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Cigna (CI) Q1 2026 earnings results (first quarter 2026)

10-Q filed Apr 30, 2026

Cigna (CI) reported revenue of $68.5B for the first quarter 2026 (Q1 2026), +5% from a year earlier and -5% from the quarter before. Operating margin was 3.4%, net earnings $1.7B (2.4% of revenue).

Revenue$68.5B
Year over year+5%
Quarter over quarter-5%
Operating margin3.4%
Net earnings$1.7B

Cigna, Q1 2026: revenue $68.5B (+5% year over year), operating margin 3.4%, net earnings $1.7B, operating cash flow $1.1B. The chart follows the revenue to costs, profit and cash.

Q1 2026AmountQ/QY/Y
Revenue$68.5B-5%+5%
Operating profit$2.4B+0.6%+20%
Net earnings$1.7B+34%+25%
Operating cash flow$1.1B-82%-41%

What changed

Revenue was $68.5B in Q1 2026, up 5% year over year and down 5% from the previous quarter.

Operating profit was $2.4B, a 3.4% margin (up 0.4 points year over year). Of the extra revenue versus Q1 2025, 13% reached operating profit, above the 3% margin then. Total costs grew 4% against revenue growth of 5%. The fastest-growing cost line was Cost of revenue (+12%). Net earnings were $1.7B, up 25% year over year. The effective tax rate was 18.0%.

Operating cash flow was $1.1B (down 41% year over year), 61% of net income including minority interests. Non-cash charges added back $0.65B of depreciation and amortization. Working capital and other items used $1.4B.

Questions

What was Cigna's revenue in the first quarter 2026?

Cigna (CI) reported revenue of $68.5B for the first quarter 2026 (Q1 2026), +5% from a year earlier and -5% from the quarter before.

Was Cigna profitable in the first quarter 2026?

Operating profit was $2.4B (3.4% of revenue) and net earnings $1.7B.

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Source: Cigna 10-Q on SEC EDGAR.