A health insurer and, through Evernorth, one of the largest pharmacy-benefit managers.
$315.88close as of 2026-10-22
+4.9% over 1Y · 10.7 points behind the S&P 500
CIS&P 500 (SPY), rebased to CI's first close
“Can specialty growth offset weaker pharmacy benefit earnings as Cigna prepares to change how patients receive drug discounts?”
Editorial note · updated 2026-10-02
The TenQ Radar
Cigna in 36 checks
Cigna on the TenQ Radar: value, growth, quality, health, shareholder returns and trend. The fuller the shape, the stronger the company. Behind each axis are six pass-or-fail checks from its filings, spelled out in the chapters below. Point at an axis to see them.
The business itself is the question here: 20 of 36 checks passed.
The Cigna story
What drives Cigna, what its price assumes and what could change the story, written from its own filings.
Scale meets margin pressure. Evernorth’s adjusted revenue rose 6% in the quarter to June 2026, but its adjusted income from operations before tax fell 2% as pharmacy benefit earnings weakened.
Insurance contributes more. Cigna Healthcare’s adjusted income from operations before tax rose 17% in the quarter to June 2026, primarily because of improved margins in its U.S. Employer business.
Discounts move upfront. Cigna Healthcare plans to adopt Evernorth’s rebate-free pharmacy benefit approach for fully insured customers beginning in 2027, before it becomes the standard offering for Evernorth pharmacy benefit clients beginning in 2028.
Q2 '26 · quarter to 30 June 2026 · reported 30 July 2026 · Earnings release ↗
Revenue$71.7B+6.7%vs 2025+4.6%vs Q1
Earnings$1.7B+8.4%vs 2025+0.4%vs Q1
What the release says
Highlights
Specialty and Care Services within Evernorth reported a 22% increase in adjusted income from operations, pre-tax, driven by strong organic growth, higher generic and biosimilar adoption, and operating efficiencies.
Cigna Healthcare segment's adjusted income from operations, pre-tax, rose 17% year-over-year, primarily due to improved margins in the U.S. Employer business and premium rate increases.
The company repurchased 0.9 million shares for approximately $250 million year-to-date through July 29, 2026.
What management expects
The Cigna Group raised its full-year 2026 outlook for consolidated adjusted income from operations to at least $30.45 per share.
Evernorth is projected to deliver at least $6,900 million in adjusted income from operations, pre-tax, and Cigna Healthcare at least $4,550 million in 2026.
The company expects the Cigna Healthcare Medical Care Ratio for 2026 to be between 83.7% and 84.7%.
Key risks
If Cigna does not accurately predict and manage health care costs or price premiums appropriately, its business, cash flows, and results of operations could be materially adversely impacted.
Strong competition in both the pharmacy benefit and health care markets could lead to margin compression, loss of clients, or the need to reduce prices and share more rebates, which may negatively affect financial results.
Changes in drug pricing benchmarks, loss of key pharmaceutical manufacturer relationships, or legislative reforms affecting rebates and pricing could materially impact Cigna's financial performance and competitive position.
Failure to comply with complex and evolving government regulations, privacy, and data security laws could result in significant liability, increased costs, reputational harm, or restrictions on operations.
AI summary of the company's filings, every number checked against them · 8 October 2026 · Sources: earnings release, 10-K, 10-Q
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I
Value
●●●●●●3/6
Fairly priced on some measures, rich on others, its earnings multiple below its own long-run norm.
13.2xown 10-year median 15.2x
0.3xown 10-year median 0.4x
-cash earned per $ of price
8.5xwhole-business multiple
Valuation history
Is CI's P/E, P/S or P/B high or low against its own past?
Year
P/E
P/S
P/B
2016
16.5782
0.7769
2.2587
2017
17.5659
0.9399
2.8659
2018
16.2331
0.8799
1.0434
2019
11.4634
0.381
1.2905
2020
7.4019
0.3903
1.2441
2021
12.9834
0.4005
1.4799
2022
11.7595
0.4367
1.7646
2023
15.2343
0.4029
1.702
2024
26.3277
0.3659
2.2033
2025
13.1373
0.2847
1.8761
2026
13.2222
0.2956
1.9584
◌ 2026 = at the latest close (2026-10-22), over the trailing twelve months; earlier years are annual averages · the last point is at the latest close (2026-10-22); earlier quarters use that quarter's average price over the trailing twelve months to it
→At 13.2x earnings, the market is paying 13% less than CI's own 10-year median of 15.2x. Pessimism is priced in - the question is whether it is deserved.
What this measures
What the market has paid for each dollar of earnings, sales or book value, every year, with today's multiple as the last point and the median drawn across.
What good looks like. There is no good level. What matters is the distance from the company's own history, and whether the business has changed enough to justify it.
If it rises or falls. A multiple above its own median means the market expects more than it used to, so more has to go right. Below the median means the opposite, and the question is whether the pessimism is deserved. A multiple can also fall because earnings rose, which is the good way.
Earnings yield
Does CI's earnings yield beat a 10-year Treasury?
Period
Earnings yield
10-year Treasury
2016
0.0603
0.0183
2017
0.0569
0.0233
2018
0.0616
0.0289
2019
0.0872
0.0208
2020
0.1351
0.0083
2021
0.077
0.0146
2022
0.085
0.03
2023
0.0656
0.0397
2024
0.038
0.0424
2025
0.0761
0.0425
2026
0.0756
0.0513
◌ 2026 = at the latest close (2026-10-22), over the trailing twelve months; earlier years are annual averages · the last point is at the latest close (2026-10-22); earlier quarters use that quarter's average price over the trailing twelve months to it · the Treasury line is the average 10-year yield over the same year or quarter, and today's yield at the last point
→At today's price, CI earns 7.6% of its share price in profit a year, more than the 5.1% a 10-year Treasury pays.
