CENTENE CORP
CNC · Hospital & Medical Service Plans · 493.8M shares · +7%/yr ↑ dilution · EDGAR filings ↗
Net buyback after stock comp: $1.4B (gross $1.6B, SBC $216M)
Reference price $64.55 · est. market cap ~$31.9B — last insider sale, 2026-06-10 (estimated from the dated SEC Form 4 price × shares outstanding — not a live quote)
Grade
D48Nation's largest Medicaid/Marketplace insurer in a loss year driven by an acute medical-cost-trend blowout and regulatory headwinds.
Strengths
- Massive scale ($194.8B revenue, 27.6M members), strong cash position ($37B, 90th) and positive FCF ($4.3B, 87.5th)
- Leading Medicaid/Marketplace/PDP market positions
Risks
- Loss year — negative EBITDA (−$6.3B), ROE −33% (21st), ROA −8.7% (22nd), net margin −3.4% and net income −302% (3.9th)
- Accelerating medical cost trend, $513M Magellan impairment, and ACA APTC-expiry/OBBBA eligibility and funding risk
Notable findings
Quarterly revenue
Last 4 quarters · from SEC filings.
Key metrics
Gross margin
7.3%
Operating margin
-3.9%
Net margin
-3.4%
Return on equity
-33.4%
Return on assets
-8.7%
ROIC
-16.1%
Revenue growth (QoQ)
0.4%
Net-income growth
-301.9%
Debt / equity
0.9×
Current ratio
1.1×
Free cash flow
$4.3B
EBITDA
-$6.3B
Tangible book value
$4.6B
Cash & investments
$37.4B
Stock comp / revenue
0.1%
Insider transactions · last 18 months
| Date | Insider | Type | Shares | Price |
|---|---|---|---|---|
| 2026-06-15 | SMITH SUSAN RAYE | Tax withheld | 483 | $65.19 |
| 2026-06-10 | Burdick Kenneth A | Sell | 80K | $64.55 |
| 2026-05-12 | FORD MONTE E | Grant | 4.0K | — |
| 2026-05-12 | EPPINGER FREDERICK H | Grant | 6.7K | — |
| 2026-05-12 | TANJI KENNETH | Grant | 4.0K | — |
| 2026-05-12 | COUGHLIN CHRISTOPHER J | Grant | 4.0K | — |
| 2026-05-12 | Burdick Kenneth A | Grant | 4.0K | — |
| 2026-05-12 | BLUME JESSICA L. | Grant | 4.0K | — |
| 2026-05-12 | Dallas H James | Grant | 4.0K | — |
| 2026-05-12 | Samuels Theodore R. II | Grant | 4.0K | — |
| 2026-04-15 | MCNALLY TANYA M | Tax withheld | 964 | $37.26 |
| 2026-03-31 | TANJI KENNETH | Grant | 1.2K | — |
| 2026-03-31 | Samuels Theodore R. II | Grant | 943 | — |
| 2026-03-31 | EPPINGER FREDERICK H | Grant | 1.7K | — |
| 2026-03-31 | COUGHLIN CHRISTOPHER J | Grant | 1.1K | — |
| 2026-03-15 | SMITH SUSAN RAYE | Tax withheld | 2.9K | $34.45 |
| 2026-03-15 | MCNALLY TANYA M | Tax withheld | 2.8K | $34.45 |
| 2026-03-15 | LONDON SARAH | Tax withheld | 36K | $34.45 |
| 2026-03-15 | KOSTER CHRISTOPHER | Tax withheld | 9.1K | $34.45 |
| 2026-03-15 | CASSO KATIE | Tax withheld | 3.4K | $34.45 |
| 2026-03-15 | Asher Andrew Lynn | Tax withheld | 15K | $34.45 |
