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The Cigna (CI) Stock Fundamentals, Analysis & Risk Signals

Health score, competitive moat, risk signals, and key metrics at a glance.

NYSE•Healthcare•Healthcare Plans
B
GoodMetricSide Score: 62/100
ProfitabilityProfit11/30
GrowthGrowth20/25
Balance SheetBalance15/25
Cash QualityCash16/20
Price & Volume
Market Cap $287.77

The Cigna Group, together with its subsidiaries, provides insurance and related products and services in the United States. It operates through two segments: Evernorth Health Services and Cigna Healthcare. The Evernorth Health Services segment includes Pharmacy Benefit Services and Specialty and Care Services, offering pharmacy benefit management, drug claim adjudication, retail pharmacy network administration, benefit design consultation, drug utilization review, drug formulary management, pharmacy benefits, home delivery pharmacy, specialty pharmacy, specialty pharmaceutical distribution, and clinical programs for whole-person health outcomes. The Cigna Healthcare segment comprises U.S. Healthcare and International Health, delivering comprehensive medical and coordinated solutions such as employer medical plans, individual and family plans, behavioral health, consumer health engagement, dental, pharmacy management, stop-loss insurance, global health care, and local health care solutions, as well as health care benefits for mobile individuals and employees of multinational organizations. The company offers other operations, including corporate-owned life insurance, reinsurance, and certain run-off and non-strategic businesses. The company distributes its products and services through brokers and consultants; directly to employers, unions and other groups, or individuals; and private and public exchanges. The company was formerly known as Cigna Corporation and changed its name to The Cigna Group in February 2023. The company was founded in 1792 and is headquartered in Bloomfield, Connecticut.

Moat Signals

Competitive analysis based on 30 quarters of fundamental data

Pricing Power

Moderate Moat

Operating margins are positive at ~3.5% on average, but show some variability — pricing power may be sensitive to market conditions.

Competitive Advantage

Moderate Moat

ROE is positive at ~12.3% on average, adequate but below the threshold typically associated with wide moats.

Cash Generation

Strong Moat

Free cash flow is consistently positive and growing — a hallmark of a capital-light business that can self-fund growth.

Demand Durability

Strong Moat

TTM revenue has grown consistently (7 of 7 quarters up), with ~27.5% growth over the period. Strong demand durability.

Risk Signals

Data-driven red flags and warnings across 30 quarters

Low Risk

Margin Pressure

Healthy

Margins are stable or improving at ~3.5% — no sign of cost or pricing stress.

Earnings Quality

Watch

FCF/Net Income has dropped below 0.7x in 4 quarters — monitor for earnings quality deterioration.

Leverage Risk

Healthy

D/E ratio is 0.7 — conservative capital structure with low financial risk.

Revenue Decline

Healthy

Revenue is stable or growing over recent quarters — demand appears durable.

Cash Burn

Healthy

Free cash flow is consistently positive — the business self-funds without external capital reliance.

Share Dilution

Healthy

Share count is stable — no significant dilution or buyback activity.

Metrics at a Glance

as of March 2026

Revenue & Profit

Revenue, EBITDA, operating income, net income, EPS, and shares

TTM Revenue
$277.89B
8.8%
Q. Revenue
$68.49B
TTM EBITDA
$12.34B
4.2%
TTM Op. Income
$9.59B
5.0%
Q. Op. Income
$2.36B
TTM Net Income
$6.20B
14.9%
Q. Net Income
$1.65B
EPS
$1.65B
Shares Out.
$1
$277.89B in TTM revenue grew 8.8% YoY, reaching $68.49B last quarter. TTM EBITDA of $12.34B and TTM operating income of $9.59B shows growth is flowing through. Net income of $6.20B TTM confirms the company is converting revenue into profit. Revenue is growing at a healthy pace — a signal to hold.

Margins

Gross, EBITDA, operating, and net margin trends

Gross Margin
88.4%
5.3%
EBITDA Margin
4.4%
Op. Margin
3.4%
14.4%
Net Margin
2.4%
12.3%
Op. margin of 3.4% is up 0.4% YoY — cost efficiency is improving. Net margin at 2.4% and gross margin of 88.4% — earnings take a bigger bite when COGS stays lean..

Price Ratios

P/E, P/S, P/B, EV/EBITDA, FCF yield, and earnings yield

P/E Ratio
0.0x
P/S Ratio
0.0x
P/B Ratio
0.0x
At 0.0x P/E, the stock trades below market averages — potentially undervalued. P/S of 0.0x and P/B of 0.0x provide additional context. Below-market P/E with growing revenue suggests a potential buying opportunity — the stock may be undervalued relative to its fundamentals.

Assets & Liabilities

Total assets, cash, debt, book value, and leverage

Total Assets
$153.27B
Cash
$7.04B
Long-Term Debt
$29.37B
Book Value
$42.21B
D/E Ratio
0.7
Debt/EBITDA
9.8
With $153.27B in assets and $29.37B in long-term debt, the D/E of 0.7and book value of $42.21B — shows a conservative capital structure — the company has a strong financial cushion to weather downturns.

Cash Flow

Operating cash flow, free cash flow, FCF margin, and earnings quality

Op. Cash Flow
$1.13B
Free Cash Flow
$1.13B
41.1%
FCF Margin
0.4%
FCF / Net Income
0.7
FCF of $1.13B on $1.13B in operating cash flow. The FCF / Net Income ratio of 0.2x indicates partial cash conversion — earnings quality needs attention.

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