What this measures
Earnings yield is profit per share divided by the share price: 1 ÷ P/E. It is the profit you buy with each dollar of share price. The 10-year US Treasury yield is what the government pays, with no risk to the payment, for lending to it for ten years.
What good looks like. An earnings yield above the Treasury yield: each dollar in the shares buys more profit than the same dollar earns in a government bond.
If it rises or falls. It falls when the share price rises faster than profit, and the bar rises when interest rates do: a higher Treasury yield makes the same shares harder to justify. A company whose profit is growing fast can sit below the line for years, which is what the price is betting on.
Enterprise value
What is CI's EV/EBITDA: the price of the whole business, debt included?
Period
EV / EBITDA
2017
8.7901
2018
16.3511
2019
7.7047
2020
7.6688
2021
8.9644
2022
9.0542
2023
8.716
2024
9.364
2025
8.4334
2026
8.5237
◌ 2026 = at the latest close (2026-10-22), over the trailing twelve months; earlier years are annual averages · the last point is at the latest close (2026-10-22); earlier quarters use that quarter's average price over the trailing twelve months to it
→Buying CI outright - equity plus debt, less the cash - costs 8.5x its EBITDA, below the 14.0x a broad market median sits at. That is about where it has traded on its own history (8.8x).
What this measures
Enterprise value over EBITDA. Enterprise value is the market value of the equity plus debt, less cash and short-term investments - what it would cost to buy the whole company outright. EBITDA is operating profit before depreciation and amortisation.
What good looks like. A multiple below what similar businesses change hands at, and one that has not run far above the company's own past.
If it rises or falls. It rises when the price rises or profit falls, and debt moves it too: two companies on the same price-to-earnings can sit far apart here if one is carrying borrowings the other is not.
What does “Value” actually mean?
Value asks what you pay for each dollar of earnings, sales or cash the business produces. A high multiple isn't automatically bad - fast growers earn theirs - but a price far above the company's own history means the market expects a lot to go right. We compare each multiple to the company's own past and to its sector, never to a universal rule.
Growing, with caveats: revenue +7.8% over the last year.
+7.8%vs the year before
+15.0%compound annual
+27.9%net income growth
-3.9%compound annual
Revenue history
Is CI's revenue growing?
◌ dashed quarter = Q4 derived from the annual filing minus Q1, Q2 and Q3 (the SEC never receives a Q4 report)
Period
Revenue ($)
Q1 2017
10.43B
Q2 2017
10.37B
Q3 2017
10.37B
Q4 2017
10.63B
Q1 2018
11.41B
Q2 2018
11.48B
Q3 2018
11.46B
Q4 2018
14.30B
Q1 2019
37.95B
Q2 2019
38.82B
Q3 2019
38.56B
Q4 2019
38.24B
Q1 2020
38.47B
Q2 2020
39.27B
Q3 2020
40.95B
Q4 2020
41.71B
Q1 2021
40.97B
Q2 2021
43.13B
Q3 2021
44.29B
Q4 2021
45.68B
Q1 2022
44.01B
Q2 2022
45.48B
Q3 2022
45.28B
Q4 2022
45.75B
Q1 2023
46.52B
Q2 2023
48.59B
Q3 2023
49.05B
Q4 2023
51.11B
Q1 2024
57.26B
Q2 2024
60.52B
Q3 2024
63.69B
Q4 2024
65.65B
Q1 2025
65.50B
Q2 2025
67.18B
Q3 2025
69.75B
Q4 2025
72.47B
Q1 2026
68.49B
Q2 2026
71.67B
2016
39.84B
2017
41.81B
2018
48.65B
2019
153.57B
2020
160.40B
2021
174.07B
2022
180.52B
2023
195.26B
2024
247.12B
2025
274.90B
→Revenue reached $274.9B in 2025, compounding +15% a year since 2022 and the pace is picking up. The last twelve months (+8%) ran below that pace, so growth is slowing. The trailing twelve months are already running at $282.4B, ahead of the last full year.
What this measures
The money customers paid, before any costs are taken out. Each bar is one quarter or, on the annual view, a full financial year; the last annual bar may be the trailing twelve months, which the footnote marks.
What good looks like. Growth that repeats, rather than one strong year carrying the chart, and a trailing twelve months keeping pace with the last full year.
If it rises or falls. Revenue is the hardest line to flatter, so a rise is the most trustworthy kind of growth. A fall puts pressure on every margin below it, because costs rarely come down as quickly as sales do.
Profit history
Is CI's net profit growing?
◌ dashed quarter = Q4 derived from the annual filing minus Q1, Q2 and Q3 (the SEC never receives a Q4 report)
Period
Net income ($)
Q1 2017
598.0M
Q2 2017
813.0M
Q3 2017
560.0M
Q4 2017
266.0M
Q1 2018
915.0M
Q2 2018
806.0M
Q3 2018
772.0M
Q4 2018
144.0M
Q1 2019
1.37B
Q2 2019
1.41B
Q3 2019
1.35B
Q4 2019
977.0M
Q1 2020
1.18B
Q2 2020
1.75B
Q3 2020
1.39B
Q4 2020
4.13B
Q1 2021
1.16B
Q2 2021
1.47B
Q3 2021
1.62B
Q4 2021
1.12B
Q1 2022
1.20B
Q2 2022
1.56B
Q3 2022
2.76B
Q4 2022
1.19B
Q1 2023
1.27B
Q2 2023
1.46B
Q3 2023
1.41B
Q4 2023
1.03B
Q1 2024
-277.0M
Q2 2024
1.55B
Q3 2024
739.0M
Q4 2024
1.42B
Q1 2025
1.32B
Q2 2025
1.53B
Q3 2025
1.87B
Q4 2025
1.23B
Q1 2026
1.65B
Q2 2026
1.66B
2016
1.87B
2017
2.24B
2018
2.64B
2019
5.10B
2020
8.46B
2021
5.37B
2022
6.70B
2023
5.16B
2024
3.43B
2025
5.96B
→Net income was $6.0B in 2025, compounding -4% a year over three years. Earnings per share moved +28% over the last twelve months. Trailing twelve-month profit stands at $6.4B.
