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Segment Information (Tables)
6 Months Ended
Jun. 30, 2025
Segment Reporting [Abstract]  
Summary of Special Items
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 June 30,Six Months Ended June 30,
2025202420252024
(In millions)Pre-taxAfter-taxPre-taxAfter-taxPre-taxAfter-taxPre-taxAfter-tax
Strategic optimization program (largely Selling, general and administrative expenses)129 98 — — 344 261 — — 
Integration and transaction-related costs (Selling, general and administrative expenses)$74 $56 $63 $47 $290 $220 $100 $76 
(Gain) loss on sale of businesses   — — (41)(115)19 (43)
Deferred tax expenses, net (Income taxes, less amount attributable to noncontrolling interests) 17 — 17  34 — 34 
Total impact from special items$203 $171 $63 $64 $593 $400 $119 $67 
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 June 30, 2025
Revenues from external customers $57,486 $9,358 $98 $ $66,942 
Intersegment revenues308 1,313 13 (1,634)
Net investment income
31 127 73 5 236 
Total revenues57,825 10,798 184 (1,629)67,178 
Net investment results from certain equity method investments  (44)  (44)
Adjusted revenues$57,825 $10,754 $184 $(1,629)$67,134 
Pharmacy and other service costs54,939  
Medical costs 7,482 
Selling, general and administrative expenses excluding special items1,074 2,180 
Other segment items (1)
Interest (expense) and other1 2 
Less income attributable to noncontrolling interests117  
Pre-tax adjusted income (loss) from operations1,696 1,094 25 (382)2,433 
Income (loss) before income taxes
$1,430 $1,098 $(20)$(487)$2,021 
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests
(117)   (117)
Net investment (gains) losses (2)
(80)(20)4  (96)
Amortization of acquired intangible assets416 6   422 
Special items
Strategic optimization program47 10 41 31 129 
Integration and transaction-related costs   74 74 
Pre-tax adjusted income (loss) from operations$1,696 $1,094 $25 $(382)$2,433 
Other segment information
Depreciation and amortization587 81 9 5 682 
(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 June 30, 2024
Revenues from external customers $48,251 $11,821 $130 $— $60,202 
Intersegment revenues1,232 1,203 20 (2,455)
Net investment income
65 172 77 321 
Total revenues49,548 13,196 227 (2,448)60,523 
Net investment results from certain equity method investments— (53)— — (53)
Adjusted revenues$49,548 $13,143 $227 $(2,448)$60,470 
Pharmacy and other service costs46,852 — 
Medical costs— 9,312 
Selling, general and administrative expenses excluding special items980 2,629 
Other segment items (1)
Interest (expense) and other(2)
Less income attributable to noncontrolling interests95 — 
Pre-tax adjusted income (loss) from operations$1,619 $1,204 $(16)$(435)$2,372 
Income (loss) before income taxes
$1,299 $1,205 $(17)$(498)$1,989 
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests
(95)— — — (95)
Net investment (gains) losses (2)
(1)(5)— (5)
Amortization of acquired intangible assets416 — — 420 
Special items
Integration and transaction-related costs— — — 63 63 
Pre-tax adjusted income (loss) from operations$1,619 $1,204 $(16)$(435)$2,372 
Other segment information
Depreciation and amortization$614 $113 $$$738 
(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
Six months ended June 30, 2025
Revenues from external customers$109,488 $22,526 $192 $ $132,206 
Intersegment revenues1,956 2,544 25 (4,525)
Net investment income
62 260 142 10 474 
Total revenues111,506 25,330 359 (4,515)132,680 
Net investment results from certain equity method investments
 (94)  (94)
Adjusted revenues$111,506 $25,236 $359 $(4,515)$132,586 
Pharmacy and other service costs106,060  
