XML 70 R55.htm IDEA: XBRL DOCUMENT

Segment Information (Tables)

12 Months Ended

Dec. 31, 2022

The following table presents the special items charges (benefits) recorded by the Company, as well as the respective financial statement line items impacted:



		For the Years Ended December 31,
	2022	2021				2020
(In millions)		Pre-tax		After-tax		Pre-tax		After-tax		Pre-tax		After-tax
Integration and transaction-related costs (Selling, general and administrative expenses)		$	135	$	103	$	169	$	71	$	527	$	404
Charge for organizational efficiency plan (Selling, general and administrative expenses)		22		17		168		119		31		24
(Benefits) charges associated with litigation matters (Selling, general and administrative expenses)		(28)		(20)		(27)		(21)		25		19
(Gain) on sale of businesses		(1,662)		(1,332)		—		—		(4,203)		(3,217)
Debt extinguishment costs		—		—		141		110		199		151
Risk corridors recovery (Selling, general and administrative expenses)		—		—		—		—		(101)		(76)
Contractual adjustment for a former client (Pharmacy revenues)		—		—		—		—		(204)		(155)

Total impact from special items		$	(1,533)	$	(1,232)	$	451	$	279	$	(3,726)	$	(2,850)

Summarized Segment Financial Information

Summarized segment financial information was as follows:


(In millions)	Evernorth Health Services		Cigna Healthcare		Other Operations		Corporate and Eliminations		Total
2022
Revenues from external customers	$	135,786	$	41,737	$	1,838	$	—	$	179,361
Intersegment revenues	4,463		2,535		—		(6,998)
Net investment income	86		638		424		7		1,155
Total revenues	140,335		44,910		2,262		(6,991)		180,516
Net realized investment results from certain equity method investments	—		126		—		—		126

Adjusted revenues	$	140,335	$	45,036	$	2,262	$	(6,991)	$	180,642
Depreciation and amortization	$	2,283	$	638	$	6	$	10	$	2,937
Income (loss) before income taxes	$	4,421	$	3,443	$	2,084	$	(1,595)	$	8,353
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests	(66)		(4)		(14)		—		(84)
Net realized investment losses (1)	—		530		91		—		621
Amortization of acquired intangible assets	1,772		103		1		—		1,876
Special items
Integration and transaction-related costs	—		—		—		135		135
Charge for organizational efficiency plan	—		—		—		22		22
(Benefits) associated with litigation matters	—		—		—		(28)		(28)
(Gain) on sale of businesses	—		—		(1,662)		—		(1,662)




Pre-tax adjusted income (loss) from operations	$	6,127	$	4,072	$	500	$	(1,466)	$	9,233

(In millions)	Evernorth Health Services		Cigna Healthcare		Other Operations		Corporate and Eliminations		Total
2021
Revenues from external customers	$	127,692	$	41,378	$	3,459	$	—	$	172,529
Intersegment revenues	4,203		2,271		—		(6,474)
Net investment income (loss)	17		1,003		530		(1)		1,549
Total revenues	131,912		44,652		3,989		(6,475)		174,078

Net realized investment results from certain equity method investments	—		—		—		—		—

Adjusted revenues	$	131,912	$	44,652	$	3,989	$	(6,475)	$	174,078
Depreciation and amortization	$	2,316	$	551	$	52	$	4	$	2,923
Income (loss) before income taxes	$	3,908	$	3,812	$	852	$	(1,790)	$	6,782
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests	(31)		(3)		(24)		—		(58)
Net realized investment losses (gains) (1)	4		(247)		47		—		(196)
Amortization of acquired intangible assets	1,937		47		14		—		1,998
Special items
Integration and transaction-related costs	—		—		—		169		169
Charge for organizational efficiency plan	—		—		—		168		168
(Benefits) associated with litigation matters	—		—		—		(27)		(27)

Debt extinguishment costs	—		—		—		141		141



Pre-tax adjusted income (loss) from operations	$	5,818	$	3,609	$	889	$	(1,339)	$	8,977

(1) Includes the Company's share of certain realized investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting.


