CI Cigna Group
Price Chart
Executive Summary
Cigna Group reported strong Q1 2026 results with adjusted EPS of $7.79, beating the $7.62 consensus by 2.2%, and total revenue of $68.5B (+5% YoY). The company raised its full-year 2026 adjusted EPS outlook to at least $30.35 (from at least $30.25), driven by strong performance in Cigna Healthcare (pre-tax income +18% YoY) and improved operating efficiency, partially offset by a 28% decline in Pharmacy Benefit Services operating income.
Actionable Insight
The beat-and-raise quarter with improving margins and strong Cigna Healthcare performance supports a bullish read-through. Monitor the Pharmacy Benefit Services margin trajectory and the impact of expected client transitions on Evernorth's profitability. The raised guidance (+$0.10) is modest but signals confidence in the diversified portfolio.
Key Facts
- Q1 2026 adjusted EPS $7.79 vs consensus $7.62 (beat by 2.2%)
- Q1 2026 total revenue $68.5B, +5% YoY
- Full-year 2026 adjusted EPS guidance raised to at least $30.35 (from at least $30.25)
- Cigna Healthcare pre-tax adjusted income +18% YoY to $1.514B
- Cigna Healthcare MCR improved to 79.8% from 82.2% YoY
- Evernorth Health Services adjusted revenue +9% YoY, but pre-tax income only +2%
- Pharmacy Benefit Services pre-tax income -28% YoY due to lower contributions from large clients
- SG&A expense ratio improved to 5.4% from 6.4% YoY (adjusted 4.8% from 5.8%)
- Debt-to-capitalization ratio improved to 42.3% from 43.0% at year-end 2025
- Total medical customers increased 1% from Dec 2025 to 18.3M
Financial Impact
Q1 2026 adjusted EPS $7.79 vs $7.62 consensus; revenue $68.5B vs $66.2B consensus; guidance raised by $0.10 to at least $30.35
Risk Factors
- Pharmacy Benefit Services pre-tax income declined 28% YoY, indicating competitive pressure in PBM
- Total pharmacy customers decreased 2% from Dec 2025, reflecting expected client transitions
- Cigna Healthcare adjusted revenue declined 21% YoY (though +8% ex-HCSC divestiture)
- Full-year guidance raise of only $0.10 suggests limited upside conviction
Market Snapshot
Documents Analyzed
This report is based on 6 SEC documents filed with EDGAR.
| Document | Accession Number |
|---|---|
| 8-K Filing (Primary) | 0001140361-26-017971 |
| Document: ef20071317_8k.htm | 0001140361-26-017971 |
| Document: 0001140361-26-017971-index-headers.html | 0001140361-26-017971 |
| Document: 0001140361-26-017971-index.html | 0001140361-26-017971 |
| Document: 0001140361-26-017971.txt | 0001140361-26-017971 |
| 8-K Data (Synthetic) | 0001140361-26-017971 |
Filters
| Type | Now | ||||
|---|---|---|---|---|---|
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May 13, 2026
4w ago
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8-K
| $300.42 $291.28 | ▼ −3.04% | ▼ −1.88% | $298.00 (−0.80%) |
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Apr 30, 2026
6w ago
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8-K
| $290.33 $283.65 | ▼ −2.30% | ▼ −4.03% | $298.00 (+2.64%) |
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Apr 24, 2026
7w ago
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Court Ruling
| $275.24 $290.58 | ▲ +5.57% | ▲ +4.67% | $298.00 (+8.27%) |
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Mar 13, 2026
13w ago
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DEFA14A
| $268.31 $261.49 | ▼ −2.54% | ▼ −0.50% | $298.00 (+11.07%) |
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Feb 27, 2026
15w ago
|
8-K
| $289.40 $271.04 | ▼ −6.34% | ▼ −4.36% | $298.00 (+2.97%) |
US Market Status
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