What this measures
What is left after every cost, including tax and interest. The bottom line of the income statement.
What good looks like. Profit growing at least as fast as revenue, which means the business is keeping more of each sale as it gets bigger.
If it rises or falls. Profit can move for reasons revenue cannot explain - a one-off charge, a tax change, a write-down - so a single sharp year is worth checking against the margin chart before reading it as a trend.
Growth rate
How fast are CI's revenue and earnings growing?
Year
Revenue growth
Earnings growth
2,017
0.0494
0.1982
2,018
0.1637
0.1788
2,019
2.1565
0.9355
2,020
0.0445
0.6571
2,021
0.0852
-0.3651
2,022
0.037
0.2484
2,023
0.0817
-0.2297
2,024
0.2656
-0.335
2,025
0.1124
0.7347
2026
0.0777
0.2786
◌ 2026 = trailing twelve months to the latest filed quarter (2026-06-30), not a full fiscal year · on the quarterly views, growth is the trailing twelve months against the twelve before, or a quarter against the same quarter a year earlier
→Revenue grew 8% over the twelve months to 2026-06-30, against an average of +12% a year over 2021-2025. Earnings grew faster (28%), so each new dollar of sales is arriving more profitably.
What this measures
How much revenue and earnings changed against the year before - the trailing twelve months against the twelve before them at each quarter, or one point per fiscal year. It is the speed of the business, not its size.
What good looks like. The earnings line above the revenue line: profits growing faster than sales means each new dollar of sales arrives more profitably than the last.
If it rises or falls. A high growth rate off a small base is easy and gets harder every year, so slowing growth in a large business is normal rather than a warning. Earnings falling while revenue grows is the combination worth understanding: costs are rising faster than sales.
Per-share growth
Are CI's revenue and free cash flow per share growing?
Year
Revenue per share ($)
Free cash flow per share ($)
2,016
153.4314
-
2,017
163.8988
-
2,018
194.425
-
2,019
404.3158
-
2,020
435.412
-
2,021
510.5172
-
2,022
576.6151
-
2,023
657.7192
-
2,024
872.5469
-
2,025
1,024
-
◌ 2026 = trailing twelve months to the latest filed quarter (2026-06-30), not a full fiscal year · each quarterly point is the trailing twelve months to that quarter end, so the last one is the current figure
→Revenue per share reached $1023.60 in 2025, compounding +21% a year against +15% for CI as a whole. Buybacks added roughly 6.0 points to your per-share result. The trailing twelve months are running at $1051.46 a share.
What this measures
Revenue and free cash flow, each divided by the number of shares in issue and adjusted for splits so old and new years compare honestly. Both lines rising means each share owns more of the business's sales and cash.
What good looks like. Both lines rising, and revenue per share growing at least as fast as the company's total revenue, which the answer compares. Faster means buybacks are working for you; slower means new shares are absorbing part of the growth.
If it rises or falls. This is the line that actually reaches you. A company can grow revenue every year and still shrink your slice by issuing shares faster than it grows.
Evernorth against Cigna HealthcareInsight
How much of Cigna's revenue comes from Evernorth?
dashed quarter = Q4 derived from the annual filing minus Q1, Q2 and Q3 (the SEC never receives a Q4 report)
→Evernorth, the pharmacy benefit manager, was $61.5B of Cigna's $73.4B in 2026Q2, 84% of the company; the insurer everyone knows the name for did $11.8B.
Source: SEC filings - segment disclosures (XBRL notes) · as at 2026-06-30
What does “Growth” actually mean?
Growth here is what the company has actually reported to the SEC - not a forecast. We look at the last year, the three-year pace, whether growth is speeding up or slowing down, and whether it's been consistent rather than one lucky year. Hatched bars are fourth quarters we derived from annual filings (companies file a full-year 10-K rather than a Q4 report).
Profitability is thin or negative. The growth isn't turning into money yet.
-kept after direct costs
3.5%kept after running costs
15.4%profit on shareholders' money
4.1%profit on everything it owns
160%operating cash ÷ net income
Margins
What profit margin does CI keep on each sale?
Year
Gross
Operating
Net
2,016
-
0.0775
0.0469
2,017
-
0.0943
0.0535
2,018
-
0.0855
0.0542
2,019
-
0.0526
0.0332
2,020
-
0.0508
0.0527
2,021
-
0.0456
0.0308
2,022
-
0.0468
0.0371
2,023
-
0.0437
0.0264
2,024
-
0.0381
0.0139
2,025
-
0.0335
0.0217
◌ 2026 = trailing twelve months to the latest filed quarter (2026-06-30), not a full fiscal year · each quarterly point is the trailing twelve months to that quarter end, so the last one is the current figure
→Operating margin has held near 3% since 2022. After everything, 2 cents of each sales dollar reaches net profit. CI doesn't tag a gross-profit line in its filings, so the chart starts at operating margin.
