Centene Corp. · CNC · FY2026 Q1 · Calendar Q2 2026

Centene Q1 2026: EPS Beats by 51%, Full-Year Guidance Raised

Centene delivered a decisive Q1 2026 beat, with adjusted EPS of $3.37 versus $2.23 estimated and revenue of $49.9 billion versus $47.5 billion estimated. The company raised full-year adjusted EPS guidance to above $3.40, driven by Medicaid health benefit ratio improvement to 93.1%, Medicare Advantage and Part D outperformance, and Marketplace pretax margins near 3%. Management expressed confidence in trend-management initiatives and AI-enabled analytics as margin-recovery levers, while acknowledging that final risk-adjustment outcomes and elevated medical cost trends remain key variables. The stock surged 14.4% on the report and has continued to drift higher.

Reported Before market openNYSEHealthcare $30.53B market cap
90quality score

Earnings scorecard

Reported versus consensus
Reported EPS $3.37 Consensus $2.23
EPS surprise +51.1% Reported versus consensus
Reported revenue $49.94B Consensus $47.53B
Revenue surprise +5.1% Reported versus consensus

Market reaction

prior-close to event-session close
Stock move +14.0% Event window
SPY move -0.5% Same window
Abnormal move +14.4% Stock minus SPY
Volume 3.3× Versus trailing sessions
Subsequent drift +18.7% Up to 20 sessions
CNCSPY benchmark

Ask FN2 about CNC FY2026 Q1

Transcript, numbers and history already loaded

Free account. Your question opens in FN2 with this report's transcript and numbers attached.

Transcript intelligence

What changed

Adjusted EPS of $3.37 exceeded the $2.23 consensus by 51%, and revenue of $49.9 billion topped estimates by 5%. Medicaid HBR improved to 93.1% due to favorable flu and weather effects plus effective trend-management programs. Medicare Advantage and Part D outperformed expectations, positioning the segment toward breakeven in 2027. Marketplace pretax margins held around 3% despite higher Silver tier utilization. The company sold $1 billion of 2025 Part D risk-share receivables and repurchased $1 billion of senior notes, reducing the debt-to-capital ratio. New Group President leadership appointments were announced to oversee Medicaid/Commercial and Medicare/PDP businesses respectively.

Guidance delta

Full-year adjusted EPS guidance was raised to above $3.40 following the Q1 beat. Management indicated June Wakely data will be used to refine risk-adjustment assumptions and potentially update guidance further.

Key takeaways

  • Full-year adjusted EPS guidance raised to above $3.40 after Q1 adjusted EPS of $3.37 versus $2.23 estimated.
  • Medicaid HBR improved to 93.1% driven by flu and weather benefits plus effective trend-management programs.
  • Medicare Advantage and Part D outperformed expectations, positioning the segment toward breakeven in 2027.
  • Marketplace pretax margin held near 3% pending full risk-adjustment receivable; outcome remains a key variable.
  • New Group President leadership structure and AI-driven analytics are central to the margin-recovery strategy.

Management priorities

  • Maintain and intensify Medicaid trend-management and fraud-prevention initiatives.
  • Deploy total cost-of-care models for oncology, chronic kidney disease, and behavioral health.
  • Leverage AI and advanced analytics across forecasting, medical economics, and payment integrity.
  • Integrate new Group Presidents into execution of portfolio-wide profitability plans.
  • Utilize June Wakely data to refine risk-adjustment assumptions and update guidance.

Follow CNC with an agent that reads every filing, transcript, and price print. Free to start.

Try FN2 free

Earnings History

Estimate Beat Miss Match
CNC EPS earnings history estimate and actual scatter chart 10 reported fiscal quarters and 4 future estimate-only quarters. Q4 '23 estimate $0.43 Q4 '23 actual $0.45, beat Q1 '24 estimate $2.08 Q1 '24 actual $2.26, beat Q2 '24 estimate $2.07 Q2 '24 actual $2.42, beat Q3 '24 estimate $1.33 Q3 '24 actual $1.62, beat Q2 '25 estimate $0.11 Q2 '25 actual $-0.16, miss Q3 '25 estimate $-0.14 Q3 '25 actual $0.50, beat Q4 '25 estimate $-1.22 Q4 '25 actual $-1.19, beat Q1 '26 estimate $2.23 Q1 '26 actual $3.37, beat Q2 '26 estimate $1.09 Q2 '26 actual $2.51, beat Q3 '26 estimate $0.10 Q3 '26 actual $0.58, beat Q4 '26 estimate $-1.10 Q1 '27 estimate $3.40 Q2 '27 estimate $2.28 Q3 '27 estimate $0.49
Show less

Analyst Consensus ?

