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    Centene Corp (CNC)

    Centene Corporation is a leading provider of government-sponsored healthcare services, focusing on improving health and healthcare for low-income, complex populations. The company operates through various segments, offering a range of healthcare programs and services, including Medicaid, Medicare, Commercial health insurance, and other healthcare-related services . Centene provides access to healthcare for nearly 1 in 15 individuals nationwide, emphasizing a local approach to delivering healthcare services .

    1. Medicaid - Offers programs such as Temporary Assistance for Needy Families (TANF), Medicaid Expansion, and the Children's Health Insurance Program (CHIP), among others.
    2. Commercial - Includes the Health Insurance Marketplace and various commercial health insurance products.
    3. Medicare - Covers Medicare Advantage, Dual Eligible Special Needs Plans (D-SNPs), and Medicare Prescription Drug Plans (PDPs).
    4. Other - Encompasses pharmacy operations, vision and dental services, and behavioral health, among others.

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    NamePositionExternal RolesShort Bio

    Andrew L. Asher

    Executive

    Executive Vice President and CFO

    None

    Andrew L. Asher joined Centene in May 2021 as CFO, overseeing financial operations and compliance.

    Christopher A. Koster

    Executive

    EVP, Secretary, and General Counsel

    None

    Christopher A. Koster is EVP, Secretary, and General Counsel, confirmed by recent 8-K filings.

    Katie N. Casso

    Executive

    SVP, Corporate Controller, and CAO

    None

    Katie N. Casso has been with Centene since January 2016, promoted to her current role in April 2021, overseeing corporate accounting and financial reporting.

    Kenneth J. Fasola

    Executive

    President

    None

    Kenneth J. Fasola became President of Centene in December 2022, previously EVP of Health Care Enterprises.

    Sarah M. London

    Executive

    Chief Executive Officer

    None

    Sarah M. London has been the CEO of Centene since March 2022, focusing on cost savings, gross margin expansion, and member experience improvement.

    View Report →

    Susan R. Smith

    Executive

    Chief Operating Officer

    None

    Susan R. Smith became COO in January 2024, with prior experience at Humana Inc..

    Christopher J. Coughlin

    Board

    Director

    Director at Karuna Therapeutics, Inc. and Prestige Consumer Healthcare, Inc.

    Christopher J. Coughlin joined the Board in January 2022, Chair of the Compensation and Talent Committee.

    Frederick H. Eppinger

    Board

    Chairman of the Board

    CEO and Director of Stewart Information Services Company

    Frederick H. Eppinger has been a Director since April 2006 and Chairman since March 2023, enhancing governance structure.

    Jessica L. Blume

    Board

    Director

    Board Member at Publix Super Markets, Inc.

    Jessica L. Blume joined the Board in February 2018, serving on the Audit and Compliance Committee and Chair of the Governance Committee.

    Kenneth A. Burdick

    Board

    Director

    Chairman and CEO of LifeStance Health Group, Inc.

    Kenneth A. Burdick has been a Director since January 2022, previously EVP of Markets and Products.

    Monte E. Ford

    Board

    Director

    Principal Partner at CIO Strategy Exchange, Board Member at JetBlue, Iron Mountain, Akamai

    Monte E. Ford joined the Board in November 2022, with extensive leadership in technology.

    Theodore R. Samuels

    Board

    Director

    Board Member at Bristol Myers Squibb Company and Perrigo Company plc

    Theodore R. Samuels joined the Board in January 2022, with experience in investment management and governance.

    Thomas R. Greco

    Board

    Director

    Board Member at Tapestry, Inc. and Sabra Dipping Company LLC

    Thomas R. Greco joined the Board in August 2024, former CEO of Advance Auto Parts, Inc..

    Wayne S. DeVeydt

    Board

    Director

    Managing Director at Bain Capital, Executive Chairman at Surgery Partners, Inc.

    Wayne S. DeVeydt joined the Board in January 2022, Chairman of the Audit and Compliance Committee.

    1. Could you elaborate on the sufficiency of the Medicaid rate adjustments you've received so far, and what steps are you taking if rates are still misaligned with the higher acuity of your post-redeterminations member base?
    2. Given the continued pressure on Medicaid margins from the mismatch of rates and acuity, how confident are you in your ability to grow adjusted EPS next year, and what are the key levers to achieve this growth?
    3. With the Medicare Advantage business expecting down membership in 2025 but aiming for margin recovery, can you explain how the recent changes in Star ratings and contract portfolio will translate into financial improvement?
    4. In your Marketplace business, you mentioned expectations for modest membership growth and mid-single-digit macro market growth; can you discuss the potential risks to achieving your target pretax margins given the program integrity enhancements and agent of record lock policies?
    5. Regarding the underlying utilization trends in Medicaid, especially in areas like behavioral health and home health, are you seeing any new pressures or emerging trends that could impact your medical loss ratio beyond what you've previously disclosed?