What this measures
What survives at three points on the way down the income statement: after the direct cost of the product, after the cost of running the company, and after everything.
What good looks like. Margins that hold or widen as the business grows. The level itself varies enormously by industry, so the shape over time tells you more than the number.
If it rises or falls. A widening margin means pricing power or costs under control. A compressing one means the opposite, and it compounds: on large revenue, two points of margin is a great deal of profit.
Earnings quality
Does CI's operating cash flow keep up with its profit?
Year
Cash from operations
Net income
2,016
4.03B
1.87B
2,017
4.09B
2.24B
2,018
3.77B
2.64B
2,019
9.48B
5.10B
2,020
10.35B
8.46B
2,021
7.19B
5.37B
2,022
8.66B
6.70B
2,023
11.81B
5.16B
2,024
10.36B
3.43B
2,025
9.60B
5.96B
◌ 2026 = trailing twelve months to the latest filed quarter (2026-06-30), not a full fiscal year · each quarterly point is the trailing twelve months to that quarter end, so the last one is the current figure
→Operating cash flow runs at 160% of reported profit, so the earnings are more than backed by cash - depreciation and other non-cash charges are understating what the business actually collects.
What this measures
Reported profit against the cash the business actually collected from operating. Profit is an accounting judgement; cash is not.
What good looks like. Cash at or above profit, year after year. Depreciation and other non-cash charges usually push cash above profit, so roughly 100% or more is healthy.
If it rises or falls. Cash falling behind profit for more than a year is the classic early warning: the sales are booked but the money has not arrived, and it shows up in receivables and inventory. For a lender the comparison behaves differently, because a growing loan book consumes cash.
Returns on capital
What return on equity and on capital does CI earn?
Year
ROE
ROA
ROCE
2,016
0.1452
-
-
2,017
0.1632
0.0362
0.0777
2,018
0.0963
0.0172
0.0343
2,019
0.1182
0.0328
0.0698
2,020
0.1768
0.0544
0.0683
2,021
0.1102
0.0347
0.0713
2,022
0.1461
0.0466
0.0823
2,023
0.1136
0.0338
0.082
2,024
0.0787
0.022
0.0962
2,025
0.144
0.0377
0.0906
◌ 2026 = trailing twelve months to the latest filed quarter (2026-06-30), not a full fiscal year · each quarterly point is the trailing twelve months to that quarter end, so the last one is the current figure
→ROE of 15% and ROCE of 10% sit close together, so the returns come from the business itself rather than from borrowing.
What this measures
Two returns side by side: on shareholders' capital (ROE), and on all the capital in the business including debt (ROCE).
What good looks like. Both comfortably above roughly 10%, and close together. A wide gap means borrowing, not operations, is doing the work.
If it rises or falls. A high ROE built on debt looks like quality until the debt has to be refinanced. ROCE is the harder number to flatter, which is why both are shown.
Medical care ratioInsight
How much of what Cigna collects in premiums goes out in medical costs?
dashed quarter = Q4 derived from the annual filing minus Q1, Q2 and Q3 (the SEC never receives a Q4 report)
→86% of the premiums Cigna collected in 2026Q2 went out again as medical costs, against 76% in 2019Q1. A point of this ratio is hundreds of millions of dollars; it is the number managed care lives and dies by.
Source: SEC filings - XBRL financial data · as at 2026-06-30
Customer concentrationInsight
How much of Cigna's revenue comes from its largest customers?
→Cigna's largest customer made up 19% of its revenue in FY2025, up from 14% in FY2022.
Source: SEC filings: customer concentration notes (XBRL) · as at 2026-06-30
Return on equity
Is CI's return on capital above what its capital costs?
Period
Return on equity
2016
0.1452
2017
0.1632
2018
0.0963
2019
0.1182
2020
0.1768
2021
0.1102
2022
0.1461
2023
0.1136
2024
0.0787
2025
0.144
◌ 2026 = trailing twelve months to the latest filed quarter (2026-06-30), not a full fiscal year · each quarterly point is the trailing twelve months to that quarter end, so the last one is the current figure
→CI earns 14.4% on the capital it employs, comfortably above the 10% most investors treat as the cost of capital. It was 14.6% in 2022, so the trend is flat, though the pace has cooled.
What this measures
The same return as the card above, but every filed year, against a 10% line that stands in for what capital costs.
What good looks like. Years above the line, and a trend that is flat or rising rather than drifting down towards it.
If it rises or falls. A business earning above its cost of capital creates value by growing; one earning below it destroys value by growing. The 10% line is a convention, not a law, so read the distance from it rather than the crossing.
What does “Quality” actually mean?
Quality asks whether the growth makes real money. Margins show how much of each sale survives costs; return on equity shows what shareholders earn on their capital; and the profit-to-cash comparison catches companies whose accounting profits never turn into actual cash.
The balance sheet carries real risk. Read the checks before anything else.
0.75xborrowed vs owned
0.8xnear-term bills coverage
7xearnings ÷ interest bill
$7.3Bcash plus short-term investments
Debt & cash
How much debt does CI carry, and do its profits cover the interest?
Year
Total debt
Cash & investments
2,015
-
1.97B
2,016
-
3.19B
2,017
5.44B
5.11B
2,018
42.48B
5.90B
2,019
37.41B
5.56B
2,020
32.92B
11.51B
2,021
33.67B
6.00B
2,022
31.09B
6.83B
2,023
30.93B
8.75B
2,024
31.97B
8.21B
2,025
31.46B
8.73B
2,026
31.88B
7.26B
◌ each quarterly point is the balance sheet at that quarter end
→Debt of $31.9B sits against $7.3B of cash, or 0.7x shareholders' equity. Earnings cover interest 7.0 times - adequate, with less room than it looks in a downturn.
