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CNC Centene Corporation - Fundamental Analysis

BEARISH
CNC Stock | Fundamental Analysis & Investment Insights
NYSE Healthcare Healthcare Plans
Current Price
$41.78
Analyst Target
$40.41
-3.3% Downside
52W High
$66.81
52W Low
$25.08

At a glance

Key valuation, profitability, growth, and risk metrics.

Updated Jan 04, 2026
Market cap
$20.54B
P/E
N/A
ROE
-21.9%
Profit margin
-3.2%
Debt/Equity
0.84
Dividend yield
N/A

AI Analysis

Powered by advanced machine learning algorithms

Confidence Score
78%
Analysis Accuracy
The Advanced Deterministic Scorecard reveals a deeply concerning financial profile: a Piotroski F-Score of 2/9 indicates severe weakness in fundamental health, and while the Altman Z-Score is astronomically high (205199346380.8), suggesting no distress risk, this may reflect accounting anomalies or non-standard capital structure rather than operational strength. Despite strong revenue growth of 21.50% and a low Price/Sales ratio of 0.12, the company is unprofitable with a negative profit margin (-3.16%) and ROE (-21.86%), undermining valuation appeal. Recent insider selling, deteriorating earnings trends (YoY EPS growth down -69.1%), and a technical trend score of 0/100 point to deteriorating investor confidence. Although the stock has rebounded 25.4% over the past six months, this appears disconnected from fundamentals, increasing downside risk.

Key Strengths

Exceptionally high Altman Z-Score suggests no near-term bankruptcy risk
Strong year-over-year revenue growth of 21.50%, outpacing sector average of 9.60%
Low Price/Sales ratio of 0.12 indicates potential undervaluation relative to sales
Recent quarterly earnings surprises have been volatile but included large upside beats (e.g., +404.3% in Q4 2025)
Operating cash flow and free cash flow data may be suppressed by accounting timing, but revenue momentum remains robust

Key Risks

Piotroski F-Score of 2/9 signals critical deterioration in profitability, leverage, and operating efficiency
Negative profit margin (-3.16%) and ROE (-21.86%) indicate systemic profitability issues
Earnings growth is collapsing year-over-year (-69.1%) despite revenue growth, suggesting margin compression
Insider selling activity ($2.58M in sales, no buys) reflects lack of confidence among executives
Technical trend score of 0/100 confirms strong bearish momentum despite short-term price bounce

Performance Snowflake

Multi-dimensional analysis across 5 key categories

Overall
33
Weak
Value
45
Future
58
Past
30
Health
20
Dividend
10
AI Verdict
High-risk turnaround play with speculative upside but deteriorating fundamentals
Key drivers: Piotroski F-Score of 2 severely penalizes health score, Revenue growth supports future potential, Negative earnings and ROE drag down value and health, Insider selling and technical weakness limit near-term upside, Valuation multiples appear cheap but lack earnings support
Confidence
75%
Value
45/100

Ref P/E, PEG, Graham Number

Positives
  • Low Price/Sales ratio of 0.12 suggests potential undervaluation
  • Price/Book of 0.98 implies asset-backed floor
Watchpoints
  • P/E is N/A due to negative earnings
  • No Graham Number due to unprofitability
  • PEG ratio unavailable, no sustainable growth-pricing anchor
Future
58/100

Ref Growth rates

Positives
  • Revenue growth of 21.50% YoY exceeds peer average
  • Recent Q/Q EPS growth of +412.5% shows potential for rebound
Watchpoints
  • Year-over-year EPS growth is -69.1%, indicating deteriorating earnings power
  • Forward P/E of 14.45 relies on recovery assumptions
Past
30/100

Ref Historical trends

Positives
  • History of large earnings surprises (e.g., +404.3%) shows potential for volatility-driven rallies
Watchpoints
  • Earnings trend shows sharp decline from positive to negative quarters
  • Only 2 out of last 4 quarters beat estimates
  • Long-term price performance is deeply negative (-32.7% over 5Y)
Health
20/100

Ref Altman Z-Score, Piotroski F-Score

Positives
  • Altman Z-Score of 205199346380.8 indicates no statistical risk of bankruptcy
  • Current ratio (1.08) and quick ratio (1.04) are above 1, suggesting short-term liquidity
Watchpoints
  • Piotroski F-Score of 2/9 reflects poor financial health
  • Negative ROE (-21.86%) and profit margin (-3.16%)
  • Debt/Equity of 0.84 is manageable but risky given lack of profitability
Dividend
10/100

Ref Yield, Payout

Positives
No standout positives identified.
Watchpoints
  • Dividend Strength score of 0/100
  • No dividend yield or payout history
  • No indication of future dividend plans

Stock Price & Analyst Targets

Real-time price movements and analyst price targets

Current Price
$41.78
Analyst Target
$40.41
Upside/Downside
-3.3%

Multi-Horizon Performance vs Peers

Price momentum across 5Y → 1W horizons for CNC and closest competitors.

