ELV vs HIMS vs CI Stock Comparison

Elevance Health, Hims & Hers Health and Cigna Prices as of Oct 23, 2026 Peers: Industry group
ELV Elevance Health, Inc.
$439.75 +10.3% 1M +27.0% 1Y
Market cap
$93.43B
P/E
18.2x
Revenue (TTM)
$201.83B
Div. yield
–
Managed Care Healthcare
4 wins
CI Cigna Group
$306.95 +14.4% 1M +0.6% 1Y
Market cap
$80.48B
P/E
12.5x
Revenue (TTM)
$282.38B
Div. yield
0.02%
Managed Care Healthcare
5 wins

Head to Head

11 decided of 12

Cigna leads on 5 of the 12 questions below (Cigna 5, Elevance Health 4, Hims & Hers Health 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionELVHIMSCILeader
Larger companyMarket capitalisation $93.43B $6.39B $80.48B ELV
Cheaper on earningsLower P/E, profitable companies only 18.2x -45.0x 12.5x CI
Cheaper on forward earningsLower price / next fiscal year consensus EPS 15.6x — 9.5x CI
Faster revenue growthRevenue growth, trailing twelve months +3.6% +28.0% +7.8% HIMS
More profitableNet margin, trailing twelve months 2.5% -5.5% 2.3% ELV
Better return on capitalReturn on invested capital -153.2% — 10.9% CI
Less leveragedLower net debt / EBITDA 0.0x — 1.9x ELV
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.02% –
Better 1-year returnPrice return, last 12 months +27.0% -42.9% +0.6% ELV
Better 5-year returnAnnualised price return, 5 years +0.3%/yr +29.6%/yr +7.2%/yr HIMS
Less volatileAnnualised volatility, 1 year 36.0% 86.7% 34.0% CI
Higher overall scoreMean of the five percentile scores vs peers 51/100 40/100 66/100 CI

Percentile Scorecard

ELVHIMSCI

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

AxisELVHIMSCI
Valuation 50 #13 of 25 33 #63 of 93 88 #4 of 25
Growth 30 #17 of 24 41 #52 of 88 57 #11 of 24
Profitability 44 #14 of 24 40 #53 of 87 78 #6 of 24
Financial Health 44 #15 of 26 20 #80 of 100 28 #19 of 26
Shareholder Returns 88 #3 of 17 67 #19 of 56 81 #4 of 17
Overall 51 40 66
  • ELV ranked among 27 companies in Healthcare Payers and Distributors
  • HIMS ranked among 103 companies in Healthcare Providers
  • CI 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

PeriodELVHIMSCISPY
1 month +10.3%-2.5%+14.4% -1.0%
3 months +16.5%-1.4%+5.9% +2.9%
6 months +27.6%-9.4%+11.4% +6.4%
Year to date +25.4%-14.7%+11.5% +11.4%
1 year +27.0%-42.9%+0.6% +13.1%
3 years -2.8%+342.3%+0.8% +79.4%
3 years, per year -1.0%+64.2%+0.3% +21.5%
5 years +1.5%+264.8%+41.8% +67.7%
5 years, per year +0.3%+29.6%+7.2% +10.9%
10 years +256.1%—+147.2% +255.2%
10 years, per year +13.5%—+9.5% +13.5%

Risk

MeasureELVHIMSCISPY
Volatility, 1Y 36.0%86.7%34.0% 12.7%
Downside volatility, 1Y 39.3%79.0%38.4% 12.7%
Beta vs S&P 500, 1Y 0.292.760.16 1.00
Return / volatility, 1Y 0.75-0.490.02 1.03
Max drawdown, 5Y -51.2%-78.9%-33.4% -25.4%
From 52-week high -1.3%-43.2%-2.8% -2.5%
52-week high $445.45$48.78$315.88 $779.14
52-week low $280.74$14.52$244.41 $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.

