Centene Q3 2026: adjusted EPS $0.58 beats, GAAP EPS -$0.14
Centene's Q3 2026 earnings look split: adjusted EPS of $0.58 beat the $0.0969 consensus, while GAAP EPS was -$0.14. Premium and service revenue rose 0.5% to $45.105 billion, with Medicare up 20% and Commercial down 21%. Management raised the 2026 adjusted EPS floor to more than $5.20. Read the adjusted-to-GAAP gap as restructuring costs and the cash outflow as payment timing, not yet as a broken model.
1 · Expected vs. Actual
Free preview belowGAAP EPS was -$0.14, while adjusted EPS was $0.58; the $0.72 gap is mostly severance and enterprise optimization costs. Adjusted EPS beat the $0.0969 consensus by a wide margin. The GAAP loss is not an operating collapse, but it is a reminder that adjustments are large.
Premium and service revenue rose 0.5% to $45.105 billion from $44.898 billion. Medicaid grew 4% to $24.039 billion and Medicare jumped 20% to $11.263 billion, while Commercial fell 21% to $8.700 billion. Total revenues, which include premium taxes, were $50.647 billion.
Management raised the 2026 adjusted EPS floor by $0.40 to more than $5.20 and put GAAP EPS above $3.46. It also narrowed the HBR range to 90.4%–91.1% and kept total revenue at $196.5–$200.5 billion. The raise is the clearest signal in the release, but the floor format gives little room to judge the upside.
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Figures on this page come from the company's original SEC filings. The analysis is generated automatically and checked against validation rules, but may still contain errors or omissions. Not investment advice. · Generated 2026-11-03
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