NYSE$CNC

Centene Corp · Q2 2024 earnings

Q2 2024 earnings · · Investor relations

Briefing

Centene's financial results for the second quarter of 2024 were announced, featuring a diluted EPS of $2.16 and an adjusted diluted EPS of $2.42.

Centene Corporation reported a 3% increase in premium and service revenues, reaching $36.0 billion, and an adjusted diluted EPS of $2.42, a 15% increase from Q2 2023. The company reaffirms its 2024 adjusted diluted EPS guidance floor of greater than $6.80. While Medicaid faces challenges, overall performance remains on track.

  • Adjusted diluted EPS of $2.42, up 15% from $2.10 in the second quarter of 2023.
  • Premium and service revenues of $36.0 billion in the second quarter of 2024.
  • Membership increase of 34% in Marketplace, compared to the second quarter of 2023.
  • Reaffirms 2024 Adjusted Diluted EPS Guidance Floor of Greater Than $6.80

Headline financials

Total Revenue

$39.8B

Previous: $37.6B+5.9%
EPS

$2.16

Previous: $2.10+2.9%
Health benefits ratio

87.6%

No prior period
SG&A expense ratio

8.0%

Previous: 8.7%-8.0%
Adjusted SG&A ratio

8.0%

Previous: 8.6%-7.0%
Days in claims payable

54

Previous: 52+3.8%
Capital Expenditures

-$337M

Previous: -$440M+23.4%
Free Cash Flow

$809M

Previous: $618M+30.9%
Net Income

$1.15B

Previous: $1.06B+8.3%
Operating Income

$1.23B

Previous: $1.17B+5.0%
Gross Profit

$4.53B

Previous: $4.61B-1.9%
Cash & Equivalents

$17.6B

Previous: $17.2B+2.5%
Total Assets

$83.1B

Previous: $82.9B+0.3%
Stock-Based Comp

$62M

Previous: $56M+10.7%

Revenue & EPS history

Centene · Revenue · Quarterly

$39.8B

Q2 2024+5.9%vs Q2 2023
Beat estimate in 14 of 15 quarters(93%)
ActualEstimate

Revenue by segment

Centene · $35B total across 4 segments · Q3 2023

  • Medicaid
    $21.6B-7.2%
  • Commercial
    $6.45B+50.3%
  • Medicare
    $5.43B-3.7%
  • Other
    $1.47B-44.5%

Forward guidance

The Company reaffirms its 2024 GAAP diluted EPS guidance floor of greater than $5.94 and its 2024 adjusted diluted EPS guidance floor of greater than $6.80. The Company is increasing its 2024 premium and service revenues guidance range by $5.0 billion to a range of $141.0 billion to $143.0 billion to reflect an additional $2.0 billion Commercial premium revenue, $2.0 billion Medicare premium revenue and $1.0 billion Medicaid premium revenue. The Company's total revenue guidance has been updated to $155.0 billion to $157.0 billion. Additionally, the 2024 HBR is expected to be at the high end of the previous guidance range, approximately 87.9%.

Tailwinds

  • Reaffirms 2024 GAAP diluted EPS guidance floor of greater than $5.94
  • Reaffirms 2024 adjusted diluted EPS guidance floor of greater than $6.80
  • Increases 2024 premium and service revenues guidance range by $5.0 billion to a range of $141.0 billion to $143.0 billion
  • Reflects an additional $2.0 billion Commercial premium revenue
  • Reflects an additional $2.0 billion Medicare premium revenue

Headwinds

  • 2024 HBR is expected to be at the high end of the previous guidance range, approximately 87.9%.
  • Medicaid redeterminations winding down
  • Medicare Star rating impacts
  • Higher acuity in Medicaid as we progressed through the redetermination process
  • Continue to work with states to match rates with acuity

Historical earnings impact

How earnings announcements have historically affected this stock's price.

Avg. return before/after earnings

Based on 20 quarterly earnings reports · overlaid with Q2 2024

Historical avgQ2 2024

+0.4%

Avg return

Earnings day

+0.4%

Avg return

5 days after

+1.9%

Avg return

30 days after

54%

37 / 68 earnings

Positive

+13.8%

Q1 2014

Best reaction

-10.4%

Q2 2016

Worst reaction

Earnings price reactions
QuarterReport dateReaction (Day 0)+5 days+30 days
Q1 2026+0.5%+22.6%+33.9%
Q4 2025-3.7%+1.3%+9.3%
Q3 2025+12.5%+3.9%+18.5%
Q1 2025-6.3%-2.8%-8.4%
Q4 2024-5.4%-9.1%-8.3%
Q3 2024+0.0%+0.3%-2.0%
Q2 2024+9.0%+14.1%+16.5%
Q1 2024-2.4%-4.5%-1.4%
Q4 2023+1.1%+4.4%+7.5%
Q3 2023-3.0%-4.8%+4.7%
Q2 2023-2.7%-3.7%-9.2%
Q1 2023-1.5%+1.9%-6.3%
Q4 2022+2.7%+2.4%-7.7%
Q3 2022+11.9%+13.2%+10.3%
Q2 2022+0.6%+1.1%+4.1%
Q1 2022-4.9%-5.1%-3.5%
Q4 2021+6.4%+3.1%+4.5%
Q3 2021+3.8%+4.8%+11.2%
Q2 2021-4.0%-5.6%-12.5%
Q1 2021-9.9%-6.5%+11.7%
Q4 2020+4.8%+1.6%+6.3%
Q3 2020-7.9%-11.0%-6.3%
Q2 2020-1.4%-3.0%-10.1%
Q1 2020-6.6%-8.3%-5.5%
Q4 2019+5.1%+0.4%-5.0%
Q3 2019+5.7%+5.4%+30.4%
Q2 2019+3.0%+2.4%-12.7%
Q1 2019+4.4%+9.5%+15.3%
Q4 2018-2.9%-3.2%-13.2%
Q3 2018-8.3%-9.9%-5.5%
Q2 2018-3.1%-3.0%+6.0%
Q1 2018-1.2%-0.4%+5.5%
Q4 2017+5.0%+2.3%+0.9%
Q3 2017-7.4%-3.7%-1.1%
Q2 2017-1.0%-1.8%+2.1%
Q1 2017+1.1%+3.3%+4.5%
Q4 2016+7.9%+9.1%+9.3%
Q3 2016+1.4%+0.1%-10.5%
Q2 2016-10.4%-6.3%-10.0%
Q1 2016+4.2%
Q4 2015+2.2%
Q3 2015+5.3%
Q2 2015+0.2%
Q1 2015-9.7%
Q4 2014+5.6%
Q3 2014+9.3%
Q2 2014+5.8%
Q1 2014+13.8%
Q4 2013+4.5%
Q3 2013-4.1%
Q2 2013+5.1%
Q1 2013+4.4%
Q4 2012+6.1%
Q3 2012+0.3%
Q2 2012+6.9%
Q1 2012-6.0%
Q4 2011-2.5%
Q3 2011+12.6%
Q2 2011+3.3%
Q1 2010+10.9%
Q1 2011+2.4%
Q4 2008-6.5%
Q4 2010-6.5%
Q3 2009-6.6%
Q2 2009-6.6%
Q3 2010-6.6%
Q4 2009-5.3%
Q2 2010-5.3%

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