Medical costs 17,867 
Selling, general and administrative expenses2,098 4,992 
Other segment items (1)
Interest (expense) and other1 4 
Less: Income attributable to noncontrolling interests219  
Pre-tax adjusted income (loss) from operations3,130 2,381 25 (793)4,743 
Income (loss) before income taxes
$2,538 $2,462 $(40)$(1,291)$3,669 
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests
(219)   (219)
Net investment (gains) losses (2)
(84)(67)7  (144)
Amortization of acquired intangible assets831 13   844 
Special items
Integration and transaction-related costs   290 290 
Strategic optimization program68 10 58 208 344 
(Gain) on sale of businesses(4)(37)  (41)
Pre-tax adjusted income (loss) from operations$3,130 $2,381 $25 $(793)$4,743 
Other segment information
Depreciation and amortization$1,171 $164 $11 $10 $1,356 
(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
Six months ended June 30, 2024
Revenues from external customers $93,137 $23,833 $196 $$117,167 
Intersegment revenues2,513 2,327 45 (4,885)
Net investment income
124 321 152 14 611 
Total revenues95,774 26,481 393 (4,870)117,778 
Net investment results from certain equity method investments— (61)— — (61)
Adjusted revenues$95,774 $26,420 $393 $(4,870)$117,717 
Pharmacy and other service costs90,690 — 
Medical costs— 18,531 
Selling, general and administrative expenses1,931 5,349 
Other segment items (1)
Interest (expense) and other(2)
Less: income attributable to noncontrolling interests172 — 
Pre-tax adjusted income (loss) from operations2,979 2,544 (844)4,681 
Income (loss) before income taxes
$863 $2,148 $$(944)$2,068 
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests
(172)— — — (172)
Net investment losses (2)
1,455 367 — 1,823 
Amortization of acquired intangible assets833 10 — — 843 
Special items
Integration and transaction-related costs
  — 100 100 
Loss on sale of businesses
— 19 — — 19 
Pre-tax adjusted income (loss) from operations$2,979 $2,544 $$(844)$4,681 
Other segment information
Depreciation and amortization$1,220 $237 $$19 $1,479 
(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.
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 June 30,Six Months Ended June 30,
(In millions)2025202420252024
Products (Pharmacy revenues) (ASC 606)
Network revenues$30,582 $25,276 $58,794 $49,442 
Home delivery and specialty revenues19,974 18,017 38,911 34,475 
Other revenues3,433 2,897 6,510 5,443 
Total Evernorth Health Services
53,989 46,190 104,215 89,360 
Other Operations
14 16 27 33 
Corporate and eliminations(354)(1,105)(1,960)(2,256)
Total Pharmacy revenues
53,649 45,101 102,282 87,137 
Insurance premiums (ASC 944)
Cigna Healthcare
U.S. Healthcare
Employer insured4,684 4,350 9,372 8,743 
Medicare Advantage 2,207 2,363 4,494 
Stop loss1,879 1,665 3,747 3,333 
Individual and Family Plans941 975 1,800 2,015 
Other462 1,220 2,334 2,478 
U.S. Healthcare
7,966 10,417 19,616 21,063 
International Health1,026 891 2,004 1,776 
Total Cigna Healthcare8,992 11,308 21,620 22,839 
Other Operations78 115 159 163 
Corporate and eliminations86 31 113 55 
Total Premiums
9,156 11,454 21,892 23,057 
Services (Fees) (ASC 606) and Other revenues (1)
Evernorth Health Services
3,805 3,293 7,229 6,290 
Cigna Healthcare
1,679 1,716 3,450 3,321 
Other Operations
19 19 31 45 
Corporate and eliminations(1,366)(1,381)(2,678)(2,683)
Total Fees and other revenues (1)
4,137 3,647 8,032 6,973 
Total revenues from external customers$66,942 $60,202 $132,206 $117,167 
(1)Other revenues for the three months ended June 30, 2025 and 2024 were $114 million and $152 million, respectively, and for the six months ended June 30, 2025 and 2024 were $276 million and $242 million, respectively.