C

Centene Corporation — Earnings Quality Grade C

CNC · Healthcare

Some red flags

Revenue
$194.8B
2025
Net Income
-$6.7B
2025
Gross Margin
7.1%
Free Cash Flow
$4.3B
01

Screening Summary

13
Passed
4
Watch
1
Failed
-3.07
M-Score
02

Financial Trends

Revenue & Net Income ($B)

Margins (%)

03

18-Point Screening

01

Revenue Quality

A1DSO Change

DSO 34 days, change -10 days YoY

A2AR vs Revenue Growth

AR growth -8.2% vs revenue growth 19.4%

A3Revenue vs CFFO

Revenue 19.4%, CFFO 3203.9%. Cash follows revenue

02

Expense Quality

B1Inventory vs COGS

No material inventory

B2CapEx vs Revenue

CapEx growth 19.1% vs revenue 19.4%. Normal

!
B3SG&A Ratio

SG&A/Gross Profit = 93.1%, exceeds 70%

B4Gross Margin

Gross margin 7.1%, change -3.2pp. Stable

03

Cash Flow Quality

!
C1CFFO vs Net Income

CFFO/NI = -0.76. Below 1.0

C2Free Cash Flow

FCF $4.3B, FCF/NI = -0.65

C3Accruals Ratio

Accruals ratio = -15.3%. Low accruals

C4Cash vs Debt

Cash $20.3B covers debt $18.2B

04

Balance Sheet Health

D1Goodwill + Intangibles

Goodwill+Intangibles $15.4B = 77% of equity. Over 50%

!
D2Leverage

Interest coverage = -0.5x (<2x). Financial stress

D3Soft Asset Growth

Other assets -0.1% vs revenue 19.4%. Normal

!
D4Asset Impairment

Write-offs up 54% YoY

05

Acquisition Risk

E1Serial Acquirer FCF

FCF after acquisitions positive

E2Goodwill Surge

Goodwill+Intangibles change -33% YoY. Normal

06

Manipulation Score

F1Beneish M-Score

M-Score = -3.07 (< -2.22). Unlikely manipulator

04

Beneish M-Score

Manipulation Probability-3.07
-4.0 Clean-2.22 Grey-1.78 Danger0
0.769
DSRI
AR growing faster than revenue?
1.45
GMI
Gross margin declining?
0.87
AQI
Asset quality deteriorating?
1.194
SGI
Revenue growth rate
0.963
DEPI
Depreciation slowing?
0.871
SGAI
SG&A ratio changing?
-0.1533
TATA
Accruals level
1.102
LVGI
Leverage increasing?
05

Altman Z-Score

0.52
Distress Zone
0 Distress1.102.605.0+ Safe
0.0479
Liquidity
0.113
Cumulative profit
-0.0788
Operating efficiency
0.352
Leverage

Generated from public financial data using forensic accounting frameworks. Not investment advice. Data: Yahoo Finance · 2026-04-09

Centene Corporation (CNC) Earnings Quality Grade C — EarningsGrade