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AI Research

Q4 2025 revenue beats at $49.7B → 2026 EPS guided >$3.00 despite ACA membership decline

Centene reported Q4 2025 adjusted diluted loss of $1.19 per share (beating -$1.22 forecast) with revenue of $49.73B exceeding $48.39B expectations, yet the stock fell 7.25% to $37 pre-market. The company projects 2026 premium and service revenue of $170-$174B and adjusted EPS exceeding $3.00, representing 40% YoY growth. However, ACA membership is expected to decline from 5.5 million to 3.5 million, adding uncertainty to the growth outlook.