Centene Corporation (CNC) Q3 2025 10-Q Quarterly Report

Filed: Oct 29, 2025Period ending Sep 30, 2025
Financials
Hospital & Medical Service PlansSEC EDGAR

Centene Corporation (CNC) 10-Q quarterly report for Q3 2025, filed with SEC EDGAR on Oct 29, 2025 for the fiscal period ending Sep 30, 2025. This page provides AI-powered analysis including management discussion & analysis (MD&A), risk factor updates, and key quarterly financial data such as revenue and net income extracted from XBRL.

Centene Corporation Q3 2025 10-Q Analysis

Management Discussion & Analysis

  • Revenue $49.7B Q3 2025, up 18% YoY from $42.0B Q3 2024; driven by PDP membership/premiums, Marketplace growth, Medicaid rate increases
  • Operating margins pressured: HBR 92.7% Q3 2025 vs 89.2% Q3 2024; SG&A ratio improved to 7.0% from 8.3%; adjusted SG&A ratio 7.0% vs 8.3%
  • Best segment: Medicare revenue +66% YoY to $9.4B with Medicare PDP membership +18%; worst segment: Commercial gross margin down 36%, driven by higher Marketplace medical costs
  • Operating cash flow $1.4B in Q3 2025, up from prior year; recorded non-cash goodwill impairment of $6.7B in Q3 2025 impacting GAAP EPS loss $(13.50) vs earnings $1.36 prior year
  • Management notes ongoing medical cost trends, regulatory headwinds from OBBBA, expiration of enhanced APTCs, and plans to reprice 2026 Marketplace policies reflecting higher morbidity

Risk Factors

  • No material changes in risk factors since the 2024 10-K and prior 2025 10-Qs
  • Carried-forward regulatory risk includes uncertainty in Medicaid program funding and policy changes impacting revenue
  • Operational risk tied to integration challenges from prior acquisitions affecting near-term service delivery
  • Market risk from competitive pricing pressures in the managed healthcare sector limiting margin expansion
  • Financial risk from Medicaid reimbursement timing and potential capitation payment delays impacting cash flow

Centene Corporation Q3 2025 Quarterly Financials
XBRL

Revenue

$44.9B

+21.7% YoY +5.7% QoQ

Net Income

-$6.6B

-1030.0% YoY -2520.9% QoQ

Gross Margin

7.5%

-341bp YoY +34bp QoQ

Operating Margin

-15.5%

-1729bp YoY -1441bp QoQ

Net Margin

-14.8%

-1670bp YoY -1417bp QoQ

ROE

-31.7%

Total Assets

$82.1B

EPS (Diluted)

$-13.42

-1079.6% YoY -2584.0% QoQ

Operating Cash Flow

$1.4B

+238.7% YoY -24.0% QoQ

Source: XBRL data from Centene Corporation Q3 2025 10-Q filing on SEC EDGAR. All figures in USD.

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