![]() |
![]() |
| • |
Total revenues for the second quarter 2026 increased 7% to $71.7 billion
|
| • |
Shareholders’ net income for the second quarter 2026 was $1.7 billion, or $6.29 per share
|
| • |
Adjusted income from operations1 for the second quarter 2026 was $2.1 billion, or $7.78 per share
|
| • |
2026 outlook2 for adjusted income from operations1,2 increased to at least $30.45 per share2
|
|
Consolidated Financial Results (unaudited, dollars in millions):
|
||||||||||||||||
|
|
Three Months Ended
|
Six Months
Ended
|
||||||||||||||
|
|
June 30,
|
March 31,
|
June 30,
|
|||||||||||||
|
|
2026
|
2025
|
2026
|
2026
|
||||||||||||
|
|
||||||||||||||||
|
Total Revenues
|
$
|
71,668
|
$
|
67,178
|
$
|
68,494
|
$
|
140,162
|
||||||||
|
Net Investment Results from Equity Method Investments3
|
(110
|
)
|
(44
|
)
|
23
|
(87
|
)
|
|||||||||
|
Adjusted Revenues3
|
$
|
71,558
|
$
|
67,134
|
$
|
68,517
|
$
|
140,075
|
||||||||
|
|
||||||||||||||||
|
Consolidated Earnings, net of taxes
|
||||||||||||||||
|
Shareholders’ Net Income
|
$
|
1,660
|
$
|
1,532
|
$
|
1,654
|
$
|
3,314
|
||||||||
|
Net Investment (Gains)1
|
(55
|
)
|
(103
|
)
|
(233
|
)
|
(288
|
)
|
||||||||
|
Amortization of Acquired Intangible Assets1
|
296
|
330
|
315
|
611
|
||||||||||||
|
Special Items1
|
153
|
171
|
322
|
475
|
||||||||||||
|
Adjusted Income from Operations1
|
$
|
2,054
|
$
|
1,930
|
$
|
2,058
|
$
|
4,112
|
||||||||
|
|
||||||||||||||||
|
Shareholders’ Net Income, per share
|
$
|
6.29
|
$
|
5.71
|
$
|
6.26
|
$
|
12.55
|
||||||||
|
Adjusted Income from Operations1, per share
|
$
|
7.78
|
$
|
7.20
|
$
|
7.79
|
$
|
15.58
|
||||||||
| • |
Total revenues for second quarter 2026 increased
7% relative to second quarter 2025, driven by growth in both Evernorth Health Services and Cigna Healthcare.
|
| • |
Adjusted income from operations1 for second quarter 2026 increased 6% relative to second quarter 2025, driven by higher contributions from Cigna Healthcare.
|
| • |
The SG&A expense ratio4 and adjusted SG&A expense ratio4 were 4.8% and 4.6% for second quarter 2026,
compared to 5.1% and 4.9%, respectively, in second quarter 2025, primarily reflecting operating efficiency.
|
| • |
Year to date through July 29, 2026, the company repurchased 0.9 million shares of common stock for approximately $250 million.
|
|
|
As of the Periods Ended
|
|||||||||||||||
|
|
June 30,
|
March 31,
|
December 31,
|
|||||||||||||
|
|
2026
|
2025
|
2026
|
2025
|
||||||||||||
|
|
||||||||||||||||
|
Total Pharmacy Customers
|
118,243
|
121,892
|
121,020
|
123,603
|
||||||||||||
|
|
||||||||||||||||
|
U.S. Healthcare
|
16,678
|
16,355
|
16,623
|
16,423
|
||||||||||||
|
International Health
|
1,735
|
1,691
|
1,711
|
1,695
|
||||||||||||
|
Total Medical Customers5
|
18,413
|
18,046
|
18,334
|
18,118
|
||||||||||||
|
|
||||||||||||||||
|
Behavioral Care
|
27,621
|
23,852
|
27,558
|
28,269
|
||||||||||||
|
Dental
|
18,488
|
18,446
|
18,558
|
18,438
|
||||||||||||
|
|
||||||||||||||||
|
Total Customer Relationships
|
182,765
|
182,236
|
185,470
|
188,428
|
||||||||||||
| • |
Total customer relationships at June 30, 2026 decreased 3% from December 31, 2025 to 182.8 million.
|
| • |
Total pharmacy customers at June 30, 2026 decreased 4%
from December 31, 2025 to 118.2 million, reflecting expected client transitions and lower membership from health plan clients.
|
| • |
Total medical customers5 at June 30, 2026 increased 2% from December 31, 2025 to 18.4 million reflecting
growth in Middle and Select markets, partially offset by lower membership in National Accounts.