| 2026-01-26 | KOSTER CHRISTOPHER | Grant | 127K | — |
| 2026-01-26 | CASSO KATIE | Grant | 26K | — |
| 2026-01-26 | MCNALLY TANYA M | Grant | 74K | — |
| 2026-01-26 | SMITH SUSAN RAYE | Grant | 113K | — |
| 2026-01-26 | KOSTER CHRISTOPHER | Grant | 127K | — |
| 2026-01-26 | Asher Andrew Lynn | Grant | 174K | — |
| 2026-01-26 | LONDON SARAH | Grant | 521K | — |
| 2026-01-26 | SMITH SUSAN RAYE | Grant | 113K | — |
| 2026-01-26 | MCNALLY TANYA M | Grant | 74K | — |
| 2026-01-26 | LONDON SARAH | Grant | 521K | — |
| 2026-01-26 | CASSO KATIE | Grant | 26K | — |
| 2026-01-26 | Asher Andrew Lynn | Grant | 174K | — |
| 2026-01-15 | MCNALLY TANYA M | Tax withheld | 725 | $46.17 |
| 2025-12-31 | TANJI KENNETH | Grant | 790 | — |
| 2025-12-31 | Samuels Theodore R. II | Grant | 608 | — |
| 2025-12-31 | EPPINGER FREDERICK H | Grant | 608 | — |
| 2025-12-31 | COUGHLIN CHRISTOPHER J | Grant | 729 | — |
| 2025-12-31 | Burdick Kenneth A | Grant | 729 | — |
| 2025-12-04 | Burdick Kenneth A | Sell | 33K | $39.00 |
| 2025-12-03 | Burdick Kenneth A | Sell | 33K | $39.04 |
| 2025-09-30 | TANJI KENNETH | Grant | 803 | — |
| 2025-09-30 | Samuels Theodore R. II | Grant | 710 | — |
| 2025-09-30 | EPPINGER FREDERICK H | Grant | 710 | — |
| 2025-09-30 | COUGHLIN CHRISTOPHER J | Grant | 852 | — |
| 2025-09-30 | Burdick Kenneth A | Grant | 852 | — |
| 2025-08-08 | LONDON SARAH | Buy | 19K | $25.50 |
| 2025-07-28 | Samuels Theodore R. II | Buy | 9.0K | $27.62 |
| 2025-06-30 | TANJI KENNETH | Grant | 463 | — |
| 2025-06-30 | Burdick Kenneth A | Grant | 556 | — |
| 2025-06-30 | DeVeydt Wayne S | Grant | 602 | — |
| 2025-06-30 | COUGHLIN CHRISTOPHER J | Grant | 556 | — |
| 2025-06-30 | Samuels Theodore R. II | Grant | 463 | — |
| 2025-06-30 | EPPINGER FREDERICK H | Grant | 463 | — |
| 2025-06-15 | SMITH SUSAN RAYE | Tax withheld | 7.5K | $55.22 |
| 2025-05-13 | TANJI KENNETH | Grant | 3.6K | — |
| 2025-05-13 | Dallas H James | Grant | 3.6K | — |
| 2025-05-13 | FORD MONTE E | Grant | 3.6K | — |
| 2025-05-13 | DeVeydt Wayne S | Grant | 3.6K | — |
| 2025-05-13 | COUGHLIN CHRISTOPHER J | Grant | 3.6K | — |
| 2025-05-13 | BLUME JESSICA L. | Grant | 3.6K | — |
| 2025-05-13 | EPPINGER FREDERICK H | Grant | 6.0K | — |
| 2025-05-13 | Greco Thomas | Grant | 3.6K | — |
| 2025-05-13 | Samuels Theodore R. II | Grant | 3.6K | — |
| 2025-05-13 | Burdick Kenneth A | Grant | 3.6K | — |
| 2025-04-26 | Asher Andrew Lynn | Tax withheld | 11K | $57.69 |
| 2025-04-19 | CASSO KATIE | Tax withheld | 2.1K | $60.70 |
| 2025-04-15 | MCNALLY TANYA M | Tax withheld | 964 | $63.01 |
| 2025-03-31 | COUGHLIN CHRISTOPHER J | Grant | 500 | — |
