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Side-by-side financial comparison of Cigna (CI) and TRUPANION, INC. (TRUP). Click either name above to swap in a different company.

Cigna is the larger business by last-quarter revenue ($72.5B vs $376.9M, roughly 192.3× TRUPANION, INC.). On growth, TRUPANION, INC. posted the faster year-over-year revenue change (11.7% vs 10.4%). Over the past eight quarters, Cigna's revenue compounded faster (12.5% CAGR vs 11.0%).

The Cigna Group is an American multinational for-profit managed healthcare and insurance company based in Bloomfield, Connecticut. Cigna's insurance subsidiaries are major providers of medical, dental, disability, life and accident insurance and related products and services, the majority of which are offered through employers and other groups.

Trupanion, Inc. is a pet insurance provider headquartered in Seattle, Washington. Established in 1998, Trupanion operates across the United States, Canada, Australia, and Puerto Rico. The company offers coverage for pets and is self-underwritten by the American Pet Insurance Company (APIC).

CI vs TRUP — Head-to-Head

Bigger by revenue
CI
CI
192.3× larger
CI
$72.5B
$376.9M
TRUP
Growing faster (revenue YoY)
TRUP
TRUP
+1.3% gap
TRUP
11.7%
10.4%
CI
Faster 2-yr revenue CAGR
CI
CI
Annualised
CI
12.5%
11.0%
TRUP

Income Statement — Q4 2025 vs Q4 2025

Metric
CI
CI
TRUP
TRUP
Revenue
$72.5B
$376.9M
Net Profit
$1.3B
Gross Margin
20.3%
17.3%
Operating Margin
3.2%
1.9%
Net Margin
1.8%
Revenue YoY
10.4%
11.7%
Net Profit YoY
-17.1%
EPS (diluted)
$4.64
$0.13

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
CI
CI
TRUP
TRUP
Q4 25
$72.5B
$376.9M
Q3 25
$69.7B
$366.9M
Q2 25
$67.2B
$353.6M
Q1 25
$65.5B
$342.0M
Q4 24
$65.6B
$337.3M
Q3 24
$63.7B
$327.5M
Q2 24
$60.5B
$314.8M
Q1 24
$57.3B
$306.1M
Net Profit
CI
CI
TRUP
TRUP
Q4 25
$1.3B
Q3 25
$2.0B
Q2 25
$1.6B
Q1 25
$1.4B
Q4 24
$1.5B
Q3 24
$825.0M
Q2 24
$1.6B
Q1 24
$-212.0M
Gross Margin
CI
CI
TRUP
TRUP
Q4 25
20.3%
17.3%
Q3 25
20.4%
16.4%
Q2 25
20.7%
15.5%
Q1 25
26.1%
14.9%
Q4 24
25.3%
15.7%
Q3 24
25.3%
15.1%
Q2 24
26.5%
12.8%
Q1 24
27.6%
11.8%
Operating Margin
CI
CI
TRUP
TRUP
Q4 25
3.2%
1.9%
Q3 25
3.7%
1.6%
Q2 25
3.4%
0.7%
Q1 25
3.0%
-0.4%
Q4 24
3.3%
0.1%
Q3 24
4.0%
0.5%
Q2 24
4.0%
-1.7%
Q1 24
3.9%
-2.0%
Net Margin
CI
CI
TRUP
TRUP
Q4 25
1.8%
Q3 25
2.8%
Q2 25
2.4%
Q1 25
2.2%
Q4 24
2.3%
Q3 24
1.3%
Q2 24
2.7%
Q1 24
-0.4%
EPS (diluted)
CI
CI
TRUP
TRUP
Q4 25
$4.64
$0.13
Q3 25
$6.98
$0.13
Q2 25
$5.71
$0.22
Q1 25
$4.85
$-0.03
Q4 24
$5.01
$0.04
Q3 24
$2.63
$0.03
Q2 24
$5.45
$-0.14
Q1 24
$-0.97
$-0.16

