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
CNC YoY Financials
Q4 2025 vs Q4 2024, source: SEC Filings
CNC Revenue by Segment
With YoY comparisons, source: SEC Filings
“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
CNC Earnings Trends
CNC vs Market 30 Day Price Reactions
30-day stock return vs benchmark after each earnings
CNC EPS Trend
Earnings per share: estimate vs actual
CNC Revenue Trend
Quarterly revenue: estimate vs actual
CNC Quarterly Results
5 quarters of earnings data
| Quarter | EPS Est. | EPS Act. | Surprise | Revenue | Rev. Surprise |
|---|---|---|---|---|---|
| Q1 26 | — | $3.37 | — | $49.94B | +5.03% |
| Q4 25 BEAT FY | $-1.22 | $-1.19 | +2.46% | $49.73B | +4.42% |
| FY Full Year | $2.04 | $2.08 | +2.16% | $194.78B | +1.09% |
| Q3 25 BEAT | $-0.16 | $0.50 | +404.32% | $49.69B | +3.88% |
| Q2 25 MISS | $0.23 | $-0.16 | -170.52% | $48.74B | +10.28% |
| Q1 25 BEAT | $2.52 | $2.90 | +15.27% | $46.62B | +7.80% |