Centene Corp (CNC) stock analysis
Close on Nov 11, 2026Market cap $34.89BP/E 24.1Yield –
StockData Score
Prices as of Nov 11, 2026How the score works
Weak8 of 30 checks passed
Centene passes 8 of the 30 checks behind our score; 9 could not be run for lack of data and count as not passed. Each dot in the shape is one check — hover it for the numbers.
- Valuation
- 2/6
- Growth
- 2/6
- Past performance
- 2/6
- Financial health
- 2/6
- Dividend
- 0/6
What stands out
Revenue growing 10%+ a year
Revenue grew 10.5% a year over the last three fiscal years.
Debt covered by cash flow
Operating cash flow over the last twelve months equals 30.4% of total debt.
P/S below the industry
Centene's price-to-sales of 0.17 is below the Accident and Health Insurance and Medical median of 0.80.
P/B below the industry
Centene's price-to-book of 1.57 is below the Accident and Health Insurance and Medical median of 2.31.
What to watch
Margin of safety under 20%
The price is 1.1% above fair value, so there is no margin of safety.
Trading above fair value
The share price of $70.48 is above our fair value estimate of $69.68.
Return on equity under 15%
Return on equity was 6.8% over the last twelve months and averaged 0.9% over five years; we look for 15% on both.
High debt
Debt is 70.0% of shareholders' equity, above the 40% we consider low.
Valuation2/6
P/E above its 5-year median
Centene's P/E of 24.1 is above its own 5-year median of 16.3.
P/E above the industry
Centene's P/E of 24.1 is above the Accident and Health Insurance and Medical median of 21.3.
P/S below the industry
Centene's price-to-sales of 0.17 is below the Accident and Health Insurance and Medical median of 0.80.
P/B below the industry
Centene's price-to-book of 1.57 is below the Accident and Health Insurance and Medical median of 2.31.
Trading above fair value
The share price of $70.48 is above our fair value estimate of $69.68.
Margin of safety under 20%
The price is 1.1% above fair value, so there is no margin of safety.
Growth2/6
Revenue growing 10%+ a year
Revenue grew 10.5% a year over the last three fiscal years.
EPS growth over 3 years
Needs positive EPS three years ago and today.
Earnings acceleration
Needs positive net income now, a year ago and five years ago.
Growing faster than the industry
Revenue grew 9.7% over the last twelve months; the Accident and Health Insurance and Medical median is 6.8%.
Guidance lowered
Centene lowered its Full Year 2026 Premium and service revenues outlook on Jul 28, 2026.
Gross margin slipping
Gross margin was 7.9% over the last twelve months, against 8.3% a year earlier.
Past performance2/6
Return on equity under 15%
Return on equity was 6.8% over the last twelve months and averaged 0.9% over five years; we look for 15% on both.
Return on assets over 1%
Return on assets was 1.8%; for a bank or insurer, 1% or more is considered good.
Return on equity below the industry
Centene's return on equity of 6.8% is below the Accident and Health Insurance and Medical median of 11.9%.
Earnings over 5 years
Needs positive net income five years ago and in the latest year.
Net margin above its 5-year average
Net margin was 0.7% over the last twelve months, against a 5-year average of 0.5%.
Net margin below the industry
Centene's net margin of 0.7% is below the Accident and Health Insurance and Medical median of 2.0%.
Financial health2/6
High debt
Debt is 70.0% of shareholders' equity, above the 40% we consider low.
Debt rising against equity
Debt to equity rose from 65.1% five years ago to 70.0%.
Debt covered by cash flow
Operating cash flow over the last twelve months equals 30.4% of total debt.
Interest not well covered
Operating income covers interest expense 1.6 times; we look for at least 5.
Short-term assets cover short-term debts
Current assets are 1.16 times current liabilities.
Bankruptcy risk (Altman Z)
The Altman model does not apply to insurers.
Dividend0/6
No dividend
Centene has not paid a dividend in the last twelve months.
Yield against Treasuries
No dividend.
Yield against the market
No dividend.
Dividend stability
No dividend.
Earnings cover
No dividend.
Cash-flow cover
No dividend.