What this measures
Total borrowings against cash on hand, with debt as a multiple of shareholders' equity, and how many times profit covers the interest bill.
What good looks like. Interest covered comfortably - roughly eight times or more - and debt that is not a large multiple of equity.
If it rises or falls. Debt is only a problem when it has to be repaid or refinanced in a bad year, so cover matters more than the amount. Rising debt with rising cover is a business borrowing to grow; rising debt with falling cover is the combination that ends badly.
Near-term liquidity
Do CI's current assets cover the bills due within a year?
Period
Current ratio
2017
0.8458
2018
0.6405
2019
0.7436
2020
0.7717
2021
0.8293
2022
0.7307
2023
0.7667
2024
0.8429
2025
0.8486
◌ each quarterly point is the balance sheet at that quarter end
→Near-term liquidity is tight: 0.8x of current assets against a dollar due within the year, so CI is relying on trading through rather than on what it already holds. That is much the same than in 2017.
What this measures
Current assets over current liabilities: what the company can turn into cash within a year against what it owes within a year.
What good looks like. Comfortably above 1.0, and not falling year after year. Below 1.0 means near-term bills exceed near-term resources, which is normal for some business models and a warning in others.
If it rises or falls. Inventory and receivables build it up; short-term borrowing and payables pull it down. A retailer that turns stock over quickly can run lower than a manufacturer and be perfectly sound.
Interest cover
How many times over can CI's operating profit pay its interest bill?
Period
Interest cover (x)
2016
12.3028
2017
16.2222
2018
8.2051
2019
5.0481
2020
5.8236
2021
6.1085
2022
6.5
2023
6.0971
2024
6.278
2025
6.5714
◌ 2026 = trailing twelve months to the latest filed quarter (2026-06-30), not a full fiscal year · each quarterly point is the trailing twelve months to that quarter end, so the last one is the current figure
→Operating profit covers the interest bill 7.0x over. Cover was 12.3x in 2016, so the margin of safety has narrowed.
What this measures
Operating profit divided by interest expense - how many times over the year's earnings could pay the year's interest.
What good looks like. High and steady. Five times is a common floor; comfortably above it means the debt is being carried, not merely serviced.
If it rises or falls. It falls when profit falls or when borrowing costs rise, and a company can look safe on the level while the direction is telling you otherwise.
Cash conversion
How much of CI's revenue arrives as operating cash?
Period
Operating cash flow / revenue
2016
0.1011
2017
0.0977
2018
0.0775
2019
0.0618
2020
0.0645
2021
0.0413
2022
0.048
2023
0.0605
2024
0.0419
2025
0.0349
◌ 2026 = trailing twelve months to the latest filed quarter (2026-06-30), not a full fiscal year · each quarterly point is the trailing twelve months to that quarter end, so the last one is the current figure
→3.6% of every dollar CI sold arrived as operating cash. Down from 10.1% in 2016.
What this measures
Operating cash flow as a share of revenue: of every dollar sold, how much reached the bank before capital spending.
What good looks like. A high share, holding up or improving. It is the clearest sign that reported profit is real.
If it rises or falls. It falls when customers take longer to pay or stock builds up, and it can stay high while profit falls - which is usually the more reassuring of the two.
Shareholders' equity
Is CI's shareholder equity (book value) growing?
Period
Equity ($)
2015
12.02B
2016
13.70B
2017
13.71B
2018
41.03B
2019
45.34B
2020
50.32B
2021
47.11B
2022
44.67B
2023
46.22B
2024
41.03B
2025
41.71B
2026
42.62B
→The company's own capital shrank from $46.2B in 2023 to $42.6B (-8%). Buybacks or losses are drawing the buffer down - the distinction matters.
What this measures
What would be left for shareholders if every asset were sold at its book value and every debt repaid. Book value, in other words.
What good looks like. Equity growing as retained profits build up, unless the company is deliberately returning more than it earns.
If it rises or falls. Equity falls for two very different reasons: buybacks, which return money to you, and losses, which do not. The distinction is the whole story, and negative equity means liabilities now exceed assets, which makes debt-to-equity and return on equity meaningless rather than alarming.
When the debt comes dueInsight
How much does Cigna owe, and when does it come due?
→Cigna owes $35.7B: $14.2B by 2030, $10.2B between 2031 and 2040 and $11.2B after 2040. Express Scripts was bought for fifty-four billion in 2018 and this ladder is what financed it.
Source: SEC filings - segment disclosures (XBRL notes) · as at 2026-06-30
What does “Health” actually mean?
Health asks one question: can the business survive a bad year? We check whether near-term bills are covered, whether debt is modest and shrinking, whether earnings comfortably pay the interest, and - for loss-makers - how many years of cash are left at the current burn rate.
Shareholders are paid reliably and affordably, and the share count is not eroding their stake.
+1.53%bought back, TTM, over market value
+1.98%at the current rate
$2.9Bdividends plus buybacks
$291Mlast 12m, dilutes the buybacks
+2.4%since 2016 (split-adjusted)
Capital returned vs stock comp
Do CI's buybacks and dividends outweigh the stock it issues to staff?