|
|
|
Three Months Ended
|
Six Months
Ended
|
||||||||||||||
|
|
June 30,
|
March 31,
|
June 30,
|
|||||||||||||
|
|
2026
|
2025
|
2026
|
2026
|
||||||||||||
|
Total Adjusted Revenues
|
||||||||||||||||
|
Pharmacy Benefit Services
|
$
|
34,496
|
$
|
31,954
|
$
|
33,002
|
$
|
67,498
|
||||||||
|
Specialty and Care Services
|
$
|
26,972
|
$
|
25,871
|
$
|
25,440
|
$
|
52,412
|
||||||||
|
Adjusted Revenues3
|
$
|
61,468
|
$
|
57,825
|
$
|
58,442
|
$
|
119,910
|
||||||||
|
Adjusted Income from Operations, Pre-Tax
|
||||||||||||||||
|
Pharmacy Benefit Services
|
$
|
609
|
$
|
833
|
$
|
394
|
$
|
1,003
|
||||||||
|
Specialty and Care Services
|
$
|
1,054
|
$
|
863
|
$
|
1,072
|
$
|
2,126
|
||||||||
|
Adjusted Income from Operations, Pre-Tax1
|
$
|
1,663
|
$
|
1,696
|
$
|
1,466
|
$
|
3,129
|
||||||||
|
Margin, Pre-Tax6
|
2.7
|
%
|
2.9
|
%
|
2.5
|
%
|
2.6
|
%
|
||||||||
| • |
Evernorth Health Services second quarter 2026
adjusted revenues3 increased 6% and adjusted income from operations, pre-tax1, decreased 2%, relative to second quarter 2025.
|
| • |
For Pharmacy Benefit Services second quarter 2026
relative to second quarter 2025:
|
| ◦ |
Adjusted revenues3 increased 8% primarily due to drug mix.
|
| ◦ |
Adjusted income from operations, pre-tax1, decreased 27%, primarily reflecting client-focused initiatives, including large client contract renewals, and customer-focused initiatives, consistent with prior commentary.
|
| • |
For Specialty and Care Services second quarter 2026
relative to second quarter 2025:
|
| ◦ |
Adjusted revenues3 increased 4% reflecting strong specialty volume growth.
|
| ◦ |
Adjusted income from operations, pre-tax1, increased 22% primarily reflecting strong organic growth in specialty
businesses, including higher generic and biosimilar adoption which benefits clients and patients by delivering lower costs, and operating efficiencies.
|
|
|
Three Months Ended
|
Six Months
Ended
|
||||||||||||||
|
|
June 30,
|
March 31,
|
June 30,
|
|||||||||||||
|
|
2026
|
2025
|
2026
|
2026
|
||||||||||||
|
|
||||||||||||||||
|
Adjusted Revenues3,7
|
$
|
11,728
|
$
|
10,754
|
$
|
11,477
|
$
|
23,205
|
||||||||
|
Adjusted Income from Operations, Pre-Tax1
|
$
|
1,276
|
$
|
1,094
|
$
|
1,514
|
$
|
2,790
|
||||||||
|
Margin, Pre-Tax6
|
10.9
|
%
|
10.2
|
%
|
13.2
|
%
|
12.0
|
%
|
||||||||
| • |
Second quarter 2026 adjusted revenues3 increased 9% relative to second
quarter 2025, primarily reflecting premium rate increases to cover expected increases in medical costs.
|
| • |
Second quarter 2026 adjusted income from operations, pre-tax1, increased 17% relative to second quarter 2025, primarily due to an improved margin within our U.S. Employer business.
|
| • |
The Cigna Healthcare MCR4 was 84.5% for second
quarter 2026, compared to 83.2% for second quarter 2025, primarily reflecting higher prior year risk adjustment benefits within our Individual and Family Plans business recognized in second quarter 2025.
|
| • |
Cigna Healthcare net medical costs payable8 was $5.09 billion at June 30, 2026, $4.78 billion at March 31, 2026, and $4.49 billion at June 30, 2025. The sequential increase reflects typical stop loss seasonality. Favorable prior year reserve development on a gross pre-tax basis was $268 million and $297 million for the six months ended June 30, 2026 and 2025, respectively.
