Cigna Group
Business
Cigna Group is a global health company that delivers integrated medical, pharmacy and care services to individuals, employers, government programs and other clients. It offers pharmacy benefit management, home delivery and specialty pharmacy, care delivery and care management programs, administrative and insured medical plans, behavioral and dental solutions, and other health-related services. The company reports two primary platforms—Evernorth Health Services (Pharmacy Benefit Services; Specialty and Care Services) and Cigna Healthcare (U.S. Healthcare; International Health)—along with Other Operations and corporate functions. It operates across the United States and in more than 30 countries, distributing products through brokers, direct sales, private and public exchanges, and partnerships with providers and government programs.
Summary from filing dated 2025-02-27
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Premiums | 40,261 | 45,996 | 44,237 | 39,916 | 41,154 | |
| Net investment income | 1,046 | 973 | 1,166 | 1,155 | 1,549 | |
| TOTAL REVENUES | 274,900 | 247,121 | 195,265 | 180,518 | 174,069 | |
| Pharmacy and other service costs | 214,991 | 182,509 | 133,801 | 124,834 | 117,553 | |
| Medical costs and other benefit expenses | 34,349 | 38,648 | 36,287 | 32,184 | 33,565 | |
| Selling, general and administrative expenses | 14,617 | 14,844 | 14,822 | 13,174 | 13,012 | |
| Amortization of acquired intangible assets | 1,743 | 1,703 | 1,819 | 1,876 | 1,998 | |
| TOTAL BENEFITS AND EXPENSES | 265,700 | 237,704 | 186,729 | 172,068 | 166,128 | |
| Income from operations | 9,200 | 9,417 | 8,536 | 8,450 | 7,941 | |
| Interest expense and other | −1,408 | −1,435 | −1,446 | −1,228 | −1,208 | |
| Net gain (loss) on sale of businesses | 13 | 24 | −1,499 | 1,662 | 0 | |
| Net investment losses | −24 | −2,737 | −78 | −487 | — | |
| Income before income taxes | 7,781 | 5,269 | 5,513 | 8,397 | 6,790 | |
| TOTAL INCOME TAXES | 1,493 | 1,491 | 141 | 1,615 | 1,370 | |
| Net income | 6,288 | 3,778 | 5,372 | 6,782 | 5,420 | |
| Less: Net income attributable to noncontrolling interests | 331 | 344 | 208 | 78 | 50 | |
| SHAREHOLDERS' NET INCOME | 5,957 | 3,434 | 5,164 | — | — | |
| Basic (in dollars per share) | 22.33 | 12.25 | 17.57 | 21.66 | 15.89 | |
| Diluted (in dollars per share) | 22.18 | 12.12 | 17.39 | 21.41 | 15.75 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 7,676 | 7,550 | 7,822 | 5,924 | 5,081 | |
| Investments | 1,056 | 665 | 925 | 905 | 920 | |
| Accounts receivable, net | 28,768 | 24,227 | 17,722 | 17,218 | 15,071 | |
| Inventories | 7,338 | 6,692 | 5,645 | 4,777 | 3,722 | |
| Other current assets | 2,976 | 2,732 | 2,169 | 1,298 | 1,283 | |
| Assets of businesses held for sale | 0 | 7,004 | 3,068 | 0 | 10,057 | |
| Total current assets | 47,814 | 48,870 | 37,351 | 30,122 | 36,134 | |
| Long-term investments | 18,471 | 15,128 | 17,985 | 16,288 | 18,438 | |
| Reinsurance recoverables | 4,103 | 4,378 | 4,835 | 5,416 | 4,970 | |
| Property and equipment | 3,651 | 3,654 | 3,695 | 3,774 | 3,692 | |
| Goodwill | 44,924 | 44,370 | 44,259 | 45,811 | 45,811 | |
| Other intangible assets | 28,560 | 29,417 | 30,863 | 32,492 | 34,102 | |
| Other assets | 2,885 | 2,786 | 3,421 | 2,704 | 3,405 | |
| Separate account assets | 7,511 | 7,278 | — | — | — | |
| TOTAL ASSETS | 157,919 | 155,881 | 152,761 | 143,885 | 154,889 | |
| Current insurance and contractholder liabilities | 5,710 | 5,388 | 5,514 | 5,409 | 5,318 | |
| Pharmacy and other service costs payable | 30,333 | 28,465 | 19,815 | 17,070 | 15,309 | |
| Accounts payable | 10,659 | 9,294 | 8,553 | 7,775 | 6,655 | |
| Accrued expenses and other liabilities | 9,048 | 9,387 | 9,955 | 7,978 | 7,322 | |
| Short-term debt | 592 | 3,035 | 2,775 | 2,993 | 2,545 | |
| Liabilities of businesses held for sale | 0 | 2,410 | 2,104 | 0 | 6,423 | |
| Total current liabilities | 56,342 | 57,979 | 48,716 | 41,225 | 43,572 | |
| Non-current insurance and contractholder liabilities | 9,938 | 10,254 | 10,904 | 11,976 | 12,563 | |
| Deferred tax liabilities, net | 7,145 | 6,975 | 7,173 | 7,786 | 8,346 | |
