26 years of historical data (2000–2025) · Healthcare · Medical - Healthcare Plans
Percentile shows where the current value sits in 30-year historical distribution. Sparklines show 5-year trend.
Price-based multiples — how expensive the stock is relative to earnings, sales, book value, and cash flow
Centene Corporation currently has a negative P/E ratio, indicating the company is operating at a loss on a trailing-twelve-month basis. On a free-cash-flow basis, the stock trades at 7.0x P/FCF, 18% below the 5-year average of 8.5x.
| Metric | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Market Cap | $30.1B | $20.2B | $31.7B | $40.5B | $47.7B | $48.7B | $34.8B | $26.4B | $23.0B | $17.8B | $9.3B |
| Enterprise Value | $31.0B | $21.1B | $37.1B | $42.2B | $57.0B | $58.2B | $42.3B | $28.8B | $24.3B | $18.4B | $10.0B |
| P/E Ratio → | -4.48 | — | 9.60 | 14.99 | 39.62 | 36.14 | 19.24 | 20.02 | 25.51 | 21.46 | 16.43 |
| P/S Ratio | 0.15 | 0.10 | 0.19 | 0.26 | 0.33 | 0.39 | 0.31 | 0.35 | 0.38 | 0.37 | 0.23 |
| P/B Ratio | 1.49 | 1.01 | 1.20 | 1.56 | 1.97 | 1.80 | 1.34 | 2.08 | 2.08 | 2.59 | 1.53 |
| P/FCF | 6.97 | 4.68 | — | 5.58 | 9.08 | 14.77 | 7.50 | 35.10 | 41.10 | 16.69 | 6.00 |
| P/OCF | 5.92 | 3.97 | 206.03 | 5.03 | 7.62 | 11.57 | 6.32 | 17.82 | 18.62 | 11.96 | 5.01 |
P/E links to full P/E history page with 30-year chart
Enterprise-value multiples — capital-structure-neutral measures of total business value
| Metric | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| EV / Revenue | — | 0.11 | 0.23 | 0.27 | 0.39 | 0.46 | 0.38 | 0.39 | 0.40 | 0.38 | 0.25 |
| EV / EBITDA | — | — | 8.40 | 9.99 | 20.73 | 18.66 | 9.74 | 11.89 | 12.45 | 11.82 | 6.48 |
| EV / EBIT | — | — | 7.48 | 9.76 | 21.69 | 23.49 | 12.08 | 13.13 | 14.21 | 13.27 | 7.26 |
| EV / FCF | — | 4.88 | — | 5.81 | 10.84 | 17.66 | 9.12 | 38.27 | 43.50 | 17.28 | 6.47 |
Margins and return-on-capital ratios measuring operating efficiency
Centene Corporation earns an operating margin of -3.9%. Operating margins have compressed from 1.9% to -3.9% over the past 3 years, signaling potential cost pressures or competitive headwinds. A negative ROE of -28.7% indicates the company is currently destroying shareholder equity.
Full margin charts and quarterly trend are on the Earnings History page
| Metric | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Gross Margin | 12.2% | 12.2% | 10.3% | 11.2% | 11.5% | 11.3% | 13.7% | 11.8% | 14.0% | 12.0% | 13.7% |
| Operating Margin | -3.9% | -3.9% | 1.9% | 1.9% | 0.9% | 1.4% | 2.8% | 2.4% | 2.4% | 2.5% | 3.1% |
| Net Profit Margin | -3.4% | -3.4% | 2.0% | 1.8% | 0.8% | 1.1% | 1.6% | 1.8% | 1.5% | 1.7% | 1.4% |
| Metric | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ROE | -28.7% | -28.7% | 12.6% | 10.8% | 4.7% | 5.1% | 9.4% | 11.1% | 10.1% | 12.8% | 13.4% |
| ROA | -8.3% | -8.3% | 4.0% | 3.3% | 1.5% | 1.8% | 3.3% | 3.7% | 3.4% | 3.9% | 4.1% |
| ROIC | -21.6% | -21.6% | 8.0% | 7.2% | 2.8% | 3.8% | 9.5% | 9.7% | 11.0% | 12.6% | 22.1% |
| ROCE | -14.6% | -14.6% | 6.6% | 6.1% | 2.6% | 3.6% | 8.2% | 7.6% | 9.3% | 10.0% | 16.5% |
Solvency and debt-coverage ratios — lower is generally safer
Net debt stands at $889M ($18.8B total debt minus $17.9B cash).
| Metric | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Debt / Equity | 0.94 | 0.94 | 0.73 | 0.73 | 0.88 | 0.84 | 0.71 | 1.14 | 0.61 | 0.68 | 0.77 |
| Debt / EBITDA | — | — | 4.40 | 4.47 | 7.76 | 7.27 | 4.22 | 5.99 | 3.42 | 3.01 | 3.02 |
| Net Debt / Equity | — | 0.04 | 0.20 | 0.06 | 0.38 | 0.35 | 0.29 | 0.19 | 0.12 | 0.09 | 0.12 |
| Net Debt / EBITDA | — | — | 1.22 | 0.40 | 3.37 | 3.06 | 1.73 | 0.98 | 0.69 | 0.40 | 0.47 |
| Debt / FCF | — | 0.21 | — | 0.23 | 1.76 | 2.90 | 1.62 | 3.17 | 2.40 | 0.59 | 0.47 |
| Interest Coverage | -9.46 | -9.46 | 7.06 | 5.96 | 3.95 | 3.73 | 4.81 | 5.33 | 4.99 | 5.45 | 6.35 |
Short-term solvency ratios and asset-utilisation metrics
A current ratio of 1.68x means Centene Corporation can comfortably meet its short-term obligations, though there is limited excess liquidity. The current ratio has improved from 1.11x to 1.68x over the past 3 years.
