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Centene (CNC)
NYSE:CNC

Centene (CNC) AI Stock Analysis

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Centene

(NYSE:CNC)

77Outperform
Centene shows solid financial performance with strong revenue growth and operational efficiency. The technical analysis and valuation reflect a stable and attractively priced stock. The recent earnings call highlights both growth potential and challenges, while the corporate event adds a positive strategic dimension. Overall, these factors contribute to a favorable outlook for Centene.
Positive Factors
Earnings Performance
CNC reported adjusted EPS of $2.90, above WFS and consensus expectations.
Medicaid Rate Updates
Medicaid rate updates are on track for more than 4% increases, which are expected to help margins return to pre-pandemic levels over time.
Revenue Growth
Centene has raised its guidance for premium and service revenue by $10 billion, indicating increased business activity.
Negative Factors
Enrollment Risk
There is a risk from the March proposal which could reduce enrollment by 3-9%.
Medical Loss Ratio
The stock sold off on the worse MLR outlook for the year.
Medicare PDP Concerns
The price target for Centene has been lowered from $80 to $73 due to concerns over Medicare PDP utilization and other factors.

Centene (CNC) vs. S&P 500 (SPY)

Centene Business Overview & Revenue Model

Company DescriptionCentene Corporation operates as a multi-national healthcare enterprise that provides programs and services to under-insured and uninsured individuals in the United States. Its Managed Care segment offers health plan coverage to individuals through government subsidized programs, including Medicaid, the State children's health insurance program, long-term services and support, foster care, and medicare-medicaid plans, which cover dually eligible individuals, as well as aged, blind, or disabled programs. Its health plans include primary and specialty physician care, inpatient and outpatient hospital care, emergency and urgent care, prenatal care, laboratory and X-ray, home-based primary care, transportation assistance, vision care, dental care, telehealth, immunization, specialty pharmacy, therapy, social work, nurse advisory, and care coordination services, as well as prescriptions and limited over-the-counter drugs, medical equipment, and behavioral health and abuse services. This segment also offers various individual, small group, and large group commercial healthcare products to employers and directly to members. The company's Specialty Services segment provides pharmacy benefits management services; nurse advice line and after-hours support services; vision and dental services, as well as staffing services to correctional systems and other government agencies; and services to Military Health System eligible beneficiaries. This segment offers its services and products to state programs, correctional facilities, healthcare organizations, employer groups, and other commercial organizations. The company provides its services through primary and specialty care physicians, hospitals, and ancillary providers. Centene Corporation was founded in 1984 and is headquartered in St. Louis, Missouri.
How the Company Makes MoneyCentene Corporation generates revenue primarily through the premiums it receives from providing health insurance plans to its members. These premiums are paid by government programs like Medicaid and Medicare, as well as individuals purchasing plans on the Health Insurance Marketplace. The company also earns money through contracts for managing healthcare services, which involve coordinating care, managing costs, and ensuring quality for its members. Additionally, Centene benefits from partnerships with various healthcare providers and networks that help streamline services and reduce costs. The company's diversified portfolio of health solutions and its strategic acquisitions have been significant factors in its financial growth and earnings.

