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Centene (CNC) Q3 2026 earnings results (third quarter 2026)

10-Q filed Oct 27, 2026

Centene (CNC) reported revenue of $50.6B for the third quarter 2026 (Q3 2026), +2% from a year earlier and -5% from the quarter before. Operating margin was -0.6%, net loss $65.0M (0.1% of revenue).

Revenue$50.6B
Year over year+2%
Quarter over quarter-5%
Operating margin-0.6%
Net earnings−$65.0M

Centene, Q3 2026: revenue $50.6B (+2% year over year), operating margin -0.6%, net loss $65.0M, operating cash flow −$3.7B. The chart follows the revenue to costs, profit and cash.

Q3 2026AmountQ/QY/Y
Revenue$50.6B-5%+2%
Operating profit−$307M-126%—
Net earnings−$65.0M-106%—
Operating cash flow−$3.7B-202%-371%

What changed

Revenue was $50.6B in Q3 2026, up 2% year over year and down 5% from the previous quarter. Medicaid was the largest line at 58% of revenue. Medicare added $1.9B year over year (up 20%), 196% of the total change. Commercial declined 21%.

Gross margin was 6.5%, down 0.2 points from Q3 2025. Operating costs exceeded revenue by $0.31B, an operating margin of -0.6%. Operating expenses fell 65% while revenue rose 2%. The quarter ended with a net loss of $0.07B, after a profit of $1.1B the previous quarter. Non-operating items added $0.18B, -152% of pre-tax earnings, so the bottom line overstates operating performance.

Operating cash flow was −$3.7B. Non-cash charges added back $0.30B of depreciation and amortization and $0.05B of share-based compensation. Working capital and other items used $4.0B. Capital expenditures of $0.19B exceeded it, leaving free cash flow of −$3.9B.

Questions

What was Centene's revenue in the third quarter 2026?

Centene (CNC) reported revenue of $50.6B for the third quarter 2026 (Q3 2026), +2% from a year earlier and -5% from the quarter before.

Was Centene profitable in the third quarter 2026?

Operating loss was $307M (-0.6% of revenue) and net loss $65.0M.

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Source: Centene 10-Q on SEC EDGAR.