|
|
|
Three Months Ended
|
Six Months
Ended
|
||||||||||||||
|
|
June 30,
|
March 31,
|
June 30,
|
|||||||||||||
|
|
2026
|
2025
|
2026
|
2026
|
||||||||||||
|
|
||||||||||||||||
|
Adjusted (Loss) from Operations, Pre-Tax1
|
$
|
(389
|
)
|
$
|
(357
|
)
|
$
|
(377
|
)
|
$
|
(766
|
)
|
||||
|
2026 Consolidated Metrics
|
Projection for Full Year Ending
December 31, 2026
|
Change from
Prior Projection
|
|
Adjusted Income from Operations, per share1,2
|
at least $30.45
|
+$0.10
|
|
Evernorth Adjusted Income from Operations, Pre-Tax1,2
|
at least $6,900
|
|
|
Cigna Healthcare Adjusted Income from Operations, Pre-Tax1,2
|
at least $4,550
|
+$25
|
|
Cigna Healthcare Medical Care Ratio2,4
|
83.7% to 84.7%
|
| 1. |
Adjusted income (loss) from operations is a principal financial measure of profitability used by The Cigna Group’s management because it presents the
underlying results of operations of the Company’s businesses and facilitates analysis of trends in underlying revenue, expenses and shareholders’ net income. Adjusted income (loss) from operations is defined as shareholders’ net income (or
income before income taxes less pre-tax income (loss) attributable to noncontrolling interests for the segment metric) excluding net investment gains/losses, amortization of acquired intangible assets and special items. The Cigna Group’s
share of certain investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting are also excluded. Special items are matters that management believes are not representative of the
underlying results of normal, recurring operations due to their nature or size. Adjusted income (loss) from operations is measured on an after-tax basis for consolidated results and on a pre-tax basis for segment results. Consolidated
adjusted income (loss) from operations is not determined in accordance with GAAP and should not be viewed as a substitute for the most directly comparable GAAP measure, shareholders’ net income. See Exhibit 1 for a reconciliation of
consolidated adjusted income from operations to shareholders’ net income.
|
| 2. |
Management is not able to provide a reconciliation of adjusted income from operations to shareholders’ net income, on a forward-looking basis because it is unable to predict,
without unreasonable effort, certain components thereof including (i) future net investment results and (ii) future special items. These items are inherently uncertain and depend on various factors, many of which are beyond The Cigna Group’s
control. As such, any associated estimate and its impact on shareholders’ net income and total revenues could vary materially.
|
| 3. |
Adjusted revenues is used by The Cigna Group’s management because it facilitates analysis of trends in underlying revenue. The Company defines adjusted revenues as total revenues
excluding the following adjustments: special items and The Cigna Group’s share of certain investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting. Special items are matters that
management believes are not representative of the underlying results of normal, recurring operations due to their nature or size. We exclude these items from this measure because management believes they are not indicative of past or future
underlying performance of the business. Adjusted revenues is not determined in accordance with GAAP and should not be viewed as a substitute for the most directly comparable GAAP measure, total revenues. See Exhibit 1 for a reconciliation of
consolidated adjusted revenues to total revenues.
|
| 4. |
Operating ratios are defined as follows:
|
| • |
The Cigna Healthcare medical care ratio (“MCR”) represents medical costs as a percentage of premiums for all Cigna Healthcare risk products provided through guaranteed cost or
experience-rated funding arrangements. Changes in percentages may be expressed in basis points (“bps”).
|
| • |
SG&A expense ratio on a GAAP basis for the second quarter 2026 represents enterprise selling, general and administrative expenses of $3,470 million as a percentage of total revenue of $71.7 billion at a consolidated level. SG&A expense ratio on a GAAP basis for the second
quarter 2025 represents enterprise selling, general and administrative expenses of $3,433 million
as a percentage of total revenue of $67.2 billion at a consolidated level.
|
| • |
Adjusted SG&A expense ratio for the second quarter 2026 represents enterprise selling, general and administrative expenses of $3,290 million excluding special items of $180 million as a percentage of adjusted revenue at a consolidated level. Adjusted SG&A expense ratio for the second quarter 2025 represents enterprise selling, general and administrative expenses of $3,271 million excluding special items of $162 million as a percentage of adjusted revenue at a consolidated level.
|
| 5. |
Customer relationships are defined as follows:
|
| • |
Total medical customers includes individuals who meet any one of the following criteria: (i) are covered under a medical insurance policy, managed care
arrangement, or administrative services agreement issued by Cigna Healthcare; (ii) have access to Cigna Healthcare’s provider network for covered services under their medical plan; or (iii) have medical claims that are administered by Cigna
Healthcare.
|
| 6. |
Margin, pre-tax, is calculated by dividing adjusted income (loss) from operations, pre-tax by adjusted revenues for each segment.
|
| 7. |
The Cigna Group owns noncontrolling interests in certain operating joint ventures. As such, the adjusted revenues for the Cigna Healthcare segment only include the Company’s share
of the joint ventures’ earnings reported in Fees and Other Revenues using the equity method of accounting under GAAP.
