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CNC
Centene Corporation
Summary
Business
Earnings Call
Valuation
Profitability
Financial Health
Intel
Yearly Return 10Y annualized return is positive but below market average at 4.7% per year
Earnings Expectations CNC has met or exceeded earnings expectations in most recent quarters (9/10)
Positive Low Price-to-Earnings Ratio
Positive Attractive Price-to-Sales Ratio
Positive Decent Return on Equity
Positive Manageable Debt Levels
Positive Strong Interest Coverage
Positive Strong Financial Performance
Positive Successful Operational Improvements
Positive Diverse Revenue Streams
Positive Growth in Medicare and Marketplace Segments
Positive Innovative Initiatives and Strategic Focus
Negative High EV/EBITDA Ratio
Negative Negative Price-to-Free Cash Flow Ratio
Negative Low Net Profit Margin
Negative Weak Operating Profit Margin
Negative Low Liquidity Ratios
Negative Negative Free Cash Flow
Negative Challenges in Cash Flow
Negative Potential Risks in Exchange Membership

Overall, Centene Corporation shows strong business quality with solid financial metrics, operational improvements, and diverse revenue streams, while facing challenges in cash flow. Future prospects are promising, driven by growth in Medicare and innovative initiatives, although risks in exchange membership could pose challenges ahead.

Analysis Date: February 4, 2025
Last Updated: March 11, 2025

+58%
+4.7% per year

Past performance does not guarantee future results. The data presented is indicative and may not be updated in real-time.

Country US
Exchange NYSE
Industry Medical - Healthcare Plans
Sector Healthcare
Market Cap $31.65B
CEO Ms. Sarah M. London

Centene Corporation is a healthcare company that helps people who may not have enough insurance or any insurance at all. They provide health plans that cover a wide range of services, like doctor visits, hospital care, emergency care, and even mental health support. Centene works with government programs to make sure people get the medical care they need, including support for families and vulnerable groups. They also offer services to businesses and other organizations to help manage healthcare for their employees.

Streams of revenue

Managed Care: 98%
Specialty Services: 2%

Geographic Distribution

United States: 97%
International: 4%

Estimations for reference only

Core Products

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TRICARE Military health
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Medicare Advantage Medicare plans
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Medicaid Managed Care Medicaid services
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Correctional Healthcare Prison health services
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Health Insurance Marketplace Marketplace plans

Business Type

B2Government Business to Government

Competitive Advantages

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Scalable Operations The company's ability to efficiently scale its operations across different states and programs enhances its competitive edge and market reach.
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Diverse Service Offerings A comprehensive range of healthcare services, from primary care to specialty services, allows Centene to meet varied client needs and improve patient retention.
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Focus on Underserved Markets Centene's commitment to serving under-insured and uninsured individuals differentiates it in the healthcare space, fostering loyalty and community trust.
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Strong Government Relationships Centene's extensive partnerships with government programs like Medicaid and Medicare create a stable revenue base and reduce competition.
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Innovative Technology Integration Utilizing advanced technology for care coordination and telehealth services improves patient outcomes and operational efficiency, setting Centene apart from competitors.

Key Business Risks

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Market Competition Increased competition from other managed care organizations can lead to loss of market share.
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Cybersecurity Threats Data breaches could compromise patient information and result in legal and financial repercussions.
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Regulatory Compliance Failure to comply with healthcare regulations can lead to fines and loss of contracts.
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Reimbursement Changes Changes in reimbursement rates from government programs can impact revenue streams.
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Healthcare Cost Inflation Rising healthcare costs may reduce margins and affect profitability.

Trailing Twelve Months (TTM) values provide a view of the company's performance over the last year.

Graham Value Metrics

Benjamin Graham's value investing approach focuses on finding stocks with a significant margin of safety between their intrinsic value and market price.

Intrinsic Value

Estimated fair value based on Graham's formula

$243.86

Current Market Price: $58.88

IV/P Ratio: 4.14x (>1.0 indicates undervalued)

Margin of Safety

Gap between intrinsic value and market price

76.0%

Graham recommended a minimum of 20-30% margin of safety

Higher values indicate a greater potential discount to fair value

Graham Criteria Checklist

Benjamin Graham's value investing checklist for CNC

Yes Positive earnings (5+ years)
No Dividend history (5+ years)
Yes P/E ratio ≀ 20 (9.78)
Yes P/B ratio ≀ 1.5 (1.22)
No Current ratio β‰₯ 2.0 (1.11x)
No Long-term debt < Net current assets (5.13x)
Yes Margin of safety (76.0%)
No CNC does not meet all Graham criteria

ROE: 12.673419951552523

ROA: None

Gross Profit Margin: 13.13354305793182

Net Profit Margin: 2.026724555561688

Trailing Twelve Months (TTM) values provide a view of the company's performance over the last year.

Scroll horizontally to see more

About Profitability Metrics

Profitability metrics measure a company's ability to generate earnings relative to its revenue, operating costs, and other relevant metrics. Higher values generally indicate better performance.

Return on Equity (ROE)

Measures how efficiently a company uses its equity to generate profits

12.67%

10% 15%

Higher values indicate better returns for shareholders

TTM (as of 2025-04-30)

Gross Profit Margin

Percentage of revenue retained after accounting for cost of goods sold

13.13%

20% 40%

Higher values indicate better efficiency in production

TTM (as of 2025-04-30)

Net Profit Margin

Percentage of revenue retained after accounting for all expenses

2.03%

8% 15%

Higher values indicate better overall profitability

TTM (as of 2025-04-30)

Decent Return on Equity

12.24
Return on Equity

CNC's return on equity of 12.24% indicates that the company is effectively using its equity to generate profits.

