10Y annualized return is
positive but below market average
at 4.7% per year
CNC has met or exceeded earnings expectations in
most
recent quarters (9/10)
Low Price-to-Earnings Ratio
Attractive Price-to-Sales Ratio
Decent Return on Equity
Manageable Debt Levels
Strong Interest Coverage
Strong Financial Performance
Successful Operational Improvements
Diverse Revenue Streams
Growth in Medicare and Marketplace Segments
Innovative Initiatives and Strategic Focus
High EV/EBITDA Ratio
Negative Price-to-Free Cash Flow Ratio
Low Net Profit Margin
Weak Operating Profit Margin
Low Liquidity Ratios
Negative Free Cash Flow
Challenges in Cash Flow
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.
CountryUS
ExchangeNYSE
IndustryMedical - Healthcare Plans
SectorHealthcare
Market Cap$31.65B
CEOMs. 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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TRICAREMilitary health
π΅
Medicare AdvantageMedicare plans
π₯
Medicaid Managed CareMedicaid services
π
Correctional HealthcarePrison health services
π
Health Insurance MarketplaceMarketplace plans
Business Type
Business to Government
Competitive Advantages
π
Scalable OperationsThe company's ability to efficiently scale its operations across different states and programs enhances its competitive edge and market reach.
π₯
Diverse Service OfferingsA 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 MarketsCentene'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 RelationshipsCentene's extensive partnerships with government programs like Medicaid and Medicare create a stable revenue base and reduce competition.
π»
Innovative Technology IntegrationUtilizing advanced technology for care coordination and telehealth services improves patient outcomes and operational efficiency, setting Centene apart from competitors.
Key Business Risks
π₯
Market CompetitionIncreased competition from other managed care organizations can lead to loss of market share.
π
Cybersecurity ThreatsData breaches could compromise patient information and result in legal and financial repercussions.
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Regulatory ComplianceFailure to comply with healthcare regulations can lead to fines and loss of contracts.
π
Reimbursement ChangesChanges in reimbursement rates from government programs can impact revenue streams.
π°
Healthcare Cost InflationRising 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
Positive earnings (5+ years)
Dividend history (5+ years)
P/E ratio β€ 20 (9.78)
P/B ratio β€ 1.5 (1.22)
Current ratio β₯ 2.0 (1.11x)
Long-term debt < Net current assets (5.13x)
Margin of safety (76.0%)
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.
Income Statement Flow
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
CNC's return on equity of 12.24% indicates that the company is effectively using its equity to generate profits.
Weaknesses
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
1.0x2.0x
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
Less than 1.0 is concerning, 1.0-2.0 is adequate, greater than 2.0 is good
Q4 2024
Financial Health Analysis
Strengths
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.
Weaknesses
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.
Historical Earnings Results
Meeting Expectations
9/10
Higher values indicate better execution and credibility
Recent Results
2025-04-25
+15.1%
2025-02-04
+81.8%
2024-10-25
+21.8%
2024-07-26
+16.9%
2024-04-26
+8.7%
2024-02-06
+4.7%
2023-10-24
+26.6%
2023-07-28
+3.4%
2023-04-25
+1.0%
2023-02-07
-1.1%
Earnings call from February 4, 2025
EPS
2.52
Estimated
2.90
Actual
+15.08%
Difference
Revenue
$42757901103
Estimated
$46620000000
Actual
+9.03%
Difference
Strengths
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.
Weaknesses
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.
Opportunities
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.
Risks
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.
Insiders are buying significantly more than selling (ratio: 3.89x)
Total Bought
Total value of insider purchases in recent quarters
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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