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Centene (CNC) Q3 2025 earnings results (third quarter 2025)

10-Q filed Oct 29, 2025

Centene (CNC) reported revenue of $49.7B for the third quarter 2025 (Q3 2025), +18% from a year earlier and +2% from the quarter before. Operating margin was -14.0%, net loss $6.6B (13.3% of revenue).

Revenue$49.7B
Year over year+18%
Quarter over quarter+2%
Operating margin-14.0%
Net earnings−$6.6B

Centene, Q3 2025: revenue $49.7B (+18% year over year), operating margin -14.0%, net loss $6.6B, operating cash flow $1.4B. The chart follows the revenue to costs, profit and cash.

Q3 2025AmountQ/QY/Y
Revenue$49.7B+2%+18%
Operating profit−$7.0B——
Net earnings−$6.6B——
Operating cash flow$1.4B-24%—
Free cash flow$1.1B-27%—

What changed

Revenue was $49.7B in Q3 2025, up 18% year over year and up 2% from the previous quarter. Medicaid was the largest line at 56% of revenue. Medicare added $3.7B year over year (up 66%), 49% of the total change.

Gross margin was 6.7%, down 2.8 points from a year earlier. Operating costs exceeded revenue by $7.0B, an operating margin of -14.0%. Operating expenses grew 208% against revenue growth of 18%. The fastest-growing cost line was Other operating costs (+2419%). The quarter ended with a net loss of $6.6B, wider than the previous quarter's $0.26B loss.

Operating cash flow was $1.4B. Non-cash charges added back $0.32B of depreciation and amortization and $0.05B of share-based compensation. Working capital and other items added $7.6B. Capital expenditures of $0.21B left free cash flow of $1.1B.

Questions

What was Centene's revenue in the third quarter 2025?

Centene (CNC) reported revenue of $49.7B for the third quarter 2025 (Q3 2025), +18% from a year earlier and +2% from the quarter before.

Was Centene profitable in the third quarter 2025?

Operating loss was $7.0B (-14.0% of revenue) and net loss $6.6B.

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Source: Centene 10-Q on SEC EDGAR.