Centene Corporation reported unaudited consolidated earnings results for the fourth quarter and year ended December 31, 2016. For the quarter, the company reported total revenues of $11,911 million against $6,302 million a year ago. Earnings from operations were $521 million against $220 million a year ago. Earnings from continuing operations, before income tax expense were $480 million against $217 million a year ago. Earnings from continuing operations, net of income tax expense was $253 million or against $112 million a year ago. Net earnings attributable to the company was $261 million $1.49 per diluted share against $111 million $0.91 per diluted share a year ago. Earnings from continuing operations, net of income tax expense attributable to the company's common shareholders were $255 million or $1.45 per diluted share against $112 million or $0.91 per diluted share a year ago. Adjusted diluted EPS was $1.19. Total cash flow provided by operations was $1,596 million. The increase in total revenues over prior year was primarily a result of the acquisition of Health Net, the impact from expansions and new programs in many of states in 2015 and 2016, and growth in the Health Insurance Marketplace business in 2016. The cash provided by operating activities during the quarter reflects a decrease in premium and related receivables and
an increase in accounts payable and accrued expenses. The fourth quarter 2016 cash provided by operations was increased by approximately $445 million due to the finalization of the opening balance sheet for Health Net. 

For the year, the company reported total revenues of $40,607 million against $22,760 million a year ago. Earnings from operations were $1,260 million against $705 million a year ago. Earnings from continuing operations, before income tax expense were $1,157 million against $697 million a year ago. Earnings from continuing operations, net of income tax expense were $558 million against $358 million a year ago. Net earnings attributable to the company was $562 million or $3.43 per diluted share against $355 million$2.88 per diluted share a year ago. Earnings from continuing operations, net of income tax expense attributable to the company's common shareholders were $559 million or $3.41 per diluted share against $356 million or $2.89 per diluted share a year ago. Net cash provided by operating activities was $1,851 million against $658 million a year ago. Capital expenditures was $306 million against $150 million a year ago. Adjusted diluted EPS was $4.43. Total revenues increased 78% in primarily as a result of the acquisition of Health Net, growth in the Health Insurance Marketplace business, and the impact from expansions, acquisitions or new programs in many states in 2016 and 2015.

For the year 2017, the company expects total revenues in the range of $46.0 million to $46.8 million; GAAP diluted EPS in the range of $3.82 to $4.26, effective tax rate in the range of 39.0% to 41.0% and adjusted diluted EPS in the range of $4.40 to $4.85.