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Earnings Score 48 Bullish

Centene Boosts 2026 Guidance Following Strong First Quarter Growth

Apr 28, 2026 10:24 UTC
CNC
Short term

Centene Corp. reported an increase in net income and earnings per share for Q1 2026 despite membership headwinds. The company has subsequently raised its full-year earnings outlook.

  • Q1 net income increased to $1.54 million from $1.31 million
  • Adjusted EPS rose to $3.37, beating the previous year's $2.90
  • Quarterly revenue grew to $49.94 million
  • FY26 adjusted diluted EPS guidance raised to over $3.40
  • Full-year revenue projected between $187.5 billion and $191.5 billion

Centene Corp. (CNC) delivered a robust financial performance for the first quarter of 2026, characterized by growth in net income and revenue despite operational challenges in its core membership segments. The results demonstrate the company's ability to maintain profitability amidst a decline in Medicaid and Marketplace membership and a slightly elevated effective tax rate. This resilience has led management to update its full-year projections to reflect a more optimistic outlook. Financial metrics for the quarter showed net income attributable to the company rose to $1.54 million, up from $1.31 million in the prior year's first quarter. Earnings per share (EPS) climbed to $3.11, compared to $2.63 a year ago. On an adjusted basis, EPS reached $3.37, surpassing the $2.90 reported in the same period last year. Total revenue for the quarter grew to $49.94 million from $46.62 million. Looking forward, Centene has updated its 2026 guidance, now targeting earnings per share of greater than $2.37 and adjusted diluted EPS of more than $3.40. For the full year 2026, the company anticipates total revenue to range between $187.5 billion and $191.5 billion. Following the announcement, shares of Centene traded 1.54% higher at $44.18 on the New York Stock Exchange during pre-market activity.

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