Centene Financial Statement Overview

Summary
Centene exhibits strong revenue growth and operational efficiency, supported by stable profit margins. The balance sheet shows moderate leverage and robust equity utilization, though there's potential to optimize cash flow generation. Overall, Centene is well-positioned in the Medical - Healthcare Plans industry with its solid financial performance.
Income Statement
85
Very Positive
Centene's income statement shows robust revenue growth with a 10.53% increase from 2023 to TTM (Trailing-Twelve-Months). The gross profit margin stands at 15.47%, while the net profit margin is 2.04%. Although the EBIT margin is 2.13%, it is complemented by a healthy EBITDA margin of 3.41%, indicating strong operational efficiency. Overall, the company demonstrates solid revenue growth and stable profitability.
Balance Sheet
78
Positive
The balance sheet reflects a solid equity base with a debt-to-equity ratio of 0.66, indicating moderate leverage. The return on equity (ROE) is 12.37%, showcasing effective utilization of equity. The equity ratio is 32.06%, highlighting a strong capital structure. While the company's leverage is manageable, there is room for improvement in equity utilization.
Cash Flow
72
Positive
Operating cash flow to net income ratio is 0.61, suggesting moderate cash generation relative to net income. The free cash flow to net income ratio is 0.43, indicating room for improvement in free cash flow generation. The free cash flow growth rate of 405% from 2024 to TTM shows significant recovery, yet overall cash flow management can be enhanced.
Breakdown
TTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income StatementTotal Revenue
169.28B163.07B154.00B144.55B125.98B111.11B
Gross Profit
26.19B34.63B31.54B16.66B14.20B15.22B
EBIT
3.60B3.17B2.93B3.64B3.26B3.08B
EBITDA
6.16B4.96B5.62B4.06B3.95B4.76B
Net Income Common Stockholders
3.45B3.31B2.70B1.20B1.35B1.81B
Balance SheetCash, Cash Equivalents and Short-Term Investments
17.29B16.68B19.65B14.39B14.66B12.38B
Total Assets
87.04B82.44B84.64B76.87B78.38B68.72B
Total Debt
18.32B19.43B18.88B18.02B18.84B16.78B
Net Debt
3.50B5.37B1.68B5.95B5.72B5.98B
Total Liabilities
59.02B55.94B58.69B52.63B51.35B42.76B
Stockholders Equity
27.92B26.41B25.84B24.06B26.80B25.77B
Cash FlowFree Cash Flow
1.49B-490.00M7.25B5.26B3.29B4.63B
Operating Cash Flow
2.12B154.00M8.05B6.26B4.21B5.50B
Investing Cash Flow
-2.43B-1.05B-1.19B-2.92B-3.30B-6.96B
Financing Cash Flow
-2.68B-2.41B-1.66B-4.20B1.36B260.00M

Centene Technical Analysis

Technical Analysis Sentiment
Positive
Last Price61.78
Price Trends
50DMA
60.51
Positive
100DMA
60.65
Positive
200DMA
64.52
Negative
Market Momentum
MACD
0.07
Negative
RSI
53.46
Neutral
STOCH
40.74
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For CNC, the sentiment is Positive. The current price of 61.78 is above the 20-day moving average (MA) of 60.43, above the 50-day MA of 60.51, and below the 200-day MA of 64.52, indicating a neutral trend. The MACD of 0.07 indicates Negative momentum. The RSI at 53.46 is Neutral, neither overbought nor oversold. The STOCH value of 40.74 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for CNC.

Centene Risk Analysis

Centene disclosed 35 risk factors in its most recent earnings report. Centene reported the most risks in the “Legal & Regulatory” category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Centene Peers Comparison

Overall Rating
UnderperformOutperform
Sector (52)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
MOMOH
78
Outperform
$17.63B15.7226.72%16.71%12.23%
CNCNC
77
Outperform
$30.74B9.2012.59%8.85%33.30%
CICI
74
Outperform
$85.74B17.7812.37%1.78%25.21%-29.37%
ELELV
71
Outperform
$91.12B15.7414.24%1.64%6.63%-3.26%
CVCVS
67
Neutral
$79.10B14.947.00%4.25%4.84%-26.54%
HUHUM
67
Neutral
$28.72B16.8310.09%1.49%10.09%-12.18%
52
Neutral
$5.15B3.02-44.64%2.83%16.44%-0.47%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
CNC
Centene
61.78
-15.79
-20.36%
CI
Cigna
320.94
-6.80
-2.07%
CVS
CVS Health
62.53
7.67
13.98%
HUM
Humana
237.96
-113.03
-32.20%
MOH
Molina Healthcare
325.34
-18.50
-5.38%
ELV
Elevance Health
403.29
-130.64
-24.47%

