Cigna (CI) Net Cash Flow (2018 - 2026)
Cigna's (CI) quarterly Net Cash Flow came in at -$647.0 million in Q1 2026, down 14.72% year-on-year from -$758.6 million in Q1 2025, and down 138.91% quarter-over-quarter from $1.7 billion in Q4 2025.
Cigna (CI) Net Cash Flow (2018 - 2026) Analysis & Trends
Cigna has disclosed Net Cash Flow across 9 years of filings, most recently posting -$647.0 million for Q1 2026.
- Net Cash Flow for Q1 2026 came in at -$647.0 million, down 14.72% year-over-year; the trailing twelve-month figure through Mar 2026 was -$1.3 billion (up 25.82% YoY), and the FY2025 annual result was -$1.2 billion, down 299.84% from the prior year.
- Net Cash Flow came in at -$647.0 million for Q1 2026 at Cigna, down from $1.7 billion in the prior quarter.
- In the past five years, Net Cash Flow ranged from a high of $2.2 billion in Q3 2022 to a low of -$4.0 billion in Q2 2025.
- The 5-year median for Net Cash Flow is -$223.0 million (2023), against an average of $94.1 million.
- Across the five-year window, Net Cash Flow jumped 2153.75% in 2023 and tumbled 263.36% in 2024, its largest moves.
- Cigna's Net Cash Flow stood at -$1.2 billion in 2022, then surged by 80.66% to -$223.0 million in 2023, then jumped by 895.07% to $1.8 billion in 2024, then declined by 6.2% to $1.7 billion in 2025, then tumbled by 138.91% to -$647.0 million in 2026.
- The last three Net Cash Flow figures came in at -$647.0 million (Q1 2026), $1.7 billion (Q4 2025), and $1.7 billion (Q3 2025), per Business Quant data.
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | Net Cash Flow (Qtr) |
|---|---|---|---|---|---|
| 1 | Unitedhealth | 363.95 Bn | 334.15 Bn | 98.90 Bn | 3.47 Bn |
| 2 | Cvs Health | 124.98 Bn | 113.36 Bn | 4.43 Bn | 1.06 Bn |
| 3 | Elevance Health | 85.46 Bn | 50.04 Bn | 13.88 Bn | 175.00 Mn |
| 4 | Cigna | 73.39 Bn | 65.77 Bn | -44.29 Bn | -647.00 Mn |
| 5 | Humana | 43.40 Bn | 21.50 Bn | 4.00 Bn | 751.00 Mn |
| 6 | Centene | 30.02 Bn | 6.36 Bn | 49.24 Bn | 3.39 Bn |
| 7 | Molina Healthcare | 9.92 Bn | 668.90 Mn | 1.53 Bn | 1.07 Bn |
| 8 | Oscar Health | 8.44 Bn | 1.64 Bn | -3.22 Bn | 2.03 Bn |
| 9 | Alignment Healthcare | 4.50 Bn | 3.77 Bn | 135.85 Mn | 129.78 Mn |
| 10 | Clover Health Investments | 2.61 Bn | 2.41 Bn | 154.54 Mn | 94.96 Mn |
Historic Data
Download Data| Date | Value |
|---|---|
| Mar 31, 2026 | -647.00 Mn |
| Mar 31, 2026 | -647.00 Mn |
| Dec 31, 2025 | 1.66 Bn |
| Dec 31, 2025 | 1.66 Bn |
| Sep 30, 2025 | 1.69 Bn |
| Sep 30, 2025 | 1.69 Bn |
| Jun 30, 2025 | -4.02 Bn |
| Jun 30, 2025 | -4.02 Bn |
| Mar 31, 2025 | -564.00 Mn |
| Mar 31, 2025 | -564.00 Mn |
| Dec 31, 2024 | 1.77 Bn |
| Dec 31, 2024 | 1.77 Bn |
| Sep 30, 2024 | -291.00 Mn |
| Sep 30, 2024 | -291.00 Mn |
| Jun 30, 2024 | -2.68 Bn |
| Jun 30, 2024 | -2.68 Bn |
| Mar 31, 2024 | 1.82 Bn |
| Mar 31, 2024 | 1.82 Bn |
| Dec 31, 2023 | -223.00 Mn |
| Dec 31, 2023 | -223.00 Mn |