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Centene vs Elevance Health: revenue, profit, margins and growth compared

Centene brought in $194.8B of revenue in fiscal 2025, Elevance Health $199.1B in fiscal 2025. Revenue changed by +19.4% at Centene and +12.5% at Elevance Health on the year before, so Centene grew faster. Centene kept -3.4% of its revenue as net profit, Elevance Health 2.8%. Free cash flow was $4.3B at Centene and $3.2B at Elevance Health.

Side by side, latest fiscal year

CNCELV
Fiscal year endedFY2025 (December 31, 2025)FY2025 (December 31, 2025)
Revenue$194.8B$199.1B
Revenue growth+19.4%+12.5%
Net income-$6.7B$5.7B
Net margin-3.4%2.8%
Free cash flow$4.3B$3.2B
Free cash flow margin2.2%1.6%
Earnings per share (diluted)-$13.53$25.21
Cash$17.9B$9.5B
Debt$17.5B$31.9B
Price to earningsn/a15.7
Market value$30.5B$85.9B
Dividend yieldn/an/a
Rank by revenue in sector#7 of 523 · Health care#6 of 523 · Health care

Over the years

Revenue
CNC FY2018: $60.1BCNC FY2019: $74.6BCNC FY2020: $111.1BCNC FY2021: $126BCNC FY2022: $144.5BCNC FY2023: $154BCNC FY2024: $163.1BCNC FY2025: $194.8BELV FY2018: $92.1BELV FY2019: $104.2BELV FY2020: $121.9BELV FY2021: $138.6BELV FY2022: $156.6BELV FY2023: $171.3BELV FY2024: $177BELV FY2025: $199.1BFY18FY19FY20FY21FY22FY23FY24FY25
CNC $194.8BELV $199.1B
Net income
CNC FY2018: $900MCNC FY2019: $1.3BCNC FY2020: $1.8BCNC FY2021: $1.3BCNC FY2022: $1.2BCNC FY2023: $2.7BCNC FY2024: $3.3BCNC FY2025: -$6.7BELV FY2018: $3.8BELV FY2019: $4.8BELV FY2020: $4.6BELV FY2021: $6.2BELV FY2022: $5.9BELV FY2023: $6BELV FY2024: $6BELV FY2025: $5.7BFY18FY19FY20FY21FY22FY23FY24FY25
CNC -$6.7BELV $5.7B
Net margin
CNC FY2018: 1.5%CNC FY2019: 1.8%CNC FY2020: 1.6%CNC FY2021: 1.1%CNC FY2022: 0.8%CNC FY2023: 1.8%CNC FY2024: 2.0%CNC FY2025: -3.4%ELV FY2018: 4.1%ELV FY2019: 4.6%ELV FY2020: 3.8%ELV FY2021: 4.4%ELV FY2022: 3.8%ELV FY2023: 3.5%ELV FY2024: 3.4%ELV FY2025: 2.8%FY18FY19FY20FY21FY22FY23FY24FY25
CNC -3.4%ELV 2.8%
Revenue growth
CNC FY2019: +24.2%CNC FY2020: +48.9%CNC FY2021: +13.4%CNC FY2022: +14.7%CNC FY2023: +6.5%CNC FY2024: +5.9%CNC FY2025: +19.4%ELV FY2019: +13.1%ELV FY2020: +16.9%ELV FY2021: +13.8%ELV FY2022: +13.0%ELV FY2023: +9.4%ELV FY2024: +3.3%ELV FY2025: +12.5%FY19FY20FY21FY22FY23FY24FY25
CNC +19.4%ELV +12.5%
Free cash flow
CNC FY2018: $559MCNC FY2019: $753MCNC FY2020: $4.6BCNC FY2021: $3.3BCNC FY2022: $5.3BCNC FY2023: $7.3BCNC FY2024: -$490MCNC FY2025: $4.3BELV FY2018: $2.6BELV FY2019: $5BELV FY2020: $9.7BELV FY2021: $7.3BELV FY2022: $7.2BELV FY2023: $6.8BELV FY2024: $4.6BELV FY2025: $3.2BFY18FY19FY20FY21FY22FY23FY24FY25
CNC $4.3BELV $3.2B

Fiscal years as each company reports them; the two may end in different months.

Questions about Centene and Elevance Health

Which is bigger by revenue, Centene or Elevance Health?

Elevance Health is bigger by revenue: $199.1B in fiscal 2025, against $194.8B for Centene in fiscal 2025.

Which keeps more of its revenue as profit, Centene or Elevance Health?

Centene had a net margin of -3.4% in fiscal 2025; Elevance Health had 2.8% in fiscal 2025.

Which grew revenue faster, Centene or Elevance Health?

In their latest fiscal years revenue changed by +19.4% at Centene and +12.5% at Elevance Health.

Where do these numbers come from?

From the annual reports each company files with the SEC (10-K, or 20-F and 40-F for foreign companies), read from their XBRL data. Margins and growth are simple arithmetic on those figures. Nothing here is a recommendation.

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