(In millions)	Evernorth Health Services		Cigna Healthcare		Other Operations		Corporate and Eliminations		Total
2020
Revenues from external customers	$	112,647	$	38,826	$	7,684	$	—	$	159,157
Intersegment revenues	3,655		1,966		23		(5,644)
Net investment income	32		473		739		—		1,244
Total revenues	116,334		41,265		8,446		(5,644)		160,401
Net realized investment results from certain equity method investments	—		(130)		—		—		(130)
Special item related to contractual adjustment for a former client	(204)		—		—		—		(204)
Adjusted revenues	$	116,130	$	41,135	$	8,446	$	(5,644)	$	160,067
Depreciation and amortization	$	2,248	$	458	$	71	$	25	$	2,802
Income (loss) before income taxes	$	3,684	$	4,291	$	5,227	$	(2,334)	$	10,868
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests	(17)		(1)		(19)		—		(37)
Net realized investment (gains) (1)	(17)		(202)		(60)		—		(279)
Amortization of acquired intangible assets	1,917		44		21		—		1,982
Special items
Integration and transaction-related costs	—		—		—		527		527
Charge for organizational efficiency plan	—		—		—		31		31
Charges associated with litigation matters	—		—		—		25		25
(Gain) on sale of businesses	—		—		(4,203)		—		(4,203)
Debt extinguishment costs	—		—		—		199		199
Risk corridors recovery	—		(101)		—		—		(101)
Contractual adjustment for a former client	(204)		—		—		—		(204)

Pre-tax adjusted income (loss) from operations	$	5,363	$	4,031	$	966	$	(1,552)	$	8,808

(1) Includes the Company's share of certain realized investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting.

Revenue from External Customers

Revenue from external customers includes Pharmacy revenues, Premiums and Fees and other revenues. The following table presents these revenues by product, premium and service type:



	For the Years Ended December 31,
(In millions)	2022		2021		2020
Products (Pharmacy revenues) (ASC 606)
Network revenues	$	64,946	$	64,992	$	56,365
Home delivery and specialty revenues	61,283		54,391		49,906
Other revenues	6,753		6,428		5,403
Intercompany eliminations	(4,416)		(4,398)		(3,905)
Total pharmacy revenues	128,566		121,413		107,769
Insurance premiums (ASC 944)
Cigna Healthcare
U.S. Commercial
Insured	15,199		14,315		13,389
Stop loss	5,461		4,868		4,614
Other	1,418		1,290		1,135
U.S. Government
Medicare Advantage	7,896		8,362		7,565
Medicare Part D	1,224		1,499		1,593
Other	3,990		4,815		4,301
International Health	2,906		2,588		2,472
Total Cigna Healthcare	38,094		37,737		35,069
Divested International businesses	1,596		3,205		3,039
Domestic disability, life and accident	—		—		4,423
Other	224		221		124
Intercompany eliminations	1		(9)		(28)
Total premiums	39,915		41,154		42,627
Services (Fees) (ASC 606)

Evernorth Health Services	7,234		6,070		4,611
Cigna Healthcare	6,053		5,743		5,491
Other Operations	9		19		116
Other revenues	167		197		254
Intercompany eliminations	(2,583)		(2,067)		(1,711)
Total fees and other revenues	10,880		9,962		8,761
Total revenues from external customers	$	179,361	$	172,529	$	159,157

Foreign and U.S. Revenues from External Customers

U.S. and foreign revenues from external customers are shown below. The Company's foreign revenues are generated by its foreign operating entities. In the periods shown, no single foreign country contributed more than 2% of consolidated revenues from external customers.


	For the Years Ended December 31,
(In millions)	2022		2021		2020
United States	$	174,539	$	166,626	$	154,042
Foreign countries (1)	4,822		5,903		5,115
Total	$	179,361	$	172,529	$	159,157

(1) The divested International businesses as described in Note 4 comprised $1.6 billion, $3.2 billion and $3.1 billion in 2022, 2021 and 2020, respectively.