

0

-

-

-

-

-

-

0

1,000

-

-

0

0

0

0

0

-7,000

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Net cash used in investing activities

-3,272,000

-144,000

-459,000

-556,000

-373,000

-1,022,000

-2,310,000

-489,000

-764,000

-568,000

-202,000

-161,000

-323,000

-837,000

-313,000

-483,000

-836,000

-44,000

-470,000

-74,000

-225,000

-267,000

-191,000

-240,000

-150,000

-17,862

-48,630

-119,231

-156,277

-49,450

72,074

-89,773

-120,851

-47,925

-60,040

-9,133

-11,978

-174,618

50,055

-44,880

-41,164

Cash flows from financing activities:
Proceeds from exercise of stock options

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

2,000

2,000

2,000

1,326

3,807

2,459

1,408

4,314

1,366

1,241

9,079

2,233

1,318

5,746

6,518

1,025

635

1,240

519

Proceeds from long-term debt

2,542,000

12,265,000

6,839,000

4,599,000

1,018,000

597,000

334,000

3,131,000

2,015,000

230,000

360,000

250,000

560,000

1,990,000

1,245,000

1,921,000

3,790,000

620,000

555,000

250,000

500,000

490,000

240,000

500,000

645,000

150,000

0

30,000

0

-

-

-

-

0

0

291,883

127,300

164,726

11,651

20,131

22,030

Proceeds from stock offering

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

-23

104,557

Payments of long-term debt

1,039,000

5,510,000

6,940,000

4,426,000

927,000

391,000

221,000

1,980,000

1,491,000

229,000

362,000

202,000

560,000

1,819,000

1,133,000

1,736,000

1,388,000

673,000

431,000

226,000

253,000

556,000

173,000

426,000

519,000

158

30,724

9,342

776

40,578

155,821

20,806

795

808

780

262,118

152,577

98,261

274

57

97,136

Excess tax benefits from stock compensation

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

6,000

1,000

0

4,860

27

598

515

4,951

239

338

5,472

2,803

263

237

1,132

539

129

199

96

Common stock repurchases

558,000

34,000

4,000

2,000

35,000

54,000

4,000

4,000

9,000

47,000

3,000

2,000

13,000

34,000

2,000

5,000

22,000

44,000

2,000

3,000

4,000

23,000

1,000

3,000

2,000

13,323

4,572

540

565

10,846

363

282

1,509

6,529

251

627

402

2,510

146

88

480

Purchase of noncontrolling interest

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Payments for debt extinguishment

21,000

-

-

-

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Contribution from noncontrolling interest

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

5,000

2,136

1,944

3,718

202

-32

50

982

0

-

-

-

-

0

-2,547

-8,425

3,585

Debt issuance costs

92,000

-

-

-

0

-

-

-

-

-

-

-

-

17,000

0

8,000

51,000

0

0

0

4,000

1,000

0

6,000

0

413

0

2,926

661

4,000

0

0

0

0

147

2,990

6,105

-

-

-

0

Other financing activities, net

7,000

4,000

3,000

7,000

2,000

11,000

-1,000

1,000

-2,000

3,000

-4,000

3,000

3,000

3,000

6,000

4,000

-13,000

35,000

-16,000

4,000

-3,000

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Payment of contingent consideration obligation

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Net cash provided by financing activities

839,000

6,704,000

-108,000

178,000

58,000

152,000

82,000

3,865,000

513,000

-79,000

-42,000

49,000

-10,000

123,000

102,000

176,000

2,316,000

-62,000

106,000

25,000

236,000

-75,000

74,000

68,000

131,000

144,203

-29,532

39,206

123

124,809

-14,529

56,473

12,247

-2,057

728

32,375

-24,134

16,493

9,448

20,147

26,001

Effect of exchange rate changes on cash, cash equivalents, and restricted cash

-1,000

-6,000

2,000

2,000

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Net increase (decrease)

-2,674,000

5,903,000

-664,000

541,000

1,001,000

-1,504,000

-1,680,000

2,850,000

1,595,000

-198,000

-146,000

-418,000

915,000

876,000

272,000

-726,000

1,676,000

95,000

-302,000

301,000

56,000

27,000

324,000

-12,000

233,000

296,671

52,569

-42,079

-113,161

47,077

374,727

-11,104

-140,700

122,041

-22,793

-17,595

57,879

36,500

132,066

-84,489

-53,663

Supplemental disclosures of cash flow information:
Interest paid

104,000

161,000

81,000

45,000

87,000

110,000

83,000

57,000

73,000

27,000

111,000

27,000

72,000

52,000

77,000

33,000

3,000

27,000

1,000

25,000

2,000

22,000

2,000

14,000

2,000

13,262

1,568

13,760

1,410

9,873

1,815

8,723

1,589

11,286

4,275

10,108

1,714

7,795

2,181

6,975

345

Income taxes paid

3,000

101,000

130,000

375,000

6,000

108,000

145,000

194,000

1,000

138,000

153,000

203,000

2,000

162,000

172,000

189,000

33,000

99,000

84,000

121,000

24,000

70,000

57,000

89,000

21,000

44,079

19,227

19,489

2,205

8,999

1,607

11,880

20,514

448

9,885

30,544

9,567

9,531

16,467

19,668

8,272

Equity issued in connection with acquisitions

11,526,000

0

0

0

0

0

0

183,000

324,000

0

0

0

0

0

0

0

3,105,000

0

-1,000

0

13,000

0

58,000

0

132,000

-425

-13

75,438

0

-

-

-

-

-

-

-

-

-

-

-

-

The following table provides a reconciliation of cash, cash equivalents, and restricted cash and cash equivalents reported within the Consolidated Balance Sheets to the totals above:
Contribution from noncontrolling interest

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

306

Capital expenditures

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

1,477

-

-20,989

35,491

789