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Dec 31, 2022

Centene Q4 2022 Earnings Report

Centene reported mixed results with revenue increase offset by a net loss, driven by divestiture-related charges and impairments. The company focused on portfolio optimization and capital deployment through share repurchases.

Key Takeaways

Centene Corporation reported a 9% increase in total revenues for Q4 2022, reaching $35.6 billion, driven by Medicaid and Medicare growth, and the acquisition of Magellan. However, the company experienced a GAAP diluted loss per share of $(0.38), while adjusted diluted EPS was $0.86. The company executed $1.4 billion in share repurchases during the quarter and increased its 2023 premium and service revenues guidance by $2.0 billion.

Total revenues increased by 9% to $35.6 billion, driven by Medicaid and Medicare growth and the Magellan acquisition.

GAAP diluted loss per share was $(0.38), while adjusted diluted EPS was $0.86.

The company completed five divestitures in the past three months: Magellan Rx, Magellan Specialty Health, Ribera Salud, Centurion, and HealthSmart.

Centene executed $1.4 billion of share repurchases in Q4 and increased its 2023 premium and service revenues guidance by $2.0 billion.

Total Revenue
$35.6B
Previous year: $32.6B
+9.2%
EPS
$0.86
Previous year: $1.01
-14.9%
SG&A Expense Ratio
9.5%
Previous year: 9.3%
+2.2%
Adjusted SG&A Expense Ratio
9.3%
Previous year: 9.2%
+1.1%
Days in Claims Payable
54
Previous year: 52
+3.8%
Gross Profit
$3.85B
Previous year: $3.63B
+5.9%
Cash and Equivalents
$12.1B
Previous year: $13.1B
-8.0%
Free Cash Flow
-$1.81B
Previous year: $427M
-523.7%
Total Assets
$76.9B
Previous year: $78.4B
-1.9%

Centene

Centene

Centene Revenue by Segment

Forward Guidance

Centene is increasing its 2023 premium and service revenues guidance range by $2.0 billion and reiterates its 2023 adjusted diluted EPS guidance of $6.25 to $6.40.

Positive Outlook

  • An additional $1.5 billion of Medicaid premium revenue reflecting a higher starting point in 2023 and an additional two months until redeterminations recommence on April 1, 2023.
  • An additional $3.0 billion of Commercial premium revenue from a stronger than expected Marketplace open enrollment.
  • The company reiterates its 2023 adjusted diluted EPS guidance of $6.25 to $6.40.

Challenges Ahead

  • Lower Medicare revenue of $500 million reflecting softer than expected 2023 annual enrollment.
  • Decreased revenues of $2.0 billion reflecting the divestitures of Magellan Specialty Health, Centurion, and HealthSmart, which were completed in January 2023 and were previously included in our 2023 guidance.

Revenue & Expenses

Visualization of income flow from segment revenue to net income