Low Net Profit Margin

2.03
Net Profit Margin

The net profit margin of 2.03% suggests that CNC is only retaining a small portion of its revenue as profit, which may limit its ability to reinvest and grow.

Weak Operating Profit Margin

1.95
Operating Profit Margin

The operating profit margin of 1.95% is low, indicating challenges in managing operational costs effectively.

About Financial Health Metrics

Financial health metrics assess a company's ability to meet its financial obligations and its overall financial stability.

Debt to Equity Ratio

Total debt divided by total equity

0.74x

1.0x 2.0x

Lower values indicate less financial leverage and risk

Less than 1.0 is conservative, 1.0-2.0 is moderate, >2.0 indicates high risk

Q4 2024

Current Ratio

Current assets divided by current liabilities

1.11x

1.0x 2.0x

Higher values indicate better short-term liquidity

Less than 1.0 is concerning, 1.0-2.0 is adequate, greater than 2.0 is good

Q4 2024

Manageable Debt Levels

0.74
Debt-to-Equity Ratio

With a debt-to-equity ratio of 0.74, CNC maintains a reasonable level of debt compared to its equity, indicating a balanced capital structure.

Strong Interest Coverage

4.52
Interest Coverage Ratio

An interest coverage ratio of 4.52 shows that CNC can comfortably meet its interest obligations, indicating financial stability.

Low Liquidity Ratios

1.11
Current Ratio
1.11
Quick Ratio

The current ratio of 1.11 and quick ratio of 1.11 are relatively low, suggesting that CNC may have just enough liquidity to cover short-term liabilities but not much more.

Negative Free Cash Flow

-0.98
Free Cash Flow per Share

The negative free cash flow per share of -0.98 indicates that CNC is currently spending more cash than it generates, which could be a risk to its financial health.

Meeting Expectations

9 /10

Higher values indicate better execution and credibility

Recent Results

Beat earnings
2025-04-25 +15.1%
Beat earnings
2025-02-04 +81.8%
Beat earnings
2024-10-25 +21.8%
Beat earnings
2024-07-26 +16.9%
Beat earnings
2024-04-26 +8.7%
Beat earnings
2024-02-06 +4.7%
Beat earnings
2023-10-24 +26.6%
Beat earnings
2023-07-28 +3.4%
Beat earnings
2023-04-25 +1.0%
Missed earnings
2023-02-07 -1.1%

EPS

2.52
Estimated
2.90
Actual
+15.08%
Difference

Revenue

$42757901103
Estimated
$46620000000
Actual
+9.03%
Difference

Strong Financial Performance

$0.80
Q4 Adjusted Diluted EPS
$7.17
Full Year Adjusted Diluted EPS

Centene reported a fourth quarter adjusted diluted EPS of $0.80 and a full year adjusted diluted EPS of $7.17, demonstrating solid earnings power. The company exceeded previous guidance and has shown durability in earnings.

Successful Operational Improvements

93.4%
Medicaid HBR
Mid-4%
1/1/25 Composite Rate Adjustment

The company has made significant operational improvements, especially in Medicaid where membership is stabilizing post-redetermination era. Strong dialogues with state partners have helped secure favorable rate adjustments, enhancing margins.

Diverse Revenue Streams

13 million
Medicaid Membership
$4 billion
Projected 2025 Revenue Increase

Centene operates across multiple segments (Medicaid, Medicare, and Marketplace), providing resilience and growth opportunities. The company is also focusing on innovative care programs that address specific member needs.

Challenges in Cash Flow

$154 million
Operating Cash Flow (2024)

Operating cash flow was weak in 2024 due to timing issues with pharmacy rebates and risk adjustments, which could impact liquidity and operational flexibility in the near term.

Growth in Medicare and Marketplace Segments

Low-to-mid 900,000
Medicare Enrollment Projection
1%
Target Margin for PDP Business (2025)

The company anticipates strong growth in its Medicare segment, with enrollment expected to reach nearly 900,000 and a focus on improving Medicare Advantage margins by 2027.

Innovative Initiatives and Strategic Focus

New leadership appointed
ICHRA Focus

Centene is leveraging AI and data analytics to improve healthcare delivery and operational efficiency. The focus on Individual Coverage Health Reimbursement Arrangements (ICHRA) reflects a forward-thinking approach to market trends.

Potential Risks in Exchange Membership

20-30%
Projected Membership Hit

Future membership in the ACA exchanges may be challenged by program integrity changes and potential loss of enhanced APTCs, which could lead to a 20-30% membership hit if not mitigated effectively.

Insider trading data shows purchase and sale activities by company executives and board members.

Insider Sentiment Analysis

Insider trading patterns can provide insights into how company executives and board members view the stock's future prospects.

Positive Insiders are buying significantly more than selling (ratio: 3.89x)

Total Bought

Total value of insider purchases in recent quarters

$694686

Higher values indicate stronger insider confidence

Total Sold

Total value of insider sales in recent quarters

$178769

Lower values relative to buying indicate possible undervaluation

Active Insiders

Number of insiders trading in recent quarters

1

Limited insider activity

Recent Trend

Change in insider trading pattern

CNC: No trend data available

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