undamentalytics Newsletter

Centene vs Elevance Health

Centene and Elevance Health are similar in size: $194.78bn and $199.13bn of revenue in their latest fiscal years. Centene grew faster (19.4% against 12.5%). Elevance Health kept more of each dollar of sales as profit: a net margin of 2.8% against -3.4%. Elevance Health carries less debt relative to equity (73.0% against 87.7%).

Latest fiscal yearCenteneCNC, 2025Elevance HealthELV, 2025
Revenue $194.78bn $199.13bn
Revenue growth 19.4% 12.5%
Net income −$6.67bn $5.66bn
Operating margin -3.9% 3.6%
Net margin -3.4% 2.8%
Return on equity -28.8% 13.3%
Free cash flow $4.32bn $3.17bn
Cash $17.89bn $9.49bn
Total debt $17.49bn $32.05bn
Debt to equity 87.7% 73.0%
Dividend per share — —
Dividend yield — 1.7%
Share buybacks $475m $2.60bn
Employees 61,100 98,200
Market value $33.29bn $89.31bn
Price vs our value range Above our value range Within our value range
Moat score 36 (Weak) 61 (Moderate)
Insider trades, 12 months 0 buys, 5 sales 4 buys, 18 sales

Each figure is from the company's latest annual report and links to the page it comes from. Fiscal years can end on different dates. Market value and the value verdict use the delayed price shown on the stock pages. Not a recommendation.

Go deeper

Figures from each company's latest annual report filed with the SEC (10-K or 20-F), as reported, with the fiscal year shown. Not investment advice. How we read filings: methodology.