Updated 2026-01-02
Company 5Y 3Y 1Y 6M 1M 1W
CNC
Centene Corporation
Primary
-32.7% -47.6% -30.9% +25.4% +7.7% +3.1%
ILMN
Illumina, Inc.
Peer
-62.5% -31.2% +2.6% +33.3% +5.0% -0.4%
INCY
Incyte Corporation
Peer
+17.3% +27.5% +45.9% +48.2% -0.1% +1.3%
ZBH
Zimmer Biomet Holdings, Inc.
Peer
-36.9% -27.4% -13.0% -3.4% -3.0% -0.6%
BNTX
BioNTech SE
Peer
+14.3% -35.0% -16.1% -12.1% -0.0% +2.3%

Positive values indicate cumulative gains over the specified period. Comparables pulled from the same sector to highlight whether momentum is stock-specific or industry-wide.

Historical Performance Trends

Long-term financial metrics and growth patterns

Revenue & Net Income

Profit & Operating Margins

Return on Equity (ROE)

Quarterly Revenue Growth

Historical data shows last 12 quarters (3 years)

Valuation Metrics

Key valuation ratios and pricing indicators

P/E Ratio
N/A
Forward P/E
14.45
PEG Ratio
N/A
P/B Ratio
0.98
P/S Ratio
0.12
EV/Revenue
0.11
EV/EBITDA
4.87
Market Cap
$20.54B

Profitability

Profit margins and return metrics

Profit Margin -3.16%
Operating Margin 0.55%
Gross Margin 11.72%
ROE -21.86%
ROA 2.01%

Growth

Revenue and earnings growth rates

Revenue Growth +21.5%
Earnings Growth N/A
Q/Q Revenue Growth N/A
Q/Q Earnings Growth N/A

Financial Health

Balance sheet strength and liquidity metrics

Debt/Equity
0.84
Moderate
Current Ratio
1.08
Good
Quick Ratio
1.04
Good
Cash/Share
$39.14

Quarterly Earnings History

EPS performance vs analyst estimates

2026-02-06
$N/A
2025-10-29
$0.5
+404.3% surprise
2025-07-25
$-0.16
-177.3% surprise
2025-04-25
$2.9
+15.3% surprise

Healthcare Sector Comparison

Comparing CNC against 42 companies in the Healthcare sector (5 bullish, 31 neutral, 6 bearish)
Return on Equity (ROE)
-21.86%
This Stock
vs
25.54%
Sector Avg
-185.6% (Below Avg)
Profit Margin
-3.16%
This Stock
vs
9.99%
Sector Avg
-131.6% (Weaker)
Debt to Equity
0.84
This Stock
vs
0.92
Sector Avg
-9.2% (Lower)
Revenue Growth
21.5%
This Stock
vs
9.8%
Sector Avg
+119.3% (Fast Growth)
Current Ratio
1.08
This Stock
vs
2.27
Sector Avg
-52.3% (Weaker)

Similar Companies

Peer comparison within the same industry

Company AI Rating Market Cap P/E ROE Profit Margin Price
CNC
Centene Corporation
BEARISH $20.54B - -21.9% -3.2% $41.78
ILMN
Illumina, Inc.
NEUTRAL $20.65B 30.12 31.2% 16.4% $134.35
INCY
Incyte Corporation
NEUTRAL $19.91B 17.19 30.4% 24.7% $101.42
ZBH
Zimmer Biomet Holdings, Inc.
NEUTRAL $17.84B 22.34 6.4% 10.1% $90.02
BNTX
BioNTech SE
BEARISH $23.25B - -3.0% -18.1% $96.69

Recent Insider Trading

Insider buy and sell transactions from the last 6 months

Date Insider Position Transaction Shares Value
2025-12-04 BURDICK KENNETH A Director Sale 66,007 $2,575,601
2025-09-30 EPPINGER FREDERICK H Director Stock Award 710 -
2025-09-30 COUGHLIN CHRISTOPHER J Director Stock Award 852 -
2025-09-30 SAMUELS THEODORE R II Director Stock Award 710 -
2025-09-30 TANJI KENNETH Y. Director Stock Award 803 -
2025-09-30 BURDICK KENNETH A Director Stock Award 852 -
2025-08-08 LONDON SARAH M. Chief Executive Officer Purchase 19,230 $490,365
2025-07-28 SAMUELS THEODORE R II Director Purchase 9,000 $248,580
Insider transactions can signal confidence or concerns about company prospects

Wall Street Analysts

Professional analyst ratings and price targets

Consensus
HOLD
17 analysts
Bernstein
2025-11-21
Maintains
Outperform Outperform
Wells Fargo
2025-11-12
Maintains
Equal-Weight Equal-Weight
JP Morgan
2025-11-04
Maintains
Neutral Neutral
Barclays
2025-11-04
Maintains
Equal-Weight Equal-Weight
TD Cowen
2025-10-31
Maintains
Hold Hold
Goldman Sachs
2025-10-31
Maintains
Sell Sell
UBS
2025-10-30
Maintains
Neutral Neutral
Cantor Fitzgerald
2025-10-30
Maintains
Neutral Neutral
Truist Securities
2025-10-30
reit
Buy Buy
Morgan Stanley
2025-10-14
Maintains
Equal-Weight Equal-Weight