EHSI vs CI vs CNC Stock Comparison

Elite Health Systems, Cigna and Centene Prices as of Oct 27, 2026 Peers: Industry group
CI Cigna Group
$298.29 +9.6% 1M -3.5% 1Y
Market cap
$78.82B
P/E
12.2x
Revenue (TTM)
$282.38B
Div. yield
2.08%
Managed Care Healthcare
5 wins
CNC Centene Corp
$68.73 +11.2% 1M +107.3% 1Y
Market cap
$33.95B
P/E
23.2x
Revenue (TTM)
$203.90B
Div. yield
–
Managed Care Healthcare
3 wins

Head to Head

9 decided of 12

Cigna leads on 5 of the 12 questions below (Cigna 5, Centene 3, Elite Health Systems 1). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionEHSICICNCLeader
Larger companyMarket capitalisation $23.67M $78.82B $33.95B CI
Cheaper on earningsLower P/E, profitable companies only -2.4x 12.2x 23.2x CI
Cheaper on forward earningsLower price / next fiscal year consensus EPS — 9.2x 13.6x CI
Faster revenue growthRevenue growth, trailing twelve months — +7.8% +9.7% CNC
More profitableNet margin, trailing twelve months -261.7% 2.3% — CI
Better return on capitalReturn on invested capital — 10.9% — –
Less leveragedLower net debt / EBITDA — 1.9x — –
Higher dividend yieldTrailing dividend yield — 2.08% — –
Better 1-year returnPrice return, last 12 months -41.1% -3.5% +107.3% CNC
Better 5-year returnAnnualised price return, 5 years +21.8%/yr +6.7%/yr -0.8%/yr EHSI
Less volatileAnnualised volatility, 1 year 50.8% 34.0% 47.4% CI
Higher overall scoreMean of the five percentile scores vs peers 28/100 67/100 68/100 CNC

Percentile Scorecard

EHSICICNC

Each axis is the mean percentile of its metrics against the company's industry group. 100 is the best in the group, 50 the middle.

Scores by Axis

AxisEHSICICNC
Valuation 0 #25 of 25 92 #3 of 25 96 #2 of 25
Growth 0 #24 of 24 57 #11 of 24 61 #10 of 24
Profitability 4 #23 of 24 74 #7 of 24 70 #8 of 24
Financial Health 84 #5 of 26 28 #19 of 26 44 #15 of 26
Shareholder Returns 50 #8 of 15 86 #3 of 15 –
Overall 28 67 68
  • EHSI ranked among 27 companies in Healthcare Payers and Distributors
  • CI ranked among 27 companies in Healthcare Payers and Distributors
  • CNC ranked among 27 companies in Healthcare Payers and Distributors

Price Performance

Price return, split-adjusted, before dividends. Click a name to hide or show it.

Returns

PeriodEHSICICNCSPY
1 month -2.4%+9.6%+11.2% -0.2%
3 months -7.8%-0.9%+7.2% +3.9%
6 months -30.8%+4.7%+38.7% +8.2%
Year to date -34.1%+8.4%+67.0% +12.9%
1 year -41.1%-3.5%+107.3% +12.3%
3 years +219.2%-1.6%+1.9% +87.4%
3 years, per year +47.3%-0.5%+0.6% +23.3%
5 years +167.7%+38.3%-4.0% +67.9%
5 years, per year +21.8%+6.7%-0.8% +10.9%
10 years +232.0%+142.4%+116.7% +261.1%
10 years, per year +12.8%+9.3%+8.0% +13.7%

Risk

MeasureEHSICICNCSPY
Volatility, 1Y 50.8%34.0%47.4% 12.7%
Downside volatility, 1Y 107.3%38.4%47.4% 12.7%
Beta vs S&P 500, 1Y 0.170.140.31 1.00
Return / volatility, 1Y -0.81-0.102.26 0.97
Max drawdown, 5Y -87.1%-33.4%-74.1% -25.4%
From 52-week high -44.7%-5.6%-3.5% -1.2%
52-week high $1.50$315.88$71.21 $779.14
52-week low $0.68$244.41$31.80 $631.97

Valuation History

Weekly multiples on trailing twelve-month fundamentals. Negative or extreme readings (a loss year, a collapsed denominator) are left out so the chart stays readable.