    Research analysts who have asked questions during Centene Corp earnings calls.

    Andrew Mok

    Barclays

    5 questions for CNC

    Also covers: ACHC, ADUS, AGL +18 more

    Joshua Raskin

    Nephron Research

    5 questions for CNC

    Also covers: BKD, CI, CTEV +9 more

    Justin Lake

    Wolfe Research

    5 questions for CNC

    Also covers: AGL, CI, CVS +7 more

    Lance Wilkes

    Bernstein

    5 questions for CNC

    Also covers: AGL, CI, HCA +3 more

    Sarah James

    Cantor Fitzgerald

    5 questions for CNC

    Also covers: ACHC, CI, DCGO +11 more

    Stephen Baxter

    Wells Fargo

    5 questions for CNC

    Also covers: AGL, BTSG, CAH +13 more

    Albert Rice

    UBS

    3 questions for CNC

    Also covers: ACHC, AMN, BTSG +15 more

    Ann Hynes

    Mizuho Securities USA LLC

    3 questions for CNC

    Also covers: ARDT, BTSG, CI +15 more

    David Windley

    Jefferies

    3 questions for CNC

    Also covers: CERT, CRL, FTRE +11 more

    George Hill

    Deutsche Bank

    3 questions for CNC

    Also covers: AGL, CAH, CI +12 more

    Hua Ha

    Robert W. Baird & Co.

    3 questions for CNC

    Also covers: AGL, HUM, MOH +3 more

    John Stansel

    JPMorgan Chase & Co.

    3 questions for CNC

    Also covers: ALHC, CAH, EVH +3 more

    Adam Ron

    Bank of America

    2 questions for CNC

    Also covers: AGL, ALHC, CI +3 more

    A.J. Rice

    UBS Group AG

    2 questions for CNC

    Also covers: ACHC, AMN, BTSG +15 more

    Dave Windley

    Jefferies LLC

    2 questions for CNC

    Also covers: CERT, HUM, MEDP +3 more

    Kevin Fischbeck

    Bank of America

    2 questions for CNC

    Also covers: AMN, ARDT, CI +6 more

    Michael Ha

    Robert W. Baird & Co.

    2 questions for CNC

    Also covers: AGL, ALHC, ASTH +5 more

    Scott Fidel

    Stephens

    2 questions for CNC

    Also covers: ACHC, ADUS, ALHC +13 more

    Christian Bomer

    TD Cowen

    1 question for CNC

    Joaquin Arriagada Martinez

    Bank of America

    1 question for CNC

    Also covers: SEM

    John Stansell

    JPMorgan Chase & Co.

    1 question for CNC

    Ryan Langston

    TD Cowen

    1 question for CNC

    Also covers: ACHC, ADUS, AGL +10 more
    Program DetailsProgram 1
    Approval DateNovember 2005
    End Date/DurationNo specific end date
    Total additional amount$10.0 billion
    Remaining authorization amount$3.2 billion as of September 30, 2024
    DetailsThe program includes regular open-market purchases and may involve Rule 10b5-1 and accelerated share repurchases. The company reserves the right to discontinue the program at any time.
    YearAmount Due (in millions)Debt TypeInterest Rate (%)% of Total Debt
    2024$111Current Portion of Long-Term DebtN/A0.6% = (111 / 17,605) * 100
    2027$2,500Senior Notes4.2514.2% = (2,500 / 17,605) * 100
    2028$2,300Senior Notes2.4513.1% = (2,300 / 17,605) * 100
    2029$3,500Senior Notes4.62519.9% = (3,500 / 17,605) * 100
    2030$2,000Senior Notes3.37511.4% = (2,000 / 17,605) * 100
    2030$2,200Senior Notes3.0012.5% = (2,200 / 17,605) * 100
    2031$2,200Senior Notes2.5012.5% = (2,200 / 17,605) * 100
    2031$1,300Senior Notes2.6257.4% = (1,300 / 17,605) * 100
    CustomerRelationshipSegmentDetails

    State of New York

    Medicaid managed care program

    All

    Contributed 10% of total revenue in 2021

    NameStart DateEnd DateReason for Change
    KPMG LLP2005 PresentCurrent auditor

    Notable M&A activity and strategic investments in the past 3 years.

