Cash Flow

CENTENE CORPORATION AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In millions, unaudited)

 

 

March 31,

 

2024

 

2023

Cash flows from operating activities:

 

 

 

Net earnings

$           1,158

 

$           1,130

Adjustments to reconcile net earnings to net cash (used in) provided by operating activities

 

 

 

Depreciation and amortization

308

 

325

Stock compensation expense

70

 

61

Impairment

13

 

20

Deferred income taxes

104

 

(159)

(Gain) loss on divestitures, net

(98)

 

(79)

Other adjustments, net

(2)

 

7

Changes in assets and liabilities

 

 

 

Premium and trade receivables

(1,211)

 

(1,938)

Other assets

(474)

 

(315)

Medical claims liabilities

108

 

759

Unearned revenue

(34)

 

1,919

Accounts payable and accrued expenses

(1,411)

 

1,548

Other long-term liabilities

1,013

 

970

Other operating activities, net

 

21

Net cash (used in) provided by operating activities

(456)

 

4,269

Cash flows from investing activities:

 

 

 

Capital expenditures

(151)

 

(225)

Purchases of investments

(1,317)

 

(1,619)

Sales and maturities of investments

1,441

 

1,148

Divestiture proceeds, net of divested cash

879

 

443

Net cash provided by (used in) investing activities

852

 

(253)

Cash flows from financing activities:

 

 

 

Proceeds from long-term debt

350

 

287

Payments and repurchases of long-term debt

(187)

 

Common stock repurchases

(151)

 

(423)

Proceeds from common stock issuances

14

 

12

Purchase of noncontrolling interest

 

(58)

Other financing activities, net

(3)

 

(1)

Net cash provided by (used in) financing activities

23

 

(183)

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

6

 

2

Net increase in cash, cash equivalents and restricted cash and cash equivalents

425

 

3,835

Cash, cash equivalents and restricted cash and cash equivalents, beginning of period

17,452

 

12,330

Cash, cash equivalents and restricted cash and cash equivalents, end of period

$         17,877

 

$         16,165

Supplemental disclosures of cash flow information:

 

 

 

Interest paid

$              155

 

$              144

Income taxes paid

$                13

 

$                11

 

 

 

 

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:

 

March 31,

 

2024

 

2023

Cash and cash equivalents

$         17,585

 

$         15,853

Restricted cash and cash equivalents, included in restricted deposits

292

 

312

Total cash, cash equivalents and restricted cash and cash equivalents

$         17,877

 

$         16,165