Cigna Q1 Revenue $68.5B, Up 5% YoY; Raises Full-Year Outlook
Cigna Group reported Q1 2026 revenue of $68.5 billion, up 5% year-over-year. Adjusted EPS of $7.79 exceeded consensus by $0.18, and the company raised full-year adjusted EPS guidance to at least $30.35.
- Cigna reported Q1 2026 revenue of $68.5B, up 5% YoY, with adjusted EPS of $7.79 beating consensus by $0.18
- The company raised full-year adjusted EPS guidance to at least $30.35, citing strong execution and Evernos Health Services growth
Cigna Group (NYSE: CI) disclosed in a SEC 8-K filing dated April 30, 2026, that Q1 revenue reached $68.5 billion, representing 5% growth compared to the prior-year quarter.
Earnings at a Glance
Q1 revenue increased 5% from $65.5 billion in the prior-year period. Growth was driven primarily by Evernos Health Services. Results were partially offset by impacts related to HCSC (Blue Cross Blue Shield Association entities) transaction. Adjusted operating income per share (excluding one-time items under non-GAAP accounting) reached $7.79, up 15.6% from $6.74 in the prior-year quarter.
- Revenue: $68.5 billion, +5% YoY
- Net income attributable to shareholders (GAAP): $1.654 billion; EPS $6.26
- Adjusted operating EPS: $7.79, exceeding consensus estimate by $0.18
- Total adjusted operating income: $2.058 billion, +12% YoY
- SG&A ratio: 5.4%, improved from 6.4% in prior-year quarter
Forward Guidance
Cigna raised its full-year 2026 adjusted operating EPS guidance to at least $30.35. CEO and Chairman David Cordani stated: "Strong Q1 results reflect rigorous execution, deliberate business restructuring, and continued focus on innovation."
Market Reaction
Stock price movement figures were not disclosed. Financial data providers GuruFocus and StreetInsider reported that revenue exceeded consensus expectations, with adjusted operating EPS also $0.18 above consensus. StockTitan noted that "Following a $68.5 billion quarter, Cigna raised its 2026 earnings target."
Segment Performance
- Evernos Health Services – Pharmacy Benefit Services: Adjusted revenue $33.0 billion, up 11% from $29.7 billion in prior year
- Evernos Health Services – Specialty and Care Services: Adjusted revenue $25.4 billion, up 6% from $23.9 billion in prior year
- Medical customers: 18.33 million, +1% from end of prior quarter
- Pharmacy services customers: 121.02 million, -2% from end of prior quarter
- Total customer relationships: 185.47 million, -2% from end of prior quarter
This article was auto-generated based on SEC 8-K filings and third-party reporting and aims to deliver key data shortly after disclosure. Investors are advised to review official company filings before making trading decisions.
CIFrequently Asked Questions
How much was Cigna's Q1 revenue and how much did it grow year-over-year?
Cigna's Q1 2026 total revenue was $68.5 billion, up 5% from $65.5 billion in Q1 2025. Growth was primarily driven by Evernos Health Services, though results were partially offset by impacts from the HCSC transaction.
What is the difference between 'adjusted operating income' and regular net income?
Adjusted operating income (non-GAAP) excludes one-time items such as amortization of intangibles from acquisitions, investment gains/losses, and other special items from GAAP net income. It provides a clearer view of recurring operational performance. For this quarter, adjusted operating EPS was $7.79 versus GAAP EPS of $6.26.
What is Cigna's full-year 2026 earnings outlook?
Cigna raised its 2026 full-year adjusted operating EPS guidance to at least $30.35, an increase from prior guidance. The exact dollar total in USD is not separately disclosed.
Did Cigna's customer base grow or shrink in Q1?
Medical customers grew 1% to 18.33 million as of end of Q1 2026. However, pharmacy services customers declined 2% to 121.02 million, reflecting customer transitions and reduced health plan customers.
Which business segment drove Cigna's Q1 growth?
Evernos Health Services drove growth, with Pharmacy Benefit Services revenue up 11% to $33.0 billion and Specialty and Care Services revenue up 6% to $25.4 billion. Both segments benefited from strong operational execution.
Wall Street's Defining Moments
See more
Smart Money Briefing
Weekly summaries of Wall Street guru moves and crypto whale activity.
