Cigna (CI) Net Cash Flow (2018 - 2026)

Cigna (CI) reported Net Cash Flow of -$647.0 million for Q1 2026, down 14.72% on a YoY basis from -$758.6 million in Q1 2025, and down 138.91% sequentially from $1.7 billion in Q4 2025.

Cigna (CI) Net Cash Flow (2018 - 2026) Analysis & Trends

Cigna (CI) has 9 years of Net Cash Flow data on file, last reported at -$647.0 million in Q1 2026.

  • For the quarter ending Q1 2026, Net Cash Flow fell 14.72% year-over-year to -$647.0 million; the trailing twelve-month figure through Mar 2026 stood at -$1.3 billion (up 25.82% YoY), and the FY2025 full-year result was -$1.2 billion, down 299.84% from the prior year.
  • Net Cash Flow retreated to -$647.0 million in Q1 2026, 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.
  • A 5-year average of $94.1 million and a median of -$223.0 million in 2023 frame the typical range for Net Cash Flow.
  • Across the five-year window, Net Cash Flow jumped 2153.75% in 2023 and sank 263.36% in 2024, its largest moves.
  • Tracing CI's Net Cash Flow over 5 years: stood at -$1.2 billion in 2022, then jumped by 80.66% to -$223.0 million in 2023, then soared by 895.07% to $1.8 billion in 2024, then dropped by 6.2% to $1.7 billion in 2025, then plunged by 138.91% to -$647.0 million in 2026.
  • Business Quant data shows CI's Net Cash Flow at -$647.0 million in Q1 2026, $1.7 billion in Q4 2025, and $1.7 billion in Q3 2025.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Net Cash Flow (Qtr)
1 Unitedhealth 384.70 Bn 354.90 Bn 38.23 Bn 3.47 Bn
2 Cvs Health 136.05 Bn 124.42 Bn 22.85 Bn 1.06 Bn
3 Elevance Health 82.25 Bn 46.44 Bn 35.79 Bn 578.00 Mn
4 Cigna 75.16 Bn 67.54 Bn -44.29 Bn -647.00 Mn
5 Humana 47.47 Bn 25.57 Bn 5.94 Bn 751.00 Mn
6 Centene 31.35 Bn 7.64 Bn 43.95 Bn 3.39 Bn
7 Molina Healthcare 10.44 Bn 1.19 Bn 1.43 Bn -328.00 Mn
8 Oscar Health 8.62 Bn 1.83 Bn 1.42 Bn 2.03 Bn
9 Alignment Healthcare 4.13 Bn 3.41 Bn 144.48 Mn 129.78 Mn
10 Progyny 2.48 Bn 2.26 Bn 83.07 Mn 19.43 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