Centene (CNC) Q3 2025 Earnings
How Did CNC Stock React to Q3 2025 Earnings?
S&P 500 over the same 30 days: −1.04%.
Did CNC Beat Earnings? Q3 2025 Results
Yes. Centene reported Q3 2025 earnings of $0.50 a share on Oct 28, 2025, beating the $-0.16 consensus estimate by 404.3%. Revenue was $49.7B against a $47.8B estimate.
Centene Corporation delivered a decisive adjusted earnings beat in Q3 2025, posting adjusted diluted EPS of $0.50 against a consensus estimate of negative $0.16, a 404.32% positive surprise, even as a $6.72 billion non-cash goodwill impairment charge drove a GAAP loss of $13.50 per share. Revenue climbed 18.2% year-over-year to $49.69 billion, beating the $47.83 billion consensus by 3.88%, with premium and service revenues surging 22% to $44.90 billion on strong Medicare PDP membership growth and Marketplace expansion. The quarter's core story, however, was cost pressure: the health benefits ratio deteriorated to 92.7% from 89.2% a year ago, weighed down by elevated Marketplace medical costs, unfavorable risk adjustment estimates, and rising Medicaid utilization in behavioral and home health services. Partially offsetting that pressure, the SG&A ratio improved to 7.0% from 8.3%, reflecting expense discipline and PDP business leverage. Management raised full-year 2025 adjusted EPS guidance by $0.25 to at least $2.00, signaling cautious confidence in Medicaid margin recovery despite a still-challenging regulatory and medical cost environment.
- Premium and membership growth in PDP business drove significant revenue increase
- Overall market growth in the Marketplace business
- Medicaid rate increases partially offset lower Medicaid membership
- SG&A expense ratio improved to 7.0% from 8.3% due to expense leverage over higher revenues
- Medicaid HBR of 93.4% included ~40 bps benefit from retroactive revenue adjustment from a large state
- Commercial and Medicare segment results in line with expectations
“Our third quarter results and increased full year outlook demonstrate tangible progress against the near-term milestones we laid out for investors in July.”
Centene CEO, on the earnings call
What Was Centene's Outlook in Q3 2025?
Centene updated its full year 2025 GAAP forecast to a diluted loss per share not to exceed $(12.85). The company increased its full year 2025 adjusted diluted EPS forecast to at least $2.00, an increase of $0.25 from the $1.75 forecast discussed on the July earnings call.
CNC YoY Financials
| Metric | Q3 2025 | Q3 2024 | Year over year |
|---|---|---|---|
| Revenue | $49.7B | $42.0B | +18.2% |
CNC Revenue by Segment
Figures from SEC filings and company reports. Not investment advice.