MultipleELVHIMSCI
P/E now vs peer median 18.5xmedian 24.5x -45.2xmedian 25.3x 12.6xmedian 24.5x
P/S now vs peer median 0.5xmedian 0.3x 2.5xmedian 1.6x 0.3xmedian 0.3x
EV/EBITDA now vs peer median -0.6xmedian 14.4x -93.3xmedian 14.6x 8.3xmedian 14.4x
P/FCF now vs peer median 14.6xmedian 15.8x 77.8xmedian 22.7x 8.9xmedian 15.8x
P/B now vs peer median 2.1xmedian 2.5x 19.9xmedian 3.3x 1.9xmedian 2.5x
PEG now vs peer median -7.93median 1.35 1.14median 0.66 4.80median 1.35

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 monthsELVHIMSCI
Revenue $201.83B $2.58B $282.38B
Gross profit $53.35B $1.76B $58.25B
Operating income -$142.23B -$154.52M $9.96B
Net income $5.13B -$142.00M $6.98B
Free cash flow $6.51B $83.03M $9.11B
R&D – $183.38M –
EPS (diluted) $23.62 $-0.61 $24.31
Cash & equivalents $10.35B $609.81M $6.30B
Total debt $30.76B – $128.28B
Shares (diluted) 217.60M 231.75M 263.96M
Enterprise value -$49.15B $3.59B $49.73B

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
MetricELVHIMSCI
P/E 18.5x -45.2x 12.6x
P/FCF 14.6x 77.8x 8.9x
P/Operating cash flow 12.5x 24.5x 7.9x
P/S 0.5x 2.5x 0.3x
P/B 2.1x 19.9x 1.9x
P/Tangible book 2.8x -65.4x 5.1x
EV/EBITDA -0.6x -93.3x 8.3x
EV/EBIT -0.6x -36.4x 10.6x
EV/Revenue 0.4x 2.2x 0.4x
EV/FCF 13.8x 67.7x 11.6x
EV/Operating cash flow 11.9x 21.3x 10.3x
PEG (3Y EPS CAGR) -7.93 1.14 4.80

Growth

14 metrics
MetricELVHIMSCI
Revenue growth (1Y) 3.6% 28.0% 7.8%
Revenue CAGR (3Y) 6.2% 53.7% 14.9%
Gross profit growth (1Y) 4.3% 15.0% -8.7%
Gross profit CAGR (3Y) 5.5% 45.7% 0.5%
Operating income growth (1Y) -4.2% -223.0% 10.3%
Operating income CAGR (3Y) -7.2% -43.7% 7.0%
Net income growth (1Y) -7.4% -173.3% 29.3%
Net income CAGR (3Y) -5.2% -44.6% 0.8%
EPS growth (1Y) -4.5% -181.3% 29.9%
EPS CAGR (3Y) -2.3% -39.6% 2.6%
Operating cash flow growth (1Y) 54.6% 0.7% 94.2%
Operating cash flow CAGR (3Y) -7.2% 117.6% -7.3%
Free cash flow growth (1Y) 72.9% -37.3% 131.1%
Free cash flow CAGR (3Y) -7.6% 67.0% -7.2%

Profitability

14 metrics
MetricELVHIMSCI
Gross margin 26.4% 68.4% 20.6%
EBITDA margin -69.7% -2.3% 4.5%
Operating margin -70.5% -6.0% 3.5%
Pretax margin 3.1% -6.3% 3.1%
Net margin 2.5% -5.5% 2.3%
FCF margin 3.2% 3.2% 3.2%
Operating cash flow margin 3.8% 10.2% 3.6%
Return on equity 11.4% -36.9% 16.4%
Return on assets 4.0% -4.8% 4.5%
Return on invested capital -153.2% – 10.9%
Return on capital employed -176.8% -10.5% 10.0%
Asset turnover 1.6x 0.9x 1.8x
Cash conversion (OCF / net income) 1.5x -1.9x 1.5x
Stock comp / revenue 0.1% 6.0% –