MultipleEHSICICNC
P/E now vs peer median -2.4xmedian 23.9x 12.2xmedian 23.9x 23.2xmedian 23.9x
P/S now vs peer median 6.3xmedian 0.3x 0.3xmedian 0.3x 0.2xmedian 0.3x
EV/EBITDA now vs peer median —median 13.4x 8.2xmedian 13.4x —median 13.4x
P/FCF now vs peer median -4.8xmedian 15.5x 8.6xmedian 15.5x 3.4xmedian 15.5x
P/B now vs peer median 9.2xmedian 2.5x 1.8xmedian 2.5x 1.5xmedian 2.5x
PEG now vs peer median 0.02median 1.34 4.66median 1.34 -1.74median 1.34

Financial History

Reported figures by fiscal period, placed on the calendar year (or quarter) each period ended in, so companies with different fiscal years line up.

Trailing twelve monthsEHSICICNC
Revenue $3.73M $282.38B $203.90B
Gross profit $285.00K $58.25B –
Operating income -$5.81M $9.96B $1.01B
Net income -$9.77M $6.98B $1.46B
Free cash flow -$4.92M $9.11B –
EPS (diluted) $-0.82 $24.31 $2.93
Cash & equivalents $1.30M $6.30B $20.70B
Total debt – $31.88B –
Shares (diluted) 11.90M 263.96M 497.64M
Enterprise value $12.04M $48.36B $33.95B

All Metrics

58 metrics · best in bold

Bold marks the best reading: the lowest positive value for multiples, leverage and payout, the highest for everything else. The bar under each value is its percentile against that company's own peers. Hover a value for its rank and the peer median.

Valuation

12 metrics
MetricEHSICICNC
P/E -2.4x 12.2x 23.2x
P/FCF -4.8x 8.6x 3.4x
P/Operating cash flow -4.8x 7.7x 7.2x
P/S 6.3x 0.3x 0.2x
P/B 9.2x 1.8x 1.5x
P/Tangible book 9.2x 4.9x 1.9x
EV/EBITDA – 8.2x –
EV/EBIT -3.9x 10.4x –
EV/Revenue 6.0x 0.4x 0.2x
EV/FCF -4.5x 11.4x –
EV/Operating cash flow -4.5x 10.1x 7.2x
PEG (3Y EPS CAGR) 0.02 4.66 -1.74

Growth

14 metrics
MetricEHSICICNC
Revenue growth (1Y) – 7.8% 9.7%
Revenue CAGR (3Y) – 14.9% 10.7%
Gross profit growth (1Y) – -8.7% –
Gross profit CAGR (3Y) – 0.5% –
Operating income growth (1Y) -231.3% 10.3% 117.7%
Operating income CAGR (3Y) -74.1% 7.0% -29.2%
Net income growth (1Y) -348.8% 29.3% 127.6%
Net income CAGR (3Y) -185.2% 0.8% -15.8%
EPS growth (1Y) -348.8% 29.9% 127.2%
EPS CAGR (3Y) -121.9% 2.6% -13.4%
Operating cash flow growth (1Y) -299.8% 94.2% 16.2%
Operating cash flow CAGR (3Y) -57.7% -7.3% -9.0%
Free cash flow growth (1Y) -299.8% 131.1% –
Free cash flow CAGR (3Y) -57.7% -7.2% –

Profitability

14 metrics
MetricEHSICICNC
Gross margin 7.6% 20.6% –
EBITDA margin – 4.5% –
Operating margin -155.6% 3.5% –
Pretax margin -262.0% 3.1% –
Net margin -261.7% 2.3% –
FCF margin -131.8% 3.2% –
Operating cash flow margin -131.8% 3.6% 2.3%
Return on equity -294.6% 16.4% 6.5%
Return on assets -208.9% 4.5% 1.8%
Return on invested capital – 10.9% –
Return on capital employed -174.0% 10.0% –
Asset turnover 0.8x 1.8x 2.5x
Cash conversion (OCF / net income) 0.5x 1.5x 3.2x
Stock comp / revenue 17.4% – 0.1%