    CompanyYearDetails

    Magellan Health, Inc.

    2022

    The acquisition was completed on January 4, 2022 for approximately $2.6 billion in total consideration—$2.5 billion in cash plus $67 million in replacement equity awards. The deal was structured as a business combination to enhance Centene’s ability to deliver integrated healthcare solutions for complex, high-cost populations, with Magellan continuing to operate independently under Centene’s Health Care Enterprises umbrella.

    Recent press releases and 8-K filings for CNC.

    Centene Corp investors urged to file lead plaintiff motion by Sept. 8, 2025
    $CNC
    Legal Proceedings
    • Portnoy Law Firm advises investors who bought Centene securities between December 12, 2024 and June 30, 2025 to file a lead plaintiff motion by September 8, 2025 to seek recovery of their losses.
    • The lawsuit alleges Centene misstated its 2025 revenue outlook by overstating enrollment rates and understating morbidity trends, concealing adverse developments from investors.
    • On July 1, 2025, Centene withdrew its full-year 2025 guidance—revising earnings to approximately $1.8 billion and adjusted EPS to $2.75—after reporting weaker marketplace growth, causing the stock to drop over 40%.
    2 days ago
    Centene Corp reports Q2 2025 loss and faces class action lawsuit
    $CNC
    Earnings
    Guidance Update
    Legal Proceedings
    • Centene shares fell ~10% in pre-market trading on July 25, 2025, after reporting a GAAP diluted loss per share of -$0.51, driven by a reduction in its net 2025 Marketplace risk adjustment revenue transfer estimate.
    • Investors filed a class action suit, Lunstrum v. Centene Corporation, alleging the company misled shareholders with inflated guidance and optimistic enrollment projections between December 12, 2024 and June 30, 2025; lead plaintiff deadline is September 8, 2025.
    • Centene abruptly withdrew its 2025 financial guidance on July 1, 2025, after an independent Wakely review showed lower-than-expected market growth and higher morbidity, triggering a >40% stock decline.
    4 days ago
    Centene investors urged to pursue claims in securities class action
    $CNC
    Legal Proceedings
    • Faruqi & Faruqi is investigating Centene over alleged misleading statements on enrollment and morbidity rates, urging investors with losses exceeding $75,000 from December 12, 2024 to June 30, 2025 to come forward.
    • Investors are reminded of the September 8, 2025 deadline to move for lead plaintiff status in the federal securities class action.
    • On July 1, 2025, Centene withdrew its 2025 guidance, cutting it to approximately $1.8 billion in revenue and an adjusted diluted EPS of $2.75.
    • Following the guidance withdrawal, Centene’s stock dropped 40.4%, from $56.65 on July 1 to $33.78 on July 2, 2025.
    6 days ago
    Centene reports Q2 loss, faces lawsuit over guidance
    $CNC
    Legal Proceedings
    Guidance Update
    Profit Warning
    • Centene posted a GAAP diluted loss per share of –$0.51 for Q2 2025, driven by reduced net Marketplace risk adjustment revenue transfers.
    • On July 1, 2025, the company withdrew its full-year guidance after an independent Wakely review found lower-than-expected marketplace growth and higher morbidity, sending the stock down 40%.
    • Upon Q2 results on July 25, 2025, shares plunged an additional 10% in pre-market trading.
    • A class action (Lunstrum v. Centene) filed on behalf of investors from Dec 12, 2024–Jun 30, 2025, alleges Centene misled investors about enrollment trends and morbidity assumptions.
    7 days ago
    Centene and Peers Face Shareholder Fiduciary Duty Investigations
    $CNC
    Legal Proceedings
    • Grabar Law Office is investigating whether officers and directors of Centene Corporation (NYSE: CNC) breached their fiduciary duties by allegedly providing misleading FY 2025 revenue guidance and adjusted EPS statements amid undisclosed enrollment and morbidity issues.
    • Similar investigations have been launched for DoubleVerify Holdings (NYSE: DV) over ad-spend and technology disclosures , Flywire Corporation (NASDAQ: FLYW) over revenue sustainability and visa-headwind impacts , and Sable Offshore Corp. (NYSE: SOC) over misstated oil production claims.