Year
Buybacks
Dividends
Stock comp
2,016
139.0M
10.0M
128.0M
2,017
2.73B
10.0M
178.0M
2,018
342.0M
10.0M
180.0M
2,019
1.99B
15.0M
299.0M
2,020
4.04B
15.0M
289.0M
2,021
7.74B
1.34B
268.0M
2,022
7.61B
1.38B
264.0M
2,023
2.28B
1.45B
286.0M
2,024
7.03B
1.57B
308.0M
2,025
3.62B
1.61B
291.0M
→Shareholders received $3.6B in buybacks and $1.6B in dividends in 2025. The trailing twelve months come to $2.9B. Stock compensation issued $291M of new shares in the same year, offsetting 6% of that.
What this measures
Cash returned through buybacks and dividends, alongside the value of new shares issued to employees as compensation.
What good looks like. Returns comfortably larger than stock compensation, so the share count actually falls.
If it rises or falls. A company can announce billions in buybacks while issuing nearly as much stock to staff, and the two largely cancel. What reaches you is the net effect, which is why both bars are here rather than only the buyback.
Shareholder yield
What is CI's shareholder yield from dividends and buybacks?
Year
Buyback yield
Dividend yield
2,016
0.0045
0.0003
2,017
0.0693
0.0003
2,018
0.008
0.0002
2,019
0.034
0.0003
2,020
0.0646
0.0002
2,021
0.111
0.0192
2,022
0.0965
0.0176
2,023
0.029
0.0184
2,024
0.0778
0.0173
2,025
0.0463
0.0206
◌ 2026 = at the latest close (2026-10-22), over the trailing twelve months; earlier years are annual averages · the last point is at the latest close (2026-10-22); earlier quarters use that quarter's average price over the trailing twelve months to it
→CI handed back 3.5% of its market value over the last twelve months, above the 2% this check asks for. Split between buybacks (1.5%) and the dividend (2.0%). Its own average is 6.7%, so less is coming back than usual.
What this measures
Dividends and buybacks, each as a percentage of what the company was worth that year. The dollar chart says how much came back; this says how much came back for the price.
What good looks like. A total that clears a couple of percent and holds. Which half it comes from matters less than whether it is sustained.
If it rises or falls. A yield rises when the price falls as readily as when the payout grows, so read a jump beside the price chart before treating it as generosity.
Share count change (split-adjusted)
Is CI's share count rising or falling?
Year
Share-count change
2,017
-0.0176
2,018
-0.019
2,019
0.5179
2,020
-0.0301
2,021
-0.0744
2,022
-0.0818
2,023
-0.0517
2,024
-0.046
2,025
-0.0517
→The share count shrank 5.2% in 2025, averaging 5.0% a year over three years. Buybacks are concentrating your ownership: the same business, split fewer ways.
What this measures
The yearly change in the number of shares in issue, adjusted for splits so the years compare. A bar below zero is a falling share count, usually from buybacks; above zero, new shares were issued.
What good looks like. A flat or falling share count. Falling means each share you hold owns a little more of the business every year.
If it rises or falls. A rising count divides the same business among more owners, so your slice shrinks unless profits grow faster. This is the most direct chart on the page: it is your ownership, measured.
Dividend per share (split-adjusted)
Is CI's dividend per share growing?
Year
DPS ($)
2,016
0.0385
2,017
0.0392
2,018
0.04
2,019
0.0395
2,020
0.0407
2,021
3.9329
2,022
4.4208
2,023
4.8841
2,024
5.5328
2,025
5.9986
◌ 2026 = trailing twelve months to the latest filed quarter (2026-06-30), not a full fiscal year · on the quarterly views, the dividend paid over the trailing twelve months, or in the single quarter, over that quarter's diluted share count
→The dividend per share reached $6.00 in 2025, compounding +171% a year since 2020.
What this measures
The dividend paid on one share each year, adjusted for splits so a share today compares with a share ten years ago.
What good looks like. A payment that rises steadily. A long unbroken run of rises is a management commitment as much as a number.
If it rises or falls. A cut is one of the strongest signals a board can send, because they know how it will be read. Check it against the payout chart: a rising dividend the business cannot cover is a promise borrowed against.
Dividend yield
What is CI's dividend yield at today's price?
Year
Yield
2016
0.0003
2017
0.0003
2018
0.0002
2019
0.0003
2020
0.0002
2021
0.0192
2022
0.0176
2023
0.0184
2024
0.0173
2025
0.0206
2026
0.0198
◌ 2026 = at the latest close (2026-10-22), over the trailing twelve months; earlier years are annual averages · the last point is at the latest close (2026-10-22); earlier quarters use that quarter's average price over the trailing twelve months to it
→CI's dividend at its current rate is 1.98% of today's price.
What this measures
The dividend paid over the trailing twelve months as a percentage of the share price, at each quarter's (or year's) average price and at today's.
What good looks like. A yield in line with the company's own history. A yield far above it is usually the price falling, not the dividend rising.
If it rises or falls. Yield moves for two opposite reasons, and they are easy to confuse: a bigger dividend, or a cheaper share. The dividend-per-share chart above tells you which one happened.
Payout quality
What share of its profit and cash does CI pay out as dividends?
Year
Of profits
Of free cash flow
2,016
0.0054
0.0028
2,017
0.0045
0.0028
2,018
0.0038
0.0031
2,019
0.0029
0.0018
2,020
0.0018
0.0014
2,021
0.2497
0.1865
2,022
0.2064
0.1599
2,023
0.2808
0.1227
2,024
0.4563
0.1512
2,025
0.2704
0.1678
◌ 2026 = trailing twelve months to the latest filed quarter (2026-06-30), not a full fiscal year · each quarterly point is the trailing twelve months to that quarter end, so the last one is the current figure
→The dividend consumed 27% of profit and 17% of free cash flow in 2025. That leaves room to keep paying through a weak year.
