The Cigna Group Cash Flow Quality Index
The Cigna Group cash flow quality index. The Cigna Group (CI) has a Cash Flow Quality Index of 1.51x as of September 2026. Operating cash flow of $2.57 Billion exceeds net income of $1.70 Billion, indicating high earnings quality where cash backs reported profits. See CI free cash flow debt coverage to measure the company's free cash flow as a share of total liabilities.
Cash Flow Quality Index
Operating Cash Flow
Net Income
Data as of
Cash Flow Quality Index of The Cigna Group (1989–2025)
Cash flow quality index of The Cigna Group from 1989 to 2025. Historical Cash Flow Quality Index for The Cigna Group across 36 annual periods. Values consistently above 1.0x indicate high-quality earnings. Explore The Cigna Group (CI) debt coverage ratio to assess how comfortably operating cash covers total debt obligations.
The Cigna Group Cash Flow Quality Index by Year (1989–2025)
The Cigna Group cash flow quality index by year from 1989 to 2025. Year-by-year earnings quality comparison for The Cigna Group. For the full cash flow conversion analysis, see The Cigna Group (CI) cash conversion ratio.
| Year | Quality Index | Operating CF (USD) | Net Income | YoY Change |
|---|---|---|---|---|
| 2025 | 1.53x | $9.60 Billion | $6.29 Billion | ▼ -44.3% |
| 2024 | 2.74x | $10.36 Billion | $3.78 Billion | ▲ +24.7% |
| 2023 | 2.20x | $11.81 Billion | $5.37 Billion | ▲ +72.3% |
| 2022 | 1.28x | $8.66 Billion | $6.78 Billion | ▼ -3.8% |
| 2021 | 1.33x | $7.19 Billion | $5.42 Billion | ▲ +8.8% |
| 2020 | 1.22x | $10.35 Billion | $8.49 Billion | ▼ -34.2% |
| 2019 | 1.85x | $9.48 Billion | $5.12 Billion | ▲ +30.0% |
| 2018 | 1.42x | $3.77 Billion | $2.65 Billion | ▼ -22.2% |
| 2017 | 1.83x | $4.09 Billion | $2.23 Billion | ▼ -16.2% |
| 2016 | 2.18x | $4.03 Billion | $1.84 Billion | ▲ +54.7% |
| 2015 | 1.41x | $2.93 Billion | $2.08 Billion | ▲ +37.0% |
| 2014 | 1.03x | $2.16 Billion | $2.09 Billion | ▲ +111.8% |
| 2013 | 0.49x | $719.00 Million | $1.48 Billion | ▼ -66.4% |
| 2012 | 1.45x | $2.35 Billion | $1.62 Billion | ▲ +22.4% |
| 2011 | 1.18x | $1.49 Billion | $1.26 Billion | ▼ -13.0% |
| 2010 | 1.36x | $1.74 Billion | $1.28 Billion | ▲ +137.8% |
| 2009 | 0.57x | $745.00 Million | $1.30 Billion | ▼ -90.0% |
| 2008 | 5.71x | $1.66 Billion | $290.00 Million | ▲ +376.6% |
| 2007 | 1.20x | $1.34 Billion | $1.12 Billion | ▲ +116.3% |
| 2006 | 0.55x | $642.00 Million | $1.16 Billion | ▼ -1.6% |
| 2005 | 0.56x | $718.00 Million | $1.28 Billion | ▼ -44.2% |
| 2004 | 1.01x | $1.45 Billion | $1.44 Billion | ▼ -74.5% |
| 2003 | 3.95x | $2.31 Billion | $584.00 Million | ▲ +255.3% |
| 2001 | 1.11x | $1.08 Billion | $971.00 Million | ▼ -34.7% |
| 2000 | 1.70x | $1.67 Billion | $981.00 Million | ▼ -34.4% |
| 1999 | 2.60x | $1.82 Billion | $699.00 Million | ▲ +248.0% |
| 1998 | 0.75x | $886.00 Million | $1.19 Billion | ▼ -66.9% |
| 1997 | 2.26x | $1.83 Billion | $812.00 Million | ▲ +240.9% |
| 1996 | 0.66x | $700.00 Million | $1.06 Billion | ▼ -87.3% |
| 1995 | 5.23x | $1.10 Billion | $211.00 Million | ▲ +510.2% |
| 1994 | 0.86x | $475.00 Million | $554.00 Million | ▼ -82.1% |
| 1993 | 4.79x | $1.12 Billion | $234.00 Million | ▲ +131.8% |
| 1992 | 2.07x | $696.00 Million | $337.00 Million | ▲ +25.7% |
| 1991 | 1.64x | $744.00 Million | $453.00 Million | ▼ -48.3% |
| 1990 | 3.18x | $1.01 Billion | $318.00 Million | ▲ +3.9% |
| 1989 | 3.06x | $1.40 Billion | $458.00 Million | — |