Income StatementBalance SheetCash FlowSegments
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Centene Income Statement

Revenue, expenses, and profitability over time

Centene generated $198.10B in trailing twelve-month revenue, up 0.2% year-over-year. Net income was -$6.4B with a -3.25% net margin. Gross margin stands at 98.65% and operating margin at -3.68%. Diluted EPS is $-13.05, which declined 2.9% year-over-year. Based on the Q1 2026 filing.

Total Revenue (TTM)$198.10BGross Profit (TTM)$195.43BOperating Income (TTM)-$7.3BNet Income (TTM)-$6.4BEps Diluted (TTM)$-13.05
Latest FilingQ1 2026
Report Date2026-04-28
Market Cap$28.8B
ROE-26.12%

Operating Expenses

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Amortization of Finite-Lived Intangible Assets$173.0M$173.0M$173.0M$170.0M$169.0M$166.0M
Amortization expense$173.0M$173.0M$173.0M$170.0M$169.0M$166.0M
Depreciation and amortization$173.0M$173.0M$173.0M$170.0M$169.0M$166.0M
Premium tax expense$4.6B$4.2B$6.3B$4.9B$5.1B$5.4B
Selling, general and administrative$3.2B$3.4B$3.0B$3.1B$3.4B$3.4B
Total operating expenses$40.6B$45.1B$49.2B$56.6B$51.5B$48.1B

Earnings Per Share

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Basic earnings per share$0.63$2.64$-0.51$-13.50$-2.16$3.13
Diluted earnings per share$0.63$2.63$-0.51$-13.50$-2.15$3.11
Weighted-average shares, basic—496.2M493.5M491.1M—492.1M
Weighted-average shares, diluted—498.2M493.5M491.1M—495.6M

Other Income & Expense

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Gain (loss) on extinguishment of debt$0.0$0.0———-$5.0M
Interest expense$172.0M$170.0M$170.0M$170.0M$168.0M$164.0M
Debt extinguishment$0.0$0.0———-$5.0M

Operating Income

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Gross profit$40.1B$45.9B$48.1B$49.0B$49.0B$49.2B
Operating income$175.0M$1.5B-$458.0M-$7.0B-$1.7B$1.9B

Income Before Tax

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Income before income taxes$347.0M$1.7B-$257.0M-$6.7B-$1.5B$2.1B

Tax

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Income tax expense$67.0M$432.0M$2.0M-$42.0M-$443.0M$560.0M

Net Income

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Net income$283.0M$1.3B-$253.0M-$6.6B-$1.1B$1.5B

Other

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Amortization of capitalized software and acquired intangible assets$173.0M$173.0M$173.0M$170.0M$169.0M$166.0M
Depreciation$141.0M$142.0M$141.0M$147.0M$160.0M$134.0M
Investment and other (expense) income, net$344.0M$382.0M$371.0M$450.0M$369.0M$407.0M
Revenue From Contract With Customer Excluding Assessed Tax$36.3B$42.5B$42.5B$44.9B$44.7B$44.7B

Revenue

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Premium tax$4.5B$4.1B$6.3B$4.8B$5.0B$5.3B
Total revenue$40.8B$46.6B$48.7B$49.7B$49.7B$49.9B

Cost of Revenue

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Total cost of revenue$688.0M$698.0M$641.0M$651.0M$680.0M$702.0M
Medical costs$31.8B$36.5B$38.8B$40.9B$41.5B$38.3B