The Cigna Group
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The Cigna Group (CI) investor relations material

The Cigna Group Q3 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q3 2026 earnings summary5 Nov, 2026

Executive summary

  • Q3 adjusted revenue was $73.793B, up 6% YoY; adjusted income from operations was $2.104B and adjusted EPS was $7.98, up 2%.

  • GAAP shareholders’ net income was $1.442B, down 23% YoY, primarily reflecting the absence of the prior-year business-sale gain and lower net investment performance.

  • FY26 adjusted EPS guidance rose $0.15 to at least $30.60; long-term adjusted EPS growth expectations are 10%-14%.

Financial highlights

  • Q3 operating cash flow was $2.6B; YTD operating cash flow was $3.281B versus $3.452B, partly reflecting Inflation Reduction Act cash-flow effects and lower insurance liabilities.

  • YTD revenue increased 6% to $213.8B and adjusted diluted EPS rose 8% to $23.55.

  • Adjusted SG&A expense ratio was 4.7%, up 10 bps YoY, reflecting growth investments partly offset by efficiencies.

Outlook and guidance

  • FY26 adjusted EPS outlook increased to at least $30.60; Evernorth pre-tax adjusted income guidance is at least $6.9B and Cigna Healthcare guidance is at least $4.6B.

  • FY26 MCR midpoint is 84.2%, with guidance tightened to ±25 bps.

  • FY27 adjusted EPS growth is expected to be at least 10% from the ongoing-business run-rate baseline; long-term targets include 10%-14% adjusted EPS CAGR and ~$50B cumulative operating cash flow through 2030.

  • FY27 Evernorth earnings are expected to grow low single digits; Cigna Healthcare income from operations is expected to grow 6%-9%. Specialty and Care Services growth is expected near the low end of its 8%-12% long-term range.

  • The 2030 adjusted EPS target remains at least $45.

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Frequently asked questions

A provider of healthcare services to individuals and organizations

Cigna is a global health services company that provides a range of healthcare solutions to individuals and organizations around the world.

The company operates through two main business segments:

  • Health Services: This segment includes the company's insurance operations, which offer a range of health and wellness products to individuals and employers.

  • Integrated Medical: This segment includes the company's clinical operations, which provide a range of medical services, including primary care, behavioral health, and pharmacy services.

The business model

Cigna's business model is based on providing innovative and personalized healthcare solutions to its customers. The company offers a range of insurance products, including medical, dental, vision, and disability insurance, as well as wellness and health management programs. In addition, Cigna's clinical operations provide a range of medical services to its customers, including primary care, behavioral health, and pharmacy services. 

How Cigna makes money

Cigna generates revenue through a range of sources, including insurance premiums, fees for services, and investments. The company's insurance operations generate the majority of its revenue, with premiums and fees for services accounting for the bulk of its income. In addition, Cigna's investments in various businesses and ventures also generate a significant amount of revenue.

Interesting facts about Cigna

Interesting facts about Cigna include that it was founded in 1792 as the Insurance Company of North America (INA), making it one of the oldest insurance companies in the United States. The company has also been recognized for its commitment to social responsibility and sustainability, with a focus on promoting health and wellness in the communities where it operates. Three competitors of Cigna in the healthcare industry include UnitedHealth Group, Humana, and CVS Health.