| 2025-03-31 | EPPINGER FREDERICK H | Grant | 416 | — |
| 2025-03-31 | Burdick Kenneth A | Grant | 500 | — |
| 2025-03-31 | DeVeydt Wayne S | Grant | 541 | — |
| 2025-03-31 | TANJI KENNETH | Grant | 180 | — |
| 2025-03-31 | Samuels Theodore R. II | Grant | 416 | — |
| 2025-03-15 | MCNALLY TANYA M | Tax withheld | 1.4K | $58.19 |
| 2025-03-15 | MCNALLY TANYA M | Grant | 33K | — |
| 2025-03-15 | LONDON SARAH | Tax withheld | 21K | $58.19 |
| 2025-03-15 | LONDON SARAH | Grant | 261K | — |
| 2025-03-15 | Asher Andrew Lynn | Tax withheld | 8.5K | $58.19 |
| 2025-03-15 | Asher Andrew Lynn | Grant | 223K | — |
| 2025-03-15 | KOSTER CHRISTOPHER | Tax withheld | 4.0K | $58.19 |
| 2025-03-15 | KOSTER CHRISTOPHER | Grant | 86K | — |
| 2025-03-15 | CASSO KATIE | Tax withheld | 1.6K | $58.19 |
| 2025-03-15 | CASSO KATIE | Grant | 27K | — |
| 2025-03-15 | SMITH SUSAN RAYE | Tax withheld | 1.1K | $58.19 |
| 2025-03-15 | SMITH SUSAN RAYE | Grant | 60K | — |
| 2025-02-21 | TANJI KENNETH | Grant | 864 | — |
| 2025-02-04 | LONDON SARAH | Disposition | 59K | — |
| 2025-02-04 | LONDON SARAH | Tax withheld | 21K | $64.82 |
| 2025-02-04 | Asher Andrew Lynn | Disposition | 29K | — |
| 2025-02-04 | Asher Andrew Lynn | Tax withheld | 2.9K | $64.82 |
| 2025-02-04 | KOSTER CHRISTOPHER | Disposition | 11K | — |
| 2025-02-04 | KOSTER CHRISTOPHER | Tax withheld | 3.9K | $64.82 |
| 2025-02-04 | CASSO KATIE | Disposition | 1.6K | — |
| 2025-02-04 | CASSO KATIE | Tax withheld | 626 | $64.82 |
| 2024-12-31 | Samuels Theodore R. II | Grant | 414 | — |
| 2024-12-31 | EPPINGER FREDERICK H | Grant | 414 | — |
| 2024-12-31 | DeVeydt Wayne S | Grant | 538 | — |
| 2024-12-31 | COUGHLIN CHRISTOPHER J | Grant | 497 | — |
| 2024-12-31 | Burdick Kenneth A | Grant | 497 | — |
All non-derivative Form 4 activity (SEC), newest first.
Notable events (8-K)
Recent filings
| Form | Filed | Period | Accession |
|---|---|---|---|
| 8-K | 2026-06-22 | 2026-06-19 | 0001071739-26-000132 ↗ |
| 8-K | 2026-05-15 | 2026-05-12 | 0001071739-26-000117 ↗ |
| 8-K | 2026-04-28 | 2026-04-28 | 0001071739-26-000099 ↗ |
| 10-Q | 2026-04-28 | 2026-03-31 | 0001071739-26-000098 ↗ |
| 8-K | 2026-03-24 | 2026-03-18 | 0001071739-26-000070 ↗ |
| 8-K | 2026-03-10 | 2026-03-10 | 0001071739-26-000056 ↗ |
| 8-K | 2026-02-23 | 2026-02-23 | 0001071739-26-000052 ↗ |
| 10-K | 2026-02-17 | 2025-12-31 | 0001071739-26-000049 ↗ |
| 8-K | 2026-02-06 | 2026-02-06 | 0001071739-26-000031 ↗ |
| 8-K | 2025-11-10 | 2025-11-10 | 0001071739-25-000188 ↗ |
| 8-K | 2025-10-29 | 2025-10-29 | 0001071739-25-000185 ↗ |
| 10-Q | 2025-10-29 | 2025-09-30 | 0001071739-25-000183 ↗ |