Financial Health

11 metrics
MetricELVHIMSCI
Debt / assets 24.1% – 20.3%
Debt / equity 0.7x – 0.7x
Net debt / EBITDA 0.0x – 1.9x
Debt / FCF 4.7x – 3.5x
Liabilities / assets 65.0% 91.1% 72.7%
Equity / assets 35.0% 8.9% 27.3%
Interest coverage -98.4x – –
Current ratio 1.5x 0.9x 0.8x
Quick ratio 1.2x 0.8x 0.7x
Cash ratio 0.8x 0.6x 0.1x
Altman Z-score -0.79 1.60 2.82

Shareholder Returns

7 metrics
MetricELVHIMSCI
Dividend yield 1.6% – 2.0%
Net buyback yield 2.1% 1.0% 1.3%
Shareholder yield 3.7% 1.0% 3.3%
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.

ConsensusELVHIMSCI
Forward P/E 15.6xFY2026 – 9.5xFY2026
EPS, next fiscal year $28.24FY2026 $-0.62FY2026 $32.34FY2026
EPS growth, next FY -6.8%FY2026 -221.6%FY2026 +8.4%FY2026
EPS growth, the year after +8.9% – +9.8%
Revenue, next fiscal year $208.75BFY2026 $3.34BFY2026 $303.43BFY2026
Revenue growth, next FY +5.7%FY2026 +42.0%FY2026 +10.4%FY2026
Revenue growth, the year after -0.2% +28.1% -6.4%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersELVHIMSCI
Held by institutions 91.8% 66.8% 89.7%
Institutions holding 1,610 508 1,701
Change in shares held, QoQ +1.7% +4.5% +0.9%
Institutions buying 859 324 837
Institutions selling 540 129 574
Buyers to sellers 1.59 2.51 1.46

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.

ELVHIMSCI
ELV 1.00 0.02 0.46
HIMS 0.02 1.00 -0.01
CI 0.46 -0.01 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, ELV, HIMS and CI?

Elevance Health (ELV) is the largest by market capitalisation: Elevance Health (ELV) $93.43B, Hims & Hers Health (HIMS) $6.39B, Cigna (CI) $80.48B.

Which stock is cheaper, ELV, HIMS and CI?

Cigna (CI) trades on the lowest price-to-earnings ratio (Elevance Health (ELV) 18.2x, Hims & Hers Health (HIMS) -45.0x, Cigna (CI) 12.5x). On next year's consensus earnings, Cigna (CI) is cheapest (Elevance Health (ELV) 15.6x, Cigna (CI) 9.5x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Hims & Hers Health (HIMS) grew revenue fastest over the trailing twelve months: Elevance Health (ELV) +3.6%, Hims & Hers Health (HIMS) +28.0%, Cigna (CI) +7.8%.

Which company is more profitable?

Elevance Health (ELV) has the highest net margin (Elevance Health (ELV) 2.5%, Hims & Hers Health (HIMS) -5.5%, Cigna (CI) 2.3%). On return on invested capital, Cigna (CI) leads (Elevance Health (ELV) -153.2%, Cigna (CI) 10.9%).

Which stock has performed better?

Over the past year Elevance Health (ELV) returned the most: Elevance Health (ELV) +27.0%, Hims & Hers Health (HIMS) -42.9%, Cigna (CI) +0.6%. Over five years, Hims & Hers Health (HIMS) compounded fastest (Elevance Health (ELV) +0.3%/yr, Hims & Hers Health (HIMS) +29.6%/yr, Cigna (CI) +7.2%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Elevance Health (ELV) 0.00%, Hims & Hers Health (HIMS) 0.00%, Cigna (CI) 0.02%. Elevance Health (ELV) and Hims & Hers Health (HIMS) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Cigna (CI) has been the steadiest (Elevance Health (ELV) 36.0%, Hims & Hers Health (HIMS) 86.7%, Cigna (CI) 34.0%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, ELV, HIMS and CI?

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.