Cigna Raises 2026 Outlook After Q1 Revenues Climb 5% to $68.5B
CI•Cigna's Q1 2026 revenues grew 5% to $68.5B, driven by Evernorth Health Services growth and improved operating efficiency. Adjusted income from operations rose 12% to $2.1B ($7.79/share), with full-year adjusted ops guidance lifted to at least $30.35 per share.
1. First Quarter Results
Cigna reported Q1 2026 revenue of $68,494 million, up 5% from $65,502 million a year earlier. Shareholders' net income rose to $1,654 million ($6.26/share) compared with $1,323 million ($4.85/share) last year, while adjusted income from operations reached $2,058 million ($7.79/share), a 12% gain.
2. Segment Performance
Evernorth Health Services delivered adjusted revenues of $58,442 million, a 9% increase, with Pharmacy Benefit Services revenues up to $33,002 million and Specialty & Care Services at $25,440 million. Pre-tax adjusted income from operations for Evernorth rose 2% to $1,466 million, reflecting volume growth and service expansions.
3. Strengthened Outlook
Cigna raised its 2026 adjusted income from operations guidance to at least $30.35 per share, citing disciplined execution and innovation. The SG&A ratio improved to 5.4% (4.8% adjusted) and the debt-to-capital ratio declined to 42.3%, underscoring enhanced operational efficiency and balance sheet strength.
