Earnings Releases·Oct 26, 2026, 7:05 PM ET

Centene Corporation — Third Quarter 2026 Earnings Summary

Total revenues reached $50.647 billion (up from $49.690 billion in Q3 2025), while adjusted diluted EPS improved to $0.58 from $0.50; GAAP diluted loss narrowed significantly to $(0.14) from $(13.50) in the prior year period.
Management raised 2026 guidance, increasing the GAAP diluted EPS floor to >$3.46 and the adjusted diluted EPS floor to >$5.20, while lowering the full-year Health Benefits Ratio (HBR) guidance range to 90.4%–91.1%.
Strategic capital allocation included $558 million in senior note repurchases during the quarter, reducing total debt to $15.5 billion, with an additional $2.0 billion repurchase program authorized in October 2026.
Revenue growth was driven by a 20% increase in Medicare premiums and a 4% rise in Medicaid premiums, partially offset by a 21% decline in commercial premiums and a reduction in total at-risk membership to 25.7 million from 28.0 million.