Centene Earnings Call Summary

Earnings Call Date:Apr 25, 2025
(Q1-2025)
|
% Change Since: 0.32%|
Next Earnings Date:Jul 29, 2025
Earnings Call Sentiment Neutral
The earnings call reflects a strong start to 2025, with significant revenue growth and membership retention. However, challenges such as increased medical expenses due to the flu season and high specialty drug costs pose ongoing risks. The overall sentiment is balanced by these positive and negative aspects.
Q1-2025 Updates
Positive Updates
Strong Premium and Service Revenue Growth
Centene reported first quarter 2025 premium and service revenue of $42.5 billion, contributing to an increase in full-year guidance to a midpoint of $165 billion, up from $159 billion.
Adjusted EPS Consistent with Expectations
First quarter adjusted diluted EPS was reported at $2.90, aligning with prior expectations and supporting a full-year 2025 adjusted EPS outlook of greater than $7.25.
Membership Growth in Medicare Advantage and Commercial Segments
Medicare Advantage membership showed better-than-expected retention, contributing to a $1 billion increase in revenue outlook for 2025. Commercial segment experienced strong enrollment, adding $5 billion to premium revenue guidance.
Medicaid Contract Wins
Centene secured key Medicaid contracts in Illinois and Nevada, demonstrating strength in its service model and expanding its footprint in rural areas.
Negative Updates
Impact of Flu Season on Medical Expenses
The company faced $130 million in incremental medical expenses due to a more active flu season, impacting Medicaid results in Q1.
High Specialty Drug Costs
Specialty drug costs, particularly in non-low-income PDP members, pressured margins. This was partly driven by pharmaceutical industry behavior and will need to be addressed in future pricing.
Challenges in Medicaid MLR Improvement
Despite progress, the full impact of improved Medicaid rates was offset by the flu season, and high-cost drugs continue to present challenges.
Company Guidance
In Centene Corporation's first quarter 2025 conference call, the company reported an adjusted diluted EPS of $2.90, aligning with prior expectations, and maintained its full-year 2025 adjusted EPS outlook at greater than $7.25. The company saw strong premium and service revenue growth, increasing its full-year revenue forecast by $6 billion due to better-than-expected membership retention in Medicare Advantage and the commercial segment. Medicaid membership remained stable, with a focus on improving the Health Benefit Ratio (HBR) through rate adjustments and managing medical expense drivers like flu-related costs, which added $130 million to medical expenses this quarter. The Medicare segment performed as expected, with the Medicare Advantage business aiming for breakeven by 2027. The company highlighted the impact of policy changes, such as the expiration of enhanced premium tax credits and the potential for Medicaid work requirements, on future operations. Centene anticipates a full-year composite Medicaid rate increase of over 4% and is actively engaging with states to align rates with member acuity. Adjusted SG&A expenses decreased, leveraged by higher revenues, and the company ended the quarter with a debt to adjusted EBITDA ratio of 2.8 times.

Centene Corporate Events

Executive/Board ChangesShareholder MeetingsBusiness Operations and Strategy
Centene Holds Annual Meeting, Elects New Directors
Neutral
May 14, 2025

On May 13, 2025, Centene held its Annual Meeting where key decisions were made regarding the company’s governance and strategic plans. The meeting saw the election of eleven directors for a one-year term, approval of executive compensation, ratification of KPMG LLP as the accounting firm for 2025, and the approval of the 2025 Stock Incentive Plan. However, shareholder proposals related to climate change and climate risk reporting were not approved.

The most recent analyst rating on (CNC) stock is a Hold with a $64.00 price target. To see the full list of analyst forecasts on Centene stock, see the CNC Stock Forecast page.

Spark’s Take on CNC Stock

According to Spark, TipRanks’ AI Analyst, CNC is a Outperform.

Centene’s overall stock score reflects strong financial performance, particularly in revenue growth and operational efficiency. The stock’s current undervaluation presents an opportunity, although technical indicators suggest caution due to bearish trends. The earnings call and corporate events highlight both strengths in revenue guidance and strategic direction while acknowledging ongoing cost pressures.