What this measures
The dividend as a share of profit, and as a share of free cash flow. Two views of the same question, because profit and cash are not the same thing.
What good looks like. Comfortably under 75% of profit and under 90% of free cash flow, which leaves room to keep paying through a weak year.
If it rises or falls. A payout ratio climbing towards 100% means the dividend is consuming everything the business earns, so the next bad year has to be funded by borrowing or by a cut. Above 100% it is already being funded from somewhere else.
Dilution against what it bought
Has CI's revenue per share grown faster than its share count?
Change since 2016. The gap between the lines is what each share gained or lost. Share counts are split-adjusted weighted averages.
Year
Share count, change since 2016
Revenue per share, change since 2016
2,016
0
0
2,017
-0.0176
0.0682
2,018
-0.0363
0.2672
2,019
0.4628
1.6352
2,020
0.4188
1.8378
2,021
0.3132
2.3273
2,022
0.2057
2.7581
2,023
0.1434
3.2867
2,024
0.0908
4.6869
2,025
0.0343
5.6714
◌ 2026 = trailing twelve months to the latest filed quarter (2026-06-30), not a full fiscal year · on the quarterly view, revenue per share is the trailing twelve months over that quarter's diluted count
→CI issued 3% more shares from 2016 to 2025, but revenue per share still rose 567%. The dilution bought more growth than it cost existing holders.
What this measures
The share count and revenue per share over the same years, both indexed to 100 at the start, so the two lines can be compared directly.
What good looks like. The per-share line above the share-count line: whatever the company did with its shares, more business ended up behind each one.
If it rises or falls. Issuing shares is not automatically bad. It is bad when the money raised buys less growth than the dilution cost, which is exactly what the gap between these two lines shows.
Why compare buybacks with stock compensation?
A company can trumpet billions in buybacks while quietly issuing nearly as much stock to employees. What matters to you is the net effect: is the share count actually falling? If not, the 'return' is mostly recycling.
→CI is in a clear uptrend: the price is above the cloud where recent trading settled, and that cloud is still rising underneath it. The last two weeks and the month-ago comparison both point up, so the shorter readings back the trend.
How the trend above is worked out
The trend read is the daily Ichimoku picture, the same indicator drawn on the chart above. Five names, and what each one is: the TENKAN is the midpoint of the last 9 sessions' high and low, the fast line; the KIJUN is the same over 26 sessions, the slow one; the two SENKOU spans are midpoints drawn 26 sessions into the FUTURE, and the band between them is the KUMO cloud - because it is drawn forward, the support for the coming weeks is already fixed and a change of its direction can be seen coming; the CHIKOU is today's close compared with the close 26 sessions back. A trend confirms itself in that order and the checks follow it: price clears the cloud, holds above both lines, the Tenkan crosses above the Kijun, the cloud ahead turns up, and the Chikou stands higher than the price a month ago. Six of six therefore means all of that at once; a price sitting inside the cloud, or below its own lines, cannot get there. The last check is the one Ichimoku cannot answer - whether the S&P 500 did better over 12 months (252 sessions), measured on the SPY ETF with dividends included, on the same adjusted basis as the stock's own price. Our figures are the last close we hold, refreshed every trading night; the chart is live. None of this says anything about the business, and it is not advice.
Are CI's insiders buying or selling shares with their own money?
Month
Buys ($)
Sells ($)
2023-12
0
0
2024-01
0
0
2024-02
0
25.8M
2024-03
0
30.0M
2024-04
0
0
2024-05
0
5.8M
2024-06
0
2.2M
2024-07
0
0
2024-08
0
10.5M
2024-09
0
0
2024-10
0
0
2024-11
0
0
2024-12
0
0
2025-01
0
0
2025-02
0
0
2025-03
0
13.6M
2025-04
0
0
2025-05
0
0
2025-06
0
0
2025-07
0
0
2025-08
0
8.6M
2025-09
0
0
2025-10
0
1.6M
2025-11
999,916
0
2025-12
0
0
2026-01
0
0
2026-02
0
0
2026-03
0
1.2M
2026-04
0
0
2026-05
0
59.1M
2026-06
0
268,452
2026-07
0
0
2026-08
0
6.1M
2026-09
0
175,259
2026-10
0
0
→Since December 2023, insiders bought $999,916 and sold $165M on the open market, a net sale of $164M. A further 173 transactions were grants, option exercises or tax withholding, which say nothing either way.
What this measures
Open-market buys and sells by the company's own officers and directors, from their Form 4 filings. Grants, option exercises and shares withheld for tax are excluded, because they are compensation rather than decisions.
What good looks like. Buying with their own money, which is the one insider action that is hard to explain away.
If it rises or falls. Selling is weak evidence: insiders sell to diversify, to buy houses, and on pre-scheduled plans set months ahead. Buying is stronger evidence, because there is only one reason to do it. The absence of any buying over a long stretch is itself worth noticing.
The record
Who did what, exactly?
