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Companies $CNC
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Centene Corp

centene.com

What Do They Do?

Provides health insurance through Medicaid, Medicare and commercial plans for low-income families and individuals, Medicare beneficiaries, and people buying coverage for themselves or through employers.

How Do They Make Money?

State Medicaid programs and CMS, as well as members, pay fixed monthly premiums for coverage; Centene receives these while it provides health coverage. Marketplace plans also bring in subsidies from CMS, while specialty businesses earn money from services when delivered, shipped products, or services covered over a period.

revenue
SegmentShareRevenue
Premium
Recurring

98%
FY2022: 94%
Service
1.7%
FY2022: 6.2%

Who Are Their Customers?

State Medicaid programs and CMS contract for health plans; people enroll in Marketplace and Medicare plans, while individuals and employer groups buy commercial coverage.

Do Revenues Turn Into Profits?

Not on paper. It lost $6.7B in FY2025, but brought in more cash than it spent: $4.3B of free cash flow.

Operating income, FY2025
−4% of revenue
▼ Now a loss vs FY2024 ($3.2B, 2%)
Net income, FY2025
−3% of revenue
▼ Now a loss vs FY2024 ($3.3B, 2%)
Free cash flow, FY2025
2% of revenue
▲ Now profitable vs FY2024 (−$490M, 0%)

How Are They Changing?

Since the FY2025 annual report
Latest quarter: Q2 FY2026, the three months to Jun 30, 2026
Revenue
▲ +10%
vs $48.7B in Q2 FY2025
Net income
▲ Now profitable
vs −$253M in Q2 FY2025
Premium share of premium and service revenues vs 98.3% in Q2 FY2025
  • Aug 17, 2026 Centene named a successor in a planned CFO transition Andrew Asher intends to retire as CFO effective December 31, 2026; Christopher Neczypor is expected to become CFO January 1, 2027.
  • Jul 28, 2026 Centene raised its 2026 earnings guidance The release raised full-year GAAP diluted EPS guidance above $3.11 and adjusted diluted EPS guidance above $4.80.

Growing. Revenue grew 55% in 4 years, from $126B in FY2021 to $194.8B in FY2025, about 12% a year.

Dual-eligible plan integration The older report included Medicare-Medicaid Plans in serving dual-eligible members; the latest says those plans ended as the company transitioned to D-SNP-based integration.

Revenue over time
Premium Service
$200B$100B$0

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