Quarterly report pursuant to Section 13 or 15(d)

Consolidated Statements Of Cash Flows

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Consolidated Statements Of Cash Flows (USD $)
In Thousands
9 Months Ended
Sep. 30, 2011
Sep. 30, 2010
Cash flows from operating activities:    
Net earnings $ 79,099 $ 71,952
Adjustments to reconcile net earnings to net cash provided by operating activities    
Depreciation and amortization 43,055 38,620
Stock compensation expense 13,263 10,224
Gain on sale of investments, net (213) (6,331)
Debt extinguishment costs 8,488  
Gain on sale of UHP   (8,201)
Impairment of investment   5,531
Deferred income taxes (223) 7,012
Changes in assets and liabilities    
Premium and related receivables (13,306) (68,125)
Other current assets (6,667) (2,932)
Other assets (1,230) (990)
Medical claims liabilities 40,476 (29,304)
Unearned revenue (65,183) (38,708)
Accounts payable and accrued expenses (11,414) (3,174)
Other operating activities 3,528 (1,267)
Net cash provided by (used in) operating activities 89,673 (25,693)
Cash flows from investing activities:    
Capital expenditures (52,931) (50,353)
Capital expenditures of Centene Center LLC (4,007) (41,607)
Purchases of investments (201,145) (382,730)
Proceeds from asset sales   13,420
Sales and maturities of investments 180,124 452,128
Investments in acquisitions, net of cash acquired (3,192) (26,847)
Net cash used in investing activities (81,151) (35,989)
Cash flows from financing activities:    
Proceeds from exercise of stock options 13,582 2,394
Proceeds from borrowings 419,183 53,812
Proceeds from stock offering   104,534
Payment of long-term debt (415,475) (97,467)
Contributions from (distributions to) noncontrolling interest 569 (7,387)
Excess tax benefits from stock compensation 1,632 424
Common stock repurchases (1,280) (714)
Debt issue costs (9,242)  
Net cash provided by financing activities 8,969 55,596
Net increase (decrease) in cash and cash equivalents 17,491 (6,086)
Cash and cash equivalents, beginning of period 434,166 403,752
Cash and cash equivalents, end of period 451,657 397,666
Supplemental disclosures of cash flow information:    
Interest paid 16,097 9,501
Income taxes paid 49,996 44,407
Supplemental disclosure of non-cash investing and financing activities:    
Contribution from noncontrolling interest   306
Capital expenditures $ (4,833) $ 15,291