Date
Insider
Role
Type
Shares
Price
Value
2026-09-03
Everett Neville
See Remarks
SELL
617
$284.05
$175,259
2026-08-18
Nicole S Jones
See Remarks
SELL
2,677
$279.61
$748,516
2026-08-05
Nicole S Jones
See Remarks
exercise
1,301
$192.02
$249,818
2026-08-04
Nicole S Jones
See Remarks
exercise
14,045
$192.02
$2.7M
2026-08-04
Nicole S Jones
See Remarks
SELL
19,436
$276.27
$5.37M
2026-06-12
Jamie G Kates
Chief Accounting Officer
exercise
899
$152.89
$137,452
2026-06-12
Jamie G Kates
Chief Accounting Officer
SELL
899
$298.61
$268,452
2026-06-01
Durga Prasad Koka
EVP, Global CIO
tax
729
$275.53
$200,861
2026-05-13
David Cordani
Chairman & CEO
exercise
15,458
$149.14
$2.31M
2026-05-13
David Cordani
Chairman & CEO
exercise
7,971
$197.35
$1.57M
2026-05-12
David Cordani
Chairman & CEO
exercise
103,595
$149.14
$15.45M
2026-05-12
David Cordani
Chairman & CEO
exercise
85,519
$197.35
$16.88M
2026-05-12
David Cordani
Chairman & CEO
SELL
3,903
$286.83
$1.12M
2026-05-12
David Cordani
Chairman & CEO
SELL
14,292
$287.96
$4.12M
2026-05-12
David Cordani
Chairman & CEO
SELL
13,839
$288.85
$4M
2026-05-12
David Cordani
Chairman & CEO
SELL
41,099
$290.00
$11.92M
2026-05-12
David Cordani
Chairman & CEO
SELL
13,732
$291.01
$4M
2026-05-12
David Cordani
Chairman & CEO
SELL
12,315
$291.95
$3.6M
2026-05-12
David Cordani
Chairman & CEO
SELL
7,861
$292.88
$2.3M
2026-05-12
David Cordani
Chairman & CEO
SELL
2,142
$293.92
$629,574
2026-05-12
David Cordani
Chairman & CEO
SELL
38,487
$294.98
$11.35M
2026-05-12
David Cordani
Chairman & CEO
SELL
34,641
$295.98
$10.25M
2026-05-12
David Cordani
Chairman & CEO
SELL
2,017
$296.84
$598,718
2026-05-12
David Cordani
Chairman & CEO
SELL
15,319
$298.24
$4.57M
2026-05-12
David Cordani
Chairman & CEO
SELL
2,231
$298.53
$666,027
2026-03-02
Everett Neville
See Remarks
SELL
1,719
$288.91
$496,636
2026-03-02
Nicole S Jones
See Remarks
SELL
2,307
$288.91
$666,515
2026-02-27
Jamie G Kates
Chief Accounting Officer
tax
71
$287.55
$20,416
2026-02-27
Jamie G Kates
Chief Accounting Officer
tax
61
$287.55
$17,541
2026-02-27
Durga Prasad Koka
EVP, Global CIO
tax
122
$287.55
$35,081
2026-02-27
Durga Prasad Koka
EVP, Global CIO
tax
98
$287.55
$28,180
2026-02-27
Everett Neville
See Remarks
tax
883
$287.55
$253,907
2026-02-27
Everett Neville
See Remarks
tax
517
$287.55
$148,663
2026-02-27
Nicole S Jones
See Remarks
tax
1,826
$287.55
$525,066
2026-02-27
Nicole S Jones
See Remarks
tax
912
$287.55
$262,246
2026-02-27
Brian C Evanko
See Remarks
tax
2,979
$287.55
$856,611
2026-02-27
Brian C Evanko
See Remarks
tax
1,788
$287.55
$514,139
2026-02-27
Ann M Dennison
EVP, CFO
tax
409
$287.55
$117,608
Why do the transaction types matter so much?
Most insider filings are not trades: stock grants, option exercises and tax withholding are how executives get paid, and gifts are estate planning. The signal lives in open-market transactions - a buy means an insider chose to spend their own cash on the stock. Sells are murkier: many are pre-scheduled 10b5-1 plans set months in advance. That's why the chart counts only open-market activity, and the table labels every row.
VIII
Ownership
informational
89.9%on Form 13F, 30 June 2026
0.4%officers, directors, founders
42.6%together
1of the 18 TenQ follows
7last 12 months
Top holders
Who owns Cigna stock?
Fund managers filing Form 13F held 89.9% of the company's shares on 30 June 2026. The largest holder is BlackRock, Inc., with 8.9%. Insiders hold 0.4%.
Source: SEC Form 13F filings for the quarter to 30 June 2026, Schedules 13D and 13G, and Form 4. Shares on today's basis, value at the latest price.
Super investors
Which super investors own Cigna stock?
David Einhorn's Greenlight Capital (DME Capital Management) holds Cigna, 0.6% of its portfolio, as of 30 June 2026. It is the only one of the 18 super investors TenQ follows that holds it.
Source: each firm's Form 13F for the quarter to 30 June 2026, and its Form 4 and Schedules 13D and 13G since. A weight is the holding's share of the firm's 13F portfolio. All super investors
Congress
Are members of Congress trading Cigna stock?
3 members of the House reported 7 trades in Cigna in the last 12 months: one buy and 6 sales.
Source: Periodic Transaction Reports filed with the Clerk of the House under the STOCK Act, within 45 days of a trade. Amounts are the ranges the law asks for. The Senate's reports are not included yet. All Congress trades
Where does this list come from?
Fund managers with more than $100 million in US stocks report their holdings every quarter on Form 13F, up to 45 days after the quarter ends, so the fund figures are as of the last quarter end. A fund family reports as one manager, and funds together can report more than 100%: shares lent to short sellers are bought again by other funds, and both report them. Anyone holding more than 5% of a class files a Schedule 13D or 13G, and officers and directors report what they hold on Form 4 after every trade, so those rows carry their own dates. Short positions are not reported anywhere. A stake is the holder's shares as a share of all the company's shares, with other share classes converted at their market value.