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Centene reports $53.6 billion in second quarter revenue

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Centene (CNC) reported second quarter 2026 total revenues of $53.579 billion and GAAP diluted earnings per share of $2.19 for the period ended June 30, 2026. Net earnings attributable to Centene were $1.091 billion.

Premium and service revenues rose 4% to $44.375 billion from $42.467 billion a year earlier. The company increased its 2026 total revenue guidance to a range of $193.5 billion to $197.5 billion and raised its GAAP diluted EPS guidance floor to greater than $3.11.

  • Second quarter GAAP diluted EPS was $2.19; adjusted diluted EPS was $2.51.
  • Health benefits ratio was 89.6%, down from 93.0% in the comparable 2025 period.
  • SG&A expense ratio was 7.0%, compared with 7.1% a year earlier.
  • Cash flow provided by operations was $3.6 billion for the quarter.
  • Total at-risk membership was 25.885 million as of June 30, 2026.

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