Financial Health

11 metrics
MetricEHSICICNC
Debt / assets – 20.3% –
Debt / equity – 0.7x –
Net debt / EBITDA – 1.9x –
Debt / FCF – 3.5x –
Liabilities / assets 34.4% 72.7% 71.9%
Equity / assets 65.6% 27.3% 28.1%
Interest coverage – – –
Current ratio 1.4x 0.8x 1.2x
Quick ratio 1.1x 0.7x –
Cash ratio 1.0x 0.1x –
Altman Z-score 1.36 2.80 –

Shareholder Returns

7 metrics
MetricEHSICICNC
Dividend yield – 2.1% –
Net buyback yield 1.2% 1.3% –
Shareholder yield 1.2% 3.4% –
Payout ratio (earnings) – 23.3% –
Payout ratio (FCF) – 17.8% –
Dividend growth (1Y) – 2.3% –
Dividend CAGR (3Y) – 4.9% –

Analyst Estimates

Solid lines are reported fiscal-year results; dashed lines are the consensus for the years ahead. Hover a year for the analysts' high and low, and how each result compared with its estimate.

ConsensusEHSICICNC
Forward P/E – 9.2xFY2026 13.6xFY2026
EPS, next fiscal year – $32.34FY2026 $5.04FY2026
EPS growth, next FY – +8.4%FY2026 +142.3%FY2026
EPS growth, the year after – +9.8% +11.5%
Revenue, next fiscal year – $303.67BFY2026 $202.57BFY2026
Revenue growth, next FY – +10.5%FY2026 +4.0%FY2026
Revenue growth, the year after – -6.5% -0.4%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersEHSICICNC
Held by institutions – 89.7% 97.9%
Institutions holding – 1,702 999
Change in shares held, QoQ – +0.9% +2.1%
Institutions buying – 838 568
Institutions selling – 574 334
Buyers to sellers – 1.46 1.70

Return Correlation

Daily returns, last 12 months

1.00 means two stocks move in lockstep, 0 that they move independently. Pairs below about 0.5 diversify each other.

EHSICICNC
EHSI 1.00 0.00 -0.01
CI 0.00 1.00 0.40
CNC -0.01 0.40 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, EHSI, CI and CNC?

Cigna (CI) is the largest by market capitalisation: Elite Health Systems (EHSI) $23.67M, Cigna (CI) $78.82B, Centene (CNC) $33.95B.

Which stock is cheaper, EHSI, CI and CNC?

Cigna (CI) trades on the lowest price-to-earnings ratio (Elite Health Systems (EHSI) -2.4x, Cigna (CI) 12.2x, Centene (CNC) 23.2x). On next year's consensus earnings, Cigna (CI) is cheapest (Cigna (CI) 9.2x, Centene (CNC) 13.6x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Centene (CNC) grew revenue fastest over the trailing twelve months: Cigna (CI) +7.8%, Centene (CNC) +9.7%.

Which company is more profitable?

Cigna (CI) has the highest net margin (Elite Health Systems (EHSI) -261.7%, Cigna (CI) 2.3%).

Which stock has performed better?

Over the past year Centene (CNC) returned the most: Elite Health Systems (EHSI) -41.1%, Cigna (CI) -3.5%, Centene (CNC) +107.3%. Over five years, Elite Health Systems (EHSI) compounded fastest (Elite Health Systems (EHSI) +21.8%/yr, Cigna (CI) +6.7%/yr, Centene (CNC) -0.8%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Cigna (CI) 2.08%. Elite Health Systems (EHSI) and Centene (CNC) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Cigna (CI) has been the steadiest (Elite Health Systems (EHSI) 50.8%, Cigna (CI) 34.0%, Centene (CNC) 47.4%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, EHSI, CI and CNC?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Cigna (CI) leads on 5. Business Quant does not give investment advice; use the comparison as a starting point for your own research.

Data from SEC filings, exchange prices and consensus estimates, via Business Quant. Percentile scores compare each company with its own peer group, so two companies' scores are each relative to different peers unless you rank against the whole market. Price returns exclude dividends. Nothing on this page is investment advice.