The Cigna Group

CI
Financial Analysis · Updated May 12, 2026 · Coverage 2026-Q2
Latest Q Revenue
$68.5B
Q1 2026 · +4.6% YoY
TTM ROIC
14.4%
FY2025 · GAAP Net Income / Avg. Equity (ROE as primary return metric for insurance + PBM hybrid) · WACC ~5.75% · Moat spread +8.65pp

Financial Snapshot


ticker: CI step: 04 generated: 2026-05-12 source: quick-research

The Cigna Group (CI) — Financial Snapshot

Income Statement Summary

Metric FY2023 FY2024 FY2025 YoY (25v24)
Revenue $195.3B $247.1B $274.9B +11.3%
Adjusted Income from Operations ~$6.8B $7.7B $8.0B +3.9%
Adjusted EPS (non-GAAP) $24.79 $27.33 $29.84 +9.2%
GAAP Net Income $5.2B $3.4B (after $2.7B one-time loss) $6.0B +76%
GAAP EPS (diluted) $17.30 $12.12 $22.18 +83%

Notes: FY2024 GAAP net income compressed by a one-time non-cash after-tax investment loss of $2.7B ($9.53/sh). FY2025 reflects sale of Medicare Advantage / Part D businesses to HCSC for $3.7B (closed March 2025) — Cigna Healthcare segment revenue declined from $52.9B (FY2024) to $47.2B (FY2025) as a result.

Segment Performance (FY2025)

Segment FY2024 Revenue FY2025 Revenue YoY
Evernorth Health Services $202.2B $234.95B +16.2%
Cigna Healthcare $52.9B $47.2B -10.8% (MA divestiture)
Pharmacy customers 118.3M 123.6M +4.5%

Cash Flow & Balance Sheet (FY2025)

Metric Value
Operating Cash Flow ~$10–12B
Capex ~$1.5B
Free Cash Flow ~$8–10B
Cash & Investments ~$10B
Total Debt ~$33B
MA divestiture proceeds (FY2025): $3.7B

Capital Return (FY2025)

  • Share repurchases: 11.9M shares repurchased
  • Quarterly dividend raised to $1.56/share in early 2026 (FY2026 annual dividend run-rate ~$6.24)
  • Total capital return is robust — Cigna has been one of the most active buyback executors in managed care

Key Ratios (approximate, May 2026)

  • P/E (adj, fwd FY2026): ~10x | EV/EBITDA: ~9x | FCF Yield: ~10%
  • Revenue Growth (TTM): ~11% | Adj. Operating Margin: ~3% (consistent with high-volume, low-margin pharmacy services)
  • Trading at ~9.5x 2025 expected earnings — significant discount to UNH and historical CI multiple

Growth Profile

The Cigna Group is in the cleanest position of any major US managed-care company entering 2026:

  • Cigna already exited Medicare Advantage / Part D — avoiding the medical-loss-ratio crisis hitting UNH, Humana, Elevance through 2024/2025
  • Evernorth (pharmacy + specialty services) is growing 16%+ — the dominant earnings driver
  • FTC settlement (Feb 2026) is comprehensive — no monetary fines, structural reforms largely aligned with Cigna's own rebate-free pivot
  • Anthem's Express Scripts contract remains intact and is the single largest external PBM relationship in US healthcare

Forward Estimates

2026 guidance (Feb 2026, then raised):

  • Consolidated adjusted revenues ~$280B
  • Adjusted EPS at least $30.35 (raised from $30.25)
  • Evernorth adjusted earnings ≥ $6.9B
  • Cigna Healthcare adjusted earnings ≥ $4.5B

The "rebate-free model" transition to 2028 is the main P&L drag in 2026/2027, expected to compress pharmacy gross profit moderately. Bull-side scenarios pencil in EPS toward $33 by FY2027 as PBM transparency builds long-term client trust + buybacks compound. Bear-side scenarios bake in faster regulatory pressure (state-level PBM mandates, additional FTC action), Anthem contract risk, and slower Evernorth Care Group ramp.

Deeper Financial Analysis

The fundamental tier adds 9 additional research dimensions for $CI.

Revenue Breakdown
Segment revenue, geographic mix, product-line contribution margins, and cohort dynamics.
Financial Trends
Quarter-over-quarter momentum, leading indicators, and inflection point analysis.
Balance Sheet
Debt structure, liquidity runway, dilution risk, and working capital dynamics.
Capital Allocation
Buyback cadence, M&A appetite, dividend policy, and reinvestment priorities.
Returns on Capital (ROIC)
Multi-year ROIC vs. WACC, marginal returns on reinvestment, sales-to-invested-capital efficiency, and moat spread.
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