To see Spark’s full report on CNC stock, click here.

Financial Disclosures
Centene Reaffirms 2025 Earnings Guidance to Investors
Neutral
May 6, 2025

On May 6, 2025, Centene Corporation’s senior management will meet with investors to reaffirm their 2025 earnings guidance, maintaining a GAAP diluted EPS floor of greater than $6.19 and an adjusted diluted EPS floor of greater than $7.25. The company emphasizes the use of non-GAAP financial measures to provide a clearer picture of its core operations, cautioning that these metrics may differ from those of other companies, and encourages a comprehensive review of its financial statements.

Spark’s Take on CNC Stock

According to Spark, TipRanks’ AI Analyst, CNC is a Outperform.

Centene’s strong financial performance and valuation metrics underpin its potential as an investment, with significant revenue growth and effective cost management strategies. However, technical indicators show a bearish trend, and challenges such as high medical expenses and specialty drug costs present ongoing risks. The recent board appointment is a positive strategic move, adding expertise to navigate complex industry challenges.

To see Spark’s full report on CNC stock, click here.

Business Operations and StrategyFinancial Disclosures
Centene to Reaffirm 2025 Earnings at Barclays Conference
Neutral
Mar 12, 2025

Centene Corporation announced its participation in the Barclays 27th Annual Global Healthcare Conference on March 12, 2025, where it plans to reaffirm its 2025 adjusted diluted earnings per share guidance of over $7.25. The company emphasizes the use of non-GAAP financial measures to provide investors with a clearer understanding of its core business performance, although it acknowledges the challenges in reconciling these figures with GAAP measures.

Private Placements and FinancingBusiness Operations and Strategy
Centene Enters New Credit Agreement with Lenders
Neutral
Mar 5, 2025

On March 5, 2025, Centene Corporation entered into a new Credit Agreement with Wells Fargo and other lenders, replacing its previous credit agreement from 2021. The new agreement includes a $4 billion revolving credit facility and a $2 billion term loan facility, both maturing in 2030. This move aims to refinance existing debt and support corporate operations, with loans available in multiple currencies and subject to interest rates based on Centene’s credit ratings. The agreement imposes financial covenants and allows for voluntary prepayments, reflecting Centene’s strategic financial management.

Financial Disclosures
Centene Reaffirms 2025 EPS Guidance to Investors
Neutral
Mar 3, 2025

On March 4, 2025, Centene Corporation’s senior management will meet with investors to reaffirm their 2025 full-year adjusted diluted EPS guidance of over $7.25, as previously stated in February. The company emphasizes the use of non-GAAP financial measures to provide a clearer view of its core performance, although these measures may differ from those used by other companies. This approach aims to help investors better understand Centene’s ongoing operations and performance, despite the challenges in reconciling these figures with GAAP standards.

Executive/Board ChangesBusiness Operations and Strategy
Centene Expands Board with Kenneth Tanji Appointment
Positive
Feb 24, 2025

Centene Corporation announced the appointment of Kenneth Y. Tanji to its Board of Directors, effective February 20, 2025, expanding the board to 12 members. Tanji, who brings over three decades of financial expertise, previously served as Executive Vice President and CFO of Prudential Financial, Inc. His appointment is expected to enhance Centene’s strategic direction in healthcare, leveraging his experience in capital optimization and advanced analytics to address complex industry challenges.

Glossary
OutperformA stock rated as "Outperform" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock is likely to deliver higher returns compared to the average returns of other stocks in the same sector or market index. Investors might consider this stock a good buying opportunity.
NeutralA stock rated as "Neutral" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly attractive nor unattractive for investment. Investors may consider holding onto the stock, as it is not expected to either significantly outperform or underperform the market.
UnderperformA stock rated as "Underperform" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock may deliver lower returns compared to the average returns of other stocks in the same sector or market index. Investors might consider selling the stock or avoiding it as an investment.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.