ConsensusBuy44 ratings
Bullish2761.4%
Neutral1636.3%
Bearish12.3%

Analyst 52W Price Targets

$66.96Current
$33Low
$72.26Average
$109High

Latest persisted target per named analyst; persisted current price from FN2's market snapshot as of Oct 28, 2026. Not an FN2 forecast.

Firm-level rating actions

FMP grade actions identify the grading firm, not a named analyst.

FirmRatingPrior ratingActionDate
Argus Research Buy HoldUpgradeAug 11, 2026
JP Morgan Neutral NeutralMaintainAug 4, 2026
Bernstein Outperform OutperformMaintainAug 3, 2026
Barclays Overweight OverweightMaintainJul 29, 2026
Baird Neutral NeutralMaintainJul 29, 2026
Show 39 more rating actions

Named analyst price targets

Upside is calculated against the persisted current price $66.96. FMP does not supply a rating on these named-analyst rows.

FirmAnalyst52W targetPrice when postedUpsideDate
UBSAnalyst unavailable$79$64.43 +18.0%Aug 18, 2026
Argus ResearchJohn Staszak$80$66.56 +19.5%Aug 11, 2026
BernsteinAnalyst unavailable$79$62.37 +18.0%Aug 3, 2026
Stifel NicolausAnalyst unavailable$79$62.22 +18.0%Aug 3, 2026
Morgan StanleyErin Wright$66$62.27 -1.4%Jul 29, 2026
See 69 more

Track every rating change on CNC the moment it posts. Free to start.

Start free

Company context

Snapshot as of publication

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.…

Historical context

All CNC earnings

Healthcare peers this season

Latest reports in the same sector
CompanyQuarterEPS surpriseMarket moveHeadline
AVTR Avantor, Inc. FY2026 Q3 · Calendar Q4 2026 — -2.2% Avantor reports stronger growth and raises full-year guidance
ICLR ICON Public Limited Company FY2026 Q3 · Calendar Q4 2026 — +12.5% ICON: bookings and margins improve as revenue dips
IQV IQVIA Holdings Inc. FY2026 Q3 · Calendar Q4 2026 +2.5% -0.7% IQVIA: AI momentum and bookings support raised 2026 outlook
HCA HCA Healthcare, Inc. FY2026 Q3 · Calendar Q4 2026 +8.6% -3.3% HCA Q3: Volume growth offsets payer-mix and Medicaid pressure

Latest beats and misses

Who reports next

Get the CNC recap when the next report posts

One email per quarter with the scorecard, the market reaction and what changed on the call. No account needed.

Sources

  1. Earnings call transcript and parsed analysis · 2026-05-11T10:29:34.698584+00:00
  2. FN2 earnings calendar · 2026-07-26T00:37:12.209961+00:00
  3. Polygon adjusted daily market bars · 2026-07-30T10:51:02.542871+00:00
  4. Financial Modeling Prep analyst price-target consensus and quote snapshot · 2026-07-30T10:51:02.540132+00:00

Methodology

Reported and consensus figures come from FN2's earnings event records. Market reaction and volume are calculated from daily adjusted bars around the event; abnormal move subtracts the SPY move over the same window.

Analyst target low, average, and high values are derived at request time from each named analyst's latest persisted FMP target. The current-price marker comes from FN2's persisted market snapshot. They are sell-side estimates, not an FN2 valuation or recommendation.

Transcript intelligence is a structured synthesis of the current and prior earnings-call analyses. Missing values stay missing and are never estimated.

By FN2 Research · Updated · As of 2026-07-30. For educational purposes only; not investment advice.