Centene

CNC Q4 2025 Earnings

Reported Feb 5, 2026 at 8:52 PM ET · SEC Source

Q4 25 EPS

$-1.19

BEAT +2.46%

Est. $-1.22

Q4 25 Revenue

$49.73B

BEAT +4.42%

Est. $47.62B

vs S&P Since Q4 25

+45.1%

BEATING MARKET

CNC +49.5% vs S&P +4.3%

Full Year 2025 Results

FY 25 EPS

$2.08

BEAT +2.16%

Est. $2.04

FY 25 Revenue

$194.78B

BEAT +1.09%

Est. $192.67B

Market Reaction

Did CNC Beat Earnings? Q4 2025 Results

Centene Corporation posted a narrower-than-feared loss in Q4 2025, with adjusted diluted EPS of $-1.19 beating the consensus estimate of $-1.22 by 2.46%, while revenue of $49.73 billion topped expectations of $47.62 billion by 4.42% and grew 21.9% ye… Read more Centene Corporation posted a narrower-than-feared loss in Q4 2025, with adjusted diluted EPS of $-1.19 beating the consensus estimate of $-1.22 by 2.46%, while revenue of $49.73 billion topped expectations of $47.62 billion by 4.42% and grew 21.9% year over year. The headline story, however, remained the weight of non-cash impairment charges, including a $513 million Magellan Health write-down tied to a December divestiture agreement, which contributed to a GAAP diluted loss of $-2.24 per share for the quarter. Beneath those charges, the underlying business showed signs of stabilization; Medicaid's health benefits ratio improved 40 basis points sequentially, and SG&A discipline was evident with the adjusted ratio tightening to 7.5% from 8.9% a year earlier. Deutsche Bank raised its price target on the stock following the results, though it maintained a Hold rating, reflecting cautious optimism about the recovery trajectory. Looking ahead, Centene guided for 2026 total revenues of $186.50 billion to $190.50 billion and adjusted diluted EPS greater than $3.00, implying over 40% earnings growth as management targets meaningful margin recovery.

Key Takeaways

  • Premium yield and membership growth in PDP business
  • Overall market growth in Marketplace business
  • Rate increases and state-directed payments in Medicaid business
  • Strong SG&A management with adjusted SG&A expense ratio of 7.4% for full year
  • Medicaid HBR improved 40 basis points sequentially in Q4
  • Commercial HBR of 95.4% was 100 basis points higher than expectations driven by net out-of-period items
24/7 Wall St

CNC YoY Financials

Q4 2025 vs Q4 2024, source: SEC Filings

24/7 Wall St

CNC Revenue by Segment

With YoY comparisons, source: SEC Filings

Q1 25 Q1 26

“We are pleased to end a challenging year carrying positive momentum from the extensive and decisive actions taken in the back half of 2025 with the goal of restoring Marketplace profitability and stabilizing the trajectory of our Medicaid business.”

— Sarah M. London, Q4 2025 Earnings Press Release