Segment Information (Tables)

3 Months Ended

Mar. 31, 2025

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


	Three Months Ended March 31,
		2025	2024
(In millions)			Pre-tax		After-tax		Pre-tax		After-tax
Integration and transaction-related costs (Selling, general and administrative expenses)			$	216	$	164	$	37	$	29
Strategic optimization program (primarily Selling, general and administrative expenses)			215		163		—		—
Deferred tax expenses, net (Income taxes, less amount attributable to noncontrolling interests)			—		17		—		17
(Gain) loss on sale of businesses			(41)		(115)		19		(43)




Total impact from special items			$	390	$	229	$	56	$	3

Summarized Segment Financial Information

Summarized segment financial information was as follows:


(In millions)	Evernorth Health Services		Cigna Healthcare		Other Operations		Corporate and Eliminations		Total
Three months ended March 31, 2025
Revenues from external customers	$	52,002	$	13,168	$	94	$	—	$	65,264
Intersegment revenues	1,648		1,231		12		(2,891)
Net investment income	31		133		69		5		238
Total revenues	53,681		14,532		175		(2,886)		65,502
Net investment results from certain equity method investments	—		(50)		—		—		(50)


Adjusted revenues	$	53,681	$	14,482	$	175	$	(2,886)	$	65,452
Pharmacy and other service costs	51,121		—
Medical costs	—		10,385
Selling, general and administrative expenses	1,024		2,812
Other segment items (1)
Interest (expense) and other	—		2
Less: Income attributable to noncontrolling interests	102		—
Pre-tax adjusted income (loss) from operations	1,434		1,287		—		(411)		2,310

Income (loss) before income taxes	$	1,108	$	1,364	$	(20)	$	(804)	$	1,648
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests	(102)		—		—		—		(102)
Net investment (gains) losses (2)	(4)		(47)		3		—		(48)
Amortization of acquired intangible assets	415		7		—		—		422
Special items
Integration and transaction-related costs	—		—		—		216		216
Strategic optimization program	21		—		17		177		215

(Gain) on sale of businesses	(4)		(37)		—		—		(41)




Pre-tax adjusted income (loss) from operations	$	1,434	$	1,287	$	—	$	(411)	$	2,310

Other segment information
Depreciation and amortization	$	584	$	83	$	2	$	5	$	674

(1)Other segment items represent the difference between segment adjusted revenues less significant segment expenses and pre-tax adjusted income (loss) from operations, and they do not represent significant segment items relative to the CODM's review and oversight.

(2)Includes Net investment gains/losses as presented in our Consolidated Statements of Income, as well as the Company's share of certain investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting, which are presented within Fees and other revenues in our Consolidated Statements of Income.


(In millions)	Evernorth Health Services		Cigna Healthcare		Other Operations		Corporate and Eliminations		Total
Three months ended March 31, 2024
Revenues from external customers	$	44,886	$	12,012	$	66	$	1	$	56,965
Intersegment revenues	1,281		1,124		25		(2,430)
Net investment income	59		149		75		7		290
Total revenues	46,226		13,285		166		(2,422)		57,255
Net investment results from certain equity method investments	—		(8)		—		—		(8)

Adjusted revenues	$	46,226	$	13,277	$	166	$	(2,422)	$	57,247
Pharmacy and other service costs	43,838		—
Medical costs	—		9,219
Selling, general and administrative expenses	951		2,720
Other segment items (1)
Interest (expense) and other	—		2
Less: income attributable to noncontrolling interests	77		—
Pre-tax adjusted income (loss) from operations	1,360		1,340		18		(409)		2,309

(Loss) income before income taxes	$	(436)	$	943	$	18	$	(446)	$	79
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests	(77)		—		—		—		(77)
Net investment losses (2)	1,456		372		—		—		1,828
Amortization of acquired intangible assets	417		6		—		—		423
Special items
Integration and transaction-related costs	—		—		—		37		37


Loss on sale of businesses	—		19		—		—		19




Pre-tax adjusted income (loss) from operations	$	1,360	$	1,340	$	18	$	(409)	$	2,309

Other segment information
Depreciation and amortization	$	606	$	124	$	1	$	10	$	741

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:


	Three Months Ended March 31,
(In millions)		2025		2024
Products (Pharmacy revenues) (ASC 606)
Network revenues		$	28,212	$	24,166
Home delivery and specialty revenues		18,937		16,458
Other revenues		3,077		2,546
Total Evernorth Health Services		50,226		43,170
Other Operations		13		17
Corporate and eliminations		(1,606)		(1,151)
Total Pharmacy revenues		48,633		42,036
Insurance premiums (ASC 944)
Cigna Healthcare
U.S. Healthcare
Employer insured		4,688		4,393
Medicare Advantage		2,363		2,287
Stop loss		1,868		1,668
Individual and Family Plans		859		1,040
Other		1,872		1,258
U.S. Healthcare		11,650		10,646
International Health		978		885
Total Cigna Healthcare		12,628		11,531
Other Operations		81		48
Corporate and eliminations		27		24
Total Premiums		12,736		11,603
Services (Fees) (ASC 606) and Other revenues (1)
Evernorth Health Services		3,424		2,997
Cigna Healthcare		1,771		1,605
Other Operations		12		26
Corporate and eliminations		(1,312)		(1,302)
Total Fees and other revenues (1)		3,895		3,326
Total revenues from external customers		$	65,264	$	56,965

(1)Other revenues for the three months ended March 31, 2025 and 2024 were $162 million and $90 million, respectively.