What is Cigna's operating cash flow?

Cigna (CI) reported operating cash flow of $1.13B in Q1 2026.

How has Cigna's operating cash flow changed year-over-year?

Cigna's operating cash flow decreased by 41.1% year-over-year, from $1.92B to $1.13B.

What is the long-term trend for Cigna's operating cash flow?

Over 3 years (2021 to 2024), Cigna's operating cash flow has grown at a 11.4% compound annual growth rate (CAGR), from $7.49B to $10.36B.

What does operating cash flow mean?

Total cash generated by or used in core business operations — the single most important cash flow metric for assessing business health.

Cigna CI Operating Cash Flow

Operating Cash Flow at other companies

HumanaHUM

$1.25B+279%

CVS HealthCVS

$4.25B-6.7%

UnitedHealth GroupUNH

$8.91B+63.3%

Option Care Health, Inc.OPCH

-$12.11M-67.9%

Elevance HealthELV

$4.33B+326%

Teladoc HealthTDOC

$9.52M-40.2%

Other financials

Income statement

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Revenue$68.5B+4.6%

Gross profit$14.4B-15.8%

Operating income$2.4B+19.6%

Net income$1.7B+25.0%

EPS (diluted)$6.26+29.1%

Balance sheet

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Cash & equivalents$7.0B-15.5%

Total debt$111.0M+32.1%

Total equity$42.2B+4.9%

Total assets$153.27B+1.7%

Valuation

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Market cap$74.56B-11.2%

P/E12×-4.9×

P/S0.3×-0.1×

Profitability

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Gross margin20.6%-5.2pp

Operating margin3.4%-0.1pp

Net margin2.2%+0.3pp

FCF margin5.5%—

Returns & leverage

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Return on equity15%+2.8pp

Debt / equity0×0.0×

Current ratio0.8×0.0×

Where this comes from

Reported directly by Cigna in its filing.

Tagged under the XBRL concept us-gaap:NetCashProvidedByUsedInOperatingActivities.

The official record: Cigna’s 10-Q, filed April 30, 2026, on SEC EDGAR. View the filing →

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Questions, answered.

What is Cigna's operating cash flow?: Cigna (CI) reported operating cash flow of $1.13B in Q1 2026.
How has Cigna's operating cash flow changed year-over-year?: Cigna's operating cash flow decreased by 41.1% year-over-year, from $1.92B to $1.13B.
What is the long-term trend for Cigna's operating cash flow?: Over 3 years (2021 to 2024), Cigna's operating cash flow has grown at a 11.4% compound annual growth rate (CAGR), from $7.49B to $10.36B.
What does operating cash flow mean?: Total cash generated by or used in core business operations — the single most important cash flow metric for assessing business health.