Centene is a managed health care company that arranges and pays for medical coverage for people enrolled in government-sponsored programmes. Its main focus is Medicaid, and it also covers people through Medicare plans and the individual health insurance marketplace, where plans are offered under the Ambetter name. Members receive care through networks of doctors and hospitals that the company contracts with, and the company manages their claims and care coordination.
Revenue comes mainly from premiums paid by state and federal governments and by individuals, out of which the company pays its members' medical costs. In the last twelve months it totalled $202.9 billion, growing at 10.5% a year across the last three years. The operating margin is -2.8%, which means the business made an operating loss, and the return on the capital invested in it is -38%. No dividend is paid. On the site's X-Ray Score it receives 46 out of 100.
Written with AI from public information and the filing figures on this page, then checked automatically for unsupported numbers. It can contain mistakes: read the company's own filings below before relying on it.
52-wk range $31.63 – $71.21Volume 3,336,600Daily, split-adjusted
Vitals
Market cap$34.4B
52-week range$31.63 – $71.21
Volume (last day)3,336,600
P/E (TTM)–
EBIT / EV yield-24.0%
Free-cash-flow yield26.0%
Dividend yieldNo dividend
Revenue (TTM)$202.9B
Net income (TTM)−$5.1B
Operating margin-2.8%
Return on capital-38.4%
Debt incl. leases$16.1B
Cash & securities$27.1B
Debt = borrowings plus lease liabilities. Cash & securities = cash, equivalents and short-term marketable securities (long-term securities are not counted, so net cash can be understated for companies like Apple). Net debt = debt minus cash & securities. Source: latest SEC 10-Q/10-K. EBIT / EV yield = operating profit divided by market cap plus net debt.
Fair value estimate
$393
Data under review+0.0% to fair value
Equal blend of three models: peer multiples, a fundamentals-adjusted multiple (growth, ROIC and margin) and a 10-year DCF scaled to the market's average. Earnings-power value (no growth) is a floor and not part of the blend. Model uncertainty is Medium, so the safety margin is 30%.
A model estimate, not a price target or recommendation. Inputs: risk-free 5.09%, equity risk premium 4.23% (Damodaran). How it works.
What this means
Read the lenses below
The price sits inside our fair-value band. A high score does not guarantee a good outcome; it shifts the odds a little. Use the checklist as a prompt for your own research.
Before you invest · decision checklist
Ticked boxes are filled in from our data; the rest are yours to answer.
The five-lens scan
Every score explained in one sentence, ranked against Health Care peers. Open a lens to see the numbers behind it.
ValuationStrong
73/100
Cheap against its sector on earnings and cash flow.
See the numbers →
EBIT / EV yield-24.0%
Free-cash-flow yield26.0%
Fair value vs price5.7×
GrowthFair
65/100
Growing at a typical pace for its sector.
See the numbers →
Revenue growth (3y)10.5%
Growth consistency100%
ProfitabilityWeak
32/100
Earns lower returns on its capital than most peers.
See the numbers →
Return on invested capital-38.4%
Operating margin-2.8%
Gross profitability19.5%
Financial healthWeak
10/100
Balance sheet is more stretched than most peers.
See the numbers →
Piotroski F-Score4 / 9
Interest cover-8.6×
DividendsNone
–/100
Pays no dividend.
See the numbers →
Quarterly results: last 6 quarters
+15.4%Mar '25
+22.4%Jun '25
+18.2%Sep '25
+21.9%Dec '25
+7.1%Mar '26
+9.9%Jun '26
Revenue against the same quarter a year earlier. Latest quarter revenue $53.6B, diluted EPS $2.19.
Other Managed Health Care companies by X-Ray Score.
Fundamentals checklist
● 5 Good · ● 0 Average · ● 9 Bad
Cash quality
Earnings backed by cashGood
Free-cash-flow yieldGood
Risk models
Altman Z''Bad
Piotroski F-ScoreBad
Growth
Free-cash-flow growth (3y)Bad
Revenue growth (3y)Good
Growth consistencyGood
Balance sheet
Current ratioBad
Interest coverBad
Valuation
Fair value vs priceGood
EBIT / EV yieldBad
Profitability
Return on invested capitalBad
Operating marginBad
Gross profitabilityBad
Each check is graded against the company's sector, not a fixed number. Checklist score 42/100.
Financials
FY21
FY22
FY23
FY24
FY25
Revenue
$126.0B
$144.5B
$154.0B
$163.1B
$194.8B
Operating income
$1.8B
$1.3B
$2.9B
$3.2B
−$7.6B
Net income
$1.3B
$1.2B
$2.7B
$3.3B
−$6.7B
Operating cash flow
$4.2B
$6.3B
$8.1B
$154M
$5.1B
Operating margin
1.4%
0.9%
1.9%
1.9%
-3.9%
Free cash flow
$3.3B
$5.3B
$7.3B
−$490M
$4.3B
Diluted EPS
$2.28
$2.07
$4.95
$6.31
$-13.53
Fiscal years, from SEC filings.
Technical summary
Daily
Strongly bullish
12 bullish · 1 neutral · 3 bearish
Weekly
Strongly bullish
11 bullish · 1 neutral · 0 bearish
Monthly
Strongly bullish
7 bullish · 1 neutral · 0 bearish
Moving averages (daily)
SMA 10
66.95
Bullish
EMA 10
67.42
Bullish
SMA 20
64.72
Bullish
EMA 20
66.16
Bullish
SMA 50
65.39
Bullish
EMA 50
65.11
Bullish
SMA 100
64.77
Bullish
EMA 100
62.39
Bullish
SMA 200
54.15
Bullish
EMA 200
57.17
Bullish
Oscillators (daily)
RSI (14)
62.45
Neutral
MACD (12, 26)
1.19
Bullish
Momentum (12)
11.33
Bullish
Stochastic %K (14)
82.55
Bearish
Williams %R (14)
-17.45
Bearish
CCI (20)
147.1
Bearish
Pivot points (classic, last session)
S3
66.19
S2
67.61
S1
68.38
Pivot
69.80
R1
70.57
R2
71.99
R3
72.76
Signals describe what the chart is doing, not what to do. Moving averages: price above the average is bullish. Oscillators use the usual thresholds (RSI 30/70, Stochastic 20/80, CCI ±100, Williams %R −80/−20; MACD and momentum above zero are bullish). Weekly and monthly views use closing prices only.