| Metric | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Current Ratio | 1.68 | 1.68 | 1.11 | 1.11 | 1.06 | 1.11 | 1.08 | 1.57 | 1.00 | 0.93 | 0.97 |
| Quick Ratio | 1.68 | 1.68 | 1.11 | 1.11 | 1.06 | 1.11 | 1.08 | 1.57 | 1.00 | 0.93 | 0.97 |
| Cash Ratio | 0.83 | 0.83 | 0.49 | 0.54 | 0.51 | 0.57 | 0.57 | 1.00 | 0.51 | 0.49 | 0.51 |
| Asset Turnover | — | 2.51 | 1.98 | 1.82 | 1.88 | 1.61 | 1.62 | 1.82 | 1.95 | 2.21 | 2.01 |
| Inventory Turnover | — | — | — | — | — | — | — | — | — | — | — |
| Days Sales Outstanding | — | — | — | — | — | — | — | — | — | — | — |
Earnings, FCF, buyback, and dividend yields — total returns to shareholders
Centene Corporation returns 1.6% to shareholders annually primarily through share buybacks.
Full dividend history and growth charts are on the Dividend History page
| Metric | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Dividend Yield | — | — | — | — | — | — | — | — | — | — | — |
| Payout Ratio | — | — | — | — | — | — | — | — | — | — | — |
| Metric | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Earnings Yield | — | — | 10.4% | 6.7% | 2.5% | 2.8% | 5.2% | 5.0% | 3.9% | 4.7% | 6.1% |
| FCF Yield | 14.3% | 21.4% | — | 17.9% | 11.0% | 6.8% | 13.3% | 2.8% | 2.4% | 6.0% | 16.7% |
| Buyback Yield | 1.6% | 2.4% | 9.8% | 4.0% | 6.5% | 0.6% | 1.8% | 0.3% | 0.3% | 0.4% | 0.7% |
| Total Shareholder Yield | 1.6% | 2.4% | 9.8% | 4.0% | 6.5% | 0.6% | 1.8% | 0.3% | 0.3% | 0.4% | 0.7% |
| Shares Outstanding | — | $491M | $524M | $546M | $582M | $591M | $579M | $420M | $399M | $353M | $328M |
Compare CNC with 10 similar companies in its peer group
| Company | Market Cap | P/E | EV/EBITDA | P/FCF | Gross Margin | Op Margin | ROE | ROIC | Debt/EBITDA |
|---|---|---|---|---|---|---|---|---|---|
| $30B | -4.5 | — | 7.0 | 12.2% | -3.9% | -28.7% | -21.6% | — | |
| $10B | 21.9 | 10.1 | — | 9.0% | 1.7% | 11.0% | 17.4% | 4.0 | |
| $364B | 30.3 | 17.9 | 22.6 | 18.5% | 4.2% | 11.8% | 9.2% | 3.4 | |
| $84B | 15.5 | 11.2 | 26.6 | 25.6% | 4.1% | 13.3% | 9.1% | 3.4 | |
| $43B | 36.7 | 22.9 | 115.5 | 14.5% | 1.1% | 7.0% | 4.1% | 5.7 | |
| $125B | 70.7 | 14.0 | 16.1 | 13.8% | 2.6% | 2.3% | 5.0% | 6.2 | |
| $4B | -5908.1 | 93.4 | 39.5 | 12.4% | 0.4% | -0.5% | — | 7.5 | |
| $7B | -16.8 | — | 7.0 | 14.4% | -3.4% | -44.4% | — | — | |
| $3B | -29.4 | — | — | 18.5% | -4.4% | -26.3% | -34.0% | — | |
| $1B | -2.0 | — | — | — | — | -310.8% | -242.1% | — | |
| $90B | 19.6 | 13.2 | 15.8 | 3.6% | 1.6% | — | 254.1% | 1.2 | |
| Healthcare Median | — | 22.1 | 14.2 | 18.5 | 63.9% | -4.3% | -32.6% | -11.6% | 3.2 |
Peer selection based on competitive and market overlap. Compare multiple stocks →
Includes 30+ ratios · 26 years · Updated daily
Deep dive into CNC consensus models and risk factors.
DCF models, multiple analysis, and analyst estimates.
10-year return with dividends reinvested.
See how regular investing compounds over time.
Compare growth, multiples, and margins vs sector.
Quick answers to the most common questions about buying CNC stock.
Centene Corporation's current P/E ratio is -4.5x. The historical average is 19.7x.
Centene Corporation's return on equity (ROE) is -28.7%. The historical average is 12.4%.
Based on historical data, Centene Corporation is trading at a P/E of -4.5x. Compare with industry peers and growth rates for a complete picture.
Centene Corporation has 12.2% gross margin and -3.9% operating margin.