---
schema_version: "secwatch.filing_event.v1"
accession: "0001071739-24-000098"
form_type: "8-K"
ticker: "CNC"
cik: "0001071739"
company_name: "CENTENE CORP"
filed_at: "2024-04-26T23:59:59+00:00"
generated_at: "2026-06-03T06:11:40.135853+00:00"
event_type: "earnings"
sentiment: "positive"
materiality_score: 0.75
calibrated_materiality_score: 0.75
confidence: "high"
source: SEC EDGAR
---

# Centene Q1 adjusted EPS $2.26 beats; raises FY2024 guidance to >$6.80

## Summary
- GAAP diluted EPS $2.16; adjusted diluted EPS $2.26 (+7% YoY); premium & service revenues $36.3B (+4% YoY).
- Marketplace membership up 41% YoY to 4.35M; total Medicaid membership down 18.5% YoY due to redeterminations.
- Raises FY2024 adjusted diluted EPS guidance by $0.10 to >$6.80; premium & service revenue guidance up $1.0B to $135.5-138.5B.
- Q1 cash flow used in operations $456M; repurchased $51M in Q1 and $200M in April; $5.0B remaining buyback authorization.
- Oklahoma Complete Health started SoonerSelect contracts; Florida intends award to Sunshine Health; Michigan selects Meridian.

## SEC filing metadata
- accession: 0001071739-24-000098
- form_type: 8-K
- ticker: CNC
- cik: 0001071739
- company_name: CENTENE CORP
- filed_at: 2024-04-26T23:59:59+00:00
- event_type: earnings
- sentiment: positive
- materiality_score: 0.75
- calibrated_materiality_score: 0.75
- confidence: high
- sec_items: 2.02, 9.01
- EDGAR index: https://www.sec.gov/Archives/edgar/data/1071739/000107173924000098/0001071739-24-000098-index.htm
- EDGAR primary document: https://www.sec.gov/Archives/edgar/data/1071739/000107173924000098/cnc-20240426.htm

## Machine-readable alternates
- HTML: https://secwatch.observer/filing/0001071739-24-000098
- JSON: https://secwatch.observer/filing/0001071739-24-000098.json
- Plain text: https://secwatch.observer/filing/0001071739-24-000098.txt

## Key facts
- Earnings Releases
  CENTENE CORP reported the first quarter ended March 31, 2024 results: revenue Total revenues (in millions) $ 40,407, EPS GAAP diluted EPS $ 2.16. Guidance raised.
  - Period: the first quarter ended March 31, 2024
  - Revenue: Total revenues (in millions) $ 40,407
  - EPS: GAAP diluted EPS $ 2.16
  - Guidance: raised
  - Result: reported results
  source text: announced today its financial results for the first quarter ended March 31, 2024. In summary, the 2024 first quarter results were as follows: Total revenues (in millions) $ 40,407 Premium and service revenues (in millions) $ 36,337 Health benefits ratio 87.1 % SG&A expense ratio 8.9 % Adjusted SG&A expense ratio (1) 8.7 % GAAP diluted EPS $ 2.16 Adjusted
  evidence_url: https://www.sec.gov/Archives/edgar/data/1071739/000107173924000098/0001071739-24-000098-index.htm

This AI-assisted summary is a reading aid. Review the linked SEC EDGAR filing before relying on any specific claim.