CNC · 10-Q · 2026Q1 · Full report

Quarterly Results Snapshot

CENTENE CORP · 2026-04-28 · Importance 42 · Surprise 14

Total revenues were $49.9 billion for the three months ended March 31, 2026, representing 7% growth year‑over‑year compared to $46.6 billion in Q1 2025.,Premium and service revenues were $44.7 billion in Q1 2026, a 5% increase versus Q1 2025, and operating cash flows provided $4.4 billion in the quarter compared to $1.5 billion in Q1 2025.,GAAP diluted EPS attributable to Centene was $3.11 for Q1 2026 and adjusted diluted EPS was $3.37 for the quarter; HBR was 87.3% and the SG&A expense ratio was 7.6% for Q1 2026.

Key facts

• Total revenues for Q1 2026: $49.944 billion, representing 7% growth year-over-year.
• Premium and service revenues for Q1 2026: $44.655 billion, representing 5% growth year-over-year.
• Total revenues by segment Q1 2026: Medicaid $28,885 million, Medicare $10,326 million, Commercial $9,556 million, Other $1,177 million.
• The company recorded other adjustments in Q1 2026 pre-tax including enterprise optimization costs of $13 million, a $10 million gain on sale of a provider network in Other segment, $5 million net loss on debt extinguishment, $4 million net gain on real estate transactions, and $3 million severance costs.
• Net earnings attributable to Centene for Q1 2026: $1.541 billion.
• GAAP diluted earnings per share (EPS) for Q1 2026: $3.11.
• Adjusted diluted EPS for Q1 2026: $3.37.

Impact estimates