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Centene Corp(CNC)

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ADVISORIES YOU CAN VERIFY
QUALITY SIGNAL
4-STAR RATING
PASS
LAST CLOSE
$60.99
10/01/2026
(24-hour delay)

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*as per simulation (see disclosures)
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Upturn Advisory & Investor View for CNC

10/01/2026: CNC (4-star) is currently NOT-A-BUY. Pass it for now.

Centene Corporation is a leading managed healthcare company primarily focused on government-sponsored programs like Medicaid, Medicare, and the Health Insurance Marketplace. The company has historically grown through aggressive acquisitions, building a large, scalable footprint across the United States. Its primary strength lies in its deep expertise in serving complex, publicly insured populations. However, the business faces significant risks, including heavy reliance on government reimbursement rates and intense competition for state contracts. The stock may suit value-oriented investors who are comfortable with regulatory risk and a company that prioritizes capital reinvestment over dividends, requiring close monitoring of healthcare policy and Medicaid membership trends.

How to Read the Upturn Advisory

The Upturn Star Rating and the current BUY, SELL, or PASS advisory are generated by Upturn’s AI advisory engine based on proprietary signal analysis, price behavior, advisory history, and historical signal performance.

Company fundamentals, valuation, risks, and news provide supporting context about the business.

Investor Fit

Investor styleFitWhy
Growth investorMixed fitCentene offers moderate growth potential through managed care expansion but faces mature market constraints.
Momentum investorStrong fit while signal remains positiveThe stock can exhibit momentum based on government contract wins or policy tailwinds.
Value investorStrong fitCentene often trades at a valuation that appeals to value investors looking for steady, regulated healthcare exposure.
Dividend investorWeak fitThe company does not pay a dividend, making it unsuitable for income-focused portfolios.
Low-risk investorMixed fitWhile regulated, the stock is subject to political risk and healthcare policy uncertainty.

Risk Profile

Risk factorLevelWhy it matters
Price volatilityMediumThe stock reacts sharply to regulatory news and government healthcare policy changes.
Valuation riskLowThe stock is generally priced modestly relative to its earnings potential.
Competition risk (managed care)HighIntense bidding for state Medicaid contracts puts constant pressure on margins.
Business qualityMedium / highCentene has a strong franchise in government-sponsored programs but faces integration and efficiency hurdles.
Dividend incomeLow / noneInvestors receive zero income via dividends.
Execution riskMediumThe company must consistently deliver on medical loss ratio targets to maintain profitability.

Price Behavior

Strong Uptrend
PRICE PATH

Strong Uptrend

The stock has maintained a strong upward price trend across the last three quarters.

Choppy
PRICE STABILITY

Choppy

The stock has experienced frequent reversals and pronounced short-term price swings.

Analysis of Past Performance

Type Stock
Historic Profit 19.37%
Avg. Invested days 32
Today’s Advisory PASS
Upturn Advisory Rating upturn star rating icon
Upturn Advisory Performance Upturn Advisory Performance icon 3.0
Stock Returns Performance Upturn Returns Performance icon 2.0
Upturn Profits based on simulation icon Profits based on simulation
Upturn last close icon Last Close 10/01/2026

Upturn Scorecard

Upturn Star Rating

★★★★★
CNC receives a 3-star rating, supported by solid quantitative characteristics, and solid analyst coverage. The rating is constrained by weak unit economics, and weak price momentum.

Company Fundamentals

★★★★★
CNC has moderate overall fundamentals (3 stars), with moderate financial health, moderate growth momentum, and solid ownership. In FY2025 versus FY2024, solid revenue growth (+19.4%) is partially offset by negative earnings growth (-301.9%), soft cash generation (FCF margin 2.2%), weak profitability (net margin -3.4%).

Financial Health Rating

★★★★★
CNC's financial health is supported by solid cash strength, including free-cash-flow generation of $4.3B (2.2% of revenue). Profitability is weak (1 stars), which helps explain the 3-star overall score.

Growth Momentum Score

★★★★★
Free-cash-flow growth is CNC's strongest growth driver at +981.8% FY2025 versus FY2024 (strong, 5 stars). By comparison, revenue growth (+19.4%, solid) is also solid, while earnings growth (-301.9%, negative) holds the profile back, so recent growth is not broad-based across the business.

Ownership

★★★★★
Institutional ownership is 101.7% and approximately 93.9% of outstanding shares are publicly tradable, supporting liquidity and institutional participation. Insider ownership is only 0.39%, which materially reduces the ownership score.

Top 5 Institutional Investors

BlackRock Inc 8.39%
Vanguard Capital Management, LLC 6.37%
AQR Capital Management LLC 5.81%
Vanguard Portfolio Management, LLC 4.52%
State Street Corp 4.45%

Unit Economics (Per $1K Revenue)

★★★★★
CNC generates approximately $122 of gross profit, $-39 of operating income, and $22 of free cash flow for every $1,000 of revenue. Based on FY2025 results. Operating losses explain the 1-star rating, with weak cash conversion and weak capital efficiency.

Economic Dimensions

★★★★★
Effective Tax Rate: 0.76%

Quantitative Style Profile

★★★★★
CNC has a large-cap, liquid profile. Weak momentum is the primary drawback.