|
| 8. |
Medical costs payable within the Cigna Healthcare segment are presented net of reinsurance and other
recoverables. The gross medical costs payable balance was $5.23 billion as of June 30, 2026,
$4.92 billion as of March 31, 2026, and $4.64 billion as of June 30, 2025.
|
|
THE CIGNA GROUP
|
Exhibit 1
|
|
COMPARATIVE SUMMARY OF FINANCIAL RESULTS (unaudited)
|
|
|
Three Months Ended
|
Six Months Ended
|
Three Months
Ended
|
|||||||||||||||||
|
|
June 30,
|
June 30,
|
March 31,
|
|||||||||||||||||
|
(Dollars in millions, except per share amounts)
|
2026
|
2025
|
2026
|
2025
|
2026
|
|||||||||||||||
|
|
||||||||||||||||||||
|
REVENUES
|
||||||||||||||||||||
|
|
||||||||||||||||||||
|
Pharmacy revenues
|
$
|
57,172
|
$
|
53,649
|
$
|
111,209
|
$
|
102,282
|
$
|
54,037
|
||||||||||
|
Premiums
|
9,859
|
9,156
|
19,671
|
21,892
|
9,812
|
|||||||||||||||
|
Fees and other revenues
|
4,365
|
4,137
|
8,808
|
8,032
|
4,443
|
|||||||||||||||
|
Net investment income
|
272
|
236
|
474
|
474
|
202
|
|||||||||||||||
|
Total revenues
|
71,668
|
67,178
|
140,162
|
132,680
|
68,494
|
|||||||||||||||
|
Net investment results from certain equity method investments
|
(110
|
)
|
(44
|
)
|
(87
|
)
|
(94
|
)
|
23
|
|||||||||||
|
Adjusted revenues (1)
|
$
|
71,558
|
$
|
67,134
|
$
|
140,075
|
$
|
132,586
|
$
|
68,517
|
||||||||||
|
Shareholders’ net income
|
$
|
1,660
|
$
|
1,532
|
$
|
3,314
|
$
|
2,855
|
$
|
1,654
|
||||||||||
|
Pre-tax adjusted income (loss) from operations by segment
|
||||||||||||||||||||
|
Evernorth Health Services
|
$
|
1,663
|
$
|
1,696
|
$
|
3,129
|
$
|
3,130
|
$
|
1,466
|
||||||||||
|
Cigna Healthcare
|
1,276
|
1,094
|
2,790
|
2,381
|
1,514
|
|||||||||||||||
|
Corporate and Other Operations
|
(389
|
)
|
(357
|
)
|
(766
|
)
|
(768
|
)
|
(377
|
)
|
||||||||||
|
Adjusted income tax expense
|
(496
|
)
|
(503
|
)
|
(1,041
|
)
|
(973
|
)
|
(545
|
)
|
||||||||||
|
Consolidated after-tax adjusted income from operations
|
$
|
2,054
|
$
|
1,930
|
$
|
4,112
|
$
|
3,770
|
$
|
2,058
|
||||||||||
|
|
||||||||||||||||||||
|
Weighted average shares (in thousands)
|
263,962
|
268,154
|
263,990
|
270,540
|
264,017
|
|||||||||||||||
|
Common shares outstanding (in thousands)
|
264,154
|
266,901
|
264,498
|
|||||||||||||||||
|
SHAREHOLDERS’ EQUITY at June 30,
|
$
|
42,620
|
$
|
40,214
|
||||||||||||||||
|
SHAREHOLDERS’ EQUITY PER SHARE at June 30,
|
$
|
161.35
|
$
|
150.67
|
||||||||||||||||
|
Three Months Ended
|
Six Months Ended
|
Three Months Ended
|
||||||||||||||||||||||||||||||||||||||
|
|
June 30,
|
June 30,
|
March 31,
|
|||||||||||||||||||||||||||||||||||||
|
|
2026
|
2025
|
2026
|
2025
|
2026
|
|||||||||||||||||||||||||||||||||||
|
(Dollars in millions, except per share amounts)
|
Pre-tax
|
After-tax
|
Pre-tax
|
After-tax
|
Pre-tax
|
After-tax
|
Pre-tax
|
After-tax
|
Pre-tax
|
After-tax
|
||||||||||||||||||||||||||||||
|
SHAREHOLDERS’ NET INCOME
|