| Other non-current liabilities | 4,238 | 3,215 | 3,441 | 2,766 | 3,762 | |
| Long-term debt | 30,871 | 28,937 | 28,155 | 28,100 | 31,125 | |
| Separate account liabilities | 7,511 | 7,278 | 7,430 | 7,278 | 8,337 | |
| TOTAL LIABILITIES | 116,045 | 114,638 | 106,410 | 99,131 | 107,705 | |
| Contingencies Note 22 | — | — | — | — | — | |
| Common stock | 4 | 4 | 4 | 4 | 4 | |
| Additional paid-in capital | 31,790 | 31,288 | 30,669 | 30,233 | 29,574 | |
| Accumulated other comprehensive loss | −2,806 | −2,341 | −1,864 | −1,658 | −884 | |
| Retained earnings | 47,865 | 43,519 | 41,652 | 37,940 | 32,593 | |
| Less: Treasury stock, at cost | −35,140 | −31,437 | −24,238 | −21,844 | −14,175 | |
| TOTAL SHAREHOLDERS' EQUITY | 41,713 | 41,033 | 46,223 | 44,675 | 47,112 | |
| Noncontrolling interests | 161 | 210 | 21 | 13 | 18 | |
| Total equity | 41,874 | 41,243 | 46,244 | 44,688 | 46,976 | |
| Total liabilities and equity | 157,919 | 155,881 | 152,761 | 143,885 | 154,889 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Depreciation and amortization | 2,775 | 2,775 | 3,035 | 2,937 | 2,923 | |
| Deferred income tax expense (benefit) | 326 | −95 | −1,659 | −472 | −216 | |
| Accounts receivable, net | −4,630 | −7,369 | −1,663 | −2,237 | −2,843 | |
| Inventories | −646 | −1,032 | −868 | −1,055 | −557 | |
| Reinsurance recoverable and Other assets | −897 | −485 | −539 | 393 | −655 | |
| Insurance liabilities | 1,247 | −591 | 584 | −336 | 805 | |
| Pharmacy and other service costs payable | 1,868 | 8,757 | 2,030 | 1,760 | 1,961 | |
| Accounts payable and Accrued expenses and other liabilities | 2,797 | 1,138 | 3,481 | 1,734 | 77 | |
| Other, net | 462 | 774 | 463 | 325 | 333 | |
| NET CASH PROVIDED BY OPERATING ACTIVITIES | 9,601 | 10,363 | 11,813 | 8,656 | 7,191 | |
| Debt securities and equity securities | 782 | 856 | 1,078 | 1,744 | 2,030 | |
| Debt securities and equity securities | 986 | 839 | 972 | 1,327 | 1,628 | |
| Commercial mortgage loans | 223 | 188 | 186 | 98 | 180 | |
| Other sales, maturities and repayments (primarily short-term and other long-term investments) | 884 | 752 | 586 | 1,039 | 1,936 | |
| Debt securities and equity securities | −5,788 | −1,386 | −4,334 | −2,756 | −3,553 | |
| Commercial mortgage loans | −117 | −54 | −118 | −161 | −327 | |
| Other (primarily short-term and other long-term investments) | −1,416 | −1,309 | −1,205 | −1,563 | −2,554 | |
| Property and equipment purchases, net | −1,212 | −1,406 | −1,573 | −1,295 | −1,154 | |
| Acquisitions, net of cash acquired | −597 | −131 | −447 | 0 | −1,833 | |
| Divestitures, net of cash sold | 2,984 | 521 | 13 | 4,835 | −61 | |
| Renewable energy tax credit equity investments | −1,102 | −1,030 | −313 | −125 | — | |
| Other, net | −34 | 58 | −19 | −45 | 97 | |
| NET CASH USED IN INVESTING ACTIVITIES | −4,407 | −2,102 | −5,174 | 3,098 | −3,611 | |
| Deposits and interest credited to contractholder deposit funds | 152 | 166 | 167 | 164 | 153 | |
| Withdrawals and benefit payments from contractholder deposit funds | −253 | −228 | −223 | −220 | −168 | |
| Net change in short-term debt, excluding term loan | −927 | −402 | 1,198 | −2,059 | 975 | |
| Net proceeds on issuance of term loan | 1,999 | 0 | 0 | 0 | 0 | |
| Repayment of term loan | −2,000 | 0 | 0 | 0 | 0 | |
| Repayment of long-term debt | −4,197 | −3,000 | −2,967 | −500 | −4,578 | |
| Net proceeds on issuance of long-term debt | 4,458 | 4,462 | 1,491 | 0 | 4,260 | |
| Repurchase of common stock | −3,621 | −7,034 | −2,284 | −7,607 | −7,742 | |
| Issuance of common stock | 203 | 305 | 187 | 389 | 326 | |
| Common stock dividend paid | −1,611 | −1,567 | −1,450 | −1,384 | −1,341 | |
| Other, net | −624 | −349 | −413 | −23 | 39 | |
| NET CASH USED IN FINANCING ACTIVITIES | −6,421 | −7,647 | −4,294 | −11,240 | −8,212 | |
| Effect of foreign currency rate changes on cash, cash equivalents and restricted cash | 32 | −20 | 16 | −86 | −65 | |
| Net (decrease) increase in cash, cash equivalents and restricted cash | −1,195 | 594 | 2,361 | 428 | −4,697 | |
| Interest paid | 1,350 | 1,342 | 1,330 | 1,229 | 1,253 |