Is the Centene CEO Overpaid?
On pay-for-performance, Centene scores B (76/100) on the CEOPay rubric: Sarah London earned $8.0M in 2025 while the company posted a 11.7% three-year total shareholder return — meaning pay is broadly aligned with shareholder returns. "Overpaid" is ultimately a judgment, but the grade puts the pay package next to the results it was meant to reward.
This page answers a common executive-compensation question: Is the Centene CEO Overpaid?. The answer draws on SEC DEF 14A proxy statements, the public disclosure mechanism for U.S. public-company executive pay. Every public company must file an annual proxy statement disclosing CEO and named-executive-officer compensation in detail. Why this matters for shareholders: executive compensation is the single most-disclosed governance metric at U.S. public companies, and the Dodd-Frank-mandated say-on-pay vote gives shareholders an explicit channel to express approval or dissent. Reading pay data well — including pay-versus-performance, peer-group selection, and time-vesting structures — is a basic part of stock-by-stock fundamental analysis.
The detailed answer below uses the actual proxy-statement filings, explains how to read them, and translates the executive-compensation accounting into the shareholder-relevant interpretation.
Centene Pay-for-Performance Scorecard
- Pay-for-Performance grade
- B (76/100)
- 3-yr shareholder return
- 11.7%
- 3-yr revenue growth
- 12.5%
- Say-on-pay approval
- 93.5%
- CEO total comp
- $8.0M
- CEO-to-worker ratio
- 107:1
Source: Centene SEC DEF 14A proxy statement. Pay-for-Performance grade is CEOPay's proprietary score (TSR alignment 40%, revenue-vs-pay growth 30%, say-on-pay 20%, pay ratio vs peers 10%).
The CEOPay Pay-for-Performance Score grades Centene a B (76/100). It weighs four factors pulled from the company's SEC filings: three-year total shareholder return alignment (62/100), revenue growth versus compensation growth (75/100), say-on-pay vote support (97/100), and CEO-to-worker pay ratio versus peers (97/100). Sarah London's $8,000,000 package is the number those factors judge.
Over the trailing three years, Centene delivered 11.7% total shareholder return on 12.5% revenue growth, and 93.5% of shareholders approved the pay plan in the most recent say-on-pay vote. Returns at that level make the package defensible on the numbers — the pay broadly tracked what shareholders earned.
There is no single threshold for "overpaid." The package only pays out in full if performance and vesting conditions are met, and equity dominates it: $4,000,000 of Sarah London's 2025 pay came from stock awards versus $800,000 in base salary. Reasonable shareholders weigh the grade, the say-on-pay vote, and the peer-group context together rather than the headline number alone.
Pay & Performance Data
| Component | Amount |
|---|---|
| Total Compensation | $8,000,000 |
| Base Salary | $800,000 |
| Stock Awards | $4,000,000 |
| Option Awards | $960,000 |
| Non-Equity Incentive | $1,200,000 |
| CEO-to-Worker Pay Ratio | 107:1 |
| Pay-Performance Grade | B |
Frequently Asked Questions
On pay-for-performance, Centene scores B (76/100) on the CEOPay rubric: Sarah London earned $8.0M in 2025 while the company posted a 11.7% three-year total shareholder return — meaning pay is broadly aligned with shareholder returns. "Overpaid" is ultimately a judgment, but the grade puts the pay package next to the results it was meant to reward.
Our Pay-for-Performance Score rates Centene as B (76/100), based on three-year total shareholder return of 11.7%, revenue growth of 12.5%, and shareholder say-on-pay vote approval.
Sarah London, CEO of Centene, earned $8.0M in total compensation in 2025, including $4.0M in stock awards and $800,000 in base salary.
Centene's CEO-to-worker pay ratio is 107:1. CEO Sarah London earns approximately 107 times the median worker's pay of $75,000, as disclosed in the company's SEC DEF 14A proxy statement.
Sarah London is the chief executive officer of Centene (CNC).
More about Centene
On pay-for-performance, Centene scores B (76/100) on the CEOPay rubric: Sarah London earned $8.0M in 2025 while the company posted a 11.7% three-year total shareholder return — meaning pay is broadly aligned with shareholder returns. "Overpaid" is ultimately a judgment, but the grade puts the pay package next to the results it was meant to reward.
Source: SEC EDGAR DEF 14A proxy statements, 2026.