Fair value
How we estimate itOur estimate per share
$69.68
The share price is 1% above this estimate.
| Method | Multiple used | Own 5Y median | Industry median | Value per share | Weight |
|---|---|---|---|---|---|
| P/E | 18.8× | 16.3× | 21.3× | $54.91 | 50% |
| P/B | 1.9× | 1.5× | 2.3× | $84.45 | 50% |
| Fair value | $69.68 | 100% | |||
Valuation over time
Using the earnings and balance sheet published at each date, not today's.
- P/E at month end
- Own 5-year median 16.3
- Accident and Health Insurance and Medical median 21.3
An estimate from reported numbers and market multiples, not a price target or investment advice. It can be far off for companies whose profits are about to change sharply.
Market risk
From the past year of daily prices.
Liquidity
Low risk
- Average value traded per day
- $366.51M
- Value traded per 1% price move
- $179.74M
Downside
Medium risk
- Typical loss in a bad month
- 23.4%
- Volatility (annualized)
- 46%
- Sharpe ratio, 1 year
- 2.19
- Beta to the S&P 500 (5Y)
- 0.50
Typical bad-month loss, week by week
Margins
Share of revenue, fiscal years 2011 to 2025
Gross margin
Operating margin
Net margin
Growth rates
Compound annual growth to fiscal 2025
| Per year | 1 year | 3 years | 5 years | 10 years | Five-year pace |
|---|---|---|---|---|---|
| Revenue | +19.4% | +10.5% | +11.9% | +23.9% | |
| Gross profit | -16.8% | -5.7% | -33.3% | -3.9% | |
| Free cash flow | – | -6.3% | -1.4% | +23.9% |
Returns and balance sheet
10 fiscal years. Hover a measure to see how it is calculated.
| Measure | FY2016 | FY2020 | FY2025 | Trend |
|---|---|---|---|---|
| Return on equity | 14.0% | 9.4% | -28.8% | |
| Return on assets | 4.1% | 3.3% | -8.4% | |
| Current ratio | 0.97 | 1.08 | 1.10 | |
| Debt to equity | 0.79 | 0.65 | 0.87 | |
| Net debt to EBITDA | 0.47× | 1.34× | 0.08× | |
| Interest coverage | 5.8× | 4.2× | -11.2× | |
| Capex to revenue | 0.8% | 0.8% | 0.4% | |
| Diluted shares | 328M | 579M | 493M |
Where the cash went
Fiscal 2021 to 2025, five years combined
Centene generated $23.76B from operations and spent $12.75B on capital expenditure, dividends and share buybacks. 32% of that went back into the business.
DuPont analysis
Return on equity split into margin, efficiency and leverage
| Fiscal year | Net margin | Asset turnover | Equity multiplier | Return on equity |
|---|---|---|---|---|
| FY2025 | -3.4% | 2.45× | 3.43× | -28.8% |
| FY2024 | 2.0% | 1.95× | 3.20× | 12.7% |
| FY2023 | 1.8% | 1.91× | 3.24× | 10.8% |
| FY2022 | 0.8% | 1.86× | 3.05× | 4.7% |
| FY2021 | 1.1% | 1.71× | 2.80× | 5.1% |
| FY2020 | 1.6% | 2.03× | 2.86× | 9.4% |
| FY2019 | 1.8% | 2.08× | 3.06× | 11.3% |
| FY2018 | 1.5% | 2.28× | 2.97× | 10.1% |
| FY2017 | 1.7% | 2.30× | 3.30× | 13.0% |
| FY2016 | 1.4% | 2.95× | 3.42× | 14.0% |
Piotroski F-Score
Nine tests of profitability, balance sheet and efficiency, fiscal 2025 against fiscal 2024
- ProfitableNet income above zero-$6.67B
- Cash generatingOperating cash flow above zero$5.09B
- Return on assets improvedROA up on the prior year3.9% → -8.1%
- Earnings backed by cashOperating cash flow above net income$5.09B vs -$6.67B
- Less leverageLong-term debt to assets fell22.3% → 22.6%
- Better liquidityCurrent ratio rose1.11 → 1.10
- No dilutionShare count did not rise524M → 493M
- Gross margin improvedGross margin up on the prior year10.47% → 7.30%
- More efficientAsset turnover rose1.93 → 2.36
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