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
CI
CI
TRUP
TRUP
Cash + ST InvestmentsLiquidity on hand
$8.7B
$370.7M
Total DebtLower is stronger
$30.9B
$101.8M
Stockholders' EquityBook value
$41.7B
$383.9M
Total Assets
$157.9B
$915.0M
Debt / EquityLower = less leverage
0.74×
0.27×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
CI
CI
TRUP
TRUP
Q4 25
$8.7B
$370.7M
Q3 25
$6.9B
$348.5M
Q2 25
$5.1B
$319.6M
Q1 25
$9.1B
$321.8M
Q4 24
$8.2B
$307.4M
Q3 24
$6.8B
$293.1M
Q2 24
$7.9B
$277.2M
Q1 24
$9.5B
$275.2M
Total Debt
CI
CI
TRUP
TRUP
Q4 25
$30.9B
$101.8M
Q3 25
$30.9B
Q2 25
$26.5B
Q1 25
$26.5B
Q4 24
$28.9B
$127.5M
Q3 24
$30.2B
Q2 24
$30.2B
Q1 24
$31.1B
Stockholders' Equity
CI
CI
TRUP
TRUP
Q4 25
$41.7B
$383.9M
Q3 25
$41.8B
$368.6M
Q2 25
$40.2B
$355.5M
Q1 25
$40.2B
$333.7M
Q4 24
$41.0B
$323.3M
Q3 24
$42.1B
$320.2M
Q2 24
$41.3B
$305.8M
Q1 24
$41.2B
$303.4M
Total Assets
CI
CI
TRUP
TRUP
Q4 25
$157.9B
$915.0M
Q3 25
$157.9B
$880.2M
Q2 25
$151.7B
$847.8M
Q1 25
$150.7B
$837.2M
Q4 24
$155.9B
$806.9M
Q3 24
$157.6B
$816.1M
Q2 24
$155.4B
$795.9M
Q1 24
$153.1B
$789.5M
Debt / Equity
CI
CI
TRUP
TRUP
Q4 25
0.74×
0.27×
Q3 25
0.74×
Q2 25
0.66×
Q1 25
0.66×
Q4 24
0.71×
0.39×
Q3 24
0.72×
Q2 24
0.73×
Q1 24
0.75×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
CI
CI
TRUP
TRUP
Operating Cash FlowLast quarter
$6.1B
$29.3M
Free Cash FlowOCF − Capex
$25.3M
FCF MarginFCF / Revenue
6.7%
Capex IntensityCapex / Revenue
1.0%
Cash ConversionOCF / Net Profit
4.83×
TTM Free Cash FlowTrailing 4 quarters
$75.4M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
CI
CI
TRUP
TRUP
Q4 25
$6.1B
$29.3M
Q3 25
$3.4B
$29.2M
Q2 25
$-1.9B
$15.0M
Q1 25
$1.9B
$16.0M
Q4 24
$5.2B
$23.7M
Q3 24
$46.0M
$15.3M
Q2 24
$265.0M
$6.9M
Q1 24
$4.8B
$2.4M
Free Cash Flow
CI
CI
TRUP
TRUP
Q4 25
$25.3M
Q3 25
$23.9M
Q2 25
$12.0M
Q1 25
$14.0M
Q4 24
$21.8M
Q3 24
$13.4M
Q2 24
$4.0M
Q1 24
$-631.0K
FCF Margin
CI
CI
TRUP
TRUP
Q4 25
6.7%
Q3 25
6.5%
Q2 25
3.4%
Q1 25
4.1%
Q4 24
6.5%
Q3 24
4.1%
Q2 24
1.3%
Q1 24
-0.2%
Capex Intensity
CI
CI
TRUP
TRUP
Q4 25
1.0%
Q3 25
1.4%
Q2 25
0.8%
Q1 25
0.6%
Q4 24
0.6%
Q3 24
0.6%
Q2 24
0.9%
Q1 24
1.0%
Cash Conversion
CI
CI
TRUP
TRUP
Q4 25
4.83×
Q3 25
1.73×
Q2 25
-1.16×
Q1 25
1.36×
Q4 24
3.39×
Q3 24
0.06×
Q2 24
0.16×
Q1 24

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

CI
CI

Network Pharmacy$34.3B47%
Home Delivery And Specialty$21.1B29%
Cigna Healthcare$9.4B13%
Services$4.5B6%
Other Pharmacy$3.4B5%
Service Other$144.0M0%

TRUP
TRUP

Segment breakdown not available.

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