Despite a 9% increase in revenue in the fourth quarter, healthcare payer Centene reported a $213 million net earnings loss during that period, falling short of Wall Street predictions, the organization revealed this week.

Centene posted $1.2 billion in profit for the year, down from the $1.3 billion it logged the previous year. Revenue, however, jumped from $126 billion to $144.5 billion during that same time, which the payer attributed to a “disciplined focus” in 2022.