||||||||||||||||||||||||||||||||||||||||
|
Shareholders’ net income
|
$
|
1,660
|
$
|
1,532
|
$
|
3,314
|
$
|
2,855
|
$
|
1,654
|
||||||||||||||||||||||||||||||
|
Adjustments to reconcile to adjusted income from operations
|
||||||||||||||||||||||||||||||||||||||||
|
Net investment (gains) (2)
|
$
|
(41
|
)
|
(55
|
)
|
$
|
(96
|
)
|
(103
|
)
|
$
|
(276
|
)
|
(288
|
)
|
$
|
(144
|
)
|
(151
|
)
|
$
|
(235
|
)
|
(233
|
)
|
|||||||||||||||
|
Amortization of acquired intangible assets
|
389
|
296
|
422
|
330
|
779
|
611
|
844
|
666
|
390
|
315
|
||||||||||||||||||||||||||||||
|
Special Items
|
||||||||||||||||||||||||||||||||||||||||
|
Strategic optimization program
|
70
|
53
|
129
|
98
|
450
|
343
|
344
|
261
|
380
|
290
|
||||||||||||||||||||||||||||||
|
Integration and transaction-related costs
|
34
|
26
|
74
|
56
|
69
|
53
|
290
|
220
|
35
|
27
|
||||||||||||||||||||||||||||||
|
Charges (benefits) associated with litigation matters
|
77
|
60
|
—
|
—
|
66
|
52
|
—
|
—
|
(11
|
)
|
(8
|
)
|
||||||||||||||||||||||||||||
|
Deferred tax expenses, net
|
—
|
17
|
—
|
17
|
—
|
33
|
—
|
34
|
—
|
16
|
||||||||||||||||||||||||||||||
|
(Gain) on sale of businesses
|
(6
|
)
|
(3
|
)
|
—
|
—
|
(6
|
)
|
(6
|
)
|
(41
|
)
|
(115
|
)
|
—
|
(3
|
)
|
|||||||||||||||||||||||
|
Adjusted income from operations (3)
|
$
|
2,054
|
$
|
1,930
|
$
|
4,112
|
$
|
3,770
|
$
|
2,058
|
||||||||||||||||||||||||||||||
|
DILUTED EARNINGS PER SHARE
|
||||||||||||||||||||||||||||||||||||||||
|
Shareholders’ net income
|
$
|
6.29
|
$
|
5.71
|
$
|
12.55
|
$
|
10.55
|
$
|
6.26
|
||||||||||||||||||||||||||||||
|
Adjustments to reconcile to adjusted income from operations
|
||||||||||||||||||||||||||||||||||||||||
|
Net investment (gains) (2)
|
$
|
(0.16
|
)
|
(0.21
|
)
|
$
|
(0.36
|
)
|
(0.38
|
)
|
$
|
(1.05
|
)
|
(1.09
|
)
|
$
|
(0.53
|
)
|
(0.56
|
)
|
$
|
(0.89
|
)
|
(0.88
|
)
|
|||||||||||||||
|
Amortization of acquired intangible assets
|
1.48
|
1.12
|
1.57
|
1.23
|
2.96
|
2.32
|
3.12
|
2.47
|
1.48
|
1.19
|
||||||||||||||||||||||||||||||
|
Special Items
|
||||||||||||||||||||||||||||||||||||||||
|
Strategic optimization program
|
0.27
|
0.20
|
0.48
|
0.37
|
1.70
|
1.29
|
1.27
|
0.97
|
1.44
|
1.10
|
||||||||||||||||||||||||||||||
|
Integration and transaction-related costs
|
0.13
|
0.10
|
0.28
|
0.21
|
0.26
|
0.20
|
1.07
|
0.81
|
0.13
|
0.10
|
||||||||||||||||||||||||||||||
|
Charges (benefits) associated with litigation matters
|
0.28
|
0.23
|
—
|
—
|
0.25
|
0.20
|
—
|
—
|
(0.04
|
)
|
(0.03
|
)
|
||||||||||||||||||||||||||||
|
Deferred tax expenses, net
|
—
|
0.06
|
—
|
0.06
|
—
|
0.13
|
—
|
0.13
|
—
|
0.06
|
||||||||||||||||||||||||||||||
|
(Gain) on sale of businesses
|
(0.02
|
)
|
(0.01
|
)
|
—
|
—
|
(0.02
|
)
|
(0.02
|
)
|
(0.15
|
)
|
(0.43
|
)
|
—
|
(0.01
|
)
|
|||||||||||||||||||||||
|
Adjusted income from operations (3)
|
$
|
7.78
|
$
|
7.20
|
$
|
15.58
|
$
|
13.94
|
$
|
7.79
|
||||||||||||||||||||||||||||||