    • Eligible long-term shareholders—CNC: pre-Dec 12, 2024; DV: pre-Nov 10, 2023; FLYW: pre-Feb 28, 2024; SOC: pre-May 19, 2025—can seek corporate reforms, restitution of funds, and court-approved incentive awards at no cost.
    • Those who purchased during each company’s respective class period may participate in the class actions initiated against Centene, DoubleVerify, Flywire, and Sable Offshore.
    Aug 4, 2025, 12:46 PM
    Centene Corp investors urged to act as lead plaintiff deadline nears
    $CNC
    Legal Proceedings
    • Faruqi & Faruqi is investigating potential securities claims against Centene, with the September 8, 2025 deadline to seek lead plaintiff status.
    • The investigation covers investors who bought Centene securities between December 12, 2024 and June 30, 2025.
    • Allegations include materially false statements and concealment of adverse enrollment and morbidity rates, culminating in the withdrawal of 2025 guidance, with revenue guidance cut to ~$1.8 billion and adjusted diluted EPS to $2.75.
    • Centene’s stock dropped 40.4%, falling from $56.65 on July 1, 2025 to $33.78 on July 2, 2025 following the guidance withdrawal.
    Jul 20, 2025, 2:39 PM
    Centene under securities class action investigation
    $CNC
    Legal Proceedings
    • Faruqi & Faruqi LLP is investigating potential securities claims against Centene Corporation, reminding investors of the September 8, 2025 deadline to seek lead plaintiff status in the class action.
    • The lawsuit alleges Centene made materially false and misleading statements about enrollment and morbidity rates, leading to a guidance withdrawal on July 1, 2025, with revised 2025 guidance of ~$1.8 billion revenue and $2.75 adjusted EPS.
    • Following the guidance withdrawal, Centene’s stock fell from $56.65 on July 1, 2025 to $33.78 on July 2, 2025—a 40.4% decline.
    • Investors who suffered losses exceeding $75,000 in Centene between December 12, 2024 and June 30, 2025 are encouraged to contact Faruqi & Faruqi at 877-247-4292 or 212-983-9330.
    Jul 16, 2025, 3:05 PM
    Centene faces class action lawsuit
    $CNC
    Legal Proceedings
    • Levi & Korsinsky, LLP has filed a complaint on behalf of investors who acquired Centene securities between December 12, 2024 and June 30, 2025.
    • The suit, Brock Lunstrum v. Centene Corporation, et al. (Case No. 1:25-cv-05659), was filed in the Southern District of New York.
    • Plaintiffs allege Centene made materially false and misleading statements about enrollment and morbidity rates, then withdrew its 2025 guidance to approximately $1.8 billion in revenue and an adjusted EPS of $2.75 on July 1, 2025.
    • Following the guidance withdrawal, Centene’s stock fell 40.4%, from $56.65 on July 1 to $33.78 on July 2, 2025.
    • The deadline to seek appointment as lead plaintiff is September 8, 2025.
    Jul 9, 2025, 6:52 PM
    Centene Reaffirms 2025 EPS Guidance
    $CNC
    Guidance Update
    • Centene Corporation filed an 8-K on May 6, 2025, reporting that its senior management will meet with investors to reaffirm its 2025 full year GAAP diluted EPS guidance floor of greater than $6.19 and adjusted diluted EPS floor of greater than $7.25.
    • The filing includes standard forward-looking statements and risk disclosures regarding future operating and financial performance.
    • The report was duly signed by Christopher A. Koster, Executive Vice President, Secretary and General Counsel.
    May 6, 2025, 12:00 AM
    Centene Reports Strong Q1 2025 Financial Results and Maintains Guidance
    $CNC
    Earnings
    Guidance Update
    Revenue Acceleration/Inflection
    • Q1 Performance: Centene delivered strong Q1 2025 results with GAAP diluted EPS of $2.63 and adjusted diluted EPS of $2.90, reflecting a 28% increase vs Q1 2024.
    • Revenue Highlights: Total revenues reached $46.62B with premium and service revenue of approximately $42.5B, up 17% year-over-year.
    • Guidance Update: The company maintained its full-year adjusted EPS guidance of > $7.25 and raised its full-year premium and service revenue guidance by $6.0B.
    • Membership & Contract Wins: Significant membership gains with 29% increase in Marketplace and 22% in Medicare PDP, along with key Medicaid contract wins in Illinois and Nevada.
    • Operational Focus: Management emphasized improved rate negotiations, margin recovery in Medicaid, and initiatives to manage excess medical expenses for future performance.
    Apr 25, 2025, 12:31 PM