Style Classification

Quality Focused

Value-OrientedLarge / Mega Cap StabilityHighly Liquid / Institution-Friendly

Key Highlights

Company Size Large-Cap Stock
Market Capitalization 30.69B USD
Price to earnings Ratio -
1Y Target Price 71.78
Price to earnings Ratio -
1Y Target Price 71.78
Volume (30-day avg) 4.6M shares
Beta 1.11
52 Weeks Range 31.63 - 69.63
Updated Date 10/01/2026
52 Weeks Range 31.63 - 69.63
Updated Date 10/01/2026
Dividends yield (FY) -
Basic EPS (TTM) -10.36

How Company Makes Money

Business areaWhat it includesRetail investor read
MedicaidManaged care premiums from state contracts for low-income individuals.This is the company's largest and most stable revenue driver.
MedicareMedicare Advantage and Part D drug plans for seniors.This segment is a major area for growth through the Wellcare brand.
MarketplaceIndividual insurance plans under the Affordable Care Act.Marketplace performance is highly sensitive to government subsidy levels.

Analyzing Revenue: Products, Geography and Growth

Revenue by Products

Product revenue - Year on Year

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Valuation

Trailing PE -
Forward PE 11.22
Enterprise Value 19.72B
Price to Sales(TTM) 0.17
Enterprise Value 19.72B
Price to Sales(TTM) 0.17
Enterprise Value to Revenue 0.1
Enterprise Value to EBITDA 3.91
Shares Outstanding 494.00M
Shares Floating 463.69M
Shares Outstanding 494.00M
Shares Floating 463.69M
Percent Insiders 0.39
Percent Institutions 101.68

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Financial Metrics

🧭 Investment Snapshot

Total Revenue (Scale)

Information icon Total money earned from selling products or services before any costs. It is needed to understand the scale of the business and its ability to generate income.

Net Income (Profit)

Information icon Final profit after all expenses, interest, and taxes are deducted. It is needed to determine the overall profitability available to shareholders.

Free Cash Flow (Cash Strength)

Information icon Cash remaining after operating activities and capital expenditures, showing cash available for growth. It is needed to evaluate the company’s ability to invest, pay dividends, or reduce debt.

📈 Growth & Strength

Operating Income (Core Profit)

Information icon Profit from core operations after deducting all operating expenses. It is needed to measure how efficiently the company runs its primary business activities.

EBITDA (Cash Earnings)

Information icon Earnings before interest, taxes, depreciation, and amortization, indicating operating cash potential. It is needed to compare operating performance across companies without accounting or financing differences.

Gross Profit (Unit Profitability)

Information icon Revenue minus cost of revenue, showing profit after direct production costs. It is needed to evaluate core business profitability before overhead expenses.

🛡️ Financial Safety

Cash (Liquidity Buffer)

Information icon Total cash and cash equivalents on hand. It is needed to evaluate immediate liquidity and financial flexibility.

Total Debt (Leverage Risk)

Information icon Total debt including both short-term and long-term components. It is needed to assess the company’s leverage and financial risk.

Net Working Capital (Short-Term Health)

Information icon Current assets minus current liabilities, indicating short-term liquidity strength. It is needed to assess whether the company can meet its short-term obligations.

🧱 Balance Sheet Strength

Stockholder Equity (Net Worth)

Information icon Total equity value held by shareholders. It is needed to understand the net worth of the company from the owners’ perspective.

Total Assets (Asset Base)

Information icon The full value of everything the company owns, including cash, inventory, equipment, and investments. It is needed to understand the resource base used to generate revenue.

Income Before Tax (Pre-Tax Earnings)

Information icon Income before provision for income taxes. It is needed to analyze profitability independent of tax structures.

⚙️ Cost & Drag Factors

Cost of Revenue (Production Cost)

Information icon Direct costs required to produce and deliver the products or services sold. It is needed to assess efficiency in production and service delivery.

Total Operating Expenses (Operating Cost)

Information icon Indirect costs of running the business such as salaries, marketing, and administration. It is needed to understand how much it costs to sustain ongoing business operations.

Income Tax Expense (Tax Drag)

Information icon Amount of taxes paid or payable to the government. It is needed to evaluate the impact of taxation on overall profitability.

About Centene Corp

Exchange NYSE
Headquarters Saint Louis, MO, United States
IPO Launch date 2001-12-13
CEO & Director Ms. Sarah M. London
Sector Healthcare
Industry Healthcare Plans
Full time employees 61100
Full time employees 61100

Centene Corporation operates as a managed care company that provides programs and services to under-insured families, and commercial organizations in the United States. It operates through four segments: Medicaid, Medicare, Commercial, and Other. The Medicaid segment offers the temporary assistance for needy families; medicaid expansion; aged, blind, or disabled; and children's health insurance programs, as well as long-term services and supports; foster care; and medicare-medicaid plans. This segment also provides healthcare products and services. The Medicare segment offers special needs and medicare supplement, and prescription drug plans. The Commercial segment provides health insurance marketplace product for individual and commercial group. The Other segment operates clinical healthcare and pharmacies, as well as offers vision and dental, behavioral health, and centralized services. It provides services through primary and specialty care physicians, hospitals, behavioral health practitioners, and ancillary providers. The company was founded in 1984 and is headquartered in Saint Louis, Missouri.