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
DateValue
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